HomeMy WebLinkAbout19908-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20735 Date MAY 18, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 160 LAKEVIEW AVENUE PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 68 Block 3 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 1990 pursuant to which
Building Permit No. 19908-Z dated JUNE 3, 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 GARAGE IN CELLAR & ATTACHED DECK
WITH PARTIAL SCREEN ENCLOSURE AS APPLIED FOR & AS PER ZBA #3968.
The certificate is issued to IRENE MILLER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-12-MAY 5 1992
UNDERWRITERS CERTIFICATE NO. N-225283 - FEBRUARY 20, 1992
PLUMBERS CERTIFICATION DATED JAN. 2, 1992 - MATTITUCK PLUMBING & HEAT.
Building Inspector
Rev. 1/81
FORK 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° 19908 Z Date ... .......................................... 19..441
Permission is hereby ranted to
aSca� ..s /?!:`.�.... ..., 44 .... .............
to ................
.. .. .... . �..... .......�...:¢.. .. ....
... .:. .... .
.
....... o.............. '' ...........................:.............................
County Tax Map No. 1000 Section ........ ? ....... Block ........,?......... Lot No. ..../"R............
pursuant to application dated .....��f ...................................... 19.0, and approved by the
BuildingL Inspector.
Fee 5.../.•..` :....•
B.... Ing Inspector
Rev. 6130180
Form No. 6 -
TOWN OF SOUTHOLD $'f �
�'( GI��tiGGtlGe BUILDING DEPARTMENT i P 'g MAY
TOWN HALL 9,. °U 1 1992
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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing 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, Commercial $15.00
Date ?/a615.G
New Construction. . . .V . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . . . w/?CJ. . . . . . . . . . . . . . . .L C `. . . . . .4 V I . . . . . . .t UtD hJ/. . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . .. 1 9F0r. . ��.(j JEf
County Tax Map No 1000, Section. . . .G'. . : . . . . .Block. . . . . . . . . . . . . .Lot. . . . . . . 0. . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
1.7 � � � 1. . . z .�
Permit No. . Date Of Permit. . . .Applicant.
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Co as APPLICANT
�5�FF0(A, TEL. 765-1802
o�!- 1 TOWN or, SOUT11OLD
OFFICE OF BUILDING INSPECTOR.
can d �' ^ P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 19 71
i
C E R T I F I C A T I O N
i
Date
Building Permit No.
t
Owner -17, tOE -0- L s '
(please rr "
P int)
A {��
Plumber (� M Y H 1. ..
a VOL'f1�
'
i
2 certify that the solder used in the water supply system
contains less than 2/10 of 1; lead.
(plumber ' urej
Sworn to before me this
day of 19
Notar i lic J
flotary Public,__(, c/ 7--- County
EDIIN F.JACKSON
NsMy 07of Now York
Ift fltpw In&01*County
Term Expires Feb.16,1092
THE,, NEW YORK``,BOARD"'AF 'FIRE UNDEi I'll , RWRITERS 2AGE 1.
�01071 BUREAU OF ELECTRICITY'
85 JOHN STREET,,NEW YORK, NEW, YORK'10038
Date FEBRUARY 20,1992 Application No.onfile '' . 74136591191 ' N 225283
THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of
MILLER, SALT MARSH LANE,' PECONIC, N.Y.
inthefollowinglocatlon; 1$ Basement ® tst FT. ❑ 2nd Ft. GAR/ATTIC/OUT Section Block Lot
was examined on FEBRUA,RY 14,1992 andfound, tobein compliance with the requirementsa this Board.
FIXTURE FIXTURES " RANGES COOKINODECKS OVENS I DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FIVORESCENj OTHER pMT. K W. AMi. K.W. PMi. K.W, AMi. K.W. AM1. H R.
26 44 33 23 1 1.2 2 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AM7. N.W. all M.P. GAS H P. AMi. NO. A,W,G. AMi. AMR. AMT. AMPS. TRANS, pq,T, H R SYSTEMS AMi. WATTS
NO.OF FEET
j 1 F L.. 9` 1 30 1 ,
SERVICE DISCONNECT Nb.OF ::` .",:... ,.i,-r+ "" .,:_". -_.•,.n., e ..,-
METER AMT. AMR, LYRE EQUIP• 1,9 NO.OF CC.CONDA. .W,']W 1,0'3W tg3W t,e"�W FR.a A W.G.W.G. NO.OF HFIEG A W.O.OF HIAEG NO.OF NEUTRALS G.
P OF CC.CONO OF A NEUTRAL
200 CB - 1 K 1 . ' ` 2/@ 1 � 210
OTHER APPARATUS:
G.F.C.IJ-7
SMOKE DETECTORt-1
G & S CONTRACTOR LIC.4578-E
BOX 215
SOUTHOLD, NY, 11971 GENERAL MANAGER
11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
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FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N,Y.
NOTICE OF DISAPPROVAL
� (Date . . 7 ��J. . . . . . . . . . . . . . .. 19
T �f�
� . 6 �7 . . . . . . . . . . . . . . . . . . /
PLEASE TAKE N,OTTIIICE that your application dated . . . , , , , , , , , , , , , , , , „
for permit to . . . . . ./" t sX . . . . . . at
c
Location of Property e No. !. . . .`� �. . 111!U ./� . . . .
House No. s wer ••✓✓„ Haml t
County Tax Map No. 1000 Section . . . . . .4'v.Z . . . Block . . . . ..-q. . . . . . . Lot . . lr? . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . .'-.../. . . Lot No. . . . . . . ... . . . . . . . . .
is returned herewith and disapproved on the following grounds .4ReA . . 4?e �Q`J. -Zw
' � . � . . . . . . . . . . . . . . . . . . . . .
�' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B ldi Inspector
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�. _ ' � I�rI y=3 SCOTT L. HARRIS
APPEALS BOARD MEMBERS y :, L I
Supervisor
Gerard P. Goehringer, Chairman "« NOV 1� 1
Charles Grigonis, Jr. � ir 2 7Nk 1��y� �».�U in Hall, 53095 Main Road
Serge Doyen, Jr. {� P.O. Box 1179
Joseph H. Sawicki thold, New York 11971
James Dinizio, Jr. BOARD OF AP E `V� t1F SC O*D 7 Fax (516) 765-1823
�.,,..
Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800
ACTION OF THE BOARD OF APPEALS
Upon Application of IRENE R. MILLER. Variance to the Zoning
Ordinance, Article IIIA, Section 100-30A.3 and Article IIIA,
Section 100-239.4A for permission to locate proposed dwelling
structure with a setback of less than 100 feet from the top of
the highest point (top of bluff) on this 42,930 sq. ft. parcel.
The parcel in question is nonconforming as to lot width
(frontage) of less than the required 150 feet in this R-40 Zone
District. Location of Property: Lake View Avenue (127+- feet
southwest of Huntington Boulevard, a private road) , Southold,
NY; County Tax Map Parcel No. 1000-68-3-10.
WHEREAS, a public hearing was held on November 1, 1990, and
all those who desired to be heard were heard and their testimony
recorded;
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application;
WHEREAS, the 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. This is an application for a Variance under Article
XXIII, Section 100-239. 4A for permission to place a new dwelling
structure (not to exceed 30 ft. by 60 ft. wide) , including decks
and overhangs, with a setback of approximately five feet from the
highest contour of the property referred to as the "top of bluff"
and as more particularly shown on the survey prepared by Peconic
Surveyors, P.C. July 24, 1990.
2. The premises in question is identified on the Suffolk
County Tax Maps as District 1000, Section 68, Block 3, Lot 10,
has 94.19 ft. width at the proposed building line, and contains a
total lot area of 42,930 sq. ft.
3 . For the record it is noted that the property slopes
considerably downward from the top of the bluff to "Lakeview
Avenue" with variations in the contours from 45 feet to 26 feet.
On the beach side and main land sides of the bluff, the property
is heavily vegetated.
I • )
Page 2 - Appl. �9,6
Matter of IRENE �LER
Decision Rendered November 15, 1990
The dwelling structure is proposed 138+- feet from the
N.Y.S. D.E.C. wetlands (75 ft. ) setback line near "Lakeview
Avenue," all of which are located just north of Autumn Lake. It
is also noted thati, construction has been restricted in areas
closer toward Lakeview Avenue for sanitary and building
construction as a result of the closeness of Autumn Lake.
4. Article YQXIII , Section 100-239.4A of the Zoning Code
requires all buildings and structures located on lots upon which
there exists a bluff or bank landward of the shore or beach of
shall be set back not less than one hundred (100) feet from the
top of such bluff or bank.
5. The dwelling on the adjoining easterly parcel is set
back approximatelyifive feet from its closest point to the "top"
of the bluff, and the dwelling adjoining to the west is set back
approximately 13 Beet to the "top" of the bluff. Each dwelling
is set back more than 150 feet from the tie line along mean
highwater of the L',.I. Sound.
6 . It is the position of this Board that in considering
this application:
(a) the relief, as alternatively noted below, is not
substantial and is the minimum necessary;
(b) the, grant of alternative relief will not alter the
essential character of the neighborhood;
(c) the difficulties are uniquely related to the
property and are not personal in nature;
(d) the variance, as alternatively noted below, will
not in turn be adverse to the safety, health, welfare, comfort,
convenience or order of the town, or be adverse to neighboring
properties;
(e) in !view of all the above, the interests of justice
will be served by !granting relief, as conditionally noted below.
Accordingly, !on motion by Mr. Goehringer, seconded by
Mr. Dinizio, it was
RESOLVED, to ,DENY the relief as requested under Appeal No.
3968; and it was further
I
RESOLVED, toGRANT alternative relief in the Matter of IRENE
Page 3 - Appl. No. 3968
Matter of IRENE MILLER
Decision Rendered November 15, 1990
MILLER for placement of a new dwelling structure SUBJECT TO the
following CONDITIONS:
1. That the entire building construction (including deck
and overhangs) be set back not closer than 13 feet from the top
of the bluff at its closest point;
2. That the dwelling construction comply with all other
setback regulations, including side yards at a minimum of 20 and
15 feet, for total side yards at not less than 35 feet (as per
100-244B of the Zoning Code) ;
3 . That prior to commencing construction activities and
during all phases, hay bales be placed at 10 feet from the top of
the bluff and 40 feet from the proposed house location to the
south (road side) , for a full length of at least 60 feet; (and
there be no disturbance of land outside this construction
area. )
Vote of the Board: Ayes: Messrs. Goehringer, -9sand
Doyen. (Member Sawicki and Member Grigonis were absent. ) This
resolution was duly adopted.
lk / �-✓�i��ii�<=4t�t GERARD P. GOEHRINGER, C/$AIRMAN
$ ty
This agreement entered into the / day of November, 1990
between Irene R. Miller (hereinafter Miller) , Lakeview Drive, Peconic, NY and
Heskel M. Haddad (hereinafter Haddad) , Lakeview Drive, Peconic, NY.
WITNESSETH
In consideration of One ($1 .00) Dollar paid by each party to the other,
receipt of which is hereby acknowledged, and the mutual covenants and promises
set forth herein:
1. Miller hereby agrees that acce�s to her property located on Lakeview
Drive shall be made from the westerly-6A4eof the property, where said property
fronts on Lakeview Drive. Any such access shall not disturb the existing
landscaping bordering the driveway which provides access to the Haddad residence.
2. During the course of construction of the proposed Miller residence,
Haddad will allow the Miller's builder to use the electrical service of the
Haddad residence to facilitate construction of the Miller residence.
'3. This agreement shall be binding upon the heirs, successors and
assigns of the parties and cannot be amended except in writing and signed by all
parties.
Executed as of the day and date set forth above.
R�r�\VET Irene R. Miller
Heskel M. Haddad
1. Dr. Haddad is to be notified at least one month in advance so that he
can arrange for the builder to get the electrical line.
2. Except for the line across Dr. Haddad's property, there will be no
invasion of Dr. Haddad's property with the construction.
3. The tree barrier between the two properties, including the trees on the
side of Mrs. Miller's property, should be preserved intact to maintain the
privacy for both sides.
4. Use of the electrical outlet from Dr. Haddad's house does not mean the
use of power, therefore any charges from Lilco for the electricity used
should be charged to Mrs. Miller or the builder.
f-4tL ork Mate Department of Environmental Conservation
egion 1 Headquarters
SUNY, Building 40, Stony Brook, NY 11794
(516) 751-7900 r
AMENDMENT TO PERMIT Thomas C. Jorling
Commissioner
Former
Ms Irene R. Miller Permit #),j ( if any) : none
38-09 211 Street
Bayside, New York 11361 October 11, 1990
Owner : above
RE: Permit No. & Location:
10-89-029P
et i l�
r akay;r-w n.,Arnra, Gnutholcl
? ? 3
�, (.700
4CZM. 1000-E8=0?�.0 t:, ,-r^-�,.,r
Dearcl�Q#
Ms'Miller,
nt request to extend the above p_Q"J t 1 - - iewed
pursuant to 6NY - *AnAPd
to
a
XX= Your recent request to modify the above permit has been reviewed
pursuant to 6NYCRR, Part 621. It has been determined that the proposed
modifications will not substantially change the scope of the permitted
actions or the existing permit conditions .
Therefore, the permit is amended to authorize: relocate proposed home as
per NYSDEC approved plan - attatched (plan by Joseph A Ingegno, last revision 8/29/90)
This letter is an amendment to the original permit and as such, shall be
posted at the job site.
All other terms and conditions remain as written in the original permit.
Very truly yours,
Deputy Regional 4, rmit Administrator
cc:
1
95-201 (8187)-9d
New York State
Department of Environmental Conservation
NOTICE .,,..
The Department of Environmental Conservation (DEC) has issued
permit(s) pursuant to the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
shown when contacting the DEC.
Regional Permit Administrator
��NED
Permit Number 414V gum _ A t µ RPN ��1g90
Expiration Date
NOTE: This notice is NOT a permit
TRUSTEES w�i !. r s w i SCOTT L. HARRIS
John M. Bredemeyer, 111, President � '' t Supervisor
Henry P. Smith, Vice President �j� `� v3j 1
Albert J. Krupski, Jr. 1 Town Hall, 53095 Main Road
a,. X1%" P.O. Box 1179
John L. B. Tuthill Jr. Southold, New York 11971
John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823
Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800
August 13, 1990
RECFJ QED
James Fitzgerald, Jr. -
Proper-T Services AUG 16 13%
P.O: Box 617 J°[ -'TZCER ALD
Cutchogue, NY 11935
RE: Irene R. Miller, SCTM #1000-68-3-10
Dear Mr. Fitzgerald:
In response to your correspondence of August 7 , 1990, the above
mentioned property is not in the Trustees jurisdiction as they
do not have jurisdiction on the Sound.
Thank you for your courtesy and if you shall have any further
questions, do not hesitate to contact this office.
Si erely,M ?O -/yy�Jr
John M. Bredemeyer, III
President, Board of Trustees
JMB: jmt
FRANK A. KUJAWSKI, JR., President =�
O
ALBERT J. KRUPSKI, JR., Vice-President th +s<nj
j TELEPHONE(616) 766-1892
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKi, JR.
HENRY P. SMITH
BOARD OF TOWN TRUSTECS
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
February 24, 1989
Mr. Eugene A. Csicsak
P.O. Box 429
Mattituck, New York 11952
Re: Inspection request by Eugene Csicsak at property located at
Lake View Avenue, Peconic, N.Y. , Tax Map Number
1000-68-03-10.
Dear Mr. Csicsak,
Please be advised that the Board of Trustees inspected the
above referenced property and it was determined that the project
proposed is out of our jurisdiction.
This determination is only a determination rendered by this
Board. Any other approvals that may be applicable are required
prior to the commencement of the project.
Thank you for your courtesy and cooperation in this matter.
Very truly yours,
_
-urs, ���
,� r
Frank A. Ku7 awski Jr.
President
Board of Town Trustees
FAK: jmr
cc: Bldg. Dept.
Board of Appeals
D.E.C. , Stony Brook
S.C. Dept. of Health Services
APPEALS BOARD MEMBERS ?gyp ' e i � ri SCOTT L. HARRIS
Supervisor
Gerard P. Goehringer, Chairman , /�7
Charles Grigonis, Jr. .qp� - ,y ,, j Town Hall, 53095 Main Road
Serge Doyen, Jr. yG=mow P.O. Box 1179
Joseph H. Sawicki Southold, New York 11971
James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823
Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800
November 20, 1990
RF��.ILr^o
.41Oy
Mr. James E. Fitzgerald, Jr. ✓,�C 201990
P.O.Cutc Box
e,lNY1C11935 FiTZG�RAlo
Re: Appl. No. 3968 - Irene Miller - Variance
Dear Mr. Fitzgerald:
Transmitted for your records is a copy of the determination
rendered by the Board of Appeals at our November 15, 1990
Special Meeting concerning the above application.
Please be sure to return to the Building Department and any
other agency which may have jurisdiction for appropriate permits
prior to commencing construction activities (and placing hay
bales as noted in the Board's decision) . A copy of this
decision has simultaneously been transmitted to the Building
Inspectors ' Office for their files and update.
Yours very truly,
GERARD P. GOEHRINGER
7Cg_y" RMAN
Linda I�Cowal ki��
Enclosure
Copy of Decision to:
Mr. Victor Lessard, Principal Inspector
Mr. Thomas Fisher, Building Inspector
New York State Department of Environmental Conservation
Budding 40—SUNY, Stony Brook, New York -"7,1W 11790-2356
(516 ) 751-7900
Thomas C. Jorling
Commissioner
January 17, 1990
Ms. Irene R. Miller RECEIVED
38-09 211 Street
Bayside, New York 11361 JAN z 1�10
J.E. FITZGERALD
Re: 10-89-0258
Dear Ms. Miller:
In conformance with the requirements of the State Uniform
Procedures Act (article 70, ECL) and its implementing regulations
(6NYCRR, Part 621 ) , we are enclosing your permit. Please read
all conditions carefully. If you are unable to comply with any
conditions , please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously
posted at the project site and protected from the weather.
Very truly yours,
Susan V. Ackerman
Senior Environmental Analyst
SVA:mw
Enclosure
SUPPLEMENTARY SPECIAL CONDITIONS
The following conditions apply to all permits:
A. If any of the permit conditions are unclear , the permittee shall con=
tact the Division of Regulatory Affairs at the address and telephone
noted below.
B. A copy of this permit or approval and supplementary conditions shall
be available at the project site whenever authorized work is in
progress .
C. The permit sign enclosed with the. permit or a copy of letter of
approval shall be protected from the weather and posted in a con-
spicuous location at the work site until completion of authorized work .
D. At least 48 hours prior to commencement of the project , the permittee
shall complete and return the top portion of the enclosed receipt form
certifying that he is fully aware of and understands all provisions and
conditions of this permit . Within one week of completion of the
permitted work , the bottom portion of that form shall also be com-
pleted and returned.
E. For projects involving activities to be accomplished over a period of
more than one year , the permittee shall notify the Regional Permit
Administrator in writing at least 48 hours prior to the commencement
of resumption of work each year .
F. If project design modifications take place after permit issuance, the
permittee shall submit the appropriate plan changes for approval by
the Regional Permit Administrator prior to undertaking any such modi-
fications . The permittee is advised that substantial modification
may require submission of a new application for permit .
G. All necessary precautions shall be taken to preclude contamination of
any wetlands or waterway by suspended solids, sediment, fuels,
solvents , lubricants , epoxy coatings, paints, concrete, leachate or
any other environmentally deleterious materials associated with the
project work .
H. Any failure to comply precisely with all of the terms and conditions
of this permit , unless authorized in writing, shall be treated as a
violation of the Environmental Conservation Law.
I . The permittee is advised to obtain any permits or approvals that may
be required from the U.S. Department of Army Corps of Engineers , NY
District, 26 Federal Plaza, New York, NY 10278, (Attention: Regulatory
Functions -Branch) . nrinr to onmmanramanF nf
95-206a(1I86)-25e Freshwater Wetlands
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608( j
10. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the
teration in the position of the structure or work herein authorized, or project.
if, in the opinion of the Department of Environmental Conservation 14 Any material dredged in the prosecution of the work herein permitted
it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across
waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a
the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of
resources of the State,the owner may be ordered by the Department to a waterway.
remove or alter the structural work, obstructions, or hazards caused 15 There shall be no unreasonable interference with navigation by the work
thereby without expense to the State, and if, upon the expiration or herein authorized.
revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit,the project hereby
modification of the watercourse hereby authorized shall not be com- authorized has not been completed,the applicant shall,without expense
pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as the
extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require,remove all or
Conservation may require,remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site
structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of
and flood capacity of the watercourse.No claim shall be made against New York on account of any such removal or alteration.
the State of New York on account of any such removal or alteration. 17 If granted under Article 36, this permit does not signify in any way
11 That the State of New York shall in no case be liable for any damage that the project will be free from flooding.
or injury to the structure or work herein authorized which may be caused 18. If granted under 6 NYCRR Part 608, the NYS Department of Environ-
by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not
conservation or improvement of navigation,or for other purposes,and contravene effluent limitations or other limitations or standards under
no claim oiright to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977
12 Granting of this permit does not relieve the applicant of the responsi- (PL 95-217)provided that all of the conditions listed herein are met.
bility of obtaining any other permission, consent or approval from 19 All activities authorized by this permit must be in strict conformance
the U.S.Army Corps of Engineers, U.S.Coast Guard, Ndw York State with the.approved plans submitted by the applicant or his agent as part
Office of General Services or local government which may be required. of the permit application.
13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by Joseph ingegn0
solvents,lubricants,epoxy coatings,paints,concrete,leachate or any on _12-Z1 9/88-
SPECIAL CONDITIONS
1. Any future construction of structures seaward of the crest of the bluff will
require a tidal wetlands permit from this Department.
2. A 75-foot buffer of undisturbed natural vegetation shall be maintained around the
wetland, except where driveway crosses buffer area.
3. Hay bales shall be staked end to end on the downslope edge of any areas of filling,
grading or excavation. They shall be maintained in place until all disturbed areas
are permanently vegetated. Trapped sediments shall be removed to a suitable
upland site before the bales themselves are removed.
4. Disturbance to the wetland and its adjacent area shall be strictly limited to the
work area identified in the approved plan.
5. During construction , no wet or fresh concrete or leachate shall be allowed to
escape into the wetland or its buffer zone nor shall washings from redi-mix trucks ,
mixers or other devices be allowed to enter the protected area.
6. The permittee shall allow access to Department personnel at all reasonable times
during normal business hours on normal business days, and after reasonable
notification to the permittee and proper identification as Department employees ,
for the purpose of conducting inspections or investigations in the regular course
of their duties pursuant to the Environmental Conservation Law, notwithstanding
signs or other notices purporting to limit access to the property.
Supplementary Special Conditions (A) through (J) attached.
DEC PERMIT NUMBER
PROGRAM/FACILITY NUMBER
Page Of 3
'62060i( h)-25, NEW 10R1. STATE DEPARTMEN'1 Of INVIRONMENTAI CONSERVATION
DEC PES'MIT NUMBER ® Erl Lc iIVL DATE '
10-89-0258 ® 1/17/90
I Al fl I1ri'RU(,R A.M�NUvIBt Rt+I PERMIT I It IN I),ijill
Under the Environmental Conservation Law
1/31/93
Article 15, Title 3: 6NYCRR 327, 6NYCRR 608 Article 25:
328, 329: Aquatic Pesticides I � Water Quality Certification Tidal Wetlands
Protection of SPDES Solid Waste Article
te Title
Water u Article 17, Titles 7, 8: e Management*tle 7,I360:
r� Article 15, Title 15: Article 19: Article 27, Title 9: 6NYCRR 373:
u Water Supply Air Pollution Control` Hazardous Waste Management
i Article 15, Title 15: Article 23, Title 27: Article 34:
Water Transport Mined Land Reclamation Coastal Erosion Management
ArtJcI
e Title
S Article
shwa r Wetlands Floodplan
Long Island Wells Freshwater t Management
Article 15, Title 27: N—New, R—Renewal, M—Modification, Articles 1, 3, 17, 19, 27, 37,
Wild, Scenic and Recreational C—Construct ('only), 0—Operate ('only) 6NYCRR 380: Radiation Control
Rivers
PERM11 ISSUED 10
_ Ms_ Iren-e, R. Mi11Pr
nlEMISS 'it PER,btl 11E
3R-ng 211 _ _ _
AGINI IIIR I'L RN I I I I I I'c ON IAC T PERSON Tf LEPI1ONT NUMBER
i1—
^-AML1 AND ADDRESS UE PROIECTjfACILi TV (II different tram Permrttee)
Lakeview Avenue, off Huntinciton Blvd.
LOCAIION OF PROIEs TOACILITY COUNTY TOWN/CITY/VILLAGE UTM COORDINATES
Suffolk Southold
1 DES(RIPEION OF AUIHORI&D AITIVII'r
Construction of single family home well and septic s stem as per NYSDEC approved
tans attached.
GENERAL CONDITIONS
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compli-
ance with the ECL,all applicable regulations and the conditions specified herein or attached hereto.
1 The luanvurr+hnll Idem theulna•of theggmppnate regional permit adoup,wuo,,or otherofficedesignated in thespeual conditions,a nohraof mu•nbon to commence
work it least 48 houn m advan,c of the time of commencement and aball aAo nonty hnnlher promptly In writing of the,ompletion of the work
The ponnuted work shall he+obµ(i to inspection by an out oozed representative of the Department of Environmental Conservation which may order the work suspended it
the public interest so requires pursuant to ECL §71-0301 and SAPA §401(3)
I The permmee has ,, ,pled reprv,Iv by the eu•tubun of the apphcabon,the lull legal responsibility for all damages,due(t or mduoa,of whatever nature,and by whomever
suffered,arising out of the project described herein and has agreed to mdemndy and save harmless the State from suits,actions,damages and costs of every name and descrip-
tion resulting from the said project
d The Department ...+..ryes the right to mndny, ur,pend or revoke this permit at any time after due notice, and, it requeaed hold a hearing when
al 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 round, or
b) the permit was obtained by misrepresentation or failure to disclose relevent facts,or
c) newly discovered information or significant physical changes are discovered since the permit was issued
5 The permrttee,s responsible for keeping the permit active by submitting a renewal application,including any forms,fees or supplemental information which may be required
by the Department, no later than 30 days(180 days for SPDES or Solid or Hazarduoos Waste Management permits)prior to the expuateam date
e 1 his peons! +hall not he construed as conveying to the applicant any right to tre+pa++upon the lands or interfere with the riparian rights of others,n 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 permrttee is responsible for obtaining any other permits, approvals, lands,easements and rights-of-way which may be required for this project
8 Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner
issued heretolore by the Department or any of the terms, conditions,or requirements contained in such order or determination
9 Any modification of this permit gra ed by he D partrpent m st be in writing and attached hereto.
PERMIT ISSUANCE DATE PERMIT DMINI TRATOR ADDRESS
1/17/90 hristine Costopoulos
AU T HOR 11E0 SIGN 4T L:RE • _�
•I _ �tiW) lJ�v�-�, �, ` (TV`. Page 1 of _---
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: -
i
r
DATE INSPECTOR
z
765-1802
BUILDING DE".
INSPECTION
[ ] F NDATION 1ST [ I ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: r
11
DATE a' INSPECTO
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [4,1 INAL
R MARKS: �/L9iQ (� J`S
DATE L/ INSPECTOR
pp�/ _
M-UO2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
REMARKS:
r
al—t43 -
E
DATE r2 S * INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ) FINAL
REMARKS: ��-ad�/c�
DATE ® d'� INSPECTOR
M-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ NSULATION
[ ) FRAMING [ ] FINAL
REMARKS:
i
i
s
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ) FOUNDATION 1ST [ OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
I�RAMING [ ] FINAL
REM RKS: I-
f
i
DATE fqV INSPECTOR
BOARD OF HEALTH . . . . . . . . . . . .
3 SETS OF PLANS . . . . . . . . . . .
FORM NO. 1 SURVEY . . . . . . . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD CHECK . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . . . .
TOWN HALL 2
SOUTEOLD65-18021971 NOCALL TIFY .
�✓�( . . . . . .
/ MAIL T0 :
Examined � �
Approved .,�jo . . . . . . . . .. 19�j Permit No.
Disapproved a/c •��✓ ?J , .5%j -- • . . . . . . . . . . . . 9 1990
V JUL
. . . . . . . . . . . . . .
^ V 1N Orpr SOUTNOLD
uildi n ector
APPLIC TION FOR BUILDING PERMIT
Date . . . . . JuIS'. .19 . . . ., 1999.
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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal on, as herein described.
The applicant agrees to comply with all applicable laws, ordinance uild' code, h s' _and_regul o 's and to
admit authorized inspectors on premises and in building for necessary rasp s.
PROPER T SERVICES (S:>n ure of applicant, or' me, if a- orp aeon)
Jame:E. Pitagerold,Jr.
P.O. Box 617, Cutchogue, NY 11935 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Phone: (516) 734•SON (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Agent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
Name of owner of premises . , Irene R. Miller . . , . •
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . �J lof�o/� .yNt rY n . • nr !
No Number bake,View,Avenue ,(,priyat@ ,road) . . • • , . , , P2cOYlic. , , , , • • • , ,
. . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . . . 68. • • • • • • • • • . Block . . . . . . . . . . . . . . . . . Lot . . . . 10 . , , . . , , , • .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . Urldfiveloped . . . . . . . . . . . . . . . .. . . . . . . . • . . .
b. Intended use and occupancy . . . . .Rrivate .residence ,,, • w„•4a'f• : .
Y
3. Nature
pazf of work ( P
check which a plicable): New Building .X. . /.. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
a (Description)
4. Estimated Cost . . . . . . . �Sx0100, . . . . . . . . . . . . . . . . . . . . . . Fee . .�iw�TijC}C. . . . . . . . . I . . . . . . . . . . . . . .
;. (to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . One. , • . . • , Number of dwelling units on each floor . . . . . . . . . . . . . .
Ifgarage, number of cars . . �u(4. PF *1QPP. . . . . t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . .
6. If business,comIor mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. Dimensions of ek'i�tin y etujef; if any: Front . . . . . . . , , . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . .IV�umlber of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of•sa a structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . '. . . . . . . . . . .I',. . Height . . . . . . .601. . . . . . . . . . . Number68>;Stories . . . . . . . . . .301. . . . . . . .
8. Dimensions of entire new construction: Front . . . . . . Rear . . . . . Depth . . . . . . . . . . . . . .
Height .3.5 ! . PA .less Number of Stories . ? or less
9. Size of lot: Front . . . 115 L , . , , . . . . . . Rear . . . . 94' 1 g�. . . . . . . . . . . e thh 422 ' yar
10. Date of Purchase . . . .9�2���6. . . . . . . . . . . . . . . . . Name of Former Owner �u�i11 e Aririe Matthew. . . .
11. Zone or use district in which premises are situated . . . .R:-AQ_ • • • • • •
12. Does proposed construction violate any zoning law, ordinance or regulation . Yes
. . . . . . . . .
13. Will lot be regraded . . . . Y?S . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No
14. Name of Owner of premises . zrQYIQ. �.. Miller, Address • See below phone No. . . . . . . . . . . . . .
Name of Architect . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .
Name of Contractor . Eugene.',.Csicsak . Address . Phone No. .. . . . . . . . . .
15 . Is this property located within 100 feet of a tidal wetland? *YES .$. .NO. . . .
*If yes , Southold Towne Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all !buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
Irene R. Miller Eugene Csicsak
38-09 211th Street I P.O. Box 429
Bayside, NY 11361 Mattituck', NY 11952
See attached survey
Construction details, Health Department appi�,oval, ,,DEC non—jurisdiction,
and Trustee waiver will be submitted after,variance is received from ZBA.
i
STATE OF NEW YOR $ S
COUNTY OF . _ _ /
(Name of individual si�g7ni�l � �ra
• • • • . • • �divi � l �•� being duly sworn, deposes and says that he is the applicant
g co
above named.
Heis the . . . . . ./ (/1. . . . . . . j . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to,the best of his knowledge and belief;and that the
work will be performed in the mannen,set forth in the application filed therewith.
Sworn to before me this /
l9 . . day of ` . . . . . . . . . . . .. 19�C7
Notary public, County
AOY
104
puft 8tau of Nww Yank
IIOM!1t No.4898736 . . . . . . . . . . . . . . . . . . . . . . . . .
M&0*Cou^d (Signature of applicant)
CoWimim Expit"Mw/Q6,19x(
>� 2
ti • \ J�
3B� �
n P
• rti � —3S
00 �
75
0
°$0���� O• '��i4a� O
r yin y
'HNE•�Y
2 c
1�d0
oy�
n 90 O
0
�4
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
The wafer Jos and sewage disposal standards foared in r line drove s a /established
mhhnem
FOR APPROVAL OF CONSTRUCTION ONLY tothesystems for Ms residence ffo conform surveys v aj
to far seal at al The Suffolk Count by the LJ✓for such e by and I roved and adopted
DATE HS REF. NO.- Deparhnenl v{rbo/fh Services. y Tills Association.
The New York Stale Land
APPROVED
The fia.mlons of Wells and avespoole shown hereon are from field
observations and or Iron, data Obtained from others.
&4p 6
00, N
!4 MJ
VO
e / O 0
m 90
?�0? i
Ip�E1.-1TAG1
- M / ,at A ��e EwsrrNv `'La O �\
No � `GP/
ti�0� A ti 'PE t� M �• \n: LAWN - 1`GV��B P
.ta• � st \ 5"� V B
G
?fit- moo_
� o.s. .\
,I, p oa'w
'l�1 I1he /PNO �„YY F s.
it WN - ._� ,00 +qL to
SURVEY OF N101F
4
PROPERTY
� ° FESKEL HADDAD
A T PECONIC ( VACANT )
TOWN OF SOUTHOLD NJ • m bpe
r
SUFFOLK COUNTY, N. Y. / B DAT.
?/•ry-'�
1000 - 68 - 03 - 10 a.r
P DARA' BROWN LOAN 6•
Scale 1" = 330' pp / BROWN
ND
DEC. 19, 1988 M a BROWN LOAMY SA B'
PAL£ BROWN
I��'1�� P / / LAKE NEDRM BIND r,!'
16 - i E fy , �ILI+L� GQ rcuu r PALE BRAWN
ll 9'
V WAY FV/4QF BROWN
& p�./�.�/,'�-�� ALA ' W/rN
PkiaGEJ�I fM rbb, �,� L.Y aF .AY ,.'
LAND �D�� rAreR lv P.LcpuMWN
A. fry SG9 PROPER-T SERVICES NOTE Contour lines are referenced to �, svAERvP ro Be•
`4r�Dy�•Q OFC Jemw E. Bft"Mm,Jr. Topographical Map of The Five Eastern AUTUMN LAKE
20 0 P.C. Eu 617,Crlchque,NY I IM Towns.
f a t x Ph"*: (aly 734490 N/01F RONALD
� ROTFN/AN
RECEIVED s
9ee� .4� . L[C. NO: 1868E AREA = 42,930sq. ft JUN 2619au
or 0.9855acres
DECO S, P.C.(sle)7e5,- solo TO TIE LINE
J.E, FI7ZGERALp
P. O. BOX Hob ELEVATIONS ARE REFERENCED TO NVG.D. . ,
MAIN ROAD
SOUTHOLD, N.Y. 11971 -
B8 - 737'
a � �
M q
IV
O� g yvt, �
m
ON qa �00 �1 p\4P
ry/O�� ~JS. 4oNfoUNo�PON _ / \ <,.ww 1M1 • J\!p°��°e
Ae
-/ MON
//d 15• / / \. oa w
/ o.zs
p .,Oe,
l� 010�FNS
a \ MON
0.L. E/W
O. \�� 0
SURVEY OF .°°. � / � - "/°/F
PROPERTY
9 A0 AP�$
A T PECONIC HESIrEL HADDAD
TOWN OF SOUTHOLD 4,
�h
SUFFOLK COUNTY, N. Y. /a, 9a
1000 - 68 - 03 - 10 °O
Scale I" = 30 r CERTIFIED TO : /
IRENE R. MILLER
Dec. 19, 1988 woa
July 24, 1990(revised)
June 4, 1991 (hee/ 9tk. out )
June 28, 1991 ( found loc. )
NOTE / Contour lines are referenced to �oW�
LANDSG TooTopographical Map of The Five Eastern N/O/F RONALD AUTUMN LAKE
0AREA = 42,930sq. f1 ROTFM4AN
Y.S. LIC. NO. 49618 or 0.9855acres
RS, P.C. TO TIE LINE
P' ELEVATIONS ARE REFERENCED TO NV.GD. .
MAIN
SOUTHOLD, N.Y. 11971
88 — 737
H. S Ref. # 89 SO 12
C0
q, oos do
' \ a
g let\po0
a2
J
o
%
h / r
r, err N
F ,
V
Vv N e P SSE
SUFFOLK COUNTY DEPARTME11T OF K;M1.TH SERVICES 4-0
SINOI_E FP,f,41LY DWELL NG ONILY h Ndd,E E� l ya 9°r a''' cawm �M11 ' Jg0?
D;TQ �� ZtIS REr- i10bye,r vnd'
The sewage dispD=e1 and wafer snnply FimItes for this �'�6_ ' � ^V`t � "y 7 ° �� '
other 1DTod hand fumad�to bt
Chief of Bureae of Waster Management
V
•r/F.Ya .ar yo�,FY
Mary
SURVEY OF / 'moo. � NIOIF
PROPERTY �" N
A T PECONIC / ` D.C. `Q9 5 ` WSKEL HADDAD
TOWN OF SOUTHOLDNdR.SUFFOLK COUNTY, At % m
1000' - 68 - 03 - 10 ?' oo. / .\jQ
Scale 1" = 30' CERTIFIED
R. MILLER
Dec. 19, 1988 a
July 24, 1990(revised)
V NE
June .4, 1991 (hoe, stk. out)
June 28, 1991 ( found. loc. 1 +�% 6
Dec. 14, 1991 (final)
e'
NOTE Conloul"lne`s are referenced to
/�IHND Topographical Map of The Five East
towns. ern AUTUMN LAKE
I/'•'r �e �,,. �o R',c NIOIF RONALD
- Prepared In accordance with the minimum ROTHMAN
'. . L1C. NO. 49el9 AREA - 42,930sq. ft standards for title surveys as eslobllshed
Or 0.9855acres by the L.I.A.L.S. and approved and odopled
PEG EY P.C. TO TIE LINE for such use by The New York S1a/e LLand
Title Association,
R O. 1G
• MAIN RDd{p--.:y ELEVATIONS ARE REFERENCED TO NKG.D. .
uTHOAQ, 11971
D8 - 737 '
1 I 'LI DI. la 1- .J
d DowN Q �
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