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Home My WebLink AboutZ-12254FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. PRE-EXISTING* Certificate O[ Occupancy 84 February 9 Date 197f. THIS CERTIFIES that the building s--see below** Location of Property 151 5 Youngs Avenue Southold House No. Street Hamlet County Tax Map No. 1000 Section ..... 6.0. .....Block . ...0.1 .......... Lot 006 Subdivision .... X .......................... Filed Map No....X ..... t No..X. .......... Requirements for a business in the C-I General I~%°utstria~ District conforms substantially to the A~91icm&iov}4'or-B~ilddwg-Per-mit-hevet-ofore-filed-~~~ established before ...... .Ap.r.i..1..2.3. ...... 19..57pursuant to which Building Permit No...Z.1.2..2 .5.4 ............. · dated .. F. ebruary. 9 .............. 19.8..4, 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 ......... · .a. pre-existing .gasoline & fuel oil distribution business. The certificate is issued to of the aforesaid building. GOLDSMITH & TUTHILL, INC. ..................... ................ ' ...... Suffolk County Department of Health Approval no record *See Certificate of .building, pursuant C.O. covers garage UNDERWRITERS CERTIFICATE NO ................ D~.~gf.q~..., ................... Occupancy # g1982 issued 10/20/64 for buszness to Building Permit 2319Z, issued 3/23/64. This on north east area of property. .......... BuHdinglnspector Rev. 1/81 **This C.O. is for: 1) garage in north west corner 2) three (3) above ground storage tanks 3) two (2) sheds, one with pumps, on south east corner 4) two (2) gas pump stations 5) a railroad siding. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"-_ land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph ic 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 $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --?re-Exist±ng C.O. 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $15.00 $ 5.00 New Building ............. Old or Pre-existing Building ... ?. ....... Vacant Land ............... ;:- i I Location of Property . .~[~.~ .S. ~,~.e..o..~. ~gg~.~ .~y~.~f..~?~.~!. ~. ~.q~ .......... (S~ at~ch~ ~o of C~ld~ a ~ill, ~c. ~t~ N~r 29, 1983) Owner or Owners of Prope~ Goldsmith & Tuthill, Inc. (S~ at~ch~ Action of ~' ~' ~' ~i~' ~Y~' ~' ~b]' ~9~9' ~i'~' ~ssion County Tax Map No. 1000 Section ... ~9. ......... Block .... 9~ ......... Lot..999 ..... ~9. ~ate 20,000 gal. Subdivision ..... ~/~ ......................... Filed Map No.. ~/~ ..... Lot No. ~/~... ~. ~ on Permit No .... ~/~.... Date of Permit .. ~/~. .... Applicant N/A Health Dept. Approval .. ~/.A. .................. Labor Dept. Approval N/A Underwriters Approval ...N/A. .................. Planning Board Approval N/A Request for Temporary Certificate ..................... Final Certificate .... X. .................. Fee Submitted S .1.5.'.q 9 ....................... Co building arid permit meet~ all applicable codes and regulations. p~,ca~ .. ~~~.../..~.'~~.. ~.. ~ ........ William Rich~ J~. ~' P~esiden~ Goldsmith ~ Tuthill, Inc. ~- CONSENT TO INSPECTION GOLDSMITH & TUTHILL, INC. , the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) ~ the owner6s) of the premises in the Town of Southold located at West side Young Avenue, Southold, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section , Block , Lot That the undersigned (has) ~ filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre-Existinq Certificate of Occupancy 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, including inspections to determine that said premises comply with all o£ 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 Town of Southold. Dated: December 12, 1983 ('g ) William Rich, Jr., President Goldsmith & Tuthill, Inc. (print name) (signature)