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Home My WebLink About5307-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENTi Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-22533 Date AUGUST 18~ 1993 %'HIS CERTIFIES that the building Location of Property 1600 JACKSON STREET House No. DWELLING NEW SUFFOLK¢ N.Y. StreOt Hamlet County Tsx Map No. 1000 Section 117 Block ~10 __Lot 12.3 Subdivision Filed Map No. i Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ 1971 pursuant to which Building Permit No. 5307-Z dated MAY 18, 1971 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 ONE FAMILY DWELLING WITH GARAGE UNDER & WOOD DECK The certificate is issued to JAMES P. MANNING (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BFJlLTH APPROYAL ' N/A UNDERWRITERS CERTIFICATE NO. PENDING - AUGUST 16~ 1993 PLUMBERS CERTIFICATION DATED Rev. 1/81 //uild~ng Inspector FOR~ NO. 2 TOWN OF SOUTHOLD BUILDIhiG DEPARTMEhiTt TOWhi CLERK'S OFFICE SOUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5397 Z Permission is hereby granted to: ................ ~....q.u~ .................. , ................. .............. ~0~,... ~t~...~be~e.. ~;~ ............... ................ ,V~a.p;~e a.... ,~'..1,a,.... ~31)~i~. i ................. to ..~ee.~ee~t,e..~,...c e'av,~'~...e~:i~'..ba.q..td.~..~e..~e~e~azT-. ~e~u~ame~t .... at premises located at ........ .~;..~...(.~.~q,q~.~..k~.L~b.,,e,~).,..,~ ......................................................... ....................................... .a/.a.....~Tac~_so~..~ ......... ~e~..~u~'~e3~.....~.~.g.. .................................. pursuan¢ to application dated ............................ ~,~ .......... ~$~,....J....., 19.....~:~ and approved by the Building Inspector. Fee $......~.,0~ ......... ................ f....~,.~z~ ......... ;......~,.: .......... ¢. ................. < Building Inspector / ! TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN BALL ~65-1802 APPLICATION FOR CERTIFICATE OFiOCCUPANCY be filled in by typewriter OR ~nk and submitted to the building inspector with the following: for new building or n~w 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/lO.of 1% lead. ' 5. Commercial building, industrial building, multipie 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 iplan 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 showihg ali property ~ines, arrears, building and unusual natural or topographic features. 2..' A properly completed application and a consent tol inspect~ signed by ~he applicant, If a Certificate of Occupancy is denied, the Building Inspecfor shall state tile reasons therefor in writing to the applicant. C. Fees ~ .. 1. Certificate of ~ccu~ancy - New dwelling *25.00, Aaditions to dwelling *25.00, . Alterations to ewel~ing $25.00, Swimming pool $25i00, Accessory building $25.00, Additions to accessory building $25.00. BusinesSes $50.00. 2. Certificate of Occupancy on Pre-existing Buildingi:- $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 y~ars - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential ~15.00, Commercial $15.OO C Old isti Buildi New onstructlon ....... f'..o Or Pre-ex ng ng...~ Location of Property .... Jackson $%reet New S~ffolk ~ House No. Street 'Hamlet ~Onwer or Owners of Pronert,~ James P. Mannin9 iCouuty Tax Map No IOO0, Section. ........ 117 ..... Block ....... 10 i~ ........ ;~o~' ...................... 012.3 iSubdiviSion ................................... Filed Map ' ;Lot Of Permit Applicant qlealth Dept Approval Underwriters ~pproval ' P1 g Board Appr al ' ilequest for: Temporary Certificate ........... Final Certicate..~ ...... Fee Submitted: $ ................................ . .~ ~ 9./~' ~' ' ,~ - ~ ~.. ' R '~'RDS ~ ~ ~ ~KAREN ~IRARDS ~ ~ r~ ~ ~ A T NEW SUFFOLK ~ ~OWN OF SOUTHOLD SUFFOLK COUNT~ N ~ ~ ~ ~ ~0 ~3 ~ ~ ~117~ -- ~ : Y'= ~0' - ~ July 15, 1993 ~ GREA T PECONIC BAY Area = 34, 753 sq. ft. to tie line CERTIFIED TO' ROBERT T. GIRARD$ KAREN CVRARD$ NORTH FORK BANK~ Prepored in occordance, wlth the minimum sl~ndords for lille surveys es egablished by the L.I.A.L.$. end approved =nd qdopted for such use by The New York $/ote Lond Title L i JUL2 II993 TOWi~OF ,,J' '¢ , P. O. BOX MAIN ROAD $OUTHOLD, LIC. NO. ~9618 ~'"~YORS, P.C. ~0 909 N.Y. 1197/ . _ . INSTRUCTIONS ua. ' 'l~'hlS'appllcat[on'm~Jst be completely filled in by typewtite~ or in ink und submitted in duplicate to the Buildi Inspector. b. Plat plan showing location of lot end of buildings on premMs, mlatlonehlp to adjoining I)mmlem oe .public streets must areas, and giving a detailed description of layout of property be drawn on the diagram ,~1¢h ic Ilmet M ~hil c. The work covered by this application may not be commenced before i~uonet of Building Pemdt. '! d. Upan ~ro~al of this appllcotlon, the Building Inspector will I..ue o Building Permit to t~ ~l~ll~nt, Such permit shall be kept on the premises available for inspection throughout the progreM of the work. ' e. No building shall be occupied or used in whole or in port for any purpo~ whate~r until o C~r~iflcate af Occupancyl/~ shall have been gront.cl by the Building Inspector. APPLICATION IS HEREBY N~DE to the Building Department for the issuance of a Building Permit pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances M Regulations, for the construction of buildings, additions or al.terations, or for removal ar demolition, al herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hou~ng code~ and rlgulatlonl. ..... cs g ' ....... ....- .. .... .... ............................ State whethe~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ~c~ez'..~Gd.. ~ezmz'&3....0 a~l;2:lLe.l~. ........................................................................................................................... Name of owner of premises ...... ]T/3~J~..~TLTI ....................................................................................... : ............................. .~- If applicant is a corporate, signature of duly authorized officer. 1. Location of land on which proposed work will be dane. Map No.: .................... ~ .............. Lot No.: ..~. ................ ....~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of propaesd construction: a. Existing use and occupancy ....... ~,~g~.l/...(~&l~'.q.~J~JC~,l::!.~,..g.g~.~.~, ................................... j;j; ................. ~'.. b. Intended use and occupan~O~jY.G~e,~li...GO.~.l;~, ............................................................................. . ........ L .... / 3. of work (check which applicable): New Building ~ ................. Addition .................. Alteration .~r ............ Repair .................. Removal .................. Demolition .................. Other Work (Describe) .R~].~41~,~;;L~L. ............ 4. Estimate~d Cost ...J~O~).,~).(~ ..................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling~n-its ....~1, ...................... Number of dwelling units on each floor ........................... ~ If garage, number of cars ~O~1~ ......................................................... ,6. If busine~, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ...~.0..~. .................. Rear ....2.~..s...]:.O..~.. ............... Depth .~.~ ............. Height .].~.~. ................ Number of Stories ....... .~. ........................................................................................................ Dimensions of same structure with alterations or additions: Front ...~...a~...?. ....................... Rear ...~....a~..e. ................ Depth .....SB.~. ................. Height ....~...a~...e. .............. Number of Stories ....~...a~...e.. .................. 8. Dimensions of entire new construction: Front ...l~Qi~.e]:l~li~l, ......... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... Date of Purchase ........................................................ Nome of Former Owner ........................................................ Zone or use district in which premises are situated ~ .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................ i ............... '", ' ' PLOT DIAGRAM Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate all set-back dimensions fror~ property lines. Give street and block number or description according to deed, and show street names and Ind~cat~ whether interior or comer lot. ~f~e' SvFFOLK - "t ~ I~' oF ~)1)1'#~/.0 - ..~FFe~4~ ~O~,l~r~-~..v~. I ! 10. 11. STATE OF NEW YORK, ! ee COUNTY OF .~J~IJLJ~O~ ............. J"~"~' ............................. · ~ ............................. EEI~..~J!T_~EJl][~ , ~ being, clg|y sworn, deposes and soys that. he is the applicant · (Nome of individual signing dpplica*tt~¢l~ above named. He is the ...l~r~el,. ................... (Contractor, agent, cbrporate officer, etc.) of~r~llr~/~a~-~:~l~, and is du|y authorized, t6 perform this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth .in the~opplic~to~, Rted tfterewlth. Swom to before me this 19.~.../. ...... ...... ....... ......... . . ,-,'"'1: !'YI_ ....................... r~otary ~ubli~,~-~-~4~2Z~~~.c~tCountyef:5~(,,~[K // (Signature of applicant) ....... ~ELI~BETH ANN NEVI~'!~, Y6~k - (J NOTARY PUSUC, State of HeW ' No. 52-81~50, ~Jlfolk Term Expires Ml~h TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: APPLICATION FOR CERTIFICATE OF OCCUPANCY Dated July 21, 1993 Building Permit No. 5307 AFFIDAVIT STATE OF NEW YORK) )SS.: COUNTY OF SUFFOLK) JAMES P. MANNING, being duly sworn, deposes and says: I am the owner of premises located at Jackson Street, New Suffolk, New York, SCTM No. 1000-117.00-10.00-012.003, having acquired title on June 4, 1974. The electric baseboard heaters were installed in the house on said premises in or around July - August, 1974. J~Manning Sworn to before me this 6th day of August, 1993. Notary Public INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] ~SULATION / [ ] FRAMING [~] FINAL INSPECTOR