HomeMy WebLinkAbout28376-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29521 Date: 06/20/03
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 4350 YOUNGS AVE SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 2 Lot 9.4
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 25, 2002 pursuant to which
Building Permit No. 28376-Z dated MAY 10, 2002
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 ALTERATIONS TO AN EXISTING SEASONAL FARM LABOR BUILDING AS APPLIED FOR.
The certificate is issued to ALBERT & MARY F KRUPSKI, JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 06/12/03
PLUMBERS CERTIFICATION DATED 06/13/03 ALBERT KRUPSKI JR
(IV ��— -
Authorized Signatur
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28376 Z Date MAY 10, 2002
Permission is hereby granted to:
ALBERT JR KRUPSKI
2790 SKUNK LA
CUTCHOGUE,NY 11935
for
ALTERATIONS TO AN EXISTING SEASONAL FARM LABOR BUILDING AS APPLIED
FOR
at premises located at 4350 YOUNGS AVE SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0002 Lot No. 009. 004
pursuant to application dated MARCH 25, 2002 and approved by the
Building Inspector.
Fee $ 150 . 00
VAu:t:1h&e1ze(AOtt=e
COPY
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT 3
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.IFf3eettmey�
o
denied,the Building Inspector shall state the reasons therefor in writing to the app to 1 '70
C. Fees
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00, tit ons'd4AiW5.00,,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory buildi g$ 00,.Businesacs U00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25 Tn �-
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. 6 / 310 ,3
New Construction: Old or Pre-existing Building: (check one)
Location of Property: yo �s /4 j Q so AM10��
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ,3`S Block Lot
Subdivision / Filed Map. Lot:
Permit No. �U 3 (o zZ Date of Permit. 0 Z Applicant:_16 t.,44 S
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
n C, ���c�� Applicant Signature
Age
S A M U E L S &;
S T E E L M A N�
June 19, 2003
Southold Town Building Department
Town Hall
Southold, NY 11971
FAX 765 1823
Attn: John Boufis
Re: KRUPSKI COTTAGE
Youngs Avenue, Southold
The original plans for the above referenced project showed a freestanding space heater
for the building. Instead, electric baseboard heating was installed. This was an
appropriate change, it meets my approval, and is in accordance with the provisions of
the New York State Building Code. I understand that an Underwriters Certificate, which
will cover this electric work, will be a requirement of your office for a Certificate of
Occupancy.
Thank you,
Thomas C. Samuels, RA
T�
oP;3„�:�, flfiac0
UEJ7
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE, NEW YORK 11935
(631) 734-6405
FAX(631) 734-6407
COUNTY OF SUFFOLK
(9
ROBERT J.GAFFNEY
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES CLARE B.BRADLEY,M.D.,M.P.H.
_ COMMISSIONERApril 12, 2002
Town of Southold Building Department
Michael Verity $ ';
PO Box 1179
Southold, New York, 11971
Dear Mr. Verity
In regards to our conversation on Wednesday, April 10, 2002 and the Migrant Labor
Camp regulations it does not appear at this time that the farm housing known as
Krupski's Farm at 4350 Youngs Avenue in Southold need apply for a permit to operate
a Migrant Labor Camp. It is my understanding that less than five individuals will live in
said home. There is a requirement for a permit when five or more individuals occupy a
home in the capacity of migrant work. Thank you for your attention and notification to
the above matter.
Should you have any questions, do not hesitate to call (631) 852-2070.
Yours truly,
/)� �"
Diane Schneider
Senior Public Health Sanitarian
Temporary Residence Unit
BUREAU OF ENVIRONMENTAL PROTECTION ■ ROOM S238,COUNTY CENTER,RIVERHEAD,N.Y. 11901-3397 ■ FAX (831)852-3894
Y�03/19/2002 01: 14 5167346407 SAMUELSSTEELMAN PAGE 01/01
1 9 2002
S A M U E L S &
S T E E L M A N __s
March 19, 2002
Mike Verity, Chief Building Inspector
Town Hall
Southold, NY 11971
FAX 7651823
Re: KRUPSKI COTTAGE Application
Southold, NY
Dear Mike,
We have uncovered and explored the existing sanitary system which has been used by
the referenced cottage. It consists of a six foot wide by eight foot deep cesspool,
constructed of stacked, perforated concrete blocks. It is in excellent condition, and at
this time, dry. I can confidently certify that it is sufficient for its existing and intended
use, to serve a small, seasonal, residential structure.
Please call with any questions or further concerns,
Si FREuoy,�
gin
k
S
169
Cc: .of
ARCHITECTS
25235 mAIN ROAD
CUTCHOCUE, NEW YORK 71935
(631)734-6405
FAX(631) 734-6407
O�OgUFFO(�-c
O
o� Gyp
W x
Town Hall, 53095 Main Road 5 Fax(631)765-9502
P.O. Box 1179 Telephone(631) 765-1502
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: (O t 3 1 d 3
Building Permit No. a 3 to
Owner: 1O,1b4�`} ILS 2s k J
(Please print)
Plumber: A l bx '"" K r, j k� J
(Plcase prrnf)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
G9
_T(Plum be sSLature)
Sworn to before me this
day of V 200S
S
/otary Public, <2 County
ROBERT I.SCOTT,JR.
Notary Public,State of New York
Qualified in Suffolk County
No.01SC4725
Term Expires May 31,
P )- 6->D1 .-")
o rPsrnrs�LnL3Pr : i rr�r n�nsrrrsrs��ns�r�nrr�n2 211M R r� 1210 0MMErrrrrn�n�srr��rrsrnrsrs�n rrrrrr�rrrr�n�nrn�s 19
5 BY THIS CERTIFICATE OF COMPLIANCE THE= 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
rrj BUREAU OF ELECTRICITY rCj
55 40 FULTON STREET — NEW YORK, NY 10038 5
5 CERTIFIES THAT 5
Upon the application of upon premises owned by
5 ALBERT KRUPSKI ALBERT KRUPSKI
5 5 2790 SKUNCK LANE 2790 SKUNCK LANE e
CUTCHOGUE, NY 11935 CUTCHOGUE, 5, NY 11935 5
C� Located at q 50 YOUNGS AVE SOUTHOLD, NY 11971 5
Application Number: 1110689 Certificate Number: 1110689
5 Section: Block: Lot: Building Permit: BDC: NS11 5
5 Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located inion the premises at: 5
First Floor,Outside,
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
rj found to be in compliance therewith on the 12th Day of June,2003. 5
5 Name PTY Rate Rating Circuit Type 5
5 Alarm and Emergency Equipment 5
rj Sensor 1 0 Carbon Monoxide
5 Sensor 3 0 Smoke 5
5 Appliances and Accessories 5
5 Exhaust Fan 2 0 F.H.P. C
5 5 Range 1 0 7.4 KW 5
Electric Heater Baseboard 1 0 .75 KW
5 5 Water Heater 1 0 4.5 KW 5
Panels
5 1 100 8 5
5 5 Wiring and Devices 5
Receptacle 14 0 General Purpose 5
CuJ Switch 9 0 General Purpose 75
5 Fixture 5 0 Incandescent 5
5 Fixture 2 0 Fluorescent
5 Paddle Fan 2 0 5
5 Receptacle 4 0 GFCI Seal 5
5 Service
5 Continued on Next Page 1 of 2 5
5 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5
D rJ�rJ�rlcPrJ�rJ�r�rJrJ�rJ�rJ�rJ�rJ�rJ�rJflJ�rSrJrPrJdJ�rJ�rJcPrJ�rJ�rJr�fdJ�rJ�rJ�rJ�r�r1rJ�rJrJ�rJcPrJ'ff�rJ�rJr�rJ�rJ�rJJU3 LTr o
fd
Emu E, arJ�rJ�rJ�rJ�rJ�rJ�rPrJ�rJ�lcPrJ�r�r�r PrJ��frJ�rJ�rJ�rJ�rJrJ�rJ�LJ : apLLrC3j 3rL3r3L3PLrJ�rJL3 �O
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY C5
55 40 FULTON STREET — NEW YORK, NY 10038 C5
5 CERTIFIES THAT
Upon the application of upon premises owned by
5 ALBERT KRUPSKI ALBERT KRUPSKI 5
5 2790 SKUNCK LANE 2790 SKUNCK LANE
5 CUTCHOGUE, NY 11935 CUTCHOGUE, 5, NY 11935
Located at 4650 YOUNGS AVE SOUTHOLD, NY 11971 CC
5 Application Number: 1110689 Certificate Number: 1110689 5
Section: Block: Lot: Building Permit: BDC: NS11 5
Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
First Floor,Outside,
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
rj found to be in compliance therewith on the 12th Day of June,2003. rj
5 Name QTY Rate Rain Circuit Type [�
5 1 Phase 3W Service Rating 200 Amperes 5
Service Disconnect: 1 200 cb
5 Meters: 1
5 5
seal
5 5
5 5
5 5
5 5
5 2 of 2 lum
rJThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
O �rPrJ'rJ�r3pLr1rj'L3jMrlc lMlEc MjM]'r�rJ'�Pr�rJ r1rJrJr1�frJrJr1rJrJ ar�rJ�rJ�rJ�cPrJ ar�rJ�rJrJrJ a cPr PrJrJ�r�rJ�cJcPrJ�rJcPrJ rJr
3/18/02
The building that we wish to repair was built for farm labor, used for farm labor
housing and will continue to house seasonal farm labor. There will be no change to the
existing, functional septic system as the use of the building and the intensity of that use
will not change.
BUILDING PE"11T EXAMINER CHECK LIST
DAL ISSUED: 02
DATE REVIEWED: tQ�02
APPLICANT: Az t (� �Q DATL�SUBMITTED: :�;,�25/02
SCTM#DISTRICT: 10.00, SECTION: (�r , BLOCK: _�, LOT:
STREET ADDRESS: �7r c, CITY SUBDIVISION:
PROJECT DESCRIPTION: A'rl 7a A2V LtaWit/*_
ESTIMATED PROJECT COST: _ CHITECT ENGINEER,C- _ _ FAST TRACK? Py
SINGLE & SEPARA'I E CERTLFICATION-REQUIRED? _ _ NOTES:
LOIS 40,000SF-100-24.Lot recognition.(CRATED before.Tune 30, 1983),UNDERSIZED I UF,SFROM JANA997 100-25.Mcrger.(A nonconforming at anv time after 7/1/83:
ZONING DISTRICT: __A____� CONFORMING? Z�
REQ. LOT SIZE Qip _ACT. LOT SIZE: J,#_AAdVEQ. LOT COV. o '7i ACT. LOT COV. ✓
REQ. FRONT PROP. FRONT ,-REQ SIDE ACT. SIDE
REQ. REAR PROP. REAR
WATER FRONT? D DESCRIPTION:
PANEL #: /S8 FLOOD ZONE: ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEP'):. YES o(JEDBED #):_DTE:!/ / PERMIT #:RI0-
TOWN SEPTIC RECEIPT: Y or N L,-- CM-n F1Ej
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or
SOUTHOLD TOWN TRUSTEES: YES
TOWN ZONING BOARD APPROVAL: YES
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES or
NYS ENERGY: YES OR Dkv:
EGRESS (18 H min.? 4 sq otal) VENT (SQ. FT. x 4%) LIGHT(SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z-
HAVE PRE CO'S : Y OR N BP -Z/C/o Z-
NOTES:
YCIOPPMPftT
t 7 NO NQw Wl alp
mo S
e.Sa--
omm
Gem
OS.F.
FE : FOUNDATION: SF
FIRST FLOOR: ��.d SF _ �.'D_
SECOND FLOOR: SF 7""
(` OTHER: SF [NIT OTHER TO ^'
TOTAL: SF ;:%o 11 Y FE '7U
1. ( SF)- SF)= SF X $ _$ +$ +$
2. (_SF)- ( _SF)= SF X$—=$—+$—+$—= $
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION i ST [ ] ROUGH PLBG.
[ ] FO yDATION 2ND [ ] INSULATION
I' FRAMING [ ] FINAL
[ ]
FIREPLACE,j CHIMNEY
REMARKS: ,2rL
Z�j cti G o
,�C�,�/fi�c!ti,�� ...; ,s'1. ��%,lc?Z'�-fes ;?�✓y-, `" `
G'
DATE Ca INSPECTOR �ry✓ -
7
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH
[ ] FOUNDATION 2ND SULATION
[ ] FRAMING [ ] FINAL
[ ]
FIREP7 & CHIMNEY
REM7
DATE? INSPECTOR ✓�1j
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO=LATION
BG.
[ ] FOUNDATION 2ND [ 11
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
Al
DATE 7 INSPECTO
FIELD INSPECTION REPORT DATE COMMENTS
It
M
FOUNDATION (IST) ,
----------------------------------
� c
FOUNDATION (2ND)
z
� o
— y
ROUGH FRAMING& y
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
P'
FINAL
ti
ADDITIONAL COMMENTS c
O
z
Z
r m
-1-
ro
o
w -
0
z
x
y
x
c
b
y
TOWN' OFSOUTHOLD BUILDING PERMIT'APPLICAWN C;HECKLIS7
BLTLt`DING DEPARTMENT Do you have or need the following;before applying
TOWN ELA.L.L Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey
PERMIT NO.e�?�; 7b Check
Septic Form
N.Y.S.D.E.C,
Trustees
Examined 4110 ,20 Z Contact:.
Approved q ,20 Z- Mail to:
DlsapprovCd 3'c
Phone:
'1r
j 1 ding71nVe
✓ APPLICATION FOR BUILDING PERMIT
Date 3 �i 8 20 (3 -)-
INSTRUCTIONS
0azINSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted 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 or
areas, and waterways.
c. The work covered by this application may not be conymenced 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 a Certificate of Occupanc
is issued 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 building for necessary inspections. n n
(SignAm of apphcmA app ' or name,if corporation)
aSa - ,e,., k Ls e C',. q , I.,o7aE
(Mailing address of applicant)
State whether applicant i own , lessee,agent, architect, engineer, general contractor, electrician plumber or builder
Name of owner of premises 14/ 6 e �4 ° V4 r.. o S
(don 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:
4/ so Y A S � 1W
House Number 5treet Hamlet
County Tax Map No. 1000 Section Z- .S Block Lot 9 - '/
Subdivision Filed Map No. Lot
(Name)
2. state existing use and occupancy ofpremises and intended use and occupancy ofproposed eonshuction:
a. Existing use and occupancy F a, S c e s o 0.i
b. Intended use and occupancy
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 I Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
see e lIa s
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
fee 0 1F� s
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 1 d 8.2 , 0 Rear i o 0 o Depth G 0 4 , fo y
10. Date of Purchase 319.5' Name of Former Owner Pa�-k ( e 4 s w C des 4�, IC er o
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded_ ,o Will excess fill be removed from premises: YES (Gg
SK�
14. Names of Owner of premises q')Ae,i tM Q,, `'Address C o e Phone No. 3 4 - 7? `/ i
Name of Architect I, Address_j:.A e Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YESfp
• IF YES, SOUTHOLD TOWN TRUSTEES 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-.
STATE OF NEW YORK)
SS:
COUNTY OF )
AI Le rr4 J• V r PS �� • y`�h r being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named
(S)He is the j2 ct,rL E/L ,
(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
a 5 day of- 20_0 9-,, /
Notaliublic Signature of Applicant
Not GNDAJ COOPER
arY Public State of New York
T.f�0 22563 Surfolk CniintY
N
TEST TEST PROPERTY LINE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
1 , I HOLE HOLE ,•w HAUPPAUGE, N.Y.
ik 2 WELL
TOPSOIL TOPSOIL THE WATER SUPPLY AND SEWAGE DISPOSAL DATE
✓, 3' FACILITIES FOR ALL LOTS IN THIS DEVELOPMENT w E
CLAY CL COMPLY WITH THE STANDARDS d REOL1/REMENTS
4• OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH. - -
j��YJ�
THIS IS TO CER TFY THAT THE PROPOSED REALTY SUBDIVISION OR S
WITH A TOTAL
Z GRAVEL cRa vEc Hous DEVELOPMENT FOR N THE
sw SW =O• MN. ON THE ABOVE DATE WATER SUPPLIES AND SEWAGE DISPOSAL
LOTS WAS APPROVED
FACILITIES MUST CONFORM TO CONSTRUCTION STANDARDS N EFFECT
'w` Za• AT THE TAE OF CONSTRUCTION AND ARE SUB.TCT TO SEPARATE
(/� 17. IT Arx+s O PERMITS PURSUANT TO THOSE STANDARDS. TNS APPROVAL SHALL BE '
`o 5' '• VALID ONL Y!F THE REAL TY SUBDIVISION/DEVELOPMENT MAPS T
R 0 A, D DULY FILED WITH THE COUNTY CLERK WITHIN ONE YEAR OF THIS DATE SJTE
CONSENT 1S HEREBY GIVEN FOR THE FILING OF THIS MAP ON WHICH
TYPICAL PLOT PLAN WTHTSOFFICE
CFTHEOTACCORDAHIS CE PROVISIONS OF THEPUBLIHEAL T LAW AND HE
SUFFOLK COUNTY SANITARY CODE.
DIRECTOR, DIVISION OF D&OPN&AL QUALITY KEY MAP
Smim 1'= 600' `w
I
N/O/F JOHN H. CARROLL N/O/F C. F. VAN DUZER GAS SERV/C& MIC.
S. //'34'10" E.
1063.7/' I S. 10053'50' E 346.57'
t
140.13' Mai "/°"' t m,
u✓.u .- 923.58' w
` lV
D 3 COUNTY OF SUFFOLK
Test Hole 8 2
Q
\
M4ry Teorbn 1 S. 11'0830' E FINAL PLAT
Toner
has, 199'85' SETOFF FOR
o — PARKER E., BETSEY B. & CHESTER M. DICKERSON
�lUHRS 6 TER D. AND
Q DIAD' B -CO TOWN OF SOUTHOLD
Is LuwS
Q HM❑ N. 11-21'00" W. 288.69 ! DEVELOPMENT RIGHTS TOWN OF SOUTHOLD 1 s ll 21'00' E AT SOUTHOLD
LL 13.25' �`UFFOLK COUNTY, N. Y.
o a — Vo
LOT 2 b 1000 - 55 - 02 - 9. 1
Tes�l Well p 1KWS
LOT m o• N/OlF Q
w h c$ WARINER E. Q O o Scale: 1�� _ �Oo 0"
hw. Jr
ELLEN
o a Q [� Z Feb. 11, 1997
p n p �rAt nos 3N. 10'17'00' W. p295.W0 N. //'21'00' W
Z h m M O p, N/O/F LARD 2 `� 63.00' v o
h N m (, o h OF KIPAL/3S 5 00 , I m oo �`
\ Test Hole V Upj t;
Z 2 FN9A Tensi V �'� A h A 0 F
1082.00' vi 413.61' 2
275.00'
N. 11'21'00' W. f 49.5' WIDE ) 1357.00' ( Y O U N G S A VENUE)
RAILROAD AVENUE
THIS 1S TO CERTIFY THAT THE SUBDIVISION PLAT HAS BEEN APPROVED
BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD BY RESOLUTION
OF APPROVAL DATED
OWNERS, BY
PARKER E., BETSEY B. 8 CHESTER M. DICKERSON CHAIRMAN PLANNIG BOARD
1485 MILL C1?EEK DRIVE NUMBER OF LOTS 2
SOUTHOLD, N.Y. 1197/
NEWIO ZONING DISTRICT AC
s. TOTAL AREA = 20.9955 SCHOOL DISTRICT: SOUTHOLD
I HEREBY CERTIFY THAT THIS SUBDIVISION PLAT WAS MADE FROM [1' ^„`�';� FIRE DISTRICT SOUTHOLD
ACTUAL SURVEYS COMPLETED 2/12197 ' THAT ALL MONUMENTS LOT= o- LOT J= 80,. 28 3�]. ft O! 1.8440Acres
SHOWN THUS, I ACTUALLY EXIST AND THEIR POSITIONS ARE CORRECTLY -� L"- 'a '(OT 2 = 19.1515 Aores
SHOWN AND ALL DIMENSIONAL AND GEODETIC DETAILS ARE CORRECT. �'� +o�`° ."''
ANY ALTERATION OR ADDITION TO THIS SURVEY /S A VIOLATION Qp.� /pl>B�rp v�rL,
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW ✓OH T. MET E , .YS. L.S. LIC. NO. 49618
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERT/F/CZ7ONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY /F
SAID MAP OR COPIES BEAR THE APRESSED SEAL OF THE SURVEYOR t
WHOSE SIGNATURE APPEARS HEREON.
5020
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY- PECONIC ,
MUST BE USED BY ANY AND ALL SURVEYORS UT1UZNG A COPY 15/61 765 -TRAVEELERLER
STREET
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED-AND P. 0. BOX 909
'BROUGHT-TO-DA TE' ARE NOT N COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 11971
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PLUMBING UNDERWREQUIREERTIFICATE F�'REw't
1 ALL PLUMBING WASTE REQUIRED
LINES NEED Project No:
- YJ TESTING BEFORE COVERING
, _- — Grl ST1NG1 G-�hJG �IE� Drawn By: ?S
I I I
Jlrl Checked By:
SLC Lid OCCUPANCY OR � ' c. Date: 5 S,02
USE IS UNLAWFUL scale:
WITHOUT CERTIFICATE ��'' '� ,_ - sheet Title:
o OF OCCUPANCY
PR ED AS NOTED
DA z PLAN
If capper tubing is used FEL- <> BY: SECTION
for water distributing NOTIFY BUILDING DEPARTMENT AT ELEVATIONS
NOTES 765.1802 9 AM TO 4 PM FOR THE
system;Piping shall be FOLLOWING INSPECTIONS;
Carpentry, Electric, and Plumbing work shall comply with codes and regulaft* �a11L onl 1. FOUNDATION -
agencies having jurisdiction, including NYS Building Code. Provide required framin TWO REDUIRED
FOR POURED
anchors and vents. Existing sanitary system to remain. a ROUGH - FRAMING t PLUMBING Sheet No:
INS
Hr;A•f�K WILL MELT ALU STATE �EQUIIZ�M� ?S PLUMBERCERTIFICATION 4 BE COMP ETEFORC.O.ION MUST
ON LEAD CONTENT BEFORE ALL CONSTRUCTION SHALL MEET
CERTIFICATE OFOCCURANCY THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCT16hAIENERGY
..',c SOLDER USED IN WATER CODES. NOT RESPONSIBLE FOR
` SUPPLYSYSTEM CANNOT DESIGN OR CONSTRUCTION ERRORS
EXCEED 2/10 OF 101 �^
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