HomeMy WebLinkAboutZ-9138TOWN OF SOUTHOLD
BUILDING DEPARTMI~NT
Town Clerk's Office
Southold, N. Y.
Certificete Of Occup;~ncy
THIS CERTIFIES that the building located at ~.2..8~..0..~.a..~..R..o.a.d. .......... Street
Map No ............. Block No ........... Lot No ..................................
~S REQU~S FOR A COMMERCIAL .BU .LDI_N.G BUILT
confo~-.,m substantially to the ~ ...... ·
PRIOR TO CERTIFICATE OF OCCUPANCY
dated ........ Apr.i.l. · · 2.~ ·.., 19 57 · pursuant to which ~ No.. Z9.1.38.
dated ........ Jul},.... ~.1 ....., 19.7.8., was issued, and conforms to all of the req],ire-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ....... .Co~_-~.cia,L .bui3,dirig. .........................................
The certificate is issued to ........ ?.r.a..b.i.e...A.p.p.l.i..~..c.e.s..I.n..c: ......................
(owner, l~sas~t~2~r
of the aforesaid building.
Suffolk County Department of Health Approval ....... .P~'..e.-..E~..i.s.t..i.nE ..............
UNDERWRITERS CERTIFICATE No ............... .,.~'.e..-.E~..t.s..t.t.n.~. ...........
HOUSE NUMBER .. ?.2.8.0.0. ...... Street ....... .~a..i.n..R.o..a.d. ....... / ...............
............................................ ..........
fft l '
Housing Code Inspection
July 31, 1978
12800 Main Road B-1
Mattituck, New York
Tax Roll:
occupied:
Grabie Appliance
owner, Appliance Sales & Service Facilities
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy I made an inspection of the building on the above
captioned premises. Accompanied by Mr. Gerald Bravata I began
this inspection at approximately 10:20 A.M.
The building is a one story partial wood frame_masonry
structure constructed on a cement block foundatmon. It contains
on the main floor a showroom, two storage rooms, two offices, a
coffee room and two half bathrooms. The rear of the building has
facilities for appliance repair. Heat is supplied to the building
from an oil fired hotwater furnace located in partial full cellar.
The balance of the buildings foundation is crawl space.
The following violations of the Housing Code, Chapter 52,
Code of the Town of Southold, N.Y. were found:
Bathrooms -interior rooms-no windows 2~d no mechanical means
of ventilation. Article V, Section 52-52 B.2
This inspection was completed at app~imately 10:~ A.M.
/
R~ctfullM submitted,
Building Inspector
FOUM NO. ~
TOWN OF $OUTHOLD
Building Depmtment
Town Clerks Office
Southold, H. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in triplicate 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), No~-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey o~ 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
Dote .......... ................
New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................
Owner Or Owners Of Property ...~./r-~ .~..~./.~'~'....~'-'~.~..~..~-Z.~...,~..~.-.~..~..~.,,e~-.~...~ ..................................
Subdivision ................. i: ............................................. Lot N~ ..... Block No ........ [.... House No .............
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............ ~...~.~ .............. Labor Dept. Approval ..... .~....l./...~....: .........................
Underwriters Approval ..............l.~/.....(.J....~... ............. Planning Board Approval .....~..../.L ...................
Request For Temporary Certificate ........................................ Final Certificate ~'/
Construction on above described building eets all c~ica~'l'& ~es d reg~.~--~'..~
................ day of ............................................
Notary Public .................................... County
(stampor (¢~ j,