HomeMy WebLinkAboutZ-10408FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ................................................
Location of Property ....~.2.2.~.·Nassau Pt. Road, Cutchogue~ New York
County Tax Map No. 1000 Section ..... 1.1 J .... Block ....17 .......... Lot ....0.1.2. ..........
Subdivision .Ii g .s.s.a.u...~.~.... C..1.u.b...~ rp.P., ..... Filed Map No...~ .5.6 .... Lot No .... .5 .~ ........
L~ r~qu~re~r~ts~f~r, a~onerfam.i]~y dj~e~t.n~ b~2Llt' pr. ior to
conforms substantially to me
Certificate of OccupancYZlO408
..... Apt. il. 23., ...... , 1957. pursuant to which Bmh~d~~ ......................
dated .... M ~ r ¢ ~. ~, ............... 19...8,1 was issued, and conforms to all o f the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
............... ~.cSy.a~.e.. 9.n.e..-.F.a.m.~..ly..~.~..e.Z.l.~.n. g .................................
The certificate is issued to ..... EC$~.d.~. J,. ~qh).en
· ' ' ('ohi,,'ei','r~e-'eh;?¥b~,#n'O ......................
of the aforesaid building.
Suffolk County Department of Health Approval ... N/.I~ ...................................
UNDERWRITERS CERTIFICATE NO ........ N / 3 .......................................
*This updates B?#2018Z issued April 3, 1963 C0Z1695, 9/13/63.
Rev. 1/81
Location
Subdivision
7225 Nassau Pt. Road,
(number & streeT)
Nas~,, P~t Club ?rd~.P
No.
BUILDING DF-OARTr'~NT
TOI'~ OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Cutchozue. New York
(Munici'pality)
156 Lot(s).
Name of Ov~er(s) Frieda J. Behlen
R-1
(type)
Frieda J, Beh%en
Owner
Occu~anc~
Admitte~ ~y:
Key available
Source of request
(owner-tenm',t)
Accompanied by: Frieda J. Behlen
Suffolk Co. Tax No. 1.11-15-012
Rudolph H. Bruer Date Feb. 24,
'81
DV~LING:
Type of construction Wood #stories ~
Foundation Cement Block CellaFull Crawl space
Total rooms, let. Fi ~ 2nd. FI 1 3rd. F1
Bathroom(s) 1 Toilet room(s) 1
Porch, type s~ 1~ Deck, type Patio, type
Breezeway~ Garage~tility room
Type Heat Oil Fired Warm Air Hotwater
Fireplace(s) No. F~its Airconditioning
Domestic hotwater Yes Type heater M~t~
Other Toilet and Shower in Basement
ACCESSORY STRUCTURES: ~NONE
Darage, type const.
Swimming pool
Other
StoJage,_type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
. Location Description Art. Sec.
Kitche~ No ~h.t ~ g~$ at,~r~ V' 52-52-E6
Remarks: This also an update of BP#2018Z issued April 3/6.~-C/0 Q/1~/63
InSPected bY: ~'~/~ ~~ Date . Z1695
of Insp.Feb. 26. 1981 .
~[ ~.:~!: ~?>~-~ . i' t c~urtis ~2 H0rton T~e st:~rt9:$5.[L]end~__O/-~%0 !/~ii :
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building ....~. ....... Vacant Land .............
Location of Property ...... ICa,s.~QQ. ~P. qJ,~k ~Qa~l,..Cglt~Qgp.e.,..~f%~I .¥~)7c~ ...............
House No. Street Hamlet
Owner or Owners of Property .... Pri~da. J....Beh~n .....................................
County Tax Map No. 1000 Section ... ~11 ........ Block ...3,5 .......... Lot .... ~-2 .........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant . .~..'~.~.e.~ .a...J.,..~..e.h.l.e.n. .............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ...... .~ ................
Fee Submitted $..5., .0.0 .......................
Con struction o n above described bu lid lng a nd ~er/i~ ~ e.3t~/~ a/~ i~. es. a/nd/~r, egu lations,
Applicant.. ~.~.~ . ./~..~.~ ............... ./.
~eda J.'/Behlen by Rudolph H. Bruer, ~ ~rney]
/ /