HomeMy WebLinkAboutZ-18363 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-18363 Date SEPTEMBER 12, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 600 GROVE' ROAD-- SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 6 Lot 25
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
CERTIFICATE OF OCC. #Z-1836.3 dated SEPTEMBER 12, 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 DWELLING
The certificate is issued to DONALD ZIERAN
(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
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDI:";G DEPART:IEiiT
T0JIN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 600 GROVE ROAD SOUTH OLD, N.Y.
(number & street) 14unicipaii-cy)
Subdivision clap No . Lot(s)
Name of Owner(s ) DONALD ZIERAN
Occupancy RES. R-40 OWNER
` (type) owner-tenant)
Admitted by: DONALD ZIERAN Accompanied by: DONALD ZIERAN
Key available Suffolk Co. Tax No. 51-6-25
Source of request DONALD ZIERAN Date 8/28/ 1989'
V TELLING:
Type of construction WOOD FRAME #stories ONE
Foundation CEMENT BLOCK Cellar Crawl space xx
Total rooms , lst. Fl 5 2nd. F1 - - 3rd. Fl
Bathroom(s) ONE FULL Toilet room(s) - -
Porch, type - - Deck, type SIDE DECK patio, type_ - -
Breezeway Garage Utility room
Type Heat 1-p- gas Warm Air floor heater Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater L.P. gas Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. metal, rear yard
Swi,-nminCD pool Guest, type const.
Other
VIOLATIONS: CHAPTER. 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Description l Art. Sec.
1 .
I
(B.P. 7367/COZ-10381-Addition, B:P. #1315]/COZ-12913-Deck,
Remarks: B.P. #18469Z/COZ-18362, Accy_ Shed) HOUSE IN GOOD CONDITION)
Inspected by: Date of Insp. Aug. 31, 1989
G J. Fish Time start 3:00 pm end 3:20 pm
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. . August 28a_1989_
NEW CONSTRUCTION . . . . . ,. .OLD OR PRE-EXISTING BUILDING. .X . . .VACANT LAND. . . . . . . .
Location of Property. A00 Grove. Road Southold _ _ _ _ _ _ _ _ . ^ . o . _ . .
HOUSE NO. STREET HAMLET
Owner or Owners of Property. Donald Zieran . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . 51. . . Block . . . . . . . Lot . . . .25. . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . : .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate . . X. . . . . . . . . . . . .
Fee Submitted : $ , 100:00_ _ _ _ _ _ _ _ _ _ _ _ _ _
APPLICANT. . . . .':':`� . . . . . . . . . . . . . . . . . . . . . .
DONALD ZIERAN
PLEASE NOTE THAT CO NUMBER Z12913 WAS ISSUED OCTOBER 22, 1984 FOR THE DECK, AND CO NUMBER
Z10381 WAS ISSUED FEBRUARY 9, 1981 FOR THE ADDITION TO THE DWELLING.
39
Co -7- i �-3G.3
rev. 10/ 14/88
i
CONSENT TO INSP8CTION
DONALD ZIERAN , the undersigned, do(es ) hereby
Owner( s ) Name(s )
state :
That the undersigned (is ) (are) the owner(s ) of the premises in the Town
of Southold located at 600 GROVE ROAD, SOUTHOLD
Which is shown and designated on the Suffolk County tax map as District 1000,
Section 51 , Block 6 , Lot 25
That the undersigned `(lias) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector' s Office for the following:
APPLICATION FOR PRE_EXISTING CERTIFICATE OF OCCUPANCY FOR DWELLING.
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 inspec-
tions 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: AUGUST 28, 1989
Signature
DONALD ZIERAN ��
Print name
Signature
Print name
i
MAC? Or PRORERi:Y
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Twq OF SDUrHOLD N.Y
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TO.•TN Or SOUTHOLD, N'. Y.
HOUSIi:G CODE INSPECTION REPORT
Location (r p0 (�2a✓E o/
CEO T.4o
(nummoer & s zreez) iiunicipalitiy)
Subdivision Map No. Lot(s)
Name of Owner(s) 2
Occupancy
�YPe ow ier-zenan�)
Ac�:,i1 tad b 1 '
y•�_...._ -Ac.(-cimpanied by :
Key available Suffolk Co. Tax No,
Source of request h .� �. , Dateo� e �
DT,[Z,-T LING: —
Type of construction
rs tories
Foundatid`n_ D_ Cellar
Crawl space
Total rooms, 1st. F1 J- 2nd. F1
3rd. F1
Bathrooms) Toilet "room(s)
Porch, type Deck, type
_�B d" patio, type
Breezeway Gara e
Utility room
Type Heat L /° ,to 'alarm Air
�n ` `- Hotwaier --
- Fireplaces No. E-xits � � 1
oz AircondiLioning
Domestic hotwater L,,10 flaw Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const.
Storage, type const. M ,Q
Swimming pool Guest t
Other type const.
IOLAT_IQNS_ CHAPTER 45--N.Y. STATE UNIFO1*1 FIRE PREVENTION & BUILDING CODE
Location Descriraticn
Art. 1 Sec.
I
3 G 7 Cd�'� 103el 13/3/ Co# /4 /3 ��
Remarks': �
Inspected by: -r-a� Date of Insp.
Time s .a t end
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