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HomeMy WebLinkAboutZ-34836FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34836 Date: 02/14/11 THIS u~KTIFIES that the building DWELLING AND ACCESSORY I~Dcation of Pro~-ty 465 MIDDLETON RD (~ 12) (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 040 Block 0005 Subdivision Filed Map No. __ Lot NO. __ GREENPORT (HAMLET) Lot 013 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCcu~ANCYNU~E~ Z- 34836 dated FEBRUARY 14, 2011 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 AMD ACCESSORY GARAGE WITH ATTACHED CARPORT.* The certificate is issued to BEVERLY B LUHRS (OWNER) of the aforesaid building. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOUSING CODE INSPECTION REPORT (~: ONE FAMILY DWELLING 465 MIDDLETON P.D (AKA 12) GP. EENPORT ~ NO.: LOT (S) BEVERLY B LL~S ~ A%5~-ILABLE: ~U~F. CO. T~X NAP ~wO.: 40.-5-13 S~C~ OF REQ~: JOAN TYRER, REAL ESTATE AGENT ~I~T~: 02/14/11 ACCESSORY STRUCTURES: C~, 77~ OF CO~ST.: WOOD FRAME STOP.~E, TYPE C~ST.: CARPORT NEXT TO GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ;%RT. SEC. P.~: RE-INSPECTED 2/10/11 DAE O~ I~REC"I'IC~: 01/21/11 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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. Be For existing buildings (prior to A_pril~9 1~95~7) non-conforming uses, or buildings and '.'.pre-e__xjs_t. igg" land uses: 1. Accurate survey of p'f6p~-~-h~wing all property lines, streets, building and unusual natural or topographic 2. A properly completed application and consent to inspect signed by thc 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 dwetling $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~l~0~0 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: .J~ Suffolk County Tax Map No 1000, Section Subdivision ~ Iqg~l~--~l Date. (~ ,t~7~ I.,J ~ (.,,.--~ / D°/ Old or Pre-existing Building: Street / ' Block ~ Lot 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: $ licant Signatur/ CONSENT TO INSPECTION O er(s) N n (s) That tho ~un~d~gned (is) (~'~.) tho owne~ ortho premises in the Town of Southold, located at Z/~,q'/~to~x~/_eT~/,.~ /~'~ ~ ~/~--,'~,'dd.l~_T~,~./~ which is shown and desiguated on tho Suffolk ~ouaty Tax Ma~ a~ District 1000, Section p/c~ ,Block %~- ,Lot / ~ That the undersigned (has) (Imve) filed, or cause to be filed, an application in the/ Sou¢old Town Building Inspector's Ottiee forthe following: ffA°~ ~- f/~a7 That the undersigned do(es) hereby give con~ent to ~he Building Inspectors of t~e 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, inc!udiag inspections to determine that said premises comply with all of the laws, ordinances, rules and'regUlations .of the Town of Southold. The undersigned, in ~onsenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspeetinns may . be used in.subsequent prosecutions for violations of the laws, ordinances, roles or , regulations of the Town of Southold. [Signature) '(Signature) (Print Name) TOWN OF SOUTHOLD PERTY RECORD CARD OWNER FOPJV~ER 0~/h~ER co. RES, ~,/~ sEAlsff VL. VIL~GE E F W DISTRICT SUB. ACREAGE TYPE OF BUILDING LAND IMP. TOTAL FARM DATE Est. Mkt. Value Total Brushland House Plot Swampland Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland AGE BUILDING CONDITION NEW NOPJV~AL BELOW ABOVE FRONTAGE ON WATER Farm ' Acre Value Per Acre Value FRONTAGE ON ROAD ~: __ Porch R~f Type Porch Roo~ 1st Flor Breezeway Patio Rooms 2nd Floor o... ~~i~ ~ '~ ~ LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): OCCUPANCY: MAP NO.: (municipality) LOT(S): (type) (owner-tenant) ADMITTED BY: KEY AVAILABLE: SOURCE OF REQUEST: ACCOMPANIED BY: SUFF. CO. TAX MAP NO. 1000- DATE: DWELLING: TYPE OFCONSTRUCTIQN: ~ F~/~/'~ #STORIES: ~ ~EXITS: '~ FO~DATION: ~ CELLAR: 3/~ C~ SPACE: TOTAL ROOMS: 1ST ~R: ~ 2ND FLR: ~' 3~ ~R: ~ BATHROOM(S): PORCH TYPE: BREEZEWAY: DOMESTIC HOT_WATER: TYPEHEAT: ~ OTHER: TOILET ROOM(S): UTILITY ROOM: DECK, TYPE: .... PATIO, TYPE: FIREPLACE: ~ GARAGE: __ TYPE HEATER: O~cF 1~,~ (.,t..x.__ AIRCONDITIONING: WARM AIR: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST SWIMMING POOL: OTHER: STORAGE, TYPE GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION . DESCI~IPTIyN ART SEC. A .... REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: /O; END: SURVEh" OF: LOT 6, SECTION 2 "MAP OF FLEE'I-FIELD" 51'T'UATE: C.~ENPORT TOI,',IN: 5,0UTHOLP 5,UFFOL..K. C, OUNTY, NY' 5~RVE¥ OI-O~-2OII SUFFOLK COUNTY' TAX # I000 - 4-0 - .5 - I~ NOT5~ HONUN~NT FOUND CHAIN LINK FENCE 1,~00 D FENCE Area = 10,~5~1 ®RAPHIO ~OALE I"= 20' ~o~ ~0% ~ ©o N W ~,z + S E JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERI-IEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-C:XDocuments and Settings\OwnerWIy DocumentsLMy Dropbox\10\10-194.pro