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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-25630 Date: 04/06/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1340 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1994 pursuant to which Building Permit No. 23755-Z dated OCTOBER 18, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & OPEN PORCH AS APPLIED FOR. The certificate is issued to S ARTHUR & LOIS G LAMIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0035 03/03/98 ELECTRICAL CERTIFICATE NO. N423935 06/26/97 PLUMBERS CERTIFICATION DATED 01/29/98 BERTSAND PLUMB. & HEATING ild'ng Inspector Rev. 1/81 POEM X0. 2 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) 23755 Z Date ......October..1$'............................ T996.. Permission is hereby granted to. S. Arthur Lamia (a/c Overlook Development Corp.) ................................................................................ P.O. Box 686 ................................................................................ Melville, N.Y. 11747 ................................................................................ to ................................................................. CONSTRUCT A ONE FAMILY DWELLING WITH ATTACHED GARAGE AND OPEN PORCH ........................................................................................... AS APPLIED FOR. ................................................................................................................................................................ at premises located at ....,1340 KIMBERLY LANE SOUTHOLD, HEW YORK ...................... ....................................................... ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .......Kq............ Block ......13............ Lot No. ............ pursuant to application dated .......May 25,.. 1994...................... 19........, and approved by the Building Inspector. Fee $........797.20 (REPLACES BP #22122—Z) ilding Inspector Rev. 6/30/80 1 FORM NOA 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 .. 0.............. 19.. ` N2 22122 Z Permission Is hereby granted to; .......................... . . ...... ... s .. ... ,.. . �.................. ..... . ,... .r./.. ;. to ...... ........ .. ...... . ................. ....... � prlla ..... .............................................................................................................. ....................................................................................................................... ............................... at premises located at... �.��.............. ....�C�� ........................................... ..............I'll................,.....,,........ County Tax Map No. 1000 Sectionn..............Q..... Block.........../-3....... Lot No. ,.... .r.. . l pursuant to application dated .�, �S.I..:....................................... 19.7,54..... and approved by the Building Inspector, Fee 1t s :.. . .. ............................ Buildin Inspector Rev. 6/30/80 1 Form No. 6 �� 73ab TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept, of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Undefwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in. writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . onstruction. . . . . . . . . . . Old Or Pre-exi-sttinngg Building. � ) . . . . . . . i ion of Property. . `.< L(7• . . . . . 1 Xv�L . . . I,�[ . . . . . v ®I � . . . . . House No. Street �} Hamlet or Owners of Property.h. !!)� . .`.�.,. .�. jg o�!14� . 1, 1 •i• • y Tax Map No 1100000, Section. . . .70. . . . . .Block. . . . �.�./]. ..r./.�. . .Lot. . '. 1. . . . . . . . vision. . � ' Y. 11'77���jj . . l �4 ��. .d✓!:.i .Fil/eyd Map. . . . . . . . . . . . . . . . . . . . . . . t Noa_./. .(.o . . .Date Of Permit. .�� 1� �( . .Applicant. . � . . . . . . . . . . . . . . hDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ing Board Approval. . . . . . . . . . . . . . . . . . . . . . . . st for: Temporary Certificate. . . . . . . . . . . Final Certicate. X . . . ubmitted: $. . . .,g.:r. . . . . . . . . . . . . . . . . . . . 6,2JC• APP NT co ajsoo TEL. 705 1402 FOIK�p TOWN OF SOMOLD OFFICE OF BUILDING IN SPEIL'(OK P.O. BOX 728 TOWN HALL SOUTH LD,N.Y. 11971 C E R T I F I C A T I O N Date�January" 29 , 1996 Building Permit No. 23755 z Owner B. Arthur Lamia (please pr'ant) Plumber Bertsand Plumbing & Heating, Inc. (please print) _ I ' certify that the aolder used in the water supply ayrt; am contains less than 2110 of 1B lead. pl=4er"q signature) sworn to before,me this 29th day of Januar 19 98 Notary Public �.�""�„ Notary Public f• Suffolk County pLEENMft"cNE Nary p011e.Store of New16Nt Qusliti4dla Suufffolk2em" c� Commission Expires January 31,1k2 a THE /NEW YORK BOARD- OF FIRE UNDERWRITERS PACE 1 1.175003 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRUARY 12,1998 ,application No. on file 13756697/97 N 445568 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of AVTHER LAMIA, 1340 KIMBERLY LANE, SOUTHOLD, NY in the following location; ❑ Basement ® 1st FG ❑ 2nd Ft. OUT Section Block Lot was examined on FEBRUARY 09,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. I K.W. I AMT. I K.W. I AMT. I K.W. I AMT. I K.W. 3 4 3 3 1 1 7.5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.I TIME CLOCKS I BELL UNIT HEATERS I M SYSTEMS ET DIMMERS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS -SERVICE-DISCONNECT-- No.-OF - --- - - -- - S -E R -- - - -V - --I-- --- C-- --E METER - —- -- -_-- AMT. AMP. TVPE E9UIP. r 0 PW 1 0 3W 9 0 3W 3 0 4W NO.O pERCGCOND. OF CC.COND. NO OF HIAEG OF HI-LEG NO OF NEUTRALS OF N UiRAL OTHER APPARATUS: 5 TON AIR CONDITIONER-1 MOTORS: 1-5 H.P.. ,1-F H.P. PANELBOARDS:1-1 CIR. 60 LIC.#3823 C. ELECTRIC INC. L QQ t^^ri P.r).BOX 51$ LAUREL, NY, 11948-0518 GENERAL MANAGER 11 per This certificate must not be altered in any manner; return to the Office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1555013 BUREAU OF ELECTRICITY "r 85 JOHN STREET, NEW YORK, NY 10038 pate JUNE 26,1997 gppticationNo.unfile 11414596/96 N 423935 THIS CERTIFIES THAT only the electrical equipment a described below and introduced by the applicant Remotion the above-application number in the premiaea of MOHIRING ENTERPRISES, 1340 KIMBERLY LANE, SOUTHOLD, N.Y. in thefollowin8location; ® Basement ® Ist Fl. ® 2nd Fl, GAR/OUT Section Block Lot ;,uwa examined on, JUN)!, 20,1987 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES I RANGES ICOOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS KEPTACLES SWITCHES 6CANDESCENT1 FLUORESCENT OTHER AAT. K W. AMT, K.W. AMT K.W. AMT K.W. AMT. H P. 37 56 41 37 2 P DRYERS FURNACE MOTORS 'FUTURE APPLIANCE FEEDERS ISPICIALRECPTI TIME CLOCKS ,BEU UNITHEATERS MUM-OUTLET DIMMERS `NAT. K.W. Olt H.P, GAS H.P. AAT. NO. A.W.G. AMT. AMP 'AAT.'- AAPS TRANS. AMi H.P SYSTEMS AMi. WATTS NO. OF FEET 3 F2 - - 2 - SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.O. A.W.G. A.W.G. AMT. AMP, TYPE FOUIP. I,e tW I g JW J.e JW J X AW PER a OF CC. OND. NO.Of H4LFG W HbIEG nlO.Of NEViRAlS OF NEUTRAL i' 1 200 CB 1 % 1 2/0 1 2/0 OTHER APPARATUS: WHIRLPOOL BATH-1 G.F.C.I:-5 SMOKE DETECTOR:-7 �I - L L tl f 390 OPERATING CORP. LTC.#268 1555 LOCUST AVE. BOHEMIA, NY, 1171672162 GENERAL MANAGER is 11 i Per. I This certificate must not be altered in any manner; return to the office of the Board if incorrect` INS ectors'�moy be Identified by'their-'credenhaIs. P I o-. PROFESSIONAL ENGINEER HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 516- 765.2954 Date: July 21, 1997 Reference: 1340 Kimberly Southold,NY 11971 S..A. & L.G. Lamia Mr. Glen Ward Greenpoint Savings Bank Lake Success,NY Dear Mr. Ward, After review of the plans and specifications and an inspection of the site, I find that the visible premises have been constructed to date in accordance with state& local codes. Therefore to the best of my knowledge, it appears that the final construction will be completed in the same manner to obtain a Certificate of Occupancy. OF NEW YO FiSCNFTT i trul yours, �0. 05Z Jos ph Fischetti, PE cc: L.G. Lamia VAK Mortgage _� `� ' �� � ���' � � � - .�_- � , �_ is � .�r 'r ��� � - + � I(i�lt ; .,,. . , I�� ... � .. �. ISI �� �, �I ; ,� � s.�r.�s..• ,� �r� � ,� ,/ /'_ ✓ �1 ra �� % � ��, , . l /Jli// � l" �ter, r �� e �: Builder and Land Developer 323 Glen Cove Avenue Sea Cliff, New York 11579 (516) 671-0481 December 5, 1994 D DEC g p9Q Town of Southold Building Department P.O. Box 1179 Southold, New York 11971 Re: Paradise By The Bay, Lot #12 Building Permit #221222 S.C.T.M.#1000-70-13-20. 12 Dear Sirs: As requested, enclosed please find a copy of the foundation location regarding the above referenced property in Southold. If you have any questions, please feel free to give me a call. Thank you. Very truly yours, 65z" Richard Mohring RM:sc o"" Enclosure �w lop �Y1 ;? MAY 2 8 1996 � May 22, 1996 _.." '+YYN,�OFSOUrHOLD __..._s Town of Southold Building Department Town Hall Main Road Southold, New York 11971 Re: Building Permit #221222 Dear Sir: In regard to the above captioned, this is a request for a six month extension, as the permit has expired. We realize that the six month extension will expire in June. We, at that time, will renew the permit. Thank you. Very t ly yours, chard Miohrin i I Lamia Residence 1340 Kimberly La. Southold 757-7300 Plant Material; -$3645.00 Materials/Labor Mulch (14 Yards) Soil (5 Yards) Stone (1 ton) Edging Peat Moss Fetilizer Labor -$3815.00 Total: $7460.00 Lawn Installation (Peat Moss/Fertilizer/Lime) -Sod-10200 Sq. Ft. (.50) -$5100.00 -Seed 10200 Sq. Ft. (.25) -$2550.00 Robert Samolewski Greenland Family Farms 17155 County Rd. 48 Cutchogue, NY 11935 � A r 13 —"pll/ 18 49 0 0 4P 49 16 � 3 Deck 2 Y 27 j t8 I V2 Plant List ,-Andromeda-Japanese 2-Astilbe I 3-Azalea i 4-Black Eyed Susans 5-Birch-White 1 6-Candytuft 7-Coreopsis 8-Dogwood-Kousa I 9-Euonymus 11 / t O-Fem / 11-Gold Dust Plant / Lawn ' 12-Hostas 18 13-Hydrangea 14-Juniper-Garden "15-Maple-Weeping Japanese t6-Pine-White i 17-Plumb-Purple Leaf 18-Rhododendron 19-Veronica 1t \ Porch 2 13 . ....to�... 9 15 2 \� 14 1 9 Walkway /h7�Y add/y 1 Lawn / \ 7 3 X41 yLZ, 4T /J i.. .: 160 3 © Al2.% © 3 2 k ©©©© to � 12 ,'x ;-. y :. � Ty4 4C .L ��' c 9 T T * 14i • p 119 • \ 411 \ Lamla Residence 4S 1340 Kimberly La D w.w.y 1 Sou hold Scale_ 1-= 13' Design By Robert Samolewski 18 \\ Porch PIT. _y 9 l� 171 Il 91d ©©©© p 2 #^�' 14 \ Walkway *7 Lawn % 13 \ 16 141216 I © 3 2 .k ® 'I 14' w 19 \\ 3 4& % Lamia Residence 46 7i 1340 KimberlyLa_ -� Driveway 1 �'� Southold Scale: 1"= 10' 1'/ Design By: Robert Samolewski f 13 (Im 16 I+ \�II big; Lawn / � — / WW3 3 13 10 Cd Deck Q 3 1 1 1 \ / 2 Plant List 1-Andromeda-Japanese 11 2-Asti I be _ 3-Azalea 4-Slack Eyed Susans 5-Birch-White 6-Candytuft 7-Coreopsis 8-Dogwood-Kousa 1 11 9-Euonymus 1 O-Fern 11 11-Gold Dust Plant -- 12-Hostas 18 Lawn 13-Hydrangea 14-Juniper-Garden 15-Maple-Weeping Japanese 16-Pine-White 17-Plumb-Purple Leaf 18-Rhododendron � 19-Veronica • q 1. If 18 l\ wrw�w�ww�w.r t :ROA D ZI-I . as . N Cb a o.o °, NORTH ,ns.ea! Z in A s7 N ode J7`2or W p6 EASEMENT o-fi� Y�" iiLOA 4Ik , �_ Z 20 IV •� � � 111.1 _ O / cont . r t+Y I)fpro ' 09 s? 81 c=se.ea- 95T7- 7 Ly 18X In LS IM13ER r, t INSTALLING AND OPERATING I; YOUR MARCO WOOD-BURNING FIREPLACE I J -0. ,,C IR alV , , i 1 BUILDERS 3 ( FIREPLACES MODEL STOCK # REFERENCE DESCRIPTION 792774D B36CF BUILDER'S 36" CLEAN FACE 792775D B36HC BUILDER'S 36" HEAT CIRCULATING �IS g I I IVIS 792776D B36HCI BUILDER'S 36" HEAT CIRCULATING,INSULATED , t7�92719D49�636CFI ; Y" BUILDER'S 36" CLEAN FACE, INSULATED � 1, �h CHECK LOCAL CODES PRIOR TO INSTALLATION u OPTIONAL FEATURES: GLASS DOORS OUTSIDE AIR KIT P, FAN KIT (Heat Circulating Models Only) THIS MANUAL PROVIDES ALL THE INSTRUCTIONS NECESSARY FOR THE `0 BUILDER OR HOMEOWNER TO INSTALL BUILDER'S 36"MARCO FIREPLACES 1 SAFELY AND EFFICIENTLY. IT ALSO PROVIDES INFORMATION ON HOW TO p ORDER REPAIR PARTS WHEN NEEDED. THIS SYMBOL ONIS LISTED BY �M MEANS ITIS LISTED BY � �® WARNOCK HERSEY AND TESTED TO U,L 127. MARCO MFG., INC. 2520 Industry Way, Lynwood, CA 90262 (213)564-3201 (800)232-1221 r4 PIN 181679F 9/9 CEILING OPENING CH CHIMNEY OPENING FIRESTOP SETUP D PART NO. _VERTICAL 792996 [24" MIN. I A 1 " t 15. OFFSET 14 1/2 1 22 1/2 1 792997 1 .16 30' OFFSET 141/2-1 23 1/2 1 _M 24 IN. �Jf i, � ROOF OPENING CHART RECOMMENDED 4 FLASHING OPENING PITCH C D FIGURE 22 ROOF FLASHING X FLAT 1411/2 141/2 • PITCH PART NO. g — I 6112 141 18112 0-6/12 793035 5, 12(12 141 23 IR 6-12112 793076 10'Rule-If chimney is within 10'of the roof peak, 18112 141 29:314 12-18112 793045 adjacent wall or building,the top should extend a 24112 14 112 37 18.24/12 793046 minimum of 2'above the peak. When further than 19 from the roof peak, the tip should extend 2' higher than the closest point 10'away horizontally I (See Figure 22). IMPORTANT: If an exposed portion of chimney is greater than five(5)feet above the roof line,use support wires to keep the chimney secure. The support wires may be attached to the outer pipe of the chimney with screws, provided the screws are not long enough to penetrate the inner flue pipe. Q CHEUNEY PIPE SUPPORT: FLASHING 114 The chimney pipe support is a double-wall, unitized 12' iipf length of pipe and is designed to relieve the extra weight load 'T on the fireplace and elbows when high chimneys are in- �3 stalled.r-111.1. A chimney support is required at the 35-foot level above the B fireplace after a straight chimney run or 35 feet above a return elbow after a straight chimney run(Figure 23). A CHIMNEY CHIMNEY POPE PIPE If SUPPORT SUPPORT as F T*T� y as � RETURN I ELBOW �571 TOP OF FIREPLACE WITH STRAIGHT CHIMNEY 6'MAX. FIGURE 21 LO FIGURE 23 9 o��gpFFO(,�c h x Town Hall, 53095 Main Road p Fax (516)765-1823 9 ��Q! �� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 18, 1996 Overlook Court Development Corp. 323 Glen Cove Avenue Sea Cliff, NY 11579 Re: Building Permit #22122-Z Premises : 1340 Kimberly Lane, Southold Suff. Co. Tax Map #1000-70-13-20. 12 Dear Mr. Mohring: During a review of our files it was noted that the above building permit has expired. According to the Code of the Town of Southold, a building permit expires in 18 months from date of issue, and can be extended in writing for another 6 .months to give you a total of 2 years . You have exceeded your 2 years and are still not complete, therefore you must renew your permit. The fee required to do this is $797 .20 . If you could be so kind as to forward a check to the Building Department payable to the Town of Southold, we will issue you a new permit in order for you to continue your work. If you have any questions regarding this matter, please do not hesitate to contact this office. Very truly yours, hn M. Boufis uilding Inspector JMB:cmt c),3 7,5-s--2— M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [,-<FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: dt DATE INSPECTOR M-1802 BUILDING DEPT. INSPECT IrOUGH [ ] FOUNDATION IST [ PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ k� RAMING [ ] FINAL [ Z J/'FIREPLACE A CHIMNEY REMARKS: nr- AA DATE:f_ G2 INSPECTO o 2-2L2 M-1802 BUILDING DEPT. INSPECTION VJIFOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ) FRAMING ( ) FINAL REMARKS: h• DATE /D INSPECT l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REM RKSa DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 0 ®, DATE INSPECTOR 7 57 7sS-1$02 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY 57 REMARKS: ig lop- DATE INSPECTOR Alai Protection System j i:k 1 wxns Estimate SUFFOLK SECURITY CORP i �i P.O. Box 844 • Greenport, New York 11944 • (516)477-2487 Fax(516)477-2789 I jlyit Name Mr. Arthur Lamia Sr. Date 8/14/96 lli, Address Kimberly Lane City Southold, NY 11971 Phone 757-3156 / 757-7300 t COntr01 1016E by NAPCO Access Pad IMain Entry Door " Garage Entry �' Panel Locations Contacts Perimeter C/ Detection Main EntryDoor 4l �l Garage to House Door Side Door ! J Back Sliding Door !°$h; Interior Motion Detectors Detection i�;;� ecBasement Second Level Kitchen Nook Corner , fl, Family Room Corner Fire N/A Detection is Temp First Level Gas Watch Second Level Flood Signaling Flush Siren - First Level Flush Siren - Second Level i y i I Communication 0 Via Phone Line ID Via Long Range Radio Method --------------- Er'I System Features 12 Volt Power Transformer RJ 31X Jack for Telephone Lines 12 volt Back Up Battery Premises Power Loss Reported to U.L.Station Multi-user Code Acess Pad Low Battery Reporting to U.L.Station 24 Hour Acess Pad Panic Button One Year Parts&Labor Guarantee Access Pad backlighted for Night Operation Central Station Is fully U.L. Certified as required by many Insurance Companies for Rate Deduction. ' TOTAL$: 1150 .00 Monitoring Services: DUE UPON ROUGH WIRING $: 575 .00 Current rate for L.L.system monitoring is: I575 .00 $ 18 .00/ Payable twice/ DUE UPON COMPLETION $: month year r Acceptance Of Estimate&Agreement: The above prices,specifications and conditions(as described on the reverse of this estimate)are satlsf ory and a reby accepted.You are authorized to do the work specified. Payment will be made as outlined above. Alp signature ansGnen U signature(subscriber) Date i0r' BOARD OF HEALTH . . . . . . . 1'1 FORM NO. 1 3 SETS OF PLANS { , 3 ; TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . MAY 2 5 f994 BUILDING DEPARTMENT CIIEC> F TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . g'g SOUTHOLD, N.Y. 11971 DEQ 8 TEL.: 765-1802 NUT I FY : OLD ^ j ce CALL Examined rv. .`U , , , , , , • 199 MAIL TO : . . . . . . . . . . . . . . APProvedl/4 . . . . . . , 19,7 ,�2 Permit No. ./7 Disapproved a/cc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . uildi nsp ctor) APPLICATION FOR BUILDING PERMIT Date . j. !���4 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 sbrall 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. r` 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 re mov r demolition, as herein desc 'bed. The applicant agrees to comply with all applicable laws, ordinances, building code . o rn od d regul ons d to admit authorized inspectors on premises and in building for necessary inspections. —' (Signature o applicant, or na if a o ration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, //architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . .�.P,.. . . . 1 // . . . . . . . . . . . . . . . . . Name of owner of premises . . ./.A/6 le! 1 �. (as on the tax roll or latest deed) If applicant is a co r ra 'on gn r ofd au orized officer. (Name and title of co orate o frcer) Builder's License No. . . . .//. . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . l��� Electrician's License No. 6�.0 . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . House Number V Street Hamlet County Tax Map No. 1000 Section . . ?v . . . . . . Block . . . / . . . . . . . . . . . Lot . �'. . . . . . . . . . Subdivision . !.'.�jl?.�.? . !f�`. � �/./. e I . . Filed Map No. ��,qY . . . . . . Lot . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . / 6"It?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . 1. • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (� 4 3. Nature of work (check which applicable): New Building . . . . . Addition . . . . . . . . . . Alteraf,, . . . . . . . Repair . . . . . . . . . . . . . . Rem pvat . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . M•� (. tion) 4. Estimated Cost . . . . , I. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to garage,,g' . g'iu �: . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . (g be paid on filing�th � a�ion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. If dwelling,number of dwelling units . . . . . . . . . . Number of dwelling units on each flood..•„: : If usi a number of cars ype of use . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each t 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . Depth . . . . . . . . . . . . . . . . . . . .'L . Height . . . . . . . Numb__ejj�of Stories . 11. . . . . . . 8. Dimensions o��q ire new construction: Front .�`f . . . . . . . . . Rear . . ? . . . . . . . , . . Depth . .3 � Height . . . . . . .: . Numlber of Stories . ._7�. , 9. Size of lot: Front . . Rear . . . . .Y8 . . . . . . . . . . . . . . . . ept 'l! 'G.�. . . . . .,'. . . . . . . 10. Date of Purchase serpF. . , , f�� , , , , , , , , , , , , , Name of Former Owner el/i;/ ,L 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 40 14. Name of Owner of Demises 'Millin, PA eq P t rses Anpddress 3 z 3. �?��Y ? ?? . Phone No. Z 1 �'4 �. Name of Architect !� �-tC�, 1Eek w��"Q, Address 1°l C l lc gk ( wwe., , • Phone No. �a2 —lCtI Name of Contractor Y! 1�e1`^� �n�, )c • , , , , , , , Address 3XA O Y!� . • , Phone No. tF.��`G /. . . 15. Is this property within 300 feet of a tidal wetland? *Yes'. . . . . . . . No. . . 34� . *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 rjumber or description according to deed, and show street names and indicate whether interior or corner lot. i I r _ SII I STATE OF NEW Y RK, COUNTY OF . . . ./fes. . m . S'$ ®sig�ing �/ being duly sworn, deposes and says that he is the ap (Name of individual plicant . . . . . . . . . . 1. contr ct) above named. He is the . . . . . . . . . . . . �Gt?/2C.� ./" . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 this �j . . . .day of. . ,' . c 19 9 Notary Public, % County susraa EF 00PN n0 NO'rApry PUk„stood NGW Ydk No.804818118 ' ' . . . . . . • • • • • • • . • . . QueNlad M Nsew1 Mvn[:,pkns qu8, (Si re of applicant) II rqNeE ROAD SCDHS. Ret# RID- 94- 0035 _ oo, O A i ���6�� m z R ° v b . 3 m � U 13 Oawl O 31f g _ l am-familiar with the STANDARDS FOR APPROVAL ` ev p a, AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES O - E f f �3= ~ ' C6 C m and will abide by the condifions set forth therein and on /he o_ 84 22 - n a permil to construct. ! — ' i — i --- AREA = 41,617 SO. FT. 84 ttW •2;2•20 W = S ` a ,,- �• _ -: SURVEY - OF PROPERTY = � h " A T SOUTHOLD TOWN OF SOUTHOLD 5 t� CERTIFIED TO- ' SUFFOLK COUNTY, N Y. tic to ' ovERLoox cuRr DEVELOPMENT CORP. 1000 - 70 - 13 - 20. 12 S. ARTHUR t'101S a,_LAA4A 1� VENTURE ABSTRACT Scale 1" = 40' COMMONWEALTH LAND TITLE • Z-d 'v J- i INSURANCE C,?MRANY ' NO V• 7, 1988 Mar: 24, 1994 Dec. 2 1994 Foundation Oct.. 24, 1996 (Under Construction) 70400- , NO NB\: , e FIRM ZONE A4 EL. 8 8 ZONE B 10/01/96 ADD CERTFICA TIONS The locations of wells and cesspoolsO _ 06/04194 STAKE BLDG ENVELOPE , "•�) ^!� shown hereon ore from field observofiony�" �/✓ 05,105/94 REVISE WELL'LOC477ON f' < s a7 and or from data obtained from others.- Pre awed In accordance with the min/mum -;S, L/C. NO. 49618 standards for Iltla surveys as established -° ECO NOTE= LOT NUMBERS REFER -TO APAP OF PARADISE BY THE BAY' by !he-L1.A.L:S. and approved and adopled PNIC `�!�YORS, P.C. FVLED. NOV- 4, 197 FILE NO. 6463 AT THE OFFICE OF THE for such use by The New York Stale Land r5/6r 76 2t� SUFFOLK OOUNTY CLERK. . " ELEVATIONS ARE REFERENCED.TO MQ V.D.%j _ THfe Asroclailon. P. 0. 8909 _ -- - MAIN ROAD SOUTHOLD, N.Y. 11971 R SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES �$50� FOR APPROVAL OF CONSTRUCTION ONLY RpXAN �( R 10-94-0035• DATEyAV1I u�! 7 --HS. REF. NO. t 0 COT u o n Q 09' APPROVED O 317. I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCT/ON OF SUBSURFACE SEWAGE O I —� DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES g4 N ` 22, 20"" a d, V m m and w/ll abide by the conditions set forth therein and on the s —\ �AVAI " INSPECTION REQUIRED W e \ t 91 P O 65.7$g4,2r20'r�l 1. K Z. PrP /of Y o J 1 L M SUR VE Y OF =a 12 PROPERTY /CO " A T SOUTHOLD Fav 2 51994 TOWN OF SOUTHOLD arR SUFFOLK -COUNTY; .1N. Y. -- OLD PLLz Minimum dittAnCO between well 100.0 - 70 = 13 - 2042 and cessPW it to bec150 feet. Scafe 40- � 1988 Mar. 24, 1994 y�o`M'E S�q� a \ 6 7 9 Np o�� aee+e oP� e 0 �OFNENI�I IQ7y ?0- h ( AREA-4/,6/ 7 SO. FT. CERTIFIED TO, FIRM ZONE A4 EL. 8 8 ZONE B y�//^ C � COMMONWEALTH LAND TITLE INSUNCE COMPANY vv NORTH FORK BANK AND TRUST The locations of wells and cesspools �i1 shown hereon are from field observations ^1 and or from data obtained from others. D $1519f 1 evIsed well !oc N.Y.S. L/C. NO. 496/8 Prepared In accordance with the minimum atandords /or 11tle surveys as established rPECON/C SURVEYORS P.C. NOTE= LOT-NUMBERS REFER TO MAP OF PARADISE BY THE BA Ye by the L.LA.L.S and a proved and adopted r FILED NOV. 4, 1976 FILE NO. 6463 AT THE OFFICE OF THE C for such use by The New York State Land 15161 765 - 5020 SUPPOLK COUNTY CLERK. Tills Association. P. 0. BOX 909 ELEVATIONS ARE REFERENCED TO KG.V.D MAIN ROAD ` " SOUTHOLD, N.Y. 1197 =V.F�Nllfi FF, N.Y. 11 x X T to r • 'O A D •, { SUFFOLK 00U ! DWMTMWt O W—OL M R k FOR APPROVAL OF CONSTRUCTM OWY 'OX o • v `� w�4 HATER /0-94-0035,-/0-94-0035,-REF. . NO. ' 13 Ove" • APPROVED Q O SIT. m` % 1 am fanWar with the STANDARDS FOR APPROVAL m IM W. 0, AND CONSTRUCTION OF SE/BStJt ACE SEWASE D/SPOSAL SYSTEMS FOR S#&%E FAWY RESVENCES and w11 a Wde by the eonWons set fordt therein and on the a� o N 22 � �� — permit to construct 6S-7 Sq4.2j'29~W Lu to zo o s j Q m 3 W ` 4a.o / o DEC s r99t SURVEY OF o a SY.9, 2 Q g 8 . PROVER ' oc � � � o �So -- -_--- ZTOWN OF SOUTHOLD 4_ P ��`22 SUFFOLK COUNTY, N. Y. n srs m 1000 - 70 - 13 - 20.72 0 SC&IO 1" = 40" z6 Nov. 7, 1088 �A J \ /O• W. 24, X94 m� �\ DeG Z MM FWRdIWO i N�/Qrt, 1-v h ARE'A=4/,07 SO. FT. CERTIFAED TO• FIRM ZONE A4 EL. 8 8 ZDA� 8 �" • ��� Rg TlTt E A } s The /ocalfons of wells and cesspools " s �f411a 3^+{, jNT.n�FrSG�� shown hereon are from field observations .440oA and or from data obtained from others. 51619* /'evtseoA- well hoc• At Y. CA op&r a o ossordesse ells o mM6nam £COAG URYEYO NOTE* LOTJVUf18ERS REFER TO �ILQP OF PARJLDISE 8Y THE BAY' steM* L for 1Nh swvers as , dwi tsbad — -� AiBt: 4 (9Tf"F(LE NO. 6463 AT THE OFFICE OF THE F b Are L.LA.L.S Oedap Ororsd srd Lord 4ss�a lar sash rse bb�� Tito Nee 'York Ston Land 15161 765 5l12D peryYpP 9UFPYK7e COUNTY CLERK EL£VATIaMS ARE REFEABV D TO ALS.YQ v THN Assos(Mlos. P. Q. 8t71F 9(39 MAIN. ROAD SOEJTHOLDj . ALV. 1!871 - 1677 4 R pA© 0', ` SCDHS Ref# R10- 94- 0035 NN � SUFFOLK COUNTY AEPARTMENT OF HEALTH SERVI�� � A:-- APPROVAL OFCONuTRUCTZ11W01 MSFORO y a ASINGLEFAMMYnE31DV4CF vy < a .--3t�a D rtrl-�i cl—0633 e� a Dau fl x.S. is �oh a Qe sewage disposal and c aur aempty facilities at this Encabo,taut been f S aspected and certified by this Deparhnent or other egestcies artd tomd to O S17. ., ) tisfacto FOR4tionkAtt- UM OF B ROOM"s. ...1 O �q % . 1 am fora for wdh the STANDARDS FOR APPROVAL A _ AND CONSTRUCTION OF SUBSURFACE SEWAGE . osta P.EvCluef DISPOSAL SYSTEMS FOR SdVGLE FAMILY RES/DENCES ' Mfa+at �t_�� Ci 0{Ilce o4 NatB�ud _�� r S Ono m and it abide tr the condHions set forth (herein and on the 4[ Permit to construct. � rl « sr. CA, 7; m Y AREA = 4/,6/ 7 SO. FT. b 1 gar I CA Z N 3 a SURVEY OF PROPER T Y _. y UTHOLD TOWN O� SOU OLD Z / CERTFAM �sc ' SUFFOLK COUNTY, N Y o� ovvxocw_ ` T DEVELOPMENT CORP. 1000 — 70 — 18 — 20.12 well a, AgTi.(t4 4 TP,, LAW SCB @ I" = 40-' '- LAND 777LE 2 \ i 5y� 1NSL,e !ANY Nov. 7, 1588 'per v V /o 5 Dec. Zi_104 FoLMdeflon Oct. 24, 1995 (Under ConstruslionJ \ FAM. 9, VM(fatal) TpS.pp� 34�o a w , O Of NEjvk FIRM ZONE A4 EL. 8 8 ZONE B ANY AURA TION OR AWTION TO THIS SURVEY IS A VIOLATION FsP i� C 7P09 OF THE AEW YORK STATE FOUCA70V LAW //Y� Ex Aid PER SECTION ZO-4 N Z ALL CERTiI�/CA�770NS The locations of wells and cesspools • O4Q trERE vgLb7 FOR Tiffs MAP AW GIBS THEREOF OI ,Y!F �'+� Gj pi shown hereon are from field observations a 1O P �S BEAR-THE AWRESSED SEAL_ OF THE SURVEYOR and or from data obtained from others. S No 4 �0 R4B&E /4VW _ Y TO CaMPLY WITH SAND-LAW THE TERM ALTERED BY-MRlSTi BY ANY AND ALL SLVVEYORS UTE/ZAVG A COPY PECONIC P.C. NOTE* L0T_NUMMK S REFER TO -A&P OF PARADISE BY THE BAY' AAAD _ SURVEYORS MAP, TERMS SUCH AS 9NSPECTg, AND MED. NOV. 4, 197E FILE NO. 6463 AT THE OFFICE OF THE InODATE'ARE NOT IN COAA°L/ANCE WrTH THE LAII ' (5161 765 - FEB 2 7 19 SUPFDLK COUNTY CLERK. g MAIN ROAD 909 ELEVATIONS ARE REFERENCED• T !C&V O SOUTHOLD? N.Y. 11971 9 0 3. 04Health sa 'cos ce Of Wast®vNete ya t. ,8,6 - 677 15, '�.� a2" WN 'r. �.. "a;rt.,,r' •' . sM.'. : -Iz+lam F .a M'u,. c .:P ' .5`yl a. " • , - _ IT . .1 , NUN�f....-,.M1,f s.x, ! . . •c .. r „1'. , y i o i r,. r,c .;. '. , %"` a ,i« -.r. :v, L. �, .•' rr .K'•• .:.Ar .' ea .. .. ,.. r �.� ^"' a .:< . .Y• r YS_. u' ,o� 4 .� , .. _ n ,. r 'y. -•F.' A. L'. ,....w Y ., .. .. t.. .. , Y.- � ,1; s., ., . ._ . ..., , � ,�. i, '� xe3 , .t.. 5,t, r x yr`• .I, Y{' e', - ryTi$ �k .., .e' - _.., -,.. . m_.,.,,. Wtt,,.:tv. 0 w T .rs. .<,• c. ':W ,.:✓ Y, '•4 - �:;,--..s w a . ti - r ^ 4 ,- ,. .vl .. ,..r' x. _ �.lr ....:�Xr .. .e ., ".... '! s' . ...�., s . :'_,rs.� - A,� �' •Ya. .tom:'.. i . } b :. - .r,. "'.v 'Y . i v, ol iP /wIMwMlI�rrlM '. x �� ' DO NOT PROCEED A i �� �IIUICww UNTIL SURVEY OF 1ir�f�� FOUNDATION LOCATION HAS BEENAPPROVED AS NOTED FEE 8 NOTIU1f- 0G3PART (iE.7R 2 S AN1TO A FM HT 7 0 FOLLOWING INSPECTIONS. FOR THE ' Y 'FOUNDATION 'I, TWO REQUIRED ^ 1 - , u y __ - - .. —�.Y, ,rr-- — . -• . , FOR POURED CONCRETE 2, ROUGHFRAMING G PLUMSING,'- y _ — .-._ _ • ' - _ - `j ' �''Xy`!> - _ 9. INSULATION- n cQu= $TION MUST SE FOMPI ETE FOR C O ,2` L CONSTRUCTION $HALL MEET x �' ' " .$ : .' -•--- - --`- '" -•',..-- —_— _ " . - THE REQUIREMENTS-� OF'THE N.Y. STATE CONSTRUCTION Si ENERGY CODES. NOr • RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR ------------ 77 „ ----^- USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY S8OHU3 NOtRgtUSNO-i 80 NDS,G .804 3l0ISNOJS3!} r 1(7N :6-100P A90N3 °R NOI101iY91SN0O 31l%dS _ :r `r __ '•: — T A'N RHl b� 3WE101110-9U 3H1 .,t3 sx4w a•.Mf - . . , r - - '"_"'�---'-• --•.• .Y � . IO .. {33W TR/HS, Nbft4f R .9NO3 l]a (-M 31 u} 8 1SOWNOilOf3 r�YI�R!? >•: r,, _ " r --"^-'•"�+ __ .l i,`:_. . —T-�-. - DN18WO 'Z 03NIQD3H ... . . . -. .X' UN 01139(�{� hx(1'f'103 3Hl NO I?17"`S+"7 =1N3 I idOIV 337 C �egT6 3144 I u n a�no8a , , r ' nw.t WIN A (rb da. a -. - Now V ^'VI_ - 4., I 1 i i IIkd, S I + Lj 1 3 t .ed � ■eMl YM w v _ l 6 ' 1 etAe. sa' l41a.MnlTtitl•a Y ad:teM A 1t, I - - ^. .; .'•- - _ M #iY'tltltht'M:.tnl.'epirlMf qr aT;' attY , � y�,, Y1tTtL Mn t• M tap}".1�t. Teatlw-.An riw . itte. 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