HomeMy WebLinkAbout11497-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF O~CUPANCY
No Z-22998
Date MAY 12, 1994
THIS CERTIFIES that the building
Location of Property 495 EUGENES ROAD
House No.
County Tax Map No. 1000 Section 97
Subdivision
ADDITION
UU'~'CHO~UE, N.Y.
Street
Block 2
Filed Map No. Lot No.
Hamlet
Lot 16.3
conform~ substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 27, 1981 pursuant to which
Building Permit No. i1497-Z dated DECEMBER 4, 1981
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
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
FREDERIC & NANCY ENDEMANN
N-566424 - JUNE 22, 1982
N/A
Building
Rev. 1/81
FORM' NO; Il
TO~ O~
TOWN HALE
SOUTHOLD, N~y.
(THIS PERMIT MUST BE KEPT ON 'J~HiI~ PP, E~IS~S UNTIL': LL
COMPLETION OF THE WORK AUTHORIZED) ~ ': ~
?
Permissior~ is hereby granted to: :
.....
' . L - /
...... , ......... ~ .............. ~~a.a:...~,.~..; ~ .....................
~, ~,~ ,, ,o~,,~ ,, ....~../.~.....~.~:.....¢.,>~.-i ............. ; ..........................
. . ........... / ~,..,~; [d~~ ,.,~~
.......,: .............................. : ......... 4-~7~ · :.....~ ..........
;.;,.', ......... ~ ............................................. : .......... '.......~ ........... ,.....~ ............. ~, ..........................
, , , , ~ 1 ~ ..: .....
Cou6W Ta;x Map No. 1000 S~ction ....~.Z.....t BIo~ ~ .......... .1Lot No. ~.~ ~
pursuant o apphcation dated ..~.~ ....... ~. ..,.....~;....;?...., 19 ., and ~pprov~ by the
Bull~lng I~spector. '
..~.~.~ · ...................
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~Operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requ ired to prepare a certificate.
C. Fees: Additions $25.00
1. Certificate of Occupancy New Dwelling $25.Q0, Accessory',,$10.00 Business $50.00
2. Certificate of'occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property z't/~,5 .~..t~.~zr~e. f~O.q.~. ; d~+C~.o.3~e/ [t],~'
House No. Street ~¢am/et
- c
Owner or Owners of Properw ..... ~. - . .' . .~.'.. ~ ..........
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No, / ~..~.~7~ Date of Permit Applicant .........................
Health Dept. Approval ........................ Labor Dept. Approval ...................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant .~,/~..~'J~-.~ ...............................
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~LL
765-i802
APPLICATION FOR CERTIFICATE OF OCCUPANC~
A. This application must be filled in by typewriter OR ink and submitted to the building
inspegtor with the following: 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.
Final Approval from Health Dept. of water supply and sewerage-disposal~S-9 form).
Approval of electrical installation from Board of Fire Underwriters. vz
y 3.
4. Swo~n 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.
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 a consent to inspect signed by the applicant.
If ~ 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 $25.00, Additions to dwelling $25.00,
Alterations t6 dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.04 ~gcr ~ 7aaza - $10. CG~
4. Updated Certificate of Occupancy ~ $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1~.00
Date ....~o~J~..~..~%l~ ..................
New Construction ........... Old Or Pre-existing Building .................
Location of Property....~. %~....~ ?.. ~.~...~.~ ....... ~l~ ~ ...................
House No. Street Hamlet
Onwer or Owners of Property ........................ ~ ..........................
County Tax Map No 1000, Section....~ ....... Block...~ ........... Lot .... f~ .............
Subdivision........ ....... ..................... Filed Map ............ Lot ......................
Permit No Date Of Permit Applicant ............
Health Dept Approval . . Underwriters Approval .........
Planning Board Approval .
Request for: Temporary Certificate ........... Final Certicate...~.. .....
Foe Submitted: $ ............................ .
.....................
~O~.~o~G:~- APPLICANT
Cutchogue, N.Y. llgs~
1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS
'[ BUREAU OF ELECTRICITY
SS JOHN STREET, NEW YORK, NEW YORK 10038
,,.,e June 22, 1982 ~.p,lc....,.~'o.-mfl,~ 160144=$2 N 56~424
THIS CERTIFIES THAT
only the el~tdcal equipment as described below and i~troduc~ b~ the applicant ~med on t~ ab~ application number in the premises of *'
Frederic~ Ende~mann, e/s Eugene's Rdo~7~mg/Ma~n Rd. Cutchogue,N.Y.
~.~o~..,;,,edo. j~[~.~ 14~1982 andfoundtobeincomplianceu,itbtherequire,uentsgfthisBo~rd.
RXTURE ] FIXTURES ~ RANGES OVENS ~ISH WASHERS~ EXHAUST FANS
OUTLETS
DRYERS
SWITCHES
3
SYSTEMS
NO. OF FEET
E
OTHER APPARATUS:
E R
C
NO OF CC COND A W O NO OF HI.LEO A W OiJNO, OF NEUTRALS A, W O
This ce~iflcate must not be aJtered ~n any manner; return to the office of the ~oard if incorrect. Inspectors may b~~i~ls,
FIELD¢INS?{CTION
1.
· FOUNDATION (1st)
FOUNDATION (2nd)
2.
COMMENTS ,. ~ ....
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C~DE
ADDITIONAL
_/
Frederic B. Endemann
495 Eugene Road
Cutchogue~ NY 11935
Southold Town Building Dept.
Southold~ NY 11971
Gentlemen:
Some time around 1983 we contracted with Sid Beebe builders
to add an east-facing room to our kithchen to let the
morning sun in, I found out in 1987 that we did not have a
C.O. for the addition so Mr. Fish did an inspection and
found 3 or A p~-oblems. At this time 8id Beebe Sr.. was very
ill and could not get around to fixing things so we
foolishly ignored the problem.
One of the deficiencie~ w,ls lack of spac, kling t~etween the
garage and the addition and the attempts that I made to
remedy it were foiled each time we had heavy snow because
the roof leaked and ruined the repair, Th&s past year we
put on a new roof and decided to let Tom McLeod of Northside
Construction help us get everything straightened out,
I would appreciate it if a building inspector could come to
the house and go over the necessary changes with ourselves
and perhaps Mr. McLeod. I apologise for the delay i~
obtaining a C.O.
Sincerely,
Frederic 8. Endemann
734 5z~41
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
DATE: Oc~o. ber 6, 1987
Applicant: Frederic B. & Nancy F. Endemann
495 EuGene Road
Cutchogue~ N. Y. 11935
Dear: Mr. & Mrs. Endemann
While reviewing our files I find that your expired
permit 11497Z has never been finalized. Kindly return
the enclosed application with a check for _~. Also,
please call and arrange for a final inspection so that
we may issue a Certificate of Occupancy on the above
property and complete this outstanding file.
Yours truly,
OCCUPANCY OR
USE IS UNLAWFUL
!?!t"ITHOUT CERTIFICATE
.... '~ ~iCCUPANCY
Victor Lessard
Executive Administrator
TOWN OF SOUTtt0LD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. ! 1971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/5/ An application for Certificate of Occupancy
is not on file.
/5/ -~No Underwriters Certificate on file.
/5/ The check is(outdated/not on file.)
/5/ 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 # / / A ~ ~ Z
Building Dept.
***/Z/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
765-1802
BUILDING DEPT.
INSPECTION
7~-t~02
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN~TION
FRAMING [/~ FINAL
DATE/~
INSPECTO~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [/] ~ULATION/
FRAMING [//'] FINAL
REMARKS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-1B02
A~plication No../~7 ....
A /
Disapproved a/c ...... 7:.......----'"'-~'.. ] ................... ~ . . . . .'~.
(BuiMing Inspector)
APPLICATION FOR BUILDING PERMIT
7
Date
INS']" RUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build
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 stre.
or areas, and giving a detailed description of layout of property must be drawn oil the diagram which is part of this ap:
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen
shall be kept on tile premises available for inspection thrm~ghout the work.
e. No buildiag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Oceupar
sh0Jl have been granted by the Building Inspector.
APPLICATION IS HEREBY blADE to the Building Department for the issuance ora Building Permit pursuant to
Building Zone Ordiuance of tile Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinanc.
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and re
admit authorized inspectors on premises and in buildings for necessary iu~spections. - ~
(Signature0lSf applicant, or name, if a corporation)
(Mailiag add'~ess of applicant) -
State whether applicant is owner, lessee, agent, architect, eneineer, general contractor, electrician, plumber or build
Nmne of owner of premises ~.
(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....'{'2// ......... ~ ........
Phmlber's Licens3 No. '~~'~5/~.//' ~~
Electrician's License No. ,~. ,~...--~., .'- .....
Other Trade's License No ......................
1. Location of land on which proposed work will be done ...............................
........ .................................. .........
House Number Street ........... ~' '~[;,~l'let ..........
County Tax Map No. i000 Section .............. Block .................. Lot ..... : ..........
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
2. State existing use and occupancy of premises and intended usc and occupancy o'f proposed constrnction:
Repair Removal Dcmo'i%a Oti,er Work
~ (Description)
(to be paid on filing this application)
1. If dwelling, number of ' ' 7
dwelhngfmlts .............. Nmnbcr of dwelling units on each floor ................
If garage number of cars ' /
i. If business, commercial or mixed occupancy, specKy ~oture and extent of each type of use ....................
~. Dm~ensmns ofex~stmg stn cturgs,finny: Front , ff&.~...' ..... Rear . .~.~ ....... Depth ~&,t~ ~
Ileight ~ ............. Number of Stories . .~ ...................................... · .....
Dimensions of same structure with alterations or additions: Front .. ~X..~ ......... Rear . .~..~..
Depth .. ~.~(~ ........... ~... Height . . .~( ........... :... Number of Stories .... ~. .......
L Dimensions of entire new const'ruction: Front. ,Z~..~ ........ Rear .... /.~ ....... Depth /.7...
Height .. ,/~. ( ........ Number of Stories .... g .......................... '.. [ ......... ~ --
), Siz~oflot:Front .... ' '.'. ......... Rear ................ D~ ..................
~ ~O/l ~:Y q Name of Fomler Owner
). Date df Purchase ..............................................
1. Zone or use district in which p[emises are situated ................................... :. .................
2. Does proposed constructionj}01ate any zoning law, ordinance or regulation: ... fro ......................
~. WiU lot be regraded ..... ~.O.' ...... ~ ............ Will excess fill be removed from premises: .Yes ~
L Name of Or' let of premises~..~:.. Address .~~.: ..... Phone No ...............
Name.of Architect . '0'g ..... .~.. ~2 ......... '.. Address ....... ': ........... Phone No .......... ' .....
NmeJof. Contractor--S.,:. ~ .... Address ....... Phone No. ae.r .a6.4..
: PLOT DIAGRAM
Locate clearly ~d distinctly ~1 buildings, whether existing or proposed, and. indicate ~1 set-back d~ensions f?o~
roperty hnes. Give street and block nmnber or description according to deed, and show street n~es and indicate who. the:
:teffor or corner lot.
rATE OF NEW y-O~K, ~/ .// o o . -
OU ,.. .. ,
~_..,(Name offindMdual signing contract)
)ove named.
/ . (Con-aero, gent, corporate officer, etc.) d t~ "'file"--
f said owne; or owners,' a,d i~duly au~~foJm or have performed the said work and to m~e an
)plication; that all statements cdntaiz ed in this application are true to the best of his knowledge and belief; and that t~
'ork w~llbe performed in the mm{ncr set forth h~ the application filed therewith.
worn to'before me this
~*~hblic, ..~..~ ..... ~.~... Cotnty ~ '
~,, :' ' ' '~ ~o, 52-8125850, Suffolk Cou~
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