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Home My WebLink AboutZ-15708FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING Certificate Of Occupancy No. Z15708 Date. Ap. ril 29, 1987 THIS CERTIFIES that the building Retail Business Location of Provertv 74365 Main Road Greenport - - h/~ ~'d ....................... 'S'~le~f ....................... County Tax Map No. 1000 Section ...4.5 ........ Block 4 .Lot 3.2 Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for a one family dwelling conforms substantially to the before April 23, 1957 Certificate of OccupanCYzl5708 ...................... pursuant to which ~hldiii~il~ngnlt No ...................... dated April 29, 1987 ............................ 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 ......... Retail business in the B-1 General business zone, also B.P. Z14962Z and C.O. Z 5707 for storage building '~''~l~'s''A~&'a'.' ................. The certificate is issued to MICHAEL AND JOY DOMINO ..................... /o¥,,'o;, ~~xw .................. of the aforesaid building. Suffolk County Department of Health Approval ...... N../.A ................................. UNDERWRITERS CERTIFICATE NO ............... N./.A .............................. PLUMBERS CERTIFICATION DATED: N/A Planning Board approval May 20, 1986 Rev. 1/81 BUILDING DEPARTMENT T0;'fN OF SCUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location Subdivision 74365 Main Road (number & street) Greenport Map No. (Municipality) Lot(s).. Name of Owner(s) MICHAEL AND JOY DOMINO Occupancy BUSINESS (type) A~mitted by: Joy Domino (owner-tenant) Accompanied by: Key available Suffolk Co. Tax No. 45-4-3.2 Source of request Date D~LLIMG: Type of construction WOOD Foundation Block (cement) Total rooms, 1st. F1 4 Bathroom(s). One Porch, typqwood (4X~2) Breezeway Type Heat 0il Fireplace(s). Domestic hotwater Other FRAME Cellar #stories Crawl space_, xx 2nd. F1 / 3rd. F1 Toilet room(s) Deck, type Patio, Garage Utility room 'Warm Air xx Hotwater No. Exits Airconditioning None Type heater ACCESSORY STRUCTURES: Garage, type const. Swimming pool Other Storage, type const. Guest, type const. ~IOLATIONS: _Location Housing Code, Chapter 45N.Y. Stats ~niform~Fire Prevention & Bumlmin~ Come Descriotion I Art. I Sec. Remarks: Inspected Date of Insp. 3/87 -Time start 2:30 end2:50 p.m. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .~22.~../~ ............... NewC°nstructi°n ...... Old or Pre-existing Building ~ Vacant Land Location of Property .-~.~/~.~. ..... ~ ............................. House No. Street ~ Hamlat Owner or Owners of _P~f perty_~, ~ ~-~. ~/).~__.. ~ .......................... _ Sabdivision .............................. .E[led Map-No ........... Lot No .............. Permit No ........... Date of Permit ;.-:'~.~v' .... Applicant ~,~-~.~..~.~-~. ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ ................ Fee Submitted $ ............................. Construction on above described building and permit meets all-~pplicable codes and regulations. Applicant. CONSENT TO INSPECTION g/~, l~A{ / c~-~X DO ~ ' ~¢P , the undersigned, O~rner (s) Name(s) do(es) hereby state: That the undersigned (is) (are) the o~ner(s) of the premises ~ the To~ So t o a ~r~g~~ . which is sho,~ and designated 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~ 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 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, includh~g 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 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 regulations of the To~vn of Southold. Dated: (print name) (p~lnt name)