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Home My WebLink AboutZ-23317FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23317 Date OCTOBER 28, 1994 THIS CERTIFIES that the buildin~ Location of Property 13105 MAIN ROAD House No. County Tax Map No. 1000 Section 140 STRUCTURE MATTITUCK, N.Y. Street Hamlet Block 3 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a Structure built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23317 dated OCTOBER 28, 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 2-1/2 STORY BUILDING USED FOR OFFICE & STORAGE FOR A PLUMBING CONTRACTOR* The certificate is issued to WALTER DOHM (owner) Rev. 1/81 *PLEASE SEE ATTACHED INSPECTION REPORT. /JBuiIding Inspector of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A LOCATION: 13105 HAIN ROAD (number & street) SUBDIVISION NAME OF OWNER (s) WALTEm DOu~ BUILDING DEPARTMENT TOWN OF SOUTHOLD DOUSING CODE INSPECTION REPORT MATTITUCK, NEW YORK (municiPality) MAP NO. LOT(s) OCCUPANCY (type) ADMITTED BY: RICHARD R. T~NDY KEY AVAILABLE SOURCE OF REQUEST: RICHARD B. TANDY (owner-tenant) ACCOMPANIE~ BY: SUFF.CO. TAX MAP NO. DATE: OCT. 20, 1994 ~: NON-CONFORMIG BUILDING TYPE OF CONSTRUCTION FOUNDATION STONE TOTAL ROOMS: IST FLR. BATHROOM (s) 4 PORCH TYPE FRONT COVERED BREEZEWAY DOMESTIC UOTWATER YES TY~E HEAT OIL OTHER: FRONT FOYER WOOD FRAME # STORIES 2-l/2 CELLAR FULL CRAWL SPACE 6 2ND FLR. 6 3RD FLR. l/2 STORY -5 TOILET ROOM (s) ONE UTILITY ROOM EXITS DECK, TYPE PATIO FIREPLACE 3 NON-FUCTIONALGARAGE 2 CAR WOOD FRAME TYPE HEATER LILCO AIRCONDITIONING WARM AIR HOTWATER XX ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTti~R: STORAGE, TYPE CONST. 2 ACCESSORY BUILDINGS WOOD FRAMED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INTERIOR CEILINGS, WALLS FLOORS & STAIRWAYS SHALL BE MAINTAINED IN A NYCRR 9 (B) WALLS & SAFE AND SOUND CONDITION. 1242.7 (C) CEILINGS REMARKS: INSPECTED BY DATE OF INSPECTION OCT. 26, 1994 TIME START 9:20 END 10:00 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 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 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: 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. 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 New Construction ........... Old Or Pre-existing Building ...... ~ ..... Location of Property ~t...~ i ~ ,-r~.Q~ ~¢~ House No. Street ) Hamlet Onwer or Owners of Property. t.C~:~.-~ Z. ~o~ County Tax Map No 1000, Section .... ~9~ ..... Block. !' ..... Lot ........ ~.~ ........... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Pe~it ................ Applicant IC}q~g~ ~ <i~' Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ccrticate..f--.~...~.. Fee Submitted: $ ........ z~..~.~.~:;..<~ ........... . '~ / ' z '. ~ - /~ 2 ,.ri 199.,1 CONSL'NT INSPECTION ~ ~,D} the undepsi~ned, Oxn:er(s) Name(s) do(es) hereby state: That the undersigned (is) (ape) the owner(s) of the premises Ln the of Southold located at ~ r~q~ ~'~ I~i~ ~t.{ K ,, which is shox~m and designated on the Suffolk County tax map as District 100O. Section /~,~ , Block '~ Lot ~ That the undersigned~?~have) filed, or ~aused to be flied, an applica- tion in the Southold Tox~m Building ~nspector's Off~ee 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 suehinspections as they may deem necessary with respect to the aforesaid application, inctudinginspections to determine that said premises comp]}, 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 knowledge and understanding that any information obtained in the conduct of such inspections may he used as evidence in subsequent prosecutions for v~o~ lations of the laws. ordinances, rules or rekmlations of the Town of Southold. (signature) (print name) (signature) (priut name)