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HomeMy WebLinkAbout38493-Z Town of Southold Annex 4/7/2014 P.O. Box 1179 54375 Main Road 4 Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36848 Date: 4/7/2014 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 605 Park View Lane, Orient, SCTM 473889 Sec/Block/Lot: 15.-5-24.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/6/2009 pursuant to which Building Permit No. 38493 dated 11/12/2013 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 to an existing one family dwelling for second floor conversion to living space as applied for The certificate is issued to Richard D Frank (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38493 3/28/13 PLUMBERS CERTIFICATION DATED 9/16/1991 Hardy Plurn mg Authoriz ggnature tit TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE gel SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 38493 Date: 11/12/2013 Permission is hereby granted to: RICHARD D. FRANK 205 PLUM ISLAND LANE ORIENT, NY 11957 - / 30 To: AS-BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. SECOND STORY CONVERSION REPLACES EXPIRED B.P. # 36805 At premises located at: 605 PARK VIEW LA ORIENT SCTM # 473889 Sec/Block/Lot # 15.-5-24.29 Pursuant to application dated 11/6/2009 and approved by the Building Inspector. To expire on 5/12/2015. Fees: PERMIT RENEWAL $75.00 CO - ALTERATION TO DWELLING $50.00 Total: $125.00 7( Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,NY '~fv BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 36805 Date: 11/9/2011 Permission is hereby granted to: RICHARD D. FRANK _ 205 PLUM ISLAND LANE ORIENT, NY 11957 To: AS-BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. SECOND STORY CONVERSION (REPLACES BP # 35139) At premises located at: 605 PARK VIEW LA ORIENT SCTM # 473889 Sec/Block/Lot # 15.-5-24.29 Pursuant to application dated _11/6/2009 and approved by the Building Inspector. To expire on 5/9/2013. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector 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. 35139 Z Date NOVEMBER 6, 2009 Permission is hereby granted to: RICHARD D FRANK 205 PLUM ISLAND LANE ORIENT,NY 11957 for AS-BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. SECOND STORY CONVERSION (REPLACES BP # 32452) at premises located at 605 PARK VIEW LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024.029 pursuant to application dated NOVEMBER 6, 2009 and approved by the Building Inspector to expire on MAY 6, 2011. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. 1 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32452 Z Date OCTOBER 26, 2006 Permission is hereby granted to: RICHARD D FRANK 205 PLUM ISLAND LANE O~IENT,NY 11957 for / w AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR (SECOND STORY CONVERSION) at premises located at 605 PARK VIEW LA ORIENT County Tax Map No. 473889 Section 015 Block 0005 Lot No. 024.029 pursuant to application dated OCTOBER 17, 2006 and approved by the Building Inspector to expire on APRIL 26, 2008. Fee $ 300.00 G lud S nature COPY Rev. 5/8/02 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 2/10 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 buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building 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, Alterations 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 $15.00 Date. Vi, ~ I -L I l New Construction: Old or Pre-existing Building: _ (check one) Location of Property: O o 5- G r Ur r,_)LS r e.,1 House No. Street Hamlet Owner or Owners of Property: C ( f--li a h Suffolk County Tax Map No 1000, Section Block S Lot aq, zq Subdivision 'J Filed Map. Lot Permit No. 3G6 ?q_?~ Date of Permit.//- •/a. - /j: Applicant _ Health Dept. Approval: Underwriters Approval: Planning Board Approval: _ Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: S Applicant Signature S11Ff0(K Town Hall Annex ~p~ C4 Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 0 - F Southold, NY 11971-0959 y4Jr01 t ~aaf, roger, richert(ao7town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Sandra Chapin / Frank Richard Address: 605 Park View Ln City: Orient St: NY Zip: 11957 Building Permit 3$l.' ~3 -96694 Section: 15 Block: 5 Lot: 24.29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 Twist Lock Exit Fixtures TVSS Other Equipment: 4 ft electric base board heat Notes: Inspector Signature: Date: March 28 2013 Electrical Cenificate.xls y. TEL. 763-1802 TOWN OF SOUTHOLD A. t- :.1 OFFICE OF BUILDII.M INSPECTOR P.O. 130:1,28 TOWN N"..LL y0 SOUTHOLD, N.7.11971. !,r0 49 lb C E R T I F I C A T I O N Date a00~ Building Permit No. Owner f .1,>1K„ &,d,114 _ (please print) N Plumber RSy Pa wM ~iN~s c 14thlifi (please print) 4 I certify that the solder used in the water supply system contains less than 7110 of 18 lead. ~ ~ AAA 1J.1~ (plumber's signature) Swor Co befor me this day, of Maz::6.6 Notary Public NOta•:' PLC ,licr County NOT MEEN STRAND NOTARY PUBLIC, State of Now York No. 01 ST6001493 OI fified in Suffolk County Commission Expires January 12, 20/C. 32- t7 ~o~~,OF SO~jTy TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/ STRAPPING( FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: c 'AA DATE l ® INSPECTOR ~o~~,Of SO//% NMI ;ok 1 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ELECTRICAL (ROUGH) 4L]-ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR-7`T 3 ~~9 3 3a'OFSON ~0 6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ j FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C•` ho-fir--w- G? o tiQe. DATE INSPECTOR Condon Engineering, P.C. New York State Licensed Professiooai Engineers 1756 Sigsbee Road 831-280-1986 Madituck, New York 11952 Fax 631-298-2851 March 26, 2014 APR 3 2014 Mr. Michaei I Verity Principal Building Inspector - Southold Town Buildetg Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Richard Frank Residence 605 Park View Lane Orient, New York Dear Mr. Verity: I reviewed the plans for the second floor of the Richard Frank residence prepared by Eileen Santora dated February 10 2014. The work done in the building was retorted to have been done in 1987. Based on my review, the work was found to be acceptable and to the best of my knowledge, was in conformance with the New York State Building Code in effect in 1987. ff you have any questions please call me at 298-1986. Yours truly, 051(A4 p~OfE5510NP~ 6 FIELD INSPECTION REPORT DATE COMMENTS ~b FOUNDATION (1ST) - - - - -C, 'Q x FOUNDATION (2ND) z U~ ~ d ROUGH FRAMING & - - - - - 1 PLUMBING ra ~i - INSULATION PER N. Y. - - - H STATE ENERGY CODE FINAL p. c ADDITIONAL C- - o m 8/ / - AE> ~ - 'e W f 81/ - 1.2 o y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEE: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 Contact: Approved 20 Mail to: p Disapproved a/c W6 /r~,~.~ Phone: ag-hrWr .`r~~J'?'/ ~Z Expiration 120 Building ec \ ~9j l~ L f I 3 APPLICATION FOR BUILDING PERMIT ` Date i~ 12, 20 6V' 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 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 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 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, f a corporation) (Mailing address of applicant) State whether applicant is owner, lesse agent, rchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. 1. Location of 1 on which proposed work will be done: Goy ~I-J • Oe 1tr k) T- House Number Street Hamlet Q County Tax Ma No. 1000 Section Block 5 Lot w Subdivision M fln 07FO 121 7- bY 714 5 Filed Map No. O~O Lot (Name) ~c ~~C 3 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t t nE or b. Intended use and occupancy 3Z~`~ I nL iQ i X14 I }J L+ v ~j' v I L~- ~T71-h5 3. Nature of work (check which applicable): New Building Addition Alteration ~AgT7-/G, Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units f Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. S 2~ 7. Dimensions of existing structures, if any: Front ~D~J Rear W5 Depth Height 'lf- Number of Stories Z Dimensions of same structure with alteratiAn~ or additions: Front Co Rear ~n Depth '5 `li Height t' Number of Stories k 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories h 9. Size of lot: Front ) 0 3 • (o (o Rear ~ f) b. ca 4 Depth ~Z~ 10. Date of Purchase Name of Former Owner U H ~~1 ~lrA~ 2 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any/zoning law, ordinance or regulation? YES_ NO V 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO_ I2iC+t-1~2D - rF ~ M~ Zb5-PWM Z'-4 ~1~ LA 32~-3~~ 14. Names of Owner of premises Address Phone No. Name of Architect EI L~ ] 1 Address ~rj~~Phone No 7 Name of Contractor Address 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) SS: COUNTY OF ) -R IC 4A w t T' ~~Y~~~ ~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, NHe is the P (A - (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. Swo to before me this V day of 66bA ~ r 20 D l D Notary Public Signature of Applicant EILEEN 5. SANTORA w rPV NOTARY icn.i,., SU<016018 Oun1~h ee in H. Co661y Comm "lon Gprrw~V • 12" af so~lyo~ 6 Town Hall Annext Telephone (631) 765.1802 54375 Main Road P.O. Box 1179 rot]er.richertf(77t A11o1![1701tl.nV.US Southold, NY 11971-0959 °1/YN I1, BUMDING DEPARTMENT TOWN OF SOUTIROLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY- SG.~~? ti n Date: c, t Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name:fl n~~/a VIA n `n *Address: 2~S VIA n 3,~ 5r,P.+ A)V 1 19S'~ *Cross Street: pn/Y V; ej L, *Phone No.: 3 2- 3 3 6 3 5- Permit No.: 3606),5- Tax Map District: 1000 Section: Block: 4 - Lot: a a *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Net,) ( a4AArno.~, (Please Circle All That Apply) *Is job ready for inspection: ESj NO Rough In Final *Do you need a Temp Certificate: YES I NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *Idew Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Infarmation: PAYMENT DUE WITH APPLICATION go, ~ 82-Request for Inspection Form SAS- I-) ~r1~ 15~~ 2 y1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER I S.5IeEf ~1S ) VILLAGE rD~IST. SUB. LOT !f ~ ~ wank Y Pie/-!fit..: i' W. 7~ C n- -.tai? ` V 1 rJ a :ORMER OWNER N E ACr, < t~)Ico r S W PE OF BUILDING h 4) 16C2 I ES.a SEAS. VL FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS),/3hr-1) lair A .-d c Od D 7S 1 .6'/79 SoLb gll6,000. Woobdai0v PP?, INe, %013. ROUKe n syi~ ~Ga /~ao 117 8 / ows ae/%eu pn OD' t^O S~? S 7 S$7 U I /0-; Vic{ S©o D U 53vo~ a60 7 g e 8 ' I'70 - in round ce # nce ~c-01~ /700 2600 tD S ~~s - 10 t9Z -~I r v1k_4 c)&o O o O 0 C7 BO 8 I Ilable FRONTAGE ON WATER oodland FRONTAGE ON ROAD eadowlond DEPT &e pQ, 3 i )use Plot BULKHEAD tal ear Lille-, 70. $Y7f, r~ 1 COLOR TRIM Y TI Extension / rr 41u IrYI~ Extenywn 3 7 So /2 - Extension e P r~ ti _ $ Foundation a~e Bath Dinette Porch Basement Floors K. Porch cX 3 Ext. Walls r/p S~u Interior Finish W O LR. .fir Q 4 Fire Place / Heat 3r3 R. A n, 1 Gara e 9 2-~ 6_ fp Type Roof C-~l Rooms Ist Floor BR. 1 2 Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total I~~ OF SOpTyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 • OQ Southold, New York 11971-0959 ~~'~OOUNT`I BUILDING DEPARTMENT TOWN OF SOUTHOLD FIRST NOTICE October 21st, 2009 Richard & Kathryn Frank 205 Plum Island Lane Orient, N.Y. 11957 RE: 605 Park View Lane (As-Built Alterations) SCTM: # 1000-15.-5-24-29 To Whom It May Concern: Please be advised that your Building Permit # 32452 issued October 26th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit please submit a fee of $ 300.00: at that time we can Schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT l . r Mr. Richard D. Frank 205 Plum Island Ln. Orient, Pty 11957-1305 13(aej~. Tom. Po. ?JoY- U7o ( O!, CAW L4 3 i y$ SY r. I S P ~~.,yF f ?~i aa'u'Se~~ e 3, , ~ ~ rl . ~a ;nr'a 4~ s h ~"D 11 ?71 EoWE -~j NOV - 7 2011 BLDG. DEPT. TOWN OF SOUTHOLD =Rlchard ank ii Alal'4, Zo(3 i i; I / i";1-0 w by lOr ct/zm tvnit :ff-3 6 8bS 6 oS P ~ e (01All cld4a~o !c-[M4+ 100 - [5 S- 2 y, 2 i, ~CJc~,n~it~ ( [ 19 j ; - BLDG. DEPT. TOWN 01 SOIITHOLD 1 it j' ii i ~i ii ~I is ~I I' i' j iC~TE SUFFOLK CO. HEALTH DEPT. APPROVAL w~ wo5.RE€'EW-To MAP OF )BCfC 77-B'Y'-rT4_ ' H.S. NO. VACf .tii , 0EFICE Ali MAP NO cSbQ. - 17 Tr I ®r)", pp~fL1G. v!ElA/ L--%NE p~ STATEMENT OF INTENT Ch up 17 Ift THE WATER SUPPLY AND SEWAGE DISPOSAL r" A 6 7E. S.EP 34 S7AO E. I$5. I CONFORM FOR THIS RESIDENCE WILL O ? S.C. DEPT. OF 1 CONFORM TO THE STANDARDS OF THE HEALTH SERVICES SUFFOLK CO. DEPT. OF HEALTH SERVICES. 7 L APPLICANT 1 Q Q ~ -j SUFFOLK COUNTY DEPT. OF HEALTH t ~ TAeac _ SERVICES - FOR APPROVAL OF ~ x ss 1°L CONSTRUCTION ONLY in > % t DATE: r~ Y' e+ Ct 1~ d H. S. REF. NO- $5-C-0-50 7 fD°L APPROVED: in v au SUF'F'OLK CO. TAX MAP DESIC,NAtl0l--- , DIET. SECT. BLOCK 4'cl-.. SCALE OWNERS ADDRESS: C 002 S P, D, MCMUNI Nr EB~iG t- ~ ..22497 ( f ~ ~'7-g ~ II ! i 727- o7r]Q 2 i DEE{3: L. MIA, P. . . _ TEST HOLE STAMP 7g i Li O i ! Unnu:harmed aiteraYm w add'aien , - j to this swvay is a vioation of 1 Seaton 7208 a eha NawYorR Sioto ~',/ACAN''j iV Eda•.aNonLew. (N ` Q CgtAW ut Oft oxm racy tear twhv tas IaPx eurveyo!a klkedaeat a TITLF NO. 6Z5'-5-0022 embaacedaretataAnatSacorlaed tabs awn''temum. 4 u aaaemwshx%s d1wraoa ew M! MAP AMENDED - t-)AY 9G 19135 Weomrae.aaeathbtelutfcatar MAP ~ ?i.yl / i / : T/ 4te0ppaataWand _ to" mloomofaa lemur" Mod" addikmd iiwAuu= armuse ' •;S i ~ + r ' SI7FFOI.K (:OlIA77C BEAbTB DEP SEAL T JATE SEP 18 1985 B. a. ems. f _ L.s -~~~u ae~~rrr~~ r a_FIW51- Amejz;cAcy 'rLrLF IM5112A 6CE GD. hd1U TG 11 fhe savage z=oaa,. 9 ..T' g - - - - - Y re :.-I-...r ?:.^>T k SASHAQBOJL 5AVit,1G5 SAN. V- _ _ facilitiaa Par t:~_< C been .:.7'Jt~:1{ :J.?!..:-' ;-i-;}i.. ;i Ay_ ! Laspected by lbia eri;~':~l'.iF:.f. ?c. fLilPld _IG'f T L'. i+ - :/`-[•I. k • to be satisfactory 1 RODERICK VAN TUYL, P.C. [z Chief of Ge oral Tengi Gering LICENSED LAND SURVEYORS Services GREENPORT NEW YORK XuDYNE POST N41145 T1r SUFFOLK CO. HEALTH DEPT APPROVAL LQT1,~5.'.EFLW-Tea"MA,POF 0(21EfNT-BY-'TIE- H. S. NO. 85-SC -W SEA_ SECT' 3" _ t:4~rtCAt>IT i - - ~ILECJ it k T7AE SUPP CO.CLEQN'S OFRCE X3 MAP 1,40.6160. Ph.RiL 1/i FEW LANE STATEMENT OF INTENT iA ,~y~~ THE WATER SUPPLY AND UWAGE DISPOSAL A1cr 40l E. `J tom... J$S.f~Q s1ASTHMB FQR THIS RESIDENCE wtLL V4 O WEORM TO Tt9 STANDARDS OF THE SUFFOLK CO. DO". OF HEALTH SERVICES. ¢ f l81 APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH ' TANK SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY ~ DATE: 72 M , :PEN } POOL d H. S. REF. NO.:., 85- 50-50 ~ . ~cr f Ln APPROVED: 71 t ooP L Z {1 rat ~ .~y Y -r - SUFFOLK Fid. TAX MAP MiISINAT10N: L i / `sEtxt D OW. SECT. BLOCK PCL. .t T= OM 5 909 ` .~-cnittrv?a a I SCAL-E'50'('/ OWNERS ADDRESS: e P0 e0l)~ 14 hi.;98 3 7" 0' W 2F i it"':12i !>til 1?TF? 4 4..97 i z- a o0 rrs LV DEED; L M/A. 'p- TEST HOLE- STAMP $ I` I +r, or v e citron r r s, r. , n M (UACANT) N ~ ~ icy c +Y s rv. ~ mat+ nM bctsrin a s -mo infcei ~caf a M95.,3no lte CMrteMSenat? T'•I) LC ~`Ir.K. A7 ~`.'a'~Y/ b: id tte9 aY. ' uwv r e's ivJ+re: he eon shall 'm we 3. Y amerhmantl fagencyt@end i Y6P OF Pt20PE1QTY ~i:.non cache" a. - - - ;^ees of the leading insti. e~ ~-y~p, i.r- lnees xre'mjt transterahis 'T- 7,. f.1 TLft-L .,i :.rutitut:ens M SUhsegoeM sic A 6UAfi~AAt t' b'D T t t of NE T i'J Kit: .N4TFi;./Dr F.. A,5 RtSD~qEat aAal a4. t~ Q c 0ti PJ4. a'G'. t s 2b a ^ FO LAND SJ LItENlIRLf LAtiD 9UaRS; GREEMPORT +A1IP+!Mk~i watiae _ +ur 7- eu Rte' ut) 1 t aaSH APPROVED AS NOTED IKr _ OLR. - DATE: 1o/26/~ B.P. py~-l' M1 4 r' FEE. BY r. 4 NOTI Y SUI~LDINn DEPARTMENT AT 1141 1I 765-1802 8AM TO 4PM FOR THE k FOLLOWING INSPECTIONS: IyF ~L - 1. FOUNDATION - TWO REQUIRED ' FOR POURED CONCRETE L•' 2. ROUGH - FRAMING & PLUMBING c;; - 3. INSULATION 4. FINAL - CONSTRUCTION MUST - 6447 BE COMPLETE FOR C.O. a, r k "1' ALL CONSTRUCTION SHALL MEET THE °L REQUIREMENTS OF THE CODES OF NEW`f '.F[: - YORK STATE. NOT, RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. .~a - PLC MBERCERTIFICAMN' I ON L _AD CONTENT BEFORE , C: it 1~4-ATEOF000IJFAAry FR USED IN WATER S r fYSTEM cANNQT LXC,E 2/10 OF 1%LEAP, 1F G4 ~ { .:'t~''T" tt AT I USEI UNLAWFUL 7. 4. WITH T CERTIFICATE k f OF OC UPANCY COMPLY WI H ALL CODES OF NEW YORK ST TE' & TOWN CODESi t - 117! y r >gu S REQUIRED AND CONDITIONS OF B~MOLDTOWNZBA BOARD 0 HOLD TOWNPLANNING k SO ER@ OLD TOWN TRUST - t.~ VEIN `I I UNDERWRITERS ERTIFIQAj ++I`III I I ADD J. y r ~7 I ~ 'i I r. ALL OV SHALL MEET THECONSTRUCTI REQUIREMENTS OF THE CODES OF NEW YORK STATE. PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING It5T 7xk~i~tx~U:F: M. _f '..4 )t . t9Y>}~i-l ~c 4 f ~W yo , 2 ~i;t,, ~ ~I~ ~ ~ .,r' i a ~ ~ ~.1 / ~ I ~ - I ,sue ~ _ ~i i 'PA.) I UT,!kI Alp i I' ~ _C ~ Ctir i<:;~.~ k2< ~ i ~„1 ~ . P"tl 4 N N R ' - - v[a I r 7u ev Rc wl „1A51 1 i 3- - 3' I I~n~ -IZu-II Va l~ - 14T FL I II eO ra> qaFQ ! 4'G. 1, NaIf9B7 P Nrr~~ 6QTFY ! i kY~4L.TA I I i i ~i''f~c •~Y`,Tk~ri i - 127P ~f 2A o? I P~ iSTI u C4- 4' I' I , I I - 1~~.tVT I I ~ ~ II I, / i lam. ! T TF- ' I 0 10i oil, X J'OU ! 4'1Liwu '+~z{ 0 -7 4N =~y iu i CCQ i I ~ I I 11D2 uuuT Iher VOdr - LU Citi~i - a cwr I I j I I I I ~i ' 1_ tiro S7TxTue _ - -a - - - - !3U f99~- - F.~I$ I 1 r r in l ss. R-~a TIol~ T' I 7 - - i µ rnp[, k. ~ . ! ~L~C'~ ~4F~.. F1CFet.Y_~ 4Ar r.U A e ~jpAGL? MMe7 EQui'>z vjtr'* r nmE 1487 w~ 148'7 W NDi t WA-S 1z1 III iFAPP -4 d~,. I, 6 I!2 FI-I 1r A ~m r I s 014414 m f1 r ' - ~ ~ - / ~ _s - o• ! ~ - - - - ~'1 _P.t.L rte ( - I , Tn^'il n ~,aLrdhrn ~ ~'DhYl~~SSIpN I i I I MR 121GUA.RP T7p-&4jr. P1r3~aI (x$41 tag 'PARJK VIFW LAN evil- N,Y I SCALE' {Sh[~41i'y=I1ol APPROVED IV DRAWN MY ES DATE' I V ' FiW REVISED 2-Gp i I 115 1~JV I LT I ti l' I q S~ I 2-~~' Ctz I ~1•c~L'R 61.A-. 3-r2h•/4p DRAWIN'DY IR~~