HomeMy WebLinkAboutZ-28132FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28132
Date: 12/24/01
T~IS CERTIFIES that the building
DWELLING & ACCESSORY
EAST MARION
Location of Property 5705 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 035
(STREET) (HAMLET)
Block 0002 Lot 016.001
subdivision Filed Map No. __ Lot No. __
confor~ substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCC73PANCYI%g3q~BER Z- 28132 dated DECEMBER 24, 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 DECK AND ENCLOSED PORCH AND ACCESSORY SHED.*
The certificate is issued to STANLEY RUTKOWSKI
( OWNER )
of the aforesaid building.
SUFFOLK COIINT"f DEP~RTMENT OF tIEALTEAPPROVAL
ELEC'~RICAL CERTIFICATE NO.
PLI~dBERS CERTIFICATION I~A'rF~3
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
N/A
12/I i/0 1 Pending
N/A
~Au~gnature
/
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 5705 MAIN RD
SUBDIVISION:
~ OF O~ (S}: STANLEY RUTKOWSKI
OCCUPANC"f: SINGLE FAMILY
ADMI'i-r~J3 BY: JENNIFER PRICFJtRD
SOURCE OF REQUEST:
EAST MARION
MAP NO.: LOT (S]
STANLEY RUTKOWSKI
ACCOMPANIED BY: SAME
SD-FF. CO. TAX ~lP~P NO.: 35.-2-16.1
DA~: 12/24/01
DWELLING:
TYPE OF CONSTRUCTION:
FOUNDATION: STONE & BLOCK
TOTAL R00~S: 1ST FLR.: 3
BA'r~OOM (S): 0
FOECH T"fPE: SIDE ENCLOSED
BREEZEWAY:
DOMESTIC HOTWA'r~u(: X
TYPE HEAT: NAT. GAS
OTHER: BILC0 DOOR
WOOD FRAME
# STORIES: 2.0 # EXITS: 3
CRAWL SPACE:
2ND FLR.: 3 3RD FLR.: 0
T~3II~T ROO~(S): 0.0 ~ILITY ROO~(S): PANTRY
DECK TYPE: SIDE PATIO TYPE:
FIREPLACE: GARAGE:
T"fPE H~JYrEI(: NATURAL GAS A/IRCONDITIONING:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIPING POOL:
STOP, AGE, TYPE CONST.:
~U~T, TYPE CONST.:
WOOD SHED
VIOLATIONS: CHAPTER 45 N.Y. STATE I/NIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
P~: RE-INSPECT~.~ 12/20/01
J~/BOUFIS ~ - TI~ ST~T: 9:45AM END: 10:25AM
TOWH OF SOUTIIOLD
BULLDI[IO DEPART[IEN'T
765-[802
.....
· APPLICATIOH FOR.CERTIFICATE OF OCCUPANCY
This application must be filled tn by typewriter OR ink'and, submitted to the build[ua
inspec~or wi~h :he foilawingl for new building or new use:
1, Final s~rvey of proper~y ylell accurate loeaeion of all buildtngst propert~
stroets~ and unusual natural or ~opogrmphte fea~ce.,"
2, Final Approval [rom Health Dept~' oE ~ater supply and sewerage-disposal(S-9
3, Approval o~ eiectrica~ installs:ion'[rom Board of F~re
~, Sworn statelhent from plumber certifying that the solder osed
less than 2/~0 of 1% lead. "
5, Co~ercial bulldtng~ indus, ariel building~ m~lktple residences and s~ailar buddings
and in~ealia~iens, a 'certificate of Code Compliance from;archi:er: or eng{~ee~
responsible for ~he buliding~
6~ Submit Planning goard Approval of eompieted st~e plan requiremen~a.
For existing beildings (p~ior :o Apri~ 9s ~957) non-c0nfo~ming useS, er build.ge and
"pre-existing" land usest
I. Accurate survey of property showing all property lines~ stree~s~ building a.d., .,,
unusual natural or topographic fea~es~
2. A properly completed application and a consent ~o inspect signed by' the applican:~
if a Ce~tificace oE Occupancy la denied, :he Building Inspector ~hall state the
reasons therefor in writing to Um applicank~
C, Fees
1~ Certificate of Occupancy - New dwelling $25.OOt Addibions to dwelling $25.00,
' ' Alteratlous to dwelling $2§.00~ SWiShing pooi $25,00~ Accessory building $25.00,
: ~dditions to accessory building $25.00~ Businesses $50.00. "
2. Certificate of Occupancy on Pre-existing Building - $100.00
3, Copy of Certificate of Occupancy - $§.O0'6ver 5 years - $[O.00
4~ Updated Certificate of Occupancy -
, 5, Temporary Certificate of Occupancy - Residential $15.OO~ Commercial ~15.00
u ust
XX
5705 Main Road ° East Marion
House No. stree~ Hamlet
Patricia Thom
· 035 02 016.001
Planning Board
Request for~ ,Temporary Certificate,~
~,~***, Final Certicate,~i,,**
· 100.00 ~ ~~ ·
Fee SUbmittedl
FR0ll : LEI.IlS & [,IICKLES,LTI). PHC]NE NO. : 6~t 765 40% I:lu9, ['El 2CI0! 02:~.5PVI Pt
CONSENT
TO
INSPECTION
WILLIAM It. PRICE, JR., the undersigned, does hereby state:
That the undersigned is the attorney for the PATRICIA THOMPSON VINCENT, the
owner of the premises in the Town of Southold located at 5705 Main Road, East Marion, New
York, which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 035, Block 02, Lot 016.001.
That the undersigned has filed, or caused to be filed, an application in the Southold Town
Building Inspector's Office for the following: Pre-existing certificate of occupancy covering
the one-family dwelling.
That the undersigned does 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, does 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 violations of the laws, ordinances, rules or regulations of
the Town of Southold.
Dated: August 31, 2001
WILLIAM H. PRICE, JR.
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &~CHIMNEY
REMARKS:, ,~
DATE
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~~~~~
DATE ~_ ~,~,~/O/,/ I NSPECT~~r.~