The URL can be used to link to this page

Home My WebLink AboutZ-9556FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Z9556 Date ..... .~.1~..0....0. ................... 19...79 THIS CERTIFIES that the building ................................................ Location of Property ..... ~..~.0~..~.....~..l, rl.. I~111~.{1. ....................../~,ltOllOg~l~.gt~, House No. Street County Tax Map No. 1000 Section ... 09? ..... Block . .. 02. ......... Lot ....... 08 ........ Subdivision ........ :II~D~:JDD~: ............ Filed Map No...:~t No... O~l~lal~' · · confoms substanti~ly to ~e ....... C~T~I~ ~ ~~ . $R~$% .... ~ ........ , 19.57pursuant to w~ch ~No ............... Z9556. dated ......... ~... fl ......... 19. ~ was issued, and confoms to an of the requkements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .................... l?ub:l,l.c, fie, rage ............................................ The certificate is issued to ............. . .~.~..~.h.o..~. ?..~.~..~...8..~..~.8...~..0., ................ (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ............ ~t'~R~J.8'I~ ................ UNDERWRITERS CERTIFICATE NO ..................... .I~...~...~..8.~....t~1~ .............. Building Inspector Rev 4/'/9 Location Subdivision Name of Owner(s) BUILDING DEPARTMA~NT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 32005 Main Rpad Cutchogue~ New York (number & street) (Municipality) xxxxxx Map No. xxxxxxx Lot(s) xxxxx B-1 Occupancy (type) Admitted by: Mr, Key available Source of request Cutchogue Auto Sales Inc. owner Doroski (owner-~ Accompanied by: Mr. Doroski Suffolk Co. Tax No.1000-097-05-08 Robert Doroski Date May 31, 1979 DWELLING: Type of construction Foundation cement Total rooms, 1st. Fi Bathroom(s) Porch, type B~qez~way ~ipe±es~ Type Heat 2 oil f~ Fireplace(s) Domestic hotwater PUBLIC GARAGE Cement block 8 Deck, Garage. Warm Air No. Exits no #stories ~ne . Cellar Crawl space 2nd. F1 3rd. F1 Toilet room(s) (2) Mens room & Ladies room type Patio, type__ Utility room X Hotwater 5 Airconditioning Type heater Other ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other LARGE Storage-~, ype const. Guest, type const. 'wood VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. es room Door needs repairing III 52-30 ~ ssory Structure --roof leaks, garage doors in very _ poor shape III 52-~1B _~ oublic ~ara~e---oement blocks ~d r~p~f~g ~ I var~nl~S ~1 aa~ III 52-31 Ladies Accesser Rear Remarks: cURTIS HORTON Date of Insp._ June ~, 1979 Time start 9:30 end 10:15 AM FORM NO. 6 TOWN OF SOUTHOLD , Building Deportmnnt Town ClerJ~ Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY I#s~rucfions 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 $1.00 May 31, 1979 New Building ................ Addition ................ Old or Pre-existing Building ...X. ............ Vacant Land .............. Location Of Property ...3..2...~..~.~.5....~.4..a..i...n.....R..~...a..d..~..~.C...u..t...c..h..~...g..u...e..~.....N..e...w.~..Y..~...r..k. ............................................ Owner Or Owners Of Property ~.C...u..t.~.c..h.~.~.~..u..e.~.A..u.~.t~.~.~.S..a.~.~..e.~.s..~.~.I..n.~.c..: ...................................................... District 1000, Section 97, Block 5, Lot 8 Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No ..................... Dote Of Permit .................... Applicant .................................................................. Notan/ Public ..........$.~f.~ Q~ .........~z}~nty Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate ...~ .................................... Fee Submitted $ ..5.:..0..Q. .......................... Construction on above described building and ~Pe~mit meets all~pplicable cQdes and regulations. Sworn to before me this ~/ ~ (stamp or seal) (~- 0 ~ "~