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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 09 0 J 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. 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 ---------- 0. B. P e0*111 � '—*N