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Home My WebLink About13221-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI5620 Date April 9, 1987 THIS CERTIFIES that the building P o o 1 Location of Property 150 Seawood Drive Southold h$ s'o hio ........................................................ stree* Ham/et County Tax Map No. 1000 Section 088 . .Block 2 .Lot 8 Subdivision..8.e.a.*.~pP.d..A..c .r.e.s. .............. Filed Map No. 2575 .Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated J u n e l 2, 1984 pursuant to which Building Permit No. 13221 z dated . .J.u .n ~.. 1.4.,..1.9. 8..4 ........... 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 ......... Inground pool and fence. The certificate is issued to .. J~.clv ~.r.d.. ~ .n.d..F~ 1..1.e n W i 1 1 i am s · ................. of the aforesaid building. Suffolk County Department of Health Approval ......... N/A UNDERWRITERS CERTIFICATE NO. N 6520 19 PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOB, M NO. 0 TOWN OF Sou'ri. IOLI) BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 13221 Z County To, Mop No. ~000 Sec,~on ..... g.g.~ ....... elo~k ........ ~ ......... Jot No ...... .~ ................ pursuant to application dated ...... ~...J ........................, 19..~ ., and approved by the Building Inspector. Fee $..~ ..................... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu(lding Deportment Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ca ~ 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 unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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. For existing buitdings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of p~-operty 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 required to prepare a certificate. C. Fees: l. Certificateqfoccupanc¥ New pwellJ, ng.$25.00, Accen.~ory t$10.O0 Bu~no~ $50.00 2. Certificate of occupancy on pro-existing dwelling ~ 5 0.0 0 3. Copy of certificate of occupancv $ 5.'00~ ove~ 5 yea~a ~10.00 5.U~a[e8 ~.O. ~ 50.00 Da~e ....... ~ ...... 6. Alteration $25.00 NewConstruc~ion Old or ~re-oxisting Building Vacant Land . ................ Location of ProperW .~ ...... House No. 8treat Hamle~ Owner or Owners of P~operty ..... ' ..................... County Tax Map No, 'o ' Subdivislon,.....,,......., ............. Filed MapNo ......... L tNo ............ . . · Permit No./~./... Date of Permit,..~...1..~.,..Apphcant Hearth Dept. Approval ........................ Labor Dopt. Approval ........................ ~k~'~ Z? Planning Board Approval Undo~riters Approval ................................... . Request for Tempora~ Certificate ..................... Final Certificate ....................... Fee Submitted $ /~, Construction on above described building and permit meets all a?licable codes and regulations. ~pp~icant ...' ................................................ nov. 10-10.78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000~63 ~ 85 JOHN STREET, NEW YORK, NEW YORK ~.,e .. ~,,,.,,c.t,o. N,,. o./,,~ :,.~o2~o1~ N 652019 Jul ].~ 19~ THIS CERTIFIES ~HAT in tke following location; ~ Basement ~ 1st FI. ~ 2nd FI. (~tSide Section Block Lot wasexaminedon ~,~ ~ a~foandtobetnco~nptiancewiththerequirementsofthlsBoard. FIXTURE FIXTURES OUTLETS 1 1 1 1 DRYERS FURNACE MOTORS RANGES COOKING DECKS r OVENs DISH WASHERS EXHAUST FANS TSME CLOCKS ONII HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E NO OF HI-LEG NO, OF NEUTRALS Panelbo~'ds: L-3i<~r. (~S..~_~Lm_i_qg- I,~].) ~is ~rtlftcate ~vers ~11~ at the date of i~ectton ~a~ of ~1 ~v~o~ents it is glvi~ble ~ ~ve ~u~% tes~ ~'~or repairs AWG. OF NEUTRAL Glenn R. Bradley Herren Avenue ~ttituck, N~T. ].1952 IAc. 1227 GENERAL MANAGER 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR B ~UILDING DEPARTMENT. THIS COPY.OF ~1 ANY MANNER. FIELD INACTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING 3. INSULATION FERN. Y. STATE ENERGY ~ODE COMMENTS $.6~ Zl E. ~0 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under fha building permit no. 13221Z for Accessory is completed. A final inspection made on 8/26/86 showed that the fence needed automatic locks into latch Since you building permit expired on 12/14/84 it is necessary that you obtain your CO. If the problem has been corrected, please contact this office to set up a time for re-inspection. We arc returning your check because i% is out- dated. Kindly forward us a new check in the~ amounb of $10~05~or the Certificate of Occupancy. Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attentiQn. Very truly yours, ELLBN E. WILLIAMS ..... ', , 150 SEAWOOD DRIVE . 'L , ; ~,; '~' · '~ ~. ~, SOUTHOLD, NY 1197~ ,' ' ORDER OF ii"BOO 538 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND I' ] INSULATION FRAMING [ ] FINAL REMARKS: 76S.~1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]~FINAL DATE ~INSPECTO '~~____~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1801~ Examined .~...'t't~A~.... { .ff...., 19 ~ t[ Approved . .~.,44'w~.../..ff.., 19 ~..ff. Permit No. I ~g 7~ 71 ~ Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .......... 19 a. This application must be completely filled in by typewriter or in ink and submitted 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 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 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 regulation§, and to admit authorized inspectors on premises and in building for necessary in~jcections.¢ i~a'n--~--~n-~'~e~37ii ] 'c(orffa't~' ... ,~Z.: ~x-../.z ............. '~S~gnature ofappica t, a , ' p ' ) ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~o./.. ~.e.,/.~ ............................................. Name of owner of premises ...~-'~..~..~.~ ?..A/.....~../.~..~:..,,l?I?..J' .................................... (as on the tax roll or latest deed) If applicant is a corporation,,signature of duly authorized officer. ...... fl. . .,. . .:r.e l. .................. (Name and title of co,orate officer) Builder's License No.../..~. .................... Plumber's License No.. ~...~.'~.~. (.~.,t./. ............ Electrician's License No ....................... Other Trade's License No ...................... r done /~? ,~,'~/uOOJ) ~[ 1. Location of land on which proposed wok will be ............................................. ......... I .~..-770. .......... ~.. ~v~o~...~...,e/. ~ ~.., ......... ~..q ~T..fi. ~ ............... ltouse Number Street Hamlet County Tax Map No. 1000 Section .... .~..~..~. ...... Block ~ Lot SubdivisionS..~!A/O.c~;/..~..C..ff.~,,.~ .............. Filed Map No. d~.~-7.~. ~...... Lot .-~..~. .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy ofp~posed construction: a. Existing use and occupancy ...... /ff.....-~.~ ./.~.....~. ~..~. ?.../--../...2~..~'.i ...................... b. Intended use and occupancy ....... ./A/..~...,~. ~..~.,q4'~..i .,k;' ~; ~,.~-..t,~,~/..,f'./q..Z-20.0 ~. ..... ./.~..c..4~..c: 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... . (Description) 4. Estimated Cost ........... ~.~.~,. o ~ Fee (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 .... ; ................................................................... 6. If business, commercial or mixed 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. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... lteight ............... Number of Stories ........................................................ 9. Sizeoflot: Front .......... ~ ........... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vio)ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ; ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .., ................. Address ................... Phone No ................ Name of Architect ......... ; ................. Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF NEURIX,/ COUNTY O~">,j~f4~'~-AC~'.. ~'~ ...... ~--~~.. ~.?. :'~ 5.~. .... being duly sworn, deposes and says that he is the applicant (Name of individual sighting contract) above named. ~a i~ tha .......................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authohzed to perform or have perfo~ed the said work and to m~e and file this application; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ................ f~day o~ .... ~. ~,2~.., 19~ Not~Public, · · ~. . ~ ~ ~ ~ '~' ~ ..... (Si~at~e ~plic~t)