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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-27083 Date: 05/15/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 670 CIRCLE DR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 3 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1997 pursuant to which Building Permit No. 23782-Z dated OCTOBER 29, 1996 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 ADDITION, COVERED FRONT PORCH AND REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANN E DAVIES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 18830 01/28/98 PLUMBERS CERTIFICATION DATED 05/04/00 MATTITUCK PLUMBING Authori z9t Signature Rev. 1/81 "M NO. I 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° 23782 Z Date ... a.L......................... 1921® Permission is hereby granted to: a �?.,.. ..... l..a................................... ...I .Y.. .. . ........... Vic ,......... :. . ...... 1zr ..... at premises located at ........................................ .!.p.....4, ... c.......................... ....7 c ............................................... .................................................................................................................................................................. County Tax Map No. 1000 Section .........0`/j.�..... /Block ..........1;�. ......... /Lot No. ........... pursuant to application doted ...................(,,, ..0� .�1.............. 19./...5 and approved by the Building Inspector. �O i Fee ..... .. ............................ . .... ......... ................. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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) . ouft- Approval ofrr�e+t*�tnt 1°dal. installation from Board of Fire Underwriters. q&ffimw,Sworn statement from plumber certifying that the solder used in system contains less tha &-I%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 - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00/, Commercial $15.00 Date . . . . 510x/00. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. A.�p4.4� ', Old Or Pre-existing Building. . . . . . . . . . . . . . . . . ryry���9.�I Location of Property. . . .670. . . . . . . . . . . . . . . . . . . . . 4IP(,(V. PL . . . . . . . . . . .4.4! t'. IQf` oN . . . . . . . . House No. nnII mm Street + Hamlet Onwer or Owners of Property. . . . . . Afr1�. .J1�1v!L'�.:y. . C/d. Nai'�C�-I _ (,I N0, , , . , County Tax Map No 1000, Section. . .- l . . .Block. . . . . . . . . .Lot. . 414Z . . . . . . . . . . . . . . Subdivision. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .qFiled Map. . . . .Lot. .�. . . .-.. .. .�. . . . . . . . . ' Permit No. .o. . . . . .Date y]Of Permit. .�G °?(� �� . .Applicant. Health Dept. Approval. . . . . .ff1A. . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . [11.,1 . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: 1 . . . . . . . . . . . . . . . . . . . . . . . GJ Z2- aro �3 APPLICANT. . . . . . . . . . . . . . . . . . . . . . . ENERGY CODE CALCULATIONS (For Noll-Electric Heat) Design Criteria 6 , UOo Degree'.Days { / O.A. lO°1' Z .A. 70°C m YER /?ChJvQ IJb1 DATED: DESIGN THE.RMEL REMARKS SUBSYSTEM AREA "U" RA'Z'ING 1.,,xLerior walls (Opaque) p D h5 y n e__rSPb ff -pr 4k- 3 -- Doors Q 0 c ealiny/Rauf (Upaclue) j' 6 !r O SkylighLs Floor /y r/� G j b Foundation walls Slab Insulation TOTAL 4- .No Les: iluildi.ug Envelope Systems to meet requirements of 7015. 2 HVAC Equipement toImeeL requiremenL•s of 7015. 11 ❑VAC Systems to 0L• requirements of 7015. 12 Duct Systems to meeL requirements of 701.5. 13 Ventilations Systems to meeL requiremenLe of 7015. 14 r r 111su.lat'ioll of piping Systems to meet requirements of 7015- 15 Service water Heating Systems & Equi.pmenL• to meet requirements of '1015 . 7.1 Electrical & 1,1911ing Systems & Equipmen o in eL requirements of 701.5 . 31 N it r To the best of lily knowledge, ab casy���T�� 4" belief:, & professional o $ H judgement, these plans are Compliance with the code. '; YCY � rp O��SpFFO(,��o G y� o x Fax(516)765-1823 Town Hall, 53095 Main Road y -ty, Telephone (516)765-1802 P. O. Box 1179 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.• Building Permit No. x37811 Owner: NGttnC 1�i1lk/� /11i/ ti� (please print) Plumber: V�1G1 {fi �LC(G Q�uiM� InGt (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ers Sworn to before me this �1 day of P1®O© Notary Public, County NotaVA ic,State ci yg* Huai s J u�nKEE3,WIp_Fo' Term Expires June 3,.asPS�q•..._.-..�._ ELECTRICAL INSPECTION SER VICE INC. 373 D( NTUNAVF,NUJ;' EAST PATC'HOGUE,NEW YORK]]772 (516) 286-6642 18830 DATE- 1/28/98 APPLICATION No ON FILE VILLAGE, East Marron TOWN. Southold ADDRESS. 670OrrJe Drive f ISSUED TO Nancy Afilono I INTRODUCEDBY" Lademann Electric, Inc. Gtr.Na• 4141E %'aJ dxii ntned on 1128/98 and found to be In compliance with the National Eleelmul Code I LOCATION Bale., xx lar 2nd xx 3rd Atflr Det.Garage Hot 7'U b Pool 1 i SWITCHES R$C$PTACLES1 Fll?URES' I HEATERS I F4N5 I C.F1 AIR.GOND 33 38 19 6 DTSHWASHER DRYER CLOTHES WASH. GAR•DIS'P. RANGE OVEN SAIOKEDETECTOR I gas 1 ! FURNACE OIL GAS CIR, hfOTORS BELL TRW SSRWCEDGSCONNECT Mer9R Adams rHA3F 1 2000H Ohm Outside,Res. ]-microwave 20Amp 1-water pump I-air handler IS Amp.for a.c. 1-40 Amp, compressor for a.c. HUGO S SURD! PRESIDENT BUILDINGPERMJTNo.a 79 wc°am m.y w,amnEee by tltw ama�mt. BLUEOFtIOINAL YELLOW COPY PINK COPY OFFICE TO 3ERld 2NI -G-13 t144Vl31H"-1 5@ZZ-hF_'-9TS 5h :ET lOOO-jGL1;%SO - -- ..-.-............................. ......._. ....... ........ .......................................... .......---------- ---__-.. P lli Ll! Itl;i l'Ii CtIUN Illi t'Ull'P I> 'f8 CoMil"N'l r� 1 I � U . Pf IINIIIA'I'IIIN ( 1!;'I') CA rouNun'ru>N (zNu> u11N1:N rltnrlr. I WPII.A 1 1 NN VIM fl. Y , ` ;'PATE, Ii Nli It l:Y ,• ,. `l� LOUIS LF _. fxf -------------- sUs�� AUUITIOtiA I. COHMISN'I'S; z' T- ---------------- hl F �3 ? F2 - M-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ) FIREPLACE & CHIMNEY REMARKS: N/® ' /Le ' DATE S CIO INSPECTOR M-1802 BUILDING DEPT. INSPECTION [vf FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: . G , 6t DATE �� �17 INSPECTOR �7e M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLRG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE 13-19 a3 70p) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION �JFFAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE 7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION[ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: fe, 14 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC rowl . . . . . . . . . . SOUTHOLD, N.Y. 11971 � � PRC TEL.: 765-1802 r7OTIFY : �ul! �l . . CALL . . ��3:3p ? . . . . . . . Examined 19, MAIL T0 : Approved (�^ . . ., 1 Permit NO;2. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspect ) PLICATION FOR BUILDING PERMIT Date . . . . f!D . . . . . . .. 19 6 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. i. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be,drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, 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. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee,, agent, ��ineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A �N.E. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises ti� .!1�.►v1[L"vo. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applic t s a corpora n, sign ture of duly authorized officer. ( ame and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be donpe�. . . . . . . . . . . . . . . . .�. A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TP. . . . . . . . . . . . .4 �Y. /�i. .F-1 . . . . . Jv! �!1". I. :�. . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . Block , . , , , , , , Lot d.(5 . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: JIT a. Existing use and occupancy . . . '. . � T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . .Thi ?.� 4.. . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . !y. . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . .. Removal . . . . . . . . • . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . l 1. . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units V . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars , , 6. If business, commercial or mixed occupancy, specify nat�re and extent of each t ipe of use .� . . . . , h , , , , • , g t/� . . . . . . . . . Num 'if any: Front . . . . •S . . . . . . . . Rear . .� . . . . . . . . Depth . �� . . . . . . . . . P 7. Dimensions of e . . . . structures, of Stories . . . ... .�jk)Z>. . . . .dk�f : : t: : Height Dimensions of nh alterations oryddiit-ions: Front . . . . . . . . . . . . . Rear . . a Depth . . . . . . . . . . .� . Height . . . . .F. • . . . . 1 . . . Number of Stories . . . . . . . . . . . . . . .+. . . . . . . 8. Dimensions of e tiresne construction: Front . . . . . .c . . . . . Rear . . . as. . . . . . . . Depth . . . . . . . . 9. Size of lot: Front . p . • . A�. . . . . . . . . . . : . . . . . . . . . . e Height . .: . . . : . . ; um � l �. ./.�60. .�u.1�.t1�.Y. �y�,.•� , 10. Date of Purchase G , g umber of Stories . . 11. Zone or use h district m which re ices are situate..Name of Former jcan�er L ���"� 12. Does proposed construction P late any zonin law, ordinance or reg�on: . )11X1. . . . . . . . . . . . . . . . . . . i 13. Will lot be regraded-` . . Q Will b ""o� mpremises-4,ft.,14. Nameofre . . . . . . 1� Phone NOW&. r- C? . . . . . Name of�i :1 . . . Addressf4. (Q".OiG�I Phorie No. .'�t � Name of Contractor . Addressopoe I��( :C4,� one No. 15. Is thin*Ifes, Southold � feet of a tidal wetland? *Yes. . . . . . . . No.V.. . . . . . property in Qwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from _. property lines. Give street and block number or description according to deed, and show street names and indicate whether . interior or corner lot. STATE OF NEW YORK, S S'I COUNTY OF . . . . . . . . . . . . . . . . . ' • • �•t•�''• • �� ��r� s� • reJ. • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . nJD.►� (Contractor, agent, corporate officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner setiforth in the application filed therewith. Sworn to before me this . . . . . . . .�� ?1ary . . . .day jof. . . . .. 19c�� Notary Public, . Count OYCE M.WILKINS y ( N 952246 SuffolkCoof uYork f�f�v:. .�. . . . . . . . . . . . . . InTerm Expires June 12,1 7 (Signature of applicant) BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined[ �n dl.e�--"'�- /, 19 MAIL�J `� 'f MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.! Lf�r..??t., 19�/. Permit No. Q?.Y..L L1.4!`..- .................................... Disapproveda/c .................................. .................................... _ .. ................. ........... (Building Ins tor) PPLICATION FOR BUILDING PERMIT 19 � INSTRUCTIONS a. ibis application must be ccrpletely 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 mast be drawn on the diagram which is part of this application. c. The work covered by this application may not be caTMnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. AM ICAITON Is HEREBY MADE to the Building, Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of SouLbold, 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. P.Lra. ? �.1!�''�'.............. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, __el� engineer, general contractor, electrician, plumber or builder. .............................p........... ...._............)........._........................................................ Now of owner of premises J�IS .ccd: Y.t 4�!!}N. Z7....................................................... (as on the tax roll or latest deed) If applic Cis a curler t" signature of duly authorized officer. (Name and itle of corperrate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... LLocation of land on whit) proposed work will be done..,...................................................:...:.... ................... Q .�ct ............................. House Number Street Hamlet County Tax Map No. 1000 Section .... Block Pj5.7'. o ..... Lot Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2, premises and intended use oc of sed constructitiI a.aExist ngruseuand occupancy o1•~ `•Ga/l �! -. a.19! .. .....tom`�1.. < -7K l 1). Intended use and occupancy -........ u .......�`......................................... 'l. inure of uotk (check vAd t liplicable); Neta Iluildintl 1....... AlWition ... ... Alteration :Y....... ....,.. ............ Ilrnnlilion ............ Ther Work. .................................. s,s`�--�� (Ilescr i pt.ion) h. Estisxlted Cost .....Cot ......... fee .............................................. (to Ile paid oil filing this application) 5. If rkaeIIing, nnieer of rlaellilnp outta ... ....... Ttnller ofik+elIing rmita on each flier ................ Ifgarage, nrlber of cars ..!................................... Ji. I f 1xisirH as, ccumerciala r ml!�l occupancy, specify torture and extent of each type of use...................... gi. -ru Brea, if any: Front... r n 'y, p. �/ 9✓��...�./.�..., hear ...4'v......... Depth ..��.�^ ..... Daigllt ........4. Mnber of Stories ....... -..., Dimensions ofra atinlcUrce with alter/a.t_qii.x.rr or exklitions: Front ...(,ic%f.. Clear ....... 1 ...6 'i(!. .. liei1141t ....�•l••...... .... Umber of Stories ...Z_ ......•.• q..,.,...�. ��"" U 6. Dimensions of eat ire construction; Front ..f!t/.......... Rear ../i.�........ Depth .��. .�... Ilei it .....L.. Mnber of Stories .. ............... /J 9. Size of lot: Front ....6 . .. ... !' ... r.A-. 10. Mile of Pnlrclase .1., IYIC........ Nam of Former (bore}}r���!(? ri 4 int �.Ji.s/.�V��r ..C...... II. 74xw or use district in wllidilpranises are situated .....9-:-16�..............�.�r................................. 12. Ikres proposer! construction violate any willing liw, ordinance or regulation! .../YO:'................ 13. Will lot be reamlett ...... ....... Will excess fill be reilwed frnn�prc*nlaes: YES 0 I4. Nmes of Owner of rens ....................... /uklress/ � pp"�� """ ��//� llxxrs�No�......... ... ��p p ��i��✓U'V ��.,7 Halle of � ... �..r:'J:t.. .s`.1 ....... Arkiresa ©i• � tzJa+�i�C , 1302% '.W 7Jr :'. ... .-15D ........................ /uklress ........ ....................illone Nn. ............ 15. Millie this property pertywithin 3 feet of a tirial wetlanl? * YES .......... R) .�....... *1F YRS, S(Jlilll(HA lum Tl�lus'D158 fliliMfl' MAY BE RE(j1 ima). PLOT DIAGRAM IMate clearly and distinctly'all lxlildings, wlledier existing or. proposer!, suit inilicate all set-back dimensions frnn property lines. Give street: at�1 block nnber or doscriptinl according to &M, soil allow street nines suit iuilicale t,ilether interior or corner lot, I� I li I Iil'KII's (M' NW Yow, S'7 (XMINIY M ...... ................. ,. r .................. .. .. � ...............Ixlinll duly nwrml, deposes suit says t11nC he is the applicant: (Unit, of ioilividual signing contract.) alxrve rummi, Ikein [he ......... V'.Y.I�i..�. ................................................................... ' (Contractor, agent, corporate officer, etc.) ' of said owlx!r or revilers, nix! is (Illy i,aul hot izr!rl to Ix!rdornr of lurvo Ixerlorurd the said work soill to nwlko coil! tilt! Ibis application; 01111: ill sLatelents :out ainc.d in Ihia application etre Crile to the Ixest of his kiltmledge and betief; roll that. the wrrk will be performed in the munxer net: rorlh in the application filed theretildl. Ibxlrn to before Ile [Ilia .....4.7.........day of h•:I`A. ......19, .. Mriary Public .. ./.:.::. !lam'.... (Sigunk re of Appl]ctnit) NotarJOYCE uSt to of Never York No.4952246,Suffolk C0 Term Term Expires June 12, 1a, .... ....... Z"'! 4 A7 E'AEB?7 M A R 10 N 5UFFOLK COUN71' N.NTOO . SURVEYEQ .AUG . 20. 1996 - PROPOSED A013ITION FEB . '26, 1997 SUFFOLK COUNTY TAS` MAP NUMBER 4� 1000-02100-03M-01000 75 OU'ARANTEEP 70 *� Wood NANGY MILANO stoopti pee dark brown 13 sandy loam SM brown loamy -Unw~1.20: sand SM r1.ja*tW1Wft0f Of tM MW YOM act.* M Is frow trA orirv�r�4 �ftls XU1d'%'t*rj 00 W161041 0 So*Kilt 8"1 �11 Wt 2 So to 4 � d" xi cqrtlflCatjom 1"01tat0h SIXIT that this vvpar",h"0CxWdkw* th ft blyst=WK al'' "S-t""%f,1ft=Srf ""a= Kj Law GWV*Ws. so �ttfttoklona 0W.12�W17 to tz th*,WA-,V" to oropwwtL and a te lon�llq(t CM aMighM* of tM'?Vl= iroititutim. Cwtlflc� to tiom are not tM *Role to Dooltioml umt4tution pale brown silty 1500 GAL. SEP IC TW , i sand layers with 8' DIA. 5' LI a H I,,%TEST HOLE heavy gravel SM zMd EL. 49.5 C 11 Fit 0, 00 CESSPOOL (P 16' DEEP B'DIA. 2V ?D pale brown Y.S. LIC. NO. 50202 GRAPHIC SCALE I"=40 ' fine Sand with trace fines JOHN. EHLERS LAND SURVEYOR 52 1 6 EAST MAIN STREET .0 410 80 120 test hole arilled. by RIVERHEA11 N.Y,. 11901 McMNALD GEOSCIENCE 8-59-96 364-=2 Fax 369;s2e7 6 y. i,4 e .,'F :-"g 3 wT WATER SUPBLY AND SEWAGE DISPOSAL SYSTEMS MUST - 5�., CONFORM WITH NEW STANDARDS DATED NOVEMIRER 13*1"S. NV T, t, pE SU Y _ ... ® t NEp`�N u oQ� AT FAST MARION a o� `1`O^N OF 5®UTHOLI:) BUFFOLK COUNT*r,N.Y. SURVEYED AUG . 20, 1996 O SUFFOLK COUNTY TAX MAP ,NUMBER 1000-02100-0300-015000 GUARANTEED TO: wood stoop NhNGY MILANO V) �' O r-y "isting �� O uell i \\ story 1 step frame 6se dark brown "Unauthorized alteration or addition to a survey ksandy loam SM map bearing a licensed land surveyor's seal is a obrown loamy violation of section 7209, sub-division 2. of the wok Q .� sand SM New York State Education Law. " .�. "Only copies from the original of this survey GenistiQ d marked with an original of the land surveyor's gn .� L&A stamped seal shall be considered to be valid true g • copies" $' "Certifications indicated hereon signify, that this 3 .0 O survey was prepared in accordance with the.ex- p�OF�LTH S isting Lode of Practice for,Land Surveys adopted $ C0umy ,.�"�. by the New York State Association of 'ProfessianaI P01t OVALOFCOI�[AilC[InNF A 500 GAL. SEP IC T NK 0 C. pale brown silty Land Surveyors. Said certifications shall run only UNGLB AMILYRRStQFNCEONI+Y C/2 sand layers with to the person for whom the survey is prepared, DIA. 5' LI UID DEP H trees TEST HOLE '� heavy gravel SM p 9 EL 49.5 � and on his behalf to the title company, governmen- SEf 1 Q . y O 6 D.� CESSPOOL tal agency and lending institution listed hereon. ;and OA - U M• �' is. DEEP a'01A+. to the as ' of the lending institution. Certifica- ROVED C3 tions �t Mat, erable to additional institutions APIFORMAXI$�fNOF BEDR S ar CO FROM DATE OF APPROVAL F"EWTHM*41S s 26' GRAPHIC SCALE 7 "=40 ' pale brown fine sand with N.Y,S.. LIC. NO. 50202 trace fines J6 VEYOR WOW 32' tt 0 40 - 80 ��� test hole drilled by 6 Pi,AST X200 . Mc DONALD GEOSCIENCE RIVERMEAD.N.Y. 11901 8-19-96 389-8288 Fax 369-8287 ' dao o° q �jFW OQ,5y2�2 as woad tppp � I Iod 1p tOn.,. 1 a$•, �• stoop ems 00 now or formerly I I Pa$ �; We Kel Hope Menek le I ,, d " I `ur riy I � m SO oLp o a I ' N I ILN I N I C7 Ctn4 I Env .D m ozc 3 I I � I o ua I 133' \ �I ome°'� I naw or formerly U Worthln9ton L,mite0 Partnership N S6g. 1500 GAL. SEP IGT NK 04'36„F I a' DIA. 5' LI UID DEP H Irend �TEST HOLE Odc. 216 I peEL 49.5 00 I 16' DEEP 9 OIA. -�-�-� 9g ^G� a naw or for 6 wmerly Stratoa Cembau rk ie 1e3. o Mary Cambourkl5a A 7 EAST feoo set. IC NW I+ N I- pu a LLt U10 P ' .1,tee m now or formerly a. w.e 'n 70M ��I I / '}� I Donald Ga laitla m ou. 7 0 F Y� ® � 5 0 �l 7 F ® L f now 1 — -- _ formerly — — zCharles Cher lee Marend 6 Hildegard Moreno SURVEYED AUG . 20, 1996 - a N SUFFOLK COUNTY TAX MAP NUMBER s 1000-02100-0300-015000 N 4• 589"55'34"W 300,00' AREA = 9.2 ALRES now or formerly Keetutle Zapkue 1 Jerry Gempone GUARANTEED T0: NANCY MILANO it "Unauthorized alteration or addition to a survey map bearing a licensed land surveyor ' s seal is a 1 violation of section 7209, sub-division 2, of the New York State Education Law. m now or farmer] o now or formerly "Only m Thadtleus F. cef tkowskl tar Investments na a copies from the original of this survey marked with an original of the land surveyor ' s , stamped seal shall be considered to be valid true copies „ A i 1 survey w6s"Certifications eparedl intaccordancehereon s with tow *X this istin C de of Practice for Land SUr ,Ve S ow or formerly 1 9 q �! ' esiond Rasa A. Caputo , by the New York State Association of PrA!'fp.851ona1 N89'55'34"E 484. 64• Land Surveyors . Said certifications shah run only to t he andperson or s ohsurvey sbehalf tothetitlecompan is prepared, Y, governmen— tal I agency and lending institution listed hereon, and to the assignees of t1he,. lending Institution . Certif ica- tions are not transferatle, to additional Institutions or suOpequent owners" 3 Lot 2 Lot 3 Lot 4 I Lot 5 II now or formerly I Andrew T, Ozenkowakl Alice R. 03enkoweki I 9 Subdivision "AOUev law Park" ISuffo lk County File No. 5621 �t )F NEl1.r y�P C EH( O Vo. N . Y . S . LIC . NO . 50202 JOY] , :ZN&TZRS LAND SURVEYOR 6 EAST N STREET RIVE H`AD, N . Y . 11901 369-8238 Fax 369-8287 i 0 f I r I N i - � 7 O I I 1 Ll i CtZc� SS ) E, r I C2 f- . i' 7CAL�,� 1/4 = 1 .0 it AS 1 t � IEXf;71Nfl Cf�lyDf�'ION6 _ �, (aux ia;�lRaa �� -�'� 1ICaLESI3EN - - •_ ... b, �'J.x s •' - -, . . . . ...- ... � . . - p.,. '_ . .,.; '- m . ,,: ., ,, , _ 'h �-.;3 ,.. 1=.,x _ _��'- _ .,_ 1-�e.�t+� 4 . _..� ,'y _Ta' L Nn/f� qcck)pp("y 41 a �r. OF or'curt'v'=.a PLUMBING 11 z ,,- �'� ALLPLUMBING WASTE F 3 :ati.deOcolr &WATER N i; I,. LINES NEED r,rZ�i; fy y C7R C.r) TESTING BEFORE COVERING u .+� ;,. �{Pf N4N SNPt9 i !'PT t �4�VPI G49^'N'�"S OF THE N L !E 4 QN TNuf.'68ON Sr ENI- � ` Pd�aS 14f,"ti9SINSPFtr F 5.; PLUMBERCERTFPFCATFON MCI io tRr3� NLEAD CONTENT BEFORE 0 ERTr°'FCATEOFQ'CCURAJAt1CY UNDERWRITERS CERTIFICATE SOLDER USED IN WA7—R REQUIRED SUPPLY SYSTEM CANNOT XCEED 2/10 of 9% LEAD. 8 "lat cotubing is used • for water distributing system; piping shall be Of types K orLam` �v Stiof NEW YD T e M R]Ylt ZV -j e'r CIA fi 37 0l -.- An p'Neotloda.Iris. PO Uox ata- Orienl, NV 71957, LiNERGY COOL CALCULA'TiONS (For Na11-EleCLriC Best) Design Criteria G , 000 Degree' Usys /� O.A. 10"F S . A. 70"F FOR: -� eh,y I-1r /4ho PER: l Tl'I LR — E�QS / /'i Qvloh BATED, i�3 �' -7 R rqAPEASIGN '1'llEIiMGLREMARRS SUBSYSTEMu" 11ATING Lb(Lerj.or Wa1.Ls (Opaque) p5' 4- 71 Glazing33 Boors , Lf B Cclliuy/Roof (Opaque) p/> O Skylights Floor 05, Foundation Wills Slab 113suia Lion TO'T'AL Notes: HUildl.ny Envelope Sys Cells to meet requirements of 7015. 2 HVAC Equipement to meet requirements of 7915. 11 HVAC Systems to meet requirements of 7015. T2 BUCL Sys Lems to meet' requirements of 7015 . 13 VenLilations SysLenls Lo meeL requirements of 7015 . 14 Insula Liuu of Yipllly Systems Co meeL requirements Of 7815 . 15 Service Water Heatiny Sys Lems 6 Equi-pmeuL to meeL requirements of. '7815 . 21 Electrical 6 Lighting Systems 6 Equipment to meet requirements of 701.5 . 31 �� f9EbY y� F To the best of my knowledge, belief, 5 professional judgemeu t, these plans arc 111 compllanoc w101 Llle code. y, i 'rFO 0322541 p�OFESSIONP�' 3I7�/ � 7 2 n T h p I r rn VA Romp 3Z7 �., 'r �� �.�ili`%van —/�PCLt A�/�)-�"- � • _ � / s�//��l r' /�� "�>� �' 6 � _ - � Til -T?, -f"� � '� '� --�� � ..-,. .__�_� ._-. �✓/�✓/- �� � � I D P I _ ST:EkVATi0N Tom CUAccSS vvin�W IPS�iNY p I � �. Il�o� 3_3 3-3" — Ili o'• ��6u — 13=0" ----- 7_G° - � al -tea�MAFIcGANI � uCNy / )� Z--f�PKOV F-bX1I EX+STINC� — ---- --- — - ! — x It it c� ppEN OXIZ-fiNc, o 15 16, 'I-' TRP.'.xB WrRI Sj Q \m PBL ie fLITcH PLATE - Z.°68 3 — N IIIA t ENV 6TI-vi Av$5 `t Z66F' �Rptxk o 7ftf.ZK4 _ ,pi,�T qAr( .KS fk(cR A/0 RErAIIF, - _ nN a EW: 9 o N Oo uvlr�G fi��M - Wavkc�c F � Df�x X63 (D , I Jl i � ➢�K-4N4- 3'(AIR�S,WWIS� r"lSirN�l _ KITCHEN _ _._ Opp,NOmpFFOT"t7.CNhft'D♦;'fNb� 0) QIP tTiYN -tQJ Ile IiyX+o NNTRyM j - _� Ig 8 y,>3L ZA8 4XY.kJi,5t51-b"oc A'l.(FSU"�E➢) G� ---- ----- T-- pq i �ntn Ix�A�Y v'lr,� t 3 A6 --T —7 �O -O �, 2'( �- I�j�J tE OF NEWY 6AP¢NSE 4 dr 0322541 9pFESSIONPy n 71 f P ryE\ ( CONSTR \c?oN NOVAMON QE1T pr, - 6n�LA�[6�Z�SIJ� NGE /§L fMFW➢ eY: nnDirs0 %Inc._AQu u�RaW�MSTt K►oN,N,Y ioSox a,o. AW N. o�arn NYtiW �N y 6 42, T'l 6 - Z PROVIDE OPENINGS FOR _ A6 EMERGENCYESCAPE AS REQUIRED B PART.714 OF � 3°�IL Y RI�G� 9`3"cgll\ N.Y. STATE B ILDING CODE. EXL5CIt q, rl MEc,1,piN6T5 3F1FN� c7� 7. -- - - -. - . - _ �Y/ �ii z66n m z66B zo6g �O� • '�If X13 fINIy!F�jQ�.S N 26 IYIO _ _ _ MOVE 7 Q { I o I { FtiONT�oftG{ fi�p � � � i ' A6 3-0 Z7 PROVIDE OPENINGS FOR 6 EMERGENCY ESCAPE AS — REQUIRED BY PART. 714 OF f' 2 - N.Y. STATE BUILDING CODE. aE OF NEW yO 1P .CE P `r4 i W f 002254-1 dab 2"D1 PLAN y 'OF EE510%P '+ N-r-W CONSTKUCTION IjlNCly MEE nn 1 ze•- o" y 15MVI NCq S N N �cSrNtzwEL�- ixt5(IN-� I .a + IP6AchT� W�9 UM� - o - �- - �— ---�-----t- � 111 � yINEF� �rto��r� uNv6�L (nt•)n7�xIMATE 4 0 y�norts,ux�r � 3y JAI,YYON I I i ;F I I �, V Z�Z)<I KT,N�• � I I ct�l[�tN�y ��«� /�ior' �m -01 T - t - - - + - - - - 4- - - - 1 TREAD➢NTn N6W 6A kNll: Q 12"XIZX4�Y(A.IRP?INCI 4a 1 �l� _ I II j���KEMDVEEXISn ,6TAlK5 a'"�G a�WDAtoN 1 Z -0 I � ! tct4Ef uvSNr�KM•�F�-'moi _.--...-•— O S d e I GN8'XI6" FiiP{ I/ 1 ' , NT >�" � 4" Pc1 Lc6DKINci d� Irl - -tl � r ,C,- - 1 � 'Fw4�cbrscw km�P1515 — - - - - - - - - - - - - - - - — — t ��I ACi;MGC- Ir,,) _ -TANKS -_ 5 � m 6' _ 4- � 1 N I lCY/[f10N ' I yC,`Ae-.JpD� tJ°n Vi • ..<, y"ti_r:c --J- I /✓ xl3°x I i'STaei� Fn NG• of NEW1 Iy fGF�ING�Kfi p� cE T o� 1--� SCONEREI'AINIf� WAW I ,; e" Urit �E W yn�� N]154d ��b �, �a ESSIo p •fit ' -� n---- -- - - - - � air a 3'O 6 FOLANDATiON PIANnnrz�c� �uoVAT�oN : s � 19� FOUNDATiiON �¢° TO NE-W u>� R O-MT�31J�NG6 ,� rc FMP er An Di ,lnc. �� w cor s rr��{ct oN C 1d1�Y11 AVS'SAS rMk�KION, .\` y PO Box 310 �Sy, Or1eM,NY 11957 R6 AG q6 I I x10 to I �XISTiNrSWf�- - --- r — — �— — N Qbl Zx16Vkly II S��ME�tRiMMt=rtiN I I , �X8_ w�T�tfliz�alT � I � I 9.75 NCS: KaDrPITGj ONS�Ps�`ENew>�4* CONSTfKLIC'rlON M45r MA-0 PITCH OF Fxl�'rrlr( 5rMvcrr t� W f 03225.-1 y.V op��FESSI�W�� 35' 75 r � ROVATION a 19 I r r\Mff MAN O 1 i(LAfCO �Z SIjI NGE /�I — I MFARV? 6Y fy a�ArtDuecllo�re,Inc, A St Q1 1�1�1 AVS' ASTM KION tJ ( aca n I aknc.tzer,�� Axlo 6�6TaIL I •A7 - - FoRyoftM6tZ 9�alL +g/ / V ZX8 Kao — ZXG _ cot + - %13rFPNI�W5fNYJWcLY � TRS ZXI� '� i Xawm 1Wo�fVi7GH�LATg.S TKr yx+ �N H X Kra l N R4A 7 �AI 12 fKNc { � 5 �- -LAT15 Aa sir v�rAIL� A7_ I �I � ---- --- -- - I -- — __ �� ATRrMo(ftf�P> K �.y. 6-0 ' - -- •Qv 8°pofoUNDATIonI � ��' OfJ BXl6 Yc fCD-PNq ° ;7 d U rfi 4 3yLAl1YoNk0XIfcFa:)-r�NC, -T'fG FbQ>KiNC - p_ �pfNEWYO rd .3' _ deo :da. - .d.• o .a-m .;uri,..d�- �4a. ,a,,�n� _,o•q.oae .�0` 0 ♦ n.p Q,�, . y, , e 4} ,. a l , , 'e li• ;e ?.: o ao�Sd 0342594 �@ 10-0 ESS10 Z ➢�TAI.I-• ��TtI�1-�V�ToN NOVATION ` 3 ? 99 CrO55 S�:GTiONS /bra r� �ryh^ �r➢�CyE�� l \/ A- -I fITFAWP.6Y: Art DiredormI= A6k Q ��RwAw. rAbi ttW om, IV• I PO Box 310 % 1Ft pj Orient NW 11957 �XtWdSloNof - - - - K19 DoRM�R s/4X8RIlXjE - - -- - uSTiHC� WAS, ' It Pt-AN 96PMMrKfkMK --- /� y'PI-Y SN�AT�INC�•T1'P. -- f , , '= - - yX6cElUINC�Jn45T �- - -- - - - 1 DBvax6To �jAtfi - -_- - acar,NCNwf fAKM - -- - �' /` � • I 3y 1 i3'' 3.. y° Iz I ZXfi SPUDS XIS"f-1t gI-gPfX'K LINA Mb tzMW 1X6 6 PLL / ro STh11C 14F '61� — yX6 cRl�'Pl I� Nom. 511at�CWla u 1x6 KHF WAl1 6Ti�P �lA7RJd15T N �' TYf — 0 2X6 mPf�AT _ Nn -- --- _ ST•htRFIEAD6R � I y YLY.�o�5N6A'ri{• \ - ---- - -- 3'X3.5TAIICJ,AND1hl __ �. \ -- --- rr IXFAUA tx s�fiT � rte 2XIoGittyN CAPITO L SEE q�TAPL�9 GKdN(yMoW' ' 13R74r ;XJOOT -� �! y"I AL Y co(f � � - 3 ' •4• WAIh15Cbl"IN I m o @"-3'�( 3' i IxSNper�I N� j7S� Z7.8 - y"ANGNOREOLf ZXlO ccA H�ADEK o NOTG1 C ON m CoJ.' 6A,5�• S�� DfiTAIL� -� _ - IN �XISTINI FOUb-ANDNPA lOhl -- U3 281115M4F rAOW N z NEN ZXIo Jo[3TqIRDI K - �Xr&yD�STKIM _ t�415TI�AqcPfZ)UNpATidN - 7; DB{ ZXBC�A_tI QY LZ e U6 CO,11)[4 a Wye M ANY DkGiCIhLCy °` X2c�A IkvK i NJFW ZX2XI G FCIIXrtNICj — f E,, a, WccA IL"xIZ°X16' 6•PGSrA1i��tINC' � / ,oft � :'��- Q „� a� � — -- - � a-3X31-Abp+NC 0 1 2'X3' m NEW 1X-XI mr-OVNCf a - 1"D1A•X3'YG of NEW exg-lot! �F� 1YA?0F1 t y 6Y, 1'GSfFfi ?YEN - - - �� a °E L�++ 11 ^^pq, v i . 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