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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- 16.13.1 . . . . . . Date September 3 , 1987 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . ONE FAMILY DWELLING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 1280 Corey Creek Lane Southold , New York Nouse No. Street � � �Hemlet County Tax Map No. 1000 Section . . .0 7 8. . . . . .Block . ..4. . . . . . . . . . . .Lot . . . 17. . . . . . . . . . . M/o Corey.Creek.Ests. 4923 15 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April 15 , 1981 11141 Z pursuant to which Building Permit No. . . . . . . . . . . . . . . . . . . . . . May 8 , 1981 dated 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 AS APPLIED FOR & OAKYED BY ZBA #2701 dated 6/ 12/80 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . .AUBREY & JANETH WANZOR . . . . . . . . . . . . . . . . . . . . . . � (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .1.0-S 0-0 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N567528 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Bing Inspector Rev.1/81 FORK NM t TOWN OF SOUTH&D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. OUILDMYG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ..�............... 19. ATE 11141 Z dote ........ ./�f..�.r�yC , Permission is hereby granted to: ...............04out.I..... rct....................... ..r"�r. itA.44. s...4111194,11C.. 4 ..U,�., IGt r ,..., rA. !. . f31 .. ....�". � 4. x....,01raglable ff,l l,...................... ........ ........, ::... 49u ...,. '. ......... of premises located at ,1. .........aaefty Gori wut....�.. ................... County Tax Map No. 1000 Section .... Block .. ......... Lot No. ..01.7......... pursuant to application dated ....s!::1E/Rt1Fl.�i� ,...�47 ............ 19��, and approved by the Building inspector. 7 Fee 3... .g... .:........:.:...:..:....:............ ding inspector Rev. 6/30/80 w FORM NO.6 r7 V TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted =0 � to the Building Inspec- tor 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 installa- tions, 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 informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 1. Certificate of occupancy New Dwelling, $25.00, Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 5.Uodated C.O. $ 50 . 00 Date . .E313L/97. . . . . . . . . . . . . NewConstruction . . . . . . Old or Pre-existing Building Vacant Land Location of Property .t0.0 . . . ... . . . Q . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property . .Au13122�- NAQ. . .IaNE Tali, \NATAZ,QIZ , , , , , , , , , , , , , , , , , , , County Tax Map No. 1000 Section . . .7�. . . . . . . . . Block . . .4: . . . . . . . . . . Lot . . . 1 .7 . . . . , . . . . . Subdivision . . . . . .Filed Map No. z.3. . . .Lot No. l5 . . . . . . . . . Permit No. < < (9 1. . . . . Date of Permit Applicant Health Dept. Approval . . . , , , , ,Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant . . . .E : . �! . . . . . . . . . . . . . . . . . . . . . . . Rev.10-10-78 Ku,-33 OW Co-?, 14131 C C O O Model e d > Shipping Number a lu Dimensions N IY Description Volts Watts BTU's Amps Weight 1445* 471/2" 33/8" The all- 240 1500 5150 625 47lbs Wall Unit purpose, big 208 721 183/4, lob heater- designed to handle any large area 1431** 331/2" 33/a" Designed to fit 240 1000 3414 42 33 Ibs Wall Unit under standard 208 48 133/4" windows- k great for bed- rooms, dining room and den 945 471/2" 33/s" Same power 240 1000 3414 42 35 Ibs Wall Unit as 1431- 208 48 133/4" � designed for more shallow areas 1520** -221/2" 33/a" The compact 240 625 2140 26 221bs Wall Unit unit great 208 30 for bathrooms 193/41, and hallways 645** 46" 31/a" Sleek base- 240 825 2817 34 22lbs boards le- 208 39 Baseboard 7" r ideal for traditional and contem- porary decor 945 46" 63/81' The workhorse 240 1000 3414 4 2 17lbs Cove Unit � of the 208 48 101, valance line- excellent over with bracket sliding glass doers 645 46" 41I4" Perfect for 240 825 2817 34 141bs Cove Unit -• bathrooms, 208 39 7" kitchens and limited space with bracket areas. *Suspended ceding model available in both voltages All models available in 120 and 277 volts by special order **Portable units available in these models 120 volts only Alternative colors available for ail models Minimum order of 25 units is required GLASSHEAT 70 Remington Boulevard Ronkonkoma, New York 11779 (516)467-1276 �rH GLASSHEAT Glazed Steel radiant Heaters A Glassheat panel assembly consists of three ' subassemblies, each designed',to utilize the desirable proven properties of the materials employed. The combined properties of these materials produce an efficient and versatile source _ of electric heat—that is essentially maintenance free. Properties, Design and Construction of Assembly I Installation: the Major Parts: Most requirements of architects, mechanical,and electrical engineers have been incorporated into the design and Construction of Glassheat units.They are designed to meet specific needs of installation,location,and decor Models can be surface mounted, valanced, or recessed in walls.Glassheat heaters are easily fitted between studs by nails or screws,and are easy to wire because of their integral junction boxes. Glassheat units feature easily removable chromed guard grills that remain cold to touch during operation The rustproof neutral ivory colored enclosures of the panel models can either be painted to Detail of Heating Element match room color schemes,or be wallpapered on back side of steel panel Architects Specifications: I. Heating Element and Panel The heating element shall consist of an aluminum alloy grid a.The electrical resistance element consists of an aluminum alloy grid permanently fused to a porcelain coated dielectric steel plate and will permanently fused to a porcelain coated steel plate reach full operating temperature within five minutes The element, b The aluminum resistance grid is constructed with a large surface including all necessary internal wring,shall be mounted on a area to efficiently transfer heat generated into the porcelain without galvanized steel reflector The element and reflector are mounted in a "hot spots"and with minimum time lag baked enamel sheet steel housing,as manufactured by Glassheat Corp,70 Remington Blvd., Ronkonkoma, New York,11779.All c The porcelain coated steel element is designed to be unaffected panels are UL listed. by moisture, atmospheric gasses,and free from electrical shock hazard Noiseless heating comfort is maintained polar Distribution Curve* d.The relatively large thermal mass of the heat generating element is used to store heat during the'bn cycle"that is released during the'off Showing Intensity of radiation from a 16x24 inch, cycle':This produces a more even heat with less cycling long wan steel panel heater at various angles. How the aelle.tor Works ll. Reflector a.The reflector is sheet steel shaped into'concave reflector form to provide structural stiffness and efficient reflection of heat rays p, b. The steel is galvanized for corrosion protection,and because the galvanizing is a better heat reflector than conductor,lost heat into the The graph shows what percent of the total heat one feels when steel housing is minimized, standing at a particular angle to the heating panel For example, at 500 from the normal direction of the heat(normal direction being 00, 111. Enclosure at right angles to the panel)one feels 62%of the heat.The remaining a.The enclosure is welded steel designed to protect and support the 38%is not lost heat but is reflected within the room with minimal loss heating elements,which contains conveniently located "punchouts„ due to convection.The near circular curve demonstrates how and an integral junction box effective the panel is in reflecting heat in all directions,warming the entire area. b.The enclosure's temperature never exceeds 60e therefore the wall *From the Electric Heating&Cooling Handbook or baseboard units can be recessed according to UL regulations. THE SUCCESS OF THIS DESIGN CAN BE ILLUSTRATED BY THE FACT THAT THE HEAT RADIATING ABILITY OF A GLASSHEAT PANEL IS FROM 92%TO 96%OF THE 100Mo PERFECT BLACK BODY RADIATOR;AND CAN ACHIEVES ��rrt �rr•#� k $ jrt � eg FULL OPERATING TEMPERATURE WITHIN 5 MINUTES OF Ae6eu $ all� bet # � fir° COLD�TARTII — - INSULATION3 . STATE ENERGY . , (/jfijl e I!! i _K r i J FORM NO.3 TOWN OF SOUTHOLD °Q BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL File No. . . Date .. . . . . . To . .�M.l.'N. . iNin 111 PLEASE TAKE NOTICE that your application dated .M��• • . ., IA. . . . . . . . . . . . . . . . . for permit to construct . . . 40;q E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at E°Ok'E . f'JI'k E'�( l-RN+< SdUTN04A Location of Property . . . �. . . . . . . . . . . . House No._ Street Hamlet County Tax Map'No. 1000 Section . . . .V. . . . . . Block . . . . . . . . . . . . Lot . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . t'i RE 1 t'!1. . . .. y� . . .. . . . . . . Lot No. . . �� . . . . . . . . . . . p� is returned herewith and disapproved on the following grounds . . .�!' Sf/ Fh; !r k, !��, ? . . . . . . . . } . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �s• .�a�tri! Building Inspector A/ RV 1/90 .. 141,E Ok" v Y Aow A.,,M E/P ('1.14 .S' - 'oRt y Olz4-ek J=A `ccA ` 9 -- k 35 /00.o - ---- '-' ti 005, 0 5& ai 39' � � SURVc ✓�� c�R Ly A T SO roWJAWNCWM M1uA"m oa ADOMIp I'M*r3w 4x IN How v OT SiAi! COM of sm Sum~ ON LAW SKVEYCWS OM III A UAL SMALL NOT Y ICION TO TO 6 A VALID hVF CM. GLIUAWYM OWCATED MERON S���gA-,,NnRR 1 O O OMT TO THE POISON FCt WMo/A Nl[f11tTET: 6 PREFAAW.AND ON MIS SMIALF"""76"a -` T f G trtO r nnE COWANT.QOVW Y SNT:4 M f /y e r (� . n /� / LMOMG MST6UnON USTI: Ntf,EQN.1An AfW CI r I-!!Ol V.4 6A!✓4 L - . ,O THE#4$k* S OF n6 I MMM"I► . J - -O t 4 - :.. f nCK GYAUNNK An WT TaM1MiG,1� ,oem NGNP oNAE rmn , 0/koN« Eat.77 �r • G 0 ✓G��� . Lct`r.'Gli '�•G'r ShO 17 ,r r (i7 �Y�'�-( �f•�I� ��'�'?�ee.: � l'"J �/lf..-4 lI% 7/2' i' i i f=+G 'Y a/'J �lr(:r/i'Cr `Y`•.C'_ _"�J�✓a rJ-^,- _ rr:` r r�o�f'Y'i/F " /'i;: f.. !�.'���; �'• To i/?Iqh waIrer O"PrK in Cze�t ! Cre ' — S;J^ G,1 �lcCrr7:( T.1X Wo C;Zf rc { -CC� v f a-�. L • �:L'Y Jf./,' 7e, .-16C � 0/7 , 1000343 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1p0�038 Date June29, 1982 Application No.on file 141506 — 81 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Aubry Wortrer, Cory Creek Rd. , Maim Bayview & Creek, Scrudiold, W.X. in the following location; Baraf t ® 1st Fl. ❑ 2nd Ft. Section Bloch Lot was examined an and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COO�(ING DECNS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT mvAVORY AMT K W A11 K W AMT K W AMT K W AMT H P 37 28 32 37 1 7.0 1 1.2 2 l< DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K W OIL H P GAS H P AMT NO A W G AMi AMP AMT Amps TRANSc AMT H p SYSTEMS AMT WATTS NO OF FEET 1 30 5 �. SERVICE DISCONNECT NO OF S E R V I C E AMT Amp TYPE METER 1R,4W IA3W 31J 3W 3q 4W NO OF CC COND A W EQUIP PER b' OF CC COG ND NO OF HI LEG OF HI LEG NO OF NEUTRALS OF NEUTRAL 1 200 CB x. 1 2/0 1 2/0 OTHER APPARATUS. Oven; 1-19.8 l ,s. tlec.iklm Heaater/s1 2-1.5, 7-1.0, 3-.65 K.W. lwtor/s 1 1- Fanelboard/s: 1-5cir.125amps. 2-&mke Detectors 1-4.5 K.W. Hot Water Heater Goodale Elec. Cont. RR 1 Box 15a Main Rd. MattitUCk, N.Y. 11952 lic.783-E ENE MANAGER 1 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectofs may be Identl d by,their credentials COPY FOR BUILDING DEPART ENT, THIS Cf PY OF 4ERT11,191CAT S NQT BE A TERED:IN ANY MANNER, Ltt _ � _ . —_ W �. 7'H. } j V VAIV Oh. i , - a A7- _ `' meadow 4- } r � v t ,ma r /;o �V I ) nWe mo. tzo 06A /02/ S / l _ GuaY.zntesed to /V%L LOT �I:'�v °r'%r5 Shown re 'r' 7 /�qb� A�tJ6Y%GatJ T%t%d /d`Svr�Or;C6 t{. k? lAe / and to 6foba Absf(•act Go.'b, rr !;< c�,.,i:- >`� (�/Crk- '5 { as 'wevcYed A/rYJI14, 1960. i( t� > o//{ 'cC tea. j Xl'a .4h.(irt ,:" + 'Y"�.�G':^ C lPVayi'C;' Yf-r1' Y i v^ ltl:'�- ..-cicr:. fu 7ak F'Y!sxn '7�c'✓/'/. ... ;r"j,,, 1 ''i.. lr,cl !OD/% "._-�1Or1 i'EI, C:%f�'r �L.li7 .•'7 � i k. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION rTW15276-0331l� PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW BARTICLE 15, (Protection of Water) ® ARTICLE 25,(Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) ARTICLE 36,(Construction in Flood Hazard Areas) PERMIT ISSUED TO Bernard J. Pelgrim By: Aubrey E. Wauzor ADDRESS OF PERMITTEE 395 Nassau Parkway, Oceanside, New York 11572 LOCATION OF PROJECT(Section of stream, tidal wetland, dam, building) Corey Creek DESCRIPTION OF PROJECT Construct a one family dwelling and associated septic system according to plans on file_ with IiTYSAEC. Project site is on south side of Corey Creek Lane at right angle turn. ` COMMUNITY NAME(City,Town, Vitiate) TOWN Southold Southold COUNTY J FIA COMMUNITY NO. DAM NO. PERMIT EXPIRATION DATE Suffolk 6/30/81 GENERAL CONDITIONS 1. The permittee shall file in the office of true appropriate Regional a. that the State of New York shall in no case be liable for any damage Permit Administrator, a notice of intention to commence work at least 48 or injury to the structure or work herein authorized which may be caused by or hours in advance of the time of commencement and shall also notify him result from future operations undertaken by the State for the conservation or > promptly in writing of the completion of the work. improvement of navigation, or for other purposes, and no claim or right to Compensation shall accrue from any such damage. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation who may 9. That if the display of lights and signals on any work hereby authorized order the work suspended if the public interest so requires. is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United States Coast Guard shall be installed and maintained 3. As a condition of the issuance of this permit, the applicant has ac- by and at the expense of the owner, cepted expressly, by the execution of the application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom. 10. All work carried out under this permit shall be performed in aceor. ever suffered, arising out of the project described herein and has agreed to dance with established engineering practice and in a workmanlike manner. indemnify and save harmless the State from suits, actions, damages and 11 If granted under Articles 24 or 25, the Department reserves the right costs of every name and description resulting from the said project. to reconsider this approval at any time and after due notice and heating to 4. Any material dredged in the prosecution of the work herein permitted continue, rescind or modify this permit in such a manner as may be found to shall be removed evenly, without leaving large refuse piles, ridges across the be just and equitable. If upon the expiration or revocation of this permit, the bed of the waterway or flood plain or deep holes that may have a tendency to modification of the wetland hereby authorized has not been completed, the cause injury to navigable channels or to the banks of rise waterway. applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, S. Any material to be deposited or dumped under this permit, either in remove all or any portion of the uncompleted structure or fill and restore the the waterway or on shore above high-water mark, shall be deposited or dumped site to its former condition. No claun shall be made against the State of New at the locality shown on the drawing hereto attached, and, it so prescribed York on account of any such removal or alteration. tf,ereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others 6 There shall be no unreasonable interference with navigation by the to perform the permitted work or as authorizing the impairment of any rights, work herein authorized. title or interest in real or personal property held or vested in a person not a 7. That if future operations by the State of New York require an alteration party to the permit. in the position of the structure or work herein authorized, or if, in the opinion 13. The permittee is responsible for obtaining any other permits, ap. of the Department of Environmental Conservation it shall cause unreasonable provals, lands, easements and rights-of-way which may be required for this obstruction to the free navigation of said waters or flood flows or endanger project. the health, safety or welfare of the people of the State, or loss or destruction of the natural resources of the State, the owner may be ordered by the Deparl- 14. If granted under Article 36, this permit is granted solely on the basis ment to remove or alter the structural work, obstructions, or hazards caused of the requirements of Article 36 of the Environmental Conservation Law and thereby without expense to the State; and if, upon the expiration or revocation Part 500 of 6 NYCRR(Construction in Flood Plain Areas having Special Flood of this permit, the structure, fill, excavation, or other modification of the Hazards — Building Permits) and in no way signifies that the project will be watercourse hereby authorized shall not be completed, the owners shall, free from flooding. - wiU,out expense to the State, and to such extent and in such time and manner 15 By acceptance of this permit the permittee agrees that the permit as the Department of Environmental Conservation may require, remove all or is contingent upon strict compliance with the special conditions on the any portion of the uncompleted structure or fill and restore to its former reverse side. condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 95-20-4(9/75) (SEE REVERSE SIDE) M-1802 BUILDING DE". INSPECTION . [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ I 1 ULATION [ ] FRAMING FINAL REMARKS-. DATW&P INSPECTOR b r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2NQ [ ] IN ULATION [ ] FRAMING [ FINAL REMARKS: DATE 3 C3 INSPECTOR Aa.4u f G M-1802 BUILDING DEFT: INSPECTION , [ FOUNDATION 1ST [ ] ROUGH PLDG. [ ] FOUNDATION 2ND [ ) INSULATION [ J FRAMING [ l FINAL REMARKS: v DATE F9 ( INSPECTOR 1-3/� 76S i80Z cr BUILDING DEPT. INSPECTION ?° �iefr [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: tS4i/, /�'o A, c/ -�O�"2�rS�v� a // l/ i d DATE 11 1Z' bl INSPECTOR p n a PF29(607)StanddrdNYBTU Form 6002 Bargain and Sale Deed,with Covenant against Grantor's Acts-Individual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. V rt Pi e This Indenture, made the ;?,VAM day of May nineteen hundred and 80 Between BERNARD J. PELGRIM SECTION 395 Nassau Parkway, Oceanside, New York 11572 078, 00 BLOCK party of the first part, and AUBREY E. WANZOR and JANETH S, WANZOR, his wife 04 . 00 81 Radcliff Avenue , Port Washington, New York 11050 LOT 017 . 000 party of the second part, Witnesseth,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, All that certain plot,piece or parcel of land,with the buildings and Improvements thereon erected,situate,lying and being in the Town of Southold, County of Suffolk and State of New York, designated as Lot #15 on a certain map entitled, "Map of Corey Creek Estates at Bayview" , and filed on August 15 , 1967 in the Suffolk County Clerk' s Office on Map No. 4923, described as follows : BEGINNING at the corner formed by the intersection of the Westerly a side of Corey Creek Lane with the Southerly side of Corey Creek J Lane; running thence south 81 degrees 05 minutes 10 seconds East 100 feet along the Southerly side of Corey Creek Lane to Lot *27 ; Thence South 8 degrees 55 minutes 20 seconds West 261. 31 feet; Thence South 81 degrees 27 minutes West 110 feet to Lot No, 14 ; , o Thence North 1 degree 21 minutes East 257 . 66 feet; l Thence North 53 degrees 54 minutes 54 seconds East 55 feet to the Southerly side of Corey Creek Lane and the beginning point. ® BEING and intended to be the same premises conveyed to the party of g P E, the first part by deed dated 4/23/73 and recorded in the office of the • � County of Suffolk on 5/8/73 in Liber 7393 Cp 573. rn b V ' I [C © l i Z; Q U ` Together with all right,title and Interest,if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center Imes thereof, Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises,To HaveAnd To Hold the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever And the party of the first pare covenants that the party of the first part has not done or suffered anything whereby the I d said premises have been encumbered in any way whatever, except as aforesaid. '." And the party of the first part,in compliance with Section 13 of the Lien Law,covenants thatthe party of thefirst part Yr1 will receivethe consideration forthis conveyance and will hold the rightto receive such consideration as a trustfund to be applied first for the purpose of paying the cost of the improvement and will apply the same firstto the payment of the cost of the improvement before using any part of the total of the same for any other purpose The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires In Witness Whereof, the party of the first part has duly executed this deed the day and year first above written N �>\ IN PRESEMCE`OF /'1 ,��? ✓A` ERNARD J. ELGRID f " i`mF 'R� ssr,E STATE OF NEW YORK, COUNTY OF SUFFOLK ss: STATE OF NEW YORK, COUNTY OF ss: On the 2A day of M151� 19 80, before me On the day of 19 before me personally came BBRNARD J. PELGRIM personally came to me known to be the individual described in and who to me known to be the,individual described in and who executed the foregoing instrument, and acknowledged executed the foregoing instrument, and acknowledged that he executed the same. that executed the same. HAROL9 J. Q' N NOTARY PUBLIC, State of New York Term Bxguell Morcb 30,lk 196u1 STATE OF NEW YORK, COUNTY OF ss: STATE OF NEW YORK,=UNTY OF ss: On the day of 19 before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn,did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. whom I am personallyi,acquainted, who, being by me duly sworn, did depose and,say that he resides at No. that he is the ; that he knows of to be the individual the corporation described described in and who executed the foregoing instrument; in and which executed the foregoing instrument; that he that he, said subscribing witness, was present and saw knowsthe seal of said corporation;that the seal affixed to said instrument is such corporate seal; that it was so affixed by execute the same; and that he, said witness, order of the board of directors of said corporation, and at the same time subscribed h name as witness thereto. that he signed h name thereto by like order. Vttr,�tttn ad #ttlr IRerD SECTION 078, 00 With Covenant Against Grantor's Acts BLOCK 04 , 00 Title No. I 20,rA,l 0 11 'A LOT 017 , 000 COUNTY OR TOWN Recorded at Request of To U-111FE TITLE INSURANCE Company of New York RETURN BY MAIL TO JOHN G. DALTON, ) SQ. Standard Form of New York 53 Main Street Board of Title Underwriters Distributed by Port Washington, New York (&'LIFE TITLE INSURANCE Zip No.//b s� Company of New York wM e CV O a Z N O w 4� 4j{lill��•{1 �y� rJf„J M o k. J r �F� Py�y{� "lF i`� •Y3�• t F t tt .."1e S`a' - 4 x„p ' S' ° -*. *} k'.._ 5r s STATE OF NEW YORK, COUNTY OF SUFFOLK - ss: - STATE OF NEW YORK, COUNTY OF ss: On the ZA day of 0)d-1 19 80, before me On the day of 19 before me personally came BERNARD J. PELGRIN personally came to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged executed the foregoing instrument, and acknowledged that he executed the same. that executed the same. L 6' ,N !. �it N NOTARY PUaLIC, Sfote of New York No. 52-4525124 • Suffolk County Tfrm €spites Morch 30, 198.1..... STATE OF NEW YORK, COUNTY OF ss: STATE OF NEW YORK, COUNTY OF ss: On the day of 19 before me On the day of 19 before me personally came personally came to me known,who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at No. whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that he is the ; that he knows of to be the individual the corporation described described in and who executed the foregoing instrument; in and which executed the foregoing instrument; that ' he that he, said subscribing witness, was present and saw r knowstheseal of said corporation;thatthe seat affixedtosaid instrument is such corporate seal; that it was so affixed by execute the same; and that he, said witness, order of the board of directors of said corporation, and at the same time subscribed h name as witness thereto. that he signed h name thereto by like order. Varg ttri aYlb Dub SECTION 078 , 00- With Covenant Against Grantor's Acts BLOCK 04 , 00 Title No. LOT 017, 000 COUNTY OR TOWN Recorded at Request of LMIFE TITLE INSURANCE TO Company of New York RETURN BY MAIL TO JOh'IN G. DALI'ON, ESQ. Standard Form of New York 53 Main Street: Board of Title Underwriters Distributed by Port: Mashing won r New York !!-'~LIFE TITLE INSURANCE Zip No/,,,4s Company of New York O u- Oust, L ao LL t/• t.1 I11, 1i11111•J� .u«/-,' 41 ..'�^i , v.. •t 2 . Via_,—t __.__ � • t TOWN OF SOUTHOLD, NEW YORR 6/12/80 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2701 Dated May 51 1980 ACTION OF THE ZONING, BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. William B. Smith as agent for Appellant Ms. Audrey E. Wanzor 220 Mechanic Street, Box 146 , Southold, NY 11971 at a meeting of the Zoning Board of Appeals on June 12, 1980, the appeal was considered and the acticn indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (x)CR.equest for a variance to the Zoning Ordinance Art. III , Section 100-31 1. SPIlI�Xt( ?fIX$io`Fa3iA4�Fa6K€(rlb'b+ �4tXl{tt�r# { arx' cpr�onxx be granted ( ) be denied pursuant to Article .................... Section Subsection ... paragraph ......I............. of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confkmed because Application of AUDREY E. WANZOR, by William B. Smith as agent, 220 Mechanic Street, Box 146, Southold, New York 11971, for a Variance to the Zoning Ordi- nance, Article III , Section 100-31 for permission to construct dwelling with an insufficient frontyard setback. Location of property: Corey Creek Estates Lot No. 15, filed Map #4923 ; bounded north by Corey Creek Lane, east by Hammerschlag, south by Corey Creek, west by Facca; County Tax Map Item No. 1000-78-4-17. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because (SEE REVERSE SIDE) (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because (SEE REVERSE SIDE) and therefore, It was further determined that the requested variance ( } be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( } be reversed. ilill OF ONI BOARD HOARDRD OF APFCAT,$ FORM ZB4 After investigation and inspection, the Board finds as follows: The subject premises is known as Corey Creek Estates, Lot No. 15, containing approximately 25, 000 square feet in area. Applicant requests an insufficient frontyard setback of 35' feet off Corey Creek Lane, due to the limited practical area in which they are left to build. A substantial portion of the property is covered by upland meadow. The Board agrees with the reasoning of the applicant. The Board finds the circumstances present in this case unique, and that strict application of the ordinance would produce practical difficulties or unnecessary hardship. The Board believes that the granting of a variance in this case will not change the character of the neighborhood and will observe the spirit of the ordinance. On motion by Mr. Tuthill, seconded by Mr. Grigonis, it was RESOLVED, that AUDREY E. WANZOR, by William B. Smith as agent, be granted a Variance to the zoning Ordinance as requested in Appeal No. 2701, SUBJECT TO THE FOLLOWING CONDITIONS: (1) Approval of the N.Y.S. Department of Environmental Conservation; (2) Compliance with the requirements and regulations of the Flood Damage Prevention Law of the Town of Southold. Location of property: Corey Creek Estates Lot No. 15, filed Map #4923; bounded north by Corey Creek Lane, east by Iiammerschlag, south by Corey Creek, west by Facca; County Tax Map Item No. 1000-78-4-17. Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Tut- hill, Douglass and Goehringer. APPROVED Chaim" GGSrtf RECEIVED AND FILED BY THE SOUMOLD TOV" 14 CLERK DATE 70b O F(+) Town Clerk, Town of Sau old 'FORM NO. 1 TOWN QQF UTFIOLD BUILDINe 6 PARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 / / G TEL.: 766-1802 Examined .!`1R��/ .9. . . . ., Ige Application No. . . . . . . . . Approved . l.Y/J�• • • „ 1el. Permit No. .//.l��4�647—_ Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Build• g Inspector) APPLICATION FOR BUILDING PERMIT SOS A/1`p/ic,O �/L Date // INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 this application, the Building Inspector will issue a Building Permit to the applicant. Such permit 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 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 buildings for necessary inspections. . X4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant,or name, if a corporation) (Mailing add ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises !}uBtP. �. . .E. . I✓*Nz a?,• • -9' -A . . A.( s' 6 . .S Ca,#.At a 6.. . . . . . . . . . . . . . . . (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. . . . !llle-. : . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . o - • - * - - Electrician's License No. R, . . . .o6.R .L. .l'. . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on`which proposed work will be done. . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ./. . . . . . . ./. .' .(( jZ Qv Cd c �C� f-�/.N� �DU`TF�OG�r.Vic!, T/. . . . . . . . / House Number Street Hamlet County Tax Map No. 1000 Section . . .�h . Block . .Q . . . . . . . . . . . . Lot . Y` . . . . . . . . . . . . Subdivision . �o!Z 7 . F -'�' . .� ZYOl�`5• . Filed Map No. .�G •z-� . . . . . Lot . . l,� . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy pf proposed construction: a. Existing use and occupancy . . . . . . . .�//Q l ,�l/U . . 1'!Q . . .:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . : . b. Intended use and occupancy . . . . . V W t L 1.I.nV . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building y... . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . �✓ 7 (Description) 4. Estimated Cost . . . . . . f9 . . . . .! . . .. . . . Fee �.7! . . K� . . . . . . . . . . . . . . . . . . . . . . . . . . (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 . . . . .0.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimension's 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 . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . A4I!. . . . . . . . . . . . . . Rear . . ./14. t.`. . . . . . . . . . . . . Depth .?i, �. . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . MA} . . ,zy, ,1.Kk i). . . . . . . . Name of Former Owner . . . . . . . . 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 . . . . . . U. . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes l y 14. Name of Owner of premises t, W.�!✓Z 9R . . . . . . . . Address �.°f?. .�'.tSn'"� Phone No. . . . . . . . . . . . . . . . Name of Architect . S+Cf-A. . .AY04 . . .H!fuCE.� . . Address . . �'4 .v:fio�� . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . A. . u!.g^!Za.3. . . . . . Address fo . . wt4f!!✓4T X . Phone No. . . . . . . . . . . . . . . . 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 descriptio according to deed, and show street names and indicate whether interior or corner lot. C �££K I-h NE ko-T STATE OF NEW RI , S.S COUNTY OF . . . . • • • • • • • �• • • • . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, a ent,corporate officer,etc.) of said owner or owners, and is duly authorize a or on 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. Swom to before me this ,t . . . . . . . . . . . .\ . ! . .day of. .I. . . . . . ., 19FI Not Public, . . . . . . County yQ NOTARY PUBLIC, she of New Yak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . No. -a125sso, Suffolk coin (Signature of applicant) Tenn Expires March 30, 1 I.I . 1 yreyiderice) \ %IuO j - s'. :ic 8 5•b ( R c" c Zj Av,47 r h- F X/sr.a 9.I C4 4lrt4 roflr 47- kwal r/ _ a h � ie�oou�rrY Enure nsr� L OATS O 4 L�BL H. D. REF. o 41 Q L o 7- IS y the sewage disposal and water anpplF �, r ----- ---------- i•faeilitiea for this location bare bee v inspected by-this departmen)t �'ap�qdfound �. to be est rf• c PPPPPPCCCCCC 1U < War of General Ingiwering saw"*" --f�i- `� �1 t fro•° r PO f[f!G N4. lZfJ #A tOJW-�/ fU� pp4s urn(fn7' Burr d tw �sries�F 19�Ae''l�r�lert+GEr�erJts fie_ Nc PCs : Lo n�.rrJ r rs s�iaw�i rC >lG•r Wap 6rr a►rd to &*ke -4Jr at .Germ., � �- r �i // ' rr-Frr ?�Fowe-Kul- it ✓li✓1 r�f� PG. lea le, ✓et, U S. C. dcs a., f9►z9. 4'/T�?/>•c �Ot rr: 11 C-• ter nIZ)nr-41 i /ftAl }�l' t � x ` ,. ' HEALTH il ;, ' H:911WANO • � ' � �� � j� (�re{sidetncej N/UOI� - i4':IG 8 \fj.b RF GG-S,b Z- STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSA SYSTEMS FOR THIS RESIDENCE WIL{E,. .) ��, i - �S• CONFORM TO THE STANDARDS OF 1'Hz ,k , r ;�• s U a �A Y 'SUFFOLK CO. DEFT. OF HEALTH SERVICES„• fTa � �E\ • "a�°,s` '�!i • 4s1 _ F APPLICANT Q MqF� vF �C'FEr cT i� a SUFFQLK COUNTY DEPT Of HEALTH J � ko -, y. l3 �CJRI E �E� cDR �� aL� } �, . n SERVICES FOR APPROVAL OFE wAAIZ- R o �. nda. wo/' // CONSTRUCTION ONI, Y �, gllsv.s 9.Z Y ' , DATE -- 1`� twQII j�� o`Ir k AT H. S. REF NO So:S APPROVED: �--_. Q StK. o .I SOU TNQLO/ N i Ilk Cr:a - - _ - SUFFt7Id COUNTY FMA77Vd D$PAR7MEN7 SUFF01_K C.O TAX M4P DESI NATION / rmeaciow A( ^► t DIS"T >FCT HL-OC1< "CL T Q DATE AUG 04 W H. D- REF. 1000 078 4 17 S `1 u ONERS AD.-iR£S-S, O L O %" /$ The sewage disposal and water supply W � ?• � facilities for this ]ovation have been WeONZOQ inspected b this department and found 8! 42,A)oGL e=re AYE, to be as s rr•d P0427 WASH(NG7ZDN,N.Y, j"-` lef of General gngineering �Te1. 883-3166� ! l05U I'� Qt Sereiees -.DEED L611/A) TEST HOLE STAMP � -- -- - — j # Z fYOm ynAtrtHoRltEu A.IER..I ui n�AnDFno� {�J (j Q (a. f•( �FY TO THIS SURVEY IS A VIOLATION OF __ ` ^ f �� A '^ 1 A 2Fled ma�7 6EQION 7209 OF THE NEW YOWL STATE � �.Y�1 V1 a V tj O �1 I � L _ IVA1 EDE�RIOV LAW. 0 J - !' + gnFerTElad Julrf I !9$2 i COMES OF THIS SURVEY MAP NOV REARING �� JHE LAND SURVEYOR'S ED SEAL OR ndJ RX{MROSSED SEAL SHALL NOT RE CONSIDERED t - ,/Q'D lOQm 10 EE A VALID TRUE COPY. r ' GUARANTEES INDICATED HEREON SHALL RUN 1 " 7'00 - i ONLY TO THE PERSON FOR WHOM THE RYRVt, Q" i----—-- 3 IS PREPARED, AND ON HIS BEHALF TO THE n l: C fITLE FOMPANY, GOVERNMENTAL AGENCY A« �E A G \ .��fC �� ' _ �Yr r(f((. �y Q- !�y CrA /Oz/ 6 t4m INSTITUTION USTED HEREON, AND I%n e- r TO THE ASSIGNEES OF THE LENOOVG RTETI ( r _ r/`�/yLp� NTION.GUARANTEES ARE NOT TAAMFBRA' (%7 L /r GuLl t'a/•f 7�EE !� �o fine ne I •O ADDMONAL INSTITUTIONS OR SURESTO Sand /VC Lo' rC ,howl) re I AMSr•7LOH 7�%f'/6 /d JV✓OrIC6 CQ- E' : V,n ur,: � AeF and to 6/oba abs!'✓act ::cPrb. j O Lore roc k �.s�a fie.£ {'��e-�l i i-� Ile'f as surveyed R�ri1�C0 1991 . 7 c'/li{�G�' /�k.. :;Y1 fJCr�r .CJ./F ri- :�o{••�'� V- or--s---- ' /i "ywaFer A let1aCr 5Fr r �o rl vah / �G .a... vet _ .�.o aeA 1 nn e ! I t-/r•�{ /a�G�(re � vnQ4� r�e� tlbn : 1 7e, ,, ,D •r 960f- ? r s 0 MAP aF P�OPE•R 7-Y L prop. ka. ' SuRvE YEl� cd�' °' < r• L T. AT d� p•s Prp.well Y meadow +{ •r Ii" 4 � .:'.4 � �yY�.� �, SrM �;, •�+ /` r� ./ --(fZi 1 Oro ' "' ,A SA L / -1 .0 -;/ l '1 � �,' • �:,�1 Z7 �t �G t i G • n � uQrfG!/1fC1f ccr ZO {rx+t-rr� ��inwst re c'r z<o 'ih p " rs as- . C i i e « , , �� ,s�r'r#Y� 6Ko�iriR .fib . � s rc r VON yeyl � •- j "� �` 7 �.1p""v`�U'S �� a4 f�a - '2�".:' ;"�i'(� /`I Jf!11•'G',�r 'it'_l� - - —. 1 _/-V_ t"ererrf orea level d .... �..,>[('NOIIc L 6. , 1411e. 7'uac Yi?itn Clc"S r9Rf70{? : �//4�Ecer Zatp :✓i.•ftr�. 1'`�' li .5er L6 f i / 1/CI o / (residence] ` N m d Zone B / � �R ,c-�-K L r4/VE" �rf'va STATEMENT OF. INTE HE WATER SUPPLY AND SEWAGEbISPOSAt. � + S. $/mac STEMS FOR.- THIS RESIDEMCE WILL , I �p /0,0 4 ONFORM TO THE STANDARDS OF THE nx �' s P rp FFOLK C'O DEPT OF HEALTH SERVICES. ' i ! �3 rj' prop. baoMs Rj (Si At7PLiLAN7 — b t1. �- - IbNZ�ti L�F; pr,{�o/p.•-.- O. tE 35 ha SUFP3LK O NTI, DEFT. OF HEALTH Eh C R APPROVAL OF \pp .AUfQM3F�2AjS�urC Yt 1nV ECF ! /'7O/ q /G RR TOY ; L- -{ AT $7ATE ____ _ C3 LO4 Pr-OJ.1AMil 1, APPW.OVE-t> __.. OIJ7-h�DLO, N. Y SUFFOL.K CO TA > _ GIST. SkC r ; •, PCL. i r Q n 1000 078 4 17 u - - -- - rC�NNERS AD RESS C 13} VVANZOQ 8( QALJGL[FFE AvE � v P0427- WA5l4tNG?'0N,N-%r U l i�50 (Tel, 883-3166DEED <3 EST HOt-E STAMP t r �----- -- /iO �Q PY t # 2 ro"I -_ I (1RALITHORILED ALTERATION OR ADDITION . /�$-- — I� / /T /V�. IIeJ map JO THIS SURVEY IS A VIOLATION Of 0 r(.l 1 VT Cl Y r j I'Q In • SECTION 7209 OF THE NEW YORK STATE O ,�'I MCATION LAW. `— gQno'-: LOPIFs OF tN15 SURVEY MAP NOT REARING IOQM Im LAic RURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT M CONSIDERED e �� �N IQ BE A VALID TRUE COPY. ' n -7 lY /q 2 GUARANTEES INDICATED HEREON SHALL 0.11N 1�C Kl I � ONLY TO THE PERSON FOR WHOM THE SURVEY A ✓ L `-�-A /� .�� ' /'f r/tJ4 /�lrl. (20 6A /a.Z/ j fR PREPARED, AND ON HIS KHALF TO 111E tl P .!_49 J PELE COMPANY, GOVERNMENTAL AOLNCY AND E /j), 1 d LENDING INSTITUTION LISTED NELSON, AND nE TO THE ASSIGNEES OF THE LENDING IHSTL / • �� p�,�M" B �Q I J TUTION.GUARANTEES ARE NOT TRAN92RABLI r — JS TO ADDITIONAL WSTRUTWNS OR SURSEOUEf I Ti ffe /d SU✓d��Q CQ' ,WNERS. No�cs Lo1r7urr�6tf-s c�iorvj�� rc �e, � 'MQp -A b1S/P/Ca 4rtd to G✓obe Abstract or,E7. o Lorey Creck Es�a fps ; i'/cd' �/; �hr a6 surveyed A&if t�, t9Ago. 1 Coc///>if Clef4 e4' ce ars /� J ` �ater �i'CnS rric`.r �G{ / �� RG' E/PIER £°r ; ; , 1.f� -- - 1tG.....`i-• vQ_f. / ;;,g ) {'e,509i9R E7e)n : _-T r Ze :.trvef �rW — _ G feerl�orf, ' I a ? t 1 w » 44 p� t � A QY�_: - ,^fit#• :. E F t vYF s` Q f �+ y �t �' •7j„� �x ,4': r yu �F SUFFOLK CO. HEALTH DEPT. AP VAL H S NO �• � r �residence� ef. 5. 9 C�i?EE"L� LAlv.6 Orr'vnf�) - "STATEMENT OF_INTENT_THE WA TER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL !Qp•q / P�JpTEr1 CONFORM TO THE STANDARDS OF THE k T fl /3 S SUFFOLK CO. DEP OF HEA( H VI E eF O � 0 (S►���?%Evert- !,c�: �3 � � � APPLICANT 1� ___ ra ha �ROF'�R'T Y� SUFFOLK CUUNTY DEPT OF HEALTH b}0 WATE2 tl i �' SERVICES F R PPROVAL OF QOL - `- — � / ! cowsrRucT;o I �p �° : �x Uf�'FZ�Y � . V11A/ VZO� __ t Ede prop.well DATE: `/ x A7- j H. S REF NO" 50zS J� 2 3 cE.. X f APPROVED:__ �, SnUTH�LL7jN. Y `S6FFOLK CJ. TAX MAP DESIGNATION. - DIST SECT BLOCK PCL. 1000 07e 4 t-7 0 U t— -- — -- ; OWNERS A Rrss... VY4NZ0I2 j S( 12A0CLIF=4=E 4V6. ` P012T WASNIIVG'70K,tYY. � &Fat. 883_3166) 1 DEED L(N/4) P. --- � TEST HOLE STAMP -� t J 1 UNAUTHORIZED ALTERATION OR ADDITION+ / � f 7ec✓f n70'/C'�, i TO THIS SURVEY 15 A VIOLATION OF I,Q 1 / A�A�• "-- '----` SECTION 7209 OF THE NEW YORK STATE J �'• l _ I�f�/Y 6 EDUCATIOIR LAW. � sandy I COPIES OF THIS SURVEY MAP F x MARINE JHE LAND BIIFVEYOR'S 11 b SEAL G;: ,`'-' lQ O loom I PAEBOSSED SEAL SHALL NOT Ei C]t S TER% �W' 'j Jj 10 if A VALID TRUE COPY 1 ' q - ,00 1 I _t�• GUARANTEES INDICATED It M f Alt VN 'lG PNtT TO THE FIRED"FOR / n t�„Y �/ IS PREPARED, AND ON HIS I G I F Io lµ OTTIE COMPANY, GOVEI'i N A I PENDING INSTITUTION LSf,S ry.{}j„, A \ ♦�1 �t }.� r, tO TIi ASSIGNEES Of THE:ED,016$of I G Q = //O�/L��//�•/ fine JUTION. GUARANTEES AM N,j TRAWW . $Ond to ADDITIONAL INSIHVII0,4 OR KOM,,r, , OWNER-% __-- -- No��"s : Lor�n�>ir,�e,-s shown ve {er /o %l�Ap SEAL i--.---i of Core CiPck F- 74a-les " '/e•d !r, #e "' t19a��e�a -Jan. 22 , l984 �7 <: !i o/ Cow;4j clerk s aff,cc Q_ Y1aP 1himie1- 4S.Z z!F-/rtlaf,'ons rr�rr 4FCdPrlc % Via rt Y( /, pG. !to /7 h Joal rrra� c/es>'ctia �io*7 ztrenIcr� Lat . urvoe ors U,'574,e4loon Serfeo,, 78,P431 �� /7. f Gree Kilo orf, N�V1 �r,k 960I- 2 I 3"VLNT TNRu KF. 9" YF�F,IT _ Ulr TH¢u n✓,>T 3 z, h + I/� � 1'i" � I p __ • _ � iYwNrxr 3 �/` i II X i I ,YA.i.H1N41 f _ r 12 + t .� n Iil / _-..3JL,A:K 4✓LL G.L T✓fi4 EXT. I I K N it"%.- x.i.b 9.r 2-Z.b o•r• z. o.u. ___ _ - Q ✓ OCi 1bY WV Nt*IlR-. ,VALE_ I . Le t- t'e W.L. TOb W,G. p ✓ o a L-Zxi "' N F.A, VENT Ih• �IL 4'-X BJVE (y r'I_-I Z.. z. I IY+• FI,G9T �- FIN. GKAGE. c.a _ _ sF1F-'S Lf.L.11-1G n 'tap iLR 2�10 sr AS PH ALT R✓✓F �""IL <: n IL"YJ SHIM,LE. JN bco r!r Pi LT - iYc 'r,L, G,LLINE, T✓ p y✓•, z:P✓ Kt� I<-+� •3•• HOa4E, >< N 66 z•i I ,1L mflz,l,r.I Nt; 3 '�Ic✓in esLv G. �•✓1L - p n 1 N !�` p L•(j A4 4b" a TYr 1 G✓N N.&L.-T-ION T.� y`eAY. Q LL' YL k ]ab ' 6EPT1G 5�"6TE✓eL. Qi , 0. 14 INAGi � Zi6h � IAG� A//� '.A/i Rq, L.XT PLY1Vp. Z='Aw}3. .ZwaZ 4.J..IC" A 6JFFIT W/ V6 T6 h1'14rt22 :l+Zs1L NJT TJ �G,til_� TYPIG/.�L Or.A"1'T. r�y LL,L,� Glipi,L-' FI'pt � I - Y+YI',bP. TAYE d YE-LLA GLAA bPAL14-LE 'b<J,Ltb-YYP.' $�. t'S' fiiJX AL.hM -+'I �-�- 1$=e•, G/,4/A'T \VINPTay A YhTIJ DLGR- INsuL., _ iy 2�b 'CSJx 'AEJ„A, K IY. LIYINCr A2EA +4 'o I rvL JwNm > T-III YLY\v✓Jp glplNy i , 'p ✓ 161I PELT f 1/L' I - .1� n n.�-•'- }.�Jty A ,L ♦ �/'. I E+cT.T. PLYWp ON .4 Vbtzl Q=^Vr/ r T F�F��/\�lV"•�' �L,.AN bTUp4 i Zb- %-. Z4AKIN4 � Kfa b�.TT INOUL. / 4"CLAN P. ,GiN4. iN ltrb Y.J. n X-I Gr LY+77 E.� 6LA7}.✓N /wFh1�E. L''.}L•y1- :r t'R141P Orr.L.FPN \PALL I '�u �� . IL",r G. 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JNG1f" S6T 6Y1.1'pS eP, t 4-Ye W/ _ _SYI p' 64.A.ty "11 4 R G 1011a, : I N TL..•+t l.. ,Y/Z T,gap,l. i o} l_JT..' i-Iw ILP ts.>tTT pif.,<KrING 1V.aY.P 66TWLnrC-Ca.l' �h.. +'�E:.GTIe,T 1.1. F J�.vG _Q vp.Pp'L 1SAfG'IZ-1 E.?.r 0'•T,L. YpN. \YA.LL ON 6'• IU P.G.rTl,. �0 LJFae, \' - " ti .n.. - \YA,TG.CST✓P 'te_o' ? ~ := - 1!54 1 1rt IJ PINQ- \V/ INS4L. SKIgT IIAUNGH' (- GJ NT. ALL. .}, u ' '` •• " ' u• F/s.-ASGIA:'-TY'P, LI NIN re M �i 0 i 4 4a 4,44A T'I�E.ATM T•�ST blobs. - /- s''T.G.. •1AG.W LL b1'�L-'O<fG1N�Rlielb' J, %1( -1 ✓'N A``i-. t<" 3✓LIP G✓MG. L� v �A.. S• A` L"- GI I_ t-,.VCK- 3' .Y"aEJ-N\V ry¢AOE �; 3T.91RrYS+'Cq p.-, 'W . . G✓-M T}IuI LI✓-U"a 1"i�"Lrt1� - . 'L vT. C-YE.��C' -t. Gt:pAR- PL5"\VJ.•7A .2+F:D.6.J. 7G'!�. 1V1.4" IN 54L.ATIJN. \ - -J ON UNPISTU ZT�EP >✓14-TYY , ' ^ F RIG IP 1NbIJL. .4Ra2 UAia• 1 _ _G'� •• \Vf 12 %<" :3A-W GQT:,'QJT•s R'-'b�T trA r�LL"w I'vE/S rIFR.!Y,.1�. " - 14•y T`t- fN,T-an't': -. - il -o tea, } ' d a 2,.L STUV4k-Z.+ 4-\V/ 3Tv'IC:A.:4 L - Sf1.E,; E. G -: 7 ur'• IG 19 fS�.TT [N-31J L, bLTAIL THIS C+\Vy✓, T✓Y^//,'1"20JFIN - - - - .. \VA,7 L,C.6T✓lam In4 T"ApA, .�-G.SUL-.K.I Ll T/L^"CeYI�.-'6 A�"TA PE.(( +Sp",n�GK1-L J! G /AIL POLY r'1 n v •\% Slfu.+iL g ___ -T=fLL_L.LY - - - _._ u -_ • b� GTIc� N J/ 5Y.G. 411- \V/GcG /M , -PJLY Ia/1.7 \v.Wev.T9. - vraF SG�..LE- IIsF"c r'-J' ^ A " Y,.I Cj1A IA,I e±LI L. . . Ate'- 51 1 L e A•4 Architect and Engineer's Seal end by of this LiDocumentrasdexcel. drawing, on!Yar good far initial use of by an Architect or Licensed P_rofes• �y gg.�� A':' � � tl w ��6 �py drawing, Changes, alterations or re- B A C AND ^; d A L 1't - �q�• f 7,/v�e�, ALJ-�-�'' �..T �\(A„� Z ��visions to or rouse of drawings with sional Engineer. is ille aP . . Section 7e E Subdivision 2n � G'-.�•� I N out Architect or Engineer's Approval N. Y. State Education Lew. 1 ceAeGtrLv voids Seal and Signature onsame, 54655 MAIN FtCi,t�,��, 4.i_'I�t'h'rt�� 4�, N. Y. 11971 Iz�o Gor".�Y G���1L LTAh11_ -64:7 U-r H c2 L-1;7 N, \Y .YL? 1; IC_ _ twet�r -NLGLIetI&- ._. . -. -- ix\vr.,M•-- _ - vg'$or�s 'LaG @. IG" �- s4+ FI¢_ PE-G1GIN4 2�6 T�sP eAll- AS� L-VLL ZnG GLA YZ�AT E.P "F l+�E--TIT '9N �,�i` (IJON 61LiA� \V/ I/b1 _ L 4.7""e-LV EI..� _ ri>..GI NG�. sANpLv \V✓J17 61LL `yN SILL M1JLpfc'p JJINT rIL4�R- S/M1J✓YH JN LJ b INbI.ILATI4N 4 P. G. 6L.�'.t_^. .JN TJT' �.'P'G ES _ aEJ+t_ \Y/ 1/2'• / 4ALV. °LJNG. SL/+.rta' ✓N n���III4' rJUfL.£D Gi7NG.- _ NAL16.�L ��\Y G-O CIyApE- \Y/ G +�1� GJUNTGK �I AIVGH✓1i: 1?..J LT�i JKY-AGY E_P FILL �'JI`/+aj"...1 -dN _.G-1z APE=- IL..- 9 Gh I✓'/IJ \Y,\V.F - NK �VJ✓a \-�f -- � AY.F. 'Y - L 5L¢6-Wan G✓UNTE¢41H1'.- LJNT. 7 -l `./ ,rl�l �¢ �' + z. Iz .oE 'Snlz �• .r � � YY 1O \V.\V.F J '1' - ,UN GI1 LWE-.'Z ii V pE.GK1N Zs4 tJbC,r INl� IN6u L- 61GIET A^> � '�\4 \ - \� �b'3PIALl NIy� (✓b' ST�G�NGI M FG• '�Y T¢E.Nn a" y141D PG¢-I�n E.T 6-2 )l �. P'eJ pL1GT'S -INmLi L..ATIJN -OCA6TIG. 2 4ALV.lN IZ6 \Y✓✓p xetw� Tkz" Aex.'�eA.N E. + - - cau N-re.rzr INK_ PP./AT i�..9JFIN/.� }9Z 2:�T✓UlZ 6P 4✓NG. .� PLUGi-, � „ {I�`" aH !S""n IG"' P• G. 4n4 GG AT'�E✓+-T ` 4'Y ,$'9 4' F.>✓T{NA - G✓>,ITINU✓us ., YE-YEL- �^'� -{� i I V L Y {ETA I I' J GONG. F.>vTI NG ✓Z. 4+ S � IG" 3JL16 GJ NG. 2>.17 })<a.GIL .• _ "i4pL� "�'A� • I'-J �Gn.L�: `-✓h"' 1�-J" A. , L' LJGIG. -F TIa. 3• J � JJI6T IG" % P TTO R>`xLT jn8 AE�.•',�;' A' I `;-e.e..Lvw GrL.Av�. /ate v.��r p/A. W/2- z 'y o15 Ic'• - z. fj / 'n�"•-;',,.' .' ," - Y�i?TII-1 C1� '(GR:GV.'DOLTb. - 9 L � \ b /NL P9 LY �9- - B.rTT✓ii\ � OIDE.e ,yC'Y�pTINcr -TY'P.- - .e1p[�OR ���r✓ Y{i���� � V 1 /'�\ I V Y Y- Tw.�•i- l , � :J `` rr {{{{,, hGALE-: /1"a I' J•• ,4_I 'SG7!•-LE. - T.aJ,�"a I J" A- 1 CEREFICATE AP � `,j[:� AS NOTED ? A'+ A• AOCCUPANCY A P€; S "8/ B.P. , 11 l 9i Gca E' E Y .G ,L• -E�K - L-A N E�- NRV BUILDING DEPAP MENT AT 765-1807 4 AM YO 4 PM FOR THE 3' �' -G_ 9 F -- B6LLOV/I I , IhISPFCTIONS: --------- 9 ¢ ----------- UIRED ------------ G 4 -7 7� - 1. FOUN�AYION - TWO REQ FOR Pn{JR=n CONCRETE TLJ FRAMING & PLUMBING4: FINnI_ - rnN`,TfUN MUST4"*z+ ..-Iz"-�✓L�v <JLw.� 3 >r' .� vQ TiLJG K. +✓E.T �.•D.. ,� ` IZ 'M 'p \ I BE CnMPI FTE FOR C. O. ALL CONSTRUCTION SHALL MEET Tdla: IS LJcn.TIJN(a. G!•.d' •�a THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY I _ __ — _ �� \ zy -�•' __ 'o CODES. 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AU-�'LE-Y \VANZOIZ CO doe Fy�� Signature only y good for initial use Of Jr,to w y.»`r /"'� "� �'-�-" •�' " 'ate, Fy�� Signature only good for initial use'Of �r Y""y,to w i•»`' /"1� "� �'-�-" •'' ° '� 6y an Architect or Licensed P_rotes+ _ Aa NJreP s At drawing Changes, alternticns or re- sional Engineer, i5 illegal". ±5 �< W visions to or re-use of dlaw;ngs with Section 7209, Subdivision 21 �i�i� I t� N �'TA I �� r -- FI , ��Y�:wJ /ff/`-,isa ;�� (;..:��:..'J, 6'�. ti`. �Z��� IZSO G.�iz-�Y G'L��IG LANE= �? out Architect or Enginow's Approval N. Y. State Education Law,,. 50 U r H c9 L"i7 , V--J Yc2 tZ V-- voids Seal and Signature on s2ine, ry a cr Nwna�z vwq vga�ds A - 4 ,r EAs = I-stir 8-o%z R.o. 6 l x ¢' .a%a R.v. /y" 11 ¢ 2.0 _8 4 xld. : . /Fixp ¢ ' l2) -°L u: zsc" 1 �2R . , : I f/xEW" �i1/�dl�� : a rr A Ra9DVi _ �- ¢" I PRO V10E 547#S W17W EXN. FAN Ila W17N OccTS -70 .OG7S1oe. 191P . DTP FIREPGRCE 7Q NAvfi DRMPEREO dx/07 Jb i p La,QESS. 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SOLDER USED IN WATER ,5r_o" 'O" m SUPPLY SYSTEM oo LEACA DT I � - N :EXCEED 2/ f = 0 `� ty I "2 t G /Cc Q c. 1- rG `-- ICo o,c , .� IPpel . !2� x/2 e/4�o�s D K , C aAl 2\ PLUMBER CERTIFICATION w/KOvw-4ER . - �, ON LEAD CONTENT BEFORE L'E/L:Jb/.°,7S A,6ovE cdwL. Tvisrz gtov�, cvm 4�ur. "- �Cd).2 xlzci A 'Iq CERTIFICATE OF OCCUPANCY -- _ - jy��I�o �2 (-/ i+'le � o - 1L'.(KIfTR,tM i7 b/G _ 3 -- - I. IF copper tubing is used V9 S7EP `a �" - For wafer distributing - - " CyQ `ply system; PIPin9 shall be ¢w I n „ / x ¢ to- ,. I{l, I ¢" • 4" I27. I W. - 4- es K or L only e =1 K4-.t r1o• -:_Jl - O 4 (o-0 3.0 3Co 0�2 ^, /0 3o sof r � j oftyP , C. 4"CLo• ¢r' Q fs 3" OCCUPANpqCY( OR n " Qj = LMS N. - _- lA.l .. " 4•" Ilfll �I ¢ , B .1G ¢� USE Is �..fd(A1�mUFUL 1 I u7toI R. T&ICATE AT/cV 2 LF OCCUPANCY a h 1 ti' ti W/3 F/YCN 76 G4Ys/L. F/RE r �RE7R W/ f_/R.r,CcoeQR- =\ o AP:'-,^.C;-D AS NOTCD i z J w - SPE .C'cd)E ry DATE:/ir y B.P #k l'I �C� i7 FEELO•7 D BY: — Y�C� chi rn 607IFY 8`91 AM TO 4F FOR THE PM ENT A 1802 T FOLLOWING INSPECTIONS.CTIONS' jQ �•; Ck Lta y'Li.� 1. FOUNDATION - TWO REQUIRED ,° FnO FnIJ2FD CONCRETE 2. ROUr;-I - FRAMING $ 3. IN"U1 P PLUMBING 'A •iv 4. FIRi^I BE r 7TE FOR O 0 MUST F . ALL Cn `7P'ICTION SHALL ql THE REn; �,D �1FNTS OF THE MEET STATE Ct'`N'�TRUCTION & ENERGY YOx CODES, NnT RESPONSIBLE FOR KEp DESIGN OR CONSTRUCTION ERRORS 2 . - . _ cR 4. 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FRAMING & PLUMBING L... . ... _ ..���. .►� ^ -, _ - J, 3v _- - - •. 4 Fle'nl_ _ ('�N`TRU-TION MUST �� ®•' BE C^' F FOR C. O ALL CONcTUCON THE SHALL MEET E REOUIRIR-MENMENTS OF THE N. Y. � CONSTRUCTION & ENERGY „n v CODES, NOT RESPONSIBLE F ��qJ DESIGN OR CONSTRUCTION ERRORS. 1 1 �� /.e{y7��g�y��� 1�1 o�p, 19•.G- _ .'1 r?- _. '�f, .�i7_n _ S'O. 1=4.`. - 9'-_�" 4- �; q'-„� :, ;C-dd � / : _ .7� r' _ ♦ /V ( ' k cog ' � - .� 4 . � �ca, -�rz� 'p r4o ' at r 1',. :p � _ �- -.-- - . r�� ��. �J`- .n.r � �2R"'Y:'�� 1 '� r� `,y L ., 5_uPIJ�>vC' •influ�Par.\Y+ ✓ Jq(1�'. . -..-..ZdTw-It -.-+n-�,-. JOT C3 1 ax+ arc-. '. . . in WAI ' $ 1&i-NW�Ne'�.-r ' I "�I �.^^ -,.�s"'7" . ,�s - ,.-a" , ,.I-,,,•, s_4` a.' 7 f AI r M f` r1F 4, q zLo �-_ I?'- Z" FI W aoT N 0. Z� -N AE.KCib t�ialG �. .,t'.:r, -rftl,r ..�"ea trio.-n^. 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