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HomeMy WebLinkAboutZ-23836 T FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRS S%ISTING CERTIFICATE OF OCCUPANCY No Z-23836 Date AUGUST 25, 1995 THIS CERTIFIES that the building BIISINSSS Location of Property 53795 NAIN ROAD SODTHOLD, N.Y. Houee No. Street Hamlet County Tax Map No. 1000 Section 61 Block 1 Lot 16 Subdivision Filed Map No. 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-23836 dated AIIGIIST 25, 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 ie COMNERCIAL BUILDING STRUCTIIRS The certificate is issued to LSNIS L. SDBON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - AIIGIIST 22, 1995 PLUMBERS CERTZFICATION DATED N/A *PLSASB SSE ATTACBBD INSPECTION REPO T. uilding Inspector Rev. 1/81 RIILLDING UE l'AR1'HEN'P M TOWN OF SOUTIIOLD IIOUSiNf, CODE INSPECTION REPORT LOCATION: 53795 MAIN ROAD SOUTflOLD, NEW YORK numUer 6 street municipality SUllDIVISION FIAP NO_ LOT(s) NAME OF OWNtilt (s) LEFFERTS P. EDSON OCCUPANCY COMMERCIAL type owner-tenant ADMITTED RY: LEWIS EDSON ACCOMPANIED l3Y: SAME KEY AVAI LA1SLIi SUC•'F.G(l_ 'f AX MAP NO. l0 - - - SOURCE OF RL•'QUES1': LEWIS EDSON DATE: JULY 26, 1995 TYPE OF CONSTRUGTI.ON BRICK ~ BLOCK I STORIES 2 I' E%ITS 3 FOUNDATION Cffi+tENT BLOCR CELLAR 3~4 CRAWL SPACE 'TOTAL ROOMS: 1ST PLR. 2 2ND PLR. 4 3RD FLR. BA1'IIROOM (s) TOILET ROOM (s) 2 UTILITY ROOM MUD ROOM I'ORG11 TYPE DECK, TYPE PATIO ISREEZEWAY PIRL•t'LAF.E GARAGE DOMESTIC fI01'WATER YES TYPE HEATER LILCO GAS ATRCONDITIONING IST FLOOR ONLY TYPE llEAT GAS LILCO WARN AIR 1101'WATER ~ OTDER; IST FLOOR SECURITY VAULT ROOM ACCESSORY STRUCTURES: GARAGE, TYPE OP CONST. STORAGE, 'TYPE CONST. SWItR4ING POOL GUEST, TYPE CONS'f. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM PIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #200532-CO Z-23835 (ALTERATION) INSpr•.C1'F.D ISY ( DA1'li OF INSPECTION JULY 29, 1995 M. BOUFIS 1'1ME START 9:10 END 9:35 _ Ii Porm flq. tuft! of sptrruol.u uulLUUac uFPAa~r{uarf rvalrl nAi.I, 7G5-1£]0'Z. API'I.LCA'f 10N F011 Clilll'I F1.CA'l l; OP OCGIII`AtJCY A. Tlris app! ica[ion must be [died iu by l:ypcwriter OR i.nl: and submitted to Che build l_ug inspector with th® CoLlowing: Cor new bui.ld,ing or ucw use: 1. Final survey of. property wl.Ch accorale_ location of all bulldings, property Lines, sCrects, and unv:;ua1. natural or Copographi.c fe_nCnres. 2. Final App rova.l [turn Ilea Lth Uept. o[ w:r r:ar Su{,p1y and sewerage-di^.posal(5-9 [onn). ` 3. Approval of elecCriccu{. installat:.ton from !Board o[ Fire Underwriters. 4: Sworn statement' from plumber certifying that Che solder used in system con trrirs Less than 2/l0 of 17 Lead. 5. Connnercial buildin industrial building, mulCiple residences and similar buLlJiugs and inscallations,~a certificate of Code Conq,l.i.aace from architect or engineer responsible for the building. ' G. Submit; F1.anning hoard Approvnl oC completed site plan requirement.^,. 1S. 1°or exisC.ing buildings (prier Co April. 9, 1957) non-conEonning uses, or buil.di.ngs and "pre-axisring" land uses. _ 1. Accurate survey of property showing all. property lines, streets, building and unusua natural or topographic features. 2. A properly completed a „l.ic ion and a consenC to inspect. signed by the applicant. if a Ce_rlificate of Occupancy is denied, Che ISuilrling Inspector shall scale the reasons therefor in writing Co the appllicanC. ~ ~ - C. Fees 1. Cerr;ifica to of Uccupan,cy - Uew dwelling $75.00, Additions Co dwelling, $25.(10. A1Certti.otrs to dwelling $75.00, Swi.nuni.ng pool. .$75.00, Accessory buiilding $25.00, Additions to accessory building 57.5.00. businesses $50.00. Certificate of 0ccupanr_y on Pre-existia{~_Cuil.dine - $1D0.00 _ Copy of Certificate of Occ-upancy - $"LO.011 b. Updated Certificate of Occupancy - $50.0(1 5. Temporary Cn_rtificaCe of Occupancy - ResidenCi.al. $15.0/0G, Commercial $15.00 Aew Construe lion........... Old Oc gPre-existing Build i.ug... Location of Property.....ll':r~7/.~.........,~f./q/iV..~4~.v........~a~/.~?4~G:........ !louse No./ S/~t-reet llarnlet/ Onwer or Owners c:f Pr.operty...h.Gy~/.///'':5....~<...4..~.~d!~...........//. /~!P,'S.'ZL~~... !:vunty Tax Ilap IJo 1000, Section....(a.~.....Block.,...~.,........Lot..l.l-~ ubdivi.si.on ....................................Fi.1cd Nnp............Lot...................... :'e rrn i.C F4r ................Da to Of I`ennit................Appl i.c:mt............................. !Ieal.th Uept. Approval ..........................Ilu!lorwri[ers Approvnl......................... 'lann lug hoard Approval lequcst for: Temporary Certif ica Ce. 1'i.nal Cr_rCi.cate.. 'ce Submitted: $ ~1 ~6c~~I . -,fin, ~F• n_~,2k 2 L, coy .i / IDSPI;C'I'lON G>~t/ 6,S 6 , /~Y!% ~d~ the undersigned, O~cmer(s) Dame(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Tow/n ~f of Southold located at 7 `j j /Y//,~/~/ Jed ci~Q`~iC whir_h is shown and designated on the Suf/folk County tax map as District 1000, Section , Bloclc j Lot ~~p That the undersigned (has) (leave) filed, or caused to be filed, an applica- tion in the Southold Totem Building Inspector's Office for the following: ~/Z ~ - L''~X/S ~~w C ~ ~ That the undersigned do(es) hereby give consent to the Building Inspectox•s 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 cf Southold. The undersigned, in consenting to such irxsp¢ctions, 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 n of Southold. Dated:`~~( ~~I _ s gn u e) L ~ s ~ ~so,~ (print name) 7/S = 2 L . _e~ _ DlMA~GIO . N.62e1O E. 23.0 zs ~.s I i i i i ~ i I ~ ~ ~ ~ ~ ~ ~ ~ k ' I i o I ~ AT --1---- {ir i I ~,I I ~ Z~~ ~ ~ ~ ~ 1 } ? OF NpN, !I 3 I P pAGK ~ i i i ~ I ql ~o~ '~YJ~ 09 j ~ ~~w//( Y04a ~ 2~ e G [AND 9JP I ~ \i i I ~ ~ I ~r. .~ir~ _,10j l4 ~ ' 1 1 ~ ~ ~ f. ~ ~ ~Aaa,15~SQ.FT. _ ~ ~ d.~eana~- 1 v d I ~ iY i I Serlbn 72p6d ~ I lns ~ I ! Ebucmbn I ~ J I 1 I DnpbadNk survey map notbwin0 jy ~ i Na 4ntl survoY~a Inketl naN Of I ~ s I ~ ~ amEaaetl anal abY not b cMaltlaratl ' to bavelitl Wacopy. I hereon Nall run ~ GuanMees intlicatetl only to tha Ferran for whom W wrvay i (7 ~ _ ~ ~ k prePeratl. untl en hie bhall to tl,a ' _ I j. role comnar.v. s=w:r,:memal par¢Y~ I ~ [y insUwlion C:mJ neraM ultl y lantlmg to tha aszignaas cl IN Mndrq ~ , ~s• 4abn. GuaraMeas are not tranaN ( 1' J w ,y' to adCilional inatllNbna IX wbaVlw'~ 7+ ~ ow!y i i 1 STORY CO?JCREtE 9i0G. i I SUFFOLK CC.TgX t~/1P pgTA, i0Q(- 061- I-16 , { ~ i i m _ ~ , I+ ~ y I+ c ~ ! ~ ~ a r ~ ~ r 1 ! r ~ ~ Z 2 STQ2Y BRICK Bu3G. m i 1 I ~ GlN~4M,iTEED 7th i ~ ~ F-l.AT8U5l-~ FEtlf`RAl~A4itiJGS (l~_AN,I55~Cb4?~?.1 ! Qf BftC?~KLYN MI[~ iZ? Szi_ r - ~ 1 ~i 9AY tAASTR/+C'~ ro AS `s'}rCV$YED _ JUIY~~S O - If - ~ r l 1 ~ ~ ~ T"YS~ U7 - ' ~ ~ ~ ~IC LA~1Q SUR\~EW25 - ~[2.EEI~iD*3t'~'T , tiY j ~ I 5.61'00 W 2Q57 ~ t87.0? TO BECJCWITN AVE, i L _ MA! N 20A0 ~ -