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Home My WebLink About6540-zFOIL~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No...~.~.33~. .... Date .............. ..Y..l~.~r ..... ~.~.., 19.7~ THIS CERTIFIES that the building localed at D~O~ .Dr$~ ............ Streei Map No.L~.I .~t~ Block No ........... Lot No..~... ~91, . ~Y~ ........ ..~~fo~s substantially ~o the Application for B~lding Permit heretofore f~ed in this office .__~/dated ............ April 2~ 19 .~3. pursuant to which Building Pe~it No. ~.. dated ..... P~ ... ~ .... , 19.73., was issued, ~d conforms ~o all o~ the req~re- ments of the applicable provisions o~ ~he law. The occupancy for which ~his certificate is issued is .~ri~ate oho. fa~l~..dwe~Ing .................................... The cert~icate is issued to ~haS R~o .... ~e~ ....................... (owner, lessee or ten,t) of the aforesaid building. S~olk Co~ty Depa~ment of Health Approval April. ~ ~ 973. ............ UNDERWRITERS CERTIFICATE No..~. 1 ~.689 ...JUl~.. 3...~ 97~ .............. HOUSE NUMBER . 2~.~0 ...... Street ... P~. ~!~.. p~y~ ...................... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 654O Z Date ......................... Permission is hereby gronted to: ~.3,~4.-.tieae~.--];ne-.~t.C~.-Cha~,~es.-;R~[~so & Wife ........ · ~3~.-..~a-~-e...a~t=.~,.~Joad ........... ............. Se:Lde.~ ...... ][,:[,, ..... 1.1.7.8b~ .................. to ... 2~a:I,3~ .. ae~ ..eme...f. ma.i.l.y.. ~,,g.e 1.;L.~g ................................................................................. at premises located at ..... ~T~I~..J~ .......... J~,t,1~.~-,~l~-~:~:..]J~i4~S ......................................... ....................................... l~.~..D~ ......... .L~e.~...~t...~r... ............................................................... pursuant to application dated .............................. .~.~.~....~....~ 19..~.3.., and approved by the Building Inspector. F~e $..'.~:,1~ .......... l '- Building 1~spector / FOBM NO. 6 TO~N OF $OUTHOLD 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 w,th accurate location of all buddings, property lines, streets, aha unusual natural or topographic features. 2. Final approval of Health Dept of water supply and sewerage d~sposal--(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 cerhficate of Code compliance fram the Architect ar 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 buddings 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 C. Fees. 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $I.00 $5.00 Date 7/27/3~ 973 New Building ..-~D(. ......... Old or Pre-existing Building ............................ Vacant Land ............................ Lot #44, E/S Delmar Dr. Laurel Country Estates, Laurel,N.Y Location Of Property ..................................................................................................................................... Owner Or Owners Of Property ....R.~.~..o..,......C~.....~...~...e..s. ................................................................................... Subdivision · -~,~u.~e.l...G.~)u~.~'~,..~;s-tGtes ..........Lot No. -4~. ...... Block No ............. House No ............. ~ 5/3/~.973 , Inland Homes Inc. Permit 1'4o. 6540 Z Date Of ~'ermit .................... ^ppdcant Health Dept. Approval ....~.r..S..O..-...2..5..../.....4./..2..9./..7..3..Labor Dept. Approval ............................................... 663884 / 7/3/73 Underwriters Approval .............................................. Planning Board Approval Request For Temporary Certificate ........................................ F,nal Certificate .......................................... Fee Submitted $ ..... ,5,,.QQ. ..................... Construction on above described building and permit meets all applicable codes and regulations. ......... ....... o, ....... ...... q....Z o,,.,, 3 / SUFFOLK COUNTY DEPARTMENT OF HEALTH H.D.Reference No ~'~-~ APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Approval to construct said systems is requested,pertinent data herewith: Date 20 April 1973 1-App'.licant I~V~A~D HO~S, !NC, Phone 7B2'217~-Sub div Laurel Country Est. Address ~-.~2' Diidd'!e Country l~d'~, Selden, N.y. .7-Section 2-Der&ileal property location i~/S DoAI~ar ~rmve 8-Lot No. ~ Hamlet 7~%tral To~ Sou~hold ~-Private well? X Distance to nearest main ~-~blic ~ter supply ~me ,,-~ 4-Lot Size: Width 124 ft. Length lu~ ft. (also enter on center plot plan below:) 5-~elling: Single Family ~ T~ Family? ~Cellar? /~Slab? / yCrawt S~ce? / / 10-Pro~sed system: Septic bank ; /Prec~Cesspools ~f/Shallow pools / /0tber ~ il-Septic ~ inside dimensions; V~l~e(~als.Length. ft. Width ft. Liquid depth, ft. 12-Procast sections: ~( /Number~Squar~. Cesspools. Block sizeL , incs.D .... ~s.H ,, ins. Total blocks below i~et: ~1 ~2 ~3 , . ~T P~N Capacity ~ ~als. Data Feet 0 2 4 6 8 10 12 16 18 [ Street D e I m a r D r m v e ....... ~ o ~ o ~ ~ ~ ~ Indi ~ate ~ ~ ~ No -th The Undersign~ CERTIF~S: "Const~ction of authorized installation: ~11 be in acco~ance with the Suffolk County Health Detriments' current Standa~s, Bulletins, and amendments thereto, covering Private Se~ge Disposal Systems". Date Signed INLAND HO~, INC./I~.W. Thurbe~ Owner or Builder FOR HEAIffH 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 (t0/65 ~evis.) L~t Lot sTR REVISIONS MA Y22,197'$ ,IUL Y 19;/975 NOTE: 4, = MONUMENT SUSOIVI$10N MAP F/LEO IN ZEE OFF/CE OF TNE CLERK OF SUFFOLK COUNTY ON ~UNE 22, 19~0 A~ MAP ~ 5486. YOUNG & YOUNG 4-00 OSTRANDER AVENUE, RIV£RHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, /NC. LOT ~14 , "LAUREL AT L A UREL Tow. or SOUTHOLD SUFFOLK CO,, N.Y. I DATE: 'SCALE: /.= ~ I COUN T~" ' H,D-~1~(:¢)'~'-<~ TITLENO 1281714 4~ Lot --. 44 LOt 4~ jOS ?N YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, yOUNG SURVEY FOR: CHAHLES J, RIZZO ~ HRENDA LEE RIZZO ~HARLES A R/ZZO a DEMETR/OU ~/~ ~or ~ , "LAUREL COUN~ ~S¢T~S" SU CO., FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE . SOUTHOLD, N. Y. Examined ............ ~. ...... , 19...~.~. Approved .................. ~..~.. ...... , 19..~.~.. Pemit No...~...~..~....~ ......... Disapproved a/c .......... ~ ........ ~.....~......-----~ APPLICATION FOR BUILDING PERMIT Date 27 Apz:il 19..7...3.... .... - ~ INSTRUCTIONS a. Th~s appl~at;on-musf' be compl~;ly filled in by typewr~ter'or m qnk and submitted in trlphcate to the Building Inspector, wi 3 sets of pla~s, accurate plot plan to scale. Fee according to schedule. b Plot pl,tn,'sh~wrng 16(~atmn of lot and of buildings on premises, re<lat~onshlp to adjomlhg premises or public streets or areas, a gwmg a detaded description of layout of property must be drawn on diagram which is part of th~s apphcatton c. The wot'k covered by this apphcat~on may not be commenced before ,ssuance of Budding Permit d. Upon ~pproval of this application, the Building Inspector wdl ~ssue a Building Permit to the applicant Such permit ,shall be kept the premises avadable for inspection throughout the work. e. No bu~tding shall be occupied or used in whole or m part for any purpose whatever until a Cert~hcate of Occupancy shall have b granted by the Building Inspector. APPLICAlr'ION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budding Permit pursuant to the Building Z, Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the constructlo~ buddings, additions or alterattons, or for removal or demohtlon, as harem described The apphcant agrees to comply with all applicable la ordinances, budding code, housm§ code, and regulations, and to admit authorized inspectors on premises and m buddings for necessarv mspectio (Signature of apphcant, or name, ~f a corporation) 432 Mid.d.l.e C..o...~...n..tr.y......R.d, ,..S..9.1...d.e..n..,...]~.~..~., 1.1. (Address of apphcant} State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil,- .............................................................................. .................................................................... Name of owner of premises .............................. ~...¥.0....H~...S..~......:~...C..-. .................................................................... If applicant is a corporate, signature of duly authorized officer. .............. ............................. ~Name and title of corporate officer) Budder's Lmense No .......................................................... Plumber's Lmense No ......................................................... Eluctrmian's License No ..................................................... Other Trade's L~cense No ................................................... 1. Location of land on which proposed work will be done. Map No .................. .-....: ...... Street and Number ...... ~E~`~s~t~S~e~?~D~e~D~?~v~e~3:~e~C~~$~~~^ Municipality 2. State e. xisting use and occupancy of premises and intended use and occupancy of proposed construction: a. E)¢isting use and occupancy ................................................................................................................................. b. Intended use and occupancy ............................................................................................................................. 3. Nature of work (check which applicable): New Building ....... ..~....e~.. ........ Addition ..................... Alteration ..... ; ........ Repair ......................... Removal ......................... Demolition ........................ Other Work ................................... ~"~ '7. (Description) 4. Estimated Cost .... ~..~..2. 5..0..0. ~.....0..0.. ............ ; ......Fee ............... .~...~.. ........................................................................... (to be pa~d on flhng th~s apphcat~on) 5. If dwelling, number of dwelling units -'1 Number'of dwelling units on each floor If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Fro~., ..... : ............. Rear ........... ;: .............. Deptt~ ..... ' - Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ........................................ Depth ............................................. Height ......................................... Number of Stones ....................................... 8. Dimensions of entire new construction: Front .... .6...~..~. .............. Rear .......... .6..]:..] ............ Depth 31.4' Height :l-8t ....... Number of Stories :1 9. Size of lot: Front .... ~¢~?,~.~. ......................... Rear ........... .Z....~..?. ...................... Depth 182.96 10. Date of Purchase ..................................... Name of Former Owner ........................................................................... 11. Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .N...o. ................................................ 13. Will lot be regraded ................................... Will excess fill be removed from premises: [ ] Yes-- [ ] No 14. Name of Owner of premises ...~...~.~.....:~...C..~. ......... ~-,~D~...~.. ............... ~.~,~,~1./..~. ................. Name of Architect ~ HO~_,,S~. I:NC. ~i~;~,c~e~, N.Y. 732(P~t~J~°') .....................................................................................................................(Address) ~'~ ~' 'l~l'~i .............. .... ~ H(~/F,,S- ~NC. SELDEN, N.Y. 732-2177 Name OT uontractor ............................................ ~. ................................................................................................... (Address) (Phone No I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frc property lines. Give street and block number or description according to deed, and show street names and indicate whe; er interior or corner lot. N( DELMAR DRIVE STATE OF NEW YORK, SIT. FOLioS. ) COUNTY OF .............................. ) ~H W. THURBERv ................................. bern§ duly sworn, deposes and says that he ~s the apphcant above nam He ,s the ~ ~~OR (Contractor, agent, corporate officer, eW ) of smd owner or owners, and ~s duly authorized to ~rtorm or have ~er~ormed the smd work and to make and fll~ th~s a~lmat~on; tha~ statements contained m th~s a~ohcatmn are true to the best of h~s knowledfle and behef; and that the work will be ~erformed m the mm set forth m th~ a~hcat~on fded therewith .......... day of ................................... 19 .. Notary Pubhc ........................................... County (Signature of applicant) Examined ........ .~....-'~. ...... , Approved ................. ~.5. ...... , FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. 19...~..~.. 19..~.~. Pemit No...~..~..~....~ ......... Disapproved a/c ......... .~.._..~ ....... ~.....~.~ '" ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS' Date ,....~...7...,A. ~.~ .3: .......................... 19_.7...3. ..... a. This appl~ation-must be complet~l? filled in by typewritm" or in ~nk and submitted in triplicate to the Building Inspector, wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pint ptan,'sl~i~g: l~ation of let and o;~ buildings on pre~isesl r~lationship to adjoining premises or public streets or areas, anc~ giving a detailed description of layout of property must be drawn on 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 o the premises available for inspection throughout 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. ~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zor~ 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, and to admit authorized inspectors on premises and in buildings for necessary inspections. (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 .............................. .[.~....H_~.i......]~...C..'. ........................................................................ If applicant is a corporate, signature of duly authorized officer. .............. ..... ............................. I Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... ( Electrician's License No ..................................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .................. :....: ...... , ................ Lot. No. 44 Street and Number ...... ...E~.~s~.t~:.~d.~.e~.~..~.~.D..'e...1?.~..~..D..:.~.~.v~.e~.~..L~....~'.:'''e'~~~~~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy .......... .O..?..e....(..1.).....Y...e~...J:..]...y....~.e.]....l.~..~.~. ................................................................. · · NeW 3. Nature of work (check which applicable): New Budding ....................... Addition ..................... Alteration....., ......... Repair ......................... Removal ......................... Demolition ........................ Other Work ................................... .... ''' '"~'~'~ 7, .~....~. (Description) 4. Estimated c.n~t $33~ OOO. O0 ' Fee . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~.. ....... ~ Number'of dwelling units on each floor ......................................... If i 14 x 20 garage number of cars .............................................. . ...................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: FronL ...x.:: ............. Rear ......... ;.x .............. 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: 61 r Front .........................Rear ............................ ptn ................................. Height 18t ' Number of StorieS, .1. t 124t 9. Size of lot: Front ....~-,/~ ........................... Rear .......................................... De~th 182.96 10. Date of Purchase ............ , ........................ Name of Former Owner ............................................................................ 11. Zone or use district in.which premises are situated ..................................................................................................... 12. 'Does proposed constructibo violate any zoning law, ordinance or regulation: ..... .N...o. .................................................. 13. Will lot be regraded .................................... Will excess fill be removed from premises: [ ] Yes-- [ ] No 14. Name of Owner of premises ...~...H.~.....I~...C..~,. ......... ~...~ ............. .7..~$~.T~,],~..~. ................... Name of Architect ~ ~(3~, :]3~C. ,~1~, NeY. ?3~-PI~°') ................................................ (Ad(~'s'~i ................ ~'~;~' ~l'~;i .... Name of Contractor {Address) (Phone 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 wheth- er interior or corner lot. N ,S DELMAR DRIVE STATE OF NEW YORK, ~_~[,i]~li, O[~C ) SS COUNTY OF ...................................................... ) KENNETH W. THUP~BEH .......................................................................................................... ~eing du~¥ sworn, deposes and says ~ba~ he ~s ~e aOpl~ca~ above named. ~e ~s'the e~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~rform 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 ~rformed in the ~nner set forth in the application fi~ed therewith. ...................................... Notary Public ...................................................................... County .... ~..~..~ .................... (Si~amre of applicanO THE .NEW YORK BOARD OF FIRE UNDERWRITERS -- ak ~ * BUREAU OF ELECTRICITY ~ I 85 JOHN STREET, NEW YORK, NEW YORK 1003E ' ', D"teJuly 3, 1973, ~pp.cot~.~o.o. fl. 663884 THIS CERTIFIES THAT N 1.00689 only th ~ electrlcal eclulp:nont a,, described belo~v and ir~troduced by the applicant ~tam~d or~ the abo~ application number ~n the premlses of Charles Rlzzo, e/,slde Delmar Drive, 100' n/o Joseph S~., Laurel, Lr.~I. J~b'~8~ '"' ,_~ in the foliowlog location; ~ BgZeme,t L~ lst FI. LJ 2nd FI. Section Block ,,,.....,,,i,,.4o,, June 29, 1973, E,XTU.E "XTURES OUTLETS SWITCHES FLUORESCENT 18 21 18 DRYERS FURNACE h FUTURE APPtJANC~ FEEDERS andfou~dto bein compliancetviththerequlrementsofthls Board. RANGES OVENS TIME CLOCKS LJNIT HEATER~ MULTI-OUTLET SYSTEMS NO, OF FEET EXHAUST FANS DIMMERS SERVICE DISCONNECT S E t V I C E I 2 .. I 4 OTHER APPARATUS: *Furnaces: Oil 1-1/Shp, 1-1/12hp Motor/s: 1-1/2hp George Zimlinghaus, h Park Place, Patchogue, L.Z. 11772 This certificate must not be altered in any return to the office of the Board if incorrect, moy be D fied by their credentials. (4:4" FEE: ~'~, q I_B¥~ NOIIF¥ BUILDING D£PA~TM~NT AT