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HomeMy WebLinkAbout21754-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23516 Date MARCH 1, 1995 THIS CERTIFIES that the building ADDITION Location of Property 21755 COUNTY ROAD #48 CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 1 Lot 18.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1991 pursuant to which Building Permit No. 21754-Z dated NOVEMBER 3, 1993 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA APPROVAL #4025. The certificate is issued to ROBERT & BARBARA TAYLOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - FEBRUARY 27, 1995 PLUMBERS CERTIFICATION DATED FEBRUARY 22, 1995 - ROBERT TAYLOR Building 'nspecto Rev. 1/81 I I 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~... Np 21754 Z ,l Permission Is hereby granted to, . r a _ to ..~cax~.... A/ f f at premises located at...... ~lL . County Tax Map No. 1000 Section 9.( . Block Lot No. ..P. i pursuant to application dated j/..5 19..9( and approved by the 'E Building Inspector, ( Fee S •Irl. ' i / f B ' ing Inspector Rev. 6/30/80 FORK NO. a 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° 20000 Z Date 19. ..1 Permission is hereby granted to: , aA4X ©Px Q.'Y1....... :4Xl.`..::.:\...... rt~ .....:..:.:T...... .....:.r ..aLa......!".R.....! fro a" at premises located at :i .........4 .............L' a *a^~1 i....~..T .1 l S? 0. 7kVie- f f County Tax Map No. 1000 Section (.Z).%R........ Block Lot No....L.Kuk ' pursuant to application doted ' L / 199.1..., and approved by the Building Inspector. t r Fee 5.. ..i2J..!~ I Building Inspector F i Rev. 6/30/80 Form No. 6 TOWN F SOUTHOLD - fl L (1 BUILDTOWNING 1 U B 995 KF7 995 765-18 02 G. DEPT. f'T TOWN OF SOUTHOLD f 'A D APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form). 3. ApproAP 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 17 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. 3. '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. 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,, Commercial $15.00 Date ....2': ~W." .(.L! dew Construction .../~7Old Or Pnr/e-ex`ist''ng Building.................. ,ocation of Property... Ay_ . . IjfJ . . House No. Streeter / amlet )nwer or Owners of &Olf .3 (~~ha j.. ,ounty Tax Map No 1000, Sect ion.. Block . ......Lot... subdivision++~~....y...... ............................Filed Map............ Lot...................... 'ermit No.~ l:I .!.......Date Of Permit ................Applicant e)/ -A&datla..74XIV lealth Dept. Approval ..........................Underwriters Approval........................ Manning Board Approval Zequest for: Temporary Certificate........... Final Certicate........... ee Submitted: $ ~~c= y41L13 Co ~ ~ 351 ~.9~..,_"".. . . APPLICANT r1ELD It:SPEC:iU:J JJDA OMMENT FOUNDATION (1st) _ FOUNDATION (2nd) 2. ~ n ROUGH FRAME & J .2 PLUMBING 3 . LL x N m G o2m INSULATION PER N. Y. H °6 STATE ENERGY d CODE 4. _ -3 FINAL Q_I ADDITIONAL COMMENTS: s 2- ¢ 44 A. m x ca m -v J Town Hall, 53095 Main Road y Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 0 = , ':r OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : Building ,~~h~ Permit No. 76: Owner: ~b ~Y} c;1nrhnc j (please print) Plumber: Selo py^} ~ Acttar' (please print) ' I certify that the solder used in the water suppfy system ~f contains less than 2/10 of 1% lead. (Plumbers ignature) Sworn to before me this cZ arJ day of T1;z61','y 19 1 Notary Public,,~~1 County ~LT Awk9 8kMMWw *mA,MeNW9]~ SyoIIWWAwN 0160 .Lnu N1 HaNNU V h~o~os~FFOi,~~oGy Town Hall, 53095 Main Road °y Z Fax (516) 765-1823 P. O. Box 1179 • .tC Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 23, 1995 Mr. & Mrs. Robert Taylor Box 462 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21754-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. t ~a1 Y~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: Je~ . DATE~INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [4-1 ROUGH PLBG. [ } FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~Z ' ~i Z~ INSPECTOR DATE 7 ~l M-1802 BUILDING DEPT. INSPECT ON [ ] FOUNDATION 1ST [ ROUGH PLBG. ( J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 4''.X-~~ ~rz~ en ~j DATE - INSPECTOR ',A 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ 7 FRAMING [ J FINAL REMARKS: DATE 0 INSPECTOR M- 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. ] /FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [4,,rf R~AMING [ ] FINAL REMARKS: ZI J\Dt p.,y,~ ? n e_ ~ 4 c r r-A e* F,: G ~~~5DATE AJ12 Z~ INSPECTOR Ap*- Cp M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ I FINAL REMARKS: ' Y DATE INSPECTOR 4 As N T ~oyyt°a yy~ I z n N C nC7 ~O b m 9 y F N D S 61 ~pGj Z m a•* y N " i l'. Z n Ol yso ~n? I F a N O ~k ITS p ~ .fl CC D 3 rJ ~ _ ~ w ~ a ~ ~ a. w G M n ID 9 ,a i5 on m l- -.4 W R~! m F C c X UI? Q O ~c _ £ Z " z x ' ~ ~ a ~ Q a b i W n f m o m c Qy 0 o" am a®~ ml^o $ o fR "m a, zc~ ® A~ a v z m 0 Ol c moT 4- n o fe d m o N s g it a m Z 0 m D > A R E yn pS ' o nF m ry m Rai n• z~ ~ b C]t ~ ~ ~ n.. lr' is c $g 0 OOop~171 W Z `"3 p S N x o A tN0 x C $ E x s O Z W v = _ ~0s~ O 0 D O Q R W m m m < $ a 4 Z g S~"'"~ f N a i> ~ N tt K n 'O M ~w• ;5p y A h~ z T b N i N i u am, ~ V Y i N" { 4 - i - - - - - ~ r a r - - - _ - - - a s f k 1't. - 1 APPEALS BOARD MEMBERS ,.1r r(, SCOTT L. HARRIS Gerard P. Goehringer, Chairman yY Supervisor Charles Grigonis, Jr.''" w Town Hall, 53095 Main Road Serge Doyen, Jr. James Dinizio, Jr. P.O. Box 1179 Robert A. Villa Southold, New York 11971 Fax (516) 765-1823 TeleP} (51,§r 51809 = Telephone (516) 765-1800 1 r BOARD OF APPEALS TOWN OF SOUTHOLD I, 21991 ACTION OF THE BOARD TfSV'Jh!(F:iliYiitif.C'7„ Application of the ESTATE OF JENNIS HARRIS. Variance to the Zoning Ordinance, Article XXIV, Sections 100-142, 100-141, 100-241A, for permission to enlarge existing nonconforming dwelling in this Light Industrial (LI) Zone District with a proposed addition having insufficient side and front yard setbacks. Location of Property: 21755 County Road 48, Cutchogue, NY; County Tax Map District 1000, Section 96, Block 01, Lot 018.1. WHEREAS, a public hearing was held on June 7, 1991, and all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. By this application, appellant is proposing an addition along the westerly side of an existing dwelling structure which will reduce the setback from the westerly side property line by approximately 22 feet, leaving a setback at not less than 20 feet. The setback from the southerly front property line will be maintained at or more distant than the established nonconforming front yard setback of 22 feet, as more particularly shown on the sketch submitted with the subject application. 2. The premises in question is referred to as Lot #1 of this Minor Subdivision map, which has received area variances for its nonconforming size in this zone district by the Board of Appeals under prior Appeal No. 3840 rendered June 29, 1989. 3. The subject parcel is unique in'size, character and location, and has a total lot area of 24,502 sq. ft. with frontage of 100.00 along the County Highway. To the north and west are premises owned by the Town of Southold (landfill) and to the east is an existing single dwelling also located in this industrially zoned area. 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HALPIN SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES DAVID HARRIS. M.D., M.P.H. COMMISSIONER June 13, 1991 Mr. Robert Taylor, Executor Jennie Harris Estate P. O. Box 462 Cutchogue, New York 11935 Dear Mr. Taylor: Subject: Board of Review Hearing - May 16, 1991 Proposed Subdivision of Harris Estate #89-059, ('1') Southold; SCI'M 1000-96-1-18. At the hearing on May 16, 1991, you had an opportunity to present your appeal of the department's ruling on the subject application. Based on the following information and in accordance with the provisions of Article 2, Section 760-220, of the Suffolk County Sanitary Code, the determination of the Board of Review is as follows: Statement of Problem Parcels served by individual wells and sewage systems in Groundwater Management Zone IV must have a minimum lot area of 40,000 square feet or equivalent yield in accordance with Article 6, Section 760-606, paragraphs Le and 3.a, of the Suffolk County Sanitary Code. The applicant is proposing lot sizes less than 40,000 square feet. Findings and Facts 1. Proposed development of a 49,453 square foot parcel into two lots of 24,502 square feet and 24,951 square feet, both with existing dwellings. 2. Site is in Groundwater Management Zone IV. 3. Homes were constructed between 1957 and 1962. Town certificate of occupancy issued. Subdivision is requested to settle an estate. 1 223 RABRO DRIVE EAST HAUPPAUGE, N.Y. 11768 16181348-2900 Mr. Robert Taylor, Executor Page 2 Subject: Board of Review Hearing - May 16, 1991 Proposed Subdivision of Harris Estate #89-059, (T) Southold; SCI'M 1000-96-1-18. r Findings and Facts (cont'd) 4. Public water is not available. Nearest public water main is approximately 3 miles from site. Test well data for a 99-foot well with a static water level of 48 feet indicate nitrates levels at 7.3 mg/( and chlorides at 113 mg/l. 5. Average lot size is 24,727 square feet. 6. Proposal is 62% of department standards. 7. Property is adjacent to the Southold Town landfill. Wells are located as far from the landfill as possible. Determination The Board granted the request for a variance. Article 6 is intended to protect groundwater quality by establishing limits on density. Approval of the requested variance should not have any substantial adverse effect on water quality. The granting of this waiver does not imply that your application will be automatically approvd. It is your responsibility to ensure that your application is complete; otherwise, your approval will be subject to unnecessary delay. Very truly yours, . vV1o•*~ Dennis Moran, P.E. Chairman, Board of Review DM/1st cc Mr. Walter G. Lindley Ms. Susan D. Windesheim Mr. Frank Dowling, Sr. Planner I Ms. Karen J. Hagen, Esq. - Wickham, Wickham & Bressler, P.C. P. O. Box 1424, Mattituck, NY 11952 Town of Southold Planning Board FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . ~3~c PJ 19 . To IIYW2.~ ....W:11.... . PLEASE TAKE NOTICE that your application dated 199/. for permit to r-e . ~1 yjJ. A? G2 . at Location of Property .....7SS • , • W use No. SireeE County Tax Map No. 1000 Section ...9,1~ Block tl Lot . 1. fe.l.... . Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds . //I.~i . 44 -.41e. a . ld'~ g• Inspector µ RV 1/80 'ZZ FORM NO. 3 TO1VN OF SOUTHOLD BUILDING DEPARTMENT TOIVN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ..MARCH 2O 1991 . To ROBERT TAYLOR @ NATHAN HARRIS 6 WF. P.O. BOX 462 (JENNIE HARRIS EST.) NORTH ROAD, CUTCHOGUE PLEASE TAKE NOTICE that your application dated 3l I3 91 for permit to CONSTRIICT AN ADDITION TO EXISTING ONE FAMILY DWELLING .......................................at Location of Property .21755 COUNTY RD. #48, CUTCHOGUE HouselVo . Street .......................Hamlet County Tax Map No. 1000 Section ....96 Block . At-* Lot ..1.8.•.1........ . Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds AMER ARTICLE, AI,V, •SA1gTWA ,100- qqr 141 A ONE FAMILY DWELLING IS NOT A PERMITTED USE AND UNDER ARTICLE XXIV SECTION •1Q0,-z,4 IA. , EXISTING, DWELLING CAN'T BE ENLARGED. OR.ALTERED......................... . M.TJ.014, )t,EQUIRED. BY. THE. ZONING BOARD. OF. APPEALS. .fit,;...... •\1 ~ B ildi• ~ ~ Ins~or RV 1180 x i.•.. .•,.+v - _ s+1s2.:. cY ~y <eSN kivn i.v:HF~Fv`tvG.ip(iipi`r4iiI41' ~ -rurx<<,,~ f~oPa y~ 4~ f e P : . 41 PLANNING BOARD MEMBERS W SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor J` George Ritchie Latham, Jr. ~'~.~y?J~~' ~°T Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 10, 1991 Daniel c. Ross Wickham, Wickham & Bressler, P.C. Main Road P.O. Box 1424 Mattituck, New York 11952 RE: Minor Subdivision of Jennie Harris Estate N/W side of C.R. 48, Cutchogue SCTM#1000-96-1-18 Dear Mr. Ross: The following took place at a meeting of the Southold Town Planning Board on Monday, December 9, 1991. The final public hearing, which was held at 7:30 P.M., was closed. The following resolution was adopted: WHEREAS, Jennie Harris Estate is the owner of the property known and designated as SCTM#1000-96-1-18,, located at the northwest side of C.R. 48 in Cutchogue; and WHEREAS, this minor subdivision, to be known as Jennie Harris Estate, is for 2 lots on 48,453 square feet; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself Lead Agency and issued a Negative Declaration on March 27, 1990; and WHEREAS, a final public hearing was closed on said subdivision application at the Town Hall, Southold, New York on December 9, 1991; and L1~C ! to 1.t3~1 Page 2 Jennie Harris Estate WHEREAS, all the requirements of the Subdivision Regulations of the Town of Southold have been met; and be it therefore, RESOLVED, that the Southold Town Planning Board approve and authorize the Chairman to endorse the final survey dated October 23, 1991. Enclosed please find a copy of the map which was endorsed by the Chairman. The mylar maps, which were also endorsed by the Chairman, must be picked up at this office and filed in the office of the County Clerk. Any plat not so filed or recorded within sixty (60) days of the date of final approval, shall become null and void. Please contact this office if you have any questions regarding the above. Very truly yours, Bennett Orlowski, Jr. Chairman Encl. cc: Building Department Assessors Office Zoning Board of Appeals 8 3 D 0,1R0 OF HEALTH FORM NO.1 SETS O?LANS uet~ f 4 SURVEY IRYi TOWN OF SOUTNOLD CIiCCR ..~.,tIS_ a, , , ~ ~ ~ ~ • BUILDING DEPARTMENT SEPTIC FOR:1 BLDG. DEPT. TOWN HALL TOWN OF ^sOUTHOLD ~ SOUTHQL.II_ N.y_ 11871 Y.OTIFY; G TEL.. 7GS. 11302 CALL Examined.. -AA3. 19MAIL TO: p• L.e.. Approved 1-all. 191.I. Permit No. j;;~~40 r) Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit.` sets of PL=, accurate plot plan to scale. Fee zccordimg to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par, of this app cation. e. The work covered by this application may not be commenced before issuance of Budding Permit. •d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appiicant. Such perr. 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 Oecupa:.: shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pc-it passant to t` Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Rc;:Wations, for the construction of buildings, additions or alterations, or for removal or demolition, cs herein describe: the applicant agrees to comply with all applicable laws, ordinances, budding code, housin;` code, ana regulations, and c admit authorized inspectors on premises and in build ing_for Hers n- in / ~~r - - - - - - (SiSSiign atur 0i ap scant, or name, if a corporation) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ......_...01........................................................................... Vame of owner of premises -,in j;Pr 1~C3,Vy ,j as on the [ax roll or latest deed) r applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No_ ..//,i!w?mp\ . . . . . . . . . Plumber's License No. ..0a)(2.P,2 , , , . Electrician's License No. Other Trade's License No. Q{ Location or land on which proposed work will be done; ..................a!.7 ~5 ....C:.:..Y Ilousc Number Strect / Hamlc County Tax Map No. 1000 Section ' :P Block Subdivision . Lot . . • • . • • . Filed Map No. (Name) Lot.......... Stztc existin0 ^ use and occupancy of premises and intended use and occupancy of propose) construction: A. Existing use and occupancy..... ;D(!??~, B. Intended use and gccupancy......VY1614 J. Nature of work (check which applicable): New Building R , , v...... Alteration Repair ' RFmoJal • Addition Tennis Court . ' ' • • • • • • • . • • • • • Demolition swi:nAI pop, a r~cc ssory Building. Estimated Cost A r'.........•...••.... [ Fence ,......Other Work......... ee 5. Ifdtvcllin (La be paid on filing this application) mm~bcr oC dwc!lin~ units , If gara^e, number of cars • • • • • • Number of dwelling units an each floor . , , • , _ • • . 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- Hti_ltt ,,,,,,,,plumbcrafStorics Dimensions of same structure with alterations or additions: Front • • • • . • • . . . . Depth . Height . Rear . • ' Number of Stories . Depth . , , , , 8. Dimensions of entire new constntFtion: Front , Rear Depth Height Number o . . . 9. Size of lot: Front . of Stories . 10. Date of Purchase Pear Dcrilr • . 11. Zone or use district in which remises • . . • . ' ' • • Name of Former Owner . 1 Z. Does proposed construction arc situated . vol c any zoning law, ordinance or regulation: graded 13. Will lot be re ;I• . " • " Will excess fill be removed from premi remises, Yc„ • „ , 'i 14. Name of Owner of pr miser ? Name of Architect • Address Phone No........ , . Name of Contractor ' • • • • • • Address Phone No... . 15_Zs this Address Phone No.. . property located within 300 feet of a tidal wetland?.*YES ....tt0... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether'existing or proposed, and. indicate all set-back dimcn"or , f: property lines. Give street and block ntjimber or description according to deed, and show street names and indicate w:tc::. interior or cornerlot. i I. . I I , I I TATE OF N'MV YORK 'OUNTY OF ..`at,~..>. S$ ~ • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the appliczr (Nameofindividualsi^ 'contract) )ove named. I c is the .........4W.v . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly 3tithorized to perform or have performed the said work and to make and file tit Theation; that all statements contained in this application are true to the best of his knowledge and belief; and that tt: Ork will be perfornicd in the m •r sci forth in the application filed therewith. vorn to before me this ay of. 19 c1cik.. ...f rtaryPublic. C. County ' • • Co'unt`y ~'~9 (Si.-nature of applica++! I z M d J 0 U I Y O co r9 19 ( N y N N 1-t 2 x ~ III I ` 7 N„ I i ~C u I IN \ cY ap z ~ 3 v r W N a 2 3 p ul a o 19 (11 2 ill u1~ _ 1L a U d ` r 1 J V_ J Y Q a 2 _ 4 l~ NJ <n .r ~ li 1~ I x ~ ~ ^II i x`, --,i f l' i ~ ki.a: 13 I ~ ~J 1 . 1 F> W C'l !L1 A? _ , W I ~ ~ + v ~ ~X'z~rn 1.S~on I10~y3 2J3S,SIS ~ ti ~X~~r~ ~S~c~G' 1-ub~ ?j?iSl9 X'C I I i I s wV; - 9 of t ~ `0 fl w LL n7 C. ~ I oo„ 9/ v dQ 9xed iw I" N I D s z~ c~ ~ ~ I I x ~ Sul I~ J tj ~ -13 i ~1 d 4 ~ \ s < n i Q u A u ~y ci (0 -1 0 P Al u Z 1 IT f (31 'VOWN 1 ~5 liT ~r t jJ '~$en fit: f f ~ ll j S J• 1 x 5 fib] ..W`j-t f q, LQ e . tii( t l Z[~ -10 ^ it F y~l~~yrrr VE I ~'SVL AA 1 T~.~ 1 ? Q _ } ~ E y 1' F 1 t f r ,,i~ t Ct) 1 I, ' 1 11 i i51YJ~,Y'e ar{, . w FRUO ~r11{ a va _ Ito. pop s J {t l i 918`' TIO .OX'S LAP+If- % s t pE Ca 12.44!'5 ~1~ tf.4C4P A/ t0 z~~ r r j r r .~yi~ mt I .r 6 ~Y < .,~eb..~r. ..pur.r..r _.........n--r r..,ve.n /.v.~ n r ~ .ax. 1 ' uyvF t ~'ro~ 7 < sb~, a ti,i 1„ > ~x ¢q1 } s ) p yy > tavsa~'$a 9 , t ~ ~ f 11 i 4~ f- ~ti L J ,,I! 1 a 'a ) t, a 4 Mf~`x~ik b.. 4~~t 4 k C e ~ C Imo' ~ . 'll 6 f1" pp Nd~y °y¢ oW+%7~.~ +~`~+GW ai* «~,M..L. t d t d n Plow a'YY'tT"M SY tY.ur~~ tAf s#t ti_: ;4, "w 3_ e f 3r '„4C ~ i FLOCE P1TlE55 APES i FOUNDATION MAP OF 9 - Srap. rM. PUMP MADE -F`01( I 9~I IL~I r T wq 42.GAL,TANK f-- I'. I_r_. L~J 1 2~1J 6` U -[pWN op SvIlT ti tii L.G' ^ _,LROUND WATER JIB' I / I 4p WELL PAINT wanNE !=t Nn' OWNED A DEVELOPED 13Y: .C. - . JENNIE HP JENNIE HA2215 EST, 2~'14 00 z/o WICV.HAM1 WICKIiAM 4 52EwLEE, P. C. TYPICAL WELL ,I laa.o - i •D wELL °I °/q_wjcK.H_A MAIN 20A( MAIN f2l]AD ("y / ~ I MATT Il"U C MATTI'1"U GK2 fJ.Y, 11952 / r I I J W I l: ~ I U Z LOT I LOT P L' to ° 24,502 5,E u tr 24,951 S F", ~ I a , - z I s POOL i SCALE- ! ~ I -zz'm s cv u 1 I o sc so loo Iso zoo i F'1 lYsS 0. I~.I lsmav 'q- r'a oL ~ .i ' FR.H~W[Ltt'UL FR.HO.~ ~LO 1 / (l pOO4`; r' 1_lyj ui ! I rb 'd Y I z~ p 'i' . ~ (l1 i 3z+ , I ;~,?~°5v 3G bJ~ 9Cno 9!6'± TO coyS IjMAE 1 F I 5 f'; ~C;Ir DIN 6111" PINGZ~1',dEl-I :LIGHT NDUST2{AL. C:)NTOUI2S f?EFI.i f SU2VEYED OCT- 25, 19$8 minlusv~^'w mn~not h^. rtnn Atr1E[JUE:O Frr ES. X7~Iy$~i 3 FEB.15,1491 `r4ci OCT. 23 , 1991 Approved in umoria ce wk /3 of Review dekrminotlo~dobd f WE HE2EBY HE2EBY_CE2TIPY-TFAAT_NO LOT/~ ON_-rHIS MAP_ i LH55 THAN 29 00-059, IN AQEA AP41D THAT - SURACTTOCOVINANTdLtP51*11c 0NSUSFR_~ IS„LE55-THA ' muc ~.ya. 1 ino_i liar W< APPP20VID BY COMPLETED i far wfia rlta~t pT u~ F'ICl.)r'I ALTUHL 5L1fLV EYS_ ! r - " - - SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES iMPLETED OCT. 23,199t, AND THAT _124N/~PIPES HAVE BEEN S PIAr~ ,4G GOARD - ,VE BEEN SETAT 561NTS -zW-11l THUS, 0 Hauppauge, New York fir T t 1 t9~1 2C TO'tMFJ~ OF SOUT14OLD This Is to certify that the pr arra~geme/ f r water supply C DAT - - a~ for JNrrV~ ras 20DE21CV VAH TUYL, PC, (ti (-17F1~Sf 1 In tM with a total of _ lots werea ifi don the above dale. These facilities mustcanrorr,„;o to construction standards In effect at the time of construction. Tnis approval shall be VON Only Ih t.9 event said subdivision/devei- LI4.LANO SUr _ '•.1-AND 5U2VEY4712S - G2EENP02T~WY 916+ opment plan is duly filed with the County Clerk within 6 months of this daft. Consent is heraby div n for the filing of this man on which tins endorserlerut appears in the Office of the County Clerk in t+1f?Pl..[ -fiQAD ar2.46~ cco d ncewil C 'sio soltheP11b!1"Khlawand the Suftolh an! tY a rs7F~ Of 310 4'EY KAF - AidsAr rcoli PE W; 0 _ i Dvector, Dwision of Environmental Qudlly ' PLNNNNING BT