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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~ .¢ ~'/: I / ,I f I NO ~I = MONUMeNt SURVEY ~~NCYF TOWN OF