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HomeMy WebLinkAbout32723-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: OS/21/07 NO: Z-32357 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1570 INDIAN (HOUSE NO.) County Tax Map No. 473889 Section 86 NECK LA (STREET) Block 4 PECONIC (HAMLET) Lot 6.7 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 2007 pursuant to which Building Permit No. 32723-Z dated FEBRUARY 13, 2007 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 WITH COVERED PORCH & ATTACHED THREE CAR GARAGE (WITH NON-HABITABLE SPACE ABOVE GARAGE) AS APPLIED FOR. The certificate is issued to MICHAEL & ROSEMARIE HAMPARIAN (OWNER) of the aforesaid building. 05/18/07 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0096 ELECTRICAL CERTIFICATE NO. 3025425 03/09/07 04/05/07 JOHN DEACY PLUMBERS CERTIFICATION DATED ~r~ Rev. 1/81 ;~3' ~ q'cJb-;)5 O() --_...~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 'AY a.2mr T[ 'nl-I'~_ 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: 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 (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 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" land 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. /11 eLl ( check one) 1<( I l cO 7 New Construction: V /570 House No. Old or Pre-existing Building: h c/; t7 /J Alec,.c Street Location of Property: L<l/l~ Hamlet Owner or Owners ofproperty: ;<()~/nc(/le .( /#lcI1oe/ /It?#7,CJQ/,/4"~ / Suffolk County Tax Map No 1000, Section '173 ~8i Of(6 Block () ()() i Lot O{lftJ.CJ () 7 Subdivision Filed Map. Lot: PermitNo.3"}....72.1-Z Date of Permit. '2-/)-07 Applicant: 1,1iGhtic~( Hctlnpr7an Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: ~V (check one) Fee Submitted: $ :;5: ~#- . ppli. ature , ~c 7:.25 C; I ( 0 ~ 3:< 3S 7 """--- 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. 32723 Z Date FEBRUARY 13, 2007 permission is hereby granted to: MICHAEL HAMPARIAN 6 CROYDEN COURT DIX HILLS,NY 11746 for : CONSTRUCT 1 FAM DWLG W/3 CAR GARAGE AND PORCH (NON-HABITABLE ABOVE QARAGE) AS APPLIED FOR. THIS PERMIT REPLACES BP 30726. at premises located at 1570 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0004 Lot No. 006.007 pursuant to application dated FEBRUARY 13, 2007 and approved by the Building Inspector to expire on AUGUST 13, 2008. 1\ / Fee $ 2,905.80 ORIGINAL Rev. 5/8/02 ,'j' l!I~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ Located at I Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Oven ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ l!I~~ !5~, - L{ - C" - E!ffi!ffi!.l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~l!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the appl ication of upon premises owned by S J F EL!:CTRIC 20 ISLAND BLVD BOHEMIA, NY 11716 MICHAEL HAMPARIAN 1570 INDIAN NECK LA PECONIC, NY 11958 1570 INDIAN NECK LA PECONIC, NY 11958 3025425 Certificate Number: 3025425 Section: Block: Lot: Building permit3~ 7::2-.3 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or promulgated by the State of New York, Department of State Code Enforcement and Administration, authority having jurisdiction, and found to be in compliance therewith on the 9th Day of March, 2007, Name OTY Rate RatinlZ Circuit ~ standard or other Alarm and Emergency Equipment Sensor Sensor Appliances and Accessories Dish Washer 1 0 5 0 Carbon Monoxide Smoke o 2 0 1 0 5 0 4 0 I 0 1 0 2 0 1.2 7,9 KW KW Hydro Massage Tub (Therapeutic) Exhaust Fan Air Conditioner Air Conditioner Pump Motor Furnace Wiring and Devices Outlet Fixture Outlet Receptacle Switch 30 40 1 F,H.P, Amps Amps H,P, Gas 128 0 128 0 166 0 99 0 74 0 Fixture Incandescent General Purpose General Purpose General Purpose seal Continued on Next Page of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, , l!l~.l!l ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ i NEW YORK BOARD OF FIRE UNDERWRITERS i ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ S J F ELECTRIC MICHAEL HAMPARIAN ~ ~ 20 ISLAND BLVD 1570 INDIAN NECK LA ~ mJ BOHEMIA, NY 11716 PECONIC NY 11958 mJ ~ '~ ~ Located at 1570 INDIAN NECK LA PECONIC, NY 11958 ~ ~ ~ ~ Application Number: 3025425 Certificate Number: 3025425 ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ i electrical devices and wiring, described below, located in/on the premises at: i ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 9th Day of March, 2007. ~ ~ Name OTY Rate Ratio!! Circuit ~ ~ ~ Dimmers 3 0 ~ ~ Paddle Fan 3 0 ~ ~ Receptacle I) 00 20 amp Laundry ~ mJ Receptacle 30 amp Dryer mJ ~ Disconnect 5 0 60 amp Air Conditioner ~ ~ Receptacle 15 0 GFCI ~ ~~ ~ ~ I Phase 3W Service Rating 300 Amperes jj!I ~ Service Disconnect: 2 ISO cb ~ ~ Meters: 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I l!l.l!l APR-4-2007 06:24P FROM:PROPER-T SERUICES 631 734 7463 TO: 17185254445 P.2 TDwD lIeU, $300$ Main ROIW p.o. Bole 1119 SOoIIIlold. New York 11971_ Fax (631) 765.1823 '1.1...._ (631) 76S.tlOa BUlLDIN<:j DllPARTM$N't TOWN 0" 80tml.LD CER TIFIC~ TION Date: Iltltt / ~ Z!4J"/ Building Pennit No. 3 d 7 d-:3 z. Owner: M I {; 110 e I If (J 111 Dc? r /; /) (please print) I Plumber: JO h 1'\ n~ o-c ~ (please print) I certify thai the solder used in the water supply sysljlm contain~ less than 2/10 of 1% lead. Sworn to before me this ~ ( day of M L/ 1_ . 20!2!/- ~~ f"~ ib,: (Plumbe ig re) - Notary Public, 6P I(' ~I~ County CHARla HAMPAIIAH Notary PublIc. SIofe r:A New York No.41-16!Ill473 Qualified In ~ Coonfv Commiion&p/lwJan.31. 2010 31-7~3 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING I STRAPPING ;P<(FINAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION ] RAE RESISTANT CONSTRUC110N [ ] FIRE RESISTANT PENETRATION / (Ju' f~) REMARKS: H~L~ ~I~~ .).- ~. J-.Gt 2- (o-?::;- ~ - VO /Y. i ~;1 ~ 307~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ...- REMARKS: ~A 1:z:7 <tr~7zJ- [~NDATION 1ST DATE ,rj i rJf) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL d-/C , \ . , INSPECTOR ~ ~ "';0 I O"-C~ J-G2-Cj'o L ~~ 0f d/\~\)1 ~ 3b7~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ~UNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ~ , . \' .. DATE S/R / dO I INSPECTOR d- 7r(J 7~ ~ 307dip 765.1802 BUILDING DEPT. [ ] FOUNDATION 1 ST [ ] ~DATION 2ND [ .,fFRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ [ ] INSULATION [ ] FINAL ~ / INSPECTOR DATE I . J.? yc; 7Z:- ~t/ 307;)-'... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ I FIREPLACE ~IM:: REMARKS: ~ ~ ~ ... DATE I;-/; 71(}/ INSPECTOR 1/ . _ ~ 30'7~ d7?Lo7C- ':;;7 765.1802 -BUILDING DEPT. INSPECTIO [ ] FOUND l'ION 1 ST [ ] F NDAJION 2ND [ ING [ [ [ [ ] FINAL FIREPLACE & CHIMNEY REMARKS: ~ DATE J- I 0 VINSPECTOR l _______ 7~ 3J-1;}.-J Z ] FOUNDATION 2ND ] FRAMING I STRAPPING ] FIREPLACE & CHIMNEY [ ] INSULATION LX( FINAL [ ] FIRE SAFETY INSPECTION DAT,-- ~ ~ 7 --::-c ~'~PECTOR lC ~~o-{~ MICHAEL ANGELONE, PE, LLC ENGINEERJNG SERVICES 4 POND PLACE. OYSTER BAY . NEW YORK 11771. (516) 922-2024 May 18,2007 Town of Southold Building Department Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Attn: George Gillen - Building Inspector Re: Fireplace Certification 1570 Indian Neck Road Peconic, NY See 86, Blk 04, Lot 6.007 Permit #32723Z Dear Mr. Gillen, This is to certifY that the one wood burning fireplace and two gas fireplaces at the above referenced premises were inspected and they were found to be properly installed. All fireplaces comply with applicable State and Local Building Codes and were acceptable. If you have any additional questions, please do not hesitate to contact me. Thank you. 4'" ~;';~,-, - \ ~_.. .'~.~. ~I.". . I:fle..,. y. l,n)"',~ ~;'/" "c. "'-....,. " "- , re DAA " DiGiovanni and Associates Architects .. .. November 21,2001 Town of Southo1d Building Department · P.O. Box 119 Southold, NY 11971 Re: 1570 Indian Neck Rd., Peconic Section 86, Block 04, Lot 6.007 To Whom It May Concern: 26 preston avenue sea cliff, ny 11579 (516) 671-3624 fax (516)759-7138 email DAA93@msn.com sitate to call our office with any questions. Lener TO Southold 11.21.01 ./ 112r I L__-", , , " I ~---...J 1 " JNDATION ( 1ST) -----~. UGH FRAME & PLUMBING ISULATION PER N - Y- STATE ENERGY CODE =-===--====-===~"""== FINAL ---==-==- .. . - 1~,,(4 ==s===--====....=====--==-=- t>~ J!r ,)'''Ht'' 0 r~ ,uz:o..J 5/t!' . . !A- oS ~ .w L..::1 ;l! !'i H >-l ... l)) ~' :.J ~\ L...~ ~~ "'t?" z o ...... cJ\ cJ ~ >-l \-\ ~ :) r S- ~ ~ g ? (\ ~ , .. ~ 1 a CX) .... \. 1: ,7.' >-ll v- i' ib dJ :A) o -b -S\ l:l \ ~ ~ -.S:> I> . l 00_<:': ~<(; lo - -4 - to, '7 TOWN OF SOUTHOLD PROPERTY RECORe-cARD - - - ---- 1~70 ... -... .. )WNER STREET VILLAGE DIST. SUB. lOT '1 yY~~Q11J'5,~L- 1-rV-1d \.() r-. 'Wf- (k ~ Ct \11..( (-", Wik\ CD's \~C' 0 () \ (\ 5 . - f ACR. 75 REMARKS ~ .,j 'ZO..O~... / I, (.;, . - ~y,' .. d TYPE OF BLD. lY.eM.?\ t'. ""~1,aVIC7' PROP, CLASS..2I: ("an k T.) ( Q r)DW IQ:;1'.:m:::. ..gfj t) i . LAND IMP. TOTAL DATE :han, :3~ne.ls) /I 5 q3 -LlIlIJ'73.uDII.. e,L D{))iC.~ rrr.. -Iv C,(ht,(l wle?, . NIL 5n() VI-' h.nn \I \:z.r, \q C\ dth'w-) I ao;:;/.fl<t53-('j/,}.. d '(C<1 fo :)/,')(.)::/.. yof: tlCJ$;DCD \C)on ';;:4\ ,qoo / II ~\q() ;'1 :JL.I.'j /tr) 13l't2c -"/.>7} /)(/AA) tI.t&/IJi . '" " .z.. :2, otf" 500 pM '2-. f OD ,/ ,"'3 ) In', -;o,!1~J-t.:la)D'l.pqLIf- ~:_ ___ldt.Jmpxrl'avl 4d- i~~/VY) I I . .- . FRONTAGE ON WATER TilLABLE ;J OS ~ ;roc, _.~.- --.-... ---~ .-;'-, ")\ FRONTAGE ON ROAD X'q,<?D~~ c ::<'14 DEPTH MEADmVlAND \L-,ntJ BULKHEAD HOUSE/lOT \@ , '1i.'C _.- TOTAL [8'72..' ""7"/.. q ? COLOR TRIM 2,~;).qO /lWJ d~ kf35CJ, ~ .--. - M. Bldg. Foundation PC Bath Dinette CB FULL Extension Basement CRAWL Floors Kit SLAB Extension Ext Walls Interior Finish LA. Extension Fire Place Heat D.A. Patio Woodstove BA. Porch Dormer Fin. B. Deck Allic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor O.B. Pool . Do you have 01 need the folloWll1g, before apply'n, ~~ J;~ -C- . . Board of.Health ~ ,,',_ 'n . _ __ J. 3 sets of Building Plans .:!JOTl:JAQ ~ Swvey PERMIT NO.;;!?fo? ;k Check /1 / ) I Septic Fonn r<'/?/~U' UA:2~9o;a .. "I-} N,Y,S,D,E,C. U~ Jo,,t.J' ' . Trustees Contact: Mail to: DAA 14 Franklin Ave,Sea C1if Ni 1137~ Phone: 516-671-3624 JJVJ.I-__. ..... _.M.J. .UA..~.&...\-~ To:1i~;1al4IE t~ JLt! ,;'1, SOUrHO!.iJ,NY11971 n!';, J' -'-, ~ \ TEL! 71.15-1g ~Ii 2 ?OOl " !; j -"'-~"..'~'--'-'"_...........-' , ,,-<:L Of;.~tY~ l L,,,__\ r, ..~~..2}:$i~Ln1,Q1.JL.--,' Examined t: /I:l- , 20CY Approved 6Jr ,20~ Disapproved ale ~~. Building spector APPLICATION FOR BUILDING PERMIT Date May 16 ,20_ INSTRUCTIONS a, This application MUST be completely filled in by iypewriter or in ink and submitted to the BUlldmg 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 corrunenced before issuance of Building Permit. d, Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pcml" ihall be kept on the premises available for inspection througho\ltlhe work e, No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of OCCUP":- :s Issued by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant 10 the Building Zone Ordinance of the Town of South old. Suffolk:County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, oralterations 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 ,",","ud ,,,p"""l~ r='''' d ;" b"l~;"':: "~'fF "-'"'"' IV ~y i ature of applicant or name, If a corporatIon) Notal)' P1ilIIc, 8lIEd_VDllt No,OlME<<11111D8 Qualified In Nassau eanv n..... Commission Expi"'" Mot. 5, 2llJLL 14 Franklin Ave. Sea Cliff, NY 11579 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractar, electrician, plumber or builder Architect Name of owner of premises Michael & RBsemarie Hampatian (as .on the tax roll or latest deed) , If applicant is a corporation, signature of duly authori~ed officer (Name and title of corporate officer) Builders License No, Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: 1570 Indian Neck Rd. r House Number Street 2Peconic Hamlet County Tax Map Na. 1000 Section Subdivision Wild Oats (Name) 086 Block 0004 Filed Map No. 9331 Lot 006.007 Lat I State existing use and occupancy of premises and intended use and occupancy of proposed construction~ a. Existing use and occupancy Vacant land (permi t # 26290Z) . b Intended use and occupancy Sinqle Family Residence ; Nature of work (check which applicable): New Building X Repair Removal Demolition . Addition Other Work Alteration (Description) t. Estimated Cost $300,000 Fee If dwelling, number of dwelling units If garage, number of cars 1 3 (to be paid on filing this application) Number of dwelling units on each floor J f business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height . '-'NumberofStories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 69'-0" Dimensions of entire new construction: Front Height 37' -0" to Ridge Number of Stories Size of lot: Front 25.96/200.0 Rear 225.96 Rear 69' -0" Depth 50'-5" 2 Depth 551.49/310 o Date of Purchase 4/01 Name of Former Owner Mitchel So Beth Stocki Zone or use district in which premises are situated ') Does proposed construction violate any zoning law, ordinance or regulation: No - Will lot be re-graded No Will excess fill be removed from premises: jf!!f NO 4 Names of Owner of premises Michael Hampar:!:\'Hdress Phone No. Name of Architect DiGi<i>vannl Ii. ASSOC. Address 14 Franklin ~vephone No 516-671-3624 ,. fC Add ::>ea ClIll ,I~. Ph N .,ame 0 ontraclor ress one o. S Is this property withii1l00 feet ofa tidal wetland? *YES NO x . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE RE_QUIRED 6 Provide survey, to scale, with accurate foundation plan and distances to property lines. 7 If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. L". TE OF NEW YORK) 55: OUNTY OF ) David DiGiovanni being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, 'lHc IS Ihe Architect (Contractor, Agent, Corporate Officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application: .H all state'1'cnts cOnJained in this application are true to the best of his knowledge and belief; and that the work will be ,formed in Ihe manner set forth in the application filed therewith. . .\'om 10 before me I 1/ d / ",.-:...... r" . ., ::-:f~~-;:Jr<J.; ~;;;, ~ . :.l,,'i"'::~~~~~t ~:vi "~'J~$?J{.~~):t":~~~h~l, f.: ~.. .,"' "~:t;?lV1fy!t${:~ >>-. -.-,-:.......,.-, .'A. ,. ,c,. ~. ... "~'" ...". ::,' -"-'j,c:h'::) L::~'.;' Notary Public PATR1CII\ A. GUY '. . NtiWY Public, State of New York i " No. 01 GU5029016 . " . QUilllfled In Nassau County :..:=::::;-~ Cbl\\ti\lililllln Expires June 13.1~-L", Signature, of Applicant 11'--',:,.....,'....:1.., ' , I ."- ~ : .' \ JUt"J 14'(11 11; L-'f~-J~'1 '~;(li_I-'-Hi_(rl TIJI.Jl'; H!=lU ~.H'-, 7f,~ !U?'~ !].p~ ; :.' GL-.. -,'Ol~" ,->.-:' :,r'""...J:-,,'(' I'. -"'.,'--~,,<',..,...^: ~ I STATE OF NEW YORK) ) ss COUNTY OF SUFFOLK ) I I I i ! i . i I i ! \ . . . Qo..yiaDie:,"OYA..I'\oj n.n' being duty ~wor". rip-poses and says: That deponent is over the age of 18 years and resides at \"t'.J:m.n~A~+co...n C\;f:.f" NY. 11m That on the \~ day of JoO'G ..' 2001 deponent architect/engineer. licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR): said plans pertain to property located at SCTM# 1 000- ~~" 'O(p 610!.1c. 4 I...c* u..001 street add ress__l'?l Q_ \r\dio..o Kl::(.L, ~_~___., f>-C:COl'\IG, l'l'( .. , I i I A hitecl/Engin Sworn to before me this jd day of_..__... 2001. CECILIA M. HERMAN NalIrY NlIc. _ of.....,'Itlrk No. o1HE5058812 QuIIIled In Nu88II CounIY ~'n,...I;'" ExpIre8 AprIl 15. 2.oA2.- cc: Applicant "~ ~ + \ id Il.. ./ - ~ iI~ tl7rr; .. .I'.! l!ii~f i'ii;'JI1iw JI! ~.I I ft~1 ~ i, il~ I ~i l IDw 3!f~~ I I', 'I'; I ~d,[ Ii ~ i' f'; I ! l ~.) , I.ii! i~S :di.ill t1) I I I 'I . ~ Ii', _j_ II II! I " I t tl~ :1' ill I ; , , Ii!! II ,ll i 1 if ii f;nll I n ii~d!~ . I j i I !' II 1 ' ", , " f ~ ~ '! d lit d ~ !~; i I~ @iL t . i!~ f ~I i.... j. p ;1 .... _n il ! i l :1 " " II , : I I I , , I I II L__ , / " I 'I : I ~l ! i ! ,~ " I ~ i I I_ ~ i I I l'; !1 III Il ~ ~ j 1 \1 ~! ;, I ~Ii ~~ m . ~~ ~\ ", I '1" ~i..' to; II'~ 'fIt ~ 121,1 ~! ~I~~ / ( 1 't-:i , - I ; ; II i '~:I ~ ;I~ ~ ,.I. dl ~I' 21 il I! ~~ ~ ---LI --~:. 'IUi "I' ,- I I! 1 ; , I i :1 -.i: 3' " ~ __it ~. ~. ----w ,...--...-- -~~".olI ~l ~ I "I " I, " ! , ! I 1'--, Sf ~! ,r ils I@! -, !II 'fd , -~ , , , , , :6 i :i= '<l: I> , 'W '-I ,~JW 0- <Jl <l: w CERTIFIED TO' MITCHELL STOCK! BETH STOCKI PECONIC ABSTRACT. INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 641 - S-0I00l BNY MORTGAGE CO., L.L.C. ~ #~ , ~. ~G- \,,/ ;.v ANY ALTfRA rioN OR AlllllTION TO THIS "'\IEY . A Io<<II.A T10N OF IJECTIDN 7M>> t1F,." YCRr .TATE EI1UCA1DI LAW. DlCD'T AS PfIlIJECT'IOIIION 'nf1g - ...... _ M- L ALL CDrTI'7CA T10NS HE1fEON AIlE VAUI FOIl THIS MAP All/) CQPtES 7HEIIE'OF eN. Y F SAID MAP 011 C<<W6 IUR _ ......... <<At. t1F THE &ff\IEYQI' IIPfO<< .... TlJfIE ~ ...... AIJDlT1OllM.L Y TO CCIM'I. Y fIlTH SAID LAW THE~ ~At. TDfI!D BY' ___ ItII$lIlE WED BY A/!N AND ALl. ~ JfS ' A CC/l'Y '-7 OF' ANOTHER ~ IIM'. 7'QW$ SUOI AS 7UY AND _ "BROt.ItIHT-To-DA TF:' ARE NOT IN COIII'UANCE .. 1HI: LAW. 0 - ~ ~ ~ ~ , E.. \'Z\,\O tl. 6 r- " ~ ~ \ , d:"lb\..,~~~L\ \~)~' 'j "'," ':\', \ \J\J; W' ~ L.JSi~'2"''''''-'' \.01 CY -1'. \ <~":~. ":"80 I / / / \ ~ , (j. "~~ , LESLIE'S ROAD _ 'fl. ...\,\0 6P' , So ~ SURVEY OF PROPERTY AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNT~ NY: 1000 - BfJ - DtI - 6.r seAl E: r = so' AJNE 2, 2O(J() JUNE 30, 2000 ( Cllfflllt:flI/on J N. Y.S. LIC. NO. 49618 S, P.C. FAX l631J 7~ - 179t STREET 1/971 ~ NOTE- LOT NtAtBERS AIIC REFERENCED TO . MAP OF WILD OA TES' FLED IN THE SUFFOLK COUNTY CLERK'S OFFICE AS UAP NO. 9331 AREA = 76619. " .q. ft. or 1.7686 acr.. 00 - 14-7 A ~,_._.o~ , I , I", I('} .") I r -j ,,'~ ' 7.. .-Lv It~ >:::'0 "1" l' " ':;\ '- ANY AL Tf:RA rioN OR ADDITION TO THIS SUlVEY IS A VIOLA TION OF SECTION 7209 OF NEW YORK STATE: EDUCA'FION LAW. EXCEPT AS PeR SE:CTION ION 7209 - SUBOIVISION 2. ALL CCRTF/CA T/OIIS , HeRE:ON ARE: VAW FOR THIS UAP AN) COPES THERE:OF ONL Y F SAD UAP OR COPES BE:AR THE: /l.lPRE:SSBJ SEAL OF THE: SUlVEYOI' WHOSE SIGNA TURE: APPE:ARS HfRE:ON. ADOITIONALL Y TO COUPL Y WITH SAD LAW THE: TfJUi ~AL TE:RBJ BY' _ IilJSr BE: USE:O BY ANY AND ALL SUlVEYI1S lA.6-1ZJNG A Copy ~ OF ANOTHE:R SUlVO'OR'S UAP. TfJUIS SUCH AS 'WSPE:CTE:D' AN) ~ 7JROUGHT-TO-OA TE:' ARE: NOT N COIIPLIANCf: WITH THE: LAW. 0 - ~ CERTIFIED TO' MITCHELL STOCKI BETH STOCKI PECONlC ABSTRACT INC. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 641 - S-0I001 BNY MORTGAGE CO., L.L.C. SCDHS Rel.'" F?IO 99 0096 ~ ~oJf Sp.' ,~ ,f> ('#G . €,. \,,2.1'\ 0 ~. 6 \m " \", \ ~ ~O~..(j~ScP E.- Jr' )p.O ~~S po. ~ <.n '" ...~ ".:!~~ -~ \~o'" rr '", CD 0 r... ~ ' ':.,' '-\-'1. ~-,:... \~ \ ~ ." ~n ... .,. -\ ~ 'Z. <n -\ t'-" ~ ~ .r_".' ..",,,, "'2", 1><)..., ?fJf):"( 0' ;:d!' 0' !'I.. ......." ""'''';- ,Q4v~ ';, 6 -?...(\ ST ~::'Q ~5"~L'c:c_,APFFf;;;X. .;:::t:o\ .-.::.:T7ON -=41'.....,1 ~r. c"'r~ \t g ~ ( lI, '" \i \ f,I\-\ " ~\ .. '" " ~ ~ \ "b'O " -.........'::Q 11<. \ I} ~ _-"~ \ ~ '.~~d- ./ 6) \,0"'( -9. .9/ <. .~~. .9/ .'V.9.. <. \ \ "'(CD \..0 / - \ ~ eft , Sf'f>' ---lESLIE'S ROAD . 'II. \'\.0 6\"l S. O~ SURVEY OF PROPERTY A T PECONIC TO WN OF SOUTHOLD SUFFOLK COUNTY, N y, 7000 - 86 - 04 - 6.7 SCALE: 7" = 50' JUNE 2, 2000 JUNE 30, 2000 ( cerllflcallon ) MAR. I <i, 2007 (finaf) PECONlC (63/! 765 -.-: P. O. BOX f230 TRA SOUTHOLD, .49618 NOTE' LOT NUMBERS ARE REFERENCED TO , MAP OF WfLD OA TES' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE AS MAP NO. 9331 - 1797 AREA = 16519 i sq. ft. or l1566 acres APRIL 25, 2007 (curbing) 00 - 747 A-