HomeMy WebLinkAbout26138-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No: Z-28277 Date: 03/13/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 905 BAY HAVEN LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 4 Lot 34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 21, 1999 pursuant to which
Building Permit No. 26138-Z dated NOVEMBER 8, 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 COVERED FRONT PORCH AND ATTACHED ONE CAR
GARAGE AS APPLIED FOR.
The certificate is issued to DONALD D & DONNA M ZIMMER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0135 05/27/00
ELECTRICAL CERTIFICATE NO. 42827 05/09/00
PLUMBERS CERTIFICATION DATED 05/19/00 G.A.H. PLUMBING
This Certificate of Occupancy replaces Ot Z-27110
Au'tforized Sig ture
Rev. 1/81
-70S - (_P3OS
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
a 132002 L)
APPLICATION FOR CERTIFICATE OF OCCkVP CY p ,
This application must be filled in by typewriter or ink and submitted to the Build i De g:
A. 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 I% 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.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Photocopy of Certificate of Occupancy-$0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00
Date. March 13, 2002
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 905 Bay Haven La Southold
House No. Street Hamlet
Owner or Owners of Property: Donna Zimmer
Suffolk County Tax Map No 1000, Section 88 Block 4 Lot 34
Subdivision Filed Map, Lot:
Permit No. 26138 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: % (check one)
Fee Submitted: $ 50.00 t
Le G (01 — U���c� � C�� �� Applicant Siinhture
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27110 Date: 06/01/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 905 BAY HAVEN LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 4 Lot 34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 21, 1999 pursuant to which
Building Permit No. 26138-Z dated NOVEMBER 8, 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 TWO CAR GARAGE & COVERED FRONT
PORCH AS APPLIED FOR.
The certificate is issued to SCHEMBRI HOMES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0135 05/27/00
ELECTRICAL CERTIFICATE NO. 42827 05/09/00
PLUMBERS CERTIFICATION DATED 05/19/00 G.A.H. PLUMBING
Author zed Signatu
Rev. 1/81 7
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. 26138 Z Date NOVEMBER 8, 1999
Permission is hereby granted to:
FOTIUS LINDIAKOS (SCHEMBRI)
905 BAY HAVEN LA
SOUTHOLD,NY 11971
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE AND COVERED FRONT PORCH AS APPLIED FOR.
at premises located at 905 BAY HAVEN LA SOUTHOLD
County Tax Map No. 473889 Section 088 Block 0004 Lot No. 034
pursuant to application dated SEPTEMBER 21 1999 and approved by the
Building Inspector.
Fee $ 635 .00
Authot4zed Sig2&ture
ORIGINAL
Rev. 2/19/98
Form No. 6
i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
g!,DL,.i•ct'C 765-1802
APPLICATION 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,
"pre-existing" land uses: 1957) non-conforming uses, or buildings and
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.
C. Fees
1•, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00.. Businesses $50.00,
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3 . Copy of Certificate of Occupancy - .25C,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . �1 . . . . . . . . . . . . . . . . . . . .
lew Construction. . . . , , • , Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
vocation of Property. . . . • . . . . . . . . . . . . . . . . ��.
House No.
( St et Hamlet
)nwer or Owners of Property. . . .a4ln , e; �l�.�K�B
;ounty Tax Map N 1000, Section. . . . . . . . Block. . . .Q , , , , .Lot , .
;ubdivision. . . l • .-AqV. `. . . . . . . . . . .Filed Map. . . . . . . . . . .
{� ..Lot . . „
'ermit No ,�' , �U . . . .Date Of Permit. . .'.I�$' , . .App11cant,l((.,&Ct
lealth Dept, Approval.
V • • • >�I.�Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . .
'lanning Board Approval. . . . . . . . . , ,
:equest for: Temporary Certificate. . . . . . . . . . . Final C icate . . . . . . . . . .
'ee Submitted : $. . . . . . . .
�•5V0 . .
1 0 22 017 C1 0 APPLICANT It
OIA-r
►roan uP n0o,smte ol'i N w Fork
Q.1 fiExPin Sufolk6Co
Commission lres Doo. n t
VALTECH RESEARCH INC.
One Old Country Road-Suite 225, Carle Place, N.Y. 11514 Tel.:516-390-4300 Fax:516-390-4321
CERTIFICATE OF OCCUPANCY WORKSHEET
TITLE NUMBER: F105-LE00007456NYS DATE: 2/15/01
PREMISES: 905 BAY HAVEN LA., SOUTHOLD TAX CLASS: 311
MUNICIPALITY: TOWN OF SOUTHOLD COUNTY: SUFFOLK
OWNER: ITEM NUMBER:
DIST: 1000 SECT: 088.00 BLK: 04.00 LOT(s): 034.000
DEAR SIRIMADAM:
PLEASE PROVIDE OUR OFFICE WITH COPIES OF ALL EXISTING: YEAR BUILT
[X] CERTIFICATES OF OCCUPANCY
[X] CERTIFICATES OF COMPLETION/COMPLIANCE
[X] OPEN PERMIT INFORMATION
[X] PERMIT INFORMATION
FOR THE ABOVE MENTIONED PREMISES.
THANK YOU FOR YOUR PROMPT ATTENTION.
(1
Office Use Only: S_ 5 A-
o�oSu�Fotke0s:1
ELIZVETH A. NEVILLE �� � Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
C13 ZM Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER y oP� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER ®1 ��
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION FOR PUBLIC ACCESS TO RECORDS
INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's
Office (agency Freedom of Information Officer) . One copy will be returned to you
in response to your request, or as an interim response.
SECTION 1.
TO: C,P C De l
(Department or Officer, if known, that has the information you are requesting.)
RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply
dat filetitle, 6x map .numbe and any/other pertinent information. )
DS ✓QaJ C 0Clt
loot,
Signature of Applicant:
Printed Name: II
Address: U 0 (0 Y L F' S
Mailing Address (if different from able)
Telephone Number:�jb ��Gcy Date: d
[ ] APPROVED
[ ] APPROVED WITH DELAY* [ ] DENIED* FEB 2 0 2001
` urhoad wwn Clerk
Elizabeth X. Neville Date
Freedom of Information Officer
* If delayed or denied see reverse side for explanation.
o�OgUFFO(,�co
Gyp
Town Hall,53095 Main Road p Fax(516)765-1823
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 22, 2000
Schembri Homes, Inc.
2042 N. Country Rd. , Suite 203
Wading River, NY 11792
RE : 905 Bay Haven Lane, Southold.
NOTE: Before a Certificate of Occupancy can be issued we need
the followin 1) Provide notarized statement regarding washerj
and dryer.)Notarized letter regarding will be
responsibl for driveway and any walkways . 3) Sealed letter from
architect with the notations that double f r joists are not
required under parallel partitions and parallel tubs - also
notation for removal of (2 ) 1 3/4 -14" LUL to exising girder in
garage.
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 # 26138-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
JRN 15 '00 12:29PM SOUTHOLD TOWN HALL 516 765 1823 P. 1
��4�8QFF�Lk�oGy�,
o Fax (516) 765.1823
Town Hall, 53095 Main Road N Telephone (516) 765.1802
P. O. Box 1179
southold, New York 11971 oy�oo ��04
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F' I C A T I O N
DATE.
c
Building Pe it NO - C
owner: Chea fid
(please Print)
Plumber :
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(p a e s Signature)
sworn to before me th s
day of X @ �Y�
Notary Public , S, (�- County
LINDA B. NPNSEN
pgY PUBLIC, State of New York
NO. 524624455, Suf§o:k CnuaY ,�/31rC`Xa
germ Expires Macsq- '
Y
LIU "i"\Y 1 92000
May 17,2000
BLDG. r, T.
To: Building Department
We will maintain the landscape at 905 Bay Haven Lane,Southold-permit#26138-
upon
2613&upon possesion.
Thank You,
�a/ldZ/in/m er
Do a Zi er//��JJjjtt
CAMILL M.BOWERS
NOTARY PUBLIC,STATE OF NEW YORK
N0. 5001841,SUFFOLK COLIN
TERM EXPIRES SEPTEMBER 14,
. S
(� S i•
t C
•;IJ 1,"�' lr [s`�f, 11 'A� s� ��" , I, :p. ,� „ s i •- ,t. l �Y j'� it � � ,�Fi,`5 , s
.:�,R ,�a)�°Rlt� If,, )`v�r�t ,t�,?', y7,% �.,, rt � las,lr r („ „ Y'o. •��•,,,,a e'' 1i�' ,lh, /
%Rc`��Li �j'tyli�Za #)1���s �,i° ��iti><""�/l D���`. ��`i `S •�' �� . 'Olf �� q� � :�i f��t} x�fl n.�t `�'.' ��. q> f/i£ �`"a' I � s
r�(('s!a , �s Fv�� vY�s,:�,�u�� ..;:,... �'3� ��`i?a- .�' %lea n ,� t <•,�v . �-✓a ��� .1r. r �.� .i'^;4��'
{ti: Electrical Inspection Certificate
�f .
(tux Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue,New York 11772
T3ff'7,f'
s•m��@� (631)286.6642
Date: 05/09/2000 Application No. : 42827 "
=;lIK Issued to: Schembri Homes Inc a„
Street: Lot#45 Bay Haven Lane
Village: Southold Zip: 11971 Town:Southold
Section: 04 Block: 34 Lot:
Jc.nJ.
tC Introduced by: Zar Electric Lic.# 4808-E
S<"
«7& was examined and found to be in compliance with the National Electrical Code
7 r ❑Attic r❑1st Floor ❑ O/S Residential ❑Pool ❑ Det. Garages _
❑O Basement 0 2nd Floor ❑ O/S Commercial ❑ Hot Tub ❑NV Defects
- z„' Switches Receptacles Fixtures GFI Heaters A/C Fans ti» °
g� y l:
E 34 49 29 5 3
E ”•.fs'�r,` Dishwasher Washer/Amp Dryer/Amp Oven RangelAmp Garbage Disposal
rp y`
1 1 20 1 30
= '= Furnace Oil Gas Circulator Smoke Detector Bell Transformer
r 1 1 1
Meter Amps Phase Motors Telephone Television Carbon Monoxide {
.r
200 3
Other Equipment.,
C11P & .10?mnlnhel
` e
Zain ba
' m1crow8ved/1 ZOamprefridgerator
:.
Hugo S. Surdi �
President
cK1( This certificate must not be altered in any manner )- ~
Building Permit No. s•
'¢
Inspectors may be identified by their credentials
�`L�7.moi 1/✓ i'L�JJ SRr�J ,��.t Lqq�r,,J t I�p tf 1. �£� � 5��,{4��;1 i� fJ y f'f. "d��� %j„;J � ,sys£" ��,,� � rf 3li � 2�51't � l��� t�� li��_
.OlWl�'Il �1
S
MARTIN F. SENDLEWSKI, A.I.A.
ARCHITECT — PLANNER
May 18, 2000
Town of Southold
Building Department
Box 1179
Southold,NY 11971
RE: Zimmer Residence
ZB# 26138
Schembri Homes, Inc.
Job No. 9907
Please note that the following changes to the above noted project have been
reviewed by this office and are acceptable and meet the requirements of the New York
State Code:
1. The girder centered in the garage: shown as(2) 1 %" x 14"LVL has been
changed to(2) 1 %"x 9 11/m"LVL sandwiched by(2) 1 %"x 117/8"LVL.
2. The 2nd floor,master bath tub is a standard 60"x 32"tub(approximately 40 gal.
Capacity)may be supported on typical FJ: 2"x 10" @ 16"on center.
Should you have any question regarding the above information, please feel free to
contact this office.
Very truly yours, FtE AR
g
Martin F. Sendlewski,A.I.A. m ao c 163
TATE OF E`N
209 EAST AVENUE ■ RIVERHEAD, N.Y. 11901 0 (516) 727-5352 0 FAX (516) 727-5335
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]�INLATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CCHIMNEYY
REMARKS:
AA
U
DATE INSPECTOR
� 7ot
��� � // 4 ��w A01W its
r
a �
r
�L
�.INu
f
11 1 1 I 1
r.
I �
r
aWASIMMOMM
�
/�0
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ GH PLBG.
[ ] F NDATION 2ND [ INSULATION
[ , FRAMING [ ] FINAL
[ ] FIREPLA & CHIMNEY
REMARKS:
DATE INSPECTOR
I
;Z6741�
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[MING [ ] FINAL
FIREPLACE A CHIMN
REMARKS
aw AAS
r - -
DATE W INSPECTOR ot
M-1802
BUILDING DEPT.
NSPECTION
[ ] UNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL CHIMNEY
REMARKS:
�o
DATE / /® INSPECT
pr
765-1602
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARKS: -- e4'
47
DATE INSPECT
1
z i
FF L .� LAKE SHORE ABSTRACT, INC.
E �
(p 0 3199 301 East Main Street
'lll't � Riverhead, New Work 11901
BLDG.DEPT
pVVjq OF SOUTHOLD
VARIANCE SEARCH
TITLE NO.: 621-S-00457-SS
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says:
That she resides at 301 East Main Street, Riverhead, New York 11901 and is over the
age of 21 years and that she is President of LAKE SHORE ABSTRACT, INC.
That under her direction, title was examined to the parcels of land described on the
annexed Schedule and labeled Parcels
A, B, C, D, Eand F
That said examination, dated September 1, 1999 discloses a chain of Title to determine if
any contiguous property was owned by an owner of property involved since the date of
any previously applicable Zoning Ordinance as of April 1, 1957.
And, that this Affidavit is made to assist the Board of Zoning Appeals to 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.
LAKE SHORE ABSTRACT, INC.
B
Patricia A. Judd
President
Sworn to before me this
29`h day of October, 1999
MAISIEA.B NSKILi
NotaryPublicStato of New York
No.09�R4842820
misiSuffolk1,
Coms onn ExpirJuly 3 ,"Y—Qo()
F r
TITLE NO.: 621-S-00457-SS
DESCRIPTIONS
PARCEL "A": (SUBJECT PREMISES):
ALL that certain plot, piece or parcel of land situate, lying and being in the Town
of Southold, County of Suffolk and State of New York, known and designated as and by
Lot No. 45 as shown on a certain map entitled, "Map of Bay Haven", filed in the Office
of the Clerk of the County of Suffolk on January 22, 1959 as Map No. 2910.
ALSO, known and designated on the Real Property Tax Map as:
DIST: 1000 SEC: 088.00 BLK: 04.00 LOT: 034.000
PARCEL "B": (ADJACENT NORTH):
Lot No. 44 on the aforesaid map
DIST: 1000 SEC: 088.00 BLK: 04.00 LOT: 033.000
PARCEL "C": (AWACENT NORTHEAST):
Lot No. 67 on the aforesaid map
DIST: 1000 SEC: 088.00 BLK: 04.00 LOT: 048.000
PARCEL "Ll": (ADJACENT SOUTHEAST):
Lot No. 66 on the aforesaid map
DIST: 1000 SEC: 088.00 BLK: 04.00 LOT: 047.000
PARCEL "E": (ADJACENTSOUTH):
Lot No. 46 on the aforesaid map
DIST: 1000 SEC: 088.00 BLK: 04.00 LOT: 035.000
PARCEL V": (ADJACENT WEST):
Bay Haven Lane
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
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.
LAKE SHORE ABSTRACT, INC.
B
Patricia A. Judd
President
Sworn to before me this
29th day of October, 1999
-
mAiSlEA.GRAUNS L
No ary Publia,state of New York
No.01 6424842920
nualifie8 in Suffolk County
Commission Expires July 31,
:M1
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "A
DAVID A. HORTON DATED: 12/12/1843
TO REC'D: 2/24/1885
SILAS HORTON LIBER: 286 CP 345
SILAS HORTON DIED OCTOBER 7, 1885, TESTATE AND UNMARRIED,
LEAVING ALL THE R AND R OF ESTATE OF ANGELINE M. HORTON AND
MARY M. DAYTON
ANGELINE M. HORTON DIED OCTOBER 29, 1898, TESTATE AND UNMARRIED
LEAVING HER INTEREST TO MARY M. DAYTON
MARY M. (M.H.)DAYTON DIED INTESTATE AND UNMARRIED ON
DECEMBER 31, 1927, LEAVING 3/ INTEREST TO SILAS A.H. DAYTON AND
INTEREST TO MARY L. DAYTON.
SILAS H. DAYTON DIED FEBRUARY 1, 1928, LEAVING HIS INTEREST TO
MARY L. DAYTON,
MARY L. DAYTON DIED TESTATE AND UNMARRIED ON NOVEMBER 8, 1956.
EXECUTORS
THE NEW YORK TRUST COMPANY DATED: 9/12/57
WILLIAM C. MAYER, AS EXECUTORS OF REC'D: 9/19/57
LAST WILL AND TESTAMENT OF LIBER: 4363 CP 51
MARY L. DAYTON, DECEASED
TO
WILLIAM WELLS
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
B1�'
Patricia A. Judd
President
Sworn to before me this
29'" day of October, 1999
4MAISIEA.BRAUN
¢ I
tary1N9Noo.0O484220w
York
oualiPieq in,ufiolk County
Comrnisaion Expiros JuIY 31,}9r1�C�31
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "A". CONTINUED...:
WILLIAM WELLS DATED: 7/23/70
TO REC'D: 7/29/70
AILEEN B. REIFF LIBER: 6781 CP 462
AILEEN B. REIFF DATED: 2/24/82
TO REC'D: 3/8/82
MARVIN B. PERRY, JR. and LIBER: 9151 CP 458
DIANE PERRY, his wife
MARVIN B. PERRY,.JR. and DATED: 8/11/82
D ANE-PER$Y, his wife` REC'D: 10/8/82
TO LIBER: 9253 CP 303
(FOTIOS LINDIAKOS and
,LFTHERIA LINDIAKOS, his wi
ER 6fl ItI CORD
CHAIN OF TITLE FOR PARCEL "B":
DAVID A. HORTON DATED: 12/12/1843
TO REC'D: 2/24/1885
SILAS HORTON LIBER: 286 CP 345
SILAS HORTON DIED OCTOBER 7, 1885, TESTATE AND UNMARRIED,
LEAVING ALL THE R AND R OF ESTATE OF ANGELINE M. HORTON AND
MARY M. DAYTON
ANGELINE M. HORTON DIED OCTOBER 29, 1898, TESTATE AND UNMARRIED
LEAVING HER INTEREST TO MARY M. DAYTON
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
B
Patricia A. Judd
President
Sworn to before me this
291h day of October, 1999
- - rs �((11�y��
1MAISIEA.BRAD SK LL
N tart'Public,State of Now York
No.01 OR4842920
Qualified in Suffolk County,
Comlalbsion Expires July 31,t �a
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "B" CONTINUED...:
MARY M. (M.H.)DAYTON DIED INTESTATE AND UNMARRIED ON
DECEMBER 31, 1927, LEAVING'/4 INTEREST TO SILAS A.H. DAYTON AND '/4
INTEREST TO MARY L. DAYTON.
SILAS H. DAYTON DIED FEBRUARY 1, 1928, LEAVING HIS INTEREST TO
MARY L. DAYTON.
MARY L. DAYTON DIED TESTATE AND UNMARRIED ON NOVEMBER 8, 1956.
THE NEW YORK TRUST COMPANY DATED: 9/12/57
WILLIAM C. MAYER, AS EXECUTORS OF REC'D: 9/19/57
LAST WILL AND TESTAMENT OF LIBER: 4363 CP 51
MARY L. DAYTON, DECEASED
TO
WILLIAM WELLS
WILLIAM WELLS DATED: 3/24/73
TO REC'D: 3/28/73
MASON GORDON SMITH and LIBER: 7369 CP 168
EDNA E. SMITH, his wife
MASON GORDON SMITH and DATED: 2/8/75
EDNA E. SMITH, his wife REC'D: 2/10/75
TO LIBER: 7796 CP 64
LESLIE G. SMITH and
JOAN C. SMITH, his wife
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
BY
Patricia A. Judd
President
Sworn to before me this
29'' day of October, 1999
AISIE� SKI4`L
Not ry Public,State of New York
No.O'1ON4S42920
Qualified In suriolk County
Comnnssion Expires July 31,1F:S9jb/
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "B" CONTINUED...
LESLIE G. SMITH and DATED: 9/30/82
JOAN C. SMITH, his wife REC'D: 10/19/82
TO LIBER: 9257 C 426
MASON G. SMITH and
EDNA E. SMITH, his wife
MASON G. SMITH and DATED: 7/27/84
EDNA-E:-SMITI3 ,, "'- REC'D: 7/27/84
TO LIBER: 9622 CP 212
C NORMAN E. WYNNE, JR. and
HELEN WYNNE, his wife
LAST OWNER OF RECORD
CHAIN OF TITLE FOR PARCEL "C":
CAROLINE T. ROSS, DATED: 3/20/56
HOWARD M. TERRY and REC'D: 3/21/56
JONATHAN H. TERRY LIBER: 4086 CP 269
TO
HELEN G. COCHRAN
HELEN G. COCHRAN DATED: 3/20/71
TO REC'D: 3/25/71
HAZEL K. BOYD LIBER: 6904 CP 519
HAZEL K. BOYD DATED: 11/15/83
TO REC'D: 11/25/83
HAZEL K. BOYD, 98% interest, LIBER: 9464 CP 549
EDWARD JOHN BOYD, V, 2% interest
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
B .
Patricia A. Judd
President
Sworn to before me this
29d'day of October, 1999
*A181SAARAU
rob92w
�1ork9Y4842 � �LfL�x�
Qualified in,uffolh County
Commission Rpim,Jrdy 39,75—Q6b
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "C". CONTINUED—.-
HAZEL K. BOYD, 98% interest, DATED: 10/27/87
EDWARD JOHN BOYD, V, 2% interest REC'D: 11/27/87
TO LIBER: 10480 CP 326
HAZEL K. BOYD, 88% interest,
EDWARD JOHN BOYD, V, 2% interest and
JOSEPHINE A. BOYD, 10% interest
HAZEL K. BOYD, 88% interest, DATED: 8/20/96
EDWARD JOHN BOYD, V, 2% interest and REC'D: 8/22/96
JOSEPHINE A. BOYD, 10% interest LIBER: 11788 CP 808
TO -
HAZEL K. BOYD, 88% interest and—
EDWARD JOHN BOYD, V, 12% interest
� t�
LAST OWNER'OF RECORD--------
CHAIN OF TITLE FOR PARCEL "D":
CAROLINE T. ROSS, DATED: 3/20/56
HOWARD M. TERRY and REC'D: 3/21/56
JONATHAN H. TERRY LIBER: 4086 CP 269
TO
HELEN G. COCHRAN
HELEN G. COCHRAN DATED: 3/20/71
TO REC'D: 3/25/71
EDWARD J. BOYD LIBER: 6904 CP 523
EDWARD J. BOYD DIED 9/11/86, SUFFOLK COUNTY SURROGATES COURT
1973P86, LEAVING HAZEL K. BOYD.
LAST OWNER OF RECORD
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
B � -
Patricia A. Judd
President
Sworn to before me this
29a'day of October, 1999
*MAP1sj11E A.SRAUNSKILL
lic,Stcato of New York
No.n'7 i3i3<tf'42920
Ounlified In Suffolk county �f,t
Commission Expires July 39,7'J-.P D/
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL `B":
DAVID A. HORTON DATED: 12/12/1843
TO REC'D: 2/24/1885
SILAS HORTON LIBER: 286 CP 345
SILAS HORTON DIED OCTOBER 7, 1885, TESTATE AND UNMARRIED,
LEAVING ALL THE R AND R OF ESTATE OF ANGELINE M. HORTON AND
MARY M. DAYTON
ANGELINE M. HORTON DIED OCTOBER 29, 1898, TESTATE AND UNMARRIED
LEAVING HER INTEREST TO MARY M. DAYTON
MARY M. (M.H.)DAYTON DIED INTESTATE AND UNMARRIED ON
DECEMBER 31, 1927, LEAVING'/4 INTEREST TO SILAS A.H. DAYTON AND '/4
INTEREST TO MARY L. DAYTON.
SILAS H. DAYTON DIED FEBRUARY 1, 1928, LEAVING HIS INTEREST TO
MARY L. DAYTON.
MARY L. DAYTON DIED TESTATE AND UNMARRIED ON NOVEMBER 8, 1956.
EXECUTORS
THE NEW YORK TRUST COMPANY DATED: 9/12/57
WILLIAM C. MAYER, AS EXECUTORS OF REC'D: 9/19/57
LAST WILL AND TESTAMENT OF LIBER: 4363 CP 51
MARY L. DAYTON, DECEASED
TO
WILLIAM WELLS
CONTINUED...
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
BQ
Patricia A. Judd
President
Sworn to before me this
29'h day of October, 1999
r
MAIS� IIEA.BRAU KI L
Notary Public State of Now York
No.018114842820
Oualifief kb Suffolk County
Commission Expires July 31,%=�o d/
TITLE NO.: 621-S-00457-SS
CHAIN OF TITLE FOR PARCEL "E":
WILLIAM WELLS DATED: 2/28/62
TO REC'D: 3/15/62
ARTHUR J. WILKS, III and LIBER: 5139 CP 110
SALLY B. WILKS, his wife
ARTHUR J. WILKS, III and DATED: 11/1/73
SALLY B. WILKS, his wife REC'D: 11/16/73
TO LIBER: 7531 CP 330
THOMAS P. MCNERNEY and
HELEN D. MCNERNEY, his wife
THOMAS P. MCNERNEY and DATED: 10/23/80
-HELEN D. MCNERNEY, his wife REC'D: 10/28/80
i TO LIBER: 8905 CP 96
THOMAS F. FOX and
EILEEN M. FOX, his wife
LAST OWNER-OF.RECORD
CHAIN OF TITLE FOR PARCEL "F":
BAY HAVEN LANE
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Patricia A. Judd being duly sworn, deposes and says that she resides at 301 East
Main Street, Riverhead, New York 11901 and is over the age of 21 years and that she is
President of LAKE SHORE ABSTRACT, INC.
That the above are the true chains of title as shown on the record in the variance
search made under the above captioned title number.
LAKE SHORE ABSTRACT, INC.
BY
Patricia A. Judd
President
Sworn to before me this
29a' day of October, 1999
4tAISAABRAi1NS it i.
'
blio Stato of Menu York
No.Oldr'48342920
Qualified in Suffolk County
Commission Expires July
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . I . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: (} n
CALL
himmined./!��JJ!��'��.:......., 191�<y- ( MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved.:,l.�'.'.'.. ...., 19K1. Permit No. .4 .2" ...................................
Disapproved arc .................................. ...................................
...d......................••.....•..........•••••..•...
Or
rr 1 ;P I ,�, :.
_r 15_..if-'-!.''_ � n j (Build! tor)
SEP 2 j :.' APPLICATION FOR BUILDING PERMIT
Date. 1� :,. . . . . . . . . . 19rr??1g.
BLDG. DEPT
'
T04''°1 GF SL),, INSTRUCTIONS
T QLD
a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w
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 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,lnspector 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 chole 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
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary inspections.
.....................................................
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builds
d............pr.�...................................................................................
Namof owner of premises .... ..........................................................
(as on the tax roll or latest deed)
l
If applicant i rpor ti , si cure of duly authorized officer.
.. . . .................................
(Name and title o corporate officer)
BuildersLicense No. .........................
Plumbers License No. .........................
Electricians License No. .....................
ether Trade's License No. ....................
?cation o land n: posed work will be done.. 1."(;�j)..! C'..............................
............. ....................................... .................................................
p Number Street ®®�� Hamlet
ty Tax Map No. 1000 Section ..... �....... Block ... 6.: ........ Lot ..3.4 .........
!vision ... ................ Filed Map No. .... Lot .... Js........
(Name)
existing use and occupancy ofpremis��giesrr and intended use and occupancy of proposed construction:
)sting use and occupancy .........�IYf l:a� ut........................
occupancy ....N ..1. amib t��..
use and Deco ..Fl�. ........ �............................. ,
3. Nature of work (check which applicable): New Duilding ... .. Addition .......... Alteration ..........
Repair ............ Removal .....1....... Demolition ............ Other Work .... .......... ...............
(Description)
4. Estimated Cost /
� Feen
........................... .
...................
(to be paid on filing this application)
5. If dwelling, huller of dwelling hunts ....(...... Nuober of dwelling units on each floor ................
Ifgarage, rhanber of cars .....G. ..............................
6. If business, commercial or mixed �Mrrancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures if any: Front................ Rear ............... Depth .................
Height ......................... Nmnber of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Deight . Number of Stories ...............
R. Dimensions of en ..•. Front ...`J.�... . .. ...� A.a. Depthi4�✓
fire new daonstruction: Rear .......
9. Size of lot: Front �lmnber of Stories .... :...............
height •.... ..........
...L. 5.:..'....... Rear ...1.2-�:........ Depth ...J.?.5..........
10. Date of Purchase ..................... Name of Former owner ................I.......................
II. Zane or use district in whichprel�aisea are aituated ..........................................................
.�..
12. Does proposed construction violate any zoning law, ordinance or reputation: ...:.N6..............
13. Will lot be regraded ....y............... Will excess fill be removed from.premises: No
14. Names of owner of premises ......'I..................... Address .............................. Phone No. ..............
................................... Address .............................. Mone No. ..............
Name of Architect li
Now of Contractor ..............,..................... Address ........ .....Plhone No. ..............
15. Is this property within 300 feet of a tidal wetland? ' * YES .......... No . ........
*IF YES, SWMD MM TRIS PaRim HAY lAi,WgnMD.
PLOT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and lock amber or description according to deed, and show street names and indicate
whether interior or corner lot. I
l'
I ;
SrNtE 0P NEW YORK,
SS
0"IY (A ......
......••••• •• •" ••••• '•...... :............being duly sworn, deposes and says that lie is tile applicant
(Nave of individual)signing
contract)
above named, y4r
IleIs llme ...... .................................
(Contractor, agent, corporate officer, etc.)
or. said owner or owners, and is duly an�thorized to perform or have performed Uhe said work and to make and file this
application; that 8.11 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 before me this I pp
.........d: 19.1.
....
(......d E .7..
Notary Public ...... ...
.. ...........................
JOYCE M. ILRINS (Signature of Applicant)
Notary Publio,Stas or NewyorkNa 4952248,S pfo&County
Term Expires June 12, G�
BUILDING PERMIT REVIEW C ECK LIST
Applicant/ Date
Owners Name: Fu T Reviewed:
Architect/ Date
Engineer: 'S e-"`cA I "'s k Submitted: 9 / Z 1
SCTM #: cL
District: 1.000 Section: g Block: 4 Lot: 3 T
Project � � � D� l� � Subdivision
Location: p l V�.v� Name: &L
� v
Single&separate �utred
certification: /No) �►n �t S�` [Oo- )-L-
-Wel
Req- Req.
Zoning bistrict: fz— �ObUO
[Lot siu: Actual 15�ZS ] [Lot coverage 20 Proposed:�0
[Font Yard Proposed: 3 Req Req. `
po _� [Side Yard Proposed:33 1 [Rear Yard �_ Proposed:. b 1
r 33
Project Description: 1J le
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES
Number
Suffolk County Health Dept. v -jD -9 Q-b
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
I
_ Y ,
`gjl�T SURVEY OF
LOT 45
MAP OF
�j BAY HAVEN
9N " ' TO� FILE No. 2910 FILED JANUARY 22, 1959
41? SITUATED AT
.D SOUTHOLD
y0� TOWN OF SOUTHOLD
i SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-88-04-34
SCALE 1'=30'
/ ^o JUNE 9, 1999
AUGUST 11, 1999 REVISED AS PER S.C.D.H.S. NOTICE
0a SEPTEMBER 1, 1999 REVISED PROP. SEPTIC SYSTEM
JANUARY 6, 2000 FOUNDATION LOCATION
MAY 8, 2000 FINAL SURVEY
AREA = 15,625.00 sq. it.
0-359 ac.
�LY7
If O Ste.
2• NOTE:
-oo S.C.D.H.S. REFERENCE No. R10-99-0135
tho Q.
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^� Ya �•� �a �p ,N Land Surveyor
2 a EX1041x,LAM. CIS CF .
w V ° THE�iwnD,MAINFNRs r✓QD YMOLL OBFAien
9
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Title Saneo — S",aslons — Ste Plmm — C&Mkucwn Logout
oDalNamea eISCIN F xOEn+THE s
M"m THE PD60N N"' A smvEY .\ PHONE (516)727-2090 Fox (516)722-5093
,rtaF co° °itP�vn'."mm NNEEx.�ii""P.�c.A141 9� kz / ( ) ( )
THE EIOSIENCE OF RIGHT OF MAYS LENDOIC rsaMnN USIFD NE>mOR AND OFFICES LOCATED AT ItWM ADDRESS
AND/ EASEEENiS aF pECagD. IF To THE Aswel's aF THE ttw�w ran- OF Yom -"
ANY, NOT SHOWN ARE NOT OUARANIEED. Tl n eml�ARE NOT mn EIFEII 8 N.Y.S. Oc. No. 49666 One Union Square P.O. Box 1931
AWeltague, New Yoh 11931 RNmheaa, Nes Yoh 11901
4
y4z A SURVEY OF
'j �� Y LOT 45
^� MAP OF
BAY HAVEN
_ ��f T. T FILE No. 2910 FILED JA14UARY 22, 1959
iGLD [� SITUATED AT
o�gv2�3r O�D SOUTLD
TOWSOUOlD
v SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-88-04-34
SCALE 1"=30'
' P / ,o JUNE 9, 1999
AUGUST 11, 1999 REVISED AS PER S.C.D.H.S. NOTICE
j`
SEPTEMBER
�� <e' £/ y�ya JANUARY 6,2000 FSYSTEM
FOUNDATION LOCATION
41
a ' p / . S AREA = 15.625.00 cc. aq. ft.
1p
�y • ��h / 20
It.
S NOTE:
O++
COa S.C.D.H.S. REFERENCE No. R10-99-0135
OQJOv i�Qr / 4
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!W1V. 6ILl6MA M�OIAA�OM NEM\`1 !( lMp Joseph
A.
Land Surveyor
.�_. , o CDhES OF TE 4AAEY 1YP NDT 6TAPoN6 � � , n l E
TA1.SorYey, —sNsmrrm., — sr.abw — caMrar:uon Loyaw
Y��p y Fro y MW (516)727-2090 Fox (516)722-5D93
TRV:601PNIY.ooY£NErtu ADQA.Y.WD 45
TXE EXMTENM OF F46W OF WAYS lEl♦DYIG Hk1I1t11IDN 11EDN111.ANO `�
AND/qt EASENE109 Oi 9EODRD. ff TO AS6IFAEES OF ttE IFtI6NIG NSn- :=' �`' OFFiCES LOCATED AT YP.O. AO,�#SS
ANT. NOT SN6WN A7�NDT OUARMO®. N N.YS. Lie. No. 49686 � b� P.O.BOx }931
ApMbogue; Nw Yak 11931 Rivahee4 NeY Yak 11901.
.}
` 11T 0.
Wim. SURVEY OF V
^� NOTEOU7
n_ �om ON aw z 79w) I,03' 45
01.• `� Y�I� ea��1i �w o MAP OF
BAY HAVEN.
_ flLE No. 2910 MED JANUARY 22, 1959
SITUATED, AT' .
6D Odd SOUTHOLD
v�. °v TOWN OF SOUT14OLD
o�Q°� wave M=exN.M FNE SUFFOLK COUNTY, NEW YORK
ro.oh+ng SAND sN ,
St1FFOLiCCOUNfYDEPATrTVMNTOFHEALTH SERVICES S.C. TAX No. 1000-88-04-34
SCALE I =e,W
JUNE 9, 19
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
��F�{p 99
° A1Y1...1 RI:SFAEN ONLYAUGUST9919vEEDSEC.SPTEM99R 199RESPROP. P SYSTEM
t,
DA y I �,:N ..-(�"` 'U/ �1^"" AREA = 15,625.00 sq. ft.
i ! l t+
J. MZMTWM ARE REFERENCED TO,ASSUMM DA1W 0.359,ae.
APPROVED —� msRNo ELEVATroxs ARE %MM TOus:sas
<v�, O / S P,RDP M EMATIMM ARE SHORN TMA:5
°ice O S2' z FIDOD Nor AVAIIAME EDR NEw DoiiSTRDPFaRi OR wpC.,NNN,
2pss FOR214AXIMUNIOF4LBEDROOM3 Y wPRovED s1R cliMEs'Dn AtieENovEilDgt T5, 1EPo
M DESNylA1FD COASTAL RARR ;1l6 Ai SXONN Oli;'FIADD RISDRAIICE RATE NAP COMMDNRY-PNIEL-Ne. 36Op1S OD79 D
�� - A. / O•. 1pnw THREEYFARS,'FROM DATE OFAPPROVAL 5.ar c VA oR DOD M r WIMICI PODS AREAAM. a Eaww. rz MUST Rc
EXCAVATED AND IN IACED DR1l2YEAN SANE.
Q), L Q°
(� � 4 1, P*J//� Renti6ED tEICMNF PoM.
PxoPPsen some TNK -
,S THE LOCAMAW OF WELLS.AND CESSPOOLS SHOWN 06MM ARE MM MID
, l ODSEWATMNS AM/OR DATA IMAINM FROM oD'IM
• 9 5. SAD.Hd.REFERENCE NA RL ,
p�y�,g�POC�ANG
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GENERAL NOTES
- A
I. ALL WORK SHALL COMPLY WITH THE NEW YORK STATE UNIFORM FIRE
PREVENTION AND BUILDING CODE. CONTRACTOR SHALL COORDINATE
ANY AND ALL INSPECTION5 AS REWIRED TO OBTAIN CERTIFICATE OF
OCCUPANCT ON BEHALF OF THE OMER
2. ALL WORK 514AI-L COMPLY WITH THE NEW YORK STATE ENERGY
CONSERVATION LODE. SEE NOTE 5
3. ALL FI FCTRI6 WORK SHALL coWFLY WITH THE NATIONAL ELECTRIC -- ----- - - - - -- - -- -- -- - --- - -
CODE, ELECTRICIAN SHALL OBTAIN FIRE UmERJRITERS CERTIFICATE
FOR ALL ELECTRIC WORK AND SHALL SUBI-[IT TO OWNER FROVIDE ALL
OUTILET5 AND.ANLTION BOXES REWIRED FOR ALL AFFLIANCES,M1 P5,
E IPMEHT,ETC. CONTRACTOR SHALL REVIEW SERVICE REWIREMENTS,
ALL LI6HTIN6,OUTLET5,FIRM .PHONE JACKS,TV.CABLE 1 KS,BTG
WITH OWNER AS REWIRED FOR THE FULL I1,15TALLATION AND
SATISFACTION OF OWNERS REWIREMENTS AND CODE COMPLIANCE
AND SHALL PROVIDE SAME. ARCHITECT 15 HOT RESPONSIBLE FOR
ELECTRICAL DE51645 FOR T114I5 FROJEOT IN ANY CAPACITY.
4 ALL PLUMBING WORK SHAI.J_ COMPLY WITH THE NATIONAL PLIMBIN6
LODE AND ALL LOCAL LODES. CONTRACTOR SHALL REVIEW WITH
THE OMRiER THE REWIREMENT5 FOR Fl-kBING INSTALLATIONS
2 ?0 3 2 2 Yh
INCLIDIN5 50 NOT LIMITED To FIXNRF9,TRIM,ACCESSORIES, 4 2
ETC.AND REWIREMENiS FOR WATER SERVICE AND DOME5TIC HOT r !I -- - -- — -- - -—
WATER. ARCHITECT IS NOT RESPONSIBLE FOR ANY F9-UMBI146 = qq
SYSTIEW IN
ANCE
VH THE
SITE PLAN
OF AME. AND�SLT�VEYS WNDGATIN6 FINAL TANK LOCATIONS SHALL � - N d' � _ _ _--_1- 4 _ __�.. _ _ �'(° LIID" -__— _ 10,
AND SHALL COORDINATE ALL INSPECTIONS REWIRED FOR APPROVAL
BE BY OWNERS WRvEYOR. CONTRACTOR SHALL PROVIDE G,RVEYOR a 1I _ - M{
WITH INFORMATION A5 REWIRED _ II❑1, N ° 4 N, BA tI (o 4 6 1
5. ALL H.V.A,c,WORK SHALL COMPLY WITH ARTICLE 10 OF THE N.Y.S. 5 !• 2
UiIFORM FIRE PREVENTION AND EVILDIN6 LODE AND ENERGY CODE. U "e'
CONIRALTOR SHALL REVIEW ALL MECHANICAL SYSTBdS WITH OWNER
FOR TYPE OF SYSTEM TO EE PROVIDED(IE.OIL,SAS OR ELECTRIC, `IIF- � A V
HOT WATER OR AIR ETLJ INCLUDING AIR CONDITIONING REWIREME1115. r1 / S K D. K . H
ARCHITECT 15 NOT RESPONSIBLE FOR IEATIN6 OR AIR CONDITIONING pf I- y" R ' 4
a
SY5TEM51N ANY LAPALItt g P . 3 } v O
5. OMNER SHALL OBTAIN ANY AND ALL REWIRED FERAIT5 PRIOR TO m � � iKY L. OFUG
ALLOWINfi CONTRACTORS TO PROCEED HIM ANY OF THE WORK. x . ,• cI'
H
1. ALL 51'fE WORK INCWDIN6 SANITARY SYSTEM,VTILIT165,EhSETlENTS, 'N TNI 2S
SETBACKS,ELEVATIONS,DRAINAGE.RETAINING WALLS,ETC.SHALL
BE I�OR. ME ARCHITECT 15 NOT N ACCORDANCE WITH A SITE PLAN FREPARED BY THE OWNERS /INSIIL�IIy 4e UT', / C
ONSIBLE FOR SITE Dl
ALL
SHALL BE
RHED BY
ENSED CONTRACTORS WHOM
B. CooNMPB�l9ADRR�sN SHALL WITH
NL1��ILTY WRANNCEEAAND�eI-bEDRKE� � I 2,X 0" R1DGt -- -- - I - �k O E * �6� (�� ^ -��04srn�n= oE. - ` 4 O`M
OF ANY TYPE IN ANY CAPACITY -
ARE
IENCED
OF
INS
L WORK
_ 8 01
FFRFOR
P ON THE
cINSTALLED IN FOR SERVICE ETC. GR cRIChETO --�,�� -" v LiN ^ i6 --- " - ml, RIDGEr�oiE -I~- � - - - EATHO 1 N -�
9 ALL MATERIALS,SYSTEMS,EWIPMEI•R,FtX ,ETC SHALL BE Y N'
INSTALLED IN STRICT G STALLA IO WVTH THE MONS INC LRERS hRITTEN -
SPECIFIGATIONS AND INSTALLATION INSTRIK.TIONS INCWDIN6 ALL A% REN, 2r 10�
f0 ALL CONTRACTORS SHALL WARRANT THEIR WORK IN WRITING TO THE I - - - f,✓ q rl
OWER FOR A HINIM PERIOD OF ONE YEAR. _ __ _ ___ �'I _ �� _ EYP NCR /.�. 2
11. THE ARCHITECT SHALL NOT HAVE CONTROL OR CHARGE OF AND SHALL - -- - -- - N
NOT BE RESPONSIBLE FOR CONSTRICTION MEANS,METHODS, �'} -rYF DN '2
�^ V
TECHNIQUES,SEgENCE5 OR PROCEDURCS,OR FOR SAFETY PROGRAMS P 1Y P % P' O
IN CONNECTION WITH THE WORK OR FOR ALTS OR OM15510N50F THE A6V� WALL BELOW I,S� 1 � � yAgoVE TU
CONTRACTOR SUBCONTRACTORS OR ANY PERSON PERFORMING ANY MAN RR AT -s ,j �' - - -/
CP THE WORK,CR FOR THE FAILURE OF ANY OF THEM TO CARRY OUT
THVAULTER SLG j ME WORK IN ACCORDANCE WITH THE INTENT OF THE CONTRACT cl
OCCU @ITS IN THAT SAID RESPONSIBILITY IS THE SOLE RESPONSIBILITY y kl. - - • " __ _ __
OF THE CONTRACTOR. K01
'-- - - —-
12.ALL EXTERIOR DOORS,ROOFING SHINSLE5,TRIM,SIDING,ETC.SHALL -_e --1
BE REVIEWED AND APPROVED BY OWNER. H�R 1\ mw
I 13. ALL. INTERIOR FIN15IE5 1146=1145 BUT NOT LIMITED TO HALL5, x \ - 0 9, a Seo=_ ROOF �'
FLOORING,TILE, ETC.SHALL BE REVIEWED WITH AND APPROVED 5 R. '2 I VPLLEY i ASv.By OMER,
14 ALL MLAHEW5 INTERIOR ITEN15 INCLUDNS WT NOT LIMNED TO -` -� z _0'
DOORS,TRIM,FIREPLACES,CLOSET 51ELVIN6,KITCHEN CABINETS, N -
TROVED _ u1'
SHELVING,HARDWARE,ETC SHALL BE REVIEWED HIM AND A _ < S SET PTN p _ I-
x 2 K r
BY OWNER - oyEx 5 ATR �• < N N F-,
- _ _ _— �� I� _ o
TY P. e.
P. r 9 4 8'i4 L
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NEW YORK STATE - " - —
ENERGY CONSERVATION CONSTRUCTION CODE x - - - 5 .0 - -4 8�- - - -�J _ - 8 I
I'AICId ILAI ONCIll IN gI ' / - 2.6
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STN 28-2 (Or
T)
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All Wilding envelope clnnell,I il,mminlr, R,nlennlm nl„•11,uc a 1.1c of I I'll„g mnislme
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In lallun to he I...Wh,d h,n rammer Ilml pmvldes cnnlie,,ny of Insolnllun N yLnc Lncs, all
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Sill edge Imulnllml'Imll c.nfunn In code rnlnl¢mm"ls. 1
All dourf and wlnduws Io nmd mdc rcquim,ncu6 for,Jr u,RIRnlrnn
Firgdacc Io vonfurn,to cede fm Uesl, nr k nir L,RIhnlinn ral„im,mm�,
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N \ y
TO I AL THEROA L RATING
'Ihc IomRndng Tor 11
l'I Lennnl 111 hnlldlog dedg„ -73
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----------------- ---------- i
ARL1 If Fdl III: RAI IPIU NSIED
A. ROONCEN.Irvu
R. NIILWAI_IS 1994 .07�, 140 (a I GxSSEgEDAC lF, I p ATF I J061�0. 9901
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