HomeMy WebLinkAboutZ-18379FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18379 Date SEPTE]~BER 19~ 1989
THIS CERTIFIES that the building. ONE FAMILY DW~TW.ING
Location of Property 6485 NASSAU POINT ROAD CUTCHOGUE~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 13 Lot 11
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-18379 dated SEPTEMBER 19~ 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 DWFJJ.ING WITH ACCESSORY WOOD FRAME ONE CAR GARAGE*
The certificate is issued to VIVIAN BEHRMAN
(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 INSPECTIONREPORT.
Building Inspector
Rev. 1/81
BUILDI.,G DEPART:,LE~]T
TO;'fN OF SOUTHOLD, N. Y.
HOUSL,~G CODJ INSPECTION REPORT
Location 6485 NASSAU POINT ROAD
~numoer & street)
Subdivision
CUTCHOGUE, N.Y.
Map No.
(Municipality)
Lot(s)..,
Nmme of Owner(s) VIVIA~ BEHRHA~
Occupancy
A~mitted by:
R-40 RES.
(type)
GEORGE BEHRMA~
Om~EE
(owner-zenanz
Accompanied by: SAME
Key available
Suffolk Co. Tax No. 111-13-11
Source of request GEORGE BEHRMAN
Date
SEPT.
il, 1989
D¥~ELLING:
Type of construction wOOD
Foundation PERS
Total rooms, 1st. F1
Bathroom(s) 2 F~CL ~AT~S
Porch, type ~ COWEREU Deck,
Breezeway PORCH Garage
Type Heat HONE Warm Air
Fireplace(s) o~ No. Fz¢it s
(,.tvtt,~
Domestic hotwater
Other
#stories
Cellar Crawl space.
2nd. F1 3rd. F1
Toilet room(s)
typ~ Patio,
ONE
typ eyRO~
Utility room
Hotwater
3 Airconditioning..
ELECTRIC ~ype heater RHEE~
ACCESSORY STRUCTURES
Garage, type const.
ONE
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS:
--Location
.CHAPTER 45--N.Y. STATE UNIFOP~4 FI~E PREI~_~TION & BUILDING ~ODE
Descriotion I Ar~.] Sec.
SEASONAL D~ELLINC - 6 ~40NTHS ONLY
Remarks: HOUSE IN GOOD CONDITION BP ~8346/CO Z7912 for ADDITION
Inspected by:~,~,,~,~ . Date of Insp. SEPT. 13,
-Time start 11:15 end
1989
I 1:45
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~1m,.--~-- 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 oriEngineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~"operty 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.
C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$~0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occup~ncy $ 5.00, over 5 years $10.00 .
4.Vacant: Land C.O. $ 20.00 .~/.~/.~..?.
5.Updat:ed C.O. $ 50.00 Oate ...............
NewC°nstruction ...... Old or Pre-~existing Building ....~. ....... Vacant Land .............
No. ' .....
Street,
Owner or Owners of Property ....... ~-~... ~./..'.~ .~...~. ....................
/-II___ ' --"/.
County Tax M~p No. l_000~ection '1'' If(' ........ Block ......... ,~,. Lot..././ .........
Subdivision..~,,~~,~, F ed MapNo.. J~.... LotNo... ¢,~..~.~..?
Health Dept. Approval ........................ Labor Dept, Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... ~, ................
Fee Submitted $..[ ~ .,..~. ...................
Construction on above described building a_~rmit meets all applicable codes and regulations.
Rev. 10-10-78
D
'GEORGE
~[J~VEYED ~'OR.
",/,/. $ VtVIAN J. ~EH~N'IAN
C.ONSENT
TO
INSPECTION
do(es) hereby state:
of Southold located at
County tax map as District I000, Section
· the undersigned·
That the undersigned (is) (are) the owner(s) of the premises in the Town
· which is shoxma and designated on the Suffolk
III .IS. '-ot ii
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:
c,o,
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 in'formation 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:
(sign~t~r e)
(print name)
(signature)
(print name)