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Home My WebLink AboutZ-34397FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34397 Date: 06/10/10 THIS CERTIFIES that the building ACCESSORY Location of Property 1120 NEW SUFFOLK AVE (HOUSE NO.) County Tax Map No. 473889 Section 114 subdivision Filed Map NO. __ MATTITUCK (STREET) Block 0012 (HAMLET) Lot 017.001 Lot ~o. accessory ~ara~e conforms substantially to the Requirements for built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF ~UFANC"~]~E~ Z- 34397 dated 073NE 10, 2010 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 ONE CAR GARAGE wITH ATTACHED SHED.* The certificate is issued to ADDY FAMILY 2009 IRR TRST (OWNER) of the aforesaid building. Sum~OLKCOUNT~DEPARTMENT OF HEALTHAPPRO~-AL N/A ~.~I~ c~TIFI~ NO. 5 / 1 0 / 1 0 Z - 3 4 3 9 7 ~ ~TIFI~TION ~r~ N/A *PL~E SEE ATTACHED INSPECTION RE.RT. Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT L~F/ON: 1120 NEW SUFFOLK AVE MATTITUCK S~DMSION: ~ NO.: LOT (S) ~ OF O~ {S): ADDY FAMILY 2009 IP~R TRST OCCOPANC"f: NON-HAbITABLE ACCY GILRAGE ADDY FAMILY 2009 IRE THST # STOP. INS: 0.0 # EXITS: 0 ACCESSORY STRUCTURES: C~, ~"FPE OF C~ST.: 1 CAR WITH ATTACHED SHED STO~N, ~ CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ;~RT. SEC. 06/10/12 BUILDING DEPARTMENT III TOWN HALL /ti u~ ..... o ~v/lJ 765-1802 / / BLDG. DEPT. APPLICATION FOR CERTI~ICATE This application must be filled in by typewriter or ink and submitted to the Building Department 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 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 from 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-conforming 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. C. 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 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 Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Date. NAy House No. Owner or Owners of Property: //~ Suffolk County Tax Map No 1000, Section Street Hamlet / Id- Block I~-~ Lot [7~, I Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Applicant: ~¢T Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: [./ (check one) [ t/~.pp~ani~ Signature~ '~ v -, - v CONSENT TO INSPECTION PACe , ~e ~dersi~ed, do(es) hereby state: Om~(s) Nme(s) ~d ~ ~at ~e ersi~ (is) ~) ~e owns(s) of ~e praises ~ ~e To~ of Southold, locat~at lied ~W ~0~F~g A~,, ~~, N~ 11 5¢ which is shorn ~d desi~at~ on ~e Suffo& County T~Map ~ Disffict 1000, Section ~[~ ,Block I~ ,~t tT, l That the undersigned (has) (have) filed, or cause to be filed, an application in the 8outhold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with ail of the laws, ordinances, rules and'regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. Dated: (S~[ature) (Print Name) (Signature) (Print Name) 'l'oxx n Hall Allilcx ,31373 Main P.(). ll.x 117!t Southold, NY I Tclcph(me ((;31) 76,";- 1802 (631) 76,5-9302 ro.qer.dcher~,,town, so ut hold.ny, us BI ;II,DIN(; I)EPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION Issued To: Robert Brenner Address: 1120 New Suffolk Ave. City: Mattituck St: NY Zip: 11952 Building Permit#: pre-co LT--B,t'~cJ~ Section: 1 14 Block: 12 Lot: 17.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~] Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: existing electrical Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~'l Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixture!.._.__.I Time Clocks Exit Fixtures [~l TVSS Notes: Inspector Signature: Date: Ma}, 10 2010 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ax (631) 76 5 BUILDING DEPARTMENT TOWN OF SOUTHOLr~ APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~~ ~112-~]'4~,[~.~--~ Date: Company Name: P--O~-T %/, ~'H:z,~NI'4~I~, AF-~HIT~ Name: License No.: Address: Phone No.: ?O ~ q-07/ WeSTH/~YP-1'O14/ dY //q77 JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: (*Indicates required information) A~ F/~;.~ ~oo~ II~voG~4~ ~T ~ NY' 1000 Section: Block: I~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) ltl (Please Circle All That Apply) ~ *Is job ready for inspection: ~ NO *Do you need a Tamp Certificate: YES / NO Rough In ~'~'~n~a I~ Tamp Information (If needed] *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form TOWN OF SOUTHOLD ~OpERTY RECORD CARD OWNER FORMER OWNER LAND AGE Tillable 2 Tillable, 3 Woodfcmd $i~mpland Bmshland House Plot IMP. TOTAL f-~ oO DATE VILLAGE W%r /~05z~' .... COMM. IND. // Oo /~o o - "d NORMAL Acre BUILDING CONDITION BELOW ABOVE Value~ Per Acre Value SUl~. LOT ~;~'C'RJ'EA,GE ...... 'TYPE OF BUILDING AA, Bldg. Extension Extension Ex('e~ston Foundation Easement Ext, Walls Fire Ploce L ~V C ~r~r:~Bath iFIoors Interior Finish Heaff Porch Attic Pc~ch Rooms 1st Floor Patio Driveway R~oms 2nd Floor I