HomeMy WebLinkAbout24982-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26983
Date: 03/13/00
THIS CERTIFIES that the building ADDITIONS
Location of Property: 2504 WESTPHALIA RD MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 7 Lot 10.2
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 20, 1998 pursuant to which
Building Permit No. 24982-Z dated JUNE 29, 1998
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 ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to LAWRENCE W BLESSINGER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 07/23/99
N/A
N 494334 07/13/99
PECONIC PLUMBING & HEAT.
Signature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO.
24982 Z Date JUNE 29, 1998
Permission
is hereby granted to:
LAWRENCE W BLESSINGER
2504 WESTPHALIA RD.
MATTITUCK~NY 11952
for :
CONSTRUCT ADDITIONS TO INCLUDE A 2ND STORY ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING.
at premises located at 2504
County Tax Map No. 473889 Section 114
pursuant to application dated MAY
Building Inspector.
WESTPHALIA RD MATTITUCK
Block 0007 Lot No. 010.002
20 98 and approved by the
Fee $ 736.20
Application fee + 75.00
811.20
g Inspector
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN }~LL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Be
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:
10 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 instmllations, a certificate of Code Compliance from'architect or engineer
responsible for the building.
6. Submit 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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00
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 .......................................................
House No. Street Hamlet
Onwer or Owners of Property. [~~ ~.~
County Tax Map No 1000, Section .... ~ ...... Block..~.~ .......... Lot. P.~i..~.~. ..........
Subdivision --
...................................· Flied. Map ............ ~ Lot ................. .. .
Permit ............. D~ Of Pe~it ................... .Appiicant .......
........ A , rovaZ
Planning Board Approval.. ~-.~ ,~. ................. .
Request for: Temporary Certificate ........... Einal Certicate..~. ....
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
CERTIFICATION
Building Permit No. ~ L.][,~ ~)o,~, 7----.
Owner:
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(P lu~bek~s - Sign~ure)
Sworn to before me' t~
Notary Public,
, 19~,
County
Nolary Pubic, $ta~e o! New York
No. 01ST43447~
Commission [~×p~r~s Sept. 30,1~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGS
SUREAU CE E'ECT.IC,'n'
~ 40 FULTON STREET, NEW YORK, NY 10038
Date JULY 13,1999 Application No. o~'file 17699099/99 N 494334
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
LAURENCE BLESSINGER, 2504 ~STPHALIA ROAD, MATTITUCK, ,NY
in the following location; [] Basement [] 1st FI. [] 2nd Ft. GAR/OUT Section Block Lot
was examined on JULY 08,1999 and found to be in compliance with the National Electrical Code.
FIXTURES RANGES COOKING DECKS OVENS
FIXTURE RECEPTACLES SWITCHES
OUTLETS FLUORESCENT OTHER
94 93 40 1
DRYERS
EXHAUST FANS
E R V I C
NO. OF CC COND
PER ~
CC. COND.
210
NO. OF HI-LEG
OF Hi-LEG
NC. OF NEUIrRAL$ OF NEUTRAL
2/0
OTHER APPARATUS:
WIRLPOOL BATHS'~2
SHOWER STEAM GMNERATER-1
WELL PUMP-F- 1
PADDLE FANS-F-3
3 TON AIR CONDITIONERS-2
1 1/2 TON AIR CONDITIONER-1
5OA DISCONNMCTS'-3
AIR HANDLERS-3
PANELBOARD$ r 1
<<< Continued on Page 2 >>>
GENERAL MANAGER
PeF-
This certificate must not be altered In any manner; return ~o the office of the Board if incorrect. Inspectors may be Identified by their credentials.
~ .~:, ~ COPY~ FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1135G21 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date JULY 13,1999 Application No. onfile 17499099/99 N 494334
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above appiicalion number is in the premises of~
LAURENCE BLE$SINGER, 2504 ~STPHALIA ROAD, MATTITUCK, NY
in the following location; [] Basetnen, [] 1st FI. [] 2nd FI. GAR/OUT' Section Block Lot
was examined on JULY O8,1999 and found to be in compliance with the National Electrical Code.
~LUERT~ RECEPTACLES SW TCHES FIXTURES
INCANDESCENT FLUORESCENT OTHER
DR~YERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
AMT, K,W, O L H.P. GAS H.P, AMT, NO. A, W. G.
SERVICE DISCONNECT NO. OF S
AMT, AMP. TYPE ~'~[~ 1 ~ 2W 1 ~ 3W 3 ~ 3W 3 {~ 4W
OTHER APPARATUS:
RANGES
SPECIAL AEC'P!
AMT. AMP.
E R
NO, OF CC COND
PER ffi
COOKING DECKSl OVENS DISH WASHERS EXHAUST PANS
AMT, K,W, AMT., K,W. ~ MT, K,W. AMI'~ H.P,
TIME CLOCKE BELL UNIT HEATERS MUsyTI~OUTLET.~TgMR DIMMERS
AMT AMPS. TRANS. ~H.p. NO.~'~I~ET AMT. WATTS
OF CC, COND~ NO* OF HI-LEG OF HI-lEG NO, OF NE[ITRALS OF NEUTRAL
TRACK LIGHTINGE ~48
THREE "C" ELECTRIC
RT. gl BOX 45M SOUND AVE
RIVERHEAD, NY, 11901
GENERAL MANAGER
Per ! ~'~'~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF ~ERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 11, 1999
Donald G. Feller
600 Ole Jule Lane
Mattituck, New York 11952
RE: Blessinger, 2504 Westphalia Rd., Mattituck.
1000-114-7-10.2
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.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April I, 1984).
BUILDING PERMIT # 24982-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] ~Ui. ATION
[ ~]' FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
:i~LD
FOUNDATION (1st)
COMMgNT£
FOUNDA;
2.
( 2nd )
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[,~ ] ROUGH PLBG.
[ ]~LJNDATION2ND [ ]INSULATION
[ /.~FRAMING ~ [ ] FINAL
[ ] FIREPLACE & CHIMNEY
.,..J.,.(s:
765-1802
BUILDING DEPT.
ON
[ ] JDATION 1ST
[ FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REM,~tKS: ~:::~-~,*~-~:-
DATE ,~ INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION l ST [ ] ROUGH PLBG.
[ ] FOUND~3'I~N 2ND [ ] INSULATION
/
[~] ~41NG [ ] FINAL
[ ~]"I=IREPLACE & CHIMN~_.~
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [,~ ROUGH PLBG.
[ ] FO.~INDATION 2ND [ ] INSULATION
[~FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR~_ ~_ _ ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO/UGHPLBG.
[ ] FOUNDATION 2ND ~/]/INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE
DONALD G, FELLER * ARCHITECT
11725 M aln Rd * Box 1692 * Maffltuc k,, NY 11952 * 516,298,5453 · Fax 298.1380
Date
To
Re
Pages to foltow ~
For your review
As requested
Please call at your convenience
Comments:
BLDG. DE~-~
TOWN OF SOU. T~,~.~!! ,~,
New York State Department of Environmental Conservation
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, New York 11790-2356
Telephone (516)
Facsimile (516) 444-0360
LETTER OF NON JURISDICTION--TIDAL WETLANDS
May 14, 1998
John P, Cahill
Commissioner
Mr. Larry Blessinger
100 Clinton Avenue
Mineola, NY 11501-2875
Dear'Mr. Blessinger:
RE:
1-4738-00354/00002
Blessinger Property
2626 Westphalia Rd, Mattituck
SCTM #1000-114-07-010.002
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that the property landward of the crest of the bluff greater than 10
ft. elevation as shown on the survey prepared by Constance Piinacek, PLS dated 10/18/97 and
last revised 3/2/98 is beyond the jurisdiction of Article 25 Tidal Wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part
661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no
construction, sedimentation, or disturbance of any kind may take place seaward of the tidal
wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to
ensure that all necessary precautions are taken to prevent any sedimentation or other alteration
or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may
result from your project. Such precautions may include maintaining adequate work area between
the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area)
or erecting a temporary fence, barrier, or hay bale berm.
Please be further advi,s, ed that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
Very truly yours,
Permit Administrator
MMR
cc: D. Feller
BMHP
File
Albert J. Kmpski, President
Jo~ Holzapfel, Vice President
,, Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
· Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 17, 1997
Donald Feiler
600 OleJuteLane
Mattituck NY 11952
RE: LARRY BLESSINGE~
SCTM #114-7-10.2
Dear Mr. Feller,
The following action was taken by the Southold Town Trustees on
Wednesday, Decer~er 17, 1997, at their Re91~lar Meeting:
RESOLVED, that the Southold Town Board of Trustees grant a
Waiver to construct a 16' X 32' addition to first floor, a 8'
24' deck addition, a new second floor and a 12' X 26' garage
addition.
X
However, this approvaldoes not constitute approvals from any
other agency.
If you have any questions, please feel free to contact our
office at 765-1892.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. Bldgo Dept.
Disapproved a/c ....................... ...
3; sETs
OF PLANS .....
SEPTIC FORti . .
NOTIFY:,
HAIL TO: .... ' ................
(l~aiJ~ing Inspector)
~.~ ....... 'Date ................. 19 ....
INSTRUCTIONS
a. 'Ibis application must b~ 'c~pletely fill~ in by ~iter or in i~ a~ ~itt~ to ~e ~dlding Ins~tor wit[
3 ~ts o~ pl~, ~ate plot pl~ to ~ale. F~ acco~ing to ~le.
b. Plot pl~ ~ l~ti~ of loc ~ of ~ildi~s ~ ~s, rela~ion~dp to ~joini~ pr~i~s or ~lic
struts or areas~ ~ givi~ a ~rail~ ~ripri~ of last o[ pm~r~ ~st'~ dr~
thin a~liatim. , '
c. 'n~ ~ ~r~ ~ d~is a~licaci~ my ~t ~ c~ ~fore isle 'of ~iidi~ ~emiC,
d. U~ a~al of ~is n~llea~i~, t~ l~ildi~ Ins~ctor will is~ a
~mit ~all ~.~pt ~ ~ ~s ~ail~le for 19s~{~ th~r
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~m ~atmr ~til a ~rtlficate of
~I~ IS ~ ~ to t~ ~ildi~ ~r~t for fl~ isle of a ~ildiug Pe~t ~ to the
~ildi~ ~ ~i~ off ~ T~ o~ ~Omld, ~ffolk ~, ~ Yo~. ~ other ~li~le ~s, ~db~es or
~taCi~s, for the ~r~i~ of ~ildi~s, ~iri~s or alteraEion9, or for ~al 0r ~liti~, as herein
~{~ims, ~ to ~it ~ri~ in~tors ~ ~s ~ in ~i~ for,~ee~
· .. :.. --: ......... 2:. ,
(S~ture o~ a~he~t, or ~, ~[ a co~ratmnj
(~ili~ ~ress Of ~lic~t)
~tate ~r a~lic~t is ~r~ les~, ~ent, ~it~t, ecai~r,' ~eeral ~kr~tor~ el~rici~ pl~r or ~ilder.
~ ~ ~ ~ ~ .............................................................. . ...............................
If applicant is a corporation, nig~ature of duly antt¥orized officer.
(Nam and title of corporate officer)
Pl~bers License No ....................... . . .
Electricians License No ............ . .... .. . ..
Other Trade s License No.'
1. Locatie~ of land on which proposed ~a~rk will be done ..............................................................
llouse N~her Street . lt~le~
mp So. 3000. s ti , ...lJ..d-. ....... leck ..... 7/ ...........................
Subdivision.. ........................ . .. .. . . . ... . Filed la, ap So ....... . .
2. State exlst~ug use and occupancy of premises and intended use and occupancy of prop~seal constroc~ion:'
a. Existing use and occupaocy ...............................
b. Interded rise and occupancy ....................................... 'J~(.°.T~,:t~7;g~';
ahoy we~ to
l~eFalr ......... l~m~al .... I ......... 1)emolitlon .... ..... Other l~ork ~:,J~f:.[ 7 '~...~.. [~..~;.;~...
,. , I , ~ripC~) [~,
~,. ~t~t~ ~t ...... ~ ..................
6. If h si~ss, ~reial or ~.~, s~e~ ~ture a~ ~tenC o[ ead~ ~ o[ u~ ..... .~ ........ ; .....
. . , . . , . ~' ..~ .............
?. Dnmns~ms of.~tatlng st~m~[a, If any: ~t .... ~ ........ ~ar ............... ~pth
......
~pth ..... ~ ............. l~:~lt .... ~ .............. ~mimr of 8torle~ ...~. .........
8. Di,~n~i~ of entire ~
............... ~p~: . ~ ...........
z
9, Size of lot: ~ ....... ~ar ................. ~pth .............
10. ~te of ~rdmm ...... ; ~'..' ...... ~ of Fomr ~mr ....................
I I. ~ or u~ district in ~d~'p~ mi~8 a~ ~i~t~ .........................................................
12. ~ propel' ~8t~tim;~o1~ :~ a~ =lng lin, oMimme or re~latim~ .... ~ ................
13, Will lot ~ ~..........
. ................ ~lreas
~ of ~tt~t ..~.~.~. :~[~ ........... ~re~ .........
~ of C~tr~tor ............. I .............................
I .
15. ' Is tiffs p~rt~ wifldn, ~ f~t[of a t~l ~tla~? * ~ .......... ~ ..........
l~ata clearly ~ d~8t~tly al)
~ pr~r~ 11~8. O~ ~t~t,l~ pl~ mMmr or ~8cr~ptl~ acco~mg to ~, a~ ~ strut ms mi i~ieate
Mmtlmr interior or eo~r lot." , , '
(ff 8aid {~mr or ~rs, a~ in duly ~Cl~ori~ to ~rgonn or h~e
applleati~; that atl. sCat~nts.k~tail~ in this al~l.~eati~ are tn~
that the ~rk ,ill Im lmrfon~l ~n 'tl ~ ~mntmr ~t forth in
SCALE: 1"~50'
MA TTITUCK CREEK
GUARANTEES OR CERTIFICATIONS IHOICATEO
HEREON SHALL HUN ONLY TO THE PERSON FOR
.RIGHT OF WA Y
CER DF/ED ?0:
LA WRENCE BI ESSINGER
TOPOGRAPHIC MAP OF PROPERTY
S~TUA~ED AT
/dA TTITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY. NEW YORK.
TAX MAP DES/GNA DON 1000-114-07-010.002
CONSTANCE PILNACEK, PLS
9 CRAIG DRIVE
DIX HIlLS, NEW YORK
N.Y.S. LIC. NO. 50~
('516.) 427-5454
DA rE
REF NO.
REUSED