HomeMy WebLinkAboutZ-17382No Z-17382
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date OCTOBER 6, 1988
THIS CERTIFIES that the building's ONE FAMILY DWELLING
Location of Property 390 MECHANIC STREET SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 4 Lot 15
Subdivision
Filed Map No. Lot No.
conforms substantially to the Requirements for a private one -family
dwelling built prior to APRIL 9, 1957 pursuant to which
Certificate of Occ Z-17382 dated OCTOBER 6, 1988
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 ONE FAMILY DWELLING WITH ACCESSORY WOOD ONE CAR GARAGE
The certificate is issued to CATHERINE TASKER
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N
Building'Inspector
2
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 390 MECHANIC STREET SOUTHOLD, NEW YORK
number & street Municipality
Subdivision clap No. Lot(s)
Name of Owner(s) CATHERINE TASKER
Occupancy R-1 TENANT
type owner -tenant
Admitted by: Mrs. Tasker Accompanied by: SAME
Key available
Source of request
DWELLING:
:
Suffolk Co. Tax No. 61-4-15
GEOFFREY J. MASCANO
Date Oct. 4, 1988
Type of construction WOOD ##stories 2
Foundation Hollow Tile Cellar Partial Crawl space rest
Total rooms, 1st. F1 3 2nd. F1 3 3rd. F1
Bathroom(s) 1 Toilet room(s)
Porch, type wood roof over Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat OIL FIRED 'alarm Air x Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater YES Type heater GAS
Other Pantry and large storage closet
ACCESSORY STRUCTURES:
Garage, type const. wood 1 car Storage, type const.
Swimming pool Guest, type const.
Other
Has a smoke detector
VIOLATIONS: Housing Code, Chapter 45 N.Y. Stat(p,Uniform,Fire Prevention
Location
Description MyjArt.�1
Sec.
garage
needs a new roof
CH
I 45
1242.5d
dwelling
porches need repairing
CH
45
1242.5C
Remarks:
Inspected by: /f%j-,.(ir^1Date of Insp. October 5, 1988
CURTIS W. HORTON Time start 2:30 end 3:00 P.M.
r
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted = vwmw to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $100-00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Undated C.O. $ 50.00 Date ...../�� :!...............
NewConstruction...... Old orPre-existing Building ..X ........ Vacant Land
Location of Property ................... �!l.0 c} (r? Ali 4 L?Z.� �T....... 4.v e.0 t 0
House No. Street Ham/et
Owner or Owners of Property . C,�}j ! ( R�,iV,t~ ....I5k<r {; ........ . ...... . .. . ........... .
County Tax Map No. 1000 Section .t%� A 1 PC-` ...... Block . Q.IPR....... Lot .o. % S.a.Q c) .....
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate . ..................Final Certificate .. /............... .
rr nn//��`'�_
Fee Submitted $ .. r.l.-`. . 4. t �S-C�a
Construction on above described building and pe mi ets all applicAble codes and regulations.
Applicant..... �' � ................
Rev. 10-10.78
Lo I�
3SS
f
1
CONSENT
TO.
INSPECTION
s) ivame
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 3C/o 111,\{CH19N2-G STCEET SO U' k(i (-
which is shown and designated on the Suffolk
County tax map as District 1000, Section po , Block Q 00 , Lot Q Shoo .
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 regulations 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: 0-0q—kX _
(print name)
(signature)
(print name)
SuffotX �'OtJNTY
TAX /YI Ao
,J>/ST /Ooo
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im-DATED York State
um standrds of the
Prepared in accordance With the Minim aNrw'
Land Titte Association. nly to the person for whom the survey.
CertiScatioa indicated hereon shall "art c mpanT, govern nenral agency and
is prepared, and on his b h If 'o theHent Owners -
,coding institution lisle ion 7209
IS a violation of Sect
certification is not transferable co additional institucions or su e
Unauthorized alteration or imition of this survey
of the New Yak State education Law•
MAP OF PROPERTY
„s`01lTNOL D Sr
SITUATE
4Du ���AP
TOWN OC t (n
y ftr•v �r..��.,.. T...+��SL rr
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Fm NOT TRA
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GERTIFieD TO -
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�rv'Yt��'� $flN�
Ch
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t
timing the Itnd Surveyors in ked seal or embosxd
n
f,opies of this stitve � � bearto � s vstid true coQY•
sesl shall not be coasidcted structures to the ptoQFrtP
The otfseu (ot daoetrsions) shown hereon from dx
ovil use and 'hetefore are not intendedadddi �t to
n of featxs teatmng wails, POOK Patios, Planting areas
lines ate for a speQftc Purpose
the orectic ocher Construction.buitdittgs or any
Eeaements of record not shown ace not cenihed.
G4pY,t7/ANT
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BUILDING DEPARTMENT
T=N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location J 90 a%'i '&
number & street) - -' (Municip
Subdivision
Name of Owner(s)
Occupancy /I —
Map No.
Lot(s)
(type)/ -(owner-tenant
Admitted by: Accompanied by:
Key available Suffolk Co. Tax No.
Source of request Date
DWELLING:
Type of construction #stories
Foundation Cellar Crawl space
Total rooms, 1st. F1 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat: � 'alarm Air Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater ,,�� Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. .je:Storage, type const.
Swimming pool Guest, type const.
Other
G[.
VIOLATIONS: Housing Code, Chapter 45 N.Y. State -Uniform -Fire Prevention
�L
Remarks •
Inspected by: Date of Insp.
Time start �Y�3y end 3 _.d'f � �