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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24883 Date FEBRUARY 5, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 1145 MAJOR POND RD. ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 39.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1996 pursuant to which Building Permit No. 23568-Z dated JULY 9, 1996 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, SCREENED PORCH, REAR & SIDE DECKS, CUPOLA AS APPLIED FOR & AS PER ZBA #4336. The certificate is issued to PEGGY HELLER & ANNE WYDEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0049- JAN. 29, 1997 UNDERWRITERS CERTIFICATE NO. N-408989 - JANUARY 17, 1997 PLUMBERS CERTIFICATION DATED FEB. 3, 1997-HARDY PLUMBING & BEATING Bui ding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24884 Date FEBRUARY 5, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 1145 MAJOR POND ROAD ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 39.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1996 pursuant to which Building Permit No. 23568-Z dated JULY 9, 1996 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 ACCESSORY GAZEBO IN REAR YARD. The certificate is issued to PEGGY HELLER & ANNE WYDEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 TORM NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23568 Z � .......... Date ............. ..... Permission is hereby granted to: ....423.................................. f3: .......................................................................�c� .....%.............................................. ......... County Tax Map No. 1000 Section ...... ...... Block .....£�.......... Lot No. .. .•.l...... pursuant to application dated .................. �. .., 19Cf�., and approved by the Building// Inspector. Fee $./,C/ 7 ... ......... ..�C//�. .. ^................. Building Inspect �S Rev. 6/30/80 QzG Vjrj TOWN OF SOUi'HOLD BUILDING DEPART:ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATR OF OCCUPANCY A. This application must be tilled in by typewriter OR ink and submitted to the building inspector with the =ollowing: 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 Chan 2/10 of 1Z 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 325.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existi_n- Building - $IOO.00 3. Copy of Certificate of Occupancy - .25c- 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date Jan. 31, 1997 . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . New ConstructionOld Or Pre-existing Building. . . / ) Location of Property 1.145 MAJOR POND ROAD ORIENT, N.Y. , House No. Street Hamlet Onwer or Owners of Property.. . . .... . . HELLER/WYDEN . ... .. . . . .. ... . .. . . .. . . .. . . .. . . . . .. . . .. . . . . . .. . . . .. . . County Tax flap No 1000, Section. . . . .26 . . . . .. .Block. . . .?. .. . . . . . . . .Lot. . . . 34':.. . . . . . . . .. . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Hap. . . . . .. . . . . .Lot. . . . .. . . . . . . . . . . . . . . . . Permit No. . .235k$4 . . . . . . .Date Of Permit. . .MM. . . . . . .Agplicaut. . . RRIICE ANDERSON Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. .. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: 5. .':". . . . . . . . . . . . . . . . . . . l J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLI V'£ 0 2-J14 TOWN OF SOUTHOLD BUILDI`3G DEP ARTMF_NT 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: I . 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 LZ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Comgliance 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 stace the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool 325.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses 350.00. t 2. Certificate of Occupancy on Pre-existing Buildina - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 515.00, Commercial $15.00 DateJANUARY 31 1997 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. New Construction. YES. . . . . . Old Or pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. 1145. ... . . . ..MAGOR`S, POND, RQAR .. .. . . . . . . . . .. . . RIt: .T . . . . . . . .. . . . . House No. Street Hamlet Onwer or Owners of Property.. . . .HELLER_ ,/,WXM. . .... .. .. ... . . . .. .. . . . . .. . . . . . . . . .... .. .. . . County Tax Map No 1000, Section. . .26. . . . . ....Block.. . . ?.. . . . . . . . .Lot. 39, I. . . . . . . . . . . . . . . . Subdivision. . . . . . . .. . . . . ... . . .. . . . . . . . . . . . . . .. .Filed Hap.. .. . .. . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit Yo. Z15WZ . . . . . . .Date Of PermitAUX.9. IS196. .Applicant.RRUCE. .ANDERSON. . . . . . . . . . . . Health Dept. Approval. . . .. YSS.. . . . . . . . . . . . . . . .Underwriters Approval. . . XES. . . . . . . . . . . . . . . . . . Planning Board kpproval. . . . . . .. . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Carticate. . $. . . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y.� 4 . . . . . . . . . . . . . . . . . . . . . . APPLICANT cn 2� r ygS�3 APPEALS BOAR DMEMBERS ��o��gUffO�kCOG� Southold &,wn Hall Gerard P. Goehringer,Chairman c a� 53095 Main Road Serge Doyen,Jr. y x r P.O. Box 1179 James Dinizio,Jr, o Southold,New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A.Tortora Ol �a Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD October 19, 1995 Mr. Bruce Anderson ?g OCT 2 4 1995 !} Suffolk Environmental Consulting, Inc. i P.O. Box 2003 --3 DEill Brid ham ton, NY 11932-2003 BLDG. OU-rf � P � TOWN OF cnOTll0l.R Re: Variance "336 - Nancy Douglass/Peggy Heller Dear Mr. Anderson: Please find attached for your permanent records a copy of the Findings and Determination rendered by the Board of Appeals in the above matter. Copies have been forwarded to the Office of the Building Department for their update and recordkeeping. You should be aware that since this project is located within 500 feet of a waterway, the Suffolk County Department of Planning is expected to review the town file and determine whether or not county action will be necessary under the Administrative Code of Suffolk County. It is expected that the county will either decide it does not have jurisdiction or refer the matter back to the Board of Appeals concerning the town's action (rather than taking independent action for a county disapproval or approval) . No further steps are required on your part since our office is required to send a copy of the ZBA file to the Hauppauge office directly. Please be sure to follow up with the Building Department, the Health Department, or any other agency which may have jurisdiction. Very truly yours, Enclosure Linda Kowalski cc: Sr. Building Inspector (Tom Fisher) Suffolk County Planning Commission APPEALS BOARD MEMBERS oy` Gyct Southold Town Hall z Gerard P. Goehringcr, Chairman ,,. M .53095 Main Road Serge Doyen, Jr. Gy !�4 P.O. Box 1179 James Dhrizio, Jr. �©j � jSj Southold, New York 11971 Robert A. Villa Y,nxr� Fax (516)765-1823 Lydia A. Tortora Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Jctly 1 , 199E1 Mr. John Boufis, Building Lrsp( rtor Soulhold 'Town Building Doparlmoirl Mnin Road Southold, NY 11971 Re: Appl . No. -1336 - Peggy holler Vmrinnco Relief Property 11) 41000-2G-2-39. 1 ( 11,15 Majors Pou(l Road, Orient) Dear John: As per your indoiry today , this latter will confirm that the eclion under Appeal No. 4336 (Heller) taken by the Board or Appeals fit it; October ll , 1995 moeling included approval of the vnHonacs based upon theSeptornhcr 14, 1995 Notice of Disopprovnl. Since tho Disapproved roquirod rculoc.tions in Hik, front an(1 rear ,yard setbacks, mud both were discussed and approved fit the bearing and deliber,atc,d upon, the record should be corrected to show that both front and rear ynrd ,etl mrk reductions are identified on the June 29, 1995 s n,voy, and "Approved as applied for." We hope that this letter will be sufficient to correct the records. Thank you . Very truly yours, F GERARD 11. GOEMUNGER. CHAIRMAN lk r . , New York State Department of Environmental Conservation AmBuilding 40-SUNY, Stony Brook. New York 17790-2356 Telephone (516) 444-0365 Facsimi)e (516) 444-0373 up Michael D.Zagata Commissioner AMENDMENT TO PERMIT Peggy Heller and Anne Wyden Date: April 23, 1996 42 Farm Lane Great Neck, NY 11020 Re: Permit No. & Location: 1-4738-01114/00001 Majors Pond Road SCTM# 1000-26-02-39. 1 Orient Dear Permittees: Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: Reconfiguration of the proposed dwelling, deck, garage, screened porch and pervious driveway as per the attached survey prepared by John T. Metzger dated 1/27/95 last revised 4/1/96. This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Very truly yours, P it Administrator cc: Suffolk Environmental Consulting, Inc. BEP File Albert J. Krupski, President SS�O��SOFPU[ OG Town Hall John Holzaptei, Vice President �� 53095 Main Road William G. Albertson y z ((( P.O. Box 1179 Southold, New York 1191 Martin H. Garrell O Peter Wenczel 4111p� L ���� v Telephone (516) 765-189 `A� Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 12 , 1995 Bruce A. Anderson Suffolk Environmental Consulting,Inc. Newman Village Main Street P.O. Box 2003 Bridgehampton, NY 11932 Re: Peggy Heller and Anne Wyden SCTM # 26-2-39. 1 Dear Mr. Anderson, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS, Suffolk Environmental Consulting on behalf of Peggy Heller and Anne Wyden, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 29, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations„ and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that, the Board of Trustees approves the application of Suffolk Environmental Consulting on behalf of PEGGY HELLER AND ANNE WYDEN to construct a 2,982 +/- s.f. single family dwelling (base floor) , an 800+/- s.f. attached deck, an 840 +/- s.f. attached garage, an 876 +/- ' gravel driveway, a 318+/- s.f. walkway, well and septic system as per amended plans dated June 29, 1995. Also to include drywells and haybales. No clearing beyond limits shown on survey. Located Major' s Pond Road, Orient. Please note if the Zoning Board of Appeals grants a variance to move the house closer to the road, you must come back to this Board for an amendment to the permit. Permit to construct project will expire two years from the date it is signed if not started. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/jmd cc: CAC Bldg. Dept. Zoning Board of Appeals i Al OARD MEMBERS �gUfFO( j C- vGy Southold T1wn Hall Gerard P. Goehringer,Chairman y 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. 4 o r r; Southold, New York 11971 Robert A. Villa � y'�/ �ao�yy Fax (5 16) 765-1823 Lydia A. Tortoray Telephone (516) 765-1809 TB(O��A,t7R�D pOFSpA[PfP7E�ALS ACTION 6F THEQB6A7ilOTO AP ALS DATE OF ACTION: October 11, 1995 APPL. #4336. APPLICANT: PEGGY HELLER (or NANCY DOUGLASS) . LOCATION OF PROPERTY: 1145 Majors Pond Road, Orient. COUNTY TAX MAP DISTRICT 1000, SECTION 26, BLOCK 2, LOT 39.1 . BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated 9/14/95. "Insufficient front yard setback as set forth in the Zoning Code . . . 100-30A.3." PROVISIONS APPEALED FROM: Article I1I, Section 100-30A.3. RELIEF REQUESTED: The June 29, 1995 updated survey map shows a proposed setback at 43' from the edge of the step (stoop) to the westerly front property line, and 47+- feet to the edge of the asphalt pavement within the roadway. The distance between the outside wall of the outside on the westerly yard to the property line is shown to be 55+- feet at the closest point. The setback from the southerly side property line is shown at 82+- feet, and from the northerly side property 231+- feet. MOTION MADE BY: James Dinizio, Jr. SECONDED BY: Serge J. Doyen ACTION/RESOLUTION ADOPTED: Approved as applied for. REASONS/FINDINGS: Property is a wide but narrow lot due to the wetlands from the pond area and general variable contours in this FEMA zone. The house is proposed to be located in the FEMA C Zone area to mitigate flooding possibilities as recommended by the other agencies (including the Suffolk County Health Department under HS Ref. No. R10950049, NYS Department of Environmental Conservation conditional permit No. 1-4738-01114-/00001-.0, and Town Trustees. The relief requested is not substantial in relation to the requirement. There will be no benefit afforded the applicant if the variance were denied, and a grant of the variance as approved will not cause a detriment to surrounding properties regarding environmental or physicial conditions. VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr. , Member Robert A. Villa, Member Lydia A. Tortora, Member Gerard P. Goebringer, Chairman-Member This resolution was unanimously adopted. j (k GERARD P. GOEEIRINGER, CHAIR MAN ..�. .. "�' IIF'• "0�' � .- ; V V � agga �f•^; - �7,ti FJ. d-Yry:.r%'171^^47'_� '-.L.'Y"' �i Board Of Southold Town Trustees I SOUTHOLD, NEW YORK i' PERMIT NO. 41 DATE: „June 30 1995 i Y ISSUED TO Peggy, Heller ,and Anne Wyden \ y 3{ Pursuant to the provisions of Chapter 615 of the Laws of q{ 1 � a the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- tt ( r' titled "REGULATING AND THE PLACING OF OBSTRUCTIONS 4�« IN AND ON TOWN WATERS AND PUBLIC LANDS and the \\ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM E; / LANDS UNDER TOWN WATERS;" and in accordance with the p Resolution of The Board adopted at a meeting held on June 29 ^ 19 95, and in consideration of the sum of $ 150.00 paid by Suffolk Environmental Consulting,Inc. of N. Y. and subject to the k CCf�� Terms and Conditions listed on the reverse side hereof, G , of Southold Town Trustees authorizes and permits the following: ' y t to construct a 2,982+/- s.f. single family dwelling, an F, ' i; 800+/- s. f. attached deck, an 840+/- s.f. attached garage, an 1 876+/-' gravel driveway, a 318+1- s.f. walkway, well and septic system as per pans dated June 29, 1995, also to include drywellslt� 1'I all in accordance with the detailed specifications as presented in rt" ) � 4 the originating application, rp / 21 and haybales during construction. No clearing beyond limits. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to j be subscribed by a majority of the said Board as of this date. r. y ,�� 99 ,, /I��, .�• ' rw ; • i . G � .. A..Gl./..�t �1/�/`LJ'�2-- ilk Trustees , / n'ka.+4:+6s..d•, d�,�^..6.,.xYGa.„at.6-�...G1J.^`:_ .^..�"i.�s.,.�.E w,'.�... .,i.3,.L.c'ia4n -T.0 �" \ L 4 SO UTHOLD . .T-R.USTEES Na. I R m I T issue ®` 4 t - Address rnu6cs THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Albert Krupski, President ��� Gy Town Hall John Holzap el, Vice President a 1 53095 Main Road ae P.O. Box 1179 Jim King Southold, New York 11971 Martin H. Garrell Peter Wenzel ��j # �a® Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 22, 1996 Suffolk Environmental Consulting Bruce A. Anderson P.O. Box 958 Water Mill, NY 11976-0958 RE: PEGGY HELLER & ANNE WYDEN SCTM #26-2-39 .1 The following action was taken by the Board of Trustees at their regular meeting of May 22, 1996 : RESOLVED that the Southold Town Board of Trustees approve the request for an Amendment to Permit #4489 to reduce the size of the house as noted on survey dated April 1, 1996. Located: south end of Majors Pond Road, Orient. This does not constitute any other permits from any other agencies. If you have any questions, please call our office. Sincerely, aa'- 9. 1��° �• Albert J. Krupski, Jr. President, Board of Trustees AJK/djh CC. CAC BLDG. DEPT. ZBA � . oil co PaM 721 �I , Fire Protection Eaui�nxe t Section 721 . 1 Smoke-detecting a z�m'd v ' mok€ detecting alarm devices . _installed in conformity _w-ith—sectio 1060 . 10 of this code shall be provided outside each separat sleeping area in each sleel2ina space and on each floor level. 902 . 6 (k) Anti-scadd and/or thermlve n devices shall be installed in the water supply to individual bathing and/or showering fixtures to provide a reasonably safe degree of control from excessively high water temperatures The devices shalt be of pressure balancing thermostatic mixing or combination pressure balancing/thermostatic types conforming to reference standard RS 33 -25 Suffolk Environmental Consulting, Inc. Newman Village, Main Street,P.O. Box 2003, Bridgehampton, New York 11932-2003 (516) 537-5160 Fax: (516) 537-5198 Bruce Anderson,M.S.,President ,a November 21, 1995 John Bufous,Building Inspector Town of Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Building Permit Application - Peggy Heller and Anne Wyden Situate: Majors Pond Road, Hamlet of Orient SCTM # 1000-26-2-39.1 Dear Mr. Bufous, My clients are contemplating a change to the Building Plans which you are currently reviewing for the above referenced property. There is a likelihood that the size of the dwelling will be reduced. Accordingly, by way of this correspondence, I hereby request that you suspend the processing of this Building Permit Application until such time as revised plans and amended permits are forwarded to your attention. Please keep the file in order. I appreciate all the hard work that you have devoted to this project. Thank you in advance for your cooperation and understanding. Sincerely, Bruce A. Anderson CC. P. Heller and A. Wyden �1 Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003, Bridgehampton,New York 11932-2003 (516) 537-5160 Fax: (516) 537-5198 Bruce Anderson,M.S.,President October 26, 1995 Clair Toy, Clerk Southold Town Building Department Town Hall P. O. Box 1179 Southold,NY 11971 Re: Peggy Heller and Anne Wyden Property N/F Nancy Douglass Situate: Hamlet of Orient,Town of Southold Dear Ms. Toy, Enclosed herewith please find the following materials for the above referenced Building Permit Application which is currently being process by Gary Fish of your Department: (1) Suffolk County Department of Health Services Approval; and (2) Blank Check to cover the Building Permit Application Fee. Kindly, hand these materials to Mr. Fish and let me know how much money is being assessed for the application fee. Thank you in advance for your cooperation. Sincerely, �v Bruce A. Anderson 0 !^ i CC. P. Heller and A. Wyden Post-11'"brand tax transmittal memo 7671 #of Pages . To Bruce Anderson F§n Two, 8l[lg. Dept. ORM NO.1 co. (-Wf.)nYirormental co. Dept. 516 Phone# Fax# 537_5198 Fex# )F SOUTIIOLD , DEPARTMENT rLjtvty uLER K'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL p Date . . . . . 1. . . . . . . . . . . . . . . . . . .. 19 .l. To . moo. ,.,�.�,,< . . . . . .�. � . . . . . . . . . � PLEASE TAKE NOTICE that your application dated . . . . . . . . . . . . . . . . . .. 19 ? . for pennit to . . . . +!�i`�.f• v /XO. . . Location of Property . �p. tpt . . . . . . . . C . . . . . . . . . . Nousa o. Street Hamlet County County Tax Map No. 1000 Section . . . 1F�. . . . . . [flock . . . tr. . . . . . . Lot . . . /r. 1 . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . is returned I ere% ith and disapproved on the following a J,.ys • • `-�l� _ y /. . . / ... . . . . . . . . . . . . . . . . . . . . . � `. . . . . . . . . . . . . . . . . . . . . . . . . . . . ?f / . z-B .q 37 6 ��¢ lei D ilding speccl-or RV 1/80 A* Albert J. Krupski,President �O��gOFPU(,�cOG Town Hall John Holzapfel, Vice President y` 53095 Main Road C40 William G. Albertson %, r= P.O. Box 1179 Southold New York 11971 Martin H. Garrell Gy • ��F Peter Wenzel '�Ipl �•�4 Telephone (516) 765-1892 ir Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD S .E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION N0. 1000-26-2-39 . 1 Chapt. 97 - Wetlands NAME: Peggy Heller & Ann Wyden Chapt. 37 - Coastal Erosion DATE: May 26, 1995 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617 . 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Type I DESCRIPTION OF ACTION: Applicant requests a Wetland Permit to construct a 2982 +/- sq. ft. single family dwelling (base floor) , a 800+/- gravel driveway, a 318+/- sq. ft. walkway, well and septic system. Based on moving the house at least 10 ' back and getting Zoning Board of Appeals approval. Located South end of Majors Pond Road at its juncture with Willow Terrace Lane, Orient. LOCATION: SCTM #1000-26-2-39 . 1 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees . 2 . An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. CC. CAC ZBA pAY New York State Department of Environmental Conservations Building 40 - SUNY. Stony Brook. New York 11790-2356 Phone 1516) 444-0365Ce Fax # (516) 444-0373 W SEP I I �o�yENTAL QP�� Mtchaei 0. Zapata lam, r Cammiuloner August 24, 1995 Peggy Heller and Anne Wyden 42 Farm Lane Great Neck, NY 11020 RE: 1-4738-01114/00001-0 Dear Permittees: 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, please 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, I . Laura J. Scovazzo Environmental Analyst I LJS:jr enclosure File NF ORK STATE DEPARTMENT OF ENVIRONMENTAL CONS `TION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738.01114/00001-0 8/30/95 FACILITY/PROGRAM NUMBER(S) EXPIRATION DATE(S) 8131198 Under the Emrironsental Conservation Lev TYPE OF PERMIT 11 New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection ❑ 6NYCRR 608: Nater Quality 0 Article 27, Title 7; 6NYCRR 360 of Haters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373 Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management / Article 24: Freshwater Wettands 0 Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 0 Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 other- PERMIT ISSUED TO TELEPHONE NUMBER Peggy Heller and Anne Wyden ADDRESS OF PERMITTEE 42 Farm Lane Great Neck NY 11020 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Suffolk Environmental Consulting 516-726-1919 PO Box 2003 Bridgehampton, NY 11932-2003 NAME AND ADDRESS OF PROJECT/FACILITY Majors Pond Road, Orient LOCATION OF PROJECTJFACILiTY SCTM# 1000-26-02-39.1 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Majors Pond (FWW#0-10) DF9MIPTIOV CF AAHE121D PCfIViT' Construct a single family dwelling with attached deck and garage, a gravel driveway, walkway, well and septic system. ALL work shell be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, ail applicable regulations, the General Conditions specified (see page 2) and any Special Conditions Included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS _ Roger Evans Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE 8130!95 Page 1 of 6 CSL 030ITICIS Inspections 1 . The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of EnvironTental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such represen- tative may order the work suspended pursuant to ECL 71-0301 and SADA 401 (3) . copy of this permit, including all referenced maps, drawings and special conditions, rrust be available for inspection by the Department at all titres at the project site. Failure to produce a copy of the permit upon request by a Departrrent representative is a violation of this permit. Permit Changes and Hennes 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit v%es obtained by misrepresentation or failure to disclose relevant facts; c) newrreterial info m-ation is discovered; or d) envirorirental conditions, relevant technology, or applicable la+v or regulation have materially changed since the permit wes issued. 3. The permittee crust submit a separate written application to the Departmant for rene,nel , modification or transfer of this permit. Such application must include any fomes, fees or supplemental info mation the Department requires. Arty renanel , modification or transfer granted by the Department must be in writing. 4. The permittee nest submit a rennet application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination Systan (SPICES) , Hazardous V16ste Nbnagemant Facilities (FVVVF) , rrejor Air Pollution Control (PPC) and Solid V%ste rVbnage-rsnt Facilities (SMF) ; and b) 30 days before expiration of all other permit types. 5. LhIess expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other Legal Cbligat ions of Permittee 6. The permittee has accepted expressly, by the execution of the application, the , full legal responsibility for all damages, direct or indirect, of whatever nature and by wharever suffered, arising out of the project described in this permit and has agreed to indem ify and save harmless the State from suits, -actions, damages and costs of every name and description resulting from this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perforin the permitted v%ork nor does it authorize the irrpa D anent of any rights, titIe, or interest in real or personal property held or vested in a person not a party to the pe n-ni t . S. The permittee is responsible for obtaining any other permits, approvals, lands, easEmants and rights-of-way that may be required for this project. Page 2 of 6 95.20-ha 17/92)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 13 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 1 Freshwater We{l MdS 9 That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized,or project. if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require.remove all or structure or fill and restore to Its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account at any such removal or alteration. New York on account of any such removal or alteration, 10. That the State of New York shall in no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes.and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. SPL 95-2171 provided that all of the conditions listed herein are met, 11. Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers. U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. 12. All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by Per MOW T3Ct3 of any wetland or waterway by suspended solids, sediments, fuels, JdII MatmW dab3d 1/27f9S amt na4pd 6/29/95. solvents, lubricants,epoxy coatings,paints,concrete,leachate or any SPECIAL CONDITIONS 1. Any work, disturbance, and storage of construction materials shall be confined to within the "Limit of Clearing and Ground Disturbance" as shown on the approved plan. 2 . A snow fence or other temporary project-limiting fence shall be erected prior to the commencement of any permitted activities along the upland edge of the designated buffer area in order to prevent the inadvertent intrusion of equipment into the protected area. The fence shall be maintained until project completion. 3 . Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end along the base of the snow fence (or other temporary, project limiting fence) on the upslope or project side of the fence. The bales shall be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. The average useful life of a bale is approximately 3-4 months. Sediments trapped by the bales shall be removed to an approved upland location before the bales themselves are removed. 4 . Straw bales shall be recessed two \to four inches into the ground. ITEC PERMIT NUMSER 1-4738-01114/00001-0 PROCRAMIF'ACILITY NUM13ER Page 3 of 6 a 95-20.6f(7187(-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 ( Freshwater Wetlands } 5. Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized so as not to re-enter any water body, wetland, or wetland adjacent area. 6. Use of wood treated with pentachlorophenol or creosote is prohibited. Standard pressure treated lumber is treated with CCA and its use is permitted. 7. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located at all times in an area greater than 100 feet landward of the regulated wetland or water body. If the above requirement cannot be met by the permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff prior to equipment, machinery or tank storage within 100 feet of the regulated wetland or water body. 8. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the project, within two (2) days of final grading, or by the expiration of the permit, whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 9. Suitable vegetative cover is defined as a minimum of 85% area vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 10. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated freshwater wetlands associated with Majors Pond(NYSDEC 10-10) are located on the eastern portions of Majors Pond Road SCTMI 1000-26-02-3-9. 1 Orient the properties of Peggy Heller and Anne Wyden and their heirs, assigns or successors. This property DEC FERMI NUM £ Environmental Conservation Law 1-4738-01114/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 6 95.20.6f(7(87)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 24 Freshwater Wetlands (ECL) Article 24 , and the conduct of regulated activities may occur only pursuant to ECL Article 24 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor(s) . Regulated activities include, but are not limited to clearing of vegetation; application of chemicals; excavation; grading and filling; and erection of any structure(s) . 11 This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager BEP, SUNY Building 40, Stony Brook, New York 11790-2356. Supplementary Special Conditions A Thru F Attached. DEC PERMIT NUMBER 1-4738-01114/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page 5 of 6 SIIP$LF_MENTARY SPECTATE CONDITSONNS The following conditions apply to all Tidal Wetlands; Freshwater . Wetlands; Coastal Erosion Management; and Wild, scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress_ The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. S. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the - Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory*At fairs at the address on page one or telephone (516) 444-0365. C_ If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, office of General Services , Tower Building, Empire State Plaza, Albany, \NY 12242 (515) 474-2145, which may be required; for any encroachment upon State-awned lands •underwater. " DEC Permit No. 1-4738-01114/00001-0 page 6 of 6 9520.1{8187)—Sd New York State Department of Environmental Conservation vNOTICE v 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 ROBERT A. GREENE Permit Number 1- !47'39-01U_��/-0 Expiration Date ! NOTE: This notice is NOT a permit - t NYSDEC Commencement Notice Bureau of Environmental,Protection OWN SUNY, Bldg. 40 Stony Brook, NY 11790-2356 Permit No: Issued To: -- EU.--(Z CtJYt ,I/ Contractor's Name: w Contractor's Address: / I Contractor's Phone No.: L Int 161—T��J 7 X633 To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized adivity shall commence on ILA V116. The permit sign will be posted at the site and copy of permit will be available at site for inspection. Submitted by:—&N4& /'Cf • This notice is to be sent at least 2 days in advance of commencement of the project. Failure to notify or post will leave owner and/or contractor subject to applicable penalties for noneampbance with permit conditions. Cut along this lute — NYSDEC Completion Notice lit Bureau of Euvirontaental Protection labo® SUNY, Btdg. 40 IWAW� Stony Brook, NY 11790-2356 Permit No: i — 73 //qJ0000I-0 Issued To: L'ZLLrfZ GC!!A�>t/ Contractor's Nam Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized activity was completed on Submitted by: This notice, with photos of completed work and/or completed survey, is to be sent to above address promptly upon completion of project. Failure to notify will !cave owner and/or contmetor subject to applicable penalties ror nomcornVU nce with permit conditions. TEL. 763-1802 TOWN Or SOUTIIOLD 4'— < OFFICE OF 111JILD11-1- INSPECTOR. P.Q. 130:",28 TOWN I':..LL SOUTHO-D, N.Y. 11971 C E R T I F i C A T I 0 t7 Date��� Building Permit No , a3s�, Owner f (please print) Plusber ��; (pl�asc print) --�' I certify that the solder used in the water supply system contains less than 2!10 of 1% lead. CAROL A. BONN ? NOTARY PUBLIC, STATE OF NY NO. 8 QUALFlEDJN SUFFOLKCOUNTY ;OMMISStO�EXPIRES AUG. 5, 199 8 .eD z2 �iL (plumber 's signature) Sworn to before me this 3e d day of . . L 19 Rotary Public Mota Pt,!-_ic, �.�. -1,4" 6oun'.y PEGGY C. HELLEP, [A.D., C.A.C. 1145 Majors pond poll • Gienl, New VU 11957 (516) 323-1274 J.Di N� 0\n \TI} �lr S Z A-+-+1 P� p--�JQ-t L-T ST I N pfz tV AYE. LAS) �q m u, F(z V i� cAcf �SOFFO(,reaGy 0 Town Hall, 53095 Main Road p • Fax (516) 765-1823 New 9y'�pl � Telephone(516)765.1802 Southold,, Nw York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 27, 1997 Peggy C. Heller Anne Wyden P.O. Box 152 Orient, N.Y. 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. );25.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23568-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRIO-ITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 17,1997 Application No.on file 11926696/96 N 408989 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant name4 on the above application number in the premises of PEGGY HELLER/ANN WYDEN, MAJORS POND ROAD, ORIENT, N.Y. in thefollowinRlocation; ® Basement Ig let Fl. ® 2nd Fl. GAR/ATTIC/OUT Sercion Block Lot was examined an JANUARY 09,1997 and found to be in compliance with`the National Electrical Code. FiXTMFIXTUM KAMMtN0 DRCKS W AUST ANS �TLETf ACflS EWITCMlS NCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. - AMT. H.P. 87 71 58 83 4 1 1 3. 1 1.2 5 F DRYM MOT00 lUTUN AMMIANCE PM=8S VICALUCIPTI TIME CLOCKS ug tNNT HEATERS MA1T14UTUlt DIMIIARRS dl H.P. OAS H.P. AMT. NO. A.W.O. AMT.' Amp. -MAT.- AM►S. TRANS. AMT: H./. SHO.dl�.t T AMT. I WATTS 3 F 2 20 20 600 fEIty" S E R V 1 C 11. AMT. A4. .' TIM .e'tW 1,#SW S N SW 13.V IW I-'"0.OP CC.COND. A.W.O. No.Of M-WO A.W.G. 1!40.OF NEUTRALS A.W.G. PER f CC.0 D. Of HM Of NEUTRAL 2 150 CB 1 X 2 2/0 2 1I0 OTHER AM►ARATNS: WELL PUMP-1 PADDLE FANS-5 5 TON A/C-1 1.5 TON A/C-1 MOTORSt1-F H.P. ,5-F H.P. ,2-F H.P. ,1-5 H.P. ,1-1.5 H.P. PANELBOARDSt2-1 CIR. 60 �.F.C.I:-10 nEt SMOKE DETECTORt-7 <<< Continued on Page 2 >>> <iNiNGI MANAGER Prr This certificate must„not be altered in any manner; return to the office of tM Board if incorrect. Inspectors may be.klontifi9d by the IT credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 pate JANUARY 17,1997 Application No.on file 11926696196 N 408989 THIS CERTIFIES THAT only the electrical equipment as described below wW introduced by the op koat named on the above application number in the premises of PEGGY HE JM/ANN MEN, MAJORS POND ROAD, ORIENT, N.Y. in thefollowinR location; ® Basement [3 let Fl. ® Ynd Fl. GAR/ATTIC/OUT Section Block Lot was examined on JANUARY 09,1997 and found to be in compliance with the National ElectrlieW Code. FIXTURE ACLES SWITCHES XTU a RANGES COOKING DICKS Dish W T FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.P. DRYERS FURNACE MOTORS QUTUN APPLIAPCI I IRS SMCIAL RWPT TIMI CLOCKS FELL UNIT HEATER€ AMTI-fi11 UT : AMT. K.W. OIL H.P. GAS H.F. AMT. NO. A.W.G. AMT. AM►. AMT. AMPS. TRANS. AMT. H.►. SYSTEMS NO.OF off AMT. 'wATTs SERVICE DIfCE1NMw NO.OF S E Itpp•• V 1 C GG.. E AMT. AMO. TYPE EOW.mom. 1 X 3W 10 3W 3 X 3W 3 X IW 40•F C,,GOND. OF GOND. NO.OF M AEG OF MI'LEo,:. NO.OF NEUTRALS I UTGRAI OTHER N*ARATUS: JIM SAGE ELEC. INC. LIC.#3635 rwt 350 MARINE PLACE GREENPORT, NY, 11944 ONOOM MANAGER 11 - Ptr This artificot# nwst not be altered in any manner; return to the office of the Board if incorrect. Inspectors be ' ti#ied by their credentials. -------------------- COPT FOR BUILDING.DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALT9RED IW ANY MANNER. FIELD INSPECTION REPORTDATE COMMENTS i FOUNDATION ( I T) FOUNDATION ROUGH FRAME S - It----- PLUMBING AZ 2 It cz � n JIF INSULATION PER N. Y. itii �7EyZl � ` u_------- --------- ----------- — —'-- — --- STATE ENERGY l CODE I u ---------_---—___ --------- FINAL _ _FINAL l c ADDITIONAL COMMENTS: gUEFUL,� Albert J. Krupski, President p� COG Town Hall John Holzapfel, Vice President 53095 Main Road co Jun King CO Z P.O. Boz 1179 Martin H. Garrell oy Southold, New York 11971 Peter Wenzel 7/�l �a0 Telephone (516) 765-1892 Fax(516)765-1823 F BOARD OF TOWN TRUSTEES r November 25, 1996 TOWN OF SOUTHOLD Suffolk Environmental Consulting Inc Bruce Anderson P.O. Box 2003 Bridgehampton NY 11932 RE: PEGGY HELLER & ANNE WYDEN SCTM #26-2-39.1 The following action was taken by the Board of Trustees at their regular meeting of November 22, 1996: RESOLVED that the Southold Town Board of Trustees approve the request for an Amendment to Permit #4489 to implement proposed planting plan prepared by Suffolk Environmental Consulting Inc. , dated and received November 20, 19Q6, remove dead and diseased trees by hand and remove by hand vines endangering existing trees and remove debris including a junk car in area depicting the limits on revised survey dated 6/12/95 If you have any questions, please call our office. Si�nccerel�y,/� /� aZ&4,.I C/. I`iL�►�O�' �t Albert J. /Krugski, Jr. President, Board of Trustees AJK/djh cc. DEC 0--* 76S-1802 BUILDING DEPT. FOUNINSPECTION [ DATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } INSULATION ( ] FRAMING [ } FINAL [ ] FIREPLACE & CHIMNEY REMARKS- Q�l2y DATE INSPECTO 765-1802 BUILDING DEPT. I PECTION [ ] UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ } FIREPLA - CHIMNEY REMARK DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUG -PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMI [ ] FINAL 7 REMAR DATE INSPECTOR 6/ J �J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] ,FO ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE A902 INSPECTOR 7"-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION ( ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY �O REMARKS: Cr ' DATE INSPECTOR LOT 3 .xWy ALTERATX)N OR AWMON TO THS_V-pVEY 6 A 170LATpN = re/I t <.P. WILLOW TERRACE FARMS, INC. DF SFcri N 72M OF TTE ,ww YORK ..STATEMXCATM LAW, - 150• � P.O. BOX 773 ZcrBT AS PER SECTION 7209-SU VAnSONZ ALL CERTFCATovS s. 8B 2150' E. 8/.//' ORIENT N.K o� .fVWON ARE RAD--YAP OR VCOPES BEAR TIE 11PRES.S� sFALOFT�'E SLRVEYOR nl w / \ sp,ee Sc.(" � C•i� 0 Z 4r,joZ ZXM TLRE APPEARS IEREOft m m e}a �?' 0O tV Z AppyTpIWLLY TO CGMPLY WITH SAD LAW 7fF TF7W 'tLTERE7 BY iRAST gE L6ED RY ANY AAV ALL SGRVEY, LlTx.>Z! A - q DF ANOT*SX SLRVEYORS MAP. TMW SVCH AS TZPPCM'AIV -4 Z D m j3ROLGFlT--7D'LUTV ARE HOTAW COM-11 'F*M n Jmn)Tar oftthe STANDARDS FOR APPROVAL AHifl CONSTRUCTION OF SUBSCIRFACE SEWAGE i c o q .'� �ilSplISAL SYSTEMS FOR SINGLE FAMLY.i3EWENCES o �3 mW*9 9 abide by the con®tions rel lorlh OmMin.and an the goermit-to-canstrnct. Z-blWG DISTRICT R80 l -"V /b LOT3IS REFERENCED TO WILLOW TERRACE-FARMS, Na •• \ /r�� �D '�J 0 B -SUFFOLK COUNTY FILE NO. 9 Q572 __ -`?i COt 7esf Bor/n9 F w I!, IL QO 1 - +racn�f �Y �+ �"4, "' �'- �b + _ - *� o• 1 I- 1 Set�E. Iy41 i -gravel i IL 13 ICE- 10D CD CP 5 . warmer SEM77C SYSTSW CROSSECTION �-5 . s - fV0 SCALE SUR-VEY FOR' 1 �\ �k ` .; LAR ANNE tNYDEIVo 1 S' `° PEGG Y HE AT TDT QF SDUTHOLD `. `� 4 AREA = 82868 Sq.ft _= SUFFOLK COUNTY, hl Y. % Pq 3DaD- - 02-39.1 � x_ la.tti Scale: 1"=-40 ty YG?QUAD An 71995 / rfaR,4 W.i'wgi;ixotiom) 71-LOW ` 6 Aar2 ,� R/ BO TER?ACE A$E � 540,E xT �r2eLoc.) Y , //✓[ F AS Tm�,Ivne 1271995 [Revised Hse. d !J ENT ^, 3 �1S , g�am OF June 29, 1995 (fimll o1 clearing a 9 \ . I-,r6-bl Iq The locations of wells and Cesspools � 10 shown hereon are from field observolions and or from dola obtained from others. a r tt = 'k � - / // , -N.•�:5. LIC. N0. 49618 SUFFOLK COUNTY D OF tjEAL?M SERVICES y � FOR APPROVAL of CONSTRUCTION ONLY k PECONI P.C. i 1EXORS, e = WETLANDS FLA' ' c (516) 765 - 5020 DATE___—___�s REF. No• r gNDWARD EDGE OF FRESHWATER WETLANDS AS DELW,TED 0• BOX 909 MAIN ROAD !N THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. AIN O A JAM 8, 199 5 AND ELEVATIONS ARE REFERENCED ,TO N.G.V D• N.Y. 11971 CONTOtj R LINA R n ❑a k : BoAr0 OF HEALTH . • • . • • . • . IS (Ig �f FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . JUN2 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . TOWN IIALL SEPTIC roRN . . . . . . . . . . . . . TOWNDDe�tt� SOUll1OLD, N.Y. 11971 OFSf7l1THOLD TE L.: 765-1802 POT IFY _-- C CALI. . . . . . . . . . . . . . . . . . . . . ., 19 �J' HAIL 'r0 : oved . . . ./. . . . . ., Permit im" T — Proved,;I c :-. . . .� .. . . (Building ,pec or) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS 'I Ills application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 f plans, accurate plot plan to scale. Pee according to schedule. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stieels -s, rind giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- n, The work covered by this application may not be commenced before issuance of Building Permit. "Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit bekept on (lie premises available for inspection throughout Hie work. . No building shall be occupied or Ilse(] in whole or in part for any purpose whatever until a Certificate of Occupancy have been granted by the Building Inspector. ,PI'LICA'TION IS IIEREBY MADE to the Building Department for lire issuance of a Building Permit pursuant to the in'g Zone Ordinance of the town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or lrilions, for the constnretion of buildings, additions or alterations, or for removal or demolition, as herein described. +tiplicant agrees to comply with all applicable laws, ordinances, building code, llous Ig code, and regulations, and to t authorized inspectors on premises and in building for nee in�ctions. . . . . . . . . . . . . . . . . . . . . 2Sevcignturon� rct1iS'� ut%Klvi/iatvrporation w.t�ry a r.. S-KTivr'G- �r�,. ��n .2<?�?;3.�: .+3iztAGcriWt^+P.1.�/!'.IY. (Mailing address of applicant) whether applicant is Owner, lessee, agent, architecl, engineer, general contractor, electrician, plumber or builder. c-r-wT- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e of owner of premises N?Nl y- ,ie.. DC VC UI$5 . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) plicant is acorp anon, ignatiue of duly autltoriied ofricer.y; (Name and title of corporate officer) Builder's License No. .IVIA . . . . . . . . . . . . . . . . . . Plumber's License No. N//.1. . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . Other 'I lades license No, !V/ih . . . . . . . . . . . . . . . . ocation of land on which ptoposed work will be clone. . /7l/4S0/ZS f:bNa F . rr}b c) f L N T- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . louse Number Street lianilet _loudly' Tax hlap No. 1000 Section . . . : . . .ZG? . . . . . . . Block . . . . . . . . . . . . : . . . Lot . . . . 34-. . . . . . . . . subdivision . /v/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Piled hlap No. . . . . . . . . , . . . . . Lot . . . . . . . . . . . . . . . ;tate existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy . . . No! (4t.N.I.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. Intrnrlcd use and occupancy . . . : . . . . . . . . . . . . . . . . . . . . . . 3. Nairne of work (check which applicable): New Building . . X . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . : . . . . . . . . . Other work . . . . . . . . . . . . . . (Description) 4. Estimated Cost vp�! [7,0, , , , , . , . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling wills . . . . . .:1. . . . . . . Nutilber of dwelling writs on each floor . . . . ... . . ... . . . . . . if garage, cumber of cars . . . . . . . .7-� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify na}�ure and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing strictures, if any: Front , A11 k. . . . . . . . Rear . . . . . . . . . . . . . : Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Ileptli Ifeight . . . . . . . . . . . . . . . . . . . : . . Nnmber of Stories . . . . . . . . .. . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . .I ct 't,-. . . . . . . Bear . . . . . . Depth .. . . . . . . . lleighl . . .3.5. . . . . . . . Number of Stories . . . . .Z". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .eYQ..Qa.L.77. . . . . . . . Rear . . .,41Qyo .-JF . . . . . . . . Depth . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . 'A'J/. ^. . . . . . . . . . . . . 11. Zone or use district in which promises are situated . . . . . . . . . . . . . . . . . . /. �� �} 12. Does proposed construction violate ally zoning law, ordinance or regulation: . S,(fitmevfsiaH� ./.te / V 13. will lot be regraded . . . . . . . iJ..'ig::�L . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes o H. Name of Owner of . . . Address !!. ^i, �j. . . . . . Phone Ho. r'. . . . . . . . . . . Name of Archifect 11i.Ev.i. +4�trJaF a^. . . . . . . . . . . . . Address 5Z K4 .� t s. I'lione No. q14_ , (S'..?Z2, Name of Contractor . .N1/? . . . . . . . . . . . . . . . . . . . . . 15 . is this properly wiLhln 300 feet or a cidal weLland'? *Yes. . x. . . No. . . . . . . . . *if yes, SoUellold 'Town 'Trustees Permit may be required. PLOT DIAGRAhi Locale clearly aid distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from propel ty lines. Give street and block number or description according to deed, and show street names and indicate whet(er interior or corner lot. u ;'I A'f6 OF N1:W YORK, S.S 0UN'I'Y OP . . . . . . . . . . . . . . . . . ,&a 114,, t lCtLtw f�. . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) Bove named. leis [Ito . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to (lie best of his knowledge and belief; and that the ,oak will be performed in the manner set forth in the application filed therewith. worn to before me this 14. E day of i9 .�T o(ary Public, ':'.Y .' County JOYCE MtateofINS � . . . . . . . . . . . . . . . . . . . applicant . . . . . . . Notary Public,State of Now (Signature of ap p l i can t No.Ter Fxpire6,Suffolk Courtly 7 Term Expires,4une 12,t �. RATION OR ADDITION TO TWS SURVEY 1S A VIOLATION wcd Q ' LOT 3 < - / N 7209 OF THEION NEW SUB STATE 2. ALL '•' ,`� •`�/�5�`� ��' WILLOW TERRACE FARMS, INC. X VALID FOR 7I#S MAP AND COPIES THEREOF ONLY LF S. 88'2/50' E. el.11 P.O. 80X TT3 O OR COPIES BEAR THE GPRESSED SEAL OF THE SURVEYOR r / \ ORIENT, N. Y. O� .NA TU RE APPEARS HEREOP4 In m - 'P'k^ set C d Z sp.ke -k r _LY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' Set _-j- N -ISED BY ANY AND ALL SURVEYOR$ UTILIZING A COPY Or-O )^j? ZR SURVEYOR's MAP. TERMS SUCH AS °INSPECTED' AND TO-DATE' ARE NOT IN COAPLIANCE WITH THE LAW. O ramillar with the STANDARDS FOR APPROVAL INSTRUCTION OF SUBSURFACE SEWAGE a I� ? -- AL SYSTEMS FOR SINGLE FAA4IL Y RESIDENCES c / wn C abide by the conditions set forth therein and on the construct. - M;3? DISTRICT R80 o 're' ' ? i IS REFERENCED TO WILLOW TERRACE FARMQ S, INC. `o v / 6 ro��Le 4 Y r 01 K COUNTY FILE NO. 9572 Q v v � � I , � a{ oa �• ' / 4 AJ i Q 00 ty Vj Q 8', / A' Qp .144 R 4 p al W t i I I � 46 lag tl' ". set l 1 1 I 17I O rrI0) s +0 40-00 c n 8o F . 92 ' -- vi, 7 /60 el 14- Cl o-�d e/a-S —is QD _ \ A ion SePnc, u3 IL5 �� ` 1 -y� M II II ' 11 1 P n E �• �' `` 12 -TIC SYSTEM CROSSECT/ON NO SCALE (01 SURVEY FOR ' �G Y HELLER & ANNE W YD/N °�/ ' ' sP'� °2 m P /32,Ti• 5h` t AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 26 - 02 - 39.1 '�'QR/f �. AREA = Scale 1" = 40 <<01,1, 8 �' Jan. 27 1995 OND Mar. ,199 (additions) l sucFO�, TE�,Qq \ \\ .\ Ql x: I a t ti Mar. 21, 1995 (additions) 4 Coto;r CE SF 6 May 24,1995 (additions) P O O� TFR Y 4%A6 o /0Af ,lune June 12,1995 ('(Re vmij at ed o ing.aLLoc.) ground nLsr.l OR/EST 1, YR3 cE ,C-4RMSO c4p� r April 1, 1996 ( .Slake clearing limits) 1 !i Aug. 1,1996 (Foundation) t �F 1 i t // SOF NEWY inions Of wells and cesspools �•...., aeon are from field observations ` on, data obtained from others. D F UUNTY DEPARTMENT OF HEALTH SERVICES .PPROVAL OF CONSTRUCTION ONLY / u _.,_}{S. REF. NO. Q WETLANDS FLAG \ PECONIP.L I 01f)W ARn rnrr nr- r'Rr-cl IW i rc-n wr rf &I'l o 4 c nF-1 IAIr A Trn /r+I Cil 7e'G - Fi LOT 3 / ANY ALTERATION OR ADDITION TO TMS SURVEY IS A VIOLATION \y' el/ r r.r. �� WILLOW TERRACE FARMS lNdEP "y,,',', ' "IN OF SECTION 7209 C THE NEW YORK STATE EDUCATION LAW +` ,so i r T 0. EXCEPT AS PER-SECTION MS M4 EDIVISION 2. ALL CERTAdCA�T/OMS P.O. BOX 773 �, �Rl�rr;;, ; -!cES S 8B'2/50' E. B/.lI' ORIENT N.Y. o r = HEREON ARE VALE FOR TMS MAP ND COPES THEREOF ONLY E O SAID MAP OR COPIES BEAR THE EO ESSED SEAL OF THE SURVEYOR t`1 q s to Cv O= WHOSE SIBNATLI4E APPEARS FEREOK m m s Ke p' S''l' ' e ~ n1 MUSTUSE TO COAa'LY WITHSAV LAW THE TERM ALTERED BY' _OF A BE Il.4ED RV ANY AND ALL SIMS"VEYORSSUCH AS WSG A COPY r O D SCP I Z p) ) 'B A'BROUGHT-TO-DA -DATr ARE MAP. TERMS SUCH M 'INSPECTED'AND 'BROINiiT-TO-DATE'ARE NOT N COMPLIANCE WITH THE LAW. <y_ I am familiar with the STANDARDS FOR APPROVAL — AND CONSTRUCTION OF SUBSURFACE SEWAGE c �l y m j4' j DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set lorth therein and on the permit to construct. I ZONING DISTRICT R80 LOT 3 IS REFERENCED TO WILLOW TERRACE FARMS, INC. SUFFOLK COUNTY FILE NO. 9572 a�A Te�f Baring \� .�u A, Q .... 6 o � �&P '' I �¢ and7 6� Sion s , ^'E O ynO QL R oran9< � /d� Smd 1 - O W L I I I set/ g n 1?3 P u ctrywellIn ~wC a _ Prof ra. a drive I � u p4 ( 1111 iv In q, ? V., _ m i `d a I I 1 tD Z `O R ' 92p6. .d N �2't I i III W ;T i CIC-- cla.S else "n/^� n m d 4y. A� Cil 4i e//3 L `¢ 4 I \ �tl•I w Prof' 20 ; _ a y V C.P M \b i \I 1111 N W q 1O�` Py s a SEPTIC SYSTEM CROSSECTION \'2 V - ,, ;; / '�Cpy AA�� NO SCALE N' \\I \ /'b� d O�(ILG�Q�yS�� SURVEY FOR- / 3 PEGGY HELLER & ANNE WYDEN mP/ �� 3z,,. 5h` k AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. P AREA = 62,966 sq.ft 1000 - 26 - 02 - 39.1 / AR K & �� , Scale: 1" = 40' „ Pig yGRO \� .\•\\ Jan. 27 1995 / . S o�v TE v'�o Mar. 8,1995(additions) OlK C RRgCE Mar. 21, 1995(additions) /LLoyTy SFCTj May 24,1995 j(additions) o O, BOXfRl�4CE FBF ryO �NM- 61 PAR1MENf OF HEILL7H SEFIYICES June /2,/995 (Revised Hse. Loc.) B'/EiyT NT7,d Fq,gMs, NC40T June 29, 1995 Ilimil of clearing C ground Dkt.J y r / NR APPROVAL OF COIDENCE OHL OF PMILY RESIDENCE OM.Y SREF JO /09�0� 9The locations o1 wells and cesspools �� DAiEOFAPPROYALshown hereon are from field observations �AF '+'FRM, ._ and or from data obtained from others. \\ I _ ' `�' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY ' - 1 "NIL"S. LIC. NO. 496/8 DATE S. REF. NO. Q = WETLANDS FLAG \ ��, PECO�V'EYORS, P.C. LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATED 15/61 765 - 5020 IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. P. 0. BOX 909 JAN. 8, 1995 MAIN ROAD APPROVED CONTOUR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V.D. SOUTHOLD, N.Y. 1197/ 95- 107 we// LOT 3 / OANY F SECTION 7209 OF THE ATION OR ADDITION YOOTHIS SURVEY IS A RK STATE EDUCATION LAWS ' '"e/IIs", �- WILLOW TERRACE FARMS, INC. N EXCEPT A6 PER SECTION 7209-SUBDIV0011 2. ALL CERTIFICA�TYONS P.O. BOX 773 �- HEREON ARE VALID FOR INS MAP AND COPES THEREOF ONLY IF � /s. 88'21.50' E 81-1/'�� ORIENT, N.Y. 0 rr =0 SAID MAP OR COPIES BEAR THE WPRESSED SEAL OF THE SURVEYORml m sP,k, se{ CG O= WHOSE SIGMATUI?E APPEARS HEREON serf¢ to =� NZ ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTEREO BY' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY - Or O D= OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'NSPECTED'AMD 1 PO -UQe BROUGHT-TO-DATE' ARE NOT N COMPLIANCE WITH THE LAW. l am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE o m m 14 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES /, m and will abide by the condlfions set forth therein and on the j •X,°p R 9 -` ��� permit to construct. 1 1 •� D ZONING DISTRICT RBO o s ' / ti cn P LOT 3 IS REFERENCED TO WILLOW TERRACE FARMS, INC. Q - \ v ';r9 e° 'e . 0 SUFFOLK COUNTY FILE NO. 9572 �\ y=�; // o•I ,owe 4 �/' �� 1101 /z '0" O 1131196 -5p�, - a I ,s,JJ, w (' / � �' �/ k e =ae �E pRN D ' ' 64' „oyes o,0lk Oran e O ° at F p I o i I I s kf W / lY9 III ,e,I ravel ♦ ' ` I I /23 __ tinge 9Wo-fc' I ' 1 7 H1 n 9rwa1 -ro � .o ,o a � Q o-o� W? 0 \ I I to 2 'ergo. m .r 91”, �O 40,00" ,a S , 5 r „f ; 62 = \I I 1 II W A 1 ' 92 I .0 min ea /27yy` . c� pp 11I li 13 iL /gq91X 1� i Sat a o3 .. Y 1 - _ moo � _ o , _ . ; _ 40•Com..--e9a�,Y9 - i 1 e/l3 Cr,." e10 5 el/5 it h C. 'm -m p b l • n, III IF Z£ I 1 ' I J I II IE i4 l lt O N X0.6 IP]' $�P•�c tl.2 5 y �,V, N O 3 1 I 11I� U L.P YANK � rl V, O — T9c wo-ter-'ai? CU� . SEPTIC SYSTEM CROSSECTION @y v�a �\ — /; �G'��,PS \Vl NO SCALE \ / 6� Q�G�GF'P�r�S 1 , SURVEYFOR PEGGY HELLER & ANNE WYD N moo/ 32�i' S5 rk AT ORIENT �\ \ \\ \ aL a TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. /,o �� q AREA = 62,968 sq.ft 1000 - 26 - 02 - 39.1 4/+'K Scale. 1" = 40' „ W P`AyGRO Jan. 27 1995 / . � OWcERRgC O \`\ mar. 8,1996(�aAditronBl O[ May 24�1995 (additions)l P p OR" . TEgTr FgET/ON 71, 12,1995 (Revised Hse. Loc.) O'4/ENT x >>3 CE FAF{,ylS 5401- ,lune June 29, 1995 (limit of clearing d ground Dist.) April 1, 1996 ( Stake clearing limits) 1 x • ' s*arc ar e,mit oFe/ur"+9 � • � hoe oxrier sre.K� T The locations of wells and cesspools shown hereon are from field observations �F pF NEIy y and or from data obtained from others. I D/ ��,^ ,.. ME"0 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES / y FOR APPROVAL OF CONSTRUCTION ONLY 1 i�l, '-IIIjTN y '/C, NO. 49616 DATE S. REF. NO. WETLANDS FLAG \ � /PECO V ®R .C. LANDWARD EDGE OF FRESHWATER WETLsINDS AS DELINEATED (516) 7 - 1N THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC, P. 0. B _ JAN. 8 1995 MAIN ROAD APPROVED CONTOUR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V.D. SOUTHOLD, N.Y. 11971 95- 107 LOT 3 ANY F SECS 7TIO OOF ADDITION THE NEW YORK STATE SURVEY VI LAWION 'e sell so.v. ��'- WILLOW TERRACE FARMS, INC. N EXCEPT AS PER SECTION 7209-SUBDIWSION 2. ALL CERTFICA'TIONS ,S ' P.O. 80X 773 �O HEREON!ARE VALD FOR THIS MAP AND COPIES THEREOF ONLY F /S. 88.2/'50' E. 8/.!I' \ 5 ORIENT, N.Y. cv (3-1 SAID MAP OR COPIES BEAR THE McRESSED SEAL OF THE SURVEYOR �I a WHOSE TLWE APPEARS HEREON m m sp.ke P set -i NZ e+ OS ADDITIONALLY To COMPLY WITH SAD LAW TIC TERM 'ALTERED BY' N,: 10 >1'aRe MUST BE USED BY ANY APD ALL SLOVEYORS UTILIZING A COPY _ � OF ANOTHER SLmVEYOR'S MAP. TERMS SUCH AS ' SPECTED'APD -n BROUGHT-TO-GATE'ARE NOT IN CaWLIANCE WITH THE LAW. / N Via I am famlllar with the STANDARDS FOR APPROVAL 6, a m 14 ? AND CONSTRUCTION OF SUBSURFACE SEWAGE / x ` ` DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES R1 _ �� and will abide by the conditions set forth therein and on the I ax's Y ' D permit to construct. I � P ZONING DISTRICT R80 v / LOT 3 IS REFERENCED TO WILLOW TERRACE FARMS, INC. Q _ �/ 'r9�p° o n ,' ;10 fk SUFFOLK COUNTY FILE NO. 9572 F Q �' / '00 Teff Bor/ng a 2.5 " O R• J / v / ro / / 61 �. k p�E n). - � t4 I �A R sand a vO Ca ¢ l li I Ise+16 /y d UPI - orange 9 a!'er / 1 1 T /, 0 -14 e/ a 26 0' I \\ 1 \I 11 m Z a 41 0 l �sd.� U n sr v2 j I1 L AD.�B �< sPerPh� ca /L'l,kzz el e/l3 Crc.vw c/UJ i5 'I p� ti y. 'A y \`` Is ien hie 'N Tai iox SsPTIG ii.x .z � <1 l'' m �y `� O \ III k ,O a3 1 1 1 W M L.P. YwNK v� �A_ .Y 'E' S so in n¢ STw / III III Py E - - 00, 012 SEPTIC SYSTEM CROSSECTION 4 2 - - -- / �o \111 Pk A- y NO SCALE (cR Ga• N >S I ❑�. Zq � In SURVEY FOR' ) 4p2o ; -sP �p 2hy 5 PEGGY HELLER & ANNE WYDEN Ok A T ORIENT TOWN OF SOUTHOLD l \ el\ SUFFOLK COUNTY, N. Y. la '\ q AREA = 62,968 Sq.ft 1000 - 26 - 02 - 39.1L' Scale: 1rr r LgY= 40 " 1VjLL O C'RQUAID Jan. 27 1995 W Mar. a,199$(addtions) 3lyFF�jr CERRACE Mar. 2x 1995 additions) P/CC p11 T QTY FjLE�CT�O/V May 24,1995 additions) /C O• Bo, ?RACE NO 54 7 rr \ ` N r s D E a June 12,1995 (Revised Hse. Loc.) R/EA/7- ?73 FqR O� B nrrnovan AS res TenNIS / June 29, 1995 (limit of clearing a ground 0151,) /V y �`Si /NC ` AND CONDITION, OF April 1, 1996 f Stake clearing limits) \ rrnanr rdo, /.y7 Cl/lyov°ol X - s«v,ne a� UmiY of a/E..r,�;9 u.vne Y q6 I F/N7/ w _ /15� [�r`FLEr SraKc j The locations of wells and cesspools Shown hereon are from field observations �` Ip SI9o3'MFrta�O9� and or from data obtained from others. - \ /� -,,rlsx EF \ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES N. . LIC. NO. 496/8 FOR APPROVAL OF CONSTRUCTION ONLY 1 // ` t \ DATE WS. REF. NO. '-y ' WETLANDS FLAG PECO P.C. _ LANDWARD EDGE OF FRESHWATER-WETLANDS AS DELINEATED (51 6J 76 IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. P. 0. BOX JAN. 8 1995 MAIN ROAD APPROVED CONTOLR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V.D. SOUTHOLD, N.Y. 11971 95- 107 LOT 3 / ADDITIONANY ALTERATION OR SURVEY IS A OF SECTION 7209 OF THE HEW YORK STATE TEDUCATION LAW me/l sto}. - WILLOW TERRACE FARMS, INC, N EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICA" IONS P.O. BOX 773 0 HEREON ARE VALID FOR TMS MAP AND COPIES THEREOF ONLY IF S B8'2/'S0' E Bl.11' \ ORIENT, N.Y. o� SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIWA TL14E APPEARS HEREON. ml ro ap ke a ke Cb Z et ~ N MUST TO CONY A WITH SSU LAW THE TERM 'ALTERED BY' MUST OT USED R ANY AND ALL SURVEYORS AS ''NSP A ED'A OFOUSHT-R SURVEYORS MAP. TERMS SUCH AS 'INSPECTED'AND I T 9ROU611T-To-DATEARE NOT NJ COMPLIANCE WITH THE LAW. O� {-i r0 lam familiar with the STANDARDS FOR APPROVAL � � Iq- x -� AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES / Mand will abide by the cond/fions set forth therein and on the I exp ! - �-+ '�` D permit to construct. 1 ZONING DISTRICT R80 LOT 3 is REFERENCED TO WILLOW TERRACE FARMS, INC. \ ,' r9°ce IC .. ,�� 10 6 SUFFOLK COUNTY FILE NO. 9572Gx 44 I � / ° Test Bo-5,o O //3//96 -Spm Z „ P r,iw,ee V✓V Ih I� O '�l 1 64 ssen s W o� cc O o an a QO " 1 c F C I o• I l sp�At /d°t sa+d 1 ` oy;l Wa I 1 xehl y e - ravel t..3 aN 9w17'1r // • 1 ( 1 1 Y / P s W t o o j 11\I 11' m Z F p0' A LC..• 53.0 Z5 ' ie.o r T- L - `vy d/3 CLdrw cleS P/,5 7^^ ,gym] m - 20.5 Oi I 'N so-s snT SfPnc Fx s �� 1. M I I 14 9 'sem / ———— SEPTIC SYSTEM CROSSEC TION NO SCALE SURVEY FOR PEGGY HELLER & ANNE WYD N Mo/ 3z>/' S• �k AT ORIENT 1" a TOWN OF SOUTHOLD \� a` SUFFOLK COUNTY, N. Y. pqR ��� q AREA = 62,968 sq.ft 1000 - 26 - 02 - 39.1 K & P \ Scale: 1" = 40' Jan. 27 1995 / Folq, TE �� Q x= ,arti Mar. 8,199b(additions) �/ o[/w C RRgCE S \ Mar. 2; 1995 (additions) 4 py, TE 0NTy F, sec", 7 �\ 6 May 24,1995 (additions) Ju e 12,1995 (Revised Hse. Loc.) 0/'/e O'r >> C,- Fq 540,- ` 8 B q June 29, 1995 (limit of clearing 8 ground Dist.) NT N. ); 3 RMS, /NC _ p April I, 1996 ( Stake clearing limits) % ^'' 2,35 6 y Z Aug. 1,1996 (Foundation) 1 I The locations of wells and cesspools �— � :, 2P,��aF NEWYo shown hereon are from field observallons 10 / o,.+`' Mtr2cFR9� and or from data obtained from others. N r SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 1 / / `4 �+ IJ,Y. IC. NO. 49618 DATE HS. REF. NO, y WETLANDS FLAG . - PECO NI 'P.C. LANDWARD EDGE OF FRESHWATER-WETL� DS AS DELINEATED (5/6) 765 IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. P. 0. BOX 90 JAN 8 19CONTOUR 95 SOUTHOLD, N.Y.AND ELEVATIONS ARE REFERENCED TO N.G.V.D. MAIN ROAD APPROVED 11971 95- 107 I LOT 3 / ANY ALTERATION OR ADDITION TO TIPS SURVEY AS A VIOLATION �' r "� WILLOW TERRACE FARMS INC. N OF SECTION 7209 ale TIE NEW YGW STATE EDI/CATION LAW EXCEPT AS PFA SECTION 7209-SUSDIVISION 2. ALL CERTIFICATIONS 'sP ' P.O. BOX 773 ' �- ME�NEAP R CAOIRES BEA RTHE APN`REOSSEDD SSEAL THE�vEYOR ^ q /& 88-21'50- E. Bl.11''� ORIENT, N. Y. o r =� WHOSE SGNdTLRE APPEARS HEREON ml m spec set CO Oz'. sp,xe -i r Z ADDITIONALLY TO COMPLY WITH SAG LAW THE TERM ALTERED Or Sef 00 N Z MUST BE USED BY ANY AND ALL SURVEYORS UT LOW A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS ' ECTED'ANO I a Qe 'BROUGHT-TV-DA TE'ARE NOT N CaWUANCE WITH TIE LAW. T l am /am!/lar with /he STANDARDS FOR APPROVAL P O� <y 1-0 AND CONSTRUCTION OF SUBSURFACE SEWAGE °� to �I� _ n DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES / and will abide by the cond1hons set forth fhenin and on the j ex;, -\ —+ fll permit to construct. ZONING DISTRICT R80 O 6 L o LOT 3 IS REFERENCED TO WILLOW TERRACE FARMS, INC. Q \ I '�r') co ° , o SUFFOLK COUNTY FILE NO. 9572 SCDHS, Rel# R10-95-049 \Cq,yA° ` //vl0 n01� 7e�F daring I/3//96 -Spm U 3 s',ir�e 64 stun '0 ^ VV o �l R orange � I 'vi sP.e. r ser/ � e I II /23 _o�a�9r Wad-cr I I 'a 11 t I v /> A\ u o �'- 3o.a• A v 1 � m 71 T .Aa$. •.?, n+ v IIs in p f, p0. m „ Gz >• \F 1'µ I N < 0 40-00' 3 � 1l II 5 m - r/f5 e//3 clnv� e/q,5 /''� ,yj ' m' N Rv 'o ;o r 3 \ A � /ln hfe 1.� h 41 zo,d' y I c y 0 1II p se re- 5£PTIe u.r us - n --' I ► i I \{ L r. IPL IPI YAMK �� M y 1 I I k • " �E '�- Z ' �I -------�—' �11 III °'• � CSP m mF �e •� _ �� ;- Ani SEPTIC SYSTEM CROSSECTION k NO SCALE yn N. 13•1 02p SURVEY FOR PEGGY HELLER & ANNE WYDEN AT ORIENT TOWN OF SOUTHOLD '4 . \ a SUFFOLK COUNTY, N. Y. 1000 - 26 - 02 - 99.1 AREA = 62,968 sq.ft Scale: 1" = 40' Jan. 27 1995 w ow TE OUB Q Mer. 3,199�(a(d(ditions) �/ OL/f �oURgCES \\ \ May24,1995(additions) p Bo�rERR�E FjLEHCTTO�y 'rN� `\ June 12,1995 (Revised Hse. Loc.) R/E/V June 29, 1995 Ulm of clearing 8 grou April 1, 1996 ! Stoke clearing limi/slrl FF" A11� � I r'. h. . ' f p g �a1 l} LIU ` CERTIFIED 70 Aug. 1,1996 (Foundation) r , ,,r d PEGGY C. HELLER Jon. /8, 1997 (final) F.+N sv 's•{ rT '•-��`�I In'� 1 ANNE WYDEN � _!n r^ -, t' -�• � 1',�•�• "�, t'_Yl�g Iti �) COMMONWEALTH 'd ' �•'T CO LAND TITLE INSURANCE TC BR/OGEHAMPON 'Y�YIIJ'1 The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. 10 SA�F.Of AllEly), JAN 23 1997 /Aerra Ong ,;_.,4_._.�:-_ _.� --•- -•- �: *' ' mp SuflolkCo.Dept otHeakh ervlcea s3xl S,..aI f".c,aT^ it. •, + // N.Y.S. LIC. XMNUW)@PfoteC on - s = WE3�...:3.r��,.:.� C R - ORS, P.C. LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATED IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC, JAN. B, 1995 M f A CONTOUR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V.D. SOU , N.Y. 11971 95- 107 k .. , , , , . . . _; �, ,. i ITT I , . .9 I' , Y , P .. .'. r ,r, ,T . ...n t- r LL. �. , - :.,: .. , of /. :• . .. LL , , M, 5q A' .r,., n �. R_u.� .'. - is '.�.'. { r.r: i :a- 1. ,,.-, - . .„1 p{ ��- � ... i r 5 YR!,r.,ll. '} : 4 .M .., n'.>.�, r14:, .y .n'., r. t ..' c. ,LFT � . . .. , ,' . ,- . . i. ry . r,:, (, .r ,:: .:. a r,. ,. al A f., 4 . .,A ',i ,r "i' {t - 'i :,„ { _ - :t �.: v ' n'-, , T r 1 ' J r:1. f ,i , ” „ " r _ - , - r ,r� 4 r . 1. ,, T f r0� - ' i:, ,, i � . � i a 1 . , �. ,) „ .. . , L i r - ' : ,n i. I :r _ _ , , � , i , F „! ' � � � � �, . x.a ' : I „ _ _ yin _ - r ii , �, : rv .. �_'_.� .. , 4„s... . . .hc '., r _ -ri r _ : ': iii , . c u { : �' £ � � a ” . . I ` IT IL _ .. _ ? - - i 1 ,' l y' I - r _ : , _ ' v _ 1. I i _ - � . ( - '1 _ i � +r i 1. 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'''R - A )/ r :' ' i.' f : I ' "op El MMKA rr I 1: 0o NOT po " - WFUL' APR E 'ASNOi D OFFOUNDD� cc �J E l� UNLA suRVEr CERTIFICATE DnTE:3 B.R x ' HA$BEE TION LDCAflDM I � � � � � �� APPR D, �� � � � � � �� � T�� CERTIF , � I _ L i - � ."� ��[�� NOTI LU-1 IN DE MENT' yil N OVA �, - 76B-18079 AM TFIE - ( L - '- " _ FOLLOWING INSPECTIONS: °r' , FOUNDATION R 0 / ,OF� OCCU _ ., ` I - ' ., „ IL 11 I L I' PLUMBING - fU H'. ED FRAMING&�PLUMBIN - 1. ROUGH PLUMBING,�� � 2. - { ` ' ,r; 1 _ .I W , - PLUMBING WASTE INSULATION " , I L:r' r ALL PLU BE A 3, 6WATER LINES NEED A. FINAL - CONSTRUCTION,MUST' A -11 I i „ - „ ' : '*^"" yE3_TING BEFORE COVERING COMPLETE FOR C.O. .' - _ - ALL CONSTRUCTION SHALL MEET - ' _ I - - THE' REQUIREMENTS OF THE N.Y. „ - � ' ' ' I - `. . , CODES. 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