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