HomeMy WebLinkAboutZ-31726FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 31726
THIS CERTIFIES that the building
DWELLING
Date: 08/03/06
Location of Property 120 WALNUT PL MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 142 Block 0001 Lot 023
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- 31726 dated AUGUST 3, 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*
The certificate is issued to BELLE RUTHINOSKI
(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.
AtKhorized 9Tgnature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 120 WALNUT PL MATTITUCK
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OMEN (S): BELLE RUTHINOSKI
OCCUPANCY: SINGLE FAMILY DWELLING BELLE RUTHINOSKI
ADMITTED BY: LYDIA WELLS ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 142.-1-23
SOURCE OF REQUEST: MICHAEL P. SENDLENSKI, ATTY 7/5/06 DATE: 08/03/06
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME O STORIES: 2.0 $ EXITS: 2
FOUNDATION: BLOCK & BRICK CELLAR: 1/2 CRAML SPACE: 1/2
TOTAL ROOMS: 1ST FIE.; 4 2ND FLR.: 2 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: COVERED FRONT,ENCL.SIDE DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTHATER: YES TYPE HEATER: BOILER AIRCONDITIONING:
TYPE BEAT: OIL WARM AIR: HOTHATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
STORAGE, TYPE CONST.:
GUEST. TYPE CONST.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
REMARKS: BP #32225-Z-COZ-31725 (NEW HEATING SYSTEM)
INSPECTED BY:
MICHAEL J. VERITY
DATE ON INSPECTION: 07/17/06
TIME START: 10:00 AM END: 10:45 AM
MAY 23 '06 11:32AM SOUTHOLD BUILDING 631 765 9502 P.1
Form No, 6 — -_._ _ . - .--:-1
TCIWN OF 50UTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 JUL 7 ? 5
r
APPLICATION FOR CERTIFICATE✓ OF OCCUPNCX
This application must be tilled in by typcwriler or inti and subrrvtted to the Builcling Department with the following:
A. For new building or new use;
I. Final survey of property with a0cUrato locstion of all buildings, property tines, streets, and unusual natutalor
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, Swom statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead,
5. Commercial building, industrial building, 1.4-whiple residences and similar buildings and inEtallit6ons, a cerlificaie
of Code Compliance From architnet or engineer responsible for the building.
G. Submit Planning Board Approval of conlpldtad site plan requirements.
For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "Pre-existiug" laud uses;
1. Accurate survey ofpropelty Showing all propealy lines, streets, building aid unusual natural or topographic
featua•cs.
2. A properly completed applioatio;r and oonsont to inspect signed by the applicant. Jf a Certificate of Occupancy is
denied, the Building ]nspector sLoll state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupauc - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimmuig pool $25.00, Accessory building 1:25.00, Additions to accessory building $25.00, Businesses $50.00,
2. Certificate of Occupancy ora Pre-existing 1.3-iDding - $100.00
3. Copy of Cerdficato 0.11 Oocupancy - $.25
4. Updated Certificate (dOccupuucv . $'50.00
5. Temporary Cert'ifrcata Of Occupancy - Resi iential $15.00, Cmmnercial $15.00
Ditto. June /� , 2006
New Construction: — _-- LL _ 01d or Fre-existing Building: -_-._X_ --(check one)
Location of Property:. 120 Walnut Place, Mattituck
IlouscNo' Henry Ruthin&* as Administrator ` Hamlet
Owner or Owners of Property: -Estate of Belle Ruthinoski
Suffolk County Tax Map No 1000, Sectjuti 1 42.00 Block 01.00 023.000
Subdivision Filed Map.
Pemnit No pate el I'crmit,
Heralth Dept. Approval: •__.- . _.. _........_-- - -- .- .. ._ ...... Underwriters Approval:
PlaivtiugBoardApproval: _
Request for; Temporary C:ertificaic Pinel Certificate X (check one)
Fee 8ubrnitted! $
Appl' nt Signn
ature
(5)�.-� $'115
Co -Z:T 3►'? a �
CONSENT TO INSPECT
HENRY RUTHINOSKI, as Administrator for the Estate of Belle Ruthinoski,
deceased, as the undersigned does hereby state:
That the undersigned is the Administrator of the premises in the Town of Southold,
located at 120 Walnut Place, Mattituck, New York which is shown and designated on the
Suffolk County Tax Map as District 1000, Section 142.00, Block 01.00, Lot 023.000.
That the undersigned has filed, or cause to be filed, an application in the Southold
Town Building Inspector's Office for the following:
Certificate of Occupancy on Pre -Existing Building.
That the undersigned does 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, does so with the knowledge
and understanding that any information obtained in the conduct of such inspections may be
used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations
of the Town of Southold.
DATED: ru�E ��� 090010
HENRYRUTHINOSKI, as
Administrator of the Estate of
Belle Ruthinoski
ioTOWN OF SOUTHOLD PROPERTY RECORD CARD -/_ 2 -JF
oo - iia -�-��
OWNER
STREET
VILLAGE
DIST.
SUB. LOT
I fORMSR OWNER -
-
E U a �C
ACR.
U
fi
l �
S
WIN,
W
AjdLrr�
TY E OF BUILDING
�ES,Q
I SEAS.
VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS -
�z��-t �
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
FRONTAGE ON WATER
Tillable
Woodland
FRONTAGE ON ROAD
7Si �P 3 -5'
Meadowland
DEPTH
House Plot
BULKHEAD
Total
DOCK
�}S � a aW�
L%hR' a; -n K
:K:/ � d V � r.�
vY". � �- I '....
�l.�r _
"-tw::;
,�. _ _ S _ .
HARVEY A. ARNOFF
_ ,,
IJUL IAttorney At Law
206 Roanoke Avenue, Riverhead, NY 11901-2794
(631) 727-3904
I-'iarvey A. ArnoCf Fax No.: (631) 727-3940*
Michael P. Sendlenski *Not for service of legal papers
Paralegal Of Counsel
Colleen Grattan-Arnoff, R.N. July 5, 2006 George F. Biondo
John A. MacLachlan
Town of Southold
Building Department
P.O. Box 1179
Southold, New York 11901
Re: Henry Ruthinoski, as Administrator of the
Estate of Belle Ruthinoski,
Premises -120 Walnut Place, Mattituck, New York
Tax Map No. 1000-142.00-01.00-023.000
Gentlemen:
Enclosed please find an Application for Certificate of Occupancy for a Pre -Existing
residence together with a check drawn to the order of the Town of Southold in the amount
of $100.00 representing the filing fee in connection with the above -referenced premises.
Further enclosed please find a print of the survey dated May 27, 2006 and Consent
to Inspect duly executed by the administrator of the estate.
Should you require any further information in processing this application, please do
not hesitate to contact the undersigned.
Very truly yours,
MPS/db MICHAEL P. SENDLENSKI
Enclosures
cc: Mr. Henry Ruthinoski
;30' 0
SCTM # 1000 -142 -1 - 23
AREA = 15, 564 SQ FT
0.36 ACRE
CERTIFIED TO:
• CATHERINE AND JOHN SIMICICH
• PREFERRED EMPIRE MORTGAGE
• FIDELITY NATIONAL TITLE INSURANCE COMPANY
SOUND
N75023'10"E
AVENUE
now or formerly
iaceueline frank
kevin hank
falling down Inter- mitant post 8 chain link fence ♦ - on property line
OWnorele
O
frame shed
f in dis - repair
,ae
,h,e e.a'e +
0.r• n
orlM1 Mpe :rcFaUa 2a
P. cl v r n teres hn po uow m..'
22v a.. aw(melal ate)
noro aeon
now or formerly
gloda boiling
waddle m. bulling jr.
SURVEYED: MAY 27 , 2006
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
N =CONCRETE MONUMENT FOUND
(DEED
Z
V1
W
W
0
V
N
O
Oa m
cn o
A"
to
O1�
e�3�
4
ss
0
roof over
tap e
1�
open concrete
o
a - eo
porch
6.J'
V -
4.� ; 3
2 story frame
house
Q5.2
rov
'=
„
p e. neons
�.
AVENUE
now or formerly
iaceueline frank
kevin hank
falling down Inter- mitant post 8 chain link fence ♦ - on property line
OWnorele
O
frame shed
f in dis - repair
,ae
,h,e e.a'e +
0.r• n
orlM1 Mpe :rcFaUa 2a
P. cl v r n teres hn po uow m..'
22v a.. aw(melal ate)
noro aeon
now or formerly
gloda boiling
waddle m. bulling jr.
SURVEYED: MAY 27 , 2006
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
N =CONCRETE MONUMENT FOUND
(DEED
'
V1
W
W
0
^'sad
O
Oa m
cn o
A"
to
O1�
e�3�
4
ss
QF to
�O yot
182.00'
(DEED = 1a4- )
( 631 ) 874.0400
LOCATION: �� O 1-e/04 e-
(number & street)
SUBDIVISION: MAP NO.:
NAME OF OWNER(S):
OCCUPANCY:
(municipality)
LOT(S):
: tl'Pe7 v (owner -tenant)
ADMITTED BY: �� ACCOMPANIED BY: ..�
KEY AVAILABLE: — SUFF. CO. TAX MAP NO. 000- —
SOURCE OF REQUEST: DATE:.2 0 0
47
DWELLING:
TYPE OF CONSTRU TION: # STORIES: Z # EXITS: �-
FOUNDATION: CELLAR:�z, CRAWL SPACE -
TOTAL ROOMS: IST FLR: 2ND FLR: �- 3RD FLR:
BATHROOM(S): / TOILET ROOM(S): l UTILITY ROOM: —
PORCH TYPE:P DECK, TYPE: — PATIO, TYPE:
BREEZEWAY: FIREPLACE: --- GARAGE:
DOMESTIC HOTWATER: _ rTYPE HEATER: AIRCONDITIONING: ---
TYPE HEAT: B 10 WARM AIR: HOTWATER:
OTHER:
ACCESSORY STIWCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONST: J
VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
DESCRIPTION
�.i
REMARKS:
INSPECTED BY: DATE OF INSPECTION: 17 AC�
TIME START: END: /Q.`