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HomeMy WebLinkAbout22346-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24875 Date JANUARY 30, 1997 THIS CERTIFIES that the buildin~ REPAIR Location of Propert~ 2125 WESTPHALIA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 1994 pursuant to which Building Permit No. 22346-Z dated SEPTEMBER 26, 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 REPAIR, REPLACE WINDOWS & INSTALL NEW HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THERESA pADULA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A H-053298 - DECEMBER 23, 1996 N/A ~ B~ildin~ Inspector Rev. 1/81 FODM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALt, SOUTHOLD, N.Y. N~ 22346 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AU/T~RIZED) z ' ....................... Coun~,,Tax~op~o. ~000 Seo,on ...... /..~/. ....... B,oc~ ........... /. ............ Lot,~o..../..,...Z'. .............. pursuant to application dated....~~-7......,~....~. .................. 19...?....~...., and approved by the Building Inspecto~o Fee ~.....7.~.~.~.~.... Rev. 6/30/80 Building Inspector Teresa Padula 2125 Westphalia Road Mattituck, NY ]1952 · (516) 298-1932 · (516) 924-5533 (work) (516) 548-9164 (pager) Remove existing sheetrock and windows Insulate ceiling with R19 %nsulation and walls with R13 ~nsulat/i~on Add headers and jack studs to all window openings (see diagram attached Replace existing windows Model numbers: 2442 2432 20~]0 with Anderson Double Hung ( amount- 9 ) ~,~ ~/< (amount-2) ~¢/~ ~m~-~ ( amount- 2 ) /gtO ~,/w~-~ windows Replace 1/2" sheetrock Remove existing heating system (forced hot air) with baseboard and oil fired boiler (see diagram attached) Change bathroom fixtures Replace wiring and electrical boxes (inspection from N.Y.8. Fire Underwriter scheduled for September 22, ]994) FE_."~ 7~- ~ NOllF~ IBUILDING DE~ 7~5-1802 9 AM ~ 4 ~ FOR ~E FOLLOWING INSPECTIONS: 1, ~OUNDA1]ON - 'rwo REQUIRED FOR POUI~ED CONCRETE 2. ROUGH .. FRAMING ~ PLUMBING 3 INSDL AT,ON 4 FINAL CONSTRUCTION MUST 8~ COMPI,ETE FOR C,O. AL.L CONST~IUC'r~O~ SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR OESiIG!~ OR CONS'ERUCTtON ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT OF OCCUPANCY PLUMBER CERT;?ICAT~OfF ON LEAD CONTENT ~5;~EFORE CERT;?ICATE OF OCCUPaNCy SOLDER USED/N WATER SUPPLY SYSTEM C~AWOT EXCEED 2/~0 of I% LE;4D, If copper tubing is use3 for water distributing System; piping shall be of types K or Lpnl_z PLUMBING .ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~NsULATION [ ] FRAMING [ ] FINAL ~REMARKS: ' .~ · DATE ?//~y INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ~FINAL DATE INSPECTOR TO%~ OF SOUTHOLD BUILDING DEPARTM~NT TOWN HALL 763-i802 APPLICATION FOR CERTIFICATE OF OCCUP~NCY 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: !. Final sur~ey of .property with accurate location of all buildings: property lines~ streets, and unusual natural or topographic features. 2. Final Approval from Kealth Dept. of water supply amd sewerage-disposal(S-9 for~). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in syste~ contains less than 2/10 of i% lead. 5, Commercial building, industrial building, multiple residences and s~m~lar 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and qpre-~xisting" 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. Cert~i~ Occ~Jp~cy - ~dwetling $25.00, Additions to dwelling S25.00, ~i-~ations to dwelling ~25~ Sw~ing oooi $~5.00, Additions ~o accesso~ building $25.00. Businesses 2. Cernificaca of Occupancy on Pre-~xisn~ Bu~d~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~. 4 .. .Updated Ca~%~_~pj~.~cup~cy ~ 5. Temporary Cargificate of Occupancy - Residen~iai $15.00, Co~erciai $t5.00 D~g~ ....................................... New Conscruceion ........... 01d Or Pre-~xis~g Bui~d~g. :..~. .... ............... ............ ........ ................. ~ouse No. Street Onwer or O~ers of Proper~y ..................... ~~ ~ ~ ........ ~ ............................... County T~x Map No i000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed ~W. ap ............ Lot ...................... Permit No ............... Date Of Permit ................ Applicant. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Carticata ....... ~... Fee Submitted: $ ....................... .. ............ ~AP PL i CP~ ~{DATTOI! ' GH FRAHE &., STATE E~ERGY CODE ;%DD/TIOHA'L COM~EUTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~E ~ f~,~Oi141 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date Dt~CE~.]~J[~ 2~ , [!')96 /lpplication No. on fil~ 85830394/94 H ~53298 THIS CE~IFIES THAT o~y the e~ctricai eqaipme~ ~ ~scri~ be~ a~ int~uc~ by t~ ap~lcant ~d on the a~ve ap~ication num~r in the p~m~es of ANTIMONY PADUhA~ 2~25 Wf:STPH~J~£A, MATTITUCK, in the following location; [] Basement ~ Ist Ft. ~ 2.d FI. ATTIC Section Bilk ~sexaminedon DECEVff)E~ 17 ~1996 and found W be in compl~nce with the Na~onal Electdcal Code. FIXTURE ~RCEPTACLE I WIT I FIXTURES I 20 [ 30 29 20 2,",'.,¥. o,, ,,R,.. ,,.ce RANGES ~PECiAL REC'PT SERVICE DISCONNECT I ~o. OF I ICOOKING DECKS I OVENS IDISH WASHERS V I C E NO, OF CC. COND PER ff OF CC, COND. A. W.G. NO OF NEUTRALS OF HbLEG Lot EXHAUST FANS Aa4T. H, p. DIMMERS AM/, WATTS %~IJ., PUIIP-- 1 PADDLE FANS.-7 MOTORS: 1-F H.P. , 7'~ 5 H.P. G.F.C.I:-6 SHOKE DETECTOR, '- 1 ANTHONY PADU[~ 2125 WES'I'PI~ALIA GENERAL ,¥UU~IABER HAT'~ITUCK~ N%~, 11952 ~_~ Per i1 This ce~ificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenti~f~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY HANNER. Teresa Padula 2125 Westphalia Road Mattituck, NY ]1952 (5]6) 298-1932 (516) 924-5533 (work) (516) 548-9164 (pager) Remove existing sheetrock and windows Insulate ceiling with R19 insulation and walls with ~'13 insulation Add headers and jack studs to all window openings (see diagram attached) Replace existing windows with Anderson Double Hung windows Model numbers: 2442 (amount-9) ~'~'~ 2432 (amount-2) /~'O~C~ 20~10 (amount-2) /VD~-4-~- Replace 1/2" sheetrock Remove existing heating system (forced hot air) with baseboard and oil fired boiler (see diagram attached) Change bathroom fixtures Replace wiring and electrical boxes (inspection from N.Y.S. Fire Underwriter scheduled for September 22, 1994) FOR POURED CONCRETE 2~ ROUGH ~ FRAMING & PLUMBING 3. INSULATION 4. FINAl. CONSTRUCTION'MUST P3E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS , ~PPROVED AS NOTED ~ REQUIRED NOT~FY BUILDING DEPOT Al' FOLLOWING INSPECTIONS: ,-,.~ OF SO'OLD USE IS UN W L WITHOUT CERTIFICATE PLUMBING OF OCCUPANCY ., WATE..N S "EEO PLUM~ER CER?/FICA770N O/V LEAD CON? ENT"~EFOR£: CERT'J/:/CAZ'E OF OCCUP, q/VCY SOLDER USED/N ~TER SUPPLy SYSTEM CAAfNOT EXCeeD 2/~0 o~ ~% LF~D. If copper tubing is used for water distributing system; piping shall be of types ~ : :7 :" :.': -i-' T'YP. .... P TITLE NO. 630S9808-04 .... WESTPI IAL..IA ROAD Brd~G. DEPT. TOWN OF SOUTHO! S70'33'20"E 167. 45' 103.5' FRAME~ 74.7' SHED~ 33,506 S.F. O. 7692 Ac. /V59'~6 , . ,, w L4A/D N/f- OUDEK CERTIFIED TO: ALL STATE ABSTRACT CORP. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK. TERESA PADULA FLATBUSH FEDERAL SAVINGS AND , 27.2, OOWN ~ LQAN SURVEY OF PROPERTY SITUATE AT MATT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK EASEMENTS AND/UR SUBSURFACE Sl~UCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY. GUARANTEES INOICATEO HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, OOVERNMENTAL AOENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS THE OFFSETS(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES [0 THE PROPERI? LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS~ POOLS PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND ANY OTHER CONSTRUCTION, S,C.?,M, DIST. IO00 SEC, BLK, 01 SCALE 1" = 40' AUGUST 8, 1994 AMERICAN ENGINEERING SERVICES ~46 Mople Avenue Union Avenue Westbury, N. ~ I N. E 11779 (516) 876-8908 981-5063 LOT 1.1 F2487 12\0894M UUJ SEp 181994 jlj_ BUILDING DEPARTMENT ., ~L.._.~._.~J - TOWN HALL · BI.D~D"~ SOUTHOLD N.Y. 11971 ' I'OW~F s~r~.iOLD TEL.: 765-1803 Examined..Y. e ........ Disapproved a/c ..................................... //. (~ilaing Inspector)' BOARD OF HEALTH ......... SETS OF PLANS . . ...,C tIE C K ............. CALL ......... (mod - 'T'h Of'S . INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se~ts 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 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 ins ections. -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o ne/' ....................... Name of owner of premises ...~...~.'.~....~..~. ~f....~../~..~ '*L?/-.':'-4 .......................................... (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 .................................................. Itouse Number Street Hamlet Cotinty Tax Map No. lOOOSection ...(.~f..! .......... Block .... ..(~..! ......... Lot I ~ [ Subdivision ..................................... Filed Map NO ............... Lot ............... (Name) '~ 2. State existing use and ~ccupancy ~f premi~es and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy [~.03..~.¢"(~. b. Intended use and occupancy ............................................................... Nature of work (check which apphcable): New Building .......... Addition .... -~4Jleration .......... -- ..... !t Repair ......... Rem. vel .............. Demolition ............ .~ ~ .~..(~.. "' ~ (Description) Estimated Cost ............. Fee (to be paid~o.~'~(lj~B'' 'hi' ~'~ '~?ion) If dwelling, number of dwellinglunits ..... ] Number of dwelling units on eJdh;:fl6OSZ ...... If garage number of cars I If business, commercial or mixed occupancy, speedy nat/tre' and extent of each type of use ..; ~.:~... ,'.... ~ ......... Dimensions of existing structures, if any: Front...~.(? :;~ t. ...... Rear .. ~. (2.%.~.~. .... Depih...~. ~.o. ~.. ~ ..... Height ............... Nun~ber of Stories .... f * .~ ................................................ Dimensions~f,~sam~_ge]tructure with alterations or additions: Front ...,~.(~ ! :dL~... Rear .. ~.~ .~..~.'. ....... Depth .'T. ~¢ ~> ~ H~:-,*, ' '" ............. q · · *~r~t[ . · , .......... Number of Stories .... I.,.~. ............... Dimensions of entire new const~ction Front ' ' R~e pth i , · . ...,,,,..,., ........ ar ............... De ............... ight ~' ' ~'. ~ He ............... Number of Sto~ies .,.., ......... . ~. S~ze of lot' Front ~ .'7.. ~ Rear.. I.q O, R~q ........ . ................ -~.~ ............ Depth . .~ ~[~.o.~.~ ........... Date of Purchase.. .... q ................ Name of l~'ortr~er Owner . ~..~ l'F.~..~/(2.Q/2q ~ ........... Zone or use district in which pr :raises are situated...g...~.~..(MY~. ......... Does proposed construction vie .ate any zoning law, ordinance or regulation: .. ~ .~ .......................... Will lot be regraded .... th{.~. ................... Will excess fill be rewoved from premises: Yes No Name of Owner of premises .t'.{ 5.12.~.5& ~./~.O/.-t-t~.. Address ~(~. ~.~.¢ .t~Yg[~.../0.a,;P&. Phone No../~.q~ 1 .~.~'~. Name of Architect .......... i ................. Address ................... Phone No..qqlh .,5".~.~ Name of Contractor .. I ........................ Address ................. Phone No . . .(, ........ Is this property within ~00 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions frord 10. 11. 15. Locate clearly and distinctly alli property lines. Give street and block interior or comer lot. number or description according to deed, and show street names and indicate whether STATE OF NEW VO, J , . COUNTY ..... ....~.e~i2,~::~ .4k.... ~..~.~..~:...~..... ii .......... .... i .... being duly sworn, deposes and says thatlhe is the applicant (Name of individual signing contract) above named. ~He is the Q..kilO..l~..~,. ~'g ' ~ (Contractor, agent, corporate officer, etc.) of satd owner or owners, and ~s dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner[set forth in the application filed therewith. Sworn to before me this ........ ~[ ~ ......... ,_.day of.! .S..e-~....~3~...~., 19 .~.'~. Notary Public, .~.~~ ,~), ^,..o..,. County ~x~..'~¥---- /h . Hc~*y Pula~', State o~ N~w ¥ ~ / ..................................... OommbsIgnSuff°lR ~Jqlflm$C°untY'N~embe*~'N~. 40~24S~9. q ~'~ (Signature of ap p licantl.