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Home My WebLink AboutZ-22798FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22798 Date DECEMBER 17 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1000 GIN LANE SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 3 Lot 12 Subdivis Filed Map No. 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-22798 dated DECEMBER 17, 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 ATTACHED GARAGE.* The certificate is issued to HELENS A. HOCH (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 ATTACHED INSPECTION REPORT. -4- u din Inspector Rev. 1/81 LOCATION: SUBDIVISION NAME OF OWNER (s) HN.i.F.NE A. HOCH OCCUPANCY A-1 RES. (type OWNER ADMITTED BY:. HELENE A. HOCH (owner -tenant) KEY AVAILABLE ACCOMPANIED BY: SAME SUFF. CO_ TAR MAP NO. 1000-88-03-12 SOULZ*; OF REQUEST: GARY FLANNER.OLSEN, ATTY _ DATE: NOV. 16, 1993 RUILDINC DEPARTMENT TOWN OF SOUT11OLD HOUSING CODE INSPECTION REPORT 1000 GIN LANE IT -umber S street SOUTHOLD, NEW YORK municipality MAP NO. LOT (;) DWELLING: TYPE OF CONSTRUCTION WOOD FRAME Q STORIES_ p EXITS 5 FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: 1ST FLR. _ 2ND FLR. 3RD FLK. BATHROOM (s) 2 FULL BATHS. TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY YES FIREPLACE YES GARAGE 1, CAR DOMESTIC HOTWATER YES TYPE HEATER OIL TYPE BEAT OIL WARM AIR AIRCONDITIONING OTHER: M HOTWATER %% ACCESSORY STRUCTURES: NONE GARAGE, TYPE OF CONS SWIMMING POOL T. STORAGE, TYPE CONST. OTHER: GUEST, TYPE CONST. VIOONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION DESCRIPTION - �-,- ART.-� SEC. — REMARKS: BP #2709Z -CO& -2298 for ATTACHED GARAGE INSPECTED BY: DATE ON INSPECTION DEC. 6, 1993 J IS TIME START 9:35 AM END 10:00 AM . FORM NO. 6 TOWN OF SOUTHOLD ' • Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted w 8mmoom r to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. A. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $50.00 3. COPY of certificate of occupancy $ 5.'00 , over 5 years $ 10.00 A.Vacant Land C.O. $'20.00 5.Uodated C.O.$" 50.00 Date ,November 29, 1993 ................ NewConstruction ......Old or Pre-existing Building..... , , . , . , , Vacant Land ............. Location of Property ... 970. Gin•. Lane: ,Southold, .New,York .. .. ...... House Na Street �Hamlar Owner or Owners of Property , , , , ,Helene,A; .Hock .... , . • .. , . , . , County Tax Map No. 1000 Section ..Q88i00 .. , , . , Block ,03 .qq , , .... , . , Lot 012; 000 , . - . . Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant ................ 0 .... ... ....... .......... Health Dept. Approval ... P PP .....................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate .....................Final Certificate ....................... Fee Submitted $ . , !00 :00 . •• ................... Construction on above described building and permit meets all applicable codes and regulations. now. 10.10-70 C,.z, N 13io Applicant ... Pgry. Fjpnppr. 01 �Vp, , �Sg. P. 0. Box 706 """"'•"••••• Cutchogue, NY 11935 - MAIN BAYV/EW ROAD S 640 r8'50"E F�~ S 52 ° 59' 30 "E //27/ ' 23.26NERBAY HAVEN", F/LED ✓AN 22, /959L OT 6*MAP OF BAY HAVENW05'50 "E /4B. 7/' �~ O 3N O —�—O 43.7' � N 52°05'50"W ILOT 7* MAP OF BAY HAVEN 150.12 1 TM#/000-OBB-03-0/2 25'R W. SURVEYED I STORY SCALE I " = 30' DESCRIBED PROPERTY AREA = /4,94/50 SF WOOD S/ TUATE BAYV/EW /N THE TOWN OF SOUTHOL D < a of this survey map not bearing the land Surveyors SUFFOLK COUNTY' N.Y. h C-,)CCpios t, embossed seal shall RESIDENCE- DENCE not be considered to be a vu'id true COPY. , -LAJ W I p 40' WP 39.7/' Unauthorized alteration or addition to this s survey Is a violation of Section 7209 of JUDY RICCIARDI 20' 0 t the New York State Education Law. -4O i Z I 9// o 4.6' /27' Ia GARAGE to � N 52°05'50"W ILOT 7* MAP OF BAY HAVEN 150.12 1 TM#/000-OBB-03-0/2 MAP OF SURVEYED SCALE I " = 30' DESCRIBED PROPERTY AREA = /4,94/50 SF S/ TUATE BAYV/EW /N THE TOWN OF SOUTHOL D < a of this survey map not bearing the land Surveyors SUFFOLK COUNTY' N.Y. t ` C-,)CCpios t, embossed seal shall not be considered to be a vu'id true COPY. C-' _ SURVEYED FOR: MICHAEL A. RICCIARDI Unauthorized alteration or addition to this s survey Is a violation of Section 7209 of JUDY RICCIARDI t the New York State Education Law. GUARANTEED TO MICHAEL A. R/CC/ARD/ JUDY R/CC/ARO/ FIDELITY TITLE INSURANCE NORTH FORK BANK TOWN OF SOUTHOL D Guarantees indicated here on shaft run only to the person for wh,m the survey is prepered, end on hir beh I' t� th title ccr a lending ins�a, t, , ne nd to the cssi 8 es of the lending institution. Guarantees ore not transferable to additional institutions or subsequent owners, SURVEYED BY STANLEY ✓ ISAKSEN, ✓R. PO. BOX 294 NEW-91FFOL K, NY, //956 (5/6) 734-5835 L/CENS !_AND SURVEY N YS L NO. 49273 93R527 CONSENT TO INSPECTION HELENE A. HOCH by SUE MOORE as her Owner(s) Name(s) do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 970 Gin Lane, Southold, NY 11971 which is shown and designated on the Suffolk County tax map as District 1000, Section o8s00, Block00 , Lot 03 • 012.000• That the undersigned (has) (have) filed, %'or caused to be filed, an applica- tion inZhe Southold Town Building inspecL., •o orrsee row ♦ho fnllowirlg: one story frame house with porch 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Date d: November 16,1993 (signature) Helene Hoch by Sue Moore as her attorney- in-fact (print name) (sigana ure) (print name) n TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT --JA��i✓C. ;.-vim FORMER OWNER N ' E ACREAGE // '7 ; ` ' f S 41 r1 W a -- TYPE OF BUILDING RES. (/� SEAS. VL. FARM comm. I IND. CB. I MISC. I a LAND IMP. TOTAL DATE REMARKS`^ e� 411444 d 70 9 C c a . f. D d 3 0-0�d 0 0 �3 0 0 .moi a •' .Z G �� AGE o v Bt ILDING eONDI KOV? b NEW NORMAL' BELOW ABOVE Farm Acre Value Per Acre Value .- N Tillable 1 Tillable 2 � Tillable, 3 Wcodland Swampland -Brushland House Plot , ` t� Total —:F g,-, M. Bldg. '2, Foundation Bath Basement v Floors 4Z P43 ✓ Ext. Walls Interior Finish FIA 5 Extension/ Place Heat Porch Attic On 24 Irv. Porch Rooms 1st Floor .Breezeway Patio ----- Rooms 2nd Floor orage--- G Go 8 1Z - - �Hveway 0. HI:LENE A. 11000 Owne CONSENT TO INSPECTION y SUE MOORE as her at s) Name(s) do(es) hereby state: in -fact the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 970 Gin Lane, Southold, NY 11971 , which is shown and designated on the Suffolk County tax map as District 1000, Section 08800. Block 03.00 Lot 012.000• That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in'the Southold Town Building 'Ins pectv.& •o c,rr,eo cer +he fallowing: house to be inspected for smoke detectors. 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: November 16,1993 (signature) Helene Hoch by Sue Moore as her attorney- in-fact (print name) 4du"(r, kL aL 67 - ns ure) �,.�_) n D _01 �c (print name) r,