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Home My WebLink AboutZ-35014FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 35014 Date: 06/22/11 THIS CERTIFIES that the building DWELLING AND ACCESSORIES Location of Property 4395 HORTON LA (HOUSE NO.) County Tax Map No. 473889 Section 054 Subdivision SOUTHOLD (STREET) (HANLET) Block 0007 Lot 021.001 Filed Map NO. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which C~KTIFICATE OF OCC~3PANC"fl~3b~ Z- 35014 dated JUNE 22, 2011 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 WRAP AROUND PORCH AND ENCLOSED PORCH AND 4 ACCY SHEDS, 2 ACCY BARNS, ACCY 2 CAN GARAGE AND 1 OTHER ACCY.* The certificate is issued to JULIA CONWAY ESTATE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF~LTH APPROVAL ELECTRICAL CERTIFICATE NO. PLIERS c~KTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A / ~ho~ed Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT SOUTHOLD MAP NO.: LOT (S) JULIA CONWAY ESTATE BATHrOOm(S): I. 0 TOILET RO(~4(S): 1.0 2.0 # EXIT~: 4 3RD FLR.: __0 PATIO TYPE: ACCESSORY STRUCTURES: GA~R, T%'PR OF C~ST.: 2 CAR WOOD FRAME STORAGE, TYPE CONST.: 4 SHEDS, 2 BARNS VIOLATIONS: CHAPTER 45 N.Y. STATE 13NIFORM FIRE PP~NTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. DAT~ 0~ ]]{SPECTIOM: 06/14/11 Fomn No. 6 TO~VN OF SOUTHOLD BUILD1NG DEP &RTMENT TOYVN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application mast be filled in by typewriter or mk and submitted to thhBuilding Department with the following: A. For new building or new use: l. Final survey ofproper[y with accurate location of all buildings, property lines, stree(s, and unusual natural or topographic features. ~' 2. Final Approval from Health Dept. of water supply and sewerage-disposal (SO roma). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less thau 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences aud si~rfilar buildings and installatious, 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 April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate smw'ey of property showing all property lines, streets, building aud unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to tfie applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Addifiona to dwelling $25.00, Alterations to dwelling $25.00, Swirnnfing pool $25.00, Accessory building $25.00, Additions to accessing/building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building $100.00 3. Copy of Certificate of Occupancy $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary.-Ce~:ti.ficate of Occupancy - Residential $15.00, Commercial $15.00 Date. June 10, 2011 New Construction: Old or Pre-existing Building: X (check one) Locatiou of Proper[y: 4395 Horton Lane, Southold House No. Street Hamlet Owner or Owners ofProperty: .lo~qeph A. Conway and Robert J. tqnn~.~y .q~ Cn-Ft,~,m~tor~ Suffolk County Tax Map No 1000, Section 54 Block 7 Lot Subdivision Filed Map. Lot: Permit No. Date of Perlnit. Applicant: Health Dept. Approval: Unde~wvriters Approval: Plamm~g Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 21.1 Final CeFtificate: (check one) OLSEN & OLSEN LLP~---~~ ~2495 MAIN ROAD ~" ~ PO BOX706 Applicant Sipmature CUTCHO~UE, NY 11935 ~ CONSENT TO INSPECTION David Worthington Olsen as Attorney , the undersigned, dq(es)herebv state' Owner(s) Name(s) for Jo~.seph A. Conway and Robert J. Conway, Executors That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at ~,~q~ l-lorton Lane. Southold, NY 11971 which is shown and designated on the Suffolk County Tax Map as District 1000, Section 54 ,Block 7 , Lot 21.1 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office ~r the following: Pre CO for 1 family dwelling, 2 frame barns, 1 frame garage, 4 frame sheds/ stqrage buildings That the undersigned do(es) hereby give consent to the Building h~spectors 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: 6/10/11 Da3rid Wnrthington Ol~qen. as Attorney (Phnt Name) (Signature) (Print Name) OLSEN (~ OLSEN~ L.L.E ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID 'WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEWYORK 11935.0706 PHONE 631-7.34 7666 FAX 631 734-7712 olsenlaw@optonline net June 10, 2011 Re: Conway to the Town of Southold Our File 9573 T6 Whom It May Concern: Enclosed herewith please find the following: 1. Application. 2. Consent to Inspect form. 3. Check in the amount of $100.00. 4. Survey. Please contact Joseph Conway (765-2001) to arrange for the inspection. Very truly yours, DWO:lmk Enclosures Town of Southold Building Dept. Main Road Southold, NY 11971 LOCATION; (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) ADMITTED BY: /~I- KEY AVAILABLE: SOURCE OF REQUEST: (owner-tenant) ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING TYPE OF CONSTRUCTION: FOUNDATION: # OF BEDROOMS: 1ST FLR: BATHROOI~S): PORCH TY'PI~ ~ BREEZEWAY: DOMESTIC HOTWATER: TYPE HEAT: ~A)~'Tk,~ ~ #STORIES: BASEMENT: ~d ~'/~ 2ND FLR: _~ TOILET ROOM(S): DECK, TYPE: ~'- FIREPLACE: ~ TYPE HEATER: WARM AIR: # EXITS: CRAWL SPACE: 3RD FLR: UTILITY ROOM: PATIO, TYPE: GARAGE: AIRCONDITIONING: HOTWATER: # OF KITCHENS: ~ FINISHED BASEMENT: YES No ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: ~ ~ ~'~qf~/~TORAGE, TYPE CONST.: (~ /ff~k¢-'-(fl' SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME STAR'/:/~:2 ~.~ END: SURVEY FOR THE-TOWN OF SOUTHOLD AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-54-07-21.1 SCALE: I"=100' AUGUST i, 2001 JUNE JO. 2010 (SURVEY OF 1000-54-07-21.2 & REVISION) AUOUST 3, 2010 (ADDI770N) SEPTEMBER 15, 2010 (REVISIONS) OCTOBER 29, 2010 (DEVELOPMENT RIGHTS EASEMENT) JUNE 3, 2011 (REVISIONS) I,JUN -8 2011 DEPI. OF lAND PRESERVATION KEY MAP $CALE~ 1 '=600' N/o/F jOsEPH cON~/AY S 47'34'00' W 205'08'''~' H N,,D/F T, & C,coNVAY 'T RIGHTS ~ASEHENT AREA BEVELOP~A=88,9938 ACRES zONING DISTRICT A-C RESERVED AREA AREA=80, o0%SO, F~, S 48'89'30' 9].7,39' NIO/F ABBATIELLO AREA=30.8297 ACRES CONTOUR LINES FROM TOPOGRAPHIC MAP FIVE EASTERN TO~'NS CERTIFIED TO: TOWN OF SOUTNOLD FIDELITY NATIONAL 77TLE INSURANCE COMPANY · =MONUMENT · =STAKE SET (631) 765 -5828 FAX (631) 765-1797 P, O, BOX 989 1230 TRAVELER STREET I SOUTHOL~ ~Y, J1971 I 00--22,0