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Home My WebLink About37778-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/30/2013 CERTIFICATE OF OCCUPANCY No: 36215 Date: 4/30/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: GREENHOUSE 1735 Westphalia Rd, Mattituck, Sec/Block/Lot: 141.-1-5 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/18/2013 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 37778 dated 1/28/2013 Accessory Greeahouse Structure as applied for The certificate is issued to Lindsay, William & Lindsay, Roberta (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED //~fi~rize~gigrrdur¢ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37778 Permission is hereby granted to: Lindsay, William _& Lindsay, Roberta 1735 Westphalia Rd Mattituck, NY 11952 To: Date: 112812013 Construction of an accessory greenhouse structure as applied for. At premises located at: 1735 Westphalia Rd, Mattituck SCTM # 473889 Sec/Block/Lot # 141.-1-5 Pursuant to application dated To expire on 7/30/2014. Fees: 1/1812013 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: Inspector $399.20 $50.00 $449.20 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 Department with the following: A. For new building or new use: I. 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 I% 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey'of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations Io dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $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: .Location of Property: Old or Pre-existing Building: Date. (check one) House No. Street Hamlet OwnerorOwnersofprnporty: 4 oberU*, Suffolk County Tax Map No 1000, Section / t.~ ! __ Block ( Lot Subdivision Filed Map._ Lot: PermitNo. ¢77.7F Date of Permit. l~2..~"~,/'~ Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: ~( Request for: Temporary Certificate Final Certificate: ch ck one) Fee Submitted: $ Applican~ Signatule TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/J~dSULATION / [ ] FRAMING/STRAPPING [/] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.North Fork.net Examined Approved ,20 Disapproved a/c Expiration 9/,.BO ,20 J ~ PERMIT NO. 5~?'S ::] g BiDG DEPT. Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C, Trustees C.C. Application Flood Permit Single & Separate Storn~-Water Assessment Form Mail lo: Phone: APPROVED AS NOTED APPLICATION FOIl BUILDING PERMIT DATE:~B'P' #--~ ~"~9 ¢~ Date . 20 FEE'. ~q~ ~9 _._ 3~, ,~ INSTRUCTIONS NOTIFY BUILpNG rZF,-V,,RTt,,m~,r'r AT ........ 765-1a0_~. ~'13~ al~hc:~fla J~J,~t'o--T.~ completely hlled m by typewriter or mmk and suNmtted to the Braiding Inspector with 4 ~W}~,;~ ~ tlff~ale. Fee according to schedule. i FObN~]~.a~,~{~, o ~ of ct a ~d of bt d ,gs o ~ }'e nses. -e at o,s~ p to ad. io] ,g pre nses or public streets or 2. aOU~ T~~dk~ ~s app[icatioa may not be commeaceo before issuance of Building Pm'mit. 3. INSUL~T~n approval of'this dpplication, the Building Inspector will issue a Bailding Permit to the applicant. Such a permit ~b~ ke~ ~L~ilable tbr inspection throughout the work. BE C~i~o{E~ll be occupied or ased in whole or in ping ~br aay purpose xdmt so ever tmtil the Building Inspector ~~o~t~ THE ~EQUIRE~B]~l~xpire if the work authorized has not commeaced within 12 months after the date of ~a~t ~~thin I 8 months fi'om such date. If no zoning amendments or other regulations affecting the ~~t~il~[inq. the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York. aad other applicable Laws, Ordinances or Regulations, for the constructioo of buildings, additions, or alteratioas or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordiaances, boilding code, housing code, and regulations, and to admit authorized inspectors on premises and m building for necessar)inspections. OCCUPANCY USE IS UNLAWFUL WITHOUT CENTIFIGATE 0r:: OCCUPANCY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~L/////o ~', c~d rio Join £To. (As on the tax roll o1' latest deed) If applicant is a corporation, signature of drily attthorized nfficer (Name and title of corporate ct'ricer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. l. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section I ql Block Hamlet Lot ,5 Subdivision Filed Map No. Lot State existing use and occupancy of prenlises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost Fee 5. If d~velling, number of dwelling units ~l, t4~b~r pf~,wFlling units If gara§e, number of cars Addition , Alteration Otl~er Work }400,4 ~;h/kSt' '.' r ' (Description) r' (To be paid on filing this application)/~5 on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Hei~ht_ Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 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 violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fl'eshwater wetland? *YES NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet of a tidal wetland? * YES __ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) ~', t~fl SS: COUNTY O FO-L1 ~c~ 1~:~ (Name of individual signing contract) above being duly s*vorn, deposes and says that (s)be is the applicant nalned, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained ill this application are true to tbe best of his kuowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tiffs 1~5 dayof ~-~e,,t.4,~ 20 { "~ VIC!<;I TCTH / ~ Notary Public ~ 0t, nii:ed ~ :.':, '-:, (e i~*v TOWN OF SOUTHOLD' PROPERTY RECORD CARD OWNER FORMER OWNER ES. ,~/~ SEAS. VL LAND IMP. TOTAL NORMAL Acre STREET N S (7 FARM DATE ~/x, BUILDING COI~ITION VILLAGE AGE D;T.I SUB. COMM. CB. MICS. Mkt. Value REMARKS qEW BELOW ABOVE :ARM LOT ouse Plot DEPTH BULKHEAD DOCK Value Per Value Acre eadowla~d liable FRONTAGE ON WATER 'oodland FRONTAGE ON ROAD COLOR TRIM 141.-1-$ 4/12 M. Bldg, Extension ~xtension Porch 3arage Patio D.B. Fotal Foundation D~B( Fire- Place / ~'0 / Roof Recreation Room Dormer Io11) Floors Interior Finish Heat ~.~ Rooms 1st Floor Rooms 2nd Floor Driveway /.5 Dinette Ko LR. DR. Il