HomeMy WebLinkAboutZ-13257FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED PRE C.O.
Certificate Of Occupancy
No. Z 1 3257..........
Date
..... March. .1 2 .................. 10.85
THIS CERTIFIES that the building
. Frigate,
,one, family,
,dwe,lling , , , , , , , , , , , , , ,
Location of Property ...?04�„Westphalia Rd. Mattituc.k
House No. Street Hamlet
County Tax Map No. 1000 Section ...1 41, , , , , ,Block ....... 1.......Lot ..... ?...........
Subdivision ...............................Filed Map No. ........Lot No. .............
requirements for a private one -family dwelling
conforms substantially to theigt}{qf{qfX$(g419gXR�ktX1kEAR�PA�{XiX►X1►l6XQlt@C�ti€
built prior toagte,• la es
•A F R I•1s -23 ........... f 19 5.7. pursuant to which ]� 1k } &X •C , D....�k 52.1.6 .......
dated .... June .20 ................ 19 73. , 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 .........
P.rivate.one..#amilY. a.vteJ i.rng................................................
The certificate is issued to ..... JOHN . SCARAMUCC I & WF.
..............................
of the aforesaid building.
Suffolk County Department of Health Approval ...... N/ A . . . . . . ......................... .
UNDERWRITERS CERTIFICATE NO .............. NAP ................................
B.P.#7681Z 1/6/75 C.O. #Z13256 3/12/85 Addition to existing rear
yard garage.
./�'1�� .
Building Inspector
Rev. 1/81
BUILDINIG DEPART 11T
TM*'N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2045 Westphalia Road Mattituck
(number & street) (Municipality)
Subdivision Map No. Lot(s)
Name of Owner(s) John A. Scaramucci & wf.
Occupancy R-1 OWNER
(type) owner -tenant
Admitted by: Mr. Scaramucci Accompanied by: same
Key available ` Suffolk Co. Tax No. 141-1-2
Source of request John A. Scaramucci Date 3/11/85
DWELLING:
Type of construction Wood framed #stories 2
Foundation Poured concrete Cellar Partial Crawl space Rest
Total rooms, 1st. F1 5 2nd. F1 3 3rd. F1
Bathroom(s) 1 Toilet room(s)
Porch, type wood Deck, type Patio, typewood & slate
Breezeway Garage ViilitYXxomm Pantry
Type Heat_ Gas fired Warm Air Hotwater XX
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater Yes Type heater Yes
Other
ACCESSORY STRUCTURES:
Garage, type const.2 car wood Storage, type const.
Swimming pool Guest, type const.
Other This includes inspection of B.P 7681Z C.O. Z13256 issued 3/12/85
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by:( vy� (�%z�ate of Insp. 3/11/85
Curtis W. Horton . Time start _..;.5o __end -1 , �5
CONSENT
TO
INSPECTION
'77C' 5�-P FQ-VV%.U.L- Ct � the undersigned,
Owner(s) Name(s)
do(4WA) hereby state:
That the undersigned Cig) (are) the owner(s) of the premises in the Town
of Southold located at ,togs- W,!,54V U-1 /a , � /I� �,L.r4
, which is shown and designated on the Suffolk
County tax map as District 1000, Section /N Block _L, Lot Z
That the undersigned (has (have) filed, or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
bt.12�Ct4d C , O.
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 law's, ordinances, rules or regulations of the Town of Southold.
Dated:
(signature)
-!-
(print name)
(si,anature)
(print name
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic 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 required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00S—
Date ....... j. �• ............ .
New Building ............. Old or Pre-existing Building .....)( ..... Vacant Land .............
Location of Property 44,45 .. A . J ............ fv!A4! kel k ...................
House No. Street Hamlet
Owner or Owners of Property ..,!?'J, .?
County Tax Map No. 1000 Section .... —'JlJ ...... Block ...... l........ Lot ..... ?-....... .
Subdivision ............ 4._A ,6, . , . , ..Filed Map No. ..........Lot No.
o. Bate e€PeF it .Applicant e.--4.........
Health Dept. Approval ........................Labor Dept. Approval ........................
Underwriters Approval ........................Planning Board Approval ......................
Request for Temporary Certificate .....................Final Certificate .......................
Fee Submitted $.............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant. -��acu ...........................
Rev. 10-10.78
7/3 � s 7
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
VILLAGE
DIST. SUB. LOT
OWNER
-- ------
ohX
= i
�,,
- u
FORMER OWNER
N 4
E /
ACR.
.S o o—,...._-._.�..
S
W TYPE OF BUILDING
W,4 17
RES.
SEAS.
VL. FARM
COMM, CB. MISC. Mkt. Value
LAND
IMP.
TOTAL DATE
REMARKS, cz —
^�/=52
(e f2 SoLD 64Sno_ D•WH-,%MRN ,y`
�_..
�
{
� n �J %?:.45 f•('Fril �/ UJ�� %ice/i '.�'✓ f__��� �—./.�-_--.(�_✓ll!L�..
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Vcue Per
Value
Acre
{ ---------- --- – -
Tillable 1
--------- --_--_ ___--
Tillable 2
-
Tillable 3
_ -- ----
Woodland
FRONTAGE ON WATER
Swampland
Brushlond
ON ROAD
,g� _+ _�–
House Plot
--tFRONTAGE
DEPTH
BULKHEAD
DOCK
n -
I
COLOR
TRIM
114-
7
PA, Bldg.
32.
j --a
Foundation
Bath
Dinette
Extension
Basement
Floors
K.
C! -tension
Ext. Walls
Interior Finish
LR.
Extension
Fire Place
�--tRooms
Heat
V/ <
DR -
Type Roof
1st Floor
BR.
Porch
e)
Recreation Room
—TPooms
2nd Floor
FIN. B.
i Porch
!Dormer
Breezeway
Garage
9 Z -
Driveway
Patio
Ila e 4-/
O. B.
Total
4
BUILDING DEPARTMENT
T
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
(number & streets)' - --(Municipaiity)
Subdivision Map No. Lot(s)
Name of 0
Occupancy
Admitted
Key available
Suffolk Co. Tax No. /
Source of -• -' X Dater
DWELLING: ,, , /
Type of construction fA2�#stories—
Foundation Cellar ` Crawl space
Total roo s, lst. Fl__,y 2nd. F1 3rd. Fl
Bathroom(s) ® Toilet room(s)
Porch, type Deck, type Patio, typ e_
Breezeway Garage U
Type Heater 'Warm Air Hotwater
Fireplac s) C No. Exits Airconditioning
Domestic hotwater Type heater
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other - e, 0
��
VIOLATIONS: Housing Code, Chapter 52
Remarks:
Inspected by: Date of Insp.
.Time start Is end