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Home My WebLink About9611-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at .1.6.0...T,h.e...S.t.r. ,aB..d ........... Street Map No. 6266 Block No. ,Lot No. 137 conforms substantially to the Application for Building Permit heretofore filed in this office dated ...J..~.u..a.rT/.... 6 ......., 19.7~. pursuant to which Building Permit No.. 9..6.~J.Z. dated .. ~.~qU..a~.... 9. ....... , 19.7.8., 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 ...... Private. One. F~mily..Dwelling .................................. The certificate is issued to Arnold & Estelle Levine (owner,~ of the aforesaid building. Suffolk County Department of Health Approval .... .8.-.$0.-.0.! ....................... UNDERWRITERS CERTIFICATE No ....... .I~405.7.O5 ............................. HOUSE NUMBER .,.! .60 ........ Street ....... .T.h.e., S. .t ?. .a~. .d ....................... ............................................. .E.~s.t.M.a.r.~on.,..I~, y., ............... * Third level not to be used as habitable~pace. ..... .,,->../.,n '.::....,'7-. :. ,./~ .~'. < ....... Building Ifispector BUILDING TOWN IT BUILDING I~ERMIT (TI'tIS PERMIT MUST BE KEPT ON THE P~EMISES UNTIL FOLL COMPL£TION OF TH£ WORK AUTHORIZED) 9611 Z Permission is hereby granted to: .i::E~.,'..!:.!.:~:.Ci'~L~ ........ !:,!(?,,!~,:~t ........ .~!..Cc ..... ~ .............. : ....................................................... :: _ k/ mi I~ at premises located -' J ~ 0 -TH ~ .~'q 1;,' Pi N__~ LoT I~~ ~E~LE '~;l=~C- ~ ~ P~'lS- pursuant to opplication dated ................................... ~a..~ ....... ~ 19,:~., and approved by the Building Inspector. Fee ~OE~ NO. 8 TO~N O~ $O~TBOL~ Building Depa,tmenf Town Gler~ Office Southold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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 aT 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 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 ~ ~,.~.y .~..~,, Date ..,.0.., ....... !....~. .... New Building ...,..~,..... ........ Old or Pre*existing Building ............................ Vacant Land ............................ Location Of Property ~j~.~...~.~g~.~?..~.~.~.~.~...'.~'~.~.~..~.?t..~2~.~''~'~?~.~'~:~ Owner Or Owners Of Property ............................................ pa.-_ ,_,- - Subdivision ~,.~.l~..t,.&.~,.,,~.~H..."..,~./?...J..~.~.~./.E/~.r,~,,bNo. Block No ............. House No ..... Permit No. Date Of Permit//..¢./Z ..App,cant Health Dept. Approval .~...~..~.:..J.(7../.?...?~... ............ Labor Dept. Approval ................................................ Underwriters Approval-.~..~..~.~'.:,...~...~...J..~..'~/~, .......... Planning Board Approval ........................................ Request For Temporary Certificote ........................................ Final Certificate ..................................... Fee Submitted $ .................................... Construction on above described building an~ permit meets alii applicable,faeries and regulations. - Annli~nnt :...~. '.... · .~, · .~.. · .~'.. · .~...~?...~.~'..~..~. i Sworn to before me this ................ day of ............................................ Notary Public .................................... County (stamp or seal) Rober. t Bayley Associates Architects & Designers P.O. Box1287 Southold, NewYork11971 Telephone:516-765-1547 ,~elke~l l~eqot:l TEL. TOWN FIF SOUTHOLD DFFICE OF BUILDING INSPEOTOR TOWN CLERK'S OFFIP. E SOUTHOLD, N. Y. 1~9~1 THE NEW YORK BOARD OF,FIRE UNDERWRITERS ~' BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 S,,ptB,.ber 27, 6997 , N403703 TNIS CE~IFIE~ THAT inthefol~iflgl~eation; [] eas~m~Rt [] ;,tls. ~ ~,d n. 3~d fl. ~,o, B~ ~t September 25, lqT~ - a~found to be in complia~e with the requirements of th~ B~rd. RXTUR~ RXTURES RANGES OVENS NSH WASHERS EXHAUST FANS OUT.TS SWITCHES ~0 28 33 ~0 DRYERS FURNACE MOTORS FUTURE APPUANCE IEEE)ERS UNIT HEATERS MULTI-OUTLET SYSTEMS DIMMERS SERVICE DISCONNECT 3-Smoke De~ectorSs 1-4.Skw Hot Water Heater 1-9.g Else. Purnaee S E R V I C E 2/0 1/o Hall Electric 760 Long Creek Dr. SoutholdE L.I. 11[~71 Llc.657E 1] This cedificate must not be altered in any manner;, return to the office of the Board if incorrect. In~ectors may be identified by COPY FOR BUILDIN~_~D~. ~ ~,~TM~II'. THIS COPY OF CERTIFICATE M~US~, NOT BE ALTIRID_, ...... IN ANY~.~._~MANNBL_~ ~Ol~,~I ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ×amined ................. ¢, App,cot,an ..... ....................................................................... : ...... ................ .......... (Buildin~ Inspoctor) .......... ........................ .... INSTRUCTIONS a. This application must be completely fiJled in by typewriter o¢ 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 lot and of buildings on premises, relationship to adjoining premises or public streets o~ areas, and giving a 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until o 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 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................ ...~...~.~:~ .~..~.~......~.~:~..~.~, ~.~.¢,. ............................................................................ ~ame of owner of premises ~ ~ ~L~ ~ E.s...-Ce..c.~ ~,~,~ i~ ~ Ifps a corporate, s~nature of duly. authorized officer. Builder's License No....~,...r~. .................................. Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... ~--~¢, 7~¢.4¢ ~ -- Location of and on wh ch proposed work w be do_.ne Mop No ~..¢~'...~....~. .. Lot No ['-~/ ' , Street and Number .~..E.~..~.`.~..~..~.......~...~..~..~....~.~.~t~...~....~....~..~..~.~..~..~..~ / ~ 0 'T/'¢ ~- .~'~'/~,4 It/~b Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b. Intended use and occupancy .....O....b~....~.......~...(~..~..~...h:..~../. ...... ~.....~....~.....L~..!...~....(~.'. .................................................... 3. Nature of work (check which applicable): New Building .......~... ........ Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) .o., o F 4. Estimated Cost .............. 9..~.0..~.~ ............................... ee ......................................................................................... (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 ..... ~.9..~.~ ......................................................................................................................... 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 ................. Rear ............ Depth .~.~..'~... Height ...~..~. ..... Number of Stories ....... ~ ........................................................................................................ 9. Size of lot: Front ....... ~,~ ......................................... Rear ..~.~ .................. ~ .......... Depth ....~...~ ........... 10. Date of Purchase ....Z.~.~ .................................... Name of Former Owner~.~;~...~.~.~....~.~.&~.~..z.. 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... I~.~ ........................................... 13. Will lot be regraded ..... ~.~ ................ Will excess fill be removed frp~remi~es: ( ~ Yes (~No 1 4. Name of Owner of premises ~.~N~....~.I.~.~ ................. Address ~.~.~.E. tR~.~..~.. Phone ...................... Name of Architect .~.~.~....~.~.~...~.~ ....................... Address ~.~.~.~ .......... Phone. Name of Contractor .~.~.~.~....~.~...(~.~ ...... Address .~.~.~.~. ...... Phone No.~.~z.~.~.~.O PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and Nock number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, I. c c COUI~ITY O.F ............................... (Name of ~n&v~~ "' ~ . 'dual signin~r contract) above named. He is the ..c~.-..~ ..~...~..~ ~ ~_ ~ ~ , (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 fife this application; that oll statements contained in this application are true to the best of his knowledge and belief; tha~ the work will be performed in the manner set forth in the oppficotion filed therewith. Sworn to before me this ~o~ory Public, ~ .................................................. Count~ ................................. ~RY PUBLIO, Stato of ~e~ Yor~ flo 52-4643721, Suffolk Cou~ TOWH CLERK'S OFFICE SOUTHOU), H. Y. am,ned .............. ........ Approved ............... ;.....,......~., 19 ........ Permit No ..................................... Disapproved a/c ....... :m~.~___. ,~ .......... (Building Inspector) Date ................................................. 19 ............. -i.' INSTRUCTIONS 0 ~'~' ': Th~s' application' ' must be completely filled' ~i~or, with 3 set~ of plans, accurate plot plantoin scale.bY typewriterFee according°~ Jn inkto schedule, in triplicate to Building and submitted b. Plot plan showing location of lot and of buildings on premises, re~ationsh, ip to adjoining premises or public streets of areas, and giving a detailed description of layout ofproperty must be drown 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 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 Buildi.ng Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcoble 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 in buildings for necessary inspections. -- · ......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, ect~jneer,,.general contractor, electrician, plumber or builder. ................................................ .......................................................................... Nome of owner of premises .................................................................................................................................................... Ifk~l~ant is a corpomte~natur~ of dul~. u_thorized officer. (Name and title of.corporate officer) Builder's Lic~se No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of landon whi~j~woJ~' I~' I dc~ ~A~J~I~. o.~. ..... ~.~..~..~.~.~.i.,~.No ......................... Street and Numar ...................................... ~. ............................................... · ........................................................... //~ TI~ .~ 7/,-/~, ~ · . M~i¢i~II~ State existing use and ~cu~ncy of promises a~ intend~ use and ~cu~ncy ~f p~ c~tmcti~: a. ~isiting u~ a~ ~cupancy O~ ~C~ ~w~l~ . b. Intend~ use and ~cu~ncy ................................................................................................................................ TITLE NO. 10991-2 ~ j SUFFOLK COUNW DEPARTMENT OF HEALTH 5EEVtCES /J FOR APPROVAL OF CONSTRUCTION ONLY OF THE C~EBK OF SUFFO~K COUNTY ON -- OEC.~I~77 400 OSTRANDER AVENUE, RIVER ALDEN W. YOUNG ' SURVEY FOR: LOTN~ 1~7 PEBBLE BEACH FARMS AT GUARANTEED TO: NOTE: REVISIONS O~C. O, ·: MONUMENT SUBO/V/$10N MAP FI/ EO IN )'HE O~FICE OF THE CLERK ?H~B~ ABE NO DWellINGS WITH/N YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERH£AD, NEW YORK AL.DIEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: ~ ARNOLD LEV/NE ~t ESTELLE LEV/NE IOTNO 157 "PEBBLE BEACH FARMS" AT TOWN OF' EAST MARION SOU THOI D SUFFOLK CO., N.Y. SCALE: /#__ 40' I DATE: ~ GUARANTEED TO: ~OU~IOLO SAVINGS ~ANK AUG. 18, 19Y5 J NO. 75 - ~/~E ~0. /200520 ~he sewage disposal and water 8~ply facilities for this loca%ten haws been inspected by this department ~d found to be sa%1sfac'tor~~ ~ ~..~ Chief of General lnesr ns Services T I jl I Q I;0" T, 1 - APPROVED AS NOTED I 0 I - '1 "' DATE: j j · ~T~ ~TI~ LZ~.~jS0,~ J 765-2660 9AM to 4PM FOR re~um. ~ ID INSPECTIONS: J J I;~"T, J .' !~ JEFORE BACKFIRING FOUNDA- 4. FINAL VI}~ ~O~ CO~,~PLET~ NOT RE~51~LE FO~ DES~N I ~, ~"w~'~~ ~ I - t .. t I VAT~"L., F~-,TO c.'~zI. I~ J-15, F~U'f .--- -- V2," CII:> ~¥wo0~ r~Te.~ W, lt., ~ j I FtM, LEVlNE RE~3tDE NCE. p~..FSISLE: F~EAC. H FARIVI$ IHI / / \\~,~ ATTIC FL, I I ' I I 1 ~ I I L -- -- -- -- .......... .-4 ~.~~_.,~, fo'