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Home My WebLink About17710-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218902 Date MARCH 19, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING 880 WEST MILL RD. & Location of Property 1275 JACKSONS LANDING MATTITUCR House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 009 Lot 013 Subdivision JACKSONS LANDING Filed Map No. 5280 Lot No. 16 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 1, 1988 pursuant to which Building Permit No. 177102 dated DEC. 20, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law issued is The occupancy for which this certificate is TO INCLUDING DECKS. The certificate ~,is issued to STUART D. WECHSLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 12-SO-109 MARCH 9, 1990 UNDERWRITERS CERTIFICATE N0. N675944 JUNE 13, 1989 PLUMBERS CERTIFIICATION DATED W.H.M. PLUMBING JUNE 27, 1989 REPLACES B.P. #122932 B.P. ~#151002 ilding Inspector !'OB~M NO. f TOWN OF SOU7'HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. ,`,"/"p~Jy ~-- BU LDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIbN OF THt: WORK AUTHORIZED) N ~ ~1 ~, t ~ ~. Q Z Date ... ~~`,! i~r..'.~ ................................... 19.~~ ~~~ P L•~S ~S'lz~o errnis n is ere ra ~q.~°~;ed ta~ , ct premises located at .~~Q ..~iC~.2~t~.`.~~ /.~~*~ • ' •r•`/t .. ........................................... . .jam ~~` G~~Pk'~ ...~a7.r~..~"7.~ ....................... Coun Tax Ma No 1.......... .....~'~~'~ ..... .. .. ............. .................... ........... ty p 000 Section . fQ !'P.... BI«k .... ...~..... Lot No.... ~.'-~.. pursuant to appl~catiorr doted ..l y/,l ...... Budding Inspector. !~ Fee 3...1...6.. oS• .... .. ......, 19 ~V.., and approved by the Rev 6130!80 rosac 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° 151QQ Z DateC/~;`~~~...... ~I..":~......, 19.GI.~ Permission is hereb ranted to• Y 9 ~..~Q~.~/..`.7~.C..I..IC.~.~!! ........ .... ..... .. ...~:6.....~f...~J..r~~ ...~r...~ . ...... ~ . ... ~C ......~1G.~.../../73 ..SS of a ar .u..o..~... ~........ ~ ~l. A - - ty p 1000 Section ~ Q.t?... Block ....~............ Lot No ..~..~..... . Coun Tox Ma No pursuant to application doted Gy~~~ . ~~.... , 19 ~`~nd approved by the Building Inspector. Fee S. ~ .~d ~ Building I actor Rev b/30/80 . ; ~, 4n,J i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1075035 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK. NEW YORK 10038 ~_ JUNE 13,1989 61287589/89 N 075944 Dote APPlicotionNo.onfile _ TH13 CERTIFIES THAT only the slsrtrlcd pulpmant v dascr76ed hs/oro and introduced by the applicant named on the aheoe applicatbn numher Jn the prrmisee of YSSCHLER, E/S MILL ROAD, MATTITUCK, N.Y. 3FL/GAR ~ in thefolbuing lorntion• y~Jp g went ~ 1Rt Fl. ~ Ynd F1. Section Block Lot . q g g NAh 2D , 1 _ _ " - uw examined un and found to he in complianer reith the reyuirementa of this Boord. R%fUp AOK SYYITCMK RX ffANOES OMKRNi fI[CRS OVENS DISH WASfNRS EXKAVST BANS t)11T1lTS INGNDlSC:piT PIUDtlttlNT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. X. P. 47 63 46 47 3 F DRYERS RIM/ACE MOTORS IVTIIEE ANLANp RWMS SHOAL EEC-T ilE1E GOCRS ERl UNIT INAiNf NIA140UT1ET DIRAMERS AMT. K. W. dl X. I, OAS. X. I. AMT. NO. A. W. G. AMT. AAV. AMT. AMK. TRANS. AMT. X. P. ~ ~T AMT. WAl1S 4 F 4 - - 1 30 1 SHVK! DIECONNECT NO.01 S E R V I C E AMT. AML. IYN ~ 1 / TM t / JW ] / 3\v t / AW NO. O~CC,COND. q CC CpID. ~, q X4LEG a ~ H ~~ NO, q NEUTRAIb ~j ~~UIC~AI 1 aoo ca 1 x t z/o 1 a/o OTIMR AMrARATUS: 1/2HP JACUZZI W/ G.F.C.I.-1 G.F.C.I:-9 SMOKE DETBCTOR:-a TRACK LIGHTING:-30 .P~ >: LECTRIC LIC.~2466 S ~ THTOAN BLVD. OMEERAI MANAGER - NY, 11767 11 Per ;Aj- Iered in any momwr; return to fbe offin of fM bard if incorrect. JnspeNOrs may ba idarltifisd by their cndnRials. UILDING uErARTkENr. 7Nfs Goff of GlRTIFN:ATE MJST NOT 6E ALTERED IN ANY MANNER. ~ w.sa~. mumbi~ & He~tl~ Contractors, D/B/AYour i'lumbing Co. ~ 16 Hulse Road East Setauket, New York 11733 (516) 47&3568 Fax. # (516) 473.3762 July 27, 19£S9 Re: David Rosenberg To I7tiom It flay Conoern, Let this letter serve as your official certsfication that Gd.Ii.P4. Plw~ing and heating ContractorY, Inc. certifies that 95-5 soder was used on all clonestic water piping. tde also certify that 50-5 soder was used on all heat pining. A11 of tie above is in accord-uic~ ~nttx .Mate and TACa1 Codes. Our license 5i ncerely „~ W.H.2I. IUPA/lvhurt~zng & H ' i Contractors, Inc. 4~illia:,i H. Mauff, President ~7f1/~lh ,1 TOL1N OP SOUTIIOLD IIUILDIPtC DCPARTaCt1T TONN DALE SOUTIIOLD, ttCU' YO1tK 11971 765 - 1II02 i APPLICATION FOR CERTIFICATE OF OCCIIPAttCY ftEN COt;STRUCTION ._~.OLD OR PRE-E%ISTIIIG IIUILDI27C~......VAfCAI7T LA/t7D....._.. Location of Propcrcp..~~~_..(::-?'C~~_..~~ ~~._ "-d~'~'~~`~"1~'So+°~ .l~W-~C~a~-t, ]IOUSE,NO. C STP.CET • • UAHLCCZj(/M~'t"~~~{d ,~ Ovaer or Ovncrs of PrpPcrty.._..1~//~~,,(~__:~~_.__~_..~~1l~~,?4e"~..... County Tax Hap No. IOpO Seccioa .~v:+~ IIlock _. ~... Lot .L~.__.. Subdivisioa: ~~.~-~~SS'.~`._ ~~~~ Filed Map _~ .~~Lot_ ~ 64~~0 PcrniC Ho. .1~~~o~.Datc o£ Permit 1~~~.0_d..Applicant ._.._... IIealch Depe_ Approval .................. Undcrvricers Approval._.._.....___. Plaaniag Board Approval ................ Request for Temporary Certificate ....._. Final Certificate ................ Pcc Submiceed: $ .................... 3~~~~ ~~,ti 3~~~1~° 4 eqv• 10/14(88 APPLICAtiT ..................................~~ FORM NO. 6 TOWN OF SOUT!-OLD IIIIILDING DEPARTPIENT TOWN MLL 7G.i - III02 APPLICATION ~'OR CEP.TII'ICATE OF OCCUPANCY INSTRUCTIONS A. This application mutt be filed in typewriter OR ink and submitted Co the Building Inspector with the following; £or new buildings or nev use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. ' • 2. Final approval o.~ Dcalt6 Dept_ of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Firc Underwriters. 4. Sworn statement from plumber certifying that solder used is system contains Icss' than 2/30 of IZ Icad_ S_ Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect ar Engineer respdnsiblc for the building. 6_ Submit Planning fSoard Approval of completed site plan requiremcats. B. For existing buildings ~PriOI to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings aad unusual natural or Copograph is features. 2_ A properly completed application, a consent to inspect signed by the applicant If a Certificate~iof Occupancy is deaicd, the Building 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 ccrtif icatc_ C. For Vacant Land Ccrtlificate of Occupancy: I. An application foY vacant Iand Certificate of Occupancy shall be submitted. and a certified apstract of title issued by a title company shoving single and separate ownership of~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the masons therefor is vritiag to the applicant. D. FEES: 1_ CERTII'ICATE O~' OCCUPANCY - Neu Duelling $25.00, Additions to Dvclliag $25.00, Alteration Co,Duclling $25_00, Swimming Pool, $25.00. Accessory building $25_00 Addition Co Accessory buildings, $25.00 - Businesses $50.00_ 2. Certificate o> Occupancy on pre-existing duelling - $100.00. 3. Copy of Certi.~icate of Occupancy - $5.00 - over 5 years - $10_00 4. Vacant Land Certificate of Occupancy - $20.Op S. Dpdated Ccrti~icatc of Occupancy - $50.00 6_ Temporary Certificate of Occupancy - $15.00 Residential Commercial ~~~~r~m on1 ~ro_r~ ~... -o/1a/sa ~(~ 76S-iS02 ~~ ~ / >> .- . BUILDING DEPT. ~NSPECTt4 ~~/~`"`~` ~~ [ a FOUNDATION 1ST ( ] ROUGH PLBG. ~`'`~ ~, [ ~ FOUNDATION 2ND ~ ]INSULATION V~~~~. _ [ }FRAMING REMARKS p [ F{NAL „~. DATE ( o~~~Q`INSPECTOR r 765-1802 BUILDING DEPT. SPECTION ON 1ST { j ROUGH PLBG. [ ] FOUNDATIdN 2ND [ ~ INSULATION [ ]FRAMING ( ]FINAL REMARKS: DATE `' ~ ~~INSPECTOR ~ .~^~ r -15LD I;.S:c~TiU;+ ~ ~U~ ~OMMLNT.°. s /i~ T -o ) 1 I ~ i H y FOUtJDATION (1st) ,.. ~ ~ - a `` - J~+ ~ c N. ~ - . ~ FOUNDATIOtJ (2nd) _ _ ... ~^ o~ ~ ROUGH FRAME U' L P UMBING ~ r 3 H 3. ~ ~ ra m I2JSULATION PER N. Y. "~ STATE ENERGY CODE ~ x ~ . ~ m 4 . . a FI;JAL o E ADDITIONAL COMMENTS: ~ , s ~,~ . Y~- ~ ~ H ~ ~ H / ~ C/~ O [*J l Y 7 i r _ ~ H ~ ~~ m _ b ~,,/ _~y~ ~ y~ ~ ~AILLJ~ rA /~~*/'T teL.dtL~[1LIL/ _ .~A --~ ~ - ~-. _ i - FIFLD INSPECTION t'k~' -- ' DATE COMMENTS ( - , 1 .' " ' ~ -r y FOUNDATION ~ (1st) ~ - - -- ~ -- Q FOUNDATION (2nd) - J -_ 2 G ~/ ROUGH FRAME & PLUMBING INSULATION PER N. Y. ~~/~ STATE ENERGY ~' ~ fS Jv%~~/L.~ C ODE ~ S i 4. FINAL ADDITIONAL COMMENTS: ~ E t F i ~ 4 ~~~- :~,. • ~~J ~~ ..,/ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIITHOLD, N Y 11971 TEL 765-1802 Examined lr?~~ ....... , 19 S~ Approved /.!~/ ?:~ .. , 196. Permit No. I ~I.~~f/. . Disapproved a/c ......... ........... .... .. BOARB OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORM .............. NOTIFY CALL ................... MAIL T0: .~O'~L l ~ Z 4~~ .~_~~. , . (Bw mg I p tor) APPLICATION FOR ILDING PERMIT Date .......... ........ 15 INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wt sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan s}iowing location of Iot and of buildings on premises, relationship to adloming Premises or public sti or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this a. catron. c. The work covered by t}us application may not be commenced before issuance of Building Permit. d. Upon approval of this apphcatton, the Building Inspector will issued a Building Permit to the applicant Such pe shall be kept on the premtses available For inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occup shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for ~r~pl~~iuildmgs, additions or alterations, or for removal or demolition, as herein descnl The applicant ag p } with all a hcable laws, ordinances, building ,housing' code, and regulations, any admit aut}ygTy~d ,nsn~~g~y ~i building for necessary inspectro `~Vi1T~1~+R .. . 'Jlrr A4~ ~ # ~ t1~A ~ SO!!f 8~C (Signature t a hcant, or(n~ame if as c1orporation) .~4Ot1:33R2UC! DY^.ti'K) i,1O~ `~~S ~C?C.~_ \" I...!`: Ste....... . . WPSl7l~iliMJt]~ .T ... .... . (M ilin~ ad ress f applicant) State wh~~~~it uir~.~~,~1~°@nt, architect, engineer, general contractor, electncian~lumber or buds Name of oreis~ 4 ~ _- ~ . L:~ ~K? ~"•,~'~'~ .. . Yid ~ 1'2'N0:3 3TA' (as on the tax roll or latest deed) If ap is nit n3RCd~`e ol'du~f authorized officer -~ Name and title of c11orpocr~ate ofCf~icer) Bui is License No l.'~ . `~'. l` ~~ I Plumber's License No ..... .. Electrician's License No ~`~ ~.~' ~. -. O[her Trades License No ..... ....... . . 1 Location of land on which proposed work will be done g(~ w e s~ t!~ ~ LL. ~ ~. . ~:. . House Number Street County Tai blap Nol'10l00 Section t~ ~°.. • ... . Subdniston ~~--~Jati1KJ ~~~~.(•~.. .. . (Name) ... . . .. ..... .... ............... 1a~5 .~~L~~~U~.. 4-~! ~~I.!~~r~j { Hamlet r^n h1 ~ i-S{a~-1 ('~ . Block ....... Lot .... ~ ~ ....... . ........ Filed l,fap No ,Sa ~~, ... Lot .. f.k'.' ~'. . 2 State e~isung use and occupancy o7f-p-remises and intended use and occupancy of proposed constniction• a Etiistmg use and occupancy ... ~`X.t ~~i ~•c~• • • "•`-'~r• ~ ~` ~~' ~ ~` . b. Intended use and occupancy • •~Q~U•~S'~ ~ ~~~ • ~"•~ r "• \ • .~ •~~.:>`s~_ • • • ~ 6 3. Nature of work (check whsch applicable): New Buildyng .. ..~.. .. Addition .... , . ter~tpts ~, Repasr ............ .Removal . ............ Demohtson .... ...... O~ork' .:. .... . ,~ ~ (Descnptu 4 Estimated Cost . .J Qt .C)Z~ZO ....... Fee ................ . (to be pasd on filyng this application) 5. If dwelling, number of dwelling units , . ~.V,Z e-. , Number of dwelling units on each floor . ......... . If garage, number of cars .. V\J c;)h C-, . .. ... ......... ...... ...................... . 6. If busyness, commeresal or myxed occupancy, specify nature and extent of each type of use ... . .. .. .... . . 7. Dmsenssons o~ existing structures, sf any Front . . r .. ...... Rear ............. Depth .......... . Hesght .0~..9. ..... .. Number of Stones .. ~ lam-... .. ................ ....... . ....... . Dimensions of same structure wsth alterations or additsons Front . 5 ~'t^'~4'......... Rear ...... ...... . Depth ...... ........ ...... height ... .... ..... N mbei of Stones ........ , c~ u r 8. Dsmensions of entire new constructyon. Front . ~.3 ~! .... .. Rear .~..~........ Depth .~~...... . Height . , .a~`~... ..... Number of Stones .~ ! ?-- ............. ...... ....... ............ . 9. Size of lot Front .. 1 uV. ~ ... . .... ..... Rear . ~ 1 C7 ~............... Depth ..~ ~: `:~ .•J~t , , , , 10. Date of Purchase ...... .. .. .......... ....Name of Former Owner • ....... . .. ..... ....... 1 I. Zone or use dystrict in whic}i premyses are situated ......................... ............... .... . 12. Does proposed construcu0n violate any zoning law, ordinance or regulation• ... ............. ....... . 13 WiII lot be regraded . ~.~ ......................1V111 excess fill be removed from premises: Yes 14. Name of Owner of premi es S{~:K+:rt .~-:5'-x:~~!~- ,Address 3.4~ Y°~aa~^'.+. ~4 Phone No..?.Z?'3f? 4 Name of Archstect .t~['~~4.. ~~~:..... ...Address a4.°.. ~ ~~, w `:~• Phone No `.~~.. ~.-~~' Name of Contractor l_'-.~^.~:~:~<?'^:xt: ~~2")`~+.'7.4'C~. ,Address . 1 ~~.~~4(~~~ .Phone No..`t~~fZ4-.'-y. . IS-Is this property located within 300 feet of a tidal wetland? *YES....N0.4. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether exysting or proposed, and indicate all set-back dunensions i property tines. Gyve street and block number or descnptson according to deed, and show street names and indycate whe rntenor or corner lot. OCCUPANCY OR USE !S UNLAI~FUL ~-N!Tl~OUT CERT!'~lCATE OF OCCUPANCY ~~~~ NO7'IFY~~'~~1J1L~lN~i 785-1802 ! AM 1q 4 PM FOR ZNE FOLLOWING INSPECTIONS: t. FOUNDATION TVMO11lffiptNRED FOR rOUIlED COt1C11E1E 2. ROUGH • FRAMMIO Jt M,UAARINO S 1NSULATtON 4. FINAL - CONST tU "TipN MUST 8E COMPLETE FOR C.O. ALL consTaucraN s~ ~ • ~. MEET THE REOUN398ENT8 OF TFIE N.Y. STATE CONSTRUCTION ~ HIEIIGr CODES. NOT RESPpN$ISLE !°0!1 DESIGN pR CQNSTRUC'tIQN ERRCMI$ STATE OF NESV YORK, S S COUNTY OF ... .. .. (Name of individual sygning contract) above named. ... ... being duly sworn, deposes and says that he is the apple He is the (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is,duly authonzed to perform or have performed the said work and to make and file aPphcatson, that a!l statements cpntamed m tlsis application are true to the best of fus knowledge and belief, and that work will be performed m the manner set fartli in the application filed therewRh. Sworn to before me this //~~ ~, ...... ... ~ ... .....day of .... !~ ~C-Y........., 19 d~ I1 J /! i (i Notary Pubic, . I . C.e?^t.r_ : N~ ~' ~~ ... ... ........ County . ~ HELEN K DE 70E N¢TARYPUt+UCStateaiMuwYotk ,,,, ,,,,,,,,,,,,,,,,,,,,,,,, No 4'+i~Teti+, Suir~, k ~ uumy~ TCrm [xpves March 3Q t9._...~ (Signature of apphc .- FORM NO. 7 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .p~. ~.., 19~t(j Approved per:-.~.., 19 , jPermit No.~/..~~~~ Disapproved a/ .. .. .... .. .... ~. 2 ~ I919~6 Rece>_ved...........,14. . ... .... . . ....... ~. .. ~ .. (Building Inspector) APPLICATION FOR BUILDING PERMIT ]NSTRUCTIONS -" +'i << Date ~~~a t `~ ..... ...., 19 `. a. This application must be~completely filled in by typewriter or m ink and submitted to the Building Inspector, wit sets of pans, 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 str or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap canon. 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 per shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupa, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the rssuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the constructon of buildings, additions or alterations, or for removal or demol'tron, as herein describ The applicant agrees to comply with all applicable laws, ordinances, ildmg code, sing cod ,and regulations, and admit authorized inspectors on premises and in building for necessary s ctio~~j (Signature of applicant, or name, if a rporation) . :~C-; ~~ .~`"'~~ C~ :~ tom.. ~:.~- .... .. . (Mailing address of a he t) yR~ t l~C`s1.° i \ -a`~cr'., ~ ~ `'f''~ k State whether applicant is_owner, lessee, agent, azchitect, en~neer, ge~al contractor, electndian, p tuber or build Name of owner of premises ..:': a.".c <•:) ~. ~ . 1`~ ~~:~r~,a'~ ~~F' . . .. .... . . .. ....... . ....... (as on the tax roll or I test deed) If applicant is a corporation, sigiiature of duly authorized officer ....... .. .... l.. .. .. .. (Name and title of corporate officcer) Builder's License No ~~z~-X.'. ~ \ .. . . Plumber's License No. .~p.,,]~~.~ Electrician's License No. , . .. .. . Other Trade's License No , . ,~.~-__... 1 Location of land on which ^ro osed work will done ~ ... .. .....~ ....... ` .. . .. ~'~~' ir-r~~;5' ~''~.\-..~.. ~ ~ \v~']5 . ~#'~.'.~.+`,~~, ~1n~-:tom ~l ?~;r-~ House Number 1 Street Hamlet ~ri'~`~\'"[`~..,`~.~ County Tax M^a'~p'-No 1000 Section ~ ~4~.'~.~ .` y. Block .. ~l.. .... Lot .. 1 ~(. .... . Subdivision '~•?~'~~.~~~~ ~ ~--~.~~+~~~V~ .Filed Map No ~vc~~.. Lot ~~x. I.(± • i (Name) 1 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy ~--•L~~: • • • x. ~~~.. ........ . „ . b. Intended use and occupancy ~~N'-~~`(~:'~ ~t ~'~-'• . • ?: ~. '!" !?+. .~~ ~~~1~~~.:~~ • • . . 3. Nature of work (check which applicable) New Building .. .. Addition .. .... .. Alteration . ~ • . Repair .. ... Removal ... :: Demol~tron .. .. .... .Other 11'ork ...... ... ~.~j~s.'C;~7 .. Fee .l. .f .J..di.~ ~... (Description) 4 Estr fedlCbst` . .... .. .... _ (to be paid on filing this apphcat~on) 5 If dwelling, number of dwelhi~n nr~~~} ~r .. Number of dwelling units on each floor .. .. . 1~. .. ... If garage, number of cars ... .!. r .. ....... .. .. .. .. .... .. ........ ..... . . 6 If business, commercial or mixed occupancy, specrf r}attaig and extent of each a p~ of use .... .. .. . 7 Hem htsion~s,~of~exishng struoNtures, if any Front ~~ . `l .. Rear rr.~ ~ ~ ...::: Depth ~~~~ . .. umber of Stones ......a-~.~r :~. .. ... Dunensrons of same structur t~ ~~ e with alterations or additions Front ..~>~~`'~.L ~- .. Rear .. .. .... . . Depth .. .... .. .. ' .Height .. a ~ .... .Number f Stones .... ... ~ :~ .1 .... . . 8. Dimensions of entire new construction. Front (ca~ • 1 .. .. Rear .~~ .~ ..... Depth . ~k, ........ . Height ]~:. .Number of Stones ia.°r~v ..... .... .. . 9 Srze of lot Front .. ~5:~ .a~.7 .. .. Rear .. t 1f:a.l;/ T ... Depth .. ~; ~ ~'.i..`3."~ . ~"Y.. 10 Date of Purchase ... .. ........ Name of Former Owner .... .... .......... .. 1 I Zone or use district m which premrses are situated .. .. .. ... .... .... .... . 12 Does proposed construct ~q violate any zoning law, ordinance or regulation .. .. ................ . 13 Will ld,t be regraded ..ICJ! ....... . Will excess~fill be remr~io~ved from premises. Yes ~N. 14 Name of Owner of premrses .~~;!i~ ~5 `~n:.Yl4x'lt~ddress ~:I°-i ~%~-.t~-its, ..Phone No. ~`l a e~'~~~. . Name of Archrtect~.' itiCC"~• • ~.~y`?t;- .. .~Address~c~S ~ 3..~~~k-~. Phone No. ~? i. 74~.t` Name of Contractor ....~'.l,'v.~s.-1~.. .... Address ~ ° .~..... ~ .Phone No..... ..... . 15. Is this property located within 300 feetyyof a tiidal_ wetland? *Yes ..... No .~ . *If yes, Southold Town Trustees PermatPLOTDIAGRAMed. Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions frori property fines Grve street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF W YORK, 3. COUNTY (Name of mdrvidual signing contr t above named .. being duly sworn, deposes and says that he is the apphcan, He is the .. .. ....I.. ... .. .. .. ............. .... . ....... . (Contractor, agent, corporate officer, etc ) of said owner or owners, and rs duly authorized to perform or have performed the card work and to make and file thi application, that all statements contained in this application are true to the best of firs knowledge and belief, and that tha work will be performed m the manner set forth in the application filed therewith. Sworn to before me this .... °~ I. .. day of ~ .~-~{ .. .. , 19°1°. Notary Public, ,. .~~P . ~.,~~/ .. ~. .. County HEtEt! K OE 110E ... ....... ..~-~°: -.`:' ..... ........ .... . ~j~ q~76~p~y~r~~-~ (Srgna re of applicant FP°~- Fxm~es lA~reh 36.18_...Ll FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined ......... f/3 .., 19 Approved .......... '/ 3 ., 19Permit No.. ~°?019 3 Z-- Disapproved a/c ~/o~,~, . ~~~~~- '~~ ~~~d ........... ,i ..~i%~~~~1~/~. ....o:.~~. ... (Building Inspector) APPLICATION FOR BUILDING PERMIT °~ ~! ~ , o4grMe.l ,nae»~+d d.AQ~~ -~~„ ~/« - Date .Feb;, 23,,,,,,,,,,, 19 83. 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. 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. The applicant agrees to comply with all applicable laws, ordinances, building code, g c e, re ations, and to admit authorized inspectors on premises and in building for necessary inspections. David Rosenberg, ,,,,,,,,,,,,,,,,,,,,, (Signature of applicant, or name, if a corporatio Building 8, Suite 6, Gyrodyne St;,James,,NY,11760,,,,,,,,,,,,,,,,,,,,,,,,,,, (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. General Contractor ...................................................................................... Name of owner of premises ...D,avi,d,Roserlberg,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (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 . .................... . ''""~ ~~ ~'I `mod 1 4FC~ 1. Location of land on which proposed work will be do e. Maltx.i Luck.. Town. of: Spua:hP.l d .. , . , /, / ~,,~A. ~w ~J ............... . ..............~ ..U/~~Mi 11 Road 275 ~aC~t,t . K~+^ i'/i /j'7~~ ........................ .. G~u/i!~u ~fl.......... House Number Street Hamlet County Tax Map No. 1000 Section .. l 06 ............. Block .. 9............... Lot .) 3............... . Subdivision ... Jacksons, Land i n9 .................. Filed Map No. 52A0, , , , , , , , , , . Lot . 1~.. 1 ~~ .'E~ ....(Name) ... . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . Ex i st i n~ barn and tower not used ............................................ ___ _ (~.. a. (a`~-(~3 3 s.-Q~s C"'"'x'° ~~ S~4r~-e~~ /~So-~o9 ~ ~ ~ ~'3 Application No ................. . ~~~ ~~ b. Intended use and occupancy . Conyert,i ng, barn, to, res,i dente. _ _ _ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .X ....... . Repair .............. Removal .............: Demolition ............ 3 Other Work .............. . (Description) 4. Estimated Cost . ~-~-y.-.)~r?c~ ......................., .Fee ... ~.~ v............................ . (to be paid on filing this application) 5. If dwelling, number of dwelling units .8ne ............ Number of dwelling units on each floor ............... . If garage, number of cars ...Nane ................................................................ . 6. If business, commercial or mixed occupancy, specifyy nature and extent of each tyY~pe of use .................... . 7. Dimensions of existing structures, if any: Front ...63'.'9 ~ ......Rear ..63' -9'' Depth 30' Height 29~•-~~~ ?~..... ......... Number of Stories . ............................................... . Dimensions of same structure with alterations or additions: Front .63'.'9' ~ .......... Rear .63' -9" , , , , , , , , , , , Depth ..31.'.-9'• ..............Height ..29'.-4" .............. Number of Stories .2k .................. . 8. Dimensions of entire new construction: Front ..63'.-9." , ... , , , Reaz ...............Depth 1. ~'9~ ~ ......... . Height .1.b'.-0':........ Number of Stories ..? .................................................... . 9. Size of lot: Front ...1.44'.-4' :............ Reaz .1.1,0 r._~ri .............. Depth .264:66 ~ ............. . 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: .. NQ ........................... . 13. Will lot be regraded .No ...................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises R I,P ,Cor);t., ,Corp., . , , .Address St ;James i ,NY .... , , , one No862"9799 Name of Architect 9rk;@k ,Associates .Address 200 13 Ave : , Ronkon SS$-7000' ' ' ' ' ' ............... ... ~e No. ............... Name of Contractor .R I.P ,Const; ,Corp ; , , , . , , , , ,Address .St ; ,James, ,NY , . phone Nob?-R7~9....... . 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. SEE ATTACHED DRAWINGS STATE OF NEW YORK, S.S COUNTY OF . Suf.fo.l k........ . .. ,.~14V l17 QOS~ 11~ ~~ . . . . ...... . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (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 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 this .......... ~ ......... y of ..~.. ~-~....., 193 rotary Public, ...... ......~f~K County I JEAN ROSE ...... .. ............. NOTL.^'f P:iCI.IC, St;3_ of Naw Yetlt S' store licant No. 4uSL'395, Saffol!; County ( ~ p ) Term Expires March 30, 19~' '~` '~' s~. _ ROSEN Ec ROSENBERG ~ ~~~~~ S~e~°'a`~~a ateZaco~ __--BLD~i_DEt?T.,_ CHARLES H ROSEN 66.E ~Kace ...mac` - .lxG`.eeHO,o, ~~ ~~777 TED M ROSENBER6 616-473^8100 February 22, 1988 Bui-lding Depa~ent Toom of Southold ATT: Mr. Horton RE: David Rnse1~t27 Building' Permit #15100 ~~ Dear Mr. Hortoni Would, you be so kirx7 as to issue an extension ari the current building permit currently in existence for the renovation on Mill Road in Mattituck, New York under the above building permit. 's'hank you for your anticipated attention and cooperation in this matter. TMR:pb Very y , TID M. RDSFtJaF!x: ~ /-- ~~ ~~~ VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 ~ c~~FFOLk~`~, ~~~ ~ ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Mam Road P O-Box 1179 Southold, New York 11971 November 25, 1988 TO WHOM IT MAY CONCERN: Building Permit #151002 can be renewed (replaced) upon receipt of application and fee. Before a Certificate of Occupancy, requ~.red inspections shall be made and approval by Suffolk Coun~y Health Dept of Well & Sanitary system. i TJF:gar ~ SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Building Inspector arktek associates ARCI~ITECTS March 17, 1933 Town of Southold Building Department Town Clerks Office P.0. Box 728 Southold, New York 11871-0728 Attn: Mr. George Fisher Sr. Building Inspector P~e• Building Permit Application Mr. David Rosenberg Tax Map No. 1000-106-9-13 Jacksons Landing Map 5280, Lot 16 Gentlemen: lde are the architects of record for the proposed design of a conversion from existing barn to one family dwelling at the above captioned premises for our client, Mr. David Rosenberg. This letter is to respectfully request you to reconsider your recent disapproval of our client's application for a building permit. Your notice of disapproval indicates the grounds for your action to be that; A. 3 story buildings are not permitted in "A" residence zoning by Town ordinance. 6. 3 story dwellings are not permitted to be of Type 5 construction by the New York State Construction Code. 4lhile we are aware of these constraints, we submit that the design of this structure and its proposed occupancy is not 3 stories, but 2 stories and that the loft areas above the second floor do not constitute a "third floor". The total area of these spaces is approximately 480 square feet (well under one- third of the second floor area of 1860 square feet) and they are completely open to the second floor space. It is our contention that the areas in question fall well within the defini- tion of a "mezzanine" under the Plew York State Building Construction Code for one and two family dwellings (page 9, General Provisions, "Story") and that the proper and legal classification of the proposed structure is "two story". continued. . 200 THIRTEENTH AVENUE RONKONKOMA, N Y 11779 (516) 585-7000 ~ ~ ,' k-.~. ~~,,iSz arktek', associates ARCHITECTS Town of Southold Building Dept. -2- March 17, 1983 Mr. G. Fisher . .continued ~ We would appreciate your serious consideration of this appeal and hope for a favorable decision in this matter. Very truly yours, Donald M. Donaudy DMD:jr 200 THIRTEENTH AVENUE RONKONKOMA, N Y 11779 (516) 585-7000 "r ~ `~ y ~ ,• ~, - ~ arktek associates i„1 ARCHITECTS April lh, 19Q3 Town of Southold Building Department Town Clerks Office P.O. Box 72P Southold,Plew York 11971-0728 Attn: Mr. G. Fisher Re: Building Permit Application Sr. Building Inspector Mr. David Rosenberg Jackson Landing, Mattituck Tax Map No. 1000-106-9-13 Dear Mr. Fisher: Thank you for your letter of 7 April 1983. I enclose herewith revised plans for this project for your approval. We have incorporated your comments therein and relegated the space over the master bedropm to attic storage only. You will also note we have made several structural modifications throughout the building to strengthen the existing structural system. I believe this submission meets your requirements and respectfully request issuance of a building permit applica- tion for this project at your earliest convenience. If there are any questions regarding this matter, please call me. Thank you for your continued cooperation. Very truly yours, ....~ Dona~~onaudy DMD:jr 200 THIRTEENTH AVENUE, RONKONKOMA NY 11779 • (516) 585-7000 o~O~~FF~(k~OGy TOWN OF SOUTHOLD :c OFFICE OF BUILDING INSPECTOR ~ ~ P.O. BOX 728 ,yam ® ~ TOWN HALL ,yol ~ ~~~1~ SOUTHOLD, N Y. 11971 7 April 1983 Mr. Donald M. Donaudy 200 Thirteenth Avenue Ronkonkoma, NY 11779 TEL. 7G5-1802 Re: Mr. David Rosenberg's Building Permit Applicatio Disapproval of March 10, 15 Jackson Landing, Mattituck Dear Mr. Donaudy: I again review the plans and your letter of March 17, 1983. The left, as shown on sheet 4, over the master bedroom is a story. Referring to the definition of a story on page 9 in the New York State Construction Code applicable to one- family dwelling, this loft is a story and not a mezzanine as it exceeds 1/3 of the floor area (Master Bedroom) immed- iately below. This can be used for a storage as a attic, enclosed and unfinished. The loft over the living room is a mezzanine as it does not exceed l/3 of the living room floor below. Sincerely yours, George H. Fisher Senior Building Inspector FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No Date .. f ~ 19 ~~~~ To ;tYth4 fir ~:~~~`u ~ , PLEASE E NOTICE that your application dated ~C~ !~~ , 19 ~,~. ~ ~ ~/- for permit to construct .Q ,Y,'Sfu ~ ~ ,,.~ yt „L.Ysalu.^.~ AC~~vpkrf at Locatron of Property ~%,/~?' ~1!s~l~ ,f~~~ (~~'r! .Q't~++~~~f ~tJ~ House No / S et ~ Namlet County Tax Map No 1000 Section (.~' G^ Block . ~ .. Lot F,.~ f,r ~ /_ Subdrvrsion l/~"i.~s~~ /Filed Map No ,,J~c~ C~''!}} Lot--yNo. .. l,lp! is returne rewith and disapproved on the following grounds . ~ .,per ttf ,~,u,ic%~ ~~ s ~,~.x~t~f~. ,~~ 1? .~I ,~~~ G RV 1(50 r - 1-_+ Building Inspector t 5 ~/~ y 4 I FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTAOLD, N.Y. NOTICE OF DISAPPROVAL File N~o .. Dat~/.' ..... .. ~"7 ., 19 ~~ To (~I `L,uJZ,~u't1z'" .~ . .. .. .. ~YcC,~7' ~-e-c.~-~ ~~~~... _/-~ PLEASE AKE NOTICE that your n dated '' . . ~ . 4~ ..... , 14 ... . for permit to construct ~ l~//d~ 4~ G/~%6a ..... .... .. ... at Locarion of Property ~ca~~.. ~!'~ .. ..... . House N~o ~~~- Street ~ ~ ~ Namlet County Tax Map No ld OGS~,ction Q7 ~ ..Block ..~1 .. .. L/o~t/t~~./. Subdrvisrop- Filed Map No ..{ r 7~.... Lot No%'~. yz`~:?.'®:~~.~'jv is returned herewith and disappr/oyved on the follow-ym~g grounds . r.F.~... ,.~G/KRd.~- . . ~,j~/ ~ ~ F~~:f/.~/l~~a"-~~ ~ Building Inspector RV 1180 ,, C r~~ L/C~ L~~~C I ~e"f.~C~i~GLG~/F!J ~~~~/ ~~ lx-uA/C gfi' ~~ ~, G~%~~G~-(~. ~~ 0~~ p ~. 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VUAMNiFIS qE HOi LMMRYAx rP MDIIIpNAI INVTnxM OE SV6Po. nwNfRs MAF?PEU pCTir~, 1~$',c ~ ~~>~t~ ~suaw~> .NY