HomeMy WebLinkAbout20088-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20450 Date JANUARY 6, 1992
THIS CERTIFIES that the building GARAGE
Location of Property 11425 FECONIC BAY BLVD MATTITUCK t3Y
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block 3 Lot 20
Subdivision Filed Map No. 'Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 22, 1991 pursuant to which
Building Permit No. 20088-Z dated AUGUST 13, 1991
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 TO CONSTRUCT AN ACCESSORY GARAGE AS APPLIED FOR.
The certificate is issued to ROBERT J. & DOROTHY ENDERLE
owners
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NiA
UNDERWRITERS CERTIFICATE NO. N 217608 DECEMBER 20, 1991
PLUMBERS CERTIFICATION DATED N/A
~.a%~/~/
Building Inspector
Rev. 1J81
i
coax xo. a
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)
O Z
N _ ante ~.~/..1..:~ ~9.~1.
Permission is here y grant
~~....:....r~~..~ ..........................P.......
ot~ es located at ...f~7..r~.~..... ..a
County Tox Map No. 1000 Section .........6~~. Block Lot No.......s..~
pursuant to npplication doted ~ 19~y~...., and approved by the
Building /Insppecto.^r~~
Fee 5.../.~/..! y~/
Y
~uildi nspector
Rev. 6/30/80
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i TOWN OF SOUTHOLC! ~l
$U`3VH~V F(7R REEERENCE~
ROBFRI" J. ~ DOROTHY ANN ENDERLE
ni MnrrlTUCK
TObYN OF S0U'THOLD GuARANTE'EO rr~
THE TITLE GUARANTEE CO
SUFFOLK COUNTY, N, Y. ROBERT J. 9 OORO7HY ANN ENDERGE
SCALE ~ 111=~ 40
JAN. 9, 1970
JA M. 19, 1970 r..~,~~'..r.~'t°r,,),d':n.~:r..
JAN 22, 1970 LAND SURVEYOR
APR. 7, 1970 N.Y.S. i.IC,.N0.2sPf5
i RIV~RHEAD~ N.Y".~_
~ FORM NO. 6
~ ' TOWN OF SOUTHOLD
~ Building Department
/C~ Town Hall
J~J ,~i Southold,N.Y.11971
. /0~'7 765 - 1802 L
APPLICATION FOR CERTIFICATE OF OCCUPANCY
~,~,c ~
Instructions
A. This application must be filled in typewriter OR ink, and submitted a9~~ to the Building InsFtec-
torwith 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 equap.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate 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 19571, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
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 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, 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 $ ] 0.00
4. Vacant Land C.O. $ 20.00 ~~/~G-,/~~
S.Uodated C.O. $ 50.00 Date
NewConstruction„x„Old or Pre-existin Buildin Vacant Land
9 9
Location of Property ...II y 25~, , CCl7A//C- ~rfY ,QwoY .............../~'/i91. T /ccc~
House No. l St-r-e~et G Hamlet
Owner or Owners of Property Rq~N i:~ r/1K~ .~Yr.°!u~:.. ~^.~,v, , , ~~c?ee7;~P
County Tax Map No. 1000 Section Block ....3......... Lot....~.~.........
Subdivision . ..................Filed Map No. ..........Lot No.
/ I ~ /f /
Permit No. ?005'x' Z Date of Permit g/ i3lg 1 Applicant ...JJ.e ..!~oc,G~, r~ fyG , .
Health Dept. Approval ........................Labor Dept. Approval
(v off- /r ya
Underwriters Approval . , (..Planning Board Approval ,
Request for Temporary Certificate . .Final Certificate , .
Fee Submitted $
Construction on above described building and perm' meets all applicable codes and regulations.
Applicant
Rev. 7010-78 '
X00 ~..Z - ~o~--~°.~
~J~~k'ab TE1r.7G5-iS02
~~~;ri' r:• ~Gy 'TOWN OI' SOUTIIOLD
~~;~i. -c OFFICE Or BUILDING INSPECTOR
~ -
u°-, ({~i•~M rn P.O. BOX 728
r TOWN f[ALL
v~ ~ 45i~37 , .
~,,~4.~01 :~aO~- SOUTI[OL~, N.Y. 11971
OCTOBER 30, 1991
BOB ROCH 5 SON INC.
P. 0. BO% 1037
MATTITUCR, NY 11952
RE: ROBERT J. ENDERLE
To Pihom This May Concern,
We are unable to complete your Certificate
oL-/Occupancy because of the following reasons.
/T?/ !~n application for CcrL•ificate of Occupancy
/is not on file. (ENCLOSED)
/(/1/ CIo Underwriters Certificate on file.
/I// 'the check is /not on file. } $25.00
No Ilcalt-h Dept. T:pproval on file.
No final i.ns.pccCion has been made.
Please contact our office on this matter.
'Thank you for your cooperation.
I3ui]di.nq Permit 2 0 0 8 8 Z
Buildi.nc} Dcpt.
No Plumber So.lcler Certificate on file. ~ ,
( all permits involving plumbing being
.issued after ~1pri1 1,19fl~ )
CC: ROBERT J. ENDERLE
z
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'AC.e.
11 tP,lo7
BUREAU OF ELECTRICITY
8S JOHN STREET, NEW YORK. NEW YORK 10038
DFCEMHER 211,1991 75413491/91 N 2tih4it
5 Date Application No. on Jile
t THIS CERTIFIES THAT
only [he electrical equipment as daurihed 6elors and introduced 6y the applicant nerved on the al6ooe eppliestion number in the premises of
s
ROAEk9" SNDER,LE, 77.4`l.5 pECPNTC HAY HI~JD. , NA9'T;TpCK, N. J.
f>AR
in thefolloteinp krca~,NH Brafn~.! ? /at Fl. ? Ynd FI, Ser[ion BlK]ck Lut
reoa eiamined on andfound to 6e in contplionre with the reyuirernenU of thin Boord.
: RXTURES RAN6lS COOKING DICKS OVENS DISH WASNRRS EXHAUST PANS
NKTWE
= OUTLETS ECIRTACIES SWITCHES INCANOE]CENi-FLUOIIE]CENT OTNEfl ANT. K. W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N, P.
_ ! 4 7
3
DRYERS FURNACE AK/TORS NTURF APPLIANCE REDERf fPlCIAI REC'PT TIME CLOCKS Fill UNIT HEATERS MUITI.OUTIET DIMMERS
_ srsTEMs
- MIT. N. W. Oll N. P. GA] N. P. AMi. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. ANT. N. P. ~ RgT AMi. WATTS
SERVKE DISCONNECT NO.OP S E R V 1 C E
AMT. AMP. TYPE E~OWP 1AtW 1/]W ]A'TM ]A~W RM SCONC. OP CC.CONO. ~.~NI-lFG Of~N NO. OP NEUTRALS Of ~'~fNGRAI
a
OTHER APPARATUS:
JAMES NlIRRAY i,TC.#3H53-F. L~~ -E'~
P.O.H4X 345
ti
LAliREL, NY, 71.9A$ TiYiERAI
J7 ~4;
Per
~E~ This urtificafs mud not ba alNrad in any manner; rNUrn to tfle offin of tha Boord if incorrect. Inspectors maybe idanNfied by their crodentials.
,I
ODPY F®R BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY Mi1tMER.
765-1802
BUILDING DEPT.
I NSPECTI~JN
[)FOUNDATION i5T [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ RAMING [ INAL
REMARKS: ~,rt-~t~~,..~_m
DATE ~ ~ INSPECTOR ~
I
765-180
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
] FO DATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ic%~~~/~
f
DATE ~ ~ INSPECTOR
i
765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION 1ST [ ]ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: J
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DATE ~ ~ I INSPECTOR 1~ "
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SURVEY FOR REFERENCE
ROBERT J. ~ DOROTHY ANN ENDERLE
A1' MATTITUCK -
TOWN OF SOUTHOID. ~ cunRANrEED ro~
SUFFOLK COUNTY N. Y. ~ THE TITLE GUARANTEE CO.
r ROBERT J. ~ DOROTHY ANN ENDERLE
SCALE 1~~= 40~
JAN. 9, 1970
JA~1. 19, 1970 f.. a.t`.c.:~'.~~~,~,ln~Z_.
JAN 22, 1970 LANG SURVEYOR
APR. 7 1970 ~ N. Y.S.I.IC..N0.28725
r RIVERHEAO1 N. Y_
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE ~
SOUTHOLD, N.Y.
~nJ~
V~
NOTICE OF DISAPPROV L
Date y/°~..'3............~~~.----., 19n7.~. .
PLEASE TA~ KE~NfOTICE that you application dated 19 .i .
for permit to ~~g~~/
Location of Property ../~!fv?~~...... .?U
House No. ~ ~ ~ eet Ham/et
County Tax Map No. 1000 Section ~
.../..........Block Lot ....ri?4......
Subdivision Filed Map No. Lot No. .
is returned herewith and disapproved on the following~grounds .r/..~.~i.. , ,
.~~....~,o......~..~~~:...~~....
. o~~~~ .
uild'~ g• Inspector
RV 1/80
FORM NO. 3
TOwN OF SOUTHOLD
BUILDING DEPARTMENT
TOIYN CLERK'S OFFICE ~
50UTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date y/o?.'3 19~7.~. .
To ~~JPn. ~i~:1~,...~i.
G.. ~~~~Q ~~d2,~ Q, ~~2'(%I~e
~~./R/t~ a ~
PLEASE TAKE NOTICE that your application dated ~Z,, , , , , , , , , , , , , , „ 19 .i .
for permit to ~~~/1`~~A.~ . ~ ~jj, ~G/~
,Q .......at
Location of Property ! , , ,4U, , .
House No. et Hamlet
County Tax Map No. 1000 Section .../.r'~.~..... Block Lot d`.Z4... .
Subdivision Filed Map No. Lot No. .
is returned herewith and disapproved on the following grounds .U.,~.~/1., , ,
. s?S~~ ../.4t~.-. .../D.. o-.~..3~.. Gas"-. ced... ~
.~--..o~~~
uild' g Inspector
RV 1/80
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE ~
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date ...Y/°~..'3 1~9~>.~~. .
Po,./'~' /03,~ ~
PLEASE TAKE NOTICE that your application dated ;~Z 19 .f. 1. .
for permit to ~~-~/s`LR~ . ~j. ~G~~
Location of Property ../~.l~o~^.~ ~ , , .4fI. . . . . . . . .
House No. ~et Namlet
County Tax Map No. 1000 Section .../,~~,7. , , , . ,Block Lot d"~4..... ,
Subdivision Filed Map No. Lot No. .
is returned herewith and disapproved on the following grounds .r~~.~:fi.. .
.~'2..~....,~
uild' g Inspector
RV 1/80
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BDARD OF HEALTH
• ~ ;~((-r~~~~~~,~~~~~ ~ 3 SETS PLr1NS P......,....
2~(~',7 S-_.?_~_~ FORM N0.1 SURVEY ~
}lJl ~ .
70WN OF SOUTHOLD CTE^6.1G-~ 1~?.
~~dUL 2 Zl9g~ 6UILDING DEPARTMENT SEPTIC r•oart
TOWN HALL
- BL~FSOU
Nt)48I ~ ' SOUTHOLD, N.Y. 11971 NOTIFY
TOWN TEL.:765-18D2 CALL
Examined • . • , 19 MAIL T0:
~ ~ ~c~a ~c~t ~ S~•u '
Approvcd~~r~/~,~...., 19 Pcnnit No~
o asp ~03~ _
Disapproved a/c .7 .a'..3. f~~~~l ~ ~iFJa`- ~'L~A % (r /ca c 1195 Z-
. • • • • ...(Building Inspector) . ~ • • •
APPLICATION FOR BUILDING PERMIT
Date .......7~ 2~, 19~
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or jn 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 Buildin; Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on tite 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 HERESY MADE to the Building Department for the issuance of a Building Permit pursuant to the
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 regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
- ..~ob...KQ~~ Sow /w~
(Signature of applicant, or name, if a corporatton)
' (Mailing address of applicant) •
State whet//h~~er appli/cant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(T¢NCYA~... ~4;v, ~j~.ae ~oti~
Name of owner of premises ~op.e7~...~,,,9~., ~0?'O~.N,Y,,.l7NN....,L,~!?,Gf;@Y,~C,,,,,,,,,,,,,,,,,,
(as on the tax roll or latest deed)
IC applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. .....JQ,.:f? 2 ..N;r...
Plumber's License No . .
Electrician's License No . .
Outer Trade's License No . .
1. Location of land on which proposed work will be done~J. .
%Efouse Number Street, ~ ' ' ' ' ' ' ' ' ' "
Hamlet
County Tax 11ap No. 1000 SCCUO? ~yy........ Blvck ......3 , , , , , , , , , , Lot ~Q
Subdivision Filed ~1ap No. Lot...............
~ (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~!9~.'~Y • • /~?~!e~,//.v
b. Intended use and occupancy ~ • • •
..~.f? T.F? .e.. <t
f,Y _
3. Nature of work check whichl' ~ `
(
. P • • • R` applicable): New Building , , Additicn . , , Alteration'
Re air , Imoval . • Demolition • ~ • • • • • •
¢ Other work.......
4. Estimated Cost .......~4~~' rT~ (Description)
(to be paid on tiling this application)
5. If dtvellin", nurnber of dwelli' Fee .
g units . . . . . Number of dwelling units on each lloor .
If garage, number of cars ...I ~
5. If business, commercial or mi;ced occupancy, specify nature and extent of each type of use . .
g
" Npres, tf any: Front Rear De
pth..............
He~ ht trmbcr of Stories .
Dimensions of samerstructure with alterations or additions: Front
Du th .L IIeight . • Rear .
N • ......Number of Stories .
8. Ditensions of entire new con'
Hsi ht / Ftntction: Front Rear ....~Y.•
" .Depth
4mber of Stories , ' '
9. Size of lot: Front /Q.I • • • • Rear . ....(r7o ~ .........Depth ?O ' .
10. Date of Purchase
•••••••.••.....NameofFormerOwner
1 1. Zone, or use district in ~vhiclt premises are situated • ~ • ~ ' ' ' ' • ° ' '
oes ro ose construction v
p p D olate any zoning law, ordinance or regulation: .
14. Nameo~f Owner of remises .'il• • • • • • • ~ • ~ • ' ' ' ' ' ' • • • tiVil! excess 611 be removed from premises: ,Yes Nc
p .Address. .PltoneNo..
Architect .Address .
Name of Contractor . " ' " • • • • • • • • • • • • • • • • Phone No .
IS.Is this ro ert lo• •••••Address .Phone No..;,..
P P y Gated wi[hin~00 feet of a tidal wetland? *YES....NO.?~..
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly~a]I buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and blocJc number or description according to deed, and show street names and indicate whether
interior or corner ]ot.
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STATE OF NEIV II,
COUNTY OF. ~~t~• ~S.S
' ' ~ • • ~ ' ' ' ' • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant
• • • • ,Rc 6 ~~namc of individual si"
~ ,n~ing contract)
above named.
HC lS Il1C ,~0(?, / I~C t'p )r• •I. • • • .
(Contractor, agent, corporate officer, etc.) ' ' ' ' '
of said owner or owners, and is dull authorized to perform or have performed the said work and to make and Gle this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manne~• set forth in the application filed therewith.
Sworn to before me this
~2wcQ ~ ,
..day ~vlar.. , 19 ~f
Notary Public, , , • ~ • • .9"~~ •
County
~ (Signature of applicant)
Term) Expires Mey ~ 18
r'1^r:LD I;~S1'ECiiU,7 ~~URiE ~ UOtKMENTS
2 ~ 'O
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FOUIJDATION ( 1st) ~ / ' ~-i ~
FOUNDATIOtJ (2nd)
2.
o
ROUGH FRAME & ~
PLUMBING
ti
3. ~
H~
m
IIJSULATIOPI PER N. Y.
STATE ENERGY (1~
CODE W
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FIiJAL
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ADDITIOPIAL COMMENTS: x\
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