Loading...
HomeMy WebLinkAbout22642-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26726 Date: 10/06/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 1865 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1995 pursuant to which Building Permit No. 22642-Z dated MARCH 23, 1995 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 TOOL SHED AS APPLIED FOR. The certificate is issued to PAUL LICHTENBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /,1111ildLng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26726 Date: 10/06/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 1865 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9, 1995 pursuant to which Building Permit No. 22642-Z dated MARCH 23, 1995 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 TOOL SHED AS--APPLIED FOR. The certificate is issued b _ ( «~Q~ of the aforesaid buildinc C / SUFFOLK COUNTY DEPARTMEN' 10) b fT ELECTRICAL CERTIFICATE N A~ PLUMBERS CERTIFICATION L /VQ 4 ector 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) 195 Date........... 1-3 Nc 22642 Z Permisslon Is hereby granted to; ..1..~'.~~. ~ ?.q.... to. 4yle~- . . e.....7........ //~Xc ~ I I 010 at premises located at........./.Az.... . ~Ct..... I..................... County Tax Map No. 1000 Section .7..../... Block I............ L No. ..~L.~ pursuant to application dated 7 M.-W...1.. q, 19.. and approved by the oy~ r O S Bulldll}g Inspect Fee $.../v i " Building Inspector Rev. 6/30/80 TOWN HALL 765-1802 r l ;;fir APPLICATION FOR CERTIFICATE OF OCCUPANC I'f I o RRw uili4. A. This application must be filled in by typewriter OR ink and s h}tteJC ~ inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of all bu ldi s ~T 1'nee streets, and unusual natural or topographic features. B nC O H L 2. Final Approval from Health Dept. of water supply and sewe 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 build! 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 e '.'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 applicar. 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate September 24 1999........ • tool shed and accessory gazebo as appllba*16 'F f $ldg. Permit 22642Z) New Construction.X......... Old Or Pre-existing Building....... Location of Property.. 1865 Westphalia.Rd.: Mattituck: NY 11952 Street Hamlet House.No. Onwer or Owners of Property Paul Lichtenberg. 141 00 County Tax Map No 1000, Section Block.O1 ..:00 . . . . . Lot..004;000, • . • . . . Subdivision Filed Map............ Lot d oZlo~ .....Date Of Permit. .:2 Cl 3•Permit . ~....Applicant No.......... Health Dept. Approval ..........................Underwriters Approval.................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... ljp,Fee 'Submitted: $•••25.••00••••••""""•""'•' J Yr QIOIQ~l APPLICANT GARY FLANNER OLSEN, ESQ. P.O. BOX 706 CUTCHOGUE, NY 11935 FIEiM (NNAPECTION REPORT II DATE II COMMENTS N II 11 ~ ,p II II H ~1l FOUNDATION IST) 11 it FOUNDATION (2ND)---------- ii- a u ROUGH FRAME 6 PLUMBING 11 It ii It It 11 INSULATION PER N. Y. it H STATE ENERGY ii if it it CODE u u II II II II II II C+1 II I H It II it ' II II I II II FINAL ADDITIONAL COMMENTS: IQ oo S 4' czm~r H O x d ~ H i GARY FLANNER OLSEN ATTORNEY AT LAW ASSOCIATE: DAVID WORTHINGTON OLSEN ATTORNEY AT LAW P.O. BOX 706 • MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666 FAX 516-734-7712 September 24, 1999 Re: Lichtenberg to Carson Our File 6785 To whom it may concern: Enclosed please find the following: 1. My attorney's check in the sum of $25.00. 2. Application for CO for tool shed and gazebo as applied for (Building Permit 22642 dated 3/23/95). Very truly yours, *RYLAX E N `C GFO:lmk / Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 :z w ' a ~a tt~ I I~ f c ~ 27 • .?ti ' V1 . • U 1 4, Y N O O O of N lI O Q: w O O O • • w :2 m v 3 t° R va 3 ° v v - c Y . ' ° ' N y . . Oy C W 4' U . b N R. O "~y i r A i^ a) rl 0 -10 J. H Go M . . . 0 i O w y N`J+f" ls' T N H U aY °t. •:S _ - sis 44 MAI Z's O G y C r CO C ti pN H • Y N H J~ 'b yN j~a \ X 1-i Y U L"i 4-• Y n N 4 93~q U ..y N C N w U .d O° Ul N b r fr t~ I V i h ti o o ; ° O A' C o .n w N aroi = G G Z Q wp a Y O O 04 0 0 0 C U ti y'~.• N ° O y N U N N 11 N w r "r i Y U). 0 QAASio QNA3zzz 0 ai.~ A a u 00 I ~ s L'IJ3 t I c~ a ~ c~c:y .m ~ 9 c~a M-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS:. _ DATE C INSPECTOR BOARD OF HEALTH L5 !J I' FORM NO. 1 S~ 3 SETS OF PLANS . TOWN OF SOUTHOLD SURVEY . . . 'MR -91995 i, BUILDING DEPARTMENT CHECK . . . . . - a ( ' TOWN HALL SEPTIC FORK ~----a SOUTHOLD, N.Y. 11971 61't~`~'1~ 1 TEL.: 765-1802 NOTIFY _7Q1P1NGx_ i,-~` CALL Examined . ~C,G?°t, 195 . MAIL TO: Approved 19J. Permit NoZ~ Disapproved, a/c . .?Inspector) (Building A P CATION FOR BUILDING PERMIT Date 19... 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 nsemise_s or public, streets o: areas, and givitab 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 application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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. 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, buildin code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec ions. ~ G4~?41 (Signature of applicant or name, ' a co oration) .~.4 ......W L41.1. M h g address of~pplicant k 'r r r~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Q.W!)Oe c Name of owner.of premises 6w\ ...~1C .Kdk?~f'.. (as on' n the\ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . I . Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section Block Lot..- . Subdivision Filed Map No. Lot............... (Name) 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: c a. Existing use and occupancy ..........`CSl~efl4K 1..(.~ b. Intended use and occupancy <G\..S~C ~tY ~ , , 3. Nature of work (check which aplicable): New Building ..IV/ Addition Alteration Repair eoval , • Demolition . Other Work . Teo V;Zmca - (Description) . . 4. Estimated v.lw........... I....... Fee (to be paid on filing this application) 5. If dwelling, umber of dwelling ~,units . • Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . . . . Rear . . . . . . . . ' • Hei ht Depth g ht • • • • , Nwn'iber of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth Hei~tt~.k t ` . . Number of Stories . . 8. Dimensions of entire new constrtctto . Frontf . ..V , i. , Rear . , \i. , , , , , , Depth . . Height .....,I....... LG as • ....R . • G3~ ICt q,a 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 viol to any, zoning law, ordinance or regulation: ..Q4 • • . , • . 3. Will lot be regraded 1 , , , , , , , , , , , , , , , , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of remises : . . . . • Address . Phone No. . Name of Architect . Address . . Phone No. . Name of Contractor . . Address . . Phone No.. + 15. Is this property within 300 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-indicate all set-back dimensions from property lines. Give street and block number or d,.scription according to deed, and show street names and indicate whether interior or corner lot. CY OR. U ~P RO1l D~ NOTED DATE: O22 a P.# I I FEE: BY: v€ 'h°a ~ W a n 'AT ~ t & b MOTIF BUILDING DE - 765-1802 9 AM TO 4 P FOR THE ~a~dN 'FOLLOWING INSPECTIONS: 1. FOUNDATION . • TWO REQUIRED FOR POURED CONCRETE 2. ROUGH » FRAMING & PLUMBING 8. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS O.F_.'I'HE MY. STATE CONSTRUCTION 8t ENERGY CODES. NOTI RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS X rATE OF NEW YORK, 0UNT. F . A. /,.q P,!. being duly sworn, deposes and says that he is the applicant (Name of individual si nin contract) :ove named. ~ . is the . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and rile this plication; that all statements contained in this' application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set forth in the application filed therewith. vom to before me this / .day of ~ ce Y c. 19 .~S tary Public, .......II! County /UQ c? ~0 Y GC AJ ~F. Notary ?ubiic, State of Now York SNo. 01M 5034636N Qualified in Queens Count $Ti of applicant) II, Commission Expires Oct. 17, 1994 I ,a,ohon or addition to ibis svrvey Is o vblollon 4s~ iecpm• i $•~fil the New York Slate Educor7on to, Copses o' this turvay map not bearing the land surveyo/s Inke s L.%~pN Prw seo) or amboued soul sholl not be considered to be a volld copy `N fm~••.:n cu <edllic olions indicated hmeon thall sun only s jl%~;; d r~l,:, It ' ~'t+ .n t+'e•sm. Gar whom the survey is piopared, and on his beholl to the d• +f I,t i ' r tole company, govmnmenlal agency and lending Institution titled '~i )1 i l.: 11 " E^i yp7gps,~ he,eon, and to she osse neat of Iho lending institution. Guamniteo T, s ~r I, I 1 i ~ or ccrlHim!iom are not Ironsleiabit,, to additional IntlitvHpu 1 . ~ ~ J %+i,'•! 'a - subsegaenl owners. f f a1 ky Ii EI ' ~ y ~ y t.::p p F~ B'e ~~~Fs 0 d 19g~ 41 ~ A<iq rot &40 f OFG . Q 3 ds RS 1 OU 04 p. w y..,. J rya . / : ,?I! , e? s• p, _ 41 A J~~ 1 h r~' / op F H n s r t ~ f s '1 ,a ti ~C 7Yr ki • ~ I ?d A _ t - ff ~13 Vu ~fp 1 .),f ~s a {d n~T 2 , lz (V t ' p r , t ri gs t t. , 4 1 - 4e • : tv Ali r ~ 14 t e x -t0.~ I H lY ; . fv` t `'fi`t 1~ (t I fy r C 5 e o f u erp V" p~ APPR VED AS NOTEp x rota'°t~ t~FEE: BY~.,~ ~y? s~' 0\ NOTIFY BU ILDING_DEPARTM T AT t r4 t, r. dY Af q 6 r Y 765-1802 , 9 AM TO ;4 PM FOR THE FOL_ON:ING INSPECTIONS ,5ax1 op~~ ,F t1" r 1. FOUNP.ATIONTWO REQUIRED' ti0 ~a,-, ' : , FOR F^URFp CONCRETE-,.,: s s t y 2. ROI,1O1 ' FRAMING & PLUMBING 0°00., ree~ 1 ti 3. INSULATI ltd .>t 'o°. t' t. n 4. FINAL CONSTPUCTION MUST " qq 4L 7 e ' BE COI,API. FTF. FOR C Ox M,g~,USTFp': 250 s} ALL CONSTRUCTION SHALL' MEET THE REQUIREMENTS, OF, THE N. Y. STATE CONSTRUCTION' ENERGY O~ CODES.'.'.. NOT RESPONSIBLE FOR - > DFSIGN OR CONSTRUCTION ERRORS IN,p . s REFERENCE s .F'v.k, f is t a X11 SURVEY FOR M nl 6-1 ° i`1 ~4-cis ,'t Pi GCRA! © B. ARMSTRONG AT M4TTITUCli TOWN OF. SOUTHOLO ovAflANrTf T rrP' d COUNTY ciY Y OF NESYY9R1 SUFFOL K , N.Y. usLIF~,- Hsu SVOTNOLb 411 GERALD 8.01 IAS y SCALE: 40 p N urn Od ~O JUNE 2 1977 L ?t U/i OR N.Y9. LTC. O. Ed 715 RIVER YfEA D, N. Y. ~