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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. i i i i i i ~ i i i i i i i i i i i i i r i i i i i i i i i i i i i i i 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 W E POINT GLUE PROPERTIES" FILED A5 MAP k 156 s 51"TUATE= NA55AU POINT TOYIBd: 50UTHOLD SUFFOLK GOUNT'f, NY a~ sl.+xveT~ oe-le-aq N SUFFOLK GOUliT T.VC t' ~ IOOO-104-"-10 Q r r O[RTIN[D TO: KGRMIT JpMV6 ~Til L~ n~ 11~.,11Ge caiP,~NY~ Je :I w t j Ne r rZ rli: ~ ~ ry 1, ;r l: :1 '1. ~ x ~ {fir ' ~ , / ` 1) ~ K ~ : 1 ~ h~. / _ 1 1: 4 ~r ^1 >TO,1 : Ir; ` 1' 2V~ 7~ ~ . n .1 , r ~.11 1•; ~'~t ' ~ 'r'..,',' ill .~tl5 y I. 1'' ,.~r~ ~o~o~ ~oad ata~exs ,8r°aa Yiwti:M M,~~,,~ NDTE~. ~ + • ~ r~:i.ii~r ~ r r ~ ~i~ • MIONM~ENT ~a x..~7+'^..,~~t:S..^C'~°C't ARCA.OA1 MCRd ~y U °~,lx ti:Yl~+.."1'3C~.7Y',S".i: JOHN C. FREERS LAND SURVEYOTt 6 EAST MART 37REE7 N.Y.3. CIC. NO. t02M 6RLPNIC SG 1•..60' AIYFIHFAD, N.Y. 11901 _r...~_~ 369-I2tt Fsa l69-t2t7 R0'.-TIGERWROSi99-Y,~i