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Home My WebLink About34833-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP/ERTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34034 Date: 10/27/09 T~IS CERTIFIES that the building SWIMMING POOL Location of Property: 4615 WESTPHALIA RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) CoLulty Tax [~ap No. 473889 Section 113 Block 13 ~t 2.1 Subdivision FiledMap No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 2009 pursuant to which Building Permit No. 34833-Z dated JULY 6, 2009 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 ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JAMES M & MARY ELLEN RUHF (OWiqER) of the aforesaid building. SUFFOLK COD]q~fDBP~NT OF FD~AL~{~PROILa_L N/A ELEC~TRICAL CERTIFIC_ATE NO. 2011808 07/22/04 PL~I~S ~RTIFIC~%TION DATED N/A ized Signature Rev. 1/81 OCr 5)? ?;',,9 BLDG. DEPT. TOWN OF SOUTHOLO & ~,! Form No. 6 TOVVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 iLICATION 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 ail 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. UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: (~C) O ~ Date. Old or Pre-existing Building: Location of Property: ~.,0 [ -~ 1~.} C-9~?~¥] a..I i c( ~, House No. Street Owner or Owners of Property: '~'~gr'u~.~ ~'- ~J~c~Z~,,~ Suffolk County Tax Map No 1000, Section ~ ] ] _~ Block Subdivision Filed Map. Permit No. S C~'"~'~'~ Date of Permit. t9~7/~) ~ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate (check one) Hamlet Lot Lot: Final Certificate: (check one) Fee Submitted: $ ~}~plicant Signature By THIS CERTIFICATE OF COMPLIANCE THE~ -" ~,, · t;, ~ NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. MARY ELLEN RUHR 9280 SOUND AVE. 4615 WESTPHALIA RD. MATTITUCK, NY 11952, MATTITUCK, NY 11952 Located at 4615 WESTPHALIA RD. MATTITUCK, NY 11952 Application Number: 2011808 Certificate Number; 2011808 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 22nd Day of July, 2004. Name QTY Rate Rating Circuit Type Miscellaneous Appliances and Accessories Pool/Spa Bonding 1 0 Wiring and Devices Receptacle 1 0 20 amp Pool/Spa Switch 2 0 General Purpose Receptacle 1 0 General Purpose Fixture 1 0 Pool/Spa GFCI Circuit Breaker 1 0 20 amp Pool/Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test end/or repairs made by a qualified person. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 34833 Z Date JULY 6, 2009 Permission is hereby granted to: JAMES M & MARY ELLEN RUHF 4615 WESTPHALIA ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF A/q ACCY. INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD W/FENCE TO CODE AS APPLIED FOR REPLACES EXP. BP# 32223-Z at premises located at County Tax Map No. 473889 Section 113 pursuant to application dated JULY Building Inspector to expire on JANUARY 4615 WESTPHALIA RD MATTITUCK Block 0013 Lot NO. 002.001 6, 2009 and approved by the 6, 2011. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 32223 Z Date JULY 20, 2006 Permission is hereby granted to: JAMES M & MARY ELLEN RUHF 4615 WESTPHALIA ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. (REPLACES BP #30330-Z) WESTPHALIA RD at pre~Lises located at 4615 County Tax Map No. 473889 Section 113 Block pursuant to application dated JULY 19, 2006 Building Inspector to expire on JANUARY 20, MATTITUCK 0013 Lot No. 002.001 and approved by the 2008. Fee $ 150.00 d ~-~a t u r e Rev. 5/8/02 ORIGINAL 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. ~330JZ Date MAY 18, 2004 Permission is hereby granted to: JAMES M & MARY ELLEN RUHF 4615 WESTPHALIA ROAD MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 4615 WESTPHALIA RD County Tax Map No. 473889 Section 113 pursuant to application dated MAY MATTITUCK Block 0013 Lot No. 002.001 18, 2004 and approved by the NOVEMBER 18, 2005. Building Inspector t° exlDire on ~~Fee $ 150.00 Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING/STRAPPING [/N~ FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: f~ ~ ~'~ '~ ~ ~-_.~ DATE ~''~ ~-~7-- 0 ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [/~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR DATE ~'~LD ~S~'EC~O:~ ~'ORT I DAn I COM~n~NTS ;,--- FO~DATION (1ST) ~ ~ ROUGH ~G & PL~G ~ ~ STATE ENERGY CODE ~ ~D~ON~ CO~s ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOE~HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 3 sets of Building Plans planamg Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector ' I 7 2004 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date -~//7 ,20 0 q 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, relationsh/p 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, housin c~gde,tand regulations, and to admit authorized inspectors on premises and in building for necessary inspections~. ..... -)/////~ //>' ign ~ f a~plic r name if acorporation) State whether applicant, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder N_a~meofownerofpremises~-----?~.~-S , D~pr~/~/s/Z-LL[/~J 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. 1. Location of land on vfhich proposed work willie done: House Number Street County Tax Map No. 1000 Section / / '~-~ Subdivision ' (Name) Hamlet Block / ~'~ Filed Map No. 2. State existing use and occupancy of premi~tended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Estimated Cost ] If dwelling, number of dwelling units If garage, number of cars Addition Demolition Other Work Fee Alteration~ (DescrilJtion) (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, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ' Rear Depth Height Number of Stories 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 Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~ 9 13. Will lot be re-graded? YES4~ NO__Will excess fill be re~ov~,,d from premises. YES/)~ NO. ,,,1,~.SamesofOwnerofpremis~/sp15 ~t4//,t= Address /d P_~7,~///~ /~(~/,)PhoneNo.~- 02. Name of Architect Address Phone No ~ Name of Contractor..~--~,,qAJ~u4 i~b~! LT'~ Address/Og/:r/,f//l:-/-.,~l/~ Phone No. 7.,/- 7~- ~3/ 15 a. ~s this property within ~00 feet of a tidal wetland or a freshwater wetland? ~¥E$__NO ~ ~F YES, sowr~OLD TOWN TRUSTEES & D.E.C. ?ERM~T$ MAY ~ R~U~D. b. Is this ~o~y wi~i~ ~00 feet ora tJd~] wet]~d? ~ Y~$~ NO~ 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 ~/,,-' ~"'-' ~,.fO~r-.-r~S'~' being duly sworn, deposes and says that (s)he is the applicant (Name of individfial signing contract) above named, (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 tree 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. ignatur~icant ~-"TOWN OF SOUTHOLD PROPERTY t/,? -/.~ RECORD CARD OWNER FORMER OWNER RES. VL. FARM LAN D TOTAL DATE SEAS. MP. d, ooo /' / j~ro / VI LLAGE E DIST. J SUB. TYPE OF BUILDING COMM. CB. MICS. Mkt. Value LOT REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tot~, ~.. ~ ~'~ DOCK M. Bldg. Exten~i~ Extension Extension Porch Porch Breezeway Goroge patio Total COLOR Foundation ~ b ~c~,~ ~-~.- Bath Ext. Walls Fire Place Type Roof' Recreation Room Dormer lnteric~r Fihish Heat Rooms I st Floor Roar's 2nd Floor Driveway TRIM · .~,.. Dinette K. BR. FIN. B ISLANDIA 108 F~SHEL AVENUE, RIV£RHEAD, NEW YORK OdS3~ J.ON '31¥1S )ti:lOX O9 ~HJ. dO SIN3~3aIno3B NOIIOFI'dlSNOO TIV TY?ICAL POOL PLAN TYPICAL POOLS ~r Jo~ ~. ~rxoczA~vs^'~ 11901 (516)727-6512 N.S.P.I. TABLE OF DIMENSIONS J=~zEl^l.Icl o i[irlolui4~L~l c.~m, O~N£R: .t::I~I.LYM,, NOI.L::J'I dl, NOO NOdn ~C]O0 O± nO0~ ~ OPTIONAL STEP NOTES: 't. 5.,5oo LB. TEST CONCRL"r[ TO BI USED ~OAO . HAP OF P~OPEf2,"FY M'. ¢MA2¥' "EL !,_,__ u-~, AT MATTI TUCt( TO',,,",/N OF SQU-f'I.4OLD ~U FF-~ -ZD.,. TAN M.~P CA'T4: IOCO - I lB - !3 - 2 SCAL~-40'I Fl, MQNUMENT VAN -fl w, qC,