HomeMy WebLinkAboutZ-18945- ~-' 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-18945 Date MARCH 30~ 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1105 TOWN HARBOR LANE SOUTHOLD~ N.Y.
House No. Street
County Tax Map No. 1000 Section 63 Block 04 Lot 13
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
Hamlet
CERTIFICATE OF OCC. #Z-18945 dated MARCH 30~ 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 ONE FAMILY DW~.LLING WITH ACCESSORY 2 CAR GARAGE
*PLEASE SEE ATTACHED INSPECTION REPORT.
The certificate is issued to JEAN T. COOPER~ AS EXECUTOR OF THE
LW&T OF ROBERT W. THOMPSON~ DECEASED
(owner, lessee or tenant)
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
*PLEASE SEE ATTACHED INSPECTION REPORT.
- // B~ildingInspector
Rev. 1/81
Location
Subdivision
BUILDI~ DEPART:,~NT '-
TO%'~I OF SOUTHOLD, M. Y.
HOUSING CODE INSPECTION REPORT
! 105 TOWN HARBOR LANE SOWi'HOLD, ~ YORK
tnumoer a s~ree~) (Munzcipali~y)
Map No. Lot(s)
Name of Owner(s) ESTATE OF ROBERT W. THOMPSON
Occupancy
Ad. mitred by:
R-40
(type)
.IF~U%{ COOPER
(owner- ~enanv
Accompanied by: SAME
-Key available
Suffolk Co. Tax N'o. 63-04-13
Source of request JEAN T. COOPER
Date 3/26/1990
D%'~LLIMG:
Type of construction wood
Foundation BRICX & CEMENT BLOCK
Total rooms, 1st. F1 5
Bat~hroom(s ) 3
Porch, typq 3
Breezeway
Type Heat OIL
Fireplace(s) 3 NO. F~¢it s 2
Domestic hotwater GAS .Type heat'er
Other 3 Pantrys, sunroo~
Deck, type
Garage
'Warm Air --
#stories 2 STORY
Cellar 1/4 Crawl space
2nd. F1 ~ 3rd. F1
Toilet room(s). --
Patio, type__
Utility room
Hotwater STEA~
Airconditioning
ACCESSORY STRUCTURES~i~oD FRAME :
Garage, type const.2 CA~ GARAGE Storage, type const. --
Swimming pool Guest, tylDe const, wOOD FRAME, 2 BEDROOM
Other The 2 car garage is under the guest house. The guest house is unheated
but the domestic water is heated with propane.
VIOLATIONS:
Lncation
.CHAPTER 45--N.¥. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Descriotion { Art. { Sec.
{.
Remarks:
Inspected
Date of Insp. March 29, 1990
· Time start IO:OO end 10:30
TO~N OF SOUT~OLD
~O~N ~ALL
SOUT~OLD, NE~
765 - 1802
11971
APFLICATION FOR CERTIFICATE OF OCCUPANCY
DATE
RES; CONSTI[;CTION ....... OLD OK PRE-EXISTING BUILDIN~--X--..VACANT LAND ........
Town Har.b~.r Lane, Southold, New York
Location o£ PropertT, .............
HOUSE NO. STREET HAMLET
Jean T. Cooper, as executor of the last will of
Robert W. Thompson, deceased
O~n~r or O~ners of Propurt7
Couat~ Tax ~ap No. lO00 Section ...6~.. Block ..q~... LoC' 13
Subdivision ....................... Filed Map ........ Lot ..........
NA
No. .........NA .Date of Pcrmlt ..-......NA .AppLican~ .................. .
~eal~h Dept. Approval ..... NA Under~riter~ Approval. NA
Plamniug Board Approval NA
Rcqucsg for Temporary Certificate ....... Final Cercifica£e .. X
~ Submitted: $ 100.00
~ean T. Cooper,' 'a~/$~e'c~%ar 5~ '~h~' I~t'
· " u~vil~l of Robert W. VThompson, deceased
rev. I0/'
cc;
CONSENT
TO
INSPECTION
1.990
Jean T. Cooper , , the undersigned'
Owner(s) Name(s)
do(es) hereby state:
as executor of the last will of Robert W. Thompson, deceased,
That the undersigned/(is) ~) the owner(~) of the premises in the Town
of Southold located at Town Harbor Lane, Southold, New York
· which is shown and designated on the Suffolk
County tax map as District 1000, Section 63 , ]Block 04 , Lot 13
That the undersigned (has) ~ filed, or caused to be filed, an applica-
tion in the Southold Town ]Building Inspector's Office for the following:
certificate of occupancy on pr.e-existinq dwellinq
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 re~o~alations of the Town of Southold.
Dated: February 15, 1990 i ~ ~ ~
(signatur~
J~an T. Co6per, a~ executor of the
~ea~tea~i~l of Robert W. Thompson,
(print name)
(signature)
(print name)
From : PECONIC SURUEYORS, P, C. (516}765-1797 P02