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HomeMy WebLinkAboutZ-25005FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25005 Date MAY 2, 1997 THIS CERTIFIES that the buildinq BUSINESS Location of Property 54360 MAIN ROAD SOUTHOLD, N.Y. Street No. Street Hamlet County Tax Map No. 1000 Section 61 Block 4 Lot 23 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-25005 dated MAY 2, 1997 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 GAS STATION & TWO BAY AUTO REPAIR SHOP The certificate is issued to MOBIL OIL COMPANY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #15758 - DATED MAY 1, 1997 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uil ing Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 54360 MAIN ROAD SOUTHOLD, N.Y. number 6 street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) MOBIL 'OIL COMPANY OCCUPANCY BUSINESS type owner -tenant ADMITTED BY: DONALD TONYES ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-61-4-23 SOURCE OF REQUEST: DONALD A. TONYES DATE: APRIL 9, 1997 3333= BUILDING TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1 # E%ITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: BATHROOM (s) PORCH TYPE IST FLR. 4 BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: 2ND FLR. 3RD FLR. TOILET ROOM (s) 1 UTILITY ROOM FURNACE DECK, TYPE PATIO FIREPLACE GARAGE TYPE HEATER OIL AIRCONDITIONING WARM AIR HOTWATER STORAGE, TYPE CONST. GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE REMARKS: INSPECTED BY >< L-/ DATE OF INSPECTION APRIL 24. 1997 J. FISH / TIME START 2:45 PM END 3:10 PM 7675. S�S�, Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN HALL APf\ 7 765-1802 BLEG. Du{IT - 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 17 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 Buildine - $100.00 3. Copy of Certificate of Occupancy- .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0000, Commercial $15.00 Date ...... ... .......................... New Construction........... Old Or Pre-existing Buildien�.z \ ... Location of Property ... 5.�_54e .... .... �....... House No. Street �amlet Onwer or Owners of Property.. !.1 %v:/i......! (...... �i�[ ........................... . County Tax Map No 1000, Section..... .l ....Block..... ........Lot.j.3............... Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certic_ate..... ' Fee Submitted: $ l (.✓... 'All /.. ................ < %L 4PLIC c ��250 os L -_ CONSENT TO INSPECTION the undersigned, do(es) hereby state: That the undersigned (ice) (mss) W e 4s) of the premises in the Town of Southold located at_L55_5Lk3(Ao0 Main Koac�- Sk)n,O`A_ 1_, which is shown and designated on the Suffollc County tax map as District 100)0, Section (p�Block � � , Lot . 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: kil 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 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-tn ie conduct of such inspections may be used as evidence in subsequent prosecutio for vic lations of the laws, ordinances, rules or regulations of the Toy er of South n Dated:` q i' -- +-F�—Z/z - (signatur , f (-print name) ' i t� (,,signature) 7e7_"� Jp (print name) IWIAI 9 `°p ca.��crE nuc JPs SKI 4 tb O 6. �uC$ fuT GuiEB EuT _ Z� m y J J 3 05141AW4 W 73 4 t �A t �P 7 p-- GO.VC.CE7E N % •/� Do•.`c J�/�E/r/�9G.� //Z, G/Z 0 Tvi h L 1_ G.JS PUrI�, LI L1 � hI � QGa.Vc' � IIV ' I j Tgye '—�1EzD �► o LN a h ti ^ Q h � S 7Z57'ZaW LOCATION: SUBDIVISION NAME OF OWNER ( OCCUPANCY BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 7-/ number & street munic MAP NO. LOT(s) r� ity - - (type) towner-cenanE) ADMITTED BY: 0;� �ACCOMPANIED BY: KEY AVAILABLE / SUFF . CO. TAX MAP NO. /pp© - / - - � ?, SOURCE OF REQUEST: /7/ �DATE: DWELLING: TYPE OF CONSTRUCTION STORIES_ # EXITS_ FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR.' 3RD FLR. BATHROOM (s) TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OTHER: ACCESSORY STRUCTURES: FIREPLACE GARAGE TYPE HEATER &4e AIRCONDITIONING WARM AIR HOTWATER GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: INSPECTED BY L '`' - DATE OF INSPECTION TIME START ,Atl- END 3 ` l� % �1