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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-26230 Date: 01/25/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 480 RABBIT LANE EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 18 Lot 10 Subdivision Filed Map No. Lot No. - conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1984 pursuant to which Building Permit No. 12988-Z dated APRIL 9, 1984 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED DECK, & PORCH AS APPLIED FOR. The certificate is issued to DANIEL C. & MAUREEN MOONEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-65 05/13/90 ELECTRICAL CERTIFICATE NO. H-015169 04/05/90 PLUMBERS CERTIFICATION DATED 11/25/98 BAXTER PLUMBING B it 'ng Inspector Rev. 1/81 FORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N912988 Z Date .. ..... ........................ 191-1 Permission is hereby grantecift .aLlt�...Q. .....c............ ........... � �.pp�........!.R- . .�...... - .:.............. to .. ..�,t....4:..... .'�:? .... ..4 � � '�. t...�z '.... .......... .... at premises located at ..! ... �5 ...... . . .Q °'�¢•• ....�.Ll�.....`............ �. ................................................................................ ................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section ...... ..... Block .......J.'-�........ �L(ot No. .....�. ............ pursuant to application dated ....... Q.LS�.......= ................... 19.1.d, and approved by the Building Inspector. Fee $.... .�.:`�.°..... .. . ......... Building Inspector Rev. 6/30/80 TOWN VC JUU1nvLuBUILDING DEPARTMENT CM_0G — P 00 TOWN HALL 765-1802 PLICATION FOR CERTIFICATE OF OCCUPANCY Thiq pyi ¢� �}cy�4}ust a filled in by typewriter OR ink and submitted to the building inspecCor wi"tTi`"tlie fat owing: 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. S. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . ... . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . z....o-"" g g. .. . .. . . . .. .. . . .. v Construction. .. ... ..... Old Or Pre-existin Buildin c/) ✓�. +c d r.. .. . . . . . . . . . . . . . ation of Property r 4o. . . . .. .. ... ...... House No.. Street Hamlet lover or Owners of Property. . • • • • ••••• •••• r•�" ' ntuty Tax Map No 1000, Section. . . . .'. r •••••.Block... .1.[•• ... . .. .Lot. . . �.�: �. . . . . . . ,bdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. .Fil�e/d Map. . . . . . . . . . . y.�Lot. /. . . . . . . . . . . . . . . . . . . . `� Date Of Permit. . .. .�f• �• • • • •Applicant. . . :rmit No. .�a: 9V_) . - :alth Dept. Approval. . . .. ..... • • • • • • •• • • • • • • •Underwriters Approval. . . . `'"� • • • .anning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . ,quest for: Temporary Certificate. . . . . .. . . . . Final Cert(iccaate... . . . . . . . . . . ,e Submitted: $. • • • • • • • •• • • " " " " . . . . . .. . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . APPLICANT ®\0C.,SS 7/b rco '2-•,6 230 , SC Real Propert Tax.S, Fax:516-852-1566 Mar 18 'u L�10:53 P.04i05 ...... ;': '': 1..; R6'? rJ'; iE EIVED' t. RECORDED ge -FEB Q3 1499 1999 Ff0 -8 A Ifk S3 :F:^• SCiri�cateY I 7 •.:•• •_:*!ii{': i ; 2726 s::`. .,... ,...•... . „_.. i( `• Deed f. agcfitstrnment DaGf,Mon t$%c6oxStainp RaordinlG/Filing5tampt Mortgage Aml - psc/�FtlingFcc ' k6dfin 1. $asie Tax 2 Additional Tax :•" Sub Total _— .i . ' C Seb'Total : SpeaJAssit.TsA-5:17.(sii .�_ Spec./Add. —_ • " _ '' "�: •; IV4T•S,A. TOT.MTG.T AX t. Dual Town_Dual County 00 �. Held for A Nonmene ,'•�. •.Affdaait _ . •.EY, ;.r'�'' Transfer Tax •� Mansion Tax CoetiiTfvd'CODY Tim property covered DY ihts tnotljagc is or 'i: :•: r;r.: will be improved by a One"two family Re(R.Cgiy dwelling only. 'Sub'Tdtaf' YES__or NO_ • Oihcc �. ,5, if NO,see app am tax clause clause On page p GRA111D•TOt:AL "� of IMtf inrtNmenL ;. '" V'rf'itiign,t 6 Ti1le Company Information ? •;S' •no.A.. 'yte01^�rnperlyTax,Servce, 9Wc7i ;-Y..' Dis1 Section Block:' Ldt n r �� F}hs Pia<Y y.. Company Name .o Y yooYG—S Tillc Number Vim' ..,.. •i ; , i trjtifeis•,"' FEE PAID BY. ''; . • :.F:2.r('q(�i Si'vw,r.iC) Cash Check_^Charge _ (✓ Payer same as R&R CA, (orifdiffcrcnt) jf /n G o �rw—Y $r " sNAME., 0.' .;;r;'�}�,bp,, �*.•!, , .'.s.��• rf�' . 'ADDRESS: RECORD'8CR£T, URN•.?E,O.:.,s ('ADDRESS.) : ...': . . 9:. SUS©��{ 0100 , Record'[ i & Endorsement Pa e . . � �•;� �! made by: This page TotOts part of the atmchcd (SPECIFY'CYPE OF INS1Ri7MENr) tlhc p(emises herein is situated in .'?•r. .. SUrrbLK COUNTY.NEW PORK. .: TO in the Township of S -- y`: thc,VILLAGE �c 4+ MCir•• briv&Luror ^— '�'' ' '` W:!3tA .K INK ONLY PRIOR TO RECORDING OR F7s.ING. tiQliF.$: �.TIf0.0`f'MUST gGTY.PGDpR;-PRII�CF'O„ ,aY,•as•s+• '- -, 'SC-Real Property Tax S Fax:516-852-1566 Mar 18 '99 10 54 P.05/05 j,' Aarq'eni�?0 S°,al(Aieen.`•' i ooMnam esaur'Oranlur's Atd•.immous,or exporaacn(singlo sne-11 r... : .. ; ,. ., , ...�.; rsq'. ;CONSUCTY 'p UW'lER BEFORE aIONINO TN19.iN8TAUMENT--sNIS:1NsiAUMENf SHOULD BE USED BY IAWYEAS ONLY. ,TFi1S'ANDE Rte. made[h��day of January: nineteen hundred and ninety-nine ^'•! DANIEL.C.MOONby and'MAUREEN M.MOQNEY,his wife w0irshing Avenuei loduat'WIOY:NY ti S :party of the first part,;and : .; ;. JUU&RAMON and BAsuE�AAk10N.his.vJite '(i JOB Garden Street.East Ad'dow,NY i'iS54 /?ant of the 4acond P.arl ' . ^W.tENE§S; j..that.ttre,pattY of the.first P,44;in.W,ns4oraji$0Tom Pollars and other valuable consideration i pa Q bythe, . :dj#4 seo0nd W;doeshergh :OreM and Mlesea uiat0 the parry of the second part.the hairs 4:r? or 9tlCCe ssr,craaefgne of the pony of too*Wind pad'fiirawr. ;.! • AL •that'aMtain.;D.lot, piece;!pstrfrgl.pt I9tid with.lfleibuifdi gs and improvements thereon ' etiated;alitii(e::tylff9 aA&bAla9:0Eii'f,s Medon,Tok?r of Soymetd.Suffolk County.New Yerk ti'ti ! '.;,' • '; :r;... :. ...: u ded'atatHespBbedeslollows:' I;;, • $E, INNING.�t a point On.pi@ a0ulYlady:.'8rde OlPtivetalioedwaY•sometimes called 'Rabbit f i Lan ',di M`in 9 Qen8f01;94Bterljh:0l,YpCtbn Eol,.90:Pet.In; a interseedon of the southerly .�'•i' Mine of said 114ata roadway with:diq:rlesteily line,0': Y Avenue: •j.; i;. t , I.. h4 RUNNING:•THENCE Sash 3e 12"40'FFa+st, 119.4:'deet to the high water line of Peconie or . . Gai:jlinersffay2 I lc>'li RU NIN.fi`;[M�MCE yw'ster)y'alo lg-tho.s$d higli wENOicAne south sr 17'weal a979 Mat to ' .Ihe� ',astaily0rieoF'Iandnow:orfoiiip¢YOf:Gosiley4 , : 1�11j, NINGJT ZNCE Nortli 34' W,10".wesl 1f0,0Yeat to the southerly fine of said private fey: I Sri!, � : R ING'7'f�ENCE oostoAyrlong'tt+e.feeaMrlY:lina:of said gdva to roadway North d6.59'60' "`•�:^ :36 fget to the p1aM'?I"f?IaCi,•bf.BEGYNNINfi.: ; SAI Prarrdses also known'as d80+Rat; it Lana.Uffei of fast Marlon.Town of Southold .fl. . t 1::r.LAK MAP". .'9E1 G3Isnd intended to be the,yame,Pazoel aoqulyddby:desd,from Frank J.Maietta and Janet +1.'09SIGNAiION 'I " Mal `na:'llts ,*1(A, dated '10/22/81:, iei"Osd 'by.A+q% Clerk of the County of Suffolk On ,7'f .' ••. ' .NON mbar a,;19at In Uber9095,Cp.395. all'd9hty'tWei and Intareat:,if:iriy;,dit !pa.4 of tffeiffiat pad in and to any streets are reads sbuthI g the i>•si. ibo,.ve s bsd prainL,ses ta,tM gruirUnii thMriof:.TQ6E1t1EA wah Ibe appurtenances and a0 the estate and ri of 1' a.f� ;�.�'; .'.•� �l�la'.dalfy.0¢I-•atiC,petnkl arldto aakJ.;pi mlfer;`QFIANE:At!ID;'K0. 4w premises herein granted unto the Dam o' Z 1. i,t :thi,eeeord:; ,tlis Mlo or aueei>isors;eM.attslgns.oftlw.piay,,of.}he seoond Pon forever. ' .I .7WD'lliq �dY1M:fi2tpaR covsnams tbM,tM,:p"eflydl lMlkaf pM!Ma not done or cueered arylhng r ninty me se:a '...: ..6aAn:eDwinit eiad In airy!way Wh*k wet::fseaPi AC.�}te'rasai0; of Ma Oil pen:In eompYeriaa'wkd'5io�bn 13 of etaiien caw.oownanls thsl the perN of the first Part wll ;� I'•.,; ,, ;laQlivi,tM daratbn for this COnYayanCa'iBnA,'vdN hokt.ttli,fl9ht,Ao tapivs each consideratron x a that Nnd to be !yppfisd`Itfet`tpp!tfN"purposs of pitying tKa ws6ol,ilib9ii1Pro4snrM ehdwkt apply the same first to the payment of lne cos: is"I 'tif tMiitnpiOJifnant befGFe usln2 any Pap'of fbe lotet:at the'aMR:TAf;aay Diner purpose. '=t+'' Ie vrord'party'shaa Ee construed as dit mad'penfes'rMrievirthe sense of Iris indenture so requires, '+' •' ;,,i . ^�1lF 1NfTN�rg YIIHfiR#OF,the party.of tM„E`rsf pair 7aa;0.uly-eiecuteSl this deed the day and year first above :IN PAESENC OF: C.MOONEY . 'aerai.... i ! MAUREEN M. MOON . i ` STATE OF NEW YORK SS: COUNTY OF SUFFOLK i, EDWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY(SAID COURT BEING A COURT OF RECORD) DO HEREBY CERTIFY THAT I HAVE COMPARED THE ANNEXED COPY OF DEED 11140 ATPAGE /a4 RECORDED AND THAT IT IS A JUST AND TRUE COPY OF SUCH ORIGINAL DEED AND OF THE WHOLE THEREOF. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED THE SEAL OF SAID 'COUNTY AND COURT THIS 1 q DAY OF � 1999 CLERK E \ DANIEL C. MOONEY, P.C. ATTORNEY 11700 MAIN ROAD P. O BOX 702 MATTITUCK, NY II952 FAX (516) 298-4998 DANIEL C MOONEY (5l6) 298-I100 JEANNE FITZGERALD PARALEGAL January 19, 1999 Town of Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 Attn: Tax Assessor's Office RE: Sect. 031, Block 18, Lot 009, Lot 010 Rabbit Lane, East Marion, New York Dear Madam/Sir: As per our conversation enclosed herewith please find a Deed of that parcel to Daniel C. Mooney and Maureen M. Mooney which has been recorded in the Suffolk County Clerk's Office on this date. We would appreciate your merging these two lots and notifying the building department of the merger. Thank you for your courtesy. Very. truly yours, Daniel C. Mooney Maureen M. Mooney DCM/jf enclosures c: Gary Fish, Building Department THE NEW YORK BOARD OF Fl ,E IfNDEMRWRITERS reef rl'IbI�N BUREAU OF ELECTR►cm 85 JOHN STREET, NEW YORK, NEW YORK 10038 pate APRIL Ot,, 149(1 Appliw.ation No.anfile b791664U/947 fl Olb169 THIS CERTIFIES THAT only the electrical equlpment a1 described below and introduced by the applicant named on the abuse application number in the promises of MOONVY,I)ANff';1. & MAOREFN, 481) RAIfMif LAN(:, VA )'f MARION, N.Y. _ in thefollowing location; ❑ Basement ❑x in Ft. El Ynd Ft. GAR/00 ,%rdon Block Lot ummexaminedon MARCH 20, 1991) andfoundtobein compliance with the requirements of this Board. mxnm Ate SYYITCIIK RXTURRS COOKING S DISH W fTAflf L OUTWS INCANDESCENT FWONESCENT I OTHER I AMT. I K,W. I Mr. I K.W. AMT. R.W. I AMT. K.W. AMT. H.P. r JA IIRYRRS 1URttACR MOTORS 1UTURR AlIUANW iNRRRS flRGALRRCtT Tpy.ggCKS MLL OMIT NRA � M1mi1-0UT{RTAMT. K.W. OIL H.P. OAS H.F. AMr. NO. A.W:a. AMT. AMP. AMT. AMR TRma AMr. N.Y' t1O 1♦TmvK!OBCONNRCT NO.OF S E R V - I C R R. I,a aw /tw t/tV/ 3XAW NO.O C�COND. OF«. .U NO.OF HFLEO ..W HO,OF NEUTRAL ODER N"RATUS: �� *NU VtStIAI fltF'fC'(S: "An electhict+l „ sl.Irvwr hits been made of the eRPoned — r1M<:Ifical rQUiPment in the. remises, irTdictl:ed. " "No obvim;a msrltisie;T,,tory condition wmi f(Mild. tr� MtYt:R,SIJOZIi,f'.NGl.f3tl,& il= FEW KII: 7N,V.C. 1 b05 KfaJAIM i'I.AG'I SAL mit mia ' MINt01_A, NY, 11501 This certificate an# not be altered in qny manner; return to the office of the Board, : IIAIWL _, 84ii 1419 THE NEW YORK BOARD OF FIRE UNDERWRITERS VA`A 1 r BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 APR.CI U6, Iv90 S021yOftti/SG, li 016I9i Date Pr�r��r� arf�g�� THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of I?AN Mlll)NF:Y, 681) RARitS( 1 I.ANi�., I;:AS1" MAF2i0N, N . Y' , in the following loratranr l l Eq BaseWnt In In Ft. tl Ynd Fl. Section Block Lot roes examined on"'A'Phi , i 4 and found to be in compliance with the requirements of this Board. NXTURE FIXTURES I RANGES lCOMON DOCKS I OVENS IDIWWMNM Aw — "T.OUTLET{ ACLESSWTCXES INCANDE%ENT FLUORESCENT GTNER AMT. K.W. AMT. K.W. WT. K.W. AMr. K.W.DRYERS FURNACE MOTORS PUTURS APPLIANCE IRRORK SWJALMM+T TUARCLOOKS Rlll UNIT NRATRRS MUL11+OUTIETmt. K.W. OIL N.F. GAS X.P. AMT. NO. A.W.G. "T. AMP. AMt. AMPS TRANS. AMT. N.F NO.OF PUPUTSERVKB DISCONNECT NO.OF S E R V 1 C E AAV. TWt INTER 1/tW1/Tv7/3W ]X1\V NO.OF CC COND. A.W. NO.OF H4LEG .G. NO.GF mUn1AL EOUI►. rER/ CC. OAF-.W,-IEO Of WXNAL U. OTHER APPARATUS: - --- — V— IF 1 OANft:L 1:. MOUNEY 89 NFR911INf AVf . L.0('W) f VALLEY, NY, 11560 OlIRAlEM11A8lR Per Q This certificate must not be altered in any manmp return to the office of the If:.' _s m"" b '•. ' ' . �o�og�FFoc,��oGy Town Hall, 53095 Main Road Fax(516)765-1823 P.O. Box 1179 0 • Telephone (516)765-1802 Southold,NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C. A.T I O N -" DATE: t( 6-J w a: r Building Permit No. r owner: PM1 r GC d l� Pea�(/iaoid ,.` (please print) Plumber: ��Tr� Qti iJv+sB«/G (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this q Q day of { � 19 1 U Notary Public, County JEAWE MMEMD 1 7 Pul.of Slate of NawYak Jaw- Plo.O510.1t45C1 Canndssian EKrVaa iktoCYar 11�8°�"'� AFFIDAVIT STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) DANIEL C. MOONEY, being duly sworn, deposes and says: 1 am one of the owners of 480 Rabbit Lane, East Marion, New York. I submit this Affidavit to the Building Department of the Town of Southold in order to secure a Certificate of Occupancy for that premises. I was the person who built the residence and who insulated the same. My recollection is that there was a full insulation inspection prior to the house being sheetrocked and the floor underneath the house being enclosed. 1 represent to the Town of Southold that the house is fully insulated and that the walls have insulation with a value of R-19 and the second floor ceiling and the floor under the first floor has insulation with a value of R-30. The house was built in 1985 and,hence, I do not have any records with respect to the purchase of the insulation. WHEREFORE it is respectfully requested that the Town issue the Certificate of Occupancy for the premises. DANIEL C. MOON Sworn too before me this day of January�1999 NOTARY PUB I ' JEANNS E X9 Notary Puwc,state of NOW Yak No,Ot F15034554 Quoliliod in SuVok Counly Commission EX00s Qcwbu IT W,6(1 " ZA IF Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 11�r 0' DATE: ..2/28/96 iy w k. ISSUED TO ....DANIEL...C.-MOONEY. 0 A Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance an- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the sly REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 2/28.196 19 96 , and in consideration of the sum of $ 150.00 paid by Daniel G. Mooney... of .....East Marion N. Y. and subject to the try q` Terms and Conditions listed on the reverse side hereof, al of Southold Town Trustees authorizes and permits the following: III 1 Wetland Permit to construct a foundation, septic system and well for the placement of a house that was removed from Bay sid" of Rabbit Lane, and also a 301 non-turf/non-fertilized buffer be Ctl placeA- Wavarearafiti m4ArAatl6tAv&specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a nI of the said Board as of this date. Apl so C= V3 ............... Trustees .......... IN MY MILT' SMTF DEPA'2Ti'!1L'I Off' FTIVIROivROMI, COPISIMI MTION Regulatory Affairs Bldg, 40, STYN - P,00m 219 Stony Brook, New York U794 (516) 751-7900 TZOBM- V. FLAM Commissioner As a result of your r� Encerning the above referenced parcel, this Department has conducted inspection o t 7e have found the parcels Ems) tGo, be + �ti\(� 1^��(l_h- ` UC F u c C' 4h0 Y Ell Y\ I p (�F \0��1 Tfierefore�pursuan' to�PaSrtal�t al of Codes, Rules and Rernu.ations of the State of Nev York, Section 661.4(b) , no permit under A ticle '25 (Tidal wetlands) of the Enviromontal Conservation Law is required. Very truly yours, DANIEL J. T,FIRKRI Regional Permit Administrator D-TL/cr 01 �� COMMENTS FIELD INSPECTION DATE -" J iAa yAve� FOUNDATION ( 1st ) L Sf Y�C/iJ - c � FOUNDATION ( 2nd ) ecoi 2 . l oo 6�4 A-, � s �vv J +bu sib EewfitU FL r o ROUGH FRAME & 5frµ,, � w L aV0� �cLo0fr— o PLUMBING rPl"�C 0;� S Vick Nrdi 3 . m m H INSULATION PER N . Y . icl�_, STATE ENERGY CODE r m H 4 . FINAL - m � ADDITIONAL COMMENTS : X x 'ti tr a y M, o � z • s m a ' r H m 'd H LfTZ JUL 1 71985 RICHARD L. HEIMER P.E. , LICENSED BY THE STATES OF NEW YORK&NEW JERSEY ENGINEERS, CONSULTANTS, BUILDING INSPECTORS NASSAUCOUNTY NEW YORK CITY EXECUTIVE OFFICES 221 MIDDLE NECK ROAD 370 SEVENTH AVENUE THE HEIMER BUILDING-ROUTE 110 GREAT NECK,N.Y.11021 NEW YORK,N.Y.10001 1923 NEW YORK AVENUE 516487-2100 212-8634777 HUNTINGTON,N.Y.11746 510_649-2500 WESTCHESTER COUNTY BROOKLYN 69 COURT STREET WHITE PLAINS,N.Y.10601 198 COURT STREET 914428-8888 BROOKLYN,N.Y.11201 71"87-7777 ROCHLAND COUNTY 24 HOLLAND LANE July 5 , 1985 MONSEY,N.Y.10982 914-894-8861 NEWJERSEY 201992.1669 REPORT ON NEW HOUSE STRUCTURE at Rabbit Lane East Marion, New York On Wednesday, July 3, 1985, an examination of the the home at the above address was made on behalf of Daniel Mooney of 89 Pershing Avenue, Locust Valley, New York. The purpose of the examination was in regard to some deviations from the original plans for the house and the structural integrity of the repairs made to correct problems. The inspection and evaluation ;of the new house structure repair effort was performed by the firm of Richard L. Heimer, P .E. , P .C. with offices in New York City, Brooklyn, Huntington, Great Neck, Monsey, and White Plains, New York. Richard L. Heimer, P .E . , P.C. is a consulting engineering firm professionally incorporated in New York State which is actively engaged in providing con- sulting engineering services to home and building owners, architects, and attorneys concerning new construction, reconstruction, rehabilitation, maintenance, corrective work and upgrading of homes and buildings. During the past 25 years the firm, its president and engineering staff, have inspected and evaluated over 18,000 buildings Page 1 of 4 MEMBER NEW YORK STATE SOCIETY OF PROFESSIONAL ENGINEERS MEMBER NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS Mooney 7/3/85 66325 for prospective purchasers, owners, attorneys and other interested parties. The President, Richard L. Heimer, is a Licensed Professional Engineer in New York (License #43882) , as well as in New Jersey (License #GE 21629) . He is a graduate engineer with a Bachelor of Science degree from the Massachusetts Institute of Technology ( 1956) . He also is a graduate of Polytechnic Institute of New York where he received his Master of Science degree. He has 26 years experience as an engineer, estimator and inspector for construction projects ranging from single family homes to high-rise apartment houses to industrial and commercial buildings. Richard L. Heimer has lectured for the State Univer- sity of New York at Stony Brook, the C.W. Post Center of Long Island University, Hunter College, and the New York State Society of Professional Engineers. His experience and background have enabled him to qualify as an expert witness in hundreds of civil trials in state civil, state supreme and federal courts. Numerous articles about his work have appeared in local newspapers. He has also been interviewed on radio and television providing commentary and opinion. Richard L. Heimer is a member of the American Society of Civil Engineers, The New York State Society of Professional Engineers, The Institute of Electrical and Electronics Engineers, and the National Society of Professional Engineers. R. L. HEIMER, P. E. , P. C. Page 2 of 4 Mooney 7/3/85 66325 OBSERVATIONS The inspection was conducted in all accessible and observable areas and our specific findings were as follows : 1 . The east living room wall was originally called out in the drawings as a continuous 2x6 extending from the floor to the roof rafters (approximately 18 feet) . However, during the construction this was changed to three 3x12 headers which was the typical of the construction utilized along the balance of the walls. This created somewhat of a problem. To provide the proper support, an additional 2x4 has been added along each stud tied in with 2x4 braces. The new member is further anchored into the rafter above. Thus, providing a continuous member. We certify this as an acceptable repair alternative to the plans. 2 . The top plate on the 2x4 ' s on the studs were finished with a single 2x4 on the bearing walls. The original plans called for two 2x4 ' s. As an alternative a 2x4 has been added between each stud and an additional 2x4 was sandwiched in on each side of the original stud to provide support to the secondary cap. Thus, making the overall wall stronger by tripling up on the studs. We certifiy this as an acceptable repair. NOTE : Unauthorized reproduction or alteration of this report or any part thereof, without express written permission of Richard L. Heimer, P.E. , P. C. , is a viola- tion of State law and is prohibited. Copies of this report not bearing the Professional Engineer ' s original inked seal or embossed seal and original corresponding R. L. HEIMER, P. E. , P. C. Page 3 of 4 Mooney 7/3/85 66325 signature shall not be considered to be a valid true copy. No part of this document may be reproduced or copied in any form or by any means, electronic or mech- anical, including photocopying, recording or by any information storage and retrieval system without permis- sion in writing. t' N R. L. Heimer, P.E. sFo„ao, nseeNP�+v Consulting Engineer AOFe sto President, Richard L. Heimer, P.E. , P. C. RLH/ja cc: attorney (Enclosed) Address all correspondence relating to this report to: R. L. Heimer, P.E. , P. C. 1923 New York Avenue Huntington, New York 11746 Include the report file number ( in upper right corner of this page) for reference. R. L. HEIMER, P. E. , P. C. Page 4 of 4 Town Hall, 53095 Main Road y Fax(516)765-1823 P. O. Box 1179 W Telephone (516) 765-1802 Southold, New York 11971 CP ajo� � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 24, 1998 Daniel Mooney 89 Pershing Ave. Locust Valley, New York 11560 Re: Building Permit # 12988-Z NEW DWELLING Premises : 480 Rabbit Lane, East Marion Suff . Co. Tax Map #1000-31-18-10 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284 , it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. TEL. 765.1802 FU(/( TOWN Or SOUTHOLD OFFICE OF BUILDING INSPECTOR ,} 11.0. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 This is to advise you that the job under building permit no . 12988Z issued to Daniel Mooney on 4J9/84 for New Dwelling is completed and a Final inspection has ( ) has not ( x ) been done . In order to complete this file , it is necessary that a Certificate of Occupancy be issued . Please fill out the enclosed form, return same to the above office with a check for $25 .00 paynble to the Town of Southold . Please indicate to Whom the Certificate of Occupancy is to be mailed , and arrange with this office for an inspection date . Occupancy or use is unlawful without a Certificate of Occupancy . Plenne. help its to clear up this matter so that legal action does not have to be taken . Thank you for your prompt attention . Very lI truly your / .1 C — t/yo Gt� Victor Lessard Executive Administrator VF. : 1,ar encI �_A*l�_Aldl I I ! W7 `7772 FIST �bn —7--1 - Board Of Southold Town Trustees SOUTHOLD, NEW YORK 0. PERMIT IN 41, DATE: ..2./28/96 ISSUED TO ... ..DANIEL_& MAUREEN MOONEY_ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- I titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ;" and in accordance with the LANDS UNDER TOWN WATERS e Resolution of The Board adopted at a meeting held on 212.8/96 ,96 and in consideration of the sum of $ 150.00 paid 6 19 y Daniel Mooeny. of .. Mattituck N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to move an existing house at 480 Rabbit Lane W ](from B-ay side) to across the street (onto Lake side) property with condition that cesspools (on Bay side) be pumped and capper I& no ose de0brr a cc jasnbewli n J' e Afside A ce I a a in a AtfRe eioffecft e0i ions 1i presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these Presents to be subscribed by a majority of the said Board as of this date. crnig- ............ tees ppw- AfP2- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 'FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 1 s� y"� GW I Y-;rz DATE INSPECTOR 2 7W-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] i ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r DAT INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 q J TEL.: 765.1802 Examined . . .`i� ^�. . .l . . ., 19 Received . . . . . '19 .Y 00 q . . . . . . . . . Approved . . . . . . 1 . , 19��. Permit No. �.�cl � � � Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cl2� •, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT / Date . . . .130. . . . . . .. 19f�`Y INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued 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 building for necessary ' ections. (Signature of applicant, or name,i corporation) S-. . . .. . . . •dG 1� dE . xadi . . . . . . . . . . . . . . . . (Mailing address of applicant) �� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0hJn/ E2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . Ad i E L 0:. • 9- (V 0 J K Ems,J pn tie oo.v . . . . . . . . . . . . . . . . . . . . . . . . (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. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . n 1. Location of land on which pro work will be don . 2 Q T- � ' A4 .Aen a.J- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4- d. . . . . . . . . . . . . . . . . . . . .- . . a - >. . . . . . .y. -. . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . 3. . . . . . . . . Block . . . .�. . . . . . . . . . . . Lot . . . . .° d. . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . t- v9w b. Intended use and occupancy . . . . E. S! .D.cw "T-. fit- ( XA,-t-r/c 3. Nature of work (check which applicable): New Building . . .}.f.. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . A (Description) 4. Estimated Cost . . . . a S... ..O . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) J 5. If dwelling,number of dwelling units . . . . J. . . . . . . . . . Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars . . . . . ( wF_ 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . .!'✓. !.`r' . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . .`.(. . . . . . . . . . Rear . . . . .F Y . . . . . . . . . Depth . . . ."t o. . . . . . . . . . . . . . . Height . . . .4.(�. . . . . . . . . . . . . . . Number of Stories . . . . 1 . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . //-. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .S.�?. . . . . . . . . . . . . . Rear . . . . ?�. . . . . . . . . . . . . . Depth . .�C� `. . .lam. '. . . . . 10. Date of Purchase . . . .(.5.fr-A .•. . o fir. . . . . , , . . . Name of Former Owner . . 114.E i~T.d. . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . 11/?. . . . . . . . . . . . . . . . . . . . . . . I . 13. Will lot be regraded ;. , , , , , , _ . . , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .0t et!-I!f 'w!!l . . . Address . &?. P�f!{'^ c qdG Phone No. . .4 Name of Architect . .(��ucF t a Ac�K rtc . , , , , Address .KAffrT:'4!�%P Y Phone No. . L?!. �A ? 6K uJ♦„✓k Name of Contractor . . . . . `J. �. �. . . . . . . . . . . Address . . . . . . . . . . . . . . . . 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 description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW yORK,✓ S.S COUT OF . S. . .`. . . . . . . . . . . y • • • • • • • • . . .. • . `•... . © . . / . . . . . . . . . . . . being duly sworn,deposes and says that he is the applicant . . . . . . . . . . . . . . . . (Name of individual signing contract) above named. Heis the . . . . . u. .w�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I. . . . . . . . . . . (Contractor,agent, corporate officer,etc.) of said owner or owners, and is duly 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. Sworn to before me this / . . . . . . . . . .. . .. . . . /. . . . . .(laJyo . . . .�!1 MI/LGIF 19 . SY Notary Public, / . . . . . . . . . . . . County. . . . . . . . . . ( SYLVIA K. ROUSE NOTARY PUBLIC,Sbtl.aI N.,.red . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /aK.a cwar (Sigma of applicant) E.IIIMON 1AFM RIIPB 1% 104 I --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. THIS INDENTURE, made thelillyday of January, nineteen hundred and ninety-nine BETWEEN DANIEL C. MOONEY, 89 Pershing Avenue, Locust Valley, NY 11560 party of the first part, and >> 1 -- I DANIEL C. MOONEY and MAUREEN M. MMNEY, his wife 89 Pershing Avenue, Locust Valley, NY 11560 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, parcel of land with the buildings and improvements thereon erected, situate, lying and being at East Marion, Town of Southold, Suffolk County, New York bounded and described as follows: BEGINNING at a point on the southerly side of Private Roadway, sometimes called "Rabbit Lane", distant in a general easterly direction 451.24 feet from the intersection of the southerly line of said private roadway with the easterly line of Bay Avenue; said point of beginning being the northeasterly corner of land of Florence Maney; RUNNING THENCE along said last mentioned land South 340 12' 40" East, to the high water line of Peconic or Gardiners Bay; THENCE westerly along the said high water line a distance of 50 feet; THENCE North 34' 12' 40" West, and parallel with the first course herein described to the southerly line of said private roadway; THENCE in a general easterly direction along the southerly line of said private roadway 50.36 feet to the point or place of BEGINNING. TOGETHER with all the right,title and interest of the party of the first part of, in and to the land under the waters of Gardiner's or Peconic Bay adjoining said premises on the south and together with a right-of-way over said private roadway running from the premises to Bay Ave. SUBJECT TO an easement in favor of the owner of tax lot Sect. 31, Block 17, Lot 11, his or her family and guests for pedestrian ingress and egress over the westerly eight foot of the subject premises from Rabbit Lane to Gardiner's Bay. BEING and intended to be the same parcel acquired by deed from Fred C. Anderson and TAX MAP Sheldon F. Goldstein as executors of the Last Will and Testament of William J. Crowley who DESIGNATION died a resident of Nassau County on 12/31/87, dated 12/20/88, recorded 2/2/89 in the Suffolk Dist, 1000 County Clerk's Register's Office in Deed Book 10792, page 256. Sec. 031.00 Blk. 018.00 Lot(s): 009.000 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 lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND 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 part covenants that the party of the first part has not done or suffered anything whereby the 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 that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to 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. Y` IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above 4 written. i,, IN PRESENCE OF: 4a6!DANIEL C. MOONEY 24183 11940PC129 REcENED 0t� �<!� Number of pages t3 REAL EeaTATE TORRENS JAN 19 1999 �tr ,, Serial# _ TRANSFER TAX Ccrtjf'ate# SUFF&KdOUMIY Prier ctf.# 24183 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 FEES Page/Filing Fee �_,— Mortgage Amt. _ Handling 1. Basic Tax _ TP-584 S 2. Additional Tax _ Notation Sub Total EA-5217 (County) Sub Total -I Spec./Assn. i EA-5217(Blatt) .,_ or — / Spec./Add. R.P.T.S.A. _._ O ,�y TOT. MTG.TAX _ Comm.of Ed. 5 . 00 i� Dual Town Dual County „ Held for Apportionment ? <. Affidavit a v s9 Transfer Tax , MO INDQPQ' Certified Copy _,! v/ Mansion Tax _ The property covered by this mortgage is or Reg.Copy will be improved by a one or two family Sub Total _ ,V dwelling only. Other YES or NO — GRAND TOTAL �� If NO, see appropriate tax clause on page # of this instrument. 5 Real Property Tax Service Agency Verification 6 Title Company Information ,jai• ' v+;` Dist. Section Block Lot •lAfitiaa < 1 Stamp �. 00 0 C c'7C> Company Name D` c� Ini[ia ( ( Title Number 8 FEE PAID BY: �1 ` 12 (- � Y1R-C t; ev tzy Cash Check Charge U J v Payer same as R &R \ (or if different) (h ♦ .r 7- t T-v C t C /1/ q J NAME: •�at) f C YLti a c� ADDRESS: f I c (LL ✓f< A) t2 Q 7 RECORD & RETURN TO {7. �} 1 � M p}.F t- t-rtr t V rv /i9l?t (ADDRESS) 9 Suffolk County Recording & Endorsement Page This page forms part of the attached \ ) '+?/--a made by: (SPECIFY TYPE OF INSTRUMENT) A The premises herein is situated in SUFFOLK COUNTY,NEW YORK, TO In the Township of 14-wt i n -0 -ooc'r7 t<— ( /4'1d ti /t/ VP ` In the VILLAGE or HAMLET ofIVAl BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-010/..MMcs SUFFOLK CO. HEALTH DEPT. APPROVAL Y H. S. NO. (�f =ps'.(Vcr{ ,fit" t-oci�'j ft nr •S _ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE All? SUFFOLK CO. DEPT, OF HEALTH SERVICES. r IS! APPLICANT `X SUFFOLK COUNTY DEPT. OF HEALTH lj T U �✓'v�lC', _ii^ ::. :i..:'.' tfiz_:�f t`i.`. . " t! SERVICES — FOR APPROVAL OF CONSTRUCTION ONLY DATE: avesra e bac «r j� H. S. REF. NO.: ly" b S + i House wifhir+ aco APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: ti� y r.o i DIST, SECT. BLOCK PCL. is 10 OWNERS ADDRESS: m i'+:` y .•r ?.1 :. Silo_- 1-roc- , DEED: L.4 :t ? P. CD-4 (rae ` y' TEST HOLE STAMP }I r TD THIS AIIf#U UN(,� y0 THIS S�SY:.Y IS rO -'�l I "' SECTION 7209 OF TV -u i - jEDUCATION LA','; rop!-s OF Ms 18t LARD - TO 3£A V A ry 0 / ' GUARAh'a`E'cS RariftR;l9 Y�v.-,tL - PNLY TO THE IS PREPARTD, AU O" KrS NC.I jiT's GOidPAtiY. OYEttia.CN-A1. :G S }ENDING INSTITUTION USTEC P_V£C;, l TO THE ASSIGNEES Or THE 4LNDVlU In. TUTION.GUARANTEE) Aal 1,OT TPAIllf- J TO ADDITIONAL fH,nl ,- + , .,v ax. OWNTR. SEAL l ,t .L RODERICK VAN��TU L, P,C. ,%eL� f..�...r. rB �(A LICENSED LAND SURVEYORS GREENPORT NEW YORK N22035 SUFFOLK CO. HEALT14 DEPT APPRdVAL11 �P;3' t� ! H. S. NO. 14.-,-Q=65 I . : 1 l STATEMENT OF INTENT S� cC E. - �' ��` �[_ C:r=j_= f~� THE WATER SUPPLY AND SEWAGE DISPOSAL - -- -- -- � ;. t� _ _ - - -- y ��� ` 'F Yci% F '�X� SYSTEMS FOR THIS RESIDENCE WILL �,,, �w4•• 1� }ft Ji �' �ri � 1 1i 1,4 CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. ! �'� / �a /� � ' (S) APPLICANT �} 2 35± y ,� '' � APP I i) TO'vwgl ,�_ Ck..i�f 1t_ice, ;`�.y. SUFFOLK COUNTY DEPT. OF `k#E.O�( T �i � SERVICES - FOR APPROVAL ' OF '- 3 ! CONSTRUCTION ONLY P t DATE: w�E+a TO ' H. S. REF. NO.: APPROVED- 3 ; �l 7 0 ;' 2-57DF2Y t SUFFOLK CO: TAX-MAP DESiGt+Al'i 1 ,, ( ! FRAME'! DEBT_ SECT. St OWNERS ADDRESS: " �. _ t� tlttrr �trc+s il' •t ' � __ f tJ y M,reltr, Y. f .."``'—•f .... �t7r ""----� #iC7 • 4 hriaa+rs r DEED: P. 53� x ` , ` n t'"J TEST HOLE STAMP �W J]�-1 9UY�O e1M rk rY' ZRnm, ^ B ` ��ti-r -c 1ssUrvey md9nd h^a n ' _"`•._�� c"� a Uzi!># -'s f# �' -`.r•f^' e „15 ry2y01�Ifll(('(�5@210f V _ __ W�,¢�� pp�� II em ea soel shBOrotba cons do•�•t `�'•..� 'g. ? "�"� __ "+tarj� a.S -i- —.-y -�- • �P� f C._ mr�vsM orocmtw Etna Versono brrmom trA:..,,ay / ' �` pr,d r entlonh G Fo•rn t t K b.y D+Se•N .. �} 9100 5-ybnof c�ra vEz( SEAL , „ MA 2 of vElf ccwwr«trt�e f to NOV fl �t9�d, 19943 .� _. ..�� 6rlde B rH#—Sovrn!qs Sank,' rveErl C3cf: :Y>,;c3 .r. y A ROPERICK VAN 1U4YL,P.C. JI 1 7f: /'� / V .Gs�-• Y w{..�{� '� ��E n. l " LICENSED LAND SURVEYORS i" OREENPORt NEW YORiC 161P0YNF K1F N2M4 m �W tiJ F��„II� �'•. `�FJ�u.l M�I��Or� ' B.P. $ pypy Mpg FEE: C�8,90 BY : U.G, L. OF OCU ANCY NOTIFY B11ILDING DEPARTMENT AT , 765-1802 9 AM TO A PM FOR THE FOLLOWING Wti PECTIONS: 1. FOUNDATION - TWO REQUIRED FOR PnUREr) CONCRETE If copper tubing is useck 2. ROUCH - FRAMIW', ". PLUMBING for water distributing 3. INSUI_AT!IN shall be 4. FINAL - r•.nN'q ""(— MN MUST - system, piping BE C^MPl rTF FOR C 0 of types K or L only ALL CONSTPtICTION SHALL MEET THE Rr( IOIPEMEN75 OF THE N. Y. -c.a.P S.ulle�i� . STATE CONSTRUCTION 8, ENERGY CODES NIT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. I-pLL c W/ ytki� {� lq:�i•�� �U71Naw'Y�>. �-YO Ike P'OU64+ V D '�-PALL pallLbfNf� �V4. PN tCP t[C-LeV- �,a FZ- D ! 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