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Home My WebLink About30850-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30721 Date: 10/08/04 THIS C~u(TIFIES that the building ACCESSORY Location of Property: 1120 CENTRAL DR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 2 Lot 15 Subdivision Filed Map No. __ Lot No. __ MATTITUCK conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2004 pursuant to which Building Permit No. 30850-Z dated DECEMBER 15~ 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 ACCESSORY THREE CAR GARAGE AS APPLIED FOR. The certificate is issued to MADIS PARTEL of the aforesaid building. ( OWNER ) SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPROVAL N/A ELECTRICAL C~a(TIFICATE NO. 2025663 PLUMBEi~S C~KTIFICATION DAT~U3 N/A 10/08/04 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) PERMIT NO. 30850 Z Date DECEMBER 15, 2004 Permission is hereby granted to: MADIS PARTEL M3tTTITUCK,NY 11952 for : CONSTRUCT AN ACCESSORY GARAGE AS APPLIED FOR. THIS PERMIT REPLACES BP 25986. at premises located at 1120 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0002 Lot No. 015 pursuant to application dated DECEMBER 15, 2004 and approved by the Building Inspector to expire on JUNE Fee $ 205.80 15, 2006. ORIGINAL Rev. 5/8/02 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. 25986 Z Date September 3t 1999 Permission is hereby granted to: MADIS PARTEL 1120 CENTRAL DR MATTITUCK~NY 11952 for : CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REAR YARD FOR AN EXIST- iNG SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated JULY Building Inspector. 1120 CENTRAL DR MATTITUCK Block 0002 Lot No. 015 12 1999 and approved by the Fee $ 122.20 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewr ter or ink and submitted to the Building Department with the £ollowing: 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 fi'om 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' 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi-om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conformiug uses, or buildings and "pre-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 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. Fees 1. 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 Ocoupancy on Pre-existing Building _ $100.00 3. Copy of Certificate of Occupancy - $.25 4. _Upda?,~rtifieateofOccupancy- $50.00 ~'~ot~i~Certifiea,.te of Occupancy - Resident/al $15.00, Commercial $15.00 Co Location of Property: Old or Pre-existing Building: c: ,.., House No. O'~mer or Owners of Property: (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit No. '~XD~'~(D Date of Per'it. Health Dept. Approval: Planning Board Approval: Block ~gt~t~ ~--'--" Lot Filed Map. Lot: Applicant: Underwriters Approval:. Request for: Temporary Certificate Fee Submitted: $ ':~,~', OC) (check one) Applicant S~gnatare Final Certificate: '.~ 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 JOHN LUDEMANN P.O. BOX 621 NEW SUFFOLK, NY 11956 MATHEW PARTEL 1120 CENTRAL DRIVE MATTITUCK, NY 11952 Located at 1120 CENTRAL DRIVE MATTITUCK, NY 11952 Application Number: 2025663 Certificate Number: 2025663 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, 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 8th Day of October, 2004. QTY Rate Rating Circuit Type Name Miscellaneous as built 2001 Panels 30 5 Wiring and Devices Receptacle 8 0 General Purpose Switch 4 0 Fixture 2 0 Incandescent Fixture 1 0 Flourescent Receptacle 2 0 GFC! An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and thc installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 1 of 1 This certificate may not be artered in any way and is varidated only by the presence of a raised seal at the location indicated. Applicant/ Owners Name: ~ff[laD, ~-rlLL. Date Reviewed: Architecff Date. Engineer: _1~10 R,,~- Submitted: SCTM #: District: 1.000 Section: cemfimtion: (Yes/~ ) ~15~ ~ ~ning Dis~icl:~ ~ [~t s~: Actual: J [~t m~gc Pro~s~. ] [Fret Y~d ~ Pro~s~: ~J {Side Y~d Pro~s~: ~] [R~ Y~d ~ Pro~s~: ~_] Project Description: REOUIRED FOR REVIEW Subdivisiog.~ Name: L-lq Permit N.A. NO 3(ES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flbod Zone: (. q"15 ~o ~ ~.'.'~0 o Lot 96 '~-- E O.J" ~1 // / ii//' / I! / N $6'00"30" HI i¢ood Fbome Residence CENTRAL '\ \ \ \ \ t 90. 00" DRIVE Lot 94 ,9= 25' A= .$9.27 to= 479.7t DEPT. INDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE~P.~HIMNEY . INSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING ~FINAL ~ ~$, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR INSULATION PER N. Y. STATE ENERGY CODE FORH NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 Diseppmved a/c ........................ 3 '~Y. INSTRUCTIONS ~OARO OF BRALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ SEPTIC ~011~ ................... Date ................ ,19 .... a. 'Ihis applicarino ,a,,r. be completely filled in by typewriter or in ink and m~!tted to the Building Inspector 3 sets of plus, accurate plot plan to scale. Fee a,~'~rding to ach~a,le. b. Plot plan abe~ing local:ino of lot and of buildhl&s no premises, relatir~hip to adjoining prmises or l~blic streets or areas, ~d 8ivit~ a detailed descripgino of la. ut of property ~mt be dr~u no the di~gra~ ~&ich is part of this applic~t ino. c. The ~ottt covered by this ~t~licatino my not be cc~e~ed before {~m~-~ of Building VemiT. d, Upon ~,~al of this applicatino, the Building Ins1~ctor ~ill iasse a Building PemiT to the ~q~lic~nT. Such pemit ~mll be kept no the p~,,:ses ~ailable for inspecT/no thronShouT the ~ork. e. No beilding shall be ~_apied or used in ~hole or in part for any purpose ~hatever onTil a Certificate of Occopmcy shall ha~e beno granted by the Building Inspector. APt%ICATIC[/ IS ~ ~ to the Building l)epar~.t for the is~,=~e of a Building Permit purs~nt TO the Building Z~e Ordimmco of the Tt~ of S~uthold, Buffolk County, ~ York, ~d other ~licable I~m, Ordirm~es or P~-%~ulaTicas, for the ctmstruction of beildings, edditictm or alTeraTiotm, or for removal or ~litino, as herein described. 1he ~plic~t ~reea to ~1. y ~ith all ~lic~ble l~s, ord{~s, Imildit~ cede, beasing code, regulatinos, ~nd to ~it anrhor/sed inspectors on ~isee ~i in .b~n'ldiu8 for necessary inspectinos, ~-h-rnows Jr Clemont J ............................ ~ ............................. P.O. BOX 1220 (signature of applicant, or n~m% if a corporation) Southold. NY 11971-0035 (Hailing ~rt4~ese of applicant) State ~aether apphcant ~s onee~r, lessee, t ~a~nt,/~archt ~t~ect, et~, lneer, general cnotractor, electricim, plumber or beila ............................ ..~ ~.~..~..~.. L of of p se. .......... ......... .L .............................................................. (as c~ the tax roll or latest deed) If a~91ic~mt is a corporatiam, siguature of duly ~uthorised officer. (tL~e and title of norporaTe officer) Builders License tb ...................... Plm/oers Li~-n~ lb ....... glecrriciaas Li~ lb .......... Other Trade'8 License No ............. .. . .. ... I. h~caTino of land co ~hich proposed ~ork will be ckme ................................. ........... ........................... ( ...... ,.. ltmme Nmber Street ............................. / g-~alet' ............ : .............. ........ ............... C~R~ T~ ~p lb. ~0 s~Tino .l .............. mnok I,.C-' Subdivision ....... .~..~]'~t~ J~-~3[~ ............ ~-${~{'~:~'..~.{. FiledN~plb .......... LOt ...~.~.. ....... 2. State existing use and c~,-~ of pmaises and intended ase and nocupm~y of ~ coastructino: a. Bxisting use ~d onCUl~mCy b. InTead~ ase ara ocoupatmy .......................................... ~-~.. ; 3. l~ture of s~rk (check ~4~ich appliczble): lxk-a Building ......... ilion .......... Alteration .......... ~psir ............ ll.~t~l ............. l~mlition ............ Other ~ork .................................. ~ o ~Rescription) ~.~ti,s,t~ ~,t .t?.~.~.~.:.:.:..*.'t ........ ~,, .............................................. (to be paid on filing this application) 5. If ds~lling, n~h~r of d~lling imlts ~ ...... Ix~t~ber of d~lltng t~aits on eae_h fflonr ................ If garage, ~ntmr of cara ...~.~ ................................ 6. If business, c~rcial or mi~,d OC~p~_y, speei~'y nature m~d extent of each type of use ...................... 7. Dimensions of existing stmctur~a, if an~: Front ................ Rear ............... Depth ................. Oeight ......................... Number of glories ...................... Dirmneions of sam stmcm vith alterations or additions: Front ............... Rear ............... Depth .................... Bnight .................... N~ber of Stories ............... 8. Diu~nsions of entire ne~ constmctlon: Ft~ont ..,~...~. ........ Rear .~...~. ......... Depth Reight ...lid.:.~'.'..C.t:! ...... Er of Stories ...l ................. 9.si~ of ~ot: Mt ...~.~ ............. Re~ ....~:~! ......... 0~th .1./..~...~.~..~. ..... 10. I~te of Purd~ase ..................... Name of Former Oaner ........................................ I I. Zone or use district in ~hich pr~isea m~ situated .... .~-...'~... .................................................. 12. Does p~posed construction violate arrff ~onlng lmm, ordln~nce or regulation: . ~ ............... 13. I~ill lot be regreded .~ ............. ~lill mss fill be i~o~d f-rcm i~i~dses: YES NO ,~. ~s of 0~r o~ ~,-...'~,-- -- ''~...C.~....~. ......... ~resa .tt~.O....~t.P..9..~.*.?~o~-' ~ ~ ............... ~ of firchitect .................................... /~ldress .............................. Phon~ No ............... ~ of cont~tor ....... .q.m.?..L.?..~.. t~aresa P.?~...l..~.?..~..v...5..~.: ..... 15. I$ this vro~rty within ~0 f~t of a tidal ~tL~l? ~ ~S .......... NO...~..'~.... .... PLOT DIAGRAt4 I~:ate clearly and distinctly all buildings, vhether existing ~ v'~, ~ i~i~te all ~t~ d~nsi~s p,~r~ li~s. Ci~ strut ~ bl~ ~r or &scriptlm ~i~ to ~, ~ ~ strut ~s ~ i~icate interior or ~r lot. s~rn, deposes aed says that be is the sppl. ie~t [ said oaner or oeners, and is duly ~thorized to ~rfom or h~ ~r~ ~ ~id ~ mg to m~ ~ file this ~llcati~; ~at all stat6,ciit8 ~tai~ in ~is ~licati~ ~m t~ to ~ ~st off his ~1~ ~ ~liefi ~ bat ~ ~ viii ~ ~rb~ in tl~ ~r mt forth in ~e ~li~tim fil~ t~. ~,~rn to b~[~re me this (Signature o¥ ^pptJe~nt) t