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HomeMy WebLinkAboutZ-25242 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-25242 Date SEPTEMBER 5, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 370 BAY SHORE ROAD GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 42 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-25242 dated SEPTEMBER 5, 1997 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 The certificate is issued to BARBARA RICHTER & VICTOR S. RUTKOWSKI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. /hq4ldir4 Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION• 370- BAY SHORE ROAD GREENPORT, N.Y. number. & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) BARBARA E. RICHTER & VICTOR S. RUTKOWSKI OCCUPANCY SINGLE FAMILY — type owner-tenant ADMITTED BY: BARBARA E. RIGHTER ACCOMPANIED BY: SAME KEY AVAILABLE SUFF.CO. TAX MAP N0. 1000-53-4-49 SOURCE OF REQUEST: WILLIAM H. PRICE. JR. , ATTY DATE: AXG_ _ 14, Igg7 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME S'TOKIES�_ EXITS 2 FOUNDATION CEMENT BLOCK CELLAR FULL CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. 2T 3RD FI.R. BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM MIm ROOM_ PORCH TYPE HECK, TYPE PATIO BREEZEWAY FIREPLACE GARAGE _ DOMESTIC HOTWA'TER XX TYPE HEATER OFF BOILER AIRCONDITIONING TYPE BEAT OIL WARM AIR HO'TWATER OTHER: BILCO EXIT FRONT VESTIBULE ACCESSORY STRUCTURES: GARAGE, 'TYPE OF CONST. 1-1/2 CAR WOOD STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #3519-Z -CO Z-2754 (ACCY GARAGE) INSPECTED BY DATE OF INSPECTION AUGUST 28 1997 TIME START 10:25 AM END 10:50 AM RR Form No. 6 LS TOWN OF SOUTHOLD BUILDING DEPARTMENT 14 TOWN HALL ' 7 65-180 2 OH►N`CG'DEPT. P APPLICATION 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 17 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. For existing building's (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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _251,1, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . .Auqust. . .. . . 1997. . . . . . . . . . . . . . . :ew Construction. . . . . . . . . . . Old Or Pre-existing Building. . , XX . . . . . . . . . . . .ocation of Property. . . 370 . . . _ . _Bayshore, Road, , _ , , , .Greenport . . . . . . . . . House No. Street Hamlet !nwer or Owners of Property. . , Barbara E Richter and Victor S. .Rutkowski ounty Tax Map No 1000, Section. . . 053 . . . . . .Block. . . . . .04. . . . . . . .Lot. . . . .9 42. . . . . . . I . . . . . . ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . equest for: Temporary Certificate.: . . . . . . . . . Final Certicate. . . . XX ee Submitted: $. .100 . 00 . . . . . . . . . &-ar-•.3335 . :`. . . . . . . . . . . . . . . . . . . . . . . . . . . . C 6 5aq APPLtcnNT v k v Q I Z�Toey �A il 6�® L4pf kc �uere�✓rae•`'.gU�.�✓, �'�r�r,P✓c%A , �c x•��/B . wr•�vv� Avp l ���-g,BA.�/1��OT '�•91�L�� i T.�/C//��C�iti��T /��UlY��Tit7 t��L TiTLE��tilPi9�i' � r.►��ioce- - aU---uz ? . C, NS1 M,1' F 4 I N`;I'I?:( :'I'IC)N 0rPTOUTHOLD BARBARA E. RICHTER the tlnclersif;nu(l, Ol'lller(s) NnII10k) (IU(l:;s) hereby state: an 'I'hnt Tile (i.(-;) (-MXXk-tbVK owner•(A-) of Lhc; I)1•emisos ill lhi: `Town of `;onlholcl located at 370 Bayshore Road, Greenport, NY whir:ll t!; r;llOwll (11)(I clesig;onle(I oil Ills; Suffolk (:(111111.y tclx "I'll) I)isl.rfcl. 1000, Su-c:tioll 053 Mock 04 , 1 ,()1: 042 'I'llat (hiss) Nxx✓ filc.cl, or causc:(I to he file(1, all nl)I)IIci1 Holl h) the ,50111.11o)(I 'P(mill I.iuil(lillt; Ioshec11-w's ( ffice: for Tile followilig: Pre-existing ce.rtif_icate.._of,_occupancy _ .•_..._.____.--__.__._ ._. '111;It ll)c; 11)lcic:l•sigl)n(I (Io((:::,) hurel)y idvo cons;cul to the Hilil(liui;' of Ill(: 'I'c,l��r► of Smitil ,l(i to c;11L<::r upon the nhove cles+cr•ll)r-:(I 1)r•ol)ur•t.y, illchl(lilig ntly ;n)cl illl 1)uildlill,s loc.:lalucl (I)el-col), to cortcll.lct such inspecllous i.is tll :!y Inny c.ir;ell) llecessury with r•usi)ect to the afor•e:;aid ,il)I)lici l-ioll, inclucllug 111specl.io►l;, Lc) (I(Jer•lniue LhtlL sni(I prulrlises comply with ill], of 1-he laws., or•clinilnc:cs, rulr.s 1111c.1 reffillnLions of the Town of Soulholcl. 'I'hc: unclersiglic(1, in coll!;coting to s►acat in:,l)(action5, does) so wil.h lhu Icoowlucll,c: cu)(I unclul sti)ocllr)1; t.hclt any inforindI.ir,r► ul)Lnincd In tl'1e conduct of !;IIc.h Illtil)(;C:tlolls rl)ily he Ilse(] oh evldCrlce. ill subsh;(Iuoml. proseclltimis for NLO 1lllio11 1 of the laws, cw(lioal)cu!,, rules 01. 1•ef;nlilll.ons of [lie 'I'owu of Sollthohl. I);tl(tcl: 0 8/ /9 7 nillur e) BARBARA E. RICHTER (I)1 inl. 1)(1111c) -- (e31gI-Inlure)