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Home My WebLink AboutZ-22035FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22035 Date DECEMBER 15~ 1992 THIS CERTIFIES that the building Location of Property I260 HORTONS LANE House No. County Tax Map No. 1000 Section 63 Subdivision ONE FAMILY DWELLING SOUTHOLD ~ NEW YORK Street Hamlet Block 1 Filed Map No. Lot 11 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-22035 dated DECEMBER 15¢ 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 ONE FAMILY DWR. LLING * 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 *PLEASE SEE ATTAC~D INSPECTION REPORT. /~ B~ilding Inspector Rev. 1/81 Location BUILDI,.'.IG DEP.~,T:.LENT TO','6,I OF SOUTHOLD, N. Y. HOUSIJG CODE IHSPECTIOH REPORT 1260 HORTONS LANE 'SOUTHOLD, NEW YORK ~numDer ~ s~ree~) ~i'iun~clpa±~y) Subdivision N~me of Owner(s) NO~4A GREGORY NaD No. Lot(s)__ 'Occupancy A~mitted by: Key available Source of request VIRGINIA E. CROPPER Accompanied by: s~ Suffolk Co. Tax No. 63-1-11 WILLIAM WIck, AT~ FO~..NO~ GREGORY Date NOV. 24, 199 ~%'~LLI~IG: Type of construction Foundation CEMENT Total rooms, 1st. Fi Bathroom(s) 2 FuLL BATH Porch, type FRONT COVERED ENQLOSED ON SIDE u~ uOuS-. breezeway. Type Heat OIL Fireplace(s) ONE Domestic hotwat er Other PANTRY OFF KITCHEN WOOD FRAME C ell arPARTIAL 2nd. F1 3 Toilet room(s) _Deck, type Garage 'Warm Air No. ~its #stories 2 Crawl space 5rd. F1 Patio, type.. Utility room WASHER & DRYER .Hotwater 4 Airconditioning .Type heater . ACCESSORY STRUCTURES: Garage, type const. I CAR WOOD FRA~torage, type const. Swim, ming pool Guest, type const. Other VIOLAT!O~IS: Lncation I .CHAPTER 45--N.y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE-------- Descriution I Art. I Sec. Remarks. BP ~17116Z-C0 Z-17165, BP #21123-Z CO Z-22034 Inspected by: .~._/~/~ Date of Insp. DEC. lO. 1992 Time start 9:30 end 9:55 Form No. 6 TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN IIALL 76fi-~802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: l. 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. 5. Commercial building, industrial building, multiple residences 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. B. 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. 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 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.O0 Date ...... ~gY~b~.24,.~9~2 .................. ~cw Construction ........... Old Or Pre-existing Building ..... ~ .......... Location of Property. 1260 Hortons Lane. Sogthold (HOUSE~ Ilousc No. Street Hamlet O~wer or Owners of Property ....... ~gln~.Q~gQ~x ......................................... ..... County Tax Map No I000, Section...9P:99 ...... nlock..Ql~qq ......... Lot .... P~J.OOO ........... ~bdivision .................................... Filed Map ............ Lot ...................... ~ermit No ................ Date Of Permit ................ Applicant ....... ~ ..................... ~ealth Dept. Approval .......................... Underwriters Approw]l ......................... P/~m~ing Board Approval ........................ ~cque~t for: Temporary Certificate ........... Final Ccrti~ata .... X ....... :: ..... : ~!~!:~;~.~ ':~-. ', William Wickham, as atto.rm~PL~C~~rma Oregory~ CONSENT TO INSPECTION Norma Gregory , the undersigned, do(es) hereby Owner(s) Name(s) state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 1260 Horton's Lane, Southold, New York Which is shown and designated on the Suffolk County tax map as District 1000, Section 63.00 , Block 01.00 , Lot 011o000 That the undersigned (h'as) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of pre-existing use 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 taws, ordinances, rules and regulations of the Town of Scuthcld. The undersigned, in consenting to such inspections, dc(es) so with the kncwledge and understanding that any information obtained in ~he conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulati~s of the Town of Southold. Dated: November 24, 1992 ~ / W±ll±am Wic~ham, ^ttorney for Norma Gregory Print name Signature Print name PLEASE CONTACT ELLEN CROPPER OF MARION KING REALTY AT 734-5657 FOR ACCESS. THANK YOU ! :-5! [ ; >