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Home My WebLink About5605-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z..b6.~l ... Date . .. J~,me . .13 . , 1972 THIS CERTIFIES that the building located at Dolmar .Dr. ?.. Joseph St Street Map No. b~el Cry ~ No ...... Lot No, ~ . · .~aurel 1~,5', .. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCt 30 ., 19 71 pursuant to which Building Permit No.~ dated .... NOW', t" ., 19.71, was issued, ~d conforms to all of the require- ments of the applicable provisions o~ the law. The occupancy for which this certificate is issued is . t~-ui¥~te one..family-~l~'etling The certificate is issued to . Wm, .Kei~ath .... of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. -~937.1. Ma. 21 1972 ttOUSE NUMBER 1895 .~ar De3ma~ ~ Joseph ~t -- Owner .............. (owner, lessee or tenant) .Juna 7.. 1572...by i~.. VilLa Bu,ldmg Inspector l~O~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5605 Permission is hereby granted to: ...... · Z~m,~-.~t.-~---.-~.-#~-.~J~t,~ to .... ~14..~..~...~.~~ ................................................................................ pursucu~t to application dated ........................... .~.~,....~ ................ , 19....~, and approved by the Building Inspector. ~ ~.....!...~. ~ ....... · . $o. lq? SUFFOLK COUNTT DEPA}A~MENT OF M~kLTH TO WHOM IT MAY CONCE~: The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory. Chief of General Engineering Services Distri'c'~ Engineer ' JUN7 1972 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- a~t s5 JOri. STREET, NEW YORK. NEW YORK ~O03S 1 ,~a~e A,,,eatlon No. onSile N 937 THiS CERTI~A~l' 1972 547041 only the electrical equipment ~ desc~bed below and introduc~ by t~ appl~ant ~m~n th%above appl~a~n ~umber in the premises of ~. Keinath Corner Delmar Dr. ~ Joseph ~. ~aure~, ~.~. in the following location; ~ Basement ~ lst Fl. ~ 2nd Fl. Section 15 3l 19 15 [ F OTHER APPARATUS: aFuture Appliace Feeders: 1-3#8 1-2#12,~, Motors: 1-1/2hp., Pa$chogue, L.I. 11773 This certificate must not be altered in any manner: return to the office of the Board if incorrect. Inspectors may be identifi tie sTREET , NOTE REVISIONS OCT, 18,1971 ,JAN II, 1972 .= MONUMENT SUBDI VISION MAP FILED IN THE OFFICE OF TIdE CLERK OF SUFFOLK COUNTY ON dUNE 22~ 19 70 AS MAP NO 5~186 YOUNG & YOUNG 400 0STRANDER AVENUE, RIVERHEAD, NEW YORI~ ALDEN W YOUNG HOWARD W. YOU~ ]PROFESSIONAL ENGIHEER AND LAND ~UF~VEYOR[ SURVEY FOR: WILLIAM KEINATH & JOAN KEINATH LOT 14 "LAUREL COUNTRY ESTATES I AT LAUREL ~ TO'/¢N OF SOUTHOLD GUARANTEED TO: INTEr-COUNTY TITLE GUARANT & MORTGAGE CO WILLIAM & dOAN KEINATH SUFFOLK CO., N.Y. I =,.~,~l ,_- I NO_ _ "'_ __ ~ 7.. · . TOWN OF SOUTHOLD ~' ' ~ ~ ,,~, c~/-~',~- ~ .~,~' BUILDING DEPARTMENT _ ~?'~ . ' ~ ~ ~ TOWN CLERK'SOFFIC~/7~ ~ ~ ~ ~ SOUTHOLD, N. ~_~~ ~. ~~ Disapproved o/c ............... ~ ...................................... ~.... ~_ ,~. ~ . ~.- .................................. ~~[~/~ ~ ~ APPLICATION FOR BUILDING PE~IT INSTRUCTIONS o. This 0pplicotion must be completely {ill~ in by ~powrit~r or in ink and ~ubmitt*d in duplica/~ to th* Buildi~ Inspector. b. ~lot plan showin~ location of lot ond o{ buildinfls on premises, rd~tionship to odjoininfl premi*e~ or public stm~ts ~re~, and ~ivin0 a detdl~ doscription o{ I~yout o{proper~ mu~t b~ drawn on th~ di*omm which is ~ o{ thi~ ~pplic~tion. c. The work coy*red by this opplic~tion moy not b~ comme~ed beforo issuanc~ of Buildin~ Permit. d. ~pon ~pprovol o{ this application, ~ Buildin~ In~p~tor will i~uo o Buildino ~rmit to th~ ~pplicont. Such p~rmit sh~ll be kept on the promises ov~il~bl~ for inspection throughout the pr~ress o{ th~ work. e. ~o buildin~ ~h~ll bo ~cupi~ or usod in whol~ or in p~ for ~ny pu~os~ whatever until ~ C~ific~t* o{ shdl hove beon ~r~nted by the Buildin~ Inspector. APPklCATIO~ IS H[R[BY MAD[ to the Buildin0 D~p~m~nt for the issuanc~ of o Buildi~ P~rmlt pumuont to th~ Buildino Zono Ordinonco o{ tho Town of Southold, Suffolk County, ~ow York, ond other opplic~l~ ~, Ordinonc~ or Ro0ul~tion~, for tho construction of buildinos, ~ddition~ or altor*tions, or for remowl or d*moliti~, ~ h~min d~ribod. Th~ ~pplicont ~r~s to comply with oll opplicabl~ laws, ordinonc~s, buildin~ c~e, hou~ino c~, ~nd m~ul~tion~. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ............................................................................................... Name of owner of premises ...~....~'~........~...~..4.~..~. ................................................................................................... If applicant is a corporate, signature of duly a~t_h~orized officer. . (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ~..~..~.~..'~..-..~....~....~...~.~ Lot No....J.....~.. ............. Street and Numbert~.~J~..~[J~/~..J~....~..~.~lS.~J'.~....~......,,~.'~......~,..~..~.~J~ ........................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................. b. Intended use and occupancy ......... /...i..~..~.4~',/......~Vl.~a~.~./..,'(~.:.~... ....................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... .'~.~..~........ ....................... Fee ....................................................................................... (to be poJd on filing this application) 5. If dwelling, number of dwelling units .......... ./. ............... Number of dwelling units on each floor ..... ~.. .................... If garage, number of cars ..........~..~.~, ........................................... i..' .............................................................. 6. If business, commercial or mixed occupancy, spec/fy 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 ...~....~. .............. Height ...~/.(,~....~...~... Number of Stories ............. !. ....................................................................................................... 9. Size of lot: Front ....!.~.../..--. ............... Rear .................................... Depth ..... I...~...3.:: .................. 10. Date of Purchase ..~...~...'~..,....~..~..~..../. ........................... Nome of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ..... ~(...~...~ ............................................ 13. Name of Owner of premiseskU~.......~...W.~..~..~./~.. .......... Address ............................................ Phone No ..................... Name of ^rchJtect ...................................................... Address ............................................ Phone No ..................... Nome of Contractor-~'.../P.~..Ar..~...b...../'~...O....rl]l~*..~../..~..(,'...Address .......... ~.~..--./~.b/~../7~...'..~ ..... Phone No.'/.~.:.~.~.~..~l PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. ~,\ I~.~ /('T' o'C,,I/''' STAT~ OF NEW R~,~. ~/~ - ~ S S ...... ~~... ............ '' ' '.~ng j:lul~ sworn, d~ ~n~ s*y~ t~t he is th~ ~pplicam (Name of' d'v'dual s'g i ga~li~i~ . ~l)t[ ~. ~ ~ . t g~..'_ . k.. ~ above named He s the .~ .. ~ ........................ ~..~.~.L~ .... ~.~......~.~ ............. ~.~ ................. / ~ (~ntmctor, agar, co.rate officer,~tc ) of said owner or owners, and is duly authorized to perform or h~e perfo~ed the said work and to ~ke ond file this application; that all statements contained'in this a~lic~ion are t~ to the ~st of his knowledge and belief; and that the work will be performed in the manner set fo~h in the ~plicati~ fil~ ther~ith. ..... .......... . ................. Nota~ Public, ....L~.~,I~ ...... Coun~ (Signature of applicant) ~ ~bd with N.Y. C0. clks. &.~ ~. T~ ~pi~ ~la~h 30, L~