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Home My WebLink About8837-zFORM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .... .T.h.e. 8. t~.a.n.d. .......... Street Map No.P.?b.b.l.e...~..a.C~lock No ........... Lot No. ]. 3.8 ...E.,..M..a.r.i.o.n....N.,.Y.: ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... A.u/g ~.....21, 19 ?.6.. pursuant to which Building Permit No.. dated ......... S.e.p..t.. 2..., lg]..6., 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.r..iva. t.? o~..f~i.l.y..~.w.~'.l.t.i, ng ...................................... The certificate is issued to .C.h.r.~.s..&.~./.a.~h.e.r:i..n.e..P .a~as. ..... ~..~.~.e.r.s. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval April 13 . .1.9..77.' .b..y.R.,..V..~.i.l.a.... UND~,RWRIT~,RS CERTIFICATE Ho..~.~..~..e. .... ~p.r.%.~...!$...!9.77. ............ HOUSE NUMBER .... 9..0 ... Street . .T..h.e..~.t..~.a.n.d.....~.: ...M.a.~.~.q.n .............. Building Inspector( TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8837 Z ~" ' ~ ' Permission is hereby granted to: T.GJI Const. a/C Claris & Kate=~ne ra~as ' 238~ Linde~ere Dr Merrick Build new or~t family dwelling ~-~.~-: . :... Lot 138 Pebble l~eaclt '- ~,_?: ot pr.~,~. ,~o~eo o~ ............................................................................................................................ -~ .................................................................................................................................. ~ .............................. ~... ~[ Building l~or. Iq'aRM NO. 6 TOWN OF $OUTHOLD , Building Department Torn C:lerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OR ink, and submitted in DUPLICATE to the Build:ng 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. Swam 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 / New B~lilding ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..... ~...~....?. ....... J~[..~..~.~..~.?...~".. .......................................................................................... Owner Or Owners Of Property .... ~ .......................................... ~.. ........... .?.. ................................................ Subdivision ..~..~].....O..[,....~..E..~...B.../~,.....~..[.,~..~...?.R..?...~.,..Lot No. ........................ I]~2 mock No. House No ........... ,~..O.."7'H~ Permit No. ,.~....~.,~..Z ....... Date Of Permit ..~.,'..2.:..~..~....,,Applicant ..'~...~..,.~....~...O,.~...5.?.[.~...C..?.J..?,.~ ....... ~...~...P.. Health Dept. Approval .~..,~.?....~.!.~....~. ......................... Labor Dept. Approval ................................................ Underwriters Approval .............. ~ ............................... P annlng GoQrd Appravol ........................................ Request For Temporary ~Cer~ificote ........................................ Fined Certificate ~ ..................................... Fee Submitted $ ......~......~ ................. Construction on above described building and permit meets all applicable codes and regulations. ADDJicant ~~.....~...~ ....... .~, ..~*....~.~...~:7.......C~. · ...t~.., ?... ,~.'.....C~...~., .~. -- I/ 7 Sworn to before me this O~ ~ 7~'/'f (stamp or seal) ~p~j, , jr)_ BOARD,,OF FIRE~¢U ND.E RWRI!E RS~,¢u,¢,,;~__= BUREAU OF'ELECTRICITYF=flI-~,II~II--P ~ grit o~ '-~:~.~ M~A~.. MT'~ T':II~Ill- ~lll:ll= '1'1 and /ound to ge m comphance w,th thg requ,re~en~s, bf t~ts B~rd FIXTURE OUTLETS <21 ~, DRYERS FURNACE~ MOTORS FUTURE APPUANCE FEEDERS RANGES TIME CLOCKS DISH WASHERS EXHAUST FANS MULTI-OUTtET DIMMERS i SYSTEMS NO. OF NO. OF CC COND II A w G NO. OFNEUTKAIS A ~,' G , OF CC COND --u ~ ' ~ ,l~ ,' h ., - :I - : _=-_' : --I'' J: 'I~' ,"~Electric, Room ,Heaters. ~3,.-2~5K~1 ~I-2.'0KI~, _1-1.25KWii12-1~0KW.2-~SKW: t-.375KW = . :. '-,,. ~. .~ ~ u , ;, . I ~'l-*-Il - $i ~l= : ql~lls P'z I-"= b'-Jl:llF.;lt--i =h P-TJ_tI:-I{'--I iL' J. %.~.1~o ~.~, t 1 _ I' d,~,*q'-,h~',q~TP:-II= l=,} :~ L=-~-';:-'-I :dF:ill- ' S -~ =.! '--'llI~ll: '-=tk'-~ -- ~ll{~{ , f, ," , h , -'vT, ' ,d ' , ,U--i{'=~,~ {: ~ i~ I<{t~ =, "'-:"I-~I~I~//~L ' ,' 'P~lme Electric Servzce UOTD~L~IIIi:Ib-III:I~-/' ll~, i' ' ":,,'dilil3,'lql::l~ , ,l ~,- ' , , , 'h i, :, fl_ t 'u= , ' ," ' , Per-:,~- ThEs cert,flcate must not be altered m any manner, return to the office of the Board if incorrect Inspectors may be'idehfifled by the~ THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WiLL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OFREALTH SERVICES APPLICANT ADDRESS ~ TEL /00 , C~llVp NO~'E: I = MONUM£NF SUBDIVISION MAP FILED IN FH£ OFF/GE OF rile CLER~, OF SUFFOLK COUN~'Y ON JUNE 11,19T5 AS FILE NO. GPGG. []: STAW~ k LAW TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTtON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE REVISIONS YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR, N Y S I. IC:, NO. 12845 N.Y 8. LIC. NO. 45893 SURVEY FOR: CHRIS P~MAS SUFFOLK C~ SCALE [ ,~40/ m THE LOCATIO~ OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS ITHE WATERSUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDenCE WILL CONFORM TO THE S.T,/~4.~DA~RDS OF THE/.~JFFOLK COUNTY DEPARTMENT ~ HEALTH s~.v,c~s ~~ y~ A~)CANT .............. _ ....... SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY /00. NOTE: · -- MONUMENT SUBDIVISION MAP F'llE'DIN ?'HE OFFICE OF TEE CLEBK. OF SUFFO£1( COUNTY ON JUNE 11,1975 AS FI£ E NO. 6~6B. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED 3EAL OR EMBOSSED SEAL SHALL NOT BE CONglOEREO TO BE A VALID TRUE DOPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR ~/HOM THE REVISIONS .45 9 YOUNG & YOUNG 400 OSTRANDEE AVENUE, FHVEEHEAD, NEW YORK ALDEN W YOUNG HOWARD W. YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR LAND SURVEYOR. N Y ~;, LIC, NO, 1284S N Y $ LIC. NO 4~8S3 SURVEY FOR: CHRIS P. aMAS LOT NO. ISB,"PEBBLE BEACH FA,qMS" AT EAST MAt?ION TOWN OF SUFFOLK CO., N.Y. SCALE /'~40' J DATE' dUNE25, 1976 J NO. 76-5/I