HomeMy WebLinkAboutZ-17822FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17822
Date MARCH 9, 1989
THIS CERTIFIES that the building
Location of Property 1930 SIGSBEE ROAD
House No.
County Tax Map No. 1000 Section 144
Subdivision
ONE FAMILY DWELLING
MATTITUCK~ NEW YORK
Street Hamlet
Block
Filed Map No.
1 Lot 14
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. ~17822 dated MARCH 9~ 1989
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 DWF/~LING WITH ACCESSORY ONE CAR GARAGE
The certificate is issued to ALPHONSE & MARGUERITE THOMAS
(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
Rev. 1/81
Building Inspector
Location
BUILD i~.fG DEPARTi.iEDT -.
T0','~I OF SOUTHOLD, N. Y.
HOUSING CODE II'ISPECTION REPORT
]930 Sigsbee Road Mattituck, New York
~numoer ~ snree~)
Subdivision
Map No.
Name of Owner(s) ALPHONSE & MARGUERITE THOMAS
(Munzcipa±ityJ
Lot(s).
Occupancy RESIDENTIAL
(type)
Ad.mitred by: MARGUERITE THOMAS
OWNER
( own er- n enanv )
Accompanied by: S~ME
Key available
Suffolk Co. Tax No. ]44- 1-14
Source of request
. BRUER & LARK, ATT~ ·
Date
March 6, ]989
DYELLIMG:
Type of construction
Foundation CEMENT BLOCK
Total rooms, 1st. F1
Bathroom (s) ONE
Porch, type
Breezeway_.
Type Heat OIL
Fireplace(s)
Domestic hotwater ELEC.
Other
WOOD FRAME
Cellar
2nd. Fi
Toilet room(s)
Deck, type
Garage
'Warm Air xx
No.
#stories !
Crawl space
3rd. F1
typ erear, raised
Patio,
Utility room
Hotwater
~its 2 Aircondition~ng
~ype heater
ACCESSORY STRUCTURES:
l car
Garage, type const, wood/frame
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
Location
Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention
& Buildin~ Code
Description I Art. I Sec.
Remarks: HOUSE IN GOOD CONDITION. ACTIVE BUILDING PERMIT # 17865-Z FOR
Inspected by: GARt FISH ' Time start !0:50 end ! ]: ~0
ADDITION.
Date of Insp.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location of Property 1930 Sigsbee Road Mattituck, N.Y.
HOHSE NO. STREET HAMLET
Owner or Owners of Property ..... ~iR~P~ ~.M~g~i~.~o~ .............
County Tax Map No. ~000 Section 144.00 Block 01.00 Lot 014.000
/Mattituck Park Properties, Inc.
- · - Amended Ma of Pro ert of .
Subd~v~smon ......... ~ ...... [..~... F~led Map ........ Lot..~ ......
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Dnderwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $...~. ............
,g (. 7(. I
rev. 10/14/88
CONSENT
TO
INSPECTION
MARGUERITE THOMAS AND ALPHONSE T~IOMAS
· the undersigned·
Oxwner (s) Name(s)
do(es) hereby state:
/r x~x
That the undersigned ~x~mmxk h~ee ~wner(:s) of the premises in the Town
of Southold located at 1930 Sigsbee Road, Mattituck, New York
· which is shown and designated on the Suffolk
County tax map as District 1000· Section 144.00, Block 01.00, Lot 014.000.
That the undersigned (has) (have) filed, or caused to be filed· au applica-
tion in the Southold Town Building Inspector's Office for the following:
One story frame dwelling and detached garage
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: March 6, 1989 ~'Y~C4~~~ . .
gnature)
MARGUERITE THOMAS
(print name)
(si~nature)~
ALPHONSE THOMAS
(print name)