HomeMy WebLinkAbout33409-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32655
Date: 10/04/07
THIS CERTIFIES that the building
ADDITIONS
Location of Property: 300
(HOUSE NO.)
County Tax Map No. 473889 Section 107
WOODCLIFF DR
(STREET)
Block 8
MATTITUCK
(HAMLET)
Lot 15
subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 2007 pursuant to which
Building Permit No. 33409-Z
dated SEPTEMBER 20, 2007
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 ADDITION & A DECK ADDIDTION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to WILLIAM T & JANE W. FLATLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEIlT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3047694
09/28/07
PLUMBERS CERTIFICATION DATED
N/A
~z~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
0-\\1 ~~
. APPLICATION FOR CERTIFICATE OF OCCUPANq~ I \i_~1._!;> --~-\':\) I
This application must be filled in by typewriter or ink and submitted to the Building DeP\~\nt I)'.ith the~1l0Wing:~0 \
A F b 'ld' \ \~ \
. or new HI 109 or new use:. , L--, __-.-' ~, ,", .
I. Final survey of property with accurate location of all buildings, property lines, stnlets, al}\Lui1ij~llIa1'n:ait(l~l or -.
topographic features. L----.-. -
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 2/1 0 of I % 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.
(Yo (iJo-f "3 b l1 j/ qSf!-
~~ '0~
B. For existing buildings (prior to April 9, 1957) non-conforming lIses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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
I. 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, COImnercial $15.00
Date. GYd-: 'I, ~~L?f'
New Construction:
Old or Pre-existing Building: .,r
(check one)
Location of Property: .3&~
House No.
Ut"I!7PCL/t'~,c PI<
Street
M~77/~cj::
Hamlet
Owner or Owners of Property: W, LU/t117 T ;C.LA; LE L q.. J J9r1C:
Suffolk County Tax Map No 1000, Section /t);l- 8' - If Block ,)00
Lot
c> /.5'
SubdiVIsion
Filed Map.
Lot:
Pennit No. ,{11/09
Date ofPermit2'c?",c 7-0 ,;2'~;;?'\pplicant:
,
Health Dept Approval: ~
#~LL//;-p Z ~L4T.L~/
Underwriters Approval' /
Planning Board Approval: _~_
Request for:
Temporary Certificate
Final Certificate:
( check one)
Fee Submitted $ J. 5.00
~...e:.l?) q~
(' 0 -t: 3,;/& SS
ij~~~
Applicant m"gn .
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.
33409 Z
permission is hereby granted to:
WILLIAM T FLATLEY & WF
PO BOX 363
MATTITUCK,NY 11952
Date SEPTEMBER 20, 2007
for :
CONSTRUCT AN ADDITION AND A DECK ADDITION TO AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 17837.
at premises located at
300 WOODCLIFF DR
MATTITUCK
Lot No. 015
Block 0008
County Tax Map No. 473889 Section 107
pursuant to application dated SEPTEMBER 20, 2007 and approved by the
Building Inspector to expire on MARCH 20,
Fee $
50.00
ORIGINAL
Rev. 5/8/02
/~? -1f-/~
lID~.lID
~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ WILLIAM FLATLEY WILLIAM FLATLEY ~
~ ~~E ~~E ~
I MATTITUCK, NY 11952 MATTITUCK, NY 11952 I
~ Located at 300 WOODCLlFF DR MATTITUCK, NY 11952 ~
~ ~
~ Application Number: 3047694 Certificate Number: 3047694 ~
I Section: Block: Lot: Building Permit: '3 oL{oq BDC: n511 I
I ~,::;;;: d~':" '"d W","" d,~ri,,", b,"w, 'oc",d ,:,~~":::;~~~~=';,.'"' "'m'~ "~":'r ;'3m~~':'::- I
~ First FloOT, sun room, Outside, .r-'VJ:J ~ ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 28th Day of September, 2007. ~
~ Name OTY Rate Rating Circuit ~ ~
~ Miscellaneous ~
~ as built I 995-sun room ~
~ Alarm and Emergency Equipment ~
ffiI Sensor I 0 Smoke ffiI
~ Wiring and Devices ~
~ Outlet 6 0 Fixture ~
~ Fixture 6 0 Incandescent ~
~ Outlet 9 0 General Purpose ffiI
~ Receptacle 6 0 General Purpose ~
~ Switch 6 0 General Purpose ~
~ Paddle Fan I 0 ~
~ Receptacle I 0 GFCI ~
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~
~ be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. ~
~ No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory ~
I condition was found. seal I
~ 1 of 1 ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
lID.lID
nIDI NO. .
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)
~ 33t-jo'l
N~ 017837 Z Date ...~~.....Cf.............. 19.1.l.
Permission is hereby grant~a:
.... ~..~...42~.....~...Q~.........
....... !?.~...~..!9..~..............................................
...~~...f:.?.:.!1.:....!.!.~~b.....
. n'+.'
to .~_.~......~.~.-:i....Q"...~....~.~..~..."ft(.:..r.1;;.;..,\
.~.)~..'\i),~'''''''''''''''':''''''''''''''''''''''''''''''''''''''''''''''''''''..............................
ot premises located at ...~.....\:Q.~..:-.R~)w..~.~.......~.~..............
",
County Tax Mop No. 1000 Section .......1.9..1........ Block ......oi........ Lot Na. ...\.*.................
pursuant to application dated ..:::r..~~..!..~................, 19.~.'., and approved by the
Building Inspector.
Fee $...S>.~....
.....l:~.~.....................................................
Building Inspector
Rev. 6/30/80
33'f-o( :2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P<f FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnoN
REMARKS:
r~~
~ 0 ,
DATE
~~~~,
~In C.f-OJ:$~S;OO~,
7-"J-'- 07 INSPECTOR ~~
IIJ--r:zJ } K(\.QAI.)'Yc-[ -:S-3 ~ 01
, / I /f< 765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [~ULATION
-
[ ] FRAMING
[ ] FINAL
REMARKS: ~~
_ M-kJ~ ,
DATE
INSPECTOR
~ ~ i ()~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
N 2ND [ ] INSULATION
[ ] FINAL
FRAMING
REMARKS: rJ h~ 6.t(;
. (), I( ~ ~~-
DATE t:. J.; /,'7 INSP~ a
/ / ~
3?)-\OC'1
765.1802
BUilDING DEPT.
INSPECTION
[ ] F~~A]ION 1ST [ ] ROUGH PlBG.
[ 1t~ION 2ND [ ] INSULATION
[ ] FRAMING
&;(-70
nRKS~ PI
{f~ ~ ~~u--;. fl;~'
-
DATE
36~Oq
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
;:'~LAB
[ J FOUNDATION 2ND r ] INSULATION
[ ] FRAMING
[ ] FINAL
REMARKS:
~ 'I t1 ~4dL
DATE Jjfr!- 'NS~;ff
:ELD
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~
1.
FOU/lDATION
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( 1 st)
g~
FOUNDATIO:l
@
2.
ROUGH FRAt1E &
PLUt1BING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4 .
FINAL
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MAP Or:- PROPERTY
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A12EA .16,31'7 S.F
8, ~oNu!1n~I
AS SUI(YEYE:D NOV 1::3 ,1988
QODEQI(/(. VAN TU'fL PC
I
/2. V~ -/:..-~
LICL^"'D. 5iJQ~fX()RS -:&f2l:.ENPOm: N.Y.
FEe , 0 1989
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD. N.Y. 11971
TEL.: 765-1802
..-----
BOARD OF HEALTH ............
3 SETS OF PLANS . 9~ 1:(... . . . . . .
SUR V E Y ..... 'C:'.!o:l . . . . . . . . . . . .
CHECK ......................
SEPTIC FOR~1 ...~.........
BlDG. DEPT.
TOWN Of SOUlHOlO
NOTI FY
CALL .. .~.7X-;'7~'-(.. '" ...
MAIL TO:
I.h/.?- "c~.t."';Y . .
. pCl' '?G:5
/e,iN-4TTI7.rC.e- /Y;/ //~S2.-
Examined .'3~~ ~~.., 19~"\. 33 yo '1
Approved .9:~~ ~..'":':~ r~. ., 19~.\ . Pennit No1~:~,~? ~. .
Disapproved ale .....................................
................................ .~.t:... ......... ..
.\{~. .......,..~...........
(Building Inspector)
-. APPLlCATIONI"O,,! BU.IL12!.~JG~ERiV!.IT~ .... '-~--;:!l,;::.' ' " ....-. ....
. ,,_."".~ . . .)',
, . Date.. . .~~. :7.<:7..., 19 fJ.
v
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink imd 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 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 I.
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or I
Regulations, for the construction of buildings, a~ditions or alterations, or for removal or demolition, as herein described. [',
,
The applicant agrees to comply with all applicable laws, ordinances, building code, housin~ code, and regulations, and to
admit authorized inspectors on premises and in building for necessa~~;~~,.:~:~~/. ~
........................~.................
(Signature 01 applicant, or Jrtlme, if a corpora non)
. Q;C;-;.~-:-. .~~~:k?;f;l:'~c; :1':.7: .::;.~.'::....
(Mailing address of applicant) . .
-.
State whether applicant is owner, lessee, agent, architect. engineer, general contractor, electrician, plumber or builder.
............ @f<;O\'~. Cjj.~;;~:'; ';.j:L~' \{(;..~...;.. ....................
Name of owner of premIses ...................;... .(~~ ~de' ia:'(' ;;li ~; i;t~~t' d~;q . . . . . . . . . . . . . . . ..' "
If applicant is a corporation, signature of 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. .....................
I. Location of land on which proposed work will be done. ...............:..................................
~[~~~;:U:b~;'"'''''''' .~(~(~~?~............ ~:::':i:~4:-...................
County Tax Map No. 1000 Section. ... .1.<: .;:". .0.<:...: Block
og',OO
........... .......
Lot... ~-:'.f:.";';::c:>
......
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Filed ~lap No. ............... Lot . . . . . . . . . . . . . . .
(Name)
2. State existing lIse and occupancy of premises and intended lIse an~ OCClIpancy of proposed construction: J.
a. Existing use and occup"ncy .. /.~.~. . . . . . . . . . . . . . . . . . . .
u . . . .. . . . .. .". ... . . . .. ..... ... .. . .
b.lntended use and occupancy ........ :'.... ...... .~. .~.. .......... ........... .......
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being duly sworn, deposes and says that he is the applicant
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He is the. . . . . . .<~~;';-;-; . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.) . . . . . . . . . . . . . . . .
&f said S'''llcr or owners, and is duly authorized to perform or huve performed the said work and to make and file this
upplication; that ull statements containcd in this application are true to the best of his knowledge and belief' and that the
work will be perfonned in the manner set forth in the 'application filcd thercwith. '
Sworn to before me this
............... !.?.... .duy of. .d/l;<;-;';J....., 19 '~..';
Notary; pUb~.~. .... :.;): ;-D~ .&o;-{~ County ;~~~~..-,:?\r',:.. _'
:i;C~ al'~~~NeWYOlt 'fr~<~/~~. .' ';e'of~~~I;C~;)
SuffoIkCounly.,. , .
Mirch30,1~ , / "
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