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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23842 Date SEPTEMBER 1, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 1300 WESTPHALIA ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 7 Lot 14.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1994 pursuant to which Building Permit No. 22300-Z dated SEPTEMBER 6, 1994 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 CONSTRUCT AN ACCESSORY TWO CAR GARAGE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SIDNEY & JOHANNA OLMSTED (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A inJ Inspector Rev. 1/81 FORM NO.3 TQW CP§QWHQL BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHO ED) Date 19 N® 22300 Z Permission Is hereby granted to: / . ..1'H fr~i ~Zy..........> ......r....-5..., at premises located at........ ...........`l..`/6.r !!LL Lot No. ..~.7`.. CountyTax Map No. 1000 Sectlon Block .......7.......©©...... pursuant to application dated 19...<......, and approved by the Building Inspector. G- z.o Fee $.c°.+........5-- . . W~'.... Building Inspector Rev. 6/30/80 Form No. 6 'T'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN MALL 765-1802 APPLICA'T'ION 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 bui.l.ding 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. J 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 Buildi.ne - $100.00 3. Copy of. Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,?Commercial .$15.00 Date at. . zX-.-. ./..,J New Construction Old Or Pre-existing Building Location of Property..J.Jq! ........Y. O-T.,,r4/IllN.. .............A IIL~I....... House No. Street Hamlet Cower or Owners of Property.. A'A/VIYX ..AMS.~~.~1 County 'l'ax Map No 1000, section ...l/ BIock..... 7,....... .Lot.J /.,.(w3........... Subdivision ....................................Filed Hop............ Lot...................... Permit No2JO.®. v?..Datre Of Health Dept. Approval.... .................Underwriters Approval.. Planning Board Approval ? Request for: Temporary Certificat.e........... Final Certicale.. Fee Submitted: $ „ ,y j.. a3~- ~ A PPLICANT o~~gOfFO(kCaGy o~ m y = Town Hall, 53095 Main Road p e Fax (516) 765.1823 P. 0. Box 91971 Telephone (516) 765-1802 SoutholdNewYork 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 23, 1995 Mr. Sidney Olmsted Box 731 Mattituck, NY 11952 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22300-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY REMARKS: DATE INSPECTOR C0!`fMENTz _ mg JIIDATI0N (1st) f y C i17DATI0tt (2nd1 `•PLUMBINO :c • I _ CA UL:,TIOII PER N, Y. m STATE ENERGY CODE w m FINAL ADDITIONAL COMMENTS: x ~r • x w n • 1-l \ 9 H v 1 :sA'%.'+...•~'r.~rf3~nc'.,w~-.+..v o•...r rev 3h*"•, r ~ , ;a Iu~ \ -04 y A G ~ 1-c o t a~ h ` N t~ y~ r Ca ~ V ~ v r oo~ " z ~~i~• i„y f ~ ~ i nyaF';„ i,.. , J _r,rs ~ I 1 ~ j h , I C4 4rA oq~ I C10 f 0 , 1 G A Gl h A 1` Iri ,i I A ~1 t Q R: ~1 i gY14'+ + j Y } 61 ~f ~ I I _ ~ d ~at ~ ~Iy Y 6 4 11~ ( 1 6 1 4 i te" r~ i I I I~ t 11' ~I ~ is P } I 99 +~I + It If ; I) IBS' ~jil~l~ iyk tl I I ~~L'i T ( t It , R < + 1 E tt~ r r ~ I : fF AII F{ L s F 1 @ Y + III - - 1 r Q i Imo- ~ I ~ ~ i I I t I l e t I'"1 III V ~ ' r'1 4 1 ~'tl~l f+ i' t „ f ~ if 'At "xP ` x4 - 144~; 60ARU Oi HEALTH u~ . FORM NO.1 3 SE'T'S OF PLANS Am i 5 TOWN OF SOUTHOLp SURVEY BUILDING DEPARTMENT CIIECt TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765.1802 NOTIFY ! CALL . . ~ J. .qS - Examined . . 19MAIL TO: Approved , 19/. ermit No. < P Disapproved a/c . Z.-_. nd' - (Building Inspector) P [CATION FOR BUILDING PERMIT DatelJ7 LIST) pq.., 19(74/ 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 properly must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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. APPLICATION IS HEREBY MADE 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 described. 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 insp etions. 'r`~ (Signatur of applicant, or name, if a corporation) i l~ 7.7. 1.. X4 T11tv G Ar ti;l 1 I.9.Sz. (Mailing address of applicant) t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0k,frl:'.C .1:........................................................................... Name of owner of premises J•lcll)~l!.~..VG.~7A v.y/, f.?b)): If (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . Location of land on which proposed work will be done. . . . 1.30d .................W..es7~~~~~.1~ de f... ,r. 'J{ad~v.G/~ (louse Number Street amlet County Tax Map No. 1000 Section E 1 Block Lot. I. • t~0.3 . Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ?!m and !:nanm, ...(7.YC._~ . V r :3.' Nature of work (check'which applicable): New Building X Addition Alteration . . Removal Demolition Other Work . • (Description) A.. Estimated Cost , .S OQi . Fee to be aid on film ( P g this application), ' ' , • 5. If dwelling, number of dwellings • . • • Number of dwelling units on each floor . If garage, number of cars ' 19 6. If business, commercial or mixed occupancy, specify natyre and extent of each type of use . 7. Dimensions of existing structure's, if any: Front . 02.~~ Rear Depth . Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth . Height Numaer of Stories .......::'.`ado ( 8,. Dimensions of entire new constriction: Front . Rear ° ' Depth ; 13' " ~'r•,, Height Number of Stories 9. Size o to .'.*.Rq of t: Front J 5~7 .1..... Rear . A Depth 6 p ~ "f' 10. -Date of Purchase ~.q~.0 - N me of Form~e)I Owner/'' oAllR•?... ~gJHb,1 IEy! SF;,; , 11.: Zone or use district in which premises are situated .....8 e.& 7tA4,11 . , 12. Does proposed construction violate any zoning law, ordinance or regulation: /1(0• , , , , • • , , , , ; 13. Will lot be regraded Will excess fill be removed frofn premises: Yes 14. Name of Owner of premises . S * .J.OfI>?S.T rl.... Address J~aO.4t? {I?!/11~? l+F.f~~ Phone Name of Architect Address Phone No............ . . Name of Contractor Se I F. 4 . Address . . Phone No.. . 15. Is this property within 3;00 feet of a tidal wetland? *Ye3, No.. *If Yes, Southold Town Trustees Permit may be require PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I ?i~s.i;effe sht ;rpr .i , t+, t+ r ~,1tiU kytg 1•r.tiJ r! T F4 ^ PP V a . 64 r 4?(- g,. FIG r I rt t~ r a r is ~ 1 fir STATE OF NEW Y?~K b nss i t vrq fl # COUNTY OF...S#' L:... S}S " us? a+ ykai; ' 1 V\V~4 y • 1• • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the apph (Name of individual signing contract) 5p above named Isi.• i 3 „ry:, Ieis the jil + r , (Contractor, agent, corporate officer, etc.) 4.4eid owner or owners, and is duly authorized to perform or have performed the said work and to makp;aii4'M application; that all statements contained in this application are true to the best of his knowledge and beliaf;'9nl:t1 vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this ~ o-.Y~ '~L iE }}tt :..~c)..........day of. f4de~~•U J 1 19 z y lot Public i+ aD ScA TflI.I4. County w{, PAtEEt)1 A, KIN3•,>.r..;i . I III 24-0 I o 5' O 5'-4 I~ 4 5'-4 0 ~RooF ~NI~I.&Li ~v` :.I A ,cHoF, goLT LrkATIootffp) - 1 11 'A, tell -1"XlP" FiAGiGIA --I°X4' CpR1lER 7XJARDS (1--(p) Fop; I 5)8 IANCA09 >3oL LocA--n01 --5)b"-n-ll PLYWoot, 5mci [t BLI 22'- 9 I8'I 'IA o" -s LEFT SIDE 7POF WALL 81,!0" 1r SCALE ~S = 1 0l I I '.t N I.. to '/A 190OFaSCIA GILEA I' IA 1 *G RA14% f-?o<*R~ fT I 5/a TI-II PLYWOOD 51C L. {Wood slDloq I4coNEVoQs R A W "iFLAeHW NOTCH FoI1Nb1ST1oH a'' FOF Door, AI30,/E aa~ IIO 22 TOV oFCONcFkFr7EgLA6 p-rPocFz,_ l'----- -J1 r__ 1~ -8' REAR ELEVATION 3' IoP2 Ifo' 3 3_,oi2 RIGHT SIDE REAP SCALE 'M 'c 1'-o SCALE 66 SEE SHEET / FOUNDATION PLAN i SCALE, I/4 ° f-C; i I~ 1 DRIP EDGIE f 1 • ( h 67Yrr) TO OF 4 r!p0,Fb1zCED C~NC =~Lai~ 1"xd' S.6-KE BOARD ~L}> I2 AhIcNo1~ a1 T W 6),& -2.9 x2.9 WIJF o,/F-F 5/BTt-II FLYWooP sIDIN~ (n "t Go~pacTED Z DO NOT rah. _ UNTIL 2ndSURVcYUr `L'FLASRIIJl FOUNDATION LOCATION HAS BEEN APPROVED Iz j Q 3 GLEP I~ AIJGES NOTED Q Lu F- ' I =o DATE: J J W CL W 0 NCiTIFV GUILUING DEF- n"" pq'{pc0 E~ 7G5-1802 9 ANA T4 NA F[)C , - P)EI~17 Fo~~nt•1~inc~NSrt=cr, i A}~OLI~D C1JF{NE~,^~, LAP rnr, ~Pi' A I ~I~ TIE r _ r M4.14-89 T i, r, sn nt~r~n ¢ i~ A del' xci.. . ~ ~ R DRAWN: J.N.R. SHEET NO. { FRONT ELEVATION Y ATION 2 - yj r Sc-ALF 2 OF 6 1 1 I~ ti 1'& 6 12 0 i PANEL PANEL O~ I i w CoaNEp+ DETAiI-.. l =Q NOTE RIDGE BW RIDGE BOARD _ 1 RAFTER IES ARE NOON-LOAD BEARING MEMBE -V v TO PR NT SIDE VNALLS FROM BOWING OUT. J THE RA ER TIE ISi NOT DESIGNED FOR AI i `\~I J III LOADS ACED ON OPR HUNG FROM THE MEMBER RAFTER W BY STO GE OF MATTERIAL OR HUMAN WEIGHT, ,ly i 7- - 4 2 RAFTER ANERS AIRE TO PREVENT RAFTER TIES F SAGGINCv. l 3 COLLAR ES ARE NEON-LOAD BEARING MEMBE TO KEEP (RAFTERS FROM , - FPFTER `fix (O' AT 40 Oc. RAFTaR BONING SEPERATTING FROM RIDGE i HANGER FPPSER SEOSION i TIE W/ I'x 4' HANGERS BOARD. O\AR Z\E - 4 SEEN FOR OF , PP 1 '1~~ SPACER REF S\E -0 FASTING MEMBERS;. {2PFTE 1 TIE & TOP PLATES ~ kAFjER S\E 2'-0 ~L I 2'-0 L P W SE TWN - SPACER SPACER RAFTER J - RAFTEf RAFTER H GER FTER TIE TIE & TOP PLATES J TIE 8 TOP PLA46 4 SE.GTIONAL DR. JAMB DETAIL \ Z SECTION N W •c - 01- ROOF SECTION AT TION AT RAFTE TIE C 2X44 9URRoUND NIO SCALE ~E E SG SIq F F T 6-- IG' osecTIOIIAL GaRPG4poo FI 3-`1 I~ -re 3,-y~ J ,WOW,". "*x ~ pf,NEL"k, 24-0' AN EL" FLOOR PLAN SCALE V4" =1'-0 Z a J 2~ 4 GABLE'. END d U) stub AT IG''oc. J 1 ROOF ROOF 514114i~LE-.- 2x4 TIE PLATE Oa 21K4" TOP PLATE 2x4' SUIz~vUND U2 PIL U2 PLYWD. ROOF O I"xQ"coRNER 5/9"T-1 -11 PLYWD. SEGTIDNALCjARAGEDfZ SNEa SNEATINc, J W $oaRDS SIDING META METAL 091P50P- EIDC~E U- ~ 2-I2"KI0I-{EADEF .i 2 2x 1''xa °x (o IZaKE W/ /q: SpP.c E R 3/S SHIM SP. DooR' SToF PROD. PLAN # 2X4' 1 'f, 4 0,URRoUND 2"X¢'JaMF3dcRIPPLF- 2x4IAMB 5e T •I PLYWD IZoF7 ^xa GALE ENS 2184-24 DATE: 4.14.89 DOOK -Top Ecmoot L CAS IzAGIE 12191, SIDI5&j Zx¢ L 2~4 AT ICo'oc, DRAWN: J.N.R. GP 5L GP6LE E140 ~n1n5 V 1 SHEET NO. CORNER DETAIL OVERHEAD DOOR HEADER OVERHEAD DOOR! JAMB ! RAKE DETAIL 3 „ SCALE: 1 ~2 = I O SCALE: 1.1/2 = IoSCALE 1 ~~2 = I'C; Br-: IJi2 = I'-O 3 OF 6 1 n i 2x8 C~P81= Ff Ib I~p 1Ey~ y ~ - I f I~ 1~11~[~E ~pPIZ. -0 12 5 4 2°~8 AT24''~c iZnFT~J 2"x 4'~AT IG~PG i Gb>~LE ~Nlp °JTI.1~7~0 ~2_0~2-0 ~,i-o ~i•o ~ i•O ~ 2-0 20~ 2o2o~Lo I2 2!-0" FT ICo 16 IG 16 16 16 I(a Ifv Ifo Ifn Ifn IG 16 16 IG 1( IG' IG 2x4" TIE Ql6TE 10•-O" 'a O S'0~ n 3'/2 Iro'o, tS 3/2 2"x4 T~~ fL.bTE- v T C 2~4 aTIG"DG. ¢7TvC~ i 4 1"7,4 WINnbpdciO6 ~t-GN IµTO ~TUV , eq S _ v I- W rwr u 1 7-- W as 16 Ifn IG IG IG IG IG IG IG IG IG IG IG IG 14 IG IG 16 $o-1'rOh'I ?E Ir{.I~y Ifc Ifa1 l(n ~,16 ~,IG ~1(o ~,IG ~,lfn • IG IG Ifn IG 1~ IG 16 16 I(n Ifc IG 12~Z 12-0' I2- o' I I'-8 ~~2 I I S' ~~Z W PANEL PANEL'A" PANEL "F" paFIEL. ~~D REAR FRAMING ELEVATION RIGHT SIDE FRAMII FRAMING ELEVATION SCALE /4 = I-o Sr-ALE;!/4:= I-c i O a 2x S cIPBLE ENo izpfTE12- 1'x10 RIDC-IE BOARD I"x Co -n wt) A14,t;l 2'x 8 AT 2R° o:.. RPFTEF~ 12 O O AT 495 :)r-. Pz FTEF- 71 Er7 4 r- n ~2c ~.2 c ~,Zc ~20 22 4' PT IG'~vc. , , ' ' 2-0~ ~,i-o 2-0 ~2•o .2-° 12-0 ~2'O ~2-O ~ C7. P~L>= E?-~IP ~sTLl p°7 22'.,4 TIE QIATE ICr 14 ICr IG IC. IG Ir." I!n lle IG I!n lG CO" Id 16; IG Id IV IV• Id IG; G W ~ IG-D /2 S 3./22'x 4~ T~Q PLATE °~I/2 WW F I"x4 WIND FSRhcINc~ 2'x4'HEPDJI-f'1t'5_ ~D Jai'lt3 2 2xto H b ~ R ~ N07CN INTO ~rlJo~i Au© SNIr I sPneE M sPneE - dl -_Q PROD. PLAN s Ss 2184-24 ti'x4'Jo1-l F;, C-12 P'I CRIPPLE r W Z DATE: 4.14-89 r er ~I - °x4"CRIPPLE zIPPLE _ oL d nmAwm- i nl a VI V II II II II II II III II V II II II II I~'`~`~;f:j "TES G ~ `51-a-F2 4T Po©f-,- IIIII-III- III II ~ I 1f6 IG IG 16 IG IG IG 16 IG Ifo Ifo 1G IG ICo 16 IG I'{: /y, I(o 16 Iay t; I 16 It'- S I/2 I I - SI/2 -9" t ICo-O I~, 6 3_q SHEET NO. PANEL"G' PANEL"E' pAIJeL."C~" HEAr~et~ HEAI7B1~ 4.EU~tN rcV-AEI-"~..{,/~ LEFT SIDE FRAMING ELEVATION FRONT FRAMING aMING ELEVATION 4 OF 6 SCALE 1 = 1-o SCALE - 1 a 1 1I I" OI 4-D A-0 b'l N y U~ r r --I I I I I ~2~x8' RAFt6R ~o ' O~ I OI I OI 0 0 °~E.15MIG~N~I~R1Ga"Ne °O° ~ oTTONI pLA.-t-E 4 4 5 A,~~uo,zh cTYP~ ° n II 15 2x4"-rte PLA-I'e II o I I 2 ii 4 N L'x4 ToPI'LATE CLIP oFF F°;,©TToI"L ` - i\ I II AT NEtaDEF2, pmR7mi- JL oF PNc.NoR. j _ - - Nol t7 J`t@ SEISMIC / HURR.IeANE DETAIL No 5r-ALE: / R, ROOF SHEATING LAYOUT W 1~2°x G' RIDGE o p 5( SCALE: lie- = 11- 0" 5m G jL-ES \ ROOF 5HINC 1=~ 900FINc~~I FELT I/2 QL~(Woop 51{~ATNING ` 2x8 v1 24'Oe. RaFTER~ q'GRAFTER TIES AT 1 7 1_•c, \ ~InxCo FA`oGIA-~{j I - _ - 2x }TIE /'LATE IZ-0 2, 4 TAE, QLpTE To{~ PLATE LAP 2"x4".TOP 1" 4' m WIND 1"x S SoFFIT~ 2 x 4 //l1\~ t3N RACII =Natc NEn I TO `s W "1 x = \,p _ D 71-11 FLYWoop Q -p s,ntr ty oo (P _ J «5 ~H00 ao Z Cn 0 r~ Z p _J 2x4 AT I(o O.G. III w OC QL 0 1- Q 2.~xCTREATEn)W/ lp 1/1 x IV AFIGHop- ' r 3 ~ ,1 J}Go G. FLOOD. W1 ~ 13©L~j~~iEE 7oP oFc ELo-© _ CoxG'N2.1sl-9 WWF Fot1NDhTlo11 _ T.. m Cn a V L,. F 4gA~°~ TAMPED SAND .EASE ° . ` PROJ. PLAN # n i 2184-24 I-O g I ~ 6" DATE: 4.14.89 ~UHAWN:J.N.K.~ i SHEET NO. ` BUILDING SECTION 5 5OF6