HomeMy WebLinkAbout12929-z 01044,,
Town of Southold 3/6/2016
,
1111111 11.111 P.O.Box 1179
4, 53095 Main Rd
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or„ 1,11111,1,III, r(
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 13249 Date: 3/7/1985
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 1275 Lands End Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 15.-9-1.19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/6/1984 pursuant to which Building Permit No. 12929 dated 3/13/1984
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:
New Private One Family Dwelling,.
Corrected 3/7/2016 for S.C.T.M. and owners name only.
The certificate is issued to Chaudhuri,Amal&Catherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-36
ELECTRICAL CERTIFICATE NO. N679783
PLUMBERS CERTIFICATION DATED
Ant lie Signature
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
No Z13249 Date March 7 1985
THIS CERTIFIES that the building New Dwelling
Location of Property 1275 Lands End Rd. Orient
House No. Street Hamlet
County Tax Map No. 1000 Section . 0.1.5 . . . . . . .Block 09 Lot 001 .9
Subdivision Lands End Filed Map No. 5909 Lot No. 19
conforms substantially to the Application for Building Permit heretofore filed in this office dated
March 6 , 1984. pursuant to which Building Permit No. 12929Z
dated March 13 19 . 8 4,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
New Private One Family Dwelling
The certificate is issued to HICKS r ROBERT
(owner,lessee-of tenend
of the aforesaid building.
Suffolk County Department of Health Approval 14-50-36
UNDERWRITERS CERTIFICATE NO N679783
einioW
Building Inspector
Rev. 1/81
FORM NO.
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)
N9 12929 Z Date "` ilcus.LA ) , 19 13.1
Permission is hereby granted to:
Ft Lit/1m cvn 3-1,11,
)
r , t qJ a IJ r
at premises located at 10--1 C vL .n �°(. C, je.(.-v-✓ir
«1c L th .X
County Tax Map No. 1000 Section ) C Block cl Lot No.
pursuant to application datedOkC.Xh t� t
4 19� { , and approved by the
Building Inspector.
Fee $ )oa ' 10
Y' � L
Building Inspector
Rev. 6/30/80
•
FORM NO.6
TOWN OF SOUTHOL' MAR - 5 I;;epartment „ J
BuildingIdfrIk
'' outholdDN.Y 11971 TOWBLDN G. DEE;gSOUTy, r-=m .„ 1 �)
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in dupl.tothe Building Inspec-
tor 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 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.
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 informa-
tion required to prepare a certificate.
C. Fees: %,"
1. Certificate of occupancy $5.00 '
2. Certificate of occupancy on pre-existing dwelling $15 . 00 `
3. Copy of certificate of occupancy $1.00 '
4 .Vacant Land C.O. $5. 00 Date January 24, 1985
New Building X Old or Pre-existing Building Vacant Land
Location of Property 1275 Lands End Road, Orient, New York br
House No. Street Hamlet l-
Owner or Owners of Property Robert Hicks
County Tax Map No. 1000 Section 015 Block 9 Lot 1.9
Subdivision "Land' s End" Filed Map No. 5909 Lot No. 19 ,. 1,, ,
Permit No. 12929 Z Date of Permit 3/13/84 Applicant Heidtmann 61 on Xnc, Al
Jat\ 22, 1985
Health Dept. Approval . . . !Y.Q rale' Labor Dept. Approval
Underwriters Approval .0 W199 Yl Planning Board Approval
i
Request for Temporary Certificate Final Certificate
Fee Submitted $
Construction on above described building and permit meets all applicable codes and regulations.
c_ ')..C9 \ Heidtmann & son, Inc.
Applicant
0.-0—. I'324CI
Rev.10-10-78
eYt,., i 3°5'1
.�� � i,.�i�_�;_ .�.�';�L •����%./J'M"t.�!N'>�l_:�" ��•.��.•..�J�J'>�."•�.•�. �. _._�„•�.Y�.td�������•i_t. Y. gJ. .�i.����.t i.•/f�o•,.•.���� •��.y�� �
0I
t THE NEW YORK BOARD OF FIRE UNDERWRITERS
4l 11001071 BUREAU OF ELECTRICITY, •
rehg85 JOHN STREET, NEW YORK, NEW YORK 100$
February 22 t 1985 ./t p( y
Date Applicatifile on No.No.on 273291/84N 6 1 978 'J (}
.- •i THIS CERTIFIES THAT
;3 g only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of (S
...e. 10 Hicks, Lands Rad Road, Orient, NY
'_- Pi
'"', in the following location; LJ"Basement 121 1st FL. [ 1 2nd FL Section Block Lot
was examined on 1985 and found to be in compliance with the requirements of this Board.
February 14, a•,
( FIXTURE FIXTURES COOKING DECKS . OVENS DISH WASHERS EXHAUST FANS
'1 OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT maw AMT. K W AMT. K.W AMT K.W AMT H.P.
{
26 30 31 26 1 11 .7 1 1.2 4 F
'ii . DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL ' UNIT HEATERS MULTI-OUTLE DIMMERS (r M
-f YSTEMS
•' AML ® OIL H.P. GAS H,P. AMi. NO. A.W G AMT AMP. AMT. AMPS TRANS... HH.P.P. NO.OF FEET AMT. WATTS
•I
.. °.'
L. SERVICE DISCONNECT NO.OF $ E R ' V I . C E I0
{ METER r
{i AMi AMP. TYPE EQUIP. 1,0 3W I p 3W 3,0'3W 3 A'4W NO.OFFEV000ND OF CC COrvD. NO.OF HI-IEG; OtEG NO OF NEUTRALS OF NEUTRAL I+' +�+
`' 14 1 loo CB X 1 2 1 2 0
k: OTHER APPARATU • (0
Motors t l-F
' C 1-G.F.C.I. I
' k 1-Smoke detector
•1 Track lighting: 48 feet 0 „
C i1-Lites V z.
1
minii
I, f<1 G & S hlectricAi —
' C' Box 215 0,
Southold, NY 11971 Lie�f578 GE` LMA ryErt
r
CI Per Ig4
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector, may be identified by their credentials.
r I .,`YYYi- .YY, Y1Y YY .Y4�YYY•.>•YbtYYYY 1YYCO(Y.tO/V/V(VC..YYYYYYYVYYY-Cr Y CVOI9ailihrefetr•VrililrraV21VV(\IVVirrird YY$R'a'eiYY.YYrtn,�YYfr.
COPY FOR B JILDING DEPARTMENT.THIS COPY OF CERTIFICATE MU `T NOT BE Al-TERED 111 ANY MANNER.
FIELD INSPECTION DATE COMMENTS
ro P
to
0
FOUNDATION ( 1st ) — ' \
FOUNDATION ( 2nd )2 .
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ROUGH FRAME & I
PLUMBING '7/1 / r�� �rI `/ s�l/ [19---en wai6
3 . /71/
INSULATION PER N . Y . J H I
STATE ENERGY
CODE -
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4 .
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60WW4c a1c GSC.
FINAL
� 0
ADDITIONAL COMMENTS : . `4
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [,ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
$\FRAMING ] FINAL
REMARKS:
},7w) )
e(2117-/) (7
DATE �fj� f INSPECTOR , l-�''?i'Li
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
\ t TEL.: 765-1802
ExaminedYV� , 192 . Received , 19 . . .
Approved .\11\
\7 nt\°`x-(91` 3 , 191 . Permit No 1 •0.a\
Disapproved a/c
ü -
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date March 6 , 1984
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 inspections.
Heidtmann & Son, Inc.
(Signature of applicant, or name, if a corporation)
p..,Q, _ iox• 932, Gutchogue , (V.Y. 11935
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises . . . Njr,. .44bert Kicks
(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. 10
Plumber's License No. M. Dohm
Electrician's License No. Robert Geuarillo
Other Trade's License No.
1. Location of land on which proposed work will be done. Lands End , Orient
Lands End Road Orient
House Number Street Hamlet
County Tax Map No. 1000 Section 015 Block 9 Lot i `q9
Subdivision Land End Filed Map No. 5909 Lot " ... t .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Single Family Dwelling
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building X ' Addition Alteration
Repair Removal Demolition Other Work
-4. (Description)
4. Estimated Cost 70 ,000!.00 Fee 'O a-'
A.. (to be paid on filing this application)
5. If dwelling, number of dwelling units 1 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
7. Dimensions of existing structure's,if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
S. Dimensions of entire new construction: Front 26 ' Rear 26 ' Depth 261
Height 22 Number of Stories two
9. Size of lot: Front 211 ' Rear 211 ' Depth g �0 '
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated l e s i..dgn j.i.a 1
12. Does proposed construction violate any zoning law, ordinance or regulation: no
13. Will lot be regraded . . . . . . . . y.?s. . . . . Will exc ss fill be.r moved from premises: Yes X No
14. Name of Owner of premises Robert Hicks Address1910 AllisonrDr.phoneNo.
Name of Architect W. Samba ch Address Phone No.
Name of Contractor Heidtmann ¢e Son, Inc.Address P8. 932 Phone No. 734-7484
Cut c ho gue
PLOT DIAGRAM
• l
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 or corner lot.
See sttached survey.
!
STATE OF NEW YORK, S.S
COUNTY OF
being duly sworn, deposes and says that he is the applicant
(Name of individual signing 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 manndr set forth in the application filed therewith.
Sworn to before me this
tt day''off{'. . iii4(44-e---' p , 19 fYi
Notary Public, % . ` #02'Z4-e_- County
�/
7
HELM H OF 110E � , ark
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No 4107878, Suffolk Cour: -, (Signature of applicant)
Term Ewes WHO 30, I6X
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SURVEY FOR
ROBERT H/CKS
LOT NO. /9, " LAND 'S END "
AT OR/ENT DATE' FEB. 2/, /984
TOWN OF SOUTHOLD SCALE' / ": 50 '
SUFFOLK COUNTY, NEW YORK NO. 84 - /30
M UMAUTHORI?ED ALTERATION OR ADDITION TO 'MIS
SURVEY O A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
M COPIES OF THIS SURVEY NOT BEARING ND"
SURVEYOR'S INKED SEAL OR E BALL Of NE --k,
VALID
NOT BE CONSIDERED TO BE A VALID T 31
NGUARANTEES INDICATED HEREON- tap i �A Ol _
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LAND /S END ROAD L ATHAM
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SURVEY FOR
ROBERT HICKS
LOT NO. /9, „ LAND 'S END „
AT ORIENT DATE, FEB. 2/, /984
TOWN OF SOUTHQLD SCALE, / "= 50 '
SUFFOLK COUNTY, NEW YORK NO. 84 - /30
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY R A VIOLATION OF SECTION 7209 OF THE ,
NEW YORK STATE EDUCATION LAW
*COPIES Of THIS SURVEY NOT BEARING THE LAND ,_NEW O
SURVEYOR S INKED SEAL tOR EMBOSSED SEAL SHALL OF HEW--;
;;.7p BE CONSIDERED TO BEA VALID TRUE COPY !'` 4t R
MGUARANTEES INDICATED'HEREON SHALL RUN ONLY 70 /'70.0' .4,1 W. YO`� '•
THE PERSON FOR WHOM THE SURVEY IS PREPARED 7/
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT /
AND ON NIS' BEHALF TO THE TITLE COMPANY,GOVERN- *vy C ca.
N NEAREST WATER MAIN MI. *SOURCE OF WATER. PIIIWTE�G.PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ,
N SUfF CO. TAX MAP DIST /0001 SECTION_QM-BLOCK-.—LOT /.9 HEREON,AND TO THE ASSIGNEES OF THE LENDING t . fi
*THERE ARE'NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE 4 ?iO
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
01 THE THAN THOSE SHOWN SE HEREON. OWNERS m a "
01 THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES q '"-49 2v�//
WILL HEALTHCONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING
POS EI ANO ARE OT TO BE FOR A SPECIFIC k USED TO ES TABLISN 4, I,Zg�+ �O//
OF SERVICES, 5,r 6
APPLICANT. PROPERTY LINES OR FOR THE ERECTION OF FENCES ��/�/� 6/ - PP
ADDRESS a1',.. ,_.0N . ' 1
TEL _ YOUNG at YOUNG "°ER TAD, NEW YONDER RK
NOT£: CS L STAKE
51/80/V/S/ON MAP F/LEO /N THEOFF/CE OF TH£ CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE N0.12845
SUFFOLK COUNTY ON MAY 3, /973 AS F/LE NO. 5909.
HOWARD W.YOUNG, LAND SURVEYOR
*TIM=LOCATION OF WELL(W),SEPTIC TANK(STIB CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OBSERVATIONS AMD OR DATA OBTAINED FROM OTHERS
BR-ANOIS & SONS INC. 1046 '
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LANE
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6T6t4 SURVEY FOR
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FO APPROVAL OF 'COI',.::' , .•'. . s';G",, 0..\: ,,Y TOR/ENT DATE FEB. 2/, /984
•WN OF SOUTHOLD SCALE / "= 50
DATE °�'`' � 7 HSR; No._\ S0-3/ UFFOLK COUNTY, NEW YORK NO. 84 - /30
10 UNAUTHORIZED ALTERATION OR ADDITION TO THIS
-URVEY b A VIOLATION`Of SECTION 7209 OF THE /.... � i
APPROVED �/ ��r!/�_ EW YORK STATE EDUCATION LAW .`,�E OF NEIy 3' `�
_ - - - COPIES OF THIS SURVEY NOT BEARING THE LAND ' �V• Oq \
a rrm�..+e.«,..e.,,�.,,.,,.,Q,,,2.- ,.. uR VE YOh•S INKED SEA1. OR EMBOSSED SEAL SHALL
st4 vo°4�
• I ', •!FEEING ON► y *GUAR
*GUARANTEES CONSIOINDECATEb HEREON SHALL D TO BE A VALID ERUN PONLY TO ' T •
THE PERSON FOR WHOM ;THE SURVEY IS PREPAREDT= / co
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT AND CN HIS BEHALF TO THE TITLE COMPANY,GOVERN- i i ;HE ,, xra7/!y ,, .o
*NEAREST WATER MAIM MI.Y N SOURCE OF WATER. PRIMITE.L.PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED =y as,
N SUFE CO. TAX MAP QIST /000 SECTION.,Q('.�BLOCK-2_LOT /.9 HEREON,AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE `"` 4' t /
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT x ` �`
OTHER THAN THOSE SHOWN HEREON. .u,. 'a.- :J o
WILL CONFORMERS
R THE WATER SUPPLY TO TNEIS SEWAGE s DISPOSAL SYSTEM FOR THIS DEPARTMENT NCE *D'ISTANC,ES SHOWN HEREON FROM PROPERTY LINES -4 X1'0 12SA•6 O\Pr
�./ TOE OSTING STRUCTURES ARE FOR A SPECIFIC
TABL '\ �o
OF HEALTH SERVICES.
T l.l-4'�C-Ju+.---„ PURPOSE AND ARE NOT TO BE USED TO ESTABLISH \ yAl ENGIII0
APPLICANT& �� \. PROPERTY LINES OR FOR THE ERECTION OF FENCES "
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ADDRESS f zirl . Q 3a Cv`Fr he �L�� : '' ` ti
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q?)s. TEL.
EL 11 `'`1,4'I4 YOUNG a YOUNG 400OSAVENUE
EAD, NEW YORK
liti
NOTE: O = STAKE
SUBDIVISION MAP F/LED /N THE OFF7CE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
ANO LAND SURVEYOR N.Y.S.LICENSE NO.12845
SUFFOLK COUNTY ON MAY 3, /973 AS FILE NO. 5909.
HOWARD W.YOUNG, LAND SURVEYOR
*TIE LOCATION OF WELL(W),SEPTIC TANK(STUB CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OBSERVATIONS MIO OR DATA OBTAINED FROM OTHERS
GR'ANDIS & SONS INC. 1046
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-C ; > IdC NUM T BBAIIIM DEPAiiTIMMIs SURVEY FOR
B 22 1985 H. D. M. #kl��%3�O ROBERT 1-11CKS
"* LOT NO. t9, " LAND'S END " NOV. 2, /984
c , C aDATE: FEB. 2/, /984
rsewag lieposal and water supply Al OR/ENT
ferAilitiesJor this location have been TOWN OF SOUTHOLD SCALE: / "> 50 '
Inspected Issathis department and found a SUFFOLK COUNTY, NEW YORK NO. 84 •• /30
'+• b satisfactory. G- R WMU TNORI=ED ALTERATION OR ADDITION TO THIS ...�
SURVEY e A VIOLATION OR SECTION 7209 OF THE
'Thief of Gener i logineerfAS Nov YORK STATE EDUCATION LAW
*COPIES OF'THIS SURVEY 01 BEARING THE LAND :,,..c.,:07,,‹
tU ,,‹ jsk
4Prtrinab SURVEYOR'S INKED SEAL QR EMBOSSED SEAL SHALLv
, r
NOT SE CONSIDERED TO BE A VALID TRUE COPY �z9,. .
KGUARANTEES INDICATED HEREON SHALL RUN ONLY TO , / ti
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON,FOR WHOM THE SURVEY IS PREPARED ,
ANO ON MIS BEHALF TO THE TITLE COMPANY,GOVERN- ' �" +b
R NEAREST WATER *AIN MI.Y C.
/5 NSOURCE OF WATER' PRIVATE,, PUBLIC— MENTAL AGENCY AND LENDING INSTITUTION LISTED "
N SUFF CO. TAX MAP DIST /MO SECTION DBLOCK . .9LOT / HEREON,MIO TO THE ASSIGNEES OF THE LENDING el l`
N THERE ARE SIO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES!ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT3/4\ 2
OTHER THAN THOSE SHOWN HEREON. OWNERS
M THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE
, *DISTANCES SHOWN HEREON FROM PROPERTY LINES `'^- .,m„✓' 0
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES', ARE FOR A SPECIFIC � £,11,17 4',J?;°"
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO SE USED TO ESTABLISH
APPLICANT, PROPERTY LINES OR FOR THE ERECTION Of FENCES """ "
ADDRESS li 14 },4'
TEL. 1$1 YOUNG & YOUNG 400 OS NDER RRHENEW YORK
E
NOTE O = STAKE ALDER W.YOUNG,PROFESSIONAL ENGINEER
SUBD/V/S/ON MAP F/LED /N THE Off7CE OF. THE CLERK OF 41. AHOWARND LANDDW.SURVEYYOUNGO, RLAND N.Y.S.LICENSESURVEYOR*0.12845
SUFFOLK COUNTY ON MAY 3, /973 AS FILE NO. 5909.
*TIE LOCATION OF WELLCW I,SEPTIC TANKIST)S CESSPOOLS(CP)SHOWN HEREON N.Y.Si LICENSE NO.45893
ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS •
KRANOIS & SONS INC. 1046
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