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HomeMy WebLinkAboutZ-26393FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26393 THIS CERTIFIES that the building DWELLING Location of Property 27525 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 102 Block 0001 Subdivision Filed Map No. Lot No. Date: 04/20/99 CUTCHOGUE (HAMLET) Lot 014 conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26393 dated APRIL 20, 1999 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 OPEN PORCH AND BRICK PATIO.* The certificate is issued to IRENE RUTKOSKI (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 INSPECTI^W onv^n" Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 27525 MAIN RD CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): TRRNE RUTKOSRT OCCUPANCY: SINGE FAMILY IRENE RUTKOSKT ADMITTED BY: MICHAEL HERBERT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 102 -1-14 SOURCE OF REQUEST: TRENE RUTKORRI DATE: 04/20/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION: rnvrnama nr OCg _ CELLAR: FULL CRAWL SPACE:. TOTAL ROOMS: 1ST FLR.: -2 BATHROOM(S): 1.0 2ND FLR.: 3 TOILET ROOM(S): 0.0 PORCH TYPE: FRONT OPEN DECK TYPE: BREEZEWAY: FIREPLACE: 3RD FLR.: ,I UTILITY ROOM(S): MUD RM GARAGE: PATIO TYPE: BRICKFns_ DOMESTIC HOTWATER: YES TYPE HEATER: NATURAL GAS AIRCONDITIONING: TYPE HEAT: MAT, GAS WARM AIR: X HOTWATER: OTHER: KITCHEN PANTRY ACCESSORY STRUCTURES GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ' DESCRIPTION ' ART SEC i i i i i i INSPECTED BY: «/�-• .1jnfZA : DATE ON INSPECTION: 03/02/99 M. BOUFIS r TIME START: 10:40 AM END: 11:10 AM Form No. 6 O �YLSov5�-`. TOWN OF SOUTHOLD ry� BUILDING DEPARTMENT t9 i TOWN HALL �� r 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY V 1 A. This application must be filled in by typewriter OR ink and submitted to the bu- 1T idrng 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 11pre-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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date..F�1�ruvcX.23.,..1999................... New Construction........... Old Or Pre-existing Building ........ XXX . Location of Property. .4!525.M�LiA.1 Q9AC1c.CW;Qt199ue,.A,Y.................................. House No. Street Hamlet Onweror Owners of Property.. ...................... ..... . County Tax Map No 1000, Section. .10.2 ........ Block ... Al..........Lot.....14............... 14) Subdivision............................)........Filed Map 1..........Lot*..,(.................. Permit No................Date Of Permit ................ Applicant. .Iren.e.Rulkoski........... HealthDept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $.10.4_00 ..................... ................... APPLICANT TOWN OF SOUTHOLD PROPERTY RECORD CARD /v i /` OWNER STREET -7,7.57,S VILLAGE DIST. SUB. LOT T/ -e e, 12. FORMER OWNER i�enr Vl N 1Q�Qu��turc�j E (� KaWicz ACR/ $ 4 ," Whvcsb l c TYPE OF BUILDING RES41Q SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �{Q fo h O `% r U 0 0 %�✓ W cQ.Q_, arc. Co. Li'; ,f'.c �, tiJ db-y�T G, , AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROADSS e) 3 s — [l v Meadowland DEPT e },:3 HouseZmt%.o a.� BULKHEAD Total DOCK CONSENT TO INSPECTION Irene Rutkoski 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 27525 Main Road, Cutchogue, N.Y. (directly across Cutchogue LibraryAvhich is shown and designated on the Suffolk County tax map as District 1000, Section 102 Block 01 , Lot 14 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 regulations of the Town of Southold. Dated: February 23, 1999 (signature) Irene Rutkoski (print name) (sig at re) (print name) , , "a �" �5 -\� John Mac We" % fc Stska rrn7*, " E. — 9.Z..ZS I MA O)�- )C::4 0 7- 0W/VEO BY Pi eao'N/•, �J SW 030'N/ _36CS "5.4�L GO I. Moti- BEI? THA SARNOWSKI SITUATE AT CUTCHOGUE SUFFoj_K CO., N. y. 5N BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION ,{— LOCATION: C �c" number street SUBDIVISION NAME OF OWNER (s) OCCUPANCY —5-1 MAP NO, ipality LOT (s) ( type) � owner-tenantT— ADMITTED BY: �Il� G'�•t•�v ACCOMPANIED BY: KEY AVAILABLE SUFF. CO. TAX MAP NO ! 4svy SOURCE OF REQUEST: 1 �Pnzt _ � ) DATE:—'L,/•�3�� DWELLING: TYPE OF CONSTRUCTIONQ }.. # STORIES Z EXITS FOUNDATION �. t CELLAR J CRAW. SPACE TOTAL ROOMS: IST FI.R. 2ND FLR. 3RD FLR. BATHROOM (s)(l%,Y - C _ TOILET ROOM (s ) PORCH TYPE &n� DECK, TYPE bttCL'GGWAI DOMESTIC HOTWATER TYPE HEAT OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWIMMING POOL OTHER: ------------- -------------- UTnT_ATTnMR UTILITY ROOM PATIO, TYPE JK I KISMAUE GARAGE TYPE HEATER & /. 61VS AIRCONDITIONING WARM AIR HOTWATER STORAGE, TYPE CONST. , GUEST, TYPE CONST. CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START END Zf ,' /O _ DESCRIPTION ART. SEC. r •L a. y � � prrA r r Lir F1s� REMARKS: INSPECTED BY: DATE ON INSPECTION TIME START END Zf ,' /O _