HomeMy WebLinkAbout32931-Z9/1/2011
Town of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35192
Date: 9/1/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ADDITION/ALTERATION
2122 WESTPHALIA RD MATTITUCK,
Sec/Block/Lot: 114.-7-11.2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/23/2007 pursuant to which Building Permit No.
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:
garage altered to living space and covered porch addition to an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
32931 dated 4/24/2007
The certificate is issued to
Stewart, Robert & Stewart, Elizabeth
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 8/22/11
07-3078 5/17/07
H2M Labs
- Au~orized Signature
Form No. 6
TOWN OF SOUTHOLD
BUILDII'4G DEPARTMENT
TOWN HALL
765-1502
1~'~" ' ' ~ TION FOR CERTIFICATE OF occUPA1NCy
This ~pplicstion must be filled in by typewriter or ink and submitted to the Building Department with the following:.
~ For new building or new use: 1. Fired survey 9f 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 fi'om Board 6fFire Underwriters.
4. Sworn statement from ptumi~r certifying that the soldes used in system contains less th~n 2/10 of 1%'lead..
5. Commorcial building, industrial building, multiple residen~ and similar buildings and installations, a c.~rtificate
of Code Compliance from architect or engineer responsible for the building.
6, Submit Planning Board Approval ofcempleted site plan requirements.
B. For existing buildings (prior to April 9, 19S7) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property sh?wing alt property lines, streets, building and'unusufil naturai or topographic
features.
2. A properly completed app~icati0n and consent to inspect signed by thc 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00~
· Swimming pool $50.00, Acce~ory building $50.00, Additions to accessory building $50.00, Businesses $50.00~
2. Ceytifieate of Occupancy on Pm-existing Buildiag - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated C~rtificate of Occupancy - $50.00
· 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
Ncw Construction:
Location otProperty: ,~ / ~ ~.- House No.
Owner or Owners of Property: ~O~trTL
~olk .County Tax Map No i 0Q0, Section
8ubdivisibn
Health Dept. Approval:
Planning Board Approval:
Old or Pre-existing Building:
Street
(cheek one)
Hamlet
. Date of Permit.
Block
Filed Map..
Applicant:
Underwriter~ Approval:
Request for: Temporary Certificate _.
Foe Submitted: $ ~'~ · ~'~
/ ' ,.-
Final Certificate:
(check one
Aotflicanl Sienature
Electrical Inspectors, Inc. CertificateNumber, 07-3078
308 East Meadow Avenue
Municipality: Southold, Town Of
East Meadow, NY 11554
Office: (516) 794-0400 (631 )396-7474 Inspector: 124
Fax: (516) 794-5854 Issue Date: 5/17/2007
Website: wxvw.electricalinspectors.com
Email: in fo~elcctricalinspectors.com
Mail To: ' Property Address:
I !
Elizabeth Stewart Stewart J
2122 Westphalia Road 2122 Westphalia RO~l~
Mattituck, NY 11952 Mattituck, NY
ELECTRICAL APPROVAL. F_ R TIFICA TE
AREAS LISTED BELOW ARE APPR¢~/~ SURVEY
AND FOUND TO BE IN COMPLIANCE WlT/~TI~, ffrlONAL ELECTRIC CODE
No visual defects were found for the electrical inspection prov~lAXlo obvio~ ~nsatisfactory conditions were found in the areas
herein below only. '~ 7
This is a visual Survey in compliance with NFPA 73, latest edihon Chll~ ;ection I-I, 1-2
RFieSrsitdeFltltoioa~ SG;r~Vageey/Mcaoi~tlvtea;tlsioE~X ~.~g~CatOh~rdoto~tt~ed~ttg Cottditiott$
Richard M. Bivone
President
Philip F. Goehring
Chief Electrical Inspector /t ' ·
~UG-3~-~OL~ 11:55 From:GNS To:TG5~50~ Pa~e:~Xl
HARRY GOLDMAN WATER TESTING
8700 MAJN ROAD
MATrrrucK, NY 11952
Federal ID
Collected :8/19/2011 S:40:00 AM Point No 601
ReCeWed :8/19/2011 2:50:00 PM Location:
Collected 6y AW99
COPy :
LabRo, : t108A10-001
Client Sample ID.: ROBERT STEWAI~T
Sample Information..,
Type: Parable Water
Odgin: Distribution
Routine
2122 WESTPH~.IA
RD,MATTITUCK
SOURCE(GARAGE-BATHROOM
EINK) FLOW-SGPM/WR15MIN. (2
TAPS RUNNING) (1000-114-741.2)
Parameter(s) Results Qualifier D.F. Units
Lead < 1.00 1
LJmit Method Number Analyzed
15 E200.8 08/2212011 10:35 PM
Re~u~(s) mood. ed mee((s) NY~5 Re~ ula~ Urn~;)
Resull(e)ltaggedw~h . ExceeciNYSRegulatoryLimit(s). Limitnoted.
QA Manager
Date Repo~ted; 8/2312011 Page 1 of I
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: /V/-~ ~:>~l ~.~f~-~ ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ,~J~ ROUGH PLBG.
] F~DATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS:
DATE
INSPECTOR
Vincent J. Sena AIA
ARCHITECT
29 Vassar Street
Garden City N.Y. 11530
(516) 328q~780
Aug. 31,2011
TO: Town of Southold Buildings Dept.
Att: Kimbell Miller
Town Hall
PO Box lI't
Southold, NY 11971
REF: Stewart Residence
2122 Westphalia Ave.
Mattituck, NY
Garage Coversion & Front Roofed Porch Addition
B.P #32931
AU6 31 2011
BtDG. BEPI.
TOWN OF SOLITHOLD
Dear Inspector,
i have inspected the Insulation/DampB oof'mg in the converted spaces, and the
Footings for Front Roofed Porch, for the above referenced job, and find it to be
;h-ucturally som~d and in compliance with New York State Code requirements, and
within the btent of the approved plans, and Town of Southold ~ules and regulations.
INSULATION PER N. Y.
STATE ENERGY II
CODE
,,,,
FINAL
~DITIONAL COI~{E~S:
FORH NO. I
TO[O] OF SOUTHOLD
BUILDING DBPAR~iENT
TOb~N HALL
SOUTHOLD, N.Y. I]97!
TEL: 765-1802
Disapproved a/c ..................................
BOARD OF REALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
I~IL TO: ....................
(BuildinE h~tor)
APPLICATION FOR BUILDING PERHIT
Date ................ ,20 ....
INSTRUCTIONS
a. 'rn~s--C~'l'[c~tia~ ~ust be em~.letely filled in by t-ypa~riter or in ink and sul~itted to the Building Inspector ~i
3 sets of plass, accurate plot plum to scale. Fee ~ording to schedule.
b. Plot plm~ sho~i~& locatiee of lot and of buildings o~ p,=Mses, relatioaship to edjoini~ praises or public
streets or areas, and giving a detailed descrip~ico of la. ut of property ~ust be dram o~ the diagram vhith is part Of
chis applicat iun.
c. 1he ~ork covered by this application my not be cceeenced before issuance of ihildi~g Vemit.
d. Upa~ apv~al of this applicatiun, the Building Inspector ~ri11 issue a lhilding Pemit to the applicant. Such
permit stroll be kept on the ~.Ases available for inspection th~m&ho~t the ~ork.
e. No buildi~ shall be o~ied or used in ~hole or in part for ~ purpo~ ~/aatever until a Certificate of
Occupancy shall have been grasted by the Buildir~ Inspector.
APPLICATH1/ IS ~ ~ to the Buildi~ Department for the ism~e of a Building Permit pursuant to the
Buildin~ Zone Ordinance of the T~ of Souchold, Suffolk County, Ne~ York, and other applicable I~s, Ordix~-es or
Regulations, for the co~structicaa of hiildings, additioas or alteratloas, or for re~al or ~litico, as herein
described. The applic~t agrees to ~ly ~ith ali applicable l~rs, ordinances, beilding code, beasing code, and
regulations, and to admit a~thorlzed inspectors un p~alses and in buildir~ for eeces.~ry iu .specricaas,
(S~tore of ~i~t, or oam, if a corparatio~)
(~hili~ --~,~.ss of at~licast)
State ~/~ether applic~t is ~a~er, lessee, age. t, arahitect, engineer, Eeneral co~tractor, electrician, ph~ber or builde,
of .,,...-.. .... : ........ : .... ........... ....................
(as on the tax roll or latest deed)
If applicator is a corporation, siEnatore of duly authorized officer.
(Nme and title o[ corporate officer)
Builders License No ..........................
Plumbers License No ..........................
Electricians Licevse No ......................
Other Trade's License No. .
l. Location of l~d on ~h~ch proposed ~rk ~rill be doee ................ ~ .............................................
.... ..... : ......... ...................................
lkaw~ Nmber ;/ Street ~L~let
/
Subdivisiun ...................................... Filed t4ap No ................ Lot ...............
(~)
Repair
............ I~.~al ............. t'~,,litim ............ Other I~o~ .~O0~6,.LzlO~z4~-'' ..........
(~ri~ti~)
........ ................................
(to ~ ~id ~ ~ili~ this ~li~ti~)
L I~ ~lli~, ~r of ~lli~ *mits ~ ~r o~ ~lli~ ~its ~ e~ ~r
Iff ~r~e, ~r o~ ~rs . .
,. If ~i~sa, ~mial or ~ ~, ~i~ ~e ~ ~ent off ead~ ~ of ~ ......................
Di~i~s off ~isti~ stems, if ~: ~t ................ ~ar ......... ~pth .................
~i~t .....................
.... ~r o~ Stories ......................
Oi~mi~ of ~ st~ ~th alterati~ or ~iti~: ~t ............... ~ar ...............
~h .................... ~i~t .................... ~r o~ Stories .
L Oi~i~ o~ ~ti~ ~ ~t~ti~: ~t ................ ~ar .~ ............ ~p~ ..............
~i~t ......................... ~r of Stories .....................
~ o~ ~o,, ~, ..... i~.E~ ..... ~ .lo. i4g ......... ~th ...{~.~g. ......
0. .... .........
I. ~ or ~ district in ~i~ pi~,i~s am si~t~ .. J.~. .............. ~ ......................................
2. ~s ~ ~t~ti~ violate ~ ~i~ 1~, o~i~ ~ ~lati~: .~ ..................
PLOT ~IAG~ '
I~ace cle~l9 ~ disti~tl9 all ~il~i~, ~r ~isti~ ~ ~, ~ i~i~ce all ~t~ ~si~
'.~a ~o~r~ li~s. ~i~ s~ ~ bl~ ~r ~ ~rip~i~ ~i~ to ~, ~ ~ s~t ~s ~ i~i~te
~r interior or ~r IoL
suom, deposes and says that he is tie appl. icau~t
is tim ................ ~ ....................................................
(Contractor, agent, corporate officer, etc.)
said o~ner or o~ers, a~l is duly a~thorlz~l to perfouu or Imv~ perfon~.l tim said ~rk and to make and file this
~pllcatlc~,; that all stat~nents contained in this application are trt~ to the hest of his knowledge and heliefl and
i,at the wrk viii be performed in tie manner set forth in the allMicatico filed therewith.
~re to be[ore me this ~/
..... d.~..'~.....~y or ~~ ~.z.o..4.q..
f~liNE D. HORNE
NOl~ PubliC, $t~te of N~ ~
~. 4951 a~
Oual~ in S~olk C~
~missi~ ~i~s May ~. ~ ~ /
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18q2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DETERMINATION OF NON-JURISDICTION
DATE: Jan. 26, 2000
AGENT: APPLICANT:
ADDRESS: ADDRESS:
Robert L. Stewart
2122 Westphalia Ave.
Mattituck, NY 11952
PHONE: PHONE: 298 - 5033
RE: SCTM# 1000-114-7-11.2
The Southold Town Board of Trustees reviewed the survey dated and received in our
office on Jan. 26, 2000 and determined that your proposal to
Convert the existing attached garage into a bedroom and bathroom
per survey dated September 13, 1999,
to be out of the Trustee Wetland Jurisdiction under Chapter 97.
However, any activity within 75' of the Wetland line requires a permit fi.om this office.
This determination is not a determination fi.om any other agency.
If'you have any fiarther questions, please do not hesitate to call.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
7-//. SOUTHOLD PROPERTY RECORD CARD
OWNER ~ STREET"'~ / ~_~-,~_ VILLAGE' DIST. SUB. LOT
FORMER OWNER N E ' ~ ~ ~' r ~*~' ~' ~'~'
[~ S~S. YE. FARM C~MM. CB. ~ISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS
":-" '*, fl~' 'h> ' :Y,l; V, -
N~ $)" ~O~L BELOW XBOVE ~d~[, ~'c~' ',~ X ~S'~/ '
FA~ ~ ~, ~cre Value Per --~dlue
'ilbble 3
wampland FRONTAGE ON WATER
rushland FRONTAGE ON ROAD
louse Plot DEPTH
BULKH~D
ota~ ~
114-7-11.2
4/01
iLOR
Extension
xtenslon
Extension
'~
0.6.
Total
~ ] Foundation
asement
Fire Place
Type Roof
~ Recreation Roorr
5'0 Dormer
~ ~.~ Driveway
Bath
Floors
Interior Finish
Rooms 1st Floor
Rooms 2nd Floo~
inette
DR.
Town Hall~ 53095 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Fax (63 l) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 30, 2007
ROBERT & ELIZABETH STEWART
65 REYAM ROAD
LYNBROOK, N.Y. 11563
Whom It I~y Concern:
We are unable~x~ complete your Certificate of Occupancy because of the following
reasons:
An apphcatl,,on for Certificate of Occupancy is not on file. (Enclosed)
No Electrical ~ertificate on file.
The Check is no file. -
No Health Departme~,.Approval on file.
No final inspection has ~x~ made.
No Plumber Solder Certific~,~ on file. (All permits involving plumbing being
issued after April 1, 1984.)
Certificate of Compliance from So~xhold Town Trustees.
Approval of the Zoning Board of App~
BP #32931-Z (PORCH ADDITION & ALTERAX~ION)
NOTE: BEFORE CO CAN BE ISSUED, CERTIFICATION REQUIRED FROM
ARCHITECT OR ENGINEER FOR FOOTINGS, DAMPROOFING &
INSULATION.
ENCLOSED IS YOIJR OIJTDAT~#3249 IN THE AMOUNT OF
$150.00.
Young & Young, Land Surveyors
NOTE
AREA = 62,263 SQ. FT. OR 1.4294 ACRES
CERTIFICATION
0 WE HEREBY CER~IFY TO RDm~'~' L. mT~:~A~l' THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE ~TH THE CODE OF
PRACTICE FOR LAND SURVEYS ADOPTED 9Y THE NEW YORK STATE
ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
SURVEY FOR
ROBERT L. STEWART
At Mattituck, Town of Southold
Suffolk County, New York
County Tcx Mop Dl.~..~t 1000 S.:Uo. 114 ,lo:~ 07
L,,t 1%2
BOUNDARY SURVEY
MAP PREPARED
SCALE 1" = 50'
JOB NO. 99-052(
DWG. N0,'990524
13, 1999
Young & Young, Land Surveyors
NOTE
AREA = 62,265 SQ. FT. OR 1.4294 ACRES
· THIS PARCEL IS LOCATED IN FIRM ZONE X AND ZONE AE BASE
ELEV 11 AS INDICATED ON FLOOD INSURANCE RATE MAP PANEL
NUMBER 361D3C0481 G LAST DATED MAY 4, 1998
· FLOOD ZONE LINE SCALED FROM FLOOD INSURANCE RATE
MAPS, NO TOPOGRAPHICAL SURVEY WAS DONE,
CERTIFICATION
· WE HEREBY CER~FY TO ~OBeRT L. ~TeWART THAT
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE Of
PRAC~CE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STAI~
ASSOCIA~ON OF PROFESSIONAL LAND SURVEYORS
SURVEY FOR
ROBERT L. STEWART
At Mattituck, Town of Southold
Suffolk County, New York
County Tox Mop Dfstrlc± 1000 S.:tm. 114 elo:k 07 Lo[ 11,2
BOUNDARY SURVEY
HEIGHT ABOVE DOCK
INDICATED FLOOD ZONE UNE
MAP PREPARED
SCALE 1" = 50'
JOB NO, 99-0524
REVISIONS
OCCUPANCY OR ' P'~"~ ""'"" ........ -' :" ? '"
USE IS UN~WFUL ~-~-. ~..,~ ~.~,.,,-,~. ~,, ,,.,~ ~ ~ ~ ,~.~ ~.. .
WITHOUT CERTIFICATE . ,...~., ,~,~.,o..,.,,'..,, .,, ~, ~.,,,.,..
PROVIDE ANTI-SCALD ~D/OR or Hem-~lr * .'~ ~d to be gra6e marxed. ' '
~ 'All ~lflg lumb~r ~aZl be e~atrue~ grade, Dougtas ~lr,*.:
DEVICES AS TO PART. 902.6(K) ~d regulatloris, ~d ~ ~.Y.S ~ U..certificate la iD be }~s~ted '
N.Y. STATEBUILDiNGCODE~ to ~he ~ner at the completion of the ~ob. All ~ork to be per~o~- '
w All sir~c~u~al m~ol lo ~onfo~ ~ ASTN S~ec~f~ca~ori
~ Ua/ess no,ed oth~ile, provide8 *'
PLUMBERCERTIFICAUON 2", Double header toists ~d trimmers at all /'loor openings.
Double ~loor Joists ~,der all ~arallel partiZi~s.
, D~uble 2 x~ heade~ at all ~oDr ~id ~r~ openings.
OflLEAD CONTENT BEFORE ~: Construction for new ~loorA ~" Pl~ood aubfloor.
CERT/F/CATE OF OCCUPANCY
SOLDER USED IN WATER port of ~e e~l~ b~ldlng il bet~ ~ved, em~traolor
SUPPLY S[S[~ CA~OT do al~ Aece~ short, C. ~eedl~r~, ~e~Al~', etc. Rs ~eq~d '
~o malntaia t~ aafe~ ~ the s~nc~, ~e ~or~ers ~,d ~e g~-
EX 7L'EO 2/10 of I% LEAD. eral public.
If~ppertubi~glsused e Provide requt~d fi~stoppl~ as ~ul~d by Sec ?17,~ Ii I. State
f~ water di~ributing -
Bld~. Code, . ~
~ ~pes K or L only ~ Architect hu not be~ ~ned ~,~*~
UNDERWRITERS CERTIFI~TE
REQUIRED &ss~ed s~l be~ c~p. · t~. &Il ~oils~a ip be.e~rried
30OO~c mix (~ dny comp stre~},pou~d ~ ~ s~6 or ~ravel
&WATER ONES NEED. ~ Extend ~stiq.er p~dae new hea~q-aystem to p~vlde ?0
~ AS TO PART, 721.1 N~ gm~ ~ AT
N.Y.S BUILDING CODE. -
PROVIDE OPENINGS FOR2.
EMERGENCy ESCAPE AS a,
~__~ REQUIRED BY PART. 714 OF 4. FINAL - CON.RUiN MUST
BE ~M~ ~ C.O.
N;Y, STATE BU LDING CODE. ALL ~NSTRUCTION SHALL
THE REOUIREMENTS OF THE N,Y,
STATE CONSTRU~ION · ENERGY
CODES. N~ RESPONSIBLE FOR
e~qUiRm
. _ .. . ~ :~+'o~ I
(~) '~,'Y 10
I
_LEGEND
~ - Existing wa11~ to rematA.
REVISIONS BY