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Home My WebLink About21906-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-22960 Date APRIL 20, 1994 THIS CERTIFIES that the building ADDITION Location of Propert~ 5430 WESTPHALIA AVENUE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 11 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBNU~Y 4, 1994 pursuant to which Building Permit No. 21906-Z dated FEBRUARY 9, 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 DECK ADDITION WITH ROOF TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM H. & ~LAIRE SPARKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building Inspect~ FOBM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21906 Z Date ........... ...'~../.~.. ...................................... Permission Is hereby granted to: /, ~. .,~z...~ z ./ ... ~(.,.~. .~ ........................ ............... ~ ......... 7 ................ :'"": ...................... : t o,,.,~~..-.. ........ ~ ......... ~.~ ....... ~.~'~..,.~ ........ ~-..~.....,?~..~ ........... ......... ~ ........ ~.~ ......... ~ ......... ./..~.. ........ ~.~~ .......... ~ ......... .........""~ ........ ~~c., ............................................................................................... at premises located at ................. .~..../~.....~... ...... ~.~..x~'....'~....~../...'.~.......~....,~'..'~..: .................................. CountyTax Map No 1000 Section ///-~ Block // ./..., LotNo . /~' ........ pursuant to application dated .............. .~/y. ............................... 19....~.~..., and approved bythe Building Inspector. Fee$~Z~.~ ....... / ~' ~ullding 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. S~Jbmit 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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of.~,Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .~. ?~.~. ~..~.~ ............... New Construction ........... Old Or Pre-existing Building ................. Location of Property. ~...~S~9...~. ~. ~'~.~.~.~.~Z~...~.~. iZ~. ~ ..... ~. ~. ~.~/~..~.~ ....... House No. Street Hamlet Onwer or Owners of Property... ~C..~..~7~...~..~.a.. ~Y..~A~ ~.~...~z...~....~.~ ............ County Tax Map No 1000, Section .... ~.~ ...... Block ........ ~ ...... Lot .... /.~ ............... Subdivision .... . .~.~. ~ ~..~..~. ~. ............. Filed Map .... ~ '?..~.... Lot..~..~...~. ~..~.. ........ Permit No.~.~.~.~ ?..~...~vDate Of Permit.~l.~./.~..~. ..... Applicant..P~.~+.7~../~../~d. ~.~.~.g.~..~/~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~. ....... Fee Submitted: $ . ~. v~..~.~... ............. o o 5, tt 0 '" ..... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 13, 1994 Mr. William Sparke,Jr. P.O. Box 437 Mattituck, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. ($25.00) 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 ~ BP# 21906Z Please contact our office on this matter. your cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OU~Dn_~?rON r2~ ) ROUGH FRANE & .PLUMBING INSULATION PER N. STATE E~ERGY CODE FINAL ~ AD. DITIONA'L CO, M~ENTS: . 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~U,J, ATION FRAMING [~FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FORM NO. I )¢~.-,,,~ £ ~ TOWN OF SOtJTHOLD ii D , BUILDING DEPARTMENT ' "' SOUTItOLD, N.Y. 11971 LIB (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... /'3 SETS OF PLANS .......... //SURVEY ................... ./C.EcK .................... SEPTIC FORH ............. CALl .................... MAIL TO: Date ................... 19... INSTRUCI'IONS sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plau showing location of lot and of buildings on prenfises, relationship to adjoining promises or public streets or areas, and giving a detailed description of layout of property.must be drawn on the diagram which ia part of this appli- cation. e. 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 thronghout dm work. e. No building shall be occupied or used in whole or in part for any pnrpose 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 Ilullding Permit pursuant t~ the Building Zone Ordinance of the Town of Southold, Suffolk Cmmty, 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. -- "' i}'g at e or applicant, or l~ame, ir a cor/p'6r,,tion) ..... ~.ft..¢:. :%W: ?.¢./<//?.,X¢,..//9/. 2~. ........ (Mailing address of applicant) State whether applicant is owner,}lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .~ .' .~'.../k'. ~ L4 .............................................................................. Name of owner of premises .. 5 ~./%~.k(.~...'~. A...YY/./..~.4.~..~.../:¢....~.,.....qC...v~...P'.~. ................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized o£ficer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrc an s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed.work will be done .................................................. . ~.~'..q..:r..~. ......... .~'. ~..~/./,q~/~.....~./~. ,~. ~. &/. ......... z'/.~.-h'..~., z J:. ~ ./.< ........... House Number Street Hamlet County Tax Map No. I000 Section ...... /. J. ~. ....... Block .... J.~.. ,' ......... Lot .... J..~. ............ Sul)division .... ~..~ J~ ~. ~'..h~. ~..cq ~. ............... Filed Map No .... ,{ t¢ .~.. .....Lot . .,~ .Y. ~. 2..~.... (Name) 2. State existing use and occupancy of premises and intended usc and occupancy of proposed constr.uction: a. Existing use and occupancy . ./~L~. ..... ~......~...v~..A~.~..)fi. ......................................... b. Intended use and occup3ncy ................................ 4,,? '~¢.. , , r~ ,;~, ',.,;., ~. ¢, 4 ......... Nab,re o£work (chcck which applic~ ble)' New B ildJ,g · Addition .... Alteration .......... Rep m .............. Removal .............. Demo trion ............ '.. Othor Work ~.~ .~]~.. 4. EstimaledCost ~ Fcc ........ ,~ (to be paid on fili ~g this u~phcatmn) 5. I1 dwelling, number of dwelhngiumts Number of dwelling u~iits on cecil floor ......... . If garage, number of cars .... ~ ', .... 6. If business commercial or mixe~ occnDalIcv sPeciFy uatuic d ex ...... , ..... , ~ tent of each type ol use .................. 7. ~nnensmnsol'exlstngst-~ctur~s iran..Fret, d~' ~ '~o/ ~. , ~,~ "' height ...... /~. ...... Nnn~ber of Slories ..... ~ ............. . :' . ' ' ' Dnnens,ons ol same s~n,clure >v~th alterations o' :.Id I ohs' F 'o~ t d~'2' ' 'm,~, '' ~'~'/ ........ ~pth....:..;...~?.(.' ....... i''Height ....... g t" ', ........ ............................ ~ · y ...... ~. '. ~ Numbm. iif. Stoi-ics .............. ; ...... 8. ~mmnsmns m entn'e new construction: Fro ~t Rear ~ ~ Height .... , f~ ~ ........ Nun~ber of Stohes ~ ~. ' , 9. Sizeoflot: Front ..... Z~ ~ ~. · ~/~ ~ 10. Date of l'urchase ....... ~-. ~q.~.~.. t~'.~ ....... Name or Former Owner . I 1. Zone or use district in which pr~mises are situated, l~.~/~ L 12. D~es proposed construchon vtol, ate any zoning aw o d nan ;e nr rcgulatio ~: .. ~ ..... ~ .................. 13. Wtl ot eregraded ~ . Willexcessfill~ 14. Name of Owm.r oflnemises ~.~. ;~, ~&~8~Addn ss P~ ~. ~ ~.Phon~ No Name ol Arc ntect ~. . AHa,,.~ ~¢~)',~,~ ' Name ol Contractor . ~ ..... Ad( r's, ' . [5. Is t.hls property wKthSn 300 fec~ off a [i.d,~l wtL[tlltl~ ~YeS ........ ~I~ yes, Sour:hold Town Trustees P(.~,i t italy bt2 required. ~ PLOT ~ )lAG Locate clearly and distinctly all,buildings, whether existing {~r pro0oscd, ~d. iadicate ~1 set-back dimensions fi'om property fiats. Give street ~d block ~umber or descriplion acconliug to deed, and show street mmms and indicate whether LOT * ~ . STATE OF NEW YORK, SI.S .OUNTY O.F ................ ...... .... ,c.'ke.J.C.... being duly sworn, deposes and says th~,t he is the applicant ' (Name o[ inaiviaum sig~iag contract) ' above ~amed. lie is the (Contractor, agent, cmporate officer, etc.) of said. owner or owners, and is duly iautho6zed to pel'l'oJm or have performed tim said work and to make aad file this applicatlm~: that all statements contai~ed~ M this al)plica{irm are h't*e to the best of his knowledge and belief;aud that the work w~l be pet formed in the manner ~et forth in the applica/ir)ll film[ therewith. Sworn to 1)elb~c me this Nolary Public, GuMifled in $u~olk Cou~ ~ ........ ~/~ . - ~ ". -- .' ....... -,i.' .... :'-';' :q'~, ~--~^~-':F~ ~.~/,~TT-¢'i-G-G-i:5'~i 7:' ...................................... I ~ ~ ' .. . '~'-~ ~ ~'~ ~.~ ~ , i ~;,-~89 .... . .... . ,. , , : ,, ................. ._.: ......... , . ~, ~ ,.o~. q;',~- I ~-'1, ~ .,, , · ~_ ..?-~ , cfi. ~ ~ · ~ . ,, ........... ~ , ~¢.'.X · , ~ ~,-~ ~ -- .- -, >..~--.~. - , ' ,~ ~, :...:. ...... , .....~.*..._~., ......... ~: .......... ~'..~, . ................. , , , I ~ ....... ~ ~_ 0~ > ~ . . ,. . I