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HomeMy WebLinkAbout26120-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27333 Date: 09/29/00 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1380 JACKSONS LANDING MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Taz Map No. 473889 Section 106 Block 9 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28, 1999 pursuant to which Building Permit No. 26120-Z dated NOVEMBER 3, 1999 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES A HINSCH (OWNER) of the aforesaid building. Su rFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELSCPRICAL CERTIFICATE NO. 43819 07/25/00 pLUMBERS CERTIFICATION DATED N/A /Ythor,tzed Signature Rev. 1/81 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. 26120 Z Date NOVEMBER 3 99 Permission is hereby granted to: JAMES A HINSCH 1380 JACKSON LANDING MATTITUCK,NY 11952 for CONSTRUCTION OF ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1380 JACKSONS LANDING MATTITUCK County Tax Map No. 473889 Section 106 Block 0009 Lot No. 017 pursuant to application dated SEPTEMBER 28 99 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE 6 CHIMNEY REMARKS• L9r�-f=if2 DATE INSPECTOR /"""� TOW14 OF SOUTHOLD BUILDING DEPARTMENT 5 ,� , .. ' TOWN HALL n 765_1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of rjzters. 4. Sworn statement from plumber certifying that the s l er'; s14 ��npsy�tpm t, less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple res id es and similar bi and installations, a certificate of Code Compliant f.rom c and engin( responsible for the building. _____ 6. Submit Planning Board Approval of completed site lan requ cements.-Lidii B. For existing buildings (prior to April 9, 1957) non-conforming us`;v '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building ai unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state 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.. $2` Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildinc - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential //w(?$15.00, Commercial $15.00 Date . . . y10 . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. ./.38.�. %�Q!YS•:�: ?��� N. C . . . PIQ: < .. . .. .. . . . . , . . House No. Street Hamlet Onwer or Owners of Property.. a rr., :�• •• � . .. . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .1 d.�. •. ..Block. . .Q �. .7. . . . . .Lot. . .Q.1. 7 . . . . . . Subdivision. . .//.._. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .L//ottt.�n. . . . . . .`. . . . . Permit No. .�P. 1 �. Date Of Permit. . .!/�/ �/_ . . . .ApplicantSl�C!9.-�Q �`�(�- /3ui-Iders. Health Dept. Approval. . . . . . . . ..... . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $.��.•�U . . . . . . . . . . . . . . . . . . . . lSY x'k . . . . . . . . . . . . . . . . . . . . . .s S '�,,"-. PLICANT Co � .2 33 /•$••i�S1. .-1�i r•., tr."��aa`,,°i•y`.\,•,`✓� ••'r•'ii /.,fly .; �••:'•' r:='�1'�'3%:. '.�.'•'• .,�1, .a �+�y p'y ,i l+,�•S„w i., Vs . .5, 1Pi/+•.• . .t+'.5�1 ii• S• :•N•P'iti .,1. �.1 �i1•.• ..i-.'ll{Si .i.4• �i%:, n.•,� /l} .lye'• =S%i^..:�Z��',�„+e�:,iN. yiit�.;+�S��i�iP + 1! �}r a X011+i 1,%.�.�i s,��"`Z!•}aty�-•6 1/ +S r'•.:�a+1.5.�R�• :i i I .\1 1Jp•S al�•f�• ;7:ty�ay��l♦p r.,..w.\iyp yy}, i"Z d'�. y is•Ja yl l :=l(,. �yh;).+�'� ,-a��,.11,.•; b..i..v,• y,y .'n�.-"a.}w+' I• 1,/, ♦\l+ I/N 11,.• �' �\�1 I �• ��'1•I N�. 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Lic.# 4141-E >~�. ltd, was examined and found to be in compliance with the National Eleetrical Code N;, ;,• ❑Attic ❑1st Floor ❑ O/S Residential El Pool ❑ Det. Garage ecct� w ❑ Basement ©2nd Floor ❑ O/S Commercial ❑ Hot Tub ❑ NV Defects <� Switches Receptacles Fixtures GF/ Heaters A/C Fans $ 3 11 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal �- <7a<` s-`;y� =- ` Furnace Oil Gas Circulator Smoke Detector Bell Transformer �,. Meter Amps Phase Motors Telephone Television Carbon Monoxide r - Other Equipment: AND ❑ _�»> s Hugo S, urdi President h a, r This certificate must not be altered in any manner du =q= Building Permit No. Inspectors may be identified by their credentials r ��K/Y i/ a !: d ../! r to b.-/ ,. 5aa laa �I it 5\Nil i',. 5ta•i!/h \\lAr✓•i h..�aa\/!f' ¢.; 'iaa7.�i/i:'• .N`aa•►iS�!i aa�rrl �a� .-- . i`�•z"`.aa "/'!„�� !! \`! ,, \t f'f3', :.vf', \`.QS !r�•r,! !1 1 ala\ ./Ii, . iS•.,. ..., �a aY' �rd• .�i• !;�1:aZ\ .h!�M•T• \a.v!r .�iv�'I' .51 `:v:' •i t}i•• �v �✓ .t-, ..•S•.r..{7..\\v,•i. •tu,,a.Z` f;•:+r'.. e`er'•- �`v'. '.a .r-ry;.ly r�• s Ml^-''v:,f. r f• \ rh•�\ .i ',;;5rr•, •v., av:J,.'r;� a ci- ;.t••1'; >,r'.•''y.r•,Ir�:,. 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[ ] FOUNDATION 2ND [ INSULATION [ J FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR (4r" I 2,0 T6S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L- DATE lO OT> INSPECTOR �'�1 i,Il TNSP."TION REPORT DATE -_--_- - COMMENTS A ' WDATION ( IST) ------------- - ----------------- II 11 ------------- rr— u INDATION----(2ND) it _=====I�_____ i p _ II Il ZO W if-- II JGH FRAME & -- >r u PLUMBING It _ it ITr tt ii I� C SULATION PER N. Y. a H STATE ENERGY II n CODE __ II N it a — ------------ 000 a r� y n u u tt FINAL aha, � u j ------- __ _______=______ --------------- O U` ADDITIONAL COMMENTS: I U tv All r� y � o a z — Z b - - BOARD OF HEALTH . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC F0R:1 . . . . . . . . . . . . . i SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:OT I FY ' Examined CALL . . ' . . . . . . . . . . . .. 19 . . . MAIL TO Approved . . . . . . .L�. . . . . . ., 19 ' f Permit No. d. [3o.«lees r-.uL Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �• /y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - CoNy, Re ebe- , (Building Inspector) A LICATION FOR BUILDING PERMIT q Date . . .�.��. . . . . 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 stieets 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . . . . . . . . . . . . . . . . . a . . + (as on the tax roll or latest deed) If ap licant is as corporation, signature of duly authorized officer. (Name and title of s�ordte officer Builder's License No. Plumber's License No. . . . . . ... . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. ... . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. y V Y 13ouse Number . . . . . . . . . . . . . . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . .Hamlet . . . . . . . ... . . . . . . . . . . . . . .. County Tax Map No. 1000 Section . . . . . . . . . . . . . Block . . . . 0 � . . . . . . : . . . Lot . . .17. . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . : . . . . . . Filed Map No. �``�°. . . . . . . . Lot �Q' (Name} . . . . . . . . . . . 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: i a. Existing use and occupancy . . .> `!m!� Vic, , , , . • .. . . . . . . . . . . . . . . . . ... b. Intended use and occupancy . . . . . . . . ! ?'r�Pr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building . . . . . . Addition . Alteration Repair . . . . . . . . . . . . . . Removal . . . • • • . . . . . . . . Demolition . . . . . . Work . ' S • • ' • . • . . • . - ' (Description) ' 4. Estimated Cost . . . . . . . 1 Qom• , , . • Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . .. . . . . . . . . • , , , Number of dwelling units on each floor . Ifgarage, number of cars . . . . . . . . . . . . . . . . .�. . - ' ' ' ' ' ' ' ' ' . • • • 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use . ' ' • ' ' ' 7. Dimensions of existing structures,if any: Front . . . . . Rear Depth . . ' ' Height . . . . . . . . . . . . . . . Number of Stories . . . . . a . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . Rear Depth . . .5�:�^:� . . . . . . . . . . �4-r.�.�. . . . . . . . . Height . .c 9-Yr �• . . . . . . . . . . . . Number of Stories . .,$:44—F , 8. Dimensions of entire new construction: Front . . . Rear . Depth ' ' • ' Height . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . y. Size of lot: 1-ront . . . ./.*'P. . . . . . . . . ... . Rear 1 . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase W ' ' ' ' ' ' • • • • • • Depth . 1rvR �. . . , . . . . . . . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . .12. Does proposed construction violateap�y zoning law, ordinance or regulation: ' • ' 13. Will lot be regraded .t'!a . . . . . . . . . . . . . Will excess fill be removed�fro m.�. . . .. . .remises: ' • . . . . . . ' . 14. Name of Owner of premises ��.�?►�?�.A; ; ,l-�,n{�,• Address ?��.1.�.�,. , �!�hone No. yaG�� Name of Architect . . . Address . . . . . . . ... Phone No ' : . . Name of Contractor Z-<d Rec6e.4$ , •Q,; :address 4rl.9.79,Crj :�t,�,r; , ,Phone No. ,? Y:Sa6%. ' 15. Is this property within 300 feet of a tidal wetland? * U *If yes, Southold Town Trustees Permit maybe 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 number or description according to deed, and show street names and indicate whether interior or corner lot. h STATE OF NEW YORIfc; f S.S COU)7Y OF . ame of individualsHing contract) . . . 1 being duly sworn, deposes and says that he is the applicant above named. He is the t�. _ (Contracteoor orporate officer, etc.) ' ' ' • ' ' ' • • ' ' ' �f said owner or owners, and is duly authorized to phave performedthe said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the .vork will be performed in the manner set forth in the application filed therewith. iworn to before me this Q . . . . . . . . . .day of. . . . 1 ./ . Notary Pu ic, County In uK L GLE N York ,SLS $tmof . . . . . . . . . . . ��edinSuuft1kCo l (Signature of applicant) Commission Expires Dec.S, 0 0 SURVEY OF Z r rq LOT 12 X MAP OF 0 _ afa2r JACKSON'S LANDING d FILED MAR. 28. 1969 FILE No. 5280 0 SITUATATED AT LOT 13 MATTITUCK TOWN OF SOUTHOLD R I N I O SUFFOLK COUNTY, NEW YORK N 8834'40" E 160.00' S.C. TAX No. 1000-106-09-17 � j SCALE 1" = 30' N r APR. 11. 1991 Z I„ I N ! 1 I vnLffY = ! I O t POLE U i ',D N I I 1.4E 1 I U1 M) (� u4 ✓V u N woo CY IVO u o DCD 0.VL I N CERTIFIED T0: = aN 1 rn BRIDGEHAMPTON 'NATIONAL BANK Z aar i o LOT 12 TICOR TITLE GUARANTEE Co. WOOD DM u. DM " '' i 2 JAMES A. HINSCH t sreps * zo TA USA A. BROCKHOFF WOOD SIRS ' cow— 1 'z- Roof • SLAB OVERK" AREA = 20.800.20 sq ft "" v 44- 0.4775 acres ASPK%LT cow_ DIUMMY REr. WALL C W I I A O DRNN O � I I I I LAWN USE • I �seph A. Ingegno 'Land Surveyor �� �"'"F�o S 88'34'40" W' 160.00' j 1 186 East Main Streetk ' * ac In co danoa wNh;tle mWmM erhead, New York 1 1901 I . � al for WW mp as emdAlO.d by LOT 1 1 I' � N.Y.S. Lic. No. 49668 the L L A.L S.and appoved and adWAd (516) 727-2090 for aoeh use by The New York Slaw Lard . We Asaodatlon. FAX # (516) 369-2009 BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Sc A Reviewed: Architect/ Date Engineer: Submitted: SCTM#: District: 1.000 Section: Block: Lot: Project Subdivision Location: 3 F �Ack5o)j:S LA71011VC4 Name: Single&separate Requ t& certification: (Yes&o)) 16r)-5 Req- Req- Zoning District: [Lot size: Actual: , /q G e,7 [Lot coverage Proposed: Req- Req. / Req. [Front Yard ® Proposed: [Side Yard �� 3 Proposed: [Etear Yard 5-0Proposed: ] X t Ti a�� le, 8.4 5 -1-0 mew Ar4A J f Project Description: _PLTdIg:E« T to AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. _ New York State D. E. C. Town Trustees _ Town Zoning Board approval: Town Planning Board approval: _ Flood Plane Elevation??? ' Flood Zone: A)N 2°�`-e X to • fXtST]NG D1Q,0l;J( tNcc.ulpPs tomo D&CK G3 F1zc�yr EKTRf rHflT WAS C RL;e,-red -i APA ovea INltu` Hoose wqs APPROVED AS NOTED DATE: 11• /-99B.P.# �L!-L � R FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE K;l Dr t2 `v( } Z1 Z'7 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ( � �f S rl4p BE COMPLETE FOR C.O. ALL.CONSTRUCTION SHALL MEET p '- THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES3- NOT RESPONSIBLE FOR rf L f FLAW DESIGN OR CONSTRUCTION ERRORS �'x 1'�fl \HT1, Ga,f- : PP ra OCCUPANCY 0R USE IS UNLAWFUL vNITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE �i REQUIRED '7 DO NOT PROCEED WITH FRAMING UNTIL. SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. T X NI S' Q04 1000s 10(0 —01 - 17 ty1tStINca RoNT YARv ; ^ Sf,'i13AGK '�D K�,MRtrL. CtiR'StF�C A-fi0M RE.QUIIz&D S1 i k' Job Date Elizabeth Thompson Architect 270 Lafayette St. Suite 1303 ' Title Scale New York, N. Y. 212-274-8336 f-fC FLA, I+!W3_ 01,011 r , ' � C "0 N6\ FpUwPA,.rIoN WO Job Date I Elizabeth Thompson Architect � 3�`E1I���� 270 Lafayette St. Suite 1303 Title Scale UI-�D New York, N: Y. 212-274-8336 -) 0 i r i ` o� Ex IST, \V Pv, POOL 1 (J6-W ? /k�jz'Y v L 11. 4L ; CDU D, IdI-I 77 - — - �t� 8�ihr2:Got t ►�u�f1Y ------------------- Job Date Bizaheth Thompson • Architect RIP 270 Lafayette St. Suite 1303 Title Scale New York, N. Y. 212- 274-8336 Y ,. I r2 LDV '7WPIW� WALS rOpGtr , �A\/A, ' 4 t 9/1 H g E wwOF WN -( r�I✓ - Job Date a Iic�L +�°�� 77 �omPson Arc-stect 279" `"-a.'jayette St. Suite 1303 Title scale �, Vie Ye 212-274-5336 i i P� P► ��IZ — _ ���� I? ► N ay R ( ! R- N6 o P-l6IZ. ��� q�IZ v ,41 ,1 11'1 r' i Gape p�Ir oF Job Date Elizabeth Thompson - A,rc_iitect 270 Lafayette St. Suite 1303 Title Scale NevvYork, N. Y. 212-274-8336 7 7 OLAl q lit i Gra >✓[� P I 1 fl i II I !IF ' tt "I� g" �iQv,�r� �v�urlu �xr��, Pei ��t%t' �lt�C,I�►�(, , '� f i ADD WI,NT SIPl LejT-ro MAI," �J��V SIPIl��, FING WP\Y5, ��` FfP.W/ �k�� 4� F, R� ��Q Oi'1tiI41Al, I�� �l� D ov6 ' r '(o rl A f61� �A%I NLS U 14 LAS OT!'S Job Date ElizabethThompson Architect 270 Lafayette St. Suite 1303 ' Title Scale Mew York, N. Y. 212-274-8336 �� 11, � `►nl•� ll�►+� ►oil �x� Grp hof�1'S •` � � GSI ISI 0� � � U E��t •pv P.�M�� I u Flo�t � Pam �►��T —� 14 ' 4 y x OF gyAs�.t,� L � G/8l11 '� Job Date Eliza-tet , Thompson • Architect IT 270 Lafayette St. Suite 1303 Title Scale New York, N. Y. 212- 274-8336 II � I Qj v9Y N i x mPte" ' ' ) N Zxf3 IC."o,C„ I -4 1 ?'S xe, R6APC R- I � I�6'A'FE>Z � I I � Ned 1aZ. I � I j ��- V, i ! YY, OF f Job Date (�,J, 2u Lei W4 "I 1 -9: Elizabeth Thompson • Architect W P (2c-hI75pcz M-o7 VHoQlWr- 4\YY,. 4AMPfW DAYS, P ,Y, 51 '728 �`��8� 270 Lafayette St. Suite 1303 Title Scale New York, N. Y. 212-274-8336 aL, rLAi� �����% 11,011