HomeMy WebLinkAbout32906-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33192
Date: 08/05/08
THIS CERTIFIES that the building AS-BUILT ALTERATION
Location of Property: 1225
(HOUSE NO.)
County Tax Map 1110. 473889 Section 21
AQUAVIEW AVE
(STREET)
Block 2
EAST MARION
(HAMLET)
Lot 16
Subdivision
Filed Map NO.
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 14, 2007 pursuant to which
Building Fermi t 1110. 32906 - Z
dated
APRIL 16, 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 ALTERATIONS INCLUDING FRONT ENTRY TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to LEWIS & HELAlNE TEPERMAN
(OWNER)
of the aforesaid building.
SUFFOLK COOI!ITY DBPARnmRT OF HBAL'l'B APPROVAL
N/A
ELECTRICAL CERTIFICATE J!lO.
2042478
OS/26/05
PLUMBERS CERTIFICATION DATED
08/23/06 MATTlTUCK PLUMBING
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Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
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 Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of 1 % lead.
5. COllU11ercial 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 existinl}-buildings (prior to April 9, 1957) non-confonning uses, 01' 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 rcasons therefor in writing to the applicant.
C. Fe~, .,.__ ~
1. C Cc'rtrfi-e.e.tp nf nrrlll"\"n...- y ... tJ -;jT~mg ~)..., (Ilt. Additions to dwelling $25.00, Alteration dwellin
Swimming pool $25.00, Accessory building $25.00. Additions to accessory buil 5.00, Businesses $50.00.
2. Cel1ificatc of Occupancy on Pre-existing Building - $Ioo.ao
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Cel1ificate of Occupancy - Residential $15.00, Commercial $15.00
Date.~lo~
V
New ConstruFtion: Old or Pre-existing Building:
Location ofP~opeI1Y: );)::15:" A~llo...V,' ~ ,A.J"
House No. Street
(check one)
;;~ tfll1,f/'O>L.-
Hamlet
Owner or Owners of Property: L ~ LU " s \' .Q..r~ dVIA. a r,
Suffolk County Tax Map No 1000, Section 6 a I Block
...\\~
Permit No. ~.)q 0 L., .
00\..
Lo t..QJ (.,
Subdivision
Filed Map.
Lot:
Health Dept. Approval:
Planning Board Approval:
tJ \ A.
.
N\A.
Applicant: Lew\~
Underwriters Approval:~ .
T-e~€..~
JV~'~.r qJoWVt:,P
Date of Permit.
Request for: Temporary Certificate
Fee Submitted: $ d'S; .09
Final Certificate:
v (check one)
~~ature
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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.
32906 Z
Date APRIL
16, 2007
Permission is hereby granted to:
LEWIS & HELAINE TEPERMAN
200 EAST 32ND ST APT 35B
NEW YORK,NY 10013
for :
AS-BUILT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING .
ADDITIONAL CERTIFICATIONS WILL BE REQUIRED. THIS REPLACES BP # 30970
at premises located at
1225 AQUAVIEW AVE
EAST MARION
County Tax Map No. 473889 Section 021
Block 0002
Lot No. 016
pursuant to application dated APRIL 14, 2007 and approved by the
Building Inspector to expire on OCTOBER 16, 2008.
Fee $
300.00
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ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
3;QD(o
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
30970 Z
Date FEBRUARY 18, 2005
permission is hereby granted to:
LEWIS & HELAINE TEPERMAN
200 EAST 32ND ST APT 35B
NEW YORK,NY 10013
for :
AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR. ADDITIONAL CERTIFICATIONS WILL BE REQUIRED.
at premises located at
1225 AQUAVIEW AVE
EAST MARION
County Tax Map No. 473889 Section 021
Block 0002
Lot No. 016
pursuant to application dated FEBRUARY 14, 2005 and approved by the
Building Inspector to expire on AUGUST 18, 2006.
Fee $
300.00
ORIGINAL
Rev. 5/8/02
'..- -
TOWN OF SOU I'HOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
PERMIT NO.
3()q 90b
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
~~;9
Disapproved ale
20 )-
'-
Examined
Approved
,20 -.,--
Mail to:
Expiration
/
~/;.-c ,20~
Phone:
r:r.s I 4 "
APPLICATION FOR BUILDING PERMIT
Date
,20_
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout 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
i~suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of 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,. hoUS~tn , gulations, and to admit
authorized inspectors on premises and in building for necessary inspections. /'
, ./~
L (Signa~e ~f applicant or name, if a corporation)
5/1/ 2-0 /J7P//,' Rcad/ ~tJ / d _
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Hffit '
Name of owner of premises Leu/; S ,j /fe/a/',u / eOey/Y7~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
I z.. '2-5" Ar I/t:t 1/ l.&w ~i1AA.P .
House Number Street
E;zS;T ~/en
Hamlet
(Name)
r:,38 JO~f:>
BI k x ~I" .,v, ,. ;id' "'Ji'l..11' I.""" /' /
OC l/ t!.!l:" 'ct\',,:.,.."l:i'c:';,-;'~t ,1''''''L./f t..,(::J
Filed Map No. rtnooc ~;,)\i. 'i n, !,.,\il6oot
\UO~ .8l J&uayJ,\~" ,~.) :~J,h"'1;I~-.~~
County Tax Map No. I 000 Section .2 /
Subdivision
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
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
Rear
Depth
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 or regulation? YES_NO _
I
.
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
- - --
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
5vI, SS'
COUNTY OF 'IIL ) .
~h-'llc.. C -/1;
being duly sworn, deposes and says tbat (s)he is the applicant
(Name of individual signing contract) above named,
Il~-
( ontractor, Agent, Corporate Officer, etc.)
lJ 0 r-e-
(S)He is the
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 tbat the work will be
performed in the manner set forth in the application filed therewith.
20 b~
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Signature of Applicant
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSU N
] FRAMING I STRAPPING INAL
] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRlICnON [ ] FIRE RESISTANT PENETRATION
REMARKS: 1/1/ 4JIb:Ts &/ ~
~~ ruJtW- M# JVloc'
CP
DATE Pi ./c;>
/
INSPECTOR
-
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FIELrfINSPECTION REPORT DATE
COMMENTS
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FOUNDATION (1ST) f--- -- .-
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FOUNDATION (2ND)
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INS tLATION PER N. Y.
STl "'E ENERGY CODE
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ADDITIONAL COMMENTS I b/
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1/2!ft1'- /tru€1I'j)~'tl n jl;d~ -1~tm-.t.,e"nlry----;~cf ~.#()&L/
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I Located at
~ Application Number:
I Section:
~
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~ First Floor, Second Floor,
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
~ herein, was conducted in accordance with the requirements of the applicable code andlor standard
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
~ authority having jurisdiction, and found to be in compliance therewith on the 26th Day of
~ ~~.
~ Name OTY Rate Ratin. Circuit ~
~ Miscellaneous
~ covers 1 st floor kitchen and
~ entire 2nd floor
~ Appliances and Accessories
= Exhaust Fan
~ Oven
~ Dish Washer
~ Wiring and Devices
~ Outlet
~ Fixture
~ Heat, Light, Vent
~ Outlet
~ Receptacle
~ Switch
~ Receptacle
~
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
DOROSKI ELEC. INC
P.O. BOX 781
CUTCHOGUE, N.Y. 11935,
LEWIS TEPPERMAN
1225 AQUA VIEW DRIVE
EAST MARION, NY 11939
1225 AQUA VIEW DRIVE EAST MARION, NY 11939
2042478
Certificate Number:
2042478
Block:
Lot:
Building Permit:
BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located inion the premises at:
3 0
1 0
1 0
30
1.2
F.H.P.
Amps
KW
16 0
13 0
3 0
40 0
23 0
25 0
6 0
Fixture
Incandescent
General Purpose
General Purpose
General Purpose
GFCI
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Town Hall, 53095 Main Road
P.O. Box 1179
Sourhold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 91ll. ~!o(;
{ /
Building Permit No. 30 970 7'_
Owner: /l11'-..f/J1/<,;:: 'T6 PG,e M 14 /'J
(Please print)
Plumber f/}~/llvC/4- Plu~:~
(Please print)
I'............!
J
1 certify that the solder used in the water supply system contains less than 2/10 of 1 %
,1
" :' ,j
lead.
Sworn to before me this :/3 (.!;)
day of JJtU; uw
,
.
,20~
~~
Notary Public,
DENISE KING
NotarY Public. State of New York
RegistratiOn #OIK16041757
Oualified In Suffolk County 0
My Commission Ex ires Ma 15. 2t2.J.JL
"
j0970-r::
:r.:B 22
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(631) 477-1652
February 22, 2005
Mr. Michael J. Verity, Department Head
Southold Town Building Department
Main Road
Southold, NY 11971
Re:
Residence
Dr;; Lewis Teperman
1225 Aquaview Road
East Marion, NY 11939
SCTM # 1000-021-02-016
To Whom It May Concern:
I have inspected the renovation at the above
mentioned residence and note that the insulation,
rough framing, plumbing supply and waste lines all
meet the requirements of the New York State Building
Code and the Southold Town Building Code.
;;;:: /J1 ~
Lawrence M. Tuthill, P.E.
regi weile ~
~ {eNNJ,&
architect
905 aquaview, east marion,
post office box 223
e-mail vregiweile@aol.com
new york, 11939
631 477-9735
Building Department
Southold Town
53095 Main Road
PO 1179
Southold, NY
16 April 2007
Re: Teperman Residence
SCTM 21216
Building Permit #30970
Dear Building Permits Administrator,
As per your letter of 9 April 2007 regarding the above Residence and its respective
Permit, we hereby request renewal of that Permit. Attached please find a check for
$300.00. Dr. Tepermans Contractor will call for an inspection after review of the
completed work.
Thank ~Ot
~'~ lJ7
r~i weile
.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
~BOb Ghosio, Jr. ~ I\,
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1\ July 21,2008
Mr. Joseph Kollen
Joseph Kollen Enterprises, Inc.
1205 Tuthill Rd. Ext.
Southold, NY 11971
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765.6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
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RE: LEWIS TEPERMAN
1225 AQUAVIEW AVE., EAST MARION
SCTM#21-2-16
Dear Mr. Kollen:
The Southold Town Board of Trustees reviewed the plans prepared by Eileen Santora
dated June 9, 2008 and received on July 21, 2008 and determined the proposed
construction of a 3'X 5' roof over the front door, with no structural posts, to be out of the
Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of
the Town Code.
Therefore, in accordance with the current Wetlands Code (Chapter 275) and the
Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kind may take place
seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of
the coastal erosion hazard area as indicated above, or within 100' landward from the
top of the bluff, without further authorization from the Southold Town Board of Trustees
pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility
to ensure that all necessary precautions are taken to prevent any sedimentation or other
alteration or disturbance to the ground surface or vegetation within Tidal Wetlands
jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such
precautions may include maintaining adequate work area between the tidal wetland
jurisdictional boundary and the coastal erosion hazard area and your project or erecting
a temporary fence, barrier, or hay bale berm.
This determination is not a determination from any other agency.
2
If you have any further questions, please do not hesitate to call.
Sincerely,
Jam~, ~i17
Board of Trustees
JFK:lms
FORM NO. 4
topy FOR YOUR
INfORMATION
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z- 6793
Date: 05/03/04
THIS CERTIFIES that the building
DWELLING
Location of Property: ~225
(HOUSE NO.)
County Tax Map No. 473889 Section 2~
AQUAVIEW AVE:
(STREET)
Block 2
EAST MARION
(HAMLET)
Lot ~6
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JANUARY 7 , ~975 pursuant to which
Building Permit No.
76BS-Z
dated
JANUARY 9 , ~975
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 >
>NOTE: THIS IS A DUPLICATE ORIGINAL OF CERTIFICATE OF OCCUPANCY ISSUED
ON NOVEMBER 28, ~975.
The certificate is issued to FRANK J. & MYRA K. SALAMONE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 5-S0-3
11/26/75
ELECTRICAL CERTIFICA~ lIIO.
N-251162
~0/20/75
PLUMBERS CERTIFICATION IlATIID
N/A
~ iL~
~i~ture
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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TC<:J:' ScCc1Ct.')'.'; __J.\J'PLICATION 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 bnilding or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing bnildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
.2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
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Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinnning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 5:" 3-D t-J
New Construction: Old or Pre-existing Bnilding: V (check one)
Location of Property: /.2. ~ 5 ;10IJaj/,hAJ f(,J t!'a.sf lJ1a.rlO'->
House No. 7 Street
Owner or Owners of Property: JOAAlAJA k-lflAlNOPOVIO S
.
Suffolk County Tax Map No 1000, Section 2., / Block 2..
Hamlet
Lot 1(;
Subdivision
Filed Map.
Date ofPennit. I'~ 9-7 \' Applicant:
Underwriters Approval:
Lot:
Permit No. 7 t. 8" ij
Health Dept. Approval:
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: 8,,Lc. ~ 190 15 ~
iJ)..l.'f~~.j 1co-e 679'2
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 2..)'%
Final Certificate:
( check one)
IIk>J~,d~
. Applicant Signature -
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EST. 1979
HOME INSPECTION' BUILDING PERMITS' EXPERT TESTIMONY
31 CEDAR LANE NORTH
GLEN HEAD. NEW YORK 11545
(516) 317.9560
(516) 671-1970
NEW YORK STATE REGISTERED PROFESSIONAL ENGINEER
April 16, 2004
C'
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APR20.
Town of Southold Building Dept.
P. O. Box 1179
Southold, NY 1197 i
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Att: Georgia
SUBJECT: 1225 AQUA VIEW AVE., E. MARION
Dear Georgia:
. . .'.
As you are aware, my fimi isrepresenting the lawoffices of Denis Brody to provide
engineering services in an effort to obtain the necessary Certificate of Occupancy for the
premises located at 1225 Aquaview A venue in East Marion.
On March 24th, we met with you to discuss the outstanding items, which are as follows:
1. Beach House: The beach house was built prior to 1957 and is deemed to be
considered a pre-existing non-conforming structure. To obtain the Certificate of
Occupancy, an updated survey of the property and all structures was provided to your
office. it is our understanding that the Town building inspector will inspect the beach
house for compliance and provide the necessary certification.
2. Main House: We were informed that the main house does not appear to have a C. O.
To obtain a C.O., a letter certifying that the structure is in sound condition and
conforms to the Building Codes in force at the time of construction (1975) have been
met. We met with Gloria (Real Estate agent) at the premises. She provided us with
entry so that we were able to conduct our inspection. The building is a two-story
frame construction dwelling \vith a full finished basement. The foundation consists
of concrete foundation walls with wood paneling throughout. No observable
fOlllldation cracks were detected. The concrete foundation is in structurally sound
condition. The floor joists consist of2" x 10", 16" on center and span 15' to main
bearn, which is supported by lally columns at 9' on center. The observable floor
joists were in excellent condition with no evidence of damage or termite infestation
and can be deemed as in structurally sound condition. The first floor consists of the
I'
TOWN OF SOUTHOLD BUILDING DEPT.
1225 AQUA VIEW AVE., E. MARION
APRIL 16, 2004
PAGE -2-
"
entrance foyer, kitchen, 2-story open living room with fireplace, hall, hall bath,
officelbedroom and bedroom. The second floor consists of the open area above the
living room, hall, hall bath, bedroom and master bedroom. All rooms were checked
for code compliance for lighting, ventilation, and egress: All windows and doors met
or exceeded the code requirements. The attic is accessible via an opening in the
ceiling of the master bedroom closet. The ceiling joists consisted of 2" x 8" at 16" on
center. The roof rafters consist of 2" x 1O"s, 16" on center spanning 15'.
Based upon our inspection, we deem the structure to be in structuralIy sound
condition and conforming to the NY State Building Code at the time of construction
and recommend that the Town issue a e.O. for this structure.
Note: We were informed by Gloria that a C.O. was issued and has been misplaced.
She provided us with the C.O. # 6793.
3. Rear Deck/Porch: We were informed by the Town that if the survey is correct and the
deck is a porch then a separate permit application and plans will be required. If it is a
deck, then the certification letter will include the deck.
Based upon our inspection, the survey is incorrect. The porch is a wood deck. The
deck is in structurally sound condition and can be certified as such.
Accordingly, the above shall serve as formal certification that the main house and deck
do conform to the New York State Building Code in effect at the time of construction and
respectfully request that the beach house be determined by your office to be a non-
conforming structure so that a C.O. can be issued for the entire premises.
Very truly yours,
/h
JAMES M.
cc:
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POBM J(O. 1 Sf.}!]')" f:;,JrI~vr;..--- (v 7' Ol~, \J)
TOWN 01' SOUTHOLD. I"~ S,,h '1-' ,,, "I",' C...:> "I 'to '),
BUILDING DEPARTM~T p,~.~ ;q:..... ~ ( " I do.. r--
TOWN CLERk'S OFFiCi" 3."1'- 7lJ< v.;,.! V' (J ,< n;r J '),
SOUTHO\.D, N. Y. ?-7-"7" ~ ;-""t6jT\ "..r~Ji<j,1- .):
& a,.....'LJ. c...u r /l<../" ,;, A,;;r"s) b -""
Examined .... .. ~....(}........... 19.7.~ f?,. ,,-- """.:to. 0,," ~ APPII,ion No. ?.......f...~................';:
Approved ... ............'.!.........!........ 19..??,"Pennit No. .7.f..f..?.?.....::...~'!!.?:~- :-~- ~'~/,"..t<';7 ~\
........u< "" ..",U """
Disapproved ale .....~....... ..... .................. ...... .......~"...... ...... ~
;r...&, <'J!81 @." .._.._._..._-~...._.--.~-^ ....,"~-
7f5 z]". 90 ~ APPLICATION FOR BUILDING PERMIT ~
Date ................/1.......7............., 19Zs.::....\Jr
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a. This application must be completely filled in by typewriter 0" in Ink and submitted in triplicate to tho Building ~
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. ).
b. Plot plan showing location 0* Iot'ond of buildings on premises, relationship to adjoining premises or public streets or ""
areas, and giving a detailed description of layout afproperty must be drawn.on the diagram which Is part of this application. '
c. The work covered by this application may not be commenced befot;e issuanca of Building Permit. "tl
d. Upon approval of this oppllcrotlon, the Building Inspector will lsiue 0 Building Permit to the applicant. Such permit ~
sholl be kept on the premises available far inspection throughout the work.
e. No building sholl be occupied or used in whole or in port for any pulpose whatever until 0 Certificate of Occupancy '),.l
sholl have been granted by the Building Inspector. ~
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INSTRUCTIONS
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APPLICATION IS HEREBY MADE to the Building Deportment for the issuonce of 0 Building Permit pursuant to tho
Building Zone Ordinance of the Town af Southald, Suffolk County, New York, and 9ther applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or 01 terations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable lows, ordi nances, bulld,ing code, housing code, and regulations, and to
admit authorized Inspectors on premises and in buildings for necessary Inspections.
....~.I6...~.PE.................
(Signature of applicant, or name, If a corporation)
........l8.~.nM.~.~9..~..~!!..~.;;"....hp.r....U.':f.:t:7......
(Address of applicant)
State whetl1er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.. .................... ............ .........................{i:..N.4.1..IJ.f?!i?:.g,....................... ..................................................................................
Nome of owner of premises .................F.:~tJ.~......J.,...?b.b~.M.Q~E............................................................
,
If applicant is 0 corporate, signature of duly authorized officer.
Plumber's Ucense No. ................................................
.. ... .............(N~;;;;.~-;.d..titi~..~f..~~.;p~.;~;;;.~ffi~;.;j.........
Builder's License No. ....................................................
72' 32- f
1. Ot:a:~::~sl~:: ;~~~..~.;~..:~~.~.i.;;.~..~~:~ Map No.: ...............x....................lot No. &................... '
Str.et and Number ........................................AQ.V1l..V.1.E.W.,.A."'li.t.....~:r..MlI..~\OU...................
'. Municipality
2. State existing use ond occupancy of premises and in~ended use and occupancy of proposed construction:
a. Exisitlng use and oecupancy ....................v..~-:r:..................,:...................................................................
'-r~
b. Intended use and occupancy .................:TW..Q..'QTQ?.Y.:...g~~I.~.........................................
Electrician's License No. ............................................
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3. Nature of work (check which applicable): New Building .....~...... Addition ...........,...... Alteration ..............
Repair .................. Removal.................. Demolitior.,.............."... Other Work ...,.................................,.......... ....
II a (Description)
4. Estimated Cost ........~.Q9.o.Q............... ......... ........Fee ...... ....... ...... g: 4...16............................ .... ......... ...............
(to be paid on filing this application)
5. If dwelli.ng, number of dwelling units .........Q~.~.....Numbcr of dwelling units on eoch floor ............................
If gor(lge, number of cars ............... .................... ..,. ........ ....... ...... ........ ........ ................... .................... ......."...... ...........
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, jf any: Front ..... .'", .',',. ...... Rear .....:..,.: ................. Depth ....................
Height ........................ Number of Stories ...............,.......................................................................................,........,
Dimensions of some strw::ture with alterations or additions: Front .................................... Rear ............................
Depth .........................:...... Height ...........,........."....,Number of Stories ................................
8. Dimensions of entire new construction: Front .,.......az.~.....,............. Rear ......:~k~...,......... Depth ...4::7.~..,......
Height .....~lP..~....... Number of Stories ................:Tlo!.lO........................................................................................
9. Size of lot: Front ................~.z...t'-5..'...................... Rear .........::1::~~;t;;................... Depth ..:2tl::7..'.II.~.
10. Dote of Purchase ....................Jg.'J.3.........................Nom. of Former Owner ........................................................
11, Zone or use district In which premises are situated .......,...........,.....,.................,.......,...................,...'.........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...........~............................,..........
13. Wiil lot be regraded .........~li<..<Q....... Will excess fill be removed from premises: ~ Yes () No
14. Name of Own.r of premises F.g".\.U<...J...~M.,f,;~.li\.... Add.... ~r.,,/..I... Phone No. 4:1.2~Z.
Name of ~(~~40~a.o"l..K.AIi~/.I?E....... Address/.......J"t~;;:.~~. Phone No.'7.::z.t.7~1.
Non1e of Contractor ..............,.......,.................,............,.,.... Address ................................ Phone No. ......................
PLOT DIAGRAM
Locate claorly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and Indicote
whether interior or corner lot.
.s;u rF ~ ~ f.fl~
~6'G~~F o~~~~.4IC.......JS.S
............Cfa~.\J.~.At-:lLE-.i?.fJt.~..............."... .being duly sworn, deposes and says that he is the applico",
. . (Nom~ of Individual signing contract?
above named,
He is the ....................................~.I.t>,l..~.e:.g".........................................................................................................
(Contractor, agent, corporate officer, etc,)
of said owner or owners, and is duly authorized to perform or hove performed the soid work and to make and file
this application; that all statements contained in this application ore true to the best of his knowledge and belief; and
thOT the work will be performed in the manner set forth In the application filed therewith.
Swam to before me this ~
~~;~~0=;;~:..~~~..~~..::.. ...........:.2~:::..::...~~::-J~....~tJ!kd!!-.......................
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FORM NO. Z
TOWN OF SOUTH OLD
8UILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N., Y.
8UILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 7685
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Dr.. ).... .." to 19 ".'
ate ........... .................."'....t~u""..J.."'......7...., . .J..h.
Permission is hereby granted to:
C ol"1.4ln...Al~1I1al;1.. .hi:.;.. ~~J; :,,Jak.. .:~;Jl$lllOlle.......
......... ....J ;;t~IH~,po.r::t..............................................
..............................................................\.................
to .BlJ.:!.Jd.. L\ew...OJ.'le.. .ta1:1 i~,;...::. ;:.e.:..:.ir::.g..... ....... ........... ... .................... ................ ......... ..............
.......................................,........................................................................................................................
at premises located at .....r../."'..I<q.1l.&\<1.<1\w...(,3r.e. ................................................................................
............... ......... ....... .......... ...... .;;jut. .kla.;c;\.J:\tl..... .. ..I'>. ~i.~.. ........ ........... ......... ........... .........................
.................................................................................................................................................................
pursuant to application doted .........................iI.;;R........~l............, 19.7.5..., and approved by the
Building Inspector.
Fee ~Y:..J.5.............
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FORM NO. 6
TOWN OF SOUTHOLD
I Buildlnl Department
T_n Clarki Office
Sauthold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Inatruction.
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
I nspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of 011 buildings. property lines, streets, and
unusual natural or topogrophic features.
2. Final approval of Health Dept. of water supply and sewerage disposol-(S-9 form or equoll.
3. Approval of electrical installation from Boo rd of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, 0 certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Boord approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey. of property showing 011 property lines, streets, buildings and unusual natural
or topographic features.
2. Swam statement of owner or previous owner os to use, .occupancy and condition of buildings.
3. Dote of any housing code or safety inspection of buildings or premises, or other pertinent. in-
formation required to prepare 0 certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date
Nov. 28, 1975
New Building ......~........ Addition ................ Old or Pre.existing Building ................ Vacant Land ....~......
NIS AquAview Ave. East Marion, N.Y.
Locat; on Of Property ... ........... .................... ............ .......... ............... ........ ............... ............................. ..........
Frank J. & Myra K. Salamone
Owner Or Owners Of Property .......................................................................................................................
Subdivision ........Y.h.J$..........................................Lot No. ............ Block No. ............ House No...~?:.~;?..
Permit No. ..?0.~?...~....... Date Of Permit JI.21..7,:;.......Applicont .....f.,...$.>1J.fllllllnfL....................................
Health Dept. Approvol ...UQ:v~26..19.75...................Lobor Dept. Approvol ................................................
Underwriters Approval .....~?:?~.~~?:.....~!?!?;.C?!..??.......Planning BoQrd Approval........................................
Request For Temporary Certificate ........................................ FinQ) Certificate .........~...............................
Fee Submitted $ .:.!::~........................... ..' ,?
t',
. .
Construction on above described b}ild1.~g.:-~nd p .. m}.t m.~ 911 applicable codes and regulotions.
<;.. . / (~~ - - -:-P....
Sworn to before me this APPhC~~"'" -<::..... ,;..n.aIaiii(;iie........................;::;..~ ~;:.-;:";'~~
..............~;jr..?..?.- ~ ~/!f;,:~1)%'2-?7'i3
. .......... County IlWl L. ~a[ JA: ;/). ~ ~
~ PU lei' STATE OF NEW VIIIif'
IIIIIIlng in Sodr,lli 8'0. 0' ti me .r lIJIPtlnbnent"
Mv Commission Exoiro, March 30. 19" 7
#0. ~I'Ci"'91"o
.1..1 ",_: ...Jd ""i .,i .~.
....ff..f....... day of .....
Notary Public .......
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. THE NEW YORK BOARD OF FIRE UNDERWRITERS
1dJ.
BUREAU OF ELECTRICITY
8S JOHN STREET. NEW yORK: NEW YORK 10038
7. ApplWtioR '0. onfil< ,820333
N 251162
0.... O.etob~20 1975
THIS CERTIFIES THAT' .
....Eythe_~..~-.._,~ b,.dwW':-t__the....."",...tioa..u...&oN.._"...-oJ
:,Frank Salamone ~ 1225 AquaView Dr.. East.. Narion. L. 1. .
.. .. ....:, d '. '. ,~ '. ~ . " OX outside. :, . .'.. .
_ theJoB".,in., ~~; - L:J BasellMlftt :- ~,l~t Fl.. .' 2Acl Fl. .. - -.~ Secriott. Block" Lot :
-~.1"':.~.OtitObe!'. 16.;",1975" -,. 't:..._/0un4/Ob....complW""'~t~t,hor""";;.~.OjthU_...(. .... :..
FIXTURE RXTUIES' IitAMGH ING DECKS DISH WASHERS EXHAUST FANS' i
. OUTIITS ACLE5 SWI1atES NT fUIORfSCENT NIt". It W. NJ\.T K VI. l( W AlftT ... P.
AMi, Ie,!! OIl
".
. NO.
A.-wo.
'1
MUL1"l-OUlLfT
.. SY.$J!MS
NO. Of FEET
48''J:'ra k Ute
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; " '~'".-,. ~ ~-'
IllMMiRS
DIlY.ERS
FURNAa MOTOII5 .
~ ',!:,P:. ':MY.
1 l/8
1
2 '12
v
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OF "'I-lEG
NO. OfHElJ1'1tALS
II W.G
OF Nwn4,
,R
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OF cc CONO.
4/0
S E
)17W llt1N 3.13W 31"W NO.OFmtCCj.CONOj
.....
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>KUlf
-
EQUII'.
NO OF HI-LEO
IN"
4/0
1
x
1
1.
200 . Cl:l
OTHER APPARATUS:
.uimmer/s: 1-2000watts
1 Post Light
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-:-.;:~;'"<-;.~:::.;
4:.:.~;~'...:.:","':~;.:..
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CHNHAL
Barbor E1ec Ma1nt Corp
105 ll,a1n St
Pt. Jefrerson Sta.. L.I. 11776
~
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This certifkate must not -be altered in any manner; return 10 1M offjce of the Board if incorrect. tm.pedor~ may be identifIed tiy
9726-2.)<.
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SUFFOLK COUNTY DEPARTMENT OF HEALTH
Health Department
Reference Nuntler
~ So "3
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10.
APPLICATION FOR APPROVAL TO CONSTRUCT
A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY
1. Applicant rr4\tJK J SALAMOIJE Phone 4l7-0G37 5. Subdiv.
Address 1V~)Avll::W 1\il;:;;JtJi . IS. fvlA-iZ{O~ ~l. Y 6. Section
2. Property Location .~OO i'b./\..f"T t-Jt [1')~Nei?, Ft"L/<YPr'I. Lot Number
12->l:\'(') 8. Private Well
Village Township ;'7.D!rrlft:JLI'> 9. Public Water
3. Public Water Company Name Distance to main
4. Lot size: Width "1;'__-6z...feet Length 7'-4-D feet
Sewage Disposal System: (For Health Dept. Use)
A. ~-gallOn septic tank:
Precast~Equivalent~lock____
B. Leaching pools:
'X
11. If private well, fill in the
following blanks:
A. Tank capaci ty 42.. gallons
B. Pump G.P.M. 2-0
C. Total well depth
D. Depth to ground water
E. Amount of water in well
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Nuntler of pool s 0 ....Jt:.
;tf.'fO
Precast~Block_____Special
/
The undersigned CERTIFIES: "Construction of authorized installations will be in accordance
with the Suffolk County Qepartment of Health's current standards thereto. This application
will be valid for one year from the date of approval indicated below and may be renewed if
a current local Building Department Permit is in effect.
~~;~:::::{~~~~~~::::::::::::::::::::~~~~~~:~~~;~~~:::
FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the
opinion of the Health Department that an adequate and satisfactory Sewage Disposal System
and Water Supply can be installed on this plot.
1/7h,r
SIGNED
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APPROVAL DATE
S-15
Rev. 4/1/73
Errm/1'ppI' '''','-(1' ltr'w'r,~'r"""'S!f'~'\" ~.'1'-~'1?~'l"'\IfIDD
{IlL., ~ ' ' " l' ',',.: ~
"'U.;jj,~'\,,\jJi\.l..J .....,.;'Y ~......!..J1I ~'6.l ,~.f'J ba:........t....u.u..
1 . J. ::, ~.A _1 , ~_ -'; . h. ,j..;.._.
APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SWAGE DISl'USAL SYSTEMS
INSTRUCTIONS t Appliea tions must be submitted in tripl1ca te
~
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I-Means Owner or Builder. Address to which mail should be directed.
2-Means dstailed description of property location, together with street name and distance to
nearest intersection of main thoroughfare. also Hamlet/Village & Township.
J-Enter name of Public Water Supply Distriot, together with the distanoe to their main.
4-Enter Length and Width of Lot under appropriate heading, also enter these dimensions on
center plot plan shown on the faoe of this applioation.
5-Name of subdivision.
6-Section number.
7-Lot number.
S-Private well:
9-Publ1o water:
Enter "No" if Publio water supply is available.
Enter "Yes" it' Public water supply is available.
Enter "Yes" otherwise.
Enter ''No'' otherwise.
PROPOSED SYSTEMS: Answer to Item number 10, consult the Suffolk county Health Department's
Standards for Sewage And Waste Disposal Systems Design of Residential Subsurface Sewage
Disposal Facilities.
Part I-Residential Subsurface Disposal Systems covering oesspools.
PLOT PIAN: The following information is required concerning the Applicant's lotI
1. Lot size-Length and Width in feet to be indicated at the lot lines of the heavy lined
square in the oenter of Plot Plan shown on face of this application.
2. Surface waters-Streams, lakes, & Bays, etc., located within a distance of 100 feet of
Applicant's lot lines, must be shown on the plot plan also.
J. Wells and oesspools now on adjacent lots must be shown on the plot plan, together with
the distance to the Applioant's proposed Sewage Disposal Systems and well.
4. Where no buildings exist on adjacent lots, state "Vaoant" on the plot plan.
5. Streets adjoining applicant.s lot to the right, left or rear, enter street name.
WELL LOCATION: To locate the well & sewage disposal systems on Applicant's lot, the following
Standards must be observed:
Well-lOO feet minimum distance from the nearest oesspools.
Well- 25 feet distance from rear and rear sides of property lines when possible.
Well- 10 feet distance from front, and front sides of property lines when possible.
Well- 50 feet minimum below grade for well point.
Well- 40 feet minimum into ground water for well point.
Well- 4 feet 6 inches minimum below grade to well head and lateral water pipe.
CESSPOOL LOCATION: Upon determination of the Sewage & Waste Diaposal "tJ'P" o~ syetems" re-
quired, the following Standards must be observed for the location of same:
l-Cesspool- 5 ~eet minimum distance from lot l.inee to exterior of cesspool.
2-Cesspools exterior must be 100 feet minimum distance from nearest well.
3-Septic tank 'exterior must be 75 ~eet from nearest well.
4-Cesspool exterior must be 7 feet minimum distance from nearest water line.
5-Cesspool exterior IlIUst be 10 feet from hOUse foundation~
6-Cesspool exterior must be 100 feet minilllUm distance from surfaoe waters, streams, lakes,
& Bays, etc.
7-Cesspools IlIUst be 20 feet minimum distance from large trees.
a-Cesspool exterior to cesspool exterior, must be at least a feet.
9-Cesspool cover top to grade must be held to minimum of 1 foot to maximum of 2 feet.
10-Bottom of cesspool to ground water ~lst be held to minimum of 2 feet.
u~
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IlDV 2 6 1975,l. u, m:", 1.:)' So - 3 ~
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Chief of General Engin..rj~
Services
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TOWN \OF SOUTHOLD PROPERTY RECORD CARD
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AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable
Woodland
Meadowland
House ~t
Tatol
'--
VILLAGE
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W
5
DIST.
SUB.
LOT
.3
ACR.
Q,~ "'~
TYPE OF BUILDING
COMM.
I Cl5
MICS.
Mkt. Value
CB.
FRONTAGE ON WATER ,/tJ' (2..<,r:::::Z-
:::
FRONTAGE ON ROAD ,:;~ /
':' J"7,( x ~.9 "'- I '7';'-
DEPTH
BULKHEAD
.J.. 'I' tJ
,
DOCK
7-1
l
-
. COLOR fo..... 'Ilod TRIM -' I e.
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Porch oJ Basement Fv l/ Floors Ser^"ck..-", IK.
...
Porch Ext. Walls Ve~1:~.r / . Interior Finish \Ai 00" f:. ./.; LR.
Breezeway Fire Place /),,'P Heot F, H. II. oJ DR.
Garage Type Roof Rooms 1st Floor , BR.
~ . L ';'cl<e I- LS !'Recreation Room Rooms 2nd Floor FIN. B
O. B. /1.'/..11./-::-1.11 1~ 12.A Dormer Driveway
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SURVEY 01'
DESCRIBED PROPERTY
SITUATE:
EAST MARION, TOWN Of SOUTHOLD
SUFfOLK COUNTY, N.Y.
SURVEYED FOR: LEWIS TEPERMAN
HELAINE TEPER MAN
SURVEYED: 5 APRIL 2004
SCALE 1"= 40'
AREA = 12,457.7 5."'.
OR
o 286 ACRES
TM# 10OC-021-02-016
SURVE. YI:.D BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW UFFOU< NY /1956
631 34-5835
04R1311
GUARANTEED 10'
LEWIS TEPERMAN
HELAINE TEPERMAN
/6 MAY 0:; CHANG~ NMIES ON WIP.
26 APR 05 ADD CONTOUR lINfS ON BlUFf,
COASTAl EROSION HAZARO UHf
25 >.tAR 05 UPOATE DECK AREAS IlEI.OW BLU" lJNf:,
29 APR 04 CORRfCT STREET NAME SPEW/oIG.
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FLOOD ZONE A{l4-
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FLOOD DAMAGE PREVENTION
SOUTHOLO TOWN CODE.
Ne-..) dlluOCCUPANCY OR
{" 6 e USE IS UNLAWFUL
/N- - 22WffHOUT CERTIFICATE
OF OCCUPANCY
L,l/lfJ ~
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PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
PLUMBER
ON LEAD cg::TlFICA TlON
CERTlFICA TE O/NT BEFORE
SOLDER U OCCUPANCY
SUPPL Y SY~~~ IN WA TER
EXCEED 2/10 M CANNOT
OF 1% LEAD
0''111'' f(~ .
UNDERWRITERS CERTIFICATE
REQUIRED
FIRST FLoOR.
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1-/1 t-/i'
APFF.\.i, ~ ~"'.' D
Po E:~B.P.#~Pj~
F E. DC> s0-1 ;:6>'f -
N I Y BUILDING C~Pp.RTMENT AT
765 8 2 8 AM TO 4 PM FOR THE
FOLt: ING INSPECTIONS:
1, FO ATION . TWO REQUIRED
FO URED CONCRETE
2. ROU H . FRAMING & PLUMBING
3. INSU T N
4. FINAL . NSTRUCTION MUST
BE CO L TE FOR C.O.
ALL CONST U TION SHALL MEET THE
REQUIREME OF THE CODES OF NEW
YORK STATE. T RESPONSIBLE FOR
DESIGN OR C TRUCTION ERRORS. ,
, COMPLY WIT
NEW YORK STAT
AS REQUIRE;) AN
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