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HomeMy WebLinkAbout15018-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z- 16527 Date December 22, 1987 THIS CERTIFIES that the building . .C.o.n.s..t.r.u.c.t.. Inground Swimming Pool & fence Location of Property .... 4.9..5. Eugenes Road Cutchogue, New York Houso No. ' ................ 'S't/e~i .................. h;d~iol County Tax Map No. 1000 Section 97 .Block 2 ..... Lot I 6.3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 13, 1986 15018 Z ....................... pursuant to which Building Permit No ...................... dated ...J.u.n..e..2.4. ,...1.9.8. 6. ........... 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 ......... INGROUND SWIMMING POOL & FENCE The certificate is issued to FREDERIC B. & NANCY F. ENDEMANN ..................... ? oYn' ;, 'lt i,V 'Z; × .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO... N 775014 PLUMBERS CERTIFICATION DATED: N/A ....... q~'~' 'l~ilding In~ic't;~ ............. Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? BUILDIHG PER~?,IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date --~- ~ 4- 1501~ Z ...Zu..~.t,~ ................................. , ~.~ Permission is hereby granted to: ...... ~a ........ . .C.~..~.,.5~.~..[L~..~...... ,t ~.C,,~.~..~ .T~ ....... .~.UV~./~.~ ~.~,~.~.~ ~..~---... ......... ~.';[Z~ ................ '~..~_/,x..-~. ~....~.... ~. Z:~.~ .C.v:.~......~.':D:~.. i.~ ~.(~ ./;::..~. ot premises located o, ....... ...~. ,.'~, ....... ,~.(.~.C'~:::~./T~..I..'....~.......,.L~.. 0~,~'~, ..................... .................................................................................................... ................. County Tax Map No, ]000 Section ...~...9..,,,~-.... Block .... ,(~...~,, ...... Lot No...,~).~.!-(~,.,"..,~,, ...... pursuant tO application dated ...~[.~..~.L~ ....... I...~. .................... , 19.~ and approved by the Building Inspector. Fee $...~---~...'.~......~...'~.~. =bilding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC' Instructions This application must be filled in typewriter OR ink, and submitted m ammmmma 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 required to prepare a certificate. ~ C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Business $50.00 2. Certificate of occupanc,y, 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 .... ~O.~,..l.-?~.(.~.?.7. .... NewCons truction Old or Pre-existing Building Location of Property ....~... /louse No. Street Owner or Owners of Property ...... ~../~...~. .... County Tax Map No. 1000 Section .... .~ .'7 .... .... Vacant Land ............. ......... ...... Natant ... Block ..... ........ Lot.../~. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.~'.O, .l~..~.. Date of Permit &¥~'.../~.~.~..Applicant ...hJ.q~ ."1.. P,~.4t~.~... ~9.°.t-/', ......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 35. ou Fee Submitted $ ........... . .................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ....... y~. ~... ~ ................ Rev. 10-10-78 76,5-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL REMARKS: DATE ///~/////~7 THE NEW ,YORK BOARD OF FIRE UNDERWRITERS ~L201381 I t3UREAU OF ELECTRICITY I ~,5 JOHN STREET. NEW YORK, NEW YORK 10038 D.,. October 17~ 1986 .4ppi,,'a,ionNo. o.f,t,~ 416152/86 N775014 THIS CERTIFIES THAT / ' Frederic Ende~ann, 495 Eugenes Road, C~tchog~e, N.Y in ~h. follo~n~ h,c.~ion: ~ Ba.,e,nent ~ Is~ ?'l. ~ ~nd FI. outside Section Bilk ~t EIXTURE I T~ OUTLETS ECEP CLE$ 1 DRYERS SWITCHES 2 FIXTURES RANGES OVENS DISH WASHERS SYSTEMS NO. OF FEET E OF CC COND OTHER APPARATUS: 1-G.F.C.I. (Swirmning Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. Jody Pumillo Pat Lane Mattituck, N.Y 11952 GENERAL MANAGER L±C#2300E ll This certificate must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. FIELD INSP~CTIO~ !DATE COMMENTS FOUNDATION (1sC) FOUNDATION (2nd) ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY ADDITIONAL COMMENTS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 798 TOWN HALL SOUTHOLD, N.Y. 11971 DATE: October 6 1987 TEL. 765-1802 Applicant: Edward & Nancy Endemann 495 Euqenes Road Cutchoque, N. Y. 11935 Dear: Mr. & Mrs. Endemann While reviewing our files I find that your expired permit 15018Z has never been finalized. Kindly return the enclosed application with a check for $25.0~ 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, Victor Lessard Executive-Administrator TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ~ 197! 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. ~ -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 # / ~ ~ / _~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) · ~-~ MONUMENt YOUNG.& YOUNG 40~ OSTRANDER AVENUE, RIVERHE,~D, NEW YORK SURVEY FOR: : ~ FREDERIC~ ~ ~ow~ ov SOUTHO~ ~r~ SUFFOLK CO.. N.Y..': - ~' ~, ~ FORM NO. 1 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN HALL [OUTHOLD, N.Y. 11971 TEL.: 765-1803 , .(~ DEPT. 't'OV~q~ OF '.50UTHOLD Examined~.~,~, Z~...., 19~ Disapproved a/c .... ~'i...-~¥. ·..~. · · · ........... · · (Building Inspector) APPLICATION FOR BUILDING PERMIT _ / ,Date ....~.../[.~ ....... / INSTRUCTIONS Received ........... ,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 ~ Certificate of Occupancy shall have been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of thc Town of Southold, Sltffolk 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 in{!hections. ,- · . .... //. :..~.F../4¢..~. ~....3.~..,'¢..x..,,..~...0.... (Signature of applicant, or name, if a corporation) ... 3.0..a.. ff.3.?,r. .~.~.E.../~c. ~.~.y. ..... .... ~ili~tg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..G'..A~.~..~'~.. ~o.~. ~/-_¢/~.'.:vo.~ ............................................. Name of owner of premises ....h~../4J~ .~.0...~.,..~r~.~..G.~. .... ~/~..~...~r~ ~.~..~. ......................... (as on the tax roll or latest deed) If a~pt~zant is a corporatiql~, si, gn~ature 9f duly authorized officer. ......... Builder's License No ....... /. 0 ................ Plumber's License No ......................... Electrician's License No. ~ .olgkgg/a)....~.~ ~ Other Trade's License No ...................... I. Location of land on which proposed work will be done .... ~...-q~Z,-O:t).t;~. .... ./~../~t4~' .t .... .~. k~.77-..~./~.0. ------------------¢~d~. ~ ~ qqs' ~.~.cx~.~. .eo~.~.. C..~.T.c.z.¥o. ~. ~..~. .......... House Number Street Hamlet County Tax Map No. 1000 Section ....... .~., ./.~' ...... Block ~-- Lot.. I~,.5 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 ........ fi-..~.,.,.,.J, ( ?...~. ?-..t.~. ~ .... ~..~1~..~.----/'q,~.~.~.ur~. .................. b. Intended use and occupancy ~q~. · ~. ~g.//~ Z4ff77./. ~. ~-. · &~ 3. Nature of work (check which aPPlicable): New Building .......... Addition .......... Alteration .......... 'rl~lDl,.~... ~:~ ~]j.~Rem6val ........ Demolition ............. Other Work ............... Repro ' ' :' ..... ~ ...... (Description) 4.i stimatedCost .... ....................... Fee (to be paid on filing this application) 5. If dwelling, number of dweiling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... ~ ................................................................... 6. If business, commercial or mixe~ occupancy, specify nature and extant of each type of use ..................... 7. r)imensions 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 ............... Nun~ber of Stones ............. 9. Size of lot: Front .......... I ........... Rear ...................... Depth ...................... 10. Date of Purchase .......... 2 .................. Name of Former Owner ............................. 11. Zone or use &strict ~n which prCrmses are s tuated ................ ............. .~j~ .................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ rr.r ................. 13. Will lot be regraded ..... AA).. ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises~.AJ~...~)/~P//~.. · Address/~ .~)r~ ...... Phone No ................ Name :of Architect .......... i_ ............. Address ................... Phone No ....... ....... Name of Contractor .~.;/~.&?A ..~' .~. ~. ....... 15. Is this property locatediwithinli00 feet of a tidal wetland? * Yes ..... No .~.. · If yes, Southold Town Tr6stees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly eli buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether property lines. Give street and bloct interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ........... . ..... ~ ....... ; ................... ................. : .... being duly swc~rn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......................................................................................... (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 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 file~l therewith. Sworn to before me this 19~ .............. p/~ ....... day!of ...... ~ ..... , Notary Public,. .... ~ .'..~.-...~...~...~//.~.. ~2~t..y '~ (~' fi/~ ~0 / ' HFI~N K. ~ W)[ .................. I~..t~/~l~St/C ~teot ~ ' 'ff' ~ ;-' '" "~-~' "~' re of applieant~ Ter~.~7.,OZS_;7.8., Sqifolk Co~l~tyy~ ~ /' '-~e'