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Z-18515
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-18515. . . . . . . . . . . . . Date . , NOVEMBER 1, .1989 , THIS CERTIFIES that the building . . . . . GASOLINE STATION _ . . . _ . Location of Property 28975 MAIN ROAD 55 DEPOT LANE . , . , CUTCHOGUE,. N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . . .� . . . . . . .Block . . . . . . . . . . . . . . .Lot . . . . .2 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the .requirements for a business building built prior ta. . APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY . Z�18515 dated . , NOVEMBER '1, 1989 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASOLINE SERVICE STATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tlie certificate is issued to . . . . . , K S SERVICE STATION, INC. (owner l of the aforesaid building. Suffolk County Department of Health Approval , ,NO RECORD PRE EXISTING . __ . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .NO RECORD. .'P.. .RE.EXISTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: NO RECORD PRE EXISTING. * PLEASE SEE ATTACHED INSPECTION REPORT. Aloeel.- A . Building Inspector Rev.1/81 s. BUILDI?�;G DEPARTI•IENT T0.114 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 28975 Main Road & 55 Depot Lane Cutchogue , N.Y . (numoer do street) 1,1unicipaiity) Subdivision Map No. Lot(s) Name of Owner(s) KULLS SERVICE STATION, INC . Occupancy GASOLINE SERVICE . STATION OWNER (type) owner-tenant Admitted by: MR. KULL Accompanied by: SAME Key available Suffolk Co. Tax No. 102-5-26 Source Of request ROBERT KULL Date OCT . 23 , 1989 STRUCTURE: Type of construction CEMENT BLOCK ONE #s-tories Foundation POURED CEMENT Cellar Crawl space_ Total rooms, lst. Fl 2 2nd. Fl 3rd. F1 Bathroom(s) Toilet rooms) 2 Porch, type Deck, type Patio, type_ Breeze.-jay Garage Utility room Type Heat OIL FIRED Warm Air XX Hot-water Fireplace(s) No. Exits Airconditioning Domestic hotwater YES Type heater ELECTRIC Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other GAS PUMPS & SIGNS VIOLATIONS: CHAPTER. 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE - Ln-,ati on Description Art. Sec. NO VIOLATIONS I• i . I Remarks: nn Inspected by: Ci J Date of Insp.00T. 30, 1989 CURTIS HORTON - Time start 10:00 end 10:30 am TOWN OF SOUTIIOLD was* BUILDING DEPARTMENT _ TOWN HALL Nd{fM1@1F. (® S O UT II O L D, N E W Y O RK 1 1 9 7 1 ' 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DAT _ f. © " �;� ' . N EW CONSTRUCTION . . .OLD OR PRE-EXISTING BUILDING- . . - - -VACANT LAND. . ..*_-_ . • aZ��7.5� .S 5 Location of Property_ A:��a (J F t.4.�. _ _ _ - HOUS .ti�c)ao�-�� . _ -/�� - - " ' - -E NO_ " - STREET HAML T Owner or Owners of Property. . _ . &t11J. - - �� U �� County Tax Map No. 1000 Section ./0.¢. Block Subdivision. . . . . . . . . . . . Filed Ma . t _ . . P . . . . . . . .Lot. . . . . . . . . . Permit No. . . . . . . . . . .Date of Permit . . . . . . Applicant . . . . . . . . . . . . . . Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . Planning Board Approval . . . . . .. . . . . . . . . Request for Temporary Certificate . �. . . . . Final Certificate . . . . . . :. . . . . . . . . Fee Submitted : $ . . /00 r ® v - . - . APPLICANT. . . . ✓ .. � rev- 10/ 14/88 C.r� 1$5 f5 FORM NO. 6 1` TOWN OF SOUTHOLD to so BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submit Inspector with the following; for new buildings or new use: ted to the Building 1. Final survey of property with accurate location of all buildings, streets, and unusual natural or topographic features. g property lines, 2. Final a �. pproval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains les than 2/10 of lZ lead. s 5. 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_ 6. Submit Planning Board Approval of completed site plan requirements. r B. For existing buildings..(Prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showingall property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed`''application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other Pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25-00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25-00. Accessorybuilding Addition to Accessory buildings, g $10.00 g $10.00. —Businesses $50.00. 2. Certificate of Occupancy on pre=existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 .4. Vacant Land Certificate of Occupancy - $20.00 S. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.00 rev' 10/14/88 FO(,�coG �� yam► Town Hall,53095 Main Road y 't Fax (516)765-1823 P. 0. Box 1179 v. Telephone (516)765-1802 Southold, New York 11971 �,�, - viol � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 2, 1998 To Whom It May Concern: Re: Premises @ ROUTE 25 & 55 Depot Lane, Cutchogue Suff . Co. Tax Map #1000-102-5-26 Please be advised that the above premises does not require any licensing from the Town of Southold to operate as a Gasoline Service Station. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Edward Forrester, Director of Code Enforcement EF:gar fl r-z.3`?4 ""---�-blactc, o U' q} N {{ 1 _ CUTGHOGLI�._. U _ , �• 0 0 , ,. `\ ,`fly �..h, _ - . - _ . s . ' 0r J C. o .: -� t, � V g v . 5_ Z. Island. lroj - -r�� t 1 _ HORIZED ALTERATION OR ADDITIOr - - TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW PORK STATE, Irk_ r EDUCATION LAW. - .T 4'(e No. 5-5993O2 - 1 - COMES OF THIS SURVEY MAP NOT BEARIW 1 - THE LAND SJ1:VE''Cd'S i^ M SEAL OC EMBOSS`_D SEA! S5AI-NO•T M C0.161D°. D TO BE A VALID T: CJFi• GUGY!'YYfTT A T� -Hie - a CUA"Ate EnS I1•i7i;,AT2f:11EPT . SH L RUN pp GNLY TO TX:VE`>.:,;?71 FO' r.^I THE SWW SBGCJrI T'.�'(e �1K0' GUacr-an-A--e Co. Arer1 (O,478 sy.�: �s PREPAREv, ►.*D O::}A1S &:-,'_F TO rH; oo TITLE COMPANY, V=0.N1 L AC.LNCY a'.. as surveyed• RENDING Ir1ST1TUTIGti f w HzF_O_N, 'A:-8 J TO THE ASSI 'EES ELF otna,CFZdS LCtrerT2C CSf'e Pet- C��S�YfkJT lUtt.tiTlON.GUAYJ.Mi:s A Wt7T T2�kt1 c�i,9LE (GO��l2�C(G ve'�b'tiJ 1 .lYL, pC. JJ s0 ADDITIONAL I §MWEN /0. QWNER A Suffol tc coor4y Tat' Mai j)esigrtar-f-iorr: /� o4merrded 21, I982 Lrcenseo( d SUrveyors Dish 1000, Sect 102, 8«. S, Pelt. 26. Apr. 2?, l982 G resr-r rt New York- � CONSENT TO INSPECTION U- S 0-. - U ' C. 'G IM the undersigned, Owner(s) Name(s) do(es) hereby state: L That the undersigned (is) (are) the owner(s) of the premises in the Town - of Southold located at IQ• K) R N + &Q-RT Lb ,,,�c ,�. �— , which is shown and designated on the Suffolk- County tax map as District 1000, Section 1 @ Block Lot That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town, Building Inspector's Office for the following: r That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of SoutholdAo enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may _ deem necessary with r,gspect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Mown 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. Dated: �� ' U rj J�"DS_ (signature) (print name (signature) (print name) BUILDIi �;G DEPART E'I T TOWN OF SOUT HOLD, N. Y. . HOUSING CODE INSPECTION REPORT Location g (nun, oer ac s�reez i nicipalizy) Subdivision ikiap No. Lot(s) • / i Name of Own er(s) Occupancy t e YP - owner-zenanz) Admi1-ted by: `m ..1L..� -Acs bmpanied by : Key available ' Suffolk Co. Tax No, p _S- .h Source of request r✓ .v2Z%l Date DT,�T LING. , Type of construction. rstories Foundation Cellar=Crawl space Total rooms, 1st. F1 2nd. F1 3rd. F1 Bathrooms) Toilet room(s) Porch, type Deck t c-- YPe Patio, type Breezeviay Garage Utility room Type Heat 'alarm Air Hotwater Fireplace(s) No. Exits 4?1,,( Airconditioning Domestic hotwater /Ak� Type heater Other C,7 ACCESSORY STRUCTURES: Garage, type const. Storage t b ype const.- Swimming pool Guest, type const. Other VIOL- TI01TSS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description � Art. Sec. n ++ I I I Remarks: Inspected by: Date of Insp. ���v Time start 'UG ends V ,' ,0 f TOWN OF ' SOUTHOLD POPE RTY- RECORD CARD Doo - /0 - J OWNER ' STREET VILLAGE DISTRICT SUB. LOT01 d c/ lGl2d ✓s . 1" Llop- s %) a FORMER OWNER N E ACREAGE S. W TYPE OF BUILDING RES. f� Z SEAS. VL _ FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 y 11d1`J, S;tv- �7F P AGE BUILDING CONDITION NEW NORMAL BELOW ' ABOVE FRONTAGE ON WATER y Farm Acre Value Per Acre Value FRONTAGE ON ROAD X 1-2,0 Tillable 1 BULKHEAD - Tillable 2 DOCK L 1)I4-/ Tillable, 3 Woodland Swampland Brushland i.Y House Plot - ar - �ti Total i Co >I �1 e, / M. Bldg. r / Foundation f Bath g. .^� C� Imo- v Extension i I Basement Floors �I _ 1VO Extension I _ — Ext. Walls i C- , Interior Finish r Extension — j Fire Place I Heat Porch I Roof Type i I Porch Rooms 1 st Floor I I Breezeway Patio Rooms 2nd Floor I 6 �.;, Garage i � Driveway x r Dormer; O. B.