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Home My WebLink About3976-zTOWN OF SOUTHOLD BUff.DING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No, .Z .9&.5.3 Date March 2 ..................................... , 19.79 THIS CERTIFIES that the building located at . .~.8.~..0..0.i.e.. Map No Block No .Lot No ......... eonfo~ s~a~y~e Applica.on ~or Bu~d~g Pe~t here~fore f.~ in ~ o~ee 5976Z dated ....A.p?.i..1.. ?..8: ......., 19.7.7. pursuant to which Building Permit No.. -9~903 July ~, J968 dated ... April-4.@i ......... , 19..77., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ........... . .~..~.v.a.t..e...On..e., F,a.m.~. %~, .~.e.l%~,n,~ ............................ The certificate is issued to George F. Schaedel & wf. (owner, of the aforesaid building. Suffolk County Department of Health Approval 9/2/71 .... R. Villa UNDERWRITERS CERTIFICATE No N8~7668, N~2~130, N3816~9 HOUSE NUMBER 3810 Street Ole .J.u. le Lane · Matti .tg. ck, New .Y. gr.k. ....... .<". ........ .'f !./.../.~... Building Inspector FO~M NO. 4 TOWN OF $OUTHOLD BUH.DIN(~ DEPARTMENT Town Clerk's Office $outhold, N. Y. TEMPORARY Certificate Of Occupancy No. ~..L~..1.O. ..... Date ............. 0.9.~.... ? ......., 1~.~... THIS CERTIFIES that the building located at .01e..Jule..Lane. ........... Street Map No.X~.. .......... Block No.. ~ ...... Lot No.....x~.. .... .M.a..t.t.i.t.u.c..k..~! ...Y... .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... July.... 3.1..., 19. $.$. pursuant to which Building Permit No. 3975Z · · dated ....... .J. uly .... 5.1 ....., 196.~$., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is p.r.i.v..a.t.e..Q.n.e..f.a..m.i.],y...d.w.e.l~g ........................................ The certificate is issued to ....G. eorge .Schade;[ ....... V.w~er. i ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval '.S.e[o.l;. ~,..1.97.1...l~y..R. ~..V;~],I$ ...... House ~ 3810 FOEDI NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3976 Z Permission is hereby granted to: ............... JJa~..l~.&.¥:Lt:e ............ to .. 1~,3,~.. Je~ ..a..~J~t.~...~t~= ~ ................................................................................. at premises located at ....J~.....O~a~,..~'.ll~l~..Zat~,13~ ............................................................................ ........................................... l~t,.~J,.t;~atk ....... 11.o.1[~ ............................................................................... pursuant to application dated .............................. ~.....J ............... , 19..~, and approved by the Building Inspector. Fee $.tg~J~ ........... ............ ~uildin; I;;~ ........... SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineering Serwices SEP ~. 1971 District Engineer ~ ~.~ SUFFOLK COUNTY DEPARTMENT OF HEALTH EASTERN DISTRICT H.D.Ref. No. · ~%~ ~g% l~ ~ ~'' 37 County Center,pA Riverhead,7_4700 New York ~iPPLI_.~ ~s APPROV~ OF IN$TILLE~ PRIVATE S~A~g DISPOStL ~D ~tTER SUPPLY SYST~S Inspection for approval is requested, pertinent installation data herewith. 1-Name of Owner ~ ~-~z¢~ .~, ~.~_~/~/ 3-Subdiv. Address / ~? /,/.~/~ ~.~ PhoneV/~-_ /,~4~_~7 4-Section No. 2-Name of 'Builler ~ - Phone 5-Lot Number Address 6-Bldg. Permit No. 7-Sewage System installed bye, /~. Address _.~/~_to ~,~//< /~e~,~ 8-(a)Deed iocation oi~/proper ty ~1/. ~, (b)ilamlet or Village 9-Septic tank-Gal__L ft.W ft.Liquid/ Depth. ft. 10-Cesspools-(a)No.pools--(b)Blocks below inlet-l) 2)__3) (c)Block size-L in.W in.ii in. (d)Precast pool ~/~ (e)l 2 3 (f)H ~ft.__.in; Dian ~ft. in. (g) Finished grade to cover (h)Backfill Haterial ~ ~ G.- il-Water Supply: Public System ; Private Well If Private, the following questions are to be answered: 12-Private Water Supply System installed b~ Phone Address ft. 13(a)-Total Depth of Well 14-Diameter of well pip~ 15-Name of Laboratory 17-Date ready for inspection (b)Depth to Static Water Level in. 16-Method of Disinfection The undersigned CERTIFIES: Above systems have been constructed and are in compliance with the Suffolk County iiealth Department's current Standards, Bulletins and Amendments ,hereto. ~//~,_~,,_~ //. ~/,~.~ ~ 18-Date ~o/Td Signed / ' Owner - Build~ 19-Insert sketch of location of Water & Sewerage Facilities with accurate dimensions. STREET Inspected by~ Date /"~/ /~7 Based upon the information stated above, satisfactory functioning of the above systems can be expected with proper maintenance and care. ~pproved Chief of General En~ineering Se~ices S-Se THE NEW YORK BOARD OF FIRE UNDERWRITERS ~i~~ ~ /_tab SUR£AU o~ ELECTRICITY N8/47668~ ~'-,/=<?i~ { 85 JOHN STREET, NEW YORK, NEW YORK 10038 'i ~:= ~! tha~ the electrical equipment as described below and ~r~troduced by the applicant ~am~ on the above application hum bar in t~ premises of George Schaedel, Ole Jule Lane, Bet. Krause St.&Bay, Mattituck, in the~llo,~i.~ l~tlon; [] ~ement X~ I~r FI. .'~exa,nl.eHo. ~Deeember lb, 1970 FIXTURE OUTLETS [] ~.a rL '~ Outside Section BIo~l~ Lot ECEPTACtES sWITCHES FIXTURES RANGES DRYERS { FURNACE MOTORS { FUTURE APPUANCE FEEDERS SERVICE DISCONNECT I NO. OF j S METERw 1 150 CB x R I C MULTI.OUTt.=T SYSTEMS NO. OF SEET 1/0 EXHAUST FANS AMT. H.P. DIMMERS 1/0 New Suffolk, L.I.11956 D~ ~_~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be id ir credentials. APPLICATION FOR BUILDING 'PE 68~ Date ........ .¢'.Z ........ : ...................................... , INSTRUCTIONS- 2. State existing use and occupancy of premises and intended use and'bccupancy of proposed construction: vaean~ o. ~]st]ng me and occu~ncy ................................................................................................................................... residence b..:Intended use and occupancy ................................................................................................................................. . Inspector. b. Plat .plan showin.~ location o.f lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout at property must be drawn on the diagram which is part ~ this al~ication. 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 permit shall be kept on the peemises available for inspection throughout the progress of the work. - e. No building shall be occupied or used in whole or Jn part for any purpose whatever until a Ce~Jficate of Occupancy shall have been granted by the Building Inspector. .A. PPLICATiON IS HEREBY MADE to the Building Department for the issuance of a Building Permit p~reUant to the ~Bu,ld!n.g. Zone. O.r,dinance. of ~e To, w,n .o,f, Southo[d/ Suffolk C.oun~, New Y. ork, and ?hep ,applicoble't:aw~ Ordir~nc..es or Kegularions, mr me construction or oui~aings, aaaitions or alterations, or toju,r~gmovaz or aemolition, as herein de~sC~_ ~nbed. The applicant agrees t° c°mply with all applicable laws' '°rdi~~j°de' h°using ~ .re~u~t/i~ ~.~~,~ _ .~ '~'...._Gg~n~f applican ,~'or-name, if a corporation) , 16~f~ r,ydla Ave. El~ont,]F~Z;. (Address of applicant) State whether applicant is-ewner, lessee, agent, arch~ect, engiOeer, general contractor, electrician, plumber or builder. Owner ~ ~d ](rs. George F. Sohaedel Name of owner of premises ............................................................ : ..................................... ,..~,.,....,.,,,....,...., ............ ,....--.~ ......... If applicant is a corporate, signature of duly authorized Officer. (Name and title of corporate officer) ,o.d on wh,ch work ,,, be ' "a No . = . 1. Location of ,,cn p/gposeR work ~',u s aOJatC:3~ap ~o.: ....................................... Lot NO ................. Street and Number .~ .~.~.~ . Nature of work (check which applicable): New Building .... ~-]~.J ..... Addition .................. Alteration ~....,.,...; ....... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..~....]'...0.."...0.~0..*..0...0. ................................. Fee /...~..c~._~ (to be paid on filing this application) 5. If dwelling,, number of dwelling units ..L~.. ....................... Number of dwelling units on each floo~'...-...-..-. ................... none- on-site parking space 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 .................................... ea[ ............................ e~ ri ........................ Height 19t=0" Number of Stories 2 9. Size of lot: Front ...... 5.0...e..~...0..". ........ Rear ....... .];..]:..2.~..~..0...". ............ Depth ....2..0...0..~.....-d'. ............... 10. Date of Purchase ...................~.e..~.~...~.?..6..~. ............... Name of Former Owner A. ]~Lrchgessner ~"~-1~. Zone or use district in which premises are situated "A# Residence 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~....~..O. ............................................... 13. Name of Owner of premises~.T..&.~.~..S.....G...e..o...'..S..C...h..a...~..~..~]ddress .l..~.~..?...~.d...~..a.....A.?'...e..'.....~.l..ll~e No?.A. Name of Arch te t ............. Address Name of Contractor OW~e~,cOntract°r Address~6471'.ydla Ave.1~-[mon~ N,~,. VA~-"67/43 ..... : ......................................................................................... mane fda ..................... 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, dnd show street names and indicate whether interior or corner lot. STATE OF NEW YQRK., __ ~ ~_ George $ohaede] ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................. O..l~....e..r...'..C...o..~...~..~..a...~.~.o.~. ............................................................................................... (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 a,nd 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· f ecl~erew th. Sworn ~o:before me this ............, day _cf ,, .......... ................. ' ........ Notary Publi~~l~~~~i~'~'~' 'T'~ ......... . II~T/~Ry PUBLIC, State of Ne~w r : ~0' 52--0618100 SuffolkCou~y~, · Commission Expires March 30, tg/.~.~ / 2~'C2'' /t4~ ~o F: o u N'D AT.A_o N F- p .l -T 'o F I P-.ST F LO 0 P.. PLAN· ~t~CTION A-'A~ - cLc:,S -1 I $':8," I'1 SECOND FLOOR. PLAN ° ,'l P, OA t) MAT"TfTUG~ Tovq¥',i O'F SOUTMOLD 5 u F F OLi& PR, oPos ED f RESIDENCE o SOUTH EL~'E V A'Tt CASTA~N ~. ~CHAEDEL OLD JU,LIE. P,,OA'DMATTITUCIZ TOWN OF--. ~OUTNOLD E LEVATI ON · SUpPogi/- couH'rY, H,¥, ,Jol4N Izl