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Home My WebLink About8700-z 6""`~ Town of Southold Annex 9/6/2013 P.O. Box 1179 3 54375 Main Road '7r F ~ Southold, New York 11971 6 ~,3 1 ~ ~,c,`c a~~ CERTIFICATE OF OCCUPANCY I No: 36491 Date: 9/6/2013 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 240 Silver Colt Road, Cutchogue, SCTM 473889 Sec/Block/Lot: 95.-4-18.38 Subdivision: Ftiled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/2/1976 pursuant to which Building Permit No. 8700 dated 7/2/] 976 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 deck and attached one car ag_raee• Updated to include deck, attached one car Qarage (as per plans from Buildine Pernut 8700 issued 7/2/76, and owners name only. The certificate is issued to Minnie Wilson (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6S0-123 R. Villa 11/12/76 ELECTRICAL CERTIFICATE NO. N 312986 11/17/76 PLUMBERS CERTIFICATION DATED N/A N/A - _ - u oriz Sign ure Form No. 6 TOWN OF SOUTHOLD ~I BUILDING DEPARTMENT I LJ ~i TowN xnLL ' SEP - 5 2013 765-1802 L--- APPLICATION FOR CERTIFICATE OF OCC>F7PANCY ~ 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $]5.00 Date. September 4, 2013 New Construction: Old or Pre-existing Building: x (check one) Location of Property: 240 Silver Colt Road, Cutchogue House No. Street Hamlet Owner or Owners of Property: Estate of MINNIE WILSON, Dec'd., Yvonne Crump, Executrix Suffolk County Tax Map No 1000, Section 095.00 Block 04.00 Lot 018. 038 Subdivision Map of Oregon View Estates Filed Map. 6241 Lot: 038 Permit No. 87002 Date of Permit. 7/02/76 Applicant: Frank Born Health Dept. Approval: n/a Underwriters Approval: n/a Planning Board Approval: n/a - wised Request for: Temporary Certificate Final Certificate: x (check one) Residence & 14' x 12' rear deck Fee Submitted: $ 50.00 p scant i nature WILLI F. BA~ES, Atto ey for Yvonne Crump, Executrix, Estate of MINNIE WILSON, Decd. US RV EY O F LOT 3 8 - _ - - N AS SHOWN ON "SUBDIVISION MAP OF OREGON VIEW ESTATES, CUTGHOGUE, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON THE 4TH DAY OF APRIL, 1975 AS MAP # 6241 \A/ _ ~ C SITUATE: CUTCI-IOGUE YY C TOWN: SOUTHOLD °ti}tigtio SUFFOLK COUNTY, NY \ T~~~~°~ S SURVEYED 07-30-2013 eT'a3'o~,~~ SUFFOLK COUNTY TAX # so~h~ti~~~~`} S °~o tip' c°,~ 1 1000 - 95 - 4 - 18.38 g9a ~ooF CERTIFIED T0~ ~ Deirdre Fedun ~0~~ ~ ~s~ Patrick Fedun Tara Lane Associates Inc. Stewart Title Insurance Company n~~ ~~o T 9L ,I, / ~LST c8't'~ S°S p~G'O F,P s' ~hOlp~~l~Fp O,~ LOT 38 ~'o o~} ~jh ~ ~o ~ ~ lA ~ S r ~ PO ~s3 9l WSJ ~~cy~h0'~'Y °FC~ o C1 GcGSF ry ~ 9 2B (1 `'2 ryR~ ~ / ~ 3 ~ O~ ~ o / ~ ~ 6 ~ s ~ e~ / ~ / ~ / o . ~ ~ rP ~ ~ ,p ~e ~ hd~F CO/ cy s~ ~3 //yy0,, rvdl 90 ~ ".l i ~ ~°i l~ ~ 3/ ~9B ~Ki. ~X ~.Y- \ y4o \ V O~ aa~a1 ~ R=za.oo' woo ~ L=a9.z7' ,cam Q~ ayQ ~ ~~O "u~a~mo,neo oue.orw, o oamro~ m a "ey NOTES: moo nea,ms a n<a~sm ia~~e s .<rors eoi e NE oiaro„ or „<uo~ nos, :~e~c "~:;o~ i or m~ -x->~ cHA1NLINKFENCe J011N C. EriLERS LAND SURVEYOR of w Eeu ~ ti o VINYL FENCE ,<~.~G EH~ yQ ~o P i m y m er m e,.es x a 'm -q i me moo eye ? MONUMENT FOUND ~Q'O S s~ a a i n i oP ~o~,n.rea m o re o-ue,l Area = 40,796 Sq. Ft. 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 y * P5 .~a,~~<o,o~= ~~e~o,ad na„o~ sg~,r ~e ~ ~nb ,~r.a, P.~PO.~e a«~ea~<, W~,n ~n~ , Area = 0.9365 Acres RIVERHEAD, N.Y. I 1901 369-8288 Fax 369-8287 * sing wee o~ P,e<~~« <o, ~o<e s~,~n oeoo~~a by Ine New York $lote Assacial'ian of P,olessional GRAPHIC SCALE I"=40' ( O ~~~oem:~p;~o~rw°~:nomnine~s °~~~n sn •°~~~~r longlslandlandsurveyor.com er p,ePo,ee. ore o~ nos oenort ~o me ~nie <omvew. s~~n^me^- Fti 502 PJ mi ose~<r ore ie~ems ~~snwr nsiea ne.eoo, am SF gJ o me au~g~ees m me imams ~„~nwuo~. ce« in<o.- ~ LAND ray, o ~m no~~re,aae m omu~o~oi meinwm~. P•~nl~ 1 111 _ .~ti;.... Uate: 8!8!2013 8:47:29 F ~rnrr~ deefedun,~3mail Begin forwarded mess~I; From: Deirdre Fe~.. To: FedunH~ME <d~ Subject: Deck Silve n .i ~ _ s k{lido ~+:4rotr t ~'~'{'tS ' .e~ I r ~ ~ - ~ ;iW f ~ tY~ lit . }x~,, ~;I ;I '4 ""tom _ ~~a u 4 4 ~ ~ H ' lr .~r1 'il~ M1 ` t': ~i,~ s.. ~~EM ':•Z: p, t` ~ , 1 ~I:. '1!~ ~r r I ~iil,+~~, ~t Y ~ 4 ut .'N` ~ .J~ I ~ it . .Y~ 1 d; Ij 1. 1 ~ ~t a~ s~ ii RR~~ 'fir n • p i .~I ~ . ~I~ ~ t ~4f r ~ Y ~t l ,eve 1~ Y ~ _ M t ~:l RtlN 4'" {i ~!'I IC~....~~L l».~to..:. w7y4.. ..,,I ,.6 ~5 ~ r Fridav. August 09, ?~l ~ A(~I:: T3ATF,SCnL1RTST ' t n r i ~ s ` Al } k . i.a 'da a"y4 ,i,~;' ~ 1£.p ~ 4 r ~ a +x S u~ ax7{ f:; rr+"s11kwAN~~nul~i n#,, i ~i •^;tdr C' .•.h. u i . ~ ~ `c:~: , ' 1 fl`~1., ~ ,415 ~ f ~ ~ ~ ~ ti i. i ~ ~ ~ r ~ ~fll _ -iiq' ~ _ ` lE~ a T iii 7 ~ q.~: ~ ~N~f ~ t l ~ ~n M1r.1,. l +~~j M Y 4 - 'r III p( t 6 f ' o -nv,~~'" ~ ~ ' tom, ~ z ~4 , ~ n ~ ~.wrP w t y 1 t= ~ AMY l 6, .'fit Mio~n~"f ~~dSIN!' ,~1 , ~ _ aa' 1 ' ti yyXw+M'~ ~ s,i~~`,~W~yi,~ n~f ~ f }P ~ ~9~v ~~pu,VaP'r,~s ~rLL,,S tp v r~f~ ,.~,nh,~MnM A~+4 ' ~ ti t. ~ ~y . i~ ;s r a ~ r r w ' ~ C., 'r:~h~t~ F.. r, ' ~..re'~ Page 3 of 3 ~+~~r ~1 way>k~ a aat FA i . r N ~ A i. 1 1~ ~ v.:.3;<: y". ~~~t~ { i' r _~e, ~~yy/ + ~ ~ . 111 1 i ":~l` ~ Y yh4r~ .~,s+ Y ~ ~ ~ tr~"E~' fir.. ~ ?~4 ,ti? ~ it ~ !ya' ~ n ' ~G ~+lr ( ii ~ jS"+ i ri '~"ry~~ S' ,fir ~ iy~ gi.~y"y.:. ,P''''Ya~`~,~,~~1 FSx~ ~ Y"+A~~;"~rfi a r ~,_.~q+[d~~ tf a' i~e„ „R f1. ~~FAp K~~R ~i, ~ X ii~ ra" .as l.' ~~yV~ i\ ~ ,r } r :~>'y v o ~~~->i5 `t . P E. JS 3 -K~ wr;1 ~ '.t' `6 .a; ll' di ":i }~ri ia~~. ~uszust f)~). ~?O1 ; :COI.: R;~'hl? _ COl iR~1~ST IOYa[ N0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Cl~k'e Office Sonthold, N. Y. Certificate Of Occupancy No.Z7382....... Date ............Aloe ~ 19.76 THIS CERTIFIES that the building located at • S~lrer• •colt, •Read• • • • • • • • Street Map No. QTegoA.YisVB&Rit No...........Lot No..3fl ....1~utchagu~...N.Y........ conforms substantially to the. Application for Building Permit heretofore filed in this office dated ............duly...2.., 19.76. pursuant to which Building Permit No.. sg7.00Z. dated Ju]-Y.....2., 19.7.4., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...Private..one..t:anvilyr.dwe•yll.ng The certificate is issued to . Aregoa •View •lie•tates• • • • • • • Owner• • • • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Nov • . 12 • • i q.76 • • by • R.• •killa~ UNDERWRITERS CERTIFICATE No.Al~t2986• • • • • Aiov.t?• • •1976 • • • • • • • HOUSE NUMBER ...240••••••• Street ....S.ilver•Colt••Road••••••••••••••••••• Building Inspector roses xo. z TOWN OF SOUTMOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N: Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NU t~70~ Z Date .:........................Jt,~,~,'......$.........., 19..!j.~. Permission is hereby granted to: ~~~~IYZI.. $AZ'x~.....A./.~...Qrsr~n...V.iax..>~state s ~eaz..S.Si....... RA.1..... RiR•r>ssaaL ro ...3,d..7Gtala..A7Rr1...tBtplly...dxe111ne at premises located at ..Lo#...~$.........AE'a.goxt..vSe~,t••~s#Atee ~~~,Xd~...CtAI~.. ~tOtd .........lu#,ahn~tt............................................. pursuant to application dated .............................atu~.x.....2.........., 1976..., and approved by the Building Inspector. Fee $.~.w~........... Building Inspector n ~ W .S. _ ~ 1O P-+-~ a.. k - m' _ fD C7 N - r O" v~ ~ ~ n 5 e~ ' _ c ~ ~ O ~ Hr Z N o O '7 nc ~,y w 71..:0 + 4 fD F-+h7 (D W ttl e~ ~ m y - .fpe a ; t~ ( f tr Y _ , n,'- _ i ~ + .p N. +.f a ? b S . ts' , o VI CZ _ - - O 3' m;Z t ~ m N ~ mYl:~tj 'm O ~S y 'O 4- ~y0 +2 fD 0 n -ti_. ~ m ~ µ O - csQ ~ v'~~ ~ ~+i ~.~-.,SCI' i ~e ~ ~ 0 _ N-:_ N m.~u ~ a - - - K :IDS N ~ ~ a".N y I 3 yy ~ 3 4 ~ - ~ ~ ti ~ T~~ m p i ~ F y T ~ m - A. 1.= 0. N N o_ F' m A__ o a ,y`~' S' 2 c m ~1 - - - m ~ ~ ~ _ ~ O ~ o ~ ~ m ~ - . _ - ~ m~; act ,bs .OUm O o - - ~ n ~ act rt ~ O '17 _ nn ~ „ .F orn R. ~ rn Z'~~ i Y 41 ~ a N Y e t q~ R W i < ~ 6, o o '"?A- 117 - N ~ n - - o .n - h _ a T. roc +b _ - ^ v m in 3 .S -x ! r - - ~ wr A t i N Q _ _ a C r^ ~ ~ d ~ ° ~ b " ~ ~ W m ~ :[7 y x Vl 4 ~ ~ ! m~M f p a ~ 5 ~ I N ~.1. _ ~ ~ YP ~ A ~ . _ ~ - I ' m - _ _ . - ~ o _ ~ A O~ O W ~ C~.yD~ A zA 3 N SRI: 3 W o f~,- N _ 9D- rm_ m t ` - 'r t i 4 4 ! i ! _ a r_.a ~~,u sL - ~i FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Offiee Southold, N. Y. 17977 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 plari 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 $1.00 Date ..,Nixednb~r.....1~,....0.97..~.... New Building ...yga3...... Addition Old or Pre-existing Building Vacant Land Location Of Property ......hto.~..~3$..........~1..~,y,?tr.,Colt„Ro®d,,,,,Ore~e~n,,,V,iew.,Esta+,t~saCutehogue Owner Or Owners Of Property ......Q(:A9aJt..V1.~..M...~;1:~.01'.hr.Wi3.a:.~AiS...~.:~d.~.LQ)." Subdivision Oreagn,,,Yiew„Estat®s,,,,,,,,,,,,,,,,,,Lot No.....3.$..... Block No............. House No..z.49.... Permit No. ~.~Q~.Z........ Date Of Permit ..7.~.~.~.7~?....Applieant ..F.P.ilfi.~S...~Stl.'.St Health Dept. Approval ..~tr~.Q-.~.~r~ ..........................Labor Dept. Approval Underwriters Approval .............................................:Planning Board Approval Request For Temporary~C~ertificate Final Certificate Fee Submitted $ Construction on above described building and_ ermit meets all appli bloe~,,COdes and regulations. Applicant ~'_Eflgl~ 6 Sworn tp before me this ``ff(~f~ 7~~~ -z day of ./.~'l.~Y.:ei!'?~.`.:~ (stamp or seal) ~ Coun sasidx~ u°1sslua° o~ C~S,f3~,i~,1 Notary is ty ~ •seNl t98S o - ~ ataYe ° uit 6th o;3n5-68Z oa ~ ~GkC~~~tktie k C° ~uuo'J ~ aqi us, agq ~gc c~uffol ~ .c,36, N}i3Q27a•I QZIVI3aRt j°3to~,t Syti°/n.~^Y'tyey GOn~iss , . ~ A 3 n x (MB.M xo. Y 7~i ~h~O 1Z~ ~`i~aG`Py ol.~^-- TOWN OF SOUTHQLD?/y~7c aO1A'V'd~'~ c''~ ~i~~,- BUILDING DEFARTAj1ENT.t~~~o(~~ ~uaens -Pyaa( TOWN CLERK'S OFFICE ~ _ ~ 4y ~ ~ , ~`'O' ~ SOUTHOtb, N. Y. `j'J ~ ria~~ ~"`-r~ ~~•,.•.Ci.~.s ~ 3` . Exomined 19........ APPlication No................................~ Iti r' 7Co ~ Approved 1..........., 14~ Permit No. ~~a..v ~ o~ d (c'~ ~ ~ Disapproved a/c f.,~.~...... / ~ .nMCa~n v~ arc~7 ~ Building Inspector) APPLICATIOt•1 FOR 'BUILDING 1P~RMIT 1f B ~`i cGt~ Date ~ 19.~.~.a.... 19 ~ INSTRUCTIONS ~ r a. This application must be completely fitted 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 tot and of buildings on premises, relationship to adjoining premises or public streets o~ ~ areas, and giving a detailed description of layout ofproperty must be drown an 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 q shall be kept on the premises available for inspection throughout the work. I- e. No building shall be occupied or used in whole or in part foe any purpose whatever until a Certificate of Occupancy d shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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, os 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. (Sig ure of applico t, or na e, f a corporation) ~ J I (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. " 1 r Name of owner of premises ............y.,~a:.~!Y{:<~>:.....~.).:~.~:,-..._.;... ~:.?a `:~t, l~ i If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . I ~ j ' f Plumber's license No . Electrician's License No. ........~.~.~a.. ~ i Other Trade's License No f 1. Location of land on which proposed work will be done. Map No.: ~d:~.G•a..!•:~• of No.......-~`~..~......... ' Street and Number ~.1..~:..~{...~...12........~s~..~,.1......~:1.t~.n ..........................~;;A;~_tl,s; .r..4d:......... ' Munif~pality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ n a. Exisiting use and occupancy ......................~~~...L..[L~..Ger.'.....~~.}.....~..................................................... ' b. Intended use and occupancy . '1{~: < l _a 3. Nature of work (check which applicable): New Building- ...~..L. Addition Alteration . Repair Removal Demolition.................... Other Work n ,~,,-f '7 ~ (Description) 4. Estimated Cost .......~...~...U..1.1...U ...........:............Fee ...J..., (to be paid on filing this application) 5. If dwelling, number of dwelling units .....C~.~~.......Number of dwelling units on each floor If garage, number of cars 6. If business, commerciol 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 G1..4v,J. Dimensions of same structure with alterations or additions: Front Reor Depth Height ............................Number Stories q ~ 8. Dimensions of en(ti.~e new construction: Front .............~'..~~......:.r,.., Rear ..........~~..:~-~:r Depth alb `f I-leight ........~2:..,••4•• Number ofccStories ...........~....(~1~..~ 9. Size of lot: Front ...................~.,J..............!.............. Rear ................b,..... ~ Depth l.... 10. Date of Purchase ..............~~..~...............................Name of Former Owner / U 11. Zone or use district in which premises are situated ................~~...~.S...f...~.f.G.~/..r.~...~.,~...1~,~.......................... 12. Does proposed construction violate pny zoning law, ordinance or regulation : .............f~..(,~..,............................. 13. Will lot be regraded Wil excess fi I b removed from premises: )Yes] fy (f~"No 14. hJame of Owner of premises .t~R.,.t'.. Q.t~.. ~!~f:{<~.~~.:~,e~~rf `JAddress ..,~.A.~S.. J....I~1.~~~idnYp! lyb..~.~T..~ Name of Architect ....................~../.J.................................. Address Phone No..................../...,(' Name of Contractor ~~...~..~......(.~.(y.~\..Y..V Address ~(1.1:t,~. ff V. ~:Y Phone No.7ai.~....~~?.~..l~J 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 •vhether interior or corner lot. ~ ~G LJ~ 2~~ ~ o ~ C~°°' 2J 1 ~ _~~o I ~ 6° , 15 ~ Sl~~~,r~ C'~C.1~ G~~. ~ a Sl"A"1-G OF NEW YORK, (S,S COUNTY OF .................~...~,.~.{..N..~........1~.~..~............................being duly sworn, deposes and says that he is the applicant (YJame of individual signing contracP) above named. i , He is the .......................................~.~~.hf;.........~........~..~.W...•1.+~.~:5,'~~.~........................................................... (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 thar the work will be performed in the manner set forth in the application filed therewith. Sworg.to before me this i. .....~..r.T.S.~... of ......~S.I 19~.~a. Notary Public . County Vr.2 3 ( gnoture o applic t) ~ ,:L K ~ l 14 g y.~.G~rn ~P. ~~3 a~~ ~ THE LOLATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DAiA OBTAINED FROM OTHERS U~P~Y~r{iFl~~ht( ~ I ~ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE J~71J. p i ~ WILL CONFORM TO THE 9iANOARDS OF THE SUFFOLK COUNTY DEPARTMENT ~ OF HEALTH SERVICES APPLICANT ~/~11/~-~~ gIJ r'fl: ADDRESSL~aX.~SL-~?P TEL~Z1$' L~~~ ..~4~ , \ ~ ` , ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 111 FOR APPROVAL OF CONSTRUCTION ONLY ' DATE__1~~~~ HS PREF. NO. APPROVED p 7 a~~~3~ ~ ~oc2io~~ o~ , x s: o9r ~co 6" g9 vs, cry 9ti A .f F I fir. ~ r , ya. o ~o ` o~~oc~ 196 %9 ` ~ o~ V ~G ~j ~ ~S- B~o„y ~o ~ ~o ~ AAA ~cG Cl ~V: ^j ~ p2 ,gyp°~ (L-P/ rLtiJ~• s/CL ~po1 , x~~ ~ 2 s F -mss - - 9 `s~ ~Dl~OCI .o OG co 0 0 ~ , ~ A~h~~ 9%~, .co. A~~ o gip.. E4 9• 1 •o p , % A~~ to . .~iS. 2 • .a Q N,, P ~o ~0 oo, ti ~~ry N ~ ^ n\oo \V , i + , NOTE= ' ¦=MONUMENT SUBD/V/S/ON MAP FILED /N THE OFF/CE R~,YISIONS YOUPIG ,s~C Y®Ut~iC OF THE CLERK OF SUFFOL K COUNT Y ON APR/L 4, /975 AS MAP N0.~624/. noo OS IRAN DER AVENUE, RiVERHEAD, NEW YORK ALOEN W. YOUNG PiOWARO W. YOUNG • PROFESBICNAL ENGINEER AND LAND SURVEYOR IANO SURVEYOR N,Y S LIC NO, 12845 N.Y S LIC. NO 45893 S<Pt~' oP Nfw~, SURVEY FOR: T ,NAU THORVrp 4= FERai:ON Oft 401 i1ON iC s~PRP w r °y~ ,.~s S~F,E. s :..log 4TiGN ~F NE~-1~N ~ FRANK BORN , 'J OF T'F Nfµ pFK 4T4T. P9JCAT:ON ~ s° °2 LOT N0.38 OREGON VIEW ESTATES G> ~ ? GaJ Y~kV: ~ Nt'= 3E44 N6 ' _YV )c3E' E°Ai cy4. . ,_.'~eF np V` ant i[ rmC -..qT' GL'ARA NTFEU TO. ro CUTCHOGUE Q+ 4589' ~ . _ ~ Q ~~~~0 nano suRVE'~°~ ~ ~ ' , ~ TOWN O>= SOUTHOLD ~ ~ _ ~ "S~f T~_K :;C n~ I ' !b'4zvlrJl~J Gv, scnLe~" ~A t - / = 50 ~ ?UNE25, /976 ~ MO'76-523 ............,.e _...3.....>..e....~.._.~.~,~........ma-.-rya..,..t.w...-.....~..~w..o....,+a~.<*++,sv...m~e.. ...a.,.......a. a..~e ...u.....>„4n-.,.o.vrc..»..~.~~.......~,....,v,3 / (/L~ / /.@~ AfJL+--C JC,It~ ~ iNE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON AAE FROM FIELD I `""`Y ``//I I qq OBSERVATIONS 4N0 OR FROM DATA OBTANYED FROM OTNER9 C~J THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE 9YFfOLK COUNTY OEPARTYfN OF HEALTH SERVICES 1/~ APPLfCANT:~L~'~nX L>:~,Ln _ _ ADDRESS L ~~51 ~ ~TEL.1~Z' SUF`FOLlt C011NTY HEALTH D$~ARTMENT ' The. =.9.r.,-!^a d9.r;,c:~.ni ea, :-aer snpnly _ fac"T.;ea fer'ia.s lac a,ion have been inspacted by t'.as ~e~,artaent and found Lo be saE~^~Cto Chief of General En ine \ .Services h ~N v/~ ~.f~- . \ ~ ~i It ~oc~o'"ti O~j1i_ O i `°i ti ~ ~'s-. F ~ F~ < 0 6yo, o~ oo ~ ~ ~a, 3 19 ~ o f ~ o~ LOG - % ~V ,~Oq SAS, ~~^r `Or ~ ~ g ! c $ ~ P~ AAU o7cp \ 1 'J Y~ , i V , S~CL ~~1 fir,. ~ 'ts."° ~'S~ R6~ do '..3+• 3. 1 It~ yA~e ' ~ ~h ~~~n' o~, ~ ~ ~~i~O~l • ~ 0~ ~o ~o0 11~ ~ 1 ~ y, p~ ~ ems„ ~V' F x _ ¦ N... _ l~. Z s O P - 'AD 1a~ no "9Q C ~ O. _ L _ _ . e~ 4P~~ OF Nell, Y I ~~PRD W, Y~G 9r ~ NOTE:. S,.'f ~ ¦ s MONf/MENT SUBO/WS/ON MAP F/LED /N THE OFF/CE ~tEwsloNS YOUNG 8e YOUN.Qr~ ~c ~,5gg3 OF THE CLERK Of S(/FFOLK CO!/NTY ON APB/L t, /97J AS MAP NO. 6t~G OCT. /4,/976 400 OSTRANDER AVENUE, RIVERHEAD~~(~N 4D'RKKr V~~ OCT. 20,/976 GNU S~1NV` ALDEN W. YOUNG HO DUNG PROFE9910NAL ENGINl ER ANO LAND BURVlYOR LAND 9URV EYOR. N.Y,9. LIC. NO, 12869 N. Y.9. LIC. NO. 49993 SURVEY FOR: UNAUTNOR12E0 ALTERATION OR PDDITION TD FRANK BORN TNi3 SURVEY IS A VIOLATION OF SECTION , T209 DF THE NEW YDRK STATE EDUC4TIDN LOT NO.39 "OREGON V/EW ESTATES" ' L4W CCPIES OF THIS SURVEY MAP NOT BE4RING , THE LAND SURVEYORS INKED SEAL OR EMRrgQ~SSED SE4L SN4LL NDT BE CONSIDERED T , E A Jy¢ISD TRUE cpv AT CU TCF rOG,UE GUARANTEED TO: F'~ 01 ~ ~ ^4AF'TD` ME PERSDHLFf1f µONNSiMEL RUk TOWN OF {J SeRJEY IS PREPARED, AV IF .-5 9FHALf JOUT/7 O~ D TC ryE T E ' OMP4N", f aE G:. AGENC'+ A!(D LENOmL ~N ~ SUFFOLK CO., N. Y. ev HEFEON. ANp TO NE AR Fr ~F THE /~/~If i 1 .FND?HB Nil 1-IUK ~ a - SaE - //A4((//R~ ' ~p NUT TRANS FRAB E r0 ~ . v.:L scALE: 50. DATE: ?UNE25, /976 NO'7Q-523 VS l IiIONS OR .~193FS ~ LNf