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Home My WebLink AboutZ-20614FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20614 Date MARCH 30~ 1992 THIS CERTIFIES that the building Location of Property CRESCENT AVE. House No. County Tax Map No. 1000 Section 6 Subdivision COMMERCIAL STORE Street Block 2 Filed Map No. FISHERS ISLAND~ N.Y. Hamlet Lot 22.5 Lot No. conforms substantially to the Requirements for a Co~m~ercial Structure built Prior to: APRIL 9~ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20614 dated MARCH 30~ 1992 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 COMMERCIAL STORE WITH APARTMENT ABOVE AND ACCESSORYGARAGE WITH AN APARTMENT ABOVE* The certificate is issued to of the aforesaid building. WILLIAM BLOATHE (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building In~'p~6tor ' Rev. 1/81 BUILDING # 1 (STORE & APARTMENT) BU~D::.u. DEP:i~T~.~2iT TO'.',~.I OF SOUTIiOLD, N. y. HOUSIi:G CODE IiiSPECTIO2,I RE?0RT Location Subdivision CRESCENT AVENUE FISHERS I$I~, N.Y. ~Iao No. %i,lunlclpa±±sy) Lot(s)__ Nm,~e of Owner(s) 14ILLIAM BLOA'r~II Occupancy, Adaitted by: CD~RCIAL STONE/APT OVER STONE [ type ) (owner- tenanv ) I4. BLOA'fBI~ Accompanied by: s~ Key available Suffolk Co. T~c No. 6-2-22.5 Source of request MARIE ONGIONI - Date MAR. 24, 1992 _DYELLI~D: BUILDING #1 STORE & APARTMENT ~Type of construction MA$ONARY/140OD Foundation MASONmav, Y Cellar PART Total rooms, 1st. F1 8 2nd. Fi 5 =storzes 2 Crawl space NONE 3rd. F1 - - Bathroom(s) 2 Toilet room(s) 2 -- Porch, type Deck, type 1400D Patio, type Breezeway Garage Utility room Type Heat OIL 'Warm Air Ho%water xx Fireplace(s) No. ~its 8 Aircondition~ng Domestic hotwater OIL ~ype heat'er T~SS Other ACC~s~0RZ STRUCTURES: Garage, type const. Swinming pool Other GARAGE WITH ANAPAR'rMENTAROVE Storage, type const. Guest, type const. V~OLATI0~[S: --Location APT. OVeR STORE .CILAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE CERTIFICATE NEEDED FOR BP ~'20464-Z } I T~IS PNE-CO tNt~LOUES BP {13875-Z ALTERATION TO STORE-CO Z-20613 ISSUED, BP {7206-Z ~eZ-6763 ISSUED. BP {20467 ISSUED MARCH 5, I992 REPAIRS TO STORE & ApARTmeNT, NO marks: co ISSUED YET NEEDS A UNDERWRITERS CERTIFICATE. ROBERT WALL Inspected by:~,~C~ jy~ MARCH 24, 1992 Date of Insp. 'Time start end BUILDING ~2 -GARAGE & APARTMENT BEHIND STORE BUiLDi::C DE?:'.~T~.~NT TO';,?[ OF SOUTHOLD, ~. y. HOUSI~;G CODE IiiSPECTIOi'[ REPORT Location C~SCE~ A~. FIS~RS IS~, N.Y. Subdivision % i,iun I c zpai ± my ) Map No. Lot(s)__ Nmme of Owner(s) WILLIAM BLOAT~E Occupan6y_ Rzlq ~ype) A~mitted by: #. BLOTEE TENANT ( own er- u enan% ) Accompanied by: Key available Suffolk Co. Talc No. 6-2-225 Source o£ request MARIE ONGIONI, A~'I~ Date MARCH 24, 1992 · BUILDING ~2 - GARAGE APARTMENT ,Type of construction Foundation CONCRETE Total rooms, 1st. Bathroom(s) Porch, type Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other WOOD F1 GARAGE I #stories Cellar Crawl space 2nd. Fl_ 4 3rd. Fi Toilet room(s). Deck, type. Patio, type.__ Garage UNDER Utility room Warm Air Hotwater xx No. ~cits 2 Airconditioning . OIL .Type heater TAmUaSS ~CCESSORY STRUCTURES: Garage, type const. Swim. ming pool Other Storage, type const. Guest, type const. V~IOLATIO~[S: ~L~cation .CUAPTER 45--N.Y. STATE UNIFORM FII~F. PREVENTION & BUILDING CODE I I I I Remarks: Inspected by: ROBERT WALL Date of Insp. MA~CH 24, 1992 ~~ ~ ~~' Time start end Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL J 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location of all buildings, 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 1% lead. 5. Commercial 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 Plauning 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: 1. 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. C. Fees I. Certificate of Occupancy - New dwelling(~25.00~Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming-pooi-$25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses,_$5~O. 2. Certificate of Occupancy on Pre-existing Building -($.$100.0~ 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ................... location Property ........ ...... .... House No. ' Street Hamlet Onwer or Owners of Property ........ ' .......... County Tax Map No 1000, Section .... ~-.. ~ . .Block......~..........Lot....~..~. ' .~----.. .................................. Map ............ Lot ................... Subdivision · · Filed Permit No ................ Date Of Permit ................ Applicant..~"~ ~. ~.PtG l ~p ;~ ! Health Dept. Approval ..................... ---- . Underwriters Approval ....... Planning Board Approval ............... ....... . . Request for: Tempor~f/y Certificate .... . ...... Final Certicate .... ..~.... Pee Submitted: ........... ' " _ do(es) hereby State: CQNSF.?~'T TO IN~ PIZC'FION · thc undersiEned, That the undersigned (is) (are) the OWner(s) of the premise:; in the Tovrn ~ which is ~hown and desi~n, ated 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 Southcld Tox~m Building 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 ,h. above described property, including an3' 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 cf Southold. The undersigned, in Consenting to such ~spections, do(es) so x~/th tile knowledge and understanding that any ~for~ation 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. (print name) (sicnntur'e) (print name)