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HomeMy WebLinkAbout19312-z .r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20973 Date AUGUST 25, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 18603 ROUTE 25 EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 5 Lot 3.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 1990 pursuant to which Building Permit No. 19312-Z dated AUGUST 17, 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 WOOD DECKS AS APPLIED FOR The certificate is issued to ROBERT & CAROLYN CEL$NTANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-05- AUG. 14, 1992 UNDERWRITERS CERTIFICATE NO. N-243883 - JULY 23 1992 PLUMBERS CERTIFICATION DATED AUG. 20 1992 - PETER P. PARISI ,-- Bu OlAg Inspecto ` Rev. 1/81 I I 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) i N0 _ i 931 [S. Z Date ... ....................................... 19.9p Permission is hereby granted �v - to .4�1. .........c e......... s . ...... r.,.: ...... at �...... - ........... .... at premises located at ....,/..Ff... ...... .-.��... .... ..................... ........................................ .. ... ...... ............................................ . ....... ... ..........7r�. .. .. .........3 -,�`,sSc,�.. County Tax Map No. 1000 Section ........../2.....,. Block ..........4 ... Lot No. ......... i... pursuant to application dated ...........� — .................................. 19.�.r..., and approved by the •6'L�4.f/S �/7j�o Building /Inspector. Fee $...`••T.(!.�.1.• .. .... . ................ ilding or Rev. 6/30/80 / Form No, 6 Cgd G,© • 13J 194id0 TOWN OF SOUTHOLD BUILDING DEPARTMENT q 6 os OLO ��~ ' AUG 2'5 +✓�� TOWN HALL 6ki a vj , '�I9d 7 _ M y 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 acc4ate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ' 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 ,V/?-d/ 92 `Jew Construction. , . . Old Or Pre-existing Buildding. . '.ocation of Property. . . !!{ q 6.�Jf . .. . . .. A �. N.¢l ill. r�:. . . . . . . . . . . . House No, / Street Hamlet i nwer or Owners of Property. . . d�??.f C j �y? , , ,1 ,¢,&o5 AyQ ®. . .J, . .. . . . . . . . ounty Tax Map No 1000, Section. ..eC7 . . . . . .Block. . . . . . . . . . . . . q ubdivision. . . 513Ot✓Filed Map.kfRStyVIy 'j,Lot. . armit No. ./bJ)-. .Zt , . . , .Date Of Permit. 31121�?. . . . . . .Applicant j/1Q�? !;T, tLG✓Y� a !alth Dept. Approval. . . . � / � ,Underwriters Approval. .��� Z anning Board Approval. . . .�f ri`X . . . . . . . . . . . . . quest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . � , e Submitted: $. . . . . �.G lj�, . . . . . . .. . . . . . . . . . . . .. . . . . . U - ') 09 APPLICANT TEL. 765-1802 0�0 �, Off✓ TOWN OF SOUTHO]LD ti OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD,N.Y. 11971 N' C E R T I F I C A T I O N Date L.O Building Permit No. i93fX Owner (please print) Plumber PI:57: IF )0 (please print) Z.�-.A 8 Zf6 - P I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' s signature) Sworn to before me this 42�0�day of 19-V C Notary Public Notary Public, County SIGNE MARCHESE NOTARY PUBLIC, State of New York No. 52-465701 uffol Co11' }� Term Expiresu� THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000520 BUREAU OF ELECTRICITY F 88 JOHN STREET, NEW YORK, NEW YORK 10038 JU.L,'Y 23, 1992 7 6 21029 2/9 2 N 24:3893 Date �A.�I. 6Ti./au•OP. ,J S.G•� THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBERT CELEN'TANO, N/O RAIN ROAD, EAST MION, N.Y. in thefollowinq loco�fty J.�,Iqjo eat [� ATTIC/GUT 1st Fl. ❑ 2nd FY. .Section Block Lot was examined orF and found to be in compliance with the requirements q(this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES "RANGES11,660--0klNiiECK$ OVEN$ DISHWASHERS EXHAUST FANS UTLETS INCANDESCENT FLUORESCENT OTHER .W. AMT KW. AMT. K.W.30 40 36 30 .2. 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W OIL H.P. GAS H P AMT NO A.W.G. AMT. AMP. AMT AMPS. TRANS. AMT H.P SYSTEMS AMT. WAiSS NO.Of FEET S 't SERVICE DISCONNECT NO.OF S E R V L C E METEOUEP. NOAWG . No OP CC.COND NO OF HLELEG OF H'�G NO. NEUTRALS OF' PAL a AMT. AMP. TYPE 1,e'4W l,e'JW 3.e'OW 3%4W 1 150 1 CD 1. K OTHER APPARATUS: JACUZZI—a. MOTORS0—F H.P. G.F.C.TI-3 SMOKE DETECTGRi --1 TRACK LIGIITTNC;--4 I LOT F;LFC'1YRTC CO. 1;7C.#423—E 56 DUNN COURT SAYV.T.LLE, NY, 11782 GENERAL MANAGER Per ✓ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �a •st I '13/z � rol FSEP - 5 in JAMES H. RAMBO,, INC. BISHOPS LANE SOUTHAMPTON, N.Y. 11968 PHONE: (516)283-1254 WUNNEWETA ROAD CUTCHOGUE, N.Y. 11935 PHONE:(516)734.5658 August 29, 1991 Southold Town Building Dept. Town Hall Main Road Southold, N.Y. 11971 Re: Piling Foundation for Robert Celentano Main Road, Orient Gentlemen: The piling on the referenced foundation were driven to -10 MSL to an average capacity in excess of 18 tons per pile with a D-5 Delmag diesel pile hammer developing 9100 ft. lbs. of energy per blow with fixed leads. The capacities were very consistent in accordance with FEMA and State Codes. Sincerely, ' T(�homas E. Samuels �• '=• � r.1L`1--,JSli�„ddt Wc,i i'(H'p Page - 1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] RO PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING ( ] FINAL REMAR S: _ DATE ;Av 2-�' INSPECTO � E I\ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST {ZROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: tl L DATE d INSPECTOR M-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ 41 ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I [FRAMING [ ] FINAL REMARKS: DATE INSPE OR f i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ I FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ AL REMARKS: DATE /3 INSPECTOR✓:i f M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 7-7 Aq DATE �� INSPECT .2, Fairweather - Brown , TRANSMITTAL Architects•Designers LETTER Box 521, 122 Front Street AIA DOCUMENT G810 Greenport, New York 11944 i (516)477-9752 PROJECT: ARCHITECT'S (name, address) eAj- T "kf2,`p� Y PROJECT NO: DATE: l o Its/q r- � TO: 'Arz -TN( �t�1}r YLt auvw VSZ, W ( vm If enclosures are not as noted, please 0 ""OLO 1&A30 4?,Lluoit`1C, ` ePAIZR-tEy�T inform us immediately. TOWNS VUL If checked below, please: ATTN: lMArtk) P—OkO ( ) Acknowledge receipt of enclosures. L So • ,_O y l �q7i J ( ) Return enclosures to us. WE TRANSMIT: Iyr herewith ( ) under separate cover via ( ) In accordance with your request FOR YOUR: ( )q approval ( ) distribution to parties ( ) information ( ) review & comment ( ) record ( ) use ( ) THE FOLLOWING: (y) Drawings ( ) Shop Drawing Prints ( ) Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ) Product Literature ( ) Change Order ( ) COPIES DATE REV. NO. DESCRIPTION ACTION CODE tip 1 Lj( FL r�DOR- 1" ti0 ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS CODE B. No action required E. See REMARKS below C. For signature and return to this office REMARKS �I a�rz '!S4245 la pan sty rcTs� Jan twg3 ks (2ewtzrw5 COPIES TO: (with enclosures) El ❑ BY: AIA DOCUMENT G810 • TRANSMITTAL LETTER • APRIL 1970 EDITION • AIA'V • COPYRIGHT © 1970 ONE PAGE THE AMERICAN INSI ITUTE OF ARCHITECTS, 1785 MASSACHUSETTS AVENUE,N.W,WASHINGTON, D.C.20036 f ( MINE W ICI < �i�a'.i� ii w •� st. % � r - � "� / `' — e 0 1�4 Fairweather • Brown Architects•Designers Box 521, 122 Front Street Garden Greenport,New York 11944 (516)477.9752 February 14 , 1992 Mr. Robert Celentano 110 Vineyard Pl . Port Jefferson, N.Y. 11777 Re: New Residence Rte 25 , East Marion, N.Y. Dear Bob: To confirm our conversation, this letter is to verify that, in regard to roof ventilation at your new residence, the structure as built provides adequate ventilation. This ventilation is provided by two gable end vents (at the west end of the house) , continuous eave vents around the house, and the roof construction itself . Since the roof is cedar shingles on open lathing, it will provide the necessary ventilation required, as long as the insulation is held back from the underside of the lath. Please call me if you need any additional information. Sincerely, Robert Brown, A.I.A. cc: Southold Building Department N._u LDIIMILX PER --New York State Law* requires the seaKand signature of a licensed architect or a licensed i professional engineer for ail plans and/or specifications lfiled for building permits for the following _ 1. . ALL NON-RESIDENTIAL STRyo-. tharj (Except agricultural buildings.) 2. All residential buildings of 1500 sq, ft. of HABITABLE area. 3. All alterations involving CHFFECTING STRUCTURAL OR SAFETY or costing irlore thag aQ, Q©:Q ~, *New York State Education Law Sections 7202, 7208, 7302,7307. i �rr�M�r�1�1�r�r�r�MAr�Yr�„yrlrMr9!!11<{HUR,6Il,iMe'N�Ysa1�l��,�r�_�a,�•. BOARD OF 'TOWN TRUSTEES � s TOWN OF SOU'nlol,D �T i r53095 Main Road Phone 76sas92 1If Y 32 9 4 8 " Southold, 14. Y. 11971 Date REABIVED OF i For,�lN'G�-I�ih2J�J OARD OF OWN TRUSTEE,,; z� Cash Ch .arar�1a1a1 � �r Q1fFrlY0�0111NlYrtlErYp Hwew,r aar+a r�,rafirafarararar�,rara± / New York State Department of E;wironmental Conservation AM Regulatory Affairs Unit 1011111110 Bldg. 40, SUNY, Rm, 219 NOW Stony Brook, NY 11794 Thomas C Jorling (516) 751-7900 Commissioner December 2`3, 1988 Robert Celentano 110 Vineyard Pl, Port Jefferson, NY 11777 Re: Permit No, 10-88-.k636 Dear Mr. Celentano: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, -R�lease contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, /gyp New York State Department of Environmental Conservation 7st RECEIPT 1, L DATE C1"}3 bB 5 -t3 DIVISION !9 iUNT OF 7 o rti $ i1 )LET. K 1t`-45 - ti �,�Cl• SEPMES DEPARTMENT REPRESENTATIVE ra Liles 95-20-1 (8/87)-9d New York State Department of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information " regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. ? Regional Permit Administrator Permit Number Expiration Date NOTE: This notice is NOT a permit "' � P�L11 'i Sundard N.Y.B:r.U. Farm SW2-20M —Bargain and Sale Deed,wall Covenanu aga,nn Gramm:Aar--Ndrndml or Co,pmaouu. (angle rheeq CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD RE USED EY LAWYERS ON L THIS INDENTURE, made the 21st day of July nineteen hundred and eighty-nine BETWEEN STEPHENSON BEACH ASSOCIATES , a partnership, with an office at Private Road, c/o Lomas , Orient , New York, OS party of the first part,and ROBERT L. CELENTANO and CAROLYN G. CELENTANO, i his wife, both residing at 110 Vineyard Place, Port Jefferson, New York, i�*. party of file 4�2;e part WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration r yt paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs �eq"QRS� or successors and assigns of the party of the second part forever, p ti ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, r ^^o lying and beingkPfRW at Orient, Town of Southold, County of Suffolk and r State of New York, more particularly bounded and described on o Schedule "All annexed hereto and made a part hereof. N The party of the second part covenants that any improvements 10-1 made to the subject premises , including but not limited to the initial construction of a single family residence , must be o approved in writing by John Lomas , Managing Agent of the party 0 of the first part, or his successor or assign. Failure to ,n procure such approval shall be a breach of said covenant and o John Lomas , his successor or assign, may seek whatever remedies are available to .him, either by statute , case law or otherwise. The party of the second part specifically acknowledges and agrees M that any improvements to the subject premises shall include a wood shingle or asbestos roof and shall not incorporate a flat o roof, block construction , T-111 siding, asbestos siding or split CD sheet roofing, and that no dwelling will exceed one-story in height. 0 to ARE{LEStp1E H CpU��V to H q TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. j AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 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 fund to be applied first for the purpose of paying the cost of the improvement and will apply VJ� the same first to the payment of the cost of the improvement before using any part of the total of the same fofy any other purpose. f <, The word "party" shall be construed as if it read "parties" whenever the sense of this indenture -so requiresi` ." IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above"r " written. STEPHENSON BEACH ASSOCIATES o as RECORDEDAusi4 ,98,� �"� r 1 DEED - STEPHENSON'S BEACH ASSOCIATES TO CELENTANO SCHEDULE "A" ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York, more particularly bounded and described as follows: BEGINNING at a point distant the following three (3) courses and distances from the corner formed by the intersection of a certain right-of-way and Main Road (said corner is also the Southeast corner of the land now or formerly of Orient-East Marion Park District) : ( 1 ) North 51 degrees 02 minutes 10 seconds West, 148.77 feet ; ( 2) North 18 degrees 16 minutes 20 seconds West , 71. 32 feet; ( 3) North 42 degrees 02 minutes 10 seconds West, 298.39 feet to the true point of beginning; RUNNING THENCE from said true point of beginning, North 86 degrees 32 minutes West , 84. 45 feet; RUNNING THENCE South 50 degrees 39 minutes 10 seconds West, 508. 67 feet; RUNNING THENCE North 38 degrees 10 minutes 40 seconds West , 238. 00 feet to the ordinary high water mark of Long Island Sound; RUNNING THENCE North 46 degrees 20 minutes 50 seconds East, 617. 52 feet; RUNNING THENCE South 42 degrees 02 minutes 10 seconds East, 312.00 feet; RUNNING THENCE South 25 degrees 43 minutes 30 seconds West, 71. 31 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by deed of Stephenson Beach Inc. , dated 12/4/85 and recorded in the Office of the Clerk of Suffolk County on 12/10/85 in Liber 9932 Cp 485, as corrected by Deed of Stephenson Beach Inc. dated 12/30/85 and recorded 1 /86 in Liber 9950 Cp 421. d CORDED AUG 14 ,989 WMOFS BOARD OF HEALTH . . . . . . . FORM NO. 1 3 SETS OF �PLANS . . . . . . . . . SURVEY TOWN OF SOUTHOLD CHECK ;k---Z1 . . . . . . . . . . . • _ BUILDING DEPARTMENT SEPTIC FORM "'' TOWN HALL �E1?D •-- rY1 i.wK -Q,&,,.. • • , , SOUTHOLD, N.Y. 11971 NOTIFY : TE L.: 765.1802 q�.a.^. �y CALL Exanlin . �. /• . . . . . . . ., 19�� MAIL TO : �j 1 . .u� �� Approved . ./ 7. . . . . . ., 19�Permit No. I C3/� 2/ Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D AUG - 61990 (B in' Inspector APPL CATI N FOR BUILDING PERMIT BLD F DEFT. TOWN DE T. LD Date . . . . . . . . . 1.�. . . ., 19/ 1). INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans,accurate plot plan tbrscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c24ion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe i s. ` (Signature of a applicant, o�ame, -�pP f a corporation) •-mac... . . J. �!�: . : y ( ailing address of applicant) /L/—/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. V tU 11✓e ('` Name of owner of premises . . ..�. . F�!i. . . � 't4��r . IP f 1, . �a'# l it✓l r s 77 (as on the tax roll or latest dee J If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. {(!6 z Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . �. Location of land on which proposyy���ork will be dore; 11 TLC) . . . . . . . . . . . . . . . l . . . aS. . . . . . . (louse Number Street, • • • • •• Hamlet 3 County Tax Map No. 1000 Section . . . .7 . . . . . . . . Block . . , , , , , Lot � i . � e• . . . . . Subdivision . . Ci�{f4 " Sufi Y)•� n: /( f, NL, Filed Clap No/ Guc (Name) Gvti^ . �. Lot State existing use and occupancy of premises and intended use and occupancyof proposed construction: A. Existing use and occupancy. . . . . . .V y . ' " `a:4 . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . B. Intended use and occupancy. . . . . . .t. P. I i 3. Nature of work (check which applicable): New Building • Vo'o„ , • . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . . Repair . . . . . . . . . . . . Rlimoval . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . .Swimming pool. . . . . . . . . . . . Tennis Court Accessory Building . . . . . . . . . . Fence . . . . . . .Other Work. . . . . . ,-. . . . . 4. Estimated Cost . . . . .j. . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5, If dwelling, number of dwelling units (to be paid on filing this applications g s . . . . /. . . . . . . . . . Number of dwelling units on each floor . . . . . . . ... . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . 6. If business, commercial or rnixed occupancy, specify nature and extent of each type of use /�/& . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front , . , • , Rear . . . . . . . . . . . . . . Depth : . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Numbcrl ,of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . Dimensions of,same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . • . Depth . . :. . :: . . . . . . . . ... . . . . {leight . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . 8. Dimensions enpre new construction: Front . . . v `� . . . . . . Rear , � . . . . . . . . . . Depth 3 �.- 27 t Height . . , . , , , umberof Stories . .U:��l p, 9. Size of loC'Front . (7r. . . . . . . . Rcar . .��? .•t?'. . . . . . . . . . Depth ..3,b�F�+ 01 f2t � �( 0. Date of Purchase , ,,,� ,$ I', , ' ,,Name of Former Ow er, i. Zone or use district in whuclt premises are situated .f I Lim'.;tns! Ti!a irr. w.vt 0-U 1.'. r U Rfl An . , , , , , , , , , , . . Z• Does proposed construction violate any zoning law, ordinance or regulation: . .lVa. . . . . . . . . . . . . . . . . NOV 3. Will lot be regraded . . . . . ./U c> i . . . . . . . . . . Will excess fill be removed from premises: Yes 4. Name of Owner of remises . ri6,-s! �eL ?1,+ vAddress 1(9 q 1•ejo.'1 AP 4.: Ph ne No. �1.A Name of Architect��'�!y.� 77 I SS?cr a r<rS Address3Vo STjaI Groff(Z AA4 1 ne No. Name of Contractor 1o(0 l 'T, . ;cF;^�CA �V, , , , AddressIA VVY:� n P44 :Pr.j.—Wone ?:q�f(j.. 15 .Is this property locate within 300 feet of a tidal wetland? *YESx. .NO. . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly,all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or comer lot. i STATE OF NEW YORE, S O1YOF. . . . . . . . . . . • �� •C". .~`.A I.. • • a . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. '4cisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent, corporate officer, etc.) )f said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the ,vork will be performed in the manner sit forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . . . . .day of. • ` . . . . . . . . . . . . . .. 19 90 Votary Public, . . . . . . . . . . . . . . . . . . . . . County / � // . . . . . . . . . . . . . . . . . . Notary Publilic,Stateof Newy lurk�l (Signature oC ap ant) Term Exxpirres Decemb r-C.1,unty yv PLWf-eWT�s-so-OJeO bt�.52 It is the applicant's responsibilit maintain adequate sanitary dist between all water supply and sew 20 disposal facilities. Y fit � >1�IEL. A#lOSi1?WAM DlEPOBAL FOR 1'MN# RES1DEIl�E WILL a 1V%T OOLE 60L.S.+) +Z TO THE STANDARDS OF THE { F riy3 ors E�,S1 � CLK CO. DEPT. OF HEALTH SERVICES. f OFF Mad ." `'.. '�OAOC. 4r � AilI.ICANT Q/d �M lfrt+ : i _ 9 �` 1 tin.. 5.7ti N ._ OTALl- �a it rh f1#ROLC COUNTY DEPT. OF HEALTH FOR APPROVAL O"sEAwr.L--L _ ES F S' Btlb81�EAIT CQNSTR ION ONLY a-BIQL.�Ij� Q� - `an _ � DATE: it3 ' •_ _ WO 6 It .-: '• H. S.REF. NO.' + APPROVED:AROVED.5. • ,�� �,,, '1!i•O Ltl c: f fi L 1. , \�� A $4* a 2S•xr ® SLWFOLK CO. TAX MA SIGNATION: 10 DIST. SECT BLOCK PCL. / \ t :1 ?:, . ' I:`%ti_•'i ,: 6,.1 i .. ., c. .. _; ; . 3 �—� up13°—! 0-MC1t3t1M�iT� r?i.; V�% r: }' AIZEA--ASS AMES OWNERS ADDRM: s `Tt�7{£:LttatE? 1C) SCAB ' 1eJf?'.a i F`taf f"r •_ q _ Y ' . s3 i3 strnAi Et�o+_ t 1 EL I lea i MAW ; DEED: L,PLAt P. SrANIP SANDY TANK S.O 6.a q4i• -\ '.� 1406M `•. . . . F . ri,2AP t A*eaa 2s xNa _, iOC„�8.14ii S"L w NE- .�CJ10 s SJ ' / P.E1/ISIONf : AlX2. tC,19�9 ^ L try- 5�-Af i __— ---"- _ { S " C...... N � .. PIW. 22, l9 j�c : \\ Pit Er`�..f A -14 JAW 19,�'. 11 s o �Ja 11, ih. 3.e'.,s �r 1.'.. �\' t . 1,{Et •LA�!! n �� 1�`-2..%S�} pREENI'ORT NIA!/ YORK IEUMA POST NBIl79 �! SUFFOLK CO. HEALTH DEPT. APPROVAL i H.S. TIE N•�205(J F= R.� _ .._r,:ifi*� = cam_ - --� v ,.iT.oti _ _. - - • - y' STATs�T OF INTENT I I THE WATER SUPPLY AND SEWAGE DISPOSAL t , N9t1J ,� SYSTEMS FOR THIS RESIDENCE WILL t\} CONFORM TO THE STANDARDS OF THE i `. TM-1 r OLS(a .5.� p 0' y i r�A� s e:?� � SUFFOLK CO. DEPT. Of HEALTH SERVICES. `A ' IS! i=t:3�.KJ Sik'.IpB 4'- - �9t$ 1_.•_ -.W 4VL 8, �c vtaiR g.,... 1LS 43 14 °J APP! (CANT 4 . -- __ *. �S r h SUFFOLK COUNTY pEPT. OF HEALTH ' .. � / DE7A11. SERVICES - FOR APPROVAL OF ION Y 154..�:� - �, ,��= _.`_ - ��" }. �- -5i'A�K1ALt.. -.• �' ' � �$' H A S(�MIS N T CONSTRUCT ONL mpg A P Let-.11r = ?A MirliL DATE: F1A04ii q�y `s �_i` Y Act_ 0- OS 1 Cf� �I '� \ �Y�` RL �- !!/ y4 9LL REF. D HMPIKiVE tR� 6 SUFFOLK CO. TAX MAP DE5161iATtbN: !�"y! p DIET. SEtT. BLOCK ILL. AODR 1 t , r11 Nle,t •�:r�:. jr;., IIK�S OWNERS 91 , SCALE p _i . BXPAW")m POO,- u s ;-(•f~f_. ��-=?Itfo1 #N i�lif� OtED: 1. P- �- 'N �P �`•1�},t . J3-+.' �cnaG3 tior! • of 12-0 1O.♦ A .; NO} ,;,; .. w\'ork'Staft " - �. *�r�'e•'T-"'q>�°`r'k*"'3+s*=-r„��`� � w., Z 1i �C •\ t '� I ![ . .,_ tAKNi `,. ` . . �met a,o.arinp Tiered POOL 3) -` �\ �.— ,.?� ✓I�}r.� V1ls 1 �= �g gNfY tow � �:�d try c ov] mnsi �� \` L2L VrKM tav riJ "��.^v`+ �17 Gu a r .s n* ee.'tie�eon snap run 2.6 �\ - tl J '. — erri h Vwa to 4he uraM JJ __ d IV -- p y>R Me r � w) � IW T ,�-v .t.,• I 4N{,sA S }rt 4•.,. ` f f 1 , .. ,....rC-reAWf:l.-{ } 7 I ( 1 .-I 'd r ,"-� \ t- I , ,. . _.• . .•-�' .i:. ¢ffVt510N�: AFTZ-. , �..\ . •..J IVJ.r � o 4 VAN n .r. r Aft f, Pam �� f 1'1 J1J4Y..( f 1 F�IANO G 5 r aFMN NIW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL q�I Y; I I N y `$ � .p. '✓:r.e Ji`YC2 r't c ISj_ `ig.Y _.44gf'• t r __ Nrr r,., `}mod y r '` STATEMENT OF INTENT / WA-, t V THE WATER SUPPLY AND SEWAGE DISPOSAL ro 1 tt Q Tasz Ho�E ��•f_�� a }y F � SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE Cal t � ZONE V-7 SUFFOLK CO. DEPT, OF HEALTH SERVICES. r 1 _ _,,. -� Off P ..\ `'• i7� 'T•p� '$ APPLICANT DA S.7 y I ,tip 4, 04 1,4a. 4_ / [3E 'fAi4 ! SUFFOLK COUNTY DEPT. OF HEALTH � � �^ �p i• i 9R1YJAtz SERVICES — FOR APPROVAL OF ui 5 E[4SEMENT CONSTRUCTION ONLY TO WRL.L DATE: lL W t3fS.6� ;^ •sti �. H. S. REF. NO.: $$-90- 05 i •' - 6b p APPROVED: ei GE: oT- �aucaw t �5• ._ tic _.f W SLL AZ F�i �'E / ' SUFFOLK CO. TAX MAP DESIGNATRON: b ` DIST. SECT. BLOCK PCL. AJZM-IM AME5 OWNERS ADDRESS: `� TF� liter #raet:_ aiSCALE �.r aV,i4.Y' t ""f77 t CID�fA #,e i-i QN 0ua �... r.` &►cpAN9K)N (�pl 1 1 - ;lion Puy Et..19't j LMWr=ZT Pi-OM DEED: L. P. z c 3�! TEST HOLE Wfllon of TA20 NK 1 -- - ` J f. 4•'K�}' -ice+ t rJ 744 C'vw'`N: ✓'1 L -r '' c -r J �4 z:n New York 9teft ..C" .=.M. �AN� ebart Lxw. f°ISOI. (3% A. .t.. �4� �{� �Nk�;/tl C: �k S.�i ir`I} %�+..)�`7 :.1�ANi C s of INS s�:n mart not Wad ng -7 ' t i � h � ti, ar rtrad scaf o: -.s I/ \.� �4 �LIFif�4 t, t14. Elk .; Y `• r�r � e c,sezi al not 6e Cnn tc ur s ud trues espy. b onm SAND gor!� .)t ,�.td 4I G t anihsa iz uoon M1 s^ em he s ru 1" Tt4r D^R il"�'!+F;%' t�'�i wA"TSG• t Srnmnmen mif to a � - ,,11 -� .-, ((- r -,.-} `• /} \�/ 1 1•T '+ IS i 1F6.?„�, t �ru n tis ha an ' i/'l�'/ �.,.Y r r•'�l Ct.., - C.�. t IN t .-ss of tie lei C og r i. eJ� � , ma,�tnimna -w2s are not trcns.era, ar suSaeq 1 r f wr i NT ff. 8� twr &9 � cA\, } _ 2EVIZIO ° .'pal "� p {2�]IfQ�-(F'4/s..7.r`wDwft:Az,/'r COUP. r t f•KN 22 i9A9 A .-_-_U,t E T Lr� - i hk vCl lk`: 1� is4i \i oo VANWL. P.C. S ; ---_--- __-----.- ---- _-_ _ \-� LICE LAND ORS 9 \- GREEMPORT NEW YORK �s SUFFOLK CO. HEALTFfDEPT. APPROVlL. i.; H.s. ?to, aa�o-05 17. ',Ttt LINE] Ott "r tom. STATEMENT OF INTENT yit WA. =� i tTHE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE - t r-•L_00C 7G+ 'r-9 - " ' 6 °Ss 1� a Ct F' T'; SUFFOLK CO DEPT. OF HEALTH SERVICES. � S' (S, 1 APPLICANT •r t� 3.e t•9 I oc,.,� 5.7 y :: ,� _ :, :_ .4 -1 uA D�TAt1 h SUFFOLK COUNTY DEPT OF HEALTH M.FAWA4 1 ! SERVICES - FOR APPROVAL O wx a ;Ei. I1 g� 3 • ovna: . _' ui � �' s' s rnn�Nr� �A CONSTRUCTION ONLY i TC WB.L.L DATE' . E H. S. REF NO H$50 05 ;x 1r aL!. APPROVED. _\ 3 * ?yla l f ;' ' SUFFOLK CO TAX MAP DESIGNATION. t•.5' i DIST. SECT. BLOCK PCL F•, rn " . 'v -'. '. �_66 uMVN_p' 0- MOt1Ut-1Ltv7, \ SUFFOLK COUNTY O[PARTMENT OF HEALTH RV16ES j AQEA' 3.85 ACQES OWNERS ADDRESS: It F F OWEL LING c (Tn T.IE LINE DATE AU l j t FED ,�0 -a5 - fNQ. The sewage 'l't{15rd LT(J Niter cup*v Ie .!A for this jocab0fi Ildt., I,e R>pP•l.lE� t1'r iIi':5 �PIarLT[:flE I ti .0 I • = EXPANSION F-IJOI_ - CjhW dgePC dt?J 10KId 3"A.0 '0 �rP, sh"1tO� ry ^� 1. P. CI1PI L M"tll 1 DEED' L. �i TEST HOLE AMP I`l 1 1.. _ . .���,1J ���_ (3 i • d 1 -L.[:.JMG wATEt` 2.a � ` •� / 4C !t rJ"Y ::�•� �A!q`r _rr r - .... 9 f°I:Ufr30 7•.?t�( ti•7�G f"F3iN; G �2,Sy -n . I iJA . .- F ...• �, �� F � ^ 11 !-.%L'VIS!~.7 t�IG.k.t't,19�� p&C.$�19138_._ `AA4-� � I -.: :_: ... t J1f� r 1 i•�L 1. �ED tom/ o f 1. _ __.S—_ V ;•. �la�� i � SEAL O �zevl TU 54iC�wf FF r 1 - GE /I�IpN APf1. 14.�9 1 }E; '4 -:5 ✓AI'.`.'Tr ,\,, (.Ctt �'. 1 f "-\\> I — - _ Y v moo` R('i]aR�"IQK VAN . I I t.. P.C. AO. �.-` -DULY 24,i992 - - ---- - LICENSED LAND SURV ORS 6REENPORT NEW PORK IftED�NE RJ51 nr813» -- - 3 a I � b, El II I I II iI II II I I I I i I I I I I I I I I I I I , PLUG'- ✓ 1FS `IZ _ n r OF' Glv.l cL - I i { *Le✓entYPs�� k k. out { / l y 4��i14 Aa q 1 i I1II 1 �� Pig g� I I 5° PLUMBING ALL PLUMBING WASTE:+%%URUNESNEEO;: !,' TOTM BEFORE COVEMOK I f I �� t � - 1. N"pRfIt 06PPU tub I Fn �$RUI'ED 47 ' - f01 - OEPARTM AT'" a� b warnd1aft I' ___ Cam✓ I �� La-✓ .. I i I . . . ut n Y 1rt a . _ � _ .� _ THE BY 'k no IF u _ � _ M FOR'rr a YY riP r ANY 'C r — t, 7 r . , Ld tem:PiPi , rhal ba. I ! - � r ' t _tea-LA'LE`: /rF_ e I �e 4=fa LOW11aG 1N5�£CTIONS. £ I k . - I of TWO R'or,t-OnlyI Y 'IWO REQUIRED _ � EEA ,j A ED 2. R`OUGHURFRAMIflf &TPLUMBING OlOiED Ll,�_/ � A.'FINAL - CONSTRUCTION MUST SULATIONUNT IL ,SURVEY OF mI E RA IV BE coN PLErE Foc.o. FOUNDATION LOCA710N ;f= 9L V+3 T C o PLUMBER CERTIFICATION - ALL CONSTRUCTION SHRTHE NEYT. HAS BEEN APPROVED OCCUPANCY OR � - THE REQUIREMEN S OF .- `7 ON LEAD CONTENT BEFORE STATE CONSTRUCTION & .ENERGY •''' . - DESIGN OR T . ONE ERRORS i CERTIFICATE OF OCCUPANCY USE IS UNLAWFUL CODES. NOT RESPONSIBLE FOR „ . � DES CONS RUCTI RRO SOLDER USED IN WATER SUPPLY SYSTEM CANNOT' EXCEED 2110 of 1'% LEAD. 1 � Y WITHOUT CERTIFICATE OF OCCUPANCY A UNDBTNRITERSMO CATS FA R UIRFA ' !4' • t7777 t rr s„ n � r i' `` S , ':�x'�'R'l�-p^_jam� ' _.� .q�:as '�a i�i;=+s'kxu�F�'e E�IF--J❑rs hr.,� ', ' , I- _ ,, ,,,I �� kJ��f� r6 arz: 'A'c - •i'F`M PFr+t#t- . _�aalrr -a�-:ea✓-� 'p,iwr�., ' I,' . ; sLu ..RLIa2 FiL�.:a �: �a. �.::12'-rarl g�wrJkj. �. 4 3-b' Imo ' l ❑ -o I-o 1�=0 .o' � - o I ^ I_ ^ I G k4 r '_ a�b .1c In s 1f hl�l s/ ;:4,We JIz�A'„ga�YS" rT 1 I _ AIL ' '�" �'��L'"'"TOUik+"hR.L4fI LJy"-7❑ a'E.- 11-I�Y�.flo .p4S' q.�U71C"Fbl 7dJ'FL`Gr�"rNR41: ", . I, I � � ' • ,I ., i, I I I I '-) I I � I - + � � ' - � + ' -�j - .; ' ,_ ,;. _...- .._ . __ :,. _ _ _ . . ' �,�: _ _ - s - -Y b 'r,+r Pfdk 5'Nc vrr� o❑ c�.J. � � oc a.J. - - � — . I�Jf❑---QI'1'i'�'.,tk�.z�ic- .-'S-a i.l�d.di P=aik't - ., �,, ; F, , � , ' � II � I, I I _ � j ,� , tJ: aS A. 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N LA 4, — -f- * Rem ' A- i I I II I I 'I II LIM r = =1 W CL _ i W EUD TYMkSft L¢EtAKr4VrEIcA r.'- - ------ D OUP4r i , -� - - - - - SINWk JW.X 9Nb EAp1 ` �I� — - -s DOuyBOA4KSLO PKk sru� M Wo srOD �•---�. -, (���~6�-$�-4 - --, I �-�- - - ' (S'Y�- . 5 ~ C - Ilm .nF- sNh (j W Ilk 1. ' •�� �- DOVI �' • _ 0 o J - o 23 It �.N _ � ..� � I �[- ( 'd ) i�4 � - - '. I :1 ----_-- -- •I� -'� -mow r. llll II s� L`Y �� _rY I - I I� � , y 9 „'ice r-- I - — - CID�} f- W DO01I JACK-srOD W WI I � H 14 4 Z sNn I I _ y _ _ eN I ate Y}� I p �GZf)Jypw8, I dn'11 gII 3'-0/0 t 20 . pall q.I.gA - Zo 'L''IO'I # 8'-2" ?,.O' '.ro,} � �,� 4,, 31 e� pgAfusTon II•�n 21.p,1 G,_�n - — _�2 6)1 - client/owner. LIM I ' NpA(♦EQ. St2CS WDICATEO lu R-£D O 4R� — m MK.AIMOZ 9 CeLGN7AHO � I81991 Z I'1oT6 "(NI5 Vzammdc, AA IEIdG;I Y.l��W'r.lp r!LLI/ ^,K, ,TWu7'fcvdo-A 1� t... F 111.VINcr �El�n II i N- 11 12 Z. l H,st- -rO O-U, fpOrpKINT _ H m s ewN SHnoc�. coNs� lcrloN tx-T`.II.� AfI NET AA�Ynn ��yy//�� �� C]•{W�I C,rIJ YJXC id✓r A•"�.,�yaTu7. Q protect title. WHIRIAII I- Toe, W/ 2"dqRA1H I',vGOe To rhlhl', `- HeT ,LE, I \ H l,111jI IIneF;rd.lra 411, 1-�,Ir���� ,; /// S YI,(v OL IC WuiVl y1, 11 chG A¢[ IIr .�I ' '/ yI J, II'( 19/ /,],/y*,/'1 11 rT 4e'i iu'l .r� UY v. ..vl i-nS,r.ly rU IN, 4LAslr�„ CMG� �h�t w-, 18L� � drawing title. ' K.%C� � C97 f ri[ - 7 vuuei 5VI 0r/ G ---a - Q ¢Laoh I'LAN date. scale, m issue. I / W drawing no. \SSERED qq C, � / W A ref. no. 16341 Jt.OF NEW SDP NASSAU SUFFOLK BLUEPRINTING