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Home My WebLink About33646-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33075 Date: 06/05/08 THIS CERTIFIES that the building ALTERATION Location of Property: 3547 OLE JULE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 5 Lot 23.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2008 pursuant to which Building Permit No. 33646-Z dated JANUARY 25, 2008 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 KITCHEN ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERNEST P & DONNA WILSBERG (OWNER) of the aforesaid building. SIIFFOLR CODNTY DSPART!ffi1'P OF HEALTH APPROVAI, N/A ELECTRICAL CERTIFICATE NO. PLDlHiERS CERTIFICATION DATBD 8772 06/02/08 05/23/08 MATTITUCK PLUMBING u on ed Si nature Rev. 1/81 ~`'~ 5~~~ ~y Form No. 6 ! ~' TOWN OF SOUTHOLD BUILDING DEPARTMENT 5 ~~' 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: 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 Plam~ing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud 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 ofOccupancy - $50.00 5. 1'empora~y Certificate ofOccupancy -Residential $15.00, Commercial $(5.00 New Consuuclion: Location of Property: House No. Owner or Owners of Property: Date. _-.~/~~ Old or Pre-existing Building: ~ (check one) Street ~ Hamlet Suffolk County Tax Map No 1000, Section ~]~~~ __ Blo k C~bLS _ I,or ~3.Up5 Subdivision Tiled blap _ Lot: __ Permit No. ,~j y 0 Date of I'enuit. ~ /~ Applicant: V~D)l.) ~ Health Dept Approval. _ _ _ Undeiu~riters Approval: ~ Plamiing Doard Approval Request for: Temporary Certificate _ Final Certifcate: Fee Submitted: $ ~~_ C~~ ~33d`7~ To~~n Hall, 53095 Main Roed P.U. Boz 1179 -.--_._.<: ~e~.~ York 11971-0959 Date: <d /~`3/oJ~ Building Permit Npo~ ~ ~ / ~ / "v 0~~, ner: t~p~~ w 1 ~S~ ~-21~-~_ ~p ~ / / (Please pnnJt}J /~ l Pl,iniber ///ai-F"1'~ c~~ plum' r (7~eat'.r+~ (Please print) Fax (631) 765~95G= Telephone (631)'.65 ~bc- 1 certify that the solder used in the water supply system contains less than 2/10 of 1 lead. vo ~~corn to before me this a`3 Lisp o~ /'~~'/ 20 08 ~.l/ILGa// \oian~ Public, County =,~SUFFO(,~c~ ~c ~'' G N = W • o~! ~ ~a~~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION (Plum ers Signature) ~wG N~. ~ _.~ of New York i -,.~'~KI6047757 -:: Y, ~'k County My C~ ___: es Play 15, 2Oio :'.-r 4:IN9 Nor - - _-. of New York k. -. ~. K160-'.1757 G.. 7._~ik County MyCom :; Mai 15, 2 J Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York i 11931 Te1:631-591-3097 Fax:631-591-3098 Application: 8272 Date: 6/2/08 Issued to: Wilsberg Address: 4095 Ole Jule Lane Introduced By: Modern Electric East Village: Mattituck License #: 4253-E Residential l7 Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Attic 1" Floor l7 2"° Floor 3'" Floor Carage Conversion Basement Hot Tub Addition Detached Carage Pool Switches Receptacle Fixtures G.F.I. Range Hood Dimmers 4 8 I-Ceiling,11-LV 3 1 4-LV Fans Dishwasher Wine Cooler Warming Draw Cook Top Wine Cooler I-paddle I I 130A I Sub Panel Oil Gas Heat Zones Whirlpool Bell Transformers I-I OOA Final Insp. Meer Amps Phase Moors 6/2/08 Kitchen Renovation ~.~'~1,~ This certificate must not be altered in any manner 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. 33646 Z Date JANUARY 25, 2008 Permission is hereby granted to: ERNEST P & WF WILSBERG PO BOX 1429 MATTITUCK,NY 11952 for ALTERATION: KITCHEN RENNOVATION AS APPLIED FOR at premises located at 3547 OLE JULE LA MATTITUCK County Tax Map No. 473889 Section 122 Block 0005 Lot No. 023.005 pursuant to application dated JANUARY 18, 2008 and approved by the Building Inspector to expire on JULY 25. 2009_ Fee $ 200.00 ORIGINAL Rev. 5/8/02 336 ~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ( ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]ROUGH PLBG. [ ]INS TION [ FINAL [ ]FIRE SAFETY INSPECTION DATE `~~ INSPECTOR [ ] RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION 33.E ~~ z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND FRAMING STRAPPING [ ]FIREPLACE & CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION 3 /~-off ~~~ DATE INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION FIELD INSPECTION REPORT DATE COMMENTS ~ w FOUNDATION (1ST) ~ H a k ~ FOUNDATION (2ND) ~~ ~ i ~ ~~ J Z I.o.. .~ 3S W ~ ~ l - 0 r\ y ROUGH FRAMING & - PLUMBING ~_ ^1. -- - --- ' r _-__ _----------- ~yxy .p INSULATION PER N. Y. ~ y STATE ENERGY CODE FINAL P ADDITIONAL COMMENTS -_ ~ _ _. _ - ~ O ~^ ~ -" z m 1~ r' _ ~ -i- r~ ~ ~ r - y - ~" ° ^- z _x _ -- ~' ~ b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~-, www. northfork.net/Southold/ PERMIT NO. > 3~ y~ Examined , 20 ~/ Approved ,20 UX Disapproved 20 Do you have or need the following, before applying? Boazd of Health 4 sets of Building Plans Planning Board approval Survey _ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~' '~~~ jL ~ ,~. APPLICATION FOR BUILDING PERMIT Date ~/fig , 20 D~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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. E 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. /~ ~ /%/ (Signature 'ant or name, if a corporation) Po r3vx 78q cSavl~`cQ N~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder rZ. Name of owner of premises (As on the tax roll If app~t~a corporation, signa~re of duly authorized officer (Name and~of corporate officer) Builders License No. ~ ~ y~ Plumbers License No. (~ - Electricians License No. Other Trade's License No. 1. on which latest deed) ~~"</ l J~ZLGfc ' House Numbei Street ~ Hamlet County Tax Map No. 1000 Section `a~,2 Block ~ Lot ~ 3 ~ S Subdivision Filed Map No. ~~e) t~r~6i~ANreMro.aN _ . .JOt MA. w~ eYIIrIMMIp I ~" ~DtVNs4 Wi /S b~ State existing use and occupancy of premises and a. Existing use and occupancy b. Intended use and occupancy use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building Addition Alteration_~ Repair Removal 4. Estimated Cost ~S DAD- Fee 5. o~ L~ (To be paid on filing this application) 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 Height Number of Stt Depth 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 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Fonner Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 13. Will lot be re-graded? YES_ NO~Will excess fill be removed from premises? YES_ 14. Names of Owner of premises ~t S b,el~,~ Address Phone No. N~ Name of No Name of No. 76 S' 7 702 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a 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. NO 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTYOFn j(L 'L~ DYE 1 r `D-~L Z7~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~7~IL' (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. re me this 7ny o 1'~~ ~~ 2~ Demolition Other Work ,IC i ~~t 2N (Description) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET S( `"' VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. ... ~. c $ - ~ .~ ~ ~„~ W ..;tom e,. TYPE OF BUILDING RES. ~ SEAS. '~ VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS J Q '~ ~ ~.,. f 9 ! ,tom. .~ a ~~ ~Q I ~ t9s3 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tota I ~ --~ Joao-ia~-~ SOUTHOLD PROPERTY OWNER STREET VILLAGE DIST. SUB. ,.. LOT ' ~~ i~S ~r d 1 C_ FORMER OWNER N ~ Y E ~ ~ ~;~~~~. ACR. . i lw ~ _ S / ~ 1 ~l ~.t ~_n ~.' W e ~S TYPE OF BUILDING RES. z , U SEAS. VL. FARM COMM. CB. MICS. Mkt.. Value LAND IMP. TOTAL DATE REMARKS _ /o~Sfa-p .®.~ G' ~ ~/ V ~ Y Se./!L ~SOe~9 ,''',~i ~S Or r~. ~~ /~ - ... _. Qvo _.. SOD 8 issi-L' Ip,: . i ' 7~4 Yt= ~t_3 50 U 14e~ C~ ~ z e,i //7~Pb 6,~ //7Py Ci»~ /r. )j.°u, ~we/~ ~ ~ a e ~ a o-fl /~ ~, <, 0 ~ G ~o-d ~ %~ o / y/~y/~'~ ~-° e - ~O - ~~ - ~~~' Q y i y ~pc~ -~o .I carrres -N,~ ~'oo ~ oti ~ cc> - -~~~ ~>. AGE BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER > / ~ /~~. Woodlond ~ FRONTAGE ON ROAD . ~ u, o ~ - ~y''~~ ~ ~ Meadowlond DEPTH ~ ",9/ House Plot v BULKHEAD Total DOCK `~_: ~~"" ~ ~ I COLOR Y/ a ~ . TRIM Gr/y ~ te. ~ ` ~ a ~ a i I t ~, - _ ~~ -- " i I - : /. Id s° __ ,F M.B g. ~•~X37 . /0.36 `f ' 5/62/ /.5-"I2l Extensi ~G L ~~ ~ S X Aa - 3 L~ 3 ..._ //,x o / Extension Extension Foundation ~? ~• Bath Z Dinette ' Porch yX ~ ~ 7 , S o ~, ~, , Basement ~~ f`/ Floors Qc ~ K. Porch Ext. Walls ~• ~ Interior Finish ~ > c. LR. Breezeway' ~ Fire Place Heot G , / ~ . DR. Garage ~ 4. ,.^ ~ ~ ~- ~ ~ ~:° , S" /~ , Type Roof Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer ~„~f ~Fz,y Driveway Total c ~ ~; ~ k • APPROVED AS NOIEC DATE: I ~ B.P.#~ FEE: ~~cb~ BY~ L ~~ NOTIFY BUILDING DEPARTMENT 765-1802 8 AM TO 4 PM FOR T FOLLOWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRE FOR POURED CONCRETE 2. ROUGH -FRAMING & PLUMBII 3. INSULATION 4. FINAL -CONSTRUCTION MUSI BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEE REQUIREMENTS OF THECODESC YORK STATE. NOT RESPONSIBL DESIGN OR CONSTRUCTION EF RON MORIZ20 KITCHENS & BATHS INC. SOUT TOLD N Y 1197) ~'Sjc ~tE D AR. ~ I I ~-J \j~~SGt~~\F\GP~E ~, -. -r -r r-~.---- ~r - - 'S2' p,p. ~y-I~T1NG DSE~ ~ ;T, IFICATION ~ UMBEP G~1 ENT BE'.r"~Y G~{" j ~_EAD GO ~F O~CUPAN TE_,_ _ R-;tF~pA DSEDINwATER ------ SOLI.ERS~,STEM CANEA~. 5U°pLl 2110 OF ~ /~ EX~EEC ~"° `i'ce-f?, ~~ ~ c a ~I~ - e~~' OR :: ~ I: ; ~NLAbVFUL G' I hOUT CERTIFICATE OF OCCUPANCY ~ I !~ I N G 5 z ML~^' I ~ 0 , ~ ~FAAp e/Nv~' V N ~ ~ JrF litic ~1'q~ F ~ ~ ~ "9F ~ F~ F 1T F NO ~vM~ *aG, ~~ i*c~PM ~;O P 4n1-~H ALL CnpF ~OF n.,' ST„ ~'~ `~ TC~`,'+1N DES NE\ti Y~ _. _~ - fV.~ ~. JET S l I tt ~1 I ~~ Q" 1., t. o. I 4' Tv ~YIS1-1N['1 SPr.IITOP-mot. SYSC'~1 DONALD G. FEILER • ARCHITECT 11725 Main Roatl • P.O. Box 1692 • Moltit~ck, N.V. 11952 ~J (~. ~ U L~ L-~t.,1~ ~ 'Ivy A 1 1 I I VGKy 1~~ vG~l~ _ J A *.1 V A iZ Y 11 1 'LoOo