HomeMy WebLinkAbout12985-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z. J .3.1.QQ.. Date January 2 .,19
THIS CERTIFIES that the building ......... .0.n.e...f .a.n~ J, ~_y..~W ~ ~..1.~,~ g ................
Location of Property s/W corner Willow Dr. & Cedar Dr: East Marion
House No. Street Hamlet
County Tax Map No. 1000 Section 022 .Block 05 ...Lot. 22
Highpoint at East Marion Inc.
Subdivision.. Se-o ~- i on. · 1 .................. Filed Map No. 7 6 ~.(1 .... Lot No. 2 2 ...........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·..~ .a r.c.l~..2 ~ ......... , 19 (3.4. pursuant to which Building Permit No...1.2. 9.8~.Z. ............
dated .. ?. P..~ .i.1.. 6. ................. 198. 4.., was issued, and conforms to all o f the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
One familX dwelling..
The certificate is issued to HERBERT R. MflND. EL
(owner, ~8~
of the aforesaid building.
Suffolk County Department of Health Approval 1 4 - S.0-4 8 1 2/2 1./~. ~
UNDERWRITERS CERTIFICATE NO ............ J).N.. 6. .6.0.7.2. .6 .... 9. ./.2.1./. 8..6 ................
PLUMBERS CERTZFICATZON 1/2/85
Building Inspector
Rev. 1/81
Folr,~ NO. f~
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)
12985 Z
Permission is hereby granted to: · ~/ ~- ~----~ ...~
.,.~~..~....~.~..~_~./~.~..,, / ~
...~.../~.~ .....................................
~ ~ 7~:~ ~ ............ ~.~
.... ~~ ..... ~ ..... z~'
~o ...... ~C~.~:~ ....... ~ ....... ~c~.....~..~ ..................................
at premises I~ated at ~......~~ ....... ~..~.~...~.~t~.....~/~....~,
...... ............. .................
co~w ~ ~ ~. ~ooo s~o~ ..~.~ ........ m~ ....~6..~'. ....... ~o~ ~o..~ ...........
Building Inspector.
Building Inspector
Rev. 6/30/80
FORI~ NO. ~
TOWN OF SOUTHOLD
r:tu ilding Department
Town Hall
,~.;outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted~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 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 "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:
Certificate of occupancy $5.00
I.
/
Certificate of occupancy on pre-existing dwelling / land
2.
3. Copy of certificate of occupancy $1.00 ~
use--Pre-Existing C,O, $15~00
Vacant land C.O. $ 5.00
Date January ? 1985
New Building ..... ¥ ....... Old or Pre-existing Building ............ Vacant Land .............
Cedar Drive East Marion
Location of Property ........... ; ~. .........................
House No, Street Ham/et
Owner or Owners of Property Herbert R. Mandel
Cou,tyTax MapNo. 1000Sectio, . ~ .0.2.2 .......... Block · ..0.5 ........... ~ot.. 22
Highpoint at East Marion
~ln 7680 k * No 22
Subdivision,,, ,S,e,c,t:,19.~*, ~*, ,~9,c: .............. Filed Map .............. ~. ............
Highpoint at East Mar'on ,
Permit No ........ 129.8,5 z Date of Permit4./.6./.8.4... .......................... Applicant ....... S.e~cti,on, I, Inc.
#14-S0-48 Approval
Health Dept. Approval ........................ Labor Dept .........................
Underwriters Approval . ~ 660.726. Planning Board Approval ........
Request for 'Temporary Certificate. no . .Final Certificate xx.x
Fee Submitted $...
Construction on above described building and perr~t meets all a~l~)~le'/LJ codes~d regulations.'
Applicant ...~~. ...............
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
- P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date January ~, 1985
Building Permit No.
Owner
Plumber
12985 z (22)
Herbert R. Mandel (Highp~lnt ~t East Ma~ion~ Sect~ I~ Inc.~)
(please print)
Metro Plumbing East
(please print)
Sworn to before me this
~ day of ~,,~
19F~.
Notary Public, ~4~
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Notary Public
County
BARBARA DIACHUN
Notary Public, State of New York
No. 52-4635190 Suffolk County
Dommission Expires March _30, !9 ~'
THE NEW YORK BOARD OF FIRE UNDERWRITERS
100070~
,~U.EAU OF E--ECTa,C,T¥
~- 8S JOHN STREET, NEW YORK, NEW YORK 1003~
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in ~he premises of
~gh I~int Deve~nt, C~r Drive ~r of Wlllow~
was examined on Septet ~'~ l~ and found to be in compliance with the requirements of this Board.
FIXTURE
OUTLET5
DRYERS
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
FLUORESCENT
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
3-6. :~, C. I ~ 2 -~o~ Detoctor,~ ~
E R V I C
NO OF CC. COND A W.G. NO. OF HI-LEG A. W O NO. OF NEUTRALS A W O.
PER ~' OF CC. COND, OF HI-LEG OF NEUTRAL
z ~/o ~ 4/0
: Sal Pr~t&, Electric~ ,
Th s cert ficate must not be a tered n any manner; return to the office of the Board if inco[rect. Inspectors may be identified by their c~edent~ls.
COPY, FOR BU., ILDING DEPARTMENT THIS, COPY OF CERTIFICATE, . t,MUST.. NOT BE,.,~TERED~ IN[ ANY MANNER
FIELD !~SPECTION COMMENTS
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
FINAL
ADDITIONAL COMMEN,~S:
76S-t802
BUILDING DEPT.
INSPECTION
FOUNDATION IST ~/~ ROUGH PLBG,
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
DATE
T O;~'N' 0'7~ou ~'HOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y, 11971
TEL,: 765-1803
!xamincd ... :.~.F4 ......... 19d~.
Permit No: ./.
..... :'. .......
)tsapp~oved a/c ...................................
~ (Building Inspector)
APPLICATIO~ FOR BUILDING PER~IT
Received..~2/..-x;~ .... , 1 9
INSTRUCTIONS
a. Tiffs 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, relationship 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-
:etlon.
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
[tall 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 Blfflding 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 demolition, as herein described.
'he 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.
HIGHPOINT At EAST MARION, SECT. I, INC
(Signature of applicant, or name, if a corporation)
443 Main Street, Greenport, N.Y. 11944
(Mailing address of applicant)
irate whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ...g!q~.P.o.I~% .At: .154~T .l%gl;OI, l, .SgqT1O~J, .;, .IbJC ..............................
(as on the tax roll or latest deed)
!f applicant is a corporation, signature of duly authorized officer.
President
(Name and tide of corporate officer)
Builder's License No ..........................
Plumber's Licgnse No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
.............................. Wi, llqx4 .D]:iv.e ............. East; .Marion ~ .N ,Y, .i19.39. ...............
House Number Street Hamlet
022 05 22
County Tax Map No. 100O Section .................. Block .................. Lot ...................
HIGHPOINT at EAST MARION, SEC.I, INC. 7680 22
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .................. yqtq.a.n.t' .1.a.n.d ........................................
b. Intended use and occupancy one fami$7 hgme
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~IN~LE FAMILY DWELLING ONLY
SU~Y FOR
H~HPOINT AT ~AST MARION, SECTIO~ 0~,
AT EAS? ~ARION DATE: MABCH
FOR APPROVAL OF CONSTRUCTION O~Y ~WN ~ SOUTHOLD SCALE: 1"=50'
DA~~
aEW YORK STATE E~CATION LAW
SURVE~R'S IRKED SEAL DR EMBOSSED SEAL SHALL
~OT eE'COaSmEatO TO ~ ~ V~UO ~eUE coe~
NGUARANTE~S IN~I~TED NE~EON ~ALL RUN ~LY ~ ~ e'/~ ....
HE AL~ OEPA RTMENT-DATA F~ APP RO~ TO C~STRUC T ANDRE ~R.~ HiS BEHALFFORW HOMm THET"ESUTITLE~EY IS PREPAREDc~p~y, GOV.N-[~~~
N THE WATER $UP~Y A~ SE~E~HER THAN THOSE SHOWN HEREON.Di~AL SY~T~ ~ ~15 R~IDE~ OWNERS~~~ ~;'~
~ ~% ~ , t ~ P~PERTY LINES OR ~OR THE ERECTION ~ FENCES ~/ '~
- R AVE~E
LAND SURVEYOR
~ ~ L~ ~ ~L(W)' ~lC TANK(ST)~ CE~OLS(~) ~N ~E~ ~, ~ ~ N.Y. S~ LICENSE N0.45893
BRANDIS & SONS INC, :[046
pF IVE ,
bot
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NOTE: ~ ~ STAI~E
SUBDIVISION MAP FI£ED IN THE OFF/CE OF THE C£ERI~ OF
SUFFO£K COUNTY ON JAN II, 1984 ASFI£E NO. 7680
SURVEY FOR
SE'P 7~ 5,
HIGHPOINT AT EAST MARION, SECTION ONE, /NE APR// 4,
/OT NO. 22 , "HIGHPOIAIT AT EAST ~4At?ION, SECTION ONE "MARCH 20,/9e4
AT EAST MAHION DATE MARCH
TOglN OF SOUTHO/D SCALE: I '= 50 '
SUFFOLK COUNTY, NEW YORK NO. e,~-
~DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
YOUNG a RIVERHEAD, NEW YORK
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N Y_S UCENSE NO, 12845
HOWARD WYOUNG, LAND SURVEYOR
N.YS. LICENSE NO 45893 ~