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Home My WebLink About24209-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26016 Date: 10/09/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2055 NEW SUFFOLK AVE (HOUSE NO.) County Tax Map No. 473889 Section 114 Subdivision MATTITUCK (STREET) (HAMLET) Block 9 Lot 12 Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1997 pursuant to which Building Permit No. 24209-Z dated JUNE 23, 1997 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 & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MILLARD A. MARYLOU NORTHRIDGE III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N452646 05/04/98 PLUMBERS CERTIFICATION DATED 10/07/98 TALBOT PLUMBING & HEATING Hu~/d~ng Insp~r Rev. 1/81 lrO~ NO. 0 TOWN OF $OU'I~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 24209 Z Permission is hereby granted to: .................................. ,,v ..... ~....v...~. ........ ~ ../..~...~/.~.~ o...~ ...................... ~ ........ ~).. ..................... ~2.: ....... ~-.z..~ ....................... ...../...~-.~.~..~ ......... .~,~..~.~. ....... ../...~.-~....~...4. ....... ./~,~z,.~......~..~ ............... .... ..,~..z~.... ...... ~... .............................. ~ ............................ .~. ................................ County Tox Mop No. lO00 Section ..../.../..~.. ........... Block ......~...~... ........ Lot No ......,/.~.. ........... pursuant to application dated ............ ~.~.. ............................ , 192.~,.., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 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 buildin~ inspector with the following: for new building or new use: i. 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, oK 'buildings an -p e-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 i. 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-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - . 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date gQ/.~./~..~.. . . Hew Construction ........... Old Or Pre-existing Building..~.. ............ Location of P roperty . . .~. .O..S:. :.. . ...... ~. .~-~. .':.. "', .',~ t ~.~.~ e ...... ~.~ '.>.~ ~ ~ . : . . . House No. Street N~I et. On,er or Owners of Property ~~.. &~.~....'~%....~.~'l~C~. ~.t.~..~f/~/~P~..~ ~.~.~'..~..-~ county T~ ~p ,o 10o0, section ..... '~l.e~ .... ~loc~ .... ~'.?. ....... Lot..ZZ ..... '~ ....... Subdivision Filed Map Lot ~'.. · · Permit No .... Date Of Permit.. . Applicant ~.~ Health Dept. Approval......... ....... . . ... .....Underwriters Approval... .................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... $. :.~f,.~?. .................. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 5, 1998 Mr. & Mrs. Millard Northridge P.O. Box 1240 Mattituck, New York 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy use of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) ~ XX No Underwriters Certificate on file. ~ XX The check is (not on file.)$25.00 No Health Department Approval on file. ~ XX No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24209-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box $179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (5]6) 766- 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE Owner: ///),'//d~,,"~ ~ N.,")6--'~ (J(~;;' ~, '(p'le~se p~fnt) - (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 '9 of oct No. O0~m~or~ ~xpi~ OcL 1% lg:.~~] 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~0UGH PLBG. [ ~ INSULATION [ ]~/OUNDATION 2ND [ ~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY . DATE~~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTIOn' FOUNDATION 1ST [~/J ROUGH PLEG. Fo~'ON 2ND [ ] INSULATION ~-FRAMING/~.~ ~ [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~UNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ]~UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ~ ~-.H~PLBG. ] FOUNDATION 2ND ,~,~]~INSULATION ] FRAMING [ ]FINAL ] FIREPLACE & ,CHJMI~EY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY [ ] ROUGH PLBG. [ ]~JLATION [ [//]' FINAL DATE: //~/////.///? ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ]-175003 BUREAU OF ELECTRICITY ~'- , 40 FULTON STREET, NEW YORK, NY 10038 · Date ~AY O4,1998 Application No. onflle 14927897/97 N 452646 THIS CERTIFIES THAT MR.& MRS. NORTHRIDGE~ 2055 NEW SUFFOLK AVENUE, MATTITUC}{, NY t, tke following location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block Lot was examined on APRTL 28,1998 and found to be tn compliance with the National Electrical Code. 15 13 9 12 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. g.w. OIL H.P. GA H P. AMT, NO. A W. G RANGES L 7.9 SPECIAL REC'PT, TIME CLOCKS BELL AMI'. AMPS, !ANS, OVENS I DISH WASHER~ UNIT HEATERS MULTNOUTLE NO. OF FEEl EXHAUST FANS DIMMERS AMT. WATTS SERVICE DISCONNECT AM'(. AMP. / TY~E OTHER APPARATOS: PADDLE FAN-1 G.F.C.I:-3 NO, O METEI EQUIP E I A W"G' INO. OFNEUTRAL$ A W'G' OF I~I-LEG OF NEUTRAL Q.C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948-O518 LIC.#3823 GENERAL MANAGER Per. This certificate must not be altered in any menner; 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· FORM NO. I TO~ OF SOUTNOLD BUll. DING DEPARTHRNT TOWN I1ALL SOUTI1OLD, N.Y. 1197l TEL: 765- 1802 INSTRUCTIONS BOARD OF IlEAL'Ill ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... a. ~hls application nust be c~pletely filled in by ~,~iter or 3 ~ts o~ plus, ac~ate plot plan to scale. F~ acco~i~ to sch~le. b. Plot pl~ ~ l~ci~ of lot ~ of ~ildi~s ~ ~s, ~lati~ship to Mjoini~ ~i~s or ~blic st~t~ or areas, ~ givi~ a &tail~ &~ri~i~ of l~t this a~l icati~. d. U~ a~al of ~is a~licati~, the ~ildi~ Ins~ctor will is~ a ~ildi~ Pemit to the ~licant. ~d~ ~mi~ ~mll ~ ~pt ~ t~ ~s ~ailable for in~cCi~ e. ~ ~ildi~ ~all ~ ~i~ or ~ in ~le or aI~'ff~ IS l~l~ff ~ to t~ ~ildi~ ~Dr~nt for Om isam~e of a ~ildi~ Pemit ~t to the ~ildi~ ~ ~i~e o[ tim T~ o~ ~t~ld, afffolk ~, ~ York, a~ other a~licable l~s, ~i~es or ~lati~s~ for t~ ~st~ti~ o[ ~ildi~s, ~iti~s or alterati~s, or for ~al or ~lltion, as be~in ~ri~. ~ ~li~t ~s to ~ly ~ith all a~licable 1~, o~i~es~ ~ildiu~ ~lati~ ~ to ~t ~i~ in--tots ~ ~i~s ............ ..... (Si~ture ofa~lican~/~ ~ i ~ a co,ratio) ......... ~ ......... .,. ............... ~..~.~.. State vt~etber applicant is o~er, le~see, agent, ard~itect, engineer, general contractor, electrician, ph~ber or beilder. .Q.~ .~ .e~..v'. ........ ~ o~ o,~r o~ ~ ~, .~Lkl.~x.&. ~. ~ ~..&~... ~ ~.~.3~.~.,:; ~ ............................. '" (as ~ ~ t~ mi1 or latest d~) ~ ' 1[ a~lican~ is a co,ratio, si~ o[ ~ly ~t~i~ officer. lluilders I,icense No ........................ . · Plmbers License No ....... glectrmx~ns Lxcense No ...................... O~Imr Traders License No ..................... · 1. Location o~ land on which proposed ~ork wilt be (lone .............................................................. ~.avS.~ ~e.~ ~.~.~.~.IK ]3v.~ /2la~t*~.c..g.. .................... llonse N~ber Street lt~ntet Conn~y Tax Hap No. 1000 ~ction .../../.~./- ....... Block....~. .......... Lot ...... /...~..... Sulxlivision Filed Map NO Lot . 2. State exlsti,g use aud oconpm~, of prmlses and intended use axl occupancy of proposed construction: Existing ,,se ~ <x:ct~gancy .~..fit r'.~O ~ ................... ~. Int~ ,,se ~ ~y ..... i(i3.~k.ea .......................................................... 3, I0. II. 12. 13. 14. 15. IV, atmc ok ua[k (c. lmck ~Jlidi ial~)iicallle): Nc.~,, l~lildini~ .......... AlkliLioe .......... AlLegation .~ ....... lk}i~lt ..................... { .... ~{l{~r of Htorie8 ..... ~ ............... lkq)lh .................... I~l{~lt .................... ~.d~r of Hl'orie8 ............... F~ or u~ dis~ricc in ali{ali pr~n{~s are slt~t~] .............................................................. i. ]~S prods] c~mt~L{~ v~olnte any ~l{n~ 1~, onl{i~e or re~ulnt:{~: ..... ~ ............. Ica:ate clearly and dia£tnct:b fr~Iu property lir~es. Give flCreel: ~dletlmr interior or conmr Pl,O'l' I)1 AGRAN all Ixlilditq]a, ~leLImr exiscln8 or proposed, fl~l ilxlleate all set~lmck dhnensions rxl bl~x:k rs.l~r or ihacripti~sl flc. eo~dieg I:o de~l, flt~l slim 8treet n~sm~ ;llgl irslicale ''' .-~. ...................... I~:ilq~ d~Hy rsw~n'll.'del~l.~s a~l aa~lt Ihat lie ia the appl Ik~. iii Ih{: ....... /0 .,. ((2)llLracLor, aj~el}J'l c6ri×lral:e officer, eLc.) ; Ill I A~IK! '. f O~lgll'll~ IIIRI J8 Illll{~ 11{I ho[ Jz('¢, · I'X ', ( - I IV('. J}ol .... Ill I¥' I I Il' IlilJlJ ~)fk alNJ Jo nJlk{ IIIRJ J'J J¢.~ JJllll' ai}lll II]llLll)li; {llilll flJI. eLa{HllC~ll{.8 Ci)II~liJl~l III IhlH Ilmllll leal'lOll IIFG lille I_o Ihe J~lll: IlJ~ hill k~l~l)e m~l I~il ie[j alxI IJlill. IJz~ ~)¥J~ ~ll[ {)~ i~¥fonlelJ ill }lie Ill~IIIII{~F IiCi; I'orlJl Ill Ihe appJ I(!fll;icJ{I filed li~er£~iLh. JANET V. ST~GWART Qualified In Suff6lk Count~