HomeMy WebLinkAboutZ-23703 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE SBISTING
CERTIFICATE OF OCCUPANCY
No Z-23703 Date JUNE 14, 1995
THIS CERTIFIES that the building COMMERCIAL STRUCTURES
Location of Property 13000 MAIN ROAD MATTITUCR, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 114 Block 11 Lot 12
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-23703 dated JUNE 14, 1995
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
issued ie TWO COMMERCIAL CEl~NT BLOCK STRUCTURES *
The certificate is issued to PETER A., MARY F. & PETER J. JACQiIES
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N325418 - AUGIIST 30, 1994
PLUMBERS CERTIFICATION DATED N/A
*PLEASS SEE ATTACHED INSPECTION REPORT.
NOTE: THIS IIPDATES PRE CO Z-20593 DATED MARCH 16, 1992
Bu' ding spector
Rev. 1/81
UL Ln1i.U
BUILDING DEPARTMENT
- _ TOWN OF SOUTNOLD
IIOUSING CODE INSPECTION REPORT
LOCATION: 13000 MAIN ROAD MATTITUCK, N.Y.
number 6 street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) PETER A. MARY F. PETER J. JACQUES
OCCUPANCY
type owner-tenant
ADMITTEll BY: ACCOMPANIED BY•
REY AVAILABLE SU(F.CO. TAX MAP NO. 100 - - -
SOURCE OF REQUEST: Bruce A. Anderson DATE: June 1, 1995
DWELLING:
TYPE OF CONSTRUCTION CEMENT BLOCK ! STORIES 1 / ERITS
FOUNDATION CEMENT SLAB CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST PLR. 2ND PLR. 3RD PLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
.PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CIiAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION rY BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #21201-Z - CO Z-23643 ISSUED FOR ALTERATIONS
INSPECTED BY DATE OF INSPECTIO ~
~
GAR F SH TIME START END
'I'Ut)N OF SOhTliclLU
IIN u.u uac, ula'nlrr111:rrr
7G5-Ill1)"L
' Al't'1.lCA'f1UN FOit CEit'1'li'ICA'1'I: 01' OCCI)fANCY
A. '['h(s applicntlott must be filled in by typr.writet Oit itrk ahd suburittcd to the building
inspector with Che follot.ring: far urw building or new use:
1. final survey of property w{th accurate location of ail Inllldin);s, property LLres,
streets, anti unusual natural or Capogtaphic Features.
2. flnai Approval from !Ip'alth beet. of watnt supply and sr.wr.rage-Jispusal(5-4 Form).
3. Approval of eicctric:trl .tustallat-ion frnw l?oard of I'itc Underwriters.
4. Sworn statement fromlpltunber certlfying that Clte solJer used In sysCem cantairs
icss than 2/l0 of 19. lead. ,
5. Commmercial buildin Industrial building, tnurtiple residenceu and similar buildings
anti installati.ons,~a certlEicat•e of CnJe Compliance fr'am arcltitect'`or engineer
responsible Cor the building:
G. Submit I'ianning lloard Approval of complete) s.tte plan requirements.
p. I'or existing buildings (prior to April 9, 1957) aoa-confotming uses, or buiL'Jings and
"pre-existing" land uses: ,
1. Accurate survey of property showing all property lines, streets, builJing and
unusual natural ur topographic features.
2. A properly completed application and a consent to inspect.sipned by the apptlcaut.
if a Certificate of t)ccupsutcy is denied, the Ilullding Inspector shall state the
reasons therefor in wtitinn to the appLirutC,
C, fees
I. Certificate of Uce:upancy -New dwellLng $7.5.00, Additions to dweliinr $25.00,
AlCetation.^, to dwelling $25.OU, Swiauntnl; pout. $25.OU, Accessory LuilJiug $'l5.pp,
AddlCions to accessary buildLtg $'15.U0. llusinesses $50.00. ,
2. Cartificate of Occ,tpancy on 1're-exi:;ttng Cu11d1nC - $100.00
7. Copy of Certificate of Occupancy - $2f).t)tl
4. Ilpdated Certificate of prtcupancy $50.00
5. 'L'empvxhry Certificate of Occup:ntcy - IteslJential $15.00, Commercial $15.00
bate Aril 29, 1995
12estibi(~tted' :7drl~' 'c3', ' 199'S '
New Construction........... (l1J Or fre-existing Oullding
Location of Croperty...1.~00. Md~l?. ~R?~l, MattitUCk . . . . .
llousc No. Street llamlet
peter A. Jacquesr Mary Jacques, Peter J. Jacques
Ottwer or Owners .,F ptopvrty
County Tax htap IJo 1000, Section.,,,114,,,,,..Illctcic....1~'..........Lot..,,l?
SubJ , , , N/A N/A bescribed parcel
ivisi.on. ...........1'lled hlap............Lot.................... .
I'crmit tlv.....21,2Q~z....Uate OC ('Crmit,,,,1~28/93.,,,nppllcant, Pe~er,A, Jacques........
IIcalClt bcpt. Approval..9/21,/92, (C1;0-92„012 ),litJCrwrltcrs nppruval.. 82519.4...'...........
plannLng )Saar) Apprav:tl,,, 7/12/93
t(C nCat f ~ p y ' ...X ~ "r ? 7"7r1.
q or. 'i'cm orar Cc.rttficatc........... final Ccrtic:tte..
fee SubmtttcJ: $„50.:00,,,,,,,,,,,,,,,,,,,,, Bruce A. Anderson (Agent)
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D°f~tONUM~N~ _
T~7~nfN .:~E- =:~,.~UTi-}C~,...J N.Y. EyLlA2RhiTE
~ ~ CNICP,fO TITLE !~l5U12Al~lCE COA$TNE_OWNC2
,i1::,.-E:`r'c:~' ~B, t0, 1992
TITLE NO 9208-~~Ot7(~Fi
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