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Home My WebLink About7129-zFORM NO. 4 TOWN OF $OUTHOLD BUIT,rlING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. 7.~.96~ ...... Date ............. June ..... 19-.., lg. THIS CERTIFIES that the building located at -De..~ar. t)l,. &. Joseph. II% · Street Map No. Lau.. Cry. E~lock No ........... Lot No..1..~..Lavxel.. $I.Y, ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... Ear .-~ .~ .... , 19 .~.. pursuant to which Building Pemit No. dated ......... I~r. · · 2.1 ...... , 19.71~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Pr$.v. ate. one. fa~:l.l.y..dw®il, ling ...................................... The certificate is issued to . Inland .tto~es. ~ ...... 0~el~ ....................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) J.u~e- -1.1 ·. '$971.. · .by. R..V~lia .... UNDERWRITERS CERTIFICATE No. 1~. ~ 61.9-7-1. · .. June. -$3. · .~.9]!* ................ HOUSE NUMBER . 2020 ........ Street .. De,nar. 2riva ......................... Building Insp~or 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? 7129 Z Permission is hereby granted to: Building Inspector:.. Fee ~ ................. Building Inspector TOWN OF SOUTHOLD ~-,/~.. ~/ /'~--~' ~/'~' BUILDING DEPARTMENT ~,~. ~ ~ ~ ~ /~. TOWN CLERK'S OFFIGE ~-/y-~ ~V . SOUTHOLD, N.Y. ~ ~~ ~ ~ ................... , ......... .... Examin~ ~proved ........................................ , 19 ........ Pemit No .............................. :~'... .......... .........~J......... ............................................................ Di~pproved ............................................................ ..... (BuildinO In~p~tor) APPLICATION FOR BUILDING PERMIT Date ....................... ...... ~. Thi~ application mu~t ~ com~lot*lg filled in b~ t~writ~r or in ink and ~ubmitt~d in tri~licat~ to th~ 8uildin~ *pecto~wit~ 3 ~t~ of plan*, aceurat~ ~lot ~l~n to ,cai,. F*~ a~ordin~ to ~ebedul~. b. ~lot ~l~n ~howin~ location of lot and of buildinfl~ on.premi~, r~l~tionship to adio n ngpr~m ~ or public ~tre~t~ or ~Nin~ a d~tail~d description of la, out of pro~rt~ mu~t be drawn on diagram ~hich i~ part of this application. e. Tbe work co~ered b~ thi~ ~lication ma~ not be eommen~d ~fore i*~uance of Buildin~ ~ermit. d. H~n ~p~ro~a~ of thi* a~lieation, the Buildinfl In*~*ctor will is~u~ a Buildin~ P*rmit to the applicant. Such ~rmit tbe ~r~mi~ ~ail~bl~ for in~ction throughout the work. e. ~o buildin~ ~bell ~ occupied or umd in whol~ or in pert for an~ ~ur~o~ what*~r until a C~rtific~t~ of Oeeupene~ ~h~ll ~r~nt*d b~ tbe Buildin~ In~ctor. 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 Southold, Suffoik Count'/, 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. Th~ 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 .... ZI~"~glII~8'i""Z~I3'~ .................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......... ,q,~?**l~ .................................... Electrician's License No ..... ~?~.,~,~, .................................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No.~411~.~..~o ....... 4.~. ............ Street and Number ..~,j~..~llll~..~.~...,~ll~l~..~l~...ia~l~l. lr.#~.y.v ..................... ~t~ .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ a. Existing use and occupancy .......... ~ ................................................................................................................ tJ b. Intended use and occupancy ........ ~l~.~all,~,l~..~llll~ ...................................................................................... ~ 3. Nature of work (check which applicable): New Building ...... ~ ............ Addition ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... c/§- (Description) 4. Estimated Cost ..... ~eO~OO-~)O .................. 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 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 ....~.A~. ........... Rear ..... ~9,~ ............. Depth ..,...~.?.. ...................... Height ................................................. Number of Stories ...........,1, ............................................................................ Rear ............ ~. ............................ 9. Size of lot: Front ....,~ .......................... :[~4 ~ Depth .....;~.{~.~..9.~.~. .............................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ..fJ~w..,~ll~,~4~...bxaz~a ............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ~Io. ............................................ 13. Will lot be regraded ---~. .......................Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ,~h~l~11~.]t~;~ll~.~..,~ll~.~....~;~K..~[~..e..~l;~;[l~ll~, ............ i~...~.~ ............ (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contracto ................................ [~,;~t'ress) '(Phone Nod PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-l~ack dimensions from property lines. Give street and block number or description according to deed, and show street names and indicat~ wheth- er interior or corner lot. . STATE OF NEW YORK, COUNTY OF ...................................................... .......................................................................................................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) He is the ......... ~i,~t,3l'~l~t,O~ .................................................. .'. ................................ ~.:. .................................................................................... (Contractor. agent, corporate officer, etc. J 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. ...................................... day of .................................................. 19 ............. (Signature of applicant) TOWN OF $OUTNOLD 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 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 ~..~.Be 13, 1974 New Building ..... ~ ...... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ]~./.~.id,~. of Delma. r Drive, Laurel, N,Y. ~, T,~=,~h ~+ Owner Or Owners Of Property ...... ~la,~d..,~p~ ~q.c.~ ..... ...................................... ., 2020 Subdivision 7~ALk~..~.I..C...o.~tr~: ~st~tes Lot No ......~,5..... Block No ............. House r~o ............. Permit No ......712,c~..~,. Date Of Permit ..~/..2,..l./..?..~,..Applicant InlAnd Homes, Inc. Health Dept. Approval ..G/.:L1./..'Z.~ .......................... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ~ Fee Subm tted $ .....5..;..0..0. ...................... Construction on above described building ~.,~ permi.t(~s, c~ll,,.~licable//~odes and regulations. Applicant ....................................... ~ Sworn to before me this ~ .... Z~ ...... day of .~ ........ ~Z.~ ....... (stamp or seal) ~ Noto~ Public ..... ~ ...... Coun~ MERLE JOAN B~U . ff~' SUFFOLK COUNTY DEPARTMENT OF HEALTH Heal th Department Reference Number Z.~.~ ~ ~ APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant I~ 14mI~mm Iz~., Phone ~98-96~ 5. Subdiv. ~e! ~. Address ~,, 1~9~ -. ~. Section 2. Property Location . Lot Number 45 8. Private Well ¥~ Village l~el Township. ~l~ld 9. Public Water 3. Public Water Company Name Distance to ~in 4. Lot size: Width ~,~et Length ~82,'9~ feet 10. (For Health Dept. Use) ll. Sewage.Disposal System: A. ~/~O0~gallon septic tank: Precast ~ Equivalent Block__ B. Leaching pools: Number of pools 1 Precast ~ Block Special If private well, fill in the following blanks: A. Tank capacity ~2 gallons B. Pump G.P.M. ~ C. Total well depth !/~ D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. 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 and Water Supply can be installed on this pl,ot. APPROVAL DATE"--~/?/7 ~ SIGNED ~ --'~--- -- S-15 Rev. 4/1/73 THE NEW YORK BOARD OF FIRE UNDERWRITERS a BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 1003S .. 19," 72 20 N 164974 THIS CE~FIES THAT o~y t~ e~t~M ~u~t ~ ~scH~ ~ ~ int~ ~ t~ ~i~t M~ on t~ ~ ~pl~n numar ~ t~ p~m~s o] ~and }to~es~ e/o Delmar Dr~ve, & ~oseph ~t., ~e~, L.~. J~b ~0~ int~f~l~ingl~at~n; ~ S~e~.t ~ lstrt. ~ ~ rt. outside s~t;o, s~ ~t ~ ~ exami~ on ~ ~ 0 ~ ~ 7 ~ a~fou~ ~ be in ~mptla~e with the requirements of th~ B~rd. COOKING DECKS OVENS DISH WASHERS I ~' II ~: TRAMS~ ] ~T. I H.P.H.P. I~:OF°'~T OF CC. COND, V I C Of HI-UEG EXHAUST FANS ~NUVlERS ,IO, OF NEUTRA~ OF NEUTRAL George ZimlLr~haus, Park Place, Patchogue, L.I. 11772 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAHNER, REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG PROFEffiffilONAL ENGINI~ER AND LANI) ~LIFIVEYOR SURVEY FI)R: INLAND HOMES, lNG. LOT 45" LAUREL COUNTRY ESTATES" AT GUARANTEED TO: LAUREL TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: 1":40' [DATE: FEB. 20, 1974 N~4-101 HEREON, AND TO THE ASSIGNEES OF THE LENDING ~NSTITUTION GUARANTEES ARE 44 Tho sewage disposal and ~'a*.er supply facilities for this location have been inspected by this department and found · ~%0 be sa%lsf jOSePH Chief of Oeneral Engineering Services STR CT NOTE~ · -' MONUMENT SUSDI V/S/ON MAP FILFD IN 7'HE OFFICE OF ;'ICE CLERIC OF S~IFFOLK COUNTY ON JUNE ~2,19F0 AS MAP NO UNAUT~4~IZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION ?209 OF THE NEW YORK STATE EDUCATION REVISIONS YOUNG & YOUNG Ap~.St /.9F4 400 OSTRANDER AVENUE. RIVERHEAD, NEW YORK APR. 25, 1974 ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, INC. LOT 45" LAUREL COUNTRY ES AT LAUREL sou SCALE: 1":40' J DATE: FEB. 20, 1974 N~- 10 I :',' ~PPROYED AS NOTIFY. BOILDING D[P~RTM~NT ~: 2. B~FORE COVERING pIP~LINE r '1 L_ l~h4'