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Home My WebLink About5733-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..~..~. 0. ...... Date ............ 8ap~.. ~l}~ ...... , 19. ~. THIS CERTIFIES that the building located at . DoljIml' -DX.~v~ ............ Street Map No. Lale .{~. I~lock No ........... Lot No.. ~1'6 ...... ~tllrel,. 1~.~][, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Max'..1 .... , 19 .~2. pursuant to which Building Permit No. ~.~i~.. dated ............. [Iai'Oil..9, 19~.., 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 . Pr~v&~a .olio. ~Uil.~ .dwall~g ....................................... The certificate is issued to Lala~el. Co, tit. ~-stat, eo- go. 8.~peA... R,,~;e~,~t. so8 ... 0wllel, (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Alag. · 9' ' ~[9~¢~' ' b~ .R,. Fill& ..... UNDERWRITHRS CERTIFICATE No ...... II ..~ .................................... HOUSE NUMBERag.~ ........ Street .... D~.l,l~t~. Ilx.~I.VO ............................... ~ x.oqux~ x.a~__,~-pee~,~.on ~.'ox.o &nd afl. .o~,.~:.~. [.. ::~ . · Oltp~l~;:LO~l Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z.1.0.8.9 ] ......... Date .......... ~'e.b.v.u. at'y. 2,q .......... 1982. THIS CERTIFIES that the building ................................................ Delmar Drive Laurel ~,22~ ............... Location of Property '- ' ' ........... 'S't;e3i .... ' ' ' 'h3~ief House No. County Tax Map No. 1000 Section .1.2.7 ........ Block . 9.~ ............ Lot 0.0.5. ...... SubdivisionL~U~.~l .t, om~t, .Y.E.s.t, al3O~ .... Filed Map No. 5,'~f36 .Lot No. .I.fi ......... conforms substantially to the Application for Building Permit heretofore fried in tkis office dated .... ?;.a.qq~: 1 .... 19.7.2. pursuant to which Building Permit No. 5733..Z ......... dated ...'.la- ¥.c~.. ~. 19 ~' 2., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a private one-Xa~riily d;,,ellin¥. This includes the new finished second floor done by a pr2or o~ner without a permit or inspection. What &s visable today complys~ including an emergency egres~ opening from ea¢~ room and a smoke detector in the hal~. The certificate is issued to Joseoh & Sandra 5hary. ............................. ...................... ijJoL4-, of the aforesaid building. A. Villa Suffolk County Department of Health Approval August .9.,...1 ~72 ~ Robert and for second flo~r--~endin~ UNDERWRITERS CERTIFICATE NO. !~..6.2. 3. ~>.9., ......................... ~- ~ '~ ~4'~.L~'~ Building Inspector 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) N? 5733 Z Permission is hereby granted to: ......... ~lem ......... .1~.~- .................................... to ..~3.~..amm~..m~L ~..~e&Z,la~ ................................................................................. ............. (.'.U~'latmlmes'",~mm~'"~Zmm"~emm) ...................................................................... at premises located at ......... LO~...~I-.-..LII~O~. ~e~ll~}~..~l&41~ ........................................... ............................................ #~..;~e-:bm~..~,, ............. ...~....~...,1,.....: ................................................. pursuan~ to application dated ............................ ~111~"'~' .................... , 19..~1~., and approved by the Building Inspector. Fee $..~&l.e. O0 ......... Building Inspecfr FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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. B. 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 features. 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date Feb 18,198Z New Building ............. Old or Pre-existing Building X Vacant Land Location of Property 2225 Delmar Drive, .Laurel, N.y. House No. Street Nam/et Owner or Owners of Property . ;~a.l~,clra..a~.d..Jose.~3h. Shaz'y ............................... County Tax Map No. 1000 Section . ./..~..~. ........ Block .... O. ~. ........ Lot .... .O..~-. ........ Subdivision ..~. ~.~.~..~.L...~O. y.,~7..~.f..~--.y.r.~.r.~.3'' ..... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Con stru ction on above described building an~,p erm,~ m e~t?zja I I applicable codes and regu lat ions. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: I. 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 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 in- formation required to prepare a certificate. New Building ...... ..X. ........... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .....................g?...]...m....a~.. D.~:J. ve~ Le, t~lzeI ~,~ _T ........... ...... ........ ....... Owner Or Owners Of Property ,.~'.~ u.a:ez"pz~ses mo~,~,~. ~,,,,. '"u ~-~'~<~ Subdivision . .[,~.....'t~:...e...]:.....C~.....u~,.~z'.~.....~..s...~..a....t:..e..~. ......... Lot No.....~,~... Block No ............. House No ....... .Z:....~. ~ ~ Permit No....,.~.?'..~,3..Z..... Date Of Permit ....~.../..9./.~..2:...Applicant ...[]P~.~...~<:IJ~e...~:~I~.e .................... Health Dept. Approval ..... . .8. ./. ~ /. ?. .~. ........................ Labor Dept. Approval ................................................ Underwriters Approval ....... ..~./.~..-3../.~.2. ...................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ..Y...e..s. .................................. Fee Submitted 5.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant ..~ ~ ,..~..Ct/lCerme~h 9/. ~huzbez Sworn to before me this .... · /~... ...... day of .~ ...... Notary Public ...~.... County (stamp or seal) S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date 7 Au_~s~ 1972 Bldg. Permit No. 57~Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at Lot 16 !~rel Oountr~ Eastates W/S Delmar Dr., Laurel (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineering Services .-~-~ ...... ~}~ FOP. APP~OFiL TO CO~'~ ~C .... ~. - %~ C~'~, ~ ~ ~ y~y~.,,s .~ .~ste~pe.t~nen~ data aere~th. , ' ,, -o .... o k~ ~.:, : ......... 8-Lot No. /& .... 9-Private well? }-Pablic vm'~er supply name Dis%ante to nearest '- ~' W~d~,~ ~ ~. Lenstn ,~":,,ft. (also enter on center plot plan below:) ,~-u?'~-zi'~g'. ~ , ,Single Fatally ,;.'~',;,, l Two Family? / /Cellar? ~/~lab? ,~ ] Crawl S~ce? / / =o-frooosem system: Septic tank ~{, /Precast ~ /Cesspools /}~/Sha~low pools Z/ /Ot~er / ~ns~ae dmmens~o..s. Vol~e Gals. Length ft. Width ft. Liquid depth ~2-P?cast sections: .~ /Number/ /Sq~re Ft. Cesspools: Block sizeL incs. D To~a~ blocks below i..le~. ~1 PLOT PLAN Street Capacity ~?')Gals. .Gr. ade / ~ ~ ~ ~ Indi · ,~e unaers~gned CERTIFIES: "Construction of authorized installation~ accordance, with the Suffolk County Health Departments' current Standa~x~.s, Bulletins, aha ..... nd,,.~,,~s thereto, covering Private Sewage Disposal Systems".- O~er or Builder ....vC> '--:~/'-*~..~~~. DEPArTMeNT USE ONLY. Based on the info~'aation presented herewith, it is the Test ~ole Data ~ 2 th will be in opinion of the Health Department, ~ zns'~a~-'ed on this Plot. ~a ~ Signed that an adequate and satisfactory Sewage Disposal System f- .~'~d'~'i . TOWN OF $OUTHOLD o/~.,~,~..,/ ~, ~ ~ ~1 O0 ~'.._~ BUILDING DEPARTMENT~/ ~ ~_ · ~ ~ ~ . ~ TOWN CLERK~ O~FICE ~ SOUT.O Ex, mined ~~ ~ ~.., 1~ ~; ~ ~q~ ~ / APPI~'~-'';c'ati°~ No...~........'..-? ~proved ....... ~ ........ ~ .......... ~. ............ , 19...~... Pemit No ......~...~..~..~-~ ....... ~/~ Disapproved o/c ...~ ............................................................................... ~ ~ ~ ............. :: ................................................................ : .............. ........ ~1 /P., *PPUCATION FOR BUILDING ,E~'~ ~* Inspector. b. Plot pl*n showin~ I~tion of lot ond o{ buildinos on premises, relationship to odjoinino premi~ or public ore,s, *nd ~ivin~ a det~il~ d**cription o{ I~yout ofpr~*r~ must be drown on tho di~orom which i~ ~ o{ thi* ~pplication:~ c. The work covered by this opplic~tion may not be commo~od before issuance o{ Buildino Cermit. d. ~pon oppmv~l o{ this opplication, ~ Buildin~ Inspoctor will issuo o Buildino Pormit to th~ opplic~nt. Such p~rmit shall be kept on the premises available for insp~tion throughout the p~ress of the work. e. No building shall be ~cupied or used in ~ole or in part for any purpose whatever until a Ce~ificate of ~cupanw shall have been granted by the Building Inspector. APPLI~TION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applic~le Laws, O~inances or Regulations, for the construction of buildings, oddities or alterations, or for removal or demolition; as herein de~rib~. The applicant agrees to comply with all applicable laws, ordinances, building c~e, housing c~e, and r~ulations. Inland Homes Inc., (Signature of applicant, or name, if a corporation) ........ ........... (Address or applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is o corporate, signature of ~orJzed officer. .................................................................(Name and title of corporate officer) ¢~.. ~ ~ ~OJ 1. Location of land on which proposed work will be done. Map No.: ~.~.:~e,],...¢.Q.~3.t;.~3r...~l~bt No ....... ~. ............ Street end N_,,,b .......................................................... ~ ........................................................................................ ~ ~ ~ Municipali~ 2. State existing use and ~cupancy of premises and intended use and ~cu~ncy of proposed construction: Exisiting use and occupancy ................................................................................................................................. 1 Family Dwelling Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building ....... ~ ....... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estima~'ed Cost ........ ~.0.~..0..0..0.. ................................... Fee .....~./' ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .JJ:. ............... Number of dwelling units on each floor ....... ~ .................. If garage, number of cars i . 6. If business, commercial or mixed occupancy, specify 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 ......... ~..~ .............. '07 Depth ........................ Height 26 Number of Stories ...]:.~. ' 9. Size of lot: Front ...... ~,~,Q ............... Rear ~...~.0. .... Depth ......1.~.9 .... 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use district~Jn which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation;~ No S~AEnte~p. rises ~attituck 13. Name of Owner of premises ....................................... ~aaress ............................................ Phone No ..................... Inland Homes Inc. -,, Selden Name of Architect ...................................................... ^aaress ............................................ Phone No..~...~...~.]-..7..~. Name of Contractor Inland Homes Inco · ~,~. · Selden ~ 732-2177 ................................................... · ~,~,~ ................................. rhone No ..................... 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 comer lot. STATE OF NEV~LM~OJ~J~,, ~ ~e e ...... ~.../.........-~-..~'..~-.~ being duly sworn, deposes and sa"- thot he is the a Ii ................. '~1~1~ ~'i~ivi~ual '~ign,~'l~.~. -'"'"~-"~ ys pp cam above named. He is the .................~'~--~ ~'~- - o~.~-~~ .................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rn~ke and file this application; that all statements contoined in this opplication are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application, filed therewith. Swom to before me this ....................-.~ ~ ~.~'~" ......... day of ......... ~....~. ....... . 19..~.~ NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk Co Term ?_Xpires March 30. l~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY , 85 JOHN STREET, NEW YORK, NEW YORK 10038 .,,,e ~-ch l, 1902 .~,..,ic.t,o. No. 0.~.~ ~n - 82 N 5 5 2 4 2 7 THIS CE~IFIES THAT in the following ~ation; ~ B~ement ~ Ist FI. ~ 2nd FL ~ctlo. Bilk ~t w~ examlned on ~ m~ 2~ ~ ~2 and found to be in co~npliance with the requlrements of this B~rd. 4 DRYERS SYSTEMS HO. OF FEET E E R V I C NO. OF CC, COND. PER ,~ OF CC. COND. NO. OF HI-LEG OF HI-LEG NO. OF NEUTRALS Cf NEUTRAL This certificate must not be altered ~n an, manner; return to the office of the Board if incorrect. G~NERAL ~ be identified credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY ~.~ .......... r -,2~ 1972 5?6605 $.P.A. Job149 Delmar Dr., Laurel, L.t. ,'...,.f.~.,,,..i,,~/.~-.~a.,,~ ~x ~*~'"~"~ -~ ~ ~'~. ~.~ r~. & out side '"l;lurnaees 1-1/8, 1-!/12hp oil '.rotors i-3/~hp "~s cer ~f'ccte must not be affered in an manner return to he off . x Lot 16 · · -'MONUMENT R=WS~ONS YOUNG & YOUNG 400 OSTRANDER AVENUe., RIVERHEAD, NEW YORK AL. OEI~ W. YOUNG HOWARD W. YOUNG SURVEY FOR: S. P.A. ENTERPRISE'S, INC. LOT IG, "LAUREL COUNTRY ESTATES' AT LAUREL ~U^.A.T~,', 'to: TOWN OF SOUTHOLO SUFFOLK CO., N.Y. I I'Z:o~ Lot 16 O~~ 1'/1£ OL£RI< OF SU/~FOL/~ ¢O~l#rr oN REVISIONS YOUNG & YOUNG ~/~ 400 OSTRANDER AVENUE, RIVERHEAD. NEW YORK e~'/~/~t ALDEN W, YOUNG " HOW~D W. YOUNG s~v~ ~o~: S. ~ A. ~N~PRIS~S, I~C. LOT 16, "LAUREL COUNTRY ESTATES" 4-44 ,t 1 ,I _I I J I LJ id F__. "X C-AVAT EF.) r ' ,L- ' IZ.. I~¥ L..O0 __ 4-44