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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