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Home My WebLink AboutZ-26341 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- 26341 Date: 03/22/99 THIS CERTIFIES that the building DWELLING Location of Property 3205 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 0013 Lot 022 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- 26341 dated MARCH 22, 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 ACCESSORY GARAGE & WOOD SHED* The certificate is issued to SARA-LORRAINE MARSHALL (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 INSPECTION REPO Building Ina ctor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3205 WESTPHALIA RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : SARA-LORRAINE MARSHALL OCCUPANCY: SINGLE FAMILY SARA-LORRAINE MARSHALL ADMITTED BY: RICHARD EHLERS ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 113.-13-22 SOURCE OF REQUEST: RICHARD EHLERS 3/16/99 DATE: 03/22/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: _2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 5 2ND FLR.: 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: STREETGAS TYPE HEATER: GAS AIRCONDITIONING: TYPE HEAT: STREETGAS WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. : 2 CAR WOOD STORAGE, TYPE CONST.: WOOD (OLD) SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION i DESCRIPTION 1 ART. i SEC. I I I I I 1 I I I 1 I I I I I I I I 1 1 1 I 1 I I I I 1 I I I I I I I I 1 1 REMARKS: INSPECTED BY: A TE ON INSPECTION: 03/22/99 JO N M. BOUFIS TIME START: 12:00 END: 12:20 " Form No. 6 TOWN OF SOUTHOLD MM 16 IN9 BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG.DEFT. TOWN OF SOUTHOLD APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building 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 '-'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 t 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 - ' .25r,,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . .. Old Or Pre-existing tuilding. . 7C . . . . .. . . . . 4. Location of Property. . .. ...2e. . . . ... . . .�s �.... .�. . .�. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . House No.� Street Hamlet : Onwer or Owners of Proper ty.. . .:?G... .. .. . .. .. . . . .�. . . . . . �1. . . . . . . . . . . . . . . . . . . . . . . . ILI- County Tax Map No 1000, Section. . .. . . . . .. . ...Block. .. .. ... . . . . . . . .Lot. . . . . . . . . . . . . ... . . . . . Subdivision. . . . . . .. . . . . . .. .. . ... ... . . . . . . . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . .. . .Date Of Permit. . .. .. .. . . . . . . . .Applicant. . . . . . . . . . . ... . . . . . . . . . . . t4�� Health Dept. Approval. . .. . .... .. . . . . .. . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. .... . . . ... . . . . . .. . . . .. Request for: Temporary, Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . (N Fee Submitted: $. . . . . . �. . . . . .. . . .. . . . . . . . . . . . J, Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e APPLICANT SURVEY OF PROPERTY /11r GRAPHIC SCALE I"= 60' TOWN OF 50UTHOLD �^ 5LIFFOLK COUNTY,NY SURVEYED 01-28-99 ��•+^•�.��" O"'� / SUFFOLK COUNTY TAX a C'J„'`r. l•\•� .:�1 Yb''� ��o 1000-113-15-22 S - -. _•'�5�� `ram;,- _ _. CERTIFIED TO. JAMES F.CGRAT'HMHL' EMILY 6.VICTORIA �,515 '� �� _ flgot�i?LUCK GrgA 5T6 ASSOCIATES,INC. FIDELITY NATIONAL TITLE - COMPANY OF NEW YORK O n• O 'jr IiV 1ST°� l—WW— — _L 1 � ♦ ° �3p Y 4: s' 41. v pc{oQ?�\�ey G rjf NE .. .......... ..:., a r NOTES, U:1:: r, »:......,.-. �,. jf ,�Sv� ■ MONUMENT FOUND �_ AND N.Y S. LIC NC 50202 O PIPE FOUND JOH ENSAC EHLERSAIN PLET0 SURY YOA -� - AREA=4.713 ACRES(2.12 UPLAND) RIVERREAO.N.Y 11901 369-8268 Fa. 369-8287 REFERENCE X 93-1,06 K v... ..:.�-;:,,,....::.;....,x'...:.:___:::.r.,.:r�,.c.n.•,.:ri may+ >•,l:-.• - _ p:N':-;., ..,o� v�,v,., .?. i,. .k C. :Y .,a. � ai1'� �� — .,\a 1'. i•l. (' .^.l`54 • ate, ,. � CONSENT TO INSPECTION 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 -32 � (� which is shown and designated on the Suffolk County tax map as District 1000, Section 3 Block Lot 2 t 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 prgperty, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections S 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. D ate d: (signature) (print name) JL (signature) (print name)