The URL can be used to link to this page

Home My WebLink AboutZ-17780FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE Certificate Of Occupancy No. ,Z17780 Date..Feb. 22, 1989 ......... .............................. THIS CERTIFIES that the building .ONEFAMILY DWELLING. .......................................... Location of Property . 69000CTY RD. I�48 GREENPORT House No. ......................Street .......................Hamlet County Tax Map No. 1000 Section ... .......Block . 9.1............Lot ... 06 Subdivision ...............................Filed Map No. ........Lot No. ............. REQUIREMENTS FOR A PRIVATE ONE—FAMILY DWELLING BUILT PRIOR conforms substantially to the �CII3IliiiitlidtriC%3�rX)$�iiilvd�iYC)?a�rlitX$Is`Ii�t�ltcr��{a`�xti �#�t� TO APRIL9.,, , 195,7 CERTIFICATE Q �S NCY Z 17780 pursuant to which �5No. ... 1 7 7 .. 0 ............ dated FE B.- . 2,2 , .:1 9.8 9 ..... , ...... 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, ACCESSORY GARAGE AND 2 SHEDS. ................................................................................ The certificate is issued to .. RUBY Lt. PETERSON .......................................... (owner, i� $B]DRAIR%%% of the aforesaid building. Suffolk County Department of Health Approval ...... N/A ................................ . UNDERWRITERS CERTIFICATE NO .............. N/A PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT 1111. -7. ............... Building Inspector Rev. 1/81 BUILDI:,,'G DEP=RT: .iT TO`Pv1 OF SOUTHOLD, N. Y. HOUSIiG CODE INSPECTION REPORT Location 69000 CTY RD. # 48 GREENPORT (numoer 64 street) (i-iunicipaiity) Subdivision --- Nap No. - Lot(s) Name of 0wner(s) RUBY L. PETERSON Occupancy R-40 (type) owner -tenant Admitted by: JOHN QUINLAN Accompanied by: SAME Key available --- Source of reques D?'TELLING : Suffolk Co. Tax No. 34-1-6 RUBY L. PETERS6N Date 1/30/89 Type of construction WOOD FRAME 'stories 2z Foundation CEMENT BLOCK Cellar FULL Crawl space -- Total rooms, 1st. Fl 3 2nd. F1 3 3rd. F1 Bathroom(s) ONE2ndFLOOR Toilet room(s) ---- Porch, type FRENCLOSED Deck, type --- Patio, type_ --- Breezeway --- Garage --- Utility room --- Type Heat NATURAL GAS Warm Air Hotwater xx Fireplace(s) --- No. Exits 3 Airconditioning --- Domestic hotwater NATURAL GAS Type heater Other REAR MUD ROOM ACCESSORY STRUCTURES: Garage t OD FRAME 2 SHEDS REAR e type const. 2 CAR Storage, type const.OF HOUSE Swimming pool ---Guest, type const. --- Other --- VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention Lncation Descrintion �Art.f Sec. CELLAR NO HANDRAIL ON CELLAR STAIRS 11242.3 I D Remarks: HOUSE IN GOOD CONDITION Inspected by: Date of Insp. 2/17/89 Time start 9:35 end9:55 a.m. GARY FISH FORM NO. 6 TOWN OF SOUTHOLD etpt b ` s. Building Department <<" Town Hall pEpt' p1� Southold, N.Y. 11971 �F'SO 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUP Instructions A. This application must be filled in typewriter OR ink, and submitted a a . to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-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 Planning 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 unusuat 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: IN - 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ S.'00, over 5 years $ 10.00 4.Vacant Land C.O. $ 20.00 1989 5. Updated C.O. $'50.00 Date ,February ... ....... . .. . NewConstruction . Old orPre-existing Building .XX......... Vacant Land ............. 6 Location of Property (no #). County Road 48 Greenport . . ..... .... .. .. .. . House No. Street Hamlet Owner or Owners of Property . , Ryby L; . Peterson , , . . County Tax Map No. 1000 Section ..34........... Block .. 1 ............ Lot .. 6 ............. Subdivision .................................Filed Map No. ..........Lot No. ............. Permit No. .......... Date of Permit ..........Applicant .................................. Health Dept. Approval ..... N/A................Labor Dept. Approval ... N/A, , , , , .... ...... . Underwriters Approval ..... N/A................Planning Board Approval , N/A... .. , , .. , , . . Request for Temporary Certificate .. .J:..............Final Certificate . , , , XX ................... Fee Submitted $.,50;00...................... Construction on above described building and permit ets a J! plicable codes and regulations. + 3 4479 Ay Applicant .. ... .......... ............. 22 Rev. 10.10.76 P� L zi??gid GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, L.I., N.Y. 11935 A F F I D A V I T Re: Peterson to Ferguson Title No. T1288-3628 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Ruby L. Peterson, being duly sworn, deposes and states as follows: That I am the owner of certain premises located on the south side of Middle North Road (CR 48) designated on the Suffolk County Tax Map as District 1000, Section 34, Block 1, Lot 6, That the subject premises contains a 2 1/2 story frame house, a detached garage and two sheds. All as shown on the survey of Roderick Van Tuyl dated January 20, 1989. That the house was completed in about January 1930 and the garage and sheds were constructed shortly thereafter. All structures on the subject premises were constructed prior to April 1957. I am submitting this Affidavit in support of my application to obtain a pre-existing Certificate of Occupancy on all buildings from the Southold Town Building Department. Ruby L. Peterson Sworn to before me this.301"t day of ,u 1l 1989. lift pift t8�R OCK Mo. 4919276 "W 1 � 1, I tie Won E�w Rib. t (p Notary Public it -46 tv LL CM I I a T4 -Zo� 25 I A � I. F12 I FEB 15 y mA,P OF P[ZOPEQT !!!COLFS N rJ\Ill q JAN 20 pt99 TUY.L P. i2cl D E 'Re- cs.:� 3 vu;ZVEYORS -5c S 2 LO 11 Cl Oj I I a T4 -Zo� 25 I A � I. F12 I FEB 15 y mA,P OF P[ZOPEQT !!!COLFS N rJ\Ill q JAN 20 pt99 TUY.L P. i2cl D E 'Re- cs.:� 3 vu;ZVEYORS -5c S 2 TICOR TITLE GUARANTEE COMPANY 40Q,West Main Street Riverhead, New York 11901 VARIANCE SEARCH STATE OF NEW YORK) COUNTY OF SUFFOLK) SS Pat Hepinstall, being duly sworn, deposes and says: Title No: T1288-3628 That she is a Title Officer of TICOR TITLE GUARANTEE COMPANY and has had a search made under her direction of the records and/or the files of the County Clerk and Registrar of the County of Suffolk for the purpose of an application for a variance affecting the following premises: TM: DISTRICT 1000 SECTION 34 BLOCK 1 LOT 6 That such search includes a chain of title as to the premises and all of the adjoining lot since prior to 4/1/57 and such search shows and she does certify that the premises has been in single and separate ownership since prior to that date, except as may be shown by the attached chains of title. That this affidavit is made to assist the Board of Appeals of the Town of SOUPHOLD to reach any determination which requires a basis therefore the information set forth herein and knowing full well that said Board will rely upon the truth hereof. TICOR TITLE GUARANTEE COMPANY BY PAT H PINSTALL Title Officer Sworn to before me this _day of T��iz��z�z , 19s-'f� JANt�e O�'Sta a of Nev�York NOTARY ounty o. 52.461 297 u,pfted In Sutt QolK Op Cehrrn,lon ExP1Yea March 30, 19,41.- + .t NOTE: LIABILITY FOR THIS VARIANCE SEARCH IS LIMITED TO THE AMOUNT OF FEES ACTUALLY PAID. 0 &iia OWAM•3TuI—L 1LX 1. Michael Keary Amy Keary to Carlton V. Peterson Ruby L. Peterson, his wife LAST OWNER OF RECORD. PREMISES ADJACENT NORTH: Main Road SCTM: 1000-34-1-6. DEED: Dated: 5/31/1929 Rec'd: 6/3/1929 Liber 1435 cp 502 PREMISES ADJACENT SOUTH AND EAST: SLIM: 1000-34-1-7 1. Inez Fordham died a resident of Suffolk County on 10/21/1954, Index No. 175 P 1955, Austin L. Davison as residuary devisee under the Last Will and Testament of Inez Fordham. 2. Austin L. Davison to Oscar Goldin 3. Oscar Goldin to Eugene N. Mazzaferro William F. Heaney i1inC�$i►��: • a7ei�i7771 DEID: Dated: 8/27/1963 Rec'd: 9/9/1963 Liber 5411 cp 283 DEID: Dated: 10/23/1963 Rec'd: 10/24/1963 Liber 5439 cp 107 PREMISES ADJACENT WEST: SCTM: 1000-34-1-5 CHAIN OF TITLE 1. George W. Smith DEED: to Dated: 3/10/1955 Frank Ozarowski Recd: 3/25/1955 Frances Ozarowski,his wife Liber 3858 cp 338 Death of Frances Ozarowski PREMISES ADJACENT WEST CONTINUED...... 2. Frank Ozarowski, as surviving tenant by the entirety to Gerasims Moulins Anezina Moulins LAST OWNERS OF RECORD. NOTHING FURTHER FOUND. SEARCH DATED: 1/30/89 Sworn to before ire this /Lday of `C 1 -'.cz,Za989. .... e New York JANET '�� srnle o NOTARY PU852_4C�19297 C Qua�No� '" Suffolk 30, 19j Commission ExPIr." Meroh 30, DEED: Dated: 11/7/1983 Recd: 1/5/1984 Liber 9489 cp 482 BY� V,'-D15'C1jAQC Pat Hepinstall Title Officer BUITDING .THE T T0, -RN OF SOUTHOLD, N. Y. HOUSII:G CODE INSPECTION REPORT Location_ (numoer I s zreet) >iun cipality) Subdivision ikiap No. Lot(s)_ Name of Oi-iner(s) Occupancy 0 t `' Pe o%iner_ze nz) Admit ted by: c Ac�:dmpanied by Key available !—' ' Suffolk Co. Tax No. Source of request �/�+ ��.Date 3 d 1.6 Di'TE LLING : Type of construction 416L'C �.� r,stories oZ y Foundation Cellar Crawl space Total rooms, lst. F1 ..3 2nd. Fl 3 3rd. Fl Bathroom(s)MZ-,_�_Deck, _„�, Toilet room(s) "— Porch, type type Patio, type ._._ Breezeway Garage Utility room Type Heat -Warm Air Hotwater Fireplace (s No. E:{its Aircondi tioni ng Domestic hotwater Type heater Other A ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Gnu --est, type const. Other VIOLATIONS: Housing Code, Chapter Location Description Remarks: Qin._ _ e ._`.4.1i F,�..0. 7 Inspected by: Date of Insp. Time start end