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Home My WebLink About6737-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Occupnncy No. 7.~8-~6 ...... Date ............... ~r .... I~..., 19.~.. THIS CERTIFIES that the building located at ... l~lmar..&Gina. Si; ...... Street Map No. Lau,. Cry..~ock No ........... Lot No..17 .... Laltt®]....I~,~.,. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... Jul.~ ·. ~ 7 ·., 197~. pursuant to which Building Permit No. 6.7.37Z · dated .......... Ju,],y...1.8..., 19.7.3., 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 P. rf~'ate, one. family..d~ll.~[ ....................................... The certificate is issued to ][nland~ .Itom~s. Ine ......... .Ovntl' ..................... of the aforesaid building. Suffolk CountY Department of Health Approval (owner, lessee or tenant) ·.Oet. · .18. · .197.~ - .by. R.. ¥:[11~... UNDERWRITERS CERTIFICATE No. ~. 12-1212 ..... 0c.t .17...197;~ .............. HOUSE NUMBER ...3000 ....... Street .. Ds]mar. D.r ............................. ¢~- ........... TOWN OF SOUTHQLD BUILDING DEPARTMENT 'TOWN CLERK'S OFFICE SOUTHOLD, H- Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 6737 Z Permission is hereby granted to: .l~....IL~M~e.,Ce~mla~. ateml ..................... ........ .~.*.~.*.~ ....... ~.,.~.,..,..L~.~.~ ....................... to .I~J. cL. ~s~v...cm~.. ~'~JtJ~...~ .................................................................................... at premises located at ................ ........ ~ ............................................................. ............................. ...~3aaLo..t...a.....~,..Jl~ ........ I~;L.'. ........................................................... pursuant to application dated .................... ~M~......~.~ ................ , 19.~..~.., and approved by the Building Inspector. F.~ $.59.~ .......... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~4: BUREAU OF ELECTRICITY ~ 85 JOHN NEW NEW YORK 10038 STREET. YORK. THIS CERTIFIES THAT InIan~ Homes, e/s~de De~a~ Drive, baur~ Z outg'~lde ~,~..~..ao. October 12, 1973 OUTLETS SWITCHES FLUORESCENT TIME CLOCKS SYSTEMS NO. OF FEET E OTHER APPARATUS: S E R V I C 1-2fl12 NO. OF HI-LEG NO. OF NEUTRALS A.W.G. OF NEUTRAL Per 1 t COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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. 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 ..Q~ ~.,... ~.5 ~... ~..~.7.~. .............. New Building ..,XX. ...........Old or Pre-existing Building ............................ Vacant Land ............................ ~/side Delmar Dzlves Laurels N.Y. Location O~ Prope~y ..................................................................................................................................... Owner Or Owners Of Property ...~..~..~..e~....d.....H..o.~.e..s..~.....[..n...c.... ......................................................................... Laurel Country Es~;al:es L~t 37 Subdivision ................................................................ v No ............. Block No ............. House No ............. Permit No..6.~..3...?'..Z. ....... Date Of Permit .Z/..~../.?..~....Appllcant .~.~...]:~.d.....~..°..~...e..s..L..[..~...c..~. ...................... Health Dept. Approval ...T../.~/..~.3. ........................... Labor Dept. Approval ................................................ 10/17/73 - · Underwriters Approval .............................................. r- annmg Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ~ Fee Submitted $ 5. OO Construction on above described buildJng/~ an~d.peut~e_ ets ~11,~ p, plica~/~r, ~ .e, ~g~l,~.i.o?s~,,~,. Applica n~. ~:...~....~'~ Sworn to before me this ........ · ~-..., day o ........ ,~.,~. .......................... Notary Public .................................... County (stamp or seal) SUFFOLK COUNT~ DEPAR'I%~ENT OF HEALTH H.D.Reference WESTERN DISTRICT, HAUPPAUGE, NEW YORK ~PPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS 7/6/73 ~pproval to construct said systems is requested,pertinent data herewith: Date 1-Applicant Inland Homes Inc. Phone732'21??6-Sub di~,Laurel Co. Est Address 432 Middle Co. Rd.~ Selden~ N.Y. 7-Section 2-Detailed property location ,E/$ Delmar Dr. 8-Lot No. · Hamlet Laur~_l Town $outhold 9-Private well? Yes 3-Public water supply name Distance to nearest main 4-Lot Size: Width_~;&~=_ft. Length.~4w~_ft. (also enter on center plot plan below:) 5-Dwelling: Single-Family ,~A,Two-F~mily? ~ /Cellar? ~_/~Slab? ~Crawl Space? 10-Proposed system: Septic ta~ / /Preca~ yCesspools / /S.hallow pools Il-Septic tank .inside ~dimensions:' Volume '~als.Length ft. Wxdth.__ft. Liquid depth f; 12-Precast sectmons: F ;Number~_/Square Ft. Cesspools: Block sizeL__.incs.D.__ins. H_...~n_ Total blocks below inlet: ~1 $2 $3 PLOT PLAN Ta Ca pacity ~aL_ ,C 'ado ~?,?, , 6 W.L. ' r~ ~= Indi~ No~ T.~t ~ !Data ~ee~ 0 2 6 8 10 ~6 The Undersigned CERTIFIES: "Construction of authorized installations will b· in accordance with the Suffolk County Health Departments' current Standards, Bulletins, and amendments thereto, Covering Private Sewage Disposal Systems". Date ~/6/~ Signed Inland Homes Inc./Kenn,e~k W. Thurber FOR ~&LTH DEPARTMENT USE ONLY. Based on the ~nfo~ation ~ opinion of the Health Dspa~%ment~ ~hat an ad~uate and satisfacto~ Sewage Disposal System can be installed on this Plot. Date TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~,ERK'S OFFICE SOUTHOLD, N. Y. ...... Application No..~..!...~'...~. ................ Approved Disapproved a/c ................................. (Building Inspector) APPMCATION r~R BUILDING PERMIT ~ ~: Date ..... .T..~,~,.~..~.:~ .......................... , 19.....v ...... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with~: 3 sets of plans, ancurate plot plan to scale. Fee according to schedule. b. Plot?l,?.&~,l~c?,!o ~,~f...k~,~ :and. o~ bu.i,l~'~ .~p~.m, is~£~let~i,eg~,.l~p ~te, adjoini.ng:l~r.§m.i~es or public streets or areas, and giving a detailed del~ ptlon of ayout 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 agproval of' this application, the Building. Inspector will issue a Building Permit to the applicant. Such permit?hail be kep the premises available for inspection throughout the work. e. No building ~hail be occupied or used in whole or in pert for any purpose whatever until a Ce.rtificate of Occupancy shall have be~ni granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of 8outhold, ~uffo~k County, New York, and other applicable Laws, Ord nancas or Ragu at ons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with Idl applicable laws. ordinencas, building cede, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for neca#ary inspections. ' ........................................ (Signature of applicant, or name, if a corporation) NeY. 117~4 (Address of applicant) State whether applicant is owner, lessee, agent, architect, 'engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................................................................ ; ............................................................................... If applicant is a corporate, signature of dUly authorized officer. Bui(der's License No ..................... . ..................................... Plumber's License No .......... .~I..'F-~ ................................... Electrician's License No ...... 2~.3m~, .................................. Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .............................................. LOt No...~'...i ............... ' Street and Number ....... .~t&..B~Idi~I,..I)~%.i~o..E~ii~.'IT..~I~.I~! ........................ ~ ........................................... "~000 Municipality 2. Stata existing use and o~upency of premises and intanded use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... 3. Nature of work (check which applicable): New Buildi.o~ .~ ..................... Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... ~~"/¢' i ~l;~t.~:... (Description) 4. Estimated Cost ............................................... Fee ~......-.. ...................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................. Number of dwelling units on each floor ......................................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occuoancy, specify natu~ 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 ............................................. He,ght ......... , ............................... Number of Stories ........................................ · ' ; epth ...... ~....,$. ................. 8. Dimensions of ent,re new construct,on: Front ..... ~ ............... Rear ...~ .......... D Height ......... ~1~ ................................... Number of Stories .,..,, ................................................................................... 9. Size of lot: Front ..... Z,~4,..,, .................... Rear ......... &24 ......................... Depth ............ 3,&% ............................... 10. Date of Pumhase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ................................................. 12. Does propmed construct on late any zon,ng aw, ordinance or ragu ation: ............................................................ 13. Will lot be raereded ----~ee ...................... Will excaSs fill be removed frompremisas: [ ] ~es ~] No 14. Name of Owner of premill '~al~;iIeIel"Z'ie'"4~'~'~~I~'"lll~'""Ali&l'l~'o~';t;-"[,,~w,,.., ~., ,~., ....... ; ........ Name of Architect ..................................................................................................................................................... (Addre~) ~PnonwNo.) Name of Contractor ..~lltI~ll~..~.l;...Z~.a,.~.~..~'~If~l~...I~l~.e;;il[~..e.~;~;,.~s~.;...lJ~......-~.......~.. ........... (Addreu) (l~none No.} PLOT DIAGRAM Locate clearly and.dlltinctly Itl butidln~I, whether axlIflng or proposed, and indicate all set-back dlmenMonI fron~ ' property lines. GiVe itmet and block number or deI~rlption according to deed, and show ~treet names and indlcate wheth- er interior or co~r lot. co / STATE OF NEW YOIZI~ a/ ) : COUNTY OF .,,.. ....... ~1~ .....?.....~.. .............) : ........................ .~:r...g,~,,sc~ffP..~ .....................being duly sworn, deposes and says that he is the applicant above named. (N~m~ O[ irt dt'l~ _d~// , ..,,th. ..................................... ":: ' ' -- "7£7/~;;;;;~;';;:";~; of said owner or owners, and is duly authoriz~:J 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 therewi~h; 15R~1!: : ~ ...~.'r:'..._ · ........ ~.~ ........ _ ............. ~,../. .......... f ......... [~otary runhc, .~..~~ ......... !~i~ ........................................................................................................... (SineCure of applicant} # Lof REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERH£AD, HEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, INC. LOT 57 '° LAUREL COUNTRY ESTA~ AT GUA LA U RE L sEcu~"~J ~.~11~ ~,co. TOWN 0F S 0 U ~ U 0 L D ~ (l SUFFOLK CO1, NJ Y. SCALE: i,J: 40, GINA L:404~' Lot SUFFOLK COUNTY HEALTH DEPARTMENT DATE 0o'r 1 ~ lg?3 ~. ~. ~?. The sewage diz~cm I -~:: =? Chief of General ~ng!neering NOTE: m = ~ONU~N T SUBDIVISION MAP F/LEO IN THE OFF/CE OF ~H~ Ck~RK O~ SUF~OtK C~NTY ON UUNE ~ 19 ?0 AS PILE NO, .EV,S,ONS YOUNG & YOUNG SEPT. 10,1973 400 0$TRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, INC. LOT 37 "LAUREL COUNTRY ESTAT~ LA U RE L SECUR I '~T ITU SOUTH{ TOWN OF ' SOUTHOLD ~~{' }~,- .~ ~'~ I.~ co,, L II '0" .9 NOTIFY BUILDING 765-2(~60 9AM ~O BEFOEE ~ACKFILLJNG Z. BEFbRE, (~Q}/ERING/PiPE~-i~E"u: