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Home My WebLink About37778-Z ®�S� FF p Town of Southold Annex 4/30/2013 P.O.Box 1179 CM 54375 Main Road y oy Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36215 Date: 4/30/2013 THIS CERTIFIES that the building GREENHOUSE Location of Property: 1735 Westphalia Rd, Mattituck, SCTM#: 473889 Sec/Block/Lot: 141.-1-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/18/2013 pursuant to which Building Permit No. 37778 dated 1/28/2013 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: Accessory Greenhouse Structure as applied for The certificate is issued to Lindsay,William&Lindsay,Roberta (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED orize Si ure o�SU �cD, TOWN OF SOUTHOLD j� Gyp BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE oy • SOUTHOLD, NY �al �f BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37778 Date: 1/28/2013 Permission is hereby granted to: Lindsay, William & Lindsay, Roberta 1735 Westphalia Rd Mattituck, NY 11952 To: Construction of an accessory greenhouse structure as applied for. At premises located at: 1735 Westphalia Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 141.-1-5 Pursuant to application dated 1/18/2013 and approved by the Building Inspector. To expire on 7/30/2014. Fees: ALTERATION OF ACCESSORY BUILDINGS $399.20 CO -ACCESSORY BUILDING $50.00 Total: $449.20 i B ' di g Inspector Form No,6 TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health.Dept_of water supply and sewerage-disposal(S-9.form). I 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 and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing" land uses:`----, 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant_ C_ Fees I. Certificate of Occupancy-New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool$50.00, Accessory building$50.00, Additions to accessory building$50,00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00,Commercial $15.00 Date. ��„� l3 New Construction: Old or Pre-existing Building: (check one) Location of Property: f S 1.t�2S f-I°� �� 'I-uc k House No. Street Hamlet Owner or Owners of Property:-6,)('((;C1 M c} 1?'06 0-c, L�'nd Ay Suffolk County Tax Map No 1000,Section !y I :_Block Lot Subdivision Filed Map. Lot: Permit No. -3 7 7.7 Y Date pf Permit. r- P) Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: Applicant Signature OF SO(/Tyol o�yCO�y'N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION. . . -.- .. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 7 c7— `v G DATE INSPECTOR FIELD INSPECT PORT DATE CO .. . . 1VIlIENTS -j W IFOU",&T10N(1ST) �) FOUNDATION(M) (W� -` CA ROUGH FRAMING& y PLUMBING .� INSUL•ATION PER N.Y. H STATE ENERGY CbDF, 0 FINAL ADDITIONAL COMMENTS z . m TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTowa.NorthFork.net PERMIT NO. u=7�7 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application n Flood Permit Examined i .2Fr 20 I� ® v Single& Separate Storm-Water Assessment Form � �k� 1 � 2413 Contact: Approved A(V 20—a Mail to: Disapproved a/c N OF OUT N OF SOUTHOLD l Phone: Expiration 30 20./,�' Building Inspector APPROVED AS NOTED APPLICATION FOR BUILDING PERMIT DATE:- 13B.P.# �; - Date , 20 FEE: ' BY: INSTRUCTIONS NOTIFY BUILDING DEPART F� 765-180'R• T�o aT81i f� n �H completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 pmmatL >�M ,l�� q t pan to ale. Fee according to schedule. 1. FQUNlag] �vplai�� . �Nj Sion of lot and of buildings on premises, relationship to adjoining premises or public streets or are( iIbMLq v ACRETE 2. ROUG I TIRW ,jqIj4"(jsEd&,qiis application may not be commenced before issuance of Building Permit. 3. INSULAT16PPri approval of this application,the Building inspector will issue a Building Permit to the applicant. Such a permit hBNi ire I`ll �p�R�rli�a�LaSfilable for inspection throughout the work. BE CQViNfnEnit'tlj4rg61gll be occupied or used in whole or in part for any purpose what so ever until the Building Inspector � i1S"€�tiflilY`icT (oA�pl��1' THE REQUIREti WZSyCWIZIHLI,p,WL:IgbpIMLI.�fxpire if the work authorized has not commenced within 12 months after the date of Yi 9rrZ,WiQaaN0iJt J5WFC*j&%l,,ge0(y�thin 18 months from such date. If no zoning amendments or other regulations affecting the rovtc�b'11�`TiRt �tJii ,�Rtrim, the Building inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors o-11_p,•emi��a�®�uiilding for necessary inspections. PA OCCY LISIS Ufa LA FUL (Signature of applicant or name, if a corporation) WITHOUT CERTIFICATE CCUPANC°�° (Mailing address of applicant) OF 0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises AJI'l//Ct yl, CLh c,( lt.a10C? L•t'(id .Se,y (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number treet Hamlet County Tax Map No. 1000 Section 41 Block � Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancyie. 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work C�rC-p tfzS—P (Description) 4. Estimated Cost Fee �e _ c_-- It 3 d (To be paid on filing this app ication) !%�.tS 60 5. If dwelling, number of dwelling units b r f welling units on;each floor g tot? If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and exteift of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with-alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO IF YES, PROVIDE A COPY. STATE OF NEW YORK) y SS: COUNTY OF 1 V�JI"\,O-V)r\ ►--l Yl (A's(,Z,l..lr being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) ab ve named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this �j day of Cam.. 20( 3 VICi<,I TOT , Notary PublicMate of New Notary Public Quaiifiied is Stsf�oii�Cou Signature'of Appli 11ty Commission Expires July TOWN OF SOUTHOLRY. PROPERTY RECORD CAR OWNER STREET - L�' VILLAGE DIST. SUB. LOT Alno FORMER OWNER N ACR. e ends s W TYPE OF BUILDING SEAS. VL. FARM (:' COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 02a 7 Z z-3(---�3— ke'o n1 l� 3 LlaSbv 3 - s nd -f AGE BUILDING CONDITION SEW NORMAL BELOW ABOVE .ARM Acre Value Per Value Acre Ilable i FRONTAGE ON WATER oodland FRONTAGE ON ROAD 0,74 eadowland DEPTH 3 ouse Plot BULKHEAD �tal DOCK I lE y4 ii'1�� F�� ,r✓f�r,r•s K { a 71 ..:f ei'. i a`"' !f I q!7 .r v '§�.��'r*7�.YG A'r'i • 4.uRr�j'4..w�,°t �s.<-`� �- L s I .r.+rw � .��.�' 4�r .l.��. '�i�fea 7`;',i�P� �■■N�■ MEMNON No WiN, ONE ININNEME ■G'MEN ■■■■E � ' NON■ d � ,° ■■MEMO NEE■■■■E■■■ _ �3'�",�� tr ; , � F ■■■■■■■■ ME■IN MEMEENWIMMM ■E■■■■■■ ��■E■■ MEN MEMNE No No ■N■�■■.iNNi 9■.��■■.■IN NEON ISMIN so ■■■■.■■.■■■ F 0 NON■■I:::::�■■■■■■■■■■N■ - ME SEE■ RE■soiNEN■E mom E■EE�iEN■ EE OE REr■O■i�3EEOEOOEE ■■ E■■EOENEE INo MUMMMME ■EE■ No ■i■ E■■■E■■E■N!■■E■■■E■E EEEEEi �NEEEEE■NEE■EEEEEE■■EPEE �■EEEE■■EiE■E■EE■NONE ON ■■EOE■N■N sue■ . .. . � :. . _ _ 'Base ent Rooms Ist Floor Rooms 2nd Floor \G N i r � r�r i41y �1h,t t. t r� 3• WESTP414-95 .I�tALI�. MAP .OF PrOPE T 'SUQVED ,FDCe, .:.0 ,•F -,..- . ..cam'�' N, � � � ,r...y TI�fit, • �� ' . t`''iA��TI1'UC4G ` o bQ,sn+rat�at�±rnnn UM fct arra d wov,,,ti""�(nee.oa� I • �+ •e! „� ' � � ��ems. • � •:p � tfinp paq 1 0 Obi / c,YCSDW�.FENCB. � �gr;pl1r dwse�aeczvSr�1''�� • , POOL �(( 1 Guy r EEP , . LU .TIT E a, 'A - WS R CL • 3 RODER)C 4YAN 7UYL, v— cw I.ON Lr 0 ' RNER .N.'TO tp•�1n/` wag NE11.3b �; � ._, RV 4•IiNOW �`I Ya,ti, n IANO SUFF CO.TAX MAP:DATA: Ia(70-! F I•S. • SCE bJ