The URL can be used to link to this page

Home My WebLink AboutZ-26408FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26408 Date: 04/26/99 THIS CERTIFIES that the building DWELLING Location of Property 28775 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 018 ORIENT Subdivision (STREET) (HAMLET) Block 0006 Lot 025 Filed Map No. -- Lot No. -- conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26408 dated APRIL 26, 1999 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 ONE FAMILY DWELLING WITH FRONT PORCH AND SIDE SCREENED PORCH. The certificate is issued to MARGARET A YOUNG (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 Buildin~ ~spector BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 28775 MAIN RD SUBDIVISION: NA~ OF OWNER (S): MARGA~T A YOUNG OCCUPANCY: SINGLE FAMILY ADMITTED BY: MARGARET A. YOUNG ORIENT MAp NO.: -- LOT (S) -- MARGARET A YOUNG ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 18.~6-25 SOURCE OF R~QUEST: MARGARET A. YOUNG DATE: 04/26/99 TYPE OF CONETRUCTION: WOOD FP, AME ~ STORIES: ~,Q # EXITS: ~ FOUNDATION~ STONE & CONCRETE CELLAR: ~ CRAWL SPACE: __ TOTAL ROOMS: lET FLR.: _~ 2ND FLR.: 4 3RD FLR.: O BATHROOM(S): 1,O TOILET ROOM(S): 1,Q UTILITY ROOM(S): LAUND. PORCH TYPE: SIDE SCREEN DECK TYPE: PATIO TYPE: BREKZEWAY~ FIREPLACE: ] GARAGE: DOMESTIC EOTWATER: ~ TYPE HEATER: NATURAL CAS AIRCONDITIONIN¢: TYPE H~AT: NAT. C~kS WARM AIR: SOTWATER: ~ OTHER: FRONT PORCH. PANTRY.REAR MUD ROOM. BILCO ENTRANCE CARAGE, TYPE OF CONST.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONET.: GUEST, TYPE CONST.: VIOLATIONS: CRAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTIQ~ I ART. SEC. DATE ON INSPECTION: TIME START: 10:00 AM END: 10:30 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY B. For 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 I% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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. Certificate of Occupancy on Pre-existinR Buildinm - $100.00 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 ..~A.~.A~? ........................ New Construction ........... Old Or Pre-existing Building ................. 28775 Main Road Orient Location of Property .................................................................... ... . · House No. Street Hamlet Onwer Owners of Property MARGARET A. YOUNG County Tax ~mp No 1000, Section.~. ......... Block...............06 .Lot...9~. .............. Subdivision .................................. .. Filed Map ............ Lot ...................... Permit No...... ......... . Date Of Permit ................ Applicant .......................... .. . Health Dept. Approval ....... Underwriters Approval . Planning Board Approval ................. Request for: Temporary Certificate ........... Final Certicate..~ ........ Fe~ Submitted: $ .%OO~.O.Q ...................... / / CONSENT TO INSPECTION MARGARET A. YOUNG · the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (l~wl[) the owner(l~) of the premises in the Town of Southold located at 28775 Main Road, Orient, New York 11957 · which is shown and designated on the Suffolk County tax map as District 1000, Section 18 , Block 06 , Lot 025 That the undersigned (has) (i~w~) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on Pre-existing Building 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 tc 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 eonsenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: April 5, 1999 ~'~-j~ ~x~_~ -~(ignature) ~,/ / MARGARET A. YOUNG (print name)