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Home My WebLink AboutZ-27912FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27912 Date: 09/04/01 T~IS CERTIFIES that the buildin~ DWELLING ~ ACCESSORY Location of Property 1300 YOUNGS RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 018 Block 0002 Lot 008 Filed Map No. -- LOt No. -- Subdivision conforem substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which ~TIFICA~ OF OCCUPANCY NUMBER Z- 27912 dated SEPTEMBER 4, 2001 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 ENCLOSED PORCH, DECK AITD ONE CAR GARAGE ACCESSORY STORAGE SHED.* The certificate is issued to FRANK BEGORA JR & WF (OWNER) of the aforesaid building. SuFfOLK CO--DEPARTMENT OF HEALTHAPPROVAL R?~CTRICAL CERTIFICATE NO. PLUT4BERS C~TIFICATION DA'r~u *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT I~TION: 1300 YOUNGS RD ORIENT SUBDMSION: ~ NO.: LOT (S) N~ OP O~ (N): FRANK BEGORA JR & WF O~C~A~CY: SINGLE FAMILY FR3%NK BEGORA JR & WF ~TE: 0~/04/01 DWELLING: TYPE OF C(~S~;CTI(~: WOOD FRAME F~TI~: CONCRETE BLOCK BATHRO~(S): 2.0 TOILB'T RO(~{S): ONE CAR ACCESSORY STRUCTURES: WOOD SHED VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. P~: BP#27562_DECK/ALT COZ27911 DATE ON INSPE(~TIO~: 04/10/01 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: i. 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 o{ 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 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-existing Buildin~ - $~p0.~0 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $~.~_ 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... .~.7..~ .7~ / ....................... New Construction ........... Old Or Pre-existing Building..~. ........... Location of Property.. 7.~.O~....y.O. a .A3.¢._%...~,....~...~.}..~..A~.~,..~. ~/...(~.?.~] p ............... House No. Street Hamlet Onwer or Owners of Property. . ~ ....... , .......... County Tax Map No 1000, Section...~. ...... Block...O..~ ....... 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 ........... CONSENT TO INSPECTION Owner(s) Name(s) do(es) hereby state: That the undersigned (is) ~ the owner(s) of the premises in the Town , which is sho%~ and designated on the Suffolk County tax map as District 1000, Section }~ , Block ~ , Lot ~ That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office for the follow.g: 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 the conduct of such inspections may be used as evidence in subsequent prosecutions for rio~ rules or regulations of the Town of Southold. lations of the laws, ordinances, Dated: Z/ Z/o/ _ (print name) (sl~na~u~) (print name) SURVEY OF PROPERTY ~/D~e "" ~,~, ~.....~N/iJ/~ SA~[3RID[3 , ~ ~ ~ ~~- - A T ORIENT ~ '~ ~ TOWN OF SOUTHOLD ~ ,~ ~;~ ~, ~ SUFFOLK COUNTY, NE~ YORK ~ ~ 1000-18-02-08 N/g/F sAUb SCALE: 1"=30' MARCH 19, 2001 AREA= 22,445 S.F. OR 0.5153 ACRES ·=P[PE ANY ALTERATION I]R ADDITION T~ TH]S SURVEY iS A VIOLATION OF SECTII]N 7209 DF THE NE'~ YORK STATE EDUEAT]E]N EXCEPT AS PER SECTION 720c)-SOBDIVISION 2 ALL CERTIFICATII]NS HEREON ARE VALID FOR THIS HAP ,AND COPIES THERE[~F ONLY IF SAID i~iAP ~R C~PIE§ BEAR THE It'IPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HERE~N ~ ~.'YS' LIE ~[71/THFII n ND, 49618 FAX,'(631) 765-1797 TREE T I I~q71 IDA--,~DD