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Home My WebLink AboutZ-20818FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20818 Date JUNE 19~ 1992 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Property 1735 WESTPHALIA ROAD MATTI~UCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 5 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-20818 dated JUNE 19~ 1992 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITHACCESSORYGARAGE & STORAGE SH~D * The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION *PLW3tSE SEE ATTACHED INSPECTION REPORT. ROBERT & KAT~LR~N REYER N/A Building Inspector Rev. 1/81 Location BUiLDIi, rG DEP:L%T:.~HT T0~'~ OF SOUTHOLD, N. Y. HOUSIEG CODE INSPECTION REPORT !735 WESTPHALIA ROAD MATTIT~CK, N.Y. (numuer & snreev) Subdivision Map No. (i,iunlcipaliuy) Lot(, ) N&me of Owner(s) ROBERT & KATWLEEN REYER Occupancy Admitted by: LISA RKY~R Key ~vailable Source of request KAT~.'~EN REY~R (own er- nen any ) Accompanied by: SAME Suffolk Co. Tax No. 1000-141-1-5 Date J~NE ]0, ~992 D~,r~T TT,ATC'.- Type of construction Foundation BRICK & CEmEnT Total rooms, 1st. F1 F~ Cellar 2nd. Fi #stories 2 80~ Crawl space PART 20Z 3rd. F1 Bathroom(s) Porch, tR~e Breezeway Type Heat OIL Fireplace(s) Domestic hotwater Other Toilet room(s) Deck, type Garage 'Warm Air No. ~cits Type heater 1 WOOD Patio, typeSTONE Utility room Hotwater Airconditionin~ GAS ACCESSORY STRUCTURES: Garage, type const. F~9~E Storage, type const. Swimming pool Guest, type const. Other GRADE LEVEL STONE SQUARESAROUNDPOOL VIOLATIONS: .CHAPTER 45--N.Y. STATE UNIFOR~ FIRE PREVENTION & BUILDING CODE Location Descriotion ~rrt-.'} Sec. Remarks: Inspected by : ~t of Insp. June 12, 1992 start 9:55 end 10:20 fi Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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. For existing buildings (prior to April 9, 1957) non-c~nforming 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. ;. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ew Construction ........... Old Or Pre-existing Building ................. llouse No. Street Hamlet ~wer or Owners of Property. OB ~- ..~.~ ~unty Tax Map No 1000, Section ............. Block ................ Lot ...................... :bdivision .................................... Filed Map ............ Lot ...................... rmit No ................ Date Of'Permit ................ Applicant ...................... . ....... alth Dept. Approval .......................... Underwriters Approval ......................... arming Board Approval ........................ quest for: Temporary Certificate ........... Final Certicate ........... '-' Submitted: $./.~..~., .07. ................... CONSENT TO INS DEC'F[ON lO xVTler (S) Nature{ s) do(es) hereby state: · the undersigned, of Southold located at That the undersigned (is) (are) the owner(s) of thc premises in the Term which is shown and designated on the SurroZk County tax map as District 1000, Section /~/ . Block ~/ . Lot ~'~f That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southcld Town ]3uildin~ Inspector's Office for the following:__ 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 xvith respect to the aforesaid application, inctudin~ inspections to determine that said premises comply with all of the laws; ordinances, rules and re,autations of the Town cf Southotdo The undersigned, in consenting to such inspections, do(es) so with the knowledge and understandin~ 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 Town of Southold. (print name) (print name)