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
. :`. . . . . . . . . . . . . . . . . . . . . . . . . . . .
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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)