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HomeMy WebLinkAboutZ-19074FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-19074 Date MAY 23, 1990 THIS CERTIFIES that the building COMMERCIAL Location of Property 13175 ROUTE 25 (MAIN ROAD) MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section Subdivision 140 Block 3 Lot 38 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 OCC. Z-19074 dated MAY 23, 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 COMMERCIAL BUSINESS STRUCTURE * The certificate is issued to ROBERT & CORNELIA WADDINGTON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDI;:G DEPART:IEPiT T0J111 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 13175 ROUTE 25 (MAIN ROAD) MATTITUCK, N.Y. �numoer do street) Nunicipaiity) Subdivision Nap No. Lots) Name of owner(s) ROBERT & CORNELIA WADDINGTON Occupancy HAMLET BUSINESS OWNER (type owner -tenant Admitted by: REN SCHEUERMAN Accompanied by: SAME Key available Suffolk Co. Tax No.140-3-38 Source of request DTELLING: ROBERT WADDINGTON Date 4./23/90 Type of construction CEMENT BLOCK & BRICK #stories ONE Foundation CEMENT Cellar SLAB Crawl space Total rooms, lst. F1 TWO 2nd. F1 3rd. Fl Bathroom(s) ONE Toilet room(s) Porch, type Deck, type Patio, type_ Breeze:•iay Garage Utility room Type Heat OIL Warm Air xx Hotwater Fireplace(s) No. E:cits 2 Airconditioning Domestic hotwater Type heater Other ACCESSORY STRUCTURES: Garage, type const._ Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks • >iP #13451 CD Z17898, lF #15278 OD 217897 1W 15401Z OD 217899 Inspected by: Date of Insp. April 25, 1990 Gary Fish Time start 10:35 end 11:00 I Form No. 6 .�.�... TOWN OF SOUTHOLD� IL52 BUILDING DEPARTMENT TOWN HALL 2 d 765-1802 e' -DG. �'aG. aEPr APPLICATION FOR CERTIFICATE OF OCCUP A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. BOForexisting buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, 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. C. 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, QAdditions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commmjerrcial $15.00 Date...... ./..`.�.................... New Construction........... Old Or Pre-existin Buildi ..5�....... Location of Property .......................... Aa, .L"K[..L"4 ......... A ......... House No. Streets r / Hamlet Onwer or Owners of Property....�0�21,��EL��/ Wc2�QG!, County Tax Map No 1000, Section .... J.YG..... Block .... 3 .......... Lot..3.�............... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ A, -'a"4 Request for: Temporary Certificate........... Final Cer a Fee Submitted: $ IAT ................... APPLICANT............ CONSENT TO INSPECTION �+' (_-OI-a e /1,2- l i zc Ck lq Owner(s) Name(s) do(e.$) hereby state: ►� , rAR2AIMM , the undersigned, That the undersigned (4 -j4 --(are) the owner(s) of the premises in the Town of Southold located at /�I 1 7, /" 2 ek fl6,� N/2 Z7 i GbC , which is shown and designated on the Suffolk- County uffolkCounty tax map as District 1000, Section 146 , Block 3 _, Lot 3 That the undersigned Gds) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: That the undersigned doh 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 inspections 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(*g so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subs equentpxosecutions for vio- lations of the laws, ordinances, rules or regulation jhe Town of Southold. Dated: signature / U 14 bt-t W aid i (print name) iiaiaic I . Imo__, - , i- , . . - R ;'; �r "'0t""_�� \ .� j , 1711 • f - i _ - •r !? S r.'+` Y. r ( 1 , t �' F _ �. _ .. a 'O" i I . , a ', _ - EJ _ .. , I'll f. _ t. 1 r , i ' 1 / r. . _ _ �'O .,1. , " I ...,,`'-•,� '•,,,.%"� �+ �,•1.....:..e. f- r i:• _ •r _r .ji �J/ - ,rr7 }l�� ':-if:.:::,;•,.,_"'�'.� :�4„ j'.. �y .\5V _ •71.!�•r�'� .w�. '.i. 4' V i M � �'i ,.+ti �+.% l', 7 F' I ` j•_ 'Y r -1. .17V 6�� J, _Y' 1 - 511 11 �.:1 : ' 'T4.2. 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