HomeMy WebLinkAboutZ-17969FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17969 Date APRIL 25~ 1989
THIS CERTIFIES that the building ONE FAMILY DW~.TI.ING
Location of Property 500 BROADWATERS ROAD
House No. Street
County Tax Map No. 1000 Section 104 Block 10 Lot 04
Subdivision Nassau Pt.Club Prop. Filed Map No. 156 Lot No. 185
conforms substantially to the requirements for a private one-family
dwelling built prior to: APRIL 9~ 1957 pursuant to which
CUTCHOGUE~ NEW YORK
Hamlet
CERT. OF OCCUPANCY. #Z-17969 dated APRIL 25~ 1989
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 A PRIVATE ONE FAMILY DW~.LLING*
The certificate is issued to WALTER SILBERNAGEL & WIFE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
THIS PRE CO UPDATES PRE CO Z-10830 DATED 12/23/1981 & ALSO INCLUDES
BP #2270Z-C0 Z-2001,BP #6921Z-CO Z-7664, & BP #10667Z-CO Z-10829.
Building fnspector
Rev. 1/81
- ~,~ D~ETMEt,:m
BUILD=~',~ ....
T01'~[ OF SOUTHOLD, N. Y.
,T~T
HOUSING CODE ILo. ~ON REPORT
Location 500 Broadwaters Road
(number & s~reem}
Subdivision Nassau Point Club Pro~]aP No.
Cutchogue~ NY
(~,~unicipaii~y)
156 Lot(s)~8~ & ~85
N me or O mer(s)
Abe Usatch & Wife
Occupancy R-1 unoccupied
(type) {owner-tenm~t)
Admitted by: self Accompanied by: self
Key available Mr. Burt Lewis~ Jr. Su££olk Co. Tax No. ~0~-10-005
Source o£ request Mr. Burt Lewis~ Jr. Date 11/4/81
DVfEI,L!NG:
Type of construction
Foundation cement block & slab
To~al rooms, 1st. F1 5
Bathroom(s) 2
Porch, type
Breezeway
Type Heat oil fired
Fireplace(s) 1
Domestic hotwater yes
Other
wood frame~ #s~ories 2
Cellar partialCrawl space partial
2nd. Fi ~ 3rd. F1
Toilet room(s).
Deck, type
Garage
Warm Air
No. Exits 3
Patio, type
Utility room
Hotwater x
Airconditioning
Type heater tank
ACCESSORY STRUCTURES: NONE
Carage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Loca-tion Description Art. Sec.
No violations--Housing Code, Chapter 52,
where found.
The Pre-C.C. includes B.P. 2270Z--C.0. Z2001, B.P. 6921Z--
Remarks: C.C. Z7664, B.P. 10667Z--C.0. Z10829. ..
12/22/81
Curtis W. Horton T~me start 2.:30 end 3:00
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
!1971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING......
Locatloo of P.operty ..... .~7~.. ....... ~.r.~...~...~<...~..~ .... ~~~.
HOUSE NO. STREET HAHLET
=ou~=~ ~ ~ ,o. ,000 ~==~o~ .z~.~. ~o=~ ./~... =ot ..~. .....
Permit No ........... Date of Pernit .......... Applicant .
Health Dept. Approval .................. Under~rSters Approval ..............
Plannlng Board Approval ................
Request for Temporary Certificate ....... F~nal Certificate ...~ ...........
Fee Submitted; $
~. ~)10~
'kev. 10/I/4/88
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
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 Inspec-
tor 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 installa-
tions, a certificate of Code compliance from the Architect or Eng neer responsible for the building.
5. Submit Planning Board approva 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 peoperty 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 informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date .......... ./~V.,..q:.L~..~ I
New Building ............. Old or Pre-existing Building ..... /~/X, .... Vacant Land .............
Location of Property .. Y~..~'~.~./~...k~). ~.~.~.~. .~ C~ ~ ~ o ~ ~ ~
Hou~ No. Street Ham/et
O~n.~o,O~orProp~ty ..... ~,~.%~ .~.~ ~~
Co~nt~ T~ M~ No. ~000 S~io, ..~ Z>. ~. ..... mo,~ .... ~.~ ........ Lot ..... ~ .......
S,~i,,~o,. ~e>~.~ U..~'r. ,~.~.~ ?..~..,,,~ M,, No. /~.~ ..... Lo~ No.../~ ......
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Unde~riters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ... ~ ................
.e.S.~itt~ S ........ ~ ~.~.., ~...
Construction on above described building and permit meets, All applicable codes and regulations.
Applicant ........... ..~.~..~.....~...~..~. .................
,.~.,o.,o.,~ ~)~, C.o. z Io~o "~4,~ ~ "
~zl~l~, i?~c.~ IClS-~q ~ ~ ~ ~/
0
U
0