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HomeMy WebLinkAbout30781-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30781 Date: 08/22/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 49852 CR 48 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 3 Lot 4.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 2004 pursuant to which Building Permit No. 30781-Z dated NOVEMBER 17, 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 ONE FAMILY DWELLING WITH COVERED PORCHES, PERGOLA, SECOND FLOOR BALCONY AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to SCOTT F KRUK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0186 07/28/05 ELECTRICAL CERTIFICATE NO. 1198317 07/22/05 PLUMBERS CERTIFICATION DATED 07/21/05 DINIZIO PLUMBING Authorized Signature Rev. 1/81 31- 9- Vay� :; i'f • Form No.6 TOWN OF SOUTHOLD i E2 2 , 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 2/10 of I% 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 i 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: y SSQ ty I SOy�-VACU 1 House No. Street Hamlet Owner or Owners of Property: SCOA�_ V -)I( Suffolk County Tax Map No 1000, Section C) Tj Block Doc—D Lot© O- I oc) Z5 Subdivision Filed Map. Lot: Permit No. G 1 Date of Permit. O\J Oq Applicant: SCoi-_� V Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C© fir_ 3 fly Applicant Signature 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. 30781 Z Date NOVEMBER 17, 2004 Permission is hereby granted to : SCOTT F KRUK 125 ALDICH LA LAUREL,NY 11948 for CONSTRUCT ONE FAMILY DWELLING W/FRONT & REAR COV. PORCHES AND ATT. 2 CAR GARAGE AS APPLIED FOR. THIS PERMIT REPLACES BP#28928 . at premises located at 49852 CR 48 SOUTHOLD County Tax Map No. 473889 Section 055 Block 0003 Lot No. 004 . 008 pursuant to application dated NOVEMBER 17, 2004 and approved by the Building Inspector to expire on MAY 17, 2006 . Fee $ 1, 879 . 20 Autho iz d Signature ORIGINAL 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) 111' -�1 PERMIT NO. 28928 Z 30079/1 Date NOVEMBER 19, 2002 Permission is hereby granted to : SCOTT F KRUK 125 ALDICH LA LAUREL,NY 11948 for CONSTRUCTION OF A 3-BEDROOM SINGLE FAMILY DWELLING WITH ATTATCHED TWO-CAR GARAGE, FRONT AND REAR COVERED PORCHES AS APPLIED FOR at premises located at 49852 CR 48 SOUTHOLD County Tax Map No. 473889 Section 055 Block 0003 Lot No. 004 . 008 pursuant to application dated NOVEMBER 15, 2002 and approved by the Building Inspector to expire on MAY 19, 2004 . Fee $ 1, 879 . 20 Au t-',Vbr ze ignature ORIGINAL Rev. 5/8/02 ENERGY CODE CALCULATIONS CHAPTER 5 SECTION 501 Detached One and Two Family Design Criteria 5750 Degree Days (For Non-Electric Heat) Zone 11B For: se o 4 f KI-o k 61 Per: 4 Sm° •/ Dated:_ SUBSYSTEM AREA DESIGN CODE DESIGN CODE «U„ «U" UA UA Exterior walls 3 j 3 d O, t 3 0.14 :3 ,71.4 Ceiling Roof 2.279 o,p3 0 0.031 �(� � •7a Floor Over Unheated Space 'L rl i 0,05 0.05 i 3 .8 �l3.8 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 NOTES: Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment,HVAC Systems,Duct Systems,Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems&Equipment to meet requirements of Section 504 Electrical&Lighting Systems&Equipment to meet requirements of Section 505 t40f NEW To the best of my knowledge, { , belief, &professionals judgement, ~- these plans are in compliance 032254.1 . with the code. �9aFESS110 %� _ 1'aWN OF SOUTHOLD OFFM OF BUILDING IN8MCTOR ' �illtw TOWNfVILLAGE OF ADDRESS 60U"K .100 11¢7% BUILDING DEPARTMENT DATE: t' SUFFOLK COUNTY DEPT.OF PUBLIC WORKS , COMMISSIONER 335 YAPHANK AVENUE YAPHANK,NY 11980 ^ PT APR 2 UC APR Dear Sir: HW. P FOF ,h ' In accordance with Section 239f of the General Municipal Law of the consolidated Laws of the State of New York,this is to notify the Commissioner of Public Works of the County of Suffolk that , Name&Address of Applicant SCD---t V—_ Vl 'ru) i a A 6 V\C ,N has applied to the Town/Village of for the issuance of a permit in reference to property located on the: NS W side ciz C.R. Distance l000 �=A e N S E ( ©f L_'eh r1 L-C-1, Village Townw� As shown on the attached survey or site plan(3 copies needed),dated We shall withhold further action on this application for ten (10) business days for the aforementioned Section 239f. Very Truly Yours, Building Inspecto Building Permits Only 5/1/03 Date: APPROVED / to the Town/Village pursuant to the General Municipal Law subject to the stated conditions: APPROVED — PERMIT REQUIRED—HIGHWAY IMPROVEMENTS TO BE PERFORMED AS SHOWN ON THE PLANS .J-0Se Nge p DATED A REVISED AND AS REVISED BY THIS DE T. ARE IN GENERAL ACCORDANCE TO THIS DEPT. 'S REQUIREMENTS. SUFFOLK COUNTY DEPT.OF PUBLIC WORKS CHARLES J. BARTHA,P.E.,COMMISSIONER By: WILLIAM S. SHANNON,P.E, CHIEF ENGINEER 6 MARION J. GABRYSIAK & ASSOCIATE'S Architects, Planners & Construction Managers 186 Valley Road, Riva•Edge, NJ 47661 (101)489-1181 fax:(201)9%4246 7 Tml By Fax: 631-734-2674 March 7, 2003 Mr. John Boufus Southold Building Department Main Road Southold, New York 11971 Re: Kruk Residence 49852 Country Road 48 Southold, New York Dear Mr. Boufus: With reference to Kruk's residence, the 12" concrete block masonry foundation wall is satisfactory. Thank you for your kind consideration. Please advise if additional information is required. Respect ully, Mar n J. G MJG:hc 06 °'-ftsr0°k cc: Scott Kruk 3o-79- 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 5 SUpon the application of upon premises owned by c5 55 S5 PLATINUM EAST ELECTRIC INC. SCOTT KRUK 5 145 MILL CREEK DRIVE 49852 RT 48 5 SSOUTHOLD, NY 11971 SOUTHOLD, NY 11971 LcU 5 5 Located at 5 49852 RT 48 SOUTHOLD, NY 11971 5 Application Number: 1198317 Certificate Number: 1198317 5 5 � 5 5 Cj Section: Block: Lot: Building Permit: BDC: ns11 28928-2 c 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 Selectrical devices and wiring, described below, located in/on the premises at: 5 55 5 Basement,First Floor,Second Floor,Attached Garage,Outside,Attic, 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Sherein, 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 authority having jurisdiction, and found to be in compliance therewith on the 22n Day of July,2005. 5 Name OTY Rate Ratine Circuit Type 5 5 Alarm and Emergency Equipment 5 Sensor 2 0 Carbon Monoxide 5 Appliances and Accessories C5� 5 Exhaust Fan 3 0 F.H.P. 5 5 Dish Washer 2 0 1.2 KW 5 Oven 1 0 40 BTU 5 5 Hydro Massage Tub,Residential 1 0 5 Furnace 2 0 Gas S 5 Air Conditioner 2 0 42.000 BTU SPanels 5 1 30 11 5 5 Wiring and Devices 5 5 Outlet 92 0 Fixture 5 5 Fixture 89 0 Incandescent 5 Fixture 3 0 Fluorescent S 5 Outlet 128 0 General Purpose l S 5 Receptacle 63 0 General Purpose SeaL; SSwitch 83 0 General Purpose SContinued on Next Page 1 of 2 S 5 5This 5 certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5 �° C�CnC nCJCLILn CGP CP �,�f 7 rL3j'7 e O rJ��cJ�cn rJcnclrJrJ� r� 113 1111 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDER 5 5 WRITERS 5 5 40 FULBON STREETF NEW YORK, 5 SK, NY 10038 5 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 5 S PLATINUM EAST ELECTRIC INC. SCOTT KRUK145 MILL CREEK 5 5 49852 RT 48 SOUTHOLD, NY 11971 DRIVE SOUTHOLD, NY 11971 5 S 5 5 5 Located at 49852 RT 48 SOUTHOLD, NY 11971 5 S5 5 Application Number: 1198317 Certificate Number: 1198317 5 5 5 5 Section: Block: Lot: Building Permit: 28928-2 BDC: ns11 c 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of S electrical devices and wiring, described below, located in/on the premises at: 5 5 5 5 Basement,First Floor, Second Floor,Attached Garage,5 Outside,Attic, 5 5 S5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 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 authority having jurisdiction, and found to be in compliance therewith on the 22n Day of July,2005. S Name OTY Rate Rating Circuit ype 5 Multi Outlet System 4 0 ft. 5 5 Receptacle 1 0 50 amp Appliance 5 rj Receptacle 1 0 30 amp Dryer S Receptacle 1 0 20 amp Laundry 5 Receptacle 7 0 GFCI 5 Disconnect 2 0 60 amp Air Conditioner 5 Service 5 1 Phase 3W Service Rating 400 Amperes L' 5 Service Disconnect: 2 200 cb S SMeters: 1 5 5 5 S 5 5 5 5 5 S seal 5 5 S 2 of 2 5 5 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. fflIPLffl a PC HE 5 5 �gOFFO��c . i co J ,JUL 2 9 Town Hall,53095 Main Road Oy !-ri Fax(631)765-9502 P.O.Box 1179 �O a0 T� '�elep4one(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 7 —v2 Building Permit No. 30 S 1 Owner: SC-0 Zy- Ke"y� (Please print) Plumber: (Pleasep?int) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PluKbers Signature) Sworn to before me this v� day of 20�� Notary Public, ounty gNET E. APLES Notary blic,State of New 1Rork No.4831949,Suffolk Coup? / Commission Expires July 31,2Q Q� 367Y ( Z, 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /X FINAL R2 ; [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:- DATE EMARKS:DATE $- ���s INSPECTOR �' 307 � 1 ;7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING XFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION �REMARKS: � -e dry DATE �� �°z'_ �S INSPECTOR dq � LK C74 r�&-r-,� uuuINa DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CRIMNEY MARKS• O DATE a� �� IN8PECT0 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ;.]'�OUGH PLBG. [ ] F DATION 2ND [ ] INSULATION IING [ ] FINAL [ FIREPLACE 8 CHIMNEY REMARKS: r,r Z -A J DATE 3 /D INSPECTOR IDI 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]"INSULATION H PLBG. [ ] FOUNDATION 2ND [ [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: L-A) i DATE 46 V INSPECTOR i FOUNDATION(IST ,. ROUGH FRAM3NG& OVA PLUMBING �,-VAWAM r t 1 1 1 INSULATION STATE ENERGY CODE WA IT,ON _I ADDITIONAL CO1 M l ' i �• TOWN OF SOUTHOLD PROPERTY RECORD CARD 1 r_�C5 am 5 - . OWNER STREET VILLAGE DIST. SUB. LOT � . LA kO if .� h . FORMER OWNER N EAGR. ' �jY S W TYPE OF BUILDING r t�1 )r6,,- RES. r - RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS C? EJ rte_,.. e r �G - , ' k 1700 Ye 1 �-•lLvDS49. �42--3S Tillable I Woodland l T Meadowland [ House Plot E Total 1 TOWN OF SO�UTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL .Board of Health SOUTHOLD,NY 11971 Q 3 sets of Building Plans I TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 .--_Surveely www. northfork.net/Southold/ PERMIT NO. Check --Septic Form N.Y.S.D.E.C. Trustees Examined I ,202_ Contact: Approved 20_Z_ Mail to: Disapproved a/c Phone: Expiration 5f 20 Building Inspector APPLICATION FOR BUILDING PERMIT _..__. DateTz , 20_Q, INSTRUCTIONS -.a"this application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and 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. f� (Signature of applicant or name,if a corporation) 1a54)dv ch Lot. Lo ,_e% /VY )/gW (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Dl._z/-) 6 V ` Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. -RT- Plumbers License No. Electricians License No. 417 0 -- " Other Trade's License No. 1. Location of land on which pro osed work will be done: L%5a IVLr4h Q.01A o�� ��cl_ 4�) NYi Cf:1 l House Number Street - Hamlet County Tax Map No. 1000 Section Block C>3 Lot__—_J=+4--! 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 \1 RC a v-� �—G►'� a b. Intended use and occupancy. Qp5i'A(� G 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost L.j-r;d zr)O G Fee it (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 3 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 Rear E!� Depth '1 Height Number of Stories a _ wfs-� 5,4 a, 9. Size of lot: Front l Rear 6L `j' l Depth sl 5• 2 =, 10. Date of Purchase ( Oo Name of Former Owner 30� r �kCL r Ga re4 V.A9 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re-graded? YES NO \/ Will excess fill be removed from premises? YESZNO 14.Names of Owner of premisesSco'k-�-F Address(Xr A\& is h Loi Phone No. QAV?�179! �7,r 361 6x77 Name of Architect C v-v I Address Phone No Li-1 Name of Contractorck T f, Sc h Q Address�ncV) It, , Phone 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 ) V-y being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Ou'-)n-e V— (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 this day of /2&0, 20 0� az--Ykd (Z&2L Notafy Public Signature of Applican LINDA J.COOPER Notary Public,State of New York No.4e22563,Suffolk county Torre Expires Deceinbe"31,��_ BUILDING PERMIT EXAMINER CHECK LIST �/ DATE REVIEWED: �/�/02 APPLICANT: � 601 DATE SUBMITTED: IL116/02 SCTM#DISTRICT: 1,000, SECTION: 5Jr , BLOCK: �, LOT: STREET ADDRESS: g25 (k q A CITY: 2MUDIL SUBDIVISION: PROJECT DESCRIPTION: - ESTIMATED PROJECT COST: � ` ARCHITECT/k�R: UT141j(_ FAST TRACK_J/ __ SINGLE & SEPARATE CERTIFICATION-REQUIRED Xy NOTES: -- LOTS 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 7/1/83; ZONING DISTRICT: P-80 CONFORMING? YES REQ. LOT SIZE:$opoo ACT. LOT SIZE: q?,$M REQ. LOT COV. ACT. LOT COV. REQ. FRONT irt--7-0 PROP. FRONT 95 ' REQ SIDE ACT. SIDE ✓ REQ. REAR 7S PROP. REAR 106 1 REQ. HEIGHT PROP. HEIGHT WATER FRONT? A DESCRIPTION: PANEL #: -to—FLOOD ZONE: COMPLIANCE: . APPROVALS REQUIRED SUFFOLK COUNTY HEAL DEPT: YE or NO, (BED #): DTE: /N/ Z. PERMIT#:R10- - 8(� TOWN SEPTIC RECEIPT: N NEW YORK STATE DEC: RE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES or O TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES O NYS ENERGY. OR NO : / EGRESS (18 ? 4 sq total) VENT (SQ. FT. x 4%) `� LIGHT(SQ. FT. x 8%) ,✓ BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: 1 SF FIRST FLOOR: SF SECOND FLOOR: ?�� '� SF OTHER: SF IlVIT OTHER TOTAL TOTAL: SF FEE FEE 1. SF)- ( 5� SF)=Jr ` SFX$ 10 =$ 2q a +$ (5a +$ $ o— 2. 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I I I I I I I I I I I I I �jl ta° 21., 1 ZSI� 131-Ca" LI1'IQp 1 Lo'-!J" 110" I&t-O" l- 1z u 1K 2tI tiI&TZ _4 Fzpt r �P zou-rual�t�. ti�rew _ „cru �M � , ' wotztmarion j. gabrysiak assoc. < TPI-5cnWeS- W) ww,.10�1Ttoo Fah/ guts �' �JoF to NESTO 6 architects, plerxiera & construction mergers -_r - y99 valley toed, river edge,new jersey 07961 • 201-499-1191 TEST HOLE DATA (TEST HOLE DUG BY M DONALD GEOSCIENCE ON SEPTEMBER 6, 2002) WAN BROWN BILT' LDW aL SURVEY OF PROPERTY E SOWN SILT M ` SITUATED AT PAUE .N. SRT"SNI. SM 4� �ti�oh SOUTHOLD IT TOWN OF SOUTHOLD BRDWN . . BROWNIALDM .�o __a:,. s , s SUFFOLK COUNTY, NEW YORK r0 mwsE sw0 sw .. ;. S.C. TAX No. 1000-55-03-4. 6 ` W 'u 1000-55-03— P/0 4.3 B o /• ' � � s:QQ•. ��,� SCALE 1 "=50' WAREN IN PALE BRaAN MEDIUM ° Ae. DECEMBER 28, 2001 10 c°WSE SW° sw '� e• r'� •n g p JANUARY 27, 2002 REVISED TO SHOW BOUNDARY LINE AGREEMEA,IT ,�16 �0 9\ q AUGUST 21, 2002 ADDED PROPOSED HOUSE 17 AREA = 97,827.11 sq. ft. iQl 2.246 CO. OLD NORTHS _; ROAD f NOTE \\ OVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELLNATIONS ARE SHOWN THUS' e L\ 2 MINIMUM SEPTIC TANK CAPACITIES FOR A 1 r0 { BEDROOM HOUSE IS 1,000 GALLONS. r/ytiq. 1 TANKS A' LONG, 4'-3' WIDE, S'-0" DEEP ` µ ,M.. • ft 3 MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE 15 300 q It SIDEWALL AREA. 2 POO15; B' DEEP, S' di.. „(f , PROPOSED E%PANSION POOL PROPOSED DOCKING POOL PROPOSED SEPTIC TANK V T {. THE OBSERVATIONS Of WELLS AND OBTAINED SHOWN HEREON ARE FROM FIELD <2 OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. '0Nr /i�A, Y2 4 � / ��s •�2• r \ 'AfH'b �O' / y +r 7 ✓ SUPPOLROMMIYDE,PARTMENTOFHEALTHSERVICES MWMT POR APPROVAL OFCON9TRUCCION FOR A e'l1A`CLE FAIRLY RESIDENCB ONLY DATE 11-1 tj -OL / \ PORMAXIMIJMOF—'�—B R IMS / / \ 8KlIR0 THREE YEARS FROM DATE OF APPROVAL V _ rEsr HOLE PREPARED IN ACCORDANCE WITH ITE MINIMUM STANDARDS FOR TITLE SURVEYS AS EETABLISHEO AJC L-, 466,4, BY THE LL0.LS. AND APPROVED ANO ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. 9B,] F NEL° O Y Jd,l �e�a W 09 ti �0- �s n' ✓o c .e- 65� QQ iss W H CARROLL & ANO, toys <A 4Nr'cn'? ly OOn JOHN NACAN NYS. Lic, No 49668 AS 5 ,,' 2F1� PNwFIELD UNALTHI IZED ALTERATON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Josep A. Ingegno EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING Lan Surveyor THE LLAND SURVEYOR'S INKED SEAL OR CERTIFIED T0: THE AND EN S . SHALL NDE BE CONSIOfflfD TO HE A VALID TRUE COPY SCOTT KRUK CERTIFICATIONS INDICATED HEREON SHALL RUN BANK OF SMITHTOWN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF To THE IS LAND TITLE INSURANCE COMPANY Title Surveys - SUbdlvlslans - Site Plone - COOe2I0Cti00 Layout LENDING INSTITUTION USIED HEREON AND CY D TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TIIDON. CERTIFICATIONS ARE NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1360 ROANOKE AVENUE P.0 BOK 1931 AND/OR EASEMENTS OF RECORD, IF RIVERHEAD, New York 11901 Riverheod, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. 21 -6171 - SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD s SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-55-03-4. 6 1000-55-03—P/0 4.3 SCALE 1 "=50' 2 3 DECEMBER 28, 2001 �66� 41• `RF f JANUARY 21, 2002 REVISED TO SHOW BOUNDARY LINE AGREEMENT AUGUST PRIL 216,2 003 FOUNDATION 002 ADDED PROPOSED SE LOCATION 1 +r° AREA = 97,827.11 sq. ff. ^qa 2.246 ac. OLD NORTH ROAD ` CERTIFIED T0: SCOTT KRUK �e BANK OF SMITHTOWN M° COMMONWEALTH LAND TITLE INSURANCE COMPANY 04 D N Oil O IF 9 i e�d�o IN, co �C 0 h� ,I, xti 00 ^M II"s A PREPARED IN ACCORDANCE WITH S MINIMUM BYA THE L FOR AND PRVEYSOVE V^ D ADOPTED ¢ BY THE TT ALS AND E NEW AND ATE LAN \\ J� 1 FOR SUCH USE BY iliE NEW TORN SPATE WJO \ 1 4V TRLE f550CNTI0N \ \ `1. 1 — 1 hof- NkI A IN C) W" 1:1*1O° c�2s i s o -oyn o� 8588 00 N/ORpLL & AND LANDSUP N.v.s. Llc. Na. asssa 4- ° 4�,p0„ w JOHN N. CAR UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY Is A VlounON OF J seph A. Ingegno SECTION 7209 OF THE NEW YORK STAFF EDUCATION uw COPIES OF TH15 RV LASURVEY MAP NOT BEARING Land Surveyor THE AND SURVEYOR'S INKED AL OR SI EMBOSSED SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN GNLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Title Surveya — Subdivisions — Site PIOOS — COOSfNctfoo Layout TRUE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTIMION LISTED HEREON. AND To THE ASSIGNEES OF THE LENDING INsn— PHONE (631)727-2090 Fox (631)727-1727 TUDOR CERTIFICATIONS ME NOT TRANSFERABLE OFFICES LOCATED AT MAILING ADDRESS 1360 ROANOKE AVENUE P.0 Dox 1931 THE EXISTENCE OF RIGHTS OF WAY RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 21 -617D - R (8FOR "tbG'a .IUL71 F71 3 29 SURVEY OF PROPERTY " I i,1 1 n L ��„ o SITUATED A SOUTHOLD N� tiro vv a-FJ ih i 1 e o4 `Gg' 3 �, TOWN OF SOUTHOLD OMCOOfWa:,FcwalOrNiana'DaEnanl ' ' �'� SUFFOLK COUNTY, NEW YORK - - _ _ _ S.C. TAX No. 1 000-55-03—P/O 4.3 o SCALE 1 "=50' DECEMBER 28, 2001 `-"'I c•� q'S 4 \, y `b ff JANUARY 21, 2002 REVISED TO SHOW BOUNDARY LINE AGREEMENT PA AUGUST 21, 2002 ADDED PROPOSED HOUSE APRIL 16, 2003 FOUNDATION LOCATION I ` �•\ MARCH 16, 2005 FINAL SURVEY APRIL 21, 2MA ADDED WATER LINE AND SEPTIC SYSTEM AREA = 97,827.11 sq. fi. 2.246 ac. -_— OLD NORTH ROAD \ CERTIFIED TO: SCOTT KRUK 9� BANK OF SMITHTOWN COMMONWEALTH LAND TITLE INSURANCE COMPANY �e 4q p. y \ 4fT \ . 9 2 o a . Of rQ• +F? f Q J\1 4 i xX C PREPARED IN ACCORDANCE WITH THE MINIMUM �Yf STANDARDS FOR TTLE SURVEYS AS ESTRLISHED 466.4 BY ME LI.ALS AND APPROVED AND ADOPTED A7� 1 FOR SUCH USE BY THE NEW YORK STATE LAND TILE ASSOCIATION. 1 .. 1� CW[O,1MiN Oe ✓o4�6�0— 6�.(9,9,Op CARRRNti & AgO. JOHN 14 N.Y.S. Um. Na. 49666 s sN'E 5 77 UNAUTHORIZED ALTERATION OR ADDMMN TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF TIE NEW YORK STATE Jo eph A. Ingegno COOPIES PIESUCATF AW COF THIS SURVEY MAP NOT BERING Land Surveyor THE SURVEYORS INKED AL OR EMBOSSED SELL SHALL NOT BEE CONSIDERED TO BE A VPLD TRUE COPY. CERTIFICATIONS INDICATED HEREON SMALL RUN ONLY TO ME PERSON FOR WHOM TIE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE OLIe Surveys — Subd1V1910ne — Site Plene — Conslructmn Lo Out TITRE COMPANY, GOVERNMENTAL AGENCY ANO Y LENDING INSTTUTION LISTED HEREON. AND TO ME ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fax (631)727-1727 TUOON. CERTIFICATIONS RE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE E%ISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE PA. Box 1931 AND/OR EASEMENTS OF RECORD, IF RIVERHFAD, New York 11901 Riverhead, New York 11907-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. 21-61719 T, OFr1C,� UNDERWRITERS CERTIFICATE: - - - . ' - REQUIRED - i4t�Y1ii1l � APPJIC ' NOCCURA CK OR 112494�9' USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENT-AT . OCCUPANCY �eeL3�sw Hour CERTIFICATE FOLLOWING W0 9 NS TO O PN FOR iN EI, 765-1602 OF t. FOUNDATION • Two BEOYINBO ELEVATE HEATING A4 URED CONCRETE . - z. ROUGH • FRAMING i PLUMBING- APPLIANCES 18 AS- - - L 1 - I - a INSULATION REQUIRED BY PART " 4. FINAL - 'CONSTRUCTION N4Bt 717.3(e) (0.) OF BE COMPLETE FOR O.0. NY $TATEBUILDINGCODES 1 ALL CONSTRUCTION SHALL YEEr:, _ I • _ "�_ , ._ THE REQUIREMENTS OF THE N:K- - -' -, il - - - STATE CONSTRUCTION ''A ENERGY, CODES. NOT' RESPONSIBLE:;FOR , .� - - ,- - DESIGN'OR-CONSTRUCTION-FABOBB + . •..' .i'I", �� ' ' � " 1 PROVIDE OPIENINGS,F'gR �, '- L.' -i EMERGEN,CY;ESCAP6: : DO NOT.PROCEED WITH. REQUIRED A,. FRAMING UNTIL SURVEY Q... BY FART,,71-;OF L _' Y ST ItT1L41NG:C dc'. 17F FOU DA I N TION LOCATION <�, HAS"BE P x, SNA .. 1{ . - PROVIDE SMOKE-DETEC]ING �IALARMDEVICES J --PROVIDE /, HR ,FIRE ,,..� , I ..� : S�TOPART721.1 - , . RATED, SEPARATION'TO 11. „ PART BUILDING CDDE. � T. 717,3 (f) (1) OF, N' CDUE Y. STATE BUILDING . k' I �Y v P4UMBCERFfFl1 AWN �� � x �. _ 77 ON LEAD CONTEA r SFW RE CERTIFICAIE;OFOGGCld AA4CY C - I r ;• �� t . SOLDER=,USE'D IN WATER 1 3 „ EN a SU/APL J'/��TEM,4HlVr/V�T O EXG'EEIJZO of,9 /o'LEAD t . L I a PLUMBIN , I ALL PLUMBIN v,• G WASTE ;5 ' - { '? Lfo �ertwbin tsused� - s: '"r •. l Fpr 9- &WATEfl LINES rqEicD I _ F 9 . - . TING BEFORE'COYERING:' for ,TES - .,- sy:,cervl;�Roping shall de . .. - - ITT w Y y i'l•..i .I ` 1 H i'., YR 1 1 f y ..%:.I+tfi - •s.r.. _ _ l 1 oftypes9CorLoniy .,:�I-I , _ - - U FICATENDERWRITERSCERTI PROVIDE NTI-S RE UIRED A CALD'AND/OR.r^ Q ; .., - - •_ - , ,iTHE ALSNDC .:'::-:. '.' . �.xr - f .;,.kr,. - , ,.�,rm v, ;-;.: ..EG ,*:. ''r:r"f ,.w.' �' DEYIOCSTtsTO"PART 90RBE '� ' "� � . �. TATE-6U!LUING CGDE 'I :' , It `1 J wj64kr HcyoTr_.Mol4410 V40, ., ' 'I, � 'LaJf•I:P ice; .A��l:r�� :NIUH - ' '. Few 0322 L wf c w ' X41 Ht­'10W, 4-,wiT" If I � sZu,t f* f1 # .,iGflTfi Ne�tTa - li . 4 r Z, 44 t . I r l h Y n. +Vu - �': ., ., .::v,._ ' °n.:[ f .•f .;! -tg rv• ' � ?J l } sY tE.r a.: _ r: ,.t ,; f'- _ _ '+:°'. , ",'3 .,l' ,H f, i.. a _ I Y� I � I CT ,L_�_L 3 1 C TI �� Z � _ � �_-.1� � I 4 � I I, I Wszs+-A ^9OFESSION�� AZA 22 AZtZ it'.' �25�J 1 � I a I --LJ •— _ I � 4 . I i i i fi i S 03]151.1 ?V opAUF@SSI�N��� -$?r4t 114 1 — ^ 6 M�PR6JE0lY: Otl�WN'tM ✓'�n4+w+� lr, , I fJ 1V r Ir 1! 1, I 'yJI _ - . 1..: _ _•• I_L - ISA_.. �_ _ 1 L I i { } I t I f —_ I I O -0 V 3]]5A 0 O�AOFESstall . U— KRUK rD C T-r: HCHa 7N41RD kwNplrtQkj .[DALE:- 1 N4II.LQ "'ROVED BY: D1IAWN BYIj„Ir : y - .. DATE. _ - - - ONAWI ONUMNYNf SI H . I 1 -15 67 011 9 r 69 �, (n :/r7 1,4 t3me$ClX, Apt fk 1 I o tll " T F � � " � .' " " - + I -Lip- 4j 1 OFESmn 18.1 ^T 7,1 �I /p, 1 1 k a- - F✓ M4H 77, J`i.v C,P*4t J r iIiF ISifJF3 lYNWaoc ;1 '�pLR- �I. S3 1 li{ lo 71' AL = I . i ppu r �tl =t " + 4 117 '^"`3C'— �_ � r .�/ ITS. 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I rq' lt7� lu 2'*! 7 II I 2-I' c'<�302 � 4 I F I- L- 1' 4 X 9 Y2,.LVL_ I IU�`�J1C�I©U 1 - l :50- Y��Ick'. v, PWRETD aow— L..:%7 `�''Y`t•a, -"T" 4 ��7- � I I �r --t-.r.�.- I 1._ COK GC "rc.'r PZ"UtZEC> CwyCWE rtk 'i 'lzr`14y t i I f 1 � . i I 'jrl �n - ' rlI I p 2.•✓a 11 ll 0 I `��sG 41 nLNJ�Ef ., ah.1GY2E,F2�'.'�1'�" YGk,- iP[7'�CLHRxcjRt� Y._ = 01, , &Lomis f -- )CIL , I I i N I�IN w� i ''011 + .� 1` oFess,aN H �xz 1©.0 -- ZX4 THRU PCLT hrs1 C! �-, I'oj1 2x4 x446Le 'r s" -?o.�'' r10 V'�!^ �.(A''hCK� j 1/L✓ IIr EC/,LE, 4 _1' /p1/ APPROVED BY _ OflI,WN B)• ' DATE - - - - OMWINGNUM609 � ��- NVYllir f'4�'''```���,,,��^''rrr,,, 'I .� �i.'Ll�l[IS.' �„� -. /' � •f. ��(1' 9F � 1 �Y I!1 61 T'i"!i•_�oe4�;�") l"j . .r I �y�y�.0 i fou ; CeP" & io l415Uflot `4 i'����X9 211LVI_ r mal I�5 01 L -! OPI ' I �?? IFUGG 7 p� 1:4J cel H !J c Gi4.UErp TJ ! P2 Grp ll'� RG! - - -- - 4 0-1% Xf LVL t1" Il fm#_ /._ ❑ //1Q.�F NrV/Y0 - �ADfES51�HP� j SCALE1 _ 1/1p APPRDVOD SY' �y�J DRAWN 6Y/MrI^fulo] orvewiNo rvbM�ER��}�. � 1:0 t4" b1L p,Cu ®r � 4 �Iu4eT�gg"f7.t\�«\ /l. a Qk"P 17rx�J!(c�cs:,✓, � 17, ext c,J.csIwo, I \ I 11-7 IUU� Ti F90250 I1 / 6>IeaME G; Of NEV. I t p IIfi - r W 03215A.1 OpgOFESStOHP\' SCALE' .y[ V0,( APPROVED 8Y: 4, ORAWNGY ' - - DATE. J µ. - - - _ GRAWINQ NUMB&R i� 2 2XI+Z. 21,7Cd �r f U \ �� Zvgrrra�'ild,to, x„ T. 4(t` Vis\ �0.Lie ,�0��0 �a���4 c9 F Zi Ito,! 60 ,I `� .2-t {itI'vlxL I G A tear t � W4.;a `a Ti I1 �:; 2rX% tta7}€i;Elpr.`�Ln jt �l _-7, 032541 �A � G'� OF SSW, KRUi< t `�crTT NC+M 6D��EI (�p�yyly ( IGn •M,ldYlD lV DltWN"Y8 , gry� •fP.I'^ w x v`{ Iii/� I i IX ry K ! _ 1 . �4 �� 44 Ci -74 E I � I � t � I '�X P✓ f'7t/Lk_�,E_ +�C � � �� ��'�'-� '�'✓�'#" y. 1 y�4,j�_'rL°1'•F / Ct I -==—� _tiq _ _ I ESSIO _ r''�t.`4, w �JV4�---�liC';" ��.4 . 174-1,,,fICI)) Apwrrovra'dr: oaAwkwf"'.^: tak.'Fi DAT[ '.•I`I '"'/" v/(L