HomeMy WebLinkAbout22340-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23697 Date JUNE 12, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 1695 CHABLIS PATH SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 3 Lot 3.7
Subdivision Filed Map No. Lot No. .
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 21, 1994 pursuant to which
Building Permit No. 22340—Z dated SEPTEMBER 19, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR AND TO THE CONDITIONS OF THE ZBA APPEAL #4265
DATED SEPTEMBER 7, 1994.
The certificate is issued to PETER DE NICOLA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ilding Inspector
Rev. 1/81
i
I
II FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date........ .......... ............/�' ..
..................... 19 ....
N2
22340 Z
Permission is hereby grante o_/ (o4
.Ali..(f.o...
1....'..Q..!...�1 ............... ...T,,l...................................
446
.......... s..� .... o` -5' ..... 5............
. .. o...l..t.e�. .. ..�an� .i..-f.!.o.�v.,�....
....z .N...I..�.�. ��.�... ..... . .Q...�.. .. .
D014 .....9�79.. ........... ............ ....................... .............................................
at premises located at............ .... ..... .........................
............!. f... .................................................
................................................. . J.q(....�...N...Y,...................................
County Tax Map No. 1000 Section .......�/........ Block..........3........... Lot No. .............
pursuant to application dated pp y..�'..`.-�.....z�.................... 19.. .'T....., and approved b the
Building Inspector.
_Iwo
Fee$..7 ...........
r
r
............ . .................................................... . .. .
Building Inspector
Rev. 6/30/80
—F - - - Iorm No. 6
TOwN OF SOUTHOLD
(( ! BUILDING DEPARTHENT
JUN `• 9 f TOWN HALL
765-1802
OLD0.DEPT;
�F- 0�'f l-® APPLICATION FOIL CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the. following: for new building or new use:
1 • Final survey of property with accurate location of all buildin s
streets, and unusual natural or topographic features. g property lines,
2• Final Approval from Ilealth Dept, of water supply and sewerage-disposal(S-9 form) .
3e Approval of electricail installation from Board of Fire Underwriters.
4. Sworn statement from1plumber certifying that the solder used in system contail-s
less than 2/10 of 1% lead.
5• Commercial buildin , 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:
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 applicant.
y 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
P $ S ng $25 ,
Alterations to dwelling
$25.00, Swimmingpool 25.00 Accessory building 25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz - $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 . �,l � �•�.
New Construction. . . . . . . . . . . Old Or P . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
re-exist ng Building,
Location of Property. • . . , ,',f,�q,��_. . . . . . C � • .
/. . . . ?4�.[. . . . . . . . . .
• House No. Street
• • Hamlet
Onwer or Owners 1.f Property. . . . . . .?10 ��� .�e �h �'o.(< . • . . •
County Tax Map No 1000, Section. . .6/;�-��• , . . .Block. , -3;(9�. . . • . . . • • • . . • . • • . • • . " • • • <
.Lot. . . .0A�
Subdivision.
36a4tC6Fi
�p� . . . . • .
�S . .�.2'. .
l l.ed Map. . .Lot.
Permit No. . a,3 qO ;. . .Date Of Permit. 11f!/qY �� . . . . . . . .
. . . . . .Applicant. . .. . .. . . .. . . .. . . . . . . . . . . . . .
health Dept. Approval. . . . . . . . . . . . . . .
Approval. . . • „ -
:Tanning Board Approval . . . . • • . . . . • . . . . •
tequest for; Temporary Certificate. . . . . . . . C/
Final Certicate. . . . . . .
lee Submitted: $„r��•.Lo0 . • . . . • •
rig . . . . . . . . . . ��.�. •�
. . . . . . . . . . . . . . . . . . . .
�®SVFFo��c4G
Town Hall,53095 Main Road c Fax(516)765-1823
P. O. Box 1179 %A-- Telephone(516)765-1 B02
Southold, New York.11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 2, 1995
Mr. Peter De Nicola
P.O. Box 841
Southold, NY 11971
r
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
xx An application for Certificate .of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 22340-Z.
Please contact our office on this matter. Thank you for
,cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: r?/ tz cc
/N/6 4
DATE � ! S� INSPECTOR
COMMENTS
�I m
JUDATIOY
—
11rDATI0t1 (2nd ) ti
rCH FRAME & _• - • •
•PLUMBING 1;<-
I y
m v1
:ULATION PER N. Y. II r 1
STATE ENERGY II \�•
CODE
• .s- Dom`• -
•FI;rAL I -- _•
ADDITIONAL COMMENTS : m
x Q .j
• r
FfOL
ASV NCO
APPEALS BOARD MEMBERS
- Southold Town Hall
Gerard P. Goehringer, Chairman N ,? 53095 Main Road
Serge Doyen, Jr. P.O. Box 1179
James Dinizio, Jr. y O� Southold, New York 11971
Robert A. Villa �Cl Ak �� Fax (516) 765-1823
ma
Richard C. Wilton Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
September 15, 1994.
W
J
5
SFP 1115;1994
Mr. Peter DeNicola
P.O. Box 841
Southold, NY 11971 TOWN of SQUTHOLD
Re: Appl. No. 4265 - Deck Addition (Rear Yard Setback)
Dear Mr. DeNicola:
Please find enclosed a copy of the findings and determination
rendered by the Board of Appeals concerning your variance
application filed by you. A copy of this determination has also
been forwarded to the Building Department for their update on the
pending building permit application.
Due to the proximity of this project within 500 feet of a waterway
or a County Road, we have transmitted copies of this file to the
Suffolk County Department of Planning as required under the
County's Administrative Code. Once they have finalized their
review and forwarded their comments to our office, we will transmit
a copy of the same to you for your update.
Very truly yours,
Linda Kowalski, Clerk
Board of Appeals
Enclosure
Copies of Decision to:
Building Department
Suffolk County Planning Commission
APPEALS BOARD MEMBERS
Southold Town Hall
co
Gerard P. Goehringer, Chairman H ,? 53095 Main Road
Serge Doyen, Jr. IS P.O. Box 1179
James Dinizio, Jr. y� a0� Southold, New York 11971
Robert A. Villa Fax (516) 765-1823
Richard C. Wilton Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appeal No. 4265:
Application for PETER DeNICOLA. Variance to the Zoning
Ordinance, Article IIIA, Section 100-30A.3 for permission to construct
deck addition to existing dwelling with a setback at less than the
requirement (50 feet). Location of Property: 1694 Chablis Path,
Southold, NY; Lot No. 7 on the Map of Chardonnay Woods; County
Tax Map Parcel No. 1000-51-3-3.7. The subject premises contains a
total lot area of 40,000 square feet.
WHEREAS, a public hearing was held on September 7, 1994, at
which time those who desired to be heard were heard and their
testimony recorded (no opposition was received); and .
WHEREAS, the Board has carefully considered all testimony and
documentation submitted concerning this application; and
WHEREAS, the Board Members have personally viewed and are
familiar with the premises in question, the present use and zone
district, and the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. This is an application for a variance to construct an open
(unenclosed) deck addition with a setback of 30 feet from the rear
property line, at its closest point.
2. The premises in question is known as Lot No. 7 on the
Cluster Development Map of Chardonnay Woods at Southold, filed as
Map No. 8822 on September 28, 1989 in the Office of the Clerk of
Suffolk County. This parcel consists of a total lot area of .918
acre, or 40,000 sq. ft.,, is presently located in the A-C Zone
District, and is identified on the Suffolk County Tax Maps as District
1000, Section 51, Block 3, Lot 3.7.
3. The amount of relief requested is 20 feet, for a reduction
from 50 feet to 30 feet due to the shape of the lot and the radius of
the setback lines along an are from Chablis Path.
4. In considering this application, the Board also finds:
L
Page 2 - Appeal No. 4265
Application of PETER DeNICOLA
Decision Rendered September 7, 1994
(a) that the new deck addition, as proposed, will not be an
adverse impact to the essential character ' of the neighborhood,
although the relief requested in this application is substantial in
relation to the 50-ft. setback requirement;
(b) that the variance will not in turn be adverse to the
safety, health, welfare, comfort, convenience or order of the town, or
be adverse to neighboring properties;
(c) that the addition is not an activity which would cause
an increase in dwelling unit density or cause a substantial effect on
available governmental facilities; +,
(d) that the addition is not major construction, being an
open, unenclosed deck and the applicant has agreed to a restriction in
this respect;
(e) in considering all of the above- factors, the interests
of justice will be served by granting the reduction as requested and
further noted below.
Accordingly, on motion by Chairman Goehringer, seconded by
Members Doyen and Dinizio, it was
RESOLVED, to GRANT the requested reduction for a 30-ft
setback from the rear property line, at its closest point, and as
shown on the diagram submitted under this application, SUBJECT TO
THE FOLLOWING CONDITIONS:
1. That the deck addition remain open and unenclosed, as
agreed;
2. That the rear yard setback not, be further reduced, and no
other construction extended, unless compliance for the new
construction (outside of the subject deck) is met with the rear yard
requirements of the zoning code (presently required at 50 feet).
Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio,
and Villa. (Member Wilton was absent.) This resolution was duly
adopted.
lk
GERARD P. GO RING , CHAIRMAN
i
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
Date . , , . ,August_ 12, . • . . 1 94
To . . ... . . , Peter_DeNicola. . . . . . . . . . . . .
P.O. Bog 841
. .. . . .. ... . . Southold,.N. . . •Y. 1 1971. .
PLEASE TAKE NOTICE.that your application dated . . July,2.1... . . . . . . . .. 19 . 94
for permit to ._ .Construct .a.deck addition to. an.existing.one.family dwelling1t
Location of Property . . • 1694 Chablis Path,_ Southold • . .
House No.. Street • -
County Tax Map No. 1000 Section . . .51 Hamlet
. ... . . . . . . Block . . . . . . . . . . . . . . Lot . . . .3:? . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . • . . .. . . . Lot No. . . . . . . . . . . . . . . . .
is returned herewith and disapproved on the f011owing grounds . •Under•Article .III A•Section
. . .100.30 A.3. of. the•Town. 'of.Southold .Zoning Code• proposed.construction will have .
. . .insufficient. rear.yard,set back. . Action required, by. . .
the Zoning Board •of Appeals.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . .
hBu
'ldi ns; . .ng _ .
� In or�
• µ .
RV I/80
BOARD OF APPEALS TOWN OF SOUTHOLD
In the Matt, r or'the Petition of ,
c , !. NOTICE
TO _.. .
to the Board of..-'Anpeals of the Town of Southold ADJACENT
TO: PROPERTY OWNER
YOU ARE HEREBY GIVEN NOTICE:
1. Th intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request (Variance) pecial Exception) (Special Permit) . (Other) [circle choice]
2. That the property which is the subject of the etition is ocated adja ent� your property and is des-
cribed as follows: . ' i' d C
3. That the property which is the subie�t of such Petition•is located in.the following zoning district:
4 That by such Petition, the undersigned will request the following relief:
_- Piz loo W Ca lac-{< CU IL F ✓Looc�. ® � '� �0 ��e c�—��9 a p vn'F
5. That the provisions of the Southold Town Zoning Code applicable to the relief sought by the under-
signed are Article Section
[ ] Section 2M-A, New York Town Law for approval of access over rights)-of-way.
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you may then and there
examine the "same during regular office hours. (516) 765-1809.
7. That before the relief sought may be granted, a public hearing must be held on the matter by the
Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such
hearing in the Suffolk Times^and in the Long Island Traveler-Matti tuck Watchman, newspapers published in the
Town of Southold and designated for 'the publication of such notices; thai,you or your representative have the
right to appear and be heard at such hearing.
Dated: ?
'Petitioner
Owners ' Names : G_+eK '6\0N,1cdk,
Post Office Address
Tel No.
[Copy of sketch or plan showing proposal' to be attached for convenience
purposes . ]
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
NAM ADDRESS
beef s369'57 yv\A�
T
STATE OF NEW YORK ) ss.:
COUNTY OF SUFFOLK )
residing at C� 3Li.S (NA
o L6 being duly sworn, deposes and says that on the f 2 day.
of , 19 , deponent mailed a true copy of the Notice set forth on the re-
verse side h reof, directed to each of the above-named persons at the addresses set opposite,their respective
names; that the addresses set opposite the names of said persons are the addresses of said persons.as shown.on
the current assessment roil of the Town of Southold; that said Notices were mailed at the United States Post Of-
fice at S L(*:� ; that said Notices were mailed to each of said persons by
(certified) (registered) mail.
_
Sworn w to We fore f re me this
Notary Public
CLAIRE L.GLEW
Notary Public,State of New York
No.4879505
Qualified in Suffolk County
Commission Expires December 8110
( This side does not have to be completed on form transmitted to adjoining
property owners . )
BOARD * OF HEALTH . . . . . . . . .
D U l5 FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY . . . . . . . . .
;J lI j1 z 1 1994 BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . _ .
TOWN HALL SEPTIC FOR.I _ • . . - _ _
-
I SOUTHOLD, N.Y. 11971
BLDG.DEPT. TE L.: 765-1802 NOT I FY ;
TOWN OF SOU OLD —7�q,j
�/
Exaiiiincd . . . . � 19 � � � � CALL - - - . . . . . . - - . .
' '. � MAIL TO
0.
Approved . .�. �,��. . . . . . ., 19 Pe No.g� . . . . . . _ . . . . . . . . . . . .
Disapproved a/c . . �!� ... . 9 . . . . . . _ . . . . . . . . . . . .
(Building Inspector
PLICATION FOR BUILDING PERMIT
Date . . . .-77 �. . 1. . . . . :. 199f.
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 stieets
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
shall be kept on the premises available for Permit to the applicant. Such permit
inspection throughout the work. -
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of-buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code;and regulations, and to
admit authorized inspectors on premises and in building for necessary inspectio .
_ ... . . . . . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if as corporation)
(Mailing address of applicant)/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
. ... . . . . . . . . . . . . . . . J � .. : . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . : . : . ... . . . . : . . . . . . . . . o. . . . . . .
Name of owner of premises . . . . . . . ��fdCc7 e�1 . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
• . .'- .. . . (Name and title of co"
porate 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. . . . . . . . . . , . , ;, , , , : . . • . .
House Number Street SP I Hamlet . .. . . . . . . . . . . . . . .
County Tax Map No. 1000 Scction ;���+.�� , , , ; , . Block , , • Lot . A® -]
Subdivision . al e-040$..Np4,�. tC�AjS �tf' . � iled Map No. a�f���-. . . . . . Lot . . .7 . . . . . . . . .
Namc)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy . . . . . . . . . 7 � �. . ..�.� �. . . . . . . . . . . . . . . . - • . . . . . . .
.. • •...,...., .exM;N+NbniGYY.r"�'l�'Fi91i'14491NY•.°'•a.,. ..�
•3. Nature of work (check which applicable): New Building . : . `(i ► y F^
. . . . . . . Addition . . . .:.,. Lion
Repair . . . . . . . . . . . Removal
• Alt'era'•........,.� : . . . . . . .
• • . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work
4. Estimated Cost . .?�ab-ov' _ (Description)
• • . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . _
t (to be paid on Yf7liri&,th'is'application)
5. If dwelling,number of dwelling units
• • I+lurnber of dwelling units on each floor . . ,
If garage, number of cars _ • . . . .
6. If business, commercial or mixed occu " " " • • • • • • • • • • • • . . .
7. Dimensions of existing structures, if an a Front ecify nature and extent of-eael type of use'
P y: i .
Height ,�.?�'�• . . Rear .�. . . .
, • ��`., , , , , , • • . NumberofStorics . . � � • � � " ��' • • • • • • Depth . , • • , • . . • ,
Dimensions of same structure with alterations or additions: Front • • . . . . . • • • • • • • • • . • .• . '
Depth . . . .(�1�. . . . . Height •32 ! . - ,.''7, • • . . . . . Rear . . . .�.�. . , . . . . . .
8. Dimensions of entire new construction: Front ,®� ' ' ' = 'N'umber of Stories :. .
.Height . . . . . . . . Nu . . . . . . . Rear•. . . . . . . . Deptth. . . . �.' . . . . . .
of lot: ember of Stories : -
9. Size Front . . � Rear.''. ( . . • . . . . . . . .
10. Date •� . . . . . . . . . .�4.a�I. . . P.2 . . . . . . . . . .
of Purchase f • . • . • . De nth .!.
11. Zone or use district in which premises are situated • • • Name of Former,.Owner -DP•vs►�. g ;1�S.
, �•
12. Does proposed construction vi 1 to any zoning law, ordinance or re u • • • • • - • ' ' '
13. Will lot be regraded . . . .1. g lation: . . . . ,y 1�, • , • • • • • , • , • , • . • • . . •
14. Name of Owner of premises . .� dL, ,� ' ' • WiI1 excess fill be removed from premises: Yes '�,
� � • . . Address . Phone No.
Name of Architect � ' ' ' ' • • • • • • . . . . . . .
of Address . . '
Name Contractor . . . . . . . • • � � • • • �• � � • • " " - • Phone No. . . . . , • , � �
15. Is this property within 300 feet of a tidal wetland. . .. . . " " . . • • •Phon No. . . . . . .
Yes. . . . . . . . No. . . . . .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
'OUNTY OF . . . . . ��. . .,,,,.ff. . . . . _S.S
. . . . . . . . .l�C AY! . . . . . . . . . . . being duly . deposes sworn, p ses and says that he is the applicant
bove named.(Name.of individual signing contract)
._
leis the . ... . . . . . . . . . . . . . . . . . . . . . . . . . .�.�.� �. . . :. . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . .
(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
)plication; 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.
.vorn to before me this
. . . . . . . . . day of. . 19?`tom
Mary Public, . . . . . . k2 /G ' \• County
. •
UNDAJ.COOPED (Signature of applicant)
Notary Public,State of NOW York
No.4822563,Suffolk Coun
p�m
Term Expires `�
Survey No.:89— 63
Oup of Waahs
at _*aut#alh
F!d d September 28, 1989 o s Mp No. 8822
1
Alt
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/ / ��� Unauthorized c!tercbon or addition to a map becrinq a Professions®
V �-mil Lord Surve'rv=_ Sea! is a violution of Section 7209, Sul,-Section 2,I
L ❑ �� L of the New Yon Stote Education Low
/ / Q F.iy,its-of-, •.r easements of record not sheen on tnis map are
v '00 not certifiaa.
`L Certifications inaicoted hereon signify that this survey was preparec
in accordance with the existing Cede of Practice" for Lana Su,veys
adapted by the "New York State Association Lora:
Professional Lon
E (/ Surveyors". Saic certifications shah run only to the person for ;horn
the survey is prepared, and en his behalf, to the title company.
to governmental agency. and lending institution listed hereon. :erti-
�O✓ ' t, � t ,_ w ficctions are not transferable to additional institutions or subsequen
awners.
245, - �w ` T Copies from the ORIGINAL' of ;his survey map not mcrkec '.vith an
6 O /'J G S\�� ❑ I 'ORIGINAL" of me Land Surveyor's "Et,4EOSS%D" seat or 'RED,_ inked
0
ORC S.,` sec! shall not be considered to be a clid true copy.
V ti I STORY H" 'I.6 0
Certified to:
1p15 Ilt✓RAME i
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.. 83.5 45 32.9'
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O � / , 1 hereby certify that this mop was made from an actual
(1' ti L L ,� survey completed by me on 10/23/93
'y l AOj ati G/I for Peter DiNlcol a
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o x? CiJ o c�`uJc� QA
i 1,N6f_ 7C _ s� G �� Edward A. Bullock, Jr.
\� Professional Land Su rve or &Engineer
49 Miller Avenue
S89'09130'W 336.95 Port Jefferson Station NY 11776
516-473-5332
N.Y.S. P.L.S. No. 49214 &N.Y.S. P.E. No. 63675
17-01 -L7 Scale: 1" = 50' Tax Mop No.: 1000- 51 - 3 - 3.7
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NOTIVY sull-DING OEP
765-1802 S AM Tt?4.-" " FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGHFI?,�iE�: IIvG PitPLUI1/ISING i ,_�•. .� ,�.�� _..4 ��' e
?. INSULATION
4. FINAL - CONSTRUCTION I�IUST .�
RE COMPLETE FOP, C.O.
ALL CONSTRUCTION S;IALL MEET
THE REQUIREMENTS OF THE N.Y
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR .
DESIGNI OR CONSTRUCTION ERRORS / t y t P ,aPf r
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UiNDERWRITEFi'S CERTIFICATE
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rowfV OF S(}ZJrNOLD
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DATE: ` B.P.# 3 �7i c a► �.,, VK i+� t� 1 l
FEE BY -;.J
NOTIFY BUILDING DEVPFOR
AT
765-1802 9 AM TO 4 THE t
FOLLOWING INSPECTIONS: 1�0 I
1. FOUNDATION ' - . TWO REQUIRED
FOR POURED CONCRETE )
2. ROUGH - FRAMING & PLUMBING
tn,cr6IATION
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rONSTRUCTION MUST
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CONSTRUCTION ERROt;S t
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