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Home My WebLink About4265-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18220 Date JULY 27~ 1989 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING Location of Propert~ 1100 NORTH SEA DRIVE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 015 Block 03 Lot 038 ORIENT BY THE SEA subdivision SECTION TWO Filed Map No. 3444 Lot No. 77 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1969 pursuant to which Building Permit No. 4265Z dated APRIL 29, 1969 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 ONE FAMILY DWELLING WITH ATTACHED REAR DECK. The certificate is issued to ANDREW J. & THELMA TATAR (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ROBERT VILLA 8/12/69 UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A UPDATE OF C.O. ~ Z3569 8/20/69 Rev. 1/81 FOI~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z. 3.569 ..... Date ....... August .... 20, ....... , 19.69. THIS CERTIFIES that the building located at North. Sea. Df. lye ......... Street Map No. 9.444 ....... Block No ........... Lot No. 77,..Orient,. New. York ........ Orient-by-the Sea, Sec. II conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ Apr:l.1.., 2.9., 196~. pursuant to which Building Permit No..42~5 .Z. dated .......... Apt.il... 2.9,., 19 6.9., 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 ........... privat.~ .one..famtAy..d~elliag ............................. The certificate is issued to ... P. recl& .Arlene. Lo~rdi .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Building Inspector FORM NO. 2 TOWN OF $OUTHOLD 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? 4265 Z Permission is hereby granted . at premises located at .......................................................... /..~.,~.~.?-:',,t~,,...:,~..':.~.i.~.~.?. ......... ~..,~L..~...~ ............................... ,~..-. ......... i ............................................................ .(,.!. ~: L.L::..z.~..7.. ............ ~.>y... b~'~(,~'7' ~,~- '77zX ::./.? Z~-: ........~7~7 pursuan,t to applicationX~ dated ................................ :.~ ........ ..~...~% 19..~ and approved by the Building Inspector. Fee $ ........................ Building Inspector TOWN OF MOUTHOLO BUILDING DEPART}lENT TOWN HALL $OUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCIIPANC¥ DATE. . . . . . Location of Property. - ....................... ~x'~ ~ ?.~ . . HOUSE NO. STREET HAMLET O,,ner or O~,ners of Property .......... .'U.: ....... .V.~.T~ x~c~.. ~/~../.~ . z~.~ ~o, ..... Permit No . -Date of Permit .... t -Applicant ....... ~ ..... Planning Board Approval ........... Request for Temporary Certificate ....... Final Certificate .~.. ........ ~... Fee Submitted: $ .................... rev. N. 7 7 ~'$~ O~ TOWN OF SOUTI'IOLD 7/~,-/~ ~w~t~. ~ '~0'tt~,~ ~ ' ',B~DING ~~/~ /"/ ........ ........ · ~ ~ ~ ~.' ~.~ed~ ....... ~ ............... ~ ~/~ ............................................ / ............. ...... ~. ~. 0. .... : ........ ~~..~.~~ ............. (Build~g I~pec~) APPLICATI(~N' FOR BUILDING P-~R~IT Date ............................. ]NSTRUCI~ONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings o n premises, relatioemhip to adjoining premises or public streets or areas, and giving a detailed description of lay out of property must be drawn on the diagram which is part of this application. c. The work covered by this applicat/on may n~t be commenced before issuance of Building Permit. d. Upon approval of this application, the Building In specter will i~sue 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 f~r any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS 1-Leae~Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of S~athold, Suffolk Oounty, 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, housing code, a~d regulations. ' ' 'i~i'g~; of applk?ant, or name if a corporatlo~l) · ...~.zq. :..~. ~..~ ~.~ ....... ' (Address of applicant) ~a State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ......... ~ ......... ... ................ /) .................................................. If applicaat is a~corporate, signature of duly authorize d officer. ...... ~ .~.....a~.. ..... ~.~. .............. (Name and title of corporate officer) 1. Location of land on which pr~5~ese~ work will be done· Map No. fi.~..~..~.:- ....... Lot No...~.~.. .... Municipality 2. State existing use and occupancy of Premises and intended use and occupancy of proposed construction. Existing use and occupancy .............. ~L.~' ' ~'/J~ ..... ....................... Intended use and occupancy .... ...d~... ~...~.. :.-r..~ .. ;~:~ ............... .~.. .......... o 11. 13. Nature of work (check which applicable): New Building .. X .. · Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... Estimated Cost ...~....~.}~...0..O. ................. Fee ................................................ (to be paid on filing this application) If dwelling, number of dwelling units ... ]. ..... Number of dwelling unitz on each floor .... ~t. ..... If g~rage, number of cars ................................................................ 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 alterations or additions: Front .............. Rear ............... Depth ................ Height ................ Number of Slxyrles ..................... Dimensions of entire new construction: Front ...~..0;.~..~! ...... Rear ~.0. ~.q..~; ..... Depth ~.~...~...o~..'.q# Height ............ Number of Six~les ..... [ ....................................................... Size of k~t: Front . .]..~..0! ........ Rear .~.¥...~.~.: ..... Depth .. ].~.'.~.. Date of Purchase . .~/.~.~. ...................... Name of Former Owner ............................. Zone or use district in which premises are situated .... ~.; .~.~ ......................................... Does proposed construction viola~e~ny .z~ning law, ordinance O~r r~gulatton? .~,..o. .................... Name of Owner,of premises~'.o~...~z-vfn~ .............. A~Idress/q.'.~ .,~'. ,. ~e No. ~.a~.~..'..~../. Name of Architect ....................... . ...... .~ddress ..... . .................. Phone No .......... Name of Contractor ~.t~.t~o.....~ ..... Address ~.7.~, ' .?~~..~.y. Phone No..o~../:~.~.'?. 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 whether interior or corner lot. ...... f~ ~~ ...................... being duly sw~, de~s~ and ~y~ ~at he is ~e appli- . (Name of mdivi~u~ signing c~t a~ve n~ed. He m the ......................................... (~a~r, ag~t, ~r~ate ~icer, etc.) or ~id own~ ~ owne~, and ~ duly aut~ file th~ appll~t~n; ~at ~ stammers ~ntain~ in ~is applicat~n ~ ~e to ~e best of his knowl~ge ~d ~lief; and ~at ~e ~k will ~ p~ in the mann er set fo~ ~ the applicat~n filed the~. Sworn ~ ~fo~ me ~is ..... ..... .......................... N~ ~blte, .................... ~nt (8t~tum of applier) ARY pUBL C State o{ Ntw ~0~ RECE~VEn !%9 I1UO 12 PN 12: 2~ DEPARTM[:f,~f OF Ji~Al.'fll RI IERtlI'AD SUFFOLK co~rY DEPAF&~MENT OF HE~TH Date ~ -/~-_ ~¢ Bldg. Permit No.~ TO WHOM 1T MAY CONCERN: The sewage disposal facilities for a structure located at ' ' (G~ve deedlocation) _ o~,,¢/" P0~'F". pt.~. . have been inspected by this Department and found to be satisfactory. Distriot Enginee~ ' Distric% Engine~ MAP OF" 'PR ~77o MAP OF PROPERTY srrU^TE TOWN OF.. SUFFOf. K COUNTY, N. Y. GUARANTEED TO: PER RICHARD WILHELM AND ASSOCIATES LAND SURVEYORS Center Moriches, N. Y. 11934 Tel. 878.0120 MEASUREMENTS U. S. STANDARD /? t 4-4 ? 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