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Home My WebLink AboutZ-26299FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: 2- 26299 THIS CERTIFIES that the building DWELLING Date: 02/24/99 Location of Property 80 MIDDLETON RD & 68200 CR48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 033 Block 0005 Lot 016 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- 26299 dated FEBRUARY 24, 1999 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 ONE CAR GARAGE * The certificate is issued to ARTHUR E & ANDREA NICHOLS (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. ' W'9-/r� 01 Buil ng Inspec or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 80 MIDDLETON RD & 68200 CR48GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ARTHUR E & ANDREA NICHOLS OCCUPANCY: SINGLE FAMILY DWELLING ARTHUR E & ANDREA NICHOLS ADMITTED BY: PAUL HEPFERMAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 33.-5-16 SOURCE OF REQUEST: PAUL HEFFERNAN - 2/16/99 DATE: 02/24/99 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CONCRETE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 2ND FLR.: _Q. 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED REAR -SCREEN * DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: ONE CAR DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: BASEBOARD WARM AIR: HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION E BUILDING CODE _ LOCATION ! DESCRIPTION ART. } SRC : : i i REMARKS: INSPECTED BY: MICHAEL J. VERITY H DATE ON INSPECTION: 02/22/99 TIME START: 11:00 AM END: 11:30 AM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCi 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. 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - % .25e. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date f'W .yy�.. I . I. l I .................... _v Construction.......p..c�.. Old Or 1Pre-existing Building... X.......... kation of Property... D. t ... "ai �1�S� rl..� -b-P, 0...4��..1 let House No. Street H rareror Owners of Property. A. .. ..................... . nmty Tax Map No 1000, Section :.3..........Block.. 5 ..........Lot..�G ................. tbdivision. F. .fVt) :D .................Filed Map ............ Lot ...................... trait No................Date Of Permit ................ Applicant ............................. talth Dept. Approval..........................Underwriters Approval......................... .anning Board Approval ........................ %quest for: Temporary Certificate........... Final Certicate...�i� �..... ee Submitted: ............... A?PLICANT ss �o ►� �/Y/CA V45 l'! n �1 oP,-r -t ROAD • � I r E j w N, Q s T3 sa' t p' W_ S TS 0 8� W C � O i b1�.i.vt ruwrbars sb.owr. 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X40'= t' O = .++oti.ea..c►+i . trot- pip& s Gt.a�trQenf:ed +�+ fi►,t 4•ao�.te Tii1G Qivisior� — � Chi.;.q o Titw i":Si~+Yov+co Ce_ 4 -44+e ScMil+otis Wirt 'f �O•'k 0% 2yNR4w4: ",Opt, Cr., {9co+b ! m VOLN LIYL r I l_ictrti3ati il3r�• F(rvtudr.� CONSENT TO INSPECTION the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (ice (are) the owner(s) of the premises in the Town of Southold located at \UAA which is shown and designated on the Suffolk County tax map as District 1000, Section 3 Block Lot l Y 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 inspection: 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. DatedfL1�1 � � M Si re) IW (print na e) (signature) (print name) LOCATION: BUILDING DEPARIIIENT TOWN OF SOUTHOLD HOUSING CODE. TNSPE.CTTON REPORT SUBDIVISION NAME OF OWNER (s) OCCUPANCY MAP N0. LOT (s) ADMITTED BY: pear,"-lp-H*ti%uACCOMPANIED BY: KEY AVAILABLE ` SUFF . CO. TAR MAP NO. ` SOURCE OF REQUEST: -� DATE: / Ga DWELLING: TYPE OF CONSTRUCTION # STORIES # EXITS FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD qLR. BATHROOM (s) �Z- TOILET ROOM (s) UTILITY ROOM PORCH TYPE� �, �.�ECK, TYPE �— PATIO, TYPE - - // BREEZEWAY FIREPLACE (/ GARAGE DOMESTIC HO TER TYPE HEATER ( AIRCONDITIONING TYPE HEAT - &<:� WARM AIR HOTWATER OTHER: . ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: TTTnT ATTrMC. STORAGE, TYPE CONST. GUEST, TYPE CONST. CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I . DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION 7— TIME TIME START END