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HomeMy WebLinkAboutZ-42696 & Z-42697 ''mow Town of Southold 1/20/2022 FF01 �oGy� 53095 Main Rd Southold,New York 11971 o PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42696 Date: 1/20/2022 THIS CERTIFIES that the structure(s) located at: 4500 Westphalia Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-11-13 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42696 dated 1/20/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame single family dwelling with inoperative closed up fireplace and accessory wood frame 1 1/2 cararg ages* The certificate is issued to Schmidt,Rita (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A th 0 ed Signature I BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4500 Westphalia Rd,Mattituck SUFF.CO.TAX MAP NO.: 113.-11-13 SUBDIVISION: NAME OF OWNER(S): Schmidt,Rita OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Schmidt,Rita DATE: 1/20/2022 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: closed up GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame 1 1/2 car STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/7/2021 TIME START: 9:20am END: 9:40am Town of Southold 6/4/2022 53095 Main Rd y z Southold,New York 11971 ,1` PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42697 Date: 1/20/2022 THIS CERTIFIES that the structure(s)located at: 4500 Westphalia Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-11-13 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42697 dated 1/20/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame accessory cottage with covered porch and screened porch.* The certificate is issued to Schmidt,Rita (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u or zed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4500 Westphalia Rd,Mattituck SUFF.CO.TAX MAP NO.: 113.-11-13 SUBDIVISION: NAME OF OWNER(S): Schmidt,Rita OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Schmidt,Rita DATE: 1/20/2022 DWELLING: #STORIES: 1 #EXITS: 1 FOUNDATION: cement block CELLAR: CRAWL SPACE: x BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered&screened DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/7/2021 TIME START: 9:40am END: 10:00am 0 �Form No.6 DD TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL AUG - 3 2020 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY$UMIDTNG DEPT- - This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. OB 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 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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2 Certificate of Occupancy on Pre-existing Building- $100.00 3 Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date.' 7'- 30 - 20 New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property] '-1 5 o0 Westv6bo. Rd. M0.tf'11'Uck N}r !45a House No. LL JJ Street Hamlet Owner or Owners of Propert . R i f o. Sch m i t t Suffolk County Tax Map No 1000, Section L1 73$89 Block 1 1 3 Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ , 010 0 U 1jMV_,dtApplicant Signature CONSENT TO INSPECTION l R i toy. Schm icU- the undersigned, do(es) hereby state: Owner(s)Name(s) That the undersigned(is) (are) the owner(s) of the premises in the Town of Southold, located at L1500 Westphalia. ROL., to i Ma 'I uek, my 119,6-Q , which is shown and designated on the Suffolk County Tax Map as District 1000, Section 7y 388 Block 113 , Lot 11- 13 That the undersigned(has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Ren'raL Perm'}" 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 in subsequent prosecutions for violations of the laws, ordinances, rules or cT regulations of the Town of Southold. Dated: 7 - 30 — ao -LI►iKam AJ,7Lt d.(� p0 A. (Signature _Wi Wam ch m id ' (Print Name) (Signature) (Print Name) OF SOUIyo 4�6 TOWN OF SOUTHOLD BUILDING DEPT. • �o 0 `ycOUrnV��' 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ } FOUNDATION 2ND [ ] INSUL-ATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL FIREPLACE &"CHIMNEY [ ] FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] CTRICAL (FINAL) [ ] CODE VIOLATION [ PRE C/O REMARKS: (AgN �� (p, � pav cc& vvl%c, -11 k>DAJ t CJgs (c � 4 DATE INSPECTOR CD Id 8 4 T O �► � PANT Y CC 7,9 ct Lo L R` 8 6Y'a FRONT e r+ 4W�il�iam Schmi'dtt s 4500 t�Vestphal�a,R� r � ` - Ni'attituck, N� 1195,2��-,`�' DIVEELLO DRIVE } , 7111 j 1�3 TOWN OF SOUTHOLD PROPERTY RECORD GARD OWNER STREET VILLAGE DIST. SUB. LOT -� t Cj FQRMqR gWNE a N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS o o y1?A z41vCe ��a s00 ohnh f z f o r nn 19r0 ✓ 7 LY r >' i i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable t Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 1 House Plot DEPTH BULKHEAD Total'"" DOCK r ■■■■■■■ ■■■■■t�■■■■■■ ■■■■ ■ T ■■■■■ ■■■■■�i■■ ■■■■■ r f H ■■■■M P-!■■■NI■■ w■■■■■ . . - ■■■■M 1■ ■■■■■M■■■■1MINVIM/H. P. MEMOMM ■■■■■■ ■■Mli■■■!ii_■'M :■■■■■■ ■O■■■■■ M■ISM■M■eU■IMME■■■ ■■■■ ■■■■■MEME®"M■■■ ■■■■ ■■■IN ■■■■ V■■■�■ Foundation Basement Ext. Walls Interior Fini! • • �® Place• y ♦ • � �- ' ♦M jType Roof Rooms Ist Floor •• Recreation _ -• • Room ,Rooms 2nd F •• i - • __ Driveway , 1 711 77 l.. 71 /I l A/W 1. P//A c E- FUR - WELL O=L l V� ���Mr'�'W�ilhan Schtntdt'� �; �� 4500 Westphalia Rd . .Mattituck,NY 1-1952 OIV L:)X13 n i � 11 / 4 CiDt I 1/6/Ll 11*16 H - e - CZ3 �f f,h/ 6 11 d s ED -1To • g7 R 5;1/,'\ Q 0 S t; ( 9 ©os ,r ) - GP�RAGE ` Mr '.•William Schmidt r'` 450;0 Westphalia Rd Mattiiuck NY 119' 271, °. �._D I VVE_L Lo ._ DRIVE I i BY � h, ns G { UNAUTHORIZED ALTERATION OR ADDITIM t +< } TO THIS SURVEY IS A VIOLATION OF. SECTION:7209 Of THE.NEW YORK STATE EDUCATION LAW, �Y COPIES',OF THIS SURVEY PAP'NOT BEARIM y THE LAID SUi:VLYOP.'5 iNIUZ SEAL OR, ` EMBOSSED SEAL SHALL NOT BE CONSIDERED' Zy. -i r4.oto - TO BE A VALID TkU''CjPY. - E;UARANTEFS iNDICATED HEREON SHALL RUN ONLY TO THE�f,"SOii Fop. PjjjCt.A THE SURVEY 75 PREPARED,.ASD ON HIS B.fiALF TO THE TIRE�Ci1,tPA1Y G;)VERN- .4 AL AGL•NCY AND, �LENDING IXSTiTUTIQN LISTED H.REON,AND TO THE ASS:"GNEES OF THE LENDING INSTI• 9 \� t TUTiON. GUAP.ANTEESARE NOT TRANSFERABLE TO AD.ITIQNAL INSTITUTIONS OR SUBSEQUEN[. OWNE!'S.. f A4 F, T mew LOCATION; (number & s eet) (municipality) SUBDIVISION: _ MAP•N'O,: LOT(S): ,. NAME OF OWNER(S)I. A. OCCUPANCY: J47 IPA I1 0 (type) (owner-tenant), ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE; H . SUET. 'CO. TAX MAP'No. 1000-il$ -+ —r SOURCE OF REQUEST; DATE: DWELLING TYPE OF CONSTRUCTION: .W A # S ORTES; '# EXITS: '_1Izv_C5Ae-N/_ FOUNDATION; � �ASVMENT: 'CRAWL SPACE: # OF BEDROOMS: ISTFLP,:' ✓ 2ND FLR: / 3R,D ITLR: -•BATHRO`OIYM(Sj: TOILET R10OM(S); UTILITY ROOM: PORCH,TYPE; DECK, TYPE- PATIO;T PE: _. .BREEZEWAY: FIREPLACE 110 , IJ� AI2AGE; _ Q' . DOMESTIC HOT4VATEI ; TYP9 HEATEIZcAIRCONDITIONING: TYPE.HEAT: J WARM AYR: HOTWATER: __Mowi 4 OF KITCHENS FINISHED BASEMENT:- YES_______ NO OTHER; V .ACCESSORY STRUCTUI;, ' GARAGE; TYPE OF CONST.; STORAGE, TYPE CONST.: SWIMMING P'O-OL; GUEST 'TYPE CONST: OTHER: VIOLATIONS:. CHAPTER.144 &N.Y. STATE:UNIFOPM PARE PMVENTION & BI.JILDING CODE LO-CATIO Dl{,SC , PTION ART, SEC. 4 X;&()DVII vu Un le REMARKS: 64.o, INSPECTED BY, J J . `] 5�� . DATE OF INSPECTION: TIME START; %1oo W END: LO CATION; !(" (number A street) (municipality) SUBDIVISION: _ MAP.N,O.: _ LOT(S): u NAME OF OWNER(S)': OCCUPANCY; a (type) (owner-tenant)- ADMITTED BY: _ ACCOMPANIED BY: KEY AVAILABLE: SUPT. 'CO. TAX MAP'NO. 1000•_111. L� - SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONS'TRUCTI'ON: ' # STO-=S: '#EXITS: FOUNDATION: Y/ : IWEMENT: 'CRAWL SPACE: # OF BEDROOMS: 18T FL �QILET 2N-D FLR: 3RD FLR:•BATHRO`OM(S) I0014Z(S): UTILITY ROOM: POVCH,TYP)✓i "`' D'E•CK, TYPE: PATIO,-TYPE: BREEZEWAY:' FIREPLACE: _ QARA.GE4 DOMESTIC HOTWATER.: TYPE HEATER: �I�, AIRCONDITIONING: TYPE HEAT: �1/. WARM ATR: HOTWATER: 4 OF KITCHENS: FINISHED BASEMENT:' NO OTHER: ACCESSORY STRUCTURES ' GARAGE; TYPE OF CONST.: STORAGE, TYPE CONST.: _ SWIMMING P'O'OL: GUEST,'TYPE CONST: OTHER: VIOLATIONS:. CHAPTER]44 &N.Y, STATE°UNIFORM FIRE PREVENTION & BUILDING CODE LO-CATIO DESC R PTION ART. SEC. wvoe I — , I,EMARKS; INSPECTED BY; � +� DATE OF YNSPE'CTION; .och 6L,- TIME START; °L• HAY4 END; ,� 1 JID