HomeMy WebLinkAboutZ-23877No Z-23877
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date SEPTEMBER 15, 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 155 (a/k/a #4) MIDDLETON RD. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 33 Block 5 Lot 19
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-23877 dated SEPTEMBER 15, 1995
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 ATTACHED GARAGE & ACCESSORY SHED
The certificate is issued to REGINALD B. HUDSON
(owner)
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 INSPECTmu RRPnRT_
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTIIOLD
110USING CODE INSPECTION REPORT
LOCATION: 155 (a/k/a #4) MIDDLETON RD. GREENPORT, N.Y.
number 6 street municipality
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER (s) REGINALD B. HUDSON
OCCUPANCY SINGLE FAMILY
Lype owner—tenant
ADMITTED BY: PENELOPE WINTERS ACCOMPANIED BY:
KEY AVAILABLE' SUFF.CO. TAX MAP NO. 1000--33--5--P3---
SOURCE
00 — — —
SOURCE OF REgUEST: PENELOPE WINTERS DATE: SEPT. 12, 1995
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION CEMENT BLOCK
TOTAL ROOMS: IST FLR.
BATII ROOM (s) ONE
PORCU TYPE — — —
CELLAR FULL
0 STORIES 1-1/2 1 EXITS 2
CRAWL SPACE
2ND FLR. 2 3RD FLR.
TOILET ROOM (s) UTILITY ROOM REAR ENTRY
DECK, TYPE NO PATIO 2 -either side of
hancP
BREEZEWAY - -- FIREPLACE _ NO GARAGE 2-1/2 CAR
DOMESTIC IIOTWATER YES TYPE HEATER
TYPE HEAT OIL WARM AIR
OTIIER: 2 ROOMS h 2 BATHS OVER GARAGE
ACCESSORY STRUCTURES:
ELECTRIC AIRCONDITIONING
IIOTWATER II
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. ACCESSORY SHED
SWIMMING POOL. GUEST, TYPE CONST.
OTHER: CEMENT BLOCK BARBECUE & POND RILTNS RID2NTNr PTT_
VIOLATIONS: CIIAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION 1 ART. SEC.
REMARKS:
INSPCCTED BY
M. BOUFIS
0
9 DATE OF INSPECTION SEPT. 13, 1995
TIME START 9:40 am
END 10:15 am
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1.802
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 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.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre.sxis ing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusua natu al or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, thea Buildii�g 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 e�istin�Guildine - $100.00
3. Copy of Certificate of Occupancy - $20.00 ry
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00
Date
New Construction.........�.!.... Old Or Pre-existing Building...... X......... /
Location of Property..../...................!i [�hLC y`On. .. d�......4?!�e��l
House No. / Street Hamlet
Onwer or Owners of Property.. ES�at e O t '44` zE�/
.................
-ounty Tax Map No 1000,,1 Section... ...... 131uck... ':!I�......... Lot ... ............
Subdivisi.on..l'��.7�.7 //� �.4................ Filed ...Lot..../..................
Permit No... 1114....... Date Of Permit ................ Applicant.4. S.T :.c'.t..l
health Dept. Approval..................Underwriters Approval...../Vv N �............
'lanning Board Approval. /U.�6�C
Request for: Temporary Certificate........... Final Certicate..... Illy ....
lee Submitted: $........................... •� d `.� 1 /�' `/�0 �'�'i
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MAP OF PROPERTY
DURWOOD I PATF21CIA BROWNE
AIT
GREEN PORT
TOWN OF SOUTHOLD N.Y.
comms
Y,
Aa T -5UFF CC. TAX MAP 4000_033-5-19.
T uwel
-14836
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NOTE:
LOT NOS. IZEFEP-TO BLOCK Z ON 'MAR OF, TIEETF 1ELD"t
FILEV IN 71-4E SUFE GO, CJLf Q-14�_-OrFICE AS MAP NO. 135 1.
SCALE -40-I*
AREA- 16 �575 S.F. {0-3-7( n lo&.C�
17: MONUMENT
TITLE t40- L11499w6-5 4
GUARANTEED TO
FLEET MORTGAGE 0 RIDGE PSSTRACT C0r2P.
AS SURVEYED SEPT. a '1995
ROPERICk VAN TUYLJPC.
LIC,LA"DSUIZVEY0f2S C -QE eN POIZT, qy.
tL88 10 50 E.
C,
*MOD
swzy
T7W4vvce
�C
Sew.
30
(D
121.25
MAP OF PROPERTY
DURWOOD I PATF21CIA BROWNE
AIT
GREEN PORT
TOWN OF SOUTHOLD N.Y.
comms
Y,
Aa T -5UFF CC. TAX MAP 4000_033-5-19.
T uwel
-14836
,rte F
S -
NOTE:
LOT NOS. IZEFEP-TO BLOCK Z ON 'MAR OF, TIEETF 1ELD"t
FILEV IN 71-4E SUFE GO, CJLf Q-14�_-OrFICE AS MAP NO. 135 1.
SCALE -40-I*
AREA- 16 �575 S.F. {0-3-7( n lo&.C�
17: MONUMENT
TITLE t40- L11499w6-5 4
GUARANTEED TO
FLEET MORTGAGE 0 RIDGE PSSTRACT C0r2P.
AS SURVEYED SEPT. a '1995
ROPERICk VAN TUYLJPC.
LIC,LA"DSUIZVEY0f2S C -QE eN POIZT, qy.
k
CONSENT
TO
INSPECTION
Owner(s) Name(s) _'
do(es) hereby state:
Ij
BLDG. DEPT.
TOWN OF SOUTHOLD
, the undersigned,
That the undersigned (,Os (are) the owner(s) of the premises in the Town
of Southold located at _�f /J7�`wLP7�aw fide
which is shown and designated on the Suffolk
County tax map as District 1000, Section 3.3 , Block 5— , Lot /9.O .
That the undersigned as (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.
Dated: c?/, X 4t;r
(s gnature)
��.�ao E � l✓/.�/Te�c's
(pf int name)
(signature)
(print name)
LOCATION:
nu
SUBDIVISION
NAME OF OWNER (s )
OCCUPANCY^L
.(ty
ADMITTED BY:
KEY AVAILABLE
SOIIIZCE OF REq!JEST:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE,INSPECTION REPORT
r & street
MAI' NO.
lmun
LOT(s)
Pa
ACCOMPANIED BY:
AX MAP NO . M^,
DWELLING:
TYPL OF C0NSTRUCTION /� } %'� ?�}z
� STORIES EXITS
FOUNDA'rION CELLAR (,� CRAWL SPACE
T'OT'AL ROOMS: IST FLR. 2ND FLR.3RD FLR.
BATHROOM (s) TOILET ROOM (s) UTILITY ROOM
PORCH TYPE -- DECK, TYPE P SIO
BREEZEWAY FIREPLACE ; ? GARAGE -
DOMESTIC HOTWATER4-�TYPE HEA'T'ER AIRCONDITIONING
TYPE HEAT WARM AIR IIOT'WATER
ACCEssnRY S•rRlrr.TllRt: q .
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMIN POOL ?ST, TYPE CONST.
OTHI.R. �'! rC/ /tee
--------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION A BUILDING CODE
LOCATION DESCRIPTION I ART. SEC.
I
REMARKS:
INSPECTED BY_DATE OF INSPECTION
TIME START / i END / i�
TOWN OF SOUTHOLD PROPERTY RECORD CARD
"I", /W_z.
OWNER
STREET 5
VILLAGE
DISTRICT
SUB.
LOT#z q- , y.� l�, Of 41
PS
:'.i ,• t+ �('� I-'
t
/ !IDDL,6 Td r✓ P
FORMER OWNER
N
E
ACREAGE7�
A L-(�
�2 e fie%� �i v, .
S
W
TYPE OF BUILDING
ACdsse
RES. � Jib
SEAS.
VL.
FARM
COMM.
I IND.
I CB.
I MISC.
( Est. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
OU f
5 w
Z�
00,
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE
FRONTAGE ON WATER
Form
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
O /4
Tillable 1
BULKHEAD
Tillable 2
DOCK
Tillable 3
Woodland
Swampland
Brushland
House Plot
Total
M. Bldg.
Foundation
C
Both
Extension I
41
I��k'
Basement
Floors
A -X iz�
Ext. Walls
Interior Finish
- -- ---- ----
Extension
Extension
Fire PlaceI�r%Heat
Porch
Porch
Roof Type
Rooms 1st Floor
Breezeway
Patio
r X
Rooms 2nd Floor
iGarage
Driveway
Dormer
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