HomeMy WebLinkAboutZ-9528 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP.ARTKENT
Town Clerk's Office
Southold, N..Y.
Certificate Of Occupancy --.
No. . .2952B. . . . . Date . . . . . JMay. . 1.6. . . . . .. .. . . . . .A 19.7,.9.
THIS CERTIFIES that the building located at .835. .Eirs .Streat . .. . . .. . � c
1VIapNo. . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . .. . . . . . . .. . . . . . . . . . . .. .
REQUIRED S F . BU NES B IN . BIT PR R TO
conforms substantially to the a�
C' I; CA' OR ORCUPANCY
•Ap31 •z3 • • • • • • •a 19.57• pursuant to whic o. Z9.52,8 .
dated . .140Y .16. . . . . . . .• • . . ., 19.79., 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 . .. .Business- Public,Assembly, • • , , Bar-Restaurant) ,, , , , , ,, , , , , , , ,
The certificate is issued to . . . . . . . . .Marion,V.e Ma�eski_ , , , , , , • , , , , , , , , , , , ,, , , ,
(owner,�•, �,
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . f?re-Existing.. ... . . . .
UNDERWRITERS-CERTIFICATE No. . . . . . . . . . . . . . . . . . .predatisti . . . ... .. . . . ....
HOUSE NUMBER . . . . 835 . . . . . Street . . . . . . . .First -Sttrbe-•t • • • = . . . . . . . . ..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W• Su:gfe k . ..
.,�(. . . . . . . . . . . . . .. .. . ...
. . . . . . . .. .. . . .
Building Inspector
County Tax Map Number
1000-117-08-015 .
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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.
B. 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 $5.00
3. Copy of certificate of occupancy $1.00
Date .
New Building . . . . . . . . . . . . . Old or Pre-existing Building . . . . . . . Vacant Land . . . . . . . . . . . .. .
Location of Property . . . . . . . . . . . . . . . . . . . . . . . . . . .✓ Z,��. . ,-� :
House No. Street am/et
Owner or Owners of Property . . . . . . d. . . . . V . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section . . . ./.'/ . . . . . . Block . . . .tJ . . . . . . . Lot . . . . .611_� . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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 $ . . S.-I .0 U. . . . . . . . . . . . . . . . . .
Construction on above described building and permit meets all applicable code;and regulations.
Applicanls .. . . . . . . . . . . . . . . . .
Rev.10-10-78 44'S 6 .
C0 L'> 9 S a�
.1�.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 835 . First Street New Suffolk
number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) Marion V. Majeski
Occupancy B-1
type own er-tenant
Admitted by: Mr. Majeski Accompanied by: Mr. Majeski
Key available Suffolk Co. Tax No. 1000 .117-08-015
Source of request Marion V. Majeski - Date May .119 1979
x BAR, KITCHEN, _EATING AREA
. Type of construction wood framed #s"tories One
Foundation ment slab Cellar Crawl space
Total rooms, 1st. F1 5 2nd. F1 3rd. Fl
Bathroom(s) . Toilet room(s) two
Porch, type Deck, type Patio, type
Breezeway Garage Utility room X
Type Heat oil fired Warm Air X Hotwater
Fireplace(s) No. Exits 3 Airconditioning
Domestic .hotwater yes Type heater oil fired
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other outside refrigerator cooler
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. 1 Sec.
Outsiap only two exits from both bar and eating
areas ".both doors open in ",----doors II 52-28 .B
must open out II 36-6.8.2
roof seam chimneys need repairs III 52-32 B
Remarks: This building is separated by a common wall from the store
owned by William White 01000- �01�Date of Insp. May 11 , 1979
Inspected by: ' Time start 1 :30 end 2:30
i
i Aar
---- - - --------- ------ -- - --- ------- ----- ---- -- -
i
TOWN OF SOUTHOLD PROPERTY RECORD CARD - -
OWNER STREET ,.. _. VILLAGE DISTRICT SUB. LOT
, (G .r . - -, /�i i-a-7-
FORMER OWNER N ci E �a.� ACREAGE
eft
S --� r W TYPE OF BUILDINGoo
�r— 2 �' ''•<" l' �i K 'Ca J `-� r !if I t�-;'. E°
RES. CrLZ SEAS. VL. FARM CO MIv�� I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS (,/ , ^ ,/ r "� A�
� 7 �i 4 �f'Jl/4 1/r/. 1 0 /"r� �{ tea :1
go 3 l 0 0 sZs-
9iz �3 C •n-n)'ti wt r 2Fvi g LE:t7 L-4534 t�- Z-► 3
T 1.70 c0 9 vLL- nir"k 4.
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3 S— 7�! 1-4
Woodland
Swampland
Brushland— . �•�
House Plot
Total
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Foundation
Ext. Walls
Rooms I
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-_ '. Rooms 2nd Floor
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT .
Location
number & street Municipal y
Subdivision Map No. Lot(s)
Name of Owner(s) __G
Occupancy l
type owner-tenant
Admitted by: Accompanied by: �G/
Key available Suffolk Co. Tax No.
e
Source "of request Date
/ , stories
. Type of construction
Foundation ,� Cellar Crawl space
Total rooms, lst. F1 �' 2nd.. Fl 3rd. F1
Bathroom(s). Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat, .. 'farm Air Hotwater
Fireplace(s) No. Exits 3Airconditioning
Domestic hotwater Type heater ��G __ '
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description ' Art. 1 Sec.
l
Remarks:
117-01
Inspec�tf ed by: �%D�?��eof�Insp. ��_
Time start / end