The URL can be used to link to this page

Home My WebLink About18655-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N. Y. CERTIFICATE OF OCCUPANCY P No Z-19363 Date SEPTEMBER 14, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 3825 CAMP MINEOLA RD. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 ,Block H Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 1989 Rursuant to which Building Permit No. 18655-Z dated NOVEMBER 20, 1989 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 FOUNDATION ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HANS SCHEIDELER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-126275 - APRIL 27, 1940 PLUMBERS CERTIFICATION DATED AUGUST 8, 1990 - WALTER L. DOHM f Bu' ding Inspector Rev. 1/81 Fosai xo. s 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) ~.BU~JJ~ N~ Z Date .....~f~~ 19 Permission is hereby not d to: at premises located of ~G~,aj..~ e~~f. F~... y~Y.~. . 4is ............................................~"'7' County Tax Map No. 1000 Section ......l.P'Z Block Lot No........ 3 pursuant to application dated .........~~~.tl 19.~~...., and approved by the Building Inspector. ry v Fee $....7.~% /.lGr i~~~' B ding I or Rev. 6/30/80 Form No. 6 ~ 0, `y,.. w TOWN OF SOUTHOLD D i BUILDING DEPARTMENT TOWN HALL ~ SEP i~ 1 i9~D ~ai.w d ~ .L 765-1802 BLDG. DEPT. ' APPLICATION FOR CERTIFICATE OF OCCUPANC 7OWPi OF SOtlTH~I~D .1. This application must be filled in by typewriter OR ink and submiCted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streeCS, and unusual natural or topographic features. \ 2. Final Approval from Health Dept. of water supply and sewerage-dispos~S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. ' 4. Sworn statement from plumber certifying that the solder used 3n system contains ' ~ less than 2/10 of 17. 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. SubmiC Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apzil 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 applicanC. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Upuated Certificate of Uccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date :;cw Construction........... Old Or Pre-existin Building.. , - g Location of Property..:: .~:m~......~': t?t~#9~:~:~„~&%1........~:fl.?1: .LS.t.~r....... House No. StreeC Hamlet c ~ Onwer or Owners of Property..~.~:~lh: ~ ~:.'t... E • N County Tax Map No 1000, Section, ~~:,........Block. ...........Lot.~lr Subdivision ....................................Filed Map............Lot.............':........ - f. 9 Permit No,~,~,? ~ .......Date Of Permit.:~.~f:`,a~,~~.~:~.......Applicant Health Dept. Approval ...Underwriters Approval...................... " Planning Board Approval RequesC for; Temporary Certificate........... Final Certicate,.~... Fee Submitted: $ , ,t ~USo~~ APPLICANT ~ ' . Cez~.193G3 ' J r / n TEL. 765-1802 " q~FFO(K~, ~p OG TOWN OF SOUTHOLD y~t OFFICE OF BUILDING INSPECTOR ;z P.O. BOX 728 o TOWN HALL O + ~ SOUTHOLD, N.Y. 11971 yyo~ ~ ~~o C E R T I F I C A T I O N Date Aug. 8, 1990 Building Permit No. Owner Hans Sch 'd 7 (please print) Plumber WaT T.. Dohm (please print) 4 I certify that the solder used in the water supply system contains less than 2/10 of 1`,4 lead. ~ , (plumber's signature) Sworn to before me this 8th day of AuQUSt 19 90 ~ tart' Public Notary Public, Suffolk County MARYLOU D~OSIG Nowt' PubSc, &mte of New Y~rak Cmn IseExp~e 90.1561 . a 3 ~ _ ~ ~ C w s ~ p I G' p ~ ^ ~ I i W ~ pQ WS K ~ t0 r7 N ~Nw WG ~ per.. ^tl w 3 ~j ~ y p ~ s y _~o ~ a y" m a .T„o N S ~ ~ p ~ a 3 i y Z. ~ r. a s V ~ w w ~ O t x ^7, ~ ~ y ~ ~ ~ ~ e ~ O ~ Y ~ 1 ~ W _ r w ~ ~ ~ Y N Z '6 1'Y ~ O~ t O u ty y lay p t F ~ P G ~ Z a~ i ~ ma c X ~ O ~ Y w c90 h S, C 'g x. g ~ ~ 3v o ~o c4 `y U $ lj - r a`~ M O W ~a = Gg `e s ~ ~ ~ .O l.- Y a+ N Y i H ~ 1 V W C 6 @ ~ ~ J ~ V WO O ~ N C N t~ ~0. L `r' # x ~ W i z ~ yL ~ .p J C K ~ a N Yd. O W C P x w ~ Z o ~ a. o o ~ lc ~ 4 e C ~ ~ ~ ~ d W W = ~ o ~ Coma ° = a~ ~ n'~ v+ - ~ ~ ~a ~ u G r- v V d U ~ ~ PV" x R ' ~ ~ ~ ~ ~ ~ Q. ~ .c b~ ~W~ ~ O d m U G a m `l ~ a s ~ ua N o Q ~ ~ a Y c r> oa W 3- y a" "t x a h y ui d a 8_ ~ o ~ N ~ W '3 ~o ec a ~ o sa zu d > r a m .fi a i 1`j ~ w 1 Q U u u v rte- p "sa I a _ C ~ 4 ~ rte' ~ ~ , ~s'oSZ ~ C~ ~ . 1 ~ Q i a i ry i' ~j)l'~- ~ ~~r-.. ~ ~ ~i ~ ~ o F j ~~v ~ f ~ ~ ?z ~i~~C~i~ ~ l.l)~a1~o4J ~ ~ I ~ ~ I .:i''r _ a~ /e} ~oo~ I ~ ; ,a.~.~.,~. ' - - ,,C~"~ , ~ ~ ~1~ ~-~c, ~ca.~ Lam. T"~_.:~_ r! - __.__~~.._..._.A.~..~.~~~___.~.._ ~i fi I !i - - ~----__.._-------~,-~-<._.....FL.,--.,-,..,.-_...-~..~.-.ter.-,-°_~^- ~r R 4.. ' . STEP4--0EN D. LEMANSKI P.E. ~ CGNSLILTING ENGINEER ` 4 ~ P.G. BOX 975 ~ppf 3 O I~0 SOLITHAMPTGN, NEW YORK 11968 BLDG q~PT. 516-283-7747 T®WN OFD January 29, 1989 Town o£ Southold Building Department Town Hall Southold, N.Y. 11971 ATTEN: Gary Fish RE: Permit # 18655, Robert Kennelly/Hens Scheideler Sox 1118, Southampton, N.Y., 11968 Dear Mr. Fish, I have inspected the chimney at the above mentioned fob, and have instructed Mr. Kennelly as to the work the mason must do; including the bearing o£ the fireplace on the foundation, the removal and reinstallment o£ some new brick, and the repair o£ the cracked mortar points. It is my considered professional opinion that after repair work is complete, the chimney will be in conformance with the New York State Building Code. At the completion o£ this fob, I will send you an additional letter informing you that the work has been done as per my instructions. I£ you have any „ questions, please call. Thank you. f,.~ ~ . ~ ~ Very truly a,s ~'r ~ , a ~,d36 ~ ¢ ~ ~ u~ u~.i. S en ~m n~ f~ ~ ~`c5 ice, ~~C)j:~~gg~,h~ i r'Lc,LD, i;:SPDCTiOt+ ~~UATr. ~ SOakMENTS - m 1. ti ~ 3 H FOUNDATION (1st) W ~ FOUNDATIOIJ (2nd) 2. / ~ ~ ` z o ~J,ti P,OUGH FRAME & ~ ((~(V.~~~ r' 20 1 .PLUMBING ~4 ~ N~, 3. ~ ~ ~i IIdSULATI0P1 PER N. Y. y STATE ENERGY ~ ~ CODE y~~ . ~ r~ ` H u• P FINAL o z ADDITIONAL COMMENTS: x ~ SO vr~ 1 9d ~ s ~ ~1~,"\1 H ~1 ?7~ H \ z 1 • ~ m a~ • r d -v H " r ~ ~ r r ~ ;.~1 tea!"~.,_. n2~IGr 1~ ~ ~ ~ i. ~ , . 1 _ , > . ~t~l` p i ~l 1 ~ o U ~ ~ Y~f ~ ~ ~ F . 'r -c._ ~ ,.e~...'~_. _ _ Q-.~ ; ~ - - ~ t~ ` ~ ; - ~ > ~ I , . I - r• - ~ a' j~ oa.e a s c.o . THE NEW YORK BOARD OF FfRE UNDERWRITERS hnls~; 7.7.::6(1"r~/ BUREAU OF ELECTRIGTY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~51~"}`h;j~,1~~;1: f)°F E,I cI'3 d] APPlieation No, anfile Ei ~bH':~:~6ff tfftfn ~ 7_§~~$'~r; I THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the o6oue application number in the premises Of M Ila~rs sl°r~r,rl;r~~l~;t~, 3~;a~; t~~r~l~ l~~lr~a~~y..~c~f,~ ~i~, ~j~~,~l°s°h~~cr~, w.~. in thefollowinq locotion> ? Basement L`J lxt Fl. ? 2nd F'l. (cif C 9ertion Hfw;k Lot was examined on ared fmcnd to be in compliance with the requsrernents q(this Hoard. FlXTURF ECEPTACLES SWITCHES FIXTURES RANGES COOKING DKKS OVENS DISH WASHERS EXHAUST FANS tlUTLETS INCANDESCENT RUORESCENi OTHER PMi K W. AMi K W AMT K W AMl K W PMT. H P 5 F? ry DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT TIME CLOCKS FELL UNIT HEATERS MULTI.OUTLET DIMMERS AMi. K. W. On N. P GAS M P AM7 NO A W G. AMT AMP AMi AMPS TRANS. AMT. H P. SYSTEMS qMi. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V 1 C E AMi. AMP. TYPE METER ~ 1W I ~ ]W 31r 3W 3,e" 4W NO. OF CC. COND A W. G. NO Of HbtFG A W. G NO. OF rvEUTRAlS A W. G EQUIP. PER B Of CC.COND OF HbIEG Of NEUPRAI OTHER APPARATUS: Bd~T17 ~ s:rf.atacM ttix>fa ~~i:ll~r.fr~~.a.l~<> ~17a1~r-t. ,,.r~.t~. r.-a R05i:AK AlI,P;c~P121r; I,CI",~4:)dr'F7-h ~~l P.O,k7C>k 764 P£,Tf'Ift3{;fIG;, PiY, 1'L X13 ri OENFRAL MANAGER i This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :I CDPY F6R BUILDING DEPARTMENT. TNIS COPY ®F CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. t l~~ sue" 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~l t.w~'8,.,ia~ - ro,~ DATE INSPECTOR T6S-1802 BUILDING DEPT. 1 NSPECTION [ ] FOU TION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ._,1 U _ ~_c ~ DATE ~ INSPECTOR f ` ~1~,/ SS`~ ass-1802 BUILDING DEPT. INSPECT101~0 [ FOUNDATION 1ST ( ] ROUGH PLBG. ' [ ]FOUNDATION 2ND (]INSULATION C ]FRAMING (]FINAL K - C. 1- y _ - ~ 4 DATE o2~ INSPECTO ~ 5`r 7ss-is®i BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ ~ /.2~/ 1-`~"--~-` ~ - ~ DATE ~ 7 INSPECTOR '~'~1`"-' - l &OARD OF HE.~LTH . '~~r-~~ 3 SETS OF PLANS FORM N0.1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD• N. Y. 11971 NOTIFY TEL.: 765-1802 GALL MAIL T0: Examined • /1 19~ F Approved . 19~ Permi[ No. /.U.6~JJ~ t- ~ U \`'d G~ Disapproved a/c 1 ~ ~ ""'~`~'.,~~a ~ ~~Q~ . (Bui g Inspector) ~~y~i'~F.Ot~ITHOLt7 APPLICATION FOR BUILDING PERMIT Date~~/.:.S~......., IS `~i~ INSTRUCTIONS n a. Tltis application must be completely filled in by typewriter or Sn ink and submitted to the Building Inspector, with 3 T sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shotiving 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 an 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 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 appticab~e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary iyn//sg`/ctyo~`j~/7 ';nature of applicant, o name, if a rporauon) • - y7. - (Mailing address of appli t) / >7 , State whet`}'f~erZ9ayp~pliCarif~irowner, lessee, ~e t, architect, engineer, general contractor, electrician, plumber or bull er. .........;rt~;S Cy.7C.~•• ~ • ~ • ~ ~ Name of owner of pr~'mises :/J~ • ~ . . <1S~;t} ~c.,<;'1 to (as on the tax roll or latest deed) If applicant,i§.a®corpo{ation, signature of duly authorised officer. (NA{n~t~pd t}tle of corporate officer) Builder',S Lice~nse,•No . . Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed rk tvi 1 be done. . -~r~-:-.~.~ , , House Number Street, Hamlet County Tax hlap No. 1000 $t C110n ...a Bl'pck Lot 3 Subdivision ................Name) Filed Map No. Lot I State existing use and occupancy of premises and inte}n~ded us(e~a~ dd ~o~ce~upQa~/ncy o~proposed construction: a. Existing use and occupancy ~~y~ . - b. Intended use and occupancy ••••••••••••'~~~l'~~!-/~~~ w I 3. Nature of work check which a Re air • , , , ( R~ Plicable): New Uuilding Addition Alteration . p ~~R oval De 'on Other 1Vork . vz~~.G~~~ r 3 y" (Description) 4. Estimated Cost~.t d•dg?~•~f , Fee . (to be paid on Illing this application) 5, If dtvclling, number oC dwellins units Number of dwelling units on each t7oor . If garage.numbcrofcars 6. If business, commercial or mixFd 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 with alterations or additions: Front Rear . Depth Height Number of Stories . ' 8. Di s p re new construction: Front Rear Depth Heil. ~,•.,,,,Number4fStories. 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase , . , ....Name of Former Owner 11. Zone or use distric4 in which premises are situated . . 12. Does proposed construction viplate any zoning law, ordinance or regulation : . 13. Hill lot be regraded ........'i Nill excess fill be removed from premises: Yes Nc 14. Nance of Owner of premises . , • , , , , , , , , , , , , ,Address Pftone No.............. , Name of Architect • ........Address ...................Phone No.............. . ,Name of Contractor . ' . .....Address . .Phone No...i.. . 15.Is this property Located with in~00 feet of a tidal wetland? *YES.7~..N0.... *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. a a,p~'t~ ~ ~ , n ~ ~ C.~. a ~ AP D AS NOTED a ~ ~ ~ oars:/ ~ a.e tY ~'68~~ NpTIFY U~ING [IEPARTM T i~"~°"t' ~ ~ 765-1802 9 AM TO 4 PM THE ~~j -1_ FOLLOWING INSPECTIONS: D , 'R 7. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING & PLt1M81NCi i 3. INSULATION Q. FINAL - CONSTRUCTION MUST EiE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~ STATE CONSTRUCTION 8 ENERGY ~6tRL.4 NOT RESPON$18L~ FOR ~ ~ES('~NOR CONSTRUCTION ERRORS STATE OF NE~V YORE, I S.S COUNTY OF . • • • • • • • • • r • • • • • • • • • • • . • • being duly sworn, deposes and says that Jte is the applicant (Aamc of individual signing contract) above named. I Hcisthe (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 Gle this aPPlication; that all statements conthined in this application arc true to the best othis knowledge and belief; and that the work will be performed in the manner set forth in the application filed thcrewitlt. ~ Sworn to before me this ~ Notary Public, . • , , , n• , , , , , , , , County /.L~ HELEN K. DE VOE ~ • • • NDTARY PUBLIC, State of New Yprk (Sign • ere of applicant) No. 4707S7B, Suffolk Coun Tenn E%pires March 30,19..~L ~