HomeMy WebLinkAboutZ-25860?ORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 25860
Date: 07/29/98
THIS CERTIFIES that the building
Location of Property 55575 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 062
Subdivision
BUSINESS
SOUTHOLD
(STREET) (HAMLET)
Block 0001 Lot 015
Filed Map No. Lot No.
conforms substantially to the Requirements for a BUSINESS STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25860 dated JULY 29, 1998
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 BUSINESS BUILDING - i~ARKET WITH TWO APARTMENTS *
The certificate is issued to LENORE ADAMSON
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION D~TED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
Rev. 1/81
LOCATION: 55575 MAIN RD
SUBDIVISION:
NA~ OF OWNER (S): LEN0~ AD~V~ON
OCCUPANCY: C2 - MER~ILE - MARKET WITH
ADMITTED BY: SCOTT OLIVER
KEY AVAILABLE:
SOURCE OF REQUEST:
MAP NO.: -- LOT (S) __
ACCOMPANIED BY: SAME
SUFF. CO. TAX MAP NO,: 62.-1-15
PAUL A. CAMINITI - MAY 17. 1998 DATE: 07/29/98
TYPE OF CONSTRUCTION:
FOUNDATION: SLAB
TOTAL ROOMS: 1ST FLR.: 3
BATHROOM(S): ~.O
WOOD FP~. BRICK & BLOCK
# STORIES:
CELLAR:
2ND FLR.: 4
TOILET ROOM(S): 1.0
DECK TYPE:
FIREPLACE:
TYPE HEATER: ~
EOTWATER:
~.~ # EXITS: 3
CRAWL SPACE:
3RD FLR,: 4
UTILITY ROOM(E): YES
PATIO TYPE:
GARAGE, TYPE OF CONST,:
SWI~4ING POOL:
OTHER: 'SEE ATTACHED SURVEY)
STORAGE, TYPE CONST.: WOOD FRAME ENCLOSURES{2)*
GUEST, TYPE CONST.:
VIOLATIONS:
LOCATION
2ND FLOOR
3RD FLOOR
CHAPTER 45 N,Y. STATE UNIFORM FIRE PP~EVENTION & BUILDING CODE
& 1 FULL BATHROOM - OIL SHAT, & OIL SOT WATER
P.I~IARKS: BP #4192-Z -CO Z-4789 (ADD) BP #25066-Z FENCE [DUMPETER AREA &
INSPECTED BY: ~ DATE ON INSPECTION: 05/13/9S
MICHAEL J, VERITY TIME START: 10~05 END: 11:25
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED
PERMIT NO. 25066 Z
Date JULY .~8, 1998
Permission is hereby granted to:
for :
LENORE ADAMSON
1770 JACOB'S LANE
SOUTHOLD~NY 11971
ERECTION OF A 6' STOCKADE FENCE ALONG PROPERTY LINE & 6 STOCKADE
AROUND DUMPSTER AREA AS APPLIED FOR "AS BUILT".
at premises located at 55575 MAIN RD
County Tax Map No. 473889 Section 062
pursuant to application dated JULY
Building Inspector.
SOUTHOLD
Block 0001 Lot No. 015
27 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
HAY - 8
APPLICATION FOR CERTIFICATE OF OCCUPANC~
This application must be filled in by typewriter OR ink and submitted to the buildil
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ail buildings, property line:
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 i% lead.
5. Commercial building, industrial building, multiple residences and similar build?
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 z
"pre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicar
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,
Additions to accessory building $25.00. Businesse~SQ. 00.
2. Certificate of Occupancy on Pre-existing Buildin~ ~00.00~
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
7- 8
Date .......
New Construction .......... Old Or Pre-exSsttng Bu~ding....~... .........
Location of Property .... i.~.-~.~.~..~.....~..//?<~(
~ouse No. Street Hn~]et
Onwer Owners of Property
or ......... r '
CountyNo iooo, .... ..
Subdivision ................................. .. . Filed Map .......... . . Lot... ............. ..
Permit No ................ Date Of Permit ................ Applicant .........................
Health Dept. Approval ................... ... . . ..Underwriters Approval........ ..... ....... .
Planning Board Approval ......
Request for: Temporary Certificate .......... Final Cer 't~e ........ /~
Fee Submitted: $ ................... i ......... //~ ~ ~ /. ~/
-x ..... C~' ' ', .' .................. v .....
CONSENT
TO
INSPEC'P1ON
O!mler(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the To~
, which ir~ shmvn and deslanated on the Suffolk
County tax map as District 1000, Section ~, Block / , Lot /~
That the undersigned (has) (have) filed, or caused robe filed, an applica-
tion in the Southold To~m Building Inspector's Office for the following~
That the undersigned do(es) hereby give consent to tile Building Inspectors
of the Town of Southo]d to enter upon the above described property, x' mludlng
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid applicalion, including inspections
to cetermme that said premises comply with all of the laws, ordinances, rules
and regulations of tile Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct of
such 'nspecttons may he used as evidence in subsequent prosecutions for vio-
lations o1' the laws, ordinances, rules or regulations~ uthold.
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(siEnature)
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8UB'SURFAOE STRUOTURES, WBERE NO~' fi, Z~
VISIBLE O, READILY APPARAN1, ~,LL NOT
~E SHO.N A.~ lH~,. ~O~AT,O. ~N~
EXTENT WIlL NOT BE CERTIFIED.
CERTIFIED ONLY m' / ~ ~ ~