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23406-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25255 Date SEPTEMBER 10, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 3200 SOUND DRIVE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1996 pursuant to which Building Permit No. 23406-Z dated MAY 3, 1996 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 ATTACHED TWO CAR GARAGE, COVERED PATIO & OPEN PORCH AS APPLIED FOR & AS PER ZBA #4374. The certificate is issued to FRANK & LOUISE PALUMBO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0113-SEPT. 9, 1997 UNDERWRITERS CERTIFICATE NO. N-423669 - JUNE 24, 1997 PLUMBERS CERTIFICATION DATED JUNE 30, 1997-PECONIC PLUMBING & HEATING l� Buil ng Inspec r 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) Date........ ..... .... ........................ 19. NR 23406 Z Permission is hereby granted t ./. ..... �72�!� ®.. .. ........... . ......' ........X ..... ............ ........... .. ...... ........... ..... to ................................... . .. - .. Cam'. ... ...... . ..... .. ° .a ^'�......................^... ... .. , ,�.;.. .. ... -- .. . ...e. .... ......................... at premises located at................. .......... r - .... .1... `' ................. ...................... ................................. .. . ........................ . ............ r County Tax Map No. 1000 Section ..........3.�.... Block............../........ Lot No. .....7.................. pursuant to application dated ................. ... ...... 19..1.•5 ..., and approved by the Building Inspector. Fee$. ..... ............... Building Inspector Rev. 6/30/80 rOrm wo. b TOWN OF SOUTHOLD k � !! BUILDING DEPARTMENT JL & 7, 1997 TOWN HALL �- 765-1802 BLDG. DEFT. 7aVVN OF SOU7r10LD= APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 a 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 - .25r,-_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Com9me9rGc+iaal' $15.00 Date . . �:�: �. `././. ./. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existin Building. . . . . . . . . . . . . . . . . Location of Property. . d . . . . �C?l�C1. . .�✓. `.1. . . . . . . . House No. Street. . • Hgmlet Onwer or Owners of Property. . �.a 1�.Y� .1. .: L.-.�:? t S�. . . . 4h�.��?�. d. . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . .-l. . . ..Block. . .j. .. . . . . . . . .Lot. . . .` 6r.00 . . . . . . . . . . . . Subdivision. . eY: Yi . . .��. a'� e S . . . . . . .Filed Map. Lot. . . /.�.o. . . . . . . . . . . . . . Permit No. .°4 ?-�. &C7.�.Z.Date Of Permit.Plct. � . /., .Applicant. Health Dept. Approval:g:.lG.:�.-$�:-. ? .( .. . . .Underwriters Approval.N A-1R. -3 . . . . . . Planning Board Approval. . . .h1.,4 . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . � . :�'. . . . . . . . . . . . . . 3 3 -)/ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NY 10038 Dale ;JUNE; 24,1997 Application No.on file 12504996/96 N 423669 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on.the above application number in the premises of FRANK PALUMBO, 3200 SOUND DRIVE, POLE#LILCO 4, GREENPORT', N.Y. in the following location; LJ Basement � 1st Ft. :E] 2nd Fl. GAR/OUT Section Block Lot was examined on JUNEI 19,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. 52 89 59 47 5 1 12 1 7.2 1 1.2 4 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS t 4 F 3 - 1 SERVICE DISCONNECT NO.OF S.... E R V I C E AMT. AMP. npE METER 1-,2W 1.0 3W 3 B 3W 3,8.4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G• NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CB 1 X 1 2/0 1 1/0 OTHER APPARATUS- EHIRLPOOL BATH-1 PADDLE :FANS-9 2 TON A/C-1 3 TON A/C-1 4 TON A/C-1 MOTORS:9-F H.P. ,3-F H.P. ,1-2 H.P. ,1-3 H.P. ,1-4 H.P. PANELBOARDSs1-3 CIR, 125 G.E'.C.:C:-13 SMOKE DETECTORS-H l �wt <<< Continued on Page 2 >» GENERAL MANAGER xI Per 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS £AGE 1.185077 BUREAU OF ELECTRICITY F- 85 JOHN STREET, NEW YORK, NY 10038 Date JUITE 24,199 7 Application No.on file 1{504 996/96 N 423669 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MANK PALTM LBO, 3200 SOUND DR:CVE, POLMRLTLCO 4, GREENPORT, N.Y. in the following location; -E1 Basement 7 lst FL 10 2nd Ft. {JAR/OUT Section Block Lot was examined on JUIE 19,1997 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENTI.FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT.I H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R. V I C E AMT. AMP. TYPE EQUIP. 1.0'YW 1.0'3W 3.0.3W 3,0'IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A•W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: ROSLAIr ELECTRIC LIC.#3677—E P.O.BOX 164 CUTCHOGUE, N'i, 11935--2453 GENERAL MANAGER Per 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 KANNER. ��1zzz� 'Town Hall, 53095 Main Road N Fax (516) 765-1823 P. O. Box 1179W� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE:jj 0" !" C.� 71 Building Permit No . owner PALL-A180 (please print) Plumber: � C OZ02h V� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead . s ( lum S� s' Signat e Sworn to before me this day ofl/v � 19 � Notary Public , �J (j� � ��j�, County BARBARA STEPNUNSKI Notary Public.State of i,ae-v York No.01 ST404 G2 Qualified in Sufl�:%County Commission C;sos C.:pt.30,11 ,65.1802 BUILDING DEPT. kSPECTION [ ] OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 0U1��J DATE � INSPECTO BUILDING DEFT. SPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR T65-1802 BUILDING DEFT. INSPECTION [ j FOUNDATION iST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING e- [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �130 INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: o DATE !/ INSPECTO 1 I I 1 M-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] RO LBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: 6 _ DATE INSPECTO T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. _ [ ] FOUNDATION 2ND [ ] INSULATION FRAMING �Pp+�c.�, [ ] FINAL [ , ] FIREPLACE & CHIMNEY REMARKS• DATE y� INSPECTOR 765-iS02 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ROUGH PLBG.( ) [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � / � INSPECTOR��/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: G �099�s� DATE � IN8PECT0 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� �C--•�- DATE 7/A� 9 INSPECTOR _' ------------ -------------------------- 4,4 CODIF ------------ ia -------------- ---'-'-'----'-----'- --------_-' �- U - -� � -''-'-_--___'---_-_--_'-----_-_--_---�'-_'_--__--_-_--__---_--'-'-'_----' -_ '- _'----____--_---_---'--'_ _-__---' - - ° { r� . � ( � �� BOARD OF HEALTH . . . . . . -� .nr�� 3 SETS OF PLANS - - - - - - Aia_L�4-- Li FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK - - - - - - - - - - �I '; ' BUILDING DEPARTMENT SEPTIC FORM - - - - - - - - - - - - - - MAR 2 I IgSS !; TOWN HALL NOTIFY r' N SOUTHOLD, N.Y. 11971 - -���� . . - - - . . . 1- G:Lam- =� TEL.: 765-1802 CALL -_ Tr;`A/,•.,OF c{;:s' 'ni O MAIL TO : - .�..-a.+z+a. P Examined . . . . ...6�. .. . . . . ., 19 Approved . . . . . . . . . . ., 19/6Permit No. 7�! Disapproved a/c t. . . . . . . . . . . . .�. . ..`. 4:4 14,1 �37,T 3 3 3 . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . > . . . . . . . . . . . .1�'e. ./. . . . . . . . (Building Inspector) . AP CATION 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 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 ok- areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c.. IThe 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 regulations, and to admit authorized inspectors on premises and in building for necessary ins p ctions. "'L7 . . . . . . . . . (Signature of applicant, or name, if a corporation) Unit /7 �DLttOl� i. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder./ . . . . . dZv. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .�J2/9JV!<. . /1!•. . P. f�G U/j? b p. . .�d.0/�E • • �� r (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY 'LICENSED , -. Builder's License No. . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J�o o cS0q/V,0 �rz1 V . . . . . . . -- �oe.�. . . . . . Ny. . . . . �! �y . . . . . ... House Number . Street Hamlet County Tax Map No. 1000 Section . . . 3.3. . . . . . . . . . . Block . . . . ./ . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . Subdivision . L/a5 j�"J2/V `5!yZL . . . . . . . . . . . Filed Map No. '5 K 4 . . . . . . Lot . . • . . . . . • . (Name) 2. State existing use and occupancy of premises and intend d use and occupancy of proposed construction: a. Existinguse and occupancy . . . . . ��' . . � . . . . . . • • • . • • • . • • b. Intended use and occupancy . . . . ��2 V/4T . . . _ . ipW E-LL.l N( . . . • • . . . . . . . . . 3. Nature of work (check which applicable): New Building . . .. . .*. . . . . Addition. . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . Removal . ... . . . . . . : .. . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . 37. . . �j. 0 :. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units .. . .. . . . . . . . . . . . . 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 . . . . ... . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . .<- .�/ , , , , . , . . . , . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . .y� . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. ,Name of Owner of premises FIWA&Y 4V14t ����oAddress4��S �ovnq� Phone No. 4T .A07Y. . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address "t 17. . ..Ss. . . Vld� Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No . . . . . *If yes, Southold Town Trustees Permit mav be rea red. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and'bloak number.or description according to deed, and show street,names and indicate whether interior or corner lot. STATE OF NEW YO K, S.S COUNTY OF . ..t5 /14• . 14 . . . . . . . . .�Gt... . . . . ./V. 'q l rn bo . . . . . . . . • , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Sworn to before me this . . . . . .a. . . . . . . . . . .day of. / '/ �. . . . . . . . . ., 19 �l! Notary Public; . . . .`Z .. �. . . . . . . . . . . . . . . . . . . County PATRICIA C.MOORE � Notary Public,State of New York • • • �-��.�ll..�. . . . . . . Suffolk County-No.4861668 (Signature of applicant) Comm;ssion Expires June 16,�7 . o��g�FFO��c O Town Hall,53095 Main Road y 2 Fax(516)765-1823 P. 0. Box 1179 v Telephone(516)765-1802 Southold, New York 11971 Oy col � Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 29 , 1997 M&M Frank Palumbo 2555 Youngs Ave. Unit 17A Southold,N.Y. 11971 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. The check is not on file $25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing' being issued after April 1, 1984) . BUILDING PERMIT # 23406-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FORM NO.3 TOWN OF SOUT TOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . . ��, . . . . . . . . . . 19� To ,o. . .�/. 7. . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated ., for permit to ee . . . �. . . . . . 4e4rel'I . . . . .� . at Location of Property. . . . . . . . House No. St 7H,// t reet. County Tax Map No. 1000 Section . . . 0-15. . . . . . Block . . . . �. . . . . . . . Lot . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . . . _0 - • - - - . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . - . . . . . . . . . . .� � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. . . . .��. . . . . . Viz . . . . . . . . Buil2ing Inspector RV 1/80 New York State Department of Environmental Conservation �� Su2ding 40 -SUNY, Stony Brook. New York 11790-2356 s Phone (516) 444-0365 ^' 2 oNic . Fax * (516) 444-0373 � 2 IT Mr. Frank Palumbo 2555 Youngs Avenue Mchaai 0-Zaawn Southold, NY 11971 Date: August 30, 1995 RE: 1-4738-01175/00001-0 - Palumbo Property Sound Drive, Greenport SLIM #1000-33-1-7 Dear mr. Palumbo: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that.- the property landward of the top of the bank greater than 10' in elevation as shown on the survey prepared by Roderick Van Tuyl, PC, dated August 13, 1995 and last revised August 16, 1995 is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining an adequate work area between the tidal wetland jurisdictional boundary and your project . (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, MM Deputy Regional Permit Administrator cc: En-Consultants, Inc. BMHP File r- Albert J. Kru ski,President O��SU�FO`�CD Town Hall John Holzapfel,,Vice President c� G�� 53095 Main Road William G. Albertson y Z P.O. Box 1179 • `� Southold,New York 11971 Martin H. Garrell Peter Wenczel y'A ! Telephone(516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 25, 1995 Mr. Roy Haje En-Consultants Inc. 1329 North Sea. Road Southampton NY 11968 Re: FRANK PALUMBO SCTM #33-1-7 Dear Mr. Haje, According to the information given, and a copy of the survey submitted, the Southold Town Board of Trustees have found this project out of our jurisdiction under the Town Wetlands Ordinance. If you have any questions, please call our office. Yours truly, Albert J. Krupski, Jr. President, Board of Trustees AJK/dj h cc. Bldg. Dept. CAC APPEALS BOARD MEMBERS �O��gUFFO`�co Gy Southold Town Hall Gerard P. Goehringer, Chairman o 1 53095 Main Road Serge Doyen,Jr. y z P.O. Box 1179 James Dinizio, Jr. $ Southold, New York 11971 Robert A. Villa Fax(516)765-1823 Lydia A.Tortora ®1 �a Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD October 25, 1995 Mr. Frank Palumbo 255 Youngs Avenue Unit 17-A Southold, NY 11971 Re: Variance #4333 - 3200 Sound Drive, Greenport Dear Mr. Palumbo: Please find enclosed a copy of the decision filed with the Town Clerk as corrected at Paragraph 6 to show that there shall be no excavation within 50 feet (instead of 500) feet of the present bluff line. Thank you for bringing this typographical error to our attention for correction. Very truly yours, ddl 1Kowalski Enclosure 0W MAY - 21996 BLDG.DEPT ` TOWN OF SOUTHOLD APPEALS BOARD MEMBERS ��SUFFU(kCo� Southold Town Hall Gerard P. Goehringer, Chairman c 1 53095 Main Road Serge Doyen,Jr. y x P.O. Box 1179 James Dinizio, Jr. D Southold, New York 11971 Robert A. Villa Fax.(516)765-1823 Lydia A.Tortora ��l Telephone(516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Appl. No. 4-333. Upon Application of FRANK PALUMBO, as Contract Vendee. (Owner: Genevieve Staley) - Variance based upon the August 16, 1995 Notice of Disapproval from the Building Inspector, Article XXIII, Section 100-239.4A(1) for permission to construct a new dwelling within 100 feet of the top of the bluff or bank of the Long Island Sound. Location of Property: 3200 Sound Drive, Greenport, NY; Parcel No. 1000-33-1-7; Eastern Shores Lot 108, Section #.4. WHEREAS, a public hearing was held on September 13, 1995, at which time all persons who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. BASIS OF DISAPPROVAL. This is an application based upon the following Notice of Disapproval from the Building Inspector to construct a new dwelling, which Notice dated August 16, 1995 reads: ". . . Disapproved on the following grounds: Under Article =II, Section 100-239.4A(1) proposed construction is less than 100 ft. from top of the bluff or bank. Action required by the Zoning Board of Appeals. Action also required by the Suffolk County Dept. of Health. . . ." 2. CODE REQUIREMENTS. Article XXIII, Section 100-239.4A(1) reads: ". . .Lots adjacent to Long Island Sound, Fishers Island Sound and Block Island Sound. (1) All buildings located on lots adjacent to sounds or upon which there exists a bluff or bank landward of the shore or beach shall be set back not Page 2 . - Appl. No. 4333 Matter of FRANK PALUMBO Decision Rendered September 13, 1995 fewer than one hundred (100) feet from the top of such bluff or bank. . .." 3. PROPERTY DATA. The premises in question is presently owned by Genevieve Staley who acquired the property in 1986. The property has always been vacant land, and is shown on the Map of Eastern Shores Section IV as Subdivision lot 108. The width of this parcel is 100 feet along Sound Drive and depth 294.35 feet along the westerly property line. The total lot area, including the area below the bluff down to towards the highwater mark, is 29,116 sq. ft. as shown on the survey surveyed August 13, 1995 by Roderick VanTuyl, P.C. The survey map shows that the area south of the bluff line has variable contours, between 38 feet closest to the road to 46 feet above mean sea level moving towards the bluff lines. 4. PROPOSAL. This application is a request to locate a new dwelling with a setback of 55 feet at its closest corner from the top of the bluff (bank) shown on the August 13, 1995 survey. The location of the proposed dwelling is shown closer to the bluff than it is to the road (front yard) which is 67 feet at its closest point. 5. OPINION. An engineering report has been submitted by J. Fischetti, P.E. based upon his inspection of the vacant. land on August 24, 1995. It is the engineer's opinion that the construction of this home at the location shown with an excavation limit of 50 feet would have no detrimental effect on the existing bank by allowing for rainfall runoff to run in a southerly direction from the bank. 6. PURCHASER'S AGREEMENT. At the hearing held on September 13,, 1995, Mr. Palumbo agreed to restrict the area north of the house to remain open without buildings or swimmingpool structure. It was also agreed that grading for new landscaped areas must be done to keep surface water runoff directed toward the south, and that there would be no excavation within 50. feet of the present bluff line shown on the survey map. 7. OTHER TOWN AGENCY JURISDICTION/REVIEW. Submitted for the record is a copy of the written authorization issued by the N.Y.S. Department of Environmental Conservation dated August 30, 1995 ref. 1-4738-01175/00001-0 with precautions noted therein. The variance, as alternatively granted, is subject to the same precautions with the alternative setback, noted in this determination. The Board of Southold Town Trustees by its letter of August 25, 1995 has determined the project is not within their jurisdiction. 8. EFFECTS OF RELIEF REQUESTED. It is the position of this Board that in considering the relief requested that: Page 3 . - Appl. No. 4333 Matter of FRANK PALUMB O Decision Rendered September 13, 1995 (a) the location of the new dwelling, as proposed with an attached garage, may be repositioned to an area closer to the south away from the bluff while maintaining the established character of other dwellings built near the bluff; (b) an alternative location further away from the bluff will not be an alteration of the essential character of the neighborhood due to the nature of the layout and characteristics of this site, and the setback will be generally similar to those existing in the area; (c) the benefit sought to be achieved by the appellants cannot be achieved by a method other than a variance under the zoning regulations; (d) the grant of alternative relief claimed will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood since the applicants have agreed to restrict the area 50 feet between the house and the bluff from any excavation or adverse activities which would affect the land area and stability of the bluff; (e) the relief requested is not substantial when compared to those established in the area; (f) the relief requested is not self created; (g) as part of the "balancing concept," the Board finds and determines that the character of the neighborhood will continue to be preserve, and the health, safety and welfare of the community will not be adversely affected. NOW, THEREFORE, on motion by Chairman Goehringer, seconded by Member Dinizio, it was RESOLVED, to DENY the relief requested for a variance at 55 feet from the top of the bluff, and TO ALTERNATIVELY GRANT relief for at setback at not less than 60 feet from the top of the bluff, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That there be no land disturbance (such as excavation) north of the house for swimmingpools or any other construction; 2. That the setback of the proposed dwelling be no closer than 60 feet to the top of the bluff; 3. That hay bale berms (and/or railroad ties) be temporarily placed while construction activities are pending . as a necessary preventive measure to prevent sedimentation or other alteration- Page 4. - Appl. No. 4333 Matter of FRANK PALUMBO Decision Rendered September 13, 1995 disturbance to the ground surface or vegetation within the area north of the proposed dwelling; and 4. That no swimmingpool structure or similar construction, or buildings, shall be placed within 60 feet of the top of the bluff line, as agreed by, applicant during the public hearing. Vote of the Board: Ayes: Messrs. Dinizio, Doyen,. Tortora, and Goehringer. Opposed: Member Villa - who finds that a 72 ft. setback and 50 ft. front yard is a better alternative. This resolution was duly adopted (4-1). lk /J GERARD P. GOEHRINGER, CHAIRMAN -REcEIVED AND FILED BY SOUTHOLD TOV114 C EBK DATE 9Y HOUR /I } Town Clark, Town of Southold l APPEALS BOARD MEMBERS o -� Southold Town Hall Gerard P. Goehringer, Chairman o 53095 Main Road Serge Doyen, Jr. ,l, �� P.O. Box 1179 James Dinizio,Jr. �Ol Sao Southold, New York 11971 Robert A. Villa Fax (516)765-1823 Lydia A.Tortora Telephone(516)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS App.l. No. 4374. Upon Application of FRANK and LOUISE 0. PALUMBO. This is an application under the Southold Town Zoning Code Article XXIV, Section 100-244 as amended 11.=28-95 (which removed former subsection C thereof pertaining to former code setbacks for former subdivisions) , for a variance based upon the issuance of the Building Inspector's March. 22, 1996 Notice of Disapproval to construct a new dwelling with insufficient side yard setbacks. Location of Property: 3200 Sound Drive, Eastern Shores Subdivision Lot #108, Greenport, NY; County Ta.x Map Parcel No. 1000-33-1-7. The requirements are for total side yards of 15 and 20, or greater, and with a tota.l of 35 feet on this 27,400 sf.. parcel. WHEREAS, a public hearing was held on May 1, 1996 at which time all persons who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: I. BASIS OF DISAPPROVAL. This is an application based upon t:.h.e March 22, 1996 Notice of Disapproval from the Building Inspector, the grounds for which disapproval was issued reads: . . .proposed construction (one-family dwelling) is on a nonconforming lot located in an R-40 Zone. Under Article XXIV, Section 100-244, proposed construction will have insufficient side yard setbacks. . . . 2. CODE AS AMENDED. Article XXIV, Section 100-244B was arnended November 28, 1995 by Local Law No. 23-19.95 by the Southold Town Board. The side yard requirerrients of this current law provide for not less than .15 ft. and 20 ft. on ea.ch side, for a total side yard area of not less than 35 ft. This is based on a lot between the size l Page 2 - Appl. No. 4374 Matter of FRANK and LOUISE PALUMBO Decision Rendered May 1, 1996 of 20,000 sf and 39,999 sf. The subject parcel is shown on the December 12, 1995 amended survey to be 27,400 sf. 3. PROPERTY DATA. The premises in question is presently owned by the applicants (recent purchase date 10/18/95) . The property. has always been vacant land, and is shown on the Map of Eastern Shores Section IV as Subdivision Lot ##108. The width of this parcel is 100 feet along Sound Drive and a current depth of 275.0 feet to the ordinary high water mark (see amended surveys of March -21, 1996 and December 12, 1995) . (A former survey dated August 16, 1995 from the 1995 variance file record shows a different depth and larger lot size of 29,116 sf. The difference is noted only for informational purposes and does not affect the side yard distances from the information furnished by applicants.) The total lot area, including the area below the bluff down to the highwater mark, is currently shown at 27,400 sf. on the March 21, 1996 survey submitted under this application. 4. PROPOSAL. This application is a request to locate a new dwelling with side yards at 17.5 feet from the easterly side, and at 13.5 feet from the westerly side property line at its closest point. 5. PRIOR APPEAL FOR VARIANCE. Under dated of September 13, 1995, the Board of Appeals conditionally granted alternative relief pertaining to the reduction in the setback from the top of the bluff along the Long Island Sound, to be not closer than 60 ft. from all points (corners) of the dwelling. An engineering report was submitted indicated that excavation beyond the 50 ft. bluff to the south would have no detrimental effect on the existing bank. It was agreed by the landowners to restrict the area north of the house to remain open without buildings or swimmingpool structure. It was also agreed -that grading for new landscaped areas must be done to keep surface water runoff directed toward the south, and that there would be no exca- vation within 50 feet of the top of the bluff,line. 6. OTHER TOWN AGENCY JURISDICTION/REVIEW. Town record shows a copy. of the written authorization issued by the N.Y.S. Department of Environmental Conservation dated August 30, 1995 ref. 1-4738-01175/00001-0 with precautions noted therein. The variance, as alternatively granted, is subject to the same precautions with the alternative setback, noted in this determination. The Board of Southold Town Trustees by its letter of August 25, 1995 has determined the project is not within their jurisdiction. 7. EFFECTS OF RELIEF REQUESTED. It is the position of this Board that in considering the relief requested that: (a) at the time of submission of the building permit application approximately six months after the former variance (after Page 3 - Appl. No. 4374 Matter of FRANK and LOUISE PALUMBO Decision Rendered May 1, 1996 conveyance to the present applicants, and after attempts were made to obtain a revised house plan) a new law became effective, unfavorable to the present construction plan and side yard layout. (b) applicants actively pursued all applications and has tried to comply with every requirement during all agency procedures: (c) the essential character of the neighborhood will not be altered since the natural characteristics of the site and surrounding area are favorable, and the side yard setbacks will be generally similar to those existing in the. area; (d) the benefit sought to be achieved by the appellants cannot be achieved .reasonably and without great expense, other than a variance raider the zoning regulations; (e) the grant of relief claimed will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood since the applicants have agreed to restrict the area 50 feet between the house and the bluff from any excavation or adverse activities which would affect the land area and stability of the bluff; (f) the relief requested is not substantial when compared to those established in the area; (g) the relief requested is not self-created; (h) as part of the "balancing concept," the Board finds and determines that the character of the neighborhood will continue to be preserve, and the health, safety and welfare of the community will not be adversely affected. NOW, THEREFORE, on motion by Member Dinizio, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the side yards as requested at 17.5 feet (east side) andI3;5feet (west) side as applied. Vote of the Board: Ayes: Messrs. Dinizio, Villa, Tortora, and Goehringer. This resolution was duly adopted (4-0) . Member Doyen was absent. lk < GERARD P. GOEHRINGE , CHAI AN lHIE 50U l�crLD T y Il CL is l DATE iCUR Town Clerk, To rrn of SUFFOLK CO. HEALTH DEPT. APPROVAL �. H. S. NO. j STATEMENT OF INTENT r THE WATER SUPPLY AND SEWAGE DISPOSAL .-_.__ - . .._ .�,`_-'_�: .. -_. -" _ __.__-_ ____-.�' t.-' ^�'•� � i SYSTEMS FOR THIS RESIDENCE WILL i CONFORM TO THE STANDARDS OF THc' SUFFSOLK CO. DEPT. OFE±�T����A(T��. 'jl- .. .,� '4s ♦_�:t. .t. mot :. K,+L 4:. +tj•• pGD 1"fie APPLICANT +yam jOUTHAMPTON N-Y• 119 a I + , SUFFOLK COUNTY DEMA83Cft360HEALTH J _ ' ."..:-,f t-�t..<<-;_ R — APPROVAL FOR • - - _. __.___- E R V I C E S FOR R CONSTRUCTION ONLY ^ DATE: H. S. REF. NO. Q _ !. _ -r - - -- - = -= = APPROVED: >• '�% �; + r _ x r x® SUFFOLK CO. TAX MAP SIGN TION: DIST. + SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. ��' P. t \\ I TEST HOLE STAMP ,• i1 / +,,,1 r_:.Y,.I=• w, Da Unauthorized alteration oraddglOA o J(s�� �✓ ;. to this survey is a violation of Section 7208 of the New York State Education Law. 1Copies of this survey map not ®® the land bearing surveyor's Inked seal embossed seal shell not be considered r� to be a valid We copy. / 3 ® Guarantees indicated hereon shall run IT only to the person for whom the suUA rvey is prepared,and on his behalf to the title company,governmental agency and ® =} lending institution listed hereon and '' +' to the assignees of the lending insti- b� •7, p!�.� m lotion.Guarantees are not transferable i , r© '� '�, I °•' ----- --- - -- ----1 „� to additional institutions or subsequent tu owners. LrAj J f + W US 06. SEAL UA coo CC NFyU _ UA �'9 GK Vgxy O COD RODERICK VAN TUYL, P qs- 1 j i .'; '` ,. rr,;�r m—we• ..1 O s I LS 2y62P�� LICENSED LAND SURVEYORS LAND SJ ,Y /f �••.� GREENPORT NEW YORK "NE POST Ne1379 SUFFOLK CO..HEALTH DEPT. APPROVAL H. S. 'NO. ,�. o�c�f i9t�rzr _,i.l�� '— _. • -°��'�;!' rPi.�' t17 I l fdv, J A �i ( STATEMENT OF INTENT �• , �• !j' f.� / r. _, _� r + THE WATER SUPPLY AND SEWAGE DISPOSAL . ..-.- ._ ; �.. '�.,.� �` �...-1� �`�-�� r � *� •- °� SYSTEMS FOR THIS RESIDENCE WILL • I •• " I CONFORM TO THE STANDARDS OF THE 4 _ r __. . _._.._.__ _ SUFFOLK CO. DEPT. OF HEALTH SERVICES. tti �� �'` ,: if1 s'% G•fJt:l i i�' 7=:t�iG� ,1r 'iY�7 ' t"' g5"86 j j I (S) APPLICANT _. Z:: 7 SUFFOLK COUNTY DEPT. OF HEALTH _ �4� _ r.•_. ~� � S E R V ICE5 — FOR APPROVAL FOR CONSTRUCTION ONLY DATE: I r ^� r'' ! •• — - �` `r v; ;' /�'r r F /y {.,t r r �,� /"; •t y { ' y , :' H. S. REF. NO. ! J '� '�.A` i it?'R1rr� •..... j . 1L /L`. t"�f`'r�,"�ti. `'d- 6' e'�_x�._.f C.�.C. r i'r,,�;.� i,�r'. "f,...o-r..rr A`,,t ,. ti APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: i DIST. SECT. .BLOCK PCL. OWNERS ADDRESS: _ s'• 'i i 1 ,n//�/ '^I t r1 �:`•` f�, t ' +r'.+' P:. :^:: .rj7 ° ;J a Y� •f +£.1 �.�:"`,f 4 P i Rj .�'^f, ::''. er1 ist r.V l'. -J,. O ,...ew'; . ?. L:? `d'•c. R; � i V//• { �,.' 1� ';:•_ %ate 5'— ,s;�! • DEED: L. ,zy'�`.r P. I corccrefe rOUa;(G�dfdgt/ TEST HOLE STAMP }E .. � � - ' _ -----`f2 e;�,rtdhedrn�,�.,�ot.,,.�:•.�..: i tz this survey is a violation of FF 4 .action 9206 of the New York Stab+ Fvducation Law. Copies of this surveymapnotbearinq the nd sunteyors ssedshall nked seal or embossed lnotbeconsidera,i i �! tobeavafidtfuscopy. - ' � i l• tS1. c44rry1. aQ,ry' .t� guarantees irttltCatedhreo en shaArt�a —— �x /— ----� s 1°r: j r. wily to the person fotwhom the survey, g f r� s r G3 C M is prepared,and on his behalf;o the f lending nsti ut oo listed hereon and �� •' �Y . Q `46 , g to the assignees of the lending instil- r� tution.Guarantees are not transfrorablo ` !2 -1996 - additional mstnutro rsubseq - / to addni uc>rri CrAnsrsJ` y� G nso • 1u( 2� jgg(co -- J yy SEAL ' _ Y Ai A rr?�'rl.00Pf,,. 7_''E�''/d 1M.s GK A ( ( i � -. '("•�'+� .�`� GC.`}, P �Y '"�,,`y.s �J S� �R 9sF.-����i�,+•� {'v' r.-� �14. � 1�y� ��4±f��( � Q� ./\G.C�� . RODERICK VAN TUYL. P,,,C_ �;-3 old" 6 I`: J • `'� b CS L P LICENSED LAND.SURVEYORS LAND S� t �! ' GREENRORT NEW YORK "f IF t'OST N8132� . - .. . �.,�mm.0..�.�-..-..m''//-Im--..,.,L�.:-�:I-11 I..'.m m.%i�.��;I.�—,-/I,�,...m I-,I-.I ., • , I-,II,�i;1-m.,I..,.[m�III.,II 1q�1..I���.I I 1-II.;�.,-�-,."..I I z.!".L—.I..m�m.�.M-��I.I.,.N I�1 t1..--.".�.,�I.tV-.I�m1:!."I.Iom�I.�.,-.'-I..-.:,I.I,..,,..-f..,,.I.I,I�.'m,I-�:.-I 1.I�m.�1 1 E.I.I.�..,P.t7.m�.,,�m..m,.-..-,�,--�.��'..,,..,.�,II,.,1 I I.I 4"�'�'�--..,.,II1 I._—.,�-:,.1a-,.,.�%."..�.,-I 1 r�..�;-,-,.7�.,,1��-,.��,-"i�M,:.�.-I_I..�-mI...-o.."-�,.��-..f_,%m.1,,.I.I..I".."1,.�'1.-.�.I;I,L�.!I.I.,,�I.I�.,�I'I-"I,,�.,�I Im...�.II,,���—,t.t,:.:.-�-I��-,�-�..,.�1.m.,.I!�.I�M,.-I mI.'.�._I I..m.I..:�MI,I�,,M:.-ImI_.1,I.—!I r-—,Im.--._,m.a.1----..:,,,...I m"m�II.,�.....%-,-:�,-.,.z,I M...I.,.-m,I."._�..�I:-.�...,1,I,.'���,"..".'.'.,..I'.,...",-.-I1 m,.�-,.-,Im-.-m':,..m�...-mm I,I i-.,I..,..�`mm..-�.1:-I.I,I mm��..�I..I.���",.I—ji��.I,.—-.�,e,1�...,:II.:.:,��I�.I.I...m.�,,....m�-.,.I m.�..--.I�,�.�,.I.'..-.-1,-�,,,-,.--:.m��-,;�I.,.I.':"I,.�,,I.I/.1..'��.�,-..'',�,�,%It.�..-�.I..-m.,....-- ,.Im,;..I-�.�m'�..,,..,.-.I.I.:.....�.,�...m;-,I-,-I.1 II.�II��;I�.,;I.,.r.:--�,,,�,/1. . . - III I - , - - SIJFFOI.K'�D._HEALTH.DEPT: APPROVAL- m. mII 1 r' Fd'r t r (� R M H-. S NO. ` --,,.-�,,,I�,�,.i.�:.:.'om--..I��mI.,..-'1,.m--4-<.m.,m.-.�:I,�-� >, I �' � 4si s - --_-,.. �- BLDG.•DEFT. ". . . I - . . . . . - " '- mot. . " TC?WN OF SOUTkf a ,A , . .-: . . t , ,M m Im4"-...,....,,".I'a,:..�1.,t�,.:,..-�,.�..'..�,.'".I.1r�I.�.,.m'!.%-.,.m.�-;��m.mm�-:1,.�.."k1-..M-.�I�..;-,....:I-I'1.I,.�.,;'-,.�.1-�.�..,.`--�'1m,..I.I:-.���1..I�1'�,�-.m-'/,,I,Ir.:�,,..,,I"/m4m.I.I,...�.1-:-I:-I;�.�I_.I�.m:1m a.I��I,---.-I..,m t-�1,..,�..-..,1 i:�'.�-",.,I,I,I,e I"m.��1�-I,�-..� , ' " ?1'a. -'J_ y - Jr . ,... • • „ ` .. . ,' - y S i ATEMEi�tT•OF.INTENT t : , ' . „ -, 9 . - . ;,/ - .- I; * j: i •THE WATER'-SUPPLY AND SE AGE D:ISPOSA,L • _ ::.., / / ; .ram- , i; ,_ _ ,,• -: +' 4 - ' i:� a G�'. •..,�__a_n. 1 "Ed' -Mg• FO.R T.FilS RESIDEN E W!' . ,/ �` ,ri ,. G ..�: _ _. - _�__ f j .SY,ST r C L L . i — — i ram, _Mu i g F;-=� CONFORM 'TO THE .STANDA'RDS:' -Or THE __ j /) s Y ! S a,�. f j '\. KL., 't .'' { 4" *� „ ''s ! SUFF'OLK .CO. D-EPT. OF :HEALTH:SER VICES': r Z v` r yf F .r t— I { ( 1 , !.. ^ ,• 77 �//tt -( r' !J'�l, e�O ( v•�S.f F.r OPr(, .2.--h,'ir 1. y.. _ l.�l __ • , , i. I , + APPLICANT'. _ - .,`? r T e , . ' "` J..� L ,..,� SUFrOLK :COUNTY. DEFT.. OF HEALTH. � - ", r .-„�5 Q : j r� �wt e'1 SER`VIC'E5- - FOR A'PPR.OVA:L .., FOR . - _ . ,, -; grj. / - t I • `7 , , CO.NSTRUC,ION'ONLY .. .p '. ;, ., .. DATE . ti° , ' %r -- c.r, s -er;e•y ',�, ,,:; r~, Fi.'S REF. NO. _ r. ti g- +a. _ r .` �°iy' L r,r fit, t` c i� { dt.-t tr.rr� Y ,�/. , E'-', .J��. .:-' t � r":�'^ ��'rrJ 7 -.vr. — .- .<•�..� i s,-..= _`+. 4,-r'aw.t d r e _.r��, _ . "`. `:» �; +.. ..,. - APPROVED: . .. - - . . , .m---.I;_,,-,,.---:-.I--�.-,.-*m.-,..,-I;::,"�,,-�`%�.-�.,-m�,/I.:1-.,�fI II-', --_ ..:__ " . a/. F UFFO O. TAX MP DES(G ON S. LK.0 M' N. , "�'�.�; :DIST. SECT. BL O,CK PCL. 4 / m - r s.`:J �. �. . . . <'-3 +ter - OWNERS ADDRESS:- - I t I. - � ` r` - -. t , [ .• .`' t`'. I• �. - ., .` . tz? ,IYft iF Fr ,��_,t f.^,f��,g-- •a`.,._r'� . A r _ ttt[[[ (. •.i,- t .: t. .:3 -, .p-: R.l , Q ,.•• ..i�rLL4, 'G a.•.-.'irf .f i'. .t ,.•' tt l r f d t' F. .` .. ''1 P' .xi '� -t a: F r Y d,. ,. it_ 4r - .- ., �. c r �. 1"d .. � , _ ' I . _ ; { /� - �. II • �.� /�J . tt__ . /`' h . �. tkJ r' - j se: r P. t ! f. DE^D: L. 1 . . ,.. ., ,. I . '� 1 . in ` etv olat on o . . • a ,_:i .: - ! s' ;y F ,; i. . . is survey Is a Stale'. I ^a V rk n .. C•r 3 F; ( o ewYo _ f i of the N f / 200 w • - - - ion? TEST HOLE' � . t th' . ' • ion Law.- �` I Sect , - - I ;. {� r3ducat o a not beadng;. -}' f l � !� !; 1 Co of this survey seal or f! m P .' 76 `:- ' " F . , pies_ orsthcad /` - gQt f ih2 tangy survey considered' .m-../I-,� ' �".- ,.:-'"'"::' : - - .. d ealshallnotbe ., ` -'"^" <F ,. _ !'7 �'t ' I �oavalidtruecopy ni` ' ', ` �'�� _ h hallm y. • �_ C''. indicated (� arson s t _ /'. -. ^.f f? i,.�.' _. - c� - Guarantoos won for whom the surieq. f I ' .� Y be ti", i. �r .. �,.; ,a-, is tNa Pa on his halt to the .; ,,_, a. , - u - '.y -* '' ,.+ - - . i. repared.and yl a9aney' .. r� <.- c tl F_� v� .ia t-q ac jam•t �s.s7�-_• , men .~ I. i- r _ �� / ,_ ; on any,9ovem t and s. / . .-ie - -�. �- I d �, I. .. xF `t.ir.;.•.,"�_ mi`cn.P lisle hereon '. J T=. 4.6" •�` t- lend g institution lending insti-- . 'zI� - 9r�a ,,p...rl, r.' ._ . . . _ . � ees otthe i b I;' _ t 1��t•C; .x;Y ilT, r w /',.,$)r r` ho assign stetab- :77�, -- _ ��_.;r• tc i [tee-are notice[ l i /t tut'wn.Guar ons or subse4uonl° I ., .•i .F"" .. - V C,,a µ, 9.9�, - 'ionat mstituli (_ . - .I QI I `` . . r - to add t . I I:,�1I1,.-,1,,.,,-I1�I:,..'/1I-,,,.I":..-I-I-�.'.-,--:I,--I.,,-I.,.m..-�.1,.-,-mm,--I�1I..—.tI"�1I�I-m.':,.w�'--�,:-,:.:I.m,I.:-,---I I1'�.�,-�m.u.-�::..m:,�-1-.�S.,i� '3 06iG- :12 .19 . L. Ik I • _._ r_., - . .. ` L., . . _ /. - \` � . , ``.: ", SEAL . . / Z... . , . - - :.' t a 4 �, . ': . `, i/ i ::tea -•� .; k i r ,, "'i c .zF <' ' s:. .. C y - NE I' .r F Gii' fm. : - 4 f} ". !r (y� . - RODER'{CFC VAN.TUYL, P.C. r { c ro �. . ,. .. - 'V \_ _ �"'�' p • :. . . ; -1 �1. s'. . - I LASED-L-AND,S0RVEYORS: �''i z5 P, ' a L CE �. :`' ;. r" GR'EENPURT' . NEW YORK'- �aNv •��`�\ i ``, . .. i - , " - i % . - - ., `;. - . J. s 0,6.LK, I-1EALtH DEPT.;AI1, 1 . V.L . 0 :ij'e- - H. S: .NO -104-9.5---1 .- �'' r i c� �� ,t r t /�^�� { ,r m '"4 -"..,--.''1�.�..7�I I-,--I"�1-_1",,l-,,I:,..,-i..-".�..,I1 1,P_,1��)'0.;�',l,-.�..._-i�1..:-.I.,I.�,-.�.",.��.-.1,l��,",....1"��1.".`-,.�1 Ji.I-.,A,I.,,.-_.I.,,`..I.-c.I,"-!,�."L,;--�:,4I r�..v I"_,�,:r-I-.�,....1I_;.,I�,,�-...Q_.t I I:I n,.,..m,_,,-1.,-'I,,_�1 f..._..1..,,_�.,."�!:I I..I�.�-.I..�I"�I 1,,1I.�_4.1,F�I,_.,4,.1,.-,--.A.l:�,-�,,_.�.—..�1._I.j'l.'�-�-��,...,,;l;.,.,...):1_:.-,,'"�I,I,:,,1.I,.:� ._.,j",�J�,,,I"�,1,1,.,'.C,1_-.f"-1-�.,�:-,&.I.�'-7;.',�,-;..�"��.17.,.�_�.',1�-,1",II,-I-.,,-I.;;.--.�'�I-:' ..-,1',,,-�,�'.,4',,.-_,,,,,;�I,..,.,�,."'�.,-%�...'V��'..\,,L 1..,;.It,.'-,.��,,�-�I.�I.�".Z,,.�.�.-,,'-_.�".z,.i�/",I.".1.,�,..,.".,6,..,.��-�I',.'.�.�',,,�,:,,4,.-;_..."1..I".i",..,',:',7_1,,'..�i,'."...1,,.:.,��,1-_ v1,�i,..,.,I,��,�1 1,�,1,I,..d�,,.",1._.,-I,.,:",.�.:,.:..'--t.J,.�,,,I.I.._�--,..,�%,�:-L,,��.1�-/,�,_,.-,;I.,'.-, ./��-.C��.-,_I.-.,I-'/...._._,.'".,�:.���..,�.-�--J.!i:.,.�.;,.I,.�.�-�..-.II—,-u.,I v�,_.d%,1.I,�.,,'--.I,.:�t:t..r...-.�1.--.A. .. . . ,L'r . f I STATp N1.E�1T EOP INTENT p'•' ', : ,-•x` ..;; f - �, WATER , U..PLY AND SEVYAG='pIS�OSAL ,.,: , ,- ., 9. �, "'r ��. . 1. THE t' r.. x - . , ' B ' .*.. , 4 g�:.��.��` _• T fv1S FOZ' T1-1T5 RESIDENCE 7!f1;Lt .. �,. _ OF TH_ . • ir>.. . n x'.' ' �� `a ! CONFORM TO THE STANDARDS _ a / T IOF` ALTH'S 4 C , is ,,y{� K O. -CDEP 'Hc ERY`IC S .. I SUF rOL E �' ,�fn 7 W. :C , J ram +' f S�'fY" J .. - t�'. - • ,,.'�' _ :io?. _yr.Pw.'.°4•:Q�t'a.✓2'. 'rts° '•...f "f . . �py� �.- , APPLICANT' . 4. - - . . , P'N.TY'' DE T. OF HEA TH - SIJF F.OtK COU L { � - r,:: - f - n "� ,�^ 1 t � ° I. -<" _ t I FOR APPROVA of . �.._.�� SER-V . CE5 L F'QR •I,�. -�' . , , .6 , - ,CONST,,R:UCTION ONLY. ; ter - ' _ --� f DATE': - :- ,-, .. ,� . r�' I 1 11 L' d H..S. R:E'F: NO. s "D ( f - } 1 i ,,- , r 7 f J r fi J 1 '. .ti„> - 3 ,t. c =� y �.r.f f- ,/°. M J. ,. -,;,_ .:P f- .. , yam' , s,'r M-<• .. r L .:giilsa. r,' ,..� . - rr� _ _ .., ,, . �. r rxC a.e a� - l P O,V D t nn$r :.++- r.; r, -e ., .Z!`J - fir. ._ �.ti .r - - r ' r. t ? w� 3 - �. - - - , - �, , .a r ,e• -' 'r'• r �.: -, f :-�. - - . .. a `i a'J =i t - ,. .. ,h .;.,,. r _ .. - - e- a:-.. _ .a» F - { �, SiGNAT'ION: :, ,. „. : SUFFOLK.CO TAX MAP DE . . • ,D,1ST. SECT. BLOCK PCL. ;: a h . "} _ ~~'` , L:r• , ,; e r- . : "^= ! C. ,. � 01NNERS ADDRESS: r ;r= ' tt �� ��r� r q.s ! d t a' :P i '.r j. Y. " t.. '4 d-P.'f' "dr . ... - .. tote? f ,((��, ' T � 1 ' f lt,a� ,. �:.: K C®iJlodl'Y DEPARTMENT OF MAL TH SERVICES :- k�- ,- :, , - . , �'b "'' ! : 17,6 , = APPROVAL OF CO+1S'TItgJC'd'EE��w�R�es�'®1t k' _ i ,r, 4;�,#' '• - t. �' d 3d tw A SINGLE� '� i N �.. x , ' } C 5!�.,�` -14,: 113 ". 4, p1t . - . . • . . Ah"rFL-1 S3fi�EhTC., EED: 'L. `f7s'` . . , l .. ,. t1�1 D e.-car I x Date_ � 0 9 .1 3 i3.3.Ftef.Alo: L' Gl -d�� STAIVIF" `9; ,,-a .. lm TEST:HOLE'. . + y �#^-"_q. . »1 9'he sewa�c di a>ai and vvzr'r f. ^ , _ ea,R:,e nt,�,ik-r& %f• �. Y i{ "P C s v f-cilifie3 at .� ^ram uPP.. this lo�l:.lan have bean " !J r 1nu t' t' Ys Yh1s cuivpy.!s a viohtlAn of %, i .'-,,: PC.w�rL1dIC1•C.k.L.£iI L t;32S IJC a kY`^.,.ClI oP(Yt:P ", t ticn(zo6 of the tCew York FSaf+ r oa d ,A ``I J P 'r_r t±;,zic-cs End found t© . 41' SSt•IS�L'CtC ®it .4 .A 4� a ,•• ffthxetion LeN ram., .•, ;j ', ` : r , , .. Cc;sS6i.thissutveymepnntheatv+ci . :e? f• Wit,;., - • } :"L. . �' . U;„•land stirvapors in!ed seal or' a �.p ®mbos5.2d seal shall tpptlta consldsre+i n ' w Stwi]Ileil A.CflSk p. , ` __L - - 1;.,Chief 'to t-a a vaGdlrG6popy' ', ate - �. � 'K•''' , r is ®fiice�f 1�ater autd`dV r.� 4 - > , a' a��ee�va., It?eras �a, :. ' L, •- 'a - £ L.- Cry rim. f' rnent - =.nieasindioatedhereansheh _ s 4 _ C� 1 s .L"�( t a:} to tha pe son forwhom the surve! t t ',: r i 2q �'l f f'otha is /, $� 43 his lh h /`' a, red ens on U 1" ni �1 <l ��' �7s mme ✓- 4' "1 ^:TI^an OYa e, it ...Q � . > .. .. :?[as r ,9 ¢: . a , , j y 2�� h3i I%s:�•d , , r. ,__ .,"1 .{ __f. .:; O , ••�..w- '»:...tiw,. ',c ihs e ,. .. b two L.,�,n ,,..,.i O1 i t=. t�s. • - ,,. .:,` : , >z ,r •y Jy7 ' tution C are rot ::.. , , - . _V . - i' , ,. :. . �' , , b ,,,. : '. „ :. . r , �' - .: _ r a. , 7: w ' ,� , , ,, :j• d. 5 ,,'. ,` �' L�fi u. ti 4: _" ,.(� T �,} ~ „. . l „ off' , a s ,, :.s .- . ,r ,fJ:.- 4 } ., 0/ " �, �li<' �,_,. Aai,., , r. r Q J ...,, .. . . ,r,..: �a �`~� ,., .. ., _. -; - F ro IN, ® per, --=�- ` -- :: r.- + - ,� . .. :r„ : .: S " ... 0 Ian' r ��` t i' =- it �.' "`*;- 3Ai t� " , Gb.l ,a' . Aj i `' . -� F ,"� :' �l. - I. YL P C. , e �+�� c Ft" DER'ICK.V'A.N TU , ; �; - S R`V EYORS t'c' _ 1 1`ISED LAND U �:.f l , -L IC li. . , . #� NE YORK' •. s GREENPO,RT u s t t: . , _, r, .U: w . , . e . . T 1 .��. .. Alf SUFFOLK CO. HEALTH DEPT. APPROVAL H. S NO. ' -_---x""'�'�.�•f�� �►.- 9/ `- STATEMENT OF INTENT . I I �f THE WATER SUPPLY AND SEWAGE DISPOSAL owl SYSTEMS FOR THIS RESIDENCE WILL ~_ �* .r �,,�,,, ,}, •. W �j�^M -"� �t CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT OF HEALTH SERVICE'S. {Sl rro It eoGet:iy _.I:;Vcy W,0d *4586) � { (S) i I APPLICANT SUFFOLK COUN;Y DEPT, OF HEALTH 35 - - &fpozzr� '• I SERVICES — FOR APPROVAL FOR 45 �.?�,L� CONSTRUCTION ONLY �., Stl 1� Yf*t� FQt DATE: --- - -F ! H S RE F N r4 'Sr J ':% j� - 1 �"fi,' j �`�I t `E LOu _ z..�:'� APPROVED- CA _ t14. _ �.sf. O , +.. •+ 1 SUFFOLK CO. TAX MAP DESIGNATION: / DIST. SECT BLOCK PCL. 40,0 t-ra Ft� ti . '+• ��- OWNERS ADDRESS: t_ ta►-ec1� '•,,p 'c :l :- r+ r Y V O 1 54 J 7. 71 w bra SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES _*14 +�.� APPROVAL OF C01NrTgUCTED WORICS FOR ?6S - Z d 74 r -i 00 A SI CLE FAMILY RI'ISMENCE I DEED: L. �: '-a P. % i �` l a frame N � Date SEP 0 9 1997 H.S.Ref.No. (Z1C?- qS-C`\13 TEST HOLE STAMP i �}4^-' n 4 •� The smagra disposal and w2tcr supply f2cili:ies at this locetion have b ! r"'"`*�'`�'�-+•'rw..w een , tc this survey!�, aintall^a� j — T ro o �d►��t 1 t , inspected mWor certi0ed I:y this D,-par:r c i Or,%1ier$^r.ac!cs and faund to $aylc�32oH of U,a new York St�� be sattsfwtory FOR �Ak7' . ,F,,r ✓ , s.fw+tic� r ;� �_...,,� . O{/F,���B D;tOOMS. F.thacaYanlava }}{ '• ' • Cc,ss of!ry survey mpg not bearNw <h� Cie. .. tn'9 t ,n s,� ¢— tree 6n�d surveyrots inked seal or am,ssFd seat shall not bo aonaldere,+ - � � f ,� St>Mr!►en A.Con:;,P.1r.,Chief iro�_.a vatm IrJB copy Office of WEter and Wastewater blana ement C L1 t w 3 (i ..9ntees ind c31ed hereon t or+:?o the person for when the survey O'/ ,M ,) t �� -- A f�f [. 1 k presared,and of t � -;f tOlt'3 Oy �J; �T 9� tNs c m Y pa� go- V ,csrtyi�o � /.elf 'kd.Q1.C ra r t 6S: lltl OZ 9(la 46. _ crr,�r7`lt Feroitcrn,4� r�r>•� f'o v yy, j� - 19n7 ,c yt nr Y I r. ��; ` :�' `c , , ,, ,�''t•:tz r4rt16r%uOff +TI�'I�Q lrt/F�. �"OQ. i i O - } (; L '� MIN ! } 10 .1d30 'o RODERICK VAN TUYL, R.C. �+ LICENSED LAND SURVEYORS a e 0 � GREENPORT NEW YORK Y�� • +rem r+�rar f a d ref6T (1- err re�,h��rah aV\ F400g, �et,v.g PtA, L�►v� ® �- ��'Y I'''! f o '`c' e l�1 L EFtED R . ,r- p�5�Ot1Y M• Ch/j n _ c ( G F k S� Rau(Wid°�- eaGt FoU, Y` -Tt 1 �s �►� l3e-a,w,j -I a v Ls Epp* ( 1 r�„..'�°�F1�'t�(•1. 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