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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)