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Home My WebLink AboutZ-19095· FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19095 THIS CERTIFIES that the building Location of Property 2100 PARK AVE. House No. County Tax Map No. 1000 Section 123 Date JUNE 1, 1990 2 ONE FAMILY DWELLINGS MATTITUCK, N.Y. Street Hamlet Block 8 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for private one family dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. Z-19095 dated JTJNE 1, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is 2 ONE FAMILY DWELLINGS * The certificate is issued to DONALD E. & DOROTHY L. SWAHN ( owners ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *Pr.RASE SEE ATTACHED INSPECTION REPORTS. Rev. 1/81 BUILDIi,:G DEP.~J{TI.LENT T0:'~r OF SOUTHOLD, N. Y. HOUSIi.;G CODE IHSPECTION REPORT Location Subdivision 2100 PARK AVE. (numoer ~ street) MATTITUCK, N.Y. (MunZcipaii~y) Map No. Lot(s). N~me of Owner(s) DONAL1) & DOROTHY S~/AHN Occupancy Admitted by: (type) DOROTHY SWAHN (owner-E enan~) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No. 123-8-8 Source of request DONALD S~/AHN Date 8/30/89 D~,,~ELL IMG: Type of construction Foundation CEMENT BLOCK Total rooms, 1st. F1 Bathroom(s) ONE YtfLL Porch, type Breezeway. Type Heat oIL Fir epl ac e ( s ) 01~ Domestic hotwater OFF BOILER Other ~OOD FRAME #stories Ot~E Cellar 3/4 Crawl space I/4 5 2nd. F1 -- 3rd. F1 -- Toilet room(s) Deck, typ~ Patio, type__ Garage. Utility room 'Waz-m Air .Hotwater ~w No. ~its 3 Airconditionin~ ~ype heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type ¢onst. VIOLATIONS: Location .CHAPTER 45--N.Y, STATE ~NIFORM FIRE PREVENTION & BUILDING CODE Descriotion } Art~.'} Sec. *1 Remarks: B.P. $~891-Z CO Z-19096 (EXISTING AC. CY SHED) Inspected by: ~x~!" i~s~ ' Date of Insp. 9/5/89 cma// ' Time start 10:20 end !0:45 Location Subdivision Name of Owner(s) DONALD & DOROTHY SWAHN BUILDI~ DEPJd%TI.~NT T0;'~r OF SOUTHOLD, N. Y. HOUSI!~ CODE I~PECTION REPORT 2100 PARK AVE. MATTITUCK, N.Y. ~nunloer ~ street) (i4unlclpati~y) Map No. Lot(s). Occupancy A~mitted by: DEBORA GINAS OWNER ~6wne~-Een~n%) Accompanied by: SAME Key ~vailable Suffolk Co. Tax No. 123-8-8 Source of request DONALD SWAHN .Dar e D%'~LLID~: Type of construction Foundation CONCRETE Total rooms, 1st. F1 WOOD FRAME #stories ONE Cellar I/5 Crawl space 4/5 4 2nd. F1 ~ - 3rd. F1 - - Bathroom(s) ONE Toilet room(s) NONE Porch, type_ SCREENED IN Deck, type. Patio, Breezeway. Garage_ Utility room Type Heat PROPANE 'Warm Air FLOOR uNI~Hotwater Fireplace(s) ONE IN . NO. ~¢its 2 Airconditioning.. Domestic hotwater ELECTRIC ~ype heater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. VIOLATIOMS: Location .CHAPTER 45--N.Y. STATE UNIFOP~M FIRE PREVENTION & BUILDING CODE Dezcriotion -- --{-Art.'{-- Sec. Remarks: Inspected by. GARY/j1 FisH Date of Insp. SEPT. 5. 1989 · Time start I0:00 end 10:15 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND Locatlon of Property .... :. /.~ n ..... ~e~ . . .3/V: ............ ~q~.rr~ ~. .. HOUSE NO. STREET HAMLET Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $./..~f.>:.~.?.~ .......... APPLICAN ... CONSENT TO INSPECTION Ox~er(s) Name(sO do(es) hereby state: · the undersigned, That the undersigned (~-~) (are) the owner(s) of the premises in the Town · which is shoxvn and designated on the Suffolk County tax map as District 1000, Section /~¢/~ , Block ~ , Lot f That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws· ordinances, rules and re,gulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances· rules or regulations of the Town of Southold. Dated: ~ , J' ' (print name) (s~ature)