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Home My WebLink About22864-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southol~, N.Y. ~ERTIFICAT~ OF OCCUPANCY No Z-24585 Date August 21, 1996 THIS CERTIFIES that the building accessor~ Location of Property 5635 Westphalia Road, Mattituck House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 12 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 20, 1995 pursuant to which Building Permit No. 22864-Z dated June 30, 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 an above ground sw{mmin~ ~ool w/fence enclosure to code as applied for. The certificate is issued to of the aforesaid building. Robert and Donna Neudeck (owner, lessee or tenant) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-360516 - August 11, 1995 N/A FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] N? 22864 Z Permission Is hereby gr~i.~~.~~ ................... ..................... ~~~.~..~: ....... ,,., · ;;';;~";,~;'i~;;'Z',',',',',',',~i ~,'.'.'.'.iii~'''. ....... ~ ~.'.'.'.'.'.'.'.'.','.',','.',iii'.iL'.i'.'.',','.'.','.'.', CounlyTax Map No. 1000 Section ...... ./,'./...]~. ..... Block ......... ./...~. ...... Lot No......~,,., .................. pursuant to application doted ........... ~~..~ ......... 19,,..~..~ and approved by the Building Inspector, Rev. 6/30/80 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 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-exist~ng" 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 Buildinm - $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 ................. Location of Property...~..-..~.~F~.~.4 r.-.~ ........... ' .......................... House No. Street Hamlet Onwer or Owners of Property...~..~.././...~.-~...~.~~ ........................... Subdivision......................... ........ ... Filed Map ............ Lot ...................... 22 Z- D ............... Permit No ................ ate Of Permit ............. Applicant ................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: r' ,dJ / 7 Temporary Certificate ........... Final Certicate ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 11952~)4 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK. NEW yORK 10038 Date AUGUST 11,1996 Application No. onfle 88799395/9g H 360S16 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named o~; the abo've application number in the premises of BOB NUEDECK, 5635 W~.,STPHALIA ROAD, MATTI~3CK, N.Y. in the following h,catlon; [] Bv~sement [] Ist FI. [] £nd FI. OUT Section Block Lot t~sexamlnedon AUGUSr~P (~7, ~995 and found to be in compliance with the Niztlonaf Electricnl ¢ode. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R ' V I C OTHER APPARAIUS: SWIMMING POOL-. 1 G.F.C.I-i FILTER PUMP i HP-i * (SWIMMING POOL) This cel-tificate covers compl~artce at the date of inspection odl~. Bec~/~',~l~,~unusual ~nvironmen~? J t~i s-adVisable to OF HI-LEG have frequent test/and or repairs made by a .quali£ied person. <<< Continued ,on Pa9~ 2 >>> GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING~ DEPARTMeNt T.>YHIS· COPY OF CERTIFICATE .MU$I, NOT, BE ALTERED IN ANY MANNER.: THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ ~ 1195204 BUREAU OF ELECTRICIT'~ ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oatv AUGUSt' ~,1,1995 Application No. onfile 88L. 9395/95 N 360516 THIS CERTIFIES THAT BOB NUEDF~CK, 5635 WESTPHALIA ROAD, MATTITUCK, Il. Y. in the following location; [] Basement [] Ist FI. [] 2nd FI. OUT Section Block Lot ~s examlned on AUGUST O7,1995 and found to be in compliahce ~bith the Naiional Elect~cal Code. / SERVICE DISCONNECT I"o. og I " S E R V t :' 'C E KgNN~TH F. SCHUHHANN, JR. P. O. BOX 422 CUTCHOGUg, NY,' 11935 GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILOING OEPARTMENT. THIS COPY OF cERTIFICATE MU~S~NoT BEA~ ~TEREO IN ANY MANNER. FOUNDAT [ON ( II II ROUGtl FRAME & II PLUHB[NG INSULATION PER N. Y. STATE ENERGY ........ !1 ADDITIONAl. COUNTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] ~.ATION [ ~,"FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE Town Hall, 53095 Main Road P. O, Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 22, 1995 Robert J. Neudeck Box 787 Mattituck, NY 11952 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 # 22864-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 14, 1995 Robert J. Neudeck Box 787 Mattituck, NY 11952 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) xx 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 # 22864-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Disapproved a/c ....................... ..( FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (Buildino'Insp~~ :ATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY CllECK .... . CALL HAIL TO: Date .................. , 19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witli 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 sti'eets or areas, and giving a detailed description of layout of property must be drawn on tlie diagram which is part of tliis appli- cation. ¢. 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 igsued a Building Permit to the applicant. Such permit sliall be kept on llie premises available for inspection tliroughout the work. e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall liave 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 Southbld, 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 on premises and in build for ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai ~ontractor, electrician, plt~mber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Pluin bfie~s'~!~Tuse No ......................... ElectmcmnsL~censeNo. ..... . .............. Other Trade's License No ...................... Location of land on which proposed work will be done ...................... ,~.... House Number Street Hamlet County *ax Map No. 1000 Sectiou .liS. .............. mock .../..Z.. ....... :... Lot .... .C/. ............ 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 ..................................................................... b. Iuteuded use and occupancy ....... '3. Nature of w.?rk (check which apphcable)l New Bt ilding ..' · ....... Addition .......... Alteration ....... i.. Repair ............ Removal .............. . Demolition .... : ......... Ot~';Wi~)rkOA, o-e- ~P..Z~... i '"" ' . (Description) 4. Estimated Cos .... i: ............. Fee : (to be paid on filing this application) 5. If dwelling, n tuber of dwelh ~g iumts ..... Number of dwelling units on each floor ................ If garage number of cars i , 6. I business, commercxal or mixed occupancy, specify nature and extent of.each type of nsc ............... , ..... 7. Dimensions of existing structurds if any' Front Rear . Depth lleight- Number of Stories Dimensions of shme structure Mth alterations or additions: Front ................. Rear .................. Depth ..................... i' ' 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 ofPur I ' N fF O · c iasc ........... i ......... ......... amc o ormer wrier 1 1. Zone or use district in which pr~mises are situated ............ .................... *: ....... 12. Does proposed construction violite any zoning law, ordinance or regulation: ................................. 13. Will 10t be regraded ....... '..1 ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises.................' ..... Address ................... Phone No. .............' .. Name of Architect i Address Phone No Name of Contractor aaa ........ ' 15. Is this property within 300 feet of a tidal wetland* *Yes '~ If yes, Southold ~own Trustees Permit may be requlredf]~I~'~ i PLOT DIAGRAM Locate clearly and distinctly all !buildings, whether existing or proposed, an~,]RFt4.~ s~tl~ ~r~ from property lines. Give street and block number or description according ~o deed, and ~fo~,~rel~afl~' a~l~iflffi~e"~l~ther interior or corner lot. W THOUI CERIF]CATE OCCUPANCY APPROVED~AS NOTED DATE;_. ' NOTIFY 8 UI~-~I~G 765-1802 9' AM TO 4 PM FOR THE FOr. LOWING INSPECTIONS: 1. FOUNDATION .. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. ~NSULAT~ON 4. FINAL CONSTRUCTION MUST , BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUC~ON ERROR8 /7,./ STATE OF NEW YORK, COUNTY OF.d~ ...... .... ~'g~'~' JiT~' YS~-~. '.T~. '~ .&'.d~. · · '. · . being duly (Name of individual signing contract) above named. sworn, deposes and says that he is the applicant Itc is the ........... ~ ........... . ........ (Contractor, agent, cor'porate officer, etc.) of said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this application; that all statements contaioed in this'application are flue to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworu to before me this i.~: , .C~.~. ~ . .day i ....... of.. ~ .' ..... ,19..· N ° t a rYe u blic '~ '~' '"~[/24~J' '~ n t Y ............. ~.~ .... ; ....... NCtoau~li;iUe~i'C'n4~!~il~f%Noe~tTr;'? "' . ~ · (Signature of applicant), Commission Expires Miay 22, 19 ~--4'- ' ,