HomeMy WebLinkAboutZ-18088 FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CertificateP f3f Occupancy
No. . ,Z 18088 . . . . . . Date . .JUNE 6a 1989. . . . . . . . . . . . . ... .
THIS CERTIFIES that the building . . . . O 9 .FAMILY, DWELLING : . , . . . . . . . . . .
Location of Property 1905 GRAND AVE. & 2.900 WESTVIEW AVE. MATTITUCK .
House No. Street . . . . . . . . . . . . . . . . . .Hamlet
County Tax Map No. 1000 Section . . . . .1.07 . . . .Block . . . .08. . . . . . . . .Lot . . .4 2. . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the ftjDkX=X 'gRZXXXXXTX
APRIL, 9,,, , 1957 CERTIFICATE OF OCCUPANCY
. . . . . . pursuant to which BXX1i 9XiSr%KKNo. .Z 1.8088. . . . . . . . . . . . .
dated , JIINE 6, 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 THERE SA HENRY ZIMNOSRI
(owner,l"Zjtrtk"t)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . N/A .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . N/A
PLUMBERS CERTIFICATION DATED: N/A
rz
B)ding Inspector
Rev.1/81
1
BUILDIi•dG DEPARTI-iE;iT
TOt•T1\1 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1905 GRAND AVE . 6 2900 WESTVIEW AVE . MATTITUCK
(number do s zreet) (1,1unicipality)
Subdivision Map No. Lot(s)
Name of Owner(S) THERESA & HENRY ZIMNOSKI
Occupancy SINGLE FAMILY DWELLING OWNER
,(type) (owner-zenan-t)
r;cLai1tzd by: THERESA, ZIMNQS�Kll AGc�dmpanied by : SAME
Key available. ----- Suffolk Co. Tax No. 107-08-42
--------------
Source of request OWNER Date 5116/89
D?'TZLLING:
Type of construction FRAME rstories 1
Foundation CEMENT BLOCK Cellar, x Crawl space
Total rooms, 1st.. F1, 5 2nd. F1 -- 3rd. F1
Bathrooms) 1 Toilet room(s) --
Porch, type SCREENED Deck, type -- Patio, type CEMENT
Breezeway -- Garage 1 car Utility room WASHER
Type Heat OIL Warm Air -- Hotwater xx
Fireplace(s) -- 'No. Faits 4 Air conditioning --
Domestic hotwater xx Type heater ---
Other RECREATION ROOM IN CELLAR (NON_HABITABLE)
ACCESSORY STRUCTURES:
Garage, type const. -- Storage, type const. --
SWimming pool -- Guest, type const. --
Other
STORAGE SHED PERMIT # 12966Z with C .O. #Z18087
VIOLATIONS: CHAPTER 45=-N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Location Descrj-Vtion Art. Sec.
I
Remarks:
Inspected by Date of Insp. 5/30/89
THOMAS FISHER Time start U . -U end 11 :00 a.m.
A Ill.
TOWN OF SOUTHOLD
MAY 17 BUILDING DEPARTMENT
TOWN HALL
`;G r SOUTHOLD, NEW YORK 11971
i,'QLD
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. ./ . . .
'NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING.X. .VACANT LAND. . . . . . . .
;Location of Property. .
. . . . . . a. . . . . . - !. �J�/t j9 ek
HOUSE
0 STREET HAMLET /
Owner or Owners of Property - ,6�'��f . . . . . . .
County Tax Map No. 1000 Section /� ?" Block _ . Lot
. . . . :/.
. . . _ _
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate
- - - - - - - - - - • - - - - -
Fee Submitted : $ . . . - - - - . . - • - - . - -
APPLICANT. - - - - - - . . . . . . . . . . . . . . . . . . .
7 y,i
o z- f�7
rev- 10/ 14/88
CONSENT
TO
INSPECTION
7Z � �'_ A",F.S I'3'��! D the undersigned,
Owner(s) Name(s)
do(es) hereby state: ;
That the undersigned (4o-) (are) the owner(s) of the premises in the Town
of Southold located at 1�70.:5-
74h 4!�- k - which is. shown and designated on the Suffolk-
County tax map as District 1000, Section .Block d Lot
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town 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 laws, ordinances, rules or regulations of the Town of Southold.
D ate d: a�
(signatu
(print name)
(signature)
(print name)
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