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Home My WebLink About25483-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26888 Date: 01/19/00 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 4705 NASSAU POINT RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 9 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30, 1998 pursuant to which Building Permit No. 25483-Z dated JANUARY 21, 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 ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to STEPHEN N SACHMAN & ALEXIA QUARDRANI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 506874 11/15/99 PLUMBERS CERTIFICATION DATED 12/29/99 MATTITUCK PLUMBING & HEAT Aut'-focrized 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. 25483 Z Date JANUARY 21, 1999 Permission is hereby granted to: STEPHEN N SACHMAN 4705 NASSAU PT RD CUTCHOGUE,NY 11935 for ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 4705 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0009 Lot No. 009 pursuant to application dated NOVEMBER 30 1998 and approved by the Building Inspector. Fee $ 245 .00 AuthoriziSd Signature ORIGINAL Rev. 2/19/98 i TOWN OF SO UTHOLD -To� � C:4 CO, BUILDING DEPARTMENT V n0 TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OFL�k CYA. This application must be filled in by typewriter OR r itf o .the builinspector with the following: for new building or n1. Final survey of property with accurate locationuildiiigs; pro-"pe y lri streets, and unusual natural or topographic feat2. Final Approval from Health Dept. of water supplyerag'e=`Yl'issposa -9 fo 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contai less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bui and installations, a certificate of Code Compliance from architect or enginee 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 building '.'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 appli If a Certificate of Occupancy is denied, the Building Inspector shall state t 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. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ��o� to l J. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . old Or Pre-existing BuildingA;*Di1'hqJ5 d p11. �S. . . . Location of Property. . . . 0? . . . . . . . . . . . . . . . . . . . . . . House Noo..y Street Hamlet Onwer or Owners of Property. .5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y7388� County Tax Map No T 1000, Section. . .1.1.1. . . . . . . . .Block Jom: :J. . . . . . . . .Lot.C?P. J. . . . . . . . . Subdivision... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .\ Filedd Map. . . . . . . . . . . .Lot..,.. ..�. 1. .. ..�.,.. . . . . . . Permit No�f^ � `� . . .Date Of Permit�7W.a�J�.• .�•Applicant �!4^M `-' '!� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . )(. . . . . . . Fee Submitted: $. . ec- O�a�� APPLICANT AELDrINSPECTION REPORT DATE __ _ = COMMENTS=====____________ II II �H W H al FOUNDATION OST) I� ll I I C � FOUNDATION (2ND) —�I N b ROUGH FRAME 6 PLUMBING it I/ INSULATION PER N. Y. _C— II y STATE ENERGY ` CODE Imo_ n I n II d ae 1 to II jj I � I -------- B �I FINAL II ' I � ADDITIONAL CO S: 28, o � x ro H AF '_111I IIh LUX. n;4. Town Hall,53095 Main Road ?; ? Fax (516) 765.1823 P. O. Box 1178 j - ^ra Telephone(516)765.1802 Southold, New York 11971 no :S >•,y OFFICI= OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. owner: 4:-*eyeC\ k ��1� (please print) Plumber: (please print) s� I certify that the solder used in the water supply system contains less than 2/10 of 1t lead. 4�('PrlfumLber s Signa ) Sworn to before me this day of &u , 191L Notary Public, County NotaryQuo rMimn TermExxmas ..� THE NEW YORK BOARD OF FIRE UNP,ER_WRITERS PAGE 1 1195099 BUREAU OF ELECTRIB'[T,?l'it '- I 40 FULTON STREET, NEW YORK,NIC 40038 NOVEMBER 15 1999 18529699/99,; N 506874 Date F Application No, on file a, THIS CERTIFIES THAT v' only the electrical equipment as described below and introduced by the applicant named;on`tbe,above gppdication number is in the premises of STEVE SACHMAN, 4705 NASSAU POINT ROAD, CUTCHOGUE, NY';'L_;, T�''I in the following location; ® Basement ® Isd Fd. L'J 2nd Fl. OUT Sez Section Block Lot was examined on NOVEMBER 11,1999 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. K.W. AMT.,: K:W. AMT. K.W. IIIAMT. I K.W., AMT. H.P. 42 49 38 42 2 3.6 1 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ispEcrAL REC'PT.jJfME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DLMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT: NO. A.W.G. AMT. AMP. .'AMI AMPS. TRANS. AMli H.P. NO.OF FEET AMT. WAiiS r, 2 - 9 600 SERVICE DISCONNECT No.OF - S E R :,V A,, C E METER NO.OF CC COND. AWG A.W.G. A W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 D 3W 3 0 4W PER 0 OF CC COND"- NO OF NI-LEG OF XI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1X 1 4/0�,�� OTHER APPARATUS: JIM SAGE ELEC. INC. LIC.#3630-EL LPO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 EPer This certificate must not be altered In any manner; return to the office of the Board if incorrect.InSpeciors'may be identified by their Eiedentials. - COPY POR BUILDING DEPARTMEN THI NOT ISE ,ALTERED IN ANY MANNER • ��o�oSOFFotK�oGy Town Hall,53095 Main Road p 1 Fax(516)765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 Oy • �� _l��Y`'� BUILDING DEPARTMENT TOWN OF SOUTHOLD December 27, 1999 Boeckman Construction P.O. Box 1453 Mattituck, NY 11952 RE: Steven Sachman, 4705 Nassau Point Rd. , Cutchogue. To Whom This May Concern: We are unable to complete your Certificate of Occupancy U because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 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 # 25483-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. nG M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: 5ne /Z� - DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A/CHIMNEY REMARKS: DATE INSPECTOR AA" 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ Vj"FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATES INSPECTOR h```- PAUL RICE , AIA �cl rG11�0 60 N \5(EREp A9c Q�G PSL C. 9� 'Si�.0 sA� do OtEW o� ��GDN� �Uoo� �� NENN� Nevi W Ath �e( vtc�cvc A- VvzvM�w� — 0 up,i(2 wood svW 6— 60ILolt'� Pim �rlf.0cl _ &Y p, (3G), �� s Glne, A-w- 6044 6 9) X2. 2 I or 03 1044 0411 AV, To 230 EAST 32Nd STREET SUITE 2D NEW YORK, NY • 10016 PHONE 212 532-2434 PAX. 212 532-2434 PA-6 L:5- PAUL RICE , AIA e8v�e�n �1 Arr F A,f (LpOf �r fl�Lr IZ 12 4/t'a pul w000 1-1 (L-'6a 3, 6V p, e 0 {rest a� �Yi2 . 692 230 EAST 32ND STREET SUITE 2D • NEW YORK, NY • 10016 PHONE: 212 532-2434 FAX: 212 532-2434 �/� r PAUL RICE , AIA t�1tw(,✓�/�aV2'('If� W ISG' N' (5Dot wMS �jP,1U�eetnfYrkMe i Fes. DT'i e- Alp- oDoo s(DAr NlWWCr- FAfer- ;12 -i2 %--g'�ATV,I �G t q3 .13 �K7 Nt WLTDtS bL-13) Mo g+kn411 _ q.S8 '(Z'- 6YP, 8Q jt3s4o(:�- (bo UU��r VI7t 30 wl �v Cossu i(a1i�S5G%- l ID�. Iw l - 5 20 o`�°/b I Ck1 X12�19� 4T tJ(J- - 2� 100� aq = ,oSZ t tob3 = , 230 EAST 32�o STREET SUITE 2D • NEW YORK, NY • 10016 PHONE: 212 532-2434 • FAX: 212 532-2434 P� 3 PAUL RICE , AIA At FvauA�, 0�r✓v lAun.. � i s' r i,� 112 f2 6��t pit Woot7 77 177 1o" — a 30 a 'e 6yP Ba (qs ►pSiix: Air. 6 1r2� / i�t,H �I5. 2 M�2uvLelti a-AP 06- - t��,} w i 4 p Fo: :ci� 230 EAST 32ND STREET SUITE 2D • NEW YORK, NY • 10016 PHONE: 212 532-2434 • PAX: 212 532-2434 PAUL RICE , AIA t-NI l TK�tr ft" r Flwo(l W Wl A-t Fc/" "21e bmT assu t- (e,-13) 1310 2�IXa 412` Gyp. 1'IsS!fit; AirL ( , Ulukwcou�5 =. �o r� I LSj INS tbfA-L waw - 4 fa77a- M�300-v� - I2A rbbj ( ,I;) t- 1�0 (,27) ; oql rro&l " t _ 12°l TT-h�WA-L. 2- I PCr - ,S 230 EAST 32ND STREET SUITE 2D • NEW YORK, NY • 10016 PHONE: 212 532-2434 • FAX 212 532-2434 PAt L5- 5 PAUL RICE , AIA oo, bW6 AW, f o wr yr "OF ,33 33 .4-(110 WeULATDb t,�� pts w000 1 4SU LAP b,3 ti-3c--� 3 0:0 — ti2u (o�P, (50. f0SdDL AkVY- ui 'c D'L 'Its, 5 bA = ,`iC b2� ) •� ,I �,nb3� ,b2loj r , Dob Rpo (%S A-L,,L f�gf-,2C Ft-'00t2 fo k-t�OL--- 12 t3 bmT 230 EAST 32No STREET SUITE 2D NEW YORK, NY 10016 PHONE: 212 532-2434 PAX. 212 532-2434 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ �OUGH PLBG. [ ] FS}UNDATION 2ND [ ] INSULATION [ . /FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY EMARKS: �-� ot a DATE 6 INSPECTOR t5 BOARD OF HEALTH . .. . . . . . . . . . . . . FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . .. NOV 3 (� Ig9P, �' TOWN OF SOUTHOLD SURVEY . . . . . . .. . . .. . . . . . . . ... . . JBUILDING DEPARTMENT CHECK . .. .. .... .. . . . . . . . . . . . . . . f TOWN HALL SEPTIC FORM . .. . . . . . . . . . . . . . . . . TOWN-m-"" '•0 p SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY:y CALL F. . i��. �3t• 1. . . Examined....!-�l......... 19.:.(. ya MAIL TO: . . .. . . . . .. . . . . . . . . . . ` (44 19 �7 Permit No. �- c " ................................... Disapproved a/c .................................. ................................... ... . ...... ... .............. (Building Inspector) ?PLICATION FOR BUILDING PERMIT �� `` Datet4o.\''. . p . . . . .. 19•G 6. INSTRUCTIONS a. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram Which is part of this application. c. 'Ilse 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 permit shall be,kept on the premises available for inspection througbout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 reuval 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. a.r`1....CQt.��K�?�570.41.. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State wbether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ...5 .... C� 4M,6,�....................................................... (as on the tax roll or latest deed) If applican 's a rporat'on, signature of duly authorized officer. ( title of co rate officer) Builders License No. ... Q �.. .�... Plnnbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. ` 1Or_?............1JA.�Sgsa...F )IJT .. 4?o�c� Guy , ................ Haase Number Street Hamlet County Tax Map No. 1000 Section ..1.11.......... Block .....0(�...... Int .....(31....... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......` ...... ................... b. Intended use and occupancy ............i 4-C.-A '..................................................... 8WAMAHTSPIASUM T>tt1Y Wt+tR tot n?sj✓',,:,111t3U�'l l`51F.'1"C3L1 tpiloD tlto?!u ,GY;8GG01' tO.oW �.i�tlMVb tYamltjM:�ltt'dJ7 3. Nature of work (check W ch applicable)t New Building .......... Addition ...I/ ... Alteration. Repair ............ Removal ............. Demolition ............ Other Work .... ...... ............... (Description) , - 4. Estimated COst�. bG� CORS fee ........ ... .........u�:dl�atl tu.let �............... ........ ....... .... (to be paid on filing this application) 5. If dwelling, number of dwelling :nits .....I...... ti.nber of dwelling units on each floor ... ........ Ifgarage, number of cars ...................................... 6. If business, commercial or mind occupancy, specify natu��rl1e and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....-'.1........ Rear ........ Depth ..-1 .......... Height ........JAw............. Naaber of Stories ... ............ Dimensions of same structure with alterati or additions: Front ............... Rear ............... Depth .......� .�......... Height .......Z�......... Nuiher of Stories ...&......... 8. Dimensions of entire new construction: Front ...4:1......... Rear .......g:-1... Depth ..A......... Height ........7,1............ limber of Stories ...I................. 9. Size of lot: Fibnt ....1.0.1............ Rear .....I.QQ.......... Depth ...5(o ca.......... 10. Date of Purchase ...AS•?jrft..qb... Name of Forner Owner ........................................ 11. Zone or use district in which premises are situated ...,....:.VA*5akw...Fi�7nJ.,F�v"'4.r............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ......�Q............. 13. Will lot be regraded .....AWA.......... Will excess fill be removed from premises- �� YRS 14. Names of Owner of premises '° i~..��GhIM • Address . �P tone No. NY. S. ZI Z Name of Architect ...P!?jyf++..Xlfrr•"n/............. Address .�e. 4 AsT...�>?'� T....... Rune No:5Ut2.1.0 .. Name of Contractor . iEe ice4Av J., ZIi—..... Address 1AP*.-M P�•Tt V..ve�4 o6(6 Phone 15. Is this property within 300 feet of a tidal wetland? * YRS .......... �..,....... *IF YES, SOUIIPOID TOWN TMISIFL+S PIId4IT MAY BE Id Qn IT D. PLOT DIAGRAM Incate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block comber or description according to deed, and show street names and indicate whether interior or corner lot. SCA'IE OF NU YUW, SS wnry Or ..................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ile is the ...........,4rsi3htJSP, Cat.T.r?.l ..........................................................,..... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to peke 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. 9wom to before,me this ,// ,,.,day of/,/:/,4i/,I�Gyt1"1/..19. Notary ]'ub1iE_��a CJ NOTARY ASSETS plica•• ' EYP BETHASTATFN# ( ture of Applicant) N0.01ST600817,3;$y�f(olk� Term E«Wree'.Nros'0.31pG�J" BOARD OF HEALTH . . .. .. . . . . .. .. . FORM NO. I 3 SETS OF PLANS . . .. . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . .. . . . . . . . . . . . .. . . . . . . . . BUILDING DEPARTMENT CHECK . . . . .. . . . . . . . . .. . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . ... . . . . . . SOUTHOLD, N.Y. 11971 / TEL: 765-1802 NOTIFY: CALL . . . . . . . . . .. . . . . . O�G Examined.................. 19.... MAIL TO: . . . . . . . . . . . ..... . Approved.........gp........ 19.... Permit No. ................ .................................... Disapproved a/c A�3MW X&'< C ............ .................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT p��y Date. �! . . ZG , INSTRUCTIONS a. Ibis application meat be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mast be dram on the diagram which is part of this application. 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. AFPLICATICH IS HEpM MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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 fo s in spe tions. (Signa a of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, leasee, t, architect, engineer, general contractor, electrician, plumber or builder. ................. ln!S-(Fl2ZZ.•... 1�!. ................................................... S K:EA� .... `a.� d rte..... Name of owner of premises ............. .. ...... ..... ........................................ (as on the tax roll or latest deed) If applicant i aYc000 rat' signature of daly arthorized officer. (Name and title of corporate officer) Builders License No. .••. 2�)(... Plumbers License RD. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Locatiio/oo1n--o77f land on which proposed work will be done.............................................................. House Number Street Hamlet Canty Tax Map No. 1000 Section ...�1.1......... Block ..... J...... Lot ........0.7.... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: t.N.. L. ... .?�• a. Existing use and occupancy .......... ::: b. Intended use and occupancy ................... nc,t<....��Fa1.Z7.0..l .........:...,..:...... 3. K3Lure of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost ........ ......... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ limber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 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 ......................... timber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .........I.....I.... timber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning lar, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises ........................... Address .............................. Phone No. .............. Name of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address 15. Is this property within 300 feet of a tidal wetland? * YES .......... No .......... *IF YES, SOUT!"D MM TR MMM PERMIT MAY HE Rr()l1IRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. srAtr of NW 0Df1HLY oCp. SS �.. .0�••.. .j&. . .........being duty sworn, deposes amxl says that be is the applicant (Name of individual signing contract) above named, lie is Lhe ......... Contractor, at, corporate officer, etc.) of: said Omer or owners, and is duty authorized to perform or have performed die said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befo this ......... sy Notary tic ... . ........ .......... ........... CW"L.GLEW (Signature of Appti.cant) Notary public,State of New York Qualified in Suffolk Co Commiaelon Expires Dec.a,. LOT 29 AMA{ENDED MAP A OF NASSAU POINT THE No. 156 FILED AUGUST 15. 1922 SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-09-09 SCALE 1"=20' I1 JULY 13, 1998 AREA = 35,043.34 >q. ft. I Oo 1K uxrs)0.804 ac I o ENTER ROAD CARP o _ � x \ � Aa _N 76.3620 E - ss �1 s8. FRAME am w w gg • y �} e¢o.9 9"/ 5 W9AGE wr n %r� LpT 29 � 4 PRCQ� I .: ED a, . 4 r FwyE 0jpu5E •. . .r OE�K _^ . y'. £ ; !air.veM . ort.mew HOUSE No 4705 v 1�7/. • � •. Nd� �• / �.m,..,v. �I� 340.54 a D I R p y sea LOT O ro>�camT+�'¢#.u•'Ivm:'srz mcKm�i v N/O/3MN oils V99Mf�ax0fi.w • O m""°a peilM S,LyMN ,°n��w�n vi"Lro+z mm asa •. NORN O mxoa .¢um�o9u a9M w.. N n�No�w�iws Ipa+c 9° nnenw Imm,om.no 7636'2ti • } M CALCES or woos ar uY .. 9'1MDxr�rA9mn5 n 3Lam s ' .xor slowl Aa Nm aPxwnm. • � •• • wixM w4v M Mme" Joseph A. Ingegno •• CERTIFIED T0: w^� _ Land Surveyor • CHICAGO TITLE INSURANCE COMPANY OF NEW YORK _ TITLE No. 9808-01690 CHASE MANHATTAN BANK ' STEPHEN N. SAGHMAN 9MONE(ft9)32I_20W Fm(SIB)lY[-5031 y T CsrpS twR9 u wV/F J[a26 to .99!! PP 9s 19]f �, AYw pw�xw aY llwl 10..Ise.N..Ym Ilol I. SURVEY OF LOT 29 AMMENDED MAP A OF NASSAU POINT FILE No. 156 FILED AUGUST 16, 1922 SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111 -09-09 SCALE 1••=20' JULY 13, 1998 I � AREA = 35,043.34 sq. ft. (TO TIE LINES) 0.804 OC. I _ � — -- 360.32' _ In _ O __- nlaM OF wav ) z3s � Si m F�7 I WAEK,Na � a R + "� PEiNNIN6 velli 0 WOW s N CA O2S ITI LTJ -- I \ gT,E1Y PDLE \'A GI \ *4r L � — — Pow BUSHES I \ =VEPHFM�IRES — I t \ m L 1 \ ah I \ N _2 0., — _wooD HH O 7g3 Li \ �/) • UIItP'I pOH �1 HEMVNS OF WWD STEPS • /i ' m'm u T ST R \ I =NC. BLOCK WiLL o o]sE O.cE q FRAAGE rLjJT waao ` 1 to. ; GAR PUTFogM LONG BLOCK WELL ]6]' • W T - LOT 29 33 • . . r� coat APgoN' a.r U +1' — — _ �_ i A _ O ASPHALT oglvFwnr• A 1 STORY - - — _ _ _ — U 1 A SITE x CONIC Wr FRAME HOUSE of HOUSE No. — CNc carina I U! Yl7 n ..r — n cont. OPICH 6' Pq0 CONIC. • a�'� q , f1gEPVLE _ Y WEEK PAID I 340.5 � r sa LDNL 40 m NYCr, pp °Rn CONC 4 32 I I • c• Y� &gym Hr . 'PAnD ,,��JJJ '" Po c • a s % g �c BLOCK w w D cc `g now OF BUSHES LOT 30 uNATHogrzEO uTERATIory OR wortlory TO THIS 7U.9 IS A VIOLATION OF •A. •: Ol Wa00 PAIL FACE N/ S�. 14 SECTION N LA OF 1HE NEW YORK STATE [�• EDUCATION LAW •O FE,�E a+E FGLIM S 49AA14 COPIES OF THIS SURVEY MAP NOT BEARING JUDITH THE 1.W0 SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIpEREO TO BE A VAUD TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN 20 NLY TD THE PERSON FOR WHOM THE SURVEY 5 7636'2C;' g'36' S PREPARED, AND ON HIS BEHARNMENTAL LF TO THE TITUE LENDING LINSTIMGDN�USTED HEREON%D D • - TO THE ASSIGNEES OF THE LENDING INSR- TUIIONCERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY • ' ' ANO/OR EASEMENTS Or RECORD, IF • ANY, NOT SHOWN ARE NOT GUARANTEED. e •• • •A PREPARE. IN ACCORDANCE WITH THE MINIMUM STANDggpS FOR TITLE SUNYEYS AS ESigBIJ5HE0 . . . BY ,HE H ALS AND APPROVED AND ADOPTED Joseph A. Ingegno FOR SUCH USE BY THE NEW YORK STATE TED TITLE ASSOCIATION CERTIFIED `° _ CHICAGO TITLE INSURANCE COMPANY OF NEW YORK Land Surveyor TITLE No. 9808-01690 CHASE MANHATTAN BANK STEPHEN N. SACHMAN9e�LP �� __ • ° idle Surveys - Subdivisions - Site Plans - Construction Layout PHONE (516)727-2090 Fax (516)722-5093 r ' \NT OFFICES LOCATED AT MAILING ADDRESS NYS LIc. No. 49668 One Union Square P 0. Box 1931 `h'E\Wb Aquebogue, New York 11931 Riverhead, New York 11901 9A-.'3Ad n ; Q , . tj IF I r ' - i I N �l. I rE -vo \ ��l I G°uL M.Lrxu. wnl.k.-., � I._o�- 2� N - W oao c M, 4,11 _ 60r� / 41- A 4, — — -- — — — —�— — — — 146.4. — — — — 1 P 1 Q�rp`• I I NSI Of:- PROVIDE SMOKE-DETECTING JaMMgt D M/�f r N/��SArUI +r APPROVED AS NOTED PROVIDE OPENINGS FOR ALARM DEVICES { Lr,- '40,, t U-tv F::t Lreb AtWv- R P n a-5- {S3EMERGENCY ESCAPE AS AS TO PARL 721.1 t"Z, Pr-, f LN c� REQUIRED BY BUILDING CODE rr f • 2 N.Y,SBUILDING CODE. `ARTMENT AT N.Y. STATE BUILDING CODE. 40; 10 4 PPO FOR THE IFOLLOVIN ^I-"OCTIONS � 'M ' I FOUL' Tr^rIJ REQUIRED I I�"^t 7 � C�/�+• , FC _ 3 F ac. & r-LulelRlNGIF 4- c) WA -,,' ,A-UC:7 t-I.T �LA�sEJ 4. ' - iA , R, r T ON MUST IF f AV )I Ilr.i SHALL MEET TH4 (ECOL 'IFf :tS OF THE N.Y. STATE CO ,GWCTION & ENERGY .� ' CODES. r,OT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS UNDERWRITERSCER71FICATE REQUIRED �,•A6-W y�£J � �,•.�1/ (C'?C�If� r �,`, I OCCUPANCY OR ° Arjo , USE IS UNLAWFULOA ��' �� R• �' WITHOUT CERTIFICATE, 7 OF OCCUPANCY k ` If copper tubing Is used ��• 01 PROVIDE ANTI-SCALD ANO/OR for water distribeng PLUMBER CERTIFICATION OF THERMAL SHOCK PREVENTING system;piping shall be ON LEAD CONTENT BEFORE DEVICES AS TO PART.502.11(K) of types K or L only CERTIFICATE OF OCCUPANCY ° N.Y. STATE BUILDING CODE SOLDER USED IN WATER PLUNIBING SUPPLY SYSTEM CANNOT ALL FlUumElE WASTE O ASTr � i !A WATER uNAEXCEED 2/10 OF 1%LEAD. TESTING BEFORE COVERING s n7a ; �/ -it". 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