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Home My WebLink About20820-z r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21087 Date OCTOBER 14, 1992 THIS CERTIFIES that the building ADDITION Location of Property 1225 JACKSONS LANDING MATTITUCR 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 JULY 6 1992 pursuant to which Building Permit No. 20820-Z dated JULY 13, 1992 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 WALLACE MACOMBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF,HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-031269 - SEPT. 28, 1992 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. f 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) 191 - Date N°N° 208202 Permission is hereby gra o: f a3......wove.........11vf . //6`O ` !9 ~IJtiP7 Io j to ~!NSrf2.uG............. .d A.A11124?I!Z......... P........~........ .........Fla.,.IY.........~.W.F:.CL, ....P .!........si at premises located at ........f^72S`j~JGC Son/ `s L/S!vlJJi?hi .........................................................11 ~at?c /7CL~9c......... Sd?!s%.!' County Tax Map No. 1000 Section Block :S.r...... Lot No........ 1 .s......... pursuant to application doted 19? and approved by the Building Inspector. E Fee $ ...11.v.:r Building Inspector ,t I Rev. 6130180 Form No. 6 TOWN OF SOUTHOLD QP I O 19,92 BUILDING DEPARTMENT TOWN HALL 765-1802 3 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: 1. 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 less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences ana similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements.' 3. 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. 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 $25.00, Additions to accessory building $25.00. Businesses $50,00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co mlL,erciial $15.00 Date vlD.~,1.~-.. :cw Construction.......... Old Or Pre-existing Building... %ocation of Property:.) vjLk.:1.4,A4fllj Ao'~:04 . House Nod.) Street Hamlet )nwer or Owners of Property. , ,W. 99 :ounty Tax Map No 1000, Section.,l!~ .,,,,,,,,Block...,. .Lot :ubdivision^^....~..c... . Filed Map............ Lot.... 'crmit No.:LY.D<..... Date. Of Permit.. ,,,,,Applicant. Lf( G'1s~,~\Ll~G4., :calth Dept. Approval ..........................Underwriters Approval.................... 'lanning Board Approval equest for: Temporary Certificate........... Final Certicate........... d 'ee Submitted: $ ,rte,,,,,,,,,,,,,,,,,,,,, C ec, gLI9(1,3 APPL CANT CO 9-,,2In$7 THE NEW YORK BOARD OF FIRE UNDERWRITERS Pus i 80356117 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date EFP1'CPt15Y.;R 28,1697 Application No. onfile 7841.72292/92 R 013269 THIS CERTIFIES THAT PRRU.IT No, 208207, only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of VALLACC VACORBER, 1225 JACKSON LANDING, RATT1:TUCK, N.Y. in thefo/lowing location; ? Basement ® l.st FL ? 2nd El. Section 113 BIocIRrS Lot 08 was examined on SF;PTPt Pik9@il1 25,1.992 andfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W AMT. N.W. AMi. KW AMT K W AMT. H P 3 am 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P GAS H. P AMT. NO. A. W G. AMT. AMP AMT AMPS TRANS. AMT H P SYSTEMS NO. OF FEET qMT. WAITS 60g SERVICE DISCONNECT NO, OF S E R V I" C E AMT. AMP TYPE METER 1022 1%3W 3%3W 3%4W NO OF CC COND A W G. NO. OF HIAEG A.W.G. NO OF NEUTRALS A W.G. EQUIP. PER % OF CG COND. OF HI-LEG OF NEUTRAL 9 OTHER APPARATUS: taOr~HS;1_N u,e, P _ WALLACE IfACOh({;ER 1225 JACKSON LANDING MATTITUCK, NY, 11952 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. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. J FOUNDATION 2ND [ ] INSU TION FRAMING [ FINAL REMARKS: ZZ k - i wr DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION OU ATION 1ST ( ] ROUGH PLBG. FO DATION 2ND ~ [ ]INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE A2 INSPECT i 1 7W-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: (J~, G~~„~ ca o DATE 2- INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR i;.`(i•SL24r f m C~ FOUIIDAT Y-11 s t ) I o Qtl c FOUNDATION (2nd) to 2. ROUGH FRAME & -PLUMBING a eilb~i INSULATION STATE ENERGY CODE ¢ H FI1lAL I ~ ~uu ADDITIONAL COMMENTS: • cn k ro \ M b V _ H BOARD OF HEALTH FORM NO.t ~ 3 SETS OF PLAY SURVEY / 6{ TOWN OF SOUTHOLD v J UL BUILDING DEPARTMENT 1 . • ' • ' • • • TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 1r TEL.: 765-1802 tiOTiFY Examined !!~3• • , , • 19.9.?` MAIL TO , q~ aQ~2 lZ*~ 0~•2 . u v2....... . Approved ....~/~/3 . . . . . . . , 19 9.Permit No. . . ~L Disapproved a/c uilding Inspector) APPLICATION FOR BUILDING PERMIT _ 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 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. 4. 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 inspec to s. Z~....: zl~.......... - (Signature of applica ~ name, if[/a ,corporation) / J.... (Mailing address of applicant) /l`r°7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. !J. ~.e.~ . .....M Name of owner of premises In C . e_ . . . . . . ` o, c 6 ML k.Q t (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.... Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. . M~ f + ` F0 w(~ 0 Sc UT o 1. 5....Gtr-kSon S' a.,~ i f~ ` ~U e IC House Number Street Hamlet County Tax Map No. 1000 Section Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: JJ q r~ .H, : x;,' Err a. Existing use and occupancy ev _ t Q t b. Intended use and occupancy ....f r . e......1..... s' + C. c ; 3. Iplicable): New Building Addition Alteration Repair • of . • • work . . . . . . check , which aRemoval Demolition Other Work (Description) 4. Estimated Cost .......1.' ~.1. i q.~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars . . . 6. If mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height ness commercial or Number of Stories ,,,,,,,,,,,,,,,,p,,,,,,.•...,•,.. Dimensions of same structure with alterations or additions: Front Rear Depth ......................Height . . . Number of Stories ~ ` , $ . coon: Front ....~y Rear 3.E Depth Height . .sion . . of . . . . . entire . . . new . . constNumber of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction viollate any zoning law, ordinance or regulation: 13. Will lot be regraded , , Will excess fill remogn v d from premises: a Yes No 14. Name of Owner of premises Qcom ~ieAddress (LZ s ~I c% oni ndt~ one N ?qV , Name of Architect ! V-., ?'q e-a-, Address e23.6Jo°c? dE • , , Phone o t .7 1f> > ~ Name of Contractor .u Address° 21 u/u ocl ({up,~~(~, , pho No.. ? 15. Is this property within 300 feet of a tidal wetland? *Yes........ 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 number or description according to deed, and show street names and indicate whether interior or corner lot. i I STATE OF N YO Si,S COUNT OF ' l • • • • . :q-',•"•`~ . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe (Contracto age t, orporate officer, etc.) of said owner or owners, and is duly !authorized to perform or have performed the 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 work will be performed in the manner set forth in the application filed therewith. Sworn to before me tWs P day of...., 191?.-9. Notary Public County CLAIRE 4 GLEW IG NotaryPuNlo 4879505NewYoek : Qualified In Suffolk Countr~tyy . Commission Expires Decembw 19 (Signature of applicant) LOT 16 ~K\ N.88°34'40"E. 1 153.00' PFy ~T '~1 oie f^ O z Hu>c UO ; M i,, M Q LOT 17 Y Q n C U y LOT 23 Deck > 1 a" boy 4/ om ° N wine'ow 63 9_ V 'O (a 28 63 U) p ° 2 mi U N ui OR 0, \ 25 5 Q >4 °I's S.88° 34'40"W. 192.00' LOT 22 AREA = 22,425 SQ.FT. n in e ~I n N; JACKSON'S LANDING ,:ERTIFIED TO. LONG ISLAND MORTGAGE CORP. TERRA ABSTRACT SURVEY OF WALLACE MACOMBER LOT 23 "MAP OF JACKSON'S LANDING" FILED MAR. 28, 1969 FILE NO 5280 C- -,r AT MATTITUCK I' V, ~P TOWN OF SOUTHOLD J UL SUFFOLK COUNTY , N. Y. 1000 113 - 05 - 08 rOt-fir SCALE 140' Mar. 25, 1992 ;nth S. LIC. NO. 4961 8 Prepared in accordance with the minimum i"~V-VE ' standards for title surveys as established Y. P .C. by the L.LA.L.S. and approved and adopled 1510 . ,5 - 5020' 1 for such use by The New York Stale Land P. O.QX Title Association. AIAIN R04(~; .I, 5011 OLD, -•'NY. 11971 ~-2-.ZS 8 F - 7 9 E~ C A r?".r" . .4~ ..ter d I ve,~i_G7 N', L _ I bt a ~ F -s'tl•V'l L / i F71 77 I-Ht ---I--- u _ L. N I C F,- lfl pNu~,r: J1 i I Y i~ I rl 7 f ? T~l OCCUP, OCCUPANCY OR USE IS USE IS UNLAWFUL WITHOI WITHOUT CERTIFICATE Z 9F OCC ,OF OCCUPANCY " UNDERWRRERS CERRFICATE REQUIRED APPROVED AS NOTED 1 \ `'r DATE: 9 3 vB.P.# 1lJ~ 'IF i sa' BY, NOTIFY BUILDING DEPARTMENT AT - - 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - T.WO.REQUIRED - FOR POURED CONCRETE I J - - 2. ROUGH - FRAMING & PLUMBING j _ 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET fikisTq- _ _X ~pk~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS v P y 22ry~ t PPPq"` JUL - 6 1992 j. e!n ~ 1 `Q"', .y ~ 3 ~',ii ~ a ""°m 1 T -?t~---^•- 1 a;+,G M^- 1 a •G M"' ^xTCr'.'~.-.r- ^9Y ti, 5 p *m-a•. n-~. v-zp N,I a r hflh~ I' G" C e~~hrlCx , YRodID~ kc.~ss 4 Ys-rf•I'i~-~T~oN, t~aT ce~r ~ t; ~ . i ~ ~kls?'I*tC.~ G~.,al.,[1 S~.n,G~ ho-~-I K~'U6~F~I YiHISN I r<'Nl'FhP~TI01`F ~ , I9~ x3° ~i~r(IN C,~ el i 1 a - r ik 9 i ate' 3~2^in N r~ 7. rF=F~T45-Iw' 11- cl~ "TF-VV-Q- 4 ~ L 1` I I I^ i i I If;L,ra i li 7i rf -2 J~t~ I~ ~ h1=- pif~rlsi o;-{s MPCo BFI , CrirfN7 l~l Y~ 5T WAttFC~ 6-29.92 rr~rr~Tuc.K, sNE~r z ~ 7 i~ I I I ' i i d S, _ I - I U~ I i i I I _ I I 7- - 'I ~r~ri=r_ Irrsr~~l I I ~ne~r~k~~;ti I~ - I r 12~~ocaT~ Ex~`~t: I L4lN~ a1-I 7~ HAW G~Hr~Kt-I/H~ aP Rv~r1 ji I 'I t J •1 i I I~ FWCO it=iFf~, ~I HET p~wLLa 61T _ - ~ - - ,