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Home My WebLink AboutZ-27471FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27471 THIS CERTIFIES that the building DWELLING Date: 12/15/00 Location of Property 285 AKA#6 MIDDLETON RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 033 Block 0005 Lot 020 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- 27471 dated DECEMBER 15, 2000 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 * The certificate is issued to R WILLIAM MUELLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 285 MIDDLETON RD GREENPORT SUBDIVISION: NAP NO.: LOT (S) NAME OF OWNER (S): R WILLIAM MUELLER OCCUPANCY: SINGLE FAMILY R WILLIAM MUELLER ADMITTED BY: MARY A. MUELLER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 33.-5-20 SOURCE OF REQUEST: WM. PRICE, JR., ATTY 12/11/00 DATE: 12/15/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EKITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST PLR.: 5 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: SCREENED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE BEAT: OIL WARN AIR: HOTWATER: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: WOOD SHED GUEST. TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: BP42 COZ1781-ADD-B 62697 NEW HEATDC INSPECTED BY: M. BOUFIS - CO Z-27472 DATE ON INSPECTION: 12/14/00 TIM START: 10:05 AM END: 10:50 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1$02 APPLICATION FUR CERTIFICATE OF OCCUPANCY t. 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 19, 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. 3. 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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,.December.ll.,..2000 , ., . .... ......... ::cw Construction........... Old Or Pre-existing Building..,.X............ t.ocation of Property .... M ..................q cj�leton. Road.. Greenport,, House No. Street Hamlet Onwer or Owners of Property... ,.. Mary .A.. Mueller. , . ......... `. _ ....... . ............. • ` . . . County Tax Map No 1000, Section... 033: 00 ,,Block.,05.00........ Lot. 020.000 ............ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. !lealth Dept. Approval..........................Underwriters Approval.......................... !Ia nning Board Approval ........................ :request for: Temporary Certificate........... Final Corticate.......... 1'ee Submitted: $.,lo . 00 .................... y!................................ •APPLICANT William H. Price, Jr. I CONSENT TO. Ir William H. Price, Jr. the undersigned, Owner(s) Name(n) Attorney/Agent do(es) hereby state; Attorney/Agent for the That the undersigned (is) (mnxx# the owner(s) of the premises in Ilia Town of Southold located at 285 Middleton Road, Greenport, New York which is Shown and designated on the Suffolk County tax map as District 1000, Section 033.00 Block 05.00 Lot 020.000 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: Pre -Existing Certificate of Occupancy 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 nvith 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 undeestanding 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: December 11, 2000 (signature) William H. Price, Jr. (print name) 0 3�za 3J�oo� .<Ioz� o.9LjwoE.¢ S; 2coa /7 ,ON LOCATION: 6 SUBDIVISION NAME OF OWNER (s) OCCUPANCY ivwd Uk SUUTHULU HOUSING CODE INSPECTION REPORT r S street) ' - "' Imuniciority MAP N0. LOT (s) T— (type) 7 owner -tenant ADMITTED BY: /%%� e6,e ACCOMPANIED BY: /►1�.._ KEY AVAILABLE. SUFF. CO. TAX MAP N0. SOURCE OF REQUEST: DATE: lu��G✓6� DWELLING: TYPE OF CONSTRUCTION UZKd /U4WL- # STORIES # EXITS FOUNDATION col - CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. 3RD PLR. BATHROOM (s) � . TOILET ROOM (s) ^ UTILITY ROOM PORCH TYPE C ?-oe4Q./1/ Q d DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE Y!ft/1/� DOMESTIC HOTWATER TYPE HEAT OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL GARAGE TYPE HEATER ��i�,ijj)�et AIRCONDITIONING WARM AIR HOTWATER iL STORAGE, TYPE CONST. 4" �L--0.1* , GUEST, TYPE CONST. OTHER: ----- ------------ ------ ----�.��_ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE. LOCATION REMARKS: \ INSPECTED BY: DESCRIPTION S'i to - M ART. /vo L_f DATE ON INSPECTIObt I.J1f TIME START - END —�'�`--'-,-�- SEC. ti t 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ROUGH PLBG. [ ]FOUNDATION 2ND ` [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMAR� Ir UFA