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Home My WebLink AboutZ-28495 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- 26495 Date: 06/10/02 THIS Cffi2TIFISS that the building DWELLING Location of Property 1465 SOUND DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 033 Block 0004 Lot 061 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 OCCUPANCY NUMBER Z- 28495 dated JUNE 10, 2002 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 MASONRY PATIO AND ATTACHED TWO CAR GARAGE.* The certificate is issued to YVONNE P JONES & THERESA PEPIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A SLSCTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authoriz Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1465 SOUND DR GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAMH OF OWNB<t (S): YVONNE P JONES & THERESA PEPIN OCCUPANCY: SINGLE FAMILY YVONNE P JONES & THERESA PEPIN ADMITTHD BY: DAVID E KAPELL ACCOMPANIHD BY: SAME RSY AVAILABLH: SUFF. CO. TAR MAP NO.: 33.-4-61 SOIIRCH OF RSQIIHST: DAVID E KAPELL, AS AGENT DATH: 06 10 02 DWELLING: TYPH OF CONSTRIICTION: WOOD FRAME # STORMS: 1.0 # H%ITS: 3 POUNDATION: CONCRETE BLOCK CHLLAR: PART CRANL SPACH: PART TOTAL ROOMS: 1ST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILSI' ROOM(S): 1.0 UTILITY ROOK(S): PORCH TYPH: DHCR TYPH: PATIO TYPH: RAISED MASONRY BRHHZHNAY: FIRHPLACH: 1 GARAGB: TWO CAR DOMHSTZC HOTFU\TBR: X TYPH HHATHR: SUPER STORE AIRCONDITIONING: TYPH HHAT: OIL WARN AIR: HOTPlATHR: X OTHBR: ACCESSORY STRUCTURES: GARAGH, TYPH OF CONST.: STORAGH, TYPB CONST.: SNL?RIZNG POOL: GUEST, TYPH CONST.: OTHHR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ~ DESCRIPTION ART. ~ SEC. Rra~auxc; INSPHCTBD BY: //f DATH ON INSPECTION: 06 06 02 JO N BOIIFIS TIMB START: 9:46AM HND: 10:15AM < FormNo.6 3 TOWN OF SOUTHOLD j BUILDING DEPARTMEN ~ TOWN HALL 7;~•,;v C;F SE~~JTttO~D 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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 Apri19, 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Da/te. J Z _ New Construction: Old or Pre-existing Building: ` (check one) i Location of Property: ri J S p \L ~ rq.rm~ House No. Street Hamlet Owner or Owners of Property: ~~.~pr.,p~ ~.~+.~+e~q_ ~ ~ Suffolk County Tax Map No 1000, Section 31 Block ~ Lot ~ t Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 1 C~"C~ C- `E~~ 75 ~ Applicant Signature i CONSENT TO I INSPECTION I ' ae•~ p_~_ t.r,~~~•_ `G.! 1~. the undersigned, Ownc ;(s) Namc(s) do(es) hereby state: That the undersigned (is} (are) the owner(s) of the p/r±em~ ises in the Town of Southold located at \y, S,p~,~`~~ _ t.~i~~~ which is shown and design<lted on the Suffoll. County tax maplias District 1000, Section ~~j Iiloelc~, Lot i That the undersigned (has) (have} filed, 'or caused to be filed, an applica- tion in'tha Southold `T'own L'uilding lnspc:cw~ o.rr;~~ ra.. rt,A fnllrnvin~: Q That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above descrlUed 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 consentlnq to such inspections,. do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspectlons maybe used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances. rules or regulations of the Town of Southold. 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