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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-20890 Date JULY 31, 1992 'PHIS CERTIFIES that the building NEW DWELLING Location of Property 1985 PINE TREE ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 11.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1991 pursuant to which Building Permit No. 20322-Z dated DECEMBER 9, 1991 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 ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to MARTIN KOSMYNKA (owner) of the aforesaid building. SUFF'OLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-1I-JUNE 17, 1992 UNDERWRITERS CERTIFICATE NO. N-244477 - JULY 28 1992 PLUMBERS CERTIFICATION DATED JULY 23, 1992 - S.R.M. PLUMBING & HEAT.INC. Building Inspector Rev. 1/81 V08M NO. 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° 20322 Z Date .. -L ......7........... Permission is hereby granted . t_ o: � \r (�(t .. ......................... ....I........... . .. N..:.y.:........l.l..9b�..... . ..... "``..... . .. .........�......................................... .............................. qQ at premises located at ...�..I. .�., �t'!�R .......14 r..... .:........ ..... . ................................................................................................................................................................ .........................................................................................................................................................1...... County Tax Map No. 1000 Section .......O.00...... Block .....,QA........ Lot No. ...... pursuant to application dated ....L JR s fln rl.! A. .. ................ 19.-�J., and approved by the Building +Inspector. Fee 5.. q.i. .a.. ..... ..F. i�3... .... . ................... ............. ............Bug Inspector Rev. 6130180 Form No. 6 7)N. :t, �0 If65 Jnua-/l ea�4',.., x,_y . TOWN OF SOUTHOLD 1/P3,5[ JUL o g ? BUILDING DEPARTMENT I� TOWN HALL 765-1802 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. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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: l . - Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 15.00, omm/e/1rrcial $15.00 `1 Date . . .V;Y . 1 r . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . l Or Pre-existing Buildin Location of Property. . . .l. . lVl. ! G, . . .T9,0- . . . . . . . . . . . . . . . . .�. UTC �fO ( ti�S House No. M MStreet �jHamlet Onwer or Owners of Property. . . . ./. /.�.qq. . l,i. ,r�® . . . . .eL� y� l� . County Tax Map No 1000, Section. . . . { .�. . . . . .Block a.1. . . . . . . . . . . .Lot. . ./1, . !`. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No 2� . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . .. Health Dept. Approval. .:(�,..Sa„�I. . . . . . . . .Underwriters Approval. . 2 . '7/�6b . ( ' , 9� Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . .. . . . . . . . . . . . . . . . . . . . . . . . . r-� . . . . . . . . . APPLICANT. . . . . . . . . . . . . . . . . . . . . � O rAP43 _ � ---- Wl�0.5/2 6A.ENp Cqp- 2-AF'"521 v9 ,A 321 V 1 APB<I'� 2-2 x lo' ; 2"1), >< ID � ' �n 1N ' �MX{, Btihe(N(a d ;. tV �' .4- CI �x �},o _ N N l EOI. 6ND �t p C+I Ir oto I =_� w - v (I)+,,x cccc _ K .r`jV I 4i 1 SOb10 {1_--._ t. .lht"-� _ 1 ;.l I� SOIid - �, ' - ic 4"Y. P,E.I N ip 1 lv� - VV . V4 DRY. -- A ' '4v --_7 °x lCa" f :� �!�iUP�i.)i _1 t_I__�. 4— - aEl-vv APOVL .I�z q° G�x =Kr i y 20• ',_ , �4• I _ 11 9�l f I i 2 2 x (o" _fb'iP 62 RP% j rl , 2 k I O F- 9 �n ® THE NEW YORK BOARD OF FIRE UNDERWRITERS Pau t 1000966 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date 4U1,Y 28, 1992 Application No.anfile 77126692/92 N 244477 e THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR & MRS M. R09MYNKA, 1985 PI'N[S TREE ROAD, CUTCMOQUE; , 9,7, in the following location; ® Basement F71 At Fl. ® 2nd Ft. OUT Section Block Lot C was examined ors LINLY 2 3 F 3.992 and found to be in compliance with the requirements q([his Board. FI%TURF RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLET$ FNCU4OESCENTj FLUORESCENT OTHER AM;. I K.W. AMC I N.W. AMi I K.W AMT K.W. t1ij HP 51 47 44 53. 1 1.2 r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELL UNIT HEATERS MULT14UTLET DIMMER$ SYSTEMS AMT. K.W. OIL H.P. GAS H.P AMT NO. I A.W.G I AMT. AMP AMT AMPS, TRANS. AMT H P. NO.OF FEET --AMT. WATTS 5 P 2 3 8 3 1. SERVICE DISCONNECT NO.OF S E R V I C E '^- METER NO OF CC.COND A W G. A.W.G A.W.G. W AMT. AMP. TYPE EQUIP. 1.0 9W 10 3W 3.e'3W 3,t dW PER d OF CC.COND NO.Of T EG OF HbLEG NO OF NEUTRALS Of NEUTRAL 1 200 CTi 1 X 1 210 1 1/0 OTHER APPARATUS: JACHZZI-2 MOTORSII -1 H.E. 12-3 N.P. G.P.C. I; -5 SMOKE DETBCTORt • 2 CARMTNE 'S HLEC, INC. P,O,DOX 1206 OD 9. 95 MILLRR PLACE, NY, 11764 GENERAL MANAGER t1, �'y 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. New York State Department of Environmental Conservation Region 1 Headquarters SUNY, Building 40, Stony Brook, NY IV94 1 1790-2356 (516) 751-1389 Thomas C. Joriing Commissioner May 30, 1990 Roy L. Haje, Pres . En-Consultants, Inc. 1329 North Sea Rd. Southampton, N.Y. 11968 RE: Permit Application # 1-4738-00110/00001-0, Martin Kosmynka Dear Mr. Haje: 0 A field inspection conducted by the Bureau of Marine Habitat Protection revealed a tidal wetland line significantly more landward than the one flagged by En-Consultants, Inc. The south corner of the deck and the north corner of the single family dwelling were determined to be 65 ' and 72' from the high marsh, respectively. It Therefore, you need to resubmit plans depicting a revised tidal wetland line, with the deck and north corner of the single family dwelling moved 10' and 3' landward, respectively. Also your application remains incomplete pursuant to the Notice of Incomplete 54 Application sent to you on March 5, 1990. I'll ask you once*Wgain to depict the limits of fill on your plans - and as long as you're doing that, please also indicate the limits of clearing and grading. Any fill you propose needs to be a minimum of 50' landward of the NYSDEC tidal wetland line. In the event that you will be seeking a variance from the 75' setback, please keep in mind that you must properly justify the variance in accordance with the Tidal Wetlands Land Use Regulations. In addition a 65' setback (greater than 10% variance) would require an additional $700.00 tidal wetland fee. Thank you. VUer truly your , John Wieland Sr. Environmental Analyst JW/rw cc: M. Kosmynka G. Stadnick C. Costopoulos file r DEPARTMENT OF THE ARMY NEW YORK DISTRICT CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 REPLY TO March 9 , 1990 ATTCNTUN OF Regulatory Branch SUBJECT: Permit No. 08GP-15643 Mr. Martin Kosmynka ;, , DEC c/o En-Consultants , Inc. 1329 North Sea Road ` Southampton, New York 11968 Dear Mr. Kosmynka: We have completed our review of the above application. From the information submitted it appears that the proposed timber pier assembly is authorized by our General Permit for Non-Commerical Mooring Structures (NYDGP-08 ) a copy of which is enclosed. Your work should be performed according to the conditions of this General Permit. Additional work that is not within Department of the Army regulatory jurisdiction includes the construction of a dwelling and sanitary system landward of the spring high tide line and existing wetlands. Tgis additional work does not appear to include dredging or construction activities in or over any navigable waters of the United States , the placement of any dredged or fill material in any waters of the United States ( including coastal or inland wetlands) or the accomplishment or any work affecting the course , location, condition or capacity of such areas. Therefore , a Department of the Army permit will not be required for this work. Please display the enclosed Notice of Authorization sign at your work site. A copy is enclosed for your records. You are required to submit to this office the dates of commencement and completion of your work. Enclosed are two postage paid postcards for you to use to submit the required dates. Notice is hereby given that the permittee should recognize that a possibility exists that the structure permitted herein may be subject to wave wash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structure permitted herein and the safety of boats moored thereto from damage by wave wash and the permittee shall not hold the United States liable for any such damage. 4 It 'should be noted that this permit does not relieve you of the obligation to obtain any State or local approvals for your work. f n - iiiiiijillpillillilim RAF mom I ,r II ' a a• c w'++tscMmw -g'*',k, xz'p 5'w "s' =+gym. .ay, 4 �x' r ^S' an .a ;f<'?,.�+.t....; < �xxi':� ciarv `'S`�.kv 't 'Y ,.. rs.4: /�3 *a tl� k : * , i 'r�` 3 z; ?�.' e sd aa�.r.,s, x sa- 9 .[ -r- .�3r`—z a Y .+^, ti,. $x„ ` to :'-rKS `sk„y � x.,�� t�.4„ ,`�"-^ar`5`�+..�.'A x..„� +��✓"t." .a �.��,9J.x\ r a �` �� .X''_aya"4` �'�� � �"F.� "-¥�`as'(x""� � ..-i-r ^��' rsF�^ � - 'xe IsgM- AE$x rv•fi nM2 H � � M1 y � r'•• id y�gv <� n..r �� 'F s�K� � "%f z�''�'A'��"`�'•",v' , ;_�^-0w s x 4 's - a�9 ;.�w�" €as: �' }{ "'g; •k3d 4'�:: h ' I � 5v�� 41,44 'l '� '�-s''%�Y " ` .r- -- I { 4 .. .� o r s h 3' a `f tom,gpr` .,,�'�. {SS,�I@CI Da►t� _ 99 Y hy �23Kg �'` ri .:�� a < - rge's� MUST EE D[SPL YED DURINS GONSTI UC'�I� at''r T F ;,-.�:� TOWN TRUSTEES OFEICE,TOWN OF SOUTHOLD , 50tJ 'HOLD' N.Y.11971 FEL 765=1,892 I 1� I New York State Department of Environmental Conservation NOTICE s •� The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work tieing conducted at this site. For further information regarding the nature and extent of work approved and a' 1y Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. s Regional Permit Administrator Permit Number Expiration Date v NOTE: This notice is NOT a permit c0f O(/(C TEL. 765-1802 0N, ! �, O✓ TOWN Or SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 �� - TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date q� Building Permit No. )032-L t Owner (pl(--ase print) �1 rr Plumber UV)Ald f , ��1s3�� � S,P ro, PIvvnbjro� (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber ' s ignature) Sworn to before me this 0`23 day of 19 5�2, Notary Public Notary Public Z�& —County offi,"'i6 PAUL L.HUSHIN NOTARPPUBUM BfATEgnVY0RN No 521906035DUAURED INSUFFOLKWUNTY TERM EXPIAESL ' � M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [tt NAL REMARKS: C'-anr,,� iLP lope z2 C DATE INSPECTOR 3 �� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND [ SULATION [ ] FRAMING [ ) FINAL REMARKS: . r DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL s REMARKS: -r-� . DATE l � INSPECTOR M-1892 BUILDING DEPT. INSPECTION [ 7FNDATION 1ST ( ) ROUGH PLBG. NDATION 2ND [ ) INSULATION [ ] FRAMING [ ) FINAL REMARKS: �--- - I U i DATE INSPECTOR soy 'AtVt�Qs<` ca b WCB2 V"'dard N. m 8002• -Bargain and Sale Deed, with Covenant against Gaanw,', Act,—Indrv,dual or Cospon,ion(single thee,) CO� OUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 7th day of January nineteen hundred and ninety two BETWEEN HUGUETTE GALIANO, residing at 21-56 38thttree"A# iV, , Y`-+1105 / i u RA.NS f.t� party of the first part, and A Sui i 0:_„� I rrnIkv x MARTIN KOSMYNKA, residing at 1800 Middle Country Road, Ridge, NY 11961 party of the second part, %TMESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beingAxAka at East Cutchogue, Town of Southold, County of Suffolk, and State of New York, known and designated as Lots 21-A and part of 22 as shown on a certain map entitled, "Map of Nassau Farms" filed in the Suffolk County Clerk' s Office on March 28, 1935 as Map No. 1179, more particularly bounded and described as follows: BEGINNING at a point on the Easterly side of Pine Tree Road distant 83.72 feet from the corner formed by the intersection of the Northerly side of Redwood el\\� Road with the Easterly side of Pine Tree Road; said point point also being where the division line between Lot 21 and 21A intersects the Easterly side of Pine Tree Road; RUNNING THENCE from said point of beginning along the Easterly side of Pine / Tree Road, North 28 degrees 50 minutes 10 seconds West 53. 10 feet to a point;- RUNNING THENCE thru Lot 22 along land now or formerly of Fishlinger, North 74 degrees 30 minutes 20 seconds East 248.00 feet to a point on the Westerly side of Little Creek; WMf RUNNING THENCE along the Westerly side of Little Creek along a tie line, South see oe 28 degrees 39 minutes 40 seconds East 82.04 feet to a point; RUNNING THENCE along the division line between Lot 21 and 21A, South 80 degrees 50 minutes 00 seconds West 256.00 feet to a point on the Easterly side of District Pine Tree Road, the point or place of BEGINNING. 1000 The grantor herein is the same person as the grantee in Liber 9289 CP 337 and the premises herein described are intended to be the same premises conveyed Section in said deed. 098.00 Block TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO 01.00 /� HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of V 1 the party of the second part forever. Lot 011.002 , AND the party of tire first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. (0 AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- cration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for \'tl any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. 1 �l IN WITNESS W F, the party of the first part has duly executed this deed the day and year first above written, IN PRESEN OF: HUGU TE GALIANO 1 2 .. STA Ali �rt—COUFITY OF $QFFOLK SS: STATE OF NEW YORK, COUNTV'OF sRI On the 7th day of January,' 19 92 , before me On the day of 19 before me Personally came personally came HUGUETTE GALIANO to me known to be the individual' described in and who to me known to be the individual described in and who executed the foregoing instrument,'land acknowledged that executed the foregoing instrument, and acknowledged that She executed the same. executed the same. Notary Public MICHAELA P�A7ZA Notary Public,State of New Yori No.4983119 Qualified in Suffo{K:.Ca+.ne. Commission Exoir&-� ;f UCcf STATE OF NEW YORK, COUNTY OFF ss, STATE OF NEW YORK, COUNTY OF ss: On the day of 19 before me On the da of personally came y 19 before me to me'known, who, beingb me dulyp personally came say that he resides at No. sworn did depose and the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly that he is the sworn, did depose and say that he resides at No. of that he knows It a corporation described in and which executed the foregoing, instrument; that he to be the individual knows the seal of said corporation;' that the seal affixed described in and who executed the foregoing instrument; to said instrument is sur,§ corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, tion, and that he sighed h names thereto by like order. at the same time subscribed h name as witness thereto. l nU ac ain a g *Ale ;Ottb 69� WITH COVENANT AGAI NS7 CRANICIR'S ACTS SECTION TITLE No. 30 y- �)/`—' BLOCK LOT GALIANO COUNTY Oft TOWN �C .�r� TO U Accorded At Request of KOSMYNKA First American Title Insurance Company of New York RETURN BY MAIL TO: STANDARD TORN Of NEW YORK EOARD OF TITLE UNDERWRITERS outrfbstrd by i John Lynch, Esq. First American Title Insurance Company MOO 01 d Country Rd. of New York Mineola, NY 11501 * � Zip No. f I W I ' V I or �� U� N s Z6t �iV ez Il hl 1��� FE W . . ,,, ,. , ji.. . ,3a�,"• .+w,-s.AfTYu�'A'�- _ �..: ..... .:.: . . rimnitOOlU ,::, .. - NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION a;¢'vN'nl7-h11A18Lh EFFECTIVE DATE ,5718-00110/00001-0 Sept. 20, 1990 .,•� t✓i10 PROGRAM NUMB[ PERMIT EXPIRATION DATE(s1 t Under the Environmental Conservation Law Oct. 1 , 1993 f Article 15, Title 3; 6NYCRR 327, F— 6NYCRR 608: Article 25: 328, 329: Aquatic Pestic9de �s L Water Quality Certification � Tidal Wettands Article tec Title 5: Article 17, Titles 7, 8: Article W ste Title "R 360: Protection of Water SPDES Solid Management" Article 15: Article lPollution Control' Article 27, Title 9; 6NYCRR 3 Hazardous Waste Management Article 15, Title 15: Article 23, Title 27: Article 34: Water Transport L.J Mined Land Reclamation Coastal Erosion Management Article 15, Title 15: Article 24: Article 36: Long Island Wells Freshwater Wetlands Floodplain Management Article 15, Title 27: N—New, R—Renewal, M—Modification, Articles 1, 3, 17, 19, 27, 37; Wild, Scenic and Rncreational C—Construct ("only), O—Operate ('only) 6NYCRR 380: Radiation Control Rivers PERMIT I$SUED TO Martin Kosmynka \DDR SS OF,P MITTE 18�0 Mic��le Lountry Rd. , Ridge, NY 11961 \GENT FOR PERMITTEEICONTAI T PERSON Y a TELEPHONE NUMBER _ En-Consultants (516)283-6360 VAME AND ADDRESS OF PROIF.CTIFACILITY(if different from Permntee) Pine Tree Rd. , Peconic (on Little Creek) SCTM # 1000-98-1-11 . 1 OCATION OF PROJECT/FACILITY COUNTY TOWNIx4474 x UTM COORDINATES Peconic _ Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Construction of a single family dwelling, septic system, deck, 150 cubic yards of fill. Construction of a timber dock, consisting of a 4'x4O' fixed elevated (4' above grade) walk, 3'xl5' hinged ramp, and Z-6 x 6T floats secured by 4 diameter pi ings. Project to be in accordance with attached plans last revised 9/6/90 and stamped approved 9/ 10/90. GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compli- ante with the ECL,all applicable regulations and the conditions specified herein or attached hereto. l The permittee shall file in lheoffi(eof the appropriate regional permit administrator,or other office designated inthespeaal conditions,a not¢eof intention to commence work at least 48 hours in advam,e of the time of commencement and shall also notify him/her promptly in writing of the completion of the work 2 The permitted work shall be suble t to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so regcures p,.rsuant to ECL§71-0301 and SAPA§401(3). 3 The permittee has accepted expressly,by the execution of the application,the full legal responsibility for alydamages,director indirect,of whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and descrip tion resulting from the said projf ct -I The Department reserves the right to modify,suspend or revoke this permit at any time after due notice,and, if requested,hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found,or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or c) newly discovered informal on or significant physcal changes are discovered since the permit was issued. To maintain a valid permit, the oermntee must submit a renewal application, including any forms, fees or suppleneintal information, which may be required by the Department, at least 30 days prier to the expiration date of the existing permit(180 days prior for:State pollution discharge elimination system permits(SPDES),Solid waste management facilities permits fSWMFk or Hazardous waste management facilities permits(HWMFB. 6 This permit shall not be construes as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impartment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7 The permlitee is responsible for obtafninS any other permits,approvals,lands,easements and tights-of-way which may be required for this project 8 Issuance of this permit by the Del artment does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Deparirient or any of the terms, conditions,or requirements contained in such order or determination 9 Any modification of this permit granted by the Department must be in writing and attached hereto megulet-o-y Altair, "FRMIT ISSUANCE DATE PERMIT AD ADDRESSg®glOB A •Bldg. 40 S 9 N V Apr 99, IgQO Robert A. Greene %UTHORIZED SIGNATURE /%' 3 Pagel of a(s i i , _ N�kW yOkA S1A7f DF+xAP+TMnNf iA FNVIRONMt NTAL CONSERVATION t yt.LS, e �,• .•,�.� EtFEC fIA'C nA7L ro,fx�ga aopC . 20, 1990 .__....__-_..—_-_.�_.�..____—_.._-__._..� ' h-' EXPIRATION DATE(s) t)ndev ths, se+1'4rrnanrsmtai S;dotl5i?,rv.AtidBox I.aev (fat, I , 1993 %i 8. 329: Aquatic �'n YCRIes?7' ni4YGttH 6Ck> Article 25: vticie ta, 1'ilie L't; rYCRP'i ? q kltlsatvq Owdity Certification I__N J Tidal Wetlands arficP; 15, Title 5: Article 17, Titles 7, 8: Article 27, Title 7; 6NYCRR 360: _i rr!Itet;hnn of Nate L ._-...1 SPI)E S I- ___I Solid Waste )Management* 41t1a1s i5, Title 15 II Article 19: l Article 27, Title 9; 6NYCRR 373: Iflior Supply L____I Air Pollution Control" L _J Hazardous Waste Management Alticic 15, Title 11) `` Article 23, Title 27: Article 34: 'fate; Transport L ._.I ividnod [..and Reclamation f._ J__� Coastal Erosion Management 1r:. Title 15 Article 24: Article 36: sr A, islrnd Weill I^_.._..j t rt+shwater Wetlands L ____f Floodplaln Management - ich. i!), 'ri'tie 2, N--Nebe, P.-Renewal, M'-�Modificatit,n, ( Articles 1, 3: 17, 19, 27, 37; _. '.Pin, ;and konreationll C_�.t;enslrltrt ("only), O—Operate ("only) I- _._.� 6NYCRR 380: Radiation Control dv;;it; I ,SOG aiiu rtlmyrLlss`7I �• urf Ixuln c�c�la' G�ow)Lry ltd.l, Ridge , N] 1 196 1 u r 'k PI 1rAl1'fhA<;ON"f E,SOl� Tr.l PHONE NUMBER 3,- ,Lti�u,1_t'r?iIt�u (516)283-6360 sSAI v,a4 \DDRI"SS OF PRO1f_ IFACRATY(It different from Perm ice) ?Ine TrLe Rd. , Pe-onic (on Little Greek) SUM 1f1000-98-1•-11 . 1 , e�Ar'O"' r'+=1'PO)fCPFACP,I"� it COl1NT1 — Tr QWN44'.13419kSaSeT1G8 11TM COORDINATES Suf'1:03,c Southold -^ 2uh ^•! yI'TfIOR17LI+ n7 PdI'.Y •..;uf,,.rl,E.tiou of a single f,amifly drvoI iiiiq,; aseptic system, deck, 150 cubic-lards of A' .1 : rlt 7=T+t°.! :iru. os +. r-3m66IIr dock, consisting of a 4'x40' fixed elevated W above grade) ��-..De In ccorr ` ," y �,— j '— ngs — ante"wi.th attached plans last revised 9/6/90 and stamped pilings . ll.axtl s secured b I 8 diameter amped a.pproved 9/ lU/90. ^,ENERAI CONDITIONS oy cacosptance of this permit,the pormitfee agrees that the permit is contingent upon strict compli- ance v,W,thst"•C1i,all applicable regulations and the conditions specified herein or attached hereto. ;,. Lu„ ;ce fllo in the Of,"III th"opropnate rogional permltadimmslrator,orother off)cedesignated ul the special rondnions,a nomeot intention to comn,enro .,oda a; I,,mt %hours in advan�P Of the time of commencement and shall also notify himlher promptly in writing of the completion of the work a+ ,�nark,tell be nubl:t to inspe'Ition by an authonEed rapwr,-ntaHve of the Department of Inwlronmental Conservation which may order the work suspended If t,r; o,. ., . ..,rat w uequlms p ,•avant to i.(:L 471-03n1 and SAPA$401(a), : ua;auapmd expo,,dy,by till p eculion of the application,the full legal responsibility for all damages,direct or Indirect,of whatever nature,and by whomever the propel <.nndled herein and has agreed to indemnify and save harmless the State from stilts,actions,damages and costs of every name and descrin ae•.:in r,;, .s. o-...!ny, u,spend or revoke this pernnl at any dine after due ncn+o-, I,nd, ,f ruguLWid, hold a hear,nit when .tip•. „f d,o profxi. ,,,.x(.,;oEadjEx a violation of any condition of the permit or prt /isinns 'd chi 1:a. .md pertmant regulation,toe found, o, b1 the permit was ohtamed},y misrepresentation or failure to disclose rellevent facts; or fro.,,.g imo,r.,., ,,,.-, anifit ant phvsif al changes are. discovered or,,Ili,, permit tm,: "w,-f 'vbd pe,nul, the p.:nmQuv nett submit a renewal application, Including any tooth, fees or auppilsolonua information, which may be tugwted by ;he .t ieai,I u)days III I,r to the"piratlon date of the existing permit(180 days prior for: State pollution d6charge elimination wstem permits(SPDrS), Sohd r {anent facilu,ea pe vlts(SEAW), or Hazardous waste management facilities permits(HWME)) II I p+�n,..;,i,all not be Lonstrtua m convoying to the applicant any right to trespass upon the lands or Intel fare with the riparian nglns of others in order to partom,the cd •rod• „r ,s andlo+IT.r tl,c imp=,j,rnr,nt of any rights, title or interfM in IPfd 01 personal proparty held Ot vested in a person not a party to the Permit, s IbZ, ll. apprrvalu landk pain cf ,n' n.sd t£-„nrv.` .' S:a ,r.,' .In Ph ) ! , -,=1'7 ,:. lv' nnl6l5 dr.IJ,Q,,aY pl',lylGeb fPl,mtl(lll SJp�l�ed,:t1,i4„Cniti,:b illpt z 1 Ceit_.Ill,ri<1.(nt.ulffi'+(aY,i,y tlh.l;p,1111n5A,,nnf •,pe ::.fptl&'re hV[he Depal,'1e11. er aoV Of th( tWlnS, Condition;. ,I reouvenlent,Contained in sucll Order Of doterminatmn ++.1, ;.I'tNC} UA) -Pcl MJ unt DeV�art-ggn--x��n55trr5m5-ust ba in writing and attached hereto r ? I ADM�N73flit iRh ll lKt AY'gt' dgye $t% ti an, _ 1.9.9(1 IYA)eYt A, ( reene — " /.- ["age i �u t BOARD OF HEALTH . . . . . . . ' (�°; , t,• FORM NO. 7 3 SETS OF PLANS TOWN OF SOUTHOLD -SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT ,CIIECK . . . . . . . . . . . . . . . . . . . . DEC - 6 1991 TOWN HALL SEPTIC COACT _ . . . ... . . . . . . . , SOUTHOLD, N.Y. 11971 ur�� TEL.: 7651802 t.oTIFY , /� y CALL ..`.! ._ Examined C19 9 MAIL TO: Approved 9JLwstt, q 19 91. Permit No�U $22 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . : : (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ': . . . . . . . .. 19 f INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .Lets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 liall 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Che 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 sp �ct �,n�s. 7 sp.,An�• J• • . . . . . . . . . ' �.. . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of a lucent ✓ 0,4-T ra�u7P/�Y r9 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1� vat.✓���R. . . . . . .�?1?.��? . . .Xvsr+yJ.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . \ame of owner of premises . . � U �T�„ ,(; �L A*0 , , , • , , . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) iC applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . , .. . . . . . . . . . . . . . . . . . Plumber's License No. . .Vpo fp `� —/ — 9.2 .✓ . � . . . . . Electrician's License No. �. .� ✓. . . ,L , , , . , , , Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .l.� .J�. . . . . . .��U�s 1� '. dug ® cv.TC 06V House Number QStreet Hamlet County Tax Map No. 11000 Section r. .d �p. �. , , , , , Block -a l®p, , , , , • • , , Lot . .(57.�� a Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No.me .J�. . . . . /. . . . . Lot �.�l. '. . . . . . (Na ) 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 3. Nature of work chec which i4' app )licable New Building , , . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Demolition ion ' ' ' ' ' ' ' ' ' I • • • • • • • • . • . . . . OtherSVork . . . . . . . . . . . . . . 4. Estimat d Cost . . . . . . . � �Gvd Vo (Description) / g / . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . S. If d ellin number of dwelling i (to be paid on filing this application) / g units . , . �, , , • • • , , , , , Number of dwelling units on each floor . . . . . . . . . . . . . . . . If gi rage, number of cars . . 6. If,pusiness, commercial or mix'cd occupancy, specify nature and extent of cacti type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . Height . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Nu{nber of Stories Dimensions of sa�1e structure with alterations or ad c�tons; Front rj . . . . . ' •plr. ' ' ' ' ' ' ' Depth . . . .J�.y. . . . . . . . . . . .1. . . Height . . . v?/. . 7 . . . . . . . . . . Rear I . . . . . . . . . . . . 8. Dimensions of entire new cons(nwtion: Front , , , , , , , , , , , , , , , RcarN11111ber of Stories . . . r*L , , . , . . , , Height 3 Number of Stories . . Depth . . . . . . . . . . . . . . . 9. Size of lot: Front . . .S.J . . . Rear . . . 10. Date of Purchase .I ��. . . . . . • • • • • • . . . . Depth b. . . . . . • . . • . . • • • • • • • . . . . . Name of Former Owner 11. Zone or use district in which premises are situated . . . . ."12. . . . . . . . lation . . . . . . . . . . . b late any zoning law, ordinance or rem 13, will lot be re raded oulation: . • , , ,,, , , , , , , , , , , • • Does propose construction viol 14. Name of Owner of premis s C. Will excess fill be removed from premises: Yes Name of Architect . . . J j , Address Phone No. Name of Contractor . ' • • • • • • Address .2 I !yX i��! 15, Is this property within 500 feet of a tidaldwetland? . . . ' • • Phone No. . . . . . . . *If yes, Southold Town Trustees Permit may be required• . . No. . . . . . . . . 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. n TATE OF NE W YORK, S.S OUNPY O] . . coin • • • • . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individua signntract) rove named. 'J is the . . {k)�jd rl d/ . . . . /�.'�J` '`"�!•?�F'�9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 rile this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the trk will be performed in the manner se 'om to before me this t forth in the application filed therewith. . . . . . . . . . . . . . . .�V. . . . .day of. C.' .f . . . ., 19Q.�. tary public, N1AYPBLoNUWt Statef Now k . . . . . . . . . . . No.4840722Oual V County • missionFIn Suffolk Court Commissionary P 1a� . . . . . . . .. . . . . . . . . . . . . . (Signature of applicant) TITLE NO. BUILDERS No .9x/S RAP Ee ��� /BO Grs Y �Sc� . aF ME�n/H/6H t✓•715R �'� ZS' D FG4G66D i , off`/x p t `o Gdt,,.5 9f✓ Fcuk�i t 0 �cC-cePRYnir� / J � Fxsr- t5 � P V / Ij Ij � .y ( Q Z {>f2oP. t4 ,., m ° ti370 �✓ v S.v.YOy L?o<s�y irr 11 0 „ � :ate/isw„✓�1,� oK/. ��.osi i 6 V.F- ark O � d -' 9z r E — ' i I / O V� 98 �Z 'tJnau thOrrted alters Lion or a00rfion Ceres hcations indrt etas hereon signify that this to o survey n111, boanng a Il,snsetl survey waS mePar od in aeaor tlance with iheteaist ( C R 1��P * lantl su ry ev or's seal rs o v.glation or ing Code of Erac lme for Lard 31111eys adopted t { Y( se,,on I20q, sun di<islOn 2p1 the I, the f e,, York StJla AsVpUabOn of pro �G � s New York State Fduoalion Lew shall run only to the person for whom the survey is � -ti r'�Y. % A 'Copws !rOn the oi 19ina1 0l this prepared, and On b,s behalf to the title wmpehV. n ot arked wnh an go verrm 5ntal agency and IanCtng Institution �0. 04 J or glnal of me lanom sorvoy or's em hstea hereon, antl to Ure assignees of the lending \ ash �V� bosseo seal oIII not he cvns�OereJ Iusbt..bor, Certlfioa*ions are not transferable to V�� L(t qqY tp be a v.h.I.opy fddnio,al Instp, IfnuS or Subsequent Owners" SURVEY OF LOT z/-1 P/o CarzZ O Barret) isera,Beekman ice' flues r ��) If j Consulting Engineers arul Lund.Surreyors MAP OF " Consulting [igmeers & Land iurveynrs �FiGE17 HARGN g8 /93S F/G.E .v^ //79> - LOCATED IN ��C��O/�✓/C / TOwN O.G- 125CHURCHSTREET 1001 MIDDLE COUNTRY RD. " G MALVERNE,N Y 11565 RIDGE, N.Y: 11961 SOtiYHOL.O a SU.�,<OG.K CO Y NY. 1516i 599-3663 (516)924-3230 i PLOT PLAN ,/,q/v 2! /990 re LOCATION SCALE 1 IN" = QO'`r JOB NO. R FINAL ,1:?4 a 9 57/ FdEv. 31s3,/3' 5flEt=7" / O/c— G � o 4 � G T /rEA U ; i"q w � 251992 ez �'� . �- B039 a� TOac�uTl t �r� y.Z /' O Pao yr LoT N'Z/A Q Go7-N'Z/ 0fj 0 GaT N% °J al 3p. O K 22.0' Ex is-riniG y FaJA/O, M 0 SNEyO so, 1-o-.GSo. O LHEo O SHED 0 more O O Na .1> V\/ D ozse A / � Ng�i4 fRo piNE 7R �j5.5 THE EXISTENCE OF RIGHT OF WAYS CERTIFIED T0: AND OR/EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. 4t of NEW J�r✓7/r✓ lP <N H' BF O'fl n/0.4ST.ah' BAN/< UNAUTHORIZED ALTERATION OR ADDITION y �'� .•- Cog,* RT/�1 Ko TO THIS SURVEY IS A VIOLATION OF MA SMyA11,,A SECTION 7209 OF THE NEW YORK STATE aWc 4A a , V EDUCATION LAW. _ COPIES OF THIS SURVEY MAP NOT BEARING Q (� THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED YiC Np Qa�• TO BE A VALID TRUE COPY. Fh Q44g*�5V THE WATER SUPPLY AND SEWAGE DISPOSAL GUARANTEES INDICATED HEREON SHALL RUN SED LAKO SYSTEMS FOR THIS RESIDENCE WILL CONFORM ONLY TO THE PERSON FOR WHOM THE SURVEY TO THE STANDARDS OF THE SUFFOLK COUNTY IS PREPARED, AND ON HIS BEHALF TO THE DEPARTMENT OF HEALTH SERVICES TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES ARE NOT TRANSFERABLE. SIGNED SURVEY OF: 607-/V92/A 6' KENNETH H. BECKMAN, L. S. MAP OF: /\/A.SSAU Surveying and Land Planning (Fic_Eo:MA,a. PO, /93S FicE ,vs/i)J 1 4 Niewood Drive SITUATED IN: PECo/V/c, Ridge, New York 119i61 TOWN OF: SovTHOGO (516) 924--3756 SUFFOLK COUNTY, NEW YORK. DATE: //30/9Z JOB NO. 00-/7/ DIST. SEC. SLK LOT S.C.T.M. NO. /000 9e / //2 FOUNO. GOC. Z�tO/9Z BW /67 BUILDER'S NO. CREEK 1116y WATER 03� Q0,I L V 122 5 LB v V �/oGo'r GOT NSZ/A Q Lo7- A1201 Vl 0 i60 'p 0� EX�S`YiN6 b 14;D/N'0, p m za tro 3'NEO O moo. oGSo i SHEO O Soso 'I 0 A�, W I W O �0� O Co✓c. MON . try �3 yZ N0 N vosr ��'/O RoA tjy7r,014 P NE / THE EXISTENCE OF RIGHT OF WAYS / E 3� CERTIFIED TO: AND OR/EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. -5C7/6 n/OR-S714R BANK UNAUTHORIZED ALTERATION OR ADDITION Of NEW ), / /ART/n/ /<05/-71VnII�,4 TO IS SURVEY SECTIONN 7209 OFSTHE VNEW TYORK STATE �PION OF4�t1`N'BEC,`. EDUCATION LAW. 9 COPIES OF THIS SURVEY MAP N07 BEARING * w A THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED T:•` � TO BE A VALID TRUE COPY. f THE WATER SUPPLY AND SEWAGE DISPOSAL GUARONLYATOETHEI PERSON HEREON FOR SHALL RUN SURVEY fit, ho, Oa90p�pQa� TOSTHES FOR THIS STANDARDS OF RESIDENCE THE CONFORM SUFFOLK COUNTY IS PREPARED, AND ON HIS BEHALF TO THE FpSEp`*pp DEPARTMENT OF HEALTH SERVICES TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES ARE NOT TRANSFERABLE. SIGNED SURVEY OF: 607- /v90/,4 e KENNETH H. BECKMAN, L. S. MAP 0F: //,45_SA() / ,ARMs Surveying and Land Planning (F'1c.6nMaR z8, ,935 FiL� N`„/9 4 Niewood Drive SITUATED IN: Ridge, New York 11961 TOWN OF: 6Svu7-1,loco (516) 924-3756 SUFFOLK COUNTY, NEW YORK. DATE: //3o/9a JOB NO. BZ-/7 / DIST. SEC. BLK LOT S.C.T.M. NO_ /000 96 / //Z Fanvo Goc z/zo/9Z BZ'/6� 5'v i) BUILDER'S NO. G'REEK v�E �. P/o yr G07' N-QZ/A Q GoTi1/"Z/ N9ZZ 0� Go7' A✓% � r� � Z� u s� 3p. r_ � is o •° t � u E `° Z SToR ItFF2AME ix. A� F. CI V O 40 /.O r n a: sH�o Zt o iro o.cso O n! 1 pp � .Q W � CoNG 'Z4 W N 5✓./O , e �� N/E�G o2so. Z. N, zB P►0 N0rt,¢ E� Fro 0/NE THE EXISTENCE OF RIGHT OF WAYS CERTIFI AND OR/EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE ¢ EDUCATION LAW. a 4� COPIES OF THIS SURVEY MAP NOT BEARING A'O, A9ga, THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED N TO BE -A VALID TRUE COPY. THE WATER SU LY AND SEWAGE DISPOSAL GUARANTEES INDICATED HEREON SHALL RUN SYSTEMS FOR THIS RESIDENCE WILL CONFORM ONLY TO THE PERSON FOR WHOM THE SURVEY TO THE STANDARDS OF THE SUFFOLK COUNTY IS PREPARED, AND ON HIS BEHALF TO THE DEPARTMENT OF HEALTH SERVICES TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES ARE NOT TRANSFERABLE, SIGNED SURVEY OF: 60r/k 901A d- KENNETH H. BECKMAN, L. S. MAP OF: /n/,QsSAU FARMS Irl, � , Surveying and Land Planning E ,6 A 1C� �, Niewood Drive sITUATEO IN: PE�on//c I Ridge, New York 11961 TOWN OF: .SouT/s'oe,p (516) 924-3756 SUFFOLK COUNTY, NEW YORK. JUfJ 10 1992 DATE: //3o/9Z JOB NO. 00-/7/ S.C. OEPT. OF HEALTH SERVICES DIST. SEC. SLK LOT / Y/2 + AOOF.O S,.N WELL Goc. S.C.T.M. NO. /000 9B pou/vo. Goc. z�zo/92 Bz-ie� GAI. GUL A--rt 0 .15 Cofmi'lANt E IN ACCOR9AR(:9 NTR91 PERT' r 17R1�1} 'RF" TmE NFrR Y(IRR ?�'4'kTrl /"RFKn'Y MWITEfIVATtON C6k3TRV&PXdR C091, 1III .-t�fi"/ - f , " g2•Q4 TtlTri(, FROA^ WALL AREA ],08A 3+) RBVAE FEE?3-15� • , lOA'AL Nt wA1] _AREA 8 d99.92 EBVkRP:F," - `�_ nOTN4 (ILA1.1NO AREA = 956,,9 ftVkl1$ FEW - - -- - - - all. ll""+�� MAbL Ub C,RAIL d^ , r I 4 VAT WE 1.08) a AflFJ/ > k,2k1 �iIAkK,FN�F 1. OAnvt'.,/Nt4m flltllF✓CEl trl,ffO � � D- ' VENT THRU ROOF-,.,(Tye.) ROoF OTn A4 r.nanr Frnna AREA I.217.44 00AAE PI'm D D — -- 119 17. o,K BIDG.DER ."s" ' � 7owN of sDUiIaLD , { F.lR1FELLINC OYCRALI, "V" YALi1F 'f 991 (lrY7K kl V I'/2V � x1lr I �IfL V - ' - .,99;. V.R. 1,aJ5,�4 -Fie, N _ 1 FI¢WR OVERALL "U" VAtiVR = (.00 U,;717.}Al j I�z Y� vy We I 00rP rO j L,at7.'aq"___ ,.� .rv,, '9,R, . f TUB Q NOTEI , 1 HOER TUB .i, TA GALevLn•Flona ARE, 9kTIEn nx',RNDGaNEN w7 N9nWa. 1971 to O cATntsrt!. Nc 'p O ALL CON5RUCTIONI FOOTINGS, ETC. TO RESPECT _O �' REQUIRED SETBACK. VERIFY IDEGK 4. DECK O Q FOOTING PiMENSION5 WIT14 RE5PECT TO I g h � SETBACK REQUIREMENT PRIOR TO CONSTRUCTION 4 pyV 5 wC s w ' _� - ---- - - -- - ✓1 UNE RED ISi-r FL SETBACK LINE S SOLIb PRe$SUgD 'IRFiA'rep V WDOO P05-r RN I''•O" Y. '1`-0" F., LONG• 4°E,I4-C,=, TO pIER 01-I 2'-0'' R 2'-0" % ILO` D6EP APPROVED t\ 4" E.H.G,x TRAP SANITARY 5YSTEM P. cowc- Fo0"CIF- & (Np) pI0 „ N N20 TRE�.ROAD 40 -8 - pASEMENT F71N „ PLUMBING RISER DIAC�ftAf' PLOT PLAN — T — • T NO SCALE CBflFlfllIT PLUMBING 9 E - ---- -- -- _ 1 " ----- OCCUPANCY OR lowIISI; IS UNLA�IFUL ALLWATER LING WASTE - _ I I � __"� 2x � &WATER LINES NEED 90 �* WITHOUT CERTIFICATE TESTING BEFORE COVERING I � ' OF OCCUPANCY APFReDVIZA' 64tEgD 3 �SbZ •' LFi bfaEFG 'Pd OD DATE, / 9 _ aPu �3. - FF.E: a'/ v ZXIY..ROSE NOTIFY aUILDING DEPARTMENT Al RID6EVENT 765-1802 s AM TO A PM! FOP THE ASPHALT SHINGLES OVER 2°%6' G-D: G IB"O.C. 9 FOLLOWING iNSPFCJIO"IS `� ` — _ - M 1. FOUNDATION - TING REQW7;Ep ISPBEBTERIOR GRADE ILDING FELT C R 0 'y - ., ,$n : JC FOR POURED CONCRETE PLYWOOD SHEATHING - � QI . 21b 0."C.1 N 2. ROUGH - FRAMING to PLUMBING Z"X Q"ROOF RAFTERS 's dp a I `� f 9 INSULATION' / @.16' O-C- � .� W' Nj LLL COORDINATE W/ PRE-PA$ 4. FINAL - CONSTRUCTION MUST .j 91/2 "�' L. PIPE COL: CTYP)' � �_ }�REPLAGiT IVIANV FAGTURR�S aEDaMPLETEwRr.o / �� I 'd , ' V I;nf . r 24"XE "� I DEEP P.0 fOTI . , REGIULRPMENTS FOR DIh1EtJ510NS ALL COF.ISTRUCTION SHALL MEET IL 12 2 I can' / ' - - 46 CTY. _ OF FOUNDATION BENEN7H THE. REQUIREMENTS OF THE NY. R-Iq GTC3 'R_ 19 7g i ` •' 'x4r G ' I PI , y---, 44POu RG'D coNcL,,, STATE CONSTRUCTION & ENERGY �II -J ` / ZS I HAUNCH .._I L_ �, _ - FIREPLACE CODES. NOT RESPONSIBLE FOR 7 Fj/'J I I I� '. h ', rNl I SLAD R.eII:IG. DESIGN OR CONSTRUCTION ERRORS W'''M BE/ARINC'7 W J I GL-fOdtl W,W.hA. g �, 6vea 4� MIL. zM 6` C.T. �* 16°O.G. .�' °XI N i VAPop DAWil6R I" '- R-30 D PARTITIONI �¢ q d 2k B" LL„ ! O1 — 1 R-'.A-BATT INSULA / `f p ( ' I- �, i b WGLL 0 i' _ - - dotsFhG�Ib'b.L• _ AREA DRY f PASe-Ba / 8 0 11 _ I p 4 - PIPE TO) pRYW LL '' - � �-'�_ D I "''�'--'- - I EASE WOOD FACIA - BEARING- - 3 D" WALL , YZ" GYP. 6D, j CONTINUOU5 1 it - I -- _ V? EXTERIOR 3-6 H• B�D�pM ALUM. SOFFIT ` �N V' I _ GRADE PLYWOOD MA5'f-ER BEDROOM - RAM LtN6. VENT. k ` SOFFIT ' BEARING - � j T ' 2XI0@16"O.C. I r --+-- 2XI0 I AYAI-L ") o _ ;fMk.MFTBCTURA 1,�FF45 PIRNMNI3 0 I I FL. Jolb?5 I _ L J CL. J015f5 y �. :U - PLYWOOD 2"%ID" FV. Jol4'Ts R.0 BA'f"f `O �++ .I J"0 - -" -11 SUBFLOOR - - itcom r I�NASVL• I, INsl,l.. IA,!-=-- XIO N� uR,ht�l1U.R e11fi1 maim Nuud C Iv",o,G w rrranlluVdmr lar ��o� A tuhin0 - RW for vow c iswminB prarflcur.d - _ x RsaNPUq ill W DHyp"Ifflm -''/2` aWP RG SIDING AS SELECTED N iunilaaeR +qa ♦dd , OVER 15L8 BUILDING FELT S 14 2 �_ O.C. ( �o ;l be r0ty gwRlN k. H.oik mu . yTyy( 16 I- J EXTERIOR GRADE PLYWOOD I - n , , -'2 - ' u _ t '1 O { I, "" { awRNtR•l faarR-Ab rlrowadrn DINING {2PJ. 2X10 FLOOR HALL f.BATH LAUNDRY RM. HALL SHEATHING, 2X4` STUDS (T 16'O.C. 8 _ �_ i�I . O � ...- --- I , 2 - RW'M•mWr ie giMM 4f qr y' of NEI1� 7015T5 @ 16'Q.C. S R- 13 BATT 1 NSUI.ATION Tj- t -� I 1 _X D n : f milud+er Mr snylrrror m m' PLUMBER CERTIFICATION 0 A r N . ( � 2�4 I N 4ASEMEN.T i I aoI .•I ON LEAD CONTENT BEFORE I I r { d I 9. .ol nI�arr 3/4` PLYWOOD SUE4FLOOR ' CERT/f/CATEDFOCCUPANC% BEARIt{G IB APoN6 C'IoGO•L- _ — — -- -- — - - I = '� i T PRt1IECT .' N' WALL 1 y I VALL (TI, I •.. 1 --... _� r- SOIDER USED IN WATER - SUPPLY SYSTEM CANNOT 3/4" EXCEED 2110 OF m LEAD. SuBFLno2 - =lD to I ve'l6 ANCHOR ,• I n gr o O - —}- -= ----- - 7 -- - EIOLTS Co 6'-O Q.G. MAX, ;Ir I/2�— F_ R-19 ;, ' I - ' - 2-7'x to OVT ftMll-TES SHIELD IN. GRADE . _ . s. ,+- - — —._L:�..-1- — — -. r�- — — f /„•^;' -- --- i !, :. , FIN. GRADE m ' 2-2k6 SILL PLA7F F - - ✓. ._BASEMEhlT oQ, E POURED CONC. I _ FOUND.• WALL W/ - k ¢% 4° 5m-o P2 55UpE - _ _ BEARING -- \� 3'12 d1 y5TL. (PIPE COLUMN BITUMINOUS �� 712e'�t'1'�iD W 60 POST' WALL ON 24I(2'4` X12"IDEEP P.C. DAMP PROOFING -•- ----0 -- FOOTING CTYP,) 4 pielz ow Z 2Lta" / --- � 1 ISO'' OEEP P. oo?lµ(o �N_P•� -- -- -- - <• � � =.�-� —— _ " - - ---- - - AW! NUMBER TV n , u -O 5L10 I-O -r'-1 _ 5 O I 5 � Q ✓ 4• POURED CONC. °p 6 8 - — I`-4 POURED CONC. DRAWN BY OR NG SLA RE'Wfc. w coNC. HAUNCH ' 'D 8 � - - FOOTING 22 D" I5^OI CHKD:BV c ovep 4 1111- vAPv2 SECTION A _ anRrzlew wEu BASE - - -- 37'-O. 1 ATE Y4, �91 A7 ' ' PaBPAREa _ ' Ais -� �a FOUNDATION PLAAfd , C[lNBA.No. 6f -3 r aifiixGAL..ti ._ NAa�N[Id'�Ag9x RR'4h' rest TteE,awfutV1040H OF la, H_EA•,�A@y r1lrTGX-'AN,9 I{IkP ^AI N> Tr'R Nh.�P,L xx Aa RaLGQ Ga Or ' � - rIW. rirwre HlrTT 4 'lH1R r+xbsxu rxD - DHwRF,'Axrr IpIALre NR D I 2: TP Is'TIMS RGNPItliaYEtFLITY pF TNB Y,ONTRAI:,TOx To FTL,x POR AND - 1'1; Nl�n•Pi wn N1 p11'.x 1fIVO N411R', xx'C R'IfCA"�NR ;OIIAI+L =IN$TAd1Lxb A,WO' , .. DIIThTN-•ALj� RRtx Rap,K'P$RQVALR,;mmi{IARIFT {"RpM hwv AND h"hL F3Rr irRpYr51'1Ob i'x.CFSwIt lNc"�' {4FJltI xGQWK.R'4 _gF 1W HfM -OONFRNTND'AOFN RA- WIND N BOIr ' TXFa PROs$U'r AAiI V11Pw 'NYAIR IiAIFORM'F'JR� P pNR'SON Ax9r'�9T+Ttt DL'Pb1"If HRAMNr Iarm hob IRiT WAT1;1W NxAT�R voiif PONPDp 'TO A6L 3. 1TJD '�1IR RFR ANSLITY OF TNR CONTKiCifalt TO COMbY N1'IQR APFirlChRf t R�{rI1,TAEMYN'Pa oR �'L'w6 wNx V �OTFTO" xLkaY usja� AI i ADPO'LCAh1aG 8.t GANR�' RUL1Sa AND REDULhT10Ax .iN '}'RE_ CDNRNAr'TCIN rON6TAHt'TTbx T1F 1R.IrROJgCT: - 17, wINNDXS AND',POORR RHALL"RR1rPRp LY PbAw"T A7 xEADA/AND d. AI L.PiIUgI:O rONCRRTG .F91N!!ibaR 'GIIALL REhR' OII 'MTN:IMaM'"II TON PROPRRLV RGAawEb AND wAATR7.�AT1 �Aw r'e. RIIR ARAMTNQR hR6 XIb7 TO Rx,'gaALiHI� S. ALI Ir1URT',P r0Nr11PTP 014411L AA`Yx "A HIMMM (:THPRR iVrvz RTRINNPTN ' G DF Y DR0 P r I IN RA #AYR 19. NO 9Ax Lc0 WILI, Bli FxRI1]$YRO':xl^Yp1O9'{' pRi91t 9RL14F:w NOT'TFIrryTrON Or Aftr A0fKOVAI,.RV" $xQN7P*"l T - L- F\r11 P A0 '0111+RRNTHF Na"P ON m{ANpr ALL 2" N R AND LARQIRR y RFD{TTTTIr FRRAINO u"Im OUALli a VF;A Nib1MwM MailbbbR. OIF 20• NO 00SWIV1r,TiON MAT Q014NAx[R.xRIOR }',IJ ,raxVANC,G tax A "Ut 0,111Q GI RR'1 tCIlS ro' r 406,O00Y 1Y.T. 'ANp AN RATREMI riow STREIOR 4flRMIT. - _ IN Dt NDIAIi DF lb = 1,i It's.1, x1RR1 JL' IM I'MUM MUIRTRIIR IIr THE AAt'il l'1 ECT C1' P,iFIR$ TO T 'ERR 9RRT pF• NTR rr N I r,N7 of 14,v - P �1 M{IxNLlsbnE-AND , . - AEL4F.F Tit la PRO41KY MR=Vie 11GQ9�'JCdRgQNYx OT TNA.NRw YORK 7. Menrr 'Ail rYf1IpRNTDii NOTRDDO�p%A*W, AL4'WOOD UVAIMMI AND (REAMS OPAft FNFRRY CONGANVATION'cO1la ijQ'�"TQN ba1NI. • .011hl 4 N1N'1% A 01NIM"M HOPO VII Of fth"P�ITY OP 1,T00',000 P .H.I . •. AND AN WN'Y"I'M FIDER 'STRARR IN SbNPXWI F;"fM • 1,2" P.el.l. WITiPA HAA1T4bM MOIRTDRN t.RXTAxT'OF 194: - - n„UALfaF NO'rfm OTHFRWISE ON PLANA ALL HPADURRJOVOR MYNDOWS 9. IFLUOR'",11^irrT# HHAGL 0E.OOb6(fxb^R%W.ATH AM, PARMUNI ..4ARTT71tiwN. � , 10. PROVIDR MTMIMUH`1R NAkiDF:DAIeVhxR,RHi!' aTRF4 ,IOTNT ILhN711'gR5 iAT j FIAIDIY.DEAM&' fihR1EYTxb-db1R'P1r• ,_ ' 11 ALL'OTAUrT! AL $R'FRf2raOAhrr To'R:R,T.N, ik i ].�.. All ' CVR3'➢.7T:AL OI�TIIP* LLgq NNxj LTON'4S: N1xAMb- SxAAILI RE U I,. CCRT7 FFR0 A1Ip ANRx'R6L'$b Ib,CO1JV41JHI�RT7V1'_APRGTC#RILG r ALI HLIRIRIAO Oom+TtNAL4 AMBO11iL11'O hPPLisARLPi 'COgAk AND fYEAL'bR�IlTIPhRTNRNI",RNQIyI'NKMENTa: 3-7 i-Or - .37' p" =---'67-0 - --- �� 1 >Tr ,n , 4 0 + IO 2 7 's_ (2) 3 2 RAVLi.,, (2) P53 C� 2_ r 1) DEG ) P5 � O �• 2.2 1° . . . 2,2' I�+. - —._ _ _ _.__ .-__ _ _.... __ __ ..__ _ . . .___ — O 2.7%�, _ _ q , " IN ��E�'�G— N nO _ .. .. (2) Z MUL J - -- BREA' -.A9T AREA ' � !n a �' I o f 21K 6" R.O. �' I �s 1 '° c. NI _�IG' o•c_ "�'f � T;t - - o" m T. I MAS{ ER 'Bf DRODM1 N �( I z 5TUDY( SE�RpdM' - 0 51NK lam" ' i " .C: C? n' VL. Lf5TELf.'FR£ 'FfE9 F(tEPLP . r r r o ¢u, n rt C'L^I .� ,. rQ . r r' r' V.L. LISTFD - - .. . 1 _ v5 SELECTED BY UWN�R. _ I 1.2' o } pp ERIF'( 1 rURERI4N'4' `! R „ } _ v1 CfE1ALEFLUE MANV- 1aT�!.:U� RR S G19 ERATIaRE ,, 14 -4 - _ _-- _... _- - - .._--_ __ _._ _2x R.R I I 2X&°RR - 4:,P"W,, . �' � r-4r� T - :� -,4 ,'3�'-�f' 4r 14'-�.D : I PRO�61�7; - VLA�RCJ. '1DI701'�S R .... _ - _ .'I+ - '"' I OUT51D ',-COMLiU '1"fdlV r0.,IR C� 16 0.�. I � �Iri"o.c, d 441TG,HN� v , jagLl� JS1T, X .. 51 eE° PLhT Grs la," yAR rio �!' oO "xio-EJ, :" 4 �� ?k� � zScl � { 1' �; b• [' Ibr.po-A•f•F. - zx8'c�i.l• - �p `lT � 16"9,G" - >`' WI P,aARfi T•I ON` ,. : ; - - - v• C3- ll" F6�T _ 7,I0 3' 6a . °? - 3�-8° 4rr - - I41 4 4� 1 - - - BEsI74k�1bl - �� Uf ©;, 'p , '. E9RINP' 1 d _ 112 'WA � N, ! tl- � y4R•r`r.T I (� I ' t - a. ., J. N r .r .r ' r ' .. x - n ,r • r I r I ",; . 6-. - - ---- .. - - _ �� 4F11 � 6 , O ' S ''. ',+9• _ ''p} A 4 9- qk 4 �., irK' ?Ft �'�' ' •g � � , -A k ro: N'N - - - -- q h!# {, '27 L � 1 41, wA5H4. L�RY, , r{gA x1" ' d 3 `n AN I -�; "— n 8- �. SAG "t V - I - _ �. '3' 5�x6g$L ..�. _ 4'2"xt ..",..r.....,.{„ H V' I v� a 'ur LAUNPRYRr`'+ " i -y, ^� " ' ' GL;.: r I .(FvvZNJ 2' "xlb 'RPKv'+ p... . . .4� - Ly . I ' TUB ' ,:ci d ',.. B71TH1 ' TIJ6' -q (•41]"1G, f�.hR,' .a� N _ , . - - , 'k,• " 7 y f _ �. — Ir , 0 Dl Ick . • Rx 6� ^ m `d'^ - ltj---�F ."L:_ '- - t w �° `!; - 2icrO Fn 'N a o _ . --�r— - _ _ _ tvV. TG;R., PATH a z6 . _ e � �� _ 4�._ __ , .- .�' . @160�.• .. i n __.��r ._ � K LAV m + o ZI -@ rt• 14 4 ` +4 h�Or RiMAAIRt _ _ .._ MNRRRdl r1yT �E Llwwt �R�t �11� tnL+IMxtww -' eRHavPrP _ L' psm 6.G rr — --• I ` X S G.a. 0 x o d c� - 2'x to FS �tr a wnv WmM « w O @ 16 ocf -O J �I d 4 „ I i @I5 � I •�MRi',�yy `!_Zi,LJ - lo - - J6 10, - 8-2 I CBkfcNd. , f t , 10 , ICJ , y f 4 .m 9{�`v I j11 - _ 2- riR gp ,2n�- n rr x t p �5 xl Ix O (� r+H y I / f Fp tl PIt / P 1 EQ. Q I li n , n I n r n 1 ! � r� •W --_-_ ____ _ r "-O 6r 7 6 -10 � -7 2 -6 2 6r, �AWlR►R -` o'•O - 22'•d" 27-0" 32'•Ce" '37 r On LIF1'AWN BY C1tRW1fILi:jylN 11_ tax "go SECOND FLOOR PLAN 2 FIRST FLOOR PLAN ,- - - - - 1'' � �titVdY► hdo: . ��'.� �I 1 I I i f , _ A5HPHAL-t- - 1WINGLES_f � I Wcx�l� Pa�aa, ` WOOI? FACIA FF1 I i R`—vl�l-(I. �IoIWm r� VINYL SIDING AS SLECTED- S�IT�a —� jE:1 � r , IZA,I,:ItYs� I I I I I _._.� - ----- ` --`i-- — ` f I i I I I - fi - ate, ,c I I IZ - 12 I tZ I A514PHALT SNINC5LES f L ✓�R . . Wasp P»fGIA Al • WOOD FASCIA- - -- ---- - . 1If`"''IIITIT�1I1 _ � � �gpeC ARph I I/^ 7 ® - �!—+-a '1'NAr_OWA so ow""n I Ojof - I' J .---- — "'� `L7✓.� 17� v nhit ,�,p fib' i VINYL. SfDING AS SELECTED �/I� L h1C?IN<'�,AtKa '. SSW( tT ©\A go � V inul r mw >n i w u� ' / �kMp':Y M MW'k.No,411m�wA�M-, � pR WE'b vpP - �/❑ ,N.rg,on,a.ow. ,near No I I a ia�iTH r IQ\ 13 , I _ — RAILING - � - I i �� ❑ L�4 I �- - ., ' CatC � L- DI'�lC1NIt✓,Iq' - J L_� - - L—, rala ©a� 6saun+aeR 19 1 1 11 1 IT Fm k2Ci�.+E E OF DAT, WALe coMnrt. NO.