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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)