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Home My WebLink About28319-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32343 Date: 05/08/07 iµ THIS CERTIFIES that the building DECK ADDITION Location of Property: 3460 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 2002 pursuant to which Building Permit No. 28319-Z dated APRIL 23, 2002 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 "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY K. & CHESTER A. BERRY JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Fy. ho zed Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r t— APPLICATION FOR CERTIFICATE OF OCCUPANCY MAY a This application must be filled in by typewriter or ink and submitted to the Building Department y ith'ithe.following: -- —J A. 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 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date- ��,W New Construction: _Old or Pre-existing Building v/ (check one)�J Location of Property: House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section _�lC�/ Block Subdivision Filed Map. Lot: Permit No. 2g2l? Date of Pennit.__419�_ �Applicant: Health Dept. Approval _Underwriters Approval: _ Planning Board Approval. Request for: Temporary Certificate Final Cerlificate: (check one) Fee Submitted: $ �� p ( Applicant Signature coZ-3)3g3 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. 28319 Z Date APRIL 23 , 2002 Permission is hereby granted to : CHESTER A JR BERRY 3460 WESTPHALIA RD MATTITUCK,NY 11952 for AN "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 3460 WESTPHALIA RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0001 Lot No. 010 pursuant to application dated APRIL 8, 2002 and approved by the Building Inspector. Fee $ 300 . 00 A t ize i nature ORIGINAL Rev. 2/19/98 65-1802 B EPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ j FINAL [ J FIREPLACE A CHIMNEY REMARKS: ` T fIr DATE INSPECTOR ok 7w— FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION(1ST) y u ------------------------------------ FOUNDATION (2ND) � C17 J � z � y ROUGH FRAMING& PLUMBING r '� r 7INSULATION PER N.Y. y RGY CODE O FINAL ADDITIONAL COMMENTS gdo3 0 z m A Q T W o z x �r y x c TOWN OF SOUTHOLD PROPERTY RECORD CARD _ 33 OWNER STREET VILLAGE DIST. SUB. LOT Y C;. FORMER OWNER N GE �/ ACR. TYPE/OF BUILDING RES. po SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z o a v' d,04 16e 64 d rr0 cc 6 coo S e l 2.c7 �va+r IIS ix=��i 4 0 ocx�. ' - CDrI a FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 dMoodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD -louse Plot DEPTH i BULKHEAD V r rota) DOCK • 4 �v4 ` . .. mom■■■■ mom■■m■o■■■■moon■mom ■■■�■ IN SOMEONa oilE sonsimm 0 oil ME ,' ■■i■IEhll�iimml�■■■I`ioil■n■■MEMO■■■■ EMMEMMEME ,. ■■■■I■■■ man■■!i:r■I■■■■■■■■■■■■ _ M■■M■EM■E■■ 3S1■■■I■■■■■■■■■mom m■■■■M■■m■■m■■WMmmmm■mmm■mm■ ■■■m■■■■MEMO■m■mm■mm■m■m ■■E E■■■EE■�m■■mm■mm■m■m■■■m■m ■ M■■■■■■ m■m■mm■m■■■■■ ` �_® Interior Fir��= OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST DING DEPARTMENT Do you have or need the following,before applying? HALL Board of Health S(IUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-95022 �n n Survey PERMIT NO 7 _I Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 Z Contact: Approved Z 20 Mail to: Disapproved a/c Phone: Expiration ,20 1' tngIn7pecto APPLICATION FOR BUILDING PERMIT Date 120 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. 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 inspections. ��Z6� et" (Signature of applicant or/rfame,if a co ation) (Mailing address of applicant) State whether applicant is owner,,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder NKK Name of owner of premises �C�( (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. /,3Q �� — /i4 / Plumbers License No. Electricians License No. (o Other Trade's License No. 1. Locat'on of land on which proposed work willbe,a_one: House Number Street Hamlet County Tax Map No. 1000 Section //47/ Block d/ Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy f proposed construction: a. Existing use and occupancy77 // b. Intended use and occupancy��= 2 A!/dTAJz�e�- �/IdN 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �. 6-6 6 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front / R D pth Height Number of Stories DN Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories p 9. Size of lot: Front 1V U " Rear 9q,• V �- / Depth 10. Date of Purchase Name of Former/ lOwner 1 , / Ly 11. Zone or use district in which premises are situated lt�( ` %'l 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_NO-Will excess fill be removed from premises?YES_NO X 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF_ M?XV ) p V e 1 LC//�eel being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 6 WAty (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 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. Sw .tore me this �S of 200 'off Notary Public Signa of Applicant STREET ADDRESS, 3460 WESTPHALIA ROAD SURVEY OF PROPERTY AT MATTITUCK TOWN OF SO UTHOLD tp SUFFOLK COUNTY, NEW YORK 14.2', 1000-114„O1 - ,R �� 90 4 �o SCALE: 1"=30 MARCH 28, 2002 NN- \ \ f L�Y PV' ` 1� SSN. S1C� 1 JO v N� p � V 1011 yb \Nf t a 6J e \c cep i \ s NEw yFill oA 0 /�// N.Y.S. LIC, D. � O Q PECONI VEYORS, P.C. ' ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION V� (631) 765 - 5020 FAX- OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. P. p. BOX 909 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF •=MONUMENT 1230 TRAVELER STREET 102 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AREA=18304 S.F. VHOSE SIGNATURE APPEARS HEREON. =PIPE SpUTHpLD, N.Y. 11971 PR VED AS NOTED DA B.P.ti B : NNOOTI L ;NG OCCUPANCY OR 765-1802 9 AM T 4 PM0 t+E FOLLOWING INSPEC IONS' � on USE IS UNLAWFUL 1. FOUND'. ION - TWO REOUI WITHOUT CERTIFIC;JE FORW :;,AEOCOP 2. ROIK. ; - FRAU NG & PLUMBING & INSULATION 4. FINAL - CONS RUCTION MUST BE COMPLETE F R M-43- ALL CONSTRUCT N SHALL MEET THE REQUIRE-AE TS OF THE N.Y. 5/4:7Baad Rail STATE CONSTRU TION & ENERGY Lddoe S/4x6aideadle CODESPONSIRLE f l DESIG CONS UCTIO 3/4 x 6 Cedar Daking 3`-6 Dude _ � � — —— — � —I — — � ——I — I I � I Paul I.00Mian u'�� 11 II II II II 11 I 11 II II Cmoeeb are.typ. 431 2 x 10 Hadar Doable 2 x 8 OHdar 4x4x 19 CCA Paan Teel 2x10 Fkx r Baine l6'OC Scale 1/8 equals 1 '` P a C. Bent' Residence 032251-1 Westphalia Rd, Mattituck, NY Ni<`m O�- p9Ore ESStONP� 631-298-8330 April 2002 oti North Elevation 431 91 Hnd =4TbL Dock AIL dda 2ilOxI S' 13%3" 16" 9p SA 126Dook �q Dealt 16sq. � rq 4' ~ -� 21 k. 032254-1 WHK*bm ®pgOFESSION�� 290"lkl 4 Vv DW6 Rom e.6* 91& 43' handrail Y ht Deokham@ Above P� ALL dda 2x10:14' Oft sbv u&ftDY 13'-5" 16"dm 48 @bv hod Brims 9' 5/4 Flooring t# 14' Deck . 126NS �Deck PropaalDadc -7 ZA5 q3i 161 p.It 4' 21x— PWH I i 2966AL Dr.KWbm $ Dili Roam S 9 LIL • Now2V Addition 361@q.8. UvinlRoom Poch 14, 5 Scale 1/8"equal@ 18" Existing OMP COU3460 wayo a&d. D g Door M@nilaok NY 11952 Mucha Floor Plan 1-2W-41,20---� 4-8" r 3y �r .. 1 i s_E i { Qt, t � +- i+ r POP �1 1. r � P I , 4 I ^S I Y --