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HomeMy WebLinkAbout24669-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25770 Date: 06/10/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 4326 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 9 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 1998 pursuant to which Building Permit No. 24669-Z dated FEBRUARY 11, 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RALPH F. & ALBA RAGUCCI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 21375 05/13/98 PLUMBERS CERTIFICATION DATED N/A t � //iil 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) Date..... ........................... 19....95... 24669 Z Permission Is hereby granted to: Ro.QANNQ.. ...................................... .......240-11,,.MARYLAND..AU.Ei................................... ........P.Rw0,4A.QLQN.1.w...11.34..2................................... to.....G.QNQ190;T...AN..AG.QR.QS.QR,y.,.,2...GA.R....QARA.GE...0...T.H.R..RR.W.T.RZIP..YARD...W...A. .........N.AT.�RFR.QN.T..,A.WF4 ANG... S..APR..lJAW..FS7RA.................................................................. .................................................................................................................................................................. ........................................................................................................................... ... ... .................................................................................................................................................................. at premises located at................4326 WESTPHALIA... D,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,MATT, TU,X........ ....... ... ..................... County Tax Map No. ...,4,73889,,,,, Section ...1,13............. Block ....0009 ..... Lot No. pursuant to application dated ...JANUARY 28,,,,,,,,,,,,,,,,,,,,,,,,, 19.....9B...., and approved by the Building Inspector. Fee 5...50.20...:..... . .................. Building Inspecto Rev. 6/30/80 Form N o. 6 TOWN OF SOUTHOLD MAY 2Q Pi,,I BUILDING DEPARTMENT TOWN HALL OLDG,O 765-1802 TO �6 ! APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: 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 17 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. S. 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 h reasons therefor in writing to the applicant. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0/0, Commercial W.00 // Date . . :,� /lo'?,'/�,/,�, v. . . . . . . . . . . . . . . . . . . . . . . . . . yew Construction. . .Y. . � /. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . aLdA vocation of Property. . ..41-3. . . . , W Vis.,.P F. . . . . . . . P,D. . . . . . . . . . .�� 1 (�T� ✓teF . . . . :��. . . . House No. Street Hamlet nwer or Owners ofProperty. .� S?`rp�. . . : ? G✓.cc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;ounty Tax Map No 1000, Section. . J/.:A . . . . . . .Block. . 0 9 . . . . . . . . . .Lot./P-., �! . . . . . . . . . . . . . . . ,ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . .'. .-_. . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Q7! /o�.� Z ��/.�9�. . .A licant..f/�s�' o Goi.ISJ, G'oR? ,ermit No. . . . . .Date Of Permit. . . . . pp . . . . . . • Iealth Dept. Approval. . . . . . . . . . .Underwriters Approval. . f� . � . . . . . . . . . . . . 'fanning Board Approval yV M 'D2e> request for: Temporary -- Certificate. . . . . . . . . . . Final Certicate. . . . ee ubmitted: $. . .P.4� . . . . . . . . . . . . . . . . . . I- . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT P11:1,lhllilit'I_t;i'lll�l_Ilhl'llli'r��`•_Il Ik _ 11*OdWt �1 rnnnnn'rlun ( I!1'r) •u. I;OnriDA-r l to 1 (2111) nIII al r'Ilnru: a — —0 A?� 1'i.11l III111t1 't. J 111!,III.A'I'i Ilfl I•I:II it, Y , !1. ATI'. I!IIIi11f1Y Clllll`. i _ ___^__ _ _ _. _ _ ___^_-________________ VI IIAI. ------------- . _______ ________I----------____________________-___-__-________________ . Alli ITIt111At � o — fit t•- —. 1 .t it tuTAn;. MqP or P.¢ov��erY /9r /Y�/IYTr�f!/cK 1�wyoF�adr/��*� G /V. y zew N w w I Weov i I Olrt Unauthorized alteration or addition to this survey Is a Noladm o1 Section 7208 of IM Now York Sim Education law. Coplss of INs swvey map net bmh da lard surveyors MW OW or embossed seal Nay notbacaWdsrad to be a valid btu COPY. gyp Guarantses InrBCaYd hwsen/1111/111100111 onlyto tha pewon forwhom dM waveY 20 rJ/ Is prepared,and on Ns behalf 10 M title company.0ovemmmad spway and lending Institution Awed trraan and to da asaloneet of the W drg MIRIA n. Guarantees are not trarulerada to additional Inatituiions or abw011wnt owners. �$gD LANOg& V G9`4aA\ 1\ * Q 7 � ,9T 33696 OFNEW Y0 f/h'ApL 4�i�•t'�}2/i�.°'•Laa./�iD.64H/q/�`�L9 c+uup�riav Zoe.Mr�4cyz//yyB �l Qn w9y � /✓'.e'�o�1 0� o f1.Vr.SFsc'✓K/.L'�'st�il��1'oo�vsxi� Pio.$OXy�/d -lrsicf�v.1/ .//107/ ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONA VENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 21375 DATE: 5/13/98 - - - ,APPLICATIONNo.ONFILE ` VILLAGE' MatBtuck TOWN: Southold ADDRESS: 432h Wexjphalia Road ISSUED TO: Ralph Ragucci INrRoou was examined on 5113198 , and found to be in compliance with the National Electrical Code - LOCATION: Base_ - Ist xx 2nd - 3rd Attic - Det.Garage xx Hot Tub . . Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.L. AIR.COND. 3 5 3 1 : DISIIWAMER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR FURNACE OIL GAS CIR. MOTORS BELL TRAM SER WCEDISCONNECT MSTM MBS PMM OTHER " EQUIPMENT HUGOS. SURDI PRESIDENT - BUILDING PERMIT No. _ '�tus wlnLcacemustnotoeauaedmanymanna - ' jwpe nmaywde�ti&dbrth..d.,tial. BLUE . ORIGINAL YELLOW COPYPINK COPY OFFICE - A 717- 11 r ' Y $ r x . 1 rs , pax a 1d;1� 4I 3o G, taw 1 -y, 4 �P��L. � TM 11� v. • �F o�ji '�1� �� .v , , ✓.. l✓.�U ('.., 4� r A1T .- - 1 A=LP4} aT� � 6►J l�pc>trcc 1 . �wpYWl 7— ;t 3 —;t3 ji s• ��+14.1 + AllAllAllAllll c c c c c 7 � i - w .�. • 11 A � �N1x, .. Q.fi N O 1 ir✓ . lfil , i r m h el, �w&3Z (>1. Fi LIA ' A l7. � 3Ge zea' as pi � Y �• ,. '.tai: -,�• `.$ �Yri''�',�' C. -�G 1� b , r i �• Via• n "\il,. 4 1) a - (wl 0,001 Pvo 'an4�--.,,1,� .�.(5f�m y+, '.�' �`, 'k,-'�"% r�-. _'_ -�__ v � 'S�rxf., ..- ..�..•, +i.<i .+l<a. . ..t i ' W oIKuTots WA MINNIw 'li-11Ui'C �C?IUUKNIYf G� KAhAN�N by % .Yaz"is".'goE /o�sS� MA.P ar P•¢ov�.eTY ,9r /19�TriraC�Tr�N��ad//��v G /✓, Y" w � N w a qb6l 7— Woov Fourvp l� p.. ly Pc Go'l.� �U ✓ Za.r/ 6��yED IANC�O LE W,9 9G r� foo * Z: w " o < z 9y `93698 �F New Y 0�� ���/orriau Loc./wRe✓rz//998 �l ___--- /.f idsy flVrhlyVyW.LEK�/J�YoaeV'4e '4? ,P71 t� ,ZAAA9✓4WAaFYOIZ �yc .r/sf i/y7/ � I 765-1802 BUILDING DEPT. INSPECTION [ VrFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � INSPECTOR G� M-1802 BUILDING DEPT. f INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 1] SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR j ,, ii , , -� . � _ -�����_----z =_ -- `_ --;r�-____�a-�_--- - --- -- --1�_--- -_-- _ -- -- -- -_-- � � .�;-, - BOARD OF HEALTH �.. . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . R TOWN OF SOUTHOLD SURVEY • • • l5 BUILDING DEPARTMENT CHECK p`t t�„1+�'"`, TOWN HALL SEPTIC FORM r. . . . . . . . . . ( 11ji SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: F CALL �AP� �,�,iSo�'].Z �FflS( FLOG.U S'1 Fxani DouN OF SOU)HOL{h ds MAIL TO• . . .. . . . . . . . . . . . . . . . . Approved.................. 19.... Permit No. .K2 ..... .................................... Disapproveda/c .................................. .................................... )13uildingIns tor) AP ICATION FOR BUILDING PERMIT / Date.ll�.�. . . . . . . . . . 19ft 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be caarenced 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 whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ARPLICM(M IS HMW MAD. 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 descriUed. 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. ................ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) /q7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... rY w�?P lT .. .a.o-✓.4.c o'.1.v P ,....................................................... Nam of owner of premises ......... .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Nam and title of corporate officer) ` Builders License No. .U%3-r#4...vla q........ Plumbers License No. ..=................... Electricians License No. .. �O m� .C....... Other Trade's License No. .................... 1. Ivcatiou of land on which proposed work will. be done.. n? ?ties 1.... l......t... ...................h1>xlC�at cc .. `�:..�1g5a:........ House Number Street hamlet Canty Tax Map No. 1000 Section ...11... ........ Block ,.O. .......... Lot ........ Subdivision .....I.............................. Filed Map No. ............... Lot ............... (Nae) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................. b. Intended use and occupancy ........ "'... V .. +...., . n�E.?.......A....Gg=....................... 3, Nature of. work Wiec:k which n�1licable): New Ihuildin,. .......... Ividition .........: Alteration JS�Ers. G a ti fl✓AVA7a// (> Repuur ............ Removal lei.......... Wnolition ............ Other Work .. t ...........: ....circ... (Deacr i pt icon) 4. Esdulated Cost .....�. / o o.�.•II�:°....... fee .............................................. (to be paid on filing this al)plication) S. if chaelling, number of dwelling units ............ timber of chaelling units on each floor ................ Ifgarage, nnber of cars ...................................... 6. If Ixlsiness, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dinx:nsios of existing structures, if any: Front................ Rear ............... Repoli ................. Ikaiglnt ........................�i. IAnix:r of St.oriea ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... DepW ..............:.:... lieigllt .................... Noliuer of Stories ............... R. Wisensiot of entire new construction: r / ' .�, rtuctioo: From ...rx.c7�........ He, ..,.1.41.......... Depthq'1,!f,,,_„.,,, height ............. ... .. Unix. of Stories "..0. .... ... . z 9. Size of lot. Font ./...,),...:.i,......... Rear ..�Q(o.36 ...... 11e UI Y 7.� 10. Dare of P uramse w7.(f;3[�.�.III....... Una of barer OA)er t p ......A�� .•.... r ,e s>�n yam..5�':'. ..-:�............ II. Zcxe or use district in wllidn premises are situated .............................................................. 12. does proposed construction viollate any zoning law, ordinance or regulation: .................. 13. Will lot le regraded .......... Will excess fill be removed from premises: YES 14. tktires of. Owcer of Premises lZ�131,Pi{1 ALO/Y,(�i�G,voc (. lxktresso.3a .1.135•t�l �r c(C Plnrnce Nine of Archlfeet �1Av.�o ... .4't2�................ kkiress�..'.......................... Ilnone No. ....../........ Mice of Contractor):65d,t.oK.9.�:sG,'.'.p 0............ 15. Is this property 00 feet of a tidal wetland? * YIDS .�.... ND .......... I (e Y * 1 mn PERMIT illy ISE RGCil1IRE1l. PLOT DIAGRAM locate clearly and distinctly al4l buildings, whether existing or proposed, six] indicate all set-back dimensions frons property lines. Give street mold block number or description according to (need, and allow street names and indicate wlnetluer interior or corner lot. I SI'KIE (Hr NV WWK, SSI, UllfN1Y 0Ir _...... ..(,.1.5.4?...�R..................lueiog duly sw()rn, deposes moi Rays that he is the applicanL (&-vitt of individual. signing contract) li alxrve nnted, lie. it; file ....... t. gef?f 7-..I (Contractor, spent:, ciorporaCe officer, etc.) of said owner or owners, six[ is duty authorized to luerfonn or have performed the said work awl to make six] file this application; Lhal. all sfat.emeuLs co l-4ined in Wis application are true to the IesL of his knowledge and lelief; and thaL the work will be perfoncled in the uvinner set forth in the application filed Unerewith. Sworn to Ix:fore se Lhis - z� . ..—..day of KLaryPublic `./ : (Sigrlat:ure of Applicant) HELENE D.HORNE Not..ry public,State of New Yorkl No.B951364 Qualified in Suffollc County pg Commission Expires May 22, 1 II 1, q li zr j • inu Y 7862 9 AAA TO 4 'M FOR 7IL I LU'VVflN- r INSPECTIONS: ' =OUNDATION 'IL11(?REAIUECFL2 i `�01: POURED CONCRETE Crl•1' f+- � ? ROUGH - FRAMING Rt PLUMMN(i INSULATION N IiPk i rp"1 L 4. FINAL - CONSTRUCTION MUST X12 �`��� ('L`r^• RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL IVIEET I , 3'E,,X rrl _ THE REQUIREMENTS OF THE N.W, Z—r �_ 1_____.- ` T t __-�___—._. ,r - `:'WE CONSTRUCTION & ENER(:V _ per.. 2�.fi - l In OC - 4)ES. NOT RESPONSIBLE FOi p4ocD CuL;S;GNOR CONSTRUCTION ERROR'-- 41 RROR' — I eY � ( r OCCUPANCY OR �FpSE IS UNLAFUL WITHOUT CERTIF CATEI / Y� r OF OCCUPANCY L e F(A y.c I UNDERWRITER 'p- �._ 'rF Fi nr0,e slt c c. — b S CERTIFICATE _ 3 ✓P n� �- ,"3' GT 14 �' �n '� REQUIRED ; rG W � '� r I i 1i `C) LA A': nloni, _9_, - RALPIi � A�f3A I�AG "JCCf '/v` I`p° la I . 214K2.'f Gp,R I�GE car lS AUG k acn F I I d j II 97n rlr E! b4 I- 1 L �a iJq CL, r V A T E Ue ' y , 3Cvf, 3 1PCO [,6W EP tart P------- r FPh• i �i I•Y _ — _ �-. -_,\�- 2 �'t ; Z4au3 u _ I ', �f x � SgeT 1 — pidGE % GRHI TIL r, eFUnr. rII li� CCP L(' Cr1MC IM i,I) 8LL,_9C!+L, V.I{,Cit 7E 1'r114L"•I kL�� .__ Igg! 1 I , � Irk � gi�lel,or. Boers _= IS `•xy� ' f , I I " Li G _-r • -_� err � n,� x�� ,-- — - - - - - f! R Ei ' .,, EVf SIaN/sj N c 'dJ irrne� Aoat? -'� R 1�..) �1 P L '... L�i42 % = IbIoF----- -- - IxZ4 GA9 �G�': f(�L5-f ft'JCTIlN ..�.$L�_