HomeMy WebLinkAbout17551-zFORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218996 Date APRIL 27~ 1990
THIS CERTIFIES that the building ADDITION AND ALTERATION
Location of Property 1370 JACKSON ST. NEW SUFFOLK
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 10 Lot IO
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCT. 14, 1988 pursuant to which
Building Permit No. 175512 dated OCT. 31, 1988
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 AND ALTERATION TO EXISTING ONE_FAMILY DWELLING.
The certificate is issued to JAMES P. MANNING
(owner
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N120142 MARCH 26, 1990
PLUMBERS CERTIFICATION DATED MATT. PLUMBING & HEATING 7/31/89
CcL-L 1~NLN /
Building Inspector
Rev. 1/81
Boaat xa s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ X17551 Dare ...~~ ...~:~ .................................. 19...4~.L~
Z
Permission is hereby granted to:
Gi ,
9~.k'Q~tl~r~"`t~!!!....G/~'~..... G.~y~~?X~.G...~~~r~,X~t'! u'1~
...~s~o3 .... .......................................
......
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t0 .~~y/eLD~'JitL~~~~~~p..G~la~~...aan,~r~~~/c.~6.z~.....A!~ 1~~:~~.~i~Q..~4~Y/•.....~A.....iG/•`^'e7••{~y,1j~:.
y~~J ,
V / .. .......
ct premises located at .../~7Q ........ .......................~(t..............................................................
..........................................................
Caunty Tax Map No. 1000 Section .....................................
.......~~.~...... Block .....................................
........... ~D.... Lot No. ...........................
...... ~d...........
pursuant to application dated ....... .....lQ~jr..~ ............... ............. 19.(„~~, and approved by the
building Inspector.
owe
Fee $..~~~y,,~^/v
.~~ i
........'-'1..°..~ll~... r... ....P~ 1~~ ............................
~ing Inspector
Rev. 6/30/80
TOWN OF
BUILDING
TOWN
SOUTUOLD
765
SOUTIIOLD
DEPARTMENT
HALL
NEW YORK 11971
1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
/V D/ATE...~1g,~'.' J..... .
NEW CONSTRUCTION ..,.....OLD OR PRE-E%ISTING BUILDING. Y...pACANT LAND..._....
Location of Property.. ~'3?~,,,.,;„57~~G_SQ~_.S'f,,...,,,._.(~/~.~Ff,OG1G
NOUSE NO. STREET UAMLET
Owner or Owners of Property..::':! ;~f'?.../.;~j~jt7~//J:7'
County Taa Map No. 1000 Section ,.~~7, Block ...~d Lot-.../,D....
Subdivision ....................... Filed Map ........Lot..........
Permit No.O~~'~-'s`f.~.Date of Permit ~g~~j~'Y. ~~~Ll~jf-jyj~.
.Applicant .
Health Dept. Approval ..... N~~(.,,,,,,, Underwriters Approval ..............
Planning Board Approval ...~
Request for Temporary Certificate ....... Final Certificate ....
Fee Submitted; $,,,,,,,,,,,,,,,,,,,,
APPLICANT ...
...............1~''(i- C~L~....... .
3 ~/-~ ~ S'
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rev, IOJ14/88
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TEL. 765-1802
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TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date S
Building Permit No. d ~7Sb"7 ~.
Owner S ~ /~,¢ANi u y
(plealIse Iprint) I (~ ~J /~
Plumber o T.Tv~I~ um 4a~~+~~ f-'~-1~~ ~q `-O'~
(please print) v O
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
(plumber's sign
Sworn to before me this
~/fiR7y ~~RS~ day of .fC/~~ ~ -
Notary is
Notary Public, ~ ~GO~Gdt`~ _County
lDiiH r..rNc:hSON
Notary PuWk, Stale of Nnr Yak
Np, 492ta758
(h~atiied in Suffolk Caeap`
Tartu ,:xpkes feb.1S.19~'+
~oS~FFniX~oo
.: ~~
~~~ ~ rn
"%~~0~ ~~ ~~pe-
TOWN OY~ SOUTIIOLD
OFFICI: OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTFIOLD, N.Y. 1 1971
DECEMBER 15, 1989
PLEASE CONTACT OUR OFFICE
RE: JAMES MANNING
WB NAVE SENT YOU TtdO NOTICES
To Whom This May Concern, ,.
TEL. 765-1802
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/~( An application for Certificate of Occupancy
is not on file.
fig/ No Underwriters Certificate on file.
!hx/ The check is(outdated/not on file.) $25.00
/_/ No Health Dept. Approval on file.
/_/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit It 1 7 S S 1 Z
Building Dept.
***/g~ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued afL-er April 1,1964 )
r'lELD 1n.~i:G~.•~U.; ~~D6:n ~ COaKMENT~
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FOUNDATION (1st)
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FOUNDATION (pnd) _ m~
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IIJSULATION PER N. Y.
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STATE ENERGY
CODE
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FINAL
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ADDITIONAL COMMENTS: ~ C
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T0~'IY OI' SOUTIIOI.D
OI~fICI: C;P PsUILDING INSPECTOR
I~.o. uox I 1 ~ 9
TOSVN IIALL
SOIJTIIOLD, N.Y. 1 1971
TEL. 7C5-180?
NOTICE
October 31, 1989
SECOND
SCARAMUCCI CONSTRUCTION
BOR 1403
MATTITUCR, N.Y. 11952
Z'o Whom This, May Concern,
4;e arc unable r.o complete your Certificate
of Occupancy because of the following reason:;.
/%x/ An application for Certificate of Occupancy
is not on fil.c. ENCLOSED
/x%l P1o Underwriters Certificate on file.
/g~ The chec:F: .i:; (rnttdat-ed/nut on tile.) 825.00
/_/ D:o flca].th Ucpt. Approval on file.
/_/ D:o final inspect:iwt has been mace.
Plea:; r. contact: our office on this matter.
Thank you for your cooperation.
Itu'ildincJ PCrm.i.Y. 1! 1 7 5 5 I Z JAMES MANNING
I3uildiny Dept.
'' "'ltx/ tlo Plumber Solder Certificate on file.
( nl.l pormits involvi.ny plumbing being
i~suecl aft.cr April 1,1984
FIRST NOTICE AUG. 3, 1989
fr'
.. ,.... ...m„ ._. „~wsni~~~,.
""~. TEL. ?C,5-180
X05r ~c~ To~rrl or sou~uo~,u
+=: 1+27(~tu Y4 't~- OI~I'iCti OF PiUILD1NG INSPECTOR
rte", '"A;, ~?4~1°'" ~ ['.0. 80`C 1179
~~ ~ ''~'~`t'~ ~ TOWN IIALL '
~' ~, ~~'
~4y~,y~o1 ~1 r~~~' SOL]'I'IfOLD, N.Y. 1 1971
~ f `f o3
'dn:~.,,-~Q,. ~ y .119.5-- ~z;. 8,airw.~ C~'.:nt.~m~
To [9hcm This May Concern,
47e are unable r.o complete your Certificate
of~Occunanc;~ because of the following reasons.
/_t// An application for Certificate of Occupancy
s not on file. ~Qir~aQo~cQ
/ *:o tJndcrarritcrs Certificate on file.
~'/ 't'he chr_ck i:; (---•1-t.;~/nut on file.) 9j c25~OZ7
/_/ Alo flcal.th Dept. Approval on file.
/_/ D:o final insl~ect:ion has been made.
Please contact: our office on this matter.
Thank you for your cooperation.
liuilclir:<7 Permit-. it ~ .Z s ~ ~ Z
Builclinq Dupt.
}4k/_ t1ci Plumber soldcJ: Ccrt.ificate on file.
( all permits involving plumbing briny
i~succl after Apri.1 1,1984 )
r ~ 7.~s-/
765-1802
BUILDING DEPT.
INShECTION
[ ]FOUNDATION 1ST
( ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING
REMARKS:
[ )INSULATION
[ FINAL
DATE at ~ INSPECTOR ~i
i
YsS-1802
RUI4DING DEPT.
INSPE~TI®N
] FOUNDATION 1ST [ ]ROUGH PI.BG.
[ J FOUND TION 2ND [
[ RAMING _ [
REMARKS:
~A
] INSULATION
] FINAL
DATE /~ 10 ~ fNSPECTOR
w
~,
':~
THE NEW YORK BOARD OF FIRE UNDERWRITERS rA(,=~ 1
i'O04J 78 BUREAU OF ELECTRICITY e
85 JOHNSTREET, NEW YORK, NEW YORK 70038
.ets~ylrw.a.u.~s;-.,,„+~-FIICRCH 16 isl9p 64:t}4Ift9/89 N I2p:IA
Date ~ Application No. on file
THIS CERTIFIES THAT
only the a4ctrtcal equipment es described 6ebw and introduced 6y [he applicant named on the obooe applicstion number in the promises of
,JANf:;i MANNING, JA(;Ii:SUN ST., S(il7'CHOi,p, N.Y.
in the following loeationl ^ Bmement ® /xt FI. ^ Ynd FI. Section Blaek Lot
uns exomi+sed on N'SHRUARY 22 , 1. r19f) and found to 6e in compliance uitk the reyuirementx of thu Boord.
RXTUS! RXTURES RANGES COOKING DECKS OVENS U(MAUST FANS
ACIES SWITCN6
WTIETS
INCNIDlSCENT PlVOI1ESC4M OTHER M1T. K. W. IuNT. K, W. ~ ANT. N.W. AMT. R. W. NAT. N. P.
?. a 13 7 ~ 1 G 4 S. 1. ?. ?. F
DRYNK FURNAC! MOTORS wTUEE AFwANCE IKEDBK SFEOAL EK•n TIME CIOCKS yLL OIKi NEATMS DIMMlRS
AMT. K. W. dl M P. GAS N. P. AMT. NO. A W. G. AMT. AMT. AMT. AMR. TITANS. AMT. Itr. NO.OF IgT ANT. WATTS
SERVKi DISCONNECT NO. tIF 5 E R V 1 C E
AMT. AMP. TYPE 1 / tW 1 / JW ~ / S`N S R AW ~' GPERCeCGND. OP CC COND. NO. OP NFIEG a ~~~ NO.OF NEUTM1t Of .~UTGRAI
OTHER AMARATUS:
K 1'1'hH83i RF,NOttlSIT UNLY 1
-E'° l
:37'I;YY;'S I!;1,F../S'I'r:. ALdtir;R'1'. GI:C.~3d9A
P.p. H(>7I ]'hF8
SpIJTHpt,p, NY, ll'~'I 1 ~Al RAAIEAOM
!1
Per ""`"~..
This cartifN;ats must not be altsrod in any manner; return to the office of the Board if incorrect. Inspsttors ~ be IdeTMlfl~ by 1Mir rndentials..~
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ItEIST tJOT 6E ALTER Bi ANY MAlNER.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined . ~a~r't.~........, 19 ~//~/.
Approved .. ~~~~......, 19161. Permit No. ~7:5~1~ .~
Disapproved a/c .....................................
BOARD OF HEALTH ............
3 SETS OF PLANS ~...........
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
NOTIFY
CALL .....................
MAIL T0:
(Build' ;Ins c r)
APPLICATION FOR BUILDING PERMIT
Date ....... ~ a/.<9...., 15 ~f!
INSTRUCTIONS
a. Tlils 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.
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.
Ttte 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 ions.
. uC';c°;c; .
(Signature ot""applicant, or name, if a corporation)
u~. i ....y:........Z.
' (Mailing address of applicant)
State whether app]icant is owner, l/e~ssee, ag/ent, azchitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .....:~9?''1:°3.....,~ .r1.~./.~ ; o`.r.~ ...................................... .
(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. ..... /.3 9.>.S~ !~~ ..... .
Plurnber's License No. ..~ 3. ~~?.T, , , , , , , , ,, , , , ,
Electrician's License No. ...~-?. ~..~~.`~..r~........ .
Other Trade's License No . .................... .
I. Location of land on which proposed work will be done
.. 1, 3 ?.D........ s'`lc%So..1..... 57`.• ................ ~/~1...:sk. f .f :~. L/. ~ ................ .
Ifouse Number Stree[ Namlet
County Tax Map No. 1000 Section ....... /1.7........ Block ........./. `~ , , , , , , Lot ...... /. ~... .
Subdivision ..................................... Filed Map No. .............. Lot.............
(Name) . .
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... l...~-r.~.~y• • .~`~l.QP!~1G~
b. Intended use and occupancy ..... ~....~">~ l ~•~ • • • • Y1.Q~S.! l~a,J Chi
.....................................
_,._ ...,... ..., ~w.., ....~~..a v}} ~'~~'
3. Nature of work (check whichjapplicable): New Building .... ,', "
. Addition ... ~.. Alteratioh' " ~~
Re air ... .'~.......
P .... . ..... . .. Rejnoval .............. Demolition ..............}'~ 1Vo~k"~... .... .
(Descfiption)
4. Estimated Cost .........-.~5 i.°o o. ~ ................ Fee .. , ..... , .................... ..... .
(to be paid on filing this application)
g g .,, g units ..... , ~ ........ Number of dwelling units on each floor ...............
If era e, number of cars
6. If business, ommercoialdoremi~ ........ ~- .... . .................................................... .
ed occupancy, specify natur and extent of each ty a of use .......... ,
7. Dimensions of existing struct res, if any: Front ..:... 2 .... Rear . , , , , ,~,5~; , , , , Depth ....1{,~, , , , , , , ,
Height ....~d. ~....... Number of Stories ....... .
•T ~....,.. ...................................
Dimensions of same structure'with alterations or additions: Front ......~ ~. ~ .......
......
.. Rear......4,
Depth ... 3 ............. L ...Height ....../. 9 ~......r...... Number of Storm s ..../..... .
............
8. Dimensions of entire new constrnction: Front ...... f~ -(~, , , Rear ..... (,'z, ; :~, , , .Depth .. , , q 7
Height .....~.?.r. , . ... Nt)mber of Stories .....
9. Size of lot: Front . , . ~~ 9.' I ........... Rear .......~O.o .r........... Depth ..... ~~.6 i ......... .
p• ........... ............
10. Date of Purchase ~! ....Name of Former Owner ..... .
1 1. Zone or use district in which 'remises are situated , ,.~ , , ~
12. Does proposed construction violate any zoning law, ordinance or regulation: ^~. t~ ...................... .
13. Will lot be regraded ...... N, ~ . ,Will excess fill be removed from premises: Yes
14. Name of Owner of pre~},~ses,~' .h79zaNi,y 9, , , , , , , ,Address :7rt4k.-~oN Sf.r r?;5, ~ ~yl,~phone No. ,-~y,6, ~, , ,
Name of Architect .. !Cr2~e.r.'t'': W kR!i.~, , ,Address . !~?/'?~`-J,4'~,y~,/,4, , ,Phone No. ~:5~ ,6•9,1'a
Name of Contractor ~~•i?li''?J ~ ~ Address l~3ll~. 1, ~ , ~,,,Ct?R ~,• , .Phone Ny,~.~5~: ,9,b 3 p
iS.Is this property loc'iated within 300 feet of a tidal wetland? ES. .,NO....
*If yes, Southold Torn 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 bloc}c number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
COUNTY OF ................ .
(Name of individual siE
above named,
He is the ..............~-ff.>Jl't
of said owner or owners, and is
aPPlication; that all statements ec
work will be performed in the mar
Sworn to before me this
S.S
• • • • • • • • • • • • • .... , . being duly sworn, deposes and says that he is the applicant
g contract)
(Contractor, agent, corporate officer, etc.)
y authorized to perform or have performed the said work and to make and file this
Tined in this application are true to the best of leis knowledge and belief; and that the
r set forth in tl[e application filed therewith.
...............1.`-r. day of`.........~~.......,19~~
Notary Public, , , , , , , ~LygQp,~., , ~ , , ~ C; ,(/Q;(_ , , , County
I NEtEN K GE' VOE -........... G~YYl ~$tr.2... .
NOTARY t`UHtIC ~tctc a+ t:zmr YarN
Na ~70787A, SuHaN Cuun[Y (Signature of applicant)
Term Er<pires March 30,18_ ~y
SURVEY OF
PROPER T Y
AT
N'EW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 117 - 10 - f0
Scale 1" = 40'
Sept. 29, 1988
W
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ctr~ rlFlEO ra• -- -- -
JAMES f'. MANNING
/,q CKS~N STREET
S 64 ~ 00' 00" E' 100.00'
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AREA = 47,203 aq. ft. to tie line
c
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8.8• 4NCN
tit '~ ,~ ~>:e• ~ >" °ccord°n the minimum
~ r.r•
\ POOL w Prep°red r^ title surveys as a°nair° P~
p ~ FE ,_irs• ~ 4i L h °se bYnThe New Y rk St°te L°rrd
rax
Title Associotion•
/O _.--- O ~ ~.~
•"~__
/O
FIRST FLOOR ELEVATIONS 35.9
GROUND FLOOR, ELEV. m 26.70
CONTOUR LINE AND FLOOR ELEVAT/ONS
ARE REFERENCED TO NGV DATUM.
T7E LBAf ALONG YEAH NIW MA C
'~~~~ 108.$8' N BB' 84'00"
~~
a
.~
GREAT PEGONIG BA
ELEVATIONS lO-l2-BB
Y.S. LIC. NO. 49668 ~
N. Y. !/97/
~~5~~ ~
ass-isoz
BUILDING DEPT.
I ~ISPECTION
[ ]FOUNDATION iST ( ] ROUGH PLBG.
[ J FOUNDATION 2ND [INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:~,~~. ~`
DATE !l ~ S$ INSPECTOR 1/~~
.-~
~'~~ .
l2 ,l'^,5~1 ~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ) ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING
[ ]FINAL
REMARKS: Vim' ~
DATE l~ ~ ~~ INSPECTOR ~~~./~~ G~