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Home My WebLink AboutZ-20044FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20044 Date JULY 1, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1405 FOUNDERS PATH SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-20044 dated JULY 1 1991 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 * The certificate is issued to JAMES HIPPIE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Bu' ding ns ector Rev. 1/B1 BUILDI :G DEPART:•IE:iT TOW111 OF SOUTHOLD, N. Y. HOUSI:dG CODE IIITSPECTION REPORT Location knumoer 6( street Subdivision Name of Owner(s) JAMES HIPPIE Map No. N.Y. i.cipality) —Lots) Occupancy ONE FAMILY RESIDENCE OWNER (type) owner -tenant) Admitted by: JAMES HIPPIE Accompanied by: SAME Key available Suffolk Co. Tax N0.64-4-17 Source of request Date JUNE 28, 1991 D'VELLI'M : Type of construction FRAME JL ms tories 1-1/2 Foundation MASONARY Cellar 90Z Crawl space 10 Total rooms, lst. Fl 5 2nd. F1 2 3rd. Fl - - Bathroom(s) 2 Toilet room(s) 1 Porch, type Deck, type Patio, type CONCRETE Breezeway � Garage xx Utility room Type Heat OIL ',farm Air - - Hotwater 1x Fireplace(s) No. Fcits 2 Airconditioning Domestic hotwater xx Type heater GAS Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swi.;uning pool Guest t Other ype const. VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected n ' Date of Insp. July 1, 1991 J. SHE Time start 8:20 end 8:45 Form No. 6 TOWN OF SOUT11OLD BUILDING DEPARTMENT ( "4 TOWN BALL 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 propert streets, and unusual Y w' ith accurate location of all buildings, property lines, 2• Final A natural or topographic features. pproval 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 so less than 2/10 of li lead. lder used in system contains 5. Commercial building, industrial and installations a building, multiple residences and similar buildings certificate of Code C(�mpliance from archi_ect or ens responsible for the building. 6, oineer Submit Planning Board Approval of completed site plan requirements. `• For existing buildings (prior to A "ild or b pre-existin " Pril 9, 1957) non-conforming uses, buildings and g 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 reasons therefor in writing to is denied, the Building Inspector shall state the the applicant. Fees 1• Certificate of Occupancy - New dwelling $25.00, Additions to dwellin Alterations to dwelling $25.00, Swimming pool $25.00 g $25.00, Additions to accessory building, Accessory building $25.00, 2. Certificate of OccupancyoPre-existing $2Businesses $50.00. 3. Copy of Certificate of Occu ancy Building - $100.00 4. Updated Certificate of Occupancy - $5.00 over 5 years - $10.00 S. Temporary Occupancy - $50.00 Certificate of Occupancy - Residential $15.00, Commercial $15.00 et✓ Construct Date , , , , , f�Ae1- eel Construction Old Or Pre-existing.............. Building., ocation of Property „•1'IOv •�c�c�Al'b � """"' n / House No. o v Street Hamlet• •••••••• 'iwer or Owners of Property..,, .�f/Jti )unty Tax Map No 1000, Section. �. ..... Block ....V .... .Lot. 7 ;bdivision.. ............. ............................Filed P1ct1>........ .Lot.. �rmit No................... .................... Date Of Permit. ..............Applicant. alth Dept. Approval........ ............................ ••'•'••••••••••..Underwriters Approval. inning Board Approval........... ............ quest for: Temporary Certificate Final Certicate. Submitted: $, d 0 . 6 L` b3................... C o - �? OOL/ y APPLICANT CONSENT TO INSPECTION E , Owner(s) Namc do(es) hereby state: the undersigned, That the undersigned (is) (a4 -e4 the owner(r,4 of the premises in the Town Of Southold located at 'which is shown and designated on the Suffolk County tax map as District l000, Section (J T Block Lot , That the undersigned (has) (ha-re+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 aforesaid application, including inspections to determine that said premises comply with all of the lags, 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: (signature) '4_ (print name) (si;enature) print name) 4 7N I rot Z , _ (27.1e r '- + to 0W r _ N fit) lin. - rn C� % - VI d2 ^id ^ "-i r < SCALE 30-s a m 0,•MONUMENT i z. g�act ) nl FIZEA•92,57 5:F. 1 _ - ',nir2E FENCE in i !.,ZT "05,:ZEFEre-To MAP oP F01 INNERS ES TA E Ft �F '�_ ......E tr21rC' /S/� = F♦F'! �lE� .�sn�_hA�F.G J.�. -,-;FF.. W TAX. 1"/V CATAo !000 -/A -4-!'7.- e ` • -. .. -_ ^� .'^".7n of &Cditlon v law York Slate A ! rose ma» not bearing t :-:yar <. iKed seal a.t�_ r-1 �' _.JY�ii E 2 - 9i S in not be Coneid" G, �t '..i:V .�__� tr• c � Nn ttJGf yly. pC `'-'�✓�' l E. •,f�✓ .: E ) a«imkevtdhereonshell runr,r �;h Y OF NE . I - r >n :.rnon for w•hnm tho swvoy r/ � � _ ' _ f ' I , 1 "`f i f;r • _ . <j :. ,.. d anti on his behalf to the -.. _ _. _ . . _. -._ - _ -. _. .. -. R P,GK VA O [ -- v •,ny, 9overnment3l agency and --, V 1__•-..+y��' !._ �. of pty O Ifatod hermon Cth1 ! ��. ' # O r t ( •' ,_ ro nes of the le nddina insti- : - v,,sas are not trenaferahis - r a. institutions orsubao7usnt _.:_AF_,._ lC t. ��r� '3 •- C" r s 0 BUILDI:•:G DEPARTP•IENT TO,IN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 14106-" 2 �� knumber & streets Municipality) Subdivision Map No. Name of0 Occupancy Lot(s)_ Admitted by: ��_Accompanied by: _ a I Key available Source of request DWELLING: Suffolk Co. Tax No. - l -I 7 Dat ter---• - Type of construction �,Za #stories d& Foundation /Zew CellarO �a Crawl space l® Total rooms, lst. 41 2nd. F1 3rd. F1 ----� Bathroom(s) Z Toilet room(s) / Porch, tape Deck, type Patio, type_C;T2�.5' Breezeway J/ Garage joow' Utility room Type Heat Warm Air Hotwater A---- Fireplace(s) No. Exits Airconditioning= Domestic hotwater !ice Type heater Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimmin0 pool �----� Guest, type const. Other- VIOLATIONS: ther VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected by: Date of Insp. Time start 'b end TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT ' I IND. ( CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL FORMER OWNER N E ACREAGE , 1 4a- F►fQH it /� S W TYPE OF BUILDING RES. 2- SEAS. VL. FARM COMM. I IND. ( CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS G14 4a- 0 oZ / 'I' 'Y — c AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total M. Bldg. ; , as 3a Z Foundation ✓ Bath / Extension Extension X 15% /.:r X _ _ Zv 3 0 s� Basement Ext. Walls, Fd L 5 k. Floors Interior Finish rq it , 1 Extension Fire Place o Heat �f Porch Roof Type Porch Rooms 1 st Floor Breezeway X d 7- Iry c> p Patio Rooms 2nd Floor Garage a o o_� p Driveway i6 « EA 'Dormer O. B. M. Bldg.a Sx 3 6! `a Z y g f 1 Foundation j IBoth / Extension ' X Basement �~v L —--. Floors _ #4 -f<, Extension— Extension 4X _ _ Z �� 3.o v s Ext. Walls Fire Place ,^., „ j Interior Finish 11-l.eat Porch Roof Type Porch Rooms 1 st Floor Breezeway I X / D = ar v u v Patio Rooms 2nd Floor Garage g X 02 Q Driveway riveway e , nt�4 F,V.' Dormer ` O. B. • 7 TOWN OF SOUTHOLD P OPERTY RECORD CARD 0 OWNER STREET VILLAGE DISTRICT SUB. LOT � + �rL. � �i ' � •J� � TOTAL ! ' .-1.._,_ t � .l L�f✓'YZ,�r�j� t, r „s,�`._l , f� d' r h � FORMER OWNER N E ACREAGE j'� ea o y v G� N�oN S W TYPE OF BUILDING _RES. �� SEAS.VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS f r h 5 v -o �� j'� ea o y v -� Y_ -� h Y i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total