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HomeMy WebLinkAboutZ-26393 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- 26393 Date: 04/20/99 THIS CERTIFIES that the building DWELLING Location of Property 27525 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 0001. Lot 014 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- 26393 dated APRIL 20, 1999 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 OPEN PORCH AND BRICK PATIO.* The certificate is issued to IRENE RUTKOSKI (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.. Building Insp or Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 27525 MAIN RD CUTCHOGUE SUBDIVISION: MAP NO. : LOT (S) NAME OF OWNER (S) : IRENE RUTKOSKI OCCUPANCY: SINGLE FAMILY IRENE RUTKOSKI ADMITTED BY: MICHAEL HERBERT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 102 -14 SOURCE OF REQUEST: IRENE RUTKOSKI DATE: 04/20/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: CONCRETE BLOCK _ CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 3 2ND FLR. : 3 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : MUD RM PORCH TYPE: FRONT OPEN DECK TYPE: PATIO TYPE: BRICK REAR - BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: NATURAL GAS AIRCONDITIONING: TYPE HEAT: NAT. GAS WARM AIR: X HOTWATER: OTHER: KITCHEN PANTRY ACCESSORY STRUCTURES; GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. : i i : REMARKS: INSPECTED BY: DATE ON INSPECTION: 03/02/99 J M. BOUFIS TIME START: 10:40 AM END: 11:10 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building f 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. 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 - _ .25q. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $.15.00 Date . . . . . . . . . . . . . . . . . . . XXX New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. 27525 .'Na irl X'y.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . I�EtrMI. AUtkQgk].. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .1Q2. . . . . . . ..Block. . . 01 . . . . . . .Lot. . . . .14. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . .Filed Map. . . . . . . . . . . .Lot+ . .,, . . . ). . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. .Ir en.e .Rutkoski. . . . . . . • • • . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $.1D.Q_00. . . . . . . . . . . . . . . . . . . . . ( - LI . s..lt P-� . % � . . . . . . . . . . . . . . . . . . . .APPLICANT ME ■ s IT ■■■■■■■■tee■■..■■. M■■■■N■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■.®.O.e■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■MEMO Foundation - e WIN Interior Finish Fir � J - Place • •• __ • '•• Rooms. •• C ' laoa as - TOWN OF SOUTHOLD PROPERTY . RECORD CARD OWNER STREET 2_7 2 VILLAGE DIST.1 SUB. LOT e ow A 6- r FORMER OWNER N D ( E ACR/ Pen y (� �l�C f�l V re�j V 'YI< K b V/L 2 S �I TYPE OF BUILDING /mod " S e7w Ins RES410 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS i 3 a 9y Ln �z�. �, �; C � ;` -/D 0 0 /0 J 7� e Lv tk.P� al 'a c�1.0 I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD SS a l . b Meadowland DEPT e�-e_A fs-Q ;�f, i HouseZot, ,a BULKHEAD {' Total DOCK �y . - ..w. - �---- -------- --- -- ---- CONSENT TO INSPECTION Irene Rutkoski the undersigned, Owner(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 27525 Main Road, Cutchogue, N.Y. (directly across Cutchogue Librarywhich is shown and designated on the Suffolk County tax map as District 1000, Section 102 Block 01 Lot 14 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: • r PRE-CERTIFICATE OF OCCUPANCY 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: February 23, 1999 (signature) Irene Rutkoski (print name) (sib atLre) (print name) BUILDING DEPARIIIENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPO LOCATION: p� ��� � number & streetT— -(madicipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) OCCUPANCY —type owner-tenant ADMITTED BY: ACCOMPANIED ACCOMPANIED BY: KEY AVAILABLE SUFF F. CO. TAX MAP NO/&,�"V SOURCE OF REQUEST: , DWELLING: TYPE OF CONSTRUCTIONId STORIES # EXITS FOUNDATION �`, CELLAR -'(�L�l CRAWL SPACE TOTAL ROOMS: 1ST FI.R. 2ND FLR. _ 3RD FLR. BATHROOM (s) tV TOILET ROOM (s) UTILITY ROOM PORCH TYPE ® — DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE '�- DOMESTIC IIOTWATER TYPE HEATER S AIRCONDITIONING .._- TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST. OTHER: ----------------------------------------------------------------------------------------- ---------------------------=------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. ddf r REMARKS: INSPECTED BY: �r �2 DATE ON INSPECTION �'� TIME START /0; -YO END "'— 1 ©2 p �� C ,I o h n Mac wei k Stpkc MA P O / e OW/VEO BY HENRY Sr BEIT THA S9MOWSKI S/ TUATE AT ti.t% CU T COY O GUE o . 6UFFOLK Co. /y, Z fi --5. 6-6"3o'-W— S'o.o' Pie Pipe story e ot/SL --.._........ ----- - '� O z S Cory -- .13 1 Ireme I?ag f� d' 1 `k. a rh. 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