HomeMy WebLinkAboutZ-25718FORM 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- 25718
Date: 05/11/98
THIS CERTIFIES that the building BUSINESS STRUCTURE
Location of Property 1000 VILLAGE LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 025 Block 0001 Lot 018
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- 25718 dated MAY 11, 1998
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 BUSINESS STRUCTURE IN HAMLET BUSINESS DISTRICT WITH A PRE-EIXITING
NON-CONFORMING APARTMENT & ACCESSORY GARAGE *
The certificate is issued to 1010 VILLAGE LANE, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
N/A
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1000 VILLAGE LA ORIENT
SUBDIVISION: MAP NO.: -- LOT (S) --
N~/~E OF OWNER (S): 1010 VILLAGE LANE. INC.
OCCUPANCY: HAMLET BUSINESS 1010 VILLAGE LANE. INC.
ADMITTED BY: ROBERT HUGHES ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 25.-1-18
SOURCE OF REQUEST: ROBERT HUGUES. ATTY 4/23/95 DATE: 05/11/98
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: ~,0 # EXITS: 6
FOUNDATION: CEMENT BLOCK CELLAR: 2/3 CRAWL SPACE: 1/3
TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: .~ 3RD FLR.: O
BATHROOM(S): Q.Q TOILET ROOM(S): 2.0 UTILITY ROOM(S): --
PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: STEAM
OTHER: REAR ENTRY WAY
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
2 CAR WOOD FRAME STORAGE, TYPE CONST.:
GUEST, TYPE CONST,:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART.
SEC.
REMARKS: BP #359-CO Z-198 {ADDITION)
INSPECTED BY=
DATE ON INSPECTION: 04/24/98
TIME START: 11:05 AM END: 11:45 AM
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
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-existing" land uses:
1. Accurate survey of property showing ali 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.
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 Buildinm - $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 .. ARK~! .~!,..I.~9~ ........................
New Construction ........... Old Or Pre-existing Building...~.~P~...
Location of Property. I000 VILLAGE LANB ORIE1~T, N.Y.
House No. Street Hamlet
I010 VILLAGE LAmB INC.
Onwer or Owners of Property ..................................................................
25 I 18
County Ta~ Map No 1000, Section .............. Block ................ Lot ......................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant.. ~B~.~I[~ .............
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... .Final Certicate ...........
Fee Submitted: $ ........ >~.-~. ...............
ROBERT RUGltl~S,
APPLICANT
CONSLN r
TO
INSPECTION
O~er(s) Name(s)
do(es) hereby state:
That the undersigned {is) (~) the owner(~ of the premises in the To~
of Southold located at i01o ~1~.4~ ~ ~ 0 ~ ~ ~ ~
, which i~ shown and designated on the Suffolk
County tax map as District 1000, Secthm ~, Block [ , Lot I ~
That the undersigned (bas) (have) filed, or caused robe filed, an applica-
tion in Uae Southold Toxin Building Inspector's Office for the following: ~
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southo]d to enter upon the above described property, inclndlng
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 xvith the
knowledge and understanding that any information obtained in the conduct of
such i.,~spections may he used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
AFFIDAVIT
State of~;~.~.....)
County of. . )
SS:
ROBERT S. HUGHES, being duly sworn deposes and says that:
1) He was a resident of Orient, New York starting in 1955
and that he frequented the premises known as 1010 Village
Lane, Orient.
2) The rear part of the premises known as 1010 Village
Lane was used as an apartment prior t~-~1957. ~
Subscribed and sworn to~/' '~~~~~~~
before me this ~ ~ day
I
NotaryOPublic
SLms. BErn.
TgwN 9F sgu~OL~..