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)