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Home My WebLink About4260-zFOR~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z. 35fi6 .... Date .. August. 13., .............. , 196.9. THIS CERTIFIES that the building located at .Oys.ter. Rond. Lane ....... Street 1Vfap No ............. Block No.. ~ ........ Lot No...orient,. New. York ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... April.. 22, ..... , 19.69. pursuant to which Building Permit No..4260. Z. dated ...... April.. 22, ..... , 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 ....... private..one..£amil.¥ .~e.l~lng ................................. The certificate is issued to ...Herbel:t..G.. Vail ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval -JuLy .29,..1969,..Robert..V. illa... Building Inspector House % 285 oyster Pond Lane FOIP~I~ 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) N9 ~260 Z Permission is hereby granted .... ~..~.:.'.,. ...................................................... : ....... ...................... .CE.!..E.~.~ ........................... Building Inspector. Fee $....1.?....~.. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~/,~-,t Bldg.~rmi~No. ? TO WHOM IT MAY CONCERN: The sewa~ disposaza~L~facilities for a structur~ocated ~ (Give deed ~cati~n) --/ - ' ~ ~ have been inspected by this department and found to be satisfactory. District Engineer District Engineer ~F,ORM ,NO. t TOWN OF SOUTHOLD BUILDING DEI~ARTM,ENT TOWN CL~ERK'S OFFIC~-- SOUTH'OLD, N. Y. Disapproved a/c . ~..._...: ~ ..... ........... ........................ ............... (Building Inspect, or) Application No ..... ~ APPLICATI(~[~I FOR BUILDING P,ERMIT Date ............. ~..~. .... .~ .... 19..~.7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. P}ot plan showing l~ocation of 1,ot and ,of buildings o n premises, relatio.nship to adjoining premises or public streets ~r areas, and giving a deiaile,d description of layout of property must be drawn on the di'agram which is part of this application. c. The work covered by thi.s applicati~3n may n~o< be commenced before issu.ance of Building Permit. .d. Upon approval ,of this applicati,~n, the Building Inspector will i~ssue a Building Permit to the applicant. Such permit shall be kept ~n the premises available for inspecticm through,out the progress ,of the work. e. N~o building shall be occupied or used in whole o~ in part for any purgose whatever until a Certificate ~of Occupancy shall have been granted by the Building Inspecl~r. APPLICATION IS HEREBY MAI)E to the Building Department for the issuance of a Building Permit pursuant ~o the Building Zone Ordinance of the Town of S~o,uthold, Suffolk ~unty, New Y..~rk, and other applicable Lams, Ordinances ,or Regulations, for the construction ~f buiIdings, additions or alterations, ~r f, or removal or demo- litton, as herein described. The applicant agrees ~o corn ply with all applicable law,s, ~ordinances, building code, h.~using code, a n, d regulations. .~..~."~' ' ...~....~...~ ..................... ;;iti; .... (Signature~6f ai)plicant, or ~ame if a eorp '. ) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder · .~..~ .............. ........................ Name .of ,owner of premises /~/t~. -~fi.4 · · · .~..~.~.~ ................................... If applicant is a eorpo.rate, signature of duly auth,orize d .officer. (Name and title of corporate officer) 1. Loeatlon .of land ~on which prcrpo.sed work will b e done. Map No ................. Lot No .............. ~./ ~ .,~_ ~.~ Munimpality 2. .State existing use and .occupancy ~of premises and intended use and ~occupaney of proposed construction. a. Existing use and occupancy .................................................................... b. Intended use an,d ~occupancy . .~.~.( ........................................................ 3. Nature of work (check which applicable): New Building . ~... Additi,on ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...~...~..~ ............. 4, Estimated C,3st ~.~. ~, O ~ .~ .................. Fee ................................................. (to be paid ,~n filing this application) 5..I~ ,dwelling, number of dwelling units .. ~/. ...... Number ,of dwelling units on each fleor .............. If garage, number ~nf cars .... [ ..................................................................... 6. If businoss, comme:rcial ~vr mixed occupancy, specify nature and extent ~of each type of use .............. 7. Dimensions of existing structures, if any: Fr~nt .............. 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: F~vnt .... ~. ~..~ ........ Rear .. ~. ,~..~. ...... Depth ~...~. ..... Height .. ~ ~, ....... Number ,~f Stories .... / ........................................................ Size of }or: Front .. ].~..~ ). ..... Rear .. ]. ~. ~. ~ ...... Depth .. ]././..' ....... Date of Purch.ase .. ~ .... ~..~ ............... Name ~f Former Owner ............................. Zone ,o¢ use .district in which premises are situated....~.~. ,. ................................ Does propased construction vi.olate any z~aning law, ,ordinance or regulati,~n? . ~, ................. Name ,of Owner.of premises ~/.,..~. '~.. ........ A, ddress ~.. ~ .... Ph,~ne No ............ Name of Architect .................... ~..~, ..... Address Ph~ne No ............ Name.of Contractor .~..~..~~...Address ii'..'.~.'~iiiii Phone No.g.~..~...~..~.~../ g PLOT DIAGRAM 10. 11. 13. Locate clearly and distinctly all buildings, whether existing .or .proposed, and indicate all set-back dimensions from prg,perty lines. Give street an,d block number ,~r de scription aceording to deed, and sh,ow street names and indicate whether interior or corner }ot. STAT~. OF NEW YORK, )S.S. COUNTY OF .~.U~.~-.e2~.../~. ) .......... ~ A/..~...../~..Q Pi~,~.fl_~/_~'.~.. ............. being duly sworn, ~deposes and. say.s that he is the appli- (Name ,of individu, al signing applicati,on) cant above named, kZe is the ... ~'~. ~..7~.~.~C .~2~. ~. &:' .................................................. (Contractor, ag~nt, eorp,orate officer, etc.) of said owner ,or ,owners, and i.s duly authorized to pe~srm or have per~orme.d the said w~rk and to make .and file this applicati.on; that all statements contained in th is application ave true to the best of his kn,owledge and belief; and that the v~srk will be performed in the mann er set forth! in the applicatio,n filed therewith. Sworn to before me this N,atary Public, ....~.4"ff.~..Q.&,/~N*~.. County..._:. ' ~ignture of ....... applicant) o.