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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. /print name} (siEnature) (print name) I , ~, . : .... ~.~-I 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' / ~ ~ ~