HomeMy WebLinkAbout9572-zTOWN OF SOUTHOLD
BUrr.r~ING DEPARTURNT
Town Clerk'~ O~ice
$outhold, N. Y.
Certificate Of Occupancy
No. Z~320 .... Date . N.o.v.~p. ~er 29 19. 78
THIS CERTIFIES that the building located at. 10.~ .The..qF.e.~.qe.n. ~ ....... ~
Map No .... 6266 .... Block No ........... Lot No, 2~
conforms substantially to the Application for Building Permit heretofore filed in thi., office
dated ...December.....1 ....., 19..7.7. pursuant to which Building Permit No ....... ?772Z
dated ...Deceabezt... 2 ..... , 19..77, 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 ......... l~vat, e .0~e .F~y. I~eLling ...............................
The certificate is issued to ' Pebble Beach Realt~ Inc.
(owner, ~L~A~L~f~x
of the aforesaid building.
Su~o~k County Department of Health Approval ......... 7.-.S.0..- .~.7.~. .................
UNDERWRITERS CERTIFICATE No. N~12166
HOUSE NUMBER .... .~ 0.~.0. ..... Street ........... T..h.e..C.r..e.s.c.e.n..t .................
East Marion, New York
BugcUng Inspector
County Tax Number
1000-~0-2-26
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9572 Z
:::::::::::::::::::::::::::::::::::::::::
.................. ~.....:' ~, , .~...-.. ....................... ~
pursuant to application dated .............. ~....,....~.: ................ , 19.Z.Z and approved by the
Building Inspector.
Fee $../...~. ................
A. This opplicalion must be filled in typewriter OR ink, and submitled in triplicate to the Building
Inspector witb 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 Ifealth Dept of water supply and sewerage disposal- (S-9 form or equal).
3. Approval of eIectrical instc~llation from Board of Fire Underwriters.
41 Commercial buildings, h, dusnrial buildir~gs, Multiple Residences and similar buildings and
installotlons, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plaa requirements where oppllcable.
B. For existing buildings (prior to April I957), Nomconforming uses, or buildings and "pre-existing"
land uses[
1. Accurate survey o'f property showing oil property lines, streets, buildings and unusual n,¢tural
or topographic features.
2. Sworn statement of owner or previous owner os 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 SS.00
2. Certificate of OCClJt)al~oy on pre existing dwelling or land Llse
3. Copy of certificale of occupancy $1.00
New Building ....'k/~ ........ Old or Pre-existing Building ............................ Vacant Land ............................
Location Of ~roperty ...~.~2 ......... ...~7>.~.,~:..,~f.~ .................................. /~ ............. ~ .............
Owner Or Owners Of Property ........ 9~~.....~/~..~~................... ~{~
.............
........... ,,=nmo ........................................
Request For Temporary Certificate ........................................ Final Certificate ~
Fee Submitted $ ..~..z..~ ...................
Construction on above described buildingL~ndM0ermit meets al.l,--d~plk;able codes and regulo0ons.
Sworn to before me this Applicant~~'"'"~'~"'~"~"~'"~":
................ day of ............................................
Notalb' Public .................................... Cou,~ty
(stomp or seal)
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
-- el" 85 JOHN STREET, NEW YORK. NEW YORK 10038
N412166
THIS CERTIFIES THAT c 9 '
only thee~ect~e~a~me~t~l~m~i~¢ro~u~e~ ~ t~t ~ ~~ ~m~ ~ o~
~leln ~ Eve~8oll ~c.,~/~ The C~e~oen~ App~ox~ ~3~e/o ~he Greenman,
in tAeJ~i~g ~tion; ~ B~nt ~ I,t Fl. ~ ~ Fl. ~t~n B~k ~t
w~exam{~on NOV~P ~} 197~ o~fou~tobein~m~ian~withther~ui~men~ofth~.
RXTUI~ RXTURES RANGES OVENS IXHAUST FANS
OUTLETS SWITCHES FLUO~SCENT
HYII~
RIRNA~E MOTORS FUTURE
SERVICE DISCONNECT
· FutuPe appliance £~edePs:l-2
?-:i;moke Detectors
S E R V '1
14,1-2 .12,1-2 10,1-3
Newbrldge [~lect. Co. inc.
179 Express St.
Plalnvlew,N.Y. 11:~,~''7
This certificat~ must not be altered in any manner~ return to the office of the
THIS COPY OF
if incorrect.
FO~ NO. 1
YOW~ O~ $O~OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N, Y.
Examined .........~..2.~, .~.~.,-~..~- .............. ,........'77
Approved ....... . ./. ?. ./. . / .7./. ............... , 19.Z.Z Permit No.....~..,G~'..Z,,,~....,,.~..,
Disapproved a/c ............................................................................................
(BU'ild[ng Inspector)
Application No ...............................
APPLIGATION FOR BUILDING I~ERMIT
INSTRUCTIONS
o. This application must be completely filled in by typewriter or. in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of [et and of buildings on premises, relationship to adjoining premises or public streets oF
areas, and giving a detailed description of layout of property 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 o Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the worE.
e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy
shell have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tho
Building Zone Ordinance of the Town of $outhold, Suffolk County, New York, end other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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.
/,~nOture of applicant, or name, ~on)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Name of owner of premises ............. lt , .........................................................
if applicant is o corporate, signature of duly authorized officer.
Jack B Peters, Pres .........
(Name and title of corporate officer)
B ilder's Li N ....... '
u cense o .....................................................
Plumber's License No ..... .H. 9.r..°.~[.tz....B..r.°..s... ...................
Electrician's License No ........ .N...e.,w..,12.rJ.d.,g,.e...E.!.e..c.~.ri,c..,..
Other Trade's License No. - ....... ..
1.
Klein & Eversoll, Inc.
350 Vanderbilt Motor Pkwy.
Haupp~uge, New York 11787
Location of land on which proposed work will be done. Map No.: ...~....~...~.,..~.. .................... Lot No....~-...~.~. ...........
Street and Number ~,~ ~,.~_~.c~z,J~-- East Mar on, New York
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o. Exisiting use and occupancy ......................V..q.c.g..n.,f...Lg.n...d. ......................................................................................
b. Intended use and occupancy .................... .S.[.n.g!..e..Fqm. j..Y...~.e..~J.d..e.P.g.e. ...................................................................
3. Nature of work (check which appllcab[e): New Building' ........X. ......... Addition .................. Alteration ...............
Repair .................. Removal .................. Demolition .................... Other Wor~k ....................................................
~ ~, (Description)
4. Estimated Cost ...............~.2...q~..0..0..0. ............................... Fee .......... .~..7.~:.~.:./..~-~..Z../..*..~..'..'~.. ..........................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ......... .O...n..e. ............ Number of dwelling units on each floor ............................
Two-Car
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 ..........N./..A. ............ Rear ................................ Depth ....................
Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front ....................................Rear ............................
Depth ................................ Height ..: ..................... :...Number of Stories ................................
................................... 46' 4" 60' 8"
8. Dimensions of entire new construction: Front 52~ , Rear ............................ Depth ........................
Height 18 Number of Stories One
9. Size of lot: Front ~ ............................. Rear ..... i~.~ ........................... Depth ..... .~....~...~.. ................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises ore situated A Residential
12. Does proposed construction violate any zoning Iow, ordinance or regulation: ........... .~..q ........................................
13. Will lot be regraded . ....... .N...o. ............... Will excess fill be removed from premises: ( ) Yes ( ) No
14. Na me of Owner of premises ....P..e..b..b.!..e...B...e~...q.h...R..e..a..l.tY. ~...[n..q :.... Add ress ..3..5..6...F.~..tgn ~..~,k!×Q 'Phone No. (~].~ )~§.?.z.~0
Name of Architect Jerold Axelrod Address 275 .B.r.~.d hollow RChone No. 293-4778
............................................................... ............................
Nom of Contractor ...... mlb..b.¢., ............... Address ,~,,~.,0..~Y~.qt.9.[...P..J.k~.,. Phone No..2,~.1..-~2Q0 ..
PLOT DIAGRAM
Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate all set-back dimensions frore
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,~ ~ c c
COUNTY OF .............. ¢'¢
Jack B,...P..e. te.r..s ........................ be ng duly sworn, deposes and says that he is the applicom
(Name of individual signing contract)
above named.
Corporate Officer ............
He is the ............................................. . ......................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that all statements contained in this application ore 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.
.S..w..~,.'.n...t..~..?..f..o.r.~ dSeyt~ .~.~....~..._. ............ ) ...... , 197.~.. ~_ ,~,___ --
Notary Public, ...~".~....'.~'~ Cour~...~.~...~:: .......
'" ~ ~ (Signature of applicant)
no.~O03 ~G75
~uaJfled in Richmond C~u~fy
~mmis~ion ~re~ March 30,
-~ ~ . .-- . (BuiYdin:g Inspector)
, -,.. APPLICATION FOR BUiLDiNG PERMIT
INSTRUCTIONS
a. This application must be completely filled in by ~pewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to ~ale. 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 a detailed description of layout ofproper~ must be drawn on the diagram which is part of this application.
c. 5he 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
shall be kept on the premises available for inspectbn throughout the work.
sh: ' No building shah be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
have been granted by the Building Inspector.
APPLICATION [S HEREBY MADE to the Build ~g Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the qown of Southold, Suffolk County, New York, and other appl cab e Laws, Ordinances
Regubhons, for ~he construct,on of buddings additions or a[terahons, or for removal or demolition, as herein described.
The applicant agrees to comply w th a app icabie laws, ord nonces building code, housing code and regulations, and to
admit authorized inspectors on premises and in bui dings for n~essary nspections.
:tote whether applicant is owner, lessee, agent, architect, engineer, general contractor, e~ectrician, p~umber or bu,,d,r.';r
Owner
Hame of owner of premises P~b~l~ B~h R~a fy, ~,
~f applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer) 350 Vanderbilf Molar Pkwy,
Haup~uge, New York 11787
Builder's License No ............. ::7.::T.Z.Z ........................
Plumber's License No ..... !.~.o..r..o..w..[t.z...~r.o.F., ...................
Electrician's License No ........ .N..f~.w..b..r~.d..g.~.:!.e..c..f.r...c.....
Other Trade's License No .......... .Z.Z.~'.Z..-.'T..-..-. ....................
Location of land on which proposed Work will be done. /V~ap No.: .... ,,, ................................... ~ c; c~ Lot No ..... ~-..~ ...............
Street and Number
........................................................................................... Yor.k. .........
Municipality
State existing use and occupancy of premises and in,~ended use and occupancy of proposed construction:
a. Exisiting use and occupancy .................... ..V..a..c..q.n..f..!:g.r]..d. ......................................................................................
b. Intended use and occupancy .................... .S.[.n.~l!.,e...FD.,m.].!y...J~.e..s.i.d..e..n..c..~. ..................................................................
NOTE:
~-- MONUMEAI7~
SUBDIVISION ~¢AP FI£ED IN THE OFFICE
OP THE C£Et?~ OF SUPFOLK COUNTY ON
dUNE I1~ 192'5 AS FILE NO. ~2~6.
THEFFE AF~E NO DV/E£11NGS V//THIN I00' OF
THIS PF~OPEBTY O)'rlEB THAN THOSE SHOWN
HEREON.
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATrONS AND/OR FROM DATA OBTAINED FROM OTHERS
bof
~FFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
,s,,F.
! /
APPROVED ~ ¢-~-"~
bo
AreO
ft.
bof ~
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W, YOUNG HOWARD W. YOUNG
SURVEY FOR:
HLEIFL , ~ E VER$OLL , INC.
LOT NO. 25, "PEBBLE BEACH
FA t?MS '
EAST MAF~ION I GUARANTEED tO:
SUFFOLK CO., N.Y.
bof
NO rE .'
~= MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE
OF THE CLERK OF SUFFOLK COUNTY ON
JUNE II, 197,~ AS FILE NO.
THERE A~ ~0 D~ELL/~GS ~[TH/N
THIS PROPERTY O~ER THAN ~OSE SHOWN
HEREON.
~ =
L.of
YOUNG & YOUNG
400 OSTRANDER ,~'vLNUE, RIVERHE,~.D, NEW YORK
ALDEN ¥¥. YOUNG HOWARD W, YOUNG
....... ~ I'O~' AIVTHOIVY tEICCA ~ DIANE RICCA
RALPH MAAICINI B ELIZABETH MAAICIIVI
LOT Ivo. 25, ''PEBBLE BEACH F'dt~AdS''
~AST MARION
~c',,,~ ,:-~ SOUTHOLD
EQUITABLE FEDERAL SAVINGS B
LOAN ASSOO
~ ¢, ~ ~ ' ; ~ U APPROVED AS NOTED
' ~ :J ~ NOTIFY BUILDIN~ DEPARTMENT AT
...... ~ 765-2660 9AM fo 4PM FOR REQUIR-
Y
. . ,:1 .:.. I..... ,
t'
~ ~ IFRONT ELEVATION~ ~ -~
I ~ i ~ ' - i' o" i ~4~4' ~x
'
~ DETAIL ¢ WIND. BOX~
,' I ~ F , , ~ .... =~ ARCHIT[CT. THEY ARE N~T TO BE USED
~ FO
.. I' I . i: ~ ~ ' ' 1 ' ' I ' ~ .... ~1 ~ · [~ ~JTr:~ R A qY OTHER CONSTRUCTION EXCEP T BY
1
i R~AR E~EVATIO~
4 MODEL" B W FULL.BASEMENT
DRN BIY: DATE: ?T~-7~ ~E~OLD L: &X~L~OD BUILDER: KLEIN EVERSOLL , [ ' L; ~ ' __ n ~
PLUMBING DIAGRAM , ~;,f.~; ....
,__~ ........ '~ ~ ~ .
~ .RI, GHT SIDE ELEVATION .,
/Z
i I
~ ,' ~~ ,: '
I I
~L + ~ ~
DRN BY: DATE: %~'70 BO1LDER: MODEL "B'~ w/
E.j.B. e"~ e.¢z.z~ agSOLD g. ~BgROD KLE~N ~ EVERSOLL FULL BASEMENT SHEET
A~.CN~gCT PEBBLE BEACH FARMS ~ OF ~
CHKD BY: 275 BROADHO~OW ~, ~.V~,t~, N, Y. IlV? EAST MARION N.Y.
J,& . , . ' - ,,
-?-~. ~'-[" , .--'.~' ' ~'~..~:I~ 4~~~'' ' g'-I" suq~o ~.
' [ ~-~" - ~ ~Z'~, -- DETAIL THRU BAR
~ [ ¢ ]~ / - -~~=~ ~ ~:~..*ur~L [t~Z,~* ' , ' :~ [ OWNERSHP OF DOCUMENTS
I [ ~ ~ ~ - '~Z~'-- ~/% ~l ~/ ~'~ -: ' ~ , [ THE~E DRAWINGS ARE INSTRUMENTS OF
I ~ ~:~ m~: =~ / ~ ~ L ~ ~ ! ~ AND SHALL REMAIN THE P,OPEKTY OF T,E
~ ~'~ ~ ~ ~: ~ ~-:.~ / %! I : .3 ~ ' . [ - ARCHITECT THEY ARE NOT TO BE USED
. ,~ ........... ~ -~'-~1~ ~u ~ - ,~*. ¢_ / ~ ~ %.. ,/ ~ .................. ~ f ~ .' '
-'l ......... ~ ~ , ~ · , x ~- ~ ~--' ~.. ~ -, I
' -- ~ ..... ~j / ~ ~,, , k~ ~l~,~r~ ~'_ .,~'I~ ..' .~*---4-~- ~- .... ~
· ~l~h .... ~.~ ~'L ~'1 ~ ~- '~ ~ ~-~ ~at~:~---~-~ ................... ~-' ~ '
I : ~~ ...... V' ~.~ ~ ~ ~ ~ .... . ~ i - '
'~-' ~--~~-- ~., , ,,, , ~ , -
~. . ~ ~,.,~. ~, · '~ 0)~ COU~T 3 OPT, ~OA~ GARAGE ~ ~ ~.
~r ...... ~ ' ~ ' '
,___ ,., , . . , ,, . ,_ ,
bOLO" ~ lOgO'' . ...... ~ ~d'¢"
~, ............................ .................................. - ....... i DETAIL e SCREEN WALL
~'-¢" ~/ 4~~ v4'=/~,,
FIRST FLOOR PLAN
'BU~La~R' MODEL "B" / 8ASZ~Z~T ~%*~'W SHEET
DRN BY: DATE: ¢-~-7~ W,FULL
J~Ot,~' [,. ff~(~L}-{O~ ' KLEIN 4 EVERSOLL
,, 1¢.~-7¢ ,,,,m., PEBBLE BEACH FARMS~ ~ OF 5
E.d.8.
CHKD BY: ~f~ aAo~o~ow ~. ~ ~. ~- ~i~l~ EAST MARION N,Y, "
4~ '
DRN
EJ.B.
CHKD
J
DATE: ?-~-
JEHOLD L. AXELHOD
tUICHITECT
BUILDER:
KLEIN ~ .EVERSOLL
PEBBLE BEACH FARMS
EAST MARION / N.Y.
SLAB FOUNDATION PLAN ~,,.~,~,,
MODEL "B"
ALTERNATE TRENcH'D
FDN, WALL DETAIL
SHEET
o~ 5
~ ~' ' 4"'
~'-~" 'J ~ I'z'-,~''1 ..,. ~' ~ ~'-,'~
- '~., ~m:i ~l ,~. . ,
~ ' F / ~ , ~ ~ ~ ' ~L~T~' ';" ~'~ ~ -
.... .. ,,,. _ .. ,.L'------. -,----
, ~d~.~,~,~ FDN. WALL DETAIL
,~ 7~4,, ~t,
~~! ' , E ~ ~,,-' ] OPEN CELLAR
~ ~ ~ ~ .,~ ~ ~1 S'-O' .... ' ' o"~ ~" ~:~
' , ~ ~ i I I ~ ~, ~ ~,.~
. .
., -., ~ ~ .. -.. .
I I ~ DETAIL F-F
, u-. ~-: ': :".~ ~ .-.':-::---.. :..- ' ,
s'-~" ~-~ I
MEN~( FQUNp PLA
,",' BASE, ATION N
DRN BY. DATE: ,%¢-7~ BUILDER' MODEL"B" w/ L
EJd. B. ~ev: ~o.u-~.¢ ' 3EAO~D ~. ~g~OD ' KLEIN ~ EVERSOLL FU g ~ASEMENT SHEET
,, : ',
¢~¢.; ~¢,~e-'1~ , , .,,, A~c~ , PEBBLE BEACH FARMS
CHKD BY:a~ ~O~o~Ow~. ~,~-~ ~,~,H¢~ EAST MARION / N.~.
UPPER
DINING
7
CLEARSTORY
PLAN
BUILT-IN
BENCH DETAIL
SECTION THRU GARAGE
B, R.~2
CONV. PiT
SECTION C-C
ELEV,
DRN BY
E.J.B.
CHKD BY:
DATE: 7-,~'7~'
BUILDER:
/Z
DETAIL,
ION
BED RM,~21 CL, ~ LIk
OPEN CELLAR
ELEV, 2,,'
KtTCH, CAB. ELEV,'
KLEIN ~1 EVERSOLL'
PEBBLE BEACH FARMS
EAST ,MARION , N,Y.
SECTION B-B
BASEMENT
ELEV. 3
' , ,
MODEL "lB" W/~ULL
SHEET
5'o . 5'