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Home My WebLink About8942-z TO~ O~ sOuT"oi~ BUILDING DEPARTMENT TOW~ CL~RK'S OP~,¢~ SOUTHOLD, N~ ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 89~2 Z Permission is hereby granted to: Inland H,~mes · %~.t.Ci~k ........ to.......... bui~.d ........... ne~ ... ..... o~.e.... % ~tl~...~ ~.0.~$~ .............................................................................. et premises located at I~tO.l;...~O.....P.e, bhlp-..]B.e~t~)~ ............................................................................ ...................................... .~l~...~r~..W~r .......... ~a~.L~z:.io~ ......................................................... pursuant to application dated .......................0..0...~.......~..~ ................. , 19~...., ond opproved by the Building Inspector. ~ ~" Buildlhg In~ector FORM NO. $ TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Insfructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the fallowing; for new buildings or new use: I. 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 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 June 1, 1977 New Building ..~.~(...X. ........ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. ~ - the Lo~a Way, Pebb e Beach, East iVjarzon~ N.Y. Location Of rroperry ................ .~. ......................... % ........................................................................................ Owner Or Owners Of Property Inland Homes~ I~lc. Subdivision ~.~,b...b..1.,.e...~..~.a...c.b...?..a...r.~..s. .................... Lot No...5..0. ....... Block No ............. House No ............. . 8942Z Da .... Nov ], 76, , Inland. Homes, Inc. Permit No ..................... re ur I~ermir .......... ~.~ ........ /~pp ican~ .................................................................. Health Dept. Approval 6,~*,.S...O. 7..]:...9..3......3/..2...4../...7..7....kabor Dept. Approval ...y...e..S. ..................................... Underwriters Approval N332655 4/7/77 . Planning Board Approval yes Request For Temporary Certificate ........................................ Final Certificate F e ' 5.00 e Submitted $ .................................... Construction on above described building and permit meets all apse ;,?~ef,,~io, as. /f · -~NNE'i'H, W. ].HURBER V/P Sworn to before me this /-,~/'5/77 Notary Public Suffolk County ' 7~ TOWN OF soUTHOLD A ~c~ .... BUILDING DEPARTMENT '1'~-7/~ ~ ~/"'- / ~UTHOLD, N.Y. - ~ . ,.~ - ~pr~ed ................... Z~.:.~-../......, 19.~.L.. Permit No..~.z ................. ~"'"M,~ ~ - . .......................... ...................... /~ , ~ ~ / ,_ APPLICATION_FOR BUILDING PERMIT / INSTRUCTIONS a. This application must be complately fillad in by typawriter o~ in ink and ~ubmittad in triplicata to the Building Inspactor, with 3 s~ts of plans, accurate plot plan ~ ~ale. E~e according to b. PISt plan showing Ibcation of lot and of buildings on prkmisas, relationship to adjoining premises or public streets o~ areas, a~d giving a detailed description of layout ofproparty must be drawn on the diagram which is c. The work cowmd by t~is application may not be comme~cad bafore issuance of Building Permit. d. Upon approval o{ tk~s application, the Building Mspec~or will i~sue a Building P~rmit to the applicant. 5uck parmlt shall be kept on the pramisa~ available for i~spaction throughout the work. e. No building shall be occupied or usad in whole or in part {or any purpose whatever until 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 Building Zone Ordinance of the Town of Southold, Suffolk County, 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. The applicant agrees to comply with all appficable laws, ordinances, building code, housing code, and regulations, and to~ admit authorized inspectors on premises and in, buildings for n~essa~ in~ections. INLA~D HOMES~ INC, Box 117~ Ma%~ituek~ N.Y. 11952 (Address of State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contrac'~or Name of owner of premises ...~..n..]:~.~..d...~..°.t?..e..s.a....Z...n.9-? ...................................................................................................... applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .................. x. ................................ Plumber's License No ....... 7S...1.-7...-..P. .............................. 2148-E Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No....5..? .................. Street and Number .2.`.h...e...J~pItg...W.~v..,...~..ab~b.%.e~..B.eacJa"~az.m$.,...~a~z..~az.i~...~*~ .......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacen¢ a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ....... !....-....l.a..~.:i:~~-- ................................................................................................. 3. Nature of work (check which applicable): New B'uilding~ ....X...X..X...X. ..... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) $30,000. O0 4. Estimated Cost ............................................................ tee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~ .................... Number of dwelling units on each floor ............................ Jf 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 .....5..8. ............................ Rear ....... .5..~ ................. Depth ....~.8. ................ 18 Height .................... Number of Stories ..% ................................................................................................................. 9. Size of lot: Front 80 Rear 80 2,7:[ .................................................................................................. Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... no 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ....... .¥..e...s. ............ Will excess fill be removed from premises: ( ) Yes ( 14. Name of Owner of premises .~..~.~..~..~...a...~.o..~,.?.?..~.....~..~...c.:. ....... Address ...B...°..~...]:..];,'7..~...~..~..~.'Phone No. 298,9696 Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Co'/Jractor ...........Z.~..a..~...a...~9,.~..~r%~.....Z..~..9.:. ....... Address .~...°..~.....3:.~Z..~,~.,?.~,:. Phone No..~..9..8..Z.9...6.?...6.... ~V~ ~LOT DIAGRAM Locate clearlyI and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions from whetherPr°perty i'ines'nt~ri Gi~e streettonderlo_ block number or description according ,o deed, and show street and indicate STATE YORK, S.S COUNTY above He is the of said own~ this applicat that Sworn Notary Public, individual signing contracf) being duly sworn, deposes and says that he is the applicom :(Contractor, agent, corporate officer, etc.) and is duly authorized to perform or have performed the said work and to make and file statements contained in this application are true to the best of his knowledge and belief; and )erformed in the manner set forth in the application filed therewith. ....... i.l ................ County / ~ (Signature of applicant) OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THtS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT Box ~1} ~ iw~ih~', ~> --/~ ~. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE~ FOR APPROVAL OF CONSTRUCTION ONLY Lot 50 Area ~ 21,778 sq. ft. i: $(~0/IllS/ON MAP F/LEO/N rile OFFICEOF THE CLERK OF SUp~'OLK COUNTY ON dUNE II, 1975AS MAP N~ 62~, · =MONUM~NY ~ STAKE YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK EDEN W. YOUNG '.VEY FOR: HOMES,/NC. LO ~ NO~ 50, ",°~BLE BE~CH FARM,"' HOWARD W. YOUNG LAND ~URYEYOR I "=40' D~,'rE: OCT, 21,/97E NO. ?E--E~9 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD WILL CONFORM TO 7NE STANDARDS OF THE SUFFOLK COUNTY OEPARTMENT OF HEALTH SERVICES APPLICANT: ADDRESS TEL ..... N L~t5 vdCOnt Lot 50 Areo¢21, 778 MAR, I~,,/977 Lot 49 vOCOrff · NOTE: SUED/V/S/ON MAP F/LEO IN TtiF OFFICEOF THE CLERK OF SUFFO£K COUNTY ON JUNE/l, 19 FS AS MAP NO 6266. ·: MONUMENT YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD ~ LOKNO. 50, ~EBBLE BEACH FARMS" ~ . ~ / / ' ' TOWN OFsouTHOLD SUFFOLK CO , r~. Y. SCALE. 1.=40, DATL OCT. 21, 1976 76-889