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HomeMy WebLinkAboutZ-27948FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27948 THIS CERTIFIES that the building DWELLING & ACCESSORY Date: 09/17/01 Location of Property 2040 PINE TREE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 098 Block 0001 Lot 016 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- 27948 dated SEPTEMBER 17. 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 ENCLOSED FRONT PORCH AND WOOD DECK AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to ENID M ROTHLEDER (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�ho ized Zignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2040 PINE TREE RD CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ENID M ROTHLEDER OCCUPANCY: A-1 RESIDENTIAL ENID M ROTHLEDER ADMITTED BY: VALERIE LEONIAK ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO_ TAX MAP NO.: 98.-1-16 SOURCE OF REQUEST: PETER & VALERIE LEONIAK DATE: 09/17/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: 3/4 CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 0 3RD FLR_: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: FRONT ENCLOSED DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE BEATER: OIL AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: LAUNDRY ROOM SIDE ENTRANCE WITH SHOWER STALL ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME 2 CAR GARAGE STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST_: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: LOFT ABOVE LIVING ROOM INSPECTED BY: GARY ri'lcyY DATE ON INSPECTION: 09/10/01 TIME START: 9:50AM END: 10:25 73y- sas 8- ur"'&- r Form No. 6 SSS 3_ $C) S TOWN OF SOUTHOLD l BUILDING DEPARTMENT l AUG 2001 F TOWN HALL 765-1802 PLICATION 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 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - , .25%p 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 3 ). . 0 .I ....................... New Construction........... Old Or Pre-existing Building.... ..... Location of Property. zd`.....!�. �.0 ���- �:.....i- House No. Street Hamlet f I ,� � p ( Onwer or Owners of Property.` �{��N(�Q:l�rl'?� �!.\ ..../.�................ . County Tax Map No 1000, Section.�?.........Block...I.............Lot..� �1................ Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Sub fitted: $. ��© 1 APPLICANT CONSENT TO INSPECTION uwnerts) Name do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2�0L-o �'t �1E i 1ZGl=li�h0 fo 1) which is shown and designated on the Suffolk County tax map as District 1000, Section Block Lot 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: 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 regulations of the Town of Southold. Dated: signature) �E LEN I W f (print name (signature) (print name) N O J LOT No. 30 ROOF O.H. Pop tLANDING CONC, PATIO 10 14.1' 1 STY. FRAME DWELLING WOOD STEP t 28,803 S.F. I METAL l L 12x14 C.E. DECK CERTIFIED TO: I I LOT No. 31 PosT FND. 0.4E MON 0.3S r a N23'5 THE EXISTENCE OF RIGHTS OF WAY o o AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT LOT No. 57 GUARANTEED. UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY IS A VIOLA77ON OF SEC77ON 7209 OF THE NEW YORK STA 7E EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7I— TU770N, GUARANTEES ARE NOT TRANSFERABLE. SURVEY OF: LOTS 30 do 31 INCLUS/VE MAP OF NASSAU FARMS FILED MARCH 28, 1935 FILE No. 1179 SITUATED IN: PECON/C TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK 31.3' W00FNC. SLAT 0.1S FNC. 3 le)FNC. 0.8N `� OF WOOD POSTS ' MON. n. ~3 0 a. 0 LOT No. 56 DATE: 8/7/01 JOB NO. B01-5966 SCALE: 1" = 30' DIST. SEC. BLK. LOT S. C. T. M. N0. 1000 098 01 016 KENNETH H. BECKMAN. L.S. Surveying and Land Planning 1814 Middle Country Road Suite D Ridge, N.Y. 11961 (631) 345-9427 FAX (631) 345-9429 /eA -1; . 9f?. /-i./ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT -;O�Q yL I CB. MISC. ,,' %e a 1'�oa aC w7ckg U IMP. ✓ /1/a Ursa v,-.��►' FORMER OWNER �nv la Lazy (a N E ACREAGEvot — /9�/ ��1� //5�.2 6 hs/i14vol.-G' 't?�h hed 44' S W TYPE OF BUILDING ► a- RES. a/c SiXS. VL. FARM COMM.I IND. I CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL D REMARKS�! + loci 00 7 Qo oG. JY66 0!` — /9�/ ��1� //5�.2 6 hs/i14vol.-G' 60 0 t a d3 S-60 S511 Y162 ► a- �. Z - �a el 304 'j ao _ 9' o 3666 AIY 60 3 6 J /9 lqa - r Q r-, o V (32. r aAi\ eA -Z o o 3400 7/7/ �t - - L&JUT toLP-ont` . AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD y B o Tillable 1 KWFAr) r- Tillable 2 DOCK Tillable 3 ` LN Woodland —'M RDA led tr ✓Piflt!/? Swampland Brushla -T---- � House Plot Tota LOCATION: r & street cipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER ( s ) 44x4fit- OCCUPANCY type_ owner-tena(n'�t &ZZLADMITTED BY:'J�,�(L ACCOMPANIED BY: C.�lljz KEY AVAILABLE SUFF. CO. TAX HAP NO.W - -/ SOURCE OF REQUEST: L r'IE,R_ y- A be- A- � fij A K DATE:' DWELLING: TYPE OF CONSTRUCTION W # STORIES 'LC.0# EXITS 3 FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: 1ST FI.R. �J 2ND FLR. 3RD PLR. BATHROOM PORCH TYPE ,�il,"— BREEZEWAY DOMESTIC HOTWATER'� TYPE HEAT L OTHER:-r;c ACCESSORY TOILET ROOM (s)— DECK, TYPE FIREPLACE TYPE HEATER_ WARM AIR / 1. UTILITY ROOM PATIO, TYPE GARAGE AIRCONDITIONING GARAGE, TYPE OF CONST. 12611/- a G44 STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ---- -- — ---------------- ---------------- ------—-�� ---- --------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. INSPECTED BY: DATE ON INSPECTION Q o/Q/ TINE START ;6V - END