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Home My WebLink About28318-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28400 Date: 05/09/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 3460 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 2002 pursuant to which Building Permit No. 28318-Z dated APRIL 23, 2002 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 SHED AS APPLIED FOR. The certificate is issued to CHESTER A BERRY JR. & MARY K. BERRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ut rized Signature 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) PERMIT NO. 28318 Z Date APRIL 23 , 2002 Permission is hereby granted to: CHESTER A JR BERRY 3460 WESTPHALIA RD MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES PERMIT # 18207 Z at premises located at 3460 WESTPHALIA RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0001 Lot No. 010 pursuant to application dated APRIL 8, 2002 and approved by the Building Inspector. Fee $ 150 . 00 r Auth6r ' ed Sig COPY Rev. 2/19/98 WORK 1x06 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 18207 Z Date .... ... ...................................... 19 d o S u=� Permission is heerre�bygranted to: If AL. .. ... . . . .......... ................... .. . .... ��a . . .. . ....... . ..,. to ft.... . ...All ofpremises located at .....t... ,r..Q...... / I.V4Xr..........�C,l..4......................... ...................................................... . . .. . ...,................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ......//�/..... Block ............./.... Lot No. ......./Q......... pursuant to application dated .... ..,/1h................................... 19J,P, and approved by the Building Inspector. Fee $....4?:.��...e ....ew 07 Idi for Rev. 6/30/80 ti Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Y g LST �I This application must be filled in b typewriter or ink and submitted to the Building Dee rth eliisWin �` A. For new building or new use: b 1. Final survey of property with accurate location of all buildings,property lines, st s xand unusual natural o topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo 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. B. 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 Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00,Commercial $15.00 �(,� - ` Date. � G Z. New Construction: Old or Pre-existing Building: (check one) Location of Property: 346o L_� Ad 64A House No. /Street�� Hamlet Owner or Owners of Property: 7 e C Suffolk County Tax Map No 1000, Section / `{ Block 06 o Lot d Subdivision p Filed Map. Lot: Permit No. °� 8 Z Date of Permit. 3 -0 Z Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ G 7 ( � y Applica S' ature BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ' FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: `-' C o DATE O !/ INSPECTOR �� FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) US y ------------------------------------ C FOUNDATION(2ND) z 0 l y ROUGH FRAMING& PLUMBING fi r f x INSULATION PER N.Y. y STATE ENERGY CODE r FINAL ADDPTIONAL CON MM'C S O z vim X C � 4 O W z x y x d b y �� r ave i nvLt� CYv�1 �w��w IUB o� BU1LVINU FtKNIII'AFFLICATION CHECKLIST �NG DEPARTMENT Do you have or need the follt wing,lbefore applying? -HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 PERMIT NO. Survey 8� Check Septic Form N.Y.S.D.E.C. Trustees Examined '� 1 ii ,20 Contact: Approved &A1r 20 y Mail to: Disapproved a/c 2 Phone: Expiration I6 20 l Building Inspector APPLICATION FOR BUILDING PERMIT Date 720 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 premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,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 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. �(Sit�ureofpplicant or e,if a co ation) (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�if n l` (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. /36 2� —# / Plumbers License No. Electricians License No. (p Other Trade's License No. 1. Location of land on which proposed work will b one: 3 Mi iia � House Number Street get. County Tax Map No. 1000 Section Block N Lot /! Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy f proposed construction: a. Existing use and occupancy b. Intended use and occupancyiyy� 3. Nature of work(check which applicable): New Building Addition Alteration X Repair Removal Demolition Other Work (Description) 4. Estimated Cost f, !� �� Fee (To be paid on filing this application) 5. If dwelling, number 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 Reffr D th Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories S. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front zoo Rear 9gi.cls' ' Depth 10. Date of Purchase Name of Former Owner _HJT_ 11. Zone or use district in which premises are situated A�&zA 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO )( 13. Will lot be re-graded? YES NO__Z Will excess fill be removed from premises? YES NO k 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is 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. STATE OF NEW YORK) SS: COUNTY OF ,/ / /,�V K. being duly sworn, deposes and says that(s)he is the applicant (Name of inditedual signing contract)above named, (S)He is thex.Q (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 in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sw=to bore me this of 20,:::) Notary Public Signaftvl of Applicant SURVEY OF PROPERTY AT MATTITUCK TORN OF S O UTHOLD SUFFOLK COUNTY, NEW W YORK 1000-114-01 -10 SCALE: 1 -=30 G �� FR. SHED MARCH 28, 2002 �, of F �Q 6l S NEW? O T- J0. o PECLJNIC'' VEYORS, P,C ro 90% J ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION "t-S31) 7557 - 5020 F4)!;. OF SECTION 7209 OF THE NEW rDRK STATE EDUCATION LAW L p EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS F L BLUl 909 HEREON ARE VALID FDR. THIS MAP AND CDPIES THEREDF DNL7, IF jE ■ =M��,I�ii� llT _ AREA=18 304 S.F. 230 rR4VFL EEPET SAID MAP DR COPIES BEAP. THE iMPPESSED SEAL DF THE SURVEYO'R' � � 7 WHOSE SIGNATURE APPEARS HEREON. -~1�t -S❑U !�HDL D, N.Y. 11 971 0 2 / x At (3 Z. 'K ��, � -, a p CCCUPCY O lu 44 USE UNLMVF'u'L IS , E qo14-t- 9 WITHOUT CERTIFICAT � ; �, ��»p, OF OCCUPANCY t-vp