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Home My WebLink AboutZ-33964FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 33964 Date: 09/21/09 THIS CERTIFIES that the building DWELLING Location of Property 2875 BAY SHORE RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 053 Block 0006 Lot 002 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- 33964 dated SEPTEMBER 21, 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 WITH PERGOLA OVER PATIO.* The certificate is issued to CAROL J RUROEDE (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. t Affthorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2875 BAY SHORE RD GREENPORT SUBDIVISION: MAP NO.: IAT (S) NAME OF OWNER (S): CAROL J RUROEDE OCCUPANCY: ONE FAMILY RESIDENCE CAROL J RUROEDE AO4TTED BY: PAUL LOEB ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX NAP NO.: 53.-6-2 SOURCE OF REQUEST: CAROL J RUROEDE DATE: 09121/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME, BRICK $ STORIES: 2.0 # EXITS: 3 FOUNDATION: CEMENT CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: IST FLR.: 3 2ND FLR.: 4 3RD FLR.: 0 BATHROOK(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOK(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY- FIREPLACE: 1 : 2 CAR DOMESTIC HOTHATER: YES TYPE BEATER: OIL AIRCONDITIOKING: TYPE BEAT: OIL KARM AIR: HOTWATER: YES OTHER: `PERGOLA OVER PATIO ACCESSORY STRUCTURES: GARAGE, TYPE OF COMET.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE REMARKS: INSPECTS3 BY: GEORGE GILLEN '-DATE ON INSPECTION: 09/12/09 TIME START: EU): Form Na 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL jjjj�111111 ��• j,l'' ` l '' 765-1802 1 �i APPLICATION FOR CERTIFICATE OF OCCUPANCY C 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: L 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 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 i. 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. —11 Z'-1 /6 S New Construction: Old or Pre-existing Building: _< (check one) Location of Property: 2 8 5 �Lqy 5 lto r e 'Ra �o r tPn loor House No. Street Hamlet Owner or Owners of Property: (t q rn t 3 12y ra r cl e. Suffolk County Tax Map No 1000, Section Block Subdivision PCcMi 1.a CSO -CA Filed Map.' Permit No. Health Dept. Approval: Date of Permit. Underwriters Approval: Lot c Lot: Planning Board Approval: v Request for: Temporary Certificate _ Final Certificate: (check one) Fee Submitted: $ / 64 . O o...._.._._ Q1413 INO I 2 4 2009 OF CONSENT TO INSPECTION Octr-0( -::� • —9,4A ro eC� e_ , the 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, located at zsis B6V,5Aort_ Roac4,4QWA001T" which is shown and designated on the Suffolk County Tax Map as District 1000, Section 5 �! Block (_, Lot a That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: ( , n 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. Dated: ylo 9� (Si ure) "AL&A.. (Print Name) (Signature) (Print Name) JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631)298-7116 Date: September 12, 2009 To: Town of Southold Building Dept. Re: Pre C of OInspection 2875 Bay Shore Rd. Greenport, NY To Whom It May Concern: After a inspection was performed on the above mentioned property, it is deemed that the purgola and the cracks in the brick wall above the windows (South Side of Structure) are in sound working order, and safe to its occupants. Any other questions please call. %� I� 6002 9 1 d39 rkoski /22 ' l ill��- r C f o TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION �>e REMARKS: i�,' moi^MAU ' I EMM � � 1 DATE 7-31-117 INSPECTOR 's" ` 1116 _ _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD UU OWNER STREET - 76 VILLAGE DIST. SUB. LOT V T3 SI4oKk Ra. FORMER OWNER v N E v ACR. • I S W TYPE OF BUILDING RES. SEAf. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS �Q Ia'kl 0 o a o o ,14't , L 5061 Le 6 ✓ —Co y �-f 6 �� . P3 AGE BUILDING CONDITION NEfl NORMAL BELOW ABOVE F M Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER 6 (2 3.2 Brushland FRONTAGE ON ROAD House Plot DEPTH !" ...� Total BULKHEAD DOCK SCCLIcc 50'.I- 0=IMtiMoa e"+ Is, t4o+e: Lotnuvt�bers iTowvr:refer 4%c "Gmantied MopA oFP�co>trGf'EsF /cs"filed iii +Ne- m5vf.Fotk CovwP,4 C Ierk"s 04;frcevraz +Map NO. 1124; gad }o" Map of WickkovA' Peso -k" filed us WtaP cr 644 7] M op Liar-ec SufiIr teD Force AT ��RSw#-+AMQMC-�Qc.�E 'roWW CW SovrHOt..G, NBw+YOOrK t>rvi�iOkt-FttYtari4cart'I`"r#le lays'=r�;�r�c.-. ,.41�; urvec}ec1 C-Itx.3 . v Lir-e:tl5ed Lopid s. re,cfiveew+-,P41rwYrr1-. Q Lt 44 Q j O i q 47 z ' 7 34'y 6r. ck es' W 0 VI = C,p. Yd 0 Lai,.'46 M "k+.r i fe HGs W S 66' 143,4 O Lot 49 �1 SCCLIcc 50'.I- 0=IMtiMoa e"+ Is, t4o+e: Lotnuvt�bers iTowvr:refer 4%c "Gmantied MopA oFP�co>trGf'EsF /cs"filed iii +Ne- m5vf.Fotk CovwP,4 C Ierk"s 04;frcevraz +Map NO. 1124; gad }o" Map of WickkovA' Peso -k" filed us WtaP cr 644 7] M op Liar-ec SufiIr teD Force AT ��RSw#-+AMQMC-�Qc.�E 'roWW CW SovrHOt..G, NBw+YOOrK t>rvi�iOkt-FttYtari4cart'I`"r#le lays'=r�;�r�c.-. ,.41�; urvec}ec1 C-Itx.3 . v Lir-e:tl5ed Lopid s. re,cfiveew+-,P41rwYrr1-. LOCATION: X 9 75 (number & street) SUBDIVISION: "— M P NO.: NAME OF OWNER(S): - C�D–LA k OCCUPANCY: T.,,,.. WA 4 Dom, ,- O municipally) LOT(S): — type) r/ " (owner -tenant) ADMITTED BY:ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 - SOURCE OF REQUEST: Co'1,ak fl , DATE: DWELLING: TYPE OF CONSTRUCTION: W 0 4A446--# STORIES: # EXITS: 3 FOUNDATION: CELLAR: CRAWL SPACE: --- TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM: PORCH TYPE: DECK, TYPE: PATIO, TYPE: BREEZEWAY: FIREPLACE: dYu� GARAGE: X cote DOMESTIC HOTWATER: TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL_ WARM AIR: HOTWATER: YDS OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: A(a1r% STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE /�► �-,.1�� _ � � . :. .�.�� _��-_: -,moi �� %...OR MEN REMARKS: INSPECTED BY: DATE OF INSPECTION: --.-7,-31—o? TIME START: END: