HomeMy WebLinkAboutZ-24760FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OFO~cumANCY
No Z--24760
Date NOVEMBER 20, 1996
THIS CERTIFIES that the building
Location of Propert~ 4225 WESTPHALIA RD.
House No. Street
County Tax Map No. 1000 Section 113 Block 13
Subdivision Filed Map No.
ONE FAMILY DWELLING
MATT1Tu~'K, N.Y.
Lot
Lot No.
Hamlet
17
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24760 dated NOVEMBKR 20, 1996
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 WITH ACCESSORY GARAGE *
The certificate is issued to WILLIAM J. SNYDER
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-052403 - OCTOBER 24, 1996
PLUMBERS CERTIFICATION DATED N/A
· *PT.~%SE SEE ATTA~D INSPECTION REPOR~
Inspector/
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 4225 Westphalia Road
(number & street)
SUBDIVISION
NAME OF OWNER (s)
Mattituck, N.Y.
(municipality)
MAP NO. LOT(s)
WILLIAM SNYDER
OCCUP/LNCY ~T~T,~ WAMTT~
(~p~y .... (owner-tenant)
ADMITTED BY: GEORGENE MONSELL ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF.CO. TAX MAP NO.!000_!!3_!3_!7
SOURCE OF REQUEST: DAVID & GEORGENE MONSELL DATE: OCT. 2, 1996
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME
FOUNDATION P. CEMENT CELLAR FULL
TOTAL ROOMS: IST FLR. 3 2ND FLR. 3 3RD FLR.
BATDROOM (s) ON~ TOILET ROOM (s)
PORCH TYPEwRoI~T & REAR F~T.~F~ BECK, TYPE
BREEZEWAY FIREPLACE
DOMESTIC HOTWATER ~Cf TYPE HEATER 0~
TYPE HEATC OIL WARM AIR HOT AIR
OTHER:
~ STORIES 2
CRAWl. SPACE
~ EXITS. 2
UTILITY ROOM PANTRY ROOM
PATIO
GARAGE
AIRCONDITIONING
HOTWATER
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.
SWII~qING POOL
OTHER:
2 CAR WOOD STORAGE, TYPE CONST.STORAGE CHICKEN COOP
· GUEST, TYPE CONST.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS:
INSPECTED
DATE OF INSPECTION october 4, 1996
9:45 10:15
TIME START END
0:- 50UTHO LD
765-1802
This appiicauion musc be filled in by typewriter OR ink and submitted co the bui!din~
inspeczor with ~he following: for new building or new use:
!. Final survey of proper~y with accurate location of all buildings, propern7 lines,
s:reets, and unusual natural or topographic features.
2. Final Approval from Health De~:. of wa~er supply and sewerage-disposal{S-9 form).
3. Approval of electrical inspa!!~tion from ~oard of Fire Underwriters.
Sworn s~atamen~ from olum~er certifying that :he solder ~lsed in sys~am conceits
less ~han 2/!0 of !% lead.
5. Commercial buiidimg~ ~ndusmria2 building, muimipla residences and similar buildings
and-insta!ia~ions, a cerui£icate of Code Compliance from arahiuec= or engineer
responsible for the building.
6. Sebmit Planning Board Approval o'f completed site plan requirements.
For ex.i~q_in~_~.din~s (prior ~o April 9, 1957) non-confo~--ming usas, or buildings and
pre-exms~mng !and ,ases:
I. Accurate Burney of orooar~v showing all property lines streets building and
unusual natural or topographic features.
2. A ~rooerlv oomole~ad apo!ice,ion and a consent to inspect signed b,, -_he aooiican~.
- pa ..... c=t- of Occupancy is denied, the Building inspec-_or shall state the
ra-asons ~herafor in '~ri~~ ~c _-he aooilcanu.
C. Fees
~ Certificate of 0ccupanc7 Mew iwe!!ing ~ O0, Additions ~o dwelling $2~.00,
Al~aranions to dwelling ..... S25.00, Swimming pool $25.00, Accessory 'ou_~n=~ '~ = ~_.00~°~ ,
Addimions :o accessory buiidin~ $25.00. Businesses $50.00.
=. Cermificata of Occupancy on Pre-existins Buildin~ - $t00.00
3. Copy of Certificate of Occupancy - .25¢
~=. Updated Certificate of Occupanc7 -
5. remporar7 Cer5ificaza of Occupancy -Rasidential $!5.00, Commercial
~ate ... ZP~..-?~ .............................
New Construction.... .......... 01d Or P~a-~x~st~n_g Building..~ ...........
Loca:ion of Property...-~/v~.~. ...... ~DJ~4*~!.~r..'..~. ........... ~'.?.~, ,~- .............
~ouse Mo. Stree~ ~amle~
or o . rs .... ......... : .......
County T~x ~ap ~o ~000, Section. 7/~ .~. ..... Block... ~_~..o.~ ....... Lo~...O. (.~.~..~}.~D. ........
Subdivision .................................... ii!ed HaD ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicanu .............................
Eeai~h Dam,-.. Approval. onae~rlmers ' ~~ ....
......................... " ' =_p p r or=_, .....................
?l=nn~.g 3pard Approval.
;
i~:~R OPER T Y ,
CONSENT
TO
N SP I~'NL'T ION
~ 12 I'~' ~.o_. e q'c._~4 ¢ fi'~r,,a' ~ ~_ ~ ( , the under signed,
-- Ov~merls) '-'~/ame(s) '
do(es) hereby state:
That the nndersigned (is) (ar'e) the owner'(s) or' the premises in the Town
of Southold located at __h]~.5-
· which is shown and designated on the Suffolk
t~'om~ty tax map as District 1000, Section2,/...q~O, Block /_gDO, l~ot_c5 7'~9C~<53
TI,at the undersigned (has) (have) filed, or caused to be filed, an applica-
[ioll itl the Southold To;ifil Buih. ling Inspector's Office for the following: ....
Tlmt the undersigned do(cs) hereby give consent to the Building lnspectom~
of the Town of Southo].d to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they inay
deem necessary with respect to the aforesaid application, including inspections
to dt¢termine that said premises comply with all of the laws, ordinances, rules
;md reguhttions of the Town ~t' Sonthold.
The undersigned, in consenting to such hmp~ctions, do(es) so with the
knowledge and understanding that any information obtairmd in the conduct of
stroh imJpections may be nsed aa evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules m' regulations of the Town of Southold.
llated: /0-~ - ~ ~ --~~ture)
~print name)
(signature)
(print name)