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Home My WebLink About10535-z .~... ' '. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17915 Date MARCH 31, 1989 THIS CERTIFIES that the building ADDITION Location of Property 565 SEAWOOD DRIVE SOUTHOLD, N.Y. House No. street Hamlet County Tax Map No. 1000 Section 88 Block 2 Lot 1 Subdivision SEAWOOD ACRES SEC.1Fi1ed Map No. 2575 Lot No. 29 conforms substantially to the Application for Building Permit heretofore filed ln this office dated AUGUST 31, 1979 pursuant to which Building Permit No. 10535-Z dated JANUARY 4, 1980 was issued, and conforms to all of the requirements of the applicable provislons of the law. The occupancy for which this certificate is issued is FIREPLACE & CHIMNEY TO EXISTING ONE FAMILY DWELLING The certificate is issued to ROBERT & EDITH GUY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4P7~ B~ilding Inspector Rev. 1/81 , , Ld.Jtlt .." i , e_.:'" FORM NO. 2 TOWN OF SOUTH OLD 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 AUTI10RIZED) - N9 10535 Z Date ..JA/otv./J/(.r......~....,..,..,.. " 19.10. Permission is hereby granted to: ):tk. Ifl U/Cr lC;ulCi<7o/ GN//2~~;~.....J.NI.4.?:.,/.i,rq;4iMf.. ......_bc;7.Jv.o..fIP...:~....y...o/-.. , . ..... ................................................. ,. ........... ", . t~ ..0;;;.k;::IZt:<::.~.C.L~..E;~~CIiE:... .'f....H/l:A4A.Zf.I....~7 ,;.~.z:;y.4/~ ,~N/.~..&GJ"...~.............,............................. ....,....... ........ ...............:............'......' ............. '. -If.: r: <"", <"" . .I _ J!'" r- .,...... ~ "..' ~ -, l at premises located at ...~...!..;.;,.........=."'./.::.'..~c. ",.t.;'... ,"'--.h::i........~.(;J.v,/$'.jG.?-P...-::;~,,7. ~;;~~~~:;k;;;;.:..:::;j~:v:"i',::::,::::2:7.:::#:Z?:::::::::::.:..:::::::::::::::::::::::::: pursuant to application dated '4e;u.'fi.t.~'..::s;"...., ,... ..,..,., 19,7,<(, and approved by the Building Inspector. Fee $.I:S..=..... ~~m Building Inspector , , ~." . ,_...1. ......" - , , ',',' '\;<:;;~;;>;i~::i7~1~0i~;;:t~~~~t~i,'~1~~~I;~';i~\"?' '" " .' . '. .. , ~ . TOWN "0" SbUTU'oL'Dtf;"'fA"'''',,,~ ,'.':0;;';""",',; '..,,0; :. , ":W": ,\ '" _?,')' .'t/~P1~0~~:.~~'~:t'{C){':{~~i:~>~'<},-~, ",':';~"'_ BUILDING' DEPARTMEfiT'''' ::'\X: . ,", "" TOWN HALL . SOUTHOLD. NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. .?!??! f.1...... NEW CONSTRUCTION .~....OLD OR PRE-EXISTING BUILDING......VACANT LAND........ Location of property...'3.k~..~....~...~~~. HOUSE NO. STREET HAMLET Owner or Owners of Property,.. '~"f/"" w....:f:.. U:~.. ~..... . ~~ Z I County Tax Map No. 1000 Sect10n ...... Block ....... Lot ......... Subdivision. ~ .~,.;;; Filed Map .?S.?,)::LOt.. .?:-.I... Permit No. .!(J.S3.).Date of Permit I!V!f(!:!.APPlicant .!-'!!~.... Health Dept. Approval . . . . . . . . . . . . . . . . . . Underwriters Approval,...........,. Planning Board Approval . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . Final Certificate ~............. Fee Submitted: $.2: f: l1P. .. . . . . . . . . APPLICANT. ...,.,~~. f"Yf""'''~ I D ~~JI~.[~I~rr~1 rl -'-"-"'1 Ii; WI MAR 3 I ;i;,j\) 'I I /il ~M' 3c'1~7 ~~I L ,!I/I; '--:--h'~~_''''h~ [I t "Jt rowBW~ f.f f'T ''''''''; ..,/ I kN (H 0::".... _, j C ol. 1716 ;;;).. u. ...""..,~""-~,~~: ,:J,---~, li!"'f)! D t rev. 10/14/88 1fr11'~ ,', 'i ~,' ;,.. "_',.i-" 't.h, ,>' J >, '_" - -' :L .i,r-:.,- ~ ,; c, >. - ",' ~,;]. ~ ' ~ k,<1~ ~rt _::. :';1"_k1.;kfili~ .l1}.kt.1:1~,,~'_ ", , \.-!.".{, FIELD INSPECTION DATE COMMENTS ~ ,- ., ~ . t-(j ~ !~ ~Ol _____ _ \JJ YOUNDATION _ ....l1st) 13 '1 . N 11 I "- FOUNDATION (2nd) . ' , ~ ~I . r~ 2. ~ '11 ROUGH FRAME & 7 ~ PLUMBING V, ~ (j)~ 3. qQ _ roQ ro 1:1 INSULATION PER N. Y . IT ~ ~ STATE ENERGY CODE " I ::r: 4.~ha f9 ~/~ OJ .A. :Z' / !V' - / / J / ~' v FINAL ' --- f~~ ro ADDITIONAL COMMENTS: ~ \' -- ~ ~, , ~ d"-,J "" , ~"' ""I o :3~ , ~ , ::r: ro ". . ~ ) ro ~ , . " "'- -1 <,~4" k, ,cd, ~_'il _". , , I ~ /O~3J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSU ( J FRAMING REMARKS: (lC f{e) ,- . ----- . i ~ DATE JBolfl INSPECTOR I I I i ~ _" j.,;' ",4 _~io,; it -1_~ :J.~ \' "-h -"L:"""_WH.!ib FORM NO.1 ~~!f- TOWN OF SOUTHOLD .h -: 'UU BUilDING DEPARTMENT ~ ~. TOWN HALL :J~B!; - j;:! SOUTHOLD, N.Y. 11971 .---- TEL.: 765.1802 //tj'7/ ExaminedVt9,!;,.. .LI....., 19&-; Application No. ./0::-8:;:-. . . . Approved .:};;P. . .l/.. . . . ., 19 ~ Pennit No.l~,::) j'~ Z Disapproved a/c. . . . . . ' . . . . . . . . . , . . . . . . . . ..... . - - ... ,_...... ........."... ,.......... (Building Inspector) -- APPLICATION FOR BUILDING'PERMIT 8~31 71 Date. . . . . . . . . , . ,'. . . , . ., 19. .. 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 Pennit. d. Upon approval of this application, the Building Inspector will issue a Building Pennit to the applicant. Such pennit 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 hay.e been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pennit 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. Th~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, d reg~ns, and to ""mti "thom,d i,,,,,,,"",, ,"mi= ~d in bnlld"'" fm "oe='> ffi:&,tY.~~~ . . . . . . (~f applicant, 0 name,if a co r~ W . .. ...... ~ ~~ .. f?!i!~ . V1...~.. i (Mailing address of apphcant) Sb" Wh''''W 1;:?;i ._;": ~=b"~~:'cr. ,.,'''' ""='''~. cl'~'i~' ,I'm """ h'il~" , 2?k~6' ~ ibl Name of owner of premIses ......,'..... ..... ,.....0. ...f:... W!....,........"......".... !lS on the tax roll or lates deed) If applicant is a corporation, signature of duly authorized officer -~------ ..... ......................... " ,. ,........... (Name and title of corporate o;?Jr) Builder's License No. "........:.., . .?C?, 7.. . Plumber's License No. ,...,... .'~~, , . . . . . . , . . . ,,-.. ElectricIan's License No, , . . . . . . . . . . . . . . . . . . . - Other Trade's License No. .........,.... ..... . I. w"tio"f1~d "wbi,b,rofOood w"kwill h'~~~~.'.'..'..'.'...'.'... House Num ber Street Hamlet -' County Tax Map No, 1000 Section .'......",....... Block.... . , . .~. . . . . .. Lot..,.. :~:-:-:-:. . , . . . . . . . . .e::-bJpdt;k;J /JC;Zc.S-"~' ZC;-"""!> ~ SubdlVlslOn........,...... ........ c...,......."... FlIed Map No., ,-; .t.......... Lot...,..... ..... (Name) 2. State existing use and occupancy of premi~nded use and occupanc7oposed construction: a. Existing use and occupancy ... ...", . .~.../.~~4.... .dc1:'./!1q,........., ... b. Intended use and occupancy .........,........ .~:$e.... .. ... ... . . ., . . . . .. . ... . .. . . .. i i , oJ" i" \ ,,~.~ 11 I /' 3. Nature of work (check which applicable): New Building. . . . . . . . . . Addition. . . . . . . . .. Alteratio .......... Repair ........ $' . . Remov~l . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . i #- (Description) 4, &(""""C""'",, ,.;?"09,\?,,,'h?""""""'" Foo" "/,?;-::.""""""",,,,,,,,,,,, , . (to be paid on filing this application) 5, " '..llin" ""mb~ of 'W."'" ""'. ,(A " " '" N=b~ ofd.._ ~", ~ ..", ~ " , " " " " " , 6. ~~~~s~~:~~~Uc~~%~:c~~r~;~i;ed'6~;~~a~~~: ~;~~ 'r~'~~d ~~te~t';f'~a~h't~~~'~i~~e':': :~::::::::::::: 7. Dimensions of existing structures, [f any: Front. .. ~ . . . . . . 2r .............. Depth. . . . . . . . . . . . . . . Height ............... Number of Stories. . . . . . . . . . . . . . . . . '1;,1.; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensi;ns of same structure with alterations ~itions: Front ................. Rear.................. Depth. . . . . . . . . . . . . . . . . . . . . i Height. . . . . . w. . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . S, DIm."""",,f 00 tire ~""4"""' Fro" t '" '" '," "" R,~ " " " " " " " , D'Pili """,,""", Height .............. mb~r of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size oflot: Front..A. '... I. . . . . . . . " Rear...................... Depth ...................... 10. Date of I?urchase ..,;'. : . . . '. . . . . . . . . . . . . . . . . Name of Fonner Owner ............................. 11. ZOlle or use district in which prerrjises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violafe any zoning law, ordinance or regulation: .;.............................. 13. Will lot be regraded .... .~~~;/blt: . . . Will ex:e~~~~>>om premises: Yes No 14. Name of Owner of premise ~ ~.' .. ~ Address .... .... . ~. ... Phone No. .. . . . . . . . . . . . . . Name of Architect ........... '. . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . ,. . . . . . . . . . . . . . . . Address " . . . . . . . . . . . . . . . . . Phone Na. .... . . . . . . . . . . . , PLOT DIAGRAM I Locate clearly and distinctly all ~uildings, whether existing or proposed, and, indicate all set-back dirnensians from property lines. Give street and block njImber or description according to deed, and show street names and indicate whether interior or corner lot. ' AI"~~j~f.i'Jt(D AS NOT[!D DATE: B,P. ':jj: , FEEr _~__BY: MEN AT NmTFY BUILDING DEPART T 765-1802 9 AM TO 4 PM FOR i THE mU.oWING INSPECTIONS: 1. FOUNDATION - TWO REQqlRED FOR P('URrrJ CONCRETE 2. ROUGH - FRAMING & PLUM~ING 3. INSLJI A TIO!'! , 4. FINAL - CON'iTP.\ IC:TION IfUST BE COMPI en: FOR CO' ALL CONSTRucr ION SHALL MEET THE Rf..QUIRCMfN 1'S OF THEN. Y. 11 STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE i FOR DESIGN OR CONSTRUCTION ERRORS. I -- 3) - being duly sworn, deposes and says that he is the applicant He is the .. .. .. .. .. ... . ..... .,.". ,................,...,.............. ,...,............. ......... (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 file this applieation; that all statements contained in this applieation are true to the best of his knowledge and belief; and that the ' work will be perfonned in the manlJlir set forth in the application filed therewith. ' Sworn to before me this i ~tW~'&H"'''''197.f ry PublIc, ........... llN1J1\' ~ . . . . . . . . . . . . . . .. County . KOWAlSKf . '" NonRY PUOllC, Stata of New Yo", No 5~'4524771 QU<1!:fkd In, Suffolk Cow t Com ; n y mIssIon EX~lres March 30, 1980