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
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-------------- --------
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II
LATION PER N. Y. ii p- '(//
tv
H
TATE ENERGY _
CODE n
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N
u u
1 �
u n
I u
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FINAL ------------ --------
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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 `
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y
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ISUM fiAL*V&W
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16,01 14 a SOUTUQSrrb P4.,y ' "HINEWFHi1Nmr
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rouAe4KT,ri r,nr T0. 796 6&CUYITY TITLE A14n
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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
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N p
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FINAL n N
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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 •