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HomeMy WebLinkAbout21169-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23945 Date OCTOBER 12, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 965 BAILIE BEACH ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 3 Lot 15.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22, 1992 pursuant to which Building Permit No. 21169-Z dated DECEMBER 31, 1992 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE, DECK AND SECOND STORY DECK AS APPLIED FOR. The certificate is issued to KNUTE BYSHEIM (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-71 OCTOBER 4, 1995 UNDERWRITERS CERTIFICATE NO. N313450 MAY 11, 1994 PLUMBERS CERTIFICATION DATED SEPTEMBER 30, 1995 CHARLES JARVIS PLUMBING ui ding Inspector Rev. 1/81 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) i N W'° 21168 Z Date . ~ 19.?Ap- Permission is hereby gro ted to: 12 e. ~ .,..~1' .,...r.ii71~' of premises located at .Tr.!.41rd ........i..:~. 7 L1..::~.~r.. .47.1...,(... ZJ C?. . d f ..............................................c.................................................................../ J~...... . . County Tax Map No. 1000 Section Block Lot No 't i pursuant to application dated . 19..7.. and approved by the I Building Inspector. Fee S••.Te~1.13GJ f w /.lrr.T..<.R..^~z Buil ng Inspector f C l r Rev. 6130180 f Form No 6 rO'WN OF SOU HOLD BUILDING DEPARTMENT 1 / TOWN HALL ~V4,~~ ~1V\J 765-1902 )1~3~ APPLICATION FOR CCRT171CATZ OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted co 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). 7. Approval of electrical installation from Board of Fire Underwriters. 6. Sworn statement Erom plumber certifying that the solder used in system contains less than 2/10 of It 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 Dian requirements. B For existing buildings (prior to April 9, 1957) non-conformine 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 525.00, Alterations to dwelling 525.00, 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 - 5100.00 3. Copy of Certificate of Occupancy - 520.00 6. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial .$15.00 Date New Construction... Old Or (Pre-exist(,i1ng Building Location of Property 9"V- J.p1 l <..i??..7 ( ~..'ll.Cl....... (.-A . F{ouse No. Str . set uamlP_t rT~ Onwer or Owners of Property .....~.r~ . J~` S~o~.. ounty Tax Map No 1000, Section. T'.p....... B I uck ........Loc...'.` Subdivision., _ .Filcd Hop.... ....Lot.... Permit No ................Date CC Permit..... . . Applicnut. dealnh Dept. Approval. Underwr,Lers Approval..... . 'land Lng Board Approval.,. . ,equost for, Temporary Certificn Le. Final CerticaLe ^ V O Submitted: S`~. `aA.... ~gOFFO(~-C 0~0 OGy~ f/J Z Town Hall, 53095 Main Road p Fax (516) 765-1823 y~Ol ~aO~ Telephone (516) 765-1802 P. 0. Box New York 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 2, 1995 Mr. Knute Bysheim 50 Hiawatha Drive Brightwaters, NY 11718 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) No Underwriters Certificate on file. xx The check is not on file. $25.00 xx 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 # 21169-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. •4 Sae,1~, SEF g,9 -y= 0'1:30 701,111 OF 5OUTHOIU P,7/1 1 h~ Na (916) 765.1821 Town Nutt, 510135 Main "001 P. p, sox 1179 1 :n r: Tolephone (51s) 9651802 i 90Vthold, Now YOd; 11971 'i~?yi OFFICE OF THE BUILDING INSPI!CTOR TOWN OF SOUTHOLD 9 -R T -1 z __q -AT ?...9".1L Building Permit No, ,/2i'~r~c lC l~ouJ C ~ 1 owner, % i:~'l.~A. 1 vY\ (please print) (please print) O I cortiPy that the sa166x used in the water supply system contain: 1099 than 2/10 Of 1% lead.. 00, ( lumbar ignaGUia) Sworn to baPore mO thls. ~ S.` TER day 0 P croM~_ No ary PubNo, S Rtate of New York No. 52.4617789 s(~ ~7L (C Count Qualified in u kCounty Notary Public,,,, _~,v Y Term Expires _ f 'OUNDATION (1st) y -.q 00 1 OUNDATION (2nd) m 1,41 L BOUGH FRAME & ell, -I Lo~l -PLUMBING s. 3 - y 77 INSULATION PER N. Y. H STATE ENERGY JJI CODE I m H FINAL ADDITIOPIAL COMMENTS: S\ G n' . M b 44-- t H a r Qp~~ ^0 1 7* 41U tC a 3Y~ I`ilf! J 50 fliaWatil, Drive B rightwatCC51 New Y,A ~ l l ill afo/~- ENc/..rid i/(taSc 1 //.rn .Si Jr-'Neo ~y` ~If'Le'S'iTtxY. JG~sQ-N /c y e u - /C~tl fi ~C ~ • / T JP ~~ll a i 1 1 ~ / 1 11 F~ yyp 'Nl f, iVI/ A kbv l/p ! f. 90 ' ~ ~ ar- ~?v'^~n~"•_r'~'FA1r'_+~s~.r""",173R~y!?;'~'"~!3a~'..~~~;7:?s_'r'+r~:~~".:T!s'4!_G,~ 4 ~.s Board Of -Southold Town Trustees; ii SOUTHOLD, NEW YORK ro` PERMIT NO.. 40.87 DAT :...10123192 . I , I 41 ISSUED T „p O ....Leonard....&.,.Danna Schlegel. ? , . . 'Pursuant to the 1 provisions of Chapter 615 of the Laws of, h the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; a6d the Southold Town Ordinance en- y titled REGULATING AND THE PLACING OF.OBSTRUCTIONS t IN AND ON TOWN'WATERS AND PUBLIC LANDS and the:. REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .10123.... 19 92, and in consideration of the turn of 750,00 paid by 11 31 Donna. Schlegel of ....Mattituck N. Y. and subject to the t~, I I Terms and Conditions listed on the reverse side hereof, I a: t p of Southold Town Trustees authorizes and permits the following: t' ai To construct a single family dwelling, sanitary system, 40' Y i X 10' dock, 3' X 15' ramp, & 6' X 20' float with two 8' piles. '1I all in accordance with the detailed specifications as presented in t ? w the originating application. 'I IN WITNESS WHEREOF, The said Board of Trustees here- F N I ~N by causes its Corporate Seal to be affixed, and these, resents to teY .hal be subscribed by a majority o he, s 'd Board as of ' pthis date. l , 1 x,,55// ..tees is 'ti'w4i,.°.A.,.d:,f.•,L;:,9LufiC,.,uat`h~,du.5iC~/~ ri,w-n.'fisv ,j:,-.y . ' i al ~ %~t ' ~tYw,^\\\yJ' ~C~'~ ° ~Y. Q J'F Yi~ `wFw'. . -J. > ~9Yw~ CPF A i~ff5 ~ ti A 1 ~,'0. c uePal unerit of bnvironmental Conservation . Building _11Y-SUNY, Stony Brook, New York 11790-2356 DATE: N 6 Ae F) 1 / r ~~v ( n sties r,. 2 Z ~~(t ) ~L ~ ` V e I Re :S~7lRr ~/d q, 5 9' ~v Thomas G Jorling GI - I tdG,C N ~iS . ( , Miri~Cr?!f"'I73.p UDG /'7~vL7Di ~ommisslpner c o !~-r goo, t..~ Dear A review has been made of. your oroposal for ' Caws { vu•c.{- Gl 51i s. r k, I i dew e(~,~ 64 fV I~~'h Urr ~-1AV'V-An t~ J ~I~NALi/..R A...,c~ SDr7~. Sr~Spr~ 1 l K• yc~c,.,~ c.Pd{i~ /,/lz~4l /n.-~~f f l~i.~V L s rcrr~ , of Bas Ened vir on onme the information you have 'submitted, 'the New v or State Department project nt is: Conservation has determiniQ that the N/ _ parcel Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than loo' in length which was constructed prior to 220 77, r(nX Landward of the 10' above mean sea level elevation, contour on a gradual, natural slope. Landward of the topographic crest of a blufF cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Erivironmental•Conservation Law). Please be advised, however, that no construction,. sedimentation or disturbance, of any kind may take place, seaward of the 101'contour or topographic, crest without a perrdit. It is your responsibility to ensure that all'riecessary precautions 'are taken' to' prevent any sedimentation or other alteration -or- disturbance to the ground surface or vegetation in this area as a result of your project.. Such. precautions may 'include providing adequate work area between the lo' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier;-or-hajr bale,berm. Please note that any additional work, or modification to the project as described, may, require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or 'approvals from other agencies. lvU , Very truly yours, Deouty, .Regional Permit Administrator ' G-GL'~t u , FORM NO.a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date 19/n3 . 30..x/ 4..:...... ~e, 71,0 PLEASE TAKE NOTICE that your application dated /3 qq~ for permit to iii, 4~L('~CLyIr Location of Property . • , . . ............at House No. t Street Hamlet County Tax Map No. 1000 Section ....~9 Block . • , , . Lot Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds i ildl inspector RV 1/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: E t f f i r DATE INSPECTOR ` M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE I -INSPECTOR AAA' 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ j ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION C ] FRAMING C 7 FINAL 'REM RKS: Gs/ l DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE c3 /Z INSPECTOR /i THE NEW YORK BOARD -OF FIRE UNDERWRITERS 104)1.272 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dote MAY 11"1y94 Application No. onfile 79273991,193 N 313450 - HAS CERT11100 414! only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of KNUTE BYSHI'ER, NAST AIDE ROAn, POLE 42, MATTITUCK, N.Y. inthefollowinglocation, E Basement 0 ist Fl. ® 2nd Fl. AT`i`ICIO11`1 Section Block Lot uns examined on MAY 06,t994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT K, W, "T KW. AMT K W AMT H P 23 39 43 L>. 22 1 2 F DRYERS FURNACEt OTORS FUTURE APPLIANCE FEEDERS SPECIAL It CPT TIME CLOCKS BELL UNIT HEATERS EOFEMF DIMMERS AMT. K. W. Oil IT P CAN 1 H. P. "T NO. A W. G. AM1 AMP qMT. AMPS TRANS. AMT N P AML WATTS SERVICE DISCO NNE4t NO. OF S E R V I C E AMT. AMP TYPE METER l a, I !r ]W JW 3 % dW NO. OF CC COND A. W G. F HbLEG A W G NO. OF NEUTRALS A W. G. EQUIP. PER a OF CC.COND. NO O OF HbLEG OF NEUTRAL 1 15td CF(3 1, 210 I 210 0714ER APPARATUS: JACUZZI-I?f' MO'TORSt3-5 11.1'.,3 E U.C'.,8 F 11 P, FANEGDOfiR0it4 1 CTR. 60 GJ,C.Tt-14 SMOKE DETPCTOR I - 3 TRACK LaGHTTNG;--24+ DANA. T, FOX F,7C,#525 E C~~%9T 467 FAST MAIN 5TRFL1~ ~ RTUhRHl~",;119 1. GENERAL MANAGER tv 1 J 1 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. 7BOARD OF HEALTH yy Y FORM NO.1 J SETS OF P~..tS .L,,,,,,- f11'C2zi99~ BUITOWN LDNGGD PARTMENT CHEC1:Y.. .V TOWN HALL SEPTIC FOR: f>_ . , SOUTHOLD, N.Y. 11971 )/1 Tyi~O~Lb TEL.: 765-1302 NOTIFY I 7 Examined. /q 199 CALL 6. --Z ,~7 1, . MAIL TO: Approved ....~yl. 19VPermit No.-PN Disapproved a/c _ . r (Buil ng I ctor) APPLICATION FOR BUILDING PERMIT Date /x/02........, 19 X02 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or Ereas, 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 tdmit authorized inspectors on premises and in building for necessary inspections .....y ).-OK Knru TE /3 y s~Ein r (Signature of applicant, or name, if a corporation) S~l-l/AwATHA R.~.~R'4ffTwaAil f!7!~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . OCvNc 2 . . Jame of owner of premises . ,o n?N A LLO JA aa sC.. f~ Jc~f (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . ,w,NC2, • , , , , , , , , , ' Plumber's License No . Electrician's License No . . Other Trade's License No . r~ Location of land on which proposed work will be done. 1.5....... . .~•'~~s z o K r ~~'FtflS -a' ' House Number Street Hamlet i'hES7T,TUuc, County Tax Map No. 1000 Section 00 , , , , , , , Block 0.3 .0 0 6 i S I Lot Subdivision P.b~~o I~ LL {F lCflCo Filed Map No. 7 rl S 6 (Name) Lot . 7 . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy rv (e ~(a r~ y t p 3. Nature Repair of work (check which arplicable): New Building Addition Alteratio Rem m oval Demolition Other Work . X, (Description) 4. Estimated Cost S sR . Fee (to be paid on filing this application) S. If dwelling, number of dwellinsunits Number of dwelling units on 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 structural, if any: Front . . . Rear Depth . Height Numer of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth . Height . . Nu ber of Stories . 8. Dimensions of entire new cons[ inaction: Front . Rear Depth . a G' • Height , .,3 0' . Number of Stories . , s • • 9. Size of lot: Front . Rear ..42 S 330...... Depth . ?Joi o.............0............. 10. Date of Purchase "'0. • • • • • • • • • • • • Name of Former Ownerp0/lNNLEONR2D 5~fFc,ecs~ 11. Zone or use district in which premises are situated . 12. Pees proposed construction viol ~ce any'zbnihs'Iaw, ordinance or regulation: . lug . 13. Will lot be regraded .:`kG . , • • • • Will excess fill be removed from premises: Yes C_ 14. Name of Owner of premises ,h<Nu;Fe R3 she,m: Address . L? l Fl r??r NY Phone No.SI ' 6 G (-7 y Name of Architect R?L~ f3f mso ~ ~ • . Address . e b !J-r . Phone No ~s96 Name of Contractor . S?c? ve 2'C(~uuRe !3Yshe~ Address .f3.?:shi%VPipar. A! • • Phone No. s 15. Is this property within 300 feet of a tidal wetland? * " " " " Ye No......... *If yes, Southold T''own Trustees Permit may be required. ' PLOT DIAGRAM CO&Rm r ors Tq, Co~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block rlumber or description according to deed, and show street names and indicate whether interior or corner lot. SCe .Sceru e i Prrcfos~ . II . i Ili ~I i ;TATE OF NEW YORK .OUNTYOF.. S4tF9`<.... S.S, _iI hIU r e ' yS I c o' being duly sworn, deposes and says that he is the applicant (Name of individual signing1pontract) bove named. fe is the ...©W h!E.~ (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. wom to before me this ay of 19 Otary Pubic', • - - County ~ l ( ~ MolrpPub CLARK FN NaN4 (Signature of applicant) i`F7S Por naT ~'r~rf15~ rU7_ , Vkl)q Tr tt_ L) C_ 5?~ f 29$ - 21 S`Z ~~y+IA rn cJ / n 111,, ~ ~~VR ~ 0 qs (y4 N (p N T 04 0A A41, .....g 05.8 0A 41,040 OF4~ V 32.5 ~qV (jN 20.5 FN CIZs S /,O A PLO?05£17 ) 000,L hEN~AGE m D DF bl~v4~a rr~tit CwITNa ~ PZoP !so y{ TUk' ExPenihlal.t,) 41190 SAL-. WELL 18. r4mK: 5 IQ4 ~ INSTALL HAY GALES OR 136 I -2,g,1 EN,(/F-~ SILT FENGE PRIOR 70 lab. ANY CONSTRUCTION ; , , ~RryEWAY ~zLI Per h1ghwey record DWELLING R OFaoo 9 0,6 5 OO 100,, pp ka .o - - 15.E D Ace. ~fyQ1 W `te[ - l40 15.1 1 eI -6 U to 1WN0 ON' tO(~ 1,4 e a7 2 GARAGE VE90F HOUSE tW~ $ _ ENCROACHES 0.1' 4creS DWELUNG now or formerly tot v Robert D. Stearns et al. 1 "7 uND~sT O WELL IN I / ,gRuRB \ b\ BASEMENT \gcOp F EQ ~ i 01 0 `'t o eA 1 N„Q2 E S}rG•,.yN1Sh0`'~ C ,d; D~ tatn OR ly LAUOwArrn clNlr aF t 11 ~~s7 2OO.0 ( T1VAL WETihU O§ C.. P`a~e Di ' i 1 v 1` ew matt tuck ygYork Stor DEC 2 1992 Park Z~ C4Nrl e DiStrict S.C. DEPT. OF (VACANT) HEALTH SERVICES TEST HOLE 0.0' full !LIED !q RAPE F.F.: IG•o 0.5' B LOAM 2.2, ' EL: 14 EV14.5 eBOwN CLAYEY BAND 11.0• I. E.~11.9 BROWN MEDIUM I.Ea 11•S bEelbs 1•E•=12.5 TO COARSE i5o 9. F. SIDE y00 GAL 94N0 WALL AREA hEPf1G TANK 17.0 NOTE: GF.POOb ELEVATIONS SHOWN HEREON ARE (u"Pb(2) POOL ~PYh rf^A) - REFERENCED TO N.G.VD. (M.S.L. 1929) ~PEG•(ION' ~1:WAGE ptlo Pa~IAL ~iYSTEM ISiA t0~~° Bp~a~e> ackylum SURVEY FOR INOV. 1z,llsis42Y SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES LEONARD C. SCHLEGEL & DONNA M. SCHLEGEL MAR 14,1990 MAR.13,1989 FOR APPROVAL OF CONSTRUCTION OF JAN. 11, 1989 1 amity Residence Only AT MATTITUCK DATE MAY 7,1986 6JEC o ~ S NO GI2 O--Z TOWN OF SOUTHOLD SCALE I" = 100' SUFFOLK COUNTY, NEW YORK NO. 86-430 APPROVED NUNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED T'0= SURVEY 4 A VIOLATION OF SECTION 7200 OF THE EXPIRES '3 YEARS FROM E O APPROVAL NNEW COP YORK STATE SEDUCATION N LABEARWO THE LAND CHICAGO NE~ CE COMPANY SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO Q' Q W. HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- If NEAREST WATER MAIN M1. 2 NSOURCE OF WATER PRIVATE _PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED N SWF CO. TAX MAP pSTSECTION 222- BLOCK _Q&_ LOT IB.i HEREON, AND TO THE ASSIONEES OF THE LENDING NTHLIIE ARE NO DWELLING! WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE DDIIONAL INSTITUTIONS OR SUBSEQUENT OTHER THAN THOSE SHOWN HEREON. OWNERS N ONFER SUPPLY STAND 0/AL SYSTEM FOR THIS RC91DENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL LL CONFORM TO TO THE TAI[ STANDARDS RD! Of OF THE SUFFOLK K COUNTY UNTY DEPARTMENT OF HEALTH SERVICES, TO Ex ISTING STRUCTURES ARE FOR A SPECIFIC 8 ESTABLISH APPLICANT, PURPOSE A R NOT TO E USED TO E THE ERECTION OF FENCES ADDRESS ees•rY '~s<' TEL 400 TRA R AVENUE YOUNG a YOUNG RIVERHEAD, NEW YORK NOTES •_MONUMENT 0=4"x4' POST ALDEN W.OUNG PROFESSIONAL ENGINEER RE; LOT NUMBERS,EAST SIDE AVENUE OR NORTH LAGOON LANE ARE SHOWN ON SUBDIVISION MAP OF "OLD MILL HAVEN 00."FILED AND LAND. SURVEYOR N.Y.S. LICENSE NO. 12845 IN THE SUFF.CO.CLERKS OfFICEONOCL.2,1925ASFILE NO.799 t{OWARD Ili. YOUNG, LAND SURVEYOR NTNE LOCATION OF WILLIW),SEPTIC TANK(STNS LS q)!MOWN TBIILON `N.Y.S. LICENSE NO.45893 ME FROM FIELD OpERMATIONS AND OR DATA DOT EBB BRANDIS & SONS INC. 3046 t D r m oN4sr 1V4 CAINT .y4pso 1 OA- A4VF 35.8 I \ O<p GF a\ S 4s Z2,5 eA N, << y4;? 41 c~.._ 20.5 F'y v "1 S//p s z TEST CO s0„ _ P~oPO~EP C2) PmoL '~VF-AVAC,E m; HOLE s.z F. S/pF ~I~ po-Pql. e'YvtEM (wITI1 ~41 PROP ~ E 1 F' FU'PLI, EX ~a N~1ON~.) E 900 UQ L. "'eLl ~go• 4 185 A~A' r, e- TAIJK INSTALL 14AY PALES OR 115.G SILT FENGE PRIOR TO 2 Per highw0 ANY GON STRU GTION X11 Y record OP, pppp PR DWELLING op Haus~ -o -;16.16~ ~Q g.j r,J ~~•.i \ FF, EL I6Y a- 2_q? IDD 1~ ,,1 O X Z 2T 4J' Ih N'000 DECK Zd 9 20 ' Id Io B )I- -O o. d. _ .o X15.1 (R W 1..11 17813 - - _ 1J.- 20&1, Vt CO1 - t_o _ 684 N ~f N_ Of r0A 6 c9.GTx~'' %G R N 11 11 OF HOUSE /Acres „ f r ?NCROACHES 0.1 01 D 1 ^1I eO p 2. `9 Jr°t~ I/ 5~ ~ 0.41I DWELLING now or formerly T Cp1` Robert D. Stearns et at. utioZR BY\~ b BAWELL IN SEMENT 1 9C~ 1 0 ~D iTOi. b~3' 2280°w LAti1 tJ WAR L~ LIn1T aF 2000p, TIvAL WEr"QC?5 84,00' i - - - New y ~ - _ - - - atti M ~2 ork ttituck ~t V4C4ry7-) State Park It District (VACAJI TEST HOLE 0.01 FNJIh~IED CaRADE fF=1lo.o LA 0.5' OAM 2.2• E` EL-14 EL"I4.5 CLAYEY C _ SAND 110' BROWN 8 TO COARSE rilt-eri1r, bE.=14. 9 MEDIUM 900 GAL s4xD WAIL ArFA IG "TANK 1 7.0' NOTE: G6~JhPOOL ELEVATIONS SHOWN HEREON ARE C~`~~~2~ POOL hYhTBA.I REFERENCED TO N.G.V.D.(M.S.L. 1929) hF-G(loh(-~ti~A/AGE f71h PO~lAI ~YSTENI SURVEY FOR KNUTE BYSHEIM AT MATTITUCK DATE JAN. 14, 1993 / J TOWN OF SOUTHOLD SCALE I" = 100' SUFFOLK COUNTY, NEW YORK NO. 93-020 RUNAUTHORIZED ALTERATION OR ADD I TION TO THIS y„ -L; SURVEY R A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW NE _ *COPIES OF THIS SURVEY NOT GEARING THE LAND `1 NOT SURVMR'S INKED SEAL OR EMBOSSED SEAL SHALL `r,/ NOT CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO n - HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- N NEAREST WATER MAIN MI. Y *SOURCE OF WATERI PRIVATE . PUBLIC. MENTAL AGENCY AND LENDING INSTITUTION LISTED /r d[t N SUFF CO. TAX MAP GIST ~QQ SECTION 099 BLOCK _QA_ LOT 16"1 HEREON, AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION, TIONAL GUARANTEES INSTITUTIONS OR MOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. O OWNERS C~ R THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC p OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH `OLAN PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS YOUNG & YOUNG RRIIVOEROSTRANDER HEAD,NEWAYORKE NOTE: ¦=MONUMENT 0=4"x 4POST ZS=STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER RE; LOT NUMBERS, EAST SIDE AVENUE 8 NORTH LAGOON LANE ARE SHOWN ON SUBDIVISION MAP OF "OLD MILL HAVEN 00.° FILED AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 IN THESUFF.CO.CLERKS OFFICE ONOCT.2,1925ASFILE NO.799 HOWARD W. YOUNG, LAND SURVEYOR *THE LOCATION OFWELL(W), SEPTIC TARK(ST)G CESSPOOLS(CP) SHOWN HEREON N.Y. S. LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS ORANDIS & SONS INC. 1046 i°L iPr r ,9L. 0 6-, 0 ~jG, \40. \ \ v \ Ca/\ i / CONC RE7giR ING 1111N ~tv \ \ WALL' e.r~1 yy./ 90 219 53~ yz,Te m P 2 STORY 10.4' 0D s ?m - FRAME HOUSE m 19 r ~y 395' ]m 195m m 24 STORY WOOD DECK a q9 INSET "'koosrD 1" = 50' O\ p agl,F I °<p pF q 'EqS\ 4,r4 ` F" s.p0 "CO M 6p F S/pE \ D ° SEE INSET A, (R 2 STORY FRAME 3 GARAGE(UNDER NC. RE T4 Nj G *7 coNSraucTIOTloM l WALL per highway record STORY G I^6 -,"VE rR4MEHOUSE i~ 00 00 000 ~ s{ LO/DE6CK _12L 2__ E0 Vt N -~'O ro ~ ~ Alre ° N 2nd S 0 I 1 a 2. gS' r$ DECK TY W000 Acres now or formerly ~.QL. u for 4 Robert D Stearns et al. I A/p'STL, V O \ <9 AR~?8ED ; 6' ~ 'F y I Uri N./lo \ ad W ZZ 5 7TOI (OS3' O11 W LANIV W/tKG CINIT DF' ZOO OO TIYIAL wEFlnu G~'. 94.Q t .01 A1 atli tuck hew York Park state District SUFFOLK COUNTY ARTMENT OF HEALTH SERVICES sI F~'al% E holly ( Ttr® "wege disposal and waatar Sup,rly fadit9 at this bcatksrl 913vf bay"- : InSgPUC&.„y and/®r o9 Wled by #*a Dep,amu,:' other ager Id" and louod llo MOpSugsfattrAy. NOTE ELEVATIONS SHOWN HEREON ARE St Phan A. C051a, €'.E., Mist REFERENCED TO N_G V.D. (M S L 1929) Ofte of Water and Wastewater Mina arr?etM SURVEY FOR KNUTE BYSHEIM AUG 4 ,1993 JUL. 26,1993 JAN. 22, 1993 AT MATTITUCK DATE JAN. 14, 1993 TOWN OF SOUTHOLD SCALE I" = 100' SUFFOLK COUNTY, NEW YORK No. 93-020 *UNAUTHORIZED ALTERATION ORADDITION TO THIS SURVEY R A VIOLATION OF SECTION 7209 OF THE -r E NEW YORK STATE EDUCATION LAW 1`1C *COPIES OF THIS SURVEY NOT BEARING THE LAND ` SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL W. J, NOT BE CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- N NEAREST WATER STAIN MI. ± *SOURCE OF WATER: PRIVATE -PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED N RUFF CO. TAX MAP 019T 0 SECTION 099 BLACK _3_ LOT IB.1 HEREON, AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT IO~ OWN M THE WATER SUPPLY AND SEWAGE DISMAL SYSTEM FOR THIS RESIDENCE *DIERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT N DISTANCES SHOWN HEREON FROM TV LIMES OF HEALTH SERVICES, TO EXISTING STRUC NrURAS OT T ARE FOR A A SPECIFIC APPLICANT. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 5 - PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS TEL YOUNG & YOUNG RIVERHOSTRANDER EAD, NEW YORK NOTE: •=MONUMENTFND. 0=4'x4'POSTFND. ALDEN W. YOUNG, PROFESSIONAL ENGINEER RE; LOT NUMBERS,EAST SIDE AVENUE a NORTH LAGOON LANE ARE SHOWN ON SUBDIVISION MAP OF°OLD MILL HAVEN CO." FILED AND LAND SURVEYOR N Y.S. LICENSE NO. 12845 IN THE SUFF. CO. CLERKS OFFICE ONOCL2,1925ASFILE NO. 799 HOWARD W. YOUNG, LAND SURVEYOR MINE LOUTIM OF WELL(W),SEPTIC TAMK(ST)B CESSPOOLS(CP) SHOWN HEREON N.Y. S. LICENSE NO.45893 ' ME FR01P FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS - BRANDIS & SONS INC. 1046 ..._.__T-- II -o II II - O' ~scK. / - 13/4". 91 xv rXnLawy M , j ~ r--_~y s le-z• , I _,I I ~ m / Y I i P U w~ I i 14 q~ O ~ nl z.~ 3- I ~YYY~ ~w I N.` ~ p \ 2j A-M J' r of --I o, P 1"~ ° I i ~ ~ c,eotrm. } •O __-io ~ ~ IW ^4 g'FOL ~ .}.io ANC. _ _ - _ - _ _ _ _ ~ - ~l- - i - I l ~ i .1 w' n ~m { r_ - _ ~~.ie^ n.m to dE" ~J_ _ Di 9a 6 - - a. ~ - - - - - _ir - ~r_~• -t~ --r ~ fS t- --r_.~._ T- -t--r - - r-aoH.-~-_.eL~vn~i~tit_ ~,~u-~ g~n~ ELsy~T~or,1--~'i I . I ~r~' 4`[lk P_6t,-4 E d - - - - - ~O- - - - - - ~ / ~ « `I - _ - ~ ~ ~ i rl i ~ ~ '^I ~ ~ - ---I,---- i i r--J ~ ~ 12,.x,. ~ ~ - i ~ I 2~~ 4~n~n~~ Im• a. . f i I \ _ I II I - i 1 - - - - I ~ i ~ ~ 3 1 II af/'ww Ol/ - - - - u- - - - -a- 3 - - T - - r I I IAI a L~~ glue. ~ Le~/AZoN----_- rzeaci ~Le.,ia ~d III f MN 7J 1 J4,TV 12:4, co II I I Ni AI I~ II ~I I g 49) ro9~ 3 0 2'L'-o_ i ~ Co O~ VVI a b° 1 dytuflilltaaq 2]~-0_- Oll T ~ L + r U r r->L ~ N PL i kOBEP7so a~aaaeeo!l~~oao~~ I~ E\`~ .~^od IZdG ~ I+mQ LLuur,. C3Y~5l1 Ftaw~ ~ U Jut_ e3 P xl_la aBScu ;zm raal-fir ruclG `C~wnl o CxR 12.G B•l~-1~jJ F.1 ..Lim d 2 G FaP~ i _ I I x lyl ~ k„yy T4: •Q I ' ROGP l/01J'(' - 1 mss! ~m c4U/~~~ _ 65PIW~ =EZ sOPUu T OQWI:LMW S/4' 4' FRL 2•G' 2..2. PLulwalivc, pPLuINBUVt3 ri owe I TR+n17Yo ~ - is OCCUPANCY OR 2. ',d• ce^+c.v USE IS UNLAWFUL N COpMr tubi to i for wow r di8tributj Per tubin red L E Y 4,:T 1,0 '4 WITHOUT CERTIFICATE titer dl8tributl 8"'* ft Alping Mail Of fYPsO K or R 010ing shell b OF OCCUPANCY Psi K cr ~ en UNDERWRRERBDERRFICITE REQUIRED PLUMBER CERTIFICAT ERTIFICAT/ON ON LEAD CONTENT BEF VTENT BEFORE } . CERTIFICATE OF OCCUR) )F OCCUPANCY / i SOLDER USED IN WAI ED IN WATER DO NOT PROCEED ~ UNTIL SURVEY OF SUPPLY SYSTEM CAM TEM CANNOT rT* F, gel 9 of 1% LEAD. FOUNDATION LOCATION n*j ~s - - - HAS BEEN APPROVED EXCEED 2110 of I% LE, _ F i RIICGPi cectiz siou-ra - ,APP 0 AS NOTED ' ~asrµm--t fuiw oiay u iw ~'-s5 / Rmai Fw_'( 7 Yz' r~T~w snwN 12~ _ __t P 2 12 + ~ P 2'• 12 _ lL I DATE:f2a/ 9~gppa/J69 co-+----- _ - _ FEE: By, NOTIFY 8 L DEPART] . T AT i~'= ~ w-t slx 785-1802 9 AM TO 4 PM FOR THE L e v a I o n1 FOLLOWING INSPECTIONS: •'•o~ 1. FOUNDATION - TWOREQUIRED FOR POURED CONCR`ETE 2. ROUGH - FRAMING Y PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST - BE COMPLETE FOR C.O. 6'IS.Fe / IVav Rn pf} ALL CONSTRUCTION SHALL MEET i S'•II' LeM_¢ra_ J THE REQUIREMENTS OF THE N.Y. f ~ ~ .IS+ u pav vm STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS JAN - 4 1993 ~,cr 5fM2 U u~ OAK :1P 2'• 12' \ A I "N wouL' . ~ I 3o '3c I P~-1 3Vy'.944 a8'o cFAQ"u V2`~1 a.0. I-z I ' ~ I I I I I sa X0 i 1 0 I i ~ I ,r --1 i ~ ffil=m L-- ~3 caNC S Mab 4' crosliYGO riTtlwll yYl~'r/ rnr~carry /O.~Edr..n./t [.I, `~2.~e-P UN~PPTJWZr li- , e v p 1 e r a u u~ u L G vAT 1 o N yp,.Io - ~7~C`r10N i Yq •I'-o' Ya i' o' A2 s~P~ w NEW o N 6~~/ ~~51 G~.E N c E F E F%MI2- nrz nws G u-~,s ts~ :u~ix, . pd.L1E b8/aC41 ¢AfG, YT AT /w A'n'1-ru clG -rinser-4 x ' n~J` NO. 35633 ~~rW~ _ r O PROFESSIaNN~~ JuL~ ze :.P V i G fP~ -4 41 1d 18-4' 7 -G' ~-G• G"81 ~d•' i i I I I i G S70i N Y _e •p ~ LLT % ~ I I N 12_2--~9•` ~.n~.IIZ' ~ ~G' 1G'co+c a ~ lG' co+a ~.wJ a4•,2d" T~w_r al 6 ${BW~ _r S}UO~ N-V I-. . 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J Oe I 2.d• S.o 2', d• Q.Z. 2. 5~0' 3.1' to•T 4'E' ' _ 14'D' 2I -o N, 3583'' ~c+^~WW XI'O' p ROFE5310NN~~ 6G O UPPEiZ PLao~ PL6 N_ NE"~/ LE51D.~1 51 D.EN CE r .+cz ^FLO G~uTa eYa~ a i AN t