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Home My WebLink About11286-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. ~.1,0,8.6 .1 .......... Date .... THIS CERTIFIES that the. building ................................................ Location of Property .1.5. Q ........... .T)I.o...C?.o.~. 9.o.n.t: ............ E..a.s.t,..~0.r'.:!..ql.~ ...... House No Street Ham/et County Tax Map No. 1000 Section . .q3..0 ....... Block . .0.~ ........... Lot . .0.3fi. ............ Subdivision .P.e.b.b. ~.o.B.o. 09.h' .F...a.~.m,.a .......... Filed Map No. 6.2.6.6.. 2..Lot No. 3..3 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated · . .8 .u.l.y.. 1. 5 ........... , 19.8.1. pursuant to which Building Permit No.. 1. ! .a.8.6.. 7., ............ dated ....,19.]-.7...~ 5 ................. 19 .a.1., 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 ......... ·, ,a, ~,e. Z, ¥~.~,0...o~?,.:f~.m.~.J,~. ¢.}~.q ~)..at.n.~, .......................................... The certificate is issued to . . .F.r,. ?.d.e.~ .i.c.k..~.:..&..I~..a.r'.g.a.~.o..t;. D. Sc heP£f' of the aforesaid budding. Suffolk County Department of Health Approval J.l.:S. 9rY?.,. J ~./. UNDERWRITERS CERTIFICATE NO I!I 56.7.67.4 Rev. 1/81 Building Inspector TOWN 0F BUILDIN~ Di~pART/~N? TOWN HALL SOUTH'OLD, N~ Y. BUILDING P,ERMiT (THIS PERMIT MUST BE KEPT ON THE PRE~IS COMPLETION OF THE WORK AUTHORIZED) 11286 Z Dote ...... UNTIL FULL Rev., 6/30/80 Permission is hereby granted to: ~ .......... z.-...V:.~.......~r~,.~.,.~...:~,o~, ..~:~. ~..../...~.,~.~,..~'.,.~.~.. z(/kZ:..,~ ................. ...~~.~....~.,.~,+...~ ...... z~¢~ ,o .C~.~~z:. ~..~~..~~.~ ....................................... ......... ~~..~.,.~.. : , -~ . ................. /~/ ~ .... ~.~; ................... Coun~ Tox ~op ~o. 1000 8eot,on ...G~ ......... 81~k ~ ........... kot ~o...~....'.~. ........ pursuant to ~pplicotion d~ted ..... ~ ...... ~.~..: ........ ;....}....., 19, ond opprov~ by tho Building Inspector. ~ ~**.~ .... 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 approva~ 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. 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 $5.00 Date .......................... New Building . ...~.'. · ..... Old or Pre-existing Building ............ Vacant Land ............. Locat,o, of Property ................ N ...... House No. Street Hamlet Owner or Owners of Property ..~.~.~ ,~.~1'$ · ~', County Tax Map No. 1000 Section . ..~. ?'.. ) ....... Block...............~' Lot ................ Subdivision..~..~..~. ¢?,....~..~..~.~..~..?..e~.~..~.~. ,Filed Map No. 4 .~.f.~....Lot No...~..~..~ ...... Permit No. !).~..~..~... Date of Permit Z'.~.~..'.~..( .Applicant .1"'. ~--~,..~.. ~ .~..~. ~ ?:'. "....~...~ ,~,, , , Health Dept. Approval . .~!..' .~.. ?..'. ~ ~. ......... Labor Dept. Approval ........................ Underwriters Approval .~.. ~..~,~.. ~ .'?.~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... ,~ .......... Fee Submitted $ looo8o5 THE NEW YORK BOARD OF FIRE UNDERWRITERS [~[ BUREAU OF ELECTRICITy [~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~}t'~/~.7~q)~t~JZ'29, 1981 Application No. onfile145137 - 81 N ' 7c7 THIS CERTIFIES THAT ~ 4 ~ ~' ~ ; only the electrlcal equipment as described below and introduced by the applicant ~an~ed on tire above application nutnber in the premises of ~,i Co~struct~>n~ s/s ~ Crescent 100' eld ~he C~eem~ay, East: ~.ari~m~ ~LY~ ,. the yollowi.~ lo~ation; [] "a~e,nent ~]' ~t ri. [] ~nd r~. ,3ob /I33 S~tion BIoc~ rot was examined on ~CA~XI~f~ ~j ~ 19~'~ and found to be itt compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS OUTLETS i3 29 25 13 DRYERS FURNACE MOTORS FLUORESCENT VAPOR FUTURE APPLIANCE FEEDERS TIME ~LOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E ~° o~o~o OTHER APPARATUS ~Special Recept~ci~/a~ 2-20, 1~.30, 1-G,I .t AWG OF CC COND I C E NO OF HI LEG A W O NO OF NEUTRAl OF HI LEG AWG OF NEUTRAL 2/0 Warren Scott ~lec. Box 907 I~m, l!o~kor~mm., N,Y. 11779 This certdicate must not be in an), manner; return COPY FOR BUILDING THIS OF the Board GENEI~AL MANAGER Per_ may be ~dentifled by their credentials. NOT Bl~ ALTERED IN ANY MANNER. 765-1802 BUILDING D'EPT, INSPECTION FOUNDATION 1ST [/~ ROUGH PLBG. ~ ~,~FRAMING ~ [ ]FINAL REMARKS:., DATE ~"'/_~,/ INSP£CTOR ~~C~ F IELJ) IN-~PECTION 1. FOUNDATION ( 1 st ) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N, STATE ENERGY C,ODE FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DFPARTMENT TOWN HALL SOU'[ HOLD, N.Y. i ~97 TEL.: 765-1802 E×am,aed' '/7' ..... ...... _ _~_~. ,~ ^ppro,, d .., Permit ..... D~sapproved a/c ........................... ~ ....... / (B¢ilding Inspector) APPLICATION I:OR BUILDING PERMIT Application No.,,//,~ .ff...~.. ...... INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build~ Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b. Plot t.qan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre., or areas, and gtving a detaded dcscrilmon of layout of property must be drawn on the diagram whlclt is part of this ap~. cat~on. c. The work covered by this 0pplication may uot be commenced before issuance of Building Permit. d. Upon apprc.'al of this application, the Building Inspector will issne a Building Permit to the applicant. Such pern shall be kept on tile prenuses avadable for inspection throughout the work. e. No braiding shall be occupmd or used in whole or in part for any purpose whatever untiI a Certificate of Occupan shall have been granted by the Budding Inspector. APPLICATION IS ItEREBY MADE to tile Building Department for the issuance cfa Building Permit pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulatmus, for the construction o/' buildings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and ad:mt anthortzed inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether al*pile:mt is owner, lessee, agent, architect, engineer, generaI contractor, electrician, plumber or build ....~..?..~ .L..,~.e t~ Name of owner of prenns,s .................... (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authorized officer. Builder's License No .......................... Plumber's License No .... ~...~ ............ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. .O..~.. ' ........................... ~ ~ ts-o ,'.T/ia ..Cga~c.~r. ..~a...~..~?:~ ........ House Number Street Hamlet County Tax Map No. 1000 Section , . . ~ ........ Block , , .~ ....... Lot ................ II Subdiv,sion ~'~¢:...~fi':XS... ~t ..... Filed Map No .(~.~ ....... Lot. :~ B3 ..... (Name) State existing use and occupancy of premises and intet~ded use and occnpancy of proposed construction: Existing Use and occupancy b. Intended use and occupancy X .~ ~'. M ~.. 3. Nature of work (check wbicl, applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rem6val ........ Demolition ......... ..../.. Other Work ............... ~..~ .~. ,.~. ~ (Description, I-istnnated Cost /~.~' .c~.O'/'O ' · ..f...r'. ..~ ....................... Fee ................ ~- ........... (to be paid on filing this application) ,.'If dwelling, numberofdwellingjonits....~..~..~....... Number of dwelling units6neachfloor................ If garage, number of cars .... }~;:::2.~1..~. .......................................................... i. If business, commercial or mixed occupancy, specify hatnre and extent of each type of use ..................... ~. Dimensions of existing Ctmcturqs, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure x~itb alterations or additions: Front ................. Rear .................. Depth ...................... ltei~t ......... ~ ............ Number of Stories ........ i. Dimensions of entire ne,vconstruction: Front.. ~'~.-~ ...... Rear..~Tf.~ ..... Depth . might .... 1 c..,.. Numb of Stories ...... ............. 1. Size orlot: Front ...q~.l...k ........... Rear..~,.~g~ ..... ~...J~;;}~ ~/7¢7~ ). Date of Purchase ...... ~g~ ................. Name of Former Owner ~ ~ ~k~Z... I. Zone or use district in which pr~mises are situated.. ~.~7.. ~¢y...~ ? ~.~ P.% .............. ~ D,oes proposed construction violate any zoning law, ordinance or regulation: ... ~. .................... ;J tMIJ lot be regraded ...... ~., ................ Will excess fill be removed from premises: Yes L Name of Owner of premises ~.%~ .~g~.. Address~T~. !~ ~.~4~}0'. Phone NG~I~ Na,ne of Arclmect ~g .~n~.. ......... Address ~~.P.~: .... Phone No. ~.~Tr~ .... Name of Contracto~.~. ~t~$Y~ .~.~'. ..... Address .~.. Po/..... Phone No. ~t.I, .... PLOT DIAGRAM Locate clearly and distinctly all ' ' ~' ' ' ou Id n~,s, whether existing or proposed, and. md~cate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether TATE OF NEW Y.43RK... ~ au:tv OF .... S.S .......~~~~i. , I ... being duly sworn, deposes and says that he is the applicant ~ove named. .. .' , . , e is the . . .................................................... . ........... i tr~_~CoI;;r~gent, corporate o fi'leer, etc.) f sa!d~ owner or owners, rind is drily ~uthon'zed to perform or have pei~formed thc smd work and to make and file this )plication; that all statements containe"d,.in~.__this application are true to the best of his knowledge and belief; and that the 'ark will be performed in the mannler set forth h~ the application filed fi, erewith. worn to b.:efore me this .............. ............ o W l~ublic, . .......... i ..... County. /: ' ~OTARY:' PUBLIC, State of New York No, 52-812§850, Suffork Count \ RESGEIVT ~ formerly '1 ooW or ~ '~'~ LOT 5~, "MAP OF PEBBLE BEACH FARMS" ,.... ...... AT EAST MARION D~rE DEC. 19, 1980 ,.,~ ~ ~WN ~ SOUTHOLD SCALE: I" 40' ~ ':; '~ ............ , ./ '~/~ SUFFOLK COUNTY, NEW ~RK No. 80-617 H COPIES ~ THIS SURVEY NOT BEARWG THE LAND RI~ ~VINGS BANK HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT ..0 ~ ms aEH. LF TO mE TITLE C..~Y, ALDEN W YOUNG*, PROFESSIONAL ENGINE ER ON~UNEII. I,,,ASFIkE,O. 6,66 ~1 ANOLAND SURVEYORNY. SUCENSENO ,2845 ~T~L~T~W~L(W),~PTICTANK(ST)aCES~OLS(CP)SH~NHENE~ ~ ~ NYS LICENSE NO 45895 ~E FR~ FREED OeS[~ATIONS MD OR DATA OBTNNED FffOM OTHERS [~494 or f°rmerly SURVEY FOR FREDERICK W. SCHERFF 6 MARGARET D. SCHERFF LOT ~3, "MAP OF PEBBLE BEACH FARMS" AT EAST MARION DATE DEC. 19, ~WN ~ SOUTHOLD SCALE, 1"=40' SUFFOLK COUNTY, NEW ~RK NO. 80-617 ~ U~UTHORtZED ALTERATION OR ADDITION m ~15 GUARANTEED TO: suRvE~ ~ ~ VlOC*TIO. ~ SECT;OH 7~09 ~ ~HE THE TITLE GUARANTEE CO. NEW YORK STATE EDUCATION LAW ffCOPIES ~ ~ls SURVEY NOT ~AR~G THE LAND RI~E~ ~VINGS BANK SURV[~R'S INKED SEAL OR EMBOSSEO SEAL SHALL NOT BE CO~SIDERED~ TO BEAVALID TRUE COPY HGUARANT ES I,DiCATEO HEREON ~ALL RUN ~LY TH; ~R~. FO" WHO~ THE SU~Y ~S HEALTH DEPARTMENT-OATA FOR APPROVAL TO C~STRUCT AND ~ HIS BEHALF ~ THE TITLE ~P~Y, N HEA~ESTWAT~ ~IH__HI ~ N SOURCE ~ WATER~ ~I~TE__P~LIC~ MENTAL A~ENCY AND LENDING INSTITUTION LISTED ~ 5~F CO. TAX MAP ~TIO00 SECTION 0~0 B~CK ~bOT }~ HERE~t AND TO THE ASSIGNEES OF THE LENDING ~THE~ A~ ~ ~ELLI~ WITHIN I00 FEET OF T~S PROPERTY INSTITUTI~ ~UARANTEE$ ARE ~T T~SFERABLE TO ADDITIORAL INSTITUTI~S OR SUBSEQUENT OTHER TH~N THOSE SHOW~ HEREON WILL C~FORM TO THE STAN~ROS OF THE SUFF~K COUNTY DEP&RTME~T TO EXlSTIN6 ~TRUCTUR[~ ARE FOR A SPECIFIC OFHE~LTH S~ICES PURPOSE AND ARE NOT TO BE USEO TO ESTABLISH ADDRESS I YOUNG YuuN SUBDIVISlO~ ~A~ FILED IN THE OFFICE ~ THE CLERK OF SUF~LK COUNTY ALDEN W YOUNG, PROFESSIONAL ENGINE ER ON JUNE II, 197~ AS FI~ NO. ~E66 AND LAND SURVEYOR N Y.S. UCENSE NO 12845 HOWARD W. YOUNG~ LAND ~URVEYOR ~ ~ L~T~ ~ W~L(W),SEPTIC TANKISTIe CESS~OLS(CP) ~H~N HERE~ N Y S LICENSE NO 45893 or for HE. Al_TH DEp"-RTMENT-DATA FO,~ APP/'~OVAL 'FO CONSTRucT SUBDIVIS ION MAP FILED IH T,~E OFF/CE OF THE CLERK OF SUFFOLK COUNTy SURVEy FOR FREDERICK W. SCHERFF El MARGARET D. SCHERFF LOT 33, "MAP OF PEBBLE BEACH FARMs" AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~nONAL m'$TITUTI~S OR SUBSEQUENT DATE: DEC. Ira, 1980 SCALE: I'l :40' NO. BO-Ell GLM, RANTEED TO: YOUNG s YOUNG ALDEN WIYOUNG, PROFESSIONAL ENGINEER AND LaND SURVEYOR NI~S, UCENSE N0l|~845 HOWARO~YOUNG~ LaND SURVEYOR NI~SILICENSE NO145&9~ 400 I AVENUE RIVERHEAD, NEw YORK OCCUPANCY OR ~ USE IS UHLAWFUL ~B~'f CERTIFICATE: OF OCCUFANCY AF'~©'C:D AS NOTED NOTI~ BUrLDING DEPARTM'ENT AT 765-I802 9 A~ TO 4 PM FOR THE FOLLOWIF ~G IKrSPECTIONS, ~]. FOUNDATION - ~O REQUIRED FOR P~UR~D CONCRETE ~. ROUGH - FRAMING & PLUMBIN~ ~. INSULATION 4. FINAL - CONSTPUCTION MU~ BE C,~PLETE FOR C O ~LL CONSTRUCTION SHALL MEET THE REOI~IREMENTS OF THE N Y. ~ATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR D~I~N OR CONSTRUCTION ERRORS.