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{ +1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Z-22927 Date MARCH 30, 1994 THIS CERTIFIES that the building ADDITIONS Location of Property 370 SUNSET WAY 50UTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 91 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 1989 pursuant to which Building Permit No. 18715-Z dated JANUARY 2, 1990 was ieaued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ADDITION & DECK ADDITION TO E%ISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is ieaued to ANTHONY & CARMELLA PRISCO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N-150900 - SEPT. 24, 1990 H2M LABS,INC.CERTIFICATION DATED: MARCH 30, 1994 ~~ ° ilding Inspector Rev. 1/81 rows xo. s 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) 187.5 Na Z Date ....../,1...~...........e ......................._.,, a9ly Permission is hereby granted ...~..'r.~. ~. ~' ..............,.......................... ... .... ....~ .....:,,..~,~..<~r....,...1..~1.s39 i ...... ct premises located at ...:3~Q.... ...~A® ..... ..... ....... Caunty Tax Map No. 1000 Section .........../..,~...... Block ............~.......~LG~ot No.....,~~ ................. pursuant to application dated ....... ~.2~~ ................................ 19.FJ./.., and approved by the Building Inspector. ~v Fee $...`.-~./~~,,~'~~ ~ ding I ector Rev. 6/80/80 ~% Form No. 6 7(a.~- 38"00 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 Underwriters. 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 £or the building. 6. Submit Planning Board Approval of completed site plan requirements. B. 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. 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1`5.00, Co~~'//r~~e al $15.00 ~ // Date ...... !~ f / . ...................... New Construction...1!...... Old Or Pre- xisting Bui//l.d99ing ............. (~~(jj~ ~~~~ Location of Property .................~~~:~~.~il~ ........ .0.~.:~F~~.~....... House No. ~~JJ trL Hamlet Onwer or Owners of Property. ..... ...v ............... .~~................ County Tax Map No 1000, Section... ~......Block......,1.........Lot.... ............... Subdivision./..~/.~/ .. .................. FF~i7led Map.......... .Lot... .:~.......... Permit No. / .o. /./...Date Of Permit.... ~/U. ......Applicant. .. ~~::L~~::~°:. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate. !°........ Fee Submitted: $......~~.~ ............ ©z~ao`~N ~~ APPLICANT I A71S t THE NEW YORK BOARD OF FIRE UNDERWRITERS f'arrP ` t It1U61 ~? ~~ ~ t'~ .t ' BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK. NEW YORK 10038 Data SLP'ItMRE.k 24, 14aU ,~pplicationNo.onfile ~i1735:i79fYJy0 N 1509UU THIS CERi1FIE5 THAT only the electricd equipment as described 6elote and Introduced 6y the applieont nomad on the above application number in LM premiese of ~~0 NTM6NY PkISCO, SUN$E:T WAY, tiOUTHQL4, N.'r. in thefolloECinR location; ^ 8aeement ^ lst Fl. ^ Ynd FL Sertion B/or.~~~l Lot $P P TF.11Rf k l [? . 1 9911 and found to 6e in contplionce uifh the reyuirementA of this Board. uns examined on pXTURE - RXTURES RANOES tXKN(Nlti DECRS OVRNS DISH YFASXBS lXNAYST FANS OUTLETS ACIES SWITCHES INGNDFSCFNT FlUO11ESCENi OTHER AMT. K. W. NAT. K. W. NAT. K.W. AMT. K. W. AMT. X. P. 9 ] ti N 1 IS.H I i.2 2 F' DRYERS Ii1RNACE MOTORS FITUR! AlRIANCE REWRS fMCIAI lELK 71A1E tXOCKS ~l UNIT HEATHS Attki4~ i1RT DIMMlRS sn AMT. K. W. Oll N. I. GAS N. I. IJAT. NO. A. W. G. AMf. AMI. AMT. AMTS. TRANS. AMT. N. t. S fYf ~: a t~T NAT. WARS 1 SlRVICE DISCONNECT NO. of 5 E R V I C E ANT. AAV. ME EQUV. I,e ]'M 1l SW ]R3W S,a 1W NO' K~lCOND. OF CC. COM NO.OF Nb1EG Of ~N'1U NO.O/NENeAlS OF 'NWEUAAI OTHER AAARATUS: ' KTTCHf:N kENOVAI'ION-1 ~~ PAUI. k. HURN`+ I.JC.If2+tl~•P. 275 TQWN HARROk IANE SOtI'I'HOLD, NY, 1I'd%] ON~RAI MANAO~R 11 Per ~ "-~ This wrNficate must not be aksred in any manner; return to tM offip of tM Board if incorrect. Inspector; may bs identified by tlteir'tsRdenNab. ~t-I i ~' ~. DOPY POIt WILDING OlPARTMENT. Tff15 BE ALTERS N ANY MMlNE ( _ ^^~~ `I ~1~i~ ~~! ~ 9 ~I®~. HARRY GOLDMAN WATER ANALYSIS M/` i N RD MATTITIICR, NY 11952 DATE COLLECTED. 03/25/94 TIME COLLECTED. 1020 HRS. DATE DECEIVED.. 03/25/94 COL.,E~TED BY... D99 PROD EC!T NO..... 28 PARAMETER (S) LEAD 575 6raad lbllaw Noad. Me1v411e, N.Y. 11747 (516)694-3046 P11X: (516)694-4122 LAB N~: 9410125 TYPE...... MISCELLANEOUS SOLID ROUTINE METHOD.... GRAB POINT NO: LOCATION: PAUL CAMINETTI 380 SUNSET WAYS SOUTHOLD REMARKS: SOURCE (CWL) SLR-PUSCO/BYR-STEEANELLI SOLDER SCRAPING RESULTS UNITS 0.03 8 RESULT REPORTED MEETS U.S.E.P.A. AND N.Y. STATE LIMIT FOR LEAD IN SOLDER OF 0.2% l`OPIES T0: ORIGINAL ~-~7/~f~DATE ISSUED 03/3U!94 /~``' ' `i~~ EtEC "OB ~yli~ T65-182 BUILDING DEPT. INSPECTI®N [FOUNDATION 1ST f l ROUGH PLBG. [/J~FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~I ~"~~""~ DATE I/~ INSPECTOR s'~ ~ ~~ / ~ 765-1802 / BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: [ ]FINAL DATE ~ INSPECTOR rss-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ]FRAMING ,. [ FINAL REMARKS: `~ c~ y~~.1~-.~--L_~ oG: ~~ ~l~'~ ~ ~°~ ~6~?l~ 765-1802 ' 'BUILDING DEPT. i~ ~'-~ --~~~~~ ~ INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~] FiNAL REMARKS: ,~~~? /'~C~,-.~.~'~"` DATE ` ~ 2- ~ INSPECTOR r ~~~ ass.iso2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~-}~FIN71L REMARKS: BUD ~ G ~-~~' DATE f1- !' ~~~0 INSPECTOR ~~~~ ~~ ~~~ ~~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ) !ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~~c~~~F~(..~~G,~ ~ ~,~, ~~ u '~ .Y~ ,~, ~,.a~~ ~~~ ~ r~~~ TO~I'1V OI' SOUT~IOI.iJ OI~PiCI:Ot: BUILDING INSPECTOR ['.O. IlOY 1 1 7 9 TOWN !TALL SO[JTi1OLD, N.Y. 1 1971 February 5, 1991 John C. Born Builder, Inc_ Boa 208 Sast IKarion, N.Y_ 11939 RE: PRISCO 'I'o 49hom This May Concern, ,; TEL. ', l,5-I 802 We are unable r.o complete your Certificate of occupancy because ,of the follot•~ing reasons. /^/ An application for Certificate of Occupancy is pat nn file. / / ito Underwriters Certificate on file. /~/ ~t'hc chcc:i: .ie: ( nn file. ) / / too 11c:a].th Dept. Approval on file. /~/ No final insi~~ect:ion has been trade. Ple<u:r.. contact. our office on this matter. Thank you for yow: cooperation. Iht.il<ltng Pcrut.i_t. 4 1 S 7 1 5_ Z Duildinq Dupt. M'.4 k/~ tto Plumber ;;o ldci: Ccrt.i.f irate on file. ( a].1 herriits involving plumbing briny i~sucd after :1pri1 1,1964 ) 'r'1cLD II:SP20:lU;J ,~ UATE ~ i:OMMGNr`' ~ -a p ~ m a o 1. 1 ? ~ - - y 0 r'OUtJDATION (1st) - ~ p C FOUNDATIOtJ (2nd) --- ~ 2. o ~ P,OUGH FRAME & / ~ .PLUMBING 3. ~/ y H IIJSULATIOPJ PER N. Y. "~ ~ f- n.evr (Tsc_- ~. "3 ' STATE ENERGY ~ /~ ~ '~°~ CODE 6 O~ ~~ y ~ /,~s ' ~ c. ( k. G / H v ~yy~ ~ FI;JAL Q ~~` ~ ~CCEJ•f z . m ~ ADDITIONAL COMMENTS: m / • / ~ '~• ~ _ ' a~e~ 0 ro H 5 77 9 H \ H O ~ 2 9 x tT1 • > e r ~ - ~ x d ~ ro .-3 a ~z~ ^y ~ " ` -?. ~' ~{ ~'~ N~ __ a ~- ,... ... 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Cci "" +*'fCY1iJ'rry BtT{'.~ ~ _ ~(G°Vt'rt'1417 ,'~GSk1Hf: '7T~^it'. :.cYx :~Yr:7 . ~ ~ .~ = iron ~af~'e . ~ . 1 =Nofcc [..Ctt fFc.tr,E~~~ gitrnvr. rk;~r-~ ' `' ' ".``tiErd;vfsiarr :'.-lcr~ ~ ~c~:7r ~o~k ; - 5:.,r,.~.cf~l F~~x-i! i'. 1982' , .' -. f~+~d.:',°~=i!ecY' rrt f/re ~:.,~;1<. .'.eurrk~ ~-I..~C~R;4:f:: VAt`:1 ()`lC,., ~C~. ; ~1;1~=>(k ~~^x.rrrfxj+ lax 7Yt~~ G~3i ~ ~trt . ~ ~ .. ~ iz~en __.. _.. .41 , ,. grrr,-r Lcxr~ct ~rYv~ts.~s .._, ~~: ,; ~~ ~~~ c ~~~ ~~~~ v~. CONSTRUCTION MANAGEMENT CONSULTATION Box 208 East Marion, New York 11939 X516) 323.2676 JOHN C. BORN, PRESIDENT S~iy~9n 1 T~6SGa ~~SurlS~:T ~R k ~;a , ~ ~~,~va ~ ~ ~~ ,t . ~ `~~`' ~Ary"H -° ~'~ _....~. - Wc~t.>..- REMOVED .u;E~~~,,~,~,1~~,p. . ;, tt '.:r_.;.~ ~ 2,~Clra ~. 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'sr~urlS~~T ~~ ,, ~ .. ,.:o ~ r~a~t5e~,~`t-~-{~~..L~ I el,~. .r~ . :-mrp:.^~m~: N~nyE". ,~, '~ ''~`~~F:~ b Er t~l ~,, n.~ ~H ~, ~ B. T~, ~~ I ~° ~1 i 5 .~ . _ ~ ~~~, ~~~~~~ FL oaFZ hL,~-f~/ NEW ~ i'g33S' -. ytlrnar_cr~l NCI ~~ ~ 10" CONSTRUCTION MANAGEMENT CONSULTATION A3f z.--~ t r-,t ~ I r F ~''""r" GL a LIV•~'~ ~ E"XrSrr~1G cr 13Eb ~ ~~. ro 7- _ `' O DOh'` 1 ~4 / i ~\ ' r~CH/ l j rt,oSE'r FIAT-~. 6y.,r aT' GL. CArJ't r Lk:Vf>/j pjOx G+~'q.rVV z~ ,r 7.~(c, wALC.S 5tc.yc.l,r ~zX3~ - L^c~ui~LE r°t-vo2 ~EA'^'` ~fEAbC1~ l3tigD .Si~ACE' BF.NtrJjj 5kkt~W°~'~ ~, ~~ ~ ~_ ~ _ . NEwCwi~ ° ~ _ , , ~ ~ ~~ R `- G' `--- ~ , ;~F Cs . FKr 5T"1 JOHN C. BORN, PRESIDENT SI)y/9o `__.~._~"",.~....T.,:~ - Wt{i.L.. REMOVED 2~C 4, } ~ ! • . '2 .cr r~ .;S.z .r .. `+~}tl~rsr „1 de ''~ , x..r~v~"~ ~ frsY' ;e;.k ~! ~ A^'m4aa"~d tr~a 1 *.'@~ `' i>~n ~ ~,~~ °. 3 5 `~> ~ 4~ pPt ~ f h~~.R}il k. 1 Z t' 1 a a h e.:C ~~.~~~ K ..I°. .t ~. ~~~ Y ~~ 1? I I % e_~.Jk~m~~! . i S ! lift 'M tY .~ d „4 1 r N ' ~~ ... 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'k,~r~ A'a 3 f52 &. ri: .~. ~ . . !r {i . p. .. - ... ~pq!Vi : t x *A .. rv. . r FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 705-1802 Examined .~~~'.........., 19 ,,?? APPravcd ...~~.2!........, 19cimit No..G6.<~~~ Disapproved a/c ..................................... BOAFD OF HEALTH .._......... 3 SETS OF PL.1NS ............ SURVEY ..................... CHOCK ...................... SEPTIC PORPI ................ NOTIFY'a 2 n CALL ..•~!~ ~~ :. °(~ ~iP.... . P1AIL T0: (B ding Inspector) APPLICAT' PJ FOR BUILDING PERNtI- .., I5 INSTRUCTIONS a. Tlus 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 tltis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shill be kept on the premises available for inspection throughout the work. ,.~e: No building shalt 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 ins ections. (Si,, ature//~~oi applicant, or nam--e, if a corporation) (Mailing address of applicant) 1 t 9 3 State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. (~v:t~1,i; 2 ..................................~.,.1............................................................ Name of owner of premises ~`~':7J~~p.~.~!...~~~.1~GO ....................................... (as on the tax roll or latest deed) !f applicant is a corporation, signatu~~re`of duly auQthorized officer. (Nam and title of corporate officer) ' Builder's License No. ...... I !~. ~. ? ~-:`~ 1{~...... . Plurnber's License No. ... I,~Rt7y .'+or--uml3r~IG, ,w1,M-rrm~1L Electrician's License No. ..~~.4 ~ uR~S , , , , , , , OtherTradc's License No. .~'~~.... ~b.y . I~'4R 1. Location of land on which proposed work will be done; - Rouse Number Street. Hamlet County Tax klap No. 1000 Section .......~~. ~ . • • • • . • • . Block .......1, . , , , , , , , , , Lot .....7........ a . , Subdivision .. ~ Fsnli;R; , ;I ~~ Fl..~(1--.-, ........ Filed tap No. ....~(.Q....... Lot .... ~ ~0 I .....~. (Name) . ~. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............~N C, , , , ~7,gvvi, ,1;"~j ........ ........ .... ............. . b. Intended use and occupancy ............ ~Nr....~',`~,'.~j';~...wi;1;1.i, ,l~i`1`CFf~n/. ~blT?r>Al......... 3. Nature of wort. (check which a li / .......yN PP Cable): New Building .......... Addition ... Y ..... Alteration ... . Repair .... , ...... R~mova,l .............. Demolition ..............Swimming pool ............ . Tennis Court ......... A~y~nccessory Building..........Fehce .......Other Work....., 4. Estimated Cost ..........~..`Y.).~`~ .--f ............. Fee ..................................... (to be paid on filing this application) 5, If dwelling, nurnbcr of dwelling unfits . . ............. Number of dwelling units on each Cloar ...... , ......... If garage, nurnbcr of cars ......... . ... • , , , , . 6, If business, commercial or mixed o,~'ccupancy, specify nature and extent of each type o(use ..................... . 7. Dimensions of existing structures, ~f any: Front . , ........... Rear ..,............ Depth . .......... . . Height . .............. Number of Stories ....................................................... . . Dimensions of same structure withi alterations or additions: Front ................. Rear ........... , ..... . . Depth . ...... , . ........:Height ......................Number of Stories .......................~ 8. Dimensions of entire new constntgtion: Front ............... Rear ............... Depth ............... . Hcigltt ............... jdumber of Stories ..................... , .................................. . 9. Size of lot: Fro~$ ..,, ~. _ i ........ Rear . . ..... . .............. Depth ............. ..... 10. Date of Purchase ~.~:°e :~ ... .. . . ......... . ..Name of Former Owner ....................... , .... . . 1 1. :r one or use district in which premises arc situated .. . ....................................... . ... . . . . . . . . . l2. Does proposed construction violate pay zoning law, ordinance or regulation:.......N O ......... . . ... _~. .... 13. 1Vill lot be regrd'~'ed"......... ,' .... . ............. Nill excess fill be removed from premises: ,. Xes • ~. No . . 14. Name of Owner of premises ... ............ . .Address ................... Prone No......... , , .... , . Name of Architect .. , ~ • , , , , , , ,Address ... .. .:...Phone No.. ... ... Name of Contractor ~ok}n~.~.h',c2~ ~ui!-pC;j?~~pddress.I~~:~~K.~~.C::r'i:~taR)roneNo..,3,a~,~267(0, IS.Zs this property located within 100 feet of a tidal wetland? *YCS...:NO.,.. *If yes, Southold Town~,Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all liuildings, whether existing or proposed, pad, 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 ar corner lot. ., STATE OI~ 1~Y5~? ~ `~ 'S.S COUNTY ......~.U~~...~_..`~~~:~ :............. • (Name of individual signing contract) above named. being duly sworn, deposes and says that 11e is the applicant Fkisthc ........................... .. ..........' (Contractor agent, corporate officer, etc.) • of said owner or owners, and is dul . ~y authonze o perform or have performed the said work and to make and file this application; that all statements contpined in this application arc 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 i rr- ...,........ C. dayol :,~ .. ...., 19.~?~ Notary Public, ,~ County CLAIRE L. dL N.- C, ,- Notary Publio, &tate Of~l e~MVork • • • • • • • • • , No.4879646 (Signatu e•of applicant) Qublified in Suffolk ~ouMy rmission Expires December 8.1