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Home My WebLink About8736-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ...Albo..1)x'$.v,e ............. Street Map No.. XX~ ....... Block No....XX~ .... Lot No, XXX.. I~tawel...N,~.o ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. $6..J.u..l~, 1~.~... pursuant to which Building Permit No. 8~/36F~. dated ..........~.ul.~r...~..6..., 19..76., 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~.t~a~.0..o.~.e...f.a.m. $!y..dvf~l. ll~g ...................................... ,. The certificate is issued to ~Ich~el. &. ]~lyllis. G~raled ........ ~Aer~ ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Dee...~-9.- .1.976...by. t~, .Vit. l.a.. · UNDERWRITERS CERTIFICATE No. ~3167~;2 ....... l)ee..1~...t976 .............. HOUSE NUMBER .... 1.28~ ...... Street ... Albo. l)z'.i, ve ...... i,~u~et .............. · .~ .0.~.~..Fo.~.t~ngz..under. de~k. piars, to..be. $nst~le~[...when. -weather. loermit s .... ........... Building Inspectbr gORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORfZED) N? 8736 Z Dote ........................... Permission is hereby granted to: Earm~te~... ~u~Zd~g ..f~.o .... ~]C ..-~i~e 1. Gererd ................ .1.2~..... ,qwa.~.. Lake.. P. r. ...................... Pateho .~,.9 ....... to $..~i:kcl. z~e~. one. famil~..dw~llt~g,, ( subject .to Su~f~ Co ,H~alth Dept reqts. ) at premises located at ....;~/_E.....Alha....D.:~£~re .................................................................................. ........................................................ .~..~r.~.],a ....... ~.,.~., ....................................................................... pursuant to application dated .......................... ~.~.~-Y ....... .1.(~ ........ , 19..~.~t., and approved by the Building Inspector. Fee .,~.....~...,..1..0., ............ THE Date December NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK. NEW YORK 10038 ~, 1976 ,,,~liea,,on.~'o. on~'e ~S~0~2 N 316753 THiS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nozned on the above application number in the premises of Michael OerarSs, e/s Atbo Dr. 280' s/o 0.[. Lane, Mattltuck, L.I. in thefollowlng location; [~ n,~e~,~,t [~ ~st ~l.' ~ 2.d rt. Out side Section BIodh Lot wasexamlnedon December 13, 1976 andfoundtobelncq.tpli~ncewith therequlremenrsofthlsB?ard. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN5 FIXTURE SWITCHES 14 13 DRYERS Motors: 1-1/2hp. 1-G.F.C.I. 1-Smoke Detector E R V I ¢ E 2 AWG Sapanaro & Mineo, Inc. 102 Oak Ave. ' 6 Li c # 334 E GE~ERAZ Shmrley, N.Y. 119 7 D Per This certificate must not be altered m any manner; return Ia the office of the Board if incorrect. Inspectors may be identified by~eir credentials. ~....OU[4~[ Y OF [.;UFFOLK DEPARTMENT OF HEALTH SERVICES June 29, 1976 Mr. Michael Gerard 24 Harshmallow Drive Commack, New York 11725 Dear t~r. Gerard: Re: Application to Construct a Private Sewage Disposal System, 280' s/o G~ Lane, e/s Albo Drive, Laurel, Town of Southold At the hearing held on June 15, 1976, in the office of the Suffolk County Department of Health Services, H. Lee Dennison Executive Office Building, Veterans Memorial Highway, Hauppauge, New York, you had an opportunity to present your appeal of the department's ruling on the subject application. I'n accordance with tl~e provisions of subdivision (c), Section 7, Article I of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Based on the information submitted, {hat this application be approved ~rovided that a minimum distance of ~5 feet ~ith one cesspool or a,minimum distance of 65 feet from Horton Creek be maintained if it is found necessary to construct a two-pool: system. It is also required that the proposed well be 70 feet in depth if this does not pose a problem of salt water intrusion in which cas~ the well may be withdrawn to the depth necessary to obtain a potable water supply. Since the determination of the Board of Review submitted to the Commissioner's office on June 23, 1976, has not been ~eversed or modified by her, it is therefore deemed to be the determination of the Commissioner. HWD/gph cc Ro~bert A. Villa, P.E. .~ard of Review File ~Southold (T) Bldg. Dept. Very truly yours, H.W. Davids, P,E. Chief Bureau of Environmental Heal(h INSTRUCTIONS cation a. This must be campletely filled in by typewriter ov in ink and submit~e~ in trJplicMe to the Building Inspector, with 3 ~ of pions, accurate p~ae plan to Kale. Fee according to schedule. b. Plot plan showing, location of lot and of buildings on premises, relationship to adjoining premises or public str. ee.~. areas, and giving a detaded description of layout ofpr(~rty must be drawn on the diagram which is part of this agplmatlon. c. ~ work covered by this applicatiOn may not be commenced hefor, e issuance of d.Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall bekept on the premises available for inspection throughout the work. e. Nobullding shall be occupied or u~ed in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the B u~il~"d~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable bows, .Ordincmce~___ or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, ca herein described. The 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 nec ~e~sary inspectors. . ......... ...... ................................... owner, lessee, agent, amhitect, engineer, ~ electrician, plumber or builder. State whether applicant is Nome of owner of premises ....... ; ................................................................................ If ~appl_ic~ant is/~tcorporate, signature ? duly authorized officer. .... ........ ....... (Name and til~l'e Of corporate officer) Builder's License No ................................................... Plumber's License No...~...~-.~...~.~'~ Electrician's License No. ~..~..~J.~?,~) Other Trade's License No ............................................... 1. Location of land on which proposed work will be dol~., Njap No/: .......... :~ .......... ,~ ............. ~ ~ N9 ............ .............. t,IZ Street and Number ~/./~,.~ ...... 4~,,~.1~'u...~4~ ........ ~/.~ ........ ......... I-"-- -- State existing use and occupancy of premises and intended use and occupancy of proposed construction b. Intended use and occupancy .......... ....~ ~...~J~.~. ~.~,,~ ................... ~ ................ i ................................ 3. Nature of work (check which applicable): New Building......~. ....... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... . ,D.,cript,on, 4. Estimated Cost .~.~............... ............................ Fee ......................................................................................... ! (to be paid on filing this application) ,5. If dwellin~i, number of dwelling units ............................ Number of dwellir~g units on,'eoch fl,oor ............................ If garage, number of cars .............. -- --t,~.(~.l~.~ ......................................... i ........................... iV"":'"' ......................... 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 ........ ~..y_~ ......... ..~l. Number of'~tories ............. -~,i t ................... L/.'~ s 8. Dimensions (Jr entire new construction: Fr6nt ..~.LxJL:...~ ......... ::...i ....... . Rear .l~.~. ................... Depth ...T.I~... ............. Height .J.~.. ............. NumJ)er of Stories ...... I .................... I ..................... ~' ..................... 9. Size of lot: Front .....L~..~ ........................................ : I~'-r .:~0..:"::::::.i.: .................... Depth .L.~... ....................... 10: Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate ony zoning law, ordinonce or regulation: ...... .L~(~. .......................................... 13. Will lot be regraded ...~ .~ .............. Will excess fill be removed from premises: ( ) Yes (~J~ No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address .... .~.~,,.,.0 ........... Phone No ....................... Name of Contractor ~'~.~J/I,[~...~J....J~.L~....~ ............... Address :..~.,~.~d~.~..qi~..... Phone No....~....~..../'~:~ 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 to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW .Y,'~RI~...- '/' ~ S S ~ cOurT. OF ....~../~. ...... f ' .......... .~.l.L~.~....~.~.-'.J~....'~.J~rt~J .................................. being duly sworn, deposes and says that he is the applicon! ~/ ' ~(~ame of individual signing contract0 above named. He is the ........................................... ~ ............................................................................................................. ~gent, corporate officer, etc.) of said owner or owners, and is duly auth--~i~d to perform or hove performed the said work and to make and file this application; that all statements contoined 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. Sworn to before me this ...... .....of ..................... ......... , Notary Public,. .................... ~.[~. ...... County £LIZ/~ErH ANN NEVILLE NOTARY PUBLIC, State of New York THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS THE WATERSUPPEy AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES APFUICANT' ADDRESS ....... TEL now or formerly AiI)ert :LBrig° T L I2' 35'-+ now or .formerly Robert Larsen UNAUTHOR!Z£D ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION TI T££ NO. TEST HOLE IZO ........ NOTE; ·: MONUMENT 0 -- PIPE WA TER SUPPL l -PR~VA TE WELl- S NEAREST PUBLIC WATER- 5 MILES -+ REVISIONS AUG. 5,1976 SEPK $, 1976 OCr lB, 1976 DEC. 13 1976 D~C. 31,1976 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: MICHAEL J. GERARD S~ PHYLLIS GERARD AT LAUREL TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE: f" = 401 SOUTHOLD SAVINGS BANK J DAT£:JUNE 3, 1976 J NO. 76--428 EL=~O.6 THE LOCATION Of WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS ~?~fz ~ ~-~-~%-~.~-~_~- ~ ...... SUFFOLK COUN~ DEPARTMENT OF H~LTH SERVICES FOR APPROVAL OF CONSTRU~IO~O~Ly~ 76.47~ / now or; Alberf formerlY LongO 4/./2' 20..~43 - now or formerly Rober! Larsen REVISIONS TEST HOLE oo NOTE: · = MONUMENT WA TEl? SUPPLY - PR/VA TE WELL S NEAREST PUBLIC WATER- 5 MIL ES -+ YOUNG & YOUNG 400 OSTRANDER AVENUE, RJVERHEAD, NEW YORK ALDEN W, YOUNG HOWAR~ W. YOUNG SURVEY FOR: MICHAEL J. GERARD E~ PHYLLIS AT LAUREL ~U^RANT TOWN or SOUTHOLD SUFFOLK CO., N.Y. SCALE. J"= 40' DATF-~JUNF 3, 1976 GERARD , ; :T ON OR START FRAMING /