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Home My WebLink About33148-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 07/06/07 No: Z-32450 THIS CERTIFIES that the building DECK ADDITION Location of Property: 4680 (HOUSE NO.) County Tax Map No. 473889 Section 113 WESTPHALIA RD (STREET) Block 11 MATTI TUCK (HAMLET) Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 2007 pursuant to which Building Permit No. 33148-Z dated JUNE 20, 2007 ) 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 LOUIS J & DEBRA D'AMBROSIO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~i.~ Rev. 1/81 ;2. cr~- sC(~ y Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 certirying 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: I. 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 I. 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing B~ilding: )<i tUi_~t()j,1OJL()- ~ . Street Jtdj & r 2007 ( check one) AI Itm'l7X2k. Date. Location of Property: 4(/JRO ~use No. Owner or Owners of Property: .J {JUt:? (1fJ,c{ . Hamlet Suffolk County Tax Map No 1000, Section Subdivision WM.. "0. (lcd\\fl;:r Permit No. 33 J 1 ~ Date of it. S)ebf<ea.. II"!; '/) /J.I1/L b Y7)~ ( '0 Block (( Lot Z 2- '"I, I -- ?l'rl<-T o~ Filed Map. , ':'0 ~ 3./y. /.,- APPlicant:OIJ!J("/ (: _U:S Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: - (check one) Fee Submitted: $ :z 5' ~ 73870 Co -2.;.2 t{ 511 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIWING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33148 Z Date JUNE 20, 2007 Permission is hereby granted to: LOUIS J D'AMBROSIO 4680 WESTPHALIA RD MATTITUCK,NY 11952 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING at premises located at 4680 WESTPHALIA RD MATTI TUCK County Tax Map No. 473889 Section 113 Block 0011 Lot No. 022 pursuant to application dated JUNE 13, 2007 and approved by the Building Inspector to expire on DECEMBER 20, 2008. Fee $ 400.00 ,&t,u~~ ~. ; Authorized Signature ORIGINAL Rev. 5/8/02 33 , a.f ~ 7- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSlRUCTION REMARKS: (A-O [ ] ROUGH PLBG. [ ] INSULATION p(,FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION t~ ~. C 8 ( " DATE 7'-3~o7 INSPECTOR ~~ FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL -- 1------ '--.. DATE I -~-- -- ---- - - 1____.5-0 -j r~ -J- , - ADDITIONAL COMMENTS COMMENTS ... ",-" L--.o-k ~ 1/" -M ( (.I /'./ ~'/ A /'/0 , \}J l.)-l... i:'l L~ DO"" \\.1"" V~Jt 0"-'",,- ~i:'lf z~ ~ .... -+ ~ ~~ ~ f ~ ~ ~~ 5)- ~ ~~ ~ t ~ v t o P'~ t:. ;0 o " - i:'l ~~ .- %: ~ -, 0 Oz ;v. ga L..~ .... -~ J>~ ... :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 . FAX: (631) 765-9502 www.northfork.netlSoutholdl PERMIT NO. .3 ~I ff t:;, BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: V. Iff! (\jUS /930 .13y(~ fNt- UhXe( 0f W}48 Phone: 29t - 5" 'i h'-! . Examined Approved Disapproved alc Expiration (~'20 ot Iae-' I Building Inspector __-I -. ... I~ ' JU~ \ 3 1 APPLICATION FOR BUILDING PERMIT Date JUfle., /"'L , ~'_. ,~ INSTRUCTIONS \~This"ai>plication ~ST 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 ofthe permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. , 20-LB:... B~~ Ale i rJAu'p ( JL!V 1191-'8 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder f'Ior7M ~ t Ve f7 dfJe. Nameofownerofpremises ML\.l~ J. - ~.b.t1- \\. \) \ AM ~160/'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. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed, work will be done: ~<oBO We::,-r f'H-f\UA \<-D House Number Street N~TI\n>Ck.. Hamlet County Tax Map No. 1000 Subdivision \.Urn ~ . (Name) Section \ \ 3 (l o IlL I t-J~l Block ~- 'Z'Z- FiledMapN, "'MtlIlfflX"'''''''''''r,~ Pa(\-ot \3\{:J5:" 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~~7arrl(G.l l~ -oec:..l::-- b. Intended use and occupancy '95-1{\8~ 1n(vld'LI 1"-' ))eC'_K- . . 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work A-:, Alteration (3U\ L'T . (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existing structures, ifany: Front 6i.9 \ Height Number of Stories Q Rear 3 (" \ '\Q. I Depth C)I 0 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front ":)1.0 Height Number of Stories Rear ? '?> l.o \ Depth ~4oj 9. Size of lot: Front lbO' Rear (Pl. \0 ' Depth -;;>1"-\ ."50' 10. Date of Purchase It-.) CO~-r Name of Former Owner Lov\.~ ,.\ .:c., ~6<<A 1)' A-\J.-lt1KO'S.1 ('> II. Zone or use district in which premises are situated ~s~ 'C;.e r\.J1l r'tL 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ N01('_ 13. Will lot be re-graded? YES _ N~ Will excess fill be removed from premises? YES_NO ><7 14. Names of Owner ofpremisesU:>t'J,eA- D M-tBa:.-3<Address "/tdO 11 l?,')W't11"L1 (.! Phone No. Name of Architect Addn;ss 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 L * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet ofa tidal wetland? * YES_ 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 ~(d 01 j \ \-E' C'. ~v .,.~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ C00t--rQ<?1- \fQ,v'\df't (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. Sworn to before me this J.z /~Of ~ 7 c..jJ . Notary Public 0/( r- n'T'- ~-' '. ""- - I(o() - 1/3 -//-02:2. OWNER ou i 5.3, + m__ , 'fl1 o !::I,' 0 FORMER OWNER o I) 700 ~- 00 0 5~oo 700 Tillable Woodland Meadowland House Plot Total' - --. ..-. -. '--'" -~....-- TOWN OF SOUTHOLD PROPERTY RECORD CARD .' , /'1-33 . SUB. 'STREET WC$, fit 11 RD. N S Est- VL -1 I FARM TOTAL DATE VI LLAGE DIST. ' c; ACR. O,+I~ IOL TYPE OF BUILDING 'W()vD ':'.0. It{ 7 ~ h 1;;'14 E ,y~ LAP&1Y W COMM, CB, MICS, Mkt, Value REMARKS ,f; FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ( () roI 7 tWl -. ","'-,)--,,-" - ~.. ,,' , ....} ;/ , ~~ - i " I " - COLOR TRIM - 1 I I I I I , i , , ! I ! i i -- Af' I I . ! 3/97 I ! ! I ....'~ l(p .~. ~. - - . -. '- l~ lfQoo I M. Bldg. 'S..;.~ - q~o 5".00 i ~ Extension I I Extension Extension I Foundation Pc- Bath I 'd..5 I Dinette " Base~~')t F' ., Floors Porch :''5'"" '=> " :t.lo .">0 I oS' f..;li K. / Porch Ext. Walls U,'uu / Interior Finish LR. Breezeway Fire Place ,-/,~ Heat C! ,'I DR. / _~arage .. % 16 0. It '" 38'1 1.00 .,,11 Type Roof Rooms 1 st Floor . BR. if Patio Recreation Room Rooms 2nd Floor FIN. B - O. B. Dormer Drivewoy '~.al ~ %$"" 5 3:11 %" . SURVEY OF LOTS PROPERTY 51TUA TE: MA TTITtJC,K TOHN OF SOUTHOLD SUFFOLK COUNTY, NY SURVEYED MAY 10,2001 SUFFOLK COUNTY TAX # 1000 - 113 - II - 22 CBRTIFIBD TO: EDWARD HANUS JULIB HANUS FIRST AMBRICAN 'm1.B INSURANCB COMPANY OP NBW YORK WBU.S PARGO BANK. N.A. \ I I \~ \ I I \ \ . ~ < ~ ~ o ~ I I \ \ \ ; ~ ~>S -II'" '& '" I -~ \ I I \ \ '10\' -7;']..t- NOTE5, . MONUMENT FOUND AREA = 18,102 5.F. OR 0.4156 ACRES GRAPHIC SCALE:!": 30' ~ I N W+. s LOT NUMBERS REFER TO "MAP OF LOT5" LOCATED AT MATTI TUCK L.I PROPERTY OF i"m. B. CODLlN6 FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY 10, 1'121 AS FILE NO. 145 ~b Cl -I -II'" ~ Cl I ~l; 11 ~I~ ~61.~ l\1\04t'50 (<) ~l' ,-'" ,. I\~ ~ .. \1 \\~ Cl -I -11- 0\ I I \ \ \ I I "p.1E-1:--.,I.--.,I. --- __;. I --;. ;. ~\ ~ ~\ ~I ~\'S -I _ is> '" \ I I \ \ ~b-.:~ _ "'. I ;.---- I fti'r- ~ ~ ~ I I . ---- ~ ~ ~ ~ I I \ \~~ ~ ~~~ @~ $61~9' ~ :-(1. "'" '\ ~ ",,,,-< ('("'0 t ).~o"'9 ~s }. J. ""y01' ~r 'Unou,norlZeao1tecattonor .aoltlo" to..urvn ~.~ b..rlng . 111:."'.0 lona 5ur..yor'. ...1 I. . .1010"onol..ot,on7209,'uO-Ol".'0"2.0I,n. Ne.YOckSt..eEPuo.ttonL.w' 'OnLycoplU lcomtn" cC1g\n.l of t"l..urny ~.r..o wltn on oolgln.' of 'he l.na o"r..yor '. .t..peo...l.h.lloe,on.,oereotob...l1dtcue cop'.,- 'Cect1fi".tlo". iMIC.t.d noreon .'gnlly tno' 'niS O"c.oy wnproporoa In OCOOCO"no. with 'no 0'- Utlngcoao0/ ProotlOO 'OC LOMSur..y. .oootoa ~y tM ,,",W YorO St.to ~"o"'"tlon oJ PcolUSlonel L.n~ Sur'O}Or.. Solo oortHI".tions sn.1I run onh to thooorson lor wMlItna sur.!} is proporoo. oM on hlo ~on.1I to thO tlUa "OIllPOny. go.orn...n- tal ogoney onO 10Ming Institution IUt.onocoon. oM to tn" ."Ignan of tna laMing InstitutiOn. Coctlfl".- tlon. .ro not tc.n510r.~I" to .ooltlonol Institutions JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. UC. NO. 50202 RIVERHEAD,N.Y.11901 369-8288 Fax 369-8287 REP. D:\10BS\07-153 ':;LL , 'f ~ 'J 3H;.\LL . '.' ,30FTHE 5TATt' r,F "".~,:>; SiATE, ;k~ CER1'IFICATlON OF NAILING & CONNECTIONS RECiUiHED, APPRO 'ED AS NOTED DATE: t, 7 E.'. P # ~ FEE: #,-..-,,,.~ NOTIF':' 3i):~C:'~,?, ::":~::"~Tk~~NT AT 765 502 8 ;..\1 TO" -CJi"\ THE FOL!_'~" ':\:~j ';~:::' .:'-!'.. :',~. 1. F;'.),~S'.:',T!()\i . -~- L~:.~~O~",'~~,ED Fcr~ POJEE::J C'-"= -F:-' ~ 2. RO-":GH - Fr";\["'(l & h_0M3iNG 3, INSULATIC)'l 4, FINAL - CONS~c:UC .,J'! MUST BE COMPLE~E ~ ~~.O, ALL CONSTRUCTI'AJ S.HALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT ilESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, PERSPECTIVE VIEW OCCUPANCY OR N.T.S. USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY A& BUILT DECK ( BUILT PRIOR 2003 ) pc;,. June 04, 2001 ecAL.E 1/4" = 1'0" JD ~l~ ~ ~I ~~ '" o I '" SECTION A-A SCALE: 1/4" = 1'-0" \~ " ',. ,~ " .,' ., .: . '~ " ',. ,~ " ..' ., -: .' <>_hhh_, ~ 2Xb OJ ~ (jllb"OG h'-g" b'-8" b'-8" 1'-0" ~~~~~:~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~!~l~:~ ~ ~ ~ ~ ~ ~ ~ ; ~ ~ ~ ~ ; ~ ~ ~l~~~]~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~[~[j~~~ . --. 4X4 PT POST ," (2) 2X8 PT GIRDER ~. -- -- wi 12X12X12 , CONG, FTG, , 2Xb OJ , , (jllb"OG 5'-11", 5'-11" 5'-11" 1'-0" I , , H[~~~]~~ ~~ ~ ~ ~ ~~ ~ ~ ~ ~~a~~~ ~2m: ~;i;R~~~ ~H~~ ~~ ~~ ~ ~~~ ~ ~ ~-~~~[~~~~~ , , , <>__h_h_! FOUNDATION PLAN SCALE: 1/4" = 1'-0' ( BUILT PRIOR 2003 ) Pc., 2 ;" I On 1'-0" 0 I '" ~ 0 I On 1'-0" ;" I ;., AS> 6UIL T DECK June 04, 2001 eCALE II I 11 1/4 = 10 JD '" I '" - '" I .. '" I '" 3'-h" EXISTING HOUSE (REAR) jg'-b" 22'-0" FLOOR PLAN SCALE: 1/4" = 1'-0' AS BUILT DECK ( BUILT PRIOR 2003 ) Fa.. :3 June 04, 2001 6CALE II I II 1/4 = 10 JD