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