HomeMy WebLinkAboutZ-34064FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
NO: Z- 34064
Date: 11/06/09
THIS C~RTIFIES that the building GARAGE
Locati(~l of Pro~l~cy 915 RUCH I~%
(HOUSE NO.)
Co%~nty TaxMap NO. 473889 Section 052
Sulxlivision
Filed Map No.
GREENPORT
(STREET) (HAMLET)
Block 0003 Lot 008
Lot NO.
garage
conforms substantially to the Requirements for a ~XK~_ ~Yd~,~(~(
built prior to APRIL 9, 1957 purs,,~-t to which CERTIFICATE OF
OCCUPANCY N~MBER Z- 34064 dated NOVEMBER 6, 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 WOOD FRAME TWO CAR GARAGE.
The certificate is issued to CORMELIA SCHILKE
( OWNER )
of the aforesaid building.
~uFMOLK C~DUNTY DEPART~IEITT OF HE~J~TH APPRO%5%L
RI.Rt-I'KIC3~L ~TIFIC~%TE NO.
PLIERS CERTIFICATION
~/A
N/A
N/A
//thai zed ~ignature
Rev. 1/81
TOWN OF SOUTHOLD , , ,
' BUrLDING DEPART1V~NT
toyopet, u, OCT 2 2 2009
765-1802
APPLICATION'FOR CERTIFICATIg OF OCCUPANC . BLDG. 0£PI. ·
· ' , TOWN OF SOUTHOLO
This appticatiou must be filled'in by typewriter or ink and mibmitt~l to the Building Department with the following:,
· A. For new building or new us~:
I. Fl,,I, survey of property with ad0urat¢ location. 9f all buildings, property lines, streets, and unusual uatund or
, topographic ~eatur~.
2- Final ApprowI from Health Dept. of wa~er supply and sewe~ge-disposal (8-9 form),
.3. Approval o f etectrlcal insamllation from Boar~ o f Fire Underwriters.
4. Swgm statemenl fi,om plumber certifyb~g that the ~older used in ~T~tem conlains less thau 2/10 of 1% lead.
5. Commeroial build~ng, industrial building, multiple residences' and slmilar buildings and installaOom, a certificate
·0f Code.,Compli~mce.fn~ architect.0? en~neer re*ponsible for the buitd~ng. '
6. Submit Plam~ng Bo/rd. Approval of.oompl*ted site plea reqUirements,
"B. For ei~isting buildings (prior to April 9! I9~?) non-conforralng use% Or b~dldia~ and ."pmexi'sfing~' ltnd uses:
~. 'Accurate mu-vey of p~operty showing all property lines, streets, building nod unudual natural or topographic"
· featuro~. .'. · ·
.2, A properly oompleted application' arid conscni to ir~pect s~gaed by the ~pplic~t. If a Certificate o f OcCUpaucy is
de'aiex~ the B~ild~g lr[spector s[~all state the reasons therefor in writing to the appiicant.
· ' 1. Ccrt/fioate ofOccupan y - New dwellm,g $25.00~ Additmnx to dwelling $25.0q, Alteratiotu to dwel!ing $25.00,
Swimming pool $2.~00, Acces}Qry building $25.00, ~.ddition~ to acc~sory building $25.00, Btm[aesses
2. Ceffificate of Ogcupancy on Pre-existing Building - $100.00
3. C.opy ofC~rtificate o£Oecupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Ce~ficate of Occupancy -Rcsidentixl $15.00 commercial $15.00
.. Date. October 21, 2009
New ~onsiriiction: Old or Pm-ex. ii/ting Buitdirtg:
LoCation of Property: 915 Ruch Lane
X (ch~'k one)
Southold
· House No.
Owner o'r Owner~ o~Property: Pamela S.
Suffolk CountyTax Map No i1000, Section '
Subdi'r. ision
Permit No. '
. Health Dept. Approval:
Planning Board Approval:
.Request for: Temporary Certificate
Da~ of Permit.
S~eet 'Hamlet
Festa, As Executrix of the Estate of Cornella K. Schilke
52 Block 3 Lot. 8
'Fried Map. Loc: ·
Applicant:
Underwriters Approval:
X
Final Certificate: (check one)
Fee Submitted: $ 100.00
Receiveg Time Oct, 20, 2009 9:58P 4 No, 3898
' Applicant Signature
1~/2~/20~9 15:~$ 76566~1 BOARD O~ Y~gS¥£~S P~G~ 02
CONSENT TO INSPECTION
Pamela S. Festa, as Executrix of the* , the tmdersigneck do(es) hereby state:
Owner(s) Name(s) * Estate of Cornelia K. Schilke
That the undersigned .(is) (are) the owner(s) of the premises in the Tovo~ of
Southold, located at 915 Ruch Lane
which is sbo~al and designated on thc Suffolk County Tax Map as District 1000,
Section 52 Block 3 Lot 8
That the und~&rsigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following:
Certificate of Occupancy for pre-existing building
That the undersigned do(es) hereby give con§ent to the Building Inspectors of the
Town of Southold to enter upon the above described propc*rty, including any and ail
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to detmvnine that said premises
comply ~xqth all of the laws, ordinances, rules and regUlations.of the Town of Seuthold.
The m~dersigned, 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 taws, ordinances, roles or
regulations of the Tm~m of Southol&
Dated:
' (Signature)
Pamela S. Festa
(Print Name)
(Signature)
(Print Name)
~ceive,! ,' me Oc~ 20. 2009 S:58PIvl~lo, 38~q8
AREA'7,500SO. FT.
SURVEY OF PROPERTY
AT ARSHAMOMOOUE
TOP~N OF SOUTHOLD
SU?FOLK COUNTY~ N.Y.
I000-6Z'.-03-08
SCAL~ 1'--20'
OCTOBER 6, 2009
CERT1FTED TO.-
JAMES M. L/EEL
UNDA LIEBL
SAFE HARBOR TITLE AGENCY, LTD.
,'-qRST AMERICAN TITLE INSURANCE COMPANY
OF /'FEW YORK
o
TOWN OF SOUTHOLD PROPERTY RECORD CARD
, . .
1
TYPE OF BUILDING
RES. S~S. VL. FA~ COMM. CB. MI~. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
AdE BUILDING CONDITION
N~ NOR~L BELOW ABOVE
FARM Acre Value Per Volue
~' Acre
Tillable
Tillable
Tiflable
Woodland
Swampland FRONTAGE ON WATER
¢o~ _ 0o
House Plot DEPTH [
~ ~ BULKH~D
Totol DOCK
COLOR
TRI,M
M. Bldg. Foundation
Extension Basement Floors K.
Extension Ext. Walls Interior Finish LR.
Extension Fire Place Heat DR.
Type Roof Rooms Ist Floor BR.
Porch Recreation Roorr Rooms 2nd Floor FIN. B.
Porch Dormer
Breezeway Driveway
Garage
Patio
Total
Bath Dinette