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Home My WebLink AboutZ-25178FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25178 Date AUGUST 4, 1997 THIS CERTIFIES that the buildin~ Location of Property. 315 HORTON ROAD House No. County Tax Map No. 1000 Section 104 Subdivision ONE FAMILY DWELLING CUTCHO~UE, N. Y. Street Block 2 Lot 2 Filed Map No. Lot No. Hamlet conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25178 dated AUGUST 4, 1997 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 GARAGE * Rev. 1/81 The certificate is issued to JAYNE MAC DONALD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *Pt~RSE SEE ATTACHED INSPECTION REPORT. N/A LOCATION: 315 HORTON ROAD (number & street) SUBDIVISION NAME OF ONNER (s) JAYMEMACDONALD BUILDING DEPARTHENT TONN OF SOWI~tOLD HOUSING CODE INSPECTION REPORT CUTCHO~UE, N.Y. (municipality) MAP NO. LOT(s) OCCUPANCY SINGLE FAMILY (type) ADMITTED BY: JA{~S R. THOMPSON KEY AVAILABLE SOURCE OF REQUEST: JAMES R. THOI~SON (owner-tenant) ACCOMPANIED BY: SUFF.CO. TAX HAP NO. 1000-104-2-2 DATE:, JULY 9,1997 DIgELLING: TYPE OF CONSTRUCTION FOUNDATION CEMENT BLOCK TOTAL ROOMS: ]ST FLR. BATHROOM ( s ) ONE PORCH TYPE BREEZEWAY DOMESTIC HOTWATER ZX TYPE HEAT OIL OTHER: WOOD FRAME CELLAR 5 2ND FLR. TOILET ROOM (s) HECK, TYPE FIREPLACE ONE TYPE HEATER ELECTRIC WAP,~AIR X { STORIES ONE FULL CRAWL SPACE 3RD FLR. UTILITY ROOM _.]{F, AK_S]j3~PATIO GARAGE AIRCONDITIONING HOTidATER EXITS TWO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIll{lNG POOL OTHER: I CAR WOOD STORAGE, TYPE CONST. · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION JULY m6, 1997 TIME START 11:15 EN1) ll:45 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and :subm~t~ ~he 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 1% 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, ~9~7) non-conforming uses, or buildings and '.'p~e-existing" land ~ Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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-existinR Buildin~ -~100.00 3. Copy of Certificate of Occupancy - '4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ....................... New Construction ........... Old Or Pre-existing Building..~ ............ Location of Property...~.~. ............ ~.~.z~..~/C. ~.~¥. .............. House No.g s/m6 g/-~J Street ' '~a~e~ .......... J h ..¥ .................... Onwer or Owners of Property.. *~././././P.~... County Tax Map No 1000, Section ........ /~..Block ............. ~..Lot..~. ................. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant.~f~. ~.~$~Y/z/~'i~ ...... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................ ~ f 23_3 . ' "' ................. '1'1~l II~e ~ndcr~:iil~/~:d (i,'~) (~'~,') lh¢. owm.,r(s) ~1' the premi,ses i~ i~,y ~l~l all I)uilding~i 1()(::~11(:(I Ihel't~(~l, I~ (:ol~(h~i;[ stleh insl~eCl, lo~ls its they '1'1~: u~ule~'sig~ed, i~ ~m~ling t~ ~u~:h i~p~tctitms, do(es) so wil. l~ tim F~ 0'00~ O'OOZ 765-1802 BUILDING DEPT. INSPECTION [ , ] FOUNDATION 1ST [ ] ROUGH PLBG. [-] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE INSPE~TOR~