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Home My WebLink About33533-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/02/08 No: Z-32862 THIS CERTIFIES that the building NEW DWELLING Location of Property: 497 PRIVATE (HOUSE NO.) County Tax Map No. 473889 Section 76 RD #22 (STREET) Block 1 SOUTHOLD (HAMLET) Lot 15.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 2007 pursuant to whicb Building Permit No. 33533-Z dated NOVEMBER 19, 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 AS APPLIED FOR. The certificate is issued to VINCENT MATASSA & GAIL RERISI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL R10-04-0016 08/14/06 ELECTRICAL CERTIFICATE NO. 2070102 05/19/06 PLUMBERS CERTIFICATION DATED 05/05/06 BRIAN BLOTH Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 u uL"rJf '\ \,,,t'ctV'- \'''''''''\ . I .:;y-r Vu \\"0 ~\ ::. . \\c Cl 0-i~j c D(; U \ \'\\) '\ 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 2/1 0 ~ ead.' 5. Commercial building, industrial building, multiple residences and similar buildings and install , 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 Celiificate of Occupancy - Residential $15.00, Commercial $15.00 Date._ol /;/00 New Construction: Old or Pre-existing Building: Location ofproperty: -Y9;7 /Je/t/,47Z' k D 4;t-,;2;2- House No. Owner or Owners ofPropeliy: _i4/~Vf Suffolk County Tax Map No 1000, Section ~f, ')< (check one) ___ SOt:<dL// Hamlet Street /l/fM~S 4- _______ ___. Block ?lev /__ Lol 0/5: cJo3 Subdivision _.__ _. Filed Map.___ La!: -.._ II); f h..... Applicanl:...../1..AJcCV/ )JJ1f7A-~/f Pennil No. 335"'3 .3__LJale of Permit. Health Dept. Approval: __ Planning Board Approval: _'m UnderwI'llers Approval: Request for: Temporary (~ertificate ___________ Final Celiifieate: .__ (check one) ~ 7Jj~~- Applicant Signature Fee Submitted: $ ~'lY))..5 <. C ~ 't.>,}, % 2. 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. 33533 Z Date NOVEMBER 19, 2007 permission is hereby granted to: VINCENT MATASSA 5 BETH PAGE RD HICKSVILLE,NY 11801 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR PER DEC AND TRUSTEES.REPLACES BP # 30526. at premises located at 497 PRIVATE RD #22 SOUTHOLD County Tax Map No. 473889 Section 076 Block 0001 Lot No. 015.003 pursuant to application dated NOVEMBER 19, 2007 and approved by the Building Inspector to expire on MAY 19, 2009. Fee $ 1,288.80 I ! Signat e ORIGINAL Rev. 5/8/02 76, {- 15.3 l!I.l!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ _ ., I 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ 50,-0"'-- ~ ~ CERTI FI ES THAT ~ ~ ; I" ~ ~ Upon the a~plication of i \ _ \::;- )upon premises owned by ~ ~, ! (."' . / ' ~ ~ \ BOB'S ELECTRIC SERVICE VINCENTE MATASSA ~ ~ 339 W. NICHOLAI STREET 497 PRIVATE ROAD 22 ~ ~ HICKSVILLE, NY 11801, SOUTHOLD, NY 11971 ~ ~ Located at 497 PRIVATE ROAD 22 SOUTH OLD, NY 11971 ~ ~ 2070102 2070102 ~ ~ Application Number: Certificate Number: ~ ~ Section: Block: Lot: Budding Permit: BDC: ns11 ~ ~ ' , 3D5;;).G. ~ ~ Described as a Residential 1200-1799 square ft. 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, ~ ~ A visual inspection of the premises electrical sy~tem, limit~d to electrical devices and wiring to the extent detailed ~ ~ herem, was conducted in accordance with; the req!uirements 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 19th Day of May, 2006, ~ ~ Name OTY Rate Ratine Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor I 0 Carbon Monoxide ~ ~ ~e:;~:nces and Accessories 6 0 Smoke ~ ~ Exhaust Fan 3 0 F.H.P. ~ ~ Future Appliance Feeder 1 0 20 Amps ~ ~ Future Appliance Feeder I 0 50 Amps ~ Fo!I Furnace 1 0 Oil ~ ~ Air Conditioner 2 0 30 Amps ~ ~WiringandD~iUS ~ ~ Outlet 60 0 Fixture ~ ~ Fixture 60 0 Incandescent ~ ~ Outlet 91 0 General Purpose ~ ~ Receptacle 54, 0 General Purpose ~ ~ Switch 361 0 General Purpose ~ ~ Dimmers 71 'I 00 ~ ji!l Receptacle 20 amp Laundry seal Fo!I ~ Receptacle ' II 0 30 amp Dryer ~ ~ Continued on Next pa~e I 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!I.l!I @]i'dffi!~~@] I BY THIS CERTIFICATE OF COMPLIANCE THE I 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 ~ ~ ~ ~ BOB'S ELECTRIC SERVICE VINCENTE MATASSA ~ ~ 339 W. NICHOLAI STREET 497 PRIVATE ROAD 22 ~ ~ HICKSVILLE, NY 11801, SOUTHOLD, NY 11971 ~ ~ ! ~ ~ Located at 497 PRIVA~E ROAD 22 SOYTHOLb, NV 11971 ~ ~ 2070102 I 2070102 ~ ~ Application Number: Certificate Number: ~ ~ Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ ~ Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of ~ i electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, i ~ 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 19th Day of May, 2006. ~ ~ Name OTY Rate Ratio!! Circuit ~ ~ ~ Disconnect 2 0 60 amp Air Conditioner ~ ~ Receptacle 10 0 GFCl ~ ~ Senice ~ ~ 1 Phase 3 W Service Rating 200 Amperes ~ ~ Service Disconnect: 200 cb ~ ~ Meters: 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I seal I ~ ~ ~ 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'dffi!~@] I r 'I . 12 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: 0- /r/.:' 6 Building Permit No. -3 oS ~ b Z Owner: G/?'L 7?E~I'5/ (please print) 1< ~\'O,,J ~Lo~ (Please print) Plumber: I certify that the solder used in the water supply system contains less than 2/10 of 1 % lead. (plumbers Signa.,ture) ~ Sworn to before me this v dayof~, 20~ ~L / ...,.",~A.IlEIlI8I-f No.~""''' I a.ma,~~~~_ QoI0 Notary Public, N "~I\ u-. County ~ vr>U/T 3C'5.2t:Z James F. King, President Jill M. Doherty, Vice-President Peggy A Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTJ;FICATE OF COMPLIANCE # 0134C DateJuly 24, 2006 TillS CERTIFIES that the single family dwelling and 50' buffer i\t 497 Private Road #22 Suffolk County Tax Map # 76-1-15.3 Conforms to the application for a Trustees Permit heretofore rued in this office Dated 7/2/02 pursuantto which Trustees Permit # 5605 Dated 8/23/02 Was issued, and conforms to aU of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is to construct a single family dwelling w/basement, with a 50'non disturban~e buffer. Theeertificate is issued to Gail Rerisi owner ofthe aforesaid property. ~~~ i\uthorized Signature 3~533~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING I STRAPPING [ -{FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETMTION REMARKS: ~ ~ --/ DATE P-/;'1'07 / ( IJ INSPECTOR Il , 33 S/; 3-C TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ULATION [ ] FRAMING I STRAPPING [J..1FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RES~ ~'lCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~u:;q1/~1?- M/~ \~ ~'4:!(Br a:~ eN l~' ~ . ~. ~&- ?j~ (Q) (jjv?J- ~,[ J.tr~ f?~ ~<L . INSPECTOR r , "J ./~ 3 t) ->!}-b Z- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND J><(iNSUlATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: u.. ~3 q -.?-} //)5 DATE I INSPECTOR ~~ , 3.0~~(, ~ 765.1802 BUILDING DEPT. INSPECTION [~ PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION c~ /~r- . =jI-. DATE 9/riqf1' I INSPECTOR )oS?-G Z- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST ] ROUGH PLBG. [ ] FOUNDATIO 2ND ] INSULATION ~: P<i FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: VJ~-~ ~ ok h ~/~, t-f-:2-7 -t:JS:- hn - (&!/J/)~ DATE INSPECTOR ./ ~, ..............-~ 5' 3D g ir; -z-- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ CJ:b [ ] ~NDATION 2ND [ Ur1rll [ ,{FRAMING [ J~ 0] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 30S~-c-- 765.1802 BUILDING DEPT. INSPECTION [ ] ~DATION 1ST [ [t1FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION _-<(_ _ d DATE r1r INSPECTOR )'Os?-lP 765-1802 BUILDING DEPT. INSPECTION [~UNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ol ~~ b~\k ~~~bO~ (1) J:NSI! ~D~~J rro ~~ ~. ~c~ND ~\)L\)t~ r~\)~~ h:.~ hMM.\~ REMARKS: DATE ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION INSPECTOR ( k ~; - ~ FIELD INSPECTION REPORT ,mA1:E COMMENTS - , I,... .H .oIL ,-. h...~ ~1> .-~-r uJ"e Lt> u},i'l FOUNDATION (1ST) I 7,"v ~urVo<-t ~iJ (\ ) h...+,,,,,~ h Iou (J\~ I 1J l",<.,'J.. . -- - LJj-3 ~ L.J)'" ------------------------------------ . 9/;- .A, r/ Lv".. .1', d #.. 2,/A. , ~ /-,' . z...~ f , / 7' I /" '~A p.uL FOUNDATION (2ND) ~ ( ,- - f 1-1'- //-7 / Oi'l \ '-" '.................. , -2 t./h6/ ~f-/. .// /.'- ~f /.. A. \ 0';1(" ~. /76'h .. #- ...c9 / / ./':~ ' ...0 _-,ou. ~_ .ff 7A.Y~ // .~ '1;')..7;0 ~ fh , ..A +-t f AAALJ?' ^ 4.,' 'v .-e 'g7 ...J <;to "' I AI" t7 V / {.../ - :ti:l ROUGH FRAMING & 'f //fR J Of -/' Y'. ~ 9<- /.; IA" ,..~. :~ PLUMBING - "' <. / t h'" 0 J ./' "" j. - n/c:- . A. )-(~ ~ f "0 / / /,/ I ~ ~ ~ t:t/~.; OS- J..{ .JI_"'~-- " ~ - A ""-Or- ,\A-~/~ ~~ .. "- If ~S ., INSULATION PER N. Y. STATE ENERGY CODE '\1'. ~ - ~ 3:'. -.... . ~ 't/ - /// tI--h J. '7eJ"::-IU~:G7r 'T-,J!lJ,H" ~fJ' j, ,C'.?-}~,"h'" ~ ~ f 11.:2: Q>O r~L...,. ..Lv ib J4<t'~ ;>~- - . , . -)( ""J,n ~..I'^ L J JtJ a -. ...{ ~ -'- '// / -"?/ J ~ FINAL IJft<{j 7~Ln - t f It,'> un A}(! dJ-- ) /J re I co, "'V/ /;\2. ,j/ - ~(JI / ,'J!...JI- . ( , / () ~ I A / , I ,.--1 y~ 3 / I ./ /J AD))ITIONAL COMMENTS /' 9/7 Z 1-1 ok. V J- /. ,L. AA_ V/e' :p -\ " I J VI ~ . , ~-i c! 1/>; /[. /1 , -- ~_ 101t:, A <7)[ NO L- ,. ".L, / . v !ii ~ ;0 < . = i'l - ~ -.." - . '.::0 ~ -"' I - 00 --"'l2 -_.- ~= 0 i'l ;.. \ ~~ --.... I tl o ~ g :-' ~ /060- 7t-/-/S':3 OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD q . VILLAGE DIST. SUB. / . S LAND VL. 3/3 TOTAL /.2..04./ IMP. / Tillable Woodland Meadowland House Plot Total hz. S~'dtllj $- E ACR. ,f/ TYPE OF BUILDING W FARM COMM. CB. MICS. Mkt. Value DATE REMARKS FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ~ 1.2-00 / Q" 0- 3'Jd I . ~ ~ ~ ..... NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Application For Permit Transfer and Application for Transfer of Pending Application (In Ac:cordanco wllh Unlfonn Pl:Ocoduroo, 6NVCRR Part 621) NOTE: Please read ALL InstrucUons before completing this application. Please TYPE or PRINT clearly in ink. (10101) 1. LIST PERMIT NUMBER(S) AND THEIR EFFECTIVE AND EXPIRATION DATES - ~ -~.303 I tHJ 'Ij,1;Z~6 2. NAME OF ~SFEREE . L VtA/~-r m~n STREET ADDRESS, CITY, STATE. ZIP CODE ':'5" 8DML Att6:~L tJ. 'I 1171'1 W other then an Individual, provide Taxpayer 10 Number TELEPHONE NUMBER (Daytime) fd'I/,) q 8'/- t!J66 TRANSFEREE IS NAN: apply) 3. NAME OF FACILITYIPROJECT NC ('"~V j)r'/JQTy STREET AffORESs.clfv, STATE. ZIP cod "'~(AJ ~"1111#W 5c4f/.,u> N. 'f -/1711 I , COUNTY r-: ' TOWN S04 I TELEPHONE NUMBER (Daytime) b) _ tlI. 5. HAS WORK BIJUN ON THE PROJECT? ...., () t J t: v.. 0 No W "No; proposed starting date: ",D Approximate completion date: R ~ If there will be ny modifications to the current or proposed operation or construction. the transferee must attach a statement specityjng the details. OWnerooperatorO L.....OAppllcanO Munlclpallty/Govemmental Agency (check all that 4. F~CJI<ITY CONTACT NAME . _ A VlA/~ 11)A-7A-S.>/T STREET ADDRESS, CITY. STATE, ZIP CODE &,S PIO/E4-L Ave- bTi,MHE 6. CERTIFICATION: This cartilles that the transferee seeks to be the legally responsible party for operations or project development either authorized by the permits Identified above or proposed In appllcationsldentlfled above. The transferee has a copy of the perml~s) and/or appllcation(s) and understands and will comply with ell conditions In the referencad permlt(s) and supports the contant of referencad appllcatlon(s). Facility opsrationslprojaclscope/dlschargeslemlsslons will remain the seme as authorized or as proposed In pending applications. Further, I hereby affirm that under penalty of perjury that Information provided on this form and all attachments submitted herewith Is true to the best of my knowledge and belief. False statements made her n are p~ri'hable as arClass A m,I~;::a;Spu:uant to Section 210.45 of the Penal Law. Printed Name and TUle ofTran Vii ~r1'r 'I 1. NAME OF TRANSFEROR '-ATelctt Ale ('~~ ST ET ADDRESS, CITY. STATE, ZIP CO E .., q K6'fE... w/t1l1lK € A-IJ~ b14yt..iU If other than an individual, provide Taxpayer 10 Number fJ. TELEPHONE NUMBER (Daytime) 1/16L ('-!I,) U9-~"~ 2. NAME OF FACILITY/PROJECT, WdWferent from Facility Name In Part 1: 3. CERTIFICATION: This certilles that the facility and/or application refere~ In P~ 1 of this form Dwill be / identified as the new transferee (owner/operatorllesseelappllcant) on. :1 1/ ~ . (date). Printed Name and Title of Tren "f72t.ee,. A1. c. 4 ",;"',..., IfF was transferred to the party ~rensfer of permit approved, effective as of . Trensferee subject to conditions of original permit, without exception. Transfer of permit approved, with the following modifications or contingencies related to this Permit Transfer: D See attached revised permit page(.)' a Transfer of application apj:)rove~:I. See attached for additional information required. Transfer denied, new application required. Please complete the enclosed permit appUcation and return it to the undersigned Regional Permit Administrator at the addre..listed on the reverse sida of this from. , I/...d . . / ~;~~iT MINIST T PtI: Signature _~ r.tt!",.J1W~ Date ~ ~,.,.,j~ Board Of Southold Town Trustees SOUTHOLD. NEW YORK PERMIT NO.j"fd:JS DATE: IItlg\1st 23, ISSUED TO .._ PATRICg.J.Yl~..h+cCAFFREY !\utl1nrilatinn Pursuant to l~provhjof1$o(CJ,i1lPter hIS of the laws of theStafeof New York, 1$93:an<l<:;l,aptar'<4M~th~l.A~of lite Stllteof New York 1952:""d the S01l.~ Town OrctmanciIi en- titl$d"RBSVLATfNG ANDTHEMC1~OF.OBSTRlJCTfONS IN AND ON TOWN WATERS AND PUBUCI..ANDS',.tidtlte REMOVAL OF SAND, GRAVEL OR01HERM.A~IAl.SFROM LANDS UNDERT0WN W ATERS:(Lend in .ec:ortial'lC/il with tho Resolution of The 80ard adopted lit iJmeeliniJhddol! ',t\\i.Ek 2.1!. . zoO;;, 411dinconsideratioo of Jim sum of. $....20~~90 .. pllld by Pati'lCe MeCaff!!"'y..,........ of BabY!Otl u ....." . ., N. Y. andsubjed 10 the Terri'll. . ill1d COridifjcns listed 011 the. re"el'$e<lldehoreof~ 1 .Qf,~~,TovmTrtIdtllt?l!i.tlt~ Md pern1its.thefoIlOYfin.g: .', . >l~!and erl111, .to construct a sing~...famiIy "rwelling wlbas~merit,. . Wlth the condItion that drywdls and gutters are installed tecenta . the ,ronf run~offal1~ hayqalesare p1-:.ceddown beJore the. project" , heglI1(;. along the 50 non-'dlSturbance bnffer line, and as depiCted. all in aCGordllncewith thetMailed$p&l'iflclItioM lI$ presented in ihe ori9inatm9 4ppliCrrtic>n. on ihesurvey dated July 1. 2002 last revised July 22. 2002,. . ' IN WITNESS WHEREOF, The $aid Bo6rd of 1'f!lifeeshltre- . by <<::a1J,es rr.Co(l'orllte. S~lll to he>4ffoixed, ~ ihec.e p~e$EtIItf, to be tubserlbed bY II }naJorityoftlte$a'cl.&~ alef tillS dllt.l. Albert J. Krupski, President James King, Vice. President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 23, 2002 Ms. Patrice M. McCaffrey 79 Ketewamoke Ave. Babylon, NY 11702 RE: 497 Private Rd., #22, Southold SCTM#76-1-1S.3 Dear Ms. McCaffrey: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 21, 2002 regarding the above matter: WHEREAS, PATRICE M. McCAFFREY applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of South old, application dated July 2, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 21, 2002, at which time all interested persons were given an oppormnity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of PATRICE M. McCAFFREY to construct a single-family dwelling with a basement, with the condition that drywel1s and gutters are installed to contain the roof run-off and hay bales are placed down before the project begins, along the 50' non-disturbance buffer line, and as depicted on the survey dated July 1, 2002 and last revised July 22,2002. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: $10.00 Very truly yours, ~9./~'~ Albert J. Krupski, Jr. President, Board of Trustees AJKJ1ms Albert J. Krupski, President James King, Vice-President Artie Foster Ken poliwoda Peggy A. Dickerson 'fown Hall 53095 Route 25 P.O. Box 11'/9 Southold, New York 11971-0959 Telephone (681) 765-1892 Fax (681) 765-1866 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. ~c.- (c:.. P-f--r~ INSPECTION SCHEDULE ~ Pre-construction. hay bale line 1st day of construction Yo constructed / Project complete. compliance inspection. TOWN OF SOUTHOLD BUILDING DEPAR1'<'1ENT TOWN HALL .,J . SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ "2 6r2::s- <L PERMIT NO. ) Examined Approved Disapproved alc ,20-r ,20~ Expiration ill! 232004 APPLICATION FOR BUILDING PERMIT ~. ., I I I I , '.._"_A' Date 7/.,11 ,20~ 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 waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout tre work. e. No building shall be occupied or used in whole or in part fQ~ 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. 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 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. ignature of appli t or name, if a corporation) .0 ~eT/,j?41e Po f.j,ct'Sv,U-E N.y /laO/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder {')w~E/L Name of owner of premises k'U/; " (As on the tax roU or latest deed) If applicant is a corporation, signature of duly authorized officer G/I,L (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. "fr'/ t,'i'/ 1. Location of land o~ which proposxd work will be done: f'l'lIh'1TC KIMD :5"'47f,i-{) House Number Street Hamlet County Tax Map No.1 000 Section 1 b Subdivision Block 0 I Filed Map No. Lot /.5:3 Lot (Name) 2. State existing use and occupancy of premises and inteI1ded use and occupancy of proposed ~nstruction: a. Existing use and occupancy '- b. Intended use and occupancy DIVE ,c: /1711, L 'f ;(es,~pce.- 3. Nature of work (check which applicable): New Building X Repair Removal Demolition Addition Other Work Alteration .., ()() 4. Estimated Cost Pf 00, 64tJ - (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars ~ (To be paid on filing this application) Number 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 Height Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front .. Rear Depth Height Number of Stories '\' '. L'I t" Rear "I' /" Depth x-o' /" 8. Dimensions qfentire new construction: Front I I 7' () oJ b Height ~ 8' Number of Stories ~ 10. Date of Purchase qo Si~g/o3 Rear 1;;1;J.1'} Depth 1./1 So J/ 7 fJllrbc.e tHe C}u::pUy , 9. Size of lot: Front Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ 5' ~"''tW /2-J> liyol Address~cK1V"U N.V- PhoneNo.5'& tAg-IISo Address ' Phone No Address Phone No. tl3/!.1SI 14. Names of Owner of premises GAiL. Name of Architect Name of Contractor SEt.F- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ NO _ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~ MAY BE 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: COUNTY OF NA-9.>A"t ) G4'L /Ce.e,s, being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, '>, (S)He is the C).<.>joJEfi- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,fio dayof .:ru..~ 1I~ f ~. Notary Public 20~ Signature of Applicant Victor E. Reri.i o Public, State of New lor1< N tarY # O\RE,4614970 C..tined ill N."au coun701 C()rnQ\j~i.on F.."plrt::$ 2!1.j.I, ; '. Titan Abstract Service Corp. 370 Old Country Road Suite 100 Garden City, NY 11530 Telephone: (516) 294-7198 Fax: (516) 742-9375 Confirmation Application Date: 01109/2003 Title Number TA 17153-SIB Representing: Applicant: Gail Rerisi, Esq. 5 Bethpage Road Hicksville, New York 11801 Tel: (516) 939-0669 Fax: (516) 939-9006 Seller's Atty: J O\L Bank Atty: Mortgagee: Premises: Vacant Land, Main Road, Southold, New York Town of Southold 11791 County: Suffolk SIBIL: 76.00/01.00/15.003 Disttict: 1000 Purchaser( s): Seller(s): PATRICE MCCAFFREY Premium Information Fee Policy: $25,000.00 Fee Premium: $402.00 SINGLE & SEPARATE Confirmation -1- eMS Form No. NY.121 1 , Titan Abstract Service Corp. 370 Old Counlly Road, Suite 100 . Garden City, New York 11530 (516) 294-7198 Roc (516) 742-9375 Representing Fidelity National Title Insurance Company of New York TITAN ABSTRACT SERVICE CORP. Agent for Fidelity National Title Insurance Company of New York Does certify to: TOWN OF SOUTHOLD THAT is has caused a Search to be made in the Office of the Clerk of the County of Suffolk, in the State of New York, against the premises described herein and premises adjacent thereto on all sides from July 1, 1983 to date to ascertain the fee chain of title respecting said premises described herein and the premises abutting since February 15, 1959 and has found only the returns as set forth herein on the 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". The limit of liability under this Certiticate, for any reason whatsoever, whether based on contract or negligence, shall not exceed $25,000.00 and shall be confined to the Town of Southold. Title No.: TA17153-S/B Dated: February 10, 2003 Garden City, New York By: " SUBJECT PREMISES: District 1000, Section 076.00, Block 01.00, Lot 015.003 DEED Michael F. Zukas and May Zukas, his wife -to- May Zukas (Covers lot 015.002 and 015.003) DEED Michael F. Zukas, as executor of the Last will and testament of May Zukas, deceased -to- Michael F. Zukas and Carolyn Dewar, as joint tenants with Right of survivorship (Covers lots 015.002 and 015.003) DEED Michael F. Zukas and Carolyn Dewar -to- Patrice McCaffrey LAST DEED OF RECORD Sworn to before me this 10th Day of February, 2003 e/ DAViD ;":U::'ISCf--LVAN Notary f)utJ;',c. S::::e of ,\~2W York No. 01 FLt~J,:?~)4T7 OUi1:i:'.cd in "bssau CDunty .3 CommiSSion [xPI,es t\"ay 24 20 to , - Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: March 9,1974 May 9, 1983 9355 177 June 10, 1997 July 15,1997 11841 84 August 1, 2001 August 13, 2001 12135 305 By: PREMISES ADJOINING ON THE NORTH: GOOSE CREEK Sworn to before me this 10th Day of February, 2003 c7 c::;ar;c,::j;i;,!fr.T~~~~?~':t:ur^ ~ LXj..-I, I.;;~, i,.1--'! '.)A r)O 0-, ~. L"'t,,,-_ By: PREMISES ADJOINING ON THE SOUTH: District 1000, Section 076.00, Block 01.00, Lot 015.005 DEED Michael F. Zukas and May Zukas, his wife -to- Michael F. Zukas (Covers lots 015.004, 015.005 and 015.006) DEED Michael F. Zukas -to- Stephen E. Brander DEED Michael F. Zukas -to- Stephen E. Brander (Correction Deed) LAST DEED OF RECORD Sworn to before me this 10th Day of February, 2003 c~ OAV1,1) Fl.t.',sCHMf-\N . S.~l'" o' '~pw York Notary ;>.JiJ~IC,::, .d:-';:,.. ,I ~ No 011-cELe,A77 QU!11!f,ed in NE\SSau c~un~o <?) CommisSion Expires May ,...4, - Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: March 9,1974 May 9, 1983 9355 181 August 1,2001 August 13, 2001 12135 314 December 21,2001 February 11, 2002 12168 752 By: PREMISES ADJOINING ON THE EAST: District 1000, Section 076.00, Block 01.00, Lot 015.001 DEED George M. Tisdale -to- Michael F. Zukas and May Zukas, his wife Dated: Recorded: Liber: Page: January 5,1959 February 16, 1959 4585 443 (Covers lots 015.001, 015.002, 015.003, 015.004, 015.005 and 015.006) DEED Michael F. Zukas, as Surviving tenant by the entirety of May Zukas, deceased -to- Patrice McCaffrey Dated: Recorded: Liber: Page: LAST DEED OF RECORD Sworn to before me this 10th Day of February , 2003 (;~::;;i~ .- By: DAV![) [71 clcri_'r l' N Notary .~~, .:;~~ f,\> ~\:o_ o~ '--",,<:; or dc_1W Yor!-. OL.'.1Hf:od ;r ,0..'__,.", ~ , co C - I, ",,-)~"!, _ :)u~t omn:ISSlon r).r'_I_~ ." ~',_ 'r y 0 ~ - ...." .;'~} :l4,20__-::.:! August 1,2001 August 13,2001 12135 304 PREMISES ADJOINING ON THE EAST: District 1000, Section 076.00, Block 01.00, Lot 015.006 DEED Michael F. Zukas and May Zukas, his wife -to- Michael F. Zukas Dated: Recorded: Liber: Page: (Covers lots 015.004, 015.005 and 015.006) DEED Michael F. Zukas -to- Stephen E. Brander Dated: Recorded: Liber: Page: LAST DEED OF RECORD March 9, 1974 May 9, 1983 9355 181 August 1,2001 August 13,2001 12135 313 Sworn to before me this 10th Day of February, 2003 "~ C~ "- By: D/<ViD f~'1 ;::!,':::("f-"-H~V' Notary ~,}o. 0 1 /~",:~:::~r~~~i;';";'~ 'r'C!rk O~a:'!;Cj,r: ,"Jas:;dU c.:;:Jr,t Comrr:,SSior: ~~xr"lc,.,.~ ~'13.! ',~ X., An -',- ....., "",' <..., ,~, -' "'-'-J PREMISES ADJOINING ON THE WEST: SUN LANE Sworn to before me this 10th Day of February, 2003 c3"'? N D/\V,'C) F~-( .c:lc;0H~~!l~ Glo.ry ~"::-~:\j "" -'I~ ,-'---, '1, ,-'--!"''':.~ ()' '\'0W Y:orL- ~~, ~I' , ~ Oua,',{:0:j It" CC'f;''-,;c;S;''Jn ' C>li'1tV c" )0<8 By: PREMISES ADJOINING ON THE WEST: District 1000, Section 076.00, Block 01.00, Lot 012.000 DEED George J. Ballard -to- George J. Ballard and Helen T. Ballard, his wife (Covers lots 010.000 and 012.000) DEED George J. Ballard, as surviving tenant By the entirety -to- Joseph Stapleton and Ruth Stapleton, his wife (Covers lots 010.000 and 012.000) DEED Joseph Stapleton and Ruth Stapleton, his wife -to- Ruth F. Stapleton (Covers lots 010.000 and 012.000) LAST DEED OF RECORD Sworn to before me this 10th Day of February, 2003 ./~---=::> &~ L'i~"".';';-1 r! f.=1C''-''f.-.ilJ ^ N01;";"-'I':-- .,Jl.,., "",,",N '-or} "',,,_, "_, , ~,I~,"\_ ,,' ",:"- or "'1~_)W York ,'~) . 'r:' -':~~;..~,n- - C:')Untv \.7 ;.::.. :,,:)0-, Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: Dated: Recorded: Liber: Page: April 30, 1969 January 13, 1970 6686 310 December 5, 1988 June 30, 1989 10788 139 February 11, 993 March 23, 1993 11622 755 By: ENERGY CODE CALCULATIONS CHAP1ER5 SECTION 501 Detached One and Two Family (For Non-Electric Heat) v RfI.,.iSr For: (Jr J ~5.s(' (~.I/... nli .S.-il, f'".tl.. ~I /./''''1>511'(' . U Design Criteria 5750 Degree Days Zone llB Per: v l~e"/J( H~" ~.., If<..l ~ .- < I- 5. SUBSYSTEM AREA DESIGN CODE DESIGN CODE "U" "u" UA VA Exterior Walls 'J.. 11/ ().'23~o 0.14 3Lf'2.2 ? 387. 'Iii Ceiling Roof 1711 0.03 0.031 53.70 Ss. If)' Floor Over Unheated Space 0.05 ,,/ fJ 9. S { 17 '1/ 0.05 8'1'.:> j Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 - Crawl Space Wail 0.06 1j 8 5' /If 53 2/1 8 s: .7 13 II .5 Ii II I? If)' C J J Dated: 'I {j 10'1 / I NOTE Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HV AC Equipment, HV AC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service WuJ.er Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with .the code. ~___~___~__,.____._.._______.____~__ . _ ___ __._~___._____._._.____ __~___~_. _ ______.. _m_______.___~_m~_______ . "GOOSE CREEK ("EST CREEK) N 87'02'24" E 122.79' ~ 0)' .,'" ~~~/ 8.~~ ~I' C)<i. ,:;.41 6- ~ <:;;)% ",~.t ~* ,,~~. ~c,c,~,?c, ~ c't <-'" \' ~'f ~'f &I'~ +t~l0 4'.t ~~~ ~~ .;)># "'-~ ~ ~.... V" "~$ 't (' .....;,ppAAf)fT LOW WATER WAR\<. .>lit... .>lit... .>lit... .>lit... . 0./ SUN LANE 0- Q~ .;)># v J' " f / <- vO;>> .,. .o",~c>,;,.v 1:-~0 ~o 0---'0 ~r--;;. ~..j>o ....'f>~ "';>> 0- ""<5' '!'" . '" +~". ......" ~o. >~~ ~. ~ ~ ~.>.">. " :jf'>..#<:>~ (I.... .' 't-..."'<I, ". <>... -t-<> "-.. ~~ 4..., -&..~ ~O "1;~ "11) 0-, ~4-- F 'y .>lit... ~... ~~~- ~. . l-} \i.;J,.'f' c,' c,c," ~~~<p./; ~:~ 4:-G~Q <:1'" 't TEST HOLE DATA ,c~' , ~~-",;- ...,..... "1'f," PLOT PLAN OF LOT 4 OF PROPOSED PRELIMINA.RY MA.P OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION OF LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTH OLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 UBER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.3 SCALE I" =50' SEPTEMBER IS, 2003 OCTOEIER 23. 2003 REWED PRCPOSED HOUSE J.fotrAWf'r' 5. 2004 A[)I)(D PROPOSED DECk FEBRUARY 27. 2004 Rf1.OCATED HOUSE .....VJ. 2004 REvtStD F'ROPOSED WATER EASEWENT .. ". ,.,-' 1- \" "\,S\-'~',' " . . . t. [" \Q: 2 \ 1("'::\" \,' \1: ,'1 ' l\.:;\:l-I ., ..1) ..I o . !!II 'A rI c1 q, !! :l >. ~tf 10: .~ . (TfST HOLE DUG BY UcDONALD C.Fo..'iCIFNCE ON .wAy.... 200 I) h z I >- ifj~ if; .. B 1!: lal i "' !; II; i: i alai -= .c .. II; ~ ~, !S :a J I r B ... cii "" ~ I: ~ Q 2! '\J). ~ f 8t ~Q, ';::i ~ en a~ ti -"""'.... ,. ML .... PINE: SMCl " PIIU""IILl'l'tNID T '.. ,.4 . . ....._"'" "'........... ~ . I;)." .-at IN PllII.E ..... PlNEltIlillDIJMS/IMl " AREA = 33,537.18 sq. ff. 0.770 oe. ~ I. ELEVAnoNS All( IIEfEIIlNCtD TO tI.a.:V.D. IUt DATUM EXlSTlMG ~.....:s /lIE. SHOWN TMIS:-----IO------ 2. ......,.. SEPTIC T.v. CAP.taI'tD FOR .. I ro .. IIEllIIOOW HOUSE IS 1 ,000 CWJ..OMS. 1 TANk; .. LONG. 4'-3- WIK. ,'-7*' IlUP 3. .......... LL\OIING S'l'Sttill roll: .to 1 TO .. I[DM)OM HOU5f IS 300 .. ft SIO[W,f,U /IIIEA.. 2 P'OOLS: e' oar. s' clio. _ NOPOKD DlPANStOM I'OOL ~l"lIOPOIIDl..[ACfIlMDl"OOl. fZa ~D SEfflC ,... 4. THE LOCATION Of' WILLS NIO CESSPOOLS SHOWN HEIlEON AK FJlOtjI nno DlS(RVA'nOfft NfO/ow. DAn OWI'AlMED rllOM 0JM[Jt5. 5. PROPO!ID) LOT C(W[MQ[ .. 2.321 MI. ft. OR tJ.I'" or lOT IiI/U. LESS WETlAHDI AIlEA (WElUNDS IIff.A - 1!t-.111 ... ft.) s. DltfY[WAY ARU. = I.~ .... ft. l.JrWITHOfllzttlALltRAlIONOft.llDOffiOlrt 10 THIS SlJINU IS A \lIClAllOH OF SEClIOH 7201 OF 1ME NEW Y'ORI( STATE f'OUCAnoN LM. COPIESorTHISSlInE.Y""'fC)T~ THEIJINDSl.IM.'lIOItSINICEDSEALOR D8JSSED 5tAl SHAlL NOT El[ CON5IlPED lOBEAVH.I)lRl..I:COPr. <:amrJCAnoMS IOCATm ~ StW.L IIJN OM.Y TO l1tE PERION FOR WHOIll THE SURoIEY 15 PMPMfD. MiD ON HIS IDWF TO THE r::-~~~N<<)>>ID 1I01HE~(1t_1.EtClIIGNIfI- lUftOtC.CEJnIf'tCA1DIS/llllE.N01'~ Tlt[ EXIS1'[MC[. Of lIGHT Of WAYS >>10ft>>. EASDIENTS OF IECOID, tF 1M'f. MOT SHOWN All[ NOT 0UMAHlttD. N.Y.S. Uc:. No. 48ft68 seph A. Ingegno Land SUrveyor rftle Sur\Ol)'ll - Wdf!,1MH1fJ - Sit. PIotw - c.n.tructfon ~ _ (131)727-2010 Fax (aJ1)727-tn7 ................. P,O. 9mc 11.31 ~ New York l1iOt-0II5 omccs LOCATm AT J22 RQNO(E .IN'fJftJE RMRHEAO. New Yen 11901 ft' $# s, ~ot: ~~ O~ AI<:; ~ oS ~<i:;'#:..~ ~L~~' ~?~? ~~ '?- i (t~~() 6}~ +~\l0 {;-.t ~f~ ()... .;.4?~ ~~ \i -- '(! '& . , 70 '< SUN T A L.d-i.Np; o ()... \i " ~4:..~~ ~.~~ ~~,y .i>.!' ll.1i <0 .. "" <>~~t:>o..-1- 0 ~:o-o O..e..<j> -;A -..s--1>0 +..~ ...", '!',. ~ ~. ..,'\. GOOSE CREEK ("EST CREEK) N 87"02'24" E 122.79' >illc APPARENT L.OW WATEJIl: ~ >illc >illc_' @ ..... ;(./ 'J~ ~ -'8 ~'<1 "to. 4..... -&"'~ <'?o '<1 h' '<1<:; ~ Ip- -'6 lliIL /6 , w ,. (f) <H?'t- ()... \'i,()o/.~,. \i \()~", ~:~ ~G~() -V" '& ~~ >illc - _...".:'~ L ~"!.J ,>. -~"..-, , (, ~ r ~ D \:)~ c PLOT PLAN OF LOT 4 OF PROPOSED PRELIMINARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTH OLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION OF LOTS FOUND ON A MAP PREPARED F'OR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 USER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.3 SCALE 1"=50' SEPTEWIlER 15, 2003 OCTOID: 23. 2IDOJ AE-.o ~ HOUSE JNUItf 5. 3D04 MDm fIROfIIDISED Q(CK ftIIRUNft' 'D, 20CM E.DC>>.TED HDU!E lIIAY3. 2004 ~ PRWOSED tIIIdI:R DIEIIBIT ~ 14, 2004 R:IlJrIIWlOH tDCA'RON "REA = 33,537.1' oq. ft. 0.770 ac. .NJJTn;. 1. El1V411ONS -'II[ ...n....1OIC:cb TO N.o.V.D. 1121 MlUM DBftII CIllNIIUt..-s... SNDMIlMUSr: - - -10 - - - --- AND AII/E. AS .... 10 ST_ or ,-,-,_noN. utWIIttDIIIED ....1EJW1ON OR ....... 10 ,.,. ...." . A 'tIIIlAlI* IF E1IGIiI7lCllaFlHEICWlQlI(STAlE """"",",1M. OCPIES f# HI IUfMY .w .. .-.u 1Nt LMlD SRE'latI IeCID KM. aa ~!I'AlSMl.NOI'I[OON!IIIlEJe 1O.AWIl.I)'WU:COP'l'. csrrFDT10IIIS .....tm .... StWJ. fLIrt OtI..Y 10 1Hl .... fat .... 1Mf: ~ . ~... Gill.. EWl'lO M mu: 0lIMWfl'. ~ nlEH'llllL. /IIIDIIIC'( ... ~~'W::==- TUnOIl. I#E. MOl' 11Wf!FDWILE. \.cO 2 4 2004 )I~J j ~ , , l.._.::.' JOeeph A. Ingegno L81d SIIveyor J18t ~ - S' _b IT 1&,. sn. Pbw - QIftIhc:tbt f..ctout TH[ EJaS1'EMC[ Of IIOtn or WAYS /IMlJ/OR EASIWENTS Of' I[OQID, If' ANY. MOf SHOWN ARE NOT 0UAaAIflIQ. _ (631)727-2QIO Fa. (631)727-1727 0fF1CES LOCA1ED AT aN..M ADDRESS 322 ~E AVENUE P.O. .. 11J1 RMfilHf.AD, New Yen 11901 RMtrheDd. Nn York 11101....... . .. , . ~ "'. .,'" 1/ ~-+';I ~, ()~ ,:;.41 cf. .8 ~4;'.I:,.t ~+ .!':~. 00;~0;0; @lcf.'iY Ii. O~fJ~ &l'~ ~$~l0 G>-!' f..~~ 0~ V.f A~~ {t~ V.r "7 .,. N'PNen I..OW WATER t.Wa< ~ ~ ..w.. ~ . \ - ~~14 -'6 SUN T. ~1VE --IS ". p /" . <0... .. <>-#.~e>..+ '-,.0 ~_""b-o <>~~ ~...<J> ~<l',. ~"t.. 4""" -&....>t, 1>0 '<<lit" '<<l.o ~4> GOOSE CREEK ("EST CREEK) II 87"02'24" E 122.79' ~ ..w.. ..~~ --...,.~ ~ ~~.". " 0~~ V ",'Of 9<,0;'" ~ i$~:l' \0\(fJ~ ~:l' ~G'<1Ia ~1i .,. TEST HOLE DATA (TEST HOLE DUG Br ....Ilt'lIIWO GFDSt"SHCF ON MAY 4, 2001) . -......... , f'JIlU8IDltI1'M:~ " l'W.E: ..... "TV SNCl r ~. .; ,". - ... - ... m.......... ~- -,--.- . - .' . ,...- i" , 13.1' '&IU1!JllNfI,t,lE~ FlN[lOtIEDlJIfSIIfIID ". PLOT PLAN OF LOT 4 OF PROPOSED PRELIMINARY MAP OF BRANDER-McCAFFREY PLAN SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION or LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 USER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.3 SCALE 1"=50' SEPTEMBER 15, 2003 OCTOBER 2J. 200J RE't'GEO PROPOSED HOUSE JNWtR'( 5. 2004 ADO(I) PROPOSm DECk FIBRI.JAR'I' 27, 2004 REl..OCATED HOUSE AREA = 33,537.18 sq. ft. 0.770 ac. JIJiIUi. I. aDAHQICI ". -.r~ 10 M.G.V.o. 1121 DA.lUM iXIs'iJMg COIIRJW: UMIS M/ft. ..... lMUS:~ - ~ - - 10 - - - ~ -- 2. WIIMAf SIPVC .,.. CWM:mD f'OIt A , TO ~ IEDIlOOM HOUSt IS 1.000 QAU.ONS. 1 TNIC; ~ LDN8. "'-J- WIll(. ,'-r DEEP S. ........ LlACHIIC SYSlaI fl)I A 1 TO ~ IIEORClOIIl HOU5( IS 300 IIq " SIDlWALl AJIU.. 2 POOlS; .. Dttft. S' dla. tIP f'MlfI05C) DPMSIOM POOl ~ ~ WOHNliI ~ ~ ~SitI"n;TNI( ... llf[ LOCAlION Of' WELLS AHO CE$SPOOLS SHOWN HfR[Off J.a[ !'ROW F1E1.D oestRVAnoMS MD/Ga DATA OIrT'AINED f1lOM 0THE1lS. 5. fIROPOSED LOT COYI:JUGE = 2.321 ~. ft. OR 13.1'" or LOT AIIO. LESS WE1UHDS AREA (Wm.ANDS AREA = ".817 MI. n.) 6. D8NtWAY AREA = 1.o5e ~. fl. PftEPJlrR(J) IN ..........-...~ ... nt( ..... STNQlIIIDS FOR mu: SIlMYS .IllS trr 1t€ LIALS. NlD ~ .tHO FOR SUCH USE: BY lt4E NEW 'I'OfIJ( lNlO NYSDEC mu: ,.."..".... h~-;" . ~ APPROVED AS PER TERMS ~r:c~ ;~ AND CONDITIONS OF ft,wd(/{adz1SYl .~~@J.) ':' 'f';;{~~;~~ PERMIT NO. !-f73<i'-0303'1!a()O(),.;' {< Cl'! ';\ DATE ..if ro ( 2-Zc, '2/Y'l 'Isut\G: \ ! l:t:; ,~ P If.& "N.Y.S. Lie. lJI'IIo\UTHORIZ ALlDtAllOM OIl ADOmON lOlHlSSlJR<<'\'ISA'<IIIOlATIClHOF SEC1lClH 720t fY' 1li[ tEW mAK STAn: ~""' COPl[S OF 1lIS SUIMY IiW' NOT BE'MlHG lHE: LAND ~ NCED $fAl. OR DIBOSSEIl SfAl SIW..l. NOr lIE C<:lNSIOEJIEO TO BE A '<<f) TRUE OOPY. CER'TW'lCA1lOH5 lIlDlC:"AlU) HEJUllII $tW..J.. RUN ON..Y TO 'fttE FBtSON FOR 1lIHOM THE SlAM:Y IS PAEfWlm. NC) OH HIS IfHt,LF 10 1HE 1m.EalMfWrt(.~1ai.Hl:f/IMD I.DIJIfG INSWf1.RI)N lRI'ED HERfON. N<<> 10 H ....... OF lHE l..BrPG 1NSTl- 1\JTlOtIl. CI!Itftf'ICA1'J<< MOfTlWt!lrERA8l[, No. 49666 . Ingegno urveyor rltJe Surwys - SubdMsIoM - Site PIons - Construction LajQIf PHONE (631)727-2090 Fox (631)127-1727 _ ADOIlfSS P.O. Box 1U1 Rivertleod. New Yon: 11901-0985 23 38::l1 TH[ posmrtCE Of" RIGtfT or WAYS /lMDfO<< EASDIDfTS Of RECOIO. IF AHT, 1<<JT SHOWN ARE NOT ClWlANTUD. 0FFlCfS LGlCAJED AT J22 ROANOKE AVENUt: RMRHENJ. New Yri 11901 ~ 0,' ..,'" ~~I' :+~ rJ.1 o'i A,4I ct- ~'l, ~~;t...~ ~*~~. ~,,>">~,,>"> ~~~ Ii. (j'f(j'f &7~ +~~l'0 4''# f;~J- ~.. ~ ~ ~~ v ,~ . .APPARENT LOW WATER WAR!< Jli!L ..w.. ..w.. ..w.. ~ \ , . , -'6 '2, SUN T A ~NE o ~.. v .k ~~7 ,o,.j' 1M <'0 . '" <>",I':>r:>.... 4- 0 <l>o~ ~~ ~~/ ...<]> '!',. ~~ 4.... r- -&'.. 'ro "1h' "1~ ~ tp. GOOSE CREEK ('/fEST CREEK) N 87'02'2.- E 122.79' ..wc .. /6 w ~ o/,,>,,>'l> ~.. \~~o/.~'l' V \~ 'f ~ ~:J' ~~<f ~ . ~ ..w.. .s~ ---~ ~ ~~". ~,~ (.:: \\!-J) .. \-,~' p'~0,~'PtANOF OF PROPOs~~,~~ltiI~~~~...rMAP OF BRANDER' ~ McCAFFR1!h':PLAN ;'~ltuA'F.F;~Af. \' O\~\:'.OOU1'HOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SAID MAP ALSO BEING A REDIVISION OF LOTS FOUND ON A MAP PREPARED FOR MICHAEL ZUKAS AND APPROVED BY THE TOWN OF SOUTHOLD TOWN PLANNING BOARD ON FEBRUARY 7, 1972 UBER 8355, PAGE 181 S.C. TAX No. 1000-76-01-15.3 SCALE 1 - =50' SEPTEt.48ER 15, 2003 OCTOBER 2J, 200J RE'YtSEO PROPOSED HOUSE ~ 5, 2004 AOO[I) PROPOSal DECK F'E8RIJAR'\" 27, 2004 RElOCAITD HOUSE NAYJ. 20()4. REVISED PROPOSED WATER fASEUENT ~ 14, 2Ol)4. ~T1ON LOCATION WAY J. 2005 AQOB) AS8l.M.T SEPTl: S'I'STEN .t PROP. 0R'I'WEli.S ~ 1., J!OOO ..,.,.., DllYWEU. JUNE 8, 200i $HOW II1IEA FOR so.. EXPANSION POOl JUlY 10, 200fj RE'Y1SED 10 SHOW WATER UN(S NSTAlLED r . 50S 0(~-2:. AREA = 33,537.18 sq. ft. 0.770 ae. lif11'.U;. 1. ELnATIONS AIlE RUERENCED TO M.G.V.D. '121 DATlIrll EXISTING CONTOUI LilES ARE SHOWtil THUS: ~ ~_ . '(I SUFFOL:~ ~':::;IJf\IT't' C.s::t:~ c'' .::",'.- C';,:: dSA!.. rH SERVICES APPR0,'!'i. C" CONSTR,,~'SO "('::KS FO.. . ASll\<~'_."~- ~~--\U!LYRtSIC;:4C::'- r.~", AUG 142OOC. I:,,: ;'). _1<'0-0"1:-...2.2-,"", :;~: ~J.\rt' ;;t'Cft ..... ,,_.....," ,,:'" 1"--::.: ;':';",'~:1: ' 'n..:,:,.:-~ ;:~'.~ '. .<,~ , .C ,J',' ~'" L...,."_, ::1 L.1vnQ CO b~t~~:'.'~... j' ;....lR ~ '" '-', :J?..:L- ~::T:';C:~ ,-. ~._~~ .. ,- .. -.~ ~ V\.. 1'-- " ,_:-.,~ ';_-..'"W'...,., cc.::'--'-""'-:':-"'-- Walter J. H:i::er., ,',t:::;t;n;er OZii,:.;c c/ \/i;;'~j-;.CW8k'f !1'1z.nagement l.IJWlTHONZED ....lERATION OR ADDfT10N rolleSlJR'v9ISAVlOLATIOHrF SEC'IIllH 720i Of" TME NEW YORK STATE EDlICA110H lJM. COPES Of THIS Sl.JR'vf:Y WI' I<<JT IIENtIG lItE lJH) ~ 1frND!PI- OR D8J!IED SfJIL StW.l NOT BE CONSlOE:RED TO BE AVMJDlAIA:CCIP'r. corrFlCAl1ONS ItOCATED HEREON sw.u. RUN ONlY TO THE I'ERSOt\l rot WHOW THE SURVEY IS PlIIEP.WD, AND OM HIS IIDWF 10 lHE mu: ctIIPN4Y. lXMJIrMNI"lt. IO(HC( N<<l I..OCafG INSITMlON I.JS1Ul HERBltrI. AND 10 THE AS!Ililf<<ES Of" THE l.Ettl*C lNSTl- l\.I'OON. CER1W'lCATIOHS NIlE. NOT TlWISf'EfWIl.E THE [x1STtMC( Of' RtOHT or WA Y$ MfO/Da USEWENT! or It[CCMI), If lIMY, NOT SHOWN Aft NOT Ol.IMANTE[D. PMPMEDlH~WI1tlTWE"""" STNIWI)S rot lITlE SURYEYS ~ ESTAIlU5HED BY THE; L1ALS. NIl ~ /JHD ADOPTED FOR SlCH Ll!IE BY THE 'lOIt( STAT[ lAHD nn.r~TION. ~~Of 4-'t' '" r ~Q "" (" i . '*' N.Y.S. Uc. No. 49668 A. Ingegno and Surveyor ntfe SuI"o'e)'3 - ~bdiviajons - Site Plans - Construction Layout PHONE (631)727-2otO 0FF7CES LOCA7ED AT 322 ROAHl:]([ AVENU[ RMRHEAD, New York 11901 Fax (6J1)727-1727 ......., AOORfSS P.O. Box 1931 RMIrheod, Hew York 11901-0965