HomeMy WebLinkAboutZ-18173 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-18173 Bate JULY 7, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 585 PACIFIC STREET MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 141 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
CERTIFICATE OF OCC. ##Z-18173 dated JULY 7, 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 WITH 2 CAR GARAGE & ACCESSORY METAL SHED*
The certificate is issued to FRIEDA ROLFES
(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.
yj
Building Inspector
Rev. 1/81
BUILDI-NG DEP�PM E:iT
TO,-R,T OF SOUTH OLD, N. Y.
HOUSIi:G; CODE IN P ECTION REPORT
Location 585 PACIFIC STREET MATTITUCK, N.Y.
(numoer do s zreez) i,iunicipality)
Subdivision lHap No. Lot(s)
Name of Orin er(s) FRIEDA ROLFES
Occupanc`j R-40 RES. OWNER
(type) o,vn er-z enanz)
hd:�ilt ad by: BOB CELIC -Acs_,bmp4nied by ; SAME
Key available ' Suffolk Co. Tax No. 141-04-13
Source of request SUSAN POST ROGERS• Date June 29, 1989
M ELLING:
Type of construction WOOD FRAME rstories 2
Foundatibn POURED CONCRETE Cellar �'L Crawl space
Total rooms, 1st. Fl 3 2nd. F1 4 3rd. Fl --
Bathroom(s) 1 Toilet room(s) 2
Porch, type Deck, type Patio, type
Breezeway Garage 2 car Utility room
Type Heat LILCO GAS 'alarm Air
xx Ho twater STEAM
Fireplace(s) ONE 'No. Exits 3 Airconditioning_
Domestic hotwater LILCO GAS Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const. METAL
SWiinim ing pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
cLocation Description � Art. � Sec.
T�T TO
BASEMENT Stairways shall have handrails on at least ICHAPT.! F
one side. _
I I
I
I
Remarks: HOUSE IN GOOD CONDITION.
Inspected b YG�_
Y= Date of Insp. July 6, 1989
G J. FISH r • Time start 9:50 end 10: 15
Building Inspector
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TOWN OF. 'SOUTHOLD !
G•. .17
,,BUILDING
DEPARTMENT: '
TOWN HAIL
SOUTHOLD, NEW YORK 1 197 1 BLDG. DEPT.
TOWN OF HOLD
� 765 — 180Z SOUT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE- - - - .
•
NEW CONSTRUCTION . ... . . . .OLD OR PRE—EXISTING BUILDING.� _ . . .VACANT LAND. . . . . . . .
w
Location of Property. . . _ . . . .
- - -
HOUSE NO. }TREE HAMLET
Owner or Owners of Property- - - - - - - - - -q.u- - - ./ P ��i�::'- - - - . . . . . . . . . . . . . . .
//�� l -1. / 2
County Tax Map No. 1000 Section . ./. l ./. Block _ _ . Lot . . L _ ✓_ _ _
Subdivision. . . . . . . . . . . . . . . . o . . . . . , Filed Map
Permit No. . . . . . . _ . . .Date of Permit . . ... . . . . . .Applicant
Health .Dept. Approval . . . . . . . . . . . _ . . . . Underwriters Approval . . . . . . . . : . . . ..
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate Final Certificate . . . . . . . . . . . . . .
Fee Submitted : $ . _ .�V v . . . . . _ . . . . . .
1 APPLICANT -�- _ . . . . .
_L c.v z,l 8I 73
rev.- 10/ 14/8 8 7� l� l�
1
CONSENT
TO
INSPECTION
ILlL4 /?6 L - , the �ersigned,
Owner(s) Name(4)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at -5$S PGt coi l c MA -/T/ o(.A
which is shown and designated on the Suffolk-
County tax map as District 1000, Section Block �L, Lot f-3
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:
4h
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 appl f ation, 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.
Dated:
(signature)
Svs�nf P0S i Zo G &�YZS �i7 NG-y
(print name)
(signature)
(print name)
,
N /0/ F
N / 0 / F JUSTYNA G. SLAGA
a
GRIFFIN'S CORNER REALTY MARTIN L. GRI FFIN
284.00� rA
N.83°52 00„ E. LINK ON PROPERTY LINE
BLDG . NK FENCE CONC•
I STY. FACTORY - i MON. Q- ^
I ti i 50.7 m
- v 1 CONC. ?� 19.1 2 F1_OOR
ro
MOW `V 'i �: BALCONY (�
Z ti 2 ' 1 �•. • �`' 45 To I 3
NO 4
METAL
O i0 SHED -STEPS S. 0'61 2 STY' w
• 6 FR•HSE
i. r- W/GAR.
Q. ��' - CONC., CH. in accordance With fl M,inie:;Ur�
V, Q °q�` pp710; 0.6 0'�• - �+' sf ,.•:i; Gts for tifi[: surveys as e, ciblis ,,Cd, by
G o•
Q- o
. s.'; :..'•� os °i ' p^ � ti,� 'l•^#.� .t..S. and approved and ada,tsJ
' .q 16.3'
N '� '••�� m 7�3 for ,•ucl, use by The Now York State LraA
TWe Association.
CONC.
N N + MON•
� � Z
_ SURVEY OF PROPERTY
AI
CHN LINK 0.6
FENS 262.68 w
• O
O PENCE N A T
Cr
CDNC MATT -
MON CKpDE E £
STD I TUCK
` Fa4EOR. S_79a05 00„w . N /0 / F A WI LC ENS%('
BERTH TOWN OF SOUTHOLD
NSKI a 0
WILCE SU FFO L K COUNTY N. Y .
EOWARO
CONC• 1000 —Matt 14 I - 04 — 13
SCALE 12 40'
ye LAND,& N R � p,D JUKE 20, 1989
6= o 0
N.Y.,S. LIC. NO. 49668 CERTIFIED TO e
0p =I `' PECONIC ABSTRACT INC.
EC C SUR�V Y 0 R S , P.C. _ SOUTHOLD SAVINGS BANK
( .516 ) 765 - 5020 AREA. = 35., 525 SQ.FT. JOSEPH C. CIAMARICONE
P. O . BOX 909 - JANET• F. CIAMARICONE
MAIN ROAD
SOUTHOLD N. Y . 11971
89 - 288 (A)