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Home My WebLink About6769-zFORM NO. 4 TOWN OF $OUTHOLD BUILBING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .D.c..1~..a.r.,..L/A~..~' ............. Street conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........J.~/Y. 3],~..., 19.73. pursuant to which Building Permit No..6769z. dated .........Atl$,. ~,! ..... , 19.73, was issued, and conforms to all of the require- '--~,,~mants of the applicable provisions of the law. The occupancy for which this certificate is The certificate is issued to .... Gary. D/ntz.to ..... ~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ....0.e.~.:..1.8.1~..197.~.. ~ ..R:...~...L~... HOUSE NUMBER 37~0 Street Delmm,' La~e Building Inspector FOBM 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? 6769 Z Permission is hereby granted to: ........ b32.... J~tld~ta..O~tr~...M .................. ......... 7.4tetd~....ir ,]~.r ...4 ~ ..................... to ~u/~ a ..ne~...~ne.. ~uctl;~.. d~l;l.la~ ..................................................................................... at premises located at ..~1~.~ ....... ~, ....... ~au~el..Cmmtl'~..~:l~f. ls. ......................................... .................................... , .3~e~.....~ ......... ~e.~m3, ...................................................... pursuont to application doted .............................. ~Tu~**..**~ ....... , 1~.~ ...... ond opproved by the Building Inspector. Building Inspector [ THE NEW YORK BOARD OF FIRE UNDERWRITERS C,~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Gary Dinizlo, 3e/s Delmar Dr., Job~196, in thefollowlng location; [] B.~e,.e.t [] ~,t ri. [] ~,d rt. 0 Ut Side sec.o,, mo~k Lot ~2 was examined on OCtObO~ 12, !07~ and found to be in compliance with the requirernents of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 15 17 DRYERS TIME CLOCKS SYSTEMS NO. OF FEET E E R V I C NO. OF CC. CONO. A. W, G, P~R ~ OF CC. COND. u~uace/s, Oil, 1 1/Uhp, i ±/±~np *Wuture appliance feeder/s: 2-3#8, 1-2#12. Hotor/s: 1-1/2ht~ OF HI-tEG NO. OF NEUTRALS OF NEUTRAL ~I Park Place , ,,t c:hogue, L.I. 11772 O~N~AL mANAO~ ll COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF ~OUTHOLD Building Depaffment Town Clerks Office Southold, H. Y. 11971 APPLIGATION FOR C:ERTIFICATE OF OGC:UPANC:Y 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 alt 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 oppllcable. 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 $§.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .....O..c..~ .'....,3:..8. A ...~ .9..?..3. ............. New Building ..... ~:~ .......... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .... ~./..S....D..e..];..m...a..:....,D..~.~.v..,e. .......................................................................................... Owner Or Owners Of Property .,~..~.......&.....N.~..s........G...a:z'.~.....D..~.n..~.~...~..o, ............................................................. Lauzel Co. Estates . _., 32 Subdivision ................................................................ LOT r~o ............. Block No ............. House No ............. Permit No. 6769Z Date Of Permit ~./...~../.~..3......Applicant Inland Ho?..e.s, Inc, Health Dept. Approval ..~../..~...5../.?...3. ......................... Labor Dept. Approval ............ ..~..~....~....., .................... Underwriters Approval .... .3....0../...2..3../...?..3. ....................... Planning Board Approval ........ ~./...~.~./. .................. Request For Temporary Certificate ........................................ Final Certificate ........... ~ ........... Fee Submitted $ ...,~.,.Q0 ........................ Construction on above described building ~m~ets all~a~3plical~e code,~ ond regulation. A ,con, pp .............................................. ~ ~. ~-.r~,-..~ .; .~..~....;...-w~..¢ ................ ~.. Sworn to before me this .... o, ............... Notary Public .................................... County (stamp or seal) SUFFOLK COUNTY DEPARTHENT OF HEALTH B.D.Reference No3~6 -/Of 7/~3~973 APPLICATION FOR APPROFAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Approval to construct said systems is requested,pertinent data herewith: i-Applicant MX. Gaxy Dinizio Phone 6-Sub div Lamxel Co. Estates Address _ . 7-Section 2-Detailed ~ert~ location E/S ~m~ r,~iv= 8-Lot No. Hamlet " Town $ou'~hold 9-Private well? 3-Public water supply name Distance to nearest main 4-Lot Size: Width 138ft. Length 15Tt. (also enter on center plot plan below:) 5-Dwelling: Single Family ~X~ Two Family? ] ]Cellar? ~_~Slab? ~_~Crawl Space? lO-Proposed system: Septic tank .~ ]Prec~$~--~--/Cesspools ~Shallow pools ! il-Septic tank inside ~imenslons. Volume~z~als. Length ft. Width ft. Liquid depth ft. 12-Precast sections: ~JNumber~Squa~. Cesspools: Block sizeL incs.D ins. H ins. Total blocks below inlet: ~1 ~2 ~3, -- PLOT PLAN Delma.r Drive Street ~eet 0 2 4 6 8 10 12 18 ~o~ o m ~ ate th ~ ~ = Indi The Undersigned CERTIFIES: "Construction of authorized installation: will be in accordance with the Suffolk County Health Departments' current Standa~l.s, Bulletins, and amendments thereto, covering Private Sewage Disposal Systems". Date 7/23/1973 Signed Inland H~mes Inc./Kenneth 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 (10/65 aevis.) S-15 Signed~ ~ TOWN OF SOUTHOLD /~e ~.~r-~/t~Je~, ~ cuR 's omc: ,' - ~min~ ...... .~....t .............. . 19~. p~,ic~i, N~ d.Z.....¢ .............. ............... ......................... 7 APPLI~TI~ FOR IUILDINg FE~IT~ff~ ~ - .... 2t. ............... . . a. This lppli~fion ~UR '~ '~mpletely filled in by ~writer or in ink and submi~ed in ~ripli~m to the Buildi~ Im~or, i 3 ~*~ of ~m, ~rJte ploL ~len *o J~le. Fee i~rdi~ to m~dule. ~ b. PIol plan ~owing I~flon of '1~ an~ of ~ildin~ on premiX, ~lefi~nihip ~o ~oini~ pmmi~ or ~blic st~ or ~re~s, ~ giving a ~il~ ~ripfi~ of layout of pro~rty mu~ ~ dr~n on di~m which is ~ of this Ipplimi~. c. T~ wo~ revered ~ this ~li~tion my nm ~ ~m~n~ ~fore i~yan~ ~ Buildi~ Permit. ~. d. U~ i~rovll of thi~ ~li~tion, the Building. Im~or w~l i~ ~ B~l~i~ ~rmit to the ~ppli~nt. Su~ ~rmi*,ihell ~ ke~ ~he pmmi~ Jwil~ble for iron.ion throujhoul the wo~. ~ I. No ~ildi~ ~hJll ~ o~pled or u~ in whole or in ~ for ~ny pur~ wherever until I ~ifi~te of ~ ~h~ll he~ ~ ~ by ~ Building Inl~or. '~' APPLICATION iS HEREBY MADE to the Building Department for the ir4uance of e Building Permit pursuant to the Building Zone Ordinance of the Town of Southold~ Suffolk County, New York, end other eppliceble Laws, Ordinanc~ or Rnguletions, for the eonltruction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agree~ to comply with ell applicable Ilwl, ordinencel, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildingl for necal~ry inlpecflom. (Signature of applicant, or name, ifA corporation) ........ (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. (..Name and title of corporate officer) Builder's License No ....................................................... Plumber's License No ....... ,53,'Zw~. ...................................... Electrician's License No...a~Z.~..-.~. ..................................... Other Trade's License No ................................................... o r w be do .............................................. Lot No ......................... Street and Number ........................................................................................................................................................ 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 ana occupancy ....................... : 3. Nature of work (check which applicable): New BUilding ...... X~ ............ Addition ..................... Alteration ............... Repair ................... ............. Removal .................. Demolition ........................ Other Work .................................... (Description) ~22s000'00 Fee ....................... 4. Estimated Cost .............................. .... ... · .... -.- (to be paid on filing this application) 5. If dwelling, number of dwelling un ts ,6. .......... Number of dwelling units on each floor ......................................... If garage, number of cars .....1,.. ..................................................................................................................................... 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 ........................... L ........ . ;~.. Number of Stories ........................................ 8. Dimensions of entire new construction: Front';;B~lj~. ........... Rear ...5~l.~ .............Depth .....2~ ...................... 18t 1, Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ....... ~.~ ........................ Rear ......... ~ .......................... Depth .......... ~..5..~. ................................. 10. Data of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises arc situate.od ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be re~aded ...... ~ .................... Will excess fill be removed from premises: [ ] Yes ~ No 14. Name of Owner of premises ...~a.l.aZt~.,~..Z~. ........... .~,~.,l~;l,f~l~lL~.~..~l;[~..~lll~;I ............ .~. ...... (/~ldress) ~ # ?~..~l.?~Phone No.) Name of Architect (Address) ........................................... iPhone No.) Name of ContraCtor ....................................................................................... ~ ........................................................... (Address) (Phone No.) PLOT DIAGRAM ?-~a~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions ~rom property lines. Give street and block number or description according to deed, and sb~'st~ names and indicate wheth-_ ~ erinteriororcornerlot. 57' STATE OF NEW YORK, (~'~'/.~ ) SS COUNTY OF ................. .'~Ir2~..../t'~_..¥..,~.~ ........ ) ~ ' n rn a -~a s hathe stheapp ~nt above named ............ "- · .................... ~ .................. ~ .......................... Z,~-~;; ~;~ ~.~ ~ Y3.. ' * · [Na~ o/inaivia~t si~ing co~~ He is th~ .............................................. ] ............. 7...~.......~ .............................................................................................. {Cont~ctot, a~t, coyote of~r, etc.} o~ said o~ner or o~nara, and is duly authorizad to ~dorm or be~a ~for~d tha ~ai~ ~o~k and ~o maka and ilia this a~li~tion; that all statements co~ainad in ~hi$ a~lieafion~ara ~ua to t~ ~st o? his knowl~ and ~liaf; and that tbe work will ....... ..................... ~~ ~ar~h' ~ 1~ ~ {S~m~ of ~pli~t} LOt DIETZGEN 135 118~ UNAUTHORIZED ALTERATION O11 ADDITION TO THIS SURVEY IS A VIOLATION OF I -- MONUMENT SUSOIVI$/ON MAP F/LEO /N THE OFFI¢~ OF T/~£ CL~K 0F~/FFOLA' REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES,iNC. L0T N0.32, "LAUREL COUNTRY AT LAUREL TOWN or SOUTHOLD SCALE: I' TM 40' DATE:dULY 20,197 -701 SUFFOAK COUNTY HEALTH The sewage disposal and ~ater s~,~,~ty facilities for this location have bee': inspecte~ by this d~en~n~ fou~ %o be satisfactory, i % ~ ~. Chief of General Engineering Services DtETZGEN t35 1184~ · -' MONUMFNT RKVISIONS YOUNG & YOUNG AUGI7, 197:~ 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK AUG. 21~ 1975 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES,INC. LOT NO.52,"LAUREL COUNTRY ESTATES,~. AT GuAR T TO: LAUREL mvE~l~vT~ds .~K w OF co., APPR ' DATE: 765.2660 'gAM TO 4PM '1. BEFORJ:' BACKF LL NG 17.'0" I,I APPROVED AS NOTED '~5-2660 ~AM TO 4~M .FOR ; r ED INSPECTIONs: ,' ;' :'" ~ ".~"~ ~ION OE STAET~