HomeMy WebLinkAboutZ-12024FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No..Z. 1..2.0.2fi. ......... Date October 31 19.8.3.
THIS CERTIFIES that the building --machine shop
Location of Property .517.5. County Road 48 Mattituck
House No. ' .............. 's't/e;i .... Hamlet
County Tax Map No. 1000 S~ction . ! .~.0 ........ Block ....0J .......... Lot 01 2
Subdivision X
..................... Filed Map No....X ..... Lot No. X
Requirements for a machine shop in the B-1 District
conforms substantially to the la4~O~l[i~f~il~i~i~grl~r~hill~ll~xffi~~
Certificate of Occupancy
xxxxxxxxx xxxxx x xxx,~xXXpursuant to
........................ which g~fkl-iag-Ronr, R No. Z 1202 4
dated October 31
............................ 19.8..3, 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 machine shop in a B-1 District.
Tile certificate is issued to .... EUGENE A. CSICSAK
............. ?oWn'o;, ' .idd4r ......................
of the aforesaid building.
Suffolk County Department of Health Approval n e r e c o r d
UNDERWRITERS CERTIFICATE NO .... N 272792
THE APARTMENT CANNOT BE USED AS A DWELLING UNIT.
SEE INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDING DEPART}~ENT
T0','~$[ OF SOUTHOLD, N. Y.
HOUoI;~G CODE INSPECTION REPORT
Lcca%ion 5175 County Road 48
Subdivision
[numoer & szree~)
x
Map No.
Mattituck
(£4unicipaii~y)
x Lot(s) x
Name of Owner(s)
Eugene A. Csicsak
Occupancy B-1
~type)
A~mitted by: Mr. Csicsak
Key available
owner
(owner-~enan~
Accompanied by: same
Suffolk Co. Tax No. 140-1-12
Source of request
Eugene Csicsak
Date. oct.
20~ 1983
Type of construction cement block & wood #stories 2
Foundation cement block Cellar X Crawl space X
Total rooms, 1st. FI ~ 2nd. Fi 5rd. Fi
Bathroom(s) 1 Toilet room(s) 1
Porch, type Deck, typq Patio, type
Breezeway Garage Utility room
Type Heat oil fired Warm Air X Hotwater
Fireplace(s)_ No. ~its 2 Airconditioning..
Domestic hotwater yes Type heater electric
Other. Second floor, 4 rooms & bathroom & deck.
THIS IS NOT ALLOWED.
ACCesSORY STRUCT~/RES:
Garage, type const, wood,large Storage, type const.
Swim~ing pool Guest, type const.
Other
~IOLAT!ONS: Housing Code, Chapter 52
--Location Descriution t Art. I Se'c.
.. No violations in the construction of I I
said building.
No apartments are allowed in a B-1
District. (100-60 A)
I
Remarks: THE APARTMENT CANNOT BE USeD AS A DWELLING UNIT.
Inspected by: d[ _ . .re of Insp. 10/25/83
Curtis w. Hort~n 'Time start 10:10 end 10:30
THE NEW YORK BOARD~
FIRE UNDERV~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
-- 85 JOHN STREET. NEW YORK, NEW YORK 10038
~ .~,. March 8, 1976
THIM CERTIFIES THAT
only t~ electMc~l equlpme~t ~ ~scMb~ ~ ~ iat~ by t~ ~l~ f ~m~ o~ the a~e ~pl~at~ num~r i~ t~ p~ o~
Love Lan~ Mattit~k.~ L.~
~...~..i.~o. March ~, 1976 a.dfou~obeincomplia~e~iehtherequire.e.tsofthisBoard.
RXTURE R~EPTACLE5 SWIT~ES ~ RXTURES ~ RANGEs ]C~KINGD~KS~ OVENS IDISH WASHERS EXHAUST FANS
MOtOr/S: 1-Shp, 1-3hp~ 1-1/2hp~ 1 f~.hp
Panelboa~d/s: 1-13cir. 125amps.~ 1-Sci~. 125~ps.
1 G.F.C.I.
1-4.0kw Heater
Joseph D. Mazzoni,
227 Waverly Ave.,
GENERAL MANAGER
Medford,.L.I. 11763 Lic.482E ~
~ , ~: : i Pgr D
This certificate m~Jst not be oleered i. ony monner~ return to the office of ~he Boord if incorrect. InspeCtors may be identified by/~heir crede.tiols.
~,ql
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 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/ land use --?re-~;×±st±n~; C. 0. $15.00
3. Copy of certificate of occupancy $1.00 Vacant land C. 0. $ 5 · 00
Date . .2~.. 0. e.t.e.b.e..z-. ! .~8.~ ..........
New Building ............. Old or Pre-existing Building . .~. ......... Vacant Land .............
~attttuc.~ ~ [~
Location of Property .~.!'~..~'.'. .J~. ..................... .... ..............................
House No. Street Ham/et
Owner or Owners of Property ]~e~t® A. C ef.e.&l¢
County Tax Map No. 1000 Section 1.~.0... ...... Block ............... Lot ................
Subdivision .... ~ ............................ Filed Map No .... ~ ...... Lot No, . .~. ..........
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval 83~81 -'~R¢o-o/~ ~.f?~--~ ~-o1~. ~,~c~
........................ ova ..................
Request for Temp~ary Certificate ..................... Final Certific, ate ...... ~ ............
Construction on above described building and permit meets all applicable codes and regulations,
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