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Home My WebLink About25257-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-262S0 Date: 02/01/99 THIS CERTIFIES that the building ADDITION Location of Property: 430 ILLINOIS AVE. (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 113 Block 11 MATTITUCK (m~LET) Lot 4.1 Subdivision Filed Map NO. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1998 pursuant to which Building Permit No. 25257-Z dated OCTOBER 20, 1998 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICK PERRITT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-477764 01/22/99 PLUMBERS CERTIFICATION DATED 01/28/99 PATRICK PERRITT Rev. 1/81 · ~//~ i~ng Inspector 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. 25257 Z Date OCTOBER 20, 1998 Permission is hereby granted to: PATRICK PERRITT AS TRUSTEE PO BOX 980 MATTITUCK~NY 11952 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 430 County Tax Map No. 473889 Section 113 pursuant to application dated AUGUST Building Inspector. ILLINOIS AVE. MATTITUCK Block 0011 Lot No. 004.001 31 1998 and approved by the Fee $ 75.00 /Bullding Inspec~r ORIGINAL Rev. 2/19/98 BLDG. D ~;PT. m ,~Olui,"JuSt be filled in by t~ewriter OR ink and submitted to the building ~apector with the following: for new building or new use: 1. Final su~ey 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 fo~) . 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of 11 lead. 5. C~ercial build.g, ~dustrial build.g, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buildi~. 6. S~b~t ~la~g Board ~prov~ off co~leted site plan requir~ents. For ~ist~g build~gs (prior to ~r~ 9, 1957) non-confo~g uses, or build.cs and '3pr~ist~g" land uses: 1. Accurate su~ey of property sho~g ~ property lines, streets, budding and unusu~ ~Cural or topo~raphic features. 2. A properly co~leted application ~d a consent to ~spect si~ed by the applicant. If a Certificate of Occup~cy is denied, the Buildi~ Inspector shall state the reasons therefor in ~iting to the applicant. · I. Certificate of Occupancy - l~ew dwelling $9-5.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, SwJmmfl~g pool $25.00, Accessory building $25.00, Additions to accessory building $15.00. Businesses $50.00. 2~ Certifi~te of Occup~cy on Pre-~ist~g Bundle - $100.00 3. Copy of Certificate of Occupancy - 4, Updated Ce~cificate of Occupancy - $50.00 5. T~po~a~ Certificate of Occupancy '- Rem~dential $15.00, Co~ercial $15.00 Date ... ...................................... ~ Comst~ct~on ........... Old Or pre-~ist~ Building...: ......... ...... ...... ..... m~ion of P~operty ....... ~ ....... House Ho. ~tteet , za,:,i < t ............... ~r or O~ers of Property ............ ' ................ ~ncy T~ ~P NO 1000, Section...~- .Block ............. Lot ..................... ,~a~v~,~o. ..... ~.g&4~-~- .............. m,~ ~p.. f .... ~o, ...... ~: ......... i~g ................... Date mlth Dept. Approval .......................... Uude~iters Approval ......................... .awing Board Approval ........................ ~queet for: T~porary Certificate ........... Final Certicate ........... ~e Sub. tied: ........................ , ~PLIC~ THE NEW YORK BOARD OF FIRE UNDERWRITERS r'-' 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 22,1999 .44,Plicatio, No. on~fe 17399798/98 N 477764 THIS CERTIFIES THAT ohly the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of HR PATRICK PERRITT, 430 ILLINIOS AVENUE, HATTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. Section Block Lot was examiaed on JANUARY 15,1999 and found to be in compliance with the National Electrical Code. OUTLETS PTA S--ITCHE~, INCANDESCENT FLUORESCENT OTHER 3 2 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ~PECIAL REC'PT. AMT, K.W, OIL H,P. GAS H.P, AMT. NO. A.W.G. AMT. AMP. SERVICE D 3CONNEC7 No. o~ S R AMT. AMR. IYps EM~EUT~P OTHER APPARATUS: COOKING DECKS I OVENS~ J DISH WASHERS TIME CLOCKS / BELL UNIT HEATER: MULTI-OUTLET AMT. AMPS.] TRANS. NO. OF f:ES1 V ~ c E EXHAUSTFANS AMt. H.P. i DIMMERS G.F.C,I:-I LAUREL, NY, 11948-0518 GENERAL MANAGER 11 ! ~r y~e 11111 ~efflflcote must not be altered In tiny manner; return to the office of the 8card If Incorrect. Inspectors may be Identified b Ir credentials. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYod( 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this ~day of ~ , 19~ _ Qualified In Suffolk_County_.~L,~-7~-~ % 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~'~UGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ~'~RAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~**~~ ~--~ / DATE ~'~/f~ INSPECTOR~'/~f~,~'/ 765.1802 BUILDING DEPT. ~~ou~~~~PECTION [ 1ST [ ] ROUGH PLBG. [ ] INSULATION ] FINAL [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR//g.C~ '/~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~JL/ATION [ ] FRAMING [ ~]' FINAL [ ] FIREPLACE & CHIMNEY :OU__ND[~XO_N __ ( ~ s t) ~OUNDATIQN (2nd ~tOUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE 4. 'FINAL ADDITION~b CO~ ~Wt~ OF SOU~pm BOARD OY UI~I.'I'il ......... ; ..... 3 SETS O~'. l'l~'~IS' · .............. SOgV~,¥ * · * ~ ·,, ' ' · ,'. ?..' r:.'.' ........ SE1;TTC UOIlll CALL · · · Da:e ................ ,19 .... d~ia u~fl icuCi~l. ' d. U~ ~al og dd{ a~li~Ct~, tim l~{ldi~ l~cCo~ ~dlI i~ a ~lldt~ ~miC to e. ~ ~iidl~ ~mtl ~ ~pt~ or ~ tn ~le or in ~C for ~ ~ ~l~ti~, for cl~ ~t~Ci~ ~[ hflldi~, ~{Ct~s or alter~Ci~, or for ~ml or .................... , {~ ~,.~R[. Z.e.'.. ~:~:~ ...................... State d~d~r a~licant Is ~r, lea~, ~enC, ard~Ic~C, en&i~r,'&e~al ~:r~Cor, el~c~ci~, pl~r or l~thk a.~g~ ............................ , ..................................... ................................ ;=.~,, g ~ ~ ~ '_ /~ ~/ . · .............................. (~ m ~ C~ mit Or la:eat ~) lg aR)ticanC is a co~raCt~, si~re o~ ~ly ~Cl~)~t~l oE~ice~. (HoTeand title ogcorpOroCe o~ficer) / Il. ~me ac usa district In 12, 13oas proposed camCtuetlon vlola~ {3. tHIl loc be tx~:aCa ctear17 and dlatlrel:ly al f'rc~ i,roper~y line,*. 01~ at~C ~ x / j (~u o~ Itxllvl~h~t Mgnh~ ~tract) .................... ~a g dul. y ~wm)ril, dalX,~a ntxl ~.ay,* thal~ he JR lhe aPPl, km,u: orpornCe ofi~leer., el;e.) aLl~ott::~':~ Co latl'ona or I.~a I~rfor.u~l Lhe amd work taxi ko n~ke oral fll.a this N AvF/NU~ ?/0 ,0~ 40' ?/0 LoT 41