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Home My WebLink About24273-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27642 Date: 04/27/01 THIS CERTIFIES that the building Location of Property: . 54195 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 61 Subdivision Filed Map No. -- ADDITION SOUTHOLD (STREET) (HAMLET) Block 2 Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 24, 1997 pursuant to which Building Permit No. 24273-Z dated JULY 25, 1997 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 DECK ADDITION ON THE REAR OF A COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to JESSE H JACKSON (OWNER) of the aforesaid building. SUFFOLK COU~FfY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /~utho~zed Signature Rev. 1/81 FORM NO. :J TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.O ~27s z Do,. ........ .......~...~ ............... ...~~....~ ~...xzzz~ ~-,~.:'~~~... ~.~~'-~~,,.d-4.~.:. .... ~,.~,~ ~.~~...m~~..~-~. .............. ...~ ............... ~o~ ,o~ ~o~ uo. ,o0o ~,o~ ~&~ ...... ~,~ ....~. ............ ~o~ uo ......................... ....................... .............. Rev. 6/30/80 Form No. 6 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL · 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing 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 B~ilding 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, Additions to accessory building $25.00. Businesses $50.00. 2. 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, Commdrcial $15.O0 Construction.../.... Date ....................... NeWLocation of Property .... House No. Street Hamlet 0nwer or Owners of Pronertv....~.~S~ ~. ....... ..... ........ .............. County Tax Map No 1000, Section ~a.~...Block...~z,. Subdivision Filed Map Lot ./,:df ' ; Permit No ...... Date Of Permit .... Applicant. .~..~. ............... llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval .......... Request for: Temporary Certificate ........... Final Certicate ........... ................. PLAxNNING BOARD N[EMBk_ ..4 RICFiARD G. WARD GEORGE RITCI-tIE LATI-IAiV[, JR. BENNETT ORLOWSKI, JR. WqLLIAM J. CREMERS ICENNETH L. EDWARDS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 766-3136 Telephone (516) 765-1938 February 11, 1997 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Harry Giosasi Harry & Heide's Main Street Gdll Rt. 25 Southold, NY 11971 RE: Request for site plan waiver for deck SCTM# 1000-61-2-8 Dear Mr. Giosasi: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, February 10, 1997: WHEREAS, this property has an approved site plan dated July 15, 199t; and WHEREAS, this requested waiver is for a 20 x 30 foot deck at the rear of the store; and WHEREAS, an application must be made to the Building Department for a building permit that meets NFPR-58 regulations as to the fire code and the deck must be handicapped accessible; be it therefore RESOLVED, that the Southold Town Planning Board grant a waiver of an amended site plan. Please contact this o~ce if you have any questions regarding the above. Sincerely, /? Bennett Odowski, Jr. ~'" ~ Chairman cc: Gary Fish, Building Inspector Board of Assessors 765-1802 BUILDING DEPT. NSPECTION [~,]/FOUNDATION 1ST [ ] ROUGH PLBG. [ ]~?~UNDATION 2ND [ ] INSULATION [ ~" FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY~ DATE INSPECTOR ...//~, ~/~-~ BOARI) OF II!':AI.TII ............... 3 SETS OF PI,ANS ............... SURVEY ........................ CIIECK ......................... SEPTIC, FOIIH ................... HAIL TO: a. 'lhls al~flical:[c~l n~mt be em~fletely filled in by tyl~,~ri[er or in ink mM suhnit[ed Io tim I~lihling hmlmClor will b. Plot. plan ~in8 I~m~i~, of lot m*l of Ixdl(lings ou pronises, relaLiolmhi.p this application. c. 'lhe ~)rk e(~rol by this aj~ilication i,~ly ig)l. I~ cml~el~:~l l~fi)re Jssumg:e of I~dlding PermiL. e. ~ I~dldi~ ~lail I~ ~(~pi~l or u~l in ~lole or in ~rt for any I~ll-~fie ~latfiver until a C~rtifieate of APPIaCA'I'I~ IS I~il~!l~ }~E to tim I~dhling I~l~lrnl~nr For the Jssua~:e oF a Ih~Hding Permit Dirmmnl to IJle l~dlding Zx~m Ordi~m~me og tim 'l'~m oF ~ld~fld, ~fffolk I~gulatilms, for tim c~mtnmti~ of I~fildi~s, ~llti~'m or alterations, or for ~l~al or ~litlon, as herein ~seril*sl. 'llm applicant ag~ to cm~fly .ilh nil applicnhle tsq~.aule 5ff applicmff, or na~, if n coq~ral ion) ' (~i I i~ State ~mlher al~flicant is ~mr, les~, agent, ardlilecl', engi~er, general conLracl:or~ electrician, pJtidx~r or J~lilder. .... ...... ............................................................................ (as ca~ the tan roll or l*}teuC (1~1) If appllca~< is a coqx)ration, ~igrmlure of duly aull~)rizel of~ieer. (i~li~ as~l title of eorlx)rnle officer) .,. .I ..q~O // h OF OCCUPANCY