Loading...
HomeMy WebLinkAbout29032-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29193 Date: 01/13/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 730 GREENWAY WEST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 1 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 23, 2002 pursuant to which Building Permit No. 29032-Z dated DECEMBER 23, 2002 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 WRAP AROUND PORCH AS APPLIED FOR PER ZBA #2939 DATED 2/4/82 . The certificate is issued to JOHN M EBERHARDT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0006 01/10/03 ELECTRICAL CERTIFICATE NO. 1105090 12/26/02 PLUMBERS CERTIFICATION DATED 12 /02 PECONIC PLUMBING & HEAT lex 4- Autho ize Signature Rev. 1/81 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. 29032 Z Date DECEMBER 23 , 2002 Permission is hereby granted to: JOHN M EBERHARDT PO BOX 143 EAST MARION,NY 11939 for . CONSTRUCTION OF A ONE FAMILY DWELLING WITH COVERED WRAP AROUND PORCH PER ZBA #2939 DATED 2/4/82 . THIS PERMIT REPLACES BP#26579 . at premises located at 730 GREENWAY WEST ORIENT County Tax Map No. 473889 Section 015 Block 0001 Lot No. 020 pursuant to application dated DECEMBER 23 , 2002 and approved by the Building Inspector to expire on JUNE 23 , 2004 . Fee $ 843 . 00 12Yr Auth6eized Si ature 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) a�O3-. ' PERMIT NO. 26579 Z Date JUNE 14, 2000 Permission is hereby granted to: O'HANLON (EBERHARDT) 730 GREENWAY WEST ORIENT,NY 11957 for CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH COVERED WRAP AROUND PORCH PER ZBA #2939 DATED 2/4/82 . at premises located at 730 GREENWAY WEST ORIENT County Tax Map No. 473889 Section 015 Block 0001 Lot No. 020 pursuant to application dated APRIL 4, 2000 and approved by the Building Inspector. Fee $ 537 . 00 Authoriz d gignature ORIGINAL Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 7 Cu02 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 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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00,Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. / Z ^ 2 'J -• o Z New Construction: Old or Pre-existing Building: (check one) Location of Property: G 4 z w'�y 6�,Wj-/ 7 House No. Street Hamlet Owner or Owners of Property: <1°ll-✓ Z7-7 Suffolk County Tax Map No 1000, Section Block o o ° Lot o o 0 Subdivision �r 17c c c r-?f Filed Map. 9 Lot: -IOM.3 ,' Permit No. ermit. " C> Applicant: �'��^� "'f ��well V rz7-1 Health Dept. o Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Lam_ (check one) Fee Submitted: $ 2�^ u J )�C� Applicant Signature o�OFFO4co Town Hall,53095 Main Road p • Fax(631)765-9502 P.O.Box 1179 'y�O aOt' Telephone(631)765-1802 Southold,New York 11971-0959 1 '� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: /o�7/6 4- Building Permit No` I �� Owner: (please print) Plumber: _ PP_C O vt 1�C- P l t.`v+-.b t n� d- e z�` ✓►q (please print) �l �o s e- I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ZL (P'umbers Si e) Sworn to before me this a day of 20 c), Notary Public, K County VICKI L.LOPER Notary Public,State of New York No.01L06070081 Ouakfied i $uff k Cou ( Commission Ern S (��O O rJ�rJMUr�rJPRrJ�r:PrJ�rJ�Q3 I :nrJ@Pi:111 3�I ::111: �r 11: i IJ5,E PrJ�rJ�r�rlrJ�rJ�rJ�rJ�rJ�rJ�rJ�I:! 15rJ�rJ�rJ�rJ�r21 Ji i: �rJ�r�rJ�r PrJ�r PrJ�rJ�rJ�rJ�rJ�r Pr�rJ�rJ�r� O BY THIS CERTIFICATE OF COMPLIANCE THE: 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 fj 40 FULTON STREET — NEW YORK, NY 10038 rj 5 CERTIFIES THAT S e5 5 Upon the application of upon premises owned by C5J 5 JIM SAGE ELEC. INC. JAY EDERHARDTP.O. BOX 38 BOX 143 5 SG EE PORT, NY 11944-0038, EAST MARION, NY 11939 5 5 5 5 Located at GREENWAY WEST ORIENT, NY 11957 5 5 5 5 Application Number: 1105090 Certificate Number: 1105090 SSection: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor,Second Floor, Outside, 5 5 CSJ was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 26th Day of December,2002. 5 5 Name QTY Rate RAing Circuit Type_ ,CJ Alarm and Emergency Equipment 5 Sensor 6 Smoke 5 D5] Sensor 1 Carbon Monoxide 5 5 Appliances and Accessories 5 5 Dish Washer 1 1.2 KW 5 5 Exhaust Fan 2 F.H.P. 5 5 Furnace 1 F.H.P. 5 5 Pump/Motor 1 H.P. 5 5 Wiring and Devices S Lj Outlet 28 Fixture rj 5 Receptacle 38 General Purpose S S5 Switch 29 General Purpose 5 Fixture 28 Incandescent 5 Receptacle 1 20 Special 5 5 Receptacle 5 Special rj 5 Paddle Fan 5 C5D rj Dimmers 8 600 seal 5 Service ��5 5 Continued on Next Page 1 of 2 1 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. N� 5 5 a �����������������uli112������������������������������7M _Pr P��rP� I o JrL3rrLrs�rs� III rn��n� r� � s�l�� �� ��l�� �l oE. 5 BY THIS CERTIFICATE OF'COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 Crj BUREAU OF ELECTRICITY r5 40 FULTON STREET — NEW YORK, NY 10038 c� 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. JAY EDERHARDT P.O. BOX 38 BOX 143 5 GREEN ORT, NY 11944-0038, EAST MARION, NY 11939 S 5 S Located at GREENWAY WEST ORIENT, NY 11957 5 5 Application Number: 1105090 Certificate Number: 1105090 5 5 5 S Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,First Floor, Second Floor, Outside, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 Dj found to be in compliance therewith on the 26th Day of December,2002. 5 5 Name QTY Rate Ratin Circuit Type 5 1 Phase 3W Service Rating 150 Amperes 5 5 Service Disconnect: 1 150 CB 5 5 Meters: 1 5 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 �5 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. c �P �rrJ�@r � rP�cnrJ� J�nP : PrEEEcPJe� �wrmM-J � nflrcnc c. rJPLIVE- IERI�rJVrJ2 o J �4 Q f 1 . AepT- STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) , c,, u /-I ��h' ` / , being duly sworn, deposes and says: That deponent ver the age of 18 years and resides at /?1s ..A That on the ! day of V-'^ ` 2000 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- SSG /5Ol �r �L street address Architect/Engineer sworn to befor me this J'Z ,�day of L� / 2000. CE Notary Public jWRR? RFR!RPI u w401 MO A �� 1 rsNe�R ,vle rofnnd JWICR q�FFSS1f1�P� *Wvq';N1i93 _ cc: Applicant "Ll" 5. SANTORA NOTARY UBLI'C .1..9 11.-Yak Quelified in Nauru. uM .ij Commiaion EKpirn 2i BUILDING PERMIT REVIEW CHECK LIS Applicant/Date Owners Name: 0, �`,5n Reviewed: (!� Architect/ Date t y Engineer: Submitted: SCTM #: District: 1.000 Section: Block: �_ Lot: Projectn �� �� �� ` Subdivision Location: m • L W � Nae: K,04 Single&separate Required certification: (Yes/No) Req. /��j����yy��///►►► Req. �j} y Zoning District.-W---w [Lot size / Actual: J [Lot coverage v''Proposed: � / 7 Req �/ r Req/ _ J.S` g9 r Req. ZI� (Front Yard Proposed: q0 I [Side Yard Proposed. (Rear Yard Proposed. Project Description: /✓ 0 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town::�f tees ` Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? 619Flood Zone: f�•l�C� Notes: SINGLE AND SEPARATE SEARCH TITLE NO. L 4222975 STATE OF NEW YORK ) ) SS COUNTY OF NEW YORK ) CHRISTOPHER M. BECK, being duly sworn. Deposes and says: THAT he is the Title Officer at Ridge Abstract Corp. and has had a search made, under his direction of the records and/or the files of the County Clerk of the County of Suffolk for the purpose of an application for a variance affecting the following premises: TAX MAP: DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 020.000 THAT such a search includes a chain of title as to the premises and all of the adjoining lots and such search shows and he does certify that the premises has been in single and separate ownership since prior to the date, except as may be shown by the attached Chains of Title. THAT this affidavit is made to assist the Board of Appeals of the Town of Southold to reach any determination, which requires as a basis therefor the information, set forth herein and knowing full well said Board will rely upon the truth hereof. RIDGE ABSTRACT CORP. By: c CHRISTOPHER BECK Sworn to before me this d O��i 0114 ANDREW F. NUN2IA?O Notary Public, State of New York day of A/Ac)aJ No. 24-4910721 Oualified in Nassau County gQO I Commission Expires Nov. 9. W— NOTE: THE LIABILITY OF THIS SINGLE AND SEPARATE SEARCH IS LIMITED TO THE AMOUNT OF FEE ACTUALLY PAID. CHAIN OF TITLE DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 020.000 (PREMISES UNDER EXAMINATION) LOT: 020.000 LAST OWNER: William B. McLoughlin Dated: 02/23/82 Alice B. McLoughlin Recorded: 03/02/82 Liber 9148 Page 466 TO Peter O'Hanlon RIDGE ABSTRACT CORP. BY: el — RISTOPHERtff BECK DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 011.000 (PREMISES TO THE EAST OF PREMISES UNDER EXAMINATION) A/K/A FILED MAP 3540— FILED LOT 45 LAST OWNER: (LOT 011.000) Peter O'Hanion & Mary O'Hanion, his wife Dated: 03/02/82 TO Recorded: 03/10/82 Mary M. O'Hanlon Liber 9152 Page 403 Mary M. O'Hanlon Dated: 07/01/97 To Recorded: 07/09/97 Anthony Barbarise Liber 11839 Page 745 &Christine Barbarise, his wife RIDGE ABSTRACT CORP. BY: CHRISTOPHER BECK CHAIN OF TITLE (continued) DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 019.000 (PREMIES TO THE SOUTH OF PREMISES UNDER EXAMINATION) A/K/A FILED MAP 3540 FILED LOT 35 LAST OWNER(LOT 019.00): Ronald Falkowski &Carol L. Falkowski, his wife Dated: 06/23/80 To Recorded: 07/08/80 Stephen J. Kmetz,Jr. Liber 8848 Page 416 DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 021.00 (PREMISES TO THE NORTH OF PREMISES UNDER EXAMINATION) A/K/A FILED MAP 3540 FILED LOT 37 LOT 021.000: Louise Trezzo as surviving spouse of Dated: 11/10/88 Joseph Trezzo Recorded: 09/24/91 To Liber 11340 Page 261 Louise Trezzo, Loretta Braren, as co-trustees under deed dated 3/29/88 with full power of attorney Loretta Baren, as co-trustee under Trust Dated: 09/09/99 Agreement of Louise Trezzo dated 3/29/88 Recorded: 09/29/99 To Liber 11992 Page 66 Robert La Duca and Jacqueline M. La Duca, his wife RIDGE ABSTRACT CORP. BY: CHRISTOPHER BECK STREET REPORT: DISTRICT 1000 SECTION 015.00 BLOCK 01.00 LOT 020.000 (PREMISES TO THE WEST OF PREMISES UNDER EXAMINATION) STREET: GREENWAY WEST IS A PRIVATE ROAD Town Of Southold P.0 Box 1179 Southold, NY 11971 * * * RECEIPT Date: 02/25/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Total Paid: $10.00 Name: Eberhardt, J M P.o. Box 143 East Marion, NY 11939 Clerk ID: JOYCEW Internal ID:2800 M-1802 BUILDING DEPT. NSPECTION FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY ^ MARKS: � DATE INSPECTOR 765-1802 BUILDING DEPT. 1 PECTION [ ) F DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ) FRAMING [ ] FINAL [ ) FIREPLA CHIMNEY REMARKS: ' ;DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [4</ROUGH PLBG. [ ] F NDATION 2ND ( ] IySdULAnOW...w_ __. _µms" [ ] FRAMING ] FINAL [ FIREPLACE & CHIMNE REMARKS: � 6,� oep dzz ol.&« -f- .DATE `� ��� INSPECTOR 7855-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH [ ] FOUNDATION 2ND [ SOLATION [ F ING [ ] FINAL [ FIREPLACE A CHIMNEY REMARKS,teZ7 // /, C/1 .. -I DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ J 1 LATION [ ] FRAMING [ FINAL [ ) FIREPLACE S CHIMNEY REMARKS: (217.4g;;1.2 "*�� QW0,7 DATE rat 4i INSIDECTO f'IE_L_D_INNSPECTION REPORT TIiIi DATE _ _ COMMENTS _ __ --------- FOUNDATION - _ _ FOUNDATION i ra tit Al 79, FOUNDATION ( ND) ---II II --� to � o TI ROUGH FRAME & I II a JI 0 PLUMBINGell 'Trl INSULATION PER N. Y. — ��G y ` STATE ENERGY u /` y- CODE II II II If H � I 41- FINAL FINAL II n it ` sasssssssss== sxss—sss=cllssssss--�=sssss_= sssssss—sssssssssssss=c==ssssssssssssss=sss O --ADDITIONAL—COMMENTS: M i iL�pO fit cr -� r� w � H cJ � J ro H c BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . .. . . . . . . SOUTHOLD, N.Y. 11971 -� TEL:: 765-1802 NOTIFY:( [ Jo Examined.... ....., 20.... 9 MAIL TO:.... . . . ... Approved...&P`.. Permit No. 1... 9TT/j'/.9�lio J .t/y �`�. ..... oO (05�. �...:......... Disapproved a/c .................................. ................. ......... ...................................... ............... c...... G........ (Building I to ) APPLICATION FOR BUILDING PERMIT QL) Date. 2. . . ...:.-. . . . . . 20. 9.c: INSTRUCTIONS a. '14a iC�[ibia usL-b6, ely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoving 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 application. 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICK IS HERLB' Y MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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. ✓. /u. .i ................................. (Sture of applicant, or name, if a corporation) 0°©110, /53 E9.r j rl�Tio•d .�y .. ..................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OLJ/,%.'r ..............................�� ::i'.................... ....................................................... Name of owner of premises ..:�.� ................................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..............�1.:'....................................... (Name and title of corporate officer) Builders License No. ..�o c o/ /.Y J,/% Plumbers License No. ../.c: /. 6r1..... Electricians License No. Other Trade's License No. .................... 1. Location of land on which proposed work will be done........... 6-,/Z t2 ✓.&,), 7-s...... L✓c'T ................0, t ✓1.............................. ..................................... House Number Street Hamlet Carty Tax Map No. 1000 Section ..Z:r ........ Block .....� ....... Lot Subdivision ..�'/rrt ✓ /�c7c�! .............. Filed IKap No. 2.S.—/0..,.. Lot `3 6, ....... ............... (Name) 2. State existing use and occupancy of premises and intended use and OWNP :df,pp�vecot (���(-.,f,��.r } a. Existing use and occupancy ..:.........................................( i�CA ✓ i IANr.f ruu .Cr ._Oj;A*NuZ'2Fii Zti3'm1sY r b. untended tcie and ocaromicv . . ............. OvulaaulAm ............ Mlner WorK .................................. (Description) i. Estimated Cost .... .................. fee .............................................. (to be paid on filing this application) i. If &telling, number of dwelling units ............ Nixrber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... N Dimensions of existing structures, if any: Front......e.......... Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Number of Stories ............... Dimensions of entire new construction: Front ...l.. ......... Rear ..... ...... Depth .............. Height .....Z S .... Number of Stories ... ............... ............... Size of lot: Front .ZKFr.� ....... Rear ..l S�.�3........ Depth /2 �, y� ....... 0. Date of Purchase .........?;.'.o°..... Name of Former Owner .........................../............. I. Zone or use district in which premises are situated ..:- 'N �`^ Fv,i/ �f Si;/�^�c�;,,,,,,,,,,,,,,,,,, 2. Does proposed construction violate any zoning law, ordinance or regulation ........................ 3. Will lot be regraded ....N°. ... Will excess fill be removed from premises: 'YES 4. Nacos of Owner of premises �O y"'. .. QE�'y���TAddress !���!a'•X�Y� f°fTM�."io✓ Phone No. .l�. f y76 ..... ....; 1- . Name of Architect �L -T (.n ..... Address ................... Phone No. y77 0 00 Name of Contractor ..�:c�. / C......"'b'r Address Phone No. ..... ... ............................ ..... 5. Is this property within 300 feet of a tidal wetland? * YES .......... Na ..elr.... *IF YES, SOUIlicw 1UWN TRtsms PEEaIIT MAY BE.WgLREO. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block number or description according to deed, and show street names and indicate nether interior or corner lot. - -- Gin r'r�J G✓'4 l� �.a-r7' Il�c 4,✓ 1/I7CgN/ lu CI 0 ti J II G ��r>,�w� 6✓c�ri r^ GAiV% rIVIE or Nw Yo w, S ` S MIT (F ...c4( ...J.. .................................................being duly sworn, deposes and says that he is the applicant `lane of individual signing contract) :rove named, is the ..... ..... .... .. .. ... .................................. . .. ........ .... .... ..... ... . (Contractor, agent, corporate officer, etc.) r said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplicatial; that all statements contained in this application are true to the best of his knowledge and belief; and inat the work will be performed in the manner set forth in the application filed therewith. :morn to before me this y� / _ . day of /tllfel ... m .. 20 Notary Public L ........ ........................ ASignnature of Applicant) ELIZABETH A STATHIS NOTARY PUBLIC.State of New Yak NO,Tam .Www a 20.QQP The locations of wells and cesspools shown hereon are from field observations and or from data obtained from others. SLFM;K COUNTY DEPARTMENT OF HEALTH SERVICES PFM"P.irHT Frx?-MP"*-,V 3,,CYC %- UCT'ION FOR A TN SEA V''�_ av ��a�a� xsRE7r.. . P.FPR�,ZsD �_ FOR tIJiX1`+2LTM CF BEDROOMS EXPO TT4'ii EE YEARS FROM DATE OF APPROVAL LOT 87 IJMELLIlKi i VACANT el PPE N. 85'24'50' E. 126.42' PM 16.7 e, si 5 2 ���P aGr�vew�y N LOT VACANT es i• -� I� ` prop Z 4o hs LOT r,� , el /7 VACANT LOT CP. arty DWELLAYI6 LOT W el we, /27 ASE °P t7,,S. 85024'40' W. 119.84' 4ACAN T DWELLING LOT ® LOT 1 am laminar with the STANDARDS FOR APPROVAL SURVEY OF PROPERTY AND CONSTRUCTION OF SUBSURFACE SEWAGE AT ORENT DISPOSAL SYSTEMS FOR SINGLE FAMILY RESiDF_NCES {�� and WX abide by the conditions set forth therein and on the �+TO�W/�� OF SOUTHOLD perm!l to cons/roti. °five„ SUFFOLK COUNTY NY 1000 - 15 - 01 - 20 SCALE: 1" _ 80' NOV. 8, 1888 NOTEr Nov. /8, 1999 LOT At#AWRS AZA D TO 'MAP OF Gf�EEN ACfS AT: NT' FILED tN THESyl' FOLK CO(NTY CLERK'S OFFICE ON Aft' 13, 196,E AS MAP NO. 3540 ' AREA = 20,759 sq. ft.. oE NEW), SFCT/OIAt 7P090R ADghM)N TO TMS SI,IRVEY! VIOLATION �`Qpt�ai• M6TjQ^p�if- � ppFF AE71 YDAM( 37`ATE E LL LAW. £YQ�PT AS PER SECTION 7e09'- �I £. LL CERTIFICATgN� -� SA ARE OR CITIES BEAR TW APRESSEVALO FOR ?W MAP AND COPES SEAL OF THE SURVEYOR ONOSETHEREOF OAFL Y If- APPEARS HEREON. I Y.S. LIG NO. 49618 AL Y TO COWL WTH 5 L THE TERM 'ALTERED BY" �.i� '1 ' OAN P.C. D BY ANY AAD ALL SyORS UTILIZING A COPY 49 A f!-rDAT£'YOAIOT.T Eft$COA& ANH AS 'IINSPECTED' AND P. i*TH Tr►E LAW 123 STREET SOUTH , N.Y 11971 99 - 365 �1 cD(o {� The locations of wells and cesspools CERTIFIED TO: shown hereon are from field observations THE SUFFOLK COUNTY NATIONAL BANK and or from data obtained from others. JOHN M. EBERHARDT 5 r1D SEP1 �009 r 44 f WELLM VACANT el , N. 8502450" E. 126.42' p.E /5•� c. Pi 157 iAB 2 � N LOT VACANT N) °- P) R � e8- _ 5 e LOT h o VACANT Ab n t3 p LOT tv ow MW. w LOT OC/ B/ /Z7 H'E *1,7,,S. 85024'40' W. 119.84' ve cd N r DWELLMlG LOT ® LOT I am twftr with the STANDARDS FOR APPROVAL SURVEY OF PROPER T Y AND CONSTRUCTION OF SUBSURFACE SEWAGE AT ORENT DISPOSAL SYSTEMS FOR SINGLE FAM1L Y RESIDENCES abide by and wTOWN OF SOUTHOLD N/ the conditions set forth therein and on the perm!/ to construct. wp, SUFFOLK COUNTY, N. Y. 1000 - 15 - 01 - 20 SCALE: Y' = 30' NOV. 8, 1989 Nov. /g 19 9 9 (rs yzj l*• ) NO TE' Feb 25 2 a v� ' LOT NUMBERS ARE REFERENCED TO Sept. 117 20001(loU1,,? ion/ 7IAP OF GREEN ACRES AT ORENT' CP „ FILED NV THE SUFFOLK COUNTY CLERKS OFFICE ON APIA 13, /962 AS AARP NO. 3540 I �F NEW ),0 / ��1. METZC, �� V AREA = 20,759 sq. ft. q, Q ANY ALTERATION OR ADUTION TO THIS SURVEY IS A VIOLATION OF SECTMQV 77109 OF 1W NEW YORX STATE EDUCATION LAW. J EXCEPT AS PER SECTION 7209 SLMPVMM 2. ALL CERTIFIL'ATIONS `�`� `\d OCt MEREON ARE VALID FOR TINS MAP AAO COPIES T1rEMOF ONLY iF SAO MVP OR COPT AGARTHE H♦ SSED SEAL OF THE SMVEYOR Y.S. LIC. NO. 49618 WHOADDITIONALLY To COWL WITH SAID LAW THE TERM 'ALTERED BY" S, P.C. MUST BE BY ANY AAV ALL SLRVEYIARS UTN 1Zpr6 A COPYOF ANO t� 0 ROU�1�`ATEY RE NOT IN CowtlANCE *1T C� a� 1230 B 909 TRAVEELER STREET SOUTHOLD, N.Y. 11971 . . _ 99 . 365 The locations of wells and cesspools shown hereon are from field observations CERT/F/ED TO: and or from data obtained from others. THE SUFFOLK COUNTY NATIONAL BANK JOHN M. EBERHARDT SCDHS. Ref.# RIO-00-0006 R1vE / "+ aY - `ID I n N LOT 37 q DWELLM +! VACANT I eI N. 85024W* E. 126.42' Pftr 15,(O P/ 9) LOT 13 i ro ro VACANT ^j � O � m - - 403--- r � r ,y W ft# %'A LOT VACANT LOT 04, not CK OYM 13V Q4 / DWELL#* 0 / W LOT ® a w'I1 el al .o.G' X2.7 PPE oe,,, S. 85'24'40' W. //9.84' 11AtAN r DWELLING LOT 35 LOT 1 I am familiar with the STANDARDS FOR APPRL)VAL SURVEY OF PROPERTY AND CONSTRUCTION OF SUBSURFACE SEWAGE A T ORIENT DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES TOWN OF SOUTHOLD and will abide by the conditions set forth therein and on the permit to construct. well SUFFOLK COUNTY, N. Y. 1000 - 15 - 01 - 20 SCALE 1" = 30r NO v 8, 1999 Ncv /9 1999 reVcs/o^ No TE: FPe LOT NUMBERS ARE REFERENCED TO Sept. 11, 2000 (foundation) MAP OF GREEN ACRES AT ORIENT" Feb. 16, 2001 (final) FILED IN THE SUFFOLK COUNTY CLERK'S r �1 OFFICE ON APRIL13, 1962 AS MAP NO. 3540 a AREA = 20,759 sq. ft. -, Of N ,�, F �� aN I. Mp �y0 ANY ALTERATION OR ADDITION TO TMS SURVEY /S A VIOLATION S rr ,p OF SEC 7"N 7209 OF Tlf£ MEW YORK STATE EDUCATION LAW. to o EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y If- * ' SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR "" 5 N.Y.S. LIC. NO. 49618 WHOSE SIGNATURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY" OR P.C. MUST BE USED B r ANY AND ALL SURVEYORS UTILIZING A COPY ( 6) - 0 OF ANOTHER SURVFY0,4'S MAP. TERMS SUCH AS 'INSPECTED' AND 4 6ROUGHT-TO-OA rt- ARE NOT IN COMPLIANCE WITH THE LAW, p ER STREET N.Y. 1197/ 99 - 365 l II 1I I v. a _ PLUMBING ALL PLUMBING WASTE PLUMBER CERTIFICATION 1 •� &WATER LINES NEED ON LEAD CONTENT BEFORE 1t wo S� of TESTING BEFORE COVERING CERTIFICATE OF OCCUPANCY b ���� USE IS UI' I_A9U� SOLDER USED IN WATER ou OaJ�ll�/ SUPPLY SYSTEM CANNOT WITHOUT CERTIFICATE �p 41Y Pql n� If copper tubing is used EXCEED 2/10 o/ I% LEAD.7W1 t FgIOMNNi Hyl&ED E'eF OCCUPANCY forwater distributing � �iDA" I W G system; piping shall be PDIIHOIIMOMIND I�LINACING Of types K or L only 2. mum - PROVIDE ANTI-SCALD AND/OR � 2. UNDERWRITERS CERTIFICATE THERMAL SHOCK PREVENTING 4. FINONSTRUCTION MUST REQUIRED K COMPLETE FOR C.O. PROVIALARMDE ODEVICESCTING DEVICES AS TO PART. 902.6(K) THE CONSTRUCTION 5 OF THE NY AS STATE BUILDING CODE.N.Y. AS TO PART.721.1 CE CONSTRUCTION ENERGY CODODES.. NOT RESPONSIBLE FOR 11111S11111S BUILDING CODE. DESIGN OR CONNSTRUC'"ON PROPS 20fY o-�Q1 2ge( I fG4 4 i PROVIDE OPENINGS FOR UNDERWRITERS CERTIFICATE EMERGENCY ESCAPE AS REQUIRED REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. C DO NOT PROCEED WITH FRAMING UNTIL SURVEY - k OF FOUNDATION LOCATION HAS BEEN APPROVED. f r / -N \. r Z c o LL af� >- cc 3 "4-- - o _ W , - - --- - - ' -- -- - ---- - ! z jj m._..;��.__ :.:_ .._ _._._.. __ _moi- .-.__,._ .__� _-!.L__M-._.._....�..._.__._..Z?-� � s--�..�1.� �-•--,... • ' � a a of NEW y� J W Oh�y pWOFEssm m _ t Q �1 a 9 f) 1 1 I � � r pt l g�g �cai a r S w a m U 1 �o I� I (I .(i c, CC o IL a 4 Y rg cc 77 1. I I i�Uf NEW W u' 032250-1 AV V - pq�FE5510�� Y r'1 ✓ V Y o (7 ' u 3 � w D N D m 1{ Z Ll l-2 ` I 1 0 z o a Z m W C7 X < cc 0 O ¢ $ 0 W Z n, m Fill IP-lo - _ NEW yo Ash.NCE r 'fl4 w �y x O 039254-1 � pA0FESSO a. i LL l\y O < Q d I I rl o. u oho m IT s `7 41, o , ano cc o O ri Oft-LO °L° Al 5/4 A I +k' � �7�14 Lr�r. t— � `; Cyd°° �•�� -- I SLI NEWY w 4r � II iP .•�CE - TG 0.9 Q O '" h w W 9�EESSIONF'� J CL of �''_•__ _�'__ ____ — - — - -- I`---- -- f � w � I 1 1 LE A a O w D m 111 4 1- , I 1 l { or 1 zFbu�d -- 47 1F I� Ys i T-7 N J` xY a � h � . W ' I cc W _ r —Kq I y i u� —� r-1 I1�1+ l k a ! \ : 1I x Kr-1 x W �. ��.� I � •__Till � � l� LriIC Ccs :� - O O cc 1.. _ —J I I n 4N Himne 1� • I_ LL�,' 101 >t F 13F NEW Y W Q 0 I , 1 - - - •.. _.B._-- _ � I— ri1 �joO 032259 1 aV V ' - -- 9pfE5S10NP d7� ; ISLE i-IE'.O!>!r J r81 ='.'✓I�^ fin}IIIY '�-J , fl Cr '':• 3cP' Lf ' . !�-may; � IO&T eft.. �- — --- - l c- 0! n Q a 4 7 Ic it 1 r } 3 , w a m D 0 �1 } • �1 t� 41 o n � K O � 6 n e 1 ♦ Z � V -r x LC L x ,_ Y1 x 0 1 Z n i Ih- lk y _ insy2! f" 6 � ��� - �' n 111Ji f v +�— — -- -- '�1:_�- Ui NEW CON /�/-[�6 �i��r�' � u 1`5��':';-,e/rte• �N (� w r`�tr R/ �OFESSIO �h OL S l 1, I S � �� -- I i$ 12 2XC l-1✓s'^(,',C -_.._,_.__ loit, —cI!,° r� � Q ✓ih � � U J � J i I �'/r y - — -- =-- -- - - -- --- `'� ' 'I c 121 C=+G e Y'_�Ei`•r 1 PL wcez_t 4 Lf5 FELT 41 / 2601_5 AP.Z--H , TY'K'E R' vF '5i-)1 �jGLE�, r T1 l..i 1-4 Ca L 4c I �cr� GIL I CL �- I� INSUL.dr�`Ini,jj x o 0 LCL _ ¢ = m II Y C M< [�-YW O0A-) o 0 2.2vW { — Csaj eL'40 i2,0. G , G 3 Ir,I LATlGYJ W .o ��i 7�F•�:� ,.> .,,.- - -- G`�CID C�.i �.'�t ' r' � ���kr.,�ty`-Y`l: _ _.:`� ��,, � � �nA1ZY� ¢ a 4.. Ki T- CdtcfC:c , Ttf X11 ,%714Ir-LD 2X10 GL'7C �:�1no rI!a'<.'�Ci, I I I; I _ru;r r.��r =�?LaYa P%I_s2.ICtt-lri� CAJ X10 2 ., J %� ! (r" O,i - S''z�_ v ,, '2Xll' CCz1 �J, � IU°O,C 12 Icl IN9uLaTloh � �I-jl�{C.�{��'� }-� .}.f��.:� LrTZI � V..`-T-•F�I T I � ,. rt, I NEW Y F 08254-0 O FESSIO�� c� , L, o _ W �J Q a ~ ; L1 t-. � a r' t.J W i� I a cc —------------L—J I' li� I I 1 flr I UI_ � �� - - - - , -- - - - - - - 11 V I cr.Jetyl„ YO 4 m 032]5o �Ac' /���J pADFE5510Np' Y ,\n lgl�3/UI 0lp � "'^`tel C� ��.�✓ ,��/ � �� I� i a �sl i I UJ CC NC T7 , R�-t f 4'A -Z �E1JL CCS EC 11 41� T I Vo I rt 4L i iR� in 117 21 e.- R. -. rt i r 2 fe 03225 -i' - v.,� pROEESSIONF�'` o CL f , 7 IF /:l�C/ __ �//__—r _-_,_-...� —__..-���L�E( �_-_.__—._.�..—._—.,� �4- ✓ [h, ifs. eJ/ l f y 4 "a I r• AP 2X10rJ 6, tiDPA, 3w — I � 1 /.w" oil t?/ t , i Cl+ta' 'ox - 4" I �j I Q S.year!evrro �II 1P r cl a - --t .�...�,.... ... ,. .r..�......_-.-,.--,...' .M—__...�.er.�'�.+..�---4 ^—^—""-'>.--r-�-�-+—.,+='.�_. _ � � � � J.� '�F P3]]54-1 AnF ssioNr I 1 1. IF' _ ,,., . , _. _ ._._ .t, , r ._ - .�,� x ka•M��..,��'��+ : _ �+/ x �u_«�., �l��r,'� a,,. ';,'.L ,� _._.m..' � � ,tis- „��...an•.�-''.,�a + �+'! - R4 'f4 44 ZZ, A !PZ 7 4A L-77 I lot + ell 40 j J-- IZ4, SAT 14� px e4 e5l j P. fA l4tl�L 40&0�* Oi��*Om 4fio 1w T II u z rc U 6 > `1 41 O i a a e + z m _ � cc w al 2'�N62' I . 40r" 7" � v3'O 2(1- ' � � ' � ,,,'� t r - � I v I I � - .. %40iCit4 I n J'�O 0322511 �aV s a CL r or o ' ,J cA � � I � CS•` � �` , 4 I ' 2KIO �iDGE I . x LF. % I'o° oPr I J �I = 0 � o yv ?tz �IuC�. '2 XQr ?z;rF- 2e;, 6� t ra"a•r. . y2" r Dx p":'(WOOp 3gFa7H1,w44 U IrI�•tn P�C�'d t'---' t �a fit_ ./ 25o LPA 4;2c,H• •rYPE 2001 �l �l i1GLEFT ��]R]ppI C��/Ki�($.I�—a,.�., I✓I1.-I f eA n IIy4p ua'c� s_ 2uca C�J-I�U c3�� (9'U,C., x / rc <x +C J 12- 111 NSU1..�T,OU q f; LYCp C �?" GY�'SUM BG1LR'D „Ef �` UAI LL 1 �F Yom:'-RM I/e ll cvx i'L. i WYQ�✓ .�- -.g1' o IP5 LEi FELT- / I --- Vey 5 !Lu Q. e - : \ fZ 13 11 iSU . - f'' _ is I1J5uLAT 10N c�lcr°r,�, 2 -rua�c�� 51w� 2-131x > a� ,ohi � � lstr� bxn �r� �aIct �•- I� I��ta���� — I ,J — ,ruvacn tJ, tv"c,c - -2xta � �UNo.c �s'�G'z < ivc> ;:,L2� a I - 1,47T�l 4::5,Y1_16T UY I _Ir G'✓ T -- 'f—'1 - \ t6o4 NEW yo - 3 � .. - i ♦ P D n r LL - F 0o2Zo<-t ,z OpAOFESSIour --< e 1;� (7 W ,I '