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HomeMy WebLinkAbout26266-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26979 Date: 03/13/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 2122 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 7 Lot 11.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17, 1999 pursuant to which Building Permit No. 26266-Z dated JANUARY 12, 2000 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 10' X 24' ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROBERT L & ELIZABETH A. STEWART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized S�ignatuee Rev. 1/81 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 COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26266 Z Date JANUARY 12, 2000 Permission is hereby granted to: ROBERT L STEWART & WF. 65 REYAM ROAD LYNBROOK NY 11563 for CONSTRUCTION OF A 10 ' X 24 ' ACCESSORY SHED FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2122 WESTPHALIA RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0007 Lot No. 011 . 002 pursuant to application dated DECEMBER 17, 1999 and approved by the Building Inspector. Fee $ 35 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 s Ii i TOWN OF SOUMOLD �� I , BUILDING DEPARTMENT I•uw� J GUw g TOWN HALL 765-1802 APPLICATION FOR CER`>;IFICATE, OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin inspector with the following: for new building or new use: 1 . 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 buildi 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 a '.'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 a consent to inspect signed by the applican 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming 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 - .25V 4. Updated Certificate of Occupancy - $50.00 + 5. Temporary Certificate of Occupancy - Residential 2$15..0//0, Commercial $15.00 Date . . . . . I�4)0. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Or'Pre-existing Building. . . . . . . . . . . . . . . . . ® _ Location of Property. . �. .. .... . t'af l�>:: t� /• •�•r • • l T f House No. Street Street _ Hamlet Onwer or Owners of Property.V,0��. // �lv � ff)` . . . . . .� • County Tax Map No 1000, Section. . .// ((.5 . . . . . . .Block. . . . .Q:. . . . . . . .Lot. . 11.2 ... . . . . . . . . . Subdivision. . . . . ././I. . . . . . . . . . . . . . . . . . . . . . . . .pp. ..�. .Filed Map. . . . . . . . . . . . _Lot. .C. .{.. . . . . . . . . . . . . . Permit No. . � .?'6tJ.. . .Date Of Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . �. . . . • • • Fee Submitted: $ �. . . . . . . . . . . . . . . . . . . . . . . . APPLICANT cow a697 O��gUFFO(,(co Town Hall,53095 Main Road o Fax(516)765-1823 P.O. Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 7, 2000 Robert L. Stewart 65 Reyman Rd. Lynbrook, NY 11563 RE: 2122 Westphalia Rd. , Mattituck, 1000-114-7-11 .2 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 26266-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIM Y REMARKS. DATE 3 INSPECTOR T Q�f FIULD_INSPECTION_REPORT DATE --------------—COMMENTS=====______ ----- ---- ---------- — --- ---- — II II H FOUNDATION ( IST) — I Ill —111 � FOUNDATION (2ND) ------____-- ----------------- _____________ t�-- — ROUGH FRAME S II II 1" PLUMBING II JI — cn II 'I II INSULATION PER N. Y. ' it u--- n STATE ENERGY iI it ii CODE It 11 it FINAL II ADDITIONAL COMMENTS: H H x ro H 1 F z x n a yy 81�/ a� as n nr aw �= Ir ' • C t • ► NORTH FORK ,si j 0,MIARRU x O ,. Paul's Lane & Rt. 48, Peconic 1685 Rt. 58, Riverhead, NY 11901 765*3090 7276900 1 Fax 7655808 AIS Visit us on the web at Fax 7272458, www.shedsandgazebos.com ; OR THE GREAT OUTD w5 IF III SPkCoty Bye Y� FINANCING AVAILABLE Pt¢patedScI Everything in this Catalog is Built in Peconic or Riverhead. All of our double doors are T wide with 12" hook and eyes. Extra Heavy Gauge Galvanized Hinges with Solid Br s 'n. « ._ . • VISA ,Ul seaw.w`tl'a� e :m�ffi� « : /(�luriauuw Vnl//n, 4VVWl"/ • G ,�teec�l If It's Built for the Great Outdoors then it's Built by North Fork Wood Design and Long Island Sheds G Gazebos In Our Peconic or Riverhead Factory: �` II W I P �j BOARD OF HEALTH f FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . � � i�lyy� I IJ TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . AiA7 EUILDING DEPARTMENT CHECK Prs`�. . . . . . . . . . . . . . TOWN HALL SEPTIC FORM ri_DG. DEPT. SOUTHOLD, N.Y. 11971 T� ,OFS_G.uCHOW TEL: 765-1802 NOTIFY: 7 / C5&,T?3.-.3.T5e.q . . . . . Examined.................. 19.... �p (°... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved......1:1Z..... Permit No. .......... .................................... Disapproved a/c ............................ .. .. ....................................... ... ..... .... .. ........ .... .. ..... (Building Inspector) LIGATION FOR BUILDING PERMIT Date. . . .ac.l. . INSTRUCTIONS a. 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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. APPLICATICN IS 1WEY MIR to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 c*ly with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in di for neces inspections. Le/ .... : �:d{,...................... (Signature of applicant, or name, if a corporation) 'RO,+V/ -VAAWOOK A) Y JJs6 ......................................I............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ....... . .................6.w.? ................................................................................ Name of owner of premises C�..c?73 '7. �;°?� �L� �?��c` !� �k � � ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................!U!•'. .................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land an which proposed work will be done.............................................................. .......:a � ..1/.14�....................... House Number St�//t Hamlet Canty Tax Map No. 1000 Section .....�........ Block ...ql.�gg........ Lot .....�.�: Subdivision ...................................... Filed Map No. ............... Lot ....... (Name) 2. State existing use and occupancy of gses and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .........t.........................�..I.....; r....:.;..:......./J.•.. b. Intended use and occupancy n,, Nature of work (check chid: applicabl'a). New Building ..1/....... Addition .......... Alteration ........ .. Repair ............ Ra=al ....... • .. Demolition ............ Other Work , ... ... ,............... �j , Iq • (Description) Estimated Cost fee ............................................. . (to be paid on filing this application) If dwelling, nurber of dwelling unit ...1 /1l... timber of dwelling units on each Floor ..t............. If garage, nurber of cars �.................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Deight ......................... "r of Stories ............... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Neight ..i................. Number of Stories ...j....... .. Dimrensions of entire new construction: Front .:...�.�J......... Rear .... P........ Depth .�I.q......... lleiO Size tof lot Front ,,, ••• •p timer of Stories ................ ... .:.. cont .......... . .. Rear ..................... Depth JAP.l............. I. Date of Purchase ................... . Name of Former Owner ....................................... . or premises are situated .............................................................. Does proposed traction violate a�liy zoning law, ordinance or regulation: ., v Zone or use district to which ren ,,��//� ...(�................. I. Will lot be regraded l S� '..... Will excess frill be removed from premises: YES NO i. Nacres of Owner of premises l�dpe{r �ri?4�'1i7.nJ.IK! Y/Addresaet� . n N pione Noo/6J 93'� � �f Name of Architect ..................III.................. Address .............................. Phone No. Name of Contractor ................................... Address ...............................Phone No. .....'.. ...... i. Is this property within 300 feet of 'a tidal wetland? * YES .......... NO ..1t ..,... *IF YES, SOOIiM MM M717-1 MAY BE RE(X7IRF.D. kOT DIAGRAM Locate clearly and distinctly all biuildings, whether existing or proposed, and indicate all set-back dimensions rum property lines. Give street and block ru ber or description according to deed, and show street names and indicate tether interior or corner lot. ME Or NW Yom, SS i rf OF ....................... .................... . ........../ 0 S7�Gt/i1P,lieing duly swum, deposes and says that he is Che applicant 4aamp of individualgi to contract) xrve tamed, a is Che ....... ........................'I D,1 /VE'�Y........................................... (Contractor, agent, corporate officer, etc.) F* said owner or owners, and is duly auth¢rized to perform or have performed Lhe said work and to make and file this Vlication; that all statements contained in this application are true to the best of his knowledge and Relief; and rat the work will be performed in the crummier set forth in the application filed therewith.' worn to before this ..7........ (Jay of/li!��//J�'4S - 19. 1'.. Notary Public ......:::5� HELENE D.HORNE "iiiix """Notary Public,State of N04" nature of Applicant) No.4961364 m Qualified in Suffolk Cou Commission Expires May 22,Q c;'5) /f5 /S SC1�Ul yGvlGtraoD �bY Em�" Yo'F rtg & Yoomy, LaJHd .S'mrve1joi-s400 Ostrander Avenue, Riverhend. New York 11901516-727-23034Lden. W. Youny, P.B. & L.S. (/908-199t)//award W. Young, Lundf. Wotper,, FS.ft� fgnnlJohn Schnurq Land S'w N G I I N0• 0 o t e \ °o eJ � t l�C /_Ay S� .9 o o��� (�OTA�O. O �A'O(\�� <Nx` i is coo Oo�� \ g,�1/ �` 3VO oO /� '� � a-= (� 0TH O "t t' Ip � Gr 'c. All r a,v `c e NOTE o AREA = 62,263 SQ. FT. OR 7.4294 ACRES w a 11L �j1 p0 F <�� `�. ly • THIS PARCEL IS LOCATED IN FIRM ZONE X AND ZONE AE BASE O 0 eb �f ELEV_ 11 AS INDICATED ON FLOOD INSURANCE RATE MAP PANEL C a 0 ° NUMBER 3610300481 G LAST DATED MAY 4, 1998. 7 M• ROOD ZONE LINE SCALED FROM FLOOD INSURANCE RATE Y =a 0APS NO TOPOGRAPHICAL SURVEY WAS DONE i�gtt Y� fOT eO e�0 tL�L p `-'° ` N�..P ,� \ d 1, - *IT WE HEREBY CERTIFY TO RROBERn ON STE WART THAT T XPi VA _ _ L. o c�c �e A Z 0� a cc- 'L �i � � (ry °rva pp r� THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF o� ES \y °' s \a P ro" Oy� VOe O�� OVYeT �8. Q� Jho° Q" 4lY PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE �0 000 S vo, ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. o a v ok ,��o�, 3p° ESOT ,\SOF N8{y 0 56 fK`O <6xg h . , �eTA e5 �e _ Co,CP0 0\11 1tiOHN �N BCHry�� y'I T y 'y0 P gyp T\y JSGhINURR S NO 49517 NYS L nV HOWARD W. YOUNG, N_YS. LS_ N0. 45893 ���� � ws�. >>• s foo F � ,"-.�... t,P � aX7� aYd' 923On� SURVEY FOR e ROBERT L . STE WART At Mattituck, Town of Southold Suffolk County, New York County Fox Map It"11 1000 114 ui—� 07 cot 11.2 ° BOUNDARY SURVEY 1 a„n's INDICATED FLOOD ZONE LINE DEC. 9, 1999 bxE MAP PREPARED SEPT 13, 1999 BEE' SCALE 1” = 50' ❑ " n,drvw,trv� .e� ■ - uwoMervr rarvo A a suKE sr ♦ JOB NO. 99-0524 OF I 4� Q DWG. NO. 990524 O BUILDING PERMIT REVIEW CHECK LIST Applicant/ I Date Owners Name: R&L4 v EL.10A. Reviewed: Architect/ �� Date . Engineer: Submitted: SCTM #: District: 1,000 Section: I I Block: '7 Lot: I1• ol, Project Subdivision Location: Name: Single&separate Required-� , 5�-)N �e UA,5 certification: (Yes/Mol Req. Req. Zoning District: [Lot size: Actual: 1 [Lot coverage Proposed: Req. Req. Req. [Front Yard Proposed:_� [Side Yard Proposed: 1 [Rear Yard Proposed: J l 1 Project Description: cefSsv�y 1tSx 2 S ID AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? ' Flood Zone: Notes: L.cAt,,--i WA+wex-f tN Tpzatt Yoqg-o p,2 Lar