Loading...
HomeMy WebLinkAbout33955-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33523 Rte: 02/04/09 THIS CERTIFIES that the building NEW DWELLING Location of Property: 760 TALL WOOD LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 7 Lot 19.17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2008 pursuant to which Building Permit NO. 33955-Z dated JUNE 3, 2008 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 COVERED FRONT PORCH, DECK AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. THe certificate is issued to ARLINE BOECKMAN (OWNER) of the aforesaid building. SIIFP%)LK ~I~l~f DEP~/~ OF }~J~TH ~PRO~rAL 86-S0-154 11/04/88 ELRC~rKICAL C~U~TIFIC3%q]E NO. 4019848 01/13/09 PLI~4B~S ~EwFIFIC3%TION D~£~43 12/04/08 MATTITUCK PLL~4BING & HEAT Rev. 1/81 · TOWN O ]THOLD JAg 2Biji ~RT1VIENT k rolm a BLDG. DEPT. r65~18 2 TOWN OF S0Ui'H0t. O APPLICATION FOR CERTIFICATE OF OCCUI 41~C r This application must be filled in by typewriter or ink and submitted to the Building A. For new building or new use: 1. TOW~ OF $OUT~OLO De mrtment with the following: 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, industda! building, multiple residences and similar buildings and installations, a ce[tificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Plann/ng Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 'pre-existing' laud uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. A properly completed application and consent Io respect signed by the applicant. If a Ce~.ificate of Occupancy is denied, the Building Iuspector shall state the reasons therefor iu writing to the applicant. C. Fees 1. Certificate of Occupancy New dweUing $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accesso~3, 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 CertificateofOccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1500, Connnercial $15.00 New Construction: _ '~ _. Old or Pre-existing Building: __ __ (check one) Location of Property: q ~p 0 '-"' House No. -- Street ' Owner or Owners of Property: _ ~ ~' \ ~/~'1~.. ~(-]~--X~%0~-~ Han'det Suffolk Cbunty Tax Map No 1000, Section__ t! ~ Block_ C)q Lot ~_]_~. ' q Subdivision eem,itNo. ~Sq~Z Da,eofPennit.~/3/()~ FiledMap. Lot: Health Dept. Approval:/t~/q<g'g) 50- is-q Vnder,vriters Approval: -- Plamfing Board Approval: Request for: Temporary Certificate Final Certificate: --X Fee Submitted: $ ~ ~ ~-~. _ (check one) To.~n Hall. 53095 ivt~in Ro~d P © Box ! 179 ,,:-:!:~ .'. ".'e~k York 11971-0959 BUILDING 'DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765.9502 Telephone (631) 765. !Si CERTIFICATION u: ng Pe ?o 5'_5 Cf (Please (Please pd~t) lead [ certify that the solder used in the water supply system contains less than 2/10 of 1% Sv,'orn to before me this davo: ~.~,~ , 20 Nolary Publi~ (~l"~n~ r e ) DENISE KING Notary Public, State of New york Registration #01KI6041757 Qualified in Suffolk County My Commission Expires May 15, County BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. ARLENE BOECKMAN PO BOX 38 760 TALLWOOD LN GREENPORT, NY 11944-0038, MATTITUCK, NY 11952 Located at 760 TALLWOOD LN MATTITUCK, NY 11952 Application Number: 4019848 Certificate Number: 4019848 Section: Block: Lot: Building Permit: * BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, 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 13th January, 2009 authority having jurisdiction, and found to be in compliance therewith on the Day of ' Name QTY Rate Rating Circuits Type Additi°nalCharges as built 1989 Appliances and Accessories Air Conditioner 1 0 Above !,500 BTU Dish Washer 1 0 1.2 KW Exhaust Fan 3 0 F.H.P Fumace I 0 Oil Pump Motor I 0 I H.P Range 1 0 50 Amps wiring And Devices Fixture 39 0 incandescent Outlet 39 0 Fixture Outlet 96 0 Gen, purpose Paddle Fan 1 0 Receptacle I 0 20a-laundry Appliance Receptacle 1 0 30a Dryer Receptacle 59 0 Gen, Purpose Switch 54 0 Gert, Purpose seal Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. ARLENE BOECKMAN PO SOX 38 760 TALLWOOD LN GREENPORT, NY 11944-0038, MA'FBTUCK, NY I1952 Located at 760 TALLWOOD LN MA'I-rITUCK, NY 11952 Application Number: 4019848 Certificate Number: 4019848 Section: Block: Lot: Building Permit: * BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, 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 the13th Day of aanumr~, 2009. Name OTY Rathe Ratina Circuits 'l'vne , An as built visual inspect/on, ~f the delineated electrical installation, determined that an obvious hszard is not present and thc installation is believed to be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system, seal 2 or 2 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. AA TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION yFINAL ~; ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~_L/~ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE S'A'FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] "RE RESISTANT PENETRATION REMARKS: '~rO~- . 1 DATE /~)//,~/~7 ~>' INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INS~ULATION [ ]FRAMING / STRAPPING [ ~-]"FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRE RESIS~NT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION RE~AR~"~~ r/~ ~~'~¢~ ~ DATE INSPECTOR:J 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ]'65.1802 BUILDING DEPT. *INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~_~t ~.~ [~NA~ 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~ REMARKS :~~//i //~ INSPECTOR 76S-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND ['~NSULATION FRAMING FINAL I NSPEG'YI'O~-'~ 765-1802 BUILDING DEPT. NSPEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [/~RAMING [] FINAL RE~ARKS: ~ -' -~ ' ~ DATE INSPECTO~/~ ~,~ ~ BUILDING DEPT. INS PECTION FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [/~FRAMING [ ] FINAL REMARKS: · / DATE [ '1 FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR~_ FOUNDATION iST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING R£MARKS: [ ] INSULATION [ ] FINAL COMMENTS FIELD IDSTECTION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,,°OUTHOLD. N.Y. 11971 TEL.: 765-1803 ^pproved . 197. . Permit No. Disapproved a/c .. .... .~ .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS 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 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 Inspect6r. APPLICATION IS HEREBY MA~DE 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 f4fde,/hou~g code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp~cti~ s.~ // / ... ~xx/~./.:~ <~x.',.. ........ ~. ............. ~Si(gn2~ure of applicant, or name, if a corporation) .......... q.. I7>. ..... ~.~ ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...IT. ?v.~..~/.~.%: .~ ..... .~.-~..~.ff. 3~ .¢.~' .'2q. .'~..~. ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~.[...~)..~.q.~ ............ Plumber's License No ......................... Electrician s License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done .................................................. .... ......................... ? :-. ..................... House Number Street Hamlet County Tax Map No. 1000 Section .. l .~..Q .~. :.-q .[.15.. Block .... .~?.~.~. ......... Lot. [ .~..-. ~ ........... Subdivision ......... ' ........ .................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 1 a. Existing use and occupancy ...... V~.: %.~ e4-..x-Z. .................................................. b. Intended use and occupancy ........ .(_..'3.b:,~ .ff~. ........... ¢~ '~-[ , .t~ ...... { .i.~'V~.ge-.4~4.-~ .r.~ .............. 3'. ~re of work (check which applicable): New Building .... Addition ........ :. A~teration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) 4. Estimated Cost ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... I ....... Number of dwelling units on each floor ............... If garage, number of cars .~2_, .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of exmting' structures, if any: Front... 'q:~z ........ Rear .... i ......... Depth . ...~C~ ....... Height ....... ' ....... Number of Stories ...... ~/Z,.-~ ........................................... Dimensions of same structure with alterations or additions: Front ................. l~ear ................. Depth ...................... Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 10. Date of Purchase i i ~.' i .... (.°te~ q~ .............. Name of Former Owner . .-}..°.t4rg....~------.,..4, ~ i~-t.. ..... 11. Zone or use district in which premises are situated ......................... , .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...t~. ....................... 13. Will lot be regraded ....... ~J¢ .... , .............. Wall excess fill be removed from premmes: Yes 15. Is this property located within 1100 feet of a tidal wetland? * Yes ..... ~-~ .... · 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 fro~ property lines. Give street and block number or description according to deed, and show street names and indicate wheth, interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicm (Name of individual signing contract) above named. He is the ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statements contained in this application are true to the best of his knowledge and belief; and that ti work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ day of ~ .., 19~'~ ..... ............................... ~.'I~ ~*~' c (Signature of applic~,, A R C H I T E C T ,U R EI ~TH~AVENUE T NEV, YOi~K N~WYORKI001-0 : (212)083-0888 IA / B-Il 5outhold Building Department Mr. Victor Lassard ~ain Road Southold New York 11971 26 March 1987 Dear Mr. Lassard: ! have reviewed the framing Boeckman House in Mattituck and in my substitution of two 2x14 wood members in specified two 2xlZs and a plywood plate construction at the new Judgement I /eel that the place of the origianllv is structurally accept- able as the header which frames the garage door opening. At the second floor dormers the substitution of 2x4s as headers over the windows for the originally specified 2xSs as headers is not acceptable. Changing these headers from 2x4 to Zx6 members would, however, loading at these points. to change the size of these headers by opening of these dormer windows. Sincerely, make them adequately sized for the have directed the general contractor lowering the framed cc: Mr. Mark Boeckman BOECKMAN BUILDING CONSTRUCTION SOUTHOLD - INSULATION CAULKING PlO11440JPG P1011441 .JPG P1011442JPG P1011443JPG P1011444JPG P1011445JPG P1011446JPG P1011427JPG P1011428.JPG P1011429JPG PLUMBER CERTIFI~TION ON LEAD CO~E~ ~EFORE CERTIFI~TE OF O~UPANCY , ~ ~ To~al area of w~ndows 300 sq,ft. ~di~ibuting F ~ ~'-0"/ ~ ~,~ ~ {~ = = - ~ ,/ -' ~ , -I,l , OCCUPANCY OR I USE IS UN~WFUL ' '" WffHOUT CERTIFICATE I APPROVED D~TE: NOTIFY BUILDING OEPARTME~ AT I &, -=~ ......... ~ ~ ~,, ~'--F~ ~,?~x ,~ ~E~ & CRA~ORD ~ ROUGH FRAMIN(5 & ~UMBING lOP ~ ! =.~ ~ r ~o, f , ,, a ~ A R ' C H I T E C T U R E . ~,.~ co.s~.uc~o. MU~ , ~ ' ~ I ~ ~ ~1 [ 208 FISH AVENUE · NEW YORK ALL CONSTRUCTION SHALL ME~ f6' ,NEW YORK 10010 · (2![)' 683-9888 THE REQUIREMENTS OF THE N.Y = ~ I ~ ' _ ~IGN OR CG~S~UC~ON ~RORS, ~ ' , ' '~ ~ I ~' ' , . ~ cA ~ ~ ,/~" ~ i"-~" i I~ ~ . ~.~ ~ a ~,~ TILE F ~ II I~ II I1 i '-~ /il m ~ ~ I I ~ ~ ~ .................. 1 =~- II - ~ ~ ~- " '-- ~ - .............. II ~1 ~ x ~ ~ I I _, ~ ' ~~~ -'~ %- I lll I X X __ ~ ~:~ - $ a' ~" ~"~" <'-'~"~'-o,' ~-- '~ ~ ~ ; mi '- MEW YORK 10010 · (212) 683-9888 a'~ II I x X mm 3I.l~ ."J~'- 4"1," ~n~x/-~- Il XlZ' ~Y¢" F¢'¢~ ~m~, ¢¢¢ ~ I1 ~ II x ._~__ IL _ ~ .... Jl ~ ' II ~ x ~ II J % ''~ II . ~ ' 0 " '" ~ ~T'M ~A .~BMp.i-.I'F pbAki "PE~,.&. C~~ORD A R C H I T E C T.,U R E t208 FIFTH AVENUE, ,. NEW YORK NEW YORK 10010 · (212) 0S3-9888 :PEIX'&: 'CRAWFORD; A R C H I T E C T U R E 208 FIFTH AVENUE · NEW YORK NEW YORK 10010 * (212) 683-9888 ,~ ,,~. ! and ~anng c~pacity o~ th[' bu~hli~ site. ~hang?~.s ED th~ s/~ FF 1-4 II 'F- i I I I I ] ~LI WP. H~ V4'" ¢' I/ - 0" It II J ~r/Tm ' L .... J W¢~T ~'bCVAT I Oki rT-~ I I ~_L/ J