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HomeMy WebLinkAbout22356-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23827 Date AUGUST 21, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 160 OAK STREET MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 1 Lot 13.1 Subdivision Filed Map. No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1994 pursuant to which Building Permit No. 22356-Z dated SEPTEMBER 26, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARIE WINIARZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0069-DULY 17, 1995 ELECTRICAL INSPECTION CERT. #6333 DATED JANUARY 11, 1995 PLUMBERS CERTIFICATION DATED AUGUST 17, 1995 - BAY BELL PLUMBING Building Inspect Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK/AUTHORD)® Date........ ...... F...................... 19. . .... N_ 22356 Z Permission is hereby granted to; ........P o ..0a..... .` .................................... . �,r .. r ............ . ........ 1..�. .c._� ... 12...-....................... .................................................................................................................................................................. ................................................................................................................................................................... . .................................................................................................................................................................. at premises located at..................Z . .......C. 4! .........c ...!................................................ ...............................I......................... ............. ................... County Tax Map No. 1000 Section ..... .. ....�..... Block....... .................. Lot No. .l .J........... pursuant to application dated ................... ...�..................... 19....0 and approved by the Building Inspector. Fee$�/6... Building Inspe or Rev. 6/30/80 II` Ii , AND TOWN OF SOUTHOLD i, BUILDING DEPARTMENT BL G.�p'PT.� � TOWN HALL h TOVU_"OF-�0UTH13_O 765-1802 - -- APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new build=ng or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final. Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1•7. 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. $ubmit 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 Q 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 . . . . . .8.//- 5.. . . . . . . . . . . . . . .. . . . . . . . . New Construction. . . .`. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . Location of Property. . . . . . . . . . .o� . !, cle—; , , , , . , , , , , House No. Street Hamlet Onwer or Owners of Property.._ . .��l�� . . . . . . �ounty- Tax Map No 1000, Section. . . ./X/. . . . . .13.lc�ck . . . . . . . .Lot. . .131 J . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .F:i.l.ed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. X;3!! '' '. . .Date Of Permit. .. 026c, 1.90App1ica11t. ilealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . ./. . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . rZequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . -ee Submittedn: '� !. . . . . . . . . . . . . . . . . . . . . 9� . co �. . . . . . . . . . . . . . . . . . . . . . . . -e? AUG 2 1 1995 Town Hall, 53095 Main Road Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O .N DATE: Building Permit No . Owner: (please print) Plumber: :Bckm (pl6bse print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead., "-(PluQber�s Signature) INANE K CARPENTER Notary Public, State of New York No. 4964038 Qualified in Suffolk County Sworn to before me this Commission Expires March 119, 119-z� day of 19 • Notary Public, County 0000000000000000000000000000e00000000000000®0000000c�o 0 (516) 286-6642 ,ELECTRICAL INSPECTION SERVICE, INC. O 0 375 DUNTON AVENUE O EAST PATCHOGUE, NEW YORK 11772 O Date 1-11-95 6333 _ 0 APPLICATION No.ON FILE p 0 O 0 ADDRESS: 160 Oak Street VILLAGE: Mattltuck _TOWN: Southold O O O 0 ISSUED TO: Ed Turner O O 0 INTRODUCED BY Shamrock Electric LIC. NO. 4047—E o0 0 was examined on 1-11-95 and found to be in compliance with the National Electrical Code. O 0 LOCATION xx BASE. XX 1st. 2nd 3rd XX Attic Pool O O DET. GARAGE HOT TUB O ----------------------------------------________________________________________ O OO O FIXTURE RECEPTACLES SWITCHES G. F. C. I. DIMMERS FANS AIR. COND. O O 0 15 22 16 2 1 O 0 o O DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE OVEN SMK. DET. p — O O o 0 1 1 0 0 FURNACE OIL GAS CIR. MOTORS BELL TRAN. I SERVICE DISCONNECT O 0 e ers MOS. ase O 0 1 zone 1 1 1100 O.H. O O 1-KITCHEN HOOD FAN o O 'WATER PUMP Q I O O nt Preside o 0 � s 0 0 0 0 This certificate must not be altered in any manner. O 0 Inspectors may be identified by their credentials. O 0 O 00000000000000000000000000 00000000000000000000000'0000 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. /JFOUNDATION 2ND [ ] INSULATION 7 FRAMING [ ] FINAL REMARKS• 4 e�lG t DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [- ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: cw-,M4� 1-1 DATE l � INSPECTOR '_""\ -y—Lol 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I�TION [ ] FRAMING [' FINAL [ � FIREPLACE & CHIMNEY REMARKS: ��w✓ /,,�-C �r � ✓`'� DATE � INSPECTOR �40" l 3 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS• ° DATE o� , INSPECTOR 765-1802 BUILDING DEFT. INSPECTI N [ ] FOUNDATION 15T [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: L��- 4 � , t DATE I INSPECTOR�c^\ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ i.,r ROUGH PLBG. ] FOUNDATION 2ND [ INSULATION [ ] .FRAMING [ ] FINAL REMARKS: —7)e DATE INSPECTOR �..t� M-180Z BUILDING DEFT. INSPECTIO [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1� [L]'�RAMING [ ] FINAL / REMARKS: DATE INBPECTO • • NZ, PM ill 0� , lopoll *tell 4 IIrlo }� BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS "! ' TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . Sr r _ 1904 f; BUILDING DEPARTMENT CIIECK . . . . . . _ _ _ . . . . . . . . . . . 4 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . BLDG. DEP7 i SOUTHOLD, N.Y. 11971 !' TOWN OF SOUTHOLD� I TEL.: 765-1802 NoT I FY Zs-S-0 . CALL . .. . . . - . . . . � . . . . . Examined . . . . ...1 . 19/ MAIL TO : Approved . . . . . ! . . ., 19` Permit No. . . . . . . . . . . . . . . . . . . . / . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ?ATION ilding Inspector) APP FOR BUILDING PERMIT Date . . . `'2 . . . . . . . . .. 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ofapplicant, or name, 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 . . . . . . .R(C> . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation si 4 officer. (Name n 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. . . . . . /.`JCS. . . . . �J�-�r� . . .�.1`Z! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . Block . . . . . .1. . . . . . . . . . . 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 . . . . . . . . . . . .-IM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \ b. Intended use and occupancy . . . . 0(w. . .1;y.101 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . ... . . . . . . . . . . Other Work.. . . . . . . . . . . . . . . 0690 (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 1--�.. . . . . . . . Depth :' . . . . . . . . Height . . l.. . . . . . Number of Stories . . . . .V'16PW4. . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . ... . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . Rear . . . . . . . . . Depth . . . . . . . Height . . . *'16 Number of Stories �Celvzfi. 9. Size of lot: Front . . . . .6.15. . . . . ... . . Rear . . . . . . . . . Depth . . .( ,,Oj t 10. Date of Purchase . . . . . . . . . . . . . . . . . . . .... . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . ... . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . ... . Ire. . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . .I&I I?. . . . . . . . Address -AO-TAIJP ;Phone No. Gp Name of Architect .)Dgj'fl Address . . . . . . . Phone No. Name of Contractor.. Ck-A1. J?17 -AW- Address WP371141"Y70,Y. . .Phone No. 15. Is this property wit in 300 feet of a tidal wetland? *Yes. . . . . . . . *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 comer lot. S STATE OF NEW YORK, S.S COUNTY OF . . - - -,*r 0&AI TA VV6.0sworn, an t . . . . . . . . . . . . . . . . . . being duly sworn, deposes d says that he is the applicant — L (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . C.O/V (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 . . . . . . . . . . . . . . . . . . . . .day . . . . . . . . . . . . . . . . . . . . . 19 ,;t.h this A Notary Public, . .. . . . . . . . . . . . . . .. . . . County ROBERT -C017,JR. . . . . . . . . . . . . . . . . . . . . . . . . . . NOTARY P IC,State of fq Y, (Signature of applicant) .4725 89,Suffolk u term Expires ay 31,19 f � SUFFOLK CO. HEALTH DEPT. APPROVAL � � i H. S. NO.Lu Z 2 3 wELL o U; o Q l -_ 49:r,— �® �'� �t�© 1 m . t� OWS1�1 " w � ---�0 sir~ o - 1 :�`' o ( ON - � r RES• Z W ,, ,� ryi�a �\ N.39 V, I ti` STATEMENT OF INTENT N -I- 29 ZO E,, THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL �^` fo4� __, 25S7{ O CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. SEPTIC (S) i „� �; t -_' _ �% � Q. N APPLICANT 11)vE2200 TO t Gt; ;i: - �, ' � _ 7 SUFFOLK COUNTY DEPT. OF HEALTH -C PROP. slntc '"' II N'Cp S E R V I C E S — FOR APPROVAL FOR - ! ,� �J CONSTRUCTION Qj�j,I.,Y i (WELL LOfA. - 20 i- ___ --- _- _ � � . `'- e7 11i� < rJNK.NOWN� " - - — TEST Nb L E � DATE:' H. S. REF. N O.: 0 'i'1 APPROVED: S.36 46 000. '' -- \- ! 269.90 _ SUFFOLK CO. TAX MAP DESIGN TION: j LU ` / , , , It DIST. SECT. BLOCK PCL. U CPOOLS (Colo 141 i3 1 i � � \ + i' // OWNERS ADDRESS: N VICTO{Z!A �- 1 `1� qp+In —. I 2C� `� f MESC J 'HU NT;:� 1 P.o, 305i !fig ' RES . 12E5• `—T, MA.TT!T�,,)rV" -Y- O 0 AUX.Wet.-L DEED: L. - P. �, TEST HOLE STAMP `j O0 TELL r- �< / 'PAR V BRO tc t sur+sy is1a v+c n os a r:;ficul MAP OF PRO PE! �poo�s Loa of % 5AMPY LOAM S^Cion .oE of the N6va York 5t t ^r - WFJ L r 1 ' Cau, 4 11. 9:Fi�y9 W�not !� i / SCAC 3O -f Br20WN r' InkefJe S1•o �f£scow-J141 fro?b�cofl lderac9 AREA= 0.3 a ACi2 E �lELi_ LOAMY=.•AND to a W d U f `4 I I i I L..— V v _ _ to be a si+d EPa99 ---- ---- --— ---- - - - - - -- -._._.__ _ whoM7 stt�ll Ptln r-► r 2.5 Gunvr�ntc-E8 fndl t8 curvy L :I`•'�.O M U M E rNT only.o the{per-cn t®r�xtsem the- y tiaif to tt1e d 1s I.rn �.and hie be. s ' p filly t l.,��,y<,verrna np i an and pncy� !. T1 l.,cs� PALE: E3iZOWIJ t- rah �L. F 1 a lick In�` FINE TO �---- TOWN OFSOU �i TOL.t7 N.Y. ELEV/aTIONS � CAN-Tt?U25 2EFEf� TO MEAt�I SEA L.EVE�. ---_- _ COARSE SAND do AMENDED ALZ. 255i;� Is.q ;�`� .. Y. NJ GUA2ANTEEG TO THE OWNErc BUG J 29 1994 D NS SU[Z.V EYED )$ PALE BROWN .= 1' RODERIC VAN TUYL, P.C. FINE Tt7 � N�ts� •,:'ytv'I OF SFP — 1 1994v�s .__ __.... S.C. DEPT. ��, CQARSE SPup I S��8raric, HEALTH SERVICES � LICENSED LAND SURVEYORS I7 TOWN OF OUTHOLD BCDGSOUT GREENPORT NEW YORK � TELEDYNE POST N81329 SUFFOLK CO. HEALTH DEPT. APPROVAL '4 y: ' �� H. S. NO. : r cc gooL ci ,''.` •1. `. ✓ s 2' _ STATEMENT OF,INTENT , -1 .•` �C3y ` CO' THE WATER SUPPLY AND SEWAGE,DISPOSAL �o¢' -. SYSTEMS FOR THIS RESIDENCE WILL. CONFORM TO THE. STANDARDS OF THE P(2Dpn_r. SUFFOLK CO. DEPT. OF HEALTH SERVICES. t7vsP"S� .� �Il 2 .. _ {S) ;r ��� ,-;"�=� -y�iT�� 507.Eq. c� -APPLICANT �� �f/ . CONGA_ ' •. -�-•'_; ,:`, , :�. '..� _ r'ta�lErZa. : �•: SUFFOLK COUNTY DEPT. OF HEALTH. l;P1zoP sT G" w ! �'• S E-R V I C E S — FOR APPROVAL 'FOR C`fVE L':L-OCA. .. f '�'UNC.NQ�lF;I : RUCTION Y ,CONST ONLY JJ} } �TE.�•_f-1fi�LE ,20!O ' , �. DATE: H. S. REEF. NO. ` APPROVED: SUFFO.LK CO. TAX MAP DESIGNATION: . �'.. y ,;,._ DIST. SECT. BLOCK' PCL. 1000 'k �� ���r 1 OWNERS ADDRESS: ' `01t�%fESC�d1,N0 � Res DEED: L: P. TEST HOLE. STAMP �^. pAQk BI20 ,1�134Yf: y- � � r V r�_ r i n \\� ��y �talcG ES20W N Mn iI ;.�'-.x v. z�.� „ - ..n... t• f _ �E J__ h�,{ 6k__'`.a,��'�e�?�, s:4AMY��t�®� :r---.' . T'(� f I: � :�-.� lt} L,EVATJ0W's MlWTOU.Z'B i?`•�'FEf� T�..4`'14=P�i1 5��fi;LEVE;� .. :fINETO cOARS Sh;NR AM0t 105D A 25 Iga.•I;QCT ZO,V, 1 SE'A:L GUR2AI`1f�TQ Ti-tE t}r�( t S SUR' :YE'� s _. c�E_ .?� : .' PAt,EE?fZQwN• � � ,,'o., RODER..iGK VAN:TU`i'L.^P.C.:' FINETc?: LICENSED-LAND-SURV,EYQR�S ` G , REfE1NP0'RT NE1N•YORK• _ ,TELEDYNE TOST. N81329 - _ - - ,. _ '�� pQ a - W t {SUFFOLK t. W 1 �`7 0e # $Abe .0 ^ O ;5- �i Gr Imo---- ..-___ ._.-_- TOOL 4 _ 5,, �' �l 9•i' ,RY � S� � � ✓I� � C ! - lFLL Q l 77 r v uti 4 �� m RUT N r: Y w - r,ft r \ .n: HI OWSI,/1 C lt� O 1 f I p RES. r w +� \`,•�- 1J_39°29120~ sT v3 z� THE WATER' S1�STEMS F 110 CONFOR P2oP o. SUFFOLi� Q. t- - — _ _ _ i •/ /ice^ S Z1' .a o- i n U �_�� Sol „� SR i r p oo•o ; -;, EXvN Q. N ,.APP 0� \:�r� WE2 200 TO fl- �•140US[ SUFFOLK C __ S E R VI'CES': i (WELL LOCA. 20 1 _ i N y i f UNICNOWN) - - " " CONSTRUCT'IC m TE5T NO I E — - - _ O �9° ` �" -. ` H. S. REF: NOS 5.36 482.00w W. '�� ' CP APPROVED:' 269.90 w - ! �1 SUFFOLK Q DIST lJ -C POOLS ti p OWNERS ADDS VICTORIA S. -{ RE vc 4 RES Er0 mt�7 c N M N r Ct.J Zg8 OAR CA 00 DEED: L. I S r TEST HOLE , /'• is r.a;t�• rt• .L•t: .�• t ,,=5 �:ay;t•.•• � �.y�. .i. k Y PAW, U�-:h. � .. ...1 i.i 'I .✓1' '•E4. ,.l ) J• V t J R'I .a: L. •`:Mart•-,, n>,� "t'•, l r r»:- � ARIC.BRO :a.;P .e:���:. P �P I}'•//S�TY - •x. :'e:� ,T a^• ..r, i-,�.., �.. �`:L R f �ta' ..e-r,. , rru+ t 't�� •j.''. .r' r r" a �• ,f. 1', 4 r, •'If •r-• k.. l IS' fy+. t 1'. 1 .� I A.'• Y i•'' H` a'fi 1. �V G. Y r �L =•4. YI 7 J r.h` 4 `,� •: - o . r, E F� 2 1« �c�p1lMY,Sla�t� n. d- -•}• 9 S- , G -t- 1q N n d i i vC: .S• k• tfir `T'�l � E T. - 1.., wl .s, (.p 3 7- a3. 4 .lk:,y ✓y ri `fx M . .:: .-..w- "'1- _ ,�.+.�.. ...t.. , ?l. _.. .{s`_,._ .�°.-_"--�.:.�i^: r ..Ir,7W�'0k.'r.,n•ur.:L.. ..,,. .w.. "1. ,. . : ....':- .._._ '. SUFFOLK CO. HEALTH DEPT. APPROVAL ."� ; H. S. NO. R1O-94-0069 'I 0 .. i '- - - ---- ----i I C POOL 1 !_ Q ES STATEMENT OF INTENT t� W �` r y.' v s THE WATER SUPPLY AND SEWAGE DISPOSAL W - 29 - - ` SYSTEMS FOR THIS RESIDENCE WILL -dq•__ "" — ---_� 2 i CONFORM TO THE STANDARDS OF THE ,' �. .\ —e---------� 2.5 5.7 i o ��°• >' \ 'j wnc Y_ 434 s� _ -- Ito - -- - " Z - SUFFOLK C DEPT. OF H TH SERVICES. 1 , it - g5,�` 4 te- `�`J 2'►' t` �� (S) APPLICANT 0. �1 I SUFFOLK COUNTY DEPT, OF HEALTH SERVICES - FOR APPROVAL FOR j � --20 CONSTRUCTION ONLY --- x' t �t- -r ---�-------- � �-- � TNNK fr' . 1 �'r_r�r3 n Y•�� CT% NEST t}c.�. �e�w_� DATE: RIO OG6 H. S. REF. NO.: -g g i Y iea3t O \9° APPROVED: ` +S.`-S 269.E j SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. L N jA. _`�y �N OWNERS ADDRESS: i `""' ' �L,— ....x_ {�.'� I i-5 f r r +.. 4G { RE . - I Irk I 'yzAd�x wE'�L by /" DEED: L. P. !, TEST HOLE STAMP ��a vb ttw«n ofi ® p t°bn 72DB of 40 N@w York�M 1 C, G. \ �. 1 sari�' g Edix etbn law. FFOLK COUNTY DEPARTMENT CTF r ---^- -- -- --- Y- *- ®�� �A��� ! �ci^ ' I i ti 5X, Ir(_OAM Copies of this survey map got bearYp Fl1 - r�•V 1 C' " r y' I!embossed seal nes ot be canid"d Of Con3treic[ed�Ja E• F". : } _, : ! '\ s2 /�v i e►�.,.,,..,.1 l+.r ._Y. ,.t yr Y + e i ` ` M r �s�L_ _ - y + I to be a valid true coPY. 1 �,rYan iwAAi_A++ 1 C -c/y nryf {� / e - ; ` 1 a__ ._ - � AEI_! I run f1f" nYC; Guaranteesindicattorwhomthsad hereon � eY H.S.Ra3f.f�0 -- F I # ' €' i t�� ' �1; �t { I I e ere sury • a�•,v� , + ..—t+i',.. ..,,,,,, A^►, '.`✓' r�s�Prspared and on his behalf to the - title Company.governmental M LA01(t GK3 8 — ---— -- eragency C' bn� � �� � � tending institution listed ending and P#LE l3��WN tdtheassigneesofthelend'nginsU- i a ���9 a S 0 7od'+ P1 t'rtton.Guarantees are or subsequsd j by ` N;r`.' �J a #?a - i FINE (a tb addniogat institutwns«subsequens and t9 baa S+�`c f a}'. -- ...- ---- .__ __ C `t},aTION5 GONTOUZ REFEk TQ M F..AN -EA Lc JE�, -• -TOWN F Sdt.�Tl-lOLi.) N.Y. -- coARSE 5WD, Y ends. - -- Ij j C AMEr��EL Auk. 2.4 yyttt:((rr.2e- 70 Igo# I 4L A.COW,RE,OW — - -- -��nl. 3s r fq�5 � ! ��p.�GK►�, � tt _*"Of Water and YJast0wdw merage INNdi t o GUAI�ANTF- L:' � THE Q1n1�:��-x � G 4 wATEl2 Iti � * � 1IF 3lzv EY E L� 11 j f11�E&aZQWa�i I. r, I _ RODERICK V.AN TUYL, PAC- F;NF 'a i °F,I 'L0 is 6 I1 c '✓'w....,.. ' '� :. Ir 'r.A.DSE 5WI 1 s��LAND�J f C _ LICENSED LAND SURVEYORS t 17, ``"_ GREENPORT NEW YORK d: 1 _ SUFFOLK CO. HEALTH DEPT. APPROVAL ��7 N HIS NO. F210 g4-OQ69 Uj - �. c voo4_IAJ Z I m 7 r Ul ca Y z UJ r b V ; i f t O R ES, -� _ STATEMENT OF INTENT -� tt `' N ° + \\�,1 ---'t' I THE WATER SUPPLY AND SEWAGE DISPOSAL to 2� 39 29 20 E, \ _ --- �� SYSTEMS FOR THIS RESIDENCE WILL �. CONFORM TO THE STANDARDS OF THE fa° " �. wnt„t_ ty4 yF-- - - -�"` -.- 255.7E 2 G SUFFOLK �C�f� DEPT. OFXH 'TH SERVICES. 70' APPLICANT , • fir OVEQ 20C To �. � � 7� 5UFFOLK COUNTY DEPT. OF HEALTH 00 -- FOR APPROVAL FOR CONSTRUCTION ONLY `wet—L. LOCA� (� f►ROPMi� TANK r-J.•� U^ItLNOWN� NEST WOLF_ Wit_ i DATE: 210-94-OC69 tf; 15r ,^ �.` H. S. REF. NO APPROVED: S.36 48 06 W. � \ ��, ,, - 269.90- t SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. L N CPQOLS a ,, t ALL �� �° '` OWNERS ADDRESS: p V1CTOWA �:"J �'� NtE5CH1N0 ,� I.o, 54 J HU►JT R ES . EE5. ', . ( MACCC.lki:Y AUX.NMELL_ DEED: L. P TEST HOLE STAMP O i � o.• unauthorized alteration or a~ \ is a violation of �ff G� 0 C , \� section JOES ` of the New York Start• FFOLK C OUNTY DEPARTMENT t ��-.���� // ' '� \ I�plfz l� t Educes on Law FA MY VMU I�/F!� (� �Y{�r / {— �..�` ` \ �(L( Copies of this survey map not bearing Paz e„� MAP f I"\ 41 r t L t. - G rcrvl5 ♦ i the land survey l:�NaY�I��!_L� ots inked seal or � �L. r � embossed seal shall not be considered gpproti►a1 of COnSUlICt9d Wcr� SUE,-V E`{E FrJ{2 ,r'��-f- /y! '1AL E ` 30 e l B�WN to be a valid true copy. p, 7 1995 ' t o C�L �'''`}�11 _` `` { ,� {t�- i�:.�._.... / �' o• ,wc� `� �aAMY� o p•Guarantees indicated hereon shall run 1 K8.P / l rj F u I I to the Person for whom the survey r Q,�, o Jq `M G t•a T is prepared,and on his behalf to the � oeso118nd wrawr g _._._.-_`_-._..- _...._ __.._.. -.._ _..�_ ._.._....�_._.____,.. 1'IV LI t•-l C.►Y go agency and title company 9 have tw� a AT' _ __ ending institution listed hereon and hkeden{� i PJ!l E BfIUvJN to the assignees of the lennot transferable far �}{��" j ¢Tf„ {� FIN NE fXJ lotion.Guarantees are not transferable and lot"to to$89s ay. - E L E VATI O W5 '� CnN�U T5 2EFE R TO M Et'�N SEA, LEVEL. to additional instdutions or subsequent TOWN OF SOUT"OLD � N.Y. ctrA�stsESN.tD yes. AMENDED AWS-2 I4,QGT ZQ.1921 A.Costa.P.E.,chief 3�1!215- � �rK V, Ofhoe of water and WastewlaW 1S.4 C-0 GUA12AidTl=Ef� T 'NE a WATER I * ' AS: RODERICK VAN TUYL• P.0 CS2 $� �. �:.. ♦. "! ! �F r3AN `rF0 LAND�!1 1 l LICENSED LAND SURVEYORS GREENPORT NEW YORK urwi~w 'cm ANNtttNNttqkf.~MNe * *Avg COOT111% 7. rP r~wrlrTWl to most MI riiNtN tlNAgtlt at - AYfilNttiNi '1PFDNNIi lNNIN.Nt ANNYAM NMNNe Car t tees vicar. p" ;s r - - .CbgreNCitglN same 10 NNM, . . . n - EII bll IbN tANNSN t. ALL Mll6. Noll# NNANN NDIIfiMIN # N';.S h WNNtCTftlN LArN/f NtY, by AAfa INNC. tloDi f0A viy TIME womi i T'ff woo KMfi Nwfa~~NdD~~DODe ~4;r' ommom a i TNt c ~iTN AFL Nti~ t~ 0171 no %UILr-SM. 6DNtPY IN ~t "btAY _ .SAbAN' 11 AM LIIIA~. iYtttptlit too. x 1 E - k., ~.:tAltiYla ,ifMlf U. AY rN 1wrtiiiAtAn.r Nbit ~Nefi ss. oDppstt!•NMRSIiF xtltN, geA t i. toop ~ To K wDLICY~eN: it* Most 1 ROATING °Z! t' - rNtN ANN At YAttANtlt 1 l IN. rbbvm mmD r4t1 NATMtaxr Yr~ pa/bIONT 191,,, Tom p~ } + i ; N . Lomas 10 SM tt lwsutmo E lt. E NTND AIt SM St,tlLATE d L s' : ' JI xNCLCDxi iM LINLTM rtl 14. NYpN,gCN boo" so Lbkf a" To N' / s' on Ntt C? OR k .I.TYNN WINN CbDE. Ip TDtIDeX To "to NT. rA NMN ' _ tRg ` ° _ 't t A* OWN 6'LAt 11, 1L. phorsPt was fAmTCAN Af PIN M1 a At PER DO NOT PROCEED .3 fl t xNANtN. ipNN- IM 'YLtN!'COIW. fU LWI. Lt t ~ rN ~ UNTIL 2nd SURVEY OF fi7~ fl - No" "A" M au. tW it. fACTxIW (il l•d~ OYtA * AtM, _ To OR Of SANCANLN NSNNCM. ANb DbCN';wl:NCA nNLEN: I OVta ANY FOUNDATION LOCATION OTNNAYIItN Ndt,b. ,;&,A:= onto's w,"Ke~rtl.ipp HAS BEEN APPROVED f - Is ew rNN NbNK 1181110 10610 . iNt YANt'd`'tft file ~~y.y~~ rt tit~yNt 17AliNtN, is. y xY. ALL /MYWA/ V Elk "NDNN must I The Cwpraltir warrants to the Architect, that to 7M 4ttdtA must 1AVt awptowand It111 in pww"w The Palliating W, 11"atwdtian ntapelff 0 bblid this pwlsoa etthdNt OCCUPANCY OR USE IS , UNLAWFUL N copper tubing Is used j~ It ~9y NNOLNk 'LAWN NY An imum'E RStl16t skis. Ca *N.siffs xE f~W ! - ° i 6oft"s em". 10 . i ~AYODO Nufr fE "tor welbo eob~ s*1titaatu'al services, inw.•see the taatoe that Via Veloc ied the Cn ey auto his Own al"twpr, the eate,"tat at stead IttY00 . p must pE has t"trlatte Arbhf~"t'. Neese at peiCaiptiml ao View. to tillwda my ANY at 1 DNS +dWMN AUTO ANY twA the datcotterra "twntY and at the aw"O at of me'Conttautw dl' Oriee. the Architect has Vice[t.tw a 1tNtei e;l ?wlwalwel ecertwaC NAT AN tl NtWNPLOYNNNNAi4 . 19. CI am fE 411N1' MNInI Usk so m CA MOT Zt NN MINA IN fags at R TIICLtot DOO ifkANfLt ' IC`Y Opt peat Tjyljgh t;~n~ 3awt+taynl bla[dthi eCwpteitatl•tpfofor rDlll a stall t in'." ~ITm40UT for water distributing syatorm piping shall be PAR" iNM1lNtrtNO [kgtVNDq." PAATI tlf YNND(Ytf NN TO fACY1l wt Apt TOE"OrtDt .ttaatiw Will epvice that the Can h CERTIFICATE 6140" K or L on x Ell + - N. ALL LNiMYiI1IN"fAN'fttfttlt, Yo"tNNf-il' NM tttktiAC! t. the p0 Epdht Open bald oaolitiws enawntor" and aea create, C" e atplual tdat"11, at she •otceull 1bda"Tttr. Plans. Ears posts flat a" dinvasion and aaatlity that arc t,c. l enly 11Y 'bY the ituild.t red !late'. Ia the trees idditiwsG wt•it w IVTaMwd lu ~F OCCUP,4NCY 02 5fi, a - otltltLNrttiOR mm. wwrodtw W CM $0. !awdlatal or Owes fit aataUwtlw at a" wpwt or tea net project. At ewall 4M =A" T04 tsh $100 0( .•it..r try thrift, the Arghitaat. failure to alvW h 00014 Action 'hall - -".,_'i°_ r _ _ _ a. ALL nblNlfr'r'. dE m ow or, n bTI~iAANE~ir*: o1 W1u ALL P DN lo" No t~ , ; ' tlMrMNevaur A taTALLANtb?, RZOONA "Ati V-V Maps ftxadl , N q"1"d NO "•^hiteet at NapanaMHlr• (Oe so, , ry A"ye tlylsXlO "'~-S~•~w r ( 3 t. ALL CDiMIN9i, itlL A NiN.-.NNtkYii ILO" NN ALL Aw" mm ,Toad h{ mom 31011". ' PLUMBING 7'Q ALL PLUMBING As NL sm. _ . V* AALA O roN GYV 11.~ ~+4 - f-' NR Yi CAYACtTY Mt ys.t"d" "1 t.., . CSPAttrY "t"i --~.-~-a-- WATER LINES NEEp n stock. angew A mmior ,fbNrrU iIN DN NtlTM kANt,k. A P OV D AS NINE TESTING BEFORE COVERING - DA B.P. a - FEE. BY. ~ NOTIFY BUILDING DER eT PLUMRERCERT/F/CAT/ON WAM WA, OWN* sa ft4 won 'm ~ all 795-1602 9 AM TO 4 FOR THE ONLEAD rZ! eNp/aM kT, ne' FOLLOWING INSPECTIONS: CONTENT REFORB 1. FOUNDATION - TWOREGUIRED CERT/F/CATEOFOCCUPAN E _ WMEOV FOR POURED CONCRETE ai M wA4, d~"Er 2 ROUGH . FRAMING & PLUMBING SOLDER USED /N WATER .w .w .w a INSULATION SUPPLYSYSTEM a FINAJ- c FOR u. MUST EXCEED CA NNOT .000" Lot + a-1 BF COMPLETE r, 0 o. 2110 ALL CONSTRUCTION FOR CTION SHALL MEET of 1/o LEAD. DMn1 as w 0 THE REQUIREMENTS OF THE N.Y. I .w STATE CONSTRUCTION & ENERGY orwrnwnul •c CODES. NOT RESPONSIBLE FOR salt IY DESIGN OR CONSTRUCTION ERRORS UNDERWRITERS CERTI FICATE" REQUIREDt rMt 1 she tested an 'Mut CAM, W awil~~~liM~•ta[ 6 To* sh Vice ~a~fyyl1yYe~aC'G~aNtyta'M„ a.s'wtisk'dt~ (.rte Mi w',t1t1wj hit t~, M eiWtyy hit K ipwNpi100M.~ M' / O aelrMO Ail M D s.. b ww atnn 1. a N. U an Ma p11,. 1. Mn' INtep. 'a tat aYN v Hw pbY Nwl[ kt tM , rwwlee M fw~pt~~apy r - I L p ~C'j9iC'7RGVI~L'Yl~171J~"""" iN,rrtMNlrwM~• I 9~ ,..lo , A, OWA U*MA4 W: at Notlaft. M"W S4 ~F . t9 r IR rl~ _ x~..y uMt~i ' d 1 I~u it P I %an y1 tNtll dtir,nW NNhylbpwgl 1A14AMN a - rl-. ll 426 ZRACC7 C'A then ` bWIg1XNINiIU~MF~7 M 4!): 1 a wrrew~ ~ ' VOL •rrraw w tray 0...,. i , r zr- w 74 I 3 aaroq.r.q ~ , t L=W&4 - hMy , c )f { '~'''^y~~• Iy~ ._-n.....~~n {V~~ r..` ~(afAC. '~-fp J"jWU_ •`j~~ { YY::YY~~ Y. ~ -7 All y Nom: ITE ~ t D SFP 1-121994 L c RC r r IL 1rOs- 14 i -WARNIN07; rr 1$ A VIOI A"1,6N of THE aw FDR AI AW FOR ANY OT- i~ERSCId l.Ixll'.:?S ACTING IINL'! ^ Tb UNDEr, THE 1?tT,lM~ '}d w• DIRECTION C" 1JUENSED ARCHITECT 7 saw ROHITECT TO DOCUMENT IN ~wriw •rnMe r: ANY RA NY ITEM ON THIS DOCUMENT 1 I 3 ~l Lsz- ,A - x f 1 I 4 - L-E-- r; - ~j V }f_ r' 'N' TYPICAL ROOF Roof shingles-.v- / I felt or T ywA V co exterior plywood raf -see plans Ea. aiseo. to haTa teas _ Cy-dU~aea ap' i botCU4 eaCl <ao! <aft a in oath. cig, ~ sraas-A- insulation. 7ci aeilieg 31be- see plane ~/"g7tpAna 1aiF41Flt1 1 hedrd ~ I :xkriyYCAG"'$Y :.1"s6^ L>sci' bpaad ~ 'Vinyl at wood soffit with ri r_ soffit wonte as required E i1 I_ ayarhbng as indicated a r y/~~ Lu aiding 'tavior 'it I - "gyp '1IL board - as 16`0tiNing as ^ Ion SYRICAI. C019pi4C@I04 U 2x6 cca ailll. XY ,I A will Dial h'Ir l~ \ 1uDinyD'tagalts"shield dlr. anchor baits - - 2YRICA~i P9LNtitiiPICN J- 10r val aUpC hayed to a wnccatD foOtip~. d" GGnCKEta pleb ing 3" disase~aiP calumna 4.115" on a 20 25.16 poured cone. footing r ~ ~a11' r 11-_ ! ~ r .x jl= - P;ng I PETERS T, PCO4A5 ydrr , AwGiNECT n(Ix I IiI .SF~IIRIBG np iP:'^-+^p.,10':4 I