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Home My WebLink About26006-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26945 Date: 02/17/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 710 WATERVIEW DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 7 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 1999 pursuant to which Building Permit No. 26006-Z dated SEPTEMBER 27, 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 CRAWL SPACE AND ATTACHED GARAGE, COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to KEVIN & MARYELLEN MATTHAEI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0126 02/17/00 ELECTRICAL CERTIFICATE NO. 40348 02/03/00 PLUMBERS CERTIFICATION DATED O1/18/00 BERTSAND PLUMBING & HEAT. Authorized Signatur Rev. 1/81 M t 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. 26006 Z Date SEPTEMBER 27, 1999 Permission is hereby granted to: STEVEN C BERGEN 710 WATERVIEW DR SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH CRAWL SPACE & ATTACHED GARAGE AS APPLIED FOR. FLOOD PMT. INCLUDED. at premises located at 710 WATERVIEW DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 030 pursuant to application dated AUGUST 11 1999 and approved by the Building Inspector. Fee $ 405 . 80 Aut orized Signature ORIGINAL Rev. 2/19/98 M 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. 26006 Z Date SEPTEMBER 27, 1999 Permission is hereby granted to: STEVEN C BERGEN 710 WATERVIEW DR SOUTHOLD,NY 11971 for CONSTRUCTION OF FOUNDATION FOR ONE FAMILY DWELLING AS APPPLIED FOR at premises located at 710 WATERVIEW DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 030 pursuant to application dated AUGUST it 99 and approved by the Building Inspector. Fee $ 75 . 00 Authoriz ignature COPY Rev. 2/19/98 72- T-7 I' C' FORM NO.6 r. TOWN OF SOUTHOLD "^ Building Department Town Hall _ Southold, N.Y. 11971 ^' 765 — 1802 : 2 ,•,r '.. PAPP ICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted w s� to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25 . 00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 � �� DJ 5.Updated C.O. $ 50 . 00 Date . . . . . . . . . . . . . . NewConstruction. . .ZOld1or1Pre-existing Building {. . . . . . . . . . . . Vacant Land Location of Property . J. 6 . . .W.�r K.V.I.e.t v . . `r.✓. *0. . . . . . . . . ... . S k � a( ! . . . . Nouse No. Street L Hamlet Owner or Owners of Property Kqw Mk7 7117 /Ae t' , AA,� Yll¢J^ t/, �r✓��°� ��i/o� S,e.e A"chld Ye co rdicf �La�advvGapy County Tax Map No. 1000 Section . . .�/.p. . . . . . . . . Block . . . . .7. . . . . . . . . Lot . . . . 3•`r. . . . . . . . Subdivision . .i7?S� n.�? e c. . V.V.0., ` IX4 . . . . . .Filed Map No. . . . . . . ./. . .L/ot No. . . . . . . . . . . . . . Permit No.�tffr1.Q6. ?:, Date of Permit . . . .. . . . .Applicant .�ess� �S/w (,assn �ur�oKrJj.r- Health Dept. Approval . P.:9g I a 6 . . .Labor Dept. Approval . . . . . . . . I . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . � . . . . . . . . . . . . . . . Fee Submitted $ . �2 Sr O . . . . . . . . . . . . . . . . . . . Construction on above described building aP,,er. tt m is I applicable codes d regulations. Applicant . ( . . ' . . . . . . . . . . . . . . . n...toro�a / �s; Gf57�+sr 8u1l�rS� �N� ��. 5'►59-g Co x,1&113 Fgb.23 :00 16:47 FAX P. 2 ' �ro)l ,r Town Hall,$3096 Main Road ,; n FaY 1515y 765-1823 P.O.Box 1179 j :, r; Telephone(516) 765.1502 Southold:New Yodt 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: January 18 , 2000 Building ,Permit No. '.262592 Owners (please print) Pldmber: Sertsand Plumbing fi Heating, Inc. . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1t laud.. (Plumbers Signature) 5wo>:•n to before me title 18th day of January 2000 Notary Public, Suffolk County semi wyok N0. UdE�InMtlaf 1¢o_,a, Town Hall, 53095 Main Road .; x Fax (516)765-1823 P. O. Box 1179 .-�,1 `, r-' Telephone (516) 765-1802 > <� Southold,New York 11971 - •., j { OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: January 18, 2000 Building Permit No. 7,625gz Owner: (please print) Plumber: Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ('' umbers Signature) Sworn to before me this 18th day of January 2000 Notary Public, Suffolk County ENIAno" lylryPub, CNMV1111� Comlaf E>�WtdrMf r7a4�c,� NA .1411 -e M- �11111�1 bectricai insnecrion Lprmulfwe!-� Insoacuon Swvice. inc. nue i Avok OfIfe: 02)OW2000 Anaffeavan no. 40348 IS"011 M: LaZU i&t, fttroaf- 710 W.1tanfAaw r"f" V)I)"*; Southold Zip., 11971 TawmSouthok Introduced bw Waovn Scoit Electne L)O.f 498-E "amm"am Wa v be oil am""m WO or Na"'W kkv&w colif AtIk �Alst Floor 0/8 R"W6wal I t Pool .-I Ow. 424ra" v 2fid Floor 0/8 Con"WIMW F7 ftjw~t r I )-)by rub -I AFV D&%m 1$ 36 13 4 D*hWM*W WM*OWAMP Or Own ftneWAOW 20 1 30 PW"Wa do G" C#www snya"Dowoor so#ma"At"ter Ataftr A^w PM" Notary TO*"" rwnl*bn Afon*A*4 I log yy Hwo & Suaft Pmmident j Bunaw Pww*No. ThIS WOZO na rA be Awed In BW nwwW mw L*Ww*Wad bv ftir avdwWW =x-m �Ow, ................ ZONE X HICKORY AVE HICKORY AVE leg ZONE X ZONE X \\ s, NORTH gq��EW \� \IS' g g \\ ... o Town of C, 036 g m o g Rp V COREYO , - COREY \ 90 \ \\\ \\ \ \ qpq p ZONE \ \ \ \ \ \ \ \ \\\ \\ x \\ \\ \ \\{Eta 1 \\ \\ •`\`.,\ VA \A V \\ \ \\\ \\\\\\ \\\\\ \\\\\\\\ \\\ \\ \\\\\ \\\ \\\\\\\\�\\ ZONES AE \ x JJ, INSPECTION REPORT DATE COMMENTS R------{� — 7 — INDATION ( IST) If n it n INDATION----OND) ------�--------- ------------------------- --- JGII FRAME h Tr— PLUMBING Iii u l Ji -- ---- it SULATION PER N. Y. a�_ -moi rya STATE ENERGY It ge CODE N it it 7IIIf r• 11 II H If If II II 11 FINAL It II ADDITIONAL COMMENTS: AMt4f)60 TLAr7AAA(p6 Pic INcKeAs�-b o ( ru bei MY (� g' fl-t2.9 fovNo � Im.� AGKV JQ�- p L4 c H tv 0 x ` r I m - ro ( Q �A JUDITH T. TERRY Town Hall. 53095 Nium Rouc I TOWN CLERK P.O. Ro.e 1 [7Q Southold, New Turk 11'171 rtEOISTTUcR OF VITAL SrATIS ICs Fax (516) 765.1823 MARRIAOF OFFICIiR _ .,� 1 _ ybo+ Telephone (516) 76S.180 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" (FDP(93)] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93) ) . iFD)(_ i r - EiJV. ❑GFT, Tom OF SOUr;i+OLD �h � Southold Town Clerk August 25, 1993 APPLICATION #_ PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued- 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Loyal Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY TALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE T BES MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE f)','V DATE �' Z SECTION 2: PROPOSED D Impicted v APPLICAn NAME ADDRESS TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION _ PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commerdal) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? Q Yes) ESTIMATED COST OF PROJECTS B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) El Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ IsIL+QT located in a Spedal Flood Hazard Area (Notify the applicant that the application review it complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4: ADDTTIONAL INFORMATION REQUIRED (To be comnleted by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale,and specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the fust floor,details of flood proofing of utilities located below the fust floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans(If the subdivision or other development exceeds 50 lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). • Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. D Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. O Is B. 0 Is not in conformance with provisions of Local Law #_, 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. APPLICATION # _ PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? 0 Yes 0 No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2 Actual (As-Built) Elevation of floodproofmg protection is - FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? 0 YES ❑ NO DATE BY DEFICIENCIES? 0 YES ❑ NO DATE BY DEFICIENCIES? 0 YES ONO SECTION 8• CERTIFICATE OF COMPLIANCEM be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE._ BY: Attachment S SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #_, 19` SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19-, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) 765-1802 BUILDING DEPT. 1 NSPECTIO [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION /FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK INSPECTOR �� M-1802 BUILDING DEPT..Lt,#e�,4;e ►' INSPECTION [ ] FOUNDATION IST [ �OUGH PLBG. [ ] FgIINDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: , f D ,3a y r .1`�/'GrAL. ,��ss.=.r`y �,T��bli.�✓o�D�✓o�tti�'�'- /��?//off` a4 /�� s� c•�Y�— DATE��INSPEC17OR a" 765-1802 BUILDING DEPT. AN INSPECTION [ ZDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU LBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA A HIMNEY REMARKS: C z/S DATE/ INSPECTO 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: D i DATE INSPE oc) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �*'-I&- C,� 1 DATE INSPECTOR ✓✓� -:C :4.06nm „ar-M1;?�L I'r.^i7 C�erEz':6 �j16-'27-36'5 T-846 o Oiii:" p-4?% 1� 't5 ec 05.siar�aa�ar d Sale D 'n;:h^ 2t m!,g'airm G:.,dH'S ACV,i.di•.idua'dr Ce,pm a'ion(Sing!a Shctt (N'VB f8002{ ` I! !� f.u.'SULT)OVR L4HS En E'.EF'ORF SIGNINGI HIS t:VST H 2.MENT—THIS INSTRUMENT SHOULD 1•E USED B'r l..tw1L`F�r3tiLY j? -MIS INDENTURE, riade the I„_."1j day of h 2 Z.W1\6�N ir. the year 1995 IIh;T11'ELPI ^TEVEN C. n6RG72N, residir,6 at 4953 Commonmeaith Ave. , La_Canada, California 91011 party of the first part, an !:FVIti MATTrlAEL and t1ARYELLEN yL4TTRAEI, husband and wiFz, residlitm at 21 Mohawk Dr. , North Babylon, New York parry of the second pan, It ITN'ESSETH,that the pam,'of e first part,in consideration of Ten Dollars and othe. vaLiz ib It!cc:+�:aeration paid by the part),of the secanu part, doe's herebj grant and release unto the park'of 3 tend 1+art,the heirs or auCcessors and assigns of the}.artyof the second pert forever, f l M,,1.that certair plot,piece ilr par_e?of lanii,with the buildings and irnprovements rte s reo<;ere',ted,sir:;its.lyinas } and beiav in the ^ ( �cl:: �,:ft .,iuLb r. AiZrc;_ly r::2 ir•t.DDE y PART }lREUF =p The grantor -'terein iis thw� some pegs, -% as the, grantee in Dead c?arec+. a f� and recorded W 1Ci96 in Liber 1179: ep 682, l li5;) i3 07.0o Lat(si 000 f 1 I t3GETHER with all right, title acid interest, if any, of the party of the first part of; in and is an;: whaeta Cnd ! road;; abutting the above-described premises to the center lines thereof; TOGETHER ,rr, n the appurte-+ ^es i� and all, the estare and t ,.,, of tht party of the fir,<part in and to said premises; TO ILNN E AND TO HOLD !1 d e prLniises herein framed s:_nI) the part of the second part, the heirs or successor,and ass gas o#' the parry of rht, second part forever. AND the panty of the fir3t part c_venams that the patty of the first part has not done•sr suffr,red ar,,tyin>:thereby the said premises have been ine"Aered in any way whatever, except as aforesaid. X:ND the party of the first part, in compliance with Section 13 of the Lien Law, covenants ha' rhe narty of the first can will receh e the consideration for this conveyance and will hold the right to receive su h carr;Ieranon as a trust nusd to be applied fixst fvr the purpose of paying the cost of the itnprotrentent and' wilt appt,;the same first to the payment of the cost of the improvement before using any part of the total of the same for ant, other purpose. The word"party" shall be construed as if it read "parties" whenever the sense of this indenture so recuires 1, IN A ITNESS WHEREOF.the party of the first part has duly executed this decd the tray an; fes r fiat ve I tt7itten. i LN mSENCE UF: STEVEN C. BERGEN "1� pe.,_r+_j+, ;-q;p;pr From-NAFn.LITPNG DieTEP.'.F' +516-72''3575 T-9-05 P G3l:'3. F-OL SCHEDULE A Policy No, UID C?? ALL that certain plot, piece or parcel of land, with the buildings and iroproviaments thereon erected, situate, lying and being at Sayview, near Southold, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEG11414ING at a point on the easterly line of waterview Drive, 500.36 feat southerly along said easterly line frac the southerly line of said Waterview, Drive, said point of beginning being the southwesterly corner of land now or formerly of Bela-ncic, frpn said point of beginning; RUNNING along said land, South 39 degrees 09 minutes 40 seconds East, 150.0 fe=pct.; '7'ELfi1Z along laud now or formerly of L,erja South 57 degrees 42 minutes 00 seconds West, 100.0 feet; TH qCE, along land now or formerly of Doroski Horth 39 degrees 09 minutes 40 seconds West, 144.29 feet to said easterly line of Waterview Drive; 11104CE along said easterly line of Waterview Drive, two courses as follows: Northerly on a curve to the right having a radius of 61 .12 feet, a distance of 26.78 feet; thence 2. North 57 degrees 42 minutes 00 seconds Fast, 73,46 feet to the point or place of BEGINNING. For Corve4ancing Oaly TJgether with all right, 600 and interest at, nn bad to any Streets end roads abuft..ng the above described premises ;' pohads or title Insurance include such duddin93 and Iroprovemdnts the,aor,v,hlch bylaw corstEtute real property,u;less si.eclr'cally e,ceptad rroe,;s!na time to detarrnins whether we ha,e apart;pad ali o!the properly+and easements wn:cn ecu desire m be insuredif tnere ata eaSements to De 7asured.Please req4x5'.s.,ch In5urae=. In some cases,our rale manual rproYides for an adddionat charge for such rni-larrco' 'ORM 2e�tl85.74 •A(4-93) NYSt.TA CERTIFICATE OF 1ITlE-SCHFDQLE A ' 124tH 2VB =s'c-;'-JC 34;06pm From-hAPGLIigNG DIMF,CH +516-727-3576 T-W PAZ/03 F-492 ii995PG'7Gi R�CORnrn REAL ESTATE, Number of pages TORREIN$ OCT`19 1999. 99 OCT 19 Pti 3: 59 Seriattt_ CertificateN SUFFflt K COUNTY Prior of. it ' Z25 Deed:Mortgage instrument Deed;Mortgage Tax Stamp Recording/Filing Stamps 4 FEES Page r Filing Fee C� Mortgage Amt. Handling ✓ 1.Basic Tax TP-584 __.. 2.Additional Tax Notation Sub Total EA.5-� I-, (County) Sub Total Spec.'Assit. ^y Or EA-5217 (Stare) p �� Spec. /Add. ,I P T&A, !� o �tirS� TOT. MTG.TAX Comm,of Ed. 5 Qom_ � k5k Dual Town--Dual County a y Held for Apportionment Affidavit Transfer Tax 1 07 y CettrftedCopy _ Mansion Tax The property covered by this mortgage is or Reg. Copy + , will be improved by a one or two family Sub Total f dwelling only. YES or NO if NO ^y GRAND TOTAL �G , see appropriate tax clause on page # of this instrument S Real Property Tax Service Agency Verification E Conurtuuity Presen'ation Fund a Dist. section Block Lot Consideration Amount S_ OV-D "'stat 1000 078.00 07.00 030.000 CPF Tax Due `ii t� �y inproved I tI~I�1C[7 Initial acan t Land tisfactions/Discharges/Re!cases List Property Owners Mailing.Addr ss $ D RECORD &RETURN TO: OCT 19 1999 D Munzal & Napolitano, LLP t;�, 'lltlhx9 C'`f D 548 Roanoke Ave. r � r Riverhead, NY 11901 '�= ' `�d FUND FTeTitle Company Information Name SCTIC INCORPORATED # 33094-3660 Suffolk Coyaty Recording & Endorsement Page_..._ This page forms part of the attached aged made by: (SPECIFY TYPE OF INSTRUMENT) STEVEN C. BERGEN The prernises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the Township of GnnTrmr n BENIN MATTHAE1 AND MARC ELLEN MATTHAEI _ In the VILLAGE J or HAMLET of BO;-S S THRIJ 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILIiJG. (OVER COUNTY OF SUFFOLK) )SS: 99-56 STATE OF NEW YORK) THOMAS B. CAULFTFT , PRESIDENT OF SCTIC INCORPORATED, being duly sworn deposes and says: THAT he has had a search made of the records of the County Clerk's Office of Suffolk County for the following described property: ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Bayview, near Southold, in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the easterly line of Waterview Drive, 500.36 feet southerly along said easterly line from the southerly line of said Waterview Drive, said point of beginning being the southwesterly corner of land now or formerly of Belancic, from said point of beginning; RUNNING along said land, South 39 degrees 09 minutes 40 seconds Fast, 150.0 feet; THENCE along land now or formerly of I.orja South 57 degrees 42 minutes 00 seconds West, 100.0 feet; THENCE along land now or formerly of Doroski North 39 degrees 09 minutes 40 seconds West, 144.29 feet to said easterly line of Waterview Drive; THENCE along said easterly line of Waterview Drive, two courses as follows: 1 . Northerly on a curve to the right having a radius of 61 .12 feet, a distance of 26.78 feet; thence 2. North 57 degrees 42 minutes 00 seconds East, 73.46 feet to the point or place of BEGINNING. ALSO being known and designated on the Suffolk County Real Property Tax Agency Map as: DISTRICT: 1000 SECTION: 78 BLACK: 7 LOT: 30 SAID Search completed on the 12th day of August, 1999 shows the following chains of title since 4/1957. LIABILITY IS LIMITED TO THE AMOUNT OF FEES PAID. BY: THOMAS B. CAULFIELD Sworn tofore me this day of ��46,x , 1999. BY: No"pLLhk sw d New Y ft0iFE18T8M10 0jdW1n&lk W-,q" Cojw"w ExWms Jill-),4a SUBJECT PREMISES, SCPM: 1000-78-7-30 CHAIN OF TITLE Deed: George M. Tisdale Dated: 1/17/1944 Helen B. Tisdale, his wife Recorded: 2/7/1944 to Liber 2341 cp 164 Julius Zebroski Deed: Julius Zebroski Dated: 8/4/1966 to Recorded: 8/25/1966 Albert G. Bergen, Jr. Liber 6019 cp 139 Catherine E. Bergen, his wife Deed: Albert G. Bergen Jr. Dated: 8/26/1996 Catherine E. Bergen, his wife Recorded: 9/10/1996 to Liber 11791 cp 682 Steven C. Bergen PREMISES ADJOINING NORTH: SCPM: 1000-78-7-29 CHAIN OF TITLE Deed: George M. Tisdale Dated: 1/17/1944 Helen B. Tisdale, his wife Recorded: 2/7/1944 to Liber 2341 cp 164 Julius Zebroski Deed: Julius Zebroski Dated: 6/22/1966 to Recorded: 7/6/1966 George Boltman Liber 5978 cp 432 Elizabeth Boltman, his wife Deed: George Boltman Dated: 1/24/1976 Elizabeth Boltman, his wife Recorded: 1/27/1976 to Liber 7980 cp 86 John Belancic Maria G. Belancic, his wife PREMISES ADJOINING SOUTH: SCSM: 1000-78-7-55 CHAIN OF TITLE Deed: George M. Tisdale Dated: 1/17/1944 Helen B. Tisdale, his wife Recorded: 2/7/1944 to Liber 2341 cp 164 Julius Zebroski Deed: Julius Zebroski Dated: 5/11/1973 to Recorded: 5/30/1973 Joseph J. Doroski Liber 7407 cp 341 Jennie M. Doroski, his wife Deed: Jennie M. Doroski, as Dated: 1/13/1997 surviving tenant by Recorded: 2/27/1997 the entirety Liber 11818 cp 237 to William J. Doroski Patricia L. Doroski, his wife PREMISES ADJOINING EAST: SCTM: 1000-78-7-32.4 CHAIN OF TITLE Deed: George M. Tisdale Dated: 1/17/1944 Helen B. Tisdale, his wife Recorded: 2/7/1944 to Liber 2341 cp 164 Julius Zebroski Deed: Julius Zebroski Dated: 10/19/1974 to Recorded: 10/31/1974 Joseph J. Doroski Liber 7742 cp 233 William J. Doroski Deed: Joseph J. Doroski Dated: 4/6/1979 William J. Doroski Recorded: 4/13/1979 to Liber 8610 cp 591 Marko Vukasovic Dorica Vukasovic, his wife Deed: Marko Vukasovic Dated: 7/27/1985 Dorica Vukasovic, his wife Recorded: 9/5/1985 to Liber 9866 cp 430 Philip Loria Heather Loria, his wife PREMISES WEST: WATERVIEW DRIVE BY: THOMAS B. CAULFIELD Sworn to fore me this W?7) day of --�� , 1999. BY• 4THEPINE FERGUSON y FR bk Sw.d NwYak No.OIFEWWO " -.lifted In SuRokCaunly Exp,m, BOARD OF NEALlil ri 1119N 17ORN NO. 1 3 SETS OF PLANS ... .. . . . .. ..... TOWN OF SOUTUOLD SURVEY ..... . . . . . . . .. . . . . .. . . . . B6 0.AEPL BUILDING DEPARTMENT CHUCK ......... . .. .. .. . . . . . . . . . TOWN IIALL SEPTICPORH . .. . .. . . . . . . . . . . .. . SOUTHOLD, N.Y. 11971 TEI.; 765-1802 NOTIVY% CALL 287-0776 . . . . . . . . . . . . . . . Exi'amined..A................ 19.... H411. TO• East Isle. . . . . . . . . . Hwy Approvdxt..7.�?77k ....... 194.1 Pennittb. 1706 No............I-: Nsapproved a/c .......... Southampton,.. NY,.1,1968 LrIN Js ildi _ n� p �fJfo7nL _ . 5 5I y © Vell7ti, APP . CATION B ILDING PERHIT Ante....�//-6;. .. . ., 199.9 INSTRUCTIONS a. Zda application must be co+pletely filled in by typewriter or in ink and submitted to the Building Tnapecton 3 sets of plans,, accurate plot plan to scale. Fee according to sclwlale. b. Plot plan snowing location of lot and of buildings on premises, relationship to adjoining premises or public 9t recta or areas, and giving a detailed description of layout of property must be drawn on the diagram dnidn Is part < .Utia application. c. 'Ane work covered by this application ray not be commenced befors issuance of Building Permit. d. Upon approval of this application, the Building Inspector cult issue a Building Permit to the applicant. Su- permit altsll be.kept on the premises available for inspection throughout the work. e. No building droll be occupied or used in dale or in part for arty purpose chatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICA•MV IS ILrRM FY= to the Building Department for the issuance of a Tluildiog Permit pursuant to the ituilding 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 tamval or demolition, as herein described. The applicant agrees to comply with all applicable taus, ordinances, building code, housing code, and regulations,tad to adult authorized ninspectors on premises and in building for necessary inspections. East Isle Custom Builders , INc . ................ (Signature of applicant, or name, If a corporation 1706 No. Hwy, Southampton, NY 1191 .................................I...I.....I...... (Mailirg address of applicant) State whedner applicant is dwmar, g i agent, architect, engineer,'general contractor, electrician, pltsdoer or to 1'der . e : f 1 ... .................................... ..................................... lt• .. „,, ,� ., .�.� Nand of weer of?premises., S'f'eve - Bergen ..'. .. _ .......I....................................................... tax roll or latest deed) If applican'C Is,e orpon ;Clod 'i�ig�s i,r� orf duly authorized officer. fi g Tr., y.. - .........11-....:f-UA..................... I tigi f c�t oraei?ba f� Ric ar pp isano, Builders License No. ......................... Plurbers License No. I.. 1487P .......I........... Electricians License No. 2697E �• OUner Trade's License lb. .................... t. lfxotion of land on winich proposed work will be dcxte. S/S/0 �Naterview .Drive, 500 :36: E/0 .. .. .. .. ........ ... . ... .. .. Waterview Drive, Bayview, Southold ---710 Waterview Dr . ....................................................................................•• ......................... Douse timber Street lun"t County Tax lap Nn. 1000 Section ..0 8......... Block ...0� .. .......... lot 30 .............. Subdivision .described property Filed Map No. ........:...... Tvt ............... (Nate) 2. State existing use and occupancy of premises sncl intended use and occupancy of proposed construction: a. Existing use and occupancy vacant Land ....................................•........................... b. Intended use and occupancy .... on: family dwelling .. .......... Kilure of work (dm&Qildl applicehle)I New Building ........— Ackittion .......... Alteration .......... Itelwir ............ PAMMMl ............. demolition , .......... Other Bork .... .. ....... .. .. ............... .... (Description) Efittnntect Coat 70, 000.. 00......... fee .. ... .... .... ..I....... . (to be paid (xt filing this application) If d.+elling, anieer of duelling units .,..4....... Ikober of d%< --lung units on eacii floor ... ;�. .......... It garage, unnber of care .. ... t4F5ST..................... if bushKsa, eamiamial or mlrceel occupancy, specify nature and extent of each type of use...................... nimenmions of existing structures, If anyt Front................ Sear ............... Np[h IluigiLL .............. ......... .. N.nhar of Stories ............4......... dinensiata of a" structure with alterations or'ttddlitionst Front ............... Sear ............... Depth .................... tleigltt .................... Rmber of Stories ......I........ 1. Dinenslons of entire new conatructiont Front ..48...,......, pear ...48. ........ pepth ..A?. .... .... 1ei0tt ......................... nrher of Stories .....?............... 1. Sim of lott Front 10.Q ' ........... Sear ....IQ4.'....... �pAClu� 150 '�./��/� � 10. Ituute of Hurdtase ., .f�.�'.'..... Umm of Former Odsier �r2'•• •'�E•.. !U.K7�:'?.2..&.may--- I1. Zone or use district in uhicit premises are situated ................................................... ........ ... 12, thea proposed construction violate any zoning taw, ordinance or regulationt .....12P................ 11. Will lot lie regraded ,.Ms ............. Will excess fill be removed from premisest )tm, NO 14. Banes of Rorer of premises .$t.�Y.@T .Pt..$l; gt A.. tkklrees4�5 ..�o1P114Aw�<�? *r�I. AYzlryae No. Y/.A...... bums of Ardlitect Car}.?at�Jt.h�S�.................. tsMress ........... phone No. 2fi6,622- Bellport, NY Ntme of Contractor fuklreaeNo.227.-11772 15. In ,his property within 300 feet of a tidal wetland? * YrS .......... No XX *ilr YFS, samm ma11fC1StIR36 mmrr MAY m 13MitriF.D. PIAT DIAGRAM - Locate clearly and distinctly all buildings, whetluer existing or proposed, and indicate all set-back dimensions from property lines. Give street and blond mmber or description according to deed, and slaw street nares and indicate tdtether Interior or corner lot. APPROV D AS NOTED DATE: �)A I B.P. N FEE: 5.--^--BY c" < ✓C— NOTIFY BUILDING DEPART ENT AT 766.1802 B AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING !& PLUMSINCi S. INSULARION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL. MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION Sd ENERGY CODES. Nor RESPONSIBLE FOR srnni car N1xr vcxac, n/ DESIGN OR CONSTRUCTION ERRORS (za2NY ar ... y4 . ort C t-- ,•. Richard,OppggjAp Iq ..........................tx:tug <tuly sworn, delxeses mid Says Lhahe is the applicant: (Nona of Individual signing contract) above turned, Ile in Lhe ...President of East is1e .ggptqqi,.$Aj r..IAC.•......................... ... .. (cattrector, agent,-corporate officer„ etc.) , of said (mter or cxmera, nod is duly authorized to perform or have lrerformed the said stork and Co nuke and file thin alil0leatton; dint 1111 etatanents contained in this application are true Lo the heat of his knowledge atd txilief; mxl that Lite work will lx: performed in tlue manner net forth in Lhe npptlentitn filed tl)erewiNt. AM)m to before rm bits . .. ...�h :.....,any of .. c� Liv!¢l ..14. .. Notary Public ... ..................... Sliltutre of AM)I. m t) " DONNAGAUVREAU No1atY BuiPolt 00" d PROPERTY LIES IN FLOOD ZONE AE" IMPROVED, WELLS IN DWELLINGS BASE FLOOD ELEVATION 8 SANITARY SYSTEMS IN FRONT YARDS TEST HOLE PER FIRM MAP No. 36103CO166 G (N.T.S.) COMMUNITY No. 360813 0 EL 5t EFFECTIVE DATE* MAY 4, 1998 VVA TER V SANDY LOAM /E -1 A.9 SAND WITH R 61.12 7346- ' ¢xJ w R/ VE -4' LAYERS OF (WATER AT _4 6�g'( 4 -_ EDGE a SILT& CLAY EL -01) L- ---(6) 2 -12' SAND AB HOLE / 5' MINIMUM FE / p*p -16• SEPERATION FROM L 5 PROPER LINEP71C S FE °0.'5•E . S£ 50036' /T( O � 3L ' / (�) SEP77C Lo G v N LLJ /I /� SYSTEM Lo O ` 115MI . I Q ti R m 3 ck:o N I h Q o W tl: P P. PO o¢ o •} -- r PROPOSED J) - -- w c� 9'f W1 l 6- �- 25 1') I 26' x 36' 2s.1' w 2 ti ti O 00 ^OFFSET / DWELLING 'LO �) o 3� V �')I F.F. l0.0� � 6 AN1 t ryj / 3 Q Q 2 Li Q) 2- 1 �u S'Y AA i Q 3.1' EI� PIPE 1/ VACANT 2.2. £ SH oWELL o O AT CO Wk EA: 14,84;'Sq.Ft. 0.341 Ac. [ 9AN1 o S57'42'DO-Q ', z 0 00 AT °RNER + ti PROPOSED W17L.50 �I pU SEPARA7TAI777ON fROM W Z VACANT EXISTING SANITARY 3 S.C.D.H.S. ENDORSEMENTS SYSTEM. Q, PROVIDE.. (1) 900 GALLON SEPTIC TANK. (5) 8.0 X 2' DEEP LEACHING POOLS. ROOM FOR 50% EXPANSION. S.C.D.H.S. REF. No. R10-99-0126 A DENOTES STAKE SET SURFACE WATER APPROX. 320' TO WEST. ELEVATIONS AND CONTOURS SHOWN HEREON REFER TO N.G.V.D. CERTIFIED TO: KEVIN MA7THAEI SURREY OF MARYELLEN USDA - RURAL DEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. SITUATE AT EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED BAYVIEW ARE NOT GUARANTEED ESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIM£ OFSURVEY TOWN OF SOUTNOLD GUARANTEESU INDICATED PREPARED, AND ONHEREON SHALL NONLY TO NS BEHALF o PERSON(S)°rME of SUFFOLK COUNTY, NEW YORK PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSRW770M GUARANTEES ARE SCALE: l '--40' DATE., MAY 8, 1999 NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIRC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST, 1000 SEC. 78 BLK. 7 LOT 30 WALLS, POOLS, PATIOS, PLAN71NG AREAS, ADDITIONS TO BUILDINGS AND ANY OTHER CONSTRUCTION. / .7 JOB NO. F1983 rfi �(j REVISIONS: �_ u v REV, PROP. STRUCTURES & REV. CERT'S 5/13/99 a 94 tq way ADD FLOOD ZONE, REVISE SANITARY 7/14/99 - ,`l�� Ha on Ba N.Y. 46 CORRECT DATUM: 7122199 / (516) 8-5330 v' ✓;8� Marc E Charest, L.S. Successors to Poul T. Canalizo, L.S. Robert A. Kart LS. license no. 050149 Good Ground Surveyors, P.C. P�20PERTY LIES IN FLOOD ZONE AE" IMPROVED, WELLS 1N DWELLINGS BASE FLOOD ELEVATION 8 PER FIRM MAP No. 3610300166 G SANITARY SYSTEMS 1N FRONT YARDS COMMUNITY No. 360813 + 1 EFFECTIVE DATE: MAY 4, 1998 =�¢ 5 T0_9 5 4460WVEWq ]'ERVSE D RIR-s , 125.3 ?3. �< 'nr_a.9 6.2 �i ! 4 6 SEI RE 5• MINIMUM o HOLE O.27J p SfPERARON FROM to PROPERTY LINE �� s�Q �o SEPTICN, •36'ExisrI I , Qe h SEPIICG �•Lt LCJ� SYSTEM , O Q1 °o N Q) C Q W tl; 36.0• o >-U O ONC �2 O Q p ^ �' FOUNggT Js,y 1 B.2' W S Z?: ti 4U j T,F,_1J.03 0 �� '=2 —27.3'— 5 .01 oQ 41 �� , N 01 3 0 2 c PIPE VACANT 21, E SHE00 WELL AT CORN R AREA: 14,842 Sq.Ft. oo S57'42.0b"w 'OO.00 AT CORNER J >U h VACANr fouNpat�o�.t LLSGQ�(IDi�I CCK- fie,- f(fL2�9R CERTIFIED TO: KEVIN MATTHAE/ SURVEY OF USDA SDARURAL DEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. slruArEAT EASEMENTS AND10R SUDSURFACE STRUCTURES RECORDED OR UNRECORDED BAYVIL_W ARE NOT ANTE ROE OFTHE�RVEUNLESSED PHYSICALLY EVIDENT ON THE' PREMISES AT _TOWN OF SOUTf 10LD GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR suFI-ULK C^.OUN rY, Nf W YORK WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM- PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE SCALE. 1 "-40' DATE: VA/' 8, 1999 NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. INC OFFSETS (OR 01M£NSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND MERE- FORE ARE NOT INTE-NDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST 1000 .SEC, 73DLK. 7 LOT 30 WALLS, POOLS PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND ANY 07HER CONSTRUCTION. JOB NO. F1983 � (c�9 �c REVISIONS: u u REV PROP. STRUCTURES & / � 6 �VJR}/,EY1NG _-- REV. CERT'S .5/13/99 / s n to fyt,way Har Y1 ADD FLOOD ZONE, REVISE I ^ 13� on Bo N. tti SANITARY 7/14/99 - ` 4 CORRECT DATUM: 7/22/99 - ! (516) 8-5330 LOCATE FOOTINGS 10/29/99 '"� UNDER CONST. 11/6/99 " p•p59� Marc E. CharestL.S. Successors to to �LAND s Paul T. Canoiizo, L.S. Robert A. Kart, L.S. license no. 050149 Good Ground Surveyors, P.C. PROPERTY LIES IN FLOOD ZONE AE" IMPROVED, WELLS IN DWELLINGS BASE FLOOD ELEVATION 8 SANITARY SYSTEMS IN FRONT YARDS PER FIRM MAP No. 36103C0166 G COMMUNITY No. 360813 EFFECTIVE DATE: MAY 4, 1998 WA ]' ��•42'00� VIEW D R/ VE 81. 12 73. , 6r:, HOL SE,r RES,, 5' MINIMUMS£PERATlON FROMPROPERTY LINESDD,0 SfPTICd, 36, EXISTING 1 h SEPTIC / SYSTEM O l Q :Q C14 Lw 36.0' o U O O C p .�• h PoU I,R9 4V j\ I N T.F.-/1.OJN O Kra ,22 o 1� ( sz01 L O w e n v1 L.0 DI 3 621 O So 3 N v> > Q ATPCORN R AREA: VACANT Sq.Ft. �.� E SHEaaW£LL S57-4210b + 7. /� 0.341 Ac. 1. E. � JS/ 42'Vo �0.00, f.6E AHCORNER J MT �V V' JI z VACANT �bumwftm LDcwcoij Z09 CERTIFIED TO: KEVIN MATTHAEI SURVEY OF MARYELLEN USDA - RURAL DEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. SITUATE AT EASEMENTS ANO/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED BA YVIEW GUARANTEEDARE NOT �ESS PHYSICALLY EVIDENT ON 7H£ PREMISES AT THE TIME Or THESUR TOWN OF SOUTH_OLD WHOM THE GUARANTEES YTISO HEREON PREPARED,LAND ONLL NHSNLY TO BEHALF TO THE TITLE) FOR COM- SUFFOLK COUNTY, NFW YORK PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO T71E ASSIGNEES OF THE LENDING INSBTUHON. GUARANTEES ARE SCALE: 1 =40' DATE: MAY 8, 1999 NOT TRANSFERABLE TO ADDITIONAL /NSTDUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE' ERECTION OF FENCES, RETAINING S.C.T,M. DIST. 1000 SEC. 78 BLK. 7 LOT 30 WALLS, POOLS, PAT'OS, PLANTING AREAS, ADDITIONS TO 8UlLO1NGS AND ----ANY OTHER CONSTRUCTION. JOB NO. F1983 (\(j -'� REVISIONS: u v u ' REV. PROP. STRUCTURES & � -'— REV. CERT'S .5/13/99 , 94 to - '1WOy ADD FLOOD ZONE, REVISE SANITARY 7/14/99 Hal on Ba N.Y. '1;_,'I6 CORRECT DATUM: 7/22/99 (516) At8-5330 LOCATE FOOTINGS 10/29/99 A1arc E. Chartist, L.S. UNDER CONST: 11/6/99 e,yry 65� Successors to Paul T. Canalizo, LS. Robert A. Kart, L.S. license no. 050149 Good Ground Surveyors, P.C. F t PROPERTY UES IN FLOOD ZONE AE" IMPROVED, WELLS IN DWELLINGS BASE FLOOD ELEVATION 8 SANITARY SYSTEMS IN FRONT YARDS TEST HOLE PER FIRM MAP No. 36103CO166 G (N.T.S.) COMMUNITY No. 360813 0 EL 5t EFFECTIVE DATE.- MAY 4, 1998 I Nq ]'ER V/E SANDY LOAM -1' SAND WITH R=61;12 73 t47-4210o" 8 Q"� �ir ss w �R/ VE -4' LAYERS OF (WATER AT L6 qCr• - sTCr&clar EL -of) 62 -12' �l �(e) 4.6 HOLE / SAND 5' MINIMUM IS / p7p -18, SEPERA77ON FROM Z L FE PROPERTY LINE Ya FE o s' F' 500.36' SEPTIC S / / W S / !7) �� EXISTING P LU JI T SYSTEM cyn 5 ! 1 1 O O j- PROPOSED ,s W S 6'F ANI L,�- 15.1' l 26' x 36' 26•/ w 2 ti p ) ^oTrs£T I DWELLING 'proSET p m e F.F. 10.0/I � 7 1 wc� wi" LO anN 243 1 zw ° PIPE _1/ VACANT i 2.2' E oWELL z p AT co _ £A: J47 Ac. t. E. 2.0,£. 4i1N1 q o D S5T42'00 w 10 9 AT E b O.QO, =N'pr%SN 150 ED WIPLL CbRNER SEPARA77ON FROM h VACANT EXISTING SANITARY ' N- O S. .D.I .S. ENDORSEMENTS SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES r - PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE WAN:;LV REWDY"WCE ONLY DATE may HS NO. APPROVED PROVIDE: (1) 900 GALLON I FOR MAXIMUM OF l+_ .DE OMS ` SEPTIC TANK. EXPIRES THREE YEARS FROM DATE OF APPROVAL LEACHING POOLS. ca ROOM FOR 50.2' EXPANSION. EXCAVATION INSPECTION REQUIRED S.C.D.H.S. REF. No. RIO-99-0126 FOR SANITARY SYSTEM - e DENOTES STAKE SET. �Y HEALTH DEPARTMENT SURFACE WATER APPROX. 320' TO WEST. ELEVATIONS AND CONTOURS SHOWN HEREON REFER TO N.G.V D. CERTIFIED TO: KEVIN MATTHAEI SURVEY OF USDA SDARURA DEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. SITUATE AT EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED SAYVIEW ARE NOT THE TIME SURVEY.GUARANTEED ARAN SUPS PHYSICALLY EWDENT ON THE PREMISES AT TONIN OF SOUTHOLD GUAFOR W/0M THE SUDRVEYISPREPARED, D ON HIHEREON SMLL RUN SLY TO BEHALF!TO THETMECOM- SUFFOLK COUNTY, NEW YORK PANY, GOVERNMENTAL AGENCY AND LENDING INS77TLMONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE SCALE: l '--40' DATE.- MAY 8, 1999 NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES RETAINING S.C.T.M. DIST. 1000 SEC. 78 BLK. 7 LOT 30 WALLS, POOLS, P47IOS, PLAN77NO ARM AOD177ONS TO BUILDINGS AND ANY OTHER CONSMUC77ON. JOB NO. F 1983 �� REVISIONS: 2. u REV. PROP. STRUCTURES & ' '>3i ., REV. CERT'S 5/1394Wa /99 r .. y ADD FLOOD ZONE, REVISEI Ha OFT Ba ..', N.Y. - 46 SANITARY 7/14/99 ri n,,> x CORRECT DATUM. 7/22/99 � 516 8-5330 ko Marc E Charest L.S. elJPSE9successors to Paul T. Canolizo, L.S. Robert A. Kart L.S. license no. 050149 Good Ground Surveyors, P.C. PROPERTY LIES 1N FLOOD ZONE 'AE" IMPROVED, WELLS IN DWELLINGS BASE FLOOD ELEVATION 8 SANITARY SYSTEMS IN FRONT YARDS PER FIRM MAP No. 36103CO 156 G COMMUNITY No.. 360813 EFFECTIVE DATE: MAY 4, 1998 12 IV52 oo RV/Ew DR/ VE' �_2_6.69' �ACT. 73 46' foCE of r °A�rucr,r `L S£T REBIR o W CP's0.2 N 0.2 E ]2 LL 500.36' EXISTING 'Y W0 I SEPTIC I )l o, �e [ O SY^SJTEM ST C) N �� (65 woo. Lr) v v J/vf\ W ) 36. TWO STORY .4'8.0 Q S C] N F�'FF DWELLING 166 P. ( . W 2 k- K� Q) I GF. 12. c� L Om Jjp 31 o ati t-}27.2' 52.3. LZ 1) W�a 4 a V ( .rU tiI Ltd j3Lzz) BOIL ROOM-(92) C�A Cv I �yf O� LY 2-ti�0 o> No EL. 10.5 1 O 30� � �"'� 2 3 PIPE VACANT ��C 2..?, E C.WELL ��, Q) AT CORNER AREA: 14,842 Sq.�t. :t'"z 2 0.341 Ac. :7.d' E. °a N�O S _, 1.`5t E SHED �y cS O J57-TC 'OO"w �OO.00, W£L AT CORNER W�O O1 J VACANT fit�r-- VJT ;PAf TMMil (,FH1s'.A-t fH SERVICES FEB 1 7 2000 E �. r.�.�„R,Ed.S.4e:1: •ln y F' 1 C ©1 Zle have been :9WICICZ Lnd found to I� i _e (litTae of Rlater c:r?hrrz„KYwstcr.'Y,pnag«nent CLEARING LIMIT: 9,500 S.F. = 649 CERTIFIED TO: KEVIN MATTHAEI SURVEY OF USDA SDARURAL DEVELOPMENT DESCRIBED PROPERTY SCTIC, INC. SITUATE AT EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED BAYVIEW ARE NOT THE TIME OF TED UNVEY ESS PHYSICALLY EVIDENT ON THE PREMISES AT TOWN OF SOUTHOLD GUARANWHOM THE SURES DVEYTSDHEREON PREPARED,AND ONLL NHIIS BEHALFLY TO OTHETITLS) FOR E COM-- SUFFOLK COUNTY, NEW YORK PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE SCALE: 1 --40' DATE: MAY 8, 1999 NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE- FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T.M. DIST. 1000 SEC. 78 BLK. 7 LOT 30 WALLS, POOLS, PATIOS, PLANTING AREAS, ADDIAONS TO BUILDINGS AND ANY OTHER CONSTRUCTION. JOB NO. F 1983 zin J D� REVISIONS: REV. PROP. STRUCTURES & ��`�" REV. CERT'S 5/13/99 132 f�Dk. "�hway ADD FLOOD ZONE, REVISE ' Ha 'on Ba N.Y.- ,.__ .Y. 46 SANITARY 7/14/99 4 _a (631) 8-5330 CORRECT DATUM: 7/22/99 LOCATE FOOTINGS 10/29/99 UNDER CONST. 11/6/99 SuccMarc E. Chartist, L.S. s to FINAL 01/07/2000 Paul T. Conalizo, L.S. Robert A. Kart, L.S. REV. 01/18/2000 cense no. 050149 Good Ground Surveyors, P.C. i c _- -�.e�-.e..,.-.v�_.,...,.._.�-..oma..+.u�,..,..,.,,.<-,..�.�...._.,.,..,...:.....�..._�.-.x....._, , .___.... . __ .-.-.__ ells ..... .................�.,.,_.__,�...-..�:_„_.-.,s..-.,..., - s-_�...,..�.A�.__...,_r . YL 1. All stork shall cmVornn to Ificse drwfngs and gotcu11ng 17. All ntollar shall be ,YS'i'SI C-270 type S. codes a Id ordhollices• 13. All fromLtg shall be done in accordance %idr lite latest 2, All clectdcal%osk shall On to]into the National Flab It,al edition UP"N;Jionul lk;ign SgxdHrdions for Shess Graded Code auJ iota)orJiu.Wree. Protide winhnum oPone sruoke Lumber and Its Fastenings" :u published by the Natfon,d detector at cath flour, plus one In ctery bech'omn. Lumber Jfa,ml"RIU S AISWCIa1f011, 3. 'lite C'ontrn'lur shall be r'cspansible for checking all 19. All wolf uuwebfp fns lulling nailing, blocking, budging, ---- '- * dhactishnIs nod Condit Eons boot ex1,Un and no posed, os etc to cmrfur Wl to IIle Ncty Yolk Slate Ill.Ung 1 1 Codt :utJ -- _ situ„non the drmdngv and xr if[calluu of the s,uuc on tit¢ 111e Nalimud Ursign Sgxtilicatiun 1'm•\Vora Cousl utlPon of 1 SUIYIAIA2Y OF 'I'O"1'AL '['lll?KBIAI. Re1'lld'(: NVI?ILf. YY vQTHs. YAIt r 6 mie' um) site, ,kU 0beIepmtcy, vat farce or dcr,,t shall be huntcdl- the National Forest Products Associndo 1. aril It urtcd (o the AWIRec on a0 silent t to rcwlt¢ Y V l 1 q 20. Unless❑sled & Plat" all Cantinglumber Jut is, headers, If lire tris, Thermal riling blow H cern or greater, the envelope pm lira of the 'I'Iris building is located in:16000° Jay tune. the aarJitiun este tPor notbioa•J safe! ntcauu es, if such oda s, studs building is in courpliunte with the energy cote. V I Y g & plafcs shall o Ilan-Fir s; or Douglas Fir 83 € 2i?9 a19 accts+ary,shall be anile sane at lits CalRwbu's Gaal `+o• 12 wtu the fullU%Irg ;IIWrtble stress; 55 q'SED 'f11E173L\L a. Cbnlpig uietinv wile Nis Part ,illi Ito riro Thal (lie cr total thermal rating of a resiwusdeem anti cap(11vf Int foe Accosts of rulille,Jlou if Ideswa ND = I200 psI single ig 2 i as � AREA �U-VALUE USED I2A'fINC euild(ng cmclope tit>Ign shall he no Ices Ilan zero, sut11 W deemed ncetvafY by the ,\recited• = 1330 psI repeal, A. \VALE,\SSF,3IULY L 'the Cob(idilor shall lno(crl lite building prcidscs anti all Shear Fy 75 ps1 J At IVeI\Valls ,\w! %60 " U,v .US G_I = !` t} J 77 313 b. ,\II building envelope clewenb Ibal contatrl materials 1$11101 are ca cable of oavp ut(s Gore the m tt site, 'i he C'oub'atinr shall �^ ,Uv Utv 1 p c 21. ,\ii lumber urnlednis neat hr the eouMlutliml shall he yerod, a_ -- -.- absorbing or laldng up a.{J holding etobhuu shall he pruledcJ by a capon protide and to dr119cl all nacssaly c,N ci tags, boards, sound, dry router al Ill to NOW rot, large and torso knots, Bi i 9ey 3 4 retarder local led on l lie olntern Iau side of lire in suis tluu. fempurely p.1.01lons and doors is Notified to (n'oteet drakes, and Diller Gaper ret(lo11s it hereby the s(reogl h Ilia) 2i g403r'p A2 Glazing Ag 16`1 Ug;35 G=( -•'EU "";'13 aolit and lini°bes to 1CMAb3 at lite Joh site, Indall be enpalird and of ske bulteated un lite dr anfugs. 3 113 Si '\g- 138_ -- e. Insulation shall be hlettiled In a manner trial plot ides coulhtuily of boui,lim we.rs lit(ht ln,ildc,g auttkJ by cunslrutllnr, 22. Pro,fde fed9eu, bincklog, nailers, and rough optnhrg AJ `z_a Ud ,40 _j-may at plate linci,sill lhics,Ia id johis i nd corners, S. ,\Ii tontine 'ball rest on ilrgin undisturbed soil or rock bm'dwarc as rapdrtJ• Z ?;� E A3 Uoms G-I _ hating gg � Ad L'J = gal v obi mal br,ljogs capatitD oId.jus ins per squaie 23. Yum Ile J"sJ" [Js6J post or (2)2"s 1" 's ((2)>s6j spikcil at J, Floor over urrcondlfimr<il spaces shall be lnsuhttd• furl. Fri oY f:b,iiugs shu%u do pi.uls al for eslimilt- bearing paints of all double framing uncutbers nukes Subtotal'fliermal haling for Section,'} lug purposes ;cod sl1j" be ndlusicd to required Imuing alhcntbe noted. I 5 r_ e. Slab edge iruulatlon shall viten) from the lop of the dab to ei(her: strata m found upon escatallon. Fooiings sh,dl not be 21, Protide W)3"s J" 's [(3)h6J spike(' at bear fug lwiuls of all J i =� 2ddd J�z1 y� Fp11 +A24,1J): placed on rock allose sPnfaee sfupt5 umre tem I(M triple Flouting mcrnbcls urdtas oletr,tlse noted. - -- - -- 7 I. A mbrhumn depte UP211nais below grade or below the lap of the Should (Nay or lilt ,•ik be encnnnlcreJ al Pm;!lub n g le,cl, 23. All bellow to be so ,III, crmtrl up. --- - - U. ROOF'iCE1LLVG.IS$F,1111LY slab,nhichever is greater, or fwaiu,Ii toe Ip be a ha;aniJ. 26. "Coude double niece Willie all 'p- ill Itaotlreiling ,\r f_Co Ur . 05 (�-3 = O J ryuti,iuns parallel to JutsU. n^ Ar 'Ur _ 6. Corlett te work,hall coaPor11l to ACI 318,77, 27. Flaute %fth double hcalcrs and h'iuuncry around openings ,` \ -- -- 2. From Iho top of the d,rh IU the bottom of the sLtb,and then n 7. Conor le for pnutJ 61 p1acC torah action shall be stone Luger Irian spacing oP'oLts. V` hrriamlal disl:urce 42 1 iotEts,bvncale Ih¢slab. J \ 132 Sk)ligltls .1g �'U concrete hating adufnluu13000 psi uhhol to sbcugllurt 28 28, Unless olherttise uolcd, alt door, tt indo,v and pass.we Ug -- days. operdug headers shall be(2)2"d0". f. 731 .1 of stir% shell be limited in aaeurJ:urte with the prat lsirns of section S. Iiufbmrs oPesterior foul Llgs lobe riled a mLrimum uPJ'- 29, 1314191119 to be pruridcd in all floor sp its a1 intenuls uul Subtobd'fhennal haling for S11f 1111 7813.1 of telt Code. (UI + Int): (} 0" below finished grade, escccdLlg 8 Pcet. Cross bl iJ9ing Co 6e 1"s1", soli) %'roti g. Ftrepfacvs shall befit acturdauce with thepro Nionsof section 7813.3 of this 9. ➢U Ito( bcckfill agafnst found;lllon walls until conClete has brilgfug (2" hick), or nittal britt ting (111111. 18 gage)" C. FNIT14 u,\I•A ASAPP1.ICAULE (FII' IFIt Cl, C2, or CS aflrhoid masirnum sit eagle• Bailout calls of bridging �r\\ Cbde. K l shall not b¢ nailed uhlil abet C'1 Fl,ar Af- 1_z Co U(_�j f-3. _ _� - � 10. 1Yeere fnoiergs ole-s(ep(xJ, bulbous to be stepped not subfloors and pl)sturd are IaiJ. J more Ihwi I%o feet verticil to four feat bol Gonfal. 30. Whcle shcaWing is Ilol plywood, iliagDaal bracing shalt be C2 FouWd.lion \Vial All IIVAC equipment shill,unecl Iheisquiremhnts ofsectioo 7813.21 of leis Code. I1. SIal55 fo bear on J°porJus gr:reel or sfrne UIL Yroside d Icft in lit ester for corners. \VIII I minder ^ft oil,poY)elhy line vapor bur tier miler slab. 31. Piosfefe nr(d-height blocking at elery flour level and in all Above(rade All htccb.udcul syslcul conk or,shall meet the requirements of section 7813.13 of(I,is 12. If fork is encountered, notify Arth;lett or Fnginecr before bearing pullillo is and all ester for stalls. buullti ll beth ---ft Code. to uc'ceding. 32. blSfall .019 aluminum Ilushlug uherever wood mints ---- ` "- I 13. Prgvfde U'. diameter Ihreadcd anchor° bolls at 8'-0"o.c. coaerae, at all clftkcls and roof& nal, frderset(fo tis, and o- .--,I . U 31" El 18" 1)(_.. MEN., m:Piutiut7 two pct' plate, i'-0° masbuunl Gum other locallwls %here sLaulard piatl(ce din Liles. Caulk 'r �f -- _�__ All duct systems shall erect lite rcquireuenis oJsrttbnl 7813.19 of Ibis Code. �; rn ❑3P' UF'aUling .ts corners, tu :uichbr cslcl for sills. Fmberhgehl: 3lfninuu11 ex("ilr Joinis :15 relufr ed, ,) Vn I.edrr k-volar Ven lilalimi s)stemssill.][olvet the l equircmcnb of section 7813.16 of(his Cute. 6 Inches fn cast to place cunttt le; 15 inches in unit utasonry 33. Cbnhactor to submit o separate nwchardeal layout fir I 0 I+J U CJ Slab F-Jge In ctlls mid spaces filled wilil concrete. haJfng equipnlcat ;or requited to nmialaill a temperalwe Insulation �- All sp.nee healing and service nater he.dink; distribution piping shall Intel the ll. Itetnfnning ears-av Squired at reek toe.lah traislious, of not less 111!") 72°1'1 "1119 c,lpabilily of IcQ,e heallag requirements of section 7813.18 of ibis Cade. to be derop11cd billet sleet bars ewdut rritoo to ,\5'1\(-613, cquipurcnt to ni.Ii itu111's uch Indoor temperalwsh e all be ° 2 Subtolal'fLn mal staling fir Stclirn C grade JO wddcd olre mesh As'I I A-185. basril on lite o,er:Ige of lite rcwrdeJ nmmlll uliuhnum � (CI +C2 4 CJ): ,\II service wertcr heating systems strait meet Ike requirturenls of 8ediuus 7813,31 15. 13r1tk alld contrite nm5omy nPa nulls droll conun to the auside N'llperalw- m es for fire locality. Plotlde eebludcal --- it - through 7813.3l ot(his Code "'liecauuraded Practice for iSuginetred!Alk\Lunacy" teniiLdimr hl all trills. ILLLesI eJilorl by Slnnlm':d C'luy Prodnds lrttti(Ute, J L COlhtl'm tool is to be II :ecofJnace %,III, it eYailfoar radii D. 'fOli\L ill F.lLtL1L)LU'INC \ +U•+C `� All electrical and lighttog s)sfe,ns and elf usp,- fat shall succi Ilie I'.quIre menti of "iliasomy',fly National Co11nete \laaa11r'y Associatimr, and st ndalds, s �' )••^••.......•. • �• r�x1 Ic,ilow 7813.5211n0agh 7UI3.510fibb,Code. 16. Coisth Gluck aiutll be of fMlo%Itu ti gty qms: 35. VU not scale dr.atfngs, dinwu,foas govwn, Itcpml au) . AN fid CAO (rade N-1 IIISMpaacfes to(he archifett Info,to conunenlug nw k, A51T1 C-113 Grade N-1 36. 'flee artbllect aso-umes 110 resp lilibilily for 16e sulxnh,4on i� I of cansirut tion. -0 rIt I'a Z 5 I Lis ! j r. T, < rY -lav I I s, -,l I i suis, 1 Co♦ lea I �~-_•_-_lf°1'tnl'-r Y,Leal Gp � j[ J ro .svvrzavry J `9 •r,Y��r.;r-,l t. ,�-'1_ ( ,T~��I_, t ¢';lin i �', 1 '--�( 'I' '. 1l ( /'•.[`, �'� � - - ... �- t- r . s°• �ti : E' : A SJ' Jt ' 1' e , 'S 1 1 /I } ' t: y: S } F_ It F•. l G� 7 f I z 5' n n , } , A ll f , ,. PROVIDE OPENINGS' t DFOR e F > i t is Y i I r t . o " , ,.' ` _ „ . :o: r ' c,. •. � �t AS AS NOT CPE �. D E MI RG N S E •E E E YE A v C R I APP , ; - REn IRED BY PART1714 OF < e 4 E: J i. T D , S \'1 N� 0 OE: � ' N.0 ST TE 8 ILDI C. 55 A. U2°ll '___. . . `iI t ENT AT EPAITFM i T F V BUILDING D N THE r r T r •. 9l F R s' rn 9 AM 70 + ' '< -1802 .r 7 JS:+-' I SPE • ' - "WIN FO OIRED _ WO REQ , .. ,, > .a . , .. , . , . , . , .r � PRDVID€ KE-DETECTIM .• . - , ;.,: � PouRE . . , FOR , MBING , tt � $MD Q PLU _ t ' r 't AM Y s , ' r� H F t i G c U y ,r , r , A(A M DEVICES q S' ,l f 1, l:, .F' .1 F D i ) a , ., .r 'r ' k .. ' :i , r.. ,r . :. • - r. , . t .` '.,. '• ,' `s, -Ji F` i, t i s t 't-' , ; TION f! �'r '0. y SULA 's `t 'i:r 3. MUSt �f t Y : .:` '. TION - ,, , T C T u .: E 'AS PA "s . ,':.+ r• 0 RT 721. N R co �l t � , i' [ „ - ,. -a 'K„ Y 4 O. , ,. ' , iF, , EFORC , .,..-Y : ,+ n' ' .., ,{... G, LET .c. ,r N.Y. 8 n EcdMP S U1IDIBG CODE, L MEET "u r s' 1ftUC , ST ,.L C • L i , H E Y. "rt " 3 ,� '�s . fr T 3 rI t r F r' Y' U , r `TS 5' r EFI M , a �q � i' U , k + F1 . s,.Y � THE R \ E r x N s t f,. } � , t N x . v 'ETC :X r t' ,. U y, a.5 R { lJ �: N b 'O r T , C J FS , ''r' ,, P ;PbR '�s v BLE' 1 , O S s N E � .,: , a - �.•<. -, , +`, " • ,;, '...�. ,. , 'a,. ` : � " .aT, .,.- 4`i g .i � 2: .: NOT,'R S� _ ,r'� ODES,. ; a` ', ✓ r' d" 7t v R :•16^NYIw! } . , �`C ERRORS " .ti. GG. CTIONER. r'- „ r 'r .13 : r ' r 's , ,,) 'ONSTRV . . v k.' ,Y.. ` 3' ,✓,. i" 1 f' J DRC ' a ,e.,.,. , ,.,,. ,, •.. . .- ,.,X , . r,. . , 3 . . .. , .., ,x ''; rPLUMBINCi tiE IGN y e, r y , . ..._._._. .'+_> ... •. .. .� -"; ,. '^T^—^ ..: , . -. ,.. �.t• r.r" 5:. 1 ALI.PWMBIN6 WASTE � .e P " e, . J:a ,' Y ',, t n : ., , M1 'l i'• s` d . q , GLbCC.+ll�i r E LINES N k: � NEED i+ a 5" Y , r� - �' � TESTING BEFORE COVERING 1' i+. fi G . 4 ( kl, A• l L f , �1 , '1 � IrJ . T '1 y $ i i S ' `) `.L.- 5 is r y : r ; t i' r t f f 3 t 5 •/I J Ii. f , F`- O f tN'a 7l , 1 � r L' INBERC RTl P U d ti - `j r , RE, : iONLEADCO U'P N Y, OR , , r cr QCC A G .,.rv: . . . . . . . . , ,: � , ., ,`, . J, ofoccu am s, . NAC.,T. . .,,.. ,-„ ,, ,. ,. , , ',,, „' . <. > ,',. \ , , a � t - - CfRTIfICATE P f ', r A t � r ,, . P x LA11ilF�JL l - ., r-- /N 'A ER - 'USE IS UN ER USED W T , r OLD •r Y {' ltd' 1 NO .r CA N EM T S T P Y E u P s CAT ERT IFI { f s T r I tiITH L .;, ., . .•_ -„ ., I ,., ... 'E. 'S-:� ��:'', . ;. r; . . ,. ; +.r =r ' } 1 LEA. a - f.,. EXCEED2/f00f 196 — ---- -- ace t Y � � AN k . � ,'OF 0 C 4 , JAl !' 1 i r k ' ' Neo tubing I ' i P 9 ,c N, 0 D OT QCEEb` 1 r ' water ,iislriti' in ,,. YYITN w a r distributing ,. 12. Q ' I 'V ry 1 b . X •�.' FR 1 M I . •hal'- FRAMING b " s ' s ' X' F• P i b. : UNI s "a f� A . Y ., ,,, ''� '. � - P ,. T t . .t . :, � ,: ✓; � t - .Oi t QtPK � �, , F FourlQanoN r 'f w BEEN �? ry r .. _ .ilit it ti x a, r � D t , s �•. 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' - __ _. _ --- _ t . . _ -' -- - - BUILDING PERMIT REVIEW CHECK LIST Applicant/ `— i /S C. i3 L"( t L-6 -S Date Owners Name: S'i C- y C=)IJ 61 Reviewed: Architect/ Date Engineer: CC`�� , �'` \ �' '�- Submitted: SCTM #: District: 1.000 Section: Block: Lot: ?--)Q Project Subdivision Location: t °'� �� 1 Name: Single&separate $ njred certification: Yes UNo) 'T c'_ v Req. _ Req, Zoning District: [Lot size: Actual Sr J e U ] [Lot coverage L " Proposed: ] Req. / Req. (D - Req. ! _ [Front Yard �Proposed: S U 1 [Side Yard a Proposed: Z�S Z S] [Rear YardProposed:S ] Project Description: r J ow (J e=t-L-i AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. V-� /�-�c •-9 y -o New York State D. E. C. _ oer Ito Town Trustees Town Zoning Board approval: _ Town Planning Board approval: �x Flood Plane Elevation ??? 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