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Home My WebLink AboutOyster Ponds InnSUPERVISOR'S OFFICE 16 South Street C-reenport, N. Y. Tel. Greenport BUILDINC~ DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TOWN CLERK'S OFFICE Main Street So~thold, N. Y. Td. Southold 5-3783 BUILDING I'NSPECTOR'S OFFICE 307 Fourth Street Greenporf, N. Y. Tel. Greenport 7-0101 J CERTIFICATE OF OCCUPANCY "OYSTER PONDS REST HOME" No. M ..R THIS CERTIFIES that the buildincj located at 30_~OO (B/B))ae,n R~A~ Street, Map No. ~ , Block No. ~ , Lot No in the Town of Southold, conforms substantially to the approved plans and specifications heretofore fi~d in this o~ce with Application ~or Building Permit dated ~am~e? ~ 19~, pursuant to which Building Permit No.~, doted ~ 19 ~, was issued, and conforms fo all of the require- ments of the appllcab~ provisions of the Jaw. The occupancy for which this ~rtlflcate is issued ..... ~ner, lessee or tenant) of the efo~id building. ~O~1 App~veQ b~ ~-A~pe~Zs (The Cedificete of Occupancy will be issued only after the Building inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordlnam:es.or regulations affedlng ~he premises, and in conformity with the approved Hens and specifications.) TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO. ].~O ]~1~,, I 19~L__APPUCATION NO. 1~0 LOCATION ~/~. '11~,'!~ 'A,,,.,,J_,. ~,l~,t.=_ _ ll_T. he · ~966 Application having been made on covering construction on a multiple residence building, by or in behalf of ~lmq ~_~ & Olmd~rl ~4m-~ (T~trm '--=-='-:;-.~h'.~-- ) (~~ ~ ~m~) , , for a dwelling Ioca~d as above sfa~, a~ ~e ~;d application having b~n exami~ a~ recomme~ for approval on ~ ~ , 19~ a PER~IT ;s hereby issued for the performance of fha {~rchitectur~l, sfmctur~l,~mechanlcel, etc.) work described in tho abovo numbered application and any accompanying plans and specifications. If no work is performed wffh;n one year from the time of its issuance, this PERMIT shall expire by limitation. Approved ~1~. 1 19 ~ Enforcement FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-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 buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-exist.~r~:-dw~g~r land 3. Copy of certificate of occupancy (.~$1 use $5.00 Date.. 2. ~'...~..~.-..,.,~..0. ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~ ,~,~../'x~'...~..~.~..Z? ..................... ,~, .~../'~'~,..~', · House No. Street Ham/et Owner or Owners of Property//~..'c~.~. ~.. · ~..~..~...~.~4~...~...~...W.'.~. ~'.~..~..~..~ .~.. .... County Tax Map No. 1000 Section ... Z ~. ........ Block .... ~ ......... Lot... ~.O .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for~emp~rary Certificaj[e ....... \. ............. Final Certificate ....................... Foe Suomitted $: ....... Construction on above described building a/n~per~i~ee~cable codes and regulations. A p p I ica n t ~/~~,//~'~'.F/~Z~. ................ tT r3 TOWN OF BUILDING INSPECTO&'$ C,;r,CL TOWN CLERK P. UILDJNG SOUTHOLD, N.Y. 765-2650 /'~ 7/ Southold~ January 26~ 1967 Howard Terry~ Building Town Hall Main St Southold~ ~.~. Inspector Dear Sir; I have inspected the heating system~ including the boiler and oil burner~ in the Oyster Ponds Rest Home building~ Main Road~ Orient and find them to be in good condition. The wire-glass for the kitchen v~indow under is ordered~ and the exhaust fan for the range Hood is be installed in a few days. the fire escape ordered and will The fire extinguishers are on the premises and will be mounted in their oroper locations this week. The underwriters certificate number for the new service and electric wireing panel is N-~68021. Yours truly Pltumbing & Heating contractor ~ td BU~AU O ELE~CITY N568013 i ~..~am~.. Januar7 16, 196.7 ~f.,ma~.~kc~%~m*.,~,~.~.~.~m~otm~,B~,.d, .~...: ~ ,:~,~w,,~'w ~,,w ~.o~;;~:o.~.~ o=.~ '.:.o.:~ o~ .o~ 2~.~ Fire A!am System 1-4Station control Panel 3 Bells, AMOUNT q ~ ~SE ~,~ .~ CHrC~ O~ ~O~E~ l~utti-Works Assoc. ~._ R,SM OF SENDER. 26 Landing Lane Po~g Jefferson, L.I. Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or en- forcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Building Code Commission, 1740 Broadway, New York !9, N. Y. 1. Location of multiple dwelling: / /'~ ,,~ 2. Description: (b) Height of building, including number :.'.' . (d) Number of apartments ........................................................................................ (e) Number of living rooms ........................................................................................ (f) Number of kitchenettes ...................... / ............................................................... (g) Number of bathrooms ....................... ~ ........................................................... (h) Number of water closets (i) Number of occupants for which bulling was designed or intended to be occupied or used .............................. L.../4 ....................................................................... 3. Age of multiple dwelling: (a) Dote when constructed .................... ~.....~....0....~...... ........................................... (b) Dotes of substontial odditions, olterations or modifications of dwelling, with brief description thereof .............. ~ ............................................................... (c) If now under construction, state when construction commenced and anticipated date of completion ~-~ 4. Use: Describe the principal use made, or, in the case of buildings under construction, to be made, of the multiple dwelling (such as apartment house, hotel, apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home, pri- vate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in sec- tion 33, Multiple Residence Law). Dated ot ....~...../~..~ ................... ~...~... ~'- New York ............. .......... STATEMENT OF FILING Filed with the "~'d~'"~"',~"m~'~ ........................ of the · ~~..~. on the ...~.....~..."~ ...... 19~.~ ~ORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ..... .............. -, " Approved ........................................ , 19 ........ Permit No ............................... DisapFroYed a/c ................. -- .............. ~,;;;gli ................................. Application No....(,.Z.~ .............. APPLICATION FOR BUILDING PERMIT Date ...... ~-" / , 19.,~,....~... INSTRUCTIONS o. 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 on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this application. 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 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 or in pa rt 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 censtruction 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 an,d r,egula~ons. ~, (Signature of applicant, or nome, if a corpp/ation) ............................ (~;d;~;";f ';iJpl'~;;;ii ........... '"'"~ ~' ..... State whether applicant is owne%lessee, agent~architect, engineer, general contractor, electrician, plumber or builder. o/u .................................. _ , ............ ............ ............. Name of owner of premises .~.~..~..~..~.'/~..'./'~.../.~.~.~.'X~.'~../.!~?...d?..~...~.~.~...~....~7~..~....~.. .~...~'.......~].~-~.~.~ ............................ If applicgJ~orporate, ~na, ture~ of duly authorized officer. .......... ~'~;;;~.~' ~ ................... 1. Location of land on/which proposed work will b~ done, Map No: ......... ~ ............................... Lot No: .................... Street and Numb~/.~......~.~...../..~ ............... ..~........~...~...6~...A(.....7~...z'..../.(..~...~:..: .................................... Municipality 2. State existing use and occupancy of premises and intery~ed use and occupancy of proposed construction: a. ~xisting use and occupancy ........ ./;z...~/. .......... t. ......... ;4 ......................................... ~ ............................................... b. Intended use and occupancy ..... ....~.. (~....~....&T....~'.......6/. · ./~...~...d: ...(..~.....¢~.....&TT. ......................................................... 3. Nature of work (check which applicable): New Building .................. Addition ................ .~,~ti~r~'~.~..,(~'.¢. ..... Repair .................... ,~emoval .................... ~molition .................... Other work (Descri,e~ ....' ................................. 4. Estimated Cost .........¢~X.~...'...;" .................................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ ~oroOe, number o{ corn ................................................................................................................ ,4 ................ 6. If business, commercial or mixed ~cupancy, speci~ nature and extent of each ~pe 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 ................................ R~r ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former ~ner ........................................................ 11. Zone or use district in which premises are situated ................................................. ~(7.~.~.... ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation?/. .......... 7].:~ ............ 13. Name of ~ner of premises,. ....................................... Address ............................................ ~one No ..................... Name of Arch tect ~ ,~ Address .... ~.~.~¢~v,~..x. ~ ~one No~ ..~ .... ..... ~: .......................... ~':":. 'z ......... ~ ' ' ~ '~ ~ w~ .... l'//~r/ ~ " x' L ~/{~,/~'. _.. Name ot ~onrracror ..... : .............................................. ~aaress ...~. ...................................... ~one No .................... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all s~t-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, -~/ / ¢ S cou ~"~/. 7. ............. ~:;....;.,.. t f' · ~ . beng duly/~worn, deposes and says that he is the applicant ................ iName of individual sign ng appJ~;tion~ 7 r ~./~ i d-~ {~r~,, above named. 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 application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in'the manner set forth in the application filed t)~¥ewith. Sworn to before me this ~ ,,,,'~, ~' ,) ,~ ,~- ' ............. ....... , A Notar Pub t" ~ C t ' (Signature of applicant