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Home My WebLink About24502-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25901 Date: 08/19/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1600 JACKSON ST NEW SUFFOLK (HOUSE NO.) (STREET) (HA~LET) County Tax Map No. 473889 Section 117 Block 10 Lot 12.3 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1997 pursuant to which Building Permit No. 24502-Z dated NOVEMBER 20, 1997 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 WITB ATTACHED GARAGE AND DECKS AS APPLIED FOR. The certificate is issued to ROBERT T & KAREN GIRARDS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 460323 07/27/98 PLUMBERS CERTIFICATION DATED 08/19/98 PECONIC PLUMBING & HEAT. Rev. 1/81 il~ing f~{spector FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE110N OF THE V~:)RK AUTHORIZED) 24502 Z NOVEMBER 20 ]9 97 Date ......................................................................... Permission Is hereby granted to: ROBERT T & KAREN GIRARDS 64i DACOSTA AVENUE OCEANSI DE, NY 11572 ' GARAGE AND DECKS AS APPLIED FOR 1~500 JACKSON ST NEW SUFFOLK at premises located at ............................................................................................................................... 47588c~ 117 OOlO 012. 005 CountyTax Map No ........................... Section ........................ Block ........................ Lot No ......................... OCTOBER 8 c~7 pursuant to application dated .......................................................... 19 ...... .... ..... and approved by the Building Inspector, I , ~2c~. O0 Fee $ ......................... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG, DEPT, T~N OF SQUTHOLO "P',CAT,ON FO. CE.T,.,CATE Or OCCU.ANC¥ Instructions ~___,~ d~nn~ /O~ A. This application must be filled in Wpewriter OR ink, and submitted m ~ to the Buildin ec- 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 features. 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· 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 POOLS $25 . 00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.,00 4.Vacant Land C.O. $ 20.00 .~/~. ~.~.7. ~/'~ /~-~ 5.Updated C.O. $ 50.00 Date ................ · Old or Pre-existing Building .......... Vacant Land NewC°n$ t~uc ti°n'~' ~..~...~ i .~ ~i i~ ~i/~ Location of Pro er .. . ~ .~...~..~...~... ' pty ........................... Hou~4Vo. Street ~ H~mlet Owner or Owners of Property . ~. ,~..~...~-..~..c... L/~-~ ¢~,. ~..~..z~..,, ..~.~ .~.; ~. o.¢~. ~/~..~. ............ County Tax Map No. 1000 Section ... I.I. .~ ....... Block·../..~. ......... Lot.../..~..-..~. ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~..~'..~· ~ .-~. Date of Permit .......... Applicant .................................. 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 per~e~ts all app./codes and regulations, Applicant Rev. 10-10-78 ~J/O -~' c~ ,.~-(~0 / DONALD G. FELLER · ARCHITECT 600 Ole Jule Lane · Mattituck, NY 11952 · (516)298-5250 October 8, 1997 Mr. Gary Fish, Building Inspector Southold Town Building Department Town Hall, Main Road, Southold, NY Re: GIRARDS RESIDENCF Jackson St., New Suffolk Dear Mr. Fish: I have investigated the existing sanitary system at the above mentioned project, and can vedfy that its capacity is adequate for single family dwelling use. An 8 foot diameter x12 foot deep precast leaching pool is located to the east of the existing residence with two overflow pools branching off to the east. Very truly yours, New York State Department of Environmental Conservation Division of Environmental Permits Building 40 -SUNY, Stony Brook, New York 11790-2356 Telephone (516) 44~355 Facsimile (516) LETTER OF NON JURISDICTION--TIDAL WETLANDS October 6, 1997 John P. Cahill Co~nlssloner Robert & Karen Girards 641 Dacosta Avenue Oceanside, NY 11572 Dear Applicants: RE: 1-4738-01743/00001 Girards Property 1600 Jackson St., New Suffolk SCTM #1000-117-10-12.3 Based on the information you have submitted, the New York State Department of Environmental Conservation has'determined that the property landward of the bluff greater than 10 ft. elevation as shown on the survey prepared by Peconic Surveyors, P.C., dated July 15, 1993 and last revised September 17, 1996 is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' o 20 wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter dces not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, MMR cc: Donald Feller-Architect BMHP File Permit Administrator Town Hall, 53095 Main Road P. O. Box ~179 Southold, New York 11971 Fs, x (516) 765-~823 Telephone {516) 765-~802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. / (please print) Plumber, //~¢0/'?/(_. (please print) I certify that the solder used in the water supply contains less than 2/10 of 1% lead. ( P lu~kb~rs Signature) system SWorn to before me this No t a 1-~ Public, ' County I, V~l -r~ r:,.~ ¥, .?': 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND ] ./~JG~H PLBG. INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~-/]'~AL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [~ROUGH PLBG. ] F~NDATION 2ND [ ]INSULATION FRAMING [ ] FINAL []FIREPLACE&CHIMNEY REMARKS: ~-~.~,..~ ~/~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ [ ,~UNDATION 2ND [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY DATE INSPECTOR~ 765.t802 BUILDING DEPT. ?ISPECTION [ ] F./F.~NDATION 15T [ ] ROUGH PLBG. [ ,f'] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP~A~CHIMNEY REMARKS~/~'' 765-1802 BUILDING DEPT. INSPECTION [ ~'~ FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION INSPECTOR ' ~/~-~ THE NEW 1001071 Date JULY 27,1998 THIS CERTIFIES THAT YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 ApplicaMo. No. on file 15231397/97 N 460323 PAGE 1 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of B & K GERARD, 16~ JACKSON STREET, NEW SUFFOLK/SOUTHOLD, NY in the followiag location; [] Basement [] ;st Ft. [] 2,4 FL GAR/ATTIC/OUT Section Block was examined on JLr~Y 22,1998 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS 38 50 41 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT $ E R OTHER APPARATUS: WHIRLPOOL BATH- 1 WELL PU~P-F- 1 1.50 TON CENTRAL A/C-1 2 TON CENTRAL A/C-1 2.50 TON CENTRAL A/C-1 MOTORS:3-F H.P.,i-1.5 H.P.,l-2 H.P.,i-2.5 H.P. ~ANELBOARDS:3-1 CIR. 60 G.F.C.I:-12 <<< Continued on Paga 2 >>> OF CC, COND, c NO. OF HI-LEG OF Hr-LEG NO. OF NEUTRAI~ 1 OF NEUIRAL 210 GENERAL MANAGER Per ' ~ _ This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS - PAGe. 2 t~(~1~71 BUREAU OF ELECTRICITY r~ 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 27,1998 Application No. on file 15231397/97 N 460323 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of B & K GERARD, 16(~ JACKSON STREET, NEW SUFFOLK/SOUTHOLD, NY in the following locaaon; [] Basement [] 1st FI. [] 2nd Fl. GAR/ATTIC/OUT Section Block was examined on JULY 22,1998 and found to be in compliance with the National Electrical Code. Lot FIXTURE RECEPTACLES SWITCHES [NCANDE$Cl OUTLETS DRYERS I FURNACE MOTORS AMT. K.W. OIL H.P, GAS H.P, FIXTURES ~ FLUORESCENT OTHER FUTURE APPLIANCE FEEDERS AMT. NO. A.W.G. RANGES SPECIALREC'PT AMT. AMP. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT. AMPS. TRANS. NO. OF FEET SERVICE DISCONNECT NO. OF S AMT. AMP. TYPE EMI~EuT~pR. , , 2w 1 , Sw 3, SW $, 4w NO. OFpECRC~COND. OTHER APPARATUS: OF CC. COND. C NO. OF HI-LEG OF HI-LEG NO. OF NEUTRALS EXHAUST FANS AMT. H.P. DIMMERS AMT. WA~TS G 6< S CONTRACTOR LIC. #578 E BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. F~xamined ...... //////_~.. AIq,oved ......... 7,~J~ .... 197./ l'cl mil No..~..~...'~..~. '.~: I)isa PIn oved aJc ................................ i .... FORM NO. 1 I'OWN OF SOUIlIOLD BUILDING DEPAFF[MENT TOWN IIALL SOUTIIOLD, N.Y. 11971 TFL.: 765-180~ APPLICATION FOR BUILDING PEFIMIT tJOAt~l) UF IIE^LI'II 3 SETS OF ?LANS SURVEY ClIECK ......... : ......... SEPTIC FOI{H Il{y[ I FY I · '2-9 8- {5 o CALL ~ ................. iqA I L TO: INSTRUCTIONS Date ................... 19... a. This apl)lication must be complelely filled iii by lypewriler or in ink and sul)milled to Ihe Buihling Inspector, wilh sets of plans, accurate plot plan 1o scale. Fee according lo schedule, b. lqol plan showing Ipca/ion of Iol and of lmihlings on premises, ~elalionship lo adjoining premises or public st~eel or areas, and giving a delailed descriplion of layout of property musl be d~awn on lhe diagram which is pad of this appli cation. c. The work covered by this applicalion may not be commenced before issuance of Building Permit. d. Upon approvnl of lids applicalion, Ihe Buihling lnspeclor will issued a Buihling Permit to the applicant. Such penm shall be kepi on Ihe inemises available for inspeclion Ihroughoul Ihe work. e. No huihling shall be occulfied or used in whole or in pad for any purpose whalever until a Cedificale of Dccupanc, shall have been g~anted by Ihe Building Inspector. APPLICATION IS IIEREBY MADE Io 1he Building Deparhnent for the issuance of a Building Permit inusuant Io Ilu Ihdhling Zone Ordinance of the Town of Soulh~ld, Suffolk County, New York, ami other applicable Laws, Ordinances Rel~uhdions, for the construction o~ buildings add o ss or a relations or for 'e ~ ova ~ F ¢ e o ilion, as herein lescdhe¢ The j?pl)yan.t agr. ees Io comply wilh nil a ,,1 cab e awl o ~a ~ces b ilding co~ e ..ot.~ ~g co~ e, a ~¢ 'e, 'o s n, (Sig,,ait;,~7 n~licant, or ,,a,,,e, ifa COrl~Ou, tio,,) (Mailing address of applicanO SI;lie whelher applicant is owner, lessee, agenl, a~chilect, engineer, generM conh'aclor, electrician, phmH~er m buildeL (as on Ihe lax mil or lalesl deed) Il apl~lican{ is a coH~oralion' signahne of duly atHhod~ed officer. (Name and lille of corl~male officer) I I ',bet s lJce~ se Iqo ......................... Llec ICI Ill s License No ....................... Olher 'l'rade's License No. I. l..ocaliml of laml on ~vhich proposed work will be done. Ilmlse Number Slrcet llamlet Cou,dy Tax Map No. I000 Seclio,, .. Suhdivision ........ . ............................ . Filed ~ap No ............... Lol ............... (Name) ~hlle exJsling use and occHpflllcy o[ I)relll~Ses and illl~llde~ use fllld occlipallCy o[ proposed COllSlHICliOll: .............. ..... ~o~O'ti, ',lo'e% b;,hl~' ................. b. Inlcnded USC arid occllpallcy ............................... .... ; ......... OI ter Welk ............ ~ (lo~e ~&l on Bli~g ti}is a qflicatio,) .I[I, arage, m,,ber of cars II busi,ess, commerda[ or ,fixed occu )allc~ l)ime,sioas o[ shine shuctu[e ~vilh alleralio,s or addilio,s: . . . .............. e~gat ........... · ....... N bet of Stories ........... xea~ .... w~ ........ Depfli . .~ ........... Ile~gl,l ...... ~ ....... Number of S I I. z,o,e or ,se (,smc~ In whlclt premises a~e si~ualed .... 12. I)oes I)mposed co,sh,clion violale a,y zoning law oali,ance or re,,t nto ~' MO 13. Will 101 be tegtaded ~ . ~ ...................... 14. Name of Ow,er of ............................ Will excess lill )e re uoved from )re, scs: ~ Yes ~No 15. Is this properly within 300 feet of a t~dal wetland? *Yes ........ ~ '' · If yes, Soutbol. d Toun Trustees l'etmtt may be required. No ......... · I'LOT DIA(/I(AM l,ocale clearly and distinctly all b, ildings, whetller exisli,g or proposed, aM. iMicale all set-back dimenskms from luoperly Ii,es. (;~ve s reel and block number or descfiplion according Io deed. and show sheet names and i,dicale whether inlefio~ o} comer lot. ST^Tli ()1: NI(W Y~I~.. (£0)N 'Y O; ..... 9..~...bY~ . S.S .... ~'~'~'" '~[~ .................. being duly swot,, deposes and says thai he is rite apl,licaal (Name o[ iadivid,al sig,ing coa/}acl) (Colllracl~)r,.ageltt, cor'polale o[licer, cie.) ' ' said ow.er or owners, a.d is duly a.lhofized Io perform or have petformed the said work aM Io make and lilt Ibis ;,l)lflicafio.; that all slalemeats conlai.cd wol k will be pel fo.ned i. the manner set fotllrin the applicalion filed therewiflt. Sworn Io before me tiffs ......... .... , .IACKSON STREET 111.57, _ N. ~'50' '-GREA T PECONiC BAY · .... ROBERT T. G~ARDS & KAREN GIRARDS A T NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 117- 10- 12.3 Scale: I"= 50' July 15, 1993 Sepl. 17, 1996 (TOPOGRAPHICAL INFO; Area = 34,753 sqft. to t/el/ne CERTFIED TO, ROBERT T. GIRARDS KAREN GIRARDS NORTH FOR~ BANK 77COR TITLE GU~RANT~ CO. Prepared In eccor~ce wtlh the mim~m~n slendords for t/fie ~veys os esl~d ~[ lhe L.I.A.L.S. ~d ,red ~d ~= such use by T~ ,~.~ Y~k Stele Ti~ As~clelio~ ELEVATIONS AND CONTOUR LINES ARE REFERENCED TO N.G.V. DQlum. ×~.~_~i~S. DC. NO. 49618 PECOi~K~ ~L~I~S, P.C. (~6) 76~ P. O. BOX 909 MAIN RO~ SOU T~LD~ N.Y. 11971 93- 236 ROBERT T. GIRARDS & KAREN GIRARDS A T NEW SUFFOLK TO WN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 117- 10- 12.3 Scale: 1"= 50' '-- GREAT PECONIC BAY July 15, 1993 SeRf. 17~ 1996 (TOPOGRAPHICAL INFO) FEB. 2, 1998 ( conc. founddlon ) FEB I Area-- 34, 753 sq. ft to tie line BLDG. DEPT. TO1NN ( KAREN GIRARDS / ~' / 7 NORTH FORK BANK / / / 17COR TITLE GU,4RANTE~o.~._. J~ ANY ALTERATION OR ADDITIOiV TO TIV4S SUI~EY I$ A VIOLA T'K~ OF SECTION 7£05 OF THE NEW YORK STATE EDUCATtON LAW, EY~EPT AS PER S~CTIO~ XEOg-~J~J~fl&~N E. ALL C'ERTIF~ATION$ HEREON ARE VALID FOR THIS MAP AJ~ COPIES ~ ONL Y IF ~ MAP OR COPIES I~EAR THE ~PRE$$FJD SEAl. OF THE SURVLrYOR ADDITIONALLY TO COMJ~.Y F~ITH SAID I. AW TH~ T~ 'AL T~ BY' MU~T ~ U~ BY ~ ~ ALL ~8 ~ A ~Y ~T'T~A~ A~ ~T ~ ~ ~ ~ LA~. & LIC. NO. 49618 P.C. SOUTHOLD, N.Y. 11971 93- 236 , .,-.,' ~ ,'-,', :'.: p¥ , , - - ' ~ ' ~ " " ' .... ,, ~ ~ l e/~xa ' 'i i ~ ! ~ '- *, -, o ,,I cai " ~ - ,t " = ~ ' ntt '~ -' ~ = , · ~ ' , '7' ~' -- - C~.r~' v T- ~"~. .; _ I ; ..~ :,. 'l ~. J ~ " % ON~DCO~E~RE , = ~ ~ ~' ~ ~'~'~" ,' : ~ OCCUPANCY OR ' J ' ' " ' -~ ' ~~ WITHO~ CERTIFICATE, ' , J ~ , : , , , , ,, '] ~-b'" ~'-o"" ~.~' "' ~'-~" 2~' ' : ~'-~" , , co~ '- -/ H~ BE~O~ ,, ~/4" '" " oi :) i t (> 4-5 .¢ Mo 0 I I ENERGY CODE COMPLIANCF Building Design by "Acceptable Practice". Construction, equipment, materials & installation to conform to the New York State Energy Conservation Construction Code. Envelope Component: R-required Exterior Wall R-18 Roof/Ceiling R-19 Floor R- 19 Glazing R-1.7 Entrance Doora R-2.5 To the best of my knowledge, belief and profe~iona_l lung .merit, these plans are in compliance with this Code. ~ NT~ -1- CI itl -m!j , I ,! ~ d !i' ad jd ,/I