HomeMy WebLinkAbout25093-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26575 Date: 07/20/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 420 LESTERS RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 114 Block 7 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 1, 1998 pursuant to which
Building Permit No. 25093-Z dated AUGUST 10, 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 RECONSTRUCT EXISTING ONE FAMILY DWELLING, DAMAGED BY FIRE, AS APPLIED
FOR. ZBA #4580, 6-11-98.
The certificate is issued to ALBERT RATTI & WF.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 064726 06/23/99
PLUMBERS CERTIFICATION DATED 07/12/99 MAURICE J. MAFFIA
r-4 9 - `
Gild'ng Inspector
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. 25093 Z Date AUGUST 10, 1998
Permission is hereby granted to:
ALBERT RATTI & WF.
1843 COLDEN AVE
BRONX,NY 10462
for
RECONSTRUCTION OF EXISTING ONE FAMILY DWELLING DAMAGED BY FIRE,
AS APPLIED FOR AND TO CONDITIONS OF Z .B.A. #4580, JUNE 11, 1998 .
at premises located at 420 LESTERS RD MATTITUCK
County Tax Map No. 473889 Section 114 Block 0007 Lot No. 008
pursuant to application dated MAY 1 1998 and approved by the
Building Inspector.
Fee $ 233 .40 f
Buildog Inspe6tor
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildir
inspector with the following: for new building or new use:
1. 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 buildi
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 e
'-'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 applicar.
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 - _ .25q.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $`15.00, CoommercCiial $15.00
/
Date . . .Y. h` . .l* . ./, /.�./.. . . . . . . . . . . .
New Construction. .. . . . . . . . . Old//Or Pre-existing Building. . . . . . . . . . . . . . . .
Location of Property. . . � . . . . . . . . . . . . . . . . . . . . % LIG { . . . . . . . .
House No. y Street Hamlet
Onwer or Owners of Property.. . .�✓t%er r. .T_.q_.``�.4<6' .•• . ReP • • • . .j. • • • • • • • •.
County Tax Map No 1000, Section. . .//� . . . . .Block. . . . 7 . . . . . . . . .Lot. . . R. . . . . . . . . . . .
Subdivision
s.c. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .a. .. . . . .Filled Rap. . . . . . . . . . . .Lot. . .... . .yf. . . . . . . . .
Permit No.423 � ./.. . .Date ,0f�Permit. .C�./WF4! . . .Applicant. ��1� . [? �•' -7• • • • • • •
Health Dept. Approval. . . . . . . . .1 fT. . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Temporary Certtiificate. . . . . . . . . . . Final Certicate. .� • •
Fee Submitted: $• •� i=. • . . . . . . . . . . . . . . . . .
00 -2� a1,5n _ �) ' • . . . . . . . . . . . . .
G APPLICANT
ENEAGY CODE CALCULATIONS
(For Notl-Electric heat) Design Criteria 6 , 000 Degree'.Days
/ I O.A. JU'F Z .A. 70°F
FOR: _ ,�� T,` PER: �v p
A 1 c < DATED: s <A�1�v t�� L
7r--�
DESIGN TIIERMEL REMARKS
SUBSYSTEM AREA "U., RATING
Exterior Walls (Opaque) /142 G , 077 4-100
Glazing f"] 8 2 4 32. ^$3 ---
Doors 30 yo ^
Ceiling/hoof (Opaque) 71 D
skylights
Floor ^71 5' O�
Foundation Walls
Slab Insulation
TOTAL
No Les:
Building Envelope SysL'enls to meet requiremenL•s of 7U15 . 2
nVAC Equipement to meet requirements Of 7U15 . 11
HVAC Systems to meet requirements of 7815 . 12
DucL Systems to meeL requireuleuLs of 7815. 13
Ventilations Systems to meet requirements of 7015 . 14
Tnsulatiou of piping Systems to meet requirements of 7U15 . 15
service Heating Systems & Equipment to meet requirements of 7015. 21,
Electrical L&rLighting Systems & Equiputent to meet requirements of 7015. 31
To tl+e best of illy knowledge, of NE NEW
belief, & professional
`
judgement, these plans arc 3.n yea
compliance with the code.
J` 032454•+ �cr
A�OFESSO
y
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TNRa i�rrnr
S;�K c,• SAN TN
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W,�& r. 6 9"111
APPEALS BOARD MEMBERS �gOFfO���oG Southold Town Hall
Gerard P. Goehringer, Chairman c ?� 53095 Main Road
James Dinizio,Jr. W x P.O. Box 1179
Lydia A.Tortora Southold, New York 11971
O • �
Lora S. Collinsd O� ZBA Fax(516)765-9064
George Horning �a Telephone (516)765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
REGULAR MEETING OF JUNE 23, 1998
Appl. No. 4580 - ALBERT RATTI PARCEL 1000-114-7-8
STREET & LOCALITY: 420 LESTER ROAD, MATTITUCK
DATE OF PUBLIC HEARING: June 11, 1998
PROPERTY FACTS/DESCRIPTION:
The above-identified property is located on the east side of a
private road known as Lester Road, which extends off the north side
of Westphalia Road, Mattituck. This parcel consists of 26,088 sq.
ft. (.59 acre) and is improved with a one-story/two-story frame
house and two accessory buildings, all as shown on the January 31,
1998 survey map prepared by Philipp A. Hattemer, Jr., Surveyor.
BASIS OF APPEAL: Building Inspector's May 19, 1998 Action of
Disapproval which reads as follows:
" . .the nonconforming building containing a conforming use
which has been damaged by fire or other causes to the extent
of more than fifty (505) percent of its fair value shall not be
repaired or rebuilt unless such a building is made substantially
to conform to the height and yard requirements of the Bulk
Schedule (Article XXIV, Section 100-242). Under Article XXIV,
Section 100-244, nonconforming lots require 40' front yard
setbacks. The existing building encroaches on the front yard
setback by +- 4 ft. The applicant is requesting an additional 3
feet for the new construction. With this, the new construction
encroaches 7+- feet on the front yard setback."
AREA VARIANCE RELIEF REQUESTED BY APPLICANT:
The variance requested by applicant is to reconstruct the dwelling
recently destroy by fire with a reduction in the front yard setback
to 33.4 feet at the closest point to the private right-of-way (to the
north).
(Note: The new step area at the front of the dwelling has been
modified by the applicants to show a size of 5' x 61, or 30 sq. ft.
pursuant to Section 100-13 under exclusions for building area.)
REASONS FOR BOARD ACTION:
Applicant's home was destroyed by fire. applicant wishes to rebuild
on the existing foundation, and to extend the front of the house
three feet beyond the foundation on supporting pilings.
Page 2 - June 23, 1998 I
Southold Town Board of Appeals
Appl. No. 4580: 10100-114-7-8 (Ratti)
On the basis !of testimony presented and personal inspection,
the Board makes the following findings:
(1) The ho se faces a private (right-of-way that terminates
shortly after it passes the property. The property is wooded and
the house is screened from the road by trees. Other houses along
the road have similar setbacks. Inview of these factors, the
granting of the requested variance will not produce an undesirable
change in the character of the neighborhood or detriment to
neighboring properties.
(2) Rebuilding on the existing fol'undation is the most efficient
and economical approach for applicant to take. Increasing the
setback to conform to the 40-foot requirement would substantially
increase the cost. 1111
(3) In light of the location of the property near the end of an
unpaved private road, and the wooded character of the property,
the requested variaiAce for a 33-foot setback is not substantial.
(4) The requested variance will not have an adverse effect or
impact on physical or environmental conditions in the neighborhood.
The Board concludes that the following action is the minimum
necessary and adequate to enable appli2ant to reconstruct the house
while also prese ving and protecting the character of the
neighborhood and the health, safety an welfare of the community.
RESOLUTION/ACTION: On motion by Member Collins, seconded by
Chairman Goehringer, it was
RESOLVED, toll GRANT the variances as applied for.
VOTE OF THE BOARD: AYES: MEM�ERS GOEHRINGER; DINIZIO,
TORTORA, HORNING, and COLLINS. This Resolution was duly
adopted (5-0) .
ARD P. GgEH NGER-$- CHAIRMAN
114-7-8 (Ratti) Approved for Filing
i
I I
FORM NO. 3
TOWN OF SOUTHOLD
BIIILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: . May .j! ,_ _1998 . .. .. . . ..
ToAlbert Ratti
.. . .. . .. ... .. . . ... . . .. .... .. . . . ... . ... . .
Private Rd. #22 & Westphalia Rd. (420 Lesters Rd.)
.. . . . . . .. . . . . . . . .
Mattituck„-_. ,
... . .. . .. . ..... .. . . . ...
PLEASE TAKE NOTICE that your application dated ... . May.1 . .. .. .. ... 19.9.8.. . .
for permit to reconstruct a,tire .damages] ,seasggal ,dNelligg... .. .... .. .. . . . ... . at
Location of Property . ....424... . . ... .....testeKs .Rgad.. .. ....... ..Xattituck.. . . .
House No. Street Hamlet
County7Tix Map No. 1000 - Section . .114 .. .... BLOCK . . .. .. . .. . LOT $... .. . ... .
Subdivision ... ... .... . ... ....... ..... . ... . Filed Map No. . ...... ..Lot No. .. .. . . .
is returned herewith and disapproved on the following grounds that the nonconforming
building containing a conforming use which has been damaged AX f;re, or otAer caqses •_„
Jo.the.extent of more than_fifty.percent .(SOZ) of,its .fair valge gtjgkt .qqt Ae regained„
,or,rebuilt unless such building,is made•substantially tq conform tq the height and yard
.. ...... ..... ... . . ..... ...
requirements of the Bulk Schedule (Article XKIV, Section 100-242). Under Article XBIV,
. . . . ... ........ ...... .. ... .... .. ..... .. . ...... ... . ... . .... ...... ....... . .... .... . ... .. .
Section 100-244, non-conforming lots require 40' front yard setbacks. The existing
. ..... . ..... ...... . ... . ... ........ . ... . .. ... . .... .. . . .. ..I.. . .. .... ... . .. ..
building encroaches on the front yard setback by +/- 4 feet. The applicant is
........ ........... . ... . .. . . ..... . ......... ... . . .. .... .. .... ...... . . .... .... .. .
•reyuesting.an.additional.3.feet.for.the.new.construction:. With thisthe new ll.cons.t.r.uc.t.i.on
. . ... . . . . .. . . . . . . . . ... .. .... ... ... . .. .
•encroaches +/- 7 feet on the front yard setback.
......... .. . ... . ... . ... . .. ..... . .4.. . ..... .. . ... ... . .. . ... .. ... . .. ... . .. .. .... .... .
.. . ..... .. . ........... . . . . . ... . . . . . ... . .. .. . . ... . . . .. . . ... ... ...... ... . . . .. ...... .. .. . . .
Actipn reguired.by•the_Zoning.Board,of
. .. . ... . .. .. ..... . ... . .. . . .. . . .. .. . . . ... .
. . . . ... ... .
BIIILDING INSPECTOOR
RV 1/80
��o�OgpFFO(��OGy
Town Hall,53095 Main Road y Z Fax (516)765-1823
P. O. Box 1179 W� • Telephone (516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No. a5V7 5
Owner: �LBen7 �/lelC� JT �d✓l
(please print)
Plumber: Azylz-mG
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
( rs Sig e)
Sworn to before me, this
day of 19
Notary Public, County Notary Public
State of Newyork,Qualified in Suffolk County
Registration No.OlES6017699
DIANE ESTLING
Appointment Expires December 14,20J
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8@734@5 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date JUNE 2 3,1999 ALELica on o. on tle 17188498!98 H 064726
THIS CERTIFIES THAT rCi1�IT rO. A5d93
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ALBERT RATTI, 420 LESTERS ROAD (PRVT.RD.22) , MATTITUCK, NY
in the following location; ® Basement 0 Ist Fl. ® 2nd Fl. OUT Section Block Lot
was examined on JUNE 17,1999 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES I RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLET$ INCANDESCENT FLUORESCENT OTHER AMT. I K.W. I AMT. K.W. AMT. I K.W. I AMT. j K.W. AMT. I H.P,
19 42 13 19 1 8.8 1 1.2 3 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS MUSYSTEMS LTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS M.P. AMT. I NO. A.W.G. I AMT. AMP. I AMT. AMPS, TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
8 600
SERVICE DISCONNECT NO.OF S E R _ V I C E
METER NO.OF CC COND A.W.G A W G. A W.G
AMT. AMP. TYPE METER 1 0 2W 1 0 3W 9 D 5W 3 9 4W pFR 0 OF CC,COND. NO.OF HI,LEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
WELL PUMP F-1
PADDLE FANS F--5
ELEC, ROOM NE,4TERS:1-1.5 K.W.
ELEC„ WATER HEATERS-. :1-•4.5 K.W.
SHOKE DETECTOR: -6
LL
ALBERT PATTI GENERAL MANAGER
P. 0. BOR 359
W00TITUCK, NY, 11952 Fer Imp 1
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be idbirfified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACES CHIMNEY
REMARKS:
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: _Z,/1-�'
tA
DATE l INSPECTOR `"�
i
� sz)
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R0VGfl,PLBG.
[ ] FOUNDATION 2ND [ - " INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
r Gi
DATE � ` y� I� INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ FO NDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND INSULATION
L vl L ]
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REM KS:
NOT PROCEED H
FRAMING UNTIL SURVEY
Of tOUNDATION COCATION
HAS BEEN APPROVE-11-
DATE
PPROVERDATE INSPECTOR
c
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FO NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
rL
s
p <
DATE d �-31 ✓ INSPECTOR
M-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ "] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE / INSPEC R
r
• -i �_ 11�ll ��'- atm
a�
WN.��,
U111i'm
BOARD OF NRALTN . . . . . . . . . . . . . . .
FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTIIOI.D SURVEYBUILDING DEPARTMENT CIIECR . . . . . . . . - • • - • • •
"TOWN HALL SEPTIC FORM . . . .. . . . . .$011'1.110LD N.Y. 11971
TEL: 765-1802 NOTIFY: 71®-?
9p� CALL .a/. .�. .1.�15. . . . �/
liuramnined. .. ..!/� 19•••U �,//���/ MAI1. TTO.4' P%
A urov ... 119 MAI
Pencil: No. l,/ l ��1..��,,,��,C?L......, l}!/L.....
I� /s� q q ...... ... .
Disapproved a/c ...'�% .•� !. .!./. ... ....8 ..! .`,f....��!!`'.Z.....
(IMuilding Ina Cor)
APPLICATION FOR BUILDING PERMIT 9 c�
Date.�� . /. . . . . . . ,
INSTRUCTIONS
a. 'Buis application must be completely filled in by typewriter or in ink and submitted to the Building inspector wi
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 giving a detailed description of layout of property must be drawn on the diagram Which is part, or
this application.
c. 'Ihe,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
permit shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in Wixule or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by Tire' Building inspector.
APPI.iwi m IS HEREBY MALT: 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 i.aws, 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,iad to almit authorized inspectors on premises and in building for necessary inspections.
.....................................................
(Signature of applicant, or rime, if a c0rp0r8ti0n)
(Mailing address of applicant)
Y
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pludrer or huilde
/.!{e``............/...............y.{........................................................................
Name of: owner of premises .... f? N ....tl...` L/G�.... ..........................................
(as on lire tax roll or latest deed)
if applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders i.icense No. .........................
Plumbers License No. .........................
Electricians license No. .....................
Other Trade's License No. .................... pp .I / ,yy.�1
I. Location of land on which proposed work will be clone.�d..Yt.U( s...�Y.'a:'.�L.. t.'`-�.T��../.:.*••.C•.............
� �=..1<I ?..�A!�1�....R. ............................ ............................
(louse timber Street ilaF�det
County Tax lisp No. 1000 Section ...f/�....... Block ........7 ...... int .....:5........
Subdivision ...................................... Filed Map No. .........4..... int ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........5 ItI 7)je....L.e 7!L ..... !?^�G.� ......................
..........:.........
b. Intended use and occupancy
� 11
1. Nnlnl'e of work Will& iwiddt a
I1lcable)t New Building ....t` Addition .....(f: 1' /(lieration .
R.,�.. .....
Repair
Removal .......... 1lettoldtlar ............ Other Work ....}.. ,......
�//�w��/r^
4, liatinvited Cost+/..l.J �
yr. �,. fee ....................... .......,�st�..,�+.,,.�:. ,z1.,,�;,�. :
'. FIcmEN• '
(Co be paid On Filing this al>[nlical•1on) .,�
'
5. If (Melling, onnber of dwelling units .... ....... Mui)er of. (hrelling units of each flour ................
Ifgarage, txnber of care ... .0.............................
6. If Intadtess, mmercial or mix�l'occupancy, specify nature slut extent of elicit type of use...........
...........
�. `' 1 .�y
7. 111manaions of existing structures, IF any: Front..,. R!?;.. Rear ... � llep[lu 'S /
IlaighL ......�.........Y./�1`�N:. Molter of Stories ...z.................
.
Dine"aio s of Sara structure wait alterations or addition: Front ............... Rear ...............
Depth .................... Bel it .................... Nnber of Stories ...............
Y 99( > .
[l. Dhtenalans of ends odt+ carnetkuclaon: Frani . =SY ... . Rear ...e?�........ Depth ... rl...
Ileigdnt .......................';.. Nueier of Stories .....................
I
9. Size of lot. Dont .....,..... ......... Rear .................... Deepth/....................
10. Mile of Ntrrilase ..,..$17!?.,....... Nara of Former Owner ...g-<1 e4,l,G!...................... .
11. Zane or use district in rAnldn premises are situated ............................ ...............
12. Does proposed construction violate any zoning law, ordinance or regulation; ........................
13. Will lot lie regraded ,b....... Will excess fill Ice removed from premises: YDS 7/A
14. Bailee of Owner of premises ../,t.3`/Jl:.......... (ukdresa �� .`r�!f/�f4.��lL �� /oYGllnane No Balg�gs
. Win......
Mane of Ardnitect .................................... Arklress ......... ........:............ l7wre
Note of Contractor ................................... Address ...............................Mone No. .............
15. Is this property within 300 feet,of a tidal wetland? * YRS .......... NO ..�1�.
*IF YIS, S(1O11KHD IU14H ITMMS FRI44IT AMY M RS(r1IRIdO.
PLOT DIAGRAM
locate clearly and distinctly $11 buildings, whether existing or proposed, and indicate all set bat-k dimensions
from property lines. Give street and block nmber or description according to deed, and show street nares and indicate
w1kether interior or corner lot.
5'Uk Ve
SI'A'II: OI% MW YORK,
(MMY U? ..................
(Nate o kill, ei ctntrst ...........—being (Judy sworn, delouses atxl says that he is the appl.i(anl.
"oiuB
alxrve nmol, //rr��
Ile is the ....�./,...1.,,r......'
(Contractor, agent,-corporate of:f:icer, etc.)
of said dwnter or iwmmrs, ard,ls chtly authorized to perform or fume lerforned the said cork aoxd to nuke nix] file this
applicnLion; dial: till statements ccxut�ioed in Lh(s oppl.icatiot are true to die hest of his knowledge and lxilief; tuxl
that Lhe work will be perfonrad In Ude nermer net Forth in the oplitication filed tlmrewitit.
Nwurn tobe�)re lie Lhie CJ
...! ....../�.(Illyy�of/J / .....i9./.. .
Nota Fublic `21 G1rGl .. ....... .
HELENE D.HORNS re •.
(Sigomture of Applicant)
Not..ry Public,State of New'York
No.x$951364
Qualified in Suffolk Coun
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ESTPHALIA ROAD
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
THE OFFSETS OR DIMENSIONS SHOWN HEREON,FROM THE PROPERTY LINES TO THE STRUCTURES,ARE FOR A SPECIFIC PURPOSE AND USE,THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY
LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES,OR ANY OTHER IMPROVEMENT
PUBLIC WATER AVAILABLE ❑ WELL WATER ® INDIVIDUAL SANI(ARY SYSTEM SANITARY SEWER COLLECTION SYSTEM AVAILABLE ❑
ELEVATIONSTO Snfhtk C.e,.ry DATUM OFFSETS TO FOUNDATION UTILITY EASEMENTS IF ANY NOT SHOWN US STD MEASURE
SURVEY OF: -DESCRIBED _ PROPERTY _ _ _ CERTIFIEDTO:. ALBERTRATTI
S.C. TAX MAP: _ 1000 - 114 - 7 - 8
SITUATEDAT: MATTITUCK , TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y. =
O COPYRIGHT 1998 BY
PHILIPP A. HATTEMER JR. LAND SURVEYOR '
EAST PATCHOGUE , N.Y. TEL . 286 - 2112
FAX . 286 - 3808
n SCALE_ a 20--. FILE NO. 924 DATE 31 JAN 98
NYS LIC NO 47412
w ,,t PLUMBING
?� r ALL PLUMBING WASTE
Bi WATER LINES NEED
TESTING EPORE COVERING
PLUMBER CERT/F/CATION
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ONLEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED /N WATER
4" 0 SUPPLY SYSTEM CANNOT
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If COPPer tubing is used
for water distributing
O� PROVIDE ANTI-SCALD AND/OR system;piping Shall e
THERMAL SHOCK PREVENTING Of types 1( ornw
DEVICES AS TO PART. 902.6(K) UNDERWRITERS
CERTIFICATE
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N.Y. STATE BUILDING CODE. REQUIRED
PROVIDE OPENINGS FOR
'
EMERGENCY ESCAPE AS. PROVIDESMOKPDETECTING
a1 I REQUIRED BY PARI. 714 OF ALARM DEVICES PROVIDE OPENINGS FOR
N.Y. STATE BUILDING CODE. AS TD PART. 721.1 EMERGENCY ESCAPE AS
N.Y.S BUILDING CODE. REQUIRED BY PART. 714 OF
N.Y. STATE BUILDING CODE.
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