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Home My WebLink About27735-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27978 Date: 09/27/01 THIS CERTIFIES that the building RENOVATION Location of Property: 1695 MEADOW BEACH LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 4 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 2001 pursuant to which Building Permit No. 27735-Z dated SEPTEMBER 27, 2001 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 RENOVATE ROOM OVER ATTACHED GARAGE IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to THOMAS H & AUDREY B. WITSCHI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 55993 09/20/01 PLUMBERS CERTIFICATION DATED N/A "'--Z /—'7� t ori;,oP6 Signature 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. 27735 Z Date SEPTEMBER 27, 2001 Permission is hereby granted to: THOMAS H & AUDREY B. WITSCHI PO BOX 183 MATTITUCK,NY 11952 for RENOVATE ROOM OVER ATTACHED GARAGE IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . at premises located at 1695 MEADOW BEACH LA MATTITUCK County Tax Map No. 473889 Section 116 Block 0004 Lot No. 031 pursuant to application dated SEPTEMBER 24, 2001 and approved by the Building Inspector. Fee $ 300 . 00 Au ori ed Sig ature ORIGINAL Rev. 2/19/98 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 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1?4411L/ 5.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . New Construction. .. . . .. . . . . Old Or Pre-existing Buildin/g�.'. . . . . . . . . . . . . . . . . Location of Property. . ./ .�. . . . . . . . ..:SK.t :s. . .. . ccJ. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . House No. � JStreet Hamlet Onwer or Owners of Property. : . . .!(,.-!1 .. . !.f. S. l.,. . . . . . . . . . . . . . . . . . . . ... . . . . . 31 County Tax Map No 1000, Section. . . )).(40 .. . ..Block. .. . . . . . ..-'.—/.. . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. .. . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . .. . . .. . . . . . . . .Applicant.��'. r. . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. .0X: F7HLe. . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . ... . . . Final Certicate. . .�. . .�: �y Fee Submitted: $ : . . . . . . .. . . . . . . . . .. . . P � (?N t,o a 3z. APPLICANT . . . . . . . . . . . . . . . . . . . . . . Co 2: 41-M-7 J v Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue,New York 11772 (631)286-6642 Date: 09/20/2001 Application No. : 55993 Issued to: Witschi Street: 1695 Meadow Beach Lane Village: Mattituck Zip: 11952 Town:Southold Section: Block: Lot: Introduced by: Tuthill Electric (L) Lic.# 4210-E •`;w y was examined and found to be in compliance with the National Electrical Code [-J Commercial -INVDefects [:] Pool ❑1st Floor ❑Indoor El Basement El Hot Tub +� M W Residential ❑ Det. Garage ❑Attic W 2nd Floor El Outdoor ❑ Addition [I Survey , i Switches Receptacles Fixtures GFI Heaters A/C Fans 4vf Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide ❑/ ❑ Other Equipment: Garage and 11'baseboard heat Hugo S. urdi President Building Permit No. This certificate must not be altered in any manner Inspectors may be identified by their credentials Final Inspection: 09/20/2001 Rough Inspection: Inspector: Eddie Rodriguez FROM SOUTHOLD TOWN PLANNING BOARD FAX NO. 631 765 3136 Sep. 21 2001 10:13AM P1 STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) Warren .A. Sambach Sr. , being duly swom, deposes and says: That deponent is over the age of 18 years and resides at. 7675 Cox Lane, Cutchdguem NY. 11935 That on the _21 day of September , 2001 deponent aaeWim/.engineer, licensed by the State of New York, hereby states thatb/he accepts full responsibility for the.accompanying plans compliance with the New York State Fire.Prevention and Building Code (9 NYCRR)-said plans pertain to property located at SCTM# 1000- , street address S S +e*A Q0 QJ Ita/L N ,4reh�le�tlEngineer Sworn to-be re me-th' day , 2001. GR R J p Not Newyork iii cc: Applicant . 9 TOWN OF SOUTIFOO BUILDING PERMIT APPLIt;KWN CHEM BUR DING DEPARTMENT Do y=bave craood*a Following.before iaPPl TOWN HALL Board of8ealth SOUTHOLD,NY 11971 ofBufl&g TEL.-76s-1802 , Septra Foams I�Y.S.D.B.Q . T�astoa 20_!E_. Contacts , roves 20.9L s :J Disapproved al •Phame:. SEP 2 4 " AMICAMNFMBV&DINGPEW= D g, 20 INSTRUCTIONS a This applicafm MUST be comVj* ty Sod is by typewriter or in ink and mbmi#od to the Buflding Inspector` h sets of plans,ao=ste plot p1m to scala.Fee according to schedule. b.Plot plan showing locatloa of lot and of buildings ou premises,relationship to a4j0inin8prcmfi=or public street` eroas,and waterways. e.The work covered by this application may not be commenced before issuance of Building Pe�nit. d,Upon approval of this appEcadon,the BuMngInVactor wM issue a BuOding Peanit to the qvhcant Such a p= shall be kept oa the prmdiscs avalabla for iaspoctioa throi}ghout the work. e.No building al lU be occupied or used is whole or inpart for Gay purpose what so-over until a C rd icatc of Occq is issued by the Bigg Inspector. APPLICA2WN IS EMMY MADE to the Buiidig Department for the issuance of a Building Permit pursuant to tl Building Zone Ordh=w of the Town of Southold,Suffolk Couaty,Now York,and other applicable Laws,Ordmanoesor Regulations,for the eonshucdon ofbuildings,additions,or alt�tiom or for removal or demolition as be rdo desc V>o&The applieani agrees to comply with AU agpIicable laws,ondmaaeas,building coda housing code,sad regnlatians,Gad to admit authorized inspectors on pro rises and is building for nrooesmy inspections. ' (Stuftwof4vacent oraame,ifa cotporgacm.. 6'ca%0-1, 19-7 Wailg aadmo of applicant) Stato whether applicant is owner,lessee,agmt,architect,en�ia=,geacral contractor,electdaian,plumber or,buil& Name of owner of premises k-4- Tx\VS �j ;`,!S Ck, (as,on the tax roll or latest deed) W Sm ,of duly au&odzod officer . fties. Cf'� (Name two of corporate officer) Build=Laccase No. ��S 14-1- Phunbers Liccoso No. Electricians License No. Other Trade's License No. 1. Location of hmdd on wbichproposed woikwill bo done: Iffouse Number Suint q County Talc Map No. 1000 SectionB1oak _,,,Loti� Subdivision Filed Map No, I,at (Name) ,teeuse gnd �oYo£ �and 3ntendedvse and o carpancg bf proposed canst�cdofl: 1 a.. `Eabftuse and oom4mn0y ► b. .Intended use and occupancy livable :New Tin" ng Addition Alteration' Jatene of work(chockwMch app ): Other Wor$ ,epi Demolition istimated st _ d O J Fee ,.� (to be paid on fling his application} . � � 'Number of dwelling amfl amts on each oor f dwelling,number of dwelling dwelling f garage, number of cars as ecify naturo and extent of each type of use. --- f business, commercial.or mixed ocmT cY, sp Depth of existing structures,if any:Frontes , . Number of Storie -!eights atte*ons or additions: Front �U Dimensions of same structure rwlth _ _ r Depth Height Number ofDimensStora®a 'ons of entire new construction:Front ear Dept Number of Stor! Height ' Size of lot:Front Rear Depth Date of Pmrbwe• Name of Fonner Owner. N - Zone or use distdCtinwhich premises are situated_ S, Does pfoposcd construction violate any zoning law,ordinance or regulation: .. W Will cazcess 811 be removed from premises: -AYES will.lotbe n, Ny Ii4, m Names of Ownerofpraruses �.'�e4►►r Ia S�'wc /Low Phase:No. t aQ� Nemo of Architect Ad'dreasPhone No �� __-�4 / oneNo.63 7 2te Name of Is•this property within 100 fact of a tidal wetland? MAY BE*YES REQUIRED • IF YES,SOUTHOLD TOWPERMITS N-TRUSTEES PERMQ provide survey,to scale,with accurate foundation plan and distances to property limes. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. ATE OF NEW YORK} SS; LINTY OF.�u h being duly sworn;deposes and says that(s}ho is tha applicant (N of individual signing contact)above named, 3e is the ( gent,Corporate Offcow,etc.) aid owner or owners,and is duly andwtized to perform or bave performed the said work and to malas and file this application; all std=cnts contained in thus application are true to the best of his knowledge and belicA and that the work will be 'o med in the manner set forth in the application filed therewith. nn to before me this of lie S9=2tnre of Applicant NaY0 0j Now Yak No.Ot S (31AS7960b , Cwam�EONDec.g` �' } 4 40" X 49" D.H. " I I { 35 KNEEWALL I I SLOPED CEILING I i 1716" I _ FLAT CEILIN I I I I I I 716" CEILING HEIGHT @ DORMERS X N r I i i tj o i I � o X z t IeN s I i 3 I 1 z s' ATTIC SPACE z � VENT APPROVED AS NOTED FEE: J 3DC1.ri� BY: NOTIFY BUILDING DEPA ENT AT SEASONAL HOME OFFIC "FoluINDAMN 9 AM TO 4 PM FOR THE NG INSPECTIONS: ► - TWO REQUIRED , .v WITSCHI RESIDENCEFO"' DOOM I MM PPA . �AMNG ENVIRONMENT EAST IN0.- mcompLEISPIMICAL" OUIN NAL - 1°" '�9. 12.01 � °°"`t-i's mmlill om"°" �� WARREN A. SAMBACH COOli�. N� w�tr0ll t l�Olt CONS""TING ENGINEERS UNKRWRiTFRS CERTIFICATE 0laK1M1an cc IN ilpicl wrAm P.O.BOX 1033 COX LANE REQet;}t_p CUTCHOGUE,NY 11530 ., 616-734.7452 W-21/2' 15" OVERHEAD GARAGE DOOR 0 ti ch X e t0 th ■ TWO - CAR GARAGE r r r to r 5/8" FIRE—RATED SHEETROCK 6 3 4b AZO 0 I I ~ EXISTING co) I I DRY. MUDROO I I 61" KN EWALL — STO GE UNDER 10 WASH EXISTING - BATHROOM CL X/ U � z 5i w LlU X. H O WARREN A.SAMBACH�y G;3tlq^+'"TING ENGINEERS F•O. ._ yX 1033 COX LANA CUTCHOGUE,NY 118$* 516-734-7492 ,,_--, " RIDGE VENT :., 40" X 49" 32 X 50 D.H. D.H. WIND @ DORMER ,=c t`.. ,.d n r > i Y ; 5180 SHEETROCK ON 2 X 12 FRAMING SOFFIT VENTS 5180 SHEETROCK ON 2 X 4 FRAMING ` W/ BRICK VENEER EXTERIOR. MASONRY FOOTINGS AND SLABS s, SECTION = i 9.19.01 WITSCHI RESIDENCE w CONS , EMS PA: ESO COX L HE- CUTCHOGUE,NY 11935 516-734.7402 .