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Home My WebLink About18004-z f ~ 4 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18465 Date OCTOBER 16, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1225 SACKSON'S LANDING ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 05 Lot 08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1989 pursuant to which Building Permit No. 18004-Z dated APRIL 6, 1989 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 DAVE MACOMBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - OCTOBER 2, 1989 PLUMBERS CERTIFICATION DATED N/A Gf Building Inspector Rev. 1/S1 roras xo. s 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) N°- x.8004 Z Date 19..~~ Permission is hereby granted to: ...........i3.,~....~.~~.~ to ..cat?!!!:t~~?:ldz.C~.-...~'!:1.......~~-.•flF:-?~.....~r.P.... ...~'~'R~`:"'-~......~'?:~-....... at premises located at . ~ rrZ. t~aS.....a[..0.Sl~t~?~.... ~4.L...........X7.1 County Tax Map No. 1000 Section Block ......SA.r~,......gLot No.....~...~........... pursuant to application dated ......~4~kS:~.......~w~.~ 19.1.., and approved by the Building Inspector. Fee 5..~~.:..~....... ........t.~.~1..N:~n Bu ding Inspector Rev. 6/30/80 . TONN OF SOUTDOLD ~ " BUILDING DEPART2IENT TOUN IIALL SOUTIIOLD, NEN YORK 1 47.1 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE._ ~~jf.~l~~._.. NEH CONSTRUCTION .....t..OLD OR PRE-E%ISTING BUILDING...._.VACANT LAND...C.._.. Location of Pro ert 1°Z a5 ~ O.C-~S~n ~~~~~"vC.l~ P y ~ UOUSE NO.``~~,,~~ STREET IIAMLCT Ouaer or Ouners of Property....1?.~`U.~ ~~~m~~r County Taz Map No. 1000 Section if 3... Block o s.. Lot ..^Q,~~..._. Subdivision~0~~'k'S0'~~.._~"~~:'~5.. Filed Map ...._...Lot._s~S3..._. Permit No. $ ~ ~ ~ .Date of Permit U(~~i~.~'i~~~A~pLicanC IIealth DepC. Approval Undcruriters Approval.___....__.__. Planaiag Board Approval Request for Temporary Certificate Final Certificate X__......_._ Pee Submitted: $.__~5r O Q,_.,-._•-,- APPLICANT ~:`L~~~=~-'-. ~ Tev. 10/14/88 35434 CU~18465 `~+•+++'-~+-~+d~-°sru= -~+w+wo FORM NO_ 6 ~ - , ~ - - . TOWN OF SOUTHOLD j ILDING DEPARTMENT _ ~ , _ 1 a ~ i TOWN DAL, .:~r;:~ 765 - ]802 APPLICATION FOA`- CATS OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building ' Inspector with [he following; for new buildings or new use: 1. Pinal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2_ Final approval of IIealth Dept. of water supply and sewerage-disposal~S-4 form). 3_ Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/!0 of Iz lead. 5_ Commercial buildings, industrial buildings, multiple residences and similar, ' buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings ~PrlOr to April 9, 3957] 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 features. 2_ A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, [he Huilding Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C_ For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lut prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions Co Dwelling $25.00, Alteration to Dwelling $25_00, Svimaing Pool, $25.00_ Accessory building $25.00 Addition Co Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10_00 4. Vacant Land Certificate of Occupancy - $20_00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial -ev, 10/14/S8 lELD I;:s .c;, pu„:~, ~ cca~rM~ur~ l I. /4 p"l a y FOUIJDA_TIOI! q'~1 st ) ~ ~ ~ i ~~N ~ c =OUNDATIOII (2nd) m z 0 ROUGH FRAME & PLUMBING 1 r ~ i ~ ~ H 3. ~ m ~ i i m INSULATIOf1 PER N. Y. . • STATE EIIERGY f ` CODE ~ ' m 4. ~ r H ~ FI;fAL o ADDITIOTIAL COMMEIITS: m ` x y c m ' x H 9 H H O ~ m a r.. H - y d m ~v H '~r,~, ~ TEL. '.C,S-}8R' FOr.,~~G; Tor~~rr or sovruoi.~ n ::~~ti~ yw ~ orru:l. ~>r>Su1LD1NC 1NSrr•.croR ~ ~ x [~.o. rlox } t 7 9 , . ~ ~ „I s ~ TOtiYNlfALL ' SOUTIiOLD, N.Y. 11971 September 21, 1989 Joe Ambrose, Jr. Box 1276 Mattituck, N.Y. 11952 EE: DAVE MACOMBER To S•Ihcm This May Concern, Vie are unable to complete your Certificate of Occupancy because•of the follocaing zeasons. /~~ln application for Certificate of Occupancy is not Ori f11C. (ENCLOSED) *1o tJndertdriters Certificate on file. 'i'he check i::(~,ot on file.) $25.00 No Fteal.th Dept. Approval on file. /_I C:o final inst-,r~t:ion ha:: been made. Please contact: our office on this matter. Taank you for your cooperation. t;u.ildir:g Pcrmit•. II 1 8 0 0 4_ 2 Building Dcpt-. *`k/ / tlo Slumber :;older Certificate on file. ' ( al.l pnrmits involving plwnbing briny icsucd after ,~pri.l 1,1984 ) ~c~rF~'?,3'L~; VICTOR LESSARD t ~r ~ . . + Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR r~ fi ae ~5 ~ ~ P.O. Box 1179 Southold, New York 11971 (516)765-1802 v,, M,::~ ti FAX (516) 765-1823 "~~L `~Sa ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 19, 1989 Wallace S Ginny Macomber 1225 Jackson Landing Mattituck, N.Y. 11952 Suffolk county tas #1000-113-OS-08 Dear Mr. S Mrs. Macomber: During an inspection of your house addition the in- spector noted that you have a gazebo on your property that does not have a building permit. Please be advised that you must apply for a building permit for the gazebo. Thank you for your cooperation. Very truly yours, South. Tn. Bld. Dept. t.~.th~°S 1~.. C2~ ~ Vincent R. Wieczorek VRW:hkd Ordinance Inspector 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ }FOUNDATION 2ND [ }INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DAT ~ ~ ~ ~ INSPECTOR 765-1802 BUILDING DEPT. tNSPECTIQN [ ]FOUNDATION !ST ( j ROUGH G. [ ] FOUNDATION 2ND ~ SULATION [ ]FRAMING [ )FINAL REMARKS: D',iif~ ~Ga-r~t~ - DATE ~ ~ INSPECTOR 765_1802 BUILDING DEPT. INSPECTION [ ~ FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ` ]FINAL REM RKS: Pi~~7/~ ~ r---- , h7~~i ~J / c DATE ( INSPECTOR ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST C l ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ DATE INSPECTOIi~/' ~.G4 1~~ ~ 765.182 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~NAL REMARKS: ~ zJL~C.,.~~ 'G~ DATE ~ INSPECTOR a y ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1.001181 ®UREAU OF ELECTRICITY 85 JONN STREET, NEW YORK. NEW YORK 10038 pore OCTOBER 17,19$9 gpplirationNo.onJAe 652655$9/$9 N 09753'7 THIS CERTIFIES THAT only the electrical aquiprrtent a dacrihsd belors and introduced 6y [ha apFlioant nomad an the chose appliatian numhsr in the promises of YALLACE NACONHRR, JACKSON LANOINC, NATTITUCK, N.Y. in thefolMrcintl location; ®Basement ® Ist Fl. ? Ynd Fl. .Section Block Lot 23 mes exomined on OCTOBER 02,19$9 andJound to 6e in romplience with the reyuirements OJ this Board. HXT{ME AGEf SYYITCIIES RXTUEBf RANWS COOKING DECKS OVENS DISH WASM@S E%NAUST FANS ODTIETf INCANDetClM.HWIatQM OTNEP AMT. K.W. NAT. W. NAT. K.W. AMT. K.W. AMT. N. r. - 9 6 7 9 1 Y DEYEES RIENAa MOTOES IUTIip AtIN1ANn tuDws snau EErn TIIAE txoCKS EEU uNlr HEATERS A115~T~iStE DDAMLRS AMf. K. W. 'dl k r. GAt N. r. AMi. NO. A. W. G. AMT. AMP. AMT. AMeA TRANS. NAT. N, r. NO.OE INT NAT. WATTt i Y 1 as 1 r;uo SlRVIC! NO.OF S E R V 1 C E 1' AMT. AW. TM! ~ 1 / ]W 1 J JW ~ / 3W 7 / AW NO.Or CC. COND. A. W.O. NO. OF M4LEG A W. G' NO.Or NEUTRMS A W.p~ r!R • CC. C D. p N41[G Or MUTtM - Oi1MR AsIARATIIf: FANILY ROON ADDITION ONLY-1 C. Y.C.I:-1 .e'o'C JODY PUMILLO LIC.~2100E PAT LANE NATTITUCK, NY, 11952 o u ERANAOu P This cerfifkaN muN not be ahead in any manner; return to fhe office of Ills Board if inmrratl. Ilnpsclort ~ moy 'r credsMiah. OR A S E ALT ANY MANNER. mun~i.~ NN ~ V ~ V v V y a Z gypp` m p~ k k V, D b ~ A Z~ Z A A frl ~ ~ N ~ .n r v ~ ~ C ~ ~ ~~°D ~ G ~ ww n ~ ~yw~ ~ C b p ~ ~ ~ , ~ i ~ ~ ~ ~ ~ v D G ~ t ~ rC o D Z Y ti - "'J C.% M ~ yy ~ ~ Z, t" O ~ O 0 ~ ~ 0 ~ Q C 1~ . ~ ~ p _ {Q, ~ w w O 03 U1 'V F r1 ~ ~ ~ ~ r ~ ~ II7 ~ V~1a\ CJ U (.1 ~ ~ ~ (SJ ~ ~ D p a~ ~ ~ W N ~ m ~ a ° ~ ~ c, Zm ~ A r ~ o ~ n > 0 8 " ~ ' D N .ate H N'`~Y =~j r+` ~ ~ nl ~y ~ ~~'~Ce~/ w 9~ ,'"r~~''f ~-p ~y~rNEE ~ ~ ~ H.» : c. F n t _ BOARD OF HEALTH 3 SETS OF PLe1NS FORM NO.7 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FOahl TOWN HALL SOUTHOLD,N.Y.11D71 NOTIFY TEL.:7651802 CALL C"" 1 l~~t~ MAIL T0: Examined -at lJy q~d a L~, ' Approved ~~-tk....W.., 19,1. Permit No.. A UvI..21. DisapProveda/c .................................~.a':t'........ (Building Inspector) APPLICATION FOR BUILDING PERM17 Date 15 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree+ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm- shall be kept on the premises available for inspection throughout the work. e. No building shall be occugied or used in whole or in part for any purpose whatever until a Certificate of Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporatton) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, .........Jr-.en ery.~... G.°.h.7~~c.7q~..... Name of owner of premises . ~p.v c.. ~P7 K~~lri~Q ee.; , , , , ;1!YI,~?, , , , , , , , _ (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and titre of corporate officer) Builder's License No. . 7 ~ 03, , f-!i,~b• , , , , , , , , , . Plumber's License No. /,I!I.a7.l~: Iu.c.k../~L yrrr4ijp Jc Electrician's License No~4ds~r. ~G.~ 4.>.`f f-:.. Other Trade's License No . . 1. Location of land on which proposed work will be done . . ..1~.a~ J~~Kxrvs...LNA6...~c~..................VY1.?~................ House Number Street. Hamlet County Tax 4tap No. 1000 Section . l Block ....P, :5~......... Lot ....Q .cP......... . Subdivision J4c ~S:q q, 5.. Latlc~e.'1,3........... Filed ktap No . Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...:-..:Cum,. tX..~we. ~ ~ ! !+5 . b. Intended use and occupancy • • t 7t • • • • • • • •GV~ ' ~ e .~.tfd' ......,v ....~~<hy 3. Repair of work (check whi~e npoplalable): New E3uildingDemolition Addition Other lVorkation ; ; . (Description- 4. Eslimated Cost . ,o.~Z.9.4S! G~ Fee . (to be paid on filing this application) 5, If dwelling, number of dwetting units . . . . . . Number of dwelling units on each Cloor . Ifgaraae.numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent of each t}'pe of use . 7. Dimensions of existing structures, if any: Front . , ,Rear Depth a .`7.`...... , Hci.ht l.H.:......... Number of Stories / . , Dimensions of same structure with alterations or additions: Front 1 .r Rear ~..1= , . Depth , !'t'3 . IIcight ...~.r?'................ Number of Stories . Dimensions of entire new construction: Front ....ati. Rear 1.......... Depth .4 , . , . , . , Height Number of Stories ~ , . . 9. Size of lot: Front ..~.~'.6f Rear t.~.......... Depth ~ 9~ . 10. Date of Purchase .............................Name of Former Owner 11. Zone or use district in which premises are situated . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: /.V!? . t3. Nill lot be regraded .....................1Vi11 excess fill be removed from premises: Yes d 14. Name of Owner of premises . v(?~ v6: , IV?u cq.g bc~Address ...................Phone No.... , , . Name of Architect .Address ...................Phone No............. - Name of Contractor .~a~ : Q:~: ~Y:',r.~............ Address .6YI,~.z6 . tea 77.: 7µc.Q'hone No.. Q? 4~ j 4 IS.Is this property located within 900 feet of a tidal wetland? *YES....NO..._ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAb4 Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fr~_ property lines. Give street and block number or description according to deed, and show street names and indicate when interior or corner lot. i~ r - ~Aad a e'er M ~ STATE OF \E~V O ~ S.S COUNTY OF . ' ~ . L ~lJn~f?~Q`~---, , being duly sworn, deposes and says that he is the applic; `amc of'individ al signing contract) above named. ficistlte...G o!/.~!ae.r¢~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t application; that all statements contained in this application are true to the best of his knowledge and belief; and that ~ work wdl Ue performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~ , ....day of !!!~~:?'l'~L....., 19 . . \otary Public, -f. s ounty I~,_j/~//,{/,~/~~//~ .li/DipH T. TERRY Y~ ~ .UG ~ ~ • ~ ~ . Notary Fublic, grate of Naw yqx No. 52-(~qqg~ Qualffied in SuNdk CoLn~y (Signature oC appIica Commission Expires MaY 37 t~