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27933-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29675 Date: 08/29/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 325 FOUR WINDS CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13 .33 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 9, 2001 pursuant to which Building Permit No. 27933-Z dated NOVEMBER 28, 2001 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 SINGLE FAMILY DWELLING WITH A COVERED FRONT PORCH ATTACHED TWO CAR GARAGE & REAR WOOD DECK AS APPLIED FOR. The certificate is issued to ANTHONY & HEDY LAVIOLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0214 08/20/03 ELECTRICAL CERTIFICATE NO. 1052140 10/15/02 PLUMBERS CERTIFICATION DATED 07/17/03 BAY BELL PLUMB.& HEATING ---.-4 / _/14� uth ize Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27933 Z Date NOVEMBER 28 , 2001 Permission is hereby granted to: ANTHONY & HEDY LAVIOLA 21 PALERMO STREET HICKSVILLE,NY 11801 for NEW THREE BEDROOM SINGLE FAMILY DWELLING WITH A COVERED PORCH AND TWO CAR GARAGE THAT HAS UNFINISHED SPACE ABOVE AS APPLIED FOR W/PLANNING BD. AP at premises located at 325 FOUR WINDS CT SOUTHOLD County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 033 pursuant to application dated NOVEMBER 9, 2001 and approved by the Building Inspector. Fee $ 1, 393 . 20 Authorize Signature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 9n This applicat o ran be file to by typewriter or ink and submitted to the Building Department with the following: A. For,new building or nej use: --9. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$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 Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 /) 7 1� �/ pt New Construction: ^� Old or��P��re//-existing Building: Date. (check one) a�� Location of Property: 3cl r Fo qlf WIAM5 C t You House No. Street / Hamlet Owner or Owners of Property: ��l/�d/V V Z ,,�0 C,4 i Suffolk County Tax Map No 1000, Section Block Q Lot Subdivision ^ A� � f/0A_j Filed Map. Lot: Permit No. C3 3 Z Date of Permit. o Applicant: An//�.� Aye Health Dept. Approval: yes Underwriters Approval: y S Planning Board Approval: _ 7`3 Request for: Temporary Certificate Final Certificate: V"� (check one) Fee Submitted: $ S 0 Applicant Signature F_o_c, 6 5 71 C 7...5 l] cncPr�rJr ncnrJ��l�Irlar�cPcn�nrJ�rJ�c nrJ�rJ��nc nrJ��lcnr n�lrJ�cPr�rJ@nrJ��l� 210i 2 2 2 2 111!::! IcP clcn�l�lrJ�lrJ�rJ�lrJ�l acnr lrJ�rJ�I 05 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 rCj 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S Upon the application of upon premises owned by 5 5 BRIAN BROOKS ELEC. INC. TONY LA VIOLLABOX 1001,455 c5 CUTCHOGUE, NY 11935,19355, HIC SVIL E , NYSTREETMO 1801 55 Located at 4 WINDS COURT ANGEL SHORES SUB DIVISION SOUTHOLD, NY 11971 5 5 Application Number: 1052140 Certificate Number: 1052140 Section: Block: Lot: 31 Building Permit: BDC: NS11 C7 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: C� 5 Basement,First Floor, Second Floor,Attached Garage,Outside,Attic, 5 5 5 55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 15th Day of October,2002. 5 5 Name QTY Rate Rating Circuit Tyne e5 rj Alarm and Emergency Equipments 5 Sensor 1 0 Carbon Monoxide 5 5 Sensor 7 0 Smoke 5 Appliances and Accessories 5 5 Exhaust Fan 3 0 F.H.P. Hydro Massage Tub,Residential 1 0 5 Furnace 1 0 Oil 5 5 Air Conditioner 1 0 24/000 BTU 5 5 Air Conditioner 2 0 30,000 BTU 5 5 Panels 5 5 1 100 6 5 5 Wiring and Devices �5 Receptacle 52 0 General Purpose 5 5 Switch 65 0 General Purpose 5 Fixture 58 0 Incandescent 5 5 Fixture 4 0 Fluorescent 5 5 Paddle Fan 1 0 seal 5 5 Receptacle 1 0 20 amp Laundry 5 5 Continued on Next Page I of 2 S 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. LCJJ 511 5 IR fatJ�rJ�rJrJrJ�cPrJr�rJ rJ�rJ�PrJ orJ�rJrJ�rJcJrJrJr1rJ�rJrJrJ�rlorJr�PcPrJ�rJ@fartcPrJ�cPcP[JrJ�rJrlrJ�rJAJrJrJ arJ�rJ�cJrJ�rJcPrJ�rJrJr fac PrJ arJrJ a [7rrPLPL JPrJ�rJ'rJLPLTr3rJ�rPLPLPLrL3il0rjMM a jMMjrM a'rJ@PrJrJ�r�rJin�lr�cn�lrJ�cr�liJ�rJcPcnr�rJ�rri IrJ�cncPrJrJ�IAPrJcnclrJ�PLPLrQEI 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 t.] CERTIFIES THAT Upon the application of upon premises owned by CeSU 5 BRIAN BROOKS ELEC. INC. TONY LA VIOLLA 5 5 BOX 1001,455 BEEBE DR. 21 PALERMO STREET 5 5 CUTCHOGUE, NY 11935, HICKSVILLE, NY 11801 5 Located at 4 WINDS COURT ANGEL SHORES SUB DIVISION SOUTHOLD, NY 119715 5 Application Number: 1052140 Certificate Number: 1052140 5 5 Section: Block: Lot: 31 Building Permit: BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Attached Garage,Outside,Attic, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 15th Day of October,2002, 5 Name QTY Rate Racine Circuit Type 5 Receptacle 1 0 30 amp Dryer �5 5 Arc Fault Circuit Interrupter 3 0 15 amp 5 5 5 Receptacle 8 0 GFCI �5 Service 5 55 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 5 Meters: 1 5 5 5 5 5 5 5 5 5 seal 55 5 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 0 LPLrc.r'r3PL r3rL3Q 3jMjrJ'rJ�t.PrJMjM jMffl JrJ�PtJrJ�r1rP�fotPrJcPrPrJrJ�rJrJ�rJ�rSrJrPrJ�tJrJrJ�cPcPcJ�rJrPr1cPrlcPrJ�rlrJrJrJrJ�rJ�r�rJ�rJ� o 07/18/2PP,3 15: 43 5167315238 PAGE 02 �t311Ff0(,� Town Hall, 53095 Main Road ' Fu(631)765-9502 P.O.Box 1179 Telephcne(631)765-1802 Southold,New Yock 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLI CERTIF CATION Date:_� �0 3 Building Permit No. _ Owner, _ An/uC (pie e print) Plumber: &0( ( zk/// (Pleasc print) I certify that the solder used in the water supply system :ontains less than 2!10 of 1% lead. (Plumbers Signature) Sworn to efore me this H __ day of 2002 Notary Public, hIv 46111 County s r a:-lu of Yew Yolk i._ �� liu.C1FE4510268 0u24fied in Suffolk Co n -� Ccmmissian&pirex ANTHONY LAVIOLA 325 FOUR WINDS COURT SOUTHOLD NY 11971 February 1, 2003 TOWN OF SOUTHOLD BUILDING DEPT. BUILDING DEPT P.O. BOX 1179 SOUTHOLD NY 11971 Attention: Georgia Please be advised that the construction on my home is under-way, and, the Building Permit#27933 Z, was issued on 11/28/2001. 1 am requesting an extension of six months, which will extend the construction to 11/28/2003. Please send correspondence for Anthony LaViola 21 Palermo Street Hicksville NY 11801 Thank you for your cooperation. Anthony LaViola / G�% 1112- 793 .3 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: it /A/01 I ` .DATE SUBMITTED:i( /g_/O1 APPLICANT NAME: F.,a`V tc�P. SCTM# DISTRICT: 1_,000 SECTION: 00 BLOCK:_ LOT:_[5.s3 STREET:Lm#-3I rrwe GJi ups aver �N � c� ���� /l ° TTY: cb�D "DIV. NAME: ZS 3k;P PROJECT DESCRIPTION: ✓E,✓ w 4 �26k-611 L ARCHITECT/ENGINEER:--z;r-,w44,, FAST TRACK? A/o SINGLE& SEPARATE CERTIFICATION-REQUIRED? .tlo NOTES: Atr�z 5fYalez� LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Mefga.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: A-C CONFORMING? c/a REQ. LOT SIZE: >oOc"�' ACT. LOT SIZE: �'9�5 REQ. LOT COV. Qb% ACT. LOT COV. `I'o REQ.FRONT So PROP. T- -)NT�65' REQ SIDE 15/,5!5 ACT. REQ.REAR Sb PRGr R .+:70' WATER FRONT? DESCRIPTION: PANEL #: AG 7 FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW _ PROVALS RE UIRED: SUFFOLK COUNTY HEALTH DEPT YES r NO, (BED#): pTE: /0/l6 /" PERMIT#:R10-a/ d a'/ NEW YORK STATE DEC: PgE-nEc 9/Ins YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: CKPO TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY�:(YP�abRNO : +11$ EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) LIGHT (SQ. FT.x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- HAVE PRE CO'S : Y OR N BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: /��iR SF FIRST FLOOR : �,. 29� SF SECOND FLR :�SF INIT OTHER TOTAL TOTAL: I SF FEE FEE FEE 'OT( SF)-( ��SF)=�'1y�SF X$ . 50 =$/� 3 +$ I +$ _$ 23 INFORMATION IN REGARD TO APPROVED SUBDIVISION Name of subdivision J�oreS SCTM# 1000- Subdivision approved by Planning Board on J o/\ I 0 T 19 95 Subdivision filed in Suffolk County Clerk's Office 23, 9 9S Zone at time of approval Current zone C 19 Re Date zone verified Clustered subdivision: Yes_ No Covenants and Restrictions filed for subdivision: Yes No (see below/attached for details) Building envelopes shown for individual lots: Yes No—&_ If No, set-backs for all lots within subdivision: Front ��' Rear 5_0 Side yard_-T a 15� 0.6 3o�h site YAnt�s _ 35 a44(o Jt G, DitiW l Comments: � ec eO pro� Map ,c� clay c toyv o __ �p�1PM S QM GI t e S�tt�r--� ow Jiz CaN Ser ucLA j j?rA� c�ear �N$ tP r;c� laws anr� o�l�er '('PS�r'�C-�iaNS ) \\ m Sc\ ter �C �b�s � �- C 3114h_7 1NERGY CODE CALCULATIONS (For Non-Electric heat) Design Criteria G , 000 Degree'.Days O.A. 10°r• I . A. 7U°r• FOR: fy h 7h 'hy � 5 �o/r PER: A rr/ sy s ad-/`i+// Aly OA'PED: Rfc .3- -2S-- O ' SU13SYSTEM AREA DESIGN '1'RE,RMEL REMARKS 'lull RA'Z'ING ExLeri.ur. Walls (Opaque) 210/ OS t Zfc2 Glazing l Si E L(2U 3 `IL yr a pug / Doors 2.3 Ceiling/Roof (Opaque) 12 Z/6 v5 0 Skylights i 12 3S S Floor 2 6v OS 0 Foundation Walls Slab Insulation TOTAL Notes: Building Envelope Systems to meet requirements of 7015. 2 I1VAC Equipement to meet- requirements of 7U15 . 11 NVAC Systems to meet- requirements of 7015 . 1`2 Duct Systems to meet- requiremeiiL-s of 701.5 . 1.3 VenLilaL-lous SysL-ems to meeL requirements of 7015 . 14 lusulal'lon of Piping Systems to meet requirements of 7015 . 15 Service Water Heating Systems & EquipmenL to meet requirements of '1015 . 21 ElecLrlcal & LighLing Systems & EquipmenL- to meet requirements of 7UJ.5 . 31 To the best of my knowledge, ,IEOFNEW belief, & professional ;"E .ce . ryv9 judgement, these plans are in compliance wltlt the code . W 2 0322;;41 aG� 9vfESSIOIO�, 31 -Z °/ M-1802 BUILDING DEPT. INSPECTION [ C,,r FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNE,yY REMARKS: _fit DATE l �Y INSPECTOR BUILDING DEPT. INSPECTION [ ] F ATION 1 ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: f DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L Ll DATE INSPECTOR 4,47,,,(42 M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH BG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ J FIREPLA & CHIMNEY REMARKS: A.n�ntiC� — DATE ? D INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] F ING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: ' L DATE ®� INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1 ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 1 REMARKS: !✓. '- u.� �s DATE :� �� nLINSPECTOR /�� M-1802 BUILDING DEPT. INSPECTION [ ] FOSMIDATION i ST [ ] ROUGH PLBG. [ vj -FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: P A� DATE INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;:N--AL SULA N FRAMING [ [ ] FIREPLA REMARKS: :.CHIMNEY E�✓T DATE INSPECTOR -733- 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ' 1 / / Mr 1 ,11, I I: �I _ �1�11 An wa Mm - - TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDINC,rt DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 2 ?g33 27 Check Septic Form N.Y.S.D.E.C. Trustees Examined %/ $8- ,20 0/ Contact: n // Approved 1"128 200/ — Mail to: AV40A/y Z /v/�o Disapproved a/c 2/ Phone574-73T- y227 NY JIPo1 D is U Building Inspector APPLICATION FOR BUILDING PERMIT BLDG.[),,PT. Date —, 20 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 waterways. 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 a 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 what-so-ever until a Certificate of Occupancy is issued 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 inspections. (Signature of applicant or name,if a corporation) 21 Iehm o 5fi YZekSO& Nl' 11Ze-1 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder aurNer. Name of owner of premisesA,1 P0T- Lft 1//01 k ZAt 1101--A - (as on the tax roll or lat st deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will b done: .}}// tof �?/ OUR IyiompS COuef Soret .s0144,lal yue /fie✓ Std House Number Street H N sW2,O A111 VA M County Tax Map No. 1000 Section g D Block 6 At OWM4 Subdivision-}N q?/ sA o Z es Filed Map No. Gj'7_aJJ Lot 31 (Name) �. mate existing use ana occupancy or premises anu ltncuucu use WILL uwupzuicy ui piupuscu wus�iu�uuu. a. Existing use and occupancy nn // b. Intended use and occupancy K Q5/d eA1C e 3 3. Nature of work(check which applicable): New Building___t Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost '��0 0 0 0 0 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories r , Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Siorie's -_ 8. Dimensions of entire new construction: Front :3 Rear 3 Depth S 3 Height '31 ' Number of Stories 7- 9. 9. Size of lot: Front-14,J8 Rear Iv/ . 14 Depth ' /1 . �7 / 10. Date of Purchase VL/3 JiOoo Name of Former OwnerT,/`O-o�o�4 Zddudlts )X_Avse1& /'/� LCto�J 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 re-graded Y Es Will excess fill be removed from premises: YES NO A'VrAvvvy lA1/0aG4. y/ St 14. Names of Owner of premisesfFw L.vUal^ Address labi /� / dPhoneNo.S/�-73j �/1Z7 Name of Architect -T Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO V/ • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF SIM AoAt V ��V10 Z 0- being duly sworn,deposes and says that(s)he is the applicant (Name of' dividual signing contract) above named, (S)He is the (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 tofore me thi ��b day of 00 / --� Notary Pu lic Sigadurel6f Applicant MW pa lbbi aMI�MIr6VLD�0 BO Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/30/01 Receipt#: 826 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 826 Total Paid: $10.00 Name: Laviola,Anthony 21 Palermo St. Hicksville, NY 11801 Clerk ID: LES Intemal ID:41606 7 .� 5URVFY OF LOT #31 "MAP OF ANGEL 5HORE5" 'r N FILED 8 23-95 ?S #ci72a 51TUATE: BAYVIEIN E TOWN: 5OUTHOLD SUFFOLK COUNTY, NY g SURVEYED 4-20-2000, j AMENDED II-02-00, 11-06-00 SUFFOLK COUNTY TAX u 1000 - 88 - 6 - 13.33 CERTIFIED TO: Anthony LoViolo ' Hedy LaViola Peconic Abstract Inc. I ®11 I20� IOIl , ted. . 0 �o ° v 8 Lot#31 VQGQYIt \ ZZ S � 7 � _ a V \ — 1 _��gERVIGE EASEMENT— — — o ,OOtw 138.81 \ TEST HOLE I S81 59 Lot 33 VoGant s�a gave 9.0' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FORA _ SINGLE FAMILY RESIDENCE ONLY cs"° o 0. APPROUEi? .I Foi, lthA'11A9dId3 P ,azaeww ° PROPOSED i SEPTIC DFTAL DhFLLIN6 EXPIRr "`+jkt'Eo:' w �+..-nMy. jW-77'T-F-,AP0RGVAlL not to scolE Pg _ _Ist�g-me mar.1' 13-5 In.I' Itrv: GOVM Yrv.. 11.9 . 900 ccppl. IeaLnln(3 - v,.pRaft tmr 1/4'Pef bpap�� Vq per NEW cepa-atbn auritl nates __ _ �� WATER MAIN SHOWN FROM SUFFOLK GOUNTY WATER AUTHORITY MAP 21-P, SEPT. 8, Iggl NOTES: NO. 50 LAND - A STAKE SET AREA = 31,873 SF OR 0.73 ACRES JOHN C. EHLERS LAND SURVEYOR. 6 EAST MAIN STREET N.Y.S.LIC. NO. 50202 GRAPHIC SCALE I"= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.HPSERRVERW:\PROSV20-137 [SURVEY OF LOT #31 N "MAP OF ANCGEL SHORES" FILED 8-25-11515 As5 #9-12a W E SITUATE: BAtYI/IEN TOWN: SOUTHOLD S SUFFOLK GOUNTY, NY SURVEYED 4-20-2000, AMENDED II-02-00, 11-06-00 SUFFOLK GOUNTY TAX u 1000 - 88 - 6 - 13.33 GERTIFIED TO: Anthony LoViolo Hedy LoViola Peconia Abstract Inc. I:?o � o � w �• �IO � �O AGK Se iNe ]Lot#all �V, ap Not nst"oln L � e1=13 �Oj RV IGEE gEMENT •� fi5E _ 881 TEST HOLE Lia# 33 �a i vaunt `� gavel vROPOSED e,ya SEPTIC DE-AIL Drgwr� .a., 12.0 no, -o Scalex.]' �g 1. ,., exledng Sad° max.]• min: min.l' Im: cwGr ImG= 119 cover 113 - 11'� D mr. leaan rg mN.pl�[ tmk �r f[ 8'tleeP 1/4'per e d 13,5 mm.3 xparatbn gouts ester s „ Ne..o.1,,,1 Ea,,,,o, NOTES: ; ' A STAKE AREA = 31,913 SF OR 0.13 ACRES WATER MAIN SHOWN FROM SUFFOLK GOUNTY JOHN C. EI�LERS LAND SURVEYOR WATER AUTHORITY MAP 21-P, SEPT. 8, 1991 6 EAST MAIN STREET N.Y.S. LIC.NO. 50202 GRAPHIG SGALE 1"= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 \\Hp server\d\PROS\20-137C.pro SURVEY OF LOT #31 "MAP OF ANCGEL 5HORE5" N FILED 8 25—cM AS *Mcl SITUATE: BAYVIEW w E TOWN: SOUTHOLD SUFFOLK COUNTY, NY g SURVEYED 04-20-00 FOUNDATION 02-I1q-02 SCT# 1000 - 88 - 6 - 13.33 CERTIFIED TO: Anthony LoViola Hedy LaViolo Peconic Abstract Inc. i OC4 S S ®� Dp 0 0 C4 e 1 X01 �h L®a#31 �O 33 ti w� yo O` N oh � %k6� Ns. 33, i w ni i KA WATER SERVICE EASEM 13_0.01' \ _ 11 581059'00 W Loa 33 l5� OF NE�y c EH��'p9� NOTES: A STAKE �'S 50202 JQ, OLA - S AREA = 31,813 Sr OR 0.13 AGRES - JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC.NO. 50202 &RAPHIG SCALE I"= 40' RIVERHEAD,N.Y. 11901 IIIIIIIm 369-8288 Fax 369-8287 \\HP SERVER\D\PROS\20-137D.p SURVEY OF LOT #51 "MAP OF A4NCGEL SHORES" N FILED 5 25-a5 AS #9'72a 51TUATE: SAYVIEW w E TOWN: 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED 04-20-00 FOUNDATION 02-IQ-02 FINAL OG-23-02 SUFFOLK GOUNTY TAX LOTS 1000 - 88 - b - 13.33 GERTIFIED TO: Anthony LoViolo Hedy LoViolo Peconic Abstract Inc. + 3 z0v N S40 *26' jg, 0� VOy oNC NF L®4#31 GP o� ggSqF 5 ue N 0 C� I%Ldrweway s i /g�.< _ TER SERVICE EPSEMENT — _ — — — ® - 581°59'00"W Lot 33 �N C. Ey, `0 CID I � ( NOTES: �SF� 0202 PJ�,O� <<"<11:: be t°"e,°<`e° t'b7`Eaoea:° ° �AND � STAKE n S- I,.ee °t ' t. AREA 31,q-73 SF ORO.T3 AGRES ; .l-- o r eCertl lel e<. JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIG 5GALE 1"= 40' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 \\Hp server\d\PROS\20-137D.pro li �TIVIA V7 I USE IS OCCUPATeICY OR P UNLA+�Pr��. WITHOUT CERM OF OCCUF'AK ' r APPROVED AS NOTED 77,— DATE: B.P.X 2753 x/,393. BY. - 11 FEE: - NOTIFY ,BUILDING 'DEPARTMENT A 765-1802 9 AM TO 4 PM FORT _- FOLLOWING INSPECTIONS. 1 FOUNDATION - TWO REQUID r ` I ��- FOR POURED CONCRETE �I `I ,.1.. v �I I — I �, i 0 _ 2. ROUGH FRAMING & PLUU,� IP!,; - -- ' 3 INSULATION _ A. FINAL - CONSrRIIC'_nbN h, ti'-. : t '�' � ALL CO VII'.F ^ �, - :'K. r I I . , i '41 ..<.....- - [ �/ , ;.,d'r f.AP � itil�m' �.h-•• rr��j w+'�fj- •r -tl- r �y4�t1�_.,.•. 9TAIE CON SIRS I- _ - CODES. NOT RESPONSIBLE F^ " DESIGN OR CONSTRUCTION ERROR �'^*r� rr-r •,§N, 1 � I �� ., ..,��_..,,ae,�,,�s,..+.Wr'a�..c...._ - _ .w.ru�o-ax,w.,.._�,..-..,-.,,.a:xr,+vrv..,.cn..::w.-._....-;:,cam a^-'�'" � UNDERWRITERS CERTIFICATE REQUIRED GE H.FI DO NOT PROCEED WITH PROVIDE Vi HR. FIRE -- \ FRAMING UNTIL SURVEY RATED SEPARATION TO \ ?Ed p�� J T Y No DL P L I e AT I Ni OF FOUNDATION LOCATION PART.717.3 (f) (1)OF HAS BEEN APPROVED. N.Y.STATE BUILDING CODE. —�R_ RLP ?�ODVCTIGN ORUSL" OP nN`( SI'LCIFIr OF 1141-5 If Copper tubing Is Used PROVIDE OPENINGS FOR r �'LhN OUT W, P I T N1 C SE N7- FRDf'1 W ITH for water distributing EMERGENCY ESCAPE AS :'./ ' 1 NIh FfR u } N System;piping shall be REQUIRED BY PART. 714 OF 7 1-1 ON Y ( /a V 16 L fa----_ ._- --_.I Of types K or L only N.Y. STATE BUILDING CODE. ' PROVIDE ANTI-SCALD AND/OR PALL PLUMBING WASTE P �� Cf NE�t'o I"� THERMAL SHOCK PREVENTING &WATER LINES NEED �`t DEVICES AS TO PART. 902.6(x) TESTING BEFORE COVERING N.Y. STATE BUILDING CODE. T Iw cl : a I �F 032251 { Il D PLUMBER CERTIFICAFIO£.I I„ I ` pgOFESSIONP,V _ ON LEAD CONTENT f3EFG'fZE — --- --- 4 PROVIDE SMOKE-DETECTING ALARM DEVICES CERTIF-ICATEOFOCCU�'ItC'' V. �- 1 SOLDER USEDI£J ' - f i l AS TO PART. 721.1 N.Y.S BUILDING CODE. SUPPLY 5`/STE"7 Gp EYL"EED 2/7 I fit` r I Re. ol .. . I • .a-T--I- _ ._.'�' f AX8f:', K'I; cI n•l-- ]`h }' r., _ `1 I I �ylF�LI" Rrr r ,_ nr:It wr. 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