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Home My WebLink About1000-122.-2-18 TOWN OF SOUTHOLD ca Rental Permit - � , 0978 Owner BJB Ventures LLC Occupied as Single Family Dwelling Located at 1235 Factory Ave. Mattituck 122.-2-18 Maximum Permitted Occupancy 4 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2)years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 8/14/2023 ` de E e t Official This Notice must be posted by the main entrance at all times or Town Hall Annex '` 1 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 i BUILDING DEPARTMENT TOWN OF SOUTHOLD JUL 1 7 2023 RENTI AL PERMIT APPLICATION BUILDING DEPT. Rental Permit Fee$200(Application must be renewed every twol+,egrs , •k cOj TI F -, i Section A. Property Information: Rental Property Address: 1235 F4c�r021a Ay"Url� MQr6ruck.f IJ-ly //952- Tax Map Number: 1000 SECTION 122.00 -BLOCK OZ-00 -LOT 018 -000 SECTION B. OWNER INFORMATION: Property Owner Name: BJ B VE07-UQ-" L-L.C. Property Owner Legal Address: Property Owner Mailing Address: 312 & JsET 6ot)1.6JA¢. 3113 SD,1sEr 8-oyLr-VAPD NoUsT-u�1 Haosro� rX 77005- 21',-1 TX 77006-- lin Telephone Number(s): Daytime V3.623 6372Evening Sart Emergency s�F- Property Owner Email Address: 561tseb 2 q r+a,l , corn apo Pagel of 5 }fxx *r3i soUjy T Town Hall Annex , Telephone(631)765-1802 54375 Main Road fi Fax(631)765-9502 P.O.Box 1179 �7 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.D. Boxes): Iv Mailing Address of Authorized Agent: Telephone Number(s): Daytime Eve ng Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): N Mailing Address of Authorized Agent: IA Telephone Number (s): Daytime Eveni Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or ore rental units) Name of Managing Agent of dwelling unit, if any: fJ Address of Managing Agent(no P.O. Boxes): Page 2 of 5 10 Y; Town Hall Annex Telephone(631)765-1802 54375 Main Road W P.O.Box 1 179 Fax(631)765-9502 Southold,NY 11971-0959 k � �� 4. IOUN1V BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: N Telephone Number(s): Daytime Eveni Ar Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: O►JE For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: H41ji WEl.t;0 cr- Requested Maximum number of persons all I a occupy Dwelling U Number of rooms in Rental Dwelling Unit: I O Use and Dimensions of each room in Renta w . g Unit:_ QEc9r=AT';v&j x 13-113, 19'-10%"2C it, 10%rb" ' BATH 4 7%8 S�P.acE - 8'-3 `x /2�4ii' Sr'ryri�G�Di�IiAIC RM. 20:OS/B',r 13�4,�2 k i n:aF-J - I04 x 13'-3%' L'V;#34 7-' 2H — /6-10?Y4�x 13�4!/V ; 10' -4 11=9%z", j�Ev 14=10%�x 17= 3'% BATH 2- - 7' Or'-A- 4=11 Page 3 of 5 4" PLC Town Hail Annex `s Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O.Box 1179 `u Southold.NY 1 1971-0959 i? BUILDING DEPARTMENT TOWN OF SOY7'J HOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the.property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Q ] am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY O/F SUFFOLK) certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 y Town Hall Annex Telephone(631)765-1802 54375 Main Roadp, Fax(631)765-9502 F' P.O.Box 1179 Southold,NY 11971-0959 rY . Y• ' ou s BUILDING DEPARTMENT ' OVW OF SOYPTHOLD applicable laws and rules. i further acknowledge that t will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. i have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. i will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Ro 4 e t Property Owner's Signature: ��111111ilIIPI////o Sworn to before methis ly' dayof��U ��1 , 2003 _ 4�P�Y PUB��c Is � . Co 12 Official Notary Pub-etc Signature an Original Notary Stamp cpjglf OF��h;�• '�� •�.1 4239a1' Page 5 of 5 Town Hall Annex s� Telephone(631)765-1802 54375 Main Road Z Fax(631)765-9502 P.O.Box 11791 R., {fd Southold,NY 11971-0959 O '"Ulm BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current Certification Rental Property SCTM Number: 1000 - 122.00 - 02.00 - 018.000 Rental Property Address: 1235 FQctvQu �y6,�lpEMaT 7ucic� I� ULM- Owner/Name: AJS ✓ENrue6s L.L.G. Rental Dwelling Unit Identifier: MAW Q&XL-,i otC Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom##1 -100 sq., Bedroom•#2-90 sq., etc.) EDR.00M # - 122 SQ T. BF-D Zoo # - 262 So- Er. Property Description (Include all improvements indicated on survey) TWO � 006 SVJW DO LLiAJ4r Wooer DgrlcCCL.!,Ak "To*dc.E -- VJ1: 59-v?M TWO GAA- 64kaCE 9I ATTACHED S'CbP.�}(dE� DQ.iyEl,�lac! I certify that I have done a physical inspection of the subject rental dwelling u it and find that it fully complies with all the provisions of the Code of the Town of Southold,the esidential Code of New York State,the Building Code of New York State,the Plumbing Code of w York State, the Fuel Gas Code of New York State, and the Energy Conservation Constructio ode of New York State. NI LEL Roger WILLIAmsoj — 4wf;-r6cr Print Name and Title Original Sign Please place professional seal: c, 6 Town Hall Annex ~ Telephone 631 765-1802 P ( ) 54375 Main Road cn }, Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 �yljoum BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to oc py each dwelling unit: . Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: A Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to py each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed toy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: '1 IV A, �aOF SOUIyO � -- - --- - * # TOWN OF SOqJTHOLD BUILDING DEPT. courm, 631-765-1802 p vy — I, -19 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN [ ] CODE VIOLATION [ ] PRE C/O [ trRENTAL REM KS: cLn �w✓ N� DATE INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORC 11 -31222 OWNER. ti STREET VILLAGE DISTIL )T FORMER OWNER N E ACREAGE A, 9k�� I _ - �4vi l:, Yg0 S W TYPE OF BUILDING -RES. 04- SEAS. VL. FARM COMM. I IND. ( CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE I REMARKS Z, G3 b A` z d.�'z s^• f?i t"p^�><i('d`:. .j i. i r :r€:� �,,,a,,, a 7c.s r, �,:, f i a/" a 3t.a �'f u ere 'r i E .s BUILDINGCONDI ION 1 f r BUILDI N y`. f'..y' 6'vr 4 i OC V 0. y- NEW NORMAL BELOW BOVE FRONTAGE ON WATER 0 f f 1��p p 2 �, FRONTAGE ON ROAD i Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 !i)t6mi ci l- l t' ? t7 '� :> '1 W- �i t ►`` f� �� .' I Woodland Swampland - — -- -. - 1 I l ' t( Brushland House Plot /t j3��l�ja(e- W3'f4 ,tio- Tote r �} ..e I 3y m ° i s f r �r. •.: .. ): ,' �g.� s.w.>>._.- ,nom 1 x w 000 JR- LKe y � , 122.-2-18 3/06 I M. Bldg_ 1oundotion Cath Extension Basemen} - ---_ ; �,}„ g:.� Floors r a ' Extensions �� Ext. Walls Interior Finish Extension Fire Place 31 ., Heng Porch Roof Type Porch Rooms 1st Floor r Breezeway "� 1 f do Rooms 2nd Floor Gorcge _ , n F� Driveway Dormer O. B. r , C/S)� ._ 411 _ ' / r FONK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Awll: No. . . . . Date Dec ember. . . . . . . . . . . . . . . . . 19. 78 THIS CERTIFIES that the building located at . .1.235. . .Facto37y. AVq. . . . . . gko& Map No. Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REQUII T M- S FOR ONE FAMILY DWELLING BUILT PRIOR TO conforms substantially to the lE .� 1Sr �c dated . .!kpril. . . .23. . . . . . . .. 19.57. pursuant to which%giau-No-CC9 2•NC dated . .December. . 1. . . . . . . .. 19.78, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy.for which this certificate is issued is . . . . . .!?:Vi%ate. One. Family, Dwelling with Accessory, Stavcture . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .WTalter.'.S rlto. . (owner,�esg§-pibtgp },c,tx of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . Pre-Existing UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . .-'i'e-bcisting 1235 Factory Ave i HOUSE NUMBER . . . . . . . . . . . Street . . . . .r-,z . . . . . . . . . . . . . . . .. . . . . . . . . . . . mattituck, x x. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector County Tax Number 1000-122-2-18 s + BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT / Location %ZJ /�iaC 7-0,2V Arg- /�,r„�/�T�i c�C number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) WXI- Ei� .)!/�.�6 (Tx 'a"//5 Occupancy 42-1 ¢"'A;07X, ty e p owner-tenant Admitted by: XUU/S Jlol-,cS Accompanied by: SQ/7L Key available Suffolk Co. Tax Source of request ph. Q& 4• 4,la Ft Date /rOYc�7 DWELLING• Type of construction 4(100.0 5 ,c #stories A Foundation 0E/s-/E.�7 B/a c% Cellar f2T Crawl space �/J2TioG Total rooms, 1st. Fl 2nd. Fl Twopat'-3rd. Fl Bathroom(,4) 0//E- Ivo .3-ivlc, Toilet room(s) Porch, type Deck, type Patio, type -- Breezeway GarageUtility room Type Heat O/L-Tii,C 0 Warm Air Hotwater /1T �`a�IL Fireplace(s) No. Exits 716 a Airconditioning Domestic hotwater 4,11 F%xT 1c,5Ls Type heater Other - ACCESSORY STRUCTURES: a COX-. Garage, type const.u)00,2 i�za,cj�E Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. - S`- I Remarks: - Inspected by; r Date of Insp. XW:2J/02!17e' G' Time start U,• • ( end%Q'� �-A. Wom N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Ogee Southold, N. Y. Certificate Of Occupancy No. . . 29458. . . Date . . . March : . . .. . . . . . . . 19. 79 . . . THIS CERTIFIES that the building located at . . . . . . . Factory Ave XWArX Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .Uec.embnx . .4. . . . . . . ., 19. .70 pursuant to which Building Permit No. . 100602 dated .Der.embe;- . .6. . . . . . . . .. 19.70., was issued, and conforms to all of the require. meats of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . .private. One..Family. Dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .L,ouia. Stokes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, ) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . .PrP- c. . . . . .g UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . .Pre--Pgci Ing . . . . . . . . HOUSE NUMBER . . .1?A5 . . . . . . Street . . . . . . . . . Factory.Ave. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . Mattituck,. New York. . . . .. . . . . . . Building Inspector Cotuity Tax Number 1000-112-2-18 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? i Z � Date . :. . ................. ....... ...... ooso Permission is hereby granted to: G � i .�r ...... ..... ... .. ...................... 0(1 .... .......... ... ... ... .. .�.. . - `................... to . . ..... ...:. .. .. -. ..+ .................. ..... r, 9 ....................... ................ at premises IocatecNat ..�ti � ..... . ... 7� .......... ...y_�� . ................................................................................................................................................................ pursuant to application dated ........ -.:: '� '-.. ........... .....I9. .an.............................. d approved by the Building Inspector. Fee $.lZt�. ...... . . ...............Building inspector......................... FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy ATo. ..29937. . . . . . . . . Date . . . Apx°il .29�. . . . . . . . . 19 . ., THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of-Property . 1235,Factor,._Av. . . . .enue f. . . . . . . . Mattituck,..N.Y. . . . . . Stmt . . . . . . . . . . . . . . . . .H�%®t County Tax Map No. 1000 Section .. . . . .'.2. . ..Block . . . . 2 . . . . . . . . .I.ot . . . . .. . . . . . . .. . Subdivision .. . . .. . . . . . .. . . . . . . . . . . . . . .. . . .Filed Map No. . . . . . . . .Lot No. . . .. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April. 29. . . . . . . . . . , 1989.pursuant to which Building Permit No. . . 1,0602. Z . . . . . . . . . . dated . . March 27,. . . . .. . . . . . . . . . 198-0. . ,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .. . . . . . . . Orae-family dwelling with fire place and alteration. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ..Louis.$.tQ%@S. . • • . .owner, .. ... . .. . +. . . . . . . . . . . . . . .. . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . ".'�. . .. . . . . . . . . .. . . . . . Building Inspector Rev 4/7! FORM NO:4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Cleric's Office Southold, N.Y. Certificate Of Occupancy No. .Z10327. . . . . . . . . Date . . . .December .30. . . . . 19 �O THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .123 . . . . . . . . . Paotory Avenue Xattituck House No. Street Ham%t County Tax Map No. 1000 Section .122 . . . . . . .Block .Q2. . . . . . . . . . . .Lot . .0�8 . _ . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .1CX . . .Lot No. . .XX. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated October 29. . . . . . . . . , 19 .89pursuant to which Building Permit No. . I o95! _�. . . . . . . . . . . . dated . , Fl vember 1 O 19 aU,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 . . . . . . . . . a private one—family dwelling with addition. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . ,Louis Stokes ! . . _ . . . . . . . . . . . . . . . (owner.,7E53��'fi?L�fTdYft of the aforesaid building. not Suffolk County Department of Health Approval . . . . . T. . . . �2°@OL UNDERWRITERS CERTIFICATE NO. . . .l'ending. . . . . . . . . . . Building In pector Rev 4/79 r FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, Z: 15709 . . . . . . . Date . .April. .3.0,.. .1.9.8 7. . . . . . . . . . . . .y THIS CERTIFIES that the building . . Addition to .accessory b u i l d i n g Location of Property 1235 ,Factory. _Avenue , , , . . , , , . Mat_t_ ituck, New York Nouse No. Street Ham/et County Tax Map No, 1000 Section . . . 12?. . . . . .Block . � . . . . . . . . . . . .Lot . .j8. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . .: . . .Lot No. . . . . _ . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March _ 1 1.,. 1198.7. . , pursuant to which Building Permit No. , 157 5 7 . Z. . . . . . . . . . . . dated M a r c h 15 , 1 9 87 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 ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to , . . , _ . LOUIS STOKES (owner,J�s �rxt� XK. . . . . . . . . . . . . . . . . . . of the aforesaid building. - Suffolk County Department of Health Approval . . . . . . . . . , , , N/A. , . . , , . . _ . . . . . . . . . . . . . . UNDERWRITERS.CERTIFICATE NO. . . . . . . .. . . . . . . . . . . . . /A_ . _ . . _ . . . . . . . . . . . . . . . - - - . . i N/A PLUMBERS CERTIFICATION DATED: Bu' ng Inspector Rev.1/61 FORM NO. 4 ( TOWN*OF SOUTHOLD- { BUILDING DEPARTMENT Office of the Building Inspector Town Hall -Southold, N.Y. CERTIFICATE OF OCCUPANCY NO 219726 Date FEB. 13, 1991 THIS CERTIFIES that the building FOUNDATION Location of Property, '• 1235 FACTORY AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 02 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN, 23, 1991 pursuant to which Building Permit No. 196302 dated JAN. 24, 1991 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 PARTIAL CELLAR AND FOUNDATION UNDER EXISTING ONE FAMILY DWELLING The certificate is issued to LOUIS & RUTH STOKES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NjA building Inspector Rev. 1/81 FORM NO. 4 ° - TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the -Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No:' Z-30960 Date: ;06/03/05 THIS CERTIFIES that the building ADDITION Location of Property: 1235 FACTORY AVE MATTITUCK (HOUSE NO_) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 2 Lot 18 Subdivision Filed Map No Lot NO- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 2005 pursuant to which Building Permit No_ 31151-Z dated MAY 19, 2005 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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF ROBERT O'BRIEN, P.E. DATED 5/13/05. The certificate is issued to DEBBIE PINKALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HSAL.TH APPROVAL. N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33506 Date: 01/26/09 THIS CERTIFIES that the building FOUNDATION Location of Property: 1235 FACTORY AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 122 Block 2 Lot 18 Subdivision Filed Map No_ Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7, 2007 pursuant to which Building Permit No. 33394-Z dated SEPTEMBER 14, 2007 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 PARTIAL FOUNDATION REPLACEMENT TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PEDRO DIAZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 o Sb.�GO.10 CA--. 1' a- BF—DP-00 M .2. !� M 262 sc,. FT. r SED ROOM 1, 122 So-Fr GL . - Gt<. 10:44' 14- IOAli 6' Existin _ Second Floor Plan I� r - DINIhlG 10=3 16 -103/4. 00 ; M � S i I-T t N G- jZoo H "? —. LI V 1 w G Room I RAF up. i i D 13TH q i� 'D pw\tb `-_ -- --- -- — i First Floor Plan 4, � i up " TO pUBLIG ,r• I WAY. TO SE TIG t _ _ _ _ _ E�EGTo2, pUHP. # 13 r 1r- 4 GFr-IIle . j �- - , ( Lj FoyI 00, 0 REG. lZm N Jo STORAGE- R.E-G. M I EXTG UTILir� pow I i' r • 1 7 -- -� -- ---- --- - - r �„� 18 to - _-_-—, 1 tJ4 P- 7!W9.. -- - I j 3T --- G&S DIRF-Lr '-GA5 D►RFZr VE,.IT --- 4 ANT BOILER #$ GAL. HOT H=0 HEATH Existinq Bas ement BJB Ventures L.L.C. 1235 Factory Avenue, Mattituck, N.Y. 11952 S.C.T.M. 1000-122.00-02.00-018.000