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Home My WebLink About13470-zROBERT L. BERGEN OIL CO., INC. 9375 MAIN ROAD MATTITUCK, NEW YORK 1!952 PHONE: (~5'16) ,~98-4880 BLDG. TOWN OF $OUTHOLD April 6, 1987 Town of Southold Office of Building Inspector P.O. Box 728 Southold, N.Y. 11971 Ref Building Permit ~13470~- Gentlemen: The subject building permit is not active as we decided to put the project on the back burner. At this time we have no immediate plans to go ahead with the project. Thank you for your consideration. DMB/nh ~OB,~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COJ~PLETION OF THE WORK AUTHORIZED) N? 13470 Z Date .................................. , 19. Permission is hereby granted to: ...... ,,~..~C..~. .~. ..~ .................. ~..../.. ................................. .~ ............................................................ County Tax Map No. 1000 Section .... ./...~...,.~.. ........ Block .... ;&~...~.. ......... Lot No....~././. ........... pursuant to application dated ..~:~ .......... ..~./. ......................... , 19~..., and approved by the / Building Inspector. Fee $..Z .~,.,,,.~,., ...... Building las~ector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 April 9, 1987 Robert L. Bergen Oil Co. 9375 Main Road Mattituck, N.Y. 11952 Dear Mr. Bergen: In reply to your letter of April 6, I am voiding out Building Permit #13470Z which expired 4/16/86. If you decide to do the work, please apply for a new permit. Thank you. Yours truly, Secretary FIELD INSPECTIUN~'r''~ COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CeDE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 7654 802 This is to advise you that the job under building permit no. 13470Z issued to Robert Ber~en Oil Co, Inc on __10/1~/84__ for Business 'i's completed a final inspection has ( ) has not ( x ) been done. and in order to complete th[s file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for' $50.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or usc is unlawful without a Certificate of Occupancy. P}ease hc]p us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. g~ecut lye ~dminis~rator VL:gar encl. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N,Y. 11971 ~ / TEL,;, 765-1802 Ap,roved .0.5.':C ....... , l&Pe, it No.- ........... Disapproved a/c ............................... ,~.. ,,~, ' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received. ~../~.{ ...... ,19 ..~., Date....¢~.- ........ 19 .?..~ 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 °f OccupancY shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bm'lding permit pursuant to tlx¢ 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 regulatio~s)~and t_o admit authorized inspectors on premises and in building for necessary inspections. ,) ~ ~- ~ ' (Signature of applicant, t~tname, if a corporation) '--' ........ i~tl'ailin~ a2'~lress of'applicant') State .~ppl~,~;~o~ l~ssee, agent, architect, engineer, generar contractor, electrician, plumber °r builder' ! .................. ................................................................... Nameofownerofpremises ~.~..~Z//'r ~'-~--~--~'.~'q~'~f' -~'/'~' 'Q'~",/~" ;":~' '"" ............... ................. (a; ~n 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 ........ f ........... Plumber's ~icense No ...... ~.. .............. I. Location of land on which proposed work will be done..?~..7'~. ~ .,~.~./.W. .~.I.~. ~ ................... · .......................................... .......... House Number Street Hamlet County Tax Map No. 1000 Section . t')' )'~ t~ Block tP ~ ~' Lot ~/£ ~ ~ ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... · .~.~?..~[~- .~. ~ ~tt/'.p- ·-~.~.~.-~..~..~. · ./f.?..~"-./".~..' .................... b. Intended use and occupancy .................................................... 3. Nature of work (check which applicable): New Building ..... ' .....Addition .......... Alteration Repot ..... a ..........Rembval ..... ~ ........ Demolition .............. Other WorkZ~.8474~ z,~<-~'f~K~'" ~/*~/ta~/ i (Description) 4. Estimated Cost .... .~'/.&..~..~. ~. ..................... Fee.. ~.//~'~......... ........................ (to be paid on filing this application) 5. If dwelling, number of dwellin units .............. Number of dwelling units on each floor ................ If garage, number of cars .... , ................................................................... 6. lfbusiness, commercial or mixe 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 ~vith 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 pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. W//1 lot be regraded ........ ~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. i..: .............. Address ................... Phone No ................ Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor ........ ; ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockI number or description according to deed, and show street names and indicate whether · interior or comer lot. ~ / STATE OF NE,W...~,OP~I~, .,. 'S,S ' ... i ' ' ~'..~~r~.~~ .......... being duly sworn, deposes ~d says that he is the applicant (Name 6~ind~idu~gning con, ct) above named. . Heisthe.. . ;. ~ .................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements conthined N this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this .............. .... Notaw Publi .......... // ,, .......... Of ¢o CO. L, ~ruC~ing SURVEY FOR 01~ COMPANY~ INC, AT MATTITUCtC TOWN OF SOUTHOLD ,SUFFOLK COUNTY,'NE, W YORK ~UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA~'~ON OF SECTION 7~09 OF THE NEW YORK STATE EDUCATION LAW, ~'COPIE$ OF THIS ,SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEALOR EMBOSSED SEAL SHALL NOT EIE DONSID~RED TO BE A VALID TRUE DOPY, ~GUARANTEE$ INDICATEO HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPAREO, AND ON HIS BEHALF TO THE TITLE COMPANY~GOVERN- ~ESSIONA[. ENGINEEP AND LAND SURVEYOR N.Y.S. LICENSE LAND SURVEYOR DATE : SCALE: NO. GUARANTEED TO: ROBERT £. B£RGEN ~/£ COMP~Y~ /~C. NORTH FOR~ B~NK ~ TRUST COMPANY AMERICAN TITI.~ INSURANCE COMP,~u!IY