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Home My WebLink About14826-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector , Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16082 Date August 20,. 1987 THIS CERTIFIES that the building .,..A,dA ~, ,t ,i,o,n. ................................... Location of Property 700 Jacksons Landing Mattituck House No. Street Hem/et County Tax Map No. 1000 Section I 13 .Block 04 . .Lot 9 JACKSONS LANDING ....... 7 Subdivision ............................... Filed Map No. 5280 .Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... A. I? .r ,~.1, . ! .7 .,. 1 9 8 6 pursuant to which Building Permit No. 14 8 2 6.Z dated . ?..a y, .3. ,...1.9.8.6. .............. 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 ......... Addition to existing one family dwelling as applied for. The certificate is issued to JOAN ZE I SLER ..................... .................. of the aforesaid building, Suffolk County Department of Health Approval ........ .~./.A. .............................. UNDERWRITERS CERTIFICATE NO ................ .N. 8..2 .7.7.4.9...A.u.g.:..1.8.,.. ! .9.8.7. ........ PLUMBERS CERTIFICATION DATED: June 4, 1987 ...... ~uil~ing'I~lsl~dC't;; ...... Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALt. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1~82(~ Z Date ....... ....,. :.../..;...-~...~ Permission ~s hereb! granted to: ....... .~..~..~... ~a,,,ll,....~ .................. '....~.~~.,....~..:~.,L.LL~..!...o. .............. o, ,,r~m,~,~o,ed a, ...~.~ ......... ~ ~.,.~.,~....~. ~.,~...U......~~~ .... County application doted ...~.......~..~. ........................ , 19..~...~..., and approved by the pursuont to Building Inspector, Fee $.~..:.~.. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF CC( Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the foitowing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and .~nusual natural or topographic featu res. 2,Final approval of Health Dept. of water supply and sewerage disposai-(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. B. 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC'ons truc t/on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No. Street Ham/et Owner or Owners of Property . .C?~, ~./~, , . ,~,e.. ~.~ ~.~,~t, ................................ ... .. .. .. County Tax Map No. 1000 Section ..... [. I..~, ...... Block .............. lot .............. · Subdivision ................................. Filed Map No ........... Lot No .............. ......... o Permit No. J.~(~2-(~ ~>, Date of Permit ~'b.l.~.~. . .Applicant ,.~! .8-~.. .... ( ..................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $~.~ .......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .............................. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1.000307 BUREAU OF ELECTRICITY r~ kh 85 JOHN STREET. NEW YORK, NEW YORK 10038 ..re AugUst 18, 1987 43674?/86 '""""""0'~°'""~"' N 827749 Richa rd ' ~ ~ ' ' ZEI5 L.~.f~ in the followi,g location; [] ~a.$e~nent [~lst FI. Lot ~sexa,nlnedon A%~S~ 10, 1987 [~ 2,~d FI. Section Block ,nd found to be in co,npliance with the requiretnents of tt s Bourd 25~ ll 25 FURNACE MOTORS FUTURE APPLIANCE FEEDERS DRYERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECt~ OTHER APPARATUS: NO OF HI-LEG / A W G, OF HI-LEG NO, OF NEU'IRAt$ , A. W G OF NEUTRAL ELEC~ ROOM HEATERS: 1-2.0kw.~ 2-1.5kw.~ SMOKE DETECTORS~2 TRACK LIG~TI~G~ 20'-0"~ 6 lights Joseph J0 Frohnhorter Main Rd. Southold, N,¥. 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors be by their credentials. COPY FOR ~UILDING DEPARTMENT. THIS ( ~,NY MANNER TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOIJTHOLD, N.Y. 11971 C E RTI P I CAT I ON TEL. 765-1802 Building Permit No. I ~ ~ ~- Owner ~o~ ~3L4~A (please print) (p~ase print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~mber ' s~ Sworn to before me this A%h day of Juna 19 87 Notary Public, Suffolk ~ERNADETTE L. TAPLIN i~0TA~Y PUBLIC, State Ct New York #48448c)3 - Notarxj P~_ub~/ic County MR. & MRS. RICHARD M. ZEISLER FIELD INdirECTION FOUNDATION ~(lst) FOUNDATION (2nd) COMMENTS INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Transmittal B.eyer Bhhder Bdle Architects & Planners 41 East 11 Street New York, New York 10003 / ~ TV r~J~---~_) Nt ~. 212 777 7000 ) We are sending you [] Attached [] Under separate cover [~ail [] Via messenger The following ~!Ws~, '" - - These ~.~transmitted ~or your use [] As requested [] For approval ~revie; and comment [] Approved as submitted [] Approved as noted [] Returned for correction [] Copy to ~16 N/~!'~ 76.5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL REMARKS, ~'~/Sr-'//.'~'/,~*~ DATE ,,/~//~/~ INSPECTOR /~~ 7GS-180~ BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION £ ] FRAMING [ ] FINAL REMARKS: ,~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [/~FI~L 765..1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~AL 7GSJ.802 BUILDINO DEPT. INSPECTION FOUNDATION ~,ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~'/~/~ ~ '~ INSPECTOR 'FORM NO, 1 TOWN OF SOUTHOLD , ~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ', TEL.: 765-1802 Approved a , 19 g.~. Permit No. !~.~.~ .~. 5. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ....... . .... ,19., . 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 insp, cctions. __ ~ /J · t .3.. .o. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~'}fi'~' ..'~..~. (.'f.~. · .~. ..................................................... (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..~0.5~. ~!~..~..'l(,t,S.O~.~ ....... Plumber's License No. /-[~-J4~'~, ,~, .~J,~'.~¥~.~.~ ...... Electrician's License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done.. !..O-~., !~..J..{~..~..c~..B~.5....~...~d)~ ................. ....... ?.o. .... ........... ................ : ttouse Num bet Street Hamlet County Tax Map No. 1000 Section .... [ [.'~.. .......... Block .... .'~ ............ Lot .... ?. ............. Subdivision .d ~.C~.~.~'~. Lc.~.V. t4~ ........... Filed Map No...~.Z.~..O. ...... Lot...'7 ........... " '(~qame) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~?.d.t. r~,~..c~ ....................................................... b. Intended use and occupancy . .&d.(~..¢,f', .c¢~ ...................................................... 3. Nature of work (check which applicable): New Building ' Addition ~ Alteration Repair .............. Removal .............. Demolition ............ . Other Work ............... .~ ~..~.10..~. Fee ; (Description) 4 Estimated Cost ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit on each floor ............... If garage, number of cars .... Iq,,.&., .................................... I ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use .... ~t,. ~t ............. 7. Dimensions of~existing structures, if any: Front. 5~.~. . ~)[0-~b5 .... Rear ........ i ...... Depth ....... : ....... Height ...~ .4~ .......... Number of Stories . I.~.t~ , Dimensions of same structure with alterations or additions: Front .§¢¢..[~g¢..¢. i Rear Depth ...................... Height ...................... Number of Stories... l ......... '.; ....... 8. Dimensions of entire new construction: Front .%e .........1~. Rear ........ ~. ..... Depth ............... Height ..... I .~ ........ Number of Stories .ei . ,[~.1~.~ ................ .......................... 9. lze of lot: Front ..... LO? .............. Rear ..... [ ~.'5 .......... Depth ...ZJ.7.....~1~0,..g.O.b.. 10. DateofPurchase .. a).7.9..~ . · . NameofFormerOwnar i I~ ~. .... 11 Zoneorpsedistfictinwhicbpremise~aresittated hl~.¢c, tp..I. ~.'~.[~.,..~t~K.~.~rd-la~..i..~.V~.l'~.t~..~...Mq~t.~4..g~., 1 2. Does proposed construction violate any zoning law, ordinance or regulation: .. ~, ........................... 13. Will lot be regraded ....~e.5.,. ........ : ........... Will excess fill be remove~ from premises: Yes ~ 14. Name of Owner of premises .J.o~. ~et~l~. ~ ....... Address .~.lS.g~efl.q}:, .~.~[~t. Phone No.q2& 73.7.~ .z~7/~... Name of Architect . ~O~tJF. .................. Address ~ I~ ~.~.. BLY~. )~ t).. Phone No.~l~ .~. ~..~.~? 1.~.... Name of Contractor .,~Oev~.~. ~.\...C-..~.I~¢. ........ Address ~.~ f:~.q,l~l~.~c,~.,., Phone No ................ 15. Is this property located within 300 feet of a tidal wetla~'d?~ '*' rYes t~F.... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block numbe~ or description according to deed, and show street names and indicate whether interior or corner lot. ' T\~LE- t~¢ 't~O~)~Obt~b ';' ' "'~"' ' ~"'"~" ' ' ' ' , , , .COUNTY ., .- ......~ ~ - · · . .... · ....... being duly sworn, deposes and says that he is the applic~t abuve l~mCd. He is the .... ~. ' ~ ' " (Contractor, agent, corporate officep, etc.) of said owner or ownem, ~d is duly autho~zed to perfgm or have perfomed the sa~d work and to m~e and file t~s application; that all statements contorted ~ this application are true to the best of hi~ knowledge and belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith. Swom to before me tllhis~ ~ ~ '0' ~ ~ml~mn ~ro$ Nov. ~, 1~ ~ ~b~ature o~ a~pilcant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIHCATE OF OCCUPANCY APPrOVeD A~S NOTED NOT',F~ ddlLD!NG ~EPARTM~T AT 1802 9 ,~M TO ~ P~ FOR THE SOLDER' USED IN WATER SUPPLY ',SYSTEM CANNOT EXCEED :2/10 of I% LEAD. PLUMBER iCERTIFICA TION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY .WP-%T / // 1 0 rtl'F, ~.0,0 Ap..C ~50,0 ~..AD, 750,0' 51TE PLAIN ~ NOTES 5 C-...,A,b m-4 J"= ADDITION TO I~ESIDENCE OF MP-.., ~MRS. F.,ICH/kR.D J/::xCKDON~ LANDING, MATTITUCK.~ ~UTHOL..~ ,N,'K / N,Y,C,, iX~ 0 P---_.T PI ' / \ , \ / ! -- ! ~LEV, ATION-- N,E.-W II W P----.~T ~-L-~-V~'T ion - NEW WIN6. W.F-ST .P__..L.F_-V/,,,-flON- ~'Tl~'-'f ELEVATiOND /NDDtTION TO P-,.E%IDF__.NGE OF JACK,SONS LANDINIC, i-, ~ATTITUCK.~ '~:2 gr[' HO L'I;,, Ixl,'f, (Z. lZ) 777-