The URL can be used to link to this page

Home My WebLink AboutZ-23445FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~E EXISTING CERTIFICATE OF OCcumANCY No Z-23445 Date JANUARY 9, 1995 THIS CERTIFIES that ~he building. Location of Propert~ 855 WICI~%M AVE~U~ House No. Street County Tax Map No. 1000 Section 140 Block 2 Subdivision Filed Map No. BUSINESS STRUCTURE MATTIT~CK, N.Y. Hamlet Lot 9 Lot No. conforms substantially to the Requirements for a Business building built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23445 dated JANUARY 9, 1995 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 TWO PRE EXISTING BUILDINGS 60'x150' & 40'x184' & TWO ACCESSORY BUILDINGS USED FOR MANUFAu-~'uRING & STO~A~E * The certificate is issued to K.G. BROWN MAN~FA~'uKING ~O. INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *NOTE: BP %Z896-CO Z1285, BP %Z1171-CO Z1286, BP %1588Z-CO Z1513 HA~E BEEN ISSUED FOR ADDITIONS ON 'A'~SE BUILDINGS. /~ B~ilding Inspector Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: 1. 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 Planning Board Approval of completed site plan requirements. ~B. 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 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 $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 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 Date ..q~qe~Rq ~.1.9.9.4 ....................... New Construction ........... Old Or Pre-existing Building..X .............. ~ Wickham Avenue, ~%i~qK~.~.~ar~ ..... Location o~ Property ......... House No. Street Hamlet Onwer or Owners of Property...~.ro~i~ ~.~O.W~ ................................................ 9 ........ County Tax Mmp No 1000, Section ............ Block .......... Lot ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Planning Board Approval ............ for: Temporary Cert~A~~ ....... Final Certi~ Submitted: UE, L.,., ~.Y./~~ Appro 1 ......................... .... APPLICANT Marjorie Brown Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned, That the undersigned (is) (are) the owner(s) of the premtses in the Town of Southold located at Wickham Avehue, Mattituck, New York · which is shown and designated on thc Suffolk County tax map as District 1000, Section 140 , Block 2 , Lot 9 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'th. Southold Town ]Ju~l~ling lnspeu~,~.., or~-o ro. +h. Knllnwinf: That the undersigned do(es) hereby give consent to the Building Inspectors of thc Town of Southoldto 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 thc Town of Southold. Thc undersigned, in consenting to such inspections, do(es) so with thc knowledge and understanding that any information obtained In thc conduct of such inspections maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ' ~] (signature) Marjorie Brown (print name) (signature) (print name) DEC-~-'g4 THU 14:48 ID:T MATTIMORE ESQ TEL NO:516-2??-~30g / / / / II i,DEC-22-'94 THU 14:4g ID:T MATTIMORE ESQ :,/ NO'I~ ': 1. · ' MONUMENT FOUNO 2. TOTAL AREA m 75890 $.F, OR .69§~ ACRES