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Home My WebLink About12843-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14318 Date ..... B~r.c.h ~5 ..... 1986 THIS CERTIFIES that the building .... Ona. f ara. L1 y. fi.vie 11.i.:lg ..................... Location of Property .830. Jacksons Landing Mattituck County Tax Map No. 1000 Section 1. ] ¢ ......... Block ...... 0. 6. ....... Lot 00 ~ Subdivision .... .g.a.q k..s p.n.s...L.a.n.d. 5..n~ ........ Filed Map No ......... Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated .... N ¢ v.., .30 .......... 19a 3. pursuant to which Building Permit No...1.2 @ 63,Z ............ dated .. J.an...1.9. ................. 19.35, 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 ......... , Oaxe. family..dwelJ~ing..w, ith..d, eck. o,r~q/ .a.g.~.c.h. qd. garage ............... The certificate is issued to ..... Le on~.ncl. &..J.~y J3.e. C }c .e ,n. s..g ~ .i,n. ............. (owner, ~j[exo~ Xc~ X ........... of the aforesaid building. Suffolk County Department of Health Approval ~ 3- S O- 19 ~ N721538 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FOltM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12843 Z Permission is hereby granted to: County Tax Map No. 1000 SectiOn ..... ~/...~.. ......... Block ...... ~..~. ....... Lot No ...... ~,.~...~... ..... pursuant to application dated ....~..~..~ ....... ~..(~. ..................... , 19..Z,.~and approved by the BuildJng Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 1~971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ =,,,=~=- to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwe[iing 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 New Building ............. Old or Pre-existing Building ............ Vacant Land Locat,on of Property... . ......... Houee No. Street f Ham/et Owner or Owners of Property . ~?'-"(:2~/~/¢,¢~/~.~..~... ~.~"~. ~... ¢~-~,~..~..~"-/, .~.. ........ County Tax Map No. 1000 Section .... /./. ~. ...... Block .. d)~ Lot O~-~; ~/ Subdivision. ,~.~.c..~.`. ~./:~/~¢'~. ........... Filed MapNo ........... Lot No...~.. ........ Permit No./..Zf. ?..~/..~ ZDate of Permit .f/~ .~./.~..Applicant .~;. Z~..C~....~..(.~..~-./..~..'....~... Health Dept. Approval ../. ..................... Labor Dept. Approval .~'~'.~... ............. Underwriters Approval../~.. .................... Planning Board Approval 4.~..,/~ ....... . ....... Request for Temporary Certificate ..................... Final Certificate . Fee Submitted $ Construction on above described building and per~e.e~ic~codes and regulations. · Applicant ~,.. ~/,,~,~~~~"~ ....................... Rev. 10,10~78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,000~:J'7 BUREAU OF ELECTRICITY ~[ 85 JOHN STREET, NEW YORK, NEW YORK tO03~ THIS CERTIFIES THAT in the/ollowing locatlon; ~ Basement ~ lst FI. ~ 2nd FI. ~Tar ag~: Section Block Lot ~ 8 was examined on Jamaary L ~ ~ ]. ~'-~ ~ ~ and found to be in co~npliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 26 DRYERS 33 R V C AWG, OF CC, COND. AWG OF HI-LEG .L OF NEUTRAL 2/O OTHER APPARATUS: GENEI~AL MANAGE~ This cert,f,cate must not be altered ,n any manner; return ,o the off,ce of the Board ,, !,ncorrec,. Inspectors may be identified by their credentc~s, t~1 I FIELD. I~S~P E C T I ON FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: 10-83-1334 PERMIT UNDER THE ENVIRONbtENTAL CONSERVAIION LAW Fq ARTlCLE15, (Protection of Water) ~ ARTICLE25~(TidaIWotlands) ARTICLE 24, (Fresh.rater Wetlands) ARTICLE 36~ (Construction in Elood Hazard Areas) PERMIT ISSUED TO Leonard and Jay Beckenstein ADDRESS OF PERM!TTEE 35 Lumber Road Rostyn,__N___e.w York 115'76 ~,! LOCAIlON OF PROJECT (S¢cHen of strPam, t~dal weLland, dam, building) / ~_th _s_i_d_e of Oacksons Landing~ west branch of Mattituck Creek, Mattit~ck' DESCRtPHON OF PROJECT Const_r~L~_~ingl~_f_a_m_i~.dwelli_n~g a mini~Luu.m pf 7_5~ _!_a~w~a_r_d ~f__t~he hJ_gh mm~stL, install a sanitary system a minimum of 100' landward of the high marsh, and co_n_sJl.r_ur.t a__~.xRQJ~ ga_r_a_ga i~he JA_O]:.3g]2,.~_a_F~Ig corne~r__o_f_J~tke_4kr--oJp~rty~--~%~] activities as per supplied plan 'received October 24, 1983. COMMUNITY NAME (City, Town, V dlage) ] TOWN Mattituck , South~ld COUNTY. 1FIA COMMUNi]Y NO' 10A~ NO' IPERMIT EXPIRATION DATE .' ' Suffolk I 1231/85 GENERAL 3. The permiHee shall fha ~n the office of the appropriate Reg~onat Permit Administrator, a qot~ce of intentio~ to commence work at least 4~ CONDITIONS 8. That the State of New York shah in no case be liable for any damag? of miury to the structure or work herein authorized which ma'~ be caused by or 9. That if the display of lights and s~gnals o~ any work hereby authorized is .ot otherwise provided for by law, such Iights and ,~ianals as may be pre- scribed by the Umted States Coast Guard ~hall be installed and mamtaiq~d by and at the expense of the owller. 10. All work carried out under this permit shall be performed in accor- l, There shall be no distrubance to the vegetation or topography 50' of the high marsh. 2. Construction of house must conform t~ local and federal flood ordinances.. '~.~.~.,~ ~:~ ~ 3. No fill is allowed without permission of this office. '/ within plain Special Conditions A through J. PERMIT I$SUF DATE USACE B. Barton Daniel $. Larkin 8ERMI~ ADMINISTRATOR 11794 BUILDING DEPT. INSPECTION FOUNDATION XST R UGH' PLBG.~ [ ] ;FOUNDATION 2ND [ ] INSULATION FRAMING £ ] FINALr DATE 7GS.IS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH,PLBG. ~ FOUNDATION ZND [ ] INSULATION MING [ ] FINAL DATE,,, ,~1 'NSPEC3'OR 76S~802 BUILDING DEPT. INSPECTION [://]/FOUNDATION '"ST [ ] ROUGH pLBG. [ ] FOUNDATION 2NDr [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: iNSPECToR · ~ FORM TOWN OF SOUTHOLD BUILDING DEPAR'I3~ENT TOWN CLERK'S OFF'ICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE tkat your application da~ed /~~?/E. is returned he.with and disapproved on the following grounds..~2C2g~ Building Inspector iI /'POr~/, Re,c ~e Area . OF HEALTH $ERVIC~ [RUCTION ONLY ~CJ( ~ LOT -K~ ,, I OF S.88°34 '40 AT. MATT/TUCK TOWN OF $OUTHOLO. . SUFFOLK COUNTY, NEW YORK SURVEY' FOR LEONARD 8ECKENSTEIN ~ dAY BECKENSTEIN oc~. z/.19e$ LOT NO, 8, " JACKSO~ ~S LA~DING " SEPt 15, 1983 DATE: AUG. ZG, 1983 SCALE: /"= ~0' NO. 8~ - 706 GUA~ANT~ffO JAY BECKffNSrEIN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined . .t'. ;> ..... , I Approved ~.../S ....... 192/~?ermit No//..~.~...~. · ·.-~ Disappro e a/c Z'5 ............. ~/~_.~ (t'~- r (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlds 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 ~emoval,,c~r demolitij~ as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, l~g cod~,/a'fid regulations, and to admit authorized inspectors on premises and in building for necessary, inspecti~~ ,~. _."-- ----- '~/~' '~~' ...... '~'.. (Sig~~~am~e,~ if.~,a corporation) ............ , .,---.-- ,--- (Mailin~ address-of applicant) State whether applicant is ~wner, lessee, agent, architect, engineer, general contractor, electrician, premier or ~uilder. ............ .~ ..~. ?...~.~ .w~.. ...................................................................... ~me of owner of premises ... ~<?. S~..~... ~.~... ~..~... ~..~r .e~..'e..~.C</..~. ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Na~ne and title of corporate officer) Builder's License No .... .~7>~. '.~. ~.~'/ ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work wilt be done....~./c~....~..r,;..~.~ .~... ?..~.....xq/.~.q f.<~5 o .~.K..A .&TZ°. ./?( iq ¢. ......... .~..F. 5.~ .......................................................................... House Number Street Hamlet County Tax Map No. 1000 Section ..... / ./?. ......... Block .. :.~ .............. Lot ..... ~[~...'~'. ........ Subdivision. ,'~)¢.R~.~'P.~..~... ~o/..~M..~e ......... 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 ............................................................. Intended use and occupancy ..... ~.. ~..~..~./..2.. '2' ...... ~r~. (,~)GT..~.~./.~/. ~..~..~._ ~.~.~ .~...~.~-'~.' .~i .... b. 3. Nature of work (check which applicable):lNew Building . ~ ...... Addition .......... Alteration .......... Repair .............. RemoVal .... 1 .......... Demolition .............. Other Work ............... ,~ (Description) 4. Estimated Cost .... ** ~..¢ ?..~..~. ...................... Fee ...................................... i I (to be paid on filing this application) 5. If dwelling, number of dwelling Un~itsd/~ .... ~. ....... Number of dwelling units on each floor ~J~..~...,~ ..D.a..~?.. If garage, number of cars ..... ii-'[. ~.o'¢~ ........................................................... 6. If business, commercial or mixed occupar, 7. Dimensions of existing structures, if any: Height ............... Number of Sb Dimensions of same structure with alterat Depth .................... .. Heighl 8. Dimensions of entire new construction: Height ..../~./tYT.~'" ...... Number of S1 9. Size of,lot: Front .... /~.9....i ...... 10. Date of Purchase ........... , ...... 1 I.. Zone oi' use district in which premises ar 12. Does pioposed construction violate any z 13, Will lot be regraded .... ~'~:~i ....... 14. Name of Owner of premi/~ ,,~*EO,O.t,~,~ Name of Architect .......... i ........ Name Of Contractor . .fi~,~/.~..i i~. ¢~.~7~. Locate clearly and distinctly property lines. Give interior or corner lot. STATE OF NEW YORK iS.S COUNTY OF ............... i (Name of individual ' above 'named. ae is ..... ..... . .o:&.. of said owner or owners, and is duly authoJ application; that all statements contained in work will be performed in the manner set forl Sworn to Mfore me this I ........ . . ! ........ day o,... Public, [00~s [o~^~al J Notary No. 59.,-45121 JU . .~ cy, specify nature and extent of each type of use ..................... Front ............... Rear .............. Depth ............... ~ries ........................................................ ons or additions: Front ................. Rear .................. ...................... Number of Stories ...................... :ont. .~7~/..c~..: Rear ...qS~. ........ Depth ..~.~.., ....... ~ries ....... i~ ............................................... ... Rear ....... ~Q~..7 ......... Depth ..../.~.0 .............. .......... Name of Former Owner ............................. situated ..................................................... ~ning law, ordinance or regulation: ................................ ............ Will excess fill be removed from premises: Cfi-b/ ......Address/./~Vf,~,~4 .'M..~..~.°.. '.~Phone No. PLOT DIAGRAM whether existing or proposed, and~indicate all set-back dimensions from ~tion according to deed, and show street names and indicate whether ~..7'.c,T/..~. ...... being duly sworn, deposes and says that he is the applicant Contractor, agent, corporate officer, etc.) ized to perform or have performed the said work and to make and file this Ihis application are true to the best of his knowledge and belief; and that the in the application filed therewith. ~iI .x ......County ' .~.~----'L~/>~ ' '~ ..... ~ig}l'ature of applicant) ' ~ ~ ~.. _ - ~.o ~, o ~ ~.~ / , ,~ ~~ ~ ~ ~ /~ /~' .70 ~ s~'-. [,, ~ _~.. SURLY FOR LOT ~0. ~, " JJ~SON '~ LJ~D/NG " FOR APPROVAL OF CONSTRUCTION ONLY ~WN ~ SOUFNOLD su~vgY m · v)~TmoN ~ S~CT(ON 7~0~ ~ THE APPROVED~~ MCOPIES ~ ~IS S~VEY NOT MARW6 TH[ L&NO HEAL~ OEPARTMENT-DATA F~ A~ T~~ AN0 re'HIS ~HAC~ ~ T f T~TCE C~P~Y,~OV~N- ,..,,~.,~. ~....,..., ~..~.,...~. ~o,.,., WILL c~FORM ~'THE ITANW OF THE SU~K CO~Y~R~N~ /TO EXIS,TING STRUC~RE~ ARE FOR A ~PECIFIC OF HbLTH S~ICES. ) %/// / ~ ~ PURPOSE AND ARE NOT TO BE USEO TO ESTABLISH 6 YO --., YOUNG UNG NOTE: MONUM~N? OF~UFPOLK COUNTY ON MAHCH 28, 1969 AS FILE NO. 5~.~1~ ' I I HOWARD W. YOUNG, LAND SURVEYOR N~L~L(W),~ICTANK(S~aC[~OL$(~)WN~RE~ ~ ~ ~1) N.Y.S:LICENSE N0.4589~ Lot 7 'SINGLE FAMILY DWELL~¥ ~he wa%er supply and sewage dlsposa~ system for this residence will form to the w~,a'~dard of the Suffolk Ceun%y DeRar~m~n~ of H~alth llq~ 5uI~OLK COUNTY OEPARTMEN! OF HEALTH SERViCE~' FOR APPROVAL OF CONSTRUCTION ONLY HS REF, NO. ~PROVED SURVEY FOR OCI: 21, 1985 LEONARD BECKENSTEIN ~ dAY BECKENSTEIN s£/r.~/ /~8~ LOT ~0. 8, "JACKSON'S LANDING" sEPr.'/sj/985 RK NO B3 706 I SUFFOLK COUNTY, NEW ~ ' - I ~~TI~ OR*Om~ON m m~S GUARANTEED H[~ ..,-...--.--...- / P~PERTY LINES OR FOR THE E~ECTION ~ FENCES I%,,~& ,~% ~ {[ II i ~/ .owA. o w. vouNG, [A.O SU.VE~O. , I~ ~ I) N.%$.LICENSE N0.4589~