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HomeMy WebLinkAbout9183-z �OgpFFO(Mco Town of Southold 8/26/2015 ' O G� y� P.O.Box 1179 't c‘, S30951VIaNieRwdYork y�ol farSouthold, 11971 CERTIFICATE OF OCCUPANCY No: 37737 Date: 8/26/2015 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 300 Conklin Road,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/1977 pursuant to which Building Permit No. 9183 dated 4/13/1977 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 unfinished basement. Updates Certificate of Occupancy Z-9266, issued 10/25/1978. 'The certificate is issued to Peters,William&Peters,Alicia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 7-SO-52 10/24/1978 ELECTRICAL CERTIFICATE NO. N399513 8/21/1978 PLUMBERS CERTIFICATION DATED N/A N/A Auth• , ed gnatur'e FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No, Z9266 Date October 25 , 19. .7f3 THIS CERTIFIES that the building located at .300. .CoZIk14,11.R.oad ISOM Map No. . . . .57.7. . . . . Block No. Lot No, 22.& .23 conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .Maroh 28 , 19. 77 pursuant to which Building Permit No. . . 9.1.83z dated . . .April 13 , 19. .77, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private One Family Dwelling The certificate is issued to Pete ' Marcus (owner, Jdockk of the aforesaid building. Suffolk County Department of Health Approval 10/24/78 UNDERWRITERS CERTIFICATE No. . . . . .N399513 HOUSE NUMBER . . . 30,O Street Co lin .Road .M ttituck,. N.Y. , ''' / WA/a AV/1,/ /4;4e,Z1/------ Building Inspector . County Tax Map # 1000--139-4-•7 . ., _ .. . , .. .x .: . FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9183 Z Dote lax%I...13 - , 19..1?.. Permission is hereby granted to: 4:11.evaL.T.anny.slak. Jr Liat.tituck tai?� nev one family dcrel .ng at premises located at Lot..UU..&..''3 ' . c /Bt./data co#1.1.11 Road COPTIA..,44 ) nt to application dated , 19...72, and approved by the (ding Inspector. Fee $It?4f0 4,0(11."1:., 6.12,11A.7 Building Inspector • {^1 1 )I Form No.6 r - TOWN OF SOUTHOLD ' Zqr ZZS�- f- I' BUILDING DEPARTMENT JUL 2 9 2O r TOWN HALL CJ4.t3s4fr-P032, 765-1802 9P3iFD rAPPLIC TION FOICERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following. A. 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 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,building and unusual natural or topographic features. 2. A properly completed application and 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$50.00,Additions to dwelling$50 00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50 00. 2 Certificate of Occupancy on Pre-existing Building- $100.00 ca e of Occu ancy- $.25 _ 4. Updated Certificate of Occupanc - $50.00 5. Temporary Certificate o Tcupancy-Residential $15 00,Commercial $15.00 Date. New Construction Old or Pre-existing Building: )c (check one) Location of Property -3 Qt) CriN) a y) ROA® tr 1 c gC yc & Y House No. Street Hamlet Owner or Owners of Property• k tLZJ9f'vt. Pl'' f ►'2$ d' )1-LX CT Y3 19E 1 ERS Suffolk County Tax Map No 1000, Section \,)'Y_ ©1) Block VI, 07) Lot no 7, On D cc Subdivision ifNA-idaF C AQ®Evl t{ 1475 V4 i i rttdj� Filed Map.'77 g99 fact Lots; pia 4-D3_ Permit No. 9 I Date of Permit. Applicant: _ Health Dept. Approval: 7 9-O -- Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Wi5/1-'c Fee Submitted: $ COI • / pphcant Sign. . FORM NO. 0 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. 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. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 • 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 `�'/7 J/7 Date New Building °/ Old or Pre-existing Building Vacant Land Location Of Property .�,��.. �.I��.Ci•/%� KOA �'�•7/'7-Q C/� – • . Owner Or Owners Of Property `I T ' /47;A/zOCl..5- �t4''©`/t/1 4"/k.•f:t • 1.6-rg'S 7e`-' Subdivision /.441:01W-5.. Lot No. Block No. House No Permit No./9.•t('e•• Date Of Permit 5/72.Applicant 1/41';"4..•dl.4 !t�.l..r.�rf.:)d•t tie Health Dept. Approval44� P -74//k Labor Dept. Approval / Underwriters Approval tax,—"Vs-5 / Planning Board Approval .,;4/1 ' Request For Tem ary Certificate Final Certificate ..�' Fee Submitted $ Construction on above described building and \ it meets all applicable codes and regulations. 0 ��' . Applicant)( ,.. 1�J3�,.....Y...C......Q . 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E!•..._;''-l!1 !tom!- !- 1=t _1'- 5ftl - 7_- l=(i=- � ='11 !_ !- I IIi--JAIL IL' 11-=tip_,11--lll�fi-^1_- ! li� _ - �- : 1I 1tl„111=f;) ill_I,1=III=-i1:-111_ tls�iil-111-11!_,d=1i!=!3-11 'I:;:il3i%1fi -i,! ="t- -t t,-1I i- I lt... • -111--;11_ ---112,97-V,,---z--,: 1 1IL I iii-ii!__(f1-11!_.:71- !ii=!1:-111 10='n=t7-=n 1'i- - t-- !�` i'-a1 11-1 '. �. <.1' - _i L-_'1!-•! i.4111 - fi T _711--117_.Us,1-+7_yli 1-:- !t,)i.-,,,-:,,--;•ir,!i:=1!)..,7 f--ii.!11; ,';1331' -_1,- !!i-_�Ea i;: 44,.14 --„;--,., __ a is 7fi C iiffie-ilnist-;notl o+ dltergd�in,Qr)y-in Irtl trnrtt)tf a 141 fir41of'th 130aN q .16;r4SHCk�-ins Ectors r =.bet-liderthfie =t1eiris a enti& ' � !'•-P W _ N, it d 1iE,,;:iiiiwr-yss'CYisY7jrti'aY7sYait..14i.74`6.7iYYiYYtif.0:-FiYYeY:fsiitait/iYY�YYSYYafYiYYiYYa2Y4YYAYYJAYrer..Y.vfYAYYiCY.,YY4A:7aY.Y�YYi7,-Y,Y�YY�-:YsYYoY.YiYYtiEYdY9iYYa`G ;?iiY•741:4Y,YSYYeYYgCYis yis, 1. ,a. yF �yl:'•` + .c.... /' • .- . • -, , ., )1K1e &It317-7 7urt fi,..,:.Ad t)'1,---2-4-- ' o —*- FORM NO. 1 CZPI 171+- fatetcvs9 TOWN OF SOUTHOLD i i(1-7 1A.,#..44 "etr fl‘c4 t-t&,,L.'"3 BUILDING DEPARTMENT ifei TOWN CLERK'S OFFICE aj' SOUTHOLD, N. Y. i 0/w77 7— Examinedrt?t-'- 0 , 19 77 Application No. 4. Approved I) (> , 1977 Permit No. W a3 2--'- ©, 7:--- „---111-14-6-7-441 GPC. SA /A-LiAti-ve,-74 Disapproved o/c -' t&-e-4. g,ar...0 •14 , , /Lied - ' ( ir ..„---(- , --( le bop_ , (Building Inspector) - 4----,---7”' APPLICATION FOR BUILDINC4 MIT -i--p‘-k------- 00 Date MA RC,iti A-8' S,17et‘ /tie DchUF --- INS 7.re,(78' RUCTIONS ek (70,1,411 ,//01-) o •(--/eZ49ili*""W 47-!.f.7(--.. i - A A." a This application must be completely filled in by typewriter or in in and submitted in triplicate to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. 2, b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ol areas,and giving a detailed description of layout of property must be drawn on the diagram which is port of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. o d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such permit 4• shall be kept on the premises available for inspection throughout the work. t) 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. 0 APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the I ' Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances ora 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„..3 admit out . ' --, •• •- ors on premes- •.• in buildings for necessary inspections. • i/z(76-- .g.„&k, 70./2-6,--w- (Signature of applicant, or name, if a corporation) 0 x /-Z i'l s--- In iirr ric k , i'l i db-(7 g— /4 e V-3 o ' (Address of applicant) State whether app icon- .,. - , - -e, agent, architect, engineer, general contractor, electrician, plumber or builder. -1 1 n i I a.e_r- , 0 iiu OE_ ' , , 0 , w K Name of owna of prerises 1 IR CI i< \II I-1 YV '".•\I:\ V ). .-)12 . If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) t-/ .7r Builder's License No. h e: I ry —.-.$'C -5 -2— / Plumber's License No. S E I 1Z. a--a_k /3.9- `1". 7 , Electrician's License No.. Other Trade's License No. -S E 1 r ,A--ia_r-Je ii t•Ii'1 Lehi s 1 Location of land on which proposed work will be done. Map No .Ei.(IC- 44' 5.77 Lot No. - , " 54 Street and Number .G A A it) A 1/e ri IAC. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,----- ()w n er- s 14b rnL, c-. A.,f 6/ a Exisiting use and occupancy WilS 1-1 rne.... b. Intended use and occupancy 0 eru . • ls Ni . , , a A- . , v. , 3. Nature of work (check which applicable). New Building...../ Addition Alteration • Repair Removal Demolition. Other Work (Description) 4. Estimated Cost 1..21r. 0 S)0 Fee 0 QM (to be paid on filing this application)7 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor I If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 11 ��b� 8. Dimensions of entirer .f ,,T new construction: Front ii- e, Rear er Depth... Height ...j.5 Number of Stories ONO... 9 Size of lot: Front \ I 0 (0 Rear i U r� Depth /x.1.— 10. Dote of Purchase '>C.-C. • 9.0, '1 S Name of Former Owner SW.K.1.S(.f!c.O....V.V..e•P.(V.(1.4.....1 g' 11. Zone or use district in which premises are situated 'A/1 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded (h i) Will excess fill be removed from premises: ( ) Yes (t/(No 14. Name of Owner of premisesS(00.( ,(Vis&' tpru RAAV Y 19.Address R.)l. .?t5:.).m '�l; Phone No. 914 V-c./063 Name of Architect A•..VA-AV R N'S w yk Address1 `!4/1)01'9• !n F►I r' Phone No.a$' ' Y3' / Name of Contractor .. C.1 lF Address80.x.. 3°.r.mi't.':. Phone No. Zee- '44 PLOT 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. .....c.--c-p re) (2,6"-2 STATE OF NEW��QQR< S.S COUNTY `. 1 .f fi1i .,�• 1(6 fl`" ( +� -3( being duly sworn, deposes and says that he is the applicant (Name of individual siring c ntracf) above named. He is the ,9CIAC4CAC (Contractor, agent, corporate officer, etc.) of said owner or owners, and is my authorized to perform or have performed the said work and to make and fife this application; that all statements contained in this application are true to the best of his knowledge and belief; and than the work will be performed in the manner set forth in the application filed therewith. Sworn.i o b fore me this /' /,. Inn day .• 6/1.1 , 191.1 Notary Public, ..... Q Countyd ./. 7t£•e . �' 't(/tthtN t. KE 301,1S�v (Signat(�re o applicant) NOTARY PUBLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK CO.,NO.52.802Z§ FOMMISsiON EXPIRES MARCH 30,191,0 JI) „,i------------ ..., of., 36-6 te›1/43kCiAD ills illg p45$ AIA177/ c_ TOWN OF SO HOLD BUIL ' G.DEPT:' 65-1802 „ - 1N , , FOUNDATION 1ST [ ] ROUGH UMBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION . [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: I &P. ' fI.,. .‹...k._____ 1.1tet ) a) 1141 itst) C A• PO Es62- Ar DATE IQ 1-""j INSPECTOR /Lod 4l4 - I . • .--:.-----:\ ,..,. I '1. ' . * -. . c It:.: '-':'"..*:* 1 '--, , / .1',• ..-,.---,,,T, . . \L _ L.A. 7 TOWN OF SOUTHOLD PROPERTY RECORD CARD / d a OWNER STREET g 00 VILLAGE ' DIST. SUB. LOT if..-E5.'id'..-, ,,,.,•-; '' .,.,-7, WI:I. 1,11?in A--,(1`C...t'a..._ , C owt<iint 1? Oklo MAr7) rue K C? s ---a./k9(- .- Al.e.,:i.„*.,k , a FORMER OWNER N E , ACR. ...,1 , ./ -=.... • 6,1 „ (-e_...,-- 11,,eurce Cr'”• S W TYPE OF BUILDING Pr, Vij ' i\\/S V;Y A" 1. le)i _... RES. •-) SEAS. VL. Ci FARM COMM. Ca. MISC. Mkt. Value , .. ., LAND IMP. TOTAL DATE REMARKS . , . .; p . - ,...."."‘e/ (,. .0›.e ../7 e)-24,,,,./:,4,-4 f4,,,,;.---,:-, - ,/sic) . . , ,, 4., ,,. „,.„ .., ...., .. 4 SX O a a ) 6'11/4 :e•/' .{...*f-/ d ..--- F'Pz) lif-,--;5;7A,447,-, , 7 (1 A 7-2-//a/4 J '''''Ff- ' 2 v r:-.- .2/ -AT I )‘.fi -71'/- -' . gl,j/-)1,le ,— ' 7' 2- < , •-, ,,,,, ,.•, 0 '' '':(5;{) / ri /14 1 74-47 )7/2-/2r'/I/7 6 ,s-t /...D 1%,,C,6 t;6 (trAirii 1 G./ T, viata Rys,,yir ..k.w p ) i i i f/ / ' i''', ,V.,, 0 2../i/a,ep •'" BUILDING, CONDITION .,_ 10/3h? ' &D.. peg. t7:71 3 2. /3 1.D, Nv PV 1 1)W, E, v!if/ NEW / N9WAL ,,, BELOW. , (.3.4,41,3,9yE , /,lhis,A7 2/;9 ,/e1O a 07 itin Ry../.4.1 4.4../, /P 10'a yeets c..., 6''-' ':-- FARM Acre577P .Value Per f:Ir '/0 . KO 0 3900 AcreLA5-0 5 j/0 (01/q/00- Li a,olatipq&7- Mareits --in Pe)l-trS 4-- t.0-f-,t- /ca401. noz5 1,1 , Tillable 1 II Tillable 2 ,... Tillable 3 - - I ., Aoodland • 4vampl,and FRONTAGE ON WATER Brush land FRONTAGE ON ROAD /47.-6l)q e'5 House Plot DEPTH „BULKHEAD - _. , - Total DOCK ...,- i .. , • „ • ,,,. , . Fp, 4----4--- -.^-4-4. 111111101111111 t 111111111111111111111111 # 1 - •,' - - / .,.,,,` -',„„,'IN..\ # - .majj1=11111111111111.11111 I I F.1111111111111111111 - I I I.M , •3,,,.,,:' - ' -•;!..„,1 •--, ,, ,,, ,.:•...,' „-4•1 ,', COLOR Illainammomminemmi • ,, . • ,,z,„„,, ,,,,,..,• .vm Tnal a • • mum 01111111.1 ____ ,_1.,:,-,1,7,#c' '4;-', / -' "R;:i• 3. 1111111111111111111111111•11•6211.a11111111•11alrellilliiiiillir • _ • ' f'!;:- j,,,,-' ' - / 1 • . . .4-4 4,-,-A--\•, '-..5% .: t TRIMa Mailla • allialeallaill1111111j1111111jiliamilliiiiiiillia _ i iit„,1.7At N\ . A '', .,...:: fr -.. Rea :-/ ' -,•,..,:.....f,,'f.„. , . . - -- I ,,,..--:"; VAIV' N' . L 1111111111:c71111111 Bath anainsa.reirearera_i•gddra..-.drin.la I -- ,.,ty\ :f*,`,-A'-,1---:i..05.1:: `4'..WI,.1-.. sallallall— malninimmimummEmmE,•••.--1111msomm ,,,f, , i . . ....,,,,,,,v14.41.4,14.• , ,.. ._„...,.. ,,,,,,.., , til ..,,... .3...- , -,,,,---- 1 z'... .- 'ti 11111111111111111 , -. T•'.:VW 4t,t:9..r4roh'.,..v."-%---'''H'.-- 6.47'i.:'4,, k'''' '''i 6'III ' . ...* .t.,4*.;.;?i f ".,-i • •:-.:Tr.• "..,:i4.;:sf-tif:r•:-A; .ve•artA',•:%••••,„«,•,‘......,,,,1...„.1...,A.:.,.....- II ,•(*••"5,i,• ;t1:i•••;:;:i4"''".„ „-r ., • -.4.' . ---; iliV, .- • oe, !i•I•7 ';' `:!--1, - . 1.•J :.-1-1••k'..,;, ' •'1.,•4_,I _ -1.• • Li ••• 1-••••I •iliqPi" ' •, . 'zi•, 1111111111111Mill 1111111111111111111111111111111111 IIIIIIIIIIIIIIIII IIIIIIIIII 111111111111111111111111111111111111111illairal liallailliiii 11111117.111111111.111111111111111.111. 11111111PZIMIll•-• 111111111111111_ • 1111111011111111 illaimmaimm11110111111111111a- . 4,77:77.0: fllu.....,., :i, . 5„,,,, ..7,.......,„4,7...„.::„....,„:„5,.........,.,..„......,_, ..,.... 1-vf, e, 1 IIIIIIIIMIIIIIII 111111 — . ,=-4,,,,_.--m-4. -4&---4:----.r. i --- 7i ..,_ . ,_ ..,....., --6 ...,/ FoundatiOn , 3 ., 11 7'6 7 , 0 e- • Willi Bldg. y-f„,r .,) Lel-r i 1 1ff V - / ,. F,loors, 1111111111117111",7111112L111`tilliD,i inielittielaillill --- *-4 Basement Fe. i • , QaDit )LR. . - ' Interior Finish 2, J _ ;tension Ext. Walls ., „"tti. SA'h ., , • . (tension ' 'Type Roof Heat e Lk 2-0 5 IMI DR. — i O Fire Place .e.ca-• • BR. -. -nsion Rooms 1st Floor - cy....) P....• - • FIN. B. _ Recreation Room .. Rooms 2nd Floor arch • Dormer ,. _ . ... , • • orch . „ -• .„ • — ' Driveway Ireezeway . - IIM ;arage 11I'' 'otio D. B. ,•,,IIIIIIIIIIIIIIIIII , . —, .44,7o4. ._. .._ . Total - -- • 1 i- , _---=-,- ---;------ - . 1 I , ,; OWNE 1 ,i SUFF.CO.4EALTH DEPT.APPROVAL I H.S.NO........4,--....t , R: . . f.:. ,:::,`\•/,T,,,..,: ,.-,j-..;' . . / . .1/41,'d . ..8(..),. :: 1. - ., ,;(•.,...)C411.<0. 1 fily.:r -. - _,,..-.... „ .1. . !i95-2 (Tel.Z98-9 '3) • *, AREA: C.:,44,, ::,y. --- . ! °MEDI e....,6091 , i•'•2.',-20 . . . . , . •. Al 1.1 ; . . :). • 0 , • `.4.-:7) )(,.> ..,- - -.-• -Y, ! /to --. 0 h ..,• (P Yi 9 41:7-.141(.3E'eteWALI) I '1 .. ,,,, 1". , .,.-,....-....... 1. . 1. tZ 5.4-e .1) _ ••Y' • N.70'7_,5 . -1i / , L4T 2 44 A 0 -'• 'er t4 ' oi el .1. 7F' ' 1-.d ' -1 o 1) , . / ho. / ... .?,. . / I i ete , - - - vCco't• ......_. ' .r.ro : ,.. ...., -2.-:. ' r...4. . . -• ..;.• ' j 0 ( ''''').; 4-•••• 0 .- - 6 e ia . - -- ' - -r.g--I t c-wort/oft _i --, 4) .c. O.' -e-0 0,1 rort pipe ; - _ le.:---)., 1,,. ,,, 5.10'Z6.5°"W ' „ 0 , weir § 1±0, 4-- I) ' 4 01 DNA LITVORTZED ALTERA TION OR ADDITION ....... ........ I:. SE.---.` crITLIAtos.II IS,11:::4U2E;40.:A,E:Yov,;:,.1 IA::NI 0,..:4,A:T 1.100:NT 05:1:I i n, • 0 ra '11 ,•. • 0 , - i 1' ' 1 . 1 , :Tspoic:cup ..N ri-?-1 ..t.•,..) i.1.- : 1 t..f., . .., ' ...., • t A 1 Ci 0 RI '•:' *-' i.: ) (.) /to .'0, N r,) ;t7; , 0 . . P' 1 ?; P ... r,'I Noi, r . . .,, THU C4:.4.4./' ." o•. ..4 AE.o.,4CT/ND TITLE -1 CERTIF. UNDIA ET "IDo' a kx 4T.I' .4..o..3,.• AND • ro T:I:AE 4..CT•4 1 C. TH. LE„44T.G IN51 I- TUL o0N.CUARA 4411.1E4 A., •"" '-f 'lOUt TO is 00111014AL 1E43111 Ul I NtriVaii*O41 341 A/1 Q17=1_07::.5',.---.Z.:‘Z.-;.5 nouurns. , SEAL. "MAP OF 6Areplitv fie-hzdo-m" (5:iffaik. co . 1410 fr No S77) , w - .FiC..), ic..re'T AT RODERICK VAN TUYL. Pc C. Mr 7-1 (-Lb:::Az: . e.,.-,....- 7L. e -rowN OF: Zliou-ri-lot...r),t,I Y. _ LIC.LARD susevrrosJaitutmorwr.N.Y. _ . .S ,ufrolk r.,..7txx Mae, Oe-OiTiftlitf;e:hi foi,Prerefi$,Oot Oilif.'l000)-5pc41.39,Bioc.k.4.La-7. surr.c.o.parr.Off HEALTH seltincagg . STATEMENT OF INTENT . .INVIIIShat , o' k-k•-al I . ,,..-.? FOR APPROVAL OP CONSTRUCTION ONLY . / Saeld, THE WATER SUPPLY AND SEWAGE lowtt 4 DATE: ( / DISPOSAL SYSTEMS FOR THIS RES!. ' DENCE WILL. CONFORM TO THE DC/111 H.S.REP.NO 1 1 'C' STANDARDS OF SUFFOLK CO. DEPT. e OF HEALTH. SERVICES. wake — APPROVED: _,_ __.--...,„,........c.... IT Si a_ ,./ I Li 6, ' <$90:—PPLICAeL,O ...e it. .y2.0.1*.e, ANT .., . . -1, :i. •;.‘ !!.• •:. : i'l i...:,RiLakl., . , •.i -.- 1.. , OWN : *OFF.CO.MIALIN DEPT.APPROVAL. ' I W E-IMOD-= PC-'7"E k. MAI G US . SUflOL c COM? REAM napier' " • 5.0X 7'5'3 DATaOCT 241978 s. D. REF. #7_S o- vinTYrrZxa•-,tr.Y. 1195Z (lel.298-1993) The sewage disposal and nater supply facilities for this lacr,t+on have been inspected by this dapartntnt and found AREA: !Z,44, 67.Ft. to be satisfactaW MON L.ET091 ,P.220��rf� Chief of General Engineer nk'4- - I• gei.iTET.p , O/L\\/ I L -) i /' YI , . , ho 0iii -I ;_ 4. 1241 n � IP 1' Li t 35 I ?__.� I _ in. fZ5.0 -- _ _- -- J t-' a70.25.f:": . .r, I _T" - /r y C} -L 7s' 0 h e 4.. ' ) O D 4Z 4 ---: T cfl ' V�L 1IV z r-shy. 'T= �/ f �° 5� I .illow 7r.) ,r7 h-,,,.e O �h��eA �, , `!9 sCALIt 40,, lK C "As - is/a. .1 —u-MntiomaPY'� o + !_:5.0 t6 e=irort .%pe 'n w :-70-Zb' "W < - • < welt }I t V o .o- ;r-cesspool .1IV a . _ A + 1 , •a "humor=AL ERAT10N OR morons 0 ' L TO SURVEY IS A VDDIATIOM Of ' SECTION 7109 O.TETE NEW TOMO STATE j tJ, EDUCATION LAW. COPIES OF THIS SURVEY ANP NREA OT RhITi I L o ;, .... THE SAND SURVEYOR'S INKED SEAL OR E 1`I n EAIIOSSED SGL SHALL MJT 4E CONSIDERED � 333� `_ a. l TO SEA VAUD TIUE COPY. `-� V '(J GUARANTEES INDIcAT.D.EA=aN SHALL RUN `j ,V ," ONLY TO nit?z-so' .OR AI CM THE 211.05 IS PREPARED.A C J 'n,5.'•J TO THE 1 ! TIRE COAPANY.GOV..i.`a1n.AL AGENCY.w. l l LENDING INSTITUTION L'ST C H...OAN N. D TITLE cwir. IA.+118dc7eH A1'1.41,1974 To THE ASSIGNFFSs OF Ha.TIDING INT. �/ l y�.� MEOPL fiUARAE1iEEs ARE NOi TMNSFEEAII- axre 1�R i o r ro ADOIEIOPMt R6INVTIOE6 O4 SUKEo •< MAP DE= LUTA _ Z3 SecurTtc f Title and Gwrarrk� Co.oma!SEAL 1 "MAP OF GAZOCN 1467611115" artd to the Southold Sov/i.q elm* (Suffolk Co. Mai, No. S77) d'S Surverfed Jcrk/ Z9 ;9779 ' AT RODIRICK VAN 'OWL. P. C. /MATT/TcJCk 0, vim_ r-.i Q TOWN CF otrn7t)LD,N.Y ue.LAND suRvrroltsl�R1irO r.•N.Y. Suffolk Co.TaEE 14 S Oe..i hatiotr for-Premiee.*:01514./0007Se t 139,Stock 4,4Trt 7. WMT►.Co.OIPT.or HEALTH mum= STATEMENT OF INTENT o• topsoil FOR APPROVAL OF CONSTRUCTION ONLY - Sand, - • TNI WATER SUPPLY AND SEYAAOZ loom iDAM ,DISPOSAL SYSTEMS FOR TIM NMI. alarm, 5, , DINCI WILL CONIMDEMI TO THE 1 642r1d H.S.RIP.NO.: 6TANDAROS OF SupraLY CO. DEPT• Ia' OF HEALTH. SERVICES. i wale,- , APPROVED: , IS) IT APPLICANT - ---- -- - --- - ---------- — - ------ -- _....+....i...e. --.-- • . < - -- - ,_ i . • i . .5C,4 EE NE11•/navel........ :. . . o so,9-.....,...-,. ,.,, . - r.z.x.3 -;.;.zci-'• 1 i -..,(6_s.v.ecr-_- 1.7 N Z .4.- ...-.,-.A /A-0c" is 2' ;TA 240 r...S.',.:r'S .`I' •', i— LE110 FL4 S.,5 Afei ____.,--.110 _____----/---- _ . _------r,-- - -------- '.--. -- _ { F ,., ,.•6' •,C, F37 ,...,///y(IL ev .......a.i. 14' IMIMMI . q - ---,' i-F/ff.!, 7..",,.... ..,,,, 4, 5/6IJ ( T.,,-7' '',' r 9 I z.'",..-n07,...-.... , . - _ _ _....,...._,_......f.,...v, , ,,,a•,,,,sn L /ah M C. 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"OTIFY BUMPING CFPAETIeNT AT , . g;).5.50 S'/.1.0 4PM15 FOR'REQU,11. • ',.C.Itr;NI . -. f:'0;'N'l::1:.)11-1:::;ErN':11:(L/Y10;53:101::•E'CA'rS'M.TF E'2:CCITN:.°1 NEI CID .,..C',1 r , _. __I . __... _ _ __. _. _ . _. _ __ - - -..._ _L _ _ __,......1_,,,. --- --- -_,„„ _ --___--_71-__ :-.:- ..._ .....-- 22--.--i 7..7..:7.._-_-_-___-,----, _ ________ -----,,7- i- ,_- r-!! __1-_, ILL-41 - I 1 7 E] 1 T1-1-F-FiFF,:- -__ - L , EL 1---1 01--E-E-_-_-it rig , -__-,I .-- •=, Ht 1. ri --E.rIT-Ii;11 , ,..._,,r_ _;_,30'..kb.4-,•..5"9,tt:S 'CI 4-ar - _ L_1 L Ti'_ •,.,,,,,, „fl...,„,,,,, r-----) , . _. ________ ______ . _ Jr - - -- ------ ----- _l k-- _ i i hfre eiflif,i,7,-Ick vmhWisTC•71<-JR I , 1 Z.:L E .i,n'o NJ 6 .:54Ciic2A, - . Scig e EH-6Y- — 20 ri-- n,,r..n _ L . ____ XA-A, Pii,e71-ruTe vc-.#Y. 3,6-77 —_-..a 1 ._ -- _ . — . _...... . - • , ..... . 4,5' c " ..„ \q 60' .,,.. ._„, I 6 2- •-I-. //2•,' 1 I ____ „•:. 2-2.., /4 II .1 I ; .L. •I../...t•el I..!‹.-:: ' I t, • ii•0. 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Y 7 I -,I7 7,027r/roc A'- ;,i .., ' . _--- . - ,'• , 1 I ' JVIv ' 1 :-1 •)v,,,,,,,-R.,5,•.,,,, ---------, 74•'--,-0 1 friA7rr-acif KY-5-/,'-7/ . ,. , . . • . . ., — • •- ' . . 1 . • k-- , • I ', '''l '.-' -'''I',•1,3 - h. .... i J 4., >-- -..- 1 ' 1 4 ' •., t 1 I'. . I t ---.tti,ir,A.V_t".' -1 I A,,-5, ff I'14 00 1 ),- I . .; _ I ---7 it k I . ,f 1• . _, /:: * ••. v • r / ''' -- .„.I....,• I I Ir• - • -" 1'004,,Cr ,- . 7.105,4 P.95,0 2,,,_4••f — II: 1-,L i , 1 -. .-. ---, ,., 1 &° . - ' • I i • I t 1 : ..1. i0Z.5",flt.,ISA. 25.2../...-o.r,”..5 9 r-t. __. . u p • ,,,, -.v... • • J-z,,,,4,,c,p',.. - . -5 ; 9 : ,-- : 0 , 0 0 •P - ;- . - ' $ 55I 1,1 ; r 1 . 1 1 7 ...•••,./ . . .,_.• ., 1 • . . , I v ! • ' ••• '=, • -- ;•• k i i- - -"----'• 4' • &' 1 * 1 i ' r II r 1-_____ -1 ---t—- ---''''-'1.- =---__•___.._L.-_... .r.......-r_ -....,:.r ___ ,-,.._--- .h rr.-•rr;-^-,:' -------7,5-- --Lr,Ir..,.."L'Il.---5.-...-.1...:....5 •f'--'' .- ''''''-` f i - 1 . -- 1 1 I I I I i I 1 • 1 I I I ! I ; I 1 r I I r r I ; 1 : 1 . r 1 1 •_,;,____— — .,,g 2,/' .1'0.--...., . 2 e-/ 1 ; . . . .i fiRic,i-.A i Ip..1.;. -Li v.vA Yry,7 ir We e -Th-.. 1)1.1,Fr rr a c K 14-01 ...._ — 1. * )Z • . . • . . ' , 101211' 119)21-,77r.d/ X-iicA Wan I ' . . . _ . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z9266 Date October 25 , 19. .7 THIS CERTIFIES that the building located at .300. .Cora Road Map No. . . . .57.7 . . . . Block No. Lot No. 22. & .23 conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .Maroh 28 , 19. 77 pursuant to which Building Permit No. . . 94832 dated . . April 13 , 19. .77, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private One Family Dwelling The certificate is issued to Pete' Marcus (owner, nagatg9 of the aforesaid building. Suffolk County Department of Health Approval 10/24/78 UNDERWRITERS CERTIFICATE No. . . . . .N399513 HOUSE NUMBER . . . 300 Street Copklin .Road Mat/tituck, . N«Y. /, Building Inspector County Tax Map # 1000-139-4-7 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9183 Z Date S&i..13 19.72. Permission is hereby granted to: ACID ..AtioaF3yslryk...Jr laktituck to Frill new one ftty!ily dtre .ling at premises located at LQt..22.. ;..23 Qrutden1..liijgi111a kflin Road f Q .. . ) )0100431.411r lam`� r< -" t to application dated Su 28 , 19...27, and approved by the Iding Inspector. Fee $it4 420 at, Building Inspector -1 �.. it, clop,emegopAleu..1;e JPAANSA.AaetAtA.)iAil.ez4 A,AiAAiA' ..; eI.FtIArses4iRJ.$1.:.4.anotAT.AAiA}i;'AeLAe4Je/1'Ae,IAtA.e%J.i4AtAAW�,Ae,LT!WAeSA,v,w At4,;1tAAPtiAPAATAa. 11 i t lI " 111.di II ut 1 ! 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I'' ' 11' h' " Il!IiI In bi'"11 it ilii I it III 111- " N 111-11" ,1 1 -IN 111 i I M=III id I 1 I II fie, . �'�I 1 it 11- 11 I+ In-111 -' IN' P 111 1 u it i,'—P i �7` Ir , 1 i i+, f � . _+a tfi�cet�ific'atd iTLt{st7not, q�dlTgrgd moryy {adnper�.rtl{ul'nYd tFe_p�jicc of t tf a Saa}d ��i1iGgTrecP fnsped4rs may hs-TdeLTtLfI .y tlLelr<Iledertlafs Yeitifi Y 'prY.Y.Y.YY.Y P.YJ.wY.&Y..S.YY.YY.r,.i a1isi'bI to IaYY.',.,,afYCYYAAbdYaYYaYY.Y,YAYN.YTaYYaYY.r:7.YY.YY.YYaY9aYYitEMT.YYAYY.Y,YAYY.s. i.YY.YYETIti? c a?Y.Y,Y.Y t§i ( 1 T l FORM NO. e TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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 Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. 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. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 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. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date /ate 5-77 New Building ✓ Old or Pre-existing Building Vacant Land Location Of Property .g7 ...LU./2tC.//•ll A-0A to C /Aleviint C Owner Or Owners Of Property ? r' yjt / �/ZCcl.S ( fro nce/ c i�.F.'rt1/4&s-K'y/�l Subdivision %ati..1� l.C //5 Lot No. Block No. House No er Permit No9../../Cf <�..•. DateDj� Of Perr�mit 0/'3�/Z2.Applicant �/,r. •:fl.%t9�. .a��i.2!ye••(�1� Health Dept. Approval/M/g ire7/q•�r°•••• </ Labor Dept. Approval //0/ . Underwriters Approval A.�.n/ 1 6 �- ` Planning Board Approval ...:41ik ' Request For Temgprary Certificate Final Certificate ..!/ 7/j '_-c' Fee Submitted $ Construction on above described building and it meets all applicable codes and regulations. �6 Applicant ,X p ../Y... ... Y .c�` ..�.. _/i.l. . �g t�1� ...I Oj Sworn to before me this r �(3 day of (stamp or seal) ed. '" lCyt Notary Public County i �� ` ?a r .i► . . " s " .. , ) I _„,•/• t/i3 FORM NO. h7 7t.r'f >� i )' `� C— TOWN OF SOUTHOLD va a W BUILDING DEPARTMENT aIHN 3 s ? `6 i t�l��`". TOWN CLERK'S OFFICE Q� ' i3 'ff ` 24 "`" SOUTHOLD, N. Y. )0/4,1/4'7— orpa, i. . -ate, Crp Examined 19 777 (� Appliiccaattion No. 0..„ (u� C. Approved i-1 1) , 19,. Permit No. ..(./ & 3 � '© [e" " . 6-ii-744-46-An tiAl s/,.e ( a. A Disapproved a/cft, A-�a^{:L i 4CL-��o�rs2-g;,.,,e) -;cps /a ��, (Building Inspector) 1� — /� a&D APPLICATION FOR BUILDINGRwAIT r W t.,, O • —• t /5-1c' " /7„,osii"��, Date MA hie( fi A. e )g 2 7 o dT el, /0e ,DdAl -- 7cf77r Tf' / r;t � INS RUCTIONS Q� 7.0, o .c/' > p4-' ,Tri' 'o?%Q( �� A a. This application must be completely filled in by typewriter or' in in and submitted in triplicate to the Building r 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 application. c. The work covered by this application may not be commenced before issuance of Building Permit. o d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit 4 { shall be kept on the premises available for inspection throughout the work. b e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy - k shall have been granted by the Building Inspector. _ n APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 1 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances orj 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_i admit auth. ' _ ' - .- . .- premis- .. in buildings for necessary inspections. kA �' I,Z(7r & I 70.12,-,"47 ,. (Signature of applicant, or name, l/.Cf1wJ7'Co/e. if a corporation) —� —8 0 )( 2 2 C //Mg;T'7`/nt l< , i! y- ell- (7 g-- / esz- M /Pi y c' (Address of applicant) 7193"' r State whether app rcan , - -e, agent, architect, engineer, general contractor, electrician, plumber or builder. t1jI,t , (c. e. r~ , uwOE , Name of owner of premises p )r'Ar7 \I:\ l) i� } ) , If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. S (a 1 1:: H b 7-.SC •- 5- 2_ i S iF �� /9 „9 - v- 7 Plumber's License No. �/ Electrician's License No. ../.:UELL -7=- • Other Trade's License Na. j :,tl_rclE 17 i--(e1511-1 ,,, 1. Location of land on which proposed work will bey done. Map No ' r-1 1 5 1`/ Lot Na. -'' ' .4 �. Street and Number ..&En ft) (11) A V e n v,E. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construc/ttion: a. Exisiting use and occupancy 0 W n e r- s Kb Ma 160C✓✓kt 4.0/ b. Intended use and occupancy n C HryY11 . r 4 ; p r • aR• , 3. Nature of work (check which applicable): New Building ....\/ Addition Alteration Repair Removal Demolitior Other Work . .. (Description) 4. Estimated Cost 1..2.1.4 0 0 0 Fee t'1-2-70'.e-'90?. dd (to be paid on filing this application) 5. If dwelling, number of dwelling units i Number of dwelling units on each floor 1 If garage, number of cors 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 Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 1 & 8. Dimensions of entire new construction: Front i'e e Rear /�T e / Depth ...a ' r Height ....///..Jr Number of Stories ONS-- 9. Size of lot: Front ( 0 �? Rear ) U 0 Depth / 2 d 10. Date of Purchase DC-C . 7.0 , WSJ Name of Former Owner. (9 ki S/Wig V") Qlis 1.1!/.4....:1 -' .2-4 ,/ 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 (1.7 No 14. Name of Owner of premises-Let-KY Of Mist Qn&P716.W 1/K SP Address .X.21:a.s.4.LUf tT Phone No. 21r/Y- �I 63 Name of Architect A......A-.N R\S k/ yk Addressi—c,fi4/l)Ave• 41 "' Phone Noa ti"' Y3 ;01 Nome of Contractor ...(:. )F Address8cX al r.Mtrin Phone No. Zlii"- %64,x.. PLOT 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. s-c-pi ( (��6‘-'7 STATE OF NEW R<C ( S.S COUNTY h ...1. �'``1 t-.''... . .f (/ /`1,,.,1°a.....,�(,AAM (4U,) "- Y being duly sworn, deposes and says that he is the applicant (Name of individual si ring c ntract) above named. He is the O,9 (G$ fAC. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is my 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. SworrHo More me this I q day akkcir- , 191 Notary Public, Qt. ` County /add/.�r,Yez,e. '4141 T12.I yy �� (Signet re o applicant) 'C. FGE S13FY,rte . NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN SUFFOLK CO., NO. 52-602224,0 L ,, FOMMISSION EXPIRES MARCH 30, 19.40 . OWNER: • SURF.CO..NEALTN DEPT.APPROVAL l *.'j No. - --- PET E k MA R C U5 surFOXJt COMITYHEALTHD " sox 75"3 DATZOCT____ -241918 R. D. Kar. #Z- O. I MAT-,-r;c.Ce., N. /1952 ( et 298-4993) The sewage disposal and nater supply facilities for this locnti.on have been inspected by this department, and foulfd AREA: I�,446 sy.<t. to be satisfacto Ol a. DUD, 1_ O9( , P. 220��ef Chief of General Engine�in t.• _, Swa vi,EOEE • /' V/ I L �t i (- he. C a Z7 I IA Ow G 124) ,� rj kr j `l y t„E. s - m 125.0 a9 N.70'25"F. n 8 1 7TSENlF-LU l rr 2 a D o I 'Ti • ' n _ q-. ZS'- 0 N ,zip _ it, . -} D Z ii: I-5+1. 'T-� s� Ii d i fr. a C H th 8 1 `- SCALE: 4Cr= C O'A7 rola' . H:JN !! 'YHptff + - I25.0 yrs D = ironl4P%per Slit <.70-26' it G • • well y C :{ J' .- "Ctssfool O *IV ti; T SF -_—' 0 I (}1 „a.. �''' saUT OOZED ALTERATION OR saws O 1 r ro DOS SURVEY Is A VIOLATION Of V 13 SECTION 710f OF THE NEW YO*SLATE j • fll EDUCATION LAW. A COPIES OF THIS SURVEY MAP NOT swamp 1% O �� r\ U THE LAND SURVEYOR'S INKED SEAL OR R1 .• 0 Iny EMBOSSED SEAL SHALL NOT SE CONSIDERED 3 A. n L ! f0 N A VAUD NUE COPY. t 6♦� ry I V GUARANTIES INDIu(0 i.F ON SHALL NRI IS PR f0 THE P..:SO OR hIiCM TME SUR1•Y IS PREPARED, A,0 ,. i5 C .k tF EO ENE TIRE COMPANY, GOVcRlaMndl AGENCY.AN. l LENDING INS7iTUT1UN Lsrd`M.�CUN.AND 1 can. JAseaQQd AEuq.13,108T TO TNF ASSIGNaS CT YNE ati;NG INSTI• TYTIOEL.GUARANTNS ARF NOi TRANSFERAN. TO ADDITIONAL INSTITUTIONS 04.SIDNOV•; Guaranteed to the OWNERS. 1 roe MAP OF: LUT_`, Z. Z3 Security Title acrd GcvranlYi Co. SEAL.I "MAP OF GACA'=N HEIGHTS and to the Southold Savings clank • (Suffolk Co . Map No. 577) as Screws/fee Jolt/ 29 _ .977 AT RODERICK VAN TUYL P. C. 11%IATTITUGK 0 VI✓I.- i 4 TOWN OF' 501- _O,N.Y. UC.LAND SURVEYOM� , N.Y. 5uff'olk C4•78%a� OIseiynaHan for Premises:O,,t. 10 0?5ect.139,Block 4,cart 7. ` SUMS'.Co.Cr.of HEALTH SERvIQO STATEMENT OF INTENT /11117.41118 ,a telszoit POR APPROVAL. OF CONSTRUCTION ONLY - sand, . ' THE WATER SUPPLY AND SEYwOE - loam tDATE: .DISPOSMS AL SYSTEMS !Ow THIS Ras clot gI DENCE WILL CONMDSI TO THE 1 :sand N.S. REP. NO.: STANDARDS OP SUFFOLK CO. OaPr. 1g• OP'HEALTH. SERVICES. i water APPROVED: IST 1T APPLICANT - ,. 1 OWNER: '/OFF.CO. fiEALTH DEPT.APPROVAL 1 H.S. NO. v t t,-/-1- [� 1. .,4441.1%./K,�„es'.w. liic ' ,' .. .1 //952 (Tel, Z9$-96 ) ARRA: , ,'44" ....i. :-/- M. DEEDS L,64)91 , 9, 6,2Q ( � 1 Ti 1 VI ` ho '. 13 ) Q s.:. ,, u tyjho _. V' 1? _ �, .� T ! A 9 ';S'r.1rir:.••';.:k.14/{ Lt1 J .Y iv„TO'„:a £-. > i5 c Si) i 1 1 ` & L # C J a 4 ci.ir>, / <; (Gro r»• ice.+ U 77c.:„......--� i` , ,), SCALE: 40 c "1' ZI _ _...—. 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