HomeMy WebLinkAboutZ-24390 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EBISTING
CERTIFICATE OF OCCUPANCY
No Z-24390 Date MAY 31, 1996
THIS CERTIFIES that the building ONS FAMILY DWELLING
Location of Property 390 (a/k/a] #7) MIDDLSTON RD. GRSENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 40 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-24390 dated MAY 31, 1996
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 ONS FAMILY DWELLING
The certificate is issued to MAURSEN JOHNSON & RICHARD POWSLL
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASS SSS ATTACHED INSPECTION REPORT.
ld' g inspector
Rev. 1/81
BUILUING UEPAR'I'MEN'l'
'TOWN OF SOUTHOLD
i HOUSING CODE INSPEC'I'[ON REI'OR'I'
LOCATION: 390 MIDDLETON RD. GREENPORT, N.Y.
number A street-- municipality
SUBDIVISION MAY NO. LO'f(s)
NAME OF OWNER (s) MAUREEN JOHNSON ~ RICHARD POWELL
OCCUPANCY A-1 RES. OWNER
type owner-tenant
ADMI'fTCU BY: BRANDY ANGEVINE ACCOMPANIED BY: S~ _
KEY AVAILABLE S[H?F.CO. TAX MAP NO. 1000-~$~$-~
SOURCE OF RE(2UES'f:__WILLIAM H. PRICE, JR. LATTY llATE: MAY 15 - 1996 _
DWEi.).ING:
'I'YPL' OP CONS'1'RI1C'I'ION WOOD FRAME / STORIES ONE 1 EXITS 2
I'OUNDATION CEMENT BLOCK CEi.1.AR FULL CRAWI. SPACE
'f0'fAI. ROOMS: IST Pi.R. 5 2ND P).R. 3RD FLR.
IIA'I'll ROOM (s) ONE 'fO l LE'f ROOM (s) _ _ 11T 1 L 1'I'Y ROOM
PORCIl TYPE DECK, TYPE _ PATiO
BREEZEWAY FIREPLACE LILCO _ GARAGE _ _
DOMES'T'IC H01'WATER YES TYPE HEATER GAS AIRCONDI'fiONING
TYPE HEAT OIL WARM AIR 110'1'WA'1L'R S~~-_
OTLIER
ACCESSORY STRUCTURES: NONE
GARAGE, 'TYPE OP f.ONS'f._______ STORAGE, 'T'YPE CONST.
SWIMMING POOL Gl1EST, TYPE CONST._
OTNER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILUING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTEll BY llATE OF INSPECTION MAY 31, 1996
Ga J Fish TIME START 9:40 END 10:00
Form No. 6
~!J ~ TOWN OF SOUTHOLD
BUILDING DEPART'D;NT
~ MAY 2 81996 £ f TOWN HALL
tt 765-1802
BLDG. DEPT.
TOWN OF SOtm-ini n ,~ppLICATION 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 lx 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-existing" 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 Pre-existing Buildia¢ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5: ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ..May.15'..1996
Vew Construction........... Old Or Pre-existing Building...XX............
vocation of Property.... Middleton Road,. Greenport,. ,New .York
House No....• ....Street. Hamlet
~nwer or Owners of Property.. , , Richard .L. Powell and Maureen J : Johnston .
~ounty Tax Map No 1000, Section..., 040..,,,,glock..,,,005.,, ,,,,Lot.. 002.
subdivision ....................................Filed Map............Lot........................
?ermit No ................Date Of Permit................Applicant.............................
3ealth Dept. Approval ..........................Underwriters Approval.........................
?lanning Board Approval
request for: Temporary Certificate........... Final Certicate...XX.
'ee Submitted: $.......100.00
.
S fJ/
~3q~ William Fi. Price~Jr.
ry ~ ~ ~ ~ d U ~ _ s _~T-
i
uA '
~Y 28~ CONSGN'1'
T~
TOWN OF SOtfiFlOlD ~ 1 tV `i l' I G" 1' 1 U N
William H. Price, Jr., attorney-a~-law
- . the undcrsil;ned,
do(c;s) hcrel>,y stale:
attorneyy for the
That the nndet•slf,ned (is) bcffCx>E the/otvner(s1 of 11+e premises in the 's'own
of Southold located al 7 Middleton Road, Greenport, New York
u•I+ir_h I;; shown and cli~si~;naled on the SuCCnll:
County tax rnap as llistrlct IUO(1, Section _40 I3loclc 005 loot 002
'T'hat the undersigned (has) (have) filed, or caused to be filed, an applica-
tion in the Soulholcl `i'otwt 13uildini; Inspector's Ufflce for the follotvinf~:
one-story ,frame house '
'T'hat the undersigned do(es) hereby give consent to the 13uildh+g Inspectors
of the 'I'owa of Southold to enter upon Lhe above described property, including
any wind all UulldMgs located thereon, to conduct such inspections as they uu+y
deem necessary with respect to the afot•esaid application, including inspectlons
to determine that §nld premises comply with all•of the laws, ordinances, rules
and ref;ulations of the 'I'own,aC Southold.
`T'he +utderslgned, to consenting to such iuspacllons; doles) so with the
luum•ludge and understru+dU+t, that any iuforulaltou oblcth+ed ht the conduct o[
such inspections inuy be used as evidence in subsequent prosecutions [or vio-
l.rllons of the laws, ot•dlnauces, rules o?• re(;ululions of the 'l'ows of Southold,
i/
llatr,d; May 15, 1996
William H. Price. Jr.
(print name)
' (sittnnturu)
...r. _
(print name)
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