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Home My WebLink AboutZ-28855FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28855 Date: 09/10/02 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 575 RUCH LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 052 Block 0003 Lot 005 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- 28855 dated SEPTEMBER 10. 2002 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 FRONT AND REAR PORCHES AND ACCESSORY TWO CAR * The certificate is issued to DOROTHEA F SCHIPP (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 Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 575 RUCH LA GREENPORT SUBDIVISION: NAP NO_: IAT (S) NAME OF OWNER (S): DOROTHEA F SCHIPP OCCUPANCY: SINGLE FAMILY DOROTHEA F SCHIPP ADMITTED BY: PAUL HEFFERNAN ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 52.-3-5 SOURCE OF REQUEST: RUDY BRUER, ATTY. DATE: 09/10/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 3.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE: FRONT & REAR DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: NATURAL GAS AIRCONDITIONING: TYPE HEAT: OIL OTHER: iARM AIR: X HOTWATER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD, NO ELECTRIC STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. SEC. v - INSPECTED BY: DATE ON INSPECTION: 09/10/02 JOHD M BOUFIS TIME START: 9:50AM END: 10:30AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 1 �t", R. ^ TOWN -HALL 765-1802 r j AUG 2 7 APPLICATION FOR CERTIFICATE OF OCCUPANCY 1 f A. This application must be filled in by typewriter OR ink and submitted J_tl .-ding 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 12 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 (5.. Temporary Certificate Certificate of Occupancy - Residential $15.00, Commercial $15.00 P"u^,Q ��Lrl/ � --)06 Date ......................................... ;few Construction........... Old Or Pre-existing Bui ding.. ............ Locationof Property.....5..................�. .... .................. House No. Street Hamlet Onweror Owners of Property... rcl.....?.......................... County Tax Map No 1000, Section .... 5.,�..... Block ..... ......... Lot..��................ 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 Submitted: $.. .... ........... � x ............ dAUT T(`dNT- 4 r.1 —3 -,r TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT ! �l1� JG % I.�C � .0� f (STC r� FORMER OWNER v vN d E ACR. ✓f"- �✓ S ,k TYPE OF BUILDING / SEAS. VL FARM COMM. CB. MISC. Mkt. Value ND IMP. TOTAL DATE REMARKS 0 o a oo '7.3-0 a,��?.� 0"0 SZ 2 2 /to 0 LZT o z c o 570 a 00 d AGE BUILDING CONDITION N NORMAL BELOW ABOVE FAM Acre Value Per Acre Value "illable 1 -illable 2 'illable 3 Voodland wompland FRONTAGE ON WATER rushland FRONTAGE ON ROAD 3Y t _ /0 0 louse Plot DEPTH r BULKHEAD otal DOCK CONSENT TO INSPECTION do(es) hereby state: the undersigned, That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at which is shown and designated on the Suffolk County tax map as District 1000, Section �, BlockLot 5 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: (gnature) (print name) 5URVEY OF PROPERTY 51TUATE: ARSHAMOMAQUE TOWN: 50THOLD 5UFFOLK COUNTY, NY 5URVEYED 08-20-02 SUFFOLK COUNTY TAX u 1000-52-5-5 STEVEN D.AXELROD SANDRA L.SCHPOONT COMMONWEALTH LAND TITU INSURANCE COMPANY Land Now or Formerly of Everton A. Holder 4 Janine M. Holder -'< k S460090OOIIE 90.08' $55015700118 Ie x�x_ GA7 % 23. b J AREA = 18,833 5F OR 0.43 AGRE5 &RAPHIG SCALE III= 20' d,'iveway JOHN � 5 Land Nov, or Formerly of Arita Morinucol S Luigi Marinucci mon 3.5' C N5501510011W 35.47 ..Inlnlvnr of ecllm� on ]ucVI�M Ncr Yoh'Stolc�E rlrcotian man. Onip czPles Ir n or ,ml al wrvey l.I�,. zlaripn a`raol II I- I.— hr la M vnlin [r _ rople 11 .an.+s wrr.,m.n n,rr»r,, .I,y,lly mil m,Y voylla n wnprr.el Ir ralllr lr n Aa...r N f Hr+.�.... rc;p s +.W c.Hl,l rs zno r, ornr:5a•.�.m r r� m.`5 �� y K o�ep:�:l r"mn io m. nl. a:utr,u", lse sslyrru¢ u! llrc I. IMg In.tllrrllwr. rilltm bons v. rol Uwslarrblc 1. rrltlltnml ..[Ilutlona ,AND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-247.pro 8 in L ^II O� T � t N a iu EIL � -T IL ' �� Q) ^�Qz' 1 V/'`I m 0 > 1I 1 ,A Oen o Is I m' r �_— i I r I � JT -N46 O09 0011w 102.037 I�_ °Ilvate ITR(Dadl (Ruch Lane) NOTES: MONUMENT FOUND STAKE FOUND AREA = 18,833 5F OR 0.43 AGRE5 &RAPHIG SCALE III= 20' d,'iveway JOHN � 5 Land Nov, or Formerly of Arita Morinucol S Luigi Marinucci mon 3.5' C N5501510011W 35.47 ..Inlnlvnr of ecllm� on ]ucVI�M Ncr Yoh'Stolc�E rlrcotian man. Onip czPles Ir n or ,ml al wrvey l.I�,. zlaripn a`raol II I- I.— hr la M vnlin [r _ rople 11 .an.+s wrr.,m.n n,rr»r,, .I,y,lly mil m,Y voylla n wnprr.el Ir ralllr lr n Aa...r N f Hr+.�.... rc;p s +.W c.Hl,l rs zno r, ornr:5a•.�.m r r� m.`5 �� y K o�ep:�:l r"mn io m. nl. a:utr,u", lse sslyrru¢ u! llrc I. IMg In.tllrrllwr. rilltm bons v. rol Uwslarrblc 1. rrltlltnml ..[Ilutlona ,AND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\02-247.pro LOCATION: ifT 715 - (number (number & street) SUBDIVISION: I NAME OF OWNER(S) OCCUPANCY: ,e (type) (municipality) O.: LOT($): (owner -tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000- S-Z— SOURCE OF REQUEST:///11A/ f`1 DATE: DWELLING: TYPE OF CONSTRUCT ON: ✓f�� # STORIES: /,lYto # EXITS: FOUNDATION: 1 , CELLAR: CRAWL SPACE: TOTAL ROOMS: IST FLR: 2ND FLR: — 3RD FLR: -- BATHROOM(S): 69,E T ILET ROOM(S): UTILITY ROOM: PORCH TYPE:��Ipl.,i��-/ �.�� Ad DECK, TYPE: PATIO, TYPE: y BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER:TYPE HEATER:/ �� sr d�� AIRCONDITIONING: TYPE HEAT:. _ WARM AIR: T HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.• Ce.Jv ST GE, TYPE CONST.: SWIMMING POOL: t GUEST. TYPE CONST: OTHER: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: INSPECTED BY: g��p� DATE ON INSPECTION: If TIME START: I ° "� END:./0 �