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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-19188 Date JULY 6, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 4750 STARS ROAD EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 22 Block 2 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 7, 1989 pursuant to which
Building Permit No. 18513-Z dated SEPTEMBER 15, 1989
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 REPLACE EXISTING ACCESSORY DECK AS APPLIED FOR.
The certificate is issued to EAST MARION STARS RD. BEACH ASSOCIATION
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
' uil ing Inspector
Rev. 1/81
roar xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
tTHiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° ~~~~3 Z Date ~f S' , ,9..:/...
Permission is hereby grant d to: _
,.~~:~...,,~~...t~°~
.~.....~.~r..~ fry,
to -...dG~~.
et premises located at ...~7~
~ ~L
.............................................~a...~~f..........y~~~r~.'.l''C~?y......................................................................
County Tox Map No. 1000 Section Blak .....2............ Lot No..~.a.T......
pursuant to application dated ........9./..~ 19..~ and approved by the
Buiiding Inspector.
Fee S...c,~..s.~,t~'
.....,.:...1.Tf.. .~j
p I or
Rev. 6/30/80
' TEL. :GS-tE~'_
~~~~FQt.~~c;~ ~ To~~rl or saU~rua~.o
~'l;`C'i2~W~~ t•;~ OI'I'ICIi OF FiU1LDING INSPF:GTOR
v 'i'w ~p'iS',`". ~ I'.O. BO)C 1 179
L+ „,cat ~ TO1VN![ALL
• • ~,y~ SOUTIIOLD, N.Y. i l97 t
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°b.,~-- March 1990
EAST MARION STARS RD.
BEACA ASSOCIATION
BOX 97
BAST MARION, H.Y. 11939
To S•7hom This May Concern,
' 4.e arc unable zo coaeplete your Certificate
of~OCCUpancy because af- the following reason.
_ /d/ An application for Certificate of Occupancy
is not on file. (ENCLOSED)
/y/ *to iJndcr~•~riL•crs C~:rtificatc on file.
/--'t'he clu_cF: i:; (riGRtX~7[tYkicYTsot nn file.) $25.00
D:o health Dept. 1lpproval on file.
C:o final insl•,ect:ion ham been made.
Please contact- our office on this matter.
Thank you for your cooperation.
riu.ilciircJ Permit: ~I 1 8 5 1 3 Z
IIuilc7ing Dept. •
`'`'"I / t1o Plumber Solder Certificate on file. '
( all pcrmiL•s involving plumbing lacing
icsuecl afL•r_r .~pril 1,1984 )
NOTE: BEFORE CERTIFICATE OF OCCUPANCY CAN BE ISSUED,
S~
URVEY REQUIRED SHORING SET BACKS OF DECK.
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TONN OP SOUTIIOLD
IIUILDING DEPART:SEtiT ,
TONN AALL ~ ~~9
SOUTIIOLD, NEST YORK 1 ]971 ±~iiyyf```1,,
765 - 1802 ySUpT""'~...
7pWN OF SOUTNOLO
APPLICATIOK FOR CERTIFICATE OF OCCIIPANCY
DATE._. ~/~/dQ.......
NEH CONSTRUCTION _ _ .....OLD O/,ft PRE~~,E~%AI~STI2i~,[G ,~EUILDINC,~./~....VACANT LAND..... _
Location of Property,... ~~~U_..JT:~:`:~'_..YS^:`:~._t
LiOUSE NO. ST~{P.{E-E-T-, ~J IIfAMLET
Ovaer or Ovncrs of PropcrtyL7~C.~~~"~_Xf~~1C~~^1N!_1/dLa.~s~LLLPPt~.~r.//
Coua[y Taz Hap No. I000 Sectioa a:~. H1ock ..?L!_.. Lo C' ..G.~.!_.
Subdivision_..pp Filed Macp~~--pp.______.Lot__...._.._
PcraiC No.~,~P.~1~..Date of Permit _.~~IS~Q.r.Applicaat ~_~,C~~....
Health Dept. Approval Undcrvritcrs Approval..______..___.
Plaaaing IIoard Approval
Request for Temporarily CertiFicate Final Certificate
Pce SubmitCed: $..?Z.~:Q ~
APPLICANT. 7?
0~.~-~-n-~ e
Ms.~eaA - - - . .
r~°- 10/!4(88
Q uc. 34 f5'~ ,
C'e~ 19l8'8~ _
05~FFOLk~O
VICTOR LESSARD :G Town Ha1I, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1179
(516) 765-1802 ~ ' ~ Southold, New York 11971
FAX (516) 765-1823 ~0 ~ ~.10
1 V
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 12, 1990
East Marion Stars Beach Association
c/o Maria Frumenti
P.O. Box 97
East Marion, N.Y. 11939
Re: B.P. #18513-Z
Premises: 4750 Stars Road, East Marion, N.Y.
Suff. Co. Tax Map #1000-22-2-07
Dear Mrs. Frumenti:
Upon inspection of the deck that was replaced by the Stars
Beach Association on the above property, it was determined that
a second surey is required. The reason for the second survey
is the fact that the new deck appears to be in a different
location than the deck it replaces.
As soon as a survey is submitted to the Building Department
we will process your Certificate of Occupancy for the deck.
Sincerely,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
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SURVEY FOR
EAST MARION STARS BEACH ASSOCIATION,
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY.
y~,o tA+<+~
SGq~ 1000 - 22 - 02 - P/0 0 7
2 ,t,~ t~ F
SCALE~f°=30`
~ * SEPT. 4, 1986
~T er
9o- "d~ ,ge,,, o
FOF N~~
c < N.Y.S L1C. NO. 496!8 prepared In accordonce with
i rtandurda for lido rurvayr m
CONIC SURVEYORS 9 ENGINEERS, P. C. 1h0 LL A. L. S. and appravc:
516 765- 5020 for ruck use by Tha New Y
PO. 80X 909 Title Anociofion.
MAIN ROAD
SOUTHOLD, N.Y. !!971
86-
BOARD OF HEALTH
3 SETS OF LANS
FORM NO.1 SURVEY
TOWN OF SOUTHOLD CHECK .
BUILDING DEPARTMENT SEPTIC FORPt
' TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
/ TEL.:76F-1802 CALL
.9~J , 19~ MALL T0: _
Examined .
Approved ..g~/. $../.O l..., 19 Permit No. L ~~~~~~p~ -~wp
Disapproved a/c 7
..DATE: ~ •st~N • TO~n;A,j t}F &0`J".~':°
8
FEE:
NOTI~ AT 4 it ing Inspector)
766.1802 8 AM 10 ~ PM FOR THE APL%I/CATION FOR BUILDING PERMIT
FOLLOWING INSPECTIONS:
1. FOUNbATION TWO REQUIRED ~ • ~ ~ . 1 y ;
FOR POURED CONCRETE Date .
2. ROUGH - FfiAM?NG & PUlM81NG INSTRUCTIONS
3. INSULATION '
4. FI~ 'LC i CONSTRUCttI N MUSTr
a. PCdIS~~~~`fEat t~t ge completeiy filled in by typewriter or in ink and submitted to the Building Inspector, wit
set p o t .Fee according to schedule.
1~~~g ~ pN~ot and of buildings on premises, relationship to adjoining premises or public str
or ~y~ a A~`f~l$1G ~Il~i ~~~on of layout of property must be drawn on the diagram which is part of this ap
catiatlyES NOT RESPONSfSLE FOR
c. •,T}der}}~q~~Cj~yg~rg~{~~~pp~l;i~ation may not be commenced before issuance of Building Permit.
d. Upon approval of this appiication, the Building Inspector will issued a Building Permit to the applicant. Such per
. 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 Occupa~
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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspection
'
(Signature of appliL'ant, o name, if a corporatton)
..,Q~st'.. 9 ~ .:.~.:/yl/~!zia~ . !U~ ../1.1.3
• (Mailing address of applicant)
State. Wbe.ti7Pr nnnJjr?P.t Ic np~ner loeocc .,..o • -~h'.`.~Ct, ^L'- %Cr, CnCrai Cilxitidi,tOi C1CCL11CIa71, piurnber or buiiri
Name of owner of premises - ..?~~"'.'~...~'{:kt `~'~'~'z:~.'...1~,/~5T /rlf/iF'/O.tl STAMPS k'D ~Cf~f+~.g5
(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.
i ~.~..1.1s... H. ~ .
Plumber's License No . .
Electrician's License No . .
Outer Trade's License No . ~ ~
1. Location of land on which proposed work will be done. ~ ~
t...Hamlet
County Taxb tap No. 1000 Section S~....... Block Lo
•
Subdivision Filed hlap No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy • • • • • •
b. Intended use and occupancy S
3. Nature of work (check which applicable): New Building Addition - ~Uteration
Repair .=.T.~•u~.~rt~: t}.~,.. Removal Demolition Other 1Vork
~ a (Dcscriptior
4. Estimated Cost ~ 1~`.S. 4~~` Fee . .
(to be paid on Filing this application)
5, If dwelling, nuenbcr of dwelling units Number of dwelling units on each floor .
If garage,numbcrofcars
6. IF business, commercial or mixed occupancy, specify nature ar~d extent of each t tpe of use . ~ .
7. Dimensions of existing structures, if any: Front , Rear Depth ...,1~, , , , ,
Hui~ltt ,f.~.......... Number of Stories .
Dimensions o~f,sa~n~ strt'c~.ure with alterations or additions: Front Rear ~ .
Depth Iieigltt ......................Number oit~'~±~:~~' .
8. Dimensions of entire new construction: Front Rear De th
Height ............7 Number of Stories . " .
9. Size of lot: Front ;Y,~G , , • , , • , Rear ~ - ~ _ ~ ~
10. Date of Purchase , ;~.~c....... .
11. Zoae or use district in which premises are situated , Name of former Otv r., , rw o
12. Does proposed construction violate any zoning law, ordinance or reguSation::,:..,r.~s a`!!4~
: .
!3. Hill lot be regraded .......N/: ~ . 1Vill excel fill be removed frptn ptemisesi " Yes
14. Name of Owner of premises °:rqF:~ . ¢~+tt (i, , , .~~Sc~ddress . °.A T:,, .Phone No.:::.'....... .
Na.-ne :,f Atchiteci .....................Address ...................Phone No.......... . .
Name of Contractor . ~ u1 C!•::P.~~......... Address -('t'!f wt... ~r~.-: t3.a~: Y7Phone No. 5'.~!
15.Is this property located with in 300 feet of a tidal wetland? *YES....NO.X~ .
*Zf 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 fr
property fines. Give street and block number or descrigtion accotdina to deed, and show street names and indicate whet
interior or corner lot. `
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STATE OF NE1V YORK, S.S
COUNTY OF .
being dulyswom,deposesandsaystha[heistheapg[ic,
(Name of individual signing contract)
above named.
fleistite
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed [he said wort: and to make and file 1
application; that all statements contained in this application are true to the best of his knowledge and belief; and that
work will be perfomred in tt:e manner set forth i,i lile application ficd therewith.
Sworn to before me this
Nola Public, ,a..? . ^.R-.. Count ~~f
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ha~wy«h ~ (Signature ofapplica
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SURVEY FOR
EAST MARION STARS BEACH ASSOCIATION, INC.
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
1000 - 22 - 02 - P/0 07
SCALE I ° = 30
6~~zAM~SUq SEPT. 4, 1986
rz ~
oF9'OO June 7~. 1890(aet monumenfa d locate deck)
+ ~ t N.Y.S. LIC. NO. 49618
~ ~
6~d RS P. C.,
5l 1J
P.O. B
MAIN ROAD
SOUTHOLD, N.Y. 11971
86-460