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Home My WebLink About30414-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31801 Date: 09/13/06 THIS CERTIFIES that the building NEW DWELLING Location of Property: 850 PRIVATE (HOUSE NO.) County Tax Map No. 473889 Section 76 RD #22 (STREET) Block L- SOUTHOLD (HAMLET) Lot 15.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 2004 pursuant to which Building Permit No. 30414-Z dated JUNE 18, 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VICTOR RERISI & VINCENT MATASSA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-04-0013 10/17/05 ELECTRICAL CERTIFICATE NO. 09/09/05 2043752 PLUMBERS CERTIFICATION DATED 05/05/06 BRION BLOTT ~~ Authorized Signature Rev. 1/81 JG 2111 [": '~~'-~1-:~1 , ';' . n': Form No. 6 'I : I TOWN OF 80UTHOLD . ! BUILDING DEPARTMENT J" TOWN HALL - j 765-1802 . , ',TOLl) .--- APPLICATiON FOR CERTIFICATE OF OCCUPANCY go. 0"'r 112- ~, 11. Cj- I r7~r l I I L~' L. 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: i. 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 (8-9 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 2/1 0 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" laud uses: 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 $]5.00, Commercial $]5.00 Date. Location of Property: NW Old or Pre-existing Building: 3.50 ~I( /1/ ArE ,RD #-.2.2- House No. Street ' UIC1z,,L ~/SI CJ7~ (check one) . Sq7fccj) Hamlet New Construction: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block I Lot /5';6 Subdivision Permit No. r 3Gl ~/ Y Health Dept. Approval: Date of Permit. Filed Map. ~ /; t )0 Y Applicant: P:c~,e. Lot: k~/5/ Underwriters Approval: Planning Board Approval: Request for: Fee Submitted: $ Temporary Certificate ~s: Of.} Final Certificate: (check one) {)ut~. Applicant Signature fA,c. lOa., d-- <b c. 0 ~ ? f 8"0 I .... 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. 30414 Z Date JUNE 18, 2004 Permission is hereby granted to: VICTOR RERISI 5 BETHPAGE RD HICKSVILLE,NY 11801 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC & TRUSTEES at premises located at SOUTHOLD 850 PRIVATE RD #22 County Tax Map No. 473889 Section 076 Block 0001 Lot No. 015.006 pursuant to application dated JUNE 10, 2004 and approved by the Building Inspector to expire on DECEMBER 18, 2005. Fee $ 1,343.40 , ORIGINAL Rev. 5/8/02 n ' !-CC-1,'1Pt r'J' Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 James F. King, President Jill M. Doherty, Vice-President Peggy A Dickerson Dave Bergen John Holzapfel ',~ Telephone (631) 765-1892 Fax (631) 765-6641 -~?":::-.:.c~:z,-,: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0133C Date July 24, 2006 TIDS CERIU1.l!:S that the single family dwelling and 50 I buffer At 850 Private Road, #22 Suffolk County Tax Map # 76-1-15.6 Conforms to the application for a Trustees Permit heretofore rued in this office Dated 7/2/02 pursuant to which Trustees Permit # 5604 Dated 8/23/02 Was issued, and conforms to all of the requirements and conditions of the appDcable provisious of law. The project for which this certificate is being Issued is to construct a single family dwelling w/basement, and a 50'non disturbance buffer. The certificate is issued to Victor Rerisi owner of the aforesaid property. ro<~ Authorized Signature . 5: ,: Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 . I 2 i . '-~ __.I_~~- , i ',II) , Fax (bjb 765-9502 Telephone (631) 765-1802 BUlWING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 5' /5" / o/' Building Permit No. 30'kt Z VA/cleAt! ~~$;};jA (please print) .&)Pr" tLoH (Please print) Owner: Plumber: I certify that the solder used in the water supply system contains less ill ............. (plumbers Signa..ture) lead. Sworn to before me this 6- Victor E. Rerisi Notary Public, State 01 New York # OlRE4634970 Certified in Nassau County Commission Expires 2/28{ 01 dayof N\r..y , 20 (J 6 . Uc/L Notary Public, N,f~s.f11. County '/~ - I~/-;.I,., - - ;;1v':J 3iJ//'IL/Z l!I~.l!I ;. eYTHl6.'CER,;II'lC:A:rrE O~:O-dMPl;,IA:NOe .J'H.e: ; ~ N~WYORl<.abA~.t? . oFFi~eUiNl)eRW'RITeRS ~ 1j3,t,JRI$.~~()F EL~T~!IGITY'. I ~ 40 FU"'TONi.siFREET - NEWV,SRK, NY 10(13$ ~ I QgRTIFIES 'THAT I 1.1,JlJQ~I~e\lPJi!j(;~lfQ6W upon l?remisesQyme? by I I 8913'$ E[!OCWglq$'P-gl"j\C~, '. 'Tv1A'1'A$~A . . I mJ :33QiY'(~lPHPIJAU?fi3!;i;1Ji Il&OF'!'WATg~QAD.22 ~ ~ HICKSVJLLE'1'l1't1f80f .. 'WOcIY1.4ilN.$T ' ~ ~ . . ...... .... . '," " . ... '.",,' . ". .! . '. l3ovtaOLIP,'Nt(1i19'l1 I '-l;.-Qj;)l>tM-i.t.. __lasQ-8~NA",i;!RGAL)'~G<-MAJN:Sl'ooU'nWI:1'};1\IJr<1t9'1~' ..._,.~..-. ~ ~-- ~ ~ API1IJ!:ation Nqmber: 2043752 CeitificateNllmber: 2043752 ~ . ~. 'Sectibn,81ock, .. .. : !-~(1) . "!3'ollojngPetN,iit, BOC: n511 . ~ IQeSHnb~gasa. .' .. ResiMllti~.9M~,41ldD,~;p:e.~~",: .1tc~ypahCYJi~h~ijftl,tn!ipr$V$~lllectriqaISY$temc;OnSjsting of !. mJelllctricaldevicesi and wir,i nlli~:cteSGri b~dibeloWi,llilq~ted i:n/on. the. pfen:liS\liat:.' ~ I 'fl~semenr,First FIQ'Qr,SecQndI11dnlf,Ati'a~1i'~d'~m:age.'o.IlISide, '1 .~ ,"" ~ ~ A vls~al inspection ,of tne pr,emises e.l!1Gtr~Gat Sy,stem, limited to electrlpal deyjces arid Wiring to the extent detailed mJ ~ ,her.eiA, was, .cond~Qte,d in" aGccGr,darce,-' ,wft1i1; 1he irequirell1ents 01 the applicallle code and/or standard ~ 1<'.~~~~Q~]r;~a~i~~ j~~f$d~~;i:~~tn~~~~~:.~~.i~e~I~~~a~Jl~:~~~~b~~~~c;:ellt D::~t~~;~:::r~i~;ot other I I:r:rn aild Emergen"r Equiptnei1( , .' ,iJlT;r"R;'le ,Ratio. i (1irc~if .lJ'voe. . ~ ~ Seosp' . . .'\ CarbOD~Ol!oXide ~ ~Sen~or " ,. " . . Smoke ~ ~AI1PIi~De~~j\n!lA~c:essOries,: ;i:;'!~"'" . ~ ~Exh!iust-"Wl. ' . <.1 ,4,U;Oi F.lI.-P;, . . ~ mJ ;HydroNjass!lgO 'litib.~T-herapeutiG . ~.. . '.__~,_J_'LO ':"._ __ __ d_~'._''- '__...___ -- i!!! Futllre:Apjiii~ric-~-Fe~dh .--.-- .---~, la; 50 Amps ml ~Futute ,AppH~nceFeeder 20: 20 A.mps @l ~Fumace' j.O, on ~ ~ . Air (j;on</i\iol!er 1, 0 ; 36.000 B.1'U . ~ ~ Air <;;onditioner 1 0: .42,000 8'1lJ ~ ~Wiring aildDe:vlces. ~ ~QutleI610' Fi1(ture mJ ~ . 'Fi~t\lre . 61' 0, incanQescenf ~ . ~O~tH,t 94 0 GenenU, Pi!tpose .~ I~:~::htaele ~; .:: ~:::;:i~::::~ seal ~ I Receptacle I '@, :ZOamp Laundry I ~ {:ul\tinued"nl<r~xtPa~ ' I of 2 ~ ~ This certificate may not Ilea/tered in 'any;way,and'is validated only by the presence of a raised seal ilt the location Indicated. ~ ~. ~ l!I iii . rn.rn I BY THIS,q~R1I'IFiICATEOJ=eOMPLI.ANeS: THE I I NEW YORK SOAR.OOF FIRE ONOEiRWRITERS I ~ BUREAU OF ELECTRICITY ~ ~ 40 FUl..,-rON' STREET ~ NEW YORK, NY 1 003.8 ~ I ~~~~ I ~ uponthe.applicationof upon' premfsesownedby ~ ~ ~ ~ B06'SElECTRICSER-VIGB . MATASSA ~ ~ 339W,rlJIOHQLAlsTREET /i50PIWATEROAD22 ~ ~ H1CKSVILLE,NY11~01, . .... . ..... . ....... . ~~U~~~Lg~NY 1'1971 ~ , ; . Locat~~ ~t .' 8.50PR!VATlZR~AP:22NI~~Myl~2T~~UTH!:~!'lY -1~971 ,~~~._ ',_._ ~" ~ cAPPllc~tio~~uihb~r~ c 2043752 CeJitiflcateNur:nber: 20437.52 ~ ~ . .', '. . . . . ~ ~Sectlon: Slock: Loti ' '8uHdinilPerrnit: , 8DC: ns11 ~ I. Oescrjbe(fasaRestde.tltiali'Qoo-4()'~O, S~lII'e:l1i. ..... ....(>ccupancy,Whereintheopremiseselecfricalsystem consisti ng of ~ mJ electricaldevkes ahdwiri~g;descrlJjed,~e)oWIIClcftedih/onthep'r.emiSe$,at: ' . . ~ I Basement,FirstFlbOr,$eC~~RlOO~,A~Ched'craTa~OU~ide,....... ." ...... I @! A. visual .insJDectjon'()fth~J!,~n:lis~111ec~ri~al~Y$t~f:i;i,'limited' t\) . EiiEi9tri{jaV deY!ces' lino Wirihgt()lhe elttent detaHerf ~ ~ ,.herei!jl, ..:-vas. ctJr!du~e~'" Th"ac~8r4~pge:. 'Wjm!t~<l' 'recjl'lirerli~(l!S'of ...tjf,ii!.iil'P~li'qal)le,. bO~E!, . andlbr standard ~ . ~ "PfO~~ !gated. by.th~ $,taY~of 'NeWciYu~k.,Oep~!1rnentlofS.tatIlCPde! 'E~forqemellt Xl ndMml n Istratl()n,Or()t~er ~ . ~ ..a~thontYha\ln;TgJunsdlctIOri.a!1dioq)1dtQ'bejnl)ilrni!li~nte there.\Vith0!1~he-9ih' Day of ' SepteII1lier,2005, ~ ~Name '. . . . ,OTYRltte Rating. .Girpuit ..~ ~ ~ReceP1f',;je 1 (J 30'amp : pryer, . . .. ~ '. ~ Disconnect 2 . 0 60 amp AfrConditionl'r ~ ~ ,:,ReceptaCle 9 0' GEel ~ ~ Service. ..., .. ~ ,~ ill1hase3'~ ServjcelAAtingiO(}oA!npe~es ~ , .:""ept!s<i~'f'I<;Ql)rt:t:ti .,..... .i':.LLi ,'=.Lo:. i:~ " ~L.J' . ! .... ,~;~OQ;,." "'=" . . .cli ..",-~,"....: '~'-' .._-~,~, " ~ Meters:! ~ I . I ~ I ~ ~ ~ ~ ~ ~ ~ ~ .~ seal ~ ~ ~ ~ 20[2 ~ I This cl!rtificate m~not be alteredinanyWayilndJs Yaliqa!edbnlybythe presehceof~I'aisecl~al aHhe location indicated, I rn~iIDi1!~~iIDi1!~rn ~o+ I if '7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING y<t FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY REMARKS: ;:-~ ~j> ~ ok S>r-'l-~ I) , DATE INSPECTOR ~, ~ . - ~ocf/c(~ 765-1802 BUILDING DEPT. INSPECTION [~NDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMAR~S: ~~//-~-q ~ ~~-U.-.~~~ ~- ~ /t~-~~, * 2~~ /L.o?1<<'.-;O-~r:-e ~~. DATE /O~B;:V I ' INSPECTOR ?"U-~~4 ? 0 '-flY ~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ~UNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 12 ~.y'I'I."', -6f!?.(}" ~. '* .2;JJ~'l""d'~"""'~~r..p p~" j- ~e '_ DATE /O/13/oc./ I . INSPECTOR -rn .~(!I1Gt L 7 3DHI~ 2- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST tr><l- ROUGH PLBG. [ ] FOUNDATION 2ND [J INSULATION *RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION w ~. o. .. tJrf ~ ~ ' ;V~ ~ ~+- ~. ~~-A ~ DATE 9- -/~-O~ I INSPECTOR~. ~ 301flt -z: TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND .J><JINSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 4 01: l ~~J ~ ok: 3-J-I-oS- ~ _~ DATE INSPECTOR' L__ JOL{/+ 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING/STRAPPING [rfFINAL ~ 4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ ~ o/c (0 -?-} ~o f, DATE INSPECTOR ~ ~ LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 November 12, 2004 Mr. Michael J. Verity, Southold Town Building Main Road Southold, NY 11971 Department Head Department Re: Residential Home - Victor Rerisi Pvt Road #22,Main Bayview Road Routhold, NY 11971 Sctm # 1000-76-01-15.6 Permit # 30414 Z To Whom It May Concern: I have inspected the strapping for the above mentioned residential home construction site and note that it is incompliance with the New York State Building Code and the Southold Town Building Code. Sincerely, ~=. /)f / ::JIAII Tuthill, P.E. I 2 2004 A . y FIElD INSPECTION REPORT D{\.TE COMMENTS ~I 0/ ~ lid, .L A 7:"- /li!.. e..w ~., , ~ - \.>J." , , /Jl"i / . ' ~ .~ ~, . ~v , .( /.. .',V:%.",\ r ~ ..-, ~ FOUNDATION (1S1) ~- u:" ~~L._ L ~ - .+-~ ~ - , - v u P"'\> L ~ ------------------------------------ ..-. D/I)/~ j .L... ~ I)~ """..z. ~ A ':-0 V~ ~ , , /_/:"~f' ~. (.....~ \ FOUNDATION (2ND) ~ - V ,q "i:)l"i ~ \ v ~ ~---, ~~ 'Z " I,. J_ OC:,~ .6<, . L.~ o(Jp . -- , ~.~.x '4--. - ,," ) /' "Iv) ~ ..Ii"..AI< J.", V It..... .p 0 = '" .1' ,S A ~ T~ A, L '" l"'\ , >-3 'Z ~'A/' ,T~ ~IUA..Ild JAUuJ'aK. ~[:g ROUGH FRAMING & qr- ,: ./I A;t7, .' .A/ />/1.;'. /\.6-0 ,'~n .u '" ~ S PLUMBING _' >-3 " , <.. "Y. .~ aD /'L.... A',A L ......c; _ fL.,/' 4. ~ - (0 , R:-, ~ ~ J -~.....o5 Jl ,V", ' ~t>k, {)Ic~ ~.~>>' :ft~ ~ 1->~ INSULATION PER N. Y. , , IV >-3 STATE ENERGY CODE h 1^ ft 5-~- 010 ,PL ^ 1/4 "tf -'- ..--2:J ~ /..{/ f <. t -I ,V A. vIA- t:>fC -- / ,,;,'--c. } f -""'"'- r " - ~ I A, AJL b-"J-J ..... , YL../ ~-'D/\ ( ~ ~ ~ k FINAL .IT\. .d .J~' ~-~./.4 , , - - ........ / /' .P /7, ADDmONAL COMMENTS :r Ilf"Jt/c..I ,/;. Y.A~ / .ti. uffU. DrrL-, "\ / I v' ~~- Ij\, (" . , - _0 - f - I '1-D{ ~+ NU JV\ '" C-" -h) d,~a (\ u..o ,k., h^ '/l 1- f) IV! J. ~'I- 1ft, :E ? v U I , I - <.Z , m ;:0 j; l-{L'f 1(' .l .~ ,!)...Jj ""'~~.;OI.- -' .1!'/t.tl.. t:::lve lJf1.... , I If' \} If..-,..O(p,' /0' fn .n ~ IIA'"'-"" , A~J rA'. . f) A'" 'i / NO b' u: ~ 0-.., ':./ (). 'A--.t ~f)) - ,,/ j(j (0. f . " v JS-/ ,eD"J ..-61- Q -, ~'*- C[, if>~^.'11 ~J. . A 2., ~r ~1J .N' t./ J:? .J p~ /. v , I V V - I :s '-~ - ~.., , - ,0 ---z ]V - =: () l"i ~ ' ~ o >-3 .+-=: ~, ~~ ->-3 V. TOWN OF SOUTHOLD BUILDING DEPARTMENT .... TOWN HALL SOUTHOLD, NV 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSoutholdJ PERMIT NO. '~, .30<-( 14 13> BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form NY$,DEC. Trustees Contact: Mail to: \!,,,,e8pT ml4-7AS$~ ~".GD)C 1/2. /3A'I'/It.~ 111.1"1//'0'1 Phone: S/I, .13f~" ~6 9 Examined ,204 ,20+ Approved Disapproved alc Expiration 1.2.. 11'( I .--- ,20~ Building spector ~14a1l4 APPLICATION FOR BUILDING PERMIT , , 10---'''-''''''---'' f'l;-'-..' l Tnv,':" 1____..., Date {, /;0 ,200,/ --'/V n 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. APPLICA nON 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. (Signature of applicant or name, if a corporation) I?tP. 130~ /1.2- BAtt//Ut:, kJ.v. 1/ 70 "I (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWNC/Z.. Name of owner of premises _1I.vc.c:;NI 1J14TA s sit (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. Plumbers License No. Electricians License No. Other Trade's License No. fot;jif ('9J/ 1. Location of land on which proposed work will be done: 1'~/i/I'rTC!' kOAI> House Number Street 5,,~ rt LC, Hamlet County Tax Map No.1 000 Section 1(, Subdivision Lot 15:t:. Lot Block 0 I Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed coi!struction: a. Existing use and occupancy \ b. Intended use and occupancy ON~ ,c-~,t..... r ~eJ' /d eNCC-- 3. Nature of work (check which applicable): New Building )( . Repair Removal Demolition Addition Other Work Alteration 4. Estimated Cost /75 bOO. , ~~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars 2- , (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front NJ,f:: Real"'J... Depth Height Number of Stories '-/1' /" Rear ifl'I" 8. Dimensions of entire new construction: Front " Height 33 Number of Stories .z h/' Depth .... 9. Size oflot: Front 9.{ . ~3 ' 10. Date of Purchase SI.1$1/o3 Rear b~' Depth 395", ~? ' STe/l/)~A.I c. /3~4rf.1iJE~ Name of Former Owner "- II. Zone or use district in which premises are situated ' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-2C. 13. Will lot be re-graded? YES_ NO---'2LWill excess fill be removed from premises? YES_NO X ..J - !.;/). Ii"" J/~'11A9 51"- Qla Q o-i 14. Names of Owner of premises VIA/teNI MAi'itU4Address A'fll,//G. N.,/ plfone No. 7 r 7" Name of Architect 1 A""ttl!'Ut"e. -r.. rlllll Address 'AlLer R" G~.........rPhone No'J/- .y'1J - /6 $".e. Name of Contractor 5t!!J,r- Address Pc6~... ,,~ Phone No.S"" 9!>'-'tJ"t 84'1"'''< .... 'I. 1I1~ '7 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 NA'5A..... ) lI"oJe~^,-r 111". T", ~5;t being duly sworn, deposes and says that .(B3he is the applicant (Name of individual signing contract) above named, ~He is the OWAJE/2- (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 I 0 --day of rIA IJ~ ~?L Notary Public 200~ Signature of Applicant Victor f" Rorisi N tary Public. Stal_ of Now y....~ o # 01 Rb4634970 Certifi_d in Nassau CounlY Commi.ion Ellpiros 2.12&1 01 . .. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Application For Pennlt Transfer and Application for Transfer of Pending Application (In Accordance with Unlfonn Procedures, 6NYCRR Part 621) (10101) NOTE: Please read ALL instructions before completing this application. Please TYPE or PRINT clearly in ink. 1. LIST PERMIT NUMBER(S) AND THEIR EFFECTIVE AND EXPIRATION DATES 1/'/:la:J!, ~;, l.1oob LIST PENDING APPLICATION NUMBER(S): 1-1/73 -c3o~1 00001 2. N~E9FTRANSFERE~ Vlc..fo,f ffE,eI.51 STREET ADDRESS, CITY, STATE, ZIP CODE P.O. 80)( 11::l- 81'r YIU-€ tf other than an individual, provide Taxpayer 10 Number NY. 1/1" TELEPHONE NUMBER (Daytime) '>SU,) 13'1-0t,(, ? ~:~SFEREE IS AlAN: ~ Owner DoperatoO Lessee DAPPlicantD Municipality/Governmental Agency (check all that 3. NAME OF FACILlTYlPllP;/ECT -J 13,fI}NO€~ rKt!J'pG-f.1 'r STREET ADDRESS, CITY, STATE, tiP CODE fr141N 8ItiV/~v.J /(OI1D 4. FACI;,lTY CONTACT NAME VI eha ~G,eJSI Sou'rlDt. b STRE!iT ADDRESS, CITY, STATE, ZIP CODG N. 111'1/ fJO.80,x //..2. 8AYV,U-L: N.y. COUNTYSuACot.,< TOW~oq "'- I ( TELEPHONE NUMBER (Daytime) (,) 3 -0 5. HAS WORK B~UN ON THE PROJECT? 11'/..." / q J.., 00' I Yes 0 No ~If MNo,. proposed starting date: 7j .,,(00'-1' Approximate completion date: 0< ~ If there will be any modifications to the current or proposed operation or construction, the transferee must attach a statement specifying the details. 6. CERTIFICATION: This certifies that the transferee seeks to be the legally responsible party for operations or project development either authorized by the permits identified above or proposed in applications identified above. The transferee has a copy of the permit(s) and/or application(s) and understands and will comply with all conditions in the referenced permit(s) and supports the content of referenced application(s). Facility operations/project scope/discharges/emissions will remain the same as authorized or as proposed in pending applications. Further, I hereby affirm that under penalty of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief False statements made herein a7lP; ni'1sh:aDb;'le~ as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. PnntedNameandTitleofTra~~eeJ ~ RtS.€./sl OWN~ Signature of Transferee ~ Date Z-'-~ PAAT 2-TRANSFI;ROR (P_nl (Or Fonner ~"Ope"'orn......wApplk:anl) COMPLETES: 1. NAME OF TRANSFEROR 0 If other than an individual, provide Taxpayer ID Number S/p/WEAJ E. d~AAJl>6/2- STREET ADDRESS, CITY, STATE, ZIP CODE '71IETc..vJ L; /oJ tJ. TELEPHONE NUMBER (Daytime) (IE/> t,l, '1- 6t 32. 2. NAME OF FACILITY/PROJECT, if different from Facility Name in Part 1: 3. CERTIFICATION: This certifies that the facility and/or application referell'.eP in Paft 1 of this fonnDwill be / was transferred to the party identified as the new transferee (owner/operator/lessee/applicant) on ~ la <; 121 (date). PrintedNameandTitleOfT~r ---,~Tl::?rt';N E:- ~~r\{()'hE.f>- Signature of Transferor ~~~ -.#C1" - Date 1--3 - u ...( PART 3 ~ PERMtTTRANSFER VALIPATlONSECTlOlb PEPARTMENT OF ENVIRONMENTAL CONSERVATION COMPLETES: o Transfer of permit approved, effective as of . Transferee subject to conditions of original permit, without exception. [2] Transfer of permit approved, with the following modifications or contingencies related to this Permit Transfer: don WI o See attached revised permit page(s)' o Transfer of application approved. See attached for additional information required. D Transfer demed, new application required Please complete the enclosed permit application and return It to the undersigned Regional Perrrut Adml",strator at the address listed on the reverse Side of thiS from ~ ~~~~ITao~~T'U:7LmadJ Slgnalure a Date ~ ~It .. , Application for Permit Transfer and Application for Transfer of Pending Application General Instructions This form is to be used for transferring valid permits and pending applications for permit from a present permit holder or applicant (Transferor) to another party taking responsibility as a permitlee or applicant (Transferee). Legally Responsible Party means a permittee lawfully accountable for undertaking a permitted action in accordance with the provisions and conditions of a permit, or an applicant lawfully accountable for the content of an application. The Transferee (New Owner/Operator/Lessee/Applicant) must: 1. Complete Part 1 of this application form. 2. Have Part 2 of this application form completed by the Transferor (former Owner/Operator/Lessee/Applicant). If the information requested in Part 2 cannot be obtained, the Transferee must attach a statement giving the reason(s). 3. Submit completed application form to the Regional Permit Administrator, Division of Environmental Permits, at the appropriate office of the department (see map below). The Transferee may keep the last copy of this application form. Other Instructions 4. Applications by a Corporation shall be signed by a member of the board of directors or a "high managerial agent" of the corporation as that term is defined in the 3 20.20 of the Penal Law; a Partnership by a general partner; a Sole Proprietorship by the proprietor; a Municipality or Public Corporation by the duly authorized principal executive officer; and a State Agency by a person duly designated by the commissioner or other agency head. Applications by a Limited Liability Company shall be signed by a member or manager in accordance with the LLC's articles of organization as filed with the Secretary of State. 5. If other than the owner makes application, written consent of the owner to use the property/facility must accompany the application. 6. The Transferee is responsible for obtaining any other required federal, state or local permits. 7. The department may request additional information in accordance with the Record of Compliance Enforcement Guidance Memorandum, or with regard to financial assurance guaranties. R If available, attach a copy of the first page of the permit(s) requested for transfer. Contact the Regional Permit Administrator, Division of Environmental Permits, at the appropriate office af the department, as given below, for assistance regarding any of the above requirements. REGION 1 Building 40, SUNY Stony Brook, NY 11790-2356 (631) 444-0365 REGION 2 1 Hunter's Point Plaza 47~40 21st Street Long Island City, NY 11101~ 540'/ (718) 482-4997 REGION 3 21 South Putt Corners Road New Paltz:, NY 12561-1696 (845) 256.3054 REGION 4 1150 North 'NC30'Jt! Road NY 12306-2014 (518) REGION 4 Sub~Office Route 1 G HeR #1 bO,( Stamford "IY 121G7-~b03 (BOli G~)2.n4i REGION 5 Route 86, PO BOA: :!'Jb Ray Brook, NY 12F77-0295 1518) 897-1234 REGION 5 SubwOffice PO Sex 270 NY 12885.0220 (518) New York State Department of Environmental Conservation REGION 6 State Office Building 317 Washington Street W~Jtertown, NY 13601-3787 (315) 785-2245 ... '" Legend DEe Regional Office REGION 6 Sub~Office State Office Build!!!q 201 Genesec Street Utica, NY 13501-2885 (315) 793.2555 II ore Heqiu!iSI Sub-office t\dlrondack REGION 7 615 Erie Blvd West Syracuse, NY 13204-2400 i315) 42(i-7438 REGION 7 Sub-Office i 2150 Fisher Cwtiand, NY 134C5.1Q80 7h3,30DS i 1-,:- , ,""l .~. . . i...-- REGION 8 (>27,1 E Avon Avon li!414-95'(j (585) 22h.?4(<' L REGION 9 270 Aven'I' Butfaio 14203,2:.)'09 (716) 851,7165 REGION 9 Sub-OfficE; 182 Fast Union Suite 3 NY 14!()f)- i323 , Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. SIcO '" ISSUED TO ....... STEPHEN E, BRANDER DATE; .f.\.',l(;j:Hst }3, 1\utqllri~aUnu PUI'SU<1l11t to tk<pl'O'V4i(ll\Sj)f~pf$r 615 of the Laws of the State of New 'l'otl:. UW3:~f)d~tjlr.ro4of t~.l.aw;of the St<1lt& of New YOI'tJ951; .~md.i1>e. So1ithOldTownOl'diMlI(:e 3t\- tltfed"REGUl.ATING AND Tl-iE PtAC:1NG Of . OBSTRUCTIONS IN AND ON TOWN WATERS ANOPUBuClANO$bildthe REMOVAL OF SAND. GRAVEL OR OTHER ....ArERIAl,.$ . FROM LANDS. UNDER' TOWN WATER$:f'... 4iftd . ill Aec<<da1\Oewilhithe Rewlutlon of Tn", BOard adopted at a meeting heklon ".:'}l:L.l!;"n~ 2002 d'... '0 t' f ..... . f It ZOO (Iii '0 L , , all In CVMI era 1011 0 "...sumo. .if...........:... ... .....pat uy ~,~~J?~~~_~~, ..~_~.'.:!tt.~J~,;t~.r ...,...".,..,....,....J..._., _~~..-._.,...."_..,,., of ....11al'.}~1(lD ... .. N. Y. and subject to the Term$ 1llldConditioos Jhted 011 111. reverse side hereof, . of S~titho\dTowrtTti.t$fee$"uth~j~ <1Ind .parmik ..fM.~olIowjn9: j w~nand Penn1t to cO'tlstructa singl,;-family dwellix,g1>7!ba"enie11t. 1 "\~It,h th~ :onditton that drywells and gutters are i~~U!lJiilUedLj:{l''':(I1!.' . i..v-,. roof _ r un-otfand ,hay.-balesare plac:e,d,.,down. be,;tore the pl"O'lccf" ., begIns,_ along tbe 5D' naIl. -dist-ur'bance hu.ffer Ifne, ali'd_' - as depi~.t.~d'::; . all in aeeord.mcewifh fhe detlliledspeGifk:atiOlU a5 pre$ellted ill th& originating appliCbtiOmon the sury"<;yciate,IJuly 1, ZOOZ and last rev1.sed AUg\lst.20. 201JZ, IN WITNESS WHEREOF, The said Board of Till,'", bere. byeal.ls&$ iffCwpotate Seal.to"~" affixecl../Ind thtl$e ~I'lls j'o .~.....- .^~_:~' W;<c~~ T_I~"' ...,r:I....L~..~,..LL:J 11 &:J~. ...6:....'..l.2:-Jv..,. APPLICANT: '7.28e--:::'-, DATE SUBMITTED: ~_j.1.C-/04 SCTM# DISTRICT: LOOO, SECTION: '"::fL , BLOCK:~, LOT: I'). c:.. SUBDrvISION \-\"'(f00R ADDRESS:<:f.=l> ff\.lJ~ ~n CITY:~'1Tl-io, t-.. ZONING DISTRICT CONFORMING? BUILDING PERMITS OPENIEXPIRED: PRE CO: Y OR N BP -ZIC/OZ- ,INFO IBP ..-/ -Z/CIOZ- ,INFO BP -Z I C/O Z- , INFO I BIt/" -fi,-rC/O Z- , INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED /' NOTES: 01---. LOTS 40,000SF -100-24. Lot recognition.(CRBATEDbefore lune30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(Anonconfonning at any time aft REQ. LOT SIZE: ACT. LOTSIZEJ1,264REQ. LOTCOV. c..?o '/0 ACT. LOTCOV. ----- REQ. FRONT . . 40 PROP. FRONT / REQ SIDE I '5/"" ACT. SIDE ~ REQ. REAR )'(> PROP. REAR../ REQ. HEIGHT PROP. HEIGHT PROJECTDESCRIPTION:t-.\1>'" "" F. h ESTIMATED PROJECT COST:~ARCHITEC'F@ffiiNE~ i' JTt-(1I L WATERFRONT? ~e\ DESCkIPTION: 0=E" (<<->et PANEL # /06 FLOODZ0~ APPROVALS RE UIRED SUFFOLKCOUNTYHEALTHDEPT or NO, (BED#): DTE::J__J'l 1..1. PERMIT#:Rlo-o'/--OOI3 TOWN SEPTIC RECEIPT00r N t.1 / NEW YORK STATE DEC: RE.-DEC9/11 orNOi-'f1'3~-O)o2lDTE: l.ll.J-=1- PERMIT#: ,r---- SOUTHOLD TOWN TRUSTEES: or NO DTE: 1fl2!.a.. PERMIT #:; b<>:r....... TOWN ZONING BOARI)- API'ROV AL: YE~. DTE: -"-"_ P!!!MIT #: TOWNPL,c,. BOARD/APPROVAL: YESoL DTE: I I rERMIT#: TOWN ~iSTORICAL/PRE (SPLIA): YES O! -:- - -/ . '. NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: I 0 hh SF FIRST FLOOR: cJ I g 2.. SF SECOND FLOOR: I )<10 SF OTHER: SF !NIT TOTAL: '-110 :J... '6 SF '(,0 FEE 1.( ~ '6U SF)- ( (f(b SFp ?:A1b SF X $ ~O =$11 q 2 ----+$1 "ill 2.( SF)-( SF)= SFX$_=$ +$ 3.( SF)-( SF)= SFX$_=$ +$ +$ =$ FlNALTOTA1~ > C~ \ "JL\~ ~ OTHER TOTAL FEE FEE <{;,O +$ =$ 1~9- ..,..... +$ =$ NEW YORK STAtE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 4S _ Wind Speed' OMPH _ Seismic Design Category: B _ Weathering: Severe _ Fro t tho 36" _ Termite: M-H _ Decay: S-M Design Temp: 11 _ Ice Shield Underlay: YES _ Flood Hazards: USE/OCCUPANCY CLASSIFICATION: e - 2> ,/ HEIGHT/FIRE AREA: 34 ' q" TYPE OF CONSTRUCTION: 3 '1~.:f~ DESIGN CRITERIA, ENG~~~ W Fu.-, FULL FRAMING DESIGN ELEMENTS HEADERS: Y/N WALL STUDS: Y/N GIRDERS.: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMB:::R SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATION~ / ! , ( ( LIVE: Y/N SEISMIC: Y/N WIND: Y/N MENTS: ~/ / ( NAILING/CONSTRUCTI HEDULE~ MEANS OF EGRESS~ PLUMBING RISER DIAGRAM~ LOCATION OF FIRE PROTECTION EQUIP TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALeS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) /0 ! ( Titan Abstract Service Corp. 370 Old Country Road Suite 100 Garden City, NY 11530 Telephone: (516) 294-7198 Fax: (516) 742-9375 Confirmation Application Date: 01109/2003 Title Number TA 17156-SIB Representing: Applicant Gail Rerisi, Esq. 5 Betbpage Road Hicksville, New York 11801 Tel: (516) 939-0669 Fax: (516) 939-9006 Seller's Arty: Bank Atty: Mortgagee: District: Vacant Land, Main Road. South old, New York Town of Soutbold 11791 Suffolk 76.00/01.00/15.006 1000 Premises: County: S/B/L: Purchaser(s): Seiler(s): STEPHEN E. BRANDER Premium Information Fee Policy: 525.000.00 Fee Premium: 5402.00 SINGLE & SEPARATE Conlirmation eMS rom, No. ~Y-121 Titan Abstract Service Corp. 370 Old Country Road, Suite 100 . Gardea City, New York 11530 (516) 294-7198 Fax: (516) 742-9375 Representing Fidelity National Title Insurance Company of New York TITAN ABSTRACT SERVICE CORP. Agent for Fidelity National Title Insurance Company of New York Does certify to: TOWN OF SOUTH OLD THAT is has caused a Search to be made in the Office of the Clerk ofthe County of Suffolk, in the State of New York, against the premises described herein and premises adjacent thereto on all sides from July 1,1983 to date to ascertain the fee chain of title respecting said premises described herein and the premises abutting since February 16, 1959 and has found only the returns as set forth herein on the following pages as they bear on record title and; DOES certify that "the owners of the premises described herein have owned the same in single and separate ownership as defined by law during this period of time, except as otherwise shown herein". The limit of liability under this Certificate, for any reason whatsoever, whether based on contract or negligence, shall not exceed $25,000.00 and shall be confined to the Town of Southold. Title No.: TA 17156-S/B Dated: February 10, 2003 Garden City, New York By: SUBJECT PREMISES: ..../ District 1000, Section 076.00, DEED Michael F. Zukas and May Zukas, his wife -to- Michael F. Zukas / Dated: Recorded: Liber: Page: DEED Michael F. Zukas -to- Stephen E. Brander Dated: Recorded: Liber: Page: (Covers lots 015.004, 015.005 and 015.00 LAST DEED OF RECORD March 9, 1974 May 9, 1983 9355 181 August I, 200 I August 13, 2001 12135 313 Sworn to before me this 10th Day of February, 2003 C~ By: Dr\VID n_EISCHM/1N Notarl PubliC, S~8te of New York No. OJ FL6025477 Qualified in Nassau County Commission Expires May 24, 20~3 PREMISES ADJOINING ON THE EAST AND SOUTH: District 1000, Section 076.00, Block 01.00, Lot 015.001 DEED George M. Tisdale -to- Michael F, Zukas and May Zukas, his wife Dated: Recorded: Liber: Page: January 5, 1959 February 16, 1959 4585 443 (Covers lots 015.001, 015.002, 015.003, 015.004, 015.005 and 015.006) DEED Michael F. Zukas, as Surviving tenant by the entirety Of May Zukas, deceased -to- Patrice McCaffrey Dated: Recorded: Liber: Page: LAST DEED OF RECORD Sworn to before me this 10th Day ofFebmary, 2003 c-~ By: : D/,.\IiD t:L-E!SCH"'1Ar~ Notary .',',-, I -I~' v .. ,.),,:J~ U i'i,')W lork ,,1'<), O"! Fl..CC.2S47l ~.~,::::~t'l~C! ~n Nassau County Com" .,,:>~,~on b':P:i8S May 24, 20 <:(S August 1,2001 August 13,2001 12135 304 PREMISES ADJOINING ON THE WEST: District 1000, Section 076.00, Block 01.00, Lot 015.003 DEED Michael F. Zukas and And May Zukas. his wife -to- May Zukas (Covers lots 015.002 and 015.003) DEED Michael F. Zukas, as executor of the Last will and testament of May Zukas, deceased -to- Michael F. Zukas and Carolyn Dewar, as joint tenants with Right of survivorship (Covers lots 015.002 and 015.003) DEED Michael F. Zukas and Carolyn Dewar -to- Patrice McCaffrey LAST DEED OF RECORD Sworn to before me thislOth Day of February, 2003 L~ L',~V:D F-i._E,!:JCI-l;\~,,"N Notarj fJuo:ic. S:2~R ,''': !'~i:iW Y',x;": No. 01 FL):.i2~~.{~T7 Oua!:f;'9Cl in N,Qssi'lU CQunty COm,Ii!SSIOn EXCi,GS MdY ;>+, jo_~ Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: March 9, 1974 May 9, 1983 9355 177 June 10, 1997 July 15,1997 11841 84 August 1,2001 August 13.2001 12135 305 Titan Abstract By: " . PREMISES ADJOINING ON THE NORTH: GOOSE CREEK Sworn to before me this 10th Day of Febmarv, 2003 L~ DiW!f) f:: !-=!(';Cri~.Xi;".I'~ t'h;taI'Y c:~:,,-,:',:, . .~,I:::iC' (<I ,''.If.1W York ~,<) ()1 0"""'20:! ;,r:~!,~;'; :~~;~~:':rO~<75 Bv: (J(]~-- ?t- /- /J; ( OWNER VI ';:- t-~r TOWN OF SOUTHOLD PROPERTY RECORD CARD 60 VILLAGE DIST. SUB. \VaJ-e....~~"J#2 S~fA..zt.~ II. .r S RES. SEAS. VL. .? /.} TOTAL . /p2MJ ,/ LAND /;< o() IMP. Tillable Woodland Meadowland House Plot Totol LOT S- E W ACR. {J.fC} TYPE OF BUILDING FARM COMM. CB. MICS. Mkt. Value DATE REMARKS ..J;,).J-?? .. #A,~/ 9..i'i-;S KJ /1'/' SAt,r f11 IS 2.. h.\; .,,f-r,, M;: 2u k" . I<J /11/' L /2J.~5';,~H 7UYA( h WA, .JA $7':<!:;"~() 661'0$ -L J 7.2.6S.n !f{/-~ (andu fD Pen;<:;!ta.nD rq; 22<;:"" 000 I, , . I . FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD 3'P.[( Ul ... u -c ;: II< II< fl. ... Ul Z :I: 0 ~ !:i 5 z <( 0 ... ::> J: r; ... u ... Ul Z 0 Z '" ... 8 '" z in ... ... ... ::If: 0 !r ... ... .., ;.- : ;!; '-' ... 0 i 0 II< i: II. i: II. III Z -c '-' ::> II< " 0 fl. z u Iii :.:: !:: '-' :E 0 II< ... ... ... a. ::> Ul JIk. < -. JIk. JIk. !" ;:.. , -'" . ... ... - - -.. vt'.~;:/;;'-- - ;~. ~~/~?- ~ GOOSE CREEK (nSf' CU.K) ...I ~ o Ul lr ::If: It 8 <i '" li- e c' !II lL,1 . ~~.. ), c' .'. .51 ;;;:, )oj 0, lr ,'- Lt.- ,~ a: o <<: ::z ~L! :::t 'r ~ l..:.J I ~ ~ '" f-. fl. gJ lr ii: >< III v{} 'P '=:J Ci.( JlII.. JIk. o .Jl" ww. ~"\. 4.... A~'" <1'0 ~h...~ ~<; ~ 4> H 87"02'24" f. 65.00' LOr@ ~ ./ ij~ .($ ~~~4)A:~ ~'\~ ciY.{? ~~OCj 'J",~ . ~~;fi~' ~ct ~ ..ww. . o l +:u"""""" . ~ ;:uCl) o~ >(") o;:u g TEST HOLE DATA (TEST HOlE DUG BY Ur./VVoWD r.T:~1ENCF ON AMy.... 200f) ~ ..... .... . ....- .:,... ~ ... __ wer u.t .. -.-- .... MJ: ... ,. MID r :u:..:::- -= PLOT PLAN OF LOT 5 OF PROPOSED PREUJRNARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION or LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7. 1972 USER 8355. PAG€ 181 S.C. TAX No. 1000-76-01-15.6 SCALE 1"=50' SEPTEMBER 15, 2003 ocmE't 2J, 2003 fPI!!I[D ~ HCIIJSE AREA '" 38,552.67 sq. ft. 0.885 QC. - 1. ~,. ..,.-...-aJ TO M.&v.o. 1111 DAlW ~ COIfI'CMIII.KS __ ..... 1MUI&- -- - -10 - -- --- I. ....... .-: TANk CANICft1[S ,. A t 'to .. ..-oM HOl.& . ''- 8MLDMI. 1 'AII{s ~ UMI. .'-3- -. ..-r I:lIIP I. ....... ~ MIDI AlII A 1 1'0 4. ...., MCIUSI IS JIG .. .. SIIIrlUU .... I POCKS; .. .... e' ... . -....-- ~--- ~~!IJ"ftC_ 4. _ L.OC:AJION 01 -.us .. ~ .... HIID* 1M. P1ICIlI F1ILD ~A1DIS ..v- IY:YA _AID ,.,.. ...... ,-.-' j"' ~N..lEM1'llIM0It"""" ~_.A_" 1IGI fIF 1M[ .. 'irJI( ~1[ ..... 8 _ J N. .s. . No. ..gee A. Ingegno SlM"veyor ~"':~Fl!: ~3'=,"..::' · ------- ....''''...-..........- ~L .~ _ Slbrlf'lu!1w - SHtPbw - ~l.G)'OlIt _ (131)727-2010 amoos """lEI> AT ...-- MVIHfJO, New 'for\ 11101 Fa< (8Jl)n7-1n7 -- P.o. e. ,..,1 ,..,...... .. v.n. 11tot-QHS ~..... or WAYS 01 W F lIlY. *" .. Jf"1!P.:.. ..,.. , Ii GOOSE CREEK ("EST CREEK) H 87'02'24" E 65.00' ~ ~. .,'b ~ LOT@ ,w. ,w. , -. "'N - "" .... -00 ,,00 o >Iil.. ~ >Iil.. It> ,w. 4)~ >Iil.. \' "'~ \o~ ++'" v~ (l;l 4.\f ... 'j ,,\~ ~ o ... " ,,0 ~ , '" 0> 0" \i o 0" " . ySS ,'" \' s\'S\V' ~+~" V ~~~ 0" ,~-i \i 11- '"" "~- ~ ~s~s o l'iYo';iv l +10\ ". v~~" o\Sq.V ~vt' +11- w<u IN EWiEWEHT ~ ~(;) 0"'" :t:.() O~ try try ?::; PLOT PLAN OF LOT 5 OF PROPOSED PRELIMINARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SAID t.4AP ALSO BEING A REDIVISION OF LOTS FOUND ON A t.4AP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 USER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.6 SCALE 1 "=50' SEPTEMBER 15, 2003 OCTOOCR 23, 200J RE'o1SED PfU>OSED l-IQUS[ IN<<)Mt( !l. 2004 ADOED ~ DECI< MARCH 1, 2004 AOOEO LOT CCNt'.RAGE DATA AREA = 38,552.67 .q. ft. 0.885 ce. = .. EU:VAnoN$ All[ IiIEfDl[NC[U TO N.Q.~.D. 1121 DATUM txtSTINC c::otfTOW UND AI[ $MOWN ~us: 2. WINlWUW SEPTIC TANK CAf'ACmES rOIl: It 1 TO A 1EOROO1Il HOUSE IS 1,000 ~OMS. 1 rANk; S' LONCf. 4'-r WID[. ,'-r O([P 3. ......UM liAOtlNC S"I'!iTfM F'Ofl A \ TO " 1I{0fIl00tll HOUS[ IS 300 ~ " SIDEWAlL ARO.. 2 .-ooLS; " DUI'. I' dla. e fIWCII'OKD DPAMSKlN I"OOl.. @~l.LI.Ct+M)l'OOl. fZJ I'tlOflOS[tl XP11C r...,. A_ TN[ l..OCAnotll or WEUS AND CUSPOOl..S SHOWN ltDlEotil AM FltOtIl mLO OI$[IW'ATIONS 1oM0/0ft OAT... lXTAIf<<U now OTMEftS. S. IIItQIIOS[D lOT COYtItIIG( : 2.743 ~. ft. 011 a.1OX Of' LOT ,fr,R[A LCD ~ AIlO (wrTUJiI)! AIlU . 1,001 ~. ft.) .. DllY[WAY ~ = 1.112 .... ft. ~ AlTEJlllTON OR.IODfT1ON TOne~I5A'ACllATl()tljOF SEClION 720Il (>>" 1M[ I€W 't'Ollfl ST"TE """""""'-'" COPIES ~ 'MS Sl.JN[Y WN' NOT BEMING 1HElNCl~NClOSlALOR ~WAl5*IU.NOTIECOHSIlEJ'[D TOEl[A~lRUECOP'I'. ~JOtS ~1'lD HDlDlN ~ ..... OIiLVTOTMEPEJtSONRJa..owTNESlIr<<Y IS "'-.-0, Nil) OM HIS .,., to fH[ mu: aMPNI1, ~ olG!NCY..-.o l...DCIfC I8ImJTlt1r( l..IS1lD HDtEON. AND TOnt[.fIISlOtG:SaTTl<<~NSn- l\JTIOIII_camf'1CA'YlC>>ISJ#lf.NO'f~ TH[ DOSTDICI Of IlIOMT or ..l YS /IMG/fJa EASD<<Nr'S Of R(COIID. If' IIMT. NOT SHOWN AM: NOT CUMltHfUb. / / / / / / / / ,/ /, ~ " /~'?><:; /.,ro / / / f '/ .." 0 ".. / .l ... ~s\s "... / '~. ,,0 \' .)~o~ 6<P" \0"," / ,y, +~ ~ / .\~~~'~ .\~\'-t~ ".<:- '",0 n."-" o~ ", '\IV (j " ' o<i. ~_, , " "'" ~\s ~ 'I " ,$"~ & f>f~o~ ~"(,+.$- "+p ~\os \i i:.2-,.4) "'~'" " 0" +~ ~ ,0 ',,~~" ~~" .,,~~~ 4.{'~..,,~ ~ .\V~\~ ~\ 6,) ~ ," o .;:,'?) C) <t-~. ~~ II- s,.(j~""~ ~v ~ ~;i; 0'\ .....+~7 1.50' ..tc! .. ~ '" .. Will ..... <>4<c.:: 0 ~ . ~ .p~ ...... ~. ......., <1f'~<> 0+,'" <s> TEST HOLEDATA NYSDEC (TEST HOLF Due flY McDONAJO GEOSCIENCF ON WlY 4. 2001) APPROVED AS PER TERMS a. ,., ,,; _ '"'" ,_ AND CONDiTIONS OF IUcJJ;wkn 0.5' _~~~~I~+! -txg~~rj()CXX)/ "s , ~\~ \0\ " + ~" ~l \v, ~ '. IIIICJIMolLO/III'tSilrM) 25' PlfrU IlIOIIIiI fM: 'WIll ,. ;~~l~t ~~-,:\.; ~-~.>:<~~ . -<.......-,-. .~~~~~~' ~{~1f: """-- "".,....- 15.'" lie. No. 49668 A. Ingegno Surveyor ffl'I ~ ~ SubdM~ - Sit. P10fllf - Conwuction Layout PHONE (131)727-2000 0fTICfS L~1W AT 322 R<WlOKE AVEJrrfUE ~. Me... yon. 11901 Fox (6.31)727-1727 -..:; AOOfICSS p.o. Box 19.11 ~. New Yon. 11901-OD85 "' ,i' ~ .. .~ .1,t 'II ~t ~ ',,.. ~ ~ :i ~- .. -~ .y, ~i ~ .<:1 ~ i: . .. l'; .. ;to :'l't ~_. $J , ..... j ,. ~ ~ .l' K 'l ~~ .~ <}- ~+l j ". ..J (" " ',0 i 1 ~. ;4 ':1;, " -~' <~ '" C\ l ;cfi. ~';.~ -j, ~~ >.~ ~; '~ ~- ? . -~ . ~ ~ ,,>I -ot i;;Jo ~ Ii' r rl .. f , o .f ,J> ~;~ :i~ ~ ~"\. ~.... ~..~ ~o..<J"'l;';:;; '.()~ + / / / / , / GOOSE CREEK (nn CIIBK) II IrOZ'24" E 6S.00' '". ,. .... . -. .. .011I.. "11'''' o ~~~G , ;' '.. ~ TEST HOLE DATA ~ ;vC/.} o~ ~[J f:j ~ ~ (TesT HOL.E CXJ(; BY ~ln M"t'I~ ON ~ of, 200J) " . ... .... .... ..... .. --- . v..' .. " ..,. -... 2Jf Nl.f: .... ... .. T PLOT PLAN OF LOT 5 OF PSQ1'(1$ED PRlUJlINARY JIAP-811 BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUlHOLD SUFfOLK COUNTY, NEW YORK SAID .Aft ~LSQlffNG A RI:OIVlStON or LOTS fOUlitO ON A MAP PREPARED FOR MICHAEL ZUKAS ANO APPaOVCD BY THE TOWN Of SOUTHOlD TOWN PlANNING BOARD ON fEaRUARY 7, 1972 UBU 8355. PACE 181 S.C. TAX No. 1000-78-01-.5.6 SCALI '-=50' SEn.EMIE~ ~~' ~ NIU. . 31,512.'7 .... n. 0..., ..... -.: I. --'1&.-~ ~=.:=~ --10 _ __ _~_ z...... -..c.. ____ ,.'., to.. _ __. '... ~ ,_~_ ~-"-.~-r_ I......~........, .....___._.. ft-.a.~ ._ff_.ff.... .--- e--- ---- "1IIlI-as.&-.=u~- -.... L _ UIf _."..,;~.... ......-.. UII' _ I.E.-........ MIA-.. ....7,..... ft.) .. ...... . ,.,. .. ft. 'rtTJTl ~~-=- iIL"....\~.... ..~~-'- ( .1 , 'l'~;. f:;..tJfI.iU:. 'Jii.."/ ' . Joseph '........ L8'Id . "." , . " , ~. .; ~_..YS _ ...,., . 1IIt_ ,~ ..,~ - 11"1[" -...,... - ~d.......... - (1It)'m-- Fa cmllR1-''ltI _I.lI!IIllEP'Ar ........ .. ....... .. ....... ... -....,....,.., -...--- ( (~ 10 gs GOOSE CREEK (JfEST CREEK) N 87"02'24" E 65.00' ~ ~. ",'li ~ LOT@ .lIIlL .lIIlL .lIIlL - ;)N - .., .". -co :".CO o III C/'---- ~cJ CJ1L "'~ '" I' ~l' \()~ ~~ (8 ~;~ ~ \I() " ..'.... ", ., o ()~ v '" , .()() ..," .,0, ~ 'I- ~ "":.- ..,.0. >cr'"1;l'. ..,..~~~ '>4f~>"" <. +...... .. .. ~ 0... "'...+<", .o~,>>o~ 0 '">:eo ~~~ ~ ~-1>0 ~ ....~ . v...<e- .<l"-<. "" ,,".,- <l'~ . :... 'Voir ......!IT ~ ., 4r '1~, A -&'.. <rO'<<Jh' '<<J.() ~ 4> ~9 ()~"'~ ,~ \v, s,'" s.'" ~ ~i~i~ ()~ \()\. ". V +", ~ t:J<),"~ ~OS;-~ 11- ~ ::aU; 0'-3 ~l) b::a m >y OCl 2. 6 tm4 -----.--- cMJ' (~ jJ~u-U# 3c)~(y - 2- . PLOT PLAN OF LOT 5 OF PROPOSED PREliMINARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SoUTHoLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION OF LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 UBER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.6 SCALE 1"=50' SEPTEMBER 15, 2003 OCTOBER 23, 200J REVISED PROPOSED HOUSE .wtt.wn' 5. 2004 ADDED PROPOSED DEQ( IrMRCH 1. 201M AOOED lDT co.€RAGE DATA OC'RJBER 14, 20lM FDlJNlW10N 1...CICA.1ION AREA = 38,552.67 sq. fl. 0.885 ac. ~ _!.)ELEVATIONS ARE REfEIDICD) 10 N.G.Y.D. ',a DA.TUM l.IWIIHI:IIIZED ott.lEMTDl OR IlDDfJIQII lOltISSUlWEYISA'fKlI.ARDNQF SEC1Dl 72CllI (F 1HE tEW 'ftII( sr,.,lE ..........""'. COPIES IF 1HIS SUM.Y Wf' NOT IEWC 1tE: LMI) SlIM'rOR'S I<<EI) ...... OR f.I88RD EAL stW.l. NDT E ~ 10 IE A 'AI) 1RU[ ~. H.Y.S. Uc:. No. 49668 Joseph A. Ingegno Land Surveyor -,.--....... IClI:lt.TED HEREON .w.L. 11M 0fI..Y 10 lIE fIEIIIION FOR .... 1HE SlA'EY I5~MmCIN..IBtlIIF1D1HE 1IJtECCIrlIWfr.~...../IIIlIll:('-O I.EtaC .......,. USJED HEIBlN. offI) 10 1HE .-.s IF 1HE LBIlIC ..-n- lUJDil. _'''--- ME: NDT ..........-E, 716t SuIwya - $u~ ~ AI _ - Si'tII ArJr. - ConntuctbI L.a,out PHClIIE (631)727-2010 Fill< (631)727-1727 ........ ........ P.O. Box 1831 RMrhead. .... Yen 11901-0865 lit[ EXIST1JIC[ Of IICIHJ OF' WA'l'S IMDtoa EMEMEMI'S or IIECOII). IF 1iIf('(. ND1' SHOWN All[ NOT ....... 11DJ1. Cf'fx:ES ~TED AT 322 It:W<<lKE AVENLE RMRtEAD. Nn Yen 11901 'o'o" I' ~~ f'~ ~~" 4;,ii ~ ~ 0" 'V 16-_ ~"l.. 1'1>.... r..-&'.. <rO "1.r~ "1./) "l, ~4> ~ Iq~. 10 ., ~~~ ".J \ 6 _ ___ 8 10__ ,,- o 0" v GOOSE CREEK ("EST CREEK) II 8T02'24" E 65.00' ~ ~. .,'" LOT@ llIlL llIlL llIlL .~-- llIlL 4-__ it , -. !"~'I - -~ cO .00 o ~'o~'o o ,~o~i~ 0" IO\,~. 'V ~<;" "v~ ~f:J~ ~ '6- ~ ::oU) 0"" ~() 0::0 f::r1 f::r1 ~ PLOT PLAN OF LOT 5 OF PROPOSED PRELIMINARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTH OLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION OF LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 UBER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.6 SCALE 1 "=50' SEPTEWSER 15, 2003 OCTOIER 23, 20133 AEWIf;D PAOPOBED WOUSE ........-.r 5. ZDCM ADIlm ~ OED< ~~ 200t ADDEP l.Dr 0CMJIMiE DIO'A '4, 2D04 _ LIlCAlIlOl lIMY 3, 200& MlDED ....T SEPTIC SfSJEM . PROP. Dffl'WELLS ,IiI,Jli;lJST 1e. 2OO!S ADOm DR'YWELl.. c./ AREA = 38,552.67 sq. fl. 0.885 GC. .-' c.::- c' C-'"' ? ~ , -J /If/HL 1. ElLVAllDNS ME. RI'~ TO M.G.Y.D. 112:1 ....T1Al IXISnNG ~ l..:s ". SHCIWM ltfU$:_.- - - -- 10 - - - -- - -- SUFFOLK COUl":TV DE?ARTME~HEAt.TH SERVIces APPROV~:;. OF C0.:!STR,LT::D WORKS FOR A S,NGlE :A~.'::L Y f<ESiDENCE Date~ H.S.Ref.No. ~I(} -0<1-00'3 The sewage disposal and u_.... .' Ins.......... _~, ....... supplJ fac:r."33 at IIIIs 1:x:alIan '-- ....... .........a.~orcsJ1iJledby"'isDe .~-. '."'- be I81s1actory FOR A M P~."entor c"'ler~"'i:lundb . MUM~Ola \i~'ajtErJ. ";.t,;3r~ '~f ,--~ "'>C.- .'. fW'" .' . :-" ~.., ~..I.'l",,~ C ,~.tewQ:i.;:-p ...~~-', r."'t. ~. _, -1'.-. ,.. ..f, ~ ALlUWJON OR ~ 10 na ...... IS A YIOlA1DI OF IEC1lDN 72CII rI lNE fEW l"OM STAlE mtJeAllOM ..... CClPB OF ~ 5I,IMY ..". to" .,.... THE UMI ~ MIlD tDl 01: QBBm) .. ItW.1. NOT .: ~ mKA'ljlIIU)WU:COPr. conFOirlGfll ~1m HDm* ....u ... CN..Y 10 llt[ I"EJaOM AIR ... THE SJMY IS ~ .... ON .. .,.,. 10 tHE ~~~~,,:o 'YO lH[ ......-a OF 'K I.fMleID ICI- 1\mOM. ~ ME ICJ'I" 1'MISI'BtiI&L THE ~ Of lIGHT or WAn _Ira ........... Of ...-. f! Ain"; MOT SMDWM AI[ MOT QUAIUIN1HO. IN~WAHlHE""'" FOR 1ftlf. SA1l'YS" ~ lALS- Ate ,.."...,.. NIIJ .-.rm t&: Br 1M[ NEW 'lQIiI( 5W[ I.NI) ..... ..,., ':i: F3 .. (j) C. -1. -C'i C .. :>:C2 (") ...-'::: 00'-1 S;;C =\ -<: C) (.n N.Y.S. LJc. No. 48ti88 A. Ingegno and Surveyor PHONE (131 )727-2090 ntIe Sunw)'S - ~ - Sit. Plan. - eon.tndIon L.oyout 0FF1CfS Locom .AT J22 RQtH)I(E A\tDWE RMRHrAD. .... York 11901 Fax (6J1)727-1727 ......" ADOllfSS P.O. Box 1131 RiwrMod. Nn Yen l1tol-0H5 ENERGY CODE CALCULATIONS CHAPlER.5 SECTION 501 Detached One and Two Family (For Non-Electric Heat) Design Criteria 5750 Degree Days Zone lIB For: y{ c f( e 5/5" M~I~ Bq~ IIltu S'Jij,./, . Per: R~5'5j Dated: 1/8/~<I . I SUBSYSTEM AREA DESIGN CODE DESIGN CODE ''lJ'' ''U'' UA UA Exterior Walls 2771 0,12.,38 0.14 3 'I 2. r 9 :3 87. l'If Ceiling Roof t 1 ~I 0,0) 0.031 53,70 5S.f? J'7 ?I 0, os" 81',5) /' Floor Over Unheated Space 0.05 89. 5 ,; Healed Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 - Crawl Space Wall 0.06 1/8'/1{ 1"3 2 .9 B . 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: HV AC Equipment, HV AC Systems, Duel Systems, Ven.tilation 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 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with ,the code.