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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