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Home My WebLink About10649-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall .Southold, N.Y. Certificate C~ Occupancy No..Z.1.1.5.2..8 .......... Date lV~rch 9 ....... ,19 .8.3. THIS CERTIFIES that the building Alteration Location of Property:.. -7-~ 5 .... Sh~-~s · Da?~xre .................... Sol0.thot~l ......... nouse ~vo. Street Hamlet County Tax Map No. 1000 Section .. 97.9. ...... Block ....0.~. ......... Lot Subdivision Bay~riew Woods ~.state ...Fried Map No. 5520 .Lot No. '1.2 conforms substantially to the Application for Building Permit heretofore fried in this office dated April 22 19 8..0pursuant to which Building Perrait No.. .106~.~Z. dated . .H.a.y....2 .................... 19.8..0, 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 ......... A Deck addition to an existing dwelling The certificate is issued to Frank A. Anderson (o~r~r, le~ or tar~nt) of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector R~. 1/81 FOEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CL£RK'$ OFFIC£ SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10649 Z Permission is hereby granted to: ~..~Z~....~...~...~..~. .............. ~.~/.~.~. ......... .... _.~.~.~ .~.~./.~. £.~..7...~(...,...~..: .......... to ~ ....... 7 ' .......... ~z~.,~../. z'. z.,~..c~ ........... ZZ ............................................................................................. et premises located at .~'../..~ ......... .¢.).~.~y~.~... ~./~/'.~z.~'-.7....~. ~'~'~-/~'~)'"~"'~' . .Z,~4.~ ,,zz~....~.J. ...... ~. .......................... ,~ur~uo~t ,o ,~,~,,cat,on dated ...... .,~/Z,.~...:Z.Z, ............ ,,~, and o,~proved by ~e Building Inspector. / / Building Inspecto'r' ......................... - - - FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 disposa~-(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 peoperty 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 reqmred to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New muilding .... , ......... Old or Pre-existing Building(Z) ........ ~ fVacant Land ............ Locat]on of Property.7/.'?7-, ., .~-';~. ~./~?... ~ ,~.//~/..~,~...~ .C/, ,~, ,~ ,~-,~,.../~-X... House NO, , ~ ~ Street ~ Hamlet Owner or Owners of Property .~ /~/~ --~/ ~//~d Count T x M . (~' ~ O0 ~.2~ OLD ~,~k a ap No. 1000 Section . . . .~L ........ Block ...... t ........ Lot ................ Subdv s'~, YX./, .~¢~.. ,~. ,/c3..o. ,~,..~,.,~.'.~,.~, ..... Filed Map No. ,o~...~. ~,,, .Lot No... ,/', .-~. ....... Permit . Date of Permit-SZ?~Z.~...Applicant., Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ ,. ~ Request for Temporary Certificate ..................... Final Certificate ................. - Fee Submitted ....................... Construction on above described building~.~,~ ~?~,~,~~,de~ and regulations. App ican'~ ...... ,¢ ........~..,, ..... ~.' ,~..~. :-. ............. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 I Dear ~/~, (~4~,,~,,~-,~ : Thzs is~ :~ _to advise you that the job under Buildz~g Permi. t ~o./O~'~ issued_.to on ~'/~/~v~for ~-~c~ ~c~ ~is complete'd and a fina~ znspect~on has~ has not~ been done. In order to complete this file, it ~s necessary that a Certmficate of Occupancy be issued. Please fill out the enclosed form(s)~ return same to the above office with a check for $5.00 payable to the Town of Southold. Flease mndicate to whom the Certifmcate of Occupancy is to be mailed, and arrange with this offmce for an inspection date. Thank you for your prompt attention. Very truly yours, Victo? Lessard Administrator VL:ec Enclosures FOUNDATION (list) FOUNDATION 2. ROUGH FRAME & PLUMBING (gna) INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENTS: Buil~inE Application of Frank A. Anderson Application is to build a deck on back of house approximately 57' X 10'. Construotion will be of Treated Lumber (CCA) to the following specifications: l) Depth of footings will be 3~ 2) Posts will be 5' apart. 3) Railings will be at least 30" high. 4) Sill joists will be ~X 2" X 8". 5) Floor Joists will be 2" X 6". LOT · II. LOT · 13 .06 MAP OF P'XOPE~T,v FRANK, ANDER:SON 51TUATE AT SOUTHOLD 5, '[OWN OF 50U~HOLD,N.Y. ~ · NOTE: LOT NUMB£P.$ S~O'.NN, ~EFE~ TO OF BAY'~IEW ~O0O$ ESTATES," FILED 'Tr.,rE SUFFOLK COUNTY SCALE - 4-0': I" ti1 = MONUMENT G = iRON PiPE A =- TACt4ED STAKE G~EENPO~T, NE~ YORK FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .... , Approved ./~-.~..~....~. .... ,190(~eermit No../.'(~..~..$"~ , D~sapproved a/c ......... ~. ~. ~ ................. , ' APPLICATION FOR BUILDING PERMIT Date .... /~p~';l..~, ..2.~ ...... 19~.Q. INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue' 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 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) 7.Z.5...8.h.~. p ,..s..Dy..iy.e. ~.. 5. 9.u.~.179.1,d.,.. ~ :.y.:..1.19.7.3,. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O~rne~, Name of owner of premises . .?.1~..o-~....A.o..l~l[l.d.o.t?. ~. 91fl .................................................... (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 .................................................. ... 7.1~ ..... .8.~.t.p. ! .~..D.~..ty.o ....... 8. 9.u.~.hqiiCl.,..N~W. 3[Ork. ll9 71 ............................... House Number Street Hamlet County Tax Map No. 1000 Section ..... 0.7. 7 ....... Block...O...~. ........... Lot...O.~~. ? ......... Subdivision .B..°-Y.v.~. 9.w..W.O. 9.d.~. .~.' .~.~.&.g.o..8 ........... Filed Map No.. ~520 ........ Lot .. 21,2 .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .t/Ip.~.o. ......... C~.~....---~.'. .......................... b. Intended use and occupancy....Rg.~.e.....'~...~ .~'.e~... .......................... 3. Nature of work (checkwhicb applicable): New Building .......... Addition .......... Alteration ,. ........ Repair .............. Rem6val .............. Demolition .............. Other Work..D.? .O.tC. ........ i ~ --~ o'~9 (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units .... Otto ........ Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................... 6. If business commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, ff any: Front,~.'(~ ............ Rear .. ~.?. ......... Dept .. ~ .......... Height ............... ' Number of Stories .~?.o. .................................................... Dimensionsof same structure w!th alterations or additions: Front ... ~? ! .......... Rear .. ~.7.* ............ Bepth...~.~. ............... ~.. Height ...................... Number of Stories. ~o ................ 8. Dimensions of entire new constmction: Front ............... Rear ............... Depth ............... ~I. eight ............... a~ber of Stories ' · ............... 10. [)ate of Purchase ....J..ma..u. · .ag~-qr~.. ~.97.~. .......... Name of Former Owner .Bay. El. oW..I'/ood.q..E~oa.. · ...... ~esidential 11. Zone or use district ~n which premises are s~tuated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~0 .......................... 13. Will lot be regraded ..... n..o..i ................... Will excess fill be removed from premises: ~ No Name of Architect .......... . ................. Address ................... Phone No ................ ' N Name of Contractor .. ................ Address ................... Phone o ................ 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 descriptibn according to deed, and show street names and indicate whether interior or corner lot. ' K STA3 E OF NEWYOR , COUNTY OF..8.u..I'.I".o.~k. ....... S.S See Survey .......... ~.~. A.....A.n..d. gp.~.o.n' ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the.. owno~, : ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 filed therewith. Sworn to before me this ............. .~.2.n.~ ....... day ~f... 3,1;q';I.;l.....; ....... , 19~0. Notary P ' ounty "~ Quhlifl~d in Suffolk County (Signature of applicant) i Comml~sion Explre~, Match 30, 195~