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Home My WebLink About33015-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32590 Date: 09/10/07 THIS CERTIFIES that the building ADDITION Location of Property: 250 APPLE (HOUSE NO.) County Tax Map No. 473889 Section 70 CT (STREET) Block 1 SOUTHOLD (HAMLET) Lot 6. 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 17, 2007 pursuant to which Building Permit No. 33015-Z dated MAY 17, 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 SHED DORMER ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONNA LYBURT-CHILDRESS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMIlNT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3040349 07/30/07 PLUMBERS CERTIFICATION DATED 09/02/07 PECONIC PLUMB. & HEATING ~ ~ized Signature Rev. 1/81 ~_~c."l>>r 'fOa ~,l?y. I~~]J... ~~~ .. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~/< \ ~ \ \ , i\ \ , \ \ .. ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY \ \./' .~ . ------ \ ,(.- This application must be filled in by typewriter or ink and submitted to the Building Department with~1!owing: .J'v- 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 Board of Fire Underwriters. 4. Sworn statement horn plumber certifying that the solder used in system contains less than 2/1 0 of 1 % 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 bnildings (prior to April 9,1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survcy 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. Ceriificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certilicatc of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Date. ..::LJ ~ { 07 Old or Pre-existing Building: L_ (check one) Location of Property: -::>~C:> APt" "'- Ck I S"<..:l'+1/) C') Id t n:--l. ) \'1'( House No. Street Hamlet Owner or Owners of Property: D C'lY') A l...,,,/.b\''''+ Suffolk County Tax Map No I 000, Section Block Subdivision Filed Map. Lot Lot: Permit No. ::S:?xJl'S' - 2- Date.ofPennit. Health Dept. Approval: Applicant: Underwriters Approval: Plmming Board Approval: Request for: Temporary Ceriificate Final Certificate: (check one) Fcc Submitted: $ ~.170,1 c. 0 :63.1.5 ~O ~~~<:" Y-t:-^ AppIic lt Signatur~ 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. 33015 Z Date MAY 17, 2007 Permission is hereby granted to: DONNA LYBURT-CHILDRESS 250 APPLE CT SOUTHOLD,NY 11971 for : CONSTRUCT A SHED DORMER ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 22637. at premises located at 250 APPLE CT SOUTHOLD County Tax Map No. 473889 Section 070 Block 0001 Lot No. 006.005 pursuant to application dated MAY 17, 2007 and approved by the Building Inspector to expire on NOVEMBER 17, 2008. Fee $ 75.00 Authori ,- ORIGINAL Rev. 5/8/02 70. - I - " -J.- [!].[!] I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ HILDEBRANDT ELECTRIC DONNA LYBURT ~ ~ 2875 MAIN BAYVIEW RD 250 APPLE COURT ~ ~ SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 ~ ~ ~ ~ Located at 250 APPLE COURT SOUTHOLD, NY 11971 ~ ~ 3040349 3040349 ~ ~ Application Number: Certificate Number: ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ I Described as a occupancy, wherein the pr~ids~e~t?cal system consisting of I ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ ~~ ~ ~ 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 30th Day of July, 2007. ~ ~ Name OTY Rate Ratio!! Circuit Ixm; ~ ~ Miscellaneous ~ ~ finnish 2nd floor ~ ~ :~~~I~ ~~: Devices ~ ~ Outlet 8 0 Fixture ~ ~ Fixture 8 0 Incandescent ~ ~ Outlet 22 0 General Purpose ~ ~ Receptacle 17 0 General Purpose ~ ~ Switch 6 0 General Purpose ~ ~ Dimmers 1 0 ~ ~ Paddle Fan 3 0 ~ ~ Receptacle lOG FCI ~ rn:J An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~ ~ be in comformance with the applicable reference standard for the estimated period of construction ofthe premises wiring system. ~ ~ ~ ~ seal ~ ~ ~ ~ I of 1 ~ ~ ~ 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 [!].[!] 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: ~e_p~vY'rp:,r ';;(J d-,C07 Building Permit No. ~ 30) -5 - '2 Owner:-:::DO V) n 0 L;J b \ ) r+ (please p 'nt) Plumber: -J')ec.ol'\., C.- pflA..vt-..A '11 if- He.e.t.'hec. G (pleaseHint) -e o~ c.- lS -e-r r 't ~ I certify that the solder used in the water supply system contains less than 2/1 0 of 1% lead. Sworn to before me this 3 dayof ~teM&<; 20~ l)L~;(A' drf()~ Notary Public, ~ ~\ \~ounty -,VIl:lIl.LOI'EII ~~"lIllt ~__~_~i?....SulloIkCooalv 0 -......... ...... ,;4' -/ ..., -/ () 3301S- :z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING KFINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUC11ON [ ] RRE RESISTANT PENETRATION REMARKS: ~ j)~ ~ oA A c 1- 0 -' ~ 6---lc;-tJ 7 DATE INSPECTOR ~~ ~?:>D) S- {C'-A 765.1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND INSPECTION ~GH PLBG. [ ] INSULATION [ ] FINAL [ ] FRAMING [ &~ REMARKS: --~ DATE :d--J? /'1 { INSPECTO :J-. ?/~OI5" rei\- 765-1802 BUILDING DEPT. INSPECTION [ [ [ FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~tl/V7 6)/1::... k//V~~ k~ ~~~~ .y _~et:lL)~ =-: . ?J<N ,~ ,~t?tJk L?~~"" ATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL DATE / f .r:NSPECTOR v ~ {):;:~ ':)30/) (C/\ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: !lib /J (!(! e S; 5 . ~ - DATE ~NSPECTOR - ---- - - ~. j?Jo'5 {~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FO ATION 2ND [ ] INSULATION [ ] FINAL " ~--L ' M,4/Ra/ ~ ~ DATE FI~LD I~PECTION REPORT "DATE" COMMENTS Vi ====-=============-=-==---====--==~-====t-=============--============----========---====== ~~ I O~ ~ -~ " ,- II ... " II " II II FOUNDATION (2ND) II" ==================================r=;=== ===- ==================~==:::=====~============ " " " " II " " II II " " " " " II II -:1 =-=====-=====-=-====--============.=====. II FOUNDATION - (1ST) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE - =======-c-====-=-==__=--=___ FINAL =--==-- -- ""=== ___ -_-=-:Ill: -----===--==--===== ::z__-- =-==__ ADDITIONAL COMMENTS: =---- - --==-m==:===_D===:C==-_-== =- - -- ~)~ tol';;j l , ~~ .~ ~~ "'~ Q- ~ ~ ~ O~ ! ~" ~ ~ l~l ...l~ l... ~ ~'A ~L~ !il~ ~'- <1--1~ ~ ~ n WI li: , "-~-""'-'._---'.. '"".' MAR 8 [995 FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTM:-'N1: TOWN HALL SOUTHOLD, N.Y. 11971 .j'; r TEL.: 765.1802 Exal1lined.~ua.,~~.~ '330JS~' Approved. . .-ma1~ 1f19.f.. Permit No. ~ f ';."~""--".~----'--"'" eU}I.:J ~~:--_'-,-, ,~,IQ~~'.:'i_Q.:~?~L~,_ ... ':. BOARD OF H~ALTH ........ J S~TS OF PLANS ........ SURVEy.................. CHCCK .........,........ S~rTIC fORN ............. t' (}~. ~y . . , 'L.- , ....--..., _1_ lVl~" C.'>-':;I-I "'" CALL ,. ..'w'.....-......<=f.... H^IL TO: ................... .. Disapproved alc .................. . ......... ....... ....... '" ...... ,.... . .............. '" .... ................. ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date.. 3{ ~i .. . .. .. .. ., dJ5" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with: 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 street or 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 permi 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 Occupanc: shall have been granted by the Buildir';: Inspector. . APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th, Building Zone Ordinance of the Town .of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0 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 te admit authorized inspectors on premises and in building for necessary inspections. . . . ~~~~~;;e', ii ~ ~~~~~;at;~~)' . . . ... .~-q/7?1?l;-.r;... .~*. '1.~N:Vk:b(.d.... (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . ~ ~ . . . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '.' . . . . . . . . , . . . . . . . . . . . . . '. . . . . . . . . ~ . . . . . . . . . . . . . . . N~meofownerofpremises . .-::Don.Y.1f'l.. h'J:Bu:r.=rr:.............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer. ...... ..... .., ..................... ,........... (Name and title of corporate officer) Builder's License No. ~.9.Y:l..'B C<?, kc: n. . . Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... 1. Location of land on which proposed work will be done. " .-...,................. ,..... ... .... .....,...... . .~~-.<.,>..................... A'?.P.lC:. .C.W':":\;-................. SO-':>:W'-'O\.~........... House Number . Street Hamlet County Tax Map No. 1000 Section. .. : .10...... ... Block.. .0. \. . . . ... : . " Lot.,. L ,~. . . . .. . . . . . 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. . \",\.(o,?l)~" . . . . . . . . . . .. . . . . . . . . . .~..r. . . . . . . . . . . . . . . . .':'..~. . . . . . . . . . . . b. Intended use and occupancy ....:-:D (':)(,":Dl.<:':Y.'.. . . .. . . . . . . . . . . . . .. .. . . .... .. .. .. ...... ., . . " . . . o '3. Nature of work (check which applicable): New Buildin~ .:...... . . Addition. . . . . . . . " Nteration . .:x... .:. . Repair .............. Removal . . . . . . . . . . . . .. Demolition ....;......... Other Work. . .-. . . . . . . . . . . . (Description) 4. Estimated Cost. . . lJ I OL-"O . . . . .. . . . . . . . Fee. . . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. . If dwelling. number of dwelling units. " . . . . . . . . .. ". Number Of dW0IIing units on each floor. .. . . . " . . . .. . . . . If garage, num ber of cars ........................................................................ 6. If business. commercial or mi.xed occupancy, specify nature and extent of-each type of Use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of eXisting structures, if any: Front. . . . , . . . . . . . . . . Rear. . " . . . . " . . " Deptl:1 ... .. . .. . " . . .. Height ............... Num ber of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear.................. Depth. . .. : ........ . . . . " . '" Height.. '" .. . ..:...... . . .... Number of Stories......... ...;.......... 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .; Rear.. . . . . . . . . . . . . . Depth .......;....... Height ............... Number of Stories. . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . 9. Size of lot: Front. . . . . . . . . .' . . . . . . . . .: " Rear................... ~ . .. Depth ...................... 10. Date of Purchase .............................. Name of Fonner Owner ............................. I I. Zone or use district in which premises are situated. . . . . . . . . . . . . .. . . . . . " . .. . . . . . . . . . . . . . . . . . . . . : . . . . . . . 12. Does proposed construction violate any zoning law, ordina~ce or regulation: .................:.............. 13. Will lot be regraded .......:.................... WiII excess fill be removed from premises: Yes No 14. Name of Owner of premises. . . . . . . . . . . . . . . '. . . . . Address. . ; . . . .. ... . . . . . . . . . Phone No. ................ . Name of Architect ............................ Address . . . . . . . . . . . . . . . . . . . Phone No. " . . . . . . . ..'. . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address ...... . . . . . . ; . . . . . . Phone No. ............... 15.' Is this property within 300 feet of a tidal wetland? *Yes,........ No..,..,... *If yes,' Southold Town Trustees Permit may. be required. ' . PLOT DIAGRAM Locate clearly 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. , ;"'c.\ t' \ f't ti ~~ ~ r::, ';J,;' ( ~LJ':__,~ ~~ J h V'jj ~ ~ .... __ l~."',ll i,,1/ .~~ AS NOTED DA,~ b ...~?[( FEE: ~;)~ BY: NOTIFY BUILDING DEPA :r 765-1802 9 AM 10 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING &PWMBING 3. ''''SULATION 4. FINAL -CONSTRUCTION MUST' BE COMPLETE FOR e.O. ALL CONSTRUCTION SHALL MEET' C. THE REQUIREMENTS OF THE N.V- . STATE CONSTRUCTION ,. ENERGY COOES, Nor RESPONSIBLE FOR OESIGN OR CONSTRUCTION ERRORS 8'!/,'t',{'i;j : \,,)l.fvWi ,-. .,.., l~.r.:,r ,f,,' " . J\0[: ~v' U .. "~'" cf-' ~._~ ..... \",'.\T. ".J':, ,.,1 t" ,t',- ~ ~ ~'-';.;; '-,li ~,5 ,~ 'ft'~ ~ &; ~Vv' ii, ~,,)' ~TATEOFNEW"YORK~)// .S.S. .' _OU .OF..-:::::::'.c::A:; . .V}" , '" .W1.V\C\...... . . .l:-l.fn.UJ.1.. ... . ... .. " being duly sworn, deposes and says thathe is the applicant (Name of individual~irn;ng contract) " " ' bove named. /' . , ' . h ' .= / \ ,f\ r, v' . , ,e IS t e . cy.l.A.l. .'.~.. ..............................................,............ . . . . ',' : . . . . . . . . . " . (Contractor, agent, corporate officer, etc.) , . , f said owner or owners, and is duly authorized to perfonn or have perfonned the said work and to make and file this pplication; that all statements contained in this application are true to. the ~est of his knowledge and belief; and that the 'ork will be perfonned in the manner set forth in the application filed therewIth. . worn to before me this '.' . . . . .. :/. \~. .day of. " . . . . ; otary Publ~(;f. L. . . ClAIRE l. CLEW ' NOTARY PUBLIC. State of New YOlII No. 4879505 Qualified In Suffolk County LI ( CommiSSion Expires December lJ. I~f-IP r( q/ . .~~ .\.~9... \ "W County . ,"llfJ:t:v-r...<+.. ?l.~.,................. . . ') , (Signature of applicant) . })O()Y1d. Ly b4v'1 Yeconic.. Pro~r+'es Q ~ IMP. TOTAL ~_..._--_._----- Ll~90:{O-1 -~,5 ~2JJ.~ l~ . . J' ....;;,::~~J "'~:~~!fIr"'~~~-''Z'- '1 . '. . '." ... .' " .... )~'~'1'.1(~F';~'L"'~&'~~~~~~4~i~~'~:z:,:,;{ '0';':fi~~5\ ,--', . " TOWN OF SOUTHOLD PROPERTY RECORD:CARD~~?~ . .' '.: . -<. . :-._~.".,.,-;' --.....-=-- STREE.T 2. VILLAGE DIST. ,I" SUB. ,(., 3 TYPE OF BLD. PROP. CLASS B--rI ;? 10 DATE IV / c... , E~ f>\RtS 'i ." ot:F '. F"<iN- A:""f..1t'5SME.v\ c... R's FRONTAGE ON WATER TILLABLE '/3 G5oo~~5 FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND .50 HOUSE/LOT 80 BULKHEAD TOTAL P.~5 - - - -, -...-- - - r I I ~ . ! , : , N . . - . ... , - , .. .. . . - I . ,. I!I . - , .. '. " .~,;,..,-~~, I,,":. ,~, " - :., -.-..'- .....':..-.... -, '. " - " . . " - 55 . , . .~.. '. . - - ~~ 2.4 - , " I , I I I ~. ., "" 11> 's I~ . , . \'3 , '/tS~d f-b ':<'1' 35 ~ O''l-U j $"60 ~ - . B dg. I x 20 = 20. 1, 75 3(P'5"~ Foundation Bath Dinette Ull Extension Basement t;c!lAWl Floors Kit. I SLAB Extension Ext. Walls Ij'A1JI Interior Finish All>t L.R. /. Extension Fire Place L/)t,O If Heat A'1.1 '0 D,R. Patio Woodstove BR. Porch Dormer Fin. B. Deck . Attic Breezeway Rooms 1 st Floor Garage Driveway Rooms 2nd Floor O.B., - Pool 3'S-~ , R. COMf' 2."~ STY. 'ls'W x .'/5 ~ - /:;+-.s R> -- "'>61(5 ( I . l~ r 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 May 8th, 2007 Donna Lyburt-Childress P,O, Box 402 Southold, NY 11971 RE: 250 Apple Ct. (accessory shed wI dormer addition) SCTM: 70 I 6 5 Dear Ms, Lyburt-Childress, Please be advised that your Building Permit #22637 issued March 20th 1995 has expired According to the Code of the Town of Southold; a Certificate of Occupancy must be issued prior to use of the structure, To renew your Building Permit, please submit a fee of75,00; at that time we can schedule an inspection by one of our Building Inspector's, If you have any questions, please call us at 631-765-1802, Respectfully, SOUTHOLD TOWN BUILDING DEPT, ":~'>>'~,-~';'f.,;:~,:", _~." <>.'....,~..):~1~~:_"',' ",C;"!,:"" PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING I " PLUMB R CERTIFICATION ON LEA CONTENT BEFORE CERTIFle TE OF OCCUPANCY SOLDE. SUPPL SYSTEM CANNOT . ,;' .e EXCEED 2/10 of 1% LEAD. Ir#f) r~(1:. J, 00 L. \,lovJNj"t..e5 sel' H'" fe.L:(, l; p.oof Sf>#' (~rrllN J-dO OVe,(2. 1/ Ii S H o i1e./l l'b If 0 -t:l: Ne.. w J ol rfle.1l. ~ - -riP. i;Jl H!JoW 'Yo 1-- Lf~D 0MklOj '---) jI'l--" LLl~f.I.- '~G 5 *"j'\.l -----It'K..S NeflP.lI./t ~ i PROYJor OPEI'''GS ~ EMERGENCY (SCAPE AS IEQU'IED 8Y PART. 71e .. Y. $TAU IUIlD'H CO " ~ ,~ \ o.v 34H TJ-I.. ;10(..; -. . 6 . 8"PC, fXlsnH(, / I t -"-" ,=-- 3301<;' , 10 "~{,, 'S: .......,lflg cra.~ "'r. R' 01..;;: I If copper tubing is used for water distributing system; piping shall be of types K or l onlv X" ;2. Roo F S flqrH INt. o?-t' .9 ~~ . /({ <- Dc. ,~ --.:c ~ II ,... ~ fLDOR ~ l-xl{ ~r/JD It II o.c., S~e.L bl~DU/. :>' sne L. L~/.l Y , 'I . . .. ; :, 2.)(.~ .sn It ~ 0,(. 1 ~:~:~(, It Dc.. ;J.)( 8 c..J", I6Ib fq. sill,., n7Jt~~ ~~ G , t ( , ( FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~-? 3,D IS z=- N~~ Date ..................1IIr:tt..~.!.i!!............ 19.1...r." -~~'.-,go":9J1!>1Af<?c~~ ..........e<.::iD.......4ppk.....~~ /7. .................~.Ci.-~~.tc?..*..V . to .....,..LIftlS/-~.c/:.....~....../?~....:U.o/Zg:&./k4;;4...tJ "IV ~ 'i?... . "',.....k.Q.,..,....~...A/d.J/'€....;. .. ..~/../y........c;/..~//(',1.1!7?...., .............d..,.$.............~f}Pke........fO.~..:..................................................... ........"",,,.,,.......,,.....,,,,..,,,,......',.................................'"",..,...................................................................... ~~.~.r~~I~~.;:~;:.~;.............~.::iQ..............................................k'...'...'...'~...;;e;t.............................'....................... ~!l!Jf:,ldm County Tax Map No. 1000 Secfton ...........70..... Block ...........1............ Lot No. .....(,."'..5......... pursuant to appllcafton dated .................'1Jf.~..(!..4..cP:....... 19.7..6...... and approved by the Building Inspector. Fee $...7.;1.:..~.. Rev. 6/30/80 ,._~~ '.'!' "~"',,_.._,,~ .~. . p """'i#_..:'".,........,.,~""";.......-".-' . " J .~. .'J6 .'J'J 'J~ ". ~ ~ ~ \>l ~ !::... ".\::. R~.?S . (.<?S.OO . Q. ..J?,''t1 o'!!. o. \0\0 If'o t--o\ \DO I. \~~ ... ---- -, ,z. ~ 00..,. . ~.~... . ...: <\ = 21,459 sq. ft. , :.,.' /. - .... J...",...~+-._,~....._,.~"'o\> ""'""~',"' . . ~. - ,r.,.~.~~,."',.... ~' III/O/F' . RUSS~i A1'-4I11111 ~ ./0-411I A1'...q1ll1ll / / --------- @ S. ?.37<?. DO-€: C' . ;:j 0 27Z.65" -- ~ ~ ~ ~ ~. ~ .~ ~ !:l ~ tj "o' J i. k ',....' is .'. ".,' ~ .',~ /i~':#~ "~, N. S. 67"5Z'35' W. @ ,i.f 'l:<'~,;" (.r'~_({FD'I:;'it, '; ...~,......:~;~,~::..::..~'tf~:,~\\t~. \., ,-,,~,,!,J~,,:~ ",," CERTIFIED .~o~ :.:;j;~ti~)::.Jrz~:~,'::;<,~; -:" \i:'r,::~ DONNA L YBURT ....,..~. ..' "'. ."'..,, THE: LONG ISLANO SA VlNGS BANK FSB, " SUPE:RIOR ABSTRACT CORPORA nON;':'. TRW-S-54393B-IZ .' . "''''''.' . ".'. >...' '.... ...~..'; , ....\~~">~ .,~:'i;:..;~.'~~.'~;*~"" :,.~, . .~':<. _.' '.' .i"';.;:;.~(" SURVEY OF LOT 12 "MAP OF SOUTHOLD VIlAS" FlLEDJUNE 25,1992 MAP NO. 9237 AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, /II. Y. 7000 - 70 - 07 - 6.5 Scale: 1" = 40' March 17, 1992 JUL Y 75, 7992 (foundation) Oct. 23.7992 (final) ~t ~. ,..' , ....~_.-. .. ';-.. . it' / '-. "'- .;:,~::~\<.>;;..,~j.:.. -. NE ",<;\il~> LA . """ '-.. <f~~,~~,;?~_:~...: '1. ,~ "':)"""'i>'!~ , ' JASMINE I J ,I .; . I. , ,'. :.'." , , <<,,-,' r i .""",,'- I In accordance wllh Ihe minimum ; lor f1l1e survBYs as tlsJabUshed ./.A.Ls.. and approved and adopled us. by Th. New York 5101. Lond ;oc/a/Jon. 'f supply and s8wage disposal . ,lor Ihls resldance wI/I con/orm_ ,ndords 01 Th. Sullo/! Counly nl of Heollh Services. .... _.. ___._~.._.._ __ ......, ..." ........".,........ 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