HomeMy WebLinkAboutZ-17547FORM NO.4
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE
Certificate Of Occupancy
Z17547 November 28, 1988
No.................. Date ................................
One family dwelling and accessory garage.
THIS CERTIFIES that the building ................................................
Location of Property .,405 Lake Drive Southold
House No. Street Hamlet
03 6
County Tax Map No. 1000 Section .. 80........Block ...............Lot ....1.............
Subdivision R e y d o n Shores ......Filed Map No. . 2. .....Lot No. 5
REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to theNtg1�Ntgggtij[[�0Tt7[>K744Sp1�fOh7EXf3[dcXric2h49t76iBtYcYX�ixeXiX
April 09, 1957 CERTIFICATE OF OCCUPANCY #217547
pursuant to which HKi&1'I*16l")9cK .....................
dated ...November 28 , ..1.9.8 8 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 and attached garage.
................................................................................
The certificate is issued to .....KENNETH RAPP
......................
(owner, XeXsBeYdF7fe3G3rittl
of the aforesaid building.
Suffolk County Department of Health Approval ..... N /A
...................................
UNDERWRITERS CERTIFICATE NO..............N/A
.................................
PLUMBERS CERTIFICATION DATED:
SEE INSPECTION REPORT
Rev. 1/81
N/A
�4. . 11 (..........
uil 1 g Inspector
BUILDIs;G DEP?RT:i�"iiT
TO;iN OF SOUTH OLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 405 LAKE DRIVE SOUTHOLD
�numoer do szreez) i•iunicipaiizy)
Subdivision Nap No. Lot(s)
Name of Owners)
KENNETH RAPP
Occupancy ONE FAMILY DWELLING
type (owner-zenarz)
Admitted by: SELF Accompanied by: SAME
Key available FIRST TOWNE REALTY Suffolk Co. Tax No. 80-03-16
Source of request
DWELLING :
owner
Date
Type of construction WOOD FRAME rstories 12
Foundation MASONRY Cellar PARTIATCrawl space PART
Total rooms, lst. F1 5 2nd. Fl 2 3rd. Fl
Bathroom(s) 1 Toilet room(s) )
Porch, tape Deck, type Patio, typeMASONRY
Breezeway XX Garage ATTACHED Utility room
Type Heat OIL 'alarm Air Hotwater STEAM
Fireplace(s) 1 No. E:cits 2 Airconditioning '-
Domestic hotwater xx Type heater OIL
Other
ACCESSORY STRUCTURES:
Garage, type const.—.-- Storage, type const.
Swimming pool Guest, type const._
Other MASONRY WALL, WOODEN FENCE IN NEED OF REPAIRS
VIOLATIONS: N.Y. State Uniform Fire Prevention
3z. R11 1rlincr rnrip
Location
Description lArt.1
Sec.
Ist floor
Need smoke detector I
3
717.5
cellar
Propane gas heater in cellar, chimney
connector is too close to combustibles
and heater is too close to oil tank
110
1005
cellar
Railing on cellar stairs
3
I 713
garage
3/4 hour fire rated separation required
between dwelling and an attached garage
3
717
Remarks:
Inspected b5r� Date of Insp. 11/16/88
THOMA J. ISHER Time start 2:20 end 3:00
U
A-
B.
C.
D.
4 FORM NO. 6 1l KI
TOWN OF SOUTHOLD 7
BUILDING DEPARTMENT
TOWN HALT BLDG.DEPT.
765 - 1802 TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings 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 of 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 solder used in system contains less
than 2/10 of 1Z lead.
5. Commercial buildings, industrial buildings, multiple residences and similar,
buildings and installations, a certificate of code compliance from the 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
and "pre-existing" land uses:
1_ Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $10.00
Addition to Accessory buildings, $10.00. - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $15.00
rev. 10/14/88
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BUT i.,Dl:�iG DEPART: -1E T
T0;i'N OF SOUTHOLD, N. Y.
HOUSIi,G CODE INSPECTION REPORT
Location 3o S Zak Z,, a
(nun, Der do s zreez
Subdivision
Name of Owner(s)
Occupancy
Map
,iunic ipai i ty
No. Lot(s)
(type U owner-Zenant
Admitted by: Accompanied by:
Key available f �sc�rr� 1�L/ Suffolk Co. Tax No. 10-3— I6
Soi ce of request o w n(4Fg Date
DWELLING:
Type of construction 1,0a b i7 Fr n mE `stories 1 �2--
Foundation22�� t � Cellar Crawl space p� _
Total rooms, 1st. Fl 2 2nd. F1 2 3rd. Fl
Bathrooms) Toilet room(s)
Porch, type Deck, type Patio,
Breezeway �/ G
typ e_ Y _
• arage Utility room
Type Heat 01 L 'alarm Air Hotwat er
Fireplace(s) ! No. Exits � Airconditioning j -
Domestic hotwater 4/ Type heater o� L
Other
ACCESSORY STRUCTURES:
Garage, type const. _ Storage, type const.
Swimming poolGuest t -'
.ype const.
Other 12 . �O
Remarks:
Inspected by:
Date of Insp.
1i/i6;
Time start(: " end
ntion