HomeMy WebLinkAboutZ-18944FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PI~E EXISTING
CERTIFICATE OF OCCUPANCY
No Z-18944
Date MARCH 30~ 1990
THIS CERTIFIES that the building
Location of Property 240 LOVE LANE
House No.
County Tax Map No. 1000 Section 140
Subdivision
COMMERCIAL BUILDING
MATTITUCK~ N.Y.
Street Hamlet
Block 3 Lot 3.1
Filed Map No. Lot No.
conforms substantially to the requirements for a cormmercial building
built prior to: APRIL 9{ 1957 pursuant to which
Certificate of Occ. #Z-18944 dated MARCH 30~ 1990
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 CARD AND GIFT SHOP BUSINESS*
The certificate is issued to LOIS W. BARKER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATEDNO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
' ' /~/ Building Inspector
Rev. 1/81
Location
Subdivision
N~me of Owner(s)
BUILDIEG DEP.~d{T:.LENT '.
TO:'~[ OF SOUTHOLD, N. Y.
HOUSI~,TG CODE IHSPECTION REPORT
240 LOVE LANE
~numoer ~ s~ree~)
LOtS ~/. BARKER
Mattitnck, N.Y.
(~,iun~.c3.pali~y)
Map No. Lot(s)__
Occupancy
(type)
A~mitted by: SELF
( Own er- ~ enan~)
?ccompani ed by:
Key available
Suffolk Co. Tax No. 14~-3-3.1
Source of request LOIS BARKER
Date
!/30/90
.D~'fELLI~IG:
Type of construction Br~ck Front Woo~ Fr~m~
Foundation BRIC~
Total rooms, let.
Bathroom(s)
Porch, type
BreezewaL
Type Heat OIL
Fireplace(s)
Domestic hotwater
Other
F1
#sTories
Cellar FULL Crawl space
2 2nd. F1 5rd. F1
Toilet room(s) O~E
Deck, typ~ Patio,
Garage Utility room
'Warm Air xx Hotwater
type
No. ~cits 2 Airconditioning
Type heater
ACCESSORY STRUCTURES:
Garage, type const.
Swimming pool
Other
NO~E
Storage, type const.
Guest, type const.
V__IOLATIOMS:
.C~PTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
Descriotion I Art. I Sec.
_Location
· Remarks: B.P. #9384Z for Add. CO Z-18943
~. FISH ' Time start 10:15 end
1990
10:40
TO~N OF SOUTDOLD
~UILDING D~PA~T~IENT
TO~ DALL
SOUTROLD, ~E~ YORK
765 - 180Z
11971
APPLICATION FO~ CERTIFICATE OF OCCUPANCT
REM CONSTRUCTION ....... OLD OR PRE-EXISTING RUILDINC. .VACANT LAND ........
HOUSE NO. STREET HAMLET
Owner or Owners of Property... ~ ,....
county ra~ Map No. In00 S*ctio..~.~. nZock . $ Lot' .~.,.(..
Subdivi~iom .......................
Filed Map
Permit
Realth
Planning
No ........... Date of Permit .......... Applicant ...................
Dept. Approval .................. Underwriters Approval ..............
Board Approval ................
Request for Temporary Certificate ....... Final Certificate .........
Fee Submitted: $./.~ g.~.'~--~.~. ..........
,rev. 10/14/88
,!
FOP~ NO.
T0~ OF SOUTIIOLD
BUILDIN~ DEPAKTHENT
TO~N NALt'~
765- 1802
APPLICATION FOg CERTIFICATg OF OCCUPANCY INSTRUCTIONS
This application must be filed in typewiter OR ink and submitted to the Building
Inspector with the followlngI for new buildings or new use:
I. Final survey of property vlth accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2o Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installatlon from Boa£d of Fire Underv~iters.
4. Sworn statement from plumber certifying that solder used in system contains less'
than 2/10 of IZ lead.
5. Commercial buildlngs, industrial buildlngs, multlpla residences and slmilar.'
buildings and installatlons, a certi£icate o£ code compliance from the Architca~
or Engineer responslble £or the building.
6. Submit Plannlug Board Approval of completed site plan requirements.
For existing buildlnas (Prior to April 9, 1957] non-conformlnE uses, or buildlngs
and "pre-existing" land uses:
1. Accurate surVey of property showing all property llnes, streets, buildings and
unusual natural or topographic features.
2o A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of tltln issued by a tltle company which shall
show single and separate o~raership of the entire lot prior to Aprll 9, 1957.
· I£ a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in ~rriting to the applicant.
3. Date of any housing code or safety inspection of buildiugs or prcmlses, or other
pertinent information required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
l. An applicatlon for vacant land Certificate of Occupancy shall be submitted.
and a cert£fied abstract of tltle issued by a title company showing sinsle and
separate o~raershlp of 'the entire 10t prior to April 9, 1957 shall also accompany
the application. If a Certi£1aate of Occupancy is denled~ the Building Inspector
shall state the reasons therefor in ~rriting to the applicant.
FEES:
I.
CEETIFICATE OF OCCUPANCY -- New D~elllng $25.00, Additions to Ih~elllng $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificata of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
~. Temporary Certificate of Occupancy -$]5.00 Residential
Co~erclal
er.
CONSENT
TO
INSPECTION
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southoldlocatedat 4¢6> ~&(.. d: j~f~,,~/__~, /I///~/7/'~Vc/~' ~.k/
which is shox~ and desl~nated on the Suffolk
County tax map as District 1000, Section /~ , Block ,~ , Lot ~, / .
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold To~ Buildin~ Inspector's Office for the follow.g:
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, including inspections
to determine that said premises comply with all of the laws. ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledffe and understandinF~ 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 re~lations of the Town of Southold.
Dated: /~ ~' :~ ~ Z~. ~~
- (signEture)
(print name)
(sianature)
(print name)
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