The URL can be used to link to this page

Home My WebLink AboutZ-22323FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22323 Date MAY 12~ 1993 THIS CERTIFIES that the buildin~ Location of Property 325 HORTON LANE House No. County Tax Map No. 1000 Section 63 Subdivision ONE FAMILY DWRT.LING Street Block 5 Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 17 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-22323 dated MAY 12, 1993 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 2 CAR GARAGE * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWI~ITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 ROBERT W. & CAROL R. BROWN LOCATION: BUILDING DEPART~IENT TOI~N OF SOU~iOLO HOUSING CODE INSPECTION REPORT 325HORTONLANE SOUTHOLD, NEW YORK (number & s£reec) SUBDIVISION NAME OF OWNER (s) ROBERT & CAROL BROWN (munlc[pality LOT OCCUPANCY A-I Res. OWNER (type) ADMI-i-i-~D BY:. ROBERT BROWN KEY AVAILABLE ' SOURCE OF REQUEST: ROBERT BRO~IN (o~ner-tenant) ACCOMPANIED BY: SAME HUFF. CO. TAX MAP NO. 1000-63-5-m7 DATE: MAY 7, 1993 DUELLING: TYPE OF CONSTRUCTION FOUNDATION TOTAL ROOMS: BATHROOH (s) PORCH TYPE FRONT BREEZEWAY DOHESTIC HOT~ATER TYPE HEAT OIL OTHER: WOOD F~ BRICK & BLOCK IST FLR. 2 FuLL 4 # STORIES 2 + I # EXITS 3 CELLAR PARTIAL CRAWL SPACE 2ND FLR. 4 TOILET ROOM (s) DECK, TYPE WOOD (REAR) FIREPLACE ONE TYPE HEATER WARli &IR 3RD FLR. UTILITY ROOM PATIO, TYPE GARACE AIRCONDITIONIHG HOTIiATER XX ACCESSORY STRUCTURES: GARAGe, I~PE OF CONST. S{I}{MING POOL O'I'ltl~ R: 2 CAR WOOD FRAME STORAGE, TYFE CONST. · GUEST, TYPE CONST. OFF GAP,~ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP 121367-Z-C0 z-223ml ISSUED FOR SHED ADD TO ACcy GARAGE BP {17222-Z-C0 Z-17174 (DECK) BP ~7251~.-C0 Z-10349 (ADD) INSPECTED · DATE ON INSPECTION BY~: J/. FISH TIM~ START 12:15 MAY Il, 1993 END 12:30 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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 i% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 .~~u~ai ~rr top~graphic features. 2. A properly completed application and a consent to iD~pect signed by the applicant'. If a Certificat~-~ccupancy 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. ~.1 Certificate of Occupancy on Pre-existing-~/Li~kdin~$1~OQ.~ 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... .~.l~..~. /~ .... New Construction ........... 01d Or Pre-existing Building ..... ~ ..... Location of Property... ~?-~.. ~.~..-~..o.~ House No. Street Hamlet Onwer or Owners of Property....~....O.~..~..:..~..f~O...~/..~...~. ~ ......... County Tax Map No 1000, Section ..... ~.~. ..... Block ..... ~ ...... Lot.../.~... ............... Subdivision ........... · ......----..............Filed Map ............ Lot .................... .. Permit No ............... · Date Of Permit .............. -- Applicant ......................... .. . . Health Dept Approval Underwriters Approval ~lanning Board Approval lequest for: Temporary Certificate ..... Final Cer, t-icate. ~ ........ ?ee Submitted: ~ /~' O~ ii iii i ~~~ .. . .......... Owner(s) CONSENT TO INSPECTION Name(s) · the undersigned· do(es) hereby state: That the undersigned (is) ((~ the owner(s) of the premises in the Town of Southold located at ~-/Z/Of~y~9~ ~9. ~ S~Z4Q . /ii, Y, · which is sho~vn and deslfnated on the Suffolk County tax map as District 1000, Section ~'~ , Block 5' , Lot /7 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's 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 aferesaid 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. (signature) ' (print name) (sianature) (print name) ~94 ~,68 57 ~e4.55 DOW ~A~' OF Pf~OPEI<~'F¥ 5UI2VE"YED FOFZ Z ~ altermion or addlllm ~ SUFF, CO T.~,'~ I'4~,F' DAFA.; IODO' ;6~-r..,-,.; , l I.t(, LAI',t rJ ¢..II~VEY02..5