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HomeMy WebLinkAboutZ-27862FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27862 Date: 08/09/01 THIS CERTIFIES that the building DWELLING Location of Property 505 RUCH LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 052 Block 0003 Lot 004 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- 27862 dated AUGUST 9, 2001 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 ACCESSORY GARAGE The certificate is issued to EVERTON HOLDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS F IS *PLEASE SEE ATTACHED INSPECTI Rev. 1/81 N/A N/A N/A BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 505 RUCH LA GREENPORT SUBDIVISION: NAP NO.: IAT (S) NAME OF OWNER (S): EVERTON HOLDER OCCUPANCY: SINGLE FAMILY EVERTON HOLDER ADMITTED BY: CHRISTINA HASSELL ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 52.-3-4 SOURCE OF REQUEST: PAUL CAMINITI ATTY 7/13/01 DATE: 08/09/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOKS: IST FLR_: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOK(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: TYPE BEATER: AIRCONDITIONING: TYPE BEAT: WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD (OLD) STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY: w DATE ON INSPECTION: 07/19/01 .vi HN M. BOUFTS TIME START: 10:00 AM END: 10:30 AM ELrhl�, A.-3 t�Jr� i,U) ELDG. DEPT. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 17 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" Vend uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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 accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy- _ .25r,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. July. 1 3,r„2001 ........................ New Construction........... Old Or Pre-existing Building .....X Location of Property.... 505,,,, Ruch Lane rCFJ,,)�� House No. Street Ha et Onwer or Owners of Property... Everton_Holder.................. . County Tax Map No 1000, Section.... 5?.......Block......3.........Lot.......4.............. Subdivision....................................Filed Hap ............ Lot ...................... PermitNo................Date Of Permit ................ Applicant ............................. HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... F nal erticate... I. ..... 100.00 Fee Submitted: $............................: AP IC CONSENT TO INSPECTION Everton Holder & Adrian Holder the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 505 Ruch Lane, Sv Ny 11971 which is shown and designated on the Suffolk County tax map as District 1000, Section 52 , Block 3 , Lot 4 That the undersigned (has) (have) filed, 'or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Pre -Certificate of Occupancy -;- That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances,'�rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or r Dated: July 13, 2001 of the Town of Southold. Paul A. Caminiti (print name) (signa ure) " U N/l 1.I:NI' VJ L01 15 LOT l 1 FM1y 5584 FlI / p ApRII F. 1971 46' 09' 00" L_ 100' III. MNAM;£ OF FCNCI 711-= 46.3• N 46' 09' 00" W GUARANIEES INDICAllo HIRf ON SHAII RVN ! \J `l C / L A NL LWI. 1' TV THF PrR.SON 17.W w icim Oft !;If/ty Y IS PRIPAR111, ANO WJ HIS Ol lfnl f M lift ,- rr�'^ ^ 1111E L:UMI-ANI GLIVENNMLNIAt AUNC): (2.5' PHI VA TF �l ON)) L£NOINC /NSTITUTICW, 1F LISILG HI.RLUN, ANG TO INE ASSIGNEES Of' IH£ LENVINO 1NSIIIfUpON. GUARANTEES ARF N(.11 MANSFrRARI,F to AIJUIIIINAI fK7OT1IODN$ 0R SUD±FOUENT OIt11ER3. UNAU71/0RIZED ALTERATIONOR AOUfNON it)1hl.S SURVEY 1.S A NOI,ATION Of_ $LC//17N /209 or TW NEW Y(.YIK 51AFE EDUCANON LAW. SUR 0- Y (Jl lift LA GF r"1-5 5URE MAP NCI U£ARIND lift CANO SURKY0T15 EMBOSSED SEAL SHALL NOT DE CONSIDERED TO BE A VA00 TRUE COPY S1 run TE WAM[ GARACI N 100' FD CM O LO N/F SCHIM I �411RWYFO 174 IIIINF, j1Y-OI SCALE l"•=20• AREA= 15,000 Sl OR 0.344 Ar,RFS AR.S1-1AMO1wOO(.14_, TOWN OF SOUTHOLD SUFRAK COUNTY, N. Y TAx MAP NO. SUR V1- YU) FOR ' ANN (--LEMENTS 1000- 0.12 - O3. 04 ,'UARAN 111 /) IO ANN CLEMEN/S FIUtITTY NATIONAL 11TIF INs. Cp SURVEYED 8Y SIANLEY J. ISAKSEN, 1R. P, O. Uox 219:1 NEw Su�I 1lc NY 1 i G31-73. -5�5 1UN.5 1)`L;1Nle RVEYOR NY I1C. NO. 4927.3 U7R1U18 6. T' r. 9: 24:U_ 4. 1 STORY M l�'L- 57U/ NCF SIDOP c� H� Oj F1 711-= 46.3• N 46' 09' 00" W GUARANIEES INDICAllo HIRf ON SHAII RVN ! \J `l C / L A NL LWI. 1' TV THF PrR.SON 17.W w icim Oft !;If/ty Y IS PRIPAR111, ANO WJ HIS Ol lfnl f M lift ,- rr�'^ ^ 1111E L:UMI-ANI GLIVENNMLNIAt AUNC): (2.5' PHI VA TF �l ON)) L£NOINC /NSTITUTICW, 1F LISILG HI.RLUN, ANG TO INE ASSIGNEES Of' IH£ LENVINO 1NSIIIfUpON. GUARANTEES ARF N(.11 MANSFrRARI,F to AIJUIIIINAI fK7OT1IODN$ 0R SUD±FOUENT OIt11ER3. UNAU71/0RIZED ALTERATIONOR AOUfNON it)1hl.S SURVEY 1.S A NOI,ATION Of_ $LC//17N /209 or TW NEW Y(.YIK 51AFE EDUCANON LAW. SUR 0- Y (Jl lift LA GF r"1-5 5URE MAP NCI U£ARIND lift CANO SURKY0T15 EMBOSSED SEAL SHALL NOT DE CONSIDERED TO BE A VA00 TRUE COPY S1 run TE WAM[ GARACI N 100' FD CM O LO N/F SCHIM I �411RWYFO 174 IIIINF, j1Y-OI SCALE l"•=20• AREA= 15,000 Sl OR 0.344 Ar,RFS AR.S1-1AMO1wOO(.14_, TOWN OF SOUTHOLD SUFRAK COUNTY, N. Y TAx MAP NO. SUR V1- YU) FOR ' ANN (--LEMENTS 1000- 0.12 - O3. 04 ,'UARAN 111 /) IO ANN CLEMEN/S FIUtITTY NATIONAL 11TIF INs. Cp SURVEYED 8Y SIANLEY J. ISAKSEN, 1R. P, O. Uox 219:1 NEw Su�I 1lc NY 1 i G31-73. -5�5 1UN.5 1)`L;1Nle RVEYOR NY I1C. NO. 4927.3 U7R1U18 T LOCATION: number. & street SUBDIVISION NAME OF OWNER (s) OCCUPANCY .(municipality HAP NO, LOT (s) hype) (owner -tenant) ADMITTED BY: C/� ` � � ACCOMPANIED BY: SI�4� KEY AVAILABLE �SUFF. CO. TAX HAP NO. 1600V SOURCE OF REQUEST : A. --r, /el �+/ iyl / / ! � — DATE : %,// 2/2/ IleT DWELLING: TYPE OF CONSTRUCT%ION /N �1 # STORIES ©%fie # EXITS CT FOUNDATION Cwt CELLAR CRAWL SPACE P4r-1, TOTAL ROOMS: I ST FI.R. 2ND FLR. 3RD PLR. --- BATHROOM (s) ®/Y�._ TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE BREEZEWAY f— FIREPLACE GARAGE DOMESTIC HOTWATER TYPE HEATER AIRCONDITIONING TYPE HEAT WARM AIR HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. ? Dxe STORAGE, TYPE CONST. SWItiMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE. I:h;F1144 b� INSPECTED BY: DATE ON INSPECTION TIME START 'Q C401 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT RMER OWNER U1' N Y"��-GlClwa� E ,rf ACR. �Sd J S 46 W TYPE OF BUILDING/ Es.� �' SEAS. VL. FARM CMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS -•} - Ci 6 3 0 d Q -/0j0 Ado rv/,!v 77 - on 3 V' / Z 4-1 7'l 1- cy=irus�ev So o 3 5,q a '3 o 6 • AGE BUILDING CONDITION NEVY NORMAL BELOW ABOVE FA Acre Value Per Acre Value "illable 1 "illable 2 'illable 3 Voodland wampland FRONTAGE ON WATER rushland FRONTAGE ON ROAD louse Plot DEPTH .... '�' BULKHEAD 'otal DOCK JI':�' i �' ��'