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HomeMy WebLinkAbout25890-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z-30404 Date: 09/04/04 t i THIS CERTIFIES that the building ACCESSORY Location of Property: 2045 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) p County Tax Map No_ 473889 Section 141 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1999 pursuant to which Building Permit No_ 25890-Z dated JULY 22, 1999 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued 1 is ACCESSORY GARAGE IIS THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CECILIA M SCARAMUCCI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A I X-4y ut rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. E BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25890 Z Date JULY 22, 1999 Permission is hereby granted to: CECILIA M SCARAMUCCI 2045 WESTPHALIA ROAD MATTITUCK,NY 11952 for CONSTRUCTION OF A NEW BLOCK FOUND. WITH CONCRETE FOOTING FOR AN EXISTING ACCY .STORAGE BLDG. FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 2045 WESTPHALIA RD MATTITUCK County Tax Map No. 473889 Section 141 Block 0001 Lot No. 002 pursuant to application dated JUNE 10 1999 and approved by the Building Inspector. Fee $ 35 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 r Form N6. -6 '�.VV-2i' )-7 TOWN OF SOUTHOLD BUILDING DEPARTMENT �' '� .' t'• _ LC:� - f 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 certif�,,ing 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 $25.002. 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 - .25vn 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. :. � . . . . . "�.'��!97h'�, T. . . . ONX .. . . . . . . . . .. !TT !. VL. � • . . . _ i House No..�� Street Hamlet Onwer or Owners of Property. . L!/ !�` . . . . . � G.f f. . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .f. 1. . . . . .Block. . . . . . . .Lot. p�.17/ . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. 51.0 .Date Of Permit. . . .l�?: .1. .Applicant. . . . :: . . . . . i. . !`.`. . .Cf. . . . , Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .,... . . . . Fee Submitted: $. . . . . . . ... . . . . . . . . . . . . . . . . . " . . . . . �. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . APPLICANT Com 30 "V � yrs-iso2 BUILDING DEPT. INSPECTION [A----FOUNDATION IST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE o � INSPECTOR i 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: i ;DATE J��S b� INSPECTOR i,D INSPECTION RRPORT DA 7----- iCOHMNTS a- fl__________ �. N NDAT I ON ( IST) NDATION- (2ND)_----- --- -------- --------------------------------- `' p !% IGH FRAME & 1�— N PLUMBING SULATION PER N. Y. STATE ENERGY CODE q r q n q C49 c H q U FINAL rJ ADDITIONAL COMMENTS: C- ------_--------------- - -- ----_- c n ra H� --- - tv� tiD R �j! ►�t i BOARD OF HEALTH . ...... .. . . . . . . . ........ . . . . .. FORM N0. ! 3 SETS OF PLANS TOWN OF SOUTHOLD . SURVEY ...... . . . . . . ... . . BLDG.DEPT. CHECK ............ ....'.. . . . . . . TOWN OF SOUTHOLL) BUILDING DEPARTMENT TOWN HAI.I. SEPTIC FORM . . . . . . . . . . ... . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY:y55'— CALL 2,9-. '. .��. q q MAIL TO: . . . . . . . . . . . . . ... . . . Exammuned................. 19.1.1 Permit IID. ApPnwed.....7. ......., .. ................................. ................................. Disapproved a/c .................................. .......................................... .... ... . . . .. . . ... .(Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . INSTRUCTIONS a. This application mast be.completely.filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to sdiedule. cin' res or public b. Plot plan showing location of lot and of buildings on premises, relatiooship.to adjoining p streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o this application. c. The work covered by this application may not be commenced before issuance of Building Permit. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Svc d. permit shall be•kept oo the premises available for inspection througkiocut the work. whatever until a Certificate of e. No building shall be occupied or used in whole or in part for any.purpose Occupancy shall have been granted by the Building Inspector. t for the issuance of a Building Permit parsuammt to the AL'Pi.ICATION IS Ham MALE to the Building Departm� Building Zone Ordinance of the lbws of Southold, Suffolk County, applicable New York, and other appl Laws, OrdiunPnces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein with all applicable laws, ordinances, building code, bousing code, a described. Zine applicant agrees to Damply cid regulations, and to admit authorized inspectors on praises and in bui for inspections. ............��:.................. igpature of applicant, or name, if a corporation. (• /V- .0 his �j.1l F �.. . • (Hailing•address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui ... ....../ ?.Z:............................................................................ .�. .............................. Name of owner of premises �.�`-A?% ......•GG4:l.. ... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. .G N.��: ............ Plumbers License No. Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on whidi proposed work will be done........................................................... ...:?:�?.�. :..........W .s?:PhA. r:�.. ................... ..!..r�:1r:1....:!�........................ BMW Number Street Hamlet County Tag Map ND. 1000 Section .Z l........ Block . ......... Lot Z........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed1construction: a. wating use and ,y be)')9•c.�.u�C�• ;;4�.:E.. ............. ;. y .iz......... b. Intended use and 000WIC-7 ............................................................................. 460 Repair ............ Remora, ............. Demolition ............ Other Work .............'...:..:...� (Description) Estimated Cost .....� .. ....... fee ................. .6.... .......... ..:..... (to be paid on filing this application) if dwelling, number of dwelling units ............ Number of dwelling units on each floor ................ If garage, number of cars1 ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...........6.......... Dimensions of existing structures, if any: Front... `''........ Rear ....Zz:...... Depth ..ZSR.. Freight ...�.................... Number of Stories ...................... t Dimensions of same structure with alterations or additions: Front ....2'........ Rear ...L 2r 1,,,.,, Depth ...?:A:.�...6....... Height ..... ..> ........... Number of Stories ....r.......... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ................ ... Size of lot: Front .......Z`:�........ Rear ...... ..:......... Depth ...2 G:3......... Date of Purchase .. ....... Name of Former Owner ................... .. ........... k c c ) Zone or use district in Which premises are situated ............................................................... Does proposed construction violate any zoning law, ordinance or regulation: ....!,.).o.............. Will lot be regraded ....N............. Will excess fill be removed from premises: YES 4�4 1903 ►'v1 A ; c Pr one No.�J�:: Frames of Owner of premises Q�.�?f4.�� ` Address,4C ...�...... . Nam of Architect ......�,1. . ..................... Address .........6.................... Phone No. .............. Name of Contractor .` '.�::-::•.......... Address ...............................Pho ...... ne No. 1 .......� Is this property within 300 feet of a tidal wetland? * YES ..........a......... *IF YES, SWMD 1Qd1MAY EE Iawm. PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and indicate all set-back dimensions am property lines. Give street and block number or description according to deed, and show street names and indicate ether interior or corner lot. 1 ,,� Gt1 Dc�he rJ � U N " Civ �C)S-,A— /� I, N S vtn� 5 & tj G yam,�E ATE Or N' , LKEY OF t C ...... h. , .. ..........being duly sworn, deposes and says that he is the applicant ate of individual signing contract) ove named, isthe ... ..... ................................................................ (, tractor,• ••t, corporate officer, etc.) said owner o , and is duly authorized to perform or have performed the said Work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and gat the Work Will be perfomed in the manner set forth in the application filed therewith. Porn to before me this ......./.( . day of ...v.��..19. ./.. m Notary lic ... ... ... ...................... . • ignature of Applicant) N"rLOLM � of Now York Comms Expiry Dec.8, w u v i ,,j 5 & ?`e lj 600c.)6 e to U N 4144 Civ PC?S�- /� r` nJ S NQ w CE 0`J C a e--t�_ ro Tt-l' ry 1�`(�t• �9 C L S e'�/) r�, �V i'+.�S �X �S�j °`-'� G,t1A 3 .f cL APPROVED AS NOTED DATE: -2 B.P.# OCCUPANCY OR FEE: ��- BY. J. USEIS UNLAWFUL", NOTIFY BUILDING DEPARTMENT AT 1� 768-1802 9 AM TO 4 PM FOR THE WITHOUT A�pT FOLLOWING INSPECTIONS: /� 't W\I IFICATE 1. FOUNDATION POURED D CON RETE REQUIRED OrcuPANIC `Y G 2. ROUGH - FRAMING & PLULUM�i Y 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE 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 wEs rp �v yq��q Z' S ° 332 R041) Q isr•4s S co '°o33120ffE V Ih �I ��JOI 4 4; �d v ti !t.r• �° Al v 40Xx „ 1 ^I JvO 'Ili f FA h h a �o pa �o ti 47 20 20 W e2 SO &0$6r l Or 086r0 k er�y i YOUNG A YOUNG 400 O'tRANDBR AVtNUt, NWERHEAD. NEW YORK .wwIHORIIED ALTERA►ION 01 ADDITION WARD W.YOUNG t0 THIS SURVEY IS A VIOLATION Or ALDEN W. YOONA jjd nlMVtrow SECTION 770?Of THE NEW YORK STATE rworusbibMAL 1441046%* Alio 1 !DUCATION LAW. LAND rUNVEE'IoA/ LNC••1016.t"All I r q',•A• Ltd. Mb.411169 COPIES OF THIS SURVEY MAP NOT FEARING THE LAND SURVEYOR'S INKED SEAL OR SURVEY FOR SEAL SHALL NOT III CONSIDERED (0 At A VALID TRUE COPY. JOHN SCARAMUCCI ;UARANIEES INDICATED HEREON SHALL RUN )NLY f0 INE NRSON FOR WHOM THE SURVt SCOM ►LE COMP, AND ITIS EEHAti TO rillEEiv1 /� ��� OI I•.� 0J�1I�w Vr" TE /ANY,GOVOV ERNMENTAL AGENCYCY AHS 'WARA A�fITI� N THE SSIG UIWN LISfEO NDINHEREON, AND SI FF. I"i'{'• NA� III o •> TH! ASSIGNtf1 Of 111E llNDING INSTI• r 1/V , • TION. GUARANIEES ARE NOT fKANSTERA10 g O kDOITIONAI INSTITUTIONS 01 S fmnl K.. ..,..c NOTE: r w 6 ■ MONUMENT SCALE E I a 40 o . PIPE JUNE Ii, 1973 SUFF. COUNTY TAX MAP JUNE 30J967 DISL.UM SMT-AJ SLDILOt JULY 16 ,1987 NvEp i ' N0.7% -561 WESTp �v Nq�/q Z s �° 332 -*S ° E R049 S. /a 9; I v AO /ice• ,! otie,P a 1 �O Q 90� h c •O a Q sa �• Nto . ao as �o N y h ° W 82 s0 flow Or �\ OBbr°k er�y i FOUND A YOUNG 400 O'tRANDER AVENUE, 111VIERHEAD, NEW YORK MAUIN0RI1*D ALINATION OR ADDIIIOEII, 1WAR0 W.YOUNG TO THIS SURVEY IS A VIOLATION OF ALDEN W. YOUNG r, SECTION 7709 OF THE NEW YORK STATE rlEormsbibNAL tj4*I6I4I91 Alto Mtl oVlfl►traw !DUCATION LAW. LAND REUNVt90AJ 6LIf.6. LIC-Nb• fl�yBr I '/• Ltd. Nb. Atttt COPIES Of THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR ������ �01 W&OSSED SEAL SHAH ED NOT N CONSIDER (0 N A VALID TRUE COPY, JOHN SCARAMUCCI ;UARANTEES INDICATED HEREON SHAH RLN4 )NLY TO INE PERSON FOR WHOM THE SURVI MATYIPMCK S PREPARED, AND ON ITIS BEHALF TO THE �• w /�I��� I1I• ••y,�•• IfIE COMPANY, GOVERNMENTAL AGENCY AN 1I• ��� W��� v 1 • ���I N THI SSIG U S O LISTED HEREON. AND SUFF.. CO. N.Y NO ' T TNI ASSIGNEES OF 111E LENDING iNSTI• `3 N.Y. ' TION GUARANIEIS ARE NOT TRANSFERABLI 9 • 400ITIONAL INSTITUTIONS 01 tI1RCofnn., C NOTE: r MONUMENT SCALL E 1"+ X40 -� o • PIPE JUNE 11, 1973 / SUFF. COUNTY TAX MAP JUNE 300587 DIST.IM StCT.Lg1 RL&LOT JULY 16 11987 L,AN A � ?Ac .N�t��ll RIVER i NO.is-5..g _- BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: &9116' A V cc 1 � faG 1�.l R Reviewed: [ � Architect/ Date . Engineer: Submitted: SCTM#: 2 District: 1.000 Section: IqL Block: �_ Lot: Project99 Subdivision Location: LD5S ae5PPM41,IP e0i40 Amfl fua- Name: Single&separate Requ�yp��� certtfication: SYes /Nol) XI STIN4 Dwf— ," eq Req. Zoning District: [Lot size: Actual: s 5 A t:Re 1 [Lot coverage Proposed: 1 Rey, Req. Req. [Front Yard Proposed: [Side Yard Proposed: 1 [Rear Yard Proposed: Project Description: L '�°R�l�lll� Q CGCG StOo d'Urte AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: co F00 NoP,rksv roor►ti� S G2-C. �. g L©GC CY tee.,