The URL can be used to link to this page

Home My WebLink AboutZ-30883FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30883 Date: 04/27/05 THIS CERTIFIES that the building DWELLING Location of Property 1845 HORTON LA (HOUSE NO.) County Tax Map No. 473889 Section 063 Subdivision SOUTHOLD (STREET) (HAMLET) Block 0001 Lot 002 Filed Map No. -- Lot No. -- conforn~ substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC~3PA/~C"f ~q3MB~ Z- 30883 dated APRIL 27, 2005 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 ACCESSORY WOOD FRAME GARAGE & ACCESSORY FARM STAI~D* · ~ne certificate is issued to GEORGE T CONWAY, REVOC.TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL ELEL-£KICAL CERTIFICATHNO. PLUMBERS CERTIFICATION DA'£~U *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A N/A ~ /t'hl~ignature BUILDING DEPARTMENT TO~4 OF SOUTHOLD ROUSING CODE INSPECTIOW REPORT LOCATION: 1845 HORTOH LA SOUTHOLD SI]BDI%-ISION: ~ NO.: LOT ($) ~ OF O~ER (S): GEORGE T CONWAY, REVOC.TBUST O~ANCY: SINGLE FAMILY DWELLING GEORGE T COI~;AY~ REV0C.TRUST SODRCE OF P~ST: RUDOLPH H. BRUER, ATTY 3/10/05 DA~'E: 04/27/05 DWELLING: ACCESSORY STRUCTURES: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. C. ARY ISH DATE ON INSPECTION: 03/14/05 TIM START: 9:40 AM ]~D: 10:10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 tr.~ ~/..~ q. ~'~ ~.. APPLICATION FOR CERTIFICATE OF OCCUPANC~ . T~s application must be filled in by t~e~ riter or i~ and sub~tted to the Buildin~ D~a~¢~ ' the A. For new building or new use: 1. Final su~ey of prope~y with accurate location of all buildings, prope~y lines, streets, and unusual n~u~ topo~ap~c features. 2. Final Approval ~om Health Dept. of water supply ~d sewerage-disposal (S-9 fo~). 3. Approval of electrical i~tallation from Board of Fire Unde~hters. 4. Sworn statement from plumber ce~i~ing that the solder used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industdal building, multiple residences and si~lar buildings and installations, a ce~ificate of Code Compliance from ~chitect or engineer responsible for the building. 6. Sub~t Pla~ing Board Approval of complet~ site plan r~uirements. 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 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 Occupancy - New dwelling $25.0(~4,~ditions to dwelling $25.00, Alterations to d;velling $2~ 1. Certificate of g0, Swimming pool $25.00, Accessory building $25~4Fd, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. r Copy of Certificate of Occupancy - $.25 a. Updated Certificate of Occupancy- $50.00 ';. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: Location of eroperty: h~ou~se~No~. //L~/"/¢9~ /~St~,~e~t~- OwnerorOwnersoferoperty: ~'~oc[fi]/-~ ~/~ ~-~)[Q~(G ~' Suffolk County Tax Map No l000, Section ~ (pS VBlock ~ F-)// /Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Undenvriters Approval: (check one) .// Hamlet Planning Board Approval: Request lbr: Temporary Certificate Fee Submitted: $ [ D L'" . Final Certificate: t~ (check one) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [//~NAL ~ ~ [ FIREPLACE & CHIMNEY [ I FIRE SAFETY INSPECTION DATE II =, MONU ME'N T -" "' SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. K 1000-63-01-02 SCALE: 1'=30' JAN. 6, 200~ CERTIFIED TO: GEORGE Z CONWA Y NOF~TH FORK BANK FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW AREA=24,302 $.F. ALICE J KRAMER NOTARY PUBLIC, State of New York Residing in Suffolk County No. 52-4822133 ~y Commlsm0n Expires //~ ~_m o BRIAN H CONWAY 205 BOOTH RD SOUTHOLD NY 11971 631-765-5505 MARCH 17, 2005 RE: CONWAY FARM STAND LOCATED ON HORTONS LANE, SOUTHOLD, NY TO WHOM iT MAY CONCERN: PLEASE BE ADVISED THAT MY LATE FATHER, GEORGE T CONWAY, TOLD ME MANY TIMES WHILE HE WAS ALIVE THAT THERE HAS ALWAYS BEEN A FARM STAND LOCATED ON THE HORTONS LANE PROPERTY NOW OCCUPIED BY MY BROTHER, FRANK CONWAY. PLEASE DO NOT HESITATE TO CONTACT ME IF YOU SHOULD HAVE ANY QUESTIONS. THANK YOU. YOURS TRULy/ BRIAN H CONWAY ALICE J KRAMER NOTARY PUBLIC, State of New Yor~ Re'ding in Suffolk Count'/ No. 52.4822133 My Commission Expires /~ ~)/_ CONSENT TO INSPECTION ~ U o~yjter(s) Name(s) ff.) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the ~>nwn of Southold, locatedat /~t[ ~t~K[~ ~lk~ S&~cq{~((~ which is shown and designatbd on'the Suffolk County Tax Map as District'1000, Section ~'~ ,Block [ ,Lot_ 3~- That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following:_ p~..., t/rd ,~ 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, 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: /; ~ / (.Signa. ture).~ At, ' (Phnt N~e) (Si~ature) (Print Name)