HomeMy WebLinkAboutZ-24010FORM NO. 4
TOWN OF SOUTHOLD
EUILDINO DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PI~E EXISTING
~TIFICATE OF O~Ju~ANCY
No Z-24010
Date NOVEMBER 3, 1995
THIS CERTIFIES that the building
Location of Propert~ ORIENTAL AVE~u~
House No.
County Tax Map No. 1000 Section 10
Subdivision
OWE FAMILY DWELLING
FISRERS ISLAND, N.Y.
Street
Block 11 Lot
Filed Map No. Lot No.
Hamlet
3
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24010 dated NOVEMBER 3, 1995
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 OWE FAMILY DWELLING *
The certificate is issued to OTIS HORN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
*PTmqSE SEE ~&-£A~D INSPECTION REPORT.
Rev. 1/81
I,O(:AT 1 ON:
liD1V 15 ION
NAHF. OF ¢)~NF, It (s) OTIS HORN
O(:(:tlI'^NCY RESIDENTIAL ONE FAMILY
LARRY HORN
ADH I'rTF3! IJY:
KEY AVAII,AIJI,E
^C(;OHI'^N I El) IIY: SA}iR
· ~IIF'I.'.CO. TAX HAl' NO. I00~I~ ............
IIA'rE: ~. 2, 1995
()lr IIi.;Qill.;s'r: LARRY HORN
TOll,ET ROOH (s)
'rYH{ O1:' CONSTItlICTION VOOD
FOIINI)AT1ON STOl{E/CONCRETE BLOCK
TOTAl. ROOHS: I ST FLI{. 8
I~ATIIIIOOH (s) I
I'OI1(:11 'I'Y PIg
I)(}HEST 1C IIOTW^TEI{ OIL
'I'Y I'E IIEAT OIL
I S'FOIUES I ii' EI(IT.q /4
CEI.I,AI~ PART. CRAWL SI;ACE PART.
2Nil Fl,II. 3111) Iq,lt.
I Irrl[,l'f¥ R()OH
IIECK, 'rYl'g PT.OPEN W~DPATIO
F I R E 1' I.ACI~ I GA RA(;E --
1'¥1'E III~.^'I'Ei{ TAN~,LESS OFF HEATE~iiiCONIiiTiOitiIi(;
o'rlll~l{:
WARH A I I1 llO'I~/A'I'I,3{ ~
ACCESSOI{Y S'fI{IIC'I'IJI(I,:S :_
(;ARA(;E, 'I'YHr. OF COi~iS'I'. STOIIA{;E, 'fYl'l~
:;%41HHI N(; I'OOI, , (;IIEST, TYI'I{ CONST.
O'I'111~11: DOO KENNELL WITH FRAME BUILDING
............................................. . ....... :::::::::::::::::::::::::::::::::::::::::::
_VJ_OI,A'rl_IONS: CIIAI'Ti(II 45 N.Y. ST^TI,: IINII;OIIH I~ilIE HIEVEHTION & IIIJ[I,I)ING CODE
I,OCAT ION DESCRI l"fl ON
AIG. SEC.
RI,:HAI{KS: PERMIT {6996 CO Z-5893 ISSUED FOR ADDITION & DECK AN]) ACCESSORY BUILDINGS.
IIL(.I'~CTI.:I! It~ D^'I*E OF ]HSI'F, CI'ION NOI~fllER 3, 1995
/ Z/ 'rlHI~. S'l'al('[' lO-'O0 ENI) 10:30
I"OClll NO, (~
'£O~1.t O¥ BOUTHOI,V
'IOW[! IIALL
APPLICATION FOR CERTIFICATE OF oCt':UPANC¥
A, This application must be [tl]~d tn by Lypet~rtter 01~ l~tk trod ~ublnttted t:o the bulldiur
1. Final survey of properly wt[h accurate location of nil I)ulldil~ga, property
2. Final Approval itrom tlealth Dept. of ~tO~- eupply alld se~erage-di~po~a](S.9 form)
less than 2/10 o~ 1.2 lead.
~, Co~erctal building, lndustrini building, multiple residences nitd simila~ butldt~,r,
and l.ns~ailations, a cert]i't, eute of Code Chi,pi. laura from arChtLeCC or
responsible for the bui.ldtug.
6,Subalt Planning Board Approval of Completed 8IL(, p.l, an
~pre~existttlg', land use~:
1:, Accurate ~urvey of p1'operty showing all lin(m,
2. A properly completed ~Ppiical:io~l and ~ eon~ent to /mq~ect
If ~ Cert/i~cate of Occupancy la denied, the Buildi,g [nspeat'or shall
reasons there[or in writing to the applicant.
C~rtl~tll~t~ O~ Oa~:~q~a~my - New dwolli,8 $2~.00~ Addi~lo,s to d~ellin8 $~5.00~
Al~eKa~l. olln to d~ellt.B $2b.00~ S~l.mdaB pool 1Z5.00~ Accessory
AddttJ, ons tp accessory butldt~g $25,00, ~usJHesses $50.00.
Certt/lcate of Occupa~t:y on ir~-existioi Bui]d/~l[ - slO0.o0
3,: Copy o~ Cacti/trace o! Occui,,,c~ - ~0.OO
Updated Certificate of Occupalmy - $~0.00
Temporary ~l~rtiflcnte of Occupancy - Realdentis] $15.00, Co~nercial $15,00
Dace .,()c~ober ~
........ · .., ~. .ii ...........
ay ~on truction ......... Old Or Prl~"~extst~ug Building ....
oeation oi Property..9~f. Ql'~r~l~q] ....... ' .....
" ..............
. ltouoe Ilo. · .................... . ...........
, ~treer
~ver ;0~ O~nera of p~ ~;~ Horzl
'oPerl y
)unty ~ Hap No 1000 ~ection 10
. . . ............. .... ..........
~bdivliion Lot ....................
.................................... ~ile(t Hap ............ LoL ............., ........
trail;= NO ................ Pate of per,,l~:,.
a/th D~pt. Approval ,',
arming ·BOard Al,proval
lUeet for: l'e.~porary Cerriflcate ......
:$ubaltted: $ J00 00
' ' ........... Appltca~lt ............................
..... Underwriters gppt ova! ..... 0 ...... , ..... , ......
CONSENT
']'O
INSPL(,I I.)N
O%is Hor~
......... ° __, the undersiRned.
Owner(~)
do(es) hereby st~'te:
That the undereisned (is) (~) the owner(~) of the In'emisea lu tho To~
of South~dd located ~E~..t>.ff ~.0~.;~.Fntal Avenue~ ~'.~. ~l~f",.l~ 1 ~.~n~.
................. , which is shown m~d tie,liOn,led on the S, rtolk
Coun[y tax mapaa Dt0tl'Jet ~000~ Sectiu~)~=.~,O~, }Hock..._.l~, Lot
That I.be undersii{ned (b~) ~ filed, 'or cnuned [o be riled, nn apl)ltca-
tton in the Southold Town Building Inspeetor~ (')rfie~ for the
Certificate On Pre-existinc BuJ3d:iDtj __
That the undersigned do(e~) hel'eby give ccm~e,~t to tho lJullding lnspector~
or the Town of Sc, uthold to enter tq.)C,{~ tho above de,cribbed property, includb~~
deem nco~na,,y with r,:,~:pect to the aforecnid application, tncludb~g it~spoction~
to determine tlmt f.:aid pramise~l comply with ull of the laws, ordinances, rulea
nnd regulations of t,l,~ Town of Southo]d.
The und.ert{iglied, in conseuth~{[ to nuch h~Spvction~, do(es) So with the
knowledge aud und(~r~tanding that ~ny information obtained in the conduot of
such b)spection~ may be used as evidence in nubsequent prot~ecutiona for vio-
lation~ of lhe laws, orditlatiCiyO, rules or regu]ath)ns of the ']'OWII Of Southold.
Dated: October .?.7,._~,~.. --
Otis
Attorney-] n-Faot
, ' (in'Iht name)