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
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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 _