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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 219251 Date JfTLY 30, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 1405 NARROW RIVER ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 027 Block 003 Lot 6.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1990 pursuant to which Building Permit No. 189752 dated APRIL 24, 1990 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 ALTER 2ND FLOOR OF EXISTING ONE FAMILY DWELLING. The certificate is issued to BERIT LALLI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 7{30/90 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 roses xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 18975 0 N _ Z Date .......f7~...~ 19.9 V Permission is hereby granted to: 4 .....t~~ ~ . at premises located at ~..`/d.~..... u 4~! 4~..1..~~!.~Eac County Tax Map No. 1000 Section ...~'.,~~.~'a~'.`.Ql'........ Block .....Q..l~........ Lot No......~ pursuant to application dated .....~a~ V .......~.4 19.~.V., and approved by the Building Inspector. Fee . wilding Inspector Rev. 6/30/80 r_____ TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Holl Receipt NO. ~ ~ 4 ~ Southold, New York 11971 Date ......~.~`~~J•y.~ Received of ...................~~......~~..~.:.....j ...................................~.~':K~`~~`...~.~. ~:.~/../00..'................................../100 Dollors ~.U. Z..l.`~:~ s L......G?Q~-- ~-1-~. ~`ire For Fee for Fee for Fee for Fee for ~Eertificate ? Yard Sale ? ? ? H.I.C. ? Building Permit v? of Occupancy ? Misc. ? Cash Q Check ~ ~ a ...............~s'...oo....................... .................J~..Q-..Q.e.~~.... ~...'~L.UCH:............................ Building Department "pre-existing"eland 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. C. 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. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00,OCo pmmehrcial $15.00 Date ........7.~.~.l:.rb~.1 New Construction........... Old Or Pre-existing B`uilding... C'~~ ~ Location of Property.. ~ ~.a~... N ~+~~~!:.1.. a~+~•; • • • • House No. ( ~St~re~et. Hamlet Onwer or Owners of Property....1. ....~.......t':.~ County Tax Map No 1000, Section.. ©:i7.......Block....Q-~'~..........Lot.....~:.~ Subdivision ..Filed Map............Lot...................... Permit No..~~.~.?.'~. x...Date Of Permit.!/a !1.~4.....Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~...., q ~ Fee Submitted: a APPLICANT ,1.~'-rn:~r~~ TEI.. 7C5-1807. ,,~~~EFOI~~II 7•o~crrr or Sou7uo~.~ y ~ (,(i~l~~t~~,i(i OPi'iCl3 OF fiUiLUING IiJSPECTOR ~ ' I'.O. {SOX 728 41 ~~n' ? t v .~'1as~~,.c~- SOLJI'lIO..I),N...1197i ~`i7r"'r/~ June, 27, 1990 Devoe Construction 3780 Orchard Street Orient, N.Y. 11957 RE: BERIT LOLLI To V]hom This May Con•~ern, t•Ie arc unable to complete your Certificate of Uccupancy because of the following reason. An application for Certificate of Occupancy is not 4n file. (ENCLOSED) 1 / 1o Under.•,aYltors Certificate on file. 't't:c check .is~i/not an file.) $25.00 t:n ;lealth Wept. Approval an file. P:o final in:.pect:ion hac been made. Please contact our office on this matter. Thank yo?: for your cooperation. Suildinr Pexmit II 1 8 9 7 5 Z Duilclinq [icpL-. / Cio P1?amber Solder Certificate on file. all permits involvinc7 plumbincY being in:x:e<7 afL-er April 1,19134 ) 1L'LD z-;;SP~CiiUN ~~UATE ~ COMMEN7° , b ~ cn ~ 1 . 3 «D H H FOUtdDATION (1st) c m FOUNDATIOIJ ( 2nd ) - 2. 3 0 2 o- . 0 P,OUGH FRAME & h PLUMBING .3 m 3. ~ m INSULATIOPI PER N. Y, y k~, STATE ENERGY ' CODE x FIidAL E ~ z ADDITIONAL COMMENTS: x m x , ~n H '~O 9 ~ H H O wQ Z ~ 1 • x ra r - x 0 m ro H TEL. 765-1802 ~FFOLk~~ .p5 u°~ ~OG~{ TOWN OI' SOUTUOLll :a G£:~a~i ~ UPPiCE Or BUILDING INSPECTOR .`r~ ran P.O. BOY 728 ~ T01VN HALL ~y1,®? SOUTIIOLD, N.Y. 1 1971 Ol ~ 7/16/90 To Whom This May Concern, We arc unable to complete your Certificate of Occupancy because of the following reasons. ~4cx/ An application for Certificate of Occupancy i : not on Lilc. <ENCLOSED) / J No Underwriters Certificate on file. /gg/ Tlic check is ( not on file. ) $25,00 No Itcalth Rcpt. Approval on file. / / N~ final i.ns.pection has been made. k'lease contact our office on this matter. Thank you for your cooperation. Bui]di.ng Permit it 1 8 9 7 5 Z Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,19II4 ) D17.AR BEE, Please fill out the application and return it along with your checks for $25.00 for the C.O. -e-e-e~ __T$~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PA6F 1 ' looo77s WREAU Of lLF3CTRIGITY } JULY 23, 1990 ®S JOHN STREiBT. N!W YORK, N69751~9D/9p 99 N 14173 7 Date Application No. on file THIS CERTIFIES THAT a only the el~ce.-ical equ7pmant w dslcrNred fislote and introduced 6y [he appNcant named on the efrow epplieatton number to the promieex of = MICHAEL. LALLI, NARROW RIVER Ro., oRIEN7, N. Y. in theJdbuinp huro ' nt ? let Fl. ~ Ynd FI. .Section Block Lot .S'fJtY 1Q,'~9gR1B - uMU examined on and found to 6e in compliance with the reyuiremente of this>Board. ACUIS SWITCNB RXT RA11WS COOKING DECKS OVENf OIEM WASl1lK EXHAUST FANS QUTtETf INUND!!C!M rlUOlEKlM OTXER AMT. K. W. AMT. K. W. AMT. K.W. AMi. W. AMT. N. r. DRYERE RJRNACE MOTORS 1UT1iM AFIUANCE wEDMS SFEgAI tUC'R itMECU%KS E!u UNIT NEATEEf WMTMOUTIIT DUAAEEK AMT. N. w. al H. r. fiAS H. r. AMT. NO. A, w. o. AMT. AMr. AMT. AMPe. TRANE. AMT. a. r. ~ Mnr. wATrs 4RVKE DISCONNECT NO.Of S E R V I C E~- rr- AMT. AMP. TYPE ~ t / tW 1 / TV 7 / iW t / eW ~RiCOPlO Of CC LOND. OF MIAEG Op~lwe,'~ no, or MOtRMb OF ~PIlUTMI ' OTNN Ae?AEATUS: BEDRDDH ExTENSION 2ND F'LLOR ONLY--t r~ ARTHUR A. RURDEDE LT.C.R23"',4-E MAIN ROAD r ORIENT, NY, 11957 OEFIERAS MANAO~ 1] Per Thit cerfifkate muN rat be aMered in axy momlar; return to tM office of the Board if inewrect. I ~bs' enfifisd by their crodentiah. COSY fGR RUILJ~MIP INOMR'fA~l'. THIS COPY 9F CptTilNCA : kLTlREtI IN ANY tMM1ER. h..:.:__.__ S0,1RD OF HEALTH r Al,l 3 SETS OF PLDNS 1;`~~(i ~~C.l~=`~L~~\,°-:,.}-,'!~ FORMN0.1 SURVEY , . TOWN OF SOUTHOLD CiiECK _ ~~-~s~ ~ { , v ~ ' BUILDING DEPARTMENT SEPTIC FORA 4 APR I ~ TOWN HALL ~~~eee??? SOUTHOLD, N.Y. 11971 NOT a~~ 6LDG pEPT. TEL.: 705-1802 ~ n CALL TO UFSOtITiiC~I-CJ /Jy_f~j~,,, piAIL T0: ExanuncS . 199.4 1 it//j~`" _ _ , "U~ APprovcd .`:+!!-~:.i~1i. ~:'1.., 199°. Pcrmi[ No../.gR7s.~2•' Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..:.~~.7 15~v INSTRUCTIONS ' a. Tltis application must be completely filled in by tgpetivriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app' 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 Pcrmit to the applicant. Such perm shall be kept on the premises available for inspection throu~lrout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes The applicant aerces to comply with all applicable laws, ordinances, building code, housing code, and regulations, and 2: admit authorized inspectors on premises and in building for necessary insp ctions. (Signature of applicant, or name, if a corporation) .3>8~•OkC!-~ARtJ•~l`.t,O,~li;!V7-, /lJY //g~.7... (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder G ~F-~.L.. Co~t1~ c~~.../ . Name of owner of premises ..~~~;C..~!1~:~ (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. . ~U7 ~r Plumbei s License No . . Akrr(uR Electrician's License No. RuRUEnE • . • • • • • - Other Trade's License No . . 1. Location oC land on which proposed work will be done . • , . ~ ~Ift,eNP.Gt> S P.I Uc~ Kea ~~I C rJT . House Number Strcet~ ~ ' Hamlet D Count>• Tax flap No. 1000 Scctian Q.°?.? • • • • • • • • • • Block ~ 3 • Lot . ~ . • ~!3, • , , , , , , , , . Subdivision F,ilcd i,iap No. Lot . (Name) State existin~• use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguscandoccupancy...~j.~^.iG~t•-,~.~MIL;Y•D~~C-UAJG,... b. Intended use and occupancy . ;S/~GC.,E •f"f~(`11<;i! ' ~~~GGln1G • • 3. Nature ofwork (check which applicable): New Building Addition .Uteration Repair Removal Demolition Other \Vork . (Description) 5 } ~~~~nn .Fee . " ' ` 4. Estimated Cost ~ T WO . 'i~~ ~ . Qo be paid on filing this application) 5. If dwelling, nusnbcr oC dwcllin; units Qt`l~"'........ Number of dwelling units on each (loot . If gara,e, number of cars . Q^~.~ , . 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 ......~!f Depth . (S~ . Hci,ht .....oZ.~ Nurjtbcr of Stories ....a.......~.......... . • Dimensions of same structure with alterations or additions: Front . r3~........ Rear . Depth ~O ~ . flcight Nuntbcr of Stories ~ . ' 8. Dimensions of entire new construction: Front Rear Depth . I-Ieigltt . .......Number of Stones , . 9. Size of lot: Front ~ Rcar Depth . 4 ~ucl< lQ. Date of Purchase ~.7r~ Name,Q f Former Owner . 11. Zone or use district in which premises arc situated 1C~~(D Eft/!1:~, ,I , , , , , , , , , , , , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: ;V ~ . . ~j 13. \\ill lot be regraded !~6 1Vi11 excess ~tll be removed fr ~,p~~,uises: Yes No L, /U E.tIARK~ ou,s !,IHrrE~ 14. Name of Owner of premises ;~EK.I;r (....Address S, 1;• . , tone No............ Name of Architect ................Address ...................Phone No.............:. . Name of Contractor . ......Address , ......Phone No..... . J 15.Is this property located within 300~feet of a tidal wetland? *YES....NO.?1..; *If yes, Southold Towt} Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alP 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 comer lot. I i STATE OF \E\1' YORE, $ S COUtiTY OF....p............ ITN ~d~................ being duly sworn, deposes and says that he is the applicant (Name oC individual signi{t~, contract) above named. ~a Ile is the Co.~I?'2f~C[Gz2, . , . (Contractor, agent, corporate oCficcr, etc.) of said owner or owners, and is duly' authorized to perform or~have performed the said work and to make and Gle this -pplication; that all statetncnts contained in this application arc true [o the best oC his knowlodgc and belief; and that the '•vork will be performed in the manner~se[ forth in the application lilcd thcnwi[h. Sworn to before me this I . ..........r t~.......day of~./. /mot .4-/2/-.......... , 19 9d \otary Pubtic, .....P!v.-~. ~t.~".. ul~/•R-• ve~• • • County ~ HELEN KDE YOE ...`G~'G`~ • ~-r(... • • . • • . NOUIRY PUBLIC, Sete at New YorM Na. 4707878, S90olk CoantY (Signature o C app licartt) Term Expires Margh 30,19.... 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