HomeMy WebLinkAboutZ-23057FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCcuPANCY
No $-23057
Date JUNE 22, 1994
THIS CERTIFIES that the buildin~
Location of Property HEDGE ST~T
House No.
County Tax Map No. 1000 Section 10
Subdivision
ONE FAMILY DWELLING
FISHERS ISLAND, N.~.
Street Hamlet
Block 7 Lot 10
Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23057 dated ~uefE 22, 1994
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 & ACCESSORY GARAGE *
The certificate is issued to C2%NIO TOGLIA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*P?.~SE SEE ATTACHED INSPECTION HEPORT.
Rev. 1/81
N/A
N/A
N/A
~ / B~din'g Inspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
IIOUSING CODE INSPECTION REPORT
LOCATION:
HEDGE STREET
(number & street)
SUBDIVISION
NAME OF OWNER (s)
CANIO A. TO~LIA
FISHERS ISLAND, N.Y.
(municipality)
MAP NO. LOT(s)
OCCUPANCY RESIDENTIAL
(type)
ADMI'I~'~D BY: OILIER
KEY AVAILABLE
SOURCE OF REQUEST: CANIO A. TOGLIA
(owner-tenant)
ACCOMPANIED BY:
SUFF.CO. TAX MAP NO. IOOO-IO-l-10
DATE: JUNE 20, 1994
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION STONE
TOTAL ROOMS: IST FLR.
BATHROOM ( s ) 2
PORCH TYPE
BREEZEWAY
DOMESTIC HOTWATER
TYPE HEAT OIL FIRED
OTHER:
WOOD OPEN
WOOD FRAME
STORIES 2 ~ EXITS 3
CELLAR FIILL CRAWL SPACE
5 2ND FLR. 5 3RD FLR.
TOILET ROOM (s) UTILITY ROOM
DECK, TYPE ' PATIO
FIREPLACE 2 GARAGE
TYPE HEATER AIRCONDITIONING
WARM AIR HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIMMING POOL
OI~R:
STORAGE, TYPE CONST.
· GUEST, TYPE CONST.
V_I. OLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED BY
ROBERT E. WALL
DATE OF INSPECTION
TIME START
JIJNE 20, 1994
END
TO~N OF SOUTHOLO
BUILDING DEPART~ENT
TO~N 5ALL
SOUTHOLD, HEW YOI~K
765 - 1802
!197!
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEU CONSTRUCTION .... o . .OLD OR PRE-EXISTING BUILDING. ..VACANT LAND
Location of Property, ............. - ...............
HOUSE NO. HAMLET
Owner or Owners of Property .....
=ou~ty Ta. ,~p ,o. ,o0o S===in...LO.. Blo~ ...'7.... Lo=-.i.O. .....
Subdivision ....................... Filed Hap ........ Lot ..........
Per.ir No .Date of Permit .Applican~ ~-0 t
Health Dept. Approval ...-~[ ' .... Underwriters Approval ..............
PlanniuE Board Approvalf~./.~...
Rcqucsc for Temporary Ccrtlficare ....... Final Certificate ............
Fee Submicccd:
CONSENT
TO
INSPECTION
O%vner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (i._.s) (are) the owner(s) of the p. remises in t~e Town
· which is shown and desifnated on the Suffolk
County tax map as District 1000, Section ~C) , Block '~ , Lot . I.O
That the undersigned (has) (l~m-~) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That [he 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 cf Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding lhat 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.
(print name)
(signature)
(print name)
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