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24173-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25648 Date: 04/15/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4040 BAY SHORE RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 6 Lot 27.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1997 pursuant to which Building Permit No. 24173-Z dated JUNE 9, 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 DWELLLING WITH ATTACHED DECK, TWO CAR GARAGE UNDER AS APPLIED FOR & TO CONDITIONS OF CHAPTER 46 OF TOWN SOUTHOLD FLOOD DEVELOPMENT. The certificate is issued to IRENE RONDI BARKIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-97-0018 03/10/98 ELECTRICAL CERTIFICATE NO. N443748 01/22/98 PLUMBERS CERTIFICATION DATED 04/01/98 CUTCHOGUE EAST PLUMB. C 7i Inspector / / S,J Rev. 1/81 FORM NO. f 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° 24173 Z Date .....:' .. .............. ............................ 19 � Permission is hereby gro a to: ..Y111WAltn .. ........................ . .... . . .... �.......11 .. . ...../.r to ,C,�I?7r 'GZ . � ,......... ,�- � ... .. .... ........ .. . . .... . . . .. ............ . . .... . ...... C... ..1 (..j ..... �. . .. ,: ............. at premises located at.......7. ..?.. ....... . r/.. .,..F.. .... ....... XPi ..... County Tax Map No. 1000 Section .....:9.5-A...... Block .......0.......... Lot No. . 7Q..1....... pursuant to application dated ............... and approved by the Building Inspector. a' 5 Vn /�jaBaf ......... . . . ....n..g...O ......... ui iI or Rev. 6/30/80 l5 ,���i corm no. o LO 'MAR �'� TOWN OF i BUxLDING DEPARTMENT TOWN HALL 5 -7 765-1802 /D e (s 11 Vy T I �f I.......tea:.�....�....�........ .. .�m.z....v..�. / APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, V streets, and unusual natural or topographic features. 1 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 Buildina - $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 $15.00 / .. Date .2090 • . . . . . . . . . . . . .. . . . . . . . . . . . . . .New Construction. : // 0 Or Pre ,-existi�DJ$� Building. . . (/, o• • • • • • n _ / �/ Location of Property. .TQ !/! • •i a • a• • • • • • • •:•<� f f1�1�7Z}IV.JV • .�/•� f House No. Street Had�let Onwer' or Owners pf Propertyk_.�4 ./Z .. . . . . . . .. . . . . . . . . . ... . . . . . . . .. . . . . . . . . re a•7 County Tax Map No 1000, Section. . .'-1. .�• • • • • Block.d • • • • • • • • • • •Lot. . . . . . . . . . . . . . . Subdi'`vision.. . . . . . .. .. . . . . . . . .. . . . .. . . . . iled Map. . . . . . . y.�Lot. . . . . . Permit No. �?.7,J'. ••Date Of Permit. .�1..• • • • •Applicant-rXC .C. .2cJ/�l ri Health Dept. Approval. . . .�.GUnderwriters Approval. . . .. . . Planning Board Approval.. . . . QT . •. . . . .. .• • • • • • \. • Request for: Temporary Final Certicate. . : --Certificate. . . . . . . . . .. • • • Fee Submitted: $. . .1: 4 .K). .. . . . . . . .. .. . . . .. L PAP LICANT Co � sG �15 zinnia & sounma WWW BOARD Cr glmembW10* 1965 A zaegulas aetIM of the Southold Town 3owd of APPOSIS ansa hold as Wedues4mr, Savemuber y�1�0.,, 1965* at 700 V.i'-. , at the, '3OOM i3fflae. males Rood. southold. saw Work. ,w��+y� isce ,mme tl py��..a��q,,Robert O�.yuiuliapie. Jr. , p,., � . seise r jr, VUML;LC o fAMRMs Appeta1 no. 012 — 7230 JUL ✓(N.S.TO s, VPM appllce um of mer QRSOPPOWto sw Yaw# 0/0 a. i,Qaml F&W1 ►, 330 IPIM Aareatia. ftw Yantis, New ywko fOW 4 vex'lmece in accardwao with the ZMU19 t3sd&U&ncO. ACt3aale AU* octUm 303, AiUCU X* Sect Um IOWA# ter Pe SUM to dlwldtt yropaoty. Loot uft at ty% weat sideBoydboxe yg..y�. Lots kilt. 140s IAS, UO* 404 MWth li of 131 lb H ulc Say 86"t"O Wit, now Yak* Pee vet34 s5*00 The C4ealvlan OVeMd the Gln PY Xs&diW the aWlftatUm fou a ves'lamo. lagiel not "e of hea6Ztt1 o OffldWit &tCts ttl" to . its VWllcation in the *991C1a1 nmtMPAW, old ttm tUM tri the a�llcaut. Southold Town Doord Of ,'A,E)>e"a -5- Nove m)mr 10, 1965 TIM QiA a Is tide" ani t who wishes to spoM in favor of this appllcatlM 7 Mr. gootgo Wetm ve appeared before the Board to speak in favor of the applUatioan. So preoftted to the Board a filed MAP sheew#ng the peroperty in rEu"ticn. TM CUhMmul Zee there a house on the lot to the west of this 7 MR. t 3 tike. im s A statement to me he" in the application that the reeaeainUm3 IOU ares all 50 foot lots. Is this a filed map. QMMW s Y", 1 bellow it: was filed its 1334. (It was determined that the filed map in gmat"n waa not made a peed of the .owing OrdluaasacG ) TM CMAIRNWS Is it tree tZat therm are hour on 50 toot IOU its this area? GBORM XMs=« gree. test of the ammmtront Zetas ark 50 foot lots. no s Zo most of those lore have ?souses on t,tmm7 FM MUMs Yen* s Vere are about tai lot$ withaaat houses on therm. Un CHR2RMMz What does Mr. Flo plan to do with the property after it is d1vided? s 2 think he plane to buU4 an am parcel and sell the other. UA CHRIRMMs Axe there any further questions? Gtopm : I would like to say thing t don't thiak there is a lot dawn there that is 175 mat in width that b" been sold. 'fes Cie tee ttheere m oma Present who Wishme to speak against this 4pp1Jb'ft1 m 7 MA" was no raaponse') Southold Towne Board of Appeeala -3- November 131 1%5 R ,'After investigation and inspection the Board finds that the applicant wishes to divide property thus greeting two iota to be 87'j fit by 125 feet each. The Hoard finds that other lots la this laamsdlate area are all 50 toot lots. The Board fin .i that most of the 50 foot lots have houses built on them. 2hU division of arty as proposed by the applicant, will In no way harm the character of tha-,41strict, it will in fact, enhance the chaxactsr of tis district by creating two later which are lawyer than the other lots In this immediate arra. fto an-A finds that strict application of the Ordinance will produce practical difficulties or unnecessary hardships the hardship created IS unique and would not be shared by all propertiee alike In this immediate vicinity of this property and in the saws use distrlcti and the variance does obsexvs the spirit of the Ordinance and will not ahangBe the character of thus°:dlstrict. On motion by air. Rinse* seconded by Mr. Bergen, it was RESOLVED that George Wetmore, 4reeoport. Now York. a/c B. Lionel Pavlo. 530 firth Avenue, Now York, New York, be granted permission to divide property and thus create two lots to be 87�% feet by 125 toot each. LocatUm of propertyz west aids 8ayshare Road, Lots No. 148, 149. 150 and north 3s of 151 in Peconlc Hay Mates, Oremport, Now York, This variance is granted subject to than following conditions 1. That no future variance or variances will be granted for the xeduction of aids yards, rear yards or front yards setback on either of the two lots created. Vote of the 8oardi Ayesa- Mr. Glilisple, Mr. eeiVen, Nx. suise. Mr. Grigonis. ♦ w >t PIMIC in MIN# Appeal No. 813 - 7.45 P.M. (B.9.T. ), Vpon application of Jerry Shulman and Wife. Belle Terre Road. Port Jefferson, Now York, for a verince In accordance with the ton1ng Ordinance, Article 1'V, Section 420, (9). Article X, soction 1087 (a)• for permission to erect an addition to a non-contkosming building. Location of proportys south side Sound Avenue, Nattituck, How York, bounded aortia by Sound Avenue, scat and south by Long Island Railroad, vast by Jefferson Star", Fee paid '03,000 'rEL. 765-1802 TOWN �, OI' S J U1'1301,1) o /:"A `ir ice{ 0 Fr1CC or 11U[Ll)IPIC INSPECTOR P.(), 130X 1179 TOWN 11,1LL �l r b0 SOU-1.1101-1), N.Y. 11971 C C R T I P I C AT I_0 N Building Permit No, 7U1 _ � ' Owner*----���'�' • 1please Plumber ' (please print) �Q'GK �iSY+'10t1�� l' i 1 cQrtify thnt the contains sc+lder useQ in the water than 2/10 of lead. supply system + less 1R ` A plumbers signature) Sworn to befor,2 me, this --__L___d a y Of 19 W tlotary PublicN t iY Pub "c County KATRINA GOREE CUNNINGHAM Notary Public, State of New York No. 4801172, Sl(folk Countv Term Expiros January 27, 1,0a7) J i r. a r/ f New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0373 John P. Cchili Acting Commissioner January 15, 1997 Mrs. Irene Barkin 5 Farmstead Rd Commack, NY 11725 RE: 1-4738-0155/00001 Barkin Property 4040 Bay Shore Rd. Greenport I SCtTM #1000-53-6-27. 1 Dear Mrs. Barkin: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: the property landward of the substantial man-made structure greater than 100 ft. in length (Bay Shore Rd . & Island View La. ) constructed prior to September 20, 1977 as 'shown on Tidal Wetlands Map #720-550 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 .^equired 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 20r 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-��your r9,N� 4 Permit Administrator 9MR cc: G. Pesner, Freuderitthal & Elkowitz Consulting Group BMHP 'File i o�OgUFfO(�-BOG Albert J. Krupski,President �� y Town Hall John Holzapfel. Vice President 0 1 53095 Main Road Jim King„ nz, P.O. Box 1179 Martin H. Garrell �y ® ��� Southold„NewrYork 11971 Peter Wenczel ��( �a Telephone (516) 765-1892 Fax (516) 7015-1823 k , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,January 29-, 1997 Irene Barkin Leonard A. Barkin, ,Inc. Advertising Specialties 6 Farmstead Road Commack, NY 11725 RE: SCTM #53-6-27.1 Dear Mrs. Barkin: The above referenced property `was inspected for construction of a single family dwelling, etc. and was found to be out of the Trustee jurisdiction. 4 This determination is of. the Board of Trustees only. If you have any further questions, please do not hesitate to contact this office. Sincerely, Albert tupski, Jr. President, Board of Trustees AJK:jmd cc: J.M.O. Consulting JUDITH T. TERRY r Town Hall, 53095 Main Road TOWN CLERK a ° r-n P.O. Box 1179 sty Southold, New York 11971 REGISTRAR OF VITAL STATISTICS a✓�ti. - .�.. Fax (516) 765-1823 MARRIAGE OFFICER a ® �® Telephone (516) 765-1801 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)] . r��Lei O i> i_..._..'....., .._.....-^ OL:aii. L�eaa'9'. TOWN OF SOUTIi01-17 �Judith T. Terry � 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 Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO T E BEST OF Y KNO EDGE, TRUE AND ACCURATE. .- C (APPLICANT'S SIGNATURE) DATE SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLICANT) 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 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) D Addition ❑ Residential (More than 4 Family) ❑Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factared Home Park? ❑ Yes) ESTIMATED COST OF PROJECT $ B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ 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: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is 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 p i , APPLICATION # PAGE 3 OF 4 SECTION 4:ADDITIONAL INFORMATION REQUIRED (To be completed 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 floodproofmg 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). ❑ Floodproofing 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. ❑ Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. ❑ Is B. ❑ 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 hearing from the Board of Appeals. APPLICATION # _ PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ 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? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area f, McDUNAI.D Box 1060 • Southold,New York 11071 TEST HOLE DATA SHEET Name: Harkin Surveyor: Mav Location: .Greenport Tax Map Number: 1000-53-627.1 Project Description: ' Lot Date: 3/4/97 Brown clayey loam OL Brown loamy clayey sand SC 21 Broom clayey sand SC ---------- 4' -TWL Water in brown fine to coarse sand with 10% gravel SW 10' Comments: t I h t� 23 M-1802 BUILDING DEPT. 114SPECTIONf [ ] FOUNDATION IST [ ] R H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE _INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ✓]"/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ DATE 0 �� �q � INSPECTOR 2 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 014 -V DATE �� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE d� �� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHzPLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY / REMARKS: Y/ ,C�X, /j 4 J DATE_ J > a___INSPECTOR r BUILDING DEPT. INSPECTION I FOUNDATION IST Ar-ROUGH PLBG. FOUNDATION 2ND INSULATION FRAMING FINAL .0 DATE , INSPECTOR ,y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001105 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 " Date JANUARY 22,1998 Application No. on file 14805997/97 N 443748 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of IRENE BARKIN, BAY SHORE ROAD, GREENPORT, NY in the following location; ® Basement ® 1st Fl. ❑ 2nd Fl. GAR/ATTIC/OUT Section Block Lot 53 was examined on JANUARY 16,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT H.P. 36 32 38 36 1 1 1 1 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTLI TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMER$ SYSTEAMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. I WATTS 2 F 2 - - 2 - 4 600 SERVICE DISCONNECT NO.OE S E R --V - I C � E - - METER NO.Of CC GOND. A.W.G A.W.G. A W G AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 Of CO.COND. NO.OF HI-LEG OF HI-LEG NO.Of NEUFRAL$ OF NEUTRAL 1 200 CB 1 X ]. 2/0 1 2/0 OTHER APPARATUS: PADDLE FANS-3 MOTORS:3-F H.P. G.F.C.I:-7 SMOKE DETECTOR:-4 WILDWOOD ELECTRIC LSC.#1563- Lbw. . L 2., 4th STREET P.O.BOX 808 GENERAL MANAGER WADING RIVER, NY, 11792 11 Epee This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE, MUST NOT BE ALTERED IN ANY MANNER. F`03/10/199'R 02: 35 Oil!x:-22'i-54LF� PLCONc ENE G'v S'r5 Fr<CiE E1 at R- w�s It i1irhirtS, q j fY n813Wd8f, j'�� �. MOn c lrinlatih y �) ��i �riigati u.i y pe, Cs a ttP hnrsl rng Of ':F Mot, � r only tt�!❑RiY9t¢7 n) ;iadrl4 AKM 'r anti t�t)s�.�°s eY� tit 3r�+3kr tre"�''.k?�f tri i� mane nal poly � 1 t I �it7rnawil �� -•� ar nii x i =�) Fa4c:�ls�r . 6Cd ii -a t1+34a 3Y.C,ni rorty tie 1r ifl amu T 1 l t 7 a to l.e IJiod, lj t 1 1 •� _ bil. p <7iUt'x'�v� !r fret ef#P �la 1i k. 7 'i,VAs, r � Crum { �t3 { t )YA 'ir itd ride` vent l ,.• -1 _... A4itY.f9 i+3544e:XYi{Xugr f t (t3r) "tooth)", A.,cew pd>'t9 '�i � 11 � lop.7tr= � >• E t�tN,. n•aelr.acar 1>e rr,n e)a�d,.vl+h, b .� i �x#„nrrs ; framing w .Yt mop. 'ta,i wi flow hole .. Ln+.,hrl:fl m•Por zl l `lI X , { hi V4' L1 � J is2 t Ft9e-� t.w> Si 1 iF ^,dr t� e'+A3x. You ou"''t ! e 379 y 'iia. Vew gJr1,9 [;rrrilt'Al G'[S�'It 3Yi.9tfi16ti1Yt^t' nl;tgit iWor COMM tutmin5tion w,ing7Ae r A � FE t7ll r➢�43e'.ft[Ft�t iae ::i , -:,ytatlsit r�ry. gVt7rtd}t the b1") K�t .I &n;tin p < ied 41ttthd3 t1t[3C`t1 tA7ry dryit rCrt ��Itltr Uir)!WaLir 1 Figure "', annumhs Ih ry ` xa t only Such AL, rir3 YtCJt'@tq U1 ✓ :rinett+lttp- d tlUtt°t "a Figure l IItek kSo Mar lt3tica Y+rNO Figu e w flus r�'�fS" R" Y .3 r i ,i i "ever ho novered with tinrsjun tt �, I � ��div lar !Jour>rstfln(614 1; I tau..,. rapt i LiP$ri.E4 t s-or i 11132) li ,f Man yol Nota: emr4fW6 on 00*'wi'lt rrikr'1Y r'. � t+�Ha^bNlit. � Make cv;ai1 it tot!ll i'+o ply wifl,, ffif4 •f never he Coo st'SbC140 this ryfa '� .i'/o`k'ux. � � ,. S€ tn�ri i i r_ to create a ;ir8tflb��Y'�1R.� , r riApl�anYal to mJ1144o l Wnij ydp �YgUCL 2 +✓t-�.-(2n„2D rF3Y3471rJ; t ,.i?C dc: YC347r . Y � t�r:ri iti x+''t ,z( rt r ! d1 1 4✓h tr[n _. R ri The N0V(4`j vr1V S +,,iffii tit f t drn ,Ir ar i v u r r �W1tvNtr rr f r e c 1 F ,II 1 �< nugh trusted pp if t3 wou has r i 14 td/ et f} i 7{j- }t r-5 t 7 of, nc >~sX t d l+F�t)tti 4/tr o , - r' .34i,/ . Tho tri PUtlttSj vi_ ;4 r. i llxal 73+.gf�j t I�� I� �r 4C £] :{S ri€fi : 53r ;-M c torr whom a . 7 fi 3 it �i I r t . : r. on the 5171, Ut fll (Itr.i f,,1 r, r_Si.1Ey , t t � � � i � � 1+'/ � i Ito nu➢ ru � 3 fFe3 - = D i3 Lt f -ir rE lr �I il Ii 1 .f 4 n1 i3Qiltl 1t ( $2 t fl,:o: fl Flyui`F 4, f I r wed I j these dliven low 0prowent ( :' li iJ• (�1�r ,1inC 'AW t tJ13h'93tl ,rrt hod a+mol flirt ecu hurl l� 'ipt InG(34.1flf"o k the d16tAnck) frt'1riS r(Ud Lei ,�'rtttr,{ f ' --WIT.� -jl rvhrlh>w )tal 13a ti k{ n it rr e'' ` - sOnnelyeterchx[.k 010 v ivrile)t! .tttF IXt ,O7 ' ' �rII ql�alt3hJcrt e -3( i (r4r {n te (L7rv M.sideration th} � ts1on of till tot'tt kolion', 25 ear 1€nr t3v�ry � �r _.� The top ht :Cit r may totj+ h thC) { t,j _ h€.>rtzr;ettr�i ti t st£131doHn hitt the dirYt6tr1S![liY h�'�.i r � � '" REeuiSfr4lff VYo- to ^r4r -v3r � M Ori shown hor.; ::rN iyvs, if i„ tib i irk ` riqur3D d C r h ((( M tal r,itis]. o "coca"vary3, ty i. tion the tirepla ciu It, to>lik�tY3� Is RSU ,�YJ"°y@r{as }3 `'SfrG�S d6" oil � r �� c a `; constructed prwi tt.t Nrrl ' 40e, Rec�'lssr flay uve r_�' i 'i�' nlFfilt. �,� -,, -7^,-.. r•: �........ __ �.,., .� A �ttL1Ci cFt e�.t�rl il.•fttiil ;�©° v'tLr+�LV� , FortteSt ipsutsy', deL n6t tton3tr6r{'t 'j}',antPal�may tae pKed a riltri a mm of ""W E'er^ ri"1axiF ;Jain tis nzotltat d 7 the iianting uhttt they tx�tkls fit plac �� trtarrt the bt ,� uC the Lit-M. d You t��in inFaCtti! tt uVlrttla�+ a ttllffint{.b�tl tc Additionot ^,Miro pipe G�i3 k`itlh C s�� r> trro t Sl,, 691/4" rrtltri y 4 TbC On mefded to the TOM Y qp uroX-en rgaa�gr�3 c: ,c y:Ytr333ratrtc7 � , t s W c above the 67E7lihf,;C,rr the fitd tr Red 65,')111 r,rityt'inirvR .0 LMVr;t3t11a( telace Et�ei car: ai ,p inhtaft a zaxt,twtYte I4�EaettPa tt�Is varlt Dari rY- t�ClYt i$ t��Ff° eCt a'>C1ur §4'1 rl 13 i3 �'r$t3 fr e�i�; `6q racessKopered a3tw or 4i't�r training ert >3ri Mirrirr9crT r-,t_ vers[alwed sc;ttlt - d f, � tnoperahlr wutl�r�ev £tl a;lirlin�tiarrt,tat r,strut 4 _"' zruni the tzea„ i�P titF3 .•' A , . � �f'tlt.ak7 dirRei MID1l0 MnM n only hO a"1101311a"110131165 itLh€twiY.ln 10Ufrv.titilalud so fit ' . ,`,�aPten'�c4shfg at l h3?!ow:rPasdrena,r,i;r3ti{kli, whcart us>Irrg ..€ t 8.'. A. K-4 J r �• BOARD OF HEALTH . . . . . . . . . . . . . . . _.,F{•., ._ ,..q.�_ FORM NO, 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF DING IOLD SURVEY TMENT . . . . . . . . . . . . . . . . . . . . . . . . BUILDEPARTMENT CHECK Mg3 ��� t SOUTTOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . HOLD, N.Y. 11971 TEL: 765-1802 NOTIFY:CALL /yy „ :•.: e yy�' 7, .. Examined.... .. ....�:.,., 19/,/�„� �(!y/�� MAIL TO . . . . . . . . . . . . . . . . . Approved. .. ......�.., 19%.. Permit No, ..l........ .................................... Disapprov /c ............................ .... .................................... ......................................... .... ....... .... ......... ........ . ... (Building Inspector) A P ICATION FOR BUILDING PERMIT q Date, . . . . . . . . . . 19./, ./, 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 mist be drawn on the diagram which is part of this application. c. 'Hue work covered try 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 througtuout 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 ILWHY MANE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and Co admit authorized inspectors on promises and in lxui] ung for tueces ry inspections. ...... .. . ...................... (Signature o.. ipplic�naue, if a corporation) r^ (Mailing address of applicant) �J 7oFt State wbether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluduer or builder. ..........,P.WW!Er'e ............................................................:.................................... dame of owner of premises . ��..,. �!v D.� � R.K��l................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Pbmbers License No. ......................... A Electricians License No. ..................... Other Trade's License No. .................... I. Iocation of land on which proposed work will be done............................ f?��4A......... (� !P.Q. ............fA su�MvNaq�s ............. House Number Street hamlet County Tax Map No. 1000 Section ...0.......... Block ....0 ..., r�.7:flet ./. �..� ��(��C�h l Sulxlivision ...................................... Filed Map No. ............... bot ............... (Name) 2. State existing use and occupancy of premises )) and intended use and occupancy of proposed construction: a. Existing use and occupancy .... !:7Y.n.�..y:t^'YY.. ............................................... b. Intended use and occupancy a.��.�, t f0 N�, ,,, Attar w:3i4i to Wros „ fikm Ylato B pwr'J A101W2 ni trainlsuli @ii0�St"8:k?i'p.oVi s . e.- . 1. RHOI : ole I,cnk (elxxao w(lieh alt[tlif;able): Ikew Ik)ild[nl( .......... Acklition .......... AlLet ill.lon .. ...... .. Itelnlir ............ Removal i....... beolr)lItIoil ............ Other Wo)k ........................... ....... tR.. I Bat incited 0list' .y -A . ....... fee ........................... (to Ix) [Wild on fi1 [ng this application) >. I f d IS R. l)f diimll lyl S (dila .... ........ Wlnber of dwel1fill; uoi(it oil each flan ... ..... ........ If ch raml le, Ixnber ofca s ... ..??.............................. G. If lnlah"s, amlercial or nixed pc(mlm icy, specify tall-tire and extent of each type of line...................... 7. Diltensions of existing stnx;t.11relt, if ally: Front................. (tear ............... I)ept11 ................. Ikigilt ......................... j Mniter of .Stories ...................... Dinenaiona of sore atnxaure Willi alterations or additions: front ............... Rear ............... t .. Ilei �1C1, .................... Riaber of SC/ories .. .. S. Miensiots of entire new, const-mcLion: L� ............... Depth .............. IIQi1JLL ......................... f1�nber of Stories ..................... 490 _ �✓ 9. SI•[.e of lot: Cr � ,....... Rear Y �............ Depth —. Qlv '.... . „S IQ. Ik)IC Of 1jlrf,I1Fl /_^/( ../... 11.Te of ronller (knler��'Vl:...{'�;1:/�'4�'./¢!�?al�.l..�.... II. 7[x a or use district in whldl premises are SituatedY............................................................ 12. Ikea proposed construction violate any zoning law, ordinance or regulation: .; 0 .................. 13. Will lot be regraded .. l .. I........ Will excess fill be reamed from premises: �YIS L 14. Nees of Ow ler of pr(lniaea,Z.�l...1x14....J !-rr�/�A(klreas l iY 1�Tr��D ..... I9xxne Nu.71..!�27 !/Z�V� ...... p ,,1/ O Nine of Architect .�1�!:!`�.... ...'P-•� .......... Address 1..�,zi1/.[�, /,/,��rf.!/lY.. pinna Nojgk6 ��,'?./.... Nate of Contractor ................................... Address ...............................Ifione tlo. .............. 1'). In (Ilia property within 300 feet !of a tidal wettialxl? * YES .......... 11) .......... *IF YES, SG1111HX) IMN 'IM)sIrms pEl441.1' MAY I% RE(llllim). I PLOT DIAGRAM lmol—e clearly six] distinctly all, lxl(ldings, wlletlier existing or proix)sed, and indicate all set-back dhlensions front pLoperry lines. Give street ant Illock mnber or descriptio) according to deed, and allow street'ntrres and inlical'e whether i,aterlor or corner lot.' i1 1 I r\ i gq ,`i I'AIE OF wm Y(AM, ss SU est ..... ✓ /�f/ .1c�'t.`�•...............Ixeing duly sw<xn, deiaaeS alxl says that he is the sI)T)IAant(' (Nrrle of individual at tin, contract.) illxrve TUNI"I, Ik, is Ole .......................... ............................................ (tbnCractor( age a:, orimate officer, etc.) Of said umier or otoxern, old is autlnorized'to perform or have perforated (Ile said work six[ to ncnke ant file this application; that. all ntateients conitailied in Illis npplicalion the Lrle Lo the Ileac of: Ilia klxmIedge slid Ixilief-' mx1 that the work will be. perforated in lhe'inramer set forth in the application filed Oterewith. fkx)rn to Ixefore ne Ihia pp . ......�5 '.....day of . . . ....I' ....I ..1. ... Notary Public ..... ........ . ... .. ....... .... ../�o ........ ROSE111. OTT JR (Signature of Applicant) Notary PI S Ma�ItWy Qualiflad in ulfolk Cpii fo - Twin yat N�o.rea May 31, May 31. eb-RA4YI'FOR APPROVAL 0 Va COR LIMON FOR A a NGLE FAMILY RESIDENCE ONLY DATE APR 2 Z xs APPROVED FOR OF 3 vtmvlmr#uq EXPIRES TI]M YEARS FROM DAT E W APPROVAL i N,737 C 17,2 i 111 11 1.4 ��nyr�„1•e...n��nn� rn A'K�Nr !'��.T.n�-;.n�-U�� ^.� 'n�,Mi+^� �' �.1'r• I i '.N'�' 1� �V. T �� tv {� .. �/ ♦I� n .nr-�.+fr-�nfn.�"' �.' rflLLi !`a►IfdLL 'T\ � i � 1 ��HK- ��� �" 'rte'!• ,. - � ,:; WIj tow ♦. I �i '? ! l ♦ ' I sof 04-l�. �R 9, lAQ I I l r , T jg�� kD i?9 / �T\ �` i �' ( -�3-fes- 2-7. 1r,4 rjWfLt rA. 5 1-AHP µ1-V 1-'(o t< , ; ; �' t 3 s 4✓vs w off AA-H- 2-7, 1 OM ' i t ioflc: s A f�►4W S► f TO 3 ► :`.. :'...,.. �j `♦� ►6�wv�"'�,, 1 -'(� 'tot-1� Irt�M�� r— F EXCAVATION INSPECTION fdECUiRED FOR SANITARY SYSTIN EM t4 BY HEALTH OEPARTNENT. ` ems' R � T *1.••T +T� 1 �, 1 M`" F xGn•_,.SS[ Le'�p�• P G`� Z MI's rp. 6i'W W.� , ( ie*1t>i� 4�D 61.6 _w / /011 r +•� „rr•� 1 1 '��f1 "' E' s'c;` , rs `� Fe ARCHITECNOLOGIES -13405 MAIN ROAD,P.O.BOX 93 - MAT MCK,NY 11952 i TH15 5URVEY WA5 PREPARED IN MMMC477ON5 INDICATED HEREON UNAUTHORIZED ALTERATION OR ! CORM5 OF 7H15 5URVEY MAP NOT THE 6V5TENCE OF RIGHT OF WAY5 ACCORDANCE WITH THE EAZ5771VG 5HALL RUN ONLY 70 THE PERSON ADDITION TO THI5 SURVEY 15 A- BEARING THE LAND 5U)MYORS AND/OR E45EMENM, IF ANY, NOT CODE OF PRACTICE:FOR LAND FOR WHOM THE 5URvEY WA5 PREPARED, WOLA7701V OF 5EC770N 7209 INKED 5FAL OR EMB055ED SEAL SHOWN ARE NOT CER7TFIED. 5URV9Y5 AD0P7W BY 77-19 NEW AND ON HIS/HER BEHALF TO THE 5UBDM510N 2 OF THE NEW YORK 5HALL NOT BE CON51DER90 TO BE YORK 57ATE A550CIAWN OF TITLE COMPANY, GOVERNMENTAL 57ATE EDUCATION LAW. A VALID 7RU9 COPY. PROFE55I0NAL LAND 5URWYOR5. A(7ENCY, AND LENDING IN577TU770H LISTED HEREON. C907P1CA7701V5 ARE NOT TRANSFERRABLE 70 AD017701VAL I1V5777-U770N5 OR 9)(i6t. Res. P.W Mon.Fd} 509591QUENT OWN,-R5. Iyon. d. Lot-No.1¢7 f T{ 7.6 Il h 7.4 I I Q ! n I 7.4 \N 73 ° 00' 40" E 125.00 N --- -- ----- Y Sided on•f • 7.6 Edge of Lawn 1'3 5outh �7on. Garage I I 7.5 7.2 �iO Remains of ~ _ o Chain Link j along line 1 1 _ rt Lot No.146 m a 0 ti CONC. TOP c"L 35.1 15.95 49.4 I I 3 3 Mon.Fd. t Proposed Gar. F/oor fir' i� O El=8.10 (0 Lowest I y Point on 5136 fig• P/O Lot N0.149 (� fi I ty 1 h F . Pie Fd. I� I u S 73 ° 00' 40" W 125.00 6� V) I I N �I 5u)?v9Y Of I "•�° ' Pipe Fd. � I I � �" Certified To: P/O Lot No. 149 I �� Irene Bdrkin Ser✓ LOT NO. 14e & P/O LOT NO. 14 9 t/dcdnt h1on.Fd. I� #TS-99620 AMENDED MAP OF PECONIC BAY E5TATE5 NEW Filed: Md y 19, 1933 NJdp No. 1124 ~ y�"�t�F m q q 0 HYd©Copyright 1996 Sy: & 12EW5ED MAP OF PECONIC SAY 95 TA T95 rs -� * 0�� . �'�= * `INIA V,QIKAKIS Filed.- July 30, 1928 Md p No. 55B Gq/y� t1WD SURVEY02 Sif ud f e At A.25HAMONQUE �E1y �, 3 0� HAUPPAUC74, N. Y. TOWN OF 50UTHOLD SUFFOLK COUNTY, N. Y ��� �Fys"� 04g32 /V Y5. LIC. NO. 49323 aKo one: (516) 360-3740 = Fee Fax: (51.6) 360-39,91 Preodred: Nov. 29,29, 1995 U. C. Area 10, 937.5 Loc. Aug-5, 1997 R t ORDER W. 96-35uc 5cd/e 1" = 20' 5.C.T.M. Dist. 1000 Sec. 53 31k. 06 Lot 27.1 or 0.25 Acres N Drive b exfst o p Res. CLeiRED F16LO 5hed q I 125'v O . exi Drive Res. gist. f N Res. ry FF-- Shed k Dn✓c — a9 I ri✓ Garage 4 h -- 873°00'40'9 125.00 Dri✓e —— Garage ,—r * . O I e I •o exist• � :. •. ^ I uVi� I � Res. � /,/�x,,Q, /rr, r •. � — l✓•CJt!• ... •'•'•:•; w I �I Dri✓e Gar. I m exist. I I A o : o 573°00'40'W 125.00 �d I v 11 Approximate Location�� of Water Main o exist. "R _ Res. exist VAG4Nr W Drive Gar. Res. C Res — L Ative Gdr I � Res J I \ I Gar. ' Res. Ori✓e Drive — Qiz Xr ' 4 V f.AfJU Copyright 1997 Or: AWeXAG5 LAND 6UR&YOR 150' AREA MAP HAUPPA074 N. Y. N.Y.S. UC. NO, 49329 1r9: Scd/e: 1" = 50' Phone:(516) 360-3740 surrounding residences Fax.' (516) 360-3961 150' of subjectORP9R NO. 96-.955P2 have Public Water, SHEET NO. 2 of 2 ,) cant. I TH15 5URVEY WA5 PREPARED IN CERTIF`C4770N5 1111DICA7ED HEREON UNAUTHORIZED AL7ERA7701V OR COPIE5 OF TH15 5URVEY MAP NOT THE fX15TENCE OF 21GHT OF WAY5 ACCORDANCE WITH THE EXI577NG 5HALL RUN ONLY TO THE PERSON ADDI7ZON TO TH15 5URWY 15 A BEARING THE LAND 5UeVEY005 CODE OF PRACTICE FOR LAND FOR WHOM THE 5URVEY WA5 PREPARED, I?OL4770N OF 5Ec77ON 7209 INAND/OR EASEMENTS, IF ANY, NOT KED 5EAL OR EMB055ED 564E +-" SURVEYS iDOPTED BY THE NEW AND ON H15/HER BEHALF TO THE 5UBDM51ON 2 OF THE NEW YORK 5HAIL NOT BE CON509RED TO BE 5HOWN ARE NOT CER77FIED. YORK 5TWE A550C/A77ON OF TITLE COMPANY. GOVERNMENTAL 57A7E 5DUC47708 LAW A VALID TRUE COPY. rPR0Ft55101%AL LAND 5UR✓EYOR5. AGENCY, AND LENDING 18577TU77ON f�— -1 O Q L15TED HEREON. CER77f7CA77ON5 (� 7— ARE NOT TR.AN5FERRABLe TO ADDITIONAL 11V577TU770N5 OR , Exist. Res. Mon.Fd. SUBSEQUENT OWNERS. 1/70n.fd. Lot No.147 74 R N 73 ° 00' 40" F 125.00 Vny/ 7.4� 7.2 5201 d a9 on.f . G�ea{tw=7 4 Tmber Ref. Wal/ w= -46 cPd. Mon.Fd. I Q 7.2 � � 1O� Remains of 1' Leaching O Chain Link PO°H Fence along line — /� 1 sggz � J O Io oI Z y O l Sty tcl I H h 25fy 6i o a fw=9.83 2 Residence .� Lot No.140 I � FF 35.1 I7c ,k6 �QQ�G �i 49.4 tw=9.B SUFFOLK COUNTY ARTNENT OF FBALTH:;ERX4CEs — 3 Mon.Fd. tw=10.79 Gdr. Floor AF� �� CO1tiSTR9JCTEFtVV€3sFL: cC.a 6.� �� Z=8.10 �N E FAMILY PF sI?}E7 R a Q pC)/sT Date TH.S.Rd.No. �` `� `6'e \ P/O Lot PVo.149 iO T di 1 and water s3ppiy facili e at 4hi:,oeL'sa:`: ^ 1 er• \ fig• / The sewage sgosa W5 inspected and/or certified by osis DeparLn ore er aoen tics ins:Send u. �\ Stone Drive —————— —� be satisfactory FOR , .!s}Ij<tJM OF CL Efi3R00Ms. —— �— 12 I o o \ h ;Sto' hen A.Cora,F.E.,Chief Stone OF%✓e o (a� Q Office of Water and Wastewater Management Z �: \1115.4 ---- — I� W J 5 700 00' 40" W 125.00 6� N b� w I I o 5Uk'VL Y OF Pipe Fd. � Cert%f%ed To: P/O 6t No. I Irene �erki LOT NO. 149 & P/O LOT NO. 149 #T5— 5ery 9620 AMENDED MAP OF PECONIC SAY ESTATES vacant Mon.Fd �PIvE OF Ne Filed: Mdr 19, 1933 Mdp NO. 1124 � 5 �� �- MqL, ,y� Hyd ©Copyrlght 1996 8 & REV15ED MAP OF PECO.NFC BAY E5TATES a, N' ,�J. r FI/ed. Ju/y 30, 1928 MdpNO. 65B jSGgN� AD UR AD I`5 Sifudfe At ARSHAMONAQUE ��� /FLS 4" 04932' ,oma HAUPPAUCI9, N. Y. TOWN OF 5OUTHOLD 5UFFOLK Y, N.COUNTY �NE �° No JR�� N.Y.S. (16)J60 3740 Afed = 10937.5 Sq. Feet Reie.: March 4, 1998 (Add W5) Fax: (516) 360-3981 Prepdf ed.- Nov. 29, 1996 U.C. Loc. Aug.5, 1997 or 025 Acres Off5ef5 to Foundat%on OR9E2 NO. 96-351-IN 5cd/e: P = 20' Find/.• Feb. 11, 1999 5.C.TAI. Dist. 1000 5e,:. 53 B/k. 06 Lot 271 5anifdrr & Water Service Locations per ButHeF , V TE5T HOLE DETAIL N T.S. By. McDonald Exist. Res" 10.W. Mon-Fd. 121219 9ce 12/26 16 (100 IMonfd. Lot No.147 Brown 1 6 � gdyey m �T--- t9p \ VnY/ 74�N 73 ° 00' 40" .E 125.00 72 m� o� 1' cI 3 Sided onf. 76 Mon.Fd" Brown 5T — u Garage Prop. Ret Wall 7.5 p H 1 Q I toamr N o ' to be desi ned Clare LP N 7.2 ^i W by Archite 9ht 5and' ii 2 Rema/n5 0 Ib& NMS a n Q; 0 ChF n en N (� LP \ ' ( i SC 2. j\tr\ along line '�---- l �T���� \ �\l/r ` I I o 3 Y — Water 2 i /g ' ��" 1 ` fl + I Sdnd PLAN DETAIL Lot No.148 . 6.6 �l 5ox1 ) 3 Wat r h e X.T.5. PROPOSED (5\IPJ 1� I p I inBrown 3-BEDROOM �pJ ` I Sand 45 NRESID3 SC Prop. Ret Wa// 6.4 36, bd ' Q Water �. mi (FF EJ.=11.0) ---— b Brown Y Archite�t � l�\ Gar-F/E1¢IO.D 6 W �b o k coag T� S �� 1 �1 h� 4 / O b V I Sand S ` LP (9 I 9S� a I I W/IOX Inv. 8.8 1 Y —W.S.——— Gravel LPj SW 10' 10� � � P/O Lot Mo.149 � — — �e n e j -- Inv" 9.o p 3 0 Prop. Drive PROP05ED �' ` Fxp 10 .t 4 �O I N h 1 o 3-BEDROOM 5ox1�J `� ------ --- a, M RESIDENCE 6.3 Pi Fd. I W w N Pine d. 6"2 Ib 6F ;"F,/ . 5 7,3.0 00' 40" W 125.00 e 5U�2UEY SITE PLAN OF o I °� �• Pipe Fd.�I h LOT NO. 149 P/O LOT NO. 14 9 o.149 Vacant P/O Loot t NN AMENDED MAP OF PECONIC SAY E5TATE5 ° Filed.- May 19, 1933 Map No- 1124 ' HYd Coprright 1997er � & fW5ED MAP OF PECONIC SAY f5TATE5 'Q1 Fi/ed.• JuIr 30, 1920 Map IVO-656l�Ao�IK 5 situate At AR5HA1`MONAQUENHAUPPA= N. Y. ,3213 TOWN OF 5OUTHOLD SUFFOLK COUNTY, . Y N. LIG M. 49,3 Aced = , O,937.5 Sq. Feet Phonne:e: (516) 360-37740 NoTf Prepared- Nov.29, 1996, Rev.Jan.27, 1997 or 0.25 Acres Quant Fax. (516) 360-3981 Pre P Quantify of fill requited =907 Cu.Yds. ORDER N0.96-355P1 5caie: I" = 20' 5.C.T.Al. Dist 1000 Sec. 53 8/k. 06 Lot 27.1 Exist. E/.=7.0 Prop. fl.=(7.0) 5HFET NO. I of 2 GF,Nr1M NOTF,5: FOUNPATION NOTA-5: CONT[ XflgI �kIl�GFNn: PLUMPING L'�GENP : F.LFCTk,1CAL L-E�GFNP 1. WnRc SHw.L ee reR'aRAEv IN ACCO®M10E NAM ALL 5rA1E 1.A5AM SOL OMW CMACITI', 2 f!>rNs FOR SOUAR-`FOOf.S ,901`TO P FROVV0 ALL I�55ARV FLIWPM RQUa#NG AMP VCNIV14 AS WTCAIM NEW WALL MOl DL#UX ELECI10l W=FfACL9("LUIRON MCORA") � NEW CELING\WA-1. MOURMP JINC110N PO%. � vQ .�..1. ' 9fr v ' F6.mr.top. tl P'I A'YNIOPAI.LOCA-ZO.W IW PILDING CLV5 AIV ORGNANCE5 INS'CCTION MG VEp'IUMJN, ON 1K PUN N'D N COMOINT/NCE WRH N.V.S,rLLNMING COIPE5. OR ArPROvED EpYY., .A HAvm JIR5171CRCN A'D PE5r 5rN'DACPS Lr CON5TIElLYION PRACRKES. ,��,�,s„p 7 # M +�M 2.ALL rQOIINGS TO OE C�p�p DOWN f0 501. NO FOOfRJG C' He WW GEEING\WHJ- MOINrt-D.MICTION 50(EXf.LICHf W\nLLN.SrOfS. 2. OErOIE CAMMCIJd`MENi GT WOR:,M CONiRACf-R*KL M*A!H 5�{y,,��PE SEf MRRR OR LONER TVNN A�q MIq.E rI00M AX (m{� ed PROSE PIKE HOSR Cp 41 NEW WALL MOW2D RtLEX ELECiIK1J. Lr"f/O-e(G1tOlW PNlf INfJ y v M 01 WKH COPES Or Al RLOIJRn INSI.RMILE CMWr-*E5 Mn OIFCR rOOfING.Step P00rMG5 A MAXINY,IM p'S0 DEA�ES. 4RAIiV RJfAIMIIRP S11N�'lrE/�rOY�'11r/''l011'�/ATT'IF1SL�,IR-ll. E PROJUC WAIERYROOr cA2ANG WFCN ON EXIEIECQ WN-1.. r NAME5 OF ALL SID COFRRKTOR5, s.ANC M POLTS to W I/2" MW.X 10" L"VNIH MAX,lACW /Itl1�PN rrATW LOONP, W-011NEW 5SWCOLM N WISP WJCHW PDX FOR W' FA LI FIROv11PE Al 5. M COIlfR51GTOR 9W.L DE ISMONSOLE FO'.NL PINCNSRT•15 H•NV OF 8'0" ON CENTER. ®�,�� �NEW WA1 MOlN00 VOUPLC PlPlex eLeC11W.&I�PTACLS<"LUfRON" rAN CONnROL SWIra�ING FOR"FR.rJfER' MN INE. COWFRONS ON M JOP AW M ARO4IECY OR CON5M13NOTKM MANKNCR '+ "nECORA" OR/N470uEP eaI14->. MUST OR NOtr°ED OF AAP/VIRIATbNS FROM M Dlh'CNI51O5 SHOWN. 4.ALL CONO M TO W 120 MR( 2400 Ib.CONgO:TE IAL65501HERIMSe �r.l 4. M MUIPWITOK SFO RA(W IN r0 OW LA, ALL MARRW-S U°PeR 2 0.0CX COX5E5 S0.1D AT POLSS M17 Al /2" DIA%10" nC�W WN.L r(D'LUIfd7N DECORA" OR XN'PROvFD COYL PfA7.E. SMGME DETECTALMING MOINiED AW IW�Mr8t7. WALL 9MT0T. 17FF�� MAT 5. CQNOSTC FLOCK FO NPATION Ny LdEP.CONO�tE 5FV4L R LUIIRON nECORA' OR AFPROVED EOIYi-). MD COJPMENf INCOq'Or/IICn IN M NCRK WYl PE MtW UNLESS ASTM-145 WMH PU•L MOItfGR REDS.PILL COICS'JOI.B C�,IF ` OMRNt`A.' S1' Cm.*v"1r ALL W0m WILL PE Or OOGD OIUFITY. rRe FROM rNLf5 NLD OCPECIS FOR A HOTROD Or OIC 1ENt r1�M e - 64 AMTCH COWL."1OM, LONG OM15 M 6'O" ON CENfEIt MAK. ALINE, Ar 5. M LONIRACTOR SFVLL CE 9'SPOJ9IPLE FOR APEONIIRLY OIPKNG N'D 6.PROVIPC 0.025" ALLANIIM TERMIR SKID OVER FCOROI51n5i1./610NPR02CrNG ALL 1WIM PLMW CO1*111l IlON AArdJSr VAAACC, AT A-L PERIMETER 5115. nEW WN.L. MOJNIED 1CLEpF10FE 13LE1'fACLE. PRRAKACC,COLI-MSE,p191011 r1N MP M f,-A-IANMeNr ACCO11l 7.ALL woo IN CONfILT Vv1M smw1.O PE WC4MM107n OR I'mrsa E F_ {�pGTO N'PLNCMLCCODES. CIE0501W. V N V I\GY N 01'V 5:6. M CONWlCr0R 5HA.L PAY FOR AJ-PeRMMS,PEE5,*V C09r5 IQLATEVTO IM WORK OI'1H5 CON'IRI•Lr W.e55 ANOMR ARPMICOWW IS AMW UPON WWH M CL0W\OWT•ER. NEW E%TEWOO WALLS-2" X 6" An IR 5fW 9 0-19 FOL FA HCf DEN5ITV IN5LLA71OJ DV"CERTNNIEED" OR/'PPROvLD EOU4 7. M CONRAMOE 5FA.L M ALJ_TIME5 KCeP M POM1595 CLEAN A1W1•CW CR/M7. SPADE -R-10 RIGID POM1 TO 2'O" PELOW CRAOE. 5MI"Pe 25PON5DI-e FOR 0MOVA- Or ILL 9.E1P15H FOR ALL TRAMS _ 1wI FROM M JOPSHE LUZ%AJOIFER POW4 i NT 5 AaftV UPON R-19 FOL FA INSI.ATION N FLOOR MOVE CRAWL SPACE. 8. ANY 1XVA511 POR aAJC45 OR LE4111MAZ LWOMWN CONC'MONS vim. OR Py Pe VOCLWENMI9 WFM M COST FOR AFFROVA. M OWKR Il.t OR HIS All PRIOR TO 9rmrw M ADDHIOIAL � •rN NEW ROOF -R-90 44411 DENSFfV KRAFT Ill PV"R�RfNNTEEO' OR APF.e0. S 9. im COMIRA:TOR SiNl SI W SHOP P MWIC45 FOR A" 5MCK WOR: P!.'W WIfJVOMS-LOW"e" GLA551N511A1en. C�Al R E5.ETC.) FOR MCH"ZT'S APPROVAL PEFOP.E 15 5rAl 10. DCUMV JOET5 WMR ALL PAR""FAVALM 110 FRAMING MD �p llY" NNN PROVpE DC+IDI-E FEMER JOSTS M ALL OPENINGS.IEFER 110 M COWAR CnION nCCUMIll Fl RM5, .p POOP, ✓V G V N V : 11. RAPIER KEEL a"AT 4" MINIhW,VAeRt JO5 Am NOl f0 �I HEA7CRS 50 A5 TO IteDU.E PeAM DEPfrI, 115E ISAPLE IRONS OR U,(I GALVNJIZlD META-CONWCYOR5. POOR TYPES-(IMM f0 XYEDII-C FELON) �'I 12. ALL FRAM W Will TO W POIlO.A9 PIR NLNV"Mb _ I r ,, . I• . OR FETTER CON51RI�110N 4RN7E, EXTORTOR HOER-6'O" %6'B" OLIO PONOM1YODD 5"DOOR WITH VIVIPW 1AMS. "MARIAN" OR APPROWL7 EOlY-.PROVIDE PRONIUM HARP- ' M. M OWNER SW.II-.PRT'YPC N•L LX7i1pJC rOtn1RS LrJ.�55 OfFERMSE NOT9P.N.L OMR eLEC1RICN-e01J1°MENr AW MATERN-S TO PE 16' r� G�j H� WAPl` IN PO.19[n BRASS OF NTROvED EOWL. sIPPLEn Pv Tt E EI ECYIRCAL CONIRACrAG ALL ELECTKN W01d SHN-L �j b lWI I ?b VOUP ROOM WAVY P DOOR-2 6 x 6'8" 4MWSOLIP WOOD RASED rMCL POOR IEQ4A u EE N KCOR7ANCC WI1H M RILES NJD tlOLri Or TFIE N.VlP.U. 2 FEAW OIlr1'"SCFLALE" drAs5 YWmY'/NRR MEP PUPf FILICiS. PAXJfeD ALP A N,YD7.U.CL'Ril'ICA1E 1510 PE PESSNIW TO IRE OUTER AT OP1 Q-rI,N,I �,. 7' EQ. B'_ " 8'-j" C0.OJlN-SME.WADS AAG CASING. COMPLETION OF M JOP. O IN2RCR POOR-2'4" X 6'8" SMEAR r0 NO, 2 POOR. , C tN',ALW ONTEROR CLOSET POLR-2'6" X 6'0" 5MV WOOD KAMP Pl POOR HEAVY VW Al MASS HAWOAIV ATP Mff 1111405, PANICP . '• C .•• ., '' _ " �•" COLONIAL1MC5AWCA*`lr' I, - - � - - - - \ 4 X 4 GCA GOLLIMN STO I - - L- - t= - - - IN(EROR r renTen uoalo 5x s eP vooR r _ f �\ +r A W14I 2 ,r X IB D. ' i I', LONG.rO0YI1VG Py"SfMLEV OR MP.CO." FRA' w nUfY"SQ,IXt" Wr4TNN2. ,?� \ C40ll POOR-9'0' X 7'0" "SfM1.EN' CAKAO DOOR OR APP.90. A m eONTee''G lm MIMI' •*' 3�j \`\ - OO PROVIR "Sr*"T' GARALC POOR OPENER. PlIVAIM IIQLIIIP-10 MW txNl�ocx I 1 IjP o `\ P „,� ANP It ENTft PO"A", b \ lV 1 x \ �' E9 e" POU@tOGON1CaETEPOU MITIChI I : ' - I WINDOW L F�6F n : I1 WffI w�Fo W AW AN-L> r i :? i• : ` 16' 10'-5" I_ I-I ±� 5. .� ALL~016 TO K AIWOMON 91AWAm vrm a.AP CAM~V^VON5 , i Ft 9' 11.1955 OWXM59 NOTED,rROV PC MGERSON'5 PLLl nvvw Licw mugs, _ -EIEYATLEATINN - r - - ) R#W WAE f0 W SrAWAM WAM A5 W1;IL M"COLOR Or THL VAWOY NJP lipaa-LE5• "EG." veNOIM5 RM55 WINPOWS. OCR ----- - I �;� OA CASEMENT-CV655 On CASEMENT-CW24 : 7 III JO/4P'_ g1" ate'1lmac A>ba eaLn . I OP CA-ZWil f-CW275 O AN 251 (VW CLAP AWNNG) X�r � z } 2 ' X O" CASEMENT-CV44 © AN 251 -2(VINYI-CLAP AWN4NG) P055DIR 40X !I f�1 1 - Y -L 9C I'•," Q N, TS' 00' 90" E. - 7� FunIE E rR15 ON 25.00' 7.2 1 I p / I yr j K•rw rm x p / © y" x 10" GJ T^ 91- Cc�r l - - r _ te.«ri. iv tl R6a'' I a Oill�p'1,.+-' /v-Y- MOJ,�. - T6 A".PV. IEMYFD O' - 10' 7,1'� _ I '� H I ,,., - _T, i hr✓T r. ,� ' �" \ (G� 2817(VINYL CLAD PAVI&NO i n� CASEMENT-OIMz 6"A.(IW.) il'IEE $ p 11 r . t , t Ir �� O G/E.�fF' Lwwreil.- tP`• " r -I --�-�- - -P r --t DO NOT,PROCEED WITH ,? S� ��•1 s p ALN( wrLLCTYr.r y � In moi. � 1e . I � �i�A�ERV1?IH Lte 1-y I 2- 1/2" %9,5" SIM { Z1 I - ft'*45 CDA TtfJ> L6 I _I I FRAMING UNTIL SURVEY UNDERNRITEIISCERTIFICARE OCCUPANCY D�R I 7 0, IO' 9 / 1 I ' I W I I \ ^� I �0 I 8 3� !v � OF FOUNDATION LOCATION isSvEQFaUIARSEDNDT USE IS UNUIW FIA HAS1WITHOUT CERTFa BEEN APPROVED. ` , R r� OF OCCUPAN T. I I I.- `\\�z.�l \ � �_-- --- - 7 NOiIrY�FEl p!N�G DE ME 'TAT F SH7ENGE MCK POO ( J iM T--^ - \ \ I d 7655 18012 9 AM TO 4 P oR THE r' sem _ _ y MR71ggNr J rA r �• Q ' AIR oLEsbvurNG INSPECTIONS: 3 III _ 9, k'()i;NF)AdION - TWC?REQUIRED 4 2, ROUGH - FRAMING & PLUM�BINIS � �i �Q C Ri►fIGfMK J uS d . .� ' ! �f` - � - 11',9" /�/ F'iili POURED G'ONCRETE N I� SCJ'+/- I �ALYECOxIiiiI.PHFooT.• I 2" X 10" cJ 2" X 10" cJ c . vz' .Newlm I pRDYIDE NR. RE �lp / :n1�uLATIr)N I r I I PROVIpE GRAYWATER r-�- 2P„ I I RATED SE ARATI 0 � J 8 :'. FINAL - TE FOR CONSTRUCTION MAST TO I�CW I IC.C. /1 PART.71�.30 _ L CONSTRUCTION FOR C.O. 1 --' �e?, /� �, AIL CONSTRUCTION SHALL IL'tlEET ry -uHE REQUIREMENTS OF THE l t PRcroxDA6rIv±-1D1RVewAV �- WDA" LIME, � / - N.Y.STATE C-00 L Mm " I I � J/ 'd H /� £ STATE CONSTRUCTION S ENERGY jOT RESPONSIBLE FOR P"ry - 6.z _ F7E ro. --- '. I - i - I Wi4 %gd - t - // ".- I CODES. OR CONSTRUCTION ERRORS bdV�s, 73' 00' 40" W. 125,00' 6.2 wM I ' FIPOVIPE yKkCs IN POItJPAT10N FN7a cR.vEa I.N,E55 FLU511 MOLNIEO, i �. PLUMBER CER 511 PLAN 7c "% I '•`, I I / .- -� I ��� i/ � `'""' I ON LEAD CONTENT BEFORE PLUMBING I - - _ _ - -E_�•2� MNGW J e CERTIFICATE OF OCCUPANCY ALL PLUMBING WASTE M71Gt25 E1aS11NG CONfOIR LMt r° &WATER LINES NEED '+ R�DIG¢5 ADP110FW.H4 CONfOrf LIE _ OLDER USED/N WATER TESTING BEFORE COVERING 1f e,yf! =- ' - -S - - "L_ - - - - - - - - - - - - a.c EXCEED 2/10 M%LEAD. / V / 5 �� I'.6.. TMS GOO PIP OP O WN64 rO NEEDS YfYntlsaNHNarpr 6r 1 A SM FOOTING . DRING FOOTING tiTp''�r1,(lEO ^/nc'''r-, 1 - LOr NO. 148 AND P/O LOr NO, 149 9' OELOW C12A0E• SEE SECTION copper tubing is used a R'aui §%x OR MCONIG DAY E5TA1x5 NpIE�/IOC1•RTECT pE IFId'9ENTWVCN , , I for water distributing ^TOWN OF SOLIR•IA.D ATION 15 LA1ED Alf NJ TFC FR`.I.G 6 +015-6- VITAX MAP NI.IM6ER N pKOVN7E HNfJLI•I 5L/'ry stem. r. 1f0 GI 15 111'IN I MUST , .. of Pipin shall be `YcA'r4AI POO'A'ENINGS types K or L only b. - Nrlru K.J. MAVRK/'KI5U"y Poll 5 LAND %IMYOR FAjWY.MA IA mam� n� •tel '1 x.I, IMK/Villi rrrirq�Or PIF&00 /� a REV15eI7 ON ..VN, 27, 1997 rrrnurennnlsY�� Z. 5GN.e I" - 20' 155X19 xOk PUILnING t2WAP f'MFNT Af PPOVAl, W. 3 „ FOUNPA110N PLAN fAl GEN�M NOTF,5; CON UCn0N l�CAFNt2: FL-F-CTOC& ��6F:W All I. All. wow SWLL PE powo MEP N ACGOIVMISE Wifrl STnrIE 7. M LOIJIWCTCR SWLL AT AA,TIMES KEEP M PI2'MIRS CLEAN W �,^ ' P' 9 1 2" M.1'1 xv. CERAMIC FLOOR TLV MD SANITARv OAR -ANIMCI -MI M1 OR APP.II AEW w MN.L 017JfCn nIPLEy eLCCTM& !'XLEPrKLE<"WrRON PLOW,") -� WW aLING\WA.L MMM JINLTM VIM. MLNILFAL Z MD GULPING CLNIICS MJP s EE IL'SPAJ5111.E FOR REMOVM a ALL RIDDIa1 FOR AL TRACES CXE I Fy-��' n .> OR APPRO'vE7 EGiW.. T,p FIAVIJG.1�ON MlC7 OESf 5?M'7Ap7�QI'GS'71Jf�W'(IONd�AL.'t�5, PROM M JOD511E W.E%ANIPOCR AAPMYLMENf 15 ACIm UrON COLOR TO DE P7ERANLEI7. 1� +� TRIM CRRTm4mp ©VNN.CONP05NE TLE NEW GEEING\WALL MANIEn JUNCTION EOR E%f.LlCilf W\DLL4-51'015. ' i 2• M GOAMIENCgMEAT AP Nl7kKCCNJf1(AGTlC7!R'IR"ILME AI'D 0. ANY"CXIRAr" FOR O'V7'IGES 0R LEGIfIhWR LIJ'QRSEEN GORDt110N5 @1 N1W WALL n W'I•G%ELI%LIRIGN.RL'LL`PTALLE(Q7011.P rNlT INT.) OAS H,L Ib' M)1FA1 �Nf" TO W11H NG C0 NFOR A W WUK. EOIN S� 6� PROVIP WA LOVtRNG w4lN ON V%iV9LR WN.L. ON1.LR WOtflNgHt110EAPES A' I +$ . . L�� • -i. S, co NOI'ML'G OI' 10 WIAr101'ks MµDI A1py R 9. M CONTRACTOR SiN.L SIDMIf 310P POK ALL SPELVL 1YORK (CWW AMy�t.EQ[W.y. 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