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Home My WebLink AboutZ-23212FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. P~E EXISTING CERTIFICATE OFO~cumANC~ No Z-23212 Date SEPTEMBER 14, 1994 THIS CERTIFIES that the buildin~ Location of Property 53250 COUNTY ROAD ~48 House No. Street County Tax Map No. 1000 Section 52 Block 2 Subdivision Filed Map No. MULTIPLE DWELLINGS SOu'£~OLD , N. Y. Lot 1.2 Lot No. Hamlet conforms substantially to the Requirements for multiple dwellings built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23212 dated SE~£m~BER 14, 1994 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 MULTIPLE MOTEL UNITS * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PT~SE SEE ATTAc-KO INSPECTION RMPORT. CAWLEYB SOu'£~OLD BEACH MOTEL, INC. N/A N/A Rev. 1/81 LOCATION: 53250 COUNTY ROAD (number & street) SUBDIVISION ~ NO. NAHE OF OWNER (s) CAWLEYS SOUx~OLD BEACH MOTEL, INC. BUILDING DEPARTMENT TOWN OF SOBT~OLD HOUSING CODE INSPECTION REPORT SOUTHOLD, NL~YORK (municipality) LOT(s) OCCUPANCY B-2 (type) ADMI~D BY: KEY AVAILABLE SOURCE OF REQUEST: JEAN C. LEONARD (owner-tenant) ACCOHPAHIE~ BY: SUFF.CO. TAX HAP NO. 1000-52-2-1.2 DATE: JUNE 9, 1994 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOH (s) PORCH TYPE ~EZEWAY DOMESTIC HOT~ATER TYFE HEAT ELECTRIC OTHER: WOOD FRAME CEMENT BLOCK CELLAR IST FLR. 14 2ND FLR. I ! TOILET ROOM (s) YES OFFICE FOR MOTEL ~ STORIES ONE ~ EXITS TWENT¥ CRAWL SPACE PARTIAL SOUTHSIDE 3RD FLR. I UTILITY ROOM BECK_ TYPE FRONT OF' EAT-lO BUILUIlqG- FIREPLACE GARAGE TYPE HEATER LILCO AIRCONDITIONING WAP, H AIR HOT~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIIMHING POOL 0Tli~R: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION JUNE 13, 1994 TIME START 10:10 END I1:10 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 1% 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. 2. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........ j .~. ...................... New'Construction ........... Old Or Pre-existing Building. ..~ ........... ............... Location of Property. C~;qflM4 .>f..~.. ''~X .................................. House No. Street Onwer or Owners of Property ..... ....................................................... County Tax Map No 1000, Section....~.~.~ ...... Block ..... .~. ......... Lot ....... I.,.~. ........... 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: $ ............ .~C~A CONSENT TO INSPECTION Owner(s) Name(s)~ do(es) hereby state: · the undersigned, That the undersigned (is) (r.r?) the owner(-~ of the premises in the Town of Southold located at · which is shown and designated on the Suffolk County tax map as District 1000, Section 0~'~ , Block ~ , Lot [~2. That the undersigned (has) (have) filed, or caused to be filed· an applica- tion in the Southold Town Building Inspector's Office for the following: 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 ~vith 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 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. [ / ~ (signature) (print name) (signature) (print name)