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Home My WebLink About32844-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33104 Date: 06/18/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 5775 NASSAU (HOUSE NO.) County Tax Map No. 473889 Section 111 POINT RD (STREET) Block 13 CUTCHOGUE (HAMLET) Lot 5 Subdivision Filed Map No. Lot 1110. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2007 pursuant to which Building Permit No. 32844-Z dated MARCH 26, 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 "AS BUILT" ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOSEPH N & MARY L RIZZO, JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR~ OF HEALTH APPROVAL N/A KLECTRICAL CERTIFICATE lIIO. 1060108 05/09/03 PLUMBERS CERTIFlCATIOI!f DATED N/A ~&nature Rev. 1/81 ~(c 'O(,>i:)Jq- . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AR 2 3 ) APPLICATlON FOR CERTIFICATE OF OCCUPANCY 1bis 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 form). 3. Approval of electrical installation from Board of Fire UndelWriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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 PImming 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 1. Certificate of Occupancy - New dwelliug $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 ofCel1ificate of Occupancy - $.25 4. Updated Cel1ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ?fv"/o 7 Datc. (check one) ~~'?r House No. Street Hamlet Owner or Owners of Property: 'z/'~ ~ ~ ~n,;2.. ~~ / ?:> 0 ~~ Suffolk County Tax Map No 1000, Section _~~ Block _______ ______ Lot _____ Subdivision (t)u J!'tu-<. r;)f-; Okh tr,,~e., Filed Map. ___ Lot _HO _ Pennit No. .;;z g )~ 'J. <6 yate of Pennit. 3 - ~ (", -D7 Applicant: ;e. 1..-"';" Health Dept. Approval: ________ {~ _~ Underwriters Approval: ______ _ ______ ________ New Construction: v" Old or Pre-existing Building: LocationofPropert~ 5?7.J-~~ r2.t- Planning Board Approval. _____ Request for: Temporary Certificate Final Celiificatc: v- (check one) Fcc Submitted: $ .::;D- r J.. b i tN.~-t- OM & l,-I $-O-<a c..\v 2; ~?, \ bY &~~/ r Applicant Signature l!I.~ ~ . ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ I BUREAU OF ELECTRICITY I ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ml 1401 CHURCH STREET 5775 NASSAU POINT ROAD mJ ~ BOHEMIA, NY 11716, CUTCHOGUE, NY 11935 ~ ~ Located at 5775 NASSAU POINT ROAD CUTCHOGUE, NY 11935 ; ~ ~ ~ ~ Application Number: 1060108 Certificate Number: 1060108 ~ I Section: 1000-111Block: 13 Lot: 05 Building P'ermit:28217Z BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, ~ ~ ~ ~ ~ I ~~~~nt~~~t~d~:~~~:~~:~~:r~~~t~h:n ~~~on:~ Electric~a~O:t ~~y~~~~3etail of the installation, as set forth below, was I ~ Name OTY Rate Rating Circuit ~ ~ ~ Miscellaneous ~ ~ Inspection includes-service - ~ ~ I st floor changes ~ ~ 2nd floor addition & pool ~ ~ I-50 amp steam unit ~ ml Alarm and Emergency Equipment mJ ~ Sensor 1 0 Carbon Mouoxide ~ ~ Sensor 12 0 Smoke ~ ~ Appliances and Accessories ~ ~ Tiroe Clock/Switch 2 0 ~ ~ Furnace I 0 Oil ~ ~ Exhaust Fan 3 0 F.H.P. ~ ml Hydro Massage Tub, Residential I 0 ml ~ Compactor I 0 F.H.P. ~ ml Dish Washer I 0 1.2 KW ~ ~ Air Conditioner I 0 24.000 BTU . ml ~ seal ~ ~ Air Conditioner I 0 36.000 BTU ~ ~ Air Conditioner I 0 48.000 BTU ~ ~ Continued on Next Page I of 3 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. ~ ~ ~ l!I.l!I I!I.I!I I BY THIS CERTIFICATE OF COMPLIANCE THE I ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ = BUREAU OF ELECTRICITY ~ = 40 FULTON STREET - NEW YORK, NY 1 0038 ~ = CERTIFIES THAT ~ = ~ = Upon the application of upon premises owned by ~ = ~ = DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ~ 1401 CHURCH STREET 5775 NASSAU POINT ROAD ~ ~ BOHEMIA, NY 11716, CUTCHOGUE, NY 11935 ~ I Located at 5775 NASSAU POINT ROAD CUTCHOGUE, NY 11935 I = Application Number: 1060108 Certificate Number: 1060108 ~ I Section: 1000-111Block: 13 Lot: 05 Building Permit28217Z BDC: NS11 I = Described as a Residential occupancy. wherein the premises electrical system consisting of ~ = electrical devices and wiring, described below. located inion the premises at: = = Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, ~ I I = was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below. was ~ ~ found to be in compliance therewith on the 9th Dayof May, 2003. ~ = Name OTY Rate Rating Circuit ~ ~ ~ Pool/Spa Bonding I 0 ~ ~ Furnace I 0 Gas ~ = Time Clock/Switch I 0 = =~ ~ ~ Wiring and Devices 1 200 30 ~ ~ Receptacle 35 0 General Purpose ~ ~ Switch 34 0 General Purpose ~ ~ Fixture III 0 Incandescent ~ = Arc Fault Circuit Interrupter 6 0 15 amp ~ ~ Paddle Fan 1 0 ~ = Receptacle 13 0 GFCI ~ ~ Fixture I 0 Pool/Spa ~ ~ Receptacle I 0 20 amp Pool/Spa ~ ~ GFCI Circuit Breaker I 0 15 amp Pool/Spa ~ Ii1! GFCI Circuit Breaker I 0 20 amp Pool/Spa Ii1! ii!I seal ii!I ~ Service ~ ~ I Phase 3W Service Rating 200 Amperes ~ ~ Continued on Next Page 2 of 3 ~ 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 I!I.I!I 1!I.~i'dffi!1!I ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ I NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by I I ~ I DELCON SYSTEMS, INC. JOSEPH & MARY LYNN RIZZO ~ ~ 1401 CHURCH STREET 5775 NASSAU POINT ROAD ~ I BOHEMIA, NY 11716, CUTCHOGUE, NY 11935 ~ ~ Located at 5775 NASSAU POINT ROAD CUTCHOGUE, NY 11935 ~ ~ ~ I Application Number: 1060108 Certificate Number: 1060108 ~ I Section: 1000-111Block: 13 Lot: 05 Building Permit28217Z BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of I I electrical devices and wiring, described below, located inion the premises at: ~ I Basement, First Floor, Second Floor, Attached Garage, Outside, Pool/Spa, I I I I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was I I found to be in compliance therewith on the 9th Dayof May, 2003. ~ I Name OTY Rate Rating Circuit ~ I ~ Service Disconnect: I 200 cb I ~ Meters: I I I (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have I I frequent test and/or repairs made by a qualified person. I ~ ~ ~ m I ~ I I m ~ m I I m I m I I I seal ~ ~ ~ ~ 3 of 3 ~ 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 1il.1!I 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. 32844 Z Date MARCH 26, 2007 Permission is hereby granted to: JOSEPH N RIZZO JR 5775 NASSAU POINT RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN "AS BUILT" INGROUND SWIMMING POOL AS APPLIED FOR. THIS PERMIT REPLACES BP 28332. at premises located at 5775 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0013 Lot No. 005 pursuant to application dated MARCH 26, 2007 and approved by the Building Inspector to expire on SEPTEMBER 26, 2008. Fee $ 150.00 ,. ORIGINAL Rev. 5/8/02 GUARANTrrS INDICATED HalF ON SHALL RUN ONL Y TO THF PCRSON FOR !tHaw THE SUR~Y IS PREPAReD. AND ON HIS BEHAlF TO THE 11M COAIPANY, GO~ENTAL AGENCY, LENDING INS11TUTlON. IF LISTED HeREON. AND TO THE ASSlGNCB OF' THE LENDING INST1TUT1ON. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL /NsnTU11ONS OR SUSSCQUENT OMNERS UNAUTHORIZaJ AJ. TERA TlON OR AlJDJ110N TO THIS SURVCf /S A W'OLA TlON OF' SECTION 7209 OF THE NEW YORK STA 1C EoueA nON LAIt: COPIB OF THIS SLmYEY UAP NOT BEARING THE LAND SVR\I!)'Q'lS DlBOSSED SEAL SHALl NOT BE CONSIDERED TO BE A VALID TRUE copy. --j i'ii ZII )>.t>, U)g U) )> C u o z -j FM# 156 DATE FILED AUG. 16.1922 TM# 1000-111-13-05 GUARANTEED TO: JOSEPH N. RlllO, JR. MARY LYNN RIZZO NATIONAL LAND TENURE CO. TITLE # NlT 4650-S-01 AJ o )> o PECONIC BAY ROAD PO CM N 79'46'OO"E \ \ \ \ \ \ \ Z \ ~ \ ~ \ \ o o "- '- PO \ \ \... \"&>. (. \ \ \ \N. \ DRf\IEW~Y W/BL~CK CURBI G "- " :: "- \ ~9.69\ I \ \ \ \ \ \... o. \ \ \ \ \ \ 46.1 \ \ ... S 79'41 '40'W LOT 39 2 RAIL FENCE ../' /" Fj:NCE COR/ rOS / \ / \ \ "-~. \... \<:5'. \ \ "- "- "- "- 2 STORY RESIDENCE 16.0' ELEV LOWER LEVEL !::l =49.24 ~. 12.0 - ,... <Xl LOT 41 SURVEY DF LOT 40 'G e z ~\-I - CM 321.28' <... PO FENCE EN FE 9.43' '" / S p.3'1 I I I I , ::r: WOOD ~ 25 z \..../ \ I I I I I , ::r:U) 'l b- z ~8 r- . '" <) 52 \ \ \ I , I I 6 fTl :o~ ~ I --j ... I 0 n,v., ,... WO\JD ~TEPf I , ,... I 0 :uco U III C) o ~2 )> - uC) () o z () \ v., I U1 I I , , \ CO n, \ I ~DD :t;;TFDRM I I , c: r- r- 11'000 d \ w/s I TS I I ;>;: ~ ~ SECON8Effvlf./RAtLl~ I jl n, 0 9 WOOD STEPS . I \ I I I I I , 0 :i! v., .t>, ~, r~\ I g/ I ~I , 0 i7i d' I ~\ I ~I I ~I , II ~ [j ;;: \w I W I WI , PO CM I \ 170.84 300.89' CO] ~J> -< ~ :;j o FEN SURVEYED: 5 DECEMBER 2001 SCALE 1'= 30' AREA = 31,067.94 S.F. OR .713 ACRES IN AMENDED MAP A OF NASSAU POINT CLUB PROPERTIES, INC. SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N,Y, SURVEYED BY STANLEY J. ISAKSEN. JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 631-734-5835 23 JAN 02 ADO CONTOURS, 1 ST FLOOR ELEV. SURVEYED FOR: JOSEPH N. RIZZO, JR. MARY LYNN RIZZO 01R1090 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. 28332 Z Date APRIL 26, 2002 Permission is hereby granted to: FRANCES SCHULTZ 16 OAK ST WOODMERE,NY 11598 for : CONSTRUCTION OF AN "AS BUILT" IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 5775 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section III Block 0013 Lot No. 005 pursuant to application dated APRIL 25, 2002 and approved by the Building Inspector. Fee $ 300.00 ORIGINAL Rev. 2/19/98 3~L{-tf Z- TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION N FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS. ~ ~ ~ ,t40k 1- ~/1 .-+-~, I ~~ ~ JVf-'cfZ) ~~~cf ( DATE b -;3- Of INSPECTOR ~~ - ~ :Lry~ . -.,..~~.~ "--,- [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESI~ CONSTRUCTION REMARKSC( A! ' @{ , k ~ !"5(~ ~ t,;chJSl/cu?V &1 ~.fo oh.,.J ~ I. &J f-;c.by.. M-. j?J /~J& ~ Silks'. ~ ~chfL.~ f'J' , ' ::r ~~~ ( /"'rD &~,J~ to IN .orG DEPT. / ON [ ] ROUGH PLBG. [ ] IN~ATION [~NAL M [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION .?Nt:> DATE 3(}1. fJ 7 { J INSPECTOR .. ~ FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) c-----------------------_____________ FOUNDATION (2ND) '"", ~',..'- ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL fa ~3 --D g- Gv\T. . . "'"- - ~ o ;g i-! " ~~ ~ - ? =1 I 'It;:- Ip p - ~.~~ .~ ~S-' h - z ~ 9 \ ~ '" ~, .., 8 i:<J t'l t'l , .., -~ -'- i':> P- :I: ." ~ .- 1= t'l c- .., , (\ ~m .,/f/i/i// ~ h '-,~ ~ M I~, "/"Z. "'. d, iIJ... / I rJl.A~/ <L..A',,? ~J. h" l~j/'~7j/~/ ~~......<' ' 1?J k ,Q;J J:VJ;/J.? ~ ~h /:, odLIf':l';;.f/ /:'. m N/.. J ,Qd";".~),tf:r/r.J .D. u ~--,r, (i,ut, ~ ~ c-~<"frJL d. j ~.rf/ ~ ;()cJ_ fi74.-;e ~?-I' ~,,~~. 1\", P"D,' -:g- TiL rr.\';A.nL/"'_tJ)~J ilL "'C ~~ L,j//. ~ E-ur /JA_r;-'~L JeJ AE' "k/..C' /'....~ .Ad! / 1(' '/, v?..IfC ~ ~j, . j y~ ') ADm;lIONAL COMMENTS ~ ~ ...l.L.. ., \.L Qi\', P: I/,-~...u..' ) ....--:;.. L '.PI / ' F'III Jw..."'" ~ U . ~ N Ii- \\l g-O ::e " ~ tJ ~(' ..,~ - ~ trJ-.L >< \ t-- ::! 'Y ~(j\ c ::l C' ~ Y = trJ I ~ 1:1 trJ ... ~ .. TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 .- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: C Al..'- 'PH IL ~ft.BiAslo Phone: (,,51-774-22Z7' PERMIT NO. '] "- ~"--I Y f(>) d033.:2~ Examined Approved Disapproved ale ~/~(, 'flu , ,20-L ,20~ Expiration ,20_ az- rlrJ .Y'-(~~J1_.\,n. rs~fiii,l .. <Ill I ; - ' 2 5:rol '''J I APPLICATION FOR BUILDING PERMIT \ L...- _ ..-- ..-..J c. " ;, r Date r.. \~" ,-0LlJ -~- INSTRUCTIONS Building Inspector ;- /IfilL 25- 20 t?2- '- 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 Pennit. 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 the work. e. No building shall be occupied or used in whole or in part for 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 pennit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 1?'1)e.l5tA's",IHe. 1?,'L t;M..g~"o (Signature' of applicant or name, if a corporation) 2.2q CPtwll30tl ,4yf.. ST. ::r~(ll'lY- (Mailing address of applicant) / I 760 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder &Ut/t!#.- ~~fl- Name of owner of premises -:];SEPII ~' /!JAnY.L-YNN tDZZ() (As on the tax roll or latest deed) . gnature of duly authorized officer S/~tHVrr '1tIL ?)61J~ltf'" Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 5775 NItSSA-11 Pol/if" 1<,DAO House Number Street {!/1f"CH()G-kti.. Hamlet ; County Tax Map No. 1000 Section J I } Subdivision Block I "3 Filed Map No. Lot 0 S Lot (Name) ... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .s'"v6'~1Z . '~n'l UOfl71i- b. Intended use and occupancy Sit" ir'L(i. fIrm,,-,, HomE. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work 1<f."'b~/i.. ~1(H7N'- Poo L. 11'4'1m~ Nfi.>J (J-u./J' ('Ii. P'CL (Description) 4. Estimated Cost ,?P,ooo. ' 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 i Height Number of Stories 2. <Rear,' Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front /00,19 Rear Ibo,j1 Depth 3/0 JuttUrl , 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, ordinance orregulation? YES_ NO / 13. Wil1lotbe re-graded? YES_NO / Will excess fill be removed from premises? YESL NO_ ::JO'SfHM ~. mll1Vl tVNN 14. Names of Owner of premises RI"l20 Address I77~ NIt'~1t<l f!dlll'{ /2P,Phone No. Name of Architect 1ttb"'~ -V.t2lft.IW/ p.". Address 13"ZIiLJ..Il?ifi, PhoneNo 724-'89g Name ofContractor_1/.'1>I<-BLJH'C, iN'. Address t2'i C/Jl1RxJN /'wi-, Phone No. 5'61- $'foj' . 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _ * IF YES, SOUTH OLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ofa tidal wetland? * YES NO Wrz HlWl. S\.lR1/1'1I(71t.() it * IF YES, D.E.C. PERMITS MAYBE REQUIRED. - -Of NO"-~(2.lsn'n'w f'o(2. 0f,1lM,1' 110. Ztf3Z/7:?: 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. /..re-11Jf2. l3ol,t,4(Nv 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 ) ?#jfIP l)lf:-.I3t.H,,,, ~k /.JJt 12.:- being duly sworn, deposes and says that (s)he is the applicant (Name of in . . dual signing contract) above named, (S)He is the CoN17l/?'C-n/L (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 ~efore me thi~ .// ;ZS day of ~0 20~ lV~cfJ~~~~ Notary Public WAl TRUD DE BlASID NOTARY PUBLIC. Stal. of N.w Volll No 52.4773126 Ouallfled in SuffOlk County COmmission Expires Jun. 3D, iI2J:2p 2 ~ j)ffi . Signature of Applicant () 0 CJ - ) I / - i J - ,'l OWNER ~ 1-- ,- //",' ,r. 0ch(..l /:L FORMER OWNER ,t", /:" /k iAJ, J, /;/ - I 'd X / {'f""? J f-, lES. J, /-", '/ .! ~' SEAS. LAND IMP. IOOD ()[j '""":' ~ c:J. 7 C'. S 0 c, 7 VD L) 9 J DO EW -,'(' NORMAL Farm Acre ';lIable 1 'illable 2 'illoble, 3 Voodlond womplond :rush~d ...... ; 'louse Plot 'atal TOWN OF SOUTHOLD PKOPERTY RECORD CARD /16 VI LLAGE DISTRICT SUB. LOT -# </ # 'dol'S".! v /1;;' f ;(0 'l I N fuTC..-:-J. f-t'j l t L. E V (' ;0""'" ACREAGE tj' f ,cl~,;~_;(ll ,~-t,(/,,_ .' S TYPEOF BUILDING W ~,. ~- -~"-_. ~--,- I VL. FARM COMM. CB. I MISe. IND. TOTAL DATE 7,J I "0....2. 7; rdO, 0. "- fer- Td Co',- bf' I e/rc, ~I J >/"'^ /./ ,.zr/ 7 P 'J," '- .,;)... ):',' ,4 <'" .,.. S70 .(Ji?" -e;r..?y......../<Ju//q ".'" "1/ ,...........,/-v.crdj 9;;flf:..."sf: /I9J6 ('(>!slr. ;n hi ~"I .!.~ #t:.'6''':.d~I1d.-~ /X/f!'}. ~o/'/ #,JSS; (N<J e."j~d- /; ScA,,;'I.z. f 9:;:1- . ,,/Jr h eedr:.d Q-"''' 2'" ,"--:;: 'tuu ABOVE liJ-ft, Volue Per Acre Value ,. "- ,......, , i .J ;C ~ .~.... - , ---. 'l! ..~ (p '" '" 0.1 ...... , "1- I < 'v' V ".. . ! \ I "I l-I'f , , \, . 7 7 1 ).~ .;:,s- ~.,~ ~=~~::":~~~:~:=~~~~~ 7~~~~:_-~ ~~~~--:::'~-~<=--,~-_c "- - ~- I j I I I BVI^4-IC,.r,,1 M. Bldg. IdS / .- I Foundation Both 1l..e<. ::\ 0 - () ~d.. .:' , , Extension I / ; 5 - L' 7S Basement FuLL Floors I~co..,d"i-- l I , - ! I -- Extension q X 13 - /04' I::: f9 ~... Ext. Walls Woo?) SIF ..~ . Interior Finish S-i, ~ ek - -----..- ---- . /60'; jp!i) -0 ~ hutJ t8r.R. IIr W Extension .......y /rrJ,L U Fire Place HeOlt jq: f .-- (,<<'1 Porch Attic I. ~ ...<.r 10 I..''''' ~ I2-U '7'f" 4' I (( I~ v 1._ :) ;.;' r:; ~ ..1./1 Porch Rooms 1 st Floor U It' ; 'i ? ".~:' > ~ '1')1 .2f -' '- Breezeway Patio Rooms 2nd Floor 'I~ ---- ------ .- Garage ;22- y).,tf " S:2-l? 791 Driveway J . - O. B. jqW 'le., -;):,;:j.; '/r.r4..(", ~qO ,_,1'< ,- .". , ~ . " ---- - , - 1/t133t.j ... -- ARE~ I StZ:Elnl J,. II C 0 E F G CAP ~ F"T i bA..\... ! A JJ I :- t ( . o o ,j IB Ls ./ . I i I: :J Y;~{//IIII.#@;:~~ P~AN ~S~R4L .N"TE~... '? ~/;"?/~:.~.;:~~? ~:(s~; "'. "__ ._.... . ...... , I - &X& .... ." ...' L-> .Wt6>~/~~~ ~:~:) .... ..... ~.. .. , . .: .. ..'.... :.'" "'J .: TIL:: FLCI"'~ TH:: CESIGH JS a.Q.~E:J ON A OR4IHAGE: SO I!... WIT;.. <IOC/t".SIL"':'. G'lOUN~ ..."TER SNAI..I.. NOT EXI~T WlTHII; THE UWITS 0" THE EXC:'VATION. IF GROUND WATER EXISTS WiTHIN 6 '-C' e.::l..ow ..RACE SPECIl.I.. CEWUERING 'FACII..ITIES WII..I.. e;;: REOUIREC. WATER CISPOSAI.. IS I..I..ITEO TO OWNER'S PROPERTY "J SURCHARGe: AI..I..OWEO WITHIN 4'.0. OF SNAI..1..0.... EI;C ANC &' - O' OF OEYP .ENC. TH" P><E\.WATIC.t.I..I..Y APPUEO CONCRETE lGUNrTEl SHAI..I.. e:: A 1'4 WIX WITH A WAX1WUW OF :S;Z (;:.l..1..0NS OF W"TER PER SACK 0;: COIENT. REII/FORCING STEEl.. SHALl.. BE INTERWEC1ATE GRACE BILLET STEt:.. WITH A W1NIWUW LAP OF 30 SAR CIA"ETERS. POOl. WATER SUPPI..Y BT OWNER'S GARCEN HOSE. 1'001.. TO BE ICEPT FULl.. DURING FREEZING WEATHER, PUWP-CU'AC:!TY T~ BE Si,iFFTCilTirrO'"l;Il-"1'r"O'oc.-" . .. IN. '.24. KOYR$, ---",,-...-.--... ---- " . ~; o. .. f-' '::""; ,'- , . .t: -:"-: , ..' ,\ . ':":"?' ::..'" .. .. or:-: "a ~ 4'.~ #" WARBLE OUST FINISK AI..:" AROUND TIES IZ.OC :.1. --:' ..- .' .... f OIVIHG; BOARD ( J.:::L ' =I" d.J ':: ( '" . ' UNOERWLTEfl . I..IGHT (OPTION"LI . /NI..(T L- LACCER j :l . I . .' . _.- . ,._.~ ..... I. r. . .,. '+JND[:>}!~'''Tr~i_.~~.RT'F'CATE .: .. ;..lji:-.~.J.ij,;':'.J IHLET FI1'-:'ING Cr, , ~i -.. AUTO"ATI~ S11W,iER . ' "IMMEDIATELY~~ . ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" o I 'IU, IN DRA,N' . I . I , ~, - I. 11 "'AST:: '" , .. III....... .. __II. to fOUIIDATI.h" U L - , I'ORPOl ~_., . ROUGH-FIr nafl ,lLYER : " ..... ';' .,~. ;.... '. . 1N8lU1IDII". .? (PUll!'. IIAIR a LINT .......... ..CllIL...,JlI 1_- , . ..I' CI.TCHER ." S~H'.~"- . --, -:-.. -- ...-:...:.,/ "M.t~.T~~" :""1' :/~I:~J.y. ..._:..~~ .. ::.':t~i~"~ o 5:::TIOI'; A-A' t: c- . -._~ -----.... L f~ RETURN T~ " IIlI..ET . ~ "'~ .' . " 0' .'..!J' ., .",' t., I . . .r.z. .' . ~ . .;.':-" c. . '" . o o i~ L.UtE , ~ o ..J .. , ~ o' ... ' <:: .... '"' > >< .. ~ I , I I I I 'f I ; .. r' . -. ~ .. II.' i I I'.' -, ,/ ...., . . . ! . t' . .. RACIUS V4RI!S 6" to 24'. S~.AJ....CrI( E,",O Z5" UP ON DE::" E"O . .----..----. . :"f 4 .STEEL REINFORC.E.O._.....:__ . ....__ ... ''-~' -. . . /"AI~ DRAIN OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIC;'T ,;', OF OCCUPANCY . t . . SCH::MATIC' PIPING' ARRAN.GMSNT-,;.. oePTH < ,'-0. :>"5" - o. HOl\lZr IZ' 0 C 11." OC ,/(I\T. IZ.OC ,.oe . fl.O(I~ J~.:CC':UCHW"'Y 0fI ...... . ",' .-' .)WESH tEQUIY.lJ..EHT WALL SECTION B-B "!. . -. ..,. . -.-. .............. " ,. ~ :.. . . . .... '. :~..~. :.;:'..~,.,. ~ ;'.. .;. ~.'.~ ';.:.---. . . -.... '. ... '. ~ '- ! . ;. "0 .. 0 CUSTOM BUILT SWIMMING POOLS BY JIM OTTO Gunicc Construction Sales. Servicc . Supplies - Reconditioning 516,286.3040