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HomeMy WebLinkAbout7470-z ~ WORK xa a TOWN OF SOUTHOLD BUIMING DEPARTMENT Town ©eWs Office Southold, N. Y. TEMPORARY Certificate Of Occupancy No. Z6665. . . . . Date . . . . . . . . . . . . Sept. . 4. . . . . . .119. 75 THIS CERTIFIES that the building located at . . .is(S Nassau. Pt .Road Street s Map No. . bas., Pt, Block No. . . . . . . . . . .Lot No. 71 . . , Cutchogu® N.Y. . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . . A14. 1?, 19. ?! pursuant to which Building Permit No. . .?! 79� dated . . . . . . . . . .Aug . .12. . . . .. 10. .7.4, was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is Private one family dwelling issuedis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . Marian F. Ales Owner (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . duly 21 1975 . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . Pending HOUSE NUMBER . . . . . .$925 . . . Street . . . . . . Nassau Point road. . . . _ . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . tzil. . . . . . . Building FORM Na 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.z7. ..... . Date . . . . . . . . �� . (. . . . . .. 19.E THIS CERTIFIES that thaat the building located at U�S. !���'d 6°.Q-- Street Map No.Mt!. "Q �'.V"'B�lock No. . . . . . . . . . .Lot No. -. . ./. . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the/Application for Building Permit heretofore filed in �of e dated . . . . . � ��, 9 7�, pursuant to which Building Permit No,74.'S.'7 Z— datedO�t/?///. . . . . ...� ��, 1 .�. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate DS .... issued � . . . . !, VV The certificate is issued to . lCr/t G .. . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant)C of the aforesaid building. Suffolk County Department of Health Approval :, . :'." 7. .'� (. . . . . .< .S c _ UNDERWRITERS CERTIFICATE No. Al HOUSE NUMBER . . . /.Pf,5 . . Street . . ! L' / . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector roast NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 7470 Z Date ....................AUgU3t........12.......... Permission is hereby granted to: 1�xlon..%...Uc:Paz...,Ues................................ ....329.....F.Q x.est..1U....................................... ........1104 At=.........1141&............................ to ....Buil ....new one...r,0.�4i..X...dh!&i.7 jA&....................................... .. ..... ........................................... ................................................................................................................................................................ at premises located at .LRx...71.....lass8. -Roiat..P.TOp............................................................... .........................................Ras"u...Point••4ead..........Ciateh &&m*.............................................. ................................................................................................................................................................. pursuant to application dated .........................AUgurt.....1.3....... 19)1*...., and approved by the Building Inspector. Fee O.tQ0............. Building Inspector �- FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTH'OLD, N�. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 7657 Z Date D7q is 1.0 19 "Jl l Permission is hereby granted to: Marion Ales ................................................................................ ................ Na...ssau. .......Point. ... .... .... .......................................... ................................................................................ to ..bu—i lding... .......................................... ............................. approved..by..Bd...appeal.$)........................................................................... at premises located at ......;:0kll........jks.EAU:..�glx l................................................................... ............................................R s.sau..P.o.in. Road Cut.c.hozue............................................ ............. ........... ................................................................................................................................................................. pursuant to application dated ........................MW.....1.?................ 19...7 ., and approved by the Building Inspector. Fee $'0.00........... ,.. ......... Building Inspector r FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3 Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ._K1s_P ....Yt....... .............. New Building ...6. ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property Owner Or Owners Of Property ......... /M.aac'LA.......��.....�.Ies.................................................................... AV:�Subdivision ...... -S5 ....[.1.....1 . 17..&?.....Lot No. .[J...... Block No. ........... House Nol97,.5 Permit No.7.Q.Q.71.... Date Of Permit .61W.12-rdtl(Applicant .f�G,f(.lLA.... .......................... Health Dept. Approval ............................................Labor Dept. Approval ...X_1. .... ............................ Underwriters Approval(tC7Y1.PJ........{V0.Q.b.Q.Q.....Planning Board Approval ....N...K......................... Request For Temporary Certificate ...........( ....................... Final Certificate .......................................... Fee Submitted $ ... ...................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ........................ ........... ..... .. ........... Sworn to before me this, ........... G day of ..... ... . .. . ....�d..25 ' (stamp or seal) Notary Public ... . .... County r SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department "� Reference Number y S'a —/cam APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY t , 1 . Applicant J3.ctvr iUu4 Phone 5. Subdiv. 4-rk:llvrtiva Address .)..:U u'u t icu :r at . _TZT� 6. Section 2. Property Location � �t a3cic^ I .xs:suu & u kicxa 7. Lot Number TI a�, u �c lij 8. Private We u4 Village 4utCroguf Township �;Uutk.s " 9. Public Water 3. Public Water Company Name Distance to main 4. Lot size: Width 1,.0 feet Length 4�'U, •ay4Jfeet 10. Sewage Disposal System: (For Health Dept. Use) A. 00 gallon septic tank: Precast / Equivalent Block_ B. Leaching pools : Nul�er of pools 1 �Precast Block Special 11 . If private well , fill in the �¢ following blanks: C. Af A. Tank capacity t : gallons B. Pump G.P.M. 1F. C. Total well depth D. Depth to ground water E. Amount of water in well 1ct The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date -Ugust 1► 1 '/ts Signed �u� ------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith , it is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be in ; ed on this plot. APPROVAL DATE SIGNED S-15 Rev . 4/l /73 i THE NEW ')PORK BOARD OF FIRE UNDERWOITERS i , EIUREAU OF ELECTRICITY ., 8�JOHN STREET, NEW YOM NEW YORK 10038 , Datee September 26,' 1977 Application Na.an file THIS CERTIFIES ' 790498 35769CERTIFIES THAT � -4 1 ' only the electrical equipment as described below,and introduced by the applieant named on the above application number in the premises pf MR Mrs• i or Ales, Nassau Point Rd. DeadendRd.&Opp. Aborn Lane Cata o e y L �'VyI , In thefaltowing location; .Basement I `h' lac 1. ❑ 2nd Fl. garage,0utside Section -Block Lot was examined on and found to be in comptiance with the requirements of this Board. 71 September 22, 1977 FIXTURE OUTLETS ECE►TACLES SWITCHES. FIXTURES RANGES COOKING DECKS "OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT vAFpR AMT K.W.- AMT. K.W. AMT. K.W. AMT K.W:- AMT. H.K P42 21 21 7 DRYERS FURNACE MOTORS RITURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNITHEATERS MULTI- AMT. K.W. 011 H... GAS H,r. AMT. NO. A W,G. AMT. AMF. AMT. AMrS: TRANS. AMT. H.P. OUTLET DIMMER$ SYSTEMS NO.OF FEET A^+i. wArn SERVICE DISCONNECT METER -" V ._. I S I �:,...E R.. ...AMr. A 7 Trrt EQUIP. I.e tW 1 B 3W s%aw i.%4w No.of CC cOND A.w.G. FER a OF CC.COND. NO.OF HFIFG A•W.G SIC),OF NtUTRAlS .A.W.G. OF Hb1EC 01' NEUTRAL 1 200 ,CB x' 1 3/0 1 1/0 OTHER APPARATUS: ` .. Panels:1-20cir.150amp• 1- G.F.C.I. I 1-4.5KW,Hot Water Heater special .receptacles:1-50amp. ,1-30amp. ,1-20amp. -1-2 l/2 ton AC Unit. I Victor Ales 329 Forest Rd. GENERAL AGEE Douglaston, N.Y. 11363 This certificotemust not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identif' y their credDentials. New York State Department of Environmental Conservation 50 Wolf Road, Albany, New York 12201 7Hf16X�X»3u74 Commissioner James L.Biggane June 25, 1974 Marian F. Ales 329 Forest Road Douglaston, NY 11363 H RE: Petition No. TW-15276-0089 Petition for Moratorium Permit Dear Ms. Ales : The above petition has been forwarded to this office by the Local Tidal Wetlands Permit Administrator who has made a review and site inspection. As a result we have determined that the construction of a single family home on Lot #71, Nassau Point Club Properties, Suffolk County, will have no adverse affect on adjacent tidal wetlands. Therefore, pursuant to Section 25-0202 of the Environmental Conservation Law and the Commissioners Directive dated November 12, 1973, you are hereby notified that no permit will be' necessary. Please keep a copy of this letter at the project site, available for inspection at all times, during the period of construction. Very truly i yours, �! ( Y� ( - Louis M. Concra, Jr. Central Tidal Wetlands Permit Administrator LMC:SJZ/scs cc: D. Larkin IJcr?oae— �n `ti eO ^4�, TOWN a SOUTH OLD }Yam M. w ✓eK BUILDING DRAIlTn T /75' TOWN SRO TN�S OPPWK r n�P c i s li. za l� m 1— Examined .... ` C� f .. �s CJI�,Ttio�n�No.2 c..yi 7. U Approved ............ .............. ..........., ... la..YPermk No� ..� .. .... Disapproved a/c ................... ................... .....,..:::.. ......................................................................................................................... ►Hn (Building Inspectod 0 APPLICATION FOR BUILDING PERMIT \D yy u Date ............ ..... ......., 19�./.....Uj INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building a Inspector, with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. % N b. Plot plan showing location of lot and of buildings on premises, reldtionship to adjoining premises or public streets or ]p areas, and giving a defailed description.of layout of property must be drawn on the diagram which is part of this application. i 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 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 whatevec until a Certificate of Occupancy J1 shall have been granted by the Building Inspector. vy APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to they Building Tone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or-4 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin 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 buildings for necessary inspections. (Signature of appiico t, dyn6me, if a corporation) 2r� ..................................................................................I............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................... pwp.@).............................................................................................................................. Name of owner of premises .........VA.rUD.J......Q,loA...Wra.....71.919.r..:AlB.S)............................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. .................................................... a Plumber's License No. ................................................ f Electrician's License No. ............................................ Other Trade's License No. .............................................. 1. Location of land on which proposed work will be done. Map Nof6.S.SAU..A......Q.1A ..Fr91it No. ....71.............. Street and Number .......ftA*II'W...MUlta..aR6 lt..Tl S.&AL1..Pew.s...S".b1 rC 3GB?}1�.................: Aoglb9114.... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........... lLas,xiti...IQt............................................................................................... b. Intended use and occupancy .............11RI0B......................................................................................................... V� d /r '`--- -- �----- --- - --- -�-' � 3. Nature of work (check vvhichopp|�o6|e): �4ew Building ����'.,�.......... Addition .................. Alteration .".....—,~, Renoir .................. Removal .................. Demolition....'-..' Other Work ....................................................... � � 4. Estimated Cost ..... $1.9�OQO.-.-...~.~.~-...Fee ����� ~ . .~� ��~- ....., (tobepoi6unfi|inQthioopp�co�iun) 5. |f dwelling, number of dwelling units ....I......................Number of dwelling units on each floor ..................... ��./^ � ' �� |f garage, nun�6erof cars -..°.°°m� ...-.......~`^......-.._.-...~.....~~-.-........~'...-....._..� 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....m.................... � 7. Dimensions of existing structures, if any: Front ....N.(?Aq.............. Rear ................................ Depth ............... .... � Height ........................ Number of Stories -..........^~~~~--.^.°.~....~~~~.~....~~....._....... � Dimensions of some structure with alterations oradditions: Front .................................... Rear ............................ � Depth ................................ Height ............................Number ufStories ................................ 8� Dimensions of entire new construction: Front .~....�i6�.......~. Rear .. �..,..... . @�� Oeu�h .��81....... � Height m.. Number of Stories ............a........................................................................................................ D. Size of lot: Front ..1"1~...-.._....-.....-. Rear �IQ0 .-..-...~.^.. Depth A.Am!..................... lO. Date ofPurchase ......................Name of Former owner MxzI... .&1A0. ll. Zone o, use district in which premises are situated ....R99-10AU41.-^~..--.~-............~...-..- � 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ � 13. Will lot be regnodad ..NQ.................. Will excess fill be removed from promises: [ ) Yes ( /l No � 14. Name of Owner of premises .... .,^,,~~ Address A . MaraALM-Phone No.49A7114.7°, / � �m�~. , r�onneof Architect .-.............--......-~.. Au�dress ^�o �nw,n* y��^ °°°°^°^.^~..^, � Name of Contractor ............................................................ Address ..-°°,..^..°°°°°° Phone No. .,°^.°,~^°~°^ . PLOT DIAGRAM ` � Locate clearly distinctly all buildings, whether existing or proposed, and indicate oil set-bock dimensions from , , property lines. Give street and block number or description according to deed/ and show street names and indicate whether interior lot. pbowy 00/ � � ` ' � � `� �� � � �~��l[ w�� � U � � ��� IJASS40 v�ip� �� � PA S*V fo(Wlr L.k. � ` � � v� ,fli jut, jr oil STATE OF N COUNTY conn ' fiampof eindividlal signing contract) above named.He is the ' ........^~����-�����~~.-^.~_~~~~~^~~~...~~^-~`~^^^~~~~~~-~-°--°~^~^~~~~~~~^~~^^~--~^-^^� � �ln�nl to� ogentcorponz�� ofice� eh�j of said owner or owners, and is duly authorized to perform or hove performed the said work and tn make and file this application; that all statements contained in this application ore true to the best nf his knowledge and belief; and thur the week will 6e performed in the manner set forth ih the application filed therewith. Swom to before me this _~._,. � lg�,� ��otoryPub| ��.� w�/ � ^°~....4���� ^��~..���°°°^°~~~~°~.~..~.^, - - ~~ (S�n��,eof ��|��n� �vurxToo��m Notary ;vu/c, s/000r New York ' No.uzu344y6o Suffolk coo ' � cummiuiuoFxpimsmuxh3V, \vy- » Foam NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..........�" v..... .. 19.� Application lication No. ( �. ................................ it � 'f 7 Approved 19..... . Permit No. .................................... Disapproved a/c ....... .............. f--�yr ............... . .. ...... - - ......................................... (Building I Spector) APPLICATION FOR BUILDING PERMIT Aug 12 7�; Date ................................................. 19.......... . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 of areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 buildings for necessary inspections. ..............u - � ' (Signature of 1-pp d't, or name, if a corporation) -)klkr1t ddress of ap l'cant) i� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................................................( A[I`1ar................................................................................................................................. Name of owner of premises .1jariar-, -Ales.......................... If applicant is a corporate, signature of duly authorized officer. ..................:..................................................................... (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ fl Electrician's License No. ............................................ OtherTrade's License No. .............................................. Nassau Point 71 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number ......Nassau Point Road Cutcho.due......................................... .... . ...... .... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...w.gl Ag................. ......................................................................................... b. Intended use and occupancy .......,same with accessory building in front. -vard area 3. Nature 'of work (check which applk e): New Building ..XXX........ Additiot ................ Alteration .............. . . Repair .................. Removal .................. Demolition.........:.......... Other Work ................................................ ... (Description) 4. Estimated Cost .............Fee 10.00 ............................................... .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, 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 ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front 24..................... Rear .........2?f............... Depth ... li................ Height .................... Number of Stories ....a............. .........................................................I....................................... 9. Size of lot: Front ........................................................ Rear ........:................................. Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ t�11. Zone or use district in which premises are situated ........ ; tt d i ..... ...5. ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....YQ.$............................................. 13. Will lot be regraded ....Y.0..........:...... Will excess fill be removed from premises: ( ) Yes ( No Marion Ales 14. Name of Owner of premises .................................................... Address ................................ Phone No. ...................... Name of Architect .............................................................. Address ................................ Phone No. ...................... Nome of Contractor ............................................................ Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions front property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See zilan for dire: ling o_ garage o STATE OF NEW YqR�,folk t S.S COUNTY,OF ................................f Ilatim..1 les..............................................being duly sworn, deposes and says that he is the applicant (Name,.of individual signing contract) above named. He is the ojmer ........:............................TV1e...................................................................................................................................... (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 than the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ ..:....Ia y o ....... ........ Au t...., 19.7.�+... Notary, Publi , �.. . .s,-�i° &mty` � ..U.,.............. ...................................... (Signature of applicant) JUDITH T. BOKEN Notary Fuuic, State -f New York No.52-034 49 03 Suffolk County Commission Expires ;ylarsh 30, 19� T P _ Qo' L o f, Zo , i N. ez • OC �. -- — ? f2 • t �`o -- ra — ro r s'a o... i 1 Well h Q \ 3 r Hale Lot 7/it Kip ISO a of a is O of _ s8Z ' 00• W. - f a�G'� ��« Epp ti � O SUFFOLK COUNTY z ' over ' HEALTH DEPARTMENT / a N °A=IVrL-2-4-4 # los F H. D. �£i�t ho^ts tb rnx UPIAUTHORIZED ALTERATION OR AbDNpN "T�f The sewage disposal and Eater supply TO TNIS SURVEY IS A VIOLATION Of TeraSf 1 Hole [ rlellities for tTMis location have been EEMKATIIONLAWFFNENFW YOtK STATE •✓t��(�af��ax 1 _ b iI k� �- O / Inspected by this d t eSGGfE3 ' '7�� • /H wevEr �`VS toT aei_/ SafiDd/Jn $ NAD SU YEYOR'S INKS y-� /V/ / KD NOT WARING sraly K ��QQ , �P = Mc�tl u/t/C r7 t RESA VAL p eH y�NOT&C L � TT /oe•AfE •Y: 1 i !2 • ♦� y. Mier ®4 Gemmel rya�-�.._ r-1 k0. r dHEYI FEF91kD�NEREON SE�'!'jT��T�` OPRE A[ED E AD ES WhOA{"RR+IIIRVA T'� ^ /� �+ 11°"f"•+'+�f - TITLE COMPANY, ,iC�VMFNiAtEKNAL _Am AN (ENDING I;tSTiTUiION 115 D - 1` soad I /^'L �-7 / V • �'l(,W, TO THE ASSIGNEES OF N^'RI,E1�, ._. 9 I + UiiON. GUARANTE@y—LEN�^�'!�.I.i • r��- AT TO ADD;TIONA4 INdITU pNST TR ! I `w4l, e� Mac 28 /}S °' , /\G9S4509u A70/N7- Pc _ � t {{ ✓��ru L___ J TawRv o� dauryoa.p, a/. Y. 2• Yc-.� � �• . zS� Gic. Gard SEIrvgYcr„s Grocn�icrf /V_ Y. �/evatiarrs slrawrr this: 18.0 1 Z- 7o C co I —�`f•o !"0 4 o i � : !"iota JstA i `+ 11 c!l -vo It I � � �F y 3 IE/o�ioae� f T1 N V ItoAcIID .q kjl Iz roo k ,/<bbE•6,R dole f i ZF�OjC7— Su•`? VL--')I' 7le " Mon�rrrcrt f /t,dlfly I ,p 2/z MAOr Aroz i ' • UNAUTHORIZED ALTERATION OR AW"Jok TO THIS SURVEY IS A VIOLATION OF / `//A //�^� qJ ^ SECTION 7209 OF THE NEW YORK STATE son • / �J� IA •/� /! A �/i= •6 4.5 EDUCATION LAW. 9 COPIES OF THIS SURVEY MAP NOT FEARING f Yavir/ I /�T f974 L LA D Sl. fv V YOR'S SEAL 1 „ S HALL T BE CONSIDERED DERED E, D I P TO C= A VA G I D; pT -� SHALL RUN cw w" air SO 417'N Ol.O, N � TITLE COMPANY, GOVERNMENTALAG AI I 0 ANY TO THE ASS'GNEES OF THE LENDING INSTI. VJ'Yy /c I U TUTION. GLARANTEES ARE NOT TRANSEERA.Ii + % TO ADDITIONAL INSTITUTIONS (QR Su{SFQn+A f �✓�E!/�i cal�; J`/. ;/, owHEvs, i Elevaticn� s�tcua/r thus: IS.o .i 4 '4, T I .LoT ~, ql : j,,.-" /,. ,