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HomeMy WebLinkAbout6340-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. ...... Date 9ee 28 THIS CERTIFIES that the building located at . .$ea.~ood. ~r[¥.~ .......... Street Map No.~.e.a.w.o..o.(l..A.O.., Block No ...........Lot No..~. ..... ~..o~..t.h.o..1.d...~ .,.~.: ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ .J.a~...1~? ...., 1973.. pursuant to which Building Permit No. ~. 3.1+.0.~... dated .......... J..a~....~.? ..... , 197.3.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P.r.~..v.a.t.e...o.n.e...l'.aR$.l. 3r..d.w.e..1.1.i.n.g ..................................... The certificate is issued to . .Th.o..m.~. ~..CA)~.~'.a.c] ....... . .03~3..e~. .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...0.c.~;..1.7....19.7.3 .... b.~r..R.: .¥;I..~.~.a~.. UNDERWRITERS CERTIFICATE No..N..1.3.1. .27~ .&...1.3.1. 3.0~.. .... ~.e.c....~....1.9.?3 .... HOUSE NUMBER ...... ~.?0 ..... Street .... .S.e.a.w..o.o.d..D..l,.l.?.e. ...................... Building Inspector I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6340 Z Date ,TaZ~LtaZ~r 1 ? 73 Permission is hereby granted to: Thomas Conrad Southold Build new one family dwe] ling Lot 9 Seawood ;~cres at premises located at ............................................................................................................................ Seawood Drive Southold pursuant to application dated .......................... ~..a..~. .......... .1..?. ........ , 19...~..~..., and approved by the Building Inspector. 36 · 60 Fee $ ........................ Suild, ng Inspector f FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ....8.e .a¥.o.o.d..D.~.i.v.e ......... Street Map No...2~?~. ..... Block No.. ~ ...... Lot No..9 ..... .~..~..~..o.l.d. ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J..a~.....1.?~ ..... , 19.7,,~. pursuant, to which Building Permit No...63..~,0. Z. dated ........ J.~l.,..!?~ ......, 19 .~.3., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...P*.l.~a..t.®. .°'~'0. ~ .am,$...lY..dW..~.~.!l~ ..................................... The certificate is issued to .... Th0..~a$..It.,...~.o.n.~.'.~. ................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval D.~;Sd..0¢~;,. 17~. !.9.73...R,..V.!lla. UNDERWRITERS CERTIFICATE No...P...~...~.. .................................. HOUSE NUMBER .. ~..~). ........ Street ...... .8~..~¥0.qd..D.I~.~.v. e ..................... ................................................... ................... Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH ~ H.P. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant -¥'hn~ ~, ~.~ Phone 5. Subdiv. Address-l-~D~O~c~ l~a; ~u+'~oo,~ ,~.~.1#~.~6. Section 2. Proper6y loc~tkon ~au3oou ~--~%,~V~.' ; 7. Lot No. ~ 8. Private well Village~ Township ~o~o[~ 9. Public water 3. Public Water Company name Distance to main 4. Lot size: Width /~ feet Length ;~O feet (Enter on center plot below) 10. Sewage Disposa~System: A, ~.~ gallon septic tank: Precast~ B. ~aching pools: Number ~uivalent Block ~recast/ Block Special__ / Street If private well fill in blanks below: Tank capacity ¥'~Gals. Pump G.P.M. 3' Total well depth Depth to G.W. Amount of water in well Test Hole Data Feet 0 2 4 6 8 10 12 14 16 18 The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Nealth's current stand- ards thereto." ~/~~ Date // ~.. ,/-/~ Signed,..J~4~--/ // / / ' Owner or Builder FOR HEALTH DEPARTMENT USE ONLY. Based oD the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. Date /~ ~ Signed ~ ~ - S-15 Revised 4/]/72 ./ TO BE A VALID TRUE COPY. SUFFOLK COUNTY HEALTH to be satisi'a::tory.-----~ /f Chief of General Services THE O~December 5 · THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038' 1973 ~pp,cotio.~o.o,/,e 638122 N 1313O4 only the electrical ~quipment a~ d~scribed be~ ~ i~t~ ~ t~ appli~t ~ on t~ o~ ~plicat~n numar in the premises o~ Thomas Conrad· Seawood Dr., Nain BaF View & No. Bayview, Southold,L.I. inth.followlnglocation; ~ B~ement ~ IstFI. ~ 2nd Fl. outside Section Bilk ~t w~exami~on Decembep 3, 1973 andfoundtobelncomptlancewiththerequirementsofth~Board. FIXTURE RXTURES RA~ES ~N$ DISH WA~ERS EXHAUST FANS 15 13 DRYERS SYSTEMS NO. OF FEET E R V I C OTHRR APPARATUS: *Furnace/s: Oil, 1-1~p, 1-1/l~hp N~otor/s: 1-1/2bp Thomas Conrad Box 118 Indian Neck Lane CutchoFue, L.I. 11935 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~k BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK tOO38 ",,teDece~ber 5, ~973 ,~pp",,at,on;~o. on/',,e ~'397~9 N 131279 THIS C:ERTIFIE$ THAT only the electrical equipment a~ described below and introduced by the applicant named on the above application number in the premises of Thomas R. Con~'ad, e/side Seawood Drive, No.~ayview & Midland Pkway, Southold, ~I~. I. in thefollowing location; ~ Basement [] 1st FI. [] 2nd Fl. 0 L~ S i d e Section Block Lot was examined on De C emb er 3 E 19 ? 3 and found to be in compliance with the requirements of this Board. FIXTURE INCANDESCENT BXTURES OUTLETS ~ECEPTACLE$ SWITCHES FLUORESCENT VA~R DRYERS I FURNACE MOTORS FUTURE AI~LIANCE FEEDERS RANGES SPECIAL REC'PT, ICOOKING DECKS OVENS DISH WASHERS TIME CLOCKS~v,T. AMP~. TRAN~LL~. ~UNIT HEATERS MULTI-OUTLETNo.SYSTEMSoF FEET 1 100 CB ' x 1 OTHER APPARATUS: R V I C EXHAUST FANS DIMMERS A+W,G. NO+OF HI-LEG A.W.G. NO.O~NEUTRA~ OF CC. CONO. OF HI-LEG OF NEUTRAL 2. 1 Paul R. Burns, Town }{arbor Lane, Southold, L.I. 11971 J MANAGER 11 Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEPARTMENT~ ~ TOWN CLERK'S OFFICE-'~-/ ~UTH~D, N.Y. ~~ Examin~ .~.~...J..~ ......... , 19.~.~ ~/~ ~ Applicati~ No ....... ~..~.~ ............. ~pr~ .~ ........ *.~ .......... [~. ............ , Jg.~. Pemit No..~.~..~.~ .......... Di~pprov~ aJc ............................................................................................ ~ ........................................................................................................................ ................. ............................ ' ~ AP~LI{ATION FOl BUILDING PERMIT ~, Date ..... ~.~.....,' 19..~... *. lhi~ ~pli~tion mu*t ~ eompl~t~l~ filled in b~ ty~writ~r or in ink and *ubmitt~d i~i~ 8uiffii~m~cto b. ~lot ~l~n ~howin~ Iocetion of lot ~nd of buildings on premi~, r*l~tion*hi~ to ad~oinin~ ~remi~ or ~i~in~ ~ d~t~ilad d~eription of la, out of pro~rty mu~t b~ drewn on diegrem which i~ ~art of thi~ a~limtion. c. The work ~vered by this appli~tion may not ~ ~mmen~d before issuan~ of Building Permit. d. U~n approval of this application, ~he Building Ins~c~or will issue a Building Permit ~o the applicant. Such ~rmit.shall ~ kept the premiss available for ins~cfion throughout the work. e. No building shall ~ occupied or u~d in whole or in part for any purpo~ whazever until a ~ificete of ~cupen~ shall have gran~ by the Building Ins~ctor. 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. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ......................................................................................................................................................................... Name of owner of premises ...--'J~.GI'z319.,%...~. ,..~.l~.t~J~l~J~ ........................................................................................... If applicant is a corporate, signature of duly authorized officer. Builder's License No .......................................................... Plumber's License No ......................................................... / ~- ~ / / Electrician's License No ..................................................... Other Trade's License No ................................................... / ~o~(' ~ 1. Location of land on which proposed work will be done. Map No ............ ..~..~..'7.~ .................... Lot No....~. ................... Street and Number ....%~....~.~.[x~g.~.~...~..~.J]Y..~..:~..~,Jn/~.,...J~..~...~.,j ............................................................... Municipality 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 apl~licable): New Building .................. .~t~... Addition ..................... Alteration~ .............. Repair ................. .... .... Removal ......................... Demolition ........................ Other Work .................... ............. . .. (Description) 4. Estimated Cost ............................................... Fee ...... ..~.....~...~..: ./,A...0. ...... " .............................................................  (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ......................................... If garage, number of cars ...... J~...~.t]~..~ ...................................................................................................................... 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use .~)..°....~)....~v. ................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Del)th ................................... Height Number of Stories ....................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................... Height Numbe f Stories ...................... ...g_..F.. 8. Dimensions of entire new construction: Front ......~..~.../ ............ Rear ...... .~...~.. .............. Depth Height .............. -'/.~. ............................. Number of Stories .................................................... ._, .................................. · . · o 9. S~ze of lot. Front ....... ..~.~..,/~. ................. Rear ...... /.~ .............................. Depth .................................................. 10. Date of Purchase ..... .~,/~;~/.~.~.---- ............... Name of Former Owner ....C~.:..t~?~.~.l~....~..~..1~..~.~¢.....~......~.~..~....~.,,~ .~ ,~ L _. ......... 11. Zone or usa district in--'which premises are situated ........ ...~....~...~...~..e:?......'~....~ ............................................................... v -- o 12. Does proposed Construction violate any zoning law, ordinance or regulation: ....... .~... ................................................ 13. Will )or be recjraded ...... , ,Wi" 'exc s fi, be remo._ve.d._ [roan pre,.se.s: , IV{ No 7 ESi? 14. Name of Owner of prem,ses ~}?J~A~-%~~-~T~j~~-~)~r"~"~`~7~v ..... (Address) (Phon~! Noj Name of Architect ............................................................................ {Address) {Phone No.) Name of Contractor .......................................... ~ ........................................................................................................ {Address) (Phone No.) 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 wheth- er interior or corner lot. STATE OF NEW YORK, _ ) COUNTY OF ...... ...~.~:~.~. ~Y~. ........................ ) .... ~...~. cb.~g-~.~.-~.......~-.....~.r~0~.~X~..~.. ............................. being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) He is the ............ ~.~J~..~..~'~.~_..~ ....................................................................................................................................................................... {Contractor, agent, corporate of~cer, etc.) of said owner or owners, and is duly 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. TERRI LEE ELAK ~ ~ NOTARY PUBLIC. State of New York -. ............. .......... day Notary Public, .~.....~.~ ........ County ~.../¢_,,/~~ .................................... (Signature of applicant) ~Dp~C4AL IdoT~ Zo C~oklT~.AoToP.. I '1