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Home My WebLink About25562-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26855 Date: 12/28/99 THIS CERTIFIES that the building ADDITION Location of Property: 360 SUNSET AVE MATTITUCK (HOUSE NO.} (STREET) (HAMLET} County Tax Map No. 473889 Section 115 Block 3 Lot 5 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1998 pursuant to which Building Permit No. 25562-Z dated MARCH 4, 1999 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RUSSELL CHARLES NINE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 509330 12/10/99 PLUMBERS CERTIFICATION DATED 12/23/99 TANDY PLUMBING & HEATING //~ i~ng InSpector 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. 25562 Z Date MARCH 4t 1999 Permission is hereby granted to: RUSSELL NINE 360 SUNSET AVENUE MATTITUCKrNY 11952 for : CONSTRUCTION OF A BLOCK FOUNDATION (FOUNDATION ONLY) ADDITION. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated FEBRUARY Building Inspector. 360 SUNSET AVE MATTITUCK Block 0003 Lot No. 005 19 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the build~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lin( streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for~ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain~ less than 2/10 of 1% lead. 5. Commercial building, inddstrial building, multiple residences and similar buil, 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, !957~) non-conforming uses, or buildings Vpre-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 applic~ If a Certificate of ~Occupancy is denied, the Building Inspector shall state th~ reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.0~ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Qccupancy on Pre-existing Buildinz - $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....__..~ ~ ....... Location of Property .............................................................. House No. Street Hamlet On, er or O, ers of ......................................... County Tax Map No t~, Section...I ~ ' ........... Block ................ Lot ................ Subdivision . Filed Map ....... Lot ........ . ~,'~,~'...:.~ g... · ??.~..Applicant.~.~..~?.~.~?..7- .~..J~ Permit mo ................ Date Of Permit.~..~.~.~?. ~.~.1 ...... Health Dept. Approval .......................... Underwriters mpproval.//..~?..I.??- ....... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certtcate ........... Fee Submitted: $ ............................. ~~c2~ C '~~. -z . . ......... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Q g5 ~ ~ ~ Owner'S{ C)~ ~-~_ (please print) Plumbe~ ~ ~a% ~-%~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' s Sworn to before me this 19f~. ' / ' Notary ~bl[c Notary Public,~~County ~ NOta~ Pub{ic, Stale of New %'~r~ No. 52-4642873 Oua{}fied in Suffolk Count~ ~ommiss}on Expires Sspt 30, ~oO~ APP~IOVED AS NOTED NOTIFY BUlL,DING OEPAI~OI'~ENT/~T 785,.180~ S AM TO 4 ~ FOR THE "1 fOUN~ATIO# - 'PWO REOUIREQ · ~. ROUGH - ~ · PL~. BING 4. FINAl. MUS~'. BE( ALL MEET REQUIREMENTS THE NY. CONSTRUCTIO & ENERGY NOT ~IS~LE FO~ *tOh ERPO~~' I;:S?EC' iON IDATION (1st) NDATION (2nd) ]GH FRAME & .PLUMBING SULATION PER N. Y. STATE ENERQY CODE .o 'FINAL ir.:' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ,~~"~/~ 'NSPECTOR.~ ~~ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~JLATION [ ~NAL [ ] FIREPLACE & CHIMNEY REMARKS: ~m/"~ 765-1802 1 BUILDING DEPT. NSPEI TION [ ~/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~~ ~--~-~ INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] F/~JNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~ATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY~. INSPECTOR INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY .~.~.~s: ~0 4~-----~.-x~' [ ,~ROUGH PLBG. INSULATION FINAL INSPECTOR THE NEW YORK BOARD OF F,!RE'UNDERWRITERS 1 1~,5~,46 BUREAU OF ELECTRIC~ITY ~-- , · ,. 40 FULTON STREET, NEW YORK~NY~OO38 bate DECE~ER 10, i999 Application No. on file 18~71099{99 ' "' N 509330 THIS CERTIFIES THAT only the electrical equipment as flesc~befl b~low and introduced by the applicant nam~ o.~ the ~bb~e ~Hcafion number is in the premises of RU8SN~ ~. ~I~, 360 8H~SB~ ~., ~0~ 3, ~I~H~K,~ in the following loca~on; ~ Basement ~ 1st FL ~ 2nd Fl. , Section Block ~t w~ examined on DgUB~gR ~6 ~ ~999 and found to be in comPlianee wah the National Elec~ical Code.. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANE FIXTURE SWITCHES OUTLETS FLUORESCENT OTHER 3 11 7 1 2 DRYERS FURNACE MOTORS SPECIAL REC'PT. UN!'~.HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT PADDLg. F/~N-i PAN~LBOARDS: 1-1~ CIR. G.F.C.I:-6 S E NO OF CC COND pER ¢ NO. OF N E,uIr RA L$ RAYNOR, FRANK L. P.O. BOX 1065 1800 HARBOR LANE CUTCHOGUE, , NY, 11935 GENERAL MANAGER This certificate must not be altered In any manner; return to the office of the Board if incot~egt. Ihspect0rs'may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU. ST, NOT, BE, ALTERED IN ANY MANNER. FOPdq NO. I TONN OF SOUTHOLD BUILDING DEPARTNENT TOI~N HALL SOUTHOLD, I~.Y. 11971 TEL: 765-1802 Disapproved a/c ....... BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .................. ItAIL TO: .................... 19~.~. BLDG, DEPT. TOWN o~ SOUT~OL~ a. This application mmt be ctmpletely filled in by type~iter or in ink and sut~,itted to the lhilding Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. '. b. Plot plan shoving location of lot and o.f buildings on prmdses, relationship to adjoining prmfises or public streets or areas, and giving a ~etailed description of layer of property mast be dra~n on the diagram ~ich is parc of this application. ~ c. The ~onk co~ered by this application my not be cc~meaced before issuance of Buildlng Permit. d. UlXm approval of this application, the l~ildlng Inspector vfill issue a l~uildlng Pemit to the applicant. Such permit shall be kept on the lm~nisas available for inspection throngba~t tt~ ~ork. e. Ro building shall be occupied or used ia ~aole or in part for any purpose ~hatever tmtil a Certxflcate o Occupancy shall ha~e been granted by the Bailding Inspector. APPLICATIE~I IS l~l~mY ~ to the Building Delmrtment for the issuance of a l~ilding Pemit perstmnt to the l~iltling Zane Ordimmce of the To~ of ~a~thold, ~ffolk County, ~ York, and other applicable La~s, Ordinaries or l~-~nflatlees, for the construction of Imildings, edditions or alterations, or for r~val or demolition, as herein deacribed. Toe applicant a~°es to c~ply ~rith all appllcable la~, ordinances, building coda, housing code, and regalatians, and to at. it authorized inspectors on premises and in building for necessary inspections. ....... (Signature of applicant, or name, if a corporation) ca.a .r.z. z~..e. ~Zc .... .~..~..t~.?.J:.~. ............ (l~ailing ~ldress of applicant) State ~hether applicant is o~er, lessee, ~ent, architect, engineer,' ~aneral contractor, electrician, plt~ber or builder. ~ of o~ of ~se~ ...~...~.~¢~..... . · .. ..~..~. .. ... ----~].,--...~--- ............................................. (~ ~ ~ t~ mi1 or late~t d~) If ~lic~t is a ~rati~, siam of ~ly mt~ri~ offiar. (Nane and title of corporate officer) Plu~ere License l/o ......... Electricians License No ....... Other Trade's License No. ... ............... . ~ N~ber Street CounDJ Tax Hap No. I000 Section I I ~ Block ~ Lot Subdivision ................ Piled llap No .......... LOt ............... (t~e) 9. state existing use aaa acemmey of premises and intenae~ use and b. Inteeded use and occupancy ................. ~ ............. from propert~ lines. Give stt~aet and ~hether interior or corner lot. 3. ~ature of work (check ~ddch sppJicable): ~ t~ilding .......... Mdition .......... Alteratt~oa .......... (to ~ ~id ~ [tli~ this a~li~ti~) I[ ~rage, ~r of ~rs .... ~ .... ~.. .......................... 6. If ~imss, ~rcial or ~ ~, s~i~ ~ture ~ ~tent o[ ea~ ~ of ~ .................. alterati~s or ~itions: ~nt ...~.q..& .... ~ar ..~..~ ..... ~pth ..... ~ ........... mi~t .................... ~r of $tor~es .... ~ ......... 8. Ditmnsi~ off entire ~ ~st~ti~: ~t ................ ~ar ........ ~p~ ......... t~i~ ..................... ~ ~r of Stories ..................... I0. ~te of B~rdm~ .......... I I. ~ or u~ district in ~i~ pr~i~s ~ of ~dt~t ............. } ...................... ~resa .............................. H~ ~ .............. o ...] .... ............. ~ PLOT DIAGRAH · qFA'IE OF hl~ Y0t~, (llll~l'/ (F ....................... .......................................................... I~i~ dul.y ~n~, ~s a~l ~ya that he is tim a~l.i~t (~ of i~ivi~l si~iog c~traet) 1~ is the .................................................................................................. . (~tractor, sgent,] Or.rate officer, etc.) of ~xd~r or ~rs, ~ is&~ly ~thorlr~ to ~rfomor h~ ~rfo~ fie ~id~ tom~ ~ file this a~heati~; that a]ll atat~nt8 e~t ~{~ in this a~].ieati~ are t~ to ~e ~t of that the ~rk will ~ ~rfo~ in tl~: ~m~r ~t forth in ~e a~lleati~ film ..... .... ELIZABETH A ST NOTARY PUBLIC, State No. 018T6008173 Term Exp resdune ~THI8 of NewYoltl (Signature of Appti.cant) PLUMBER CERTI£ICATION ON LEAD CONTENT £EFORE CERTIIZlCA?£ OF OCCUPANCY SOLDER U.S~D 1~~ Vt&~ TER PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.G(K) N.Y. STATE BUILDING CODE. PROVIDE SMOKE-DETECTING ALARM DEVICES AS TOPAR~ 721,! N.~S BUILDING CODE, PLUMBING ALL pI..UMBII',IG WA$'J'E ~ WATER LINES NEED TESTING BEt O}'~ COVERING J Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 December 13, 1999 Russell Nine P.O. Box 1106 Mattituck, NY 11952 RE: 360 Sunset Ave., Mattituck. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25562-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT.