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HomeMy WebLinkAbout26331-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31861 Date: 09/26/06 THIS CERTIFIES that the building ADDITION Location of Property: 2015 MARLENE LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 3 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 2000 pursuant to which Building Permit No. 26331-Z dated FEBRUARY 4, 2000 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 BAY WINDOW ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to H M MASTERSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-573443 10/17/01 PLUMBERS CERTIFICATION DATED N/A '��L � .�t Au o ,_zed Sign ture Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD S BUILDING DEPARTMENT F" r TOWN HALL 765-1802 SEP 2 0 Vit.. ..� APPLICATION FOR CERTIFICATE OF OCCUPA Y - 1, trr"%tUa 1, 9 A. This application must be filled in by typewriter OR ink and ted 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 17 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $(15..00, Commercial $15.00 Date . . .ql 9( p�f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Or Pre-existing Building. . . ./. . . . . . . . . . . . . ry, leLocation of Property. . . Q. S. . . . . . . .m.� House No. Street Hamlet Onwer or Owners of Property. .(. tn. toc../W*eK'D y/ County Tax Map No 1000, Section. . (y !. . . . . . .Block. . . . . . . .Lot. . . . .C././ . .. . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .I.,Lot. . . . . . . . . . . . . . . . . . . . . . CD.� Permit No .-? Date Of Permit.7�JY/�QU. .ApplicanOJN. k/l�Otjt G 11414C, Fucow,t�� Health Dept., Approval. . . . . . . .. . . . Underwriters Approval. ... . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . Fee Submitted: $. S. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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. 26331 Z Date FEBRUARY 4 , 2000 Permission is hereby granted to: H M MASTERSON PO BOX 1025 MATTITUCK,NY 11952 for A BAY WINDOW ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2015 MARLENE LA MATT/LAUREL County Tax Map No. 473889 Section 144 Block 0003 Lot No. 011 pursuant to application dated JANUARY 24, 2000 and approved by the Building Inspector. Fee $ 75 . 00 AV^o Autho zed S ' nature ORIGINAL Rev. 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,.NY 10036 pye OCTOBER 17,2001 Application No. on file 10994900!00 N 573443 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named air the above applicationnumber is in the premises of; HANNAH MASTERSON, 2015 MARLENE LANE, MATTITUCK, NY in the following location: ® Basement ® Ist FL ❑ 2nd Fl. Section Block Lot was examined on OCTOBER 11,2001 and found to be in compliance,with the National Electrical Code. FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS ^DISH WASHERS EXHAUST FANS' OUTLETS LNCANDESCE FLUORESCENT OTHER AMT. K.W AMT. IK.W. AMT. ..K.W. AMT.- LW:. AML.: NG ; 5 8 5 1 4 1. 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS 'BELL- UNIT HEATERS ,MlSR50USLET DIMMERS AMT. K.W. OR M.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AML AMPS. TRANS. AMT, N.P. } NO..OF FEET AMT. WAILS j S NO. S E. R _ V I C E„ SERVICE DISCONNECT METERNO DF cC CDND. A W G. ,�OF @FMP A w.G. NO.OF mVTeAM a xWNEanu AMT. AMP. TYPE EQUIP. 1 e RW 1 e 3W 30 3W 30 AW nq a OF CC COND. 'Of HbMG OTHER APPARATUS: PADDLE FAN F-1 .. G.F.C.I:-2 t 81 I .71 PAUL R. BURNS LIC,#3897 E I : PO BOX 1061 t3ENERAt MANAGER SOUTHOLD, NY, 11971-0932 This certificate mud not be altered In any manner,return to the ottlee of HH;Board`Ktncof;j 1;In be Identl0ed by thelr crsdenOalS,,. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l ` INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: C DATE / dt7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 84? INSPECTOR 765-1002 BUILDING DEPT. 1 SPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � C DATE 3 db INSPECTOR L )ATION ( IST) II 11 II �� II )ATION (2ND) Ir II II � C _ ---- ---- ------- - il'I 7 II 117---"' 7 I FRAME PLUMBING jj II lr- 11 Tr ii �1-- — -- — -- _ u n -------------- -------- zn II LATION PER N. Y. ii p- '(// tv H TATE ENERGY _ CODE n H N u u 1 � u n I u n FINAL ------------ -------- n N pl O ADDITIONAL COMMENTS: M \ IH 0 x Irl, rI, BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . JAN 2 4 20 „ TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . .. _ .; BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . _L')!�j' FSOUTHOLD .eg SOUTHOLD. N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . Examined MAIL TO: . . '�1. . .... r Z,B.... ;^�,. Iv 33l App .:.. ,prt+Ott� Permmh[ No. ..::........... ................................. .. . Disced a/c .................................. ................................... . (Building I tor) APPLICATION FOR BUILDING PERMIT Date.91. �� . , 19. . . . INSTRUCTIONS --, a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector vii 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 mist be drawn on the diagram which is part of this application. c. The work covered by this application may not be conmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector caill 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 HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lars, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remval or demolition, as herein described. The applicant agrees to simply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. jV1RDn1fYtJJT eC INC- , ..................................................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is carer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .......................................................................... Name of owner of premises E NI/tiS (t�OfJ .�L hf�1Df� t^l�E1✓F./q/� ............................................. (as on the tax roll or latest deed) If li ion signature of duly authorized officer. 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........................^..'..r................................... Z�.. ........... !! ..t (l(A ..... -Q� ,...............r.'..�-. ....................... House Number Street Hamlet County Tax Map No. 1000 Section ....14+:... Block ......3........ 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 ........�.l: L /-e....�Zf�NYII�..... (1�� (.... ............... T72m1 �'�� fE �(c� ?O �j I I / , l' b. Intended use and occupancy .... l.•,0S:Qr...........�.4�... �:�5�. Nature of work (check vhicm applicable): New Building .......... Addition .......... Alteration V. ..... Repair ............ Remo ....val ............. Demolition Other Work ............ ................................... q (Description) Estimated Cd6../Q!J joo .......... fee ........ oto be paid on filing this application) If dwelling, nurber of dwelling units .. .... tlurber of dwelling units on each floor .. .. .. .. ... ... .. If garage, n nber of cars ............/Q. ...... If business, comercial or mixed occupancy, specify nature and extent of each type of use.. ..NA........ .... . Dimensions of existing structures, if any: Front.N.C)...Q-m e Deptlh lieigilt ........ .. ............... Number of Stories ......... ......... .... Dimsame structure of sastructure with alterations or additions: Front ,ADD..3.'.PpArj. LL).I N.PO W Depth .................... Eeiglht .................... Number of Stories ............... Or HO Wim' ............... Dihrensions of entire new construction: Pront ................ Rear ....... . Depth . .. ........... Ileii;Aht .................... Number ..... of Stories ...i.... ... D� 3h 'gf�`{ W W rrJ6lIJ W/ le,00F (V- Size of lot: Front ...�.:1�:..1,Q..... Rear ....140- , 2-3 ... Depth ... ...... ). Date of Purchase ..................... Hare of Former Owner .....pp.............................. ..... i. Zone or use district in which premises are situated ............ . ........................................ Does proposed construction violate any zoning law, ordinance or regulation: ...! ................ 1. Will lot be regraded ....iq C2 ... -4�j i.11 excess fill be removed from premises: YES NO fif(nl Alm ti...,v`ASt�lRso I. Nares of Owner of �hrJo(Z qt �{? (Jr rn lL.!J...r✓ !�! Phone No. Mg— l Q 3 3 premises ..Fr."1,,,,,•,,,• MFE}i... Address ...... Nam of Architect .................................... Address ............................... Phone No. ............./ Nape of Contractor �r.�U�20x.IME1�.1T. cST J(/J dress �:. ?�.(��..1�.'�..nlG...plp� No. -/0- ?4.74. i. is this property within 300 feet of a tidal wetland? * YESNV ll� NO ...... *IF YES, SOITIIUD TOidl TRliSIEES PFd3fl'f HAY BE REgUIIIID. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rom property lines. Give street and block nnber or description according to deed, and show street nares and indicate Nether interior or corner lot. FNlr or "7w Y(W, SS UN1Y OC .. , -......being duly sworn, deposes and says that he is the applicant care of individual signing contract) )re naked, isthe .... .... . ...... .. ...........:................................................................... (Contract agent, corporate officer, etc.) f said owner or owners, aril is duly authorized to perform or have performed the said work and to make and file this pplicatioh; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed therewith. worn to before m� this ....... ........day of Notary Public ./.?............. HELENE D.HORNE •• • ......••• Notary Public,State of New York ignature of Applicant) Na.4951364 Qualified in Suffolk Count Commission Expires May 22, A/d 0/ o o _ V . 3 _ TOWN OF SOUTHOLD PROPERTY RECORD CARD ✓NER STREET CVILLAGE DIST. SUB. LOT M Ma s-f RMER OWNER A N E _ .� j ACR.�F C- S S - W TYPE OF BUILDING nth Z-e SEAS. VL. FARM COMM. CB. MISC. Mkt. Value AND IMP. TOTAL DATE REMARKS Z/ 6p la/ y Q Q 6 Fay B e r l ; moo glop 1?,71viT 75- A&j-tPf ,., a 6 Q6 S'�66 a AGE BUILDING CONDITION NORMAL BELOW ABOVE RM Acre Value Per Value Acre able 1 able 2 ible 3 Aland mpland FRONTAGE ON WATER ;hland FRONTAGE ON ROAD ise Plot DEPTH v BULKHEAD nnrw ` ■■■■■ ■■■■■■■■■ ■ ■■■■■■ -= TRIM ■■■■ Q: ■■���rl�a�■■■■■■■■■ ■ �_ � . ■■■■n=■ is■■■■■■■�■��■■■■ ■■■■■■� ,0■■ ■■■ ■■■■■■■■■■N iiiiiiiiiiiiiiiiiii■i■i iii■■ .. � Found. . ®® � � � ® - Both Dinette l ��® LR. tension Fire Place ® D. Type Roof Rooms 1st Floor . . •.. . .. ®1� B. �� -i JY Ual j Tr N. 69`zoo So" 5.' W FENcf 6- N. OF LING VON 6.4TR1157f' _--• - � Q S J N --- -- jtDO .SAY i } p YV 11.100 NY J h - Z 4 Y• \, I O = r - 40' _ H � 1A Lu LL { Z M W d LU h n / z rr v a o ' V J .-jf- N I v LL l0 LA il r W Z 0. 2 v •r � lV EU LD N e of W . . � . V FIRCE ?•t S. OF.LINE Jy H Ed S. 69. 20'50" - I 6. 0 = o= OILED v I � oQV Z ac J. CARTER �LL 0. U. F EQ-4 a x+ce '`.1�� m } �'S��" •F� Y R to ><�yGr ce w 's^• ' t .y�.., .y TO THISti.S4URtYeEDE 15 A VIOLATION IOLU7ION . 01 e t ,& r ,- dt e, y� 4. Y SECHON 7309 OF THE NEW TOLS STAT{ (�/`�(►' NEEFAEION.UW. ' } R r ` S a.! � .. NOT KASEFQ r ( i s.5q Oi MIS SURVEY n Stu on :Ia 'I a y TMRDSSEO SEAL SHALL NOT a CONSOM y '3 s � e? .t�+r�•'�{. ';. � r.TO E A YA11D EOE CONE. '. rr ro ,• �• r " '�j y i CMV 70 M'VSON IM,W ,EM % ML EY) j i� '' �I�. ` ' ELATS4 A6D i4v NO SOEMF TO PA ISUM fiAL*V&W 4 k f (/wj\H T1+ i 1 70 OR*M=m cE va+ama"0 v 4 ■ / yS L. [ 'j v WON'SWARAMM ARE a" 16,01 14 a SOUTUQSrrb P4.,y ' "HINEWFHi1Nmr `F1� ♦ /t 1 If rouAe4KT,ri r,nr T0. 796 6&CUYITY TITLE A14n awry P , 3U C�tl Gr{�i'p . uhf AY .17 1'1 a" N °i?f lA�1 N U. NaT . /1 )A\ FFf rC �o II II 11 � IAT ION ( I ST) II II II I II II I I )ATION (2ND) = ---________—_— II 11 ---- 11 II II II - II II fl FRAME a PLUMBING N - ii LATION PER N. Y.. u y TATE ENERGY CODE N A X N N N X �� wl N p u FINAL n N X p II O ADDITIONAL COMMENTS.: - H H O r UNDF,Jt�N REQUIRED ATE EQUIEDATE 3" 8 , 7'-1016" OCCUPANCY OR ANDERSON BAY WINDOW ADD NEW BAY WINDOW APP U NMO TW45-2046-2-20 TO EXISTING KITCHEN DATE: s.P.N 3 1 USE IS UNLAWFUL 7-10-1/2" X4'10-1/4" R.O. FEE: 7 , W. t71THOUT CERTIFICATE NOTIFY °`"` ING DDE N* OF OCCUPANCY 765-1802 8 AM TO 4 PM FOR THE FOLLOWING 011SPECTION& 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMNO & MUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST T BE COMPLETE FOR C.O. N ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. --STATE COTNTtiSUCfiIOA�i-EREAGP------------------------- k9Tmoc�-FOR ------------ -- — ------ DESIGN OR CONSTRUCTION ERRORS 24" DISHWASHER RELOI;ATE KITCHEN ENTRY EXISTING GARAGE DOOR AN AD NEW EXISTING KITCHEN STOO URS. i I I 33" SINK CAB. I I MEEHAN MASTERSON RESIDENCE KITCHEN PLAN SPACE FOR ENVIRONMENT EAST INC. REF. `L 1 .19.00 -------_ ------ -------- RECESS DOG DOOR INTO WALL 36' BASE CAB 30' STOVE W/ 36' WALL CAB. 36' WALL CAB. 30' MICRO & 36" BASE CAB. VENT OVER I I I I 2 X 8 RAFTER @ 16" O.C. 1/2" CDX SHEATHING ROOFING FELT NEW HEADER - 3-2 X 12 ASPHALT SHINGLES --- HEADER - 2 -2X8. - � •- LINE OF EXISTING WALL TO BE REMOVED ANDERSON BAY WINDOW TW45-2046-2-20 7'10-1/2" X 4'10-1/4" R.O. i 2 X 4 STUD WALLS W/ 1/2" CDX PLWD.ITYVEKISIDING R-15 BATT INSUL. CCA SILLS WI ANCHOR BOLTS , SILL SEALER TERMITE SHIELD EXISTING 2 X 8 WK O.C. FL. JOISTS. UY 2 X 8 FL. JOIS S W/ TECO TO EXISTING H E. MASONRY FOUNDATION @ EXISTING \ 4; CELLAR. ASONRY FTG. TO 3'-0" BELOW GRADE. MEEHAN/MASTERSON RESIDENCE SECTION ENVIRONMENT EAST INC. 1 .22.00 leiIIECX4. 1 J 1 ApplicanU - � Date Owners Name. �5 ✓ �� Reviewed Z7 00 Architect/ Date Engineer: ~ _. Submitted SCTM ll: District 1,000 Section _. f3loc.k: _3Lot Project h A ./ , Subdivision �`�'!S ��GWtIt, �c . f �1a.��(, _ Name Location ------ -- -- - Sin&le& separate Required certification Yes/No — — ----- --- --- --- - -- Req -- I ? /� Kcq. 7.onrng District (Lot sru _ D �0� Auual 1_7 _V_5!`Yui' (lot coverage/20ZPioNsed Req / Kcq /O/ R W / r (Front Yard �Proposed _J (Side Yard / Proposed f (Rear Yard �— Proposed _ _I Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. v New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: l te •