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Home My WebLink AboutZ-23193 l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: z- 23193 Date: 09/01/94 THIS CERTIFIES that the building BUSINESS STRUCTURE Location of Property 28195 MAIN (HOUSE NO.) County Tax Map No. 473889 Section 102 ROAD/ROUTE 25 (STREET) Block 0005 (HAMLET) Lot 004 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- 23193 dated SEPTEMBER 1, 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 A C-1 BUSINESS (PRESENTLY PHARMACY & BEAUTY SHOP) Tbe certificate is issued to ALFRED J. TERP, SR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARnmIlT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 'PLEASE SEE ATTACHED INSPECTION REPORT. A ?'-;f; , 7 . th ridignature Rev. 1/81 BUILDING DEPARTNENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 28195 Main Road (number & street) SUBDIVISION ~ NO. NANE OF OIliER (s) Alfred J. Terp Sr. & Alfred J. Terp Jr. Cutchogue, NY (municipality) LOT(s) OCCUPANCY C-! Business (Pharmacy A R~a.ty P~rlnr) (~er (type) (owner-tenant) ADMI'i-r~D BY: Alfred Terp ACCOMPANIE~ BY: Same KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-102-5-4 SOURCE OF REQUEST: Alfred Terp Sr. DATE: 8/31/94 DWELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOM (s) PORCH BREEZEWAY DOMESTIC HOTWATER TYPE HEAT OTii~R: Wood Frame ~ STORIES I ~ EXITS CELLAR CRAWl, SPACE 2ND FLR. 3RD FLR. TOILET ROOM (s) ~dink2& t°i~ITY ROOM BECK, TYPE PATIO FIREPLACE GARAGE AIRCONDITIONING HOTWATER IST FLR. 2 Gas (Lilco)TYpE HEATER Oil & Gas (Lilco) WARM AIR Yes ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTti~R: STORAGE, TYPE CONST. , GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECl~U BY Gary ~. ~l~ish DATE OF INSPECTION 9/1/94 TIME START 10:30 END 10:45 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN t~LL 765-1802 Be · 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 lihes, 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 '!pre-exisging" 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 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 Buildinm - $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 ........ ' .. Old Or Pre exlstln D~..~a.t.~ Street House No. ~ Hamle~ ........ Coun=y T~ Map No ~000, Section.. ~lock.._~. __ ..... Lot .................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Pe~it ................ Applicant .......... · ................... Health Dept. Approval .......................... Unde~riters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ............ ...... ' ......... ,~Dx:mer (y Narr~. (s) do(es) hereby state: CONSENT 'FO INSPECTION · the undersigned, That the undersigned (i~4 (are) the owner(s) of the premises in the Toxwn o~ Southotd located at fi ~I~ ~ CounW tax m~p ~s District ~000, Section~, That the undersigned (~ (h~ve) filed, tion in the ~outhold Tot~ Buildin~ Inspector's O[~lce for the ~ollow~: 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 in tile conduct of such inspections may be used as evidence in subsequent prosecutions for vio- la/ions of the laws, ordinances, rules or regmlations of the Town of Southold. .' . (print name) (signature) (print name) MAP OF Pt:? OPER T Y FOR ~ALFRED J. TERP, Sr. A T CUTCHOGUE / TOWN OF SOUTHOLD SUFFOLIKo~COUNTY, N. Y. 1000 ~ - 05 - 3,4 & 5 Scale I" = 30' June 25, 1990 _86-293-§