HomeMy WebLinkAboutZ-18686 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-18686 Date JANUARY 3, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 250 ANGLERS ROAD GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 36 Block 2 Lot 20.1
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-18686 dated JANUARY 3, 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 DWELLING WITH ATTACHED SHED & SHOWER*
The certificate is issued to HERBERT & LOUISE MACOMBER
(owners)
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
*SEE ATTACHED INSPECTION REPORT
Bu lding Inspector
Rev. 1/81
BUILDI:,1G DEP!',RT:•TENT
T0MI OF SOUTHOLD, N. Y.
HOUSIPdG CODE INSPECTION REPORT
t Location 250 ANGLERS RD. GREENPORT, N.Y.
number & street) (Municipality)
Subdivision Map No . Lots)
Name of Owner(s) HERBERT & LOUISE MACOMBER
Occupancy R-40 RES. OWNER
(type) (owner-tenant)_
Admitted by: HERBERT -MACOMBER Accompanied by: SAME
Key available' Suffolk Co. Tax No.36-2-20. 1
Source of request LOUISE Date JULY 6, 1989
DWELLING:
Type of construction WOOD FRAME ##s-tories ONE
Foundation CEMENT BLOCK Cellar FULL Crawl space
Total rooms, 18t. F1 6 2nd. F1 3rd. F1
Bathroom(s) ONE FULL . Toilet room(s)
Porch, type ENCLOSED REAR Deck type SIDE " REAR patio type
• ' YP _
Breezeway Garage i CAR ATTACHED Utility room
Type Heat OIL Warm Air Hotwater XX
Fireplace(s) No. Exits 2 Airconditioning_
Domestic hotwater OFF THE BOILER Type heater
Other SMALL SHED ATTACHED TO REAR OF HOUSE AND SHOWER.
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.WOOD & FIBERGLASS
Swimming pool Guest, type const.
Other
VIOLATIONS: -CHAPTER. 45--N.Y: STATE UNIFORM FIRE PREVENTION & BUILDING.CODE
Lncation Description Art. Sec.
EXTERIOR'& TRIM Exterior surfaces shall be maintained in good ICHAPT} F.
condition. To be treated with a protective 1242.5 E
coating of paint or other suitable preservative.
Remarks: Permit 0922-Z CO Z-885(alterations) Permit 03636Z CO Z-18688 (addition)
Permit #18709Z CO -1877��tw
eck addition)
Inspected by: Date of Insp.July 10, 1989
AR ISH
Time start 10:45 end 11: 10
s.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. /_ . . . . . .
NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING-A.�e. . . .VACANT LAND. . . . . . . .
Location of Property. :. ,v _ _ _ _ _ : _ . _ _A�/� 5 - � -
HOUSE NO. STREET HAMLET
Owner or Owners of
County Tax Map No. 1000 Section .1L1, . . Block . .c� . . _ Lot- . ?� I
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 : . _'_ . O. - _ - - . .
APPLICANT. . . . . . . . . . . . . . . . .
e.
rev. 10/ 14/88
ate,- 3,6&i6
CONSENT
TO
INSPECTION
CC j�EiLi ��5� � flcD.vtCdZ the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1�0 hPjCL_C--9_-2 ep
�.ec_CNPO kT which is shown and designated on the Suffolk-
County tax map as District 1000, Section �� _, Block Lot olp, J
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:
T— (signature)
(print name)
(signature)
(print name)
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Una,?hnrMcH aiter3tion or sddItion --
Q to this a„n,oy is a v'roitition of " .._. ._• ;/_ :, /.',
( (� Se,.'ion 72e`;;of the Hass`.'or'�StatC !'.. •..' G_ :�..:�_ �'!�.` i _. 1. ('
c Fdacetion Law. — - -- - , ——
CQpircS of this s!ltvSV map not haari;tg
i the land survsyor's inked pea{a ,• �Gh Vq Ix
IV
embossed seal shalt not be cansidemd
to be a valid truo copy,
(3uaraMeas(ndiratad hereon shall rtm r '7 ,_
only ta the person for whom the surror Y +1 �.k: NPOil T
fs proaared,end on his beha'ir to tho C��`Z
_ title cernpany,governmental egency and o
fi�tt'' J� /, ry /� "v� ,CS 26
C! '` ��• f'�F MAP �.!L" n '. i V. J ' �6 r '20,1 larF!nq institution listed horcon and
S�, _ __----•_-_ to the zs3ignas9 of the lending in3ti-
�JFr, �. ,.
tution.Gucrarteas are not transF3rahig
to v&Okional institutions or subsequent
o=r.;crs.