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Home My WebLink About21123-zFOR~ NO. ~ TOWN OF SOUTHOLdD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-22034 CERTIFICATE OF OCCUPANCY Date DECEMBER 15~ 1992_ THIS CERTIFIES that the building. Location of Property 1260 HORTONS LANE House No. County Tax Map No. 1000 Section 63 Subdivision ACCESSORY SOUTHOLD~ NEW YORK Street Block I Lot Filed Map No. Lot No. Hamlet I1 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 24, 1992 pursuant to which Building Permit No. 21123-Z dated DECEMBER 7~ 1992 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 ACCESSORY GARAGE "AS BUILT" The certificate is issued to NORMA GREGORY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 u Inspector F~N,~ NO. ,u TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~? 2112~Z Permission is hereby gra~nted to: · .~ .~.~..../.~ ......... .f ...................... ,o ................. ............................................................. ~Tj,..~ ............................................................................. at premises located at .,.../.~.~..~.-.....,~,('~...,Z~ ............................................................ County Tax Mop No. I000 Section ...... ~...,.~... ....... Block ....../.. .............. Lot No.....,/.Z ............. / pursuant to application dated ..... ././/...~...~... .................................. , 19..~....'~., and approved by the Building Inspector. Rev. 6/30/80 F~rm No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IIALL 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 now 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 regidences 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. 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. Fees 1. C~rtificate 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 Occupaacy- $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Date ....... ~9¥9~9~.~,.177~ ................. :ew Construction .... ~ ..... Old Or Pra-exi~ting Building ................. .ooation of Property l~O~pp.'~ ~ ~p~5o~ (garage) lIouso No. Street Hamlet ewer or Owners of Property..~p~P.~Dgp~y ................................................... ounty Tax Map No 1000, Section. .. ~O~ ...... Block ..... O~,OO ...... Lot...Q%i,QQQ ............ ~bdivision .................................... Filed Map ............ Lot ...................... ' ~pplication for permit !rmlt No.~.~Y~./.Date Of Permit ................ Applicant ....... ; ..................... 'alth Dept. Approval .......................... Underwriters Approval ..................... ~ .... 4nning Board Approval ........................ CONSENT TO INSPECTION Norma Gregory Owner(s) Name(s) state: of Which is shown and designated Section That · the undersigned, do(es) hereby That the undersigned (is) Southold located at 1260 Horton's Lane, Southold on the Suffolk County tax map as 63.00 , Block 01.00 , Lot 011.000 the undersigned (Las) (have) filed, or caused to be tion in the Southold Town Certificate of Occupancy (are) the owner(s) of the premises in the Town District 1000, Building Inspector's (for garage) filed, an applica- Office for the following: 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 inspec- tions 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 vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: November 24, 1992 . - _ William 'Wickham', attorney for'Norma Gregory Print name Signature Print name PLEASE CONTACT ELLEN CROPPER OF MARION KING REALTY FOR ACCESS. 734-5657 LA. NJE ~ ' TOWN'O~= 8OUTHOLD ' BUILDING DEPARTMENT TOWN HALL 8OUTHOt. D, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ...~.°Y,e.m.b.er..25, ....,19 .9.2. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction oi~ I~uildlngs, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply' with all applicable qaws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in build~g for necessary inspections. (Signature of applicant, or name, if a corporation) William Wickham, attorney for Norma Gregory ?..p.. ~p~:..t.4.2.4.,. M.a.t.c$~:u~,..~¥. t tg.s¢ ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Norma Gregpry is owner Name of owner of premises .~. ;i .~9.Km.a. 9.rggp.rY ........................................................ :. :~v~-m~" :" ~ (as on the tax roll or latest deed) If applicant m a corporation, mgnature of d~ly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...1.2.6.0..lio.r.t.o.n.'.s..L.a.ng.,' .Sg.u.t.hg.l.d .................... ...1.2.6.0 ................... flp.r.tp.n.'.s. .L.a.n.e ................... .S9.u.t.hp.l.d ............................ House Number Street Hamlet County Tax Map No. 1000 Section ...... 6.3...qq ....... Block ...0.1...0.0. .......... Lot .... 9.H..999 ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. S~ate existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ...ga.r.a. ge. ............................... ~,,,~.,;~....: ,.....~ ................... b. Intended use and occupancy ...go, Ka, g~ 2 .......................... ~ :~.,....,-.;. ~,., ~,~,, ....................... ,8. 12. 13. 14. Nature of work (check which a~plicable): New Bufldln~'=~. X,' ..... 'Addition ...". ..... Altoraflon :..'....,... Repair .............. Removal · ...~ ,.,~,,~ Demolition . i ... Other Work .......... . .... , (Description) Estimated Cost ~.O..O, ,t-a~ Fee ~ '~ (to be paid on f'fling this application) If dwelling, number o f dweliing units ............... Number o f dwelling units on each floor ................ If garage number of cars I ! , ' If business, commercial or mixed occupancy, specify nature and extent of each type of u~e ...~: ................. Dimensions of existing structures, if any: Front ' Rear Depth Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front Rear Depth ...,... Height Number of Stories Dimensions ' ' ' Rear Depth of entire new construction: Front ............................................. Height ............ ~.. Number of Stories ........................................................ Size of lot: Front . . .. 93: 13" ........... Rear....9.7: .4.2 ~ ............. Depth . ~.8.0 '.+.r ............... Date of Purchase . 19./~i~. i]i .................. Name of Former Owner .............. Zone or use district in which p~emises are situated ..................................................... Does proposed construction violate any zoning law ordinance or regulation: ~ Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes No Name of Owner of premises .~c. r.m..a..O.re, g9 .rY ....... Address 9./0.. ~$c.k.h.a.m. ~.. ~.qk.h.a.m. Phone No. 2.9.8.-:8.3.5.3. ....... ~:i~lrd/~ ....... i ................ Address P.O. Box 1~24 Hatt±//~.e.k~¥ L1952 ................. ~ ..... rnon~ lvo ................ Name of Contractor ......................... Address ................... Phone No ................ PLOT DIAGRAM .,, property lines. Give street and blocl interior or corner lot. Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from : number or description according to deed, and show street names and indicate whether SEE ATTACHED SURVEY APPPrOV, Lq) AS NOTED NOTIFY 8UI~DING BY: ' 765-~802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTiONS: 1, FOUNDATION ~ ~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION 8HA~ ME~ THE REQUIREMENTS OF ~E N.Y, STATE CONS~U~ION & ENERGY CODES. N~ RES~N~IB~ FOR DESIGN OR ~N~U~ON ERROR6 STATE OF NEW YORK, I S.S COUNTY OF .... S~IEEOLK .... ·..~33_.LLam .W3~2kh~m ................................. being duly sworn, deposes and says that he is the applicant (,Name of individual signing contract) above named. ' tie is the ...~.c.~.o.r.n.e.y. £ox. Norms. ?regory ............................................................. (Contractor, agent, corporate officer, etc,) of said owner or owners, and is dqly authorized to perform or have performed the said work and to make and file this application; that all stat.ements contained in this application are true to the best of his knowledge and belief; and that the work will be performed m the manner set forth in the application filed therewith. Sworn to before me this ............ 24th.... day o'f Noyemb.er ........ , 19 .9~. Qualified in Suffolk C(W~ty CommissionExpiresAugu~31,1 ~g~.~ for Norma Gregory