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Home My WebLink About8948-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Otilce $outhold, N. Y. Certificate Of Occupancy No..Z~.6.'~.~ ..... Date ............ . .t~y...~.? ......., THIS CERTIFIES that the building located at .Tho I, ollg. May ............. Street Map No. Pebble. t~a~ock No ........... Lot No, .b~ ...... t~St. Ha~.lolt .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... 0~%...2819. ~6 pursuant to which Building Permit No.. dated .......... NO.V. ..... ~ ..., 19.~.~., 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 Px, iva.~,~, one .fami. ty- dwellir~g ........................................ The certificate is issued to . Pebble,..Biach .t~ea0,t;y. Ilt~. · otimel,. ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval "Italr'' '~" ~7" by .R~..Villa. -.. UNDERWRITERS CERTIFICATE No. N.336076...ltaF.. .. t977 .................... HOUSE NUMBER .. ~ 820 ....... Street . .T. he. -Lor~g. l~y ...... lil.,bi~io,'l .......... BUILDIN~ DEp~RT~£NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT · "'~THIS P~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ". ,'cOMPLETION OF THE WORK AUTHORIZED) N? 89~8 Z Building Inspecfor. Fee $. 41E...~T.....; ...-:m~. · .... THE NEW YORK BOARD, OF F~RE_UNDERWRITERS_*,, \ 'THIS CERTIFIES THAT ; ~i Evezsotl, Inc., e/side The Long Way, approx.:200~ s/o X .... n &~ ' ~,~e Shor~ Lane, Gr~enpor~ L.I. ' ' : ...... Fi~T~ RE~ DISHWASHERS EXHAUST ~D~ G.F.C.I. Smoke Detectors l-4.5kw Hot water heater ].-4 ton A.C. Unit AWG Newbridge E2~ec.Co.Inc., !79 E×press St BUILD - ). TOWN CLERK'S OFFICE w,,,~ Disapproved a/c ................ ~,~ .............. ] ................... :~1..~.~.1.~,~...~, .......................................................................... ,., ................................................... . ,/A , ~h ................... ..... APPLICATION FOR BUILDING PERMIT Date .(~!.~-..~,.,. ~,, ~: ................... , ~, ~' 19..L.~..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises relationship to adjoining premises or public streets areas, and giving o detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit ~r shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used 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 theb't 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. ~-~,gnature at app,icont, or name, it a corporatLro~W~. · .,.. ........ L.:~ ................. , ....... I.~L.~,.~.~...,.~.,t,~,./:~L,.~ ............. (Address of oppHcont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... ~J.~M~,~l.:..tf ............................... . f · ~?- ~ . --- .... _ Name of owner o pram,sas ...f:.t~.L .I 'J..t ....... F~:,j,,.tJ~,).~. _,~.j;jtL.~Y...k..[.~(,.. ............................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corp6rate officer) Builder's License No .......... :.z~:.%=::::::: ............................ Plumber's License No.~J~.,~.Z~....'~.~. Other Trade's License No .................................... 1. //? Location of land on which proposed work will be done. Mop No.: (~ ~/_,z ~ Lot No. Street and Number ...~,~.....~.~../~i.~.~,~.,~,./~ ....... ~ ................... ~...,.,,/.~i~qj~ ~ / / M'u~lc~pal' '"" "ity .... State existing use and accupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................ ,~.j~L.:/,~,I ......... I~J'.~J~ ........................................................................ b. Intended use and occupancy . ,.JI~.tZ~J.,.~ [' j)t'tI.L~ ~ ~'-I~ :;~ ti'! 3. Nature of work (check which applicable): New Building,. .......... Addition .................. Alteration ......' .......... Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ .... (Description) 4. Estimated Cost j,~l)!/20.0. ...................................... Fee ......... ~ ....... ~.....[..../..2 ........................................ (to be paid on filing this application) 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, Jf any: Front ...../~.,~..l ........... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ J .Number,,. r~ of Stories .................... ,.. ,~,~ ;.; ......... ,~ J / $. Dimensions of entire new construction: Front ....:.~....;7........:f. ............... Rear.,.z..~7....:?. ............ Depth ........................ Height ......~.1.~+ .... Number of Stories ...~, ............................................................................................. ::...~..~ .......... 9. Size of lot: F~ron~'' ......... '~.~).~ ............ Rear...~(2~t~ I ... Depth~./..".~.:!!~i./:~.:?'.?'."J.. 10. Date of Purchase ........................................................ Name of Former~ Owner ........................................................ 11. Zone or use district in which premises are situated ................. .~......?.,.!f:'.~../.,i~./.?~../.!.~./..J.~.(.-. ........................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .,~k,J.~) ............................................... 13. Will lot be regraded .....~r~) ............... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .....[~lj~,~6.~l=.t~.....l~,~.t~..(~.i.l~_.~c~ress**.-,~'£! ,.,,,,*z"¢ ,~* ~ t~)(cyA~,,~,,,,. '~" '~ 'k~" ~4/~"~" '~9~, ~'' ,<,,u~.~,~ Nome of Architect ...:,~.::z~ ..... ~.. /.~:' ,~ ,~ ....... Address ~. ?'~,r'.~,!':.q~,.~..!!~J.~;,~!:'l~bne No. ,,~:~,~,.tl.'L.lg Name of Contractor ...jtx.t:f.t.~\.)..~t,l::~i.r..~c~e;,[.t ...... t/1~:~ ....... Address f~ ./x.~e~A ~ F,.4~ ~'~ uPJ~one No. l¢.-.~.~.,.~q/,~.. PLOT DIAGRAM Lacate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions frorn 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 YORK, COUNTY OF ................ .................................................. .~.~,rJ/,~....[.&..i..~.~..~.~.~...being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. He is the ............................................ ~.~. ...... ~.:~_~/..~.t~ ..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~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 forth in the application filed therewith. Sworn to before me this .............. d'.~. day~f ~~ , 1~ - ~ , ........................................ / / No~O0~/.~ Qualified G~. flied in King~ County ~mJssion ~pires 7'HE SHOP?' LANE THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM F~ELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS. THE WATER SUPPI~Y AND SEWAGE DISPO,~AL SYSTEMS FOR THIS RESICENCE WILL CONFOI~M TO TH~TANDA~S OF THE SU~OL~ COUNTY ~PARTM~T ~ HEALTH TEL ........ LOt 46 : ; :,; .... sPdce open L°t:8::sqft. AreO '" 2 ~ ' M~t~$ ~1977 A?£, 7 /.~77 SMBD/V/$10N M,~P FI£ED /N THE OFFICE OF ~H£ C£EB~ OF SUFFOLK COUNTY ON JMNE /1~ 15~'5 ~$ FI£E NO. YOU,, ~. YOU,¢ ,~¢ ,, ~%1" PEBBLE BEACH REALTY, INC. ~ I-i I-: ~ ~.~,o. I~---~--~ 46 LOt vACAN~' Area , THE tOG~TION OF llfELL$ AND ~SSPOOLS SHOWN HEREON ARE FROM RELD ~cRVA'T10~S ~ID/OR FROM DATA O~TAhqE. D FROM-QTHERS. ' ' THE WA~TERSUPPL'YAND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL -SUFFOLK COUNTY DEPARTMENT, 'OF.. .H,~-ALTH SERVICES · FOR APPROVAL OF CONSTRUCT/ON ONLY THE sHORT L. ANE THE LOCATION OF WELLS ANO CESSPOOLS SHOWN HEREON ARE FROM RELD OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS. THE WATERSUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARGS OF THE SUFFOLK COUNTY DEPARTMENT OFHEALTH SERVICES APPLICANT' ADDEES$ ~ TEL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE _ H$ REF. NO. ,,.-APPROVED ,, Lot 46 vACANT Lot 4_55q ft. AreO= 2 781f~ ' NOT£: · = M~NUMENT SUBDIVISION M~P FILED IN THE OFF/CE OF THE CLERK OFSUFFOLK COUNTY ON JUNE II, 1975 AS FILE NO. 6266 UNAtJTHORIZEO ALTERATION OR ADOPTION 3~) THIS SURVEY I~ A VIOLATION OF SECTION REVISIONS MAH3 :1977 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAE[, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: PEBBLE BEACH REALTY, INC. LOT 45 "PEBBLE BEACH FARMS" AT EAST MAR ION GUARANTEED TO: TOWN OF SOUTHOLD J f SUFFOLK CO., N.Y. I ~YJ~:/fz.4~C/~ ~¢'~ SCALE: I"-= 40' I DATE= OCT. 27, 1976 l N°' 7~-940d