HomeMy WebLinkAbout29118-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29860 Date: 11/20/03
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 60 STRATMORS RD EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 21 Block 1 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 26, 2002 pursuant to which
Building Permit No. 29118-Z dated JANUARY 22, 2003
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 AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to THOMAS B PEYTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0214 11/19/03
ELECTRICAL CERTIFICATE NO. 74727C 10/15/03
PLUMBERS CERTIFICATION DATED 11/20/03 JAMES TWOMEY
G
0
ut orized S' nature
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. 29118 Z Date JANUARY 22 , 2003
Permission is hereby granted to :
GREGORY NODAROS
46-19 241ST STREET
DOUGLASTON,NY 11362
for
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTATCHED GARAGE
AND REAR DECK AS APPLIED FOR
at premises located at 5195 ROCKY POINT RD EAST MARION
County Tax Map No. 473889 Section 021 Block 0001 Lot No. 009
pursuant to application dated DECEMBER 26, 2002 and approved by the
Building Inspector to expire on JULY 22 , 7,A
Fee $ 1 , 050 . 60
Author t
zed Signature
COPY
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD ✓� }
BUILDING DEPARTMENT ✓ o 6
TOWN HALL
765-1802 =
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Departmetnt with the following:
c .
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool $25.00, Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date. It-zo -o-3
New Construction: Old or Pre-existing Building: (check one)
„� I
Location of Property: Go SIR S 1. A kt��
House No. Street Hamlet
Owner or Owners of Property: -TONh �i l"d tj
Suffolk County Tax Map No 1000, Section 0ZBlock I Lot 09
Subdivision S744"I+orS JS.-T4n S Filed Map. 3'71-3 Lot: -f
Permit No. 2.411%g Date of Permit. 11-11a,01- Applicant: ?Rk%- '�1104 C0451% In L
Health Dept. Approval: IZ020 Z``E Underwriters Approval: -7'+-7l--7C-
Planning
74-727C-
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $ Z S”
CSI
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C �0 u D Appliant Signatur
prt,"P f• xftf?A-
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Town Hall,53095 Main Road • Fax(631)765-9502
P.O. Box 1179 Telephone(631) 765-1802
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 0,3
Building Permit No.
Owner: 7 0/�1 y� �/
�(P ase print)
Plumber.'Y�'s
(Please print
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(Plumbers Signatu e)
Sworn to before me this 1
day of &ye 200
Notary Public,' �' 'C911�
UMPAK
aY111t
Ori 130,
Electrical Inspection Certificate
Issue Date Electrical Inspection Service, Inc. Application Number
10/15/03 375 Dunton Avenue 74727C
East Patchogue, New York 11772
(631)2866642
Issued To: Tom Peyton
Street: 5195 Rocky Point Road
Village: East Marion Zip: 11939 Town: Southold
Section: 21 Block: 09 Lot: 01
Contractor: Shore Power Electric Contracting Lic. # 31697-ME
Was examined and found to be in compliance with the National Electrical Code.
❑ Commercial ❑ NV Defects ❑ Pool ❑X 1st Floor [K Indoor [K Basement ❑ Hot Tub
X❑ Residential ❑ Det. Garage 91 Attic ❑ 2nd Floor XJ Outdoor ❑ Addition ❑ Survey
Switches Receptacles Fixtures GF/ Heaters A/C Fans
27 36 33 9
Dishwasher Washer/Amps Dryer/Amps Oven Range(Amps Microwaves
1 20 1 30 1 40
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
1 x 1 5 1 '
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
1 150 1 /Q 1 3 1
Bldg. Permit: 29118
Other Equipment
5' Baseboard
15Amp AFI Breaker
1-20Amp Well Pump Hugo S. Surdi
Phone Outlets President
Rough Inspection: 04/30/2003
Inspector: Ed Scavelli
Final Inspection: 10/14/2003
Inspector: Sean P. Hightower
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
j a d — — — 9 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET s/ cl lj VILLAGE DIST. SUB. ✓LOT
FORMItk OW ER N E ACR.
S W TYPE OF BUILDING
RES. SEAS. VL. 3 /I FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
1
BULKHEAD
Total DOCK
� 21 ,
i
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheck Software Version 3.5 Release la
Data filename: Peyton.rck
TITLE: Energy Code Review f'or the Peyton Residence
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached 1 or 2 Family
HEATING TYPE: Non-Electric
DATE OF PLANS: 01.17.03
PROJECT INFORMATION:
Peyton Residence
Corner of Stratmors Road and Rocky Point
Southold,NY 11971
COMPANY INFORMATION:
Phill Rappa Construction,Inc.
PO Box 1264
Quogue, NY 11959
T: 631.653.8270
NOTES:
Prepared by
Flynn Stott Architects,P.C.
13 Main Street
Southampton,NY 11968
T: 631.283.1777
F. 631.283.5979
COMPLIANCE: Passes
Maximum UA=497
Your Home UA=417
14.4%Better Than Cade(UA)
�N 2 1
Gross Gla7ing
„ Area or Cavity Cont. or Door
- — Perimeter R-Value R-Value U-Factor UA
Ceiling Assembly: Flat Ceiling or Scissor Truss 1306 38.0 0.0 39
Floor Asembly:
All-Wood Joist/Truss:Over Unconditioned Space 1306 21.0 0.0 57
Ext. Wall Assembly: Wood Frame, 16" o.c. 1561 19.0 0.0 83
Picture Window: Wood Frame:Double Pane 24 0.500 12
Total 30x42 Window: Wood Frame:Doublc Pane 16 0.500 8
Total 28x42 Window: Wood Frame:Double Pane 24 0.500 12
Total 24x21 Window copy 1: Wood Frame:Double Pane 7 0.500 4
24x52 Window: Wood Framc:Doublc Pane 8 0.500 4
12x36 Window: Wood Frame:Double Pane 3 0.500 2
Entry Door: Solid 20 0.170 3
Garage Door. Solid 20 0.170 3
Sliding door. Glass 53 0.490 26
Basement Wall Asembly: Solid Concrete or Masonry 1561 0.0 5.0 164
Wall height: 8.0'
Depth below grade:7.0'
Insulation depth: 4.0'
HW Boiler. Other(Except Gas-Fired Steam),85.3 AFUE
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the
building plans, specifications,and other calculations submitted with this permit application. The proposed
systems have been designed to meet the New York State Energy Conservation Construction Code
requirements. When a Registered Design Professional has stamped and signed this page,they are attesting
that to the best of his/h knowledge, belief,and professional judgment, such plans or specifications are in
compliance with t s ode.
Buildcr/Dcsig Da
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Sl. bEl, 163 a
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED; _L/a_/0_4
/43
APPLICANT:r<20( ( (yQ DATE SUBMITTED:ja x/02
SCTM# DISTRICT: 1000, SECTION: c9 1 , BLOCK: ( , LOT:
STREET ADDRESS: �(C 12mr� � CITY:E �p� ,SUBDNISION:& Mdg1%
PROJECT DESCRIPTION: 4670 C-rb• &V IHI clo2iiie t (Ytc'c 1'k-t is
ESTIMATED PROJECT COST: T/ENGINEER 072�0T FAST TRACK? iy
SINGLE & SEPARATE CERTIFICATION-REQUIRED? tT NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8:
ZONING DISTRICT: CONFORMING? Ap
REQ. LOT SIZE: C ACT. LOT SIZE REQ. LOT COV ACT. LOT COV,
REQ. FRONT F/o PROP. FRONT ioREQ SIDE t s/3� ACT. SIDE/r i
REQ. REAR w PROP. REAR a REQ. HEIGHT PROP. HEIGHT-
WATERFRONT?
EIGHTWATERFRONT? NQ DESCRIPTION:
PANEL #: FLOOD ZONE:_)e _, --
APPROVALS REQUIRED
SUFFOLK COUNTY HE H DEPT: ES or NO, (BED #): DTE: �L l S l y PERMIT #:RIO- UZ-D2
TOWN SEPTIC RECEIPT�or N
NEW YORK STATE DEC: PRE,-DEC 9/1/75 YES ovND
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: YES or
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY(YE5 OR NO : I I aq
EGRESS (18 H min.? 4 sq total) - VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) -
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z-
HAVE PRE CO'S : Y OR N BP -Z/C/o Z-
NOTE
FEE STRUCTURE: FOUNDATION: i '3!5 0, SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: 2>8 r, SF FEE EEE PEE
1. ( _3e`50 SF)- ( 'F6"U SF)= SFX$ ,3 6 =$ +$ f h J +$ =$
2. ( SF)- ( SF)= SF X$—=$—+$—+$—=$
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 12/23/02 Receipt#: 2297
Transaction(s): Subtotal
1 Septic Permit- Construct- Resid. $10.00
Check#: 2297 Total Paid: $10.00
Name: Phil, Rappa Construction Inc.
Po Box 1264
Quogue, NY 11959
Clerk ID: LES Intemal ID:64978
M-1802
BUILDING DEPT.
SECTION
[ FOUNDATION
IST [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R ARKS: Id
`f b
DATE INSPECT /
M-M2
BUILDING DEPT.
INSPECTION
[ ) FO ATION 1ST [ ] ROUGH PLBG.
[ OUNDATION 2ND [ ] INSULATION
[ ) FRAMIN [ ) FINAL
[ ] FIRE ACE & IMNEY
RE KS:
f
c�
DATE INSPECT
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIO i [ OUCH PLBG.
[ ] FOU TION 2ND [ ] INSULATION
[ MING [ ] FINAL
[ ] FIREPLAC CHIMNEY
RIWARKS
DATE �� INSPECTO G <
76S-1802
BUILDING DEPT.
INSPECTION
[ J FOUNDATION IST [ ] ROU G LOG.
[ ] FOUNDATION 2ND ULATION
[ ] FRAMING [ J FINAL
( ] FIREPLACE A CHIMNEY
REMARKS• _
- a�/� azo
DATE d� INSPE O
G�
( M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND NSULATION
[ ] FRAMING [ ] FINAL
[ ) FIREPI. CE & HIMNEY
3��REMARKS:
DATE INSPE
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUG LOG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ INAL
[ ] FIREPLAC & CHIMNEY
07�
REMARKS.
�
1
DATE l INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 SOLATION
[ ] FRAMING FINAL
FIREPLACE & CH4 EY
REMAR
DATE INSPE O
1 1 1 • ;A' . i1 y" . 1 Ittli ,
io
. 1 . 1 �y"ice.:-,�l���i�e� .��j.�s• - _ ���. •
tJ�l;fsF� -- ----- -- `
/lllllllll
/ -/ ' r✓moi_ • �
M Fix-In I
INSULATION PER N.Y.
STATE ENERGY
CODE
AOM m
vm
�e
ADDMONAL COAUVOwTs
�� cyw r•,i,, , 1 �-. l P IIC 1 / JVL' I ROIQ
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying'?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. ����� �� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 1 -1 3 ,20 3 Contact:
Approved a, 3 ,20 Mail to: ipNtt_ 9,14pap LonS1-.
Disapproved a/c 1264 Qvo6.E, JJ•tl•
---}— Phone: 63 16 S4•S7L70 119�
Expiration 7J,�3 ,20 - C.ti�� - 63l 495'-Z38g
l '�1 Building Inspector
� tCt1�
i
Q APPLICATION FOR BUILDING PERMIT
Date 20 0 Z
INSTRUCTIONS T —
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 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 throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months.Thereafter, a new permit shall be required.
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,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. ^ foe p H t1- SPA
ContT zNC,
(Signa �plicant or name,if a corporation)
Sox [264 Ca_)OC..,L, 0.1. 11gyj
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises Gregor,!, OoAprf" S
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
t� OCA NIL je F. 12AVPA PQZ4S
ame and title of corporate officer)
Builders License No. 5.C, — 29.22-] - {
Plumbers License No. If
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
5T9-"c6Lc, eAST mAawki
House Number Street Hamlet
County Tax Map No. 1000 Section_ Z Block O 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 ILOLAA - LA-r-0
b. Intended use and occupancy I C'Tt4%C 1 -r�kogtik,P
3. Nature of work (check which applicable): New Building�ee`� Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost ro'oon Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars Z
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front -70 Rear "70' Depth 2 S
Height I '-1 " Number of Stories I
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-X—,'
13. Will lot be re-graded? YES (�NO Will excess fill be removed from premises? YES NO-
p kxo OwN4f- Ta Cm3`'- %/t e 1 o 3 P,?T. .1 Ms'ck'A
14. Natnes of Owner of premises Tont P ceToa Address 93 ftw1y ccRc-'L Phone No. Q114- W9-
Name of Architect Address Phone No
Name of Contractor 94iL gAffA C04Sr Address Bog "4 9Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
F. IWP� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the c4vc:¢r c4 -Itc C,--v-�c b r
(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 be
performed in the manner set forth in the application filed therewith.
Sworn to before me t
(�l b day of44�g,,b�, 20(f)-
Not Pub is nature of Applicant
Goa
LQ L4EY 1'.>
4'alxw Sig °���,N York
`3 SURVEY OF
^ �{� LOT 4
-' �¢ MAP OF
" t STRATMORS ESTATES
CESSPQW
r` > Up01�" a FILE No. 3723 FILED FEBRUARY 20, 1963
SITUATED AT
~ LOTO 198,10' O EAST MARION
TOWN OF SOUTHOLD
WELL DoE OF LW" 'u w SUFFOLK COUNTY, NEW YORK
t " E �+„ - S.C. TAX No. 1000-21-01 -09
wlu '�; N 19. 4,00
SCALE 1"=40'
OCTOBER 3, 2002
rp1c6 J—_ a t^
Y61• 4, .. O
AREA = 20,588.64 aq. ff.
0.473 ac.
tA
w �, +o i _a. o
a
LOT O , ........ m N N
0 4 .. -O O mom,
EL
y 1. ELE DOMING
S AW: ATIO04 CIEDME SH AN ASSLrASHM IWO: GATM1
f_� ST ..._. `_�_ rte• ' 4 1. NVFR�{IDA� 1R OAU.
O d p 3. MMWM SEPW TAMN CAPAWEa RM A , TO 4 EEd100Y MISE M 1.000 GALLONS.
— S I TANK; P LONG, 4'-3- W04 a'-T DEEP
4 WINKIM 1FACHM SYSTEM OW
IEM W A I TO 4 EOEOMOM D; 300 4q 0 acEWu MEA.
lid ,. 2 E I root u' DEEP. E e..
—Y rrNrom WISDIi 3DEroOL
I.
OR
00„ _ - 80..0 wnro3ED IE.a.m POOL
® o
PIPEW s. TMLOCATKNK AN WELLS c NrwAr CESSPOOLS
O ME FROM r1E6
W`-"N OLSGA,OAMD/a DATA OETAMU FROM OnI[MS.7;^ 825440
ROAD �,
. - �rErD ATMO S SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
1 I�v PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
LOT
°NEw —\ POODATE —5-0 H.S. R N Rio - off-
LOT RA '9x
0, YAMD) cEssFoa�- APPROVED Oy 4 J 2
(CEI'IELL M yiE YAIo)
I>aN1 FOR MAXIMUM OF t)R B (RO MS
EXPIRES THREE YEARS FROM DATE OF APPROVAL9 6b
;n
O
"£ EXCAVATION INSPECTION RPAUIREDys�`OA T)
Ell FOR SANITARY SYSTEM
BY HEALTi TK AoaINN
=nW MS 6 TR NEWWRXVAN Joseph A. Ingegno
M'A0wWmIU[ 4°���
EO Land Surveyor
aa
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7.Iv0I3IW ro Oft It= SI iuM
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TIME COI�►OwDYy1YOWNlOOIf.IL.,aOICY Mo TkN SwnYA - SubdMtlps - Sk P1aY - COns0lKlb" LyaA
MpM6i OUMO8K�11-
lunox. camwwllW4s AI[ PHONE (431)727-2090 Fax (631)727-1727
INE 00E1[114E OF OW a MAYA OFFICES LMIED AT UVLM A00AM
we/a uwnEa a EEcaa E
ANY, I4OT fIIDkW AOE Nm OIIAEANno. 1360 EOANME AvauE P.O. bar 1931
RME7DIm. New Yak 11901 o.artoW, Nw YDrk 11901-ONS
SURVEY OF
LOT 4
MAP OF
STRATMORS ESTATES
CESSPOOI A FILE No. 3723 FILED FEBRUARY 20, 1963
_",�l� SITUATED AT
LOTO0 EAST MARION
WELL ZA
06 Ln TOWN OF SOUTHOLD
OF tmw AU 4 SUFFOLK COUNTY, NEW YORK
Ti
mS.C. TAX No. 1000-21-01 —09
14 7 SCALE 1"=40'
000- Lw OCTOBER 3, 2002
CI
g$ KLL
140. 0
I-A AREA = 20,588.64 sq. ft.
0.473 Do.
60'
0 e
oA
. .. .... OD
LOT
1. ELEVATIONS ARE 0017KNENCLD To M ASSUMED UTUM
DOSTOW ELEVATIONS AM SHOWN AY
2. REFIR TO FI.ED MR FOR TEST HOLE DATA.
3. U04MUM SEII71C T� CAPACIDES FOR A I TO A BEDROOM HOUSE Is 1,000 GALLONS.
I TAWI 0' LORD, 4'-r WINE, C-I' OW
MINIMUM LEACHINC SYSTEM MR A I TO 4 BEDROOM HOUSE M 300 WEW�
I POOL. 12' DE131'. 8' diIII.
0, SCE
4mr 1. .%g*. 01 comm"
TOOL0
0 PROPOSED LEACHMS POOL
Tiry L;�L#E, mImnm�cmcD Ram TN
FOUND DIERVEW "NIS—
PI I — 4-1 " w
S 5215 40 CESSPI 5. W& �TM OF � AND CESSPOMS SHO" HEREON ME FROM FEW
*_-mw OOMATIM AND/OR MIA OSTAMM FBI anNINS.
OAD '"PlEy- t Y,
OF's SUFFOLK COUNTY DEPARTMENT or, HEALTH S::RVICES
STR \TM
L PER141T FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENCE ONLY
LOT
DWELLING -CES5 DATE12-5-0)- H.S. REF. No..
OWEI CESSPOI APPROVED AAt/(,g,
(0=)OL M FROW ypm)
Yom) FOR MAXIMUM OF OOMS
EXPIRES THREE YEARS FR 8M DATE OF APPROVAL
EX ''I 1 11 11 111 111
0`A V A n 0 N11 I'IN"IS''I'PlIlEll''I`C111 I nON REQUIRED
IE
FOR SANITARY SYSTEM 8 141 WE Na IBM
BY HEAL
3W
SECOON IM OF AM NEW YORK STAIE
000001ON U01 J034�h A. ingegno
alm."MMIX&%Q"
lw� �sm��K�
TO BE A VALE�051'Y. Land Surveyor
CE11rDQAVONS INDCAM NORMAN $14III1 WN
Tft Srms - &Ax0A60,. - Sit. c..DxII LawA
Tvn0k. oarmI ME wr TMkFEwLetE. P"DME (631)727-2010 Fox (631)727-1727
THE IDDS19I OF ~ OF WAYS OFFICES LOCATED AT MQUNV ADDRESS
AMT, MOT 5110WN ARE ICT OIIIAIIA111FED. 13W ROANOKE AID" P.O. B. 1931
L INMIN[Al, Mal YorkI ISW lbIAII00, New York 11907-0065
SURVEY OF
LOT 4
MAP OF
STRATMORS ESTATES
FILE No. 3723 FILED FEBRUARY 20, 1963
SITUATED AT
LOTOEAST MARION
DWEW"o 09195 TOWN OF SOUTHOLD
mDE OF LOH SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-21-01 -09
N 79'44'00 fa SCALE 1"=40'
OCTOBER 3, 2002
FowE
v81 R
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AREA 20,565.64 Sq. H....... 0.473 cc.
lab,to . .....
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00 EA.
ATM
1. ELEVATIONS AM ItAnDIEMONSNCED TO AN ASSUWEV MAN
EMING MUNAME SHOWN THUS:
rn I REFER TO FRED MAP FM 1137 HOLE DATA.
3. WDIMUM SM. TAM WACITIES FOR A f TO 4 llffDIIOOr HOUSE IS 1.000 GALLONS.
I TAbK- 8* LONG, 4'-r WIDE, A'-7' DWP
4. H@ftOH Lr SnTEM M A I M 4 KDROOM HOUSE IS 500 " ft SIOEWALL
I POOL.. 12, am. r ft.
PROPOSED EXPANSIONPOOL
PlyLIN "m. ORWH I
pXi .0 LEACHM
go
Unffy� it 'j
PIPE i;5 w A S. THE �MH OF *ULS AND C43SPOOLS SHOWN HENION ARE FlElb
S- OMSERVATIOWS �/Olt DATA OVAINED OTHEIRS.
o XD w4ft Y-CESSPOOL
Rs
STRkTMO
LOT AS THE EWASUSHED
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Joieph A. Ingegno
WELLM SE A SEND RIME OOPf. Land Surveyor
AUN
Na RdrF m 1M
mla ou~.mm"am'. rft Swwfl - S,4&Ajbw - %-t. Pbrw - Cmbuctlen Lwj.A
W.Um'nor,
�`mm`lk=WU!w ul�49-
mmm PHONE (631)727-2M Fw (631)727-1727
MON.ol�ME Hot�
THE DOSTUM OF WHT OF WAYS OFFICES LOWED AT kPAM ADDRESS
-
MY, NOSE SIIORRI AR[ MDSE WIF� 1380 FAVAIOKE AVD4UE P�0.OY �k'2131'
NAMEW, Nn Yak 11901 RNedmdl 901
w a SURVEY OF
LOT 4
MAP OF
l C STRATMORS ESTATES
�Ovr E
FILE No. 3723 FILED FEBRUARY 20, 1963
SITUATED AT
LOT tes to Q EAST MARION
TOWN OF SOUTHOLD
�. ESE of ^ — r� SUFFOLK COUNTY, NEW YORK
z: LA
/ = o S.C. TAX No. 1000-21-01-09
�g'4400H E u= SCALE 1"=40'
-
V OCTOBER 3,
002
MARCH 21, 2003 FOUNDATION LOCkIION
ao
AREA = 20,588.64 sq. f}.
i o a0' q m 0.473 OC.
CONCRETE �LA a
16.0' FOUNDATION 436 -_ o
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LOT 20,7' t i
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! 7I �— As ESTA I ..
L AND ATE WDADOPTED
LOT I CERTIFIED T0: QN Q !I(G
,,
LAWYERS TITLE INSURANCE COMPANY
NORTH FORK BANK
THOMAS 8. PEYTON * }
1 N.Y.S. �e, Na 49668
I T Ellis SUR KS AIN TI aD 1, f
it SE M4 S2NhY 5 H N NEW
pE
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E CNTOH uW Joseph A. Ingegno
COPIES OF THIS SURVEY NAP NOT BEARING
THE VNO STUFFY s NME9 SERI OR
I EMBOSSED SEAL SHALT NOT BE OONSIDEREO Land Surveyor
TO BE A VAUD TRUE COPY.
1 ; C I`K,ATUNS INDICATEO HEREON SHALL NUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
_ 6 PREPARED. MIT ON NIS NFIAIF TO ME - _ ConefluCtian L
I CUHPNIY. QT:f1fNMfNTAI OGQNC ANO Title Sule, $UDd,Yemn9 Site FIO/19 a t
10 `TfC MARSI�II oUSIEDLENDING mO-
n'oN cERNNunoNs ARE NOT TRANSEERABIL. PHONE (631)727-2D90 Fax (631)727-1727
THE "ISTENCE OF RIGHT OP WAYS
AND/011 EASEMENTS OF RECORD. IF OFFICES LOCATE/AT "UNG ADDRESS
ANY. NOT SHOWN ARE NOT 00"ANTHED, 1360 ROANOKE AVENUE P0. Box 1931
RNERMEAD. Rev Yon 11901 RiveMeOQ New Yed 11901-0965 1
f
SURVEY OF
LOT 4
MAP OF
STRATMORS ESTATES
° FILE No. 3723 FILED FEBRUARY 20, 1963
T SITUATED AT
LOTO 1gg,10' N O EAST MARION
C-) TOWN OF SOUTHOLD
EDGE ww SUFFOLK COUNTY, NEW YORK
X9.44'000 wu S.C. TAX No. 1000-21-01 -09
C!C) SCALE 1"=40'
OCTOBER 3, 2002
MARCH 21, 2003 FOUNDATION LOCATION
wE1�. II 24.3 .>� - o G� O I OCTOBER 9, 2003 FINAL SURVEY
i
AREA = 20,588.64 eq. ft.
0.473 ac.
r s o° FRAME ' In I
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I 1I THOMAS B. PEYTON
I
I
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N.Y S. Gc No. 69668
1 M 1Y11 rIIr�AffPAT�OR IMp110N .> -
SiO 7209 OF THE NEW YORK STATE
° �� uW Josef A. Ingegno
COPE OF 1M 9,R,EY YIP NOT REARMG
Lan Surveyor
TO S A VMA TRUE COT.
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111,06,111,06, TIE . . ..
, aN lav TIC Is PIEPMIII,
m`E CDYPAIFr :D 40•E1JSIIADDiCY AND TTIS,nrys - SubdAiaiore - Sit. Rons Construction loyaul
Tfl01N6 NTMION`TIEDRHaRON MID
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TRE EXISTENCE OF Ill OF WAYS OFFICES LOCATED AT "ONG ADDRESS
Ml EASEYFNIS OF RECORD. IF
ANY, NOT S~1 ARE NOT g1ARANTEED. 322 RWNO1(E AVENUE P0. Box 1931
RMRHEAD, III YOA 11901 RM011Maa, Now YoM1 1 1901-0965
-- - 22-405
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OCCUPANCY OR �;�
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OF OCCUPANCY UNDEfw, iC:S CER'I'IF.ICATE. " °I
RLpJIRED
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IT PROCEED
T„A IN WITH PR VEDAS NOTED
G UNTIL SURVEY DATE 3 B.P.
G. O/ NDATON LOCATION FEE ”
BY:_ DAK
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APPROVED. NOTIFY BUILDING DEPARTMENT AT
\.\ 765.1882 9 AM TO a 'M FOR THE xi a
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P""ADE OVIOKE-DETECTING'
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