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HomeMy WebLinkAbout22346-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24875 Date JANUARY 30, 1997 THIS CERTIFIES that the building REPAIR Location of Property 2125 WESTPHALIA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 1994 pursuant to which Building Permit No. 22346-Z dated SEPTEMBER 26, 1994 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 REPAIR, REPLACE WINDOWS & INSTALL NEW HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THERESA PADULA (owner) of the. aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-053298 - DECEMBER 23, 1996 PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/S1 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 AU RIZED) l N® 22346 Z // Date .. ........ ..... ....�p.....,................, 19..... ..... Permission Is hereby grant J ..�.r'...���5'! .. ./.g.J /i ...�/�... ..s�7.. ss............, ......................... rs.x�.. ........ ./ ........ ...... i.!Y.. . .... ... ... i.r....... . � .w e..........to ..... Q/j� �.../. y.......... ry ..................... ..............6w.I<.......d.....f. ....................................................... .................................................................................................................................................................. ................................................................................:.................:................................................................ .........................................................................................................................................I........................ a i .�' )ems ` /�� , at premises located at....................................C,N ...... {J/9:......�.....1.�..................................... ....................................................✓ . -...fic.�cl ................................:....................... County Tax Map No. 1000 Section ......�.'7`"'(........ Block........... ............ Lot No. ...(..!....�............... pursuant to application dated .... ...Z6.................. 19...��....,�.. and approved by the Building Inspector. Fee$.... .................... Building In ector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTZIENT TOWN HALL 765-1802 Jule ?- APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 IZ 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 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 1. Certif icate - w dwelling $25.00, Additions to dwelling $25.00, ��lterations to dwelling �25.00% Swimming pool $25.00, Accessor;J building �25.00, Additions to accessory bui ding $25.00. Businesses �50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - -25c_ 4. Updated Certificate of Occupancy - S50_00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . J44_ d 1 . /. _ _ . . . . . . . .. . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . Old Or ,Pere-existing Building /. .. . '� . _ . . . Location of Property. . . .IaS. . . .. es. ��'" ��-. . . _ ..l(".'�'. . t �GI�C_... ... . .... . . . House No. `7.' Street Hamlet Onweror Owners of Property.. � ... .. . . �l.L. ... . . . . . .. . . . . . . . . .. . . . . . .. . . . . . . . County Tax i�_ap No 1000, Section. .. . . . . .......Block. .. . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . ... . . . . Subdivision. . . . . . . . .//. . . . . . . . . . . . . . . . . . . . . . .. . . .Filed Man.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. b. Date Of Permit. . .. . . . . . . . . . . . .Applicant. T E S . � . . ."`.. _ Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . ... . .Underwriters Approval_ �F. _�a g.C�4.M- Planning Board Approval. . . . . . .. . .. . ... . . . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate_ . . . . . Fee Submitted: S. . 5. .�. . . . . . . . . . . . . . . . . ��.� . .� : . . . . . . . . . . . . APPLICANT 3a5o � Co -L5 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 505�11�1 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date DECEMBER 23,1996 Application No.on file 85830894/94 H 053298 [AN S CERTIFIES THAT the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of THONY PADULA, 2125 MSTPHALIA, MA.TTITUCK, N,Y. efollowing location; ❑. Basement 0; 1st Ft. ❑ 2nd Fl. ATTIC Section Block Lot xamined on DECEMBER 17,1996 andfound to be in compliance with the National Electrical Code. URE FIXTURES RANGES' COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ETS ECEPTACLES SWITCHES INCANDESCENT I.FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 20 30 29 20 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 F 2 - SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP, TYPE METER A,4W a 3W 3 0 3W 3 p IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HIAEG OF NEUTRAL 1 100 CB OTHER APPARATUS: WE LL PUM-1 PADDLE FANS-7 MOTORS-.1-F H.P. ,7-5 H.P. G.F.C.I:-6 SHOKE DETECTORa-1 L L ANTHONY PADULk 2125 WESTPHRI.,IF, GENERAL MANAGER MATTITUCK, NY, 11952 _ a5 Per is This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials! COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 7ss-isox suiLuiNa DEPT. INSPECTION [ ] FOUNDATION 15T ROUGH PLBG. ] FOUNDATION 2ND [ss]4NSULATION [ ] FRAMING [ ] FINAL REMARKS: �C DATE 7'f° INSPECTOR � �� 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR �• %:OMMENT� �'' !11DATIOI .('1 s t ) ------------------------- 11DA�I1 f 2nd ) y GH FRAME � •• - ' ' � :'t :,• -PLUMBING • /V JLATIOH PER N. Y. II • • ,� STATE ENERGY •• II CODE I \� m •FINAL I _ ADDITIONAL C01.I%IEI1TS : m " r .•w::•....—_ �.:�_ ._.:...i.-�.:..s �r � ,::tip•., - . . .. .. .. . .. f � -- ... .. --, .. BOARD OF HEALTH . . . . . . . . . FORM NO. 1 1-113 SETS OF PLANS `SURVEY S�P� � '� TOWN OFSOUTHOLD • • ' • - " " - - • • • • • • • • 2 1994 BUILDING DEPARTMENT ,,,CIIECK . . . . . . _ . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . BLDG DEPT. SOUTHOLD, N.Y. 11971 � Tt rc'2 SOUTHOLD TEL.: 765-1802 N O T I F Y : RE 3 0 �' ��j CALL Examined . . . . . . . .. 1 MAIL T O : 'q a4 "J��33Ups Approved . . . . . . . . ., 19?�/,ermit No. .� 3 . . .C �92'6 3c7 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) A ICATION FOR BUILDING PERMIT Date . . . . . . . ., 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 seas 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 ins ections. �i- 0%--.Pa . . . . . . . . . . . . . . . . . . . . . . . . . . -- (Signature of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . 0. 1 .!1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .I. .� P 8.D l)L ,!!. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . .: . . .... . . . . , ,----- --- --------- -=----- ------- -------- Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1. . . . . .. . . . . . . . . . . . . . . � Si PIS c . . . . . . . . . . . . . . . . R. !.��� . . . . . . . . . . . . . . . House Number Street f Hamlet County Tax Map No. 1000 Section . . .1 4.1 . . . . . . . . . . Block . . . . .6. . . . . . . . . . Lot . . . . .�. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . Q.0).0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . ItQm.� . . . . . . . . . . . ..... . . . ... . ... .. . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . Addition . . . . . eration.. . . . . . . . . . . Repair . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition Other Work SSE I4:f`t C QQ ;;. (Description) 4. Estimated Cost . . . . . . .f� . .�. . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . ........... ... . . . . . . . . (to be paid on filing this4ppiication) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each-hoor.. ..� . If garage,number of cars . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify naWr6 and extent of each-type pf use 7. Dimensions of existing structures,if any: Front . . R.. . �4. . Rear . .a.6�. . . . . . . De th . ;q. .©,� i P Height . . . . . . . . . . . . . . . Number of Stories . . . . lv-`v Dimensions of same itructure with alterations or additions: Front .�t�. .°. Rear .� Depth . . . . s. . . . . . . . . . . . . . Height . . . : . . . . : . . : . . . . . . . . . . Number of Stories . . . .J.�.�. . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front ; . Rear . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . Number of Stones , :.: ,t• 9. Size of lot: Front . . . . 0 . . . . . . . . . . . Rear . . .d ®: 6.�. . . . . . . . . . Depth . . . . . . . . . 10. Date of Purchase . . . . .� f .19. . . . . . . . . . . Namg of o r Owner `. D d 61. .�!�74llii.4��. . :. . . . . . . . 11. Zone or use district in which premises are situated . . .fb*.� .mCLX .... . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . .13. Will lot be regraded . . ® . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Rft M4;-4 . . Address 0 4:-.Phone No. a. Rv- 16.E Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .� ®1 Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . .Phone No. . . . . . . (e1!ork� . 15. Is this property within 300 feet of a tidal .wetland? *Yes, ; . . . . . No. . *If yes, Southold Town Trustees Permit may be required. r, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YOLK, COUNTY OF . 11�. . . • , . S.S • • • e Rep, . • • • PAa�A '. . . • . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says thatshe is the applicant (Name of individual signing contract) above named. SHeis the . . .Q N£'R . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 . . . . . . . .v ' . . . . . . . . . dayof. .�.ep 19�`� Notary Public, v . . . . County ' VICTORIA ARREZ / l .— "�- Notary Public,State of New York Z • • • • • • . . / . C!. • . . . • . . . . . . . . . . . . . . . . . . . . . . . . . Suffolk County,No.4912451 (Signature of applicant) ber 9, Commission Expires Novem TI TL E NO. 6JOS9808-04 WESTPHALIA F20ALD TOWN OF SOUTHOLD S70'33'20"E 16Z 45' Ld BR. Z O STEPS O I 26.4' � N N� h ry 103.5' I4.a N � il.s• � 27 2' v 34i� Q FRAME/a.s FRAME- 16.4 V Z SHED 74.7 GARAGE � b FR. SHED \ J �} FALLING❑ 2•B j O DOWN Q o N _ O 33,506 S.F. 0.7692 Ac. 3 4 14p 36, AND N/F �UDEK I CERTIFIED TO: ALL STATE ABSTRACT CORP. SURVEY OF FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK. PROPERTY TERESA PADULA FLA TBUSH FEDERAL SAVINGS AND LOAN -SITUATE A T MA TTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK EASEMENTS AND/OR SUBSURFACE STRUCTURES SCALE 1" = 40' AUGUST 8, 1994 RECORDED OR UNRECORDED ARE NOT /�AN ENGINEERING /� GUARANTEED UNLESS PHYSICALLY EVIDENT ON SERVICES ON THE PREMISES AT THE TIME OF SURVEY. GUARANTEES INDICATED HEREON SHALL RUN lance' surveyors - civil engineers ONLY TO THE PERSON FOR WHOM THE SURVEY /S landscape architects PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND 346 Maple Avenue _ 76 Union Avenue � LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. Westbury, N.Y 1 159 o kaki a N.Y. 1 1779 GUARANTEES ARE NOT TRANSFERABLE TO (516) 876-8908 "�ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS 981-5063 (;D THE OFFSETS(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES, TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE i ERECTION OF FENCES, RETAINING WALLS, POOLS _ PATIOS, PLANTING AREAS, ADDITIONS TO �� 4 BUILDINGS AND ANY OTHER CONSTRUCTION. c S.C.T.M. DIST.1000 SEC. 141 BLK.01 LOT 1. 1 Iic. L#. ,C N F2487 12\0894M Teresa Padula 2125 Westphalia Road Mattituck, NY 11952 (516) 298-1932 (516) 924-5533 (work) (516) 548-9164 (pager) Remove existing sheetrock and windows Insulate ceiling with R19 insulation and walls with R13 insulation Add headers and jack studs to all window openings (see diagram attached) Replace existing windows with Anderson Double Hung windows Model numbers: 2442 (amount-9) 119eo ' 2432 (amount-2) 00/ 20R10 (amount-2) Replace 1/2" sheetrock Remove existing heati-ng system (forced hot air) with baseboard and oil fired boiler (see diagram attached) Change bathroom fixtures Replace wiring and electrical boxes (inspection from N.Y. S . Fire Underwriter scheduled for September 22 , 1994) UNDERWRITERS CERTIFICATE PP u AsQT � REQUIRED D (� PATE: B.P t# f 1 , SEP 2;131994 NOTIFY BUILDING DER T AT G An C FOR THE BLDG.DEPT. FOLLOWING INSPECTIONS: OCCUPANCY OR 'TOWN OFSOUTHOLD I.- FOU(i DA ON - TWO REQUIRED USE IS UNLAWFUL FOR POURED 0014`RETE WITHOUT CERTIFICATE: PLUMBING2. ROUGH e F6?,�NIING & PLUMBING ALL PLUMBING WASTE 3.4. FINAL LAT�C3 CONISTRUCTION MUST OF OCCUPANCY It WATER LINES NEED BE COMPLETE FOR, C.D. TESTING BEFORE COVERING ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY PLWgrR C',�'RTlr-(,.�aT-�►���r� CODES. R C STRUCIONRESPONSIBLE FOR O LEAD S�0A1TENT 8Er-0/? If Capper tubing iS used DESIGN OR CONSTRUCTION ERRORS , CIUR/'1v/CA/E OF CCUpAjAf '�' s SOLDER USED IN WA TJz-R" for Water diStributin SYSteM; Piping shall be SUPP/.Y SYSTEM CA NNO T EXCEED 2110 Of /f LE. 1-9. t ue4nq Sx� ' a: 0 9 �7 . ,. ,. y,. . I i 1