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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 -" l.'" --....... '" '," .l.H........::.I..o... _v., ~ 1. FOU/lDATION - -- ( 1 st) g~ FOUNDATIO:l @ 2. ROUGH FRAt1E & PLUt1BING 3. INSULATION PER N. Y. STATE ENERGY CODE 4 . FINAL II'" -- 'j UM...:" j ~Ul"fM[NT::; I_~t ",r ::;:,...- HO >-3,9 ""~ ~tff ~ t t ~k ;:;0 ~d '" .~~t .-'~ (" . ~ . ADDITIONAL COMMENTS: . U-J. .t: gJ "" M ~ :a [.. J . . ", ~f >-31 ~ . o ; ...-D '::r: ~ C. c-_ ~3:> t:l M ." >-3 "" r I I I I I ! 1 I tnqZ'40 E, , [J ,.---- ~~.~ lU 91 , > ~ ~-, \ C! ~ __/ l \ 14 i IlI.Atl<TOP f 150.0. .. ~ '\ uj ~1l1 ZZ oJ - ...J _I }) ~ K\.CIN . 1-... / ,~ ClaN w,aii fllN ~ \~o,o . -- - 50 U; I": ~ -l U , t) D N Q t::; ~ " - i ( p PI " C. {Il 3: 0 frl ~ q ~l Xl i ~ { J p"r;I.( , . .(/ er z . BCr . .... l; ~ q U1 ~ t"- . ZUJ "I' III C - --"--lL. Z -- _J:J '''--4S'!'- .. ""\.I 1o.'T ~l>lE c:.Y<LO.11! .. . I --=-- 5:1 \' 42 40"w. ~!( 1.'(/;_____ ] . ,.0.1 f' o.t: ul ~- 'I) ir- <.YC\Q.4E o:~5\ .u~ 1'I()Jllr..l'I -- I~i I n' ~ .. - . -;:-~- 1l0HR6l'.(.H l - r)I2^IL.O.ZE. iq 112 ~ -w '-'.:,i," . '-,' .,:~,,~'~;;.;'::;b:;~;~:;:" .' . ',,'" l>h.~' . .~ ':"~~I:d ~fU9 C.nii;' ..~on .h::'.~ : ".':' ,"e$ In.tiC3\~ "" tl'\ tho) ~IJ"',. .. c.:l'IJ.((:n\-. f>t'I,~on )er whn .~ '0 t;...) ,~.,,'! 1.0 :~..... end on ttia t;,t~~>;t,'~ :'~f-.I..)I ~,:~ h. ";..,,,:s.:~u. ~ill'l'l&n.a... ..,...1 \, '~', ('Of.1:;R~'{' ~\OR n.1.Q<J hO.C.......,~ .,''1-. ~,'l"~;:""'" j;\~lUI. of tt.B tD;I~!r.';'I :~~. ~h~& .... 'E,~\l,~I"l...~S \Ot t....11:>".i... ~.':..,d ..uJ.;....lltli.&ti ~'e I or .ut.~~uen\ ..\.:,1'.."... ~ ll,...;,\tuliona 10' .~~'..o.." r:......,o!f1-. SLJFf. CO.1'A)( t1A.P DATA t 1000--\07' B'IS -~ -- . MAP Or:- PROPERTY -,_.~-~-_. -.-.- .._,..~...~. .- "-._-. ~-, #. .~. SUINEYED F~m -.-- -----...~--_..- o 61 w I{l \} wll_L.I/-\\"-'1 T ~ J/\NE. \.j ~LATLlY ----- I"r !"tA.TnTl,.l~~ TOWN 01= 50 VTHOt..O. N V. ~ o.l lU r W ~ (1J o ~.~ :, :-.',\ . .' . .. \ I \ . .,,\.\ ". ,,"'.1/1'\\ .. '. ,- .,,11 ~,.~:..'i'~. .:,;;';;l~'!:j:'/ SCAl E -=-49~'_{'<' . - 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 ........ :'.... ...... .~. .~.. .......... ........... ....... "'i "<, .."'........'s.. ~,.,\";..:."t:ii~_N..:;';>t't;~+f'f':'.i{t;.J:~;~'... .~'Yi2f'~....~r'V:!'.1~~......r'f.tj,'1::~;t~i~h.~~u:.~:t:'fft't\'t.';;:.i',.1'll;;~~lg!.k-':'!':?11."-,~ 'J 'l:'.....ii.'~_.. :., .,_. ' I., .:\', ;.::lli!Il~:rill~;\,t.;.;,..1'..IQ"',':;l'!of. '.-:W-i1" ,--'e.;., ".,~_1::_, '"'' , .. _ .'. ~,_ .._11. . , f' .' 1 I t.l.~~4'z'40 E.. , or \, . 5B~ UJ 0 >::,. ~--, \ ci~_.~ [. Q . \ I ---.~ I~)O.O II^Il-O.2E. I ,. J wild: ft:.tJce lj2. N,. iq 112 ~ o N lli I{l iJ I'l', \\,: tif -- f1 !1" ,. ~; 'i1 t:~: ~.... {' ~l ;.': I " .c-_,_'-.o' 0- "'--: Bl.A'"TOP , . J e ~ z 3t1 , Lo. ~I I~ Q: Q <(r Q U1 I'- d'> "f' ~.,) , ;~ ~. i)H -.. OJ U ~uJ -- u. t-- .J::; ,," ; ~~ I-H ,.;T L.ltle 7.... O'{LGHe.. I ~- 5:11.47. 40'W. '" ~ ~6'&1\~~9iNE~VY~~~:-s~so ~. . ~ ;::t-~ . f' . . . . .. (N;~;;i~~~;ci~r~'i~~i;l~ '~i' . . . . . . . . . above named. l1; u: d 0. ~ ~ , t) foJ t::; "- :1 ) ~ ' ] .w .. \50~O ~\ ui ~t1I ZZ .J - ...-' ~i> being duly sworn, deposes and says that he is the applicant ,s'i ,~t . 'R o:t: u'i J)_ ... rn ir- ,,,(,';141: o.~", Ul ...., ' '-. rJ LU ~ ILl l'l l1J C\ r/ PC~~ & o t; '''-4S'! .- - . 1l0Hftl:if.(.11 t 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~ , / " :;:;-,~!,,',r2;~';~~.~flJi1:!'{~~d~1~~~~m~~~..;~~~!{\t~1j~~:~t~~~'~?!:~~~~fut'~irf."~\~~~JJJit~;{S~,r$::~'~~:". ~;\:: . " .. t' ~ r.'