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Home My WebLink AboutZ-25227FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PI~ EXISTIN~ CERTIFICATE OF OCuu~ANCY No Z-25227 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the buildin~ OFFICE Location of Property 11605 MAIN RD. & 480 PACIFIC ST. MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 4 Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements of a Structure built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25227 dated SE~£~4BER 3, 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 OFFICE BUILDING * The certificate is issued to ST~?~.~ RADFORD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A Rev. 1/81 /~/~ 1 ding Inspector UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *P?.~SE SEE ATTACHED INSPE~TIONREPORT. I,OCATION: SUBI)IV I S ION NAME OF OWNER (s) STELLA RADFORD OCCUPANCY OFFICE BUILDING (type) DEBORAH DOTY BUll.DING I)EPAR'I~4ENT TOWN OF SOUTIIOLD .ItOUSING CODE INSPECTION REPORT 11605 MAIN RD. & 480 PACIFIC ST. MATTITUCK,. N.Y. (number & street) (municipality) NAP NO. I.OT(s) DEBORAH DOTY, ATTY ADHI'FTED BY: KEY AVAILABI,E SOURCE OF REQUEST: (owner-tenant) ACCONPANIED BY: SAI4g SIIFF.CO. TAX MAP NO. 1000-141-4-42 DATE: AUGUST 19, 1997 D~IggKX~ OFFICE STRUCTURE TYPE OF CONSTRUCTION MOOD F~ FOUNDATION ~/OOD FRAME TO'FAL ROOMS: IST FLR. 3 BATHROON ( ,s ) ONE PORCH TYPE BREEZEWAY DOMESTIC IIO'rWATER XX TYPE IIEAT ELECTRIC OTIIER: I FRONT MUD ROOM { STORIES 2 { EXITS CELl. AR CRAI4L SPACE 2ND FLR. 2 3RD FLR. TOIl.ET ROOM (s) ONE UTILITY ROON SMALL FILE ROOM DECK, TYPE PATIO FIREPLACE NO GARAGE TYPE llEATER ELECTRIC AIRCONDITIONING WARM AIR llOT~ATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWlMHING POOl, OTIIER: STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOI,ATIONS: CllAPTER 45 N.Y. STATE UNIFORH FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION RENARKS: BP #8436Z-COZ-25226(ALT ACCY) BP {14002Z-CO Z-13900 (ADD TO OFFICE) ART. SEC. #21627-Z-C Z-22603 (ACCY SHED) INSPECTED BY BP {6759-Z-COZ-6893'(ACCY BUILDIMG) I)ATE OF INSPECTION AUGUST 22, 1997 TINE START 10:45 AH END i1:15 AH 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 (priqr to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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 6f Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinmaing 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 8/19/97 Date ......................................... New Construction ........... Old Or Pre-existing Building...Y~P ........... Location of Property...1~.6.0.5o ~;~ ~.oD~j..M~. ~p~ ............................................. House No. Street Hamlet Onwer or Owners of Property. ~e~.Radford (a/k/a S. Jill Radford) as Trustee County Tax Map No 1000, Section...J.~l ........ Block.. J ............. Lot..~ .................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...!z~P ..... Fee Submitted: $ .1 ~0.~00. CONSENT TO IN, I kCIION Si~lln l~rtfnrd . the undcrsigncd, OUqler(s) Name(s) do(es) hereby state: That the undersigned (is) (are} the owner(s} or the premises In the Town of Soutbold located at 11605 ~in R~d, ~ttituck , which i~; sho~vn and designated on the Suffolk County tax map as District 1000, Section 141 , Block 4 , Lot 42 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: .pre-C/O ~ ~ront (office) Nildin9 That the undersigned do(es) hereby give consent to the Building Inspectors of the Town o£ Southold to enter upon the above described property, including any and all buildings located thereon, to eondue[ such inspections as they may deem necessary with respee[ to the aforesaid application, including inspections [o de[ermine that iaid premises comply with all,of [l~e laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in cousentlng to such inspections, do(es) so with the knowledge and understanding that any information obtained [n the conduct of such inspections }nay be used as evidence in subsequent prosecutioas for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. ~ ~i~natur~ ~ 8/19/97 ~r~ ~ty, as atto~ey for ~ (prin~ name) Jane Gibbons at 734-6442 for access Call: (signature) (print name)