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HomeMy WebLinkAbout26147-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28215 Date: 02/15/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 825 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20 .5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1999 pursuant to which Building Permit No. 26147-Z dated NOVEMBER 10, 1999 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 COVERED PORCHES, SCREENED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to JAY P. MANDELBAUM & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0172 08/27/01 ELECTRICAL CERTIFICATE NO. N 581923 01/14/02 PLUMBERS CERTIFICATION DATED 02/11/02 PERFECTION PLUMBING _C //61uth/rized fSignature 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-28216 Date: 02/15/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 825 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1999 pursuant to which Building Permit No. 26147-Z dated NOVEMBER 10, 1999 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JAY P. MANDELBAUM & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 581928 01/14/02 PLUMBERS CERTIFICATION DATED N/A oriz Sigrfature 1X111 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-28217 Date: 02/15/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 825 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20 .5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1999 pursuant to which Building Permit No. 26147-Z dated NOVEMBER 10, 1999 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 POOL HOUSE WITH ROOF OVER CONCRETE PATIO AND ATTACHED OUTDOOR SHOWER STALL AS APPLIED FOR. The certificate is issued to JAY P. MANDELBAUM & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 581928 01/14/02 PLUMBERS CERTIFICATION DATED N/A //,Out rized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26147 Z Date NOVEMBER 10, 1999 Permission is hereby granted to: JAY P. MANDELBAUM & ANO. 825 KIMBERLY LANE SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE, COVERED PORCH AREAS AND SCREENED PORCH AS APPLIED FOR . at premises located at 825 KIMBERLY LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 020. 005 pursuant to application dated SEPTEMBER 22 99 and approved by the Building Inspector. Fee $ 1,730.20 01 Author ed Sig ure COPY Rev. 2/19/98 Form No. 6 0 dN OF SOUTHOLD J� DING DEPARTMENT1 TOWN HALL 765-1.802 "r .;+'.-11iTOLD ,. APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 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 1.7 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. 12. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Datek f.1. P. . J 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing ildirg. . . . . s . Location of Property. ' . . . . . . . . . . . . . . . . . r: o: . :. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. .y. �": . �Z;l�r:7�-�E ��o�.c.� . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bl County Tax Map No 1000, Section. . . . 1� �,ock• . , , , , . . . .Lot. . 1 .J . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .F:iJ ed Nip. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .(,21 -7 Z- . . . . . . . . .Date Of permit. .QIJ �qt, � . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ilealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . :. . . . �6 cl r, p APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 14,2002 Application No. on file 19483399/99 N 581923 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of J. MANDELBAUM, 1065 KIMBERLY LANE, SOUTHOLD, NY in the following location- 13 Basement ET lst Fl. 13 2nd Fl. 3FL/GAR/ATTIC/OUTS ction Block Lot was examined on `ANUARY 08,2002 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHESINCANDESCEPM FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 80 98 63 80 1 5.2 1. 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 7 F 3 - 10 22 6 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT• AMP. TYPE EQUIP. 1 e 41N 1 SW S R 3W[3 R IW PER a OF CC.COND. NO.OF HI-LEG OF HIAEG NO.Of NEUTRALS OF NEUTRAL 2 200 CB 1 X1 1 2 4/0 1 4/0 OTHER APPARATUS: CO DETECTORS-2 WELL PUMP F-1 AIR CONDITIONERS 3-1.5 TON--5 1-2.5 TON,1-4 TON-1 MOTORS:3-1.5 H.P, ,1-2.5 H.P. ,1-4 H.P. ,5-F H.P. PANELBOARDS:S-1 CIR. 60 C.I:-16 -- L <« Continued on Page 2 >>> Lbeldenfiflod ENERAL MANAGER This cerBMc t must not be altered In any manner,return to the office of the Board If incorrect.Inspectors maby their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS WAGE 2 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 14,2002 Application No. on file 19483399199 N 581923 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of J. MANDELBAUM, 3065 KIMBERLY LANE, SOUTHOLD, NY in the following loeahlon• [� Basement 131Ist Fl. [32nd FL 3FL/G.AR/ATTIC IO"Se,tion Block Lot was examined on YANUARY 08,2002 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES iWORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET YSTES DIMMERS AMT. K.W. OIL N.P. OAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.O. A.W.O. A.W.O. AMT. AMR TYPE EQUIP. 10 2WT1 E SW 3 R JW S•4W ►ERR OF CC.GOND. NO.OF HI-LEG OF NI-LEO W.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G & S CONTRACTOR LIC.#578-E I L_ BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per TME oerW tale must not be altered In any manner,return to the ofNco of the Board It Incorrect,Inspectors may be Idenfltled by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW 'YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10035 Date JANUARY 14,2002 Application No. on 13517402/02 N 551925 file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JAY MANDELBAUM, 1065 KIMBERLY LANE, SOUTHOLD, NY in the following location- ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JANUARY 08,2001 and found to be in compliance with the National Electrical Code. FIXTURE • FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHESINCANDESCENJ FLUORESCENT OTNER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.j TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMS. K.W. OIL N.P. I GAS N.I. AMT. NO. A.W.G. AMT. AMP. I AMT I AMPS. TRANS. AMT. M.P. NO.OF FEET AMT. WATTS 1 F 1. 2 1 40 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT• AMP. TYLE EQUIP. 10 2W 1 E JW E JW S•4W PER a OF CC.CORD. NO.OF NIAEG OF NIANG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 G.F.C.I:-1 *(SWIMMING POOL) This certificate covers compliance at. the date of inspection only. *Because of unusual environments it is advisable to -have frequent test/and or repairs made by a qualified person. L L «< Continued on Page 2 >>> GENERAL MANAGER Per This oedl0cale must not be altered In any rnanner,return to the ofte of the bard h Incorrect.Inspectors may be Idenhfled by their 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 1001071 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 14,2002 Application No. on fila 13817402/02 N 581928 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JAY MANDELBAUM, 1065 KIMBERLY LANE, SOUTHOLD, NY in the following location• ❑ Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot was exandAwd on YANUARY 08,2001 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPtACLES SWITCHES INCANDESCOMFLUORESCENT1OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BE UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K W. OIL N.P. I GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. A . H.P. NO.OF FEET AMT. WATTS MT SERVICE DISCONNECT S E R V 1 C E ANT. AMP. TM 1000;T'0'aw *' s 13W J•IW OF cc A.W.G.PER a Of CC.GOND. NO.OF HI-LEG F 'G' NO.OF NEUTRAW A.W.G. OF NI-LEG OF NEUIRAI OTHER APPARATUS: G & S CONTRACTOR LIC.#578-E L BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per This cerlglcde m*not be aBead M any monw,alum to the office of the bard If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JANUARY 14,2002 Application No. on file 13817002/02 N 581925 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of JAY MANDELBAUH, 1065 KIMBERLY LANE, SOUTHOLD, NY in the following location- ❑ Basement LS 1st Fl. 112nd Fl. OUT Section Block Lot was examined on `ANUARY 08,2002 ' and found to be in compliance with the National Electrical Code. FSR FIXTURES RANGES I COOKING DECKSOVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHESINCANDESCIRM FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.P. 12 13 9 12 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTL TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AM►. AMT. AMPS. TRANS. AMT. M.P. NO.OF FEET AMT. WATTS 2 6 SERVICE DISCONNECT NO.OF S E R V I C E METER NO AMT. CC COND. A.W.G. A.W.O. A.W.6. AMT. AMI. TYPE EQUIP. 1/2WFI �W S SW J IW PER R OF CC.COMO. NO.OF MI-LEG OF NI-LEG NO.OF NEUTRAIf OF NEURAL OTHER APPARATUS: CABANA-1 PANELBOARDS:1-7 CIR. 60 G.F.C.I:-3 G & S CONTRACTOR LIG.#578-E C_ BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 Per TME ci Oftc lE+MUst not be albrod In any rnannor,refum to tho ofto of the Board It Incorrect.Insctors may be Idenfitted by their credenflals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. gU F 't Town Hall, 53095 Main Road _ Fax (516)765-1823 P. O. Box 1179 y ,y Telephone (516) 765-1802 Southold, New York 119714 4 - OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE Building Permit No. "q (o � Z Owner: (please print) Plumber: /zoo JOS 7��r/»� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Z-,& (plumbers Signature) Sworn to before me this ,;ZU �L day of Notary Public, County BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: raj /Qp, Architect/ Date . Engineer: '.A4f'R-t 4r- 0•�.t Submitted: ✓4'� SCTM #: District: 1,000 Section: 70 Block: f/3 Lot: ��•S— Project ��S Subdivision Location: Name: Single&separate Required certification: (Yes/Nol Req. Req. � �j Zoning District:�� [Lot size: � Actual: �. [Lot coverage �0 Proposed:_�/i L L Req / .�-//_/ Req /�If / 30 / Req. Sb/ `�G [Front Yard Proposed:=J/ [Side Yard3o r Proposed: l [Rear Yard Proposed: j Project Description: alwy- AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. �V-jj'- W7 New York State D. E. C. _ `J � - ✓^��' �� '`�`') Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? ' Flood Zone: Notes �P C� suu.oiNa DEPT. INSPECTION [ /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY / REMARKS: Z"-�t X- DATE INSPECTOR � 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. �FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Z4 DATE l !t9 INSPECTOR 765.1802 BUILDING DEPT. INSPECTrROUGH [ ] FOUNDATION 73T [ PLBG. [ ] F NDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: xl� DATE INSPECTO M-iso2 BUILDING DE". INSPECTION [ ] FOUNDATION iST [ ] OUG11 PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE r ill WT IN8PECTOR tic�7 BUILDING DEPT. INSPECTION [ OUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ ] FINAL [ ] FIREPLACE & C111MNEY//JJ,, REMARKS: -AW I JI Zr� f N h DATE INSPECTOR Y,/7 X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ✓] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA (S: DATE O INSPECTOR t� 1 BUILDING oepr. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNE REMARKS: 1111111111,1114 ol DATE1a71A'l;1? d1 INSPECTO t.1I I UN tnnl vn i i V. - -- -_- - II H ��1 II ji CFin Gv tfrDATION � ) u � _- 4DAT I ON OND) IT ii z pf} �-------- it :;A FRAME & ii -- ---— --------------- -- — -- ------ - ------------ PLUMBING �------- a ...r ii n SUB _ - — ULATION PER N. Y. STATE ENERGY u u u— E CODE I� I ���� U1 u a FINAL _ u u A_D_D_ITIONAL COMMENTS Sim-- ----__--�_�(/� ---- ---------------------------------------------------- ----- M �Gy�'. YV ►-3 c - H l C-4 ------------- _ BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: �I��v- � .� CALL . . . . . . . . . . . . . . . . . . Ermined. ...., 19 MAIL TO: . . . . . . . . . . . . . . . . . . . Approved..off".A...., 19.F.l' Permit No. �0�.7.1.. .. .................................... Disapproveda/c .................................. .................................... .... ..........' " . ...... (Building In tor) n 1J1 APPLICATION FOR BUILDING PERMIT C Da . , 9 INSTRUCTIONS app must be completely filled in b pp oomq� y y typewriter or in ink and submitted to the Wilding Inspector ovum 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue 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 MAIE 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 remrnval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ....... �.......... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .................................................err... ................................................. Name of owner of premises .............� ..if![T/!m.� l4.Ilu!!f.... .. �i,� � .� ............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ....................................I.................... (Name and title of corporate officer) Builders License No. .....[ Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. ..... ��..................... !: .................... .?�` .................. House Number Street Hamlet County Tax Map No. 1000 Section ....I. j .... Block ....4�........ Lot Subdivision (ld.9J. T, AW..T..r 11� �! .. Filed Map No. . 0 c., .... Lot .....�........... (Name) 2. State existing use and occutpancy,of premises and intended use and occupancy of proposed constnmction: a. Existing use and occupancy ...................... N.0�e../91; l�.f..�f-! a ....... b. Intended use and occupancy ........ . ....... ;........5��.......................................... Nature of work (deck which applicable): New 13uilding ......... Addition .......... Alteration .......... Repair ............ Renal ............. Demolition ........ Other Work .................................. j (Description) Estimated Cost" .... r` / .............. fee .............................................. -(to be paid on filing this application) IE rkaelling, number of dwelling units tbAber of dwelling units on each floor ....AV....... Ifgarage, number of cars ..........4W.................... If Ixtsiness, cannercial or mixed occupancy, specify nature and extent of each type of use.......lX//.......... Dimensions of existing structures, if any: Dont................ Rear ............... Depth ................. Beight ........................ Number of Stories ...................... Dimensions of sane structure with alterations or additions: Dont ............... Rear ............... Depth .................... Height ...............1.•�....^•Ninber of Stories ........�.......... /,, �y- Dimensions of entire new construction: Dont ...` fl^...... Rear ..../.df .... Depth ...1'-l!./1..�. Beidit ......Jt'�..FTe....... Umber oft Stories ......7P........ / Size of lot: Front ... Rear ..... .R.-'.. Depth ...... l.l.:.. Dale of Purdiase .... —-- r'......... Name of Fonrer Owner ...CQe 19.C�/���.1 C2............... Zone or use district in which premises are situated ................tR.-.773..•..••...•. .................. . Does proposed construction violate any zoning law, ordinance or regulation: A/.0 Will lot be regraded .....W .......... Will excess fill be removed from premises: YES Names of Owner of prenises .. .... Address .....A1490..�.�. . ....... Phone No. ..............' Marne of Arch i tect � .W .5S 1 �-:4-�:!!�/.✓.!Y.. Address ....C:�'��.....(57V�..... Phone No. `L r Marne of Contractor ...��1/ r9. '.................. Address ...C p`g..LE........Phone No. ..............� Is this property within 300 feet of a tidal wetland? * YGS .. ND ........ *IF YES, SOLT1 UD 1U N 'I�)SIiLrS PGRMI'Y RF! MAY BE ¢JIRED.- . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions oro property lines. Give street and block number or description according to deed, and show street names and indicate ether interior or corner lot. I A'li's (ll' Nil Y(xZIC, Ss JNLY 01. .......................... .........//;[�.... ', (:9 vt ..........being duly sworn, deposes and says that he is tl►e applicant -are of individual signing conCracO ove nand, isdie ....... ................................�.:! !. 1. ...................................... (Contractor, agent, corporate officer, etc.) said U4dner or wx-rs, and is duly authorized to perforin or have performed the said work and to make and file this iplication; dmat all statements contained in this application are true to the best of his knowledge and belie E; and mat Uie work will be performed in time ircanner set forth in the application filed therewith. �orn to before nv dmis ...... ;9.a. . ....day of 19.ClT. .. Notary Pmmblic .................. �:..�.. UN,1DAS'T'k ART (Signature of Applicant) ... .... ^,Suis e.ftt Y06 t 1'a ilE`7 i i jsy'. CUi New York State Department of Environmental Conservation Division of Environmental Permits AM Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 John P. Cahill Commissioner LETTER OF NON-JURISDICTION Laurie Gordon and Jay Mandelbaum 40 . East 89th Street Apartment 14D New York, N.Y. 10128 Date: August 26, 1999 Re: 1-4738-02389/00001 Gordon and Mandelbaum Property 825 Kimberly Lane Southold, N.Y. 11971 SCTM # 1000-70-13-20 . 5 Dear Ms . Gordon and Mr. Mandelbaum: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the topographic crest of the bank, shown as the 13 foot contour interval on the survey prepared by Joseph A. Ingegno on 7/14/99, is beyond the jurisdiction of Article 25 (Tidal Wetlands) . Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit . It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i .e. a 15 ' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies . Very truly youz �� L �P1' 5n A. Wieland eputy Permit Administrator CC: Samuels & Steelman BMHP File �QSVFF�(�`► Town Hall Albert J. Krupski, President ��� �l/,y 53095 Main Road James King,Vice-President c �c P.O. Box 1179 Henry Smith cn x Southold,New York 11971 Artie Fosterpy Ken Poliwoda Telephone(516) 765-1882 '�Ql Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: August 19, 1999 AGENT: Samuels & Steelman APPLICANT• Gordon/Mandelbaum ADDRESS: 25235 Main Rd. ADDRESS: 825 Kimberly Lane R Cutchogue, NY Southold, NY PHONE: 734-6407 PHONE: RE: SCTM# 70-13-20.5 The Southold Town Board of Trustees reviewed the survey dated and received in our office on Aug.6, 1999 and determined that your proposal to Demolish existing residence and construct new residence in the same location to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, a!!z� -9 /&;04.4 Albert J. Krupski, Jr. President, Board of Trustees AJK/lms WINDOWS GENERAL Provide window and door units by MARVIN, Inc. as per WINDOW SCHEDULE, FLOOR PLANS and ELEVATIONS. Verify window schedule with Architect and Marvin representative prior to placing order. Features as follows: Aluminum clad finish and 1x4 flat exterior casing Factory mulled multiple units Low-E II insulating glass Simulated divided (interior and exterior) lites with 7/8" glazing bars with spacer bars as shown on elevations and as specified Matching screens in white Factory applied extension jambs of required width Grade 60 coastal hardware package in white Standard interior hardward WINDOW SCHEDULE All dimensions shown are single unit frame dimension (w x h) # Unit Lightan ttern A CDH 3024 6/1 B (2) CDH 3024 6/1 C (3) CDH 3024 6/1 D CDH 3032 9/1 E (2) CDH 3032 9/1 F CDH 3032 9/1 w/transom CAWN 3628 6 lights G (2) CDH 3032 9/1 w/transom (2)CAWN 3628 6 lights H (3) CDH 3032 9/1 w/transom (3)CAWN 3628 6 lights CDH 3032 w/flanking units (2)CDH 2032 6/1 J CDH 3036 9/1 K Fixed single sash CDH 3032 9 lights L CCMP 3624 3 lights M CFELF 2436 Sunburst N ANDERSEN #2817 Gordon/Mandelbaum 12 DOORS GENERAL Provide all doors as shown on PLANS and SCHEDULE. Handle, store, fit, hang, prepare for finishing and finish as per manufacturers directions. FRONT DOOR Custom wood 3'-6" wide x 8'-0" high x 2" thick mahogany panel door with matching sidelights as shown and detailed. EXTERIOR GLASS DOORS Provide aluminum clad Ultimate french doors by MARVIN, Inc., with same features as windows and operable as shown. Provide 5-point locking system with bright brass hardware sets. INTERIOR DOORS Provide 1-3/4"thick interior doors by SELECT INTERIOR DOORS, Inc. Bore all doors and jambs as required for finish hardware. SCREEN/STORM DOORS Where scheduled, provide full light heavy duty aluminum combination doors and frames, by LARSEN, Inc. GARAGE DOOR Provide 18'-0" wide x 8'-0" high raised panel wood overhead garage door by GENERAL DOORS, Inc. Provide electric operator with remote controls and key pad. BASEMENT ACCESS DOOR Provide basement access door by BILCO, Inc., DOOR SCHEDULE # Location Size (HxW� Notes FIRST FLOOR 101 Front door 3'-6" x 8'-0" w/16" sidelights 102 Kitchen 3'-0" x 8'-0" CUIFD 3080 1W X RHO 103 Kitchen 3'-0" x 8'-0" CFDR 3080 X LHO 104 Living Room 2@3'-0" x 8'-0" CUIFD 6080 2W 1 light w/transom 2@3'-0" x 2'-3" CAWN 3628 6 lights 105 Living Room 2@3'-0" x 8'-0" CUIFD 6080 2W 1 light w/transom 2@3'-0" x 2'-3" CAWN 3628 6 lights 106 Living Room 2@3'-0" x 8'-0" CUIFD 6080 2W 1 light w/transom 2@3'-0" x 2'-3" CAWN 3628 6 lights 107 Living Room 2@3'-0" x 8'-0" CUIFD 6080 2W 1 light w/transom 2@3'-0" x 2'-3" CAWN 3628 6 lights 108 Living Room 2@3'-0" x 8'-0" CUIFD 6080 2W 1 light w/transom 2@3'-0" x 2'-3" CAWN 3628 6 lights Gordon/Mandelbaum 13 109 Garage 2'-6" x 6'-8" 112 Coat Closet 2@2'-6" x 7'-0" 113 Basement Stairs 2'-8" x 7'-0" w/weatherstrip 114 Powder Room 2'-6" x 7'-0" 115 Linen Closet 2'-0" x 7'-0" 116 Hall 3'-0" x 7'-0" pocket door 117 Garage 3'-0" x 7'-0" 1 hour w/weatherstrip 118 Laundry Room 4@2'-0" x 7'-0" bi-folding 119 Bedroom #1 2'-8" x 7'-0" 120 Closet 2@2'-6" x 7'-0" 121 Bath #1 2'-6' x 7'-0" 122 Study 2@3'-0' x 8'-0" pocket doors 123 Kitchen 2@3'-0" x 8'-0" pocket doors 124 Closet 1'-6" x 7'-0" 125 Dining Room 3'-0' x 8'-0" double swinging SECOND FLOOR 201 Hall 3'-0" x 7'-0" pocket door 202 Closet 2@1'-6" x 7'-0" 203 Linen Closet 2@1'-6" x 7'-0" 204 Bedroom #4 2'-8" x 7'-0" 205 Closet 2'-0" x 7'-0" 206 Bath #3 2'-0" x 7'-0" 207 Closet 2'-0" x 7'-0" 208 Closet 2'-0" x 7'-0" 209 Bedroom #3 2'-8" x 7'-0" 210 Closet 2@2'-6" x 7'-0" 211 Bedroom #2 2'-8" x 7'-0" 212 Closet 2@2'-6" x 7'-0" 213 Bath #2 2'-6" x 7'-0" 215 Closet 2'-6" x 7'-0" 216 Master Bedroom 2'-8" x 7'-0" 217 Closet 2'-6" x 7'-0" 218 Master Bath 2'-6" x 7'-0" 219 Closet 2@2'-0" x 7'-0" 220 Hall 3'-0" x 7'-0" Pocket door 221 Linen Closet 1'-8" x 7'-0" 222 Bedroom #6 2'-8" x 7'-0" 223 Closet 2@2'-0" x 7'-0" 224 Closet 2@2'-0" x 7'-0" 225 Bath #4 2'-6" x 7'-0" 226 Bedroom #5 2'-8" x 7'-0" 227 Closet 2@2'6" x 7'-0" Gordon/Mandelbaum 14 O�OSQFF�(�C� Town Hall Albert J.Krupski, Presidentmay. Gy 53095 Main Road James King,Vice-President cwt P.O.Box 1179 Henry Smith co Z Southold,New York 11971 Artie Foster Ken Poliwoda Telephone(516) 765-1882 py • �� ��! �a� Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: August 19, 1999 AGENT: Samuels & Steelman APPLICANT• Gordon/Mandelbaum ADDRESS: 25235 Main Rd. ADDRESS: 825 Kimberly Lane Cutchogue, NY Southold, NY PHONE: 734-6407 PHONE: RE: SCTM# 70-13-20.5 The Southold Town Board of Trustees reviewed the survey dated and received in our office on Aug.6, 1999 and determined that your proposal to Demolish existing residence and construct new residence in the same location to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, &'4� �• /4:�� 1 Albert J. Krupski, Jr. President, Board of Trustees AJK/lms New York State Department of Environmental Conservation Division of Environmental Permits Rm 121, Building 40-SUNY Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 John P. Cahill Commissioner LETTER OF NON-JURISDICTION Laurie Gordon and Jay Mandelbaum 40 East 89th Street Apartment 14D New York, N.Y. 10128 Date: August 26, 1999 Re: 1-4738-02389/00001 Gordon and Mandelbaum Property 825 Kimberly Lane Southold, N.Y. 11971 SCTM # 1000-70-13-20 . 5 Dear Ms . Gordon and Mr. Mandelbaum: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: The property landward of the topographic crest of the bank, shown as the 13 foot contour interval on the survey prepared by Joseph A. Ingegno on 7/14/99, is beyond the jurisdiction of Article 25 (Tidal Wetlands) . Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit . It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your protect (i . e. a 15 ' to 20 ' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies . Very truly yodz�' J 5n A. Wieland Lyeputy Permit Administrator CC: Samuels & Steelman BMHP File t FT " 0 � nn S A M U E L S & S T E E L M A N October 29, 1999 ' Mike Verity, Building Inspector Building Department Town Hall Southold, NY 11971 Re: GORDON / MANDELBAUM RESIDENCE 825 Kimberly Lane, Southold, N.Y. Dear Mike, Enclosed you will find updated drawings for the project, including dimensions, notes, and structural information. The plans have not changed substantially in other ways since our initial application. You will also find a Window and Door Schedule, and a check for $1,655.20. ,Although the Site Plan refers to a six bedroom house, the sanitary system is of sufficient size to accommodate a seven bedroom house. We will forward to you a confirmation of this from the Health Department, prior to applying for a Certificate of Occupancy. We hereby certify that the house complies with the design requirements and other provisions of the NYS Energy Code. Thank you for reviewing the application and issuing a Building Permit. Sincere) RED C4 G` To , cc: Mandelbaum ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX(516)734-6407 qa-�.oE SITE DATA SCTM alt 1000 - 70 - 13 - 20.5 NOTES: Elevations are referenced to 1929 Datum FrL E R,RoWN 3 o P PROPERTY: 825 hold, N.Y.y Lane of propertywater is not available within 500 N r'�LE PrROW N N L '�'`� r„',g > " 'k ADDRESS Southold, N 11971 of property Fw E Yo cOnat3E OWNER: Jay Mandelbaum The locations of wells and cesspools shown Laurie Gordon hereon are from field observations and or t,.„ wmu �v� s°°mom Nv ' 40 East 89th Street LJ�.TER IN data obtained from others. PJR-OWIJ FIN GLTEasso it` ” 11871 Apartment 14D OOalasE S.No ar r New York, NY 10128 HEALTH "I am familiarwith the standards for approval DEPARTMENT and constructwn of subsurface sewage disposal 5 W STATEMENT systems for single family residences and will 'TEST I--IoL, SITE: 66,240.3sf E R�Y �1cPoWALD GEGascIEWcE c p abide by the conditions set forth Iherin end on hT Z: D /cs / q.9 AREA 1.521 Acres the permit to construct.” JATER EeJepL NTERED 14,o 'gf✓ of I , 91J RFsc. ZONING: R - 40 E 'X° SIGNED: FLOOD: Zone a° ZONE TEST HOLE $, SURVEYOR: Joseph Ingegno lTxISTIN a` gv ~+ P.0 Box 1931 wEILINR.IN4 LOCATION MAP Riverhead, NY 11901 License#49668 Dated: July 14, 1999 2/7 PFyDlecayED 9EY�La.Cll3 D19POSAU 5�(sTF�1 FT ExIaTINc, FO - Ar-jeli Co 13EDRoot✓1 RESIPEWIi h16141'd F3oRINC, I - 1SOO ii SEPTIC- TAN{LC ST) R9YSTE�I 15AWITAY -EscIST11.1 Z ' 8 FT DI.4 ri 8FT PEEP LEtiGI-InJC, 10001.116-11 I e, FIT ExP NBION&FT 011361P LEAcHto.tCy9E N/F coRJpccrl0 \ W i p i n • � • I ! 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N ` ryas -- _ — — - --- --- — -- -- - ¢ v T- --- - -- FM FFP fs- M -- --- — - — — — _ -�ytEJtlD�,qCh — - — 17r PLL O rL�l✓iGVEAgLS Warp __—_—_ _— Project No: FFz4M =� V�zolZt N EG KEENING - - _ Drawney: 7's Checked By: 1s7 r� R — Ell Scale: i` Oil 4.'r CL Fi, Sheet Title: BUIL,pING 0 ELEVATIONS r . — --� HOUN�ATION DE'(oNp� Sheet No: - SLAO� EAST ELEVATION --1 SCALE : 114" 1'- 0" i Y V W uJ ' Q C swp N S'r Ft-Iz,cLy. 0 ---- ---- -- ---- s -- ------- - —_ - ---- - --- — ----- _ __ FLR. JST __— LIJ --- - - - "- � C_ � El a - - - - - 1r ST F� O C] o C � C - -- — - - - - - -- O s ca 0 - —_— -- - a --- l — — NORTH ELEVATION SCALE : 114" = 1"- 0" _ ---- - ------ /� / >r ----- --=C - —_ --- _- - ---DN A009ATH ION r4AF1 kS < Z i < a = R -- — - — - --- / ��; - --- _ - -- 1544 rASclA ON I x6 IXIo FzIEZP, PJ4,4EZv AT UNer�;resldM o� soFF17 I COOL °�. FLATEc—xF.7RM 44 - - -- P -- --- - -- - - - FLAME 8F{INGLES rY.�� � cwrak ND `k , Project No: Checked By: Date: - 41 - - FIFIF -- --.- - - —.-- Scale: I III _ Sheet Title: LJ - -- ----- - -- BUILDING. - --- - - - - -- — ELEVATIONS Sheet No: - � � �OUNt7ATIaN �r•(cNp �' WEST ELEVATION SCALE : 1/4" = 1'- 0" 8 t WW1 Y VOVSZl�O•NINSrTLEUVGC71TONl II�IIII sHiNrIIRCOI Z A SPRU G oN 2xb J AFTrmKI AT 16 ° 0,6, Q V/ W r' I In TTI II I I j ; �I �I ; l i �' f°ftoVi�E 2ri4 I/ 7 � ' A' "T 16, � Z I � I nl fbPGK s 2v 4 �/ T 7P�� �'U1 W�t7 G�GKIhIG� ON z% c:$ nT I(o" J015T5 " G . - - - - _— — Top PLATE AT GL — ' D I+�'TT INSU L.AITI� i , t. rL i .i .i.� 4- ii ° — —_ — - - _— - - --=- - — - -CANTILEVER FlI �2 III s rte, i _. WALL corISTRUGPoN = i -- - _ _ -- --- 1 --------- -_--- - _ I I OSI 3onl OI^T STAIR LANDINGI 7'O �LaGI. F'Ap �iZ is V - - -AwooG IzAIuNG LV-1 l 50 2�(a wXaL�FMNra -- - - �� Li - ---_ - r ' q'1 Z T Top p14TH AT r-LG . PE — — KITC H N w ° ° �T`foM or' bEA ' - o H—H 7 ---- -- ---- „ --� �— - -- - - -... _ ! <ro CH Rico rn . ! � 11 GEPA!2 SHIN LI OtI VEN f3NTII-AnoMESH 0f4 WATEKfIeO01= M1z4NE EM6 'C7�M 1 67L) 2% f T 2 FT A � E 5 err I r cN3K � , I I - - — r r 6, . . at. . . .'. � tr� . r r -', t � . . r 'y `�.�. •r•yj, � ',yy, A . - ___ _ _ _ __.__--___ ____- _._ _— .__ — � . ., ". . . 1, , • ' ' . '. ''. Y _ _ 1. In. , yin. - -- -- --- - —UProject No: N nl Drawn Checked By: w' " • • $" THK , kcEINF. G,aNG, � iia" ,.ly" �-.3. . �;. Date: foIJNVGt•TIDN WALT. W/ � A �AS�M N7 J �h EMEh�IT 8 Mice NF�coNc, �� iAScale: F'oo�-I NEi SLAE� l3� MT —TA IR w6K'I to Sheet7itle: �EINF•, /io WELOEV WIKE M �'�H� Top of Fc -I Nth BUILDING ;, . . s �E SECTION Sheet No: BUILDING KTI Q' I r . � 6� K yy 9 / 8 ^1 SITE DAT S/+NDY LOAM eL S # 1000 -70 - 13-20.5 NOTES: Elevations are referenced to P,-L.6 FSRoN IWo I I-OA.MY 91LT � 1929 Datum. ML PROPERTY: 825 N(imberly Lane Public water is not available within 500 ft FINE To CoAasE 6+ ` ADDRESSSouthold, N.Y. 11971 at property I 8 W r OWNER: Jay Mandelbaum The locations of wells and cesspools shown I�',O' "', N '° 9P5WmberyLn sow,ma "v ) Y WA.TSFL IN PALE t'�^ .11971 Laurie Gordon hereon are from field observations and or r I. m 40 East 89th Street data obtained from others. FbRo.lu FIN G ToUj Apartment 1AD coA asE s.ND 5, a Apartment York, 14 10128 HEALTH '9 am familiar with the standards for approval r s a y NewDEPARTMENT and construction of subsurface sewage disposal 6W I Lo STATEMENT systems for single family residences and will 'TEST M. & 13Y i�c.pel.li-L.✓7 cyE05alE�loE ,� d Z 3 'I D hT e D /4 J 9 r SITE. 66,240.3 sf abide by the conditions sal forth lherin and on LATER rJ 14 O ELo a Z - LJaTER Et�oLl E Pi W Q AREA � 1.521 Acres the permit to construct." 9V FLF,woE ry° a., "�, •"+ayg:.�l; ,w Ra � ; ' o- �... ;y ZONING. R - 40 SIGNED: TEST HOLE � ! FLOOD: Zone "X" LU ZONE SURVEYOR: Joseph A, Ingegno E>wlsTllLOCATION .lq /�y^ P.O. Box 1931 JEIGIIP. eRl �l4 � ,/J �" Riverhead, NY 11901 License#49668 Dated: July 14 1999 Imo ED .9E1.•l.s E D19 OA�L 5`( T L �/ �/�/ � I - - - - 2/7 FT- CxISTINCa FOR A1.IEI.J Ii I'�IE,Dpoo1,�lPlaeslf�ENcE „/'" , �_ �/N�` M ; N61c,NPJoRINC, I - 1500 4•'�L sepric- Ti.NIK CST) q e.wl TA.RY 9YsTF.t..t 2- , g FT. DI.4 x 8FT DEiEF� LEA-_1,4WC, FooLS CLP) E>c1sT1N I - SFT pi,& w OFT DEEP FLITIJP-E I 6X oN L :-IIN ('oOLB wP ,` r R.EFB PA.IV81 I?AG 4 N/F coRNpcclrllo y1 ''� � / � I Z f /� • N 8' 1° l4 cr7 " 1- • 6 la- Lb 12- �� �oq� 5 4 �IG5, G7 FT 1 tl � !" Co FT --- - - - • hRO� 3ET� • --- -�-LZ 214 FT • PFrnroeimcp UtOvs kJND`, � ' I' ; WELL l9 I„I/,TER awr, �PoM�L To '�" '� �' ,:�.: =I / I I O - U • REa1DEr-IoE • - '��__ �� r — GFT d1 1 - , WALL / O O POEI. \ 1 (e i ` , r IsTING NITER I 0 j E A16NNDc Fr { OVI F-yACNIN F'T. I � � IoeNc� a AT . n.t -c WeTwucTra I- - - SOU-1-H It-V L V Q J • • ExISTIN SHE z1 Illi � 'PP.�GIN - � / � Gxl _ INC.-I. L•IWD — OR DING K`� HIf�H 70 �E IZE6iICT/ED `V ,erAEf.� � � E �' • Y TEt3 f i v % / JAF64 N � 1 �� • Q, .6 Z . LAWN 19RorkaSJD Np J � I ' / PROVIDE OPENINGS FOR INWATEzDINNFN EMERGENCY ESCAPE AS MoLJt3E TO PooW' M E+Iti +=S) I \ / J REQUIRED BY PART. 714 OF G ° r, PEO'°��D • N.Y. STATE BUILDING CODE. w i e� Poo MoLIE • I I � —� �� � � i w /f3.tTNRo lyf' s- 1 PROVIDE ANTI-SCALD AND/OR Q � . \ �• � � 1 . ' _ ' �}\\ 1 Cd./E� p f'a�iH � '- I NISoo WFr:T LlL�+ Fot��ID1 '� I THERMALS HOCK PREVENTING - AS TO Iso FT R.•DIIJ9 3 /� i,41Th11N is v1US I DEVICESTEBUIL RNGCO E. No cEeSpooLs �` 1L :� +c. "9�. "I �\ N.Y. STATE BUILDING CODE. FCuWO "ITW-IN 1�t7DM 111 �' �� �r� • � � � L��s{' ' gGo FT I PROVIDE 'h HR. FIRE ^� -J(o T 13 " m / RATED SEPARATION TO TSD u APPROVED AS NOTED PART. 717.3 (f) (1)OFQy, DATE. 1- I o a.R s I d� N.Y. STATE BUILDING CODE. e, �° ��- �� STONE TE KF.n.GE i FEE'. 1-130 -.to BY: NOTIFY BUILDING DEPART NT d0 2 Ire S OR TM FOLLOW NG INSPECTIONS: 1 '� 1 `'� DRO pOOED SELJAg6 19Pb .L t FOUNDATION - TWO REQUIRED FOP �oufleDCONCRETE PROVIDE SMOKE-DETECTING �Y6TEIr1 F9P-A F00{. Hb SG W/ 1AR,CICk:l 2 lk .UIL - FRAMING a PLUMBING ALARM DEVICES Proj ct N 1- 1000 qAI.., 6FPTIc. NK. �6 ) l S. FNuLanoN �I 14 Did.^ w q FT L, P �/ 4. FINAL - CONSTRUCTION MUST AS TO PARI 721.1 LE.Ae+a1JC� POO .B �I. NEIe}IP�R 1N4 BFc 1PLFTeFORc.o. N.Y.SBUILDINGCODE Drawney: T5 50): EXPAwI510IL1 IhIC L7E1'D Q SAb-IITAW'r AL' .-<:+�IRFMENT SHALL MEET �1 a BTEt�I TF. Fl^ naFMENTS OF THE N.Y. Checked By: Y S)A'E rONISTRUCTION 8 ENERGY CODF� NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Date: 1 PLUMBING f3/(A1jcl SITE LAN _ ALLPLUMBINGWASTE &WATER LINES NEED Scale: 20 TESTING BEFORE COVERING - SCALE : 1" 20'- 0" q.7 r'�r^�''• Sheet Title: ` ' ��" PLUMBER CERTIFICATIO 1� 1�' ON LEAD CONTENT BEFO E l� � .; Fi'i�Y'`r�z7 CERTIFICATE OF OCCUPA I ICY SITE V111IFKATE SOLDER USED IN 14/ATE PLAN f s SUPPLY SYS TEaT�' CAIVAI T t1v d a, , • " EXCEED 2110 of 1% LE/11D. DO NOT PROCEED WITH sheet No: FRAMING UNTIL SURVEY If copper tubing is used OF FOUNDATION LOCATION for water distributing HAS BEEN APPROVED. system; piping shall be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED NEIcrHPx,RINGt I.,fC1.L. 6 '�� p ' 8' -7 ° 8'-7 ° _ ®' 8 ° g! ] � i.3a 7i_ Zu 5 '_1n 23'-0 ' p I W Y j o V } Z 40 W z LU ,LAE> IzEINFVIw�v i,.v6WT\ ,r \ 7 I = - �5 r W 61 W �- --- 3 p � 4"� . pl�e Gal u�hl A 5,N Ic4L -_ - I vN 2-oK R,l•oux lZ, ,� p M�C — � � FIF _T S — - HU4" o e m .s5-M9_N7" m � . It -- IML 4f A = I — Project No: I Excs�,iv-r E b 1 I I To 13 E.a(L Gl.i U N 1715 Fa-7aG Drawn By: Checked By: `Y I- it JLDate: Scale: � C'�la�•bl E �LA� AI3o./� . —�--- -- ----{ - - -- -- ---�— — - — --�'— sheet Title: ALV AND GoMI;,ACr Eti41JD To AP'Ro �iaTE LEVEL BASEMENT PLAN BASEMENT T �oU N L,gTIVIN SCALE : 1/4" = 1'- 0" PLAN - Ep -rI-I K. IZ5I W FOr4C 5_ 7 GONG, oN 16 ,I w, x Sheet No: Ell z - — gl_ 7n 81-71 BI_�n gi.� u 61- -7 °li -7 Zu ► I I I i � ' --- — W p LU VD - - - 0 - - - to -t to —i v ` - - - -- -- Iz4 Z!on W 1 \ Z W Xp P�T. H ICI I CCAA K m:� H r= N - --- O 2 FT IGH .----- 01 ;7, HIyH c-tzILINc1 \ GSI L y O N C l yr UP DN I - ---- - ° c � ---- - A 121 HAL- do Ilro I Z''G" Z � " e m - - CGL- -- \g ¢ r • LAUNC7Rof q q ro' 6' �+" Z �T. HIc� F 7 W b d II i req \ _ GEILINC� - - OW LSE cl. ` -� ----- ¢ - O ' Co'_�" 4- 12'_•2•u ,4u 4i Oji �\ . ina - -_-- All ap - - - _- - _ WoDD poS-r CTI P.) Project No: Drawn By: TS IQr 140 _ 5n IyJ I_an .Ji_ 5qC hecked By: Date: L .._� -- —_- - ---- ' ----------'- - - - -------- - I--- - I'----- ------ -- . - -�'----- - — Scale: - ��ti �1 l� Sheet Title: (:;:tA F-AGIS �' FIRST FLOOR PLAN 4" TH K. C&Q 6. SLAB SCALE : 14" = 1'- 0" FIRST 2r1Np, Icwlo FLOOR J w 1 "'' PLAN CO.„ A ,q G,� Sheet No: ^ I I .� 6l �-1 � V --- --_- ---- -- —-- I+� , oC LU W Z i� - - - - - -- � W �1-011 �'-�r ° _ '• " r- MhsTECZ - -- ------- - - - -- - - I — K11 -- -- - - - -- - - - --- A f / 1 0 tJ �DX7� O 7.1 I = 01 - 42 = it o i 111. 2 4 I2 0 /0 3-(v �ALGONY \9 :¢a � j -------- - ----------- - C' �� ,, (o�_1a " �{ '� gLpo c� Qu 9u �1.6n GI. Q a21 ��O / _I -- - - - -- - zz7 N Z1'� I I i o6 Z - o lI 9 V ! GN 1 f^ . � I N _ _ __ ._ _ —_ — _—�._-^__ _ �. / 2.1 I � _ ____ w1' � n '7L1011 p QJ�Q° � ____ a • _ rt ' -------- -_ _ -- — — G — —- — — --- Z I o -ro f O �- _ --- - - - - - - - orEw — dJ -- ------ -- --- - s z ', CC � i - - _ - a.. l owl '� _�� � b� — _ N_ I '0 II ! ; � w • " ° M i � - - -- - GI. � I � � �. ate • � ° i r v Nvii, oil Project No: al oil Drawn By: -T - d- fl i '•�--,. '1'- O ' ISO F- Checked By: ` I I Date: ( G ---- -- Scale: I it I 1 u u (p„ - 5 $ • O 7 r- 6 (¢ Sheet Title: - - - --- - SECOND - ` - - FLOOR CIL. • PLAN It SECOND FLOOR PLAN _ SCALE : 114” = 1'- 0" W Sheet No: 24'- Co " 3 K Q _ W \ LNC K'LR , GL Gi . U ■ J Z GE�AP• sHiN�jL�S ",rLC.Pt"S LIJ Q --_ ---- - -— y - - l =QQQFM J S-r -- z �i.U�STc�N6 TA6L.E , � � G.p8 7fcTAl O SOUTH ELEVATION Rr ALF 1/4" = 1'- 0" --__ - GE 7AZ SHINGLE �OD� O� �ORNIMENT�L W001P LATH W\/r--NTFf7 jw.1 P61 "6 ToF o� �InU� � ' I sHlNc�l-INCA -- --- __-------- ---_ Z . ' '__---- di — -- _ VFE Lj L I Q QQ - - - - - M 2 N v rWz . ----'----- ---- — �L Y[ — -----_-------- - — 2 til n , Project No: Drawn By: ,rs Checked By: Date: a .. - — -- — - Scale: Sheet Title: 1sT �L a-, �P� y.. - -= BUILDING ?Op or- G,ILL ELEVATIONS rSheet No: poU N PAa-r i C H E!P o 4 P EA§T ELEVATION SCALE : 1W = 1'- 0" L GL n � R� a • _ r ln- Lu 2N — - - - W Z L! pLPT E 2N17 FLVt• -- �- --- — _ --- -- ----- N 1St FLZ,• GLci. ---- -- _" — — D FLKt, _ – ---__— 1 Fi: 2 GL N , MM --- -�__-=� -- -=^- =--- ---= -- --_- - W ti -- O NORTH ELEVATION Z . SCALE : 114" = 11"- 0" IzooG c = a WG}2D LATH ON RAFTFVzS . Gz � x z w — --- -- - -- - - -- - Q H • u G __-= — --- __ --_ -- ----- --- Ix4 rASCIA ON I x0 X 2NP �LI�. GLS• _— — /_ -- - _ GA^aIN� W/2/z" ��v Mo ILv AT — ILLI 4t Mqy r — ' - - O✓FV2 pUILT-iJ l" ----- - ---- --- '�o. 1�3�� Project No: -- lV - — -- Drawn By: Checked B : ante: �L Scale: I/4 "= I '—p l i --- --- --- -- -- - -.. - - ---J Sheet Title: - BUILDING ST,, ELEVATIONS --- - - . i { L� �� � � Sheet No: �'OUNbATIoN �C�(ol.lb �7 III WEST ELEVATION SCALE : 1/4" f- a., 71. 1 KZ , I WY L GoN5T1�UG1'IONI CT�fP' ) � � InoVL=N SHINCaLE VGNTFD Wl;7laE N ,y/G�F/A kZ sHIF4 LE f�F ,W z oW I % 'ij SP1zU G� LATH Q oN 2Kgv RAFTFSW-= AT ' v+ W c� I r G A-r�-I� i !I I I � yI I �q?TI G � / ATr 1� - TnP p'rl-ATI: AT GLCI . 1� I ON 2.ril0 AT /i" JOIBT6 I i ' Ir „ 'I". ' i il. _ A � .t- '- , ►�. 1 I _ y _ - - -- ---- I I i I..l. GOI�6TR �iTl ,•.• - -- ---- ---_ - ---- — � -- K dl T, — OHIJGLES o o —CANTILE'/ER Flt�O O - ---_--- I AT STAIR LAN �INC� Oh 3o I��r�. fAI��Iz. 00 tfi( 1=XT. I'L W 17 -- Woop 12AILINC� Ll ��� P/I' 5 ON Zx(O" WALL F"HIN61 o E E 'l�� - -- - - — --- -- - - 4 I (3El� M2 C' �N( 3 I — - - — - — - - - -J !----- -- — -- �1 �t -✓' � `��" p LAT E A c L --- — r ). 1('l `f ?' y{ { "♦ _– ! _ - - K I TC H r= FAM - - < M u 3 r ! �---- F � � . II v�NTILA-noN ME-SHcW o4J 0 J WATERf�I�'X)1= M�E�96RAnIE _� I -r+C1�V-�5RGX7VF_�fJGE� tta eq r .1aNTEP p'i2E-pRIME� GTI 3 K 8 AT suEPFl-K, - -- - - — - ..r �i �.,T �r .� `� )t�< 'a .xA-{ ' �;T•_ . ,d`, `5c, i{,=- r ;o - J \ � _.. __ _ - _�WLNV�^ Protect No: -- _ -_ —_ -_ - - _ _—_ - _- _- -_ A I Y r<,, , ,� ,� .�, \ '�' •• Drawn By: 1-. J�i.'C'. - n55;:� i��� � ���• .� Checked By: �'° 'CHK , �EIN ♦r. G.b NG. !K�';♦ = Date• �y ,,/ _ FAUN VAXTlonl WAIL bnMr�F�x_��INGI pN t Scale: 3�8u= II•pil s� rel " XI(o ' EINK C17N G. ' O �ASEM TIT �sMTI� STA z Frio NE1 - - - Sheet Title: 4 TH K, GONG, C�LAE�, ' KEINE W/6x(o to/Io •'' �%i WELI�Ei7 WIRE M ��H� ��'/��,� / • • • , y ! ' ' • • r • Ir • r Tow BUILDING � • SECTION Sheet No: BUILDING SECTION 7SCALE : 318" - V-0" 1 _ la- la �ooplN4 I - GLI PpLN: _ Iz # $F.Fi _P.A.JILDINCy 4•G, c, FL A6r{IN4 _GmeTION - TY FI cAk- 4RIdAMENTLL Il 1.4I Ill G LES FA6GIp 1 +•S ­4 _ ' aRW�rIICNT+'L --- _- . - G❑6Tbf.A"ClJ'T ---- — -_i _ -- -- - -- ALIGIN TOP of 641e-4rl Flzllll - - - — - - - o F PP•6GIA AT GJPO L.�. r T W ftb . 1� 1 1 Ills. , - lit/ F22.1, _ _ �9 Ff+102E ryD _ �>Pr-F•--oc+o= -.-__ _ _ 2t SILI- coJTINIJoIJs � 0 k f2"- - - - - -- - --�ylwlzFa/•N6i, , . . _ -- - -- - - _ -- - - - - _ - -- -- - 61R•l G'V'i E$_rl P141A.L PP-ovirJ E rl -- - - _ -�. L.G, � FLae w4 -- _ - uJ_ •d L' ' aLlowcy 6r�wJ Feeas Ibil ��_,/. I,� �� �9 THIP IGA.L F-©oF1NG �0 _ La P/'GK1F,P OUT , I Ir6T V• PeV _ bD La V- ! I 'I I - o. t.�,a1oB. __- G/rJ s10E W I 411 l r FRAM lu _ I•a SIA 1• Y c91Din x4p +A•a�. TPn+i '� - - -- 'i 2 + FI M I G - --_ _ --- _- I " 6 t - - _- �!O i I' � � It N•6 -- Fo�niD.AStDI.I co.lc - - - _ -- FOIJNFhTlll Fo1JI.11aaTIdJ ' uJ - ;# FmC'Yi61Gj I I PIERB + e1. pmT^14 j 4 �mTIW4 I � _� --__ -- o LJ J f'•T IDII colt �MTRIM -- C2) Zxa 6U c NTN o S V LL'S s} •'�T TE1zICAGWe 1 - � � �- _J—.�_--- _ '�� FPaal/. •, Iri84 I"4 L �{ F N4N I_� SLID IIJC� EARN I r5 12 grD I �" ISI �'I DOOR' HARDWARE+ ELEVATION 'oma`A pD wlaE III 'I j �„�IDE ��,T cRBBD SOUTH ELEVATION EAST -ELEVATION WEST W ! x T M TYP, I! Plzov106 �� cLAM175 SCALA : 1/4" = 1'- 0" t SCALE : 1/4 1'- 0 ' I To %MAIM Gl Collll N �� _ � SCALE : 1141' = 1'- 0" III � 'I I � (p" $q CO LJMN GA6 E17 To sL E cowERED TEhRAGE 5 d1 L 1•' — WaINSLofTLv WALL FALL S H P, O I I I 61 - 'ow v h , GI T 41 � I N H _ I � � I I 00 , 2 L SHE VE 01 O l^V 5 0 1z".' 12"IcorlrNJ us N , 1li col.Ic r+.ET6 GP-rvC lo" DIA, GONG, PIER RlI" p ep., &zrrol3T aLrl-+rl �" ThI1cK Ge NocRGTE ^T "Doc) ft%r coNNEGTiaJ S i1 FOUIJDA•TION N cONctzETE FLUaN W ITW i vinl C, r -- FooTINC� 3'-a" J !� �� � � S'-6" ('A'° S`- G° r'h' 4 •-G" tcu To LANDec,APE x LIG1-I TIr�I .BUILDING SECTION � Z • 1 To aWITGHAT SCALE : 3/8" = 1'-0" �RESIDEll FRONT POOR o �� C y L V IDtJ N - , W J i rp 1 -- p - - - L ' '' S° 12" Z•0 a •� II I'•O" J'•�" I�O'-�011 GU2TOM GAST GGNGf2Cl ¢ - - — — III „',' I (z.� Z•x I o �� � -- ��Yi ��� Ap Fo✓EGFSAMNL� I " -�-�---- - - ... r - - r \� �jt c36LoW SRr�PE "-I- -�- ---- \\ \� .__FIaOV1DE PP.+sT cL.1M4"S �'vL -- r I FLUBN LJ PAv1N T 6TbPE �� r = To PUvIF FYT���� -- Com) �VL7 FLATFo M� r AT All POaT coNN: GONNEGI-YoD 6 plplh� SWIM O - 0 Top sUY+-F�G6 ' , D F �iE+1LF�7 ULl �ECzWATE�? I o h .Ill-Tl C�� UNVIE(z C2�a,.8 c•13 ` FI � a I aoN 1uNous- .� SHAI.LOW V C2� 2r•I R-R _ V _ Cs7 zno �L2 - - Wl Ell ..- -- - - - - - - 9 G41-l1P^=TroT7 0 0 F i raj --- - - - - - — oII w�L vrlalrl 0 * t1 I J zj N 'eOL dor cr I `r Z Project No: a�`I 14 z' • li' OaWT1MUe coNol+-ET6 4 LAPS C; Ill R. _N L_ \ �i 2rlo d\ I � y�.�.,•, �j I, @EsM L r I�'GI" I-�' � j _ �j i Drawn 8y: "1-S r WTGH ry I zr GPJ I I Checked 8y: " TIJIt LONG, I .- ® G TI LJOLIS - � I g a / FOIJNPL.TIQNoN 12�F� r „ Date: '1 . 2. 490 4flNG, ..._ `TE 12 SL{ Scale: ryT�E'P OrJ 4p•APE QINLETS �''� _ I 1 A'=• N o 1'�17 P2 1 Sheet Title: in POOL ; " - w Czj z•eag r� �rTINc� PSL GovFhz HOUSE jL RI E C3) zt4 POST SWIMMING p�� L / IVovEA�LE ca F• r1J -rl To maoll l s uAREC$P� SpRAY�b 2'IUNITE WALLS9 PLCbl2 LJi S'1'�GL Y�E E.41Z b WE Dp E6�+1� P6 DP.rIN/S6 9YST8Wl MOV1Pg PbsTGL-Il �LE1NFoll a 12 " o, G. MIN, �AGH 6°Y, r Fo�I7E � u .. ToP 4 BOTTOM Sheet No: r , NIIN GERAMIG 'TILE �p!M GGpItJG TO WATER LF1/ K<„ PRo✓ID� GUSTOM tdLUl� MA�ZP�LE pU�a7 PINI`.f••I 4> 4 GGA 5'-4 5 �IZ Ar�NR oV�D �At-JFLE , r5VVIPE: Ill Ill-Cl SAFETY Fo6T TYPICAL y_ `" zI-�' COVIl ANP ALL FzE6tUIR0D FQUIPTMI �NT li 2�pApPYrll4c ��Tlp- PUr1P rl � AlWl uOaL aT ll�o✓ CLI�J " , ' t3UNAATION PLAN FIRST FLOOR PLAN 12 ' GAkE ::114". 1'-.Q" SCALE : 1/4" V. 0" ' vI Ayaxs + xjE�xv.,hv {ZsVl S NC 2LO a ORO! i 9 /44 P/ goWlSITE DATA a ' GL �\ SCTM # 1000 - 70 - 13 - 205 NOTES: Elevations are referenced to Pf L g PjAd lk N 0• s a' , � , a d r y l d)4 1929 Datum LoAMY SIL7 e a ' t�L t . ok a PROPERTY: it 825 Kimberly Lane r I'.�LE 3RoWN ML '�.6� '�;�� a Public water Is not available within 500'ft L i ADDRESS Southold, N.Y. 11971 of properly FINE 'rc coAaBE OWNER: Jay Mandelbaum The locations of wells and casspools shown Laurie Gordon hereon are from field observations and or hJATER iN pP.LE l� O + ° I" + lei,meewU s m ia.ev a* i E'EN data obtained from others. SiLoi jw FIN G To h W Y Apartment East 89th Street + CoAR3E .S+.ND • ' �° Apartment NY HEALTH "I am familiar with the standards for approval 6W .� '" U y '..'w ,"b.' , far {" ,+ L ,� °' F�, O New York, NY 10128 DEPARTMENT and construction of subsurface sewage disposal } STATEMENT systems for single family residences and will TEs T No L E IbY i.�topol.l.•.L D \ 4` �x 3 SITE: 66,240.3 sf c,eOsci EIJ GE 'ftF`� abide by the conditions set forth therin and on Ph-r C, • /5 / q 9 j `, ��^ i Z AREA 1 521 Acres the permit to construct." - p.IATER- 6th Lll-lTEFLEr7 I4,0'P��L,oW \ 4 t T. W Z ZONING: R - 40 SIGNED: TEST HOLE Et L £ FLOOD: Zone „X„ ZONE �2b11� j r `, \ � I ° W SURVEYOR: Joseph Ingegno S�ieTWCI LOCATION MAPS P 0 Box 1931 NJiGI-I Fye RI Nc, Riverhead, NY 11901 WELL License # 49668 Dated July 14, 1999 z�,r PI�I'o�El7 BEt.J•dGE D19pDeAl-. .9�(6T61✓I a F7- ExI STINC, FOR ANEi�J Co PjGDlZo01•/I p-ESIDENcE :. . �.- rEIc,Np�RINc 1 - 1500 c.,AL SEPTIC. Tr.N19- CST) J �� BA4J1 T••I2Y 9YSTF_t.il Z . g FT' Dlh,w• SPT PEiLP LEACi- i POOLS CLP) - -Esc.:-•-r?.� I - 2, FT P14, x 13 FT DEEB FLJTIJP-F- Tr•-F='°r. -- � EKP...IV81oN LEAcHINc, r'ODLB �rcP� W \\ Z 4 S I° W , �' G- • ® 5 4 � a a aq� I j • 2-l4 FT -� , � , bJATtlzLirJG RPOMI•�LTo - +�. :l � I 1 1 f� • -� REgrDENcE • ; D-I G FT / O • �i� WaLL LL O Albe s_�x i I, ' CCC ' OVEFxigTI. Ca - ` ' a5®I�L112.LcOD NIFCo ' I . ISI r , 210 Q f • • - - - .4cr3EDEIrtOLIeaJED ; z, - C Nt3TRtJoTI o �' / • -- -i- - - , SDUTN01_ V --� ? - - EX bT1 ..H _t7 r%ArGKir� ,a qL.i ill,q i T� �% �L ,.�c�r r' > ' /+PEA CI' � r � x s, _ �� � I I =X :.;�h-lC� 6•I C?�G / I r 7E \ • TEsfi. �/(�� vrs r r,a' � • 11 E/-`rI' l � Z • " 15 �ROI�BED JNVF.+txy79JNFT# 4 'S. — 11..lATCR- uNG, FIzoM AIN, ,.+, '� / 7 4 — �� HoLJBE TOr' foo aoJB� t < x POOL 1-I OL E V • ;i / \ • ,\ \ z g < " ? \ NFoouucoEa.spooLs 3 _ e � 2 5 X QiT .,Npl9 —Irvo FT ,Fn- . I -+0 T- "iTLI-1N • r C7DY FDI 14� zo; Iy- - --- -- >L \� _—^N 'c 3 Kms` ag ��r ► n -� p PRO SED SC.kApE SAL aYsTEM R1- OW3c � tT R00�1 n7 1- 1000 CqA�, E i6 TANK CST ) rQ Project No: Is FT A . w be E�P fr L N iNCy POO�. L 0) � � 1 N E1 Cy}dR dns .INC4 �—� Drawn By: 0,y. EKPANSI iN r-IEl--P p I s/ NITARY PLEASE NOTE T� PDY5TE.w Mininni distance betwr r rl II Checked By: and cesspool is to be 15C ;ger. — Data, SITE LAN SDFFO/dfC0UN1VDEPARTMEN'fOFH2ALTHBBRVlC69 Scale: SCALE : 1" 20'- 0" - FEMWFOR AFFROVALOFCONSTRUCITONFOR A CC e=LEFAMILYRFSIDRNCEONLY Sheet Title: I s DATE - l NO. al0 —R4 --6t-7 . IIS APPRI D YFOR Mi OFRODMS SITE N Will PLAN •_• Sheet No: (�r�yr•al �+(r IJ EIgH13oRINCy LJ ELL �' Y PINE NECK ROAD SURVEY OF LOT 5 MAP OF PARADISE BY THE BAY FILE No. 6463 FILED NOVEMBER 4, 1976 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-13-20.5 SCALE 1 "=20' JULY 14, 1999 AREA = 66,240.30 sq. ft. (TO TIE LINE) 1.521 OC. vT a d i n " " LOT I DWELLIrr77G zsom ax H.-DW OAK N 89'14'00" Eru 465.97' d • �� y155 METALPOST YL 148 • I$S YJ55 NN • I 4 • 11 �9T'Olo OAK METAL PO L4"N ax•• METAL PO5f 2011.. MK� OONC 1111. TWIN MKS pElypry s I I I I I I I mo Is5• d' ILI1 �11l. �zrDIsN.3 � ENTRANCE A W( a3 52zxx(�150 567DI. I-On . 6 zT•Dw nYf - m O . 23'DM WIN OAKS - xx^w. nM 1n e I Do 4 h6 Is 42 YARD / a� 4 MAN 153 Me'ayyvDI. • 514 sum WALK � 1�R�Mv °,5 % �i L Raaf avER II N Cj trow. TWIN MXS L4Q odd . 1539 26.8, w D H_IhE R'N • 1 STORY FRAME LOG HOUSE k GARAGE / f OD �� 0.-21.111._WR � OAK n LFL I 7 WOOD E14 ANNE ROA H ,�4 • 231N. y�al, iI STEP R OX L n\ .I�, \ a . e • 71.51 WINDOW T �� ].9_E • Nbla. TWIN MN •n i " 15 ISI '^"�" LOC _ / I we WooD _ _ _ / _ _ _ _ IJ li / I to CONC IfIC TS _3; � I Ig'1 1j 6 STEP6 Ln L I-- 111rr - LOT 5O ebl. WIN Nx5 LL2 . ^ I � PROPANE 12?,. m6 �� �m c {'y I5.SS JTa.y OONIROLS�� In tm • ' E]JL ° • I 20'01.. O.V( , 714 Z^ r — - — YOL. W( Is 65, " i 2,bi.. uAK I1_ I I Iw Y6• H.-ow, OV( I .1 • I WDI. CEwN—� �+y a4 I 1 \ \\ 15 dF 4 L41 14 JLy a " _146i Y� _1_4 of 1RTIa. MN �y A ' 4 '�4: i 4 32 . 21'w.. anx 14- A 1611. aVf ' 115_ ebb. THREE OAKS � aa11. aV(� II 14-' 4 . •\\ " 4 4.• I ��— 23-01. 6N( I _ • l _ 25 . OAK 0 P' ob1 L1 434 86 ° • � Fl£CRtN: \ I � — �_ — � � _ _ �' . 1 5 - __ - 1 5%\ I I \ 25 I i • �� �M TER BOX I 14,Sx I y • i I HE, NOW L I I \ I I P EI �p $* m•Dm OAK _ - . 1�' LOT DWELLING • 5 84'22'20" W ., _, OP. Ol LT. To THIS SURV ALTERATION ADDITION O O, CERTIFIED TO: EDUGONUR9£ IS A VOLITITI ON OF SECTOR R LR OF THE NEW YORK STALE JAY MANDELBAUM COPIES OF THIS SURVEY MAP NOT BEARING LAURIE GORDON THE LAND SURVEYDR•S INKED SEAL OR EMBOSSED SEA SHALL NOT BE CONSIDERED TO BE A VALID TRUE COW. CERRRMGONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY NOTES: IS PREPARED, AND ON HIS BEHALF TO ME TIRE COMPANY, GOVERNMENT& AGENCY AND 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM TONME ASSIDING GNEEEE90 OF ME LENDING INSfID- TUIIOR. CERTIRMTIONS ME NOT TRANSFERABLE. EXISTING ELEVATIONS ARE SHOWN THUS:—� EXISTING CONTOUR LINES ARE SHOWN THUS: — -- -- --5- F FL 5-FFL - FIRST FLOOR THE EXISTENCE OF RIGHT OF WAYS G F' - GARAGE FLOOR AND/OR EASEMENTS OF RECORD, IF TB - TOP OF BULKHEAD ANY, NOT SHOWN ARE NOT GUARANTEED. EB - B070M OF BULNHFAD TC - TOP OF CURB BC - 8070M OF CURB PREPARED IN ACCORDANCE WITH THE MINIMUM BYM ARDSELI FOR TITLE PROVEEYS ASD ADOPTED Joseph A. Ingegno BY 1H�E�LaI.�AyLS. AND APPROVED AND ADOPTED LAN F WmU BY NEW YORK STATE LAND �CjSy p"✓A^.^/•AU Land Surveyor a O a Title Surveys - Subdivisions - Site Plans - Construction Layout '9TF '4 eyO rA PHONE (516)727-2090 Fax (516)722-5093 F NEW OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverhead, New York 11901 ;-L I%f 1 f/1 99-454 PINE NECK ROAD,, >AH — szono _ .. SURVEY OF � . LOT 5 MAP OF PARADISE BY THE BAY FILE No. 6463 FILED NOVEMBER 4, 1976 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-13-20.5 SCALE 1 "=20' JULY 14, 1999. DECEMBER 17, 1999 UNDER CONSTRUCTION SURVEY AREA = 66,240.30 sq. ft. (TO TIE LINE) 1.521 OC. �n Y v n <° LOT IO ' I DWELLI le'om CAK� 465.97' I x3.1316 o K N 89'14'00" E JW--o E I ° METAL PDSI�b SETWOOD STAKE YL wmo STARE 107.83' N 190.00' • 171X. OAK METAL PAST 201Ao. DAK� I p 14 M v I N e•Db TWIN OAKS z,•Rb aN V/ UV JII R' NO �n'm.. oN z]• I Iwp 241 Na. OAK O23TW THIN OAKS 't 54 u rMo " ° °� 10.2 39]' 3.0' I n•o1.. r° " I O " . •" L 0! u uT ROMP ' . NRAMP £ I OD 13b1.. TWIN OAFRAMg fJ JL I C) STDR a y . " °r 20J' �'�. �19b1.. W( € v O ROAD STDRIGE BIN NE 011 0.14s 131a. oo �,e ol.. aN a CONCRETE p OTT ^ N R, N� — .nonce. " /° FOUNDATION I I N nt11�1 w°° woo° R of-. m=o Rix snvs (1 12d W ° y CO • Ibblu. WIN OU(5� r p PROPANE fm ` I> • " ° • A CONTROIS� ° a 20.51.. OAR�"" !' 24.0' A 16.131. CERN--. 19.16. auc� LOT SO • 4 �t5•DI I �y}�/�Py�� 21'131e ax/ THREE 0AXS 49bb, QV(—__0 'l 2]bb. \7 lo. 2eblo ¢Mf ' I � 434.86 I NEL CP METER BOX I ,y 126,01' p/ V n ® n w�ooC STAKE my 19.51.. CAIN O�Iy16G vmoo STAKE84,22'20" W • Z OR UNAUTHORIZED ALTERATION OR ADDITION n TO THIS SURVEY IS A MOIAMON OF bTJ SECTION 72139 OF THE NEW YORK STATE 0 .P. CERTIFIED TO: EDUCATION IAw. l COPIES OF THIS SUR9EY MAP NOT BEARING 10 JAY MANDELBAUM 0. 0: SEAl. OR LAURIE GORDON EMBOSSED SENSr E I-ANDINOOTTDBE CONSIDERED L To BE a valJO muE COPY. L CERTIFICATIONS INDOATED HEREON SNALL RUN ONLY TO THE PERSON FOR WHOM THE SURREY 5 PREPARED, AND ON Hl5 BEHALF TD THE TOLE E PD G ENTAL AGENCY AND TODING THE ASSIGNEES F THE LENDING INSfI- TUIION. CERTIFICATIONS ME NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AHD/OR EASEMENTS OF RECORN IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM BY THE LI FOR TOLE SURREYS M D ESTABLISHED Joseph A. Ingegno M THE SUCH E, AND E NEW YD AND ATE LAN FOR SUCH UBE BY THE NEW YORK STATE LAND TRLE MB13°UTI°"` Land Surveyor cFPl %-A No S( 4 ' Tifle Surveys — 5uhdlvinlonn — Site Plane — ConeW°tion LDyout .,1 O a PHONE (516)727-2090 Fax (516)722-5093 OFFICES LOCATED AT NAILING-ADDRESS AF 40 N.Y.S. Lia Na. 49888 One Unlbn Squen P.O: BOX 1931 Aqueboque, New York 11931 Rlverhwd, New York 11901 9 —4 ' PINE NECK ROAD SURVEY OF t° s LOT 5 MAP OF } PARADISE BY THE BAY FILE Na, 6463 FILED NOVEMBER 4, 1976 SITUATEI) AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-13-20.5 j SCALE 1 "=20' JULY 14, 1999 DECEMBER 17, 1999 UNDER CONSTRUCTION SURVEY JUNE 21 , 2000 REVISED PROPOSED POOL & POOL HOUSE JULY 2, 2001 FINAL SURVEY AREA = 66,240.30 Sq. ff. (To TIE LINE) 1 .521 ac. 0 n S.C.D.H.S. REFERENCE No. R10-99-0172 W LOT® ' I w 465.97' ' N 89'14'00" E 5a I ° ti. NEfAI PO51 SET N4L ElECIRM NEIER _tr WOOD STAKE '1 A.Do 107.83' to OEDQL NG EQC.VN !LOCK CURB / II ° R , • i-POOL con B 159.5' , p ` " ` P . , a , I AEFH Ll .6EWAY •• a ad N N ,R v v v x t x / I V O . �LL� Nvv ` y . wA1u uNE� _. a .. , • I �' O ` " a " a a� • • ,E ' R COMMONER B lZ y� . , • " ` ' PING NO ©ft] POOL�IGCHING I c` sow' L_ SEPTIrC I vl MK 1JY a ° . . • ••, BETGUNO �13 CURB , OC \^� 260 Ico - 207 11A� O o 2 STORY FRAME C 88 STESITE ' I O ROXAN NEROAD HOUSE & GARAGE WOO WOOD WOOD X N ZR' oL n 00 bW Waoo Srtr z fY 0 RCD • , ' J / CHAIN NNK FENCE CHAIN pNN FEN E WOOD SOP]1 3' LOT O • , ° . CONC PA90 ..• PA I I 01 loo / 0 € I I / / C> ZD 9 INGROUNO POOL a - SEI <• A samc 0"1 m SD' I I DAR. 434.86' a TMIN § '� IC °� L/- !� 15A 100 - CO . a NC PR10 uETEx aox / • 126.01 cloROW a wo00 fENCE uN0 `.. F TRFf9I . • ouTooan sx to • ,° ��/ / TY SUTE wALx TE suTE wML o e H wAu al. i / /IFACHING� / € SET "Tr w"1 COIR PAD FGRCNNN U1 F FENCE ,WOOD S1A1(E 4 Poot EDUIPMFM rF 160.00• 1- E LOT KoCESET a ° WOOD STAKE • Z S 84'22'20" W DID. UNAUTHOR TFn AAERATION OR ADDRICN ° J TD THIS SURVEY IS A WOIAOON OF ^ OSECTION 7209 OF THE NEW YOM STATE CERTIFIED TO: EDUGARON LAW. OCOPIES OF THIS SUP NOT REARING O O, JAY MANDELBAUM SURVEY MM THE MMD SURVEYORS INNm SEM OR LAURIE GORDON EMBOSSED SEAL SFV1L NOT BE CONSIDERED To BE A VAUD TRUE COPY CKY TO ME PERSOINDICAN FF HEREON M SHALL RUN ONLY TO ME PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BENAU'TO THE TIRE COMNSM GOVERNMENTM AGENCY AND TENDING ISSIGNEION URTm HEREON, AND TO THE ASSIGNEES OF NE LENDING TTR NSFER NITON CERIIFlGROxs ME NOT TRANSFERABLE THE EXISTENCE OF RIGHT DE WAYS AND. N SHOWN A OF NOT GUA, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WIN THE MINWUM STANDARDSMELl FOR D S"� S I) ADCFBH o Joseph A. Ingegno BY THE MALS. AND APPROVED YO AND ADOPTED FOR SUCH USE BY NEW YORK STATE LWO MUE ASSOCIATION. Land Surveyor vVII Ph Title Surveys — Subdivisions — Sit. Plans — ConsWction Loyaut PHONE (631)727-2090 Fax (631)727-1727 d� OFFICES LOG7m AT MAILING ADDRESS LRT M 55 JG` N.Y.S. Lic. No. 49668 1380 Roanoke Avenue P.O. Box 1931 ,. � Riverhead, New York 11901 Riverhead, New York 11901-0965 99-4540