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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-20861 Date JULY 14, 1992
THIS CERTIFIES that the building ADDITION
Location of Property 2380 LAUREL AVENUE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 56 Block 1 Lot 2.21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 2, 1992 pursuant to which
Building Permit No. 20685-Z dated JUNE 4, 1992
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to GUS & ROSE SCLAFANI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
lding Inspect r
Rev. 1/81
POEM NO. 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)
N°-N° 206652 Date V-.11............................. , 19.x.
Permission is hereby granted
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at premises located at
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County Tax Map No. 1000 Section Block l.......... Lot No.....C7~:. ~
pursuant to application dated J 19..*.-,, and approved by the
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j Building Inspector.
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F Fee 3..S1:.......
i ding Inspector
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Rev. 6/30/80
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it JUL - b i. J.. TOWN OF SOUTHOLD
}U`~ BUILDING DEPARTMENT
TOVJhIC)TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE- - July- 7:.1992. -
NEW CONSTRUCTION ...X...OLD OR PRE-EXISTING BUILDING VACANT LAND........
Location of ProPertY• 2380 Laurel Avenue Southold
HOUSE NO. STREET HAMLET
Owner or owners of Property.,. Gus 8 Rose SClafani
County Tax Map No. 1000 Section .56... Block 01..... 221
Lot
Subdivision Filed Map ........Lot..........
Permit No. .-20685.Z.Date of Permit -6/4 Applicant . Ron Morizzo Builder,Inc
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate X
Final Certificate
Fee Submitted: $..?5:00
APPLICANT.
F-Y
pJUL ` 61992
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rev. 10/14/88
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?OUNDATION (2nd) cNxc
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-PLUMBING
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INSULATION PER N. Y. „ y
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STATE ENERGY
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ADDITIONAL COMMENTS: x
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IRON
MORIZZO
BUILDER.INC.
P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772
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OCCUPANCY
USE IS LIMLAWF L
WITHOU'T' CERTIFICATE
S x6 OF OCCUPANCY
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RON
MORIZZO
BUILDER,INC.
P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772
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BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
SOUTHOLD, MY. 11971 NOTIFY:
c~ (1 TEL.: 765-1802 CALL
Examine • 19 7y MAIL TO:
Approved 1910A Permit No.RWApSe
Disapproved a/c .
ding Inspector)
-~~F~• APPLICATION FOR BUILDING PERMIT
Date ...June • 1........, 15 92
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.
e. 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.
Ren Morizzo Builder, Inc.
(Signature of applicant, or name, if a corporation)
P.O. Box 789, Southold, NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises Pus Sclafani & Rose Sclafani APPROVED ASNOTED•••••...
(as on the tax roll or late d) 62-- &R
If applicant is a corporation, signature of duly authorized officer.
00
NOTIFY BUILDING DE ARTMENT T
765-1802 9 AM TO 4 PM FOR THE
(Name and title of corporate officer) FOLLOWING INSPECTIONS:
Builder's License No. 6772HI 1. FOONOXTION' - TWO REQUIRED
0.......... ..OCCUPANCY OR FOR POURED CONCRETE
Plumber's License No . USE IS UNLAWFUL 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
WITHOUT CERTIFICATE 4. FINAL • CRNTRUCTION MUST
Electrician's License No . • • • OF OCCUPANCY BE COMPLETE FOR C.O.
Other Trade's License No. ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
1 • Location of land on which proposed work will be done; STAT1 S CONSTRUCTION & ENERGY
CO E NOT RESPONSIBLE FOR
2380 Laurel Avenue Southold UFSIGN OR CONSTRUCTION ERRORS
House Number
Street, Hamlet
County Tax Map No. 1000 Section . (o.......... Block
Lot . .
Subdivision Filed Map No. Lot .
(Name)
0
State existing use and occupancy of premises and intended use and Occupancy of proposed construction:
a. Existing use and occupancy Single family dwelling
Single ....o family dwelling with deck
b. Intended use and occupancy ...,5
Deck Alteration . .
3. Nature of work (check which applicable): New Building , . , . Addition Repair Rnmovpi Demolition ..............Swimning pool........... .
Tennis Court Accessory Building Fence .......Other Work
4. Estimated Cost $ 2 ; 500.00 Fee
(to be paid on tiling this application)
5, If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7, Dimensions of existing structuresJ if any: Front Rear Depth
Height Number ofStones
Dimensions of same structure with alterations or additions: Front Rear
Depth . Height Number of Stories .
8, Dimensions of entire new construction: Front Rear Depth
Heiglit Number of Stories . .
9. Size of lot: Front Rear Depth .
10. Date of Purchase Name of Former Owner ,
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 No..
Address .Southold Phone No.
14. Name of Owner of premises . Sc,lafani 765.
Name of Architect j : Address Phone No.. .
Name of Contractor. Ron. Mortzzo.. Address Southold Phone No...7S,z:5772:....
15.1s this property located within 100 feet of a tidal wetland? *YES NO....
*If yes, Southold Town'iTrustees Permit may be required.
I LOT 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.
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STATE OF NEW YORE, Y S.S
CO F``^.......
ry! being duly sworn, deposes and says that he is the applicant
(Name o individual signing contract)
above named. i
He is the `-.a.:.'.'' .
(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
a~ f1 .........day olf l9 ..9A_11
Notary Public .County
oiiwv 1 J. COOPER .
Notary Public, State of NewYorll., (Signature of applicant)
No.'4822583, Suffolk County y v
Term F,xpires December 31,1_
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'''NOTE •~I) '
I++w+NA• = NO VEHICUITAR ACCESS
SURVEY FOR
GUS SCLAFANIa ROSE SCLAFANI
RON MORIZZO BUILDER, INC. LOT No. 27 , •I LONG POND ESTATES, SECTION TWO"
AT ARSHAMOMAQUE DATE AUG 2N, 199
Contractor - Home Improvements TOWN OF SOUTHOLD
P.O. Box 729 SCALE: 1 a 50,
SOUTHOLD, NEW YORK 11971 SUFFOLK COUNTY, NEW YORK No 91 0743
(516) 765-5772
wUHAVrMORNED q,RRATI OROR AO CI t ION to THI S CF.RTI TIED TO
SVAYET b A VIMANON Of 1(CrIom F201 0/ IHt GUS SCLAFANI
NEW TODR /TAT( EDUCATION LAW ROSE SCLAFA
w COII}} Of THIS SUNrvtr not ([AAWO IMI LANG CHICAGO I Slum OMPAN+
}VR N.roA'f INKID SEAL OR E40059ED 1(M }HALL SOILT 111, aU'V
NO( t! COHSIO[ltO TO PE A VAL'0 1 nV E COPY
.au An AN*tta 1HDIUtta II[n!oH .;.AIL "IN ON1. TO 1T' LE tiaQ 7R0'), j •P,r,
NEAE.TH DEFANr Mk NI DAIA FOIr APPROW4 TO CONSt RUC T _ ART, O ON M HIS FD HIS FOA WNON rHf 1DRN[t .S PREIANtV
AhV}O TH( TIRE CON AHY,I O ~AM• EG
I Klfttll WA11ACIAIM NI.• H SOURCE OF WATER RHATt..,rJRIC_~ MENIAL A0EI,C1 AND LENOIN6 rn}irtOT10R LIVID # k --S R
A A/Yt CO IV. NAP D,It-[(Lw SEC IION -As. N.CdR _L_ L01 E/A21 NU(OH, AND TO THE AaLANp} OF p11, LC n0I N0
41'KERE AM RY AWELURRI MItNIN 100 FEET Of IRS PAOIERtY IA1TIt VTIT10N OU ARANFI Ant W)l rA/W/HnAR[
0 A001 ONM1L INItITUTIONS OR 11,011OVENt 1
01 Y.1A MAN 111VSE SHOWN NIRION 1
OWNERS
n}NEWl1(R IMPW.Y AMDIE4[AIE ORROIAL 1YSTEN F00 THIS AEL,DEIK•C fO"NIHClS LMWN REASON FROM PACWER Tr LI NST 1~-yWA ~yy Ad M.
YILL JONI 11 tHIC SIANOIROS O( THE SOFFOLH COUNTY OEIAnTN(NT TO 11 ITAuC IVREI ARE ECK A 1FECIPIC •,LLLr'"~1[I 14 8yg
C44EALTA 1ERVICEa PURPO1t 400 AA[ Rot r0 to Otto TO L310LOH f4
APFLICN}fi PROPERTY LINES OR FDA [N[ [RICTIOM OF FORCES 48F° iD1
lAMO SURVE
.___.-._~_..X4-_ _ YOUNG YOUNG 4WOSTRANDERAVE1
RIVERHEAD, NEW YOF
NOT E' ~ASTAKE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUSI ItlISI(1N MAC FILED IN YHF, OFFICE OF T HE CLERK OF AND LAND SURVEYOR N Y,S LICENSE NO 12845
SUrFL4.K COUNTY 014 NOV. 29, 199049 FILE NO. 9051 ,
HOWARD W YOUNU, LAND SURVEYOR
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AI}}E tnnAlmR Ca Neutwl,NPnc NNRpr+A CUSroOLllrn aavn HtRtuN N YS LICENSE NO 45093
IA4 RMA7 r11 (.t OY1fPAN 10Rn MIY OR 0414 oataNUO FROY Or1TEna w-`~•~-~~tlw .~~~•~.w ~ - -
IAAHMS A SONS AND.
A/AL
RON
N~RIZZO
BUILMR,INC.
P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,.
S/ x OF OCCUPANCY 61,4,6 "aX0o C6"
s/y/9Z
RON
MORIZZO
BUILDER.INC.
n~ P.O. Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772
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