HomeMy WebLinkAboutZ-18012FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18012
THIS CERTIFIES that the building
Location of Property 615 MAPLE LANE
House No.
County Tax Map No. 1000 Section 64
Subdivision
Date MAY 9, 1989
ONE FAMILY DWF3J.ING
SOUTEOLD { NEW YORK
Street Hamlet
Block 1 Lot 27
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-18012 dated MAY 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 DWFJJ,INGWITHDETACHED GARAGE *
The certificate is issued to SHEILA B. THOMES (owner)
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
*PI,RASE SEE ATTACHED INSPECTION REPORT
/~/t~B~ng Inspector
Rev. 1/81
Location
BUILDIL% DEPA~Ti'~NT
TO~'~[ OF SOUTHOLD, N. Y.
HOUSI~'[G CODE IHSPECTIOH REPORT
6]5 Maple Lane Southold, New York
[numoer & s5reer)
Subdivis ion
Map No.
(Piunlcipal±~y)
Lot(s)
Ne.me of Owner(s)
SHEILA B. THOMES
Occupancy Res. R-40
(.type)
A~i~,ted b~: Russell Thomes ,, ,: ~
O~rNER
(. OW~ er- ~ e~
-Ac-~'Omp~ni ed b~: SAME
Key ~vailab! e
Suffolk Co. Tax No. 64-]-27
Source of request
SHEILA THOME S
Date
May 2, ]989
D¥~LLING:
Type of construction
Foundation CEMENT
Total rooms, 1st. FI
2
WOOD F ~J~M~ #stories
Cellar FULL Crawl space __
3 rooms 2nd. Fi 3 rooms 3rd. FI
Bathroom(s) I Toilet room(s) ~
front enclosecf "'
Porch, C~Loe 2n~ Flr. enclose(Deck, type - Patio, type -
Breezeway. - Garage - Utility room
Type Heat OIL Warm Air Hotwater
Fireplace(s) o~E No. Fzci t s 2 Airconditionin~ --
Domestic hotwater off boiler ?ype heater --
Other
ACCESSORY STRUCTURES:
Garage, type const. Wood frame
Swimming pool --
0that ---
Storage, type oonst.---
Guest, type const. --
VIOLATIOMS: CHA~PTER 45--N.Y. STATE ~NIFOI~ FIRE PRE~I~NTION & BUILDING CODE
Location
Descriotion I Art. I Sec.
Roofs shall be maintained in a water tight
conditions.
2.Exterior doors,windows shall be maintained
242.
weather tight. 1242.5
3.Exterior surfaces shall ~ maintained in good condition
Surfaces shall be treated with a protective coating o~ pain1
1. Exterior stairs, porches, entrance platforms and rai%ing~ I
shall be maintained in a safe & sound condition.
2. Exferior doors, windc~,s and similar openings shall be
1242.5
maintained weather tight.
1242.5 ,
Date of Insp. May 8,
-Time start 2:30 P%nd
1989
2:45 pm
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTUOLD, NEW YORK
765 - 1802
! 197 I
'SOUTflOLD
J
TOWN OF
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
Location o~ Property .... ~/-.~.. ........ ~.~.~.~...~.. ...... ~..~..~ .......
HOUSE NO. STREET HAMLET
Owner or Owners of Property .................................................
Subdivision ....................... Filed Map ........ Lot ..........
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Fimal Certificate ................
Pee Submitted: ~./..~.~.'..<~. ...........
'.NOS03
CONSENT
TO
INSPECTION
· the undersigned·
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is)f the owner(~"of the premises
of Southold located at ~/J /~'/~C~,--' ~
in the Town
· which is shown and designated on the Suffolk
County tax map as Distriot 000, Section Block ! . Lot_4_7__
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Tox%-n ]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 lab's, ordinances, rules or regulations of the Town of Southold.
(signature) '
(print name)
(signature)
(print name)