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Home My WebLink AboutZ-9941FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...11199. . .......... Date .... l~lty. 2 ...................... 19~0. THIS CERTIFIES that the building ................................................ Location of Property .q..~J.0..Br. 9.a.~.~..a~.e.r.a.. I~.o.e.4, .......... ~'~l.t;.~.hq~!.e. ............... House No. Street Hamlet County Tax Map No. lO00 Section ... 'JO~, ..... Block ...9 ........... ]Lot .; .6 ............ Subdivision. NI~IIII~,I.t .IP0;I~1~. C~Ub. ~l~J..Filed ~M_ap No..7.~c) .... Lot No... ~-~7 ....... Reqtttre~ents for a One Faactly Dwelltn& bu~t: p~em ~o conforms substantially Certificate Of Occupancy .. ~kp.r.~,3,. ~.~. ......... , 19 5.7. pursuant to which l~44i~.P4m~N~. ..................... dated I~d~Y 2 19.8~. ·, 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~.;., ...... Private One-Family The certificate is issued to . . .,~...T~.....B~...U~...v~...&...1~.., .................................. (owner, of the aforesaid building. Suffolk County Department of Health Approval .. N/.R .................................... UNDERWRITERS CERTIFICATE NO .......... .N./.R. .................................... Building Inspector Rev 4/79 HOUSING CODE INSPECTION REPORT Location 1450 Broadwaters Road, (number & street) Subdivision Nassau Point Club PrOPMap No. Cutchogue (Municipality) 789 Lot(s) 257 Name of Owner(s) ARTHUR BRUNNER & WIFE Occupancy R- I (type) Admitted by: Self (owner-tenant) Accompanied by: Self Key availableFirst Towne Realty Suffolk Co. Tax No. 104-9-6 Source of request Gary Flanner Olsen Date 4/24/80 DWELLING: Type of construction Wood Framed #stories 1 Foundation C~m~ ~l~ Cellar Full Crawl spacq Total rooms, let. Fi 4 2nd. F1 3rd. F1 Bathroom(s). X Toilet room(s) X Porch, type Glassed In Deck, type 2, Wood Patio, type Breezeway Garagq Utility room Type Heat 0il Warm Air Hotwater X Fireplace(s) I No. Exits 3 Airconditioning Domestic hotwater YeS .Type heater Other Finished Room In Basement ACCESSORY STRUCTURES: Carage, type const. Swimming pool Other NONE Storage, type const, Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Deck Wood decking badly rotten III 52-~0-A Stair Inside cellar stairs no hand r~] ~d II 57-27-A ~ very narrow ~Ou..tside N~d~ P ~ i n_t.&z~g~l~- TIT 52-30-C B Remarks: Inspected by: ~/~-~ ~.~--~_Date Of I nsp. 5-1-80 Time start 1:00 end ~:20 TOWN OF SOUTHOLD Building Deportmeet Town Clerics Office Southold, N, Y. ]]97] APPLIGATION FOR CERTIFICATE OF O~C:UPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in D~JPLICATE to the Building Inspector with the following; for new buildings or new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, anc 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 formation required to prepare a certificate. C. Fees: !. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 Date ... ........................ New Building ............... Addition ................ Old or Pre-exist, Lng Building ..~,~ ........ Vacant lend.. ........... cat,on P,ope ........ Owner Or Owners Of Property ..... ~~.....~,~..~...~ ....................................................... SubS,vis,on .... ........... Lot B,oc, No ............. House,o ............. Permit No ..................... Date Of Pem~it .................... ~oplicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ................................ .~..... Final C~rtificate ........ C~, ........................... --_a.~ / /// Fee Submitted $ .....~..,~/..~1~, ................. / / ~ / Construction on above described building one--and regulations. Applicant Sworn 'to before me this ...... ~' '" ~'~ day of GARY FLANNER OLSEN ,I~SQ. ............................................................ [stamuor seau P. 0. Box 38 Notary Public .................................... County Main Road Mattituck, L. I., N.Y. 11952