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Home My WebLink About23811-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24780 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1225 JACKSON LANDING MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 5 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1996 pursuant to which Building Permit No. 23811-Z dated NOVEMBER 15, 1996 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 STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to `TALIACE & GINNY MACOMBER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FORM NO. f 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) N° 23811 Z Date ................ .. .................................. .. 19....... Permission is hereby granted to- ................. ... .. .......... ... . ......... c .�4... ........... .............. .... ................... ... — atpremises located at ........................ .�......... ..... ...................... .... .., ...................... .........................................................................cG . ................... .r........................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ........1./..�... Block ...................... Lot No. .v................... pursuant to application dated ...................... .. ..., 19.5. and approved by the Building Inspector. Fee $..............i ... .Building Inspector.. ................ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1.802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Y 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 a 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 - .25t. - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15. 0, Commercial $15.00 / Date �� u�o2- .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . !: . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. l0?�,7�/,�L'!�SGgI Nf/JD/NG—. . ITT< �� . . <"7 . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . l�.�G�GE��y/�G'/J!Y . �j?/ �2 . County Tax Map No 1000, Section. . ✓Z1.3./. . . . . . .Block. . . . .0 . . . . . .Lot. . Q.? . . . . . . . . . . . . . . . Subdivision. . . . . . .v-2- 0!�SPV . .Filed Map.k� ( V!�. . . .Lot. 21.3. . . . . . . . . . . . . . Permit No. .�` 4. . .Z. .Date Of Permit. . . .Applicant. .C�/�cL�� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .�. . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CO �� APPLICANT II.M.Ful loll 1wrolt-1, FM I ithAT I ON 1'0 0 N 1)A T 10 N k/A =2=ND�) ct 01 II ltf)i)(:Il FRAHR A I H-111 I NG SI) ----------- - ------ ---- HISULATIOU III,'It ti. y . -';TATIT CODF ----- ----- F 11-1 Al. ------------- nun I.TI0fIAI. 0 1 rT *UFFOLK COUNTY N � I EA1.TN DEpAA►UENT T•f� � . BINOIE FAMILY • h.DQ hrF.NO. LL1N0 ONLY �MTE L 2 g�T 16 I e��111�DON� A J"Al AND WATER ISUp aYdD BV NI6FOF20"00611p'ANO r I. '- L- LOT rctca�( U LOT 23 Pet v `� •i '/"y'P I.41 [ y p buy v! Q. It u, ti q, y. 0A 1J . S.880 34'40 W / LOT 22 � AREA 22,425 SO FT y O in • IvC/�� • I w r.; I JACKSpNr CERTIFIED TO . I S : LANDING `. LUNG !BLAND hiOR,TG AGE CORP. TERRA ABSTRACT WALLACE 1`4ACOMBER SURVEY O' �o LOT 23P� NIAP OF JACKSUN'S LAN ..L pf`, " 17Gp1 6 29 e7 /is [ FILED MAR 28 �j 1969 FILE NO. 5280 AT MATTITUCK TOWN OF SOUTHOL D U SUFFOLK COUNTY LANOS N . Y. A.lyC�9� 1000 113 - 05 - O8 SCALE I 4 0' + m DEC 30, 1986 1 ♦ I FEB. 2. 1987 T 10 49 E� OQ� N.Y.S�i LIC . N O. 4 966 8 PnPored In accordance tvm the minlmmn NE N ondarde for fills Surveys as edoblirhed by P L.S.the 1.I.A. and approved and adopted S I IR V E Y O R S ri ENGINEERS , P C . for iuch u,e by The New York State land (516 ) 765 - 5020 Tide Association. P.O. BOY 909 I TiOE LOCATION OFWELLS AND CESSPOOL SHOWN MAIN ROAD HEREON ARE FROM FIELD OBSERVATIONS AND SOUTHOLD, N Y. 119I71 DATA OBTAINED F/jo,,, OTHERS 86 - 796 C M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: V DATE INSPECTOR + BOARD 0F IIh;ALTII . . . . . . . . . . . . . . . I ORM NO. 1 ",-3 MFTS OF PLANS . . . . . . . . . . . . . . . TOWN OF, SOITTHOLD �SI1RVIix . . . . . . . . . . . . . . . . . . . . . . . . I31,111 DING DEPARTMENT `-'CIMCR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIALL SliPTI.0 FORM . . . . . . . . . . . . . . . . . . . ry L8 SOIITBOLU, N.Y. 11971 TEL: 765- 11302 NOTIFY: I:x:>tni rx�clF. ...... l 19. �� MA11, TO:a ...,_ _ -� G4/•�/�G�� , 19..... fermi l Nc�I/:. /`. ��✓�...��D( j�C/�5��-N�Q.. U i salyroved n/. ....................^............. 71Tiw ............................................ ........ ... ....� w ' C�!/4 ri Iding, lnslx-caor) , nl'P . CAT1ON bolt I11111.UiN(; I'h.R11 1 T INSTRUCTION S a. Ibis nIjAicalion nrrrst be corrgrlet:ely .filled in by tylwwriler• or io ink aril submiLted to the Iktildiog Inslx�ctor wills I sets of plans, accurate plot: plan to sc:al.e. bee according to schedule. b. PIot plan silowing locatim of 10t aril of buildings cm premises, re.laLioosidl) to adjoining premises or lxrbl is streets or areas, nod giving; a detailed descripLicm of Inyout: of property nzasL be drmm on the diagral which is ir.-rrt of t_Iri s all)] icalion. c. 'llte work covered by this applicaticm my oot- be cormrenced before issuance of iktilding Permit. d. UIX)o approval. of this npplication, Ole ]kill-ding; I.nspeclor will issue a Ikrilding Permit, to Lbe applicant. Such Irerrnil shall. Ix-- kept (Al Lbe premises available for inspecticnt Lhrcxrglixrt Llte work. . e. No building slral.l be occupied or used in whole or in part: for any lxirlxise whatever until a Cerlifi.cate of (k,cuparx:y shall have been granted by Ibe ikril.dinl; Inspector. A1111,1Cn'IJON T:i lflrl?I%IlY MDE-Lo lire lkrilding Deporlment for Lhe issuance of a lkrilding Permit lxtrsunnt: to the Ikti iding Zone Ordirk.ince of the T(xai of: ScxrLlrold, Suff-olk Ccxmty, Neta York, and other applicable l.:rws, Ordinances or Rrg,olal:icnrs, for Ow constructi.cm of Ixrildings, additions or ahaerations, or for m-lioval or d(nuolit:ion, as herein cktscril)cxl. lbe appAicanl: agree:; to ca,grly wills all alrlil icnble I: -7s, ordhimices, Ixri lding; ccrcle, lxxtsing c0(10., :nil regn iaLicnrs, aril Lo acioil MIC11orized inslxtclors car premises nrxl. in Imil.di.ng for rrec..ssar in,pecLicnts. ��. .......................... (Sigr><wire of nppl.icant, or nacre, if a corlrorat1m) � .-/has'-✓cKso?� A....¢/. .... ../c��.. (Railing; address of applicant) Slate ialrelher applicant is oraner., lessee; agent, nrchil.ect, engineer, general contractor., electrician, p1mbrer or. Ixrilder. ..........:............................................................................................ Narrc> of owner: of prcxnises ..................................................... (as crrr Lhe Lax roll or Incest deed) If nlylicanl: is a corlwaGon, signature of duly audvori7.ed officer. ......................................................... (Nature? and title of: corlx)rate officer) Ikrilders License No. 1111119,................... 11hadl.0 s License No. 1211 .. ............... h.leclricinns License No./tt0................ Ot.ber Tra(l e's License No.Z .'.............. 1. l.rx-a L i on of l arxl ors which prx lx>sed work w i I I be .._......... ........................................A ............._... Ikxrse hl ERier SLree.L ii ntlel' 03 0xrnl.y Tax PL-tp hlo. 10O0 SeecLioo ...1.�.�....... 111mk ..... ...... Lcrt: 0.... ... Scrlxlivisicnt AAI� *O�Lj.,0401,96............... hi led hi gi NO. g!........... Lot �I 3......... Mane) 2. State existing; use aril occupaix:y,.Off irr-ernises and inLerxled use aril cx.cupaoy of: proposed consLruclion: a. I:x i sL i ni, use aril occult amy _/!9...................................................................... b. intended use aril cx:cyrparx:y ... .. ................... ............. ............... 1. R-11 III L!'of will. (clieck %Ali(.Jk (11j)l ii�ilhle): R--w lkii Ming, X... . Mlit lot I ... ..... ... Al I eval:ion . . ... ..... lu!pa I I.. ........ ..... Roluval .......... ... Do-1110 I i L i 011 ...... ...... Other I-bilt. (Descripf:i(tl) .................... feL. ..... ......... .......... ..... .... (to 1)(! paid oil filillf, filis f: AAA I ing, ixsiix--r of t6ell in(; unit: & ..... 1knd)Lr of: I hN--I 11 ng t I i CS (',if each flcx)r gillilge, tafflAws- (if cart .... �1170.1. . . .. .. .. ... . . .. .. ... . . .. . 6. 1xi-i ims-ti, c(inivarcial or ijii)ied (.x:i:tjjWIW.y, 'fipe(-i fy oji(I re I I 0)(Cent: of each tylxe of use...&/"9.. .. ... .. . .. 1. l)i1lx!ll.-iiojw of exhil-ing tiLic ixhires, if joy: Froo( Ileac ...... ..... ... . Depth ... ........... ... . . ........ Roiber (if; St.ories .. ... ...... MlIx"Si011s (If 819w stilwAtire with alteriki. otis or 11(hliLiom-i: Front: .... .... . . ... Itear Ik:INIt ... . . ...... .... .......... . . . 1151he-r of Stories .. .(7AIr .. .... Dillensiolls of: eill !ve lx-.%4 CoflSLrkM:l:i(x1: Font: ........W)Ftr— l(Cill. ... . .0.6r.... Depth . ./0?o7T . ...... .7"C77 . Stories ........... . ..... Usibar of: - j . . .aAX. . . .... .... . 9. .`lice of lot.. Fro-ifir ..... L1T. 13-U epti ..�?L FT........ .... . Ill. k-ae of; 14;xlx-1 OfFol-11101- 0,411el-, If. hxre o.r use discrj(-(: io jAlj(:ll prollises are -Aullated .................... .......... 12. liows prolxrsed c(xjjjj-jj<:Lion violate any zoqjig,j) Jim, ortlilliliko-C or I-el, &or .. .. . ......... . .... li, o : Will lot: Ile regrimiLd .............. ....... Will 'excess fill Ix: reiiiorved from prey/rises: Yll S of Owlwr of Athirent-Mo x5ihalesu)�t lliofw! Maw of: Ar(Jilte(:L Ivitll-ens A . . ... . ...;.... ........ . Mono! 1A). .. . .. . . . . . . . . N-11110 of Uxl(:raclor .................. .................. Address .. ...... ............ ... ........11jolux h 111hi plolko.-rty wit.1111) 3(X) feet. of it t:idal W-Clikikol! * YES .... .... . . . .. ...... A IF A" 'XXIIIKXI) '1114N '114IS-111-S JJAY m jugpil(ll). PLOT DIAGRAM lix-ale clearly anol dist-incl:ly all liflil(lilig. , IAIejller I! is:i x I fig or proposed, jilki ilvii(.-Ite all set'-back tlinlen;;iox1 higil proix.-l-ty linea. Give sumet: aril block ibtziber or according to deed,,-anol Mimi sl.reel: ljjvjv:!Ij jllxI irvli(-jj(I! 'AltAllor inferior or coriwr lot. 6F1 135 pr AP ED AS MOOED DATE: 8.P4 FEE., RY ro N El A OTIF BUILDING DEQ T 30 jL7 765-1802 9 AM TO 4 ,PM FOR THE J, FOLLOWING INSPECTIONS: �t'tJ -a I POUNDATION - TWO REQUIRED 1� R POURED CONCRETE 2. ROUGH FRARAING & PLUMBING 3. INSULATION 4. FINAL RUCTION MUST ST G CO�4. BE COMPLETE FOR C.O. ALL CONSTRUrTnoly SMALL MEL-T THE REQUIREMENn OF THE N.Y IRA=- TE CONSTRUCTION & ENERGY CODES' NOT RESPOPISI13LE FOR 30 r- r DESIGN OR CONSTRUCT'ON FERRORS (XxItiry IN jp .. . ... . .. . .. . . . . .. . .. . ...... . .. . .befog drily (lelloses illKi'shys that be h'i the ;11)1)li(.Ijlll (14;111! of ilKliVi(Itlill Nill,11ilig Ilawd, lk! i!; lilt! .. .. . .. .. . .. ... ..... (Onitractor, agent, corliorille officer, Ille Wlid VX)11( IIIKI to 111rilte alkol fill! Illit; of said (mom- of. owlKwil, 1110 in dilly nilt hor ized I:o I K!rl:()"" or 1)'JV(! ;1loplicn0oll; llial. .111 Walclivo(ij coll(ailved in Illiff ;Ipplicarioill arc (me to the bmil: of: hill k1KA4l0lj-,(1 ;111(1 IX?Iit!f:-' iliml 111"11. (he ")fit will be lio-'rfollwd if, the liviiiiwt, twt: Forth in the ap()lic;ii:io,i filed merei,)illk. !XAIIII Io Ix! o 111(2 111i.-I C- . . .. . .. ... . Y I [kilary hild is .. .... .. . . . . . . . .. . . .. . . CLAIRE L.GLEW 0,;i Ip vi I t I re oh Applicant.) Notary Public,State of New York No.4879505 Qualified in Suffolk County Commission Expires December 8,19 mop AV I I