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HomeMy WebLinkAbout17603-z , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18498 Date OCTOBER 25, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 100 BAYBERRY LANE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 052 Block 03 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1988 pursuant to which Building Permit No. 17603-Z dated NOVEMBER 15, 1988 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 DECK AS APPLIED FOR. The certificate is issued to HAYK & VIRGINIA R.AT_unmERIAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-100-OCT. 19, 1989 UNDERWRITERS CERTIFICATE NO. N-094737-SEPTEMBER 29, 1989 PLUMBERS CERTIFICATION DATED AUGUST 29, 1989-INNOVATIONS PLUMBING INC. `-'~J' ildin~spector Rev. 1/$1 lOHM N0. f TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No X17603 Z Date .......a-~:n.~?~-......1...~..........., 19.:x.8 Permission is hereb ran o• Y9 G ct premises located at . ...R.,ei.~t.. ~ ...C~~).~:a--r.......... Caunty Tox Map No 1000 SectioneQ ~~Q.. ~ Biock q.....CS..~...... Lot No r~.~ pursuant to application dated ....1~{~F,1.N~.^..'!~. . a~.. ` 19 ~ ~ ,and approved by the Building Inspector. VVUU Fee 5...~..7.~., . ~~I"^'. ....a-~.-~....... . Building Inspector Rev 6/30/80 TOWN OF SOUTIIO Lll ' BUILDING DCPART:IL'NT ~ , TOWN HALL 8LDG DEPT SOUTUOLD, NEW YORK 11971 TOWN OFSOUTHOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY October 24, 1989 nnT~ HEW CONSTRUCTION .X..._.OLD OR PRE-E%ISTYNG BUILDING......VACANT LANp_,.._... Location of Property..}QQ_Bayberr~_Lane. Southold.•...._..- HOUSE NO_ STRCET HAMLCT Ovner or Ovncrs of Property...H~Yk.&_Vir~inia Kalenderian County Taz Map No. 1000 Section .052,. Block ._~3... Lot ..21.._.. Subdivision._S1]4CeeYest___________, Filed Map .`~584_._Lot_»__»_..__ Permit No. .,017603__Date of Permit }1/15/88 Ron Morizzo Builder _.....APPticant IIealth Dept. Approval .LR~L9?89._......._ Undcrvriters Approval. 9~29~89 Planning Board Approval Request for Temporary Certificate Final Certificate S Fee Submitted: $__?5:00 APPLICANT ~~~~~~'CL.~~{'~/,~ . Ron Morizzo Builder, nc. rev. !0/14/88 C~rc..3B5 0 (v ca~.lSY9g L v , f ' ~ . FORM NO. b TOWN OF SOUTBOLD ~ i BDILDING DEPARTMENT TOWN' IIALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of IIeal[h 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 [hat solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required Co prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1_ An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to [he applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpda[ed Certificate of Occupancy - $50.00 b. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial TEL. 765-1802 oc,~~FF~LI~CpIi TOWN OF SOUTHOLD ~ a 0 y:'c OFFICE OF BUILDING INSPECTOR ~ ~ ~ ~ Q ~ 1, ~ = P.O. BOX 728 ~ i c°ra ~ TOWN HALL ~~T ~ 5 ; .+0~~01 ~~0~- SOUTHOLD, N.Y. 11971 Est.DG ~,_-.__j TOWN OF FGA ~ f"ftfit p C E R T I F I C A T I O N s Date ~ ~ _ Building" Permit No. Q \\6 C/~j C~ Owner 101 I Q~~ ~~~'^!~_~.i -~'~.ease print) Plumber~i1l/(bGt~~ioNS ~/G!i'}[)/U4 ANC (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. wl ~ ° , (plumber's signature) Sworn to before me this a9Yµ day of 19c~CeGcST 19'89 Notary Publi y)/,r/+'FdL l~ County KAREN W. ECERGt550N Notary PUbl1C ~ NOTARY PUBLIC, State of New York Nn• 4842180 QuaLfied In Suftolk Cwntry Comrntsaton Explraa S, ~.3! / 9/ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~kcE- D%:071 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dote SEP^~''?BER 29,189 APPlicationNo.onJile 6i1632~'~9/89 ~t 094737 ~ THIS CERTIFIES THAT ~ ~ only [he electrical equipment as described bektto oruf introduced by the epplicon[ named on the above oppfication number in the premieea of Q ~ ~ S W~ KAC^ivDER_7:'i?, Id%k?Ci0 RT_~8 & 5Ei'B~RkY V.'i;•`.', SOUTHO~J, RI. y. H Oro in thefo[!ouing lxation; ~ Baaemant 1 let Fl. ~ 2nd Fl. Sertion Blxk Lot ~ p0 uwa examined on - and found to be in contplionve with the reyu irenren lx q(this Roard. ~ m32 FIXTURE FlXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ~ t° OUTLETS ECEPTACIES SWITCHES NCANDFSCENT. EIUOREECEM OTHER AMi. K.W. AMT. K. W. AMt. KW. 0.Mt. K.W. AMi. H.P. 'E 'S ~n _ '.2 5 DRYERS FURNACE MOTORS FUTURE AWUANCE FEEDERS 5?ECIAI REC'?T TIME CLOCKS BELL UNIT HEATERS MULTI-OUTIET DIMMERS - M1T. K. w. al n. r. GA5 H. r. AMT. NO. A. w. G. aMr. AMr. 4MT. aMrS. TRANS. AMT M. i SYSTEMS AMt. WATTS NO.OF RET 2 _ i 30 _ 600 SERVICE DISCONNECT ~ Pq. Of S E R V I C E METER NO. OF CC COND. A w G A. W.G A.w G AMi. AMP, tYPE EOUIP. ~ / Tv 1 L lW 3 d 3w ~ 3 / aw pER H OE CC. caND. OE KLIEG OF HI~IEG NO. Oi NEUTRALS OP NEVTNAL OTHER APPARATUS: G & S COIL`RkCPUR i,IC. k578-i's C/~~~ &JX 2'15 SOT_t'-.0„~, I~2Y.-_: GE/iElAL MANAGER Prr - _ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identl fed lay their credentials. Ron Morizzo Builder, Inc. P.O. Box Z$9 Southold, N.Y. 11971 (516) 765-5772 Health Dept. ReF. # 88-SO-100 M/DDL E GR ~ ,C'D~.D ~Q,,7 ~ r f30i~' N ~ f a. ~ ~ ~ ~ c. ~ ~ ~ .9 ~ c a ~ ~a. w ~ 3 la ti; 'T' ~ a~+ A ~ wd ~ W P 0 ~ 7 J 4`O. n /1 ~'f ~ Y ~ x_..17 r ~ ~ \ C] fN G ~ u \ ~ y6. V n~i~ yl., d ~ Q~ WAll4 L/.t/E ~ i <Ca V - L W j AWE i ~ u. c iSfit+X ~ ~ \ ~ ~r . o 0 e . ~ - v ~ c. o _ ~ C ~m T a ~~,q uno+~ ~ ~ ~ ory w O? IYiri ~ O A/AGL~.rCa.c • /~Y•t'~~•C4'/,U/i9 ~i~GE.f/OE.P/~•iC/ .9.ur~vy tci !E-w.9.uaowsri ~ LOT- /6 .LJ~p diF~/~ICEGPE3T Fi[fO~JM.yo.Gb..?SB~ L.stll,0 ,.'~S6PYE/25C .tar~ria.v . 9.[~..ravw.~t- To~rva<'~cvrT.r~ ,t/.Y! ?o~/>vaco,.v. Y. - r; - - - :r , ~ - i^~, - - - - ~.sateG'ouury7.arrlyo,Gb./~o,sZ o3-z? F•.~.v,~~.ewtc~ornv_b~nuv,~?i~l,~gB.9/iurt locc.~ste ~f+e9 .~~1~ 1.~~~ TEL. 7G5-1803 S~F~otk~,~-~ ~O , Op ~ TOWN OP' SOUTIIOLD GL:~a~; Uhi'iCL' OP IIUILDING INSPECTOR ~ r~' ~~%V`~ ,z., P.O. f30\ 728 ~,0 rc TONN fiALL iyf/ ~~t- SOUTHOLD, N.Y. I 1971 r-~ ~ , To 6~lhom This May oncern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Ccrtificate of Occupancy ic> not on Lilc. No UnderwrLters Certificate on file. The check is (outdated/notnot o~) ~ , n~ " No Health Dept. Approval on file. No fanal inspection has been made. 1'le:a~e contact our office on this matter. Thank you for your cooperation. y~~ I1ui]d~nrl Permit if L 2 ~ ~ j Z IC+~ ~u~~Uc~..ty ~~tiw~_ Building DcE~t. I~'~ J No Plumber Solder Ccrtificate on file. " ( all permits involving plumbing being tssucd after April 1,1984 D {p~, ~/1 (1~ ~ ~~CM1_n~'l ~^aY~tir~~ ( r'~ L. l~ ~.'T Q, ~ S ~ -J i2G~~ ~ ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [/~SULATION [ ]FRAMING [ ]FINAL REMARKS: Q ~ (.C7~ DATE `7'/~ ~ INSPECTOR l7~0~3~ 7ss-isoz BUILDING DEPT. ! NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [v]~INSULATION [ ] FRAMINGnn ] FINAL/ REMARKS: IC.." ~ G~ ~-~f,~'~u ~iL¢oL~ ~u. ~ Ltc DATE INSPECTOR CQi' e 17~ a,3 765-1802 BUILDING DEPT. INSPECTION j ]FOUNDATION i5T ( l ROUGH PLBG. [ J FOU DATION 2ND [ ]INSULATION j FRAMING [ ]FINAL REM KS: .i :-L. DATE ~ INSPECTOR .~i ~d ~o~ ~s~~ 76S-18A2 ~GG BUILDING DEPT. INSPECTIQN [ ]FOUNDATION SST ['ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [`'J'FRAMING [ ]FINAL y'o ~CC~'S S fi~ G~ ~ ~ d~ REMARKS: G'?ia~'/G - - ,Q.~CcuLL r o~ y ~ y i~ f r DATE ~ INSPECTORS , ~ 765-iS02 BUILDING DEPT. 1 NSPECTIt~N [ FOUNDATION 1ST ( ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ( ]FINAL rJ REMARKS: [ c~w,,,__` _ ~ DATE / INSPECTOR t ~ C~o3~. ass-iso2 BU1LDiNG DEPT. INSPE~TI4N [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: _ A R'^ ~ a.~~~~~, a d ~~~~a~~~~~-~ C~ DATE ~ C b i R~ INSPECTOR - FT"E,.'',~ItiSPECTIOtJ ~uATE COMME.IJIJ ~ w + 1. Y ~ a • ,,LQ~ .w FOUNDATION (1st) ~ ~ Chl - ~ 1 o• c i L N b7 FOUNDATION (2nd) _ ~~~p 2. ~ O ROUGH FRAME & ~ of PLUMBING M ~ H 3. H INSULATION PER N. Y. .C... STATE ENERGY CODE a 3 r~ y 4. ~ ' FINAL awv Xi asf-~anrm C S l' ~ 9 ADDITIONAL COMMENTS: _ ~ , Y zit l~ ~ D~ .O ,p ! L °~}.:x St_ r ~ <<'"~. ^d ~~'u :1.°•-'D"~h. 'I - ' ,T '.hF~~~ f~^_ c ` • j` _ - a ~ 1 t f y. y~ - RON INUFtI~Cs BUILC?i:R, INC. dIT ` 3 ~ ~ i Cohtractor - Homt Improvements - ° 1 + I' O Box 789 V SOUTHOLD, NEW VORK 1197) BLCG pEP7 (5I61 765-5772 i - TOWN OF SC' ~ ~ y,•' > - 4 k~ I ,ems /BT1.o _ i3~.,39 ~ :F T `T.s+_ U vs' \ ~ I ~ !~,t ' `~1 r, o ~r ti Jrri+ 1'~ Pi "1 R rJ l1~ ~`i C a , u G ` , a„~ ~N~ ~ ~~c~ \ t~a~,, ~ ~ ~ / w r o w ~ ~ l ~ k M.t.=€,rc:~P• ~7i'i~~%f•cf k~(/.`"w.'/.r".:.a .~'if~C!".!/OE.P.,~-Szl~ Lam'' /~U, h::G'r' I'(~,~i(~ lsi:4.1.'u'k".~;{i~'f i:;.'~" r'4' +'~/Y.p 13f•'?•'~t' !~~~~~J~r ~1L ~1~/~~f~.l~~P ,~~^Y .G~.,.S~"UF.+' ./C/.L~%'.`~~t'. .rte., ~,aG.Prrcw" 9!~•+".R,~slc,+,r.4.+rr~ To7+rv-~.~- rr~~o, A/, s~ ytri/It~ - a ~.l.tRr~ a ~ ~ ~ - ~ N, .:;~uci *r ;7,a!~hs:/~.L~ ...x'c .y -max - 2/ i - ~ ~ L;9i%~ ~ x4r..t.'...d"1W~f^'!'o:~98Y f~ 1~3 36~~ . r r n yr r ;,"r If RON MORIZZO BUIL~ER.INC. P O Box 789 • Main Road. Southold, NY 11971 • (516) 765-5772 January 10, 1989 Building Department Town of Southold Revision to plans of house located at 100 Bayberry Lane, Southold. Permit # 176032, Hayk and Virginia Kalenderian. 1. Change crawlspace under study to full basement 2. Remove garage from under house. No garage to be built at this time. 3. Basement entry to be moved forward toward the front corner of the house (same side) ~~yT~hank You, Ron Mori Pres. Ron Morizzo Builder, Inc. R, C ( i1 ~Itd~ ~ i ~ v~tt ~,~i~ Li._ in 41 ( ~ !mow ;~1~ ~ ~ n~~..~J p...TQNIN O ~ ~~03 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] FO~JNDATION 2ND [ ]INSULATION FFRAMING [ ]FINAL REMARKS : -zil' ~ ~ ._T ~ ~ --'~-rr~-~.-~ ~ ~ a~-~~. o v`~~,-c.~..s DATE o~~' iNSPECTOR~7~' y!~"y ,Y•'~ - ~z>~,~~Y`1C~~,C.VYY,t 176®: ,K„ ivj,• ''~"`"~~~"~.F _+~rhi `~~y =~`if ONf~MOIi~~T~ ~;i~IJiLk~ER N"~Cr= .~t~ ~^.IFn a;, " ` `N3~':`x<'g"FZ,~~'vHb-'r- aofitracmt`, `rne-improv meea_~i`~ , . ~ RK~4I , BLCG DEPT ~ ^ , r#-,r•=r~r,=4s~F~, ~ ~ ~r'M..,r~','.,~ ,`~,xcf~~~=mow °"SOUT 6 BEW ~O9 3 r p .v, d- 'S}~ WN OF $C7iJTM7 ~ , . r'k - x "x~~„4bf~Fv x"}`s``ti. )i 72 i - ' N °1.. .yam'!-f k~'~.M c ,e'~` a ~~yy ' Y « 1 ~'..»,3.1sr..r~t.~ 1,n.M'~y ~ .h~'s~~''' ~<3"1a1;`;r.~.: ~C. H" ~ < ' k4:'~'---'+A~ - ti„ ~ ,n n 4,fN s ~sRw. ~ a .:L','*".'F ;a,A s y+"',, S. P~ 'H'vi ~ J~ • X ~ . 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T <Y. ~ _~~iT, _ per .•MJ}mot :t'=} ' } ~ ``J~+ ~ • 'tr s ' .A s n " t f°. - x ~ ~F ~ .lry-~" .-s . t .tN'. o-ti'4 y~`, :-;'s 4 - '3 . n ~ l ~ 'a1'l" i - .~ci~'.~-e,,c. ~„Gsirr~Y,e~~uii,~ Ffcr~vo~isey ~ ~ ..9.r/rhtatrv ytl..~'~?,~vGtaw~.e-~'a taX^./~i''.alroe~' ,yta.~~.r~sr .~.er"a M,9 b.4' '~C~rra.~cst?r~-I'ue" t.~~vrsyv, i9,e4irgs?on/.anyc:T.~rrva< .fir `,u,>! ~ - ~ --f - - ' . ~ 4 4 T }r x 1,'~6~t.'~{''C:?+NIIT/~f~rr~il~~r/LYaO~„~+~'l~~'g? st - - « ~i: - .~-~~~"a!`~~~~ < '4 ~(M'~~pF .{'~"j,~,~' u ,M'~~_ ~:",:yt~ _ rsf +'d6~ "t~~a 'C ;,f~Y"W'~1a w`au.`+ %riet! s":s:-'S~ as _n,_ e.. ti3f.~zz'.$.e., ~..aRe`e'rr"=~~'£n E•.:.~ ._~i. •E,iFasA~i ~!C' rtx?i. ti. ;'1k...o.~sw"~~L._C.~>~+u~' a '4`9b-: ~,E& IE- F RON APR - 6 ~ , MORIZZO BLDG DEPT ~a BUILDER,INC. ~ 70WN OF SOUTHOLD _ P O Box 789 • Main Road, Southold, NY 11971 • (516) 765-5772 April 5, 1989 Building Department Town of Southold Revision to plans of house located at 100 Bayberry Lane, Southold, Fermit # 176032, owners Hayk and Virginia Kalenderian. 1. Rough in plumbing in basement for future bathroom with cast iron pipe (waste only), and install in)ector pump for waste. Thank You, G~~~ Ron Morizzo, res. Ron Morizzo Builder, Inc. _ _ JNt1~ ~ v ~ g~.°, K m cs Oy r s ~i+ < ~ w a~ ~ n a S ~ C 7 4 Y ~ 3 ~ M Z r ° C -1 G~7 g `"''a en Z ~ N 3 n „ M n ~ R ~ ~ r s ~ -v ers rn n ~ G s 4 r~ n -p N 5 !ry 3~ F T~ i~ty 'M1 C ~n nn to $Fi 1 a 1 Q} N J, Q1 U '4 T x ~N ~ C ~ ~ 4 ~ n a~ ~ ~ O v ~ T m o 4 Z 3 6 S ~ A .a O ~ w ~ ~ Nom. ~ 3 'O Yi C ~ m ~ ~ ~ mm 0 zi ~ $ f $ p o a ~ 4 c ~ o 'C) ~ e ~ x ° m 3 ~ n 2 ?l ° ep~ n £ ~ O r .~.m ~ r `11 ~ tix of p w n 3 *f.~ 7 i ~C A g' on ~ 3T ~S g ° © ;U =n a- _ < ~ R o z off' w N T R JO (T 5 ~ s ff w m YI c o ~ >m v " 0~ n ~ O = n 'p6 G S ~ ~ Z g c „r z n ~ J O n - Y ~w '.f N ^ ~ '^l m a c N p c m C ~ .A ~ K b m f x .Y C ti m ~ '9 '=e, n ~ w O Y ~ ~ ~ ~ H p Z m ~ `/L 5£ i ~ Z a ~ ~ , _I BOAKD OF HEALTH 3 SETS O~PLANS • . FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK - - - - • • - BUILDING DEPARTMENT SEPTIC Foxn TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 ~G,~ = ~~~02, TEL :765-1802 CALL - - - • - MAIL TO: Examined ~fi~K 1 S., 19 ~ _ Approved I.S , 194 Permtt No ~ ~ (od ~ Dtsapproved a/c ~ n ~ Z BLDG DEPT. (Butl.img Inspector) TOWN OF SOU7NOLD ~:PPLICATION FOR BUILDING PERMIT Date Septelnpez. 25. 1~ INSTRUCTIONS a. Tlus application must be completely filled m by typewriter or m tnk and submttted to the Budding Inspector, wr sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatton of lot and of butldings on premtses, relationship to adloming premtses or public str or areas, and gtving a detuled descnptton of layout of property must be drawn on the dtagram w}uch is part of this al cotton c. The work covered by this apphcatton may not be commenced before tssuance of Building Permtt. d. Upon approval of thts apphcatton, the Butldmg Inspector wtll issued a Building Permit to the applicant Such pe~ shall be kept on the premtses available for mspecUon throughout the work. e- No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Butldmg Department for the issuance of a Butldmg Permtt pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the constiucnon of buildings, additions or alterations, or for removal or demohhon, as herein descri The applicant agrees to comply with all applicable laws, ordinances, Butldmg code, housing code, and regulations, an~ admit authonzed inspectois on premtses and in Butldmg for necessary mspectrors Ron Morizzo Builders-Inc., (Signature of applicant, or name, if a corporation) P.O..Box 789t-Southoldt N,Y. 11971,,,, (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchttect, engineer, general contractor, electnctan, plumber or but General, Contractor „ Name of owner of premtses Hayk Vj.Xg~Ltld ~d]•@OdQrl@U . (as on the tax roll or latest deed) I apph ant is a orporatron, sign re of duly authorized officer {Name a e of corporate officer) ALL CONTRACTOR'S MUST2 HI SUFFOLK COUNTY LICENSED Builder's Ltcense No .66.7777 . . Plumber's Ltcense No . . Electncian's Ltcense No 282-E , . . . Other Trade's Ltcense No. I Locarion of land on which proposed work will be done. . BaXberry Lane Southold Iiouse Number Street Hamlet County Tar blap Na 1000 $ec Uon 52 Block 3 Lot . 21 Subdivision Filed bfap No, Lot . . (Name) 2 State ertsting use and occupancy of premtses and intended use and occupancy of proposed constntetwn a Existing use and occupancy . b Intended use and occupancy One Family dwelling .y.. - 3, Nature of work (check which applicable) New Building R .Addition Alteration Repair .Removal Demolition .Other 15ork /`3,5"oao (DcscnpLon 4. Estimated Cost . ~ Fee . ` (to be paid on filing 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 structures, if any Front Rear Depth . . r^'-Height Number of Stones . . Dunens~ons of same structure with alterations or additions Front Rear . Depth , Height . Number of Stones . . ~~8. Dtme~s~c~s~of~ire new construction Front Rear Depth He~~h Number of StonPS . . 9. Size of lot_ Front Rear Depth (0. Date of Purchase .............................Name of Former Owner . I ] Zone or use distnct m which pre~mses 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 14 Name of Owner of premises Address ..Phone No.. . Name of Architect .Address .Phone No.. . Name of Contractor .Eon Morizzo Builder, inc Address Southold , . , , , , ,phone No 765-5772, , , , 15. Is this property located within 300 feet of a tigidal wetland? *Yes No X *Zf yes, Southold Town Trustees PermitPLO~ DIAGKAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fI property fines Grve street and block number or descnphon according to deed, and show street names and indicate whet mtenor or corner lot. STATE OF NEW YORK, S.S COUNTY OF . . ~CJ./1 ml7 2/ ~ ~G~ . being duly sworn, deposes and says that he is the apphc (Name of individual signing contract) above mm~ed Ile is the ( ontractor ant, corporate officer, etc ) of said owner or owners, and is duly authonze -farm or have performed the said work and to make and file application, that all statements contained m this application are true to the best of his knowledge and belief, and that work will be performed m the manner set forth m the application filed therewith. Sworn to before me this .Q~~ .day of h:~c-C~,fz..~C-1. , 19~~ Notary Public, .~?~.°.^~~-k.-e'.~t1 County ~ LINDAJ. GDOPER (S~gnature of apphc. Notary Public, State o} New No. 4822583. Suffolk County Term E~gilres Doew~sr3}, } J--~ J~~_...~ Nn ~ 4'` L ~~,rr. ~ ~ ~1~'V ~ J ~ r , ~ f , r 1 t.. ` -z ~ rv~ 5 ~ ~ ~ ` 'f ; i /f r , "3 ' ? ° f t~ , 'L - 3 ~ , t l ' f S i 1t ` u ~~l h.{{ i /J~ r i s ~1' 1 : ~ ,X, N C tP tai O ~ ~ 4 1 fi 3`T' 1 ' 1 d O fi 'n r 'R "n fi ~ ~ O 'J' 'fi A fi -t t n n ~ '.fib `3't . ~ C O x! ~c r " ~ ; S ~ to ~ o ~ n m ~ R a O~ G M i ..t s z' 0 1 C D fi fi 'x ~ 'K. ~ L' N d O ~ ~-1 r4 --t fi S. y ~ 1' C' ~y„ ~ if V~ v CS W ~ fi ~ i ~ {it ~ '6 ~ rl ~ 1tt fi' -d r o = N ~ o } ~ r" ~ ~ O ~ ~i m O fi u~pk e 61 q A ~ O , .q, Y" Rt 2 r r ^,1 Y JT~l~ Y~ QN. h .MMJ ~"3 ' _ •Q w"' i • YA ~ ~ t ~ Jne ~ryJ RQ~JF'e! 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