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HomeMy WebLinkAboutZ-33745FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Mall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33745 Rte: 05/28/09 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 415 GLENWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 137 Block 0005 Lot 017.003 Filed Map NO. -- Lot No. __ Subdivision confoms substantially to the Requirements for a built prior to APRIL 9, 1957 pursuant to which C~TIFICATH OF OCcuPANCY NIJ]4BER Z- 33745 dated MAY 28, 2009 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 AND ACCESSORY GARAGE.* The certificate is issued to RUETTIGER FAMILY TRUST ( OWNER ) of the aforesaid building. N/A N/A N/A Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTROLD BOUSING CODE INSPECTION REPORT LOCATI(~: 415 GLENWOOD RD CUTCHOGUE S~]~DI~-/SION: ~ NO.: LOT (S) ~ OF O9~ {S): RUETTIGER FAMILY TRUST OCCUPANCY: SINGLE FAMILY DWELLING RUETTIGER FAMILY TRUST OT~: HOT WATER HEATER ACCESSORY STRUCTURES: ~, ~ OF CONST.: 14.2' X 22.2' WOOD FRAME STUN, VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. BP14203 DECK/ALT COZ16470 TI~ ~'TART: ~: Owner's # 734-6409 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 contact: Deborah Doty, Esq. 734-6648 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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 Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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: i. Accurate survey of property showing all property lines, streets, building and unusual natm-al or topographic rearm:es. 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 accesso~ building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cotmnercial $15.00 Date. 5/27/2009 New Construction: Old or Pre-existing Building: Location of Property: 415 Glenwood Road, Cutchogue _ (check one) House No. Street Hamlet Owner or OwnersofProperty: Edwin J. Ruettiger & Joan P. Ruettiger, as Trustees Suffolk Coanty Tax Map No 1000, Section 137 Block 5 Lot 17.3 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 100.00 **dwelling & detached garage Underwriters Approval: Final Certificate: * (check one) Applicant Signature CONSENT TO INSPECTION as Trustees Edwin J. Ruettiger & Joan P. Ruettig~l~e undersigned, do(es) hereby state: Owner(s) Name(s) That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, locatedat /415 Glenwood Road, Cutchol~ue, NY which is shown and designated on the Suffolk County Tax Map as District 1000, Section 137 ,Block 5 ,Lot 17.3 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Pre-Existing Certificate of Occupancy for dwelling and detached garage 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Date~/27/2009 ~ D~hmrmh Dory: E~q: as attorney (Print Name) (Signature) (Print Name) ~ N ~oc~o_~$~_~_,.~,~.. ~:--,~:- OF SOUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER ~-r,-~ STREW' ~/.~ N S VILLAGE W DISTRICT I SUB. ACREAGE o.~ TYPE OF BUILDING FARM I COMM. IND. CB. I MISC. DATE J REMARKS LAND IMP. TOTAL AGE i ~.~ BUILDING ABOVE Farm Acre Value Per Acre Value Tilloble 1 Tillable 2 Tillable 3 Wcodland Swampland Brushland j House Plot Tota I M. Bldg. Extension Extensior ~'~ X v'~rc Foundation Extension Breezeway Garage Basement Ext. Walls Fire Place Porch Porch Patio Driveway Bath Floors Interior Finish Attic Rooms ]st Floor Rooms 2nd Floor ~00-/'~7- ~-/7,,:~ ] TOWN OF $OUTHOLD PROPERTY RECORD CARD [ O~WNER STREET VILLAGE DIST~ SUB. LOT Ac.. .E RK TYPE OF BLD. - LAND IMP. TOTAL DATE FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND. DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL COLOR TRIM M. Bldg. Extension Extension Extension Foundation Basement Ext. Walls Fire Place PC CB FULL CRAWL SLAB Bath Floors Interior Finish Heat Patio Woodstove Porch Dormer Deck Driveway Breezeway Garage Pool Attic Rooms 1st Floor Rooms 2nd Floor Dinette Kit. BR. Fin. B. Plo LO? ~8 o ).6'S 57'37'00"W LOT 16 ).00' LOT 15 z S 57'37'00"W 50.00' GLENWOOD ROAD (FURLY STOUT£N~URG ROAD) SURVEY OF LOT 16 AND PART OF LOT IN MAP OF PROPERTY OF RAVATONE REALTY CORP. 18 SITUATE CUTCHOGUE, TO~N OF ~M# 53~ SUFFOLK COUNTY, [)ATE FILED DEC 22, 19,30 GUARANTEED TO: SURVEYED FOR: MICHAEL H. PAUTKE MICHAEL H. PAUTNE DIANE M. PAUTKE DIANE M. PAUTKE TEACHERS FEDERAL CREDIT UNION TM# 1000- ~ 37- 05-017.5 CHICAGO TITLE /NS. CO. tit/e# 5809-00100 SOUTHOLD N.Y. SURVEYED: 21 MAY 2009 SCALE 1 "= 30' AREA = 12,690 S.F OR Q291 ACRES SURVEYED BY STANLEY J. ISAXSEN, JR. P.O. BOX 294 NEW S~'f}FOLK. N.Y. 11956 __t',IYS Lic /Ncx 4~273 09R1726