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Home My WebLink AboutZ-29136FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29136 Date: 12/18/02 TI{IS CERTIFIES that the building DWELLING Location of Property 1645 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 0001 Lot 006 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 OCC~JPANCY ~ER Z- 29136 dated DECEMBER 18, 2002 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 FBJ4ILY DWELLING WITH ACCESSORY GARAGE & STORAGE BUILDING* The certificate is issued to GEORGE H TAYLOR (OWNER) of the aforesaid building. SUFFOLK COUIFrY DEPART?4ENT OF IIEALTt{ APPROVAL ELEC~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAT~3 *PLEASE SEE ATTACHED INSPECTION REPORT. N/A N/A N/A Signature Rev. 1/81 BUILDING DEPARTMENT TOW~ OF SOUTROLD HOUSING CODE INSPECTION REPORT LOCATION: 1645 WESTPHALIA RD SUBDI~-/SION: NAME OF OWNER (S): GEORGE H TAYLOR OCCUPANCY: SINGLE FAMILY DWELLING ADMI'i-rF.D BY: GEORGE TAYLOR MATTITUCK MAP NO.: LOT (S) GEORGE H TAYLOR ACCOmPANIeD BY: SAME KEY A~_ILABLE: SUFF. CO. TAX ~ NO.: 141.-1 6 SOURCE OF REQUEST: DANIEL C. MOONEY P.C. 12/9/02 DA~: 12/18/02 DWELLING: T~PE OF CONSTRUCTION: WOOD FP3LME # STORIES: 2.0 # E~ITS: 2 FO~]NDATION: CEMENT BLOCK CELLAR: PART. CRAWL SPACE: PART. T~)TAL ROO~S: 1ST FLR.: 4 2ND FLR.: 3 3RD FL~.: 0 BAT~{ROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH ~"fPE: ENCLOSED DECK TYPE: PATIO TYPE: BP~EEZEWAY: FIP~EPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: 0FF BOILER AIRCONDITIONING: TYPE HEAT: 0IL WARM AIR: HOTWA'E~K: XX OTHEr: ACCESSORY STRUCTURES: C~a~RAGE, TYPE OF CONST.: 1 CAR WOOD FRAME S~)P, AGE, TYPE CONST.: 1 CEMENT BLOCK SWIPING POOL: GUEST, TYPE CONST.: OTHE~: VIOLATIONS: CHAPTER 45 N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART, SEC. P,~%%P~KS: BP#12164Z-COZ12276 {ADD&ALT) BP #12165Z-COZ12275 (ADD TO ACCY} DATE ON INSPECTION: 12/17/02 TIME START: 10:00 AM END: 10:25 AM ~OV 05 02 0~:39a Andrew St~pe Realty, Inc. 631-29Bi--5__779 p.5 Form No. 6 : TOWN OF SOUTHOLD / -' 9 BUILDING DEPARTMENT , TOWN HALL t ' 765-1802 ~.- APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled m by typewriter or ink and submitted to t!qc Buiiding Departmcnl wilh thc ibllowmg: For new building or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natm'al or topographic features. 2. Fiual 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 arm installations, a certificate of Code Compliance fi'om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and tmusual natm'al o~ topograptiic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimnfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: [ House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: Date. ~ (check one) Street Block Filed Map. Hamlet Date of Permit. Applicant: Lot: Underwriters Approval: Final Certificate: c/ (check one) tfipplicamt Sit,lire Hov 05 02 09:~8a Rndre$ St~pe Realty, Inc. 631-298-5779 CONSENT TO INSPECTION Owncr¢) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold, located at /6. zr'ff'- t.u/~' ~ 7'--/~/../~ A~/'.4 r~do F'4d~ · which is shown and designated on the Suffolk County Tax Map as District 1000, Section tt-t'( ,Block ( ,Lot ~ That.the undersigned (has) (have) filed, or cause to be filed, an application in the . So.hold Town Building Inspector's Office for the following: C ~.. ~7-- fi)ex( ~¢tX rtn/~ ~ c. Otr~c~ - 0 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 in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: ature) / (Print Name) (Signature) print Name)'.