HomeMy WebLinkAboutZ-27948 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- 27948 Date: 09 17 01
THIS CERTIFIES that.the building DWELLING & ACCESSORY
Location of Property 2040 PINE TREE RD . CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 098 Block 0001 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 27948 dated SEPTEMBER 17, 2001
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 ENCLOSED FRONT PORCH AND WOOD DECK AND
ACCESSORY TWO CAR GARAGE.*
The certificate is issued to ENID M ROTHLEDER
(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.
//t�ho ized ignature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2040 PINE TREE RD CUTCHOGUE
SUBDIVISION: NAP NO.: LOT (S)
NAME OF OWNER (S) : ENID M ROTHLEDER
OCCUPANCY: A-1 RESIDENTIAL ENID M ROTHLEDER
ADMITTED BY: VALERIE LEONIAK ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 98.-1-16
SOURCE OF REQUEST: PETER & VALERIE LEONIAK DATE: 09 17 01
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3
FOUNDATION: CEMENT BLOCK CELLAR: 3 4 CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROON(S) : 1.0 UTILITY ROON(S) :
PORCH TYPE: FRONT ENCLOSED DECK TYPE: WOOD PATIO TYPE:
BREEZEWAY: FIREPLACE: ONE GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: X
OTHER: LAUNDRY ROOM SIDE ENTRANCE WITH SHOWER STALL
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: WOOD FRAME 2 CAR GARAGE STORAGE, TYPE CONST.:
SWIMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION I DESCRIPTION I ART. I SEC.
RRwARxt: LOFT ABOVE LIVING ROOM
INSPECTED BY: DATE ON INSPECTION: 09 10 01
GARY FI H TIME START: 9:50AM END: 10:25
73y- SAS
Form No. 6 S d
D
` lr_ll � TOWN OF SOUTHOLD
J�IC BUILDING DEPARTMENT
TOWN HALL
765-1802
BLDG. DEFT.
T^i'/it OF Snt1THOCD " PLICATION FOR.CERTIFICATE. OF OCCUPANCY
A. 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.
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.
w 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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .:? �. . c .I. . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . Old Or Pre-existing Building. . .`^. . . . . . .
Location of Property. ZO�o .�J:-;�. .4
House `No' . Street Hamlet
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section.:1 . . . . . ... . .Block. . .I. . . . . . . . . . . . .Lot. .0 (o. . . . . . . . . . . . . . . .
Subdivision. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Sub �itted: $. . . . . . . . . . . . . . . . . . .
aI . .\� . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICANT
CONSENT
TO
INSPECTION
the undersigned,
Own r(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 2 L) �� 1 li?-063D
�cl-�OC-w�� ►�`� k �Ct , .which is shown and designated on the Suffolk
County tax map as District 1000, Section g Block Lot
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 inspections
to determine that said premises comply with all, of the laws, ordinances, krules
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.
D ate d:3_ ��
�Lc
(signature)
LENftKI
r (print name
(signa ure)
(print name)
APO
40
Qom S� SQu�
S34
00
a I �
�tl
o�
� I
MASONRY
• 14.4 LANDING
o //��
C. ' �
P710 ��° 10.9 31.3' W
W 14.1' 0-4
N 1 STY• FRAME
N ROOF ' DWELLING °
z
N CD O.H. WOOD 1-
POST STEP & 1. 0
04 0.3N 3' LANDIN J. . 'i
z° 2.7' 12x14 Woo FNC.
METAL N000 SLAT 0.1S
0 C.E. DECK FNC. 3
J
FNC. Lf)
0.8N '"
0)
Pj
of NFL ►� 3 28,803 S.F.
,049aa1'P \� LOT No. 30
LOT "° 31
CERIIFI,ED,,,,TO` I
POST
FND. 0.4E M ON.
MON. 0.3S ROW OF WOOD POSTS 0.2N
N 3 N 23'S0 W 'On120.00 N 3 OL E/W °
THE EXISTENCE OF RIGHTS OF WAY 0 o 0 0
AND/OR EASEMENTS OF RECORD IF
ANY, NOT SHOWN ARE NOT LOT No. 57 I LOT No. 56
GUARANTEED.
UNAUTHORIZED AL TERA 77ON OR ADD177ON
TO THIS SURVEY IS A WOLA770N OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
777LE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INS77TUT70N LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INS7I—
TUT70N, GUARANTEES ARE NOT TRANSFERABLE.
SURVEY OF: LOTS 30 & 31 INCLUSIVE
MAP OF NASSAU FARMS KENNETH H. BECKMAN, L.S.
FILED MARCH 28, 1935 FILE No. 1179
SITUATED IN: PECON/C Surveying and Land Planning
1814 Middle Country Road
TOWN OF: SOU774OLD Suite D
Ridge, N.Y. 11961
SUFFOLK COUNTY, NEW YORK (631) 345-9427
FAX (631) 345-9429
DATE: 8/7101 JOB NO. 801-5966 SCALE: 1" = 30'
DIST. SEC. BLK. LOT
S.C.T.M. NO. 1000 098 01 016
TOWN OF SOUTHOLD PAOPERTY RECORD CARD
OWNER STREET - 2 ,p VILLAGE . DISTRICT SUB. LOT -�Q .3l
Fir-,e•e a 1o?oa d w 7Lc 0� o v f- /va jrsc
FORMER OWNER N E ACREAGE �17
,' Q
-}gyp-Ih 12d� t `S W .TYPE OF BUILDING.-
, f
RES. 0?/8 SCkS. VL. FARM COMM. I IND. I CB. MISC: I Est. Mkt. Value
LAND IMP. TOTAL D REMARKS. �jp / ✓f '�-
3 V ,/t� �-. // Ul d a1 k 'del
a� / Qf� / 6 6 Q r� - _ "'91FI .,gj•/� //5�.2 6C�/hs/i. 1 G E •C. �o?ao
60 0 , 6 6 /'* -
�a 3o4d Q?d a0
/ o D 366 6 �// �Q 3 6 .3 /� 9� - f�ew-)ove. �tw� � ' ea. 02evq .
30
Oo 30 Ta
3co
/i,7/ 7/ - - to o i k
AGE BUILDING CONDITION
(. �. hop
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
�fx
Tillable 1 RA KHFAD
Tillable 2 DOCK
Tillable. 3Cj,C
Woodland ROA Joe
j iLled tr ✓tlf6cln 1
Swampland
Brushla �--
House Plot
Tota I
of-Rlfi�s�. '""r r r_i.a�' v�r;:J.. ��.r� ;x 1 o��a6' * '..7 � �,- , �+ � • ,
�A ■■MONO■■■■■■■■■■■■■
NONE
5
Momo
riE d a
. /a/
ME ONE
JEMOMEN■NONE
No
UFA
MM HIM
ONE
No
ME MEMO
EMnnNM
Foundation
Interior Finish
Fire
��� •
Placei . i
LOCATION: aOf__O �,,Ic'- r4uepr= K%4-A'
number & street municipality
SUBDIVISION MAP N0. LOT (s)
NAME OF OWNER (s) -9c y �—
OCCUPANCY -( kA
type - owner-tenant) o '
ADMITTED BY: � � / 4� ACCOMPANIED BY: �'7z
KEY AVAILABLE SUFF. CO. TAR MAP NO. - -�
SOURCE OF REQUEST: :LEE y- A LKA;4 410.411.A K DATE:
DWELLING:
TYPE OF CONSTRUCTION (i(J # STORIES # EXITS J
FOUNDATION "k— CELLAR CRAWL SPACE
TOTAL ROOMS: 1ST FI.R. 2ND FLR. 3RD PLR.
BATHROOM TOILET ROOM (s) e''%-� UTILITY ROOM
PORCH TYPE ,F�Lcp„r�' f�nl[.�9S DECK, TYPE (,�p�g�� PATIO, TYPE
BREEZEWAY FIREPLACE at44, GARAGE
DOMESTIC HOTWATER TYPE HEATER
__AW AIRCONDITIONING
TYPE HEAT WARM AIR HOTWATER
OTHER: U
ACCESSORY STRU RES: fPt. / Sf41/
GARAGE, TYPE OF CONST.U)&,q� _ re 07 C44 STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
-----------------------
----—-------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE.
LOCATION DESCRIPTION ART. I SEC.
REMARKS: 9 3 ;a
INSPECTED BY: DATE ON INSPECTION 9�/Q D/
TINE START ;� END