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Home My WebLink AboutZ-22911> FORM HO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~E EXISTIN~ t~,KTIFICATEOFOC~uFANCY No Z-22911 Date MARCH 17~ 1994 THIS CERTIFIES that the buildin~ COg~t~KCIAL Location of Property EQUEBTRIANAVE. & WEST ST. FI~HK~S ISLAND~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a commercial building built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z--22911 dated MARCH 17~ 1994 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 T~O STORY BUILDING WITH RETAIL S~?.~S ON FIRST FLOOR E ONE APARTMENT UPSTAIRS * The certificate is issued to of the aforesaid building. PAUL D. VARTANIAN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *P~.~%SE BE~ATTAC~n INSPECTION REPORT. - , ~uildi~/in~pec~or Rev. 1/81 BUILDING DEPART}lENT TOWN OF SOUTIIOLD IIOUSINC CODE INSPECTION REPORT LOCATION: CO~R OF EQ~STRI~ A~. & ~ST ST~ET FIS~RS IS~, N.Y. (number a street) (municipality SUBDIVISION N~E OF o~R (s) PA~ D. V~T~I~ OCCUPANCY RETAIL SALES FIRST FLOOR ONE APARTi~gI~T UPSTAIP. S (typ~) (Owner-tenant) ADMI'I-E~D BY:. BOB EVANS ACCOMPANIED BY: 100~-9-4- 5 KtiY AVAILABLE SUFF. CO. TAX MAP NO. HARCH I~, IVv~. SOUf,~;,.'- OF REQUEST: ROBERT EVANS AS AGENT FOR OWNER DATE: DWELLING: TYPE OF CONSTRUCTION WOOD FR/EN~ FOUNDATION IIASONAR¥ SLAB TOTAL ROOMS: IST FLR. BATIIROOM (s) 3 PORCH TYPE BREEZEWAY DOHESTIC HOTI~ATER TYPE HEAT OIL OTIIER: · 4 2ND FLR. TOILET ROOM (s) DECK, TYPE FIREpI~XCE TYPE HEATER WARM AIR 2. 5 # STORIES ~ EXITS CELLAR CRAWL- SPACE 5 3RD FLR. 3 OFF FURNACE UTILITY ROOM · PATIO, TYPE GARAGE AIRCONDITIONING HO~ATER XX ACCESSORY STRUCTURES: C,MtAGE, TYPE OF CONST. S~/DLMING POOL 02~IER: STORAGE, TIEE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKg: DATE ON INSPECTION MARCH 15, 1994 TIME START 9:00AN END 9:40 m ["oran No. 0 TOWN OF SOUTttOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANGY This application must be filled in by typewriter OR ~nk and ~C~0 the building inspector with ~he following: for new building or ne~ use: ~in~1 survey of property wi~h accurate location of alZ buildings, property lines, streets, and unuaual natural or ~opographie features. 2. Pinal Approval from Health Dept. of ~ater supply and sewerage-disposal(S-9 form) 3. ApprovaZ of electrical installation from Board of Fire Underwriters. ~ogn statement from plumber certifying ~haC the solder used in system contains less than 2/10 of I~ lead. 5. Co~ercZal building, industrial building, multiple residences and sfmilar buildings and insCaZlaCions, a certificate of Code Compliance from architec~ or engineer responsible for ~he building. 6. ~ubmiC PZanning Board Approval of eomploCed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and f~-R[e-existing" land uses: 1~ Accurate survey of property showing all propgrty~ines, streets, building and' ~ unusual natural or topographic features.~,~~ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1.. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...................................... ~w Construction ........... Old Or Pre-existing Building ..... ~ ...... : ~cation of Property .~/.~..~.'~./~. ................................... ~Z/~.~.~ ,~..~.z;./~..~.~ ..... House No. Street Hamlet ~wer or Owners of Property...~..~/~Z~[ ............ ' ........................... ;unty T~ ~p No 1000, Section .... ~ ........ Block...~ ........... not..D2 ............. ~bdivision .................................... Filed Map ............ Lot ...................... · .rmit No ................ Date Of Permit ................ Applicant ............................. ~alth Dept'. Approval ...... ~ ................ Underwriters Approval....~/..~. ......... '~ ........ arming Board Approval ...... ~./.4 .............. zquest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $~7/~¢! ~C~ .... t?.. II APPLICANT -- / CONSENT TO INSPECTION Ot~q~er(s) Name(s) do(es) hereby state: That the undersigned (is) (~re) the owner(s) of the premises in the Town , which i~ sho~ and designated on the Suffolk County tax map as District 1000. Section f __, Block 9 , Lot ~7 That the undersigned (has) (have) [ilcd, or caused ko be filed, an applica- tion in the Southold Tox~m ~uildiug fnspec:~,r's O[flce for the following: ~ That the undersigned do(es) hereby give consent to the Building Inspectors of the Town o[Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all o[the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenthag to such inspections, do(es) so ;viththe knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions lations of the laws, ordinances, rules or regulations o~ the Town of Southold. (print name) (signature) (print name) '3.4 POLE pOLE XJOTE: CO0~.DINA'FE DIDTANOES ARE NIEADU~.~P F~.ONi U.5. GOADT ANI:) ~DOPETIO TRIAN®UIATION DTATION ao PAUL D. VARTAN AN TO THOMA A. ARDENT , ALLISON P. ARDENT J~UI~TR. IAN AV~NU~ ~ ~T ~15H~5 15bAN~, N~ ~O~ TAX DISTRICT I000 DEGTION BLOCK 004 LOTS 00~ ~ 001 THOHA~ A ~AR~ENT, ALLISON D, ~AR~NT A~ ~E ~PE~ 5AVIN~ BANK OF NENPO~T, NEN HAHP~IRE IN AGGORDANGE ~ITH THE ~ININUN STANOA~e FO~ TITLE ~g~Y$ OF T~ NEN YORK STATE LAND REVI§IDNS DATE DESCRIPTIDN DATE~ MARCH 8, 1994 SCALE~ 1' = SHEET 1 OF 1 I I ,alii' , f I