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Home My WebLink About30620-ZFORM NO- 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z-30407 Date: 09/08/04 T~{IS CERTIFIES that the building ALTERATION Location of P~opezty: 975 LEGION AVE MATTITUCK (HOUSE NO-) (STREET) (HAMLET) County Tax Map No. 473889 Section 141 Block 4 Lot 17 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1996 pursuant to which Building Permit No. 30620-Z dated SEPTEMBER 8, 2004 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 ENCLOSE EXISTING C~PORT OF COTTAGE FOR USE AS STORAGE SPACE AS APPLIED FOR. · ~ne certificate is issued to BAP~BARA SAILOR of the aforesaid building_ (OWNER) ~u~FOLK COUNTY DEPARTMENT OF ~ALT~{ APPROVAL N/A ELECTRICAL U~TIFICATE NO. 2020641 08/30/04 PLIFMBERS CERTIFICATION DAT~U N/A Authorized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEIANLIT NO. 30620 Z Date SEPTEMBER 8, 2004 Permission is hereby granted to: BARBARA SAILOR PO BOX 317 MATTITUCK,NY 11952 for ENCLOSE EXISTING CARPORT OF COTTAGE FOR USE AS STORAGE SPACE AS APPLIED FOR. (THIS REPLACES BP ~23496-Z) at premises located at 975 LEGION AVE County Taxx Map No. 473889 Section 141 pursuant to application dated JUNE Building Inspector to expire on MARCH Fee $ 150.00 MATTITUCK Block 0004 Lot No. 017 12, 1996 and approved by the 8, 2006. Auyri~ed Signature ORIGINAL Rev. 5/8/02 Z~O~,~ NO. ,i TOWN OF SOUI'HOLD 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.o 23496 Z Dat....~..~..~... .................................. , 19.Y....~ pursuant I'o appli¢c~tion doted ...... ;~.~. ................ J .................. , 19.~_'..~.~ and approved by Ifle Building Inspector. Fe, *...~..~ ../..,.~ Rev. 6/30/80 Form No. 6 . TOXVN OF SOUTHOLD BUILDING DEP.~RTMENT TOV*'N 76S-1802 'APPLICATION FOR CER'['I~'IC.~TE OF OCCUPANCy TbJ_s application must be filled in by Wpewriter or irtk and submitted to the B~nlding Department with the following: For new building or new use: 1. Final sta?ey of property with accurate location of all buildings, property 1/nes, streets, and unusual natural or topograpkic feattu es_ 2. ELnal Approval fzom Health Dept. of water supply and sewerage-disposal (S-9 form)_ Approval of elecmcal installation fi'om Board of Fire UndemTfiters. 4. Sworn statement from plumber cel~i~4ng that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, mukiple residences and similar buildin=,gs and installations, a certificate of Code Comloli~mee firom ~chqteot or en~neer responsible for the building_ 6 Submit PlanningBoard. A,pproval of completed, site plan requirements_ For existing buildings.(prior to April 9.1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accm'ate survey of property showing alt property lines, streets, building and mmsuai natural or topograplfic featm'es. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate o f Occupancy is den/ed, the Bu.L[ding Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Ocanpancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sx~Smming pool $25_00, Accessory buJld~g $25.00, Additions to accessory buildLng $25.00, Businesses $50.00. 2. CertificateofOccupancyonPre-existingBuilding- $100.00 3. Copy of Cerhilcate of Occopancy- $ 25 4. Updated Certificate of Ocanpancy- $50.00 5. Temporary Cetlificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ,Oqld o~ding: Location of Property: ~-2_0- ~9~t F/C House No. Street Owner or Owners of Property: ,/~,O°/~f4~iq Suffolk Cotmty Tax Map No 1000, Section Subdivision Pen]fit No. Date of Pen]fit. ,,ate. /.~ Hamlet Block L// Lot Filed Map. Lot: Applicant: MHealth Dept. ApprovaI: Undenvriters Approval: "<'PlannLng Board Approval: Request tbr: Temporm3~ Certdicate Fee Subrrdtted:$ ? -~t~, t~9/__ Final Certificate: (check one) Applicant Si~wnature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WAYNE SAILOR WAYNE SAILOR P.O. BOX 317 975 LEGION AVENUE MATTITUCK, NY 11952 MATHTUCK, NY 11952 Located at 975 LEGION AVENUE MA'I-I'ITUCK, Ny 11952 Applicatioh Number: 2020641 Certificate Number: 2020641 Section: Block: Lot: Building Permit: SEE PG. 8 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement. First Floor, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 30t~ Day of August, 2004. Name OT~lr Rare Rating CLrcuit T~:.~ Miscellaneous as built 1996 Appliances a~d Accessories Exhaust Fan 1 0 Furnace I 0 Oil Air Conditioner I 0 18.000 BTU Wiring and Devices Outlet 8 0 Fixture Fixture 8 0 Incandescent Outlet 32 0 General Propose Receptacle 23 0 General Purpose S~vitch 14 0 General Purpose Dimmers 4 0 Receptacle 6 0 GFCI Disconnect I 0 60 amp Air Conditioner ~ervice I Phase 3W Service Rating 200 Amperes se~l Service Disconnect: i 200 cb Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at tt~e location indicated, BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FU'LTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upo,n the applic~ion of upon premises owned by Located at WAYNE SAILOR PJO. BOX 317 MATT1TUCK, NY 11952 975 LEGION AVENUE MATTITUCK, NY 11952 WAYNE SAILOR 975 LEGION AVENUE MAq-I-ITUCK, NY 11952 Application l~umber: 2020641 Certificate Number: 2020641 Sectiem Block: Lot: Building Permit: SEE PG. 8 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring [o the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Adminis[ration, or other authority having jurisdiction, and found to be in compliance therewith on the ]0k Day of Au~st, 2004. Name QTS:' Rate P~tin ~ Circuit Type Meters: l Ax~ as built x,imal inspection, o£the delineated electrical installafiorg determined that tm obvious hazard is not present and the installation is believed to be in comforma~ce w/th the applicable refer.race standard for the estimated period of construction of the premises wiring system. s~al. 2 of 2 This ce~ificatemay not be altered in any way and is validated only by the presence of a raised sealatthe location indicated. 7G5-3.802 D£PT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~~TION2ND [ ]INSULATION [ ~ FRAMING ~ [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE /~/> ?// ~ ,.SPE~TOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR _FI~EI.D I~$PECTIO~I FOOffDAT[ON (IST) FOUNDATION (2ND) ROUGH FRAI'~ & DATE '/ '/ ~'I .... / z , )"./ . - FORM NO_ 1 TO~'{ OF SOUTHOLD BUILDING DEPARTIVlEt~]T TOWN~AL1. SOUTHOLD, N.Y. 11971 TEL: 765-1802 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALL .. HAIL .......... ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .... ] ........... ,19 .... a_ 3his application mast be completely filled in hy t3quewrlt~r or in ink and suhnittc~] to ~e ~dlding [n~ccor ~ith 3 ~ts of plus, at--ate plot pl~ to r~ale. b. Plot plan ~mg l~ti~ of lot ~ of ~ildings ~ ~ses, ~lationship to ~joini~ pr~}~s or ~b]ic struts or areas, ~ givi~ a ~tail~ ~ripti~ of l~t Ods a~l. icat:i~. d. ~ a~al of ~is ~llcati~, ttm ~ilding In~ctor will is~ a ~ilding ~mit t9 tl~.,~licant. ~1~ ~it ~mll ~ kept ~ t~ pt~,d~s ~ilable for in~cti~ theft ~e ~rk. e- ~ ~ildi~ ~,al.t I~ ~pi~ or ~y shall, h~ ~ ~t~ ~ ~ ~ilding In--for. ~1.~~ IS I~ ~ to t~ ~ilding ~nt for ~e isle of a hildi~ Pemit ~mmt to the ~fildi~ ~ ~i~ of ~ T~ of ~ld, ~f~lk ~, ~v Yo~, ~ ot~ a~llcable 1~, ~i~es or ~la~i~s, for t~ c~tn~Ci~ o[ l~ildi~n, ~Miti~s or alterati~s, or for r~a] or (~liti~, as ~rein ¢M~ril~_ ~m ~[ic~t a~s to c~ly with all ~llcable 1~, orditm~es, ~[lding c~le, ~slng c~e, ru~dati~s, ~ to ~it ~t~ri~ lectors ~ ptu,i~s ~ in1~~' '.~~.'~ ' > · .~. -~.~ ............... State ............ ~bether_~../L/.. -~--'''~p)licant-'''''''J' Y/~' leps~e, agent, architect, engineer, general contractor, ~].ectr,craa,' ' plumber or laiilder_ ~ off ~r ol pr~ni,~s ............ .'~q. ..... f~...~. .................................................................... (as on the tax roll or latest deed) If applicant is a corporation, ai~aCore of duly authorized officer. _ ; BLDG '.'T" ~ Builders License No .......................... Ph~bers Lie_ease blo .......................... Electriqi~s License No ...................... Other Trade's License NO ..................... I. ' location of~and on x~hich p.,~pos~l x,x>rk will ~ ~ ......... ~ .................................................... . ........... ..... ...................... ~ T~ ~ ~. 1~ ~ti~ Bl~k z' kt ~iviai~ ...................................... Film ~ ~ ................ l~c ............... (~) ..... ........................................................... . - ............................................... ,~.?] ........ ~-.. .............. IO_ I1_ 12. I~. 1~. 15_ lantt'~re of ~rk (dm&k ~ncli'~i~lig~ble): [xle~ l~dl'ding ..i'.. [.'..~ ~iti~ .......... ~teration ........... I~ir ............ ~al '....~i ........ ~lition ............ Other I~ ................................. (to ~ ~id ~ filing this a~ticat~) If ~lli~, ~tmr o~ &lli~ ~irs ............ t~r of &~lliag traits ~ e~ fl~r ................ I~ ~ge; ~r oF ~rs '~ .Dhmnsi~s ot ~isri~ str~res, it m~: ~t ................ ~ar ............... ~p~h ................. l~i~ ......................... ~&r o~ ~rori~ ...................... Di~nsi~s olm st~e ~irh alrerat]~s or ~irio6s:' ~r~t ............... ~ar ............... ~pch .................... ~i~r ...... - .............. ~r,~ Stories . .. ............. Di~si~ ot retire ~ ~t~Ki~: ~ ....... r.:~. __~.. ~ar ~pth .............. l~iOlr ......................... ~r o~ ~ories ..................... Si~ of lot: F~ .................... ~ar .................... ~prh .................... ~re o~ ~d~a~ ..................... ~ o~ Four ~mr ........ : ............................... ~s pro~l ~sE~ti~ ~io~Ee an~ ~ing 1~, ordi~e or re~uIati~: ........................~ ~ill 1oC ~ ~r~ .....' ~ ........ ~ill ~ fill ~ r~M~ ~s: :..~j . ~. - ~ ~ ~d~ir~r .................................... ~reso .............................. ~ ~ ............... ~m o[ Cmrr~ror ................................... ~resa ............................... ~mm ~ ............... Is this p~rt~ ~i~dn ~ [~t o[ a till ~tl~ ~ ~ ......... ~... PI.OT DIAORAH I~ocate clearly and distinctly all buildings, Mmtlmr exisEing or pro~, a~ iz~icate all ~t-~ di~nsions pro~rt~ li~- Oi~ at~t ~ bl~ ~r or ~scripti~ ~co~ing to ~, ~ ~ strut ~s ~ i~icatn interior or co~r lot. .. ! .... : -.~.!.J~-~.'~...' ......................... being dul.y ax~jrn, deposes a~l ~ys O,at I~ is t{~ a~lica,,t (~ of J~dividx~l ai~ing c~tract) ....... ...................................................................... (C~Lractor, ~ent,' ~r~raLe officer, etc.) of said ~r or ~rs, ard is ~ly ~thori~ to ~rfo~ or h~ ~r[o~ the ~id ~ ar~ LO ~ke ~ file this aH).licati~; flint all sCat~nCs c~tai~ in this al~l. ication are t~ Lo Hie ~se off his ~l~e LhaE Lhe ~rk ~ill ~ ~rfo~l' .in the ~n~r ~t forOl in the a~lication fil~ t~i~l_ ~m to ~fore ,~ ................... ~ · ...... &..- ~] .... , ......... [,,' ~ m . ~ ,r~ II ~V.~ ~ (Si[~mture of App[ic~r) L-