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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24637 Date SEPTEMBER 23, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1090 STARS ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 4 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 12, 1996 pursuant to which Building Permit No. 23301-Z dated MARCH 14, 1996 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 ACCESSORY ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to VINCENT LONGO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u' dind Inspector Rev. 1/81 FORM NO.3 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) Date............01�. 4.f.. ............... NR 23301 Z Permission Is hereby granted to: ......0 �..�l� . . ... ........ ...... ............... ... ....... .. ... .�. ... to ..... ..... ... .,145.i de 0?99. .....6.1 ....�...�.... .�C,��� :. ...... �. !--..... :........ ...... ......I ..... . ,/2 ... --................... ��� ..... . . . .. .. . .. .....�.�o..... ......I. ..... ... ....... .................................................................................................................................................................. .........................................................................�....�.................�...�............................................................. at premises located at.............1P.�. Gt/�.�1.90.....odl ....x �..:.......................................................... ........................................................ .................................. , ............ County Tax Map No. 1000 Section ...........:;;�Y...... Block....,,V................. Lot No. ..5;q..................... �pursuant to application dated .................... ..��-/t ..«...., 19..��. ..., and approved by the Building Inspector. Fee$.. .......... ... ................................`..... ......................... Building Ins p for Rev. 6/30/80 r _o_ INC. b i :0k1' 0= SOUTHOLD = _ L D 19= �TM � SEP 99 TOWN- B765-1802 TOLDG.JEP WFN O SOUTPO LD � _PVT �..._�0\ OR C�TI _C=__ Ot OCCL-?UvCY =- _:i5 2pp "_=Caz_O^. mL'Sz be e OR CO e Dui1Q=T �w i ,speczor w�i- tae fo!!oz -r_c: -or new Du=_czno or new use: !. :Lial su=- ev of proper? v zn acc raze loca-ion of dl1 DuildLngS, property -ine5, StreetS, dnd unusual na-ural or zoDoardDP_iC fedtLreS. _. in21 Approval __om Heal-hl DeDz. o_ wa-er suDD!v and sewerage-diSDosa.l(S-9 forIIl� . �. ADDrovdl of elec__ical iIIs-21L2-iOP_ from Board Of Fire Underwriters. �. SWorn s=2CemenD from n111mDer Cer-_;__ Zg -_adt -ne solder used '-^ SVS-p COP_tainS less than 2/10 of 17 1e3d. ' Co==z4a.I building, induSzriaL1 building, mu1CLD!e residences and simil?r DliLldinaS and imsz—al lar.'_on5, c CeiD-=7-care of Code Co=_I iamCe from a ci-n zec: Or er-gineer responsible or -ihe building. Suomi-_ D'_ann_nz Board Approval of comple-ed Sice plan reculremenzs. =Or ex-:szing bL -o April 9, 1957) non-Conforming lases, or buildf--s and "pre-exiszin_" lane uses: 1 . Qccurare`su=ev o_ -DroDer- shmw=g a'' DroDer v li-les. seers, and unusual natural Or toDOgrapaic feazuras. 2. A proper) Completed avnlication and a consent -o inspect sinned Dv the dpplicdn-. _= 2 Cer-J___...etc of Ocau-oancy. __ denied, --he Buildi:c =SDeC-or s:1d11 St2Lc the reasons therefor in ro -he a.DDlica=. �ooc 1 . rCerz-ficaza of Oc^1Da:hcv - New dwellimh: `2;.00, Additions :o CWelliZg .-23.00., ?IternziOnS to dwelli_*hgyS2c.00, Swimming pool S25.00, Accessory DL'_lding S23.00, Addizions zo accessory building S25.00. Businesses S50.00. -. Cer-ifica-e of OCcuzanC; on Bre-exi Szing 3uildine - SiOO.00 Copy of Cerzfficate of Occ-,Dancv - .25c. UDdared Cert-__Cate of Occupancy - S50.00 5. Temporary. Certificate of Occupancy - Residenzial S 10.0 , Commercial S13.00 Daze . . . . Cl/7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ew Cons-ruction. . . . . . . . . . . C1c Or pre-esiszirg Buildiag. . . . . �JLL' � _oca-ion of Pro-Derz,7. . 1 U Qo - Sri?�es �'I 1�' . . . . . . . . . . . _ /�f7`. /!t/.�iPL . . . . . . House No. Street Hamlet ?nwer or Owners of RroDerr;-. . 1114If S. . .U�':�C!e'!i/ . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :ounce =ax Man No 1000, Seczion. 3.f_ . . . . . . . .Block. . . f. . . . . . . . . . . .Lot. :. . . . . . . . . . . . . . . . . . . . ;ubdivisior_. ... SO Gt�� C,�rES,T„ !a�.® S. . . --led �iap. .s�/S i o-_�. . . . . . . . . . . . . . . . . . . ?e=Tiz No 01 2. .Date Of ?ermaiL. .�//.y���. . . .Az)plicanz,6a tIiffjC ._c--n Dept. Approval. 1v . . . . . . . . . . . . . . . . .Under"wrif.erS Approval. . . -2rriag Board Approval. .eOueSt for: TeMpordr'v . . . . . . . . . . . Final Cerzicat=. . . . . . . . ee submitted. S . s. . . . . . . . . . . . . . . . . . . . . o��g�FFO(,�co N Z Town Hall, 53095 Main Road its • Fax(516)765-1823 P. O. Box 1179 y 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 30, 1996 Bob Kehl 's Home Improvements 28545 Main Road Orient, NY 11957 Re: Vincent Longo - SCTM#1000-31-4-3 Prem: 1090 Stars Road, East Marion To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23301-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I 1 FRAMING [/�] FINAL [ ] FIREPLACE & CRIMNEY REMARKS• DATE�__���INSPECTOR 111:1_I) I tl;il'I;(;l' ! --(Uertal ala( i=lU_-(=I =UnA_I,=i ;Ut�11( 113-11;i a II � ry I•I O r•clurn�n•rIc)tl ( IS'r) - II ,\ v ruurn)n'rloll====(2Nr))a,�aaa ---------.III ---'---------'--------- z urn)cn rltnrll: s I o 1'I.I1PiR I Nc INSULATION IIEI( N. Y . STATE Cl ---------- !.a .,ati tn-,-�� _ .....__...__._.--------------�-------------------- .>= _ _ ===a=aa=Qo==aao==a======aa=== p1 e I P T I I A I. ----------- - ---' ------ ===a= ====----------- ,== a-==—__ ------------== O --- — 1 "INN 1-1 ----------- Ell . 1 BOARD OF HEALTH . .. . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OF`SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . MAR 1 219216 ��r ? BUILDING DEPARTMENT CHECK • • • • • - _ _ . . . . . . . . . . TOWN HALL SEPTIC FORM z -' SOUTHOLD N.Y. 11971 TEL.. 765-1802 NOT I FIE i CALL Examined . l�, 19" MAIL TO : . . . . . . . . . . . . . . . . Approved . `'.!'�.�./.�., 19/41 �U. Permit No .�Jp( � . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f , . . . . . . . . . . . . . . . . . Building Inspector) APPL ION.FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant,agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /. . ... . .C . . . . . . . I.. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . J.3. U. �. �. . ��. . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �0. ?.a . . . ... . . . . . . . . . . . . . . . . T4AS �° � �'�. . . . . . . . . . . . . . . . AF/4 7 /4"?X/d. t/ . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . 3.1 . . . . . . . . . . . Block . . . . . e/�. . . . . . . . . . . Lot . .J . . . . . . . . . . . . . Subdivision . . .19.1f ✓,9 . 0 C5T wooQS Filed Map No. . . . . . Lot . . . ?�. . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . '�w. . .®�IE«!"-§. . . . 4C"��'er�. C'4�✓S���C•%/tom/ b. Intended use and occupancy . . . . . . . . [.ice, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration. . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work .A4c<X... Y�.,19/? (Description) 4. Estimated Cost . . . . �0.0.0 . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor ...... . . . . . . . . . . . . . If garage,number of cars . . . . .CJi✓t'�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . .. . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . .C5!'.ye, . . . Rear . . . r. .y. . . . . Depth i Height . . . ./. . . . . . . . . Number of Stories . . . . .0. !re- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . ... . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories .. . . . . . . . . . . . . . . . 8. Dimensions of entire new construction:,Front . : ,/?.�Y. . . Rear . ,/..3"Y r'. . . . . . Depth . .AQ.. Height . . .41; ... . . . . . . . Number of Stories . . . .0AJA . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . /.o/. .... . . . . . ... . . . . . . Rear . . . 101'. . . . . . . . . . . . . . Depth s 4... . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . ... . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . 7-,-4 C , 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . .A. 4. . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . .Al A . . . . . . . . . . . . . . . . . . . . . Will exc ss fill be removed fr m premises: Yes Q 14. Name of Owner of premises 1!+!q?. 11lN.��e?�^'SoAddress /a.3 vi?�i�+'A l��f,Phone Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address BoNX�rv:Y� /o y7s Phone No. . . . . . . . . . . . . . Name of Contractor . .6io,G'. . . . . . . . . . . . . . Address 4,s-�Phone No. . 3.? : .3'A?. . 15. Is this property within 300 feet of a tidal wetland9 *Yes. . . . . . . . No. . .< . . . . r.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 4 4✓ 37 1 q 0 o 2 VL � o a a STATE OF NEW YORK, S.S �Ib-elllf-q /� . .K�.-(h L . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . :-. . . . . . . .... . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,_agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me his �G . . . . . . . . . . . . . . . .day of. .� . . ., 19k � Notary Pub 'c, County CLrA1 GLtf , / Public,State® ® York V Notary lified in�u���C°un emberhf . . . � . . . . . . . . . . . Qua . . . . . . . • (Signat� ure of applicant) Commission Expires FFOLK . HEA•LTH DEPT. APPROVAL (, H'. S. NO. I am ERTY INC L 0'N : z . I a G` 7 -�. o -- _ - - i. J{ . - W i ' STATEMENT OF INTENT Z U.. AT ' � i THE WATER SUPPLY AND SEWAGE DISPOSAL 14OU5E I V( 13 ' SYSTEMS FOR THIS RESIDENCE WILL I r l F , CONFORM TO THE STANDARDS OF THE i 0 T' ' . . .Y SUFFOLK CO. DEPT. O tJ#�f �' !.I"(� �.:� e J _P, i`tI I. F HEALTH SERVICES. APPLICANT ' N 79 �.40 19,9.37 SUFFOLK COUNTY DEPT. OF HEALTH � r G SERVICES — FOR APPROVAL FOR CONSTRUCTION ONLY ' I tJ. t7 ,7 to DATE: . � _—.--- } • . d 1--, o M o� H. S. REF. NO.: I' ttYcil C7 I < =-� �� APPROVED: z LJ. m�9 Uj Mir1.L_ ' SU,FFOLK CO. TAX MAP-DESIGNATION: Uj • l = I DIST, SECT. BLOCK PCL. J. CQr. t. o O. OWNERS ADDRESS: ov 1037 VIIZG1I,.11A AL:VE� , BROKI'X NY, )()472 A 1 Ea,?}` ' r ' C'I'tavi _ 2Q� 33 I t -'78� 4-C LE tp �. �!- irG h2CA=20 . 18 ' DEED; L. P. :Q _ (,• TEST HOLE STAMP .•, r ' ., 'y ! 7 r Unauthorized effiereNon oteddltlQy+ Z :v, to this survey is a vicla of Section 7203 of fha Now v,York Slate L - La - -'" • - CCPIOSofth' :ur•, f F• O' t4bsavc:d u G.arac:s- aioctc.' -_. c.�:I rL ff ' m Est only to!to per or I x survoy is prc;._:e;.L ''cc, 'e :a:ho 1 •�. C},. { tr,Ic ccn c.. t_ntc;age - ncy and �•,. I — --- — ' .1'� .+� . 1 ttt y F>r6 11.�19G6-. .. lending ir.c:. _d hereon and _ • - to the css.,.:.: s of tno tending insti- o ai in to additstitutions orsubsequent f � SEAL L to r W. {}� `fir;s: ✓� bo 1.— u' T FILED AS StR.yE =G. . t$l i . _ I.14.71-�! CC1, a��y v' OFFICE A 1_ t�:0 5: .15, RODEP�[CK VAN T YL.�,C. �. . Q 4500 tt TO• PLIC3(Ac N_-/4'TE_e 5Up5?1_'1f. ✓�:. a' a.:: !. "yf�, LICENSED LAND SURVEYORS GREENPORT NEW YORK r ,_ .. _ , - , •,' >':.. '- - �., - — �.r I. .. . -- :' ��k�,4,4, r> , .. . . - v t Ft!) SUF . K'CO HEP.L'i li DEPT: APPROVAL f - .. .__ _ _,.__:_. _ -. _�,.-------r-'—__��>_, ...,..,.�...-.1_-"..,.--1,,,�,��,`-,.,._.,.''1I::.�',1'�I��,,.--e..,4,_I�,I-1,...��.�,I.:":�.,..�.1:1;_,-.,..��-.,�I.-,.I,.-,—�.-�11,.1.�-��,;��.—....II----......1.-"I,—..-.,,I-I.,.'.--.. ' . - O,; 0 6.:-.�.!;1:IiI _ J�—' `,�M,S.C. K_-EPT OF 0. [ : ...,(.�.-.,--7-)I,- .�.� - .. .� '�. ' . .I .. . . ....J�-.i . ,,N.I 1 ..I i. 0',# Q, �.,. _ -. I f' i-. ' - STATEMENT OF 1NTE,NT 1 I[IIi ,.. I . 4; , -s' I I THE WATER SUPPLY 'AND SEWAGE :DISPOSA . '1 • i 3 I ' �', - SYSTEP�IS FOR THIS., RESlDEN:CE 1NILt 1 . . _ - ;', 'O r CONFORM TO THE ST'ANIDARDS OF THE 1. . u'' __._., _ C? ,• �` J U O j '` ?tfN4 C'1F, i . R SUFFOLK CO. DEPT. OF HEALTH 8Er2VICES i +,..T-.'.';4 APPLICANT . - t a I i. :- . ! . 1:.._�,'1...1!.-1�','I1_�?�'.,,I�*.',,,,',!1I.-i_—.,*I1.��,-�t,—,L':,,I"�',-.._!�,,,�;I.,.-,,. @.,,.-;I -..,!'I,/."11("L,�.�"J.��'�l,-�,I_. ,:.6 I__m,�.-I.n .I*�.-'-.t/-."%�<-..,-,,-�,,I�..%�`_ t SUFFOLK "COUN'TY DE'PT. OF HEALTH '" G o a. — r 4 1' t'yid: SER'V f,CES F.OR APPROVAL FaFc . ''✓- t �'v '!85 `' �a tiE :� CONSTRU'CTIO[�;ONL.Y i. . -t ,,�' e, .'Fp:4c. 0,. ,A ,* 'Y '©A'T E: - - , t 1 /r 'L _ H. S. REF. 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