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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-23720 Date JUNE 21, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 975 OLE JULE LANE MATTITUCK NY House No.' Street Hamlet County Tax Map No. 1000 Section 122 Block 10 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1994 pursuant to which Building Permit No. 22537-Z dated DECEMBER 20, 1994 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 A NEW SINGLE FAMILY DWELLING WITH A COVERED PORCH AS APPLIED FOR. The certificate is issued to EAST ISLE CUSTOM BUILDERS INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0104 JUNE 6, 1995 UNDERWRITERS CERTIFICATE NO. PENDING JUNE 16, 1995 PLUMBERS CERTIFICATION DATED MARCH 24, 1995 BERTSAND PLUMB & HEAT Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 19.9. N2 22537 Z Permission Is hereby granted to:~ • ~ ; ~...f~..... ro......... ....,~a. 1 e ~r. -r.~a .1..<...~.......~..,~.......~?.~. ~..~d......... 7 at premises located at......... f...,L r... //t° ...47.,.,~cGy/.~? County Tax Map No. 1000 Section . !~a~.... Block ............q..., Lot No. ......1 pursuant to application dated ®x.419.....<....Y and approved by the Building Inspector. Fee S.,>....... Building Inspector Rev. 6/30/80 FORM NO. B _ i TOWN OF SOUTHOLD L Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPU;i"izA ION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted = emmoiiiiiiiiii to the Building Inspec- "tor with the following; for new buildings or new use: V 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ? 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pxuperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $ 10.00 / 4.Vacant Land C.O. $ 20.00 5.Updated C.O. / $ 50.00 Date . NewConstruction,q,V7,,OldorPre-ex isting Building / Vacant Land y Location of Property I. < .........®d c u L, ! 4 A.)4~ Y' r ITGeG.)r House No. Street I` Hamlet Owner or Owners of Property re4c2T- e?~ CU Sx tmi iCe4<7 ~ ( /014S, K c7>~\> County Tax Map No. 10/000 Section Block Q Lot I............ . Subdivision *F ` tjp_' App-L Filed Map No. 7..Lot No. ..k) . Permit No 2- Date of Permit ~70 /1q.Applicant ~!4W~LSG Sb?Qu. '°LU?iJU~2$ Health Dept. Approval , , , ,Labor Dept. Approval Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate .....................Final Certificate V1.1 . vG Fee Submitted $ .2.....-.. I Construction on above described building a p `it a all applicable codes and regulations. Applicant 7-1 C- wefx nsv. 10.10-78 0 .A Sheetl CELT ELECTRICAL LIGHTING, INC. TOLL FREE 800-273-0434 211 RIVERHEAD ROAD OFFICE 516-288-2227 WESTHAMPTON BEACH, NEW YORK 11978 FAX 516-288-2293 THIS TICKET IS A TEMPORARY NOTICE OF FINAL ACCEPTANCE BY THE NEW YORK BOARD OF FIRE UNDERWRITERS. THIS CERTIFICATE IS FOR USE BY OTHER AUTHORITIES TO START PROCEDURES WHILE THE FINAL CERTIFICATE IS IN PROCESS AND BEING MAILED THEN EAN,y9g ?0AAR010FIRE UNDE WEAR BfINNTAHELPR~07CE/S OF ISSUIN6' CERTIFICATE OF COMPLIANCE FOR 3-HA ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION NOTED BELOW.n 5e APPLIICCAT~ION NO. LOCAT10N Sat' C~ 9 c INSPECTOR G OPTE IBD (REV 9/90) ' THANK YOU FOR YOUR COOPERATION AS WE ALSO WAIT FOR THE FINAL CERTIFICATE OF COMPLIANCE SINCERELY: GREGORY CELI PRESIDENT, CELI ELECTRICAL LTG. INC. 1~I JUN 2.0 - M.~~~~~~~m Page 1 06549204 P02 JOB NO.183 I Date March 24, 1995 Building Department Town of Southold Town Hall Southold. New York 11971 Re: Building Permit No.: 22537 Owner: Malello Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2110 of It lead. Very truly yours, BERTSAND PLUMBING AND HEATING JUN q Q iaa~ By f, `l'~"1,.,y,,,' Sworn to before me this 24th day Of Xa=h 1995. " ~Np ary YubitC EILEEN M. ROACHE Hoary Publla, giele 61 NewYaak Ne, 4826962 ouelifie111n Suffolk eoumy r Commlcsid+FxDKes.Mnuery37,19.~' 1 10 06549204 POI feet we Custom nuncio% Inc. 279 Jemede:a Ave. MedWd, N.Y. 117!!3 T R A N S M I T T A L VATS: June 20, 1995 70: Clair / Building Department - Southold Town FRCM: Donna MESSAGE: mere ;n thn pllftrim affidavit for the Certificate of Occgoncy An pe mit 0 9~aa7 T m mai.lina the original to you while You are reading this. Thank you for your cooperation in this matter. s' rely, SIGNED Donna Bvble • ~ 7 ?IDATIOn_'~(7st) P - y 1W, IDATTOII I c (2nd) .H FRAME 57 '-PLUFIBIVC - III r - ~ LATIOII PER N. Y. STATE EIIERCY CODE II ` FINAL I /r 1-7 a AD OVAL CO?-I}IE TS: x ^n \ a O [•7 v • y y PLANNING BOARD MEMBERS Richard G. Ward, Chairman t •<r."`,': Town Hall, 53095 Main Road George Ritchie Latham, Jr. P. O. Box 1179 Bennett Orlowski, Jr. Southold, New Yo k 11971 Mark S. McDonald •~'J ~,`j~,! Fax (516) 765-3136 Kenneth L. Edwards Telephone (516) 765-1936 PLANNING BOARD OFFICE TOWN OF SOUTHOLD William J. Kluender 64-06 Myrtle Avenue Glendale, New York 11385 RE: Approved Major Subdivision Henry Appel Mattituck SCTM# 1000-114-12-(14.1-14.6) and 1000-122-10-1 & 2 Dear Mr. Kluender: The Planning Board reviewed your letter of December 16, 1994 in regard to the above mentioned subdivision. The Board decided to waive the requirement that the firewell be installed a prior to the issuance of any building permits. _ e Buildin De artment of this decision. In addition, I have received notification from the Mattituck Fire District in regard to your request to relorate the firewell. The firewell is to be located on the south side of the 50' wide Open Space area adjacent to Ole Jule Lane. Please contact me if you have any questions regarding the above. Sind Melissa Spiro Planner cc: Thomas Fisher, Senior Building Inspector ?John Boufis, Building Inspector JOB NO.183 Date March 24, 1995 Building Department Town of Southold Town Hail Southold, New York 11971 Re: Building Permit No.: 22537 Owner: Maiello Gentlemen: I hereby certify that the solder used in the water supply system for the captioned job contains less than 2110 of 1% lead. Very truly yours, BERTSAND PLUMBING AND HEATING By Sworn to before me this 24th day of march 1995- ~l l S } 2Z Ci",g~a 124 ary u 1C L1', J "D7 .w OLD l EILEENM.HOACHE TOWN & 50UTf4.NOyD Notary PuNo. blic, Qualified in Suffolk County . Commission Expires January 31,19y-6 EAST ISLE CUSTOM BUILDERS, INC. 178 JAMAICA AVE. MEDFORD, N.Y. 11763 (516) 727-6023 December 9, 1994 Mr: Boufis F Building Department P~= DEC 12 1994 Town of Southold Town Hall L BLDG. DEPT Main Street - TOWN OFSODTHOLD Southold, New York 11971 Dear Mr: Boufis: With regard to the application for building permit that you have before you for Ole Jule Lane, Mattituck 1000-122-10-1, please find enclosed the corrected blueprints for the house: The architect's seal should now be signed on all copies: May we have the permit as soon as possible: Thanking you in advance, I am Sincer ly, m-~ kc O Richard Oppedisan President RO:eac Enclosures t PLANNING BOARD MEMBERS a .4 Richard G. Ward, Chairman r ` Town Hall, 53095 Main Road George Ritchie Latham, Jr. w rn P. O. Box 1179 Bennett Orlowski, Jr. Southold, New York 11971 Mark S. McDonald Fax (516) 765-3136 Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD William J. Kluender 64-06 Myrtle Avenue Glendale, New York 11385 RE: Approved Major Subdivision Henry Appel Mattituck SCTM# 1000-114-12-(14.1-14.6) and 1000-122-10-1 & 2 Dear Mr. Kluender: The Planning Board reviewed your letter of December 16, 1994 in regard to the above mentioned subdivision. The Board decided to waive the requirement that the firewell be installed prior to the issuance of any building permits. e Building Department of this decision. In addition, I have received notification from the Mattituck Fire District in regard to your request to relocate the firewell. The firewell is to be located on the south side of the 50' wide Open Space area adjacent to Ole Jule Lane. Please contact me if you have any questions regarding the above. Sind ' ~ Melissa Spirop Planner cc: Thomas Fisher, Senior Building Inspector .John Boufis, Building Inspector i 3 M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ) ROUGH PLBG. ( ] FOUNDATION 2ND [ I INSULATION FRAMING ( I FINAL REMARKS: ~i t f DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4= Oct) DATE INSPECTOR ~-`~1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIIM~NiEY~ REMARKS: /~~f--~~_ DATE INSPECTOR * 37 765.1802 BUILDING DEPT. INSPECTION l] OUNDATION 1ST [ ROUGH PLBG. O NDATION 2ND [ ] INSULATION RAMING [ ] FINAL REMARKS: - L 41 37. o er"T DATE INSPECTO . / ~1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] RO GH PLB FOUNDATION 2ND [ ` INSULATION [ ] FRAMING [ ] FINAL REMARKS: r DATE A/q,rINSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REM i I t I { i i E t ? DATE INSPECTO i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000143 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate JUNE 21,1995 Application No. on file 87943295/95 N 355746 THIS CERTIFIES THAT only the e.ILectrica equipment as described below and introduced by the applicant named on the above application number in the premises of MAIELLO,JOE & BONNIE, 975 OLE JOLE LANE, MATTITUCK, N.Y. in the following location; ® Basement ® Ist Fl. F1 2nd Fl. ATTIC/OUT Section Block Lot was examined on JUNE 16,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAGlES SWITCHES FIXTURES RANGES COOKING DECKS OVENS / DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORFSCENi OTHER AMT. K.W. AMT. K.W AMT K.W. AMT K.W Mr. H P. 54 47 43 54 1 1.5 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS EEII UNIT HEATERS SYSTEMS MULTI-OUTLET DIMMERS WATTS AMT. K. W. OIL H. P. GAS H. P AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. NO. OF FEET AMT. 1 F 2 SERVICE DISCONNECT NO. OF S E R V 1 C E AM}, Mr. TYPE ME BIT ,e' 3W 3,e' 4W NO. OF CC. COND. A. W. G. NO OF HI-LEG A. W. r' NO OF NEUTRALS A' W EQUIP. ]W W 3W13 PER .e' OF CC.COND OF MIIEG OF NEUTRAL 1 200 CB 1 I K 1 3/0 1 3/0 OTHER APPARATUS: MOTORS:3-F H.P.,1-1 H.P. j G.F.C.I:-5 SMOKE DETECTORt-2 i CELI ELEC. LIGHTING INC. 211 RIVERHEAD RD W. HAMPTON BEACH F NY, 11978 GENERAL MANAGER 11 Per 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. j I, ~~n 130ARD„OF HEALTH FORM NO,1 3 SETS OF VLANS TOWN OFSOUTHOLD SURVEY AIJ?1/ Q 1994 BUILDING DEPARTMENT CHECK: _ . . TOWN HALL SEPTIC FORK _J I SOUTHOLD, N. Y. 11971 .--3-n!NVt-D Tt•? CJ011 TEL.: 765-1802 9~ CALL ' - Examined._. 1 NAIL TO: 1.~...., . Approved l~~~}} tKermit No. 5~~d J~,3y /-/P . . . Disapproved.a/c • t _ _ . (Building Inspector PP ICATION FOR BUILDING PERMIT Date , 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 silts 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 stieets 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- EAST ISLE CUSTOM BUILDERS, INC. (Signature of applicant, or name, if a corporation) 2.8,j ica,Ayet-Medford, NY.11763........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder pp ' Name of owner of premises V,V,m•.T. !1 N.L1 1 1~ L°~.. . Q s • . . . (as on the tax roll or latest deed) If a lica is a co a ion, sig ature of duly authorized officer. . (Name an t f corporate officer) Richard Op a sario, President Builder's License No . Plumber's License No. ...14Q7R , , , , , • • • , , . • • • Electrician's License No. .2597,1; . • , , , , , , , , • • . . Other Trade's License No . 1. Location of land on which proposed work will be done. .7o L c ES Ole Jule Lane 900' SO New Suffolk Ave Mattituck House Number Street ...liamlct County Tax Map No. 1000 Section '...:122 Block . , , , ,10 1 Lot Subdivision Benry. APW• Filed Nlap No. • , .9327 6 (Name) Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant land b. Intended use and occupancy ..,construction single family, dwelling ' )applicable): New Building X...... Addition Alteration 3. Nature of work (••.thee,). which Repair, . . ' . Removal Demolition Other Work (Description) r Fee 4. Estimated Cost 1..k'0! ..i, (to be paid on filing this application) 5. If dwelling, number of dwelling units . , 2,on,second fl Number of dwelling units oil each floor . . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear . , , Depth Height Numberof Stories Dimensions of same structure with alterations or additions: Front Rear Depth . ...........I,.... Height Number of Stories . 8. Dimensions of entire new construction: Front iVM • .25'.$°.... Rear 35: Depth Height ..:Z Number of Stories . 2 • . 150 , Depth . 9. Size of lot: Front ....150'..1 Rear 300 ' 10. Date of Purchase Name of Former O•vr^x IL Zone or use district iii. which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .....04... 13. Will lot be regraded ...yes , , , Will excFss fill be removed from premises: Yes 14. Name of Owner of premises .014 K , 4!' Address `/o e-M AY4- ~ , • , , . Phone No. ? z7-fa47:~ : . Name of Architect ',Richard) Wandoloski.... , , , , Address Riverhead.. • , , • , , , , Phone No... 727-6072 Name of Contractor East .I5ie CUatom 131 rP4 . IOGAddress Medtgrcj • , . • Phone No... X27-5923.. . 15.' Is this property yo within 300 feet of a tidal wetland? *Yes........ No..X...... i ' f yes, Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly X11 buildings, whether existing or proposed, andAndicate all set-back dimensions fir property lines. Give street and block number or description according to deed, and show street names and indicate whet'. interior or corner lot. SEE ATTACHED SURVEYS' - I ;TATE OF NEW YORK, S.S :OUNTY OF.. SUFF(PW....... . , , • , , RICHARD OPPEDISANO (Na being duly s% orn, deposes and says that he is the applic me of individual siigning contract) bove named. eis the ?resident o#,builder/applicant (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file i ,plication; that all statements contained in 'his application are true to the best of his knowledge and belief; and that ork will be performed in the manner set Torth in the application filed therewith. vorn to before me tfiip- (2~ a %b tary P V.i. County 16. CAN ~l! " low PuOUG 'tN Of N" Quwo# d 311001K ichard Opped a 0 (Signature of applic: No. 5I 311001K •49~ti b4N11n1V95tN~'SRD~ w.wm / r W qk,` ~ Y z 0 0 1~., 0 0 Y 2 ~0 `II' 1k. 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Q o LOT 6 SUlMER!l!C£ PUMP N 82 0 27'50 "W \ 30000' TYPICAL WELL DETAIL NTS CESSPOO S O PROPOSED DRIVEWAY WELL V O OVER /505 SLEEVE 'p m O h 150,1 FINISHED CRID£ PROPoSED ~ a tr a' h CESSP 2 h /'MIN t'NK P'NAX B - GARAGE TERRAIN R ~~A PROPOSED N SEPT/C TANK i~ GENERALY j Q LI 114 1/ ;It' W 830 g LEVEL N/F STAR j O I PoURED Ra col L !DD FT !/DE WALL ~ tl' CONCRETE ~ O V Q MIN, ARM LFACHN o noR 3 y W L J !DD GAG. Pte" SEPTIC TINX M WALLS=B° LOT ELEV 230± 2 Z_ 2 ry ` V to C S` `l Y' MN IGROUND WATER j TYPICAL SEWAGE DISPOSAL SYSTEM O B3O 85 O Z 110 lyre, SETBACK M {YELL B3 /o A! LI' a W ~ O U J ~CONC MON O 0 1250 V NTS 230' nr FD Iran Pipe t~ / Found N E 41~ S 610 07'40"a N~ 0008' IF KALOUS (RESIDENCE) N/F SMITH (RESIDENCE) WELL ,504b CESSPOOLS CESp SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO 150'- to WELL D'= to YELL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FILE NO 9327 SURVEY OF SURVEYED 2/ OCTOBER, 1994 FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS FILED FEB /5, 1993 LOT SCALE 1"= 40' AREA= 46,043 SF OF THE SUFFOLK CO DEPT OF HEALTH SERVICES IN R-BO ZONING S APPLICATION TM#1000-122-10-02 MAP OF HENRY APPEL SITUATE NOTE+ SUFFOLK COUNTY DEPT OF HEALTH SERVICES VERTICAL PROVIDED By SU SUFFOLK FOR APPROVAL OF CONSTRUCTION ONLY MATT/TUCK, TOWN OF SOUTHOLD CO UNTY DPW UTOPO MAP (MAPAAF34)K 'AA-as/ DA TE' SUFFOLK COUNTY, N. Y HS. REF NO. APPROVED+ SURVEYED FOR: JOSEPH M DOORHY SUFFOLK CO. TAX MAP DESIGNATION GUARANTEED TO DARLA A. DOORHY SURVEYED BY DIST SECT. BLOCK PCL JOSEPH M OOORHY ,STANLEY J ISAKSEN, ?R /000 122 /0 02 DARLA A DOORHY PO BOX 294 OWNER TOWN OF SOUTHOLD NEW SUFFOLK, NY, H956 (516)734-5835 .y f- JOSEPH M. DOORHY and DARLA A. DOORHY TEST HOLE DATA Copies of this survey map not hearing TEST HOLE NUMBER/ the Land Surveyors embossed seal shall AS FOUND ON LOT G SUBDIVI IN FOU D ONLOSION not be considered to be a valid true MAP BY YOUNG B YOUNG SURVEYORS, RIVERHEAD, filifpY~ 4 NEW YORK. /CS/ HVLL /VV / Unauthorized alteration or addition m the o0 corny is a violation of Section 7409 of THARD L 0.5' We New York Stale Education LaWe G GRA Y<VEG uarantees indicatedhere on shall m I _3.Z only io 1he person for whom The survey. is prepared, and on his behalf to the title Cov_r. enf. I F.;ency, lendin7 if hzrcn, and < to the cssi9nees of the lending insdtutioo. + -0 L 3VEYO NYSLN Guorcntees ore not Ironsfcrable to additional institutions or subsequent awnera 1T o' 2 418195 Located WNlly Fa Adhon,mdLpo~taled FoV/dollm 94C552 1 12110194 Add, Well L oro/Im,!l Owewoy. A{v Smllory, Hwse, Se/flock ff - F. v Q. \A kM. 1-1 0 i J i r -rl - - -~t - T - Z. - - d I ~ z i 1~ I N , IL ' Q t IL rue - ~i~~-?. er elr ra t~ av i i I ~ 4 ! y iToiLE ' w. _--y ~ I h E j tIJ 3" Y S-D OF HE r - i rpPS t. T~~fi - a, 1 L)VI O I i I I I II ~y WiNpn~~! ~ p r -Jew y • ~ N 1 ' I I ,Il, 2 S~ I I dW I RO AL I a Y _ -a _ Fa- 21 d r I I , 1I ~ ~ _ r yyll r {I r~~r r'_r r - ~ ~-CONC - fT! S r 41 _'41-4" - 40"0" ~-acc-- JS • ~j ' ~ .N fCIV~'^I ~ ~ I ` I 11 r s e { L~ y~, f o. M' { `I 0 i 70,1, fy m ~ IZ VAIJI i GLo5E7' I ~ ~ ,a =J,~i.,~Yt?~$saFn'G'6°''- ~ m _ ~ o~• (_r, ~~a" ap", ~ 2~'I -r~-'~` I d zp~'n I ILx+j.°LAip any ' r i ~ w~A^r6%a+-+s. aR N'o~den. tlouavy~ywb'f1t "cars. { 9 yL 12o i t ' l l _ N , 11 I t' - r" x. J . _raa ff( AUievCrM -64, p!18~C1` 19. - p/ I o - I IN, ~ I ~ '~a:31'O I I I jv Of Neu, I I I 4~ qq '1 f I I 4 4 I RIO t ouNwmmcmmTE era 4 '-x CC(` 11'"MY OR APPROVED AS NOTED e 1S IS NLA 't5F L DATE: A490-13.p. # aCr- y9 J'Iw~~ ~ e m ~ M o ~ CAT lErF1 E FEE: BV: i i 41 II 4~,~L, . NOTIFY. BUILDING DEPA AT ' 765-1802 9 AM TO h FOR THE 7 I a ~ ~'Q y - - FOLLOWING INSPECTIONS: 1 FOUNDATION TWO REQUIRED - - " QE POURED CONCRETE - ? mi^I1Ld~TION - n. T-1'1 I :LC7JSIRUCTION MUST - - rE COMPI ElE FOR C.O. ALL. CONSTRUCTION SHALL 'MEET ' rylp~(ERS THE REOUIREMENTS OF THE N.Y. t 7ATE CONSTRUCTION & ENERGY ' RtsnP tt6tI.:ING !LODES. NOT RESPONSIBLE FOR - ' DESIGN OR CONSTRUCTION ERRORS ! {21oa.e ~eNt 8:.R»' = Z"lc.f.:". lzAF'W'RS Ifo"a.c . I ~/2a ~y4J~op _cavFrR. PLUMBER CERTIFICATION rx..b4i.W.tics /-14+ 4 ASo4kur -sojoaL.E.,!, " 44+»0ta,.~ _ I2.f`I.. ~lQlERL~a!?tl OAI LEAD CONTENT SEFORE CERTIFICATE OF OCCUPAIVCY ~ SOLDER USED IN WATER ` .Zq>a A~PNA~r y 2-2"K~ -phaTfs SUPPLY SYSTEM CANNOT EXCEED 2110 of I% LEA,0. ' ~ ,/~i" FL yrtlcoD PLUMBING ALL PLUMBING WASTE DO NOT PRO= WITH " & WATER LINES NEED I ,YI~,YL SIDINCn TESTING BEFORE COVERING FRAMING UNTIL SUNff ` AL60 44- 10-It"rR10R- p 0.R?',Y i c~ ~ 5 i i 01; OF FOUNDATION LOCATION - ~ i »2° A2 yWA4a-• MS KMA"ROYER ,PAv'r MARS. rJV ~~L~-P~-Y~~K+P 7Lr!/"K+P IP copper tubing is used T ,.for iVatar distributing ,pJn?~. ~ 1"xlo" Irc" o.c.. -Sol S~fs r t Jsygtem; piping shall be - - s of types K or L only -,u;,k-'a T,frv:44'vcl>Y. PLAT'S 'al rM"t J 1 J~l ' d w- ~ ~ 'Q r~ Gam"(' Tl"LtIU" 2 9R •!~g° su8•Ft PLYNOUG I ' 21°KC r" c Wyg T c~ 4 t p ' Y• It lI,II,~ ~„K eta" P. 4. vtAtLS Ilk- i ASPS'-row PELOVI <#*~,n'Pa f r 40 it 1~ 1 1 C:~ 1. 35 is ~-3 - I I 1 poi ' ~~SLfs.PR /•I /T S s . 3G ~ X X 14n/ C r /rSf ~ ~ftn~Y~.: 'i 3 - "x.,v, r 4 ,tiro" G~1~.IdG iu ~I r 7y 7!~ / 4 a _ x p28A ~ ~ i ash a. s~ ~ DNS V t_A1E A~/5=2= , l7Ji`~7 / ~ /,lx3X2~3 c 3c / 3 x OWkt,. Irr ^ ~-'~,I 4'Nw poops ~ FIN • F L. LN n~..~ I ~ ~P~e Of 'FIG a ~ s { r- -a -01 - 1 ~~S'~A9 E' JG ~ ~t 1~t1 5 r `e`u 3~~.. g11 i 2-0 ' f~PGAG6. - ' t.I NG o,F ~ ZPY .vlNQou/ 1 , -9 Ctu-~TIL~JER rl Li C..O"C'_, L.... - - l6~ 2dc 4k, As p"4-T, ~ I i q. p T i J17- I 77 i _ -6 C't~2DE~. W7 T- ei- gi^ or. 0 f i 1. oo% 00, 1 I'. _ I - ~ - S"r 90" p.c.~ W Au.-s caJG4 r i i 074 7 '~~/l r r 6~~ a 0 1 ~ l F"4 Tp~. r, 1, 1 1~ 1 r , 4 4~ Z~kr' 2t'O" I . qF'E ~Fbp fQ aJ ltd , ~ +o ' I$~ 40 -,Y 1?. a6t Z. 12 °~:IF .~"Z,4.M6~A~:7+4~fns I Ii ~ .VIDE pRE PS.:I; ~:~1 t u'.w+maJRY „f ~ i ~ ~ ~ E EaGEND~ 8t'?140~ ~ al, E D C DE' M { bupeFN +rr~ut h i + I ~ UIR D 6 ~pG p ~ w;: ~ I x c' t pv~-r ~j~~~ ~ ~ 'q,~ St~ptE io!•4~" ~ X15 ' i '•n'_.~irl" w{Yi '1" 1C!'_d" ~ ~ ~ ~au I ~y I ' ' ` .:dal y~M^ 3 { 11 In Ifs of i I y ' r I y k M4 ll y E I 6. ~j g y r. - Ull ~ i „ PROVIDE OPENINGS F 41 k - EMERGENCY ESCAPE REQU1REO RY PART.7 t ~~IY r xY AfATE WILDING 4 .4 i 1 141-1 t I y O F N EIbL o, ,t , r 99~ 4 r L i t t 7777 rtA ry `7. 4~ I I l Compliance-_Wrfh- A), Y. 5f4c -Energy Co9servafr'on Coastruc¢iv,7 Code, a l s arncndcd, cFFecfiye Narch I,1991 ' Par{ 5-~SeGPr'on 7814, HIdg,l7esfgn btdArrcptable -Pracl-rcf Source oF_Neal-in ~ar 1-h(s bid ~0"-~lcctn` rf ~ .r i ram tables 52 of Parf 5 For 5,000-6.000 Ve reeOCY G i- 1 I 1=nvel0pe-- Hon-P-lec. ~lec• Tn ula~ron ea Corn onenf Nea}n ea}ln ro emarks ~1 _ _ N ' p niuTa O Re el -LJ rns a~led R o 1 1 E'x t. W II R-IS R €I E`~ T- r,_ I i"_ .r Ip'_ RooF Ccilr! R-19 !o R 0 I P! ` I I oor R-I 19 R- f (n _l Found all* R-to o" R- NA a 41 lazirz R-1.7 R 2•[o R- r' r> 7„~ - --z,-+J r. Doors -2.5 215 v k A -i 1a lmum ross f=loor Arca: 5, o0o sF; ~ ' ~ ~Ii * Regd• dep e olnf yra e; ncics, or to op o y'OPf,ne y r i i 11 J, ® mall glazing shall no} ercced 177° of gross W,7)1 area , J> - - iN _ i~'_ ~ ~ Includes skyle9hfs - 5kg hgWf ShA II re. no r77ore ~ J a - ~ ~r 1 I ~ +harr Iqa of f-otol rvoF area. r ® Regqd depth: 24 inches below grade, or Below -op of c1 nb, ~ ~ nrhichever 15 grea}er• or From }op oFslab }a bo,}orn of slgo, _ __I C f"17Pr( a horizonJzia c(Ill -a17ce of 24lnchcs bcnco+h theslab. 7-)7 1,15 zuild,n Itiall Eivss Arev: 22G0 '5,F; W/) Glcrz/)reo: 3./.~ Sr; %,1~ L Q ~ E'ooF Y92 .SF; y`kgllq /f " O SI : y~ s C'OC~~,S C-1)AJ)-rz1ch0'!7 O fltis bldg. f7all Gogtvrm-,-o nJl pc-r6l7drl~/_._-`_ P t~~ 5,-C J I1017-5 of Par/ -5 o s ecif°rec) ,n fha above-idenfi red Ca/ ~n •7* c:r_neq,y it J ~ ~K ~CL ~ ~DU5c For: LA.5-z: Z26g pT \ f il 1p~; FINISHED GAAOE K W[ STORAGE MAW NEW SUFFOLK AVE. OVER 15010 WELL and CESSPOOL 2 N/F i KOWALSKI GAGUNOWWATER o N m 7B' TEST VACANT p o HOLE t'i F ly !CRY. Q o LOT 6 SUlMER!l!C£ PUMP N 82 0 27'50 "W \ 30000' TYPICAL WELL DETAIL NTS CESSPOO S O PROPOSED DRIVEWAY WELL V O OVER /505 SLEEVE 'p m O h 150,1 FINISHED CRID£ PROPoSED ~ a tr a' h CESSP 2 h /'MIN t'NK P'NAX B - GARAGE TERRAIN R ~~A PROPOSED N SEPT/C TANK i~ GENERALY j Q LI 114 1/ ;It' W 830 g LEVEL N/F STAR j O I PoURED Ra col L !DD FT !/DE WALL ~ tl' CONCRETE ~ O V Q MIN, ARM LFACHN o noR 3 y W L J !DD GAG. Pte" SEPTIC TINX M WALLS=B° LOT ELEV 230± 2 Z_ 2 ry ` V to C S` `l Y' MN IGROUND WATER j TYPICAL SEWAGE DISPOSAL SYSTEM O B3O 85 O Z 110 lyre, SETBACK M {YELL B3 /o A! LI' a W ~ O U J ~CONC MON O 0 1250 V NTS 230' nr FD Iran Pipe t~ / Found N E 41~ S 610 07'40"a N~ 0008' IF KALOUS (RESIDENCE) N/F SMITH (RESIDENCE) WELL ,504b CESSPOOLS CESp SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO 150'- to WELL D'= to YELL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FILE NO 9327 SURVEY OF SURVEYED 2/ OCTOBER, 1994 FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS FILED FEB /5, 1993 LOT SCALE 1"= 40' AREA= 46,043 SF OF THE SUFFOLK CO DEPT OF HEALTH SERVICES IN R-BO ZONING S APPLICATION TM#1000-122-10-02 MAP OF HENRY APPEL SITUATE NOTE+ SUFFOLK COUNTY DEPT OF HEALTH SERVICES VERTICAL PROVIDED By SU SUFFOLK FOR APPROVAL OF CONSTRUCTION ONLY MATT/TUCK, TOWN OF SOUTHOLD CO UNTY DPW UTOPO MAP (MAPAAF34)K 'AA-as/ DA TE' SUFFOLK COUNTY, N. Y HS. REF NO. APPROVED+ SURVEYED FOR: JOSEPH M DOORHY SUFFOLK CO. TAX MAP DESIGNATION GUARANTEED TO DARLA A. DOORHY SURVEYED BY DIST SECT. BLOCK PCL JOSEPH M OOORHY ,STANLEY J ISAKSEN, ?R /000 122 /0 02 DARLA A DOORHY PO BOX 294 OWNER TOWN OF SOUTHOLD NEW SUFFOLK, NY, H956 (516)734-5835 .y f- JOSEPH M. DOORHY and DARLA A. DOORHY TEST HOLE DATA Copies of this survey map not hearing TEST HOLE NUMBER/ the Land Surveyors embossed seal shall AS FOUND ON LOT G SUBDIVI IN FOU D ONLOSION not be considered to be a valid true MAP BY YOUNG B YOUNG SURVEYORS, RIVERHEAD, filifpY~ 4 NEW YORK. /CS/ HVLL /VV / Unauthorized alteration or addition m the o0 corny is a violation of Section 7409 of THARD L 0.5' We New York Stale Education LaWe G GRA Y<VEG uarantees indicatedhere on shall m I _3.Z only io 1he person for whom The survey. is prepared, and on his behalf to the title Cov_r. enf. I F.;ency, lendin7 if hzrcn, and < to the cssi9nees of the lending insdtutioo. + -0 L 3VEYO NYSLN Guorcntees ore not Ironsfcrable to additional institutions or subsequent awnera 1T o' 2 418195 Located WNlly Fa Adhon,mdLpo~taled FoV/dollm 94C552 1 12110194 Add, Well L oro/Im,!l Owewoy. A{v Smllory, Hwse, Se/flock ff - F. v Q. \A kM. 1-1 0 i J i r -rl - - -~t - T - Z. - - d I ~ z i 1~ I N , IL ' Q t IL rue - ~i~~-?. er elr ra t~ av i i I ~ 4 ! y iToiLE ' w. _--y ~ I h E j tIJ 3" Y S-D OF HE r - i rpPS t. T~~fi - a, 1 L)VI O I i I I I II ~y WiNpn~~! ~ p r -Jew y • ~ N 1 ' I I ,Il, 2 S~ I I dW I RO AL I a Y _ -a _ Fa- 21 d r I I , 1I ~ ~ _ r yyll r {I r~~r r'_r r - ~ ~-CONC - fT! S r 41 _'41-4" - 40"0" ~-acc-- JS • ~j ' ~ .N fCIV~'^I ~ ~ I ` I 11 r s e { L~ y~, f o. M' { `I 0 i 70,1, fy m ~ IZ VAIJI i GLo5E7' I ~ ~ ,a =J,~i.,~Yt?~$saFn'G'6°''- ~ m _ ~ o~• (_r, ~~a" ap", ~ 2~'I -r~-'~` I d zp~'n I ILx+j.°LAip any ' r i ~ w~A^r6%a+-+s. aR N'o~den. tlouavy~ywb'f1t "cars. { 9 yL 12o i t ' l l _ N , 11 I t' - r" x. J . _raa ff( AUievCrM -64, p!18~C1` 19. - p/ I o - I IN, ~ I ~ '~a:31'O I I I jv Of Neu, I I I 4~ qq '1 f I I 4 4 I RIO t