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Home My WebLink About3801-zF~M NO. 4 TOM/N OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~.{~.....~.[~.~D.~,.~..~ ................ ........... Street M~j~l~.i.t.~k....]~.~.~.tl~k No ....................... Lot No .~..~. ~..~...~.~,~.,$.B~...~..I....~..?..~...~. ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... i ........................ .~f~ ....... .t9 ....... , 19....~.~. pursuant to which Building Permit No ...... .,~,.~.,0.~.. dated ............... : ............. .~...~.~..¢~.,.,i.~.~...., ] 9,....~...8, 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 ........ ....... ~t. va.te:..o~e...~.~At.~..~wetl.~.n~J ................................................................................... The certificate is issued to ..J~.~;~t~P.2~.,~s.tJ~te~...:[~.c...,,[~%~ ............................................... (owner, lessee or tenant) of the aforesa,id building. ~D.Approval July 17, 1968 by R~ Villa House ~ 300 Blossom ~end FOP~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3801 Z Permission is hereby granted to: ....... z%&l~t,~..~....l~,~n~k..a .......... I~sggl~li~iE ....... I~.,1~. ............................... at premises located at ..~.....~ ....... Jll~trtlJ~J~li~Jl;...~t~l ......................................................... ................................. Jto~m...l~eJ~4 ............ l~t,~t~l~ ................................................................ pursuant to application dated ..................... J~ ............ $~ .............. , 1~....., and approved by the Building Inspector. Fee $'""'~O~J~ ...... Building Inspector J 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 ROSLAK ELECTRIC P.O. BOX 164 CUTCHOGUE, NY 11935-2453, DAVID SCHEER 300 BLOSSOM BEND MATTITUCK, NY 11952 Located at 300 BLOSSOM BEND MATTITUCK, NY 11952 Application Number: 2088330 Certificate Number: 2088330 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, Outside, 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 24th Day of February, 2006. Name QTY Rate Ratin~ Circuit Type Service I Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: 1 seal 1 of 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. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date July 17, 1968 Bldg. Permit No. S0-389 TO WHOM at IT MAY CONCERN: The sewage disposal facilities for a structure located 2~0 N of New Suffolk Ave. E/S Blossom ~end (Give deed location) M~ttituck, Southold have been inspected by this department and found to be satisfactory'. Owner Mattituck Estates~ Inc. Builder- E. G. Abitz 'I~WN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved O/C / (Budding lnsp~/~ Application No...,~..~'T....~...~( .......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o, This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 application, 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the I~rogress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall hove been gro~ted by the Building Inspector. 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, os herein described. The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations. ~ Abitz (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. Name of owner of premises ..~...~.~.t.,..~.~.~..~.~...e.~ ...................................................................................................................... If opplicont is a corporote, signoture'of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No.: .~Mfk~.t'l ~CL.~.~f,&~:lt. ot No.: ..~.J~. ................ Street and Number .....~.~...o..b.'.~.q.m.....~...e..~..~ .......... i ......................................................................................................... Municipality 2. State existihg use and occupancy of premises a6d intended use and occupancy of proposed construction: .' i o. Existing use and occupancy ............... ~L~t~...]:.~.~l~. ......................................................................................... b. Intended use and occupancy ............ .~lO,~..ii~'.*d,l~?~....l~lff~],~ ...................................................................... 3. Nature of work (check which applicable): New Building .,,~;~ ......... Addition .................. Alteration .................. Repair ................... Removal ..........~ ....... Demolition. ................. Other Work (Describe) ........................................ 4. Estimated Cost .....2(~f.000 ........... ~! .......................... :.Fee .~O,P~O ............................................................................. / (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... e~e ............. Number of dwelling 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 ............................ 7. Dimensions of existing structureS, if any: Front ............................ Rear ................................ Depth .................... Height ............... : ........ Number of Stories ' of same structure with a.lterations or 'additions: Front .................................... Rear t'""~' Dimensions D~mens' 'ons of ent're new construct' :on Front''~'' . . Rear Depth Depth ................................ H~ight ..................... l,~,.....Number of Stories ................................ Height .................... Number of Stories ..... ~.***'01'~ .................................................................................................. ' Depth ................................ 9. Size of lot: Front ............................ Rear ..... ~ ............ , ................ 10. Dote of Purchase ...................................... ............... ~..Name of Former Owner ........................................................ ! 1. Zone. or use district in which premi.ses ore'situated ,..I.~.~..~$~l,t, .............................................................................. 12. Does proposed construction violate any zbn~ing law, Ordinance or regulation? ........ ,'0.~' .............................................. 13. Name of Owner of premises ~t,~,.~%Cr~:...,]]8.,~&,l~el~Address ....... ~a'l;t;$'~l,t~ ............... Phone No ..................... Name of Architect .............................. ......: ................. Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and d.st~nctly all budd[~Qs,.,whether ex~stmg or proposed, and indicate all set-back dimensions from property nes Give street and block number or descr pi' on according to deed, and show street names and indicate whether inter~or or corner lot. ,/, / STATE OF NEW YORK, ,/i t S S COUNTY OF ...~-~¢~-9~1~ ...... ./....~, ' ',~, ............................... ~,d~. ' ' :j'''! (Name of above named. He is the .,,:......~4...~ of said owner or owners, and is this application; thqf 911 stotem~ that the work will b~ p~rformed Sworn to before me thi~ Notary Publk .... ~ ................... .,.....be ng duly sworn, deposes and soys th.at he is the applicant lication) ' ~' e~-...ecm.~.~ct~r ............................................................................................. (Contractor, agent, corporate officer, etc.) ~orized to pe'rform or have performed the said work and to re.aka and file in this'application are true to~Lhe best of his know[edge and belief; and ~ner set fort,h in the application,f4'ffe~J~herewith. ' ............. y .............................. ..................... Ne, 52 3233120 Suffolk County ~erl, FxpJres ~arc~ 30 19~_~