HomeMy WebLinkAbout25480-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26537 Date: 06/30/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1915 THERESA & 1515 DONNA DR. MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 115 Block 16 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 27, 1998 pursuant to which
Building Permit No. 25480-Z dated JANUARY 20, 1999
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 ONE CAR GARAGE & FRONT COVERED
PORCH AS APPLIED FOR.
The certificate is issued to ZOUMAS CONTRACTING CORP.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0023 06/30/99
ELECTRICAL CERTIFICATE NO. 27370 06/16/99
PLUMBERS CERTIFICATION DATED 06/16/99 FRANK'S PLUMBING
�Bui ding spector
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. 25480 Z Date JANUARY 20, 1999
Permission is hereby granted to:
ZOUMAS CONTRACTING CORP.
18 DEERFIELD DR.
WADING RIVER,NY 11792
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED ONE
CAR GARAGE AND COVERED FRONT PORCH AS APPLIED FOR.
at premises located at 1915 THERESA DR MATTITUCK
County Tax Map No. 473889 Section 115 Block 0016 Lot No. 014
pursuant to application dated NOVEMBER 27 1998 and approved by the
Building Inspector.
Fee, $ 564 . 00
Authori d Siggfature
ORIGINAL
Rev. 2/19/98
jpq na Form No. 6
,III TOWN OF SOUTHOLD
UILD
1999 ) ING DEPARTMENT
TOWN HALL
_ 765-1802
rse s�wrLDD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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 PYe-existing Buildins - $100.00
3. Copy of Certificate of Occupancy - •25q. '
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $1500, C mmercial $15.00
Date . . . . . . �!•:"'�ly� . . . . . . . . . . . . . . . . . . . . . .
v Construction. . .. . . .. Old Or Pre-existing Building. . . . . . ... . . . . . . . .
ration of Property.. . . .. .. .... . .. ... . .. .. . . . . . N.�1/}. . . . ��� . . . . . .
House No. Street /' Hamlet
ver or Owners of Property.. . . �� /v/ N Ti. .. . , . . . . . . . . . . . . . . . . . . . . . . . .
inty Tax Map No 1000, Section. .. ..,CF �. .•.Bl�oScZk. . . . . . . . . .Lot. . . ./J14 . • . . . . . . . . . .
. 4.�r GF �4Y., 665 A'=i ed Map. . .:/A-6. .Lot. . . .(0.V. . . . . . . . . . . . . .
>division. �
.mit No. . . . 9 ... •Date Of Fermit. . � �• •Applicant. . .2P
filth Dept. Approval. . . . . . . . . . . . . . .. . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
inning Board Approval. . . . . . . . . . . . . . . . . . . . .. ..
;uest for: Temporary Certificate. .. .. . . . . .; Final Certicate. . . . . . . . . . .
Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . :. . . .
VCO'
• • • •APPLIC
yoS%fFO(X�oG
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Town Hall. 53095 Main Road zu�i z Fax (516) 765-1823
P. 0. Box 1179NZ
V Telephone (516) 765.1802
Southold. New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: �� 9
Building Permit No. C / 0
owner: () (-, ✓M CQD�-rol ��- 6;A1
(please print)
Plumber; 6Lf�Nl� �GVMQt��
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of It lead.
(Plumbers Signztua)
Sworn to before me this
day of � ( 19 �9
Notary Public, �L/ v�l� County
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Town Hall,53095 Main Road ti =
Cy ,� Fax(516)765-1823
P.O.Box 1179 Oy Telephone(516)765-1802
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 29, 1999
Zoumas Contracting Corp.
P.O. Box 361
Wading River, NY 11792
RE: 1915 Theresa Drive, Mattituck, 1000-115-16-14 .
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 # 25480-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIFLD+INSPECTION REPORT DATECOMMENTS_=== '~
__=_----------------- -- -------- ---- ----- ------------- -_ -
===s=-------II -- s i-c- -- ---------}-�------- --- -------- ro \
II n O
FOUNDATION ( ]ST) jj II
it
FOUNDATION (2ND)
Cv)A
II II G v � z
ROUGH FRAME 6
ot,
o
PLUMBING p
I' I� (�
INSULATION PER N. Y. �3�dL+ I�Ro � Ih
STATE ENERGY __ 1
CODE y l s
I
II jj
I
I __ II^—
_____—_________"______ =a====____/_^___ ==ece=a========s__________________
=—II U/ �4�1 lJ LTJ
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FINAL N II N
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ADDITIONAL COMMENTS:
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N
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H
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ NSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REM RKS: 1l
DATE INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [d�ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: O / , /11�)
��pp
I�fNUL.
r
L
DATE INSPECTOR Atj
765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ EPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR '
I'
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOU ATION 1 ST [ ] ROUGH PLBG.
[ UNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: .04
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: _
._
117
DATE--� 3/INSPECTOR 146c.4, k
�y SUNRISE ABSTRACT CORP.
10 0 v NG BOW
WADING RIVER, NEW YORK 11792
DEC 15 D
BLDG.DEPT,
TOWN OF SOUTHOLD 3`yrfi VARIANCE SEARCH
TITLE NO. 5-1655—SS
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
PAUL DERWITSCH, being duly sworn, deposes and says:
That he resides at 10 Long Bow, Wading River, New York 11792
and is over the age of 21 years and that he is President of
SUNRISE ABSTRACT CORP.
That under his direction, title was examined 'to the parcels
of land described on the annexed Schedule and labelled
Parcels A, B, C, D & E
That said examination, dated November 1, 1998 discloses a
chain of Title to determine if any contiguous property was
owned by an owner of the property involved since the date
of any previously applicable Zoning Ordinance
and that this affidavit is made to assist the Board
of Zoning Appeals of the Town of Southold to reach
any determination which requires as a basis therefore the
information set forth herein and knowing full well that said
Board will rely upon the truth thereof .
SUNRISE ;ABSTRACT CORP.
5wQrn to b fore
day of me this
�l{,y>v�M 1991P
BY
Paul Derwitsch,
President
BARBARA DERWITSCH
NOTARY PUBLIC,State of New York
No.4800183,Suffolk Countypq
Term Fx0fes March 30,19—J
QY
Title No. S-1655-SS
DESCRIPTIONS
PARC LE "A' (SUBJECT PREMISES) 1000-115 0o-6 00-074 000
All that parcel of land being in the Town of Southold,
County of Suffolk and State of New York, known as Lot No. 60
on Map of Deep Hole Creek Estates, filed in the Suffolk
County Clerk's Office on 1/28/1965 as Map No. 4256 .
PARCEL inn (AD O NTNG NORTH) 1-00-115,00-1-6-.00-013 ,000
Lot No. 61 on said map.
PARCEL "C" .(ADJOINING EAST) 1000-115,00-lfi,00-015,000
Lot No. 59 on said map.
PARCEL iC (ADJOINING SO
Theresa Drive
PARCEL _"Ell (ADJOINING WEST)
Donna Drive
STATE OF NEW YORK
COUNTY OF SUFFOLK
PAUL DERWITSCH, being duly sworn, deposes and says: That he
resides at 10 Long Bow, Wading River, N.Y. and is over the
age of 21 years and that he is President of SUNRISE ABSTRACT
CORP. That the above is the true description of the subject
premises and of the adjoining premises as shown on the record
in the variance search made under the above captioned title
number.
SUNISE PSTRACT CORP.
PAL'DERWITSCH, PRESIDENT
Sworn to bef re me this
/yf k day of 199P
BARBARA DERWITSCH
NOTARY PUBLIC,State of New York
No,4800183.Suffolk reCount)Y
�
Term Exm �March 30,19_.
: s
Title No. 5-1655-SS
CHAIN OF TITLE FOR PARCEL "A"
Frank S. Zaleski Dated: 3/5/74
to Rec. 3/13/74
Windwood Estates Inc. Liber: 7603 cp 282
-------------------------
Windwood Estates Inc. Dated: 10/26/74
to Rec. 10/30/74
Elsie Parker Liber: 7741 cp 161
------ ------------------
Elsie Parker Dated: 7/12/84
to Rec. 7/24/84
Philip P. & Anne T. Ferraiuolo Liber: 9606 cp 439
------------------
Philip P. & Anne T. Ferraiuolo Dated: 6/30/98
to Rec. 7/14/98
Zoumas Contracting Corporation Liber: 11904 cp 101
bast Owner Of Record
SUNRISE ACT CORP.
Swo n to bef re me this PAU�ERWITSCH, PRESIDENT
lq f� day of 199P
BARBARA DERWITSCH
NOTARY PUBLIC,State of New YOtN
No.4800183,Suffolk Countl{�
form Exwres March 30,1 J
Jar
CHAIN U TITLE FOR PARCEL "B"
Frank S. Zaleski Dated: 11/12/71
to Rec: 5/12/72
Celia Zaleski Liber: 7047 cp 107
-------------------------
Celia Zaleski Dated: 3/5/74
to Rec. 3/13/74
John J. Miesner, Jr. Liber: 7603 cp 284
------------------------
John J. Miesner, Jr. Dated: 4/30/74
to Rec. 5/6/74
Dominic J. Piscitelli Liber: 7631 cp 541
-------------------------
Dominic J. Piscitelli Dated: 12/26/74
to Rec. 12/1/74
Sprucewood Park Homes, Inc Liber: 7774 cp 307
-----------------------
Sprucewood Park Homes, Inc. Dated: 5/18/76
to Rec. 5/21/76
Gregory Sacks Liber: 8036 CP 83
-------------------------
Gregory Sacks Dated: 12/19/86
to Rec. 1/10/87
Craig M. & Debra L. Dolan Liber: 10225 cp 594
------------ -----------
Craig M. & Debra L. Dolan Dated: 9/15/93
to Rec. 9/21/93
Jonathan B. Andrews Liber: 11645 Cp 143
LAST OWNER OF RECORD.
SUN SE STRACT CORP. ,
Swor�n to before me this PAUI, DERWITSCH
/r f/lday ofh#t.A(.. 199f
BARBARA DERWITSCH
NOTARY PUBLIC,State of New Y01k
No.4800183,Suffolk COUn
Term Ezeues March 30,I9A.JJ/
CHAIN UTITLE FOR PARCEL C"
Frank S. Zaleski Dated: 11/12/71
to Rec. 9/4/72
4�Kathryn Kornafel Liber: 7047 cp 105
-------------------------
Kathryn Kornafel Dated: 3/15/74
to Rea. 5/13/74
John J. Miesner Jr. & Liber: 7603 Cp 280
Carolyn Miesner
-------------------------
John J. Miesner Jr. Dated: 6/27/84
to Rec. 7/13/84
Michael J. Perlmutter & Liber: 9599 op 552
M. Catherine Gifford
-------------------------
Michael J. Perlmutter & Dated: 5/20/87
M. Catherine Gifford Rec. 5/26/87
to Liber: 10327 cp 76
Maureen Burk & Johanna Lynch
-------------------------
Maureen
-- ---w wMaureen Burk & Johanna Lynch Dated: 9/20/88
to Rec. 1/11/89
Richard H. & Lynnis M. Baker Liber: 10785 cp 29 -
LAST OWNER OF RECORD.
STATE OF NEW YORK
COUNTY OF SUFFOLK
PAUL DERWITSCH, being duly sworn deposes and says: That he
resides at 10 Long Bow, Wading River, N.Y. and is over the
age of 21 years and that he is President of SUNRISE ABSTRACT
CORP. That the above are true chains of title as shown on the
record in the variance search made under the above captioned
title number.
SUNRRE=RACT CORP.
PAUL DERWITSCH, PRESIDENT
Sworn to before me this
/yfN day of 199P
BARBARA DERWITSCH
NOTARY PUBLIC,State of New York
No.4860183,Suffolk CourOurr
Term ExuirPs March 30.19-71
L ' TajAR1dA• 23 39f sq. ft,
GAREkLe• 19. 0
Cta4TJ � b pa pa. .
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T1] LOT NUMBER 61
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dwell
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i Received� Suffolk County
THERESA DRIVE
MAY 0 5 1998 TEST HOLE
0 TOP SOIL
Dept.
u es (' LOAM
Office Of Wastewater Myrrh. 5
'F1z11 S gN D
LOT NUMBER 3 GRAVEL
dwe 11 12'
�GESSPOOLS f WELLS ,LOCATED 6Y OTHERS f
T"*,JRE `401 GUARANTEED
Mt OFMETS (OR DIMENSIONS) GUAKANIELp nwaA,Eu nc°n�, JOE NO, 'f# 26 FILE'NO. Djk9P MOLE C REEK EST
LHOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON
STRUCTURES TO THE PROPERTY POR WHOM THE SLIMY IS Pu. SURVEYED-FOR
ININ ARE FOR A SPECIFIC FUR. PARED, AND ON HIS BEHALF To
°OSE AND USE AND THEREFORE THE TITLE COMPANY, GOVERNME - -
AM 'NOT INTENDED'TO GUIDE THE TAL AGENCY AND LENDING INM LOT NUMBER 60
eRECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO
g HAUS, FOOLS, PATIOS, PLANANG THE ASSIGNEES OF THE LENDING 'MAP dr DEEP HOLE CREEK ESTATES
AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
[: !MANVg11ERCONSfRUCTK)N. NOT TRANSFERASIE TO ADDITIONAL -
[�
JNALITPtOR1ZED ALTERATION OR INSTITUTIONS OR "ILIQUENT SITUATED AT MAT T I TUCK
OWNERS.
ADCFIEDEI To THIS SURVEY ,E A TOWNOF. SOUT'HOLD SU'FF'OLK COUNTY N-Y
.<1d No OF SSTAE 720p OOFF COPIES OF THIS SURVEY MAP NOT
HE NM YQLK STATE LDUQi1T14F1 BEARING THE LAND SURVeVGIE'S
AW. INKED SEAL OR EMBOSSED SERI SCALE. 1." _ 40' DATE 1 -2 646
' 1wAu NOT TO FILED MAP NO. �420fo DATE 1.2L'$, 1 4)66
A.AU. N .
GF1;ARA N TE ED O'FTDIEW
p, YO TAX MAP NO.-1001 '•1°15'-16_,1 4 1REF. ONLY) DISK 1�g
I SQA TRANC,, F HAR,0404. TRANCHON JR. ,h,0.
g ' LAND SPIRVE10A
1866 WADING, RIVER-MANOR RD. WADING RIVER,
Od19 O� NE�II' YORK, 11792
D F T gJ R Y. LI NO 048992 S 16 92 4691?
I . - NO 2i11� E
LOT AREA- 23,391 -- .- - 99-102
SUNFOLi COUNTyT)FpARTMENTOTI A[CHSERVICFS
Rrr11C9"�ALOE'CCSNM- .UC"C"EI)W(DR"'F"
�eEtN(abEktARlttI RISiDllEvCF
AUN,3 01999 .H.S.k�l,rrE� 1 64d� If:s;
ThrwAge dILP Sal Lid••vale'IaTFpiq! ,ithkt;j this 1000(41 M`vc bKn
X)spa!:nrr;erarhsn•¢c:Tcl25rmdfound fvi �'� JUi`
Ins(TEcledaTd/or cer.i[:at2yllt*dsy,y S t1L g e n 2Ir
t°UR. �EAIy 5Ul1E(/C li4')41�{A\:6e1J•
hCS2lI151hClOrj'
' l3r1 Y
ur¢p;arn A.UtOI P•r 61 i t
Orlie.a Nater and Waste re"1Nlrk%l
PC., S- 8302O 40,,E . ` 123.91'
x - 24d Y�L_> Wtl. fence
rytTce o.1' IL
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N• 83^20'40 W.
110.00,
THERESA DRIVE
TEST HOLE
TOP SOIL
5 f LOAM
SAND
4
5-7-99 FINAL SURVEY LOT NUMBER 3 GRAV E L
3-2-99 LOCATE FOUNDATION dWel 1 12'
5-4-98 REVISE HOUSE
1
f CESSPOOLS $ WELLS LOCATED BY OTHERS t
ARE NOT GUARANTEED
1 HE OFFSETS ( R IM@NSIONSJ GUARANTEES INDICATED KNON JOB NO. 58 26 FILE NO. DEEP HOLE CREEK EST!
SHOWN HEREIN FROM THS &TAIL RUN WAY TO THE PERSON
STRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS M. SURVEYED FOR
TINES ARE FOR A SPECIFIC PUR• PARED, AND ON NfS DEHAIF TO
\RN INTNJDED TO OUIDAND USE AND EFORE THE TAE AEN AMD YILN OVE MSIN
• :RECTION OF F@NC@S, RETAINING TUTION LISTED HEREON, AND TO LOT NUMBER 60
NAUS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING MAP 0r DEEP HOLE CREEK ESTATES-
-,,Z
STATES"
-,,Z ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARC
7R AHYOTMRCONSMUCnON. NOT TRAWKIZABLE TO ADDITIONAL
JNAUT,IORIZ@D ALTERATION OR
INSTITOWNKRUTIONS OR SUBSEQUENT SITUATED AT M AT T I T U C K
400moN TO THIS SURVEY a A TOWNOF SOUTHOLD SUFFOLK COUNTY NY
'IOLATION OF SECTION UCA OF BEARING
CW HE sIRNEY MAP NOT
HE MdY YOIOL STATE EDUCATION BEARING THE LAND SURVEYOR'S
f AW INKED SEAL OR EMSOSSeD SEAt SCALE 1" = 40' DATE 1 -20-98
SRALL NOT BE CONSIDER® TO BF
nii^+m icmeY FILED MAP NO. 4256 DATE 1-28- 1965
GUARANTEED C TR y0 TAX MAP NO. 1000.115.16 .14 (REF. ONLY) DISK 179
"THOMAS S. RR F' ASC 14
JANET S. M ,R y0. HAROLD F. TRANCHON JR. P.C.
FIRST AME TGA ¢�17 AIS CO
ROSLYNNA 10 M a` x LAND SURVEYOR
<�F No QASgg2 O� 1866 WADING RIVER-MANOR RD. WADING RIVER,
Fp NEW YORK, 11792
"BARO D FF.TRANC �AN
PVi�N�lulc No�4df • a-,'s 5, -�29•R'6915 q
LOT AREA,- 23,391 sq, ft.
F•FL,ELEV• I/o.o s9-102
GAR. F;LEV, iv.o )L�1 y �P� a eo
LOT NUMBER 61
dwell
FC•, S 83*20'40"E . 123.91'
0.2,N.
130) x 24 WL•_ . V�d. fence
Vice 0.1'N.-
z ,x
0
� o
r 0 m I w
O z In N
� O
z +15 "
f 1 � O
0148,0' 32.0' , Tye F z
m '� C
In W
m
w <
_ I
m
h t0
37.1' rn
N m
A v N
O
4, TEST HOLE po
N• 830 11"1/
20�40�W.
110,O 0'
3.11-1 D THERESA DRIVE (10�r)
1 TEST FIOLE
0 TOP SOIL
MAR _ 5- e LOAM
BLDG.DEPT. ",I SA.N o
p NOF OUTHOl7 LOT NUMBER 3 G'RAV E L
3-2-99 LOCATE FOUNDATION dwell 12E
5-4-98 REVISE HOUSE
CESSPOOLS 1 WELLS LOCATED BY OTHERS f
ARE NOT GUA'RAN TEED
HOW "SI,I REJbh FROMJIUTHE SHALL�RUN ONLY TO THE PERSON JOB NO. 98 26 FILE NO. DEEP HOLE CREEK EST,,'
.TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE. SURVEYED FOR
INES ARE FOR A SPECIFIC PUR. . PARED, AND ON HIS BEHALF TO
'OSE AND USE AND THEREFORE THE TITLE COMPANY, GOVERNMEN
IRE NOT INTENDED TO GUIDE THE TAL AGENCY AM) LENDING INSTI LOT NUMBER 60
'RECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TC
MALLS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDINC MAP OF DEEP HOLE CREEK ESTATES'
AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARI
'TRAWOTWR CONSTRUCTION. NTI
INSTITUTIONS OSU
A ER TODDIIHOVN`.
SITUATED AT MATT 1 T UC K
1NAUTHO1IZED ALTERATION OR OWNERS.
1DDtTt0N TO THIS SURVEY IS A
'IOLATION OF SECTION 7109 OF COPIES OF THIS SURVEY AMP NOT TOWN OF SOU T HOLD SUFFOLK COUNTY NY
HE NEW YORK STATE EDUCATION BEARING: THE LAND SURVEYOR'S
ALV, INKED SEAL OR EMBOSSED SEAL SCALE 1" = 40' DATE 1 -2098
HAU NOT RF Pr
U FILED MAP NO. 4256 DATE 1. 28. 1965
�TARAN7EED b �O TAX MAP NO. 1000-115-16 -14 (REF. ONLY) DISK
ROS NAT I TGA R MARRON 179
"SUNRISE AR T£ 6i�C61u °2 HAROLD F. TRANCHON JR. P.C.
¢ LAND SURVEYOR
41'0. 489g2 1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
C D Y. LI NO. 048992516-929-,4695-,
HARD D F. T'RAHCHO PENN. LIC. 'NO. 2111S�E .. 'I ,
R n M R BOARD OF HEALTH . . . . . . . . .
O LS U U l5 D FORK N0, 1 3 SETS OF PLANS . .. . . .. . . .... ..
TOWN
TOWN OF SOUTUOLD SURVEY
Nov ? BUILDING DEPARTMENT CHECK .. .'..:'.. . . • . . • . . . . • . . . . . .
TOWN HALL SEPTIC FORM . .. . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
BLDG. DEPT. TEL: 765-1602 NOTIFY: �Z
T WN F S UTHOLD
CAi.L . . `ry
Evmmined.. .. 19. 9` /yI Xyh MAIL TO: . . . . . � . . . . .. . . . . . . .
Approve .. 9.i./ Penal 1: No. ,.!.US1 • '0 ' .
• �2' I "ZOUMAS COId�'F�ACTING CORP.
PLO- o)(
................. _ Wading River, NY 11M
We
........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date. . . . .. . . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. 'Hilo application must be completely filled in by typewriter or in ink'and submitted to the Building inspector wl
3 sets of plans, accurate plot plan to scale. Fee according to scimble.
' It. Plot plan allowing location of lot and of buildings on premises, relationship to adjoining premises Or ptdilic
strecta or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of
title application.
c. 'lime work covered by title application may 'lot be commenced before issuance of Building Permit.
d. Upon approval of this application, tie ituilding inspector wilt issue a Building Permit to tie applicant. Such
permit shall be kept on due premises available for inspection throughout the work.
e. No building droll be occupied or used in dlole or in part for any purpose whatever until a Certificate of
Occupancy shall Itave been granted by tine buildieg inspector.
APPLICK11M IS 1LrRM ME to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the lbws of Southold, Suffolk County, New York, and other applicable i.aws, 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
regnlations,mslid to admit authorized inspectors oil premises and in builds for oemeso Inspections.
^..,r `S ......�........
(Signature eE app barter or nage iDf a co monism)
Mq 4 . Avo .v cj•11732
(Mailing address of applicant)
State whether applicant Is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
!Q.4U] �!4....'L.. .V. 4.h:}?.� ...`........................�..... .........................................
Name of owner of premises ..... �J V M ...t c9 T.dFFl4 /N.�c ..SN ..........................................
(as on time tax tell or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Pludmrs License No. ......�g0-'F........•..
Electricians License No. ..�.���. 1~......
Other Trade's License No. /� (�
I. Location of land on which proposed work will be dohe...D0.
..................... QApip ..... P.UG`..................Mit-CilTv.4� .................:....
House Number Street Naalet
County Tax lisp No. iOUO Section ....�!�.....�lock .....1.0....... int ......4�...... ,
Subdivision (�Q�.9.r..Nf R.1 4E . �118&LL� :.`l+iled Map No. .. f > E�..... int .................
(Name)
2. State existing use and occupancy of premises and intended use and pccrrpancy of proposed constriction-
a. Existing use and occupancy ....................... .�i......�. ..I� ...... ...•........... .:.............
b. Intended use and occupancy .........................1:��..'.:...Q....`. ...........:tea.>...........
3. Mruure of work (dieck wliidu epplicabie)t Nor Building
. ....••••• Addition ........ • Alteratsion� ..,...".Repair ............ Removal ............. Demolition , .......... Other Work .... I
"
......
(Ikscripti
A. Ratinsated Cost . fee .... }...
(to be paid cxu flung this n;rplicaCion) i`
S. 1 fdxtl l is
unser of dwell tsetse ............ Mnler of units a, earls floor .. ..............
Ifgarage, ttteler of care ................................4......
6. if lival ess, commercial or mlxedf occupancy, specify nature and extent of each type of use......,....I..........
7. Diaenolons of existing atructuran, if any% Front................ Sear ............... Depth .................
IlulghO''iO 'U-'hVuG ...........
... . Nidser of Stories .............
Dinensfonna of sae structure with alterations or'acklitlonst Front ............... [tear ...............
Depth ...... lieigltt ....... Meter of Stories
8. Dimensions of entire new constructions Front ........ Itear ... ........ I)epth
leiiout .....1. ................ Mrder of Stories ......4.,............
9. Since of lois 1Rcx,l' ....aQ ...... Rear ..... ..afll7.. Depth ....•...���........
,p0.%q
10. DallisOfAtrdese'.....�...S�n :4Q.... Nam of homer O.a,er ................................... .... .
II, Zone or use district In whidt premises are situated ........................................................... ...
12, foes proposed construction violate any zoning law, ordinance or regulations ......`P.P .............
13. Will lot Ise regraded .................... Wil etre;sa, fill Ise remved frau prenlses: YES,�pp /�14. Name of Owner of premisesoli Z ..�4/� �l�rAdcirese f Q..�0t?..s'.�(.
S sow r�P
Nose of Ardtitecl' ........ . Acklresa 1;d.q.M4/4u.4 .4h..... No.
Num of Contractor Address le,r y(.0%ilone No.
15. Is this property within 300 feet.of a tidal wet and? * YES .......... NO .......... V
*IF YES, sOUD" 101di imrEEs PEmrr MAY SE SE(plltpol,
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 slow street name arxi irxlleate
,detler interior or Conner lot.
r
c
f� Ar(.r A Q fzr v
SI'Alil tMs NiW Y(MiK,
(1MMIY tM�...........!L/ .. g�
........ZR ° Ti c .•.•l+l'� .......................WO11 duly sworn, deposes ocxi says that he is the appi.it:+snl.
(Kale of hxlivichsl signing contract)
above vaned,
lie in tine ...... ....0 ................
(Conutractor, agent;corporate officer., etc.)
of sold timer or amara, find is duly outhorized to perforin or have ierfonmd the Paid work atxl to nuke and file this
alipticnthnt; that till statesente ccxttalned in this oplAicatlem are true to tine beat of hia knowledge mrd lstillef; anxl
thnt tine work will Ire performed in Lite nnnner mel' forth in the oppl.icaticm filed therewith.
fmml to IV, ma ads
.......,day of ..��"...... I9.T1?....
. ....
l
Notary Public .. . ..... .. -
.. .... ............... ... ............
ROSALIE SALEMME (S insure of Appllcmt
NOTARY PUBLIC,State Ot Now York
01-SA4800818
Qualified In Suffolk County
Commission Expires January 3l,_` ��
ma vExi �� z
f'.2- 8' 116' PARE DO
`.� IE:II' SCREENED LW1hA YENi
x
0 e
D
_____ --------
_---- -
I II I I I II
I II I 1 I 1 I I � LJ
I II I I I I
I II I I I I I I
STIP(OOTNG.NI OEG MAK _—
- ---------------- -----------------------------------------------------�r�r5
------------------------------------------------------
gF-AR ELEVATION LEFT ELEVATION
PIGL4 ANT
ASPMALr nMfING MING EC PIKE VENT 12
6�
13
LLU
R EIEv
NNR 9gNG
V
Ll
I 1
I I 1
Eric Nicosia
I I --
' ; RIG �Feo � NFApproved
EGI5TERED ARCHITECT
L _ J_____
AD
___- _________________________________________________________ _
Maln 5treat, Port Jefferson, N.Y. 11711
FRONT ELEVATION
Tel: B1B) a�B , Fax: (516) -25-115,45
} . MARRON RESIDENCE
N yo'r� ELEVATIONS
S.dl o omwn flyE Nlmalo A—�
Onle 11/23/90 JabN 981380 Rev
01
C12
V�Y/
V
A4 —_— °�./ 5k 6O+G�FL NoiCa n {"Y �Fe�9a aaa°16 11 br b /
21'-1' 1 to INe NCYS zfhe Prtee Ig
Burltlm9 Com�rve111o1maeM eo r9a Gomom
ceplea
',I d
an ori II pbming one sax e s osn
�( m m.a u,°, s c.D,ns ,glwrm,nl,. a ,wdnaal .
INS, my
copilot,a.Nmmbn aPPllex any to role Pi nc
AREAbal AS RED, la Ile N 5. Plse PnA,mlmn. 9ulleing ° Enngy Code
J These plana to be ulto In .,mi,lan xItb oWllne Spec, rvI- p.,Idzo
__ ..... P.C.FFA "C"'FLOW"'C'
Zen 5 Azxumea sou aeonng capon, nz Innin/So n
1 L_ s nu mmlm9s m r.xl an r m a ar,wrom x
_________ • -1 -, ] Provlee amaFa tlelnn n Ne nwory elnex,A�a'"lor n9,wcllonm mol
p a anr,lmare,e. zspp Ib o ze aal
f________W A _ _________ _____ _____________ ______ a Tn.FArrnit.d/Em9=nrosume awl ° mean'
e' .9s D�eESg m t . .
g p a9mmr incnnl In.cbnn ..In '^.iter Ineer null not°be
S„ le' 1 .......ble m culom IaAw. Ito to ut . x N In mntarmance
mcontr ells IDe rill¢(/En9inee aN II mol be sopanz.ale
lar m. .r os prIn In. l amlopnz of m, conw.lor o za -clml Oita.
- mmmmr la .ally all armorial be/ort All"
con rvcuaa, naery
5
BASEMENT n.,nnen/on9m,er al Ono m,crependex m ,aml,ly
/` pa
.at I. amwingx. Ina. dm.nnan,army
g i . IyiP BO�rottCW 1 P.C.CI ° 9o, Coddl- from m.,, plan, or wnana,e eapucanol *111 "I'm me
oArtibi-t9nglnen CerNbmllanuand Ie a ran of YS Low
� I •rt I I
..1 � "�r I .. `A I I - I r II GTINULPAV.L NOii9
o EA e._0}.. •�0�" arI 8'-D�" B'-O�" B'-O�" 'I n m x n
nn - 6 ry J 1 All lumn., la oe D-dr,Rr orchN 5o2 oletl orrwIII
1 _1 EAY PRI 1. 1 T I I I otl en gn o lues a b Am,r o ell Relent'Sloneomx on,
oSe m-1] IFru 9 by Ibe American F rex Proaud, axodollon,
—— 'o Idlers,.
` L_J L_J L_J LJ _J Ona rr
1'LL CRAM 2-0 A Ii-fin 111,E=1bpg00p P6�Pn=e25 p,l, Fv=95p9
TO MY KLL J•_e I .e'-e E.6 [311
I,f000pp pal, Fh=L1]5 psl
(2)IaH'R 9-1/Y mLi o-WI aR zre E-I boo Doo p,l. Fb.1,Iao wr
QN J p1A SEEL Cdll4N5 ]rIP E- eDb OOp pxl Fh- 015 psl
t!), ON 2•-0'.3'-0 sl'-D DEEP PC F=RCS i • 2x12 E=I 6pgp0O 11: Fb-950 pxr x Inlmam
V,
mminmea veneer Lumber ('IAIcmF Lami) m nae m wluex m Imloxz
2e69 rJ \\yr I / ///ttt'Iy a I E=',Sol 001111, P°a mi um
1 1A ` .' w'ee n Fh=2,D00 pzr, wEBS LVL' to Fove min ]" al neorl,mae
IF \ Ip 1 c Lug„ .mn,m, a., m e. Iaxl,nm I ,m,. .Im a nm al
J z .a err Ibe nmh °Iz'o a A raw, al 16a O IS n- mars mr 11'-Ie' m
o s:o. ° rJ L__'1 2 o.,1gn Laaeim9a or. to loran, DyEyDLa
In Lil 1.
•m n 1IS I°e0.C.41 fROM 0]RNEflS_______________ ____ R'�� a Ip LR, �e. DEEIELC/3L6 DLIdLT
n %I },• ^na F1'("ra.elrbdi) 20 LD ID LB L/J60
^ t (( c x ml,) ID LR, ID Le L/2.D
/Y pIA S1EEl,INLNpi BOLLS I(ry In ceurng9 2u le ,now 13 L6 L/l
1 ]-1NID r-1 _J-Yx1O r� p -J, l.o/Fe rraenl 2B W zna. no L/in0
il
to
( I 6-g L J fr -J '• • �96ZLA�DEf1(- o u Lon rt Ol aoll Ilu,ha Flys J ^eatupa°Ibe D rmll..I l 1.11 Immm9
p as a�e.mi 1IS nl
old
_ _ a nx 6a y
ld
p,r
J' c anamdur,m o, 1'=Ir,' E 8
�+ a nsp:mi. p•, n,1,n.ham,
r I L_________ I � n ars err. a==�i,tl, an, or.
am z
s pa ml
n,amre
_ Doabm re as a1 S 1,.1
$-2XB CCA _ 6 Pmeie. wbl, Immin r emh,ra a
l - oz per man M1odumrs r na EpAMPSsCNsam EquoI1F x
�O banger, na Vudlone
11•-D• JS'-e'
121_0•
er-e'
A
FOUNDAMON PL,4N 'qQy� Eric N i cosi a
�\5 ePo NICos� r REGI5TERED All"
dna 414 Main street• Port Jefferelon, N.Y. 117M
Tel: (516)928-4456 Fa%: (516)926-9545
' °° 'r MARRON RESIDENCE
r.A yoQ� FOUNDATION PLAN
SCOlen/e'=1'-a orl. erL fl A-2
note 11/25/98 Jab X'981260 Rev
r OCCUPANCY Q"'
APPROVED AS NOTED
� yUGg_E ppSp1��~kL,�a�I"Ji�PpL+ _6 p- DATe�e.ex Z25 L/ �-
b71VP � IlQIDI (C' BtlqT/I F7":zF�Y6� FEE: BY.
ns ✓ �" Q'C,LUP��6�E: f AT
Now BUILDING 76111629 AM TO4 E HE
sr-L• FOLLOWING INSPECTIONS:
PROVIDE OPENINGS FOR 1 FOUNDATION - TWO REQUIRED
EMERGENCY ESCAPE AS FORPOUMCONCRErE
EQUIRED BY PART.714 OF r s n'-e'«- 0'.- e'-m.- MIDER1VIRITFRS CERTIFICIIdE 2. ROUGH - FRAMING N PLUMBING
.Y. STATE BUILDING CODE. REQUIRED a. INSULAIM
4. FINAL • CONSTRUCTION MUST
moslEn°-x 1L 1.v. BE COMPLETE FOR C.O.
uzwc x-ax10 Lae s
exL aesL zmx 25210 ALL CONSTRUCTION SHALL MEET
z-xxla z-2x10 0'-� THE REQUIREMENTS OF THE N Y
,• u'-° roe J _ STATE CONSTRUCTION & ENERGY
wiR5A1N s_zxe o 0
DE ANTI-SCALD AND/DR O �t
CODES. NOT RESPONSIBLE FOR
AAI SHOCK PREVENTING eEco eJ ol0 4 IT a a a E x cm� DESIGN OR CONSTRUCTION ERRORS
ES AS TO PART 902.6(K) e se 0s5 -0• oo "`N_ I6"'we° "�
P
b e ee NA51FR 6EDRQ�Id x-axe S r P11RG . CG
STATE BUILDING CODE = a ° 'I u ,. �I°x° "` DO^L DO NOT PROCEED WITH
ouc PDcx ro 90aR
"I"�Ab K L ° F FRAMING UNTIL SURVEY If copper tubing is use
for:mater distriboiting
5-axID..R 3.2x10 HOR OF FOUNDATION LOCATION
1 t4 SystelSY; PI(,iseg-shall b?
OE SMOKE-DETECTING " m0 OP e'w aewi�P a sm°oPxc lP J JJ HAS BEEN APPROVED.
LARM DEVICES 430' LL5 $ ,' e'b -0 of types 1< or L only
So lou:rw ti L 'eb
TO PART. 721.1 e " 4 e
UNDERWRITERS CERTIFICAT_
S BUILDING CODE. O E ; o g REQUIRED
" LNP1G FlXTA .
�"_1L¢OF caai.[----------____ �a gmFLg49 e e
x]s r 1 " vnuE]en muxc - xOH
'ry so >w �tl L� ew0 ox wE PLUMBING
P,+ mi d 2sse A "a
/- �jI�N ALL PLUhABING WAS
e [at
&WATER LINES NE 1=
v %1'-B' r TESTIfVG BEFORE COVE
x-2x10 " 2 ° _ x1 z-2x10 'o-zx10 I�j'4 - n
un V4 OR. FIRE
30sx - xeu ae50 ';I(J1Clu"-
SEPARATION TO '°°°
zn c]o.e oc 1 3L
717 ( )( ) + "" \�1 5°)."m FORGI
.3 o R xI SEW
e°ILD PIhSE FIRST ,REL 11
TE BUILDING CODE. L5 PLRCN POST — ---- -
12 P.C.MLRILE
]•-0• 5•-5• 1°•-°• Y_1• e•-x• ,•_L• L•_°• L•-0•
.9.-°.
A �
UMPER CERTIFICATOOA( �pED A,90 Eric N I coe:q225-:q543
LEAD C01VTOF-PIT k3EFORE FIRST FLOOR PLAN ""� '"' �< ,� NICO ''moi
Tla ICr1TE O� OCC7.l,?�IVCY eP sy to REGISTERED ARGHIT
O� 414 Maln Street, Port Jefferson, N
I LD :3'°" t11( I".®•�' ` Tel: (516) 928-4456 Feu(: (5167
eN �1 i) * nppro�.a ey
ay Sysar,14C/ MARRON RESIDENCE
624675 e
) '(CL_FD 21'1 fT 0' 9Yi] C l?. v� yO FLOOR PLAN
Q Scale l/4•=1'-0 Drown 5yE N¢ozla A-3
w Dole.11/23/98 1 JOE# 951200 1 R.,
I Y VENT Txau PIECE I
PATH LAONDflY MIiCNEN
HSTR I1I- -,
-----r---�I $•V S,V Z•VI iE,V Z.V
l i'V ;E•V 5'V
I
I I E•v
IS'1l 15'V TV is"II 2'V ORaGY NOlL�
IS' V 3' V 1 i Iry a All newl Y a pr ez
CD L9 mml�tlnae�h Plena pact/feel b mance +.i�pp 1 av of a14 all
I• y En P V l Energy Loaa Altea Marcry 1 199,
$ r .FARM le n ]]'I Iw Omlinq one min ]9) Ia1 ceeLng
ItlI15E TRAP iC APPROVED SANILMY SYSLEN co w TO,
1-1 pIn gine a awo I.I Smta Erma,c a p`
]. Aua..poaae w 1 , l g en /or n11TI eucR a IID 1,tm o
sanon ]nu of me 1b,1 list. Energy COL.n
vePlo`- Ic air u II,enl i Ngn1 ngm`
ln'ugmra a-A one-
o11.l1.Ai aaocl In host Inl.;groi Lu
s. rt n1l,onon nnl 1 a.e 11" m,wmaO.. n e .l cEm TO, e
-wrlTar ., M 0 an-ja •.IE
n9W wnla On a.ON Yl Ene1 mea
PLUMBING RISER DIPGR,�M analll d;lgn.a pale ..AFUE1,T19
.arms u It m hove O mm eEh nF11 .AtO
NO SCALE
WALL U—VALUES
/IfA WTI.K R-AIG
W
v."p°".,"RHE
I X-11
Is_.1 FAST v...
a -- —R,
R .Ti° °AREA 111
Tn aMm
-AREA 11 VC
pm_
'IECC TY DOAHS AT RIDGE Isi RICE[Kxi 1°nUn�
CERING U—VALUES FLOORM.—
ON
USE 1f RAEIEfl IENGMSA WMAL A-W� r• MAREN
w-
MATCH UNCHSE LeR-
GARIE RIDGE � RODECIXICIppcTOxrENIoCp�ASPHALT RDERMISS ACCEPTS SHINGLES M EIAARFINC 1/1 I _TECO Pfl LO PLATE IS EELie 1/]' CCI(PLYWOCG ON n.1-11 LOSE 1]'RATHER LENGTHS Ra�P R I6 OC >MEL. INISHOT 'A- '°E c'n,ITaI AIR
R-19 WSCL USE R RAERR LENGTH$ Sl]_ Jf.V_R1INYJL_____ AUUMINUM GUTTERS k L£All1AS GN n- ).11 n31f9-
n Diu.fan su AnL'A n niuniu v°n AL Pa aw. *olu_______________ _ NALL .u.L
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Nicosia
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N ° 9 �O� Port Jefferson, N.Y. 117-M6 Fe](: (516) 978-9549
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D°te.11/24/98 J°bp.981P80 Rev