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Home My WebLink About33086-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32944 Date: 03/21/08 THIS CERTIFIES that the building ACCESSORY STORAGE SHED Location of Property: 510 (HOUSE NO.) county Tax Map No. 473889 Section 100 HARBORVIEW AVE (STREET) Block ~ MATTlTUCK (HAMLET) Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tbis office dated MAY 29, 2007 pursuant to which Building Pennit No. 33086-Z dated MAY 29, 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 ACCESSORY NON-HABITABLE STORAGE SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to EFRAIN R & DONNA M LOZADA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL N/A 03/31/95 ELECTRICAL CERTIFICATE NO. N-347163 PLUMBERS CERTIFICATION DATED N/A ~ ~0;?-- . ~ - , Authorized Signature Rev. 1/81 c/fjJ/-f ffJ/ . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I 4 O~ J'f L__ APPLICATION FOR CERTIFICATE OF OCCUPANCY , ') This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 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 tlie building, 6. Submit Plarming 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 a 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 accessOlY building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100,00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. x . Location of Property: ~5J 0 House No. Owner or Owners of Property: ~O(\ (\C\- New Construction: Old or Pre-existing Building: __, HM(1..,oR oJ/E.Li) fiVE Street (check one) MATTII\)C-K Hamlet Vv\. .. ~+ri\.ln IC. L0714 bA () 00 L ot./-a Suffolk County Tax Map No 1000, Section 100 Block Lot Subdivision ,__ Filed Map _ Date of Permit. S-2Cj-Ol Ap)'licant Lot: Permit No. 33CJ~ i.. Health Dept. Approval: Undcnvriters ApprovaL Planning Board Approval: Req uest for: Temporary Certificate ____ Final Certiflcat" _~___ (check one) Fee Submitted: $ j --'l~,s~/~ hUJ. (S\.l1c 7 3~g-~ coot 3dl9~r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32942 Date: 03/21/08 THIS CERTIFIES that the building NEW DWELLING Location of Property: 510 (HOUSE NO.) County Tax Map No. 473889 Section 100 HARBORVIEW AVE (STREET) Block: 1 MATTITUCK (HAMLET) Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore MAY 29, 2007 pursuant to which filed in this office dated Building Permit No. 33086-Z dated MAY 29, 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 ONE FAMILY DWELLING WITH ROOFED OVER OPEN PORCH AND DECK & ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to EFRAIN R & DONNA M LOZADA (OWNER) of the aforesaid building. SUFFOLK COUN'II' DEPARTMRNT OF HEALTH APPROVAL R10-94-0062 03/21/08 03/31/95 ELECTRICAL CERTIFICATE I!IO. N-347163 10/01/07 CUTCHOGUE EAST PLUMB&HEAT PLUMBERS CERTIFICATION DATED ~~ f uthor1zed S1gnature Rev. 1/81 C(IJ jJ/...? jJ fJ/ . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 14 0'1$ I" APPLICA TlON FOR CERTlFICA TE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (5-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming u'es, 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 a 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 - $25.00 4. Updated Certificate of Occnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Location of Property: )( . ~IO Old or Pre-existing Building: ___ HAI<(l..,oR. \lIEu) Avt;. Street ( check one) New Construction: Honse No. Owner or Owners of Property: ~O (\ (\0- MATlIIV~K Hamlet M. .. G:-h-C\..ln R. L..07-~ bA CJ 00 L Suffolk County Tax Map No 1000, Section 100 Block Lot 04- a Subdivision Permit No. 33 <2'810 Filed Map. Date of Permit. 5 - 2- q - 0 I Applicant: Lot: Health Dept. Approval: _ Planning Board Approval: ___ Underwriters Approval: Fee Submitted: $ 'f... (check one) jl~~s~/~ Request for: Temporary Certificate ____ Final Certificate: bwclllf\) ~ ')":w &..5 c.o 'C 3)q ~ 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. 33086 Z Date MAY 29, 2007 permission is hereby granted to: EFRAIN R & DONNA M LOZADA 510 HARBOR VIEW AVE MATTITUCK,NY 11952 for : CONSTRUCT ONE FAMILY DWELLING WITH ATTATCHED GARAGE OPEN PORCH AND DECK AS APPLIED FOR. AMENDED TO INCLUDE ACCY STORAGE SHED- 2 co's reauired S3~.()() tee pald - 'jIJ/h'f at premises located at 510 HARBORVIEW AVE MATTITUCK County Tax Map No. 473889 Section 100 Block 0001 Lot No. 042 pursuant to application dated MAY 29, 2007 and approved by the Building Inspector to expire on NOVEMBER 29, 2008. Fee $ 980.00 t~J~ CJ)f_ . i Authorized Signature ORIGINAL Rev. 5/8/02 ---~.- '1<=1 - -:l,-~I A --~--------- -~--~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000525 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 lJa.. MARCH 31,1995 Application No. onfilf' 86192394/94 N 347163 THIS CERTIFIES THAT only the elec:trielll eqUip~," .. _ribed be""" and introduced by the applieant named an the altove applieation number in the premiae. of ( I'a.1 \):v'r\\-fP, 7 .t::1O five. PATTERSON INDUS IES, HARBOR VIEW DRIVE, MATTITUCK, N.Y. in tlteJoUowinK location; txJ Buement [X] I,t Fl. IX] 2nd f'I. GAR/ATTIC/OUT S('('tion Block Lot U'f.IS examined on MARCH 31,199'1 and found to bl! in compliance with the National Electrical Code. FlXTURI ECEPTACLIS I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES INCANDESCENT FLUORESCENT OTHEA IoMT. !C.W. IoMT. !C.W. IoMT. K.W. IoMT. K.W. IoMT. H.P. 54 88 53 54 2 E' DRYERS FURNACE MOTORS RnURI APPUANCI FEEDlRS SPECIAL REC'" TIME CLOCKS BIll UNIT HIAlERS MULTI-OUTLlT DIMMERS SYSTEMS AMT. K.W. Oil H. P. GAS H.P. AMT. NO. A.W.G. IoMT. 10M'. IoMT. 10M". TRANS. IoMT. H.P. NO. OF FEET AMT. WATTS 2 F 4 .. .. 3 20 1 SlRVla DISCONNECT NO. OF S E I V I C E MElli NO. Of CC. COND. A.W.O. A.W.G. NO. OF NEUTRAlS A.W.G. IoMT. AMP. TYPE EQUIP. ljl2W 1,3W ,.. 3W 3,14W PE" OF CC. CONDo NO. OF HI-LEG OF HI.LEG OF NEUT1l:AL 1 200 CB 1 X ] 210 1 210 OTHER APPARATUS: WHIRLPooL- ] MOTORS: 6--F H.P. ,2-3 H.P. PANELBOARDS : 1-11 CIR. 100,2-1 CIR, 60 G.F.C.I:-4 SMOKE DETECTOR.-l TRACK I,IGHTING:-4 - LITEBRITE ELE. CONT. INC. LIC. #2216 E ~~~ P.O. BOX 414 00 10.75 G."IAl MANAGII LAKE GROVE , NY, 11755 ..--~ Per. 11 This certificate must not be altered in any manner; return to the oHice of the Board if incorred. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. -----_..._--_._._~-+ T OW~ Hall, 53095 Ma", Road POBox 1179 SOUlhold, New YOlk ,.,971 fax (SIB) lB5.1f23 T el9pho"a (SlBl 765.1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTH OLD C E R T I FIe A T ION DATE: dl:er J_dOOJ Building Permit No. 33080 Owner: _~(\a. ...EtY-a.: (l Lo-z-a..Jo.. (please print) Plumber: ::fD,.f..L~Jm~cLt -GkluJ::)~ E'ltst (please prlnt~U=' PI Ill'l\ b ':5 ~ He'v:hn~ T n~ , I certify that the solder used in the water supply system contains less than 2/10 of 1\ lead, . ~?p~ Notary Public State cf New Yor~ No, 4896735 QualHied in Suffolk County Commission Expires May 2011 Sworn to before me this ~ day of {)c!tr6v- f Notary Public, ~"~,~, ~/ county 33 D 8' b Z- If ~ .;- ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION ~ ;fA ~ PE ;' ~~ I t) ,~ OL .-::r-l- 0 ~ DATE INSPECTOR #;~ 330 ',IS Z- (!;:M. TOWN OF SOUTHOLD BUILDING DEPT. (_ 7~ 765.1802 ~ . , INSPECTION .. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING pq. FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 1.u/a-~ d-4)~--I:r-~ ~ r, ~ .""1A <I-. ..A 1/l/) -I...-- V ::.~- ~ I ~ BR.~ t/<:i]) ~ l (,11 \ ct l ' \~ /JV'- , ~ INSPECTOR *" ~ ~ L __ ""l"'..,,,,,..,,,","~' ~pr'..'~_~. .' "'lIQ_'''-=I'I\"'':I';'''~'-''~:-~.--C-'''- - .~.... ~y2---73C 7&5.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. l J. F F~O NDATION 2ND [ ] INSULATION [ ~FRAMING [ ] FINAL REMARKS: Ai ~E if ~ ~~ - DATE / .... o INSPECTOR ~~.--- ',,' ......_'.~ ,'- ',~ ~', '; ~- . ~, ~Jd.-7J 2 7&5.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J ~NDATION 2ND [ ] INSULATION [..{ FRAMING [ ] FINAL ~ ( V~ C/1Hb/4i) REMARKS: j1~ ruf~ or c9~ ~ ~'r tel '~4C ..Ld~. :.Lf/7)~ _ _ fO~H __/t#~tYt-~:J~_ cTJV' Hff'J'- -:Jb1S0 k)QJj:" fitf/0Y1;W/ ~,es . I DATE / "'Ill (1 f - ~ INSPECTOR d-dd-) 3 t:- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~H PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: p.~ y- ~ ~- DATE { ( I J-i IifNSPKlOll .-._~- ~....~~ ".,..- _,n' .'~ ;))).. 7 J C 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDAnON IST[~GH PLBG. l J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS, Mu- ~7 DATE /II/~/ff INSPECTOR ~7F __5--: ,c.,."".... __ "~'~~'r'I" ,",' _, --":~_'- .., . .-: f,. )d-{).13 *' 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDAnON 1ST ~ [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE if' ~ -. '."'""'\~.._-"-'---:"-'.-'7'-r--~'~--"- ~AJ-73-2- 785-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~OUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ ...A- J? I!~ A- ..- DATE II fer/lY INSPmTOR / ( R '~.......... ~ ~ ~ dY1 ')'C 765-1802 BUILDING DEPT. INSPECTION [ ] ~NDAnON 1ST [ ] ROUGH PLBG. lv1"FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~' ~ L~ ./ cJ. J.~ ~ DATE 9j;p~ INSPEe11IR -:..,,!-;~,~.......- ~''''''''',-'-'' '. .,~, ~' '--- "'-;~~..';-"'~ ,-' - ""- J.. J.2 73 i:: 765-1802 BUILDING DEPT. INSPECTION [LDAnON 1ST [ ] RO~H PUIG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ~~- ute- ~ATE INSPECTOR 74 z (;) 0 . - Y-~- c t en "l. ..... '"'l C:.. '" t '" '" '"'l ~ .. ':'':::''J I:~S:;==C:~:):~ .. "II"'''"' -.)11...::' :';UNC1U/T::: .. 1. .. :OUllDATION ( 1 s t,) -'- :OUUDATIorl (2nd) 2, ROUGH FRAHE & ,PLUMBING 3, INSULATION PER N. y, STATE ENERGY CODE 4. ,', '//"" " - ......., '''/' f>" ./i.,..~'l,'-'" l.~V(' ,'''''''-~.#/.;;~C;&'.' ~"'';'~.c c,~c,.p ::,'f-- FIliAL ,~ Ct.-'V?'C-<!' ' ,J . .;" ADDITIONAL COMMENT~: .~' / u, -.- oVER- -cr.,;' .."IJ", ;;W .,..'" H '--' '"'l '0~ ::;:~ c~ en- "'l;::::, ::r: ~ ~ ,-J E ~- . . ~r '" >< '-.., '" ,." H' \ ~ . \'J '"'l ~ 8 \ - C:' IX! .~ ".~ r-fS ~ ~ ...,,~ '"'l~ ~ t-t- .. .' .. ~. ... .. .. J- -1 \./08 Rwt tf-~ dt4- ~ ---4-- ~ .~ 'br. ~M ~ h~;>'~~7L- f\!P~ 1---> cuAAAP ( ~- ~ ~oL.-d/}.J_JJ.;~ -r::-Af~:4~~~~rl-j tJ~~ .~~A JL ~C-17-' ~~.JP~ If CL~)' ;J~.fl ~~ ~ 6/1 ~j&L, ~~7Auu .'." \ 'A~ /JII .'-tn.. Ni-'d. ~ ~ ~ )\PJ[-ct. .~!1~cf~,. . ~ ?--')..)-oF ~ lot- /ljJ~ ~ ~71 if rE f ()~ J ~ ~-,~ oK, ~ 7--s-oz- ~~.~ ~ 1~-~7-71" 3~~-oo o/::.A-o-L c#-o ( ~.d If) 8olf~ ~J #/rrL. 6/-0 Jf?6:oo ~ J--{\~8 ~1f-~~~~k-.~-t;~~M. ~~~ft~~J~~~r ~~A.. J1 ~[~, ~k.B;J~ . ./) ;tf~J2 ~~ ~ 6/1 If}~~~, '.. ~~7~ . '.' . -'{J'IW',"'-- ;'A I M ~.. .Ni-'d. ~ . ~ ~ )\J>f--\L, ~It-~, . ()L ~ ~ -'J-)-DF ~ .1 ~ ~ ~71rJ rE ( (}~.) ~ ~.~. ole, ~ 7~5-0g- ~.~..~ ~ !:t-:;L7-r1" ~_i ()/::-~ C #-.0, ~ / f5olf~ ~J #~..'6fO 1t~oo J< . " '" I ~ @ ~ If W. ~;. . , II t f ClleCI( ...... _ . _......... SEPTIC rOll:1 __.......... FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SQUTlIOLD. N.Y. 11971 . TEL.; 765.1802 ~C'^';;; 516-7..5'-1"- 0670 ..(.....,l;(,~.y. ?:.,") -r:?/ ....~.<<';~;.~... ~v{.~ .................. .J. ..,19...PermltNo. ..........;t1.~.~dd. .. ._ .~~.~f1;-~/~~ ......_....;~...... ..#............ .;~~.._.Z,A:--. ...... .1:,,/.~..... (Building Inspector) 80'\~O Of"I\E/I../LTH ........ J SETS Of PL~3S ........ SURVEy....................... Examined. . Approved ... .... ..-:-- ATION FOR BUILDING PERMIT Date. . . ~ . . . ; . . . . . . . . . " 19. . 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 sti'cet ; or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL 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 penni 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 Building 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 JlS herein described The applicant agrees to comply with all applicabie laws, ordinances, bU~' ding~de, h sing code, tl r"uIations, and te admit authorized inspectors on premises and in bUilding for necessary mspec;r6ns; y ......... .. ...... .. ................ - (Signature of applica t, r name, if a corporation) .I.1.Xftt: .~~~. :'?~", IZ,Rc{iffll:P.~ ~i:... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . , . , . , . . . . ., . .. .. . .. . . . fJ!'!? ~~Ti:'~. ./JJ:f;,IJ!':'.f. .., ,', , , " ... ., , , . .'. .. , ,. .... . . . , " , , ... ... .. . N~e of owner of premises .. tf:-.F:~.&~. .~. . P'I! :":':":':-1. . . f-:-P.~~8, . . . .. . . . . .. . . . .. . . .. ... , .. .. , .. . (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. ...."....,............., Plum ber's License No. "....................... Electrician's License No. ....,...."..,........ Other Tr:de's License .NO. ............,........, . . fJ ' I. LocatIOn ofland on which proposed work will be done. .. .~7..5..).. f4tJ.,(.~.... t/f,fr-.,-( Ii ,1-P/J:r?,. ". //o.~\,;. .f!..(~.. ftM Ilffi. .\1./ f.,~. .tf;}..V(".... /!!.~.~:~ .( 7V.~(s, ~.,',.,.,..,.. House Number Street Hamlet County Tax Map No. 1000 Section ;. . . : . I: ~ , . .. DIock ",.., ~.I. . . . : , ., Lot.". -:7. ?-, , , . , . , . , . Subdivision. . . . . . (S.~ ~ ~ 9.~. . ttf'n ~if. r!. . . . . . Filed Map No. .............. Lot.. -1. . . . . . . . . , , ' (Name) . State existiug use and occupancy of premises and intended use and occupancy of proposed construction: , a. Existing use and occupancy. . .1I.k"~C. . . . . . . . . . . .. . . . . . ... " . , . . .. . , , . . . . . , , ,. . , , , ,... , " , .. . bit d d d ~R1Iu()'" c..", . n en e use an occupancy ... ./.'., . .1'. ,. .' ,.... ,'.. .. .. '" .. " .,,,;.,.......,,.... "".., . ......, ~ ,i '.,J" .' '3. Nature o~workicheck which applicable): New IlUildin'g . . . /. . . ..\ddition . . . . . . '. . .. Alteration ........ Repair .............. Removal " . . . . . . . _ . _ _. Demolition ....;......... Other Work. . . . . . . . . . . . . , . (Description) 4. Estimated Cost.. . . . . . . 51. ~. . . . . .. . .. . .. . . . .. Fee.... . .. .. . . . . .. , . ;:;. ...... . . . . .. . . . (to be paid on mlrig(hls'~pplication) 5. If dwelling, number of dwelling units.. . . . . . . . . . .. .. Number of dwelling units on each floor. .. " . . . . .. . . . , . If garage, number of cars ......................................... '. . . . . . . . . . . . . . . . . . . '" . . . . . . . . 6. If business, commercial or mixed OCCupancy, specify nature and extent oC.each type of use. . . . . . . . . . . . . . . . . . . , 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear. . .. . . . . . . . . .. Depth............., Height ............... Number of Storics . . . . . : . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . " .. " . . . . . . .. " . . Dimensions of s3me structure with alterations or additions: Front ......'........... Rear................: Depth ' H . h ' NS ' , , 8. Dimen;i~~~t~~~r;i~~ ~~~. ~~~s't~~tio~l~ F~~~t' : : : : : i4 : : : : : : '~~;r .u.~~'i.!!i. ~~~~~ : Dc'p'th' : : "j :<;: : : : : : : : H.eight .............. ~ums:r of Stories.. Q-xF:.... . . ..... ............ .... "//'.iz./l.r........... . 9. SIze of lot: Front....... ..":............ Rear....... OJ.e:~......... Depth . -:7 v.-;t............... 10. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . 12. Does proposed construction violate any zoning law, ordina';ce or regulation: . /!.f?i.......................... 13. Will lot be regraded .......:.................... Will excess fill be removed from premises: Yes Nt 14. Name of Owner of p~ises " . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . jf] Phone No. '" "A' . . . . . : . ' Name of Architect.. ..~.. .'if.N:1i?M....... Address ./1./(J{ttI!1.II}.y:q.lf;:.I Phone No. .-?;f7.~ ~~.~ , Name of Contractor f. f.\ Go. . .<i!J.'!:y J:?rz:((.. . . . . . Address. . . . . . . . I. . . . . . . . . . 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 ail buildings, whether existing or proposed, and. indicate ail 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. , ~TATEOFNEW~ffis\~ S.S , _OUl'ITy OF . . . . " . . . . . . " . . . ~ . . . . . . . . .... F:~. ~.9. . . . ,?~.'y/? . . . . . . .'. . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. ;e is the. :.................. 8~........................................................... . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly autliorized to perform or have performed the said work and to make and file this 'plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be perfonned in the manner set forth in the application filcd thercwith. ' '.'om to before me this q~ . ..... '" .0..0. RIlBERTl ~ NOTARY PU~~ 'rf.t No. 4125089 SUI1uIr~. Term fJpQIS'_ 31, 19.,YO:> (Signature of applicant) , Jtary Public, /' -.. . .........."....:........... ..~~ J:~~ , -BOARD Of HEALTH ....... /" J SETS Of PL.\:/S ....... ~SV~VEY ................ /7 elIteI': ..""..".... ~ . . , . " " " ,SEPTIC rOR.1 ........... / I:O~~~~: ,'~~~:7S~f-: .qf?9. N^lL TO: I< . .I.l.. .11..-tv1!lr. '?J:~ rz: ~o.~1h.J?Oi<-.-c,-,r!.. l!7p ( \ FORM NO.1 TOWN QF SQl,JTH.QbQ BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 ~.L TEL.: 765.1802 Examincd7..::i...........19o/.' . Approved . g/~...... . ., 19<[[( Permit No. :::?~ ~.73 r Disapproved alc .................... . . . . . . . . . . . . . . . . . APPLICATION FOR BUILDING PERMIT Date /J.u..$~. P.< . . . . . . ., 1994 INSTRUCTIONS a. This application must be completely f1lled in by typewriter or in ink arid submitted to the Building Inspector, wit 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 stre or areas. and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap. 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 pen 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 Occupar 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 1 Building Zone Ordinance of the Town of Southold, Suffolk County. New York, and other applicable Laws, Ordinances Regulations, for the construction of.buildings. additions or alterations. or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws. ordinances. building code, housing code. and regulations. and admit authorized inspectors on premises and in bUilding for necessary inspections. , , ........ .P.ATl(7,~~Q~. .J;i.IJ9P.'3i-mlff:S..... (Signature of applicant, or name. if a corporation) .I.t. kftl.v.0IA. ~-r-. Ji...tJ.o.(fJHP.o.€J)Jj.'.i/!3l . (Mailing address of applicant) State whether applicant is owner, lessee. agent. architect. engineer. general contractor. electrician. plumber or buildc . . ... ... . .. .. . . . . " .. . . elJ.\3.JAJMR.. ./.6.lJ.\.L,.1?~~.. . .. '" .. . .. .. .. . .. . .,. .. .. . . . . ..... . . , N~e of owner of premises . .~O. v,},I)R'll. .4... C.lif.}.AW,S.. .Nfl k Bfl~'-Tl ttN................. . (as on the tax roll or latest deed) If applicant is a corporation. signature of duly authoriied officer. ..................... ................. ......... . ' (Name and title of Corporate officer) ~uilder's License No. 'c ~ (/~l. 9. J. -:-. .11.+;'. . . . . " ) .." F H:::>L. i-(: Cv LJ tU i c..q- Plumber'sLicense No. " L-u:;...J;;:l(}st;D>....... . . . EI t" 'L' N -02i/:,-E.. ec nClan s lcense o. . h.... . . . . . . . . . . . . . . . 'rma.[g @ [.~'; i\" ."- . ;r--.A~'-'," ;1 i ,I .- fi'l. - 2 ~~A f: ; \ , . l ~ -' .;; ~~ I."" ':1 I L "'--' ~ ,',,- . .~'. '_..,' I. TOV'I'''' OF SOu fHOLD Other Trade's License No. ..................... . ' . 1. Location of land on which proposed work will bcdone. " ...... ...........0 ..... ...... .... .............. ...... ..'....,.......... H(j&f?~~v.! fi-~../ .ft:i;[l.;..........M ftJJ':lT.t)~K:.....o...... House Num ber Strcet Hamlet County Tax Map No. 1000 Section. ..:. .10.0...; .. Block...... O. \.o..:... Lot....~::!-.......... Subdivision.... .C'-RJ:(.l2r9.J0.. .H.~l.<;;HJ:-S... ... Filed Map No. .............. Lot. .1..,........ ' (Namc)' .' .... Statc cxisting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy...: .Y.I:\~~. P1~9..... . ............. ...... ................... bIt d d . SIIIJGUi. PYnvlILV rJwJ fi~~'2/~""'1".,.". . n en e use and occupancy .........,.................. {. . . . . .. .. '" ;""!!'X ~. ;:; ....':. ; ..'; . .. . ... . . 't~;,-:., I' .._erJ..... 3. Nature of work (check which applicable): New Building. . .~ . . . Addition.... ... .... A1tera~ion ........ Repair .............. Removal . . . . . . . . . . . . .. DemgUtign ....'... I I . . . . . Other Work I . . . . . , . . . I . ' . (Description) 4. Estimated Cost. . . . . . [ ::). ~/. 9.9.9 .. . . . . . . . . . . . . . . . . . , Fee . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . . . . . . , (to be paid on filing this application) S. If dwelling; number of dwelling units. . . o.~ f':..: . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . , . If garage. number of cars ..... .T.W 0. . , . . . . . . . . .'. . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mi.xcd OCcupancy. specify nature and extent of.each type of use .... . . . . . . . . . . . . . . . 7 D' , f" 'F' D . lmenSlOns 0 eXlstmg structures, If any: ront...,........... Rear .............. epth..,.. . .. .. . .. . Height ......,........ Number of Stories. . . . . : . . . , . . . . . . . . . . '. . , .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structur;: with alterations or additions: Front ,.....,..,.,..... Rear................ D~pth .,' .. : .'. ..: .. . . . . . . .. . . ~cight .. . .. . , , .. ... . . . . . . . , . . Number oUltories .. .. .. . .... '. ; .i. .. .. .. 8. Dimensions of entire new construction: Front. . . :7,:1r S, . . .: Rear.. 7.-1,.9.. . . . . . Depth ..~ ~Q. . . . . Height . ..3.~.~..... . Number of Stories .. .7:"k-!r:::::........................ 'LJ.... .;.......... 9. Size of lot: Front .. . , . ,;;z9q I .=f-:t . .. .~ .. Rear....6? o.c?'. 9.C? . . . ~ ... Depth . ~l.~ d?"7... .. . .. . 10. Date of Purchase .....,.............. '. . . . . . . . . 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: . /)!(::?...................... '.' 13. Will lot be regraded ....... '. . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes @ 14. Name of Owner of premises . . . . . . . . . . i<! . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ...........,., Name of Architect .fflti.O.. .'5.~Y.l?/f''-..II3~,. . Address !/.J(#.P.1.ft ft.,.A!Jf!ltfMr:: Phone No. .79:~~9. .. Name of Contractor ./-<8T:fJ-!?-'f?O,:,!.;f/l(llil~!f?';>. Address..... .5:q.....e-......... Phone No. ... 5.q~.:.. , 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 fror. property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. . , . . ...." ~ --T~~~--:~,',~' }. ......", c.,~ L-- \ i~ I -, :l ~ \\\ r-.<. "\\\ " '" ~~ t~ 0)- ~ t..>1oJE.L-....,,J<q ".. 1 ~ -. {,;J,~_ ~ \ r ~j II -t ll- "'I I I\'; ~ '" ~ j Q -t ~I j ~. ." j . ~ ( ~j + . ~ TrJrrtfllOI<. l--oT ~, ,1 ,"I ..~ ~~ ~.~ I~i.';'\' ~'.. 80 . ,5oz:....4 '"':1', l..''f'"T. S,-,-o:>z'==' ~"IZ~Z."'O' <;. .... '~1i... . '\ ~~ ~ ~ 'oR - ViS 1.--1' HARE::> ,::0;.",'1--11",6) ~ ~ AVe , , .... -'"---. - . -'-. ....~".. STATEOFNEW<!f!1?fPIk'S.s ' " ~~~~~ F/?'Rlr ,'9~/P ~r!. . .. ... . . . . . , . . (Name of individual signing contract) above named. , being duly sworn, deposes and says that he is the applicant He is the. :,. . .. : . . . .. . . . .. , . . . . . . . . : . (c~~ir;~i;r:@t~~;a't~ ~ffi~~;, 'c't~:)' . . . . . . . . . . . .... " . . . . . . . . . . . ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 'pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. ' iwom to before me this ,/1 ,.,........, .;;;J/1,'sL .... .day 0[. ..>8:...\ '... ..,19... ,~ :otaryPUbliCL({a.. .;...... .(-<:-1.. County ~ ClAIAl!L Gl!W " .. .. .. ~ NoleIy Public, St8Ie of New Yarlt 4' No. 4879505 (J/ Qualified in Suffolk County 7 . Commission Expires OeCIlmlMlr 8,"_" .................... (Signature of applicant) FARM ~d- ~Oj5;' '.." .~: ,f~:"_'-' ;.'; '.~',f-' . . <.,."",-" '.}" .. " .. ".,_0. ~, ; .. ,~..,! ',- :'.,' . '/:A"l'';~ ij.,,:'t,!i,.r," .> ..J.):..;;,dtj,- ":-': f4ilJ',' :;...;~;'~..... r '. "" i ".1...., .~",' "., ~"~...~:~'_-~-~ti:<' .. t,l', -r-;' , .TOWN OF SOUTH OLD PROPERTY RECORD CARD ....... ('/. 1\000 - I ()() - l=.A<' FORMER OWNER VillAGE 1/. 7? )~I.1;1~i 1 E N 7) ti / Del. >. ./; ~ ).1 RES. SEAS. s W 61.> VL3/1 TOTAL tllTd 1~(1 COMM. lAND IMP. DATE t t'tJ b,(,)_ ,1, , ,~,.'?f,'~\-' fl' . ,i _', ",... ~'.'. ~.- .. "" ,.--;- .. :"-.,--, j .}~,~;,:~:. .,.;"..," .il(-I't ;.,..-".'i'" '-","'-';' '.l',", !:.:~,~,,(.~ , .,...... S'i\ " , TillABLE WOODLAND MEADOWLAND HOUSE/lOT TOTAL FRONTAGE ON WATER '.DEPTH;~ : { BULKHEAD ( '~ ' I :~ I t( I-~ ,t j --- sr"" .2.;{0!. 73 . I?c. f, 130,000 - -Dwell i'l\ ~ 4 "-:"'" :i:, H.f<t". ji'?:t~~: , M. Bldg. Foundation P.C. Bath Dinette f C.B. FULL Extension Basement CRAWL Floors Kit. SLAB Extension Ex!. Walls Interior Finish L.R. Extension Fire Place Heat D.R. Patio Woodstove BR. " Porch Dormer Fin. B. ,! Deck Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor b.B. \. <~. .i.;' "; ~i l.' . if II o9b - I 0(:) - \ - 4 <' " .~ , t, , ',' l' i . , . TOWN OF SOUTHOLD PROPERTY RECORD CARD , i! I ; FORMER OWNER I VILLAGE DIST. SUB. LOT t/. 7?J,JX) !,J'el E J/ ,. I ! 71 r. //):1 >>-1 i ~ }, S W RES. SEAS. VL31/ FARM COMM. LAND IMP. TOTAL DATE REMARKS t t1 e- el (1' d .t/J,/Ff /Y' 6" J 'fgt) V / --,z",/r f' , , . .~--- 4 . . , FRONTAGE ON WATER TILLABLE Ie 5,,6 FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT (. lyriO TOTAL /91- · bU~~ .e. f" (Z.~ 176'NN, ~, 12.;,.-r A"'- L--- ~ N,z...-rl 6't--J,?--I, ~ ~ V ~ > $ ? J J III ] D \II ~ r, " ..,'t' )I'- . ...,.-~. THE WATER SUPPLY Af\JD SEWAGE Ot3POS;J.. FAr-AmES FO:~ lHS LOT Wl~L OOf..~,?L Y \v.rn THe:: f; ......,,:.::.AR:::OS OF THE &JrI:C~ CO!J:-.'T'r r.: ',~"fn,.:':N1 OF Hl!A~~F:V! -S/ t::i1~t~T. ~. . Fred li. nj/del', P.E, 11 Kalmia St....ct Boo N~rthport, NY 11'ISJ 'i /6 - -754- 06'VJ ....0 -( l? r, ,"L.V 'of'" \\) ) ,,/ 0 j ",' ",f?/~ , " <!J(t/~ 1..1 {J 4' L? '7 a ~ A- -Z &:>:-1 4-' t 1\ I\i l.I\ - } j :. 0 a N I.f\ I \" I.l\ JI ~ if) ~ t;. " \l ~N 11 'l' \II . '" ~ ,,_ oS' ~ -f'e.s-r Hal .5 c.. ~J 1\ "':' ill III - Cl '>] < ,,0 .\) \J ~5/ ~~ ~ (J I "I~ r/J ..'/ ~ -( ..~ :t " '1<)1 C\l ~ ~ ~ ~ \- ~ 7 { v JlJ ~ - ~ G"" Q . '" .' \~O ,.. .. (, ~ "'D'R IVE.~'" J- ",,-r A RJ2:p-.;evt> 4 I * "" .. -f/l ~ _ ::,~li--.u.f];~ . I , 1(10 i }t;pl , W j L L-t:)-f I p 11,' N 'Zi"&--o' 0~ "I L",,""f 'Z I i '-/ A L p.-.'t--J'-'- [.."1 4-4-1.4-\' ?-;: , ,'. "/ .~,.... . NEW YORK STATE ENERGY CONSERVATION CONSTRUCfION CODE PART 6 COMPLIANCE FORM - 6A Building Dfitslgn by Thermal Rating Method (for buildings with one or two dwelling units) BUILDING . ADDRESS: 1I/}{({10R V /F1.u..J /tv 11- fVJ 1t7T/Tv (' /< / /LIY .\RCIHT~cr, ENGINEER, QIl, .1 CotJTRA€"I'OR: ~o n. ~'fDe~ 0, ~. PERMIT APPLICA..'lT: ~Me-- DATE: 1h Jul.t 'If COUNTY: .c?UF~ PHONE: 6'1(,. 7'24- . ()(P70 PHONE: ~ I. HEATING DEGREE DAYS (Table 2-1) ~ 5000 ~ooo == 7000 [J 8000 C9000 II. BUILDING DESCRIPTION [}("B~ilding has one or two dwelling units. (Use this form 6A) o Building is three or more dwelling units. (Use form 6B) III. PROJECT TYPE ~ew construction n Substantial renovation of existing buildi g o Addition to existing building 0 Exempt (7810.6c) IV, HEATING SYSTEM '!)'PE o Gas-fired ~ Oil-fired o Heat pump 0 Electric . ~ .-.r;....,. . '" .," SUMMARY OF TOTAL THERMAL RATING If the total thermal rating below is zero or greater. the envelope portion of the building IS In compliance with the energy cOde. AREA U-VALUE TAB~ USED THERMAL RATlNG A. WALL ASSEMBLY U'~ ~ 0 ~ 82. Skylights Aa Un ~ Subtotal Thermal Rating for Se~on B ( B1 + 82 ): 0 C. ENTER DATA AS APPUCAB~ (Either C1, <::2, or C3) C1. FloOr AJ l"l{,'t Ut.or? (p.~ 0 C2. Foundation WaD WaJJ Perimeter ft. Above Grade Exposure ft. Insulation Depth 824" 848" Ut 84" Footing Perinetel' R.Value C3. Slab Edge Insulation ~ Subtotal Thermal Rating for Section C ( C1 + C2 + C3 ): 0 D. TOTAL THERMAL RATlNG (A + 8 +C) ........................................... + \4 ~ - . GENERAL NOTES: " 1. All construction is to conform to local and N.Y.S. Fire Prevention & Buil Construction Code. ~ 2. All electrical work is to conform to local. N.E.C. and Underwriters Require 3. All materials. assemblies. construction and equipment shall conform to the regulations of the N.Y.s. Uniform Fire Prevention & Building Code and shall conform to generally accepted standards. 4. Contractor shall furnish all labor and materials to carry out the work shown on the drawings herein. Contractor shall exclude work shown "Not in Contract" (N.I.C.) 5. Do not scale the drawings. Any discrepancies in the plans or details shall be reported in writing to the engineer for clarification before commencement of work. 6. Contractor to coordinate all inspections from all agencies and municipalities having jurisdiction. 7. Contractor and/or respective subcontractors shall be strictly responsible for their work and shall be responsible for adequately bracing and protecting all work during construction against damage. breakage. collapse, distortion, and misalignment according to all applicable codes, standards, and good construction practices. 8. Contractor is to verify all existing conditions prior to start of work. Notify engineer of any discrepancies. 9. Contractor is solely responsible for maintaining safety on the site. He shall protect the public and all others from the hazards of excavations and all other damages during the course of his work. 10. Adequate escape facilities shall be maintained at all times in buildings under construction. 11. All footings must rest on undisturbed soil having a minimum bearing value of 2 tons P.s.F.. All concrete block must be load bearing type. All concrete shall be 3000 P,S.1. @ 28 days. 12. All structural framing lumber shall be Douglas fir #2 with a minimum fiber stress of 1450 P.s.1. or as noted. Double all floor joists under bearing partitions and around all openings. All plywood must be exterior type. All headers shall be double (2) 2" x 6" unless otherwise noted. 13. Unauthorized addition or alteration to this document is a violation of Section 7209 of the New York State Education Law. 14, The engineer is not responsible for construction means, methods. techniques, sequences or procedures. For safety precautions and programs in connection with the work, he shall not be responsible for the contractors failure to carry out the work in accordance with the contract documents. The engineer shall not be responsible for acts or omissions of the contractor, subcontractor. or any other persons performing the work. 15, The engineer has not been retained for job supervision. . , . . , . r------------------j----------r-------r-- ----r-----T---------r------l-----------'I I : I " VTR '4" VTR: ' I I I I I' I I I I I I we' I WC I I ~B . SINK SINK SINK . . I TUB I SI-OJ\/ER I 2ND FLOOR BATH MASTER BATH p\..\Jt-A8\N~ f'\.l)N\81MG ~.ecn ,.~ v.IA1ER \.lMES ~ '{ESl\MG 8EfoRE I I I I I I I r------------------------~-- , I I I I : W.C. -----r-------,-----------, I I I I I I . SINK LAUNDRY lioN CEFtTIFIC:EfORE'I tJr-ftBEFt ON1ENl ctJPp.NC pL DC F OC Eft g~~~~c:~EtJ~E~~ ~~JNE~lD' SOLD 'j S'iS1 of 10/0 L StJPPt.: 2/10 E){CEED SINK KITCHEN 1ST FLOOR BATH F A I C.O. TO NEW SANITARY SYSTEM tubing \s used If COW:er distributing tor ViI . ing shall be system~ pip l onl'i of tYP9'! or - PLUMBING RISER DIAGRAM MATTITUCK CUSTOM HOUSE DONNA & EFRAIN LOZADA ~ ~ ! i - . 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I~'" I i './ AL,<:-'-- N .,. ,,~ , ",' I ... , I !( e-.'lr:Jt?tl. /.-' ~l?~ '~1f'T )t'.- r, -' I ~: '" J ' I~O -1-~;O-07J~ -~-~ ~ -0<'( ,v..""",-r 1~ . _ ~+-:rUf~~ ~ i .4-J ) 1.-01 4---4-14-1' ~ , ,:; DC u4J"/ t>/., ' l4-~/ \1\ ~ h/ , <P ,'it I" :\\j 1lJ\ \\) ) // j "-'r ~ ~o-e:>t-J=, 1\"'5- S=- 'SL Ic:?OO-IOO-OI-4-.z ~. ? -(. t-1. 1.-0 -1 4- r-1 Af".::7P' ~b?'-H rl~I6rH-1-:7 ~ 'Y'iA-1-1I-fLlCk .-1ov--l N c:?~ <70L.rr~L.'O ?UP!""C:::>L.K. I C$> -.) ~ -r'-1) Ny'. U."2> .G? "7. -= p..... -r v o-J!. bL1AI2Ai-I-1e.ev ""'-0: e. f" lZA I ,...J l2.. L-o Z A'9A 170 N N A t-A. 1..--0 Z A.:~ F='IIZ.;;,.--\ A" L-~ r-l-r"1 C. ,P<e>o/Nf!:.~ 1.-..,..1:;:> N A.-r ION <7 "'-'''1-/2. I,...J<? - 0 F" t---l. '-<": ~WATERSUPPLY ANDSEWAG" ""~?'1 HOl-e:: WlL O$Al FAGILIT'!ES FOR THiS LOT tl!:..~ to THEl~M~,!,WITtj rI12~TANUAVOSOF ':;;l' . HE.l\lFO...."9C~ii"JTYD-'":pp,_~m...i,~'J1.C:= ~" ~,~V'.cr..3,~,:~V:fIG'-IEN"l. I.d - IOr~' L- ,/............. ~.O H~AvY l..-O~ ~:m".'f,"' · \ "..0 ~^t4P l:.:;o..1~':::I..AY' ...... .t.1p,,)1, ". ~;., ",')}'J j.,~~ 1 (-.... J'> /, >. J _;t-'J.i ~'rj.,-,lJ"i~~/~~"j'\M'. '/ Vo' c-.....~-, ~tO-77'4-06~ 1u>.O <:::>Ar-./P ~J 1\ "':' ill \11 - Cl )] ,,0 .\) oY(\,10 ~.. \.k:. \J (J kri) ..~ ~ -< tv \f\ I \" \l\ JI ~ ;p ~~ '. \j .J N ~ , ,1/' tA.~/ X l<-'Y -r~s-r HOL~ VU& ~-( Of'H~ ._.. .5 c... ""B'T Of HE...I.."'~ 4: \l 4: ! SUFfOU( coumv WARThIENT OF HClt.1H SSWlCES FOP. APFROVAL OF CO}lS1T'.dJCTlON OF AU6 ~~~f!.!LY RE3IDE~ ,~N:~ cr- d iJ 62- DATE NO. . APPROVED EXPIRE lHREE YEARS moM DATE OF APPROVAL -- --) ~ o ~ .---- (J.e, 9/2.'7014- o 1994 _. - ,;..~-f' I , . , . , ~ v ~ ) ~ t} ~ ~ \- ~ 1 . ~ v Jl1 ~ -~ .r- . - . ~. ~ L \..0.( '7 . " ll';:7-t.1.4'Pt:?~ 6 1.-41"1"" A.~t~41* ~ w-t1."'o' t:?? ,I L.~ . 't. " t..- "... \J'''' . ~ " , . ,....-'-..j).~.i'-. C,." if ,," tte~v~~""~ c:..'/t.ee.~ Ad.) " ! " " . ',\ ,. . ,,,..-- . 1.' z, " \ .'.. . ., '.,r 1.' 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',' ..... . . .;"1;" a sir _lIP .t~\ .,rt{j...~. .~ . . -, ,-,.; "'," ,,',;.' :, ,- -!". .:-- to ~. -,', ~- I I - \.$ ) -I'{ ~ Yr HoL r;;" ..;p .. ;; Q. .' ~' >. .. lit '. '<lo "'. '. ~ ".- .'" ,~ LOT 1 oJ '-.{J o () 2 '" '! -I>- o U1 o :::;: a.3' LOT 2 a.6' LOT 3 0,. FM# 8532 ATE FILED MAY 27, 1988 TM# laaa-l~a-al-a42 GUARANTEED TO: EFRAIN R. LOZADA DONNA M. LOZADA GUARANTEES INDICA TED HERE ON SHALL RUN ONL y TO THE PERSON FOR l#10M THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TInE COMPANY, GOVERNMENTAL AGENCY, LENDING INsnrvnON. IF LlSTFD HEREON, AND TO THE ASSIGNEES OF THE LENDING INSnnmQN. GUARANTEES ARE NOT TRANSFERABLE TO ADOlnQNAL INsnnmONS OR SUBSEQUENT OWNERS UNAUTHORIZED AL /ERA nON OR ADDITION TO THIS SURVEY 15 A VIOLATiON OF SECTION 7209 OF THE NEW YORK STATE fOUCATION LAW COPIES OF Tfll$ SURVEY MAP NOT BEARING' THE LAND SURVEYORS EMBOSSED SEAL SHALL Nor BE CONSIDERED TO BE A VALID TRUE COPY. LOT 6 N 62'19'10"E 200.00' co~c "'" CONe I \, WON "\ r-CHAlNUNKF"ENCE j\' \ , . '. ,; "1 ,,;~),:-~\~.i orl~.K 4JNU8 '... ." ,," ",....... '''. '.J."".. . Y y:",. .' . - t-f-'cdc.i.!1J b ,.,[(. i .~. !AG~..~ ~J . '.,' . PICKET FENCE -7f GARDEN I I I I I IUJ N '-J ~ o ui' o M I I I I ~I ~I ~I ~I "I I I 1 I I I I I _-1 PICKET FENCE AROUND POOL ~~- .-- " / "- W\JEll ( '1l3L4'2' I I ~. N \ I ~~~ \ c ) LA. -0 >"/" 01\tC~crC / 5.7' c;.~, _ ',..J I '---../' J I I I I 586' t ~ \ ~ ~ o c i o 79.a' wo !Il;K;L 1 0.1 ~/- % " '" 9.9' -I>- -I>- -I>- o N LA o N '-" UTlt.lTYPOL[ o R-1262.78' S 57'5200 W A=47.80HARB 0 RVIEW 152.74 AVEN ~~jL SURVEY OF LOT 4 IN SUBDIVISION MAP OF OREGON HEIGHTS SITUATE MA ITITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N,Y. SURVEYED FOR: EFRAIN R. LOZADA DONNA M. LOZADA I. 29 Feb. 08 amend distonce to cesspool ~ LOT 5 -I>- '" (Jl '-J -I>- " "' "' ;;:; ;,. < "' Z C "' R.:25.0Q' '.3733\ ''"' """ TIE - UFFOlK COUNTY DEPARTMENT OF HEALTH S~ APPRX}..';,t< ;:.:;" ''':'7'.1~;;;'-~'',,;C:Tr:;D V~ORKS FOR , . T.F~~C2 i cc!Ji:.tJ '1 <(.(/ f) cr :,.~f tt'l: !0C:Jti::r\ have beoo ," :':~;:-:1cje1 ",~d found to ;.<~~:. '., ('-~);/IS. ............. ..~_H'_..___ "' Gn:ef "/ ,~~ ~\i'Jsment SURVEYED: 14 FEBRUARY 2008 SCALE 1"~ 50' AREA ~ 86,891 SF DR 1.994 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW SUr. OLK. NY. 631 -73 -5835 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAll SOUTHOLD, N.Y. BUILDING PERMIT 3~C)OO (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUll COMPLETION OF THE WORK AUTHORIZED) N~ 22273 Z Date .......!w~!l!iJ...??,................................... 19...?!t.... Permission Is hereby granted to: .. ~~T.Ji:.~~9.~.. nm!l!i:r~J~.!?.. ..'AI.!;..!';P.WN.w. ..~...~!i.. t{ALBANTIAN II KALMIA STREET EAST NORTHPORT, N. Y . 11731 to ..... .....~9.~!!P.w~J.. Q!ff.... J~;q,r.. p'~gJ."r;,. .wrm. .~TI~9~~. .r;,!\M~!,;.... Q~.". .f.9.R~ll.. . Mm. ......... DECK AS APPLIED FOR EDWARD & CHARLES NALBANTIAN at premises located at...........~.!~...~~y~~".A~.,...................IfATII.~~.....~.,r.,........................... County Tax Map No. 1000 Section ............I()()........ Block ....~.!.................. lot No. .......'!.L.............. pursuant to application dated ...........~!l~.!?r...?-.,............................, 19..?!t.......... and approved bylhe Building Inspector. FeeS.'21,$;$ ~D ~ "*' Q to':) >>9W/l..(icIJ * plllfn'J:: a.fYLL~ ~ /3/ I ~ t./ -to ifIC).J.utz (lccc.1 :sALtJ. 3S ~ Rev. 6/30/800 .