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Home My WebLink AboutZ-27593FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27593 Date: 03/23/01 THIS CERTIFIES that the building DWELLING Location of Property 1160 SECOND ST (HOUSE NO.) County Tax~4ap No. 473889 Eection 117 Subdivision NEW SUFFOLK (STREET) (HAMLET) Block 0007 Lot 024 Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 purs,,~-t to which CERTIFICATE OF OCCN3PANCYI%~3MBER Z- 27593 dated NL~RCH 23, 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 ATTACHED GARAGE * · ~ne certificate is issued to STEPHEN & CHERLY BONDARCHUK (OWlqER) of the aforesaid building. SUFFOLK COUNTY DEPi%RTI~ENTOFH]~LTHAPPROVAL ELEL-i~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATmU *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A ~/~ignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD MOUSING CODE INSPECTION REPORT LOCATION: 1160 SECOND ST NEW SUFFOLK ~/~I)I¥ISIOl/: ~ NO.: LOT (S) ~ OF O~ (S): STEPHEN & CHERLY BONDARCHUK Of XIOPANCY: RESIDENTIAL STEPREN & CHERLY BONDARCHUK SOURCE OF P.~: ROBERT LEHNERT, 11/8/00 DATE: 03/23/01 DWELLING: FOI]NDATION: CEMENT BLOCK CEIJ~AR: PART. CRAWL SPACE: PART. ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. R~: BP #27070-Z-COZ-27592 (ADDITION) ~)AT~ ON INSP~I~: 11/16/00 TIME START: 10:05 AM ~D: 10:30 AM oF S trmOLD BUILDI c · T~WN 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 sewerag~d~0sai~ 3. Approval of electrical installation from Board o~ Fire Unde~i~e~s.' '" 4. Sworn statement from plumber certifying that the solder usediin system~qn~ai~s less than 2/10 of 1% lead. 5. Commercial building, industrial buzlding, multiple residence '-~nd similar build ngsl and installations, a certificate of Code Compliance from arc~itet-t or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to "pre-existing" land uses: 1. April 9, 1957) non-conforming uses, or buildings and Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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 accessorybuilding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........................ New Construction .......... Old Or Pre-existing Building ..... ~ ......... Location of Property..i...].~.~..Q .......... .~...$.~.~.~..t ....... .~/. ~..w<. ~/ .. House No. Street Hamlet County Tax Map NO 1000, Section../~.~.. ...... Block...~.. .......... 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._.~. ..... Owner(s) Name(s) do(es) hereby state: CONSENT TO INSPECTION · the undersigned. That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is show~ and designated on the Suffolk County tax map as District 1000. Section I } 7 . Block ~ . Lot ~ ~ That the undersigned (has) (have) filed. 'or caused to be filed, an applica- tion in the Southold To~ Building Inspector's Office ~or 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, lrules 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 [n the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regu~t Town of Sout~old. ig (print name) (si~na(ure) (print name) N/F ~ TSOUL~$ N 06' 57' JO" E ,~l~'~. 50~ jj,, W SECOND STREET OEECR/BED PROPERTY NEW SUFFOLK, TOWN OF SOUTHOLO SUFFOLK COUNTX N. Y