HomeMy WebLinkAboutZ-19381FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
PRE EXISTING
No Z19381 Date SEPT. 24, 1990
THIS CERTIFIES that the building COMMERCIAL BUILDING
Location of Property 425 WESTPHALIA ROAD MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 141 Block 3
Subdivision
Filed Map No
Lot 34
Lot No.
conforms substantially to the Requirements for a Commercial building built
prior to
APRIL 9, 1957 pursuant to which
Certificate of Occupancy Z19381 Dated SEPT. 24, 1990
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 COMMERCIAL BUILDING.
The certificate is issued to WILFRED B. RULAND, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N228384 JUNE 3, 1975
PLUMBERS CERTIFICATION DATED
***SEE INSPECTION REPORT
Building Inspector
BUILDI'G DEP. R74LE- T
TOt'IN OF SOUTHOLD, N. Y.
HOUSIi G CODE INSPECTION REPORT
Location 425 WESTPHALIA ROAD MATTITUCK
(numoer & street) (i,iunicipaiity)
Subdivision Map No. Lot(s)
Name of Owner(s) WILFRED B. RULAND, JR.
Occupancy VACANT OWNER
(type owner -tenant)
Admitted by:WILFRD B. RULAND JR Accompanied by: SAME
Key available
Suffolk Co. Tax No. 141-3-34
Source Of request WILFRD B. RULAND, JR.
Date 8/6/90
7fffffXTX�XXXX COMMERCIAL BUILDING
Type of construction CEMENT BLOCKstories ONE
Foundation Cellar r Crawl space
Total rooms, lst. Fl 2 2nd. F1 3rd. F1
Bathroom(s) Toilet room(s) cm
Porch, type Deck type Patio, type_
Breezeway Garage Utility room
Type Heat op- 'alarm Air 1oc Hotwater
Fireplace(s) No. E:cits 2 Airconditioning
Domestic hotwater ELECTRIC Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
vrnT nmrnVO. u_-- -_ _ -- ,. , .
Remarks: UNDERWRITERS CERTIFICATE #N228384 JUNE. 32 1975
Inspected by: Date of Insp. 9/21/90
GARY FISH Time start 9:30 end 9:50
ntion
0
Oto L9 j v' �R r, ! Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
f TOWN HALL
8LD3._DEFT. _", l 765-1802
APPLICATION 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:
I. 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
4. Sworn statement cfrom aplumber lcertifying lation mthat rthe fsolder Fire Uusedwintsystem 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.
For existing buildings (prior to April 9,
"pre-existing" land uses: 1957) non -conforming uses, or buildings and
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.
C. 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
Date ......1�.��.........
New Construction..... ./ Old Or Pre-existin Building, •••• ..••••••
Location of Property. :T� � [�4 . • • . �• • • • • •��, 9 „ �• •4��
House No. L13 .(Y. ,
Street Hamlet
M1
—�
Onwer or Owners of Property.....; 1�
v—L; . • .?: • L.� t•�vlc� ..
County Tax Map No 1000, Section....L../. •••••.••••
.Block.... .........Lot.;:.
Subdivision........ ....Filed Map......... ... Lot ......................
Permit No ....... 0 ........ Date Of Permit........ ..Applicant........
Health Dept. Approval..........................Underwriters Approval...`:.............,.,,
..
Planning Board Approval., .... o .............
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $..... ....
7,19311�1
jpn ..
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS-
-'; dl BUREAU OF ELECTRICITY
i 85 JOHN STREET. NEW YORK. NEW YORK 10038
Date June 3, 1975 Application No. on file 759152N 8 4
THIS CERTIFIES THAT
'only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
I
W.B. Ruland, w/s Westphalia Rd. 1001 n/o R.R.Tracks, Mattituck, L.I.
in thefollowing location; ❑ Basement hz_lstF'l. ❑ 2nd Fl. Outside Section Block Lot
-was examined on Maq 29, 1975 and found to be in compliance with the requirements of this Board.
-FIXTURE.
�'. OUTLETS
ECEPTACLES
SWITCHES
FIXTURES RANGES COOKING DECKS
INCANDESCENT.FLUORESCENT R
OVENS DISH WASHERS
EXHAUST FANS
VAPOR AMT. K. W. AMT, I K. W.
AMT. K.W. µ1T. K. W.
30
27_
31
6
23
1
DRYERS _ FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS
BELL UNIT
TRANS.
HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF FEET
DIMMER$
.AMT.
K. w. OIL H. P.
GAS
H. P. .AMT.
NO.
A. w. G. AMtI
AMP. AMT.
A.
AMT.
H. P.
AMT.
WATTS
SERVICE i DISCONNECT' ,..
NO.OF
1
S E R , - , V I .. _ C li -
AMT. AMP. TYPE ,.
METER
EQUIP.
1,0' 7W
1 ,B" 3W
3.1 3W
10 IW
NO. OF CC. COND.
PER H
AWG . .
OF CC COND.
NO. OF HI -LEG
A, W. G.
OP HI �G
NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
1,
200
CB
x
1
3/0
1
1/0
OTHER APPARATUS: ^i
*Special Receptacle/s: 1-50amp, 3-20amp
Elec. Room Heater/s: 2-4.Okw, 2-3.Okw, 1-2.Okw, 2-1.5kw, 1-.75kw
Motor/s: 1-2hp
Panelboard/s: 1-13cir.100amp. 2 -Light Cells, 1 -Gas despening Pump-1/2hp
9'
i
7--
W.B. Ruland, Electrician 1�
- Mattituck, L. I.
- GENE M NA R
Per D
Thi5 cerlilicate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by the%�Aentials.
a
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CONSENT
TO
INSPECTION
Otvner(s) Name(s)
do(es) hereby state:
z
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at lel j� , - WR V44—Ui�� (P
which is shown and designated on the Suffolk
County tax map as District 1000, Section /vy ? , Block 5, Lot .
That the undersigned (has) (have) filed, Ior caused to be filed, an applica-
tion in the Southold Town Building 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 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 as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:`
ignature)
TT-
(print name)
signature
(print name)
bo 0
A
/41ev�F
Ap>9
UNAUTHORIZED ALTERATION OR ADDITION TC
THIS SURVEY IS A VIC,ATION OF SECTION
7209 OF THE NEW YORK STATE EDUCATION
LAW
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALT. NOT BE CONSIDERED
TO BE A VALID TRUE COPY
GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE
SURVEY IS PREPARED, AND ON HIS BEHALF
TC THE TITLE COMPAAIY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE
LENDING INSTITUTION GUARANTEES ARE
NOT TRANSFERABLE 'fC ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS,
NOTE•
■=MONUMENT
REVISIONS YOUNG 8c YOUNG
400 OSTRANDER AVENUE, RIVERHE
ALDEN W. YOUNG
9S
PROFESSIONAL ENGINEER AND '*
LAND SURVEYOR, N.Y.S. LIG" NO. 12SA5 T
SURVEY FOR. i�"t
W/LFRED B. RUL AND, LIR.o W h
d/GhAI ENGINEEPs
AT GUARANTEED TO:
MATT/TUCK
TOWN OF SOUTHOLD
SUFFOLK CO., N. Y. BY
SCALE: /iY _ SOA DATE: AUG. 131/97 4 -
`w
16�
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET
VILLAGE
DIST.
D'
SUB, LOT
Ai �z
-ST'
FORMER OWNER
N
E
ACR.
I
W TYPEOF BUILDING
RES. jZf, SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
L-1 � c)
, -!z S
6o o
9 z.7 Z
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Value
Acre
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Total
DOCK
COLOR Ale � Y N 1 �� , i TRIM
mill
NJ
0 mill
0
IN
MIN
I.MMINIM
MEN
El
1111
MM
70
ME
MEMEMS
0
0
No
INN
MMSE'EMN,0111
MINN
Interior Finish
Breezeway
Patio
Rooms 2
Dormer
a1,4
BU .,DI:•,G DEPARTIIEDIT
TO'L OF SOUTHOLD, N. Y.
HOUSIidG CODE INSPECTION REPORT
Location
�nL:moer do trees) I,iunicipaiity)
Subdivision Map No. Lot(ss)
Name of Owner(s)
Occupancy V
(type) owner-tez)
Ad,-,itted by: k4AJACCOMpanied by:
Key available Suffolk Co. Tax No. 1511-3-351
Source of request � w Date 0
/Z it 1 . , ••
Type of construction #stories 047 -t -1V—
Foundation *Celr Crawl space_
Total rooms, 1st. F1 2nd. Fl 3rd. Fl
Bathroom(s) Toilet room(s)
Porch, type Deck, type Patio, type_ .
Breezeway Garage Utility room
Type Heat 'alarm Air Hot-water
Fireplace(s) No. Exits "2- Airconditioni ng
Domestic hotwater_� � Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE -
Remarks • �� � �/V _2 � ,F �6 S-/
Inspected by: Date of Insp.°
Time start It
0