Loading...
HomeMy WebLinkAbout17706-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28847 Date: 09 06 02 TNIS CSRTIFIHS that the building ADDITION Location of Property: 1541 STILLWATER AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 103 Block 1 Lot 19.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 1986 pursuant to which Building Permit No. 17706-Z dated DECEMBER 20, 1988 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 GREENHOUSE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to STEVEN B & DEBORAH WICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DHPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATH NO. N 068551 04 26 89 PLUMBERS CERTIFICATION DATED N/A Au oriz d Signature Rev. 1/81 P.~. gas ~~ Form No. 6 TOWN OF SOUTHOLD 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 Boazd of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similaz buildings and installations, a certificate of Code Compliance from azchitect or engineer responsible for the building. 6. Submit Planning Boazd Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. ~~/n 3 New Construction Old or Pre-existing Building: (check one) Location of Property: r!j4 f S ( ..~ .w ~"~~-G o g '7- e House No. Street Hamlet Owner or Owners of Property: s lvi c~L Suffolk County Tax Map No 1000, Section ~°.3 Block / Lot ~ y. 7 Subdivision Filed Map. Lot: Permit No. !7 70 G Date of Permit. Applicant: 5 ~~~ Health Dept. Approval: Underwriters Approval: 1 Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Fee Submitted: $ ?9 e -~ ~ d Cs 1 ~l i~,_ ~ ~ (,L,~dC L ~ a3~ Applicant Signature D~ ~? THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 APk1L 26,1989 G1O3S989/fig N A6k55a to Application No. on file 3'AGii; I T CERTIFIES THAT /FS slactrleel equipment v dsecri6ed kaloro and introduced 6y ehs opplicatrt named on the o6ooe application number in thepromiwe of TF' AJ:GR, VTNYARD VTEW LANy;, t;UTCHOGUE, N.Y, in the follolcinq 1 nt ~ 1st Fl. ^ Pnd Fl. Section Block Lot °`1fi'~iL ~ t teas exomined on and found to 6e in compliance uith the reyuirementa of thin Board. nxTUEE OUTUFTS AClas tKrlTOles 7 RXTURES RANGES COOKING WOKS OVENS INCANDlSCENT F1U011ESCENT OTHER AMT. K.W. AMT. K.W. ANT. K.W. 2 DISH WASHERS AML. K.W. lXMAU AMT. ~ ST FANS N.F. t• DRYRRS 1'URNACR MOTORS tLTURE AMUANCE IEEDMS fMOAI REC-T TIME ttOCK4 ENL UNtt IIEATEE f MWTI-OUTLET SYSTEM gA1 MER3 AMT. K. W. Oll N. P. OAS N. t. AMT. NO. A. W. G. AMT. M1P. UAT. ANPS. 7EANS. AMT. M. F. S NO.OF IRlT AMT. WATTS SERVICE DIfCON4ECT NO.Oi S E R V 1 C E AMT. AIN. TYPE ~ 1/eW 1/tW S/JW 3,e .IW ~' NR DCONC. Of CC. CONC. NO. OF NIAEG Of~N ~~ NO. Of NEUTRALS OF NEU~I 1SLIr,C. BOOM fill'ATSRS:7.--2. K.W. TRACK LIGHTING:-8 This nrtifio SAGE & t,ADBMANN I:Ni; , P.O.BUX 1768 SOUTNOLD, NY, 1.1.471. LTt'.~3675 R ~~ ORNRRAI RR l 7. i Per ay be identified by their credentials. most not be ahsred in any manner; return to the office of the Roard if incorrect. ,~ y ~^~ It'08M N0. ~R rr ~~ z TOWN OF SOUTHOLD .' r ~~ r,? BUILDING DEPARTMENT ~ sct 'I) s~ ~ TOWN HALL ~~IFS SOUTHOLD, N. Y. B~ DING PERMIT `~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ~ "` COMPLETION OF THE WORK AUTHORIZED) r N~ fl17706 Z Dote ...~2.c.~.r..a.l~,~.....:~.~.......... )9 ~r1 ....... ~~ Permission is hereby granted to: / (( (~ ..~~ ' .. ..c~~. ~.~... ~....~~..5 .................... ............ to ..:::~.~....~:t-t.:.~:.....C.~..1..;~..ti....krt..K:gS~ 11 ..........x.a.isc~..,n....`i.t.:.....Q~::.:,~~.s:,:...~.....:.....R... .;; , , of premises located at .~.~..~ ~...... ~~kS.~~.~.N.~ ~!:?.........1.~~,Riak:.d: K ~: ~:.....~..~t. ... ........ . ~~ ~' .'f{i~~ ....:...................J..................................................... /~- County Tox Map No. 1000 Section .......~.Q..~....... Block .......5~.~........ Lot No......~..`~.:.1........ _\ _ pursuant to application dated .... ~....h`..x.v:a:.a.~~:..6....~. J ............. )9.:1.~., and approved by the Building Inspector. ~_ i Fee 5......~ .............. ~=-- i~'~` _ G.J ..~ °.. ~_ .. Building Inspector .-+,' •;e,~~ >k 765-1802 ILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [~ MING [ ]FINAL REMARKS: INSPECTOR r"'s~1 .:'1~LD I;:.~,': ~~:-U;i jju„:~ ij ~CMMENT° ~ ~. m a --_ _ H , y _ FOUtJDATION (1st) 1 c FOUtJDATI0IJ ( 2nd ) _ _ _ m~ 2. z o ~ P,OUGH FRAME U .C PLUMBING ` ^ N~ 3 ~°` . m m b IIISULATIOPI PER N. Y. .. '-~ STATE ENERGY CODE . a _. - ~ 3. C,o. fi m r 4. .- H FIiJAL ` ~ ~ ~ ADDITIOPIAL COMMENTS: x • ltila~fl L . C ~ o . 4,~r c Qt c~cin,. V to ro .6 H ti 9 H ~ H ~ O z a m A r H x ~y m -o H l ___.~_.-P•. fD-~o~„~~r~~~ ,; f ~ ~ 1.51988 i i ~ Vat ~ m~ df '.YF ,! U i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined^~~. ~•O•, 19~~• Approved~-~-.~k• gip., 19~~. Permit No. 1 Z~7~.ID.'~~. BOARD 3 SETS SURVEY CHECK SEPTIC NOTIFY CALL MAIL Disapproved a/c .................................... . .... .. ..ce.A . , _... ~ 0~-~ .... . (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OF HEALTH ............ OF PLANS :::::::::::: FORM ................ l6 56 C.~. ,(SJ'~ pp ~i. r/Qo/ yR1eAO~w ~,r~.•~< Date ................... 19 .. . a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sejs 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 o; areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, (Signatuffrjj~~,~elloll//t" appl~ n~' ~-.? if a corporanort).. . . .. ~.... (Mai ing address of applicant) State whe%th~er~ap~plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ffPac? ~!~ ...................................................... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. ../.~S`~.(/.G.'1/`._........ . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . 1. Location of land on which proposed _vfork will be done . ................................................ . House Number Street Hamlet County Tax Map No. 1000 Section ..j~ ~........... Block ... ~ ............. Lot ... ~.~:.~.. . 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~•~' ,Nr;JP'~t'?^~••••••••••.••••••••••••••••••••••••••••••• UJ ...........~ ........................................... b. Intended use and occupancy ....~ • ~• • •`~~~~ ~'eP~h.ffrJUS'+/ 3. Nature of work (check which applicable): New Building .....~..... Addition ..(,/...... Alteration ......... . Repair .............. Removal ..... , ........ Demolition Othet Wt~r .............. ... description) 4. Estimated Cost .............................7~ ~.... Fee ........................... . .......... (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 ...................................................... . . ................. 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...... r:....... . .......: 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 .... /.,7.~• ...... Rear .. /.•j ~ 07'-0 ......... Depth ,/ .............. Height .. /./. ;o , , , , , , ,Number of Stories ... _ .. ~..:... . 9. Size of lot: Front ... l~........... Rear ... ~.~:~ , , , , , , , , ; , ,, , , Depth a.~.a .. ................ 10. Date of Purchase .............................Name of Former Owner ............................. 1. Zone or use district in which premises are situated .......................... . ......................... Does proposed construction violate any zoning law, ordinance or regulation: ..../.UO....... . ................. ........ Wi11 lot be regraded ........ .. .... Will excess fill,be emoved from premises: Yes No 14. Name of Owner of remises .. '><eJP lJi'- , , , q-e , . , ,phone No.. 7a.7-7.?33, . P •S........... ~.. Address .. ~~ ~ Name of Architect ..... ............ .... Address ..... ... Phone No.......... . ,n... ~j_ ..... Name of Contractor .. ,OU(~, S~.ty.,~ ~J•l~gyddress ... . (V~t!t-~.... Phone No...~G/.-d'a?~~. . ,q' ~ PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. \~ >i ~I~P ~~L~ STATE OF NEW YORK, S.S COUNTY OF ................ . ' ' ' ' ' ' ' ' ' ~dJ~ti Z~• ` ` • • /~` `•~^' ~ ~ • • • • • • • .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........................................................................ ................. (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. Swom to before me this Notary Public, ... /. 1~:.. ~ ;~.r!~:Z, , , . , , , , , County HELEN K DE VOE .~//////// NOTARY PUBLIC, Shte of New Yat .... ... ~~'TVGr~..... . Ns. 4707878, Suf(oiN CaunlyGq (Signature Of applicant) Term Expires Merch 30,1 Town Hall, 53095 Main Aoad P. O. Box 1179 Southold, New York 11971 =o~~gOFFO(~-c~ N x ~`1 # ~a~ Fax (516)765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 15, 1995 Mr. Steve Wick 1541 Stillwater Avenue Cutchogue, NY 11935 ***** SECOND NOTICE ***** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. xx The check is not on file. ;25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 17706-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 =~0~~$UFFO(~-c 0 ti x ~ • Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 9, 1998 Mr. & Mrs. Steven Wick 1541 Stillwater Road Cutchogue, New York 11935 *****THIRD NOTICE***** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)s25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being. issued after April 1, 1984). BUILDING PERMIT #17706-Z GREENHOUSE Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516)765-1802 FAX (516) 765-1823 ~oS~FFOLK~~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 31, 1990 Steve Wick 1541 Stillwater Ave. Cutchogue, N.Y. 11935 Re: B.P. #177062 Dear Mr. Wick: Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 On March 20, 1989 Mr. Lessard did an inspection for B.P. #177062 for a greenhouse, the inspection passed. I am enclosing an application for a Certificate of Occupancy. Please return it along with a check for $25.00. Thank you for your attention to this. A Certificate of Occupancy is required by the Code of the Town of Southold for all Building Permits, when the work is completed. Yours truly, Secretary TOWN OF SOUTHOLD PRO~FTY CARD ~~~~ ~ OWNER STREET L VILLAGE DIST. SUB. LOT k ~I ~ ~ FORMER OWNER N E Fo ei ACR. Q, S t 1' USN ' k WI ~Gf O~G {-KGt M K TYPE OF BUILDING RES. ~ ~ SEAS. VL. _ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~'7 -y.. L © EI ~~.~,7 _ o .. u 2 w R'. 1 o--a ~ i v `Y T4 - 1 uue -4a 1•~~ c e ~ I.4oca (n oc,.' oar zI-~ ac /" '~ ~ 740 1~~•-,~L i~u.~ ---~/ "- Tilloble FRONTAGE ON WATER Woodland FRONTAGE ON ROAD -' ~ oW Meadowkx~d DEPTH ~ House Plot BULKHEAD Total ~/a r-~ /.if<7; ~a M. Bldg. ~, `~ ~ ~,q .702 ~, S~ a~s~ ~ / Foundation ~ e, Bath "`' --- Extension ~ 2 x ~j m _ Basement ~'~ `,~ Floors ~j,c\~~ Eft nsi n a ,. K ~ ~ i. I i 70 y 3.75 ~ `3 y ~ Fxt. Walls ~~„~"j cr._;~ nterior Finish ~,iZ, Extension ~ ~c ~ - z. z Sd So .' Fire Place l Heat ~" a" 1-~,V l Lei ~ `S". Ly Porch Pool Attic Deck ~ x< ?, = ~ i , Z 5 8ti3 Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage 0. B. ' ~ ~~ i?~ >~•' -O ~' " )CCUPANCY OR ~E IS UNLAWFUL BOUT CERTIFICATE ~F OCCUPANCY APPROVED AS NOTED BY ~/~: 6UILDING OEPARTMEO 029AMTOnPMFOf FOLI OV~iiNG INSPECTtpNS. i 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CON5IRUCTIWI SHALL MEET THE REOUNIEMENT$ Oi THE N.~ STATE CONSi1NlG710M ~ E~IEIIGY CODES. NOT l~FOlIMSLE FOR DESIGN OR CONiT11NC110N EIMIOR8 ,~ s GIiG 6PPS~'JE~C~ .LLwwfPr ,a~~ G ~~'c.to - , >• t r ~-6-a-~ I~-~ti~ ~ FOUR S EAS O N S® SYSTEM 8 TO HOUSE ACHED S U N RO OM DETAILS CAULKING / TRIM IBY OTHER51 EAVE HEADER ~ BEAM SEAT EAVE MUNTIN FACIA ~ / 2 '\ I 1 ~ I \ STRAIGHT Y b 1' ~ II 1/•MINATEB WOOD BFAM 1 L_NR --MR '1 l CAULKING "1 IBY ~INEA91 EPDM V with Adjustable GASKET _ . IN ° 9 U ED PIDGE Roof Slope G SS p ~ _ _. - lJ u 4 ~ B (EIGHT p ~ (EDGER ~ IBY OTHEP51 ® ! BEAM I CLIP MPN INBU A550 MU IBY OT EP5 ~ ~ UNIT 6 FOUNDATION WIOTN rT CROSS ISlep L CoL Bl BTRAIGNT LAMINATED = MUNIIN WOOD BEAM DUILT IMO ROOF TO MATCH ROOF PITCH GLAZING CORD GRIP CAP ~ SXEATHING BY OTHERS ~ RIDGE COVER CAULKING LDT-0FF AT BEND r PUW1N STRAIGHT RIDGE LAMINATED WOOD BEAM po , `'~~ ''" B.M UNTIN O ~ ~\ u - ~\ ~ "' \\ SULATED ~ Y i 3 GLASS ~ ,7 mi O YY~ ~ - BEAM 3 CLIP ~ tF8 iu+ LEDGER mx IBY OTHERS( ~~' UNITd FOUNDATION WIDTX _ va - I$IBp t, LOL BJ A.EAYE ~O Oa RAFTER NAFTEHI l STRAIGHT LAMINATE( WOOD REAL C. ROOF JOINT WMIfI RAFIY~ TPIM IBY OTMER51 CASEMENT WINDOWS STANDARD E%TEPoO FINISH (,VARIES ~U(iH OPENING _ /I 1 W MIN. CASEMENL WINDOWS STANDARD I TRIM IBY (`OTHERS( ~I 4 _ TRIM6 c ~ IIF~ryMIRBB.~~_ ,I~'YI^~,I FLOOR III BV OTHER: 3 .!~, a i*. UNR6iWN0~TpN WIDTH ~~.~c. ~X I -- i 3 --- ~ TPoM6 _____ ~ FLOOR IBY OTHER51 _______ _______ ~ -J- ~ - UNITBFDUNDATIONLENGTH IM, ~0. ~IBW t,CaGI A r' p Q.~i..o fin,.... a G. FRONT WALL a I I i n /,, .(, I i I / i i 1 i i i II i 1 ~ I ~~ I; { { f i {. ~'i i~ j ~ ! ~ '' ~ ' 'I I~' 1!'I jl' if 1 ~ . I, ! ~'' `I' I I 1 I __~ ~ ~~~ - {i { I ~ I ' /,: " , .. _ _.~._.._.... Iati ,. ~ ,# °'' ~` $ ', aQ1D'07+1C COUNTY ALALTfI DEPA1ti'Igib~ +~, , r ~ a - ~a ~ , x 4 ~;. A , ~' MaR ~ ~ -'986 ;. a. "Rea. ~ /~D_ ?3/ ~n ~ ~~' ~ ~_--_---.- ~ .__ ._ ._ _. _~-_ ~ ab~a6a,di oval and velar auPP19 ,~ ~ r. ~ ~ ~,~ ~K _ ,_ ,, ~ n ;:, r ~.}3 Q y,~ ~ c' Yao1i1t1eb';tot>><Sa looatioa have been / «\ ` -~,~ ~ E ,.- , f " , ? ep0o'!rd 1tiT t ie dspeetmeae and f oua~ ++k f -- ~ ~-.. r„„ !9a tiei~6fadtOr7, ~~~ ~e~ss , ~ _._~ _~ ~ ~ : ,~ _ ~ ~ ~~. ~ -,~ ~x , . ~~ ~ ,~j 0., cam. P.E.; Tr+E d ~ ~QpJ ~A ~ pmf` j' 1 ~ r'~ '~ `~ '~ ,:~ Chisf of t3eae al EaBineerin~J / 51f'S' ~pk ~i .,~ v ~ r : ' Selhriaaa ' p R. ~ ~ a ~~,.r.,c ^~ ~ ~ 4 `t 6. ~ ~ x ~ ~ ~~ae?~' ~ ~F~L~F27~Y SUF y~ ~~, ll ?: +y _ 1~= L..a a by ~ , A. , x . ~ t p fit .. ~j e. , . s , ,; ; z . ` ! ~ ~r ~ t 1 a f ,,~ :n( r..~ {^ f J , ~ ~ y V y~ ~/ 4J •` ; de k ~ rs , _ _ - r ~. 1 Sf ~ .k FS ~~ 'v . '~ dr~ -ti ,, ~7 4 ~ ~ L`1 M S ~ $ R .f. ~ ~ ; ~ f P f oy`. ~ .\ O .~, , ~ ~ h~ytiv~~.dl.+ }rc a..:a "~ ~r. fr~ .~ V'°"~ ~~ _ ~~ ` ,:4~ ~I~I s „ ~8~ a ~ r ~ ~ ~. ~ .r . ~ FE6 24 198 ~_ s ~ '''k ~`' -~• ~ S.C DEPT. OF A ~" ~ ~''~*/« ~ HEALTH SERVICES `, . i i . T~ i. ~ ..~ ~ ik. b d i - ,. ~ rs rt ~+ 2 S a ..' d ;p w w ~` °~ `,;a,;.... s w . .~ ~ ~ ~, ~;:~~^ ,~ ~t «»: ,.-e`. rrettndx! Feb. 6. 1`.r~~c, ~~ , + . ~ ~ n , 4 F x $ # <, ~ _ ~ ! y .fir " ~ ~"~ /~ ~ .,, 8 r 'd /vG7 ., $ ! ~/d'/Y7~ "c _~ `r,.!.t ~i ~ _, ;t 'r; ' ~ L..-~lT .~L .C7~ ~ ~ ~#~., ic_ . Ruq. !, `! 3RB ~ } (~,~t(a (yam/~ "' Y ' -. ~ ~~ ~ r F r .^~ ~ lJl1I~4'/H>fYGtl/ ~ ~" 4' (l.°~ tQ '/IJ9 AhQ . W ~ • L / ~{7~ G' 1 *' ?ri '~ G1r2/A~r~d' ~ ;#~%~ "." ~ r, 'l4dML' cJtfed- t0 Syt1d!`C4fdQ Ti f/ w S ~G N/i7 rr ~r r ~<, ~~ ., / ~ ~i 3 . i_ , ,. ~, Aroma ;`T`C/j ~w'l 5 ~ + /{! ~ * '~;k ~`~~ ~B/YC~I Of Ll VP!'f1B0~ /~'7G. ,.:. s ~r t.~~7 r e ~'~ ~. -~. '' = ~ ,~ , '' ~ s 6urvayR d o c t; z 9, ! > 8-A . ~, ~.t ~ k ,;`, ~~ ~ fr j RO~D}ERiCX VAN TS1YL. P.C. -~ 4~ t 3~~ ~~y~~„ w ~NSED,LAND SUR EVORS ,. ~k ~~'~~~~ , tE~NPt~tT; NEW YORK 0tteonc etxr woes ----- _.. .-'--- ~ .., . - _. s.:: .,_ ,~" ~~" "g f . G4? tilt `.~ e m r ~-" r"w -`..~ ALTIkOEPT''APPP,OVAL ~ Igo. ~«sO-2~r ~. T ' i M } s STATEMENT OF INTENT R ~Y AND SEWAGE DISPOSAL 'ppR~; THIS ~ RESIDENCE WILL i ~' 1`O THE STANDARDS OF THE CO. OEMT. OF HEALTH SERVICES. PPLICANT ~~,„~ ti I ~.COUN Y DEPT. OF HEALTH "~} P ,R ,APPROVAL OF ,~ °~;, . ~ ~~ ~ . ~ ~4 F. 1~ ' i ~"~Oldt~,.~ X ~ ' ` MAP DESIGNATION: # v„ . SSE . ~ y~i ,. TM~LOCK PCL. QNtMERd- , ,, .; - - ~ . k r wy ' x f s '" < 4 r ~ i {y ' w - DEED; ~ ~ P /3/ ~/@~ EST N_E _ :STAMP ~ ~t 2„ ar al/5rgnnn n. aMikbn a ~ ~ ' to tna 8urwy k o violnbon of S4ctfon 720° of the Nmv York Sttcn ~ '• f" EducMlon Lew. w ~- ~ . ~ a } ` z Cold4a of thb euMay met not tmr!nn ~ l a l l ,- ~ ~ '; ~' ta Bea ~ ~. ea. emll}ead nsel ratan net bn cnneMer!d ' ~ m Dda wlid me coR{. ~} ~} ~ ~ r t z e a" ' Guarsmeeo InAOated hereon ehan curt • i ,^~ , , . . v Jdham ttw aurxtry only ID tho parson for § . ~ ~ la prttpsred emU on hb ttalraM to ttre ' tma oompcm. 80vammenomal eyanw ne- & - . Isndln¢ Inatitmbn Iletee hereon antl ~ ' ;, to tM esslgnttes of the IeMlne insd- f j' ` tertbn Guerantaee sra nog trenarerahis ' ~' " ,, , ~ m addkionat Inantettbns or euhaaquem ~' i 1 1 ~ C ~__. _ _ - ~, SEAL - '` x ~` '~ ~ , v * ~ ~ `' ~ Y , 1 ~ q a s . .t tt ~p y i :` k"'IM~~.N l.Jb F k~ ~ .t~4 ~; ~ 119' Y:' a g~ fT .S' ~~ j ~ . $ s _, ~ s ~ ; *^"' 7 SUFFOLK CO. HEALTH, DEPT, APPF;OVAL ~ •~ ~ ~ ~ ~4 ~ ~~f -34.23) A r ~ r w - ,.... S N0. .., i .N yY ,~ ~^~ ,%!~ 4 ~~; {'d "'4 ~i +' aQJF OL{~ WY1FLd [1CMW~ LG[NR3111~~ ~ ~.. ~~ ~ f ~ y , N ~' -, 196 ~. n. ~._,_......~. .~ .~„~ ~ / . ,r. 1 ~';k -~ f ~_.._.._} _ .. _.-. ~ ---~-i~ :, !t~ aeva6e disposal and aster aupplq ~ ~~~ . ~~~~k'~ , t ~~ ~ ,~;~: ",.r ~ ~ ~ ~ ~~ ,,f taoilities for this looation have been ;~ t '~} ' ~': ~ off ~` ~k _ I'l,~ !'1 T ~-~ GT; ~ !{J~ ~ , `. +a j ~ ~ `~' ~ ~~ a 6 '-f c' IT!r~ % i ~ ~,~`~ , iaspeoted by tale depettmeab end foua~ / ;~ :~ . ''ti a ¢"'`~~ N r ~ ~ , ~ ~ ' ~ ~ to Db eatisfaatorT. /~ ~-y- / STATEMENT OF INTENT 1 ..~ 1 . ~ t X87.54 I 90-. "'-'` ';~ ~ ,;' ~ l!~ ~ l.+r~~ I, E.~ THE WATER SUPPLY AND SEWAGE DISPOSAL ~~, ~~' ~ ~ I~~ .. _ ~ 1 ..*~ ~, " 4 ?,; Cble! or t3eae Eagiaeerlnr~ ; J ~ da ,,~ ~ ~ ~ '>, •,~~ ~ ~ ~ ''~, ,;`: Servioea ~ SYSTEMS "FOR -THIS RESIDENCE WILL ~ ~ ~„ .~ ~, ~I : ~ ' ~ i ~. ~ COfiIFDRM tp THE STANDARDS OF THE ~ C> -? ~ ~;~ ~+ w , ~ ~ ; ~, ~ ,~-t t" ~ 1Q1~ Ofx" ~~k7 Y' SUFFOLK CO. aEPT. OF HEALTH SERVICES, ~ c, ~ ~ ISI r`' ~ ~~~ , I / {~ } ~ ~ * ~ , . R „ ~ a 4. ,SU~V,E' Y~"'L~' ~~f2 : ~~'; :~ .APPLICANT - ,t `. z,~ c! ~ ' ~ ~ ~ ~ '. gar m ,~ ~. ' fhP+ ' .. .. ,~ ~ ~ ~ ~~Arh[ _/ ~ 111 ~.-t. ~. < ~ v u ~p ~ ~~ ~ ~~~~ ~~ * ~s~~~~~~~ b~_1~ f/~!~ SlJFFOLK COUNTY DEPt. OF HEALTH S., ~.. ecr,~x~ J,~~„~~: _ ~ ~ 6~ '`' ~'.~#~`~°'. I '.~~,' ~ ~ ~~,7- i ~ t SE"VICES, R;C-R 'APPROVAL OF t• ~ p w:..'.--~ ,'„ /~ b ~:~ ~ ~~ '~, ;'; ~ / COrvSTRUCTION ONLY ; _ ~~ ! ~' ~ e G K w '" ~ ~1. ~ ~ i- ~ e~+':~,M~+v -.~ E -. pt,nM rl~' ;r . F _ ~ r f~ ~~~~' ~ ~.. ..,yr• r~ ~~;,-#.'+' ~~gx ~ Y ! OtC AIA " 1~r ~n.7~I r ~ h ~ 1R - jR+\-..Sv' `y4y~ 8 ~~~1 i t ~ 17t''F.I i Viz'. ':11, V ~ ~., .< ~ ~ ~ l ~ ~, i~t ,• r- 1.~ (~, ~~ i ,. ~ ~~, F k4 ~~, ~~ ~ ~ ~,. ~~ ~ ~: ~' ~ s « ~ ~ ~ '_: ~~~~~ ~~ ~ ~ 6 24 1986 s ~'.' „~ ~ ~ ,~„ ~ S C DEPT, OF ~ yt F '~ / ~ ` HE~ILTH SERVICES 1~~. r< d : s•r ~ ~ ~ t~~. ,~~,~ t ~~a ti ~ 4 _, ~ ; ~ ~ ' 'L' L7 ~," ~ i ~' ~ "~ A-rrended Feb. 6 , I~~Hra ,k....-. ..~.~. - ,k...~:.w-..Mrrt~..... ~ . t ~ x .' ~ i r ~ ,s f,! ~~ w5 r* ,L;rrr' d C1 Ll~n~ ,,,r. ~~' l~lU c ~ Pr~;~~~•^C.. `I~Lib,' '1 ..r ~ 1 ,G. 1 ~" ~ ,. tH C Au ~ 8 t ~ ~ 1 r ~ ~%. ~ '~ " t l ` r: ,,.,.~ 7 ~ ~/j ~ r~~ ~ '1 ~ t ' ',~ t ~ ' ~ 1 ~ ~ I~y~'UT ~ 17~~~~~ _`.~Llr~''!"r.r J/~~ •l i~_ 'C~l ~'('~' ~C.Ir l~ 171+~~~1 ~ .. '~ ~ '~ ° ~I~ ~'~Jnl'an~sCt~ ~;~,~E'r'hr?ad ti{aSJJrf9: I. - `~ ~ ~~ :~ ~ "p ~.1 . `~ ~ r '~~ G' % ' ~ ,;1 ~ ~ .~ ~ ': ~ . ~ ' ~~~ ~ ~,~ :'~ ~ . ~ dank arid. to s rrdr'e4~a~a'' Tr'tl, and ~t/. A, L ..... -,- ,,; ~' G'~~vq~r~~r~~ ~ ~ ., ,~ ~, ' -~ y ~ ShaWk~ r~~~r fir, ,, . ,,~ ~ %- `:~; i Aroma 'ICJ %6S ~'~ `~~~' .V~~ : ` `~ q~xcy of ,L/Verflea~ /11C. /' I ' t - ,"~ ~y a r,Jrl~) Q y' r p. .. ~ ~ 1 , ~' Tb ~ ~J Vli/J I *d acs`; z9r 1 ~~G~ ' r, i; r ~ `' ,~ RODERI~ YAN T~,~YL, P.C. . _, i ~'~- { '~ u ~ ~~ a.a~ ~~ ~~ , . ~ r: ~~ , ~~ a ~ ~ ,°`~ ~ ~ h ~~~ ~ LI~ENSEC LAND SURDEYORS ' , '_ ~~ ` `' 1, GREENPORT NEW YORK ~ ,~ en+Prost ruins ,; ~, ~„`.. ~p PRdvea: +? M' ;~~ SUFFOLK CO. T AX MAP DESIGNATION, DIST. SEC' .. BLOCK PCL. ~ aao ~a, ~ r p/Q ~9 OM RES INERS AaD S: . 1 ~T C~ ~ rcC f~o~c ,~"7D , TEST HOLE STAMP I na~AhKMtd alte.stirn+ qr adihbn ~ fJI~~ " ~ rn thfa ~urvxy h o violrtinn of S•+etbn 77.0!` of the New York Stain l ? Ed tl ; ~ ~ . ~` urx on ew. Coplae of thk almay mag not (mrlne Z """""""'"" ; tht Itnd xaPVeya~a Inked peel tx ' ~ ~ ~ ^, embaxaed Beal ehe9 rrat bn mrlddsxd ' ro Eo a vend tn:o cagy. t Guerenteea Indloated IPeraarl rho'I min e,~~ f only iD the person }Or'rdhom the aunrey Ix cropered, and on hie t~ehaff to the l d .- apanayaa ~ tNNcomperrv.9orammonta Inxtitutitm Ilated hereon and l ndin t, , e g + to tM sxxignaex of the lending inxd- ' f~ ~~ lutlall. Guennteea Ma noP tranx?eroDie i to etldftional InetimNonx or eul+xnquent SEAL r~l ~ ~: fit. ,~r~~ . _ r ~ 1~ d ~ a f ~ t ~ - ~., ' . ~ ~ ; .~ ~~- .. , i