Loading...
HomeMy WebLinkAboutZ-13287FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. prior Certificate Of Occupancy UPDATED PRE C.O. No..Z. ! .3.2.8.7. ......... Date March 29 19 85 THIS CERTIFIES that the building BUSINESS BUILDING Location of Property 73265 Main Road Greenport H[~.~ 'N'o. ' ........... '~'t/e~i ....... - ..... ham/el County Tax Map No. 1000 Section ...0.4.5 ...... Block ......... .0.3....Lot ...... 0. 9.2 ........ Subdivision ............................... Filed Map No ......... Lot No .............. Requirements for Service Station & Repair Shop built conforms substantially to ~ x~l~l~o~Ri~[ ~f~[r~ l~i~gg~ ~.,~ ~~ ~]~[~k ~ ~[ ]~ffic~ x~x Certificate of Occupancy to g~.r.$.l..2.~ ........... , 1957. pursuant to which ~M~q~[~R~Uj~X~.#Z.1.328.7 .............. dated ...M.a. r. 9.h..2. 9 ................ 198. ~., 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 ......... Business Building (Service Station) & Accessory Structure (Repair Shop) The certificate isissued to ...M.a.r.y. & Joseph Gnozzo .............. ...................... of the aforesaid building. Suffolk County Department of Health Approval ? R E- E X I S T i N G UNDERWRITERS CERTIFICATE NO. P R E - E X t S T I N G Update of Pre C.O. #Z9543 Cataldo, Fred & ors. pecto} ........ Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~"operty showing all property lines, streets, buildings and unusual natural or topographic features. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date...,.~../.,2.~ ¢(¢.5.."'7-" ............ New Building ............. Old or Pre-existing Building . ~ ........ Vacant Land ............. ocat,on of Property...J . .... ..... ......... House No. Street Ham/et Owner orOwnersofProperty~....~..¢-.:...¢-..~..~..¢~/'~ 4~. ~./~/..~..~..~..~.. ..... County Tax Map No. 1000 Section ~...~¢z~.. ....... Block ~. ~. ........... Lot..4~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ¢.Zb~....<'~4~¢¢~ .......... Construction on above described building and permit meets all applicable codes and regulations.