HomeMy WebLinkAboutZ-19381 FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
PRE EXISTING
No Z19381 Date SEPT. 24, 1990
THIS CERTIFIES that the building COMMERCIAL BUILDING
Location of Property 425 WESTPHALIA ROAD MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block 3. Lot 34
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements. for a Commercial building built
prior to . APRIL 9, 1957 pursuant to which
Certificate of Occupancy ZI9381 Dated SEPT. 24, 1990
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 COMMERCIAL BUILDING.
The certificate is issued to WILFRED B. RULAND, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N228384 JUNE 3, 1975
PLUMBERS CERTIFICATION DATED N/A
***SEE INSPECTION REPORT
Building Inspector
BUILDIi,;G DEP,TT:'1EiiT
TOL-IN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 425 WESTPHALIA ROAD MATTITUCK
(number & streez) (iviunicipaiity)
.Subdivision Map No. Lot s)
Name of Owner(s) WILFRED B. RULAND, JR.
Occupancy VACANT OWNER
(type) owner-tenant)
Admitted by:WILFRD B. RULAND JR Accompanied by: SAME
Key available Suffolk Co. Tax No. 141-3-34
Source of request WILFRD B. RULAND, JR. Date 8/6/90
3fflffxl �xxxx COMMERCIAL BUILDING
Type of construction CEMENT BLOCK #stories ONE
Foundation Cellar Crawl space
Total rooms, lst. Fl 2 2nd. F1 3rd. Fl
Bathroom(s) Toilet room(s) ONE
Porch, type Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat otr Warm Air Xc Hotwater
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater ELECTRIC Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 45' N.Y. State Uniform Fire Prevention
& Building Code
Lncation Description Art. 1 Sec.
Remarks: UNDERWRITERS CERTIFICATE •#N228384 JUNE 3 , 1975
Inspected by: Date of Insp. 9/21 /90
GARY FISH Time start 9 :30 end 9 : 50
� Form No. 6
D O
e ! TOWN OF SOUTHOLD L•�� �
AM w 6 wo BUILDING DEPARTMENT
TOWN HALL
BLDG. DEPT. 765-1802
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
a . less than 2/10 of 1Z 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 of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . ,L? ! ... . . . . . . . . . ........ . . . .
New Construction. .. . . . . . . . .
`� Old Or Pre-existin Building. . . .,,--—
Location of Property.:! . :,� C ( , , . . . , , ,iJlh..�- �t-.�.: --, . • .
House No. p �� Street
i Hamlet
Onwer or Owners of Property.. . . .: ;;;,, .4;. ;. , ,! C`. . .C�. . . . . • --
County Tax Map No 1000, Section. . . .L....�. .�. . . . .Block. . . . 5. . . . . . .. .Lot. �./.4, .. ..,_-.. . . .. .
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: $. , .. .lo.C?.
. .. .
\; P D• Ar93f(i
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APPLICANT
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},►#i[,ll ►} ul �T, `!t� T' -IE-TIINE.W YORK3 �BOARD `OFt'=FIRE1 [�:NDERWRiTERS� a} ?,} I
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j=lh (j_il}=ii=tl�1=}I#7=3!!t 11 1=j1#, #i# •!; tii ii Ili=I"' BURi AU`OF'.ECE ;TRIGIT;Y(Ii 1,�
['I#! 113=IE} i{}(ICI EE !(Y I:f !I
i=1 t-11E`=�ii! 1.t�,1# ,}I f;j�f►! i, .a�i •111 ( 85 JOH1� STREET- NEW YORK NEW:YORK:10038;y I [ I 4�} t, [ I s„
ail## 1!.! �Ilr_.I## [..1-.-11.. „�_'t'r :I€�Dui ' fil- [� (' t#i li[ .',. .: €„c ,3'�.•� ,,f- ,,t #=l1} lit Dates# �3une .3 ' 19.75 t I i Isl itlppl<cateonNo on file ( 5g52 f 1 I} ; ;,iE N
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I_E Foy C$15R71 IE3 THAT tlt u# [[ i� II# ;!l rl I[I I'...,!
.G Yy't iqe P f __.f�� _,.J .. •r'. .j.
�ectr3cal equipment os descn6ed below and Introduced by the applicant named ort;the&hove application number in the premises o
w.s 1westphalia• Rd. ; 100' n/o R.R.Tracks, Mattituck, L.I.
ill I ll:y I I Psi -1#t [ I ill Ili 14i ill
ulthefollololn _{pcallon, ItQ Basement 4 �7C1stFl 2nd Fl, OUtSiC�e Section_ Block - Lot
divas examrntet{oryll [ a,�l !� �, E 119 S #� Jlp Ill and found to be<n.comphance with the requirements of this Board I _
='FIXTURIir ECEPTAClES :SWITCHES(. FIXTURES [, RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
I�OU,TLE�S #i -_ ,_ _. „�,1;_INCANDESCENi:FLUORESCENT: ,,i vnvoR' AMT } - L K W,., - :_ AMT.• ;K.W. AMT. K.W.r. 'AMT. K.W. AML-`. H.P:i;
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i[DiYER$I,, FURNACE.MOTORSI; ! _FUTURE'''APPLIANCE FEEDERS,},SPECIAL REC•,PT :TIME CLOCKS?, ;g L, UNIT HEATERS MULTI-OUTLET DIMMERS
EL -
i NO ;.A:'W 6 f qMT AMP } AMT. AMPS' TRANS AMT H P -SYSTEMS
1 d. NO.OF FEET
q-7, , . _= I lI!' 1; _, _ I, f"- I._E3#—lii.;: )#lil }! itt }I I} al I }i i—_)i:�s :,..(it� !tt i e�;tl :# E=-11t�= tlt.;...:�,.:_t
!li SERVICE �IS�ONNECT IS NO:O� ,,,' t tail }I .:ail t[f S II° tE:-s
METER " a t
+� + NO.OF CCCOND # A.W 6
Ii +Ti I# AMF II{, #ii TTQ It- 1 0 sW: 1 A 3W-3 a 3W 3;e 4W , ( ;A W G :€ NO"OF NI LEG.: NO OF NEUTRALS A W.G ,
.. PER.9t� OF CC.CON
•. - .,-OF,HI LEG- .. _ ,OF NEUTRAL';
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OTHER'APPARATUSe ._�; [J4
Spec�alReceptacle/s 1-5Oamp,, 3.-20amp�
&lerr:` Room:Heater/s.: 2-4.Okw, 2 3.Okw,. -1 2 '-0kw 2, '' i1.5 wl,tt 1 '�75kw -
Motor/s• <;1-2hp All t.:t [t
Panelboard/s 1 13cir..'100amp. 2 Light `Gas,Yndespening Pump-1/2hp
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NER _
GE M NA R
Per
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�Thls'certificate.'inusf+not"be;altered:n anjy;mannery<:return=to-the-,:Office of the Board if incorrect. Inspectors may be Identified by the entlals.,.
. 2
I
CONSENT
TO
INSPECTION
1( 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 y �( �, t+� 61
which is shown and designated on the Suffolk-
County tax map as District 1000, Section ? .Block ? Lot .
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:
t 1d 41 bic-L), r-& 1 -, .
g
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:
ignature)9
O�Ctvd �T�, T_
(print name)
(signature)
(print name)
I
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aso as ■=MONUMENT
REVISIONS
� YOUNG � YOUNG
400 OSTRANDER AVENUE, RIVERHE Qvf Kco
W h• qP , y
ALDEN W. YOUNG 9 ARD Y� G
PROFESSIONAL ENGINEER AND "ILA Y
LAND SURVEYOR, N.Y.S. LIC. NO.12845 .S. I 4
lr.
co� was ,�1 G SURVEY FOR: y
�p ^\ UNAUTHORIZED ALTERATION OR ADDITION TC RULAND/'` •�l� ph \V THIS SURVEY IS A VIOLATION OF SECTION W/L FRED B. ,✓R. O
h O 7209 OF THE NEW YORK STATE EDUCATION .. O
Q \` LAW.
` V iL AS O
COPIES OF THISSUR SURVEY MAP INKED NOT
EA E R NGTHE _ �ss'�ygl ENG HEEpP�
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. AT MATT/TUCK GUARANTEED TO:
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE TOWN OF CsO//TUOLD
SURVEY IS PREPARED,AND ON HIS BEHALF J V /7
TO THE TITLE COMPANY,GOVERNMENTAL
' AGENCY AND LENDING INSTITUTION LISTED BY
HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. ,
LENDING INSTITUTION, GUARANTEES ARE
NOT TRANSFERABLE 'f0 ADDITIONAL SCALE: DATE• j /J
`- INSTITUTIONS OR SUBSEQUENT OWNERS. 5O • AUG /✓,/97 7 —502
t .. COLOR l�/r��l� ti a r •:� �r ... TRIM �r ��:2—
LAI
Bldg.
Extension
Extension
Extension
Foundation 'jb Bath . . Dinette
Porch Basement. �(/d Floors . �!,
Porch jExt: Walls f„ / Interior,Finish ,L LR.
Breezeway lFire Place /,/6 - NS Heat DR.
—T-
GarageType Roof Rooms 1st Floor BR:
i,
Patio Recreation Room Rooms 2nd Floor FIN_ . B
G' B. Dormer Driveway
..Total ;
TOWN OF S UT OLD PROPERTY RECORD CARS
OWNER STREET VILLAGE DIST. SUB. LOT
��� � `�'t D c i�,r � N la i " W _ ,�--��,:�!,•`� �� __fir �• •. r � � �� ;�csG• • .. .
FORMER OWNER N � _ E/ - ,, f� ACR. /
S W TYPE OF BUILDING
(Y CL-MEN!
RES. � FARM COMM. CB. MICS._ Mkt. Value fP� SEAS. VL.
LAND IMP. TOTAL DATE REMARKS
L�� o Z-1 o c-) /r �S'o � y8 ;� s',.� �;000 n'
�C q ,
av boo / Z.
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD r-' ' 0 0 _
Meadowland DEPTH
House Plot BULKHEAD
Total `"� DOCK
lIRV I
BU _DIT�G DEPART.'•IENT
T0:•I OF SOUTHOLD, N. Y.
HOUSIING CODE INSPECTION REPORT
Location
(numoer do trees) Plunicipaiity)
Subdivision Map No. Lot(s)
F
Name of Owner(s) 6 C� L
Occupancy
(type
own,er-yen z
Admitted by: �A/ Accompanied by: ML
Key available Suffolk Co. Tax No. 1541-3-,?51
Source of request Date �p190
Type of construction #st'ories c97-,-0—
Foundation Cellar Crawl space
Total rooms, lst. F1 A,,� 2nd. F1 3rd. Fl
Bathroom(s) Toilet rooms) .8'V
Porch, type Deck, type Patio, type
Breezeway Garage Utility room
Type Heat 'alarm Air Hotwater
Fireplace(s) No. Exits ,V- Airconditioning
Domestic hotwater � Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Seria-aming pool Guest, type const.
Other
VIOLATIONS_ CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Lncation Descrintion IArt- 1 Sec.
i
Remarks
Inspected by: Date of Insp. qp
Time start t enh q, A