HomeMy WebLinkAboutZ-13811TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN I-Li L L
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/ X/ Land
/ / Building(s)
I-I Use(s)
located at
4615 Westphalia Road
Pre C.O. #-Z13811
Date- 8/30/8~
Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 113 , Block
13
Lot 2 , does.~nottconform to the present Building Zone Code of the
Town of Southold for the following reasons:
InSufficient total ~rea,
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming g! Land /i/Building(s)
/Z/Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code,
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector'S'office, the occupancy and use for which this Certifi-
cate is issued is as follows: Property contains a two story~ one
famil¥~ wood framed dwelling with an accessory garage. Property situate'd
in tha A-Residential A~ri¢~ltural zone with access to Westphalia Rd.
town maintained road.
The Certificate is issued to Sophie Rau
(owner, i~DE~ X~ X ~ZD~ X
of the aforesaid building. ~
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises H_iS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with al! applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
5ui~ding inspector
.oRr No.
TOWN OF SOUTHOLD
13eliding Del)ar tnlent
Town I~hdl
Southold, N.Y. 1197~
APPLICATION FOR CERTIFICATE OF OCCUP
,
Thi~ application nlu~;~ h~ filh~d in lyl.~w~iler Olt ink, ,,~d '.;uhmilh,d in HuHlic,~tu to Ihu t~uilding Ins~ec
t~r with lhe followiml; lo~ m~w I)uihl,~Os o~ u~w
1. Final ~oy of prop~rly wi~h accurate Iocaden el all I)uihlin~]%, I~rol)erly lines, streets, and unu~al
~atural or topofl~;q)hic re,durra;.
2. Final approval et Iteallh D~l)[. et waler supl)ly and scw~r,ute di~;po~;;d-(S 9 form or equal).
3. Approval of elec[rical installati~,] from Board of Fire Un~h'rwriters.
4. Commercial buildings, Induslrial buildings, Multiple Rm;ulences and similar buildings and installa-
tio~s, a certificau~ of Code compliance from the Archi[uti or Engineer responsible for the building.
~. Submit Planning Uoard approval ~¢f compleled site plan requir,.~ments who~ applicable.
For existing buildings (prior to April 1957), Noncon[orudng uses, or buildings and "pre-existing"
land uses:
1. Accurate ~ey of peoperty showing all property lines, streets, buildings and unusual natural
to~ographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requi~ed to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00 /r /
2, Certificate of occup,u~cy on pre f,xeiliny dwullin~t I;ul~lu%(~ ~' /''' $[;.(][]
3. Copy of certifica[e of occupancy $1.00
NOW Building Old of' Pr~
LOcation of Property . .4.6].5 ........... ~e. s.t.p.h.a.. 1. J~ .R. oa.(~ .............. ['l,a.~.t.j~p~;.k .........
Owner or Ownersof Property .... SOphie Rau. ,..~.._ .....................................
County Tax Map No. 1000 Section ~]3 ......... Block ..1.3. .... ....... Lot.? ..............
Subdivision.- ................................ Filed M,U~ No ........... Lot No ..............
Permit No ........... Dare of Permit .......... Applicant .... S.o.p.h.i.e..R.a.u .....................
Dept. Approval ........................ Labor Dept. Approv;31
Underwriters Approval ........................ Planning I~nard Approval .................. ~ . .,
Request for Temporary C~;rtificate ..................... Final Certific~te ................. -
Fee Submitted $.§,00 ........................
Construction on abow~ (h't;crihe(I I)uihluf~l ,~nd i)~rfnH nu','t'; ~fll ,)1~ )Iii ;dd ' c ) ' ;Hid ll!(_]fll,lti¢)ll';.
Rev. 10-10.78
AFFIDAVIT
Re: Rau to Ruhf and Davis
File #4123
Premises: 4615 Westphalia Road
Mattituck, NY 11952
SCTM#: 1000-113-13-2
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
SOPHIE RAU, being duly sworn, deposes and states as
follows:
~nd garage,
That I am the owner of the house~described on Suffolk County Tax
Map as 1000 - 113-13-2; That I believe that said house was
constructed prior to April 23rd, 1957, and has been used for many
years as a residence, and is, in my opinion, suitable for single
residential purposes.
SOPHIE RAU/
Sworn to bef~me this
day of Ju~ // 1985
, '~ ,~ublic, S~t'e of New York
~o, 52-296~J00 /
~ ~ua~ifi~ In 8~olk CounW
Comm~s~io~ ~ March 30,
Z
,,;r PROPERTY
.SOP~IE
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