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Home My WebLink About4557-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~..1t~ Date ........ l~r 1.t~ , 19 ~ THIS CERTIFIES that the building located at Salt~ai~. W&~,. · · Street Map No. $~t$ Ail'O l~k No ........ Lot No..-26 Natt~tt'l~k it~.]/. conforms substantially to the Application for Building Permit heretofore filed in this office dated 'NOV 18 , 1969 pursuant to which Building Permit No. l~t/, dated .... ll~ .1[~ , 19 69, 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~i~.~e o1~ .£~m~tly. dlcell~.~g ...................... The certificate is issued to · Rlehal~l .& E.iteo~ O~ilcal · O~,ners. · - (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. UNDERWRITERS CERTIFICATE No . {~ ..... ttOUSE NUMBER '~"16~ Street 8alt Alre Wa~ F. eb 17, t970 by R. ¥illa FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~557 Z Permissi°n is herebygrante~L"~/~D e~ h-/ZEEN O~D~tV SAI,.TAIFE'~ WAY ot premises located ot ........................................................................................................................... 'i;';';~"; ......... :'"'~' ....... : ...... : ................................ ?"~ ...... '~,"~"v: ........ '~' ................................... p s o appfication aated ............................................................ , 19 ........ , and approved by the Building Inspector. Building Inspector FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 37~8 " Date ...... FeD ,2~4. , 19..?0 THIS CERTIFIES that the building located at Saltaire .Way Street Map No. Salt Air~ E~P~ck No. Lot No. 26 .Mattituck N.Y conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Noir ]8 , 19 69. pursuant to which Building Permit No. dated . No.'g ....1.8 , 19 69, 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 .. PriFate one. £araily. dwelling ...................... The certificate is issued to Eichard .& Eileen . 0d~lOll · · .Owners (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Feb. 17~. 1970.. by .R,..V. illa Building Inspector ~ouse # 1165 $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. h~? FEB 1 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Saltaire Way (Give deed location) Saltag_re Estates~ Lot 26 have been inspected by this department and found to be satisfactory. Dlstrlot ~n~ineer District Engineer B~ilder-Owner - Richard 0ddon ;FORM ,NO. TOWN OF SOUTI'IOLD BUILDING D~PAIIT~ENT TOWN CL~IIt'S OFFICE SO0t'A~OLD0 N. Y. Examined .................... , 19. .pp ed ......... Disapproved a/c ..... APPLICATIC~N FOR BUILDING PEI~MIT Date .................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and isubmitted in duplicate to the Building Inspector. ~ b. Piotplan showing location of lo~ and of buildings on premises, relatkmship 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 application. c. The work covered by this application may r~ot be commenced before issuance of Building Permit. d. Upon apPrOval of this applicatkm, the Building In specter will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole o~ in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Ins poorer. APPLICATION IS 1-1E~I~RY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk C~unty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code, (Signature of applicant, or name ff a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ................................................................................................... Name of owne~ of premises.....~, t...~..~..~. . .~..~..... ~..~.--/.4..~'C ·~. ...... ~ .~. · .~..~. ~ ...... ' ............. If applicant is a corporate, signature .of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propped work will b e done. Map No ...... ,?. ,~ ~ ~ ~t No...~ ~ . St~t and Numar .... ~ ~ ~ ~T~/~ W~ ~/~ ............. ...................... ................ 2. 8~te exist~g use and oemp~cy ~ premi~ ~dintended use ~ ~cu~ of ~ ~mtmctlon. VA A- f T Existing use and occupancy .................................................................... Intended use and ~ccupancy / ..~...p~../..~..~. .... ~)bFL-'-~.J_I p~t f_,-- '~'~, 3. Nature of work (check which applicable): New Building ...... Addition ........ Alteration ........ Repair ......... Removal ........ DemolRion ........ Other Work (Describe) ...................... 4. Estimated Cost ........--"~...~..1..~.~. ~ .~... ]Fee' .... .~...0...:0.~. ............................... · /)~/~ (to be paid on filing this application) If ,dwelling, number of dwelling units . .~.!...~... Number of dwellin~ units on each floor .............. If garage, number of cars ..... . .ff...~...~.~. .... ~..~../.~ .... '...~..~...~...~.../~...~....7-.~.. .................. If. business; commercial or mixed occupancy, spec ify nature and extent of each type of use .............. Dimensions of existing structures, if any: Front .............. Rear... ............ Depth ............. Height ................ Number of Stories .................. ..~ ..................................... Dimensions of same structure with alterat$ons or additions: Front .............. Rear ............... Depth ................ Height ................ Numb?r of S~ries ................. i .... Dimensions of ent)re new construction: Front ....,~...~..~. ..... Rear .... ~...~. ..... Depth ...'~.. ~ .... Heigh~c ..... /.~.. ~ Number of Stories .... .~..~. ~ ................................................... Size of lot: Front .... d.~. .~ ...... Rear ...... (.~.~.'..~..~. Depth . .~..~. ~.'..~... Date of Purchase ....... .... /.~..~./Name of Former Owner i~:IL Zone or use district in which premises are situat'ed .......... ~12.~ D~es proposed construction .~.~.-Ki~la~ any zoning_law, ordinance or regula~? N of0wn ofp m,ses ................ d ..... ~<::' ' Phone No. Name of Architect ............................. b:ddress ................................. Name of Contractor ............... '.f ............ Address ...................... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, a~d indicate an set-back dimensions from property line~. Give street and block number or de scription according to deed, and show street names and indicate whether interior ~ corner lot. .S ALT A I 1~ I.:-- 'ko'r STATE OF NEW YORK, )S.S. COUNTY OF .............. ) ~C']..l-k--/~ 0 ~;)~)0 ~ . being duly swo~, de~s~ and ~ys ~at he is ~e appli- (Name ~ ~ividual signing a~licat$on) ~t a~ve n~ed. He is ~e .............................. ~ ........................... (~n~a~r, agar, ~ate officer, etc.) of ~id own~ ~ 0wnem, and is duly ~th~ to p~orm or have pe~ '~e ~d ~k ~d ~ m~e ~d file th~ application; ~at ~I s~teme~s ~ntain~ in ~is ap~icat~n ~ ~e to the best of h~ knowl~ge ~d ~lief; ~d ~at ~e ~k will ~ p~ in ~e mann er set fo~ in the application filed ~e~with. Sworn to ~om me ~is ........... ..... .............. Public , N(rtary ..... ~o~nty (Si~'of applicant) ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52-8Z25850, Suffolk County Te~m Expires March ~0, Zg~.~f~