HomeMy WebLinkAboutZ-22920FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Pi~E EXISTING
CERTIFICATE OF O~Ju~ANCY
No Z-22920
Date MARCH 29, 1994
THIS CERTIFIES that the building
Location of Property 2200 PLATT ROAD
House No.
County Tax Map No. 1000 Section 27
Subdivision
STOP. GE BUILDING
Street
Block I Lot E
Filed Map No. Lot No.
ORIENT~ NEW YO~K
Hamlet
conforms substantially to the Requirements for a storage building built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22920 dated MBRCH 29~ 1994
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 NON-HABITABLE WO(~ STO~AGE BARN *
The certificate is issued to ALFORD NEW~?3.: JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTA~D INSPECTION HEPORT.
Rev. 1/81
N/A
N/A
LOCATION:
2200 PLATY ROAD
(number & street)
SUBDIVISION MAP NO.
NAHE OF OILIER (s) ALFORDNE~ELL, JR.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ROUSING CODE INSPECTION REPORT
ORIENT, N.Y.
(municipality)
LOT(s)
OCCUPANCY
ADMITTED BY:
KEY AVAILABLE
SOURCE OF REQUEST:
C-4 STORAGE BUILDING
OWNER
(type) (owner-tenant)
SUSAN MADIGAN ACCOHPANIED BY:
SUFF.CO. TAX MAP NO. 1000-27-1-8
WILLIAM NIi;FJiAM, ATTY DATE: MARCR 8,
1994
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL POOHS:
BATHROON (s)
PORCH TYPE
BREEZEWAY
DOMESTIC HOT~ATER
TYPE HEAT MORE
OTtilSR:
WOOD STORAGE BARN
STORE
IST FLR. 4
CELLAR
2NI) FLR. 4
TOILET ROOM (s)
BECK, TYPE
FIREPLACE
TYPE HEATER
NARM AIR
SIDE ENTNYWAY - COVERER FRONT OVERRANG
ELECTRIC
{ STORIES
NO CRAWL SPACE
3RD FLR.
UTILITY ROOM
PATIO
GARAGE
AIRCONDITIONING
HOTWATER
2 ~ EXITS 2
NO
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWIllING POOL
OTHER:
STORAGE, TYPE CONST.
,.~]EST, ~PE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UEIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: NON-HABITABLE BARN WITH OWN ELECTRIC SERVICE
DATE OF INSPECTION MARCH 15, 1994
TINE START 10:45 AM END 11:00 AM
Form No. 6
TOWN 0F SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~65-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
insp¢c~or with the following: for new building or new use:
1. Final survey of property with accurate location of all buildi%gs, 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 i% lead.
5. Cormnercial 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:
I. 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 Building Inspector shall state the
reasons therefor in writing to the applicant.
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 $$0.00.
2. Certificate of Occupancy on Pre-exis~£ng Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4, Updated Certificate of Occupancy - $50.00
$. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..~b.~.~)~ ..........................
New Construction ........... 01d Or Pre-existing Building ..... ~ ...........
- 2200 PLATT.R~..
Location of Property~ .......... .... - ................... Orient
House No. Street Mamlet
Onwer or Owners of Property .... ~¢W~.~¢.~PF~. ]~:. ~P~. ~M~'. A~/P;~.,. ~3!.a~ ..
County Ta~ Map No 1000, Section .... ~ ........ Block~ ............... Lot....~..~ ..............
Subdivision ..... . ....... Filed Map Lot ........
Permit No ................ Date Of Permit ................ Applicant. ~ikl%a~t
for Owner
Health Dept. Approval .......................... Underwriters Approval ..................
Planning Board Approval ...................
Request for: Temporary Certificate ........... Final
- (~-.-'~( '~ 7~3 ~/ - William~i~a
~r Pre-Existing Use
CONSENT TO INSPECTION
. WILLIAM WICWWAM
Owner(s) Name(s)
state:
That the undersigned
of Southold located at
Which is
Section
· the undersigned, do(es) hereby
tion
Attorney for tha
(is) (are) th~7own~r]s) ot the premises in the Town
835 Halyoke Avenue, Orient, New York
shown and designated on the Suffolk
27 , Block 1
County tax map as District 1000,
, Lot 7& 8
That the undersigned (~as) (have) filed, or caused to be
in the Southold Town Building Inspector's Office for the
Certificate of Occupancy for pre-existing use of the barn
filed, an applica-
following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they
may deem necessary with respect to the aforesaid application,
tions to determine that said premises comply with all of the
rules and regulations of the ?cwn of Scuthold.
The undersigned, in consenting to such inspections, do(es] so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulate°ns of the Town of Southold.
Dated: March 8, 1994 ///~~ ~
wl~-llam Wickham, Atto~fne for owner
Print name
including inspec-
laws~ ordinances,
Signature
Print name
N. £! ° ~'$ 'lO "£.
I00.0
N'~4°04'40'£. - I00.0
$cct/¢: JO ' = I"