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Home My WebLink About27250-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27633 Date: 04/18/01 THIS CERTIFIES that the building ELECTRICAL SERVICE Location of Property: 595 BAYER RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 139 Block 3 Lot 15 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 2001 pursuant to which Building Permit No. 27250-Z dated APRIL 10, 2001 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 INSTALLATION OF A NEW ELECTRICAL SERVICE AS APPLIED FOR. · ~he certificate is issued to WALTER ARMBRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF }~F~-LTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N554797 03/30/01 pLDMBERS CERTIFICATION DATED N/A Rev. 1/81 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. 27250 Z Date APRIL 10, 2001 Permission is hereby granted to: WALTER ARMBRUST 595 BAYER RD MATTITUCK,NY 11952 for : INSTALLATION OF NEW ELECTRICAL SERVICE AS APPLIED FOR. at premises located at 595 County Tax Map No. 473889 Section 139 pursuant to application dated MARCH Building Inspector. BAYER RD MATTITUCK Block 0003 Lot No. 015 21, 2001 and approved by the Fee $ 75.00 //ut h~ri zed Signature Rev. 2/zg/gs ORIGINAL Form NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENTToWN HALL 765-1802 ............. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 1. 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 Buildin~ - $100.00 3. Copy of Certificate' of Oc~6pancy - 4. Updated Certificate of Ocdupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . ,~J,~/,~,'. ......................... New Construction ......... Old Or Pre-existing Building ............... Location of Property. ] i .... .~.?.C ............... ~.~. ~.~. ~..~.i] i ] ........ ] .~?.~.~./. ~.~! .~. ~ ...... House No. Street Hamlet Onwer or Owners of Property .... .~.~. ~.d.'~.~ .~.d,~..~.~.~'.¢/.~.. ................................. County Tax Map No 1000, Section..!.-~..l ....... Block..?..-- .......... Lot ...................... Subdivision ............... Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant .... Health Dept. Approval .......................... Underwriters Approval~.'.~..~.~. 2~.~ .......... Planning Board Approval ........................ / Request for: Temporary Certificate ....... Final Certicate.~..... .... ~ ~ Fee Submitted: $ ......................... ~. ~ ................................................ d~ ~3 APPLICANT THE 'NEW YORK BOARD OF FIRE/UNDERWRITERS 1 10OO3~3 BUREAU OF ELECTRICI. TY,~ . ' ~- 40 FULTON STREET, NEW YORK, NY 10038' Date ~r{CH 30,2~1 Applicaaon No. on filo "' ' '" ~' :~' ~ N 554797 THIS CERTIFIES THAT only the e~c~al equ~msnt ~ desc~bed be~w and in~oduced by the applicant named on the above applica~on number ~ in the premises of ~qS WALTER ARMBRUSE, 595 BAYER AVENUE, Y~ATTITUK, NY in the following location; [] Basement [] 1st FL [] 2nd FL OUT was examined on ~RCH 23,2001 FIXTURE RECEPTACLESI SWITCHES OUTLETS Section Block and found to be in compliance with the National Electrical Code.. DRYERS FURNACE MOTORS AMT. ~.W. OIL H.P. GAS H.P. SERVICE DISCONNECT AMT. AMP. IYPE 1 100 CE OTHER APPARATUS: FIXTURES FUTURE APPLIANCE FEEDERS AMT. NO. A.W.G. to. OFI s dET~.REX ;QUIP. 1 e 2w ~ ~ 3w 3; 3w 3; 4w NO. OFpE~RC~COND. RANGES ,MT. K.W. SPECIAL EEC'PT. AMT. AMP. 1 20 R TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AMPS. TRANS. NO. OF FEET V I C AW, G, OFCC. COND, Lot DIMMERS AMr. WATTS E NO. OF NEUTRALS O~= NEUTRAL GOOD~LE ELECTRIC 7355 MAIN ROAD MATTITUCK, NY, 11952 LIC~#783 E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Map of Lots 37 and 38 "Map of Mattituck Heights, Subdivision Map of Property of Gustav Bayer" Filed: March 25, 1927, Map Number 192 Situated at Mattituck Town of Southold, Suffolk County, New York District 1000 Section 139 Block 3 Lot 15 Certified To: William C. Cooper Eileen G. Cooper Commonwealth Land Title Insurance Compa~ty HSBC Bank ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR 1700 Hortons Lane Southold, New York 11971 (63 l)-765-6242 SURVEYED: February t, 2001 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 Examined ~f~O' ,20 O?'~ Approved r-rkO ,20 O{ Disapproved a/c 'BUILDiNG pERMIT APPLICATION CHECKLIST: Do you have or need thc following, bcf6rk applying Board of Health 3 sets 6f Building Plans Survey Check Sep~ti~ Fbnn N.Y.S.D.E.C. Trustees PERMITNO. ~ ~)r'~S 0 '~_ B2n*g~s~ector APPLICATION FOR BUILDING PERMIT Date c~/:~, ] ,20 OI INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets ~fplans, accnr, ate plot plan to sale. 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 ofp, roperty must be drawn on the diagram which is part of this application. c. The work covered by this applicafion'ma~ not be commenced before issuance of Buiiding 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS I~REBY 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 c0del ,housing co'de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ (S~gnature of applicant or name, ifa corporation) ~ (Mailih~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as on. the tax roll or lhtest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. 'Location of land on which proposed wgrk' will be done: House Number StrUt Hamlet County Tax Map No. 1000 Sect~o.n. j,~c], Block '~.~ '~ JD~ Lot Subdivision f]4r~d;-~Jt-_.k ~'/~,~ ~ Filed Map No.~ ~t 2. State exist~g use ~d occup~cy of premises ~d intended us~ ~d occup~cy of~ropo~ed com~ction: a. Existinguse~doccup~cy ~r~'V~ ~'~t( 3. Na~e of work (check whch a~plicable): New B~lding , Addition Mteration Repair Removal[ , Demolition ~ / 4. Est~ated Cost 4~300 [ Fee I (to be p~d on filing this application) 5. ~ dwelling, nmber of dwellingli~its ] Nmber of dwell~g milts on each floor If g~age, nmber of c~s 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 . Nttmber of Stories D ~ I., 1' "n or ddition' imensions oI same structure wire a terano s a s. Front Rear Dep~ .Hfight ' Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size of lot: Frotu · i Rear .Depth 11. Zone or use district in which pr~mises are situated 12. Does proposed construction vioiate any zoning law; ordinance or regulation: A/fi,) 13. Will lot be re-graded ~J 0/, Will excess fill be removed from premises: YES 14. NamesofOwnerofpremises tbrl ddress. Name of Architect I / Address Name of Contractor I · Address 15. Is this property within 300 feet · 1~ YES, SOUTHOIi 16. Provide survey, indicate scope 17. If elevation at any point, on prol: STATE OF NEW YORK) -(Name of individflal signing cont~ NO Phone No. ~ Phone No Phone No. ~fa tidal wetland? *YES NO J~J/~ ) TOWN TRUSTEES PERMITS MAY BE REQUIRED (S)He is the fproject, to scale, with distances to property lines. erty is at 10 feet or below, must provide topographical data on survey. being duly sworn, deposes and says that (s)he is the applicant act) above named, (Contr:actor, Agent, Corporate Officer, etc.) of smd owner or owners, and IS duly attthonzed to perform or have performed the smd work and to make and file th~s apphcatxo , that all statements contained in this apl~lieation are tree to the best of his knowledge and belief', and that the work will be performed in the manner set forth in th~ application filed therewith. Swom to before me this~ , ~, c:>~I dayof R4 t .. [ 20o / Notary l~blic · Signature of Applicant N~n~/pul~o. ~ ol Ne~ Yorl~ . No. Qu~lle¢l In ~flo~, L~?'