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Home My WebLink About10109-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy NoZ98051 ........... Date ...... De~.e~be~. 26 .............. 19.79 THIS CERTIFIES that the building ....... ......................................... Location of Property .. 6a0 ......... Tile. 8.~.alld ............. ~1~$,~. Mltl~'iOll ......... House No. Street Hamlet County Tax Map No. 1000 Section . .0~50. ...... Block .... 02 ......... Lot ...85 ............ Subdivision..P.e'oble. Beach. FalYals ........ Filed Map No..6266...[~ot No...1.~0 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. ~.rO'~.l.~'. ~,~, Oq).., 19 [~gpursuant to which Building Permit No ....... ~t0.~ 0.~ .Z ....... dated .... .F.e'0rllag~y..~.5 .......... 19.7.0, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... Pri.va~e. One. Fm~ily. l~elldtng, w~h. &~tached. ga~.age .................. The certificate is issued to ...I~..&.I~li,. AplIStO~i~S. t~t~e~t~ .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval lq.~£,. #.~'*o°0~..06 ~. 13111~ ...~.~ ~..~ 9.~,~ ~. I~t~1~'~ o UNDERWRITERS CERTIFICATE NO ............. .II..~.~ ./4~.~. ......................... i. A. Vill~ Building Inspector Rev 4/79 FOE~I NO. 2 'I'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING I~ERN~IT (THIS PERMIT MUST BE KEPT ON THE PI~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) lq.° 10109 Z Date .... ....... .~' ~..~.../.....~.~.~.....~... ~...,......' ......... Z£~.~.~.~..~:,~: ........................... ........... ~.~,~...~.~..z~s~. ,. ......... ../.. ................ ~'. ....................... ~ ............... at pre~,$e$ 'ocoted ot ~.~.a. ......... ~../.~.~ ...... ~.~~..,..~' ~~ ............... ........ ~~.~~_'""~":'"';"ill ........ ~ ...... i .................... ...~.~y....~....~,~...~...i ....................... ,.: ................ ./~'..~. ..... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. Fee $/~....~.......~..~. FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buitdings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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. B. 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 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 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 Date .!'.~...-..~¢'.~. !..~. ~ ~* / New Building ~/ Old or Pre-existing Building Vacant Land Location of P rope rty .~ .~.,O...'..~.-~..~¢~....~../~ .t~?.5.~. ............ .~.~."~.,t.~ ~ .... ~)¢'.~ .~.-'.x~. :.~. ........ House No, Street Hamlet Owner or Owners of Property ./~. (~ .~. ~.,~; .... fi. '...2.1~-,.(&. .?.~; ,P-~..~. ~ ......................... County Tax Map No. 1000 Section . .O.'~.. {D. ........Block ...~?. ?. ~ ...... Lot..~ ........ Subdivision. ~(~-q~.~>.Lt~..~.-.J~.VJ..~T.~..~.r.~..'.. ·Filed Map No ........... Lot No..I:~.C2 ....... Permit No. /..O.~.o..~ .".~. Date of Permit~..~.J?.. 7,~.Applicant '.~..d'+?.~...~.,~.~.J.~']~.~._.,. ' · .C~9 .~-: .' ....... Health Dept. Approval .~ .--.~..d?. ,,: .L? f,~.....//./J.~.//~. Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... Fee Submitted $ ~ g ~> Construction on above described building and permit meets all applicable codes and regulations. ......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I-- ~ovember ~, z~J°"" S~',E,~. ,,w ¥o,,. ,EW0]~6OO3, THI~. ~IFIES THAT ~' in the/ottowing t~ation; ~ B~ement ~ I,~ Ft. ~ =nd Ft. S~don et~ ~ ~ ~ ~ and found to be in compliance with the requirements of this B~rd. FIX'URE ~ FIXTURES ~H~ES ICO0"'"~ DECKS I OVENS ImSH WAS~ERS 29 27 29 i 1,2 .,ERS I ,URHACE,~OTORS SER ICE OI NN I . ] E e V ' 1 C E ~ 200 ob x ~ ~/0 ~ee, Room Hea~e~8 -Smokm Dmtmotor8 I-~.SKW Hot Water Heater EXHAUST FANS DIMMERS OF NEUTRAL Joseph C~ocombe Box 1175 Cente~ Mo~tches, U.~. 11934 Lle. 7;$6 E ~NEJP, AL MANAGER " This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, CC3(~-f~-iNA ~ t,J t ~ "~OL~ G M FI?_AI-/~F- O.5 TOWN Ol: $OUTHOLD BUILDI~ DEPARTMfHT, TOWN CLERK°$ ~OUTHOLD, Iq. Y., Examined .... · .~, '..~.-..-...../..O..~'~: ......... 19.Z .~. Approved .J~....~...~-.. .......... , 19Z~... Permit No. Application No] ./.~.....~-.~...¢. ............ Disapproved a/c ................. :;L..,~-- ....................................... --~/.-.,-~ ................. .... i ........ ~ ....... i-~-i~b--lnspector) APPLICATION FOR BUILDING PERMIT Date ..... .?--..=.../..¢.:..=.: ................ , INSTRUCTIONS a. This application must be completely filled 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 pram ses, 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 al~plicant. 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 Dui d ng Zone Ord nonce of the Town of Southa d, Sulfa k County, New York, and other applicable Laws, Ordinances or ..... L .,J. - -dditlons or alterations, or for removal or demolition, as herein described Ragu at OhS, tar the construction or uullcJing~, u ' The applicant agrees to comply with all applicable laws, ord nonces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. "ff'd~-Fa 6o~"T~. C~P-e'~ ..: .................. (Signature of applicant~ or nome, if a corporation) ~;~.?.....~.!.'~ ~...~?..~ ~-....~.~g_~...~e.:v..:. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .~...~. ¥~- ~.:~.~ ...................................................................................................... , .......... : ............. ~, ~_ ,- h~ ~,~o_~.~'L~ % .,v-=,~.~.,~,.~.A.~ ........... ;... Name of owner of premises ..,",;,~ ................................................................................. If applicant is a corporate, signature of duly_ authorized officer. ................. il~i~ and t[~:)'~f corporate off~i Builder's License No ..................................................... Plumber's License No. '~ 0 (~ ~0 .. . .... Electrician's License No...~--.].-..~..- ............................. Other Trade's L~cense' No .............................................. · ' Location of land on which proposed work will be done. Mcp No.L~-.~.~.--~.--a-~',..-..~-.-~.'Z.~--~.-.. Lot No...._...~..4..~.?'.J... ~- - - "u-bet ~-"r...~..~ ~X .F.~ h. ~.....'.~..~ ........................................... .:..-; ........... ~rreet anu ,~ m .... ~ ................................... ' Munic~podty State existing use and occupancy of premises and in:ended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... .~..~...,,('.,/..~../.-~.-.?-..,-.,~''Z¢)-'''/~''''~'' .................................................. b. Intended u~e and oeoupanc;, ...0..~...~ ........ .~ ................ ~. ............ ~ ......................................................... 3. Nature of work (check which opplicabiei: New Building .....,V.. ......... Addition .................. Alteration .................. Repair ................ ~. Removal Demolition .................... Other Work ...................................................... .................. (Description) 4. Estimoted Cost ~"~C),OO/C) ,.,' ......... ..Fee /Z..~....~ ............................................................. ............ 7 ................. ' .......... i[(~"be paid on filing this application) · .- ~)~ ~' Number of dweHinq units on each floor ............................ -5. If dwelling, number of dwe~ um.~s ............ : ................ ' if garage, number aT cor~ ........................................................ . . ' 6. {f 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 oddHions: Front .................................... Rear ............................ Depth ..¢~/~ ............... Height ............................ Number of Stories ................................ L 8. Dimensions of entire new construction: Front ..'7..~.~..~ ..................... P, eer ...~..~'.:,.~.. ............ Depth ..1~.../...: ............ He ght /~. . Number of Stories ....... O..~.-..~.. ................. :'";"';'7'"'";;"3/'./'~ ................... ',~'~'~'~"~ ............ ............ ~,Z* ~,~, ~ ~..b '. ......... Depth .,;2../...~ ................... Size o I : ". - 9. f at Front .~.. ............................................. I0. Date of Purchase . · ,, L.~..'7...~ ..... Name of Former Ckvner ..~.~...~....~.......,.~......~x~.j~.~:.. ............... 11. Zone or use district in which premises ore situated ..... .~..i~._~ !..~.....~,-~.,.~.'.i.~..~. ,.~...~..: .................................................. 12. Does proposed construction violate any zoning law, ordinance or regalohon .... ~,~,4~,~ ~O W excess fi be removed from premses ( ) Yes ( _~!,,No 13. Wdl lot be re~ ...... : ......................... Name of Owner of premises~-~t¢-,~,~19~'~ I'~,~.. Address .F~I'/.¢~.'.I:'..~NNf'.-.. Phone No..~...~,.;'.Z¢/.ff.7... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor~.~-..~- ..,'-d~''.'~'''~'~'''l~'''''''c~'''~'~'?~ ................ Address .,~, ....... ~ ................ rhone ixlo ...................... PLOT DIAGRAM Locate clearly and d stinctly o bu dings, whether existing or proposed, and indicate all set-back dimensions frorr property lines. Give street and block number or description accord ng to deed, and show street names and indicat( whether interior or corner Jot. qTA'TE OF NEW YORK, ! S S '" ~OU, NT¥ OF~ ............................... ;~' ' .4. ..... ......... ..... .................. being (Name of indiv dual s gn ng confrac sworn, deposes and soysI that he~is the opp 'c above named. ~ ~ :$ fL of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and this application; that alt statements contained in this applicatio~ are true to the best of his knowledge and belief; thru' the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this S~O~ OOUFF~ HEALT~ DEPArt! d! '': 3a! and water S~b~p]y Chief Of ~eneral E~g~eerl~ ...... ~''' HEALTH DEPARTMENT - DATA FOR APPROVAL TO CONSTRUCT -X-NEAREST WATER MA(N ¥) ~ ~4-tOURSE OF WATER, PRIVATE__PUBLiC SURVEY FOR ABOSTOLOS SKAPERDAS LOT I30"PEBBLE BEACH FARMS AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK OWNERS ~ DISTANC£S SHOWN HEREON FROM PROPERTY LINES SEPT. 20,1979 DATE : DEC. 18,1978 SCALE: 1":50' NO. : 78-809 ·: MONUMENT [3: STAKE SUBDIVISION MAP FILED IN THEOFFICE OF THE CLERK OF ALDEN W YOUNG, ROIESSIONAL EN( SUFFOLK COUNTY ON JUNE 11,1975AS FiLE NO. 6266. AND LANDSURVE DRIlYC~ LICENSER( HOWARD W YOUNG, LAND SURVEYOR '~'THELOCATR~NOFWELL(W),$EPTiC'FAJdK($T)&C~$POO~.$(CP)$HO~HEREON N.~S LICENSE NO 45895 ALDEN W YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR NY~S LICENSE NO ~2845 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK ..50 bot NO}rE: · -' MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERk( OF SUFFO£k( COUNTY ON dUNE II, 1975 AS FII-ENO. $2G6 SURVEY FOR NOV. /$,/979 KLEIN 8 EVERSOLL, /NC LOT NO. I09,"PEBSLE 8EACH FARaeS" A'T EAST MAR/ON ~WN OF SOUTHOLD s~Fou~ COUNT~, NE~ YO~ NOV, /cT, 1979 JULY 25, 1979 /gAY 30, /979 DArE APt~ 27, 1.97.9 SCALE I"= 40' NO 79 - 215 YOUNG a YOUNG AL~EN WYOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N YS UCENSE NO 12845 HOWARD WYOUNG LAND SURVEYOR NYS LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK o H~LTH DEPART MENT- DATA FOR APPROVAL TO CONSTRUCT OTHER THAN THOSE SHOWN HEREON, SURVEY FOR ABOS~TOLOS SKAPERDAS LOT 150 "PEBBLE BEACH FARMS AT EAST MARION TOWN OF SOUTHOLD , SUFFOLK COUNTY, NEW YORK DATE ,DEC. 18~1978 SCALE: NO, : 78-809 yOUNG ~ YOUNG .:,oo os~-.,,,,,,,:,~..,,v~,,,u,: RIVERHEAD, NEW YORK AI~DEN W. YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO 12845 H(~WARD, W, YOUNG, LAND SURVEYOR N.~$. LICE.NSE NO 45893 ' ._~x I x~.' ~2~ ABOS~oLos SKAPERDAS SUFFOLK COUN~ DEPARTMENT OF H~LTH SERVICES LOT 150 "PEBBLE BEACH FARMS AT EAST MARION ~[ · DEC.~8, 1978 ~OR APPROVAl O~ COHSTRUC~O~ OHLY TOWN OF SOUTHOLD SUFFOLK, COUNTY. NEW YORK ,~. NO. = 78-809 DATE ..... HS EEF. NO. ~ u~u~omz~o ~L~O~ O~ ~DO~O~ TO ~H~S ~SURVEY ~S ~ ViOLATIO' OF SECTION 7209 OF THE APPROVED ~ ~ CO~ES OF THIS SURyEY NOT 8EARING THE LAN9 S~R~EY~R'S iNKED SEAL OR EMBOSSEO SEAL SHALL NOT BE ~ON$10[RED TO BRA VALID TRUE COPY ; , ffGUARA~T~ES INDICATED HEREON SHALL RUN ONLY TO T~E PER~ON FOR WHOM THE SURVEY IS PREPARED, H~LTH DEPARTMENT- DATA FOR APPROVAL TO CONSTRUCT A~o ON NI S BEHALF TO THE TITLE COaPANY, GOVERN ~NEARE~ WATER MAIN MI ~ ~SOURSE OF WATER' PRIVATE PUBLIC~ MENTAL: AG[NCYAND LENDING INSTiTUTiON LISTED ~$UEF. CO.'TAXMAP DtST~ SECTION BLOCK LOT~ HEREON,~NG TO THE ASSIGNEES O~ THE LENDING W~E ~ATER SUPPLYAND SEWAGE DISPOSALSYSTEM FORTHIS RESIDENCE ~ D~STANC[S SHOWN ~EREON FROM PROPERTY LtN~S WILL CONFORM TOTHESTANDARDSOFTHE SUFFOLK COUNTY DEPARTMENT TO E~IS~ING STRUCTURES ARE FOR A SPECIFIC '~~ OF HEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ES~ABLISH APPLICANT; PROPER~Y LINES OR FOR TR[ ERECtiON OF FENCES ~DO.~SS ~ ~: ~;' 400 OSTRANDER AVENUE ' YOUNG YOUNG : . ~ RIVERHEAD, NEW YORK · = MONUMENT ~ = STAKE I A~EN W. YOUNG~PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.~S. LICENSE N0,12845 SUFFOLK COUNTY ON JUNE 11~1975 AS FILE NO. 626~ . HOWARD W. YOUNG, LAND SURVEYOR '~THE~AT~WELL(W),3E~IC T~K{ST)aC~SP'~S(CP)SHO~ HEREON N.~S. LICE.NSE NO. 45e93 ARE FROM F~LD OB~RVATI~8 AND OR,OATA OBTAIN~ D FROM OTHERS~ i ,, :, APPROVED ASNOTED NOTIFY BUILDING DEPARTMENT AT -T details foundation plan 7 3 ir plumbing diagram OI'/NERSHIP OF GOCUb~NTS GENERAL NOTES NO NOTE OR DBTAIL SHALL BE CONSTROED AS RELIEVING THE CONTRACTOR FROM PERFORMING HIS ~'ORK IN ACCORDANCE NITH STATE AND LOCAL CODES. ~ALL CONCRETE SItALL BE CONTROLLED STONE CONCRETE HAVING A PROVIDE MIN 2-2" x 6" NOOD HEADERS OVERALL OPENINGS DMLESS OTHERWISE NOTED, b~OTINOS DESIGNED POR T~O TONS PER SQ. BT. BEARING CAPACITY TO BEAR ON ~NDI$'rUR~ED SOIL. HEADERS & TRIt~RS TO BE DOUBLED NIIERE REQUIRED. DOUBLR ALL FLOOR JOISTS UNitER PARTITIONS PARALLEL TO FLOOR JOISTS ~ OVER ALL PLUMBING ~ORK TO BE IN STRICT ACCORDANCE '~/LOCAL ORDINANCES. ,~-~'"~'~ ~ 8. ALL STR~'F~AL LDMBER TO BE HEMLOCK OR DOUGLAS FIR N/1200 PSI MIN. 9. ALL ELECTRICAL ~RK TO BE UNDER~ITER APPROVED, 10. CURBS, C~B CUTS ~ PAVING N~ST CONFORM N/ALL REGULATIONS REOUIREb~NTS OF THE DEPT, OF PUBLIC ~OR~ OF SUEFOLK COU~Y. general notes ,/ BEDROOM ~ ~ ~ KITCH.N DINING ._.. MASTER B~ I~M $ DIN'E! ', CL ~ FOYE~ / ~' ~UNKEN klVlNG ~ ~ T ~ __ ~ = ~ ROOM , , -- II floor plan section 'a ·a' detail i II J right side rear front I¢ ! J '+:-:=-left side elevations