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Home My WebLink AboutZ-31434FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31434 Date: 02/14/06 THIS CERTIFIES that the building DWELLING Location of Property 455 TUCKER LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 059 Block 0011 Lot 006 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- 31434 dated FEBRUARY 14, 2006 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 ACCESSORY ONE CAR GARAGE* The certificate is issued to STANLEY & TERESE RAK04 (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. 1 14 j - /-I;w ut rizg& Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 455 TUCKER LA SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): STANLEY & TERESE RAKOWICZ OCCUPANCY: SINGLE FAMILY DWELLING STANLEY & TERESE RAKOWICZ ADMITTED BY: STANELY RAKOWICZ ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 59.-11-6 SOURCE OF REQUESTa STANLEY & TERESE RAKOWICZ 1/23/06 DATE: 02/14/06 DWELLING: CHAPTER TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 1/2 CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND PLR.: 0 BED PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: REAR COVERED DECK TYPE: PATIO TYPE: 131ZEEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE BEAT: ELECTRIC WARM AIR: HOTWATER: OTHER: BACKUP PROPANE HEATER IN BASEMENIP ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: WOOD FRAME SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART, SEC. REMARKS: BP#10651Z-COZ10604(ADD ACCP)BP#11622Z-COZ12030(ADD)BP#14302Z-COZ13894 (Add) - BP,.�31792Z-AZ-31433 (Gas Fireplace & Chi mey) i INSPECTED BY: ,C(.f DATE ON INSPECTION: 02/01/06 GARY J ISH TIME START: 9:50 AM END: 10:30 AIA Form No. 6 TOWN OF SOUTHOLD r BUILDING DEPARTMENT is^y TOWN HALL ( � 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY CPN 2 3 rJ This application must be filled in by typewriter or ink and submitted to the Building Department with th!�,fxqlloiviitg A. 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 l3oard 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. or existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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, Accesspry 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: _t,," (check one) / p Location of Property: 174S�S� %ut�e r /,Q N 0 SO e'1/4cj d( House No. Street Hamlet Owner or Owners of Property: ,gNle t �2 rc S e %�j fJ �(�J aJt o 7 Suffolk County Tax Map No 1000, Section 0 Block _ // ._ Lot 06 Subdivision _ Filed Map. Lot: Permit No. — Date, of Perrn t: Applicatlt:_ Health Dept. Approval: _, Undenuriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Subinitied: $ /do • ✓_ A plicant Si tune � // / TOWN OF SOUTHOLD PROPERTY RECORD CARD _. /. „- VILLAGE DIST. SUB. LOT OWNER STREET y 5 4 IV FORMER OWNER{ enc N,_,-- J/ g E/ 1{ ACR. s W� J TYPE OF BUILDING RES° / SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 0 0 3oa/ 0? 3 0 6, ZF'a o 02 b c� �j 3 ��" .1_.)'6"p 7 / d'/ 7.3 art �4` /0 6 S/ Z. 91� 9 c c d1.`/�we AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE _ FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD e Meadowland DEPTH �ytp House Pjot`,, BULKHEAD Total DOCK CONSENT TO INSPECTION S�RNle / d to eSe ]F4 kap 71 the undersigned, do(tsjhereby state: I Owners Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at X )-3— Tcie e r GAN e which is shown and designated on the Suffolk County Tax Map as District 1000, Section 10S -Y Block // Lot 0 h That the undersigned (has) (have led, or cause to be filed, an application in the Southold Town�juilding Inspector's Office for the following: 0, 0 r Gor O/d 0 AY, e EX%,SfiN*i A,,a.i✓c % /f�� / UC%1e�- ,&4N G, 6e/v'ye ! P ► v' y �p u r-� L,q/Ye Cjedr-y'2 Fiske,- r- W�r� s `u � 5ta/�/Py-iere5e Ci r y sr;' 6idq, x NCONStVUCfION Q o s ,&4N G, 6e/v'ye ! P ► v' y �p u r-� L,q/Ye Cjedr-y'2 Fiske,- r- W�r� s `u SURVEY OF PROPERTY 51TUATE: 5OUTHOLD TOWN: 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED 01-I3-2006 SUFFOLK COUNTY TAX u 1000-59-11-6 CEPT1IM) TO: Stanley P. Ralmwicz Teresa G. Rakowicz NOTES: Is S67o4s o Awo d �As 045,00 � as2 Ne pw �F 0 e ��atE op MONUMENT FOUND AREA = 1,280 SF or 0.16-7 Acre 6RAPHIC SCALE I"= 20' m N S RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 p q er\pros\05\05-365.pro REF.\\Com a sery J Q) J� �� ry F� rt a 4t a ' cam' Awo d �As 045,00 � as2 Ne pw �F 0 e ��atE op MONUMENT FOUND AREA = 1,280 SF or 0.16-7 Acre 6RAPHIC SCALE I"= 20' m N S RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 p q er\pros\05\05-365.pro REF.\\Com a sery J LOCATION: �5�s7' �,�_� .- (number & street) (municipality) SUBDIVISION: MAP NO.: NAME OF OWNER(S): OCCUPANCY: LOT(S): (fie) (owner -tenant) ADMITTED BY: ,f ACCOMPANIED BY: 1 . KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: 1 DATE: DWELLING: TYPE OF CONSTRUCTION: # STORIES: # EXITS: Pl -. FOUNDATION: CELLAR:%r. CRAWL SPACE: TOTAL ROOMS: 1ST FLA: ..5'r 2ND FLR: r- 3RD FLR: BATHROOM(S): TOILET ROOM(S): ^- UTILITY ROOM: PORCH TYPE: DECK, TYPE: --� " " PATIO, TYPE: BREEZEWAY: --- FIREPLACE: - ---- GARAGE: ---- — DOMESTIC HOTWATER: TYPE HEATER: 6j66u , AIRCONDITIONING: TYPE HEAT: F (F_ WARM AIR: _ ---- HOTWATER: OTHER: 13AU4iuo i�-�rE -�.�- /Nd4��«�1- ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: I / CM- 0, fi44wg—STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION"--* ART. SEC. D I i9 5 S J �e t P-441 a' - REMARKS: , ] n G .51-F _ ('r)-%2 i n Gnu I INSPECTED BY: DATE OF INSPECTION: TIME START: % 5-0 END: