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Home My WebLink About27199-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27852 Date: 08/03/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 525 WATER TERRACE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 88 Block 6 Lot 13.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 31, 2001 pursuant to which Building Per~dt NO. 27199-Z dated APRIL 2, 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 ONE FAMILY DWELLING WITH COVERED FRONT PORCH AArD ATTACHED TWO CAR GA/{AGE AS APPLIED FOR. The certificate is issued to ROBERT S VOGEL of the aforesaid building. ( OWNER ) SUFFOLK COUNTY DEPART~ENT OF HEALTH APPROVAL 610-00-0009 08/02/01 ELR~-~KICAL C]~RTIFICATH NO. 124303-01 07/20/01 PLUMBERS CERTIFICATION DA'i'~ Rev. 1/81 ~ 07/27/01 HI-TECH PLUMBING Authorize~ignature 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. 27199 Z Date APRIL 2, 2001 Permission is hereby granted to: ROBERT S VOGEL 64 LINWOOD ROAD NORTH PORT WASHINGTON,NY 11050 for : NEW CONSTRUCTION OF 4 BEDROOMS SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AND PORCH AS APPLIED FOR WITH PLANNING BOARD APPROVAL. at premises located at 525 County Tax Map No. 473889 Section 088 pursuant to application dated JANUARY Building Inspector. WATER TERRACE SOUTHOLD Block 0006 Lot No. 013.006 31, 2001 and approved by the Fee $ 753.00 t~o r i~z~d Signature ORIGINAL Rev. 2/19/98 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No. Owner: ~Q/~ ~ (please print) (91ease 9tint) :: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 200 / 27 day of~ ,-l~J- . PATRICIA'RORRISON N~teW Public,, State of N~,~ York Suff~ County No. Cemnfi;slon Expires TOM OFI SOUTHOLD BUILDING DBPARTMENT TOWN HALL ' 70 · APPLICATION FOR.-CBRTIFICATE OF OCCUPANCY A. This ap~ii~ation must be filled in by typewriter OR ink and submitted'to the building inspector with. the 'following: for new building or new use: 1. Final survey .of .property 6ich. accurate location of all bu$!d~ngs, 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 iustallation from Board O~ Fire Underwriters.' 4. Sworn statemen~ from plumber certifyin~ that the solder used in system contains less. than 2/lO.of i% lead. 5. Commercial building, in~ustrial Building, multiple residences and simSJ, ar~hb~ildfn~% and installa~ions, a certificate of ~ode CQmp$1anae from ardhit~2er .responsible for the buildin~. ' ' ' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings.(prior to April 9, 1957) non-cohformA~g use~, or'buildings .and ?pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and '- .... unusual natural or topog~aphic features.' 2. A'properly completed appli~atlon and a.consent to inspect, sSgned.by the applicant. If a Cer~ificate of' O~¢~pan~y is denied, the Building Inspectors~all state the reasons therefor 'in writing to the applicant. 1. Certificate of OccupanDy - New dwelling $25.00, Ad6ition$ to'dwelli~g $25.00, Altera~iohs to dwelling $25.00~ S6~-,,ing pool $25.00, Accessory building $25'~00, Additions to accessqry building $25.90. Businesses $~0.00.. 2. Certificate of Occupancy on Pre-exist~nK Buildinz - $100.00 3. Copy of Certificate of Ogcupanc? - ~ 4. .UpdaZed Certificate of Occupancy - $50.00 5..Temporary'Certificate Of Occupancy - Residential $15.00,'~ommer~ial $15.00 House No. '' Street ' N~mlet p ty Onwer or. O~r~ers. o Pro er ... .... , ooo.,,,,.oo,0,. Health Dept Approval * Underwriters Approval Planning Board Approval:,... Request for: Temporary Certificate .... Final Certicate... 765-1802 BUILDING DEPT. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE .....INSPECTION ~/FOUNDATION 1ST I I ROUGH PLBG. 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [] ROUGH PLBG. ii i 3'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~,~I~JGRPLBG. -' [ ] FOUNDATION2ND [ ] INSULATION [ ~I~MING [ ] FINAL [ ~]-'FI~LACE & CHIMNEY ~),,,,/~__._ INSPECTION P,~PORT · D~E .... :,~,,~ C~ O~AT ION (2~) :, ~ S~ E~R~ CODE / / ~ FI~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765-1823 Telephone (631) 765-1802 August 1, 2001 Zoumas Contracting Corp PO Box 361 Wading River,ny 11792 Re: 525 Water Terrace, Southold TO WHOM THIS MAY CONCERN: We are unableto complete yourCe~ificate of Occupancybecause ofthe ~llowingreasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not in file)S25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 27199-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] F/OU~DATION 1ST [ / [ ~ FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL /DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ .] R~HPLBG, [ ] FOUNDATION 2ND [ "*'] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL~ CHIMNEY DATE ~~~/~// INSPE PLANNING BOARD MEMBERS BENNETT ORLOWSK/, JR. Chairman WILLIAM J. CREMERS KENNETH L. EDWARDS GEORGE RITCHIE LATHAM, JR. RICHARD CAGGIANO Town Hall, 53095 State Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MEMO TO: FROM: RE: DATE: Building Department Craig Turner, Planner Referral of Lot 4 Angel Shores subdivision SCTM# 1000-88-6-13.6 April 2, 2001 I have reviewed the lot survey submitted to us by your office for clearing lines set by the Planning Board and conservation easements. There are no such restrictions on this property. The building permit may be processed. STATE OF NEW YORK ) ) SS: COUNTY OF SUFFOLK ) , being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at That on the 2'~ day of ..~w~,-~ ,200(J deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM#- 1OO0-<~,~- O~ - / -5- ,G street address Z.:o-'r A(ch~ct[Engineer Sworn to before me this day of 5~? ,200~. Notary Public cc: Applicant BUILDING D~PARTME~T TOWN HALL · JJ~[~ SOUTHOLD; NY 11971 TEL: 765-1802 · Examined g.~,~/.gO ,20 O / Approved ~ ~ ,20~ / Disapproved a/c PERMIT NO. i3UILLIINtJ I~P_.KNII 1 ~FLICAflON CHEC~I5 Do you have or need the follo~g, before applyint Boad of Heal~ 3 sets of Building Plans S~eL Check Septic Fo~ N.Y.S.D.E.C. T~8~ ~ ...... Contact: ..... ~o ~m~ I aU P.O. Box Mail t~a~ina m~, ~v Building Inspector Phone: APPLICATION FOR ·BUILDING PERMIT Date //ol6 INSTRUCTIONS t ~, ,2o / a. This application MUST be completely filled in by tyPewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurato 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 90mmenced before issuance of Building Permit. d. Upon appr6val 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 Occupan 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 Ordin~,nce 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, ordinancesl building code, housing code, and regulations, and to admit authorized inspectors .on premises and in building for necessary inspections. (Signature of applica'nt or hame, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architedL engineer, general contractor, electrician, plumber or builder Name of owner of premises G ~£,A l (as on the tax roll or latest deed) f duly authorized officer ,~ x _~ '*"~~w vim, ti ~N~ ~. ~,~-~,~,_.~ r ~ ~orat e ~-k~. ~ ~r, Builders License No. · Plumbers License No. Electricians Licens6No. Other. Trade's License No. 1. Location of land on which pro, posed/work will be done: House Numger "' S/r dt .... ' . Hamlet C~unty Tax Map No. 1000 Section Subdivision ..~-~{.~_.4_. 5;~-~)A~> (Name) 'Block O~ Lot /9 ~ Filed Map No. q 7a ? Lot q State existing use and occupancy of premises and intended Use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building' Repair Removal Demolition I. Estimated Cost '~',,1 .~fO.O.'Oo . Fie ;. If dwelling, number ofdwelling units If garage, number of cars Addition Other Work Alteration (Description) (to be paid on filing this application) .Number of dwelling units on each floor '. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height. Number of Stories '. Rear Dimensions of same structure with alterations or a~lditions: Front Depth Rear Depth Height Dimensions of entire new construction: Front Iff/_/ Height Number of Stories Number of Stories Rear Depth ~!~// Size of Iot: Front 0. Date of Purchase Rear /_CC2 Depth '7. Oq2 Name of Former Owner ~-/9 /.--,4rIu'~! _t 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: p/ O 3. Will lot be re-graded Will !xcess fill be removed from pr~jni~e~: 4. Names of Owner ofpr_.ennses ,I/_~9~,4'.4~- ~djd-/] Address ~q II/',~,,,,ool¢~Phpn~No. ,N, ameofArchltect .~tc /Vtc-~.~r--,l~- y~ Address l~ame of Contractor 'ff..et/aa/,.4. L. 4,, Y_.Z;; FAddress _.~2~~Phone No. 5. Is this property within 1 O0 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan ahd distances to property lines. 7. If elevation at any point on property is at 10 feet or below, mast provide topographical data on survey. TATE 0F NEW YORK) :OUNTY 0F ~/~S)S: being duly bwom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (Contractor, Agent, Corporate (~fficcr, etc.) 'i ~ fsaid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; ~at ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith: worn to before me this ~ P'~day of /[0.~. 20o~ Notary Public t ] STEPHEN G. REUUZZI, Jl~ NOTARY PUBUC, ~ of I~il Yolk 02-RE2519~ Oualif~d In Suffolk Cour~v,-, Clxnml.~am Ex~i~ July 31, ~(20 ~EA~, ELL~/ATION FRD~'I' E~,EVA?I~N LEFT EI. EYATIOB ON LEAD CONTENT BEFORE i i Ez~zzzz;z:zz-'-z~ ~lle~T EI. EVATION IDE. pIIOVID"E'ANTI-SCALO AND'fOR APPROVED AS NOTI NOTIFY BUILDING DEPART 765-1802 9 AM TO 4 PM FOLLOVVING INSPECTIONS: 1. FOUNDATION - TWO R FOR POURED CONCRETE 2. ROUGH - FRAMING & 3. INSULATION 4. FINAL - CONS'rRUCTI BE COMPLETE FOR C.O. ALL CONSTRUCTION SHA THE REQUIREMENTS OF STATE CONSTRUCTION & CODES. NOT RESPONSI DESIGN OR CONSTRUCTIOf THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) ' rlON SEPARATION 1 I~.ESISTEEED ARCHI'T'~GT 414 Hain ~t. reef., Po~ Jefferson, N.Y. il-P/'/ Tel: (51&) ~2~--~5~ Fax: ¢51&) ct2~,-q~4D ~-0,,~ Br. LOT 4 ANGE~. SHORES P_LEVATION5 NIcoMo s~o,.~/a'-r-ot.~...~c 1"~' A-1 D~t~c 1/21/01 I J¢~ ZIOO¢O ~ENT AT FOR THE EQUIRED LUMBING N MUST .L MEET r'HE N.Y. ENERGY LE FOR ERRORS ~OL ~AI~ ON 4X4 CCA ON L 20'-0" ~h., 21 '-4" 41'-4" 4.14 Main ~f.r~e~, Tel: (~1~) ~.~-445~ Fax: ~-~4~ LOT 4 ANStEL 5HOOf5 FOUNDATION F~LAN 1121101 5C, ALt~: ~,/1~" = 1'"0" I A-~, jo~,#:21oo4,o ~E:N,'#: I E~',r': ~ I 46'-4" 8'-10" 8'-6" 2842 2842 14'-10" 4" 6'-0" 2-2X10 17'-0" FAt,41L¥ d O O 6'-0" 3'-3" 6'-3" 6068 28210 12'-0" 9'~" PlNIN~ 2868 7070 4'-0" 4" 4'-0" 1 F 2-2×10 LIVIN~ J 4" 5'-10" 5'-10" / / / / / 8'-0" 2-2XLO 2852 2852 I~AILIN~ l'N 5/51 2-2X10 21 '-6" 2868 ~L 3'-4" d 2868 II UP TO × g l[ K, NE.E ~&LL B'UILT lO,-4- /~L II lO,-4- :~" STEEL- C.,,OLU~N ON 2'O"X2'O"X1'O" P.C, FOOTING 2-2X10 2842 J 2-2X10 2842 L 20'-0" 5'-5'L~ 41'-4" 10'-8" 21 '-4" LIVIN~ AREA ~8 ~c~ FL ~AI~.A~E AI~EA: 454 EK:;~FT PORCH AREA: 203 5GFT LOT 4. AN,~EL. FIRST FLO01~ P'LAN IDA'I'~: 1/21/01 ~_.AL~: ~/1~" = 1'--0" JOE~#:210040 I~EV#: E~¥: EN J 38'-10" 16'-6" 14'-9" "1 28310 28310 7'-11" 7'-11" 15'-10" 10'-3" 15'-10" 4068 ,' 28310 28310 ESATH GATH C,L~ ~E~ATH 7'-0 1/2" 7'-0 1/2" 28310 28310 14'-1" 1668' HALL 28310 20'-0" 4'-10" 33'-10" 28410 28410 13'-10" LIVIN~ AI~.EA 10'/~ ~0~ Ft. ~ENEI~.AL NOTES: ~'I'~Ud. TUF~AL NOT~: ~ND FtR '1 5F__~TION A-A P'LUI,4EHN~ l~ISE~ DIACf~N~ NO SCALE WALL U-VALUES CEIUNG U-VALUES FLOOR -VALUES Eric Nicosia I~.E~,ISTEEED A~GH ITEGT 414- t,4ain Df, reel:. Po~ Jeffer'eon. N.Y. 11'T'~ Tel: (51b) q2~-445~ Fax: (51~,) ~.~0,~ e~. lOT 51=¢_..TION,/F~.ISF:t~/~.N FFK®"r' ~ I000-088-0G-13.~ FILED AUG. 2~, 1995 GUARANTEED TO ROBERT S. VOGEL COVENANr ABSTRACT CO. INC. TOWN OF SOUTHOLD SUR VE Y OF LOT// 4 IN MAP OF ANGEL SHORES SITUATE BA YVIE~ TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR ROBERT S. VOGEL 29 DECEMBER, 1999 SCALE 1 "=30' ARE%=R ,70,000 SF 0.6887 ACRES ZONED AC NOTE: ELEVATIONS SHOWN HEREON ARE ASSUMED DA TUM S 58' 01' 20" E £L PARCEL 'B' ' OPEN SPACE" 150' LOT 5 V4 C A~,'T LOT GEN'LY LEVEL ~TH PITCH TO THE EAST / 46' ALL LAND VACANT WITHIN 150' OF THIS LOT ALL UTILITIES BELOW GROUND LOT 5 VACANT 5O% EXPANSION DE (,,r ~R,*DZ ) FOR S.C.D.H.S. USE ONLY ~.~./PROPOSED i SEPaC } rANK LiJ pRoPosEF'" L CESSPO0~ ~)' \ PROPOSED 3 BEDROOM RES. GARAGE WA TEE V.4CANT DRIVEWAY I 150' ~OCK CURB TERRA CE ~ANO TEST HOLE DATA TEST HOLE ,~,,z IN LOT 27 ON SAID FILE MAP ( APPROX· 505' SOUTH & WEST OF (.- EXISTING GRADE Guarantees indicated here on shall cn!y to, the perso~ for v,,ho,~ the survey is i~r Fcrcd, and on his behclf to th~ J ,~i :; ;:t ~tictb if ',ist~! ',l-~on, cnd SURVEYED BY Uncuth:,rlzed alteration or addition to thi~ survey is a v]elation ~f Section 7209 of the rqew York Stare Education Lav~. ~cphzs of Ihi: survey mop not bearing lhe Land Surveyors embossed seal shall not be co,'zs;dered to ~e a valid true copy. STANLEY J. ISAKSEN, JR. P.'_O.. BOX 294 ..~ NEB" ~UFFOLK, NY 1195,5'" / / NYS L;~-/ NO. 4927,3 99C8~9 SURVEY OF LOT/Z 4 IN MAP OF ANGEL SHORES SITUATE BA YVIEW, , r.z~. i:, .- TOWN OF SOUTHOLD GUARANTEED TO ...... -SUFFOLK COUNTY, N.Y. ROBERT S. VOGEL COVENANT ABSTRACT CO. INC. SURVEYED FOR ROBERT S. TOWN OF SOUTHOLO VOGEL 29 DECEMBER, 1999 SCALE 1":JO' AREA: J~O00 SF OR 0.6887 ACRES ZONED A C NOTE: ELEVATIONS SHOWN HEREON ARE ASSUMED DA TUM ALL LAND VACANT WITHIN 150' OF THIS LOT ALL UTILITIES BELOW GROUND LOT 5 S 58' 01' 20" E PARCEL 'B' 150' LOT GEN'LY LEVEL WITH PI TCH TO THE EA S T POURED CONCRETE FOUNOA [/ON CONCI~ETE FILLED 21.5' N 58' 01' 20" ~/ 1.5'X 3.0' ~.5'X ~.0' TEL BOX ~ [~ TEL BOX ,~150' (AT ~,40E ) e£~elu~ ~LBOK CU~ . · A TER TERRA CE WM SET S~4K£ LOT 5 SURVEYED BY STANI,.EY J. /SAK$~FJ~R. P.O./]BOX 294// ~iX~l~ ,z~d ~R VE YOR Z NYS mC Na 99C859 NOTE: 1. 17 APRIL, 2001 LOCATE POURED CONCRETE FOUNDAtiON. FM // 9729 FILED AUG. 25, 1995 GUARANTEED TO ROBERT S. VOGEL COVENANT ABSTRACT CO. INC. TOWN OF 50UTHOLD SUR VE Y OF LOT~ `1 IN MAP OF ANGEL SHORES SI TUA TE BA YVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. K SURVEYED FOR ROBERT S. VOGEL \0; 00' 0°0% 29 DECEMBER, 1999 SCALE AREA= J~O00 5F OR ~6887 ACRES ZONED AC NOTE: ELEVATIONS SHOWN HEREON ARE ASSUMED DATUM ALL LAND VACANT WITHIN 1.50' OF THIS LOT ALL UTILITIES BELOW GROUND PARCEL 'g' LOT 5 S 5B" 01' 20" E STAK£ LOT GEN'LY LEVEL WITH PITCH TO THE EAST 47.9 TIE="~455 ' , /., N 58' rc~ ,ox i~ ~ TEL (~r ~R~OE ) WM 2 STORY WOOD FRAME RESIDENCE . w~ ~tUNG TER TERRA CE 150' 150' · KlR£ WELL CB NOTE: 1. 2. 17 APRIL, 2001 LOCATE POURED CONCRETE FOUNDATION. 09 JUL YO/ RNAL SURVEY 3. 014u8 0~ 4tiff W4~"Eft SvC SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. ~[~OX 29-! NEWISUFKOLK, NY 1.195~6 i NYS L/C. NO. 4.~'27J 99C859 BUILDING PERMIT REVIEW CHECK LIST SCTM#--- DISTRICT: 1,000 SECTION: ~ BLOCK: ~, DATE REVIEWED: .x /30 lot DATE SUBMITTED: / / 3//o ~ LOT: /3. [ PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: ADD ,ALT, ACC OR~ ~'~ STREET: ~.Y-~' /,,(Jo-/~-¢ I~'(r~,re CITY: ARCHITECT / ENGINEER: fi/,- ~ ~/,-, SUBDIV N ME:,,q'Vy/ FAST TRACK:~R NO LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS~t-I~3M JAN.1997 100-25. Merg*er.(A nonconforming at any time after 7 /83 ZONING: PERMIT ESTIMATE AMOUNT:_$ ff~ ~ .00 PERMIT USE: EXISTING: [ff~ra.a-~- INTENDED: ZONING DISTRICT: R40, R8~) CONFORMING: YES o~ NO REQUIRED LOT SIZE: .SQFT. ZHERE ACTUAL LOT SIZE FROM?T~XCARD ACTUAL LOT SIZE: ~O0~'~' SQFT. fi,- //x,L~ REQUIRED REQUIRED REQUIRED FRONT:ftO ' PROPOSED: do ' SIDE YD: / ~ '/~-~ ' PROPOSED: ~z-j~ ,//03 ' REAR: .fro ' PROPOSED:/~2~ ' LOT COVERAGE:/k~OWED: % EXISTING:~=-2x~ sf % NEW:__ sf % TOTAL:/~g sf ~ % CORNER? YES o~.0_fl WAT ER FI~ONT? YES oR(N~O.) DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: /6' ? FLOOD ZONE: )< , AGENCY PERMITS REQUIRED FOR REVIEW INCLUD~ APPLICATION SPETIC PERMIT: Y~q~r NO .2~;2 I TOWN SUFFOLK COUNTY HEALTH DEPT: E~_~S~r NO, (BED #): '~ DTE:! /.2,//o(. PERMIT #:R10- C~9-ooC0 NEW YORK STATE DEC: PRE-1)EC 9/1/75 YES or(NO' SOUTHOLD TOWN TRUSTEES: YES or~ TOWN ZONING BOARD APPROVAL: YES or/~II~ TOWN PLAN. BOARD APPROVAL: YES oNff,~ NYS ENERGYQ~OR NO : / EGRESS: NOTES: VENT: LIGHT: FEE STRUCTURE: FOUNDATION: aJ/8 SF FIRST FLOOR : /~/O SF SECOND FLR : //! ~ SF INIT TOTAL: 3 ~ SF FEE T( 3~4~' SF)-( ~.q.¥O SF)= .~)g+ SFX$.2.~ =$ ~z¥$.~+$ .)f,,~ OTHER TOTAL FEE FEE Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 01/31/01 Transaction(s): Septic Permit - Construct - Resid. Receipt~: 221 Subtotal $10.00 Check#: 0221 Total Paid: $10.00 Name; Vogel, Robed (zoumas Contracting) 64 Linwood Road N Port Washington, NY 11050 Clerk ID: HELENEH Internal ID: 26269