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Home My WebLink AboutZ-90364 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.. 29036..... Date ... MaY .. 26 ................ . 19.78 THIS CERTIFIES that the building located at 2435.lfo tphalia. ROsd.... Street Map No ............. Block No........... Lot No................................. . conforms substantially to th CERTIFICATE OF OCCUPAN( dated .... April ... 23 ....... ) 19 57.. pursuant to which f j� No. 29036• dated .... May .....26........ , 19.78. , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .... PRIWArE .ONE FAMILY, DWELL-ING................................... The certificate is issued to ...... EriC• Li •Sahelin • ( owner, t of the aforesaid building. Suffolk County Department of Health Approval Pre -Existing .................. UNDERWRITERS CERTIFICATE No. ........... Pre -Existing .................. HOUSE NUMBER .2455 ........ Street ......Weeanatphalia. Road.. �.............. ............................................Maitituck,.N.ew. rk............. �tY� ...... ..................... Building Inspector Housing Code Inspection May 25, 1978 2455 Westphalia Road R-1 Mattituck, N.Y. Tax Roll: Eric L. Schelin occupied: Mr. & Mrs. D. Oddon Upon receipt of an application for a Pre -Existing Certificate of Occupancy I made an inspection of the buildings on this premises. I was admitted to dwelling by Mrs. Oddon who accompanied me during this inspection that began at approximately 8:55 A.M. The dwelling is a two story wood framed structure constructed on a red brick masonry foundation. First floor contains a kitchen, rear entry vestibule, full bathroom, dining room and living room. Second floor has three bedrooms with a passage door in hallway providing access to attic storage area. Heat is furnished to building from an oil fired warm air furnace with outlet cut into living room floor. Hot- water is furnished to all plumbing fixtures within dwelling from an oil fired hotwater heater located in partial full cellar. Accessory structures include a two car garage and three small storage buildings. These buildings are wood framed and were locked. Keys were not available and inspection of interior was not possible. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, N.Y. were found: Gas Cooking range -no shut off valve at unit. Article V. Section 52-52 B.2. Sewage System -no house trap. Article V, Section 52-51 C.1. Inspection completed at approximately 9:20 P.M. Re dully submitted, EDWARD F. HINDERMANN Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. S. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...kWY..2,3,...190 .................... New Building ................ Addition ................ Old or Pre-existing Building .... ;......... Vacant Land .............. Location Of Property ... Westphalia. Rpad,. MattituCk, New York ....................................... Owner Or Owners Of Property ... L. Schelin and Tydjt 1l.K. Schelinl, 2 .wife Subdivision .Lot No. Block No. House No..Z?�s57! ............................................................... ............ ............ Permit No ..................... Date Of Permit ....................Applicant.................................................................. HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate..........1K.............................. Fee Submitted $ ..5.00 ................. Construction on above described building and eet II lic a nd regulations. Applicant ............ ..... .... .................................................... Sworn to before me this ..23x1 ...... day of ....Nk3y.....1977...................... Notary Public .�52...... Suf County c-ria-G-�-- S' �G '? 8y 0 (stamp or seal) DOROTHY H'ENDESON NOTARY PUBLIC, State of New York No. 30.6848100 Qualified in 'Nassau Counfy r , Commission Expires March 30, 19..E tier+ j. Cox cn < l v 71 j Curb 1 1t. J _ r+t 10 i +� S a �- N z 5.ifl' 33,;F -C>' W. 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