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HomeMy WebLinkAbout31895-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33096 THIS CERTIFIES that the building NEW DWELLING Location Of Property: 1250 BAYVIEW AVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 5 Lot 49 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2006 pursuant to which Building Permit No. 31895-Z dated APRZL 10, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT PORCH & REAR DECK AS APPLIED FOR. The Certificate is issued t0 WLODZIMIERZ & ANNA WISOR (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF NBALTH APPROVAL R10-O1-0216 06/06/08 HLHCTRICAL CERTIFICATE NO. 118367H 11/16/07 PLDlBHRS CERTIFICATION DATED 12/04/07 BURT'S RELIABLE Date: 06/16/08 Rev. 1/81 .i mar Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ 2 ~: TOWN HALL 765-1802 `::___~___.. _- ->ARPLI~ATION 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 sire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Conunercial 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. P'or 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 Laspector 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 Certif cafe of Occupancy - $.25 4. Updated Certificate of Ocarpancy - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Conunercial $15.00 New Construction: t/ Date. _ ~C 31~7iS~C Location of Property: 12 So House No. (check one) -- ~~cT~Lv ~dL Ham1_et Lot 'v g _ Lot: _ _ r~ ~ilo/L - Owner or Owners of Property: _ ~ ~ FiLI FLL1 +Py2i VU ~S Q~~ Suffolk County Tax Map No ]000, Section ~S~ BLoek (7p2Q~ Subdivision _ Filed Map. Penrrit No. _~ ;~ ~~ pate of Pennit_ ~~/d Z~0,6 Applicant r~~~'~br i-12~~, Health Dept Approval __ Undenariters Approval Planning Board Approval, Request for: Temporary Certificate Fee Submitted: $ .~S ~~ ~ 330 'f"~l-ISM, tLe c, ~1~1 y"1°I Old or Pre-existing Building: _ /3cry vje ai Final Certificate: (check one) A plicant Signature „~ nail, 53095 Main ~toa9 P 0. t3w'. t t 79 `;o..Ir01tl. New YOIh I !971 ~~°sV v~^ coy ~ `" x m ~O ~ ~ pa, lg,~ 7rc Te!eP~Ona ~,.,.,_ . _.. _ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T T I 0 N Date: ~ Z `~( "? Building Permit No. ~: t ~qSG t Owner: <<)A-l ~l/~ Selma. (please print) p 1 / / Plumber: /7~,2+5 ~~-~ i~-h(£, --L/iC (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~---- lumbers slgr atu >~ 5 day of ~ecem~r 20~ Notary Public, IJ`a~./K County NAN Y A. PE3TE~~~ NNo 4 40985-Buffo k ~~ ~d` Commission Expires Aug. 15, ~/v Electrical Inspection Certificate Issue Date ElecVical Inspection Service, Inc. Application Number 11/16/2007 375 Dunton Avenue 118367H East Patchogue, New York 11772 (83t) 286642 Issued To: Mr. Wisor Street: 1250 Bayview Avenue Village: Southold Zip: 11971 Town: Southold Section: Block: Lot: Contractor: Lic. # Was examined and found to be in compliance wkh the National Electrical Code. ^ Commercial ^ NV Defects ~ ~ Pool ^x 1st Floor ~) Indoor X] Basement ^ Hot Tub D^( Residential CXl Det Garage (Xl Attic Ca] 2nd Floor [X] Outdoor ^ Addlfion ^ Survey Switches 61 Dishwasher 1/20a Furnace 1 Meter Amps Receptacles Fixtures GFI Heaters A/C Fans 60 75 13 2 5 Washer/Amps Dryer/Amps Oven Range/Amps Microwaves 1 20 1 30 1 30 1 /20a Oil Gas Circulators Smoke Detector Bell Transformer x 2 6 Phase UG/OH Jacuzzi Television CO Detector / 1 /20a 2 Bldg. Permit: Other Equipment __ r1-20 amp Disc./ 2-Air Handlers 15 amp I Hugo S. Surdi President Rough Inspection: 08/222007 Inspector: John Mc Mahon III Final Inspection: 11 /142007 Inspector: John Mc Mahon III This ceRifirate must not be ahered in any manner. Inspectors may be identified by their credenfiab. FORM N0. 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. 31895 Z Permission is hereby granted to: for WLODZIMIERZ WISOR Date APRIL 10, 2006 83-40 AUSTIN ST KEW GARDENS,NY 11415 CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH COVERED FRONT PORCH & REAR DECK AS APPLIED FOR at premises located at 1250 BAYVIEW AVE GREENPORT County Tax Map No. 473889 Section 052 Block 0005 Lot No. 049 pursuant to application dated APRIL 3, 2006 and approved by the Building Inspector to expire on OCTOBER 10, 2007. Fee $ 1.091.40 ~ Authorized Signature ORIGINAL Rev. 5/8/02 c~~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CNIMNEY [ ]ROUGH PLBG. [ ]INS -ION [ FINAL [ ]FIRE SAFETY INSPECTION DATE ~© ''~~ ® INSPECTOR ,`~ [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION 3 , "j ~ ~ ~ ~O~~OF SOUTyOIO e ~o,~~ ~~~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUND TION 1ST [ ] F NDATIO [ FRAMIN / ST ING [ ]FIREPLACE 8~ CHIMNEY [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT REMARKS: J C DATE ~® ~~ © INSPECTOR 3 ~~9s~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESI,S,~ANT CONSIRUCI ~~ REMARKS:_ ~~~1L n r~ [ ]ROUGH PLBG. [ ] IN CATION [ INAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION DATE © ~'' ? 1~~~" TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] R GFI PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ • ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE 3iP9~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECT N [ ] FOU DATION 1ST [ O H PLBG. [ ] F UNDATION 2ND [ NSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION DATE INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ~~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL REMARKS: .~ Y" DATE ~ INSPECTOR [ ]FIR CE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION 31 ~~~~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECT//ION [ ]FOUNDATION 1ST [~]'FiOUGH PLBG. [ ] FO NDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL DATE INSPECTOR [ ]FIR PLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS~~Cr~x,r~~JL. ~~ r~-,cS.] /~' 3-~9~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: ~ ~ a~ `' ~JL~ ~ ~ .ems . Q/ , d DATE ~ ~/ 7 b INSPECTOR ~ s 3l ~ rs~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ~ NDATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION Clarence E. Weigold,Jr. Architect 16 Wildwood Gardens 2E Port Washington,N.Y.11050 516 661-0251 August 3, 2007 Building Department Town of Southold Suffolk County,N.Y. Re: Residence on lots 107 thru l10 Summer Haven Dear Building Inspector: We have examined the plans for the above noted residence and have made several field visits to the construction site. It is our professional opinion that all of the hurricane tie downs and shear wall nailing meets the New York State Residential Buiding Code Section 905 for wind loads of 120mph. All tie downs ar.d straps were nailed per Simpson specification. I was a plans examiner in Sarasota County for several years and have extensive experience in this field. Thank you for your kind attention. Sincerely. ~ ~" Clarence E. Weigo d, Jr. Architect N.Y. 7226 T r~F ~ K': iG0` ~~ ~ O (~/U~/ A i ... ' g6 FIELD INSPECTION REPORT DATE COMMENTS ,a FOUNDATION 1ST ( ) ~ y a FOUNDATION 2ND) i C ~ ~ ( z ~ - o L J ~• ROUGH FRAMING & PLUMBING - y ~ <' ~~ ~~ ~- `~ r y INSULATION PER N. Y. STATE ENERGY CODE ~*/ O c O / ~/.~ d'C - X J661~ rf Z' /~fn/ ~ CsRgsP~Rlf' /~/~,~iL ~ FINAL ~ /g.4d'~r4,/- t ~/ nt~E.c..s ,va ~ i r ADDITIONAL COMM TS _ ~~ C f~- ~. z m. z ~, r H ~ O J Z '~ H x =-, o b .~ ~' t3 v 1 +~ ~- ~-Gf' `~ Permit Number REScheck Compliance Certificate cheekea By/Date New York State Energy Conservation Construction Code REScheck Softwaze Version 3.5 Release le Data filename: American Standard Wisor.rck TITLE: American Standard COUNTY: Suffolk STATE: New York I-IDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 1 I/21/OS DATE OF PLANS: 11/21/05 PROJECT' INFORMATION: Wisor ~ COMPANY INFORMATION: James. R. Frandsen P.E. COMPLIANCE: Passes ~QF 1'~~~~~. ~Q~ g ~' r ~~~~~~. ~ ~ ~s~ ~~ " ~ r ~ i r '•r l Fp Oq g'_'~ ,, c ~~~ Ste'^,a/ c 11 ~ 2 3 -cs 4-\ Maximum UA =404 Your Home UA = 307 24.0~-o Bet[er1'han Code (UA) Gross Glazing Areaor Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane with Low-E Door l: Glass Basement Wall 1: Solid Concrete or Masonry Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 4.0' Window 2: Metal Frame wiUt Thermal Break:Double Pane Furnace I: Forced Hot Air, 78 AFUE 1319 38.0 0.0 40 2367 19.0 0.0 127 217 0.320 69 40 0.320 13 636 ] 1.0 0.0 52 20 0.320 6 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, [hey are attesting that w the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. REScheck Inspection Checklist New York State Energy Conservation Construction Code REScheck Software Version 3.5 Release le DATE: 1 l/21/05 TITLE: American Standard Bldg. Dept Use I Ceilings: [ ] 1 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-38.0 cavity insulation i Comments: I I Above-Grade Walls: [ ] I 1. Wall I: Wood Frame, 16" o.c., R-19.0 cavity insulation 1 Comments: ' I I Basement Walls: [ ] 1 1. Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/7.0' bg/4.0' insul, 1 R-1 ].0 cavity insulation I Comments: I 1 Windows: [ ] I 1. Window is Wood Frame:Double Pane with Low-E, U-factor. 0.320 f For windows without labeled U-factors, describe Ceatures: I # Panes_ Frame Type Thermal Break? [ ]Yes [ ] No I Comments: [ ] I 2. Window 2: Metal Frame with Thermal Break:Double Pane, U-factor. 0.320 I For windows without labeled U-factors, describe features: I # Panes_ Frame Type Thermal Break? [ ]Yes [ ] No I Comments: I I Doors: [ ) I 1. Door 1: Glass, U-factor. 0.320 I Comments: I I Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air, 78 AFUE or higher I Make and Model Number I I Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air I leakage must be sealed. [ ] I Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly I with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 1 3" clearance from insulation. ( 1 Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceiling, walls, and floors. I Materials Identification: ( ] I Materials and equipment must be installed in acxordance with the manufacturer's installalion instructions. [ J I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] I Supply ducts in unconditioned spaces must be insulated to R-8. [ ] I Return ducts in unconditioned spaces (except basements) must be insulated to R-2. I Insulation is not required on return ducts in basements. I I Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics I (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. I Exception: Continuously welded and locking-type longitudinal joints and seams on ducts I operating at less than 2 in. w.g. (500 Pa). ( ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. ( ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at less[ one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. I I Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with fight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction I provisions of [he Building Code of New York State, the Residential Code of New York State or I the New York City Banding Code, es applicable. I Service Water Heating: ( ] I Water heaters with vertical pipe risers must have a heat [tap on both the inlet and outlet unless the I water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating ho[ water pipes to [he levels in Table 1. 1 I Circulating Hot Water Systems: ( ] I Insulate circulating hot water pipes to the levels in Table I. I I Swimming Pools: ( ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 2096 1 of the heating energy is Gom non-depletable sources. Pool pumps require a time clock. I Heating snd Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. - ' Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by R ue Sizes Heated Water Non-Circulatin¢ Runou[s Circulative Mains and Runouts Temnemture (Fl Uo to 1" Uu to 1.25" Ls" to 2.0" Over 2" 17o-ISO o.s I.o I.s z.o 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Tnble 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Rue Sizes Ruins Svstem Tvoes Ran a 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low FYessure/Temperature 201 :?50 1.0 L5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 L5 L5 NOTES TO FIELD (Building Department Use Only) State Cade Requirements plan Designation Se ~ ~ c~ 1 Sy 2 County of Ca®shudion 5 u-~~ ~-r< This plan complies wi$i the following design conditia®s: ~5 a "T'~ u ~_ ~v-c ) Ground Snow Load 4,rSl 6 /F/ Wand Speed / 2cr r-~P N~, Seismic Category 3 Frost Depth ~ r. Insulation requirements are indicated on the computer 1tES check attached. Additional construction requirements: '~ All masonry walls around basements or cellars to have steel remfaao af#5 bats vertically at48" o%. InCMU. construction, coreswithrebartobefiaedwi1h2500psiccac~ebefrumfoaber m s~7L Instau Dar-O-wau every throe coarser. In poured ocustradion, vertical rebar is to be installed 3" from inside face of wa11 * All trusses indical~ed on plans ate bo be supplied vvid-design calms fiat local snow loads vviA~ a New York Professional F.agrae$'s ar AmlritecCs Seal. • Allhabitablemamstobeprovidedwith8'~bnatoralliglrtaad4°~lba,unless artificial light is provided wi$i rig foot candles atdtae~anical vealbehanpuuvidmg 035 air ci~anges per hour per code sedion 8303.1. • Emergency egress windows to be provided far each steeping roam and a ]a~amble basP^~•!!± Mtm~mtunopening24" ltighand20"wide,andt~oiaiao~amclearopeaiaga£5.7sq. ft (5.0 sq. fi. required fast $oor~ pea code section 8310. • Garage to be separated wi& 3/4 IJR rating. Catomom vvaIl to have 5/8"'type-R sl~odc on garage side and fs" type-X an opposite side. Garage oeling to 1nv~e SB" type-X o~n ceilingwithno access oropening5. Doorsbetweengatageatdlivingarea3/4ARtated sett closing door, per section 8309 of code. • Install (1) carUon monoxide detector according to part 1225 of ~l'~~~~ding code. r R F • ~\ 5 F,S ~qy p tirOUnd snow load ~ - ~ I I°(~ * Q`~ ~ ~'~' ° ~~ ~ ~ ~. ~.~ Roof design snow load based on ASCE 7-02 is ~ Z (b 1 l' ( m ~- ; :: ~ ~ N 6 ., James R Frandsen, P.E. ~o o. ` _ ~ ~ ~1;a7 ca :~_4% ~- y Jt~ 3310 Sta>5e Raate 352 • P.O. Bo~c 426 ~ ~~~ Big Flats, NY 14814 • (~ 562 3560 l 1-z3-O.~ TOWN OF SOUTROLD BW LDINC'DRPARTMdSNT TOWN HALL SOLTHOLD. NY i197t T6L: ~~sr~ r~s.i>f02 PAx: (63l) rt~sa www. ttoPlhferk.eet/5betbb7f PERMIT rR..iRa .)a Appcrod_ ...... . ...... .. .. )0 .. - Diolpprwed alc BUILDING PERMIT APPLICA71ON CHECKLI5'1' DoYaR Irva «aeRd the fotbwieg, 6rfarR bplPiegt limidHatdt _ ~ stu d Buitdioa Pltm Plameng tbatd eppaat sarvey . _ cMck _ .__ 8e0ae Form _.. _. N.Y.SD.R.C.__ ,,,.,. .. __.._ CaatReb Mail b: hnam: Building InRpeetrn AlPL1CATION POR BUILDUVC PERMIT i ~ Dete PIVT/ ~ ~ , , 20 O~ i INSTRUGTiONS e. Thin epplioMicm MI lhh' be ommplgely filled in M' rypewea. ~r in m! and sebeette0 to the Paildmp InRpMor with 1 ts:r of plws, aoanate plot plwt b awle, ha anoordilB b ta:hNule. b. Pbt ply riwwetg Ittcalion ofha raid of haihioge on ptaoiw, tdtbnshy b aQoioirtg prernisa «peblic Recto « arc®, tod waterways c. The w«h onvcmd hY rhir glplicrian may mx he aRnmctelad begne iouarae of9uilding Permi d. Upon aplertval oftbis ~piicYion, tha Buihb~ Impecl« wdl canoe ^ Huildiag 14rtnR b the applicam. Sec1t a penes shah 6e hc91 w the ptateiax wagabk for imptrAOn througMwl tlm work. e. No builditlg sMll be oaa9iad «oed ie whole «b pr.t for aey ptapoae whet ao ever wail IIR Bolding Ittrpratr iaaud a Cerriflplc of ()mq.my. 1. h.Nry hnllaelg pmotl e1W1 CRpae Itthe wak alah«eed has ma annt1re11ctd wMm IZ ~ alto W GIe Of isaattce «haa asl bast wolplged with t6 rtenlb6lbm Ruch datc. Iftef mnmg amatdocriv«otlta rcgulYions alEaing der prepaty have barn aoacad ie the iteaiet. We BalArig Inspector may aatM+toa, ie wrgetg, Ote exleuion of 16e pmnit f« rn eddititm six mtmtha.'171eredl«. anew pewit slWt be requited APH.ICA'IlIN-! IS IIIiBf:BY MADh:IO /le Buildlty ffepRrlnep far the sRtmaw of n liuildieg Pdreil purwrN b Ule Buildieg 7.oae lkdgaaaa oflhe Town of SaoMd Sutfdk C«uly. New YoA, sed dher applictbk lawn, thrGaaeces « ltquSrioe, Er1M oontrllRltn.u(hoildngr, aridilioaa, «alltlallap «br ratbval «drntdilidt u 6erain dottileQ llte _ applicwaPm-m"uum~P wCh ~I liwhic laws, ordieletocn, buihRag eodc, hnusing arde, sad tegnlttiota, Red b atinit aohtiitaed nup~pekrs ro pr~d m btrildleg far oeoesvy bnpenionR- ;%fgnwuedR~fKem tk wmie. oR awporWOnt ~ tMMlMg argress dapplKml Spb wht:iher epplicun Is twvnet; km'eI, ,s~gfent. archi¢cl, engineer, general cootraator, cieclrician, plumbcr or builder ._.- _ Q~ANY~u Name of owner ofptemiRea ~~O (U7il Mlell~i Q~4 ~n~a "" ~/`~ (Aa oa Ote tax roll or Iakal deed) If applicant iR a cotportuirnt, sigoalatc of duly uulhuriad otTitxr (Natge agd title of corporate offiner) Buildrn LicenRC Nu.__ PlumlgK I.ioenae Nn. Electricianf Li«oz No. Otller'1'ratkb Licetlee Nu. I. Location of land oy,which pmpased wo-~kc will he done: /p U ~ ~/„/ N I / ~~O r~~ IT So k~A__ y~gW_ Vii ,7 4 ]._. _ / House Number / Sircet liemlat O Couoty Tax Map N¢,1000 St~lign • -~ ~2 Bock ~~Lot ~/' ~ ~ ceMivieimr .SUM/t')f;Y OV~'1 C/1 Fi1rd MRe Na //~3 IAt~i~'~. ~~~ 2. Sntc existin~'use and octxtpexy of premises vtd innnded apd oaxtpaney o proposed mrwtruclion: a. Natistinguscatdoccupancy (Y~l!1dNJBV V~~1/1~Q - ~'~ ©CCUtJ h. !mended use amt ocwpmcy_, l ~V r n,~ Q ~! ~ Pi0 (/ /~(i°~/ (~2/N L°/) (/1 ~OUf (°i i 3. Nature of work (cheek which applieabb): New Building Addition Ahetatism Repair Renwval Demulition_. Oilier W'ork_ LSD (DesaipNon) e. Estimated Coal 3 ~ ~ (70 a Fee ('fo be paid on filing This application) 5. [f dwelling, number of dwelling uvin ~ Number of dwelling unite an each Ilnor If garage, number of tale ~- 6. 1l'Iwainess, ~rommercial or mined occupancy, specity naWtt and extent of each type of use. ~__ 7. Dimcttcions of existing structures, if any: Fnml Rear Depth Height Number of Stories Dhrtensiona of same atrucWro with eMerallorta or etfdfliorta: Front nenM NelaM NUn 8. Uimensieme nfpyitq new comtructirm: Fmn 52 Rea J 2 Depth Height L S ~ Number of~ 9. size of lot Front ~17Q / Rear ~ °~ Ueph l5~a 1, I B Uate of Pumhasc ~ ~ ~ ~~ / /~ Namr of Fomttr Uw7a:r ~V~~~ ~~n ~~ ,./~/// 11.7.um ar uecdiettiet in which premises ere situated ~ull"'lln~~~C~ 12. Ihtex pm{nrxed utnsWCtion violate imp yfinning law. unlinan~ ur agulNU~i1 YfSS_ NU_ 13. W BI tot he re-graded? YEti_~,,{{ NO? Will cxms fill he rcna/v,ed fmm~~ ,,premius! YES~r.,7NO ~ Q, ]4. Names of Owner olpmnisn'7~W- ~~Sfl___^_~Address~-7~>4<1 ~,~~Ylatne NO. `/~~~'0 _370$ Name of Archittxt Address~~%u~ Phnne No Name of Cnahutor AOdrmsPhnne Nu. ~, 15 a. Is thix property within I W feet of a tidal wetland ur a 1'mhwm~v vretktod7 •Yt5 NO • IF VES, SUUTHOLU TOWN TRUSTEES A D.F..C. PERMITS MAY BF RFQl11RED. b. is this pmpecty within 300 feel of a tidal wcNand7 • YES_ NO ~ 1F YF:S, U.L'.(:, Ph:RMI'1'J MAY BE Itl>QUIRkll, I b. Provide wrvey, m seek, with accurate fotatdtaae plan and distaoas to property lines. 17. Ifekvalinn at any prim nn propMy is rat 10 feet nr below, must provide tnpngrapbieal den nn wrvey STA'fL• OF NF.W Yl')Rlp SS: (Y)IfNTY pF~A/ S l/1/ I p~7i~ M ((i r~i l^ ~ ~/~ hMg ddY awlaa. d~1Ma and aay5 Ulaf (R~IIe i9 dM: app11C®l ,S)tie h the -..... w~ e bar l' lded (l.'otnxacta, Ageas, (:aporete (xEoa, eu. ) ~II'1 b`i`I `I`}~I ofaaid ownt a ovmws, and is duly amthataed to perform a have performed the said want end to make and fik WIS appliynan; that al l slalcetrnLV amlaned in dtia application ram hue q the best of Fie knowledge mtd belief; and that the work wit! M petfiaatod ®tha mtttner ant Fartll n the applicatim filed ffietosvhh. SwanSwae e~me tbisthis ~p . . day or n o i/. 20~ f ~ !/ Nonry~/Po1JNc a ofAppliaot PAt,'L4 A. BENNET7 tYOtary Public, State of New Ytxk No. 41.49658;30 OualNied in paeans County Commission Expires Apr. 30, ~o o ,~ TITLE NUMBER PAC-3308 VARIANCE SEARCH JEANNE ANSTETT, BEING DULY SWORN DEPOSES AND SAYS: THAT SHE RESIDES AT 386 MARCY AVENUE, RIVERHEAD, NEW YORK AND IS OVER THE AGE OF 21 YEARS AND THAT SHE IS THE OFFICE MANAGER OF PECONIC ABSTRACT, INC., AND THAT UNDER HER SUPERVISION AND DIRECTION, TITLE WAS EXAMINED TO THE PARCELS OF LAND DESCRIBED ON THE ANNEXED SCHEDULES. THAT SAID EXAMINATION MADE TO INCLUDE 812001 AND SAID TOWN TO DISCLOSE IF SUBJECT PREMISES IS IN FACT SINGLE AND SEPARATE OWNERSHIP AS APPEARS FROM THE CHAINS OF TITLE ANNEXED HERETO AND THAT THE EFFECTIVE DATE OF THE APPLICABLE ZONING ORDINANCE IS 111957. AND THAT THIS AFFIDAVIT IS MADE TO ASSIST THE BOARD OF ZONING APPEALS OF THE TOWN OF SOUTHOLD AND TO REACH ANY DETERMINATION WHICH REQUIRES AS A BASIS THERETOFORE THE INFORMATION SET FORTH HEREIN AND KNOWING FULL WELL THAT SAID BOARD WILL RELY UPON THE TRUTH THEREOF. THE LIABILITY UNDER THIS SEARCH IS LIMITED TO $25,000.00. DATED: 1019101 _. SWORN TO BEFORE ME THIS 9th DAY OF OCTOBER, 2001 PECONIC ABSTRACT, INC. l~lc~ cc~~ lJ /.t-LQ NOTARY PUBLIC MICHELLE VAIL public, Stele Ot New York Nn. O1VA1999798 • Suffolk County f",c~mission Expires December 16, 20p I BY: , ~-~e.., TITLE NUMBER: PAC-3308 Subject Premises: 1000.052.00.05.00-049.000 Catherine M. Cassidy To Catherine H. Brennan and Evelyn H. Gentz, as joint tenants Dated 913155, Recorded 916155 in Liber 3966 page 146 Catherine H. Brennan died August 24, 1984 in Queens County. Evelyn H. Gentz died 11/15192 in Queens County. Mindy J. Trepel, Public Administrator of Queens County, as Administratrix of the Estate of Evelyn Gentz alk/a Evelyn Hennriette Gentz To Wlodzimierz Wisor and Anna Kloch Wisor Dated 11117199, Recorded 117100 in Liber 12012 page 223 Last Deed of Record Sworn to before me this 9th day of October, 2001 cc~F-c.e vLlr,c---G, Notary Public Peconic Abstract, Inc. by:~_ `~" J nne Anst ,Office Manager WIICHEILE VAIN Notary Public, State of New York No. 01VM989798 • Suffolk County Commlesion Expiros December 16, 20 ~ ~ TITLE NUMBER: PAC-3308 North of Subject Premises: 1000-052.00-05.00.050.000 Catherine M. Cassidy To Russell M. Rumpf Dated 4123155, Recorded 4126155 in Liber 3874 page 387 Russell M. Rumpf To Walter Grim and Louise F. Reiche Dated 8126164, Recorded 9114164 in Liber 5613 page 177 Walter Grimm and Louise F. Reiche To Rosalie Muncy Stabile Dated 10118172, Recorded 11/10/72 in Liber 7279 page 578 Rosalie Muncy Stabile died 513174 Suffolk County Surrogates #1085P1974. Thomas R. Muncy, as Executor of Rosalie Muncy Stabile To Leslie Jordan Hart Dated 9130174, Recorded 1019174 in Liber 7729 page 91 Leslie Jordan Hart To Steve H. Condos and Mary Condos, his wife Dated 11112176, Recorded 11/23/76 in Liber 8146 page 231 Last Deed of Record Sworn to before me this Peconic Abstract, Inc. Stn day of October, 2001 l,ru.t ~~.t.(-cam !>~--~~ Notary Public by: Je a Anstett, Office Manager MICMEIt.E VAIN Nobly Public, State of New York No. 01VM989798 -Suffolk County Commission Expires December 16, 20G! TITLE NUMBER: PAC-3308 South of Subject Premises: 1000.052.00-05.00-048.001 Kurt Petzschke and Ruth J. Cornils To Catherine M. Cassidy Dated 912152, Recorded 913152 in Liber 3401 page 263 (premises and more) Catherine M. Cassidy To Edward J. Becker and Catherine V. Becker, his wife Dated 1115171, Recorded 1119171 in Liber 6872 page 51 Last Deed of Record Sworn to before me this Peconic Abstract, Inc. 9th day of October, 2001 ~.l~C.c C~.~.-~.~. 1i~G Notary Public Je ne Anstett, Office Manager MICHELLE VAIL Notary Public, State of New York No. 01 VA4989798 • SUBOIk County Commission Expires December 76, 20 Sr 1 TITLE NUMBER: PAC-3308 East of Subject Premises: 1000-052.00-05.00.060.003 Michael Cassidy and Thomas Cassidy To Frank N. Tillinghast Dated 1119131, Recorded 1119131 in Liber 1560 page 317 (premises and more) Frank N. Tillinghast died 8117137 Suffolk County #428P1937 devising subject premises to his children -Edwin S. Tillinghast -112 interest, Charles L. Tillinghast -118th interest, Jane R. Gaffga flk/a Jane T. Oblom -118th interest, Esther F. Tillinghast -114th interest Charles L. Tillinghast To Edwin S. Tillinghast Dated 7125147, Recorded 8113147 in Liber 2739 page 167 Edwin S. Tillinghast died 5113155 Suffolk Surrogates #421P1955 devising subject premises to Jane T. Oblom and Esther F. Tillinghast. Esther F. Tillinghast and Jane T. Oblom To Vincent Guarnaschelli and Dean J. Yaxa Dated 8123174, Recorded 8128174 in Liber 7703 page 404 Continued..... Sworn to before me this 9th day of October, 2001 ~t~ Gc~(,~~, 1JCk-CI Notary Public Peconic Abstract, Inc. by: - '?- ~~ Jea ~ Anstett, Office Manager No, Ot gq~9~~te a of t~ ~ Commission Ex New Yo Fires peCember~ g ? i OC Continued..... East of Subject Premises: 1000.052.00.05.00-060.003 Dean J. Yaxa To Vincent Guarnaschelli and Victoria Guarnaschelli Dated 1119181, Recorded 1119182 in Liber 9130 page 446 Vincent Guarnaschelli and Victoria Guarnaschelli, his wife To Victoria Guarnaschelli Dated 2125182, Recorded 314182 in Liber 9150 page 389 Victoria Guarnaschelli To Carl C. Caputo and Dale A. Caputo, his wife Dated 9123182, Recorded 10115/82 in Liber 9256 page 127 Last Deed of Record Sworn to before me this Peconic Abstract, Inc. 9m day of October, 2001, Notary Public Note PMICMEL(,E VAII No. 01 VAa98979g~te o1 New York Commission Expires December) 6,~' 20 Q t Je a Anstett, Office Manager TITLE NUMBER: PAC•3308 West of Subject Premises: Sworn to before me this gcn day of October, 2001 ~i~ ~--f--t-f_~. Ua..~~ Notary Public MICHEU,E VAtI ~ Ott Public, State of New York A4989798 • Suryolk County Commission Expires December 76, 20Gt Bayview Avenue Peconic Abstract, Inc. by: ~~ Je a Anstett, Office Manager C~L~N/~D ac~tYAno~ ~sP~r~a~ ~"~' Y -p~/1iiTT1~4f OF M~A1.~11 ~`'~° /G~~- ~tf~Y lOMA, 1` C~ ~/ ~`~ / .A1/•.~9\r'~~'~p~ GJ ~', Cpl N~ ~R O 1~ ~. ~v~`fh, ~fi e/~S ~c/~fl~ / SO ~ `~ G~I~,~C' CESSPOOL ~` ~~ BF \ '~~oy 2 ~ E O ~ O fc'•~nQ ~~~a~~ 'o ~%l. ~~ a~~ /~aJ 41l ~PJ ( CESSPOOL ~~~ ~ y / ~ 101 /,~ S ~~ / q' i ~ 06 ~ ~, ` ,>. ~ IO O ~O. ~4~ ti. . O OQ ti~ 5~ y°~ ~( ~~F~~~ o I eE e 10 ,,~ ~\~G a• Cpl 9~ ll~~¢1O ~~~~c, GP~~ `JS.1,9 ~O O ~O. / ~o ~O. /~ ~ 1 ,eaew w 9w9Y1 YDJRAI ro o]Nx slw wIN rm rIw`¢ s] u' rro a SURVEY OF LOTS 107, 108, 109 & 11 b - MAP SHORING SUBDIVISION OF PROPERTY I~1VOlY' AS SUMMER HAVEN ' ' BELONGING TO IIILLlAX G. HERZ FlLE No. 1133 FlLED JULY 5, 1933 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-52-05-49 SCALE 1"=30' JULY 17, 2001 DECEMFIER 27, 2001 REVISED AS PER HEALTH DEPARTMENT LETTER FEBRUARY 15, 2002 ADDED SNMARY SYSTEM FOR SURROUNDING PROPERTIES NOVEMBER 21. 2002 Rf10CATED PROPOSED HOUSE. WELL Y SEPTIC SYSTEM OCTONER 22, 2003 REVISED WELL LOCATION ON VASILAKS PROPERLY FEBRUARY 10. 2004 REIDSREEDy~SPER~OPOSED WEL-U#9LIS~EPTIC SYSTEM JA 20 52008 REVISED YO HOUSE h~G R OE AREA = 15,000.00 sq. ft. 0.344 ac. CERTIFIED TO WLODZIMIERZ WISOR ANNA KLOCH WISOR S.C.D.H.S. REFERENCE No. R10-O1-0216 PROPOSED SEPTIC SYSTEM DETAIL (wr T9 sTxA - neswn w1A9E ~ u~a a~NOE aEV 9x 1~ D%C1YIO rA1Y „w,. mo+ I/s•/1' 9N.~ex P00L K FL JY iN. FL ~ {~~ ,y A,y ~-f9101M vOTFT ~. ,.e' ScPTIG TANK (11 IcAC NLYG POOLS ('I 1w1e1uu sryrc TNw c9rrnla 1a1 A ~ ro ] emnaol n01La a 1.000 rx{n1s. a'..]' eeL r-r o¢r ~. 1 rwAC e' 1tl10 . ~ rY9r uAnwY sTd wx A 1 m ] inM9dl ~ s ]w w n mEw]u wwA . ]. WtAR 9W11M.E A YMWY ~.E 511p4nM ff ].Odl ~ Ai 'M OIYS. Mi0E15 (F f NO A ®1rW TePY1L4 (F ~ 1 ' ] DOLL Y eFB. w ~. 2 IfMei 19015 NC w1 Y ~ 6 1wYJ8i ABIORLD NKIEI[ (Q1 fY/lJ . A P ]. Vll TeI.T9E!! wWl 9E A YIYM 6 ] Au wN{s, eonol ua I9v sN1u mrtAw Iwew919.91o ro e]]er AN APNYD 191Y.2 a ]00 > n UDONwC f1YIL11R ]60 000 ME/t]1 eLA1R NL CO.Gi wLwl ¢ a ,01 eewa® muew (ql DTIKI ] . L. uL .0un flvu t ]EAim e9 lwa llc rover w wrOOwn 1 M YYIC 1MR SIYLL S 161.W]9 R 1Fi6 M ALL f/161LOL [OM I. WL 14DWCE OF AI/e7 , • A 10' ~. C6fMR ~ImI lilOwC NOIO MO eAww DMi 9WL BE MIOeL6 arwa eCrwm~ 1u vAOw1v rma wo sePnc ww svu E wlw9n. r r w ~ ~m " Y ~ . f. w mwu a wverrwm. ~+r0 9T EwIEfN s I0' ~9 m e. ~ ~ - -- MM PLEASE NOTE ,y~~~~~~ ,~.maiMain +~Cluate aaMtary distance dIS}EN~ ~ ieYY~ ~~~ E%ISTINO ELEVATNNKNARE S.Aw'M~TNU519~ ,DATUM 1. S~EP~~TICrr~ISYSTEY SIRURUwE SNLNM THUS: PrtpVSED EIRAMSpN POOL ~ vrtovo~0 IAACN9ie vooL ~U~ PF9PoSL9 SEPTIC i/J1K 3. O95EW IONS AND/OR~DAT1D 09TME YS~S ERS LEON 4tE TROY FlEID ro ILTT]1AT~A~IO~MIOM SFCTIaN Tsw DT TNC NEw romc STATE mUfwTloN L1w. COPES Df MS SUR,EY" YAP NOi BFM91G 111E IIND 5111M1E1d(5 M 'EI SFK di EYBO39FD 9EAL SM91 NOl (E WHSOO® ro 9E A VAUO 1RUE QWY. Lfwl9TrwroNS nwurm ntTaaN sNUL mX1 oellr m n1E PEASW Tort wNOY THE suR.EY' s PPEPMf9, AND oN Ne: 9EHLlE ro rNE ml[ cwvANY. 9DIEI9Ye]RAt Aot)N. ova Lf]1110 9anrurlON LISTED r9REON. MO ro THE AS9GNETS av THE IDOwO Ne;n- Tlmox. cErtnNC9loNS NE NDI T1MNS9NRL. TYE EXISTENCE ai aG11T a WAYS ANO/OR EASEMENTS K RECORD. If ANY. NOT SNOWN ARF NOT q]A9ANTEEO. ]nN. j tY ~ G ~/ ~~ ~ ~ .~~ 1 ~ ~ /qqi, Y C~..~a. ~i7~/ N.Y r ~/ O O o~ .50 / ~`T ~e ~La I O'~: "!! Q~~~ ~¢f ~ ~. Ge ~ 4 cGiP -I. `mac ' "Ei ~~sOp~ ~ ' ~o ~~s ss,~d j~ '~q~ ~~ ~ j i//, ,. s.]; e ~. ~ ~~ >' ~ r~\ ~~ \~ ~° 9, s. ;~ s~ ~5( N~`/ L~V / / / i-L~Y1~~~ E TEST HOLE DATA (TEST HOLE DUG BY " DOh' ~ GEOSG/ENCE ON JUNE 19, 2001) a e.o' 0. oNw ertoTr arv Tool a ,. 91gM1 10.Y. 9L. LL . , egerl p,]YEY ]AW NroI ]99 OY.KL SC 6' artom NEdUI ro cowg sw0 n FL I Y ~ >~ ~~ ~. l) a.~' ~~ n L)'O. ~ 9~r ~_ i 9n9 ~~ C" 9tir~'rOG y~' 109 ,~ / ~ yOR ), ~• T Z°G o 0 ~, b\ / ~ ~~ X08 C ~L~~Y s Jj `~o. O~ F R~ A~ OI~C0~9p0 SSE ~g4 ~o$ ~1~1 \\ ~~ ~ lr~~~ l~' ~, ~ n ~' , ~'. V ~. O yf ,~ ~ ce+ C G T . ~ s r -~ !'~ 1 ~ r ,Q `oy. 'O~o ` J ,0 ~' 0 9L . ' ~ \ ~~~ ~. Z~ _ ~~ ~ ~e ~y °~@•4~~i o° ~ ti, V \'• ti~ . / ' ~ i ~ / ti ~ h` / i/~ ~O 0 \~°o. ~~ c°+~~ i10~; ~O 1 `~~ VO. IY~ ) U'( ~~ O s ~h~o '~. \'e e. r,oJ X04 ~ ,.~F~ rtP U ~1t P y ,e SURVEY OF LOTS 107, 108, 109 & 110 MAP SHOWING SUBDIVISION OF PROPERTY KNOW AS SUMMER HAVEN BELONGING TO WILLIAM G. HERZ FlLE No. 1133 FILED JULY 5, 1933 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-52-OS-49 SCALE 1"=30~ JULY 17, 2001 DECEMBER 27, 2001 REVISED AS PER HEALTH DEPARTMENT LETTER FEBRUARY 15, 2002 ADDED SANITARY SYSTEM FOR SURROUNDING PROPERTIES NOVEMBER 21, 2002 RELOCATED PROPOSED HOUSE. WELL h SEPTIC SYSTEM OCTOBER 22, 2003 REVISED WELL LOCATION ON VASIUKIS PROPERTY FEBRUARY 70, 2004 REVISED PROPOSED WELL & SEPDC SYSTEM JANUARY 25, 2005 REVISED TO SHOW PUBLIC WATER JANUARY 20, 2006 REVISED PROPOSED HOUSE k GARAGE AUGUST 2, 2006 FOUNDATION LOCATION AREA = 15,000.00 sq. ft. 0.344 ac. CERTIF/ED T0: WLODZIMIERZ WiSOR ANNA KLOCH WISOR S.C. D. H.S. REFERENCE No. R10-01-0216 UNWnMIIT ALiERAIbN OP !Dg110N 'O 1M5 SI.INEY 6 A NgAl1pN pf YcTON >2W 6 TIE NEW TqM SiniE lnrwnw uW ,,.. n a~ ~ ~ 9~~«c W - M® YAL pi MOi BI 'Y114(VED ~x. +AWA .e~,- :xw ~ vl r.va~r~cW ws+. ~ rA- R iP~,W~ W` y r ~~W ". S9O/t~ . 1, .y A Kr a •n.~ n n w. sr pw~oAn H rA.]~I,NI rN ~- M ~N V9. ex TE NEW W]T! SUiE INN „~ „~ ~~; ,~. ~seph A. Ingegno Land Surveyor TiDe Surveys - Subdiviarons - 9'M Pbru - CwpG~.ction s• PHONE (631)727-2090 Fax (6J7)727-1" 'IFfIGES LOGIED AT NrLLWG ADORES, .22 R1VgNE AVENUE P.O. Box 193' 'hiMEAO. Ne. Y«M 119!11 a:..w,...a u._ v..... ,.d ~, ~c. O ~~u' ~O j \~O. ~~ a~~~ V ~'. dr ,~*'''" ~~ v ~3 F ~~~~ O ^oA ~r.P.n .~ ~~ 2 ~ ~~ i i ~j / / / • ~O. ~ ~Q, Ly O ~O ti~ S~ T •S C ~L~NY s ~, `?o. ~O. 0~ ol``co~'oos ty I ~~ Gpt1 (~Y~ d/ ' O~ ~ C ~ 6 ~ ~~ ~. J`~ SgE~~P¢ ,~~ ~yp`~ , g' y0S ~prs'~' 0~ ~O J ~O. s ~, • ~ c~ iH ~~' y~'C `Z O~ '~F, c~ o `/ .A /' ~ 9nA G 1p9 9~ao 0 ~~ / y /' c \ ' ~' ~~j / g \\/1 ~ / ' ,~0 +Q / F ~^~ o. . ~~ ~~. ,~ ~O s~ G ' i i i~ ~~/ / / . i ~~ ~ ~O o mo %`iqE G Jai tip'/ °~ Oti ,9. 1~~ / ' / / / 'L ~ S~i ~~ ~ ~~~, ~_ ~ 9v'i 's' ?~'' l ~~ O l \ r O u' L~ - ' O ~• ~~O a2.s, /~~O ~O hEL Z ~B ~m- ~s \9. 06 o'~ 1 ~EQ~~F,Sj y ~~p~F~~G~F,p V1 P¢ 4`~E E~PT~~ ~. ~O L O~. ~O h0• 1 SURVEY OF LOTS 107, 108, 109 & 110 hfAP SHOWING SUBDIVISION OF PROPERTY KNOW SUMMER HAVEN BELONGING TO WILLIAM G. HERZ FILE No. 1133 FILED JULY 3, 1933 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-52-OS-49 SCALE 1"=30' JULY 17, 2001 DECEMBER 27, 2001 REVISED AS PER HEALTH DEPARTMENT LETTER FEBRUARY 15, 2002 ADDED SANRARY SYSTEM FOR SURROUNDING PROPERTIES NOVEMBER 21. 2002 RELOCATED PROPOSED MOUSE, WELL h SEPTIC SYSTEM OCTOBER 22, 2003 REVISED WELL LOCATION ON VASIUKIS PROPERTY FEBRUART' 10, 2004 REVISED PROPOSED WELL & SEPTIC SYSTEM JANUARY 23, 2003 REVISED TO SHOW PUBLIC WATER JANUARY 20, 2006 REVISED PROPOSED HOUSE k GARAGE AUGUST 2. 2006 FOUNDATION LOCATION AREA = 15,000.00 sq. ft. 0.314 ac. CERTIFIED T0: WLODZIMIERZ WISOR ANNA KLOCH WISOR S.C.D. H.S. REFERENCE No. R10-01-0216 `~ FDR SUOI B/ 111E HEW 10RN SPATE ~~ / 5~~~ ~J ` ~ ~~~'F~` uruur«omsD r~rERATa« oR ADano« TO TN5 SUNEY 6 A NIXAIgN Cf SEC1gH l]DG CF 1NE NEW TgIX STA'E EDUGTgN UW CUPRS Uf i16 SIMrEY 1VP Iqt BFNtN1G TIE VHD SUMlptS W'.ED SFK pV EYaDSY- SUL SHLLI 1qT ff CCWSIDEAED TO 6E A VNID TM1E (,'URY. CENfIFIGIgfIS IHDIGTED XEREpI $HIl1 RUN aw.r ro THE RERSOH Foa WHw TK swlrtv a PIE-ARm, N1D aH Hls siwr ro THE TLIE Ld1YNlY. GOIOMIEMAL NiFIICI .WD IFNONG NSIIIUICN IKRD NFAEDN. N1D 1D TK A59GIEES Ci TE IEIN:IHG 118T- TfIIOH. CEIHIFILAI%NS IIE NDi TRW3EIYBl£. AS THE IXISTEMGE Of RIONT D< WAYS AND/pt FASFYENTS OF RFCOIp. IF ANY, NOT SHOWN AIIE NOT CUAIIANTEEO. R~ AD Rib- ~ I - ~zl ~ C ~L~NY s a, `~o. °o, F R~ AD . t, o° s ~ `~o. M ~l" 01 "G0~~0,,0p5 .yQ~Q +.. ~a. ~ ~ "~,F $~~. DON" "AOyf'+:: 4~~~{ ,,~~ / ~ X09 5 ~, VOq / 6 VO'S ~ p P~J DU6~DE-~~ AC /~bo GC?.. , ,~~Y~ SHawER/ ~ QQTT ~~: i~ 1~ ~ s` ~e o / ~~ / / i t 9~ ~~. ~~ '. ~~ .'` ~ s~ ~ ~ ~'af `P2py'P~ ~ ~ ~~ 1p9 c^ ." OS `~'@ yp'pq; L '~, GJ, F• WJ ~ C~~\ ~1V~// C~q,NN /]S N 27.5' \'qa EY ~~ I ~ i i -' ~` _i~ ~ ~ ~~ ~~ 5~ b SURVEY OF LOTS 107, 108, 109 & 110 MAP SHOWING SUBDIVISION OF PROPERTY KNOW AS SUMMER HAVEN BELONGING TO WILLIAM G. HERZ FILE No. 1133 FILED JULY 5, 1933 SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-52-05-49 ~ ~ SCALE 1 "=30' °'~ o JULY 17, 2001 , ~.+ DECEMBER 27, 2001 REVISED AS PER HEALTH DEPARTMENT LETTER ~ FEBRUARY 15, 2002 ADDED SANITARY SYSTEM FOR SURROUNDING PROPERTIES OGO NOVEMBER 21, 2002 RELOCATED PROPOSED HOUSE, WELL & SEPTIC SYSTEM '6 OCTOBER 22, 2003 REVISED WELL LOCATION ON VASILAKIS PROPERTY FEBRUARY 10, 2004 REVISED PROPOSED WELL & SEPTIC SYSTEM JANUARY 25, 2005 REVISED TO SHOW PUBLIC WATER JANUARY 20, 2006 REVISED PROPOSED HOUSE & GARAGE AUGUST 2, 2006 FOUNDATION LOCATION NOVEMBER 20. 2007 FINAL SURVEY 9 w 7O 9' p ~ AREA = 15,000.00 sq. ft. • 0.344 ac. \m. CERTIFIED T0: \ ~~ \ ~~b WLODZIMIERZ WISOR \i°" 4} ANNA KLOCH WISOR 0 yo0 S.C.D.H.S. REFERENCE No. R10-01-0216 , tia1 1of gED~~`~a P~ 3 4~ 6~ t~y~~8 f3' 6 SUFFOIJC ~UN7Y . ' UNAUTHORIZED ALTERATION OR ADDRION ~E 1 ARTM gppROVA( OF ENT ~ FIEgL fH SER1pCEg ~ CON SECTION 7209 FSTHEN EWnYORK STATE STRUC~D VV ., ORKS FpFj t A S "I!'if I~rsr11 EDUCATION LAW. _ RE$1D~ j Date UN Il n ~rf= COPIES OF THIS SURVEY MAP NOT BEARING ' _ ~Ofl~ i ~1-~.~.. Y.:i, rY ± J1 T119 I~ I O-©~ . ' ~O' - THE LAND SURVEYOR S INKED SEAL OR EMBOSSED SEAL SMALL NOT BE CONSIDERm TO BE A VALID TRUE COPY ~, d ~,~~~L a '__ ~ ~ . Z . I'uAecYed 3rld r e~PIY »~tles BI IhF3 bCa6 JhBd by tly ONY TO THESPER50 FOR WHO E S R g rxl ~~~^: r'S.'(~ ~~~~~ Or ofha;' BQCOatg3 ~~ ~~ I11~1 I ~f' >trltl burld b ~ ~ M TH U RVEY IS PREPARED, AND ON HIS BEHALF TO THE TIRE COMPANY GOVERNMENTAL AGENCY AND `' A / BFnR00MS. °V ~f ' ~•~~ , LENDING INSTITURON USTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSR- ,. ~ i 1NeIteF / My~~~ CIS P TUTION. CERTIFlCATIONS ARE NOT TRANSFERABLE. , .~„ ' ~~ °f W~t~l ~"'--~-_..._ er Manap¢ment ~~- THE EXISTENCE OF RIGHTS OF WAY '"~^~-~-. ~' AND/OR EASEMENTS OF RECORD, IF "'~--~~_ ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WfM THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIALS. AND APPRO. ED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. t 7' ' .-~ N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Title Surveys -Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 322 Roanoke Avenue P.O. Box 1931 Riverhead, New York 11901 Riverhead, New York 11901-0965