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HomeMy WebLinkAbout24038-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25615 Date: 03/27/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1800 VILLAGE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 24 Block 2 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1997 pursuant to which Building Permit No. 24038-Z dated APRIL 14, 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 ALTERATION & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WALTER & ALISON M MILLIS (OWNER) of the aforesaid building. SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-448507 03/17/98 PLUMBERS CERTIFICATION DATED 03/17/98 KING PLUMBING & HEATING iliging I Spector Rev. 1/81 - "UK NO. 2 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° 24038 Z Date ............... �.�................... i9. / Permission is hereby granted to: rte- I t,r0---✓.......11:..�`1./lf. ............................................. r1 �n1-..... ..../.� s ............ to .. ..... ��.......... � ......: .... r� �fr>-✓ ................... ................................................................................................................................................................ ................................................................... ........... ......................................... ...................................... at premises located at......(T/. .... ..1/./r1 .... ......�.....491-146tIr........................... County Tax Map No. 1000 Section ....a.- ... ....... Block ......Q.aZ...... Lot No. .....w.2. ... qQ � /. pursuant to application dated .. ......�L................. 19,2-1.., and approved by the Building Inspector. Fee5...... .. 1.......... .. ............. ... ........ .......... ....................... ui Ing for Rev. 6/30/80 ,3 Iv MAR 17 JT' taluSaWn Y_a4k;._5303rRlain Rad y x = Fax (516) 765-1323 � P. O. Box 1179 a .�� Telephone(5 16) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: . B Building Permit No . a2 '/0 l Z Owner: Iil� a�/� m , 6/r S (please print) / Plumber: vr� f0(f (4 Jkc (ple�int) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P_umbers Signe a:c: ) ^ Sworn (ytoo before me this /� _7' day of �✓ ( �/L 19 Not= Public C&I f ounty W_ 9co�wfow�'Ul Vwk N y`�, rorm wo. /�n�� / TOWN OF SOUT 0L ` �yQ G BUILDING DEP TMENT pm TOWN HALL 765-1802 gLpC.DEPS ifs;'- �� APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 1Z lead. 5. Commercial building, industrial building, multiple residences and similar building-- and uilding_and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. • Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - _ .25',�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .MA_/R Z G .1.17? f. . . . . . . . . . . . . . . . New Construction. . . . . .. . .. . Old Or Pre-existing Building. . .. . . . . . . . . . . . Location of Property. . .r. g0U. . . . . . . . . . .Y.t ?1+aor LAN&'. . . . . .. . . . . 0R /6=^ . . . . . . House No. , , Street Hamlet Onwer or Owners of Property. . .W. � �` !? `D � L� SO N �(: 21-I G V2 2 County Tax Map No 1000, Section. . . . .1-1 • Subdivision. . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . 22 � -'/ .C 4� O 1. � .Date Of Permit /l), / tl IFf7 k/JA �/rt PermitNo. . . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. /v 4ygos7. . . . . .�. . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . Fee Submitted: $. . . . . .: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 5 APPLICANT f I!ELD'+INSPECTION_RF,PORT_ DATE _— _COMMENTS_—_--- o ii — o n FOUNDATION ( 1ST) o ii Ai n it It -- 1 rOUNDATION--=_(2ND) L--- --L--------_—=___ ELEVATION CERTIFICATE O.M.B.M y31, 1993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION:Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community Iloodplain management ordinances,to determine the proper insurance premium rate,and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILD[ O NER'S NAME POLICY NUMBER STRE T AI1- F1,ESSS�+(-Incicll�^ing Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY MAIC NUMBER OTHE DEESCRI 1014(Lot and Block Numbers,etc. �L�� - 24 - 02 - 22 `To11Lnt B>UT�( i'i 57 SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM(Soo Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION s. 3(00 813 0045 E A, q, 1611993 A-7 IIn AO Zono I use duptn) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): ❑NGVD'29 ❑Other(describe on back) 6.For Zones A or V,where no BFE is provided on the FIRM,and the community has established a SFE for this building site,indicate the community's BFE:I I I I I .H feel NGVD(or other FIRM datum-see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions,indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 8. 2(a).FIRM Zones At-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I I rl QJ feet NGVD (or other FIRM datum-see Section B,Item 7). (b). FIRM Zones V1 430,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram,is at an elevation oil I I I I I.L feet NGVD(or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is 111 feet above 6/or below❑ (check one) the highest grade adjacent to the building. (d).FIRM Zone AO. The floor used as the reference level from the selected diagram is I I J feet above❑ or below❑(check one)the highest grade adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? ❑ YeVO No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:M NGVD'29 ❑ Other(describe under Comments on Page4). (NOTE: It the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7), then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4.Elevation reference mark used appears on FI : ElYes No (See Instructions on Page 4) 5.The reference level elevation is based on: EA actual Construction ❑ construction drawings (NOTE: Use of construction drawings is only valid it the building does not yet have the reference level floor in place,in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is:III I SLA feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1.It the community official responsible for verifying building elevations specifies that the reference level indicated in Section C,Item 1 is not the'lowest floor*as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I I I I I I,U feet NGVD(or other FIRM datum-see Section B,Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31,MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION Endorsement The undersigned hereby authorizes Bruce A. Anderson of Suffolk Environmental Consulting, Inc. to serve as agent in connection with any and all permit applications and approvals on my behalf. Signature Date Signature Date 19961112 - 84F-20 . NEW YORK CENTRAL MUTUAL 4132558 NYHO THIS IS A FIRE INSURANCE COMPANY 5�,\, ¢3:�r, EDMESTON,NEW YORK 13335-0307 HOMEOWNER NNg EE�� D E C L A R A T I O N S 413A MM55gNSURED AND ADDRESS WALTER MILLIS ALISON MILLIS 1800 VILLAGE LN BOX 183 ORIENT NY 11957 POLICY FROM 10/28/1996 TO 10/28/1997 12:01 A.M. STANDARD TIME ORI10/28/1996 INCEPTION THIS SPIS A I ESCROW BILL ( PREVIOUS NO. NEW---------------------------- NO -------------------------------------------------- DESCRIBED LOCATION COVERED BY THIS POLICY AT THE ABOVE LOCATION UNLESS OTHERWISE STATED: ------------------------------------------------------------------------------ COVERAGE LIMITS AND PREMIUMS - SECTION I COVERAGE A DWELLING $ 202 ,000 $ 961 COVERAGE B OTHER STRUCTURE $ 20, 200 $ INCL COVERAGE C PERSONAL PROPERTY $ 141, 400 $ INCL COVERAGE D LOSS OF USE $ 40 ,400 $ INCL COVERAGE LIMITS AND PREMIUMS - SECTION II COVERAGE E PERSONAL LIABILITY $ 500,000 EA OCCURRENCE $ 36 COVERAGE F MED PAYMENTS TO OTHERS $ 5,000 EA PERSON $ INCL ------------------------------------------------------------------------------ BASIC PREMIUM: $ 997 ADDITIONAL COVERAGE PREMIUM: $ 101 ** INVOICE WILL FOLLOW ** TOTAL ANNUAL PREMIUM: $ 1,098 ------------------------------------------------------------------------------ THE PREMIUM INCLUDES THE FOLLOWING CREDITS 35% IS MAXIMUM CREDIT PER POLICY PROGRAM: $ PROTECTIVE DEVICES: 2 % $ 20 ----- ----------------------------------------------------------------------- DEDUCTIBLE-SECTION 1 $1000.00 ALL PERILS IN CASE OF A LOSS UNDER SECTION I , WE COVER ONLY THAT PART OF THE LOSS OVER THE DEDUCTIBLE STATED. ------------------------------------------------------------------------------ MORTGAGEES: j ------------------------------------------------------------------------------ CONST # TERR ?ROT CONST TYPE # FIRE FT MI PREM YEAR FAM CL APTS WALLS HYD FD GR 1920 1 046 9 FRAME 00 1 75 FIRE DISTRICT: ORIENT 4857 COUNTY: SUFFOLK ------------------------------------------------------------------------------ BASIC FORM: HO-3 4/84 SPECIAL FORM MANDATORY FORMS: HO-300 8/92 HO-322 9/87 HO-350 9/87 NYC-HO-161 8/86 NYC-94A 11/85 HO-90 9/86 NYC-211 8/91 NYC-224 1/95 NYC-HO-97 8/94 SEE ATTACHED FOR ADDITIONAL COVERAGE FORMS 10! M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH FLOG. [ ] FOUNDATION 2ND [ INSULATION [ l FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS% DATE / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR �/ 7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 4- F13 ING [ ] FINAL [ FIREPLACE A CHIMNEY REMA - DATE INSPECTOR 40 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IBdS1,1LAT10N [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �s DATE ��� r7 P> INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1175003 BUREAU OF ELECTRICITY n F 40 FULTON STREET, NEW YORK, NY 10038 E c Date MARCH 17,1998 Application No. on file 1427469"7/97 N $48057 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 n D MR. WALTER HILLIS, 1800 VILLAGE LANE, ORIENT, NY in the following location; 0 Basement 10 Ist Fl. [Z 2nd Fl. ATTIC/OUT Section Block Lot N L• was examined on MARCH 12,1998 and found to be in compliance with the National Electrical Code. G B P FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING OVENS DISH WASHERS EXHAUST FANS It OUTLETS INCANDESCENT FLUORESCENT K.W.OTHER AMT. K.W. AMT. K.W. AMT, K.W, AMT. I K.W. AMT. H.P. 28 46 41 28 1 1.2 2 F DRYERS 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.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WARS F 1 20 SERVICE DISCONNECT NO.OF1 S E R V I C E -- IF METER NO.Of CC GOND. A.W.G. A.W.G A.W.G. AMT. AMP. TYPE EQUIP,11 ®4W 1 0 SW 3 0]W ]0 IW PER a OF CAGOND. NO.OF HbIEG OF HIdEG NO.OF NEUTRALS O{NEUiRAI 1 200 CB 1 X 1 2/3 1 2/0 OTHER APPARATUS: GEN-IRAN TRANSFER SWITCH-1 PADDLE FAN-1 WHITLPOOL BATH-1 G.F.C.I:-9 S14OKE DETECTOR:-5 Q.C. ELECTRIC INC. LIC.#3823 I P.O.BOX 518 GENERAL MANAGER LAUREL, NY, 11948-0518 I Per }i B his certificate must not be altered in any manner; return to the office of the Board it Incorrect. Inspectors may be identified by their credentials. COPY FOR SUILOING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BOARD OF UIiAI:I'li . . !I:11A'. . . . . . . FORM NO. 1 3 SK'I'S OF .�' '{'OWN OF 9011T1IO1.D SIJIIVRY I41III,NING DI!t'Aifl'PfliN l' CIII?CR TOWN IIAld. SBI rIC FORM SOOTIIOI.1), N.Y. 11971 TRI.: 765- 1802' NOTIFY: TnWBp". CA 9. ,i. . . Fs Gi, _ 417- p MAII. TO: Approved.....,?-.l 19.../ Permit No. .�.. ... ....�.ti"T..T.'..... /.l1/.J.. ...... �J Uinalporrvetl n/t: .................................. ................................. ................................................. . ... (ikril I'll, hr• actor) APPI.ICATION FOit nummm, viiltlll'r 22 V Onte . . . . . . . . , i9! 'f 1 NSTRUCf ON,,; a. 'ibis all)iicntior) mint I)e ccwgdetely fillet{ in iry lyM.,nile.r or In Ink foul sulxmitte(1 to the Ikrlidiog losleclor 3 sets of plana, accurate plat plan to scale. Pee accordiry, to srhedole. 1). Plot plan rJcowing location of lot affil of Imildnign on prennisea, relationship to adjoining premises or Ixd)lic streets or areas, nix] giving a tlelniled deneriplicxr of layrxrt. of properly mint he drrnvn on the diagram which is Iart of Olin application. c. 'lire work covered by Linla applicatiar my not lie camre(x:ed before issuance of Ikrilding Permit. d. Ulxo approval of this applientioo, lire Iloildinp Inspector will issoe s lkcilding Permit to life applicant. Soot Iarncil: shall be kept: (o the premises available for inriaction thrrxrgh(luL the work. e. No Ixnilding shall be occupied or tined in ni)ole or in part for any lorpose whatever until a Certificate of OcculIntx:y shall have been granted by lire Ikrilding Inspector. API9.IC/PI'I(M 1S IO? UN ME to lite Buildbig, Department for life issunme of n Ik)ilding Permit Iorsiant to line Aiilding Zooe Orlinance of tine Tann of Six)ttolrl, surfolk (kunty, Nees York, atxl other applicable laws, Onlinances or ttegulaticos, for Line constnrctio n or.. lxrildiogs, acklitionn or alterations, or for removal or defirolition, as he e]a .(lescril)ed. life applicant agrees to crnrply with all aIp)l icable lawn, ordiontices, loilding Cale, inng Cale nix] regalati(os, aril to oinit mLLhorized inspectors (to premises awl in lxnilding for necessary i a. Bto(�. A AODo ILtoN Ft=aJ< F.Nv1i[p�ye.-tcl^�. ..............t...j....... . ........... .. (Si glint tire of npplicna, or name, if a corporal.inn) (lknil ily, add res» of applicant) Slate wlallrer applicant is owner, lessee, npoot, nrvid lent, eugiocer, general contrnetor, electrician, plad)er or buil Ac,,c> ,7-- ......................................0............................................................................... Nrxre of rxnnx:r of premises ..W A�TE-IL. V� l C_C_( S .. ........... ........ .................... .......................................... (as IN, lire lax roll or Intent. de(x1) If split ic:s)t is a corporation, signatire of duly nolhorized officer. ......................................................... (Dake fix] title of cortx)rnle officer) Ik)ilders License No. ...... ................... Plad)ers license No. ...... ................... Electricians License No. .. ................... Other Trade's License No. . ........ ........... 1. [tx:atian of lax] on Aiidi pro{x)sed work will la (kna............................................................. cc.ArlWlG .. Zi �w-i-- .................................. V.. ME ._ . ............................ . Iluse Mylar Street Hamlet Cex)nty Tax Map No. 1000 Section ............ Block .. ....Z..... Int .....y -.... Sulxliviaico .....~................. ............. IT 1e(1 Kill No. ........ ... .... Int ............... (KIM) 2. Slate existing use ail ocalloa_y of prelisea anxl inteixle(I use mxl occollsoicy of proposed costitxaion: a. Rxistiry; ose aril occupancy .... - S(OLl— TIA. L. ...... ...... .................................................... b. Inlerxletl use alxl occ)p:mcy .....2c=S)O E..... .�t.... ',%L.7 rQ,Z.i TR3E'Cil' dwY waif i) r c ,aittf,a nc b, 'au0 ,f E Yshl e01,gx3 mMR' 1. kit ate of utak (Hueck %ltl[L Mail itathl c): Its Niildiut; .. ... ... .. lu h it Io<sJ.5--e_ ."',a`fCl lata) ion .. . . . ..... Helm I ............ It"ImaI ............. Ikranl i t lull . . ..... ... .. 60wr lhak ... .... ... ....... ...... ......... (lk:ucr ipC int) It. I!$l.It1Y1LLYI lA)Sl. {�......t.......... ..... fl:e .. ... .. .... ........... .................. ...... (lo Ix: lwid (it filing Ibis igtpIlculilia) - 'i. If d„rAH1111, txalter of llwelling uuils .. ...!...... tl.nlx:r of 11. 11iug tntlta nt each flntr .. . . .� ....... ... If auraae, txnlx:r of earn .......P.' i.0. ..... ..... ........ ..... 6. If Ixtshwas, umuterclal Or mixed t :coluu u.y, alx:r.ify tuttwta alxl extenl of eatdt lylte of use. ..!� •...... ..... .. L 7. Piux:uu(nm Of existing of nxxurea, If oily: I/tnn .. ..�/>,� ... .. lieur . ..?:Sa.Z...... Ikpth . .. .G.�.. ....... ............... Umber oa f still lea . . ...�r�e ...... ..... y IIJa¢:usims of soue slrtwatire wills al(Lia .ints of :kklll ions: !trout . .lB. ........ !tear 2' /_Z_ Ik:plh ........�.......... Ikal�tt . . ..�Y°-'-'k•W.D, «tet- tknlx:r of Sitirles ... . ..(........ t1. NJsu:naints of entire oew cuxtatrtx:l:int: Finatt. .. . . ..1.(?.. .. .. Ilcur .. .... Ik:plh . .. . ..... ..... ........... Uniu:r of Httoiea ..._J. . . .... .... ... 9. Sill.: of lot: fYixtt .. ...�.?::?..� �.:�.� . 1 �3' ...... ItLsr . . . . . .. .. . . Ik:plh . .......... ... . .. ... Ill. late of hovJwae ....... `L.F.(?.. ..... tJ:at+: of Furttx:r Owlwr .. ''./^.. . ... ... ...: ...... ...... ... ...: 11. 8txle or uae district Ill uhlch prunlaea ate ailtwwA 12. Ikxs prolxtw:d ctxtsl:nx:Uun violate ally uxtina irx., urdltwtu:e Or maul at icxt: ..................... 1'1. Will lot lx: regcMiLd ... o............ Will eka:eus fill lx: tklltwLYl ``tixu preaiaeut YES Ul -P,o, iJ:- 183 14. IJu a of Qaur of pt�n{acs �C(�4.t!.t`I I.S.......... tuklleru �!�! ^ : ^�Y... 1.4�.�..Z.. 11xnx: Mt. 3 J: /ter 01 Re.t_"ro ms 1 W c. .O. FS�r S 1 a NMike of ArdlltecC .h-ff.F�?:tF..}�.TH�f.`L.............. _fuklt ens .(?✓L/.l-iN.7.C.C�t.1..1.14,57 ... l7tone lam. 34J� Niru: of fiatlraclor .. .......... ...... ... ........... ... tvklt eaa ... .... ... ... ... . ......... .....11tone It). . ..... I.'i. la Iltia prolu:rty within 300 feet of u tidal wetlwxl'f d YI':i ...... .... NO ......... . a19 YES, 6YI11111N UM `ll(I)SIM.9 HeMil'I' IIAY 14i ItlYj1111(10). PLOT DIAGRAM lix:ate clearly atxl distinctly all Ixtildity;s, tdtelher existing or prulitmed. azul Itxlicate all aet-bwk dLneusioi. frcut prulx:fty linea. Give street ani hl«:k tv.dter or descript iext urcrnding 1'u !ked, alki biota street umres arxl inlic tdkelher iuluriar or turner lot. 'J�S�211�'3-CUN ADS�S"1' Tzoe� �t�,l��tatw r-� P�� rFrLelltcE�TS 57i+v-rne�A t�T�h..�JaGs _ -lnauc jsX(STi—'e_ wv�i 4DL�K�SCaCda,t G' M-CJ4 or Door'+_ SJ-4owLgZ' '50-o"O Sc 2-Et7­k P-tZx­r-t. Con STIZ-Ucq THIEL Str'5 OV STcYS �y,15 YtZui-7' i )C ! o t S,_1 �-C /v �✓oo2L.C, !;UVll? M, 1104 YWK' ........ . ....... . .. ..Ix:iva drily !!Alla, delxues atxl sayu tia(: he ill like +11110 icts (IJ:n+: ill inlivlduul etilluhtg curl nn7l) :dxrve nn+xl, Ik: lit Ilia r'3 1 ... .... .... .......... ......... ......... ... .. ... ...... ... ......... ................ ................ (Lh)utrar.l or, al;mtl'., cur IwaIe nff IceI, Q e.) of acid tnawr or llbax:ra, rttxl its duly authoriztxt to lxeriOna of have ;Ani lonmtd like paid trtik atul to smite and file Iii . app 11cat.ioiti IIud. all fit atear:nl It coot it n:d ill Iiia illl ical iuu :ue It te. to the Iwill. of Itis loxtwl LYlge al xl Ixa ie; air Ilwl the weak will Ike perfoulxvl a ucuux:r act I'mili ill Ilse appl ical-i(jn Illed therL,Allt. to tx:ftrte Im thin o ).7.... .. ....day oP ... .� . .. .,. IU. . Utility hallic ... .. ..... . . .. ..:. .Y, _ / .. . . . ... ... .. .. . .... ....... OBERT 1.SCOTT JR. altnc ill Algdiraul) public,State of Now Vb* oualJRed in Suffolk Counq No.01SC472 ©, 11Mm Expires iulay 31. sT �c G0.& A `ST �►�ER� � AFF �F . k. T xAl It k3° / s s8It :s9 TF��F� Fr ed � Lel '' po �ryp 2R k by .*x�'y oc - s V nC q 4o O :M 0 J o ` 0° c aS SLC✓o \�\c\ � P %v � J AREA = 8,346 sq.ft. SURVEY OF PROPERTY AT ORIENT TOWN OF SOUTHOLD SUFFOLK 'COUNTY, N. Y. 1000 - 24 - 02 - 22 Scale: 1"= 30' Oct. 10, 1996 97FcPPp 70�e 1 Mar. 10, 1997 ( levallons Added) Ma.r. /7 /997 CERTIFIED TOs WALTER MILLIS ALISON Ml MILLIS CHICAGO TITLE INSURANCE COMPANY # 9608 2378 OF NEI,` f�oo0 Zoos 4�uj frzPH fT.QM S CoMri J�/FfY PIONtL N6, +s_ r.F'`a Fy ELEVATIONS ARE REFERENCED TO N.G.V.D. ANY AL 7VU TION AR ALID/7XdN TO THOS SUWE'Y IS A VV?ATON C✓FSECTION TW9 QF 77E NEW YDS STA TS ESA TON LAW MMT AS PER SECn W 7209-�Z ALL CERTFXA�lAVS C , LIC. N0. 49618 HMM AHE VALD FOR TM MAP AAD CAPES THOWW OAF F SAD AIAP O4 CAPES BEAR TIE 111 MSED SEAL OF TIE SURVEYOR NT"MM rW APMANS MMM ECONIC S ORS, P.C. ALIW7XMLLY TO COAftY ATTR SAD LAW TIE nM ALTERED BY' (516) 765 - 5020 MUST BE tM BY ANY AAO ALL "VEYARS U7XZM A COPY P. O. BOX 909 OF ANOThM SUPVEYORS MAP. TOW SUCH AS 740ECTED•MV 1230 TRAVELER STREET MOMr-ro-nA rE'ARE NO w Cava WKE NITH ME LAW. SOUTHOLD? N.Y. 11971 oo'°� / IF SES X49. ss Fr �• c� 'Qc� eA 0. 15 >#° { `d) �,Ifp �I , ^SSU ke 2sa :., 103s .t�ti 4� i a 4Ar °^• v� ss V AV !0 �� K OD T ti G' ..,Q a4 ,lob• �V 0 /tio,6' V C, AIFEA = 8,346 sq.fi'. SURVEY OF Lor COVEQ4 GE PROPERTY yovsE ' X8¢7 sy A' AT ORIENT TOWN OF SOUTHOLD Shed 64 5y.r+ SUFFOLK 'COUNTY, N. Y. 1000 - 24 - 02 - 22 Scale: I"= 30' Oct. 10, 1996 Jo.n , '7 /997 Fcoop Zo»t\ Mar. 10, 1997 ( levvllons Added) Max /7 /997 doLifons CERTIFIED TOt WALTER MILLIS ALISON M. MILLIS CHICAGO TITLE INSURANCE COMPANY # 9608 2378 F1000 Zonae 1WA Gao., FIA?M �P�EOf NfGy/ Gvw Nrry 36varlv z r ELEVATIONS ARE REFER NCED TO N.G.V.D. ANY AL MUn W WADUTM TO 7W SLr7VEY AS A MATKW a � CF MUM 7M09 OF 7AE AEW YON STATE OLCA7XV LAW .,` EXCEPT AS AD?SECIKM' 7P09-SLC+AVOW Q ALL CERTRCA�OW `�, AVXW ARE VALD Far THS MAP AAD COWS nA°,RECF OAA:Y F 1 . NO. 49618 SSD AW'OR Ca'"BEAR PC AMEM0 SEAL OF rW"VEYON NIM MMW APPEARS MEAIEA'K ECONIC Y AMMMLLY TO COW Y NTH SAD LAW 7W MW AL TERED BY' (516) 765 - Awr BE=BY ANY AAV ALL sY WYORS UrLaM A COPY P. 0. BOX 909 OF AM IM SL WYAYS AARP. IEIAorS SLCIr AS =TC7ED'AAV 1230 TRAVELER STREET TROD NT-TO-PATE'AHE ADT N CCIUFUAHX A+1TN nE UW. SOUTHOLD, N.Y. 1197/ 96-269 17 - - PLUMBER CERTIFICATION fr\0Fa5FrP 5n rTNOVRTiON ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY s'� SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1%LEAD. 1 S@ PLUMBING / ALL PLUMBINB wAMg / CX1SfIN�ONbY TESTINGBEFORE COVERING / I I I If copper tubing Is used for water distributing system;piping shall be of types K or L only II rolwx I ° N ORICK PROVIDE OPENINGS FOR I - I N m lxr kwlKs rci EMERGENCY ESCAPE AS / REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. UNDERWRITERS CERTIFICATE / REQUIRED 10' I — LtAgr, IAN 15 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE N OF OCCUPANCY I �> q ���pZ RUILD'di, OL PARPMENT AT . .9 TO 4 PM FOR THE 1. FOUNDATION - TWO REQUIR-D FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION I 4. FINAL - CONSTRUCTION MUST n - BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.V. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS NEW VO �I O3zE IK -A-0- /ATON .� y w�7 A ; e K:Mi��lY1�55A7X�LT�-�7I7I�L7SII1< , ' c -N.Y,_'_1 (957 ' pROFESSIBNP &1 ' _�tZi nC) 5,INC i sI N1 iA1 y 1GIN o: c3 opt r,_t 3�,s 1 Art Directions.Inc., PO Box 310 Orient NY 11957 T a i ' I ' II III 11 I D I BEEN NOR MIMMZ� _ , m H 0 K�MoY65Gfi);�N��� a Q `F NEW ST ° ,o <rr m DI N I NCI r�AM loX14-' -- A3,F I 44'- II• _ _ _ f7g° c'n � � e i9 K6MPYE�XIgTtNC -- ,ed STTN ft' .57A,Id-1 - / Ct'F(tel Ybt�Cl-I 4R,Y2+ 6 ��n r vl- - -- 6" � — — — ��f too in LD si�pT �xF V o ��o�qut = I _ #IALi CT 1C..I m j -- RF-5'Ko INAI- P![Y)1( u -- la� 5=o�s — - I � Tm 14 --� T ' P1Arf{ I -7� AVE m,PANTRtIErcL � HoM) 7I � Y ® £2,It �TAILNGW'" "AIIDICroIV - L` L - 1 L- r aErwF w t I �t -- '----- YM o _ I 1 -- �` y -I _.- -- - ----- -- --------- -- — - -- -- -- - --- L- 00 ca _ �fIMPODAgNfr �Cn�a xlsrNi� i li— — 1 L � vrnxr�srE�s �Zf NEW),Olt 032254-1 W Q Z� A T oFESS100P I zrr PfZo�'0.5rpfZ=NOUAToN 6i IW,5f�j S=5-NC>; �3cu 6:Y, 11 KMOVAMION �Ifj ACI�IAI*� '.OKIPNTNY, APPKOYN-, �hR PPF ,NK&M VAI- KM10453C PKWAiKPPM: Art Dimcuons. 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