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HomeMy WebLinkAbout36662-Z FF04�ar' Town of Southold Annex 11/19/2012 P.O.Box 1179 cool 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36047 Date: 11/19/2012 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 2200 Westphalia Road, Mattituck,NY, SCTM#: 473889 Sec/Block/Lot: 114.-7-10.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/25/2011 pursuant to which Building Permit No. 36662 dated 9/1/2011 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"Additions to a Single Family Dwelling Which Include: 2 Baths, Living Area,Rear Wood Deck QT X 48'), Closets and Alteration for Finished Basement with Game Room and Half Bath as applied for. The certificate is issued to Blessinger,Lawrence Revocable Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36662 7/11/12 PLUMBERS CERTIFICATION DATED 7/30/12 Janet Meadows Authorized Signature �ogu DF ��coG TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36662 Date: 9/1/2011 Permission is hereby granted to: Blessinger, Lawrence Revocable Trust 2200 Westphalia Rd Mattituck, NY 11952 To: 'As Built', Additions to a Single Family Dwelling; 2 Baths, Living Area, Rear Wood Deck (17' X 48% Closets, as applied for. At premises located at: 2200 Westphalia Road, Mattituck, NY SCTM #473889 Sec/Block/Lot# 114.-7-10.4 Pursuant to application dated 7/25/2011 and approved by the Building Inspector. To expire on 3/2/2013. Fees: CO-ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,184.80 Total: $1,234.80 Bt ing Inspector 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 nets 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- 'Sw.om statement from plumber certifying that the solder used-in system contains less than 2110 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"Iand 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$50.00,Additions to dwelling$50.0.0,Alterations to dwelling$50.00, f Swimming pool$50-00, Accessory building$50.00, Additions.to accessory. building$50.00,Businesses$50.00, 2. Certificate of Occupancy on Pre-existing Building- $100.00 3- Copy of Certificate of-Occupancy-$25 4_ Updated Certificate of Occupancy- $50.00 - 5_ Temporary Certificate of Occupancy - Residential$15.0%Commercial$15.00 Date. NewConstruction: Old or Pre-existing Building: (check one) Location of Property: �/7/�D W 1��4 House No. - Street Hamlet Owner or Owners of Property: (i1 C`e— Suffolk County Tax Map No 1000, Section_ Block_ Lot (� 7 Subdivision Filed Map. Lot: Permit No, 3 Date of Permit. Applicant.• Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signat q SOUlyo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q roger.richert(b-town.southold.ny.us �Southold,NY 11971-0959 ` ��y�4UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Blessinger,Lawrence Revocable Trust Address: 2200 Westphalia Rd City: Mattituck St'. NY Zip: 11952 Building Permit#: 36662 Section: 114 Block: 7 Lot: 10.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage . INVENTORY Service 1 ph Heat Duplec.Recpt 26 Ceiling Fixtures 5 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 8 Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 13 CO.Detectors Sub Panel A/C Blower 1 Range Recpt 1-40 Fluorescent Fixture PUMPS Transformer AF1ppliances . dw Dryer Recpt Emergency Fixtures Time Clocks. Disconnect Switches 12 Twist Lock Exit Fixtures TVSS. Other Equipment: 2-exhaust fans Notes: Inspector Signature: C Date:July 11 2012 81-Cert Electrical Compliance Form.xls so,ryo Town Hall Annex Telephone(63.1)765-1$02 54375 Main Road Fax(631).765-9502 P.O. Box 1179 '` Q Southold,New York 11971-0959 Y coumi BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION -7/Date: ?� Building Permit No. bb� Owner: �}�� ' A-) ( ��/ �'c. dL�l.�Cs "�L�� �►�' � (Please print) Plumber: (Please print) I certify that the solder used in.the water supply system contains less.fhan 2/10 Of 1%0. lead. (Plumbers Signature) Sworn to before me this ? - \ day of 20 Notary Publi County JAMES J. DEERKOSKI P.E. 260Deer Drive Mattituck,NY 11952 (631) 774 7355 Date: July 16, 2012 To: Town of Southold Building Dept Re: Plumbing Lines Blessinger 2200 Westphalia Rd. Mattituck,NY 11952 Permit#36662 To Whom It May Concern: This letter certifies that the plumbin i the basement on the above mentioned project was installed in conformance with all to and Local Codes, and vent stack/waste lines were tested for leaks Any questions f 1 e to call. S' cerely, OF NEW ���: DEER�o Q� es J Deerkoski P.E. LU ° 7� SS1 P D C � � � � JUL 3 0 2012 TOWN OF SOUTHOLD JAMES J. DEERKDSKI E.E. 260Deer Drive Mattituck, NY 11952 (631) 774 7355 Date: July 16, 2012 To: Town of Southold Building Dept Re: Plumbing Lines Blessinger 2200 Westphalia Rd. Mattituck,NY 11952 Permit#36662 To Whom It May Concern: This letter certifies that the plumbing '%t'te basement on the above mentioned project was installed in conformance with all and Local Codes, and vent stack/waste lines were tested for leaks Any questions e to call. Sigcerely, �E C)F NEW 1'0 DE ` s� mes J Deerkoski E.E. FEv.�to�aP OF SOUjyo� �U7 cOUMY,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE �� �� INSPECTOR. 366( OF SO(/T�o — — • ao cOUMY,0ct1� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ON [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:--- CL zl�� CQ or r DATE INSPECTOR 't'C�LD.1N$PE QN P T DATE COMM NTS. VOUr�oOZON( ST).. ••rrr�rlrrNM *r*rwrrrrw�t�rrrr.(.i .. .. lM 11OUNDATTQN(2ND) P-OUG$ Q•& PLVNIBING H INSUL•ATION P9k N.IV. to STATE ENERGY CODE. . J. F77 FlNa ADDITIONAL.CC7MII NTS . (h .•Q. • 10 z ty TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT" Do you have or need the following, before applying? TOWN HALL \'Board of Health SOUTHOLD, NY 11971 "4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502Survey South oldTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees r Flood Permit Examined 120 I Single&Se'pdfate Storm-Water Assessment Form Contact: Approved 20 I Mail to: zdsap ff-@- -a/c Phone: (0C Expiration ,20 / r a Ve ��® .� �� !! :s/p. l ! �I Building Inspector As - �-+? APPLICATION FOR BUILDING PERMIT C D 0 r) Date , 20 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. 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 Pen-nit 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 applicableaaws, ordinances, building code, housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (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 Name of owner of premises La'- f PNL _4^- I e,45 z (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. 1. Location of land on which proposed work will be done: House Number ,street Hamlet County Tax Map No. 1000 Section Block Lot p o, Subdivision Filed Map No. Lot s , 2. State existing use and occupancy of premises and intended use ad-occupancy of proposed construction: } a. Existing use and occupancy Res 1 DeNCE b. Intended use and occupancy R g s I o ENce 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 17Ec.K C-eA FEUcE (Description) 4. Estimated Cost MA7691 A f_S Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 1. Number of dwelling units on each floor 1 If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. KIA 7. Dimensions of existing structures, if any: Front �(�3. 2. Rear 4S.Z Depth Height, Number of Stories J- _. . 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 i 9. Size of lot: Front ISO Rear 2-00 Depth 3 1 2 10. Date of Purchase 5/16/-zo 1 l Name of Former Owner SAND t2gw 1�_ C t y P f2y lL 11. Zone or use district in which premises are situated M A-r T I T uG K /saorHc) LAA 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO t/Will excess fill be removed from premises? YES NO " ST" jr Gt,ILLI�/Mt $LE ^���&R (ZE,UpGA, 11 �T1S��IS 1¢EMPSTFi4p -tVKZ. FttflNK-Q&1 5 u#c- • 11 t0 14. Names of Owner of premises Address Phone No.S16-6 S-` '77�7 Name of Architect tWA — SsC.F Address Phone No Name of Contractor N/A - S-S LF Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ * 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. 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: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNC Notary Public,State at S He is the No.01 BU185i:`:t ( ) Dualiried in Su folk G,..•..,. (Contractor, Agent, Corporate Officer, etc.) Commission Expires Ape- 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 'D G- 44-\ day of 20 Notary Public S•gnatu e of Applicant I JJ� Town of Southold rn Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM w I 0 PROPERTY LOCATION: S.C.T.M.#Weebon THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A i �] STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN 'b>ss c owe CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF M19W YOWL SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSMIIVT Yes No a. What is the Total Area of the Project Parcels? Will this Protect Retain All Storm-Water Run Off /(Induce Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? T b. What is the Total Area of Land Clearing / the Scope Work for Proposed Construction) (sue/�) (fhis.item Will include all run-off created by site clearing and/or construction activities as well as all and/or Ground Disturbance for the,proposed Site Improvements and the permanent creation of construction activity? M.F./Acres) impervious surfaces.) i 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION cP-rid"Ad s-W Pasp a.N-d- Drainage Structures Indicating Size&Location?This Item-shall include all Proposed Grade Changes and - — — Slopes Controlling Surface Water Flow. I 3 Does the Site Plan and/or Survey describe the erosion II 154 and sediment control practices that will be used to - - control site erosion and storm water discharges. This EA(I , vl item must be maintained throughout the Entire �// Construction Period. ' r!t P� v aJ L� Will this Project Require any Land Filling,Grading or p J Excavation where there Is a change to the Natural / V Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand — (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Welland or- Submission of a SWPPP is required for all Construction activities Involving soil Beach? i disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ' are part of a larger common plan that will ultimately disturb one or more acres of land; Which Exceed Fifteen(15)feet of Vertical Rise to i Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storn.water discharges. F] (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10401.) Surfaces be Sloped to Direct Storm-Water Run Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? F — submitted to the Department prior to the commencement of consWcbon activity. 2.The SWPPP shag describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of'MaterIaL required,post-construction storm water management practices that will be used and/or Removal of Vegetation.and/or the Construction of any constructed to reduce the pollutants I.storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder j compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(rnta roam will Nt7rinctd u rnstallaflhm of o Identify.potential sources of pollution which may reasonably be expected to affect the uen rrveway Awem) quality of storm water discharges. NOTE If Any Answer to Questiena.Orio through Nine is Answered with a Check Mark 3.AD SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000-S.F.&1 Acre In area, component shag be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE A Check Mark(4)ardor Answer for each Question is Required for a Complete AppIkation) S1 Alt OF NEW YORK, Notary Publ'�c,State of Now York COUNTY OF...........................................SS No.016116,185050 / �,� �i� Qualified in Suffolk Countyy�� (� iil 14 � 1fiatI......................................�...... � Y i ... dui sworn de (Name of individual signing t) iDe g Y poses anlP J1W&WJ dffiicahtlo`r7' mit, And that he/she is the ......... �.A V`'. (Owner.Contractor,Agent Corporate Officer alai.................................... •.. ... Owner and/or representative of the 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 herewith. I Sworn to bef—ode me this; r :.......... ..............................day of ..�! .......... ...........,201. t Notary Public: .. r. 0...:........ ............... ...... ..................................... ( gn ure f Applicant) i FORM - 06/10 Tom-Hall Annex J i[ [ Telephone(631)165--1802 54. c �e n PO.Box 1179 roger.rlchertt�towsoutho)hy.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF S:OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company (dame: ''Name: NC - , License No.: Address: �, �. 1�d 6 Phone No.: JOBSITE INFORMATION; (*Indicates required information) *Name. L'SSI N&-_e ' ( �,J2E,tiL� K /0cA-6c_e_r *Address: 'Z._-Lo© ���S i�'t-Y e4 !�iD lk11 t 7 0C 1L *Cross Street: *Phone No.: 51 b- bqS -- B 77-2 Permit No.: 3 b��Z Tax Map District: 1000 Section: I Block: - 7 Lot: i O, *BRIEF DESCRIPTION OF WORK (Please Print Clearly). Jks- 13v� �oi� oniS o S i tam(!-L✓✓ F-A VJA t L>( 0 wi-uNL- 2 &AT—ir H 5, Lt Ur NG- 'A JZeripll p3cx)o K-lEc (Please Circle All That Apply). *Is job ready for inspection: YES NO Rough In Final *Do you need a Temp Certificate: YES /(NO) Temp Information-(If needed) *Service Size: 1 Phase 3Phase 100 150: 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION l� \NpF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 yCOUN N BUILDING DEPARTMENT TOWN OF SOUTHOLD July 17, 201 Lawrence Blessinger, Revocable Trust 2200 Westphalia Rd Mattituck, NY 11952G`(`�I(X \ 1 l-0 0 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: *** Please Note: Please submit amended plans for half bath and Certification by an Architect or Engineer for all work done under this permit to comply with NYS Plumbing and Building Code. See Attached Inspection Ticket dated 7/11/12 Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) `l A fee of$50.00. � Final Health DepartmentA roval. r t pp atplumbers Solder Certificate. (All permits involving plumbing after 411W) y 1 Q Trustees Certificate of Compliance. (Town Trustees#765-1892) 42 Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. ; BUILDING PERMIT: 36622 — "As Built" Additions *QF SU(/j�,OlO Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 yCoUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD August 6, 2012 Lawrence Blessinger, Revocable Trust 2200 Westphalia Rd Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ***NOTE: BUILDING INSPECTOR is requiring Architect Stamped Plans for 2 bathrooms,living area, closets -all interior work. Only Stamped Plans we have are for the deck. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electric A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance..(Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36612 — "As Built" Addition/Alterations pF SO�Tyolo Town Hall Annex Telephone(631)765 1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 yCOUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD October 26, 2012 Lawrence Blessinger, Revocable Trust 2200 Westphalia Rd ,aN' Z-V', ..,. Mattituck, NY 11952 B f�c TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: NOTE: Still need Certification from an Architect or Engineer for all work done under this permit to show compliance with NYS Building and Plumbing code. See attached inspection ticket dated 7/11/12. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance.(Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 136.434—Addition/Alterations SO�lyOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 yC4UNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 5, 2012 Lawrence Blessinger, Rev. Trust 845 Hempstead Tpke. Franklin Square, NY 11010 RE: 2200 Westphalia Rd.,Mattituck, NOTE: Still need Certification from Architect or Engineer for all work done under this building permit to show compliance with NYS Building and Plumbing codes: See attached inspection ticket dated 7111/12. TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00 (check is not signed) Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT : 36662-Z additions FACSIMILE TRANSMITTAL SHEET TO: Q FROM: 47ri L'O 1 nNY: ru DATIL: F 3( hI�L"R: f()1:11.NA.OIIPAGES NGb: ING(;UVCR. P 0 NUMBER. SFIvu14R'S RPTHitKNCE NU,'-IBLR: a � Rr_ CR xr-.FrRI:NCI:• NVNr;jilt: ❑URc.'-,NT ❑FOR knvisw ❑PLLA.91%CONINIFN'I' ❑ vU."A'SP.RI;E)I.Y ❑PLP AIQ Rz'CVCE.F I 0 ' r�smat�.vt o����� � • 't7 Jdl t5 tN 12;41 *�•"'r•w++�•.•�...�.xur w,x;,A„ teams mp,,reu� r in 17! q 6i rn M i `..r`R.'�. �lg � •j a.^' � pN W7flV•vdM' 1 •a _ �ly ra•�r� ��,V J J �t'/AU+tList alllJVttfiR�.ATtgV. \� `F�.� �,,� _ �,}�� ,,t•' dxvwfmw YOUR% L YOUNG� a. `,� t� R txrntM wo oaraa.snc A"o us,ontarpv. Ye 1 .jr• `,dQ �f �iioO1 K�e11wn M i . 7 !�M•%4Mr4YOYrew w .rf u+�w.��ve awa ue..�.r•.i. � S & R , � �t r'x •':•�`•�'"'�' m` FAYl 00 SHED 6.CWL SHEA iaa.•ria•�f Orr a �iAT7i'IYtCK Qtu(•�pa�[onn � • r�..n...e.e {I••+M .. CQLYMt �Qt r11 a1•.�1W�N11M I caw. 1�c� Y.a•+4.Y�a IMp4`W awa M•ar•..ew�lw.yg. ..n..�4M•w.sr+o w SVfim CQ.A.Y. I E �:1�3711T.�.a ftlff. van try M""-4 mom., �( lie f ,y� •';,t Ott zh- file P10al�� —nooit QOt� Ep/ti1A� wo otvtr..eoa kawt.aat..tefr. •r,. � .=.et.l. _ W/ww.OMe. N P .p�wrivi°'+r»i�..'�"i�na�a�..`a, NAYQ4Q1lt�SHEA g EML SHEAVk e� n°t F v�ww.iwwna►N..+aYYt♦►.... �a 31�1lI.LQ,d.�: �Lttt141<<f B. P. # --3 r BUILDING PERMIT EXAMINER CHECKL S - Date Submitted: °�s I Date Reviewed: Applican . waer. tv r . Engineer: Estimated Cost: SCTM# 1000 Subdivision: Zone: Conforming? a-�o D Property Address: `�" / � City: Pre COs? Building Permits (men 'x'''-iree : BP g�1- -Z/Ef -E- ,Info,�BP -Z/C/O Z- ,Info: BP -Z/C/o Z- , In BP -Z/C/0 Z- ,Info: BP -Z/C/0 Z- ,Info: Single& Separate Search Required? Y oQN Determination: SToRfAW-4,T-&_ RiktJ-o,F-F- A10 REQ. Lot Size: TO ACT. Lot Size: REQ. Lot Cov. -2D ACT: Lot C;ov. DST REQ. Front . -0 ACT. Front OK REQ Side /S ACT. Side 0-k REQ. Rear so PROP. Rear - REQ. Height. 3'" ACT. Height m' A E a. j3oTH SIDES 3-S A C T ID Project Description: %°7 g ate— Waterfront? Y o N If yes, water body: —� Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED QLRN 5(+�� SIGNED, SF�LEDSURV�Y �8�4'--�''.���rr-iiN 97f Suffolk County Health: Y or(9- If yes, *Bed#: *Date: _/_/_*Permit#: Town Septic: Y19 - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC9/1/75 Y 010- Date: _/ /_ Permit #: or NJ Letter- Notes: Southold Trustees: Y or6)- Date: _/ / Permit#: or NJ Letter-Notes: Southold ZBA: Y oI - Date: /_/ Permit#: -Notes: Southold Planning: Y o0NN Date: / / Permit#: - Notes: Town Landmark C of A: Y o N TE: / / *NYS CODE Compliance (page 2): Y r N Gor4TAA<-roR 110EN5t 15AJ31LITy —LIABIL1TY -VORk^/e�N,s COMP IV 94-rlon/ o� Notes: D, l , Fee ct re: ° Calculation: c Foundation: SF g�� X $ , Lk _$ / r First Floor: 9 g f _SF + Initial Fee: $ o)•-o 0 ® 0 Second Floor: --- SF +Additional Fee ( _�: $ Other: SF SF X $ , =$ Total: q SF + Initial Fee: $ �— +Additional Fee(_ �: $ 9 - , 0 C OF o FEE -S-0, ©© �a TO AS BUILT FEE 3! 740 } NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC'DESIGN CRITERIA: Ground Snow Load:2.0 Wind Speed: 12OMPH Seismic Design Category:B Weathering: Severe -Frost Depth: 36" Termite: M-H' Decay: S-M Design Temp: 11 -lee Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: YIN .WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: YIN FLOOR JOISTS:YIN ROOF RAFTERS: Y/N i LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: -MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N ti LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YIN P LUMB ING RIS ER D IAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: YIN ENERGY CALCS: Y/N (RES GHEC O TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) I Buss INNER LAWKENICE7 i� 111K UliAlz I( i .... . .... . .. ECEoVE AUG - 2 2012 BLDG.DEPT. TOWN OF SOUTHOLD _ ...... . ............._..........._.._._.._.....__ .. _.-_........... .... _.__.._ 48'-O" 21'-1 O'/z" 21-411 11'-0" O BEDROOM BEDROOM LIVING ROOM V W -~-a A N G� m N 0 � w a KITCHEN O BATH BEDROOM 1 PQ T( PO 0 BATH 00 o ° DRAWN BY: JD 00 7j- October 18, 2012 19'1 O'/z" 5'-8" 7'-0" 13'_2" SCALE: (SEE PLAN) DE 48'-O" I �� _ `'' T�°s �, SHEET NO: _L OCT 2 5 2M� FLOOR PLAN. �� : x- i i I FOA 0 SCALE: 1/4�� = 1�-0�� BLDG.DEPT. �'O SRO TOWN OF SOUTHOLD !!�� PROJECT TITLE & LOCATION: 8'-4 s � o � Z z o AS BUILT DECK ADDITION z � F' RO Q BLESSINGER CUT BACK DOSING DECK-75 IIINIMN FROM WEILANDS R� O RESIDENCE NEW DECK ADDITION MATTITUCK, NEW YORK NEW STEPS AND RAISED DECK OVER EXISTING DECK WORKNOTES: EXISTING WOOD DECK R w �a i DECK PLAN: PROPOSED DECK ADDITION EXISTING SWIMMING POOL 0 Scale: 1/4" = 1'-0" NEW DECK ADDITION � N � Z z � N 5 � Z o " ON t—OR Z �913sR lo g _ NEW z CUT BACK EbST�JG DECK-15'WNlElllE1 FROM WETLANDS NEW __ � � NEW _ Nam- ® 2) (2)2x10 GRDER �(�)2x10 (2)2x10 GIRDER Q Q NEW ® NEW _ -- 0 (2)2x10 q (2) 0 GIRDER (2)2X10 GIRDER ( U `a 2)2x10 GIRDER (2)2x10 GIRDER l�l"`� , U a � cn,� a w w zr- - --- --- --- --- --- --- --- ---� ---� I I EASING 1 I EASING I I DOSING 1 I EXISTING I I DOSING I I EXISTING 1 I EXISTING I I EXISTING I��I DOSING I I DOSINGtERRI 2 2x10 GIRDER 2 2x10 g11DFR 2 2x10 GIRDER I 2 2x10 GIRDER 2 2x10 GIRDER 2 2x10 GIRDER 2 2x10 ORDER (2 2x10 ORDER ' U 2� 2x10 GIRDER 2 2x10GIO I I I I ) I I I II I 1 I I I ) I I (� I I (L — J L---J L---J L---J L---J L---J L---J L---J L---J L---J —�—..1 NEW STEPS AND RAISED DECK OVER EXISTING DECK a. g,rvr 1•' ` dhA?.', '• .'7 .'40,�.*.3 �:'i6,f iR.' '"fa �.Z4d.'-''.g ^ i. EXISTING WOOD DEC 5ry Vi S \��\��------- ---------- ��,` ------ ------------- NEW STEPS AND RAISED DECK OVEREXISITINGDECK------------- ---� �� _ - ----- ------------------------------------------------- ' CIO zo EAST END DESIGN ASSOCIATES, LLC a°. / o PO Box 1675 Southold, New York 11971 s s S DECK PLAN: PROPOSED DECK ADDITION 506 Main Street 2 Westhampton Beach,New York 11978 EXISTING SWIMMING POOL scale: 1/4" = 1'-0" phone:(631)765-1862 cell:(631)767-6071 fax:(631)466-3354 E Mail: CArm8888@aol.com C SHEET NAME: \1� 1/ �j "As Built" Deck Plans PROVIDE TIE DOWN STRAPPING AS REQLMRED PROVIDE TIE DOWN STRAPPING AS REQUIRED • _ NEW 240 @ 16'oc FLOOR JOISTS NEW(2)200 GIRDER G�• 0, }' F / 'QFF ENGINEER: E IN EAL: NEW(2)240 GIRDER �/ ��O,� E>OS11NG 200 @ 16'x FLOOR JOISTS �G• 9GC y�tic �� �, Q, � JAMES DEERKOSKI, PE l I �Q rn �i�'Y G' Professional Engineer �- ,�., t E)aS11NG(2)2x10 GIRDER 9 / �/� -9J� 9• °I: - 'p i4 260 Deer Drive 2 6y=,��^„ l NEW 44 ANGLED SUPPORT POST/BRACE /pFi� ,mil' \1 I ' 114p, Mattit.uck, NY 11952 �a �o r� y�9j,L T9� Gi / r 631-,298-7116 0 0 *ors EXISTING 4x4 POST j CO �1 �t� OWNERSHIP AND USE OF DRAWINGS: l GRADE 7,C ' PROVIDE ANCHOR BOLT AND STRAPPING AS REQUIRED BY CODE 7� 0�9/ ��O ��� 5" SF `NYC These drawings and specifications including the •�, 4\0 1 /C ideas, design and arrangements represented therein, are the property of East End Design NEW CONCRETE FOOTING O� p���P S Associates, LLC. No part thereof shall be copied, disclosed to others or used in connection with (illINLU OF 36'BELOW FINAL GRADE) �� /� any work or project other than for which they ,-0 �� \ h• have been prepared without written consent of y��o East End Design Associates, LLC. 000S E)OS11NG CONCRETE FOOTING 12'x It x 36' Q CONCRETE FOOTING c�'�� \ OJ IECT NO: SHEET INDEX: LQ \ 2Q1ti 933-2010 D IN BY: DECK SECTION: PROPOSED DECK ADDITION e`oG.o�t�o�o CMA 3 \ OF s SCALE. 01 Scale: 1/2" = 1'-0" INGROUND POOL AS NOTED Al 01 DATE: 11- 15-2010 REFER TO GENERAL NOTES FOR ALL STRAPPING NAILING FASTENING AND TIE DOWN DETAILS EXISTING HOUSE _., f.: EXISTING HOUSE ' — 2X8 AC House Beam 2X8 ACQ House Beam 2X8 ACQ House Beam I Y,�- � � - - \ \ ••l/" 2X8 ACQ House Beam Q �, , I I 5/4"z 4" STK Cedar Boarder o 0 I , D A K ASSOCIATES LLc 0 0 O V O U O V I o I o I residential & commercial design•engineering•consulting o � co O m I I c I 5/4"x 6" STK Cedar 506 Main Street phone: (631 761 6071 � � PE 6 � CY CZ 'E o � � Westhampton Beach,New York 11978 fax: (631 466-3354 > C, i= o ¢ o S Ca0 ¢ O o 3 V OXO ¢ O o 3 Cj ¢ In O 3 C7 oxo 73 I E-Mail: CArm8888@aol.com 213 6" I I Deerkoski,Arm&Kehl Associates,LLC o formerly East End Design Associates,LLC I I 61 OWNERSHIP & USE OF DOCUMENTS r-2'- %s^ 7Y' 7y 2 61/6-1 I I These drawings and specifications including the _ _ \ I I 4x4 STK Cedar Post ideas, design and arrangements represented 7y^ 2° — 2— 2— 2" -2" 5 2" 2" -2" 5 2" 7Y I therein, are the property of D.A.K. ASSOCIATES, I LLC. No part thereof shall be copied, disclosed to others or used in connection with any work t016^ or project other than for which they have been 1016^ prepared without written consent. J \ '-8 -4 4„ 2-10 4„--�2' 10 4 -4 4" ----- -------- --------- --------- 3 ^ 0, ^ Handrail 2z12 ACQ Stringer 6/ 2 3Y" 2- Y2x6 ACQ Riser o �,o ILI (or 5/4 x 6 STK CEDAR) 2x12 ACQ Dinosaur Stringer glued and Screwed to Stringer o g 2x12 ACQ Treads o o o Steps (or 5/4 x 4 STK CEDAR DECKING) 3 DECKING PLAN 3 O O O O m N O m N p+ m i� •- � v, v � .- a � .o i� •o o •0 0 0 � L�C.5 C' T, L�C.7 '- V N to C.7 C7 LOi C, o C C3 2 o U C3 d H O U [3 U O c U O V Li > ¢ C Y O O j,C > ¢ C3' O Li > ¢ 0 O I� > ¢ 11 1 • V 3 o o N o o SCALE: 1/4 = 1-0 � mCn c. � mm � FOOTING AND GIRDER PLAN SCALE: 1/4"= 1'-0" WORK NOTES: EXISTING HOUSE 2x12 ACQ Treads Steps 2x12 ACQ Dinosaur Stringer glued and Screwed to Stringer 2x6 ACQ Riser 2x12 ACQ Stringer l a a a (2)2x8 ACQ Girder o Q o C �, Q d o 0 0 o Q o I Simpson H8 Tydown Il ¢ ¢ Q ¢ ¢ Q ¢ I 1/2" Galy Carriage Bolts o cn co co co co cn I � X X pp X pp OO X pp X pp X p� 4X6 ACQ Post O N O N N O N N O N N O b Simpson Post Anchor I 8" Sona Tube Filled with 3000# Concrete Bottom of Footing to be Min. 3'-0" p I o Below Final Grade m 4 ^ I C7 C3 o I O n I ¢ Q ¢ Q ¢ I U ao 0 N N N N N I m r Steps 2x12 ACQ 2x12 ACQ ,n"x 12" Anchor Bolts I I I Outer Stringer Inner Stringer I = STAIR DESIGN PLAN- STEP PLAN- SCALE: 1/2"= 1'-0" SCALE: 1/4"= 1'-0" PROJECT: V ` U O> O O O > 1777 p] N Cn] U O� C7 o o E H `a s o E m E a U C7 c' BLESSINGER �. o N C+ m L� ' O U .v+ m N �' Cy •U v 'y c U ti C3, O cJ CJ m C3 u O' 0_ l.� C/] N Ox C> N un C7 CJ d L.-. C/'1 N x C, N C3 � _� m ¢ ¢ ¢ C3 C3 � �_ m \m ¢ x o0 0 00 ¢ ¢ x o °° eo p x o� ¢ ¢ x o ox o DECK PLAN N N ox N N o N X N x N N J —5/4"x 6" STK CedarNN W N �-� w Deck to be flush with house Floor 5/4"x 6" STK Cedar -'�6" "'-''i6" ,t "'-''16" -'16" � I�IIATTITUCK, NY. 11952 N Simpson H8 Tydown 8'-1� 2X8 ACQ House Beam (2)2X8 ACQ Girder o +�✓ ��g �'} �t� Top of Deck to be < 30" Above finished FLOOR JOIST LAYOUT PLAN 2X8 ACQ Floor Joists - 16"oc DRAWING TITLE: ,-- �� Grade Requires no Handrails If >30" Above __.,�� Finished Grade Requires Handrails as per NYS. Code SCAL 1/4"= 1'-0" DECK PLAN r �� 1/2" Galy Carriage Bolts 2z6 Clear Cedar Top Rail 4X6 ACQ Post 2x4 STK Cedar Subrail SET: ISSUED FOR: DATE: 4x4 STK Cedar Post ABU46 4x6 Simpson Post Anchor 1/2" Galy Carriage Bolts 1/2"x 12" Anchor Bolts 5/4"x 4" STK Cedar �2'-0 1/2" N 3 1/27 8" Sono Tube Filled with 3000#Concrete 2"x 4" STK Cedar o 1 1 2" 3 1/2" / 1" Bottom of Footing to be Min. 3'-0" SEAL:: DATE: JULY 23 201 1 4x4 STK Cedar Post 2x2 Clear Cedar Balisters -1/2" -1/2" Below Final Grade PROJECT NO: t=`' '� ,� 934-2011 2x4 STK Beveled Cedar a^(, '•', ML�'i" DRAWN BY: JTYPICAL S ECTION ��A R Bottom Rail BDK Provde Handrails as Per NYS. Code �-^ &i i 1 4" v, f q C COPYRIGHT 2011 D.A.K ASSOCIATES LLC. C ECKED BY: Simpson H8 Tydown ALL FLOOR PLANS AND ELEVATIONS ARE PROTECTED cr j f ' JJD UNDER FEDERAL COPYRIGHT LAW. ` ` ". .;, SHEET NUMBER: SCALE: 1/2"= 1'-0" 101 PLANS MAY NOT BE REPRODUCED WITHOUT f WRITTEN AUTHORIZATION. ALL PLANS AND DESIGNS ARE THE SOLE PROPERTY OFF'. ^ ' A101 D.A.K. ASSOCIATES, LLC. BENCH PLAN THE RIGHT TO BUILD ONLY ONE STRUCTURE FROM THESE RAIL PLAN PLANS IS LICENSED EXCLUSIVELY TO THE BUYER, DOB NUMBER: of SCALE: 1/2" 1'-0" Acceptance of these drawings does not authorize the right to build without the authorization JAMES J DEERKOSKI, PE SCALE: 1/2"= 1'-0" of local governing agencies, such as Suffolk County Dept, of Health Services, Town Building a I Departments, DEC, FEMA, etc. Verify all conditions, codes, and requirements with such O D•A•K ASSOCIATES, LfC agencies prior to construction.