HomeMy WebLinkAboutZ-13873FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z13873Date ......... September 20 1985
.............
THIS CERTIFIES that the building ... One family dwelling ............ . .... . .. . .
Location of Property .....9800 Nassau Point Rd. Cutchogue
...........................
House No. Street Hamlet
County Tax Map No. 1000 Section ..... !)8 .... Block .96........ Lot 1.0
Subdivision ...............................Filed Map No. ........Lot No. .............
Requirements for a private one -family dwellin built prior to
conforms substantially to the pCi�lclil�iiiCXbrXHiXiYRdiH�XtXR�rgtbrg30i}fiXtl�sXl§gtl3gg
Certificate of Occuppancy
April .. .. 19 5 7. pursuant to which RWY�#W8X . 4k Z 138.7.3 ...........
dated ... September 2 0 19 8 5 . , 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 .........
........ 9ne..�am.i'ly.0Ag11;i g ................................................
The certificate is issued to Estate o f Walter U h l
(owner,1�36eYa7f 1fe76�i+]F/X.....................
of the aforesaid building.
Suffolk County Department of Health ApprovalN o r e c o r d
..........................................
UNDERWRITERS CERTIFICATE NO...................N4. xe.gQr0.....................
This includes B.P. #87722 issued 8/2/76 C.O. Z7989
Please see attached inspection report.. �/
Building Inspector
Rev. 1/81
BUILDINIG DEPPRTi.LNiT
TOZ'1N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 9820 Nassau Point Road Cutchogue
(number & street) (Municipality)
Subdivision Nassau Point Map No. Lot(s)
Name of Owner(s) Walter Uhl, & wf.
Occupancy R-1 unoccupied
type owner -tenant
Admitted by: sP1f Accompanied by: pelf
Key available Mary Sabat ` Suffolk Co. Tax No.118-6-10
Source of request John Nickles Date 9/17/85
DWELL IN IG :
Type of construction wood framed #stories 2
Foundation concrete & block Cellar partial Crawl space ----
Total rooms, lst. F1 7 2nd. F1 3 3rd. Fl ---
Bathroom(s) 4 Toilet room(s) 1
Porch, type Deck, type wood Patio, type_alate
Breezeway Garage 1 tear Utility room
Type Heat oil 'alarm Air 2 -warm air Hotwater
Fireplace(s) 3 No. Ecits 4 Airconditioning
Domestic hotwater yes Type heater electric
Other Finished room basement, sunken patio under deck, wood burner.
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const._
Other Wishing well, fence, wood bath house.
VIOLATIONS: Housing Code, Chapter 45 N.Y. Staatp1UniformaFire Preventic.
Lncation
DescriDti.on
JArt.j
Sec.
No violations were found.
This includes B.F.#8772Z issued 8/2/76
C.O. Z7989
Remarks:
Inspected by
Curtis W. Horton
Date of Insp. 9/19/85
Time start10:30 end 12:15
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
� cwt . 3v ���.
Instructions
A. This application must be filled in typewriter OR ink, and submitted indopilIM 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.
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 informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
�OO
Date ....... .Gt ���.
New Building ............. Old or Pre-existing Building .....✓...... Vacant Land ....... .. .
GI -S Pv............. .STi�� ...
Location of Property {!4 ./Y.. .
House No. ,Street Ham/et
Owner or Owners of Property ...1r!`f/?!��.... W .� .!.....` :. ........... .
County Tax Map No. 1000 Section .... F.l.`� r ...... Block ..... ....... Lot ... `. /0........ .
Subdivision .. A .... ...........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 Certificate .....................Final Certificate ..... ! �.............. .
co
Fee Submitted $ .1 ............................
Construction on above described building pe it mee allapplicabl es and r gulati2s.�
Applicant . .
Rev. 10-10.78
CA
1/ao�5 G' C'_0 Z 13F23 %ZVJ,\kCY,
11IC6 -
6
CONSENT
TO
INSPECTION
Owner(s Name(s)
, the undersigned,
do(es) hereby state:
A �
That the undersigned (is) (.tee) the owner(s)Aof the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax map as District 1000, Section Block Lot 1/0
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
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 of the laws, ordinances, rules
and regulations of the Town of Southold.
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 regulations of the Town of Southold.
Dated: ! � ��/ '�� ze
(sign Lure)
—"'OE uajaW SOJW13 wJq
Auno3 4XIVIS 'SL8L&V 'ON
BIjq maN Eo 3'iei ' n9nd ARVIN
30A 30 .N U313H
HELEN K. OE YOE
NOTARY PUBLIC, State of New York
No. 4707878, Suffolk
Terri Expires March 30,19
' &,,//
Ube
(pr' t name) ,7, Iraz
(s i.E�nature )
print name)
Location
Subdivision
Name of C
Occupancy
Admitted
Key avail
Source of
D19ELLING :
BUILDING DEPARTIMENT
TOVN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
� z
number & stree
Map No.
cipa_Li-tyGy --
_Lot(s)
Type of construction #stories.
Foundation Cellar rCrawl space
Total rooms, lst. Fl_,jW T 2nd. Fl 3rd. F1
Bathroom(s) Toilet room )
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat TWarm Air 4 IA' Hotwater
Fireplaces) 3 No. Exits Airconditioning
Domestics hotwater Type heat-er
Other / _ J
ACCESSORY STRUCfli�R : "�'--'"-0'7
Garage, type const. Storage, type const.
Swimming pool Guest, te const.
Other -.___ 1 �
- _I _J_ e "ev _
TTTnT ATTn�T1 _ TT___ _ �_ -
793-0=