HomeMy WebLinkAboutZ-27399FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27399
Date: 11/13/00
THIS CERTIFIES that the building
DWELLING AND ACCESORY
Location of Property 1360 BROADWATERS RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 104 Block 0009
S%~division Filed Map No. __ Lot No. __
CUTCHOGUE
(HAMLET)
Lot 005
confor~ substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY~--OMB~LR Z- 27399 dated NOVEMBER 13, 2000
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 ENCLOSED PORCH A~D WOOD DECK AND ACCESSORY
TWO CAR GARAGE. *
Tg~e certificate is issued to TILLIE VAN]DOVER
(OWNER)
of the aforesaid building.
SUFFOLK CO~qFl~f DEPARTMENT OF ~IF~J~TH APPROVAL
ELEC-i'KICAL CERTIFICA~ NO.
PLUMBERS CERTIFICATION DA'I'~
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
10/30/00 PENDING
N/A
/ A~horized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
I&~ATION: 1360 BROADWATERS RD
S~BDI~-/SION:
~%M~ OF O~ (S): TILLIE VANDOVER
OCC~3P~C"~: SINGLE FAMILY
AD~I'&-£~U3 BY: BEATRICE HUNTINGTON REALTOR
CUTCHOGUE
MAP NO.: LOT (S)
TILLIE VAMDOVER
ACC~PANIED BY: SAME
~ A~I~%Br.R: SUFF. C~). TAX ~ NO.: 104. -9-5
SOURCE OF ~OEST: GARY FLAMNER OLSEN, ATTY DA~: 11/13/00
DWELLING:
TYPE OF C~3NS~%~UCTION: WOOD FRAME
FO~]NDATION: CEMENT BLOCK
· ~)T~ RO(~S:
BA'r~u~OO~ { S ):
PORCH ~"fPE:
BP~EZEWAY:
1ST FLR.: 7 2ND FLR.: 0
2.0
# S~)RIES: 1.0 # ~XITS: 2
CRr.r~%R: PART. C~%WL SPACE:
3RD FLR.: 0
TOII~T RO(O (S): 0.0 OTILIT"f
DECK T~fPE: WOOD PATIO T"fPE:
FIREPLACE: TWO GAP~%GE:
· "fPE HEA'r~%¢: ELECTRIC ~_IRCONDITIONING: CENTP~AL AIR
ENCLOSED PORCH
DOMESTIC HOT~ATER:
· ~fPEHEAT: OIL
~r~u~: WALK-IN CLOSET
YES
~ AIR: X
ACCESSORY STRUCTURES:
GAP. AGE, TYPE OF CONST.:
SWIPING POOL:
WOOD FRAME - 2 CAR STOP. AGE, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: BP 8528 ~-DDS. CO Z7001; BP12193 A/DD CO Z15139 ; BP269! ! RENO. CO Z-27398.
Re-ins~/ed 11/9/00.
DATE ON INSPECTION: 10/10/00
TI~ ST~T: 9:25 AM ]~D: 9:50 AM
THE NEW YORK BOARD OF FIRE UNDERWRITERS
?~)~igC? BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
~e -'~ .... ~I~ C~ ~. ~ 0~] 0 Application No. on file ...... ' ~ '
THIS CERTIFIES THAT
only the electrical equipment os described below and introduced by the applicant named on the above application number is in the premises of
TiLLIE V:~2~[)C"~R. i.:,~0 BROADWATER ROAD~ CUT?HOGUE~ ~%~.7
in the fot~w~g ~c~n; ~ B~ement ~ 1st Fl. 0 2nd FL Sec.on B~ck
w~ ~a~ed on OC~'2~R 3~3 , 2~0~' and found to be in compl~nce with the Naaonal Elec~al C~e. .
Lot
FIXTURE
~ RECEPTACLES SWITCHES
FIXTURES RANGES COOKING DECKS OVENS
FLUORESCENT OTHER
DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SFECIAL REC'PT. TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OIHER APPARATUS:
*~.~ VISU~ DE~ECT~: "An electrical
survey h~s been re&de o~ the expesed
premises inoicated." "No obvious
unsatis~actocv ~ond!tion was
S E R V I C E
NO. OF CC COND. A.W.G.
F'~ · OF CC. COND. NO* OF HI-LEG OF NEIJll~.L
BEATRICE HUNTINGTON
P. O. BOX 786
~-£~TT!TUCK, NY. 11952
This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may De identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Sent by: POJANOWSKI & TRAWlNSKI
973 471 0512;
10/02/00 15:35;
TO~ O~ $OUT~OLD
TO~
765-L80~-
.letFsx #658;Page 3/4
~ec:ou v~c~ the ~alZo~:
~prov~ of el~c~ica~ ~sca~aciou ~=~ ~o~d of ~i~e Unde~c~rs.
leSS Ch~ ~/[0 of [Z ~ead.
C~r¢~ build.g, ~duscri~ bu~d~g, ~!¢~ple residences am~ s~ar bu~d~:
~n4 ~s:~la:Io~. a card,fiance of Code C~l~nce fro~ architect or eng~eer
t~gonsible for ~be
?pr~=is.c~8" l~i uses:
I. ~curate sure7 of pro~er~ shag ~ll pr~e=:y I~es, screecs, bu~d~ ~d
~ ....... ~s~a ~Cu=al or copo~aphic
~,,.~J;---> '"~ H a ~¢~t~icaca o! Occup~ is denied, ~he au~d~g Inspector s~l! s~ca chi
~ C. Fees
2. C~=~ic~C~ of O=~p~cy om Pr~i~c~R B,,~id~ - ~100.00
3. C~y of Carc~i~ce of Occup~cy- , .25¢.
4. Updated Ce~c~C. o~ Oc~pa~y - 3~0.~
5. T~ora~ C~==~i~Ce of Occupancy - lesid~c~ $11.00, C~rcla $15.00
Van Dover
CouncyTaz Map No lO00, Seccion.lO&=9=5 ...... Block ................ Loc ...................
Sub~ivisloa .................................... FL!ed raip ............ Loc ...................
Pe~aS,.c No ................ Dace Oi Pem$c. F- ............. Applican: ..........................
He~l~h Oepc. A~provai .......................... Under~rricers Appcova-1. ......................
Sent by: POJANOWSKI & TRAWINSKI
973 471 0512;
10/02/00 15:36; JetFa~ #658;Page 4/4
CONSENT
TO
INSPECTION
JosepbA. Pojanowski, III, Esq., attorney for
Owner(a) Name(s)
do(es) hereby state:
. the undersigned,
That the undersigned (ia) (are) the owner(s) o[ the premises tn the Town
of Southold located at ,,, 1360 Sroadw&ter$ Rd_. Cutehaoua _
. which is sho~ and designated on the Suffolk
County tax map as District 1000. Sectio~. Bl~k , Lot
That ~he undersigned (has) (have) tiled, 'or caused to be ~lled, an applica-
tton in the Southold Town Building Inspector's Oil/ce /or the following:
C,=ti£ica,= .of Occu, pancy . one, story_ frome,, res~,d, enc?
That the undersi/ined 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 a/oresaid application, including Inspections
to determine that said p~'emise.~ comply with all. oi the laws, ordinances, ~rules
and relulations of the Town of Southold.
The undersigned, ~n consenting to such ~specttons, do(es) so ~th the
k~ewledge and understandl~ that any ~to~mation obt&tned [n the conduct
such inspections may be used aa evidence in suba~uent prosecutions Jot
J~senh I. Po~ao~s~. ill.
(print name)
A=torney for Tilii~ van ~ver
(slRna~uve)
J