The URL can be used to link to this page

Home My WebLink About24548-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26240 Date: 01/28/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 4324 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 9 Lot 10.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29~ 1997 pursuant to which Building Permit No. 24548-Z dated DECEMBER 11, 1997 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 STORAGE SHED IN REAR YARD OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT-1976". The certificate is issued to JOHN S WHITE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FOgM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT C~ 'THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 24548 Z DECEMBER 11 19,..9_7,,,.. Permission Is hereby granted to: JOHN S WHITE APT IL MINEOLA,NY 11501 · ~.~.c"~"N.~"T"R".U.~."A.~...A.~E.~9~...~T.~.R~.~E....~H.~D.iA.~..BU.~..~9.~"6..~"B.~.~9~D AFFIDAVIT FROM CHARLES BERNER JR)IN THE REAR YARD OF A SINGLE FAMILY MATTITUCK at premises located at ................ ,~.~..... ~.~.~.,A.~.~,A....~ ............................................................... Co~ntyTaxMap No. ,,..~.~.~ ..... Section ....~. ............ Block ..... ~.~.~ ........ Lot No..q~,~.:.~.~ .... OCTOBER 29 19 ...... ~.~ ..... and approved by the pursuant to application dated .......................................................... Building Inspector, Fee $ ........ ,.3..5..:.,0,.0.. .... Rev. 6/30/80 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 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 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. 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 a 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. 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 Buildin~ - $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 $15.00 New Construction ........... Old Or Pre-existing Building. ~ .(~.d0 ........ Location of Property....4~.....~......West halia ~o~d.,.. . ~attit~...... . ...................................... House No. Street Hamlet Onwer Owners of Property John S. White County Tax Map No 1000, Section... ~PO ..... Block.~ P~...~p~ ......... Lot...~l.~..~ ........... Subdivision ............................... ... .. Filed Map ............ Lot ...................... Permit No..~ ......... Date Of Permit.. 1~8 ...... Applicant .... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final CmrtAcate....x. ...... F ~,bm~t~=~ ~25.00 . ~~ CO-~- ~9ga Abigail~. Wick~aAPmPLICANT WILLIAM WlCKHAM ERIC ,J, BRESSLER ABIGAIL A, WICKHAM LYNNE M, GORDON LAW OFFICES WlCKHAM, WICKHAM & BRF$SLFR, P.e. 10315 MAIN ROAD, P.O. BOX 1424 MATTITUCK, LONG ISLAND NEW YORK 11~52 December 9, 1998 MELVILLE OFFICE E75 BROAD HOLLOW ROAD SUITE III MELVILLE, NEW YORK 11747 Town of Southold Building Department 53095 Main Road Post Office Box 1179 Southold, New York 11971 Attn: Building Inspector Owner: John S. White Premises: 4324 Westphalia Road, Mattituek, NY 1000-113-9-10.2 Dear Sir or Madam: In connection with Building Permit no. 24548 issued for the shed on the above property, we enclose the following: (1) Application for Certificate of Occupancy for shed (2) Check to your order for $-1~. Please forward the C.O. to our office when available. Very truly yours, Abigail A. Wickham AAW/dm¢ Encl. 30/shtdb cc: John S. White ' ' ;! OEC 151ffi8 'WN 9r~,~.~QOTMOLP 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHP~BG. [ ] FOUNDATION2ND [ ].~,~JI.ATION [[ i ~IRRA;pI;;cE &CHIMNEY[ /~FINAL DATE / / INSPECTO" I STATE OF NEW YORK COUNTY OF SUFFOLK SS CHARLES BERNER, JR., being duly sworn, deposes and says: 1. I am the owner of property at 4324 ROW off Westphalia Avenue,~4attituck, N.Y., SCTM# 1000-113-9-10.2. 2. 'I purchased this property in April, 1976. At that time, it was vacant land. 3. I constructed the shed and gazebo on the property during the summer of 1976. Neither the shed or the gazebo have plumbing or electricity, and have not been changed or modified since construction. Charles Berner, Jr. ~ Sworn to before me October 3, 1997 Not~ Public, $1a,~e of New No. Qualified m $u~0ik Cotm~ Commission Expir~ Sept. 30, STATE OF NEW YORK COUNTY OF SUFFOLK SS CHARLES BERNER, JR., being duly sworn, deposes and says: 1. I am the owner of property at 4324 ROW off Westphalia Avenue, Mattituck, N.Y., SCTM# 1000-113-9-10.2. 2. I purchased this property in April, 1976. At that time, it was vacant land. 3. I constructed the shed and gazebo on the property during the summer of 1976. Neither the shed or the gazebo have plumbing or electricity, and have not been changed or modified since construction. Charles Berner, Jr. ~ Sworn to before me October 3, 1997 ABIGAIL A. WICKH~M Notary P~blic, ~tate of Ne.w Yorl~ No. 52-4642871 Qualified in Suffolk Col Comm;ssios 6xpires Sept. TOWN OF ~.OLJTllOLI) BUILDINO DEPARTHENT SOU'FIIOLD, N.Y. 11971 TEL: Disapproved a/c .................................. ' ~/P/LIC^TION FOR BUlloDING PERMIT INSTRUCTIONS BOARI) OF IIE^I,TII ............... SETS ~()F .~1 ,ANS ............... SURVF. Y~ ........................ C, .CK gS. O. ................ SEPTIC FORH ................... NOTIFY: MAIl. TO: .................... FOR AS BUILT SHED 'Date .... Og£ob~.r..1.7.., 19 .R7.. a. 'I]lis application raAst be conpletely filled in I~y typewriter or in ink and anhmltted to the }klildlng Inspector with 3 rets of plans, accurate plot plan to scale. Fee according to b. P]ot plan s~cwing locatloc~ of lot and of buildi~gs o~ pre~nires, relationabip to adjoining pre~nlses or [xlhlic sCreets or areas, and 8ivi~lg a detailed description of layc~it of property ~mast be drawn on the diagram w~ich is part of this appl icatio~. c. ~l~e work covered by this spplicatiee may r~t be cmmer~ed before issuance of Ikdlding Permit. { d. UlXm approval of this ar, plicatio~, tM Building Inspector will isaac a Building Pemic to the applicant. Soch permit ~hall be kept on the premir~s available for inspectio~ throughout the w~rk. ~ e. No l~ildlng shall be occupied or used in ~ole or in part for any purl~ose whatever until a Certificate of Occ~peney shall have |~een gray, ted hy the Ikdlding Inspector. APPLICA'rI(IN 1S Ig[1EPff }~ to the lkdlding Department for the isstmrae of a B~ildlug Permit par.roast to the I~ildiag Yx~e Ordinance of the Town of S~thold, &{ffolk Ca~nty, N~ York, and other applicable Laws, Ordir, ances or l~g~datic~lS, for the co~stroction of Ix~ildings, mkliti~ms or alterations, or for removal or de~lition, as~hereln descril~l. 3he applicant agn-ees to ccmply with all applicable laws, ordinaoc~/~ailding code, l~asin~ code, and . ( ig=t,.fy, applicant, or corpa atio ) .~',..O,. J~o~..14~A,..aa.t ~.~.tu.ek,. ~e..w..Y.o..r.k...1.1.952 (ldaillng 'address off applicant) State ~tmther applicant is oyster, lessee, agant~ ardfitect, engineer, general contractor, electrician, ph.~t~er or l~ilder. 4.t.t. orney. £or owner. Nam o cx0ner, of.pranises .... Charles Berner, Jr. ,i~, ' ~, . ~ . .c :.-,'~, :' (ss on tim tax roll or latest de~l) If pl~llcant ~s a dor~x~rat~o~ s;~mak~re of duly authorized officer. tN,~r~ arkl 'title 8f ~'brpora¢?~,~flcer) 1,1 cedar,; NO.r , .... .......... Otber l¥mle ts License No'. . ....... I. location of land on whldtax~[i~rwd ~orkx~;l~:{~ done .............................................................. .......... 43.2.4 ........ .W..e .s.t.19ha 1 ia Road Matt±tuck llouse limber Street Ilaml e t Ca=ty Tax mp No. 1000 Sectim . ..1.!.3...0.0 ...... Block 9.9.:.0.0. ......... Lot 010.002 SOxlivisi~ ...................................... Filed Flap NO ................ LOt ............... 2. State exi. stfi~ use sad occupancy of prmfises and intended use and occa~pancy of proposed constn~etlcm: Existing use and occupancy ~.ll.o.rAg.e s..h.e.d. . h. lnte~led use and occupancy Storage s.hed J, t~ame ul:~,~;~k (cJ~eck MHd~ Ol~)licnble): Nc-~ lkJihlin8 .......... ~klitJon ......... ~'~l~t'erntjon .. ~q~Hr ............ ~*~ ¢ ............ Ik~] JLJo. ............ Other ~H¢ .............. Shed aZ~eady j ...... * .......... ..... 4. Es~ fi*~t~l (b~t .............. ~ ....... : (l'o I~ l~[d*m filing t. hi~ al~flic,ti¢~ 5. I~ ~Hling. ~d~r o~ t~Hln8 ,.[t~ ............ [k,~x~r oF ~lli.g unit's Cx~ each flexor 6. I~ I~mi~. tx~m~re]~l or mJ[~l ~mq~,~y~ ~I~cif~ m~ture m~l exten~ o~ e~ch tyl~ of trna ...................... /, Ili.~mit~m t)f exi~ti.g ~tn~tMre~, if u,,y: Ig'c~d 12.3 ~ ................ I~m' . .............. [~pth 8.3 l~i~nt .(,. ~,,l~r of ~ ' ...1 ..................... .t~r es ................... Dh~lmi~m of sz~r~ sLn~ttlre ;w L I alterati(xm or ~]itlons: Front .NO..altera.tio~r ............... I~plh .................... l~,il~nl ..................... ~t~r of fit'orhm ............... 8. I)i.~ms~(~m of euLire ~ c~m'trx~.ti~: Fn't~t ................ I~ar ............... ~pth .............. I~ip)~t ..................... i .. ~,d~r of Slorien ..................... 9. S{z~ of lot: Ft{~L ......... ~100~ ...... IMnr .................... l~plh .~p..,6007 ........ Il. ?~' m u~(~ cliat~ icl i. ~Adch[ pr~,d~;e~ nte n~ttmtc~l ., .~.~d~.q~.. II, Will loL I~ resr~] ...... ~0 ........ Will exce~m fill IK~ rta~¢. '~on rc~dn · ILS ~ '" e~o ~iga~ ~. ~ekha~, Esq. 14, ~,z~:l of (~er of pmn[~ ~,~0. Berner~ Er · m~l~o.np.~O., .Bo~ .14.24 ,. ~t.~t~ek H~.~ ~. 298~83S3 .... ~b,~ o~ Archltec:C ' ........... ......................... ~kh'enn ............................. I]~ ~). ~ .................... l%x~ ~ ............... 15. ls this pm~rty within ~) f~t of a ti(Mi ~tlm~l? * YI~ .,. X ~ .......... · IF YES, ~/llIl]) qIl~ 'I~J~IFJL~ [~[~l'l' }~Y 1~ I~J[l~r). ' ...... Iq,OT IlIA(II{AH I~x:nle clearly mx] (iisth<tlylall I~tildlng8, xd~l.l~r exisL'hxg or prof~sed, nrx] bxHcnte all ~t-I~:k ,~HA'IE IX~ b]',M (,L~I~IY (J~,' .. ,Su£foZk ........... APPROVED AS NOTED NOT FY "u[LD NG 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC'FIONS: I FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - I:RAMtt~ & IK,UMSlNG 3, INSULATION 4, FINAL * CONS?RUCTION MUST SE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS .......... ABIGAIL. A., I~ICILihkM_ ......... (N~m! o[' ipxllvidual ,ig.i%, ¢:L,.trm:t Ih;it Ihe ,,a>tk will I~ ix~rfonr~l j. I]le [I~HHWf~ r~-_t I'oel. h hi Lhe nppl lent. leu flJed tlmre,...lO~. DONNA M. ICHITUK NOTARY PUBLIC, State of New York Ne, 485145~, $11ffolk C.ounty, e,-/ J (' 'l, : 'e Illll h'n,,L) ~ Abigail A. Wickham SURVEY FOR CHARLES BERNER, JR. AT MATTITUCK TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK J J~] YOUNG 8, YOI lNG RIVERH~AD~ NEW YORK SURVEY FOR CHARLES BERNER, dR. AT MATTITUCK TOWN OF' SOUTHOLD SUFFOLK COUNTY, NEW YORK SEPT, 23,1988 APRIL 7,1986 OATE, APRIL E~1985 SCALE: 1"=60' YOUNG S YOUNG RIVIrRHEAO, NEW YORK