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Home My WebLink About5746-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Certificate Of Occupancy No. Z-15871 Date June 22, 1987 THIS CERTIFIES that the building ONE FAMILY DWELLING 1700 Delmar Drive Laurel, N.Y. Location of Property ............................................................. House No. Street Hamlet County Tax Map No. 1000 Section 127 .Block 4 ..... Lot 18 Subdivision ............................... Filed Map No ......... Lot No ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated March 8, 1972 .. pursuant to which Building Permit No. 5746 Z dated ...l~.a.r..e .h.. ! 6. :..I.9. 7. .2 .......... 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 ....... PRIVATE ONE FAMILY DWELLING WITH ATTACHED GARAGE * The certificate is issued to HENRY & JOHANNA SPRECKLES ..................... ................... of the aforesaid building. Suffolk County Department of Health Approval July 12, 1972 by R. Villa UNDERWRITERS CERTIFICATE NO .... .N..3.3.0. ! .0 ...................................... N/A PLUMBERS CERTIFICATION DATED: *THIS JULY CERTIFICATE 26, ]972 OF OCCUPANCY UPDATES CER~CATE OF~ANCY Z-4720 DATED Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ...I).~..l~a...~..1).~..~.~, ...... : ,'..... Street Map No.I~.~),~l .C~. ~k No ........... Lot No...~. .... .~...~t~..~ ..... l~. ,~.' .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... [(~.e~]~ .... 8., 19..~.. pursuant to which Building Permit No.. ~. dated .......... )l.~.~.~ .l~ .... ~..~., 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 ...~..~?~..t.~...e.l~.e...f.~..~.~..~w. Ol~llI ...................................... The certificate is issued to ...~..~....~.~.],..~Y. ..... .0~.e~. ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval~..~.2...~.9~. · .by. R) .'~1~ ...... UNDERWRITERS CERTIFICATE No..~..~.~..0.~.0. ............................. i ........... HOUSE NUMBER.~.~O0 ........ Street...l).e..~...~..~.~..~.?~. .................................. Building Inspector ~' ~0~ 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) N? 5746 Z Permission is hereby granted to: ZILT~"~'"~ ....... k~" ~'*'1~ ~'"l~=t~e z~ ....... ~ ~,~.~.. ~o u~.~,.. -R~ ............................... ............... ~Zz ......... ~.,,~,.,, ............................... to ...~.1~.. ~..ffie..E~l-.~y'''~a~l~''1tl~* ................................................................................ at premises located at ......... '~'""~""1~,ll~la~"(}'O1J,l~'~"-~'t~.~,~ll ........................................ ............................................. · z~...~.~3~a~-.~z~ ........ -.~ae~,~e.~.....~ ,g* .......................................... pursuon~c to application dated ........................ ~&Z~.-..~ ..................... ,' 19....~, and approved by the Building Inspector. / ~ -B'uilding 'ffspector / FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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 natu raj or topogra p;5 ic featu res. 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. Commemial 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 property 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.O0, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. Ju.n..e 18, 1987 UPDATED CO NewC°ns tructi°n ...... Old or Pre-existing Building ............ ~/i~l~g .... .x.x. ...... Location of Property I700 Delmar Drive Laure.1 N.Y. House No. Street Ham/et Owner or Owners of Property HENRY & JOHANNA SPRECKLES County Tax Map No. 1000 Section ] 27 Block 4 Lot .... 1.8. S ..... M/o Laurel Country Ests 5486 48 UDOlVlSlOn .............................. : . .Filed Nlap No ........... Lot No .............. PermitNo. 5746Z Date of Permit 3/]4/72.Applicant INLAND HOMES, INC. Health Dept. Approval ....................... .Labor Dept. Approval ....................... . Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... 50.00 UPDATED CO Construction on above described building and permit meets all applicable codes and regulations. Appti GEORGE E HUGHES cant ................. ' ................................... Rev. 10-10-70 FOR~ NO. 6 TOWH 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: 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 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 ........,~, ......... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ......... Owner Or Owners Of Property ....... ..~...*.....~......~...~.*.....'T.,q .~.......~...o..]:.e..~'. ............................................................. Subdivision ...~e,k~.~],..~.aut~.3'.?..~.~.e,.t;.e~ ........ Lot No....~l,~t.... Block No ............. House No ............. Permit No. ~'..?.~.6...~. ....... Date Of Permit ~.~.b~/.~.~....Applicant ...~.~.~...~.9~fL~.~....~.9. n .................... Health Dept. Approval ...~/..,~..~./.Z.~.. ........................ Labor Dept. Approval ................................................ Underwriters Approval ..... ~/..~..~./.~.~.. ........................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ]~ Fee Submitted $ .....,~.Q~) ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ....Z. ~.A~....~....~..0..[~....S. ~ ...~..0..- ./...DO...~, P.~..q.~....~...c.~.9.~t~.~ j... ~.~g ~ ~.~ Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County S-9 SCHD SUFFOLK COUNTY DEPARTMENT Date Bldg. OF HEALTH JUl. 1 Fermit TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) . have been inspected by this department and found to be satisfactory. G~}~f of General ~ngineer~ng Services JUL 1 ~, 1972 SUF~'OI~ COU1Ti~ DEPARTI~NT OF HEALTH lt.D.Ref. No. sO-lOb2 APPLICATION FOR APPROVAL OF INSTALLED PRIVATE SEWAGE DISPOSAL AND WATER SUPPLY SYSTEMS Inspection Eot approval is requested, pertinent installation data herewith. 1-Name of Owner John Foley Address 1 Bolin Rd Coram Phone 2-Name of Builder Inland Homes Inc. Phone Address sel~-n: NY 11784 7-Sewage System installed by ~Qram Clifford & Son Phone Address EastDort. NY 8-(a)Deed location of property ~:/g of Delma~ Lane (b)Hamlet or Village T.~u~nl (c)Town 9-Septic tank-Gal L ft.W Et.Liquid Depth ft. lO-Cesspools-(a)No.poo~s---~(b)Blocks below inlet-1) l~O2) 150 3)__ (c)Block size-L lb in.W 8 in.H ~ in.(d)Precast pool (e)l__2 (f)H ft.__%n; Diam__ft.__in.(g)Finished grade to cover (h)Backfill Material ll-Water Supply: Public Systam ; Private Well X If Private, the following questions are to be answered: 12-Private Water Supply System installed b~ Phone Address 3_Subdiv. Laurel Co. 4-Section No. 1 5-Lot Number____Ji_8~, 6-Bldg.Pemlt No. k'{~bZ Southold Estates 3 13(a)-Total Depth of Well 14-Diameter of well pip~ 15-Name of LaboratorM 17-Date ready for inspection .(b)Depth to Static Water Level in. 16-Method of Disinfection The undersigned CERTIFIES: Above systems have been constructed and are in compliance with the Suffolk County Health Department's current Standards, Bulletins and Amendments thereto. 18-Date ~/2C/72 Signed INLAi!D HOM L3, II'[C./R. ~lltz Owner - Builder/ ,/~, ~) 19-Insert sketch of location of Water & Sewerage Facilities with accurate dimensions. STREET Delmar Lane .............. ..... ........ Based upon the infoma%i~ stj~ above, satisfactory ~un6ttoning of the above systems can be expected with prop~-~ ~intenance and care. Date JUL 1 2 197~ ~pp~ov~eed ~~'-' ~- ~ff~ C~,~f of General Engineeriug Services · -'MONUMENi~ SUBDI WSON MAP FIL ED IN THE OFFICE OF I'IY~C£ ~BK OF SUFFOLK COUNT)' ON JUNE E~, 19XO .aS MAP NO. 49 REWS~ONS YOUNG & YOUNG MAY 1,1972 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK JUNE 16~1972 ALDEN W. YOUNG HOWARD W, YOUNG SUEVEY FOR: ,JOHN FOLEY 8 NANCY FOLEY LOT NO. 48" LAUREL COUNTRY ESTATES" AT GUARANTEED TO: LAUREL GUARANTEED TITLE DIVISION OF AMERICAN TITLE INSUR. CO. TOWH OF S OUT H 0 L D SOUTHOLD SAVINGS BANK SCALE: 1.1.~ 40,' MAR. 3,1972 ' 72' 157 EASTERN DISTRICT, RIVERHEAD,N.Y. ..... ±C~:_ION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Approval to construqt said systems is requested,pertinent data herewith: i-Applicant '~.~.~,~-~ ~zt ~ >~v~?honeTF3-~Y/6-Sub divY/f~'~/~'~..,~Z~',',/~-'~Y"~- Address / /7,, ~/.~;~,.~ ,,/~/ (c~,~/_,~/~.~ -- '7-Section / 2-Detazied property locatzon ~/~' ~ ,~/~ Z/~,.~{- 8-Lot No. a~z~ ~ ~ ~ ~ ~ To~ ~'~ ~ ~ ~,/~ .9-Private well? 3-~blic water supply name Distance to nearest ~in ~-Lot Size: Width/~ ft. Length ~C~ ft. (also enter on center plot plan below:) ~-~elling: Single Family ~ Two Family? / /Cellar? /~/~lab? / ~Crawl S~ce? / / 10-Proposed syste~: Septic tank ~ /Precast / /Cess~ols /~/Shallow ~ols / /Other / / il-Septic ta~ inside dimensions: Vol~e Gals.Length . ft. Width f~. Liquid depth ft. 12-Precast sections: / /Nu~be%/ /Sq~re Ft. Cesspools: Block sizeL~zncs.D~,ins. H~ins. Total blocks below inlet: PLOT PLAN Street t.O ~ade ! G .W.L. Capacity~Gals. G.P.M. _ ~ --J Test Hole IData ~ Indi No .'ate ~th The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Owner or Builder' FOR HEALTH'DEPARTMeNT USE ONLy. Based on the information presented herewith, it is the opinion of the' Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. Date 7/~2 "- Signed 10 Y ........................................ ' 19" Approved ~ , . ....... Pemit No ..................................... TOWN OF SOUTHOLD ¥~7~ ~ ~ ~,'/( ~ BUILDING DEPARTMENT ~ ~ ~'~. ~ TOWN e~KK'S OFFIGE ~/,%/~ 6~ ~ ~ ~UTHOLD, N. Y. ~plication No ........... ~ ................ Disapproved a/c ......................... ._~ ........ ..................................... ........... .............. .......................... .<j~' (l~unalng ;pec APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building?.1 Ins ector /v P -- b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pub ~c streets or areas, and givihg a detailed description of layout ofproperty must be drawn on the diagram which Js part of this application. c. The work covered by this application may not be commenced before issuar~ce 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPL CATION 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 construction 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, housing code, and regulations. lli~tlld llolml~, lrllO. (Signature of applicant, or name, if a corporation) 8olden, lieu Zo~k X~78it (Address of applicant) 1. Location of land on which proposed work will be done. Map No.: ~l:l.e~. ... Street and Number -~../? O'f' DeJ, lJl. z' ~. ~e~ ....................................... ................................ '~'~'"~ ........... ~ ............... ~unicipali~ 2. State existing use and ~¢upancy of premises and intended use and ~cu~ncy of pr~osed construction: a. ~isiting use a~ ~cupancy .................................................................................................................... b. ~aSen~e~ ~ ~ ~c~ncF ................................................................................................................................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. SPA Name o~ owner o~ ~re~ises ................................................................................................................................................... If applicant is a co~orote, signature of duly authorized officer. ........................................ 3. Nature of work (check which applicable): New Building ..... ~[ .......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........~.~...0.,...0~....0. ............... : ................... Fee .......................................................................................... (to be paid on filing this application) .5. if dwelling, number of dwelling units .......... ,~ ............... Number of dwelling units on each floor ......... .6. ................ If garage, number of cars ..................... .~..[{.....~.....~..0.. ....................................................................................................... 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 .......... ~..0...1.....8..~ ........... Rear ........ ~...~.!....8..~ ..... Depth ..... ?.6. .............. Height ......]...8. ......... Number of Stories ...............~. ..................................................................................................... 9. Size of lot: Front ...~.~..0......0..0. ........... Rear ........ ..~..JJr..0..'...O..O. .......... Depth ;'F r er ......... r'"'~'~ ]0. Date of Purchase ........................................................ Nome o o m Owne ~¥./..'..: ............... ~...'~.. ...................... 11. Zone or use district in which premises are situated ]2. Does proposed construction violate any zoning law, ordinance or regulation.;) ............ ..~...O. ........................................... 13. Name of Owner of premises ..... .~..~..A......E~....t'..e...~.]~..~.~..s..e...Address ......... ..~....t...t;...~.~.u...c..¥.~......]~...... Phone No ..................... Name of Architect ...Z.~..~.~.d.....~..o...m..e.~...Z..~.~.,. ............ Address ......... .$...e.?:..d..e..n..L..~.'..¥..* ....... Phone No..7..-3.~..'..2..1..7..7... Name of Contractor ~.~...~..~...~.?.....~.o.~.e.?....~.?.~.~. ............ Address ......... ~..e..]:..d..e..~...~....,N.~.¥..,. ...... Phone No. 7..~.~..'..~.~...7...7.. 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. STATEOF NE -'qO -, ............ .~..~..~-4e~... ....... ~ ................................. being duly sworn, deposes and says thru he is applicant / (Name of individual sighingS'application) e is the above named. H ......................................................................................................................................................... (Contractor, (3gent, 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 oil statements cont(3,ined in this application are true to the best of his knowledge and belief; and tha~ the work will be performe;d in the manner set forth in the op~ filed therewith. Sworn to before me this ,~ ...... .... Notary Pub'ic~~~... County"~'~ ....... i~i~'1~¥1~';;':¥~ ......................... No 52 8125850, Suffolk Tezm ~xpires Merch 30, ~9 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,., July 1972 App,,c-,,o-No. on,,', 7660, N 33010 THiS CERTIFIES THAT only the electrical equipment ~ ~scribed belo~ a~d intr~uc~ by t~ applacant ~med on the a~ ~phcat~n number in the premises of Spa, Delmar Drive, Laurel, L.I. Job ~153 w..s examined on July 19, 19 7 2 and found to be in compliance with the ,eq.lr~m*nt, 0/thi, Board. 'Fix~JRE ~ [ FIXTURES J RANGES JCOOKING DECKS I OVENS ]DISH WASHERS~ Ex~A~-F~NS OUTLETS ~ECEPTACLES SW TCHES I~CANDESCE~T FLU~ESCENT ~Y ~T. K W. ~T. K.W. ~T KW ~T K W ~ H ~ - -D~YERS ~ FURNACE MOTORS FUTURE APPLIANCE ~EDERS SPEC ALREC'PT T ME CLOCKS BELL ~UNIT HEATERS MULTI-OUTLET I DIMMERS .... I SYSTEMS ~ St.9iC~ OgCONN~C~ ~ NO. O~ S ~ " V I c ~ ,. ~: i ~P I ~PE / EQUIP, ~ ~ ~ ~ ~ ~ ,E~ ~ O~ CC. C~D. ' ~ H~.~G ~ OF NEUmA~ ~ , I I I .~Fu~naees: 0~1 1-1/Shp~ ~-l/12hp Motor/s: 1-1/2hp ~ peorg? ~ Zimlinghaus , ~~~~ ;~ Park Place, !~" Patchogue, L.I. 11772 . ~ ~'I T~s certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be ,dent~ed ~ ~;de~t~?s ~