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Home My WebLink About25821-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26542 Date: 07/01/99 THIS CERTIFIES that the building ALTERATION Location of Property: 1255 WOODCLIFF DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 6 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1999 pursuant to which Building Permit No. 25821-Z dated JUNE 23, 1999 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 ALTERATION TO BASEMENT AREA IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to BORGE ESPENSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 22637 07/29/98 PLUMBERS CERTIFICATION DATED N/A ",�L - X�41 / qdil( ing 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) PERMIT NO. 25821 Z Date JUNE 23, 1999 Permission is hereby granted to: BORGE ESPENSEN 1255 WOODCLIFF DR MATTITUCK,NY 11952 for ALTERATION TO AN EXISTING BASEMENT AREA AS APPLIED FOR "AS BUILT. " at premises located at 1255 WOODCLIFF DR MATTITUCK County Tax Map No. 473889 Section 107 Block 0006 Lot No. 018 pursuant to application dated MAY 3 1999 and approved by the Building Inspector. Fee $ 75 .00 i Author. ed SigO&ture ORIGINAL Rev. 2/19/98 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516) 286-6642 2637 DATE: 7129198 APPLE o.ON FILE VILLAGE: Mat&tuck TOWN., Southold ADDRESS: 1255 Woodc4tEDdye ISSUED TO: Mr.Borge Espensen INTRODUCEDBr: Fred Klein bcensedElectrlcian LICNo: 4423E was examined on 7129198 and found to be in compliance with the National Electrical Code LOCA TION, Base.. xx 1st 2nd 3rd Attic Det.Garage Hot Tab pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR COND. 6 9 5 1 DISHWASHER DRYER CLOTHES WASH I GAR DISP J RANGE OVEN SMOKE DETECTOR FURNACE OIL GAS CIR MOTORS BELL TRAN SERVICE DISCONNECT AaM AWS PF E OTHER EQUIPMEdT Replaced panel anti SEU coming in from meter pan HUGOS SURD/ PRESIDENT BUILDINGPERMITMo. naou ee.mamrt�ax. am.nymm� hpe m=y ,mtfi abyd,mm aBLUE ORIGINAL YELLOW COPYPINK COPY OFFICE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �lc�a 7 DATE � � INSPECTOR t[LD INSPPECTION REPORT DATE �ss�s COMMENTS= =a -------- ------==== =a======as>=sa== XJNDATION ( IST) p H �p N j1 q� ODNDATION (2ND)-------------- �7 a d u — OUGN FRAME 6 � � _NI PLUMBING --J4 N —Ju u M p cn KSULATION PER N. Y. p q STATE ENERGY CODE __ e u —M q p Y H '� II n N FINAL q --- — — -- p ADDITIONAL COMMENTS: ryHd H H O x� rt'", BUILDING DEPARTMENT TOWN HAL 765-1802L 01 t `l ( ;L �> APPLICATION FOR CERTIFICATE OF OCCUPANCY CAC' This app 1i�a�tiomust be filled in by typewriter OR ink and submitted to the buildi inspegtq//. y� [he following: for new building or new use: 1 . 'eiiiea"survey of ,property with accurate location of all buildings, property liar_ \'w 4 r 'Sheets, and unusual natural or topographic features. Approval from Health Dept. of water supply and sewerage-dispoSal(S-9 fora \ Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain', less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar built 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 '.'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 applic- If a Certificate of Occupancy is denied, the Building Inspector shall state th- reasons therefor in writing to the applicant. r 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 $25.0( 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 - .25�,_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . 01 Or Pre-existing Building. . . . . . . . . . . . . .( Location of Property.. . . .. ... . . . . . . . .�� ' ' 1 House No. v Street Hamlet ' BORGE ESPENSEN Onwer or Owners of Property..EST:aTE, OF CiTIiEFtINE I_iPENSt;uf4plt!}( , ,;, P,sy�;..gX EXEC .. . . .. . . . . . . 10`7 cc County Tax Map No 1.000, Section. . . . . . . . . . . . . .Block. . . . . .. S . . . . . . . .Lot. . .! . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . r) Permit No. . � S , . . .Date Of Permit. . . . . . . . ... ... .. Applicant. . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval.. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . Fee Submitted: � . . . . . . . . . . APPLLI ro a6Sy gUFF0(1rcOGy Town Hall,53095 Main Road y .r T Fax(516)765-1823 P.O. Box 1179 G • Telephone(516)765-1802 Southold,New York 11971 y�J�! � BUILDING DEPARTMENT TOWN OF SOUTHOLD June 29, 1999 Borge Espensen 1255 Woodcliff Drive Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25821-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. `` BOARD OF HEALTH . . . . . . .. . . . . . .. FORM NO. I ♦) SETS OF PIANS .. . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . .. . . . .. . .. . . .. . . . . . . . . BUILDING DEPARTMENT �CHEcr A ?��:0Z?.. .. .. . . . . . . . . . TOWN HALL SEPTIC FORM . .. .. . . . . .. . . . . ... . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: q J CALL aC� �. .q-� -7 ��. . E:omined 19.e7.-' ! MAIL TO: . ... . . .. . . . . ... . . . . 19.7 Permit No. S a ................................. Disapped a/c .................................. ................................. ....................................................... E (Building to APPLICATION FOR BUILDING PERMIT LDate.. . . .. . . . . . . . . ... 19. . . . T' INSTRUCTIONSi-iOLD a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale- Fee according to schedule. b. Plot plan sowing location of lot and of buildings on preri.ses, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram r,hich is part of this application. c. 'Ihe work covered by this application may not be cannenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suri permit shall be kept on the premises available for inspection throughout the worn,. e. No building shall be occupied or used in chole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by tate Building Inspector. APPLICATION IS UEREBY MALE 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. 'Hue 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. .................................................... (Signature of applicant, or name, if a corporation) 1255.: t)OIIGL I-hi'..Ddt.....m4T-P1-TWA K--NY...... (Mailing address of applicant) State whether applicant is owner„ lessee, agent, architect, engineer,'general contractor, electrician, plumber or buil- OWNER ................................. E 01tU '-S SPL A' ".�N15....-.................................................... Name of owner of premises . CATIIFRINE ESPENSEN ESTATE IIORGE LSPHNSEN EXECU'POft ........................................................................................... (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 MD. ...: ................. Electricians License No. ..................... Other Trade's License No. :. 1. Location of land on which proposed work will be done............................................................ 1'TIi'-vC ✓i• K. .�.....`I � s3 ............. .................... ........ ....... .................................. Hasse Number Street Hamlet County Tax Map No. 1000 Section ....1:q.Z...... Block ................ Lot ........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguse and Ohi /^��+z 1 / �/ 9),(V L-Y.L (At occupancy ......................f.....••--.--....... .f. ............................. b. Intended use and occupancy /...�r��..T %/. '�° Al ........................... 1:gZ ,4. 1..----.--............................... tktTJIT2 A tCT3fuAS1l�J �IOY W9t4 k9 a!sf8.�f1f JU9 YftA'ft7M1 tw!h2,Ett6DOvT2t0.oY1 . Mxanal.tartgxamsaT .� AJ ��t I t All tt . 1. Nature of work (check which applicable): New Building .......... Addition .......�.. Alteration ... Repair ............ R®wal ............. Demolition ---- lition ............ Other Work ........... (Description) 4. Estimated Cost ............'............. fee .............................................. (to be paid on filing this application) 5. If dwelling, mrber of duelling units ............ amber of dwelling units on each floor ................ Ifgarage, nrrrber of cars ...................................... 6. If business, commercial or mined occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Humber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nrxrber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Nwber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ I1. Zone or use district in Which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Wrii excess trii be removed from premises: YES HD 14. Nares of Owner of premises ........................... Address .............6................ Phone No. .......... Nave of Architect .................................... Address .............................. Phone No. .......... Nacreof Contractor ....................... Address ...............................Phone No. .......... 15. Is this property within 300 feet of a tidal Wetland? * YM- .......... NO .......... *IF YES, SOEMM 104th TMSMS PMMU HAY BE MVIFED. 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 saber or description according to deed, and show street nares and indicate whether interior or corner lot. 5ME OC N--.W YORK, MMY � ..Z:51 C SS ........................I.................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, 1kis the .................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perforated due said work and to make and file this application; that all statements contained in this application are true to the beat of his knowledge and belief.; aril that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .. ....day of ..!.:/.1�.��....19./. /.. Notary Publi . dF L N pJ18E1HA$TA1FN>s (Signa of Appticant ARYPUBU StMeofNewYbfk W O1ST900813,SufolkC Tear Exp1nf*June 8,202 BY---------------DATE--------- SUBJECT-_ Vt001401 �"� Y O GT SHEET NO.---/------ CHKD. BY--------DATE--------- _=IJIlf"I�'�FNT------------------------------ -------- JOB NO. --------------------- PROVIDE OPENINGS FOR --------------------------------- PROVIDE '/� HR. FIRE --------------------------------------------------- ------------------------------ EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF RATED SEPARATION TO N.Y. STATE BUILDING CODE. PART. 717.3 (f) (1) OF N.Y. STATE BUILDING CODE. _ W I Ki 00 w S A, IN7�k.5 l 91—.sem`- it ?'LUMBER CERT1FICAT/4N' G�{ ON LEAD CONTENT BEFOR t,l 'J"ori >y CERTIFICATE OF OCCUPAN ArPWK0 AS NOTED . � SOLDER USED IN WATER ; �� SUPPLY SYS TEm CA AlOT' &gap__ .P EXCEED 2110 of 1% LEAD. Iwo ;, ,.r � ��` 7B6-1!102 9 AM 10 4R THE {1 FOLLCONM IINSPECTIONS: I I FOUNDATION - TWO REQUIRED FOR lOVAW CONCRETE 2. RQUQH • FRAMWG & PLUMBING 3. INSU1J1TION PLUMBING 4. FINAL - CONSTRUCTION MUS I ALL PLUMBING WAS { BE COMPLETE FOR C.O. &WATER LINES NEED E ALL CONSTRUCTION SHALL MEET TESTING BEFORE COVERIN� THE REQUIREMENTS OF THE NY x STATE CONSTRUCTION & ENERGY CODES. NOT RESPONS+BLE FOR DESIGN OR CONSTRUCTION ERROPS p -0U e, I uc rA, Nu I UK M,,:;. �--r ra ct4, /4. USE IS UN"LOTUL 1,q K"I I F I C AT, E Vi ITHOUT CE` 14 7 UNDERWRITERS CERTIFICATE 01: OrTUPANN REWIRED JTl/O,$ ' 3 f0.A-,r?f,0//.e `ScslE.' 3��r�=�.o., .STA/.� 4FI7 471Z .A/7rvjrO e04F .oIATE L/A/E j/q+E,,rrE,2iot ,olysvOoD �vir� iMrs� L.4 loans=== -.C..e -A 4 -L -L- ex � E L11 IF-InnnnnEl-11 'I IF-1-11-11 11 11 ff!�--14 Fc oi.c LivE II I .PETi�/A�/�/f, KIiV.CL 1 r L/svE� !E lice L ) ?'!4'=/6"/_1. �E ^ Alme 141 Tx z6orc y •�wr'�/ t'b e.� 22"x4N. 01 e/F-,V.' /`s &AVeArSS O�'Y6•i�dr/SE A'OTED B.�7SE� s7ww -L/TF 6.q 94 7?3P i/.v/.S.rfi.4 .pL.vs rE,i B.�l`.(C pE IrA.NI E lDdvF.0 .PED TOP /,Isvtr!'r/i 0 W, r �rooc //s" toroar F�if//s.6, .rLA IC /'`/B"F!/?.PES /�•,I 2" F!/.B.P/'0' 3 *//O"'BEVEL .S✓GVA' .ST.B/PS !/.eAJ6FD1T 2..,r� /F -a•.- �_..,c�� '_. �'rX/�'•'A.i�<NO.e BOLTS EIJI _ t NJ I i ;.Cos "war y A �• , .zo p.r/�'' sir! • . ---- -- --- -- --- - - - - -- -- - -- ----- - -- ----- - -- FTf. ..s<.o«.•�N-,.•ON ,�/lj/S//� S/1�.� .�,��I/�9'T/D/J� i I � Gl/.¢.C,l .�� tj Al I � gDIPpTED Fol PoX A�w��DE - F.eoM A d�'ri ARTER$ d.QOTiY.ERt /� � Bd/LDF� AND OCv�Ld