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15992-Z
Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/22/2015 No: 37592 Date: 6/22/2015 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 450 Castle Hill Road, Cutchogue SCTM #: 473889 Sec/Block/Lot: 72.-1-1.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated. 3/4/1987 pursuant to which Building Permit No. 15992 dated 3/14/1987 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 unfinished basement, enclosed sunroom, deck and garage under as applied for per Victor Lessard on 9/7/1988. The certificate is issued to Shatswell Properties Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1 /74/7014 R10-14-0052 N 853561 5/26/2015 2/16/1988 FORK NO. 2 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) N° 15992'1Z .. .............. 19...7 Date......... :.............. Permission is hereby granted tqo: , ..�% 5........ ...:.. ..... .LQ. 45?........... .............. ...................... ................. ....................... a.:.y.:.. 1. �.�.7..1.... ...................................................................................................................................................... of premises located at��. ��' .:..� 3 .. J �. ��' .......................................................................................... .7e... .. ........................................................ o .e........................................................................ County Tax Map No. 1000 Section ......91.Z:...... Block ......... J........ Lot No..... ... ..:.--.T......... pursuant to application dated .. ...............................1'5............... 192.. , and approved by -the Building Inspector. Fee $AI.7. , ./�........ ....... .. . . .. .. .. .... ......... ...... uilding Inspector Rev. 6/30/80 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or o 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 1. 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 - $100.00 -3: -Copy of Certificate 6f Occupancy -'$:25 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: All CV_3 House No. Date. 3-- 2 /-- ze / r Old or Pre-existing Building:y (check one) d59 Street Hamlet Owner or Owners of Property>SVA?S LtJ_&rL-L �/2o/pEot T/Lcr 474 -C - Suffolk County Tax Map No 1000, Section 72- Block / Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Filed Map. Applicant: Underwriters Approval: Lot %• F_ Lot: Final Certificate: (check one) Fee Submitted: $ Applicant Signature ,,, 2acmnalj4ical 575 Broad Hollow Road, Melville, NY 11747 / TEL: (631) 694-3040 FAX: (631) 420-8436 NYSDOH 113X10478 www w oa . labc.com HARRY GOLDMAN WATER TESTING 8700 MAIN ROAD MATTITUCK, NY 11952 Attn To Federal ID Collected 01/24/2014 10:55 AM Point No: Received 01/24/2014 3:45 PM Location: Collected By: AF99 LABORATORY RESULTS Results for the samples and analytes requested The lab is not directly responsible for the integrity of the sample before receipt at the lab and is responsible only for the certified tests requested. Lab No. :1401A38.001 Client Sample ID.: ROGER VORCE / S 7 0l) - Sample Information: Type: Solder Origin: Other Routine 450 CASTLE HILL ROAD CUTCHOGUE SOURCE: COLD WATER PIPE UNDER BATHROOM (1000-72-1-POI.4) Analytical Method: SW601 OB : Preo Method: SW3050A Prep Date: 1/28/201410:40:41 AM Analyst: CM Parameters) Results Ougififier D_F.Uni s Limit Anal a Container: Lead 0.11 D 10 % 0.2 02/03/2014 12:20 PM Container -01 of 01 l'r J91 MAY 2 8 2015 I �/ Qualifiers: E = Value above quantitation range, Value estimated. B = Found in Blank D.F. = Dilution Factor D = Results for Dilution H = Received/analyzed outside of analytical holding time + = ELAP / NELAC does not offer certification for this analyte c = Calibration acceptability criteria exceeded for this analyte r = Reporting limit > MDL and < LOQ, Value estimated. J = Estimated value - below calibration range S = Recovery exceeded control limits for this analyte N = Indicates presumptive evidence of compound Result(s) reported meet(s) NYS Regulatory Umit(s). Result(s) flagged with * Exceed NYS Regulatory Limit(s). Limit noted. Date Reported: 2/4/2014 6ii, -44tu& Sr.Project Manager Test results meet the requirements of NELAC unless otherwise noted. This report shall not be reproduced except in full, without the written approval of the laboratory. Page 1 of 2 i THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000343 BUREAU OF ELECTRICITY 7hg 85 JOHN STREET, NEW YORK, NEW YORK 10038 q Date February 16, 1388 Application No. on file 50250.5/87 N 853561 $ p �d �d 1 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the ap licant named on the above application number in the remises of Roger VOrse, Private Rd. Foot Of Bridge Lane & L.I. sound, CMMCjue o NS in the following location; ® Basement ® l.st Fl. ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the requirements qj this Board. February 01, 1988 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT .FLUORESCENT MER POR VAPOR AMT K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. H, P. 28 39 28 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT TRANS. HEATERS MULTI -OUTLET SYSTEMS NO. OF FEET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS: AMT. H. P. AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER EQUIP 1 2W 1 ,B' 3W NO. CC COND. 3 ,B' 3W 3,0. 4W PER A' AWG. OF CC. COND. NO. OF HI•LEG A. W. G. OF HI -LEG NO. OF NEUTRALS A. W. G. OF NEUTRAL 1 y 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: *Special receptacles:1-30ampso®1*-50ampso, Elec® room heaterse2®1®0kw®, 1-4®5kWo, E1eco water seater Track lighting -.32 feet 1-20kw heat pump Za®LiteS' 1- Ston A/C unit 4-G.F.C.Id 2 -Smoke detectors Goodale Electric cont© 7355 Main Road Mattituck, NY 11952 Li 783E GENERAL MANAGER Per f r This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE -ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR r� IG 7-' M-1802 44 BUILDING DEPT. INSPECTION . �r[/,] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:. � � ls-u [ ] FINAL r�csv� 1 4�PC. j cr %ems- z DATE � l � `�� IN8PECTORAcA,-ajd M-1802 BUILDING DEPT. f/, o'7 r INSPECTION' [ ]FOUNDATION 1ST [ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ]FINAL REMARKS: Em 1 NSPECTO ffinj Zz ---a, VA �l 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] !ROUGH PLBG. [� FOUND iON 2ND [ ] INSULATION RAMING [ ]FINAL REMARKS:1�1im4 DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: C r DATE INSPECTOR 7G5-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] OUGH PLBG. (� FOUNDATION 2ND INSULATION [ ] FRAMING [. ] FINAL 11 REMARKS: L2-:��Z4 elf Q ,gyp' DATE � �� � INSPECTOR -7"�� _`.Lu i,.. L OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING 1 Ilse - :INSULATION PER N. Y. STATE ENERGY CODE 1 FINAL + - di h/ �`�.�._';ly �, y{�:ry .i. Se,,S:.A Vit. •'{: tf4 +a4t ::b� FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..�'�1.°�'� 1 ..., 19$7. Approved `[..., 19 1 . Permit No. �.5. ` .�i 03 Disapproved a/c ..................................... .`tic:. �7r�.�.. a-�.��.......... . (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... i S t IM 3 l6 b J ,ry EE DG- DEPT. �T Date ....... " . . . . . . . . ., 19 ... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 regulatio s, and to admit authorized inspectors on premises and in building for necessary inspe t' ns. ..... . /, / 11�.Corp. .....(Signature of app 'ca/tor name,o tion) . , .....1��.�� ,��:............... . �. •(mai iag address•of•apyicant) State whether applicant i/%, s�ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .. YA. 41... .. ............ ... .. ....... ..... .. ... .... .. .. .. .. ...... ................ Name of owner of premises l/ ............................................... (as on the tax roll or latest deed) If applicant is rporationG , sygnature duly authorized facer. (N�.�41 A- ame and title of corporate officer) Builder's License No . ........................... Plumber's License No.- - .1. ........ . Electrician's License No. / C ...... ... % Other Trade's License No . ..................... Y0 IZA 1. Location of land on which prop ed work will be done. ..... ! ....... ...K4� ,� �` 0 !�............ . Hue Number Street ✓ Hamlet o s i County Tax Ma No. 1000 Section ...... X) .......... Block .. i ............... Lot ... ... "....... . Subdivision . �%�!�.GL%. 'Ii v�' 04 • .......... Filed Map No . .............. Lot ............... (Name) 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 ... aw. 4�.,-�...44e4*L ............:................ . 3. Nature of work (check which applicable): New. Building „ .. : Addition .......... Alteration .......... Repair .............. Removal . .......... Demolition �4/7'. .`.......... Other Work ............... (Description) 1.......................... 4. Estimated Cost .... A., �.�` ......... Fee (to be paid on filing this application) S. If dwelling, number, of dwelling units.. ........ Number of dwelling units on each floor ................ Ifgarage, number of cars .. :..1 ............................................ " .... .............. . 6. If business, commercial or mixed occupancy,'specify nature and extent of each type of use .. . 7. Dimensions of existing structures, if any: Front ................ Rear .............. Depth ............... Height ................Number; fStories................ ........................................... Dimensions of,same,structure.with•;alteiations or.additions: Front,-v4:........'Rear :................. Depth ....' ...................`Height ................ Number of Stories: ....... . 8. Dimensions of entire new construction: Front :.... &I ....... Rear ...� ......... Depth ..� L ....... . Height ....-a ........ Number of Stories .. 9. Size of lot: Front ...... J k. ........ Rear .......��t ........... Denth ............. 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: .. �Jx* ....................... . 13. Will lot be regraded ....:... � .. ......... Will excess fill be removed from premises: Yes �o 14. Name of Owner of premises .L�e4.C.Er..... Address 0md E•� �� . Phone I�"dv�'Ll�'� ...... Address �` '� o" Li Phone No ............... . Name of Architect ........... ....... ..... N.cJ! , . Name of Contractor .......................... Address ................... Phone No............... . 15. Is this property located_ within.l;0.0 . feet•:, of .,-a :tidal wetland? * Yes ..... No ..... * If yes, Southold Town Trustees Permit may''b,e required. PLOT DIAGRAM Locate clearly 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 indicate whether interior or corner lot. STATE OF NEW K, S.S COUNTY OF .. . ( .." .. (Name of individual signing contract) _ above nanied. being duly sworn, deposes and says that he is the applicant He is the.......................C.(>�U7i9 �7f�2 ........................ ...-� .............. . (Contractor, agent, corporate officer, etc.) i ;, — �' of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... C lt-de ..........day of ...��Z Notary Public, ... .. v ...... County C.f3 .. ... ... .......... . .. ... ....... .. ... .. .. UNDAJ. COOPS(Signature of applicant) Notary Pum, Stets of Neve No. 4=50% Suffolk JE Twm Euros De�mW 31• 1 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TQWN�H.ALL SOUTHOLD, N.Y. 11971 TEL.: 705-.1802 Examined .. yk).° , i `(..., IM. Received ............ , 1 9 . . Approved ... !!.I.. v "(.. 191 . Permit. No. Disapproved a/c ..................................... DE 319% (Building inspector) ,t . q 3 y gy . APPLICAT,I.ON FOR BUILDING PERMIT Date ....... ........., 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving a detailed description of layout of property must be: drawn on the diagram which is part of this appl cation. 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 issued a Building Permit to the applicant. Such perm 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 whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions of alterations, or for removal or demolition, as herein describes The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatio s, and t. admit authorized inspectors on premises and -in building for necessary inspe t' ns. (Signature of app call, orXcv`.� if corp tion) .... A,)T ................ (mai ing address 6 ap�-Iicant) State whether applicant...... is ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .... .. .............................. ..... ............................... Name of owner of premisesf!Y.�C� .......................................... . (as on the tax roll or latest deed) If applicant is rporations.s' nature duly autliorized ficer. (Name and title of corporate officer) Builder's License No . ........................... V ? Plumber's License No. ..�. ... • • • Electrician's License No. Other Trade's License No . ..................... 1. Location of land on which propaded work will be done.:.. . ... ! ../.'G% •`�%®fa d!� �......� e. !i �r� C.. .............. . House Number Street Hamlet County Tax Ma No. 1000 Section ... . ).)r......... Block .. ............... Lot .. ��' . �• ..... . Subdivision . /3�.%�,fif�.�'/>/"DE`. p4�!s�.......:... Filed Map No. Lot .............. . (Name) 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 ... 4;v.!` ! `/�............................. . 3. Nature of work (check which applicable): New Building.. . ,Add:.. .......... , . Alteration Repair .............. Removal .............. Demolition __ib........... Other Work ................ 1 �. . ................ (Description) (acv a:7— 4. Estimated Cost ...... v ........................... Fee ..4 7. (to be paid on filing this application) 5. If dwelling, number of dwelling units .... l........... Number of dwelling units on each floor ................ Ifgarage, number of cars .......I............................................................... . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number,_9f Stories ... ... ................ . Dimensions of same structure with altLrations or additions: Front ....... ........... Rear .................. Depth ...................... Height ...................... Number of Stories . 8. Dimensions of entire new construction: Front ..... 6.1........ Rear ... (.I ......... Depth ........... Height ....&q -t> ........ Number of Stories ......... @ . r, . ............ 9. Size of lot: Front ...... Rear ....... ............ De th ...zl(6dr.�........... . a 10. Date of Purchase .......... .. ...Name of Former Owner e..�.................... . 11. Zone or use district in which premises are situated ........................ .......................... . proposed Y g g .4.o ........................ 12. Does ro osed construction violate an zoning law, ordinance or regulation: . 13. Will lot be regraded ....... �g A.. I ........... Will excess fill be removed from premises: Yes Co) 14. Name of Owner of premises ..��yk, do4,.t,d ..... Address 0®s`� ,$*V 8r. . Phone Name of Architect .......... .............. Address ......°...... Phone No ................ Name of Contractor .......................... Address ................... Phone No............... . 15. Is this property located within 1.00 feet of a tidal wetland? * Yes ..... No ..... * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly 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 indicate whether interior or corner lot. STATE OF NEW .Y K, S.S COUNTY OF ... I (Name of individual signing contract) above named. _V_ " being duly sworn, deposes and says that he is the applicant He is the .......................0QrU 7�'A e-7-02 . 4• (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 1-1led therewith. Sworn to before me this . tt ..........day of. . l� e�rtc ...., 19) Notary Public, ... u........... County C� .......................................... UNDAJ. COOPER (Signature of applicant) NowrV Fume, 8=23 of WjW Tann Eupim r $1,. 482250.8utwh 1 e ,JA . TOWN Or" SOUTHOLD OFFICE 01- BUILDING INSPECTOR P-0. 13OX 728 TOW'N HALL SOUTI101.i), N.v. 11971 To Whom This May Concern, TEL. 765-1802 Ile are unable to co;rplcte your Certificate Of Occupancy becausc .of the following reasons. ,/—/An aPplication or Certificate cate of Occupancy 5,0-0 NO final inSpection has bee -.,I made. Pease contact our office on this matter. Thank you for your cooperation.'' Builc;,.nr; Permit # Z Buildin- Dept-. � C io Plumber Solder-Cei-.ificate on file. ( all permits involving plumbing being .issued after April 1,.1981 ) I -A TEL. 765-1802 TOWN OF SOUTHOLiD " X1 OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL y � nr ! �01 �- SOUTHOLD, N.Y. 11971 FEBRUARY 2, 1990 SECOND NOTICE FIRST NOTICE SENT 9/26/88 IN VIOLATION PERMIT HAS EXPIRED AND NO C.O. HAS BEEN ISSUED. To Whom'This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /gJ An application for Certificate of Occupancy is not on file. ENCLOSED No Underwriters Certificate on file. /ij The check is (L=X1X M9/'not on file.) $25.00 / No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit It 1' 5 9 9 2 Z Building Dept. ***fX/ No Plumber Solder Certificate on file.. ( all permits involving plumbing being issued after April 1,1984 ) Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 W = Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 18, 1995 Mr. Roger Vorce Apt 12J 405 East 54th Street New York, NY 10022 ***** THIRD NOTICE ***** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: �i xx An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters C r-ti�ca�e on file. xx The check is not on file. $25.00 xx No Health Department Appr-o e. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits.involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 15992-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. Town Hall, 53095 Main Road P. 0. Box 1179 Southold, New York 11971 March 6, 1998 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Roger Vorce 405 East 54th Street, Apt. 12J New York, New York 10022 ****FOURTH NOTICE**** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (OUTDATED) —$2--r'.�o �'S� , o XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT #15992-Z SEE ATTACHED Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I R ROGER E VORCE Chairman/CEO Town Hall 53095 Main Road P.O. Box 1179 Southhold, NY 11971 Dear Pat: QP_ @ TALENT AND LITERARY AGENCY March 18,1998 Thank you for spending so much time on the phone with me this morning. I really appreciated it. I am sending all the correspondence to Doug Wendell and asking him to get into it. I enclose the two checks in the amount of $25.00. With thanks again,and every good thought. Cordially, Ro �orce RFV/bc cc: Doug Wendell 829 N. Bayview Road Extension Southhold, NY 11971 9200 SUNSET BOULEVARD • LOS ANGELES, CALIFORNIA 90069 • PHONE 310-273-0744 • FAX 310-888-4242 888 SEVENTH AVENUE • NEW YORK, NEW YORK 10106 • PHONE 212-582-1500 FAX212-245-1647 3322 WEST END AVENUE • NASHVILLE, TENNESSEE 37203 • PHONE 615-297-0100 • FAX 615-297-5434 Town Hall, 53095 Main Road P.O. Box 1 179 Southold, New York 11971-0959 September 27th, 2006 F BUILDING DEPARTMENT TOWN OF SOUTHOLD Shatswell Properties Inc. 1479. Blue Jay Way Los Angeles, CA 90069-1212 5th NOTICE TO WHOM IT MAY CONCERN: Fax (631) 765-9502 Telephone (631) 765-1802 We are unable to complete your Certificate of Occupancy because of the following reasons: T) An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) W.00 Returned outdated No Health Department approval on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: # 15992-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired, a renewal fee may be required. coo Z7 TOWN OF SOUTHOLD PROPERTY "RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT !'lrpperV, 4-n IMP. 4-e --,I- t c. C�, t A All REMARKS (5,,,,-(�l y -FO�MER OWNEIf N E fDg ACR. -5 S -w TYPE OF BUILDING T 2i'/ I Z - F 6-0 V/ RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS (5,,,,-(�l y ,4 0- Q 0 3414-r -5 eo �IL A r T 2i'/ I Z - F 6-0 V/ 'Vf T, 0 1'- 7—G 25 5 Vnrnf, 1 :7 Tillable FRONTAGE ON WATER c -D Woodland FRONTAGE ON ROAD, Meadowland DEPTH House Plot BULKHEAD Toto I w 5 0 70 if i I, LUOYNt HJSI rvtlIJLY SUFFOLK CO. HEALTH DEPT. APPROVAL �. MAP C)* tF` (� PEI:'--' V1f H. S. NO.FAM, bWELLING ONLY � 2 :��� _ _'PEES TWO �IiC1;v� UAE OF I•�5�'ROVA�. P I n'(''µ '� y}'r s a o2 �l•.E„S w'� —Y � � k? � �. ,— STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO S S+ n F TME 121 �/r/� l� NSA, tm• rte. - SUFFOLK CO P . OF E H SER'✓ICE 3' (S) PP ICAN7 �� 198f; �o t�✓ �, �-�1 fir; sl33 SUFFOLK COUNTY DEPT. F HEALTH {+ i y� SERVICES — FOR APPROVAL OF S'>V L't1 1 OF CONSTRUCTION ONL*p ?2F3, ( }_ DATE: 4 I9t�T H. S. REF. NO.: ICNT G� 'WAY APPROVED: SUFFOLK CO. TAX MAP DE NION: DIST. SECT. BLOCK PCL. 1000 72 ! i • 4 OWNERS ADDRESS: ' DEED: L. P. Off' TEST HOLE STAMP y� ;SANDY c� • J At -4 - �l(I�.E�.' � , 4'(� I � � .: � f jt . ;y Yo e;r.• ::cos: Sir r:�,�m rao :si,:rr�y �} (Y7'S i^< 'fit i ; t e ria, srri cz Ni '^w ~p� d :C,•f`� _ C' �a er._isu4l�.� li�'•�7 h�;.�ti� u?��2 t�uo�a- A� ifs i -e�riE(;3 £.f� � fsr?sia':as, X69 •••••••.. � /yr 7(2 -Cl AJ SEAL .CLAYEY' OF E I'dTf� :' U -5-A.; NCDUt �Q' ca w4 A .Y. 'v� pie a`b v �`� AS SU '.\JEYED -Gl2AVF=L RODERICK VAN �TaUYY.L, P.C. : Y ..,►. �C '�, <S 25Er LICENSED LAND,SURV ORS 5��tAND S� GREENPORT NEW YORK I �SAtia �P�GtiZ t95�� S ttsG!'; or�pk�^t2Y^�• oQ��j,Q �. � W _10T.E5' TELEDYNE POST N81329 ==H T• C) V. r t� RODER- 1.4 K VAN TUYL, P.C. Xa LICENSED LAND SURV ORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL t �s H. S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. isl APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES — FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK 1 .1000. 72 OWNERS ADDRESS: oo DEED: L. P. TEST HOLE STAMP ,20 4' zmy-j ell r.:- ,6lc.,c& ^a ch^11 Tur w,,.- to Vii:� vst:.: nro Lit; c:wra w.1r; to ti-,Tuc;= ;r cs cl the 9andim, in-iYd- u:Nift. Q .e:;tar+,wa,:. area nai Yraarox'rear�� 4G ::r: �':iL•4xw irctilutic'm OP Sfdl.?Aq'IItiP4 Gam: ,..... SEAL ,0, ---of N -SAI�-IDY -.r .501L 5P.NDy ----LOAM t SAW UY ' :CLAYEY 5AN D, ,20 4' zmy-j ell r.:- ,6lc.,c& ^a ch^11 Tur w,,.- to Vii:� vst:.: nro Lit; c:wra w.1r; to ti-,Tuc;= ;r cs cl the 9andim, in-iYd- u:Nift. Q .e:;tar+,wa,:. area nai Yraarox'rear�� 4G ::r: �':iL•4xw irctilutic'm OP Sfdl.?Aq'IItiP4 Gam: ,..... SEAL ,0, ---of N t. . x, O O' Ems. � J �� f ,� ✓ �i2' 2 .t NOTE 5 J- Jc- ! Z .1-2, 0 M EIAN Epp_ L.,E /_�_ L , ,LEUYNE POST N61329 - e /O `G�, �A� ! �� `�JCA.L.E-.1..' tz1 tj .Z rJ, 16,�� iR_=M:Ef1"D_ Ea:=AP_ 2.2 7, IC -387 AS�a#�.U�wr;�fa-, Ory G.1 I R.ODERI. 'K VAN TUYL, P.C. LICENSED LAND SURV ORS GREENPORT ' - NEW YORK SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. -'._1000 72 ) P'P i-4 OWNERS ADDRESS: DEED:' L. P. Ifiiiiiiiiiiiifif � �i ir, a COl A� y IG1u 1 1 `aANDY SUFFOLK CO. HEALTH DEPT. APPROVAL l� ��;{� P MAP OF t' !'LO PERT Y H. S. NO. � l/ Q F2 0 2 �.-AM -t,-)f2 STATEMENT OF INTENT �UT'c0 G U E THE WATER SUPPLY AND SEWAGE DISPOSAL T0Y+J�} ` �Ei�i i'L ��.`Y` SYSTEMS FOR THIS RESIDENCE WILL -- .._. CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S)' APPLICANT Y SUFFOLK COUNTY DEPT. OF HEALTH' SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY 328. 559 DATE: -'-`_---_-_ ' H'. S. REF. NO.: OF APPROVED: W. t. . x, O O' Ems. � J �� f ,� ✓ �i2' 2 .t NOTE 5 J- Jc- ! Z .1-2, 0 M EIAN Epp_ L.,E /_�_ L , ,LEUYNE POST N61329 - e /O `G�, �A� ! �� `�JCA.L.E-.1..' tz1 tj .Z rJ, 16,�� iR_=M:Ef1"D_ Ea:=AP_ 2.2 7, IC -387 AS�a#�.U�wr;�fa-, Ory G.1 I R.ODERI. 'K VAN TUYL, P.C. LICENSED LAND SURV ORS GREENPORT ' - NEW YORK SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. -'._1000 72 ) P'P i-4 OWNERS ADDRESS: DEED:' L. P. Ifiiiiiiiiiiiifif � �i ir, a COl A� y IG1u 1 1 Ltr atrthcri7cd site -ration or addition to ;his 9Lvvey is a violation of ,,. -ti,,n 720!3 of tho Now yorle f3M Edurateon iavr. Copies d this sw mry rnep n::R h:tarhpj Lia Iu i i Canrveyor'a irked sial e7 emlx•C-�,g i wal sh-il mit Lft C:Jnwdorc d , to be y valid true copy. Guaront&,!s ir4mw01 hc,'con th^II rein only to tho person fcr yjhor.i tha survay - is prepargd, end an his behalf to'the titlo company, gwrcrrmental aryoncy and IopGir,L institution lisiar? hnrnan ervd to thr: of thu )�,.ndinairraU= h�.i•, . G :.:::r, ua< rrr. not transta� tiie - - ,•. •-,•', rune nr cu°•:�anE'nY SEAL to a� `aANDY �.-AM -LOAtYi;.:. . 5� Ltr atrthcri7cd site -ration or addition to ;his 9Lvvey is a violation of ,,. -ti,,n 720!3 of tho Now yorle f3M Edurateon iavr. Copies d this sw mry rnep n::R h:tarhpj Lia Iu i i Canrveyor'a irked sial e7 emlx•C-�,g i wal sh-il mit Lft C:Jnwdorc d , to be y valid true copy. Guaront&,!s ir4mw01 hc,'con th^II rein only to tho person fcr yjhor.i tha survay - is prepargd, end an his behalf to'the titlo company, gwrcrrmental aryoncy and IopGir,L institution lisiar? hnrnan ervd to thr: of thu )�,.ndinairraU= h�.i•, . G :.:::r, ua< rrr. not transta� tiie - - ,•. •-,•', rune nr cu°•:�anE'nY SEAL to a� X 0 e 0 0 0 3 CO 0 go O O 3 3 0 '°m 3 co N CD N � aQXN GALLACHER LAND SURVEYOR 59 FLORENCE DRIVE MANORVILLE, N.Y. 11949 ( 631) 874 - 0400 Traverse PC; /0/7g �65020,3�E SOL/ . na tie line / 17g O ofInaratnary bi-194.77, ch 1 4, ?19h Lvater14 ma k I W°Oa Zbeacilbott °m 0, bi4ff lop � Of �\\ bluff SURVEY OF PROPERTY SITUATE. CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCTM# 1000-72-1 -1.8 AREA = 76,198 sq ft or 1.8 acres [to ordinary high water mark] Notes : Suffolk county health department reference # R10 - 14 - 0052 t Septic system locations as per installer JUN -5 2015 I F ( ----_ chain link composite fence deck driveway 25' right — of -way -- 182.00' — 4 ASO• �\ on grade --——— ———— ~ \ ortp ugh f r'c now or formerly y \ " carolyn ricci isgr'hd 1 frame w ijb _.r �a---•�--- --' 13 rlccik Ira shed . . :::•:•.•:4oi:.: T r. wood steps=- tl t i F I FQ / 00 _ _46.1'—� wood deck 17'w -3,5'e 41.3' r / 97 01 story frame. ? woo"O'��µ stepsS� ! 6 O Qq enclosed , 10.0 *1 xo.o house %? \ well I to a sun - room4-1 10.01 ` 20.0' 413' 50. i ' 51.8' wood E I - c-� �_ . �? - t � OREGON ON ROAD 7 i E l:i t✓' j''tiJ Cil 1? steps , \Fp 60l w.ed �a 0 (+ fill ��; '•� '' �" I � I(— — 1 se tic fll O leac mg tank / pogl\ 55.8' ti I�J�x.x'e/ I L— 3w c z r,' ( ----_ 0//&stone I851°23'30"W driveway 25' right — of -way -- 182.00' — 4 ASO• --——— ———— _ \ ortp ugh f r'c now or formerly y \ " carolyn ricci 1 _.r �a---•�--- --' 13 rlccik Ira T r. tl t i F I FQ / r b L.� 97 t C7 Qq .., -`-, c-� �_ . �? - t � OREGON ON ROAD l:i t✓' j''tiJ Cil 1? 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