HomeMy WebLinkAboutZ-27190 FORM NO. 4
TOWN OF SOUTHOLD
' BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27190 Date: 07/13/00
THIS CERTIFIES that the building BUSINESS STRUCTURE
Location of Property WEST ST FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 009 Block 0004 Lot 008.002
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a BUSINESS STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 27190 dated JULY 13, 2000
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
issued ie BUSINESS RETAIL STORE
The certificate ie issued to F.i. VILLAGE REALTY HOLDING
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut rized ignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION:
SUBDIVISION: MAP NO.: LOT (S)
NAME OP OWNER (S) P.I. yir. .a HnnTY HO~DIN-
OCCUPANCY: HaNr.ET HUSINHSS yONE F.I. VIr.r.n Enr.TY HO~DTN-
ADMITTED HY: ACCOMPANIED BY:
REY AVAILABLE: SUFF. CO. TAX MAP NO.: 9.-4-8.2
SOURCE OF REQUEST: ROHERTH 6 ROHERTS. 6/14/00 DATE: 07/13/00
TYPE OP CONSTRUCTION: WOOD FRAME # STORIES: 3.0 # EXITS: ~
FOUNDATION: CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 1 2ND FLR.: ~ 3RD FLR.: ~
BATHROOM(S): 1.0 ~
~ TOILET ROOM(S): 1.0 UTILITY ROOM(S): N4NE_
PORCH TYPE: WOOD (ROOPHDI DECK TYPE: PATIO TYPE:
BR8828WAY: NONH FIREPLACE: NONE GARAGE: NONE
DOMESTIC HOTWATBR: YHS TYPE HBATHR: OI*. FIFHD AIRCONDITIONING:
TYPE HEAT: OIL PIRHD WARM AIR: HOTWATER: _XX
OTHHR:
ACCESSORY STRUCTURB6:
GARAGE, TYPH OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHHR:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PRHVENTION 6 BUILDING CODH
LOCATION 1 D88CRTPTION I nT I
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REMARKS: BP # 6145 - - ~i 6 (D8 R DI
INSPHCTHD BY: ~ DATE ON INSPECTION: 06/26/Oo
ROBERT ALL TIME START: HND:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 1X 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.
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction........... Old Or Pre-existing Building
Location of Property... NA ll
. uleSt .StLE2t k'.Lsher& 3SJc'uu1...... .
House No. Street Hamlet
VILLAGE REALTY HOLDING CORP.
Onwer or Owners of Property.....E•.~•
County Tax Map No 1000, Section...AQ3.A4....Block....04»OO.......Lot.....AO&.A02..........
Subdivision ....................................Filed Map............Lot......................
Permit No ................Date Of Permit................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $ l/
5$~4~ APPLICANT
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6UARANTE'ED TO F.1. VILLA61: REALTY \
HOLDING GORP., FLEET BANK NA. 1T5
SUGGE55oR3 AND ASSIGNS, C.OUN33`L
ABSTRACT INC., TIGOR 71TLE 6UARAN-
TEE GONIPANY t TIGOR TITL1:
INSURANCE COMPANY IN ACCORDANCE
WITH TFlE MINIMUM STANI7ARD~ FOR TITLJ:
SURVEYS OF THE NEW YORK STATE LAND
TITLlr A.aSOGiATION.
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C NOTE:
COORDINATE DISTANCES ARE MEASURED PROM
U.S. GOA5T t fiEODETIG SURVEY TRIANGULATION
STATION "PROS".
TOTAL AREA = o.sa •i- AGR>:s
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51ntVE'r' MAP
PROPERTY TO 0E GONYEI2D TO
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WEST ~TRLBT
CiRAM+IG SCnIC IN FECT F15HER5 ISJ..ANt7, 1~yV YORK
REVISICiNS
'DATE DESCRIPTIEN ~ cMA1Va~tLR" ~wt_MCR KSNa
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W pONV~t 14V17{ R MYi ?Y M1alf•1a~
DATE NOVEMBER ia, 1994
SCAIE~ I' = 40'
SHEET I ~F 1