HomeMy WebLinkAboutZ-34836 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- 34836 Date: 02/14/11
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 465 MIDDLETON RD (AKA 12) GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 040 Block 0005 Lot 013
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- 34836 dated FEBRUARY 14, 2011
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 AND ACCESSORY GARAGE WITH ATTACHED CARPORT.*
The certificate is issued to BEVERLY B LUHRS
(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.
c
//Aut orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 465 MIDDLETON RD (AKA 12) GREENPORT
SUBDIVISION: MAP NO_: LOT (S)
NAME OF OWNER (S): BEVERLY B LUHRS
OCCUPANCY: ONE FAMILY DWELLING BEVERLY B LUHRS
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF_ CO. TAX MAP NO.: 40.-5-13
SOURCE OF REQUEST: JOAN TYRER, REAL ESTATE AGENT DATE: 02/14 11
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUKDATION: CONCRETE CELLAR: 3 4 CRAWL SPACE: 1 4
TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOK(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTNIATER: STEAM
OTHER: BP 2165 ADDITION COZ1725
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME STORAGE, TYPE CONST.: CARPORT NEXT TO GARAGE
SW33BEENG POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART SEC
REMARKS: RE-INSPECTED 2/10/11
INSPECTED BY: a DATE ON INSPECTION: 01 21/11
i
GARY J F TIME START: 10:00AM END: 10:30AM
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
_ TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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 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
l. 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$50.00.
2. Certificate of Occupancy on Pre-existing Building- 100.0�
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. Of C2 d l
New Construction: Old or Pre-existing Building: (check one)
Location of Property: too
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section — D Block �' Lot % .3
Subdivision r'1 Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $
pplicant Signatur
i
CONSENT TO INSPECTION
dA" the undersigned,do(es)hereby state:
O er(s)Name(s) .
That the undersigned{is)( )the own of the premises in the,Town of
Southold, located at ly, �
which is shown and designated on the Suffolk County Tax Map as District 1000'
Section �1 a ,BIock �S-. ,Lot
That the undersigned(has) (kaw)filed,or cause to be filed, an application in the
Sou old Town Building.Inspector's Office for-the following:
Q-o d
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
complywith.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 in-subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold:
Dated: L d oq
C/ Si ?ature
— (Prime)
(Signature)
(Print Nargc) . .
zz TOWN OF 'SOUTH®LD MROPERTY RECORD CARD
OWNER STR Er _. y VILLAGE DISTRICT SUB. LOT -W
izl
FORMER O NER E U ACREAGE
Qr/'P Cam •
c S' W TYPE OF BUILDING fps
RES. 1 `D -SEAS. VL. FARM COMM. I IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS n
yJ Vi y ter '
.� I -L 114 1z �3 _ Sao raod�s N
% ' / llog -L Zq Ia - S Si--+b N, G,. . .
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
■■■■■■■■■■■■■■■■■■■
fi ■■■■■■■■■■■■■■■■■■■
r ■■■■■■■■■■■■■■■■■■■
WKEEMEMEMEME
N■■■■■ ■VE■■■■■■■■
sin ' a - � ii iiu .a ..y @ _ - ■■■■■ ■■■■■■■■■FoUndation
,
< k
loom
Ext. Walls Interior Finish
Fire Place
Rooms 1 st Floor
Rooms 2nd Floor
• / WMA w
LOCATION:
(number& street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner-tenant)
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000-
SOURCE OF REQUEST: DATE:
DWELLING: Jn�
TYPE OF CONSTRUCTI N: �l/� j #STORIES- 8KS2— #EXITS:
FOUNDATION: CELLAR:--�- —CRAWL SPACE:
TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR:
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: FIREPLACE: _ GARAGE:
DOMESTIC HOTWATER:-f= TYPE HEATER:071 Bf �(,� AIRCONDITIONING:
TYPE HEAT.-_a f g WARM AIR: HOTWATER: -,M� n
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 6J 6-74k STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER: '
VIOLATIONS: CHAPTER 144 &N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
5 �
REMARKS:
INSPECTED BY: N DATE OF INSPECTION-:
TIME START j�� END: /�
SUR\/EY OF LOT 6, 5EGTION 2 N
"MAP OF ELEETEIELD"
FILED-FEBRUARY b, 1a42, FILE No. 1351 E
51TUATE: 6REEN'ORT
TOWN: 5OUTHOLD S
5UEEOLK COUNTY, NY 9
SURVEY OI-05-2011 0 9
SUFFOLK COUNTY TAX #
1000 - 40 - 5 - 13
0, 9
cCEI TI=TO: ®� O 0 o
BEVER LY 3.ILIUHRS
70
GO��R O
GQ o -„
`9 e -
�` apt o�(Qa 42•�t ' o
o ° of
`15 V, O
(yam G6 �jQ�� x alth 0\06y 0100 9 O
o O ',loot d��Je�Qy
o�
\ �E of NEby Y� °6-thorized alteration or oddltton to a survey
C. EH4,c map bewtag a land surveyors seal I>a
`L1s�` lolation of anaensed
e New York uca StatedEdlion Law..''
NOTES. A m°O ly copies from the o gi al of this s vey
-+A K orked wRh an or'0 l of the lane surveyor's
i( `` stamped seal shall be considered to be valid trve
MONUMENT FOUND Geytifl at r.p eka[ed hereon slg lFy that his
d In accordance with the ex-
/ _ O Is[kig God,of Practice For Land Surveys adopted
GRAIN LINK FENCE o� 1 �`� ry[he Ne��wk S ate Association oy Ph.11 era
—X—X—X— V Lto tSurvoyors. Sam carhflc—,et 11 rvn only
N Q to the far whom[he eurve Is d,
and an hls behalf W the title company,go rorvnen-
5 tat agency and lending In>tltutl-listed here and
WOODFENCE LH o lha assig yes of the lending InstltuVol,.Oertiflca-
-O—O—O— }�'j�'—i7 (�� pore wo not[rwnFeroble Lo odditionai I etltutlorm
Area = 10,359 S. F. OR 0.2515 Acres
JOHN C. EHLER LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LIC.N0.50202
GRAPHIG SCALE 111
= 20' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287
REF.—C:\Documents and Settings\Owner\My Documents\My Dropbox\10\10-194.pro
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