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Home My WebLink AboutZ-25190FORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. EXISTING c~aTIFI~ATE OF OCCUPANCY No Z-25190 Date AUGUST 6, 1997 THIS CERTIFIES that the building Location of Propert~ 1945 WESTPHALIA ROAD House No. Street County Tax Map NO. 1000 Section 141 Block 1 Subdivision Filed Map No. ONE FAMILY DNELLIN~ MATTITUCK, N.Y. Hamlet Lot 3 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-25190 dated AUGUST 6, 1997 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 BARN & 2 WOOD SHEDS * The certificate is issued to VIRGINIA C. A~MBRUST & OR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspec/r BUILDING DEPAR'II~ENT TONN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1945 ~ESTPHALIA ROAD (number & street) SUBDIVISION NAP NO. NAME OF OWNER (s) VIRGINIA C. ARNBRUST & OTHS NATTITUCK, N.Y. (municipality) LOT(s) OCCUPANCY SINGLE FAMILY (type) (o~mer-tenant) ADMITTED BY: JOHN deRERI~ER ACCOMPANIED BY: SA~E KEY AVAILABLE SUFF.CO. TAX HAP NO. 1000-141-1-3 SOURCE OF REQUEST: WIILLIAH WICKHAH, ATTY DATE: JULY 28~ 1997 D~IELLING: TYPE OF CONSTRUCTION FOUNDATION COHCRETE TOTAL ROOMS: ]ST FLR. BATHROOM (s) ONE WOOD FRANE ~ STORIES I [ EXITS CELLAR FULL CRAI4L SPACE $ 2ND FLR. 3RD FLR. TOILET ROOM (s) UTILITY ROOMREAR PANTRY PORCH TYPE REAR & FRONT BECK, TYPE BREEZEWAY FIREPLACE GARAGE DONESTIC HOT~ATER IiX TYPE HEATER OFF BOILER AIRCONDITIONING TYPE HEAT OIL WARN AIR HOT~ATER XX OTHER: FRONT FOYER ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. SWII~4ING POOl, OTHER: LARGE WOOD BARN STORAGE, TYPE CONST. 2 WOOD STORAGE · GUEST, TYPE CONST. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORN FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. INSPECTED BY DATE OF INSPECTION AUGUST 5, 1997 TIHE START I1:10 AH END 11:40 AH Form ~o. 6 TOWN OF SOUTIIOLD BUIt,D1NC DE?ARTHENT TOWN IIALL 765-1807 ~PPI. ICATION FOR CER/IFICATU OF OCCUPANCY This opplicatioo must be filled in by typewriter OR ink and submitted to thc building inspector with the following: for new building or new uso: 1. Final survc~ of property with accurate location of all buildings, property lines, streets, and unusual na%ural or topographic features, 2. Final Approval from }lghlth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electricm[ installation from Board of Fire Underwriters, 4, Sworn statement fram~plumber certifying tiler the solder u~ed in system contai~'s less than 2/10 of 1% lead. 5. Commercial bu+ldin~, industrial building, multiple residences and similar buildings and installar~ons,\a certificate of Code Compliance from architect or engineer responsible for th~ building. 6. Submit Planning Board Approval of completed site plan requirements. F~r existing buildings (prior to April 9, 1957) non-conforming uses, or building~ and "pre-existing" land uses; i. Accurate ~urvey of property showing all property lineS, streets, building and unusual ne~ural or topographic features. A properly completed application and a consent to inspect, signed by ~he applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the rtasons therefor in writing to the applicant. 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. Cer[ificage of Occupancy on Pre-existin~ Buildin~ - $[00.00 3, Copy of Cergifica[e of Occupancy ~ $20.00 4, Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00-, Commercial $15.00' Date ...~7.~§~.j~P7 ......................... Ne~ Cons[rucL~on ........... O~d Or Pre-existing gu£1d~ngs...XX ........... }louse ~o. Street Hamle~ Onwer or Owners of Property .... Y£rg£nia, £.'Armbrg~g. ~p~. A[$~rue. L.. ~rSbwg~$~ ................. County Tax Map No 1000. Section ....... 1A~ .... Block .... Ol .......... Lot. OO~f.~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approw~l ......................... ?lanning Board Approval ........................ {equest for: Temporary Certificate ........... Final C~[ic/at~.~-°~.~.~g-~~4~isting Use :ac Submii[ed: $1DO. OD ....................... CONSENT TO INSPECTION WILLIAM WICKHAM, P.O. Box 1424, Mattituck, New York Attorney for Virginia C. Armbrust an~ Arlene L. Garthwaite · 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 1945 Westphalia Road, Mattituck, New York 11952 · which is shown and designated on the Suffolk County tax map as District 1000, Section 141 , Block 01 , Lot 003 That the undersigned X]m~. (have) filed, 'or caused to be filed, an applica- tion in the Southold To%m-n Building Inspector's Office for the following: Certificate of Pre-Existing Use of house and Barn and 2 sheds 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 re.~ulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so mvith 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 Tomv~n of Southold. W Tl~I i~m W'i c-kh am (print name) (signature) (print name) AREA = 2~811 FT. ,v~/ P~T U R V E Y OF OPERTY MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 141- 01- 03 Scale.. 1"-- 3o' July 24, 1997 CERIFI£D TO ~ RAYMOND C. FEENEY GIA FEEN~Y NORTH FORK BANK 97-258