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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 I of a.9e.eann ueoamanls and Sottn 'o Uaammle o-wa