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HomeMy WebLinkAbout45197-Z ��®cgs,aFFcaGy Town of Southold 11/13/2020 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41597 Date: 11/13/2020 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 760 Cases Lane Ext, Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-5-14.26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/28/2020 pursuant to which Building Permit No. 45197 dated 9/14/2020 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: "AS BUILT"ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING, AS APPLIED FOR The certificate is issued to Muscheid,Martin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45197 10-15-2020 PLUMBERS CERTIFICATION DATED 10-23-2020 Kubisz U 000 ignature - TOWN OF SOUTHOLD BUILDING DEPARTMENT z TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45197 Date: 9/14/2020 Permission is hereby granted to: Muscheid, Martin 760 Cases Ln Ext Cutchogue, NY 11935 To: legalize "as built" alterations to an existing single family dwelling as applied for. At premises located at: 760 Cases Lane Ext, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-5-14.26 Pursuant to application dated 8/28/2020 and approved by the Building Inspector. To expire on 3/16/2022. Fees: CO -ALTERATION TO DWELLING $50.00 AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $1,209.60 Total: $1,259.60 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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 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 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 I. 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. August 27th 2020 New Construction: Old or Pre-existing Building: (check one) Location of Property: 760 Wood way Cutchogue House No. Street Hamlet Owner or Owners of Property: Martin Musceid Suffolk County Tax Map No 1000, Section 109 Block 05 Lot 14.26 Subdivision Filed Map. Lot: Permit No. q610 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Jvv pp cant Signature Building Department Application Authorization (Where the Applicant is not the Owner) I, Martin Muscheid, residing at 760 Cases Lane Ext Cutchogue, NY 11935 do hereby authorize Robert Wilson to apply on my behalf to the Southold Building Department. 2 zy2�6 (Owner's Signature) (Date) M ltR-i/✓l/ /kA u SC 4 F%t l� (Print Owner's Name) Town Hall Annex - ® Telephone(631)765-1802 54375 Main Road ` s' - - Fax(631)765-9502 P.O.Box 1179 sean.devlin(-)town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Martin Muscheid Address: 760 Cases Ln Ext city:Cutchogue st: NY zip: 11935 Building Permit# 45197 Section: 109 Block. 5 Lot: 14.26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: As Built License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph X Heat Duplec Recpt 37 Ceiling Fixtures 10 Bath Exhaust Fan 3 Service 3 ph Hot Water Oil GFCI Recpt 6 Wall Fixtures 6 Smoke Detectors Main Panel A/C Condenser 2 Single Recpt Recessed Fixtures 48 CO2 Detectors Sub Panel A/C Blower 2 Range Recpt 40A Ceiling Fan Combo Smoke/CO 6 Transformer UC Lights Dryer Recpt 30A Emergency FixturesTime Clocks Disconnect Switches 36 4'LED 3 Exit Fixtures Pump Other Equipment DW, Hood/ Micro, Fridge, Mini Fridge, W/D, 40A Car Charger, Generator Transfer- Switch ( 5 Circuits ) Notes: Whole House Renovation Inspector Signature: Date: October 15, 2020 S.Devlin-Cert Electrical Compliance Form.xls Y r �®� so# Town Hall Annex • Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Southold,NY 11971-0959 BUILDING DEPARTMENT y TOWN OF SOUTHOLD CERTIFICATION Date: /O Building Permit No. 4 d 1 Owner: - .. . )Plumber: Ja�V') h1 �cti�c S VnI (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% 1Pad, VV � (Plumbers Signature) Sworn to before me this LINDA M°LEAN NOTARY PUBLIC,STATE OF NEW Y09K NO,01 MC6173290 QUALIFIED IN SUFFOLK COUN.1' COMMISSION EXPIRES A(,-G[JSl'?.7 90,� Notary Public. •County A 2(l I loo*-, fsf s a S # TOWN OF SOUTHOLD BUILDING DEPT. � . 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL 41 bvab [ ] FIREPLACE & CHIMNEY [ ]' FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] , ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: [ AM&� �rwllkg :6 in,�J,, fknJU, cJftt kti 6 K""-- Dew", I -,, 0& bAf)- lip il 50r�g &&, lQfk-�, A-mAW ,(UnftAl 3 w S &. 6!TCori q✓e (4f Ak �r1�1 4;x6DATE f INSPECTOR ` a SOUIyOlo LSI l 6 D - y TOWN OF SOUTHOLD BUILDING DEPT. u 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL-ATIOWCAULKING [ ]' FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION - [ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION= [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/0 7 i J /**' REMARKS: /C a ou,re 4- QZ /�ta le X4 J� , ` 97"'- J , DATE 17 / ? INSPECTOR OF SOOlyolo 7 7 Lia # # TOWN OF SOUTHOLD BUILDING DEPT. `yco 765-1802 INSPECTION [ ] FOUNDATION 1ST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY' [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: -13&f_L r 4_p-vse � w44gr DATE .3�— �� INSPECTOR C�� J # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN=SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG.- [ ] FOUNDATION 2ND: [ ] IN LATION/CAULKING-- [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL-(ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: a DATE 1 r0 JO INSPECTOR 2 Windemere Ct., P.O. Box 169 Speonk, New York 11972 kepi azel, AsIchitecture F: 631-874-2925 F: 631-574-7377 keri@kerikazel.com September 21,2020. Town of Southold Town Hall 53095 Main Road Box 1179 Southold,NY 11971 Re: #760 Wood Way aka: #760 Cases Lane Ext., Cutchogue,NY 11935 SCTM: 100—109—5—14.026 To whom it may concern, Please accept this certification letter for the above referenced property. to The 2- 13/4"X 117/8"lvl header with 3-2x 4 posts at each end that bear on the existing low wood girder in the basement below has been installed as per code. to The existing window that was removed has been re-framed with typical siding, Tyvek house wrap, 'V'plywood sheathing,-R-19 Batt Insulation with vapor retarder installed�n warm side, and 1/2" sheetrock.' Thank You, if you have any questions or comments please feel free to contact this office. Sincerely, ED A c AN L) 9743_1 ©� N� Keri Kazel,Architect www.kazelarchitects.com Certification of Rough Plumbing Date: " L®.� C) From: John Kubisa—Suffolk County License 312OMP Building Permit No.45197 I^tip r� 6,�.e`?t�.`'i.i^S�� +,`f' �'S"� � ! `F� •i Owner: Martin Muscheid NOV 9 2020 760 Cases Lane Ext Cutchogue, NY 11935 Please accept this letter as my certification of all rough plumbing at the above referenced property. I am the licensed plumber who completed the work. All plumbing complies with NYS code. RE AR AN 029743-1 �0 ®p fVE�� Plumber's Signature t� Swor before me this �� day of 5 �►b&:-20c7U LIND -MCLEAN NOTARY PUBLIC,ST ATE OF NEW Y09K Notary Public, -Ccc)ll K county NO,01MG8173290 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES AUGUST 27.20..,.3 OWN FOUNDATION(IST ----------------- FOUNDATION 1 . • 1 PLUMBING PAff M-1 Y. STATE GY ODE 4gKAI , til Y 91 lAL-0 AM.W 0 MIA �l WIN T'`OW Vi)F SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631)765-9502 �/ �� � � Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form 0 Contact: Approved 20 Mail to: Robert Wilson Disapproved a/c PO Box 49 Southold NY 11971 Phone: (631)504-8 42 Expiration 20 Building Inspector IICATION FOR BUILDING PERMIT AUG 2 U 2020 Date August 27th , 2020 BUIL MING DEPT. INSTRUCTIONS 'AO Y„6..,-v1•c11-1,1- Ttrxs IT a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed"within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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. (Si re of applicant or name,if a corporation) PO Box 49 Southold NY 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,general contractor, electrician, plumber or builder Agent Name of owner of premises Martin Muscheid (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 760 Wood Way Cutchogue House Number Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 14.26 Sub"l'ivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family residential Same vnth the following interior renovations Converted walk-in closet off of master bedroom to a bathroom.Widened hall from V to V Remodeled hall bathroom.Relocated latchen.Removed interior partition between latchen and living room b. Intended use and occupancy Installed smk in laund room.Remodeled bathroom off of laundry room Also installed two new windows in master bedroom an o�ne new v�nn�c ow m� room. 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor 1 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 75' Rear. 75' Depth 33'4" Height 16' Number of Stories 1 Dimensions of same structure with alterations or additions: Front 75' Rear 75' Depth 33'-4" Height 16' Number of Stories 1 8. Dimensions of entire new construction: Front 66-6" Rear 66'-6" Depth 33'-4" Height 8' Number of Stories 1 9. Size of lot: Front 240.51' Rear 263.90' Depth 155.01' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law,ordinance or regulation? YES NO V 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO_ // 760 Wood Way 14.Names of Owner of premises Martin Muscheld Address Cutchogue NY 11935 phone No. (631)504-8842 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES %/ NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES r/ NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO_ / * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF_,}fF6 Robert Wilson being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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 Sfi day of 202.0 TRACEY L.DWYER RY PUBLIC,STATE OF NEW YORK Notary Public UNO,01 UvvM'u0uvu Signature of Applicant COMMISSION IEXP RES JUNE 30,$ Scott A. Russell � � TOR A41W TI R. SUFSRV'LSGR ANAGIEMI NN T SOUTHOLD TOWN HALL-P.Q.Box 1179 53095 Main Road-SQUTHOLD,NETF'V YQRK 21971 'own of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET (TO BE COMPLETED BY THE APPLICANT ) i DOES 'TIM PROJECT 1WOL17H ANY OF THE—TOIWNVING: Yes No (CHECK ALL THAT APPLY ❑® A. Clearing, grubbing, grading or stripping of land which affects more j -than 5,000 square feet of ground surface. ❑® B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. [:3 10 C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ®❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑® E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑® F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Budding Department with your Building Permit Application. APPLICANT- Property Owmer,Design Profe�ional.Anent Contractor,Other} � S•C•T.M. �: 1000 Date: D5tri t NAME RobertVVjPn 109 5 14.26 8/27/2020 Section Biock Lot FOR BUILDING DEPARTMENT USE ONLY Contact Information: (631)504-8842 — — — — Reviewed By. : Property Address f Location of Construction Work: (i � — — — — — — — —Date— — — — — — — — 760 Wood Way 1 El Approved for processing Building Pennit. Stormwater Management Control Plan Not Required. Cutchogue NY 11935 Stormwater Management Control Plan is Required. 11 ® (Forward to Engineering Department for Review.l FORM -* SMCP-TOS MAY 2014 Town Hall Annex Telephone(631-1802 54375 Main Road k < Fax(631) 734-9502 P_ 0, Box 1179 Southold, NY 11971-0959 ky A, BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRuarlON, PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER- C04S.M.U.CTION Date: August 27th 2020 Owner. Martin Muscheid Location of Property 760 Wood WayCutchogue NY 11935 Please take notice that the (check applicable line)* New-residenri a[ structure Addition to existing residential s(rticfdre V Rehabilitation to an existing residential structure to be constructed,or performed at the .9 u- ojp GA property refce above will atilizq (check applicable line): Truss type construction (TT)- Pre-engineered wood construction(RIV-) Timber construction (TC-), in the following iocation(s)(check applicable line): Floor Vaming,-including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature-- Name,(person,submitting this form): Robert I Wilson Capacity(check applicable line): V Owner Owner representative TrussResReo Effective 11112015 a --- - - 6" DIAMETER ZEFL'ECTIVE REQROM6lfu ALPNAItU,MERIC --PAN TORe— _..._ _.__. -�7ESfczfdl�Td'Oicl-OFeSjTRtiCi'dc'?id (PMS) ff187 C07 � _ " TYPE BASED ON SECTION 602 OF THE BUILDING CODE OF NEW YORK STATE 21° MIN. REFLECTWE WHITE .+"• , , eyi ,• r{x � , x .fix + ,.. ®�G� �T�LCC\L ri. � at..���,i� Mz .xw ,y • ..° .. •, +~ ' � r „M x i _._.__._.._..�;�.:_ . , •- :,°ptl�t��'I�" t"f�t�t�x'S�i"ftl3'C'�'d�:R'fict»��,. :._ ,.,. ._..._._.® ___ _. .m......_..�x;:.»x�x_..,�.., __•- 0 THAT AR OF TRUSS CONSTRUGTJOHf ` "F" FLOOR FRAMING,jKCL;UDthG ._ 6t6it]ERyG{t71F+tR BEAMS--t r "R` .ROOF PFtI`F ffib 'FR" FLOOR AND ROOF l+RA dlab ` TRUSS[ Fl '-1 R• SIS OMPJNC E-W-H-1 19 W,0MR-E.E.2 1 CAflSIG QA _:. NEW YORK STATE DEPMTII ENT 'OF STATE T •. �f DIVISION OF CODE ENFORCEE� ENT AND ADMINISTRATION- •n�st�x:�tcT�,; Town Hall Annex Telephone(631)765.1802 54375 Main Road �TUIoldQ�Q�, P.O.Box 1179 • O r�oclenrichert o`wn SO7U .ny.us Southold,NY 11971-0959 1 \ BUMDnvc DEPARTMENT -� SEP 1 5 2020, TOUW OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION BUILT JNG DEPM REQUESTED BY: Owner Date: August 27th 2020 Company Name: Name: License No.: ddress: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: Martin Muscheid *Address: 760 Wood Way *Cross Street: *Phone No.: (631)767-2843 Perrnit No.: Tax-Map District: 1000 Section: 109 Block: 5 Lot: 14.26 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Interior renovation, including relocated and remodled kitchen. (Please Circle All That Apply) *Is job ready for inspection: YES NO. Rough In Final *Do-you need a Temp Certificate: YES! NO Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 " 200 300 350 '' .400 Other *NewService: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION. 824Request far Inspection Form v" i LAI s«a Al. NA J-OG�1' oN v -' N �2 micro �, � �, uafr / rvN'nr�F r V 2 N� Aka ��Z e V y �JhS4a� (�ee�5 4 ^���/' 9 zl[R vL A plaLe5 in Aa✓c� any �jOA ��vvi TITLE NO.8/08-03340 O FAIRWAY DR/YE WOOD WAY .1r•J•7 &8613820"E. 240.5/' L 3g1 t(�.. Lot Z6 1 r I IJ Q I T\ DrrtuAW AREA 40,901 SF. I , ••`- - -- - '$'" W O 11 a A•«1f./S.�Q q• I,f 4 ,E, 4ftA&mrprPwAwNrAf#1#0C AWAMSS�f Oi e/•/J.7 (w) CMARor SAND SRNtrSMITO M8803620"W. 263.96' I I 10125 v CJ .r I • W Q SUFFM 000TY HSAETA DEPARTRW SURVEY FOR THEODORE D.MYSLIBORSKI B ANNA J.MYSLI13ORSKI DAA EUR N 1982 H. D. PS . �# rj1= -!dy LOT 26, "MAP OF FAIRWAY FARMS- MAR.a, 1982 --- 52 - AT CUTCHOGUE DATE, SEPT.21.1901 The savage disposal and anter rlpplY TOWN OF SOUTHOLD SCALE. 1"I50, faoilities for tbis lo.•^t• o -vo been I SUFFOLK COUNTY NEW YORK N0. SI-SSI inspected by this da ar.m� 1 •.,1 found + Eo be satisfaotor f� / n ) ) A1! Ltl uTxoRILLo ALTLMTIOM011A001TION TO THIS GUARANTEED TO: Ceti-^^sJ C CJ�XXeC Y ,A,ionue►ilauur N T!°f ar rMe CHICAGO TITLE 1 Chief of General Engineo>409 M COPIES Qf THIS SURVEY NOT SEARMS TML LAND p NEW SURVEYORS INK SEAL 90 EMBOSSED SEAL.SMALL ,TgO POq 4arvjdeR MOT EL CON610EREDTO SEA VALID TRUE COPY W' MOUARAMTttf INDICATED MERLON SALL RUM ONLY TD YOG'1' HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT M PERSON FOR WHOM THE SURVEY IS FARED ,O tiQ L AND OI MIf SEIALF TD THE TITLE COMPANY,OOVLIIN- M NEAREST WAT�,��DAt1I��i O•MSOURCEgf WATIR��(1IMitt C� NlNTAL A@ENCY AMD LFJIOWS INSTITUTION LISTED C M SUFf CO.TAKIW OMT ECTION lOu SLACK e6 LOT MERLON,AND IT TNI AI"IWQS Of THE L*.ULOI M THM ARE NO OWELLOMS WITHIN 100 FELT Of THIS PROPERTY INfT1TY'mO� O{IARAMT�LE{{�ARL HpT TRANfFERRSLE 1� OTHER THAN THOSE SHOWN HEREON. NAIDRWSiHN1Al INfTITIR1Oli OR WNSLOU[YT w.. v� o M THE WATER SUPPLY AND 0:42 DISFOSIAL SYSTEM FOR THIS ROt0E1NW OWNM ONETIINCEf SHOWN HEy1LOH SROM PROPERTY LINES t WILL CONFORM TO THE STANDARDS Of THE SUM101A COUNTY DEPARTMENT TO EINSTIK�S STROCN f ARI FOII A OPERT le �o D `• OF HEALTH SLAVICas. PURPOSE 1100 ARE NOT'TO SE USED TO ESTASLISN APPLICANT, PkW6STY LINES ON VOR THE ERECTION OF MC!E ADDRESS YOUNG & YOUNG RIVERNEADTNEWYORKE u =MONUMENT SUB DIVISION MAPFTLED IMTHE OFFICE OFTKE DLERNOFSUFFOLK COUNTY ALDEN W.YOUNG,PROFESSIONAL ENGINEER OM FEL 1%1074 AS FILE Na BOOB. AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 HOWARD W YOUNG, LAND SURVEYOR N TIE LOCATOI OF WELLIWI,SEPTNC TANKISTID CESSPOOLS(CP)SHOWN HEREON NY.S LICENSE N0 45893 ARE FROM RE A OBSERVATIONS A"OR DATA OBTAINED FROM OTHERS fEUDY14 POST N01779