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Home My WebLink About8964-zI~OI~M NO. 4, TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No...Z.9.'~ .29 ..... Date ...... ............. ,19... 7 THIS CERTIFIES that the building located at . ~..85... Nol~.th. 0.~aKwoo.d .Dr.,. Street Map No...2.12 ...... Block No ........... Lot No ............ 28 .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... No.v. emb.er...1.6. .... , 19..7.6 pursuant to which Building Permit No.. 8~.64Z. dated ...N.o.v. emb.e~....1.~. ....., 19.7.5., 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. rtYe~ce. One .Fan~Lly. I)~ze~Lltn~ .................................. The certificate is issued to ....... .George .Pa~umbo..Jr, ............................ (owner, ~t) of the aforesaid building. Suffolk County Department of Health Approval .......... 6-SO-182 ................. UNDERWRITERS CERTIFICATE No ....... N~.(~35~. ............................. HOUSE NUMBER ... ~.85 ....... Street ...... ~or~:h .0,~.~0~t. D.r. 5,ve. ............ ............................................ L~ur.al ~ . N.~ . Yor~ ................ Building Inspector TOWN OF $~UTHOLD 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? 8964 Z Permission is hereby granted to: t/l , , I/ ......... ~7. ,c~...<~.~.... ...... ~. ............ ~::~i/~.,~~-- ...... ~.. ...... ~ ~'. -- .................. / ...... .~ ............................................ , ...................... ~~..~...::..~....~ ................................. .~..~...~....~~....~ ....... ,.~..:~...~.~ .......................... Building Inspector. Fee $..'~..!,....; ............ Building I~spector l~OltM NO. 6 TOWN OF SOUTHOLD , Building DepOl~ment Town C:lerks Office Southoid, hi. Y. 11971 APPMGATION FOR CERTIFIGATE 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 premlses, or other pertinent 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 1'2--/ '~s~ /? ~ Date ........... :,. .......... ~y. ................... New B~ilding .......~.... ..... Addition .......... ~.... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ../.~..c~,q'~b..:.C.)..f.~%.W.C~&.~.....~...,C~, ......... ~¢..~L,.....~..~...V. ...... /./.~/..~.:.~... .............. Owner Or Owners Of Property Subdivision ................................................................ Lot No.. '~..... Block No .............House No.~..~.~.~. Permit No....~.~...x_/..~.. Date Of Permit /..~/~pplicant ..... ~.~..~.~;~.......~[..~'bC~ .................... Health Dept. Approval ............................................ Labor Dept. Approval ~/'/~ ' ,4/,/4, Underwriters Approval ..~.~..~.....-~...~.~...~../~r. .................. Planning Board Approval ............ ,..,. ....................... Request For Temporary Certificate ........................................ Fincd Certificate .......~.~ ..................... / Fee Submitted $ u~...~.~.. ................. Construction on above described building and permit meets oil applicable/cedes and regulations. ............................. Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) NOTE N i.ot . SUBDIVISION MAP FILED IN THE OFFICE OF rNE GLEI~KOFSUFFO~K COUNTY AS WATER SERVICE~ PRIVATE W~ APPLICANT rELiC ,SUFFOLK COUNTY D~p,~,'iMi~NT OF HEALTH SERV!CE$ FOR APPROVAL OF CONSTRUCTION ONLY OATE,__-~ . HS REF. · A~PROYEg~ ~ ' lC YOUNG & YOUNG SURVEY FOR: GEORGE PALUMBO, JR. LOT NO. 28 "LAUREL PARK" ' LAUREL i c~t/cAGo TITLE INSURANCE CO. ~o',, ~ ,.~r SOUTHOLD ~:'~*'~: 1"=40' ~L.~,* SEPTi~i97~,'t 7G-792 APPLICANT' ADDRESS_ TEL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF. NO. ~;- APPROVED .......... NOTE: Lot 0UL.ACD YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERFhCAD, NEW' YORK ALDEN W, YOUNG ~HOWARD W, YOUNG SURVEY FOR: GEORGE PALUMBO , JR. LOT NO. 28 ' LAUREL PARK" LAUREL i cNl¢Aeo r/r~E INSURANCE ¢0. 'row~ o~ SOUTHOLD WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPART~[NT APPLICANT: ADDRESS TEL S~FO~ COW ~. o~ MAY 3 1 1978 ~he sewage dl~posal and water ~ugply facilities for t~l~ loc~tion have b~en tnspeeted by this d~rtment ~d found ~o bo satlsfao~ 16,000 sq. ft. Lot m -' MONUMENT ' SUBDIVISION MAP FILEDIN 7NE OFF/CE · OF THE ClERKOFSUFFO~K CO~INTY AS MAP NO. ~1~. YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, ~EW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: GEORGE PAL UMBO , JR. LOT NO. 28 "LAUREL PARK" APPLICANT: ADDRESS ..... TEL. NOTE: · =' MONOMENT SUBDIVISION MAP FILE~ IN T~E OFF/CE OF THE C~EHK O~SUF~K ~UNTY MAP NO. W~TER SERVICE: P~IV~TE W~ ~Y F:,gC0¢1c ,130dl. l~ REViSiONS YOUNG & YOUNG 400 OSYRANDER AVENUE, RIVERHEAD, {~EW YORK ALDEN W YOUNG SURVEY FOR: GEORGE PALUM~O ~OT NO. 2~ LAUREL PARK AT LAUREL -row~ of SOUTHOLD SUFFOLK Oft, ~ I SCALE / ti.._ 40I DATF; HOWARD W, YOUNG I I NOTIFY BUILDING DEPARTMENT A~ 1. BEFORE BACKFILLING FOUNDA- TION OR START FRAMING 2. BEFORE COVERING PIPELINE 3. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CON- STRUCTION ERRORS