HomeMy WebLinkAboutZ-26167FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26167
Date: 06/29/00
THIS CERTIFIES that the building
Location of Property 2120 SOUTH HARBOR RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 075 Block 0007
Subdivision Filed Map No. Lot No.
DWELLING AND ACCESSORIES
SOUTHOLD
(HAMLET)
Lot 002
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26167 dated JUNE 29, 2000
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 ENCLOSED PORCH, ACCESSORY 2 CAR GARAGE, TWO
GREENHOUSES, FOUR STORAGE BUILDINGS AND A BARN.*
The certificate is issued to FREDERICK & ELSIE L LAPPE, TRU
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
//au orized
N/A
N/A
N/A
Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2120 SOUTH ~RBOR RD SOUTHOLD
SUBDIVISION: MAP NO.:
NAM~ OF OWNER (S): FREDERICK & ELSIE L LAPPE. TRU
LOT (S) --
OCCUPANCY: ON~ FA~4ILY FREDERICK & ELSIE L LAPPE.
ADMITTED BY: ELSIE LAPPS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAp NO.: 75,-7-2
SOURCE OF REQUEST: FREDERICK LAPPE DATE: 06/29/QQ
TYPE OF CONSTRUCTION: WOOD FRAME
FOUNDATION: CONCRETE & BRICK
TOTAL ROOMS: 1ST FLR.: __~ 2ND FLR.: ~
BATHROOM(S): 2.0 TOILET ROOM(S):
PORCH TYPE: SIDE OF SOUSE - ENCLOSED DECK TYPE:
BKEEZ~WAY: FIREPLACE:
DOMESTIC HOTWATER: ~ TYPE HEATER:
TYPE HEAT: ]~F~WARM AIR:
OTHER: PANTRy OFF KITCHEN
# STORIES: 2.0 # EXITS: ~
CELLAR: 3/4 CRAWL SPACE: 1/4
3RD FLR.: _~
UTILITY ROOM(S): ~
PATIO TYPE:
GARAGE:
AIRCONDITIONING:
OIL
HOTWATER:
ACCESSORY STRUCTURES~
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 40' X 125' BAR~*
SWIPING POOL: GUEST, TYPE CONST.:
OTHER: *FOUR STORAGE BLDGS: ONE 2 CAR GARAGE: AND TWO GREENHOUSES,
VIOLATIONS:
LOCATION
CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
~ DESCRIPTION
, ART,
I SEC,
P~S: BP#4625 & 4627 F/~gM BLDG CO Z3803:BP~6827 F/LgM BLDG CO Z7531;
INSPECTED BY: DATE ON INSPECTION:
~Y
TI~ ST~T: 9:50 ~ END: 10:30
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
mo
Bo
Thfs application must be filled in by typewriter OR ink and submitted to the buildin
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property linea
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 build~
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Upre-existing" land uses:
i. 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 applicar
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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - , -25¢.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Counnercial $15.00
Date ~/~
.......... Old Or Pre-existing Buildtng....~ ............
New Construction. . ~..~..~..~..~..~. ¥~.¥.~ .v~...~.. ~ 6 ~ ~--~.~. ~.
Location of Property ..........
House No. Street Hamlet
County Tax Map No I000, Section...~.~.. ' L t'
...... Blocm ...... \ .......... o ................
Subdivision .................................... Filed Map ............ Lot .................
Permit No ................ Date Of Permit ................ Applicant ........................
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate...'~...~/~-
Fee Submitted: $..\~.~.,.~ .................. i~~.J
C'Ao .... . ....
Owner(s) Na~(s)
do(es) hereby state:
CONSENT
TO "
INSPECTION
, the undersigned,
That the undersigned (is) (are) the owner(s) o~ the premises in the Town
, which is shown and designated on the Suffolk
County tax map as District 1000. Section "~" . Block '~ . Lot ~
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th, Southold Town ]3uxlcling lnspet;L,,, .~ c, rr,'oo ro,o .~,, fnllnwin~:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described proper[y, includlng
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, includind'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 o~ the laws, ordinances, rules or regulations of the Town of Southold.
(signature)
(print name)
(signature)
SUFFOLK
S.C. TAX
SURVEY OF PROPERTY
SITUA TED A T
SOUTHOLD
TOWN OF SOUTHO/D
COUNTY, NEW YORK
No. 1000-75-06-11
1000-75-07-02
1000-75-07-0.5
SCALE 1"=100'
APRIL 29, 2000
TOTAL AREA = 2,380,231.72 sq. ft.
54.645 ac.
CERTIFIED TO.
FIDELITY NATIONAL TITLE INSURANCE
BRADLEY ANDERSON
FRANCES ANDERSON
COMPANY
OF NEW YORK
S.C. TAX No. 1000-75-06-11
S.C. TAX
S.C. TAX No. 1000-75-07-03
N.Y.S Lic. No. 49666
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
Joseph A. Ingegno
Land Surveyor
PHONE (651)727-2090 Fox (631)727-1727
20-18¢,