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Home My WebLink About29555-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-30873 Date: 04/21/05 THIS CERTIFIES that the building ADDITION Location of Property: 305 HALLS CREEK DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 7 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2003 pursuant to which Building Permit No. 29555-Z dated JULY 9, 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (NOTE: THIS UPDATES COZ-29856 DATED 11/19/03 REMOVING GAZEBO FROM CERTIFICATE OF OCCUPANCY AS IT WAS NOT CONSTRUCTED AT THAT TIME) The certificate is issued to STUART D & HELEN D GLASS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1176688 11/03/03 PLUMBERS CERTIFICATION DATED N/A Au o izecySignature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TORN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department wjth ehq ol4ow41u9!i �'tI A. For new building or new use: I qq nn�gnnO5 I L] 1. Final survey of property with accurate location of all buildings, property lines, streets, a�Tc)It� usuah�aErrt`tl by i 4 topographic features. J j 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). g pt . DEFT. 3. Approval of electrical installation from Board of Fire Underwriters. wit'9F 5.tYrt� L _ 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: L 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, Swinuning 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. Cotnmercial $15.00 Date. / 1 U New Construction: _ _Oldor Pre-existing Building: (check one) J Location of Property: 3 os , 1411) rYtGe �/Cs✓� /yl�Z5 ifvctf' House No. Street Hamlet Owner or Owners of Property: _7�-Y—tLAst� /yCf✓ <f44S$ Suffolk Countv Tax Map No 1000, Section_ //� Block Lot Z Subdivision Filed Map. Lot: Permit No. C2/6 j ,'_ Date of Permit. Applicant: Health Dept. Appro�at: _ _Underwriters Approval: _ Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ Oo COz 73 Applicant Sign FORM 140. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29856 Date: 11/19/03 THIS CERTIFIES that the building ADDITION Location of Property: 305 HALLS CREEK DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 7 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2003 pursuant to which Building Permit No. 29555-Z dated JULY 9, 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 DECK AND GAZEBO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STUART D & HELEN D GLASS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1176688 11/03/03 PLUMBERS CERTIFICATION DATED N/A ut rized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29555 Z Date JULY 9, 2003 Permission is hereby granted to: STUART D & HELEN D GLASS 305 HALL' S CREEK DRIVE MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR AND TO THE CONDITIONS OF TOWN TRUSTEES . THIS REPLACES BP 28123-Z at premises located at 305 HALLS CREEK DR MATTITUCK County Tax Map No. 473889 Section 116 Block 0007 Lot No_ 002 pursuant to application dated JULY 9, 2003 and approved by the Building Inspector to expire on JANUARY 9, 2005 . Fee $ 150 . 00 'GW L/.GI G Authorized Signature COPY Rev. 5/8/02 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. 28123 Z Date FEBRUARY 28 , 2002 Permission is hereby granted to : STUART D & HELEN D GLASS 305 HALL' S CREEK DRIVE MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR AND TO THE CONDITIONS OF TOWN TRUSTEES THIS REPLACES PMT #24956Z . at premises located at 305 HALLS CREEK DR MATTITUCK County Tax Map No. 473889 Section 116 Block 0007 Lot No. 002 pursuant to application dated FEBRUARY 28, 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 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. 2445a---Z Date JUNE 15, 1998 Permission is hereby granted to: STUART D & HELEN D GLASS 305 HALL'S CREEK DRIVE MATTITUCK,NY 11952 for CONSTRUCTION OF A DECK ADDITION WITH ATTACHED GAZEBO TYPE DECK AS APPLIED FOR AND TO CONDITIONS OF TOWN TRUSTEES . at premises located at 305 HALLS CREEK DR MATTITUCK County Tax Map No. 473889 Section 116 Block 0007 Lot No. 002 pursuant to application dated MAY 5 1998 and approved by the Building Inspector. Fee $ 75 .00 Building Inspec r ORI AL Rev. 2/19/98 C< Q,, Form No.6 TOWN OF SOUTHOLD 3 ��3 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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-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 2/100f 14'0 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 pf 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. f c- A ..2007— New Construction: Old or Pre-existing Building: (check one) Location of Property: 3n;r NJ RI� tvuK J��'ue 041/;71/ -cK House No. Street, �/ /' Hamlet Owner or Owners of Property: �U4tUr Aar do LW 91-4S3 Suffolk County Tax Map//N"o�1�000, Section //6 — 07 -+Clock Lot 34 Subdivision M'�OR. (/ na ccd a�- h1AR6Yye9 Filed Map. 9377 Lot: 3 l Permit No. r, cl 555-7- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (che ) Fee Submitted: $ i o -2 C Lf �y Applicant Signature n n O rJ�rJrJrJcP�frJ�PrJrJrJrJdPrJ�P�frJrJrJ�rJrJ�rJr�rJrJrJrJrJrJrJrJrJ�frJrJrJrJrJrJrJiJr�r PcPrJrJrJ�PrJcPrJ�rs_PcPrJ�rJ�iJrJ�rJrJrJrJrJr3 .j R] SBY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY LS 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S Upon the application of upon premises owned by S 5 STUART GLASS STUART GLASS 5 5 5 305 HALL' 305 HALL'S CREEK DR MATTICUK NY 11952 MATTITUCK, NY 11952 5 5 S CREEK DR 5 5 Located at 305 HALL'S CREEK DR MATTITUCK, NY 11952 5 5 SApplication Number: 1176688 Certificate Number: 1176688 5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located inion the premises at: 5 Outside, Porch/Deck, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 3rd Day of November, 2003. 5 5 Name OTY Rate Rating Circuit Type 5 rj Miscellaneous 5 5 rear porch lighting 5 5 5 Wiring and Devices Switch 1 0 General Purpose 5 5 Fixture 12 0 Incandescent 5 5 5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 5 5 5 5 5 sea, 5 5 I of I 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. NJ v cPrJ�r��P�P�PrJ�rJ�rJ��PrJ��Pr�rJ�rJ�rJ@PrJ�rJ�rJ�cPr�rJr r. r Ir I c 10J�rJ��PrJ�iJ�rJ�rJ@fort�PcPcPrJ�rJ�rJ�rJ�rJ�r PcP rJ�rJ�rJ�rJ�rJ�r�rJ�r�rJ��PrJ�rJ�r�rJ�rJ�rJ� O o��gUFFO(,(co w Town Hall,53095 Main Road 5ftV Fax(631) 765-1823 P.O. Box 1179 ,fi `'ki� Telephone(631)765-1802 Southold, New York 11971-0959 �0,( Ig BUILDING DEPARTMENT TOWN OF SOUTHOLD January 18, 2002 Stuart Glass 305 Hall's Creek Drive Mattituck, NY 11952 To Whom It May Concern, Please take notice that in review of Building Permit Number 24956-Z, dated June 15 1998 for construction of a deck addition with attached gazebo at 305 Hall's Creek Drive Mattituck, NY Suffolk County Tax Map Number 1000-116-7-2 It has come to our attention that the permit has expired and, without a certificate of occupancy from this office, any use is a violation of Southold Town Code (45-15) and New York State law. In order for us to help you to rectify this matter the following actions are required: 1) Immediate renewal of the expired permit: Please submit a check for $150 made payable to the Town of Southold, noting the original permit number on the check. 2) Final inspection required: Once you have renewed your building permit and completed construction, it is your obligation to schedule a final inspection of the above referenced property. 3) Certificate of Occupancy required: Once your property has passed inspection, you may apply for a certificate of occupancy. If you have any questions, please feel free to contact this office at(63 1) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Damon Rallis Building Permit Examiner CC: File O��$UFFO(�CO Town Hall Albert J. Krupski, President Gy 53095 Main Road James King,Vice-President o= }, P.O.Box 1179 Henry Smith CA x a Southold,New York 11971 Artie Foster W Ken Poliwoda Telephone(516) 765.1882 Fax(5161 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 23, 1998 Stuart Glass 305 HAll ' s Creek Drive Mattituck, NY 11952 RE : Stuart D. Glass SCTM #116-7-2 Dear Mr.Glass, The following action was taken by the Southold Town Trustees on Wednesday, April 22 , 1998, at their Regular Meeting: RESOLVED, that the Southold Town Board of Trustees grant a Waiver to to add 5 ' to proposed deck and a 16 ' diameter gazebo on deck area to the side of the existing proposed deck as shown on drawing dated as received April 21, 1998. Located Hall ' s Creek Drive, Matt. However, this approval does not constitute approvals from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 6a_ 9 09- Albert J. Krupski, Jr. President, Board of Trustees AJK/jmd cc. Bldg. Dept. TOWN OF SOUTHOLD PROPERTY RECORD CARD EA h ? STREET VILLAGE DIST. SUB. LOT -7 (7-N 1 9 l Pv�f� UIQ W Irl 'vY'(+TTI T�..Icl FORMER OWNER \ N E C S W TYPE OF BUILDING r. RES. �/o SEAS. VL. . - FARM COMM. LAND IMP. TOTAL DATE REMARKS Caoa - (a II <I 7 88- LID5 !c 1rb,2r lieuJ 40 LeJ•14 lK73 /7 3-L 11 d 5(0- �2 I'P G r p -LU 77 ) - - k-146 _ 4c) Grus� u� /off ZSOp Lc so --?>(I 00 j000 oa .3/,/9-) \ o _ -, re✓• FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND / BULKHEAD HOUSE/LOT P� i � II •-'t s�4'� :, COLOR r.> w _ 'IR, tiTIT TRIM 11 F/K T if9/ 7 /r-7 N. Bldg. z� 3 / _ got, s c yy33 Foundation Ce. Bath Z r Dinette rK r FULL '_xt ysion 19 X 26 = cJ 3 3, 7S— / TS Basement SLAB L F Floors ///s�cw„�� Kit. :xtension i rx/5 = zip z 3 10L Ext.Ext. Walls Interior Finish L.R. :xtension // X 3 — 33 Fire Place 25 Heat D.R. 0 7f'- Woodstove BR. o � Dormer Fin. B. 5-2,r/o. S10-33 = 297 2S /2L Attic feosw4+y Rooms 1st Floor FLIea —'1 (1 c 69 g.Ls yy 8 3arageZ O /30 ` oo ZS r0 Driveway Rooms 2nd Floor !� ).B. 2 1001 1 82 96' 3� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE ® -3t/ INSPECTOR 765-1W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR cLLLD i;:S:`E0TIC) JIUhTE COMMENTS ^v 1 . a H � FOUNDATION ( 1st ) c ' En FOUNDATION ( 2nd ) _ — m 2. z 0 W ROUGH FRAME & o PLUMBING H 3. m a INSULATION PER N . Y. . • nT STATE ENERGY C CODE _ a m 4 . e 4p FINAL o r Z N ADDITIONAL CAM S : x 691 b m . x H H H 0 m a r - x v m BOARD OF HEALTH . MAY 5 � � ? FORM NU. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . 9 TOWN OF SOUTHOLD SURVEY ... . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . .. . .. . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . .. . . . . . . . . . . . . . . . . ?'Ol^nv U;SGUTIIULO_� SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: "�''�� CALL Ivmnined...C� s�'.• ., 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . /qqC-/ Al>fbroved... � .., 19.... 1lennni[ No. .................................... Disapproved a/c . ..... ................................... . (Ikailding inspector) LICATION FOR BUILDING FERMIT Date.. . . . . . . . , INSTRUCTIONS a. 'Deis application not be completely filled in by typewriter or in ink and sulmltted to the lkmlding Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn an the diagram which Is part of this application. c. 'Ile work covered by this application ray not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. Such permit shall be.kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in dole or in pert for any purpose whatever until a Certificate of Occupancy shall have been granted by the ikAlding inspector, APPI.ICNrl(N IS IEREIIY M= to the Building Department for the issuance of a Building Permit pursuant to tile IkAldiog Zone Ordinance of the Tom of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, axklitions 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 regadationa, and to admit authorized inspectors an premises and in building fo m Eeaeary n pact /J ...�. �.!.....v........... gnature of appli or name, if a corporeCirnh) (Mailing address of applicant) State whettdn er applicant is owner, leasee, agent, architect, engineer, general contractor, electrician, pluer or luiIde ........APP./mf].".t...f.5....ocw!?-�.................................... ......................._................ Name of owner of promisesA 'Z^ I J. c.....!.......:.. `9 .:f!s....................................................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer, ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumberslicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. location of land on which proposed work will be done.............................................................. .....................................:1:...............................R.... ... ............ Douse Number Street // hamlet County Tax Map �N/o. 1000 Section .... .Y� ........ Block ...0.7........ Lot ..f-�r.......... Subdivision ..f! `�k�??VR...V.(:tad!) ..{�A2yi'fL1 Filed Map No. . e 7,( ....... ( ........... (Name) 2. State existing use and occupsncy of a and intended use and/,occupancy of proposed construction- a. Fadsting use and occupancy ......7.y/. '�tl.+l:`1=?':}.... .$.a. s+,4Y. ................................... b. Intended use and occupancy ......�/1.'�5[0G A:A.............. tiWue of work (check Bildt applicable): New Wilding .......... Addition .::.... Alteration ........; . . Repair ............ lte oval ............. Demolition ............ Other Work {�/�. (Description) Latinnted CostY:.:?�QQ�?..'............. fee . ............................................ . . (to be paid on filing this application) If duelling, txnber of duelling unite ............ !hirer of cka lling units on eadp floor .. . . . . . . . . . . . ... Ifgarage, nrniber of cars ..................................... . If livaluess, ornvarcial or mixed occupancy, specify nature aril extent of ead) type of use... .. . . .. .. ... ... ... ... Dinennions of existing structures, If any: Front'.... .:L....... Rear ....J E........ Depth .,y.C'........ ... Ikigltt lkaber of Stories ..(.'? ............... Dinensiorp of pare structure with alterations or a<ddIttons: Front J.�........... Rear ... . ... .. . Depth .. ............. lletglct ....yam.......... Fknher of Storles ........ Dinensious of entire new construction: Front ................ Rear ............... Depth . .. .... . ..... . Ileilopt ......................... limber of Stories ..................... Size of lot: Front .�................. Rear .................... Depth ................. .. . D. Date of Pordnase ..................... Nape of Former Omer ..... ... ... ..... ... ........ .... . .. . .. .. . I. Zone or use district In whidu premises are situated ................ .............. .... . . ..... . .. . .. . ... . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: . ...... .... ........ ..... I. Will lot be regraded .................... Will excess fill lie removed from premises: YES ID 4. tames of Omer of premises ........................... Acklreas ........................... ... Ilxxre No. ....... .. ... . Name of Arduitect' .................................... Address lbone.No. . ... . . . .. . . . . Mona of Contractor ................................... Address ...............................l4ione No. ....... . . . . . . 5. is this property within 300 feet,of a tidal wetland? * YRS .! .. Na ........ .. *IF Wt , SDUnpD 10{41 MWSMS FCl31i'I' NAY Be RG(IIIiM. PLOT DiACIIAM� Locate clearly and distinctly all buildings, whether existing or proposed, and Indicate all set-back dimensions `rou property lines. Give street mut block nnber or description according to deed, and show street nares and indicate Apelher interior or corner lot .j lIXb -1((0 mi to p� n dp io I l �I'A'III OP NEW YQ0C, 5S -�i----�-. .3OS C�rl it 15 � rIE C. IIlINIY OI•' S...................... �Ti/A w✓7 G�� ............................ ..... ............1wiry; duly sworn, (Ielx)res and says lint be is the mpplicso ( ta'nc of individual signing contract) dxme nursed, le is theU Wn/f ..................................................... . ......... . ........................... .. ( .) .r. _old .._.-_ OF ex[ Is duty authorized to perform or hrrve perforned the said work sol to anke and file this gild lentio ; that all statements contained in title applicatico are tom to the best of [its knowledge nod letief; mxi list Lire work will be perfortned In the !!tanner set fnrlh in the spliticnLicm filed therewith. ka)rn to before me this //�� l............ y of ..!:4.. .......19 9�.... Notary Public . . .. ....... . ..................................... Donna Ann Cosenfino (sinunture of App?icant) Suf.Co. Notary Public Registration#4727684 /i_ �A r, v N Mew `SUFE CERTIF/EL TO VFMUE HELEN D. GLASS ( s r'� -:_ \' gyp. STUART D. GLASS w �$ LONC ISLAND SAVINGS BANK ~ �\ COMMONWEAL TH LAND TOZE INSURANCE COMPANY O Yeti � r o LOT 32 r'sY �5 J e S. 87'0750- E" b 5/ S1 TE KEY MAP { sfk 320.00' (� NO SCALE A 1 t/3.38. ' w _ SURVEY OF LOT 31 A o T N "HARBOR VIEW A T MA TTITUCK" FKED AUG. 21,1987 F#ENO. 8377 m 35. .E j rn LOT 3� C� Q A T MATT/TUCK y TOWN OF SOUTHOLD T rr� COUNTY N. Y. v�. oo �s.4 m SUFFOLK C T� - 116 02 - 07- 17T - ,-- Q- M h / BR . J Scale. 1"= 401 j U p April 4, 1995 / * v c o 1 June 26, 1995 (Revisions) 0) � Mor. //,1996 (CERTIFICATIONS ADDS_ o "16v .5, i99(�i H3z SrA,r t, June 241 1996 (FOUND, TION) q° N. 87.0750" a3/zo LOT 1 om )amnio" with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE m DISPOSAL SYSTEMS FOR SINGLE FAA&Y RESIDENCES R� and will abide tr The condlllons set forth /herein mrd on the permit io construct. AREA = 50,259 sq.ft. AP��oF NEyyyo SUFFOLKCOUNTY DT. Metz EPARTMENT OF HEALTH SERVICES to tie line FOR APPROVAL OF CONSTRUCTION ONL r N ELEVATIONS AND CONTOUR LINES ARE ANY AL 0V�9 O- rAE A Ir o ThIS SURVEY IS A VIOLATION i, DATE REFEREWcED TO N, EXCEPT AS PER W AVIr YG�Y STA rE EoucA r/aV LAW ,d= ----�,5. REF. NO. G.V.D. - SECTIOW 7209- . HEREON A>#' VALD F014 'tea 2. ALL CENTA�ICATlO/KS � ro�� . r COPIES � Ann ccwrEs rn�REac yV Y� S. L/C. NO. 49618 ppEARS�SSE'0 SEAL OF THE . APPROVED The locations of wells and cesspools gE PEC ORS, P.C. AaOVrlLYw�LLY ro CQIAeLY w/rH 5AV LAZY rr,� rERv .►LTERED er- (5161 76 - 020 shown hereon are from field observations DF AhoTgggs P. O• and or from data obtained from others. ADD ALL slA4�YOR8 S V&%SC COPYP. BOX 909 1'w0(AAvr.T"ArE'ARE NOT AV � SUOY*7TN�LAw`A� MAIN ROAD SOUTHOLD, N. Y. 11971 95-143 5 c N G A:5 I 3os //Q/is ✓ic_JA�rlY O.r LJ I �IcJXi ? Q( Imo/ p li{fel I I I � , • 1 -4 1 111 ' g I / OCCUPANCY OR - --__.—�_.__.-------------'---- -'—`--- .L CD4 E2. �oNED i N�o �,_e•�r9f,'o.J J USE IS UNLAWFUL 1 WITHOUT CERTIFICATE )x8 OF OCCUPANCY �ow'e HXj qX+I / APPROVEDAS NOTEDS DATE: ��77'��y��d''B Y: FEE: BY: I� `3 it / NOTIFY BUILDING DEP MAT I 765-1802 9 AM TO 4 fOR THE FOLLOWING INSPECTIONS: / I FOUNDATION - TWO REQUIRED 2. ROWN • FOR POIIIIED CONC11E1E FRAMING t PLUMBING S. INSULATION 4. FINAL - CONSTRUCTION MUTT BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIREMENTS EMEN S OF THE N.Y.N STATE CONSTRUCTION S ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I