HomeMy WebLinkAboutZ-29156 FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 29156 Date: 12/26/02
THIS CERTIFIES that the building DWELLING
Location of Property 755 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 035 Block 0001 Lot 023
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- 29156 dated DECEMBER 26, 2002
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, LARGE OLD BARN, TWO
WOOD SHEDS & ONE OUTHOUSE STRUCTURE
The certificate is issued to MELANIA FRENTZEL & WM.LAKOWITZ
(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 RE
Authorized Sig ure
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 755 MAIN RD GREENPORT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): MELANIA FRENTZEL & WM.LAKOWITZ
OCCUPANCY: SINGLE FAMILY MELANZA FRENTZEL & WM.LAKOWITZ
ADMITTBD BY: MELANIA FRENTZEL ACCOMPANIED BY: SAME
RSY AVAILABLH: SUFF. CO. TA7C MAP NO.: 35.-1-23
SOORCH OF RHQUEST: JENNIFER GOULD, ATTY 11/26/02 DATE: 12 26 02
DWELLING:
TYPH OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # H%ITS: 2
FOUNDATION: CEMENT HLOCK CHLLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 4 2ND PLR.: 2 3RD FLR.: 0
BATHROOM(S): 1.0 TOILHT ROOM(S): 1.0 UTILITY ROOM(S): SIDE
PORCH TYPE: DSCR TYPH: PATIO TYPH:
BRSSZHWAY: FIRSPLACH: GARAGE;
DOMHSTIC HOTWATHR: XX TYPE HEATER: NAT.GAS AIRCONDITIONZNG:
TYPE HHAT: NAT.GAS WARM AIR: HOTFIATHR: XX
OTHHR: BILCO DOOR
ACCESSORY STRUCTURES:
GARAGH, TYPE OF CONST.: WOOD-1-1/2 CAR STORAGH, TYPH CONST_: LARGE OLD BARN
SWIMMING POOL: GUHST, TYPE CONST_:
OTHER: 2 SHEDS WOOD & ONE OUT HOUSE STRUCTURE
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION ~ DESCRIPTION ART ~ SEC
RRMLRRS:
INSPECTED BY: ON INSPECTION: 12/03 02
JO M. BOIIFIS TIME START: 9:45 AM EMD: 10:15 AM
Form No. 6
TOWN OF SOUTHOLD ~
~,f 2 6
BUILDING DEPARTMENT
TOWN HALL ~
765-1802
_ T _ F
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 I% 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 Apri19,1957) non-conforming uses, or buildings and "pre-existing" 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
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 Building - $100.00
3. Copy of Certificate of Occupancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. November 26, 2002
New Construction: Old or Pre-existing Building: %R (check one)
Location of Property: 755 North Road Greenport
House No. Street Hamlet
Owner or Owners of Pro er Melania Frentzel and William Lakowitz
P h'~
Suffolk County Tax Map No 1000, Section 35 Block 1 Lot 23
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 100.00
Applicant gnature
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~•{n4' c5 '92 94~97Pf^ SOUTHOLD BUILDIPdG E31 765 9592 P.1
CONSENT TO INSPECTION
Jennifer B. Gould, Esq. attorney for the owners
the undersigned, do(es) hereby state;
Owner(s) Varne(s)
attorney for
That the unclersi~tl.ed ((ts) the b~vner(s) of the p ises in the Town of
Southold, located ai 755 Nort~oad, Greenport, ~Y
which is shown and designated on the Suffolk County Tax Map as District 1004,
Section 35 ,Slack 1 .Lot 23
That the undersigned (has) (have) filed, ar cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: pre-existing
certificate of occupancyfor one-family dwelling with detac e
frame barn detached frame Qarage and three detached accessory frame
storage. buildings
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Tow*t of 5lrthn?,d to en?•~ uran th; above described pxope.7y, rc;udng a:ty 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 prenuses
comply with all of the laws, ordinancxs, nrles and regulations of the Towxt of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and underst~ttw?.inl; ,.Lt,t :u:j~ ::;•c:7nati•.,u ol~taincd in thG out~di.c t cf such inspections may
bo used in subseouent prosecutions for viaie-Ttc:rs rz Tne• ~av~~; or~inanccs, ruies or
xegulations of fns 'town of Southold.
n-~°-'• November 26, 2002
ennifer
(Print Name)
(Signature)
- , :'a iau is cut,' .
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-
765-1802
BUILDING DEPT.
1 NS~ECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE ~ CoHIMNEY
REMARKS: ~ 1~e
DATE INSPECT ~
SURLY O~ i'ROi~~RTI'
SITUr4TE: GREENPORT N
TOWN: SOUTHOLD
' SUFFOLiG COUNTY, NY w el s E
SUFFOLK COUNTY TAX LOT ~ ; ~
~ 1000-35- I -23
SURVEYED II-IS-02
II Q;SR'A~~ T®:
Irlelania ]Ftentzel
William II.atowitz
~ommonvvealth I.and'll'itle
' Insurance Company
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AREA = 24,186 S.F. OR 0.56 ACRES JOHN C. FREERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 I~,
j GRAPHIC SCALE I"= 30' RIVERHEAD, N.Y. 11901
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369-8288 Fax 369-8287 REF.\\IIp server\d\PROS\02-329.pro ~i