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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25421 Date: 12/12/97 THIS CERTIFIES that the building NEW DWELLING Location of Property: 3330 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 2 Lot 3.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 1997 pursuant to which Building Permit No. 24071-Z dated APRIL 22, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED PORCH & SIDE DECK AS APPLIED FOR. The certificate is issued to ANTONIO & ANNA COLELLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0046 11/26/97 ELECTRICAL CERTIFICATE NO. 17187 01/07/97 PLUMBERS CERTIFICATION DATED 11/05/97 CHUCK SANDERS 2�': Building Insp for Rev. 1/81 FORM NO. 8 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) N° 24071 Z Date .......44&-1 ... .............. 199 Permission is hereby granted to: < A,,�� .. .1 ' ........ .. .................... ........ . .... ... . .... ...........4VYA ...../zyo .. to . .. .. .... ,. �.tea........ .... ........ . .s ... .. . at premises located at.........3.3-34?ss. ..QQ.Y. .... �Xl�/ ....Y�........ ..........^.............. County Tax Map No. 1000 Section ......,1...(............. Block .......9......... Lot No. .o��. ......... pursuant to application dated ......................... /�.., 19.1.,,7 and approved by the Building Inspector. FeeJ.121.,3..�..� A .." . ... ...... ... .. Building I for 9 Rev. 6/30/80 kuLla TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL E 4 1W 765-1802 TOWNLDF OU� f APPLICATION FOR CERTIFICATE OF OCCUPANCY ►,p A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2: A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25v,. 4. Updated Certificate of. Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . , December. 3.1 A997. . . . . . . . . . . . . . . . . . . . New Construction. M W . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property 3330, North ,Bayview, RoaLo... , , , , , , .*9p.thQld. . . . . . . . . . . . . . • • • • . • • • . • • • • House No. Street Hamlet Onwer or Owners of Property. ,Antonio & .Anna, Colella . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 7.9_OO. . . . .Block. . Z . . . . . . . . . . . .Lot. A,QO6. . . . . . . . . . . . . . . "James W. Dawson Subdivision. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . .�5 . . . . . . . . . . . . . . . . . . Permit No, ,24071-Z. . . . . .Date Of Permit.4/23/97. . . . . . .Applicant.Ac? .$u. AcIeCA- .IOC. . . . . . . . . Health Dept. ApprovalR-10-94-0046(Attachedanderwriters Approval.1.71a.7, . {A�,t,ached� . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . X. . . . . Fee Submitted: $. .25.•.00. . . . . . . . . . . . . . . . . . . . . u . lders, Inc. , . .. . . . . . . . . . . . . . . . . . . . nn 3 7� APPLICANT Cd ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE NEW YORK 11772 (516)286-6642 17187 DATE: I p/7/y7 APPLICATIONNo.ON FILE VILLAGE: Southold TOWN: Southold ADDRESS; 3330 wLc North Hmwiew Road 500'elo Davton Road ISSUED TO; Ace Builders INTRODUCEDBY Electrical Ventures LIC No; 847-E was examined on M7-97 and found to be In compliance with the National Electrical Code LOCATION: Base.. x 1st x 2nd x 3rd Amo Det Garage Hot Tub Pool SWITCHES RECEPTACLES I FIXTURES HEATERS FANS G.F.I. AIR COND. 47 60 48 1 2 exhausts 1 4 DISHWASHER DRYER CLOTHES WASH. GAR DISP. RANGE OVEN W0rEDffECT0R 2#12 20amp 20amp 6 FURNACE OIL GAS CIR MOTORS BELL TRAN. SERVICEDISCONNECT 3 zone M8TM AWS PHASE 1 200 UG OTHER EQUIPMENT 20amp well pump 20amp air handler 2#10jacuzzi 50amp a/c compressor JAGO S SURDI PRESIDENT BUILDING PERMIT No. T1&mrfifimWt tambeanatdinarymaaa Wpa msybaiJ.hWby Wdraedcabab BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE Jdo��gOffO(�COG � Town Hall, 53095 Main Road m Fax (51 a) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 r OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: // BuildingPermit No. Owner: (//OLCG.L" /# (please print) Plumber: _Cjjr -5'04-AJID-e fL S (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of �'U19 Notary Public, County JEANAN'NE DAWSON Notary Public, State of New York No. 4866446 - Suffolk County Commtsolon Expires July 14, 199Y a< O�OgUFFOJ/( O Town Hall, 53095 Main Road y x Fax(516) 765-1823 P. O. Box 1179 W- of Telephone (516)765-1802 Southold, New York 11971 ip JjO� � dao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 7, 1997 Ace Builders P.O. Box 426 Shirley, N.Y. 11967 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 # 24071-Z (COLELLA) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ®n DATE INSPECTO pr M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;-FINAL IN ULATION FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ��d A ./ DATE �� 1 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR DATE INSPECTOR ;�wI M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [e,, INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: o d DATE INSPECTO o -7l 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �l-% - �/Z DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 1> DATE INSPECTOR ! i M-1802 BUILDING DEPT. t NSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION FRAMING [ ] FINAL [� ] FIREPLACE & CHIMNEY REMARKS: ��✓��f- ��l`�z � "s ����ZVel #nom„ 49. — &// DATE4���_INSPECTOR i 71- 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC/E�& CHIMNEY 2 -- ® y DATE I SPECTO 17 I M-1802 BUILDING DEPT. INSPECTION [ ] F DATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ tK90UNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR DONALD A. KOLACKI ARCHITECT 7 HUNTING HILL DRIVE BLUE POINT, NEW YORK 11715 (516) 3636499 September 24, 1997 Town of Brookhaven Building Department 3233 Route 112 Medford,New York 11763 Re: Calella Residence (Ace Builders) Subject Residence: Project No. 9706 3330 North Bayview Road, Southold, NY Permit $24071 z To whom it may concern: This is to confirm that I have reveiwed and authorized an alternate framing procedure for the roof over the Breakfast Room of the above referenced project. The roof may be framed without the 2-ply valley members if a double 2"x10" header is placed over the opening between the Breakfast Room and the Family Room. This will allow the Breakfast Room roof to be constructed as a conventional gable, with the main roof built over. The column in the cellar will support the header. Please contact me if you have any questions. Very truly yours \y�E eD ARCy/r< A. Donald A. Kolackl " Architect 15929 ST�Tf Ao OF N6`N �... 14011 /c)'" ; MAY 2 31997 Eis A E°i S H E VJ9 4 6LDC.DLPT. TOWN OF SOilf riot r" j a May 23, 1997 Southold Town Hall P. O. Box 1179 Southold, NY 11971 RE: 3330 N. Bayview Road Southold, NY Building Permit # 24071 To Whom It May Concern : Enclosed please find under construction survey for above referenced home, scheduled for second foundation inspection Tuesday, May 27, 1997. Thank you for your continued cooperation. Sincerely yours, ACE BUILDERS. INC. Michael Geraghty Construction Manager 550 WILLIAM FLOYD PARKWAY / P.O. BOX 426 / SHIRLEY, NEW YORK 11967 (516) 281 -5500 / FAX- is 16)281 -5528 _,ice/t �� ✓" / /i /�<� � ,� ,. I s � , ig ,0111 orl POP Awl N � � ice\ BOARD OF HEALTH . . . . . . . . . . . . . . . ' FORM NO. 1 6 SETS OF PLANS . . . . . . . . . . . . . . . I5 V L5 TOWN OF SOUTHOLD SURVEY , BUILDING DEPARTMENT . CUECR . . . . . . . . . . . . . . . . . . . APR 1 11997 TOWN HALL SEPTIC FORM . . . . . . . . . . .. . . . . . . . �I SOUTHOLD, N.Y. 11971 - A- TCL: 765-1802 NOTIFY: _ BLDG.DEPT, ' TOWN F SOJ';NOLO ((��. CALL Favmi ... .... .a 19/ MAIL T0: CV: t? �r). . . . . . . A �..., 19 Permit Permit NA� qq Z/ Disappro,vw a/c .................................. / .................................... ilding Inspector) AP L CATION FOR BUILDING PERMIT Date. . April 2 , 1997 INSTRUCTIONS a. Ibis application mist 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 slowing location of lot and of buildings on premises, relationship to adjoining premises or public ustreets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. Ile work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection tbrougheut 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. j APPLICAITON IS BERE-BY MADE to the Building Department for the issuance of a Building Permit pursuant to the t\ Building Zone Ordinance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Ace Builders, Inc. , .......................................I............. (Signature of applicant, or name, if a corporation) P.O. Box 426 , Shirley, NY 11967 ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phnber or builder. General Contractor ........................................................................................................................ Name of owner of premises .,, Antonio Colella & Anna olella ...............................C...................................................... (as on the tax roll, or latest (ieed) if applicant is a corporation, signature of duly audiorized officer. Anthony Alfano, V.P. ......................................................... (Nang and title of corporate officer) Builders License No. 21 652 HI ................ Plumbers License No. 3142-P ................ Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. North Bayview Road .....................................................................................................................,. House Nusber Street Hamlet County Tax Map No. 1000 Section ...7. ........., Block ....2,.......... Lot ...3:6 James W. subdivision ...............D.......awson................ Filed Map No. ............... Lot ....6......,.... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .........Va ea n t ,Land.................................................... b. Intended use and a Single Family occupancy .............................Residence................................................ 3. NaUue of wuck (check whidllapplicable): W-w Building .,X....... AckliLion .......... Alteration .......... ItepaIr ............ Itenloval !,1....,....... bmnl1Cloil ............ Other Work ................ . (I)eix:riptao�h)1 4. Estimated Cost .$208; 0001.00........ fee ............................................... (to be paid on filing this application) 5. If (k.relIing, mmiller of ckaellng kill!La . ....1..... Usha of 44elling units co each floor . ............... If garage, ntnber of cat's ..i...2* 6. If Ixlsiness, mmercial or III Iml Occupancy. specify nature atxl extent of each type of use...................... 7. Dinlenaions of existing stnlcturea, if any: Front.....,.......... Rear ::,:::......... Deptlh ................. lkigltt ..................... I�... tuber of Stories .............. Dimensions of sane stmc:turelwilh alterations or exklitions: Front ............... hear ... ............ IktpLh .................... 1108111: .........I.......... Mnber of Stories ............... S. Minensions of entire new con stnx tion: Dont ......63....... Rear 40.'I0........ Depth ,55.......... Ikigilt ....29..............'i�... Mrdler of Stories ...... .............. 9. Sita of lot: lmlu .1$.7..5I.........., hear . 142;72,..,,,,,,, Depth . 322; 72 ' 10. Mile of 1'hhrchase ....... . Nale of Former OAker ........................................ 11. Sone or use district in whi h prendeas are situated ............................................................. 12, Does proposed construction vvotate any zoning law, onlinanre or regulation: 13. Will lot be rellmled ....... e$......... Will excess fill lie reamed fran praxises: YIDS NO Cole lla 15-55 201 St Bayside -352'7 M. Naresp of Qaher of ranises k •.. Cc*1' ................ ihklreas ....... ..... ... ... ...... plane No. ..7413 Donal Kolacki Hun in on Dr Name of ArdlitecC ..��h......................... Adelress Blue.-o?: ............... Phone N0363-6499. Ace ,B drs , Inc PO Box 426 lllolleNo Move of Contractor .. d ................ Aoklress ............ 281.,5500 Shirley, NY 11967 15. is Illis property within 300 feet of a HIM wetlatkl? * YES .......... NO ....X.X... *IF YI:S, S(X/Dm lum jimmEPS pRIwr NAY m Rr"jit en. PLOT 111'AGRAH locate clearly anal distinctly all Inildings, wletller existing or proposed, and ilxlicate all set-back dhoensions Fran property lines. Give street: itn(1 block nlnber or description acconling to (treed, and allow street seines aril indicate whether interior or corner lot. it .SIA'I1- (M' NW Y(&K, SS (XX)Nlq OR Suffolk ..... Anthony Alfano,.._.,.. ........ .. ............Imine duly swum, deposes atilt says that he is the applicant: (None of inilividual. signing cootra(10 alxrve nimied, Ik. to the :Cor orate Officer .. ... ......... .. ................ ..... ................... (Contractor, nitent;, corporate officer, etc..) ul' said cuter or (Imiers, 111x1 in dully .lulhnr iz(xl 1'4) Irl-4ono or hnvc piWIorlikid Ileo said work mxl to nrdui mill file Ihis appi,talion; (hilt til 1. 61-atolkents !olltaiix91 in Iltlei nppi i(alt'!on me true to (he Will. of his knowiedile mill Iml,ieN, alxl Thal the work will lie Ierfonlrxl in the im nter set forth in the application filed therewith. tkaorn to Ix-f a lie this .......7.. ....day of: 19XX .. wtar lLbii ...... . ....... .... JEANANNEDAWSON (Signature of Applicnnt Notw7 public, State of Now York No. 4866446 -St ffolk Coulity Comailssion Espite July 19, 18( ry� Ault � �9 Zj ghamMe /// T(}WN OF 50U i-jol-o /0 ' 6 001, mo4y�s,� 9Q10 / � O � a6FAl.s2oo w el 14 A. c - 4k���pP M / a a� 3 40 Q- C 57 6 O " Fso 9 s ti� hM �� 7�00 11 ., p y' N ASO iF2 y F. NOTES \ O I. ■ - MONUMENT FOUND STAKE SET ♦=STAKE FOUND 2.SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT.16, 1985 AS FILE NO. 7987. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR: *1 AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WALL ABIDE BY, THE CONDITIONS ANTONIO COLELLA & ANNA COLELLA SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT." LOT NO. 6 , "JAMES W. DAWSON ° APPLICANT'S SIGNATURE: APPLICANT: At: BAYVIEW Town of: SOUTHOLD .STREET ADDRESS: Suffolk County, New York CITY: STATE: ZIP CODE: TELEPHONE NUMBER: Suff. Co. Tax Map : , 1000 , 79 , 2 , 3.6 ` DbWct Ss tlm Block Lot CERTIFIED TO: Young' & Young, Land Surveyors ANTONIOCOLpLLA 400 Ostrander Avenue, Riverhead, New York 11901 FIRST AMERICAN TITLE INSURANCE COMPANY 516-727-2303 " MAY 20, 1997 Zz�/�y(y/o MAR, 26, 1997 JUNE 16, 1994 Alden W. Young, Professional 6nginneer & Land Surveyor �� DATE :MAY 9, 1994 Howard W. Young, Land Surveyor SCALE :1"— 50' Thonnas C. llolpert, Professional Engineer JOB NO. :94-0220 Kenneth F. A6ruxxo, Land Surveyor SHEET NO. :1 OF 1 O +�u� � O xa°°''a'a a pti o� e o '""° o "� o . " w'tea C°,"m21 m_�n,lc .3 ' "°. o l M!l . LO 0 young / V u 9 / i ew�w IETgiTmiIe i1Q� V/05•,/ 0 44,0-S•6 200 / 06 hl \ A. v' 0/ + 3 / a� 1 %T1 a��P ti �`� i $"'cti 1 . al 0� �tll SS / M MSO 2�l4 A4 910 4/ A o- G Ms9'Pvy h tiv4 OQ fl�I; 9 4 J — 0 "Y.�, ` ,y 7 6 O 96 0 9? (O $10, `S!° hM 0 n O SUr'I OLK COUNTY O A APPROVAL C�iY a:��ivq¢fi•rr.�er�`.A-_-/ea.Y.nV.;v Data .w'h/!y•�/.�. .� NOV 2 6 199 13.5.r Wf.ND.. /llvi/G NOTES \ I. = MONUMENT FOUND = STAKE FOUND The SeaaaSC disnoG31 �e;1 TvatCr^'P 'Y fac„1;tiss inspected and/ar cervi BCd 2.SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK \ be satisfactory FORA "9AXI%r;-'A �4 OF SUFFOLK COUNTY ON OCT.16, 1985 AS FILE NO. 7987. � SQ4y hon A,:�cS-9,P13.,.Ci.l.:? Office of Water and�Jex"WatDe iV,5=POm0nt SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR: 'I AM FAMILIAR PATH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY, THE CONDITIONS ANTONIO COLELLA 81 ANNA COLELLA SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.' LOT NO. E , II JAMES W. DAWSON ° APPLICANYS SIGNATURE: APPLICANT: At: BAYVIEW Town of: SOUTHWLa �:g STREET ADDRESS: Suffolk County, New York CITY: . STATE: ZIP CODE:TELEPHONE NUMBER: Stiff. Co. Tax Map : 1000 79 Di Wct SGIAIM BI GO CD Uw CERTIFIED TO: Z a� Land Surveyors AN OTS TON LEiy �& Young & Young, y AN ,�q'� 400 Ostrander Avenue, Riverhead, New York 11901 F . ,X R1 6w}n p INSURANCE COMPANY -- 516-727-2303tti �� �h? �?t C' - OCT 1 4, 1997 MAY 20, 1997 MAR. 26, 1997 JUNE 16, 1994 Alden W. Young, Professional Engineer d' Land Surveyor DATE :MAY 9, 1994 Howard W. Young, Land SurveyorSCALE :I"= 50 Thomas C. Wolperf, Professional Engineer < g398y y0 JOB NO. :94-0220 Kenneth F. Abruzzo, Land Surveyor $ "1 SHEET NO. :1 OF 1 OO FQ�n"'rte�' OO Y,MVTIOINm Kmunax M, Cglas a Ttl sO1NlY MM Mot erww petwm•IOSM NpRM IIIOM gMPMs1Y alp CaN1fIRATON MNtATD MOeG,I 11NL 11ON QAY m T[PGMW M MOM TaF 81NT[Y Te TON OF ML3(,fy iP11C ImTOM m as sIIR,tY m A w i as wtvin wID sm a m OO�M1N 61s11cTap ee FEIN A aP/O.IC a PNDMNm e0 a Ns e01Nf m M TT[a''MP�.MYIOOWMIINTN.KdOY/JOI u,NH4 p rNp(s �afsoas(Wl aqw w.'NM n,Jnr»n d M ° MMae®sM,suu No,e<c01sD01m ° nAArac.wo xe MO's W K uem mum. ° --xeTTmax unm xOrtox. n i0 T[__p_w.w��".a Tls 1lNwo MSRNnO1L lir nw rm ONG 2—", � °�•VEllrnlb - � f�'L ``cSSp � �•P f Z n NR m T. �R) Maung 6 s�$ o O s4�oo-B�ly�'�F .� n _�_ ti�Mo / �2•©j 4o F�z•o •��� �N c \y/ ry o6F ao 62o0 �. 640,w V 9" 0.S/& 3v , H P �•� • •+'r;�A a gra- � \ �M sa .yam 0 3/ sYSNr$sFo /• , O V � / V i grPo <Or{' ruuj9 -� G 70, ,i a r 0 /D CV V00 N 0061 C e SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES c e• ,� FOR APPROVAI OF CONSTRUCTION OF SINGLE FAMILY RESIDENCE ONLY NOTES: /� Z s • REr L ■ : MONUMENT FOUND 8= STAKE SET \ DATE �-9 I•< :'c�`I�. I 0 2.SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK \ e OF SUFFOLK COUNTY ON OCT.16, 1985 AS FILE NO. 7987. APPROVED 3.ELEVATIONS SHOWN HEREON WERE APPROXIMATED FROM TOPOGRAPHICAL MAPS PREPAREDY OT REFERENCED TO MEAN SEA LEVEL DATUM RS AND ARE EXPIRES THREE YEARS F .U ATF OF APPROVAL t SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR: "I AM FAMILIAR TH THE STANDARDS FOR APPROVAL ANDOF SUBSURFACE SEWAGE DISPOSAL�SYS MS FOR SINGLE FAMILY RESIDENCES ANDOINSLRUCTION ABIDE BY, THE CONDITIONS ANTONIO COLELLA 81 ANNA COLELLA SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT." LOT NO- 6 , 11 JAMES W. DAWSON 11 APPLICANT'S SIGNATURE: APPLICANT: At: BAYVIEW Town of: SOUTHOLD .STREET ADDRESS: Suffolk County, New York CITY: STATE: ZIP CODE: TELEPHONE NUMBER: Suff. CO. Tax Map : , 1000 1 79 2 , 3.6 Dbtrlat SM41M B100 Lot CERTIFIED Young & Young, Land Surveyors ANT0 Nly 400 Ostrander Avenue, RiverheacI4 New York 11901 FI ANCE COMPANY 516-727-2303 G�y O- MAR. 26, 1997 JUNE 16, 1994 Alden W. Young, Professional Engineer &• Land Surveyor DATE :MAY 9, 1994 Howard W. Young, Land Surveyor SCALE :1"— 50 Thomas C. Wolpert, Professional Engineer Ej} �j\ JOB N0. :94—0220 Kenneth F. Abruaxo, Laced Surveyor SHEET NO. :1 OF 1 WAn"O n AOpMI 6 nu elAar ro .. 0°11 wo eulM'�ya e WW OM M .. ATO aµ001allwN Onks Nil ra 4 ,. u.AR=iR t01 i TTf' oaYirK�ir O K,.10Giov 4NONo, n '"W'=QIF)sbYn „ _ �, „ -„ �,�w', .� . r, , , r v ua "n, am : o: 5, x emn . .. Ox 0. : '1"`,�,' 1 - t rt ., s. v ».r c r . 4'f ,. ,j Yr^ c .. - - I„ is m ,- :r ,.,� .. ., I ,- , r . ,: . , . - , + rw n y '1'r=r ,'*I'" ,,`!I ,�1 ', 'li rv, F'; + .f.,"c` 1 r f .. 1 ^L , , r ,.. ,r ,,.., .-", •9, r, x ., , , n s v i" a ,._ . 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