HomeMy WebLinkAboutZ-5995FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z5995 Date MAY 21, 1997
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2195 NASSAU POINT ROAD CUTCHOGUE
House No. Street Hamlet
County Tax Map NO. 1000 Section 104 Block 13 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to all the requirements for one family dwelling and
housing code built before April 23, 1957, pursuant to which certificate
of occupancy No. 5995 dated July 10, 1974,
as 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 DETA~D TWO CAR GARAGE
The certificate is issued to
of the aforesaid building.
AGNES
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVALPre-exieting
UNDERWRITERS CERTIFICATE NO.Pre-existing
PLUMBERS CERTIFICATION DATEDPre-existing
Building Insp/or
Rev. 1~81
FOI~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Y. 599.5 ..... Date ...............
THIS CERTIFIES that the building located at ]~as~v,t~. Fo~t. ,r~o~d ....... Street
Map No}lass.. P~;,. Plll~k No ........... Lot No. 1, ... Oll~;¢hogx~e...R .Y.~ .........
conforms substantially to the ' · ' code
d~b~l'~, be£ore .;,pr&.~[. 2~3., 19. ~7. pursuant to which~~ccu~ancy
dated ....... J.U].~r ..... lO..., I§~L~., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . ?-x'~vat~ · one .$am.~.~-¥. d~® ~Z.~ng .......................................
The certificate is issued to R~.¢l~ar~l- & .Agnes. t3el, ggr~£ ..... ~era ................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .. p~.e,~X~S~;;L~g ...................
UNDERWRITERS CERTIFICATE No. !or®-exl.aging. ............................
HOUSE NUMBER . '~19'~ ....... Street ..... I~a.$sau...F.e;~n~; .Ro~A ...............
HOUSING CODE INSPECTION
July 10, 1974
#2195 Nassau Point Road R-1
Cutchogue, N.Y.
Sub. Div. Nassau Point Club Prop. Inc.
Map A Lot 4
Tax Roll: Richard J. Burggraf & Wf
Unoccupied
Upon receipt of application for Pre-existing Certificate of
Occupancy I made inspection of this partial two story framed
dwelling and found the following violations of Chapter 52,
Housing Code, Town of Southold.
I let myself into the kitchen entrance with key provided by
the Mil-Mat Realty office and began inspection at approxi-
mately 10:55 A.M.
The first floor consists of a kitchen, half bathroom,
dining room, living room, screened porch on the east side,
den bedroom and full bathroom accessible from bedroom and
#
den. Heat is furnished to all rooms from forced warm air
furnace in partial cellar.
Outside entries to kitchen, dining room, and living
room. No switch to control light in room on entry. Article V,
Section 52-56, B-2.
Second Floor - Headroom seven foot - violates Building
and Zoning Ordinance, Chapter 100 - Article I, Section
100-13. Floor area livable - four bedrooms, one full
bathroom, storage room. Heat is supplied to all rooms
except storage and northeast bedroom.
Accessor~ Building- two car garage, locked, exterior
in good condition.
Yard Area - split rail fence on road side front yard.
Post broken off and laying on ground, rails broken
and are not assembled. Article VI, Section 52-61 B.
Inspection completed at approxima~y 11:45 A.M.
~tted,
EH :mm Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Depor~ment
Town Clerks Office
Southold, bi. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPAbiCY
instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector 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
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: 1. Certificate of occupancy $§.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Building ................ Addition ................ Old or Pre-existing Building ....X ......... Vacant Land ..............
Eas~ side Nassau i~. Road.
Location Of Property ........................ .Ns~sau...]P,~lnt.,....~u:~6ho~-ua,../~,Y, .....................................
Owner Or Owners Of Property ....~..$..q..h.~...~.....~....~......~.~..~..e..~.....B..~.Z/~l~..~.~....~..~.~ ......................
l']ap A iNassau ~:~;. Club.,
l/
Subdivision ....................... l:~O~,...I~t..~.~.'&..... Lot No.....~. ....... Block No .......--...... House hio~
Permit No ..................... Dote Of Permit .................... Applicant ..~Q....~T~..~.....~.*....~...~.~..~ .............................
Health Dept. Approval ........................................... Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ ..,5..~.i~) ........................
Construction on above described building and permit meets all applicable codes and regulations.
S~.orm to before me this
......... day of ~...~/.~.~..~.. ..............
Notary Public ...~ ''~/i~r~... ........ County
(stamp or seal)
STA~qLEY SLF-DJESKI
Public, State, of New ¥o~z
FOKM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
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
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of oil 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
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 in-
formation required to prepare a certificate.
C. Fees:
I. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Dote ....... ...........
New Building ................ Addition ................ Old or Pre-existing Building ....Z ......... Vacant Land ..............
East side Nassau Pt. Road,
Location Of Property ......................... Nasaa~z..~.oL~t.~...C~zl~cho~qze~...~[..~ .....................................
Owner Or Owners Of Property Richard J. & AEnes Berggraf Map A Nassau Pt. Club.
Subdivision ....................... ~p,,...~O,~, ................Lot No.....~.. ...... Block No ........ -..... House No ...... ..-. ....
Permit No ..................... Date Of Permit .................... Applicant ...~.o...~....~...e.....~..t.....~.e...e:.~. .............................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate ..........................................
Fee Submitted $ ...,~...0O. .......................
Construction on above described building and permit meets oil applicable codes and regulations.
Applicant ... ~O ~d.. ~.,,~T,T~I,J~.t...~..J~.~.~.~. ..........................................
Sworn to before me this ~~-J~ ~ 1~ 7c/
........ .......... '
Notary Public ~' '~/~ ' Count ~ ST~Ey S~ ~- ~ '~
~'~ Y ~ ~ Ptlhllc, 8tat Of New y~ ~[ '
N: 5[.~11175 Suffolk ~,
~ My -o~iunexpir~ M~.~,19 ~ ~