HomeMy WebLinkAboutZ-27518FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 27518
THIS CERTIFIES that the building DWELLING
Date: 01/17/01
Location of Property 145 FOUNDERS PATH SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 064 Block 0002 Lot 030
Subdivision
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- 27518 dated JANUARY 17, 2001
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 JOHN & MARTHA OHLMANN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
7
_ J
uth ized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 145 FOUNDERS PATH SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): JOHN & MARTHA OHLMANN
OCCUPANCY: SINGLE FAMILY JOHN & MARTHA OHLMANN
ADMITTED BY: JOHN OHLMANN ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF_ CO_ TAX MAP NO.: 64.-2-30
SOURCE OF REQUEST: JOHN & MARTHA OHLMANN DATE: 01/11/01
DWELLING:
TYPE OF CONSTRUCTION: WOOD
FOUNDATION: CINDER BLOCK
# STORIES: 1.0 # EXITS: 3
CELLAR: PART CRAWL SPACE:
TOTAL ROOMS:
IST FLR.: 5
2ND FLR.: 0
3RD FLR.: 0
BATHROOM(S):
1.0
TOILET ROOM(S): 0.0
UTILITY ROCK(S): MUD
PORCH TYPE:
FRONT ENCLOSED
DECK TYPE:
PATIO TYPE:
BREEZEWAY: FIREPLACE: NONE GARAGE:
DOMESTIC HOTMATER: YES TYPE HEATER: NATURAL GAS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: X
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 1 CAR WOOD/ NO ELECTRIC STORAGE, TYPE CONST.: SCREENED SHED
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
INSPECTED BY: / LCGv- ( DATE ON INSPECTION: 01/11/01
TIME START: 10:20 END: 11:05
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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 o� 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..
J"pre-existing"
For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
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 is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
t1. 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 Building - $100.00
3. Copy of Certificate of Occupancy - .25Nn
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date✓/`.... .4.' ...... 20401 . ....................
New Construction....... Old_ Or Pre-existing Building.
Building.!?.. ..
Location of Property..( 4.s- , .FC1 L) N D.t R $ i-iE T.., �''ovih.D I� i1I* %19x/
... . . ..... .... .. ... .
House No.%+Street Hamlet
Onwer or Owners of Property......../'/A, j. .'.l fly/.H! ..!y'�t!!1/ . ................... .
County Tax Map No 1000, section... X4 ......Block .... ..........Lot.?.Q.................
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: $........... If.Q...............
PA(2 Sg qq g r ....tG APPLICANT ............................. .
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SFO LAND
GUARANTEED TO
LAWYERS TITLE INSURANCE CORP.
8 - 670594
67038 4
5.
Lot 48 I Lot 54
140. 7;
Aron.
Unauthorized alteration or addition to this survey is a violaticn of
section 7209 of the Now York State Education Law.
Copies of this survey map not bearing the inked
seal or emf:cssed $eol and surveyor's
•ha11 nor be cc;ie l ra bo valid r�ny,
Guarantees or certifications indicated hereon shall run only tc the
person for whom the survey is prt=;F:r;,.=d,
title ceand an his behalf tc Ih>
mponY. 9o�e%,r.,cnto; ogcncy ar:d b.nding institution
hereon, and to fhe ossignees of the I:ndina institution, Guarantees
or certifications Ore not tronsfe;ob!c to edditronol institutions or
—2f)"nuent owners,
SURVEY OF L OT 49 and PIO LOT 50
MAP OF FOUNDERS ESTATES Filed titor/O, /927 No
SOUTHOL D
TOWN OF SOU THOL D
SUFFOLK COUNTY, N.Y
FOR ✓OHN and MARTHA OHL MANN
WILLIAM G. MEIER
Wading River, N.Y
Land Surveyor
N.Y. State License No. 21656
Surveyed - 1- 7- 73
Scale I.,_ 30
Map No. 733495
N
O
N
Lot 49
. N
o O. Lot5.5
g. m
at
t&; N
P10 Lot 50
ti (r
. u O
u m0n_`{d O. '
133 89
P10 LOt50
Lot56
Unauthorized alteration or addition to this survey is a violaticn of
section 7209 of the Now York State Education Law.
Copies of this survey map not bearing the inked
seal or emf:cssed $eol and surveyor's
•ha11 nor be cc;ie l ra bo valid r�ny,
Guarantees or certifications indicated hereon shall run only tc the
person for whom the survey is prt=;F:r;,.=d,
title ceand an his behalf tc Ih>
mponY. 9o�e%,r.,cnto; ogcncy ar:d b.nding institution
hereon, and to fhe ossignees of the I:ndina institution, Guarantees
or certifications Ore not tronsfe;ob!c to edditronol institutions or
—2f)"nuent owners,
SURVEY OF L OT 49 and PIO LOT 50
MAP OF FOUNDERS ESTATES Filed titor/O, /927 No
SOUTHOL D
TOWN OF SOU THOL D
SUFFOLK COUNTY, N.Y
FOR ✓OHN and MARTHA OHL MANN
WILLIAM G. MEIER
Wading River, N.Y
Land Surveyor
N.Y. State License No. 21656
Surveyed - 1- 7- 73
Scale I.,_ 30
Map No. 733495
CONSENT
TO
INSPECTION
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 ] �S✓ Foutide RS `�Aiii ) 5ou J-,d�Q
AJ, 1 2 ZZ which is shown and designated on the Suffolk
County tax map as District 1000, Section , Block 2– , Lot .30
That the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
//-/CAL %L -
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: 46 _
(signature)
(print name)
(signature)
d1le rti�v
(print name)
/Q TOWN OF SOUTHOLD PROPERTY RECORD CARD
2,9
OWNER
STREET
VILLAGE
DISTRICT
SUB.
LOT –4�—f
S0 HIV 0//LMgA/41 p wP
f IND.
I CB.
I MISC.
I Est. Mkt. Value
LAND
FORMER OWNER
N
E
ACREAGE
' q
REMARKS
Ll
S
W
TYPE OF BUILDING
RES. �
SEAS.
VL.
FARM
COMM.
f IND.
I CB.
I MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
Ll
Z)
S-00
.3,300
qroG
2/17/
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD 3 0 8
tillable 1
BULKHEAD
-illable 2
DOCK
"illable 3
voodland
swampland
rush land
louse Plot
otal -00"
�+
�'
W14 1TI-:-
B_ �g,
0 6 6 y
Bath
Extension X �f5
�.
I i
Basement
i
Floors
I � '
i
k,SA
Interior Finish
I
W14 1TI-:-
B_ �g,
Foundation
Bath
Extension X �f5
�.
6
Basement
Floors
Extension
Ext. Walls
k,SA
Interior Finish
Extension
-
-
Fire Place
� e
Heat
a L
i
Porch
Roof Type
- A 0d,''
j
'
Porch
Rooms 1st Floor
Breezeway
Patio
Rooms 2nd Floor
I
Garage
O. B.
_
^_
Driveway
Dormer
lvwa ur SUU•1HULU
HOUSING CODE INSPECTION REPORT
LOCATION:
number & street . municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) ,G,s f"Al
OCCUPANCY
(type) owner -tenant o '
ADMITTED BY: /�/ E'I/y, G�.,�.►., ACCOMPANIED BY:
KEY AVAILABLE SUFF. CO. TAX MAP NO.L" . 6 �I—OZ —
SOURCE OF REQUEST: , I�� �i �!/1/ DATE:
DWELLING:
TYPE OF CONSTRUCTIONS # STORIES # EXITS
FOUNDATION (f CELLAR
RG}4,� CRAWL SPACE
TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD PLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOMLt� /
PORCH TYPEAe^40 T_ DECK, TYPE PATIO TYPE
BREEZEWAY
DOMESTIC HOTWATER -jo- _
TYPE HEAT
OTHER:
FIREPLACE �AJdre-&— GARAGE
TYPE HEATER AIRCONDITIONING
WARM AIR HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. /&h W&WEG(, TORAGE, TYPE CONST JZ�
SWIMMING POOL , GUEST, TYPE CONST.
OTHER:
--- ---------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION
TIME START 11Lt= END / ; (Qs