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HomeMy WebLinkAbout28898-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 3 Southold, N.Y. CERTIFICATE OF OCCUPANCY 1 No: Z-30016 Date: 02/12/04 + THIS CERTIFIES that the building NEW DWELLING Location.of Property: 4404 OLD NORTH RD SOUTHOLD. (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55. Block 2; Lot 8.8 Subdivision Filed Map No. Lot No. ' conforms substantially to the Application for Building Permit heretofore 'filed in this office dated OCTOBER 17, 2002 pursuant to which . 'Building Permit No_ 28898-Z dated NOVEMBER 7, 2002 ` was issued, and conforms to all of the requirements of the applicable i , ,provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING WITH FRONT PORCH ENTRY, & REAR WOOD DECK AS APPLIED FOR. The certificate is issued to JOSEPH CAMPISI & JOANNE STOECKER (OWNER) of the aforesaid building. SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-01-0254 02/06/04 ELECTRICAL CERTIFICATE NO_ 3149 10/21/03 PLUMBERS CERTIFICATION DATED 10/15/03 AN-DE PLUMBING is x 'A oriz d Signature Rev. 1/81 ---- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY i No: Z-30020 Date: 02/12/04 THIS CERTIFIES that the building, . ACCESSORY Location of Property: 4404, OLD. NORTH RD. SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County' Tax Map No. 473.889 Section 55 Block 2 Lot 8.8. i Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore j filed in this office dated OCTOBER 17, 2002 pursuant to Which i Building Permit No. 28898-Z dated NOVEMBER 7, 2002. 9 . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE WITH NON-HABITABLE SECOND FLOOR PEC ROOM AND BALCONY AS APPLIED FOR. The certificate is issued to JOSEPH CAMPISI & JOANNE STOECKER (OWNER) of the aforesaid building. .SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3149 10/21/03 PLUMBERS CERTIFICATION DATED N/A C ho zed gnature Rev. 1/81 it FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. a ' i BUILDING PERMIT 1 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) i ' PERMIT IQO 2$898 Z Date NOVEMBER 7, 2002 Permission is hereby granted to: JOSEPH CAMPISI 2 AMBROSE LA NORTHPORT,NY 11768 for : tll CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH FRONT PORCH ENTRY, REAR DECK AND ACCESSORY GARAGE WITH BALCONY AS APPLIED FOR/2 COS REQUIRED at premises located at 4404 OLD NORTH RD SOUTHOLD County Tax Map No. 473889 Section 055 Block 0002 Lot No. 008 . 008 pursuant to application dated OCTOBER 17, 2002 and approved by the Building Inspector to expire on MAY 7, 2004 . Fee $ 1, 775 . 70 or' ed Signa ORIGINAL Rev. 5/8/02 .. Form No:6 — TOWN OF SOUTHOLD BUILDING DEPAR'T'MENT i ' 1, TOWN HALL i;�i '165-1862 "'U APPLICATION FOR CERTIFICATE OF OCCUPANCI' ' - 3 Tl '" c 3 3t LD e ed in by typewriter or ink and submitted to the Building Department with,the following 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 disposakz9 forNI , 3" Approval of electrical installation from Board of Fire Underwriters,. 4. Swoni statement from plumber certifying that the solder.used in system contains less than 2/10 of I% lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certific 9° of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements j B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land usi 1 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant:If a Certificate of Occupane ' is denied, the Building inspector shall state the reasons therefor in writing to the applicant. C. Fees r; 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$250 Swimming pooI'$25,00,Accessory building$25.00,Additions to accessory building$25.00,Businesses$50.0 2. Certificate of Occupancy on Pre-existing Building- $100.00 I_ 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15,00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: r�D pL.0 gok APA-D WV6(-D House No. Street Hamlet Owner or Owners of Property; T06 ' M.P l5( I �ZRlt< cmX Suffolk County Tax Map No 1000, Section N5:!5 Block 6 Z Lot-8-5 Subdivision Filed Map. Lot: Permit No. Date of Permit. Lt 7 d Z Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: // (check one) Fee Submitted: $-4zS' Applicant Signature co 3ocl� r 4 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street•Center Moriches,New York 11934+Tel:631-878-3500•Fax: 631-878-3764 1 Application_3149 Bate: 16(21103 I Issued to: Campisi d Address:. Old North Rd { Vil e; Southold Introdnced By:Puccio Electric Corp_ Lwff 4806-E k g was examined and approved up to the above,data and was in compliance,with the NEC n icmx lst Roor0 kiesiden ial[] Pool Det Ga-ageC] Basel atO 2ndffmgl Carnwdai HotTub AdMon .i{!1, rt Y f, +14 t. If le.��.{ 1+ lil Ei*11'1 et �ir,�1 rn aY yY iiC�i eL[4��/f`d 7`Ye Yr�r y�SI q v, N4L I 611{ M M i41f 1 t'i .L4 14 1, 4 ! 1 f S tllu+Fe r :e ifs:fA' i ts. f i Switches Receptacles Fixtures G.F.I. Microwave Whirlpool li 60 48 79 4 1 p Fans Dishwasher Washer/Amps DryerfAmps Oven Carbon L RartgelAmps. Monoxide 1-Central Exh t 1 1 Gas. 2 1 Farnace Oil Gas HeaEZones Smoke Bell di I l j Detectors >Transformers 2 yes 2 5 i , Meter Amps Phase Motors 1 ODA UG 1 1 Other Equipment: - Detached Garage: 13 Svv,9 Rec,16 Fix,lPaddle,2 GFCI,1 Heater Gas - 1 4.5KW WaterHeater,100A Sub Panel - f This certificate must not be altered in any manner s Permit#: 28898-Z b I S^ y a TOMER Hzil<53095 Main Road Ca Fax(516) 755-1823 P. 0. Box i 179 �.- Teiaphone(516)765-140, Southold, New ,'ork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C 8 B T I F I C A T I 0 N JDATE. 1 I Building Permit No, Zig Y Owner (please print) jPltzmb.ers #IN l� - �. F (please print) T certify that the solder used in the water supply systen contains leas than 2/10 of 1% lead. i I (Fl�it� ince Sworn to before me this 2y _ day of 6&m�e.2 -- rr„�� -- notary public, County EILEEN SCHNA.UDER Plo.4904293 Wary Public,State ofNevi Yark Qualified in Suffolk County My Commission Expires 2,131i2�w s DONRLARCHITECT 11725 Main Rayl Boz 1692•Mattit k.NY 11952 631 298 5453•Fax 2981380 i # olttYt'6er'if 2003 Mr. JohnBoufis Town of Southold Building Department Ha tx main Road";; Southold, NY' Re: CAMPIS1 RESIDENCE Old,North Road, Southold' B.P. #288N Z Dear Mr. Boufis: In regard to the above mentioned project, 8'x 8° tie beams have been installed at the Great Room and Main Bedroom. I can certify that this detail structurally sound and is acceptable. At the Garage the heating system has been installed at the Upper Level_ This location and its installation is in accordance with the terms of the manufacturers listing,and in compliance`with NYCRR provisions. I Dona eller 11 E0 o PLD G P,ze p °a,,. � u ''q 0157756 tvEA I i t � f r n cxsm2rehensive % C- f inancial t moo sc�a �l i 3 I December 16,2002 Town of Southhold Building Dept. P.O. Box 1179 Southhold,NY 11971 RE: Permit No. 28898- 7- To To Whom it may concern, I have attached a copy of foundation location survey for your . Please contact me upon completion. Sincerely, Joe Campisi I 225 Wireless Boutevard • Hauppauge, NY 11788 • Tel: 631-952-8600 • Fax: 631-952-8608 SeanidesOffeAed ThroughLmscoTiivateLedger,MembaNAsotsw i BUILDING PERMIT EXAMINER CHECK LIST /� DATE REVIEWED: !o/z1 /: So APPLICANT: ' sEat! ` A-A?ial DATE SUBMTFTED: io/ta /1 SCTM#DISTRICT: 1,000, SECTION: 55 , BLOCK: z , LOT: s.S STREET ADDRESS: </yo_-1 001-10erA4 P- CITY: 5curHoaD SUBDIVISION?: ou/,a PROJECT DESCRIPTION: ArAi&4CWA4-- 4AI0 �«'� cJac Co 5 ESTIMATED PROJECT COST: t') �1 d!�>T/ENGINEER: FAST TRACK?A/ SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: ;LOTS 4q,00QSF-100-24.Lot recognition.(CREATEI)tiefore.Jgne 30,1983),UNDERSIZED LM FROM JAN.19" IOQ-25.Merger.(A nonconforming at anytime alter ZONING DISTRICT: ACC CONFORMING? :REQ. LOT SIZE:.gio<o ou ACT. LOT SIZE:87h20 REQ. LOT COV. ACT. LOT COV. REQ FRONT d'o PROP.FRONTZ" REQ SIDE .2n/yf ACT. SIDE Y61-- REQ. o /REQ.REAR�95- PROP.REAR / REQ. HEIGHT PROP. flEIGHT WATER FRONT? / DESCRIPTION: PANEL #:_ FLOOD ZONE:_, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED ): DTE:/0 /8 l a PERMIT#:RIO-a -oaS-¢ TOWN SEPTIC RECEIPT�r N Gl u HCl ^oc.0 NEW YORK STATE DEC: PRP_DEC 9n or ` SOUTHOLD TOWN TRUSTEES: YES o O TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: YES or i l TOWN HISTORICAL PRE (SPLIA): YES o O NYS ENERG •YES R NO : '1_x 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- Z HAVE PRE CO'S :Y OR N BP -Z/C/o Z_ NOTES: FEE STRUCTURE: FOUNDATION: /,1,,28 SF FIRST FLOOR: 2 `)40 SF SECOND FLOOR:/ 066 SF OTHER: T SF INIT OTHER TOTAL TOTALSF FEE FEE FEE ( SF)= X!�OSF X$ 34=$ 1941.20 +$ h V +$ =$ 1591• Z0 � (_ SF)-C '�dSF)= 36 � SFX$ $ f� •Sv+$ r S +$ _$ l �t - YbWN OF SOUTHOLD PROPERTY RECORD CARDail STREET VILLAGE DIST, SUB. L FORMER OWNERN t E AC 1A( 12•dl*.r S WTYPE OF BUILDING RES. SEAS. r VL. FARM COMM. CB. MICS. Mkt. Value LAND- IMP. .WW ,TOTAL ; DATE REMARKS i7o ^ e�&) �� y �, -- .. . > . It � "r '7'' k _ -14 -- - - " /o o q— <S 1, fpe r a2 i 17o sv6 0 ,opy !l hi7 ov q fillobic �! ' A . ^•— FRONTAGE ON WATER VYcadland FRONTAGE ON ROAD kleadowlond DEPTH House Plot BULKHEAD Total 7®C� Town Of Southold P:O Box 1179 Southold, NY 11971 rt * * * RECEIPT * * * Date: 10/17/02 Receipt#: 1590 I Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Check#: 1590 Total Paid: $10.00 i I , i ' L I I u V FiIrD I Name: e e , Donald G P O Box 1692 11725 Main Road Mattituck, NY 11952 Clerk ID: BONNIED Intemal ID:63547 (prehensive �I financial 'I rA--- Et� 2002 ATT. Stacy Town of Southhold,Building Dept. 53095 Route 25 Southhold,NY 11971 RE: Old North Road Dear Stacy, Per our conversation, )have enclosed a check for$1,625.70 for balance due for my building permit. Please release permit to my builder, John Kirmish JR,when he stops by your office. Thank ✓� Joe d 225 Wireless Boulevard Hauppauge, NY 71788 Tel: 631-952-8600 Fax:. 631-952-8608 Secuddes offered through unsoo/Private Ledger,Member Nnsoisiac '! M-1802 j ' BUILDING DEPT. PECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ARKS: 0 DATES INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. 7 FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIRE P & CHIMNEY MARKS: DATE INSPECT M-1802 BUILDING DEPT. aANSPECTION � FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL Ij [ ] FIREPLACECHIMNEY ,'•` REMAR " f , c DATE - INSPECTO I 765-1802 BUILDING DEPT. INSPECTION , FOUND ION 1 T ROUGH PLO j FO D ' ON 2ND [ ] INSULATION j [ ING [ ] FINAL [ FIREPLACE A CHIMNEY Q Ac- REMARKS: 22,E DATE INSPECTO Y 765.1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION ST [ ] ROU PLBG. [ ] FOU TION 2ND [ . SOLATION RAMING [ ] FINAL [ ] FIREPI;Alcl & CHIMNEY REMAR DATE �p INSPECrO'� a I M-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION IST [ ] ROUGH P G. j [ J FOUNDATION 2ND [ j IN TION [ ] FRAMING INAL [ ] FIREPLACE A CHIMNEY REMARKS: . DATE INSPEC 1 V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATI - [ ] FRAMING AL [ } FIREPLACE CHi Y REMARKS. 7 LGF�� DATE INSPECT® I 1 1 . • . � ,�� / 1 1 FOUNDATION �-�Wwff FOUNDATION(2ND) E% WMrfv?zZ Wak ROUGH FRAMING& PLUMBING �� _ 111 ►®�� � � �. ,. ° I _ f STATE ENERGY . / i i �� a „ TOVI'N ST)fLD„ ;;, . . $ JILDII�TG PERMIT'APPLICATION CHECKLIST sa BIIILDI`TGDE�ARTMENT; Do you have of needle&16wiag,Before applying? 'W”1044TOWL�I HALL.,, Board-of 14calth , SOiYTH�} D,NY 119' 1 3 sets of Building Plans (6SJ)'765-1802 Planning Board approval FAX (631)165-9502 Survey ��4�vw nox#Irl») riefl,Sbatholtl/ PERMIT NO: Check b . u n N.Y.S.D.E.C. rak Trustees 201�'< - Contact: - .9ppioved 20 . Mail to: 171�1 .l)isapproved a/c Phone- p T sem` X Building Inspector 4t APPLICATION FOR BUILDING PERMIT i 7 Rr Date O q 20 aZ INSTRUCTIONS .y .a.71iis application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with.3 sci;cif plans. 'ICCUrare plot plan to scale.Fee according to schedule. ii. hl.a p leu: shot+ing location of lot and of buildings on premises,relationship to adjoining premises or public streets or :kCZLS and;c:acneays. C.The;;ork a!;Bred by this application may not be corpnenced before issuance of Building Permit. d.hpon appro; :I of this application,the BuildinglrispGpctor will issue a Building Permit to the applicant. Such a permit shall be kepi on i fie pn+u ices available for inspection throughout the work. c: No build; sba l i'be occupied or used in whole or in part for any purpose what so ever until the Building hispector i's;ic,a C'en i f icm a o f Occu3ancy.;; f. L:;Mcr; bu i ld i r.;! permit shall expire if the work authorized has not commenced within 12 months after the date of issuainCe or bas not been completed within 18 months from such date.H no zoning'amendments or other.-egxlations affecting the mope y ho; been ennewd in thc•interim,the Building inspector may authorize,in writing,the extension of the permit for an ,. . add,tion six u o +)ns.�'ihceur!tce. a new permit shalTberequtred. '.U)p1 lc %T ION IS l lP R f RY MADE to the Building Department for the issuance of a Building Permit pursuant to the Liu,Id,n!!Zone Ordinvn c o' ;:xr Tovin 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 a, applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit �i 1 authorized inspectors on premises and in building for necessary inspections. ignature plicant or name,if a corporation) -7vS q h C4wt.e yo wvIf G, P=i L43 aLAJC14, address of applicant) r ._. z�,ftuc�ss 3rv�. (`Ia )pauyy �,vh tna� State wbeibcr applic:amt is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber orb, #lder i .Name of owner of premises SP.n i ClRu*1( / (As on the tax roll or latest deed) ' 4 g E rf"applicant is a corporation.,signature of duly authorized officer ry (Name and title of corporate officer <'•Builders License No. «rte ,4 P16mbers License No. #) ,,,s„m�,Electricians License No. T7"I OtherTrade's License No. KI Gcatr6if of land on which proposed work wijLbe done: old Nott'ftii RoA �u�to(d >♦1.(7 House Number Street Hamlet Couutq Tax Map No. 1000 "Section O DO Block Lot 006, 06S Subdivision Filed Map No. Lot "" (Name) 2. State existing use O ftcetpancy tof premises and intended use and occupancy of propose 'oairsts�ickton' '� '. a. Existing use and occupancy K4Q Low b. Intended use and occupancy A/2L VAh- Z- '-3. -'F3. Nature of work(check which applicable):New Building ✓ Addition Repair Removal Demolition Other'%Gork — 1Uecerip cionlY - -- - - -._ _ 4. Estimated Cost 4 UJ Fee - (fo hr paid on tiling this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor I s M f 7,n,:�a If garage, number of cars J 6. If business,commercial or mixed occupancy,specify natare and extent of each type ofuse. ,7. Dimensions of existing structures, if any: Front l�ory G Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear a Ti- a 44g Depth Weight Number of Stories r / t 1 -8. Dimensions of entir�new construction: Front �0 2 Rear (0 2 Depth � Height ;23 Number of Stories o 9: Size of lot: Front a&. ZSRear 2 3$ , 6 i ` De)n►I _36.L-4 7 10. Date of Purchase I AiZo 2 Name of Former Owner W cmc e9 ww-oU 'r 6 t L o w S 4. 11. Zone or use district in which premises are situated 12-Does proposed construction violate any zoning law, ordinance or regulal ion? Y-=S_:.-_ NO 3 I 13. Will lotbere-graded? YES NO Will excess fillbe removed from premises? YES- NO ✓ 2 Am6905d' Ga -� 14. Names.of Owner ofpremises �1C�SC��ti�i4YM�S�Address bbtz Yt !>17 hone No.47) 99J a� r Name of Architect OtW41 Fel l c2 Address Q� Plione N � I s 1 Name of Contractor .:k- t mrsh <TlL_ Address / � "civ-MV Phone No. S 14 l.SRSSS stn) Re/ /4tf+tefG dt,5, 15 a. Is this property.within 100 feet of a tidal wetland or a freshwater,wetland? *YES NO I * 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. `5 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) t, SS: .. ._< I COUNTY OF ) Jo se-o h C( nglsl being duly sworn;deposes and says that(s)he is the applicant (Name of individual srgmng contract) above named, (S)He is the O W N tom— (Contractor;Agent, Corporate Officer,etc:) ` 5 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. � e Sworn to before me thisf -- $ day of oG >Y .r 2062 s #�p�h7tlf fl t�STEIN Signa cant ` @rotary ?..,b's�4 n i n n y),evd York . Polo.O1 C Qualifi „ ti;ni.mted ; - commis<'o j l 80,ME QP SN ffla a 3a• E Qu _vleiROAD 4. TO :S#^OLO 1,32y, SSkl:FF COUNTY. NEW YORK S.C. T No. 1000-95-02-8.8 Q`1 LE t-a eel I � � � NOIET s, AkA sq. ft All t.tOF NNIAIERS SHOWN TMT REFER TG J ' MAP,+ UNC SORVEI.ED sox A7% %MEW"S-00BILOW5K9 AT SOUTAIOID N:Y C3 APPRbVED BY SODTBOtot � TDWN PAANreMD xbARD' 1 g - oN.utauAxr acn � M=ME RUIRE96FD TO AN A>;SUMED DATBN E> ammoH3 m wwftd �TPID5:a62C T$3T HOLE I9ATE1 3. MxRIlDM sync TAKE OAPACBIES Eos A 1 M WMIOON NONSE rs 1,000 "• (1E5T HOLE DDG 8Y ON NARCN.f2. f989) 1 TAM!'LOW 4'-5'Wxff.5'T DEEP ••. 4. M wam fj AONNF SYSAEN POx A 1'To 4 samom..ROUSE is 300 sq N^SMEWAi.L 1NEA. te.: 1 PTa DEEP, 'tea. oru�nxnt.,or wra MPM ENPANWaL..Poot .o.rwam sw r PROPCM LUMtb PDOL me'aawa ®PRDP03E0.Oft wFC • a:as �a0t.nac:.w¢mcro mTaeF allo• 5. ME LOCAIM Of V=9 AND aMOM MOM AEREON AM PROM FaD- . FOUND �, OBS'ERVAT on AND/oR DATA ANSTFdr{ED FROM ONIERS: PPE 3X.W .ma.woe,Grm .. rY - . D.VAR7, r- ¢+" �.♦.�.�.' �!�g��.�'.p � SiS'�i"� Zii .�W:11 T ¢9 } . �. r 5s.'t`=ONLY - — '1} m 1 ns 0 3r _ li at o .:j LOTZLU Oj o r. yy c� 4n w NANCY 8 lS VACANT z S 89'06'40" E 1 Posr 366.79' { 1L1T.4 - +R1ua t, _l asr NotE ' cv m cl f � M N �� _ "° • :- LOT Ad I o = k< wi X> a j z ' m 5ux84108'40" W 04� En 11 � 36s� ® 3.47' 3 zAlt ar, a LOT - � No NAN.47JWx o � m FdRa . 0 CESSPWIS o + II A n uNANrNOMZEO sAtERADDN m AmmoN PRPPARFD m ADDORDANDE r5n+TME NONWN POR B t E TION iF3'M'rt Um kmm Ym 5 m tOP16 Df THIS SURVEY MAP NOT xEARINo l.,`p �, Joseph 1 A. eget INE tAND..SWNflox'S 3NNEo SE4 oR ENiMSSEo:SCJ. .., ODra4DERED f� �°. Land Surveyor � t /1 y CERNPG410N5 MOIGTED 5WlL FM � � l7�✓ s p i F �:. 7�e S7rrvgs - SUbdiNmNla...- 54 P/atp.. - Cogay.xgoq.dayoul m THE A'�pVE45 cF INE Rr3o- . s PHONE (031)327-2090' F= (531)7R7^1727 'r(rRoti f£RDMpTlOfYS ARE Moi iRFNShcBLE � I ETHE EXISrEMMASDIEM'SM OFACEB LOCAM AT AMM ADOWS -, ANY NOT SFIOWN ATN:NCR/NtARA7TTEF0. "� N.Y.& Lic.No. 4956B 1380 ROOME AA*E PD. Box 9531 RNENSVNAV.York 11907 Rlwf. d. N" Yank wt-,09W � s i e k x 71 0 , �OAD s 86•27,130Ff TEST HOLE DATA1 (est FwcE DUG eY 10 ,�s SIT. VEY OF PROPERTY h ETTUATRU AT, SXTAK Na. a ' . [RIBI Ik BRCM tlL:A NOV t+ � �.: p 1ANUARY 2L 2002P SERHC Ste.i alLy i6.+ TRE ISEDA� ^.aPOT`PkEY,+5 wPbRAF.i4MY'F IXAYeY SWG R' f/•+`' '.2$.' - �� : ZB3Oi3 �c. f '. LOT NUMBERS SHOWN Ttp1�.L0Y', 8' FOTO To O.P � me Or uNO BY SURVEym TOWkJOSF:P� OW BIID OAMAN.:IY JOHN GIEOWSKI,.AT SOMOED N.Y.APP . ' ON JANUARY$0, IB74 2. ELEVATIONS ARE REFERENCED TO WASSUMED DATUM ' E mms E.mPONS ARE SHOWN THOS:.7D[:0 3 MIHRIDM SEPTIC'TANK CAPACITIES FOR A t TO 4 BEDROOM NORSE I5:1.200 ","ONS. . LEXC:AvATgm T TANK, 6'Dl.., c uQUM On" =p�,, INS fT.ON 4. MINNUM LEA"" SYSTEM fi0R A 4 TO 4 BEDROOM HOUSE IS 300 sQ k SIDE.WALL AREA FOR SAeNITAARY 4�'F' 2 1�5' Om,Ep S''Ato. �. ��� 9 id.J PROPOst4 EXPafi51®+POOL It P�•}9L t f m .j ��® KOFOSED IMNIMNO POOL �.. P40POSID 5EPS10 TANR { 5. THE LOCATION OF WE=AND CESSP.DOI.S SHOWN HEREON ARE FROM�FMW 7{{ I OOSERYAnONS ANO/ Y DATA OBTAM FROM OTHOUL REFERENCE N. R10-04-0251 f SUFFOLK COUNTY DEPARTMENT OF IMALTH MRVICES PERL T,F'OR APPROVAL OFCO'qn-qUCnON FOR A blNGLEFAMMY rDz�NONLY o h to n C4 T v Itt DATE 2z -0- H's"R NO NauaY a: zrirrs APPROVER' j VACAW 1 s�84.08'40 FOR P47AXrnii' OF z! a Os 40 E �F+ OCBILS3 p.pp 83ryXrg 'n FAPPROVAL 52L4 wOob � f S.t'S T�E 5078. f02 c1l u>. 00 o� 4sm E41 _Zml q� 5}� 1crL $ o !{{(I en "a` FRGPOyy 1, c Z X LO 4W'4 + SPLA r PTI. eps 2'Ti,.... �o q Boz �[84'46'40" W y . or�`C 'n tfETER oN PWT � c;.�... p LOT353.47'01 3 23N.2 y 1 3' �1n ^ pWW'ELLINp �ADIN '�, � P 2 tt CEI2TZ ZD TO. JOSEPH CAMPESI ;^i JOANNE STOECKER 71TAN3NGTON ABSTRACT .ty i%WRftOR1�4 ALTERMION OR ADDiRON PREPARED il'L ACCO �" WRH TtL MRRMVlA W THS.SORut1'ISA`AO[AAON AF BY D QFORED - sEDRttx�zo9 DF THE NEw raRlc 5TA7E w 0 TFjS SVRhY Mfn NOT 13Ep.GLLYD 0� vy n �pg AM`� Joseph' A. egno THE LMD T11CM LVRED SEAL OR @�, Co �e 0 Surveyor( r p TQO BE A yam,WE�tP 8E WNSID9EED Y o�pQ t i ,'6'� Land Y e i +.ri. OERRRCAIONS WOICATE¢HEfEON 5FNt BUN ++d 7 f ANLY 7O.THE PEON FOR WHOM THE 5SIfwEY E ! - O 15 FAEPWt@.!�D ON HIS 8Ei1N.F fiJ TrIE 3 2. TLTTOuRENEn1EOc1rR+1CIELOO.AMv5Pa5ATRN.YR.rnGaOlJflEFLRSNTMTHEEEDNDN9E.RAENGOEtDaN.iCNAYSnroTAt ��f+ . T8e SOEys -Sebdrios - 5Ee Pops Gdnsif '6ro0 LRIwuL DoOMATTwNs ARE,NOT TRunsERneIE. �°� PFRJNfi (633)72772090 Fax (,631)727-1727 . .' TtiE EIiiSTENDE OF RIGHT wAYS yty ` AND/OR EASEMEN75 aF RECORD; IF j8 'ins 5. Lic. Na. 49666 p S LOCaTE4 At MMtMG hDOR SS' + ANY:NOT Sk70WN ARE NOT GVARAMTE£D- P• t36O,F0ANE'IYE AVENUE P-O. aox 1931 RNERHFAD,Naw Yetis IT901.. Rive{Geed.New Ymk:.T1901-0905 x ROAD S. ,,30- r- 2A ' SURVEY OF PROPERTY SIMTED AT TOWN OF, �GUT�00- Sl1 F( !£. fl t. t4CWY6RK ' S-C. TAX X44. ' 100, 7�-5 + ScALE 7 =W' { JH1Y i6 2 .-.7' 1 � � iV NOTiAST HUNeERS. : THUS:SO REFER O, t i APPRPIY<.A. BY SOF17RO0 7F& & ja1'AR1iRMED�AN a ANN MIONM AT SOU7NQC0 H.Y, �. �. OH JANUXRY 30, 1574. . 2 SCAAf.S. REFERENCE Na R40-W1 2U 1{� n E . F O z e4•os°xo� $4 06'40" E {„ 366.78' { I +n. III c6 �,qJ ca i 1 OA rtl"1 e $. _ 7 102• 1e-0 in zor V7 t o -..._._.__"____-ASO_{' z V iar ---------------- 3 fUUND SIM@ � o,+ N acN.•T%E �4. ij �, a • 84'06' 40" W � N. N='1FR0liCOST r aI LOT 363.47'RZAI 3 E k m & ELICRN3IN 70 i¢ry o. CH6RAplN _ rcJ.v, _ 0 s JOSEPHCAWMI , WASHItiG7Ct M41h7At: TITAN ABSTRACT m PR hRED RIW5i THE MJ. .7: ®1YX114N 310K. 'f /T 1^ 4• , R' /.J 10s")h At 4g C6P'31�4•'OP2H6'sURr'EY uM RQE XOm 1 AA! Q 'TSI �.m � L SE dSEJ .• e • Larid eyCr ' BONS iNR1QA7E0 3ffAwN SRN3.RGN. , Y, uJ ONLY TQ RF PENN Rhe kUas TyE.5fS7itY F.Y},! ..'� i7 � , a rs,PI✓EPA'ffif ANO cN NIS=aE7Y@.F 7a'1RE - � _ + �' (,p�,NstRir7mNaACEt�+'/Vi0 : Yn �' - T77z Sune}s.. SbbJkmSoji>' �rfe�Hans.' tansfirrkum`:tayma " t 7¢aNE.As51CNESaF$E�if ;�:a*1ef '. a . .... ;•: ,'.r .w. V :r ., .n •..: . r-.Vv nr 2L- ^:Nv.s ti sYJ, 5/S Y h •!'CCF.•.• N V NJ: iN:nF AR-' NO' 3.".inF"C_J. .-. 1• h Z ; \ A. �. _�. 1. .,�. ��.�...�... '�~ i ii OLI) ' ROAD S 36.21'30" E roues 26.32' 1,329.62' s,1�. SURVEY OF PROPERTY SITUATED AP 4Q SOUTHOLD O o� TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-55-02-8.8 SCALE 1"-60' NOVEMBER 9, 20+01 dANUARr 2t, 2002 ADOED TEST HOLE L �V�Ep PROP. SEPTAL SYS. JULY 16, 2002 RE1M9yE0 PROP. HOUSE Ct ApQED TQN& SPOT ELEV.'S OC WE q OCTA 6 S FNKL 3SURVEI'11C MTEM I SiJS s.--,T=O C�sVENANTS&RESTRICTtONS USER_ �iZ / AREA = 87,12+1:81 sq. ft.��^ _ 2.004 ac. �'►^!h}� PAGE-_L U t NQTES: 1. LOT NUMBERS SHOWN THUS:LOTt REFER TO romp WONOF LAND SLINVEYED FOR JOSEPH W 00111M1 3 JOHN GILOWSKI AT SOUTH" N.Y. ! M►E.Ys'w. APMIOVED BY SOUTHOLD TOWN PLMRIINO BOW 2. 9 CJANUARY :D.HS.C.M.H.S. 30. A REFERENCENo. R10-01-0254 FOUND SpWE I I a \Z WLOT p n _ CARP A. LILLIS k N rn NAArCY B. LIL i a � LIS ' iZ 84•Q6, S' 84'06'40" E ' ! ATkeCj. PI"or LT wood Posy t*IRE FENCE 366.79' i I P,�z°oo Ln '1 FOUNp STAKE N t0 f 5*S FENCE f �j oil LOT O N A:: V X*I, ! I ° �. v 24.T' Z E„ • ea : 1-1/2 STORY A FRAMEqGE ko + SEPTIC �R WOOD ■om R � R .o xw.Hoole 4'0N0 DECK Mill m - _• Q i , — -- —�I--- ff 1 0' Z $ Aar >I I 1.10' D` --------- S j� Ax AFL o � ELECTRIC Th FOND STAKE NETER ON POST 0.6'N. 2.e'E. I o COVER <. ,u. � � L(rd COP( - O 5$ Gq Box 1 84'06'4 '�, I �► J �ELEGTpC0„ ry N aosr1.' ij 2s;EcE \� i LOT 3 363.47' o A'/0/F� a I JEFFREY SCHA !'o BLIZABE'TH SC RADIN b .W HARADIN v a o t h o = FO�N9 CERTIFIED TO: s�KE JOSEPH CAMPESI _ JOANNE STOECKER *R. WASHINGTON MUTUAL $ TITAN ABSTRACT M UNAUTHORQED ALTERATION OR ADDITION PREPARED � IN ACCOR WFM AESTABLISHED THE ES MNIMU �r7yry�� .TO THIS SMRVEY IS A VIOLATION OF E z�oF THE NEW MURK STATE CY ® AND ADOPTED F STATE LAND r o_ I a+A"Yfy�ST "1 COPIES OF THIS SURVEY AWP NOT BEARING f s'?. .71 YNE LMq SURVEYORS MED SEK OR 7 �� Eo SEK sNN L Nor BE CONSIDEREDSurveyor f,ai"'•',.. TO BE A VALID TRUE COPY. ,rs� IUN riB��f� c J �- 4 AL OIC T4�PERSON FOR WHOM THE INDICATED HEREON S U RRVE Y TI PREPARED,AND ON HIS BEHALF r0 THE TITLE CO~, GOYERIME(t'K AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout MG LEWAINSTITUTION LISTED HEREON. AND TO THE ASS04US OF THE LENOMG INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. \�1 0,. t �t.., ��'� PHONE (631)727-2090 Fax (631)727-1727 FSE t!RJ' THE EXISU CE OF RIGHT OF WAYS /y s � OFFICES LOCATED AT AYW.ING ADDRESS AND/OR EASEMENTS OF RECORD, IF Gi t} N.Y.S. Uc. No. 49668 ANY, NOT SHOWN ARE NOT GUARANTEED. _ 322 ROANOKE AVENUE P.O. Box 1931 RtVERHEAO, New York 11901 Riverhead, New York 11901-0965 a •``` �I UNDERWR!TERSCERTIFICATE `<�" ,pl - REQUIRED .p m �'• ' 'f" W 1�'• . o^ TEImo . ° �� A P OVEDASNOTED s " " o•- p„ iI ZBill it 'd,'�ID'r .. ,�-`- l0 3s}'- (0 � t}'_,lo" I-a " FEEL?75. 0 fir, � PROVIDE SMOKE-DETECT Tow— ROVIDE "• POLLMW!NG INSPECTIONS:WpE AS TO PLD. 7 CODE. �MERGENCYEESI GS FOR 76 - •��1bLARM DEVICES .f�%ao - 4•'-:tb"` 1 S' ql h,. lo'l II ' o" N GUIIIEP N.Y.S BU APE AS hlolru I 9EDcoIJCRETE REQUIRED BY PA T 714 OF Wvob r7 2• 1 - FRAMING & PLUMBINIVV N.Y. STATE BUILD 3. !i,•. "TION LDI IG CO +•� . 4. FINAL - CONSTRUCTION YBBT DO NOT PROCEED WIT ' BE OMPLETE FOR C.O. },,�L FRAMIN Lgok4'�RV Y _ _ — — — —" T-\ 'o LoT I ALL CONSTRUCTION SHALL MEIT, 2' �1 3 n`P`�'�P �i cy h `— i — THE 50'"L VENTS OF THE N. OF FOUNDfNION LOCATI N f� 7 1{' AAWJ ( STAT CONSTRUCTION & ENEBO . HAS BEEN APPROVED. E�r9",' ;oQCT C 'R'TIF F. CODES. NOT RESPONSIBLE FOA" E DESIGN OR co DL`TJO mw QT QCC PAR► PLUM IN i T i I \ � n I' �- O 4 ALL PLUMB NO ASTE I If COPA Ubing is used I' as>7,12" FIFFF b� d I 1 241x P L� � ' + w Eq3 for we eY,distributing +� � O >a &WATER L NE NEED ` �� ru T STING 8EF0 E OVERI G I -gam ® §[em Ping Shall be L� '�A."I`rr'*+s•'E -Flet' �.vi w d I NNDuss. ofty KorLonl "V y 'SI',• IJp eo ri do d do _ �` a• v n �c'x 10 D.S s ` o i N P OVIDE ANTI-SC J1 D UND€RW ITERS CERTIFICATE a /L. N'' L /L --z N • t I R � �� --� tic, '� _ - T FRMAL SMOCK PRE T NG _ { IC OVICES'ASTOPART. 90 ( , - L+� 41 T- -I '.Y. STATE BUILDING CO E. ' ' ' n T ( —T — 1 �— — 1— '1�- O - �' .*�LEAD C9NTENTBEFOM T ICAT OFdCGLlPAfV , N a --1 sr C'LDF I SED JI'J lA«TETt F O I n �.� �� lra C��enroT N w N 5 D p p _ — _ r'r°-c Y' a 1%LEAD I ; Tx�to 25o p d f G r - wa l' — I I " •o—� --�\ Ic! � N r- 0_ �©'µ—Ftitw r•F i' , raP ,!y asY ' ' i 'r� �� I Bltlp t 51k c . 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