HomeMy WebLinkAboutZ-10581
FORM NO. 6
TOWN OF SOUTNOLD
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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date . .~a:y. 22,. 1981 ............
New Building ............. Old or Pre-existing Building ~ ........... Vacant Land .............
Location of Property ........................... :~.o.~.(~. :~Aq¢ ............... ~a~t~tUCk ....
House No, Street Ham/et
Owner or Owners of Property . . . ,M.....A....K..e.l.s.e.~;, .P.r.o.p .e.r.t.i.e..s,..]~n..c.. ......................
County Tax Map No. 1000 Section .. ]-.4.0. ......... Block ...... 3 ........ Lot..42 ............
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
/
Health Dept. Approval ........................ Labor Dept. Approval .......................
Underwriters Approval ........................ Planning Board Approval ................... ,[~.
Request for Temporary Cert f cate ......... Final Certificate ~
..................
Fee Submitted $..5~00 ....................... ~ll,' ~[) '
Construction on above described building and pe, rcFit r~eet~,aJLapplj~ble codes and regulations. '~' 'V x~/ ~, ~ ,
Applicant..~.~-A~.. ~.'/~'~....~.%. ........................... & 9c~,
RTchard F. LaXrk, attorney for applicant
Rev. 10-10-78
Location
7O
BUILDING DEPAP, T~,IE.WT
TOh%~ OF SOUTHOLD, N. Y.
E~"J~,,~ CODE Iho~-~-~0 .... .. Or~
Love Lane, M~t=uuck,
New York
(number & street)
Subdivision
Map No.
Name of O~er(s) Mel*ille Kelsey
(Municipality)
Lot(s)
Properties, Inc.
Occupancy ~1
Admitted by:
Key available__
Source of request
Tenant
(type)
John ?roy~n
(owner-ten,,t)
Accompanied by:~same
Suffolk Co. Tax No..140-3-42.1
Richard F. Lark' Date May 22, 1981
D%'fE~LING:
Type of construction
Fottndation Poured Cement
Total rooms, 1st. F1 2
Bathroom (s)
Porch, type
Breezeway.
Type Heat Oil Fired
Fireplace(s)
Domestic hotwater
Other
Brick veneer #stories
CellarPartial Crawl space x
2nd. FI 3rd. FI
Toilet room(s). 1
Deck, type Patio, typq__
Garagq Utility room~
Warm Air x Hotwater
No. Exits g Airconditioning
~rpe heater
ACCESSORY STRUCTURES:
Darage, type const.
Swimming pool
Other
Sto~age, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
Location Description Art. Sec.
No violations in this store
Remarks: This was the Griffin T.V. Store
of Inso.
TOhT,~ OF SgUTHOLD, N. Y.
LOCaLIO.~
Subdivision
(number & sZree:)
Flap No.
(Municipali:y)
Lot(s)
Name of O mer(s)
Melville Kelsey Properties, Inc.
Occupancy B-1
(type)
Admitted by:
Tenant
( owner-ten~',t )
Accompanied by:.
Key available
Suffolk Co. Tax No..140-3-42.1
Source of request Richard F. La~k
Date May 22 1981
D%'~,LING:
Type of construction
Foundation
Total rooms,
Bathroom(s)
Porch, type
Breezeway
Type Heat Gas
Fireplace(s).
Domestic hotwater
Other
Brick Veneer ~stories
Poured Cement Cellar FartialCrawl space
1st. Fi ? 2nd. F1 3rd. F1
Toilet room(s) X
Beck, type Patio, type
Garage Utility room
Warm Air x Ho%water
No. Exits 2 Air¢onditioning
Yes Type heater
ACCESSORY S2RU~L~ES.
Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const.
VIOLATIONS Housing Code, Chapter 52
.. Location Descriotion Art. Sec.
Rear Some cracks in the. cement block wall III 52-30-A
Remar~2~. was for the Barber Shop
BUILDING DEPAF, Tt'LENT
TOI',2J OF SOUTHOLD~ N. Y.
Location 100 Love Lane
(number & street)
Subdivision
Map No.
Mattituck, New YOrk
(Municipality)
Lot(s)
Name of Ovmer(s) Melville Kelsey Properties Inc.
Occupancy $-I
(type)
Admitted by:
Key available
Source of request
Richard F.
Tenant
(owner-ten,,t)
Accompanied by:
Suffolk Co. Tax No.
Lark Date
140-3-42.1
May 22~ 1981
DVELLING:
Type of construction
Foundation Foured Cement
Total rooms, 1st. Fi
Bathroom(s)
Porch, typ~
Breezeway
Type Heat G~
Fireplace(s)
Domestic hotv;ater
Other
Brick Veneer
Cella~artial
#stories1
Crawl space
g 2nd. F1 3rd. F1
Toilet room(s)
Deck, type Patio, type
Garage Utility room
Warm Air × Hotwater
No. Exits 2 Airconditioning
Type heater
X
ACCESSORY STRUCTURES:
.Garage, type const.
Swimming pool
Other
Storage, type const.
Guest, type const,
VIOLATIONS: Housing Code, Chapter 52
· Loca'hion Description Art. Sec.
~iNo wiolations 'where found
This was for the store called Bob N Nett
Remarks:
Location
Subdivision
Name of O~er(s)
BUILDING DF-OARTr'LENT
TO%',~; OF S0b~THOLD~, N. Y.
CODE INSPECTION REPORT
80 Love Lane,
(number & street)
Mattituck, New York
Map No.
(Municipality)
Lot(s),
Melville Kelsey Properties,Inc.
Occupancy B1
(type)
Admitted by:
Key available
Source of request
Tenant
{owner-tent',t)
Accompanied by:
Suffolk Co. Tax No. 140-3-42 1
Richard F. Lark Date May2~'2, 1981
DVP,LING:
Type of construction Brick
Foundation Poured cement
Total rooms, let.
Bathroom ( s )
Porch, type
Breezeway.
Type Heat Gas
Fireplace(s)
Veneer
#stories
Cellar Partial Crawl space
2nd. F1 3rd. F1
Toilet room(s) 1
Deck, typ~ Patio, type
Garag~ Utility room~
Warm Air Central Hotwater
No. Exits ? Airconditioning
Domestic hotwater Y~s
Other 5 e!~ m~ loc~ted
ACCESSORY STRUCTURES:
Darage, type const.
Swimming pool
Other
Type heater Gas
this store
storage, type const.
Guest, type const.
VIOLATIONS: Housing Code, Chapter 52
_Location Description Ar~. Sec.
No violations ~re found
Remarks: This was for the Store called Tic Tac Toys
,