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Home My WebLink AboutZ-30627 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30627 Date: 12/13/04 . THIS CERTIFIES that the building DWELLING Location of Property 530 MIDDLETON RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 040 Block 0005 Lot 004 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- 30627 dated DECEMBER 13, 2004 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 The certificate is issued to MARY ZIPKAS (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. Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 530 MIDDLETON RD GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : MARY ZIPKAS OCCUPANCY: SINGLE FAMILY DWELLING MARY ZIPKAS ADMITTED BY: J. KEVIN MCLAUGHLIN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 40.-5-4 SOURCE OF REQUEST: KEVIN MCLAUGHLIN 11/30/04 DATE: 12/13 04 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: BRICK DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NO GARAGE: ATTACHED DOMESTIC HOTWATER: YES TYPE HEATER: STEAM AIRCONDITIONING: TYPE HEAT: GAS WARM AIR: HOTWATER: GAS* OTHER: *SEPARATE GAS HOT WATER HEATER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: NONE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE ON INSPECTION. 12/10/04 GEORGE GILLEN TIME START: 10:15 AM END: 10:40 AM Form No. 6 TOWN OF SOUTildLD . BUILD YNC DEPARTMENT TOWN I41LL 765-1802 - DEC t APPLICATION FOR CCRTIFICATL' OF OCCUP.ANCYj,,'- A. ; This application muse be filled in b t '. inspuccor with chu following, y yPowricer OR ink and sublaitced to cht:-building 1. Final survey of ro� , I'• Iuc n`"w building or new usu: P perey with accuracy location of all buildings, property lines, scrcucs, and unusual natural or copographic feature, 2. Fillal Approval front Ilealtli Deg)c. of wacar supply anti sewerage-disposal(S-9 form) . 2- AP13roval of electrical inscallucion from Board of Fira Underwricars. 4- Sworn scact2merlc from plwubur curCifying chat Chu suldur used in syst::iu contains lus:: than 2/10 oe ly lead. 5. Cuuuuercial building, industrial building, multiple residences and similar buildings and installations, it cerci::icace of Coda Compliance from archicece. or engineer re::ponsibla for the building. b• Subutic Planning Board Approval of completed site plan requirements. . :!. For existing buildings „ b (prior to April 9, 1957) non-conforming uses, or buildings and pre-uXl:.ClIll;" land U:ie:i: I. Accurate survey of property showing all property lines,' streets, building; and unu::ual natural or topographic f4acures. 2. A properly completed applicaciuil and a consent co inspect signed by the applicant. If a Curtificace of Occupancy is denied, the Building; Inspector shall state the ruasons therefor in writing co cite applicant. 0. Fees 1. Cartif icace of Occupancy - New dwelling 425,00, Additions Co dwelling $25.00, Alterations Co dwelling $25.00, Swiuuning pool $25.UU, Acces::ory buildilig; $��.00 Addiciocls Co accessor buildin ; �� r 2. Y I $�5.00. Bu::inu:;"s $50,00. Curcificace of Occupancy on Pre-existing Building; - $IUU..00 3. COg,y of Certificate of Occupancy - $5.00 over 5 yer;; - $10.00 ��• Updated Cercificace ;I of .Occupancy - $50-.00 5. Temporary Carcificace of Occul)a,lcy - Residential $15.00, CommoreialL $15.00 Dace . . . .60. "L:w Construccioli. . . . . . . Old Or Pre-(uxi:-ti p- BuildI • • •• . \�� n . . . . . . . I-Ocacion of Property. . . . ..3� , \� . . .. . . .:. e -�. . , . ., . . .G��. . Hausa No. - . • . . . . . . Screec Ilainlec )iIuer or Owner,, of Prol�crty. . . * {-. . . . . . 4. . . . . ... �..�: . • C;.�� e. . . . . . .. . . . . . . . . . . . . . ll I ��(( ; � Uc�=aunty Tax Map No 1000, Seccion do:OO . . . . . . . ot. .L . . . . . . . . ... . . . . . . . . .. . . . . . . :ubdivision. .�. ... . . \T: . . . . . . ...Filed Map. . . . . . . . . . . . . . . . . . . 'urmic No. . . . .. . . . . . . .. . .Date Of Permit. . •. ... ... ... . .APPlicant. . . . . . . . . . . . . . . .. . . .. . . . . . . . . Ivalch Depe. Approval. . ••.• • .••..• • : •• .• .., ....Uildcrwricers Approval. . . .. . . . .'tanning Board Approval. . . .. . , , , ,.... .... . . .. .. t.rque!;c fur: Temporary Cercificacu. .... . .. . .. Final Cart 'cace. . .�•• , Subuli'tted: $. . . . . ..... ... (&,,a 0230GA7 ' j ■■■■■■■■■■■■■■■MEN ■■■■N■■■■■■■■■■■■■ ■■■■■ZiN■■■■■■■■■■■■■ ■■■®®�■■li''d■III■■■■■■ ■■■N■OMM■■1■ID■I . SEEM ■■■f N■Niisei■■■■■■NN ■■■■■■.�i■■■■■■■■■■■ ■■■■■N■■■■■ Foundation . . . Interior Porch Patio Rooms 2nd Floor TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 5, C) VILLAGE DISTRICT SUB. LOT,#3 t�FORMER WR N E . ACREAGE 9� �� S W TYPE OF BUILDING RES. Ijb SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Yh DU boa � U AGE BUILDING CONDITION NEW NORMAL BELOW. ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland Swampland Brushland ' House Plot Total SURVEY OF LOT 3 MAP OF FLEETF IELD " FILED FEDWARY b,M42.FILE No. 1351 SITUATEa {EAR VALLAME OF GRIEENPORT w E TOWN: SOUT14OLV SUFFOLK CXVKI Y, W �q�� . s SURVEYED 11-15-2004 r � T-0 SWFOLK COUNTY TAX+� 1000-40-5-4 9 t JesM Shaw �•', YJ� jo>AaemCA " -A c 4 1 tar` 1 t 0 ul ti , ,� ��'' �'z S Lit (1:,��•'.;x!'• ;•ct°� y -.....�....e.�.��. MOTES= • N1pI.1Jl-�T FOUND AREA =g240 5F or 0-2I ocre5 JO17.N C. MLERS LAND SURVEYOR 6 EAST MAIN STi EKr N.Y.S.LIC.NO.5OM2 GiZAPHIG SCALE I"- 20 RIVLRHFAD.N.1 119D1 369,828E Pax 369.3487 _1 yROS�(14-321.pro CONSENT TO INSPECTION Owners) Name( CAS the undersigned, do(es) hereby state: • Ci�{b P Vt C� �C'71r'^��• ' . That the undersigned (is) (are) the`-(owner(s) of the premises• in.the Town Of Southold located at �� %-hich is shown and designated on the Suff6lk County tax map as District 1000, Section C40 , .Block (55� Lot OCR . That the undersigned (has) (have) filed, or caused to be filed, `an applica- tion in the Southold Town Building Inspectors Office for the following: ccfAccs�,_, , 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,,p the To o uthold. D ate d: ( gnature (print name) y (signature) (print name)