The URL can be used to link to this page

Home My WebLink About23811-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~JPANCY No Z-24780 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1225 JACKSON LANDING MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 5 Lot 8 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1996 ~ursuant to which Building Permit No. 23811-z dated NOVEMBER 15, 1996 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 ACCESSORY STORAGE SMD IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WALLACE & GINNY MACOMBER N/A Rev. 1/81 ~ilding Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TO~'H HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23811 Z Permission is hereby granted to~.~ . , ~ ............ .............. ................. ~...~...~..F....~...~ ......... at premises located at ....................... ~ ./~.~...-~-..~%.....~.~ ...................... pursuant to application doted ..................... .(~.....~ .~...~..., 19.~., and approved by t~e Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-]802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: ]. 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 lesa than 2/10 of 1% lead. 5. Commercial buildiqg, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~i5.~0, Commercial $]5.00 .~... Date ............................... New Construction ...... Old Or Pre-ex~sting Building ................. Location of Property./.~.~. ~..~0.~..~..~.. House No. Street Hamlet Onwer or Owners of Property .......... ~.~. .... ~ ../~.~.~..~.~../~... · .................................... County No 000, Sectien../.L.3. ....... ..... ...... ............... Subdivision ...... ........ ~/~.<~(~.~.~. ~.~..~.?/Q..~. .. ~.Fi~ed'~ M~=~ ............ ~'~0 Lot. ~...~. ......... ........ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~ ...... Fee Submitted: $ ............................. APPLICANT FII:I.D l ll.ql'l~l loll FO()(/I)~ T LOi'f (2HI]) J)A I E Ct)t fl'Jl~H ~UI:FOLi( COUNTy HEAl. IH .[~PAI~rI, I~H~' 8B~/QL/~ FAMILY DWELL/NO ONLY H.~ PiE& NO. '"'- ~,, ,' ..... AREA · 22,425 SO F)' '%, JACKSON'S- lANDING LONG I$~.AND ~ORTG~GE CO~p. TERRA ABSTRACT LOT 23 ,AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY N. y. I000 113 05 08 SChL£ I"~. 40' [)EC 30, 1986 ff~ 2,1987 .l~ndn~ fo~ Irate ~*Y~ o~ ~ll,hed by 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] INSU~.ATI~N [~ 'l FRAMING ~/FINAL REMARKS: ~/~/ ~ INSPECTOR F()R~ NO. I TO~'~N Off' $OIFHIOI,I) BU } I,l)l NO I)I~.I~AR'rHIr. HT '['OI4N IIAI,I. ~;OU'I'IIOI,I), N.Y. 1197 I 'I'~1,: 765- 1802 BOARI) ()F III~.AI.'III .,~_/~'3 ,~;I~,'I'S ()Ii. Iq,AH!; / S IJIlVI~,Y ........................ ~/," (:III~.C K ......................... $1CPTI C FORH I HS'I'ItIJCT I OHS DaLe ................ , 19 .... a. 'lhi:~ ~q~pllcat:il~s hunt I~. c~)letely filled in by lylXs.~riler or iu hdc a~l ~;ul~ultted Lo the Ikdldi~g ~/ ~eln of pin,m, n<:c~ral:e plot: I)hm to nenle. Fee according I.o ,clsedule. I). Plot. pla. rJ~ing I(~al:i(~ of Ior a,~l of Ixdhllngs (~ i,.~nlnen, relatJcm~hip to ~ljolning I)rx~ni~en or I~d)lic c. 'file x~)rk c(~r~l I~ Ihin al~licaCi(~ ~,~y ~t Im c(]m~t~ed I~f'ore iammt~e oF l~dlding I'ermlt'. d. IIix~ ai~)r(~al oF this nl~)licatlon, Ihe l~d/dlng ]nnl~ceor will insure a l~dldi~g P~mlL Io Ihe ~ppllca~d. Such I~rmil: nhall I~ kepi: (is tl~e prairies available For inslmcti(~s tl~r~(~t Ihe e. ~) I~dlding ~dmll 1~ ~n~plal or uned in ~ole or hs ~ur[ for any i~rlxme ~mtever u~tll n (~.rllflcale oF (k:~aqm~:y ~:hall have Iweu I~ta.t~l by Ihe l~dl(Ihq~ hml~cLor. AI'I~,I(~'I'I(~ I~; I~IB~BY t~l~.to tim I~dhling I~lmrls~nL for lbo i~mmn(:e of a I~dldhlg Permit I~lrnugml: I~ I~d Iding 7x~ Ordis~l~e o[ the 'l~s ol~ ~thold, ~ff[olk {)~mly, ~ YoTI% at~l other al~)l ice,bio J~, ()~xli.a~en ~r I~gulal. ltm~, [or LI~ c(~ntr~:Li~ oF I~dhllng% ~ldil. i(~m or alle~al, lo~m, o~ For ~wal or do~olil to~l, n~ he~oi~s ~n(.ril~.d. 'lbo nppllc;ml: alTree~ 1o ccs,T)ly with all ~,l~)lfc~d~le l~, ordJr.mcan, I.H Idi~*g c~le, l~t;i.g c(~)e, nJ~l (t~',,~ n~<l title of corlx)rale oErlcer) I~d~ ............ I~d ''i .......... ~t,~fllli~. ............ OIh~r I'/od~ .................................. ' · I~ ....................... ~. ~,~tm[ nl lfl()[hm ..................... ,,~,,.,,,,,,,.,,, ,,~ ,,,.,..,,,.:,,,....,, ,,,,..,,h,. ,,~ ..,,,. i,,,,.,: ,~,,,,,, .... 2,~ ....... ...,-.~.. .,,,.~ ,,,: ,,,,: ,,',,,,, ..... J~.O ~ ..... ,~,,, ..... 1.3.~ ~, ..~5~'... . II. llill Iol I~ legr~d .......... [ ..........~ill ext'etl~ fill I~ ~, ~. 0~ ~, ~ ~. i .., ~z~z~d~22~ .......... l'~. h; IhJ[i pml~rly ~ilhin ~X} fee nfa li(l~ll ~dhu~l? A ~l~i .......... ~ ......... I'I.OT I) [ACRAH ~lelh(~l illlerior or cm'~.~r Ior, 7fi5,1802 9 AM ~ 4 P~OR THE ¢OLL,OWING ALL CONSTRUCWON ~T~ CONS~U~ION ~ ENERGY CODES. N~ RESPONSIBLE FOR D~SIGN OR CON~U~oN ERRORs ((~)fll Illqh)l , IIj[(llll:, (?)rlxu'lfle Of J'irUl', el(h) CLAIRE E. GLEW Notaq/Public, State of New York Nc, 4879505 ! Qualified in Suffolk Coun~ Commission Expires December 8, (!;il~,l;ll ule ol: Apl,I imlnl )