HomeMy WebLinkAboutZ-28165FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28165 Date: 12/28/01
THIS CERTIFIES that the building DWELLING
Location of Property 2345 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 035 Block 0001 Lot 027.002
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- 28165 dated DECEMBER 28, 2001
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 COVERED PORCH, SECOND FLOOR DECK, CARPORT
AND BRICK PATIO.*
The certificate is issued to FRANK J MCINTOSH & ANO, TRUST.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1/11/02 Pending
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTI
Rev. 1/81
N/A
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2345 MAIN RD GREENPORT
SUBDIVISION: MAP NO.: IAT (S)
NAME OF OWNER (S): FRANK J MCINTOSH & ANO, TRUST.
OCCUPANCY: SINGLE FAMILY FRANK J MCINTOSH & ANO, TRUST.
ADMITTED BY: ROBERT HUGHES ACCOMPANIED BY: SAME
KEY AVAILABLE:
SOURCE OF REQUEST:
SUFF. CO. TAX MAP NO_:
DATE: 12/28/0
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.5 # EXITS: 3
FOUNDATION: BRICK CELLAR: CRAWL SPACE:
TOTAL ROOMS: IST PLR.: 6 2ND FLR.: 5 3RD FLR.: 0 *
BATHROOM(S): 2.0 TOILET ROOM(S): 2.0 UTILITY ROOM(S): YES
PORCH TYPE: SIDE, FRONT, REAR DECK TYPE: SECOND FLOOR PATIO TYPE: BRICK
BREEZEWAY: FIREPLACE: 7 GARAGE: CARPORT
DOMESTIC HOTWATER: X TYPE HEATER: ELECTRIC AIRCONDITIONING: YES
TYPE HEAT: GAS & ELEC WARM AIR: X HOTWATER:
*
OTHER: UNHEATED ATTIC
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY: DATE ON INSPECTION: 01/08/02
M BOUFIS TIl03 START: 10:10AM END: 10:55AM
Form No. 6 n O
TOWN OF SOUTHOLD
BUILDING DEPARTMENT f2
TOWN HALL D 15 D
765-1802
�2 8' 3
APPLICATION FOR CERTIFICATE OF OCCUPAN
This application must be filled in by typewriter or ink and submitted to the Building
A. 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-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 Building - $100.00
3. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Old or Pre-existing Building:
Date. % 2
c�lal
(check one)
Location of Property: 36i )/ / /r i rV cs) 1-I �, l0O 6L
House No.10_Street _ Hamlet
Owner or Owners of Property: 4 -,l tin/ 7e -
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ j 0 6, U 0
Block
Filed Map.
Underwriters Approval:
Lot 27. .Z
Lot:
Final Certificate: (check one)
� X ArU
\/ pph/'nt Signature
� t AV
z 7. 2
_ TOWN JFISOUTHOLD
PROPERTY RECORD CARD
OWNERSTR
VILLAGE
DIST.
SUB.
Lc5 S
FORMER OWNER
NE
ACR.
_
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- R.� , 13.
y� ,.yF-�
{'gy
W
TYPE OF BUILDING_
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o 47;4 ,�,'i.
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f
f
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SEAS.
VL.
FARM
COMM. CB.
MISC. Mkt.
Value
LAND
IMP.
TOTAL
DATE
REMARKS
O 'J
/ 0 r7
-1 0
,
4 , „ r:
a0
BU I CONDI 13 i y6 —
�C. �% j -e�Li
�' re �F'�{
NEW
NORMAL
BELOW
ABOVE
1✓Ic�niySho NL
FARM
Acre
Value Per
Value
Acre
Tillable 1
Fillable 2
"illable 3
n o
_
S /4 4 - /i3 b D /j 6"
Voodland
-�—
`� `I
wampland
FRONTAGE ON
WATER
;rushland
FRONTAGE ON
ROAD
a+
louse Plot
DEPTH
BULKHEAD
otol
DOCK
n r
J
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
( ] FIREPLACE A CHIMNEY
REMARKS:
DATE I o p-
CONSENT
TO
INSPECTION
vwnerts) Name(s
do(es) hereby state:
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 23.
which is shown and designated on the Suffolk
County tax map as District 1000, Section X'_ , Block ( , Lot '? 1
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.
Dated:-Z&l"/
i74
(signati
�yJ%s
(� tsignature) 11
Kid .8 1- % . �/V 4 A/ 4r1
(print name)
1p Commonwea" 'I DBY
A LA DAMERICA COMPANY COMMONWEALTH LAND TrrLE INSURANCE COMPANY
DURABLE GENERAL POWER OF ATTORNEY
NEW YORK STATUTORY SHORT FORM)
THE POWERS YOU GRANT BELOW CONTINUE TO BE EFFECTIVE SHOULD YOU BECOME
DISABLED OR INCOMPETENT
Caution: This Is an Important document. it gives the person whom you designate (your "Agent') broad
powers to handle your property during your lifetime, which may include powers to mortgage, sell, or otherwise
dispose of any real or personal property without advance notice to you or approval by you. These powers will
continue to exist even after you become disabled or incompetent. These powers are explained more fully in
New York General Obligations Law, Article 5, Title 15, Sections 5-1502A through 5-1503, which expressly
permit the use of any other or different form of power of attorney.
This document does not authorize anyone to make medical or other health care decisions. You may execute a
health care proxy to do this.
If there is anything about this form that you do not understand, you should ask a lawyxplain it to you.
THIS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant j r15 of the
New York General Obligations Law:
r f'R2/�N1� ;J c N; osM 23� �id -a (l f� 'w�:t, 414 do hereby appoint:
11 (insert your name Ind address)
IZO P61-79 j Pa- i c -S n l i-, Rc A -p O 121 v -W7 N i✓( J%
(If 1 person is to be apprOinted agent, Insert the name and address of your agent above)
(If 2 or more persons are to be appointed agents by you insert their names and addresses above)
my attorney(s)-in-fact TO ACT
(If more than one agent is designated, CHOOSE ONE of the following two choices by putting your initials In ONE of the blank spaces to the left of your choice)
[ ] Each agent may SEPARATELY act. [ ] All agents must act TOGETHER.
(If neither blank space is initialed, the agents will be required to act TOGETHER)
IN MY NAME, PLACE AND STEAD in any way which I myself could do, if I were personally present, with respect to the
following matters as each of them is defined in Title 15 of Article 5 of the New York General Obligations Law to the
extent that I am permitted by law to act through an agent:
(DIRECTIONS: Initial in the blank space to the left of your choice any one or more of the following lettered
subdivisions as to which you WANT to give your agent authority. If the blank space to the left of any particular
lettered subdivision Is NOT Initialed, NO AUTHORITY WILL BE GRANTED for matters that are Included In that
subdivision.
Alternatively, the letter corresponding to each power you wish to grant may be written or type on
the blank line In subdivision "(Q)", and you may then put your Initials
In the blank space to the left of
subdivision
"(Q)" in order to grant each of the powers so indicated.)
[ ] (A)
real estate transactions; [ ] (M)
making gifts to my spouse, children and
[ ] (B)
chattel and goods transactions;
more remote descendants, and, parents
[ ] (C)
bond, share and commodity transactions:
not to exceed in the aggregate $10,000
[ ] (D)
banking transactions;
to each of such persons in any year;
[ ] (E)
business operating transactions; [ ] (N)
tax matters;
[ ] (F)
insurance transactions; [ ] (0)
all other matters;
[ ] (G)
estate transactions; [ ] (P)
full and unqualified authority to
[ ] (H)
claims and litigation;
my attorney(s)-in-fact to delegate any
[ ] (1)
personal relationships and affairs;
or all of the foregoing powers to any
[ ] (J)
benefits from military service;
person or persons whom my
[ ] (K)
records, reports and statements;
attorney(s)-in-fact shall select;
[ ] (L)
retirement benefit transactions; ri�LAtQ)
each of the above matters identified, by
the following letters:—
(Special provisions and limitations may be included in the statutory short form durable power of attorney only if they conform to the requirements of Section 5-1503 of
the New York General Obligations Law.)
This Durable Power of Attorney shall not be affected by my subsequent disability or incompetence.
If every agent named above is unable or unwilling to serve, I appoint
(insert name and address of successor)
to be my agent for all purposes hereunder.
To induce any third party to act hereunder, I hereby agree that any third party receiving a duly executed copy or
facsimile of this instrument may act hereunder, and that revocation or termination hereof shall be ineffective as to
such third party unless and until actual notice or knowledge of such revocation or termination shall have been
received by such third party, and I for myself and for my heirs, executors, legal representatives and assigns, hereby
agree to indemnify and hold harmless any such third party from and against any and all claims that may arise
against such third party by reason of such third party having relied on the provisions of this instrument.
This Durable General Power of Attorney may be revoked by me at any time. /
IN WITNESS WHEREOF, I have hereunto signed my name thiq_ ,� day of ,V.a , 4-ovl
(You sign here:) 0
(Signat re of Principal)
Form 2229-2 —with Uniform Acknowledgment (See over for acknowledgment)
TO BE USED ONLY WI THE ACKNOWLEDGMENT IS MADE IN NE "ORK STATE
State of New York, County ofc. . ss:
On the 3 day of in the year 2-00(
before me, the undersigned, personally appeared
personally known to meor proved to mon the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the indivicjpal(s) acted, executed the irystrumQRt-)
(signature and office off indi idual taking acknowledgment)
f U:AN KOWAlM
C..'—V.'cbkStdocIMM Y4
No.47341M2
Duiiwd h &/Olt
CamdMMS NM11t • b �
State of New York, County of ss:
On the day of in the year
before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
me that he/shelthey executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment)
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
Slate (or District of Columbia, Territory, or Foreign Country) of ss:
On the day of in the year before me, the undersigned, personally
appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and
that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,
executed the instrument, and that such individual made such appearance before the undersigned in the
in
(insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken)
DURABLE POWER OF ATTORNEY
NEW YORK STATUTORY SHORT FORM
Title No.
kcs
Distributed by
Commonwealth
ALA DAumcA COMPANY
COMMONWEALTH LAND 11TLE INSURANCE COMPANY
(signature and office of individual taking acknowledgment)
SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS
Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
SURVEY OF PROPERTY
OV'' ° j A-AL.\C\V°���� a
a 2�� �l SITUATE: NEAR GREENPORT
�Co �Ur,� ° , O TOWN OF SOUTHOLD
2
j NA -12 �� SUFFOLK GOUNTY, NY
5URVEYED 06-Iq-c1b
5UFFOLK GOUNTY TAX #
r ' 1000 - 35 -1 - 2-7.2
L
-1 \ GERTIFIED TO:
FRANK JUSTIN MGINT05H
MARK T. ANDER50N
MERRILL LYNGH GREDIT GORPORATION
FIDELITY NATIONAL TITLE IN5URANGE
GOMPANY OF NEW YORK - #FNT9b15bO5
NOTE5:
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V5
amt �°��-
2 2AA'
coJe�ed �_
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\ Q1
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\ ro
t
CO a �0 2�1
■ MONUMENT FOUND
O PIPE FOUND
[a. J i J_ .-.1D HEDGE
AREA = 1.33 AGRE5
REFERENGE DEED: L 11715 P 862
o00 fo
� V:,3
t,
op;4
�,oop
s
1
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Ar
1AND Svc
JOHN C. ERS LAND S
6 EAST MAIN STREET
RIVEHHEAD,N.Y. 11901
369-8288 Fax 369-8287
'wavtnonad alteration oraddition to • ur,
!ao pear mea uc.naea land .ur.eyor'• .e.laI. !
vio l at on I section 7209. a.. -o lvlamn 0, of tM
New yore Stet. Education lee.
'Only caoin 'ram the o1.91na1 of this survey
ae.mareea witM1 a ri9Cnna of the ladd surveyor 'a
oa eel nal lea. id,ree to oe vid true
comm
Teruif—tions inematea ner.on eIV,,, flet tela
survey was preoar.e i with in. e.-
latfny code m drac UcenfoI Lena -'a adoot:a
py the No yore State .lssocfatlon of Vrdf.:.,Ot I
Lana Surveyors. Said certifications shell run only
to the oeroon for wdon the done. fa or 0.
and his penal) to the title [oseed, ki—n.ln-
tal agency and lending Institution listed hereon on.
to coma arrennot of M1raEl. to aaClll.,.. Ins[ lull...
N.Y.S. LIC. NO. 50202
YOH I
REFERENCE # 98-019311
I;s
LOCATION: cK 0 , G I' -,q /!✓
(number & street) (municipality)
SUBDIVISION:
NAME OF OW]
OCCUPANCY:
I—
LOT($):
'VAI—Wr3
(type) (owner -tenant)
ADMITTED BY: �vla ACCOMPANIED BY: ' �—
KEY AVAILABLE: F.CO. TAX MAP NO.1000- 72--,
SOURCE OF REQUEST: ,/u DATE:
DWELLING: /
TYPE OF CONSTRU ON: &9_vt.e #STORIES:
EXITS:
FOUNDATION: CELLAR: CRAWL SPACE:
TOTAL ROOMS: 11T FLR: 2ND FLR: 3RD FLR.-$kZ 1s�
BATHROOM(S): ' AL TOILET ROOM(S): o UTILITY ROOM
PORCH TYPE: fZ441. /DECK, TYPE: look- • PATIO, TYPE-;
BREEZEWAY: FIREPLACE: F GARAGE:
DOMESTIC HOTW TER: TYPEHEATER:.,y;1': �= AIRCONDITION G:'
TYPE HEAT: / A f&,fS-,,�'?�-WARM AIR: HOTWATER:
OTHER:!/Go
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I _ DESCRIPTION. e I ART. I SEC.
REMARKS:
INSPECTED BY:
DATE ON INSPECTION:/r/
TIME START: Zo t ` END: � `