HomeMy WebLinkAboutZ-43586 �S11FFalk. Town of Southold 11/14/2022
53095 Main Rd
Southold,New York 11971
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PRE EXISTING
CERTIFICATE OF OCCUPANCY ,
No: 43586 Date: 11/14/2022
THIS CERTIFIES that the structure(s)located at: 1800 Westphalia Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-7-12.3
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- 43586
dated 11/14/2022 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.
The certificate is issued to Hall,David&Charnas Hall, Suzanne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Zx
Aut r ed Ylglaature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1800 Westphalia Rd,Mattituck
BUFF.CO.TAX MAP NO.: 114.-7-12.3 SUBDIVISION:
NAME OF OWNER(S): Hall,David&Charnas Hall, Suzanne
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Hall,David DATE: 11/14/2022
DWELLING:
#STORIES: 2 #EXITS:
FOUNDATION: brick CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): I UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: baseboard
#BEDROOMS: 6 #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: 6/27/2022
TIME START: 9:50am END: 10:20am
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 hMs://www.southoldtowm.gov
APPLICATION FOR PRE-EXISTING CERTIFICATE OF OCCUPANCY
OWNER(S)OF PROPERTY:i,
Name: - V P..v�c1 t'ro 1 l\ Date: f�'20 IA—
Physical
Physical Address: �Q �f y p��\�,� � �ti N Y 11�q SCTM#1000- l y,_-+ -1-L, 3
Phone#: -kA 1XA01 Email: �,�'Mvv,�IY\ co,r\
Mailing Address: o F 3 0 0 4 \AT �-y 0 6�
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the foiiowin
• Accurate Survey
• Floor Plain MAY 2 5 2022
• $100 Fee
CONSENT TO INSPECTION LTJT �y �ME-
That the undersigned does hereby give consent to the Building Inspector of the Town of Southo'793"to eritQ'r r3pon tW"'d
above described property, including any and all buildings located thereon,to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply
with all of the laws, ordinances, rules and regulations of the Town of Southold.
&A S' Zv Z�s
Owner's Signature Date
PROPERTY OWNER AUTHORIZATION 100
(Where the applicant is not the owner) ��9--
I, residing at the above address,do hereby authorize
to apply on my behalf to the Town of Southold Building Department for
approval as described herein.
Owner's Signature Date
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# * TOWN OF OUTHOLD BUILDING DEPT.
`ycoum, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [/FIRESISTANT PENETRATION
ELECTRICAL (ROUGH) [ TRICAL (FINAL)
CODE VIOLATION [ C/O [ ] RENTAL
REMARKS:
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DATE Y2 ' INSPECTOR
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TOWN OF SOUTHOLD PROPERTY F q �-'(c(cqa J►RD
OWNER STREET VILLAGE DIS SUB. LOT
L.)Gi V.4
. m. ttZAnW OW, Q$
-77 1 7 (,, , —f
FORMER OWNER N ESAAR C
S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
fly
./?�c /p� /j/Ca CerJSTr IJNtd t {
1a '( 4� off 1I6 `�! 2- Z -p7101 i4 ` `�s. �.'Fli`"s-r--kK14 }
-- / Az S-�� - *� - . d a.k dt4u, ;o
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AGE BUILDING CO DITION /0 ('� Q 556ru aQrQa� • +
BELOWNoRft""? 9400
VE �tJ �► t - $`I` 1 n , Co
FARM Acre Value Per alue
Acre L, 811LI- /^ C /9�!/ Co 3�`
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
-- BULKHEAD
Total "'r DOCK
i
1
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ir Mod
COLOR -
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114.-7-12.3 1/10 - - - - — -i
M. Bldg. iFoundat on i �� Bath — - Dinette : -------
f ;►'' Floors � � _ ,; K.
Extension �,� , e - S',y ;Basement
Extension ;Ext. Walls !. Interior Finish LR.
E nsion Fire Place Heat r>- < DR.
L Type Roof t";, Rooms 1st Floor ; BR. _ --
Porc Recreation Room Rooms 2nd Floor 4 FIN. B. j
i .S1 'S y� bormer 173
6 re z vay 17`k Z ZZ S Driveway —
Ga�9e Jar 24;4,�,2 —
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Tota! , 7 3 V1 2 0 --
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c �O,rS XREFNo.,R10-,12-002,3
SURVEY OF PROPERTY AREA
AT MATTITUCK TOWN OF SOUTHOLDSUFFOLK COUNTY, N.Y.1000-114-07-1,-9 S'CALE`. 1'=40' NWENOVEMBER 7, 2011OCT 2, 2014 (POOL &OAR. RNA0
DEC4, 2014 (REVISIONS)
MAY 16, 2016(WATER MEIER LOCATION)
��
SEP77C LOCATIONtiox
'QS,o � 0A" B. yq�l O .
C/O 38.5' 67' 4 04 Q CP
ST 85' 111' /
LPI 133' 153' WE
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LPI F12TT 142' p� �v q' �� tT 150'+
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O = f0NU,Vf) MCDONALD GEOSCIENCE
3 10/28/2011
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ELEVA77ONS ARE REFERENCED TO AN ASSUMED DATUM
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells and cesspools shown hereon are . LIC. NO. 49618
from field observations and or from data obtained from others.
PECONIC SURVEYORS, P.C.
ANY ALTERATION OR ADDITION TO 7HIS SURVEY IS A VIOLA770N (631) 765-5020 FAX (631) 765-1797
OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CERTRCA770NS = MONUMENT P.O. BOX EL
HEREON ARE VALID FOR THIS MAP AND COPIES ]HEREOF ONLY IF = REBAR 7230 TRAVELER STREET 11-217
\ SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ' SOUTHOLD, N.Y. 11971
WHOSE SIGNATURE APPEARS HEREON.
LOCATION; wouwivrA'K7
(number & street) (municipality)
SUBDIVISION: _ MAP N'O.: LOT(S):
NAME OF OWNER(S)•: Big
OCCUPANCY; 1 • D
(type) A (owner-tenant)
ADMITTED BY: _ ACCOMPANIED BY:
KEY AVAILABLE: SUFE. 'CO. TAX MAP'NO, 1000-.I lit :-, I),+
SOURCE OF REQUEST: DATE:
DWELLING i
TYPE OF CONSTRUCTION: : ' # STO-MS: Y, .# EXITS
Flo UND ATI 0N J v : ASPJ1ti�L�. � CRAWL SPACE:
r•
# OF BEDROOMS: 18T FLR:1 2ND IrLi: ��" , . . , 3 I.
,.,BATHRO'OM(S):- TOILET Abomp'. UTILITY R00'm:
PORCH.,TYPE: _ DECK, TYPE: PATIO;TYPE:
BREEZEWAY:' . FIREPLACE: QAPAGE:
DOMESTIC HOTWATER.: TYPE HEATER 0 l/ AIRCONDITIONING:
TYPE.HEAT: � V. "SWARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENTv 'YES eo
OTHER-
A�r�ccn�v r•rt.•��... i,;, .
GARAGE; TYPE OF CONST.: � 970-RAGE,TYPE CONST.:
SWIMMING P,O,OL: GUEST,'TYPE CONST:
OTHER:
VIOLATIONS;. CHAPTER]4-4 &N.Y, STATE:UNIFORM la'X PR -V$NTION & BUDDING CODE
O-CATION 41 DF,SC PT N ART. SEC.
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REMARKS:
INSPECTED BY: J Vl DATS OF INSPECTION: 10
TIME START;T0 _ .END: _ Pbl✓1