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22443-z
tt Town of Southold 10/12/2016 P.O. Box 1179 " 53095 Main Rd Southold New York 11971 --------- CERTIFICATE OCCUPANCY No: 23641 Date: 10/12/2016 THIS CERTIFIES that the building HISTORICAL Location of Property: 155 Tall Wood Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-7-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/14/1993 pursuant to which Building Permit No. 22443 dated 11/6/1994 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 BUILDING IN REAR YARD AS APPLIED FOR. CORRECTED 1Q/12/2016 FOR OWNER'S NAM TAX MAP NUMBER AND ADDRESS ONLY The certificate is issued to Michaels Landscaping Const LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .............. ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED w ' tli r ed Signature .,;' .,.... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23641 Date MAY 15, 1995 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 1975 COX NECK ROAD ,. 55 TALLWOOD LAIlE House No. Street MATTITUCK NY Hamlet County Tax Map No. 1000 Section 113 Block 7 Lot 13 ,. 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1994 pursuant to which Building Permit No. 22443-Z dated NOVEMBER 6, 1994 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 ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to LUCY, MICHAEL ,. PHILLIP NEUDECK (owner's) of the aforesaid building. NIA SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED NIA ~~~&o,o. Rev. 1/81 FOI~M 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] 22443 Z CounlyTax Map No. 1000 Section ........ ~..,/,~, ..... Block ....... <~...~** ........... Lot No..~....~.**..~,,,./...,.~.. pursuant to application dated....~.~ ~. ,1 9~ ' ...... ~ and approved bythe Building Inspector. Fee ~,......~ ~... Rev. 6/30/80 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 November 23, 1994 Mr. & Mrs. Neudeck Box 537 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 # 22443-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~o © © FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & :PLUMBING~ INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ~.ST [ ] ROUGH PLBG. REMARKS: FOUNDATION ZND [ ] ~TION FRAMING [//]~FINAL. DATE /////,~/~, INSPECTOR ,///~~~/ BIJ)G. DEPT. TOWN OF SO[JTHOLD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM, ENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180~ BOARD 0F HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. Disapproved a/c ./ .................................... APPLICATION FOR BUILDING PERMIT CALL ........ MAIL TO: Date ................ , I9... INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 pubic streets ~--,~r 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 application may not be commenced before issuance of Building Permit,. d. Upon appro,zal 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, building code, housing code, and regulations, and to admit authorized inspectors on-premises and in building for necessary inspections. -.- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 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) Builder's License No .......................... Plumber's License No ........ : ................ Electrician's License No ....................... Other Trade's License No ...................... / 1. Location of land on which proposed work will be done .... ~ .c...c~...~..~.4~../.c-../.c. -.c.j....~y.~...~". .................. ...... .......................................................... House Number Street Hamlet County Tax Map No. 1000 Section.../ff..~. .......... Block...O...7. .......... Lot...~9/c:~. · .c~./'../~. · · · · Subdivision ............ · ................ a;,;2~ .... Filed Map No. Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................... '~ · ·: ...... · t .... . ...... ~' .......... b. Intended us; and o~,~l~c-y, z/~/~../~Z~./.',~'.. ~.. ~. ~' .'/.4~...~../..~..f'~ ~?/~/ .............. 3. Nature of work (check which pphcable): N~w Building .......... Addition ...... teration .......... Repair ............ Removal .............. Demolition ........... I . Othe, r.Wgrk ............... . ~ ~rdz).~l~ (Description) 4. Estimated Cost .... ? ........... Fee .................................... ' 7"' -" - ' (to be paid on filing this application) 5. If dwelling, number of dwelling ug. its ...... ......... Number of dwelling units on each floor ................ 6. u ousmess, co.mmerclal or mlxed pccupancy, specify ~Xa~ure and exten),~f each type of use ..................... 7. Dimensions o~/_' ,existing structures if any: Front .... ~ ........ Rear ..~x7 Depth ' Height ... oW. .......... Number of Stories .... /. ................................................... Danansio s ofsgme structure with alterations or additions Front .. ~.. ).,--tx..'. ........ Rear .. ~.. ~ ........... 8. Dimensions of entire new cOnstru!ction: Front.. 72< ?~' ........ Rear....L:. ~. ........ Depth . i.~: i.~.'iiiii ' Height .../...~.. ...... Number of stories ...... ff ................................................. 9. size of lot: Front .... /.7-J..' .............. Rear ................. Depth . .z/~.'.'~. ................. 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violaie'any zoning law, ordinance or regulation: .., ............................ 13. Will lot be regraded ........ ."i'. ..... .....x...~....Willexcessfillberemovedfrompremises: :Y~s._ No i4. Name of Owner of premises .d,~.~.,/.7./,K/r..t'dh~6/(~'.. Address ............ Phone No ........... Narae of Architect ........... i ................ Address ................... Phone No ............. Name of Contractor . ~ .... Address .............. 15. Is this property 300 feet of a tidal wetland? *Yes ........ No.~ ..... *If yes, Southold T~wn Trust~es 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 n~mber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, __ S S COUNTy OF .... .... 'i · '' '/ff'/"~" .a:r~.../. · .s~. · .~...b~,. · · .e~Z,. ................. being duly sworn, deposes ~d says that he is the applicant (Name of individual signin~ contract) above named. Heisthe ' ~.~ (Con~ractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contain~ed ~ this application are tru~ to the best of his knowledge and belief' and that the work w~l be perfomed in the m~ner sbt forth inthe application file~ therewith. ' Sworn to before me this .... ~0. ~!~7~1~1k ~u~. (Signature of applicant) 'Ih ~/,ddi ,~ ' · 3. Nature of work (check whi applicable): New Building . ~ ........ rio Alteratiol~ .... Repair .............. ~emoval .............. Demolition .... ...... "~t'h'e; . , .............. ~. 4.. ,g~,,.a'tedCost .. ,. ~ ' · (Degcription) 5 If dwelhn number of dw , ' ' (t9 be paid on filing ~is application) - ' g, tiling units .. ~ ........ Number of dwelling Umts on ese j ,. garage, number of cm .... ' ' · ' . h floor ..... ~ .......... 6. If business, Comme 'al ar mi~'~- .......... .~ ............................................. 7. Di .... ; .... ,, . ~; ~ ,,~ ~upancy. specuy natug and extent of,each trw of use ........ , . ...~,,a,~a ~t gXlgtmg structures, if any. Front ~/~ - - ...................... g . ~. · ~,~ ..... ~ear ..... ; · · ·, ..... Dev~ . ' ~ ',' y~ght .. .............. Number of Stories ... ~. ~ .............. ' ............... Dep~ .... ~ ..... , ............. Heist ...... ~..: ..... '. NumberofSt ties .......... ',;.: ..... ' 8. Dimensions of en{lre new constmction, Fr~nt . ~g .'' 'A ' ~y/ o /~7 · -- ' :Height ..~ .......... Number oC~t ' · -./,~.~;...; Kea~ . .~. ........... Depth . <-~;. ....... 10. Date of Pu~hase ../~ ~ , ,~ · '~' ..... ~.~ ..... : Depth,, .~ ........ 1 1. Zone or use ~;~*~ :- .--~,[; ..... , ...... 2 ..... - · · .A~me of Foyer Owner .... '..-;; .~ :'~ ~. "/ ..... ~ , ~.~,.~ m wmcn pre,lies are situated ;[~ ................ i2. Does proposed const~cfion violate any ~n~;~ ~ ' '~ ........... ~ ....... L~ ............... ; ....... ' .... ,13.. Vl~ ISt ~ ...... ~.~ . . _ _~ ..... g ,aw, oramance or regulation: ~ .... ' N ~ '~s ..... ' ........... a>~ · -~. · -e,- ..... Will excess fill b~ removed from premis~- ve .14. ~e of Owner of premises . ~1Z<~ .... ~'.~, N~g of ~chit~ot ............ ~ ~-~ ........ ~'.... Address .... · · .; .... ~ ....... Phone No... ~ ':~-' N~6 of Contractor ..~ . .i'....~. ' ...--dd .... ' ............ 1~.' · · ' -.. · a i=~ .... ~ ' ' .PhoneNo... Is this property within 300 f~et of a tidal wetland? .............. ' i~-~'~";~i',"'~:'*Ii Y~s,' Southold To~ Trustees Permit may be required. ," . ' >'~:' e}if¢{i~,-. ,,",~¢:::'),~, ', ¢: ~ ', ', ~',,,;,~.~}?j~{ ',: PLOT DIAG~ :' .,,.,Locat~ clearly ~d existing or pro~ ~d. indicate ~I s~t-back d~ensions'from prope~y, ~nes. Gi~e s~eet ~d number or deso~ption accord~g to &~d, ~ow st~t n~es ~d Mdicate whether' Mtefior or comer I 7 STA~ OE NEW_YORK. ,~ ~ ' ' ' ' .... ~ '~' (N~me of indlvJdu~l signin~ ~;~;3~ti .......... being auly sworn, deposes ad says thane is the applicant toove named. ' '~ ". isthe ~ ~. .,.' , ,.,-.' '~ : "; · ' (Co tractor age t corporate officer otc) ............. " said owner or owners, ~d is duly autho~c~ t0 perfo~ 'or have pcrfo~cd thc said work and to m~e and file t~s" pplication; that all statements contained ~ ,this'application'a~. ~ruc to th~ best of his ~owlcdgc and belief; and that the ~ork w~l' be perfo~cd in thc m~ncr s~t forth M the application filed therewith. '' · ;worn to beforc mc this -' : ' ' ,' ' · :' . ' ' .... ' . ' - , . . ..... ~ .... j.--' .......... day~of..N~ ~...~ ' - 'm~ . :: ' ,'<'- '~ '; -, -;'1~ ' . 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