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Home My WebLink About30028-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspecuor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30066 Date: 03/04/04 T~IS CERTIFIES that the building ELECTRICAL ALTER3kTIONS Location of Property: 50 SU~SET AVE MATTITUCK HOUSE NO. (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially Eo the Application for Building Permit heretofore filed in this office dated JANUARY 19, 2004 pursuant to which Building Permit No. 30028-Z dated JA~3ARY 22, 2004 was issued, and conforms 5o all of the requzrements of the applicable proviszons of the law. The occupancy for which this certificate is issued ms ELECTRICAL ALTERATIONS TO AN EXISTING ONE FANILY DWELLING AS APPLIED FOR The certificate is issued to IS~kBELLE DOYLE of the ~foresaid building. (OWNER) S~FFOLK CO~DEP~RT~qT OF r[EALT~ APPROV~-~ N/A EL~-Z~ICAL CERTIFICATE NO. 1190876 01/23/0~ PLUMBERS CERTIFICATION DATED N/A o~/z e d S~gnasure 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) 30028 Z Date JANUARY 22, 200~ Permission is hereby granted Eo: ISA~ELLE DOYLE PO BOX 752 MATTITUCK~knI 11952 for : ELECTRICAL ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR. UNDERWRITERS CERTifICATE REQUIRED at premises located at 50 SUNSET AVE MATTITUCK County Tax Map No. 473889 Section 115 Block 0003 Lot No. 008 pursuant to application dated JANI3ARY Building Inspector to expire on JI3LY Fee $ 19, 2004 and approved by the 22, 2005 150.00 Aut~ri z ed Signature Rev. 5/8/02 ORIGINAL Form Bro. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,z~PPLICATION FOR CERI'I~ICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Deparunent with the following: A. 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 eiecmcaI instal~tion from Board of Fire Underwriters. 4. Sw0m statement from pint,n, be~ crucifying that the solder used in system contains less than 2/10 of 1% lead. 5. C~mmer~bu~5~ng~6ustrie~building~mu~residencesa~dsim~arbui~dingsandinsta~a~ns~acer~cate of code CgmpHanee (y~m architect or engineer reSponsible for the building. 6. 8ut/m//t'~ng B~ald:A~pp~va.1 of c0mpleted site pian requkements. ' ~.~ For existing bui~d~gs tprior to April 9, 1957) non-conformlng uses, or buildings and "pre-existing" land uses: "-'" 1. Accurate sUrveyofpropcrty showing all property lines, streets, building and unusual natural or topographic featares. 2. A properly completed, application and consent to inspect signed by the applicant. If a Certificate of Occupancy is deuied, the Bu/lding Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certi~ate ~f ~ccupancy - New dwe~ing $25.~ Additi~ns t~ dwe~ing $25.~ A~terati~ns t~ dwe~ing $25.~/ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50~00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Oecupancy- Residential $15.00, Commercial $15.00 or Pre-existing Building: ~- (check one ~ New Construction: Old LocationofProperty: ~_~--~ .~h~.~A~- /fl~g/gl0 ,/~l~ ~--~/ ~'fi~,fO~ ,~//,qC~k House No. ~Street -" / Hamlet Owner or Owners of Property: ~L 'ff~ ', ~'~C~'/! ,~ ...... ([ I ~// Suffolk County Tax Map No 1000, Section /~//~ Block ~O O __~ Subchvision F/led Map. Permit No. ~ O D~t~ ~ DateofPermit. Health Dept. Approval: Lot Lot: Underwriters Approval: Planning Board Approval: Request for: Temporary ~l~i~gate Fee Submitted: $ ~_~ ~. Final Certificate: (check one) App~i 'gna/fi~e cant S~ NEW 40' EULTON STREET Upon the application CERTIFIES THAT 1792, 1' 9~876 ,473889 Block: I Lot: 3-8 il ,B~ement, First, Floor, in accordance.with the National Elecldcal Code .. ;! Miscellaneous UP GRADE HOUSE ~V1RING Ala[,m and Emergenhcy Equipment Sen~or ' ' ' 23rd~" ' p mnce,theFewah on,the, ~ ~, D. ay QTY Rate ~ 4 50 ~ i~ 4O TOWN OF $ S OUTIlOI~D~NY 11971 ITEL: (631) 765-1802 FAX: (631) 765-9502 www. nor thfork, net/S outhold/ Examined ,20 Approved t~TLDING .PE~ ~PLZCATION CHECKJ_IST Dp you tmve. o~: need the fojlowing, before applying? Bq.~,d of Hcalth- 3 sets of Bu/ldiug Plans Planning Board approval Survey Check Septic Foml N.Y.SJ).E.C. Trustees Contact: 5ooZ? 20~ Mail to: O sapp,oved / i3 / f / / ,, , .... . ~,, B~dm~spector ~PLICATION FOR BU~D~G PE~IT ~STRUCTIONS Date ,20 a. This application MUST be completely tilled in by typewriter or in ink and submitted to the Build/ng Inspector with 3 sets of plans, accurate plot plan to scale. 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 waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Build/ng Permit m the applicant. Such a permit shall be kept on the premises available for inspection throughout the worlc e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issmmce or has not been completed within 18 months from such date. If no zoning amendments or other regulationg affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new'permit shall be required. APPLICATION IS H~REBY MADE to the Building Department for the issuance of a Building Permit pursuant ro the Building Zone.Ordinance of the Town o£Southold, Suffolk County, New York, and Other applicable~Laws, Ordinances or Regulations, for the construction of buildings, additi0]as, or altemtions or for removal or demolition as herein describe& The applicant agrees ro comply with all applicab}e laws. ordinances, building code, hous/ng code, and regulations, and to adrrfit authorized inspectors onprmulses and in building fo/necessary inspections. A*PI OVED AS NOTED ~/~ BP' C~,~"~ (Signatur~ °f~apph[~/°r name' if a ¢°rp°rati°n) DATE: ' ' L NOTIF'~ ~UILDING DEP,,,RTMENT AT (Mailing address ofapplican{~ l" ' 7~.$-1802 8AM TO 4PM FOR THE State whether appliC_LaOWil~10vtl~. E~:agent~ architect, engine~'r,--.g~eneral contractor, electrician, plumber or builder t~\ !. F '1NDATION TWO REQU~ED C) L,C~'x-e-~L~ED C0NC~E 2. ROUGH - 4. FINAL - Cud'" (~ 6n ~e t~ ro~ or late~deed) BE COMPL ...... ~ ~.¢X . a c o a zed offic~ REQUIREMENTS OFTHE CODESOF ~EW ~e ~e~f~fl~IBLE FOR DESIGN OR CONSTRUCTION ERRORS. ice se UNDERWRITERS CERTIFBATE, P]~bers Mc~se No. Electrics Mc~e No. 7~ Oth~ Tmde's Lic~se No. I. Location of lat!d on whi~ch proposed work will be done: ..... , .. House Numb& .... Sffe~t J/ ~let ' - County Tax Map No. 1000 Section Subdivision (Name) Block Filed 2. State existing use and occupmacy of premises a~d intended use and occupancy of proposed constm~?j'~?n: a. Existing use and occupancy ~J/4 ~t% b. Intended use and occupancy j ~-~ 3. Nature of work_ (check which applicable): New Building Repair ~:/.~_/~ok j_Removal -- Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition -- Alteration ~ Other Work~/k, 5',~t~ac p( ,o~ ?~.~ k~P~k ~, ' v' (Desc~lJt~oh~ Fee ~r-/. ~-~, (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. - 9. Size of lot: Front / ~//7~/~ Rear /o'~A9.,ff-5 .~- Depth 10. Date of P~chase V N~e of Fo~ O~ .~;~/~ 11. Zone or use di~ct in w~ch pr~ses ~e si~at~ ~ ~~ Dimensions of existing structures, if any: Front 3 ~ ~2;z~ Rear ? 51. /.ff Depth Height / <j.5/~-~ Number of Stories // .~ 0 ,--":z Dimensions of same structure with alterations or additions: Front ~ 9. ~ Rear Depth ~ t//~- Height / ~c¢ NumberofStones'~' - · Dimensions of entire new construction: Front Rear Depth Height Number of Stories 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO X/Will excess fill be removed fi-om premises? YES__ 14. Names of Owner of premises ffl, c~ ~/t~_~ ZddressPO~ff_~-~/-~tl.a.~ ,f/,Z J'l~hone No. Name of Architect , ~ ' ~ ~--_-~ddress ~. &~,~_~-90~ Phone No Name of Contractor/½///</'/;.~_ d~/ez~/-Pi-c. ' ~* .... -' - Adaress/x,2~zn a ~,,,~ ~t,~Phone No. 15 a. Is tl~s property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES NO ~),(. * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ~ ~' .... *~} 16. Provide survey, to scale, with accurate foundation plan and distaki'~'~'to ~r0~l~¢rty lh/~S.~ ........ a ~ ~ 17. If elevation at any point on property is at 10 feet or below, must pro~d~e ;~opograpincal dat~a~on ~y. STATE OF NEW YORK/ SS: COUNTY OF /tFFd ?( being duly sworn, deposes and says that (s)he is the applicant (Name of individuaI signing contract) above rmmed. NO X (S)He is the O,~x..J~/Z~Z/ ~.-~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed ~e said work and to make and fire this application; that all statements contained in ahis application are true to the best of his knowledge and belief; and that the work will be performed in the mmmer set forth in the application filed therewith. Sworn to before me thSs &yof N&ary V~blitc - JUDITH R SPENCER Notary Public, State of NewYo~ No. ~15P4811814, Suffolk County Commiesion Expires Se~otamber ~0. 200~ Sign~tur/Applicant