HomeMy WebLinkAboutZ-28896FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28896
Date: 09/26/02
T~IS CERTIFIES tlmmt the building DWELLING
Location of Property 2575 OAKLAWN AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~ap No. 473889 Section 070 Block 0003 Lot 023
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE F~4ILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANC~fNI~BER Z- 28896 dated SEPTEMBER 26, 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 WOOD DECK AND ATTACHED TWO CAR G~RAGE.*
The certificate is issued to PATRICIA T BEPLAT
( OWNER )
of the aforesaid building.
SUFFOLK COU1F~Y DEPARTMENT OF ~ALT~APPROV~J~
ELECTRICAL CERTIFICATE NO.
PLUMB~S CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
N/A
N/A
N/A
~~aut~ r~i z ed~igna t ur e
Rev. 1/81
LOC. AT ION:
2575 OAKLAWN AVE
~ OF ~ (S): PATRICIA T BEPLAT
OCCUP~Cy: SINGLE FAMILY
AD~l-i-r~4~ BY: PATRICIA BEPLAT
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
SOUTHOLD
NO.: -- LOT (S)
PATRICIA T BEPLAT
ACCO~.P~I~) BY: SAME
~ A%~I~a-BL~: -- ~UFF. ~'O. TAX ~ NO.: 70.-3-23
SOURCE OF I~: GARY FLANNER OLSEN~ ATTY. DATE: 09/26/02
DWELLING:
~"fPE OF CONS~'I~UCTION: WOOD FR3LME # STORIES: 1.0 ~ EXITS: 2
F(N3NDATION: CEMENT BLOCK C~IJ~AR: FULL ~ SPA~:
~ R~: 1~ F~.: ~ 2~ F~.: ~ 3~ F~.:
~'~'~ (S}: 2.0 ~I~ R~(S): 0.0 ~ILI~ R~(S):
~R~ ~E: DE~ ~PE: WOOD DECK PATIO
~Y: FI~P~: ONE ~: ~O C~
~IC H~'~: YES ~E ~'l'~: ELECTRIC
~E ~T: OIL ~ ~R: X H~-r~:
ACCESSORY STRUCTURES:
QARAGE, TYPE OF CfMST.:
SWI~qIN~ POOL:
VIOLATIONS:
LOCATION
RE-INSPECTED 9/25/02
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTION ART.
SEC.
BP~ 28621 I/C POOL CO~ Z~8827
BP# 1093 Add. CO~ Z872; BPf 3636 Add CO~ Z!8688
BP~ 88~d CO~. Z743~; BP~ 10731 Accy Rree~house CO~ ZI!883; BP~ 24849 Deck COi~ Z2659~
mo
Co
TOWN HALL
765-i802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Thfs application must be filled in by typewriter OR ink nd mubmikted to t~he b
inspector with the following: for new building or new
1.
ildip
Final survey of .property with accurate location of all buildings, property line£
· 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 build~
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Upre-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 appiicar
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
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-existinK Buildinm - $100.00
3. 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 ..August.29,.2002 ....................
New Construction ........... Old Or Pre-existing Building.. X
Location of Property ..... 25~5.0ak~a~w~.,~]d=.~f ..................................
House No. Street Hamlet
Onwer or Owners of Property...BatgiGi~ ............................................
County Tax Map No I000, Section...7~ ......... Block..P ............. Lot..~ .............
Subdivision .................................... Filed Map ............ Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .......................... Underwrit
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final/C~
Fee Submitted: $...100.00 ....................
0 GARY FLAN L sE" N
Main Rd, PO Box 706
Cutchogue, NY 11935
$EP-03-200~ 10:5Q FROM:CRMINITI ~ ~IBBON$
T0:631 73q 771~
N/F P£CONIC DEl~ELOPEMENt CORP.
S 23' 25' 50" £
loo. oo' ·
N 23' 23' 50" W
OAKLA WN
AVE.
fOO. O0'
-~ro~p~ ~lcalli hem ~I Ih~ ~
. ~ G~ o( ~ I,.~ tm~ SU~V~ED ~OR : HOWARD gEP~T
D~SC~eE~ ~Wop£Arr
$OUTHOLO, TOWN OF' $OUTHOLO
SUFFOLK COUNTY, N.Y.
OR
ACRES
~r$ UC. NO. ag~J
P.002~002
CONSENT
TO
INSPECTION
Patricia Beplat by Gary Flanner Ol~e~ as attorney
· the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in tho Town
of Southold located at 2575 0ak].a}m Ave., $outhold, NY
· which is shown and designated on the Suffolk
County tax map as District 1000. Section 70 , Block 3 , Lot 23
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th,~ Southold Town IlullOing lnspec[u..~ c~r£too to.. ,h,~ tnllnwin~:
One family dwelling
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 ail 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 re.qulations 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 subsequen~secutions for yin-
/ /
lations of the laws, ordinances· rules or regulation~iof,~eTown of Southold.
GARY FIANNER 0SLEN AS ATIDRN~.¥
(print name)
(signature)