Loading...
HomeMy WebLinkAbout21551-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFI AIM-UP OCCUPANCY No: Z-27758 Date: 06/18/01 I THIS CERTIFIES that the building NEW DWELLING Location of Property: 3204 PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 128 Block 6 Lot 9.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 21551-Z dated JULY 22, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to LUDIVOICA ROMANELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-88 01/31/95 ELECTRICAL CERTIFICATE NO. N 323286 08/10/94 PLUMBERS CERTIFICATION DATED 07/28/94 VAN ETTEN PLUMBING & HEAT Authorized Si ature Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO Z a SOUTHOLD, N.Y. os- J d BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) cc33 Date 19P N2 21551 Z [~~f lez~ gar 3 Permission Is hereby granted to; .1....'j , ` E 1.......a~ 6-4%~ ,..WV { to ..~llsa~..,,.."., ...?L?r . 1,2 d E l i f at premises located at...,,ytp.S. e.'......... . Gt....~............s C h.. i j County Tax Map No. 1000 Section ....../...t20'0 Block .............6......... Lot No. [ pursuant to application dated 19C/~.......... and approved by the 70,3 Building Inspector. Fee $.':...r" 't S t i uildl g Inspector Rev. 6/30/80 ( FORM NO, a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N! 20341 Z Date . sPrr .....L. 19.11. Permission, is hereby granted to: ~4.YS9 S!(..~ ~t"U Air at premises located at 4 . County Tax Mop No. 1000 Section Block .A......... Lot No..... pursuant to application dated .~.~$Sf CI4~. g 19.91.., and approved by the Building Inspector. Fee $J6..!a4; :A6.. au,/ U{ Building Inspector Rev. 6130140 FORM NO. 4 TOWN OF SOUTHOLD l( I O-"'a~ I(~4 BUILDING DEPARTMENT 1 11 Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23704 Date JUNE 14, 1995 THIS CERTIFIES that the building NEW DWELLING 3A C)~ Location of Property '3i4Q GREAT PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet /as 9. ;L, County Tax Map No. 1000 Section -194 Block 6 Lot- 1-1-1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 1993 pursuant to which Building Permit No. 21551-Z dated JULY 22, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to LODA ROMANELLI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-92-30-88-JAN. 31, 1995 UNDERWRITERS CERTIFICATE NO. N-323286 - AUGUST 10, 1994 PLUMBERS CERTIFICATION DATED JULY 28, 1994 - VAN ETTEN PLUMBING & HEAT. Building Inspector Rev. 1/81 1 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 fi APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval.from Health Dept. of water supply,and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar building; 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 - :2510 ( 4~.Updated Certificate of Occupancy - $50.00 4 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction........... OldlllOr Pre-exi/s'ttiin Building n ? Location of Property 75.~~ Onf C _ /~j House No. ...Street Hamlet Onwer or.Owaers of Property ! County Tax Map No 1000, Section....~~A Block ..,....~......Lot...... Subdivision.......*..' ...........................Filed Map............ Lot..................... Permit No ................Date Of Permit Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate. FeM13 ubmiEted • $ . 5.~ . P FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-23704 Date JUNE 14, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 3140 GREAT PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 6 Lot. 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 1993 pursuant to which Building Permit No. 21551-Z dated JULY 22, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to LODA ROMANELLI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-80-88-JAN. 31, 1995 UNDERWRITERS CERTIFICATE NO. N-323286 - AUGUST 10, 1994 PLUMBERS CERTIFICATION DATED JULY 28, 1994 - VAN ETTEN PLUMBING & HEAT. J Building Inspector Rev. 1/81 • Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HNLL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP. ink and submitted to the building inspector with the f.:llocaind: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. ApproVcil of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1' lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer. responsible for the building. 6. Submit Piannin; Board Approval of completed site plan requirements. For exiscina buildings (prior to April 9, 1957) non-conforming uses, or buildings and , ^ . pre-esistin lana uses: 1. Accurate surae,: or property showing all property lines, streets, building and unusual natural or topographic Features. 2. A properly coep.ieted 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. ' Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling,. 525.00, Alterations to dwelling ;25.00, Swimming pool $25.00, Accessory building 525.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate o: 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 .........06../c'yrc...................... +ew Construction.... Old Or Pr existing Building ...............LLlp~~,, vocation of Propert5....... 3NAD......: ..8 C....... P!"~'• • House No. Street Hamlet )nc:er or Owners of Property .....V:..`... . 4 'ounty Tax Map No 1000, Section .....I..4?.... Block. . ............Lot.. ~•.S!............... Subdivision ....................................Fi.led map............ Lot...................... 7ermit :bo...Z S( Z'. .Date Of Permit..... Applicant- a4 -1~ y~,...... :lealth Dept. Approval ..........................Underwriters approval......,.................. Planning Board Approval -'.equest for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ c 4101 Z~3~0 `f Syr :,LPLic . . . . . . . . . . Co INSPECTORS - „d/~.zrc Q~ IF01 o L't'^~x SCOTT L. HARRIS, Supervisor Fisher Thomas Town Hall Building Inspector P.P. Box 1179, 53095 Main Road Gary Fish Southold, New York 11971 Building Inspector = r Fax (516) 765-1823 Telephone (516) 7654800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 y :TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. 9,1 rr5'-1 Z Owner: (please print) Plumber: 14j f& .,C77Le Il (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this c, o~ day of p~ 19 Notary Public, unty y Public JOYCE M. WIIKINS Notary Public, State of New York No. 4952246, Suffolk Couv Tenn Expires June 12,19- h~o~S~fFO(,rr~oGy o ~ Town Hall, 53095 Main Road y i Fax (516) 765-1823 P. O. Box 1179 • .F Telephone (516) 765-1802 Southold, New York 11971 y~ol ~a0! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 16, 1995 Windsway Building Corp. 1020 Glen Road Southold, NY 11971 Re: Loda Romanelli - BP#21551-Z Prem: Gt. Peconic Bay Boulevard, Laurel O 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 xx No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21551-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ._UN ~IbATE E,VT° c ~ m• aI FOUNDATION (1st) yi FOUNDATION (2nd~ 2. o ROUGH FRAME & a r PLUMBING °y ~m~ INSULATION PER N. Y. STATE ENERGY CODE 4, m y FINAL OVI/c ADDITIONAL COMMENTS: x _ y H m bN • r l`y~ ' T y V' 'VM M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ INAL 4 0/4e a I REMARKS: i i t 4 1 1{f~ 1 DATE INSPECTO _ 3-. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH w al [ ) FOUNDATION 2ND [ ] INSU TION [ ) FRAMING ) NAL RKMARKS: D?`' E y a Ile f f f DATE 7 //f/WINSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: _ a I t F f i f I t w INSPECTOR DATE all s i x 1l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: 4flh~0 LL,~ M2 axi E DATE O INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] F NDAT'ON 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: i r i t DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: A!L R E E C .1 Ild, DATE 3 I`~3 INSPECTOR E THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date AUGUST 10,1994 Application pNo.onfile 82551.093/93 N 323286 THIS CERTIFIES THAT 4% - U 9. 1 * CI only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of LODA ROMANELLI, 3140 PECONIC BAY BLVD., LAUREL, N.Y. inthefollowinglocation; IE Basement ® Ist Fl. N 2nd Fl. GAR/OUT Section Block Lot was examined on AUGUST 08,1994 andfound to be in compliance with the National Electrical Code. FIXTURE FCEPTACtES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W. AMT. K.W AMT. K.W AMi. H P 82 83 73 82 1 4.8 1 6.3 1 1.4 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. p. AMT. NO A. W. G. AMT. AMP AMT. AMPS. TRANS. AMT H P. SYSTEMS NO. OF FEET WAi. WATTS 1 F 7 - 1 SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC COND. A. W. G. . W. G. A. W G. AMT. mp. TYPE EOUIP. 1 R' 2W 1 0 3W 39 3W 3,e AW PER .9 OF CC. COND. NO. OF M-LEG OAF MFWG NO. OF NEUTRALS OF NEUTRAL 2 150 CB 1 X 2 1/0 2 1/0 OTHER APPARATUS: L i JACUZZI-1 MOTORSt4-3.5 H.P.,4-F H.P.,5-F H.P. PANELBOARDSt4-1 CIR. 60 G.F.C.It-13 t PAUL R. BURNS LIC.#282-E k P.O.BOX 1061 SOUTHOLD, NY, 11971-0932 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 FbUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN.ANY MANNER. BOARD OF HEALTH FORM NO. 1 3 SETS 0 L ANS 1 TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:oT I F'f ; ~1 r CALL ?.6~1: _St~V. . Exantin<c-d~.h~?~S:h`!•+.4•.~,q..., 199.1. MAIL TO: • Approved -L2SP74"4I. ).71 19 9). Permit No, QQ Disapproved a/c _ , " •;:;.,'1-~~,~lfl is I..~I • • •~s~`cu.. 76{ L! (Building Inspector) jR d DEC F81991 1 APPLICATION FOR BUILDING PERMIT ( i.9 ~'YL-- Date December ,1 8.... 19 .91 Tt7°,iot3 G;5" SKd~J fh:t5@, f~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 •ets 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 streetG tr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 -hall 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 hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Elie 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 (Signature of applicant, or name, if a corporation) „PO,BOx,1412, Southold, New York 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................AY~hitB~.k/.Agent . \ame of owner of premises I+oda Romanelli (as on the tax roll or latest deed) :C applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ....n/a; , , • , . . Plumber's License No. P/a Electrician's License No. . P/A Other Trade's License No. n/A Location of land on which proposed work will be done. . , , , , .Souths ide p Peconic Ba Bou . l . evard Y. Laurel . . . . . . . . . . . . (louse Number Street Hamlet County Tax Map No. 1000 Section ..1.28 Block ,06 090 , Lot........ Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....I t b,:Aic,t ~ id t••p.-.1 . . . . . . . . . . . . UT. Single Family Residence attx.t:t :eta . b. Intended use and occupancy . Yt .,+<,..e tnt.. tA,tet... ...,4k4' ;i`..' 7:s~sahl.d7R!*t M:i3P.ItYtl'NCiw't . 3. Nature of work (check which applicable): New Budding ....X..... Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ..t:~.O 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 2 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 Gar.age..tQ. pe, removed . Dimensions of same structure with alterations or additions: Front Rear Depth Height...................... Number of Stories...................... S. Dimensions of entire new construction: Front 7.0 Rear 7,0 Depth ...9 Height 3 P......... Number of Stories . - . 7' 139 5' ................246-3s6............. 9. Size of lot: Front........ 197........... Rear....................... Depth 10 Date of Purchase . . . . . . . . . . . . . . . . . Name of Former Owner . !I. Zone or use district in which premises are situated .R-40 I y. Does proposed construction violate any zoning law, ordinance or regulation: , no , , , . , . la. Will lot be regraded rao............ 1 .i~ller~es~~~l be removed from premises: Yes No 14. Name of Owner of premises LQda.ROmanelli, A~dress F.axrpingdale,NY ..phone No...2A9..7.05$.... Name of Architect Garrett.A..Strarig .,.AddressP.0,1},112,.SOUtholAioneNo „765„5455,,., Name of Contractor Address Phone No............... . 1.`.:. Is this property within 300 feet of a tidal wetland? *Yes........ No.... X.... *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. See site Plan Attached TATE OF NEW YORK, S.S OUNfY OF . ,Suffolk, _ , , , . . QIXABUTT. A... STRANG, , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,ove named. is the ................Agent...................................................... (Contractor, agent, corporate officer, etc.) 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 'rk will be performed in the manner set forth in the application tiled therewith. orn to before me this 1.$th...........dayof...December........., 19. 91 tary Public, Suf folk . ` County _ ~'rOTARY PU&.tG.'Stara of New Ydk r _ t No . 473009,5 in Suffolk (Signature of applicant) CaferNaden fitrofroe~, i9~Y nnHIU AE 4x+,I1VN OR NMIIIOf O~ / \ O THIS S SURVEY IBA NFW Of \ IECTIO 7209 UI OIE NtN' YORK Y00.K STATE :DUCAT1 ON LAW ti~ 00- DV COPIES OF THIS SURVEY MAP NOT BIARIPIC Q• THE LAND aWVl'0P'S INKED SEAL OR N \ WBOSSED StAI SHALL Not BE CV- ekRH t0 BE A VALID TRUE COPT iUAKAHIHS INOCATW HLAICN SHALT RUP O - DNLY TU EHE Ri Y50N FOR WHOM THE SUBVT ^ 5 PRE,ARED, AND ON HIS MHAIP TO THE P 'ITLE COIAPA10, GGYERNMENIAL AGENCY ANI / ENDING INSEIIUI'ICM LISILD HLREON, AND V ~r O THE ASSN LEES OF THE LENDING INSTI• N bTION. GUARANTEES ARE NOT TRANSHRAUt ADDI110NAE INSTITUTIONS OR SUBSEOLFM /L ;m 1 .L O N a\$. / O 0~~ O • ~ O \m 0' v O 0 O O ^ tP r3 4v ) n Romo~el\~ Q / ~~aQ~"p o G, N V NOTES; 7 I.,¦ - MONUMENT FOUND A =STAKE FOUND SWFFOIX C6iY NTY DEPARTMW OF WCALTH SERVICES n \ SINGLE FAMILY DWELLING QNL ppO-sae ~o~26 App Wi d N Oal8taclS \ pp' E • A.~ N rum JAN 31 1995 K& Pet Na 9? Sc~ 8 N ~z°2° ~N The .qwags dVmW and water cmd"d by I ft, neat or mm 5;. st 0619 ~ilIl µLVE'NPV SZ'S, B 6eOv, bp O - 1 pSpN • ^ m A. ODMV, M. Cam( .0 0 OrYk CURB Z k VIA qz~ SP c^ z s0D 0 '~F 2 't"s s o a vZVp om Ie.° . m X fi N 2 NOOse HEALTH DEPARTMENT-DATA FOR APPROb4C TO CONSTRUCT o paKTBE Zq,ti'~ M NEAREST RAW GAIN-1111 I BE SOURCE OF WATER PRIVATE ?•PVfLIC / 14FF CO. T1fI YU DJtT 1000 f[ C TTOM kDCR y_ LOT 9.2 \ /THERE ARE NO DW"LOWS WITHIN 10Q FEET OF THIS PROPERTY n" LT' ,ryP N OTHER THAN THOSE !MOWN HEREON 1TA 0E0µ / TICE WATER SVPPLY`APC SEIRNE DISPOSAL SYSTEM MR THIS RESIDEICIS N 0000 96J WILL COPFOA9 TO THE STARDAROS OF THE SUFFOLK COUNTY DEPARTMENT ".5 OF WEALTH SERVICES. W\ APPLICANT \ 5eE ADORE is 01 TEL N0- ~80~ 5 { \ ps eo , 3 SURVEY FOR LODAVICA ROMANELLI AT LAUREL TOWN OF SOUTHOLD°ti SUFFOLK COUNTY, N.Y P N 3 SpLKE ^,I E9 - O i.0; ~P ~'0 w, yo,09 PC tl My~~ G 1M v III 111,0 199A CO' ~fi. rT S.C. DEPT. OF 1 a o 'O~TM155yIRYEY RS A WOIASWN•'Ai °O iECRI) 177DS OR FHt 14W YORK #ASS D, ti iDNCRNON IMN., = 10 v GORIy C/ TRNS $yRYEY qAP I SFIRINO MS E~'iEe/'1$'14 SEAT n 01 040 9N4 AU " IA WA !7 N fNJn,~IDFRft O A YAatP~ OOP7 + ^411Ca "SCAM '44mm iHAtt RUN •T-'~' Te) "15 ESft SW WHOM 1111 itNY~ 1 "Oft .*m am IRS \I A7 tf ro IN, I~ um LAISw4RPI. 6W17R+MNnkx wtiRK r ,IN. - I~\I - '140 G'RR4TKfyryOy Li;OTO N,'YiON A'+f ) \f RD• Hi4 A4SlJW5.EM•TNR I.,..4WG ~N T \ '~\'~Ax:6cMlAfMIAZ`Y~11i. Mp•..Tw`wliy.nwNl ` \ 'O AOuAl e•il .Iryw++v(.y Cee iwYH4 Y~ J~ A10111I :10 NM01 o M61 o 19nd ~m a Q Fkomone zz ~odoN\oo 0 \ L. Ie.o iP 7 NOTES 1. • z MONUMENT FOUND • =STAKE FOUND 2. ELEVATIONS ARE REFERENCED TO N.G.V 0 6.9A (MSL 1929). N \000 ~p226 O'- 00 05 55'1 2' N 92 IN.z ~ O \ m p2 I ~ I m O ` n 9 fi \ f 1T2 \p ~ ~B.J IZ6 m 1 cn f m \ p Z \ 2e e T n m y y O \60~ 111 N. ,61 U- ?O OI^ PpJNp PT \pN s5 W, zT3 H£ALTYI DEPORTMENT-DATA FOR APPROIAL TO CONSTRUCT L9 J N R MEANEST WATER RAIN_1111 ! M SOURCE OF WATER MATE pR *L~c 0 SVF CO TALK NAP ORST 1000 SECTION l?R RLOCK 6 L01 9.2 ° y \J~ 0'0 NTHEM ARE NO OVELLMMS WITHIN 109 FEET OF INS PAOPERTT 0.E ' OTHER THAN THOSE SHOWN HEREON IZn p~ } R THE WATER SVIO LT ADC SE`rAE 01 /RCd AL SYSTEM FOR THIS AO DEICE ` WILL CONFORM TO THE STANDAAOS Of THE SJFTOLR COWTT DEPARTMENT OF RIEALTH SERVICES APPLICMT, N 5 E h\ \ A N' ROAR f3 N ~ p Vm ~ TEL SP \ IT. S fbJq 3 aC eo SURVEY FOR LODAVICA ROMANELLI 8 mm 4D. ti4~ x`\ °y AT LAUREL 65 TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y p. N C~ 3g° SP\KE /\P o• ,4 VV1 N w\0 ~\m 0 M~ 0 458 jib Q ~ AUG. 9,1993 Mrn'M^-~' o=ff' JUL. 16 993 JUN 18,1990 YOUNG 8+Y UN rv r' 3ry DATE : MAY 14, 1990 400 OSTRANDER AVENUE, RIVERHEAD, N.Y. 20 SCALE: I"- 40' ALDEN W. YOUNG, N.Y.S. PE 8k L S. LIC.NO. 12845 NO. 90 -0312 HOWARD W. YOUNG, N.YS. L-S. LIC. NO. 45893 A:Q Z.B. •AEAUINCINUID ALTERATION OR A041M, `{V. O '0 THIS SURVEY IS A VIOLATION OF SECTION 7209 Of THE NEW YORK STATI 06 -§r OOp. EDUCATIOM N LAW, pi O :OPIES Of THIS SURVEY MAP NOT BEARIN, NC 'HE LAND SURVEYOR'S INKED SEAL OR \ MBOSSED SEAL SHALL N07 BE CONSIDEREI ZryCE v 1 O BE A VALID TRUE COPY OG.P. 3UARANTEES INDICATED HEREON SHALL RUN O ONLY TO THE PERSON FOR WHOM THE SURVI 15 PREPARED, AND ON HIS BEHALF TO THE EIlLE COMPANY, GOVERNMENTAL AGENCY AM LENDING INSTITUTION LISTED HEREON, AND ' LO THE ASSIGNEES OF THE LENDING INSTI• EUTION. GUARANTEES ARE NOT TRANSFERASLF JV EO ADDITIONAL INSTITUTIONS OR SURSPOUh. \ OWNERS, O 1 Q le 01 0 ,L N \g e O pI O 0 \m w \ O Val T~ 9000 ~ ~odov\~~ s _ o 10.4 N NOTES+ \ °'s "7~ 1. 8- MONUMENT \ 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. i01 `O~ 6-9•~ o (MSL 1929). N \ YO00'\26' 126 m 6Y. aE IS g TEST HOLE y gt ;K LL ' -NOTE & 0.0 DARK 9ANDYBLOAM x ggp00brop 6 \---~.y,P I b, py~ os' CE \C COVFS\s' m a" PTEK' 9ROWx LOAMY tj PFp F SOB U, .P. It 9AxD: O GL~ Q- IS ~tEto? a.o' ,Y+ 1TZ ID, \ p2~ 3 e9 WItNFRAN'E a eD IB.e o O 17IS PALE BROWN COARSE SANG O g 10 6 B £ aA £ EO 9 T fZ PALE BROWN IF FINE TO L m D MEDIUMSAND y YD \,OOP cA OR. WATER - 15.9' Q E5 90gED tI0~5E PFiN~to wx 6 0 PRO OFF~ 2~.0. ~0~ Ia.O MEO W M SAND F INI 17.0, r HEALTH DEPARTMENT-DATA FOR APPROMAL TO CONSTRUCT ~v III WE ST •fT[R fiIIIN_YI I RSOW C[q'MTER MtiTE ?URIC. N RAFF CO TAX "IF &ST 1QGA SE C TH)M 129 hDCN 6 LOT 9.2 o N~ RTHICK AM MD C14ELLNSSS WITHIN 10Q FEET Of TIES PROPERTY 4 Y.3 0 OTHER TRAM TNOSE`.SNOWIN HEREON ¦ THE WATER fUP}LK A/C S[WMW[ DISPOSAL fYSTLII FOR TYIif RD,O[NCE N N QO WILL CONFORRE TO THE STANDARDS OF THE SU?FCLR COUNTY DEPARTMENT w61 ~ ~0 - pIMCALTN 9VI`VICE6 N 'p - Q e' RRPUCLLT, to. LA. m ADOREiS PROP ~~+#\m~ - TEL \\20 Q /QT eb. 3s Op. IT.s z SURVEY FOR 16.1 Lit \Nj- O- \ ,EjivP\e` 14, Al' LODAVICA ROMANELLI Ql~, D ~,0 y'v AT LAUREL \ 2}~p 3000 16.5 TOWN OF SOUTHOLD 15.6 ;;v SUFFOLK COUNTY, N.Y A vl N 300 Py SpLV,E :J Q; Spry 4~ ti\m O SS<r OF NFk, r ~ O m ro 3~' O~Pµo w• ro 9~ a A\g M~'h~ G w (o * co Q~V *0, 4869'6 I off' FF 0 v~r o F JU N. 18,199 YOUNG 9Y UN 30Yv DATE : MAY 14, 1990 400 OSTRANDER AVENUE, RIVERHEAD, N.Y. So SCALE; 1"=40~ ALDEN W. YOUNG, N.Y.S. PE. 9 L.S. LIC.NO.12845 m¢Q NO. 90 -0312 HOWARD W. YOUNG, N.Y.S. L.S. LIC. NO. 45,893 ~v 2. B. ' SUFFOLK COUNTY HEAL DE T N v G T APPROVAL H.S. N0. 4 STATEMENT OF INTENT •V THE WATER SUPPLY AND SEWAGE DIS POSAL SYSTEMS FOR THIS RESIDENCE SWILL CONFORM TO THE STANDARDS OF ,J r THE SUFFOLK CO. HEALTH SERVICES r V,.. / APPLICANT r I r SUFFOLK CO. DEPT.. OF HEALTH a SERVICES - FOR APPROVAL OF CON- ~ Y STRUCT yN 0N4Y DATE: S~tP 271990 H.S. REF k: qO- SO 'p ' r.~ APPROVED: °p I t ° ''Yry.,r SUFFOLK CO. TAX ! ESIGNATION • .f' IDISTi SEC: BLOCK: ,LOT(S): _ OWNE&R S ADDRE K ~ A r~ Y 1 CT EPH E N -$I ft#BS • TEST HOLE SEAL VT rk' 05 fim~l ' wow tEREO ARC GO /JGu~,~T i g,a, •,}y QF.PQ~EtT A. ST gyCT i lOtb ORrd IO,a c''( mi. ff ,015244 Y4.~i 9M0 - AT F,NEW1 waj< - o 0 _ n•a ff •S. W~F• # 90 . so • 4•.5' ; t 9144a P 11 1990 Ef 1 y Yr.;, PLEA NOTE _ h = _ N) yf,/ tI ~CPTIG T9N,C 6' OEEf~ 0 0 0 S Its the applicant's responsibility. N~ Maintain adequate sanitary dis =-cf7 E 'W .E I GeacNiN~ FboL 3 MCdT+ce between all water supply and sewage t f\ * L/~dAT/cxI ~ ` ~ S I p z S° disposal facilities. W ~ c T-' L~ 1 Y d 7 is 04 ac o I IN yo l_ .JV F o?E(tiIANCO 7~ S a - - - - - - l l NEW WeGG ~ LooATioN \ MiNi"v UM JL-~Ti-f 1 ~1oTt /NTO wq-TC~ i CW A cx/P/E,~ N4H0E e,7- ``/oUNG~ ¢ /DUNG /VEK/ \ \ G~~LL NNJ C~~~Poo~ Gou,4T%c~~/~a TITLE ~~,~~0 ,^~EO r GwJ GARRETT A. STRP 3TRANG M ?`/I~r~~l LOCATION "G pNIG 'jam -;;;0 LjI architect hIL 1 y SCALE (Jo PEVIBEO OIIAWING No Main Road P.O. Box 1412 Southold N.Y. 119 old N.Y. 11971 GATE GV //J A 516-765-5455 ' GPAWN BY U. 1. PROJECT NP ~Ij jJ u I ~kA C i e'~G W v G11. ~.1y W._ ..:.kw. 43._._ '1tw1y ~ ~ UG- I c,L I i u r' i s ~ UI i I F i f v ~ ry`I Y ~ wx3 t:at1 d L d r r i 7 el\ -MJ, u I • sr/~ ~f ~ SS. Jo