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r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23961 Date OCTOBER 18, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 6030 YOUNGS AVENUE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 2 Lot. 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1994 pursuant to which Building Permit No. 22222-Z dated AUGUST 1, 1994 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 A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AND WRAP AROUND PORCH AS APPLIED FOR. The certificate is issued to WALTER HENNESSEY & MARIANNE FONTANA (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0048 OCTOBER 5, 1995 UNDERWRITERS CERTIFICATE NO. N359483 AUGUST 1, 1995 PLUMBERS CERTIFICATION DATED SEPTEMBER 26, 1995 MATTITUCK PLUMB & HEAT Building Insp for Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23962 Date OCTOBER 18, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 6030 YOUNGS AVENUE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 2 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1994 pursuant to which Building Permit No. 22222-Z dated AUGUST 1, 1994 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 AN ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to WALTER HENNESSEY & MARIANNE FONTANA (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N359473 AUGUST 1, 1995 PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81 i FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLETION OF THE WORK AUTHORIZED) J Date............................ ... ............................. 19... N® 22222 Z Permission is hereby granted to: .... ............................. .........t�. .. ...................................... , ........... '7� ........ .......r�p........ !`... . ...... ...... sso .... ! ....... ✓f�........ ..... -� sro�= ......r�........G��- L= �... .. � � . ............................................................................... ................. . . .................. . ............................... . at premises located at...............dd G;30.............. t��r0��'S............. ............................ ...................................................................: 47!!�.......................................................... County Tax Map No. 1000 Section .....—.`.�J�..�.......... Block.....,..10 ........ Lot No. ..........x.......... pursuant to application dated �y�....................71`3....................., 19../ and approved by the Building Inspector. Fee Bui/dinl'nspector Rev. 6/30/80 TOI•114 OF SOUTHOLD BUILDLNG DEPARTH EHT TOWN HALL 703-1 502 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new build_ng or new use: L . 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 lorm) . 3. Approval of electrical installation from Board of Fire Underwriters. b. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17. 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 - $20.00 6 . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15. 00•, Commercial �15.00 Date I r1 _. �,.�. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . , . yUv!�I its. . . Sou Ha c� Location of Property . . . . . . A ✓� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . ... . . . . . . . . . . . . . Rouse No. Street Hamlet l�E{�IZ / iv �I.E sSf� . . . . . . . . . . �nwer or Owners of Property . . . . . . . . . . . . . . . . . . .(. . . . . . . . . . . . . . . :;ounty Tax Map No 1000, Sec tion . : OD. . , I;l Eck. . . . Z,0-CP. . . . . .Lot . . . �. . . . . . . . . �ubdivisi.on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJIc:d Hap . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . . . . �zZZ.2 . . . . . . Date OC Permit . . . . . . . . . . .AppIi.c;,,,c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =r,niC iJo. . . . . . ;iealLh DepL . Approval .. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters A�'' r . . . . . . . . . r� lanninL board Al)prov:,1 . . . . . . . . . . . . . . . . . . . . . . . . 19 D .. •>e:aucst for- Ten,pornry Certificate. . . . . . . . . . . r innl Ccrticate. . .i . .,� BLDG. DEPT. _ TOWN OF SOLJTHOL, _ SUbmiCC�O : C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAC-Ir-50*;L'I Ca3q . . . . . . . . . . . . . . TOWN OF SOUTH LD BUILDING DGPARTHENT TOWN HALL 765-1BO2 APPLICATION FOR CERTIFICA"ri; 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: I . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features . 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-0 form) 3. Approval of electrical installation from Board of Fire Underwriters. S 6. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 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 0 , 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4 . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial ."15.00 Date . . . ". 1�1. . . ,:Pi,-5. . . . . . . . . . . . . . . . . . . . . . . . New -Construction. . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . .yU.v!J S. . . �.� . . . . . . . . . . . . . . . ... .... �. _ . . ... . . . . . . . . . . . . . . House No. Street Hamlet Onmer or Owners of . . . . �Property . ��...�IZ � !��.ICsS� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :ounty Tax Map No 1000, SCcti0I1 . d.�ra. O� . . l;.l�.�cic. . . .Z,od. . . . . .Lot . . . . . . . . . . . . . . . ubdivisi.on. . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . FJIc!d Hop . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . . . . . . . i'ermit No. . . . . . .Date Of Permit . . . . . . . . . . . . . . . .App.1ic;lilt . . . . . . . . . . . . . . . . . . . . . ... . . . . . ilealCh Dept . Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approve . �. .0. � .� . . i Tanning Bonrd Approval . . . . . . . . . . . . . . . . . . . . . . . . SEP 1910 t ,. ''.equest for: Temporary Certificate. . . . . . . . . . . Fin;il CerticaLe. . . . . . . . . . . BLDG.DEPT. -ee Submitted : 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOWN OFSOUTF90Ll�.-- &V�-s0171 1a39L0 I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to _a�+l� 1 �✓' /�j/ � .� t€61`aWn Hall;53005 Main Road A , "" Mw , O Fax(516)765-1823 "; saUihold,NeW YoHt 11971 "'I''° Telephone(516)765.1802 t A".N'{I 4$ri:t t{ OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION r 1� trb,tt a , t q ?7s ,Z26-- DATE; d2CQ 7 FF, 71 i t4 t �tl Y lt. KYI i �,11 7 x F�Y� 'Buildin'g,Permit No. OCT I 0 IN, 6 yA x�ax l ?� , I taI t K9rtF � '� ;�4 �I �7 I (please .print) 4� It ^ s BLDG.DEFT. I' €s s •, ,�k{'' ' t, ) kuy"Lln, TOWN OF SOUTHOLD mb -f �a � sr 7 I (please print) t4Yi :,R � akFI certify that the solder used in the water supply stem PP Y s y ! tains less than 2/10 of 1% lead. �'�Fp41�ttSa1 1 1 ' I ( t r r " i5�ry (Plumbers Sign axe) �e Swornft6 before me this n �n r� da �. of i �`Natary ; 'i�blic County ' ` EDRN_F`.JACKSON JF �Nday Fabric,State of New York r.tl h Qdlod In Salicik War Term Expires Fab.16,197 d 3 ---------------------------------------------------------------------------------------- k r � ` 11 S i r THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 115509C) BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 U.� ,�' Date c f r Application No.on file AUG T 11995 88237695/95 N 359473 THIS CERTIFIES THAT ionly the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR. I-1ENNI SSEY, YOUNGS AVENUE, SOUTHOLD, N.Y. in the following location; 91 Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JULY 26,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES 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. 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. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC.COND. A.W.G. A.W.G. A,W.G. AMT. AMP. TYPE EQUIP 1,0'ZW 1,B 3W 3,0.3W 3,B'4W PER A' OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 TIME CLOCKS 40 AMP-1 FILTER PUMP 1 1/2 H. P.--1 G.F.C.I:-•1 *(SWII-RAING POOL) This certificate covers compliance at the date of inspection only. Because Of unusual environments it is advisable to have frequent test/and or repairs <<< Continued on Page 2. >>> 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 FOP,BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1195099 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date AUGUST 01,1995 Application No.on file 88237695/95 N 359473 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 MR. htENNESSEY, YOUNGS AVENUE, SOUTHOLD, N.Y. in thefollowing location; ® Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot ttws examined on ` ULY 26,1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT I.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. I 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. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER �,4W �,3W 3,0'3W 3,0'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.CoND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: made by a qualified person. JIM SAGE ELEC. INC. LTC.#3635E 350 MARINE PLACE GENERAL MANAGER GREENPORT, NY, 11944 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE FALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1000378 BUREAU OF ELECTRICITY F t 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 01 995 86277194/94 N 359453e PPcatono.onfe 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 PETER & MARYANN HEHNESSE'Y, 6030 YOUNG'S AVENUE, SOUTHOLD, N.Y. in thefollowinglocation; P�] Basement ® Ist Ft. ® 2nd Fl. GAR/.ATTIC Section Block Lot wos examined on JULY 20,1995 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. I 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 I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EOUIP 1/B'2W 1,B'3W 3,0'3W 3,0'4W PER '0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: STEVE'S ELEC/S.A.LBERTSON LIC.#3494 E P.O. BOX 1268 SOUTHOLD, NY, 11971 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. COPY FOR BUILDING; DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000373 � BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 01,1995 Application No.on file 86277194/94 N 359483 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 PETER & MARYANN HENNESSEY, 6030 YOUNG'S AVENUE, SOUTHOLD, N.Y. in thefollotcing location; ® Basement ® /st Ft. ® 2nd Ft. GAR/ATTIC Section Block Lot 44 was examined on +7ULY 20,1995 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. I H.P. 59 111 54 39 20 1 5.3 1 3.4 1 1.5 2 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. AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS 3 - S 600 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 X 2W 1,6'3W 30 3W 30 4W PER d' OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 2 2/0 2 2/0 OTHER APPARATUS: CEILING PANS-6 A/C-2 AIRHANLILER-2 60 1111P DISCONNECTS-2 PANELBOARDS: 1--20 CIR. 100 G.F.C.I:-12 -SMOKE DETECTOR: • K <<< Continued on Page 2 >» 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. 6 ® T1122M EW COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFiCATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL ION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: LC VL DATE INSPECTO T65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INLATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY R ARKS: ����Z54�- ele DATE � � INSPECTOR 1 1 765-1802J BUILDING . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �NLATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY � e clifREMARKS: � R- ' DATE INSPECTO - -� 22 t � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR ass-sso2 BUILDING DEFT. 1 PECTION [ ATION 1ST [ ] ROUGH PLBG. [G}� OF UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE `-'" INSPECT 2 t ,no, BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ j FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: I/� S[dX�2X' � � rl2 V 01 DATE � � INSPECTOR BUILDING DEPT. INSPECTION -0 [ ] FOUNDATION 1ST [ ]� ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ RAMING [ J FINAL REMARKS:���� �.�i �L?✓� (/./<<� � a DATE ICJ S"o"INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUyDAT10N 1ST [ ] ROUGH PLBG. [� FOUNDATION 2ND [ ] INSULATION [ 7 FRAMING [ l FINAL REMARKS: � T V DATE' INBPECTO . .. .. ._ . . _ ... �2-222Z� 765-1802 BUILDING DEFT. NSPECTION [Z. FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: �� � 7!� DATE ! � INSPECTOR rA On.I A i i 1 L, • • GIMMSy i ca o��S�FFO�,�coG o� y` co Z Town Hall, 53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR. TOWN OF SOUTHOLD September 22, 1995 Boeckman Building Construction Corp. P.O. Box 1453 Mattituck, NY 11952 Re: Carmine DiSpirito (Peter Hennessey) Prem:� 6030 Youngs Avenue, Southold NY 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 (outdated/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 # 22222-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. C -,A WELLS WHICH******DO NOT .MEET MINYMUM****** ER STANDARDS PRIVATE WELL COVENANTS DECLARATION OF COVENANTS AND RESTRICTIONS THIS DECLARATION made by Walter P. Hennessey and Marianne Fontana this day of Jul y , 19 95 , (1) residing at 010 Y P, Southold. NY 11971 (2) a domestic or foreign corporation with offices located at . (3) a sole proprietorship or partnership having its principal place of business at hereinafter referred to as the DECLARANT, as the owner of premises described in Schedule "A" annexed hereto• (hereinafter referred to as the PREMISES) desires to restrict the 'use and enjoyment of said PREMISES and has for such purposes determined to impose on said PREMISES covenants and restrictions and does hereby declare that said PREMISES shall be held and shall be conveyed subject to the following covenants and restrictions: 1. WHEREAS, DECLARANT has made application to the Suffolk County Department of Health Services (hereinafter referred to as the DEPARTMENT) for a permit to construct and/or approval of plans for a single family residence, 'a subdivision or development or other construction project on the PREMISES; and 2. WHEREAS, the PREMISES are to be served by an individual on- site private well; and WHEREAS, the test wells '1sampled fort.the. PREMISES indicated a groundwater supply that had contamination in excess of the minimum drinking water standard and/or guidelines of the State of New York and contained excess of the following: [ LIST HERE ALL CONTAMINANTS WHICH DO NOT MEET MINIMUM STANDARDS] ; and Col iform and Nitrate tonsentrations and Aldicarb i A complete list of analysis results .is attached hereto as ' Schedule C, and each chemical parameter which exceeds 60% of the acceptable level is indicated with an asterisk; and WHEREAS, the County of Suffolk Department of Health Services has agreed to issue a permit only if there be a record covenant that the necessary water conditioning equipment be installed so as to meet the quality standards for drinking i water; it is DECLARED and COVENANTED by DECLARANTS, their heirs or successors and assigns forever, that no residence upon the above described property .will be occupied prior to i (REV. 1/91) SCDHS PRIVATE WELL COVENANTS B r j .,,,:LLS WHICH ******DO NOT MEET MINIMUM****** J ANDAFtDS . conditioned, meets the said the installation of the necessary water conditioning a of equipment so that the water, water of the Stat minimum quality standards for drinking / idence of the same is furnished to the New York and ev . County Department of Health Services for their approval. The DE and all T T its successsrandndeclarations ind/or assigns aanyset fort 3 - agreements these covenants,, g t.enants and/or lessees of t�zec' i=e tz leases to occupants, b their terms, .-�---I ty and shall, Y. ,; ..r ra:lurc c: described proper G e' • _ and restrictions c°ntaire•• the covenants v' . so the DECL pp IT I ts successors and/or ass-y•• the leases shall not invalidatonsheir auto.=at=1c to the covenants and re st f the covenants arad" restrictions contained Le at onscr 4 . All, of and federal state, be construed to be in addition of. loc not in ero limitation upon any regulations in effect at tan t "° laws, ordinances, agreement, or at the time such revised, execution of and/or may thereafter be ,ordinances, amended, or promulgated- the provisions of all laws is made subject -toprovisions to be incorporated 5 • This .dod by law. or by their � required by rated herein and made herein and they are deemed to be incorp C a part hereof, as though fully set forth. Toned Restrictive Covenants shall be enforceable R b injunctive 6• The aforement of Suffolk, State of NeW y°rk, y The C by the County other remedy in equity or at law. relief or by agencies or the County of Suffolk to enforce validity of this failure of said a9 whatsoever upon the the same shall not be deemedl�ilityCt t e covenant nor to impose any officer or employee thereof. �1 � � ? S•�F fc, •-. an ��•� c_ Y ��••-- with tha land and d restrictions sTallt�uccess . and These covenants an under Ss shall be binding upon the DECLF►RAN t With the and ,upon all persons revokedloreamended only assign and may be terminated, I them, of the DEPARTMENT. writtenconsent Iruii ' AW, (REV• 1/91) 7 .BB SCDHS PRIVATE WELL COVENANTS r. forth in the WHEREAS clauses co ntned romisss, � The declarations set for repeated and set and construed to be p 8 - if fully herein shall be deemed a. covenants, and restrictions as / forth herein. phrase or paragraph clause, P 9- If any :section, subsection, P and restrictions shall, by a be adjudged illegal, same 'provision of these covenants Court of competent jurisdiction, whole, or held to be unconstitutional, unlawful, invalid, of these covenants theapart so shall not affect the validity other part or .provision hereof Other othan or any illegal, unlawful, invalid, adjudged to be . unconstitutional- resents and warrants The DECLARANT rep an any Local Law #32-1980 given any gratuity , 10 . New York that he has not offered or g Suffolk County, intent employee, 'or agent of u ose or official, P olitic.1 party, with the purpose rP or of any P respect to the State, favorable treatment with rasp erson has read of securing reement, and that such p performance of an ag rovisions of Local Law32-1980. and is familiar with the .p L.S. ZZQ Walter P. Hennessey S. Marianne Fontana . L.S. . rL.S. 5 L 7 SCDRS PRIVATE WELL COVENANTS (�V. 1/91) —3— 9 v ,. ...,,.v rr,,r 4?ran of the attached Cgvenants & Restric -i nnG made b SCHEDULE A DESCRIPTION OF PROPERTY DECLARANT Walter P. Hennessey and Marianne Fontana H.D. REF. NO. OR NAME OF SUBDIVISION R 10-94-0048 (Property Description) SCHEDULE "All ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, being more particularly bounded and described as follows: BEGINNING at a point on the easterly side of Youngs Avenue (itailroad Avenue) which point is distant south - -15 •-degrees 16 minutes oo seconds East 226. 00 feet from the intersection of the southerly side of aid North Road and the easterly side of Youngs Avenue; RUNNINC THENCE from said point or place of beginning Worth 77 degrees 30 minutes 20 seconds East. 668.07 feet to a point; THENCE slong econds and now or East 316.93 formerly to land nowSouth 2 degrees minutes 40 s or formerly of Crigonis; THENCE along land 'now or formerly of Crigonis and Salmon, the following three courses and distances: . 1. south 77 degrees 30 minutes 20 seconds West 475.00 feet; 2. North 11 degrees 19 minutes 40 seconds West -167.00 feet; 3 . South 77 degrees 30 minutes 20 seconds West 190;00 feet to the easterly side of Youngs Avenue; THENCE along the easterly side of Youngs Avenue the following two courses and distances: 1. North 11 degrees 19 minutes 40 seconds West 11. 04 feet to a point; 15 minutes 2. North 15 deg ce of BECINNING00 seconds West 139. 07 feet to the point. or plae _ ALwched co vent -- _.�•uvrs its v •Y• SCHEDULE B CONSENT OF MORTGAGEE/LIENOR DECLARANT Walter P. Hennessey and Marianne Fontana H.D. REF. NO. OR 'NAME OF SUBDIVISION R 10-94-0048 In the matter of the application of Carmine M Di Spi ri to and the undersigned, as holder of a mortgage or lien on premises described in Schedule "A" annexed hereto, hereby consents to the annexed covenants and restrictions on said premises. Carmine M. DiSpirito � 1 Donna Maria Di Sp rito (Corporate or Individual or Partnership Acknowledgement) (as- appropriate) S . STATE OF NEW,,��--YYORK$ COUNTY OF SUFFOLK ss: lr On the ./� fay of July 1995, before me personally came CARMINE M. DiSPIRITO 'and DONNA MARIA DiSPIRITO to me known to be' the individuals described in and who executed the foregoing instrument, and ackno edged that they executed the same. V LLIAM wu1011 k0UN PUBLIC, Vok No ar Pu icUI�p Suffolk soE � s �X19T y _ 91) - SCDHS PRIVATE WELL COVENANTS _5 Y a' SCHEDULE C ap 1 EST LABORATORIES, INC. ENVIRONMENTAL TESTING 377 SHEFFIELD AVE.• N.BABYLON. N.Y. 11709•(516)422.5777• FAX(516)422.5770 LAB NO.C951249/1 04/11/95 / John W. Hallman Limited P.O. Box 423 Shelter Island Heights, NY 11965 .� ATTN: SOURCE OFw6AMNLfi: " Hennessey. P.*, R10-94-DO46 " COLLECTED BY: JIi/EcoTest DATE COL'.D:03/23/95 RECEIVED:03/23/95 SAMPLE: Water sample, c.w.tank, untreated** ANALYTICAL. PARAMETERS ANALYTICAL PARAMETERS <0.02 Benzane ug/L <0.5 Manganese as Mn mg/L 21 Toluene ug/L <0.5 'Nitrate as N ma/L 57 Ethyl Benzeno ug/L <0.5 Chloride as C1 mg/L 40.1 H (lab)m t p Xylene ug/L <O.5 P as LAS unite 6.3 ug/L <0.5 pH ( iuB/L 40.05 r o XYlene ub/L <0.5 Ammonia as N Styrene <0.5 Spec. Cond. umho/cm 770 Isopropylbenzene ug/L Copper as Cu mg/L <0.02 E n-Propylbenzene uR/L <0.5 mg/L <0.02 mg/L 135-Trlm <0,5 Zinc as Zn 0.003othylbenzene ug/L <0.5 Lead as Ib E, tart-Butylbenzone u6 /L 0.13 /L <0.5 Iron as Fe . mg 124-Trimethylbonzene ud/L <0.5 T on asoF6 100 mL Present sec-Butylbenzone u /L <0.5 E.Col'i, 100mL Absent R. p-lsopropyltoluone ua�/L <0.5 n-Uutylbenzene _ Co. Aff Aldicarb sulfoxide ue/L. 17 Aldicarb sulfono up.�� 14 Aldicarb Cen Reg. Othc cc: REMARKS: otal L�1Lfar}ederaTlstandardscfor rputabluati011s uwater. Total Aldicarb exceuds NY Stata and Federal standards for potable water. All other values are wltl�iu liwi i DIRECTOR rn= 5955 NYSDOH ID# 10320 , Gd P. Cu ^ r, 11738 6283 // "STATE OF NEW YORK ) SAMPLE ss., (INDIVIDUAL ACKNOWLEDGFjiENT) COUNTY OF SUFFOLK ) On the �� day of Jul v , 1995 efor me personally came S.jal ter P. Hennessev and Mari an'ne Fontana to me known to be the individual.(s) described in and who execut the foregoing instrument and acknowledged that he (she) (they) executed same. GAITYF"NEa OLSEN F►► Nutary Public,S10113 of kerd York y' No. 62.2.,zoa&) 1 P:121ilicd ir;:iu!!u!k Court . Cmrn cli 3C,19_ZA I ` Notary Public State "of New York STATE OF NEW YORK ) SAMPLE ss. : (PARTNERSHIP ACKNOWLEDGEMENT) COUNTY OF SUFFOLK ) F (i On the day of - ---- , 19=—;--before-me--persona-lly- - - came , to me known, who, being by me duly sworn, did depose and say that he is a member of the Co- partnership of the firm described in and which executed the foregoing instrument and acknowledged to me that he executed the foregoing instrument for• and i in behalf of said Co-partnership. S4 Lti!' Notary Public State of New' York NOTE: PARTNERSHIP COVENANTS MUST BE MMCUTED -BY ALL PARTNERS UNLESS PROOF TO THE CONTRARY IS'. FURNISHED".WITH THE COVENANT. %r- i I 3 SCDHS PRIVATE WELL COVENANTS -?- (REV. 1/91) COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HISBERo, M.D., M.P.H. COMMISSIONER PERMIT THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OF THE DEPARTMENT, CONSTITUTES A PERMIT TO 'CONSTRUCT A WATER SUPPLY AND/OR.. A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED. CONSTRUCTION MUST CONFORM'WITH. APPLICABLE STANDARDS INCLUDING THE STANDARDS FOR 'CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND'STANDARDS AND PROCEDURES' FOR PRIVATE WATER SYSTEMS. THE PERMIT (PLAN) EXPIRES THREE (3) YEARS AFTER THE APPROVAL DATE. ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL SYSTEM OR WATER SUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS. PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE STANDARDS IN EFFECT AT THE TIME OF REISSUANCE. A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT OF ANY REQUIRED TRANSFER FEES. . IN,THIS.CASE, THE_ PARTY PAYING THE . ORIGINAL APPLWAAON FEE WILL BE 'CONSIDERED TO BE THE ORIGINAL APPLICANT. 31gg4.- WW -05 8 BLDG. DEPT. PAGE 1 OF 2 TOWN OF SOUTHOLD . DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER - .. RIVERHEAO, N.Y. 11901.3397 ' 852-2100 18.380..1 2/92 INSTRUCTIONS FOR FINAL APPROVAL OF CONSTRUCTED SYSTEMS It is the applicant's responsibility to call the Department to arrange inspections of the sewage disposal system and water supply facilities prior to backfilling. These include.inspections of the soil excavation for the sewage disposal system and inspections.of the water supply well, well lateral,public water supply line, disposal system,.piping and final grading. -Other.inspections may be required. Following satisfactory construction and 'inspections: 1. The applicant must submit 4 prints of an as-built plan (up to and including l VxIT'), by a licensed design professional, of the subject property showing the following: a. the lot location and dimensions; b. the lot number(s) and the name of the subdivision, if applicable; c. permanent structures (i.e., buildings, driveways,walkways, swunminng pools, decks, etc.); d. the exact location of the private well, if applicable (give at least 2 dimensions measured from the comers of the. building); e. the exact location of the public water line, if.applicable;. . f. the exact location of the septic tank and leaching pool(s), if appiicable. Give 2 duneusions from the building corners to the covers of the septic tank and each leaching pool; g. the exact location of the sewer line from the dwellinig'to the street; if applicable; and h. have a clear area at least 3"x5" for the Department's approval stamp. 2. The applicant must...submit a certificate from the sewage disposal installer attesting that the system inns been installed according to the criteria of the Suffolk County Department of Health Services, when applicable. 3. If a well has been installed as the potable water supply, the applicant must submit a current well water analysis, (within one,year) and.a well driller's certificate. If the well or water quality does not conform to standards, proof of corrective treasures will be required. Refer to "Standards and Procedures for Private Water Systems." 4.... In those cases where public sewers are utilized for the dwelling, the applicant is also to submit,one (1) copy of the.. sewer line inspection approval from the public sewer district. In districts operated by Suffolk Coiirity, two (2) copies of'Form S-9, duly executed by the Suffolk County Department of Public Works, are required. 5. In those cases in which the installation and connection of the public water service line has not been inspected by the Department of Health Serf-ces, a tap letter from the appropriate water company is required. HEALTH DEPARTMENT REFERENCE NUMBER MUST BE ON ALL CORRESPONDENCE'OR DO-CU`TENTS SUBMITTED. SUBMIT ALL NECESSARY FI �,�'>PA�N� ERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENT'S WILL NOT BE ACCEPTED. WWM-058 PAGE-2 OF 2 18-380..1 2/92 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY. CENTER . RIVERHEAD, N.Y. 11901-3397 852-2100 PETE & MARIANNE HENNESSEY P.O. BOX 168 CUTCHOGUE NY 11935 CASH RECEIPT '' ***,tit******•***. ... Date Received: 00.01/.94.. Receipt : 4151=P 2821-9656: Hdref No: R10-94-0048 Fee! $330.00 Received From: BUCCANEER BOOKS, INC. Amount Paid: $330.00' Check Number: 2267 Project Name: RESIDENCE @ E/S YOUNGS AVE. Location: E/S YOUNGS AVE. from the desk of Marianne Hennessey ��pl)-44 ccaneer Books, Inc. 3 uL P.�Qo� O. Box 168 7Cutchogue, New York 11935 BLDG. D �J�._._= i TOWN OF SO' #"4 724 Fax (516) 734-7920 El r2 117-38 PC 283 ( �_ G7 Number of pages "n TORRENS . -) -n J Serial# _ _. -- - r_ Certificate# Prior Ctf.# -' Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 4 FEES Page/Filing Fee Mortgage Amt. Handling 1. Basic Tax TP-584 y 2. Additional Tax Notation Sub Total EA-5217(County) Sub Total Spec,/Assit. or EA-5217(State) Spec./Add. R.P.T.S.A. TOT.MTG.TAX Comm.of Ed. Dual Town Dual Count• 5 . 00 � Y a _ Held for Apportionment Affidavit �+ "� _ � + Transfer Tax y�No IND�*yr� • Certified Copy Mansion Tax The property.covered by this mortgage is or Reg.Copy - - - will be improved by a one or two family Sub Total dwelling only. Othcr YES or NO GRAND TOTAL If NO, see appropriate tax clause on page # _of this instrument. RoA Real Property Tax Service Agency Verification 6;. Title Company Information s�F ` Dist. Section Block oouN� Lot First American Title TnGtiranr•a on of NY S` 1000 055 .00 02 .00 Company Name CR#03101214 JJ 151-S-0356sS Ini Title Num;$r n$' FEE PAID BY:. Gary Planner Olsen Cash Check X Charge P.0. Box 706 Payer same as R&R Cutchogue, NY 11935 (or if different) NAME: First American Title InsCo of N.Y. ADDRESS: RRA Harri enn Avani,c RECORD & RETURN TO Riverhead, NY 11901 7. (ADDRESS) 9: Suffolk County Recording & Endorsement Page This page forms part of the attached _Covenants & Restrictions made by: (SPECIFY TYPE OF INSTRUMENT) Walter P. Hennessey The premises herein is situated in Mar�ane Fontana SUFFOLK COUNTY,NEW YORK. TO In the Township of S ou t h o l c a In the VILLAGE or HAMLET of Southold BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING, 12-01 a..2/95Uc. BOARD OF HEALTH . . . . . . . . . . a FORM NO. 1 3 SETS OF PLANS . . . . . . . . _ . E TOWN OF SOUTHOLD SURVEY J 131994 BUILDING DEPARTMENT CIIECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . SL®O DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL.: 765-1802 t:OT I Fy . - . . . CALL �� �.((�. Examined . . . . . . .� . . . . . ., 19(. MAIL TO :* . Approved . . . . . . . � . . . ., 19/" Permit No. . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 .d. . . . . . . . . (B i ng Inspector) APPLICATION 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal,or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing c nd regulations, and to admit authorized inspectors on premises and in building for necessary inspectio '`? ? . . . . . . (Signature of applicant;own e, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises �� �_ / � . � Jr� ��T�- D . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O3,a . . �� �5..! �-� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C.����. . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . .V 5 . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . ./`. . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . 4� "�J .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . !. .�7. . . . . . . . . . . ... .. . . . . . . . . . .. . . . . . . . . . . . . . A.(JI . . . . . . . 3. Nature of work (check which applicable): New Building . .v. . . . . . . Addition . . . . . . . . . . Alteration . /// Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . (D'escription) 4. Estimated Cost . . . . . a�p! v�O. . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . .` . . . . . . . . 8. Dimensions of entire new construction: Front . . Rear .'� Depth b Height .�. . . . Number of Stories . . . . . . . F' f� /✓` /11, w7, ?�� 9. Size of lot: Front . . . . . . O . . . . . . . Rear . . . .. ��'/. . . . . . . . . . . . Depth � . . . . . . . . . . 10. Date of Purchase . . . . . . . Name of Former Owner . . . . --. . . . . ... . . . . . 11. Zone or use district in which premises aresituated . . f�' . , , , , , , , , • , 12. Does proposed construction violate any zoning law, ordinance or regulation: V.Q , , , , , , , , , , , , , , , • . , • . • 13. Will lot be regraded . . . . . . ®. . , . , , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises A 5 ddress/ .'. AIMA.i�/ Phone No. �.73, . Name of Architect �'A!�? ,EcS �� , , . . . . Address z5? 5!'"��:v? . . Phone No. .`ra`ff�. Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . Address . . � . . . . . . . . . . . .Phone No. . 15. Is this property within 300 feet of a tidal wetland?. *Yes. . . . . . . . No . . . . . . .. � • . • . . � � � � • • � � . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STA'1E OF NEW AY I S.S COUNTY OF . . . . . . . . . a• • 1VAIK.4. �. . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. . Heis the .' . . . . . . . . . . . . . . . . . . . . . . . . .�G Z`G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 � . _Z. . . . . . . day of. . . . . . . . . . . . ., 19 Nota Public, . . . . . . . . . County \. CINA FOROS CH Notary Pd*Side of Now York . . . . . . . • • • • • • • • . . . . . . . . . . . . . .. . . . . . . . . M4fIf158fZ3�SuffoAcCount (S• nature of applicant) 110M Sop.3,1U 'R� .fy� 'fir Y.:J`4.' • r'�'.'��`H''(. �.6•-•7 .�',•.:�'% 'y( - � "S 3,•� �,.-..-� •esldenae 'Jk• '� '-•�`41t: _+.c;� �-� °}.t t� .'' �. �. F . HEALTH :. ' ' 0 u N F STATEMENT OF / N/F f ` ,� LANDSBERG s a. BORN , ,.. ` RANDAZZO ii r w".� :'� ;i 1 `� ' t4 F - LY AND SD j t r y �'�y� ,.'� CE WILL CONF�" fi * rCO. DEFTFd. cM Nr7TJ0'20'E. . , iA , r ,• i!c ,: .;ro T<sT HOLE rron a 668.07' Fd. CM ` � ) APP Pp Fd LICANI iron pipe o o�, " SUFFOLK COUNTY DEPT. 0 •moo "i 3 FOR APPROVAL OF CON '� ti` DATE: Q ` Fd. Stone Mon. i ''• H.S. REF. NO. J72, i APPROVED: cM 3 Fd cm •` , BORN SUFFOLK CO. TAX MAP 1716G4' y DIST. SECT. BLOCK ' 3; eskknce _ ss o W 1000 055.00 02.00 te•r o OWNER: SALMON❑ 2 ;.. -J1 ,rk. 1 '` . .` WALTER P. HE Fd. CM i w _ h > and MARIA F S 7T30 2 W, Fd. cm _ I '- 475.00' Surveyed: 5 MAY 1994 TEST HOLE GRIGONIS TEST HOLE DATA: AREA: 178,673.3t sq, ft. Test Hole by: ' or 4.1018f Acres McDonald " o CM Fd = Concrete Geoscience `lZ Monument Found Southold, N.Y. unauthorized Elevations Datum From to this surer Elev.42.0 Section 720I Suffolk County D.P.W. Topo Mop State Educat BROWN ❑ 11, Copies of th WALTERt Pd t0. bearing the , ' seal or embr . HENNESSEY & 2' be considerer MARIANNE FONTANA copy. MAP OF FIRST AMERICAN TITLE INS. CO. Guarantees it TOWN OF SOUT}iOLD run only to t D(SCRIBED PROPERTY the survey e r Surveyed by: PALE behalf to the �Ww':"•"""�i' BROWN government a SITUATE � StanleyJ. �� 4. Institution IisL HHOLD, st�� slen_dr FINE SOUT TOWN OF SOOT P. .Box 2 �� - �` f,%,�- ro agencies ar cl HOLD - Guarantees or SUFFOLK COUNTY, NEW Y ;c ��` SWO additional inst � ORK '' O owners. I. Located Foundation g 20 4 N I/ C' 'a �",d-S eye • '" SCALE: 1"= inn, / / nl v c , ,_ . _ '�6nGe SUFFOLK CO. HEALTH DEP . Res owes H.S. NO ' Wa N l I C !1 Resid nce SOP STATEMENT OF INTENT m N/F N/F THE WATER SUPPLY AND SEWAGE DISPOAL SYSTEMS II N/F BORN RANDAZZO f+�iiLY OWEAM OKY FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS `J LANDSBERG _ �� EMRES'rHREE YM FM UTE 4)F OYAL OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES. �0 (S) O W o 3 / �� i weft APPLICANT i Fd. CM N.77'30'20"E. � � %A' 0 668.07' Fd. C 3 2 M SUFFOLK COUNTY DEPT. OF HEALTH SERVICES � 2 • TEST HOLE / � /�,/ Fd. iron pipe � Fd. iron pipe � • y � ,a2�� TEsr Ho<E--�,-,- —� \sue--- FOR APPROVAL OF CONSTRUCTION ONLY. � GARAGE ,�' DATE. JUN 22 10 r R=150' �a6ed H.S. REF D APPROV Proposed sanitary j + S � 6d.0 .5 _-n. Building / SUFFOLK CO. TAX MAP DESIG ATION 4-.2 �5•� S.77'30'20"W. N/F DIST. SECT. BLOCK PCL. 9 .00 F7CM - �� R;ISp- BORN p ' d. CM - ` Building ,� 1000 055.00 02.00 001 .004 +!, 3 so• Envelope �' 60 RES. OWNER: Grease i O Residence Tmp ce 69 a! b O Pnoc b ft 4k 118' w , ' Ruins N WALTER P. HENNESSEY / and MARIA FONTANA N/F U ' SALMON DEPOT LANE, CUTCHOGUE , NEW YORK Fd. -GSM �' ' Fd. CM S.7T30'2 W. 475.00' ��.4 Surveyed: 5 MAY 1994 TEST HOLE ITEST HOLE DATA:I N/F AR EA: 178 by. s . ft. Test Hole b . GRiGON1S or 4. 1018f Acres McDonald Geoscience o CM Fd ' = Concrete Southold, N.Y. Unauthorized alteration or addition Monument Found to this survey is a violation of Section 7209 of the New York Elevations Datum From Elev.42.0 State Education Law. Suffolk County D.P.W. Topo Map o cesspool BROWN Copies of this survey map not SANDY bearing the Landsurveyor's inked D LOAM seal or embossed seal shall not 1 Guaranteed t0: 2' be considered to be a valid true n e WALTER P. HENNESSEY & copy. r-----�'�" MARIANNE FONTANA Guarantees indicated hereon shall l---r' FIRST AMERICAN TITLE INS. CO. run only to the person for whom TOWN OF SOUTHOLD the survey is prepared and on his behalf to h title company, MAP OF PALE government agencya lending DESCRIBED PROPERTY j Surveyed by. BROWN institution listed hereon and to the Stanley J. I sase n k Jr. FINE agencies of the lending institution. TO Guarantees are not transferable to t`'t7 SITUATE P.O. oX 94 COARSE additional institutions or subsequent `2 SOUTHHOLD, TOWN OF SOUTHOLD New uff k,N . IC9 SAND owners. SUFFOLK COUNIY NEW YORK " License and Su.rve or f�C ti Abs ,f�. " `'�'• °t. if'�1'"/ N.Y.S. Lic. .No. 49273 l �0 71' �7� SCALE: 1" — 1 00' I ` �' L 0 '' 94C537 17 SUFFOLK CO. HEALTH DEPT. APPROVAL ce Res'den H.S. NO �QO STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOAL SYSTEMS m N/F BORN RAND ZZO FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS �0 LANDSBERG OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES. �0 (S) W o �� ; APPLICANT Q Fd. CM N.77�31320"E. 668.07' Fd. cM SUFFOLK COUNTY DEPT. OF HEALTH SERVICES o rEsr HOLE Fd. iron pipe Fd. iron pipe s. FOR APPROVAL OF CONSTRUCTION ONLY. ' rn o DATE. co 6.4 w H.S. REF. NO. ' o R>>, APPROVED: Q Fd. Stone Mon. 37a, N/F SUFFOLK CO. TAX MAP DESIGNATION 190.00' p Fd. CM BORN DIST. SECT. BLOCK PCL. . d. CM 168 4' n .1000 055.00 02.00 001 .004 0 0 L, -FD 3 R 4i OWNER: CO �. Residence 69' � O 46 i >>e' � ^ WALTER P. HENNESSEY O1 Ruins O� � ❑ 2 w and MARIA FONTANA N/F y �.' SALMON I Fd. CM Fd. CM j ? S 77-30'2 475.00' Surveyed: 5 MAY 1994 TEST HOLE STAMP I _ N/F TEST HOLE DATA: GRIGONIS AREA: 178,673.3t sq. ft. Test Hole by: a o or 4. 1018f Acres McDonald Geoscience N �� o CM Fd = Concrete Southold, N.Y. 41,40 Q Unauthorized alteration or addition p Monument Found to this survey is a violation of Section 7209 of the New York W �,� � ��t Elevations Datum From E/ev.42.D state Education Law. �! Suffolk County D.P.W. Topo Map pf BROWN Copies of this survey map not �� SANDY bearing the Landsurveyor's inked Guaranteed to: LOAM seal or embossed seal shall not 29 be considered to be a valid true u WALTER P. HENNESSEY & copy. MAR IAN N E FO NTANA Guarantees indicated hereon shall FIRST AMERICAN TITLE INS. CO. run only to the person for whom TOWN OF SOUTHOLD the survey is prepared and on his behalf to the title company, MAP OF PALE government agency and lending (�(� Surveyed by: BROWN institution listed hereon and to the 11`1 SC `I B ED PROPERTY StanleyJ. IsaKs6n FINE agencies of the lending institution. � �J r. ro Guarantees are not transferable to SITUATE P. Box 29 COARSE additional institutions or subsequent "/, SOUTHHOLD, TOWN OF SOUTHOLD SAND owners. SUFFOLK COUNTY, NEW YORK Licens Land S r eyor- 1. Located Foundation 9120/94 N.Y.S. Lic. fJo. 273 SCALE: 1" = 1 00' 94C537 17' �T SUFFOLK CO. HEALTH DEPT. APPROVAL Residence . . H.S. NO �LO STATEMENT OF INTENT N/F N/F N/F THE WATER SUPPLY AND SEWAGE DISPOAL SYSTEM: 11 / BORN RANDAZZO FOR THIS RESIDENCE WILL CONFORM TO THE STANDARD' �0 � N LANDSBERG OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES ® Na 0�' o (S) W O i APPLICANT i Q Fd. CM N.77'30'20"E. 668.07' Fd. - ' - 2 o TEST HOLE Fd. iron pipe Fd. iron pipe SUFFOLK COUNTY DEPT. OF HEALTH SERVICE` 9' FOR APPROVAL OF CONSTRUCTION ONLY cw ~ c DATE: H.S. REF. NO. APPROVED: Q Fd. Stone Mon. 372' N/F SUFFOLK CO. TAX MAP DESIGNATION CM f90.00 Fd. CM BORN DIST. SECT. BLOCK PCL. 168.4' 1000 055.00 02.00 001 .004 i �• Residence 69• � W OWNER: o 61 Ruins {N WALTER P. HENNESSEY N/F Z ❑ i� and MAR IA FO NTANA (� SALMON !y Z __ Fd. CM Fd. CM S.7T30'2 W. 475.00' Surveyed: 5 MAY 1994 TEST HOLE STAMP N/F TEST HOLE DATA: GRIGONIS AREA: 178,673.3f sq. ft. Test Hole by. or -4.1018f Acres McDonald Geoscience o CM Fd = Concrete Southold, N.Y. Unauthorized alteration or addition Monument Found to this survey is a violation of Elevations Datum From Elev.42.0 Section 7209 of the New York ' State Education Law. Suffolk County D.P.W. Topo Map BROWN Copies of map not SANDY bearingh theLand urvis eyor''s inked LOAM seal or embossed seal shall not Guaranteed t0: ❑ 2 be considered to be a valid true WALTER P. HENNESSEY & copy. ❑ i MAR IAN N E FO NTANA Guarantees indicated hereon shall FIRST AMERICAN TITLE INS. CO. run only to the person for whom TOWN OF SOUTHOLD the survey is prepared and on hi MAP OF behalf to the title company, �,' I: PALE govemment agency and lending U ' Surveyed by- BROWN institution listed hereon and to th i S C R I B E D PROPERTY i F/NE agencies of the lending institution Stanley J. ; Isdksen-Jr'.. „. TO Guarantees are not transferable t, SITUATE P. BOX 294 = COARSE additional institutions or subseque SAND owners. SOUTHHOLD, TOWN OF SOUTHOLD - SUFFOLK COUNTY, NEW YORK License ar;cd ;�survey%o 1. Located Foundation 9120 4 ` N.Y.S. Li N6..,,.49.2.7' SCALE: 1" = 1 00' 94C537 17' y I ` SUFFOLK CO. HEALTH DEPT. APPROVAL Residence H.S. NO OPQ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOAL SYSTEMS N/F N/F FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS LANDSBERG BORN RANDAZZO I OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES. W N (S) Q rn APPLICANT O \ 668.0 1 7' Fd. Co. IMENSIONS TO SANIRY Fd. CM N.77'30 20"E. TA SUFFOLK COUNTY DEPT. OF HEALTH SERVICES o TEST HOLE Fd. iron pipe Fd. iron pipe SEPr/C TANK /. =3/.5,' FOR APPROVAL OF CONSTRUCTION ONLY. 49.5' 3.=28.0 �_ CESSPOOL 2. 46.5' DATE: L4 �' WELL "� 4. 40.0' H.S. REF. N0. /o R>> APPROVED: a� NOTE CESSaaoL LOCATION SUFFOLK CO. TAX MAP DESIGNATION Q Fd. Stone Mon. z 6a` PCESSPOOL N/F PROVIDED BY BUILDER 372 r BORN DIST. SECT. BLOCK PCL. d. cM 190.00 Fd. CM RE W' n� \/SANK 1000 055.00 02.00 001 .004 1 68.4 0 POOL LO - 3 PORCH ALL OIL (U.G FILTER w OWNER: 0 AROUND i �. Residence 69' V B•5, F7 b :} 0 WALTER P. HENNESSEY Ruins and MARIA FONTANA N/F (n ' SALMON Fd. CM _ Fd. CM TEST HOLE STAMP z .77'30'2 W. 475.00' Surveyed: 5 MAY 1 994 S J TEST HOLE DATA: O I N/F AREA: 178 673.3f sq. ft. Test Hole by: GRIGONIS McDonald or 4. 1018f Acres Geoscience 0 CM Fd = Concrete SouthoId, Unauthorized alteration or addition ` '` >.� IVIOnUrTlent Found to this survey is a violation of •x o yx, ' SINGLE FAMILY DWEU.1 ONLY , p�aG" �'� ;ra b=L- fvsk Section 7209 of the New York ( j Elevations Datum From E/ev.42.0 State Education Law. ���5 0�,o,� t ��'n . yC17 Suffolk County D.P.W. Topo Map -- y BROWN Copies of this survey map not _ SANDY bearing the Landsurveyor's inked LOAM seal or embossed seal shall not 2' be considered to be a valid true Guaranteed to: 0-`` iazm G7 c'n" copy. � WALTER P. HENNESSEY & Guarantees indicated hereon shall MAR IAN N E FO NTANA �'� � FIRST AMERICAN TITLE INS. CO. run only to the person for whom � .•�� ra_''}�-a ° � the survey is prepared and on his ea TOWN OF SOUTHOLD behalf to the title company, e�Q ' n (.1cou,P<E.,�'s2tzl PALE government agency and lending MAP`' O,F ^ BROWN institution listed hereon and to the �u�k"" Ens CJ:R �'`i�"�Vr u' $��u1cnIP,MZ I Surveyed by: FINE agencies of the lending institution. DESCRIBED PROPERTY , Stanley J. Isaksen Jr. TO Guarantees are not transferable to P.Q. OX 294 COARSE SITUATE additional institutions or subsequent e` 1195E SAND owners. SOUTHHOLD, TOWN OF SOUTHOLD ✓ SUFFOLK COUNTY, NEW YORK 2. LOCATE 3AN1r4RY', WELL /N GROUND FlLr POOL & iLTER 2/APWiL 95 i c e n s e and S u v e y o r rr 1. Located Foundation 9120194 N.Y.S. Lic. 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I �) � Fz T M If 000 . - I-IPvo Ir�J� PROPERTY: 3 ,�,,"��,1._I"_',,,_,�,.'-.v��-*_�1'.-��'17,�,,"_,�,',�',.�,�1-11'",�-L_.;L"�, I!1.",�`.,.:�,,..:I1_.��-,,,,+.--��.I.),,,�"�j,"_+1,";.,*;�,,.�-,�'I.,�.,4.';,.P1_��,.:-':�-�.,-,.,,I,4,.,,:,"",I��1rr�.,,,1�,.",''i_:'.%1�+:�I�.,',,"�,1��',�..�,,,.1,-._�.�"�II,�5,�';-,,�.�'''1�,L�I,-;:,:,1 K4"11��,.`,�5�,.:__.'..':,,,,�.-."''.L,�-�"%,'-�.,�",�i�t7�_,"�,,,:�''1",,�`�,,,J,-`.��'+I�-;_'R_,:1_r.;��,:'1"_,�,��,,-,�,.I"I1-:�',:.l`W�,�,r:'�1I,.:.:,�._��._,�-.+'�'-,-.",*i-,I:'�"r,�:�-I.�'I,�,_"-.�L�,,1",'..,-_" ","..';.,�4'.-r,.4:'II�.�4�,1-.II�r I-:;',,,.''�,;I'"'-,-,:,��',1-..,r,+,`,,r.'rL,,e.'�',��,'."-��-,",,.,�,�,".'+',*I�I."�-,-,�1�,�L 1 I,�:'_',..;�,;�1��-..".'.-.�-,,,,�.,.�.,,O'...,:,.1,.,,�;':,`,,-.'I4,!p�,.,.;1��"',.�,%_;�,L,-.�.'eAv���,,���7�.,,L�,"..'.,.,-�I 1"�,,11 I.,,',I-A,.1,.�._.,',�,,,:.*,,,,,�.�,-".�t1 1��;.,'r�,-I+,,'';,.�,..r�--,",-�'',I 1"�L';:.'".*..-�',�1�,,-,,-,.�-,-�-'.�.,."1,.�',I�".I��.I'�P��,_:,,"',1.",,.,.1.�,�,-'I,,,'.:��,.I::....-.��...".Ie,.'1 i / . ` '� L4ELL O 60 0 Youngs Avenue VI :.. ; .� 61 i- / � � r ER \ ,� /' I ADDRESS 'Southold, N.Y. 11971 ., :, > � ., _ /• / I .L,��I a 3 4 . to/F • 5 c R IJ � t_/F R•A-�0A zz 0 8�l I t D. c o I ., I I. . ►11 C.•/,A oa•t•t T) 1 - 1. �RESIC�ENGE) �, ! (vsC„o,r1T) ' '' 'C \ OWNER: Pete and Marianne Hennessey ` \ \ I + ., , , Z 77. �a+ �o �' 1t=. / ! ��8 07 ' P.O. Box 168 , , r,c', - Q - - - - - - ' - - -- - -= .• . ,`!n1 gue,7N Y UJ - 'Tel t# (516) 34-5724 ; - ,' t t \ � r J 4.102 Acres C" WET►-r., �o�s --___ ; I 9 SITE: j f o,v �vN T---_ �. AREA W , ,.... r . a .,4.,,... . . .T. .i 4'w ;T. , f ` , �f�! - • `� r_.�.r��_ _-_- _ ..'�- , ♦\ , \ ` '' • • • N _- -__.ram -...-.�...�-_ --f- _ - ` __ •• _-_ _ __--- - �. , 1 �/ 1 . ♦ \ '! ,; SURVEYOR: Stanley J. lsaksen' .I I..-.�...I..�1 -1.I.7.-I,,.I.�-..�L.'.II.-II..IIL.I.-....,I..,.+..I t.II ��'',� i ' �.� . • I'• , , . '1 1 ,� ., R2i c.L _ :; ' . , \ I f P.O. Box 294 !II+��..��II.I...�,..II..I.I".I..��.II.,�..-..�.I.�..�L I,;,..II�.I..-.�... New Suffolk N.Y. . �..Ii�L...I....,II II.II+I.,.I-III,.I.I I.�..I.I.�I.III L.�,I.II.�I..-mI I r.II I+..�L�.II .�.LI I III.I 1.LI...I.�,4.J.I.I ��k I\'...q f...I...I.I I,I.E_-,�....I... ..I_.1 1.�......1.I,I.-.I,V I t.I'%i..r I4-.I.I.t/ �...,.I :.1/ I..I4.I.I�L-.I I.v t,...II�.P 1-\..-,... f.f l - '• ° Ems/ N '• i I Licensed Land Surveyor ,{opt x ,. :F.T.. ,� 1 i N.Y.S. License•# 49273. ,I "4.,�..,.I.,.-.�'.6 I�./...I/..I.I,I,F.I I,+/iL.-I....I�.\I.....I ..,-L,S,.L I.IJ+�..I.r I......+.I�IF.R.I_..I.1.-II I-�-II I-..t.I--..;-II...-I�.+P+�I�I...I�-.� • *% i W , . I NOTES: Elevations shown are based on Suffolk ' . �. . 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No -I_._ ' _iZAl>lus f :+ 1 . � � ,e)IF --�o��' tk15 j /� �Ea ���.,'J `,`� fi w►Ti-�.�i E� �"g Fo+ - Public water is not available within - W . r' '-� / .� y 500 ft of property . . Z' . f�, 1 p%Po [{ . f �,� :;• . / " -+ . �_ 9c� s�0 I The locations of wells and cesspools 1 I X' / , o 15 t+ ,p� +r 8 �-��, Sv,�1, i shown hereon are from field observations . ' '`��' �� ���••' __ sE �r P and or data from datat obtained from others. J i - '' f•^^ ""�C x �"� 5 t{ Y' 4! l'N T :.y.;: ,. , �'0., N/r lad .. :I, ',;s'; rto -�1 8,0 HEALTH "i am familiar with the standards or F- e !1 fs�.� - ':' r , D PA TM T r val a d co a 5 �> 20 L,J o 0 ' i ..%,Q :;t ;; � 1' 4N s E R EN app o n nstruction of sub urf ce ir`' -I j :- ;' STATEMENT t '' " sewage disposal systems for single family -(�, �' \. `- �/ r residences and will abide by'the conditions 'a'_. ► / / . t �. .. - _ f,. set forth t"herin and on the permit to . i • _ C CLE6�DE0CC' . '=-"';•,1 / construct... ,. / { SIGNED: fV siz: +4 aCfZ,s �. . . "I . � ___ i . . + I _-1- " . • b .. +r'_ i - ♦ J\\1P t' .'�}1� ">,' _ t wA f44N0MVfK BE►CN . r - �`- , \f ..--.ram A 7 • O _ .1 . S I Itil ✓,. 1�♦. f' •• ��ibL.l G - ^ -R- hA A t Y.,1 L.O G.a`'T'1-T: . . t .w c$ -, 2� FS ET , Ro P12&J Sc�r P P4:n �E P-rf o i { 0 ,/; ' '� f 14 'T e r. \^ t..l�'3'T`. '�"� 7"r�ly hi�'G1�-sE•G'Tto�l d� ' x' 7_ NaRTd�J� �..�• ,��, ��v eL_o � ©rz7+-� v - I - . •` ;• , ,�. ' J; a- . --- _. ---___ ._.__-_ __ __...___-_-._____ _._ _ _ _ _ _ .. . _.. L ----'--- 1 U 7 _ ,� `� ., - I �. ..- _ - (- `� !� �J 1 I �� .. •�, .r"`�f Budf� �J • 1, Q '[ �.. v,;.,�.I".,_,,,r[.-.-1'1�,,,"t-.-:P" _ „fie. ((� - <' A y y" ?'F^ -.. . . ._.. i Ar - ew t .1 -_s s�i� '<<i� ,S A'' X tYr,, �. T 'r -' -t " e 7 7 30' Z o H L•J . s{75 0 ,�� - �I ,.� -,V, , � f tr _✓ ,',.�"�I��""��,�"..,,7.",�-.q,�3.--?,'y,4-,.,I-..�,-,l*._-�,��,;��1,,'!-�1" `C`�- c - � �\, 5� i f1EE00N "- �'o„ _ (IZp_-W I�NGE / FL.•.r2'1✓I� - i. ; ts_ t .t . ' 4� "r .. - F- •. .'.'. '!',,, f - A ' C: •I IF 4 c'^ �{ Founders fI ," • T }�'^✓� ! rye /,ertdiR4 tJ /i , 1 1 . . . � . . . hw. !. ockeY �(i_ . P, I {I al-Q+ ---- f ,.. oL'r SOUTN4LD - ...-.I.I.'I.�I.I I...�.I.I%I....,'.-�I�...I. B f Fr, tl t . + C_. Q 1`J . . I L.o T NA AR I - . A/V O '�a e 12+*I ! • I; . SUFFOLK COUNTY DEPARTMENT OF MA SERVICES , � ,1. . : � • - FOR APPROYAl. OF CONSTRUCTION OF ' lgs�o '� ' . 2 2Siagle Family Reside ce only • . ( l� 1 --��{ -00 Project No: 4 .. . - ^ Ol � NS REF. 4 ,: . . fT . . . . . AP PRO D '" Y. `' Drawn BY: l.J T i' .. • EXPIRE5 YEARS I"ROM DATE OF PROVAL .,t> J' Checked By: r S ; A" ' ',: j ,, ;. Date: 5/2'7 /94 'rk{ f Scale: (u'ffi ol-on.. - . ?. I . �.: . ':.. . . ,. , . . ., Sheet Title: ' � I SITE ". ,� : I f - . _ .. M . • O f' - Z . . . S t No: a .' . �� 4., rI 1 Qy 6,,-r£, ;y;.�w%? .r. -fir• . ' . .. , ., ,. . , •.. .., „ i , , , . e ram. , .- . I •. ,. .. 1 _ 1 , J^ ' ., ., I ,I SITE DATA - / t \ � aP.o I�a1✓b SCTM # 1000 - 55 - 2 = 1.4 r ='.a . ^ �O / � AEI I--IPvOrZIrJ�I • i. ELPROPERTY: 6030 Youngs Avenue u1 -� / r►/r' L,*r-Jr.:,55S; •ct +�t/F r3o�zr�J Q� �� N,/F r�-ND.��zz�o $�I�v. co. ADDRESS Southold, N.Y. 11971 CREstpENGE� ;y� .� ��/�G,aI�T) OWNER' r Pete and Marianne Hennessey P.O. Box 168 t'1 � Z � 771 � � t � � // • Cutcho ue N.Y. 119 f au'rbM�Tte w�RNIN� q 35 j/�—_ ,Tel # (516) 734-5.724 - , 9 5 OF DRNEWktif TiF-P IN TC� �o gyp- RAfJ, .. � \ , poo�- t3EL�- �pItT w,T�`,N�sr.��s�` �, ('�G 4 t N / �;' S SITE: 4.102 Acres ' . d ' D, 'c'u __ - : -- -- _ _ __- - -- ------- --- _----- AREA LU d u�—'— ~ ---- ---- -- _-- • SURVEYOR: Stanley.J. Isaksen V " �- ,, p4J , ' �� ,, .oR ���/ ` _ • ,, ��` , P.O. Box 294 . •` i' •�'`�},• ' ,• -'°�o �-, • ' ., , • • ! � ' TF T New SuffolkrN.Y. j cob Zzo>s�45rCr+-J F. :a � , , - — -- --- - - --- PT N.Y.S. License 49273 Licensed Land S • - s i ID S of T fa>= DRW�• � • • ,�.� ,� # • 4 itA • Fh�M RG�gp To ., _ NOTES: Elevations shown are based on Suffolk �■... 0 E 5ST N1 rrlent of Publiic Works ` GO 2E�T•E County Depart •1...-.-.Sf / /NA. L-A m P 1�6'TS t 'moo Q �y.Q -""- a VQ` N o _ __�,*ui L„ 's ` SWI'�HLrp Air M,,&It j i �50��D�S �n►,�' �/ sEe• ® ,— - _ .�c �"r,\ "1 EL ENTRY( ,+►TRr3tDEE - o Grc .rr�.�t3 - f C�p �g'•t, \ w i f"I"►�Jb� S(�t„�Np j Public water is not available within W TIED To w✓i � r-� � i/-� _ w c \ � ' 500 ft SE�I9,TIvE E3t..lITGN j - ,ec�/r E •R� a . • - A,, �rc of property Z TO TIIFzt� o N AT RIB ` Rest e "I. ¢ oFF a.JR�►��r�� ogy The locations of wells and cesspools shown hereon are from field observationsUJ . and or data from datat obtaiined from others. -•� ` ui ;,' - • , - �Yt��;;'• ,f� 't`,;'•:;`.� �!K L �.: i / ,�� �p1�8L C /A G,<e.IJ T� •, Cn _ ' ` rt° t 9"1 FT + . w tit, •Q, .� ,o ,o,V HEALTH with the `�`� f,:s, - �/ 6 , I am familiar w' standards for �.•. S 7 • ?3�' 20 " tr.! 110,0 (,f '+�� �` N��N so DEPARTMENT approval and construction mf subsurface �• r ' �J = r r,� A>.^ .: ,� k STATEMENT sewage disposal system f y W s wr single famil I p_ �'cWEY ' T'o f: , 1' residences and will abide by the conditions Sub�aG LJ T,�.a. `x .• • `' set forth therin and on the permit to tau/F C6A L SA ot4 ` F ctCStaEWcG) .,�o�t.►Ts ; /� PQ , �� / construct." r , I - �� ! Dls w. A.FT P& x `� ,N�-�N�Nr� o� 'r SIGNED:40 IL }!} -. `� - cva►.I E.R � � CoFXTJ+E t4\ f } E��c,TQ F V y-uRN pL �yc 18TI1.1CIr` --- 1 \ , uT'rf✓Q. w w S awns L��� � d M -:, s� N EI�-I�'CR'S �� T�! DRYht l8 .•; � ����C/h%�„ VyD k r t / - • MASM4MOMUCI, ilk All c!%0 Fr ET F f20 NI PQCJ EcT to 1;kD FIE R-TY IASsT A? Tr-r. M • � . ; �.•., rh, '' N©RTo1.ls LA IJE:. �,t•,i�p G'1..,D tJ ©tZT+-In 'Y � .e►�; Z , I. ' - <J '- ✓,.., (]`� _ '.rot ..I `.p< \�\\ w ,J • � Z w X 30 2 t..l —— � o y Ln W/t= C4RI qoT-J 15 .JR, :s Mf r 4 •o • e E EDON tl II '-_' _.\V 1 1 i t� ED, L..©�.. T © mil NAA R �r �16 i ' NEW DO NOT PROCEED OF UNTIL 2nd SURVEY Project No: 94 iq. s I FOUNDATION LOCATION i HAS BEEN APPROVED Drawn By: L.J T i ! t OCCUPANCY 0►R USE 1t UNLAWFUL CheckedBy: T s ` r WITHOUT CER, IFICAT Date: 7 OF OCCUPANCY � x' t ,. •M�1�!k:"0 I Scale: • . . `✓' ,�.,,, its,• 3 t, � s,,.;- >�: Sheet Title: k, �R ����F " BEfC�RE A'PQO�D At NOTED } a f PLEAD oA z2ZZZ� SITE TE of OCCUPAWY 5 5 NQ IFY. BUILDING DEPARTMENT AT. PLAN '.V�FR USED IN WAY ER 765-1902 9-AM TO 4 PM FOR THE ;' fi SUPPLY SYSTEM CANNOT 1O FOUNDATION' "SPECTIONS: ' &CEED 2110 of I%LEAD. TWO REOrUtRED�"' 2. ROUGH -•FRAMING:1 PLU�JIBING _ FOR POURED:CO�tCRETE 2 r `� �� ,•" 3. INSULATION Sheet No: 700P ' 4. FINAL COf�STRUCTIbN MUST i SEC OMPUTE FOR C.O. ; .... 7✓� oil Jiro b YEEl� ALL CONSTRUCTION SHALL MEET — S7D THE ( OUIREMENTS OF.,THE N.Y. 1 pie! a N+NI be STATE CONSTRUCTIO14 i`ENERGY. rO CODES. NOT RESPONSIBLE `fOR u b*' Kof LDESIGN OR CONSTRUCTION ERROR>3 , �,„ • • . _. ._ _ - .."._,._...w. .i .._..wa - n,._ _-.. _ ....-. , . _.. ..r-+w.,. G ..,..:awyu....•..wws.sw.«.wW.s1,t. - __ _.wn.su radswa...,,,ea..m..nu.f.L.s-ta.».,Sa. _ — - 1 Z11 �1,' 3'=Co" 2101-3" 2'-lo"log Cn'-Z'' 2-loll — I P�- 711 -- • � I�'-D%" t I I'-�%," I(1-Z11 ±&u i}=(o" 3 11'-!�%" 'i3=�}-%ia GO It --- - --- - �. ` s V W E�t.IF�( VE21PY VEIZIF`f z._. I�'KZ?h/i I Its-GLUT P��It�l= I IF�UT 7 �la,lE FOR. FUTIJ R-L LINE FOR- FIJTI MFZ To RvO L to R-^ LocATloi.l • al � n sir y�11 1hl'I'v RwELU �.: by ow BIZ E4Ur�.l,. 'BEror1 U► p1sTU1ze>mp Y , 140 ' t 901� `} N W — — -- — 21 %V'1Z Ir dA J 10 IBC 1V M tr p to Ir _ _ >I` p 'I r+i -� IM .I' .,t .1�1 N� t 1, i 1 1 i ,;, Li ►l l E'I LIP \ �'3 �% �: r N � O CO - � Q - \� :`\``! � �9 cowl c �, "% �\�`�,• •., ��, � coarl ps�c-r �, : I _�9 5 _ W O f ca it -r�4 le, LU h,.kT 91.Ab � - � � ' ! i ( ! 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Z+t" �Lt� sUBFi.002 s ST FL 12 D 4=4=R1ti Ems- �>�S - j - fries s l ill►J CT S �.! i{ - - _ o a o ca BI . i d ' S4LJTT7E9_S ' - cco Fit 161•-� !i� I tsT FL gTi,JCGO Ft�•1141`••t DG �0 ST1J JUUto co Z a -_t Ixo'r, 019 rce)T I rJ J . ' O ' I c W = ;� ux =T `/AT © �1 N©12�' C L...E�, �'d�.! 1J �--I �. l._. .�/ —T• 1 © �. T .� �I } EXTERIOR FINISHES } TYPICAL EXTERIOR WALL SOFFIT = 1/2" rough sawn cedar plywood - wiith continuous 2x4 studs @ 16" O.C. w/ 1/2" plywood sheathing with aluminum vents r building paper w/ 1/2 x 8, nominal dimension, beveled clear VG (vertical grain) surfaced western red cedar siding,'with SOFFIT/FRIEZE MOLDING - Tri-State Millwork - 6 to the weather. Provide woven corners, or comer boards, Bed. Mold. 8019 where required. WINDOW & DOOR CASING - 5/4x6 casing w/ wood drip TYPICAL ROOF cap w/flashli g ,.f 2x10 rafters 16" O.C. W/ 1/2" plywood sheathing w/ 30# ' building paper,and asphalt shingle roofing to match main CORNER BOARDS - 5/4X6 _ house. GUTTERS - Seamless aluminum gutters - whiite aJ Z . t .� FASCIA -I x8 w/ gutter or 1x4 trim (see elev.) SHUTTERS - Prefabricated solid color shutters Q . o FRIEZE BOARD - 5/46 - yk, NOTE: ALL EXTERIOR TRIM`TO BE CLEAR CEDAR - o :w RAKE - 1x8 w/ 1x4 trim ,; (painted) r ' I � w J 1 < z BARGE BOARD - 5/4x6 W • y N L' < M K w p,4, I ;. tN t'x CED6�►R- T1�� 2 -o il �I��j FT PRoJe�.cTte�+J 5,'-O 8'_ ►� e��_ S'-o" 27.p" , Coil s 9 a 4r, pp this► IZtx�Ftr.l4 -- L L b• 1; T O i (e T o ICi i. N `��EREDCy t.�tDPol►�T mF tq�.rbL.M I F�6cl+Pori T'R-� t rr t N iJ 6 EI,.&z.- Z d t� -F ❑ 4-o y 0- ►-I.A I•-L. _ - , PIA IS r4 `� UCA 1Pf _ 1 O Q I _ } t. E9S 4NEW 3TO ( �'• OD�11..1 R7UT3 F tEZS ['vf�, N ly PJ L , 0 S, �-�- '� 3 J -r— g ! r ,i f `r t Low p,N E VrAk lass. ' • RII►d / N �-- X N rt/ �t''T tb � �-t- _ Project No: 9414 x ( - • � s {'. 91DIt�l R q� y, �, \ N U 1 �► ti Drawn By: U'r 2rlo t¢wc�R. n�r n C - - _ I _ _ �' �! _ � -N i Checked By: ?8 4 1) � Date: o � 7/12 /74ENO^2-PS d i£ Q 6% LALLIf LJ ` � � v.&4" © WC44. 1ZETS #, E R' Pam► L>r R.S \ �" e" N 1 � GET oW 2614 5Q ►' p 3 p '� ' Scale: >6*-, r N C_3/.f" PLY►..i PF-Cp cra••�,>:•rer,' o Z �, t - _ { I►JC� �- x a If Sheet Title: 2.>wto v.'►� r 0 OF ❑❑ � QQ ❑ Q _ ic^ _ FIRST & F-1 El El El ❑ 1:1 El A?e olz N 9 a �r N,: i I x &). &o '�e ! - SECOND 4 IZ�.0F ❑ ,o v FLOC)R .. w �� w- co c_ ' T�I rJ • FbUI.IA►�Tior�l cQ � ' r �, �,II .. �o�� FopTit.IGt 4 wI�1E s - -- _ _--------------- -s PLANS I OP e L.O" <:4 h,A DG CT-0') yap., i J Cr x Tiz 3o T2. Olfo 3Otte =� DG tbo�v 174Gvyp+ylo �� i BUILDING - --- ---- - - ! = ELEVATIONS Sheet No: 3 ! G." ' - Pit- o. R . PT�r- I�WM GI•�y ?` UNDEtzyRoUWty Lis L" }r.r �° .,., ,. 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