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Home My WebLink About24730-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26633 Date: 08/17/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1425 STANLEY RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 8 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 1998 pursuant to which Building Permit No. 24730-Z dated FEBRUARY 27, 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 ONE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to KART REALTY & DEVELOPMENT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0017 ELECTRICAL CERTIFICATE NO. N-496099 PLUMBERS CERTIFICATION DATED 08/05/99 DANIEL S. LISS Rev. 1/81 09/29/99 07/29/99 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. 24730 Z Date FEBRUARY 27 98 Permission is hereby granted to: HELENA TRESPALACIOS (MARTZ) 2123 ZIEMBA CT BENSALEM,PA 19020 for : CONSTRUCT A ONE STORY SINGLE FAMILY DWELLING WITH ATTACHED ONE CAR GARAGE AS APPLIED FOR. at premises located at 1425 County Tax Map No. 473889 Section 106 pursuant to application dated FEBRUARY Building Inspector. STANLEY RD MATTITUCK Block 0008 Lot No. 009 13 98 and approved by the Fee $ 409.80 ~ector ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~ This application must be filled in by typewriter OR ink and inspector with the following: for new building or new use: i. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. 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 Buildin~ - $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 ate ............................... New Construction ........... Old Or Pre-existing Building ................. Location of Property.. ! .~.~. ....... ~..~, ~..~. ~4; ....... J~..~'.-'~'.~.'..~..~f.(9. ............... House No, Street Hamlet Onwer or Owners of Property..~.l.¢.~.o..~..~-~.~.~....~~--~- .................................. County Tax Map No i000, Section .... l.~ ..... Block ..... .~..~. ....... Lot...~.~.? .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~.~.7.3~..~...Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .............................. ~ ........... 'i' .... .............. C0 3 3 THE NEW Date l . }. · '..; ~_ i' ~ THIS CERTIFIES THAT YORK BOARD OF FIRE UNDERWRITERS RUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Application No. on file 1812-°699/99 N 496099 only the electrical eqaipmettt as described below and introduced by the applicant named on the above application number is in the premises of LUTHEt-<[~,,;~u'~" v:ir,-:- ,,~A., .... LI:.. !4~5 'ST?dqLEY RO,~D. t~.TTITUCK, in the follawing location; ~ Basement ~ 1st Fl. ~ 2nd Fl. ~.[~/OUT Section Block Lot .......... ' ~ - and found to be in compliance with the National Electrical Code. FIGURE ~c~ro,~,c~ [ ~,A ,,~u~. ~ FIXTURES ~ RANGES I COOKING DtCKS} OVENS ~ DISH WASHERS EXHAUST FANS OTHER APPARATUS: 2 !/2 TON A/'C-! 6¢A DISCONNECT~ l S!{O~,~ DETECTOR: -4 H.T.H. ELECTRIC 89 FLOWER HILL DR. NO. SHIRLEY , ~TY, 11967 LIC. #370¢ GENERAL MANAGER Per. '~' ' 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. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. Owner: ~ F% ~ i £L (please print) Plumber: 0 f% ~ ~ £L ~C (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this Notary Public, County ~ 76S-1802 INSPECTION [ F~~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] F~UNDATION 1ST [ ] ROUGH PLBG. [//] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE &/CHIMNEY REMARKS: ~~q DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION 2ND [ ] INSULATION [~*] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~ ~ DATE ~ ,/~/~,/~ / / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~ROUGH PLBG. [ ] FO~NDATION2ND [ ]INSULATION [,.~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] INSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~I~I~~ [ ] FOUNDATION 2ND [/,~INSULATION [ ] FINAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~'~'~~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY ROU/GH PLBG. INSULATION FINAL DATE 'NSPECTOR~//~'~/ 765-~.802V B U I LDI NG DEPT. ~'~'~~?- ~.~ INSPECTION~ ~~& [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~~l~L [ ] FIREPLACE & CHIMNEY // INSPECTOR I:'ihl,l! III.~iI'I~UI'IUII III~,I'UllT ~.' I.'l Illllllfi'l' I t)ll ( 1 !;*I' ) lllJl~ II'J']i Illll/t:l! F~ll/sllf~, ~, f'l.lll III I 1~1(~ !|'1'^'1'1~. I;I.II,~lll,~y ^llll I'l' ! (JItAI. ~{)lll'llr. lf'l',~l t FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTH,....). N.Y. 11971 TEL.: 765-1802 Disapproved a/c ...................................... '. · i~ ~ e ~ '~"~ h"~, ..~4"~ ......... [ :':' ~-. A ' i~}[} · APPLICATIO'N/FO~ BUILDING'PERMIT BLDG. DEPT. ,,, TOWN oF SOU rHOLO INSTRUCTIONS 80ARD OF HEALTH ......... 3 SETS OF PLA=t~1 ......... SURVEY .................. ClIECK ................... SEPTIC F 0 R,'I ............ ~"~ a. This apPlication must 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 sti'eets 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,~'E')regulatiDns, and to admit authorized inspectors on premises and in building for necessary inspe~ · ..... . , --.,~-~.,-~..=..~:~.::.:.~.'..: ...... ~ - (Signature of ~(l;ll21icant, , .~. ~///d~.w~Tr~,X7-Oe_?Y__~4<_.s c.~_ff - . ..... (Mailing address of applicant) l/ State wt~ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ............... ./]. ?:~ ........ . .................... -.: ............ . .................... . ....... Name of owner of premises . .'~.~.t~. ~ ~ ........ ~,(4:F. ,( .,-: ...................................................... (as on the tax roll or latest deed) /3~cant is a corpo~ 'on, signature o f 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 ...................... Location of land on wliich proposed work will be done· /y.qs- s'+~/,~ F..J.,i ~.o.~..~..~.?.~.. ................... ' ............... · ltousc Nmnber Street Hamlet county Tax Map No. lOOOSection ...:/tO..'.~. ......... Block ...~. ' Lot .... O.~-J ......... Subdivision...S.(-A. .t?/.~ ff-,~.~.... K ./~..c-).t-.L. .S.....~ ~,< .~..-~qlcd Map No ............... Lot...L .~. ......... (Name) 'ate exi~tinguse and occupancy of premises and intended usc and occupancy of proposed construction: . / xisting use and occupancy ...... .~./..~. ..................... ,~¢. ~'~"~"~::~ .;.;, ~ .$,~,,,,4 ........... ' nded use and occupancy...~./, .~..~ ,L, .~..~ ./?../..L. ~... ~).~....) -3. Nature o{work (check which applicable): New Building....~ ..... . Addition Alte[ation Repair .............. Removal .............. Demolition .... : ......... Other Work .............. · . . (Description) 4. Estimated Cost . .(a.~.O.o.~ .............. Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units [ Number ofdweliing units on each floor . If garage, number of cars ...... l ............................................... .! ............... 6. If business, commercial or mixed occupancy, specify n~ture and extent of each type of use ._]W/.~-- ............. 7. Dimensions of existing structures, if any: Front....~./~. ....... Rear .............. Depth .............. Height ............... Nmnber of Stories ....................................................... Dimensions of shme structure with alterations or additions: Front ................. Rear .................. Depth .... ' ................... Height ............ ' ......... ·.. Number of Stories .......... .~..'. ........ 8. Dimensions of entire new construction: Fr. ont..~. ........ ; Rear.. ~'.~. ......... Depth .~.~. .......... Height .... ~ ~ .'. i ..... Number of St~>ries ..... / ................................ ~ ............... 10. Date of Purchase . .?.~.(~.P:. ........ .... - ......... Name of Former Owner ............................. I 1. Zone or use district in which premises are situated. Does proposed constructio~nvviolate any zoning law, ordinance or regulation: . ./c/.O. ......................... ~ 12. Will lot be re_oraded .)(~-,~ . . Will exces~-fillbe removed from premises: Yes. (~o) 13. ~ "'- .................... ~.3 ~ ~ Name of Contractor . ~5~2~ ................. Address ............. ...... Phone No.~ ........... ' .... 15.· I.s this property within 300 feet of a tidal wetland? *Yes ...... ... No .... .~ .... · If yes, Southold Town Trustees Permit may be required. 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 coruer lot. ¥ TATE OF NEW YORK, OUNT¥ S.S · ' .'~.~0.. i ~.~ ......... - ......... being duly sworn, deposes m~d says that he is the applicant (Name of individual signing contract) )ore named. ~ is the..'. ,~.~' ................... · . .". .................................... ~.' .............. (Contractor, agent, corporate officer, etc.) said owner or owners, ~d fs duly authorized to perfom or have perfo~ed the said work and to m~e and file this plication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the ~rk ~fll be perfo~ed in ~ner set forth in the application filed therewith. ' 'om to before me this~ ................... ......... ' .... _ . ,. ............ . ............ · . ~~~,~ · , / ........... ' ~.~ ~ /YEF. O M g Y; /0 0 0 ~ /0~-0~-009 $~.C.,5//~2 ,.Io~ ~7~ z = ~ ,. e SLq?OLK CO~ DEF~N~ OF t~AL~ SER~CES .~-- FEB 03 19~ ~.NO. ~ ~t~ ~ DATE ~o~-oa~° Ixet-~o~ ~ ~S~E~ARS~OMDA~OF~PROV~ c ~ ~ F~ SANITARY SYSTEM . BY HEALTH DEPAR~NT .~,.~ . W w ~/~ G ~-~ ~ ~ ~ PO~ ~L-II ~ - - ~ ( WI~E OIL ~ 5TOgE P~YEME~ ~EL= Z9.~ '"" · .. , z~-~:.,_.,. , ~ t. ~ ~ P,G,F,F, 35.0 ~;i : -, LOT 19 VACA A~ F UR VEY OF PROPERTY ~ltuat~d of 3urve~d b~ . ~ ~ TTI TU C ~ TOWN OF ~'OUTflOLD , ~ SUFFOLK 60~NTY -~,~7 ~-b~F~ ~ PhOn~ GO. ET ~NOLL~ ~.~ RLE~ ~P~ 9,/q7o ~5 CC. FILE ~' SURVEYED: J4H~ARK 14/1978 Fi'EF. Ot4LY': /000-106-08-009 ,.sur vc.,u DATE~ TC /V'7/~ ~ 9: 20 "tZ_///,// 55:0" CONC. F'OU~IDo 94- I1'~ LOT /9 4,¢£4 :- £0,000 SQ. FT S 71? ~5 UR VEY OF' PROPERTY $ltuate, d a! ~vt ,qTTI TU £ I~ CO~,1¢. Loc. Dec.. 23, TOWN OF ,..~'OUTHOLD ,.SUF'FOI_K COUNTY NEW YORK Z$ '-I" SCALE: I" . Ccrf /f'/cd tO: II/II KART RE4LrY FIDELITY NATIONAL TITLE INS. ¢0. 1 !1 SURVEYED: J4/gUARI//4/19c/8 IJ /YE/<, Or, It Y:/00 0 -/06-06-009 $£C 5t/D 40~ ~5788 - A 5UR VEY OF' PROPERTY Situated at OA ,O TTI TU C I~ ~OWIV OF ~,'OUTHOLD SUFFOLK COUNTY · NEW YORi{ $C,~LE : I" 'Z ~ ' CCrri£/td tO: ~: survey Surveyed by I~.0 MEOFOIqO AVE. P/I TC HOOU£ ~ N.Y. Phone 475-3192 ~O&, 5ttOWN H~RmO/4 RF:FER I~0 M$P OY If copper tubing is used for water distributing system; piping shall be of types. K or L only PLUMBING ALL PLUMBING WASTE PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT & WATER LINES NEED TESTING BEFORE COVERING EXCEED 2/10 OF I% LEAD. PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. ~PROVIQE SMOKE-I)ETECTJNG ALAKM Ul'Vl~,r~ AS TO PART. 721.! *~ N.Y.S BUILDING CODE, ' _ PROVIDE ~ HR. FIRE ffATEDSEPARATION TO PART. 717.3 (f) (]) OF N.Y. STATE BUILDING CODE. UNDERWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LO~ATION HAS BEENAPPROVED. PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILDING CODE. APPROVED AS mEED 706-1802 9 .a~ 1'0 4 I1~ I1~ '~ FOLLOWII~ ~ 1. FOUNOAllON - ~ ~ FOR POURED ~ 2. ROUGH. ~·~ 3. INSULA"FIO~ 4. FINAL - CON&'TRUCllON MU~T BE COMPLETE FO~ CO. ALL CONSTRUCTION $1~.L MEET TNE REQUIREMENTS OF 11~E N.Y. STATE CONSTRUCTION & ENEROY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS NO. DATE: ] REVISION: BY COMPUTER AIDED DESIGN ~UI-'IIq.A,~'T' OF TOTAL THEg-MAL P~ATIN~ NO. DATE: REVISION: SHEET TITLE ?LOOR PLAN F B A ~ ~-?9~gi REV. AS PERT. MARTZ NO. ~ DATE; ~ REVISION: SHEET TITLE FOUNDATION PLAN PROJECT XXXXXXXXXXXX XXXXKXX / D.R.P. DESIGN COMPUTER AIDED DESIGN