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Home My WebLink About23330-z i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24588 Date August 22, 1996 THIS CERTIFIES that the building addition Location of Property 5635 Westphalia Road, Mattituck _ House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 12 Lot—4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 19, 1996 pursuant to which Building Permit No. 23330-2 dated March 22, 1996 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 a one story addition including a garage addition to an existing one family dwelling as applied for. The certificate is issued to Robert and Donna Neudeck (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. Pending-August 23, 1996 PLUMBERS CERTIFICATION DATED N/A Z4 /"(,;/ uilAing Inspector /917 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) 9 / Date........I...... .. N� 23330 Z Permission Is hereby granted to: p 5�5'S�.,.vGOP`s.T.��f✓d`i/?...,o r!..'................. to ..... L1 4!1.C�.j... ........... ............ !! . .�r..........�%... . ........... 1�7 ........... .........�1�..... nc. !- j:............% r. r....... 1�2�� .... ........ � ...�- . ... a..... ,� F ........ / .... ...............:..., ,..........................'........... at premises located at........... ........ ........................................ ........................................./y1! ! !7 / ....... .... County Tax Map No. 1000 Sectlon .....11-33............ Block......./...�............ Lot No. ......��..,....... pursuant to application dated ......... � •••••...................1 19.....47-W.... and approved by the Building Inspector. Fee$.. 7 . y /'/ .............................nspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 1% 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. B. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .251� 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. . . .: S. . . . . . . . . . ... . lt�Ct. . . . . . . . . . . . . . . . House No. St eet Hamlet Onwer or Owners of Property. . .'.1f/ C . . . . . . . . . . . . . ...�. . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .` F. . . . .Block. . . . . . . . . . .Lot. . . . !. . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . PermitNo. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . FeeSubmitted: $. . . -5... . . . . . . . . . . . . . . . . . . . rec 5/8zZ ///.' . . . . . . . . . . . . . . . . On _2�_Z q ggry APPLICANT "f lliLU`" I1'vc('(UTI It I'UIt'I UA 1' (. -- ---`---------------- '- - t F(rIIIIHAT 1011 ( Is'I') ------ - -' _.... � -= ----------- -------------- ---- ---------1.-----_-==Q -------------- --------------------- ------- ------ - -- _ I an ,e, ear _ I _ IU)111:11 rltnrlr R , o IrI.NmI I IC l nape---------anti-------- e- --- Z -------------- � _ m ars nlsuLn'Tron rrlt N. Y . �,C� �� /- -- - - c / �" srnrli r.Nliltry _ p �,t0,�� C011li - - _ --- r nlA1. - --- ---- -- --- -- - ------- ------------- THE ,—..,,,.--- mTHE NEW YORKBOARD OF FIRE UNDERWRITERS 4yIN WE ARE IN THE CERTIFICATE OF C( LANCE FORT NG THE ELECTRICAL INSTALLATION AS COVERED M AN APPLICATION NOTED BELOW. APPUCATIONNO. LOCATION ✓)4�i(*`(.j;* CO3 C 1�� I-I A- INSPECTOR. � DATE -7- IBC(REV 9/80) �G�a Q 6UW /Ga( -- -.N L 11 THE NEW YORK BOARD OF � FIRE UNDERWRITERS PAGE 1 1195204 BUREAU OF ELECTRICITY - F 85 JOHN STREET; NEW YORK, NEW YORK 10038 Date AUGUST 11,1995 Application No.orifefe 88799395/95 N 360516 THIS CERTIFIES THAT ' r only the electrical equipment m described below and introduced by the applicant named on the above application number in the premises of BOB NUEDECK, 5635 WESTPHALIA ROAD, MATTITUCK, N.Y. in thefolloming location; ❑ Basement ❑ I..,t Ff. ❑ 2nd Fl. OUT .Section Block Lot upas exam ined on AUGUST 07,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER T. K.W. AMT. K.W. AMT KW AMT. K.W. AMT N.P 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT I TtMECLOCKS I RELL UNIT HEATERS IMULTI-OUTLETDIMMERS AMT. K.W. On I H.P. GAS H.P. AMT. NO. A W.G. AMT, AMP. AMT. AMPS TRANS. axr. H.P SYSTEMS NO.OF FEET %niAi warts ' SERVICE DISCONNECT NO.Of S E R V i C E METER NO.Of cc.GOND. A W.O. A.w.G. A.W.G. AMT. AMP. TYPE EQUIP. IAtW 1,63W RA3W 3X AW NO.OF HIAEG NOxOf NEUTRALS d PERE OF CC.GOND. _ OF NEUTRAL OTHER APPARATUS: - SWIMMING POOL-1 G.F.C.I-1 FILTER PUMP 1 HP-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only, Because of unusual environments it is advisable to have frequent test/and or repairs p made by a qualified person. t� <<< Continued on Page 2 >>> GENERAL MANIAS ER.__ Per . -_) This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors mall be identified by their.credentials. 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195204 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 11,1995 Application No.on file 88799395/95 N 360516 THIS CERTIFIES THAT fr only the electrical equipment as described below and introduced by the applicant named on the abode application number in the premises of BOB NUEDECK, 5635 WESTPHALIA ROAD, MATTITUCK, N.Y. in thefollowing location; ❑ Basement ❑ lst Fl. ❑ 2nd FL OUT .Section Block Lot was examined on AUGUST 07,1995 and found to be in compliance with the National Electrical Code. FIXTUREECEPTACLES SWITCHES FIXTURES RANGES COOKIN OUTLETS GDECKS OVENS DISHWASHERS EXHAUST FANS OUS INUNDESCENi FIVORESCENT OTHER AMT. KW AMT. K.W. AMI. H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMi K W. OIL H.P GAS H.P AMT. NO. AWG AMT AMP AMT. AMPS. TRANS. pM} R p_ SYSTEMS . AMT WATTS SERVICE FEET SERVICE DISCONNECT NO.OF - S AMT. AMP. TYPE METER t a]w t,s sw a a aw 3 a�w No of Cc.coND A w.G. EOUIP. PER% OF CC.COND. NO OF HbIEG Of M L G NO. NEUTRALS OF'NEULRAL OTHER APPARATUS: KENNETH F. SCHUHMANN, JR. P. 0. BOX 422 CUTCHOGUE, NY, 11935 GENERAL MANAGE1L_ Al ` \ 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. r O�Og0FFOLIr "MCD Gyp CA a Town Hall, 53095 Main Road p ' Fax(516)765-1823 P. ,. Box 119719y �aO� Telephone(516) 765-1802 Southolde OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Robert J. Neudeck 5635 Westphalia Road Mattituck, NY 11952 To Whom This May Concern: We a e unable to complete your Certificate of Occupancy be f the following reasons : M An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. Ili x%x The check is (-owt-dat-ed/__npt on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23330-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. -------------- h1- -- -- -h1-77'Z4'E. - 104.0 r �{ 6.3L8.3 'f'iRC' /-PA � ,r+�-cei:a#/ .y�CJ IG1 w. fimr on o rr �r - C ox :'JG•',✓k zEr_ 'i p;'4l '• '� IY':f"}A-� t S J E•l S OF !"C LiP wor T t5voz,YO IV,14-10 14rog- j4'I• j t'l14T7~I4rlC.f'S`,. ° \ 3D assts �(1t pC?r fG Co. N. Y. fnc�a garz��crt �' 'r 7R e, � k 1 toy So. ;�, � 3 p �' � � .� � 1 � `, ,,��,• -.. iia 17L'wx:G�"Y7 t' _ 10� n � '-t 4�z �c to-1'taas uar3 � ari d."1 rz � fank oad to j ,ri �' >•--� �� , y} �T� �y T21N' Tr�-!e trrsvr-rrr:ce Co_ of t�!_Y,fnc_, - btxy yam p a s 501-v8 cy Gd OC'f06er Z6, 1992. y� � . :T�a; `r r-1 �� [f= G,JYtE -•8MG6- a0� " �`": "xv�� q*G G�rr4 � I- � 4ua��e�crr� ie4.07 u ^- ;an �iFJ.7 ? : ��t:.5 t r�llt Co.T'ax Mai No.: (OQO--1f�_ rte_ y• 765.1502 BUILDING DEPT. JNSPECTfON [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ) FRAMING [ ) FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L=6,ltz DATE S INSPECTOR v Compliance with Stag EnE;z; 9 / ConsE?rvaLion C'onstr_ CodE? as amended, effective March 1, 1991-- Non- Electric Comfort Floating. Part 6- Building Design by Therm 1 Rating Method; for 5,000-6,000 Degree Days. If the total thermal rating is zero (0) or gre4or, the building envelope complies with the above code. Area a "U" Illrnal Table Insulation Component SQ. FT. Value Rating Used to be used Remarks Roof/Ceiling Type 1 $Ofd i o0� (J 6-3 _f C/ Type 2 6-3 Net Walls Type 1 �a- 6-1 –,� Type 2 6-11 Glazing Type 1 • �� — � 6-1 sad Type 2 $ 6-1, Skylites 6-3 Floor 6-3 Exterior Doors........... �O -- G-1 • � ' Foundation Walls: Wall Perimeter.......... Ft. Exposure above grade i=t./ir . Wall "U" Value........... Depth of "U" Value 6-5 below grade......... i les Slab at Grade: Slab Perimeter.......... FL, Insulation "R" Value.. 6-13 1DTAL fliCRMAL RATING...... >14 IVC]"I-ES' Ouildi .9 construction by, builder, contractor} and all',mechanical trades sub'-contractors shall comply with tho, �olow-luted sections' of Lhls codo; 'r gardiny cq'uIprnent & systems, as applicable: J 7U13.21 Performance of HVAC equipment..........:......... ,�� or nEiy,� , Control of HVAC systems............................... 7013.13 ��S s p Duct systems..............................................:...', 7013.19 & 71313.20 "NP Ventilation systems........................................ 7013.16 Insulation of piping systems...;.....'.................. 7813.18 Service water heating systems & equipment... 7013.31 thru 71313.34Electrical & *" i FAiir i f cesatiolnhofnen elopes systems.'ment..... 7813.552', thru 713135417813.4 4M1R �; <.':np vunte AVV r-rro rJ -� POEM No. 1 3 SETS O�LNNS . . lvJ L5 U TOWN of SOUTHOLD SURVEY : : < . . . . : : . BUILDING DEPARTMENT CHECK 4: Wh.• • �� r• - `° TOWN HALL SEPTIC FOIUi . . . : . . . . . . . . . . . . y=� l'919�6 � : .. ,. ' �. SOUTUOLD, N.Y. 11971 �< TEL: 765-1802 NOTIFY: W,n nfr Examrined.....•. 19 ?11 CALL < : . . . . . . . . . . .. . . . 70 - =C�� I -. 3�L'c.0... j �)) MAIL TO* . . . . . . . . . .. . . . . . . . . . Approved...... �1 y. , 19J.�Qp.(00 Permit No. a`✓.N.L. ............................. Disapproved a/c ....:............................. ............I....................... ...................................................... (Duildi or) APPLICATION FOR BUILDING PERMIT -Date. ! . .(. . . . . . . . 19�� INSTRUCTIONS a. This application must be completely filled in Iry typewriter or in ink std submitted to the Building Inspector with 3 sets of plans, acccrrate 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 wbich is part of this application. a c. The work covered by this application may not be camenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sud, 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 sball have been granted by the Building Inspector. APPLICAITCN 19 BEIM MUR to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit autborived inspectors on premises and in building for necessa��ryJJ insppections. (Signature of applicant, or name, if a corporation) S6 ;S fr/e �.tc............... I............ (bailing address of applicant) State Aietber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluber or builder. ...........Q(�N.`.................................................................................................. Nave of owner of premises ...... =...................................................................... (as on the tae roll. or latest deed) If applicant is a corporation, signahue of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plunbers License No. ......................... Electricians Licence No. ..................... Other Trade's License No. .................... 1. Location of land on Abid, proposed work will be done.................... iQT�O qx.04 4 .. S6dS Muse Maher Stree p Hamlet (� County Tax Map No. 1000 Section IV pip, ...... Block ..11✓.......... lot ....>i�T../.... Subdivision ...................................... Piled Map "o. ............... Lot .....I.......:. ("are) 2. State existing use and occupancy of premises and intended use sal oc of proposed construction: a. Existing use and occupancy ......GP.I�C' . ... / y .�.............................. b. Intended use and occupancy ..�t ?".Sl*f'..G $J'sr'.{E'L!.�!-�/..LES!!:?:... .,,v.............. f cork (check Maid: applicable): New Iluilding .......... Addition .......... Alteration ......... it .......... Removal . .......... Demolition ............ Other Work .................. ....', =;,....... 4. EsCittvut 1 Cost ,-- fee .. (to be paid on filing title application) 5. If dwelling, ber of dwelling :mite ............ lluaber of dwelling units on each floor ................ Ifgarage, nrd er cars ...................................... 6. if lhuainess, cemercia r mixed occupancy, specify nature and extent of each type of use,,..,,,,,,. 7. Olaiensions of existing at res, if any. Front................ Rear ...I.—,...... depth ................. Ileiglht ........................I linter of Stories ...................... Dimensions of sane structure with iterations or atkiltions: Front ............... Rear ............... Depth .................... Belght ... ................ Naber of Stories ............... S. Dimensions of entire new ewnstriiction: t ................ Rear ............... Depth Ileiglht .............. ... Naber of S des .................. 9. Size of lot: Front ........ Rear .. •r\q. Depth .. ............ . 10. Date of Purchase .... .. Mane of Former r .......................... 11. Zone or use district to which pretuisen are situated �.,,... . .... ........................................ uctlon viol 12. hoes Proposed ate any zoning law, ordinance o e J*Kion: ........................ 13. WIll lot be regraded ' ...• Will excess fill be ret m frr ilea; YRS NO 14. Nares of Owner of premises ....'I....................... Address ........ .................. Phahe No. ............!. Mate of Arddtect ....., .................. Address Sante of Contractor ......... ..... Address 15. Ta this property within 300 feeof a tinlal wetland? * YES .......... N0 .......... ' *TF YRS SOUN1(YD 7O1di TRI RIBS PEMIT MAY RE RFQDTl". PLOT DIAGRAM lAxate clearly and distinctly all buildings, whether existing or proposed, and Indicate oil aet-back dimensions fan property lines. Give street anl'ihlock nater or description according to deed, and slow street nates and indicate whether interior or corner lot, STATE OF NEW Mi COI NTY OF lp SS ..• ••..... .(�. . being duly swarn, deposes and says that the is Che applicant (Moe of individual signing contrflFr),I alxme noted, Ile is the ........... r }`�. ;11•LSG Y............... ................................. ...... (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 statenente contained in this application are tam to rite best of his knowledge and belief; and Chat the work will be performed in Ill'el' manner set,forth In the applicationtiled therewith. Sworn to before me t4a CryPLublic, •,•.. ?,. f .... Notary Pdll C. CommissiolniEx Expi res December D cembBora tate of led No.4879505 ,, ,,!} � (�� County1� .. lot .................... p I' - -- ----- - --- - - - -- - - - - - — _- - - - - - - - - - -- -- - _ ------ ----.-- 4G 21 2` . WIN Dot,J a „t c.2 _CQ4kl) Jr_ :_� 4 — r ' \ I I vvvV � I �j I r 1 (DRM- ' : r I f 'I I J'I O GLASS (,n15vLA-YE i)� I ! o / 8L" $TEFL 11I�ETJ 3 _ GK� Vu1 � PLC � A/N-. N < uCAT D DOOR , 11 � I vl �/ L�Uuc3LE WAN OOwS To � I I i Rt RcrAoVaQ . I I I roi O I j � 1NTE.Til U12 �� t10 fZ 3 �" I � I i ` I Pll I , i ' i /'"\ I -1- U � � ,t4A) ro . � ' I — I Z9L VINYL GA RAr—s _ -- �;r a D a a fit S' I ,I �. 4 1 1 / 01 1 1 ; € I 1JTYLb'Cy I � X. \ 2 " ( a.) 9 ; - 8 ,N X.t S-T 1 Y,t S it APPROVED AS NOTED DATE. i r '57 N 'S 7o JBY:DEPARMENT AT i 1 d FEE: III STpRAG,C (H vSEHD�D NOTIFv Bu DING I r O I 785-1802 9 AM TO 4 PM FOR THE I q ippl •p FOLLOWING INSPECTIONS: , r' 1. FOUNDATION - TWO REQUIREDFOR I ED r 4 rl O U 7 � r�1 2. ROUGE fl CONCRETE FRAMING & PLUMBING dl C(I 3. INSULATION I I 1 Ili 4 MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET PROVIDE% HR. FIRE THE REQUIREMENTS OF THE N.Y. j A I rel RATED SEPARATION TO I �. STATE CONSTRUCTION & ENERGY iCODES. NOT RESPONSIBLE FOR Pfy.4147Rf!,00)OF DESIGN OR CONSTRUCTION ERRORS c N.Y.STATE BUILDING CODE. I '' � - 2xe t_tnE�k-.a „/ f�uL�-e0 of NEW, j &'C 3 _ 16, o.C _ � I i �4h� „npS E. ��G4� LJ 3"" LAG 3671_ I - - - i � I COVERE �CI� °' I C : 1 � � 11 i Irl r 1 1 i L rI (t D4R, _ -2 10-I P- , I 1 ; C C �„ q" PT. G IR➢E Q_ y to r`l 2e^e ., I 01 I -, solsT� - 2"k HP.T. � I -- 1=� -j - ._ _ O � II 3, b Gr l< o R A 1 Ll�, - ITZ Co fJ . --�-� -- - - I . �... OCCUPANCY OR i I >f." H V� +4 , PROVIDE OPENINGS FOR i 0 USE IS UNLAWFUL 1 a p- o' 6"-----* --- lo'- 0"- 24'" WITHOUT CERTIFICATE EMERGENCY ESCAPE AS LI 1 REQUIRED BY PART. 714 OF Y° yo OF OCCUPANCY I ;N:Y:`STATE BUILDING CODE. 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