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Home My WebLink About48330-Z g�FFO1Irc Town of Southold 11/14/2022 off. y P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43585 Date: 11/14/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1800 Westphalia Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.-7-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/8/2022 pursuant to which Building Permit No. 48330 dated 9/23/2022 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: "as built"alterations and additions, including finished second floor and finished basement(recreation room and finished storage room),to existing single family dwelling with 6 bedrooms as applied for. The certificate is issued to Hall,David&Charnas Hall, Suzanne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0023 11/3/2016 ELECTRICAL CERTIFICATE NO. 48330 11/1/2022 PLUMBERS CERTIFICATION DATED ut oriz gnature �4�S��Entp�oTOWN OF SOUTHOLDI BUILDING DEPARTMENT Vis. TOWN CLERK'S OFFICE o� • SOUTHOLD, NY l 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#: 48330 Date: 9/23/2022 Permission is hereby granted to: Hall, David 40 E 9th St Apt 2A New York, NY 10003 To: legalize "as built" additions and alterations to existing single-family dwelling as applied for per final SCHD approval. Additional certification may be required. S A At premises located at: 1800 Westphalia Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 114.-7-12.3 Pursuant to application dated 8/8/2022 and approved by the Building Inspector. To expire on 3/24/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,591.20 CO--ADDITION TO DWELLING $50.00 Total: $1,641.20 Building Inspector pF SO!/T�,QI . 0 Town Hall Annex 'Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviin(cD-town.southold.ny.us Southold,NY 11971-0959 QIyCOU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: David Hall Address: 1800 Westphalia Rd city:Mattituck st: NY zip: 11952 Building Permit#: 48330 Section: 114 Block: 7 Lot: 12.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 33 Ceiling Fixtures 5 Bath Exhaust Fan 1 Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 3 Smoke Detectors 7 Main Panel 200A A/C Condenser 2 Single Recpt Recessed Fixtures 35 CO2 Detectors 2 Sub Panel A/C Blower 2 Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches $ 4'LED Exit Fixtures Pump Other Equipment: 2x4 Ceiling light 2, LED Mirror 2 Notes: " AS BUILT NO VISUAL DEFECTS " SECOND FLOOR, BASEMENT &AC's Inspector Signature: Date: November 1, 2022 S.Devlin-Cert Electrical Compliance Form OF SOUIy� # �* TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `ycourm,��'' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULLIKING [ ] FRAMING /STRAPPING [ FINAL�P�vi(� r !„✓ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (R GH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLAT ON [ ] PRE C/O [ ] RENTAL REMARKS: y v -IDo SvI DATEINSPECTOR SOOIyOIo Ll t/3 3 1 t zJ c) We,(p J p * TOWN OF SOUTHOLD BUILDING DEP 1 Ulm, 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION �[ _] PRE C/O [ ] RENTAL REMARKS: i4-S !B-u I Lj� re JAC C r e 4 e- 42 S t f �I DATE (! INSPECTOR D FF rrn IF 11 Nigel Robert Williamson NOV U 7 2022 Architect BUILDING DEPT P.O. Box 1758 1UeJN OF SC-UTS-i0LD Southold, NY 11971 Phone 631.834.9740 November 7, 2022 Mr. John J. Jarski, Senior Bldg. Inspector Town of Southold Bldg. &Zoning Division 54375 Main Road P.O. Box 1179 Southold,NY 11971 Re: Hall residence 1800 Westphalia Road,Mattituck,N.Y. 11952 Dear Mr. Jarski: Based on my observations of the existing fiberglass insulation R3.5/in. for the as-built second floor,basement and the existing plumbing for the two second floor bathrooms, it is my opinion that they conform to the submitted permit plans and to New York State code. I trust that everything is in order. If additional ' ormation is required please do not hesitate to contact me. I thank you for your assis ce in this matter. Your's faithfully, G Ni el Robert Williamson R.A. o t AL S 4 r � 5 1 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 4th November, 2022 LL- C4 W ct .x v � ca ��ti° yb O w � �b 3 Page 1 of 5 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 4th November, 2022 �ay , s>� pF i y. 4� 1 X w s U Ik G� � o J'b � Page 2 of 5 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 4th November, 2022 ca Aw S lg S o Y � Page 3 of 5 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 4th November, 2022 � cR 7 < � 3 � S � Z Cr .S N)TGIt Bp 1-,0 PA STniR. — BaAM�r Page 4 of 5 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 4th November, 2022 R. r t .1 ,fi4 a$ Z R;�1 W Page 5 of 5 v Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 July 25, 2022 11:20am ' \~ ,, �� -•. Original window well. a -% G -Y6 a S ?c. b a � Page 1 of 2 Hall Residence 1800 Westphalia Road, Mattituck, N.Y. 11952 November 1, 2022 9:49am New egress window well. G 7 Q 2 Z o s z � r � Page 2 of 2 -L FIELD INSPECTION REPORT I DATE COMMENTS ►o FOUNDATION (1ST) H Q � ------------------------------------ �c� FOUNDATION (2ND) z � o ROUGH FRAMING& PLUMBING H 1 INSULATION PER N.Y. y STATE ENERGY CODE o FINAL ADDITIONAL COMMENTS �1 �� o + L C m X W X R1 H 76 0 1� H d � CEJ Y 'b W '� r,�e�SugFru,r� TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 o��• �� Telephone(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ® E PERMIT NO. Building Inspector: AUG 0 8 2022 Applications and forms must be filled out in the�r.entireTOWN Or SOUTHOLD ty Incomplete BUILDING DEPS - applications:;iniillnot;6eaccepted :Where;the`Applicantisotalieouvner�,an:;, Ower's Author�zatwn fo rm(Page 2)shall be co Ow, mpleted { Date: 7th August, 2022. ':OWNER 5�OF�PROEER'rY - - - Name: Mr. David-M. Hall scrM#sooO-114.00=07.00-012.003 Project Address: 1800 Westphalia Road, Mattituck, N.Y. 11952 Phone#: 917.445.4949 TErnail: dmhallny@gmail.com Mailing Address: 1800 Westphalia_Road, Mattituck N.Y. 11952 °CONTACT PERSC Name: Nigel Robert Williamson R.A. Mailing Address: P.O. Box 1758, Southold, N.Y. 11971 Phone.#: 631.834.9740 Email: nigel_architect@hotmail.com :N - DESIGN PROFESSIONAL.INFORNIATIO Name: Nigel Robert Williamson R.A. Mailing Address: P.O. Box 1758, Southold, N.Y. 11971 Phone#: 631.834.9740 Email:,nigel_architect@hotmail.com CONTRACTOR INFtiIVIATION Name: Mailing Address: Phone#: Email: :DESCRIPTIOWOF PROPOSED CONSTRUCT O ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: El Other As-built second floor,basement and air conditioning $ Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes ❑No AS—SUILr 2 FLQ -THI?.EIE rZP'00i _S w CJ40.561.3' Toa fire 00H-S , s, A44 PtJ& , cpslgrs. 11314 &X. a� - AS, t;;ur AArE_0Ar - a rernrwJ Q 53.E Sri Fr r5 tiJ 1Sx® S7VC456 /39 SQ fir_ T UosE - ' 1 PROPERTY-INFORMATION.. Existing use of property, SIA) F4MI LIntended use ofproperty, � 1 DtcaL-LWA4 f�tjIEtLt'; 4 - Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40 this property? ❑Yes jI No IF YES,PROVIDE A COPY. ®Check"BoX After,ReadinP: The,owner/contractor/design professional is responsible#or all drainage and storm water issues as provided by Chapter 236 of tlie.ToWn Code. 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 Lacus,Ordinances or Regulations,for the construction of buil"d"ings, additions,alterations or for removalor demolition as herein described:The:applicantagrees to comply with all applicable laws,ordinances,building code, housing code and'regulabons and"Ito admit authorized inspectors on premises and'in building(s).for necessary inspections.False statements made herein are punishable as a Class A tnisdemeanor pursuantto Section 210.45 of the New York State"Penal law.. Application Submitted By(pr nt name): i,G-FL Q i L 6.I - eJ �Authorized Agent ❑owner Signature ofAppl Date: 6 Art", CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01 BU6185050 SS: Qualified in Suffolk Countyba� COUNTY OF ) Commission Expires April 14,2 l�1CcEL Q R kII LL I,*rASo,� being duty sworn,deposes and says that(,4he is the applicant (Name of individual signing contract)above named, Khe is the Ager (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/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this g day of d�1Jl VT ,20 22-_ Notary Public i OPEFR OWNER AUTH089ZAT POS? (Where the applicant is not the owner) I, D AVI n _ HALL— residing at l W Oyej- 91t.ri ��. I Kf-4 -Jh1C' i.A;y do hereby authorize M t C12l. PoRiZkkr W;r_L;Am S—� to apply on my behn of out Building Department for approval as described herein_ alf t the T wner's Signature Date Vim(-L fmu Print Owner's Name 2 ILI: ®��f�0e� �s ��`) \B%UltG DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C:1 P �'I�all Annex- 54375 Main Road= PO Box 1179 e� o Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny.gov — seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 8r--A04VS7- 2oZ2. Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: NIR. Dovia H. N41.L. Address: 1800 IJESr R4,60, Qom HArriruck �• 11452 Cross Street: MoeTj4 &F Coca go" 48 uoV11 baa Phone No.: 631. 834.4740 Bldg.Permit#: �Memail: n• el_cwe-k;Lee-t@ kabo A l.60 Tax Map District: 1000 Section: 114.00 Block: 07.00 Lot: 012.003 BRIEF pESCRIPTION OF WORK INCLUgE SQUARE FOOTAGE (Please Print Clearly): AS-SVIL-r 2`'a fu.-,r;4m BirD�Hs w uasETS, T110 SaTkgaaMs, sib9a.SE 4' Fo U 1Z CloSETS. 1�314- Sa.- FT. q - 8Ui6.T USF_mgt r-- "cima-64 ] A2.am 52o SL-....ff FtdisoQ SroeAsfi 138 ScL .FT. c+osr.fs . -rkw 3oir. WIQ coJa;r;oJiJj, Square Footage: 1 1 972. Circle All That Apply: T-0-rA L, Is job ready for inspection?: M YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 0 1 n2 n H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION AUG 082022 V0 + y BUILDING DEK of 1 TOWN OF SOUTHOLD �77g3 �ec l 0 PERMIT# 1 Address: Switches + I� Outletsf �,..e G F I's r. \ I Surfac'b. -J Sconces 'I01, H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes r DW Mini Carbon ( Micro Generator Combo- Cooktop Transfer AC t AH Hoo S rvice t\ Amps Have Used Special: Comments12, 7Jr, C r C4 AA _ G e� v v , IL 10:06 "n X Affidavit of James Lessard•docx u Affidavit Date: A-'Y'-�s/ yOZZ This is the affidavit of James Lessard, 2000 Westphalia Road,Mattituck, NY 11952 (Suffolk County). The purpose of this affidavit is to confirm certain facts regarding the home located at 1800 Westphalia Road, Mattituck, NY 11952,where I was raised as a child. I lived in the home at 1800 Westphalia Road beginning in1963 and it was owned by my family until it was purchased by the Halls in February, 2000. This affidavit will clarify what was actually existing at the house while I was living there, specifically as it relates to the condition of the second floor and the basement. 0�lhouse� a�„ `s� alltr a 3,stc�a.�far: ��t�v n�erred ire lxouse in �� t ris�z� p thiswonuersion-gh, �seeand�flc� ri it i er bye l a tda th o wa!UM- erp�iMM"rL2,,;story . t e kt chel � - 5w lie 1 asbel7.W, s._al J—inls d h AA'(-i-iaoe.We built a room for the boiler, a storage room and a large open area. Please contact me with any questions. I hereby swear that the information above is true, accurate and complete to the best of my knowledge. qSincerard 10:06 ff Ida vl f James Lessar d. x Affidavit Date:—A-'- '6-i 2-6707-- This oZvThis is the affidavit of James Lessard, 2000 Westphalia Road, Mattituck, NY 11952 (Suffolk County). The purpose of this affidavit is to confirm certain facts regarding the home located at 1800 Westphalia Road, Mattituck, NY 11952,where I was raised as a child. , I lived in the home at 1800 Westphalia Road beginning in1963 and it was owned by my family until it was purchased by the Halls in February, 2000. This affidavit will clarify what was actually existing at the house while I was living there, specifically as it relates to the condition of the second floor and the basement. The house was originally a 3-story barn that was converted into a house in 1962-1963. During this conversion, the second floor was removed and the roof was lowered to create a 2-story structure. The new second floor was improved with 3 bedrooms, 2 bathrooms and a room over the kitchen below. The basement was also finished at the same time. We built a room for the boiler,'a storage room and a large open area. Please contact me with any questions. I hereby swear that the information above is true, accurate and complete to the best of my knowledge. Sincer ,, J e Lessard SURVEY OF PROPERTY AREA = 30,715 SO. FT. SCDHS REF. No. R10-12-002 AT HATTITUCK TOWN OF SOUTHOLD fa�� SUFFOLK COUNTY, N. Y. 1000-114-07—IZ3 N S'CA . 1'=40' WELL NOVEMBER 7, 2011 OCT. 2, 2014 (POOL & GAR. FINAL) DEC. 4, 2014 (REVISIONS) MA Y 16, 2016 (WA TER METER LOCATION) CP. SEPTIC L DCA TIONti� X C-* o C/0 38.5' 67' P 'il� CP. pel�r �� ST 85' ill' (� }'f fbljjt- LPI 133' 153' 4j P ofj-S. �� "? LP2 124• 142• go'� �,`' o�e� WELR ?? 150,+ wwwo �• R LIEU. CP `W) pe4 700 oeRF r eye Aa .00 ti 613, I'OC ASPHALT / ` e s,. ,�o• Q• d. Syfo � � Asa /�� pop �CP �I)W),�?Y O � � ZyQ � 2 i ST) �\ Or• WELL ° ��• `� ' Ao��) Potf TEST HOLE DATA •'�O ?�/ i , °� (ONVbt) \0� MCDONALD 1012812011 1ENCE EL 202' DARK BROWN LOAM OL BROWN SILTY SAND SM / L fC.24 PALE BROWN FlNE SAND SP OSS f�R___� Pos �. OR NqR� ^/�O\ t `� �'oi/,redo, Ff c 1 NO WATER ENCOUN7ERm Cl-ft 00 �ty o°4 SOR. 2S O' w F q T£R .4, W 8ou R Pott• f a 1'W Ff �2, X232' W4Q � 4 Ct. fDof P AQ � . 23 6' A SEPTIC 150'+ i 60�� 1� WELL f Q ELEVA TIONS ARE REFERENCED TO AN ASSUMED DATUM I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. LIC. N0. 4961 ANY ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA77ON PECONIC SURVEYORS, P.C. OF SEC71ON 7209 OF THE NEW YORK STA7F EDUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SE077ON 7209-SUBDIVISION 2. ALL CER77FICA77ONS ■ = MONUMENT P.O. BOX 909 gEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET 111-217 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR • = REBARSOUTNOLD, N. Y. 11971 WHOSE SIGNATURE APPEARS HEREON. - - - - - AREA = 30,715 SO. FT. --- -- - - - - - _- -- SURVEY OF PROPERTY AT MA TTIT UCK �a�l N OF SOUTHOLD S OLK COUNTY, N.Y. �, a, w¢ 1000-114-07--12.3 N i, SCALE: 1'=40' WELL cn NOVEMBER 7, 2011 Sy A l6 2011 'rev/s/ohs' c y Z?Q_ FEB.3,2012!ADDITIONS) o AUG.9,2012(oddlllo�s•1 W w SUFFOLK CDuNTy DEPARTMENT OF HEALTH SERVICES �� PERMRFOR APPROVAL OFCONSTRUCTION FOR A CP. SINGLE FAMILY RESIDENCE AND e f r DATE a i;.�.. _ ,).,�? fl- a PROPOSED NEW SEPTIC SYSTEM 16 BEDROOMS) AP D I-1500 GAL.PRECAST CYLINDRICAL SEPTIC TANK TOTAL MEEDROOMS_� O% 8'0•5'L1OU1D DEPTH ,q -0 2-LEACHNG POOLS 8'0-8'DEEP d DOMES WITH y IRESTHRI�YE DATE OF APPROVAL 3'SAND COLLAR(SW)X MIN.ABOVE GROUND q WATER — CP. EXISTING CESSPOOLS TO REMOVED X04 V '14Abandonment of existing sanitary system must be in s*s ��yWT comformance with departmegt require ment Submit �So ia� �,a oke SS�2. t 2p. 150'+ completed form WWM- r � �N IF ecce .00, 41,40.1 :,NOTE CHAN�CE(S) e a, aby Dept.of Health Services 1 '2'• '� S•J- Pa 4Sg 7 �r 1 FON NF) � L � ASPHALT —. 1�SAyq� j? �{e Q�' o I Q�� rate Owl 6e- lL1Slall� l�?Jwt C�QLLt h am' EL 20.2'0 /as QaQOv f ti �Q 4 WELL ')'�" tr9 "� •`` {� ��H ot£) \o� TEST HOLE DATA foNVNf ? McDLW01 LD 812011 h cL zar as cARir�o+r caw a BROW S$T7 SNA 9t F(.24.Z• �:/ Asp` sc•� ® .oi P"BROW FP-1 S&IM S- C �c CLEL N70 4 Rall IY 25.0' bQ OQ faa` Fence COR fer NO MATER ENCOW7ERM ,r�s t28 T Pat fow o,µ!>e SC04f CaUptyo S Be 2' eL.732. WAS To SjO0 48tiOf ReM�$ `y� LIQ CL EL we�q �p,� aory she c AAA. �O� 0(s) d �o '►� SEPTIC tso'+ D WELL O ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM I am familiar with the STANDARDS FOR APPROVAL C,� ;t•I''-E`> r AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the ` 1.P•; } permit to construct. i - I The location of wens and cesspools shown hereon are from field observations and or from data obtained from others. �rff e co�L•Y.-.S `UC NO. 496 ANY ALTERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA770M ",PECONIC SbWVEYORS, P.C. OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-179 EXCEPT AS PER SEC77ON 7209-SUBDIVISION 2. ALL CERTIFICATIONS P.O. BOX 909 HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF v = MONUMENT 1230 TRAVELER STREET I n SAID MAP OR COPIES BEAR THE WHOSE SIGNAIN,PRESSED SEAL OF THE SURVEYOR • = RE-BAR SOUTHOLD, N.Y. 11971 111-21 i TURE PPEARS HEREON. - 180 �Js ��;�. ;,�, r�i � o N• 11g sz. _ AREA = 30,715 SQ. FT. SCDHS REF. No. R10-12-0023 ,SURVEY OF PROPERTY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, - N. Y. - 1000-114-07-12.0 N ® 1 ft ri is ;+ tUl ) ��,� SCALE.' V--40' �l, NOVEMBER 7, 2011 SEP 2M22 OCT. 2, 2014 (POOL & GAR. FINAL) DEC. 4, 2014 (REVISIONS) BUILDING DE Y D,_ • MAY 16, 2016 (WA.7FR T0V1v'N'METER LOCA770N) .. - ®FSC.UT' ;: - SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES "1 APPROVAL OF CONSTRUCTED WORKS FOR ' ASINGLE FAMILY RESIDENCE CP. Date nrarmre H.S.Ref.No. nro-iz-cort v The sewage disposal and water supply facilites at this location have been inspected andlor certified by this Department or other agenc'es and found to be satisfactoryFORA tAMIMUM OF a BEDROOMS. - CRAIG IGIEPPER,P.E.,CHIEF Office of Wastewater Management \� SEP'T/C LOCA TION H__o� ti • 'A» C/0' 38.5' 67', D `(/�, CP. cq C $TQ/F / N LP1 133' 153 ? ! c SSSS . yq�Pr WELL LP2 124' 142' .1 %P& ? 150'+ , �W� S �@ 70 0CP. � 01 ,�• �ti ry OJp�ao Q3' C00 3t, ASPHALT X303, �• ryo' IQ o Cj �o Y �4y 61 4Z ti`ter^ 1� �j�/P•� �s�oa`+��' WELL p0 o LE DATA (0N NF1 0 M D NA DOGEOSCIENCE ��j / ' I _� 1012812011 Z0, �.� �� r r EL 20.2'. DARK BROWN LOAM OL Y i 4p� '�2' OQ BROWN'SILTY-SAND SM fL?4 �� PAL£BROWN FINE SAND sP . ORSSDR—� pos ygRT N70•\ Rol/Fenoe �C+ f NO WATER ENCOUNTERED 2g Fl:. . 00 DO"�, W q�s R 0 r�} F RTFR M p 4 W. R OCFo f 0 PW FF A, � 126 ?� C•?32, Wqt •�7[ 1 ` • �l� - c4. Fo a 4. SEPTIC•150'+ ' WELL' l ��.YORK ELEVA TIONS ARE REFERENCED .TO AN ASSUMED DA TUM o� METZGF9 I; am far #1d:'r with the STANDARDS FOR APPROVALAND CONS7RUC770N.OF SUBSURFACE SEWAGE rn 0, DISPOSAL SYS7EWS FOR SINGLE FAMILY RESIDENCES Y and will'abide by--the conditions .set forth therein, and on the: "+ permit to construct. The location of wells and' cesspools shown hereon are from fe/d observations and or from data obtained from others. N.YS. LIC. NO. 49618' ANY AL7ERA77ON OR ADD17ION TO THIS SURVEY/S A V70LA77ON PECON/C SU YOBS, .P.C.- OF SEC77ON 7209 OF THE NEW YORK STA 7E7 EDUCA77ON.LAW (631) 765— 020 FAX.'(63,1) 765=1797 EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS ■ _ MONUMENT P.O. BOX 909 HEREON ARE VAUD FOR THIS MAP AND'.COPIES ]HEREOF ONLY IF 1230 7RAMELER S7REET SAID MAP' OR COPIES BEAR THE IMPRESSED-SEAL OF THE SURVEYOR • _' REBAR 11-217 WHOSE SIGNA7URE APPEARS HEREON. . SOUTHOLD, N.-Y. 1'1971' i APPROVED AS NOTED DATE: P.# 3 FEE: _ BY: NOTIFY BUILDING DEPARTMENT AT 765=1802 8 AM TO ' PM FOR THE OCCUPANCY OR FOLLOWING INSPECTIONS: PLOM'BIN.^,.ti 1. FOUNDATION - TWO REQUIRED USE IS.UNLAWFUL ALLPLUMB,NG WASTE FOR POURED CONCRETE &WATER LINES NEED 2. ROUGH - FRAIvIIN'G & PLUMBING WITHOUT CERTIFICAT T6 7*0--,A9FQRF-COVERING 3. INSULATION - 4. FINAL - CONS-,;P:.-'--!0N MUST OF OCCUPANCY BE COMPLET- - 0. ALL CONSTRUCT:,'. ,LL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ELECTRICAL INSPECTION REQUIRED PLUMBER CERTIFICATION COMPLY WITH ALL CODES OF ON LEAD CONTENT BEFOR NEW YORK STATE & TOWN CODES CERTIFICATEOFOCCUPAk AS REQUIRED AND CONDITIONS OE SOLDER USED IN.WATER WN Z-BA SUPPLY SYSTEM CANN07 Additional SO -TBWN-R&NTNG BOARD EXCEED 2110 OF 1% LEAD Certification SOL,1THOL-D-T ' TRUSTEES May Be Required. P,.V.V •J wAUG n p 9n;:) �' � Nigel Robert Williamson Architect TOVIVN BU" UT;1''J P.O. Box 1758 Southold N.Y. 11971 Phone 631.834.9740 GILL- ND 3-4'/i" CIU--HD. 3'-43/s" GILL - HD 3'-5'/Z' G0RWE.9_ POiW-r FLK.- G►t.L 3'-4'V FLR.- GILL 3'-4'/a" ELP-.- GILL 3'-4'�4" 7" lo r attic - CIa soko rh_-3l'-7VW q' ANDERSEN 400 SERIES CASEMENT CX145 TEMPERED, WINDOW LEFT . WITH WHITE COMPACT OPERATOR HANDLE (WHITE) WITH TRUSCENE INSECT SCREEN. Bedroom 1 o Bedroom_ 2 # 6=93/4 UNIT NUMBER R.O. (WXH) COMMENTS -A Q'-2~ CX145 2'- 11%" x 4'-5 Y GLC-. NGT 7-0" GLG. HGT, 7'-0" _M c I. Bedroom 3 G ,� J 4'-OSS$" bDlGO I--- r � �6p RLPIOVE EXTCr, GOIJC.. f� A4 Q Z WELL. W w � o T sr � h 3' !o" 5p2:' a _ N sblcn. sn Ico �, 1 -- v X-D ® _i co. O fFLus'4 „jj Z'a SA-m Er sb/co 3/-4!' J EXT'G, SUS P. GEILtaLG. �jcTG GitCsIlE ..� HOVE Ex r. E�,/l,SEME►J AWDEQSEU Bath 1 - C.AS F-HE JT CX14 (o'x 6 � _ DW. Q U C 1. 400 SF-UCS Lp►Jp5 GAQE -+ U Tt:MPf.AFD. o Bath 2 _ , ., Ex-rG. kEc. RM os t'o 1134 N 4,-9 /a„ attic — pEA GP-MEL. 4� - >�F ci. Section B INSTALL S' FRESH SJR INLET P , 2 � - - C I. FROM ExtEtz.la2, GdRWE.I�. 01� 2 2' .1'I`• _ 3- 3 H.,.° IIJD►RbGT' "OT I40 I2, kpl ssuQE V4CATM, 00 MO SOFTEOM. 2 ly2 I� Nsa�co. j A p . F� pB OIL z2- P?OtLbt> . Storage (FlwisHeD) Utility � SUS P. GLG- '7 73/,}'' 3 3' Nb. 136 so- Fr ® Q SD/Go 1S`FLP-. — SELF U-OslucrSELF A- '5101 5� LATCHI►.1G SyL LQTGNI To APPROVED 5 C.H.D. N SE�TIG SYSTEM- �toraqe 25q� LADDER SHALL NAVE ASD -� 7y:.. I1SsIDE wit)IR OF, Or . Mx _ `P; ° �PUMBING RISER DIAGRAM cI. � �Or AIJS M TG. LOCUST GOLUHIJS, Fop-OH 114c WN.L spt\MD RIOT N10RE T'14A0 I8 o.G vERncAI.W �i ort.THE FYL.L / H E I CrHT. �A Recreation Room 520 sa.rr. °p _ • • - B -- — --- - -- sgco• GSC145, M TF-" - I attic N 10 -3-✓s Cl. i X \ 2_77'_ 53/s'IT FLP-. - GILL 2'-I I &" Accxzs H,.TC H G I L.L- H D . 3-5" Second Floor Plan 13.14 SQ FT. GO WDEN S02S OVER. ( Existing ) - - - - crawlspace As-built alterations at David M . Hall Residence Basement Plan - Existing �,-G. sIL� ._ c� 1800 Westphalia Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-07.00-012.003 50ALt: : !" = I'-0" DATC : -74-AU4rUST, 2022-.