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Home My WebLink AboutZ-19571No Z-19571 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date DECEMBER 10, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING (a/k/a 22 Middelton Rd.) Location of Property 875 Middleton Rd. & 40 Wilmarth Ave./Greenport,NY House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19571 dated APRIL 9, 1957 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 * The certificate is issued to ESTATE OF EVELYN L. HUDSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ui ding Inspector Rev. 1/81 BUILDI-.G DEPART:IENT TOWN OF SOUTHOLD, N. Y. HOUSI77G CODE INSPECTION REPORT Location 875 Middleton Rd. & 40 Wilmarth Ave. Greenport, N.Y. (numoer 6( street) (14unicipality) Subdivision clap No. Lot(:,) Name of Owner(s) ESTATE OF EVELYN L. HUDSON Occupancy (VACANT) ONE FAMILY DWELLING (type) owner -tenant) Admitted by: HELEN SMITH Accompanied by: SAME Key available Suffolk Co. Tax No. 40-5-24 Source of request Date D?'IELLING : Type of construction FRAME itstories 1-1/2 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. F1 Ti 2nd. Fl 2 = 3rd. Fl- Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage Utility room Type Heat OIL Warm Air Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater Type heater Other • ACCESSORY STRUCTURES: Garage, type const. FRAME Swimming pool Other Storage, type const. Guest, type const. VIOLATIONS CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Remarks: Inspected/ Date of Insp. AUG. 307 1990 THOMAS FIs R Time start 10:55 end 11.20 u 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. f 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. For "pre-existing" 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 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 re -ex s nQ ui ing - $100 3. Copy of Certificate of Occupancy - $5.00 over 5 years -_. $10.00 4. 5 Updated Certificate of Occupancy - $50.00 T emporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... �j/ :3�� ............... . New Construction....... �... Old Or Pre-existing Building .... f ............ � ,c Location of Property......f,(1.iQbf4�4F�.,c�;4�11jkimx/Xl ............c3�. House No. ,rte Street Haml t .. Onwer or Owners of Property.�li� County Tax MapNo 1000:(s, Section .... �140....... Block ...... :.......Lot.. �. Subdivision. j.�;............Filed Map../ . / .. .............S// Permit No................Date Of Permit................ Applicant...l.�l. L ....... Health Dept. Approval..........................Underwriters Approval.......................... Planning Board Approval ........................ / Request for: Temporary �Certificate ........... Final Certicate.. K ...... Fee Submitted: $....' Y::} ................. mac, `i 0965 ®uC42-►9571 •�...✓.. 7 `:... .... ` ................ . APPtic ANT BUILDIP:G DEPART iE'NT T04 -N OF SOUTHOLD, N. Y. HOUSE INSPECTION REPORT Location'Y zzl, lnumoer d( street Subdivision Name of Owner(s) Map No. cip9lity _Lot(s)_ i Occupanc, tye owner -ten t) Admitted by:4fj22jjkAccompanied by: =5'aVVL' i Key available Suffolk Co. Tax No. - Source of request Date DWELLING: 00, Type of construction #stories / Xz._ FoundationCellary�P Crawl space v - Total rooms, 1st. Fl 2nd. F1 Z 3rd. F1 Bathroom(s) Toilet room(s) Porch, type Deck, type Patio, type_— Breezeway Garage Utility room 4 Type Heat ,r�% Warm Air Hotwater ✓� Fireplace(s)�— -No Exits 3. Airconditioning Domestic hotwater �� Type heater Other ACCESSORY STRUCTURES: Garage, type const. LG Storage, type const. Swimming pool Guest, type const. Other 17 -cog Remarks: Inspected bY::�l_(.49 / Date of Insp. Time s _end Z/1 ntion tv, 8-17, 36 50 �,F We A11tA W4 -A 0 CHAR ce 0 CHAR Lj 17 - Ki BAt CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at (i(/ County tax map as District 1000, which is shown and designated on the Suffolk �j� Section !i cJ , Block t>"', Lot 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: 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. D ate d: r1a3 4 (signature) i (print name) (signature) (print name) ras-�2y TOWN OF SOUTHOLD 40PERTY RECORD CARD Doa—� OWNER STREET VILLAGE DISTRICT SUB. LOT 1 W1LM1qt?rh r9vE ./t',/_ -/- / i% iB�ocK ytR FORMER DOWNER N E V ACREAGE y FeetcP/e W TYPE OF BUILDING �Z RES. D SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value ' LAND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 70 Woodland Swampland Brushlond •� w House Plot Total J i I M. Bldg. y 7.4F jjj Foundation Both Extension Basement _ V Floors Lti Extension y� Z �� Ext. Walls Interior Finish Extension Fire Place Heat s� G I Porch Roof Type 4 kel Porch Rooms 1 st Floor Breezeway OV Patio 16 f(4 -S, Rooms 2nd Floor �. Garage L( tl) Driveway Dormer 3 o. B. A✓, C. n