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HomeMy WebLinkAbout12072-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA/kTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22506 Date AUGHST 6~ 1993 THIS CERTIFIES that the building Location of Property 1350 EUGENES ROAD House No. County Tax Map No. 1000 Section 97 Subdivision NEW DWELLING Street Block 6 Filed Map No. CUTCHOGUE~ N.Y. Hamlet Lot 1.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER t, 1982 pursuant to which Building Permit No. 12072-Z dated DECEMBER t4, 1982 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 & WOOD DECK * The certificate is issued to MICHAEL & CORINNE SLADE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-622134 - NOVEMBER 2~ PLUMBERS CERTIFICATION DATED N/A *THIS UPDATED CO Z-12180 DATED JANUARY 3, 1984 ~/~- ~ ~~n~s es tot Jan. 3~ 1984 - 12-SO-119 1983 Rev. 1/81 TOWN oF ~ou'mo::D BUILDING :DEPARTMEN TOWN HALl. SOUTHOLD, N. Y. BUILDING PERMIT fi'HIS PERMIT MUST BE KEPT ON ~HE PRE/~iS~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED): N? :12072 Z tO ...... · ......................... .> ............ ~.-..~ ........ ,~...;~ .......~,.-,.,....>....:.~ ..... ~.'t..~ ........ ................ , .................................................................... : ................ ~ ................ ,.....:.~.:....: ........ ,... ....... , ................................................................................ ........ ~ .................. ...................................... ........ ~tNo.; ....................... pum~*nt to ~ppllc~don ~t~ .......... ; ....................... ~ .......... ~...,...., ~ ........ , ond ~ppmv~ b~ tho Building I~sp~tor. Building ~rL~ector , Rew '6/30/.80 · .;- ~ ; Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL~ ~ 765-1802 ~ Bi~PLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survsy 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-disposai(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 a 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, 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. ~ 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existin~Building ....... Location of Property ...... L~ ........ ]~ ....... .~ ~ ............... .~2~{ House No. Street ~' ....... Onwer or Owners of Property.. D~. /~IC~R~( .~..~..~i ~ ~1~ ~C~D~ County Tax Map No i000, Section...~?. ..... Block. ~h - ' I'~ Subdivision ............................. ....... Filed Map .......... .. Lot ...................... o ...... Date Permit ................ Applicant ............ Health Dept. Approval ........... ... .......... . .Underwriters Approval...... .................. . Planning Board Approval ~ ..... Request for: Tempo. rary Certificate .......... Final Cert~ ........... Fee Submitted: $ ...................... i ...... "//~{~Td .~--~- o f f ' · ........................ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. z.1.2.150 ......... Date ..... JA:~JARY. 3 ................. 19.84 THIS CERTIFIES that the building NEW DWELLING Location of Property ....'t ~,5~ · · EI3~ENE$..gOAD ............... ~]/~.c.I-.IQc.~.u3.., ............. County Tax Map No. 1000 Section ..... 0'32 · · .Block ..... 9.6. ....... Lot .... Subdivision ............................... Filed Map No ......... Lot No ............... conforms substantially to the Application for Building Permit heretofore filed in tlfis office dated · · · DEGEi~BE~ .t ....... 19 8.2 pnrsuant to which Building Permit No .... 1.2.072~ dateCc... DECEblBFJ{. 14 ........... 19 8,2, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... F.QI{.A lxlg~3 O~x~ F~iv~$a~r. DWEL,L.I. NG The certificate is issued to .... MA~K. MC..D©AS~LD · &..P. ATRIX2K. CARRIG ................. (owner, levee or tenant) ' ' of the aforesaid building. Suffolk County Department of Health Approval .... ~.2.zs.°. 7.1.1.9. ........................... UNDERWRITERS CERTIFICATE NO ..... [q62,2134 ..................................... Rev. 1/81 Budding Inspector lOOlo71 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 ,JOHN STREET, NEW YORK, NEW ~ORK 10034 ~g Nov~L~r g, 1983 ~1/83 THIS CERTIFIES THAT only the electrical equipment ~ described belo~ a~ introduced by t~ applicant named on the above application number in the premises of ~2nd Ft. Section Block Lot and found to be in compliance with the requirements of this Board. RANGES COO-KING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE oISCONNECT S E R V I C I-G.F.C.~., 2~fl~oke Detec~cor~. NO OF CC, COND. PER ~ AW, G, OF CC COND, 1 OF Hi-LEG A,W G NO. OFNEUTRA[S OF NEUTRAL P. 0.~ 215 ~tbo~, N0Y 11971 IAe. 578 GENERAL MANAG~ This certificate must not be altered in any manner; return to the office of the Board if ihco[rect, Inspectors may be identified by their c~edentia~s. COPYFOR UILDI G DEPARTME[~ I~ ~1, , 'MANNER. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Building 40, SUNY--Room 219 Stony Brook, NY 11794 (516) 751-7900 AMENDMENT TO PERMIT ti771 EXTENSION OF EXPIRATION DATE Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions,'relevant technology or applicable law or regul- ations since the issuance of the existin~ permit, therefore, the expiration date is extended to 31311 ~3 · / ! This letter is an amendment to the original permit and as such, shall be attached thereto, and a copy posted at ~e Job site. All other terms and conditions remain as written in the original permit. Very truly yours, / Daniel J. Larkin Regional Permit Administrator DJL:cz (51.6) 751-79')0 C~mJ.s sicme~ Your reoant request to mctond ?.hg o~ve pe~_mRt has l~n revi~ ~t to 6 b~ P,~t 661. It ~s l~en {:]et.Q~ned that the r~t ~ i~de ~n~'~on¢ %,~}~1 o~.nt at ~r] ~'jao~nt to sitr~ at ~ ~ that ~it w~ issu~ i~ ~t subs~tinlly c'-~ngc3d ~d the site is still s~le for [~itted ac~vi~es~ ~'te~efore, ~ho e~iration ~%te is e~onded to [3~[]2 · All o~ ~31e cor~lltiops still rexnin .~ origJa~a1'Ly ,;r'itt~ in the parmit. Very ~2uly ymmm, EC?..IIFI, J. JAPI~iI,I, P.E. Paglom'~l h.,rr~t A&ministra~or Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 June 12, 1989 Dear Dr. Slade: At your request I pulled the file for B.P. ~12072Z, the name of the architect was Lawrence H. Tuthill. His phone number is 477-1652. Yours truly, Secretary FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter OR ink, and submitted in duplicate to the Building inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all bulldings, property lines, streets, and unusuai 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"_ land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate, C. :-Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .... /.//,] ,~:'.~'~: ............ New Building .... ~.'~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... House No. ~) ~ Srree~ Hamlet · . , /'/~ ,~ :/~." ;' Owner or Owners of ProperW . ./[ .~.;~./i'(~,' (~', .(..'~?~.., ¢ ~: A~/;. :,, [..,/~!4'.~: :~ '?. .......... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /~.. ~ .... Date of Permit . ,: ........... Health Dept, Approval ........................ Labor Dept, Approval ...................... Underwriters Approval ........................ Planning Board Approval .................. porary Certificate Fi al Certificate Request for Tern ..................... n ................... Fee Submitted $ ............................. Construction on above described building and p~r~mit meets ail applicable codes and regulations. ... , Apphcant ......... ,,,. ~'..(..., ..... ,...~ ........................... Rev, 10-10.78 765-150Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE COMMENTS EIELD iNSF~CTION 1. FOUNDATION (l~t) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q. ODE FINAL J ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION XST ~]~ ROUGH [ ] FOUNDATION 2ND [ ] INSULATION ~ FRAMING ~ REMARKS: FINAL March Building Dspartment Town of So~thold Main Road Southold, NY 11971 ~ntlemenl Residence of Patrick Oarrig - Eu~enes Road, Outchogue I have re-reviewed the beam above the living room on the northwest room which supports the bedroom and one end of the 5' balcony and find it meets the requirements of the State Building Code. Sincerely yours, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-18013 Approved /(~J~-~-...f..<(7. .... 19~..~. Permit No ..... Disapproved a/c ......................... .................................... ~.. ...... (Bfiil~ling Inspector) APPLICATION FOR BUILDING PERMIT Date .... pti...C .... ? ...... 19~.~. INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 building for necessary i ~,io.~, (Signature o app ica , , ' P (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ..................... .......................... ;: ................ ............... Name of owner of prelmses..~.~..1'( ~.. &../t~. ~.D .... ~....~.~.~.. ~./..~... C~. .~t/ ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............... , ........... Electrician s License No....~-~. Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. . .~. ~. ~.~; .~..t~.~./[/O./~.~? .......................... House Number Street Hamlet County Tax Map No. 1000 Section .... (L? .? .7 ........ Block ,..~...~. ........... Lot... ~: ..'~-. .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... d~t4. t ................. ............................. 3. Nature of work (check which applicable): New Building ~" Addition Alteration Repair . ............. Removal .............. Demolition .............. Other Work ............... .....7/~,,_.r .... r Fe ..... 4. Estimated Cost Q~iO ...................... . ...................... (to be paid on filing this application) 5. If dwelling, number of dwelling Units ...... / ........ Number of dwelling units on each floor ................ If garage, number of cars ..... i' .&~d..~' ............................................................ 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 same structure with alterations or additions: Front ................. Rear .................. r)epth .................... :.. Height ...................... Number of Stories ...................... 8, Dimensions of entire new const~ction: Front t ........ ~f~. ~ ........ ..... ~ ........ Rear ... ~..~..~.. Depth ~.q ~ Number of Stories ~. Height .................................................................. ize 'Fr ~O;~' ~ ~ 9. S of, lot. ont ........... ~...., ...... Rear ....... /.g. ............ De, pth .... 1.9.7, ............. 10. ~)ate of Purchase ......... /./d ~/.f.& ......... ,~ Name of Forr0er Owner ./.-/fl.c~..,¢.~.. ,~'7~/.d ,~ ........ 1 1. Zone or use district in which premises are situated../.(.~. (/P. ~.A/F./lt & .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ~..~ ...................... 13. Will lot be regraded ..... .~.~,~-~. .................. Will excess fill be removed from premises: ~ No 14. Name of Owner of premises . ./.~tR/.~tr...~-.g~l'&... Address /~te.~.~e*..o/.~J'.~rqo.~aPhone No. 7~.-sY..-..-7.P.~..7... . Name of Architect ............................ Address ................... Phone No ................ Name of Contractor ......... ! ................. Address ................... Phone No ................ PLOT DIAGRAM Locate Clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. .~-~- /fT-Z-,4c/r'~'~ --~ot/~//~y' STATE OF NFaW ~,K, ,, / ~d ........ ~;~..': .~.~ ....... being duly sworn, deposes and says that he is the applicant (Name ot indivitlual sign!ng contract) above named. He is the .................. ~ ........................................................ (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 manneF set forth in the application filed therewith. Sworn to before me this .......... /. ~ ....... 'day of'..~ 19 ...~ No, 5~.8125850, Suffolk Term ~pJres March 30, 19,.,~.../'/- Application Roceived Disapproval Issued Permit Type of Development Proposed: Addition and/or Alteration[] Other (specify) ...... FORM NO. 10 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold New Structure (including storage tanks~ Flood Proof Below Base Flood Elevation~ 2. Elevation Data in relation to above mean sea level of: /~q ~[~ (a) Lowest floor elevation, including basement .~/ feet inches (b) In a V Zone, bottom of lowest structural mem--b~ ,,7~f'~'g~--~ .... inches 3. FIRM--Flood Insurance Rate Map, Zone designations ,, - 4. 0~mer of Premises ~/C~ ~/f~l~ o~< ~. Location of Property: County Tax Map No., District, 1000, Section ~,~,~ Block.,Yr,~__ Lot(s),/,~ Subdivision . ~ Filed, Map ~ Lot(s) 6. Permission. to be g__.~antoa: ~7~Owner___ a~ above'New Owner 7. Approval from other(s) before Permit is issued: DEC /£>~- &~ ...... WETLANDS (Tow~ Board) *D~INO -~~ v .~'~ ' ' ' .... ~ /~ ...... Owner.S, New Owner[Z_], Ona~-~ntractl~, Lesseel--I, ~genti~l, Con- tractor~, and agree to comply with all applicable sections of the Code of the Town of Southold; Co~ty, and State and to a~it authorized in- spectors to premises authorized to perform or have performed the said work ~d to make and file this application, that all statements contain- ed tn this application are true to the best of my knowledge and belief and that the work will be perfo~ed in the mannerset forth in the application filed therewith. Z Notary Publl c u~y PUBlIC, stero of New YeTI Applicant' s mailing addpess and phone ~ i~ not given above: 4/80 BOX ?28 SOUTHOLD, NY llg?l FORM NO. ,lO TOWN OF sOUTHOLD BUILDING DEPARTMENT (516) 765-1802 TOWN HALL MAIN ROAD SOUTHOLD, NY Instructions: The application to 'the Building Inspector includes (each iH duplicate) 1. Form No. l0 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level~ 3. Drawings of pro- posed work. The application must giv. e complete info--nation to show that the-proposed can comply to the Local Law No. 1-1980,1'Chapter 46 of the Code of the Town of Southold known as "Flood Damage prevention Law" of the Town of Southold. The applicant must submit approvals that any.other agency requires. .General Standards as required in Section 46-17 of th~ law to minimize flood damage: A. Anchoring of structures, including tanks and;mobile homes B. Use of construction material and methods C. Design and location of utilities~ D. Subdivision proposal with drainage, public utilities design and base flood elevations ~pecif~c Standards as required in Section 46-18: A. Resmdential construction B.~ Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor~ including basement/ cellar, elevated above th~ base flood elevation or; %f~permi~ted by the Federal Regulation, that: 1. such st'~ucture is flood p~oofed in such manner that below the base flood level the structure:' :zs water tight ~ith walls substantially and impermeable to the passage of water, 2. that' structural components are capable to resisting hydrostatic and hydrodynmv~ic loads and effects of buoyancy, 3. applicant must su~it certification by a registered professional engineer or architect thatlthe standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal Hi~h. Hazzard are_~a (V Zone) 46-19. Applicantlshall submit plans, specifications including the required certifications!and such other in- formation as the Building Inspector may require in that ~he provisions of. 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot lbe lower than th'e base flood elevation with all space below open excep$ breekaway walls. Sand dunes. If sand dunes exist on the premises and ithe aptlicant pro- poses to alter same, plans and specification must be :shown ~n detailed nature of any alteration submitted. ~uilding Permit. A Building permit is~also required'for any structure. Both a Devel'0p~ent and a Building Permit must be issued before any work can start in a special flood hazzard zone. A written disapproval or a permit must be issued within ten (lC) working days. During construc~ion, the inspector shall be notified!in time so he may make the required inspections. Upon completion, the required certification fo the f~nal elevations and work must be submitted before the approval to use oroccupy can be approved. 4/60 (Fill out the form on the back of this isheet) TiThE MO. 8'Z06 - $51- tS~: ROAD J BOZO0' 6.0 $.88°0 ' $0 "v/ 71. $~ ' ' $49o00'40"W. B4. 47 ' TEST HOLE oo StTFFOI~ COUNTY HEALTH Chief of General Englneerin8 Services ~ SUFF CO. TAX ~AP mS~ ~oOSECT~ON ~7 aLOC~ U~ LOT~ ~rM~EE A~E NO OWELLINGS WITHIN ~00 FE~T OF THIS OTHER THAN THOSE SHOWN HEREON, WILLCONFOR~ TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES, ADDRESS TEL. NOTE : · -' MONUMENT E3 -- 37'z~K~ ELEI/.dTIONS ARE REFERENCED TO ~ 7HE LOCATION OF WELL(WI,SEPTIC TANK{ST) 8 CESSPOOLS{CPI SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAIHEO F~OM OTHERS SURVEY FOR ?ATRICK CA, RiG MARK McDONALD AT EiIST CUTCHOGU£ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: 0C% ¢ ~, 1~2 SCALE= J" ~ ~0' NUNAUTHOR1ZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE EDUCATION LAW ~COPIES OF THIS SURVE~ NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT GE CONSIDERED TO ~E AVALID TRUE COPY NGUARANTEES INDICATED HEREON SHALL BUN ONLY TO THE PERSON FOR WHOM THE SURVEy IS PREPARES ANO ON HiS BEHALF TO THE TITLE COMPANY~ GOVERN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION· GUARANTEES ARE NOT TRANSFERABLE TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS ~4DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTT LINES OR FOR THE ERECTION OF FENCES YOUNG a YOUNG ALDEN W. YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S, LICENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y.S, LICENSE N0.45893 E~UAR/~TE. ED TO; C.,IJICA~ TITLE tMSUP-.~NCE E RIVERHEAD~ NEW YORK £ U G EIVE ROAD S.$9°0~ 202.00' W~L4- __s. eeop/'ao "w. S49o00',I0"W. Z,l. d7 ' EUGEN -'S' Ct E -K TEST O0 'qt should be noted that since thi~ property is located in an agridultural area, the possibili?y e×ists fhctt tl*e water supply ,,,may cordoin ' t~c~ce amounts of pesfic)des and/or nffrotes. Special analysis ~/~ requited. ~,,, ~ SUFFOLK COUNTY DI~PARTMEHT OF HEALTH SERVtCE5 FOR I,,ppI,~OVAL OF CONST~,UCTION ONLY DATE _~_~/,~.~,~ REP. NO.......~-~'%,O APFROVED~'-"~'-7~----T~/ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT 9~ NEAREST WATER I~AIN~.MI. -+ NSOURCE OF WATER PRIVATE~__.RUBLIC_ ~ SUFF CO. TAX MAP OIST JuDO SECTION ¢c~-/ SLOCK O~ LOT ~, ~ ~THER/ ARE NO DWELLINGS WITHIN I00 FEET OF THIS PROPERTY OTHER THAN THOSE SHO~N HER[ON. ~ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTE~ FOE THIS RESIDENCE~ WILL CONFORM TO ~HE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT NOTE , · -' MONUMENT ELEVATIONS '~RE ~ THE LOCATIO~ OF WELL(W)~SEPTIC TANK(ST)~ CESSPOOLS(CP) SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FR~OM OTHERS SuRvEy FOR MA~K M c DONALD AT EAST CUTCI-IOGU£ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: OCT. SCALE: .. NO. RUNAUTHOR1ZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW ~COBIES'OF THIS SURVEY NOT BEARING THE LAND SURVEYO~R~S INKED SE~L OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY RGUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WNOM;.THE SUR~/EY IS PREPARED AND ON H S BEHALF TO THE TITLt~ CO~PANYt GOVERN- MENTAL ~GENCY AND L~NDING INSTITUTION LISTED HEREON, ANo TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANFI~ES ARE NOT TRANSFERABLE TO ADDITIONAL RSTITUTiONS OR SUBSEQUENT OWNERS. N DISTANCES SHOWN HEREON FROM PROPERTY LINES TOEXISTING STRUCTUI~ES ARE FOR A SPECIFIC PURPOSE AND ARE NO~T TO BE USED TO ESTABLISH YOUNG 8, YOUNG A~DEN W.YOUNG~ PROFESSIONAL ENGINEER AN',D LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HO?ARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK r~