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Home My WebLink AboutZ-10415FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z. 1.0..4 J.5 ......... Date ...... ~ ,a .r.c.h.. ! ?., ................. 19. $1.. THIS CERTIFIES that the building ................................................ 5775 County Road 27 or Nlddle Road Location of PropertyHouse ..... ~vo."1'325' .Wieki~am. A.v. enue.,. ~r'e~t' ..... ~a t ~i.~uck ....... County Tax Map No. 1000 Section ....1.4.0. ..... Block .... .1 .......... Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. · r~.qq~re~nen~ts for B-1 (Garage) built prior to conforms substantially to the ~ea~-mr -~itd~g -~rrrritr-freretofom--fil~ 'iff 'tM~ -ul'fl~%ea%~l- ' Certificate of Occupancy ·.. ~l~r;L~-..23 ........ , 195.7.. pursuant to whi~h-B~&Mgi%rrrrit-No.--, r ..... 7.'Y.~. . f ....... dated ....... ~.~ .a.r.c.h...1.1., ........... 19.8. ~. , 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 ......... .................. .~.-.~., q .a.r.a.~e. .................................................. '['he certificate is issued to ........ ~..h.e.~./...0.~.~...C9.. .................................... (owner,'f~' O1~c~flt~' - - of the aforesaid building. Suffolk County Department of Health Approval ....... iq./..R ................................ UNDERWRITERS CERTIFICATE NO ..... .N./.R. ......................................... ~4/o4/~-'~ , .. r' / Building Inspector Rev. 1/81 Location BUILDING DEPARTr.~NT TOY,%~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 5??5 County Road 27 or Middle Road, 1325 Wickham Ave. Mattituck (number & street) Subdivision Map No. Name of Ov~er(s) Shell Oil Co. (Municipality) Lot(s) Occupancy Admitted by: B-1 (type) Mr. Dinizio Tenant (owner-ten~-~t) Accompanied by: Mr. Dinizio Key available Suffolk Co. Tax No. 340-1-5 Source of request Richard F. Lark Date March 6, 1981 ~D~~k ~etail Gas and Repair Station "Garage" Type of construction Foundation Cement Block Total xr~, 1st. F1 Bathroom(s) Porch, type Breezeway Type Heat Oil Fired Fireplace(s) Domestic hotwater Other Cement Block #stories...One Cellar - Crawl space - 2nd. F1 ~rd. F1 Toilet room(s) 2 Deck, type Garage Warm Air x No. Exits 3 Patio, type Utility room Ho%water Airconditionin~ Yes TYPe }]eater Electric Garage Consists of 2 repairbays, 2 storage rooms and 1 office ACCESSORY STRUCTURES: .Garage, type const. Swimming pool Other NONE Storage, type const. Guest, type const. VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec No Violations where found. Remarks: .Inspected by: .... ~'/.. . Curtis W. Horton Date of Insp. Marnh T~e star'l:°°' end 11:15 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 featu res. 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. 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 New Building ............. Old or Pre-existing Building ....X. ....... Vacant Land ............. Location of Property ...H.&.d.~.l.e..1~.o..a.d..&.. ~.&.q~.b.a.m..A.¥~p.u,~,. M.a,t;t.,~.t.qq]f. .................. House No. Street Ham/et Owner or Owners of Property ...S.h.e..~.1, .O.i..~..C.o.~D.a~' ..................................... County Tax Map No. 1000 Section . . . .1.4.0. ........ Block ...0.[. .......... Lot .... .0.5 .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... .~ ................ Fee Submitted $ 5...qo ........................ Construction on above described building and permit meets all applicable codes and regulations. Applicant · .~~~.'.L .~..~L. t ~.~.; .~.~.~4J · · · ar , attorney ~or app±ic~ 0( (\~\ N07'£ SURVEY FOR DIAIIZIO 'S SEt?VICE CENTER, INC. AT M~ TTITUCK TOWN OF SOUTHOI_O SUFFOLK COUNTY, NEW YORK DATE : J~/V. 9,197'9 SCALE NO. : ~ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCAT)ON LAW. ~ COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ~GUARANTEES INDICATED HEREON SHALL RUN ONLYTO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCYAND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. ~ DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES. GUARANTEED TO : CN/C&GO~TA£ INSURANC[ CO. YOUNG s YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK