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Home My WebLink About34168-Z pFpt�. Town of Southold Annex 4/8/2011 C�Gy� 54375 Main Road C2 Southold,New York 11971 441 ol CERTIFICATE OF OCCUPANCY No: 34889 Date: 4/8/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1200 THERESA DR MATTITUCK,N.Y. 11952, SCTM#: 473889 Sec/Block/Lot: 115.43-14 Subdivision: Filed Map No: Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/15/2008 pursuant to which Building Permit No. 34168 dated 9/18/2008 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: interior alterations to an existing one family dwelling as applied for. The certificate is issued to Smith, Maria (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4018286 11/24/08 PLUMBERS CERTIFICATION DATED Au ed Si ature 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. 34168 Z Date SEPTEMBER 18, 2008 Permission is hereby granted to: DAVID & MARIA SMITH 1200 THERESA DRIVE MATTITUCK,NY 11952 for . INTERIOR ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1200 THERESA DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0013 Lot No. 014 pursuant to application dated SEPTEMBER 15, 2008 and approved by the Building Inspector to expire on MARCH 18, 2010 . Fee $ 200 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 c Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 1% 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. C E E B. For existing buildings (prior to April 9, 1957) non-conforming uses, or build D and "pre-existing" Ian I u 1. Accurate survey of property showing all property lines, streets,building an n jal i0wal o6topygraphic features. 2. A properly completed application and consent to inspect signed by the appli pant. If a Certificate of Occur kincy s denied, the Building Inspector shall state the reasons therefor in writing to tl e applicant. BLDG.DEPT. TOWN Of SOUTHOLD C. Fees 1. Certificate of Occupancy-New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, 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, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: ✓ (check one) , Location of Property: House No. Street- Hamlet Owner or Owners of Property: A Suffolk County Tax Map No 1000, Section i l Block Lot l Subdivision Filed Map. Lot: Permit No. � ��b"� Date of Permit. -I' ' 0 '76' Applicant: �k(;a"kc'_ ,L 5w lC1 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: S L�G �� Applicant Signature t] UPE[n[JRI@JMJRM1��[1[J�[1�[J�rJ�[.I�[P[J[.![O �[J��[J�rJ@�[1[J�[1�LPEEPLPL MLlr_@@PLr Pr 3rrJ�[J�[r3r3P 17 BY THIS CERTIFICATE OF COMPLIANCE THE 5 . 5 ._ NEW YOR=K BOARD- OF _ FIRE UNDERW.R'ITERS 5 5 BUREAU OF: E-ECTFRI ITY rj 40 -.FULTONSTREET NEW PORK, NY 1.0038 5 . CERTIFIES rtHAT 5 C _ Upon the.application of• upon.premises!awned by 5 _ , 7. - 5 5 Q C ELECTRIC :MARIA SMITH 5 POB . 518 _ Q: 1200 THERESA DR LAUREL, NY 11948-0518, • .. MATITUNY 11952 5 Lac.ated at:. Ll 1200 THERESA pR MATITUCK;:NY 11952 5 ._ _ 5, �j Application Number: - 4018286_ Certificate Number: .. 8286 Section: Block Lot; Building Permit:. 401BDC_. Residential occu ancy wherein the premises electrical system consisting of. - --Described.-as a p 5 electrical devices and wiring; described below, Located in/on the premises at: 5 57. 5 _Basement,First Floor, ej A_vlsual inspection of the premises electrica system, limited to_electrical* devices =and wiring to'the extent detailed 5 herein, w,as conducted to accordance;wtfh .the requirements . of the applicable code .and/or_ standard 5 autmul ated b the State of'New York D:e artment of State Code_ Enforcement and �Admtnistration; or other ro g y _- p 5 host Navin C5� y g.lurisdiction, and found to tie,in compliance therewith o.n the Zatn -Day of.. November, 2008. 5 -Name 5 5 — TY Rate Ratine• Cirduits Tvoe 5 AdditionalCha'rges . 5 5 . 'a§sorted up graiies on,1 st floor and - 5 ,basement _ Alarm'and emeirgency equipinent 5 5 2 0 Carbon Monoxide — 5 Sensor ;Sensor.. :: 6 0 0 5 5 -Wrrmg And-Devices - _ Smoke 5 Fixture.-- J. 0 5 _ _ 5 Fixture_ 5 4 0 Incandescent 5 Paddle Fan 1 5 - 0 5 ;Receptacle 0 5 -- .20a-laundry.- , ,. _ --- . - :.A wiao�ge - 5 Receptacie 0 - Receptacle . 1 0 30a _GFC SvAtch 0 5 _ l en Orpose =5 Seas 5 5 of t 5 _ 5 5 5 SThis' _ _ 5 s certificate may�not be altered in:any way and is validated only by-the presence of a raised seal.at the location indicated. rj 5 5 E OWEE �LPR51:21R, E�E�E�E.TE�EIEPE TEPE.IRPLFL3r PE.PCPEKE.I�E PE PEPE�E�E TEPEIOE I�EIOE.TCPEPEPE.I�EPEIE.�E.TEPETE�E�E.TE I7C.I7E.I7EPEPE�E.T� °❑ N\-QF so.ryo Town Hall Annex �O l� M �1).7b5-1802 54375 Main Road � � � � �' � ' F (63[).ne({37+fi�-9S0� ' P.O.Box 1179 G . Southold,New York 1 197 1-0959 ' ��C ��► a MAR 29 2011 BUILDING DEPAR NT . B O DEFT. TpW�OF SOUTHOLD . . TOWN OF SOUTH CERTIFICATION Date: l— I l Building Permit No. Owner: _M C Sw, i (Please print) Plumber: (Please print) a I certify that the solder used in the water supply system contains less.than 2'/10 0£1%0; lead. inmbers g ignature) Sworn, to before me this day of �4a 20 (1 Notary Public, [L Count Y Notary Public KStatte of New York No.01`f06190696 Qualified in Suffolk County Commission Expires lulu 28,20 j,1-- ho��pf SOUryo�o comm,Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [`INSULATION XFRAMINGTS_ffl@fflWM [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION N. REMARKS: ' L a DATE ! �l l ® � INSPECTOR \i rsF SO(/l�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST P<ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: N '? x 7fvll DATE ��.�f �� ® � INSPECTOR ' OF SOUlyolo �yCOUNTN' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: �"4_ 4a&4v,,"_ DATE J ° INSPECTOR SOcou UTyO�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING P< FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 1 t,;:z- 0 �p DATE 1 r�° INSPECTOR �"`� pF SO!/r�o�o ,3 • i� �'Y�OUHiV,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING KFINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: c DATE � � INSPECTOR ' 341 �OF so hod °�o ia_ cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Jr / r e DATE 03 09` ll INSPECTOR i FIELD INS t ECTION REPORT DATE COMMENTS b FOUNDATION (IST) ------------- ----------------------- , \\\ FOUNDATION (ZND) � i z I � o Cy ROUGH FRAMING& r\ PLUMBING i INSULATION PER N. Y • . r. y STATE ENERGY CODE 07 � a P�6, � I ' EINAL � � 1 i O i i ol o o ADDITIONAL eOMMENTS j 0a A C=7 i x i y i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. JN16 Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined "I ` ,200� Q Storm-Water Assessment Form p y� SEP 15 G 2M8 u Contact: Approved 0 ,2dDb Mail to: Disapproved a/c bit-DUG. DEPT. T WN F SQI_ITHOLDlJ —� 7 _ VJ90 \ Phone: Expiration ,20 1 - �-I b 6^()q —7qc�Lo VJ\ Building Inspector APPLICATION FOR BUILDING PERMIT j Date 9/ `S , 2009 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways.., 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property,have been enacted in the interim,the Building Inspector may authorize;,in-Writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE 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 code,housing code, and regulations, and to admit authorized inspectors on premises and ' i din for necessary inspections. MOL ' WITH ALL CODES F NEW YORK STATE & TOWN C U C , SA(o4 VWK-- UNDER,"TE_RSCERMICATE AS REQUIRED AND CONDITIONS hy� ignature of applicant or name,if a corporation) 11W1OLD TOWN ZBA — SOMOLD TOWN PLANNING BOARD, (Mailing address of applicant) pp SopitOL,,TOWN T ggTE% State whether applicant is owner, lessee, agent, are itec engin neral contractor, electrician, plumber or builder N.Y.S.DEC - c'Dw In Name of owner of premises n �I^10avicl S j/1�,`-4-Ir� ASP VED AS �OTEfl (As on the tax roll or t If applicant is a corporation, signature of duly authorized officer F AQ01 a BY: y P11 NOTIFY BUILDING DEPARTMENT AT (Name and title of corporat 765-1802 8 AM TO 4 PM FOR THE USE IS UNLAWFULFOLLOWING INSPECTIONS: Builders License No. 1. FOUNDATION - TWO REQUIRED I!rPlumbers License No. WITHOU ATE FOR POURED CONCRETE Electricians License No. UGH - FRA I &`PLUh4BING 3�sa . � l Il�an�ry J 3. I' T Other Trade's License No. D( ` 4. AC- RUCTION MUST BE COMPLETE FOR C.O. 1. Location.otlAnd on which PLOPosed work will be d e: I ( ALL C NSTRUCTION SHALL MEET THE 00 I I'l v�SG� �'`V tr CLTC l'�1AGEOPON NTS OF THE CODES OF NEW House Number Street R CONSTRUCTION ERRORS. 2 County Tax Map No. 1000 Section Block*. .,. ,. ,:, Lot Subdivision Filed Map No::: Lot • • ,/ 2. State existing use and occupancy of premise and intended use and occupancy of proposed construction: a. Existing use and occupancy 0A e_1 b. Intended use and occupancy SGLVyL � I--ct 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Numb?er of dw ' ling"units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 1� � ►� 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear. Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former 0wner�[7�� -1�z�✓�CzS� � �� 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re-graded? YES NO /Will excess fill be removed from premises? YES NO 14. Names of Owner of premises��CAd l(x%��dC&JAddress�1�f(� Phone No.(031'� -%&so Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetl_and?;-jYES+ -NQ i'A * IF YES, D.E.C. PERMITS MAY BE REQUIRED Et ,.;V If,`. � yr t 3sr �-1 . ,_ .• f . •_ ... F. »,�+tijil +ty^,, 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10,feet or.,below;;must provide topographical data on survey. 18. Are there any covenants and restrictions with respecf to this property?u*YES m NO_Z_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY Ou �G� ) M ar t a yw� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, \ l ! (S)He is the -- -` ' ` • ' (Contractor,Agent, Corpbtgfq,1O f`icez etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before met ' I S day of 203��' VIIC TOTH •Notary NIN C to of New York Notary Public No.01Y06190696 Signature of Applicant Qualified in Suffolk County Commission Expires July 28,2 f f (OD Town of Southold Erosion, Sedimentation & Storm-Water Run-off AS SESSMENT FORM PROPERTY LOCATION: s.C.T.M.s/: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A f STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLANT District section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOBK, --- --- ----------------------------- ----------------- Item Number, (NOTE: A Check Mark(4)for each Question Is Required for a Complete Application) Yes No `� Will this Project Retain All Storm-Water Run-Off Generated by a Two(2")Inch Rainfall on Site? � ` (This item will include all run-off created by site clearing and/or construction activities as well as all Slte — Improvements and the permanent creation of impervious surfaces.) ^� e 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location? ElThis Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! — 3 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural ❑ Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? — 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of I Five Thousand(5,000)Square Feet of Ground Surface? — • 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred(100')feel of a Wetland or Beach? F] 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to One Hundred (100')of Horizontal Distance? _ 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off F into and/or in the direction of a Town right-of-way? — 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of ❑ any Item Within the Town Right-of-Way or Road Shoulder Area? — (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse? ❑ — NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! ————————————————————————————————————————————— EXEMPTIOW Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Required! ------------------------------------------ STATE Or NEW YORK, COUNTY O)' ..................SS That I. .............. ............... ..................... being duly sworn,deposes and says that lie/she rs the applicant for Permit, (Name of individual signing Document) Andthat he/she is'the .......................... - .............................................................................................................. (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of die Owner of Owner's,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be pea-fonned in Elie manner set forth in the application filed herewith. Sworn to before nie this; ............................... . ........ day of..... ... ............................... ,206 Notary Public: ...... ......... ............................................... CL ............................ ........................ VICKI TOTH (Signature of Applicant) FORM - 06/07 No.01 060 696 Commission Expi Suffolk County 2 , U it TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE D I ST. SUB. LOT ran.Ro r t r r-5, . FORMER OWNER N E ACR. vomonov).5 ' 4 ftko - 4J9 lksey-+ ze-13, ic w TYPE OF BUILDING J9. C?G Iq No W.T hr I kES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value' LAND IMP. TOTAL DATE REMARKS -2. -e e.) Z,-q-z Z// Ij o e., o �G� 0 DING Cpl',l D I.T &NL/7 3).A -77 —7 7; 00 NEW/g 'a POI&Al- 7d? B P ,2 0 R2 2. 0 r) e S t 0 o FARM Acre Value Per Nalue. - 4 14:5,5 ni /, v fo 'rr6iio-4 ors, no ell. Acrqlv ,/711, cu�� p- o d s c, /62 0 36WO abn(cq rourd Pool vv) feu Tillable 2 p !�W pv'f)hai At/ Tillable 3 U A(oodland 3wompland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD �4 9 - 7M -louse-Plot DEPTH c- e-0 BULKHEAD dotal DOCK rmy ■■■■■■ ■■■■■■■■■■■■■■■■■■■ I E■ME■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■ r� ■OMEN ■ ■■■!lr�J■■■■■■■■■■■■■■ t9we-dation Booment •• Ext. ails Fire PI i tQQC�C�]i�Q.- ',-.` - eeeeee ee■ �, oQQ� . -,• =• -- eeeee """""'•.eee _ - eeeeeee eee eeeeee eeeeeee: Ira QQ slims ommo MEN: .• eeeeeeeeeeeeens t� ve®�r� - eeeeee® e�`ee®ee ��iies® � eeeeeeee eee ; r I � f . i i I 1 I NEES �SIENESE SEMMES SUMMUM® - - MMEM MOMM NMI g�FEat,� Southold Town Building Department Q� 54375 Main Road Permit#: 34168 in Southold,New York 11971 . Permit Date: 9/18/2008 (631)765-1802 Expiration Date: 3/18/2010 Parcel ID: 115.-13-14 BUILDING PERMIT RENEWAL LETTER Dated: 2/17/2011 Applicant: DAVID &MARIA SMITH Location: 1200 THERESA DR MATTITUCK,N.Y. 11952 Work Description: RESIDENTIAL ALTERATION INTERIOR ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR. A FEE OF$200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: MARIA&DAVID SMITH Address: 1200 THERESA DRIVE MATTITUCK,N.Y. 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. pF SOUjyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Q Southold,New York 11971-0959 coUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 18, 2011 Maria Smith 1200 Theresa Drive Mattituck, NY 11952 TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) �1 Electrical Underwriters Certificate. A fee of$25.00. l Final Health Department Approval. 1 Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT : 34168-Z interior alterations