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Home My WebLink AboutZ-11157FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. 1 ......... Date ..... .A.u. gu..a.~..~.4. ................. 19.8.R THIS CERTIFIES that the building ................................................ 15 Eugene'e Road Location of Property . .3.2.~.30 Main Road Cutchogue County Tax Map No. 1000 Section .09.7. ........ Block ...0.~. .......... Lot .... 0.1..S .......... Subdivision... X .......................... Filed Map No..X ....... Lot No..X. ........... Requirements for a two-bay garage built ppior to conforms substantially to the Applieat~i~w~ar-B~iklh~ ~-md{-h-~l'~,,e"f'fl~ql-ttt'ttlts'l:fffl~e'l:llztelt Certificate of Occupancy ... $ p.r.& ~...~.3 .......... 19 .5.7. pursuant to which B~ildL,, P~',,,}t No...51 J J 5.7. ............ dated .... .A.uE.u.s..~..2.4. ............. 19.8.2. , 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 ......... The certificate is issued to ...~.~.n..a.l.cl...1.,. ~C.C, .~.l.~.u..m ................................... (owner, of the aforesaid building. Suffolk County Department of Health Approval .... n./. ? ................................... UNDERWRITERS CERTIFICATE NO ............ ~/..r. ................................... Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ....... New Bui!ding ............. Old or Pre-existing Building(Z) .... _X,. - = 'Vacant Land -i ............ Location of Pro~=r*,, S/~. coLin, er Ma~n Mad and Euge~es :Road House No. ~ as Nassau Point Se/~ Sta~sion Ham/et Owner or Owners of Property . .~:? .z~t.]:.~ .A.: Mc~.l.l.k~..-.- ..................................... County Tax Map No, 1000 Section . . .9.? .......... Block ...2. ........... Lot .... .1,5 ......... . Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. HeaJth Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ .., Request for Temporary Certificate ..................... Final Certificate ........ - ......... - Fee Submitted $..5,00 ........................ Construction on above described building and permit'meets all appki, cable_,codes and regulations. Applicant · -:.. . . TO~N OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 ?RE-C/O INSPECTION Aug. 9, 1982 TEL. 765-1802 August 24, 1982 32930 Main Road & 15 Eugene's Rd., Cutchogue, N.Y. R-l, Tax Roll: Ronald A. McCallum County Tax Map No.: Dist. 1000-097-02-015 Upon receipt of an application for a Pre-Existing Cer- tificate Of Occupancy, I made an inspection of the above property. This property is located in a B-1 Zone "General Business" District. I began this inspection at approximately 3 o'clock accompanied by Mr. Oates. This building is a two bay garage, office, bathroom, and a storage room. The following violations were found: bathroom - floor bad front door sill - rotten overhead d6or - needs work 52-32-D 52-30-A 52-31-B. The inspection was completed at approximately 3:30 P.M. Respectfully submitted, Curtis W. Horton Building Inspector CWH:ec STATE OF NEW YORK: OOUNTY OF SUFFOLK: SS.: RCNALD A. McCAT.T~3M, being duly sworn, deposes and says: I reside at Hedges Road, Shelter Island, New York and am the ~D~r of the premised located at Cutchogue in the Town of Southold and known as Nassau Point Service Station. I have ~n the owner of the abovedescribed pr~mises since prior to April, 1957. The premises has been operated and maintained as a gasoline and service station since prior to April, 1957. The buildings have always been maintained in a safe and ~hitable condition and no extensions to the buildings located on the pr~mises have been made since April, 1957. Sworn to before me this day of July, 1982. · ~.? :'il ,