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Home My WebLink About24669-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25770 Date: 06/10/.98 THIS CERTIFIES that the building ACCESSORY Location of Property: 4326 WESTPHALIA RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889. Section 113 Block 9 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 1998 pursuant to which Building Permit No. 24669-Z dated FEBRUARY- 11, 1998 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RALPH F. & ALBA RAGUCCI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 21375 05/13/98 PLUMBERS CERTIFICATION DATED N/A //uil ng Inspector Rev. 1/81 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) Date.....FERRUARY.....11........................... 19...9Q.... 24669 Z Permission is hereby granted to: ROSANNE K SCHWARTZ .......................................................................................... 240-11 MARYLAND AVE .......................................................................................... DOUGLASTOI�I.�.f ty... �3¢ ................................... to .....WN5TRU,QT... ...2...QA.R...QA.RO.QF...0...T.H.E...RF.W.z.R.EA...YARD...QF...A. .........WATERFRDNT„DWELLI�IQ...AS...APP(-.I. A..FQ.R......................:............................................. .................................................................................................................................................................. ............................................................................................................................... .................................. .................................................................................................................................................................. at premises located at........I.......4.326.....WESTPHAL I A„RD,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,MATT I TUCK,,,,,,, , ...........................................................................I..............................r........................... .I.. , .................. County Tax Map No. ....473889..... Section ...1,13............. Block ....0009,,...... Lot No. 010.001.... pursuant to application dated .....! NUARY,,,,,,..28........................ 19......48...., and approved by the Building Inspector. Fee$...50.20... ........ ...... .. . .... ...... . ................ Building Inspecto Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD MA �r � !�' 1`�' '�_'_ BUILDING DEPARTMENT TOWN HALL ..- 765-1802 T®W�' QSQII`�Pl, ll C 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 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 use's: 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25s. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0//0, Commercial '$15.00 Date . . .�/Z?Z4?!e. . . . . . . . . . . . . . . . . . . . . . . . . . dew Construc"tion. . .Z. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . vocation of Property. . �oZ(O. . . 1_ . i. . . . . . . . . . . . . . . . . . . . . . . .�:1.�+-�� vc.tr . . . . N : . . . . . . House No. Street Hamlet )nwer or Owners of Property. JR F—t �:.��t�-,131a, , ; ,! p,., aC-. . . . . . . . . . . . . . . . . . . . . . . . . ..ounty Tax Map No 1000, Section. . /1-A . . . . . . .Block. . . . . . . . . . . .Lot ` . . . . . . . . . . . . . . . ;ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . .�.. . . .Lot. . . . ... . . . . . . . . . . . . . . . . lermit No.!,?, ?`/4. !, .z . .Date Of Permit. . . /��.�. . .Applicant. ��:s lealth Dept. Approval. . . . . . . . . . .Underwriters Approval. . l:�3.�yS . . . . . . . . . . . . 'lanning Board ApprovalAea/. . !°/ "'°�`� . . . . . . . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . e�e �ubmitted: $ J (?. . . . . . . . . ... . . . . . . . . , 5j I . . . . . . . . . . . - . . . .... . . . z A 0 i 06� APPLICANT ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOG UE,NEW YORK H 772 (516)286-6642 21375 DATE: 5113198 APPLICATION No.ON FILE VILLAGE: Mattituck TOWN. Southold ADDRESS: 4326 Westphalia Road ISSUED TO: Ralph Ragucci _ INTRODUCED BY: W. E. B.Electric LICNo: 4682E was examined on 5113198 and found to be in compliance with the National Electrical Code LOCATION.• Base.. 1st xx 2nd 3rd Attic Det.Garage xX Hot Tub Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR COND. 3 5 3 1 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR FURNACE OIL GAS CIR. MOTORS BELL TRAN. SER VICE DISCONNECT METER AIDS PHASE OTHER EQUIPMENT HUGO S. SURDI PRESIDENT BUILDING PERMIT No. This certificate must not be altered in any manner Inspectors may be identified by their credentials BLUE ORIGINAL YELLOW COPYPINK COPY OFFICE 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: / -7 -D�. DATE 3 � l�/ INSPECTOR �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ZI SULATION FRAMING [ NAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE `'G INSPECTOR !_'1 tI.It31 II'il'l;�;I'I Illl II1�1'llll'I U 'I t: ,ley ! n I`UIilIUA'I lull (2 0 •• l--------.----- l r 1 _x . Itlltllal I'IlAllt: 6 n 1'1.1111111 PIC r ------------------------- ..1..•..•w ww- w..-•-rt•----w-•-----•-.--------w•www��wwwwwwwwww w--www wwr-wwww� 1 n:;nl.n•r i clrl rlac II. r . III ::•1•nTl: I:I1I:Ilt:Y ~ 1:(1111: 2 111 -..--..- .w....--....--w.......,... «.. ,�.... -. w- .. .,----w-----«.-w--......w....---.----------- 1 1 VI IIAI. _ •v ..--------.-w-w----------- -w------ ------------------------------------------------------- 1 ' U r Atli)IT I U11n1 ,Ir'I. ,-- -. ----------------------..- --« w------------1--- ' 00 "1 • 1~ t.l • I� • - 1 1 . �t/�Z"i�"ga E roe sS' i7 AARS. N. Y �2�L/•�sy��i L�/��i4GrJCC/ Al yt/cov I I Unauthorized alteration or addition to this survey Is a violation of Section 7208 of dra Now Yak Stall Education Law. Copes of dos survey MW not III the Isnd sumeyon Wad seal or embossed sesl shall not be aottsfdsrad to be a valid trus copy. G,"y Guarantees Indoded honer tlhaff tun only to the person forwhorn dta stroll Is prepared,and on his behalf 0 d» Ego company.govemmsroal apsttoy and lending Institution Isted herson old to the assignees of the Isndng UmdWdM. Guarantees are not translarahle to additional institutions or subsequent owners. sgD LAN4D V LEW v r '9��0 A Oa ,'9�• �369� ia� QF NEW V DP ��vyria�t�loc. c 3 or WAy o �rs�w✓aU,l�w�.Yva�vsri" � �iek er L�it/v�devEYoR ✓7D�p�oo� � ,�o..f3oxy�B �-t v. 4.04. 'J4, v r1cci o t>r 14A0 -ol 43. SO ip t" 4, h.-L I A:, I ze. 23, `v I r) r_ L (d P) Nil P14 M, Zt j! tit Us Aq 00 00 q.loo4 'c VAIN W I /9> ,e�9L/•�iy W N � � Wcos� 1 Ly Aell Oss A op -to W,V%7 o �i✓rh�a'✓s�K/.,1�"K�YJNoa�'s/��'i' —� /5'.�i�i�7' o o� BOARD OF HEALTH . . . .. . . . . . . . . _ FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . - —-- y TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . 4 Q BUILDING DEPARTMENT CHECK .TOWN HALL ,..� SEPTIC FORM .:.. . . .�;� .; . . . . . . . . . . f �s SOUTHOLD, N.Y. 11971 JAN TEL: 765-1802 NOTIFY: CALL �A Fxamined�TOWN OF SOBS �GL Tj MAIL TO: . . . . . . . . . . . . . . . . . . . . Ap[�.................. 19..... Permit No. LQ�•F---.. .................................... Disapproveda/c ................................... ..................................... BuildgInspctor• .( ) IAP ICATON FOR BUILDING PERMIT Date.C1 . . . . . . . . , 191 INSTRUCTIONS a. This application mist 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, 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 application. ' c. The work covered by this application may not be cadenced before issuance.of Building Permit. d. Upon approval of this application, the Building Inspector x-rill issue 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 HERESY MAbE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the Tam 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. ... �.$•® .e G, 5 L z?....................... (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. ....................... �!4-:.. :d .R-.�..� �.s!P.::....................................................... Name of owner of premises .. h l., ri+.�:. �:. ►�i...1�. t?�? c�.�a .i..... ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............. ...... .. ... d ;�_.�....... (Name and title of corporate officer) ` Builders License No. .U13.Ift... ........ Plumbers License No. Electricians License No. ...�.�.S.rf.. ....... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.. Q ?r...0 G!k t-••[.p.: P.1j.• a. ;r'•u! s PWh�-/rb;-!2�: ............................. .. _ .._:_ :� ..t _...................r.'1w 1�� •... :`.�:..� �`.��. :........ House Number Street Hamlet Canty Tax Map No. 1000 Section ...... Block ..A q.......... Lot .Me..l........ Subdivision ....7=............................ 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 --.....---•..........................:................ ................ .. b. Intended use and occupancy .. .... �• ... .. r � v... a.hE ...........'!......e....................... 3. N•aLure of work (dieck wliiclk applicable): New Ikiilding .......... Addition ....... Alteration . Repair ............ Removal ............. Denrol.ition ............ Other Work (Description) 4. Estimated Cost .....�. ° = ....... fee .............................................. (to be paid on filing this application) 5. If ckaelling, n(n6er of dwelling units ............ tknber of dwelling units on each floor ................ Ifgarage, rxnher of cars ...................................... G. 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 ................. lleiglit Usii)er of Stories ...................... Dimensions of sane strugLure Britt► alterations or additions: Front ............... Rear ............... Depth ............... Beiglrt .................... Nnber of Stories............... 8. Dimensios,:of entire new construction: Front ... 2."A�....... Rear .......... Depth. `. n ........ lleiglrt 3.............. Uxiher of Stories o. ......... 9. Size of lot: Front JJ ��d'......... Rear ..�a(`.y.'5-...... Depth �7`3.,.......... 10. 1k�te of Rirc3iase a .l.�..l1.7...•..... N,me of For�rer owner 3ve.. .......... 11. Zone or use district in which premises are situated ............................................................ 12. Does propose(] construction violate any zoning law, ordinance or regulation: .!�6 13. Will 1 o t be regraded ... v............. Will excess fill be rennved from premises: YES ND lei. Names of Owner of premises� Address??A�f �.1A A F.�"��°_"� Rhone No A%�'"1/.��.. None of Architect ................ Address --��.- ........... on............... Pt► e No. ............... N-ime of Contractor�� sO.t:o•s i ;�.�,f P............ A(klressr:°0?YY41.�l bs�asP.�aT.-Phone No?M-7 /S-'6.V . 15. Is this property within 300 feet of a tidal wetland? * YID .: .... NO .......... *1r YES, SOOlIUD ITMN IMEUEKS PG131IT MAY i1G RWJIRM- . PI.OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block rimber or description according to deed, and show street norms and indicate i,lrether interior or corner lot. OF NW Y(VK, ss (XA)NIii O[ ................/....... .......... ...1?!.?...... ..4 �.5.0 ..� ...being duly sworn, delx)ses and says Lhat he is the appl.icanL (Name of hxliv.id k-rl signing contract) above natived, Ik: is Lhe ........ t t'fZ'r ..................................................:................... (CAxitractor, agent', corporate officer., etc.) of said owner or owners, and is duly authorize(] to perform or lrrve performed the said work and to make and file Lhis application; that all statements contained in this application are true to Die best of his knowledge and.be"lief; aril Lhat Lhe work will be performed in the nianner set forth in the application filed therewith. 9.,orn Lo before ne this ............. ..day of Notary I3rblic ... .. .tL.`l.�.v.✓� ::>:'J[ _ (Sigtiature of Appli.carw) HELENE D.HORNE Not:�ry Public,State of New York a�lra.�9b'13�ad� Qualified in Suffolk County Corr missio,n Expires Wy 22,19 �S f7 ",K".77 0-iw A A, Usyn-V Kw n N, MANIA �O 7 Sl was an oil Q ...........:, on!"qy 0 6 d A T =W� - 7" �i of 0� of Q z-1 j! A V040- .7. 00 ZA0 V:J��, 717 orm,uZ, Ask 1 ;VIA 41- 00 UKA Vz KOKO M L4 A 4-11 0 STA Vic .91 A; A "Soo to A TQ nn I- wx KOINE _q. q. ff solos- AL N 4 v MINOR-, 7, 77. 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