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Home My WebLink About31920-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32368 Date: OS/22/07 THIS CERTIFIES that the building NEW DWELLING Location of Property: 330 WATERS (HOUSE NO.) County Tax Map No. 473889 Section 88 EDGE WAY (STREET) Block S SOUTHOLD (HAMLET) Lot Sl Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2006 pursuant to which Building Permit No. 31920-Z dated APRIL 19, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING WITH COVERED PORCH WITH 2ND FLOOR DECK OVER & ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to AJ HOMES CORP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0033 OS/21/07 ELECTRICAL CERTIFICATE NO. 109442C OS/09/07 PLUMBERS CERTIFICATION DATED OS/03/07 JOHN A. DELVECCHIO ~i!~~ Rev. 1/81 e5-e2-2ee7 14:54 50UTHOLD BUILDING DEPT 163176595e2 ~ ~ ,rU?b~.c., PAGE2 S-(~ - ' 1101'11' No.6' ., / ,... TOWN OF SOUTJlOLD ."..) 1- (#)' .> J, nlln,IHNG DlCPAltTMl!:NT MAY I 7 7 Tl~~l~~r. ('C \O~ L,',;"......,~ Al'l'UCATION FOR CEJ.{'l'WICATJ<: 01<' OC'C'UPANC'Y -.----. This application lIlust he tilled ill by typewritel 01 ink and submitled 1.0 the Building Depurtmelll with the following: A. I~Ol' new building or fleW use: I. Finnl survey ofprope.ty with a('Curate location of nil buildings, prnp"rty lines, streets, und unusual natural 01 topographic features. 2. Final Approval frum Health Dep!. <If water supply and sewcrage..dispoRlIl (S.I) form). 3. Approval of electrical installation frolll J:l(,ard nf}lire Ullc!fJ.lwriters. 4. Swonl statement from plumber cel1ifying thai. the Roldllr use.1 in syr.t.cm containR less than 2/10 of 1% 1('IId. S. Commercial building, induslrial huilding, multiple residences and ~imilar l>llildings and installationR, a certificate of Code Compliance frotn archit",:\. or erlUmeer responsih!., fo/' thc building. G. Submit Planning Hoanl Approval of completed site plall requirements. II. For exisllng bUildinRR (pl'ior to April 9, 1957) n"D,collfonlliuJ: Ilses, 01' buildings and "pl'e.exlsting" laud us.~: I. Accurate survcy of propClty showing all property Iiues, streets, hl/ildi,,!: and unusual natural Of lopographic features. 2. ^ prop"rly completed applkatio" and COIlSl'llt to in.'pel'l ,dgned by the applicsnt. If a Certificatc oft lecllpancy is denied. II", Btlildin,~ Inspcclor shall "late II1e rr,aSOIlS fhetefor in WI ilil1f~ to lh" aprlicant. C. Fees I. Ccrtificalc of OccupAlley .. New dwelling $25.00. Additions to dwelling $25.()(), Allcratiom, to dwellin!: $25.00, Swinullilll: pool $25.00, AcccssolY huildin!: $25.00, Additions to accessory huildinll $25.00, Dusinesses $SO.OO. 2. Certificate of Occupancy on Pre'.,xisling Building.. $100.00 .1. Copy ofCettilk.teofOecup.ncy $.2:, 4. Updated Cc.tificale of Occup.ncy . $50.00 5. Temporary Celtif,c"lc: of Occupancy .. Residcntial $I~;.OO, Cmnme.ci"1 $15.00 . 51.15/9-7 )),,1<: New COw,ll1Iction: / Old Or PI'e.exislillf4 Duilding: .__ (c.hc.c:k onc) Locsliallofl'roper1y 3.36 .\,j~\t.\>Etk.~ U()..Io...I".="_._ H"\lse. No. ~ :';1./'(:"'- \ Own.,. or Ownc\r, of Properly: .AJ ,J::L9\Yle~ _ C.(:) t V '-_ Suffolk County T,lX Map No 1000. Sc"lion . %~. QO. _ OIoc:k ....5_ Iinllllt:l 1.01 __S(Q 9_ SubdiviSion ._ File.d M"p ... _ .._ _ Lot: __ .._ Date of PcnniLApc'J...~d,O~~ Applir"'nt:. 11.:5 HO'tnn ~.f p~__ _. __. Underwnlerr. Approval' PenoitNo .-.3\'\aol- He."lth Dep!. Appro"al: PI:mlllng Huard Approval Reqlle.RI for: Temporary C"I'ilicate __. P~,,-, Sl.Iblnillcd: $ ..as '- 0.9 _ Pi"", <:eltll';C:"le: 8-..V<..7:2;; 7 ~ co:c :?)3G~ 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. 31920 Z Date APRIL 19, 2006 permission is hereby granted to: AJ HOMES CORP 30 SOUTHO OCEAN AVE FREEPORT,MY 11520 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 330 WATERS EDGE WAY SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 051 pursuant to application dated APRIL 19, 2006 and approved by the Building Inspector to expire on OCTOBER 19, 2007. Fee $ 1,454.10 Authorize '" ORIGINAL Rev. 5/8/02 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: .s~3-D7 Building Permit No. ~a 0 z... Owner: _'A '.:'i \-\\)\'t\..eb lo~V' (Please print) Plumber: J; j~ II. ]y JI k A. . ~ (ple~~ print) , , , / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 8 day of 5 ,2007 HADI HACHEM NotarY Public - State of New York NO.01HA6087986 Qualified In Suffolk County My CommIsSion Expires Mar 03, 2011 <-~ /lacU' /--ja~ Notary Public, {~t'.k County 311 ()-o "L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION P<(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION F~ ~~Dk. ~ ye-c~') ~~ QQ~ ~ ~1t.='* ~~ . DATE s ---1-->--- 0 1 INSPECTOR ~~ ;) )92-eJc TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ~UNDATION 1ST [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS:~~~ ~ ~ DATE I INSPECTOR JI{~ z. TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. IP<(FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE ;--}.- (J C INSPECTOR ~~ ~. 31r~ 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ P<1 FRAMING I !TRAPPIN~ [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION , DATE r - F'~ db INSPECTOR ~~ ) II cfL0 Z-- TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION t><J FRAMING I STRAPPING [ ] FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMA~ ~ i4- ok . r:~- + l~rf- ~ -t~~ ok}, . .::, oMv f'::;1 ~ ~~~ ~ ~ #cu:4 -In-- 17eo ~ DATE D ~/tf,..-o{, INSPECTOR #<-; ~ 3/~J-oz TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST l><Q ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION l)4 FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: --t::uC ff- +r S'6-1 ~~ · (J,y-K('[ ~ f2V\L O~ -' /f/V-L ~tj- ~~ ~ LV Lfa. . DATE 9 - ( d- - 0 , INSPECTOR ~,..~ J ! 91-0-6- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS. ;;."10,, <-< < fLk ~r ] ROU G. NSULATION ] FINAL ] FIRE SAFETY INSPECTION a.,~~e,Lo< ~ _ ~J/ +f~ INSPECTOR 31~d-02 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST rf ROUGH PLBG. ] FOUNDATION 2ND [] INSULATION ] FRAMING I STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ k-' . ~' DATE r~/f.-{) , ~ , INSPECTOR ~ ~ ..., j [12,-cO-l- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING I STRAPPING [ ,..rfINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE R~ANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARK~ fill cI kJS (:J (' ~r-r- ~vlo ~..,.c~- .....:..M~- / ~ INSPECTOR ~ kl. ^ "J. Y'.-1fII\ wi r?M ~ <... lC. ' \ I y~ J J1J; 'L-; I-xTI--I'..".c,"- i'J~t - )/yv:n:-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING I STRAPPING ] FIREPLACE & CHIMNEY [ ] FIRE RES~ANT CONSTRUCTION 'I'" REMARK"; ~~Ls <5fJ btJ., ,_~r ~ !-<-.A-II. 4nA:CWI - \ ~;~.r ~ /Jy,- C7JL. " ' ,!:~LN~'-J _~/1- 0Afl'~ , '.:--5, [ ] ROUGH PLBG. []I~ WIN~ ?- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION /:Y-WrnJ P A"f ~- '~ ~~.. . INSPECTOR 3/9H.: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 [ ] RRE RESISTANT CONST1lUCTlON [ ] FIRE RESISTANT PENETRATION v:: REMARKS: r-~ ~ () f Q R jJ /J II f.; G DATE INSPECTOR ~~-6- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT UCTION [ ] ROUGH PLBG. [ ] INSUL~ [4INA~ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ::...f' " J;; ~, DATE 1&~( f INSPECTO ISLA ENGINEERING SERVICE COMPANY @ November 7,2006 ,.----:::--.-..-.-- , - - . -'~ _:" :<, .~ '\ , i ., 12 CENTRALWOODS LANE BROOKHAVEN. NEW YORK 11719 (631) 286-7448 e-mail: isla@optonline.net www.IslaEngineering.net ...... I 6 ~16 \ i ~ Town of Southold Building Department L .. P.O. Box 1179 Southold, New York 11971 Re: CERTIFICATION OF ALTERNATE STRUCTURAL BEAM Dear Sir(s): On November 7, 2006 I performed an inspection and structural analysis of the main girder supporting the garage ceiling at 330 Waters edge Way, Southold, New York. A 5-1/2" x12" Anthony Power Beam was substituted for the (3)1-3/4"xI8" specified in the approved plans. Project Name: Hunter Homes Builder: AJ Homes Corp. Permit: # 31920 Inspector: Danny Isla, P.E. Findings: My investigation consisted of reviewing the construction plans, reviewing applicable codes, and physically inspecting the field conditions. I hereby certify that the structural beam used to support the ceiling above the garage is an acceptable substitute, and can safely carry the design loads specified in the current Residential Code of New York State. November 7,2006 ----!....~ . ,. FIELD INSP~'lTION REPORT DATE I FOUNDATION (1ST) A t/ 'L ./ COMMENTS d'r.....;; /~ .,?, ~ j /" L 'pJ fA!' /....t /> / /7' " r 1~./.."V (. /J /7; J / ~ ') // /1/ ....... / ~ #. "Ur ~~ L J... ~.~ \}J"Cl ~ -:<:I ~= <::l-l "" . ~Q&J.~ ~ I [ ------------------------------------I~--;?__i/~ v ~ \;i FOUNDATION (2ND) . . ~ z f,-!-oj, lk" 'r. ~ '-8.. /L.O. i4-' lJ k . --?' ,UY ",l IV (J (J fV \)J <1.:11//0 b 0.Ll .lr"kI J J"L '" "'Q. 0 W I 1Jc-o~ ~ D,j) - .. ~ ~ ......:D.... rld.~ ..... I or.Jr "2...d [;] .>~ nJ.JlA'k ,.A 'Dl_U 'k!J . ~ 1~ n"'1l t\~ ,~^" \J ) ~ ~ ./ ~ P 0 r-l- 9/1;'-ot, e,...."J '7.7'A "'-.....~+--:tf__,,7. ~ ~ ~ , -,,: ok I /V~ XlI- fi- ^ .~ ,,, -,'. .Jj". .fA. I) - .m Ub S~~)L j;J.. t....... -' /Y' t? ".-.RP L T3J J 3/~ It. I V ~ t- v L~tJlf. I-/ '/ / ~~ = c; // Nf~ ~ ./1_011. ~~.:u' a.J.- ~ ,......:-. '^ .. .., . I'" ~ f '/ rr~..u; #9 ,\ JtJ..J A..IL ~~ I/~ 7 ~~ INSULATIONPERN, Y. ...;.' n ./ - ~. G-l STATE ENERGY CODE -/.~. VA"-.... ~_. A - ..... ~ ~ r:e I~(ur~ I d'L J,..J. . II J.,IT'; k.,. j/ I J ,..~,".s:r, ~ ...:S) lA.n JI. Z' J",J, 1 J ,::.; 4J.r~&n- Y-WA1.n7 I ~_-~~. '-l q;pf(J(" V. v ~V. '-f..-.rt rf- .dOh .Io.J.. .L . ,OlD lJ\ t r~o ~.AlV''' ~. ~ 9--/~--(){." ~ 0 :-1-.1.- tJ fJ.C7I ~ ...~ ~ L........ u - . A. n -.L ~ ?e - I' J> ~ ~(9\ q --(y . 9 - .-h., WtI4- f ;>. h. ~ ~ './0& If' .A' ~ I-.t.J' " w:dJ... h..C' / ) ~ .. ~.e... ~ ~ )/;~kJ..,IV~J/h/ ;xl L..-"U /7 / /.1' ~,...,..:.... 0. . If>- 6r......'...' ~ hu. - (.0.. L I~... :.. '7~-r;;~S, ;;I. ,I. ,. ' "IfL ~ .J/' A;./ ~'\".~ ~'-"',7l!r-.d"" ~/'I.r ADDITIONAL COMMENfs 10 U r Ar (' J /1u. ,. t<- / 1 'I:) n/P-r&f/1/4<- fYt~.6#rr VOlpeb-- /of,.."" /:S~1/~6-~/"lZ-(J2=- )J!'Y-j J i=- .J _. $J 'S ,11-111. 7L-:- .V U-c.. JIL rf:, ~ J / '/ A ~ ~ 11../L J.""f}.f} "D"" Hi.. 16/" dtJ' ~ r' f Ul r \. ...AlL ?\.. f2'i<.\d JI-7.-()b /"'nA-e.- c.u, fl:: ~, ~ ... )'''cM ~ d~'~'~/~ _ . J I' h" J/J .., ,c;- -/ ,:z;;; sA 'cf A.// . /. '/ /_ 'c_. . ~ . b -#, ~ r~/. I ~ p~ h . II .:b /:.A. R A. .. _ I t.D) J.. ~_ ~ "Lv';' ./ K:";tA '- ie? ... . .~6) ~/ U _ l"J . Lv", ;.A ~dJ.r:.-b L1 ~, ~YullJ1~~.I1 'ff, A..Ji) ') /I., '.<1~ r,,)J/~ ._ /~ '. r- i'r> /.,,e.',e .A8A~/.\ AM'" IJ..... d ,r~ !'n,....'.r\..A- ,-." ~ ~ ~ " U \ .., ~~;P aL ('.n.iJ ,,,",,, .ftv..~~_ ~J7""'"' ...wI . (j') -n.~, 11.. __ ,/ J/. ((;, Jr. .J.. i::.d ~ 0 Ir A~/. i:.le ':;J 'l4 f7 .L.__~L<:.It! _'~;.q.J. )""". ... ,\ i ~ ~ A. i) f{ 1.-1. ;', .AJ~.., ""\ kvu'Ar.u ~J ,j~". /. 70= ~_ ~ o' . I ~~ u~...i..';' n n:J;!I!.C VJ., tlK.. A.-, ,/,"/ ~ 1 tf. ~, <;7 l"J C,' if..:. olr"V"'" / /JI c.--L J7 .it~J.60 ,/l,,'~ fl. ~ ~..h:..f.n ;..-> ,-11-'/, #'" ~ tI? if( D 1/ ,L. j -d ~ / -:h.. ()JLQfl \ dI b;; A//J".I J ~ ,'rz ~ ~ .AA ..'......,.{/~L 71,.,...)'ed .Yu 0 ~ :5 /\)'_0, P'~" ~ OJ'(. 1 ~cr,'f\-- /1~h L:7 .I ,,>'" ~. Py~..V'lj' 17-'~I)~ ~p _ -4T"/J'.J .J ROUGH FRAMING & PLUMBING ~t ~?I' ~r:-- -" :/ r FINAL ----...- . TOWN OF SOUTH OLD -. BUlLDINr.DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 319/20 i3:== FAX: (631) 765-9502 www.nnrthfn...ni;ni./ERMIT NO~.a: If 0 Examined ,:!O 0 BUILDING PERMIT APPLICATION CHECKLIST Approved Disapproved ale Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: (I Mail to: If f'JD'" lA'U11f7t;>..u? '578 ~IU" K.-D, "~L/ ~() Phone: '9ftl -1. v) --v5~' Expiration , ____ __-10/r7/r i:-- r.; I~' I~ ' Wi I:. I!' L',~__~ I' " \liU I ~I(l~~m~o~ w:><< ~~DING PERMIT i.:UI i1i 1 JUN 2 n.. _. l' ~t I' Date ! Ii INSTRUCW NS I . , ...-... , a. This application MUST be c~_mple5!L)(i!'WI<t;ill~\\~,~writej or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee accordmg to scneaule. b. Plot plan showing location oflot 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 ofthis 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. APPLlCA 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 South old, 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. ~) 2.--1 } , ( , 20 () ) (Signature of applicant or name, if a corporation) ?-57;6 f'V1~Q ~~/)l(..~""y (Mailing address of~pplicant) ) / 7/ 0 State whether applicant is owner, less~ge~ architect, engineer, general contractor, electrician, plumber or builder /J.& UJI / I; (J / L--]) Y A-L I Name of owner of premises /..,lJCA GI/~ 6e:r(1 ,u1f1-1>-:::C- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer !rVv fU:Vv' U\-W 4'fCJlL6 P tt (..> I 1) UV'\ (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: UlirfUSt{)~ ~ House Number Street ~ ~ ~i ,''''' '" r\ County Tax Map No. 1000 Section - C7 ~ l;I Subdivision S d v'\11VL..- j) Hamlet Block ~ Filed Map No. s- Lot Lot ~\ (Name) -"..- . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V ~ '\ ~ \D . ~ b. Intended use and occupancy 'N VvJ 5 J 'tJ6l.-z.. ~ 1 L.-~ r\U'-IVI..C 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ 3> SOl D 0 D / ( Addition Other Work Alteration (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars ,,~ (To be paid on filing this application) o.~ 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 /J 0 fJ L Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front See. Height Number of Stories 9. Size oflot: Front 5 'i [' S vl'MJ ~ Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories f~5~~WD( Rear 'I Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ I D ~J f}-L.. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ N04- 13. Will lot be re-graded? YEr NO_Will excess fill be removed from premises? YE~ NO_ 14. Names of Owner ofpremisesl.-VCJU[ 6t1fjJ4PjAddress t-'Yc. Phone No. Name of ArchitectLl1v7>o 1\0 '"':1kcCd"h("""I Address ;fSLMdl- Phone Nw-3/- '11') -& y>tm NameofContractorh'T jfqlVlf-,<, Address f;eJAlkJ' LUf Phone No..q0-.J, J I ~<:;7...;; 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO r * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA ~~E 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: COUNTYOF~ /lwp ~ ~, /fffj U being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C-IJUIJ ~ off I L-WL- (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 tme 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. 20 Jl:L Signature of Applicant LORI H. MONTEFUSCO Notary PUblic,.State of New York NO.02M06109802 Qualified in Suffolk County Of Commission Expires May 24, 20-.!! JUN-17-2005-FRI 12:42 PM EAST COAST ABSTRACT FAX No. 516 794 2726 P. 002 . EAST COAST ABSTRACT" INC I'M GudM City eMler.lOO (luaIbI RIHISndt llIwI.. SIIiM 101. Gtmte. CIty. NY Il53() (516) 794-9100 (81/0) 734-711() FAX (516) 791-2726 .1!ST~'RFI) 1"'1/- I 1 i I 1 I StqA.. UitJIr. PraUmt. SlMJqE..LrM..1brttt:rIIIN Jr.... PraitI_ . ria Intit.. SmiM nu Pra._ J_Jll.BItdp.Yi<<~ DtI_ J. 11...-. V'~ PusitI-, O--Z CtIIUlMIl r.. ..4q.O...... TiIIiI OfT'"" hill M-. Stllilor.4eulult Sp<<III/i# Liu J.-. ~""'g lIUIut. 1 I JUNE 17,2005 V. ROY CACCIATORE. P.C. 30 SOUfH OCEAN AVENUE FREEPORT, NEW YORK 11520 o'tv j i I j , . TITLE NO: ECA36747 PREMISES:W ATERSEDGE WAY . SOUTIIOLD,NY DEAR SIRIMADAM: ENCLOSED HEREWTIl:IPLBASE FIND THE FOLLOWING. INFORMATION IN CONNECTION WITH TIIE ABOVECAPTlONED TITLE: i. I. I () FEE REPORT () MORTGAGE READING () SURVEY READING () SURVEY INSPECTION () TAX SEARCH () CERTIFICATE OF OCCUPANCY () DEPARTMENT OF HOUSING & BUILDING () FIRE DEPARTMENT () EMERGENCY SERVICES . () AMENDED SCHEDULE A . (X) OTIIER- SINGLE AND SEPARATE SEARCH VERY TRULY YOURS, EAST COAST ABS I , " ~ ..; , , "" I '" . II '.....".". ,.. ,..........., - JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No, 516 794 2726 P,003 ..'.\ EAST COAST ABSTRACT, INC. 100 QUENTIN ROOSEVELT BLVD. GARDEN CITY. NEW YORK. 11530 Phone: (516) 794-9100 Fax: (516) 794-2726 DATE: JUNE 17, 2005 TO: V. ROY CACCIATORE, P.C. 30 SOUTH OCEAN AVENUE FREEPORT, NEW YORK 11520 RE: TlTI..E NO.: BCA36747 PREMISES: WATERSEDGE WAY, SOurnOID AUIHORIZED BY: lELEPHONE: (516) 868-1070 Bll.L TO: SAME SINGLE AND SEPARATE SEARCH $500.00 $500.00 TOTAL: TInS INVOICE IS PAYABLE UPON RECEIPT. PLEASE SEND A COPY OF THIS Bll.LALONG WITH YOUR CHECK, ATTENTION EVAN IMMIIT. " ~ J i , ,.. I I IU. ,.... '" ,...,__.....,,,__.,. JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No, 516 794 2726 p, 004 I I I , I , . EAST COAST ABSTRACT, INC. DOES HEREBY CERTIFY TO: TOWN OF sournOLD That is has caused a sean::h to be made in the Office of the Suffolk County Clerk in the State of New York, against the premiSC5 described herein and premises described herein and premises adjacent thereto on all side from 3/l0/56 to dated, to ascertain the chain of title respecting said premises described herein and the premises abutting since, and has found only the return as set forth in 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. TInS Company's liability is limited to $25,000.00 for negligence only. NO POLICY OF INSURANCE IS TO BE ISSUED HEREUNDER. EAST COAST ABSTRACT, INC. Dated: June 17, 2005 Title No. ECA36747 Swom to before me this 17th day of lune 2005 ~J bJ~ NOTARY PUBLIC ~ I MARIA T, WHITE Nola~ Public. SIOIO 01 New York . No,01V~H506~310 Qualified in Nassau cou~ {f6 C;ommissron Ellpir.. July 15. t'J 1 , II. I. II " '''........._,....... ..,-------. JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No, 516 794 2726 p, 005 > SCHEDULE A I 1 I i ! j I ALL that certain plot piece or pllICel ofland with the buildings and improvements thereon erected, situate, lying and being at Bayview, near Southold, in the Town of Southold, County ofSutIolk and State of New York, known and designated as Lot number fifty eight (58) on a certain map entitled "Bay Haven at Soulhold, Town of Southold, SutIolk County, New York", surveyed December 10, 1958, by Otto W. Van Tuyl & Son, licensed Land Surveyors, Gleenport, N.Y., and filed in the Office of the elCIk of SutIolk County on the 22M day ofJanuary 1959 as Map No. 2910. District 1000 Section 088.00 Block 05.00 Lot 051.000 i, ; ~ , .., -i ,," , ''',''_.''''.,___,, ,.~._____..._~....u,___ JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No. 516 794 2726 P.006 , EAST COAST ABSTRACT, INC. Chain of Title - ECA36747 District 1000 Section 088.00 Block 05.00 Lot 051.000 SUBJECT PREMISES ; . I \, I Howard F. Terry / Ionathan H. Terry Cal:o!ine T. Ross To Helen G. Cochran LibeT: 4086 Page: 269 Dated: 3/20/56 Recorded: 3121/56 our property and more Lucille Bettinardi As Executor of Estate Off / Robert Bettinardi To Lucille Bettinardi / / Liber: 5430 Dated: Recorded: Page: 461 9/14/63 10/10/63 Helen G. Cochran To Robert Bettinardi LibeT: 11379 Page: 421 Dated: 11/6/91 Recorded: . 12/3/91 LAST DEED OF RECORD Sworn to before me this 17th day of June 2005 fJ~~~~ EAST COAST ABSTRACT, INC. MAmA T. WHIT:: Notal) Public. State of New York No.01WH5063310 Qualified in N....u Co~1Y 6 Commission Expires July 15. () 11 -. ~ " 1 ., "" "'" ".,I.,..____'..~I..--._..._.__._--_.._-_.._-_._...- JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT ,. FAX No. 516 794 2726 P. 007 EAST COAST ABSTRACT, INC. Chun of Title - ECA36747 District 1000 Section 088.00 NOR1H PREMISES Howard F. Terry Jonathan H. Terry Caroline T. Ross To Helen G. Cochran Helen G. Cochran To Michael LaGrego and Agnes C. LaGreso, his wife JohnF. LaGreSO as devisee I Under Last Will and Testament of ,,' Agnes C. LaGrego, deceased / To Christopher J. DiGregorio and Patricia A.. DiGregorio, his wife Christopher J. DiGregorio and PatriciaA. InGregorlo, his wife To Patricia A.. DiGregorio Sworn to before me this ,'" ""of '_mM 1ft ~(!L NOTARY PUBLIC ~ " i M~.RIA T. WHIT~ Nota", Public. State of New Vorlt No.01WHS063310 . Ot.l8lified in NaSsau C~"Z {, , Commission Expires July 15. 'U Block 05.00 Lot 049.000 Liber: 4086 Page: 269 Dated: 3/20156 Recorded: 3/21156 our property and more tibeT: 5850 Dated: Recorded: Page: 581 9/25/65 1111165 Libe:r 11639 Dated: Recorded: Page: 610 7/26/93 8/10/93 Liber: 12288 Page: 179 Dated: 9/24/03 Recorded: 12105/03 LAST DEED OF RECORD EAST COAST ABSTRACT, INC. I I I .. I '" .._.,._...._., ,.__,." _ n.., , JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No. 516 794 2726 P. 008 > EAST COAST ABSTRACT, INC. Cbain ofTitle - ECA36747 District 1000 Section 088.00 Block 05.00 Lot 048.000 NORTII PREMISBS HOWiU"d F. Terry Jonathan H. Terry Caroline T. Ross To Helen G. Cocbran Liber: 4086 Page: 269 Dated: 3120156 Recorded: 3121156 our property and more Helen G. Cochran To Michael Sabia and. Marion A. Sabia Liber: 5850 Dated: Recorded: Page: 585 9125165 1111/65 , I , I ; Michael Sabia and Marion A. Sabia, his wife To Edith F. Ray Edith F. Ray To Andrea PatineUa AIid Rosalia Patinella, his wife Liber: 8157 Dated: Recorded: Page: 583 11/29n6 12114176 Liber: 11774 Page: 58 Dated: 511196 Recorded: 5/14196 Andrea PatineUa and Rosaria Patinella, his wife To Andrea PatineUa Liber: 12288 Page: 835 Dated: 8/6103 Recorded: 1219/03 . LAST DEED OF RECORD I i J ~ Sworn to before me this 17th day of June 2005 N~P~ ~W EAST COAST ABSTRACT, INC. MARIA T. WIlIT" Notat)- Public. State of New York 1'oI0.01WH5063310 Qualified.i'\ Nossau Co~p6 ~mmission Exptres July 15. F - .~._. JUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No. 516 794 2726 P 009 EAST COAST ABSTRACT, INe. Chain of Title - ECA36747 District 1000 SeetioD 088.00 Block 05.00 Lot 052.000 EAST PREMISES Howard F. TeIT}' Jonathan H. IeIT}' C1Il'Olinc T. Ross To Helen G. Cochran Liber: 4086 Page: 269 Dated: 3120/56 Recorded: 3/21/56 ou( property and more . Helen G. Cochran To JBlDes A. Grubber and Caroline Gmbber, his wife Liber: 4733 Dated: Recorded: Page: 596 1211159 12/2/59 . JBlDes A. Oxubber and C1Il'Oline Grubber, his wife To Otis M. Burt and Hope S. Burt, his wife Otis M. Burt and Hope S. Burt, his wife To John M. Schwartz and Bmbara E. Schwartz, his wifil Liber: 7232 Dated: Recorded: Page: 425 8128n2 . . 8/31/72 Liber: 8087 Dated: Recorded: Page: 199 815n6 8116n6 LAST DEED OF RECORD Sworn to before me this 17th dayof Junc200S t;f~ f~ OTARYPUBLlC EAST COAST ABSTRACT, INC. J ! MARIA T. WHIT" N01aro, Public. S1ate of New York No.01WH5063310 Qu.lified in N....u Co~ 6 Commission Expires July 1 S. ; -i " , . . . . , , "".'"....--.,, ", ......_-'---_._----_.~.._.._--_.. iUN-17-2005-FRI 12:43 PM EAST COAST ABSTRACT FAX No. 516 794 2726 P. 010 . . EAST COAST ABSTRACT, INC. Chain of Title - ECA36747 Distriet 1000 Section 088.00 Blol:k 05.00 Lot 050.000 WEST PREMISES Howlll'llF. Terry Jollllthan H. Terry CarolineT. Ross To Helen G. Cochran Libel': 4086 Page; 269 Dated: 3/20/56 Recorded: 3121/56 our property and more Helen G. Cochran To Harry G. Johnson and Elsie M. Johnson, his wife Liber: 5073 Dated: Recorded: Page: 556 10/23/61 10131/61 Elsie M,-Johnson as surviving Te.uant by the enfuety To Angelo D. Pisacreta Liber: 12212 Page: 12 Dated: 913/02 Recorded: 9130/02 LAST DEED OF RECORD Swomto before me this 17th day of June 2005 EAST COAST ABSTRACT, INC. ~b/k N TARYPUBUC . MARIA 1. wlirr;; NOla", Public. Sr.t. of New Yo", No.01WH5063310 Oualified in N8$5laU cou~ ~ Commission ElIIpires Jl,.Ily 15. u j , .J I I I I.' ". ... ._._..)."(........--.-.-.-...".,,..-. "'--'- jUN-17-2005-FRI 12:44 PM EAST COAST ABSTRACT FAX No, 516 794 2726 p, 011 I , I i i 1 I I 1 -; i ~ i .J -; ... ~ . ~ .. EAST COAST ABSTRACT, INC. Chain of Title - ECA36747 SQlITH PREMISES TO THE BED OF W ATERSEDGE WAY Sworn to befure me this 17th day of June 2005 ~J~t NOTARY PUBIJC EAST COAST ABSTRACT, INC. MARIA r WHIT~ NOlal) Public, Stale of New York No. 01 WI<506331 0 Qualified in Nassau Co~ Commission EJcpires July 15. SCDHS Ref.# RIO-04-0033 HSE. I fi..llr. '01.15 " """ C?~ -f Q<- SURVEY OF PROPERTY AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000-88-05-51 SCALE: 1"-30' DECEMBER 5. 2003 FEBRUARY 23, 2004 (CERTlFI.CAroN) June 7, 2004 (revisions) June 28, 2004 Ire visions) OCT'3o,1,.1.005 (S,'K's.) JUNE 30, 2006 (FNDTJ NOV. 20, 20?6 IFINAL) JAN. 31., 2007 (f")~1J . ~-, ;. \ N r-::-" -" \ ~',' .; ~:~:~'./;C:S Hi\{ ,) it J. Z007 I" ,: . .. " ,; -...t~.....,-~ , ; ,/ ~ >,'-.':'.: 11::\~'O been ;","'.,,:,:.::'i;)1J:\.;ilo ! ...-- ','._" ~11.B ~~-r "9.2 E9.0 I..p. s'o .. ~ o "'<>Vf Q/., 'c '<-"'>' .,..~ 0/. 12 fin. grade 01/1 ~'trlltt EL 1.8 GROU.:J WA ru: "mJn (,0,. fO%; S, <</,. 'Y0 ~ ~q..i?' / (,0,. IO%; S<, <VI\< o ""'~, o~~~ PROPOSED SEWAGE DISPOSAL SYSTEM I. LEACHING POOLS 4.5 DEEP WITH 3' CLEAN SAND COLLAR 1000 GAL PRECAST CONCRETE SEPTIC TANK- BOTTOM OF LEACHING POOLS TO BE 3' ABOVE GROUND WA TER CROSSECTlON SECTION SEPTIC 5Y5 TEM IADDITIONAL SEPTIC SYSTEM) 00 \ ( I -. ~ .:J ~ ~ f ~ \ ~ (;\ l ~. J..... ~ ~ Q ,'I .. " ~. ~ ~ :Jl ~ ~ (- , ...J c::~ 00' 1<",20, 4i 31, . V' , , ~ (;\ 'r..~ 'f "t;j J...... .:::t" Q k),V '" ~- ~ -2)' '0'\ "( \------; . TEST HOLE DA TA 12/12/03 a. 70.8' DARK BROWN LOAN 01.. --- " BROWN SANDY a.A y a --- 5, BROWN FlNE 10 COARSE SAND sw 6) 1Ok-. ..<:<</, .0 ' ""0 t:<c/." .~ /p: 4 .?>.e>~ ~.l)0' .e> 9.3' lvQ...... ...~ flr4.r <~ WAm? IN PA.1..E BROWN FINE TO COARSE SAND SW . ~, Q;# 17' 10,,_ .'<:<</. .0 "'0 (..00/ . '<: "'",,, ""'r 6) C~RTlFIED TO ' EAST COAST ABSTRACT, INC. FIDELITY AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ORRA REAL TY CORP. HUNTER HOME REAL TY CORP. , AND A.J. HOMES CORP. I am familiar with the STANDARDS FOR APPROVAL AND CONSmUCTlON OF SUBSURFACE SEWAGE OISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and wi/( abide by the conditions set forth therein and on the permit to construct. AREA=17,500 SQ. FT. EJ;. propc~cc;J..; e1evc;.A,"'-' . =MONUMENT . =PIPE C/l ~ ~* -" (") ~ q 9..0 :z(\) Q.l~ '" '$9.- ~:I: \'!o'" ro\l1,. -'5 ;(fl '1 97 The location ,of wells and cesspools shown hereon are from field ob'servations and or from data obtained from others. ANY AL TERA TlON OR ADDITION TO THIS SURVCY IS A WOLA TlON OF SECTION 7209 OF THE NEW YORK STA TE EDUCA nON LA I\' EXCEPT AS PER SECTION 7209-SUBDIWSION 2. ALL CERTlFl.CATlONS HEREON ARE VALID FOR THI.S MAP AND COPIES THEREOF ONL Y I.F SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVCYOR 1\1-I0SE SIGNA TURE APPEARS HEREON, Elevations referenced to N. G. V.O. 289 . , )J'~?!b / / A J...1 " ~. i I ;' it ,t '. '. U. 3(9;)-0 .3 /1cm J SCDHS ReUI RIO-04-00JJ ':,'1 I" r.. pn--c--~ r--1 I _ I _ ~ . I ~ \ I HSE. "nolII'. "J4 ....., C'~.., Qr SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NY. 1000-88-05-51 SCALE: l' -30' DECEMBER 5, 2003 FEBRUARY 23, 2004 (CEl'/riFiCA;-ON I June 7, 2004 (rs'lisions) June 28, 2004 (re'lis/ons] Ocr ~I LCOS ( So ,( 's.) JUNE 30, 2006 {,eND n N " Jill. 13 \:J,o at !z 'fn. 'lrad. "" o r....... t"..- (- \ J ':;-:,,0 ~'" ~s~ ~'r;J 4' 'Z SSs // ~ <'<" fa. e ">l< ... I ~r "'Or COik- S, ...((/A.....C) EIOJ E;a.Z .::z...l.s :;RC(.1-CJ '.A,;"E'f , T.. PF?C?G5ED 'iEIIA.':E ~ISPOSAL SYST€.Y J LE,JC.r....iNG ?OOLS 4..5 JEEP ,ftrH J- CLEj,'1 S~!,O COLLAR 1000 GALPRf:CAST CONeRE'F: 5EP nc TANK. 30 TTOM OF LeA::-'JG ~']OL -; ro 3E 2" :;RCl;NO ,l/J. TE3 ~ ....'r CR'J5SEC rON SEC nON SEP nc 5'(5 rc,\.A / (,Or (O~ S<, ((/,<", C.J ....., c5~~~ ~ II ~ .J ~ ~ ~ ~ ~() " S or;: " ~ ~ , ~~ ~ " " oji "'~ 0 -.:::: . , . c. II \ 1 TEsr HOLE DA rA 12/12/03 a ra~ O.AllK 3RCtIIH ,-OAJI cr.. --- ,. 9RQ'fIN s,AH:Jy a.A y C% --- f ~ ~q.,. aRC""" F1HC TO COAR'5E 5.4NO 5W 6> (o~ ~ (~ (o""c.J '"" /p: 4?,~~ ~.oQ~ ~.... ..f 1Jr4 r ,z, ~ lfAl'IN H PALE 8RC'IIN f"I€ TO coARSC <;AIG 5'W ,z, Qr IT fOhc; ~((/'I/~ "So';., CERTiFIED TO I EAST COAST ABSTRACT, INC. FIDELITY AMERICAN TITLE INSURANCE COMPANY OF NEW YORK OFIRA REAL TY CORP, HUNTER HOME REAL TY CORP. , AND A.J. HOMES CORP. e I om familiar ",ith the STANDARDS FOR APPROVAL AND CONSTRUCTTON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and ",ill abide by the conditions set forth therein and on the permit to construct. (Oilc; ~"'! .f <<.'/~G/ ~.. . ~ AREA=I7,500 SQ. FT. El,prop~~"-"'-' ek,$.>'-~ . =MONUMEN T . =PIPE 618 The locatian of wells ond cesspools shown hereon ore from field observations and or from doto obtoined from others. ANY ALTCRAnON OR ADO/nON ra THIS SURVCY IS A Vloo,nON OF SEcnON 7209 OF THE NEW YORK STATE EOUCAnON LAW. EXCEPr AS PfR SEcnON n09-SUBDlVlSlON Z. AU. CERnFlCAnONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. Elevotions referenced to N.C. V.D.