HomeMy WebLinkAboutZ-10054FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificnte Of Occupnncy
THIS CERTIFIES that the building ................................................
Location of Property ..... '1. 7.~.0' . .B.r.o.a.~.,q.a.t.e. lT. 8...R.o.8..d .............. .C.I~..~.~.h.o.~..e.~..1~.: .Y:.
House No. Street Hamlet
County Tax Map No. 1000 Section .... ~.0, .~ ..... Block ....9, .......... Lot ....... 9. .........
Subdivision...N.a.8.~..8.U. ?.~.,..~.1.~.~..P?.O.I~: .... Filed Map No.. ?.5.6....Lot No...~..6.0 ........
requirements for a one femily dwelling built prior to
conforms substantially to the ~
Certificate of Occupancy
.... 6p.r.l.;..2.3. ........ 195.7. pursuant to which ~ .......... Z. 1..09..5.6. ....
dated ..... .ff.t~. y...~.0 ............... 19.8{).. ,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 .........
The certificate is issued to /O. fred Steinruc.kl~J~r~%~&_~w~.
..................... /oYn~),~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval ............... .N/.R. .......................
UNDERWRITERS CERTIFICATE NO ....................... .N/.R. .......................
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1750 Broadwaters Road
(number & street)
Subdivision Nassau Pt. Club Prop.~ap No.
156
Cutchogue, N.Y.
(Municipality)
Lot(s)~ 260
Name of Owner(s) Alfred Steinruck Jr. & wf.
Occupancy R-1 owner
(Type) (owner-~enant)
Admitted by: Mr. & Mrs. SteinruckAccompanied by: same
Key available
Suffolk Co. Tax No. 1000-104-9-9
Source of request Mr. and Mrs. Steinruck
Date July 28, 1980
DWELLING:
Type of construction Wood framed #stories I~
Foundation cement block Cellar partial Crawl space rest
Total rooms, 1st. F1
Bathroom(s).
Porch, type glassed in
Breezeway
Type Heat oil fired
Fireplace(s)
Domestic hotwater
Other
Deck, type
Garag~ attached
Warm Air X
No. Exits 3
yes
2nd. F1 I 3rd. F1
Toilet room(s)
Patio, type
Utility room
Hotwater
Airconditionin~
Type heater electric
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other Roof over ba~.~aque pit cookout
metal
VIOLATIONS: Housing Code, Chapter 52
.Location Description Art. ~ec.
Cellar Steps narrow - does not have a
continuous rail _ II 52-27 .A~i
Stairs-up No hand rail .. II .52-57.B
.Stairs-up No light 9~er stairway . II 52-26 B~
2nd fl.
room Not enough headroom II 52-24 A2
Remarks:
Inspected by:~Date of Insp. July 29, 1980
Curtis Horton Time start 10:30.end 10:50
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 Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
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 unusua~ 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupan~cy on pre-existing dwelling or land use $5,00
3. Copy of certificate of occupancy $1.00 ~,/¢~// ~
New Building ............. Old or P re-existing Buil~ling , , ,1~,,, ...../Vaca.t/Land .............
Owner or Owners of Property ....~.,...J~ .~...~....~....~.... ................
County Tax Map No, 1000 Section .... I .0..¢ .... Block C~ Lot ~.
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate
Fee Submitted $., .~, .~_..O. ..... "'~ ...........
Construction on above ~r~ ~' ~/~'
described building ~p¢ permit meets all ap/¢icable ~od~s ,and regU~tions.
Xpp cant~J~..~.~.... /../,, ~x . ,.