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HomeMy WebLinkAbout27330-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29299 Date: 03/07/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 3210 BEEBE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Cotlnty Tax Map No. 473889 Section 103 Block 9 Lot 2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRU~LRY 15, 2001 pursuant to which Building Pezmit No. 27330-Z dated MAy 25, 2001 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 FRONT PORCH, REAR DECK AMD ATTACHED TWO CAR GAPJ~GE AS APPLIED FOR, The certificate is issued to DOUGLAS & CAROLAArN RYAN ( OWNER ) of the aforesaid building. SIIFFOLK CO~ DEPARTMENT OF HEALTH APPROVAL Ri0 00-0040 09/23/02 ELECTRICAL CERTIFICATE NO. 1067554 07/29/02 PL[~BERS CERTIFICATION D~r~u 09/25/02 DOUGI~AS RY/ZN Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27330 Z Date MAY 25, 2001 Permission is hereby granted to: JOSEPH COOPER 143 CENTRE ISLAND RD OYSTER BAY,NY 11771 for : NEW CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH 3 BEDROOMS, 2 CAR GAIIAGE & PORCH AS APPLED FOR W/ ZBA# 3373, TRUSTEE'S, NYS DEC AND FLD. PMT at premises located at 3210 BEEBE DR CUTCHOGUE County TaD[ Map No. 473889 Section 103 Block 0009 Lot No. 002 pursuant to application dated FEBRUARY 15, 2001 and approved by the Building Inspector. Fee $ 743.00 COPY Rev. 2/19/98 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NeW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by Located at JIM SAGE ELEC. INC. P.O. BOX 38 GREENPOR,T, NY 11944-0038, ~7:~, ~,,-,- ~Lb u~,~UTCHOGUE, NY 11935 DOUGLAS RYAN 70 JACKSON PLACE MASSAPEQUA, NY 11758 Application Number: 1067554 Certificate Number: 1067554 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 29th Name OTY Outlet 5 I Receptacle 45 Switch 58 Fixture 51 Receptacle 8 Receptacle 1 Receptacle 1 Receptacle 8 Paddle Fan 5 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: Meters: 1 Day of July, 2002. Rate Rating Circuit 2O 30 Type Fixture General Purpose General Purpose Incandescent GFCI Special Special GFCI i 200 CB seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 1 0038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. DOUGLAS RYAN P.O. BOX 38 70 dACKSON PLAOE GREENPORT, NY 11944-0038, MASSAPEQUA, NY 11758 Located at 3710 BEE BEE DR CUTCHOGUE, NY 11935 Application Number: 1067554 Certificate Number: 1067554 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in therewith the 29th of July, 2002. compliance Day on Name QTY Rate Rating Circuit Type Additional Charges LIC NUMBER # 3635-E Alarm and Emergency Equipment Sensor I Carbon Monoxide Sensor 7 Smoke Appliances and Accessories Range i 10 DishWasher 1 1 Exhaust Fan 2 0 F.H.P. Furnace I 0 F.H.P. Hydro Massage Tub, Residential 1 Air Conditioner 1 5 ~ M°t°rs 1 5 1 F Panels I 60 1 seal Wiring and Devices C°ntinued °n Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. File No: 10502 q WARREN A. SAMBACH, SR. CONSULTING ENGINEERS - PLANNERS 7675 COX LANE - P.O. BOX 1033 CUTCHOGUE, NY 11935 631- ~j~ 734-7492 February 27 2003 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: Douglas Rya'n 3210 Beebe Drive Cutchogue NY 11935 SCTM: 1000-103-09-02 To Whom it May Concern: The fire separation between the garage and residence conforms to Section 717.3f-1 of the New York State Building Code and is rated 3/4hr. Sincerely, ~ Warren A. Sambach Sr. P.E. was:s cc: Ryan File No: 10502 WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · PLANNERS 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE, NY 11935 6 3 1 - ~){~) 734-7492 January 29 2002 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: R. Ryan 3210 Beebe Drive Cutchogue NY 11935 SCTM: 1000 Section: 103 Block: 009 Lot: 002 To Whom it May Concern: Be advised that the installation of 3/4" Hour Fire Separation sheetrock installed on the inside walls of the garage meets the New York State Building Code. Access door to crawl space underneath the residence is made of ~" sheet steel and is locked in place. Boiler stack is permament and wrapped with insulation. The ceiling around the stack has sheet steel plate installed. Hand rail has been installe~ on the garage to he residence and conforms Building Code. Sincerely, Warren A. Sambach Sr. P.E. five riser stairs from the to the New York State WaS:S CC: Ryan DEC PERMIT NUNOER 1-47"58-02587/00001 FACILiTY/PROGRAM NUMBER(S) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL COMSERVATION PERMIT Under the Environmental Conservation Law EFFECTIVE DATE January 16r 2001 EXPIRATION DATE(S) January 31, 2003 TYPE OF PERMIT · New ~ Renewal [] Modification [] Permit to Construct E] Permit to Operate I [] Article 15, Title 5: Protection of Waters [] 6NYCRR 608: Water Quality Certification [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 2&: Freshwater Wet[ands · Article 25: Tidal Wet[andS [] Article 15, Tit[e 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers PERMIT ISSUED TO Douglas & Carol Ryan ADDRESS OF PERMITTEE [] Article 27, Tit[e 7; 6NYCRR 360: So[id Waste Management [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [] Articles 1, 3, 17, 19~ 27, 37;- 6NYCRR 380: Radiation Control TELEPHONE NUMBER (516) Z95-1960 70 Jackson Placet Masaapequa, NY 11758 CONTACT PERSON FOR PERMITTED WORK Patricia M~ore~ Esq.~ 51020 Main Road~ Southotdf NY MANE AND ADDRESS OF PROJECT/FACILITY 11971 TELEPHONE NUMBER (631) 765-4330 Ryan propertyf Beebe Drive~ Cutchogue LOCATION OF PROdECT/FACILITY SCTM #1000-103-9-2 WATERCOURSE COUNTY Suffolk TOWN Southo[d INYTM COORDINATES DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a single family dwelling, deck, driveway and place 300 cubic yards of clean fill Construct 3' x 155' walkway. 3' x 28' ramp and 6' x 20' float. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict con~oliance with the ECL, all al~oticabLe regulations, the General Conditions specified (see page 2 & 3) ar~f any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: J ADDRESS ROller Evans (CAF) I BLdg. #40~ SUNYf Stony Brookt NY 11790-2356 AUTHORIZED SIGNATURE ~------~"(:~ ,a,..~ IDATE January 17, 2001 Page I of 4 I U TOWN OF SOUTHOLD APPLICAI'I(3 N PAGE FLOODPLAIN DENrlZLOPMENT PEPdMffT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and ~ 1. No work may start until a permit i~ issued. Z The permit may be revoked if any false statements &re made herein. 3. Il' revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of CornpEance is issued. 5. The penmit will expire if no work is commenced within six months of issuance. 6. Appficant is hereby informed that other permits may be required to hflf'dl local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make ieasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIF'Y THAT ALL STATEMENTS HEREIN AND IN ATTACH/dENTS TO CT O : (Th b o p t b Avr~ICAh'I') NAME ADDRESS TELEPHONE APPLICANT BUILDER · ENGINEER To avoid delay in proceasing thc application, ple~e provide cnouE_h information to easily identify thc project location. Provide the street address, lot number or legal description (attach) and, outside urban ureas, the distance to thc neare~ intersecting road or well-known landmark. A sketch attached to this appEcatioa showing thc project location would be helpful. FDP(93) 'o APPLICATION ~ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes) A STRUCTURAL DEVELOPMENT ACTIVITY New Structure [] Addition U1 Alteration ID Relocation [] Demolition [] Replacement [TRUCTURE TYPE ID Residential (lA Family) 0 Residential (More than 4 F~mily) ID Non-residential (FloodprooFmg? [] Yes) [] Combined Usc CResiden6al & Commercixl) [] Mamufactured (Mobile) Home (In Manu- [actured Home Park? [] Yes) ESTIMATED COST OF PROJECT B. OTHER DEVELOPMENT A~t IVITIES: [] Fill VI Mining [] Drilling [] Grading [] Excavation (Except for Structural Development Checked Above) [] Watercourse Alteration (Including Dredging and Charmel ModLlicaiorts) [] Drainage Imorovements (Including Culvert Work~ D Road, Street'or~dge Construai;n ' iinubdivision (New or E.xpartsion) dividual water or Se~,?,r Sy~tt.m [] Other (Please Sped[y)' ' After completing SECTION 2, APPLICAJ4;F shoald submit form to Local AcLmkfistrator for review. SECTION 3: FIX)0DPLAIN DEII~RMIN3,TION (To be completed bY LOCAL_ADMINI!~VrRATOR) The proposed development ix located ou FIRM Panel No. , Dated The Proposed Development: 13 Ia NOT located in a Special Flood Hazard Area (Notify the applicant that the application review Lq complete and NO F'LOODPLAIN DEVELOPMENT PERMIt IS REQUIRED). [] Ia located in a Special Flood Ha~rd Area. FTR. M zone designation is 100-Year flood elevation at the site [s: Ft. NGVD (MSL) [] Unavailable [] The proposed development is located in a floodway. FBFM Panel No. Dated ID See Section 4 for additional instructions, SIGNED DATE 8TATI: OF I'IEW YORK ) ) SS; COUNTY OI, SUFFOLK ) ~ "~U~I~_.~' . being duly sworn, deposes and says: That deponent is over the a~3e of 18 ye/pm and resides at That,:,n the/~ day of, ~- , 2001 deponent amhite~englneer, II~nsed Dy' ~e State of New Yo~. hereby states that ~he accep~ full responsibil~ ' for the a~mpanying plans complian~ with the New York ~tate Fire Pmven~ ion and Building Code (9 NYCRR); said plans peaain lo ~rope~ Io~ed at SCTM~ 1000- 103-9-2 , street adorer,s 3710 ~e~ ~% ,~c~ho~ ~hitec~En~eer ~ - ' Sworn to b~ ~e: me this ././'.. day of.~..~Z.,~.~ , 2001. CAROL ANN RYAN Notary Public State of NY No. 4779951 Qualified n Nassau C Commission Expires March ~/0 cc: Apploant Board Of Southold Town Trustees SOUTHOLD, NEW YORK ISSUED TO . DOU. GL.As & CAROL RYAN Autl uriz tinn Pursuant fo the provision~ of Chapter bis of the L~ws fha St~e of New Y~k 1~3: and ~apter 4~ of the ~ws ~ t~ Sfefe of New York 19S2; and ~e S~the d ?own Ordinance f;fled "R~TI~ AND THE P~CIN~ ~ OBSTRU~IONS IN AND ON TOWN WATERS AND PUBUC ~DS ~ f~ RE~OVAL OF SAND, ~RAVEL OR OTHER ~ATERIALS FROU ~NDS UNDER TOWN WA~RSt" and in aeco~en~ wifh Resolution of The B6eed adopted et e meeting held oe ,.~b~ .~.~ ~.. end in ¢onsider~fi~ of fha sum o~ $ ~0~...~ p*~d by Douglas ~ C~91 R~n T~m~ end Cond~f~ons lls~ed o~ ~he reveme slde he.f, e~ ~ufh~ld Town T~usfoes eufhorlzes ~nd perm[H ~e fo~ow~g: Wetland Permit to constr'u~t a single-famil7 dwellir.~ wi~h deck an( sanitary system, w~th a 50~ n~n-di~:¢urba:;ce bufie~: and a 4~ wide path to the end of the catwalk, v,4rh a woo~ ch~p base or some- th~n¢ simiIar, but no hard structure, a~ in accordance wi~ t~ detai~dspecif;catJ~ns ~ pre~n~ed ~e or;g~at~g appl~efiom IN WITNESS WHERE', ~e *~id B~ard of ~msfees ~e- by causal ~fs Cor~refe Seal to be efflxed, end fhese p[esen~ be s~blcrJ~d by · ma~ori~ of fha said ~d es of thru def~. Artie Foster - Absent end Tim PermJme Douglas ,& C~rol Rya,n ", 70 Jackson Place, Massapequa, NY 11758 o~. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 16, 2000 Patricia C. Moore Attorney at Law 51020 Main Road $outhold NY 11971 RE: DOUGLAS & CAROL RYAN SCTM #103-9-2 Dear Ms. Moore, The $outhold Town Board of Trustees reviewed the survey dated and received in our office on March 2, 200, and an on-site inspection made, determined that the construction of a single family dwelling to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity wlthin ~5~of the Wetland line would require permits 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, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh STATE OF fiEW YORK ) ) SS; COUNTY OF SUFFOLK ) ~ "~ECJG"~.L._.~7' . being duly sworn, deposes and says: /'/' That deponent is over the aoe of 18 ye~m an~ resides at That ,~n the ~ day of ~- ,2~1 deponent amhite~engineer, licensed by' 3e State of New York. hereby states that s/he accep~ full ms~nsib~lE ,, for the a~mpanying pla.s compliance with the New York StYe Fire Pmvenuon and Building Code (9 NYCRR); said plans pe~ain to prope~ located at S,;;TM~ 190[- [03-9-2 . ,, street addre{~s 37~0 ~e~ ~hitec~Eng[neer ar~ wuo 'c CAROL ANN RYAN Notary Public State of NY No. 4779951 Qualified n Nassau Cty Corem ssion Expires March 30, 20~.** cc: Appl cant BUILDING PERMIT REVIEW CHECK LIST APPLICANT SCTM~--- DISTRICT:i?,Q~_00 SECTION: /0.2 BLOCK: 9 LOT: DATE REVIEWED: 'P/-~ /o/ DATE SUBMITTED: ~z //5/o t PROJECT LOCATION AND TYPE OF PROPOSED WORK:.. p . _ PROJECT DESCRIPTION: ADD ,ALT, ^CC OR/~:) ,o ~/~c ST~ET:~2/O ~--~* ~,ee CITY: F~1~1~z S~DW, N~E: ~CHITECT/ENG~ER: ~] ~ FAST T~CK:~RN0 SLo~0~0~0~-~a~i~o~XZ~fJ~J~~D~O~} l(~-2~r~ffr.~nconfo~ing at any time after 7/1/83 ZONING: PERMIT ~ST~mA~t aMOUST:_* /2~K .00 ~m~T US~: ~SX~¢: 7o~.~ ~SWtS~t~: 5~/~ ZO G DISTmCT RS0, AC, CO Om G: YES LOT S E: .SQFT. ~E~ ACTU~ LOT S~E FROM?T~ CA~ ~a, ~ ~,/~O / ACTUAL LOT S~E: 39/~ SQFT. ~QU~D ~Q~D ~Q~D FRONT:~ ' PROPOSED: ~ ' SIDE YD: /~ /~ ' PROPOSED: ~ ) '/~ ' ~AR:~' PROPOSED~ ' LOTCOVE~GE: ~L0WED:~ % EXIS~G:. ~ s( .% ~W: ~ CO.R? YES o~ NO ~ WAT ER FRONT? ~E~R N0 DESC~TION: FLOOD COOL--CE ZONE: ~-n~ ~ P~L ~: I~~ FLOOD ZOO: AGENCY PERMITS REQUIRED FOR REVIEW INCLUDEII*&N APPLICATION TOWN SPETIC PERMIT: (~ or NO ~//~/~ / SUFFOLK COUNTY HEALTH DEPT: ~orN0,(BED#): ~' DTE: ? /~- /c~/ PERMIT#:R10-c'~3-c~04C; NEW YORK STATE DEC: PRE-DEC 9/1/7~r NO .'/~t/0/ ~2?~- o.~ ~"72/6 o~qx', ,- .. , . SOUTHOLD TOWN TRUSTEES: r'Y~l~or NO /t,/~ _ 7,£: ~--k.~"a ,.*.-~ TOWN ZONING BOARD APPROV~r NO 33>& ,~//&' ,~-d t'o~,.d,-/;.. - TOWN PLAN. BOARD APPROVAL: NYSENERGY(YE~?RNO : '/" :-~ED~SS: VENT:__ LIGHT: FEE STRUCTURE: FOLJNDATION: /- SF FIRSTFLOOR : ~-4~.2 SF SECOND FLR : ! fl-4~ SF TOTAL: 21¢?O SF T( 3¢?cb SF)-( ~-~'~ SF)=~p~SFX$ ,.2o =$_4'6o6' +$ INIT OTHER TOTAL FEE FEE FEE = $ BUILDING DEPT. INSPECTION [ NDATION 1ST [ ] ROUGH PLBG. [ ~'] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~, ?////0 ~ 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [~]"~OUGH PLBG. Fou/u. NDATION 2ND FRAMING ~"~IREPLACE & CHIMNEY RrMARKS :(~~~ [ ] INSULATION [ ] FINAL INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/~'t~'UGH PLBG. :~_.._ [ ] FOUNDATION2ND [ ] INSULATION [ L~R~_.MING/~_ [ ] FINAL [ F~IREPLACE & CHIMNEY ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: INSULATION [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] ~.LATK)N [ ] FRAMING [ ~j"FINAL [ ] FIREPLACE & CHIMNEY~ DATE /(~/~,,~)/(~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ ] IN~.ATIO~N [p/]'~INAL ~ . [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY .~,/ . ~-~ REMARKS. ~ ~ ~__~.~__/.~-...~ DATE ~o~mo~ (~s~) ii FOUNDAT ION ( 2ND ) ROUGH FRAIdE & PLUHBING INSULATION PER N. Y. STATE ENER(iY CODE FINAL BUILDING DEPARTMENT TOWi~HAL,L SOUTItOLD~ NY 11971 TEL: 765-1802 Examined ]'/fl ,20 O/ Approved -~/-~e.~ ,20~]__ Disapproved a/c PERMIT NO. Do you have or need the following, before applying f. Board of Health// , ~' ~-3 sets of Building Plans ~Survey -Check F/ ' Septic Form - N.Y.S.D.E.C.y -Trustees Contset: Mail to: Bou~as Ryan 70 Jackson P~ace: I~ss.NY 117. Phone: (~6) 795-1960 APPLICATION FOR BUILDING PERMIT Date FebruarM 15 ,2001 INSTRUCTIONS a. This application MUST be completely filled in by tYPewriter or in ink and submitted to the Building Inspector with 3 'sets of plans, accurate plot plan to scale. Fee according to s¢l'/edule. b. Plot plan showing location of lot and of building~ on'premises, relationship to adjoining premises or public streets or areas, and waterways. 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 a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupa~ is issued by the Building I.nspeetor. APPLICATION IS HEREBY MADE to the Building. Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, SuffolkCounty New York, and other applicable Laws, Ordinances or Regulations, for the cbnstruction of buildings, additions, or'alterations or for removal or demolition as herein described. The applicant agrees to cohaply with all applicable laws, ordinand.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. '.. ~)ollg{Sai~a~o~'app lic ,nt~ nar~ '~ 0rpo ra tic n ) 70 Jackson Plac% Massapeqqm~ NY 11758 '" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, ~ngineer, general contractor, electrician, plumber or builder Owner ( Contract Vendee) Name of owner ofp~'emises Joseph D. Cooper (as 0n/he tax roll or latest deed) If applicant is a corporation, signature of duly authori;bd, officer (Name and title of corporate officer) Builders License No. owller Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: 3710 Beebe Drive Cutchogue "' , House Number Street Hamlet CountyTax Map No. 1000 Section Subdivision (Name) 103 .- Block009 Filed Map No. Lot 00~. Lot H61..IJ'NA¥ T 51TIJA'I'E-. EAST N TOi4N, 50UTHOLD 50FFOLK ~'r'K, N'K SURVEYED: 01-24-00 ANiENIPED: 02-4-00, 0~-I5-00, 03-20-00, 06-13-00, 10-2,5-00, 01-17-01, 02-0,5-01 SUFFOLk( COUNT'( TAX ~ I000 - 103 - q - 2 S TO; ~OU®LAS R'(AN CAROL ANN R'(AN PEOONIC ABSTRACT SUFFOLK COUNT'(~EPT. OF HEALTH REFERENCE NUMBER RIO-O0-O040 NOTES: · ~ONUMENT 0 PIPE AREA = 3q,14& SF OR O.qO ACRES N77o12,, 86.93, ®~APHIC SCALE I"= 40' @ 2:oo PV4 ¥, ' DATB OF' APP~LOVAL JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R1VERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-TIGER~PROSL20-101G SURVEY' OF PROPERTY SITUATE-' FAST 6,U'T'GHOeI.~ TOI'~IN: 5Ol.,rr'HOL~ SUFFOLK C, OUNT'K, .:..;,URVFYF ~: OI-24-OO ANIFN~FD, 02-.4-00, 06-1~-00, 10-25-00, 01-1~/-01, 02-0.5-01 O~-Oq-Ol,O~-16-OI SUFFOLK C,.OUNT'¢ TAX I000 - I0~ - ct - 2 C. FP-.TIFIF[2 TO: N E POU~LA5 RYAN CAROL ANN RYAN PFOONIO ABSTRACT ?:A)FFOLK COUNTY' DFPT. OF: HFALTH ~FRVIC. E5 FI-,FFFRENC. F NUMBFR RIO-O0-O040 NOTF~: 6~eee ~ · IviONL)MENT N77°1, 86.93, 0 PIPE AREA = ~q,14,S ,~F OR O.qO AC. RF~ ®P-.APHIC, SE. ALE I"= 40' 'e Test Hole oloL©ined I 24 O0 @ 2:00 PM JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RiVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 \'tl-Ip server\d~PROSX20-101g.pro 5URVE'r' OF: PROPER1"( .~ITUATE, EAST C, UTC.,HOCM~ TOINN: 50JTI-IOL~ 5UP'F:OLK C, OUN'I'Y', N~ E:~RVEYED: 01-24-00 AMENDED: 02-4-00, O~,-LS-O0, 03-20-00, 0~-I~-00, 10-25-00, OI-I-/-OI, 05-0q-01,05-16-01, 06-1q-OI, O~-2q-OI,FDATION LOC..., 0~-2-/-01 ~UFFOL~ GOUNT¥ TAX # I000- IO~ - q - 2 GERTIFIED TO: POU®LAB RYAN (..AROL ANN RYAN PEGONIG ABBTRAGT .~UEF:OL~ GOUNT¥ DEPT. OF HEALTH 5ERVIC. E5 REFERENGE NUMBER RIO-O0-O040 AU6 3 NOTES: · MONUMENT 0 PIPE AREA = ~q,14,S ~F OR O.qO AC. RE.5 ®RAPHiG 5GALF I"= 40' N77°1_, -, 2~ 57 ',~- 86.~3, w E JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 \~*-Ip server\d~PROS~20-101J.pro SURVE'r' OF PROPtER'I'"¢ ' 51TUATE, EAST C,t,q'OHO~ TOi,',IN-, 5OUTHO! D 5UI=FOLK ~T'¢, N'f' 5UR'v'E"r'ED: 0~-24-00 AI"iENDED: 02-4-00, O3-[5-OO, 0~-20-00, O~-I,~-OO, IO-25-OO 01-1~-01, 02-05-01 05-Oq-OID~-16-OI, 06-1q-OI, 06-2q-OI,FDATION LOC.. 0-i-2'7-0 .O~-OI-O ~inol 0~-08-02 SUFFOLK COUNTY TAX ~ lOUD- IO~- q - 2 C".EF-~TIFIED TO~ DOUGLAS ~.'f'AN CAROL ANN R'fAN PECON/C AE~STRACT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES REFERENCE NUHB, ER R10-00-00412 N $ E 52' NOTES: · MONUMENT O PIPE AREA = 9q,14g SF OR O,qO ACRES GRAPHIC SCALE I"= 40' N77o1-, , ,. z 57 ,~,~ ~6.93' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 \XI-Ip server\dXPROSL20-101J.pro