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Home My WebLink AboutZ-23198 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23198 Date SEPTEMBER 7, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2125 WESTPHALIA RD & 1080 YOUNGS AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 1.1 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-23198 dated SEPTEMBER 7, 1994 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 ACCESSORY TWO CAR GARAGE & ACCESSORY STORAGE SHED The certificate is issued to EDITH M. YOUNG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 7zq Building Inspecto Rev. 1/81 - BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2125 WESTPHALIA RD. & 1080 YOUNGS AVE. MATTITUCK, N.Y. number & street municipality SUBDIVISION MAP NO. LOT(s) NAME OF OWNER (s) EDITH M: YOUNG OCCUPANCY SINGLE FAMILY type owner-tenant) ADMITTED BY: WILLIAM HASTINGS ACCOMPANIED BY: SSE KEY AVAILABLE SUFF.CO. TAX MAP NO. 100 - 41-1-1. 1 SOURCE OF REQUEST: RUTH HASTINGS, AS ATTORNEY IN FACT DATE: AUG. 15, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME VSTORIES 1 0 E%ITS 2 FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: 1ST FLR. 5 2ND FLR. ATTIC 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s). NONE UTILITY ROOM NO PORCH TYPE FRONT ENCLOSED (NO HEAT) DECK, TYPE NO PATIO . NO BREEZEWAY NONE FIREPLACE NO GARAGE DOMESTIC HOTWATER YES TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT OIL WARM •AIR YES HOTWATER OTHER: 1 CELLAR E%IT, REAR SCREENED ENTRY PORCH ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD FRAME-2- CAR STORAGE, TYPE CONST.-VERY OLD WOOD FRAME SWIMMING POOL GUEST, 'TYPE CONST. OTHER: OLD DOG HOUSE BEHIND GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION AUG. 23, 1994. HN M. BOUFIS TIME START 10:00 END 10:20 =v ¢=' _ �__.-:`,'• _ = ; Form No. 6 T014N OF SOUTHOLD BUILDING DEPARTMENT 6` 1 6 l98� TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in b inspector with the following: for new tbuildingrorrPnewkuSed submitted to the building 1• Final survey of property with accurate location of all buildin s streets, and unusual natural or topographic features, g Property lines, 2• Final Approval from Health Dept. Of sue- is 3. Approval of electrical installation fromBoardlofaFireewera Underwriterssal(S-9 form) . 4• Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. . 5- Commercial building, industrial building, and installations, a certificate of Code Compliance multiplerfromearchitectesidnces andsor1 engineer ar dings responsible for the building- 6• Submit Planning Board Approval of com leted 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, Accessor buildin Additions to accessory building $25.00. Businesses y g $-5.00, 2. Certificate of Occupancy on Pre-existing 100.00- Buildin -3. Copy of Certificate of Occupancy - $20-0O $ 0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date , , August 15, 1994 -- Vew Construction.. . . . . . . . . . Old Or X - - . . • • • • • ' " Pre-existing Building. - . :.ocation of Property. . .2125.1�e�tRha1 is,goad „ • • Matti tuck. . HouseNo. . . .Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hamlet )ewer or Owners of Property.. .EdftM, -YouQq , . • • • . • • • • . • . • • • . . . • . • . • . • • . • • . • . • . . . • • • • • • . • • • . . :ounty Tax Map No 1000, Section. . . .141 - - - - , O1. .Block. . . . . . . . . . . . . .Lot. . 1. 1. . . ubdivision. . . _ • • • - • • • . . • • . . . ,ermit No. . . . . . . . . . . . . . . .Date Of . . . . . . . . . . . . . . . . . . .Pe. . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . .. ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . • • . . . . . • . • . . 'quest for: Temporary Certificate. .. . . . . . . . . Final Certicate. - O , Submitted: $11JIJ..DD. . . . . . . . . . . . . . . . . . . . . . . 8 3 �G . . . . . . . . . . ��- Eugene R. Francolini, ttgRi�y 4F-applicant • . • • • . • • -I' A CO 3 /f� TITLE NO. 6JOS9 08-04 WESTPHALIA FROAE) S70 33'20"E 167.45' Ld ` d BR. ST PS I Z 26.< / h 1 W 4t ^� Q 103.5' I rLs• I I 272, �I 1 FRAME FRA S GE SHED � GARAGE m 0 74.7' ro.e' J s ME DOOWc� 1.Bf � WN 0 N = 33,505 S.F. 0.7692 Ac. N59;36:30"�y 140. 4AND NSF DUDEjf 36' I CERTIFIED TO: ALL STATE ABSTRACT CORP. SURVEY OF FIRST AMERICAN TITLE INSURANCE PROPER TY COMPANY OF NEW YORK. !� l TERESA PAOULA FLATBUSH FEDERAL SAVINGS AND LOAN SITUATE AT MATTITUCK TOWN OF SOUT14OLD SUFFOLK COUNTY, NEW YORK SCALE I" = 40' AUGUST 8, 1994 EASEMENTS AN0/0R SUOSURFAC£ STRUCTURES RECORDED OR UNRECORDED ARE NOT CUARANTfFO UNLESS P11YS1C4LLY EVIDENT AMERICAN ENGINEERING SERVICES ON THE PREMISES AT rue 77ME OF SURVEY. land surveyors - civil engineers GUARANTEES INDICATED HEREON SHALL RUN yq, ONLY TO THE PERSON FOR WHOM THE SURVEY 15 landscape architects PREPARED. AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND 346 Mope Avenue 76 Union Avenue LENDING INSRTURONS 415rED HEREON, AND To Westbury, M.Y. 11590 Ronkonkomo, N.Y. 11779 THE ASSIGNEES OF THE LENDING INsnruv0N. Y• GUARANTEES ARE NOT TRANSFERABLE TO (516) 876-8908 (516) 981-5063 ADOIRONAL INST1runONS OR SUBSEQUENT OWNERS THE OFFSET5(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY ONES ARE FOR A SPECInC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED To CU(OE THE ERECTION OF FENCES. R£TNNING WALLS, POOLS PAAOS, P[ANRNC AREAS, ADDIRONS TO BUILDINGS AND ANY OTHER CON5TRUCr10N. S.C.T.M. DIST.1.000 SEC. 141 6LK.01 LOT I. 1 lic. n 49154 TO INSPECTION Edith M. Young, by Ruth Hastings, as Attorney-in-Fact) 604 i.p • 'i.i z the-4undcrsgned, -):aner(s) Clame(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at 2125 Westphalia Road, Matti tuck, NY it•hir_h'is shown and designated on the Suffolk County tali map as District 1000, Section 141 , Block 01 , Lot 1.1 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building inspector's Office for the follo,,ving: Pre-existing Certificate of Occupancy for a 12 story frame residence, detached frame garage, and two (2) frame sheds 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 ail-of_the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so %vi.th 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: August. 15,E 1994 (signs(jre) Edith M. Young, by Ruth Hastings, as attorney- (print name) in-fact (sianature) (print name)