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HomeMy WebLinkAbout30550-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31129 Date: 08/22/05 THIS CERTIFIES that the building ALTERATION Location of Property: 115 SUNSET DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 8 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 2004 pursuant to which Building Permit No. 30550-Z dated AUGUST 6, 2004 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 ALTERATION TO RECONSTRUCT EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PANAGIOTIS MOUSTAKOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0080 08/01/05 ELECTRICAL CERTIFICATE NO. 2046651 07/05/05 PLUMBERS CERTIFICATION DATED 07/27/05 PECONIC PLUMBING&HEATING �Gy thorized Signature Rev. 1/81 _ Form No.6 — TOWN OF SOUTHOLD BUILDING DEPARTMENT �! :AUG TOWN HAL L 765-1802 } % APPLICATION FOR CERTIFICATE OFOCCUTOWN SOOT L'nLD 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. d. Sworn statement from plumber certifying that the solder used in system contains- less than 2;'10 of 19.0 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 L 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 d. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential S 15.00, Commercial$15.00 i Date. /A0 S New Construction: �_Old or Pre-existing Building: (check one) Location of Property: I 'J Sv �L S C i `l f-4-CT l- c- b 0"t� House No. Street Hamlet Owner or Owners of Property: ( r> r4 Q Co I e^I t S Iq -V S t •+ ry S Suffolk County Tax Map No 1000, Section 1494 Block O 8 Lot 3 SubdivisionSli ��uv `l S - Ste` /u'� Filed Map. -5-09 Lot: 077 Permit No. 3 0 5-S0 Z. Date of Permit. ao Ll Applicant: /S< G-OHFs C V A 10 Health Dept Approval &/ / j d Underwriters Approval: 716-IP b Planting Board Approval: Request for: Tetnporary Certificate Final Certificate: (check one) Fee Submitted: S C2_37O Applicant Signature c0m 3_ � 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. 30550 Z Date AUGUST 6 , 2004 Permission is hereby granted to : PANAGIOTIS MOUSTAKOS ASTORIA,NY 11105 for RECONSTRUCT AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER SCHD PERMIT APPROVAL at premises located at 115 SUNSET DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0008 Lot No. 034 pursuant to application dated AUGUST 5, 2004 and approved by the Building Inspector to expire on FEBRUARY 6, 20 Fee $ 909 . 60 u orized Si ure ORIGINAL Rev. 5/8/02 O�gOFFQL/r o� Gyp 60 x Town Hall,53095 Main Road Q .F Fax(631) 765-9502 P.O. Box 1179 yif�o aft' Telephone (631) 765-1802 Southold, New York 11971-0959 1 '� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Z/0 7/0 l Building Permit No. 3 �✓r Z- Owner: t�N rl A C`o l b t S 1-1 v u s c A (<4-C' 7n� (please print) Plumber: 7' �n r -- r (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 'r(f3lumbgnattrc) a. Sworn to before me this day of 20 0 Notary Public, Vv\ County VICKI L.LOVER Notary Public,State of New lbrk 1110.011.06070081 O EEL PLrL3rJ�Lfar3J2@ aLTQrL3L3rL3rJL3rL3r r@ 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERSBUREAU 5 TY 40 FULTTON STREET L NEWYORK, NY 10038 eS 5 CERTIFIES THAT r 5 Upon the application of upon premises owned by 5 5 THREE "C" ELEC. INC. GEORGE & IRENE MOUSTKOS 5 21 ZDUNKO LANE 705 SUNSET DR. 5 RIVERHEAD, NY 11901, MATTITUCK, NY 11952 Located at 705 SUNSET DR. MATTITUCK, NY 11952 5 c5 Application Number: 2046651 Certificate Number: 2046651 5 Section: 106 Block: 0008 Lot: 34 Building Permit: BDC: ns11 5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement, First Floor, Second Floor,Outside, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the Day of stn July, zoos. C5 5 Name QTY Rate Rating Circuit Type 5 5 Miscellaneous rj 5 new 2nd floor-some changes on 5 5 5 I st floor&outside 5 Alarm and Emergency Equipment 5 5 5 Sensor 3 0 Carbon Monoxide 5 Sensor II 0 Smoke e� 5 Appliances and Accessories 5 5 Oven l 0 40 Amps 5 5 5 Dish Washer l 0 1.2 KW 5 Exhaust Fan 3 0 F.H.P. �C 5 Air Conditioner 2 0 30 Amps 5 5 5 Wiring and Devices Receptacle 37 0 General Purpose 5 5 Switch 27 0 General Purpose 5 5 Fixture 23 0 Incandescent 5 5 Paddle Fan 1 0 sea/ 5 Receptacle 5 0 GFCI 5 5 Disconnect 2 0 60 amp Air Conditioner Continued on Next Page I of 2 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. 5 5 t] rScPrJ�r�rJ�r�rJrJrJ@P[n rJ�rJ�r nrJ�r�r� cn rJ rJ� rlor�r� rJ cPcPrJ�rJ�r focnrJR D ogL!PcPrJL3r@ PLPLtJcPcPi PrJrJrJrJ�rnrJrJ r�r�rJrJ arJ arJr1� rsrrJ�rssu��n�n�nsrs cJ�rlar�rJr>Pr�r�cld�r�rJrJAJrPrPrJrJ@IdJ�cP2 o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 C5 BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 THREE"C" ELEC. INC. GEORGE & IRENE MOUSTKOS C5 21 ZDUNKO LANE 705 SUNSET DR. 5 5 RIVERHEAD, NY 11901, MATTITUCK, NY 11952 5 5 Located at 705 SUNSET DR. MATTITUCK, NY 11952 5 Application Number: 2046651 Certificate Number: 2046651 c� 5 Section: 106 Block: 0008 Lot: 34 Building Permit: BDC: ns11 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement, First Floor, Second Floor,Outside, �5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed r 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 5th Day of 5 July,2005. r, 5 Name OTY Rate Rating Circuit Tvoe rrr5+++] 5 Service 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: I 200 cb 5 5 Meters: I 5 5 5 5 S 5 S 5 55 5 Sea. 5 5 5 2 of 2 5 55 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 DrJ t ncnt rr�rJ arJ a cPrrdJ�r�rJ� rJL3—rJ'a rr—r rrr�cn rJMo v FIELD INSPECTION REPORT I DATE COMMENTS t L m FOUNDATION(1ST) — — _ �u -------------------------------------- — - - — — — FOUNDATION(2ND) -- cn ii � OL v� .r ROUGH FRAMING& PLUMBING L: W 2 11 d 3- o- 5- © T �-7�0 d No T a2Q y INSULATION PER N.Y. STATE ENERGY CODE 3 �f ,Q, . C FINAL 2-�- ADDITIONAL COMMENTS, z -- tip m z -- -- N k ---- r a v -- en v.N° y TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING (FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: �Q DATE ��� 7 INSPECTOR 4 ` 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: " DATE g-3 - �s INSPECTOR �'� � OQ Z 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARK ' U DATE 7.,V5, OS- INSPECTOR �� 3 osso Z vq 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: --&,- 4, , 3 C DATE '�� r oS INSPECTOR " 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: L '- a, © k , ©e - cZ-V_� ,IWO aw - ;i►. 42, DATE INSPECTOR �� ,�foFso�y^ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 3-.30_off INSPECTOR grCOY 't TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE '� �°2d2 - OS INSPECTOR f� r�jf SO �y�011NiV N�,p� TOWN OF SOUTHOLD BUILDING DEPT. �IS� 765.1802 INSPECTION [ ] FOUNDATION 1 ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: - GGcC,a�. �5 DATE j ��� �� INSPECTOR KENNETH BABITS-ARCHITECT 127 CAROLINE AVENUE PORT JEFFERSON, N.Y. 11777 516-331-1798 ZcRr �i =TIC 3o350Z T a4 TVA.- 0 ( VA.0f ►u= ��,N ���� ,2 . Al, uF NEW h 1 I F, No. 9g59 6� SI 1 I. .'� M, 252005 u o DEF` >l BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . .. . . . . . . .. . . . . . ..... .. . . . . TEL: 765-1802 TRUSTEES . . . .. . . . . . . . ..... .. . . . NOTIFY: CALL . . . . . . . . . . . . . . . . . . Ermined........ ......... 10.... -y MAIL TO: . . . . . . . . . . . . . . . . . . Approved..... �....... Permit No. d ) D Ci ................................ Disapproveda/ .. ..../....... .............. ............................... ----- (Ifu ung tor) APPLICATION FOR BUILDING PERMIT 0 2004 Date.71.aR. . . . . . . . . 2rjP+ INSTRUCTIONS a. Th"icabe completely filled in hY typewriter or in ink and submitted Co the Building Inspector 3 sets of plans, acanate 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 most be drawn on the diagram which is part o this application. c. The work covered by this application ^ey 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. Suc! 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. APPLICATICH IS ffidBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinancesor Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'Hee 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. L k s o catis7- ( .aP, P ..................................................... (Signahre of applicanryr or name, if�a corporation) 9a� ) 1.1.11 4D r0/-5GX14 ZTI aRo-R'4,.N..Y..1.i q 47.............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil( �L*+61C4L Goo+ ..... o.OF�. Nese of owner of premises . KO $ ..................................................................................... (as on the tax roll or latest deed) I£ appli t is a corporation, signature of duly authorized officer. (Name and title of oorporate officer) Builders License No. .. r/9. �..H.l..... Plumbers License No. .../.1//. 3.tom............. Electricians License Nu. .Jev:3..F.g....... Other Trade's License No. _................. 1. Location of land on which proposed work will be done.............................................................. .................................................................._.......................... House Number 70,S Street S i•+5 6 i R•�.�• Hamlet 1"c a County 'fax Map No. 1000 Section ....... Block .4 8........... Int 3.4 ........... Subdivision `S`f 4'=4 �c ti[atLS ....... Filed Map No. > ...... Int A7... ........ ..... ....... (Nave) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...¢ C..FI��-...1.�! D w 6LC..L(�G .......................... ............................... b. Intended use and occupancy ...� ......................................................... N.w uhre of work (dhedc which applicable):, New Building .......... Addition ./.... Alteration .... Repair ........ .... Removal .....t....... Demolition ............ Other Work .................................. (Description) Estimated Cost d O O fee (to be paid on filing this application) if dwelling, number of dwelling units ............ Naber of dwelling units on each floor If garage, number of cars .?? :e;p'R {t 6 L t� <o ............................ If business, camercial or sired occupancy, specify nature and extent of each type of use....-................ Dimensions of existing structures, if any: Front.R fk........... Rear .......... Depth 9 5......... Ileiglnt .....,G............... Uxber of. Stories S/.R ��...... Dimensions of same structure with alteratipns or additions: Front ..21.......... Rear V........... Depth ..3�..�....._.... Height ..,;2,.5............. Naber of Stories 1.2..... Dimensions of entire Thew construction: Front ................ Rear ............... Depth .............. fleigfmt ......................... Naber of Stories ..................... Size of lot: Front .................... Rear .................... Depth .................... 0. Date of Purchase ..................... Name of Former Owner ........................................ 1. Zone or use district in which premises are situated .............................................................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 3. Will lot be regraded ....TqP........... Will excess fill be removed from premises: YES 4. Navies of Owner of premises&§OaC'� t1o.,sTKo S 703SvNrai DR H0Vj-Anse No..�q��lGh(3 Y .................... Address ............... •ivRT ......... Mare of Architect y.tlw(��/•/._ A�/T.S .......... Address / 7GAw0oLrNE /awiE .SC?>aFPfwreNo.331, R.si ... Name of Cahtractor'}.*R.rr.Q.?t. .................. Address''...°.... ✓.. . .3�ti �npGSedA%Phoue No. 7V. 'y�-�� ...................... ...... 5. Is this property within 300 feet of a tidal wetland? * YCS .......... NO V....... *IF YES, SWMD IUWN TR MMS PUMIT MAY fE REQUIRED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bark dimensions prom property lines. Give street and block number or description according to deed, and slow street noes and indicate +hether interior or corner lot. ;FNIE Or NZJ YORK, TS Id11NIY OF ....................... iz r .0."IF. ' C .. L".''.� D .....S .................being duly sworn, deposes ad says that he is Ube applicant ...... .. ... ...... .. .... .. ;Name of individual signing contract) mbove named, le i s the .... l ..Q .......... ...................:.................................................................. (Contractor, agent, corporate officer, etc.) if: said owner or owners, and is duly authorized to perform or have performed the said work and to peke and file this rpplicatiomy that all statements contained in this application are true to the best of his knowledge and belief; and Lhat the work will be performed in the manner set forth in the application filed therewith. Sworn Lo before me this ................Jay of ...J... ........:20 0�... �- Notary Public . C� ......... (Signature of Applicant) f10f11NE).DOf1�311 Mary Publk,3Ula Of Nw/MA No.01006095323, Tatty Expires cob 7.20 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/30/04 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Cash Total Paid: $10.00 Name: Liso, Construction Po Box 439 Jamesport, NY 11947 Clerk ID: BONNIED Internal ID:98956 DATE REVIEWED-6s : $/41/04 APPLICANT: DATE SUBMITTED: –6 S /04 SCTM# DISTRICT: 1,000, SECTION: BLOCK: , LOT: SU3DIVISION:��~Ar ADDRESS:����Qo T 00 CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP -Z/C/0 Z- , INFO /BP -Z/ C/0 Z- , INFO BP -Z/C/0 Z- ,INFO /BP -Z/C/0 Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after' REQ. LOT SIZE: ACT. LOT SIZE;2" REQ. LOT COV. o?a�� ACT. LOT CO � REQ. FRONT Ze PROP. FRONT RE E 1 i hj ACT. SIDE REQ REAR n) PROP. REAR REQ. HEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COST: 7ENGINEER: ., WATER FRONT? N DESCkIPTION: PANEL # '--�'FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HEA DEP E or NO, (BED#): DTE1 l 1 I/ V PERMIT#:04,0 -00TQ TOWN SEPTIC RECEIPT: /r N —— NEW YORK STATE DEC: PRE-D�1/75 YES or O DTE: / / PERMIT#: SOUTHOLD TOWN TRUSTEES: YES o DTE _/_/_ PERMIT#: TOWN ZONING BOA 11 APPROVAL: YES _ DTE: PPEP-MIT#: TOWN PLANT. BOARD APPROVAL: YES o DTE__/ J fERMIT#: TOWN HISTORICALiPRE (SPLIA): YES o O/ /NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2) S NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: R71 SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: ��S(?_SF d FEE FEE FEE ` 2 1. Jc 11— SF)- SF)=,,O�SF X$ . 6 =$�+$ J v +$ _$ 2. (_SF)- _SF)= SFX$ _$ +$ +$ _$ 3. ( SF)- (— SF)= SFX $ _$ +$ +$ _ $ FINAL TOTAL: $ NEW YORK STAVE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B Weathering: Severe Frost Depth:36" Termite:M-H Decay: S-M Design Temp: 11 Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS:Y/N WALL STUDS:Y/N GIRDERS: Y/N CEILING JOISTS:Y/N FLOOR JOISTS:Y/N ROOF RAFTERS:Y/N LUMBER SPECIES AND GRADE:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N D�-4�U-Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW ANtj'.OOR SCHEDULE: ZMIS"IA'OT REQUIREMENTS: Y/N INaSS 5.7 S.F.: Y/N LI sHT 8%: Y/N % VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) TOWN OF SOUTHOLD PROPERTY RECORD CARD /c5 00 ,3y OWNER STREET !J� VILLAGE DIST SUB. LOT a �a n i i`s Mo a Sc,u-, met �-� ✓e a / 'fes FORR��AA OWyER N E ACR. ?anAA,1z d1S 7c;ihar;,r,d,"5 GtTF S W TYPE OF BUILDING /✓M f� V a f� 1� n 111 O r' G D LC r a� a RES. �16 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value ao1 LAND IMP. TOTAL DATE REMARKS s 2 7d 4'' 7 0 Zfc - Z 7 — Q 0 ✓ / 6 / 611173 so o. V14 (,o LA - c ,q � .,-nN v W DU OOd 7 ' c� ZC o . ✓ /o /7� D. PL h' '.80��2 8u t "�.. snt ; t c ? 900. yoo 71 OCD i ®U / 3zo s a8 n qY � �. z u�LO '%4&W1 J� Aw EC 0 �- 6 /3�s3 c cee Z2 Z29 Z- L JI . n rdJ�_ �GhCiiClG�rS- ��C� -L)t _ ; fa Mo . trkosnvS_-'fi7o,�oa AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre TiIlabie FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Toiler L DOCK .■■■■■■■■■■■■■NONE.■SOMEONE ■■ ■■■■■.■■.E.E.■NEE■■EME■MEMS ■■ 4' ■■E■EEMEMENEEMENNEM■■■■■EM■M■ ..MMNNMMN■■■■■■■■■■■M■J=MMMME■■ ■.M■■■■■EM■■E■E■E■MN■ N■MNmom E■■ MENEM Him MEMEME - �.■■moi■■■■■■■■■■■■■■■ ■■■..■ ■N■O■■■■E■MNEME■EMENNNONE ■■■ �- ■■NOME ON■MME■■■■■■■■■■■■N■ �Uxt. Walls Interior Fihish . t. G3■ • � Rooms Ist Floor • Rooms 2nd Floor -� 25 Lp7 P SURVEY OF S f_ T, DO "MoG LOT 27 LOT zs o V WEE„` MAP OF FGE JFNw SUNSET KNOLLS " dNN o•s\D` I SECTION TWO J .f_FFNLE \m W FILE No. 5448 FILED APRIL 9, 1970 SITUATED AT MATTITUCK ,_; TOWN OF SOUTHOLD peN y N aAs SUFFOLK COUNTY, NEW YORK • IP Pg y '10` \ o S.C. TAX No. 1000- 106-08-34 - -- --- -- SCALE 1 "=20' MAY 7, 2004 V, APRIL 29, 2005 FINAL SURVEY �I.. • Na - 1;� �� , - ` zt w JULY 28, 2005 ADDED WATER -INE u 'Ii rl �' • �O, LOT �i - E c' _ •° --s4 - , FSA l c' AREA = 22,093.17 sq. ft. - . . �L yGs O 0.507 oc. N ., ocj,"fPGU-"6- 5{00° 'cv, NfOGE VtHc / N • / 'ST cNH / m e, mM p 9 ' a AGj N `). 9 \ m £ 4 � a g9 ti / £ Tp • =m \ J '� a m� C” N FOJNOD{E N • J \ oP FOP MON0 :5 OLE d lr � £ fr\• u � P�NP�O 0,S e do cP ' \� $' 0 ,SNE. I YB .b5.2 . • " WITS , ' 4 . Q cn�IN M=me`` '• - A FOC MON O SYY/ rr1� LL 4 `• PREPARED IN ACCORDANCE WITH THE MINIMUM 8(, • '' .� S STANDARDS FOR TITLE SURVEYS AS ESODUSHED ZG' A y/j1PF-`' TH BY E I.ALS. D APPROVED AND ADOPTED y FOR SU USE RA NEN YORK STATE LAND . .USE a . A SLAT OI SEPHA � A s( )O he O r � z d O NY S Lic. No 49668 UNAUTHORrzED ALTERATION OR ADEMON TO THIS SURVEY IS A VIOLATION OF Jo eph A. Ingegno SECT ON EDUCATION A ON LAW.]2LOF SHE NEW YORK STATE ED COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SELL EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A V.WO TRUE COPT CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM ME SURVEY IS PREPARED, AND ON HIS BEHALF TO TIE Title Surveys - SMDdIFI510O5 - SU, PII - CoO.Maiion Layout TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSDTIIIION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSR- PHONE (631)727-2090 FON (631)727-1727 TUTOR. CEPTFlCTIONS ARE NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P 0. Box 1931 AND/OR CASEMENTS OF RECORD, IF RIVERHEAO, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. — 24-148A 25 Lp7 P SURVEY OF S f_ T, DO "MoG LOT 27 LOT zs o V WEE„` MAP OF FGE JFNw SUNSET KNOLLS " dNN o•s\D` I SECTION TWO J .f_FFNLE \m W FILE No. 5448 FILED APRIL 9, 1970 SITUATED AT MATTITUCK ,_; TOWN OF SOUTHOLD peN y N aAs SUFFOLK COUNTY, NEW YORK • IP Pg y '10` \ o S.C. TAX No. 1000- 106-08-34 - -- --- -- SCALE 1 "=20' MAY 7, 2004 V, APRIL 29, 2005 FINAL SURVEY �I.. • Na - 1;� �� , - ` zt w JULY 28, 2005 ADDED WATER -INE u 'Ii rl �' • �O, LOT �i - E c' _ •° --s4 - , FSA l c' AREA = 22,093.17 sq. ft. - . . �L yGs O 0.507 oc. N ., ocj,"fPGU-"6- 5{00° 'cv, NfOGE VtHc / N • / 'ST cNH / m e, mM p 9 ' a AGj N `). 9 \ m £ 4 � a g9 ti / £ Tp • =m \ J '� a m� C” N FOJNOD{E N • J \ oP FOP MON0 :5 OLE d lr � £ fr\• u � P�NP�O 0,S e do cP ' \� $' 0 ,SNE. I YB .b5.2 . • " WITS , ' 4 . Q cn�IN M=me`` '• - A FOC MON O SYY/ rr1� LL 4 `• PREPARED IN ACCORDANCE WITH THE MINIMUM 8(, • '' .� S STANDARDS FOR TITLE SURVEYS AS ESODUSHED ZG' A y/j1PF-`' TH BY E I.ALS. D APPROVED AND ADOPTED y FOR SU USE RA NEN YORK STATE LAND . .USE a . A SLAT OI SEPHA � A s( )O he O r � z d O NY S Lic. No 49668 UNAUTHORrzED ALTERATION OR ADEMON TO THIS SURVEY IS A VIOLATION OF Jo eph A. Ingegno SECT ON EDUCATION A ON LAW.]2LOF SHE NEW YORK STATE ED COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SELL EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A V.WO TRUE COPT CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM ME SURVEY IS PREPARED, AND ON HIS BEHALF TO TIE Title Surveys - SMDdIFI510O5 - SU, PII - CoO.Maiion Layout TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSDTIIIION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSR- PHONE (631)727-2090 FON (631)727-1727 TUTOR. CEPTFlCTIONS ARE NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P 0. Box 1931 AND/OR CASEMENTS OF RECORD, IF RIVERHEAO, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. — 24-148A - — - - - . � �`� All PLUMBLINES NEEDING IF COMPLY WITHALLCODES OF 6WATBEOaECOVEk NEW Y RK STATE &TOWN CODES TESTING APP C� I/f D AS NOTED_ G AS RE UI ED AND CONDITIONS OF DATE: `� E P SOUTHOLDTOWNRA FEE; 0` 3V A` OUTHOLDTOWN PLANNING BOARD NOTIF BUI: -TMENT AT ES 765-1802 8 AM ; I FOR THE p� TE T WNTRU 5 - SOUTHOLD 0 CERTIFICATE FOLLOWING INSPEcri.�r� EAi F __ , � ��• UNDERWRITERS w ERW NY.S.DEC UND REQUIRED1. FOUNDATION FOR POUREDRAMIrAUci& P EU I, D 2. F ISTRUCTIONLMIRF PURSUANTRETAIN TO SECTION 45-OGRM WATER EE q FINAL - COr uSNu T T WN ODE. I ALL CONSTRUCTION $HALL MEET THE REQU OF THE YORK STATE. NOT RESPONEBLOE FOR , _ h, DESIGN OR CONSTRUCTION ERRORS. OF { i K, +� 0 _ ff _ OCCUPANCYOR WF _ E S T a; ., I : a�4T ! 4�i1 , 'a � I _ US I UNLA U �, I� , �� FICATE � , � WITHOUT CERTI ! 9• NC . �_ OCCUPA I f-3 � .w . ?y« Vi4'-'PsRfsIN•krt x 1`4 4ntkM1 _. -. —' •' .... ' ' � - - - i—;`- I ` { CERTIFICATION OF - +r 2 ",'}- " "WAILING & CONNECTIONS R I � � EUI ED. T'x. -'Ki4➢4A: ..,- LAO ' Irh ht.lelam CONSTRUCTION SHALL � � .d1 ., , Ftz ,HE REQUIREMENTS OF HE I I . . . . o 5 OF NEW YORK STAT tF '1t V/ `.� � FLOOD ZONE --r- -- - COMPLY W ITH CHAPTE 4 „ FLOOD DAMAGE PREV ON 1 . r l - TI , W17�1 �3"�'t N CODE. -, ; , . I.` " '". .- ' , �' � - . ._..�...:. I . ___�----'--- -._,,. Irl , 'v .- --___��• OIA�+��.,.�.-.__. - �. � � � � OUTHOLDTOW 1 A S PLUMBER CERTIFICATION 1='Iwj Gisr Sly ; `��K 114' Pwwtcnr K I l:1 r�71 IkwV I ! ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY « , m w «^--' a:1 Mp. " 5 a I" SOLDER USED IN WATER I. C'i§IfL�+ ' !N:Rs4t T y. SUPPLY SYSTEM CANNOT 4� I 1;ti M •---•. y a fr , ; EXCEEp�/100Fi%LEAD. � r � i IN IN�LDwC ',. 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