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fz-U Town of Southold Annex 1/31/2012 OS �l' �5% oG� , 54375 Main Road y x Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 26761 Date: 10/27/1999 THIS CERTIFIES that the building Location of Property: 7005 Alvahs Lane, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 101.4-16.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated pursuant to which Building Permit No. 23015 dated 9/19/1995 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: CONSTRUCT A NEW SINGLE FAMILY DWELLING WITH ATTACHED 1 CAR GARAGE AS APPLIED FOR. 1/31/12, Certificate of Occupancy corrected for name of town only. The certificate is issued to Stavroula Papathanasopoulos (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0036 3/5/97 ELECTRICAL CERTIFICATE NO. N-390556 9/24/99 PLUMBERS CERTIFICATION DATED 3/7/97 G e KaskeoPlumbing Inc Au ed ignat re 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 AUTHO [ZED) Date ... �. ............................ 19. .. NR 230151 Permission Is hereby granted to: o... .&.7...................................................... & ............ to ..... ......... -,'.... .I VR!�....... .... .......r ...... .. ... .......... ...... ....... ... .. ........... .... ......./.. �C? .......... . ......... ........ .. ........ .. . ... ...... :..................................... .............................................................................................................................................I.................... at premises located at.............. . ... ...... � ............................ ................................................... County Tax Map No. 1000 Section ., /....® .. Block.........../........... Lot No. ..AV e.,,T......... pursuant to application dated .................. .. .... . . ....`/............., 19.. 5:...., and approved by the Building Inspector. Fee$..�6021.........- ............... .......... Building Inspecto Rev. 6/30/80 it n TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin 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 buildi 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 ai '-'pre-existing" land uses: I. 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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ..q I C. Fees a 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 'bf Occupancy on Pre-existing Buildini? - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5.. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .5/10./9.9. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction... .-!t:.. . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . Location of Property. . ..Alvahs.Lane. . . .. . . . . ..... .. . .0 tC1iC)ILge. . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. ...Stravraula.. .JDapatkiar�a.sopaul.os. . . . . . . . . . . . . . . . .. . . . . . County Tax Map No 1000, Section. . . . lfll. . . . . ..Block. .. . 1 . . . . . . . . . .Lot. . . . . .16.4. . . . . . . . . Subdivision. .map •of• East. .Goart..Pxopjp-j;tzasFiled Map. . A.92.25 . . .Lot. . . . .2 . . . . . . . . . . . . . Permit No. . . .-±t 23015• • • • •Date Of Permit. . .. 9,.19,/95 . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . .. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . .. . ... . . . .. .. . . . . . Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . .####i3 . . Fee Submitted: $. . . . . • •• $25•0. . .. . . . . . . .. . . . Inland Homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( �• 7 0-" APPLICANT e0 -2A ? o��SUFFO�,�coG o� y1 Town Hall,53095 Main Road N Z v, � Fax(516)765-1823 P.O.Box 1179 �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 26, 1999 Inland Homes, Inc. P.O. Box 117 Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy becau a of the following reasons: XX An appli cation for Certificate of Occupancy is L not on file. (Enclosed) / XX No Underwriters Certificate on file. .// VXX The check is (not on file. ) $25.00 �� 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 # 23015-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION RBPOR'C t DATE COMMENTS ------------------________________�______--________- ________________--------------------- lid u II FOl1NDATTON ( IST) _ ------- ---- IC`D 1 v I - ---�----� ------ ----- can FOUNDATION OND)------------------ ROUGH FRAME S PLUMBINGji- II II it II I TNSULATTON PER N. Y. STATE ENERGY II II— CODE ------------------ FINAT. xgael- II i� �',/✓sIPC �� ` S�j'f/�.G�l�� ' �n� ADDITION C MMENTS: Ole zf --GaNVW� 1 / -C�lf'�-��/�/L.'` �4LK!' - -___----L=➢.,/�����®���`(� r'� -_--�i-fir'----- ro V t i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 24,1999 Application: No. on file 10545695/95 N 390556 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of STRAVROULA P. , ALVAHS LANE, POLE#NYT 57, MATTITUCK, NY in the following location; ® Basement ® Ist Fl. ❑ 2nd Fl. GAR/ATTIC/OUT Section 101 Blockl tot 2 was examined on JULY 01,1996 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 20 22 24 20 1 8. 5 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. AMPS. TRANS. AMT. I H.P. NO,OF FEET AMT. WATTS 1 F 1 — — 2 — SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 JW 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 4/0 1 2/0 OTHER APPARATUS: WELL PUMP-1 MOTORS: 1—F H.P. G.F.C.I:-4 S14OKE DETECTOR:-1 JIM SAGE ELEC. INC. LIC.#3635— L L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 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. B , MAR I 1 199T BLL"% - - --- - - - - -- --- - --- -' 7awr�c r: 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SULATION [ ] FRAMING [P] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 9%,"- i-:� '1 4LS DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: �J*-{C �-���d' 7D DATE l� � INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 7ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & C MNEY REP4ARKS: DATE 9 z8 9 INSPECTOR�//�j 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8. CHIMNEY REMARKS: �..,. . .U,x.�"... • �C- `Z`_. r- DATE � 7 � INSPECTOR �j 765-1802 BUILDING DEFT. INSPECTION [ ] F IiNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMA KS: DATE INSPECTOR �� 70-1802 BUILDING DEFT. INSPECTIO"- [ ] FOUNDATION iST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ✓]FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L DATE I � � INSPECTOR ass-iso2 BUILDING DEFT. INSPECTION [FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: r *904 11;ef��x DATE���3�'� INSPECTOR �'���2�.�j 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a av- = T %1 DATE INSPECT R ,65-1802 BUILDING DEFT. INSPECTION [ J FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING N FINAL REMARKS: 100,264 zz DATE 3 IN8PECTOR �j TEL. 765-1802 5��F0�c TOWN OF SOUTHOLD O�. OFFICE OF BUILDING INSPECTOR P.O. BOX 728 U' �s TOWN-HALL 2 IN- SOUTHOLD, N.Y. 11971 0� IK C E R T I F I C A T I O N Date j 9 Building Permit No.. Z, -, C / 5- Z Owner sTecLq e0c) L,CL N0.11•.'no-+ O + a, S C' (please print) Plumber (-r,-b=-- /�as kt:-- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. plumber ' s signature) Sworn -.,to before me this 1 � fday of 19 -7 -7 ' Notary Pubtyc Notary Public , County ROSE H. DONNELLY Notary Public, State of fdew Yorlc 1Vo. 52-4624196 Suffolk Count/ Term Fxprez f BOARD OF HEALTH . f - 3 SETS 0p PLANS ' . . . . . . . N i FORM NO. 1 : SURVEY y TOWN OF SOUTHOLD CHECK -9,•� �•� .- BUILDING DEPARTMENT SEPTIC" FORM SEP l'���+� . ... . . . .TOWN HALL NOTIFY 298-9696 .,OUTHOLD, N.Y. 11971 CALL : . . . ...' TEL.; 765-1802 . . . 0MAIL TO \pproved . . l/�. . . 19 . . Permit No,Ar/.�`:S� Disapproved a/c . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . •. . . . . .4 •/ • : . . . . . .. ► �' .'' -(Building Inspector) • ' LICATION FOR BUILDING PERMIT'. Date . : 9/5/95-r, ! ' 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 or areas, and giving a detailed;description,of,lay out of property must be drawn on the diagram which is part of this appli- 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 Tall 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 Tall 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. 'I-lie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ;idinit authorized inspectors on premises and in building for necessary inspections. Inland Homes Inc®' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant,or name, if a corporation) P/O 117,Mattituck,N.Y. ,11952 • • . • • • • • • • • • • • • • • • • • • • •(Mailing address of applicant) State wliether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mr. Thomas Papathanasopoulos Nanie of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. Robert .E. Hiltz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. .3635-E. . . . : . . . : . . : . . Otlier Trade's License No., . . . . . . . . . . . . . . . . . . . . . I . Location of land on which prop osedl work will be done. . Lot 2 .Alvahs. La. ,Cutchou�e I. Y. . • .'• . , . . . . . . . . . . . . . . . . . . . ... . . . . . ....... :. . . . . . : . . . . . . . .:. . ... . . . . . . ... . . . . . . . . . . . . . . . . . . . . . .. . . . .. IIouseNumber - I ; i t:•:,�:; .,,,;� . Street ;,i; ;,•';,I,., i:. , � • Hamlet:. „ � i t • r1 :i: �.ii'i1 �. .inn .... �..' ' : . . i r•�, ,!, .. yt .. .. , County Tax Map No. 1000 Section . . . . . . . . . . .. . . . Block . . . . . . . . . . . . . . . Lot . . . : . . ... . . . . . Subdivision .Map of East Coast Properties • , Filed Map No. 9?�5 . Lot . ?. . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy..of proposed construction:. +• ' r'.,' a. Existing use and occupancy . • • .Vacant Land. . . . . . . . . . . . . . . . , .•. . . , , . . . . , . . . , , . . . . Single Family Dwelling b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . .•. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . : . . Demolition . . . . . . . . . . . . . . Other Work . ... . . . . . . . . . . . (Description) 4. Estimated Cost . ,$509000.0.0 . . . . Fee . . . . . . . . . . . . . . . . . . ..: . . . . . . . . . . . . . . . . ! (to be paid on filing his application) 5. If dwelling,number of dwelling units . . . . . . . ... . ... . . . ;Number of dwelling units on each floor. . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . .OAQ . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . : . . . . : . . . . . . . 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 . . . . . . . . Heiglit . . . . . . . . . . . . . . . . . . . . . . N t tier of Stories . . . . . . . . . . . . . . . . . 3. dimensions of entire new construction: Front . . . Rear . . . . . . . . . . . . Depth . 2. ' ( height .?i.r. . . . . . . . .�bNymber of Stories . . . . ..2'00� . . ... . . . . . . . . . . . . . . . . .4 ,1. . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . Rear ,;. Depth .r . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner. . . . . . . . . . . . . . . . . I I. Zone or use district in which premises are situated . . . . . , i . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construlion violate any zoning law, ordinance or regulation:. ,NQ . . . • . . . . . . . . . • . . . . . . . . . . 13. Will lot be regraded-'. . .e, , , , , , , , , , , , , , , , , , , , , , , , Will excess fill be removed from premises: Yes • . . 1.1. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. Nanie of Architect . . . . . .Address . . . . . . . . . . . . • . . . .Phone No. 98_9696. . . . Name of Contractor .Inlaric. Homes Address . . . . : . . . . . . . . . . . . . .Phone Now . . . . . . . . . . . . . . . . . . . . . . . . . 1.5. Is this property. located within 300 feet of a. tidal wetland? *Yes . . . . .' : No . . . . . *If yes, Southold Town Trustees Permit may be required. PLO 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. �'".� ' ' - _ • See Attached Survey ' -S1'A'I-E OF NEW YORK, r.'OUNTY OF . . . . . . . . . . . . Ss Robert E. Hiltz. . . . . . . . . . . . . . . . . . . . . . . being duly sworn;deposes and says that he is the applicant (Name of individual signing contract) -ibove named. Contractor, Ile is the . . 'r•r• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i, . . . . . . . . (Contractor, agent,corporate officer,etc.) ()f 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 % ork will be performed in the manner set forth in the application.filed therewith. Sworn to before-me this . . . . . . . . . . . . . . . . . .day of:. . . . . . . . . . .. 19 . , ';otary Public, . . . . . . . . . . . . . . . . . . Count i Y Notary Public,State of New York • (Signature of applicant) No.4822563,Suffolk County FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26761 Date: 10/27/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 7005 ALVAHS LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 1 Lot 16.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 11, 1995 pursuant to which Building Permit No. 23015-Z dated SEPTEMBER 19, 1995 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 GARAGE AS APPLIED FOR. The certificate is issued to STRAVROULA PAPATHANASOPOULOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0036 03/05/97 ELECTRICAL CERTIFICATE NO. N-390556 09/24/99 PLUMBERS CERTIFICATION DATED 03/07/97 GALE KASKE PLUMB.INC. 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WILL . -_- ,.'„ , , �� 1., W, w . . ./ NFORNI• ''TO TH:E ''STAND R S . ,/.....:,.-,-'.�-.I1-1�,..1..,,�.-I�I�,-..�_I.�.-,.:.�-.:.1I.--�Iz-,�.,--�-.. f y :; .. :: SUFFOLK CQ DEP.7 ,IQF. HEA'LTH..:SERV1 I.:.��.,:-."�.:�.,;-__,..1-1:1.,�.,.r 4.,o��..-I�;�,.,�-".�..t:w.,",�..�..,.I,..r..��-..,.II I-..,'-..-,�:m..-I 1 1.-''.,.-.,--..,,....�:f..,�,,.-�%,i.,��"1 A. �.-�.7'�-.,".�II..)��I�.,I,�.F ,�-r.:.1,-�.����,....`...�.I.I---.�.,-�.".�-.---%..,I;-,,..It,-,1�1-I�,II.,.;Il -,'.I_:",.A--I: x. 1 CV W. �. i' l �' tea_ CES r, tcs. . , o - , �: fx' 7 .\ APPLICA•N.T :FCLQP WL: O. I ,r. .. . :i �... a;- , .' ' l SUFFOLK" CQUNTY. F3EPT.' :,Q.F. HE 4l.TN 1 t �' ! _ '` ! _`, _._.:, t S E•R V 1 C'E;5 F`O R` APPROII.A' j, ! -.,.. 10: _ ...� .._ tit t �; 3- ►so - L �FO R e� S- - , :._-.'�I�I,-I�:0.,ll6,.I..4;I:,-.k....,..��.,.I,."..,.....,,,:.,I...,,-I_II,.,:�_-I-.I.�1,,-_,...,1,I.;.,..,..�..- ..!.,;.,�l I-.,::�,�-,�.--.,,-�,I.-��,,,,I.,I L;.�.,....___,_,.,-I.-j�""_�.,.,I,..I:",...:,:.._.--'�..-.1-,-�-...,-.I"..I.�:-7.,._--'._.II C.._7':�:.,1.1��.,"��,..-,.I!�1.-,_,l,_.�-..,-.-..,,-�.._.,...,,:,."�I.:'I.,...�v,.,.��..'-...,.'.L�...'......I1,,",*I�I,_,".I,-��.,:._:.j"�-".�%-._.I,�1...��f�._.%--....:l-'_.,.'.5.I 1Ili.,�.,�,I_ -��_.z1�...-�.�.-:��-._-.1�..-11.,.:.I;�..1,.....,.,,.q�,,_�.".,�,.-.:.,"1II�1:I L,.�1..,,...,_..-...1,,,..�--.I-...I_:,�I':_:.1�-...._�--' .-.,."I,-1'_,,,-,_II..�.'._�.:-.--I-I-,,-_:;: "...-�I,Y.I..1,�."��:".'1,I,'.�..�._�.,.-�IL�-:-.�-I�_�:.1.�.,�.-_I't.:I--"l,..I 1-:�..:-.-'..._l.,I J , �_�_• O � i ., :'- CONSTRU-CTION ONLY ?: � --- , ,. MAR 2 2 .1995 '� ,..:..I.......-...4..._..�.I�..�:.;.I��,'.I,:�,z,,4-,.�7I,.,-�....�..?..I:._..-,�.�,I1..--,.I_:.,'�,--.5.1.W�...i I., ....-I--I.._'_'�..1.I..,,.,,. .�.-I,,-.,I�,..�....,_.I:L.,../--,.,.,"-.j,�7.L�,.I t9' . - H S.R'E1�.^NO 0 . . , . - . I � �IJ � rU t. e- APR V r. 4 } (? ' `�,; ' , - ,-: . � ;. ,,. :' , tt1 ., - a = , „; �.. . !`' SUEFOi,K:CO..TAX MAP D. SI N'ATtON.;. _ .: . v:- m:' ^_" r _- T : _ .,,�.- 0. d: t ►. . DtST SECT. BLOCK . P ,: },,. - 1. .> - ; A2h ,: . 4 , ..._ r - , --, . ,. - ._-- = „'I - ,: - .. �►- - C?1NNE. ADDRESS: 0. - .r'' , ,. 7�:, a 1. e: e ' s. [ !' - 5T ' { - �. 7: S f i . ., �. i i �'. :� . . . • �''4 .. 11 y _ 1 t ; ; . 8 Y � _ 'o ;' •. 1 .- Q a. r, _ 't . `c. - �: 50 k �. �- . a , , 8_ 528. �, / , r I . 4 , l 1 FY a' - �I- - .-.. - - - �•1tt� }: DEED L' p . TEST:.H' PLEASE NOTE pig .1• o�' ral� . . between :welly - -: • .. . - Minimum:dlstance •'s.:.to be 150`#eet. ,` , . and.,ces. I i �_ h. , - - -1 7 r P r t t1 9'• 4^r 7 er ,I'�� 9^� , f - _ r, ^r' 1• 2►�f 5 ( � - :�, IR �tsT r . .�.A fJ i tL , . . , , .. f , ., s .,,, .t.� u, �-,,r::�2 fir:.drag . . , ,. . . . `� :IR I s: a c _ - . I,Lk, _t3T P1O FAR JI= FASTC7 T P . _. .. ..;I�,i,.".NI-:I r".,_.I�I...I..._,f I.�L-'1.."I-��.,-:�6 1.I,.'...,,4�,.-�.I.e..'�'..-,.l.-.�.�.- .� - r ;. . . mot' F.i,L. - "L°I 1'._5UF1°;C �:C�EI t .S: C7FFtG aS:.NShp"l 2 ,' 7 g�tasr r .'l' - - 1' 7 tl ,�;,I.-�.I',t-I,','.I,I,.,.-.,1.,��.R�;",�w..X".I�..IW._:...I.-.:.�1-,,II,.I,1,I :L..�,'-I,�1 -...I.1-I I�.,I�,I..�-,,-.�.,.,..d.-�:....,�.1,1-��.:.`I�-�"..�.e�.-.�I.,.,,.1..�,I,',�,I-,1,,..�1',I.��,..,...,:�..-� .,' C - F1t�L' ram" L5 I. p. �_ 3 {` s Sal .'° Y; :t cri`trs; ah�t J . _ .l 4 1 C'h1 L3 t :"i M E�6 ry`Ir1't �G� . -, '. . : „ , I�r -. -- --.. - r t .. ,. • • ,. d . : r .. - GLE FAMLY DWELLNG'ONLY a,.s.,9 3GG-s�i�A' - ..t Q : � � :QA, ot. - 11 Y�° . c- R ` - . V 't K w or` .,.F �;1 °��L_ ,dam - •• P C 1 YL W #. 4 . . - -: O G , .� ., . x. Q 1 ?r; , _ -, �. r . t i` } - . �.r ' , . - .< vo .- ti ,- . RODERICK VAN.TUYL P C: �.S z.�� . Jq. _ _ - : . . ., ,,, ,. - , . L1ChNSED'.LAND SURVEYORS �`" ' . - - GREENR, NEW YORK . - , , - • .. :. , T DYNE"pST. NB1329 - - LIE .. a a SUFFOLK CO..HEALTH'DEPT. APPROVAL H. S. 'NO.: �� i Ctvti`�tOF�`,Dta1vE — f , I .1�' �TAcue� uus� ! 4 �_ I . f STATEMENT.OF I NTENT I 0 S THE WATER SUPPLY AND'SEWAGE DISPOSAL ' SYSTEMS FOR THIS RESIDENCE `WILL s s CONFORM TO THE STANDARDS ' OF THE SUFFOLK CO. DEPT,.OF HEALTH SERVICES. 4p, t ! I (S) > t SUFFOLK. COUNTY DEPT. OF HEALTH. „ISO,,._..\_._•_..._ t S E R V.I"C E S — FOR A P P R O V A L FOR'. - ' 0 CONSTRUCTION ONLY �.� DATE: t. f H. S. REF. NO.: CV V -•0" :. ! APPROVED: LIT SUFFOLK CO. TAX MAP DESIGNATION': ` � r _ ;�,, �---•-� - -- `" • - - -`— -` On DIST. SECT. BLOCK PCL- 00 uI. OWNERS ADDRESS: + , s 28-37 201 sr, ST. 156 BAY WELL'("VAC. j' j , DEED: L. P. TEST.HOLE STAMP' v unauthofted eReration m Oddlilg" N. 1n to this survey is a violation of (� 1 Section 7208 of the New York Stall.'- Jj llll Education Law. MAP•P Off'" P(Q�E T j Copies of this survey mep not bearing (� _5�__ _�,f_ 1 Loa land surveyors inked seal or embossed seal shall not be considered � t s'R�,r ,F'�.. FO'.I� "NOT ES f to be a valid true copy. �.•r — L^A— f 1pl-t Q'S;;fZt 1' �'l �,MA P .i!P CAST COA5 PROPIr_r-T E5 Guaranteeaina'catedheraonanalinm q _ _ 2 onry to a personthe survey �S l r f� �� 1 t-M` �^, °-'fir^`' I „f-� FIC j1 ti�F:'�E SC�FF�4 CLE( IE'1_OFFICl AS MAP 9Z_��, is prep ed,.anonhis�be whom lftoMe t /J 1 +ti $r r�r r� ''a _ ,� r - - - -` title company,governmental agency so �° I ( 1 a I. + i .. tz%f__,;t,, / `.J CO�ITQUIGS .C .CFE( i MF115�1 :4t.L .1., © lending instlutionlistedhererMalld -- -^— ~— •� to the assignees of the lending hstl- L lution.Guarantees are riot uwsfembb rAT to additional institutions or aubse4u" -- 0 owners. w r L r t 0 — _ t j�00�'P MLU AP AME,J\IPFR QCT,4,.1995 a. AS. SU2VE lED FEt , 1- l9 ,5. . - - Q ;RO.DERICK VAN TUYL. P.C. ��, 20 e o LAND SVP LICENSED LAND SURVEYORS GREEN PORT , NEW YOR.K -TELEDYNE POST. . . N8I929 SUFFOLK CO. HEALTH DEPT APPROVAL 1 ' H S. NO ^03� 1 � J com► c+4 =IVES r_ ,TACVED "US �(.Q3 N.56 5 IQ,E. J STATEMENT OF INTENT !SO' 'f � ! THE WATER SUPPLY AND SEWAGE DISPOSAL r 25 r C) Ir __� _ ___ _ _ _ __ _�-__-_._. _._ r - _- --7,U��Jg--. _ g W SYSTEMS FOR THIS RESIDENCE WILL 8 ! "�� Z I CONFORM TO THE STANDARDS OF THE V /f tN, (I� t 9 k Q j SUFFOLK CO DEPT OF HEALTH SERVICES. ' lU t- w I __•-�r � gA. ,�� (S) o -► - - O �Et� AS '- -- •^ i APPLICANT \ J iSUFFOLK COUNTY DEPT. OF HEALTH V � \, tO0 •: W 2 ��. � � Z ISO' \ , I SERVICES — FOR APPROVAL FOR : Y, CONSTRUCTION ONLY DATE 7 � i00 J !, H S. REF NO �.raNtc `W 1 ! APPROVED w ; to fm" SUFFOLK CO. TAX MAP DESIGNATION: •rr � _ ,•). _ _ ' >4-.__ 1 ri � SCALE 60 = I � u . J DIST. SECT BLOCK PC i' \ J - -- -- L. :Aw �� pyPCF"UFFOLKj Ic?vo lei ,,5iiNGLE P YOW" '� tt 4 12.85, OWNERS ADDRESS: Approw-1,ofi"Comm-tmaad MOP* �ad 28,3? i ST. ST. Ro.N�. IQ/� - 003 f BAYSiDE NY, rt3(Q u a 77) ThG ;are,+� r ' c scz +rx�t :�.�' Iris gym- e, 'Si 3 �a;r. ;r}�f ,« t , F,ls�nr.c .t .1os 3 I > I T1=L.T►8 352-a8�5 CB �Fi{�ty t�e`a L� tpt` ;i �V u`. ^:F t.u9Jn dvs V/��.) �1�V. - ',�. Jf jia.rid to be as w"r�:XY- i U DEED: L. P. w TEST HOLE ` STAMP � �t i g b ��/ {�• ��..,.2 York PAX- (yi,ca o y etar a M♦aslV'J C{f-ft- i �t,on Law s o!this sur4ey map riot beadre, d surveyor's Inked seat or MAP OF P t Z 0 P E f T Y i w^Dossed seal Shall not ba considn� Cc t,e a valid true copy, 54JIZVEYED FOR P40TE5' G:a�nteea indicated hereonshaE- I.LOT NOBS.R I~FErZ TOE MAP OF EAST EO&ST PF4PE r?7,!ES� I 1 cve tred.andon hi he person for beehalft Nc ' ! Fl C? t ttit ?ME 5UF¢ [p CLEI2lt: n ry gc•vemmentateger.c,, %u on listed nw ou and 57_(_-1kJ ROULA.- P A_P A T I t-\N A S_-)0 1 c,.�. Z,� 2.CONT000r.� 2EFEt2'TC ME1W 5Er4 LEVEL. C1 � J •tip s>, sc•thelendrng,rsfo- ,,Cu_.::ni.;s an not transta.3bw II toadu&,nal cnsowlion;orsubsmiii;rx T . r^ Ct-)TCHOGOE UJI e �Sli E TOWN-OF SOQTt!fO L C NY � .�'� � qMl. LEk,�� MAP AMENDEO-OCT.4t1995 W � '1 0� 0 Stf lkE:o.Q __ —._.____,. .. ks SURVEYED -=E& 17 1q�5 1 * ` �� cn pt Of Health FEB-281 t99� rFINAc:) 5eN{ - "" RODERICK VAN TUYL. P.C. rowcoon LICENSED LAND SURVEYORS3�696 GREENPORT NEW YORK �Op� Y00� TELEDYNE POST NdI329 'r+rs.:!- rv'> .,,.�., -'«,`:.•+tr" ',,,-+^.P45t'"%F,-e*ng..$r.:'•.� :tt�,'.:w+•'r'�-:R..;�''L,�.��,.+.r�,,.�.:�,.•a,,,F, w5, -_F:,�,,y+�,�„ ''a�r1'�_-,`„ "a. .a. _a.Fi ..p. PY,^ ., ,..,�, i'jC,s, ••.+�' ';'i;F;^.r tT s'Y e'k .f- - '-sle'.'�'f.'.1TF}�na^f("Jfar ' .. .-. _ .. .- .. ....+-..,. ...,.r__.... -.w,w.,. ,,.n.. ., ,.....,.r ^•rv.v-zv- rF' i,yl+� rY✓. J,vS r - a .._ .. r -. .. a ..:-, �Y"� ._ ` ��` .i'� '.i{",' a;t:}�+•� y: Y» .r - �4 f . '.It d V - .+�t i >✓ h.` ct. N� "ti"F i'`'n �x �//yY�� ,.S'.M. � ter. Y. t+ i> t •'1 •-cC 'i` a . 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