HomeMy WebLinkAboutZ-25199FORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF O(~uFAN~f
No Z-25199
Date AUGUST 13, 1997
THIS CERTIFIES that the building GARAGE
Location of Property. 975 RUCH LANE GREENPORT, N.Y.
House NO. Street Hamlet
County Tax Map No. 1000 Section 52 Block 3 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Structure built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-25199 dated AUGUST 13, 1997
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 CAR WOOD ~ GARAGE *
The certificate is issued to
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
H 056246 - ,IULY 25, 1997
PLUMBERS CERTIFICATION DATED
N/A
*PLKASE SEE ATTAct~O INSPECTION~ ~// ~
Building ~nspe¢~
Rev. 1/81
LOCATION: 975 RUCH LANE
(number & street)
SUBDIVISION
NAME OF OWNER (s) EILEEN BROWN
BUILDING DEPAR'I~ENT
TOWN OF SOUTUO~)
HOUSING CODE INSPECTION REPORT
GREENPORT, N.Y.
(municipality)
MAP NO. LOT(s)
OCCUPANCY VACANT LAND WITH GARAGE
(type) (owner-tenant)
ADMITTED BY: BARRY NOVA~ ACCOMPANIED BY: SAME
KEY AVAILABLE HUFF.CO. TAX MAP NO. 1000-52-3-9
SOURCE OF REQUEST: GARY FLANNER OLSEN, ATTY DATE:
JULY
i997
DWELLING:
TYPE OF CONSTRUCTION
FOUNDATION
TOTAL ROOMS: IST FLR.
BATHROOM (s)
PORCB TYPE
BREEZEWAY
DOMESTIC BOTWATER
TYPE IIEAT
OTHER:
CELLAR
2ND FLR.
TOILET ROOM (s)
FIREPLACE
TYPE HEATER
WARN AIR
3RD FLR.
BECK, TYPE
{ STORIES
CRAWL SPACE
UTILITY ROOM
PATIO
GARAGE
AIRCONDITIONING
[IO'I~WATER
EXITS
STRUCTURES:
GARAGE, TYPE OF CONST.
SWI~4ING POOL
OTEER:
I CAR WOOD FRAME STORAGE· TYPE CONST.
· GUEST, TYPE CONST.
VIOLATIONS: CBAPTER 45 N.Y. STATE WNIFORN FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION
ART. SEC.
REMARKS:
/{~OHN M. BOOFI~ /
DATE OF INSPECTION JULY 15, 1997
TIME START 10:10 Al4 END 10:20 AN
JUL- 3 1997
BLDG.
FORM NO. 6
TOWN OF SOUTHOLD
. Building Department
Town Hall
Southoldo N.Y. 11B71
765-
APPLICATION FOR CERTIFICATE OF OCCUPANCY
· Instructions
A. This application must be filled in typewriter OR ink, and submitted ,- ~ ;:: to the Building Inspec-
tor with the following; for new buildings or new usa:
1. Final survey of property with accurate location of all build!ngs, property lines, streets, and unusual
natural or topographic features.
2.Final approval of Health Dept. of water supply and sewerage disposal-iS-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit P ann ng Board approval of completed site plan requirements where applicable. ' '
B..For existing buildings {prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
.1. Certificate of occupancy $.25:00 -- ]IUS~NESS 350.00
2. Certificate of occupancy on pre-existing dwelling $ ~
3. Copy of certificate of occupancy $'5;'00. over 5 'yeats $10.00
4.Vacant Land C.O. $'20.00
5.U~odated O.D. $"50.00 Date June 27, 1,9,9,7.
Detachedy Garage ~
Newc°°st'ruCt't°n ...... Old orPre-axisting Building". ......... .. Vacant Land .............
Location of Property 940 Ruch ·Lane- Greenport
Houza No, Street Ham/et
Owner or Owners of Property Ei 1 een L. Brown ,.,
County Tax Map No. 1000Section ,.5.2 ............ Block ~ ....................
Subdivision ..........................
Permit No ........... Date of Permit
Health Dept. Approval .................
...... Filed Map No ........... Lot No ..............
...... Applicant ..................................
...... Labor Dept. Approval ........................
. 00, O0 /
Fee Submitted $..../! . / ?
Constr'uction on above described building and permit ~ets~i~ab~s and regulations.
Applicant ...... ,'., .... f ................................
Rev. 10.10-76
GARY FLANNER OLSEN, ESQ;
P.O. BOX 706
CUTCHOGUE, NY 11936
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~e~el~ .u.E^u o; EL=CT.IC.V
[-- 85 JOHN STREET, NEW YORK, NY 10038
/~re JULY 25,1997 Application No. onfile 1431'7397/97 H t3562~6
THIS CE;IFIES THAT
E,:TATE OF EILEEN L.BROWN, RUCH IANE SOUTHOLD N.Y.
~ examln~ on g~ 21,1997 and found to ~ in compl~ce w~h the N~o~
fiXTUll IqXTUI~S RANGES OVENS
OUTLETS
'(B[L1, ONLY) Thi~-: is liot a
Certificate. This is a Bill
fo~ Services Rendered Only,
CE ~ ELIA CZELATKA
395 JENNINGS ROAD
SOUTHOLD, NY, 119'71
his certifkate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
CONSENT
TO
INSPECTION
Estate of Eileen Brown by Gary Flanper Olsen, as attorney , the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 940 Ruch Lane, Southold, NY
· which is shown and deslgnated on the Suffolk
County tax map as District 1000. Section 52 . Block 2 , Lot 32.1
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in'th.~ Southold Town ]Jullcling lnsp~uL,,~ .~ ott~.o to.- ~h- fnllnwinff:
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 a~d understanding that an7 information'obtain~.~ nduct of
such inspectwns may be used as evidence in subsequent prosecut~bns for rio-
/
/
lations of the laws, ordinances, rules or regulation~o[[,~ To.~n of Southold.
Dated. Y '". /~gn~ure)
Gary Flanner Olsen as
(print name)
Attorney for Estate of Eileen Brown
(signature)
(print name)