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HomeMy WebLinkAbout20061-z FORM NO. 4 TOWN OF' SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22157 Date MARCH 10, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 545 BUDD'S POND ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 5 Lot 11 Subdivision Filed Map No. Lot No. _ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29 1991 pursuant to which Building Permit No. 20061-2 dated AUGUST 2, 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 GARAGE, DECK & BALCONY AS APPLIED FOR. The certificate is issued to DIAMOND & E. VIOLA SCARDUZIO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-117-JULY 13, 1992 UNDERWRITERS CERTIFICATE N0. N-245473 - AUGUST 4 1992 PLUMBERS CERTIFICATION DATED FEB. 12 1992 - K&K PLUMBING & HEATING uilding Inspector Rev. 1/81 H ~S 9~J ...............APPLICANT..... ~ 1'OSM NO. f TOWN OF SOUTHOLD 91lILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIN~i PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_ ~ 0 0 61 Z Date ..~9..~1~ ~9 ~.l Permission is hereby granted to: . at premises located of ~T..s~...~.... ....ly....e:~•'<~!?Yj.....`~,/ . County Tax Map No. 1000 Section "5~ Block Lot No. pursuant to application doted 19.9,1.., and opproved by the Building Inspector. ~ Fee S. ~.I~ o' t ~ .t ................:vs..t Buil ng Inspector Rev. 6/30/80 ~ 'i y 'fEL, 7G5 1803 ` 5~~~nt~ ° Y • mown or sov~ruoLn # s orrlceop avlLb?rlc Irrsrccrotz ,~K i i ~ ` o~ c~ ~ ~rowN uaLL ~ ~ ~ s, MAR ° 9199 ~ ~ ~ ~ ` ~ ~ ! dQ~' SOUT[iOLU, N.Y. 11971 ~ kS~ ~i ~ ` ~1.~~ - 6, 4 "t 1 Cit a ti, t mr._..n,=. ~ . i $ •F ~ ~f C E R T I F I CAT I O N r~~ i ~ r ~ ~ `~s ' „~1~ w ~ , , t st l`~.~ . Date y ra~ , ~ -.r?# if''~ ti ,.r~ , auilding permit No., owner ~c-cr-~"c~v"L.~ ~7 ~ P Hasa printl ~ ~3' Plumper ~ ~ cV~vj,rol ~e_ak~ c1~ s.~ . Ip ease print) ~=~~cr~ ~ 2~'~S\ ~ ~ 's: ' i eorti>;y that the 90LC3Ar used in the watez supply aylikAm ' ~'reontains less than 2/10 of 18 lead. t' ~ r ~,l; , ,a: ~ ~ , 4` ti' J ~ ~ lplum6er's signature) 'cry Sworn to before this ~ ~ ~k~`t n .,day of Q v'CX~ • , z+ k Notary Public ~ ',potary l~ubl,•lo -s?~'~L_. ~ r ~ Ctfunty CtA1RE L GlE1N i~ ' Notary Public, State of New York ry-' t ~ 3 F~ No. 4879505 k aualified in 8uffWk County Commission Expires December 8, 78 3.• ,a ~ J , i 4x1 C-J ~ , ~3 ~ x . ~ ~ • x..°t AV t t s~ ~ i f k~y~yy ~oo~i z ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS CAGE L001071. BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 70038 Date A{)fs ))S L~ (94,;L992 APPiication No. on file 15607 ~~L~9) N ~~5~~~ THIS CERTIFIES THAT only the electrical equipment as deacrihed below and introduced 6y the applicant named on the shove application number in the premises of DT.A~P![1RIU ,,",CAftDtiP17.U, BUU(J'S FUND RI7,, tiUUL'HOLDI N.X, Ist FI. ~ 2nd FI. GAR' 1011 i Section Block Lot „ in the fo(loming location; ®Boaement rT uws exmnined on ~I)~y '31 t y) 2 ondfound to he in compliance with the requirements q(this Roard• X FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORE$CENi OTHER AMT. K W AMi K. W AMT KW. AMi K.W. AMi. H P ~t5 3S 1f, X49 1 t 1.7 2 T ~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS REEL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W Oll H. P. GA$ H.9 AMT. NO. A. W. G. AMT. AMP. AMi AMPS TRANS. AMT H P. SYSTEMS AMi. WATTS NO.OF FEET fb P 3 Fi 1 2 9 L SERVICE DISCONNECT NO.OF S E R V 1 C E MIT AMP TYPE METER I tW I ,H 3W S,B' 3W 3,a' 4W NO. OF CC COND. A W. G. NO Of HbLEG A W' G' NO OF NEUTRALS A W G. EQUIP. PER e" OF CC COND. OF HbLEG OF NEVTRAt 1 200 CI3 R 1 2l0 t 11® a OTHER APPARATUS: _ - JA(~NZZL'1 ~ i N0TUR5t1-1~ ii, t'. ,1.-2.ki P. ,7-3,@ N.E`. ~ n C. F',C.Yt-7 ~ N SMOKE DE'1'ECTOE:°2 9`I~ACK LIGN7'SNG:..p m ~ L~2~~'.r~l~-'~-1~~~ -P~ C fi< 3 CUN'l'EltC1'OH 61~.~578-E tsO~ 215 ;3RI/9'FCOLD, NY, 1193E ~ GENERAtMANAOER . 11 r' v .~~t Per This certificate must not be altered in any manner; return to the office ~f the Board if incorrect. Inspectors may be identified by their credentials. • ER D IN ANY MAN ER. INSPECTORS Victor Lessard ~ F n(;~ a Principal Building Inspector ,,`~W'~~ Curtis Horton ~J h= r ' j1 SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ c~a v ~n e ~a:,. Southold Town Hall Thomas Fisher ; ' p.0. Box 1179; 53095 Main Road Building Inspector , ~t., `=zu'', ~ Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector " : _ ' Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD MARCH 5, 1993 MR. 6 MRS. DILAMOND SCARDUZIO 172 OARSIDE DRIVE SMITHTOWN, NY 11787 RE: PREMISES @ 845 BUDDD POND ROAD, SOUTHOLD, NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: X%R An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. %xx The check is not on file.)$25.00 10rx No Health Department Approval on file. No final inspection has been made. ' No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20061 Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. c'1ELD I::SP~:iiU:~ ~~UnTE ~ ~OtYMCNT° ~ 1 . ti ~ O y\ FOUtJDATION _ (1st) FOUNDATIOIJ (2nd) 2. z _ o p~ ROUGH FRAME & f~ll~ ~ f PLUMBING W . ~ ~j/ ~ y 3 . c " I1 c~ m IIJSULATIOII PER N. Y. STATE ENERGY CODE . } 4. ~ 9 3 y FINAL P_ ~ ~2 .r ADDITIOIIAL COMMEI ~ - . V fir,' ~ x ro \ H x' 7 ~ H ~~~C~ z~ x M a p~ - - ~ _ H ro ^ - ~ v ~ Form~No. 6~ 'f'~ ~ ~~~(aa (ff 'i~ ~E~ TOWN OAF SOUTHOLD ; k 4,.'~ BUILDING DEPARTMENT ~,~E' M~ _ ~ ~gg~ ' TOWN HALL '~l3yE 765-1802 `~='~a APPLICATION FOR CERTIFICATE OF OCCUPANCY ,~~rr._,~- 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. r 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 ..G'~ :~t~..~,~ . (.q.9 . . New Construction....~Q Old Oyer Pre,-pe~xisting Building. ~ ~ ~p / Location of Property...Y~~...!oJ.1~F:~-~b~~./`?..~~~rQ-t ~k(._.. `,i;~~G-:';L~"~;LL!f.~~ l/rf~? House No. Street Hamlet Onwer or Owners of Property../.1-XarS~:-!!?~; ~'7~:.. .r ~`1~:-!~.! County Tax Map No 1000, Section ..............Block................Lot,..................... Subdivision .............................../f/' ~syled Map.........f.~.L~o~t.....n.,.~.. Permit No. ~.Q ~ ~ ~ ~ .Date Of Permit.. S-?~1,~ ....Applicant,~:C-4AfCl~`'74~:. , , Health Dept. Approval.......'~c:':>:......./......Underwriters Approval... Planning Board, Approval................ Request for: Temporary Certificate........... Final Certicate..~...... $ e a Fee Submitted: ~~`1 ~s/ ~/J APPLICANT.... /'4, ~ I~ofcM xo. xowrr or' ~ou'xliol,n ?UILDIAO D1rPA}iTMk:P7T TOWN }7Ad.L SOU'1'}IGLU, NX DI:VI:I.OP.'~fI.~IT I'Is}iMI'P '7G I~ Deta i~) I'y:.nlnaion is hox~oUy f;x•cxntad to: 0b~®© 10c&tf)d nt ~c'~/~, _~~-_G~`?~~% -,GG..I~~.._.CxL~~~'Q'...._.._..~ G~1~ CounCy `I'nx I,Inp t7o. ].000 9ooCion ?1ock ~ I,ot _ ~ R . pursuant to a~pliostion dutod 19,~, end npprovad by the ?uilding IYtapactor. ':ulldinr Poxlnit No. ._..~/-fZ~../ y7. I3ui dingy spactor 4/eo i l T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [v]'~RAMING [ ]FINAL REMARKS: ' DATE IL' INSPECTOR U~ ~ il6/[( ~-Mi ass-isoa BUILDING DEPT. INSPECTION F UNDATION 1ST [ ] ROUGH PLBG. [ ~FOOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: 7 i DATE INSPECTO //I?Jr1~; r C~ 765-1802 ~ ~ BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DATE INSPECTO t 1 7ss-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ~8ULATION [ ]FRAMING [ ]FINAL ,e REMARKS: ~°~~..a_~~ r DATE I ~ INSPECTO _ - 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION MING [ l FINAL C RE ARKS: L i' DATE __~l~~ > INSPECTOR ~~o~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ u r i/ ~ r ' DATE O~ 4 INSPECTOR ~i ~ _ _ ~ . „ Application Received Disapproval Issued Permit # / S"~- 19 19 19 FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD 19 t. 't'ype o= Development Proposed: New Structure (including storage tanxs x Addition and/or Alteration Flood Proof Below Base Flood Elevation Other (specify) 2. Elevation Data in relation to above mean sea level of: - (a) Lowest floor elevation, including basement ~ feet O inches (b) In a V Zone, bottom of lowest structural member feet inches 3. FIRM--Flood Insurance Rate Map, Zone designations f~ 4. Owner of Premises / Ley„ a~/%~i/~f>rfil~~i 5. Location of Property: ~ ~S ~,~x~,~~ o~~~~~~~ House # Street Hamlet County Tax Map No., Dist. 1000, Section u'6 Block s Lot(s) Subdivision Filed Map# Lot(s) i 6. Permission to be granted: ~ Owner as above New Owner Under Contract _ Lessee _ Contractor Phone # - . ~ Name if not given above Mailing address ~7 7. Approval from other(s) before Permit is issued: DEC /D ~ ~ ~ Wetlands (Town Board) ~ ~ Health Services ~ g$`o ZBA Building Permit D © Planning Board 8. I, the applicant, am the Owner , Co-Owner 1_, New Owner , Under Contract Lessee , A ent _ _ _ g Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. , ~ i~ ~ . - STATE OF NE~~'~ / " /J COUNTY OF ,,~~r, ~1~ S~ Signature i SWORN TO THIS DAY OF - 19 ELENE p. HORNE ~ K (~2~i Nola Public, State of New York Notary Public No. 4957364 Qualified in Suffolk Coon ' Commission Expires May 22, 19,,..L Applicant's mailing ~ ~ address and phone # if not . given above 11/ 85 ;°,r..w. • FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 Town Hall Southold, N.Y. 1197;1 Main Road Southold,N.Y. APPT,T A.T T(1TT F(1R IIF.TJI.',T,!IpMFTQT PFPM.T_T Instructions: The app~~lication to the Building Inspector includes (each in duplicate) 1. FormlNo. 10 filled out in ink or. typewritten, 2. Sur- vey of premises with elevations above mean sea 1eve1,.3. Drawings of pro- , posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: A. Anchoring of 'structures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base.flood.elevations Specific Standards aslrequired in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes • The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure ha's or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below thebase flood level the structure is water tight with walls substantially aid impermeable to the passage of water, 2. that structural components', are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-1~8B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard, urea (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural mempers of the lowest floor cannot be lower than the base flood elevation with all space below open except breakaway walls. Sand Dunes. If sand ,dunes exist on the premises and the applicant pro- poses to alter same, 'plans and specification must be shown in detailed nature of any alteration submitted. Buildi~ermit. A Building Permit is also required for any structure. Both a Development an'd a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued, within ten (10) working days. During construction, '',the inspector shall be notified in time so he may make the required ins',pections.° Upon completion, the required certification of the final elevations and work must be submitte',d before the approval to use or occupy can be approved. I (Fill o,ut the form,on the back of this sheet) ~ 11/85 I - '~r.tw~L 1,%w . o., _ .r .e.`,.a,.^:?t'+i~>A i~3.43/a!Lria ~a +.an4:h`d+'t'. w ~x, dlv, ~QYO •f "r Y z. l,.\~~'`*,a .6+9i atei `.''4{luf Y wws~ ~ ~vrr Y µi4i !,f9n~ Y a + s < r'; ~,/3 i u r rxr S~s4 L~ rVi ~ R~ i / ~ \ a/r ~ t2c R-, %L •~.a.r!.~-~f .o_~.~R'~?"9~:3'"~~te~~?~~'9's""„ry~.M~u ~na'~~n~.A3+t'~'" 'iTP 'T7".`~VG'r ~ ~i i ~ Board ®f Southold Town Trustees SOUTHOLD, NEW YORK p*: t, r~ ~ ~ PERMIT NO. ..3879 DATENov. 16, 1990 ` i ISSUED TO DIAMOND SCARDUZIO `3 Pursuant to the provisions of Chapter 615 of the Laws of i ~ the State of New York, 1893; and Chapter 404 of the Lews of the !fw k~ State of New York 1952; and the Southold Town Ordinance en- ~ rdl titled "REGULATING AND THE PLACING OF OBSTRUCTIONS . IN AND ON TOWN WATERS AND PUBLIC LANDS and +he REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM - ~s r `'v LANDS UNDER TOWN WATERS;" and in accordance with the t ~~I Resolution of The Board adopted at a meeting held on Nov. 15, ~k , , ' +l~ 19 99., and in consideration of the sum of $ 150.00 aid b r \ A, Diamond ~carduz,~, n {,I ........172, ,Oaks,ae ,Dg. ,....Smithto III s< r of 4V! Y. and subject to the Terms and Conditions listed on the reverse side hereof, r, ` ~ ~p of Southold Town Trustees authorizes and permits the following: py Qs y, ~;~i Construct a single-family dwelling on property II located on Budds Pond Road off B~eyhome Road, 'b~? '.;t Southold, NY adjacent to Budds Pond, subject to the'~ru z ollow qg: Ex sting,bex~m s tq be eft in its natural std :t a~ m accordance with the dletailed specifications as presented in ' , ; '9 ";i the originating application. 'r, °'a r n I ~ a 4+ IN WITNESS WHEREOF, The said Board of Trustees here- IE by causes its Corporate Seal to be affixed, and these presents to A" >d; i' r r:;,~„ ~ ^j~ be subscribed by a majority of the said Board as of this date. ph, ~D ~ w~ ~FFO , ~ r ~ T„ / V ' . Vim( I~I,. 7r ~ v IP,~.11 ...;F r. i i ~ ' ~ d t i. ~'tr> ~ ~ ~~l ~ ~ Trustees \ r4 ~.~.~....96..ffi.:,~~'.' '`.d.~"Fi~G.9a~~.WL't.A.°.+~~ -may `r ir-`% wT yf14r: r 7"sPL. Mo ::T ~f &wS~~a~ i / ~ ~ s: ` rrrna• "sire ' ~,~p~ " tK _ ~ "^'Ci"° ~ +c ~ ~+Tq 'M ~ 't 6~7"~. ~ ~b ~ ~ / 1, r .~....,~.v~wx,..~,..w._,.o~,,...e~a;;rw~a_ Y.iku~a~..wr~a.~+~.anvaemh~wriicw~u'>hrwq.wu~.e.~~s.ar...._,~.».v..v....~..~..-__.._.. 2 91991 E wn_~..-J ~ _ - L~l`7L`:'LI~~~~."i':! BOARD OF HEALTH .d'.K:. ~ 3 SETS OF P NS ~"I1~t . ~ rs SURVEY . FORM NO. 1 d. - ~j,? ~ TOWN OF SOUTHOLD CHECK ~ - . y JU BUILDINGDEPARTMENT SEPTIC FORM - BLOG. pEPT. TOWN HALL TOWN OF SOUTHOLq SOllTHOLD, N.Y. 11971 NOCALL - - . y . TEL.: 765-1802 MAIL T0: Examined .~G~°2.........., 19 Approved ..0~~........., 1~~. Permit No...~3-p. o..~f~ Disapproved a/c ~ (Budding In ctor) APPLICATION FOR BUILDING PERMIT ' Date ~41y. 2q., 19.~L 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 permyt 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 Depaztment for the issuance of a Building Permit pursuantito the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, b ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~~p,tion~~?s (Signature of a licant, or name if a~~or or tion) 172 Oakside Drive, Smithtown, Y.1178i (Mailing address of applicant) State whether applicant i owner essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises P~,~rPflpd ,Scarduzi o,,, , ~c• Wif e, , , . , _ • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSEp Builder's License No. E~'ramer:. ~:ay~-d-n ,Ht~ilders Lie. f{ 19, 060-1iz Plumber's License No . . Electrician's License No. G.&S .17-e,et;x~~ca,l ,Contractor Other Trade's License No.N~gavption:, Lee, Dickerson, Cesspools-Chris Rehm Cement: J. Crenshaw I. Location of land on which proposed work will be done . . ,UryJ~, , , , Eltzdd~. g, Pgnd, Rd. ,Southold, New York 11791. , . • • • • . House Number Street Hamlet County Tax Map No. 1000 Section ...1~6 Block 5............. Lot ....~:1.........:.. . Subdivision ~~Map, of .Willow I'o9.nt~'.. , • • • . , , , , , Filed Map No. ...465~ Lot ..9........... . (Name) 2. 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 Single. Family .1Jwellin~ : , 3 Repair of work (check whtRemoval able): New $uilding ...fir.'..... Addition Alteration . i Demolition Oth~r„lVpr~, ~~1 kk'' escripiion) 4. Estimated Cost .....~~'95,000.00 Fee j ~ (to be paid on filing this application) 5. If dwellino, number of dwelling'iunits ,ono , , , , Number of dwelling units on each floor . If garage, number of cars ....'~..cars,,,,,,.,...• 6. If business commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . . Height ...............NunlberofStories................................. . Dimensions'of same structure with alterations or additions: Front Rear . 1 Depth ..Height ~ Number of Stories P • • Z~•r• ~ j 0~r ~ ~~eck' ' 8, Dimensions of entire new construction: Front Rear h~!........ , . De th . Height .....31 Num ber of Stories . ? , , , , • 9, Size of lot: Front .T00 r 1 Rear ~.9Re,,,, , , , , , , , , , Depth xill?t; 239 i f,efti5~.~r~ ]0. Date of Purchase, , , August •!,~t. 197, , , , , , , ,Name of Former Owner W~.11,iam. &.Eyelyn. Star . , , r 1 1, Zone or use district in which premises are situated ~ . . t 2. Does proposed construction violate any zoning law, ordinance or regulation: . ,no, , , , , , , . 13. Will lot be regraded Xs,S ! . .............Will excess fill be remov d from premises: Yes P I7 14. Name of Architect remises ii'~V,.. ,Searduzio , Address Y~2. Oakside ~r. phone No. 26~:'?~~-I:?~-F.... . Smith$oiari; 'N:Y'.:: Phone No ................:Address............. Name of Contractor s.e~:~ Address ....:..............Phone No............... . 15. Is this property located~'iwithin 300 feetyof a tyidal wetland? *Yes ..5.. No *If yes, Southold Town Trustees PermitpLOTDIAG1ZAMed. Locate cleazly and distinctly all'I, 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. III I I • ~I i ii r i SPATE OP NEW YORE, ~ COliNTY OF IS.S (Name of individual si~n'i• • • • • • being duly sworn, deposes and says that he is the applicant ;ng contract) ?bove named. He is the ......................L...................................... (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 µ•ork will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...............a~..~../ ...day o~f.. (,./...:`f......., 19`~~. Notary Public, ...../~,P~-~--~,-r~ {I,~,'„ , , . ,Q~!,~'C., , , County ~'/~~ny, ` NOTARY PUBLIC, StMe of New YaM r' . N¢. 4707878,SUNalkCoumy ~ (Signature of applicant) Teem Eapir¢s Mar¢'t 90,19. i i~rr 7y~U r~ lr ---{.,may---._ - = 11 ~ ~Sl G~ ~ ~ n _ ~ ~ ~ ~ ~ ~ ° W- x A ~ < O "1 ~ ~ r j ~ ~ .Gl {~~i y rr ~ r~ \ ~l T~ ~r I c p L. n rI/fir e-y_-~_ --k - - 1 ~ - - - - ._I - i I - I i ~c - I i 1 b , ~ w ? v , n c 4 ~ ~ ` C ~ ~ ~ ~ o,. C N3 c r\ W ~ ~ 1 ~ ~i ~ UuU ~ ~ ~n 7 p`i ~r " ~,p !E,$ -~\NV ~Ci t7~ 121! ~ ~ C -j, ^o. \ ~A'fER ~ p so C' 00 -o 525 • 5 00 -s . IZ fND oDA5oo59 0@ ooE Mo9,"w o 1 DA5 0? T1y R!,y N b~ ; 115.47' t 8 2' p~~ o~ N pCA E o PQNp o ~ oo ~ IIE ~ °s. 05 0,90 69°39 Ipppo oo ~ oo~ 0~~ v ~ =3'N A 3~a\ m o~ % 1 1j 24° QQP ~ O ~ 2~ a o N Q¢?~ ~ o< _-_-40.°~^--_4.0' S.S Pao 4.3 !°K'Op09E.p ; 0 -0 O N FILL. AR:eA ~ T3 TE6T NOL6 / N a.a. o Lot 9 ~ z z o a ~ ~ AFeo = 26048 s;t` ''3 0 ~ ° O ~ ~ ~ /O.O' 37 O_ a' - 51 4 ~ O ON'fLLING) ao.o__---- 9 c.o' c.o' o i ' r D ~ io 6.o'0 ~ P20POSEV GLEAYZING ~Olty of 1. ~ POR SOOT PATH 2 Iflj e E4-Sb ELv6l NI _ Q 230.00 l o N. 97° / 4'20 ~Y(.{~ EG = P.7 ~ 239.67 { ~ a..~u.~ _ _ ~ ~ ; osea -Dana/ ~ L O > ! O ~ os shown on ~ /VACANT/ ' Fi 1 e d Mo P i OO I r r Hole J $ O.O' EL.v60' m OANN BRONN I COpN E OA' BADWN SM'DY rV LOAM E P.O' BAOMN L04Nr ' t SANG J O' ~ BRLNN SANDY CLAY k BROWN I.O' EL.v2.0'OR WATER NEOIUN TO I COARSE SANG [.O' f DREY)SH~ BAOWN CCAY ewowN 50°~ NOTE+ELEVgT/0NS SHOWN HEREON ARE nW[ ro REFERENCED TO NGVD(M.SL. /9291 COAAS[ SAND 60.0 I SURVEY FOR SEPT 4, l99/ ' D/AMOND SCARDUZ/O Q E. VIOLA SCARDUZ70 AUG. /3, /99/ ,E LOT N0.9 , "W/LLOW PO/NT p~T2T/ggg I AT ARSHAMOMAQUE onrE. ocr. s,'rsas I TOWN OF SDUTHOLO scALE r' =ao" SUFFOLK COUNTY, NEW YORK No. e9-103e 4 UlGUTNMIZ EO AI Tf RA TI ON OR 40 D1710N TO THIS SURVEY q 4 VIOL ATtON 'OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW 4 COPT E3 OF THIS SUIIVEY NOT fEARWG TNC LAMD NOT fEro ONS DERED TOLfE 4 VAel00 STRUE COP SMA LL g`~fE ®F A/Fw . KGUARAN TEES INDIU TED HEREON SHALL RUM ONLY 10 ~ ' THE PERSON FOR WHOM THE SUMEY IS PREFAB CD P`l® w O'P HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ANO ON NI3 BENAIf 10 THE TITLE CON PANY, GOVERN- O~ ~A ~ N MLAR[3T WAf[R NAIN~MI ~ MSOURCE DF'WATER PRI WITE-_PUlIIC, NEN TAL AGENCY ANO if NO1NG INSTITUTt ON LISTED ~ Z' G R flf`F CO. TAX MA? pfT /000 3LC TION SC fLOCN 3 L07 HEREON, AMD TO THE ASSIGNEES OF THE LENDING ~ Z MTM[A[ ARE NO OWCLLINff WITHIN 100 FEET OF THIS /ROPERTY INS TIfuT10N GUARANTEES ARE NOT_TRAMSfERA BLE 'A OTN[R THAN THOSE fyOWN N[REON TO 4DDI TIONAL INSTITUTipi3 OR SUf 3E0VENT M TN[ WAT[R SUMLY ANO 3EWAiL DIfFOSAI SYf T[N fOR THIS Rt31DCNC[ OWNERS WILL CONFORM TO TM[ STANOAROf Of TNC SUFFOLK COUNTY DC?MTN[N1 R DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EX1371NG STRUCTURES 4R[ FOR ? 7PECIFIC Of NLAL TN f[RVIC[f pUR POSE ANO ARf NOT TO fE uSEO TO ES TAf LISH ~ ~0. 4rJgg AR4ICANT~ PROPERTY LI NESS OR FOR THE ERECTION OF fENCE3 Y • ADOR[SS E'IO~ T[L YOUNG ~ YOUNG R~R~?+e o"~wvoaKE MOrVUMENT ALDEN W YQUNG,PROFESSIONAL ENGINEER SUBD/V/S/ON MAP F/LEO /N THE OFF/CE OF 7HE CLERK OF AND LAND SURVEYOR N Y.S. UCENSE NO 12845 SUFFOLK COUNTY ON ?UNE /6, /966, AS MAP NU. 4652 . HOWARD W. YOUNG, LAND SURVEYOR N THE LOCATidI OF WEl.I(W),fEPTIC TANXIfT)e CEf1?OOLS(C?) tNOWM N[/l[aN N Y 5 LICENSE NO 45893 a ARE FROM HELD WSERMTIONf AND OR DATA ONTA/N[D FROM OTHERS BRANDIS 6 SONS INC. S.R.2 F ~ n 1 SUFFfltK COUNTY UEPARThtENi OF NEALTN SERWCC$ StTFfOIK COUNIY lifPARTMENT OF HEALTkV SE~yytf.? ~ fOR APPRflYAt OF CONSTRUCTION (ff iNUlCATED ON H S PNAyATIONS ~ : Single Fatuity Residence Only _ lEWEA ~C 2 $ ~ DATE `'^---~----HS REF. NO ~ '~y ~ i ~~1 K 70 CLEAR OR ALTER THE P 0R PERTY APPROYEO _ _ p ~ ~ N'~!Y IS NEITHER ExF'RESSED NQR IMPLIED #kP~ES TYPO YEARS fROAt DATE flf apply ~ V BMRni of RPta~w OD 'o 325 5 ~ D. 109 oA5G059 0~ OOE 12 NoA1WN ~-~`t 'I oA5 0150 p!a99N6~ R, (15.47' t 8 ZI o ~"m A - 2~ (VACA E .W o ~ o a`~CU o. ~,_p05 9~ N g9°39 I u0oo o, 3N ~ ~~~0'~i { 1 ~ ~d. 5~ ~-Ye ~ ~ p QL.~.L EL=56 h - - j'~'~ !,B ~ O7 I. IeM; R V Y. 1j J ~ ",b 24 ~ -j Q ;;.i: Lu ~I fl/IU>:waY 6aAf2, c D N R./ a C!) LC7 5.4 o ~ b 28, 4.3 k 9,T. ~I~~ 3 Tb~'r Ho~E M 40' 9 ~ROVP' 1 y. ~ ~ p P(~di'd~E'O 4i .e c7 oFFlhE. ~ Iy Lot 9 ~ x Z z' ulUu p C.R v. F.<n.o p ~ Area = 26048 sf 4.3 0 ; ~ W4YE.RE~IZO F c,e c.R m LQt RE?A7nlING WALL ~ c.e c.r ~sr m v O_ Q B ° x ~pyELLING) Pi2dpOhfi n % p~p~~~ ~4NIT4~Y ~YnjeM ~ ~ ~ ~3 m x E4SG I EL=6l O 230.00" N BT°/4~20`W EL=z.v ~I ~ 239 ' ~ z .67 O - _ I O i - _ _ - - = 4 L O 1 I~O os sholvnCona/~ ~ ~ /Vq CANT! ' Fi /e d Mop on I TO r T No ~ Houye 0.0'EL.•BO' W 1 DARN RgpYN LOAM Or FF.=110 BROWN SANDY ~ /oaM /F11J 15HEO GRAbrE ?.0 I BRgYN GOAMY / EL,> 8."'I E.L.= 9.0 SAND s.0 T~W EL =7 5 F_lcc-nb.D f BROFN SANDY ~ _ _ ~ ~ A IEY11 CLAY ~ ~ ~7 H7~7I .k BROWN 10'EL.•PO'GR WATER I ~_I^- I~-b2 IE'fo.7 IE.'70 ~MEONM TO T'M1L `~-IE ~~O t COARSE SANG kE TAIN Iw1G - $EP71C TAIJK i B.O' wA LES SPOOL GREY/SN ~ FI~O.l i ~ I GR OUrUD WA"fER I BROWN CLAY i'1~~~~1'(1-I Grf wu Q'MIN~/ E so o• - _ eL.,=2.0' NOTE~ELEVAT/ONS SHOWN HEREON AR£ BROWN / ++V & c RAC _ I~ F,NEro SEGTf01~.1~ SEWAGE DISPOSAL. SYSTEM REFERENCED TONGVO(M.SL.1929) I COARBB sANo Boo USE 7 POOL SYSTEM i zoH~A~ ~ 3~°~~3 bo 7 ~ D ` 7g1'cS SURVEY FOR i FG - F DIAMOND SCARDUZ/O Q E. V/OCR SCARDUZIO iUFFOLK COUNTY DEPARTMENT OF HEALS SERVICE`' LOT N0.9 , W/L L OW PO/NT NOV. 6,!990 OCT 27, 1989 AT ARSHAMOMAQUE DarE OCT. 9, /9es FOR APPROVAL OF C TRUCTION ONtI Tt)WN OF SOUTHOLQ /°=40° SUFFOLK COUNTY, NEW YORK ,~ptel~dF NFM~S-1038 GATE HS REF. NO. yy ye3,~, N UlTAUTN0111Z ED 4LTERATION OR ADD! TION TO TN 13 SURVEY O A VIOLATION ~OF SECTION Tr09 Of iNE yO 'f' { NEW +OAK STATE EDUCATION LAN ~ G'j. 4PPR0 RCOIIES OF THIS SURVEY NOT fEARWG TM[ LAND ~ ' SVR YE YOM'S INKED SEAL OR EMf OSS ED SE4L SMALL NOT RC COMSIOERED TO AE A YAUO TRUE COPY ~'y R GUARANT[E! INDIU TED N[REON SMALL RUN ONLY TO 1 ~f HEALTH DEPARTMENT-DATA FOR 4PPROVAL TO CONSTRUCT THE PERSON FOR WHOM iNE su RVEY 15 PREPARED AMO ON NIS fENALF TO THE TITLi COMPANY, GOVERN- N N[ARLST WAT[11 'AIM EMI ' NSOURGE OF'WATER PRI WISE _?UlLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED a0, 4JaLj3 E R fI1Ff CO TAX MAI OIfT /000 SCCTIOM ss NDCK s LO7 n HEREON, ANO TO THE a3510N EFS OF THE LE NOfNG C~. i RTNLR[ AM IED DWE4 UMf! WITHIN 100 FEET 01 THIS PROPERTY INSTITVTION GVARAMTEEY 4RE NOT, TRAM SFERA SLE ~Q ~~0~ + OTN[R THAN 7NOSE SHOWN N[REOM TO AOOITiONAt INSTITUTIONS OR SURSEOUENT ~M1ND SUa ' M tNE WATER SU?PLY ANO SEWA4[ Dlftaf AL SYf TCM FOR 7TIq RCS IDE NCE OWNERS _ .S,~~~~ .1 WILL CONFORM TO TN[ SMMDARDf OF TN[ SUAOLK COUNTY OCPARTMCNI N DI STANL E! SNOWM HEREON FROM MOPERTY LINES """-'E TO EX ISTIMG STRUC TU R[f 4R[ fOR A f/ECIFlC I OF N[ALTN f[RMICCf PURPOSE AND. ARE MOT TO 0E USED TO ES TAf L15N AN?LICAN T' PRO?EPTY UMf~ OR FOR TN£ ERf[TI ON OF FENCES ~j ADDRf 35 nL /100 OSTRANDER AVENUE YOUNG ~ YOUNG RIVERMEAD, NEW YORK 1 MONUMENT ALDEN W YOUNG, PROFESSIONAL ENGINEER SUBD/V/S/ON MAP F/LED !N THE OFFICE OF THE Ct_ERX OF AND LAND SURVEYOR N Y.S LICENSE NO 12845 SUFFOLK COUNTY ON JUNE l6, !966, AS MAP N0. 4652. HOWARD W. YOUNG, LAND SURVEYOR ~ RM LOCAl70M OP WELL(W},fEPiIC YANK(ST)R CEffPOOLSICP) MIOWM 11LIILON N.Y S. LICENSE NO 45893 a ARE FROM FIELD OfIKRM.TIONf ANO OR OATH OtTMMLD FROM OTHERS eRANDIS b SONS INC. S. P.Z t... _ _ Y - 1 ~ E f*. ' T4'n-y S,, 5.4 s~', g~~ - , - dc; y1 (Cj' ~ , ~ 3F.. i., ."_r. ' 4"•, Y, a. . ~Tx: r., t.?C"d,lt,1 .s ~ ` ~ \ GO -o 325' y 00 ~ 12 ONI FNU -cj ~ 92~ QE' M gN o OokS y9g0 ok50 I~.A 41, O_ ~ N~ ~;9 Nyi p; 115.47' 0 t ~ 02' 'a„`o CJ1 a i>'~r'r 22 'w ~ O ~I, w z4.z• ~ G ~ ~ wSEARTH y d DRIVEWAY o W ~ Q_ s__°;: , w ya a Cfl ---400" ¢a~ x aI ~ ~ ~~5 . W ~ Lof 9 ~ 2 z ~ ©II, ~R ~sw ~ -=1~ ~ 3 Areo =26048 sf o s ~ ' C.P. . ~ LCD ~ 3~ - ~ lI C.R C.R IEe• F~ C.R t ~ y 00 FI' I ~ las A Eo.a~3 ~i r4, Q I. 1 111111 -01 - , NI AFPROX, 4pCATION OF - UNDERGgOU'ND RETAINING WALL ' ~ 230.00' ; ~ 239.,67'. - _ b.. { ~ '-:aY - r-•smnumq,~.W+Wrr "wy ^~x„s s ~ kk- -~..-*c- ,?.s<,; . , ~iq~ ~ - ~ - s4~fr-; c ,r. 1~~~d _ ino! C O t / 0 os. shown qn ' Fi/ed Map Q m . " JULY / 1992 s ~ $UY2VEY FOR ~ ~ JUNE /7, /992 ' SEPT a, /991 SuF:fouc COUNTY oEPAfnMfntT Of NEa H s~evlcts D/AMOND SCARDUZlO & E. V/OL A SCARDUZ/O ADC.' /3, /s9/ j~~~ ~A6i11Y DWELUPIG OGIY LOT N0.9 , "W/L L OW POINT " o~T 2i /s89 DR_._~~~M.S. REF. PIG. $39-5d !/7 AT ARSMAMOMA4UE DATE: OCT. 9, /9B9 The sewag8 disposal and water supply facilities for this TOWN OF SOUTHOLD SCALE = ao" loc2tion have been inspected by this Department andlor SUFFOLK COUNTY, NEW YORK No. 89-1038 other' agenc5es and touRd to be satisfactory. I suup~v[r a v~oLAtlow por etc oh ~zaq OF THE Is SS pSE OF NF y, Chief of Dureav of Wastewater ManaEement NEW YORK 57AT[ EDUCATION LAw D `o K COPIES aF THIS SIMVEY,NOT SEARW6 tN[ LAND dS P~ W' 6 9,r I 1 ,-~Q~.^<'',O y,,// _ rNOTIfYC ONIIDERED TOLSE AYAS~O TRUi, COPYNALL ~ ~0 O~ v J N6U ARAN TEES INOICA TEO HEREON SHALL RuM ONLY 7O NEAlTF1 DEPARTMENT-DATA FOR~APPRONOL TO CONSTRUCT THE PERSON FDR wNOM THE suRYEr 15 PREPARED ARO ON NIS tlENAIF TO THE T111E GOMPANY, ¢OVERN- ,'`MMEAN~STy1F'AT~R ~AIM';_.MI.S MSOURCE OF'WATER~MIWT6~PUlLIC_ MENTAL AGENCY AND IENOtM61NSt1TUT{ON LI;TED y :N, ~SIIFf CO. 'TAK)AA~ OHT= /T,SEf TIOM ~'i SLOGK 3 LOT ~ HEREON, AND TO TNC ASSIGN EES .OF ENE LENDING NTN[IK AM NO OwfLLI1Nt WITHIN 100 FEET Of THIS /RO PER7Y IN5 TIlU71aN GUARANTEES ARE NpZ, TRANaFERA lLE p s OTHER .THAN TNOSE'~SNOMN HEREON TO A001 TIONAL INS TITUTIp1II OR 5U9SEOUENT !'C~6' ~ 4589a { ~ M TNf'WAT[R SU/fLY AMD SEIMi[ DISPOSAL SYST[M FOR THIS ROIDENCE OWNERS II PILL COMF011M TO THE fTAM WIpS Of THE SUfFOIK COYNTY DCPARTM[NT R O1lTANCES SNOW N' HEREON FROM IROIERTY LIME! ~u ~,~p/~alp' , ~ .W lILAL iN' SERVICES. pUR POSEI ANO, TARE OTE TO SE uSEO TO ESiNLISN "~r_1 0 OD SURV APF4ICAMT PROPERTY UNE OR FOR THE ERECTION Of FENCES ADOA,E37 ~ • ~ ~ ~ TEL 400 OSTRANOER AVENUE YOUNG ~ 1 OUN~7 _ RIVERHEAO, NEW YORK ~-~MOiVUMENT ALDEN W YpUNG,PROFE$SIONAL ENGINEER • SUBfIIVlS/ON_ MAP F/LEO /N T/l2' OFF/CE OF THE CLERK OF AND LAND SURVEYOR N Y.S. UCEN5E N0. 12845 I SUFI-OLK~ CQUNTY ON ?UNE (6, 1966, AS MAP N0. 4652. f $ HOWARD W YOUNG, LANG SURVEYOR ' S $ NTMEIOGST1011OFMSLL(W),SERICTANKIST)•CESSfOOtS(CP)SNOWNMEREOM N.Y.S.LICENSE N0.4S893 v AIIE'f110M'/1EL0 OpERMEYIONi AMO OR DATA OSTYMW FROM OTHERS • 9RAMy1S b SONS INC. ~ S.R.2. - l~ _ ~ w