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19841-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20390 Date DECEMBER 3, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 4248 GRAND AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 2 Lot 2.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1991 pursuant to which Building Permit No. 19841-Z dated MAY 6, 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 AS APPLIED FOR. The certificate is issued to JONATHAN T. & CHRISTINE BAKER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-49 - OCT. 17, 1991 UNDERWRITERS CERTIFICATE NO. PENDING - DEC. 2, 1991 PLUMBERS CERTIFICATION DATED NOV. 4, 1991 - CHAS. SANDERS & SONS. INC ildinq Inspector Rev. 1/B1 I~ roast xo. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST 8E KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N o 19 II 41 Z Date 19.4.1.. Permission is hereby grouted to: ~~~1....:u.:.y..: i i 7 ~ 3 1~'~.:~:s~~.~..:J~...~...r~e.:...~......~..:..t~, ..w~:,P.~......n~...s~...... ....f-~. r~ n n 11,~,, _ of premises located at A.s~:!~s..~.~....~~..~.~......5~f..~.4&C.ifX.....~,~{:~...... ~:.!:1.:".:IswT~........... County Tax Map No. 1000 Section ....t. ~ ,2........... Block Q..~::....... Lot No...sa~.:.~........... pursuant to application doted ...........~.~51~..~ 19..1.., and approved by the Building Instp~e/ctor. v Fee S••.~~+..9..1:•1P~.... Bui ng Inspector Rev. 6/30/80 roses xo. s TOWN OF SOU'THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT RHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No 19 8 3 I Z 19R.1.. Permission is hereby granted to: ..7.....~ a::ll,o.:?~:.a :rn:. ~.~i a~:.... ' a:...... " at premises IoCat at ..R.:~:~:...(~D~... ~ 4.;.7.R....~ . Wt!J.:.. .......................................................G00.................................................................................................. County Tax Map No. 1000 Sect n ...~.0.~........ Block ....0.~::...... Lot No.....:.~........... pursuant to application doted ~ 19.9...., approved by the Building Inspector. L~ 6~ Fee 5..~~~:%.... .....l.L... g. Bu in for Rev. 6/30!80 c ~ Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION POR CERTIFICATE OP OCCUPANCY This application must be filled in by typewriter OF, 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, ? I streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). v 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. N/A 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ••II/n~ responsible for the building. 'V//7 6. Submit Planning Board Approval of completed site plan requirements. ~l, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing land uses: 1, Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees ~1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25,00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Euilding - $100.00 7. 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 $/1r~5.00, Commercial $15.00 Date ::uu Construction... ..'.L.. Old Or Pre-existing Building Location of Pro ert 7c~7,~ ~~~?~itJ~ /~V P Y..... ~'y..~~~-~/TUG/~ l~-b House No. Street Hamlet~a•.•~•-•.~~~ Onwer or Owners of Property. ~U,tJ/~/7~'iL~„~; , , , ~ ~ ~j9,L/~- Cuunty Tax Map No 1000, Section..../.~ ~ „ .Block.. <~l l~lhl~~ ..............Lot..... .subdivision.. jjJJ L y/~t/~, 597~~, ('~~?"{~~S .Filed Map............Lot.. Permit No.. I.L~'8?,~,~,,,,Date Of Permit..:;/,~P~~t,,,,,. ~ .Applicant.~~ i!ealth Dept. Approval..~7.50..!./...1/7,~/`j~.. /•~/~?'C.tC.`~77pN 738b'"7~_y/ .Underwriters Approval. /~,~~~`f~„ jc;c;7? SQL./L,C;~~'. :'l:inning Board Approval 2equcst for: Temporary Cer~~t1ificate........... Final Certicate... :'ee Submitted: $„;~J;.VId ~ . C'~ ~-p(Q~~O~ APPLICAN .._fi I THE W YDRK BOARD Of UNDERWRITERS PACT; 1 807.59'1 D . ~ ~uRiAU of >suc:rlhcm B3 JOFIN 3TRtlT. PIl1N YOIIK. HtW YORK 1003! Daa DECEMBER 10,1991 q~~;yJenNo.o k 7.1887291/91 H 0~595Fi TH13 CERTIF168 THAT Pt'•I~hA ~ N0. ~~41 only the eMctricd Ntli/Mtwtt w dwetibed 6elotK atd Intnrrreoel 6Y tke yyNcnwt nomrtl on tM o6eoe ~P/BeNlaa number ttt the pnmisee of JONATHAN T BAKER, 4248 GRAND AVENUE, Mk'CTITIiCK, N.Y. in thefolblclnR lceotion• d 8mement ~ IAt FI. tnd Fl, GAR/A'1'1'1!'/OCIT Sert1on107 BIoeA2 Lot ~'4 raw examined on DECEMBER 02,1991 ~ndfound to beln comrliance with the reyuirementx of ehit Boied. Aaj~ AgRS fTtI1C11RS RI( RA BK11 T MtIS NGNCtECFNT nupmtaRT OT11tR AMT. K. W. MNT. K. W. NAT. R.W. MIT. K. W. AMT. N. A. 107 ~ i7 "19 ! 8 1 r' ORYRRf ~ RIRNACR MOTORS TitiyRE AlRIARKR RRCrI IItAR O,OCRf RRU tNIIT INATRR{ AWt140tA11RT BIIARISRS AMT. K. W. pl N. I. GM N. t. AMT. NO. A. W.O. MIT. AAV. AMT. AMtt. TRAM{. AMT. M. t. tlt)A T1 AMT. WATR 7 12 SHlYK7 ~ R R V 1 C R AMT. AMT. TTYE ptM, , r tw , .e [w t ~ aw t w aw . coNO. w No. oc MHIte A. w. A. W. G or xI~ Mo. a NeunAls a l `l, roll CB 1 X 1, 1/0 2 1(0 i 011188 AMARMIIfG 'a 30.4 HEAT PUMP-1 A1R HANDLERS FRAC'CTt'1NAL-2 f;. F.C,;C:-5 SMOKR DETECTOR:-_t s i .1ONATHAN T. BAKER 4248 GRAND AVENIIF. MATTTTUCK, NY, J.6952 p~K 11 _ Ptr skit otTHficaN 1nM IN In , trlwn to NM ..PI N t br idnlNliRd cNd~nNok. . ~Y F • ~ itt MI ANY SER iJ6 'S1 10; r_ig RBS~= ~~ENT RLiR~_H ~ hIETRn ~p _ / /ff~f ~ ! I 5 I"g'a~'k'~~ ~l)a"rt~+'~'u~ ,q`ph 9.~3'~'~it ,i~ iitl'`~'rti•`1 ;rai+, ~:k~ ,n~~„ V 4 fi J 'tom 1~~' S' fsn'.~ ~<x ~a ~s .dub _ i I " : ~ ~ 7~'N~SC`!x4 i'P ~AY:.~P~!°~flt~3 II. i" • 'M ' r' •.C ' . 7;~i . i~ i~~ dz~rtify tti~at in8 lun?b6t or ~ly;Yeocc rt:n¢ait°~d~within .his Pafarr~rce ~^~c.. 11 r ~aY 3w~ _ it36 :SBen fir; $Ffi'iaiyG Ir9 &CCGI~$Plps? Ndit}t C~1nt11iiQn5 ~Utslnetl to 1`i6YJ 'w ' ~ York Cfiy Acc©piance Cede # tvt~A 25•$7 attd N+~A 292.87. ~ .y~, slUiumber;obe4ire•rsiardar, ~,vlisi; ~ur~?rc~at~Ci ~itn~AFECts~~piocompiy ~I ,J J, i t ' aprtts., 6 ~~;'r , ~ wlftl tha raqulraments o9 tlarnt93j~raala raying of 25 usi~ss asnc~:n lestod tar a period i I olnct;essihan30rninutes~withoudviden.b,Ifslgntfic~ntpragrees!vscomt~ustion ~ ~ inaocordancawiihtnrastandard;ast~rr±etf°atltr~;~:urincaburnir,gch2raCtcrist'csof I~ ` 1)1~ ' building cnatartgiv .s,eTbi•Rq, I %;y: ~"r~y 'A ~ t ~t ~ .I SQLD 7t~ c ~ J.J~z..~~.3A.~-.ru' III t ~r ~ Q~, _ ~ I 814 Thfsl.~tocartlfy?hatthac;3ntcntsor:Y:~sa~ll+~f!m,~~;7g,Delivery'ricketcrinvoica ~ attached orshlppedtotl:-~abw~a c:dr~ssna~=abRBr.ir6atartidancaxri?htn~a `'j ~ ~ - ; ' Dda41ona1 Fira i~roYer_;lcn Asspclo+,^n i `f~ aafat}r ~,odgi(3't C~.:+~~~ A~' ~i i j; , ~a it _ I~ I c~~F F Q(h.`, TEL. 7G5-1802 0~0l,~ O~ TORN OT'' SOiJTIIOd.D . '~T ~ OFFICE OF BUILDI2~IG INSPECTOR ~ E~"';: P.o. Box 7zs ~ ~ ~ TOIVN HALL %a,~~"r SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date ~ ~ f?~ Building] Permit No. / ~~`r Owner 6l0/if%'~~/~;l( fl'~~ ~C~/~C~t, (please print) Plur,.ber (~'~nGC~~S SG.rIC~C-CS ~ ~C)r~ S ~yJC° (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plu er's signature) Swo ,.o before,/me thisA~ , _da y a f f=1i~ ~f'1~~- T Notary Public Gotary Public,~.~fGJ~~~ County i RALPH DIRENEDERO NOTARY PUBLIC, Stste of New Yark No. 0947410 Qualified in Suffolk County Commission Expires Eeb.28,1992 INSPECTORS , Victor Lessard :ti~tr0(,~~ Principal Building Inspector c~ Curtis Horton ~~a' ~ ~ SCOTT L. HARRIS, Supervisor Senior Building Inspector ca ~ ~ rc Thomas Fisher ~ ' ` • ~ Southold Town Hall . ~ ~ ~ ~ P.O. Box 1179, 53095 Main Road BuiGar Fish for ~ 9~~ 4~ ``v~`~ Southold, New York 11971 Building Inspector .n~ ';„Y Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD /t NOVEMBER 4 , 1991 'L~ JONATHAN 6 CHRISTINE BAKER a yn„ 7 PANORAMA DRIVE ~+',~J HUNTINGTON, NY 11743 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ( not on file.)$25.00 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 # 19841-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. '1~ I;:~... .1J:i ~(Jn:E I( .;UPii9ENT~ -LD ~ / 1. 0 / m H ` H FOUNDATION (1st) e c FOUNDATION (2nd) cr 2 . o P,OUGH FRAi~1E & PLUMBING 3. a c~ cn IIlSULATIOPI PER N. Y. z.. STATE EPIERGY CODs ~ _ m 4. ~ ~ w r p FI;IAL 3 0 ADDITIOPIA CO MEPITS: ` m x ~.~c-,~ G D x ro• M b ~ A c y H i O ~m.~- un~ 0 1~a sf~i~Ql m r S ' d I m v C.."~~• H - ~ 1 I ~J..L L.. _vu ~LJn... II vV...... t OUIJDATIO"J ~ (1~) ~I ~ 1'~' ~ ~ OUt1DATI0;J (2nd) _ m + o ~ OUGH FRA;•fE FC - ~ p PLUMBING ~ ` o. rcJ cn y . ~f CT7 m ;ISULATI0;1 PER N. Y. STATE ENERGY CODE x r m . y FI;lAL - o ADDITIOCIAL COMMENTS: x ~L ¢ TC? ~~MI _ ~ ~ ~ ~~lGt~dl A~t~!/E f'REAAf~E~ k~Y ' ~ ~ a.~ ~ H ~ , r ~ 7 r~ y O x y i a 765-1802 BUILDING DEPT. INSPECTION [ }FOUNDATION 1ST [ } ROUGH PLBG. FOUNDATION 2ND [ } iNS CATION [ 7 FRAMING [ FINAL REMARKS: ;k ~ ~ ~ ; c ,f DATE ~ ~ ~ INSPECTO 1 ~ I ~ 765-1802 ` ` BUILDING DEPT. 1NSP~~TION [ FOUNDATION 1ST ~ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: ~ C~/z- DATE l ~ INSPECTOR I ~ ~ ~76S-18tP2 BUILDING DEPT. 1 NSPECT101~1 [ ] FO NDATION 15T ( ~ ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: .z DATE ~ ~ ~ INSPECTOR t 765-1802 / BUILDING bEPT. INSPECTI®N [ ]FOUNDATION '1ST f ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~itAMING [ ]FINAL REMARKS: ~,c,«.e..... Q' DATE 1 ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) BOUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REIYIARKS: - ~ / W DATE ~ fNSPECTOR l ~l~ rss-isoz BUILDING DEPT. INSPECTION C 7 FOUNDATION i5T [ ]ROUGH PLBG. C ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL 1 REMARKS: t ~ 4 t ~ a t ,,ark/'-t,,;~:~ ,J,~/(L'~-/~ f "`~I - ~ i S YT/ E DATE LAC' 1NSPECTO ~/i~~~~ ,awe of u~ p ~1.~ ~t~G .7E~i ~DViYk~c-7 Rl-~ t~~'1 / ~eNpfso r- Ana ` G h ~-1 - M/C, ,~i~-/ - - ccJ1~c.L-~ ~i9~,lc ,7/~~Js~ - ~ -Lrxl~"7on1 ovi2 ((bl~~ ~~N ~5 >`ocJ .~CQ U~~s'-i~ ( 1fJ91/~- j~.rG~~'/9~GL~~ ~~~,~-J ~~~icntiJ G ovGz P~~a~ ~.~,~lE'~?"~~?- a~ - YJD~~ _ 7D2}~' ~i~'~z%7Z y _o u-r~, 7T~F ~°~J~~~" ~~_~t_n~E, - - ~ - - - - ~k_U~I~E~ _ lrJVrc~"~ ld~b - ~~1i~ . -Cv~y - - t__ ~4LU~ ?'o~ ld~/~ J~~-~v~s--- .c~_ _COr-r,~lc-~.a~ - - - T~ 2~ ~i~ ~ Chu . _ - ~5"!- s7.9g3 ~ F~o~E, - - - - - - y~~ . - - - - - - ~o~o~- - - - ~ f~~r~i-~-1~~~-~-- r n ry L ! p ~ ~ 4p~'5.53 ~ Y1 4A r ~ ~ iw..,..,~~....b .r new. -~~w..le1. rG...~:r~:%AuE ~ p.. s.., _ _-..r.-~- _ ~ .ter--" -_~.___~.-Y T- ~ ~ n << , r~,snc u 3 K j I F f R.'N r XY Y Y ~ T , / / ~ i / / / ~ ii ~ / / / p x ! ~ ~ / t < ~i ~ ~,--i o~<~ G< <K~ ~ ~ ~ ~ ~ ~ ~ f G./dSP C_ ~ / i ~ / / i~ i 7 l ~/i7111x1 tC~l1ZtSTI~C~ aosai xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~8~~~ Z Date s,~..~~ 19~~ i~/ ` or~_ ~~~Gtirq ~ O~ 1~ Permission is hereby rant~edyto-~ r..~~ ..................~7.~1.-................. . to ..G~~~1G~.r~ rte......` . ~......~ys~~ of premises located at .....fl.. ~~'~'~........f~.~'.Z~'c41........ ..(~4 ~~~~~~lz....4'4~~... .....~yf...~.e~.~~.~..~G~~~- Ste- i~y"° . County Tax Map No. 1000 Section ......,f~l..~..... B~~lrrock Lot No.......Z.'../....... pursuant to applicntion dated ~~../9..~ 19........, and approved by the Building Inspector. Fee 5..~..1...~'~...! .................0..'l..f.~............. ,8uildi I for Rev. 6/30/80 M ~11~ JAN 3 (19914,.__, ~ ! I€ . f~ , - 7~u~n1 yyLC- _ - r ~ - - - _ _~_-._T i N---------------------_~~_~'-OJT--~VES_L.____~-~JZJ ~~~D__ ©J~- pp p r-------- - - U`~, 4JE~ _ ~-a.ZPi~2-f4~-ice.) C`~fi'~~--__.~._ r-----~----_ - 771-G~~~c yaU. ` ~TTV___ - ------------~V_________.._-________._...__.~___ ,t v _,~~_._.._.____~_p_._____~.._..._~....__..___. r____»_....___-___ ~r-_-_-_--- _ ~=3 - - - - - - - ~/~1 ~0 7DGtJ,U °l' ~cJ~L.r~ w~Lai~G~ 1)~ T - - - - - - - r~ (~1~712ucr"~~~ w~ r~v~' b,-rc~~~ -7~~ Inc - _ ~ T ~ ~cJ ELF ~ C r~-lc- _ ~ ,2_- -~-~g~F~ ~i ,P~Ur~~~ ~c-r~-_ _ P~~1T- ~~~sa ~ . - i ,~~~ti~e~ ~ _!/7 `~3 _ - ~~~~~~r:,o~1~t;,M ~ ~E - - ~3s, - 57~ 8 - [J;"`~~ AUG - 61990 ~ - - ~ J ~)v~C l17 j _ - - ~ - _~3 _GV~'L P~~'rT 1/v~/ ~ Wi~~ E~Di2E ~~.o' ~~`~~a~ W~" - fhZE~ _ Gll o~J ~2~lwE~ ~7 ~ L~7~v ~ o ill-_ , - ~cco ~ !s _ _a,~~_ - - - - - - _ _ - -i~w~_ L/off r~ y _c~~~ ~-?,d~~s _ -1 _ ~ ~s~ - s-7g~, - - - - - _ _ - - - - V~-~~ ~n-~ j y~s~ ~ _ - ~i~~ - - ~ a - - ~ l 4g~ ;i J~`J 70WNOFSOUTH0I.D_ rT con~C~~.` --~~,~_~Ul~l~~ _ ~CZ'-mil IT ~ 1 l~7 / z _ ~~~fh t- Cl-fo2l~i~~~ - - ! - - ~L l~.ld C~/~1 a s,.,,a= - - - - - - - - - - - - ' K ~av - - - C~nt~ I~~~U.cJ- - - - - ~~i - F"-'----_'--- - - - - - ~ - - - - ,~;x~ ~ ~ ~~~~1 9 1'f~'~° d~ P VICTOR LfiSSARD i R ' ^ a, ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ a~ ~ ~4 A ~ P.O. Box 1 179 (s16) ~6s-lso2 s JJ "4' ~ Southold, New York 11971 4. ~ ~,l sA'', J FAX (516) 765-1823 _ yid ~ ,,~t'y S n=- 1 r t '4 ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 18, 1989 Christine Baker 7 Panorama Drive Huntington, NY 11743 Dear Mrs. Baker: We received your request of 4/13/89 asking for the necessary papers to apply for a new permit. It is not necessary for you to fill out any forms. We just use the application that is already on file. A11 we need is a blank check made out to "Town of Southold" and a written request from you asking to have your permit renewed. We are sending you a new fee schedule so you have an idea of how much the permit will cost. Your existing permit is due to expire on 6/14/89. If you have any further questions please contact this office at the above number. Thank you. Very truly yours, SOUTHOLD TOWN BLDG.DEPT. - - - -Nord 9, l9~ 8 - - 7~(,Jr~ r ~~i Not- ,~tl! l.D 1 ~G D~'~ - - - - ~UiNot,d~ N~'1< 1i~~I .__-Ili`-_'_. I~~-I_V~~°~~.~ W~~L ~,Q~WGr.-~1~'_-_--_~~f_. ~_~.-+`.'C~_~ __.~c.'~'f/7f_C~..-_~-~-'_'i-~-_._r.__ -~fi~ ~-,T~- ~s_ _ . ~-~~f~~--ZC~v~sr-- -Foams _ - - - - - ~ - i~~Mi i' ~ J~01( - - - - - I~1--X h1{~P 1~2k~ ID~.o2 ~ - ~ - - ~on9~~d~?~1---~ - t~n6 ~ _ - - ' - r~ r- - - - - - - - - - - 6LDG. DEPT. TOWN OF SOUTHOLD - - _ _ - ~ - - - - - - - - - - Nlf~f_-~ l d~.~ - _ - - - - _ - - Nw _ - ~ ~ 7 Btp •OE _ _ _ - - ~OF ~ ~i~ / S~HOLD - - _ _ - - - - - - ~-~-y~ - _ - _ U~7e - ~Jl/C'G!~`~~ - ~ ~ ~ zS/M~'C~ -~.~t~Gc10/U Cry _ (~'C// G~i~~ - _ . ~Y~ _ ~/GC~-/ ii~cr~ _ ~~1?C~,' BUS- -7~--~~[, L,,~-~a~ _ _ _ or _ ~ - - _ - - - - _ - lU~ _ cvdr~w ~PP/~~-~/f.~ - ~/rF~_ . ~~ie~ r~~,~ - - - . - - - - ~!~C - ~~?iur~-i I X67 k A ~ ~.r ~,•.I~' f' .i ~ ~ --~}u1~°z,#~`_ _1?~n~• MAY - A 1989 (31©~S~ G ~~-15 iP~E' ~~r1.L..,,,,asBLDG.DEPT. ~~C+r.N!'r}I~_Nlrli/~1 p~' - ~ ~p'WVCN OF SOU7HOLD„ -;F'j-1~` S'IG' ~J . c~...._....___ ~~==-~r~~vr~E~ N ~ I I "Zoe, ~_n_.r ~'!k~°i°~oJ/~L ~+v~nl of= SaJiMrov~ r3~~J~ ~rf~r ~ ~ ®sg~~~ ~~,f ~ Y~ tam ~ _ Dui - ~ ~ ~ o - - - ~ I . , _ i ~ (i/..+r _ ~ _ ~ ~ - - - T--.--- . , - w ~_~1-rt~ I~NC~ . ~ ~i,~M~. ~E~'z C71f'G~"M, Naw York State Department of environmental Conservation Regulatory Affairs Knit ' Bld Gp, ~ ? f LT'1', km. 19 9t nnv 13r~n,F, KP II7oG (SI 6) 75I-7900 a~l~~ p~ 6 Henry G. Williams m5~ fE r(\K ~ ~~bYl (l~h(CI'~ r~(y~e C' Commissioner ~ ~ ~ > ~ m1-~ Ib~O ` la~~ - t~~ y 'i Dear rn~,`~~ rnC`>, I~x~F~P S'' ~ A review has been ma a of your propos.] o: `~s~xiv~~ ~~-v~sl~ or I C~h~Yc~~~ c~~a(~P '~ar~1FaY~ \ Of ~ O Y\ Y Ir_ Yt E ` o (vQn ' O~~ rCV r ~l~,~Yvv~_, 'Mu~l~~,~(,~,, soi~4v~~11 ' ~ Based on the information you have submitted, the New York State Departmenk of Environ- mental Conservation hae determined that the parcel ~ project is: Greater than 300' from inventoried tidal wetlands, Landward of a substantial man-made sLruc tore greater Lhan 100' in length which was constructed prior to September 20, 1977. Landward of the SO' above mean sea level e7 evation contour on a gradual, na turnl slope. ~ Landward of the topographic crest of a bluff, cliff or dune which is --than 10' in elevation above mean sea level. greater Listed in Part 661,5 of 6NYCRR (Tidnl Wetlands land Use Regulations) as a use not requiring a permit or notification letter approval. Therefore, no permit is requited under the Tidal Wetlands Act (Article 25 of theme Environmental Conservation Law), please be advised, however, that no cons truc tion, sedimentation or disturbance of any kind may take place seaward of the 30' contour or topographic crest without a permit. It is your responsibility to ensure that all n et essa ry precautions are taken to prey ert any sed imenta ties or other al to rat ien or dis [urbance to the ground surface or vegetation in this area as a result of your pro- ject. Such precautions may include providing adequate work area between the 10' con- tour or topographic crest and the project (i.e, a 15' [0 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm, Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact thia office if such v are contempla [ed. Please be further advised that this letter does not relieve you of the respoasib311ty of obtaining any necessar y permits cr approvals from other agencies. H Very truly yours, i k~F Deputy Re I °•4j Region 1 gional Permit Administrator i §s~, S'T w n f ~ ~xi •d f^ ttt t d F, , ~ r~ ~e~osas xo. s 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) .A.t~:lh~.......7 19.......1 Na 16 0 71 z Date ~ ~ Permission is hereby granted to: .....:~....~~..p-~:~-~1~..~ ~ ro ...~:(4.ti!!p:!!!r!~c:..~~...~.~....~~...naYr.~.cr-~4XR~r~-i~q....~.....~.~f~~~.l:.iir-r1:.... at premises located ot~:.~:~ :...~~.....~.e4~11-/.f....~'!r!!`~.........Yl~I..Gl~cf~k.~:~ County Tox Map No. 1000 Section ......I. ©..7....... Block Lot No.....~.•.~......... pursuant to application dated 19.?~.~., and opproved by the Building Inspector. Fee $..ns'.:. .../.~..~.r"..~' ilding Inspector Rev. 6/30/80 l~i07~ rss-ssoz BUILDING DEPT. 1 NSPECTlC~ is - [ ]FOUNDATION i5T [ ]ROUGH PLBG. I~ [ ]FOUNDATION ZND [ ]INSULATION [ ]FRAMING [)FINAL E l~{ REMARKS: "fsu~_ u~=~ I E 4 'E i E DATE .J L INSPECTOR ~ti„* - ~ - - - - - _ _ - _ _ M~-7 ,9 g9 - - - , ~ -~v~~ , - r~~ y,- _ _ - - ~ ~ _ - - - ~ ,2. ~ - - - gar ~~,.a - - - BLDG. DEPT, (;~~J„ 70WN OF SOtJTF10LD _ Q~ci.~ - .1 ~ 1~_. _1r~Y~Z-r?~- ~~`7" _ -..A-~~rc~~! - IG1/~ - - _ _ - - - - - ~v~ - - ~ - - - ~~rt ~U ~ MAR 3 ~ I~l TOWN UP SOUTHOtD ° cSoviND4_D j~wn/ ~U/~Di.J 6, J~E?'i . 7b w~c. (,C., dvvr~lo N• l/97~ M~ r~~ A-~ ~'Jc'®~9rS~i L-~rct,o~-~ 7LJO (2~ - ~~i~~~~ - - _ F~~Z F-2~ Zz'_ C~C.L. - - Cl~?L[~n,vE We~Y.Z ~ 7 ~ - 9 70 ~ J~n~A~y-1~r- u>o/LK ~3/- 373 - - C~-T f-lO/117~ ~7/- 878 - - _ - ~h~LPn~! - ~ PAS 02 y,u A D2 l~v,v astir ~ ra r~-r y / r ~ ~3 - - . " 3. Nature of work (check which applicable): New$udcd~ing Addition Alteration . Repair Removal , , Demolition , .Other Work . , . '~24 ODO ~ (Description) 4. Estimated Cost ~ Fee : I (to be paid on filing this ap lication) • - 5. If dwelling, number of dwellin units ~ I.A , Number of dwellin units on each floor , , . / g If garage, number of cars ..l„3~ . 6. If business, commercial or mixed occupancy, specify ature and extent of each type of use . f~f R . 7. Dimensions`of existing structures, if any: Front Rear . Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear , . ~ Depth . ..........Height , . ' , Number of Stories a. uimensions oT entixe new oons~ction: 1•'rontf...`f~.O:....... Kear , .Depth ..3~: ~ 7Z...... . Height ~ 8, ~ Number of Stories Tf'!? : . 9. Size of lot::Front ...7~./S~ . Rear ..4t.$"~~ ,4,5~........... Depth Z,~S, ~ . 10. Date of Pu>}chase U6VST , l98 ~ ~ ~ ~ ~ ~ R ....4:.......,; Name of Former Owner ~Yd/N .~%+d . ~Q~,~......... . '.~£SYDE~/77F1L fM.~Tj H6FG(CUL7il~i92~ us`en - 11. Zone or use district in which premises are situated , 12. Does proposed construction v"olate any zoning Iaw, ordinance or regulation: ~r,U . . . 13. Will lot be r",egraded . M!Al'~ .~!?~~.^~-'r...... .Will excess fill be removed from premises: Yes x No 14. Name of Owner of premises~V~lHyc!T~.1:41I1G15rr11J.~ .~t]PAddress '7Pl~l~bR'a~nA, ,bfC,.1~UU~, N: phone No~~k~?~:9?$~: c~ra~..~'~.-s° Name of Architect JaH~. .a!41~4~'..... , ....Address ~51tkN T?1o~??7i4+?.~I?E'Phone No.S&& r6.4~S....... . Name of Contractor ON!N4~ Addressa:".YsHatB,.±~r. 1~;aG hone No . 15. Is this property located within 300 feetyyof a tidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOT DIAG uired. 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. I ~ ~ ~ Ti!/e No. T/2B4 - 3006 lol 0 o~~la , o \ a~ i' f ~'guNr ~ a//~ > ~ '"e'b M1 Ip9 A ~ N ~ l al 4'° ~ ~P~ be9~•' ~6 ~ y1q o wo ~ rt e~, ,,i, 26 w~ ,aw 1~ 19 N ',D ~•'~;e{~~61 5`I\, 1~' ~ N4 Wit, C ' ~ . Y 0 Y Tu w , .p, 1 4 ~7 t~ 4'~~ @ 4 Vlt 9 C 9 G~ N'^t y \'lOtB ~ 6J~e 4 ' 4~ W6u rob0 r Q 3p 2\\ ,t ~ b n as9yj3' / ~p *\t'N T ,Ta ~3°I FICOPObED ~ , / ,u ~1'""~ i BufLtlINR a ~O y Z ~O\~~o~~ o~rlbm 3 w/YIS \ Q~ Q Ne O. b P ~ lr Q ' 0 6 51 5~A ~ ~ F R" ~ P40COtllD r . d•, Z M gMl'MtL °jU h4 b'leTW M1O e4t \1. s e o 1553 rY'. ° 04 ~ t.'~ i ~ . E Muo2 ~BDiV1~ro~l - _ FoR..LY~1nI ~Anll{NaR~ ~ i W C 7Rsc MAO ' o ~ ~ io7. -a-a.~ a t 4 ~ $ 1°~~ Y H~.~' e \ e., yo o ap" ~ 1t o~~"/~ ~,6 _ _ _ s W M' s S n Y ~ I ~ ~ . ~ ~ N ~ h l rr ~a,.x.,,~+..;: ~ ~ ~Cauednaao puE asn papualul •q u• ~Cauednaao UE aSn DUI SIX E 1~fx~~'~~~° ojy ._.C~~...~(.3.no2dlNh~iYr? P ; . a :uo?Tans;suoa pasodozd ~o ~tauednoao puE asn papua;ul puE sas?wazd 30 .Cauednaao pue asn 5urlsixa a}E}g •z GEC' ( N) oa5~ • ~N~/~rd• aurE ;oZ oK dEy~ PaI[3 . uors[n[p~ g yd~{/'.... lo'I i XaoIH L-0~ uo?}oaS 000[ 'ol`I dey~l xey T3uno0 ;almEg ~ }aaz;g zagwnN asnog N ~ ~ 7l'~~~Il • • ~ 1~ auoP aq II?~+ Kzom pasodozd gotgri~°uo puel 3o uo?;Eao7 ' I ..o~'f fC! '7' . it .ot1 asuao?7 s,apezZ z2gI0 ~ . . .oN asuaa?7 s,uE?a?zlaal~ ~I .oN asuaa?Z s,zagtun[d .oN asuao?'I s,zaplmg ~ (zaai33o a}EZOdzoa 3o al;[; pue auzerl) II •zaoi,33o pazuoq;nE .i[np 3o azn;eu3?s `uo?}EZOdzoo E s[ }uEa?IddE 3I (paap }sal,}EI so llos xE} aq} uo sE) saslucazd3ozauMO3oauzeil . ............I .....u; m ;s •zap[mq zo zaqutnld `uE?au}aala `zo;aEZ;~oa IEZaua~ `aaau[°ua `}oa;?gosE `;uadE `aassal~°zaumo s? ;uEac dde za at[n~ a E (;uea?Idde 3o ssazppe fur[?~y~l) (uo?;EZOdzoa E 3l `awEU zo `}uEa?[ddEi3o azn;eu8?g) . .PI. q . P 3 P gl o• a ssaaau .zo3 Suc cn uc uE sas?cuaid uo szo oadsu? az~.~o nE;?[ups o~ puE `suo?;ElnBaz puE `apoa Su?snou `api a 2u?pI?nq `saaueu?pzo `smel algEa?IddE IIe g;?;a ,4lduzoa o; saaz~e ;uea?l~de agZ •paquasap u?azag se `uor}?louzap zo lenouXaz zo3 zo `suo?;eza;IE zo suo?;?ppe `s8ucplmq 3o uo?1anz;suoa ag} zo3 `suo,}Eln~a~l zo saaueuspzp'sn+E7 algEa?Idde sag;o pue'~`xzot mall `6;uno0 x[o33nS `P[oq}nog 3o umo,l, au; 3o aaueu?pz0 auoZ ~u?plmg a~} o};uensznd;?uzzad Su?plmg a 3o aauE!inss? au; zo3 ;uauT}zedaQ 8u[pl?ng ag; o; 3QF~L~I ,Cffd?IdH SI AIOI.LfIOI'Iddd •so}oadsul Su?plmg au; I.q pa}uez3 uaaq aglEg IlEgs d~uednaap 3o a;Fag?}za0 a II}un zana;egm esodmd ~fue zo;;zed u? zo alogn~ u? pasn zo pa?dnaao aq Ilegs 2u?plmq opl 'a •xzom au;;nog~nozg} uo?}aadscn zo3 algEl?ene sas?uzazd ag} uo;dal ~aq 11Eus }?uuad gong •}uEOtlddE ag; o;;?uuad etnpjtng E pans? II?^~ zoiaadsul 8u?plmg au} `uo?;Ea?Idde s?g; 30 lenozdde uodjl •p •}?uzzad 3znpl?ng 3o aausnssl azo3aq paauauzuTOa aq;ou ,SEU1 uo?;ea?Idde s?q; .iq pazanoa xzoro agy1 •o uot;E~ =~IddE snl} 30 }zEd s? ga?gm uiEZ3e?p ag} uo~iu.HEZp aq ;snuz ~(;zadozd 30 ;no,iEl 3o uo?;duosap pal?E;ape 5u[n?3 puE `~eaSe zo s}aez;s allgnd zo sasluzazd 3u?u?oCpe o} d[gSuo?;Flax `sas?uzazd uo s;Icnpl?nq 3o puE l013o uo?;Eaol 2u?h+ous uE[d;olds '4 ~1 b~o~~ .~~~`DaH~•alnpagas o} 8u?pzoaae aad •alEas o} ueld;old a;EZna~E-`suEl 3o s;as £ t(;rn~ `ao;aadsul 8u?plmg ag10} pa}}?urgn E xu?-ul za za;umad,i} ~Sq u[ palli,3 dla}alduzoa.aq }snuc-uo?}Ea?IddE snls •E SNOI.LOfI~I.LSI~II 11 W233d'JNIOllflB [iOd NOllb'Ollddt/ ~ , . (zo}oadsul 2u?pl[ng) ~I ~ ~ ~ • -//f ale panozddes?Q ~ V ~I 6 i.Q .oI13?uzzad ~l6 t ~,'i'. `'L;,,:yl' ~ panozddy 6 l` p a n z a o a y I 6I . 'b~~'Y1 pautiuExg n,.-. C'10H1f10S d0 NMOI X081.99L ~'l31 ` 1d3C1'00'18 'i lL6l l '.l'N `OlOH1fI0S ' llY/H NMOl ~~Z ~b~ ~ 1N3Wlat/d30 JNlOlif[8 OlOH1fIOS d0 NMOl I~ (~~a~rra^r~ ~ l'ON WHOA t?Efi34'~Na76a2~t1lY'AA~tr IJ ~~~e.'~ ?six7~.~+~~i t~4 ef~4~.'121~~kY'~~q`t)Y~ ~ - - ~ • ~.r . r, i 1 _ 1' ~ BOARD OF HEALTA 1{; ~ FORIVINO.1 3 SETS OF PL1:7S F'` ' SURVEY !i.- TOWN OFSOUTHOLD CIICCI: r ~ f . MAY ~~y~ y I; BUILDING DEPARTMENT • • • • _ • • • • • • • • • • • . ~~~~G~.~4isw'f. TOWN HALL SEPTIC FORtI . ~L SOUTHOLO, N.Y. 11971 TOWN OF uJ.JTRt31.0 TEL.: 765-1802 ttOT I FY ; CALL . Examine 19 q. , rtn t L ro Approved ...~.?~y , 19q~. Permit No.. j ~ ~ 3l. ,L . ; Disapproved a/c .....UU _ _ . (Building Inspector) APPLICATION FOR BUILDING PERMIT pp Date ../Pl~ y ~ 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whale 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, b ilding code, housing code and regulations, nd to dmit authorized inspectors on premises and in building for necessary i cti Signature of applicant, or me, if a corporation) (Mailing addres of.applicant) >tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. dame of owner of premises <J~!`J?~}7~/~ffnJ. ~ "~~'y`" ~ ~n"'~~` i~.. . (a~on the tai roll or latest deed)APP120~Eq AS N1~1"Ed~ "applicant is a corporation, signature of duly authorized officer. PATE: `r ~ B.P N 1 FEE:•~a . p,Y ~ 1~. L • NOTIFY BUILDING OEPAe3TIVIENT AT (Name and title of corporate officer) W e1 765-1802 3 AM TO ~ la4\r FOF{ THE ~a,Q~i®~e FOLLOWING iNisPCCTICS^!S. Builder's License No . eb ~p~~, ~g,•~~ 1, FOUNDATION - TWO RI:CtUIRE6 Plumber's License No . ~S~' ~.~~~~Gy 2. ROUGOURFRAMIN4iRti~TPLUM8ING ~0~~~4 ~c~Q~ a.INSU~ATION Electrician's License No . .Q.. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O Other Trade's License No . ALL CONSTRUCTION SHALL MEET ~~T { R QUIN M OF THE T~ Location of land on which proposed work will be done. ~Ze~~. C~,~OlEI1 N ~ ~~R~ ( t~ COCIES ~ R£ (ZNSi93CE ' 'FCfR :"......7.2~8...~~.k?/}~1~....~1J~...... /(/~f~i,l,l7UC~dZ p~st~a~bt~'cotl~~IST~NERRtaRS House Number S~tr~eet Hamlet County Tax Map No. 1000 Section , ld. , Block b , , , , , , , , • Lot Subdivision .L, yNi~. ..~?~lb~S..l1/~:~.?.~Y~... F, ~ ~p No . .Lot . (Name) 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 ..~~f~~~/...!`:~~(~L~~~ 3. Nature or wprx (checx which applicable): New Building ,x..... Addition Alteration . Repair Removal Demolition G~ ~1 Other Work . . 4. EstimatedCost....:!~;S,V,),Cj~r,,,,,,,,,,,,,,,,,,,,,Fee..~~~~~U,,,•..'•.•....(Dc~cription).• (to be paid on filing this application) 5. If dwelling, number of dwelling u' , , g If garage, number of cars nits Number of dwellin units on each floor . . . . occupancy, specify nature and extent of each type of use . P Height g.... Nutnb if any: Front ...............Rear Dc th . 7. Dtmens ons of ex shnalstructu eds ~r of Stones . . , . , . , . Dimenstons of same structure wtth alterations or additions: Front Rear , Depth .Height Number of Stories . Ction:Front Rear............... Depth $ Heightsions of entire new c Number of Stories . . . 9. Size of lot: Front Rear Depth 10. Date of Purchase : ................Name of Former Owner . P 12. Does ~ o osed constru tion viola[ ises are situated . . . . P P e any zoning law, ordinance or regulation : . 13. Will lot be regraded { .Will excess fill be removed from nremses: Yes No 1^.. Name of~iJJilci of premises i . Address Phone No. Name of Architect ..............Address ...................Phone No............ • If yes, Southold To•. '•'•Address ...................Phone No. 15. Nlsmthis proae>°t within 300 feet of a tidal wetland? *yes........ No......... P Y . * wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bµildings, 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. I ~6~; 1~~~~ ~ 511 ~ ~ I ~ ~ ~ ~l /~l ~ ~ ~~'~i I 9U ~v ~ ~l-~o~u~ ~!I TATS OF NEW YORK, S.S, OUNTY OF . • • • • • • • • • • • g g . . being duly sworn, deposes and says that he is the applicant (Name of individual si nin 'Icontract) rove named. eisthe ...........i.... (Contractor, agent, corporate officer, etc.) ~ ~ ~ • • said owner or owners, and is duly a{athorized to perform or have performed the said work and to make and Gle this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner seat forth in tha application filed therewith. vorn to before me this ......................day of.. .................,19. . >tary Public . County /~~/J~ (Signature of applicant) i ~ ~ ~ • BOeARD OF HEALTH FOaM No. 1 3 SETS OF PL.1NS ~ . - SURVEY ? TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPf TOWN HALL $OUTHOLD, N.Y. 11~J71 NOTIFY; TEL.:7G5-1B02 CALL Examined 19 MAIL T0: Approved 19 Permit No............ • . Disapproved a/c . °"m°°--~.. . , . ~ ~ a r~ .1la, ~ p ~ I (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWNgFSpU7HOLp Date Jt!GY... ~D 15 9v f., dNSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ sets of plans,accu;ate plot plan tCxscale. 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 glYing 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. ~sl. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit sha 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 purpo~ whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tlie applicant agrees to comply with all applicable laws, ordinances, buiidin code, housin; code, and regulations, and to admit authorized inspectors on premises and in building for necessary i sp ctian. (Signature of applicant, or name, if a corporatton) - .7l'Rneo2!~a!~~t.. D,e~ .,bfiv n.v~~unl. ~/~11 ~3 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. DW nl ~2. . Name of owner of premises . Jbn7i9i?/r:~, ~GE`~2. 'r' CflRt~n MC ,6{},e~`y~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (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; ' GY.v~v SAz:t D ~1~//Ala~2 SU house Number ~ ~ ~ F~,A~I!t~,onJ bFr= (~i4:vv ,Q-tJ~` ~j~~GK S[rcet ~ Hamle[ County Tax \tap No. 1000 Section 07 BI'uck M/No2 Lot , • Subdivision ~y~-(~. S.~+, , ..!g'tVQ.~r1~s...... Filed ~1ay No. ~'-~~2., . (Name] Lot.... State esisting use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy. /UU~~E~'Y. ~LD ~N,r~. ~"O~~i7p~ Intended use and occupancy. 1~ ~ ..~~..v'c~G~;et`, ^ ~;u ~..Gwny/~~y'~(1~ EI~Ti~ ~c7v~C GuiLC. g~E f1'S L~E~~Dr~Q~s' G~c,rg(,E' ' 9' { ' " • ~ 3. Nature'of work (check whic?t apphcabl~): New Building . • , . , . Addition Alteration . . Repair Removal i' , , , , , Demolition ..............Swimming pool . Tennis Court Accessory Building........,.Fehce .Other Work. 'i' Estimated Cost ....~.F'-x.,.90°...... Fce • (to be paid on filing this application) ~ - IC dwelling, number of dwelling }nits . ~ .,,,,.~.,Nt`ft'ber of dwelling units on each floor , !V~A, , , , , , If garage, number of cars l`!/.p . !!rK1PiFr/. K`~~ , . , , , , , , , , , , , , 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use , , , 7. Dimensions of existing structures, if any: Front ...~.,~~y Rca{ ~y.~. .Depth , Height Number of $torics , ,,~-!g;~; ,DA~EA~I~.D C7d1L,`'-/fp(r1=, , , . , . , Dimensions f sa a truc~urc with alterations or additions: Front ~~o¢ Rear , f,oy4 Y ' Depth ......~,r. , , , , .Height ZZ • L ~ , .Number of Stories .T,u,.?p, ~ ' Dimensions of a tiro ricw ~onstntction: jFront .r,3,~;,!ft Rcar ~ zS,oy lDepth ,+t9!+:;, , ,r+,'o?e~,'~,~ Height ...rrttt~,~~ . Number of Stories z . , , , , , , , , , , , , , 9. S'szeoflot:~Qkt}.. '7lS.~/ ...'i..... Real .....~$.5.~........... Depth.....~(c(o' 0. Date of Purchase ~./.2~,/.$Y~. , .I........ .Name of Former Otvne 4Y:u^~ ~ , , , , , , I. Zone or use district in which premises are situated ."A,", ,,PrE'S!AEAlT!AL , ~G,E'{C~47?h?+9[.:. Does proposecLcarishrut`t~ `violate any ';zoning law, ordinance or regulation: N0 . 3. iVill lot be re;raded ~?1!~!4ie ~~,A-A,i,}.1(r', Will excess fill be removed rom r e Yes . No , . 4. Name of Owner of premises ~!Q?Y1+2~{~i,~(577AJt= , ~ ;7PA, lIQ2l9Mi4 1~.~ 1 ne - , , Name of Architect .c-~lM. P•g~:Sl=o~ , , , ...Address r:~'/M ~.°:J p~ . d~ ..~6:6.~E L~.. . 'Name of Contractor ,Nor rET" DE7~72MhtlEy ~ ,Address ..Phone No.. , . . fS.Is this property lo~.Rted within 300 feet of a tidal wetland? *YES.l1~.N0.... *If yes, Southold Town Trus'Cees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from, ~toperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. I . ,fit-R'cra~ . ~ /UTA2KE7J ~P ~'il2V~1 i , I l STATE OI" N~1V YOR•f:, S S ~i 'OUNTY OF - I ~ ,(Na ~c,of itidivi' ~ g ~~4tr I ~ ' ' ' ' ' ' • • being duly swa,rn, deposes and says that he is the applicant . •qt •dual si~nin coil qct) ~bovc name ~ 0, ? ~ icisthc.........~........... ~ ~'(C}ontractor, agent, corporate officer, etc.) ~ ' >f said owner or owners, and is dilly authoFiicd to perform or have performed the said work and to make and Gle this application; that••all statements contained in ~U;iis application arewtnic to the best of cis knowledge and belief; and tli5t-the vork will be performed in the manner set forth', in the application filed therewith. iwom to before me this ........................day of...... 4 ............,19... ~ Votary Public, County • (Signature of applicant) ~ ; ~ - I ~ r/r/e. No. r/zB4 - 3©os ~ { ~ P O h~0 ~ ~ o ~ ~°4 o ~af \ ~ s $UtBr ~~~y. ~ N Oo'Gy 11 ~ ioo ~ 0`6. N B j55~ YP a ~ p F A , Oo yy 500 .N.~ 50 19 Op ~ Ll~ LS ) ~V M 5•p Ps3T ?ZQp\p 6~' ° ~ 5\A` ~~0,5b AO 11 ~ Nv ~ 03 ,5019 ,-5 y ~if0 ~i s. o~y ~A~ ~~S ~ .y O o \2b ~ 6. ~ m 95A5 • ~ -A` ~ O A al aa,\G ~ ~ z~>°O.(\g ~ °~`~o~em re•°3 ! o /yNO ke CpH9TF ~~CO ? e VI ~ oo S~3DP FDGNOq ~101y Z I oOy 11 2 No + c 50 50 Qb~ ~ ~ / 1 Np ae `Ta0 A 4. ~ \ 3 O \ y T -~Tl W O \ ~ \ W x ~ W y ~I' 1 O Z ~ 1 0„g. > 5 u. ~ 1o Oy Y ~ S NT50 7 11 ~ ,e ,'yew f _NO ,y~ l.{~ a Oy ~ 50 y ,pl N• ¢ y5 q ~ N~~ ~ K ~ ~ 9~ 4 O ~ \O- 0 ~ .y~ ~ 0 ~ ~ ^ 4 of v c~ ~ SEPT /5, /990 ~J'~`~~j ~~x~ SEPZ /O, /99,0 FE8 /9 /s8B SURVEY FOR F e 25,/se7 NOV. 28,/986 ?ONATHAN BAKER B CHR/Sr/NE BAKER .auc zs, /9B4 AUG 6 , /9B4 AT MATT/TUCK DATES JULY 27, /sB4 TOWN OF SOUlHOLO SCALE / " _ /00 ' SUFFOLK COUNTY, NEW YORK N0. B4 - 742 N uNAUTN0ltizeD ALTERATION OR AD 0ITION TD TNIa GUARANTEED TO NEWVYORK 3TATEEWCAT ON6 pTwON 7209 OF THE THE T/TLE GUARANTEE CO. N COPT ES OF TN13 SURVEY NOT tEARWG TN[ LAND NOT S ICONS DEREO TO tE A VA tL 100 TIIUE COPY HALL S,~PtE OF MFW M GUARANT[ES INDICATED HEREON SHALL RUN pILY TO HEALTH DEPARTMENT-DATA FOR APPROMAL TO CONSTRUCT TME PERSON FoR wNOM iNE SVRVEY IS PREPARED ,PRO W, O,a~ ANO 011 NIS tENAIF TO THE TITLE COMPANY, GOVERN- ~O M NEAREST WATE~ LAIN MI. ~ MSOURCE Oi WATERS I~NTE JL~PUtLIC. MENTAL AGENCY AND LENDING INSTITUTION LISTED GG M fI1Rf CO. TA%MA? pGT~~~lf CTION /Of t1ACK ~ LOT r_'P NEIIEON, ANO TO THE AES IpNEES OF THE LE NOIMO N TNLR[ ARE NO DW[LLIINf WITHIN 100 FEET OF TIN[ ?ROPlRTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE Q OTHER THAN TNOEE SHOWN N[REON. TO A001 TIONAL INSTITUTIpiS OR SUt SEOUENT N TNf WAT[R SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR TNIf RLSIDENCE OWNERS ~f WILL CdIFORM TO TN[ STAMDMOf Of TN[ SUAOLK COUNTY DEPARTM[NT * 01 STANCES SHOWN HEREON FROM P OPERTV LINES Oi HEALTH S[RV ICfS. TO[%ISTING STRUCTURCS ARE FOR A~PECIFIC ARLICANT~ PURPOSE AND ARE NOT TO SE USED TO ES TAtIISN <SB9 0 PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRElf ~ 0 0~ YOUNG & YOUNG RIVERNEAO",NEW YORKE NOTE: AREA= 4, 09 * ACRES Q= STAKE •=MONUMENT RED LOT N0. 4, "MINOR SUBD/V/SIGN FLl4 LYNN SAN ALDEN W.YOUNG,PROFESSIONAL ENGINEER „ AND LAND SURVEYOR N.YS. UCENSE N0. 12845 ANORES. HOWARD W. YOUNG, LAND SURVEYOR M THE LOGTgN OP WELL(W),SEPTIC TANK(ST)t CESSMOLS(C?) fNOWN NEIIEON N.Y. S. LICENSE N0.4S893 ME FROM FIELD OtKMMTIONE AND OR DATA OtTA1N[0 FROM OTHERS BRANDIS 6 SONS INC. 1046 . ~ \ Tit/e No. T/2B4 - 3006 ,n/o't n \ o 04 \ o~ ~0(~i ' ~ e( cb- ~ 2 T o- w° ~ ~ 0 1y5; ;n y+ m ~ 1 ~ o 06,1 a Py+ °~2. 2. ~ W- 1 ° 2y SO ~9 O , cr O i o b"~ g0 +yS ~2~°p36d S~A~' ,.p y'~ q~ > N .M MO 5 L, bT~12AIA ~°{~U fA0 iD~ ~ ~N--• G2 V 4 w °O 000 /Q~ OO. 1 , y', >`"e°a 8+1215 ° ~ ~ S~, ~ `no ,30~g ~ 5 " `~~ys i~ O 4. o121A1' , y ~ 20~~~/ N SO ~ ` 2 \~o ? ~ ~i t1• 950 :D1 ~ ~ ~`i o ? / ~ O Rys1A3 ~v\~9~ 6~\~~ Zda• 22 y lS ~ ~ e It. dN ~ 6 \ ? Q '~O ~ O rnis- Gd de°.e4Q ~ l~ V O $wo ° ~ 40 N uo.?r~ `{j b SO 5O F+ o O °O2 1T. L C c `Ia o \ O \ ~ °v w x ~ ~ r 7 y ~ • 5 lu 1 ~ l ~ Z b ~ 0 d 0~.2. p 3 o \`Y\ i 7 _ _ _ - _ _ ~ _ f._~..~.._...-_...~_, ~ . , - _ ~ ~ .f _ O ' G To 02 ~ yD ~ ~ ~ ~w°+ ~ N? z 25 ql \ K W o\~ V \O.. 0 ~ ~ w ~ a ro ~ Z O V - FEB. l9 /988 SURVEY FOR NOV 28,/986 JONATHAN BAKER B GHR/ST/NE BAdt'ER ,auc Zs; /ssa AUG. 8 , /9B4 AT MATT/TU.CK DATES JULY 27, /9B4 TOWN OF SOUTHOLD scaLE~ / " _ /oo ' SUFFOLK COUNTY, NEW YORK No. e4 - 742 N UWUTN01112 E0 ALTERATION OR ADDITION ro THIS GUARANTEED ~p SURVEY R A VIOlAT10N OF SC CTIOM 7209 OF THE THE T E ~A9VA CO. NEW YORK STATE f:DUCATIOM lAW N COPIES OF THIS SURVEY NOT fEARWO TMf LAND NOT fEYCON3 DE [D TO !E A VA IOD STRUE COPY HALL $tl`L(~'R® ~®~~'V'®' THE PERNSONEFOR W OM THE SUORVE ~ISLPREPAREO ~ ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ANO 011 Hls GEHAI-F N THE TITLE COMPANY, GOVERN- Q , N NEARCST WAFER MAIN MI. NSOURCE OF WATER. MIWTE JLtP~ISIIC_ MENTAL AGENCY AMD LENDING INSTITUTION LISTED N SUFf CO. TAK MA? pfT~000 SECTION /OT FLOCK LO7 HEREON, ANO TO THE ASSIGNEES OF TNf LENDING N THLRE ARE NO DWELLI1Nf WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTNLR THAN THOSE SHOWN HEREON. TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT N THE WAT[R SUPPLY ANO SEWAGE DIfPOlAL sYSTEM FOR THIS RCf IDENCE {O, ON STANCES SNO'Np HEREON FROM ?ROPERTY LINES ~ Q 5 WILL CONFORM TO THL lTANOAROf OF THE SUFFOLK COUNTY DEPARTMENT 70 EK 1l TING STRUCNRES ARE fOR A SPECIFIC OF HEALTH fERV1CEf. PURPOSE AND ARE NOT TO BE USED TO ESTAfIISH `14K0 b0, APPLICANT. PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS ~L' l YOUNG ~ YOUNG RI~VERHE ONNEWAYORKE NOTE AREA= 4. 09 ± ACRES O=STAKE ¦ =MONUMENT I ALDEN W.YOUNG, PROFESSIONAL ENGINEER REI LOT NO 4 , "M/NOR SUBO/V/S/ON Fp9 LYNN SAN ANO LANG SURVEYOR N.Y.S. UCENSE N0.12845 ANORES. " HOWARD W YOUNG, LAND SURVEYOR ff THE LOGTKM of WEll(WI, SEPTIC TAMK(lTIe CESS?OOLS(CP)fHOWN NCREON N.Y S. LICENSE N0.45893 ANE FROM FIEIA OfSEA1MT10N! AND OR DATA OfTA1N[D FROM OTHERS BRANDIS A SONS INC. 1046 %o~:~ ~ 04 \ rrr/e No. T/284- 3006 n ~;n ~ o \ ,AGE N 1`, 6( ~ so 5~' AD •.E• ~ '9 ~m °o. 0 2y 11 o. off, Ae 155• ~ ~ ~ s o ~w~~ 50 GSA N 11 •p m y59f. aF,• St Wo U6 1g~uY1; •Q '°a Pya\ a\2 ,.p 26 wW --~,v~ 1 e y2 DO ~ ,y.~ 9O 19 ,~p OO • LT P.. ,'"0 S.SO Ay~1 •g22,p Ay4 5\A\ \0•'093 p0 ~1 ~i0 NO tr 1s• i a {ISIS\3 0 \ • ~s~i, ~ ys 301 , ~ 9 m \\'y0 O t s 300\ 9 \Rb ~ ZO;b~i ~ ~ i' . g 9. -p , ~ ~ Ry, 1A a, c~~ ZtT (~C a `Q N' r $ ~ ~°s 51f~m sep ~o ~ ~ ~a N O~ O , 9D y0 i Ao N b c Dy 11. m No ~ ~ ° 911 Nay ~~\''oa NJ ~ ti O T a w 0... \ ~ v J y ~ • 5 E W ~ ~ 2 3 \ ~ N 1 ..a ~f. per`\o ~ D°E. ` 3 y \ a DZ 3 \ iqT Y `b N. so >r ~ 111 I 4 - - C 1o Oy ~50 ~ ~~o* ~ V a N~ y3 \ `II W .i p\~ ~ V U I \O. b e& h si,~j .s "f ^ N ~ ~ ~ K J FEB. /9 /9BB SURVEY FOF NOB z8,/ses ?ONATHAN BAKER B CHR/ST/NE BA/(ER .aus zs; /sea AUG. 6 , /9B4 AT MATTITU.CK DATE ?utr 2.',/9B4 TOWN OF SOOT/lOLO scaLE~ / " _ /oo ' SUFFOLK COUNTY, NEW YORK No. ea - T4z N UINU TNOItl2 ED ALTCMTION OR ADDITION TO THIf GUARAN'I'E SURVEY 6 A VIOLATION OF SECTION 7209 OF THE f NEW YORK STATE F,DUCATION LAW TH •QF~~ CPJA TEE CO. N f.OPIES OF THIS SURVEY NOT fEARf/0 THE LAND S NOT CYCONSIDE!'rEO TOLSEA VALID TRUE COPYNAII 2O~Pp® mO~ •j~ NGUARANTEES INOIGTED HEREON SHALL RUN ONLY 70 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREFAB ED ANO ON NIS fEHALF TO THE TITLE COM PAMY, OOVEIIN- dl NEARClT WATER WAIN ML Y RSOURCE OF WATER. IVVE PUOLIC _ MENTAL AGENCY ANO LENDING INSTITUTION LISTED N SUFF CO. TA%MAP DIfT~000 SECTION /07 7LOCK 0_2 LOT~_4 HEREON, ANO TO 7NE ASSIGNEES OF THE LENDING , NTNCRE ARE NO OWELLIINIf WITHIN 100 FEET Of TNIf ?ROPERTY INSTITUTION. 6UARANTEE4 ARE NOT TRAM SFERAOLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT R THE WAT[R SUPPLY AMD SEWAOL DISPOSAL SYSTCM Fd1 THIS RCl IDE NCE OWNERS <<C, ~O, 4 S ~ N DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM 70 7NE STANDARD{ OF TNC SUFFOLK COUNTY DEPARTMENT TOE%ISTIN6 STRUCTURES ARE FOR A SPECIFIC OF HGLTN 7[RVIC[S. PURPOSE AMD ARE NOT TO SE USED TO ESTAOLISN MD SURtl AMLICANT~ PROPERTY II NES OR FOR THE ERECTION aF FENCES ADDRESS TEL• YOUNG & YOUNG R~RHE D~,NEW YORKE NOTE+ AREA= 4.09? ACRES ~=STAKE ¦=MONUMENT ALDEN W. YOUNG, PROFESSIONAL ENGINEER RE+ LOT NO. 4, "M/NOR SUBD/V/S/ON fA4 LYNN SAN ANO LAND SURVEYOR N.Y.S.UCENSE N0.12845 ANORES. " HOWARD W. YOUNG, LAND SURVEYOR N THE LOCATS7N Of WELL(W1,SCPTIC TANK(ST)R CESSPOOLS(p) fHdMN MfRfON N.Y.S. LICENSE N0.45893 ARE FROM FIELD OfISERWTIONS ANO OR DATA OfTA1N[D fROM OTHERS BRANDIS A SONS INC. 1046 \ Tit Je No. T1284 - 3006 ~Dt { 7~s O n I~Dttin } c ~ ~ o 0 S~ie SAD 6 ~ ~ ti ZZ T 1' ~o o ~ w off. N 9 155 $ w DLO ~ o . ~ F A y05, IS~~ ~7 Py, 39 o~'L ~,6y v~o z~,- 00 ~ %I., 50 19 00 ~ tt~ ~S W. g0 yg5~32 op3 5A y' F~' ,,p yy 11 Os O O 5• R yT~ IZ p. ~ (M ~ ( ?a Ne ~i ~O. V N' AI P'~\y0 ~ V • 2A0 ~p tS,,,>. ~ ~N.. 00\ ~ y OZy ~ p"l ??w 10p ~q0 4 69 s q,\ o \ ' F _ ? ~.n pV, yp ~y ~b ~ PROPO,roEq G.1. Oo 121A3 9 0J 25 "a Na94 WL~EW. M1ry ~ p~ ~p Y~1 ~ ~ 0 /a - yY'AOy 0 .p~ .A ~i ~•'~~4.3 PROP'otoE.q Q P %1 •*\.9 6~\f• ~ fi„ Av I 6utLDt NEi ~ ~ w ~ ~ O g, 3"~~~- Z moo. LS ~ 4' / 1 lP .Q.C' ` ~ P A : 1 Q 'g ~ 1 tDF ~ hEWAG&ED ,y0 y0 OV/OtLM ryo 0 004 11, z No .rte i55~+ p i 5 os O 74 Y~4 ~ \ ~y~D 3 \ H T C \ 0 O \ D ~ 2 eeT r ? `I i ~~~NII~~ m W o e ~~~pECr~a .5 ~ D ~ N R~~~~R~O ~ i yG. ~ $ , o ~ ~ a - NN 50 ii 7 i 7 3T; o - - ~ _ . . ~ ~a.4- nN _ _ _ _ ~ a G2 ~ y0 ~ ~ ~!I O,~ T1 S~~ N' z w ~ ~ U o tT ^A6 't.` ~ Q!. N ~3 a'` _ a o ,.poi ~ ~ ^K ff .Z. J ~-e iiv._ <t , ~ V' O L`: ~ l~ (>.L- Ir - Q'J 4~ ~ ~ J _I<; ~7 • L ~La C:. c0 uy •.x ~ ~ ~ V F£8 25,1987 SURYEY fOR NoY zB,/ses S1JPfDlK Ii~UNTY ~EF/:.~',i:~..~ uJ ~...,LIH J,.iitil.ES MAR 12, /985 T ^rn 1 ^ JONATHAN BAKER B CHR/ST/NE BAKER AUG. 23, /sea AUG. 6,/984 fOR APPROVAL OF CDNSTRUC. AT .MAT /rucK DnrE: ?uc r 27, /sea = _ ///,>S' gle Family Residence U ly ~ ~ ~ ~ L ~ I ~ SATE H RE Q ~ ~ S~ ~9~ SUFFOLK COUNTY, NEW YORK NO. ea - 7a2 APPROVED / MuNAUTNORI2[D ALTERATIONOR4DDI710N TO THIS GUARANTEED TO SURVEY 4 A VIOLATION OF SECTION 7209 OF THE TfIE OB( TEE CO. NEW YORK STATE EWCATI ON LAW ,~F,~ R COPIES OF THIS SURVEY NOT SEARWO THE LAND Aj ~D w r • EXPIRES SURVEYORS' INKED SEAL OR EMOOSSED SEAL SHALL 0'P . IYJD ifARS FROM D NOT pL CONSIDERED TO LE A VALID TRUE COPY y ,p . Aif DF APPROV MGUARAMTEES INDICATED HEREON 9NALL RUM ONLY TO Y HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR wMOM THE SuMEr IS PREPARED OG ANO ON HIS SEHALf TO THE TITLE COMPANY, OOVERH- ~ %NEAREST WATE11'Mi11M MI.! KSOURCE OF WATERS IVATE P~3~LIC_ MENTAL AGENCY AMD LENDING INSTITUTION LISTED ~.4 HEREON, ANO TO 7HE ASSIGNEES OF THE LENDING ~ M M1Rf CO, TA%MAP pST~$Q4, SECTION /07 MACK LOT pST1YUT10N. GUARANTEES ARE NOT TRANSFERABLE N1NRR[ ARE Np'OWELLIMif WITHIN 100 FEET OF TIME MOPLRTY TO A001 TIONAL INSTITUTIONS OR SUBSEQUENT Ol'HLR THAN THOSE SNOMiN HEREON. OWNERS R THE WAT[R SUPPLY MID SEMMGE DISPOSAL SYSTLIM FOR THIS RLSIDENCE N DISTANCES SHOWN HEREON FROM P110PERTY LIMES ~ 4 WILL CONFORM TO THE STANDAROf OF THE SUFlOLK COUNTY DEPARTM[NT TO E%ISTING STRUCTURES ARE FOR A PECifit Af a Of N4LTN~~II S[MIC S. JavR7NAni ~(.E' 2.. ~ ~ CNRisT/ntE r(~.9KEYL PIMpOSE ANO ME NOT TO !E USED TO ESTAILISH E/A g AMLICANTq ~ Q /~1's. ~ g/~~ 7ROPERTY LINES OR FOR THE ERECTION OF FENCES 1'~D• SU^&y~, Add AA10.~4MA JJ>21 VN L~'~ yvunNGr0~l1 `N~Y• I17y3 TEL"~~,~ a°~ «~Sn~E YOUNG & YOUNG ~~~NDER AVENUE RIVERHEAD, NEW YORK F NOTE ~ AREA= 4.09 ACRES Q=STAKE ¦ =MONUMENT ALDEN W.YOUNG, PROFESSIONAL ENGINEER RED LOT ND a, "M/NOR SUBO/V/S/ON Fq4 LYNN SAN AND LAND SURVEYOR N.YS.UCENSE N0.12845 ANDRES. HOWARD W. YOUNG, LAND SURVEYOR z f{ k1NELOCATpNOFwELI(WI,SEPTICTANKISri\CEE5p OLS(C?1SNpYNNlRCOM N.Y.S.LICENSE N0.45893 ` • ARE PROM flELO OMIERINTION3 AND OR DATA OtT~INLO FRAM OTHERS S ~ BRANDIS & SONS IN,C. 3046 ' , \ ~ Title No. T/2B4 - 3006 n~°'t1,n X40 \ ~a ~ ~ ~ et Set ZIAO. E ~ ~ a~ O OT' 'rl Ne O D `L \ ~ ,c 6590. ~ w o 6,19 ~ 0•'1 o`'L, ~,6 i9 ~~t --1~- j0422~~~, y 5'~0 ~9 ,p 003 ~ p: p :~'0~' 5'00 P,379Zg°pp b" P' y 0, ao NO ~ i ~ o ° 00 _ y 000 (O~ n P~ ~ w"0 10°b ~ o .!S~ F ~ ~ 2 "~T y ~ iy~W ~ q' C~ q, n '6 a ~ ~ 6)~ 4 ~ yOp1 1 2y \ o N, ~ ~ ~ 2 0.91"y ~+\~9 6'\x'0 0... k ^z's' \ V ~ ~ ~T ry1 \O ~ \ ~ ^ MOU TORY ~ r-Q io t gj "~6 e ~ SF9 ~R4 ME f;• n J V u o_ /~~~{~v/~~{~vivv` t• e ~ i "ltjcP > , A , D 0 002 llT ~y Z NO "6 ° ~t N. o \ T ~ ~ W o \ \ w ~ r f ~ W m ~ ly n C^ Z \ O Low 0 a ~ „0. .r ° .,.11°02 Y 4> NIT.yD c ~ a ~ ~1 ~ ~ N ~ 0 D2 ~ yD ~,y ~I I \ac ~ z 2y ~ W N~~~a~~ ~o. SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES ~ ~ y SINGLE FAMILY DWELLING ONLY DA1B~-ESL H.S. REF. N0. 517~51~ --~/p K The sewage Aisposal and water supply facilities for this ~ location have been inspected by this Department and/or other a~P cl~j and }oJ{~nd bg,h€ tisf~,tory. p _ 74 enY61~v, VL , lo~~c~i. r Chief f Bureau of Wastewater Ma.nagT ement EPr /a, /99/ SEPT /5, 1990 SEPZ /O, l99 D FEB / 9, /9BB FE8 2 , /987 p q SURVEY FOR NOV 28,/986 ~Elrti~ DE~/ ~ a 7 S~~/ JONATHAN BAKER B CHR/STINE BAKER ,au~ 2s; ilea AUG. 6 , /984 AT MATT/TUCK DATE JULY 27, /9 TOWN OF SOUTHOLD SCALE- / _ /00 SUFFOLK COUNTY, NEW YORK NO. B4 - T42 K UNAU rM0111z[D ALTERATION OR ADDITION ro TNIS GUARANTEED TO SURVEr 4 A VIOLATION OP SECTION 7203 OF THE THE T/TLE GUARANTEE CO. NEW rORK STATE EDUCATION LAW R COIIES OF TNIS SIMVEr NOT \[ARNG TNC LAND SUR VETOR'S INKED SEAL OR EM\OSSED SEAL SMALL SE OF NfW MOT [ONSIDE RED TO \E A VALID TRUE CO?Y S~' rO MGUARANTEES IN0I CATCD MfREOM SMALL RUN dLY 10 HEALTH DEPARTMENT-DATA FOR APPRO~yCL TO CONSTRUCT THE PERSON row WNON THE SURVEY IS PREPARED rp0 w• AMD W NIS Y:NALF TO THE TITLE COMPANY, GOVERN- O`~ Q M NEAREST WATG MAIM MI ~ RSOURCE OF WATER' PIIIVITE JL PIMLIC_ MENTAL AGENCT AMO LENDING INSTITUTION LISTED ,t. V~ R SUFf CO. TAx MA? dST~1LSEC TIOM /07 MOCK Q~ LOT _ NERfON, AMD TO THE ASSIGN E[S OF THE LENDING ~ M TN[R[ ARE IID D1[ELLIN\S WITNIM 100 FE [T OF THIS IRO PE RTr INSTITUTION. GUARANT[LS ARE NOT TRANSFERABLE OTHER TNAN TNOSE SNOWM N[REOM. TO ADDITIONAL INSiITVTlp13 OR SU\SEOUENT M THE WATER SU?FLr AND SEWA\[ DIS?OSAL Srf T[M Fd1 TMIt ROIDENO[ OWNERS M DISTANCES SNOWM NEREON FROM MOPERTr LIMES WILL CONFORM TO TN[ STAMDARDf OF TMF SUROLK COUNTr DCPIRTM[MT TO Ex ISTIMS STRUCTURES AR[ fOR A !P[CI FIC Of NfALTM SONICLf. ?W ?OSE AND ARE NOT TO \E USED TO ES TAS LIEN r~ ~y ARLICANT~ ?ROPERTr ONES OR FOR THE ERECTION OF FENCES fy„_ ~°E0 ADD11E33 ~L TRANDER AVENUE YOUNG ~ YOUNG RIVERFEAO,NEW YORK NOTES AREA= 4.09± ACRES O°STAKE •=MONUMENT ALDENW.yOUNG,PROFE5510NALENGINEER RED LOT NO 4 , ~~M/NOR SUBD/V/S/ON FCW LYNN SAN AND LAND SURVEYOR N.Y.S. LICENSE N0. 12943 ANORES. HOWARD W. YOUNG, LAND SURVEYOR R rHE LOCwTRiI OF WnLIWI, SEPTIC nNKI\r1s cESSP00LStn) fNORM NU[ON N.Y.S. LICENSE N0.4599J ME FROM FI[LD OMERVITION! YID OR DATA O\TYM[D FROM OTNERS d RAN 015 6 SONS INC. 1046