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HomeMy WebLinkAboutZ-25544FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 25544 Date: 02/19/98 THIS CERTIFIES that the building RESTAURANT & BAR Location of Property 4805 DEPOT LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 096 Block 0005 Filed Map No. __ Lot No. Subdivision CUTCHOGUE (HAMLET) Lot 002 conforms substantially to the Requirements for a BUSINESS STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 25544 dated FEBRUARY 19, 1998 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 RESTAURANT & EAR STRUCTURE WITH 5 ACCESSORY BUILDINGS * The certificate is issued to ALBERT GROHOSKI of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A ' /u/d/ Inspector Rev. 1/81 LOCATION: SUBDIVISION: DEPOT LA BUILDING DEPARTMENT TOWN OF SOUTHOLD ~QU$ING CODE INSPECTION REPORT CUTCHOGUE NO.: __ LOT (S) -- NAME OF OWNER (S) : ALBERT GROHOSKI OCCUPANCY: C $.1 ASSEMBLY ADMITTED BY: ALBERT GROHOSKI KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 96.-$-~ SOURCE OF REQUEST: ABIGAIL A. WICKHAM. ATTY-12/18/97 ~LBERT GROHOSKI ACCOMPANIED BY: SAME DATE: 02/19/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 4 FOUNDATION: CEMENT BLOCK & STONE CELLAR: 1/2 CRAWL SPACE: 1/2 TOTAL ROOMS: 1ST FLR.: __% 2ND FLR.: _~_ 3RD FLR.: --0 BATHROOM(S): ~.0 TOILET ROOM(S): 2.0 UTILITY ROOM(S): -- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: CLOSED UP GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WAP~4 AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: 5 ACCESSORY WOOD BLDGS. VIOLATIONS: LOCATION ACCESSORY BUILDINGS. CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DESCRIPTION ART. 1. EXTERIOR DOORS, WINDOWS, SKYLIGHTS & SIMILAR NYCRR OPENINGS SHALL BE MAINTAINED WEATHERTIGHT~ 2. ROOFS SHALL BE MAINTAINED IN A WATERTIGHT NYCP~R CONDITION. 1242.5 (B) 1242.5 (D) REMARKS: ALL ACCESSORY BUILDINGS ARE IN DIFFERENT STATES OF DISREPAIR. DATE ON INSPECTION: 01/22/98 TIME START: 12:00 PM END: 12:30 PM Form No. 6 TOwN OF sOUTIIOLD ~UH,DI~G DEP~RTHEN¥ TOWN IIALL 765-1802 APP[IC,\TION FOR CERTIFICATE OF OCCUPA,'~C¥ This application must be filled in by typewriter OR ink and submitted to cbc building inspector with the following: for new building or ne~ ese: 1. Final surve~ of property with accurate location of all buildings, property lines, streets, and unusual notural or topographic features, 2. Final Approval from tlehlth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of ~lectric~[ installation from Board of Fire Underwriters. Swogn statement from lplumber certifying that the solder used in system cootaivs lesa than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residence~ and similar buildings and installations,,a~ certificate of Code Compliance from architect or engineer responsible for th~ building. 6. Submit Planning Board Approval of completed site plan requirements. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2, A properly completed application and a consent to inspect, signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector sholl State the r~asons ~hete£or in writing to the applicant. Co F~es 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Addition~ to accessory building $25.00. Businesses $50.00. 2, Certificate of Occupancy on Pre-existin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 . 5, Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00 Date ..... Degmrmbmr..l~,..1.9&Z .................. Main New Construction ........... Old Or Pre-existing/Building. D~O,y ............ Location of Property ~ p~p~. ~ap~. . ... .. q~cjlo~,? ...... }louse No. Stree~ Hamlet Onwer or Whets ~., roper .., . oho . County Tax Map No 1000, Seccion..~ .......... Block,..~ ............ Lot ..... ~ ................ Subdivision .................................... Filud Map ............ Lot ...................... ~ermit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approv;~l ......................... ?lannlng Board Approval ........................ ~equest for: Temporary Certificote ........... Final Certicate. of.P~e~e~sting Use for Main restaurant/residence building CONSENT TO INSPECTION ABIGAIL A. WICKHAM, Attorney for Albert Grohoski and Anne Lenceski Owner(s) Name(s) do(es) hereby state: Albert Grohoski and Anne Lenceski That t~___~~ (are) the owner(s) of the premises in the Town of Southold located at Depot Lane, Cutchogue, New York 11935 · the undersigned, , ,. -, , which is shown and designated on the Suffolk County tax map as District 1000, Section 96 , Block 5 . Lot 2 That the undersigned (has) ~ filed, 'or caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for the following: __ Restaurant/Bar and upstairs livipg quarters 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~ inc!udLng inspections to determine that said premises comply with all of the laws, ordinances, rules and reKulations of the Town of Southold. The unde~rsigned, 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 lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: December 18, 1997 lb '~ail (~.ig~c~Uhraem), (print name) (signature) (print name)