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HomeMy WebLinkAbout9277-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No 2-24558 Date AUGUST 8, 1996 THIS CERTIFIES that the building DWELLING Location of Property 1450 FAIRWAY DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 109 Block 5 Lot 14.08 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1977 pursuant to which Building Permit No. 9277-8 dated JUNE 2, 1977 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 GARAGE ** The certificate is issued to WESLEY & MARION LANG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 1/25/78 REF. V-SO-73 UNDERWRITERS CERTIFICATE NO. N-370870 - JAN. 5, 1978 PLUMBERS CERTIFICATION DATED N/A ** THIS UPDATES CO Z-8917 DATED JANUARY 26, 1978. &2 a� B ' ding Insp ctor Rev. 1/81 FORM NO. { TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z71 7. . . Date . . . . . . . . . . . . J!`� !V. .6. . ., 1976. THIS CERTIFIES that the building located at ?Lf,5 -F&i� ` D '► L--Street Map No. . 60 G . . . Block No. . . ."' . . Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . .. .. 19. pursuant to which Building Permit No.' 2g Z— dated . . . . . . . . 19. .7-, 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 .?°. . �'F'.I Y A? . . . FA.r'r i.L�( . . . . 1b, W. � )-L i Nr .c/r-. . . . . . . . . . . . . . . . . . The certificate is issued to �` C Fl ` . . . J. n.�' C r\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, nt) of the aforesaid building. Suffolk County Department of Health Approval i./2 5. '18. -7- 50- 73 UNDERWRITERS CERTIFICATE No. . . .N 3 7 o g 7 . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER I 5 Street . . ,/J�((N'.(kiA.!' bR1 Vt' CU7C1406UL: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FORD! NO. 2 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 AUT OPIZED) N? 9277 Z Date .....................41.......x................, 19. '.. Permission is hereby granted to: ............ ............................ r i K.....Y................i.....................................-................. to ,1 ..7t�1 ..9xt8... 1i3L.d�rtt�lrp� ................................................................................... .. , .. ..f........................,.....a ....,..i.. ...........,..........., • � r ......................Y.............................. ........................... -at-premises located at, .•ja .....................................41 .................................. :........................ ........ ..Dkvalr ..................................................I...... _.. .....::......................... ......:::............:......................... ...... ......... . .. .... .. ..;. . ....,.5......a..................................... ,,,,,Pursuant tP apPlicatiori dot i °7'z�zt' `F•A ^5"- ,aer..• , 'c,.;' y . •g -•.,•......� � •.., and;5a roved by the Byilding Inspector. max. K ,-i$✓''p'L.TJ"r• - "friecto, ............. Idinr' I FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 — 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted as ammorrr to the Building Inspe, for with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusui 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 install- tions, a certificate of Code compliance from the Architect or Engineer responsible for the buildin, 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 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 inform tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25 . 00 -- BUSINESS $50 . 00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3.Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 .00 4 .Vacant Land C.O. $ 20 .00 5.Undated C.O. $" 50 .00 Date August 6, 1996 . . . . _ . . UPDATED CO. .X, tp include garage NewConstruction. . . . . . Old orPre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . Location of Property .145Q.FIirvdly,Qrlye, ,Cutehogue, New ,York , , , , , , , .. . House Na Street Ham Owner or Owners of Property , , , , . . . .Wesley,and.Marion .Lang . .. . . . County Tax Map No. 1000 Section .109 , . . . . . . . . . . Block . .5 . . . . . . . . . . . . Lot14.N. OV. . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . Permit No. .. . . . . . . .. Date of Permit ... . . . . . . .Applicant . . . . . . ... . .. . . . . . . .. . . . . . . . . .. . . r Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Lab=hingBo#'d pproval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . .. . . . . . . . . . . . . . . . . .Pla Approval . . . . . . . . . . . . . . . . . . . . I Request for Temporary Certificate . . . . . . . . . . . . . . . . i al Certificate . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ 50.QQ . . . Construction on Above described building and pe PC lLa2plicable co d regulations. Applicant . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , GARY FLANNER OLN, ESQ. `y n.v.10.1a•7a P.O. BOX 706 Q l -?� CUTCHOGUE, U., N.Y. 1.1935 G d -?t 4 (7 ctY GARY FLANNER OLSEN COUNSELLOR AT LAW PO BOX 706 • MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 • PHONE 516-734-7666 FAX 516-734-7712 August 6, 1996 Re: Lang to Davis Our File # 6072 Dear Georgia: I am enclosing herewith the following: 1 . Application for updated CO. 2 . Check in the sum of $50 . 00. The original building permit that was issued to build this house with an attached garage was 9277Z, When Howard Terry issued the CO on January 26, 1978 #Z8917 he only issued it for a "PRIVATE ONE FAMILY DWELLING" and did not include WITH ATTACHED GARAGE. I am advised that the building plans in the file showed that the attached garage was always a part of the house. I would appreciate it if this can be take ca e of as quickly as possible as we are ready to hedule a closing and are unable to do so without the up ted CO. Very tr ly yours, w�AR N R OL 5EN GFO: lmk Enclosure Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 Attn: Georgia FORM Na s 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 Dote ......�.1/ `�17 .......................... f/ New Building Addition ................ Old or Pre-existing Building ................ Vacant Land .............. LocationOf Property ..... ..... �" .�7 !3....................................................................... Owner Or Owners Of Property .........r }.:.... 4?................................. 4................................. Subdivision q....7 �^�,.... ^"". ..................Lot No. .....F.... Block No. .4�,f'e. House No............ Permit No9..Z... ) 77..t—�..... Date Of Permit .0-177.....Applicant .. .....:.. .......................... HealthDept. Approval ............................................Labor Dept. Approval ................................................ Underwriters Approval ..............................................Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... FeeSubmitted $ .................................... Construction on above described building and permit ets all app ' able codes and regulations. Applicant ..................�'�.��..................................................................... Sworn to before me this ...........I.... day of ............................................ (stamp or seal) Notary Public ................ County (/ /7 �o z I •y sH I �I ��..,ter...'fia` ' THE',IINEWI'IYORK ,BOARD' OF FIRE UNDERWRITERSI" N " ' BUREAU OF ELECTRICITY -" >+ „ S �''_ , r - ! ,' ;jw li _111.✓' .'p � 'U „ 'i , __[` 'i ,i: it IP 85 JOHN STREET, NEW YORK. NEW YORK 10038 tll Date y ;7' A lieation No.on tle , .*,T Januar 5;i- 1978 PP f 936200 ' P��74727•f I}„ R-370870 THIS CERTIFIES THAT ' • •j1 , i., only the electrical equipment as described below and introduced by the applicant Wanted on the above application number in the premises of .s, Richard Babcock,i Fairway Drive, Cutchogue, L. 1 . Ill in thefollolninglocation; Basement !stFl. ' ❑ 2nd Fl. OUt5ide Section ++ Block ' Lot` 8 waa exaTnlned on December 29, 1977 and found to be in compliance with the requirements of thus Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEM FLUORESCENT V.pOR AMT K W AMT K W AMT KW AMT K•W AMT H P 19 37 29 ' 19 , 1 ' 7.71 t .2� ' 1 1'. 2 - 2 t DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS I BELL I 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 HP NO OF FEET AMT WATTS 1. ,!' It ,li 'I_ Al it' L. 111 _,1 II S ;,• II %11. i!' ,ai ,I I, 1!i ;1`, h' = 1(: i! sI 41 PI _U.-{•I t!`' 4' t, i,' -li _, i - NO. - ' _t,... I._u,-..:....,i__ .. .,_ .I - ,CI I- ,__ SERVICE DISCONNECT �"E k ''V " METER NO OF CC COND A W G AWG A W G AMT AMP TYPE EQUIP.11.03W 1.0 3W 3 Af 3W 13,B'4W PER 6 OF CC COND NO OF HI LEG OF NI LEG NO OF NEUTRALS OF NEUTRAL 1' 200 CB x 'j I 3/0 ' '''i; 3/0 -r' a �., I, r r t OTHER APPARATUS:" "-!n ' ' �" , 1' r•I t=r ,,, r, ... I I IN I,' Il• :IN I 1'�I!•- !-i ,1, •,r 1 II _ ,i . 1'< •I, ii'ILD10t i ! n U'. II if - I;! 11`- i'/2h r':;! ,' ill ! l n' anelb6a�ds • 1 -,9c r' r' Ill 1 P i ,, 125_ „'amps', ,' l-t3ci�r. 200 amps) li' I ”' '' 11t _'r t I t r !r r^. : V.,F !UI t , i 9 II . 111:1 S I(II 21ii-I_II`�r,llI}'ni! - { —' t', (tl-.,}• _- Its- ri' I!1-;ir _ill t: I.• 1d . I•='-i'• ,y' -• f� llf,Smoke detector -it'-- ',i` {71 1;1: a, a i' } iii{ It j._ _,� - •. lir.;ii. I I I 11 I ,f ',, int ;� -u -•„ ,tt ;I; v r , , 11� ;�' +' ,(--'' i i_-;1 - u� ill-4:5i kw,i'Ho l ':Wa�er', Heat�rlil_ i,! ,I :I• I i 1,, 1j1 , II--I 7t �ll,,; '1 _ ,, 1 E' II' „' Ili i, -{ i 'li" Iii'- •t •,{ i li, ;•;" ! ' ,It !'6t t P _r t i III. -t. i. 11 , I' "T r d t ,(, II- i•l I 1 i 'I I, t1' d, ' i •,i -'ll� t::�_ili��It`-I i' I ' tl �I_F' I t , li• Ill-li!- 1, ,t' it '1!_'n+_,i i' i �• lllilt- .t li<IJ•I { i _ 'PaterB'ogavic' ,7. {, 'III • -IIIm , 'Main Roadl- r ! '=' :1I�; ' GENE G R Southa I d,, L. I .'" I 1971 Li C. ii 137 ,;•'_ {' 1', ,I 11 I'' ' Per this ceFtific6te must not be altered in any manner; return to the office of the 8bard tf incoeretf. Inspectors may be tdentifted'by the gals. TOWN OF SOUTNOLD �1�77- ✓oto,¢ BUILDING DBPARTMIINT T01IVN CLBRK'S OPiiCBa � dr- +� SOUTHOLD, N. Y. Q � 17 Examined ........ ......... 1922. Q Application No. .��.7,7......... � Approved ..... .. 2......., 19.2. Permit No. ......1..'?.7 j L 8 /77 1�vi...� v - �+ 6Yz` ELdu Disapproved a/c .......................... � a rt,�G-. ac ;x✓�(� ................................................................. . 9 9 77 71ud , v F Gu4(- la.d - (UwZa OKE S- •, {, Kt,/- ......................... aW L (Building Inspector) <t*+ + w �t o „ APPLICATION POR CUILDING HERMIT s` da + 4 _ Date ....... ........ ................... .......... INSTRUCTIONS '�114/l? Co - 0$� a. This application must be completely filled in by typewriter oe in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. E b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets orb 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. C, R� 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. ........... ......... I (Signature of applicant, or nome, if a corporation) ....Y�j ('L ..... 4'/. .. V.'.............................. ....................................... (Address of op icant) State w er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ............................... .....................:..... ,. ..................................................................................... Name of owner of premises .......... ✓ ... 44�Q - ' '......................................................................... If applicant is a corporate, signature of duly authorized officer. ...........................carp ........offs............... /�D � 7. so - 7 3 (Name and title of co orate officer) Builder's License No. ................................................... `�`- i Plumber's License No. ... ..... .. ................ .. .... Electrician's License NoO.."�'`..C,.... .......... O 6 Other Trade's License No. .............................................. _ 1. Location of land on which p ed work will7�beddone. Map No. I ! �?!.!!,�.. !rN!4,,,,,,,, Lot No. ....g..... ........... Street and Number .........7..�'�� . ..K'h.!. .................................................ec. ¢ ......... ...... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...........................w...................................................................................... ............. b. Intended use and occupancy ............. .. ...\%.. Gc..;Q�..�................................................................. e\ 111 V 41 . � ^ � 3. Nature ofwork (check which opp|icob|e): New Building. .................. Addition .................. Alteration .............. � Repair .................. Rennnvo| .................. Denin|ihnn.—..—~.—. Other Work ...—...............^~— /^� ' ~~ (Description) �y �, 4 Es�in�o�e� Cost ....--...��2Of�J2����...—.....�Fee ��I��-.������._....�...._...__.___^,,_^~,_� � (bo be paid on filing this application) 5. K 6mae||inQ, number of dwelling units ............................Number ufdwelling units oneach floor ............................ |fgarage, number ofcars ............................................................................................................................................. 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions ofexisting structures, ifany: Front ........ ................... Rear ...^.......~.^. Depth .................... Heigh& .~..—....... Number of Stories ................................................................................................................ Dimensions nfsome structure with alterations or additions: Front .................................... Rear ............................ Height No��, � ��h� Depth —..............� eg ,—......—^^~� ................................ 8. Dimensions ufentire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories .................... g. Sire of lot: Front ........................................................ Aeor .—...—.....—....... Deoth —.........—..`. 10. Date of Purchase —.—.................—.....Nvme of Former Owner ........................................................ ll. Zone nruse district inwhich premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning |ox\ ordinance or regulation: ........................................................ 13. Will lot 6eregraded ............................ Will excess fill beremoved from premises; ( ) Yes ( ) Nn 14. Name ofOwner ufpremises .................................................... Address ................................ Phone No. ,.°.°°°°°,.° Nomeof Architect .............................................................. Ax1dress .°........~..°°°°, Phone No. ...................... Nome ofContractor ................................... ........................ Address ................................ Phone No. ...................... 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 orcorner lot. / ' ' � � � � STATE {)FNEW YORK, S S COUNTY �)F ,..^—..�, ' ....—~.beingao|y sworn, deposes and says that ho isthe applicant (-N- clmeo*f ndividual signing contract) above named. He is the .............................. ..... .—..—..... .~—...—^.....~^..~^^~—^~~^—°^~~~—^^—~~^—^^^~~'-^~~--^^^^^~.—^ (7 K�ontnzctn� ogen1, corporutpofficer, e�c] ofsaid owner nrmwnersand isduly authorized toperform nrhave oer6orn�o6the said work and tnn�okeand file this upp|icntiun� that oil / stvtenoentscontained inthis application are true tnthe best ofhis knowledge and belief; and t � orthexmdkvv!|| bepero,nne inthe manner set forth inthe application filed therewith. Sworn to beforeonothis ...... '74.«(....... day of .'. 0-f� ........................... �� Notary '7 ���� --...� County .� -�l����������,�,��+~.~.°°..._—....^..'....� � - (Signature ofapplicant) PUBLIC, State of New York No.�5` --7 —Suffolk '�7� / �� �� � �� I • I r. .syy,�ay �--- :�e.•'�'L.-_ ilk �r±\s. 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Z`` :.� ",r 'a"t�« . ,., .,Awr.zu •nr` .r 1 .a. , �� . , - ... , , „�ra'�r'".ra'.j64 tl.m. « Y• { /..Imo +,a.s �'{ v..i " � . .. _.,+:q• ..3_ ..^ ._.ds- .a, _.w-'R1 s ,. b ,- �'a'ia �`� iyf I! ra s ✓k 4 r TEE LANE THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA.OBTAINED FROM OTHERS THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE O , WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMEi ZFj�1 OF HEALTH SERVICES R' 392 APPLICANT — �---_ ADDRESS TE(,,. r M - 3 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES N.o FOR• APPROVAL OF CONSTRUCTION ONLY DATE—� _—HS REF. NO. i r 'APPROVED II I, o `D • v • 6y6 P - ' k ? U ,p o Wk- cn QI L O Z r is N 1 � Lot 7 3 4 N, o N o S.88059 X20"E. . 220 00' 4 F � Ev I W J O o O V O O h W h \ V � d H L4 3 Qy Ql- O > z o O , WW Q I c) Q: I 3 Q, W O .° a h O I , o O lel' o C 6 N9 �� Ev � M.88°59 X20"W. 220.00, Lot 9 W VACANT I I N07E ■=MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK-OF - SUFFOLK COUNTYONFEB I5,I974ASFILENO 6066 REVISIONS YOUNG & YOUNG NEAREST WATER MAIN-3 MILES t 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK WATER SUPPLY-PRIVATE WELLS ALDEN W YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR • LAND SURVEYOR. N Y S LIC NO, 12845 N Y S. LIC NO 43893 4PSE OF New UNAUTHORIZED ALTERATION OR ADDITION TO SU•RVEV1 FOR: S PRD 1A' A'O� THIS SURVEY IS A VIOLATION OF SECTION RICHARD BABCOCK '209 OF THE NEW YORK STATE EDUCATION °2 -AW 1 LOT 8 �I FAIRWAY FARMSII 5 � E'i SHALL OF THIS SMAP NOT BEARING — , THE -ANO SURVEYORS INKED SEAL OR � y EMRO�SEL SEAL SHALL NOT tlF CONSIDERED T TO BL A VAI ID rRjF COPY AT GUARANTEED TO CUTCHOGUE CHICAGO TITLE INSURANCE CO "IAR yN Ic ES IN9ICATEU HEREON SHALL RUN y0. 45893 °•NLS TO THF R�Rg�f, FOR tH I, THE TOWN OF f', •,I,R��+ Is �RFFARCO,AN N i BEI-ALF '' SOUTHOLD �C! •+QQ" T TH!7 'I'L -' MPAf,Y p`lFRI4MEN TAI •LgHU 00R �;=fr+ ANC -N,TINr m9n -'1'0N LISTED BY� 4ER'll' , AND T, TIF . IIINEP' IF THE SUFFOLK CO , N Y. iZ _ f N­,`,t, i —,l IT,, f. ARE ")y TRANS.•RAHLF TI' .•IIT cy'+L . SCALEDATE DATE I NO- v Nti . eN rec T .wNCFS, 1 =40 , JUNE I, 1977 77-363 TEE LAME THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS H:PIAlf" 1 °"C.�1 (IF f1LVA1,TH . THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE C1,, ,'�sl� n1 U. 1"�,t, 00, WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMEN U ,�5• OF HEALTH SERVICES it" . APPLICANT'_--.--� - --___--- '78 JAN 25 FIR 1, 20' v ADDRESS------------- TEL._—_ MSLfFFOLu COUNTY REALTH DEPARTMENT X )ATE .. _ Lt� _ ,9e' ri ;,, "17 ' o o facilit_,., f been y inspecte-I ty * 3 I _k, foland to be satin,ae.ury • r r ?o • !; iQ2 �biTryralgi}TeQ#rXitg • o Services 0 a y ,p o • � W O p LQ \ J Zhaa n ro A % + a rn 1 o o \ Lot 7 3 O .CO N a0 S.88059 20E. 220 00' `n F O o O J O V ul tial h V WELL Q p cc O 141 N Q1 \\ IO B' O' 9 8' 2 O 9 2W .0 CESSPOOL RR 00 y \\\ N a Q .2y 1 L_In O V \\ ' OD =IS' L 74 8' Q Q \ H uT 11/N .` ,'' SEPTIC —� \ Qz O � \\ N TANK 1.4 Q V tT v o \\\ '� ----755,,W---- � O o I u �1 O CESSPOOL O I O m S lk IA N C 6 1 1 N.88°59 20"W. I 220.00, Lot 9 W VACANT I - NO TE •=MONUMENT SUBDIVISION MAP FILED 1N ME OFFICE OF THECLERK-OF - ---- -- - SUFFOLKCOUNTYoNFEB 15,1974ASFILENO. 6066 REVISIONS YOUNG & YOUNG NEAREST WA TER MAIN-d MILES + SEPT 12,1977 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK WATER SUPPLY-PRIVATE WELLS JAN.25,1978 ALDEN W.YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR • LANR SURVEYOR, N.Y.S. LIC. NO. 12845 N.Y.S. LIC. NO A5893 PSE OF NEk, UNAUTHORIZED ALTERATION OR ADDITION TO SURVEY FOR: 51 .1!0. THIS SURVEY IS A VIOLATION OF SECTION RICHARD 4BABCOCK ov P¢D IN YO fi'F LAW OF THE NEW YdIRK STATE EDUCATION - i LOT 81� FAIRWAY FARItiAS11 COPIES OF THIS SURVEY MAP NOT BEARING 11 THE LAND SURVEYORS INKED SEAL OR I ,x EMBOSSED SEAL SHALL NOT BE CONSIDERED -- — — TO BE A VALID TRUE coat AT GUARANTEED TO: CUTCHOGOE CHICAGO TITLE INSURANCE CO O, '3 CUAP?NTEES INDICATED RUN SOUTHOLD SAVINGS BANK 589 CULT TOTHE PERSON FOR HEREON dOMTOWN OF F 4SAVEY IS PREPARED,AND IN H,S BEHALF P SOUTHOLD RICHARD BABCOCK �rFO �lQ� TC THE TITLE COMPANY, GOVERNMENTAL - - • toff 5139L*4 AGENCY AND LENDING INSTITUTION LISTED BY HERFON, AND TO-HE ASRIGNEES OF THE SUFFOLK CO., N.Y. /JP/ �E NDING IN51 T TN GUARANTEES ARE _ NST TRANSFERABLE TO AD>,n:NAL SCALE u 1 DATE, NO " NSOTUTIONR )R :UBSEOJENT OWNERS, 1 =40 JUNE 11 1977 77-363 � I i I it AP PR D AS NOTED a, DATE: Y 0 ; 7 1 / 1:'3T!F'f BUILPSNG DEPARTMENT AT 7 5-2160 9(M to 4PM FOR REQUIR- i. F7CE BACKFILLING FOUNDA- P'� �, ra T CFSSTORT FRAMING. 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