HomeMy WebLinkAboutZ-20468FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-20468 Date JANUARY 10, 1992
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 155 OLD SHIPYARD LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 5 Lot 2
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-20468 dated JANUARY 10, 1992
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 ONE CAR WOOD FRAME GARAGE*
The certificate is issued to MARTIN J. SCHNEPF, JR. & ORS.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
BUILDI14G DEPARTMENT
TO11N OF SOUTHOLD, N. Y.
° HOUSING CODE: INSPECTION REPORT
Location 155 OLD SHIPYARD LANE SOUTHOLD, NEW YORK
number & street I;Aznicipality
Subdivision Map No. Lot(s)
Name of Owner(s) MARTIN J. SCHNEPF, JR. 6 ORS.
Occupancy A-1 Res. OWNER
(type)
owziez -tena t)
Admitted. by: MARTIN SCHNEPF Accompanied by: SAME
Key available
Suffolk Co. Ta=t �1o. 64-5-2
Source of request MARTIN & THOMAS SCHNEPF Date DEC. 30, 199
DWELLING
Type of construction WOOD FRAME #stories 2
Foundation CEMENT BLOCK Cel.lar PARTIAL Crawl space
Total rooms, lst. F1 4 2nd. Fl_ 2 3rd. Fl
Bathroom(s) 1 FULL BATH Toilet
Porch, type FRONT SCREENED Deck, type_
rooms) ONE
Patio, type
BreezewayGarage Utility room
Type Heat LILCO GAS `alarm Air Kg Hotwater
Fireplace(s) NONE No. Exit:! 2 Airconditior,ing
Domestic hotwater YES Tyne heater LILCO GAS
Other REAR ENTRYWAY
ACCESSORY STRUCTURES:
Garage, type const. 1 CAR WOOD Storage, type const.
FRAME
Swimming pool_ Guest, type const.,
Other
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by:
Date of Insp. DEC. 30, 1991
Time start 11:00 end 11:20
FORM NO.6
TOWN OF SOUTHOLD
Building Department
JAN 1 Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted to smaxa r to the Building Inspec-
tor 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 or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1, Certificate of occupancy $25.00 -- BUSINE� S�p W .00
2. Certificate of occupancy on pre-existing dwelling $ G6. 00
3. Copy of certificate of occupancy $ 5 .00 , over 5 years $10.00
4.Vacant Land C.O. $'20.00
5 . Updated C.O. $'50.00 Date -Y\ .. `\ ..........
P
NewConstruction,,,,,,Old orPre-existing Building ... X ....... Vacant Land .............
Location of PropertyL1\!Z
House No. ��jj�� Stre r Hamlet
Owner or Owners of Property .J...`�, { n .. .ir�1�� � ................................
County Tax Map No. 1000 Section ...V\\ ........ Block ......T_Z�........ Lot. . Q.......... .
Subdivision .................................Filed Map No. ..........Lot No. .............
PermitNo. .......... Date of Permit ..........Applicant ..................................
Health Dept. Approval .................. ....Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final der Acate .... X.. bo .
Fee Submitted $ J.Q.e �y ................... j 1
Construction on above described building and permit mel
�f
qq,, 9 Ann icantGAIR
Rev. 10.10.76 '7n
CUTCH,0GUr:, 11935
�. . yi �y
c0����6�
all appl'e6ble codes a regulations.
' ... ............
CONSENT
TO
INSPECTION
Owner(s) Name(s
do(es) hereby state:
k4
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
—T
�c•hich is shown and designated on the Suffolk
County tax map as District 1000, Section �', Block 1�; , Lot I -
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion iri'the Southold Town Building inspc:cw. o.rri�o ror +hn fr)llowing:
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: A; ✓ted 57�
gnature
(print name) �,Cfi % p
a. Yn,; �,7L
(signature)
14
i 1 -ti o MC\..i A ..S c:1, h gy=p
(print name)
on Q'
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/0010 - -s- Z TOWN OF SOUTHOLD P*OPERTY RECORD CARD
OWNER
STREET
VILLAGE
DISTRICT
SUB.,
LOT
arfi' TOroj
FORMER OWNER
.Acj(l 7-
N
E
ACREAGE
c1 �'
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STYPE
OF BUILDING
zy -i S C.ti-,
RES.0
SEAS.
V.
FARM
COMM.
I IND.
I CB.
I MISC.
I Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
r12 dDI
q 6 12
Z Z;
7 Zzz
1 -SC h ne
sf
S'Cne{�Sr#&S
9oa
3�
AGE
BUILDING CONDITION
NEW
NORMAL,
BELOW
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
Tillable I
BULKHEAD
Tillable 2
DOCK
Tillable 3
Noodland
swampland
'
3rushiand
-louse Plot'
-otal
r:
y S4
M. Bldg.
y� 0
I
Foundation
x--14 GIL
Both
Extension
8 X _ y
I
Basement
ae?
Floors
f�
t
Extension
_
.
,V
ti w
p K
//
'� 4 --
I
" '74 e r
--
-- ----- — — —
Extension
UX t 7 a / ft
n ,
Fire Place
Heat
(} ,
I �#
s
Parch
Roof Type
M. Bldg.
y� 0
Foundation
x--14 GIL
Both
Extension
8 X _ y
Basement
ae?
Floors
O
Extension
_
.
Ext. Walls
//
'� 4 --
Interior Finish
---
" '74 e r
--
-- ----- — — —
Extension
UX t 7 a / ft
n ,
Fire Place
Heat
(} ,
I �#
s
Parch
Roof Type
/Uri
0
Porch
Rooms 1st Floor
Breezeway
s a
7
Patio
--
Rooms 2nd Floor
-- ------
--
-- — --- -`--
iScrege
o-
1
a y
Driveway
Dormer
'
3
-
BUIL-I::;,
TO'1i•T Or "C;,iT:--:GLD, ;1. Y.
F'OU' IIG
CC 7 INE 1 RE_ GRT
�"IG;;
Loca tion
SULdivision
No .
N211 -e of Owner(s) Mme.
Occupancy 911eed
(t rpP-)
a
Key available
Source of request
l�iu7�cl�a zy)
Lots)
enar.-1 J
'Ac,--uma,;nied by: -_
iSuf folic Co.
Tax No.
Date
MEL LING:
Type of cons-
truction
Foundation I'stories_
_�_CellarCraal space
Tonal rooms, lst. Fl
2nd. Fl 2— 3rd, Fl
Bathroom(s)
Porch, ty-p e -
Toilet rooms)
-
Deck, type Breezeway type
Garage �-- —_.
Ty-oe,HeatUtility room
�c.o arm Air
Fireplaces) OA16Ho L,'nater
No. E::its y
Domestic — Aircor_di tioni. �.
ho t�•�at er_
Other TyP e heater o
ACCESSORY S'rQTTC- T. -S:
Garage, type const./ torz�
S"vzmming pool b e, type const.
Other Guest, type const.
VIOLATIONS:
Lncation
CHAPTER 45--N.y.STATE UNIFORM TIRE nn NTION & BUILDING CODE
T,avrv••• �
Art. I S'nn _
Remarks:
IncDected by: !i
ate of Insp. y
-Time start /__en =T� _