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Home My WebLink About17045-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-24729 Date NOVEMBER 14, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 704 WIGGINS LANE GRSENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 4 Lot 28.24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1988 pursuant to which Building Permit No. 17045-Z dated JUNE 1, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ONE FAMILY DWELLING WITH ATTACHED DECKS & CARPORT AS APPLIED FOR & AS PER ZBA #3686 The certificate is issued to FREDERICK RAYMES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-241-JAN. 27, 1989 UNDERWRITERS CERTIFICATE NO. N-052848- JANUARY 6, 1989 PLUMBERS CERTIFICATION DATED JAN. 10, 1989-R&R PLUMBING & HEATING *THIS UPDATES CO Z-17874 DATED MARCH 22, 1989. u' ding Inspector Rev. 1/S1 roans xo. s TOWN OP 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 fl ~ 17 Q ~F J Z Date ......~t~ 19. Permission is hereby granted to: ~~3..... ......r.........~:......... ~ rr// ct premises located at ..,r.l./...f~.....~.. ~ r.,t.,,,... County Tox Map No. 1000 Section Block Lot No......... pursuant to application dated 19.~L~ and approved by the Building Inspector. 1~' O~ Fee S..T...DeP' Bui g Inspector Rev. 6/30/80 I FORM N0. G TOWN OF SOUTMOLD ' • Building Department Town Hall , Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATC OF OCCUPANCY Instructions t A. This application must be filled in typewriter OR ink, and submitted ~ pow to the Duilding Inspcc- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ' natural ar topographic features. ' 2. Final approval of tieatth Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. ~ 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa• lions, a certificate of Code compliance from the Architect or Cngineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1857), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing aii property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Oate of any housing code or safety inspection of buildings or premises, or other pertinent informa• lion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 BUSINCSS $50,00 2. Certificate of occupancy onpro-existing dwelling $ 50 .00 3. Copy of certificate of occupancy $ S : 00 , over 5 years $ 10 .00 4.Vacant Land C.O. $'20,00 October 31.,.,1996 5.UQdated C.O. $'50.00 Date Construction UPDATED CO TO INCLUDE CAR PORT. New . , . Old orPre-existing Building , , , , . , , . , , , , Vacant Land . . Location of Property ....7Q4„4~i,ggips: Lr]pQ„ ~rPPnADI"t.,. NY........... . House Na. Street Hamlet Owner or Owners of Property , Freder; ~ k. Raymes.... . . . County Tax Map No, 1000 Section 35.......... Block 4........ Lot.?$:24........ Subdivision . ...Filed Map No. ,Lot No. . Permit No...... , Date of Permit ..........Applicant . . . . Health Dept. Approval . . ......Labor. Dept. Approval , Underwriters Approval ........................Planning Board Approval Request for Temporary Certificate . . . . .Final Certificate . , , , , Fee Submitted $ , , , 50.00 , Construction on above described building and permit meets all applicable codes and regulations. Applicant , .GARY fLANN£R'OCSEN; ESQ • . n.~. to•to•>e P.®. dOX 706 S ~~3 ~ CUTCNOGUE, L.I., N.Y. 11935 co ~-~y7a9 w FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY , No Z-17874 Date MARCH 22, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 704 WIGGINS LANE GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 4 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1988 pursuant to which Building Permit No. 17045-Z dated JUNE 1 1988 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 DECKS AS APPLIED FOR AND TO RE UIREMENTS ZBA APPEAL #3686. The certificate is issued to FREDERICK RAYMES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-241-JAN. 27, 1989 UNDERWRITERS CERTIFICATE NO. N-052848 - JANUARY 6, 1989 PLUMBERS CERTIFICATION DATED JAN. 10, 19$9-K&K PLUMBING & HEATING Building Inspector Rev. 1/81 t ~ a~~~oa~ FORM NO. 6 TOWN OF SOUTHOLD FEB 15 ~ Building Department Town Hall Southold, N.Y. 11971 BLDG. DEPT. 765 - 1802 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ a.~~ to the Building tnspec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site.p)an requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- lion required to prepare a certificate. C. Fees: Additions $ 0 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00 Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe $100.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 0.00 4. Vacant Land C.O. $ 20.00 e p,p S.Undated C.O. $ 50.00 Date ..~~.~:1~ d•q NewConstruction,yy,,,tt,GtOldorPre-exisiingBuilding Vacant Land Location of Property ...(.Q.T. , ~ ~~~.I~~!V?, , ,~Q!!ti~? , , ~1~~ rl/~ . House No. Street Ham/et Owner or Owners of Property ..S'~9-~!~!t,~, , , , , , , , Q . . County Tax Map No. 1000 Section ....3~. , , . , , , , Block ~ , Lot ~ : 1, , , , Subdivision .Filed Map No. . , ~ , , .Lot No. N Permit No. .Date ofcPe~rmit ~~j:`/~a.Applicant , , , , , , , , . , Health Dept. Approval ~ , , , , .Labor Dept. Approval Underwriters Approval C g,~, , , , , ,planning Board Approval ..~,~.?,~~~g, , ~~6 Request for Temporary~C,e~rtri~f?ica\te~ ....................Final Certificate . Fee Submitted $.....V~,;,,:~. \1,~~~,~,,,, Construction on above described building and permit m .~ble codes and regulations. APPlicant ~ . ae~. ioaoaa (tZ~c. 36 g6 GARY PLANNER OLSEN w COUNSELLOR AT LAW PO. BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE SI6-734-7666 FAX 51 G-734-7712 October 31, 1996 Re: Raymes to Snyder Our File # 6115 Dear Georgia: As per your call to my office on October 31, 1996, I am enclosing an application for an updated Certificate of Occupancy to include the car port. Also enclosed is a check in the sum of $50.00. The old building permit number was 170542 for which CO Z 17874 was issued on March 22, 1989. Very truly yours, ,Ap ER OL3:. ~ GFO:lmk Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 Attn: Georgia r i~z'" _ V ~~o~s% ass-iso2 ~ BUILDING DEPT. INSPECTION [!/FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~ FINAL REMARKB: r ,0 DATE ~~____INSPECTOR U r s ~ _ I l 7GS-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( l ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ J FRAMING [ J FINAL REMARKS: c~ ~ DATE 3 v INSPECTOR r. ~Ze~~ 765-1802 BUILDING DEPT. r [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [~(NSULATION [ 7 FRAMING [ ] FINA~L~~ REMARKS: ~K-- DATE ~ / INSPECTOR ~ ~o rss-aso2 BUILDING DEPT. INSPECTION [)FOUNDATION iST [ f) ROUGH PLBG. [ J FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: G4'`-~~ . DATE INSPECTOR IELD i~,.,~ ~~.,ua ~~Jh. i ~J - O ~o ? 4~1~ ~ ~ _ fi't' ~ y ~ FOUtJDATION 1st - 7 /3 ® ` ' ~b m FOUNDATIOtJ (2n ) _ _ ~ / m~ 2. ~ o ~ P,OUGH FRAME & ~ -PLUMBING ~ P ..Gti. H 3 . ra U IIJSULATION PER N. Y. 0 ~ y y STATE ENERGY ~ CODE • ` D ..8~ x r m 4 . _ °'U FINAL 2d ti(/7lN~c_ 2 ~ \ ~ ~ - _ ~ ~ ADDITIOP]AL COMMENTS: xfi ~ ~ r, ~ z ~ ~ ~ _ ? .ro \ ~ f .a\ z P ~ . / O v} 0 i' ~ 4 ~ ~ a r Qn ~ (3 ~ - x d . _ ~ H ?ZOd THE NEW YORK BOARD OF FIRE UNDERWRITERS F''"~~ _ I l ~l~ i l l l i BUREAU OF ELECTRIOITY 83 JOHN STREET. NEW YORK, NEW YORK 70038 ;tkNliAltY bE.7GR« Kit'%!i`7atAfRf; N it`;:'R4 Date Application No. on file THIS CERTIFIES THAT ' only [he electricd equipment as described 6ekrts and introduced 6y the applicant nomad an the abode app/icotion wumber in the prensisea of F';<Y;11 RAYM N:S G=. GCa.61y tr11, -I~~, iY' CIN x', Y; N'P +:Hr; N: (Y!'TSk'~", N-Y . in the ollotxin location; ~ 8asetnent FL,~.?` t C % 1 Tf t`i' J g ~ let FI. ~ Pnd Fl. .Section Block Lot rasa examined on and found m 6e in compliance with the reyuirementa of this Berard. NxrIXIe RXTUEES RANOK tbOltlNli DICKS OVENS DISH WASNlRS EXHAUST FANS OUTIlTS lC9TACUiS SWITCHES INCANDESCENT flUOI1ESCENi v AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMi. M. P. i E, 2 1 3 1 5 ~ '7 i~. i t P' DRYlRS FURNAC! MOTORS IUTtM! A//UANCE IREDERS S/ldAl REC7T TM1lGlOCKS pLL UNIT WATERS MULT40UT1Ri DIMMERS AML K. W. ql M. P. GAS H. I. AMT. NO. A. W. G. AMT. AMI. AMT. AMTS. TRANS. AMT.. H. P. SyST~ AMt. WARS NO.OF FElT 1 iCS 7 SlRVK! DISCONNECT NO.OF S E R V 1 C E NAT. AMP. TYPE 1,I ]\4 1 / TA' ] H 3W S F AW dCOND. ~ CC L°o'ND. NO. OF NFIEG « ~ ND. Ca NEUTRALS OF 'NWEVTGMAI 7 ~l7 {'}j ] ~ I 13 OTHER A//ARATUS: S7fOKF: Ilf'.`PP:t"'ettu • _ > '(`itAC.iC.:,t,[rti'1'rN'r,:--'1.n I;r}y, ll5 SU!79'Ht µ,U; NY t. t N'1 ? p~ App it - 1~~1"KN`:P: taU. 47vr; Per This certificate must not be altered in any manner; return to the office of the Ibard if incorrM. Inspectors may be ideMifiad by tMir crodenfhsk. COPY FOR BWLDING DEPARTMENT. THIS COPY OF CERTIFIGTE MAST NOTBE ALTERED IN ANY MANMER. TEL. 765-1802 pS~FF~I/(CpG TOWN OF SOUTHOLD o „ ~ ' ,c OFFICE OF BUILDING INSPECTOR ~ rn P.O. BOX 728 v' g TOWN HALL "'O ~ t- SOUTHOLD, N.Y. 11971 ' ~r~ J)~;Jjj C E R T I F I C A T I O N ~l ~tJ''~~.C~~ (~j CI1 ~C~ k; 1 a r i 1 ~ ~ ~ Date ~ F~-i J~.~u..n...,~,.,aem.~, 431.DE3. i)~T'Y~.'".~ YOVU!'v` OF SGa17FIOLD i 6 _ . , Building Perym•~it No. I ~Q ysZ Owner ~ `'~~~"~~~'S (please print) Plumber ~ ~~~M~\~~~ ~e~~ (please print) ~\C~S\~ ti '~35~ -'Q I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn/~ko befor me this ~Q ~day~- ~ 19~• c- Notary Public Notary Public, S~ ~ro~/} County LRIC G. KOCH ~ ~.S~t'a 2100ew York :c~" ' ' X20 ~s'~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~NAL REMARKS: ~ ~I ~ r~~t~t cJt ~iyT' ~o ~CJZr,L~-- _ ~7~'l I(Lr, , ~IsLL~ 2.n_.~O.tw ~ ea.., 3Q~~~~,~ _ l1~Gv mac. d ~ DATE 1 ~ INSPECTOR~(.~~t,u~~~,,~ ~~f G~1 ti2.-~ot2'~~ ld ~`~05~~ W l2~uC~ t~( t u~.e~, Y2oou~c ~Tcl.,t~( Ct,.oSF~T, ' l~~~s 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ]FOUNDATION 2ND I ULATION [ ]FRAMING [ FINAL REIIAARKS: DATE i ~ INSPECTOR ~/d~/ FRANK A. KUJAWSKI, JR., President ~ ~ = ~ p ~ , .•X rs~.5;'j •+r'; ~ EPHONE ALBERT . KRUPSK[, R., Vice-President ~ ' ~ +'z"~~° r-ry~ MAR 2 2 i~3~~ ~ ~ ) 765-1892 JOHN M. BREDEMEYER, III ~y JOHN L. BEDNOSK[, JR. 'y HENRY P. SMITH " ~r~~~ E3LDG. Dc'PT. ~D TOWN OF SOUTHOLD /~K M~ P~ ~ODIY ~3~ BOARD OF TOWN TRUSTEES ~p~~~ _ _ ~ TOWN OF SOUTHOLD ~,Lrw_ r_~N Town Hall, 53095 Main Road ,/I J~- P.O. Box 728 rfpl~ W~'~ Southold, New York 11971 l( PI`~~V~~MPLETE WITH DATE OE INSPECTION AND SIGNATURE IN SPACES PROVIDED: 1. Was the structu completed in accordance with submitted plan? Yes No If not please explain on reverse side. 2. Was the structure situated on the applicant's property in accordance with submitted plan? (Distance must be at least 15' from proper line) Yes No If not please explain on reverse side. 3. Will pedestrians have easy access over or around the structure for the public right of way below high water mark. Yes /U/~- No • If not please explain on reverse side. 4. Is the structure high enough that so it will not inhibit growth of natural ngrasses along or below it? Yes f v No 5. ADDITIONAL COMMENTS: Date Signature Bay Constable Fred Haymes 24 Woodlot Lane Huhtington, NY 1174 2 d° U~ ~,',t~s Q.u..~ , i ~ ~ O ~ ~ r a TEL. 7G5-180 A'`~~~F0~~ T0~'IY OIL SOUTIIOI,I3 O ~~~;~y :'fi~6ii:~.L~~ ' y ~c OPI'}CE OF DUILDINC, [NSI'F,CI'OR ~ ~ TOWN BALL ` O~ SO[ITIiOLD, N.Y. 1 1971 February 6, 1989 Mr. Ronald Ricca P.O. Box 243 Peconic, New York ]1958 Re: FREDERICK & DIANE RHYMES To 4^ahcm This May Concern, 4,e arc unable r.o complete your Certificate of occupancy becausc.of the folloceing reasons. /g/ ~1n application for Certificate of Occupancy is not nn file. (ENCLOSED) / / No Under~~rriters Certificate on file. /X / 'Che chr_c.F: i:; (~4~&XR/not on file.) $25.00 /X/ Dto tlenl.th Dept. 1lpproval on file. Nn final inspection has been made. P1ea:;e r_ontact our office on this matter. Thank you for your.- cooperation. ih+ilclir,g Pcr+niY. !f I 7 0 4 5 Z 13ui1rlu~y Dupt. uo Pli:mbcr Solder Certificate on file. ( a1.1 pnnnila involving plumbing beiny .issued after ~1pri.:l 1,1984 ) i I - ~ ~ ~ ~ ~ ~ II'I FORM N0.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No . Date ..~R~~.R-tA:~:~ . w~CJ...., 192?.. . PLEASE TAKE NOTICE that your application dated • • • 19 . for permit to construct ..4..J?'!~!-~o~r~.~.Qa•+'.n . at Location of Property ~.4~... 4-!~`~9.9'k+*x? •dCk.~?4~• • • • • ~7~"!~... • House o. Street Hamlet County Tax Map No. 1000 Section O ~ 5 Block Lot . ~ 9 . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds .1~i'-!~•~e .~L.1..4~A.~r~r?~ 4n.".l ~9'Z' y c~ ~ . 9~.-1 ~ • w~l~d.• Qom?:. ~.atip.~.. s . ~.S Bui ding Inspector Rv vao FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL File No . Date ..~~!'.~a . 192?.. . a. Irk.--.a,A-......... . PLEASE TAKE NOTICE that your application dated ...l..,'!^tr:~e • • • 19 7. . forpetmittoconstruct..~...... o s•.~'•~•^•4 •••••••.•..••~•••••at Location of Property ~•...Mw~ . GY.~!1%4~..... LX . 4~ . Hou~o. ~ 1 Street ~ Hamlet County Tax Map No. ] 000 Section Q ~ Block Q~....... Lot . ~ 9 . SuUdivision Piled Map No. plot No. . is returned herewith and disapproved on the following grounds .S-~r.~1..~. .L~.°.~~9'Z° y,C7a~C~,~2e z.~c~-uir. `9~1.-1.i., . w~l~d.. QA.~.?:. 48.~•!~c~.a,~•.~~.~~...c,;,.7.5.'-~ Z. e3 R ci,e`~.'v..~ ol¢a,~,.. ~l. Bui ding Inspector RV 1/ao a 4 ~ ~ ~ aa.~Mi~ ~ ~ P .o n` 2 0 Q ~ ' ~C 7 ~b~y~~ S~OQ~ ~ J ~ Q ~ I t, iC~i~ W ~ A Q > W W Q" M cn o °*fl w w W d Q~ M M o `y ' ~ , ~o~~ n~ n ~ ~ o ~u`ni x Q Z ~ ~ ~ a ~ A ~ ~+w~H 2 M 10~~ ~ .y M o owl Qi W Q m r1 r1 cr® h o a !r~ w Q ~ ~ ~ ~ ~ t~. trl ~ O ~ M ~ O O O p 0 0 0 ~m~H tr ` , z~ N ~ + ~ _ MI ~ Ws Q ~ dD D O ' Q~~ _ ' ; r Q N N ~ Q d W Q ~ ~ ~ ~ as w W ~ J ~ ~ V 0 ~ 0 ~ ' ~ ° a 4 0 ~ Q ~ M w a v CZ ~ Q .~~+wc~n.~ ~ ~ F~`'11 l_l._ ~ } Q Q ~ Q ~~Qa~a~ Lil ~ ~ ~ 2 ~ ~ a~~~~~~ z d h 4~\~ 4 W~~H~~ Q ~ k ~t `~l~ `~l' '~1l ~ E` z z `Wi' H ~ W ~ ~ ~ V 4 V `l F~ ~ H H C7 W W uH] x~~~a~8 H N rl cp 1f1 l0 ?~~q~ BivG. tir.:s==, TOWN OF SOUTHOLD TOWN OF 50t1iFiC3LD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No....456,,,,_,,,.,, has been granted by the Town Trustees according to information furnished in Application No.....r'.97....... filed by Applicant Frederick Raymes,,,,,,,,, January 21, lg 88 A map of the proposed work will be kept a n . on file in the Trustee Office under the application number given. Permit granted to do the following work To construct a, one, family„ dwelling„wit):}„g,.sleckc..anc and tool storage, buildin$ Location of property on which work to be done ,,,,~04 Wiggins Lane: Greeneort,,,,,,,,,,,,,,,,,,,,,,,,, Creek, Bay or Harbor fronting property . Fordham C~rig~/~~~,1„Pon,~ Size of work: Length 43. ft ; Width 52 ft: Height Above High Water Depth Below Low Water .........r' Yards to be Excavated ...........n/a Yards to be Filled ...............n/a................................................................................... Manner in which material is to be removed or deposited Residential Intended use of property Conditions if any ...approval, is„subject„ to„the„gxgvention„of„any,,,l~>~{jj~,g,,,~~1$x}~„~n,~„ or run off durin the 'construction pha~g„a~,c]„t1}e„in„~7;~?a~7rjq~,,,A£..dY.X..`Pe?fi~............ for the fints7iecl" 'ouse. Expiration Date Janttary.21[„1990,if.work,had„r},q;~„ggr~(~,q~~gy~„J>.y...S&3G>,,,4jOt~ Number oflnspectionsRequired...;Trustees are to be notified upon„the.,com~letion of the work. Inspection Fees $10.00 paid. Liability Policies in the Amount of The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the even[ that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees ~gf written notice from such other governmental or municipal authorities of its refusal or disapproval. s The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations Under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and . its officers and employees to enter upon the premises where such operatOns are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted inconformity with this permit. - . Thisoperation will not substantially: A. Adversely~affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation, C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely, affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege• tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change th'e course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed /..,2E,a..,..~~i.~2?/.1~4GL.~.~:. ~~y~,,p~,; President ~ • Board of Spouthold Town Trustees 'I Date...a~,~.,Y,~R.c~ i . I a o o~oS~FFOIIr~oy o ~ ~ Southold Town Board of appeals ~',~ol MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (5161 7651809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3686 Application 'Bated October 27, 19$7 To: Mr. Frederick Raymes [Appellant(s)] 24 Woodlot Lane Huntington, NY 11743 At a Meeting of the Zoning Board of Appeals held on January 11, 1988, the above appeal was considered, and the action indicated below was taken on your ~ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article Section [Xl Request for Variance to the Zoning Ordinance Article XI Section 100-119.2, and III, 100-31 [ ] Request for Application of FREDERICK AND DIANE RAYMES for Variances to the Zoning Ordinance, Artic es: a I, Sectlon 0-119.2 for permission to locate dwelling with a setback of less than 75 feet from existing bulkhead along Gull Pond Inlet, (b) III, Section 100-31 for permis- sion to locate dwelling with an insufficient frontyard setback, at premises known as 704 Wiggins Lane, Greenport, NY; County Tax Map District 1000, Section 35, Block 4, Lot 19. WHEREAS, a public hearing was held and concluded on December 10, 1987 in the Matter of the Application of FREDERICK AND DIANE RAYMES under Appl. No. 3686; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located in the "A" Residential and Agricultural Zoning District and is identified on the Suffolk County Tax Maps as District 1000, Section 35, Block 4, Lot 19. 2. The subject premises contains a total area of approximately 14,316 sq. ft. with frontage of 115.0 feet along the west side of a private right-of-way (extending off the south end of Wiggins Lane, Greenport and with frontage along Fordham Canal of 127.06 feet. The lot in question is a described parcel and is presently vacant. 3. On or about September 28, 1987, appellants submitted an application to the Building Inspector for the placement of a new single-family dwelling and a Notice of Disapproval was issued by the Building Inspector dated September 30, 1987 indicating the requirement of action from the Board of Appeals under Article XI, Section 100-119.2 for construction within 75 feet of wetlands and (CONTINUED ON PAGE TWO) DATED: January 26, 1988. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) l Page 2 - Appl. No. 3686 Matter of FREDERICK & DIANE RAYMES Decision Rendered January 11, 1988 Article III, Section 100-31, Bulk Schedule, far construction with reduced frontyard setback, as well as action by the Town Trustees under Chapter 97. 4. The initial map submitted (to the Building Inspector) was a copy of a portion of an undated survey prepared for Charles and Helen King showing the proposed structure with estimated setbacks and showing a tie line along a dredged canal. 5. By this application, appellants have applied under the Provisions of Article XI, Section 100-119.2 for permission to locate new dwelling, as more particularly shown on survey dated November 10, 1987 prepared by Roderick VanTuyl, P.C. at 27± feet from an existing bulkhead at highwater line. 6. The setback from the front property line is proposed at 35 feet, the depth of the house is proposed at 35 feet, and proposed deck at 8 feet. 7. Article XI, Section 100-119.3(Bj requires all buildings and structures located on lots adjacent to tidal water bodies other than the Long Island Sound to be set back not less than seventy-five (75) feet from the ordinary highwater mark of such tidal water body, or not less than seventy-five (75) feet from the landward edge of the tidal wetland, whichever is the greater distance. 8. It is the opinion of this Board that as an alternative the dwelling structure should be setback not less than 40 feet to the existing bulkhead and allowing a reduction of the front- yard setback to not closer than 20 feet. The subject parcel is at a deadend right-of-way and a reduced frontyard setback is more feasible. A reduction from the highwater mark to 27 feet is very substantial and would not be in the best interests of justice. 9. It is the opinion of this Board that: (a) the alternative relief is not substantial in rela- tion to those generally existing in the area; (b) the alternative relief is substantial in relation to the requirements; (c) the circumstances of the property are unique as to nonconforming lot size and width; (d) there will not be an increase in population density thus created by this variance; (e) there is no other method feasible for appellants to pursue other than a variance; (f) the alternative relief is the minimal necessary and is not out of character with the area; (g) in view of all the above factors, the interests of justice will best be served by denying the variance as applied and granting the following alternative relief. r . Page 3 - Appl. No. 3686 Matter of FREDERICK & DIANE RAYMES Decision Rendered January 11, 1988 Accordingly, on motion by Mr, Grigonis, seconded by Mr. Goehringer, it was RESOLVED, to DENY the relief as requested, and BE IT FURTHER RESOLVED, to GRANT the alternative relief for the con- struction of a new single-family dwelling structure in the Matter of the Application of FREDERICK AND DIANE RAYMES under Appl. No. 3686, SUBJECT TO THE FOLLOWING CONDITIONS: 1. Setback from the front property line along the private right-of-way shall not be less than 20 feet; 2. Setback from the existing bulkhead at its closest point shall not be less than 40 feet; 3. Sideyards shall be not less than 10 and 15 feet, or 25 feet total, (pursuant to Article III, Section 100-31, Bulk Schedule of the Zoning Code). Q. Total lot coverage shall not exceed twenty (20 percent of the total lot area (pursuant to Article III, Sec- tion 100-31, Bulk Schedule of the Zoning Code). 5. This action shall not include the approval of any other (accessory) structures which may require additional variances subsequently. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Douglass and Sawicki. (Member Doyen of Fishers Island was absent.) This resolution was duly adopted. * * * e ~ lk ~ GERARD P. GOEHRINGER, CHAIRMAN January 25, 1988 sl~sled BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY MAY 1 ~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM .1rP•.~. . TOWN HALL 1IY SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765.1802 CALL MAIL T0: Examined .31 19 . Approved ;5~. • • • • • • 19~Permit No........... . "~l~ //plGO7 Ct ZB~ 3 ~ ~6 ~ ~ UiC ~ lI.-8g Disapproved a/c ~Qk~P~C. fo- ~it ~sLQadt uea~ ,zBR 3 h S.E uilding Inspector) .APPLICATION FOR BUILDING PERMIT ) Date f.~' ! 19~~ 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 schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cat5on. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit s1lall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe 'ons. (Siy~-naature of applic'a/n7t, or name if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agen ,architect, engineer, general contractor, electrician, plumber or builder. ~Q~n~ . Name of owner of premises /,V~•~. ~Q ..G'/'t C~C ~ ~ iVl ~ W (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) / ~ f ~ GQ ! ~ G~I 6 ~7a~ iz377 ) Builder's License No. `./~..~./N"4•/• • • ~ d ~J Plumber's License No. Electrician's License No. • • • • • • • f'-'' Other Trade's License No . . Location of land on which proposed/work will be done . . 7.0 ~ • ~i ~ l!'1S .:isGi.Yid° ......................~fEi°l~, • D/i / House Number Street L.~ Hamlet County Tax Map No. 1000 Section ~ Block Lot r . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..y~Ct}'~.. ~hr!'i.~ . ,~i h~ ~ ~ P 3. b. Intended use and occupancy • • •~G.(m?i • . . , ature Re air of work (check whiRem' plicable): New Building ..v.'..... Additi ~~raq~t i . 3' p • • • • • ~ oval . Demolition ther Work , : ; . $ ~ (pescription) 4I. Estimated Cost DUO Fee a . Tf dwelling, number of dwellin units Number o t be 4 •'~his ~pplic ~tion) 6 ~ ~ ~wx f dwelling units on ea`c oor . SI I.fgarage,numberofcars i 7. I)imenness, commercial or mixed occupancy, specify nature and extent of each type of use . g g Nums, if any: Front Rear . , . , De th • . • . rr P Hei hfstons of existin structur ber of Stories . . . ~i Dimensions of same structure with alterations or additions: Front . Rear . Depth : ..Height Number of Stories . 8. Dimensions of entire new construction: Front 3d1, , , , , , Rear ...,7.~.'........ Depth 3~.~ 7.~'~.~.B~Dec~C Height ?:4~...... Number of Stories . /.:fir. , . . 9. Size of lot: Front~'!~?... /1.,$"r.o......... Rear ..:l.a2.7: d.d, , , , , , , , , , , , Depth . /v~6r~ D . 10. Date of Purchase .........p . ..................Name of Former Owner Char./.e?',~',~-(Q/.P.n .J.~t~ . 11. Zone or use district in which remises are situated , , . , 12. I>oes proposed construction violate any zoning law, ordinance or regulation: N.R 13. Will lot be regraded . B.a tf1 A! ill excess fill be removed from~I rem~s ~Sj~ Yes 14. Name of Owner of premises Fr.4r,~erlc/~~/;DyML,'s?;W~~dress~YU!OO.~/.o,~'~pY,~~, H~'~]t'o~1~o.~S76J.~~-?~:,~5'~.,3 ni" ~L!>, Name of Architect 4iv, . 4n: , . . ~;1~,J, ~P~ilr ~pA?PSAddress ClYa?~YCJ.//.7.Y3. Phone NoA.~P/Y~...... . Name of Contractor ..........................Address , ..........Phone No............:.. . ~I PLOT DIAGRAM Lgcate clearly and distinctly alll, buildings, whether existing or proposed, and. indicate all set-back dimensions fr, m property lines. Give street and block';number or description according to deed, and show street names and indicate whether interior or corner lot. 3 - 1.) i STATE OF NEW YORK, ~ COUNTY OF . . . S.S • • • • • • • • • g • • • • • . • being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. He is the ~ (Contractor, agent, corporate officer, etc.) of laid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...day of'.....~'!'/. 19 Notary Public, , . ~~/~..~v : . ~.2, ~ County HELEN K. DE VDE ' ' ~~~r-~-rL~ l,~ • . NDTARYPUBLIC,StateoiNewYad (Signature of applicant) Term`EicpireTBsTMarcht30 1~9 BOARD OF HEALTH • ~ 3 SETS OF PLANS C~ -L~;'' •FORMN0.1 SURVEY ~ " ~ TOWN OF SOUTHOLD CHECK - BUILDING DEPARTMENT SEPTIC FORM p81987 j jj TOWN HALL NOTIFY ILI~11 f,OUTHOLD,N.Y.11971 CALL BLDG DEPT. TEL.: 765-1802 MAIL T0: rowN oF'sourHOLD Examined . ~ ~ Approved 19 ::..Permit No.:...'.'...... . Disapproved a/c (Building Inspector) ' APPLICATION FOR BUILDING PERMIT Date 19~ 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 schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, h ing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ®of~apptlica r name, if a corporation) (Mailin ad...~y.//~'u.~.. . g dress off apple a t State whe~•t-,h_err~~ap'plic~ant is owner, lessee, agpent, azchitect, engineer, general contractor, electrician, plumber or builder. ' E Y~ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. ~o ation of land on which proposed work will be done. . House Number Street Hamlet County Tax Map No. 1000 Section 3~ Block .......`.r Lot . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'La~.~ISb9?7~ . b. Intended use and occupancy . • • _.t"•.~"~lM~'•r"r' `.~'~~+G!11,~''~''~`t:' . ?.S 3. Nature of work (check which ap'plicable): New Building Addition Alteration . , . ~ kepair Removal Demolition Other Work (Descriplion) Fee ~ i 4. Iistimated Cost . (to be paid on hh -his application) 5. If dwellin ,number of dwellin units Number of dwelling units on each floor . g g I , , If garage, number of cars 6. If business, commercial or mixed occupancy, specify natu*° and extent of each typo ~f use . 7. Dimensions of existing structures, if any: Front Rear, , : , Depth . . Height Nunjber of Stories ~ . I)imensions'of same structure with alterations or additions: Front Rear , . I)e th Dimensions of entire new const ~ Height ......................Number of Stories . ruction: Front ~y~ .Rear Depth ~ . Ileight Nur~jiber of Stories ~YI~f~F!-~ . fiize of lot: Front ' Rear Depth ILO, , , , , , , , , ~l 1. lone or use district in wh~~;r.~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' ti N e of orm r Owner !?~!~4s4-r . 10. Date pf Pp rchase imises are situated , /q..ka~~ . R~~.'1~k~^~:~ . 12. Does ro osed construction Po ate any zoning law, ordinance or regulation: . i13. Will lot be regraded Will exce s f~illpb~oerpoyed from premises: Yes No 14: Name of Owner of premises . Address ~~;~~i/ GM Phone No.fi,7r~.a/Z+!i , . Name of Architect Address , , riNllwN ' ' ' ' ' ...........Phone No. P P y .................Address Phone No. 15,. 7~s this ororaertr located~,within 300 feet of a tidal wetland? s No *lf yes, Southold Town Trustees Permit ma be required. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Giva street and block'number or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~'a,', , i ~ i I STATE OF NEW YO~,~~~ Q,,~I S.S COUNTY OF . !.t _ ~.~:Y.~ being duly sworn, deposes and says that he is the applicant (Name of individual sig~ling contract) above named. Heisthe.... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will lie performed in the manngr set forth in the application filed therewith. Sworn to b'efare ma this .....~s~......... f,.'~~~J..., 19.~.~ Notary Public, .i'~~'~-~:4 :`:°`.'ay otJ~iLk/'r.'C~`.":...... County .r York (Signature of applicant) No, IQ08141 GusIMNO M Nassau County CommisslonExplrsoJenuary3t,t9~o yam' w~.~+~'~^"~^~~-'r'~ .~-+w.-~-....~x~- 1..: ~ p- • Sv" ~ 1'y `~NORTHr~O~D ~ ~ .MAP O~ 1_._AND SU~VCYED FOR C NA~.L~~ ~ N ~ K i ~G i NEAf2 . ~ V' r~ ' Z ~ 3 ~ G2E cr~F,c'c~-i-' . . i ~ -1 < TOWN o~= So~.l ~ No~~, N.4: ` ' ~ - ` 5 T - ~ h 7, ~ 7 i 0 i n 0 ' y 1 ll f J~ i ~ R~ititi t~vestu++ ~ otlt~vs _ ~ i ; .3 o ;1 3or r ~ i ~ _ _ v V c- ~ s . , I ~ ~ J ~ ~ ~ 4- i v Q ~ ~ b~ ~ - 0 " I ` L _ t A . ' I ~ ~ 1 li a i Qp~~~IS l-~NE I t ~ ~ , c it Y' ` •YI ~ n. \ I 1,j ~ IM I f~ ~ Y1 _..~;r....:.` ~~1 ~ ~ so \ ~ ~ I' . fit'`"~" N . y ~ I _ . C Z 11 1;'70 .Y 4.:. t i., .~.;~'r~ - .x - 0 1. _ '?diy~' r~ 't ~ ..t 'i.~( . ~II • U t( s~ r 1 ---~r--!,.?._^--..~.....~~~IIP'1R' sy'S .4~•'~~ ..h t ~ ` , - > ~ w4&...>` ?ri;~ O ~ is ~ 1 ~.0 r~ i2a b'~l' fit' h5`'I'' . ~5...-, ~ ~ r J+e F 4~~~_(((b 4__ ,.e S. x~ / I ~ x + t 1 1 - ~ T ~ .-~-w ~ D E TA 11_ -----t~ f tS'7~_ I mrh • Il ~ss~~----~, . ~ y Rui-l+ 3 .i ~ ~ , S~ve^sto,-. t mow. Q v, 0 b ~ i 0 J Q ~ ~ _ Q 3' ; N I~ I v ~refr+i~e5 I / O C 3~.e ~ 3 i -4^-Q ~ ~ SCU,~ ~:5 trG'~~~ 0 , V ~ yJ., CI Sg~o"3~5 1 CJ ~rFrUtrUtriePr~ Q ~ v ' k.o1-~ f . ; ~ . . 1. PYehioN ii _ I I ~ r l_OCA, ~ I o~ Min ' z L--- ' \ Guatc~+~t~~c:! to-T'Ne Ti-{-?e Gucarc.ir~f~~~ . ~ ~cal~: tOU~= J" Cot+:p::rt~:.j •c -s~~YVra~~ct MoY.~, 196- ' i, ~/A N u YL ~ 'SON Lice~,_>c.cJ Lct}Id SuYVC:,~o~•s~ ' ~ . . ~ iL1~Fhf f~F UTHQt»[3,t~Y. ' rr ~ c~E:~~~J~N ~ ~ ~ ~s~~ia ,~?et* ~ `vim; of ~ o ~ ~a~. ~ ~ ~ £ ~ ~ .i e i l M . t?X in ~ ; fia,63~9 ~_E,,,_~.~.--- ~ ,r#~' fJr~~• l~~s• ~t-+pc~lt tc.~.• r ~ _Lii~ , . a i -.r r a. ~ r ~ . c7. ~ ~ ~ Pfd~P. F"' ~P: r . 4a ' r ~ i h t ~ { (yl ~ ~ ~..iy ~ C2Ai~n/tnl. - _ •+M nw+ `~1N N '~Wm re rya _i._ n ; u a irr 7'i^Y,~ d ~I»7 ei( !7Y1 ~ ~~c S ~ x ,~wYitn l~pr ~ £t a i ~ ~ ~ - as PROP ~ ,y~;~~`. ~ ~ ".rrr a3 th.: bynr'Y `dax ,~,J a ~CA3f+Hi. ~ E t~O1M~"if• ± .--_-~--.-.r-.."_._ _ ~ -^4gt%~ Ir . - - ~ ~ tUSr~r,~Me~('~S~MlW/x~yY$ i i ~ c~/.~ ~e .-eNisr4 eMar ~'~t ~y e j ~p ~ .-,F ~ ~T ~ - ~ r 1 ~ J~~. * ref . ~ s' l_ ~ , r HO, j' ~ ~ r ~ ~'F"''RI 4L y N07Eg: . ~ a; L__ t~ a a I ~ N05. REFEfL ?Lt'MaP oEU. . ~ POf?,~r-s~cr~,', _ A ~ o' _ FltFL? IN 7NESi}1='FF~'IJ.Gt.~L"5=L~t~AE~ Kl~+t? P~['}~~D, 'VAN.. r~n~ do gry~ G. ELEYA'ClC?t~5 (~.'~JD'I~ANt,9~.1~I..~kY.f,.~1r1.~.Cri.~.~.. ~1./KND " ys''`~alANCS`~~ ~t~roletr ro~K - ~ mmvwe aoa Naar t ~ _ _ c ~ ( SUFFOLK CO HEALTH DEPT. APPROVAL D ~ ~ n Town s~ _ _ _ _ j y~`~_u_---_' i'~~t 1+9. ~ THE WATERTSUPP^LY A OFSEWAGE DISPOSAL _ 1 ____Y ~ _•?ffl;.t-I°J~.i~+.., SY5TEMS FOR THIS RESIDENCE WILL I W ' f~~. ~ ( ~ 1. ~ I ~ ~ ~ i COWFORM TO THE STANDARDS OF THE' li_r`.~f~~_~.iE- `.~-141 i ~i . fed. t SUFFOLK CO DEPT. OF HEALTH SERVICES. ~ Isl ! Z~ ? APPLICANT ^ _ .t,U'_' 1 SUFFOLK COUNTY DEPT. OF HEALTH i LR~ 'a / \ 't~"~'"~^' ip SI ~ , \ ~ SERVICES - FOR APPROVAL OF' i ~i ~ 4~ ~ CONSTRUCTION ONLY ! I ~ DATE: _ _ ) H. S. REF. NO ) n ~ ily ~ i APPROVED I tz5 - r_ r i 53.20 ~ f 2L .1 r i 3 I~-'I 3~1 C crl~ IC~'.U ~ ' it +p SUFFOLK CO TAX MAP DESIGNATION: j i ~ ~ , ~ t ,,,~3 Jy , ~ , Z tv i DIST SECT BLOCK PCL ~ fJ .63 a'3 ~ - I ~ L ~ p f-- . O ~ ~ i , ~ • ,i OWNERS ADDRESS - ~ - - 'A _ z I Q N m ~ pock ,I ~ t p _ ~ o ~ r~ ~ _ `fir ~ ~ . ~I// _ ~ ~ ~ 'O~ 1,t ~ ~ ( t 1 r ~ SC.gt,•l` ~ - I~ DETEST HOL !STAMP o D > > ~ Dj I ~ /i ~.1~MCtiiJh1~iv' ~ _ \ N ~ rv t ~ ~ rfy~ `~2~~ ~ / ACcEA• . 3t6~F.Y/ - , : I r ~ ~ ~ a ~ s 196 s r, ~ u _y : _ : yr ...,r a :.eret ~~'ppp rp ~ Ta' ~ ~ ~ ~ t~5 ,~j•h"' ~ A~7•? OF {_'AM~4,L AA2CF_!.. ~ ' O tvZ AC.. n . a .el a ~ ~ I ~ ~4.. - - _ ' fuzrentens mSi a hereon shall run ~ h ~ " t 45• ,.~fy ~ ` ~ PQOI. ' WA•~ ur.; ~ to tna anraon nor whsm the _urvek \ ~ ~ ~ ~"~7-~~t•tk 7'~ T I ~~)~EQ ~'PJ )~,i 8$ SA! le areoarsd,ana 6n MS bc'raf to the _ - . tl9a comfa ! govarnmmn.oi a7encya tt0' i APQ 22, $8 • 6UA2 ,Ni'({8V ~Lr . ~ . HUM I krdmg ~nsrunon lia[ei ha.eon erxl 1 _ t _ ~,~,ak. 5 ~F l_ '^O EAtl1TY A9STQA TiNC, ANp 1'C- to tna asslgnaes dthe laiaing msti- I a~ ,~,f[' t " ! - _ -+•+A'- - ~ Ylrtion. Guarantees are nd Yranafsrehis ~\1 ~ i 'Tt~ F' 2 b U EfL 1 G K fL AYX! f3 S . ;,q+.:. n additional Inatitutlona or au~aaquenf `r A" ~ ~ i ~ , I,~.t~---cwn«s. SEAL R_EV~'_'E: I - . I JI.I' I~ - _ 4i~0, NrJT•E ~ 4 r HO, r~ 7 1=N y _ ~ _ _ I I f __;vC~ izF_F ~IC'R,; NlA~' ~f ;~.F.A'tff P~ftti ~E~ 'E_l'f , 7Vc~ ~ n~ I F'7Ll.L [N 4}( f: CC1.~.~Ef~k `i '~Jhl it„E• A~ 1'~if;l1~ t~K; e~Ex~;~ RQDERICK VAN~xL. P.C. ` " y ~ ~ tr F i t:'.'y~~ rL~~~u~ ~ tV ~~l~~a A t.fT.'J ~ a ~ ~ ~i. C' ~ ~ ~ 9j LICENSED LAND SURV YORS ~ `~~5;~' <s z55~ r` GREENPORT NEW YORK 1 ~GtAHUS`~~ if LEDVNF fOST NBg1v SUFFOLK CO. HEALTH DEPT. APPROVAL i H. 5. NO. :~ii~F' ~.~t.. Ni~'~ ir'. C~'. j i, 1 ,1 e . 1 ' ~~A.(G ~f ATEMEI~j QF INTENT - _ _ I THE WATER SklPPLY AND ~W#GE DfSPOSAL _ _ ~ - I GrGE ?~JF~CfC SYSTtiYd6 POR THlf R!'flpENCE WILL 4 _ ~ I CONFt3RM TO THE fTANOA4EDf OF THE S ~ , SUFFOLK CO. DEPT. of Hi/1LTH SERVICES. i 1 Z ~ I APPLICANT ~ ' cq I ~ 9Ul~FOIK COUNTY DEPT. . OF HEALTH m j~ i ~ / SERVICES -FOR APPROVAL OF I ~ CONSTRUCTION ONLY *E 1 ~ DATE: ao; ~ H. S. REF. NO.: i `'D ~ A APPROVED: r ~ ~ fl rl ~ _ £ ) 3 a ~ ~ ~ c r 1 ! SUFFOLK CO. TAX MAP O[SlGNATION: ~ DlST. SECT. BLOCK PCL. ~ ' ~ ~ ~ ' ' \ OWNERS ADDRE'3t5: . L6- I ~ (PfztsG ~FiU.` ~ 1.A7. LANE ~ r; pOCL ~ 1~ i 4 R,r,K' i 1 J ~ " ' ' •w• ~ I HI.Z 1+3'k'tt,tGTLtfJ~lJ.Y. I IT~3 Cpl ~ 4 F 1 + ~ / i ~ ~ , PoE...>. ~ - -4f • ~ ~ .575.-7t~ 6 T £ 10 41Ol~sfi ~ ~ ~ V~ Ie , DEED: C.679q P.It3Q. P.,~f= ~ E ..ee,~ [y P t_ _ ~ ~ ~ Yl t ~"`1^+yp~.. ~ s a r a ~a,+. ar t3a~:ltM Z1 i QIt: _ q ' ' f vao ' dey, ~ II,.^_.-R~~"~~.,~y... .LZIJNIUB ~ w, cre ~ w vo x ~xt+ 7~_ 'f,r (11 [p ~F F., ~ i s~c~`'•s ~ 1 5 "1' E IfRJ'ff_l.__ ~y : , ` " ~ ~".~"'i"°w a,+E= s t' a.o . Da+.Yan ~ q°.5 ~r.@~ _ & ~,'!i.d l ~Vlw~i. ~ ISO I~t~ .~J~- ,ha P'vscn:M ~ uYv .Y ~ ,y : ~ n3R^Y. WY'.Rne,art6f,M~E.~~ . ~ ~,:EV - -o,s net,!u of M`e IeIYMM t ~uaaDtM ere nel •eneEeiEd~e _ , 2 ,.J , _ K~1.. I~l:~3 ~ ~le>eia IV W WNM of eu5ee4+en k ~ Yl~.s IG i QQ.1~l~E,L „u.ei InNt r-. ~ ~ ~ ~ ( ~ f E fEAI ~J ; ~ HD. ~ ~p NEI.y ~ ' ..i Q iN PF. L (r.... ~ ~GK V,~ O L. F ; . _ , CGA P ti~ 9f ~ '~v5 ~~cFL`c ?"~~MAY QF..~.F:AYE~ ~Flti ~ELT3~, A.~ ~t,ltzy~YEP hlflY.lOf ? ~D~lQ'~° _ ~~i7Et _ IEI~K VAN TSdY4. P.'- G El. ;.I•~ r e ' r l~ t- I W T}~E ~uf"F:_ cD c LEt21C s ai=DICE a6 Mp~t~ na ~sc~ . Zf ~ _ 2 1~ F': c',/Af;~itV~ ~c:k:FC& ~ MEAty ~'if=A LFVEL~ U-5 r9.V.p. LICENSED 4AND 8UR Ol4f 17~ gND SJ~ 6REENPORT NEW YORK iE IEDVNE qSi NBIJN - _ _ - - ~ SUFFOLK CO HEALTH DEPT. APPROVAL L/ } _f....r..... d~ i711 _.i ~ Phi i `_.,JT'~ ~ 7 L~ _ _ _ I I ~ i ~ , _ i ?y _ _ . _ _ _ _ _.___c P j~~y ` STATEMENT OF INTENT i _ _ _ _ ~ THE WATER SUPPLY AND SEWAGE DISPOSAL I ! 1- r:-'f" I SYSTEMS FOR THIS RESIDENCE WILL _ ~ ;,1 CONFORM TO THE STANDARDS OF THE QI ~F- ~t~iF~ SUFFOLK CO. DEPT. OF HEALTH SERVICES. II ISI APPLICANT 1i r n (t ~ I it ~1~ i. ~~Itl~I1rLJ i ~ U~ ~ ~ SUFFOLK COUNTY DEPT. OF HEALTH r i . . T~ t ~I ~ ~ 1 ~+~i • ~ ~ SERVICES - FOR APPROVAL OF m - ~ 1 ? , , I t t,~; ~,y; CONSTRUCTION ONLY i j . - , .~;!or ~ ~ DATE: ~'~i ~ w+ H. S. REF. NO . 8"7- SO- 241 ~i ~ ~ ~ _ ` `A. .Y APPROVED: ~ ~ '26 ~ ~ J r SUFFOLK CO. TAX MAP DESIGNATION: 53 _O ..~F ~ ' ~ l,.~.~>3 U ~ _ Z i ~ • ~ OIST. SECT BLOCK PCL. OI r 1_ + 2~.'1~ - ~ ~ ~ DOWNERS AD RESfi: ,v ~ ~ u m 7 F_ !'~:"~N ' V'J ~ a:F! ~~'3L~i.D F_ i~4NE c,~ i n .p ~ ~ ~ 'a ~><M~ ~ <9 ~ ~ yv ~ JAN 26 198 _ _ 11 I z a _ • W iti r~ 7ES~~ ~ ~ c, ~ n N i i o Ha.s ~ / SERV v o L , ~ 'y 4, ~ 3.C. DEPT. 6F ~ ~ ' ~ r u c - ~i ~ y E,' .l t;1 ~ i~. r ~Y 'a. t:J / ,r._ HEM.DFI ICES DEED. L.ofy4 P'~'~„,C.L.E'1 P ~I1 3 ~ ~ y~. I , , ~ I ~ SCALE TES HOL # 4. t f 4 \ .1 1 , p ~ ~ ~ \tl .gyp FCc_ 3~ . t 1lf~wN r ~ w ref ~ yr _ P iM f dY ~ u~ S~ ~j~ \7 ~ i~ ~ " 1 _ UMUS a , 9i _n p ?Z 'ft ~•'~.TA~C ~;1 _ _..__-6 / A(2 EA- I 3t6.~,F, ~1DY ~ nt 9Y nF~~ h • ` ~ i;~ , nYt '2~) ~ ~ X65 TIC Ltt,tE,. tA7aNl ~ ; r ~ t~ U1 ~ s ..,1 1 ~ y 1 t~ b ~ A~~~ n~ CQt~1A1_ 1~A1~.GL.,= L. ~T_ ~ - O..IS~+ l~~.- - r Y ~w, ~ f9.o ~~•'~t\\~ 'tea. i ?IJ ~~vtf,ED.F~TB.«o,igBFS SAf.v A ~ ~ l\o- VM!''I~ I _3F~2'8~',i48~: vllA~Arvlt~&[. 48- p ~'~..r. ~ ~FL~'~` ~ To EGUITY A85TRAC7'tNC,_ ANO TO '~ti^t25Er z ~ y yv a- ~ ~,rJLi.~,~L~ ~ f71 49-x. ` ip\19+.\,- - ~2>a~i7CfdICK KAYNISSiAl1U :v';a t. i ~ ~ ! r SEAL t _ W4 _ - - j ~ _y_'13_ EQ 1~"_{( Y. t4 1~J~ • JAN. I-f~ I~ _ _ . _ - 1 AYE _"Y J.._... ._J.._-_. _ t 'w. " , ` .'1\J. - r~o. WA~f=:t 4r. + n~ ~ltzv!`v>; ~ nu3Y. (O ! ' r ~ar.ty. lo`~ i~`FE.1~ R1 MAF' Uf ..I.F.A4t~ PQ11~;7 •SE;C7•~, - , ~ ~ Griave~ FILE. L- ! N TiiE .~Uf'F Q? C(i612Y' ~ C1Ft=t6.E A~'a MAf-' ?~C? QFiSG} . R`¢9ER~ICK`Vi?N~L. P. _ _ ' G E'i-S.:VA~ qty` Ei E:Ci ~Ts M&!~N Ehi f:Yk',l.wU.a,~~_~l_;4. . _ . , _ LICENSED LAND SURV ORS 17 GREENPORT NEW YORK tF l<CVNf 1051 NP'~3]' SUffOLK CO. F#ALTH DEBT. Al~ROYAE. H. 5. NO. ~.L ~.~t r. M/'e~ ~F l~fZQF~~iZTY ; - suczver~u ~or~ n~- , ~'T/ATT~F tt4TEJ~lT j ~ ~ THE WATER SNI'ML:Y Af104EYilA~E D!lIXIBAI _ - - iYBTEMi iOR TMtt RlStg6ttCE V1HLL - - - _ _ - COtrFO1Mi TO ThiE STAMpARDS OF TtiE C3~ 7'HUG.d ,fit. su+~Faue co. err. e~ r+.T~P vec~s. N AM'fl. A#T i ~ Q SUFFOLK SC"JhTY CE?AFT~QGPdT OF NF.{ILTH SERVICES , i ~ S. ' ''1' ~ j ' ':?:G U?;~Y SUffOLK COUNTY DEPT. OF ~ALTH '%'E`E~3f~ p~f Dq~reiy ~ igily c5 r1 CCU ,~4~ 5ER V ICES - f tfR Al?IROVAL Of c} P . ~ ",,'t ,,,,i`ties Por this CdNffTR1ACtIQN ONLY Ir ti i>r,e~it zri~J/or DATE; U a r ~ er(~, ' ~ H. 8. REF. NIO : Std-_2,41 _ . _ _ _ i ~ ~ ~ ~ ~ A}TRQVED. _ - Y7i N- - - ~ i ii~f~.IC CO. TA% MAR ~ _ i.- -j--'53.~ ~ ~ E. t~ ,j~ J DIST. l6CT. iL.OC1t #GL. j U l i -~~j fGR7Q ~ ~5 ~i} i '`t 1 z i D ~ iil Z tl , 9'pcyC ~ ~ ' s ~ ~ m r ~ ~ JAN 26 1988 4 ~ ~~Y`' o, r ' - - - ~ 3iC. DEPL dF 575'7 P i~f 1 ~ ~ ~ ~t ~j . ~ HEM.1W SERVICES ~~z DEED: L.cT~~ ! y Q - :KR~[~. kit ~ ~i~~P f1{ u s isT Caw. i' 1 ~ ~ ~ + '*"'--«~-.*•~M'll~~i~f[~~ ix tt thk a~m+sv rya qQ 1 ~ i ~I! ~ S .r.1S aU11.9YM B YJ(F4 RY ' fin. ` ~ f~ ~ ~ r-.:.+«« a~~ed sass s4E~f not M c . s' i.~ y~ ~ ~ r' a~ ~ - ~y .s Yeiid true croY t . ~ ~ ~1R . u+ranteea indiea •C ~ on. ~ k`1 i. 1 1 ~ yi• to tha Par9on br v - i Y w ~ ~ V ®nor9tl Jna nn N ~ • 5 ~ 1,N; d ~ ~ ~ a:ot~_Gra>wiAt. ,per?. _ • 9..1 ~ ~ \ rte. ` ~ i y v r w - _ J ` .fq~ . - _ g , caAa,~ fir _s~" _ - _ ~ s - ~ A~'1/19~.L7_.w>~.a.ji~:l'f. t A' F. "`ti e . _ 2.~:E1lAT{~F'at7~f~'`~'? `5F~?_ ~".ia•~.+'li.~t~3.,=~ L1CDlAMD ~flRE ~ 61EtiNPCiRT NEW YORK r' nun»e rosr wine