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Home My WebLink About10375-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Date ........ .J..u],. ¥..~. ................. 1980. THIS CERTIFIES that the building ............................................... Location of Property 260 The Crossw.ny. East ~?$orl,..Ns7.~... h3~s'o 'dd ...................... 's'tle;i ......... Hamlet County Tax Map No. 1000 Sectzon ... ~.0. ...... Block .... .2 .......... Lot ....... 1.Q~. ....... Subdivision..P..e.b.b.~.e.. B.~.8.o..h..~.~..~..8 ........ Filed Map No ......... Lot No ..... /}.? ....... conforms substantially to the Application for Bmld~ng Permit heretofore filed in this office dated ..... ~.U. g31..8.~...29 ....... 19.7.9. pursuant to which Building Permit No ....... J. 0.~.7.~.7: ........ dated ....~.14.ghl..8~..2.9. ............. 19 7.9., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ............... private...O.n.e. ?..~a..i.l. lr.b~..e.1..l..i.n.g ..................... The certificate is issued to Pebble Beach Farms ~ l~c, ..................... ?o;,;,'~;,'~ ................. of the aforesaid budding. Suffolk County Department of Health Approval . .ff...L~..~..2.0.,..'l.9.~.0. .... 9. Z$9..7.7. ............. UNDERWRITERS CERTIFICATE NO ........ .N..40J7.o.4 ................................ ............. :. ........... Building Inspector Rev 4/79 FOI~M /qO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10375 Z Permission is hereby granted to: ,9 .... ¥~..-~.:....~,.~...d~., ........... ........................ ................ ~ ...................... ~ ................ ~~....~~....~~: ........ ~...~....~ ...................... · -~ p · ~,~ ,..~.....~.~ .... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Rev. 10-10-78 Date . .M.a.y.. 27th. 1980 New Building . .X .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... .2.6. Q...T.h..e..C.r.q .s.s..W.,gy ...... House No. · ............. ~t. ~Mar io.n ....... Street Ham/et Owner or Ownersof Property Pebbl~ B~,c~...F{ar/~ ~[~C .................. County Tax Map No. 1000 Section $.0 ...... Block ..... ~ ......... Lot ..... 1D.8 ....... Subd v s on . .P..e.bble.. Beach .F. a,. .rm.. p ......... Map No. ....... · ............. Lot No .... .41 ........ Permit No..1.0.3..7.5.Z... Date of Permit ~).-.6.~:[1 .... Applicant . ~(~bDe.], .]~,ch. F~$,..Inc ..... Health Dept. Approval 9SO 7.7 .Labor Dept. Approval .............. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate. .................... Final Certificate ...... Z ........ Fee Submitted $.. ~5...OO.. Construction on above described building and permit meets all applicable codes and regulations. Applicant .... Kle3,n. add .Eve~soll.,.. ID.c. ..................... 350 Vanderbilt P[otor Parkway c-~,O Z/o~/~ ~-- Hauppauge, New York 11787 ' , THE NEW YORK BOARD 'oF'FIRE 'UND'E~RWRI'~~ ,,,.,RE^U o,' E-ECT.,,::,T,,.' . .'.. ~-- '88 JOHN STREET, NEW YORK, NEW YORK 1003~' ' ' ' "': THIS CERTIFIES THAT ' " ': , 103752 ,' ,', "~, "~'""~'"7 , Hennelly~n/s C[ossway 208' w]o The long ~ay,EaSr ~ar~on,~.Y.- w~ exami~d on June 5, 1980 J ' 7 ,' ~nd fou~ to be ~n ~mpltance wtth the requ~rements of thu B~. , .~.,,.~ ~ I ~ FIXTURES ,~ RANGES, , ~KiNGO~KS ~, ,OVENS OISH WASHERS EXHAUST ,FANS ou,~ ~'"~C*~l sw.c.,~ ~-~.~.,t~.,~ ~ I ~' r' ~ 1~', I ~w'.'l ~ I ,~(:l'~' ?:,~'~-'. -~'~ ,~-~'~ DRYERS } FURNACE MOTORS ' J ~TURE A~UANCE FEEDERS I$~CIALR~'~, T~MEC~KSt-~ ~BE~' ,~UNI/HEATE~ ~ULTI~UTLE[ ,~-=D~ERS - ,1 30 ' , , -: SERVICE DISCONNECT ~, J~.oFI ' ',,-,~ ,~ S - E ' R V, I ' 'G , E ', ' ~ ?nd cB ' ", '1 , 2/0 , · Future .appliance. fegders:l,2 14,1.-2 12,1.,3 0~,~X3.8 ',, ':',,'' ' ~,~ -,,-~-,v 2 Smo Der -___ke ....., , ~, ...... ,. ~, ,,,,~ -, ,,. : _, Warren .Scott .Elec. ' . : . '.- ,. ~~f-'/ P, O. Box L~ Rohkonkoma,N.Y. ,'11779 , ' , ' , ~' , , Lis.498 , , Tbs ceHfcate ust not be .Itered n any ma.ner return *o the offce of the Board ~ ncorr,~ Jns~ctors ma~ be debt fed by FOKM lqO, 1 TOWN OF SOUTHQ~LD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ,~;F_.~.... ........................ , 19.../.... . Application No ................................. re U ? ·XO.: ?O Z App ov d ........ ,c. ............. , 19 ........ Permit No...z... .................... : ....... Disapproved a/c ................. . .~... ~...-~'~'~-'~? ............... .~ ....................... ........................... :..:.:......!:i. .............. ........ ::::....:,..,....... ................... ?~;~"'~'"7-[,~i~i'~'~'i'r;i~ector) ................. APPLICATION FOR BUILDING PERMIT ................ 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 ~cale. 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 ~vhich 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 appli.~ant. 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 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. /-"~ignature of app icant, or name, ifa c~rporation) ......................... (.~ess,. %~. ,4;~;T-..~r7 ............ ~ ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buffder. .................... § .e..n..e.r..a. ]....c..o..n. ~.r..a, .c..t..q .r. ......................................................................................................................................... Name of owner of premises ..P. el3bLe..Be~¢l~..F.a~s..~13r~ .................................................................................................... If applicant is a corporate, signature of duly authorized officer. .... .,...k...~.:...P.~..~.e...~.~..:....P..~..e..~.:... ~/~'/00~- 0~ ~-:- (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No..Y. fl~..k...~.e.~.h..cln..t..9.a..!....]-..5..7..7..P. ..... Electrician's License No. J~itrr~tJ..,$.¢D.t,t,..F,].e, ct, R~.c,.Co. 4ga-E Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: 6266 Lot No ....... 41 Street and Number ......... ~/.~...T~.~...(;.r..l).$.$...~8,y...~.g.~.'....~.O..T.l~..l~llg..~.~ .E.~.~.~..M..a..r..i..qp. ....................... ':~ ~:7 Municipality " State existing use and occupancy of premises and intended use and occupancy of propose'd construction: o Exisiting use and occupancy y,~cant, Land ' b, Intended use and occupancy .......... .Si.rtg.].e..f. am:i.l.~...¢e$~dellce ....................................................................... 3. Nature of work (check which applicable): New Building.. ....... ~( ........ Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................... (Description) 4 Estimated Cost ..... .~.Z ..00.0 ....................................... i..Fee ....... ' ................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelli'ng units ....[ ...................... Number of dwelling umts on each floor .......... J, ................ If garage, number of cars ..........T.~.0...~.~.~ .................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature end extent of each type of use ............................ 7. Dimensions of ex~sting structu'res, if any: Front .......... none .......... Rear ......... none ............... Depth .................... Height ........................ Number of Stories ................................................................................................................. Dtmensions of same structure with alterations or addmons: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8 Dimensions of entire new construction: Front ...~J~,,~ ........................ Rear ......... J,J~.0.'. ........... Depth ....~l.0.,.g.g .......... 1 I-bight ..... ~.8. ........... Number of Stories ........................................................................... 9. Size of lot' Front ............ ~t'~:..~...2: ........................... Rear ....J.~.O.~ ............................... Depth .....],.7.~.,..7..~ ................ 10. Date of Purchase ................. ' ....................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........... [~9,$J.Cjel~t~:J.~] ..................................................................... No 12 Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ..... DI3 ................... Will excess fill be removed from premises: ( ) Yf~s ,, ( )~ No uroo KI yn · Pebble Beach Fams 356 Fulton St. 213- 14. l'~ame of Owner of prem ses .................................................... Address ................................ Phone No.o~.~n~n ....... Nome of Contractor Klein and £verso11~ Inc. Address 350 Vanderbilt.~l~,~lL~Parkway ..................................................................................................... '2'3'1':'4'2'0~0' ..... PLOT DIAGRAM Locate clearly and distinctly a I buildings, whether ex~sting or proposed, and indicate all set-back dimensions from property lines. Gwe street and block number or description accord ng to deed, and show street names and indicate whether interior or comer Iol STATE OF NEW YORI<,/x' Jc c COUNTY OF .............. ~ ..... .Back B. Peter's . be n duly sworn, deposes and says that he is the applicant (Nome of individual signing contrdcf) above named. President of Pebble Beach Farms, Inc. He rs the ....................................... ~ ......................................................................................................................................... ~. (Contractor, agent, corpora.re officer, etc.) of said owner or owners, and is duly authorized to perform ar have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner 'set forth in the applicatiqn filed therewith. Sworn to before me this i ~ , ' ......... ......... ............. , Nota~ Public, ......~.....~.~Coun~ ~~~..~..~~.., / ~mgnarure ot opplmca EUGENE C. ALCALDE-,~ '~te~ Pu~,~$~e ~ New ~rkYork ~a~ Public, State ~ No.24-O035D~5 ~u~lI~ed iff R)ch~ond County ~ualrfled in R chrno,~ O.ff. filed in Kings J , ' J ~mml~'l~ ~pl,res March 30.' 1977 , '° 73' '- ~ ~ cRoSS ~" ~' ~ WA Y THE NOfE ~= ~ONU~ENf SUBDIVISION ~P FILED IN FHE OFFICE OF fHE CLERK OF SUFFOLK COUNfYON JUNE I1~ 197~ ~S FILENO SURVEY FOR S~O~ ~ ~,D~P~ KLEIN ~ EVERSOLL, INC. ~ LOT 41, "PEBBLE BEACH F~RMS" DA~___~~.~U~ 2 0 1~ ~. D. AEF. ~ '~--~¢~ AT EAST MARION DATE AUG I, 1979 T~e sewage dl~o~al az~d ~Ate~ ~ply TOWN OF SOUTHQLD SCALE l"=40' facilities tot '~ht~ location have been SUFFOLK COUNTY, NEW YORK NO 79 - 423 tnapected by thls deDartm~t and *U~Apt~OR}Z~O ALtERAT~O~ ORAOOIT~O~ TO TH~S [O b8 8~[[S~OtO~,,~ ~-"" ~.~'~ ~ ~ SURVEY )S A V)OLATmON OF SECT)ON 7209 OF THE ' ~COP(EA ~F THIS SURVEY NOT BEARING THE LAND NOT ~E CON~iOERED TO BE A VALID TRUE COPY H~LTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PER~ON FOR WHOM ~H~ S~RVEY IS PREPARED, OF HEALTH SERVICES PURPOS~ AND A~ NOT TO BE USED TO ESTABLISH APPLICANT PROPERTy LINES OR FOR THE ERECTION OF FENCES YOUNG a YOUNG ........... ~ RIVERHEAD, NEW YORK ALDEN W YOUNG~PROFESSIONAL ENGINEER AND LAND SURVEYOR NYS LK;ENSE NO [2845 HOWA.RD W ~UNG, LAND SURVEYOR ~THELOCATION~W[LL(W),~E~ICTANK(ST)~C~SPOOLS(CP)SHOWNHEREON NYS LICENSE NO 45893 ARE FROM FIELD OBSERVATIONS ANDOR DATA OBTAINED FROM OTHERS open Spoce LOl 4 I 20754 sq' fl. , " 208.98 $.85o27 45 THE KLEIN, & E'VERSOI. L INC. 350 VANDERBILT MOTOR PKWY. HAUPPAUGE, NEW YORK 11787 ~ ~_~ 2~o CROSS ~ ~'' ~ WA Y NOTE · -- ~40NU~dENT FOR COUNTY DEPARTMEN~ OF HEALTH SERVICES APPROVAL OF CON~STRUCTION ONLY HS REF. NO. ?~ .~"0~ 7.7 _~ HEALTH DEPART M ENT- DATA FOR APPROVAL TO CONSTRUCT ~NEAREST WATER MAIN__MI -+ ~SOURSE~,OFWATER. PRIVATE__PURLIC~ ~/¢THERE ARE NO DWELLINGS WITHIN I00 FEET OF THIS PROPERTY OTHER TH~N THOSE SHOWN HEREON OF HEALTH SERVICES ADDRESS ' TEL HE L~CATION OF WELL (W),SEPTIC TAN K (S T) 8 CESSPOOLS (CP) SHOWN HEREON SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTYON . JUNE I1~ 1975 AS FILENO. ~RG~ DATE AUG I, 1979 SCALE 1":40' NO 79 - 425 400 OS TRANDER A,V~NUE RIVERHEAD, NEW YORK SURVEY -FOR KLEIN j~ EVER$OLL, INC. LOT ,41'~ "PEBBLE BEACH FARMS" AT EAS~ MARION TOWNI O~ $OUTHOLD SUFFO, L~ FOUNTY; NEW YORK o~E~s~ II -mi ~ t .~u)E~ ~,~RO~ESS,ONA, ENGINEER II &, ~m J HOWARD W '~(~UNG, LAND SURVEYOR I~ NYS ~,CENS6 NO 45893 Lot 4 I Z0754 sq. ft. T/dE CROSS NOTE m= MONUMENT SUBDIVISION MAP FILED IN THE OFF/CE OF THE CLERK OF SUFFOLK COUNTYON JUNE I1~ 1975 AS FILENO SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF. NO. APPROVED HEALTH DEPART M ENT- DATA FOR APPROVAL TO CONSTRUCT ~-NEAREST WATER MAIN__MI ~ ~SOURSEOFWATER' PRIVATE__PUBLIC SURVEY FOR KLEIN ~ EVERSOLL, INC. LOT Z~ll, "PEBBLE BEACH FARMS" AT EAST MARION TOWN OF SOUTHOLD SUFFOL~ COUNTY, NEW YORK SURVEY 'IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATI(~N LAW ...... YOUNG e, YOUNG ALDEN W YOUNG,PROFESSIONAL ENGINEER AND ~AND SURVEYOR NYS LICENSE NO J28,4§ HOWA?D W YOUNG, LAND SURVEYOR ~-THE LOCATIONOFWELL(W),$EPTIC TANK(BT)EiCESSPOOLS(CP}$HOWN HEREON NYS LICENSE NO 45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS DATE AUG I, 1979 SCALE 1"=40' NO 79 - 423 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK