The URL can be used to link to this page

Home My WebLink About9594-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. 993.1. ...... Date . .Sep.~.embe~ ....~.~. ......... , lg...78 THIS CERTIFIES that the building located at .7.95. Laurel,wood, Dr ....... Street Map No .... 5.5.,9.5 ..... Block No ........... Lot No ....... .7. ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .. Deoembe~c...'16 ..... , 19.7,7. pursuant to which Building Permit No ..... 9594Z dated .. :December...'16 ...... , 197.7.., 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. ri.v.~te. 0Rq. F~lJ, ly. ~welllng ..................................... The certificate is issued to ...... De.v±d. &. Bet;/;¥..Commander ....................... (owner--S) of the aforesaid building. Suffolk County Department of Health Approval ........ 7.--.Z.S..0..-.. ? .8~ ............... UNDERWRITERS CERTIFICATE No .......... 1/392.125 .......................... HOUSE NUMBER .... ?~5 ...... Street ....... Laurelwood Dr. .................. ............................................. Laur,~l, .Ne~ .York. i ............. Building Inspector ~rowh~ ~ N.'r. BUILDING (THIS PERMIT MUST BE KEPT oN THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9594 Z Date ........................ '....~Z.., .................... 1 ....... Permission is hereby granted to: ..... I..t....s. ...... ~....?..~.~::.~;~:~....~ ............. .................... .~...,;,,..,,;; ........ ~. ........................ 4; ........ tO ..... L'.42,~.-,,'~, ....... v:.~.....'.....q-?.','-~. ........... ~<....' ................... r......: .z..:;,~... .~.~v : . 'r ............................. pursuant to application dated ~ ~S~- 19... and approved by the Building Inspector. Fee $..1 .................... FORM NO. 6 TOWN OF $OUTHOLD Building Delm~tment Town Clerks Office $outhold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey aT 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building .................... Old or Pre-existing Building ...... .... .................. Vacant Land ............................ Loca,on of ,roperty Owner Or Owners Of Property .~...~,.~...'.~...~/./....~...~.....~.....~ ...................................... Subd,v,s,on ......... ,ot%.Z ...... ........ .ouse Permit No. ~.~..~..~..Z... Date Of Permit ~.~.7./.~..:..~.~..Applicant ~..d~ ..................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ ,...'~.~..~.?. .................... Construction on above described building ~mee~codes and regulations. Apphcant ...~ ............................................................................ THE NEW YORK BOARD OF FIRE UNDERWRITERS P~ BUREAU OF ELECTRICITY ['-- June 271, Z97885 JOHN STREET, NEW YORK, NEW YORK iOO~, N392125 THIS CE~IFIES THAT ~ z; ~o~n=e~ w/s ~el Wood Dr. 900~ n/o Pe~onlo Bay a~ found ~ ~ in ~mplia~e with t~ ~uire~ of th~ ~. 1 150 CB * x Mo to~/8:1-Zhp 1-~moke JD~tector R V I C E 1/o 1/o idl Mount Sinai Elec. Inc. 115 Mount S&n&l Ave. Mount Sinai, L.I. 11766 P#r ll~ This certificate must not be altered in any manner;* return to the office of the Board if incorrect. may identified by th*ir Ilql :~--.-----__~ ....... -- .......................... ~_ .... __ .... ~._~ -- .... Cu,j' FOR BUILDING DEPARTMENT. THIS COPY OF ClERTIFICATE"'MUST NOT BIi'ALT~ IN ANY ~a~. ' BUILDING DEPARTMENT~/~'-/-~/ -~-~,~-~/~.(,~.~ TOWN CLERK'S OFFICE /~.~/-.~/~:~. ~UTH~D, N.Y. ~',~/7~ ............................... ..... ......................................................................................................................... ....................... .......................... APPLI~T'~ FOR BUILDING PE~IT ............................ , IN~IO~S a T~is a~licQtion must be complexly fill~ in by ~pewrlter oc in ink and s~mi~ in tr p cate to the Buildi~ Inspector, with 3 se~ of pl~s, accura~ pl~ plan to ~ale. Fee acco~ing to ~h~ule. b. Plot plan s~owing I~ofio~ of lot o~d of buildings o~ premises, relatlons~ip to adjoining prem ~r~as, a~d givi~ a det~il~ de~ription of layout ofpr~e~ must be ~rawn on t~e ~iagrQm w~ich i5 c. T~e work cover~ by t~is a~lication may n~ be commenced before issuQnc~ of Building Permit. d. Upon approval O~ t~is application, ~e Building Inspector will issue ~ B~il~i~g Permit to t~e opplicQflt. ~11 be kept on t~e premis~ ~wilable for inaction through~t the work. e. No ~ildi~g s~all ~e ~cupi~ or ~d in w~ole or in pa~ for a~y pu~ose whoever until shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the Building Depa~ment for the issuance of a Bui d ng Perm t ~umuant to the ~uild~ng Zon~ Ordinance of the Town of ~uthold, Suffolk County, New York, and other applicable ~w~ Ordnances or Kegulations, tar the constru~ion of buildings, additions or alterations, or for mm~al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c~e, h~si~ c~e, and mgulati~s, and to admit authorized inspectom on promises and in buildin~ for n~essa~ i~tions. Stoto whether opplic~nt i~ owner, I~s~, *~ent, omhit~t, ~n~ineer, oenerol controctor, ~l*ctrici~n, plumber or builder. .......................................................................... If opplicont is o co~orote, ~i~n~turo of duly outhori~B Builder's License No ...... ~....~..~..~.. ............................. /PO0 ~' /,.TL'7- -'J- _~ Plumber's License No ....... .~....~.. ........................ Electrician's License No. ~'~ .?.OC> ~ · ~-~ . Other Trade s License No ............................................... / ~O J - ~1 "· · 1. Location of land on which propos~ work will be dcjne~Aap, No.~.~ Lot No ....... ~ ............. Street and Number ............... ~...~),~-~ ......... ~ ......................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ ~..~....~........~......~...~.. ......................................... b. Intended useandoccupancy ...... l....~.~,.f~T/...P...N~.ll..l~f.....~ S~. ................................ 3. Nature of work (check which applicable): New Building' ~ Addition Alteration Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ......... ~.'..?..0. ..... Fee ..~/.../ ................................................................................... (to be paid on filing this application,s, 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 ................................ ................................ ~' Rear ........... ~ ......... Depth ..... 8/ ............. 8. Dimensions of entire new construction: Front ........... -~...~.., ................ Height ...~.~. .........Number of Stories ...........~ .................................................................................................. 9. Size of lot: Front .................. /" ............................. Dep~th ~....~ ...., .................. 10. Date of Purchase ................. of '.~ ............... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... y.~. ........................................... 13. Will lot be rearaded ........ Y..~....'~.. ........ Will excess fill be removed from pj~emises:.( )~Y~s (~ No No. ....... 14. Nome of Owner of pre,0:u.'ses_~,,~.~..l.~'.~r~-... Address ·~/~'"~~ /PP ~z,,,.~.~ ~//'/~I~'~L' /0°o°..~' ' /i Phone Name of Arch,tect ~. -. · .~..-]--~.~.?....'.:-...~.-.~-~.-'~'~re~'~"~'~"--b~.'- Name of C°ntract°r~'~- ~.z/~ _ ................... No. o' PLOT DIAGRAM Locate clearly and d st nctly all buildings, whether existing or proposed, and indicate all set-bcmk dimensions from property lines. Give street and black number or description according to deed, and show street names and nd cate whether interior or corner lot. STATE OF NEW YORI~ ~_.~ [ S.S COUNTY OF .y~;.-.lT~..-~..%'~ OA~/~~ being duly sworn, ............... ...i.j~.~.~..i.~v~i~l~i..~i~i~..~c.~.~.). ................. deposes end says t~t he Js the applicam above named. ~O~ He is the ............................................... ~ntracto~, 'agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke 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 fo~h in the application filed therewith. Sworn to ~fore me this ~ , ~ ~ ~ Nota~ Public ~~ Coun~ ~: ~{.~~~ ...................................... '~ ' '"'"'~ ............... ~ .................... ~ (Signature of applicant) / Qualified in Suffolk Coun~ Cemmis~i~ ~xpires ~f~ 30, 1978 , APPLICANT'__ ;ADDRESS fa~ilittes C~r thins ~.ocatlo~ b0t ~ , bot OF rHE CL~R~ OF SUFFOLK CouNrY oN M~YIT, I97/A~PIL~NO.~9~ TH~B~ ARE NO DWELLINGS WITHIN I00' ~V~S~ONS YOUNG & YOUNG , J~,lg~ 400 OSFRANDER AVENUE, RiVER}lEAD NEW YORK AU~. 10~19~ ALDEN VV, YOUNG HOWARD W, YOUN(; SURVEY FOR: ,,,, LO~T NO. 7 ~.,~ , ....... ~SOUTHOLD "' ' ' ,, '., ~ SJFF'O~K C'(). N I = ~O ~ NOk' 15,1¢77 , 77-819 bot 8 · -' MONUMENT SUgDIV($ION MAR F/LEO (N THE OFFICE M~ Y 1~ 1~71 AS FIL~NO. ~595 THERE ARE NO OWELUNG8 W/tHIN I00' SNO~N HEREON, APPLICANT:_ ADDRESS TEL ..... SUI:I~OLK COUN'~( ~)EPA~TMENT OF HEALTH SEIIVf, CES FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF. NO._ ~0 YOUNG & YOUNG 400 0STRANDER AVENUE, RIVERHEA~, N~LW YORK ALDEN W. YOUNG HOWARD W, YOUNG SURVEY FOR: DAVID C, COMMAAIOER & ELIZABETHM, COMM~ND£R LOT NO, 7 "LAURELWOOD ES TATES " A't LAUREL GUARANT£ED THE ~'ITLE GUARANTEE GO. ·owN or ~OUTHOLD ~sOUrHOm SAVINGS ADDRESS TEL 'SUFFOLK COUNTY DI=PARTMENT OF HEALTH ,SERVICES FOR APPROVAL OF CONSTI~UCTION ONLY 4 r e0 "4~, · = MONUM~N~ o~rNECLERKOF~UFFO,,COUNTYON M~ Y I X, I971,S FI~ ~O. 5,95 . THERE ~RE NO DWELL INGS WITHIN lO0' SHOWN HEREON. ~ws~o.s YOUNG & YOUNG 400 OSTRANDER AVENUE, RWERHEAD, NEW YORK SURVEY FOR: ES TA TEE" ...... , ...... ..,,, ....... ,o,, .. ..... :, ~SOUTHOLD ,~-,~, ...... , ~ ...... SUF¢OLK CO , Y 77-819 5 APPROVED AS NOTED OAT;, ~ /4 '7? FEE: /I ~ ~_~0 BY= ~ NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM to 4PM FOR REQUIR- ED iNSPECTIONS: 1. BEFORE BACKFILLING FOUNDA- TION OR START FR/~,W~ING 2. FRAMING INSPECTION 3. BEFORE COVERING P,~, OF ANY KI;'iL) 4. FINAL WHEN JOB COiV;PLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5. ALL CONSTRUCTION MUST MEET REQUIREMENTS OF N.Y. STATE CODE AND TOWN HQUSING CODE &. ZONING I 5Lo'' Oi