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38026-Z
FFaj,fcO��a P.O.Box 1179 Town of o1d Annex 2/25/2014 H 54375 Main Road • �4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36781 Date: 2/25/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 235 Anderson Road, Southold, SCTM#: 473889 Sec/Block/Lot: 54.4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 38026 dated 5/16/2013 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: SECOND STORY ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Donald P,Blydenburgh (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38026 02-12-2014 PLUMBERS CERTIFICATION DATED 02-17-2014 Joe Whitecavage u o ' ed Signature �SVFFot TOWN OF SOUTHOLD BUILDING DEPARTMENT y i TOWN CLERK'S OFFICE o SOUTHOLD, NY 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#: 38026 Date: 5/16/2013 Permission is hereby granted to: Witherspoon, John Hortons Pt PO BOX 758 Southold, NY 11971 To: construct second story addition and alterations to existing one family dwelling as applied for. Replaces 28593. At premises located at: 235 Anderson Rd, Southold SCTM # 473889 Sec/Block/Lot# 54.-1-10 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 11/15/2014. Fees: PERMIT RENEWAL $148.80 CO -ALTERATION TO DWELLING $50.00 Tot $198.80 uiIding Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL 2 Q�C�OMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28593 Z Date JULY 24, 2002 Permission is hereby granted to: .JOHN WITHERSPOON HORTONS PT SOUTHOLD,NY. 11971 for CONSTRUCT SECOND STORY ADDITION & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #21215Z) at premises located at 235 ANDERSON RD SOUTHOLD County Tax Map No. 473889 Section 054 Block 0001 Lot No. 010 pursuant to application dated JULY 22, 2002 and approved by the Building Inspector to expire on JANUARY 24, 2004 . Fee $ 297 . 60 Authoriz Signat e COPY Rev. 5/8/02 FORM NO. L TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3 NN9 21215 Z Date ... ................................................. /7?4;6� Permission is hereby granted to: / ..( ... .................... to4Q�74 � .... . .. .. .... ........ 5 ...... ��1.....z ... .. ........... ao.,i . .. c........ . .. ... .. 1 ..... .. ... f. .� .................. atpremises located at .................:...�......�. .�. . . .. ..... ,�f................................................... ................................................ .. .. .... .�........................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ...... ... Block ........./........ Lot No. .........../j(-l...... pursuant to application dated ............. .. ._,rd�.. . . ....................., 19.5?—.-1 and approved by the Building Inspector. Fee �•1:•� ..�.. ., ...... .t9.?. !�...�.� .at ................... B�ding I=tor Rev. 6/30/80 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N2 017965 Z Date 3 .. ................................... 19 ✓ 1,4 ��4`�� L�17 7r Permission is hereby granted to: 07,3 .. ... . .... .... ..... . . .. .� .. . .. . .. . .. ................................. .................. /...q.......................................................... atpremises located at ... .s.. ..Z.r. l..l........................................................... .......................................... .... .... �l/y•.f,�. 1................................................................... ................................................................................................................................................................ County Tax Map No. 1000 Section ........ .-.1—r-Z... Block ........Q/..... Lot No. .....Q.lto........ pursuant to application dated ........e7113.../M..................... 19......... and approved by the Building Inspector. C Fee .... .. .. . .... . . .................. uil g I for Rev. 6/30/80 / FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) -3 N� Z Date ......Z.Z................. .. 19g Permission is hereby granted to, ........ . %f�!�,..0�.. ©a1v .... . . . . • ... ....... .........`. �7 .................... r ........... zs�. ��/,� j......../. 11l ...... ofpremises located at ........ .7.�............Zl.. ....... ��.. �+C.. ............................................. ................................................................................ ............................... ..Y. ................................................................................................................................................................. County Tax Map No. 1000 Section ..... Block .. ............... Lot No.�40............ pursuant to application dated ..., A �.�......... ................. 1 .. .. .., and approved by the Building Inspector. Fee $••,�C; . .... ... .. ............ .Building�Inspector......................... Rev. 6/30/80 Form No.G ru TOWN OF SOU'ITI-IOLf) I I BUILDING DEPARTMENT t �l FEB 2 4 2014 „!�1 A e o J T06 :P, 1802[.L - �----� APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink U and submitted to the Building Department wet the folio ng; I A. For new building or new use: � o `7 L Final survey of property with accurate incat,On of all buildings,Property line topographic features. y s,streets,and unusual natural or 2. Final 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 2/1 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. 0 of 1%lead. �. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforaning uses,or buildings an !_ Accurate survey of property showing all Property lines,streets,building and unusual natural land uses: features. 2. A properly completed application and consent to inspect signed by the applicant If a Cl®r topographic denied, the Building Inspector shall state the reasons therefor in writing to li Certificate of Occupancy is C. Fees g e applicant. I_ Certificate of Occupancy-Neiv dwelling$50.00,Additions to dwelling Swimming pool$50.00,Accessory building 550.00,Additions to accesso50 00,Alterations-to dwelling. 2- Certificate of Occupancy on Pre-existing Buildin g$50,. 0' 3 Co g- $100.00 �' building 550.00, Businesses$50.00. py of Certificate of occupancy-S.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of occupancy-residential$15.00,Commercial$15.00 Date.. 2— I!-•.2-p 14 New Construction: • Old or Pre-existing Building: Location of Property: 2.3S" (check one) House No. A•`1DEJZ5°N o�a Street ��TKor.IJ Owner or Owners of Property: Hamlet - i3�Yr)IF�v i3u2GN Suffolk.County Tax Map No 1000,Section �Y � Subdivision Block Lot. la Permit 140. Filed Map. Date of Permit.- S 2p Lot: 13 Applicant: HealthgdL4 rt �;-« Health Deft-Approval: c&5 Planning Board Approval: Underwriters Approval: Request,for: Tempo riry Certificate "Fee Submitted:$ Final Certificate: •�a --�` (check one) CC pplica Signature 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: l. 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). 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 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 1. 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 New Construction: Old or P re-existing Building: heck one) Location of Property: �. /T/ I f� . House Now— Street Hamlet Owner or Owners of Property: P rtY: Suffolk County Tax Map No 1000, Section _T B ock ! Lot Subdivisions 1p Filed Map. to "v Permit No. Date of Permit. Applicant: ® `� A jU_S' 0©1-) Health Dept. Approval: Underwriters Approval: Planning Board Approval: _e Request for: Temporary Certific to Final Certificate: (chec n Fee Submitted: $ � �/' t7D r Applicant Signature �O�apF SO(/j�olo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 iQ rimer.riche rtl'a-town.southo Id.ny.us Southold,NY 11971-0959 C4UNTl,Nct� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Blydenburgh Address: 235 Anderson Rd City: Southold St: NY Zip: 11971 Building Permit#: 38026 Section: 54 Block: 1 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Roslak Electric Inc License No: 3677-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition X Survey Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 22 Ceiling Fixtures 9 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 8 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 1-60 A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 21 Twist Lock Exit Fixtures TVSS ri Other Equipment: 1-exhaust fan Notes: Inspector Signature: Date: Feb 12 2014 81-Cert Electrical Compliance Form.xls gtFFO(,�coG y = Town Hall,53095 Main Road 5 Fax(631)765-9502 P.O..Box 1179 y�JfQl �a� Telephone(631)765-1802 Southold,New York 11971-0959 U BbILDING DEPARTMENT �L.FF 2 4 2014 (� TOWN OF SOUTHOLD PLDG. DEPT. TOWN OF SOUTHOLD CERTIFICATION Date: 2.- I�� ►L� Building Permit No. Owner: Doi`( (Please print) Plumber: C'z 'f't C'e,%f (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. tf�lumbers Signature) Sworn to before me this day of 20�� CHRISTIEHALLOCK Notary Public, County Notary Public,.State of New York No:483I950,Suffolk County; CA issiop Expires May 3�,2 �J Hof SO(/l�, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ] FOUNDATION_IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2-ND ,- [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECT (FINAL) 4�s'K_, REMARKS: DATE INSPECTOR OE SOUI�,olo t✓ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR �/ ��pF SOUTyo �o -360 Z- ��y00UHi`I,�`�Q TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL �s^ REMARKS: DATE .� 1 INSPECTOR pF SOUryO coulm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN.SPECTION [ ] FOUNDATION 1ST ( ] ROUGH P EIG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Cal �- , - DATE INSPECTOR ��OF SOpTyo 2- cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �c L DATE INSPECTOR — ' 1� 1 1 0 • � M. • 1 1' r r • ,> 1' 1 JWMA IMULATION STATE ENERGY . / mil Feu _; �,� �;�= � �. s, •,� .;.,. . ` 1 l MW� 0 s MELD, INSPECTION �IDATE COMMENTS 1 . FOUNDATION ( 1st ) . FOUNDATION ( 2nd ) 2 . z o ROUGH FRAME & PLUMBING y 3 . INSULATION PER N . Y . y STATE ENERGY CODE x a� Xb � r FINAL ADDITIONAL COMMENTS : �r G inGy G � r� Z-41 3 ?ZA� 2 AW , a r� H a r H r C17 H -7f FORM NO. 1 TOWN'OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. 11971 roll .TEL.: 765-1802 � Examine d. .?� . . . . . . . ., 19 Received . . . . . . . . . . . , 19 . . . Approved ... . . . . . ., 1 0? Permit No. . . . . . . ... . . . Disapproved a/c . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date V . . . . . . . . . . . .. 198`? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this applicatiDn may not be commenced before issuance of Building Permit. ii. Upon approvai-of this applwat v :, Lllc Duil(h ig .1SJ)0;L0r,-W'Ji issued a Buiidhig.rei-mi,. to the applicant. Su�.h permit shall be kept on the,premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 ode, housin code, and regulations, and to admit authorized inspectors on premises and in building for necessary in pect' ns. ( i/g�naturleoff applicant, orle, ahcorpo ation) / (Mai g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. !. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises E: � li'. . .�L" rA 1 000.1A.. . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . (as in the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . fir.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . Plumber's License No. . . . . .�.q. .r. P. . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done.. , . . .�`. GT S 3lj'1 /. . , . . � . . . . . . . . . . . . . . . v�. . � . . . . . . �.� L� � . . . . . . . . . . . . . . . . . House Number 4-1-4 Street / Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . Block . .!. . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . .etc . 5<7 . . �'.�G/���, , , , , , , b. Intended use and occupancy 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) Estimated C� t . . � . 4. (�fJ. . . . . . . . . . . . . . Fee . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . ... . . . . . . . . Number of dwelling units on each floor . . .'-. . . . . . . . . . Ifgarage,number of cars . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . 6. If business, commercial or mixed occupancy,specify nature and extent of each type�ty e .of use . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . .ep.�.'.d. . . . . . Rear .(.8' .,�. . . . . . . Depth .. . . . . . . . . . Height (a . . . . . . . . . . . Number of Stories . . �. . . . . . . . . . . . • . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front, .��. '.: . '.�. . . . . . . . Rear .(o `. oZ.'.` 6 Depth ® . . . ... . . . . . . . . . . . Height . . �`� i 41 . . . . . . . . . Number of Stories . A. . . . . ?. . . . . . . . . 8. Dimensions of entire new construction: Front . �? : !7d . . . . . :. Rear 6 A.`.ot..... . . . . . Depth _:-� . . . . . . . . . . Height . .a�:`� . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . De th 10. Date of Purchase . . l>././l�J Name of)Former Owner �':. : .k)/.�fii.c', �5 11��. . . . . . . . 11. Zone or use district in which premises are situated C.�.$.fG�e4'�. . . . , . . , . , , , , ,. . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded !11 P . Will excess fill be remove from premises: Yes 4,D 14. Name of Owner of premises'QifAr.4)t.�t_*_* 1�B,tj. Address )VV 1 fS S . . . . Phone No. 7.4*X .S^'9 71i. Name of Architect I-04 AS. .P1.CPL . . . . . . . . . . . . . Address So�.����.�r.�lrt9/jd'�Phone No. 77.&:�-: c2.5-4.a Name of Contractor 00W.0 . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . 15. Is this property located within 1:00 feet of a tidal wetland? * Yes No . . * If yes, Southold. Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ' :Cate all set-back dimensions from property lines. Give street and block number or description according to deed, an o street names and indicate whether interior or corner lot. t C, STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 1 Heis 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 day of. �-. .-. . . . . . . . . . .. 19 Notary Public, . . . . . .X'Q?�`i �¢ (/fie--. . �.ounty, Y.' . . . . . . . . . . . . . . . . . . . . . pp�yPUBMNo (Signature of applicant) bripo.`OWARh 3300.M7 my z 197mw BUR DING UE'ARTMFNT low"OB SOMMM 3) eW Q"N FQR ELECdT A INSMOT1 N - NOW JOSSIT'E' WiORMATION: (`tndkalm required iM�orlTwM n) `Marne: n &-M .ems: 3Ile 'CMU$trMt 4P11Dlle NO.. ~� 0 Prsrttllt No,: Z 1 Brodt:� Lot:�� •aim DESCRIPTION Op WORK (Plates Prbt4 CleeriY) '—D *to pb am*lkff kwpec*M: FMe�I To you treed a Titrtp C►ertNiMcate: YES To"IniiorrnMlon l nMA } *swvto Slurs; 1 Pheee 3Phow 100 150 200 300 360 400 Other *Nm Swvim: R UnaleWwJW Number ofMOMMChOW of Serwh* 0wheed AddMorjA Ie+Acrtrnb"r. PAYf�ENT-4�E 1�, 'yIS�N TOWN OF SOUTHOLD PROPERTY RECORD CARD ,OWNER STREET' 20_5 '-, VILLAGE DIST. SUB. LOT Sri o .FORMER OWNER N i E AgR.7 S W TYPE OF BUILDING RES. SEAS. VL. FARM ✓ �/ COMM. CB. ICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS a a IZo b'-f- 3. 6: ry f S7 0 0 /o /? ?v o �' `fly y/d ,C3 /Y 7 7F /c gob 6t,oc7 o o AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM- Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK� � MIN■■■■■■■EME■MMIN ENE MENEM ON M■■ 0 OMEN No MNMEMMMNMN ON mommmomm ■■■N■■■■■■NN■ONONNMEMOO MEN■ME ■■■■■■■■■EN■NNEENMEN■NMMEMM■M■ ]CM NNE No �■■■■■eE■e■E0 -all EE■ Eli■Eiii■� ��ii1NNN■N■■EN■ No MEN A In NoMEMO No M "sill M IN No •= O■■■■■■■■■ai■NA■riNEN■�EMMMNo No M Noun No Basement .. , Ext. Walls nferior-Finish Fire Place . ... .. • • A __ikecreation Room ! kooms 2nd •• Dormer i CONSENT TO INSPECTION �e r, c 'res , the undersigned, b Owners) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at `L Pv `S � Lf ✓\ ,� ; �1 ire r which is shorn and designated on the Suffolk County tax map as District 1000, Section , Block Lot That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: n 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 as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulation, of the Town of Southold. Dated:r3h ,� _ r (signature) (print name) (signature) (print name) 1 0 V\,( (-e- vvjlL � rt-K, �- 4 t-� � Gs' • o��SpFFO(�COG • co 2 Town Hall,53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 y� �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 27 , 1995 Mr. John Witherspoon Hortons Point Southold, NY 11971 Re: Building Permit #21215-Z Premises : 235 Anderson Road, Southold Suff. Co. Tax Map #1000-54-1-10 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for .your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector y RECEIVED 6317655816 MCCARTHY REAL ESTATE 16317659369 PAGE 01/01 JOHN WITHERSPOON 2316 ANDERSON ROAD SO UTHOLD, NY 11971 February 15,2013 To Whom It May Concern: 1,Jobn Witherspoon, authorize Thomas J.McCarthy and/or,McCarthy Management,Inc. to act on my behalf and handle all necessary work involved with Local Townships, County and NYS munkipalit es or any other entity for the subject property located at 235 Anderson Road, Southold,NY 11971. SCTM#1000-54-1-10. Thank you. Sincerely, rohn Witherspoon pF SO�r�ol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 COWN BUILDING DEPARTMENT TOWN OF SOUTHOLD August 23rd, 2006 John Witherspoon P.O. Box 758 Southold,N.N. 11971 RE: 235 Anderson Road(2°d Story Addition) SCTM: 54 1 10 Dear Mr. Witherspoon, Please be advised that your Building Permit#28593 issued July 241h, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$297.60; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SO�Tyol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 CA • Telephone(631)765-1802 Southold,New York 11971-0959 �0 �yCOUNTY,�c� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 19th, 2007 John Witherspoon P.O. Box 758 Southold,N.Y. 11971 2N'NOTICE RE: 235 Anderson Road (2°a story addition) SCTM: 54 1 10 Dear Mr. Witherspoon, Please be advised that your Building Permit#28593 issued July 24th 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$297.60; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. OF SOUr�,�l � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 oIyOOU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD February 21", 2008 FINAL NOTICE John Witherspoon P.O. Box 758 Southold,N.Y. 11971 RE: 235 Anderson Road(2"d Story Addition&Alterations) SCTM: 54.-.1-10 Dear Mr. Witherspoon, Please be advised that your Building Permit#28593 issued July 24th, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$297.60; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. f. r - e _W_r,._.,.,- .__. _ ..-" -;...__.._ ._.. _.a �. { __.+ +' , T NEY,I -- ,-ter..z , � C a _�#_ _ !`C� �A �j ��4�jb - a y ` , . t � �,�p -V - '. r 'k,, _ CAsYx 1-1u.�err V� , '` ' ; F_ i �+, .` �fY � r,�„ rt-c� Gov I K -� ��_) A -� �• ' }t /r' fit ' # � _ f , v ''' I . . �./ , t" , .. .`1: r ' '-r ..t ?`�.' ` .....-az"'�.•Y .s� s►l-". 'lit- 1. 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