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Home My WebLink About32791-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 1/31/2012 CERTIFICATE OF OCCUPANCY No: 35420 Date: 1/31/2012 THIS CERTIFIES thatthe building Location of Property: SCTM#: 473889 Subdivision: SINGLE FAMILY DWELLING 1400 STANLEY RD MATTITUCK, Sec/Block/Lot: 106.-7-37 Filed Map No. conforms substantially to the Application for Building Permit heretofore 3/l 2/2007 pursuant to which Building Permit No. 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 porch and attached two car garage as applied for. Lot No. filed in this officed dated 32791 dated 3/12/2007 The certificate is issued to ANDREW KUPECKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 5/19/09 R 10-00-0183 7/27/09 12236 1/4/10 Talbot Plumbing & Heating FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32791 Z Date MARCH 12, 2007 Permission is hereby granted to: ANDREW KUPECKI MATTITUCK,NY 11952 for : CONSTRUCT 1 FAM. DWELLING W/ATT. 2 CAR GAR-AGE & PORCHES AS APPLIED FOR. THIS PERMIT REPLACES BP 29996. at premises located at 1400 STANLEY RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0007 Lot No. 037 pursuant to application dated MARCH 12, 2007 and approved by the Building Inspector to expire on SEPTEMBER 12, 2008. Fee $ 868.20 ~~ ORIGINAL Rev. 5/8/02 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. ~R~ Z ~ ~ ~ Date JANUARY 7, 2004 Permission is hereby granted to: ANDREW KUPECKI MATTITUCK, NY 11952 for : CONSTRUCTION OF A NEW ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE W/SIDE & FRONT PORCHES AS APPLIED FOR. THIS PERMIT REPLACES BP#27079. at premises located at County Tax Map No. 473889 Section 106 pursuant to application dated JANUARY Building Inspector to expire on JULY 1400 STANLEY RD NLATTITUCK Block 0007 Lot No. 037 7, 2004 and approved by the 7, 2005. Fee $ 1,339.80 ORIGINAL Rev. 5/8/02 TOWN OF SOJTHOLD 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. 27079 Z Date FEBRUARY 20, 2001 Permission is hereby granted to: ANDREW KUPECKI MATTITUCK,NY 11952 for : CONSTRUCTION OF A NEW TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GAR3kGE, SIDE & FRONT PORCH AS APPLIED FOR. at premises located at 1400 County Tax Map No. 473889 Section 106 pursuant to application dated DECEMBER Building Inspector. STANLEY RD Block 19, 2000 MATTITUCK 0007 Lot No. 037 and approved by the Fee $ 868.20 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual uatural or topographic features~ 2. Fiual Approval from Health Dept. of water supply aud 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 syste~n coutains less than 2/10 of I% lead. 5. Commercial building, iudustrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and uuusual natural or topographic features. 2. A properly completed application and consent to inspect sigued by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Akerations to dwelling $50.00, Swimming pool $50~00, Accessory building $50.00, Additions to accessory building $50.00, 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. New Construction: Location of Property: OWner or Owners of Property: Suffolk Couuty Tax Map No I000, Section Su6division Permit No. ~27~ ( Health Dept. Approval: Planning Board Approval: Old or Pre-existiug Building: House No. Strex[t Date of Permit. (check one) Hamlet Block -~ Lot -.-~7 Filed Map._ Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ t~..~. ~ Final Certificate: (check one) ~ pplicant ~gnat'ure SUFFOLK BUREAU of ELECTRICAL INSPECtORS, inc. 40 Nottingham Drive, Middle Island, NY 11953 Telephone:631 4958136 · Fax:631 9806455 · E-Mail: SBEIGS@gmaiLcem CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Sabat Electric February 4,2010 12236 Certificate No.: Final Inspection Date: Building Permit No.: 12236 February 4,2010 County Tax Nap No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Andreas Kupecki Site Location: 1400 Stanley Rd, F,latttiuck, NY 11952 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Service [] Shed [] Commercial [] Outdoor [] First Floor [] Pool [] Hottub [] New [] Renovation [] Second Floor [] Attic [] Garage [] Addition [] Survey Other: INVENTORY Single Phase 200a Heat oil Duplex Recpt 70 Ceiling Fixture 15 HID Fixtures Three Phase Hot water GFCl Recpt 8 Wall Fixture 8 Smoke Main Panel 1 AC Cond 2 Single Recpt 1 Recessed Fixture 57 CO Detect 1 Sub Panel 1-80a AC Blower 2 Range Recpt 1 Flourescent Pumps Transformer Appliances Dryer Recpt 1 Emergency Time Clock Disconnect Switches 44 Twist Lock Exit Fixtures TVSS GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan 2 Other Equipment: 28~immers, 1-hydro massage tub, 1-dishwasher, 200a under ground service The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Sabat Electric Inspected By: Roger Richert License No.: 4204ME Date Of Certificate: Feb 15,2010 CERTIFICATION Building Permit No. ~ oq, '7 q [ Owner: (Please priht) Plumber: (Please print) Date: lead. Sworn to before me this / day of ~I~ ,20 NO~ Publlo, 8~ ~ N~W~ ~. 01C~1~6, 8~k ~u~ I certify that the solder used in the water supply system contains less than 2/10 of 1% (Plurhbers Signature) 765-1802 BUILDING DEPT. [ v~FOUNDATION 1ST [ INSPECTION ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP~E & CHIMNEY /.~ ~:~ ~~ ?~//~ ~ DATE -/~--/ ~ ~N~P~R ~ ~ 765-1802 BUILDING DEPT. INSPECTION [~] .~)uNDATIoN 1ST [ ] ROUGH PLBG. [//] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR [ ] FOUNDATION 1ST [/ROUGH PLBG. [ ]/FOUNDATION 2ND [ ] INSULATION / [/] FRAMING I ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.: //~ / "'~...~/INSPECTION [ ] FOUNDATION 1ST [,~UGH PLB~ [ ] FOUNDATION2ND [ ] INSULATION [ ~'"I~RAMIN~""~/~ [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~-'R~UGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY INSPEC'TOR 765-1802 BUILDING DEPT. INSPECTION [~ROUGH PLBG. [ ]FOUNDATION 1ST [ ]~UNDATION 2ND [ , ]~/NSULATION [,,/] FRAMING [~J" FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~-~:~'~- ~ ~'' ~t/1. -~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~iNSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ? 2~ ~ 7~- 0 ~ INSPECTOR ~--~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~/~ -~/~~J)~ < ~-~ // '/, ;, ~-. / DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~FINAL ,~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE -~ '- ~''~ ~" ~ ~ INSPECTOR FIELD INSPECTION REPORT FOU~ATION ( ~ St) DA'I'g FO~ATION (2ND) ROUG~H FRA}~ & PLU~IBING [I II II II~$11LATION PER N.Y. Il ST^~ E~r~ II CODE II II II COUNTS :L .............................. FORN NO. ! TO~IN OF SOUTHOLD BUILDING DEPARTHENT TO~N BALL SOUTHOLD, N.Y. 1197 I Dis~pt~ed a/c ............................. .... . ........................................ AP~I/ICATION FOR BUILDING PERi, IT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ......... '. ..... SURVEY ........................ CHECK ......................... SEPTIC FORN ................... DEC ........................... os zs ............... /<: .... 's n y: _ CALL ......... .~.~. IL T ?,o. [iA O: ........ If. .......... D~// ., 20oo Date ............ ' ....... a. 1his applieatim mist be conpletely filled in by t~e~riter or in ink and ~nitted to the Building Inspector 3 ~ets of pla~, accurate plot plan to scale. Fee according to r~dule. b. Plot plau tabooing location of lot and of buildings on praises, relationship to adjoining premises or public streets or.areas, and giving a detailed description of layer of pmpert~ m,.t be dra~u on the diagram ~/nimh is part of this application. c. The ~ co. red by this application ~ not be core. riced before ismumce of Building Pemit. d.* Upon .~p~.ral of this npplication, the Building Inspector ~dll imbue a Building Permit to the applie~t. Such pannit aball be ~ on tt~ premises available for inspection throughout the e. No building droll be occupied or used in ~/aole or in part for ~y pm-pose ~4mtever tmtil a Certificate of Oco .m~j ~hall ha~ been p~'-~,ted by the Building Inspector. D~PLIC/u~I(~I IS ~ ~ to the Building Departn~nt for the issuauce of a Building Pemit parmmut to the Building Zoee Ordlmmce of tim To~n of ~onthold, ~uffolk County, Ne~ York, and other applicable Lmm, Or~inm~es or P~ulation~, for the eo~tn~tiea of buildings, additiorm or alterations, or for rem~al or ~lition, as herein desc'ribed. ~ ~plic~t ~ees to conply ~rlth all applicable la~, ordinm~ces, building one, hotming cede, au~ regulati~, and to a~it amthorize~ in~ectors on praises and in buil~li~g ........................ (Signatore oftappllc~mt, or na~, if a ~orporation) (Nailing address of applicant) State ~aethor applicaut is ~,~er, lessee, agent, architect, engineer, geaeral contrsctor, electrician, plmber or buildez Ow~ ~- ~ (as on the tax roll or latest deed) If applicant is a corparatioa, signature of ~1¥ authorized officer. (I~ and title of corporate officer) Buildm-~ Liemme NO. . /-' Pl~bers Liceese I~o. c,,~ Electricians Liee~ No t~.~ No. ...... Location of laud on ~d~i~h proposed ~rk ~ill be ................ /. ............................... ~ ............... aat~ l~er Street 14~nlet Coon~ Tax 14ap NO. I~ ktim ................ BI~ .... 7 .......... ~t ............... (~) Hature of ~ork (check ~hici~ applicable): ............ ~liti~ , Offer ~ .......... ~ir . .. ~l .......... (~ipti~) (~o ~ ~id ~ fili~ ~his ~li~i~) If &mlli~, ~r of ~lli~ ~i~s ....... ~ .... ~r of ~lling ~its ~ e~ fl~r .... ' ......... If ~r~, ~r of ~rs If ~imss, ~...~e~ial or ~ ~, ~i~ ~re ~ ~t~r oi ea~ ~ of ~ ...................... Di~si~s of ~s~i~ st~s, if ~: ~-.-~ ~ ....... ~ar ............... ~p~h ................. I~i~E ................. -...... . ~r of Stories ...................... D~i~ of ~ st~ ~rh alrerati~ or ~i~i~s: ~ ~ar . . ~pth . .. ~i~r ~ of ~to ie Dim~i~ of ' · ~t~re ~ ~t~: ~C ................ ~ar .... ~. ....... ~p~ .............. t~i~L ............. · ---..... ... ~r of Stories ..... ~.. . /~ o' ~, . ~ ~., Si~ of lot: ~t / .................... ~ ................... ~prh ............. ..... ~ or ~ district in ~i~ p~i~ ~ si~t~ . ~s ~ ~[~ti~ violate ~ ~jq l~, o~i~e or ~lati~: ..... ~.~. .............. UiZl lot ~ ~ ...~.~ ............ ~ill ~ of ~tr~tor ................... ................ ~ress ............................... ~ ~ .............. ls fids pgr~fl~in ~ [~t of a ti&l~tl~? * ~ .......... ~ ..~... PLOT DIAGRAH Locate clearly and distinctly all buildings, ~herher existing or proposed, and indicate all set-back dimensions pioperty lines, give street and block t~ber or description accoxxling to deed, and aha* street nares and indicate ~l~ether interior or corner lot. ?tAlE OF ~l~ YOI~K, ....... ~ of i~ivi~ si~hg d~tr~L) ~ i. 0~ ..~q~t~.q.~.C. ................................ (~tr~Cor, ~nt, co.rate otEicer~ eLc.) ,E ~d ~r ~ ~rs, ~ is ~ly ~L~ri~ to ~rfo~ or h~ ~rEo~ ~m ~id ~ ~ Lo ~ ~ file this ~llcatlon; ~t all stat~nts c~tai~ in ~is a~lica~ion are t~ Lo ~e ~s~ of his ~1~ ~ ~lief~ ~ hat ~ ~ will ~ ~r[o~ in tim mm~r ~t forth in O~e a~licati~ fil~ ~. ............ .................................... No. 49513~ Qualifi~ in Surfak Coun~ Commi~ion ~pires May 2~ ~ ~ ~ / / OWNER ~ES.,_~ iISEAS~J LAND IMP. TOWN OF $OUTHOLD PROPERTY RECORD CARD FARM W COMM. VILLAGE E I DIST. / SUB. TYPE OF BUILDING CB. MICS. Mkt. Value TOTAL DATE REMARKS illable FRONTAGE ON WATER toodland ~eadowland ouse Plot FRONTAGE ON ROAD DEPTH BULKHEAD eeeeeee~e Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631 ) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 18th, 2006 Andrew Kupecki 1755 Stanley Road Mattituck, N.Y. 11952 RE: 1400 Stanley Rd. SCTM# 106 0007 037 Dear Mr. Kupecki, Please be advised that your Building Permit #29996 issued January 7th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $1339.80 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall 53095 Main Road P,O. Box 1179 Southold. New York I 1971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 22nd 2007 Andrew Kupecki 1755 Stanley Road Mattituck, N.Y. 11952 RE: 1400 Stanley Rd. (new dwelling w/garage) 2nd NOTICE SCTM: 106 7 37 Dear Mr. Kupecki, Please be advised that your Building Permit #29996 issued January 7th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $13'fY3g':~t that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please cai1 us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O, Box 1179 Southold, New York I 1971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 24,2009 Mt. Andrew Kupecki 1400 Stanley Rd. Mattituck N.Y. 11952 We are unable to complete your Certificate of Occupancy because of the following reasons: _,,,-'"~ application for Certificate of Occupancy is not on file. (Enclosed) ~'~'~No Electrical Certificate on file / Inspector requesting Electrical Certification Z./~he Check is not on file - $ 25.00 ..--"'1~o Final Health Department Approval on file. No final inspection has been made. ~ Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval BP# 32791 New Dwelling Town Hail Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 Telephone (63 ! ) 765-1802 Fax (63 l) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 12,2011 Andrew Kupecki 1400 Stanley Rd Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ~'/ Application for Certificate of Occupancy. (Enclosed) J Electrical Underwriters Certificate. ~'/A fee of $25.00. Final Health Department Approval. JPlumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT ' 32791 - New Dwelling Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY I 1971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 Janua~ 11,2012 BUILDING DEPARTMENT TOWN OFSOUTHOLD Andre' 1400 ,~ Mattitt (3rd Ri TO W The Fol ~Final Health Depa~ment Approval. __ PlumBers Solder Ce~ificate. (All permits involving plumbing after __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 32791 - New Dwelling I ere femllor wtlh Me STANDARDS FOR APPROVAL AND ~:ONS TRUC T~IV DISPOSAL SYST~MS FOM S4N6~E~FAM~. YOlK $1~.lT~ [~LC~4T~ON LMt.' LOT T~ I~ of ~ ~s~ ' AND~ KUPECKI FIDEUTY I~ TION~L TITLE TITLE NO. FNTg~EI3E$ ~ s. w. ROAD' ~ '~ LoT (~ ' SURVEY OF LOT 4 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. I000 - ~0~ - 07 - 37 99 ' 193 I om fomilier wifh lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end will ob/de by /he conditions set /orfh therein end on /he permit to consfrucL LOT ~. LOT (~ . C~PTa~ ~o £STATES ' LOT {~ N. 81'26'20" E. EL. ~#1,$ I21. 77' ANY ALTERATION OR AOflmOtV TO T/eS SURVEY/S A VIOLATION OF' SECTION Z209 OF THE HEW YORK STATE EJ~JCA TION LAW. EXCEPT dS P£R SECTION 7209 - SUBdiVISION 2. ALL CERTIFICATIONS HEREON ~RE VALe FOW TH~S MAP Am COF~S THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR AODITIONALL Y TO COMPI. Y WITH SAID I. AW THE T£RI¥1 'AL TEREfl BY' MUST BE 4,ABED BY ANY AAID ALI SURVEYORS UTILIZIN~ A COPY oF ANOTHER SURVEYOR'S ~AP. TERNS SUCH AS "AVSP~C?E=" Am *BROU6HT-TO-DA TE' ARE NOT IN COMPY. I~NCE BTH THE LAW. LOT ~ The Iocelions of wells end cesspools shown hereon ~re from field observe/ions end or from dote obtelned from o/hers. ELEVATIONS ARE REFERENCED TO AN A~SUMED DA TUt*L VA~T o~-~'~ +~r ) prop i~.0.00' CERTIFIED TO~ ANDREW KUPECKI FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. FNT99EI3~5 AREA = 2~ ~ ft. LOT (~ 081Z5/99 ~cerlficellon ) SURVEY OF LOT 4 'qlAAP OF SiJVSET KNOLLS- SECTION TWO" RLED APR~ ~, 1~70 - RLE NO. 5448 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y 1000 - 106 - 07 - 37 SCALE: I'~' 30' MAY24, 1999 FE~prop. conc. foundation ) C NO zt9618 ~631~ ~,, - ~,~'FAX ~ fl 765 - 1797 I270 SOUTHO, 99- 193 I em familiar wtfl~ ttm STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUIBSURFACE DISPOSal SYSTEMS FOR SIN6L. E FAMILY RESIDENCES =nd will ebide b.v ff~e ¢oAdltlofls sel forth lt~relfl end off permlf 1o construct. N. 81.~6,~,0. E. I~1. 77' ~.X~PT ~ l~t ~¢TIWN T~ee - M.W~MWM ~. ~LL LOT 0 ~ er from 'dele el~lel~e~ from eMerS. ELEVA TIONS At~ ~ v~ CERTIFIED TO. AN~F/ KUP~CKI FIDEZ.ITY NATIONAL TITLE , SURVEY OF LoT (~) LOT4 A T MA TTITUCK TOWN OF. SOUTHOLD SUFFOLK COUNTY, NY. I000- I08- 07- $7 I om familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by lhe conditions sel forth therein and on lhe perrnit lo construcl. LOT ~. LOT ~ ' . CAPTA~ ~o £srArEs LOT (~' 121.77'~,,, ~L.6&8 ANY AL TERA T/ON OR ADDITION TO THIS SURVEY IS A VIOLA T/ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION ?209 - SUBDIVISION E. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE S/GNA TURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'AL TERED BY' MUST BE USED BY ANY AND ALL SURVEYORS UTP-IZIN6 A COPY OF ,4NOTHER SURVEYOR'S M,47. TERMS SUCH AS 'INSPECTED" 'OROUOHr-ro-oa rE' ARE NOT IN ¢OI4PI. L4NCE ~ITH THE LAW. LOT 9~ The locations of wells ond cesspools c~ shown hereon ore from f/eld oflservotlons and or from dola ofltained from olhers. ELEVATIONS ARE REFERENCED TO AN ASSUMED DA SCDHS Ref.# R10-00-0185 LOT ~ I~IIEJ'~~ ~.~er CER T/FlED TO' ANDREW KUPECKI FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO. FNT9921325 , . ~ \~. ~. AREA = 26,965 sq. ft. e~cr. \ ..o~, _~, ~ ~.o' ~. ,~*." ~ ROAD' :'; ~ ~ * , SURVEY OF ~o~ ~ LOT 4 v*~ ,. "MAP OF SUNSET KNOLLS- SECTION TWO" FILED A~IL 9, ~970 - FILE NO. 5~8 A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N K lO00 - 106 - 07 - 37 SCALE., I",30' MA Y 2~,~ FEB./~t~E~-'Oj~ conc. foundation ) ~~//o. ~ (6311 765 - 1797 P. O. BOX SOUTHOLD, 08/Z5/99~cerlflc~llon ) 99 - ~93 TITLE NO: 00-3704-31310.SS District: 1000 Section: 106.00 Block: 07.00 Lot: 037. 000 Town of Southold Southold, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and finds: SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPAN~fcertifies that the above- captioned property has been in single and separate ownership Andrew Kupecki and his/her predecessors in title since prior to 1997 except as follows: (see attached chains of title). The liability of the Company is limited to the amount of the fee paid. Dated: December 13, 2000 F~DELI~Y ~ATIONAL TI.TLE INSUP~ANCE COMPANY ANDREA WILLIAMS Sworn to before me this 13th day of December, 2000 Notary Public TITLE NO. 00-3704-31310.SS STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) ANDREA WILLIAMS, being duly sworn deposes and says: That he/she has had a search made of the records Clerk of Suffolk County with reference to variance affecting the following premises: SCTM 1000-106.00-07.00-037.000 of the County an application for a That the said records indicate the following chains of title as to premises and adjoining lots since prior to 1997. SUBJECT PREMISES: 1000-106.00-07.00-037.000 Nicholas Steziw -._ Dated: 2-28-92 to ~ - ~~ Res'd: 4-7-92 akun and Olga Diakun Liber 11445 cp 586 Nick Diakun and Olga Diakun / Dated: 9-21-99 t~ ~ Res'd: 9-29-99 ski Liber 11991 cp 853 RECORD OWNER PREMISES WEST: 1000-106.00-07.00-038.000 Sunset Knolls Development Corp. ~ Dated: 10-31-70 to ~ ~ ~ Res'd: 11-4-70 ~in~ky~~ Kaminsky~ .~ Liber 6834 cp 162 Anatol Kaminsky and Tatjana Kaminsky / Dated: 3-11-98 to / Res'd: 3-25-98 Theodore C. Martz, Jr. / Liber 11885 cp 183 / Theodore C. Martz, Jr. / Dated: 7-17-98 to ~ Res'd: 7-29-98 Christopher Webb ~ Liber 11907 cp 659 ~OWNER ~/~IF IDEL I T~I ONAL T I TLE INSUPJLNCE COMPANY ANDREA WILLIAMS Sworn to before me this 13th day of December, 2000 Notary Public l~io~y R~! i ;, t ~ of F~ew York PREMISES NORTH-WEST: 1000-106.00-07.00-008.000 Jaroslawa Mokriwsky a/k/a Dated: 8-22-77 Jaroslawa Mokriwsky, surviving tenant by Rec'd: 9-7-77 the entirety Liber 8302 cp 521 to Michael G. Pieros and Themis Pieros, his wife RECORD OWNER PREMISES NORTH: 1000-106.00-07.00-009.000 Patricia L. Griffin to Martin L. Griffin Dated: 7-3-87 Rec'd: 8-5-87 Liber 10384 cp 356 Martin L. Griffin Dated: 11-20-96 to Rec'd: 12-6-96 Martin Lo Griffin, Jr. Liber 11805 cp 114 Martin L. Griffin, Jr. to Frederica Sagiani-Panagiotakis RECORD OWNER Dated: 2-17-98 Rec'd: 3-4-98 Liber 11881 cp 397 PREMISES NORTH: 1000-106.00-07.00-010.000 Edward Siebert, as surviving tenant by entirety to Lorraine A. MacMurdo Geoffrey Scott MacMurdo, executor of Lorraine A. MacMurdo, died 6-1-96 1519P1996 to Timothy E. Meyer RECORD OWNER Dated: 10-5-79 Rec'd: 10-18-79 Liber 8714 cp 71 Dated: 5-6-97 Rec'd: 5-13-97 Liber 11830 cp 245 PREMISES NORTH: 1000-106.00-07.00-011.000 Robert Busching, surviving tenant by the entirety to Robert E. Cidone and Veronica F. Cidone RECORD OWNER Dated: 2-24-78 Rec'd: 3-1-78 Liber 8395 cp 91 FIDELITY N~NAL TITLE INSURANCE COMPANY Sworn to before me this 13th day of December, 2000 Notary Public PREMISES NORTH: 1000-106.00-07.00-036.000 Stamata Charapalambous, surviving tenant Dated: by the entirety Rec'd: to Liber John Pappas and Katina Pappas John G. Pappas and Katina Pappas, his wife Dated: to Rec'd: John G. Pappas and Katina Pappas, Liber as tenants in common RECORD OWNER 11-4-82 11-15-82 9270 cp 324 5-23-00 6-6-00 12046 cp 968 PREMISES SOUTH: STANLEY ROAD FIDELITY N~T~ONAL TITLE INSURANCE COMPANY Sworn to before me this 13th day of December, 2000 Notary Public STATE OF NEW YORK ) ) ss COUNTY OF SUFFOLK ) That deD.onent is over the age of 18 years and resides at That on the ~Vday o~2000 deponent architecqea9 nee& licensed by the State of New York, hereby states that s/he ac~pts furl responsibili(y for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pedain to prope~y Io~tedatSCTM¢ 1000- /¢6 -- 0 ~ - 27. street address ~¢4~/~ ~a, ~/'~ _S~atO before me this y of ~ 2000. ./~J~ 0t,~¥y Pablic cc: Applicant JOSEPH A. DEERKOSKI Notary~ublic, State of Ney York NO.5~5875 - Suffolk County C0mmissi0r~ t:* p!r3s ]a~, ~1, ~ PROVIDE $110KE-DETECTING ALARu DEVICES AS TO PART. 721.1, ~*~ ~ cool DI)'~-I~OC~'Z) WlTN OCCUPANCY OR FRAMING UNTIL SURVEy USE IS UNLAWFUl. OF FOUNDATION LOCATION WlTHOUT.,CERTIFiC FO~MNG INSPE~O~ ~. FOUNDATION . TWO ~UlR~ ~ POURED CONCR~ 2 HOUGH · FRAMING & PLUMBING [ INSU~TION & FINAL - CONSTRUCTION MUST BE COMP~TE FOR C.O, ALL CONSTHUCTION SHALL MEE~ THE REQUIHEMENTS OF THE N,~ ITA~ ~NSTRUCTION & ENERGY ~O~ ~ RESPONSIBLE FOR il ~N ~ROR~ P £ U MM~I ~FFt C ,4 ~'fO N ON LEAD ('O~VT£/VT JIf[FORE CERTIFICATE OF SOLDER USED IP SUPPLY SYSTEM EXCEED ~ ~/~ ~ d~&trlbuUng Piping shill PLUMBING ",JO03 9NIOIlflR ]J. VJ '~'11 01)9'Z06 ',l, llVd OL $¥ $':I31A3Q 9NIIN]A,.tII4 IlO01lS I10/011¥ 01¥a$-UIIV IOIAOIId LU ~El L LI~WE~ 60'0 r Z I PROVIDE UP~.INUb ruK~ , : . -~ ~ EMERGENCY ESCAPE AS ~H.~..,.~.~ 0..A~ ~14 OF, u ~ & ~ ~,, ~U/RED BTpAR[ 714 OF L ° Y STATE BURDING CODE ' OPENINGS FOR ] ~-- - '' t~;~. ~ ', ~ ~ ~ - ........... ruro~re~ar& ........ ' ~k -~' I~-u ; '4 / , _ ~ '[ tMEKGENCTESCAPEAS J ir¸ t