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HomeMy WebLinkAbout19401-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219635 Date JANUARX 7, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 610 TUTHILL ROAD EXTENSION SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 06 Lot 15.22 SECTION TWO Subdivision HIGHPOINT MEADOWS Filed Map No. 8911 Lot No. 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT 12, 1990 pursuant to which Building Permit No. 194012 dated SEPT. 18, 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. The certificate is issued to RICHARD & JENNIFER QUARTY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-107 DEC. 20, 1990 UNDERWRITERS CERTIFICATE N0. N166939 DEC. 31, 1990 PLUMBERS CERTIFICATION DATED K & K PLUMBING DEC. 7, 1990 VILLAGE OF GREENPORT WATER LETTER--DEC. 5, 1990 PLANNING BOARD LETTER--DEC. 27, 1990 B ilding Inspector Rev. 1/81 TO'W~! OP 5OUTH®LD ~YifLDING DEPARTMENT TOWN f~fALL S®UT~lALD, N. Y. ffUi~LDfNG PEiRMfT {THIS PLRMlT MUST BB KEPT ON THE PREMISES UNTIL >=ULL COMPLETION OF THI: WORK AUTHORISED? N ~ ~ 4 p Z Date .~r~ f 9,7~. Permission is hereby gr ted t i Q ro ~ .....f......... at premises located at ...a~.1,~....~.~.•~~~ ............................................~.~~~~f~~~..~....................................................................................... . ~ ~ Y ~ ~ Lot No.. . ~ County Tax Map No. 1000 Section C.~,~~.......... Block ..........~d pursuant to application dated ........~..~,,1 ]9.~~, and approved by the Buf}ding Inspector. Fee $...~~a: q~ clding ! ~ tar Rev. 6/30/80 oo~~FFOIK~OGy JAMES C. McMAHON 1~ < SCOTT L. HARRIS Administrator ~ ~ Supervisor Telephone (5l6) 765-1892 y~ ~ 0~ Town Hall, 53095 Main Road ~~0~ y, P.O. Box 1179 D ~ T Southold, New York 11971 ~ '°~"~pppp Fax (516) 765-1823 ~~I TOWN OF SOUTHOLD OMMUNITY DEVELOPMENT AGENCY F3LDG. DEI''f. TOWN OF 50UTNOLO TO: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR FROM: JIM MCMAHON, DIRECTOR, COMMUNITY DEVELOPMENT SUBJECT: CERTIFICATE OF OCCUPANCY - AFFORDABLE HOUSING PROGRAM DATE: January 11, 1990 I hereby certify that Jennifer Combs Quarty has been issued a valid Certificate of Eligibility for the Town of Southold's Affordable Housing Program and the issuance of a Certificate of Occupancy to Jennifer Combs Quarty will not permit a use, occupancy, sale or lease of a dwelling unit or unimproved lot in violation of the provisions of the Southold Town Affordable Housing Code. James C. McMahon Director, Community Development Cl~ # r 3 i'i l~-es-w~t r/~ /P/ ~ Form No. 6 ~ ?S^ 1 TOWN OF SOUTHOLD ~~~~`~f~~~,~~ BUILDING DEPARTMENT TOWN HALL ~ 6 76s-lsoz JAN - 4!~gI APPLICATION FOR CERTIFICATE OF OCCUPANCY TCel+~' _ ,..:....,,.mod 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. s. 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 $26.00, Additions to dwelling $2s.00, Alterations to dwelling $2s.00, Swimming pool $26.00, Accessory building $26.00, Additions to accessory building $2s.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $s.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 s. Temporary Certificate of Occupancy - Residential $16.00, Commercial $1s.00 Date ....Javtucucy.4t.1991 New Construction..X........ Old Or Pre-existing Building Location of Property.,„,610 Tu~h,%2e Read, Ext:;.Suc~tho.2d,....,......„ . House No. Street Hamlet Onwer or Owners of Property.....~-cGWltd.~.Jeh.Vl,<,~jPJC,2U.al(~y County Tax Map No 1000, Section....''.''.........Block....~...........Lot..~r':?? Subdivision..Htighy~p;cy~,MP.cCdaul3 .................Filed Map............Lot.....19............... Permit No 194012..... .,,,Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval „ N166Q39„ 12(3](90,,,,,, Planning Board Approval X Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: 25. DD IL¢c,. ~///o yO 1h hJI ....APPLICANT C.a z/263-~ LELD x::.`).~C:i~:i (1ll;,:L 1~ ~U@4iQk:NT.^. ~ \ m ~ a . of m H o ~UITDATION (1st ) OUNDATION (2nd) m~ - - - ~?F/ OUGH FRAi~[E & 0 ~ A, a ~PLUMHING >G " , G~ ~ ' u'1 ~ H INSULATION PER N. Y. STATE ENERGY I CODE I a Y_ j,1 ~ .-J ~ ry~ I FZ;IAL I • ~ ADDITIOT3AL COMMENTS: - ~ ~ ~ m~ x ro ~ ' H 9 `j H p, ~ Y r • ~ N ~ ~ ~ • r H ' _ x Q) oa m - - _ - _ H0l\ a IV 1~~~ lVJ"~SO2 BUILDING DEPT. fNSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ] INSULA N [ ]FRAMING [ INA/L'~ REMARKS: ~ DATE U INSPECTOR . a x-~~:~.,~~.~~._r u f~~~` 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [FRAMING [ ]FINAL REMARK8: ~ ~ - - DG DATE /I ~ INSPECTOR 765-1802 BUI4DING DEPT. tNSPECTtON [ ]FOUNDATION 1ST ( ~ ROUGH P4BG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ] FINA4 ' REMARKS: ,j~1_ /j-~-~~ DATE O b INSPECTOR ~ ' ` ~ 765-1802 BUILDING DEPT. f NSPECTION [ )FOUNDATION 1ST f ) 1R000H PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~ [ l FRAMING [ )FINAL REMARKS: ~y mayy,~.~ ~r,/..[A ~Ct~U/K./~/ ~ DATE b d b INSPEC'1'~~rf' i ' ~lrrrr„~` TEL.'t,5-180 S~~FOI.,k~. < r C, T0~ N OI~ SOUTIFOLD r y .r~q~~~ js ,.c OhFICIi Or BUILDING INSPECTOR :~1+, 8';jYq ~ i'.O. [SO:S l 179 vim- ~ ' ~ TOWN BALL OY SOiJTIIOLD, N.Y. 1 1971 ~o . January 2, 1991 Richard Israel ~ P.O. Box 2]30 ~5,2.~- Greenport, N.Y. 11944 ~ $.~~ij' RE: RICHARD & JBNNIFER QUARTY LOT ~/19 HIGHPOINT MEADOWS 'I'o 41hom This May Concern, r; 4,e arc unable to complete your Certificate of Occunancy because ,o£ the follocoing reasons. /~~An application for Certificate of Occupancy ~>s not on file. (ENCLOSED) /d_/~~IO Under~~~ritcrs Certificate on £ile. /'Phe cliec~F; .i:.(~~XX:~~2t~I9x/nut on file.) $25.00 NO flc:a7.iL11 Uept. Approval on tile. Nn final inspection has been made. Pleaso contact our office on thi3 matter. ' Thank you for your cooperation. Ilu.ildin<7 Permi.t. 1! 1 9_4 0 1 Z I3uildittc pep L-. +"k/~( tdo I'lctmber Solder: Certificate on file. ' ( a7.1 permits involving pluml)ing being I irsued after Itpri.l 1,1)84 ) LETTER FROM VILLAGE OF GREENPORT REGARDING WATER MITST BE RECEIVED BEFORE C.O. CAN BE ISSUED. cc to: RICHARD 6 JENNIFER QUARTY P.O. BO% 269 SOUTHOLD, N.Y. 11971. ~t i ieilvi~x:~i'+d'eE~ed'1zv~5@.w~r`Ac~iti xY<Y~Ykl#*..xea..sum'L1((6i'"GSa1'tati~a.:.~.asiuN;t~.rcvL~+.t :Y,"a'xe~w3.aki'~: ''k ~r> ~r'V ~s"i~-~`5~A'''d+: ~ .va ` ~i`- -M~ ~~>_7~~ t'~G~ t[.. WS]~' PLANNING BOARD MEMBERS ~ . ~ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman uy' ~ Supervisor George Ritchie Latham, Jr. `,j"p - Richard G. Ward = .1 t` Town Hall, 53095 Main Road - Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax 51 December 27, 1990 D ~ Herbert R. Mandel ~ DBM Co. 443 Main Street ~-D~~~,p Greenport, New York 11944 RE: Highpoint Meadows SCTM# 1000-55-6-15.1 Dear Mr. Mandel: The Planning Board has reviewed the interim inspection report dated December 24, 1990, from the office of Sidney B. Bowne and Son. A copy is enclosed for your records. The Board is~not in favor of reducing the bond estimate at this time. However, the Board has recommended to the Building Department that they proceed with the issuance of Certificates of Occupancy. Please contact this office if you have any questions regarding the above. Ver truly~y//jy~o'/u///rte/s~,/g/ Bennett Orlowski, Jr. /sr/{ Chairman enc. cc: Victor Lessard, Principal Building Inspector . s ro , ' ~ d ,A - „.u.>.. - a....e~„::-~,~. . <k;±3r.., .x9 Xo5.3nk-.. ~ase€_n 13P1 a THE NEW YORK BOARD OF FIRE UNDERWRITERS f>~f„~:~f~ '('(N~i 1, j.>, BUREAU OF ELECTRICITY ~ 1 • ~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~~';f,~~'I}1)•+~'~ i.,'I '3 ~f1) Application Nu. on file l-~>at ti"1 G)(jj4Q ~d Ltsfts3;~?? THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named art the above application number in the premises of R7,C`NARD Y?YlAfl'?"Y, H'1't1HF't,"I't7~PC, SC~IJ'I'li(>t,lt), f~E..Y~ in the foBatLuinq loration, © Basement ~ /st F'(. ? 2nd FL• F19""f•~f i`/i}Cf"!` .Sertion Bork Lot ~ 'T ~f was exornined or. Sl~f.1`~F1F51t~k } 7 , i `)gip mtd found to be in corrtplianre with the requirements o~this Baard. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AML K W. AMi. K W AMi K W AMi K W AMT. H P. 7 ~ ~ ? 1 Y f, ~ 'r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P GAS H. P AMT NO. q. W. G AMi AMP AMT. AMPS TRANS. AMi H. P SYSTEMS qMi. WATLS NO.OF FEET j ~ SERVICE DISCONNECT NO.OF 5 E R V 1 C E AMi. AMP. TYPE METER l,e' 2W I ,e JW 3 %JW 3,a' 4W NO OF C< COND A W G. NO OF HbLEG A' W' G NO OF NEUTRALS A. W G EQUIP. PEfl % OF CC.COND. OF HbIEG OF NEUTRAL l 1(1+7 C 13 I. ~ 7. ' i OTHER APPARATUS: S;-A'.C.1'..-a ,,"~NYC7t~F1 Ikl=,'1'41("`t"s)kt-'! i a I 1 ~ ~.~+~i.~~-~? -c~~ l 9IkC:M1 ~ LAl)1+.Y3A,i91~ iPf(', JaT(`.~~fi3'i-P P.t1.f3t~~ 17f;A ;n(fT7f0[Il'!, NY, 7.1971 6ENERAI MANAGER 4j Per ~~i~~~~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ~ COPY FOR BUILDING DEPAR E T. I T MU T BE A4TERED IN ANY MANNER. f I , ~ U33p~~ h W tRi sy N °y 2~ C ~ ° O C1~~ Y b ~ BQ H a q ~ ~ , ~d. w o ~ ~ D a w v ~ r 2 ~ q~ ~ ~ ~ ~ ~ ~ d ~ 4 ~ h q k~? ~ A a p ~ A Q Q Q Q Q ~ ~1 v" O ~ 4 ~ q ? ~ ~ - Q ~ ~ c. ~ a Q ~ ~ ~ Q 4 Q ~ ~ ~ W _ _ h /1~ F .M ul tij ~ Q ~ ] r q, . C~ ~ ~ } 4 Q ~ ~ ~ ~ La_1 ~ b w~ q V 4 ~ 4 H ~ ~ .-1 cY 4.1 V' u~ v> tKyaatMa~f 7+Owr twwrp, . ~ro~„' THIS INDEN'I11RF., made the day of ,nineteen hundred and BE'fVVEEN 20th August nine'ty' Herbert R. Mandel and Richard Israel, d/b/a DBM Co,, a Nc:w York partnership with principal offices at 443 Main Street; Gr'eenport, New York party of the first part, and Richard Quarty and Jennifer Combs-Quarty P.O. Box ?.ii9, BfiO North Bayvi.ew Road Southold, 17Y 12471 party at the second part, Wfl'N~43E'i'7t. that the party of the first part, in eonsldnalton of Ten IJollara and other valuable consideration paid by the party oI the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, A[.L 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 Yo:c'k, known and designated as Lot # 19 on a certain map entitled, "Map of Highpoint Meadows, Section Two" which map was filed in this Suffolk County Clerk's Office on 3/19/1990 as Map No. 8911., Subject to the following covenant and restriction t.vhich shall run .with the land to be binding upon the land, the heirs, successors, and assigns of both the party of the first part attd the party of the second part: the party of the first part or assignz~ shall be ` reimbursed the sum of $2,570.00 by the party of the second part, or their successors and assigns at the time the Tvwn of Southold issues a building permit for the construction of a singles family residence on the property conveyed herein. This sum of money constitutes reimbursement for that portion of the "consum~ar hook- up deposit per dwelling unit" which has been advanced on ),,shalf of ;s the party of the second part by DBM Co., the party of the first part, to the Village of Gree»port. Any lien created hereby stra:ll be subject Y"- and subordinate to any first mortgage lien placed upon the premises. Being and intended to be a portion of the premises vonveyr~ed by deed ' dated 4/24/90 and recorded in the Office of the C:Lerk o:e Suffolk County 5/9/90 in Liber 11064 page 193. ~ ~ ''TAX MAP 1. u SIGNA'PION , . . 4t't•'~~~°1" 'fOGF,TIIIR with all ri ht, title and interest, if an of the art of the first cart iu and to any streets and ~f~s~, r. g Y> P Y 1 -y`Y':v`,= t'oads abutting the above described premises to the center lures thereof; TOGLTIIER with the appurtenances ~'$1c,,~;;~;;.;. and all the estate and rights of the party of the first part in and to said premises; 'I'O IfAVGs AND TO r'" fit+%}i " IiOLU the premises herein granted uoto the patty of the second part, the heirs ar successors and assigns of z lu;x~.;}^z ~f~, ' , the party of the second part forever. • . ~ , , i~.' ' AND the party of the first part covenants that the arty of tha first pail has not done or su(Iere~.l anything rr, 't - e::., whereby the said premises have been encumbered in any way whatever, except as aforesaid. ~+y.; i:j~:" f ANU the party of the first part, in compliance with Section 13 of the Lien i„nw, covenants that the party of ` the first part wilt receive the carsideration [or this conveyance and will hold the right to receive such consid- Y" L j~ t`~%~"A "'4 ?y+ i _ eratiou as a trust fund to be applied first for the purpose of paying the cost of the imprwetnent and will apply the same first to the payment of the cost of the improvement before using any part of the total of tl a sazne For ,soy other purpose. ,The ward "party" shall be construed as if it read "parties" whenever the sense of this indentwre so requires:'' $IN WITNESS WHEFt@OF, the party of the first part has dufy.,executed this deed the ay and year first abave~ :written. ~ ;~N PRESENCE aF: DBM O. yd`, ,b+` sY: ~ ,r . 3',,~'; ,'Herber R Manc e~'~' ~ • ~ W°x l , DBM CO. 1 ~XF,.~ ~a ~ sr~r~,,"; Richard Israel ~,,r~., . BOAR? OF REALTH;.'/il......... 3 SETS 0~ PLANS FORM NO. 1 SURVEY ' . . . TOWN OF SOUTNOLD CHECK !~-~)~P.&.+ • • • • • • • • • , . BUILDING DEPARTMENT SEPTIC FORCi?.~ TOWN HALL $OUTt-TOLD, N.Y. 11971 NoTiFY t D g M Ca: TEL.:765~1H02 CALL 19CJ~ MAIL TO• Examincd.~~.~~.•••••.• P: O.,Bax 2130•••••••• Approved . 19 ~.~Pcnnit No.. ~Df~ • • GheevtFoht, N. y; 11944 • • Disapproved a/c ~C~~~! (Boil g Inspector) I3LOCa. dSCN~." APPLICATION FOR BUILDING PERMIT 7t)WNiSFSrJtlYtar~PC7 ~ Date , • ;Se~:~einNen;`11, • Iy90 - INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan s}rowing 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. e. Tile 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 i.he applicant. Such permit .shall be kept on the premises available for inspection throu,hout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a CertitA,cate of Occupancy 'shall have been granted by the Building Inspector. APPLICATION IS IiEREBY 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, Cor the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin^ code, and s, and to admit authorized inspectors on premises and in building for necessa rnspectio ~s.~~ (Signature at' applicant, or name, tf a corpora n) P: • U: • Bax 2130 GheenEoht, N: Y.--1-1 • • • • • • • . • • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phunber or builder. .......~t4~,Cdvc Name of owner of prernises ~,hat4d and Jehyuftv~t. Quart;ty . (as on the tax roil or latest deed) IC applicant is a corporation, signature oC duly authorized officer. (Name and title of corporate officer) T• ~ ~ . Builder's License No. ~ Plurnbcr's License No. . Electrician's License No. . . . OtlrcrTradc's License No . . 1. Location of land on which proposed work will be done; La~t # 19• H•i.gh~c~~wt.,Meadawe, Satitha2d .....~f0. f[ouscNumber Street. Hamlet!' JS,a~• County Tax \tap No. 1000 Section Block Lot Subdivision Ntigh~atil2t• Meatlawh, • . . . . Filed hSap No. , , , , , , , , , , , .Lot . (N;unej . State existing use and occupancy of prernises and intended use and occupancy of proposed construction: A. };'xisting use and or.,cupancy.......itPrt2 B. Intended use and occupancy..........Vttit.~SRVtiI~P-rG.h4Gh2 I . r . I ~ , 3. Nature of work (check which applicable): New Ouilding x , . , , . Addition . , Alteration , Repair , , , Removal , Demolition . ........Swimniug pool, . , , , Tennis Court Accessory IIuilding.........,Fehce .......Other Work:........... 4. Estimated Cost ...~~}94a . Fee ' I' g its Number of dwcllin Quoits n cachlflioorhis application) 5. If dwcllin°, number of dwcllin un" If garage. number o(cars . . • 6. iC business, commercial or mixed occupancy, specify nature and extent of each type of use , , , , , , , , , , , , , 7, Dimensions of existing structures„if any: Front . , • , Rear Depth , . , , , , , . Fici~ht . , , Number of Stories . > . . Dimensions of same structure wilt} alterations or additions: Front . . Rear . . Daptlt . . . Fleight , .............Number oC Stories , , . 8. Dirncnsions of entire new constnuction: Front 5D:. , Rear . , ..501... , ....Depth • ..30'• • , iicight .Number of Stories . • . 9. Size of lot: Front ~'Q~:r . Rear 120 ~ Depth ..1.65'....., . , , l0. Date of Purchase 9/.7,1.90 Name of Former Owner ..11,8.b1 .Co • • • • • • • • • • , . 1 1. Zone or use district in which prerjtises are situated . . . l2. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Nell lot be regraded J , Nill excess Fill be removed from premises:. • 'Yes • Na . , 14. Name of Owner of premises . R: 21tW.+~N.....:....Address 80X..264.5autltaRd ,Phone No7b5•-•2•;?•3Fr • • • • • • • • Name of Architect ...............Address . , , ....Phone No................ . Name of Contractor ,r , .Address . .Phone No.. • . IS.Is this property locaCed within 300 fleet of a tidal wetland? *YES.,..NO..s`. *If yes, Southold Town~Trustees Permit may be required, PLOT DIAGRAM Locate clearly 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 corner lot. ' r I S7'AT>: OF NE Ufi COUNTY OF , , , S.S , , IC?;1-I~A 2,A, ,,L, S 2~q; c•L being duly sworn, deposes and says Fhat he is tha applican (Name of individual signing contract) above named. Fie is lltc ~laE.eLfPJt . . . . . (Contractor, agrnr, corporate oCCicer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlt= application; that all statements contained in this application arc true to the best of his knowledge and hc.licf; and that tla work will be performed in the manner set forth in the application filed theretvitlt. Sworn to bciorc me this ! ' , , ~ , ......day~'i of . Sep~:embe~i.........., 19..9.0 Notary Public, . ~ . ~.Q!!~:`:E:.°54:4... Count ~stxsnr~irt~' r. N3~RRICC}NF NOTARY PUBLIC, Sfe4e of rdew Yodc • P: o, kIIF?749 ~ ~ ,LITC Of applicar' Qualified in Suffolk County ° Gommiesion @xp(fey Jan. 2p, r~l ' = ~tW ~ TEL. 7G5-1802 ~ ~oS~F~oI~~o~~ Town or swT~oa,D , Q/a^~ =,c OFFICE OF DUILDII4G INSPECTOR p7 ~ ~ P.O. BOX 728 ~ L51J~ J ~ i`I W~' ~ ~ TOWN HALL ~/~Ol Y~b~~ SOUTHULD, N.Y. 11471 a JAN ` 4 ~I ! p ~ ~ P A V ~F i - ~ 11~~~'?jV' ~ e . + ~ C E R T I F I CAT S O N _ , a~'. ~ xi Date , n z; ' Building Permit No. 1 9 ~I O I Z Owner ~~j~ C ~C (please print) Plucber ~ ~ ~~~y m~,s~~ ~ o.~~ (please print) ` I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. , , , ` (plumber's signature) ~;°:`r Sworry to before me th~'~s/ ~rday of ~~iC'P/'~~1~' ' n /n, ,,p Notary Public ~s; ttotary•hublic, l°~l~ ~iT~/r County INIr~ KOCM / i09~ ~k 1M"'ra~ ~ r;, LATHAM SAND & GRAVEL PRE-CAST CESSPOOLS -SHOVEL LOADERS -BULLDOZERS ~ CRANES r BULItHEADS -JETTIES GRAVEL -FILL -TOP S01L 1.0. 6vx yy6 ORIENT, NEW YORK 11957 516-323-2585 Octvbea !6, 1990 Su~~fvLh County /~epantment o~ flea.Cth Counted Cent en Riveahead, New ,yvnh //90/ 2C: 9o-SO-/o7 Genf.~emen: We have LnataLLed a one pvvC septic stem ~on v6/1] Cvmpan~ of a new neaidence vn Lot #/9, Tut~iiL.C Lane ~x- ten~Lvn, f/ig.h l oCnt l~eadvw~ in SoutfioLd, New yvnh. Thin one o01 n~atem conniata o~ a 900 ga.L.Con aepfic fanh with Su~~.Ch Counf~ appnvved #/000 caaf Lnon ~,rtafe,' vne 8~ diameter G~ /2' deep drain nine, a~~em6L~ and one 8' dLameten concrete aLab coven. The a~atem way 6ach~iLCed with c.Lean nand. %?e~pect~uL.L~, LAT LlAI~ SANK & GRAVEL, ZNC. C. Tenn Latham lneaidenf CTL/~ma a Officers 1~/~/// /7 MAYOR • ~E~VaJ e o~ ~reea~nort UTILITY OFFICE GEORGE W. HUBBARD wcofleoflgreo ,eae (516) 477-1748 NEW INCOflPOflgTION gPfl IL 1888 'I'RU$TEE$ flE~INCOflPONATION UN DEO GENEpAL LNW MqV R8, 188< ~ POWER PLANT WILLIAM D. ALLEN ~ ~r~`'b (516) 477-0172 STEPHEN L. CLARKS rq DAVID S. CORWIN _ ~,Q,g~ u FAX (516) 477-1877 GAIL F. HORTON O N G I S L A M SUPT. OF UTILITIES . SUPT. OF WATER/WASTEWATER ~ ~ A ~ JAMES I. MONSELL I.. /..~a .Y• GERALD W HICKSON 236 THIRD STREET ~ P.O. BOX AH rr-T GREENPORT, NEW YORK 11944 ~ l;,~ ~~~I~! jJ// ~ t Ij d P December 5, 1990 ~ ~ Q 1~~~ ~ 13! d :R r Mr. Robert Petritseh TOtr~r~ ~F' Suffolk County Health Department Suffolk County Center Riverhead, N.Y. 11901 Dear Mr. Petritschr The following water service line was recently connected to the public water supply by the Village of Greenport. The installation was done according to our Rules and Regulations, and to the best of our knowledge, meets with the Suffolk County Health Department Standards. The location of the work, and the date of completion is shown below: Richard Quarty Lot No. 19 Tuthill Road Ext. Reference No. 90-SO-107 Highpoint Meadows Job No. F91-80 Southold, N.Y. 11971 Water District: Outside Contractor: D.B.M.Co. & Latham Sand & Gravel If I can be of further assistance, please contact me. Very truly yoursr .mow Gerald W. Hickson By order of the Superintendent of Public Utilties GWH:cr 100 Years of Community Service ~ ~c.\1~'t~9~lf(~~~ i < PLANNING BOARD MEMBERS ~y~ `~`f ' SCOTT L. HARRIS Su ervisor Bennett Orlowski, Jc, Chairman V' ~ P George Ri[chie Latham, Jr. ~j',V `°°y®~ Richard G. Ward ~ I_~~ ~ Town Hall, 53095 Main Road " Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 TO: Victor Lessard, Principal Building Inspector FROM: Bennett Orlowski, Jr., Chairman ~ /~f RE: Highpoint Meadows ~ ~C 2 $ ~I j SCTM# 1000-55-6-15.1 DATE: December 27, 1990 TOWNUFSOUTFIOLD The Board has reviewed the interim inspection report dated December 24, 1990, from the office of Sidney B. Bowne and Son. A copy is enclosed for your records. The Board is in favor of your office proceeding with the issuance of Certificates of Occupancy for lots contained within this subdivision. ~ i• \ ; poi 20 Lot 22 22y~p0 \ C ~ ~ - N_ ` ~ y<. ~ is 1~ ~ 4oB Cp. O 15 / ~ o3a`20 E. ze9 N ~i % 4 w''O ~ A m'"'~ Areo ` o` ~ Q ti ~ .o ~ ~ l- O`'2~ 1 oe~~ 1 \ ~ 1 i~ ~ Z ~ Q93 ° m ' ~~w• `3~. o. 2 I Lot 2Z STG°''A20 (i, ~ 0 Ii dpi \S 2 a I ~ a i ~C r ~ y " O ~-~`-u~~ i I , a ~ ~E W Q ( E m~ OR~pL 0 a i SURVEY FOR SUFpnF~OLK CSO}UtNG~TYgDFq~E[pP)/ARTMENT OF HEALTH SERVICES RICHARD QUARTY a JENNIFER QUARTY 1 DATPE~ uN"L~"°-HS.REFLNOGONb-c ~~d7 LOT N0.19,"HIGHPOINT MEADOWS, SECTION TW011 ocT.l0;ie9o AT SOUTHOLD DATE: AUG. 15,1990 The sewage disposal and water supply facilities for this TUWN OF SOUTHOLD SCALE I"= ao' location have been inspected by this Department and/or SUFFOLK COUNTY NEW YORK other,ygenc sand fog u~nd~Abe story. No so•oso9 U~ 4 WT M UN4u TNOR IZ tD ALTERATI OM OR 40 DI TlON To TNIS GUARANTEED T SVRV[Y q 4 VIOLATION aF SECTION 7209 OF THE RICHARD R Chi of Bureau of Wastewater Management NEw YORK STATE fDVCATION LAW ~ ~Y NFrY NCO?IES OP TNtS 3uRVEY NGT fEARWG TNf LAND JENNIF ~YwIA ~IV~ BANK SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL SUFF K NOT BE CONSIDERED TO BE A VALID TRUE COPY TIC T +~'GUARA d'D~PA NY KGUARANTEEf INDICATED NEREON SNALL RUN ONLY ro NEALTM DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM LNE SURVEY IS PREPARED tT 1j~E . 8 10 ANO ON MIS fE NALF TO THE TITLE CON PAMY, 60VERN- D. . M O P p R N(AR[ST WAT[II f1A1N.MI ~ NSOURCE OF WATER PI,IMTE .PUBLIC _ NENtAL AGENCY AND LENOIM6 INSTITUTION LISTED R RRf CO. TAK MA? DBT 1000 SCC TION ~,L' _ N.OCK -S_ LOT p/y.j5.i HEREON. AND TO THE Af3lON E[S OF THE LENDING R TN[RE ARE NO DwElLIM7 WITNIN 100 FEET OF TNI! PROPCRTY INSTITUTtpI GUARANTEES ARE NOT 7RAMSFEF4 BLE OTNER TNAN TNOSE SNOWM NEREON TO AODI TIONAL INSTITUTIONS OR SUBSEQUENT M TNf wAT[R fU?PLY AND fEMMB[ OIfP06AL SYfi[N FOR TNtf REf IDE M[E OMNERS wtLl COMfORM TO TN[ fTAMOMOf Of TNt SUROLK COUNTY OCPARTN[NT R 01 STANCES SNOWN NfREOM FROM PROPERTY uNES ~ ~ 45 9 TO EXISTING fTRVt TURES AR[ FOR A 3Pf CIfIC r,/ Of MEAL TN tCIW IC[f. pUR pO3E •MO IRE NOT TO BE USED 70 ES TABLISN U~{ AP?LICANT• PROPERTY LINES OR FOR THE ERECTION OF fENCE3 (AND U A0011Eff RL YOUNG a YOUNG R~1 ERNEADNNEW YORKE NOTE + ~ =STAKE O=PIPE ALDEN W.YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF 4ND LAND SURVEYOR N.YS l1CEN5E NO 12845 SUFFOLK COUNTY ON MAR.19, 1990 AS FILE N0. 8911. HOWARD W.YOUNG, LAND SURVEYOR m NTNfLOCATRINDFwELL(w1,SEPTICiANKIfTIBCfffro0L3(C?IfNOwRNER[ON N.YS.UCENSEN04S693 a 4AE PROM i1ELD OOERMTIONf ANO OR DATA OBTAINED FROM OTNERS 2.B. BRANDIB A 90N3 INC. • I ~ 9 1 ~ `QS. yy n ??n L cAN) ~ \E`% ~Ol lV 225 p0 ~,cinz5 CAN \ ,VA 11N0. pROPyAPY N . 1 SySZEM '1 (PQ ' ~ /1~.~~Je. N \ ~ ~VAOAN( ~3A2~~ ~oo ~ O, ~s: N 4A 06 0~ o ooG~p'v (n a m E~=y19 at 19 ~ ~ ma ' 3 ~\v ~ - _ 1. Zp 4? g s. is~~ ~ ~w.s. a O 2 prg4 ~ `n ~ Q ( ~ ~ ~ ~'m. _ o 71 i D \ E~ x i , i X6500 ~ i BOO / ~ ~ I ~Op~pNil ~~zw.A S~Ao3A`y0 Y' £o' ~ mot \8 ~ 2 ! (VAOA 7D - - \ 1 f r A f N ~ ~q~ d~ O f V PL--..~~ N47E Sanitary system I no to be ~ placed ~n~'er drh~eway aria. ~R~~ ~ rya-r- ~ ~ ~ ,i;. . x ~R~O L~ ~ k ~ i rl . aEf~~ C~ IJi:j t ' ~Sit`~Cai~~ ~A'~~lL,'~' ~1N4L.L~ 4+~~Y ~,'T. t7F C:~~dR~S 7W4 i'i~APS ~~i4~ C3AT~ 4f' Ai~~fi~C5~6,~L `¢~s:..s ~$"2VI'Gk5 ,~L~. 1 f j SURVEY FOR wF>:oLK COUNTY DEPARTMENT of NEAUw seRVlt'r RICHARD QUARTY 8i JENNIFER QUARTY LOT N0.19,'~HIGHPOINT MEADOWS, SECTION TWO~I FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE: AUG. 15,1990 ~~P ' 0 1990 ~ ~ ~ J ~ TOWN OF SOUTHOLD SCALE I": 40' DATE ~ SUFFOLK COUNTY, NEW YORK N0. 90.0609 K uNAU TNORI2 [D 4L T[RATI ON OR 4D 01710N ro THIS GUARANTE ~~qq t6E FAY I SURVEY 6 A VIOLATION Of'SECTION T209 OF THE RICHAR V yO NE W, YORK STATE EDUCATION lAW D h; G APPROY 3 ~ 3i a ` NCOPIES ai TN4S SURVEY NOT SLARWG 1N[ lANO JENNIF ASP y q.J~ ~G~J SUR VEYOR~S INKED SEA4 OR EMBOSSED SEAL SHALL BUFF K T IO BA i MOT lL CONSIDERED TO lE A VALID TRUE COPY TICO ~ G E PA Y R6UARAMTEE! 1ND14 TED METfEON SNALL RUN ONLY m RRR~~1 HEALTH DEPARTMENT-DATA FOR APPR TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED (TIT E . B12 ~ ANO a MIS lENAIf tO, THE TITLE COMPANY, GOYERN- { • M[AR[ST WAFER ~A1p MI ~ RSOURCE OF WATfR~~ PIIIMTE ~PU/LIC_ MENTAL AGENCY AND LENDING INSTITUTION IiSTED . R fl/F CO. TAR MA? DNT 149.4. ![C TIOM _3;1_ BLOCK .i_ l0T n/n la.l HEREON, AND TO THE AS3 ~8N E[3 Of THE LE NOIN6 RTNER[ ARE MO DWELLI/NS WITHIN 100 FEET Of THIS PROPLRTY INSTITUTION GUARANTEES ARE NOT TRANSFERA SLE N OTHER THAN THOSE SHOWN MERLON TO ADDITIONAL INSTITUTIpIi OR SU e3E0UENT O. 45893 R THE WATER SUPRY AMp lEMND[ DIfPOlAL SYl TfM f01t THIS R[SI DE MCE ROM S7•NCES SHOWN HEREON FROM PRO?E RTY LINE! 1 N6ryT0 .(OQ' _ WILL CONFORM TO i1K fTANDAROf Of TN[ SUFFOLK COUNTY D[MRTM[NT TOE%ISTINE STRUC TUR[f AR[ FOR A SPECIFIC , 1 _ ` E~ c M N[ALTN St1N ICES PURPOSE AND ARE NOT TO SE USED TO EI TASUSN IY d AP~LICNIT /1. pIN)PERTV ONES OR FOR THE ERECTION Oi fEMCEi UUU ADae[ss ~ sw k» ~ .~~~=aa~~ Y©UNG et YOUNG R1~VER~FIETA~pNNEW YORKE 4 NOTE ~ ~ =STAKE O=PIPE ALDEN W. 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