HomeMy WebLinkAboutZ-9245NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No Z9245 Date October 12 19 78
THIS CERTIFIES that the building located at .... 355. Highland. l~d ...... ~
Map No... 652? ..... Block No ........... Lot No ...... 2 ...........................
conforms substantially to the Q I S . A ESS .Y S UC . .
. CE~FI, C&~$ o~ OCCUpAnCY
dated ... 0.c.~.q .b.e?....3 .3 ...... , 19.7.8.. pursuant To wmcn ~ ~o. Z9245. ·
dated ....0.c. tolker....~2 ....... , 19.7.8., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ACCESSORY STRUCTURES
The certificate is issued to .... .7.5..H.~. g.l~...e~..d..R.o.a..d..C.o..r~.:, .-..B..a~. ~..P.~..s.c.t.~.e.%.l.o. ....
(owner;zl~x~mt)
of the aforesaid building.
Suffolk County Department of Health Approval .......... Pv.e.-.t~lz. ting ............
UNDERWRITERS CERTIFICATE No ................... .P.r.e.-..t~c. ~.~..1.rig ...........
HOUSE NUMBER ...~5 ........ Street .......... .E%.g .k!.e~..d...R.d... .................
................................................ .C.u.~. c..h.o.gq, e.,. ~..Y... ..............
.... ....
Building Inspector
HOUSING CODE INSPECTION
October 12, 1978
335 Highlsmd Road
Cutchogue, New York
Tax Roll:
75 Highland Road Co~.
Bart Piscitello
Upon receipt of an application for a Pre-Existing Certificate
of Occupancy, I made an inspection of the two utility buildings
located on this property.
Both of these Pre-Existing utility buildings are located in
the rear of. this property. One utility building is a two car
garage presently being moved to a new location on the property.
The other utility building is an old pump house approximately
22' x 12'. Both of these utility buildings are in very poor shape.
The following violations of the Housing Code, Chapter 52, Code
of the Town of Southold, N.Y. were found:
All structural parts of these buildings are in poor shape.
Article III, Section 52-30 A & C.
Debris and ponding of water ~]1 around buildings. Article IV,
Section 52-61A,D,E also Section 52-62 B.
Respectfully submitted,
CURTIS HORTON
Building Inspector
FO~M NO. 6
TOWN OF SOUTHOLD
Building Department
Town Clerks Office
Southold, N. ¥. 11971
APPLIGATION FOR CERTIFICATE OF OCCUPANCY
Instructions ~ ~
A. This application must be filled in typewriter OR ink, and submitted in te to the Building
Inspector with the fallowing; for new buildings or new use:
i. 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 aT property showing all property lines, streets, buildings end 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 occupancv $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
$5.00
3. Copy of certificate of occupancy $1.00 ///
Date ..............................................
New Building .................... Old or Pre-existing Building ................ ; ........... Vacant Land ............................
Location Of Property ....... ''-...l~../.~.......~.-~.~.T'~....~.../~......///.-~.. ...... /~/~./~.~.~...,.'":~'~'~'~ ...............
/
~ner Or ~ners O~ Properly ..... 7.~'..~.:~.~:~.~.'...~....~..~ ......................................
Su~ivision ~ ~3 ~ Lot No ~ ...... ~ock No .... ~ .... House No .............
Permit No...)~(~J~J~'~'~"~'~~AppIic~~~'''''~'~'''
Health ~pt. Approval ............................................ Labor ~pt. Approval ................................................
Underwriters Approval .............................................. Planning B~rd ~proval ........................................
Request For Tempora~ Ce~ificate ........................................ Final Ce~ificate , .~ .......................
Fee Submitted $ .~. ...............................
Construction on above described building and ~mit mee~ll applicable c~es and regulati~s.
......
Sworn to before m~ this
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
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