HomeMy WebLinkAboutZ-19519 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19519 Date NOVEMBER 19, 1990
THIS CERTIFIES that the building AGRICULTURAL
Location of Property, a7025 MAIN ROAD CUTCHOGUE NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 85 Block 2 Lot 11.3
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for an AGRICULTURAL STRUCTURE
built prior to: APRIL 9, 1957 pursuant to which
CERTIFICATE OF OCC. #Z-19519 dated NOVEMBER 19, 1990
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 AGRICULTURAL WOOD STRUCTURE & ACCESSORY STRUCTURE
The certificate is issued to JOHN &. JUDITH A. ZAVESKI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE- SEE ATTACHED INSPECTION REPORT.
C"
Building Inspector
Rev. 1/81
BUILDIIH DEPARTiNENT
T0dN OF SOUTHOLD, N. Y.
HOUSIiG CODE INSPECTION REPORT
Location 37025 MAIN ROAD CUTCHOGUE , NEW YORK
�numoer do street) municipaiity)
Subdivision clap No. Lot(s)
Name of owner(s) JOHN & JUDITH ZAVESKI
Occupancy AGRICULTURAL EQUIPMENT
(type owner-tenant
Admitted by: JOHN ZAVESKI Accompanied by: JOHN ZAVESKI
Key available Suffolk Co. Tax No. 85-2- 11 .3
Source of request JOHN ZAVESKI Date 11/ 19/90
� q�gxpxx AGRICULTURAL STRUCTURE
Type of construction WOOD #s-tories 1
Foundation NONE Cellar Crawl space
Total rooms, 1st. Fl 2nd. F1 3rd. Fl -
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits Airconditioning
Domestic hotwater Type heater .
Other DESIGNED TO STORE AGRICULTURAL MACHINERY
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other ACCESSORY STRUCTURE IN DISREPAIR.
VIOLATI0t\1S: CHAPTER. 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Location Description � Art. 1 Sec.
. I .
Remarks
� nn
� h• 0.c, Date of Insp. ' Nov. 19.�, 1990 Inspected by:
G.—LESSARD
Time starter: )&'F end
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. . . 1q9VQ.%bex19.,. JM
NEW CONSTRUCTION . . . . . . .OLD OR PRE-EXISTING BUILDING. X. . . .VACANT LAND. . . . . . . .
Location of Property. .N9rth. 4Z RPI4Q. .2,5-.C14tcJwgue,. Neay.Yoxk. . . . . . . . . . . . . . . . . . . . . .
HOUSE NO. STREET HAMLET
Owner or Owners of Property. . . John Zap -§%:3 apd,Juditb A., 74veslci, , , , , , , , , , , , , , , ,
County Tax Map No. 1000 Section MO. — Block .0.02. . . . Lot 11.a . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . . .Applicant . . . .John.Zaveski_ . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . .
Planning Board Approval
Request for Temporary Certificate . . . . . . . Final Certificate . . . . . . X . . . . . . . .
Fee Submitted: $ . . .100 00. . . . . . . . . . . . .
i
APPLICANT. . '::. . . . . . . . . . . . . . . . .
John Za e i
r v. 10/ 14/88
iu co F,as 17
CONSENT TO INSPECTION
John Zaveski the undersigned, do(es ) hereby
Owner( s ) Name(s )
state :
That the undersigned (is ) (are) the owner(s ) of the premises in the Town
of Southold located at North of Route 25, Cutchogue, New York 11935
Which is shown and designated on the Suffolk County tax--map as: District 1000 ,
Section 085 , Block 002 , Lot 11.3
That the undersigned ``( as) (have ) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector' s Office for the following:
certificate of pre-existing use
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, including inspec-
tions to determine that said premises comply with all of the laws, ordinances,
rules and regulations of the Town of Southold.
The undersigned, 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 vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
/ L
Dated: November 19 , 1990
nature
John Zaveski
Print name
Signature
PrI111, 11 11�L.3
1
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