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HomeMy WebLinkAboutZ-23198FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRM EXISTING CERTIFICATE OF O(~JUmANCY 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 Elock 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 EDIT~ 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 ATTAu~kO INSPECTION REPORT. Rev. 1/81 ~ BUILDING DEPARTMENT TOWN OF SOUTUOLD DOUSING CODE INSPECTION REPORT LOCATION: 2125 WES~IA PI). & 1080 YODNGS AVE. NATTITUCK, N.Y. (municlpal£ty) (number & street) SUBDIVISION NAME OF OWNER (s) EDITR M, YOUNG MAP NO. LOT(s) OCCUPANCY SINGLE FAMILY (type) (owner-tenant) ADMI-r'£5D BY: WILLIAM HASTINGS ACCOMPANIE~ BY: SAI~ KEY AVAILABLE SUFF.CO. TAXI{AP NO. 1000-141-1-1.1 SOURCE OF P, EQUEST: RI~ HASTINGS, AS ATI~P, NEY IN FACT DATE: AUG. 15, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME FOUNDATION CLEMENT BLOCK CELLAR FULL TOTAL ROOMS: I ST FLR. 5 2ND FLR. ATTIC 3RD FLR. BATHROOM (s) ONE TOILET ROOM (s) NONE PORCH TYPE FRONT ENCLOSED (NO [{EAT) DECK, TYPE BREEZEWAY NONE FIREPLACE NO DOMESTIC HONAI~R YES 1TPE DEATER LILCO GAS 'rYFE m~dT OIL WAP~ AIR ~S O'l'[i~R: I CELI~R EXIT, REa SCREENED ENTRY PORCH STORIES CRANL SPACE UTILITY ROOM NO PATIO GARAGE AIRCONDITIONING HOTWATER EXITS 2 NO NO ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD YRAI~-2 CAR STORAGE, TYPE CONST.VERY OLD WOOD F~ SWIMMING POOL , GUEST, TYFE CONST. OLD DO~ HOUSE BEHIND GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY fHNM. BOUFIS. DATE OF INSPECTION AUG. 23, 1994 TIME START I0:00 END 10:20 Form No. 6 TOI,~ OF SOUTHOLD BUILDING DEPARTMENT TOI~ tULL 765-1802 !, APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by ~ypewriter OR ink and submitted to ~he building inspector with the following: for new building or new use: 1o Final survey of property wi~h accurate location of all buildings, property lihes, 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 Coda Compliance from architect or engineer responsible for the building. 6, Submit Planning Board Approval of completed site plan requirements. 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Cartifica[e of Occupancy - $50.00 5- ~emporary Certificate of Occupancy - Residential $15.00, Commercial {15.00 15 1994 - -Date August , New Construction ........... Old Or pre-existing Building.~ ............... Location of Pr party g)~ WQ~pbQ~ia Rq~d . ............Mattit~k..... . House No. Street Hamlet }nw Owners of Property ~di~O ~ ~qq5B · - ' 3ounty Tax Map No I000, Section .... 141 ....... Block.,.Q~ ........... Lot...1.'J ................. ;ubdivision..... .............................. . Filed Map ............ Lot ...................... ermit No ................ D~te Of Permit ................ Applicant .......... ' ................... alth Dept Appr i ' e . ova .......................... Underwriters Approval ........................ ianning Board Approval ........................ aquesg for: Temporary Certificate ........... Final Certicate..../. ...... ~C~.L, 9 ?3 ~ ' Eugene R. Francolini, ~tt~J ~-applicant TITL~ NO, 830S9808-04 W£$TPHAi._IA ROAD S70'JJ'20"E 167.45'  lOJ. 5' 2Z2' 35,506 S.F. O. 7692 ~c. CERTIFIED TO: - ALL STATE ABSTRACT CORP. SURVEY OF P OPERTY TERESA PAOULA F~[BU~H FEDERAL ~AVING~ ANO LOAN 5ITUATE AT MA~ITUCK TO~N DF SQUTHQLD SUFFOLK COUN~ NEW YORK 5. C.T,M. DIST. IO00 SEC. 141 BLK. OI SCALE I" = 40' AUGUST 8, 1994 AMERICAN ENGINEER/NC SERVICES La~d ~z~.~e.Vo~'~ - c~?.",~r e~zg{~zeers J46 Mople Avenue 76 Union Avenue Westbu~, N.~ 11590 Ronkonkomo, N.K 11779 (516) a76-8908 (516) 981-506~ LOT I. I I[~ ~ 49~64 iNsp~c'rlc.~l Edith M. Young, by Ruth Hastings, as Attorney-in-Fact: ~ ~ 6~II · ihe undersigned, do(es) hereby state: That the undersigned (is) (are) the o~vner{s) of thc premises in the To%wa of $ou:hold located at 2125 Westphalia Road, Mattituck, NY , whici: is sho~vn and desi~n,~ted on the Suffolk 141 01 1.1 County tax map as District I000, Section __, Block __, Lot That the undersigned (h~s) (have) filed, or caused to be filed, an ~ppl~ca- tion in the Southold To~%~n Buildin~ Inspector's ©ffice for the follo~v~: __ Pre-existing Certificate of Occupancy for a 1½ story frame residence, detached frame garage, and two (2) frame sheds That :he undersigned do(es) hereby ~ive consent to the Build[n~ Inspectors of the Town of Southold to enter upon the above described property, ineludin.~ any and atI buildings located thereon, to conduc: such inspections as they may dee~ necessary xvi~h respect to the aforesaid appiica~iom. ~cluding inspections to determine that said pre~,ises comply %vith &ii.,of. the la~vs, ordinances, rules and re~uiations of the Toxvn cf Southold. The undersiyned, in consentin~ to such ~spections, do(es) so ~th the kno%vled~e and understandin~ that any blformation obtained such inspections ~ay be used as evidence in subsequent prosecutions for vio- lations of ~he la~.,zs, ordinances, rules or re~11a~ioms of ~he To,va of Southo~d. Dinted: Auoust 15. 199~ Edith. M. Young~ by Ruth Hastings, as attorney- (p~in~ name) in-fact (sir, nnturc~ (print name)