HomeMy WebLinkAboutZ-26725 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26725 Date: 10/06/99
THIS CERTIFIES that the building DWELLING
Location of Property 1800 BROADWATERS RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 0009 Lot 010
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26725 dated OCTOBER 6, 1999
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 ACCESSORY SHED
The certificate is issued to BLANCHE KATZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
< ~
ilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1800 BROADWATERS RD CUTCHOGUE
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) BLANCHE KATZ
OCCUPANCY: n-~ RRSrDENTTAr• BLANCHE KATZ
ADMITTED BY: ROSE RILLOP ACCOMPANIED BY: SAME
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 104.-9-10
SOURCE OF REQUEST: GARY OLSEN, ATTY 09/02/99 DATE: 10/06/99
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: ~
FOUNDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: ~ 2ND FLR.: ~ 3RD FLR.: ~
BATHROOM(S): 1.0 TOILET ROOM(S): ~Q UTILITY ROOM(S):
PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE: BRICK
BREEZEWAY: FIREPLACE: NONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HOTWATER:
OTHER: WOOD STOVE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: WOOD FRAME ACCESSORY SHED
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION ~ BUILDING CODE
LOCATION f DESCRIPTION i ART. ' SEC.
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REMARKS: (REINSPECTED 10/05/991
t
INSPECTED HY: DATE ON INSPECTION: 09/09/99
GARY J. FIS TIME START: 10:20 AM END: 10:45 AM
1 FONM N0. G ' l 2
TOWN OF SOUTI-IOLD ~ L._„ ~
" . Duildhu~ Dupurununt 8~ DG ply,
Town Hall y'-"~=~'`' Q~ SQl1,HG,
Southold, N.Y. 11971
7G5 - 1002
APPLICATION FOR CCRTIFICATC OF OCCUPANCY
Instructions
~ A. This application must 6e filled in typewriter OR ink, and submitted .s i~•~••s+r to the Building In~ec-
torwith 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 tram Board of Fire Underwriters.
A. Commercial buildings, Industrial buildings, Multiple Flesidences and similar buildings and installa•
lions, a certificate of Code compliance from the Architect or Cngineer responsible for the building.
5. 5ubmi[ 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 unuwal 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 otlierpertinent informa-
Lion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25:00 BUSINCSS $50.00
2. Certificate of occupancy on pre-existing dwelling $ ,0.00
3, Copy of certificate of occupancy $ 5.00 , over 5 years $ 10 .00
A.Vacant Land C.O. $20.00 Se tember 1, 1999
5.Updated C.O. SS 5 00 Dale P
Orie s~ory frame house r •
NewConstructfon,,,,,,OldorPre-existingDuilding X........... Vacant Land
• Location of Property , 1800. Broadwaters Rd. ~ Cutchopue, NY , , , , , , , , , , , ,
. . . .
House No. ~ Srrt>er -H~mlot
Blanche Katz
Owner or Owners of Property .
104 plock 9 Lot. 10
County Tax Map No. 1000 Section > .
.
Subdivision .................................Filed Map No. ..........Lot No. .
Permit No. Date of Permit ..........Applicant
Health Dept. Approval ....Labor. Dept. Approval .
Underwriters Approval ..Planning Board Approval , .
Request for Temporary Cortiticato .....................Final Certificate .
100.00
Fee Submitted $ • .
Construction on above described building and permit meet`slall applicable codes and regulations.
Applicant ~i-.~~r . .
GARY PLANNER OLSEN, ESQ,
n.~. to-toes
P.o fj2+_u ns
CUTCH~..,,~, NY ]1935
Sbs-~~
~ co ~ a~~as
CONSLNI'
'1' O
INSPL•'C'1'lUN
Blanche Katz the undersigned,
(Owner(s) Narnc(:;)
do(es) hereby stater:
That the undorsit;ncd (i:;) (arc) the owner(s) of the premises in the Town
of Southold located at 1800 Broadwaters Rd., Cutchogue, NY 11935
which is shown and designated on the Suffolk
County tax map as District 1000, Section 104 ~ 131ock 9 Lot 10
Thal the nndcrsigncd (has) (have) filed, 'or caused to be filed, an applica-
tion in'tho Southold Town L'u>lding lnspc:cw. ocr.~., rte.. ?hn fnllrnvin~*:
One story frame house
'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 oC the laws, ordinances, rules
and ref;ulation~s of the '!'own of Sout)old.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or re6*ulations of the Town of Southold.
Dated: Sept. 1, 1999 _ ~a~_
(signature)
Blanche Katz
(print name)
(signature)
09/01/1999 13:29 5167347702 DEDORnH DOTV ESa PAGE D2
~ SURVEY OF LOT # 261
? 'AMENDED MAP 'A OF NASSAU
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