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Home My WebLink About11173-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... g.1.0.5.77 ...... Date ..... ~.Uly..1.4 .................... 19.81 THIS CERTIFIES that the building ................................................ 1760 The Strand East marion, New York Location of Property h3~s'e ~'d ....................... '~'t/e3i ....................... h3r~iei County Tax Map No. 1000 Section 030 .Block 02 .... Lot 060 Subdivision...g..e.b.b.l.e...B.e.a. qh...F.a.r.m. ........ Filed Map No ......... Lot No ...... 1.1..6 ..... conforms substantmlly to the Application for Building Permit heretofore filed in this office dated ..... l~a. y..1.6. ......... , 19 .8.1. pursuant to which Building Permit No .... ~3.:LT.~.g ........... dated ... ?l.a.y...~ 7.' ................. 19..8.1, 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 ......... Swimming Pool (Ingpound) The certificate is issued to ..... .J.o.~.n.. ~....V. 9 .rg.a.p.~' .................................... (owner, ~. _v4~10x ~l~01~ x X of the aforesaid building. Suffolk County Department of Health Approval .... ~/..R ................................... UNDERWRITERS CERTIFICATE NO ...... ~ ~ .~ 2.2.8. ~ .................................... Rev. 1/81 TOWN OF BUILDING TOWNr HALL SOUTN,OLO, N.~¥. BUILDING PERMliT~ (THIS PERMIT MUST BE KEPT ON ~H,E P~A~ID!S UNTIL RULL COMPLETION OF THE WORK *UTH6RIZED) N? 11173 Permissiofi is hereby gr~nted to: ....................................... County Tax Map No, lb00 Section .... purSuont to opplicotion ....... · ........, .:--.?, ....... ................ ~ ......... ~ Le~...Z-./,~,~/.a~..~ 7 ''~'' ~" · ....... /'/'~ 1 ......................................... ~4'~,. ...... iLot NO. ' ..C~..~.O. ........ 19~.~..., and approved by the Building Inspector. Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD l~uilding 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. Su bm it 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 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. 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 V// Date, . .7/! ,~, ./?, ! ........... New Building ............. Old or Pre-existing Buildin~ .......... ;; Vacant Land ............. Location of Property ~. ?..~.? ..... T.!: .~... ~ ~ ~.t ?, ~ .......... .i~. ,,,, .~..~ .v ! .o. ~ ............ House No. Street Ham/et Owner or Owners of Property ~ ?..~,.~.~...~..~ .~..~-~. ~- .~.....~, .c.R. i~..~.' .~..~. v..~ ~.~..~ ....................- County Tax Map No. 1000 Section ~) -~ 0 Block 0 'L~- Lot ~ ~ '~ Subdivision..~, .~'.~ .~,/.-~....~..~.¢~ ~ ~ ~-f'¢ ~ 5 ,Filed Map No ........... Lot No. 6 ~ ~) Permit No. ~, [ I. ? .~...Z:.. Date of Permit~.-/2.. 7 ..... Applicant~. ~.¢ ~,.¢~,. c~' '~' ,"' ~J' o.~ ~ .~. ..... Health Dept. Approval ........................ Labor Dept. Approval ................... Underwriters Approv~t -) ~' '~ ~' ~ '~ Planning Boar roval ........................ d App ................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 FOUNDATION (ls%) FOUNDATION (2nd] 2. ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS f~!~[ BUREAU OF ELECTRICITY ~-- .'J[~[~ ~6~ 19~ 8~ JOHN STREET, NEW YORK, ~ 10038 THIS CERTIFIES THAT or~ly the electrl~l.~q~des~d~fl~[~od~F~ by~B~ca~ na~ed on the able application rtumber in the premises of in the followi,~g locotio~; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot w~s exa,~i,ed on ~tX~ ~ ~ ~ ~ and found to be in compliance wltk the require,nents of th~ Board. FIXTURE I FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO OF FEET A W G OF NEUTRAL return to the office a{ the B~ard IN ANY MANNER. ~OW;N OF SOUTHOLD bY. il LDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL,; 765-1802 A'~proved~ ....... ~. 7.., I~/. Permit No../A4~ ..... Disapproved a/c ...... ~ .............. ~ ........ / (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No..Z'./dT'r.~ ....... Date ............... ,19 INSTRUCTIONS a. This application must be completely filled'in by typewriter or in ink and submitted in triplicate to the BuildJ 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 stre{ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application m~3~not be commenced before issuance of Building Permit. d. Upon approval of this ,~pphcation, the Bu~ilatihg Inspector will issue a Building Permit to the applicant. Such pern shall be kept on the premises available for. iersi~ctmn tlu'6ughout the work. e. No building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ~ The applicant agrees to comply with all applicable iaws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary [fi~pections. ..... ~..~..,.~..~; . .~..{~....~..~.%,,. ....... (Signature of applicant, or nme, if a corporation) 0Vlailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, .................................... Name of owner of premises . .~7~ o-- t~ ~ ...... , . . . , · ~0([,: . .~(?.1~ .~ .~. If..O:.~,. . ...................................... (as on the tax roll or latest deed) If applicant is a co;poration, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No..('~?.~ Other Trade's License No ...................... I. Location of land on which proposed work will be done ................................................ House Nmnber Street County Tax Map No. 1000 Section ...Q.'~ ...... Subdivision..~S~¢.[.%. · .~.~.~ ~. ~ r.~. $ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmcfion: 'a. Existing use and occupancy ..... ' .. b. Intended use and occupancy .. I.q_ .~...~_ .~ . ..... . . ~ ................... . . Ilamlet Block .g"... Lot 40 . Filed Map No Lot I [ ¢ ~. Nature of work (check which applicable): New Buildif~g ........... Addition ~. ....... .~teration .......... Repair .............. Removal .............. DemOlition .............. Other Work ............... '~ (Description) Estimated Cost.. '---7' ! ........................ t~ee .......................... .r. ......... (to be paid on f'fling this application) If dwelling, number of dwelling units ............... Nmnber o f dwelling units on each floor ................ If garage, number of cars ..... ~ ................................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 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 .................... Dimensions of. entire new construction: Front ............... Rear ............... Depth ............. Height .......... ~,,./. ~ Number of Stories ................... Date of Purchase .............................. Name of Former Owner ....................... Zone or use district in which premises are situated ............................................... !. Does proposed construction violate any zoning law, ordinance or regulation: .......................... I Will lotlbe reg aded ' Will excess fill be removed from premises: Yes ' Phone No Name of Owner of premises Address · · Nmne Of Architect ~ Address Phone No Nmne of Contractor ~ Address Phone No PLOT DIAGRAM Locate clearly and distinctly all lbuildings whether existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street m~d block number or description according to deed, and show street names and indicate whether ~terior or corner lot. ~ 'rATE or NE W yORK,, '~ove named. e is the ....................... f said owner or owners, and is duly ~S~.._..~..,/.~~'- ~ .... being duly sworn, deposes and says that he is the applicant t.ing con,act) gent or r e ffic , . au~rized to perform or have performed tl~e sajd work and to make and file this pplication; that all statements contained in this application are true to the best of his kd~owledge and belief; and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this State of New York Suftolk March 30, (Signature. of applicant) ,/ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT N SUFF CO TAK MAP D~ET/eeo SECTION otc'., BLOCK ~ LOT ~o WILL C~FORM TO THE STAN~RDS OF THE SUFF~K COUNTY DEPARTMENT OF HEALTH S~ICES ADDRESS TEL I=MONUMENT SUBDIVISION MAP FILEDIN THE OFFICE OFTHE CLERK OF SUFFOLK COUNTY ON dUNE 11,1915 AS FILE Nb ~ THE LOCATION OF WELL(W)~ SEPTIC TANK(ST)~, CESSPOOLS(CP) SHOWN HEBEO~I ARE FRO~I FIELD OBSERVATIONS AND OR DATA OBTAINED FR~OM OTHERS SURVEY FOR JEAN M. £OT 116 "PEBBLE BEACH FARMS AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK I, IAE. I0, 1981 DEC. II, 1980 DATE ,~1~. 12, 1980 SCALE ~o GUARANi'EEO 7'0: CHICAGO TITLE INEUBANC£ CO. *lEAN M V£BGAR~4 AVENUE YOUNG YOUNG R,, E YORK ALDEN W YOUNG,, PROFESSIONAL ENGINEER AND LANO SURVEYOR N Y~S UCENSE NO. 12845 HOWARD W YOUNG., LAND SURVEYOR NY$ LICENSE NO 4589~3