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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32577 Date: 09/05/07
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1765 WESTVIEW DR MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 107 Block 7 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 10, 1995 pursuant to which
Building Permit No. 22715-Z dated APRIL 29, 1995
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 ATTACHED GARAGE, ROOF DECK & BALCONY AS
APPLIED FOR.
The certificate is issued to ANNE C. GABLE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-96 05/28/97
ELECTRICAL CERTIFICATE NO. H048652 02/09/96
PLUMBERS CERTIFICATION DATED 08/31/07 PECONIC PLUMBING & HEAT.
AtfthorizeCSignature
Rev. 1/81
0 e oX Y34
ny
Form No.6 fl'Nl /
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 Board 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 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:
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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Cormnercial $15.00
/ Date. 91311,07
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: 7 71i~ 4 5_t V 16 w D R t 1 th1~ v e t__ tl
House No. Street Hamlet
Owner or Owners of Property:J-Z 2r4o~S` A- h+*+H CoP.'m %,a G L-
Suffolk County Tax Map No 1000, Section l e 7 Block O 7 Lot o 7
Subdivision Filed Map. Lot:
Permit No. 1 ( 5' _ Z.Date of Permit, 4/2 9~~1 y Applicant: 0,.- map-
Health Dept. Approval: Underwriters Approval:
Planning Board Approval
Request for: Temporary Certificate _ Final Certificate: ? (check one)
Fee Submitted: $ ~5. o O
Applicant Signature
~6~3as~? L ls~ ~d~LLsT.~oRP,
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)
Date 0. F 1975
N6 22715 Z
Permission Is hereby ranted :
ii.7s
.........r.....
;tlw~~7
4;e~
.7,0G..........~.
........Z r 1. /..9.
at premises located at... Z76,F.... ~ 41ieL{, - • • • • • • ?g .
YR1.....................................................,.............
County Tax Map No. 1000 Section fQ. 7..... Block .............?Lot No. ..7.....................
pursuant to application dated ....~.1.Q 19..93......, and approved by the
Building Inspector.
Fee $..7,1..rR...~
.
Ina Inspector
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8057676 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Date FEBRUARY 09,1996 Application No. on file 10718195/95 H 048652
THIS CERTIFIES THAT
only the electrical equipment w described below and introduced by the applicant named on the above application number in the premises of
ERNIE GAEBEL, 1762 WESTVIEW DR., MATTITUCK, N.Y.
in thefollowinq location; ® Basement ® IM FL ® Ynd Fl. GAR/OUT Section Block Lot
wasexamined on FEBRUARY 06 , 1996 and found to be in compliance with the National Electrical Code.
FXTURE FIXTURES RANGES COOKING DECKS OVENS DISM WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H. P.
94 69 23 2 1 6.0 1 5.4 1 1.5 3 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SFEOALRWPT TIME CLOCKS YLL UNIT HEATERS MULTI-OUTLET DIMMERS
. .ST SYSTEMS FEET
T. K. W. OIL H. P. GAS H. P. AMT. NO. A. w. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P NO
AM AMT. WATTS
1 F 2 - 1 40 7 600
SERVICE DISCONNECT NO. OF S E R V 1 C E
moo
AMT. AMP. TYPE SOUIP. 1 / tW l p m S i tw S / 4W NOW ER &COND. OF CC. COND. Of H AEG A. W. 0. NO. OF NEUTRALS a A. W. 0.AI
No OF 1 200 CB 1 X 1 2/0 1 2/0
OTHER APPARATUS:
PADDLE FAN-3
WELL PUMP-1
MOTORS:3-F H.P.,1-1 H.P.,1-F H.P.,1-5.0 H.P.
PANELBOARDS:1-1 CIR. 60
G.F.C.I:-11
SMOKE DETECTOR:-1
SCAFFARO ELEC
623 SAW CREEK ESTATES 0040M MANAGER
BUSHKILL P. A., NY, 18324
111=5 Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF. CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
i
CD
Go :
Town Hall, 53095 Main Road • ,F Fax (631) 765-9502
P.O. Box 1179 Telephone (631) 765-1902
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:-9/3/ le 7
Building Permit No. , c2o 7/ 5 Z
Owner:,CRHL"S i ~ P N K Gpp-e(oGL
(please print) / p /
Plumber: P~''. JA 1C'_ ft AC Yi + GTG cl r-'
(please print) d
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
umbers Sips e)
Sworn to before me this 3! r%
da of /a"°~s~ 20d
Notary Public, T- v (County
VWX L. LOPER
NdW hk of d Now Yak 0091
QuIffim In S"
. ~ mU
7OU11DATION ( st)
FOUNDATIO14 ( nd)
2.
z
o \
~7-1
V
ROUGH FRAME &
PLUMBING 91149 r
/9 6tJ
3.
py) !i m
m
~ H
INSULATION PER N. Y.
STATE ENERGY
CODE
4. m
c)~Ie- 14 no AUA
FINAL
ADDITIONAL COMMENTS: x
M \
M
'Vl
y
\ S~
m p
H ~
~ Q
'V
pF 80
UTy~6
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULA N
[ ] FRAMING/ STRAPPING [ FIN &
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE l~ INSPECTOR / "
Nom-' ~ont-rte -~^`sO~r/~c~
M-1802 ~-ti/rni-Mf` ~ r7trs 49
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.* S~Sa
[ ] FOUNDATION 2ND [ ] INSULATION
1573'K
( ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
i
REMARKS: !u -r
.4vz-
CcJll 2
S
FZYoz-
s
r r
DATE l INSPECTO
IL
- - - -
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] RO GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
( ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R ARKS: '
DATEqic)-(?IqV INSPECTOR
/ L
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST (-~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
S
REMARKS: ,e
ul ~6 oG . - ~~rr.L uJ Z el
eoo~
000-
DATE INSPECTOR
765-IN2
BUILDING DEPT.
INSPECTION
[ ] F DATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ( ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
iAle
DATE S'' INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: a-K
C
4L~ -17
DATE 1121 r INSPECTOR
--~6 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET 1'765 VILLAGE DIST. SUB. LOT
E,ywcs4 des
FORMER OWNER N E ACR.I/
r r $ W TYPE OF BUILDING
ALP t=NNC I_ST
RES. 3~/ I SEAS. L FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
big (i a ? q 903 ~E t= To~15mpseuL-9SG4 P-509
- v o d Ice e" J ~ e ~ Z
15'00 OD ? k
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER yp i ~'0
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total DOCK
BOARD OF HEALTH
FORM NO.1 3 SETS OF PLANS
' Q TOWN OF SOUTHOLD SURVEY _ .
BUILDING DEPARTMENT CIIECK . . .
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOTIFY
CALL 1 J /
Examined . ISn ~ MAIL TO:
Approved , hermit No.;~ 7...
Disapproved a/c
(B ' din spec tor)
APPLICATION FOR BUILDING PERMIT /l p q~
Date 19 /T.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and 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.
Co ~svL!) kn ..V.t.C.> 1. a.1 l rC;
(Signature of applicant, or name, if a corporation)
L 5.6. .l,p.
(Mailing address of applicant) yt )7~/S
State whethherr applicant its owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
1.Zl..l}nG~.......I.._
Name of owner of premises ic-~~!11.~ ~i.l
(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. C
Plumber's License No R~Gt(/LQe u~~YdCy2 LICIFI(fSF
Electrician's License No.
Other Trade's License No .
1. Location of land on which proposed work will be done. ~~.."C\~ ...v"....
4t.:.....'11. {
House Number Street Hamlet -7
County Tax Map No. 1000 Section 07 Block ........7......... Lot ...7
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 ........~'pT
b. Intended use and occupancy S ! ^cj~2 ~,C ~~\,...Ko.&-e
eture of work (check which applicable): New Building V....... Addition Alteration
Repair Removal , , Demolition Other WgrjL,,.
/ De~tion)
Estimated Cost .......1.59~•OC?U 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 C~
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front ...~!1!f . • • .
.......Rear .,f/~/~ Depth . .
Height Number of Stories , .
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories .
Dimensions of entire new construction: Front Rear Depth
Height . Dumber of Stories j
9. Size of lot: Front S.'. Rear ...7:. Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 1.~' 5. , "f,\ , , , , • , • • • • , • • • , , • • • , .
12. Does proposed construction violate any zoning law, ordinance or regulation: .
13. Will lot be regraded 041,.. • • , , • , , Will excess fill be removed froYK
remises: Y
14. Name of Owner of premises . JNf1 R GC~~e.... Address . eu1 dl 1
~Fwn~........ o o..9
1a: l . 2fName of Architect ...Q1Y4 ...ess ohoneI ..CName of Contractor CG~Sa ~ S ~~~PP
A ress otke Ido.. ~.1. . 70 17. .
15. Is this property within 300 feet of a tidal wetland? *Yes'„ -L:~ 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 comer lot.
STATE OF NEW ,OS.S
COUN%OF n? Q, .
. ' ' • • • ' • M " • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the...... DC -.%.&Prr. ..CgA _ 40~ )..S2r?iceS...d:R-..VU~..ln.~r
(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 tru to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application file therewith.
Sworn to before me this `
.....-.daayny of f~~!ci . ......I 19
Votary Public, N!,Gx,, ,?lCounty
HELENE D. HORNE
Notary Public, State of New York ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • • • . • • • • • • • • . • .
No.4951364 (Signature of applicant)
Qualified in Suffolk County
Commission Expires May 22, 19L
I
~~gpFFO(,rco
Albert J. Kmpski, President Town Hall
John Holzapfel, Vice President co 53095 Main Road
Z
William G. Albertson ce P.O. Box 1179
~
Martin H. Garrell Southold New York 11971
Peter Wenczel ~Ol * ~a0 Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
April 28, 1995
Brett Cormier
Construction Services of $ Z
NY, Inc.
156 Secatogue Lane West
Islip, NY 11795
RE: Ernest Gaebel
SCTM#107-7-7
Dear Mr. Cormier:
As per survey dated April 27, 1995 for a proposed house, the
Trustees find this activity out of there jurisdiction.
Hand clearing seaward of the row of hay bales is allowed without
a permit. Please note a 20' non-fertilized buffer landward of
the retaining wall/bottom of bank must be maintained as per
Southold Town Code.
If you have any further questions, please do not hesitate to
contact this office.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees / J
AJK:jmd
cc: Bldg. Dept.
~L^ I'
i
Gti~
New York State Department of Environmental Conservation _
4oC4N8v~6Ygrk 11790-2356
Buildi%drle Rffl, St~p4 pro
Facsimile (((516)444-0373 able
r
NOW
Thomas C. Jorling
"GL(, L ~Ce_ /~C Commissioner
Date: 'Lev
ll9S
L:.;"4v Z Re: 73~-005?,5/000O.2-6
~&Llv 4 ?At
Dear 7-D-7 D7
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
.-=i;`, i,(~.. ~t7.•Vl-L(.l ul~.t.i.~ /th /01 ('l.c' x-&ien&e
/ J
l"1 (r A-~-' ~tc IYL,(( "L 'c/L',Q-(/I.LCZ-V1- C
i
Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations (6NYCRR Part 661) no permit is required under the Tidal
Wetlands Act . Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of
the tidal wetlands jurisdictional boundary, as indicated above,
without a permit. It is your responsibility to ensure that all
necessary precautions are taken to prevent- any sedimentation or
other alteration or disturbance to the ground surface or vegetation
within Tidal Wetlands jurisdiction which may result from your
project. Such precautions may include maintaining adequate work
area between the tidal wetland jurisdictional boundary and your
project (i.e. a 15' to 20' wide construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
Very truly yours,
n / Regional Permit Administrator
cc: (~C~?IU.1:Lv
COUNTY OF SUFFOLK
z.
s
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
OEPARTMENT OF HEALTH SERVICES April 6, 1995 MARY E. HIBBERD. M.D.. M.P.H.
COMMISSIONER
Mr. Brett Cormier
156 Secatogue Lane
West Islip, NY 11795
Dear Mr. Cormier:
Subject: Board of Review Hearing - March 16, 1995
R10-94-0112, Property W/S Westview Drive, S/0 Anchorage,
Mattituck, (T) Southold; SCTM 1000-107-7-7.
Enclosed is a copy of the Board of Review's findings, recommendations and determination
concerning the subject application.
Based on the information submitted, the Board granted the request for variance with the
provisions indicated in the determination.
The granting of this waiver does not imply that your application will be automatically approved.
It is your responsibility to ensure that your application is complete; otherwise, your approval will
be subject to unnecessary delay.
Very truly `yours,
QW1.0 l 1 telw
Dennis Moran, P.E.
Chairman
Board of Review
DM/lr
Enclosure
cc: Board of Review File - Riverhead
Ms. Susan D. Windesheim
Mr. Royal R. Reynolds, P.E.
Mr. Guy Pancaldi
Mr. Theodore Marangas
DIV151ON OF ENVIRONMENTAL QUALITY ¦ 225 RABRO DRIVE EAST. HAUPPAUGE.NY 11]88-6290 ¦ TEL. 15161 853-3079 FAX 15161 853.2927
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
DIVISION OF ENVIRONMENTAL QUALITY
Article 2, Section 760-220, Suffolk County Sanitary Code
To: Mary E. Hibberd, M.D., M P.H.
Commissioner
From: Dennis Moran, P.E.
Chairman, Board of Review a
m V
Subject: Report of Findings and Recommendations of the Review Board Regarding:
R10-940112, Property W/S Westview Drive, S/0 Anchorage, -
Mattituck, (T) Southold; SCTM 1000-107-7-7.
r
C7 y
-'o rn m
o~
td m n
Applicant: Brett Cormier, 156 Secatoque Lane, West Islip, NY 11795
Notice of Hearing: March 2, 1995 - Hearing Date: March 16, 1995
Statement of Problem
Construction standards require that the distance between sanitary systems and shallow private
wells be at least 150 feet. The applicant is proposing installing the sanitary system less
than 150 feet from a private well. The sanitary system will also be less than 100 feet from
surface waters.
Findings and Facts
1. Proposed development of a single-family residence on a 12,007 square foot parcel.
2. The proposed sanitary system will be approximately 75 feet from Mattituck Creek. In
addition the sanitary system is less than 150 feet from neighbor's well.
3. A variance to construct a sanitary system with less than the required separation distance
to the creek and the on-site well was granted as a result of a 3/30/84 Board of Review
hearing. The project was never constructed. During the interim, the standards have
changed requiring a 150 foot separation distance between sanitary leaching pools and. a
shallow well. The required separation distance had been 100 feet
4. Groundwater flow is in a westerly direction toward Mattituck Creek.
5. Water quality of test well indicates acceptable water quality with the exception of
copper/lead, the result leaching from plumbing/well casing materials. Total well depth is
46 feet with 19 fleet static water level; chloride at 51 mg/l.
Mary E. Hibberd, M.D., M.P.H.
Page Two
-Subject: Report of Findings and Recommendations of the Review Board Regarding:
R10-94-0112, Property W/S Westview Drive, S/0 Anchorage,
Mattituck, (T) Southold; SCTM 1000-107-7-7.
Findings and Facts (cont'd)
6. Site is in Groundwater Management Zone #IV.
7. Public water is not available.
8. Depth to groundwater is about 14 feet.
9. Soils are sand and sandy loam.
10. Letter of non jurisdiction for project has been issued by NYSDEC.
11. Applicant sent letter to neighboring homes offering to relocate wells, but were
returned as being undeliverable. The department checked tax records to determine owners
of record. The north property (SCTM 1000-107-7-6) is owned by Guy Pancaldi, 84-26169th
Street, Jamaica, NY and the south parcel (SCTM 1000-107-7-8) is owned by Theodore
Marangas, P.O. Box 155, Mattituck, NY 11952.
Determination
It was a 3 to 0 determination of the Board to grant the request for the variance,
provided the applicant notifies and makes an offer to relocate the conflicting neighbors' wells.
The offer to relocate the well shall be held open until the department issues final approval for
the project; location of new well to be approved by the department.
'113 ( v5 YAW-"L,
Date Dennis Moran, P.E., Chairman
DM/Ir
The locations of wells and cesspools Y SEC °L TE ADDITION TO THS SURVEY IS ED IS A VA MA nCW ~O \X51 y
OF AlL 7709 TM OF THE NEW OrBC STA TE TE 1 L~,AAW " , T~
shown hereon are from field observations EXCEPT AS PER SECTION 7209-SEMOMSM 2. ALL CETfWAWA I S
and or from data obtained from others. N LEON ARE VALID FOR THIS MAP AAD COPES THEREOF pLY F ~
SAID MAP OR COPES BEAR TIE WPRESSED SEAL OF TIE "VEYOR ^Y t~
WHOSE SWAA TURE APPEARS WMOAL
ADDITIONALLY TO COMPLY WIN SAD LAW THE TEW • WED BY-
AR/ST BE USED BY ANY AV ALL SURVEYORS UT COPY T.
OF AMOTHER SAVVEYOR•S MAP. TOW SUCH AS ' AND
BROU&VT-TO-DATE' ARE NOT M, COAPLk N W H TW LAW. A
a N la~
l m know w* AM suADARDS FOR APPA~DvAI 66. 94
TEST BORING AND CONS7KCTTAN OF Sl/9SLRFACE AWAW 514•
tKMKIS Dd mg AL SYSTEMS om FOR m ml FAA Y ILEi~ty ft 13i m
KEY MAP
3• nd d/ A* by Abe eondNans a! f" MAroir W on to o
SCALE -500'
SA4ID P0700 to caru/rocl. `W-''~-' + we j
If AA
w7 cr
e/,,5 j el to.5 S,~ I SURVEY OF N
We PROPERT Y
' sANID =
n rk re 5'r rc = rE n.i "n
=~W AT MATTITUCK
„N 14 9rw NWT TOWN OF SOUTHOLD
Well /UnK°OW° c _
T=, -wafer , SUFFOLK COUNTY, N. Y.
9
C"Po sSECT/ON N10 1F REg~ERE Ise $ z, 5 0 VW- 107 - 07 - 07
15EPT/C S X-5 r6AA O I SCafe: 1'"-~ 30r
_ na sca l B ' 40' E• I`, c.v ~~i to
r° - QQt B 1994
to 42 ° Lill COUNtY DEPARTMENT OF HEALTH SERVICES
I` "/n6 g ' ° FOR APPROVAL OF COISTFUCTION OF [ P
7° _ m
SINGLE FAMILY RESIDENCE ONLY
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1 \ tw I~ 5 3~ P 3~ y
__0 C As
r / i p THFLEEEALLS Fi1011 ZOF APPROVAL.
4f 11 I l j to T 1 Approved in accordarl1l~r1K( ) Wyq h Wa Review
* N ~,i{
"r~ae V determination dated
1 p ~\d
~z~ I I I ~~'3SFCt lv l2Elc(appN ~f Nf10~iNL h;L0, S
111 Z' , d c' 156.74. ` addiE/ono 2/i3/9s
•~,`i 'i m's1 . 16 l° L POINT TO _ eteedi60o i AND SU9~
~SY i .4 f^ ` 14 10 p/OiTER ao[°c"fi °-,s /21/31y4 METIG~.. O 00 '16 t 1 ti S. ~te• 42 40' N101F t^LK* BW `9 9
o well KEY MAP 10129194
io,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES+
1 1 w°od
FOR APPROVAL OF CONSTRUCTION ONLY
N.Y.S. LIC. NO. 49618
el I7 = prop erera~.V. DATE REF. NO. 1('/0-94- 112
PEC EYORS, P.C.
(516) 765 - 5020
AREA ar ZZ007sQ.ft. to tie dines P. o. eox sos
ELEVATIONS AND CONTOUR LWES ARE REFERENCED APPROVED MAIN ROAD
rESr LADLE BY OTHERS TO t4 G. V.DATW SOUTHOLD, N.Y. 11971
94-338
:localions of Wells and cesspools AM AL TERA TITIQN OR Agp/T70N TO 7?eS SURVEY IS A v 4
OF Y AL SECTION OF THE DD NEW TO STATE EvUC4 S L~~ C
Theshown hereon are from field observations EXCEPT AS PER SECTION 7209-A&DAISN~pNy~/~ ALL fvms ~0
and or Jrorp data obtained from others. ?EREON ARE VALD FOR rNAS MAP AND COPES S 0\
W pE MAP OR COPES SMW TUPE APPEARS NEWON THE SED SEAL OF TOR
C ? p
ADDITIONALLY TO COR MYTH SAID LAN TIE 7WrHWrLA 8Y•
MtAST 8E LS O BY ANY Y AACJ ALL SU7VEYOPS V OF ANOTFER "VEYQR'S AAAP7FRIA5 AVI AS AG
9ROUGNT-ro-VATP ARE NOT MJ COA60LIAACE WITl an to my wo Me STAMIMIDS FOR APMOVAL - C. $
TEST BORING Mm CONSTRUCTION OF SLBSUVACE 51 4 66"
O FKAUIIS DISPOSAL SYSTEMS FOR NNE FAAR ~'S
3• ow WN A* by Me C AM bm set forts Muir rw W MA cn KEY MAP
SAND pamU to cauhucL ~i AA well \ SCALE l• -500'
lije 3112-- AA
/sip ff/r. SAAVY
/irn LOAM
N e/n.5 ~J 20.5 5 I/P' ` SURVEY OF
- L+r nl N
PROPERTY
AT MATTITUCK
e~ 14'
9rw
well ,o5now~n 3 TOWN OF SOUTHOLD
un K
79rC Po SEC r/oN REBORE i t sa I SUFFOLK COUNTY, N. Y.
S EPT/C 5 YS TES W 01 F t4 2 5 0 1"- 107 - 07 - 07
Scale: 1"- 30'
e ,
b rrrea~ , N. 78'+442 4 Oct 26 1994
June 6, 1995 (foundation)
`1~ t m/nd \ 1 _ I ~ ~ O
1 ~ M
lox, t.
1 O p` ~ ~ r J ~ P S / r '1 L0
n all ~ / / S 4,, ..,-ter v 2nv
~ ~y,l ~ J / j6 /9 I
4 O 1 I 1
p .a
4' Jwi)..n tl/3175
LT 'S i"'ns 1 1 .r TO ` ctdd /f/on 2//3195 ..,.^'.Y
T i6 sILPO~IO aeraeif/o J2/i9/9¢ GIFNOSCJ
1 , I^ i2 I'4• W. MA's crcfaL.fi o~S JZ/J31y4 ".Ire .
$ 1, Jr -42,40 N16 o well KEY MAP 10129194 ~GY/3/e y s s~S s 9 y HEALTH b~rKyemd' SUFFFOOR F AP~PROVALOF CONSTRUCTION ONLYERVICES
e/ 17 = Prep fie N.Y.S. LIC. NO. 49618
DATE HS. REF. NO. 94 //Z
P URVEYORS, P.C.
c 9 (516) 765 - 5020
P. 0. BOX
AM 4 m AZOV s tft. to tie Nnea ELEVAT O CONTOUR LWS ARE NOMWI111"O MA
IN ROAD 909
TEST wxE By o77ERs TO AMV.DATLM APPROVED SOUTHOLD, N.Y. 11977
94-338
i
The locations of weds and cesspools ANY ALTERAMN OR AAWTM TO n1 M ~ T70W
OF SECTXW 7009 OF THE n~M YORK STATE EDUCA VC,y \
shown hereon ore from field observations EXCEPT AS PER SECTION 7209 StaDlvlslaw 2. ALI C~
ZZARE R THIS "AP AND
and or from data obtained from others. on SSA THE U'RS u or YF
SCDHS Re%# R/0-94-112 WHOSE SAW"TLM PPEARS Amok ~
ADDITIONALLY To COIapLY MYTH SAD LAW TIE BY
"T BE USED BY ANY AAD ALL SURVEYORS 9
OF ANOTIER SURVEYOR'S MAP. TEla64 Stlpl AS AND
-
a
• *BROUSHT-TO-A4 TEN ARE NOT N COI/R /AAiCE WTH' IF
r. -1
66, - - ix
cF
/ am loo r vffi Ita STANRARDS FW Al
O TEST BORING AAD CONSTRUCTION OF St6OffACL 514'
S DMOSAL SYSTEMS FOR SME w ml r* Mo ~ KEY MAP CIS
3• and a Mr ll al dc k ewarrd dbn al /aHh iianla as A4e 194 SCALE IN -500'
sAAp parml to coruhncl. sG M well
hie . 3 I 94 - -
r. <i.. LOOA0Aar IN S SCARVEY OF
t! a/~5~ r/Eo.S Siff! W6,t?•.:
17
5T ~E -tE SAW m PROPERTY
A r MA TTITUCK
Fe 14 9<w~, 31 well ;'&600 TOWN OF SOUTHOLD
vnKno
===T ;-wo-,P, SUFFOLK COUNTY, N. Y.
1,64W 1000 - X07 - 07- 07
N10/9 cRo ssFC rioN F REDO o
Scale: fII= J~.
SEPT/C 5Y5 7-EM
lop,
• *
no acals B 42' ON
E' y IG f'' _ Oct 26,r N7174
!•Ii ?p ~ 11 V JY/IC V, M? (ft/WQ'OVn)
11; ~/~6 r., y.+r` . o July /8,1996 lfina c.r.
%
wpi,
a. I •l e c p 01 A: SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
CERTIFIED TO,
s F$ v ;o ANN GABEL APPROVALOFCONSfRUCfEDWORKSFOR
i p t 4 d; 2 ERNES T LABEL A SINGLE FAMILY RESIDENCE
A ' V YsY 9 8 19~LS ReLNa Rio- L?4 ` IZ
Data -
h 1 tr i o 4 ° 5'O / 9/ O The sere dtaposal and Water sapply facilities et this lr lave ocec i
I`~ Ig r R p o 25 ? T~f Za-7 tnmpected and/or certified by thN b t or other a3 ctr.caul found to I
of o \It I 96I 4 V ' be!aUsfactoryFOR OF B R 14'S
1~ n Q•
m f 1 , ~n 411 i - o f ° rc e ' St hen A. Costa, P.& Chief
Office of Water M d Waftwater
Z 1 i , 18 • 156.f4 TO ` dddiE,on/13 to AS
T ` J y \l 's 1 i~ I'ON accoc, f o~: ,2 ~N t. oft..
I` 1 y 14 ; Mi1TS" ° arv[c[. {ia~s 12111 5p.+ - -0 ,q .Y 4f
1 ?off z 40•x ' wrC ~i1a o.w.rr KEY Ab4P 10129194 w+.s s/~clfS
1 d S 78. 42 v N/W r
t /
pr kO•/Va~e9 NO. 49618
el rt ° y 61ev*"
PECOAYC S C.
4 Ic ° (5161 765 - 5020
AREA = 12007 s ft. to tie Dries P. 0. BOX 909
ELEVATIONS AND CONTOUR LMAES ARE R01"WE'D MAdV ROAD
TEST MOLE BY OTTERS TO NG.V.DATLMI SOUTHOLD, N.Y. 11971
f 94-330
r
F~' *?20 'Q
Ztv~e
i
Z~~ M 1 ~-4~~- _ ~9" ' o,• Z 3~0~ lye'
I I
_ Z4 "Try' (Z~z,12 PPZ.,+rv) I
f
g
N i
_ o
N-4- N ~
lawsla~-uE'a
n~C~iliAL~i 5 ' 0 Z U
P aJlc£ r> ~kE°~~ I y ~t cnLILEis
E b1LACH $ iOTfi:- Jrj o'
S Y5 x;19 -
U
A 4AK r1?g OF, i 114 I'M 7
; cc'r~WttN i
6~ >1 WA; - 13-Q' - LI LUH4 I
LIP `i rrr~x i ~A -um~jhl" t' I LLIHIJ At,
)c P9 T 1~
(x IZ r'" C~o~17Tr1~E Tq
2_
N3 I `SI t1iN.~PLprl
- . 4Yp'CZwA'~
I
i x
U G !
bv~
nAtV J? _ POW I -fT
f J Y d
~ I~ roc , r-r
f ~ o .v _ 1.tiI~zll.ft7T' U- - I ~ IV
rl -N
-0
, I I
i i
1212
` - FILL l~
4 logo y~SSZ ~
KUMi ALLMARIUM
- - I _
" TRY NReo _ _ 2.. +t ~ / emu coveltlND ~Yz~ z~ y i ~ ,3 q
T I T . - D~ ~UA L9i / i lid,
11 ~
y.5 If copper tubing Is and r ! 7'~ 2U
for water distributing 1 - "
t-41,1 :p system; piping atoll be kV I I / 3
of types K ar L on I/z
E: Nr
y S _ PLUMBER CERTIFICATION r-
I ~ flz ON LEAD CONTENT BEFORE I ~~I ~7I\ \
CERTIFICATE OF OCCUPANCY 1V~ 5WK
SOLDER USED IN WATER 1 WNf1
SUPPLY SYSTEM CANNDT Ng FAI
FWD[ M out. FIRE ~
r/om/EM 14-4' "`r EXCEED 2110 OF 1% LEAD' ca f i 2° 3 f
RATED IEtI RATED SEPARATION TO al .4
ATA 717.1 n' . STATE BU PART. 717.3(1)(1) OF
L. qaL t ~ /U N.T N.T. STATE BUILDING CODE r I 9 HT -
1._
1N - I i ~ PF y Fd • CAF
i,
rli
L-, LAI v'
r
UNDERWRITERS CEIRIRGr1E
REQUIRED
t ~y2 ~~d
~ F BUMMARV O TOTAL TM"k*T~4
if 1M fool *ipml R.t, np Yf f.r4 tRl 9F gwity~ LM ~rgW~,M g dxU9x i9r FM-b kltlFpwrflsFN,sMplgi YkA eMEnf['{y GNN MP, V AS NOTED PROVIDE OFERINRR FOR a r-. ~.R n flt 27/S ~s
r _ EMERGENCY UWE AS 7L~
NGGf fCC141xG AREA, MALUE k REQUIRED BY PAP 714 OF lark RuuPSenrc DcPnRTrA PJY~dr'
A - --„-.4.,___-• A. irh=~:3f?Z E AM TO 4 PM FOR THE
, NET WALLS.' Ll-uCi:~r`,'[ N.Y. RATE BUILDING CODE nr.I.c?wr : ; IM SF'EC.TIQNS: S-f)ONDAT'IOIi N110 REQUIRED
\`r 9L RATING P; 1-MIRED CDNCFPTE
I'~ypJ^,Ii , FRAMNG :P PLUMBING ^pa.
. 'Wrnd. 415 I.N.~ll ~r .ifry!?4I{..Aty~ WfnOl+ n SAyfn9AUl ,'yam ~ ~ .~---?T y'I ry
"pk {L40NS v ~,y crQNI4oRUCTIONNl'1ST _ M- 00.11 ,"LETS- FOR C. I) DO NOT PROCEED WITH
~AY 1~ { qL NASEN[NilCEN WALLS za I;u;rRPZCrrIC:,Pa SHAIj- n.,EET
NAIf ANftMlgrt Fwej* , fax9A rN An GAdN _ htt ctraallajEnrlcNts aF gale N.Y. FRAMING UNTIL SURVEY
tl ~1~ 1yViWVdvA ~,F~' ~ ~ p~xn f wal,W ua N„ ,H C0,"fi~STRUU l"M ENERGY OF FOUNDATION LOCATION
;,;'I: IvQf RrSPDNSIEP.E FOR
1 .1 LGI $LAS tNSWLAT. - r ,r~ o uoa tixrho~^. rReseTlea J eRRORS HAS SEEN AKROVED,
ra-o ' y Is9x1a64Nn lYVA1 .
IxYterAAiEOx'iaxlµol sq~ "1 11md~fko'nµ Floor AiY j Eh
-j . f ,*TN {ACINd ytA jI , I
' SwN ylwilregi ylws fpfAAt ~ gk,'MNAtgr Ar A T ' fp[Ant
' - - 'r Cdntl{tl9Na~ !look ArNA -,J_y„ Sw it.
- - .1 'mvAL *x[bUb unw'~
WQ l
i ~ ~ ~ .
1
i
i i i
2~
c
j
d,
I - -
} t 'S'~
I=TT l= - o'
r~
a::
~I
LL
"i
L
I,
L4
I
i
~ ~ I I
r
I
471P eMele:7
I-T
i
71 oil T
- - LICE ap/~ ~rlF OF I,
- - PFcK~i LLA a;.
I
f-1 !~Ttr
I !I
r~
Y~
0
To PoF o6cuPP O K5, ~-v O MT OMT T* Lid r IA
~.i
j c,i
i
I RC r1 I APE A 1`
Al~ar~l `~~B" ; ~ I
i
i ~ ~ ~sr Ste
I TO _
~ f L NF- 2K'
- 7a 1dr-4 ~a hoar
I ~ 4 ~L ~L I i /'~lI
In f~,foo p L
-
11117 ~-Il 7,11- I MI
c~ _ 71-
_ ?
i 3/2-?j
~ d
I V I .4. y
L.V
2,4
Z-V
44
7
Z 2~12(rYP~ rt
of I
xr3 wF i i
I t`
LL " F-C, OAK . 4r I~ it.
wnnl
yxro R~iT N% ,l~t~v~ Sta~C•?~
(z LZ)i
I L314tj -P L All lift
A/ ~.`{J Tr~~'~ t f
LL ~ I ,
tom.,, ~
Ole
T3- 2x t L---- N~ ~ ~
01
1x4~j
0
Z c Zfinc
N, -r14 f ~ N
u 7-YFJ
iF-
- - _ - - -mac i ~ ~ r I
j 4io o . PI KA_ - Aor-
r
I
4'wr~ M
IL - - 7z) 21z„+ I'~~
{ r 4
f44 a
e Z wgSAC 7-7 lhr
f~ LAU 60,
`71 iv
rug 4'FAf ~OF
co
f
~ ICI - ~~'~4' 1 I _ 9" NT
{ f
I
r
X27 aC
1
N
7777
~
IZ~`oG SUMMARY OF TOTAL THERMAL RATING . Y / Y ~
jGr' ~i~.~ U-'/+bu+' ~ I If,tn. t.t.l tX.n.l a.tf.q ..[.o (al oe u...t.n tn. vyyor.d . d.[f9n (o/ tM tr ~ Itlin9 .nvdvye conpl•s Mon tX. (n.r9Y G9dJ-
I
1xET TABLE AREA U-YltllE GyL.~~ ~;3{¢USm,
xcof /CEILih; L~~.. l~ • r-['tsF+.:.i pg .
- - nAll ' S. WEt MALLS ?ZIO
C. GL.214.",~. 471E Am
4 LL~~ N1 nd0.
1 Ol, FLWxS _....r
Iz, OZ. BRENENTlCELLA9 WALLS lest
W.11 hrfn.Or - Fxpesure Aver. Grw. I At -
WNINIUO-Yaue pe4lyriGMwr U-Vr1ue _ Incnn nr'
all V Aft
1 M O _ - - B]. SLAT lxsuun~N > S1.0 Aerimp~ Iot
Im 1[uon 4-vav. MAP t `ice
E C.d1tw.dNf1tNT0L w AAn[ S4. It.
A. "Wtn GArvr/I.Eus _ lert.nt 61, Am/Grex 9.11 All, Ierc.M. -
pedfUynw fl.- Al-- S4. F{-
/ TOTAL TWEMNL RATINGf1 -
:.l.e
~~M
L,o- ; 0~ , , - 1 ~w , ~"M~ ko~rr
OWN" 1 1 01 RIM!" woo
;r
~ITI
~I
II ~ ~ I
l f I -
^ I I I
-c, n , rtr, TA I
LA I--
r~-
I U{~ ~.'flipr I
~h ~ ~ { ~ ~.r ~uir A'r~~ v...) • q. r.N w.an ~nv~V..rn.' ~ I J: N) - -
10
r
i ~ . I as
!y r+Fo1
~i 1_~GYJ~~43
I
+1
~N do 3(b
I
sWays 6ti ~t - - -
~~'~av aka f
I I
I I I _
1
~ I I
~ ~ r I
r. , ff
~G> ~N~
_ ,
I
~Wk31-
i
f} ~ ~f' ~ ~ ~ ~ ~ ~ ~ ~
t
~ I r _.T
~ I II i ~ ;f
r-
j ~ i
i~
~ ~ I i i °
~ i ~
- - - - - -
- - -
I
I f~1
~i
Fr
- _ -
_
I ~r _ I ~ 1x17 ri''rV ~~l NF,aL
4 '
I ' 1 E.
<<
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r:
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