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36937-Z
l�sjj pE L� Town of Southold Annex 1/27/2012 54375 Main Road o co z Southold,New York 11971 o y,�,01�� CERTIFICATE OF OCCUPANCY No: 35414 Date: 1/27/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 10220 SOUND AVENUE, MATTITUCK, SCTM#: 473889 Sec/Block/Lot: 122.-2-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/17/2009 pursuant to which Building Permit No. 36937. dated 1/20/2012 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: additions and alterations to an existing one family dwelling as applied for. The certificate is issued to THOMAS &SUSAN BEST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35151 1/11/12 PLUMBERS CERTIFICATION DATED 1/25/12 Thomas Best Aut ed S'gnat e 6�S�FFoc TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36937 Date: 1/20/2012 Permission is hereby granted to: THOMAS & SUSAN BEST 10220 SOUND AVENUE MATTITUCK, NY 11952 To: ALTER AN EXISTING SINGLE FAMILY DWELLING &ADD A PARTIAL 2ND STORY AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 35151 At premises located at: 10220 SOUND AVENUE, MATTITUCK SCTM # 473889 Sec/Block/Lot# 122.-2-11.1 Pursuant to application dated 11/17/2009 and approved by the Building Inspector. To expire on 7/20/2013. Fees: PERMIT RENEWAL $37.50 Total: $37.50 Building Inspector 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. 35151 Z Date NOVEMBER 17, 2009 Permission is hereby granted to: THOMAS J & SUSAN F BEST 10220 SOUND AVENUE MATTITUCK,NY 11952 for : ALTER AN EXISTING SINGLE FAMILY DWELLING & ADD A PARTIAL 2ND STORY AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 33289 at premises located at 10220 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 122 Block 0002 Lot No. 011 . 001 pursuant to application dated NOVEMBER 17, 2009 and approved by the Building Inspector to expire on MAY 17, 2011 . Fee $ 75 . 00 Authorized Signature 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. 33289 Z Date AUGUST 1, 2007 Permission is hereby granted to: THOMAS J & SUSAN F BEST 10220 SOUND AVENUE MATTITUCK,NY 11952 for ALTER AN EXISTING SINGLE FAMILY DWELLING AND ADD A PARTIAL SECOND STORY AS APPLIED FOR. THIS PERMIT REPLACES BP # 23039 at premises located at 10220 SOUND AVE MATTITUCK County Tax Map No. 473889 Section 122 Block 0002 Lot No. 011 . 001 pursuant to application dated AUGUST 1, 2007 and approved by the Building Inspector to expire on FEBRUARY 1, 2009 . Fee $ 75 . 00 Aut orized Signature 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) Date..................../, ............................ 19........... N2 23039 Z Permission Is hereby granted to; �.........1 �LS� /.� z .....s ...... ..................................... !G.........^ ...... ................ to ,..��� �/ ....... - ....... x�s��,, /�J-........ -, .......... �/................ 1 V ......... ......... .......,'-s ..... 1a-��......./ .-................................................................................................... ...................................:............................... ................................................I.......................... at premises located at........ .....: .......Ava .............................................. ....................... ............................. i ���.............................................................. Block .....01y ............ otNo.CountyTaxMapNo. 1000 Section .....�..�...... � ................ .i pursuant to application dated .....-S r'......�` ....................... 19...9s...., and approved by the Building Inspector. Fee$..17-� ....... .. ..:. ............................... Building Inspector Rev. 6/30/80 Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Comphance'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 spmpleted 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00, Accessory building$50.00,Additions to accessory building$50.00,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 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 0 2 ZO 15DOna Ave- M Ir I-r4TVkC4/(_ House No. Street Hamlet Owner or Owners of Property: �� lot S . Suffolk County Tax Map No 1000, Section. o`7- Block a-- Lot Subdivision / Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • 0 roger.rich ert(C-town.southold.ny.us Southold,NY 11971-0959 o�yCOiUNTV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Thomas Best Address: 10220 Sound Ave City: Mattituck St: NY Zip: 11952 Building Permit* 35151 Section: 122 Block: 2 Lot: 11.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X, Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 11 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures . Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 10 Twist Lock RExit Fixtures TVSS Other Equipment: 1 exhaust fan, 2 paddle fans Notes: Inspector Signature: Date: Jan 112012 81-Cert Electrical Compliance Form W SO�I�o Town hall Annex �O l0 Telephone(631).765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,New York 11971-0959 coum,� BUILDING DEPARTMENT _ TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. 3 Ca5 � Owner: (Please print) Plumber: '-C Lkc> tq%Aver, IE�g35 G (Please.print) I certify that the solder used in.the water supply system contains less.than 2/10 of 1%. lead. (Plumbers Signature) Sworn to before me this day of 20 l� CONNIE D.BUNCH Notary Public,State of New Yolk No.01 BU6185050 Quallfled in Suffolk County Commission Expires April 14,.2b11�L Notary Public, County 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY RE ARKS: DATElq ,5-- INSPECTOR BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ]�RGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ "�ROUGN PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE INSPECTOR / c SOpr�olo cou roOWN OF SOUTHOLD BUILDING DEPT. ( � 765-1802 N� INSPECTION ' [ ] FOUNDATION 1 ST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: 0 DATE �� INSPECTOR �OF S0(/r�, o� Ol � O cou�m,N�' TOWN OF SOU I BUILDI G DEPT. 765-1802 1 N S! TICON [ ] FOUNDATION 1 ST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [° ' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:` Q44, DATE ` �'' INSPECTOR If,l.l) INSPI,(TlUN RI.PURT DATE CUMrfLUTS �_ _-__________�___=====T=-===�---=------------------- 1 HII------� -------------------------------- ------------- H cam. -MINDAT ION I 'OUNDATION (ZND) II ii - - ---- ----- ul -- �\ P1.,UMII f.NG �+ NSULATION PIiR N_ T . --- - _/ - - I STATE* I;tifiRGY I c0or -- —_ — ---------- --- I ---- ------------------------ --- Il �► I � 1 r•T.rrAr, il ---------- --- ADDITIONAL COMMENTS 0 ---------- ------------------------- ------ d E - ---- -- --- - --- - ---- - ------.._. - - --...--- -------- -- ------ - - - �� �� ,�. ... BOARD ' OF HEALTH 1 FORM NO. 1 /3 SETS OF PL.INS . . . . . . . • • SURVEY • • TOWN OF SOUTHOLD • • • • • - - • • • • • • CIIECK 1 BUILDING DEPARTMENT SEPTIC • FORM • • • • • • • • • • • BLDG.DEPI TOWN HALL - . . . . . . . . . . . . T®WN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ttOT I FY 19 � �� � CALL ;Z°I�s= l�` Examined . . . .z�/�. . . . . MAIL TO : . . . . . . . Approved . . . . . . m �O 3 . . . ., 1 Perit No. . . . . , .� . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 7Bteild.ing Inspector) APPLICATION FOR BUILDING PERMIT Date d-P'� !:�. . . . . . . .. W9 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to .the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions'or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) PP P ) (Mailing address of applicant) State whether applicant is owner,,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . -1- oS An � ' ,as • , , , • . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. l, Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(0 A. lC �� r.i 7. y. . . . . . . . . . . . . . . . . . . . . . ..•. . . . . . . . . . . . . . . .• House Number Street Hamlet County Tax Map No. 1000 Section . . . : . . Z . . . . . Block . .`. . . . . . . . . . .. . . . Lot .�1.! . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . ._. . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . ... . . . (Name) 2: State existing use and.occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . l p kk . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... b. Intended use and occupancy : . .�-. +�,~�tiv2.11�h�. f -3. Nature of work (check which applicable): New Building . . . . .'. Addition . Alteration , . Repair . . . . . . . . . . . . . . Removal Demolition ' J' . . . . �..: . . . . . . . . . Other Work-�• "` r .(D_escdption) 4. Estimated Cost . . �. . Fee . . . . . . . . . . . . . . . . . . . . c (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . .. Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each �e . . , , , , , , , , , 7. Dimensions of existing structures, if any: Front . . . . / (6 -O�tyP of use Rear Depth �� �« Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . Dimensions of same stricture with alterations or additions: FrontZ+? t ' l� Rear v�� �CC Depth . . . . l 9..u . Height . . �`c?c 8. Dimensions of entirepew construction: Front Numbed of Stories . . . .?--. . . . . Height . . . .v.DI `. . . . l9 ��. . . . . Rear . .4�:�?�. . . . . . . . Depth . .S?.4.��. . . . . . . Number of Stories . 9. Size of lot: Front . . o0 . . . .... . Rear. . . . . . : . . .. . . . . . . . . Depth 3� . . . . . . . . . . . . . 10. Date of Purchase �mises A. , Name of Former Owner 11. Zone or use district in w ich p are situated . . . ge �, .12. Does proposed construction violaf�any zoning law, ordinance or regulation: . ,(SC). . 13. Will lot be regraded �'���11"� . Will excess fill be removed from premises: Yes 14. Name of Owner of premises :�v lei B>rs. . . . . . . to2z , d N C3-eo��s Address is 7 A . Phone No. Name of Architect .+mac . . . . . . . . Address . °��.` I``" �y Name of Contractor r• Phone No. . . . . . . . . . . Address . Phone No. 15. Is this property within 300 feet of a ti.dal �wetland?� * . . " ' No, *If yes, Southold Town Trustees Permit ma be required. Q, , , , , , PLOT DIAGRAM q Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 'TATE OF NEW R S S ;OUNTY (� © � • . . . . . . . . O YYS. : . .� . . . . . . . . . . . be'ing duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. ,e is the . . ... .. . . . . . .�.� . . . . . . . . . . . . . :. (Contractor,,agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this-application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this .,-5%- %.day of. . . .. . ., 19�5 otary Public, . . . a. . . . . . . . . . County . . . . . . . . . . . . . . . .. (Votary, ublic,State of Ncw York . % -_ (Signature of applicant) No.52-8125850-Suffolk Cou Term Expires Jctober 31,19 - - � �� ,. �,'- � ' � `erg `�►s ��. E " Juneol6,2004`= —_J Southold Town Building Department P.O. Box 1179 53095 Main Road Southold, NY 11971 To Whom it May Concern; I need your help here, as I am not quite sure how to proceed. As part of my divorce settlement, I must now sell my house. In 1996, 1 filed the plans for a second story addition.The plans were approved by your department, the framing inspection was done, the insulation inspection done, the rough plumbing inspection done, and the rough electrical inspection done. In other words, all inspections were done,with the exception of the final inspection. Several attempts were made to have this done, but we could never coordinate a day or time, and it just sort of got forgotten about. Now I need to get the Certificate of Occupancy for the addition as well as pre-existing CO for the 15+floor, as the house was originally built in 1956?. Please tell me what I have to do to finalize this. Your help would be greatly appreciated. Sincerely, ���� Tom Best 10220 Sound Avenue Mattituck, NY 11952 298-8185 1 Lyt, � 1<�_- 1. ' 9 �_ , .-Syr,;,- rJ E'l• tl o�*oF so�ryol � o Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G • Telephone(631)765-1802 Southold,New York 11971-0959 couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD July26th, 2007 Thomas J. Best 10220 Sound Avenue Mattituck,MY, 11952 RE: 10220 Sound Ave. (alterations/addition 2nd story) SCTM# 122 2 11 1 Dear Mr. Best, Please be advised that your Building Permit#23039 issued October 3rd, 1995 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of $75.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions,please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. pF SO(/Tyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • Q Southold,New York 11971-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD October 14th, 2009 FIRST NOTICE Thomas & Susan Best 10220 Sound Avenue Mattituck, N.Y. 11952 RE: 10220 Sound Ave. (Alteration/Addition) SCTM: # 1000-122.-2-11.1 To Whom It May Concern: Please be advised that your Building Permit # 33289 issued August 1st, 2007 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $75.00, at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. O 0 January 19, 2012 Thomas Best 10220 Sound Avenue Mattituck,NY 11952 P: 631-926-7992 Town of Southold Building Department Town Hall Annex Building 54375 Route 25 Southold,NY 11971 Enclosed,please find my check in the amount of$37.50 for permit number 35151. All inspections have been done, electrical,rough plumbing, framing, insulation, so I need a final to get the C.O. for the second story(the first story already has a C.O.)I am going to contract on or about February 3rd. I am off on Wednesday's, so that would be great if we could schedule the appointment for that day. What ever time is convenient for the inspector. Sincerely, Tom Best LJ JAN 2 0 2012 BLDG.DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD P 'kOPERTY RECORD CARD OWNER , • :' STREET VILLAGE DIST. SUB. LOT -� .: • s=.. 5-.,�)`; .V� Y Sdt1nJD 1� 1�tsC. FORMER OWNER N E ACR. S. W TYPE OF BUILDING %'T/T/Al ��y�'�l'LI SS'�• L� :! o .�n �• �a s e.r SEAS. VL. FARM COMM. CB. MICS. Mkt..Value LAND IMP. TOTAL DATE REMARKS i ?7 o6 s- a� �/3/ o L� L, A��Uss o io .�. C.4s1° 4 ANo. P f oahk '91AWC71 L I k Ba 9 jP5. 4 1 5=0 L C) %aejYc� AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value i Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD r0 �.� Meado land DEPTH 3 OLD House Plot ` BULKHEAD Total I DOCK S ...:-. -�; ,-r � e - ■■iiiii■ii®iii®iie■i■■■■■■i■ t ■■iii■i■iiieie NNE iienOMEN ii■ so NNE ' ; _ ■■iiii■■■�i■■iiiiieii i■ieii .t4ti r j ■■■■■■■■■'�i■■■■®■■■■■■■■■■■■■ � ■■e■■■e7 �I INN ■■■ii■■■MEN n■■■ 'wY` '^_,n-,, '}.�y'�,,i^' y Y Zt'! f'rxa- ,,,,.',s:',p'+ ". xwr`� - �®■■■■ r p . f ■■i■■i©�!� ■ ' • i■■i■■■iiiiie■ii■ .• = No IS ■liiiiiiiiieeii■■ee■ - �s■®®■iii■e■Kim ■■eii■■■iii • ■N■■■iii■®iEiA■■e■ ■Ni®inii■ ■■■�■i�ii�i 'mii■■■®■■■■■ ■■■■■i� 1ii■■■■■e■■®e■■■■■■■ : .. r, , � ■■■■■■■iii■■■■■■■■■■■Niinii■ ■■iiiiis I/ i I OTaI r .�F1ln0 - XKL1-- I OWN_- OPERTY R 'OWNER STREET VILLAGE DIST. SUB. LOT 5 FORMER OWNER N ACR. .SovND Avrr' = , CASPCR ANa 0 p�0Y25 S . W TYPE OF BUILDING SO Al RES. SEAS. VL. FARM COMM. CB. MICS. . Mkt. Value. - - LAND - IMP. TO/-,(AL DATE REMARKS �.0 0 I_ ] gay i- i� 3a jai- �• z aY, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ` FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot . BULKHEAD Total DOCK COLOR TRIM _Ail. Bldg: - Extension ...Extension _._ ........ .._._ Foundation Bath Dinefte Porch Basement Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof Rooms 1st Floor BR. Patio... Recreation Room Rooms 2nd Floor' FIN. B O. B. Dormer Driveway Total • ti0 !p Town Hall Annex Telephone(631)765-1802 54375 Main Road N ,,aaxx(631)76595QQ2� P.O.Box 1179 Q roger.richert_TOWn.SOUthOIQ.ny.US Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION; (*Indicates required information) *Name: *Address: 0 �2. 'r-e, ' e"7!' �� �� k� *Cross Street: ' &A r�y� *Phone No.: 3 _ ZCe:i q �7_ Permit No.: Tax Map District: 1000. Section:— — Block: Lot: . *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ti --'e-7 ics6 4ci[6". kcely-% (Please Circle All That Apply) *Is job- ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES / NO Temp Information-(If needed) *Service Size: 1 Phase 3Phase 100. 1'50 200 300 350 400 .Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form - KULHANEK and PLAN August 12, 1991 — LAND SURVEYORS,P.C. JEL Abstract LONIMAtD9F9CE Amat61�l1ss IM P.OVMM.BOX 6B7 PA,BOX 178 P.O. Box 1007 LONG SUCH,NFW'YORX U11561 NA-. SCOTISCORNEH3 Riverhead. ny 11901 1SLFFH0NE:t5IBI431-'A58 WESM-ESTER AVENUE POUND RIDGE.NEW YORK 10576 BOP-Yi•5124 TFLEPHONE'(514)761.0334 FAX:WS-41 B181 ' FAX:Y14-:41.(M) Att: :loan 1� SURVEY JOB NO.: 91-36815 PROPERTY LOCATION Sound Avenue, Mattituck, NY PURCHASER: TITLE CO.AND TITLE No. PROPERTY SIZE Irregular Property $250.00 SERVING FIRONX,OROOKLYN,MANHATTAN.NASSAU.QUEENS,SUFFOLK,WESTCHESTER.RDOKLANO,PUTNAM G DUTCHESS 6101-4 :D a 1 r KIJL-HAHE:K P•L-F::,N F . a32 AV f4 0 V� 0 a O �7 dJ f ,d• n n.q V.G-, ru ' _•�P,M. v. n i. n^ 1'0 D -�1 co I b R T71x LOT /0 7}'1x'cO rl r y 63 7 g (V 0 . •0 0 •m "� 7')Yr EurSYENCE of PIc Pir ,IaS -1• :�.a•�ss �r�naasv. � -- — — • i [;IERGY C')Dr, REVIEW • (ttott-electric) 7E11d (Part 5) 6,000 degree.,jays Cor Per Uwgs f 7' c� ey C bated V Z I Envelope eonyonenL It-Value PxLerior Wall It-ill ltoof/ceiling It-19 Floor I1-19 toundaLlon Wall It-10 Slab Edge lnsulaLion Gla�ing It-1.7 Entrance Doors All IIVAC Equlpment Lo meet requirements of 701.4.11 All IIVAC Control, Sysl_"enmg to meet requirements of 78.14.12 All bucL Syatems* L•o meet requirements of 7BI4.1.3 All VentilALing SystenLI to tneet requirements of 7614.14 All Plping insulnt•lon Lo meet rerlultementa of 7014.15 All Service Wrnler. llenting Systems and Equipment to meet requirements of 7014.21 All Electric Systemq to meet requirements of 7BI.4.3.1 kit' To Lhe bast of my knowledge, WWI end professlonal judgelnetttt Lhese plans are itl con141ance with the code tz s 32 . t I 'i' - r Y.. 6^ b a iti,-: 4 '! `t -{f 0 Y ,'fib }} '( : "1 ate:: s' } -"'{- R a'y }* C _ #Y .. { . _ _ y a , !r 7 e .. _ `'b' Y . 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ON LEAD COP.TENT BEf,OIRL�'� •DATE:'• t if tuba is used , g' �", � , ' , 4 : . CERTIF/C:4TE OF OCCUPANCY= F> : �� - - �water distributing NOTIFY BUILDING DEPARTMENT 'AT ' SOLDER*USE IN WATER : Tss-1802 8 AM TO 4 PM FOR THE X . . s systerm piping shall be Q 't :", , _ . of types K or SUPPLY SYSTEM CANNOT �` FOLLOWING INSPECTIONS: RED " - ,� . . - —. _, -1. FOUNDATION ,TWO RE(2UI `.. a E ,' EXCEED 2110 of I° ,CEAL). R POURED CONCRETE , . ,. , - r „ . IO FO DERWRITERS MITIFUTE' . _ , 2.,-ROUG H fRAMING: I PLUMBING -f , IRED - „ - REQ U TO N r LA 3.. IN SU . A M B IN TI N `MUST ,, P�.0 , ONS�[RtJC. O - _ ''4. FINAL" .-C BIND WASTE C.O. .. PWM R E FO ��a ALL MPLET _.. _ - +. - �. _ -BE CO _ NEED - ONES HALL' MEET 1f11ATER 4 uCTION`'S r� 1` / _ - _ "ALL •CONSTR - _ > ,r' , . ' ' « COVERIND . ._ T OF THE 'N.Y.'' , r% . - Y �' TESTING BEFORE THE 'REOUIREMEN S A 1' f". .,. - - r, e • - - a I N & ENERGY .. /;' f S TATE CONStRUCT O . . . , - ; -` . . ., R . FO N 8 LE µi Y` SI P O E :RES , bES. 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