HomeMy WebLinkAbout32044-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: OS/26/06
No: Z-3l588
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 585
(HOUSE NO.)
County Tax Map No. 473889 Section 21
AQUAVIEW AVE
(STREET)
Block ~
EAST MARION
(HAMLET)
Lot 17.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 26, 2006 pursuant to which
Building Permit No. 32044-Z
dated
MAY 26, 2006
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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY SEASONAL DWELLING AND
CHANGE TO YEAR ROUND USE AS APPLIED FOR.
The certificate is issued to JR & BM WILKINS TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
1047071
04/19/02
PLUMBERS CERTIFICATION DATED
09/11/00 ROBERT VAN ETTEN
Rev. 1/81
..
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
M.c-\.; I -+0:
~"0-5 Aov.AV;tW
t
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the bui
inspector with the following: for new building or new use:
1. Final survey of .property with accurate location of all buildings, property I
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system conta
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bu
and installations, a certificate of Code Compliance from architect or engine,
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
f,
B. For existu\.g buildings (prior to April 9, 1957) non-conforming uses, or buildin!
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building an,
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applj
If a Certificate of Occupancy is denied, the Building Inspector shall state l
reasons therefor in writing to the applicant.
C. Fees
1.
2.
3.
4.
5.
Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.
Additions to accessory building $25.00. Businesses $50.00.
Certificate .of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - , .25,.:.
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential
$15.00, Commercial $15.00
[?!r../ /00
Date................................. .
New Construction........... Old Or Pre-existing Building...~............
96.;- ~\.II~ A..[6" ~,1-f~
Location of Property..................................................................
House No. Street Hamlet
Onwer or Owners of
513';- Aav/lJIGlV I.d~ LIM..>O Te.A.'\
Property.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. ..
County Tax Map No
1000, Section............. .Block............... .Lot...............
Subdivision........ .O.......:j).............. .Filed Map........... .Lot.... ........ ...
Permit No. .~~.<?':I.l;{ . . ~ Of Permit.~-:~~ .-:Q~. . . . .App1icant~~X\ m .r-:Gy.
Health Dept. ApprovaL........................ .Underwriters ApprovaL.. ..... .... ... ...
Planning Board ApprovaL....................... /'.
Request for: Temporary Certificate........... Final Certicate...........
,...
Fee Submitted: $.~?:f~.........................
~~.~.~.........
-r-~\az- APPLICANT
Co~ 3\5~~
r2e- c... 'I ~ '1
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.
32044 Z
Date MAY
26, 2006
permission is hereby granted to:
JR & BM WILKINS TRUST
22 DECATOR AVE
ANNAPOLIS MD, 21403
for :
CONSTRUCT ADD/ALT TO EXISTING ONE FAMILY DWELLING (SEASONAL) AS
APPLIED FOR & CHANGE TO YEAR ROUND USE. THIS PERMIT REPLACES 25947.
at premises located at
585 AQUAVIEW AVE
EAST MARION
County Tax Map No. 473889 Section 021
Block 0002
Lot No. 017.001
pursuant to application dated MAY 26, 2006 and approved by the
Building Inspector to expire on NOVEMBER 26, 2007.
Fee $
221. 80
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
o COMPLETION OF THE WORK AUTHORIZED)
f-.a-y\ 3 Oo~ '-I
PERMIT NO. 25947 Z Date AUGUST 12 99
Permission is hereby granted to:
SUSAN M FOX AS TRUSTEE
22 DECATOR AVE
ANNAPLLIS MD, 21403
for :
CONSTRUCTION OF AN ADDITION & ALTERATION TO AN EXISTING SINGLE
FAMILY DWELLING (SEASONAL) AS APPLIED FOR & CHANGING TO YEAR ROUND USE.
585 AQUAVIEW AVE
EAST MARION
at premises located at
County Tax Map No. 473889 Section 021
Block 0002
Lot No. 017.001
pursuant to application dated MAY
3
99 and approved by the
Building Inspector.
Fee $
171. 80
~-~
Authori~~igna re
ORIGINAL
Rev. 2/19/98
rm.rm
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY - ~
~ 40 FULTON STREET - NEW YORK, NY 1 003B ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ KDZELlKOWSKI SUSAN FOX ~
~ 1000 CEDAR DR 585 AOUAVIEW AVE ~
~ EAST MARION,NY 11939 EAST MARION, NY 11939 I
~ Located at 585 AOUAVIEW AVE EAST MARION, NY 11939 ~
~ ~
~ Application Number: 1047071 Certificate Number: 1047071 ~
i Section: Block: Lot: Building Permit: BDC: NS11 i
~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ Basement, First Floor, Outside, ~
I I
~ was inspected in accordance with the National Electrical Code and the detail of the installation. as set forth below. was ~
~ found to be in compliance therewith on the 19th Day of April, 2002. ~
~ Name OTY Rate Rating Circuit ~ Amount ~
~ ~
~ Invoice Total $75.00 ~
~ Defects previously reported, as items of non-compliance, have been corrected. A visual inspection made of the exposed electrical equipment in ~
~ the premises indicated found no obvious unsatisfactory condition. ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ ~
~ ~
i This certificate may not be altered in any way and is validated onl.jby ~~e p~esence of a raised seal at the location indicated. i
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Town?i'a~,~3~~~Jn.aJOO ,I I;
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Sou'lOld. ~ew~~.J.ldJ;j~-J
. ~_ -!()~"J OF SOUP-.,'OLD
-~,_...
Fax (516) 765-1823
T oioptton. (516) 765-'802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I FIe A T ION
DATE: S-er l I J-; .;LOOD
Building permit No. d? 6 q 4- 7 ;:z
owner: Sll.6tLn ~
(please print)
3 ').o~
Plumber:
/<0 bfAf Van E ffef)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
t<tI~ cy~f~
(Plumbers Signature)
sworn to before me this
II day of ./ "4r- I --i-9'-"~C:>O
N?tiit~ ~F~ty
'.
ELIZABETH A STATHIS
NOTARY PUBliC, Sla18 of New YOlll
No.015T6008173 Suffolk CountY
Term Expires june 8. 20..2 2:
~r:9V:)~
3~DY'-l (~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] IN~LATION
[ ] FRAMING [ vrFINAL
[ ] FIREPLACE & CHIMNEY
f~q--
DAn 11hJ
INSPECTOR
,;l ;)1st? +
'3-;;Jolf '~
~cj
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1 ST [
] FOUNDATION 2ND [
] FRAMING [
] FIREPLACE & CHiMNEY
---
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DATE (1077 ,.?fl/'
/
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND ~ [0 INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~L~ ~
r{)~ /IF &~
DATE
~ 3dtJYLj
;2 5"9cf7 f
765-1802
BUILDING DEPT.
INSPECTIO
] FOUNDATION 1 ST
DATION 2ND
[
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
,.. V~
eJ~
REMARKS:
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765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R~~O~
S~'~~<?t;L ,
.~ f;:;:;~
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DATE .5/~ ~
d-.51 '17 c
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765-1802
BUilDING DEPT.
INSPECTION
[~OUNDATION 1ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE f!~/ff
INSPECTOR
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B:>>Y'dBHI:I [ ]
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11 I'NSPECTION RKPORT uy;~ COMMENTS .,
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STATE ENERGY ~I I
CODE n
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PLUMBING
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OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 5 1)
au A v' t vV A y &
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ex .t./ ,J.!:1l.-'-' :.'c"C_..
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FARM
VILLAGE
DIST.
SUB.
LOT
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Cd - .I,. /' // /1 .: '/:..y ;t..-....
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W.])/:lvIES
w
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ACR. ~
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TYPE OF BUILDING
RES.
VL.
COMM.
~L-v ..,~~
,
MICS. Mkt. Value
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CB.
LAND
IMP,
TOTAL
DATE
REMARKS
?OO
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(k,.- ,c _, l/Vle
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+0 ("nV'C" L, I' b...c k JJJ '+;0'/\
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AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
~.--~ .--, , ..., <"'-" ('I "::"-
/'~ - ~ ~i ,
...3 .s:~? ~~" /" '.) ~ ," ~,
.2 :'. -,:;- ,
S-C, f
/
rillable
FRONTAGE ON WATER
Noodland
FRONTAGE ON ROAD
DEPTH
BULKHEAD
/';>'0' "'j??",,"
__~________.___6..
7'0 /
v\eodowlond
,,3 .,.
-1ouse Plot
rotal- -
-
DOCK
----.,
COLOR
wv-IvJ'.--L
TRIM
:.-/^.;,t
~.-L-./i ~
ft~r{\ .
- j' -
~ I
.' I
.
m
I
'. I
{.
,
-
.
.
, 0 I
.. . I.
I
I~. I
. . t~
-
.
VI. Bldg. /:: "" (5 I
."Z~ t'..30 =- c::< 7 5~ / ,F / 5~ r / 1"- I~ I
I.
Extern;ion . .... .. I ,
lor .
:xtension
. ..
I ,
:xtension
Foundation C;B Bath I I Dinette I
'orch I (p,/ Basement I CF/J jj '-- Floors Vvl i
6">: . /.7 .'Y ""--'J r ,K.
)orch 12 ~ \4-~ \~~ 7';- tt'2- Ext. Walls !/./J) .' ..J'. Interior Finish ! LR. I
,.-.' '- . . ......---'" - ,
3reezeway I Fire Place " ,:- 5 Heat ;,;' J DR.
:;arage Type Roof Rooms 1 st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
-
::>. B. Dormer Driveway I
,
, i
Total i / !
I ;II,!?
c
--
ENERGY CODE CALCULATIONS
FOil:
vf/, l/elf)}
5' 13 s' A ,?",q /lIe...., ~I/nllle
EaJJ }Aq>l~~
6,,-11115/0>'
PEll:
6.000 Degree'Oays
Q.A. 100F ~.A. 700F
(/lllth J
(For Non-Electric Ileat)
Design Cril:eria
DNfED:
fl.."
'i3,/f('
I
SUUSYSTEM . DESIGN TlIEIU1EL REMARKS
ARE1\. .U" M'rING
ExterIor Walls (Opaque) S"lfrS .077 '1'33
. I ,I tfJ-. /J, /II''''''
Glazing I q ~" [lo}" ft-
, 12.0 .3'2. -~l, e yu e I
Ov
Doors Z-o ,ztO f3
- ..
CelLin')l Huof (Opaque) 6'1) 17:( 0
,
Skylights , ~
, ..
Floor 5"1]" ,D S' ()
Founelatlon Walls
Slab Insulation
TO'r1\.L +5
\'
No tes :
nuilding Envelope Systems to meet requir.ements of 7615.2
IIVAC Equipement to' meet requirements of 7615.11
llVAC systems to meet requirements of 7615.r2
Duct Systcms to meet requirements of 7615.13
Ventilations systems to meet requirements of 70l5.H
Insulation of piping systems to meet requiremcnts of 7015.15
Service Water lIeating Systems & Equipment to meet requirements of 7015.21
Eiectrical & Lighting Systems & Equipment to meet requirements of 7015.31
. ~ .
'1'0 the best of my knowledge,
belief, & professional .
judgement, the!3e plans are in
compliance with the coele.
,
ENE:ltGY CODE CJU.CULJ\'rIONS
)arn(.} 0/IKlh!
A pc) II V 1 ~'-' j)r-/ ". C
l; t1JI Hay/Dr<
Add, tJo>!
cesign criteria G, 000 uegree',Da}'g
a.n. lOoF I.n. 700F
PElt: J lJ/it'flJ
(For Non-E:lectric Heat)
FOil:
DATED:
.5fG~,(J' (
V
7/'1/f'C"
,
DESIGN '1'HElU1E:L ,
SUUSYS'1'E:M AREJI. ttu1' RJ\'rING REMJ\ItKS
Exterior Walls (opaque) tjBD . Dr' -I-J)
F~ "sn At 4-rf;r"",
Glazing 2-D " 12.3 .3l. ,2.2-
01" 8PvillJ
Doors 20 ,l.fO &
, "
Ceil.i.n<J/ ltuof (O/,laque) 10 8~ oS' c.l
.
Skylights "
Floor ,08,S . O~ 0
Founuation Walls
Slab Insulation
,
To'rJl.L +S
('
Notes:
Iluilding Envelope Systems to meet requirements of 7015.2
lIVJ\C E:quipement to'meet requirements of 7015.11
lIVJ\C Systems to meet requirements of 7015.r2
Duct systems to meet requirements of 7015.13
ventilations Systems to meet requirements of 7015.14
Insulation of Piping systems to meet requirements of 7U15.15
Service Water Heating Systems & Equipment to meet requirements of 7U15.21
Electrical & Lighting systems & E:quipment to meet requiremellts of 7U15.]1
. ~ ~
'1'0 the best of my k.nowledge,
belief, & professional
judgement, the!'e plans are in
compliance with the coue.
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: · ' . ' , THE REO~IREME~TS I OF, TH~"ity, ,I 'I I i Asiro PAF'T. 7~l.t I 1 r/
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.~ East Marion. NY 11939
Phone 477-2465
SUFFOLK Lie, #12988-HI
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MAY
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS' OF' PLANS...............
SURVEy........................
~HECK .........................
SEPTIC FORM ...................
'mW!I~~ru" ',.J
haniredk..I~.., 19.?:l
Awroved~" 1......, 1921.
Disapproved alc ....... ...........................
'3~U~'f r~tJ
. d S'1 t( 7-e:--
Pemnt lb. ................
NOTIFY:
1jJ/,-417- ft~fj'lI
CALL _....ptD~.;.j;;7-7'8'
MAIL TO:....................
~ a .. ~ .. ~ a .. e .. .. . .. .. .. .. .. .. .. .. .. .. .. .. . .. .. ...... .. .. .. .. .. ..
.. .. .. ~ .. .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. .. .. . .. . .. .. .. ..
........................................:::~~
APPLICATION FOR BUILDING PERMIT
. Date.. !d~kf....., 19....
INSTRUCTIONS
a. This application DUSt be ~letely filled in by typewriter or in ink and subnitted to the lk1ilding Inspector witl
3 sets of plans, accurate plot plan to scale. Fee according to scheWle.
b. Plot plan ~ location of lot and of buildings on premises, relationship to adjoining prBDises or poj>lic
streets or areas, and giving a detailed description of layout of property 1IIJSt be dram on the diagrllll widl is part of
this application.
c. The..orl< covered by this application ""'Y rot be CCIlIlEOOed before issuance of lk1ilding Permit.
d. Upoo approval of this application, the lk1ilding Inspector will issue a lk1ilding Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the ""rk.
e. lb building shall be occupied or used in .mole or in part for any PJI1lOSe Watever until a Certificate of
Irn1p"'ry shall have been granted by the Ik1ilding Inspector.
APPLlCATIlIl IS JIlRIl8Y!WE to the lk1ilding Department for the issuance of a lk1ilding Permit pn-suant to the
Ik1ild\ng Zone Ordinance of the 'Ibwn of Southold, &Jffolk County, New York, and other applicable Lsws, Ordinances or
Regulations, for the COOSl:r\JCtion of buildings, additions or alterations, or for I8ID\1al or deuDlition, as herein
described. The applicant agrees to cootlly with all applicable laws, ordinances, building code, hous'ng code, and
regulations, and to aDnit aJthorized inspectors 00 premises and in bui ing for . ti
K
.~.~~~........... ..................
<Mailing address of applicant) 'it; 3<3
~~P'"t'... I
State Wether applicant is owner, lessee, agent, ardIitect, engineer, general contractor, electrician, pludler or builder.
............ _ _. .::. :-J.~:?:T<?:~................................................................................. "-
NmE of owner of premise~;l. on ~.....?:fi!..'?..~.0!'!.'!':.'!.'.~..~..f.f.~..~.....................
(as on the tax roll or latest deed)
.'
If applicant is a corporation, signature of Wly aJthorized officer.
X.~Ci>~~3Y.'":1.7J.l.':~
(NmE and title of corpnrate officer) S~~. ~/ 1i!<J!>-r~
lk1ilders License lb.
Pludlers License No.
...........-.............
..............................
Electricians License No. .....................
Other Trade's License No. ....................
I. location of land 00 widl ploposed..orl< will be 00re..~~.~.4:9.'-?~~.'.~..?~y.c.,...~~
...................................................................................................................................................................................
\bJse Hudler Street Hanlet
County Tax Map lb. IIXXI Sectioo .J?~.t!.c:;.f?... Block ..t?~.'.~.C?.... IDt ...~t.?/.f:?p./
&lbdivision ............ .......................... Filed Map lb. ............... I.ot ...............
(HIme)
2. State existing use and nrn1p"'ry of premises and intended use and occupancy of proposed construction:
a. Existing use and 0<<>1p"'ry ...!:'!!:~:":'f..~~~:-!.~.~~...................................
S~
b. Intended use and 0<:f'I'I'""CY ......... ............................................................ ........
3.
l'..ture of work (check "bidl applicable): New fuilding .......... Addition ...~. Alteration ....::..:..:-._~.:~
Repair ............ Rsooval ................ IleIoolition ................. Otlaer llork. ..................................... >
(Description)
4.
IlstillBted Cost .7.~~P.(l..e:i?.......
fee
.....................................................
5.
(to be paid on filing this applicatii.U-1"i\,"i<Cl . ,
. I I ,';:""(. ,,....~,.
If-'--II' --'- f-'--Il" U-'-_ f-'--Il' . achfl .-."T'.,.."__ .'
uwt:' lng, .....ut:'ro \aIft:' lnglmlta .............. l'IUllU:ro uwc_ Ingullltsone oor ......~..:.,._~.~~
;!-J/ tV-
If garage, ruJiJer of cars ......................................
6.
If business, lXIIDlerciaI or mixed occupancy. specify nature and extent of each type of use......................
O. . f" 'f Fron ~() , 30' De 1 Z. 0 '
lJoenS)(][l8 0 P'Xlstlng stnJCtures, 1 any: t............................... Rear .............................. pt I ...... i1C........................
.,.. I'll . /
HeIght .................... ltuber of Stones ..................... ";1.-1' ~ rI- I
Oimensions of SlIII! structure with alterations or additions: Front......:'1:Y...... Rear...............
O~pth :.....;5-:........ lIeight :.....FronJ.9.(....i.~./~r of Stories ~'~~""'''''th' '3D /? v
lmenslons 0 entl~ new coostructlon: t ................ Rear ............... llep ..............
lIeight ......I.?:............... ltuber of Stories ......!..............
Size of lot: Front .....9.(?~......... Rear ....!.~.?~......... Deptb ...~:!:'!.:..........
!late of PurdtaSe ....1.f::.:r."':':-:'..~ tl1Jre of Former Omer .';!.~~.If:.~/.'-!9:.-:~:~:~':T!:~."!.!'!.K..~~ 'r,euS(
d. . . -L'ch' . ed D - L( '"'
ZcKae or use: IStTlct In ....11 pr8Dl&eS are SltlJat .. .... .'.\..... U..............................................
Does proposed coostruction violate any zoning law. ordinance or regulation: ........................
will lot be regraded ...f.!(.Q........... will excess fill he rEIIIOIIed fran prsnises: YES R>
tl1Jres of Omer of prsnises . j~4<< ;p.~) /~..sXq?'. ~ Address ??: p.~7<:'i?-.....~:':'~~.f.t~ 1'hone lb.4.k?-?':r.-.~r.f?
tl1Jre of Architect .................................... Address .............................. 1'hone lb. .............
tl1Jre of Contractor................................... Address...............................1'hone lb. .............
Is this property within :J(X) feet of a tidal ""tland1 * YES .. K.. R>..........
*IF YES, 9:I1J1IID 'l1Hi/ 'mllSfmS PIlItfIT MI\Y llB 1lFQJIRIlD. A. L-o T/2.<Js r
* ~ b""'B"- ~",a.Vt~ IWIF.
PLOT DIAGRAM
locate clearly and distinctly all buildings, >itether existing or proposed. and indicate all set-back dimensions
fran property lines. Give street and block ruJiJer or description according to deed, and sIoi street OlIII!S and indicate
lilether interior or comer lot.
7.
8.
9.
10.
II.
12.
13.
14.
15.
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Sr^lE OF-fIlW IllllK.J..iA..eYLAAiD
s,<;
OOJNIY OF .M.:'!.'!: t'!K'-tNP.,*-...
6u..Sa" 1-l.1=01\ . . .
. .. . . .. . . .. .. . . . . . .. . .. . . . . . . . . . . . . . . . .. . .. . .. . . . . . .. . . . . .belng duly sworn. deposes and says thatS1e IS the applIcant
(tl1Jre of individual signing contract)
above natl!d.
SHe is the ..... .~.?{~... ... ...... .......... ..... .......... ..... ..... ............ ......... .........
(Contractor. agent, corporate officer. etc.)
of said <JolOE!r or <JolOE!rs, and is duly authorized to perform or !lave performed tbe said work. and to make and file this
application; that all stat.......ts contained in this application are true to the best of~ knowledge and belief; and
that the work will be performed in the DBmer set furth in the application filed thereh"fu.
Sworn to before rre this
..... 8~..... .day of . /;(q(.c;/}.... ..19.1.1...
-,Rblk .ff:#~........
/l1y CtTm/n/.%ltm G!<f',res ACId ~ 2.000
~~YD3v.y
(Signature of Applicant)
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N. 83"1070' W.
CIIF
90.00'
AQUA VIEW A VENUE
CONTOUR LINES ARE REFERENCED TO
N.G.V.D.
Coq.slo-I tro.,,,~ HCL--z.~ t./"l e ;:;-4>"" .
Coc.-&lc..l ~r_" ""a............. ~p PHorO 50,,, /1 - t.~
ANY AL TERA TION Off ADOtTlON TO THIS StAlVEY IS A VIOLA TION
OF' SECTION 7e09 OF' T1E: NEil YORK STA TE aJUCA TTON LAir
EXCEPT AS Plifl SECTION 'le09-SUBD/VISION 2. ALL CERTIFICA T/ONS
HEREON ARE V,4LD FOff THIS WoP AND COPIES THEREOF ON~ Y IF
SAD Iio4P OR COPIES fJE,4R THE IW'RESSED SEAL OF' TH/:.- SURVEYOR
WHOSE '1/GNA T!A'ff: APPEARS HEREON.
ADDITIONALLY TO COMPLY WIT'!JSAID LAN THE TERM 'ALTERED BY'
WST BE USED BY ANY AND A,+ SURVEYORS UTLIZ/NG A Copy
. F ,4NOTHER StAlVEYOR'S IJAP. TERMS SUCH AS 'INSPECTED' AND
'BROUGHT TO-DATE' ARE NOT IN COUPUANCE WITH THE LAW.
SURVEY OF PROPERTY
A T EAST MARION
TOWN OF SOUTHOLD
SUFF~~ ~?gH..~H N. Y.
SCALE: 7" = 40'
AUGUST 77, 7998 ,
A..., 2.7. I'J'J 8 ( O...A.,AA/O"lJ
'"
AREA = 40,877 sq. ft. to tis lins
C. NO. 496/8
98 - 258