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�yy�jpFOt,f Town of Southold Annex 11/6/2014 P.O.Box 1179 54375 Main Road o �E, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37255 Date: 11/6/2014 THIS CERTIFIES that the building GENERATOR Location of Property: 830 Jacksons Landing, Mattituck, SCTM#: 473889 Sec/Block/Lot: 113.-64 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/14/2014 pursuant to which Building Permit No. 39310 dated 10/24/2014 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 GENERATOR AS APPLIED FOR The certificate is issued to Beckenstein,Joyce (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39310 10-22-2014 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD WFOL't BUILDING DEPARTMENT r' TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39310 Date: 10/24/2014 Permission is hereby granted to: Beckenstein, Joyce 830 Jackson Lndg PO BOX 407 Mattituck, NY 11952 To: Installation of an accessory generator as applied for. At premises located at: 830 Jacksons Landing, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-6-4 Pursuant to application dated 10/14/2014 and approved by the Building Inspector. To expire on 4/24/2016. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 o $150.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 and 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. B. 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 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 3 L4C o,,U LAOJOtj X16— House No. Street Hamlet Owner or Owners of Property: y GAS L���X�ic�5�it"�it1 Suffolk County Tax Map No 1000, Section / 3 Block �, Lot Subdivision Filed Map. Lot: Permit No. 39�flo _Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant nature SOUjyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G �O� roger.riche rt(Cb_town.southoId.ny.us Southold,NY 11971-0959 �QIyCOUN�,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Joyce Beckenstein Address: 830 Jacksons Landing City: Mattituck St: NY Zip: 11952 Building Permit#: 39310 Section: 113 Block: 6 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Glens Electric License No: 4770-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 20kw stand by generator with 200a transfer switch Notes: Inspector Signature: Date: Oct 22 2014 81-Cert Electrical Compliance Form.xls FIELDINSPLN 1'ORT DATE COMM.NTS FOUNDATION(1ST) FOUNDATION(ZND) z ROUGH FRAMING& PLUMBING 1 INSULATION PER N.Y. H STATE ENERGY CODE FINAL , ' m If Y TOWN OF SOUTHOLD � 114 1 i BUILDING PERMIT APPLICATION CHECKLIST �1 BUILDING DEPARTME ` ,!4 Do you have or need the following,before applying? TOWN HALL f f L � -- Board of Health SOUTHOLD,NY 11971 _ 4 sets of Building Plans TEL: (631) 765-1802 L Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined —,20 Single&Separate 72- ! 1 Storm-Water Assessment Form Contact: Approved —,20 Mail to: Disapproved a/c Phone: Expiration L 20_,�- 0 C C U PAN'CY OR Building In ector USE IS UNLAWFUL APPLICATION FOR BUI ING PERMIT WITHOUT CERTIFICATE OF OCCUPANCY Date c� , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the ding Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 inspections. APPf tOV,',:--.D r t�' TE-D (Signature of applicant or name,if a corporation) DATE: d Z //f?.P. #_ ? FEE: ! (Mailing address of applicant) NOTIFY BUILD111—: --1 i')1E-NT AT State whether� PkQt MWrii&, lesstieF dt1,�architect, engineer, general contractor, electrician, plumber or builder F L9WING !NS°EC T i:G^:.7: � iD, O' !RED run `t _ 'i i-I L Name of owne.�l`q r t F;i. y'G �LU;1 It ,- 4?v S7?iC/V v `f As on the tax roll or lat t-Oeed. �� CODES OF 4. FINAL - CG;N1 TJLWCT!ON MU"T ( � ► CO If applicant is a�r tc� , ig u e(gt My authorized officer IN E'4 u & TOWN CODES ALL cnN4TR1 JnTi(iN Si'ALL tiiELT THE AS 1' h SOF (Name �ftmfgg q#E46gOF NEW Builders LicerYoSTATE. NOT RESPONSIBLE FOR r �� Plumbers Lic 1&6.OR CONSTRUCTION ERRORS. S BOARD Electricians License No. !,/ -- Other Trade's License No. 1. Location of land on which proposed work will be done: Z-96 3 Ay—,-4G5 eaJ 1=&M241/6— House =&M2/1/6—House Number Street Hamlet County Tax Map No. 1000 Section //?Block Lot Subdivision Filed Map No. Lot t 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work p� /j' t�� ,¢7' ��N�1' E'1'�Nf�j<oN f3 ( scription) 4. Estimated C st e (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 business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number 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 violate any zoning law, ordinance or regulation? YES NO/ 13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES No 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO_� * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D.BUNCH Notary Public,State of New Yc: (S)He is the No.01BU6185050 (Contractor,Agent, Corporate Officer, etc.) ua Commission Expires April 14, 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 before me thi day of 20 %( P &V\- Notary Public i nature o licant i rif S01/p ti Town Hall Annex Telephone(631)765-1802 54375 Main Road (631)765-85Q2 ' P.O.Box 1179 • 0 r0 er.richert IVIA/rl.$OUtgoltl.ny US Southold,NK 11971-0959 BUILDING DEPARTMENT i TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: i46 0�S Date: Company Name: Name: License No.: 6- is I . Address: © � N o . 3C2 4-1 Phone No.: JOBSITE INFORMATION: (*Indicates required information) i *Name: o�AQ� *Address: *Cross Street: *Phone No.: 9: 4 2-15 Z -42, 7 Permit No.: Tax-Map District: 1000 Section:_�— Block: Lot:._� *BRIEF DESCRIPTION OF WORK(Please Print Clearly) i J S _ (Please Circle All That Apply) Is job ready for inspection: (:YES/A Rough In Final *Do you need a Temp Certificate: S i Temp Information(if needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number o e ers Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION i 82=Request for Inspection Form r ,00 SURVEY OF LOT 8 N MAP OF .ACKSOW5 1..#MIN6 FILED 038--bS I✓ILE #5280 ` '� 2pi X 51TU TE: MATTITUGK �'8•��, W r E TOWN: SOUT HOLD SUFFOLK GO Rr"'', W S SURVEYED 10-26-00 AMENDED: I I-29-00, 12-06-00, OI-30-01 07-27-01, 05-13-01, 10-11-01,12-0-01, 12-25-01 L_ 5UFFOLK COUNTY TAX # 1000-113-6-4 r fl CERTIFIED TO: LEONARD BEGKEN5TEIN JOYGE BEGKEN5TEIN i Q N O PARK Q REGHAR6E AREA j 0 3 :3 N O TABLE OF AREAS Total Lot Area = 311 sf +k` Wetland Area = 8,424 sf Adjacent Area = 22,160 sf N88034'40"E 160.00' . �...,,. IMPERVIOUS COVERAGES ! r { > r .A., i i .�•..ti. { •,..4. •.. .�r EXISTING � � • no—o`o�',} ` ,3 House = 1,331 sf � tr ► ° Garage = 542 sf "�� ' I y Pool = 425 sf I r (: Decks d Walks = 1,610 sf Total - 3,908 or I-7.1-7% Tv p �� J ' l PROPOSED 2 STORY . 6 4,;' LOT ZI G w�rE �1` f © i House = 458 sf w 8 pf g (of which 349 sf U�' if ' 15 exlsting deck) 223' o----0----4I "'' Deck 500 5f \ ;? �K' , Total add'I covererG�e a , = 609 sf r 9 �O'1' O 2.bXi no fill retgulraC l jae Jai \ by proposI5 !; ,} t•+ TOTAL UGtiVI}le9i �, r A A \ f A s FRAME House = 1,789 sf z< , \ 3, HOUSE { D Garage - 542 sf 1 �C �.,� �K Pool = 425 sf d m 1 N �,` PSS j Decks d Walks = 1,-761 sf C 10 37 C C �y=yo Total - 451-7 or 19.84% Vl __OEGK _ WOOE MlK r Q7 < Wocv MLK �' m rnD 4 X r i o T 4� pinned hagboi'45-- ISR OUSE D our'inyy �• •r;onstruc2ion zz ADQISION,- CJ U) o ''ITI C , s8$°34'40W)w v 3 Y. 0 50.00 o 1= ��,4WEATEO 6Y R FOX IO-2600 Ur L1Mtt OF DSLANC7` Y ' -_ g' --' `� F s 00 - " i 80 �j)3101 II I .;- tF N o Ety t �Q� N c• �, ` Q y x O� i °e id's Np 50202 R� LAND SVP 1 WOOD DpGK ti Hardrp � NOTES: c� t t I ■ MONUMENT FOUIND ELEV'5 REFER TO M51- - N6VD'29 r AREA = 31,154 5F OR 0.72 ACRES FLOOD F=LOOD MAP L)NE 15 ANNOTATED NUMBER FEMA MBER 36105r-,0461 JOHN C. EHLERS LAND SURVEYOR GRAPHIC SCALE I"=30' 6 EAST MAIN STREET N.Y.S.LIC NO.50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.\\I4p server\d\PROS\20-263E.pro