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HomeMy WebLinkAbout24921-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26971 Date: 03/10/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 800 NORTH DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 38.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 1998 pursuant to which Building Permit No. 24921-Z dated JUNE 1, 1998 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 GARAGE AND DECK AS APPLIED FOR. The certificate is issued to ANTHONY J & DOROTHY DEMAULA, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0022 03/09/22 ELECTRICAL CERTIFICATE NO. N516004 02/22/00 PLUMBERS CERTIFICATION DATED 02/22/00 HARDY PLUMBING & HEATING 74rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24921 Z Date JUNE 1, 1998 Permission is hereby granted to: ANTHONY J DEMAULA 22600 MAIN ROAD CUTCHOGUE,NY 11935 for CONSTRUCT A NEW SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AND DECK AS APPLIED FOR & TO DEC & TOWN TRUSTEES . at premises located at 800 NORTH DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0006 Lot No. 038 . 002 pursuant to application dated APRIL 16 1998 and approved by the Building Inspector. Fee $ 809 .60 1,2 Building Insp for ORIGINAL Rev. 2/19/98 IUW1V ut JUU1ttULll 13UILDING ALRTMEN7' m-s3 1 3 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin 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 11 lead. ]� y/,y 5-.--Eemmercial building, industrial building, multiple residences and similar buildi blIA and installations, a certificate of Code Compliance from architect or engineer responsible for the building. �)IVA -6--Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '.'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 applican 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 - .25)0. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date_-!. . .u . .g�. .�C7p0. . . . . . . . . . . . . . New Construction. . . �. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .. Location of Property. . .:© Q. . . . . . . . .. . . . . :�1OR /�. . . ��i/•Ifq . . . . . . . . . .M. House No. Street �f j �Hamlet Onwer or Owners of Property&XVPAY. .C✓a.6tf�Cf�l! • • •S �•� - • • •r•V •.. • • • • • • • • County Tax Map No 1000, Section. . . . ��.V. . . . .Block. . .cJ Q�� . .. . . .Lot. if./ 4?!.Q0 IrZ. . • • Subdivision.S�9A., y. .lgc4i � . . . . . . . . . . . . . . . .Filed Mapr�V�e . . . ./.Lot. . ./. . . . . . . . . . . . . . Permit No. .a3//. ixll. .4-7. .Date Of Permit. . . 6/.< � . . . .Applicant.RN? ,'/9'C'7i1 . .✓ ''//��!S�• • Health Dept. Approval. . .. . . . . . . . . . . . . .. . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval,4,&,-5_ . . /✓O.'t.% kG Request for: Temporary Certificate. . . . . . .. . . . . Final Certicate. .41__. . . . . Fee Submitted: $. . . . . . . . UC.. . . . . . . . . . . . . . .. . .yy���i,cw(�C � APPLICANT C�,eA,• 5754 CUA ��Q ��S�FFOCK�o G =0 y� CM Fax (516)765-1823 Town Hall,53095 Main Road y Telephone (516)765-1802 P. O. Box 1179 Southold, Now York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: 4 aGD� Building Permit No.. j'='— 7— Owner: /1 . �,,..,. �lJo�6TF/�/ J1Pi�/AtJ� (pleas print) Plumber: A&' UL :t_ e /N� (pi ase print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbers S gnature) Sworn to before me this BRENDA�l..13TRCtTN �h &� �No to Staite 0 A w day o f tivalifled to Suffolk Qommiesion Expires O➢ Notary Public, Cgytnty � JK THE NEW YORK BOARD '0' F .FLIRE UN`bERWRITE-RS PAGE 1 10C�1H71 BUREAU OF•ELEOTRICIT,V 40 FULTON STREET, NEW YORK,N.Y. 10038 . . Date FEBRUARY 22,2000 Appliegtion,No, mi ftle -1759-0299/,99 N- 516004 THIS CERTIFIES THAT only the electrical equipment as described below and intr'odu'ced by(he apphca)tt named ontlhe above applicirdon number is in the premises Of, D.& A. DEMALA, 800 NORTH DRIVE (EAST END) ,.,MATTITUCK, NY, . in the following location; ® Basement (2 Ist Fl. ❑ 2nd•Fl. GAR/I)UT Section Block Lot was examined on FEBRUARY 17,2000 , andfound to be in;compliapce With 1,he National`HTectrical Cade., - I. FIXTUREFIXTURES RANGES OOOKING�bECKS OVENS DY$N WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER .AMT., K.W. :AMT K.W. I AMT. K.W: AMT, ' K.W. AMT. I H.P.,3 60 32 44 58 2 _l" c 1..?. .2 ., .F DRYERS FURNACE MOTORS FUTURE APPLIANCFiFEEDERS' SPECYAL REC PT MIME CLOCKS :BetC UNIT HEATERS' MULThOUTI:ET 'CFIMIv1ERS �YSTFS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. I AMT.- AMP. AM'd TAMPS.' TRFANS. AMT. H.P. NO.Of FEET AMT. I WATTS , 1 7!' Y, SERVICE DISCONNECT No.OF] ,i$. .E •' R.. ,• g; V .�( ,� -iC— Ebr;. , METER O QF CC OND., �p AMT. AMP. TYPE EQUIP. 1,R 2W 1-O JW J,R,�W 3A'}W .Nn PER '�"- .tlF t:GQN rr�i TAp, J § :. ..'bF HILEG bi NWEDTQRAL„ o f �s a� II F •I 3s , . . ��. IE' ,_ 200 CB CO OTHER APPARATUS: HWIRX4'PBOL' BATH-1 WELL PUMP-1 �I DTSPO9AL.1-1 K.W. -91 € � sm0icE DETECTOR:-,4' " ._ a 1�1 .i! t! •Ik.I ,ii55 EE gg ppyy FF �� �. PI .. �12 �t. ..,. .h G &. S CONTRACTOR zk LSC BOX 2I5 '•` I ' T 'i �1^^ 3� 1 �E T3NF�flAi NIAN�AQER ` `k SOUTHOLgF NY, 11971 33 Est I w 'T � hl3.&etflnIate"tTIUaTtl4fEb8.�i5�k@G a 0 THE .NEW YORK BOARD 0`F� ' Af IV WRITERS PAGE ' .;,d 1001071 BUREAU OF E L E C T R I � 4 40 FULTON STREET,NEW YORIC,1_F.1Q03g Date FEBRUARY 22,20 Application No. on file 1 4902Qg/9�. ' 4 516004 THIS CERTIFIES THAT only the ij,g pment as descrtfited below and introduced by the applicant npaeted'on the aboeTgpplication number is in the pre>�lises.df t D.& A. DiRAU, 800 NORTH 6k�VE (EAST END) , MATTITUCK, NY 4 in the followin ® Basement V Ist Fl. ❑ 2nd FG GAR/OLrT Section Block Lot was framiled'', 1+ `*FEBRUARY 17,2000 and found to Ice in f compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTUR RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCE OTHER AMT. K.W. IMT. c K.W. AMT.- '` K.Wv AMT. K.W. AMT. H.P. 60 32 44 58 2 i 1.2 2 F DRYER$ FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. 'TIME CLOCKS BELL ;UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT: NO. A.W:6. AMT. AMP. `],Mi.;' Ap1pS. TRAMPS,, AMT; H.P. NO.OF FEET AMT. WATTS 1 F 2 - SERVICE DISCONNECT NO.OF gE;.w R �/ '. C E METER NO. F CC C A.W. A.W.G. A.W.G. 'r AMT. AM/, TYPE EQUIP. 1!2W 1 0 3W 3 0 3W 3 0 4W PER 0 .. OF CC.CO : :",NO+'OF HI•LG' OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CE 1X 1 4/0 µ 1 2/0 OTHER APPARATUS: WIRIAPOOL BATH-1 �, WELL PUMP-1 DIBPSAT�-1 K.W. G.�'.C.I: 1 :,SMOKE DETECTOR:-4 9 CONTRACTOR LIC.#578 E �trBC}X,,�15 ANN GENERAL MANAGER tHOLD, NY, 11971 t no#, til • Qny manner;return to the office of the Board IL triOgiTt�c# T�1ay be identified by their credentials. NT" THIS ,IN ANY MANNER. COPY OF CERTIFICATE t,< a . %tFF0J,t Town Hall Albert J. Krupski, President ,Q� Gy 53095 Main Road James King,Vice-President o= < P.O.Box 1179 Henry Smith h = Southold,New York 11971 Artie Foster Ken Poliwoda �'y� ��� Telephone(516) 765-1882 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 4, 1998 Anthon DeMaula 22600 Main Road Cutchogue, NY 11935 RE: SCTM #106-6-38.2 Dear Mr. DeMaula: After review of the survey dated November 5, 1997 of the above referenced property, the construction of the house is found to be out of the jurisdiction of the Southold Town Board of Trustees. If you have any further questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK: jmd S13FF0j/r o Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 y x Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 7, 2000 Anthony & Dorothy DeMaula 22600 Main Road Cutchogue, NY 11935 RE: 800 North Drive, Mattituck, 1000-106-6-38 .2 . 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 # 24921-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. e !i � eif�/ - •� ill i' ✓ /, /. � i � �' � fit-' '� �✓ PI WE mll , 1 0110 NMI' 'ROMA awl // %� Y r , 1 S pe, � � — New York State Department of Environmental Conservation Division of Environmental Permits Building 40-SUNY,Stony Brook, New York 11790-2356 Telephone(516)444-0365 AM Facsimile (516)444-0360 John P.Cahill Commissioner January 22, 1998 LETTER OF NONJURISDICTION--TIDAL WETLANDS Mr. & Mrs. Anthony DeMaula RE: 1-4738-01795/00001 22600 Main Road DeMaula Property Cutchogue, NY 11935 North Drive, Mattituck SCTM #1000-106-06-38.2 Dear Mr. & Mrs. DeMaula: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the property landward of the 10 ft. contour elevation as shown on the survey prepared by John T. Metzger, dated November 5, 1997 is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate,work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Permit Administrator MMR cc: BMHP File I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;,IN ATION FRAMING [ FINAL [ ] FIREPLACE EY REMARKS - �J/ DATE o?� INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] F NG [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: C DATE INSPECTOR g 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ J ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION C l FRAMING [ J FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR i : i DEPT.BUILDING INSPECTION FOUNDATION IST [ FOUNDATION • FRAMING FINAL FIREPLACE & CHIMR E M!4k R tKS:-. = WAV �. �,,. ; W: DATE INSPECTO i M-1802 BUILDING DEPT. INSPECToo [ ] FOUNDATION IST [ ROUGH PLBG. Q� [ ] UNDATION 2ND [ ] INSULATION [ FRAMING I [ ] FINAL [ ] FIREPLAC 7 CHIMNEY REMARKS: 41 A V DATE_ L v INSPECTOR 21 2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG [ ] OUNDATION 2ND [ ] INS U ION [ ] FRAMING [ ] F AL [ ] ACE & CHIMNEY REMAR S:/moi ^-� ���� /l 7 all lep.6 x1v le, DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUNDATION 2ND [ INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE/ L - INSPECTOR '�'J NST ���� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 1,1 INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: ZaL ���� R., Z� DATE __ INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � 41 p DATE 3 Uv INSPECTOR _ u ung uG u6.wj?:_lra ,.6-y��i '/ • 4„' T F0. i 4az, \rl4Je� `6 A d 0 rl a e Y m a s9 a tc IS i6 sll• 4Yto If 90l�„ 46 tC 9 Fto ••• � Is is vt u ��E31TR11.ID r rve" �°n wi d yl "y r N 69 ID 't 4 3 �� ,t d � `a• w � R W u un — —pr. A g ESWn © � � i S Y'i ct r *N a.t6 J M 1 J y P k� • d` w ^,y m p t] V 19 • y n– IMIYO n i 3.0 "� a'� I ss is ]Tn �zi 4 N LYlO m . M1a 0 • ^ s J�e'___ .r a_ _ � e:M Ye:� i6 lu<I i n <"a +A +✓ Y e'S/ 0 ! T rt ( � 5.04 "" � iB t'Y` S J � F A IS •n /� MLI<I 'an r. g i 6 d Y,Y "•6 �P F F 'P• .n /\ ` N' _^. ._ ''. Y .169�I ��I V)5- 6 F t F+` ]]x + F + M'b. at U 46z 1/�L n •, T vi � LwU � �% F LpUW • w] U 111'14_ AC u.T / Q�•9 v9 1.BM0 F ��6 � tac] _ 19rttl II 1.94tl LBM<t LIMO 16•:11��-I M1'•�Oe• F_�;M1L/J LIMO ` � \ ' 1� 3'M1 / JA Fi al �l.1i41 .i3 4141 1e ". h PE nN4t K4 L0.Utl L q a N3 S// iM1� „ LIMO ® Loud a eRR a A� /o v F � OE t 6SFE 544 NL a ]A ZE "�A/?� Y PA/P'e 1M-of-Wll I P''�pt L1.11u 9 2] Y`PPi/ ti"meg / P P� ill 1 / ECJ 44 EJ.VeI 20Vtl IMO v y 1iI gM �9PfG]�IS 1U J]Ycl 1Ae(tl LOMB ayM1 w a � 9EE SfcM.ul LWa Y ® pF 1�6c 0�� j' Y L ^� zz Izv — NOTICE © COUNTY OF SUFFOLK x nn»a SWTHOLO SECTIO W E Red Property Tax Service Agency ��... �., / ta^� 106 ♦ �r..`� La 8 f.L c9 x1 _ ��� NSR YCM IW-W-W. �'I . k', BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . .. . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALLrr1/ c�!�Cdl!��Aee1��— Examined.................. 19.... MAIL TO: . . ..[. .Y' r1. . . . � I Approved.................. 19.... Permit No. ................ .6.d�//.. ..}t/�J....... Disapproved ... k, iris 4�.0 u.xyl..1! S5� ...................................................... O N�1� (Building Inspector) APR 16 I9AIs APPLICATION FOR BUILDING PERMIT Date. . �/ .��?. . . . . . , 19.90, INSTRUCTIONS / a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram wbich is part of this application. c. Tbr�work covered by this application may not be camemced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept- on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS UKWW 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, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for remrval 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 ' spections. .... : �.2. .LL- ... ... � ..... (Signature of licant, or name, if a corporation) 2.0md.0..lndj. w.. w. .!�..s�...... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ( ,tJ Pn.J.. ¢�... ^7�c................................................. Name of owner of premises ... ..... ...6- 1L1�./v-S1k4d�4 r ............................... (as on tax roll or late deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ..... .... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... v 1. Location of land an w�biich on ll be de.. .....................�............ ........ Za ..................G iL..l ......... .... .................... �' ..�.i;Q✓��—. Rause Nmber StreetHamlet County Tax Map No. 1000 Section ... 0.6...... Block .....0.6....... Lot ..,3 er c�.%.. Subdivision "EX. .U..(�(.ecc............... Filed Map No. ....y/ Lot ....G......... (Nam) 2. State existing use and occupancy of premises and 'intended use and occupancy of proposed construction: a. Existing use and occupancy ..........V..r............................................... b. Intended use and occupancy ............. ...................................:......... l 3, Riture of work (cliec:k wbidh applicable): New Wilding Addition .......... Alteration .......... Repair ............ Removal ............. Donal 11.ion ............ Other Work .....I............................ 4. Estimnuted Cast i(.� d Y d........ fee .... �... (to be paid cn filing this application) 5. if dwelling, nidrer of dwelling units ......L.... Bahner of dwelling unit's on each floor ...L........... Ifgarage, amber of cars .........t............................ 6. If lousiness, cnnrercial or mixed occupancy, specify nature and extent of each type of use..........:........... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ilolght ......................... Nmniuer of Stories ...................... Dimensions of sure structure with alterations or nklitions: Front ............... Rear................ Depth .................... 11ei1Jut .................... Nmiluer of Stories ........ g. DiuensicxiO' entire new construction: Front ................ Rear .............. lleillht ........................... Umber of: Stories ..................... 9. Size of lot: Dont Rear Depth ......... . .................... Ill. Ilal'e of Purdu me ....I ..................... Nene of Former (Mier ..................... '.........:.�. i , II. Zone or use district in which premises are situated ........................................A:::-:... 12. toes proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot lie regraded .................... Will excess Pill be removed from premises: YES ND 14. Names of Owner of premises ........................... Miress .............................. Plhane No. ............... Name of ArdhitecL .................................... Acklress .............................. Plwne No. .............. Nene of Contractor ................................... Address ...............................I'Ihone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YRS M) .......... *IF YES, SOINIUD IUM 'IRNSIM9 PERMIT MAY M. RF()IIIRRD. PIAT DIAGRAM LncaLe clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nnber or description according to Gleed, and allow street names and indicate celuetmer interior or corner lot. ts--'417 SI'lf113 M MV. YCA1K, SS (XI NLY OF ....................... .!./.. I:�. ..... R U ..............lx�ing duly sworn, deposes shod says that he is the appiicant (Nave of individual. signing contract) alxrve nined, Ikis the ............ ...................................................... ((ontracLor, agent:, corporate officer, CLC.) of said owner or owners, and is duly authorized to perform or have: performed the said work and to make and .file This application; that all. statements containe.d in this application are tae to the Ix:sL of his knowledge aux] Idl.ief; and that the work will lie perfonmed in [lie manner set forth in the application filed therewith. ;;worn to before me thisV- 6) ........., ayof. ...19..Ilot.ary 1'rnblic .. .. . . JO CE .WILKINS (Sigmnture of AicanO Not P biie,State of New York Nd.4 &2248,Suffolk Court�j� Te Expires June 12,19 i )V/O/F MATTjTVcIrSUFFOLK COUNTY DEPARTMENT , hQ OF HEALTH SERVICES s 0 Co~,pq yy PERMIT FOR APPROVAL OFCONSTRUMON FOR A i 1 ,� VACANT ' ^ SINGLE F S. 89'48'40" E. AMn'Y �RN ONLX N 7 3.12 0 E- 42.60' t 5186506 00' E `�\S. 84'Q/30' E. �` `� DATE O. .0 r� 67.3 o pWC t 3/.25' S7B24% ` APPROVED 1 " E. E.. 11.5 io FOR MAXIMUM OF BEXPIRES R M$ THREE PEARS FROM DATE OF APPROVAL W U 4y i L l \Z \ 15 � � /' �� 14`;-° s/ - LOT O - - - - - — .,i�\ AO \` ��� 3 ON 20/ / �/ J `y 9 hx �� o �\ ^oo\a O Db i' 'Mer - ! t • "Y ao�k. i - etaz fe�k n 76 t \ It PIFE N. 8748'00" W. i' t meq/^' 1 p }�7,/ a s 1 45206' 'Je �,' i - VACANT NOT,, E l., Hl.A LT&_']� � 1 �� 10 - � Dept. of HeaM SeruiA, ae LOT O ANY ALTEls`AT1001 OR ADDITION TO Tms sTVEY IS A VIOLA TIM OF.SECT( M9 OF THE NEW YOW STA' EMACAPON LAW, � D EXCEPT qS P2CT1 T2EJ811f ALL CEfiTy�7CA7K t ANE-V Oft Tms-A 4 , THEREQFe'0M,y /F° ! am familiar with the STANDARDS FOR APPROVAL — 3 S' SAV MAP oR CwBEAR THE M ES50�eL OF T "VEYOR 0�. AND CONSTRUCTION OF SUBSURFACE SEWAGE S— !S'^ WHOSE MMTLITE APPEARS HEREOM 1 DISPOSAL SYSTEMS FOR SiNiGLE FAMILY RESfDENCES — ADD/T/QNALLY TO Y WITH SAm LAW 7th TERM�>�BY' and wN abide by the cond/Nons set forth thereln and on the ,k�pThER BALL A A permll to construct. OF SURVEY O Iouavr-To-0A7E'ARE NOT x edux> YcE M9TH�LA r :. LOT n "MAP OF SHOREARES" °' The locations of wells and cesspools FXEb JAM 3, 19X4 ` _ 41 TEST NME � shown hereon are from field observations AT T111 ACK and or from data obtained from others. v TOWN! DE SOUTHOLD 0r a ELEVATioNs ARE REFERENCED TO may.D. SUFFOLK COUNTY. N. Y. t, t� TONT RS LME aRCE RREFM4PBE�� To FIVE EASTERN 1000 106 -,06 -- 38.2 o so C: NX ME wy��y. SCALE 1" ,:r ., o Fq Nok 5,' 1997 1.'n ". • c,� k SMD a . va. Sir �ti'y I Y. LIC. NO. 49618 AREA = 45,231 sq. ft. € C. BAY VIEW DMVE or 1. 038 ac. to tie lineP.,r I Q 5,�' 1230 STREET SOUT.iOlstl;. N.,Ys` 1197t . � 97 - 299 r "A N HOcQFVGCONs-a s a° °ANY !�^ 3sr/ p0, E S. 89048'40'42.60' Ei S.' �`S6 pp. VACANT N. 78`12 4 t 56./0' E. \ S. 84-01'30- E. g�.3 o`Pw pl �I I \ 31.25' S� 24Y5:E, & NoaE"5°EL 11-5 � i 50v foo14 iz LOT P �l,-� - - - `\ d� nQ \\�QOk o O� 0 � , /iii � N a 20 we( 4 i x /75� � '� ,\ moo O - 1 silt l i� sr_ N. 87°48'00' W. /' P .30 / i _ VACANT ` $ V 10 LOT t U 1 �_ ANY AlA77ON OR ADO nm TO THIS SURVEY IS A VIOLATION V / OF SEC TI N 7209 OF THE WW YORK STATE EDUCArM LAW `- EXCEPT AS PER SECTION 7209 SUBOVISION 2. ALL CERT - t1/OIrS I am imnihor, with the STANDARDS FOR APPROVAL f�ON ARE VALD FOR TM AMP AAO CODES THEwmp Y /F SAID AAAP O4 COPIES SEAR THE A0WESSED SEAL OF THE SWMEYOR 10� AND CONSTRUCTION OF SUBSURFACE SEWAGE WHOSE SA9MATLRE APPEARS HEREON DISPOSAL SYSTEMS FOR SITYGLE FAMIL Y RESIDENCES Y TO cOApLY M77}I SAID LAW 77E TEM, TEREp a - and wN abide by the con4lons set forth Ihereln mId on /he - BE BY ANY AAV ALL -gRWYVRS L±7XZW,A COPY permll to construct. OF ANOTAO SL*VBYIXr'S AA4P. 7EW AXH AS C7W-AAV SWVEY �,(Ir WOUGHT-TO-OATS'ARE NOT M COfiK ANN W?W 7W LAIV. LOT P ' o� SHORE The locations of wells and cesspools FXEDJANI 3, 1814 NO. 41 TEST HOLE shown hereon are from field observations A TMA TT/T K and or from data obtained from others. � � 'OF �` THOLD cAWr a sJ W ELEVATIONS ARE REFERENCED TO N.G.V.D. SUFFOLK COUNTY. N. Y. OF NE � � TOWN TOPOCONTOWS �PARC MAPREFBF N TO FIVE EASTERN 1000 - . 106 -� UB'�- .�5.2 r¢towMer�{'0.f� SW SCALE 1" = 40' s""' SW o c •f F Q m Nov. 5, 1997 a� '" N. � !c I.r .•. Iy Z�/t99$ ��ro�q bse � SOAE s % N. .S LIC. NO. AREA = 45,231 sq. ft. � P.C. BAY VIEW DRIVE or 1. 038 ac. to tie line r P o N 1230 R STREET SOUT,IOIf); N. 11971 97 - 299 Mow 44" ftn'CX fz 0� E S. 89'4840" E. S �, r 0 4260' 180-56-00 " 84.01 30' E. �• 1 oto , g?� d /J t 31.25' W D We �-� N in - —�� / _ ? INI It �µ M 14 za� Zcoma — MUWA -" (r _ - i cog _ zq a \_ uk i ' 14-_,87"148'00* W. A 452.06'' io VACANT40 COT f .. w ANY.ALr TIODi OR A!)WTM rpt 7MAS.SU4VjY�S� WEN-ATA9/N ' OF S 191Y T289.OF TIE NEW,YOW ST 4 At W As po?"swf 729D9 SG�f3( N 4L NS' AW VALID: Im.AfAp AAYI# Y p t,not / v is .!rNh the STANDARDS FOR APPROVAL eeJP s BEAR T1,E Ali s TfIE ": .VEYE#R:. 6A ' AND. CONSTRUCTAON OF SUBSCJS ACE SEWAGE s .rtA SARs t IER�oYVt o DISPOSAL, SYSTE4lS FOR SlIG6LE FAMLY RESIDENCES A[ WYWLLY TO caWLY MATH SAID LAW •TRE aY*, md wi7l'.pMde by Me condf%foas set forth thero/n mrd an the AaAsT w usw oy ANY AAV ALL S( k'GW ,'A P~ fa`earrstrdct: OF AfiVrlil�i' SURVEYOR S*"P. TEAM& AS ' 1Pwsyr-TO-DATE'ARE AVT M G'OU ,RITH'- The locafrons of weft and cesspools , 4t" TEST HME Shown hereof ere from field observations and or from data obtained from others. NF (E DIX.saws �Q N T. M C%V. gTW`O ELEVA.T70AW ARE REFERENCED TO MD. s ` GYAW Lti X•Y- r CONTOWAZE LA W REFHLWM)`TO FNE EASSr£R6/ Q.- i !* rowN a-o�r�ephwc,wap s Nc�. � - n ' sr � s MA enavfz sr AREA = 4.5,231 s4 ft. OCT. ?to rs B4 Y VE W 'M VE or 1038 as to tie &M STREET 1 1 97% _ A. SCDHS REF. # R10- 98- 0022CERTIFIED TO, , N /�O/FT ISLAND EAST SERVICING CORP. 77TZCKits successors and or assigns HOYDyVO, FIDELITY NATIONAL TITLE INSURANCE COMPANY i h C0AI °ANY OF NEW YORK 1 i VACANT . INC ANTHONY J. DEMAULA, JR. S. 89048'40' E. SI / DOROTHY A. DEMAULA 25 N 78.12 06 E• 42.60' 1 1'86,50 00" E \ S 84"0/30' E. 3o \\ 67.3 / t \ 3/.25' 572475• £§ No?E!s OP4 / 420• uj \ \ $d �' \ 'I;1 \ SpvE�5'O Lu hrZ Q o �A U l Z LOT \` _3� r . �' /i i ✓� — _- -- - / gyp\ o-`5 y �� 0` Its / �� //� /661 —_ — \ \Z��Z ti 4-5 / / / / / „y. , STY.FR \ ` o Z 4 p p/ Y \� DRIVE -- V o i Q --�- STONE t DIRT E !P` M1t j i I \ a CANT. \ ` GF.—— 25 EL-R4&4 Cas: ST. 160 CWI \ 452.06' \ 1 30 VACANT 10 Aa LOT O� ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALV FOR THIS MAP AND COPES THEREOF ONLY /F I am familiar with the STANDARDS FOR APPROVAL SAV MAP OR COPES BEAR THE APRESSEO SEAL OF THE SURVEYOR \01t AND CONSTRUCTION OF SUBSURFACE SEWAGE WHOSE SKiNATCA4E APPEARS !ER£oN. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ADDITOVALLY To COAPLY WITH SAV LAW THE TERM AL--TERED BY' and w/N abide by the conditions set forth therein and on the ', MAST BE USED BY ANY AND ALL SURVEYORS UTLZW A COPY permit to construct. S['�RVEY Q_F OF ANOTHER SURVEYORS MAP. TERMS SUCH As AVSPECTE'D'AND tOUGHT-To-DATE ARE NOT Av COAPLMNCE WITH T14E LAW. t 0 T P "MAP OF SHORE dRES" The tocol/ons of we/1s and cesspoo/s FILED JAl1t 3, 1914 E NO. 41 TEST HOLE shown hereon are from field observations A T MA TTITWK and or from data obtained from others. ELEVATIONS ARE REFERENCED TO ALG.VO. TO YY/Y OF so f /TOLD LAY ol- , ��.,Q�aoi.MET nVO�j.,••SUFFOLK COtJI�ITY N. Y. CONTOURS LAYS ARE REFERENCED TO FIVE EASTERN 1000 - i106 - 06 38.2 ,� TOWN TOPOGRAPHIC MAP 8 NGVD. SAAID ScALE 1" = 4th' �"° sw ` Nov. 5 1997 ,o ka y 29, 1998 (prop. hse„J saeo t sowOCT. 21, 1998 I,lowdafion 1 VEL sll 4 NO. 496/8 AREA = 45,231 sq. ft. OCT. 27, 1998 [CERTIFIED) PECON/CE" .C. BA Y VIE DRI VE or 1038 ac. to tie kne MAR I, 2000 r AAW i 163/1 755 - 5020 FAX (631) 765 - 17,97 !r P. 0. BOX 09 1230 TRAVELER STREE,, SOUT-TOLD, N.Y. 11971 97 - 299 CERTIFIED TOO - N $CDH$ REF # RIO- 98- 0022 N/Q/F ISLAND EAST SERVICING CORP- 464;77 TTjTUCK its successors and-or assigns FIDELITY NATIONAL TITLE INSURANCE COMPANY DAGCep OF NEW YORK s, VACANT /Y #VC ANTHONY J. DEMAULA, JR. S S. 89'48'40" E DOROTHY A. DEMAULA E, S ' 80 56 pO• a ao �� F 00" 42.60 < 5 \ 84'01.'30' E. N 7S°&7 34, j / �i 6/O' E. \ 31.25' ?a.04 No2Y N5�D �4 0\ ,O EL. 11.5 / v W 13 , Co LOT P /,�C i' �� \\ 3Q i i I�► / - 43' ffi7' F �\ 4 •„rte �/^ 110'Izz \ �✓ `, Off. 7STK �O�O' 0. 6 p 20 p.F I E w A Y \I\ STONE t DIRT pr _ 4r/ 1 , t �w CANT '� \ int 25 / / ® SYS7Fb ` CAO': J, PPE \ Et zs9 N. 87 48'00" W. /' rw ' .. l / � � �+ 45206' V I R1 fpt - 10 A / m 50 /i / w VACANT .. - 5 "°,,• w a0 LOT O ANY ALT RATION OR ADDITION TO THIS SURVEY IS A VIOLATION ,? OF SECT 7209 OF THE NEw YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER TFICA TIONS ," . k HEREON ARE VALAD FOR TENS MAP AND COPIES TiIEREOF DAILY F s « J SAID MAP OR COPES BEAR THE APRESSED SEAL OF THE SURVEYOR 1 _ I ox famiNNar with the STANDARDS FOR APPROVAL WHOSE SIGJJ4TlR7E APPEARS HEREON 0 0 AND CONSTRUCTION OF SUBSURFACE SEWAGE ADDITIONALLY To COMPLY WITH S" LAW THE TERM ALTERED BY" c; o DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES MUST BE USED BY ANY AAD ALL SURVEYORS UTLfZNIG A COPY ^;.r and will abide by the conditions set forth ihere/n and on the �/ OF AAIOTHER SURVEYOR'S MAP TERMS SUCH AS MNSPEC7ED' AND c permit to construct. VE € F vROUWT-To-OATE' ARE NOT Na COAPLIANCE M7TH TIE LAW. ... .� _ 0 T .P _ eta; e� G t "MAP SHORE iCRES�� r r a a> F1 MED 3, �? MIS 4� TEST HOLE qF NEWYO� The locations o/ wens and cesspools- shown hereon are from field observations AT TTIT K A\ r and or from data obtained from others. TO ��+ j4 ' HAL'�y sAwLOAN r a 4�Poa�,i.1µ�Erlo00 .¢ , . ;,.� ELEVATIONS ARE REFERENCED TO N.G.V.D. SUFFOL' COEiCo I`fU�`Y, /Y. r • �' 'a�'o aA�p # rn s,3 i t CONTOURS LNJE ARE REFERENCED TO FIVE EASTERN JOO 106 — ( ';"�_ $B.2 r¢Low >. - � A.. SMO SW O c `3 TOWN TOPOGRAPFNC MAP 8 NGVD �+ ( yrr S LE 4 5 1ss� `(�j3a- ^'o. A911%"' s N . "U. c MA„ 29, 1998 (jv/•ap. hse. J . sa 6 N.Y.S LIC. NO. 49618 OCA 21, 1998 (ifoundatfon ) GRAVEL SW AREA = 45,231 Sq ft DCI 27, 1998 10ERTIFIED) PEC U17VEYORS, P.C. MA 1 /, 2000 ( -&d 1 163/1 765 - 5020 FAX (631) 765 - 1797 134 14041RIVE or 1. 438 ac. to tie tine ,�� ,r P. 0. BOX 09 1230 TRAVELER STREET _ SOUT-TOLD, N.Y. 11971 y 97 - 299 2 wfF y3 WiF 0132 t -� Easf , Ft.sl C'/asr- S�slawel/ f� � 45ehrrnl " 0 ScafK -14 , a i r m / " 1fN %/� VL. r—*- "II A cn et a 7 m 3u -�11 �F3 H% - Iq°K Ii �fl° 4vL Pcc3 a w 4 lXnX ���y"LV4 ! � - A`�( - �`/& LVL ��ifX�`��i' Cli. '�7N+?��iTE` I�` K 11 hyr - LI�A� i y" amu " ---- -- — �2• . a rl it 5f L 1 I hl / i �'C "C�6_'L54-1 t1U )- i i4 l " � LL c � Q a ENERGY CODE CALCULATIONS (for Non-Electric Heat) Design Criteria 6 , 000 Degree' Days O.A. 1D•r• I .A. 70•C DATED: ;Fry ,J• z . r� SUBSYSTEM AREA DESIGN THE11MEL REMARKS U.. RATING Exterior Walla (opaque) f,72L , bS P �Sr� Glazlny r rl Doors yD _ vo cc'Ll.tay/110of (opaque) 173P OS' v S':yliyhts / EL n rr3e� f r• / . ss _ S ew ,f Floor foundation Walls Slab Insulation T0'1'AL 'Y 7D Notes: Duilding Envelope Systems to meet requirements of 7U15. 2 IIVAC Equipement to meet requirements of 7015. 11 .HVAC Systems to meet requirements of 7015. r2 Duct Systems to meeL requirements of 7015 . 13 VentilaLions Systems to meet requirements of 7U15. 14 lnsulatioD of pipiny Systems to meet requirements of 7U15. 15 Service Water Heating Systems 6 EquipmeuL to meet requirements of 7015. 21 Electrical 6 Lighting Systems 6 EquipmenL to meet requirements of 7U15. 31 To the best of my knowledge, belief, B professional fudyemejiL, these plans are In compliance W101 the code.