HomeMy WebLinkAboutZ-7189 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 471 E9 Date Aug 23 , 19.7.6 .
THIS CERTIFIES that the building located at . .Broadwaters. Road Street
Map No. Puss. Pt Block No. Lot No. 183 Cutchogue . . N..X.
conforms substantially to the a ireffie t o P8 1 wel & Hou ung code
da&Hilt before Apr 23 19. 57. pursuant to whit t is e q ecupaney
.eo X718.9 . .
dated Aug . . 23. . . ., 19 7b ., 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 . P.riVat.c .Ono .far i.ly. cltag1-].1.ng.
The certificate is issued to .Est. . of. .Elizabeth .t:ausolf; . Ma.rgafiat .13ates. F+.XeQ.
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .pre— existing
UNDERWRITERS CERTIFICATE No. . rre- .existing
HOUSE NUMBER 320 Street Broadwaters Road Nass. Pt Cutahoguue
/
Building Inspector 1
HOUSING CODE INSPECTION
August 20 , 1976
320 Broadwaters Road R-1
Cutchogue, N.Y.
Sub. Div. : Nassau Point Club Prop. Map #156
Amended Map A - Lot 183
Tax Roll: Elizabeth M. Mansolf
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one-story, framed
dwelling. I picked up keys from Joe Saland Real Estate office,
Main Road, Jamesport, and began this inspection at approximately
11:15 A.M. . The key for the main part of dwelling did not oper-
ate lock and it was necessary to return to Saland office to pick
up another set. Inspection was resumed at 2 :00 P.M. .
The building consists of two bedrooms, full bathroom,
kitchen, and living room. A family room and utility room has
a separate entry and is not accessible from interior of main
section of dwelling. This section of building appears to have
been a garage at one time and is unheated. Heat is supplied
to all the other rooms within dwelling from an oil-fired, hot
water furnace located in utility room. Building is constructed
on a cement block foundation with crawl space.
I found no violations of the Housing Code , Chapter 52 ,
Town of Southold, New York.
Key will be returned to Saland office on Monday, August
23 , 1976 , or dropped off to new owners upon receiving instruc-
tions to do so from Saland offic
R- •ectfully submitted,
dward Hi dermann
Building Inspector
EH:med
. FORM 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 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 in-
formation required to prepare a certificate.
C. Fees:
1. 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
Date August 181 1976
New Building Addition Old or Pre-existing Building " X Vacant Land P
Location Of Property BT*94dwgleK'.q..A124.dA...I`TOSS.4ld,..P97.F3.t..A...S.L•ffgli1�..CC114A i.,...Z`I..X.....
Owner Or Owners Of Property Est. of Elizabeth M. Mausolf–Margaret J. Bates, Exec.
Amended Map A ct' n
Subdivision Map..cat..P.rcaposed..S.ub..Diu.../.....Lot No. .18.3.... A..... House No
Permit No. Date Of Permit Applicant lit 1.].iam...Wi.ckham,...Esq..
Health Dept. Approval Labor Dept. Approval
Underwriters Approval Planning Board Approval
Request For Temporary Certificate Finai Certificate
Fee Submitted $
Construction on above described building and perm' a regulations.
Applicant
t":"
c
William Wickham, Esq. ,/�(-77Sworn to before me this of
18th day of Augusts 1976 MOt,�R�AN HINee (stomp or seal] IQZ'f/ T7
'UQSIC sh„. ANN /� l I -o b
Notary ublic S. ' tQ County I ed 2 69056 N°" Yarp ((// l
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