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HomeMy WebLinkAboutZ-20818 -'" 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-20818 Date JUNE 19, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1735 WESTPHALIA. ROAD MATTITUCK,, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 5 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-20818 dated JUNE 19, 1992 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. & STORAGE. SHED The certificate is issued to ROBERT & KATHLEEN REYER (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. Building Inspector Rev. 1/81 BUIT DI:;G DEP:uRT -17, T T0.•+11 OF SOUTHOLD, N. Y. HOUSI73G CODE INSPECTIONREPORT Location 1735 WESTPHALIA ROAD MATTITUCK, N.Y. � umber do street i'iunic.ipaiity) Subdivision Map No . Lots) Name of Owner(s) ROBERT & KATHLEEN REYER Occupancy (I-yPe owner-tenant Admitted by: LISA REYER Accompanied by: SAME Key available_ Suffolk Co. Tax No. 1000-141-1-5 Source of request KATHLEEN REYER Date JUNE 10, 1992 D?,',LLING• Type of construction FRAME 2 r, stories Foundation BRICK & CEMENT Cellar 80Z Crawl space PART 20Z Total rooms , 1st. Fl 4 2nd. F1 37. 3rd. F1 Bathrooms) 1 Toilet rocm(s) 1 Porch, type Deck, type WOOD Patio, typeSTONE Breezeway Garage Utility room Type Heat OIL Warm Air Hotwater Fireplace(s) No. Exits Airconditioning Domestic hot--water Type heater GAS Other ACCESSORY STRUCTURES: Garage, type const. FRAME Storage, type const. FRAME Swizming pool Guest, type const. Other GRADE LEVEL STONE SQUARES AROUND POOL VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE Location Description � Art. Sec. I Remarks Inspected by: OL-1,0LIlate of Insp. June 12, 1992 Time start 9:55 end 10:20 _ I - s r_ z 43j ` o � WON Of jQ t i U �7 r T✓ Fl J k ti 1 r� j go T rs � _ - F ��l t F 1,�,sR�Cshu k, 3 altrlF4,eR FC Srl��tiOtt �. zhi<svrveY a�olouoYwk ' A t i C� 72A'?d tho Nit EttR 1 ! ye s at mil^abrr�'f m fBe rre v� a Cd",°e`isrk a,!nrp1for s irdct`�i leaf er _ al truo ochry ' gan g SCSI l I!r ! � -1 - �� Csuxantor':t¢ kcv,i hon.ut$sC et! _ y crity 2a thq P-'E,aits n for va rstrt the>urad I STY - enar9�:r a►h U iw tts1#to o tC t ti to com9- ¢e crrmam.l wor'w C46. d Q f'I Ail F i<, t _ f.'De4n ins iu tsr>R kis?Ed ho-ce,s arty j L \\ to tho cs';'C'sa of talc lonc'in47 - �} ) CYCI_�t1r �EiJCE `4�2 ui on L+,e�ran.o�a Won a onr`Qr b; i r - _ ` �-.:,tfi c2nst ir�sc;rtis;>a mr su�aQucnt,, i tarp E f J i ,� ra }� 1, 4 E ;�• ! i i `1 sti.hNi.? _ lJ`�✓ l�lldi �� she a1 P E tZd i d r }J N E yy �9 F`�S?CS 25LAND 6 JQa • Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in b typewriter inspector with the followin ebuild OF, ink and submitted to the building 1. Final survey of g' for new building or new use: y 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 3. Approval of electrical installation from Board of Fire Under form) . ' 4. Sworn statement fro writers. m 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. For existing buildings g (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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling Alterations to dwelling � $25.00, $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 of Occupancy - Residential $15.00, Commercial $15.00 • • • • fisting Building. •Date . . . . . . .�.y �/0 ew Construction. . . . . . . Old Or Pre-ex - • • . • • . . • . • . . • • • • • • • • • • • • ocation of Property. . 1.73S-_, , , • ,�;? F'HA C SFr /c'V,q House No. Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hamlet ewer or Owners of Property. . �0l3.... . . • /�, �,��rt � y,� )unty Tax Map No 1000 Section. � , , , . . . .Block. . . 6/ • • �•� • • • • • • . . • • • • ' . . . . . . . . . .Lot. . . . . . . . . :bdivision. . . . . . • • • • • • • • • • • •. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot . . . . . . . . . . . . rmit No. . . . . . . . . . . . . . . .Date Of'Pe rmit. . . . . . . . . . . . . . . ..Applicant. . . . . . . . . . . . . . . . . • . • . • alth Dept. Approval. . . . . . . . . . • • • • • • • • . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . ... . anning Board Approval. . . . . . . . . . quest for: Temporary Certificate. . . . . . . ... . . Final Ccrticate. . , , , , , . • • • ` Submitted: $.4"?! .,s 0• . • . . . . . • . • A T, e - CONSENIT TO INS I'BCTION C.0541 0wn0r(s) Name(s) the undersigned, do(es) hereby state: That the undersigned (is) (are) the owncr(s) of the premises in the To�,m Of Southold located at MA7T-1 Tu deg IV, � � -- whicli is shorn and dcsign,ated on the Suffolk County tax map as District 1000 Section L'Iock ©/ Lot 0-0 J That the undersigned (has) (Dave) filed, or caused to be filed, an applica- tion in the Southcld Town Building Inspector's Office for the following: v 6 . 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 comely with all of the lairs, 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: (/o (signature) O (print name) �(snature) (print name)