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Home My WebLink About9544-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy 75 The Cross Way THIS CERTIFIES that the building located at 2/+35' The .Lon~ .WaF ....... Street Map No .... .~.2..~.6 .... Block No ........... Lot No ...... .~.2 .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... N.o.¥.e.m.b.e.r....7. ..... , 19.7..7. pursuant to which Building Permit No ...... dated ..... N..o¥.e.m.b..e.r .... .7 .... , 19.. 7.7,, 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 ....... .PF~v.~..~.e...01~..e..F..aql..~.Zy...Dw. e..1.1.i.n.g ................................. The certificate is issued to . KZein & Eversoll Thc, of the aforesaid building. Suffolk County Department of Health Approval .... J.tl],¥..~J.,.. 79.7.8.....7.-.5.0.-J.6.0... UNDERWRITERS CERTIFICATE No. HOUSE NUMBER .. 2/+55 .... Street .... 2he. Long. Way ....................... East Marion, New YOrk Bmldlflg Inspector (THIS PERMIT MUST BE KEPT ON' ~HE P'REMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) N? 95~ Z Permission is here~y granted to: K~.~,:~.~...~..:!~ .e.r.~ .o..~!..... ~?: .................................. ................. ~.~.9....v...~_~. ~.~.~...~.k.~ .............. ................................ .~:~.~?.~;~. .......................... ~o ...?~-!L4...~?~.~L..°.~L~':?.~?:;~..fl?:~.~.~.*..~. .................................................................................. at premises located at L,Ot 12 Pebt;te ~each E ~' Mal~on ~..~. '~L~ 6. cros~ ~4ay. ..................................... pursuant to application dated ............................ ~J2]f ........ ~. ........... , 19..~.., and approved by the Building Inspector. Fee $~. J..~.~.,O..: .......... FOltM NO. 6 TOWN OF $OUTHOLD Building Delmftment Town Clerks Office Southold, N. Y. 11971 APPLIGATION FOR CERTIFICATE OF OGCUPANCY 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: 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 o'f property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner ar previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code ar 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 D July. 10~ 1 978 ate ...o........... .................... .. New Building ..........X.. ........ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ...... ....................... Owner Or Owners Of Property ....... ..K.!.e..J..n...&....E..v..e..r?.?.!!.,!n.,.c.: ........................................................................... Subdivision ................................................................ Pebble Beach Farms Lot No ............. 12 Block No ............. House No ............. Permit No...?,5. ,4~/...Z. ...... Date Of Permit ..]..1./..7./...7~.......Applicant ....K..l..e. jp...,&....E.y..e..r.s.c~.l.!....q.q.. ........................... Hea,th Dept. ^pprovo, gept. Approva, ................................................ Underwriters Approval ........ .N...3..9..~.6.,,5..?. ....................... Planning Board Approval Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ . .,~. ,. .0. .0. .......................... // , z / / Construction on above described building an~/I a~/able codes and regulations. Applicant Sworn to before me this Klein & Eversoll Inc. Notary Public ......... .s..u.?.?.g.L,K. ........... County (stamp or seal) -.THE NEW (ORK BOARD OF FIRE UNDERWRITERS.--: ~- _':2:-:-~:'-:. -:-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 .-~__.~S.~];.~; --":5~--/ ~ ;- _~ -: -..-.-.:'-_- .-.- - .. '-'. -_ __._-_ _~, _:_:~,:~-.N 92659~:~,- ~,~;_n & .~verso.;~_Inc,~ s/w/c T-~e Long Wa &-Tne:OroAs~Wa~-, C: ~.~-:~ -[ East ~'.~ar~on_ _L.'I: -~-'--_ - - : - - -~ ,: =:U:,-'={=:~A':-~,= ~: ..... ':.- -=-~ FIXTURES -- RANGES COOKING DECKS OVENS DISHWASHERS~ EXHAUST FAN' 150 Thls copy' ~or Town of Southold in order to obtain a Certificate oF Occupancy SUPT. OF UTILITIES JAMES I MONSELL UTILITY OFFICE TEl.. (516) 477-1748 ~3WER PLANTTEL. (516) 477-0172 July 11~ 1978 Mr, Clavin Smith Suffolk County Health Department Suffolk County Center R~verhead~ New York 11901 Dear Mr, Smith: The following water service line was connected to the Public Water Supply by the Village of Greenport on June 6, 1978, The installation was done according t'o our rules and regulations and~ to the best of our knowledge~ meets with the Suffolk County Health Department standardso Klei~n & E_¥~.r~z2pl__l I~ ~ The Cross Way, Lot ~)12, Pebble Beach, East Marion ~ Job ~1978-34 - Ref~ ~')7~SO~160 ~ Klein & Eversoll, Inco ~ Hauppauge~ NoYo ~ bnilder. If I may be of further service~ please contact this office. Very truly yours,, James I. Monsetl Superintendent of Public utilities .llM:nr TOWN OF $OUTHOLD //'! BUILDING DEPARTMENT ~ TOWN CLERK S OFFIGE ~,:~} ' ~"THOLD" Y ~-~,( . ................ , ...................... , ................................................ Disapprove~ a/c .......... ~:~:::~ .................. ~:::~ .................. : ' ........................ .............................. :.: ............ APPLICATION FOR BUILDING PE~IT.. ~ ~ ~/~ , mspe~tor, ~th 3 s~t~ o~p~ns~ accorate plot p~n to ~o[e. F~ accord~ to schedule. b. Obt ~bn showing Io~a~io~ of Iot a~d~of buildings o~ ~remises, rebfio~h~p~o ~djoini~ areas, and ~vi~ ~ detaJl~descH~fion of l~yout of~ro~rty must be dr~wn o~ the dio~rom wMch ' c. The work cowred by ~h~s ~pHc~tio~ m~y ~ot be commeoced before ~s~uo~c~ of d. U~o~ ~pOrova~ ~f t~is ~n~ cat o~ ~he Bud ~ ~s~ctor win ~ssue a B~ d shah be ke~t o~ the ~remJs~s ~voHable for ~s~ect~o~ throughout the work. ' e. No buHd~ shah be occu~ed or used i~ who~e or ~ ~rt for ~y pur~os~ whatever u~fi[ a Ce~ificote of Occupancy sh~l~ have bee~ ~mnted b~ ~he ~ui[din~ J~s~ctor. APPLICATION IS HEREBY MADE to the BuHd~9 Deportme~t for the ~ss~ce of BuHd~9 Zone Ordinance of ~he Town of Southo~d, Suffolk County, New York, ond other applicable L~ws, Ordinances or Re~tio~s, for the construction o~ b~Hdin~s, ~ddff~o~s or ~ter~fio~s, or for r~mova~ or d~molffion, ~s her~i~ described. The op~Hc~t ~grees to comply with aH ~pfic~ble laws, ordi~nces, buHd~n~ code, odm~t authorized ~s~ectors o~ premises and ~ buHdl~s for n~ess~ inspections. ...... ..................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises Klein & Eversollx Inc. applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Peter Klein - Vice President Builder's License No ..................................................... Plumber's License No.....~..°..~..°.,,~.,J:~.~.....~..r..°..~.b..?.~.9, .... Electrician's License No. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ......... 6..2.6..6. ............... v.... Lot Nq. 12 Street and Number .. ~4.o.~. ~.2......~...r.Q~.~.~...a. St~ ?..~..~..t)..]..~ ~...e.~.9.h .~.~m..~.~.....E.,...~.a..~.i..o...n.~ ..~.~..Y..,... Municipality State existing use and occupancy of premises and intended use ~nd o~cuponc~'of proposed construction: o, Exisiting use and occupancy .~..~.q.~,.t...~.~.d. ........................................................................... b. Intended use and occupancy Sing. le Family. Residence 3. Nature of work (check which applicable): New Building' .......~ ......... Addition .................. Alteration ,: .......... ~... Repair .................. Removal .................. Demolitior, .................... Other Work .................................................... ~7/~c~/ ~'d9 (Description) 4. Estimated Cost $2 0~ 000.00 ........... Fee ...... ~ .................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... O..n...e. .............. Number of dwelling units on each floor ....Q.n...e. ................. If garage, number of cars Two Car ....... . ........................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ......~.-...-.r.r ........... Rear .....';r..-;r..%-, ............ Depth "- Height .....r'..r.r..~r.T. .... Number of Stories ........................ ============================== ........................................ Dimensions of same structure with alterations or additions: Front .......... r..m.=.-...-..-:.m.= ....... Rear ....m.~...-.~. ............ Depth ........ -. .% .Z. .-. .'~. .-~ 2' ......... Height ...... .r..-.r..'r.=.'z..m.....Number of Stories ............. =.re=mm= ..... 8. Dimensions of entire new construction: Front .......... .5,2.....f.,e..e...t. .......... Rear ....~.6 .................... Depth ...~.Q...8. ............ Height ....1..8.....f.-..e..e..t.. Number of Stories .O33.~ .............................................................................................................. 9. Size of lot: Front .............. ..1..3...5.....8..,9. ........................... Rear ........ .9...1..,..3..~ ...................... Depth ...~..6.~.,.7..~ ............... 10. Date of Purchase ........................................................ Name of Former Owner ..P.,e..b.,,b. 1..e....B...e..a...c..h.....R..e,..a.,1.,,t.~z.~..I..n..,c., 11. Zone or use district in which premises are situated ..................,,A.....-.....R..e..s...i..d...e..n...t..i..a..,1. .............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .......... ~.O. ......................................... Will lot be regraded' Yes Will excess fill be removed fr~m,prem~ses (~,) Yes (Xts~) 13 ..................... ~ ....... .~:~u mor~or z~r.X. 14. Narne of Owner of premises ...K...1..e...~,.n.....&.....E..v..e..r.~..o...1.]..,...jID.~Address .~i%U.p~. ~.g.g~.,.~.,,~.Phone No.~,~:.~.~.O.Q ..... ....... Jerry Axelrod .~, M~lvzlle, N.Y~---.z...9.~..4..7...7..8.... iName o1' /ArcnlTect .............................................................. ,'~aaress ................................ '~none No Name of Contractor ..... ..~..]:.e..~....&.....~..~..,e..r...~..o...1..]:..~....~..~..~..:.. Address ...~...a..~.~.g..a.,,~.~.e../..,~.,".~/~one No...~2..3.~..q~,.2,,0,..0. 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 YOR[~ ..... [ c c COUNTY OF ............ ~..U..r...~.9.Z..5... ~ ~'~ .................. ..P.e...t..e...r.....K.],.e..~D. ................................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. He is the ............................ .V...i.g..e.....P..r..e...s.i.q].~D,.t, ................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfortn or have' performed the said work and to make end file this application; that all statements,contained in this application are true to the best of his knowledge and belief; and tha~ the work will be perfjm~ed in the manner set forth in the appeal therewith. Sworn to before me thi~// f l m'~i~, st~t. ~! ~.~ Yom // 115.89 -'~'~~ I THE LOCATION OF WELLS AN~ CESSPOOLS SHOWN HEREON ARE FROM FIELD / OF HEALTH SERVICES APPLICANT: ADDRESS TEL. NOTE: I1= MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 11,1975 AS FILE N0.6266 THERE ARE NO DWELLINGS; WITHIN I00' OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON 0 = STAKE COPIES OF THIS SURVEY MAP NOT 8EARING THE LAND SURVEYOR'S tNKED SEAL OR REVISIONS /I-/~-77, 7- II- 7~ Lof II YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG SURVEY FOR: KLEIN & EVERSOLL, INC. LOT 12 "PEBBLE BEACH FARMS" HOWARD W. YOUNG AT. EAST MARION TbWN o~ ~:)UTHOLD SUFFOLK CO., N.Y. <~UARANTF.~ TO: EQUITABLE FEDER~L.S~VlNG~ ~ LOAN ASSOCIATION; ANTHONY FIGURITO DAN IEL DAVILA I" = 40' DATE: NOV. 3, 1977 77-808 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR PROM DATA OBTAINED FROM OTHERS SUFFOLK COUNTY DEPARTMENT OF HEALTH S'EIIVI~ NOTE: m = MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON dUNE I I, 1975 AS FILE NO. 6266 THERE ARE NO DWELLINGS WITHIN I00' OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON UNAUTHORIZED ALTERATION O~ ADDITION TO THIS SURVEY aS A VIOLATtON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF TH~$ SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT 8E CONSIOERED 10 BE A VALI~ TRUE COp~ LOt 12 Areo= 29, 982 SCl. REVISIONS FOR APPROVAL OF CONSTRUCTION ONLY Lof II YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG SURVEY FOR: KLEIN & EVERSOLL, INC. LOT 12 "PEBBLE BEACH FARMS" AT EAST MARION TOWN OF ~OUTHOLD SUFFOLK CO., N.Y. SCALE: [" = 40' I DATE: HOWARD W. YOUNG GUARANTEED TO: NOV. ~5, 1977 ' 77-808~ )RN BY: E.~.B, CHKD BY: DATE: F (5) t -k ~FRONT ELEVATIONI 1"4" : I'.0" --+ DETAIL ¢ APP.ovm As .oTto AECHIT~CT. THEY AR[, NOT TO BE USED FOR ANY OTHER CONSTRUCTION EXCEPT BY W~ITTEN AUTHO~ZATION OF TH[ A~CHITECT. W, IND, BOX ~ B,R.~-3 J- REAR JEROLD L. AXELROD ~%cHITEcT I i- ELEVATION Y4"' : 275 BROADHOLLOW BUILDER: KLEIN ~ EVERSOLL PEBBLE' BEACH FARMS EAST MARION ; N,Y, MODEL,."B''. W /FULL BASEMENT SHE[ ~ RIGHT SIDE ELEVATION I ~ ~.~,~'~.~.~ ,~ : , ~ ," , I[ ,, ""' , , '' , -- J I ~ ~ I I ~ ~ I I ~ LKFT SIDE ELKVATION I ~ J ~4" lO" DRN BY: DATE: ?-,~'7~, BUILDER: MODEL "B' w/ E.J.13. Re,..:. : i¢.2.zz~, j'r.'.'.'ERO'f.D L, ,~,~[!;'.I.,B.OD KLEIN ~ EVERSOLL FULL BASEMENT A~CHrrECT PEBBLE BEACH FARMS CHKO BY: 275 BROADItOLLOW RD. MELV~'J.E.N.Y. I17~' EAST MARION N.Y, '~ ~:/' -- d~'-d' ~.-~u S'I" 4~'~'' g'-I su;~r~ , %--? .............. , ~ ~ ~ ....... ~ , , [ / ~ ' ~~¢~ = ./' ~1 - ~ ., , T ~ II ~ -- ~~ ~ .?~ ..... ~, ~-~ ~--~ - -- , ?1 g' ~ 'lI -"~~ ~~ ....... ~ ~ -- ]~ 2 ~ ¢ ~ I . ~ ~'~'I~r~P [ ~ [ ' ~ ...... ~_> ..... '4" ~ ~z_ - --, ---- -- ~--~2 ~ ~ ~~+~ ' ~-~ ....... ~ .................. "'~ i , ,, ~ _~;k ~. ~ - x , , ~ . ~ ~ . ................................................... ~ ~, ~' ......... ~¢,.¢,, ~/ 4~¢~ DETAIL ~ SCREEN WALL MODEL-B 1351 SQ. FT ,, ~, ~ FIRST FLOOR PLAN DRN BY: DATE: %~-Z~ -~ E.J.B. ~¢. :~.~,r~ JEAOt, D L. AXELTtOD BUILDER: KLEIN ~ EVERSOLL MODEL "13" W/FULL BASEMENT~~E ,. CNKD BY:. ~1~ ~o~o~ow [~ ' ~v~i-~. ~;~, i~g PEBBLE BEACH FARMS 4~ ' ' ' EAST MARION , '~"~ "'~ ,, ,: .... ",,,, , ' , :, _,''..,.. ,,,., ....,'~ ...... - ...... V .. .-, , , DRN BY: E.J.B., CHKD BY: DATE: 11'~4u' '.,'F UNEXCAVATED_ : ~ I BUILDER: KLEIN ~ . EVERSOLL PEBBLE BEACH FARMS EAST MARION / N.Y. SLAB FOUNDATION PLAN ,~,,./,o,, MODEL"B" ALTERNATE TRENCHED FDN, WALL. DETAIL ,CZ*, I~.o" SHEET 4OF ...5' (/4/~r). · :DATE~' I :OPEN' CELLAR std' / ?"4" DEn KLFiN I ' Il PEBBLE E~EACH FARMS EAST MAR ON N Y ' ,¸I' DE3 :?DETAIL F~F',, ~ UPPER DINING ~_O0_M I ROOF; ~ !, FIREPL. ELEV, c~ LIV, RM. CLEARSTORY PLAN GARAGE /2 SECTION THRU GARAGE B.R.*2 ~ CONV. PIT SECTION C-C DRN BY: E.J.B. CI4KD BY: DATE: %~-7~ BUILT-IN BENCH \ IZ ¸fL DETAIL ;ONV. PIT OPEN x-x~r Y-F ~2 (/~) LIVING ~M.q CE SECTION DETAIL X-X (../ DETAIL Y-Y '-' 4 ~'~ ~ ~ ' ~ BATH . '/ BED RM.~2 CL. '~":~LIN BED RMV, 3 ~'-- OPEN CELLAR ELEV. I ELEV. 2 KITCH, CAB, ELEV~ BUILDER: KLEIN ~1 EVERSOLL PEBBLE BEACH FARMS EAST MARION ~ N,Y. MODEL SECTION B-B W/FULL BASEMENT SHEET 5oF5