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Home My WebLink About22315-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23418 Date DECEMBER 21, 1994 THIS CERTIFIES that the building ADDITIONS Location of Property 715 SHIP-S DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 3 Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1994 pursuant. to which Building Permit No. 22315-Z dated SEPTEMBER 12, 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 A DECK AND PERGOLA ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRANK & FLORENCE ANDERSON (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS' CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding I/Pector 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 SEPTEMBER 12,............. 19 9�}....... N® 22315 Z .......................... Permission Is hereby granted to; AT FICKEISSEN - A/C - ANDERSON, FRANK .......................................................................................... P.O. BOX 1451 .......................................................................................... ................SOUTHOLD NY 1 1971................................. ........a.................. CONSTRUCT DECK AND PERGOLA ADDITION TO EXISTING ONE FAMILY DWELLING AS to .............................................................................................................................................................. APPLIED FOR. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. at premises located at...........7.15...S.HIP. . .'.S..DRIVE.,...SOUTHOLD. NY . . .. .. .......... . . .............. ............................................ ................................................................................................................................................................ County Tax Map No. 1000 Section ...........79.......... Block........... ............. Lot No. ............32 pursuant to application dated ..............GUST 23, 19 9.............. and approved by the Building Inspector. Fee$20.!'�j...... i ..., ... ............................... �� Building Inspector Rev. 6/30/80 Form No. 6 `? TOWN OF SOUTHOLD BUILDING DEPARTMENT �. .. DEC 19 1994 TOWN HALL 765-1802 BLDG.DEPT. TOWN OF SOUTHOLD : APPLICATION 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 building 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-9 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 1Z 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 1.1pre-existing" land cases: 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 Buildino - $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 Date . . . .�� 7✓�� . . �.. .�y9riL . . . . . . . . . . . . . . New Construction...... . . . . . Old Or Pre-existing Building 0/,N `L-, f.G . !FIT1,u5- D� wii7f �.y Location of P'roperty.. . . .. . . ...... ... . sib/�S . OKI/1��. . . . . . . . . . . . . . . :s::�fo. />. . . . . . . . . . House No. Street Hamlet . . Onwer or Owners of Property. . �:� � '� . P,. . �P�✓1/C�, . � S�c/ . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .��y . . . .Block. . .`f- . . . . . . . .Lot.�`3�; ono. . . . . . . . . . . . Subdivision T. ... . . . . .Filed Map. `6-5Y0. . . .Lot. . . . /3 . . . . . . . . . . . . . . Permit No. . . . . .Date Of Permit. .. . . . .... . . .Applicant. . ! . . �. . . . . . . Health Dept. Approval. . . . . . . ."/ .. . . .. .. . .. ..Underwriters Approval. . . . . .'.j!��. . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . ./. . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X . . . . . . F// ^�e��e Submitted: $. . . ..... .. . . . . . . . . . . . . . . . . . . . . APPLICANT `�l O�®S�FFO(��oG �� y1 Town Hall,53095 Main Road y x Fax (516)765-1823 P. 0. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 30, 1994 Mr. Albert T. Fickeissen Box 1451 Southold, NY 11971 Re: Frank Anderson Prem: 715 Ships Drive, Southold NY 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. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22315-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEFT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. J FOUNDATION 2ND [ ] INSULAT N [ ] FRAMING [ FINAL REMARKS: DATE � � / INSPECTOR rss.ieox BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL f REMARKS: �dli`�i5 DATE � l 7 INSPECTOR L7 UJ F OUiJDATTON ( 1st ) Lr OUNDATI0IJ ( 2nd ) 2 . Z 0 ROUGH FRAME & (}� -PLUMBING - S to C> 3 . r� C IIJSULATIOPJ PER N . Y. . . ►-� � ) STATE ENERGY CODE . r � 4 • FINAL CA :W ADDITIOPJAL COMMENTS : x Z • H � 7� N H c� O t7. H BOARD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PL.1:1S . . . . . _ _ • TOWN OF SOUTHOLD SURVEY . . . . . _ . . . . . . . . . . . BUILDING DEPARTMENT CIIECK . . . . . _ . . . . . . . . . . . TOWN HALL SEPTIC FORK _ . . . . . . . . . • . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:oTIF'f ; /7,� �Cl<� "(sS 7y' Examined . �C"r. . . . . . . . . CALL f •1 19 MA I L TO : . . .!A. �� 4 .'e<13 - -�• =Rose Approved . . . . . . . •�� j . . . ., 19 �'ermit No. Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i nspec or) N iG 2 3 1994 I (Bildin } APPLICATION FOR BUILDING PERMIT J C�+ BLDG.DEPT. Date . . . : . . . 5��.1J..$'. :, 19 1.G� TOWN OF SOUTHOLD INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street 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 Occupanc% 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 ode, a regulations, and to admit authorized inspectors on premises and in building for necessary insp ns. . . � • • �c� . . . . . (Signature of applicant, or name, if a corporation) • . • (Mailing address of applicant). . . • - - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .r7 rej .v! . ./ .®. ./.?9'1 Cl��r5.Q n. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. i PIumber's License No. .p" = � - OWN OF SOU I Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . , • , • : 1. Location of land on which proposed work will be done. j . . . . . . . . . . . . . . . . . . . . House Number Street . ' ' • ' ' ' ' ' • ' '. Hamlet County Tax Map No. 1000 Section Q '7%'o•�J� : . *� Block . . . 0.� Subdivision . nr.�(;dl.�uJ. WaO&S • s T'c Filed J ® . . . . . rile No. Lot . /. . . . (Name) . . . . . . . .: State cxistin- ' b use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ��?�.� " 8 q �• �i�]7 Fr fyll 6 A!7 1 "'` C`t r �. 5/4 1 1� . i+Y .I..V.YJ �'j;7.er:1 jd . . . . . . . b. Intend use and occupancy ��utn- ®a'i�� ,,,.Lz �� c:� - •3. Nature of work (check which applicable): New Building Repair . • . . , • _ • • . • , • . Rcmov • • : . • • . • Addition . . .61 - - . _/Alteration al . . . . . . . .. _ .. .. Demolition . . . . . . . . . . . . . . Other Work • . . . . . . 4. Estimated Cost .X ;S dG�•po �-� (Description) . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling, number of dwellinb units . • • , (�('1• (to be paid on filing this application) If garage, number of cars • • • Number of dwelling units on each floor . . . . . _ 6. If business, commercial ormixcd. • • " " " • ' • ' • • • • • • • • • • • • • • • • • . . . . • . occupancy, specify nature and extent of.eacli type of use 7. Dimensions of existing structures, if any: Front . . . .�;7 ' ' ' ' ' ' ' • • • • • • • . Rear ;� Depth Dimensionst . . . . . .... . . . . . . . . I�rrrmbcr of Stories . .�"•!uo. . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . ofsamcstructurcwitha ' ' " • • • • • • • • • • • • • • • • • • • • Depth • • • • : . • • Iterations or a.7ditions: Front . • • . Height Rear . . . . . . 8. Di • • • • • • . . . . . Number ofStories . � ` � � • • • � • • mansions of entire new construction: Front . ' .Height . . . . . . . . . Number Rear . . . . . . . . . . . . . . Depth' . . . . . . . . . 9. Size of �� , of Stories . . . . . . . . • . . . . • . . . • . . . . . . lot: Front .� �;� Rear . . ./�fJ '• . . . .). 10. Date of Purchase a��v}, • 9 Depth - 11. Zone . �. . . . . . . . . . . Name of Former Owner �ly or use district in which premises are situated . ,t'�; . . .12. Does proposed construction violate any zoning law, ordinance or re 13. Will lot be regraded (if Q gulation: C�. • • ; • • • • • • • • • . . . . • . • ' • 14. ' ' ' ' ' ' • • • • • • • Will excess fill be removed from premises: Yes . Name of Owner of premises � A:�• �4 oy1 Address • i � •� �� Y(��, P Name of Architect 1 r, • �v hone No. .` 6�;f: 7 Name of Contractor . . . . 1?• :% �;��,I�Sr,' ' ' • • Address/��. . . Phone No. . 15.• P P e [ �. . . . Address . %. . ..;5;�,,V��'r• �f Is this ro erty within 300 feet of a tidal wetland?• �� Phone No. 7, tIf yes, Southold Town Trustees Permit may be required. Yes � � • • ' No.1, , , , , , , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and- l set-back dimensions from property lines. Give street and block number or description according to deed, and howlst eetcate lnamesand indicate whether interior or corner lot. TATE OF NEW OUNTY /O'�F C .6A S.S ' • .�(��v;� .�,,.'.f.�[.��;G3St�a. . . . . . . . . . . . . . . being dul p . (Name of individual signing contract) Y sworn, deposes and says that he is the applicant rove named. isthe . ... . . ��, v,'t�Ph t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate .officer, etc.) . . . . . . . said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this :plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner set forth in the application filed therewith. •om to before me this . . . . . . . . day of. ! 191/. . Cary Public,-. � County CCaifl�L . . . . . NMry Public,State of New Yo No.4878505 •� , •G Qualified in Suffolk County ' ' ' • • • • • • . . . . • • , • • , , Commission ftireis December 8,19 (Signature of applicant) S -- r. O a ''�c= SC�fE.f�."":+9E° €� 4#� ids J AS WORD ; S Sca I e aJ- 'VON"OG INSPECTIONS: m co I. FOUL;,D,LT'off - V?AYO REQUIRED cv ou- FOR POURED CONCRETE m;_; P", O Ego T0N MUST � � �� e�Sp1•��'��..� 2� " BF C(Av'sPLETE•FOR, C.O. Ve, ALL CONSTRUCTION SMALL VVIEET —.- - - -- r, �v�a 'THE 4' REQUIREMENTS `a 1.F THE N.Y. Wl RESPONSIBLE FOR OR CONSTRU&ION ERRORS rl—T��► I� 11 �l 31,��✓ x RAC 5sN 0' q X y o2 6�b" 3)rcK _ o. -YISTaX6 —roIs7- G i v-el evr a- 2 K$ CG 1 rc{e r Y X q cc►9 a 7_ / 9 _. • e �L eo- o00 6 � ConcralG its I�•-___-_-j a !� �o �.� O�P� 'CQ7'�CY'� ��o rf O G. '' i� I ' T1 I' � -- a ��?xif�irrfcr ' oti X g o i srs 16 "ct�. cc►9� 4(X q Po s t-s n I 1 a X Tv to AT- --N -A N-W RSa N J�J � r —!1 OTE 7•/S. �a/( � 77� DFf'S a 2.Xg SfiupS D_� SouTNo�� C ✓1 _-oN �fXy Ccp '_'I CRS �J - _. y _ . ll. S"o I s T 1-1 1914�-E RS . - I