HomeMy WebLinkAboutZ-10639FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-29884
Date
DECEMBER
5 2003
THIS CERTIFIES that the
building
BUSINESS
STRUCTURE
Location of Property 640 LOVE LA. & 5300 COUNTY RD. #48 - MATTITUCK, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 140 Block 2 Lot 16
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-29884 dated DECEMBER 5. 2003
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 WOOD FRAME METAL COVERED 54' X 122' STRUCTURE *
The certificate is issued to WILLIAM F. GASSER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. 1181684 DATED NOV. 24, 2003
PLUMBERS CERTIFICATION DATED N/A
*THIS UPDATES PRECO Z-10639 DATED AUG. 20, 1981.
Author ze Sigature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 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 Building - $100.00
3. Copy of Certificate of Occupancy - $.25
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: (check one)
Location of Property: 6 �C) C. L7 I! e /ai• / ` f t) House No. No. Street Hamlet
Owner or Owners of Property: J / Z, e- J AM CTj0 L��'3✓
Suffolk County Tax Map No 1000, Section Block 17— Lot
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $
�,�,�, bS/1 7
y`
Filed Map.
Applicant:
Underwriters Approval:
Lot:
duo
Final Certificate: CD (check one
dq G.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
NO. .. • Z-10639 ....... Date.....August.2D.................. 19$1 .
THIS CERTIFIES that the building ................................................
Location of Property .6 0..1,.Pve.LaneCounty, Rd. 4! Mattituck, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section ..140 ......Block ..... ........Lot .....16... .
Subdivision...............................Filed Map No. ........Lot No. .............
Requireme t for a Commercial Building Built Prior to
conforms substantially to the B G31JQil tL it 13$.Pecmither�tnfose-£iled�aibis-0€fjoe-c�aiaci---
�££��'.cate of OccupancyZ10639
April • 2.3 ....... 19 § . pursuant to w�fi�r�c�iere l�eraert-PFa.- .................... .
dated ..... August 20 .... 19 ' ..1, 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 .........
Storage Building C - Zone
................................................................................
The certificate is issued to .....G .. L... Fenny. ZAP, ...................................
..............
(owner, $AJC"OQ'x&x
of the aforesaid building.
Suffolk County Department of Health Approval ......NIR„
UNDERWRITERS CERTIFICATE NO.... N•/R..........................................
........................................
Building Inspector
Rev. 1/91
0
BUILDING DEPARTi•1ENT
TOV,T: OF SOUTHOLD, Pd. Y.
HOUSING CODE INSPECTION REPORT
Location 640 Love Lane 5300 Coun
number & street)
Subdivision Map No.
Name of 0-:mer(s)
G. L. Penny Inc.
icipaiity)
Lot(s)
Occupancy C Zone owner
type (owner -tenant)
Admitted by: Greg Adams Accompanied by: Same
Key available
Source of request
Suffolk Co. Tax No. .140-2-16
George L. Penny IV
Date July 22, 1981
Mi_17.LI1 G
Type of construction Wood Framed, Metal Covered #stories
Foundation Cement piers Cellar Crawl space
Total rooms, 1st. F1 3 2nd. F1 3rd. F1
Bathro�,m(s) - Toilet room(s) -
Porch, type - Deck, type - Patio, type -
Breezeway - Garage - Utility room _
Type Heat- Warm Air - Hotwater -
Fireplace(s) - No. Exits - Airconditioning -
Domestic hotaater - Type heater -
Other
ACCESSORY STRUCTURES:
Garage, type const._
Swimming pool
Other
10611M
Storage, type const.
Guest, type const._
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by: Date of Insp. 8/19/81
Curtis W. Horton Time Suar10,1:00 end 11:30
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.
B. 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
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 or land use $5.00
3 r, of certificate of occu anc $1 00
py p y
Date .. ? ¢ Z�.. . ......... .
New Building ............. Old or Pre-existing Building .. ....... Vacant Land ............ .
/
Locatior( e !/lel ./..f� L2 4 ... OrJ;Z>......... (rte. c r. L'. ticcr-... .
I
No. Street Ham/et
Owner or Owners of Property ..fit � .�. �� .... L..1.......... L. � -J ...�; 1!� ('
County Tax Map No. 1000 Section .... /410:..... Block ..... .o....... Lot. /� ...........
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval ................./b ....��
G
Underwriters Approval ........................Planning Board Approval ............. L.
Request for Temporary certificate .....................Final Certificate .. ........
Fee Submitted $ ...`�•�.
Construction on above described building and ermit meets4alllicable codesand regulations.Applicant.... ...................
S-
Rev. 10-10-78
SU�.'VEYEC:U FOS
21
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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 surrey 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.
B. 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
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 or land use $5.00
3. Copy of certificate of occupancy $1.00
Date ..-,%.............
New Building ............. Old or Pre-existing Building .. .... Vacant Land ..... ... .
Locatior(� D.,D ........��t�1
use No. Street Hamlet
Owner or Owners of Property . • ..•( ".• .`.. �� '•
County Tax Map No. 1000 Section .... I✓44.0 .. Block ..... .. o,� ....... Lot ..�� ...........
Subdivision .................................Filed Map No. ..........Lot No. .............
Permit No. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval ........................Labor Dept. Approval .................�� .. .
Underwriters Approval ........................Planning Board Approval .............1.� L.
Request for Temporary ertificate .....................Final Certificate ..�... �.�..
Fee Submitted $ ... `-, ........................
Construction on above described building and permit meets all pIicable codes and regulations.
Applicant .. r. l�- .� ...................
J a
Rev. 10-10-78