Loading...
HomeMy WebLinkAbout26832-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27771 Date: 06/26/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1265 UHL LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 24.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 2000 pursuant to which Building Permit No. 26832-Z dated OCTOBER 11, 2000 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 TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to WILLIAM & MARCIA MAUCERI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0149 06/26/01 ELECTRICAL CERTIFICATE NO. N 556760 04/27/01 PLUMBERS CERTIFICATION DATED 12/07/00 GALE KASKE Authorized Si ature 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. 26832 Z Date OCTOBER 11, 2000 Permission is hereby granted to: 1 �" WILLIAM & MARCIA MAUCERI (Wbji-C) 1265 UHL LA ORIENT,NY 11957 for NEW CONSTRUCTION OF A THREE BEDROOM WITH ATTACHED TWO CAR GARAGE SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1265 UHL LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024 . 006 pursuant to application dated AUGUST 16, 2000 and approved by the Building Inspector. Fee $ 710 . 00 Autho ' ed Signature ORIGINAL Rev. 2/19/98 Form No. 6 ?TOWN OF SOUTHOLD WILDING DEPARTMENT TOWN HALL 765-1802 l_ J T;,,- ?Dh ION FOR CERTIFICATE OF OCCUPANCY A. This application 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 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 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . 6/26101 . . . . . . . . . . . . . . . . . . . . . . . . . . . Iew Construction. . . ?99;. . . . Old Or Pre-existing Building. . . . . . . . . . . . . .. . . .ocation of Property. . .12,65 .Uhl Lane.,. . ,Orient: . . . . . . . . . . , _ . . . House.No. Street Hamlet )nwer or Owners of Property. ,Wil.l.iam.& .Marcia.Ma.uceri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :ounty Tax Map No 1000, Section. . . 15. . . . . . . . .Block. . . . A5 . . . . . . . . .Lot. . . . 24:6. . . . . . . . . . . . . ubdivision. . , Orient .by, the, sea . . . . . . . . , . . .Filed Map. :`- 3 Sec . . .Lot. . . . . .162. . . . . . . . . . . . . 'ermit No. ,26832 . . . . . . . .Date Of Permit. . ,10/11/. . . . .Applicant. . .William. Mauceri. . . . . . . . :ealth Dept. Approval. . .-00-0149. . . . . . . . . . . . . . . . . . . .Underwriters Approval. .`t,115048-00. . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. XXXXXX . . ee Submitted: $. . . .$.25.0A . . . . . . . . . Inland Homes Inc. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT .r. I THE NEW 'BORIC BOARD OF FORE UNDERWRITERS QAC 1 I 1195C99 BUREAU OF ELECTRICITY 7 40 FULTON STREET, NEW YORK, NY 10038 APPTL ?7, ?ooi I I rnd9nn inn nr 5s�7rr) Date ;Application No. on file — - - THIS CERTIFIES THAT only theelectrical equipment as described below and introduced by the applicant named on the above application number is in the premises of I171__�ND EOTIES, 711L in the following location; ® Basement M lst Fl. ❑ 2nd Fl. GAR/ATTIC/nTTT .Section Block Lot +I was examined on APRIL 09,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. I K.W. 35 34 34 35 2 F i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKSBELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. I K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 1 D/W 12 2 - SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A. G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF AW.W.GAI 1 200 CB#2 1 X 1 2/0 1 2/0 OTHER APPARATUS: WELL PUMP F-1 FT_rI'URE APPLIANCE =_ F S "V—EN 8/3-1 G.F.C.I:-7 SMOKE DETECTOR:-4 N IBM JIM SAGE ELEC. INC. LIC.#3635E L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER � 1 1 Per This certificate must not be altered In any manner; return to the office of the Board If incorrect. Inspectors may be identified by their credentials. i Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 % Telephone (516) 765-1802 Southold, New York 11971 1 ' OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 12/7/00 Building Permit No . 268322 Owner : William & Marcia Mauceri (please print) Plumber: Cale Kaske (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( Plumbers Si nature) Sworn to before me this -Z A6 day of reO& , Notary Public, �uflL/� County YVETiE ERtA NOTARY PUBLIC,,State State of NeM11111111111111 �,h) No.01K5084055. Qualified in Suffolk oirntr Commission Expires l i o� Gyp Town Hall,53095 Main Road ti Z Fax(631)765-1823 P.O.Box 1179 %JW-y �.lC Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 7, 2001 INLAND HOMES, INC. 315 WESTPHALIA RD. MATTITUCK, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) XX No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 XX No Health Department Approval on file . No final inspection has been made . XX No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26832-Z (MAUCERI) * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. * ATE OF OCCUPANCY CAN BE ISSUED, LANDSCAPING, qVEWAY & WA KWAY ST BE TO TOWN CODE REQUIREMENTS. �� �AAOC;!5&k f—eSLC>&Kyr� ( OkXg i i ZCv rte' l�? r1 L l-�N �s ( i=v��. 'SUMMARY 01 TOTAL THERMAL RATING tf tM ratrl TP+•rr••.1 Rsttng is Sera (Q) or httpn for th* bufldih greater. the propcse� 9 erre lope coa+Pi les iri ttt the Energy Code. THE AREA U-VALUE azl� TABLE � ��CEILIN£ of C7 W4 LS �- •.o� _ Window"d Uky i I ph Ls BASEMEWCELLA2 WALLS - w4l i Perimeter WET) Exposure Above Grade ----- Feet will U-Ya lui -- --_ Feet O*pth of Wail L-•talus 541ow Grade Inthes t,\j D3, $LAS INSULATION Slab Periftter N�� Insulation It-Value -� Feet N f. INFiLTRATIpN C t�1Tt NVQCandit�v0+d Foor Are: F. SOUTH FACING GLAZING Sovth Gless/Total Glass N�� 61. Ar*y/,crass Wsll Area "—'- Percent Gonditioned Floor Are; __ Perctnt A� ��� �." •�� TOTAL THERMAL RATING f 134 l =e SEP-29-00 FRI 05 :55 PM RonaldJ. GoodzzeinAIA 704 442 0604 P. 01 RONALD J. GOODSTEIN ARCHITECT PA 5200 SARDIS ROAD TI?LEPHON-LINE 9 1.704 2-9005 CHARLOTTE.NC 2$270 FAX LINE 1-7 3-0604 FAX TRANSMISSION TO: COMPANY NAME FAX NUMBER I, TOWN OF SOUTHOLD BUILDING DEPARTMENT 631 ,765-1523 ATTENTION: Bruno, Bldg.Inspector/Plans Examiner 2. ATTENTION; 3. ATTENTION: FROM: Ronald J. Goodstein, AIA DATE_ 9/2812000 NUMBER CF PAGES MESSAGE: Dear Bruno, (RE: Mauceri Residence) ATT U RF-Qur-STED-, AASSISTANCE OINFORMATION IN ROCESS NGOUR PLANS MOS TAPPREC APPRECIATED. YO ANDR HELP PLEASE CALL ME IF THERE IS ANY ADDITIONAL INFORMATION YOU MAY RE DIRE REGARDING THIS PLAN REVIEW. Yours truly, Ronald J. Goodatein,AIA IF YOU HAVE NOT PROPERLY RECEfaD TIES FAX PLEASE CALL US,OR FAX US AT THE ABOVE LISTED NUMBERS IMPORTANT STATEMENT THE INFORMATION CONTAINED IN THIS FAX IS PRIVILEGAD AND coNFiDEIVI IAL,AND IS INTENDER ONLY FOR THE USE OF THE RECIPIENT NAMED ABOV&ANY DISSEMINATION,DISTRIBUTION OR COPYING OF THIS COMMUNfCATION,&X EPT BY THE INMF"ED RECIPIENT IS STRICTLY PROHIBITED- IF YOU HAVE RECEIVED THIS FAX IN ERROR',PLEASE NOTIFY US BY TELEPH NE AND RETURN THE ORIGINAL FAX BY U.S.MAIL. THANK YOU.... I SEP-29-00 FRI 05 :56 PM Rona 1 dJ. Goods%e i nAIA 704 442 0604 P. 02 eari���199� U21:e2 5164823256 ARQHITECTG 1Q� C�•-.�r f�A1 C.tzsl�?ea* SUMMMY OP TOTAL THERMAL RATING p Ut.67 Tticr.ui Rating is zero (0) or greater. the propos d forthebuild-1119enrelooe comlle: with the Energy Code THERML TABIJ • AREA U-VALUE RAT IRG USE k hO W/CEILING It. Orf WALLSWindo,e (p E. GtAZI� t[Ydar lkyllots 01. rLDORS 42- aASIMENT/CELLAR WALLS Cvta"&Aq o B&6Av Wall Perseetee fist Eaoosure Above Grade feet Mal] LF-Vvlua Dopth o1 wall U-Value r Wow Grade _, lnthcs 07. SLAB INSULATIUF! N A Slab DaFtatlfr fest —L—, Ins�rlatlon {t Yalu• �► E. INFILTRATION CONTROL N IA CondtLtcntd Floor ArtaSq. F- SOUT11 FACING GLAZING w`.&. South Glass/Total Glass Percent G1. Arsi►/Gr0331 Wall Area percent Cond ittooed Floor Area gq� Ft. _ RLI. C 00AS kA. .3"r TU7AL THERMAL RAZING �. s'�.�i' '.►: 0004. ���.. x�-��� I36 �,5�•� 1 Q N, AtAn1e111Pk4Z:rC;L-, �jv,(C- ds 1 BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: APPLICANT NAME: O i-Fe, / 'a uc DATE SUBMITTED: S--fly-/,er) PROJECT LOCATION STREET: X265 "� / CITY:_0 ir- 4— SUBDIV. NAME: ARCHITECT/ENGINEER: FAST TRACK: YESo N SCTM# --- DISTRICT: 1,000 SECTION: BLOCK: S LOT: 24 6 ZONING: ZONING DISTRICT'A4R80, AC CONFORMING: oR NO REQUIRED LOT SIZE: -fO K SQFT. WHERE ACTUAL LOT SIZE FROM? /X .92/ K 4466 ACTUAL LOT SIZE: 40//2 SQFT. REQ. SOP REQ. f REQ. ]FRONT:40 ' PROPOSED:_40' ' SIDE YD: /_15 '/3 S ' PROPOSED: 35 '/—' REAR:-,5',O 'PROPOSED:/fid LOT COVERAGE: ALLOWED:_p % EXISTING: n_sf % NEW:26&o f 6 % TOTAL: sf CORNER? S R NO WAT ER FRONT? YES o NO DESCRIPTION: SINGLE& SEPARATE CERTIFICATION-REQUIRED: YESORn NOTES: ; LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION: ADD.ALT.ACC OR SoiCSb Q� ur 3g�� c� AGENCY PERMITS REQUIRED FOR REVIEW NEEDED nn ` TOWN SPETIC PERMIT: or NO lJ a-k� 8�5�00 SUFFOLK COUNTY HEALTH DEPT: gor NO, (BED #): 4 DTE: 4 / /9 /oa PERMIT #:R10- 00-oif NEW YORK STATE DEC: YES or SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o FLOOD COMPLIANCE ZONE: PANEL #: 8-6 FLOOD ZONE:_, �tce-,ae ��/S NYS ENERGY: Yis� NO -37 u EGRESS: VENT: LIGHT: NOTES: z4-,,o Vic FEE STRUCTURE: FOUNDATION: N50 SF FIRST FLOOR ' .5' _SF SECOND FLR SF IrIIT OTHER TOTAL TOTAL: ?115� SF FEE FEE FEE TOTLgd?_S SF)- SF)= 3 �' " SF X $ .26=$ cS +$ ,S— +$ ©— = $ J�d suaDi INSPECTION [ ] FOUNDATION IST [ ] ROUG BG. [ j FOUNDATION 2ND [ SOLATION [ ] FgIkMING [ ] FINAL (v]/FIREPLAC & CHIMNEY C� REMARKS• 4ur� ,DATE O INSPECT Co 70-1802 BUILDING DEPT. INSPECTION ( ] F DATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( J FIREPLACE & CHIMNEY REMARKS: ,DATE 11 6 P-J INSPECTO /o"00000000,r /J M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ MING [ ] FINAL [ ] FIREPLACE & CHIMNEY �- mss. R ARKS: oteo �- G' DATE INSPECTO ,65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING � [ FINAL [ ] FIREPLACE & CHIMNEY ROPARKS: Vaa"'W' >Z .DATE �� �/ INSPECTO 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPL CE CH NEY A K (L, or ,DATE � � INSIDE 70-1802 BUILDING DEPT. INSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION i [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: �,�T_� ,DATE INSPECTOR "^� INDAT ION ( I ST) u II � WDATION OND) IGH FRAME & IT PLUMBINGMom 1 /c' II H ;UL.ATION PER N. Y. It I H STATE ENERGY I CODE �-- n � ------------- u —u ii II 43� H ii u z— FINAL77, H 1 II p ADDITIONAL COMMENTS: 0 tS6o QK- N) ` f e_- - z -------------- ---------- — r .' 1 . ::::::::::::::: i'ORM NO. 1 3 SETS OF PLANS AljGTOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . ' TOWN HALL SEPTIC FORM _._ `�► SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . .•J ,.QJr-©4. CALL Examined..... ........ 20.4 . . . . . . Approved...�9 .*-2400.�r�........ Permit No. .: �R D..3 4?, ......... • • . Disapproved a/c .................................. ..�... . ......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 20. . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 c this application. c. The cork 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. Suc permit shall be kept on the premises available for inspection thro4iout the uaork. 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 Regulat)i.ons, 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 builr necessary inspections. .. .. . (Si_gnature of applicant, or name, if a corporation) TJT B111so(g Tire Nc 2 F6 6 ........I............ ................ (Mailing address•of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil e&lNeee .. 1. y...►................................................... Name of owner of premises /LGi.4.04q...4' .M,4ke/A /Y/14aCC/t .......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. • (Nanr 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 be done..COA"A%F',�,,�F House Number / .. ...�L.)...................... Street - Hamlet County Tac Map No. 1000 Section ..../S ... Block ....�5. ...... Lot a �• Subdivision ®11/.aJT....SEi9......... .... p No. .-.3... •T.o[.:::::/.�0..°?... Filed Ma (Name) 2. 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 ....... .,®;V S . /Gef. � � ........ ......... .. 3. Nature of work (check which applicable): New Building .Y....... A?dition .......... Alteration .......... , Repair. .. Renvval ..�:......... Demolition ............ Other fork ..... .......... .......... ................... (Description) G. Estimated Cost ;.../S.. pOC7 ..... fee (to be paid on filing this application) 5. If duelling, mviaer of dwelling tanits ............ 1krri)er of ok,el.ling amits on each floor ................ If garage, cumber of cars , OZ..e.42..G-ir2.t .... .......... 6. If business, commercial 'or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... lkrber of Stories a. Dimensions of entire new construction: Front .. a�.v2.��.... Rear ..:�a. ��.... Depth lleiglht ......................... Numriaer of Stories ....... Awe....... 9. Size of lot: Front . ............. Rear ..� `.�Y„..... Depth .................... 10. Date of Purchase .IF �V00Nam of Former Owner ?�LfEAWL--1,4 u !, 11. Zone or use district in which premises are situated ..... `. �...............,ll .............................. ... 12. Does proposed construction violate any zoning law, ordinance or regulation: /(t ................... 13. Will lot be regraded ../1/0 . Will excess fill be removed from premises: YES D /NO 14. Names of Owner of premises /�tg/��c�R.. 1V*1CfW ... Address 3,11 .. 4�,UE S��� Ptd'eva AD 170 ��6;IC70 Kane of Architect /l.�it/Ai D,�9,o0ASf.E!!�..........A?0ess� ,Qt a7 .,. '. d 27t7_ Phone Nol a-f los- Name of Contractor ................................... Address ...............................Phone No. ......... .. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .le"".... IT. YES, Samm TOWN =-S PEFMIT MAY IiC REQUIRm PLOT DIAGRAM I,ocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block cumber or description according to deed, and show street names and indicate whether interior or corner lot. s Ss srn�tr ar raga Ytxuc, WILL i Ar✓1 IYI/FGlCE2 / ...................................• .....................being (July sworn, deposes and says that lie is the applicant: (Name of individual signing .contract) above rkamed, CV lieis Lhe ...... ... !EfL................................................. (Contractor, agent, corporate officer., etc.) of said owner or owners, and is duly authorized to perform or have performed Che said work and to Make and file Lhis applicatione ; that all sLatemnts contained in this application are true Lo the best of his knowledge and belief; aryl Ghat the Work will be performed in the manrher set forth in Lhe application filed therewith. Sworn to before me this ...... ......da of .29 G r Notary Rabl c .. / EL A STATHI ... NOTARY IC,State of NowYOdt (Signature of Applicant) No.01 �ms Jww Suffolk ,iM ,20 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/15/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Total Paid: $10.00 Name: Mauceri, William 311 Lorraine St. Bellmore, N.y. 11710 Clerk ID: LES Internal ID:16628 JOB No. 00-33 TAX I.D. No. 1000-15-05-24.6 SEPTIC AREA J� OGG SES G O WELL �a'( CjGJ� 105.0 N 1a°,�a,3p =3 OVERHEAD UTILITY M. LINES LOT 117 n 93.2 OCC RES N 93.1 & WELL O a EXISTING WELL m (00 1)0 V) D / A 1 sirOIUS O° M crv' 0 �� m W ARESEPTIC I Fes—+ 0 A o cD yl- N., o (D � 0 EX —� •-r Q O /SEPTIC AREA w POLE LP \ 1'FF�C _ c 93.6 `� cOR s0• 0,� Z T 93.5 SEPTIC d co co &063 0 0 � PROPOSED LOT 118 ANT -4 SINGLE �b � OCC RES I Vj DRIVEWAY AMILY 6 } WELL A r no r.� 00 Q GAR 95.0 �r ar+T o }�'*b ne , K 5 9 C C 50' $ re N94.1 °Gel 0 95.2 3 A R=20.00' POLE EDGE OF PVKE > r� O M 2 p L=31. 42 S 1002'20"W 115.00' o r a � ; 940 PLUM ISLAND LANE [ 50' ] 95.2 O Z WELL a EXCAVATION IN SPECtI ED > FOR SANITARY SYSTEM BY HEALTH DEPARTM NT FILE MAP No. 6160 10/16/74 Unauthorized Iteration or addt on to this document is a violation of Section 7209 of the New Yo=n Education Law. Certifications indicated hereon shall run only to the person for whom it is prepared SURVEY OF: LOT 162 and on his behalf to the Tide Company,Governmental Agency and Lending Institution listed hereon,and to the assignees of the lending institutions or subsequent owners. MAP OF ORIENT BY THE SEA Copies of this document not bearing the professional's inked seal or embossed SECTION 3 seal shall not be considered a valid true copy. The offsets[or dimensions]shown hereon from structuresrotten to the property lines are ORIENT POINT TOWN 0 F S 0 U TH 0 L D for a specific purpose and use and therefore are not intended to guide the erection of , fencesretaining Nn..ILareas, construction. SUFFOLK COUNTY, NEWYORK The existence of right of ways and/or easements of record,if any,not shown are not guaranteed. SURVEY DATE: 5/24/00 SCALE: 1"=50' CERTIFIED ONLY TO: of NEE/j, WILLIAM G. MAUCERI ,��� ��Q,� DESTIN G.GRAF LAND SURVEYOR ` 73 Woodlawn Road Rocky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 �A EN #0500 7 a` 516-821-3442 SStp A IF eta -Oo-41ii� REV 61&01 JOB No. 00-33 WELL OFFSETS TAX I.D. No. 1000-15-05-24.6 DRIVEWAY 4 Vol `6� ST�6q R✓ R M,. 30„� 18195, N � OVERHEAD UTILITY LINES -- LOT 117 EXISTING WELL 00 Cr Lrl C. ° v 0 G I m u r, a ? I Os O . E' M 7- 1 1 ST FRAME v > -� DWELUNG POLE �\ LP ��.. y ^' i.•, ti C TJ ✓ ° \ \1 ST BAY6,2 t 18.0 26.1 SEPTIC i Z 00 00 LOT 163 Ln 2.0 4A -4 In 26.0 33.0' C7'f 1 v O b ASPHALT o Aj %. Q t' DRIVEWAYi N NE=3 - 1 rn 22.0 CONC PLT RIO = ' 55.8' 9D 55.0' n .+ A O � POLE 1 R_20'00' EDGE OF PVMT L=31.42' S 1002'20"W 115.00' PLUM ISLAND LANE [ 50' ] THE LOCATION OF WELLS,WATER SERVICE LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON APE FIELD OBSERVA- LOT 91 TIONS AND OR DATA OBTAINED FROM OTHERS, FILE MAP No. 6160 10/16/74 Unauthorized alteration or addition to thisdocument is a violation of Section 7209 of the New York State Education Law. SURVEY O F: LOT 162 Certifications indicated hereon shall run only to the person for whom it is prepared and on his behalf to the Title Company,Governmental Agency and Lending Institution hsted hereon,and to the assignees of-the lending institutions or MA P'O F ORIENT BY THE SEA subsequent owners. /� Copies of this document not bearing the professional's Inked seal or embossed SECTION 3 seal shall not be considered a valid true copy. The offsets(or dimensions]shown hereon from structures to the property lines are ORIENT POINT TOWN O F S 0 U T H O L D for a specific purpose and use and therefore are not intended to guide the erection of fences,retaining walls,pools,planting areas,addition to buildings or any other SUFFOLK COUNTY NEW YORK construction. l The existence of right of ways and/or easements of record,if any,not shown are not guaranteed. SURVEY DATE: 2/20/01 SCALE: 1 CERTIFIED ONLY TO: of We.. WILLIAM G. MAUCERI �p� Y°�sDESTIN G.GRAF ny,; c;Ra� '�' ND SURVEYOR COMMONWEALTH LAND TITLE INSURANCE COMP rY �. .+ ; c 3 Woodlawn Road >� ocky Point, N.Y. 11778 By DESTIN G. GRAF N.Y.S. LIC No. 50067 iNSE o5'OGef J 631-821-3442