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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23825 Date AUGUST 21, 1995
THIS CERTIFIES that the building ACCESSORY
Location of Property 1600 WESTPHALIA ROAD NATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 114 Block 7 Lot 13.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECMOER 27, 1993 pursuant to which
Building Permit No. 21866-Z dated JANUARY 7, 1994
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 ACCESSORY GARAGE AS APPLIED FOR
The certificate is issued to LEONARD & DONNA SCHLEGEL
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
i
Building Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .....Y// 19 ~,2
N® 21866 Z
Permission Is hereby granted to:
,
.
to v r
,...,y
at premises located at... .....fir i~.~l .....1.
Jl..r .O!.:~:..
County Tax Map No. 1000 Section ...//..5K Block 7 Lot No.
pursuant to application dated .....1 19......., and approved by the
Building Inspector,
Fee
Building Inspector
Rev. 6/30/80
Y8,0 1'J-4AAPh& 4W
_ Form No. 6 V064-9-1
~,:i t?f~7~
144 TOWN of souTHOLD
at.
BUII,DINC DEPARTMENT
TOWN HALL
too dt 765-1802
l'10tNl19viS4l3 `~-16AN FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new bui.ld_ng 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 from Health Dept. of water supply and sewerage-disposal (S-0 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn 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.
B. 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 a 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 to 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Q
/ 0 S
Date ! f
New Construction.......... old or Prep-existing Bu/iildding.... .~.f...,/~ j._. j
Location of Property. i.clIQ....6desf~AW~/ ..../~c..~......l: l~C•'!/.7 G/
House No. Street
, y// .1lamiet
Cower or Owners of Property. /~I4/r~C!'!71Y' .
County Tax Map No 1000, Section. J.I.`"1.........Bluck....(............LoL..~ . 7~ '
Subdivisi.on....II .................................Filed ling............ Lot......1l.__.........
Permit No..a)Rb.G'~.ZDate, Of Permit. 1.-7-gy.... Applicant.4&k,...+ z' )
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicote.......
Fee Submitted: $
c~ Y99~ a
APPLICANT
° o~OgpFF01/r40
y'2
,
co
CA 2
Town Hall, 53095 Main Road p • Fax (516) 765-1823
P. 0. Box 91971 Telephone (516) 765-1602
Southold, NewYork 1
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 31, 1995
Mr. & Mrs. Leonard Schlegel
1480 Westphalia Road
Mattituck, NY 11952
SECOND NOTICE
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)**
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21866-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
- ACCORDING TO THE CODE OF THE TOWN OS SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED.
'00 gpfFOL't
o ~
Town Hall, 53095 Main Road °y x Fax (516) 765-1823
P. O. Box 1179 • Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 27, 1994
Mr. & Mrs. Leonard Schlegel
1480 Westphalia Road
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 21866-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
( ) FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ter INAL
REMARKS:
DATE INSPECTOR
M-1802
B'u%LDlNG DEPT.
INSPECTION
[ ] F NDATION 1ST [ ] ROUGH PLBG.
[ ] FO DATION 2ND [ ] INSULATION
FRAMING Q~ [ ] FINAL
REMARKS: -
ea e& e -
DATE, Z/4~'---INSPECTO
`f6~
M-1802
BUILDING DEPT.
SPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
0
f
5 t
i
q1'
f DATE
INSPECTOR
-r F
E
1:.LD l~. v:' 'CT:Uii PATS ~I Ud~114{~NT~
1. m
w
/
= _
y
tis
FOUNDATION _ (1st)
FOUNDATION (2nd) _
2. - "r- / r
ROUGH FRAME & ' sY d JzG7 ~ / O
PLUMBING' ou e J
H
3. x
m .m
INSULATION PER N. Y.
STATE ENERGY
CODE
r
4. 2"
7-
FINAL
z
ADDITIONAL COMMENTS:
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BOARD OF HEALTH
FORM NO.1 3 SETS OF PLANS.........
TOWN OFSOUTHOLD SURVEY ~
BUILDING DEPARTMENT CIIECh
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765.1802 t, DTI FY ; 1~u S h e
? c~ CALF
Examined 19 MAIL TO*
G 1`!89. Ia t4v,S:~ . d.•
Approved L~ J 19~ { Permit No.
ll'!R~~.' ~1~lt:l.~::i•..~ 195.2..
Disapproved a/c _
Spector)
APPLICATION FOR BUILDING PERMIT
Date lq~, 3
INSTRUCTIONS
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 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 the Townof Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alteration for removal or demolition, as herein described.
The applicant agrees to comply with All applicable laws, ordinan build g housii g Bode, and r d ' s, and to
admit authorized inspectors on premises and in building for necess in ec ions.
ignature of applicant, or name, i a corporation
1. `~!8D Gtl t hal a ed, /Iaf % Fu~K ~t/ew~orK
( ailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Q (l!1~~
Name of owner of premises 4- Q n(L'J:4 4. Dpof)a~ .J~Gh.1 °~~r.~' I . . • , , .
(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.
Plumber's License No,
Electrician's License No .
Other Trade's License No.
1. Location of~land on /~which proposed work will be done .
House Number Street Hamlet
County Tax Map No. 1000 Section, Block ...77 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 .
b. Intended use and occupancy .
3. Nature of work (check which applicable): New Building ..Y........ Addition Alteration v
Repair Removal , Demolition . . . . . . . . . . . . . . Other Work
000- ~ (Description)
4. Estimated Cost ..~.aa.. o
0..O Fee
(to be paid on filing this application)
S. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars .......1 ' , , • • , , , , , ,
6. If business, commercial or mixed occupancy, specify nature and extent of each type 7. Dimensions of existing structures, if any: Front Rear . of use .
. . . 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 . ~a Rear .3.,~t Depth .z~
Height s;.~o .........Number of Stones .
: -5"
9. Size of lot: Front ...a~0 • , , • , • • . • . • • • , • Rear q$ Depth epth
10. Date of Purchase ' ' ' ' ' • • • • • • • •
..N meofFonnerOwner
11. Zone or use district in which premises are situated 'yP
12. Does proposed construction violate any zoning law, ordinance or regulation: 1~) q
" " " " "
13. Will lot be regraded , 0 0 , ' •
Will excess fill be removed rom premises: Yes
14. Name of Owner of remises .
p . _ -A. 2 ..........Address ~I~.0.04. Phone No.
Name of Architect Address Phone No............... .
Name of Contractor Address . Phone No.
5. Is this property within 300 feet of a tidal wetland? *yes, No.........
*If yes, Southold Town Trustees Permit may be required.
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, and show street names and indicate whether
interior or corner lot.
;TATE OF NEW YORK S.S
;OUNTY OF ....`o'.1) .
ONNi4 , , ,(/t!~, ; ,e•N C being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bove named.
le is the ..............................C~ O'?N...................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
+ork will be performed in the manner set forth in the application filed therewith.
worn to before me this
2? . ....d f . Rp•:^b?%?........,
Su
otary Public, Coun y
ROBERT I. SCO ;1R.
NOTARY PUBLIC, ate of NX _
No, 4725089, • ffoik County, " " (Si nature of " " " t
Term Expires May 31,19 applicant)
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re /I SP~ Yoo {r' { /JQ/Lvrlc 2 Co" URHI b BLOCKIN(n 2"c 4i" I GAFSL 6ND RAFTEp-
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LOOK -DU-f /g /d66 MPTA1. PP L,OK l•IF•-TAL VINP FO&F I
lllb'><121' NA2D6oR2P 20 " IpiB" Fq` 1"115" PASCIA ~Inxl „~C
SIDING W/IDI/2" BXP. -x -S''•t '-6-A•i-48~ea-^R Fieh TIES
J - N 2"x4" TIE Pupae
(OPTIONAL)' I/z" WSOL. .
SNERrNIN[r z I'<)Gq;:" f*r,n C I t S" SoF NO' SDPFI7 2?1x12h W~IIy'~~a' STL r
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WVjV?,1. PLYwoDD SPACER
_ 13(tIGK M I)PCK MoUL D Bh 9'-0" DooR
FOIL BNB-KEU H0.AP1 PAPFIL (OPr~eNCk) e.
"e, E I u„V o x
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12 ANCt{of, gpc(5 To Ar FROG of 4AN. ToP OF F( T0P DF FDUNO`( 616V• D''-o" z
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2 4 (LEINFORGIN~i_o (p"x6''-'$10 tj.U.F, r-a'-OKIV%;p FDUND'7 m 9
ROP5 GON IIN UOU3 f DEC 2 719M
ELTIO scA~E 9ti':lb" P4 TOWNb-I, :J P-3002 SHEET 4
'(URN pDWN Se,(0 S-6 G710N
ScPC I/y I'-o e o S
~s
TOTAL 4
I
11 V-D" 1"b"o"
Dn 3-0" U " n r, n I- " y'-d 5'•4)1 14. 5'-4n I1-0 p # O O
'o
y + + + Y + r «
" Tor 0G SLA6 A•'( llaAR r, o r i « DP OF SCAB (YT fLE sAe ar ~eeaa - - - - „
OF GWN61E 6LPu. D'-°Z4I 6 ELEU. O - BLEU O -d' 30' b' b
0
-(t:mforwby roam s1Ake5 \ g J ~o ` N 5 m
" 11164" (TIP.) FM ANCI{Mb I+M
Rtict+DYC Povs ~i' I evL1 woAjloa
VIN. (Ib° W1ZV8" PRO, `o + to
" .
I,F•AlDUE FORM 'a 116)4" (rYP.) PDIL Aucom I I UN 6L GAVAr(F.C
m gaA2vs AFTt (AiLwL we BoLTs LDUr(toN I k" LONLtLETF. SLAG UT6 5LA6 In/ i
GOaC{LE1E SETS I ° + - fd><6"- ID W.W.F. o to w.w.F. ON + IVBL EASE c,
LL' s-*4 RuNF. Roby IS, I I 4~' 61114v L 6FFSE
a
Iv
C~pp,AG =r Awl" BoLTs (M. • goLTS CiYP•) a
Al LoN rLejg SLAB W/ 6"xio' Ib = I U2" 12" lu/ 272' P 12" w/ 27x,' PM1DS. N
W w F. $ TW.!OU7 DOWN Fo006r~~v~
d- A'T ALL ND e6 o~J A° WO O& OW Noib:G"IYA qqND 6l2OUT wnv WALL PANELS ALOUD SIDE AUl7 11 I Q~' CON4 SLAB W/ " I
Ftlo"T wALLs AS "gvlp!n W « `lp 8" GDNC(L1 TE WALL cIII' 6°-+f Io, W.w.F a. 4"4fLMIFL ASE
,
N
Ilo'{0N Cow- F q,
d- I T?" OF FOUORT 61.80 FouNpr LEU. o d' :..ro, I ,
+ - I Ifoh,t B" LONG ):06TIF CONC• F06rINU
o I Yop of SLAG AT CIA SLAG Ar SRI AwE
ELEU - o'-
TOP OF SLAB AT F2oUT Do12 +;LBU.-o'2" cr 4AAAG8 F 8J -d2° L (p6c 7F0 "PA-TTIDN rooMPA-TION J3" AT P06tb
+ r «
lo~~llr-4"~ l1'-l" II'. Z„ I ~IO~, o -o 100 + r
Z'- B16/kN I 9'-'IIIZ I'-pJl4 41111
6LA5 FO UNnA TIDN PLAN FOV,M6P FoupDpr-ri )UPDP-rlON PLAN
14" = 1'-0'•
SCALE 4"= 1'D° SLAL~ P10OF 0661foo
li•3n
30. LBS. LIVE LOAD, 10 LBS/. DEAD LOAD
(TYP.) 1 (TYPI ToP 00 5 S 6Fb PLAi91tBOLlrFD IZAFTeR SPANS 0P5E0 ON -1+18 US4 OF
~ P~'L-~P2vc~PfrJe-~f~"02~Q4A~FfA01
RMOGULUS(y~ OF PLASTIC-ITY OF 1,300,OD0
I"A '~6 SjEFL PLA'f9 Q RCL eAcy IYPI AND A NORII•AL DURATION DESIUN UALUP OF CF =loon)
3'-0"~3'-D" ~S sIDE(7YP~6AL LMJ
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su E1AL pelz 2'-ro" C7YPJ (T4 P.)
SHWGLED NPC`16
FLItG4l Pl.{ilP, 13P, A" MIPOG
4 235 tl- SELF S&AL k-/' RIPHAUT SHI06IL6S
I'W' FASCIA
RIG,N1 SID4 6GEUA7loN r
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InEIAI. vwP evc1 N3oR2D SI~IAif,
I x 6" RAKE D ~Z" E~( p0$U2~ E=E
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IRON-( ELE ELEVATION SHEET 2
L 4 °=I1-0" P-3002
AEAIL ELEVATION L6F7 SIPS ELEVATIDIJ Sca~E
ScPLE 'lb":~~.o,SGgcz I/0"=l'~o" ~ TOTAL 4
~Itl., ~~c+vd g ~ ~3rvNd
,a I ID-'°jI
„91 ,91 ,11 1191 ,191 ,-31 1171 ,'°ll II°/l All 1c71 "91 „91 ,91 ,PI el 1111 ,91 ,91 ,91 „11 ql „11 ,°)I
al" WOL10G1 (ffd1U a'A L~,141e2 IX I°t 31~ (AtLNEry. $IiD.
P L
~ m 1 r i
$ UDYE:IF 10-M9 106 SIDING
SdOLS '70 ,01 111 nUlp2 C m o_ ~IN1511 IS USE0 ADD
4(%jVU9 olrlm STUD A4EhAA
1Uc+a~na N1-La~ nbFNI a ~ C02NEIZ
WN Ew ? N 0 z.-0 ~1VTd dal ,1b1n2 -
nEY~I~ " 3-C"
3~ m~ D -i n~£ 1. by '.L " f I,a ~anl J F I~l$ s :l'k aia~d ~dLL„br,la SLALE 1112": I'-p~' ~
c m v 5:1~1R Vl1 I
ax zz G_ '40 ,P)I li' i81q'L 1 - ' sau u8itlalf `O
h y $311 71tl"I'IOD 7a ,8V is ,1~*,IZ
~ ~ ~0112~C 1V „°J x,l ' k7NyN MO tlooy 1N41 +1 're(vtld y
z R ~ ~ 4avo9 ahala ,°It,l _ J ' Q/511.6
~ Imo- 0 16'-O' Oo1S Am-3718
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o S 9
r a c d = ~ 2 2 _ Ul S N _
N _ Sl o ~ 3
= s z
6_ r O ~ Y ~ Q
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2111 q'1" ULIPRe I"r 6" AT 32" OG ' 111Rfo" Al 46" oc OMAGE DOOR ZJ 21 coLLNa rI~ = s
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12„ ~ s POW IN STOP = ` , I 41
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~'d14 P-3002
PANEI, s TOTAL 4