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Home My WebLink AboutZ-26879FORM NO. 4 TO~N OF SOUTHOLD BUILDING DEP~RT~NT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26879 Date: 01/11/00 THIS CERTIFIES that the building DWq~LLING Location of Property 1460 GREAT PECONIC BAY BLVD LA~rREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 145 Block 0002 Lot 014 subdivision 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 OCCUP~NCY NUMBER Z- 26879 dated JANUARY 11, 2000 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* The certificate is issued to REGINA M BURNS of the aforesaid building. (OWNER) 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 v ~Aut~or~zed S~nature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1460 GREAT pECONIC BAY BLVD LAUREL SUBDIVISION: NAp NO.: -- NAME OF OWNER (S): ~.EGINA M BURNS OCCUPANCY: SINGLE FAMILY ADMITTED BY: P. EGINABURNS LOT (S) __ REGINA M BURNS ACCOMPANIED BY: SA~ KEY AVAIL~LE: SUFF. CO. TAX NAP NO.: 145.-2-14 SOURCE OF P~EQUEST: GARY OLSEN. EEO. DATE: 01/11/00 TYPE OF CONSTRUCTION: WOOD FRAME FOUNDATION: C~ENT BLOCK TOTAL ROOMS: 1ET FLR.: BATHROOM(S): 2.0 PORCE TYPE: FRONT COVERED BREEZEWAY: FIREPLACE: ONE DOMESTIC EOTWATER: YES TYPE HEATER: TYPE HEAT: ~ WARM AIR: # STORIES: ~,Q # EXITS: ~ CELLAR: FULL CRAWL SPACE: __ 2ND FLR.: 3 3RD FLR.: O TOILET ROOM{S): Q,Q UTILITY ROOM(S): -- DECK TYPE: WOOD (REAR) PATIO TYPE: GARAGE: 2 CAR AIRCONDITIONING: HOTWATER: ~ GARAGE, TYPE OF CONET.: SWI~4ING POOL: OTHER: STORAGE, TYPE CONET.: GUEST, TYPE CONST.: VIOLATIONS: LOCATION CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE I DESCRIPTION ART. REMARKS: BP26180Z- DA~'~ -AS BUILT- COZ26878. DATE ON INSPECTION: 01/07/00 TIME START: END: SEC. Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN IIALL 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: 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. &. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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. :3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date D~cember 22, 1999 ::ow Construction ........... Old Or Pre-existing Building..(2.$tor¥.fram~. house) 1460 Peconic Bay Blvd , Laurel. NY I,ocation of rroperty ....................... ~:.. House No. Street Hamlet Onwer or Owners of ~o~-,, Re~ina Burns County Tax Map No 1000, Section .... 1.45 ....... Block...~ ............ Lot. 3.4;...~X.~ ......... i;ubd ivision .................................... Filed Hap ............ Lot ...................... Of ' Appli Permit No ................ Date Permit ................ cant ............................. !lealth Dept. Approval .......................... Underwriters Approval ......................... ?laming Board Approval ....................... . ?.equest for: Temporary Certificate ........... Final Certic _~e/ ......... loo.oo //// ' ~..~ ~- ~f 7~ GARYFLANNEROLSEN, ESQ. ' ...... ~/"~/''f*"/~/~/"'/~ ~ ............................. :.. ~- ~- ,,7 ~ ~ ~/ P.O. BOX 706 ~ /APPLICANT CUTCHOGUE, NY 11935 CONSENT TO INSPI:]CTiON Gary Flanner Olsen, Esq. as attorney f~r Regina Burns ' d the undersigne , Owner(s) do(es) hereby staI~:: That the undersigned (is) (are) tile owner(s) of the premises in the Tow~ of Soutbold located ut 1460 Peconic Bay Blvd., Laurel, NY 11948 , which is shown and designated on the Suf£olk County tax map as District 1000, Section 145 , Block 2 , Lot 14 That the undersigned (bas) (have) filed, or caused to be filed, an applica- tion in"th,~ Seuthold To~m~ Jgu~iding lllSp~c~,.,~...~ oe£t.o £o.- +hr~ rmllowinff: Two story frame house That tl~e undersigned do(es) hereby give consent to the Building Inspectors or the Town of Soutbold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respectto the aforesaid application, including'inspections to determine that said premises comply with all of the laws. ordinances, rules and regulation~ or thc Town or Southold. The undersigned, in consenting to such hmlmCtions, do(es) so x~th the knowledge and understanding that any ~[ormation obtained such inspections maybe used as evid,ence in subsequer. ~ ~3r~secuti°ns for vio- lations oF the laws, ordinances, rules or re~mlation~ ~eTown orSouthold. Dated: December 22, 1999 ,~ ~ ¢~signature) Gary Flanner 01sen as attorney (print name) for Regina Burns (signature) (print name) LAUREL SUFFOLK COUNTY I00,0 I00,0 $.66° 09'40" WEGLICN_.I