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Home My WebLink About12983-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13101 Date Janua?,y 2 198.5. THIS CERTIFIES that the building One family. L ,. n,~,~_~,,~rtv Easterly side Willow Drive House No. Street Hamlet County Tax Map No. 1000 Section . . ?.2. .2 ...... Block ...0.~. .......... Lot...~ ~. ............ Highpoint at East Marion Inc. SubdivisionS..e.c.t.i.o..n. fi ..................... Filed Map No.7~B.Q .... Lot No. 2 ~ ........... conforms substantially to the Application for Building Permit heretofore fried in this office dated .H.a.~. c..h..2.6. ........... ,19~. §. pursuant to which Building Permit No................12983Z ..... . dated .. fi. P..r ~.3... 6. ................. 19..85, 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 ......... .... ..................................................... The certificate is issued to ....... H..E .~.B.E. $ ?..~,. ¢I.A.~ D..E .L ................................ (owner, lelFRqCO/cT~ez~(n~)x X of the aforesaid building. Suffolk County Department of Health Approval ....#J.q ~ .S.O.-.~ 7.., ,D.e.c. ;, .2.1. ~..1.9.8.~ .......... UNDERWRITERS CERTIFICATE NO ........... ~)~.fi6 O 72.5... £.e p g....2 ~ ~..1.9 @~ ......... Plumbers certification 1/2/85 Building Inspector Rev. 1/81 FOmte NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12983 Z Permission is hereby granted to: ....... ~o ........... ~: ~.~ ~- ....... ~ ~.....~q~ ................................ / at premises I~ated at . . ~ ~/ Co~ ;~ ~.p ~o. ~0o0 Se~;o. .... .~.,~.~ ...... ~k ....~.~ ...... ~o~ ~o..~.. Building Inspector. Fee $..Z.~.. .......... / Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructi¢,ms This application must be filled in Wpewriter OR ink, and submitte,~a=~ul~ie~t~ to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all buildings, property liues, streets, and unuSual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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 'ipre-existing" land OSeS: ~ 1. Accurate mrvey of peoperty showing ail property lines, streets, buildings end UnLIS'~J~I natural or topographic featur s. , , [ 2. Sworn statement of owner or previous owner es to u~e, occupancy and condition of bu~!fings. 3. Date of any housing code or safety inspection of bu dings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 j ~i Certificate of occupancy on pre-existin§,dwelling land / Copy of certificate o~ occupancy $1,00 use--Fre-Existin~ C,O, $15,00 Vacant land C,Oo $ 5,00 985 Deta ..~9~¥~ ............. New Building xx×x Old or' Pre-e×isting Building Vacant [,and Location of Property . ,W,i,l,l,o,w, .D,r,.i, ye. ....................... /Youse No. Street Herbert R, Mandel Owner or Owners of Proper~y .............................. g~st .MgrJon thmbt County Tax Map No 1000 Sectioq ~ Block 05 Lot .~.~ ........ Hig~peint at East Marion, Subdivision...~S~99, ,!~ .!99: .............. Filed Map No .... ~9~9,..Lot No. , ~ ......... Highpoint at East Marion~ ~ Section, I In~. Permit No, 178~ Z Date o~ Permit .... App)icant ............. ~. ~ f/14-S0-47 Health Dept. Approval ..................,. , . .. Labor Dept. Approval ....................... 660725 Underwriters Approval ,. ? ..................... Planning Bo~rd Approval ..................... Request for Temporary Certificate no Final Certificate xxxxx, x Fee Submitted $..5. :0,9 ....................... Construction on above de~ribed building and permit~et~ all/// .~/9//aPt)lica~e/~°des an~ r/~ulations. [ooo?o~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK+ NEW YORK 10038 .a~ S~ ~ ~ ~,~,~.,~.~.~.~,~ ~r~/~ N680725 THIS CERTIFIES THAT on~y the electrical eq~tiptneut as described belo~ and ~ntroduced by the applicant ~med o~ tt~ ~ 6ppg~eatton number ~n the premises of I~ ~int Developing, l~illow Drive, ~f ~r, E~t )b. rion, N.Y~ in rhe foJlowhrg location; ~ a.so,.e,~t ~ ~st r~. ~ snd F~. Se~t~o. ~oe~ rot ~1 was examlned on ~p~l' ~ ~ > ~ aad found to be i~ co~pl~ance ~ith the requ~rements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE DRYERS OTHER APPARATLIS: 3-,G.F.C.I. 2~S~mke Deg~v/cors~ E R V I C O~n~rt; N.Y. 11~4 ~C. 1~9 GEN This certificate m~t not be altered in any manner; return to the office of the Board if incorrect. Inspector~ may be fdentifled by fhei~ cre~nt)als. ~J ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~UST NOT BE A~TERED IN ANY~ - J TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Janfary ~, 1985 Building Permit No. 12983 z (21) Owner Herbert R. Mendel (Highpoint at East Marion, Sect. (please print) Plumber Metro Plumbing East (please print) I, Inc,) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ' sl si~n~ure) Sworn to before me this day Notary Public, ~ County Notary Public BARSARA DIACHUN Notary Pub;ic, State of New Yor~ No, 52-46357.90 Suffo k County Commission Expires March 30, 19 o~ FIELD INSFECTION 1. COMMENTS FOUNDATION (1st) FOUNDATION { 2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY ~ODE 4, FINAL ADDITIONAL COMMENTS: '.i 765-1802 BUILDING DEPT. INSPECTI!ON FOUNDATION ZST pLBG, FOUNDATION 2ND/~ INSULATiON*~// · FRAMING [ ] FINAL REMARKS: ~ ~':' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 '~xamincd .... '.~'//~ ......... 19 ~pproved...~.f/P~'. ........ , 1~.. Permit No.../..f.~ .~..~.-ff-.~'. Z )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~.a.r. qb..2.6. ........ , 19.8.6. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relafionship to adjoining premises or public streets ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 issued a Building Permit to the applicant. Such permit hall 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 hall have been granted by the Blfilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolifion, as herein described. 'lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. H~[~Q~I~% .~ .~4~T .~/~IQ~ ~ . S~CT, I ~ . I~C ........... (Signature of applicant, or name, if a corporation) 443 Main Street, Greenport, N.Y. 11944 (Mailing address of applicant) grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner .. . ............................ Wame of owner of premises HIGHPOINTat EAST MARION~ SECTION Ix INC. (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. President. .. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No .... ./~./.A=...~-'~.~.~ .C~.f~5. ·f. Electrician's License No....~. :~.(.. d/~ .... Other Trade's License No ...................... I. Location of land on wifich proposed work will be done .................................................. .............................. ~..%llq~q .~x~v.e .................. l~s,t, ,'Ho, r. iqr,, ...................... House Number Street Hamlet County Tax Map No. 1000 Section . .0.2.2. ............. Block ...... 0.5. .......... Lot...2.1. .............. SubdivisionH. I.G.H.P. qI.N.T.a.t..E.48. T...M4.R.!qbt, .~l~C ,I, .I~C,. Filed Map No. . .7, figq ........ Lot . .%l ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: E itl g u d p y vacant land a. xs n se an occu anc ..................................................................... b Intended use and occupancy on~ fgmily ~9~e 3. Nature of work (check which applicable): New Building ..........x, Addition .. .,, Repair .............. Removal .............. Demolition $40,000.00 Estimated Cost ....................... One If dwelling, number of dwelling units ...... ...... Alteration .......... ............ I,. Other Work ............... ~//~ I:~___9' (Description) (to be p?d on filing this application) ........ Number of dwelling unitg on each floor ................ If garage, number of cars ..... t.w.o ..................................... i ........................... 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 ...................... with alterations or additions: Front Rear Dimensions of same structure ................................... Depth ...................... Height ...................... Number of ~tories ...................... 8, Dimensions of entire new construction: Front .6,6J.8.u... Rear .6.6.'.8.".. +... Depth . .~8. '. llcight.,.,,..........22' Number of Stories.,...2. ...................... i ................... ' ........ 9, Sizeoflo~: Front .... 2.8.7.'.6.9.". Rear .. lq2~.l.9" . Depth .2~2.5.', .%r.r.., .... ~ "'~' 12/20/8.3 ...... Name of Former Owner [Her. be. rt. R. Ma. ndel. 0. Date of Purchase ., .~..,.-~.~., ,'. ............. ...................... A.g r.i.c.u.! t.u.r.a.1' 1, Zone or use district in which premises are situated .............. ~ ............................ 2. Does proposed construction violate any zoning law, ordinance or regulation: . .N.o 3. Will lot be regraded ................. f.. Will excess fill be removed from premises Yes Nox · ' '. clfGtt3P'01'N~I' 'a't' 'E'a's'c' l~lar o . 4. Name of Owner of premises .. ~3'e'c'tTo'a',' T,' 'Ih'c',' ' ~ddress4.4.3. y[r~,..S.t,..qr.r~p.¢,.NY. Phone No..4.7.7. .%22.2~ ..... _ Name of Architect .. '. ........................ Address ............... i .... Phone No ................ Name of Contractor Address ' Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and shoo street names and indicate whether lterior or corner lot. ~ ~~OUNTY OF S.S Mandel being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named· CorporaCe Officer le is the .......................................................................................... (Contractor, agent, corporate officer, et~,) ,f said owner or owners, and is duly authorized to perform or have performed thel said work and to ~nake and file this pplication; that all statements contained in this application are true to the best of hm knowledge and behef; and that the iork will be performed in the manner set forth in the application filed therewith· ;worn to before me this . NOTARY PUBLIC, State ef New Yolk TNefl~o, 62.8125850, ffuffolk CouF4Y, r "~ %~.~C, Sf~e o! Alew Ym'k SINGLE EAMILY DWELLING ONLY SURLY FOR ~LK ~UNW DEPARTMENT OF H~LTH ~lCt~ ~/G~PO/~T ~T ~T ~/0~, ~CT/O~ 0~, /~ ~E ~m~ Fom wHo~ THE SU~gY ~S HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ANO ~ HiS BEHALF ~ THE TITLE C~P~Y, NO~: ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBD/~I~/ON ~P ~D /N ~ Q~E OF Tff~ ~ OF AND:LAND SURVEYOR N.Y.S. UCENSE NO. 12845 ~UFFO~ C~NTX. ON d~ //,/~4 ~ F/~ N~ XE~O. HO~ARD~ W. YOUNG, LAND SURVEYOR ~ L~ ~ ~k(W),~IC TANK(S~aCE~O~(~) ~N ~RE~ N.Y.~. LICENSE N0.4589~ o 190 ~ ' ' .~... 5' ~0 ~ ~ ~ o~ HIGHPOINT AT EAST MARION, SECTION ONE, INC APRIL ~, I~ ~ M~CH ~ ~ ~ ~, ~ ~. ~~~ ~OT NO. 21 ,'HIGHPOINT AT EAST MA~ION, S~CTION ONE ~ EAST MARION ~ MA~CH facilttte~ ~o~' t~., , """ ~,~'e bee~ SUFFOLK COUNTY~ NEW ~RK NO. 84-2~2 HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT AmD ~ HIS BEHALF ~ THE TITLE C~P~Y, GOV~N- ~ ~-¥;;'.~¢ ; . ' o..,..,....o,, ,.o...,.,o.. .o .~,.,o... ,..,,.u.,~. o. ,....~.... ~.~.,,,..:,,,.,~,.-. - NTH~WATERSUP~YA~SE~GE DI~AL SYSTEM ~IS~!DE~ OWNERS - - WILL C~FORM TO THE ~""~" OF THE SUFF~K CO~TY DEPAHTMENT TO EXISTING STRUC~RES ""[ FO" ' SPECIFIC '~/'~L EIt~¢~ V~ Il Ki~ O~NOER AVE~E YOUNG S. u, o SUBDIVISION MAP RLED IN ~E O~ICE 0~ THE C~K OF ~DEN ~. YOUNG~ ~ROCESSION~ ~ND LaND SURVEYOR NY.S. UCENSE NO. SUFFO~ COUNTY ON dAN II, 1984 AS FILE NO. ?680 HOW~D ~. YOUNG~ LAND SURVEYOR 8RANDIS & SONS INC. 1046