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HomeMy WebLinkAboutZ-26278FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26278 THIS CERTIFIES that the building DWELLING Date: 02/10/99 Location of Property 1900 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 0007 Lot 012.001 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- 26278 dated FEBRUARY 10, 1999 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 * The certificate is issued to RUTH L SATTERLY ESTATE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Bu' ding Inspector J BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING COD H INSPECTION REPORT LOCATION: 1900 WESTPHALIA RD MAITITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): RUTH L SATTERLY ESTATE OCCUPANCY: A-1 RESIDENTIAL RUTH L SATTERLY ESTATE ADMITTED BY: JAMES LESSARD ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 114.-7-12.1 SOURCE OF REQUEST: RUTH M. LESSARD - 2/2/1999 DATE: 02/10/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: �. 2ND FLR.: 3RD PLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: COVERED SCREENED DECK TYPE: PATIO TYPE: SLAB (CONCRETE) BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATHR: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE CONST.: GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE REMARKS: 1 INSPECTED BY: / DATE ON INSPECTION: 02/09/99 GARY J. FISH TIME START: 10,00 AM END: 10:20 AM i I REMARKS: 1 INSPECTED BY: / DATE ON INSPECTION: 02/09/99 GARY J. FISH TIME START: 10,00 AM END: 10:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system 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. B. For existing buildings (prior to April 9, 1957) non -conforming 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. 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 tp accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... February i. 19$x .................. New Construction........... Old Or Pre-existing Building...... X ......... Location of Property..1900,,..,.. Westphalia,Road................. 4ttj.tgq1;............. House No. Street Hamlet Onwer or Owners of Property.... Ruth. M..Lessard............. County Tax Map No 1000, Section.. ..1:y...Block.... 7 ..........Lot....l�.% ............. Subdivision....................................Filed Map ............ Lot ...................... Permit No................Date Of Permit ................ Applicant ............................. Health Dept. Approval..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate... X...... Fee Submitted: $, 100:00 � , ..,..........-........ ..... . %� APPLICANT �l� o Ruth M. Lessard 1 v o rr - ✓ ✓ y _ r_� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER to STREET % ��Cj VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE [1 \J / S `/ le W � Spf,.y`"/ TYPE OF BUILDING 7� et //art 1 �L SEAS. VL. FARM comm. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS 700 G G C' 0 3 3 a o o U 00 z- -- -- - --- - - , - AGE 3ov BUILDING CONDITI N NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value illable 1 r ___ -- -- illable 2 - � --- -- --- - - illable 3 ✓oodland � ,vampland -------- - rushland ------------------------------ -- -- ---- louse Plot —--- —_ _- ctoI Bldg. I /,2, )cot- p % c%. Foundation Bath ension X Z j� }" J'D C Basement cri r ' L Floors c. tension Ext. Wolfs �" �`' �'�� Interior Finish tension 2- j 3. I Fire Place Porch .- Heot , i' , Attic Porch Rooms 1st Floor eezeway Patio Rooms 2nd Floor gra9e n — r UO "r--v� Driveway B. CONSENT TO INSPECTION RUTH M. LESSARD the undersigned, Owner(a) Name(%) do(es) hereby state: That the undersigned (is) (rarx) the owner(ji) of the premises in the Town of Southold located at 1900 Westphalia Road, Mattituck, New York , which is shown and designated on the Suffolk iii County tax map as District 1000, Section t- Block 7 Lot 12. 1 That the undersigned (has) Umm) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: Certificate of Occupancy on Pre-existing Building 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: February 1999 AC:z �7- � d� (signature) Ruth M. Lessard (print name) Nil ,e APPRO 4. v. HAA. . QLM.37 D a , 1"Q, i ::�''�i � ° i0 D -- i yy v.+ t _ 1 e T stortl S k1 N –a-- —¢J l dag°�'j�'iv^..E Jr T F -,%vg -x Al 6p0. 3 i (� 4 4!t •> l .�-- �. �. .`/'-_�_--_ ��X r e y " � r r �_ ; t ! ,' �• ' ti, I� CS �u� : .%� t� � 0+ c L� Q to t -t . i'::: r' � CJ Yf ,5 tl d i t be ��. G! zcell eL f rn JNAUTHORIZED ALTERATION OIL ADdT10N To THIS SURVEY IS A VIOLATION Or 4' � CW G H �• G'' d '{' o t N e e G t�{Y 1 L} -rl 'i EEDIKAOTION LAW. THE NEW YORK STATE ; G.{� CI YC: t"1't' 1.� C o Kl CA" 0 � o 4a '. V f J• t 1'G. Y �/ • 1 Y) f^•1 l V , .S IH COPIES OF THIS SURVEY MAI NOT WARNO U t �t OI Iq SO �1 A THE LAND SURVEYOR'S INKED SEAL,01 � � rt Av J {� i�5 l(� / 1� EM OSSBE E VALID SH GHOT EE•(owmREP [kr YIH���. �5 • �. �g78 }u•fv�.t� aci IIf , GUARANTEES INDICATED HEREON SHALL -RUN t.}. -jE {g•77 O v� �u • . , LL . ; . NA �..► + K LS.ONLY TO FOR WHOM fl) BEHALF, rTNe E r";M�id . AeI . .W . t9"R q,vL� �yJLt•Ay� �- FEFLE cow^FAL A0110 .1, AL A011010 I`rOYIIN O F G E SF USTW WJLIOW, AFIp A *v r+dG�ci f5utr vr'., Lo t o y•t•OY�: y C1in t nr�rts I�p , • {..+ � 1EY t N SOY � . . = V(0.0,--�.%: ' rz ADTj vdc*," sis on000ks 04 yITEEOmw ...A»(it•Iaf BLj iNtdil ` �~ �k �f� N � �--------- a........_.........;�:. k LOCATION: SUBDIVISION NAME OF OWNER (s) OCCUPANCY tyPe ADMITTED BY: KEY AVAILABLE SOURCE OF REQUEST: BUILDING DEPAR111ENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT AMU 111: LkJ41 L Ly MAP NO, LOT (s) SUFF. CO. owner-teda-nt _ ACCOMPANIED BY: TAX MAP NO. le6V - �. DATE: y DWELLING: TYPE OF CONSTRUCTION � _ # STORIES_ R-» # EXITS %- FOUNDATION CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 2ND FLR. - 3RD FLR. BATHROOM ( s ) PORCH TYPE BREEZEWAY DOMESTIC HOTWATERf TYPE HEAT (�.P OTHER: . ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. TOILET ROOM (s) '�' UTILITY ROOM DECK, TYPE PATIO, TYPE SLS FIREPLACE 6 4-e-1 GARAGE TYPE HEATER ��! d �i,L AIRCONDITIONING WARM AIR HOTWATER STORAGE, TYPE CONST.'f/—o'0p5i—4'j SWIMMING POOL GUEST, TYPE CONST. OTHER: ---------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE. REMARKS: INSPECTED BY: DATE ON INSPECTION �O TIME START © END