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Home My WebLink About6420-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...z..5~37... Date .~.~I.x.. 3.~ ....... , 19.73. THIS CERTIFIES that the building located at .. Do~m~r..Drt.v~ ........... Street Map No. Lau~'e~l, .Cl, y. Block No ........... Lot No. 32.:..Laura. el.. iN',Y., ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~a. A..1. 0, 19 ?~. pursuant to which Building Permit No. 6~.20Z.. dated .......... ~.a.:~ .... ~0...., 19.~3., 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 The certificate is issued to In.t~n~t..Heme.s -Inc...TO..-~ha~'les .Be,.n~et%...0~me.~ · (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval July,. 1 27,. ,1,97~- · .by- ~(,, ,VlL~.a. UNDERWRITERS CERTIFICATE No. N.,~ 006~8 ..... J~l~ ..3...1973 .............. HOUSE NUMBER 360a ......... Street , .De/mar. D.~.ive. · ,'- ...................... Building Inspector FOEtal NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N=. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6420 Z Date ................ : ............................................... Permission is hereby granted to: x~,~..~.o..~.~...z.~.e,. ............................................ .............. ,s.~..z.~.~. ...... .~.:~: ................................... ~o....~..z.~...~.~...9.~...q~ .~....t..z.z..~.~.~. ................................................................................. at premises located at ........ .~.~...~,.~ .......... ~.~'.~.~,....~.O.~q~;R~....~.~.:..~,.~.e.~ .................................... ................................................... ~.e..~.~.~...p.~ ......... ..~...~..x. ............................................................... pursuant to application dated .......................... J~B.~'. ....... ~..~.. ......... '., 19..?.~., and approved by the Building Inspector. Fee $.....~...".~g. ......... , THE NEW YORK BOARD OF FIRE UNDERWRITERS ' '' BUREAU OF ELECTRICITY J-7-[/8.k . "85 JOHN STREET, NEW YORK, NEW' YORK THIS CERTIFIES only the electrical equipment ~ described below and intr~uc~ by t~ appllca~t ~ed on t~ e~e application n~m~r in the premises of Charles J. Bennet, Delma~ D~ive, Laurel, L,I.' . Job 171 FIXTURE FIXTURES 18 31 ,21 18 DRYERS FURNACE MOTORS ~ 2nd Fl. OU~S ide','. Section Block , Lot and found to be iN compllbnce with the requlremet~ts of this Board. RANGES DISH WASHERS EXHAUST FANS ItM~ (:LOCRS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I' NO. OF HF~O C E *Fu~maees: Oil l~l/Shp, l~'t/12hp ',~:, ' ,; ,:, ;'~ ' ) George Zimlinghaus, ~ Pa~k Place, Patchog.ue, L.I,~ 11772 · , YI ~ D his cerfificote must not be oltered in eny monner~, return to the office o~ the Boord ffJnc~rrect. Inspectors moy be ide~y~th~enfiols. FOB~ NO~ ~ TOWH OF $O~THOLD Building Depa~tment Town Glerks Office Southold, H~ Y. 11971 AI~FLIlGATION FOR GEKTIFIGATE OF OGGUPANCY 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: l. Final sutYey of property with accurate location of all bHildings, 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 Refidences 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, sJreets, 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: ]. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 Date ....... J.1~...~...6.~ ~f} ................. New Building .................... Old or Pre-existing Building ................ ! ........... Vacant Land ............................ Location Of Property L431~ # 33, gelma~ DZ. Lat~el Couml=y Esl;., Laurel, N.Y. Owner Or Owners Of Property ...Bemr~eZ.t,,...Chaz.lem ............... ~ ............................................................. L~el Cotmt~y Esta~ces 33 Subdivision ................................................................ tot No .......... ,,. Block No ............. House No ............. 3-20-7~ -- Ii n' ~nalnd Homes Inc. Permit No..~....~..O....~ ...... Dote Of Permit .................... ~pp ca ~ .... ~ ............................................................. Health Dept. Approval ~O.Z~l~/.~-1~-~ ....... Labor Dept. Approval .... : ........................................... 655076/ 7-3-73 Underwriters Approvol .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final iCertificate ...... ~ ............................. Fee Submitted $ ..... .5¥00 ..................... Construction on above described building and permit meets all al~plicable codes and regulations. FORM NO. S TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 ApPMCATION 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 Un~Jerwriters. 4. Commercial buildings, Industrial buildings, Multiple ReSidences. and similar buildings and installations, a certificate of Code compliance from tRe Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where opplica~ble. B. For existing buildings (prior to April 1957), Non-conforming qses, 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, o~cupancy 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 pr land usd 3. Copy of certificate of occupancy $1.00 $5.00 Date ....... ~1'.~, ;~ ~... ;~.~ e .?..~. ................. New Building .................... Old or Pre-existing Building ................ ~, ........... Vacont Land ............................ Owner Or Owners Of Property ...B~-~.T~e~1;,...Ch~_~le~ .............. ! ................. ; ............................................ L~u.~el Cottat~y ~.states 33 Subdivision .......................... ; ..................................... Lot No .......... ;.. Block NO ............. House No ............. 3-20-73 · Inalnd Ho~es 'Inc. Permit I~,, (3~20 Z Date'0f Permit .................... Apphcont Health Dept. Approval .SO.l~,31~/.3,.1.~.7~...~..Labor Dept. ~pprovol ................................................ 655076/ 7-3-73 Underwriters Approvol .............................................. Planning Boa~'d Approval ........................................ Request For Temporary Certificate Final Certificate' . XX~ Fee Submitted $ ..... .5~(~) ..................... Construction on above described building and permit meets all a plicoble ~?des and regulations. Applicant ... ,,~T~T~ ~.~{;~.~.., ,~{~.~ .~r~?, ~ ~ ;.,~.~.,~. ~ ............. Sworn to before me this . ;,: ~ * (starn~ or seal) . .......... ,... day of ............................................ Notary Public . ....................... ;.., ....... County SUFFOLK COUNTY DEPARTMENT OF HEALTH APPLICATION FOR A, PPRO~AL TO CONSTRUCT ,PRIV,ATE SE~,A~E DISPOSAL SYSTEMS Date ,~/ Approval to construct said systems is requested,pertinent data herewith: .... 1-Applicant <l~aZ!~ J, D,~n~t Phone . . 6-Sub div L~C~ Address ~0:g J,.~?~ ~O, ,~t;iO~r%~ ,~*~ .... 7-Section 2-Detailed prope~y location Lg/:~. !f~%~a~ ~)~$72~ 8-Lot No. Hamlet ~1~1 To~ ~}~}~t~:h~*~gt 9-Private well? 3-~blic mter supply name . Distande to nearest main 4-Lot Size: Width ~,~ ft. Length 15~ ft. (~lso enter on center plot plan below:) 5-~elling: Single Family ~ T~ Family?~Cellar? ~lab? / ICrawl Since? lO-Proposed system: Septic tank g, /Precag~ ~ yCesspools ~yShallow pools ~Other l l-Sopg~e ~a~ 5nsS~e .~ensSon~ol~O~als.Long~h.,, fg. ~Sd~h ...... ~g. LSquSd depgh ..... 12-Precast sections. ~Numbeff~Squar~t. Cesspools. Block size~ines.~ins.~ins. Total blocks below inlet: ~1 ~2 .~3 ... PLOT PLAN Ca~eity~als. m ~ o ,fi 'ado c~ OW.L. Data Feet 0 2 6 8 10 i2 14 ~6 18 Indi The Undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Health De~rtments' current Standa~s, Bulletins, and amendments thereto, covering Private Se~ge Disposal Systems". Date "~/~ '~ ~ 3 Signed ~N~D ~L~&I~M~...~/~'~*~ $c~,~b~ ~'~ or Builder FOR ~ALTH DEPART~NT USE 6NLY. Based on the info~ation ~resented herewith, it is the opinion of the Health De~rtment, that an adequate and satisfacto~ Sewage Disposal System can be installed on this Plot. Date_,,, 7~_~ (10/65 Revis.) S-15 ~ Signed APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS INSTRUCTIONS: Applications must be submitted in triplicate 1-Means Owner or Builder. Address to which mail should be directed. 2-Means detailed description of property location, together with street name and distance to nearest intersection of main thorofare, also Hamlet/Village & Township 3-Enter name of Public Water Supply District, together with the distance to their main. ~Enter Length and Width of Lot under appropriate heading, also enter these dimensions on center plot plan shown on the face of this application. ~-Dwellings: Check-mark "V" items applicable to the proposed new dwelling. 6-Name of sub-division 7-Section Number 8-LOt Number 9-Private well: Enter "No" if Public water supply is available. Enter "Yes" otherwise. PROPOSED SYSTEMS: Answers to Items number 10, 11, & 12 please consult the Suffolk County Health Department's Standards, Bulletins and Amendments for Sewage & Waste Disposal Facilities. i.e., Part II-Residential Sub-surface Disposal Systems covering Cesspools Part III " " " " " " Septic Tanks Part IV " " " " " " Unusual soil conditions Part V " " " " " " Shallow Leaching Pools P__[OT PLAN: The following information is required concerning the Applicant's Lot: Lot size-Length and Width in feet to be indicated at the Lot lines of the heavy lined square in the center of Plot Plan shown on face of this application. Surface waters-Streams, Lakes, & Bays, etc., located within a distance of 50 feet of Applicant's Lot lines, must be shown on the plot plan also. Wells and Cesspools now on adjacent lots must be shown on the Plot Plan together with the distance to the Applicants proposed Sewage Disposal Systems and Well. Where no Buildings exist on adjacent lots, state "Vacant" on the plot plan. Streets adjoining applicant's lot to the right, left or rear, enter street name. __.~'.LL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following Standards must be observed: Well-lO0 feet minimum distance from the nearest cesspools Well-25 feet minimum distance from rear, and rear sides of property lines Well-lO feet minimum distance from front, and front sides of property lines Well-50 feet minimum below grade for well point Well-40 feet minimum into ground water for well point Well-4 feet 6 ins. minimum below grade to well head and lateral water pipe CESSPOOLS LOCATION: Upon determination of the Sewage & Waste disposal "type of systems" required, the following Sta.n,~dsr~, must be observed for the location of same: .~ .... ' .....~ ,?,b~ Cesspool-lO feet minimum ~tance'~rom lot lines to center of cesspool Cesspools exterior must be lO0 feet minimum distance from nearest well Septic tank exterior must be 75 f~eet from.~e~r~st well Cesspool "Center" must b~F,12t~ee.t'mi/nimum distance from nearest water line Cesspool "Center" must be 15 feet from house foundation Cesspool exterior must be 50 feet minimum distance from surface Waters, Streams, Lakes & Bays, etc. ~ . . Cesspools must be 20 feet minimum ~istance from large trees Cesspool center to Cesspool center must be at least 16 feet Cesspool cover top to grade must be held to minimum of I food to maximum of 2 feet Bottom of Cesspool to ground water must be held to minimum of i foot TOWN OF SOUTHOLD BUILDING DEPARTMENT~ TOWN CLERK'S ~UTH~D, N. ............................... , ~pr~ ........... .t..~. ........... ~..~. ........... , 19.~.. Pemit No. ~..~..~.~..~.~ ................. ..................................................................... ............ ............................ ' (Building Ins~r) APPLICATION FOR BUILDING PEIU~I 7~c:30. ~ iNST, RUCTtONS a. This application must be completely filled in by' typewriter 0~ in ink and submitted in ~ctor, wlth~ 3 sets of plans, accurate pl0t plan to scale. Fee according to schedule. b. Plot plan showing-location of lot and of'l~uildings pn promises, ,re~stionsh~p to adjOining premises or public streets or areas, anc~ giving a detailed description of layout of property must be drawn on diagram which is pert 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 .shell be kept on the premises available for inspection throughout the work. a. 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 ~IEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zon~ Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance~'or Regulations, for the constructionl6f buildings, additions or ~lteratiOns, o~ for removal or demolition, as'herein described. The applicant agrees to comply with all applicable ordinances, building code, housing code, and regul~li~ens, and to admit authorized inspectors on premises and in buildings for necessary intpectiohs. :' INLAND NONES, INC. (Signature of applicant; or name, if a corporation) Selden, New Ye~k 117S4 ' ~ (Address ef applicant) State whether applicant is owner, lessee, agent, architect, engineer, ~neral contractor, electrician, plumber or builder. Gen'e3~a.1. Contz'acto= INLAN]) FIOHES, INC. Name of owner of premises ............................................................. ~ ...... ,.,...:.,, ................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Electrician's L cense No....2...7..3..T..E. ...................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .............................................. Lot. No ...... .3..3. ............... Street and ........................................................................................................ ~. ......... ~ & ~ ~ Municipality i2. Stem existing use and occupancy of premises and intended use and occupancy of proposed construction: a: Existing use and occupancy ..... 7"" .......................................................................... "'~, ............. ~ ............................. I' , ~ . .X.. ... Addition ...... Alteration ............... 3. Nature of work (check which applicable): New Building ........... Repair ......... Removal.. ............ ... . ..... .. Demolition ........................ Other Work .................................... ................ (Description) $22,000.08 Fee (~'~' cfi 0 ......................................... 4. Estimated Cost ........................................................... i[;'G a ;;iication)" ' 5. If dwelling, number of dwelling units ..... ~. ......... NUmber of dwelling units on each floor ................... , ...................... garage, numoer OT cars ...................................... 6. If business, commercial or mixed occuoancy, 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 ........................................ 60 60 27 8. Dimensions of entire new construction: Front. ........................ Rear ............................ Depth ................................. Number of Stories ......................................................................................... Height 20 [ 3./2 ............. [56 1 'B [38 Depth .................................................. 9. Size of lot: Front ........ .~. ........................... Rear .......................................... 10. Date of Purchase· ......... ... ......... ..... ..... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ........................ 12. Does proposed constructi°n violate any zoning law, ordinance or regulation: ...... .N..9. ........................................... W;ll Intberenraded Y~e .......... Will excessfill be removed from premises: [ ] Yes [~J No 13 ......... . · ' ................ NONES INC, , ~e[den, Ne~ Ye~k ................... 14. Name of Owner o~ premises ................ .[.:.N..L..A..N...~. .............. .~ ..................................................................... 1' '."(Address) INLAN]} HOtqES, ,mi,., 5eld"~s New ¥o=k (PhoneNo.) Name of Architect (Address) (Phone No.) I'NLAN]) HI3NES~ [NC., Se[dan, Ne~ ¥o=k 732-2[77 Name of Contractor .................................................................... [~i~s')' ................................... [~'l~""i~:i ............... 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 t° deed, and show street names and indicate wheth- er interior or corner lot. ~ LOT f,~3 ! STATEOFNEWYORK. .~ .~..~'..~.~' ) COUNTY OF .............. ...~,,~c~..~......) SS ................................. K~J~N~.T.I~...W.,...,~J~UP~.~F'~.~...~.P......~ ....... : being duly sworn, d. eposes and says that he is the applicant above named. (.N~?, e o£ /rr~vidual sigr~ing contract} .r He is the ............................. ;ENE R .~,.L=....C...O. ,N..T..~..A.C...T...O..R. ................................................................................. (Contractor, agent, corporate of JTcer, 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 therewith. 00LORES SCROMBS ~ · NOT~Ry'PUBLIC, State of New Yor!~ i - - ' ............................ ~ ....... ~ ~JllJ~/_T~rm Expires March 30~ ~97~* · Notary public ............ . ...~':~. ~..,.:~~ Co u n W~"~r~ ........ ~L--_ ~'~ ....... ~=r.....-;--.~,~,..~. ................................ ($j,~zture of' bof D~PAE ....... SUFFOLK COUNTY HEALTH ~ m~,'~ The sewage disposal and water suoply facilities for this lccation have been inspected by this d~ment and found Chief of General Engineering Services NoT~: m ~MONUMENT $OBD/~I$10N MIJ ~FI~ED IN THE OFF/CE OF TH~ CAKRK ~UFFOAK ~OUNTY ON dUNE 8Z ~ 1970 4S FI~ENO R~V,S,ONS YOUNG & YOUNG MAR. 12,1973 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK APR. ALDEN W. YOUNG dULY 23,1975 LXND SURV[YOR, N,Y.S. ~IC, NO, 12845 N.Y.S. LIC, NO. 45893 SURVEY FOR: INLAND HOMES,INC. i AT U RANT . ~ECURITY' ~ ~ GUN tAN FY CO. Town OF SOUTHOLD X ;~oA~; ;' ~ '? SUFFOLK CO., N.Y. ~~ SCALE: iii = 401 J DA~E: MAR. 5,1973 J--' 75-166 DIETZGEN [35 ll846 Lot NO~-~ SU~iVi$~N MIIPP/~O IN THE .EWSIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ' ~ ~'~ ~'"'~'-"'"~ ~' LOT NO. 3 3," LAUR E L CO UNTRY AT LAUREL SUFFOLK CO., N.Y. SCALE: I" = 40' l j sT' ,,~-- z-oo ,~. ,," il Oi d Z~O~o~