HomeMy WebLinkAboutZ-33745 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of. the Building Inspector
Town Hall
Southold, N.Y.
l
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33745 Date: 05/28/09
THIS CERTIFIES that the building DWELLING AND ACCESSORY
Location of Property 415 GLENWOOD RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No.• 473889 Section 137 Block 0005 Lot 017.003
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 33745 dated MAY 28, 2009
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.*
The certificate is issued to RUETTIGER FAMILY TRUST
(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.
A horized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 415 GLENWOOD RD CUTCHOGUE
SUBDIVISION: MAP NO_: LOT (S)
NAME OF OWNER (S) : RUETTIGER FAMILY TRUST
OCCUPANCY: SINGLE FAMILY DWELLING RUETTIGER FAMILY TRUST
ADMITTED BY: MIKE PAUTKE ACCOMPANIED BY:
KEY AVAILABLE: SUFF_ CO_ TAX MAP NO_: 137.-5-17.3
SOURCE OF REQUEST: DEBORAH DOTY, ATTY DATE: 05/28/09
•
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0'# EXITS: 2
FOUNIDATION: CEMENT CELLAR: PART CRAWL SPACE: PART
TOTAL ROOMS: 1ST FLR_: 6 2ND FLR.: 2 3RD FLR_: 0
BATHROOM(S): 1.0 TOILET ROOM(S) : 1.0• UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: X 'TYPE HEATER: GAS AIRCONDITIONING:
TYPE HEAT: GAS WARM AIR: X HOTWATER:
OTHER: HOT WATER HEATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST_: 14.2' .X 22.2' WOOD FRAME STORAGE, TYPE CONST.c
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION' ART. SEC.
RTZMAJ?KS:'
INSPECTED BY: ^ / — DATE ON INSPECTION: 05/28/09
BP14203 DECK/ALT COZ16470 TIME START: S@ID:
' contact: Deborah Doty, Esq.
Form No.6
TOWN OF SOUTHOLD 734-6648
Owner's # 734-6409 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 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. Copy of Certificate of Occupancy-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00
Date. 5/27/2009
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 415 Glenwood Road, Cutchogue
House No. Street Hamlet
Owner or Owners of Property: Edwin J. Ruettiger & Joan P. Ruettiger, as Trustees
Suffolk County Tax Map No 1000, Section 137 Block 5 Lot 17.3
Subdivision 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: $ 100.00
`dwelling & detached garage
C,� ��J3� Applicant Signature
CONSENT TO INSPECTION
as Trustees
Edwin J. Ruettiger & Joan P. RuettigeThe undersigned,do(es)hereby state:
Owner(s)Name(s)
That the undersigned(is) (are)the owner(s) of the premises in the Town of
Southold, located at 415 Gleimuod Road Cutchogue. NY ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 137 ,Block 5 , Lot 17.3
That the undersigned(has) (have)filed,or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Pre—Existing Certificate of Occupancy for dwelling and detached
garage
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 in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold.
Dated/27/2009
(Signature)
Deborah Doty,-Isg, as attorney
(Print Name)
(Signature)
(Print Name)
` . kOPERTY
OWNER STREET L VILLAGE, DISTRICT SUB. LOT -�'�+
Sit "� . �'do 6�(3.d Clt� Cl Cd 9 Ll� (� G� /"?d r''f t
FORMER-OWNER N E ACREAGE
d '
S W TYPE OF BUILDING
RES. .o SEAS. VL. FARM COMM. I IND. CB. MISC.
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LAND IMP. TOTAL DATE REMARKS
2- M P 0'* -A-42 h --i IYA4 L—5 6�-�--r 13 3- RA c--411 I�Za e-4�1<4 c�? pvle-
;7 &VrOD - A--- ,
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AGE �a BUILDING"CO DITION
W AL OW ABOVE Q14 tan e Q 1 66-ao, l �" 7 e' z .3
Farm Acre Value Per Acre Value '"
Tillab.le. 1
Tillable 2
Tillable, 3
Wcodland
Swampland
Brush.land
House Plot
Total
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LAND IMP. TOTAL DATE
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DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
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COLOR .
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TRIM,
M. Bldg. Foundation PC.
C.a. Bath Dinette
Extension FULL
Basement CRAWL Floors Kit..
SLAB
Extension Ext. Walls Interior Finish L.R.
Extension Fire Place Heat D.R.
Patio Woodstove BR.
Porch Dormer Fin. B.
7--
Deck Attic 7ra
Breezeway Rooms 1st Floor
Garage Driveway Rooms 2nd Floor
O.B.
Pool
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GLENWO OD ROAD
(FMRLY STOUTENBURG ROAD)
SURVEY OF
LOT 16 AND PART OF LOT 18
IN
MAP OF PROPERTY OF
RAVATONE REALTY CORP.
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
FM# 539 SUFFOLK COUNTY, N.Y.
DATE FILED DEC. 22, 1930
SURVEYED: 21 MAY 2009
GUARANTEED TO: SURVEYED FOR: MICHAEL H. PAUTKE SCALE 1"= 30'
MICHAEL H. PAUTKE DIANE M. PAUTKE
DIANE M. PAUTKE AREA = 12,690 S.F.
TEACHERS FEDERAL CREDIT UNION TM# 1000-137-05-017.3 OR
CHICAGO TITLE INS. CO. 0.291 ACRES
title# 3809=00100
GUARONLYAO£ES TH£IPERSONDFORRE ON WHOM THELL RUN
SUR EY SURVEYED BY
IS PREPARED, AND ON HIS BEHALF TO THE STANLEY J. ISAKSEN
TITLE COMPANY, GOVERNMENTAL AGENCY, , JR.
LENDING INSTITUTON, IF LISTED HEREON, AND P.O. BOX 294
TO THEEES OF THE LENDING INSTITUTION. NEW S FOLK. N.Y. 11956
GUARANTEESTEES ARE NOT TRANSFERABLE TO
AD0177ONAL INST7TU710NS OR SUBSEQUENT OWNERS 631 —7 —5835
UNAUTHORIZED ALTERATION OR ADD177ON TO THIS
SURVEY IS A WOLA7ION OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING LI ENSE LA D' URVEYOR
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE YS L I C N o. 2 73 0 9 R 172 6
COPY.