Loading...
HomeMy WebLinkAbout19394-z FORM NO. 4 TOWN OF SOUTHOLD BIIILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219995 Date JUNE 17, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1110 TUTHILL RD. EXT. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 055 Block 06 Lot 15.48 SECTION THREE Subdivision HIGHPOINT MEADOWS Filed Map No. 8912 Lat No. 42 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 9, 1990 pursuant to which Building Permit No. 193942 dated SEPT. 13 1990 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. The certificate is issued to KENNETH & LINDA MEKLENBURG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-103 5/17/91 UNDERWRITERS CERTIFICATE NO._ PENDING SLIP 6/12/91 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING 4/30f91 ` Building Inspector Rev. 1/81 iros~ xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTFIOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na 1 9 3 9 Z Date ...~:~-rK~.....~ 19..9..s~ Permission is hereby granted to• / - ~ p .l...e! ....'.'...'...'.".1 of premises located at ..I.I.~. P~ County Tax Mop No. )000 Section ..C~~.,~.+ Block ....©b......... Lot No..f.Q..~~.:..1.... pursuant to application dated ....4~. ~...1..?^^~4t:4:k.... d.........., )9.9b.., and approved by the Building Inspector. Fee $...l..°~~'...~~..~.. t i wilding Inspector I i Rev. 6/30/80 ! . - Form No. 6 ~1~0 ~~y,~~ TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-4 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 19 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 New Construction... V . , . Old Or Pre---e~~x//i[[sting B,,~~u??.//~~'JJ.ding. . • • Location of Property.. /1.~Y....... ~!l.~,~L~, ,,Y.I,LI~.~ ~.C~. C~~~~["'r'.....C.IL~~ 1./.1.~~ p. House No. Street Hamlet ~nwer or Owners of Property.. .C'/7!7C~;77~, ~,h~l7,D,.~./~'',~,(,~~k~€°,Y,J„~6~/G/,'~' .J County Tax Map o 100 Section.. S! ~~....Block.. K.G/.. .......Lot.. ~ ~V~~~ 77~~ JJ~~ qq 1 ~ >ubdivision.. ..~~/~...PJl./P. ..l.!~~lU~~S....Piled Map. ~~~,.Lot...... , / ( 'ermit No..~~~.(~....Date O~~f°°Permirrt~~~l. /~:.1~t~plicant. I~./~1.?...~4~~~~~°'~~j~ iealth Dept. Approval...,[ !~~,~,A,~~,~,,,,Underwriters Approval Tanning Board Approval......~.~ 1 / :e quest for: Temporary ertificate........... Final Certicate...V 'ee Submitted: #~i9Y~ fj~~ C 0 ~ ~ I t ?~/S` ~ ~~~~IrcJ?r!k'." , A~CANT . 17/9/ T-Ei. soz. c.~~ i~ C:a' ~ . . _ . _ . . .C ~ gyp. TO«P+t O~~ S.r3~~J~T~~O~,i~, ~ ,~~s, _t OFFICE OF IIUILD-IEd:;. IN;$3rECTO~It o TMY~ P.O. I20." ; 28 "Q/ SOUTHULD, V.Y, l 1971 ••i z C G R T I F I C A Z O. P3; Date- APRIL 30, 1991 Building Permit No, 04mer KENNETH MEKLENBURG (please print) Plumber HARDY PLUMBING &`HEATING NORTH, INC. (please print) I certify that the solder used n the water supply system contains less than 2!10 of 1$ lead. State of New York (plumber's signatu e) County of Suffolk Thomas Maryon Sworn to before me this - 10th day of May ~ I ~~~1 ~ A^ ' 1991 V /W v° v tiotarl Public Nota.° Pvh~ic, Suffolk Coun;.y A9~9APJIEV ~ Nctary Puf3ilc, Stara o9 New Yotk R1o. 4908712 rAm{itied in^wtfolk Counly Comm~lon Exydree Oc4.99,19 ~I c1c:LD It:S:'~CT1Ut7 ~~Un;E ~ COMMEN7~ -o 1. L o ~ U m .p _ ~ (N H - y FOUNDATION ( 1st) - ~ ~ m ~ Q ~ ti FOUNDATION (2nd) _ _ m 2. / a z o ~ P.OUGH FRAME & ~ .t ~ ~ b PLUMBING ryO o ~ ~ ~ 3 . ~ c7 l~ ~ ~~o; m m ItdSULATI0P1 PER N. Y. STATE ENERGY CODE . 2 M ~ V/ r 4, m H FINAL ,~Z~~,l k o ADDITIOAIAL COMMENTS: m x ~,p m x ro W Y ~ s 'A . H H O •.1~ z o m p • r,., H . d. m b H i 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND NSULATION [ ]FRAMING [ ]FINAL REMARKS: ~G% O ~L~r S~rA--L 1~,f DATE ~ 1 ~ INSPECTOR ~ r a _ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL REMARKS: > DATE INSPECTOR ~ r6s-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~RAMING [ ~ FINAL ' REMARKS: ~ A ~ - i~~~~~ f~__- `9~-.~- DATE INSPECTO r ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ] EtOUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARKS: ./rc~..,.~e DATE INSPECTOR ~ ~ 765-1802 BUII;DING DEPT. .INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING [ ]FINAL REMARrKS; ~ _ ~S" ~ DATE ~ INSPECTOR ~ 71F~r;II 11~ Form NOJ2` -Ite ry run and .~nl~~ i>~~rd, erlh fbrrn not n6ains6 Gnm tnr's Acts-Lullrulunl or Corporation. Isrn~lr slur[) 00135f5L4 VO't3i2 f..wihVt~eR (dcFORc' fiffi~Su4",Zs 3{-it5 irvST.iU.5Asi37-: Y.iS S?t5R:i4'rV.c.V+ 5h'OiJCrJ r,5 USE'J ErV EwCCJYravS a4VL'!. I 'CY-IIS INY3£N"a'"rJ:2C., made the day of ,nineteen hundred and EE,3V?E~I'd 14th August ninety Herbert R. Mandel and Richard Israel, d/b/a DBM Co., a New York ~'•t~' partnership with principal offices at 443 Main Street, Greenport, New York party of the first part, and Kenneth B. Meklenburg and Linda I. Meklenburg, his wife Leslies Road Peconic, NY party of the second part, W2'I'r+Ie$5::>'~, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto tl:e party of the second part, the heirs or successors and assigns of the party of the second part forever, F:Y.I. that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as Lot # 42 on a certain rnap entitled, °°Map of Highpoint Meadows, Section Three" which map was filed in the Suffolk County Cleric°s Gffice on 3/39/2990 «s Map No. 8912. Subject to the following covenant and restriction which shall run with the lance to be binding upon the land, the heirs, successors, and assigns of both the party of the first part and the party of the second part: the party of the first part or assigns shall be reimbursed the sum of $2,5%0.00 by the party of the seco:.d part, or. their successors and assigns at the time the Town of Southold ' issues a building permit for the construction of a single family residence on the property conveyed herein. This sum of money constitutes reimbursement for that portion of the 90consumer hook- up deposit per dwelling unit" which has been advanced on behalf of the party of the second part by DBM Co., the party of the first ' ~ part, to the Village of Greenport. Being and intended to be a portion of the premises conveyed by deed dated 4/24/90 and recorded in the Office cf the Clerk of Suffolk County 5/9/90 fir. Liber 11064 page 193. TAX MAP BCIGNATION 11~ ~bod -"""~r'T"'---_.-. ° ••-~..~'~'t-lr-*mo`*+-^tit`h~°rrrrt^trnterest;-'-if any; of°•the'-party~of- the first-part-rr:-and to any streets and •rr.~ac!>:.a•trattiav~t~e-~.1+wve-cleser+laerl-~pre+trises_to tl-,e ten'-- rt _.f; 'POGI~THER with the appurtenances c. G`i S' fp and III the estate and rights of the party of the first part in and to said premises; TO I-IAVIi AND TO fIOLD the premises herein granted unto the party of t.~e second part, the heirs or successors and assigns of G ~ Cpl the party of the second part forever. l(al 0/5.~4~~ AND the party of the fast part covenants t]>t1t the party of the first part has not done or suTered anything whereby the satd premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section l3 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust find to be applied Grst for the pur}x>se of paying the cost of fife improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall he construed as if it read "parties" whenever the sense of this indenture so requires. IN'V~'iZ'NZrSS'6Uq:Erd;r.(7i ,the party of the ,`first part has duly executed this deed the y and year first above written. - ix rxcsexcc oa: DBM ! BY : ~ Her er ande~ DBM CO. BY: ~ ~ _ I~ ichard Israe3~ II I a ~ Y~~ N m 3~'. N 3 it m I N r_ m -n At m n 7y I I C I O r n I m oN a Z ~ ~ ~ d ~ 97 ct-.J W! m~a ~ ~:L~.3. ~d 5£61T ~h 'anboxYa~nO ~ y~ 996 xog 03 'p2I ~uTOdl 'Hessen 6q yarngi~rnq y •bsg '~Tauuag '•q ugor ~ - - y - 9 ~OS 'ItVYQ Xfl NER.Y3N ~i ,tuedwoR SOluBten~ali!1 t~k$3Pi4en6'r~j'~i~Paf>.~Oa7i~,9aUa [3(ayj •yj eputl pue bznc{ua r~{ay,{ q~auuag OS ssaagav ourrtlu xvc • 00 YSgQ N~Ol NO A.LN(107 S.OI j >iJOlfl 'On( dlSlj, ~I SI;)V ti.NOINV)i!~ ISNIV:)V S.N VN9A0~ HLI/~ I ' I •o;axay; ssau;SM sE atueu t{ pagt.jasgns awt; antes ay; ;e •xapxo a~i{ .Cq o;axaq; autEU y patt,Sts ay ;Ey; puE 'uo~J 'ssau;}M p?ES 'ay ;ey; puE :awes IayJ aJnaaxa -Exodaoa ptES )o sxoJoann ;o pxeoq ay; }o aapxo ~iq paxt~E MES puE ;uasaxd sE.M 'ssau;r.a~ ~u};q{xasgns ptes 'at[ ;et[; os seM ;c aeuJ : [Eas a;Exod.toa yans s[ ;uautnx;sut p[ES a; :;uawnaJsui 9uio2axo} aqJ pa;naaxa oyM puE ut pagtaasap , pa::,~E [eas aqJ ;et{; : uo~JExodaoa piES }o [Eas ay; smou>j [Enp;nrpui ay; aq o; ay ;Et{; : Juatunx;su) .°suroSaao; ay; pa;naaxa ya{yM puE ut i pagtaasap uoi;Etodxoa ay; ' smou~ ay JEq; ;o aq2 s} at[ ;Ey; •o{~ ;E saptsax ay JEyy ,f,i;s puE asodap pip `uxoms .i{np au: ,Cq ~uiaq 'oyM pa;ucEn6aE ~C[{EUOSaad mE I uzoyM ~ •o{~ 3E sapisaa ay JEyl ,CEs t{;{A. ';uatunx;sut ouro3axo} ay; o;', ssauJtM ~utq{xasgns ayJ puE asodap prp 'woms .i{np atu .(q outaq 'oyM `umou~ aw o; atuEa ,Cl[EVOSxad autEa 6[[EUOStad ant axo}aq ' 6I i ;0 6Ep ay; up atn aao;aq 6Y ;o ,iEp ayJ up :ss ~o a.zwn'oa 'xaon rK~rt ao azvzs :ss ~o xztanoa 'SILOA t+c~nt ao szvzs -~-7+`,•6T'Y£RinrsaJ[d>tgwJ®q e~'6~ArenuEpsax[dx3uoissiwwo~ ~°juno0814F1nS'Z£iZi8"?'oN d3Wnag>!io}JnS ui pai;i~erpp -J yPpA Mai Iq a{PJS apgnd ,(te{oy ~ 3•!<1Gtl~N3SidtlH3la~W Y?Z<Z,^f.h'nN )[i4fyA&tli ~l iO .rtr~,; ~~r~n.-i ~,xeJO(,J o;TZ4nd ~SeY°Za o'[T4n3 aCxe ,o}~ •atiuES ay; pa;naaxaatil •auzes ay; past aaxa aq ;eq; pa3pa[MOU>(aE puE 'JnautnaJsui ~u~o8aao} ayJ pa;naaxa JE;{; 'paSpap~ouNaE {:uE ';uawna;su; Su{o~axo} ay; pa;naaxa OL[M puE Ut pagl3aSap {EnptAtptlli al{~ aq OJ UMOUS[ a[U Ol OyM pliL' UI pagt.rasap [Enprntpu~ ayJ aq of umouK Jut o; •tae.zs= p.zeuatg ~apuey~ •d ~.zac{zag autEa ,(gEUOSxad autEa .Ct{EUOSxad aux aao;aq 'OJ~6i _!-.4n~/i~,' 70 6Ep S/ aqJ uG atu aao;aq ' o&r 6I J~ V }o ~CEp I_ 1 aql u0 :ss ?I'I033II5 90 ~zra~ioa 'aaoA aA>~a ao ~z•v.:s :ss }i'ZGd3P,S :Ja zzheaoa •r:;sa ~~h ao ~zvzs D OCf - 51990 ~ R=aO.oo. L=Sgsq, TOWNLOF~SOUTViOLD O 9 G~\~' 0 OR~O~E s~ G~'\~~~ - G ~y 4 ~D F v\ e oo 90 9S• ~ ~ „ 3- ~ ~ ~ a" ~ v s° ~e5 a2~ oyt 2 ~ \ \ ~O C~, a% / ,20 ~ ' ZOaC~ S ' P eo G ' 'L. i /~/O ~ ~F n ~A ,Lp~' D~~~ OG,~'~ OO ~ye~ ~ li 'q,. '(b, s, m ~2 o eo 4 ~s \ ~~~~sef5.x. 'o 7 ~ ~ \ o„ ~ ~/r~~D SURVEY FOR KENNETH MEKLENBURG & LINDA M.MEKLENBUR~cr a,lsso LOT NO 42, ~ HIGHPOINT MEADOWS, SECTION THREE~I SE PT20, 199D AT SOUTHDLD DAiE. AUG. 15,1990 TOWN OF SOUTHOLD scALE~ I"=a0' SUFFOLK COUNTY, NEW YORK No so-osle N uwxrNOplf [o ALi(M}IOM Oq A001rIOM ro mis GUARANTE W MDRVyN a A IoLATIDx o1 rzcrloN rfoT or rN[ KENNET rE, EV ORN )iArL [WULIOn IqN NQ1~,$ Ncorl [s of mu )ugvE• xDT f[ulla rN[ uxD LINDA .M HUF(G Y ~ SUgVfY0g51NNFO SfAL OgfWOSSE05[NL )XgLL TICOR T ®U9~LTEED~P~NY NOi Sf COMSIDCgFD iO IE A vN 110 ipUE COPv M GUAgNNi[ES InD14 TE0 N[gEON NIgLL qVM MV N (TIT I ~ I- NEAZTM DfiPA RT MEN7-DATA FOR 4PPROWL 70 CCNSiq UC7 TM[ PEq SON foR MNOY iNE sDpv[r 1) PRtrAp[D qN0 Q1 IUS SENOIf TO YME L1TLF CCNrMr, OOVtgx- II MLAllbl VgTG ~11N~NI N]OURCL Cf WTEq IIII VITF _PWLI[_ N[Nigl AGENCY ANO LENDING INSIIi Vi10M LISTED / FiF CO iA%MAI MT j0001tCTION 55 ypCN LOT yL^15.1 NfgLOM, AMO TO TIE ASS IONE(3 Of THE LE NDINO 11 iNCK 1K MO MELlIK1 MITNIM 100 f[R O[ }WS Iq OP[Rir IN)il TViIOV GVMAMT[[T qR[ MOT iMNSfCRLpLE OTMM iN1N TNOSE ]MOI/N N(q[OM r01001Tldigl INSiITVTIWS Oq 1V lSEOV[Nt G No x8893 • rNVna fulSLr AND f[wAEx maroau nfru fup iNn pLf mcxDA ~ Diniecu SNOwN N[KON fpaN rporarr ux[f ~NUf iOP •ILL CP110gM t0 TM[ fTAMGFROf 0[ TM[ SVA0.N COVMIY OFPAq TNLNT D QE pI N4LTM SLINIC[f lOf}ISTIx6 SigUC tVq[S 1RC fOR LSRF<VEC (~fy/ AN 4- MLIDMIT~ PVq PO)( qND ERf MOi TO USFO t0 L)i1l LISN a IIN)PEgir LINES Oq FOq TMf LIIECTIOM lY (f MC[f 1COR[ff YOUNG a YOUNG ~R~IIEAD"NEWAYORKE NOTEI ~=STAKE ¦=MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W'MjUfp, P,ROfESSIONAI ENGINEER SUFFOLK COUNTY ON MAR. 19,1990 AS FILE NO. 8912, 4N0 LAND SURVEYOR N YS LICENSE NO 12845 , 8 HvY6Wp~xanx.. ~ , i nw~~. ..v ..uwwa+ NOWRRp W ?OVMG. LI.N08VRVC VOR.. ~ BOARD OF HEALTH . 3 SETS OF'PLAN FORM N0.1 SURVEY °:~C. TOWN OF SOUTHOLD CHECK .~.rS 9, • . BUILDING DEPARTMENT SEPTIC FORP1 . . TOWN HALL 7~T I"~~fr $OUTHOLD, N.Y. 11971 NOTIFY ~ pp ''7" ~l L~ TEL.:765~1802 ALL .4~/~~?P~~"`~~~.~r,~'.p...~ Examined ~ .V~.., 199 _s MAIL TO:LX.°~ ~ sG~i~;/~:~T:~ Approved . a~. .~'...~.3.., 199OPcnnitNo.~`I.~q~~. ~(1N-`~,{r~''~, s,~-~,t'L; •~,~,~;-•~1~`~~ Disapproved a/c U 1 (Building Inspector) APPLICATION FOR BUILDING PERMIT ~j ,~°y ^ Date !....~,el „ 19th INSTRUCTIONS a. Tlus 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 Lo~rale. Fee according to schedule. b. Plot plan showing location of lot and of huildings 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 FIEREBY 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 Iaws, Ordinances or Re,ulations, for the cons±ructiot+. of bindings, a~ditians or alterations, or for iemova! or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary n ections. ® Q Signature of app 'cant, or name, ~ a corporatton) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ..............~~.,~.~~i.~~~:.................... r L.......... Name of owner of premises ..l:i<.~~~~~~.. ~ . (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate of£ r) f ~~j Builder's License No. , J~ ~ ...''l~r9a ts. y.3 t' Plumber's License No. V. ~ . Electrician's License No. l'~}~ ? ?4~ '3 Other Trade's License No. .....,~i!~ . 1. Location of land on which proposed work will be done; ~ (louse Number Street. Hamlet /~1° . County Tax Map N .1000 Sect' n a...G~~; . Bl'UCk Lot! , • Subdivision . ~ "~•~'".:~ilcd Afap No. Lot . (Name) ' State existing use and occupancy of premises and intende use mtd occupancy ofd/r~oposed construction: A. )existing use and occupancy.... ~`1 ...~4:~::.~~..~ B. Intended use and occupancy....'-•°•°•~•••••• l ~ ~ 3. Nature of work (check which applicable): New building • ~ Addition Alteration Repair Removal'.. • Demolition .Siaimming pool... . Tettnis Court Accessory Building........,.Fence ......Other Work:. 4. Estimated Cost ......,~/.?~.~~G? Fee ..~n~, g~.3Q...~............... P.-•• 5. If dwcllin number of dwcllin ones (to be paid on filing this application) g, g ' s Number of dwelling units on each floor Ifgaragc,numbcrafcars 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dintcnsions of existing structures, if any: Front . , Rear Depth , ; , , , , , , , . Hci;ht ......:1':......Number,ofStorics Dimensions of same structure with alterations or additions: Front Rear , , , , , , , , Depth ~ 1Ieight .........Number of torics , 8. Dimensions of e~t~ire new constntct;ion: Front .....~/LP... Rear ,Jr~...... Depth , t! , • , , , , , Hcigltt a?r!... dumber ofStories ' . 9. Size of lot: Front /A. U. I< O,,U a~ ........h.°.......... Dept~`_ •rs~'~~ , 10. Date of Purchase , , ..Name of P rmer Owner /~Rg • ~f7.n~'~A. • • • • • • • • 11. Zone or use district in which premises are situated . , • • • ! 2. Does proposed construction violat any zoning law, ordinance or regulation: • • • • • • • • • • • • • • • • • • 13, \Vill lot be regraded . , ~U.. .....Will excpp~~s fill be remgQ~ged from premises: Yes Na p /!f..~~'r/.<'~,?6.~1cal~ddress.Cla;°S~~/.~..1.'L:4vnhGPhoneNo..7.~~.f_~.~r9.~ , 14, Name of Owner of remrse ppe. Name of Architect . ,/V.~~.. ......Address ........•-.........Phone No......_ • . Name of Contractor ...........i,N./~3. ; ,Address , . • Phone No..... 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.f~ *If yes, Southold Town ~'rustees Permit may be required. PLOT DIAGRAIvf Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all setback 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. j STATE OF NE1V / iIS.S COUN'fyAF //~~,,``~~?.l/.P~ r~ ~~•.~(/7f1~°%! , 1• /~~l~f,?.~?dil~~.J.. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ,,t~ I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du'y authorized to perform or have performed the said work and to make and Cile this application; [hit all statanents contained in this application arc trot to the best of his knowledge and belief; and that the tvork will be performed in the manner set fords in the application filed therewith, Sworn to before me this / ~Q.~~............day of ..5~~?!~ GkY , 19 q~ Notary Public,L.,~~/LG.~~~ty~.. 6~<_. County ~ . . Ch'fIIGRINE M. BURNS i ~j~ • NCL\RY PUDUC, State of New York No. 4u93D93,, Suffolk Cou/ntoy I ($j^ -Of applicant) Commission Expitas /p 7~ 7~ R_q0 L=S9,6g• MAY 15 1991 O~\ ~ S.G. DEPT. OF R~~~. c, HEALTH SER S ~C~ /°o s G`~~ ~~Ci •o ~G s ~~C 0 a~a i oee~o0 So ~ a x 1a`~ ` o~ Y~ a\etra ~o~~oa~a~a~e~a ~ ~ . ~a~eJe~' ~aQo~Q~aaUe;\esods~Q r/2~ O ~~e ,F~okoeas~s~u\sQa~e~p~ 31~~~\g ~s. o1Q~e~~aZ?e~E,~dd0~~3~~~~~~a~rl~~ asp\~ol`" a 1\~~~1 ~J \ ~t 0 ~Qf S1~L~~~~ Dc~ 2~ s`~7zo \~"lam ~ tl3 /vim P V ( ' 20 ___~5 \ 20 ~ v F 9< Sd $s s, S ~oyr° ~ i a s ac a ~~s, s"~i~ \ ~y ti~a~QOy~ m 9,P9c,~~ ~o i Zo o6a P L~ ~ s% ~ ?L,, - - --rSG . Oj b - - - - - s~ 'S- X09 g ~~,9,~,o m ~ 3 0 0 . YLO 0'', G7~, /~d o9 ~O~ ~ ~o~ ~ y ~ 9P 2 0 9y . F \ ~F 7 ~ ~O SURVEY FOR MAY z , 1991 KENNETH MEKLENBURG 8i LINDA M.MEKLENBUR~cT. 4 1990 LOT N0.42, H16HPOINT MEADOWS, SECTION THREE SEPT.20;1990 AT SOUTHOLD DATE: AUG. 15,1990 TOWN OF SOUTHOLD SCALE I"= q0' SUFFOLK COUNTY, NEW YORK No 90-0518 KU/YUTN01112C0 ALTERATION OR 4DDITION TO THIS CERTIFIED Op y SURVEY b A VIOLATION OF SECTION 7109 OF THE KENNE W NEW YORK STATE EDUCATION LAN ~ ~W"YID ""/Og N COPI ES Qi THIS SURVEY NOT BEARWG iNE LAND LIND `V"T' y SURVEYOR'S IMKEO SEAL OR ENB033ED SEAL 3MAlL TICO TI UARAN'f~ ~ PANY MOT BC CONlIOE RED TO BE A VALID TRUE COPT R GU4RAMTCE3 INOICA TED NEREON SMALL RUN ONLr ro (TI ~E . g OIG 2). HEALTN'DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WNOM THE SURVEY IS PREPARED gA K NE O AG COMPANY ANO 01 MIS SE NALF TO THE TITLE COMPANY, GOVERN- R NURCST WAf[II wA1M~M1 S MSOURCE Of WATER PIIIMTE -PUBLIC _ MENTAL AGENCY AND LENDING IMSTI7U TIOM LISTED R EVF CO. TAK MA? pST 1000 SECTION 55 BLOCK 6 LOT P oLl5.l NEIIEON, AND TO THE ASSIGNEES OF iME LENDING R TN[RC ARE NO OWCILIINt WITHIN 100 FEET OF TISS PROP[RTY INS TIiUT10N GUARANTEES ARE N07 TRANSFER4 BLE OTNCR TNAM TNOSE SHOWN NERfON TO A001 TIONAL INSTITUTIONS OR SUBSEOUE NT W LLCONFORM TO MC fTAM~DAR03 OFPi M[SUFFOLK COUNir DePOAIRTN[MT RONITANCf3 SNOWM NEREON FROM PROPERTY LIMfS ~ ~~C~,y N©'4589 ~ OP NUI]N f[1NIC[f tO ExISTING STRUCTURES AR[FOR AS?ECIFIC q~ PURPOSE AND ARE NOT TO BE USED TO ESTABIISN~ ~A D~ VA ARLICANT~ PROPERTY LINES OR FOR THE ERECTION OF fEMCE3 ADOR[SS YOUNG a YOUNG R~RHEAD"NEW YORKE NOTE• ~=STAKE ¦=MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8912. 4ND LAND SURVEYOR N Y.S. LICENSE NO 12845 m HOWARD W YOUNG, LAND SURVEYOR m RTNCLOGTM1NOfWQLIW),SEPTICTANK~IT)eC[SYOOIi(C/IENOWMNEIIEOM N.YS.LICENSE N045893 a ARE PROM PIClO OBSERW1110N3 AND OR DATA OBTMNED FNOM OTNERS z. e. BRANDIS d SONS INC. ~ ~ •ONI SNOS 9 SIONVtle •i•2 f Y3N10 NO11! 07N11110 V/L0 YO OMV iM0111N117p0 0'171! IIDtl! 7W m £6854 ON 35N3Ji1 5'A'N N071f7N NMOIIf (d:1)fIOOdK30 •(1f)NNrl Olld3i'(MI11LM !0 MOLLYlOI 3N1 N tl0A3~an5 ONVI 'ONnOA'M OaVMOH S48t1 ON 3SH30n S-A N a0A3Aan5 ONV1 ONV 'ZI68'ON 311d SV 0661 `61'aVW NO AlNn00 N10ddnS a33N1'JN3 1VNOI S53dOad `~JNnOA'M N301V d0 Na310 3Nl d0 301dd0 3Hl NI 03114 dVW NOIS IN108nS 3NV1S=~ +310N ~ao~ N13N `aV3Ha3nia ~Nno~ ~ JNno~ ~ ~ ~ N 3nN3AV a30NVa140 OOY b ,i), § QN~) t3JN3! !D N01103tl3 3N1 YO! tl0 53NI1 A1tl3dOYd ~ U~'\ ~~~7 U L pT Og ,Nf llfr153 Ol 03Sn 30 Ol lON 3tlr ONY 3LOd tlnd ` '11F lddt 01!10345 ? tl0! 3W f3tlnl Ontllt 9NIlf1%301 f301 A1Ot N1lt7N 10 ~ 8 G f7Nll Altl 3d0tld NOtl! N03tl 3N NIfONS f3JNtl/f 10 ¦ 1N3N1tltd30 Al/M00 Nl0!!nS 7N1 !0 fOW'ONtllf 3N1 OL M110lMOO 711f1 'V Stl3NM0 70N301 tiY LINT tlOd N71Mf 111fOdt10 3l1If13f 0Nt 11ddM Y71tM 7N1 N 1N 3n03SBnf tl0 fN011nll1 SNI lyNO1l 100tl O1 N03tl7X N/~ONf 3fON1 NYNl Y)N10 3lf Vtl3lSNtltll lON 3tlt 5331NVtltlnO NOllnlil SNl AlY3dOW fMl !O l33! 001 NIM11M ffMlll7fU OM 3YY 3Y3N1M ONION3l 3N1 !0 533 NOILfV 3N1 O1 ONV 'N03tl3N _ 1'S~ lOl -y N00'N SS N01103f 0010 Lf10 dYN 7f111 00 !1K M ~ 031511 NOI1nUl{NI ONION3l ON1' AON 301 ltll N3N 011W1 31MItld Y31tlN1 30tl005N ~ IN-NWT Y71?M 1f 3tlf3N N -Ntl3~00 ~ANtld NOO 31111 3N1 a llvN3a sIN aJ oN• 1Jna15NOJ Ol dV a0d VIVO-1N3W la Vd30 H11V3H 03 tlV d3tld SI A3/N1nS 3N1 NOM Al tl0! NOttl3d 3N1 (Z 10-06ZI 3 Il) "lNp Nna ~ltlNf N03tl3N 031 t010N1 C331NVtlVnON ANVdW Ad00 3ntl1 OlltlA 0 3a O10'3Y301iNOJ if lOM N~pag9y 111 0011 llONf lt3f 034fOYN3 tl0 1135 03NNI S,tlOA3 f Q3noadev ~ VONI1 ONVI 7N1 OMtltl3f lON A3A W1f tlN1 !D 531 dO0N NIDl H13NN3N Mil NO I1tOn03 31115 NtlOA ,N3N 3N1 !0 60 ZL N01103f !0 NOllr lpl A. V fl A3Atln5 • 0331NVaVn~J slw o! Noiliooe tlo NO!1re711r a3z1aoNlnvNn. _ OPl ,d h ~ ~lti also-oe oN sao,? M3N'AlNn00 NlOd~nS DS06 bz J~r ,ob =„I :31VJ5 0"lOH1nOS d0 NMQl AIWA NOtlJnalSNOJ ao ivnoaaav aoa ossl'SI ~onv 31vo O~OH1nOS 1V „332iH1 N01103S `SMOOV3W 1NIOdH91Hl~ `Zb'ON lOn ~~;tna3s H1lv3H d0 1N3W1atld30 A1NnOJ ~1'IOddn Jaf18N31H3W'W baNl~'8 ~Jaf18N3"IH3W H13NN3H and ~3nans 5fi6~D~' vjH ~`dnOdddb 30 3~.bfl Y1!Oad Sklb~Jl OMl S3~i1dX3 ~o ~.~a ~~}S J11N0 JNi'Il3MCi A~ILVbd 3~JNIS 0661 "1 ~ o ~ o~ ors s \ / , 0 oz' ~ O~ 3~0~ ~5 ti yb r„ ~G T dOd~~ ^ 0~ i OO yd• ~ ~(i ~1Q ~ . ~ ~ o~ c7 i ~ 6~ • i ~ ~ G~ ,"',r v J i i0~~ c~~. O GOBS 2 /7 ~ A 9 d ~ S 00~~2 . ~ oo,Lo ^ 02 a o \ Z., Ol S \ 92 Y/ o v1~ s OZ9~ \ ~ Fy \8 ~ Jt O(2 \ a`-Y Pd oro~a ~ O~~OpyW \~n ro a ~~i oae ~ ~ ~6o w ~ / °e, ;J y~ o \ '(l tae .~a/~ 'dr1 ~~\y\\ o~;,~ drl d0 `1}~ ~n~ \ s~ zyy° o r o . 6 y-6 p ~ d~ ~ '~o ,may s ~ ~ ~ ~ ° O O ~~~~0 ,bg.sS_ 1 ,oo•o~, a ' 'ONI SNOS 9 SIONrae 'B'Z f Y3Nl0 NOY! 07NIr1~0 r1r0 YO ONr fN011rN13g0 0171! NOW 3Y? m £69S b'ON 35N3J11 'S A'N NO7YM1 NfYNq fdO)fl00dff30 oUfINMrl Jlld3f'(f1)l'CiM lp N04rOOl 7LLN tl0A3ANn5 ONtlI '~JNnOA'M OHtlMOH e 56821 "ON 35N3Jfl SA M UOA3ALnS ONtlI ONtl 'Z169'ON 3lij Sb 0661' 61'MtlW NO AlNnO~ NlOjdnS M33NI9N3 1tlN01553d OMd `ONnOA M N301tl d0 Nl1310 3Hl d0 301dd0 3Hl NI 03114 dtlW NOIS IAIOBnS 1N3Wf1NOW=¦ 3Ntl1S=~ 1310N 171 3nN3AV tl30NORl.LS0300? o N n o~ ~ o N n oJl ff 3tl00r y11S I1V) V,~ f30N3! !0 N0117}y3 3N1 YO! tl0 S3NIl A1tl3dOtl1 " '1N[Ollddr N , Nf llYrl t3 O1 03fn 70 O1 lON 3tl[ ONr 7504 tlnd 5701 A10f N11r3N W ~ Md'r'I 01l173di r YO! 3Yr f3Y(LL Ontltf 9NI1f1x301 1N7N1Ytld30 AlIN100 N101lnf 3N1 !0 fOWONrIf 7N1 Ol NYOIMOJ YIIM N f3Nll Altl 3d0Y/ NOtl! N03Y3N NpO11S f70Nr1t 10 tl }301 pY fIW 110! N71fAf lrfOd[IO 7bMM7f 4Mr Alddflt Y71Mr17M1 N f tl3NA0 N03Y7N Nl10Nf 3fON1 N[Nl Y7N10 1N3n03f BAS YO BNOIln1115 N1 ltlNO11100tl Ol AlY 7d0Yd iNll !O 133! 001 NIN11M ifN1117M0 dl 3Ytl 7Y7Nltl 3lf tltl3lfNrtll lON 3tlr f731Ntltlr0O NO11n111SN1 ONION 3l 3M1 !0 533NOIffr }N1 O1 OM['N03Y3N 1'41 lOl N00'M sg NOIl07f Op0 lfq ItlN %rl 00 !lllf N 1 031511 NO11 n111fN1 ONION7l ONtl AON3flr 1r1N3M -711Yn~ 31M\Itld Y31tlM l037Yf10tk ~ IN~NItlN Y31rM 1f7Yr3Mk lT -NY3A0O 'ANIId NOJ 31111 3N1 Ol !l[N36 fIN ~D OMr ~O Q~ 03 tlrd3tld SI A3/Jlnf 3N1 NONE tl0! NOftl3d 3N1 1 JnN15 NOJ Ol IINONddtl !!Od tl1tl0-1N3W 1Mtld30 H1ltl3H '19 0- LI 'ON 31111) ~ AINO Nna lltllK N03L 3N 0311710NI f371NrtlrnflN AdO~ 3ntl1 OIIVA tl 351 O10'lY 3011 NOJ 7f lON • ANb N c~ 11 Ei0011 llrMf lr3f 03~ffof N3 a0 lr3f 03MNI f,Y0A 31.tlOf M~pa Nyiy 'W bONll uNrl 3N1 flMtltl3f lON A3~Ynf ilMl !o f31dOJM 3W H13NN3N MYl NQIlr7n03 31r1S xYOA N3N 3N1 !0 80 Z[ N01103f 10 NOIIr IOU r fl A3Atl0f 101 0~31N bilb n'J fl Hl Ol NoIl IOOtl tl0 NO Ilrtl311r 03IItlo NlnNMM , 8150 -06 'ON HtIOA M3N ' AtNnoO Hl03dnS ob=„I :3ltl~s O~OHl(lOS d0 NMOl //Y ~jj ~ ~ ~j~/~ ~~0;j 0661'91 •Ontl 31tla OlOH1f10S ld I' 0661 'oZ1d3S 1133MH1 N01103S `SMOOV3W 1NIOdH~JIH11'Zb'ON lOl Jaf18N31H3W'W t/4N1~ IB 9af18N31N3W H13NN3H ao~ a3nans °3~ ~ G ~ o~ u~~ s ''0 2 ~ AO i Gi0'y Lot ~p mb Y ~~i '0 3 6 y ~o o ' ' ~r - 04\b it s-_., - - .('i0 ~c+. O o, 2 s~ i ~ .a, fl7 ~ d 2 oar S 0000 Nro a OO~ZkO^ %o 2, 9y,Ls ~ rb ~ ~o., A 2o~Gi°~ J7 c'h5 5 do'y \ b J~O \ • ~ N'.~ .pa ° a. 0 0 dw p ~ ~Co`' ~e •o~ s~ o -0d / \ 7dt` 2O / / off/ / o o ~ a /~~q~Y 'F~ 0°~' ~yd ~O l~ ~ °1S~ / Z CIO 61 ~ \ ~a ad l~ in'• \ SA 2y2. O ~ O • 6 ya d~ o ~ -1~- Y6 ~~C \ lP ti~ ~~d ~~o~ ,os~so ~o bg. ~ I `\~O 6g_ l .pO.Ob-a OIOHld~s~a ®nnol i ~ ^ ~ ~