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HomeMy WebLinkAbout25834-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27076 Date: 05/11/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: 752 JENNINGS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 6 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1999 pursuant to which Building Permit No. 25834-Z dated JUNE 29, 1999 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 A SCREENED PORCH ADDITION & COVERED ENTRY AS APPLIED FOR. The certificate is issued to WILLIAM & ELAINE WHITE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0040 05/04/00 ELECTRICAL CERTIFICATE NO. PENDING 04/04/00 PLUMBERS CERTIFICATION DATED 04/28/00 PECONIC PLUMBING&HEATING AL}+ horized Signature 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. 25834 Z Date JUNE 29, 1999 Permission is hereby granted to: SALLY ANN GUIDO 40 PARK AVENUE 2B NEW YORK,NY 10016 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH A SCREENED PORCH ADDITION AND COVERED ENTRY AS APPLIED FOR. at premises located at 752 JENNINGS RD SOUTHOLD County Tax Map No. 473889 Section 054 Block 0006 Lot No. 019 pursuant to application dated MAY 11 1999 and approved by the Building Inspector. Fee $ 706 . 40 Authori d Sign re ORIGINAL Rev. 2/19/98 F Form No. b 4! VAN OF SOUTHOLD �I ; 4 BUILDING DEPARTMENT U`.. TOWN HALL L . _ .. . 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by t-ypewriter OR ink and submitted to the building inspector with the foliowing: for new building or new use: 1 . Final survey of property with accurate location of all buildings, property lines, streeLs, 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildingu 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 I "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. C. Fees 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 Buildine - $10000 3. Copy of Certificate of Occupancy - -211. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . Location of Property. . . . .... . . .. . . . . . . . . . . 10. . . . . . . . . . . . . . .A'01A 1V` . . . . . . House No. rr Street Hamlet Onwer or Owners of Property. . .4',?�t�.t11y . .:� �.l°:IO, .9014".1t-S,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . .Q S.Y. . . . . . .Block. . . OWN . . . . . . .Lot. . .CIA . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . .. . .Lot. . . . . . . . . . . . . . . . . . . . . Permit No. . . . . .Date Of Permit 0100.0 1. . . . . .Applicant. G.00V9. . . . . . . . . . . . Health Dept. Approval11.V. .CR S Al. . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . X. . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . . . f . . �ssy . . . . . . . �2_ a ?� . . . . . . .4.(.,. 5 APPLICANT THE NEIN YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1@@i@71 BUREAU OF ELECTRICITY /� �A�-�,/� 40 FULTON STREET, NEW YORK, NY 10038 Date Z'mY 1z'2we Application on file 3562!39/93 N 523688 THIS CERTIFIES THAT PERMIT 4. 25834 only the electrical equipment as described below and introduced by !' amed on the above application number is In the premises of WILLIAM WHITE, 752 JENNINGS ROAD, SOUTHOLD, NY in the following location; ® Basement ® 1st Ft. ® 2nd F/. ATTIC/OUT Section0_5$ Block@6 Lot 019 was examined on MAY 04,2@@G and found to be in compliance with the National Electrical Code.. FIXTURERECEPTACLES SWITCHESFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS 1NCANUFSCE FUIORESCENT I OTHER AMI. K.W. AMI. K.W. AM7. K.W. AMI. K.W. 35 4339 35 1 1.2 2 1 E DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET TMS DIMMERS S AMT. K.W. OIL H.I. OAS H.P. AMT, NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT.. N.P. NO.OF FEET AMT. WARE L 3 F 1 20 1 1 600 F SERVICE DISCONNECT ER NF7O S E R V 1 C E AMT. AMI. 7VPF EQUIP. 1 e 2W 1 e 3W 30 3W S e 4W NO, FCC COND. A.W.Q. NO.OF HI-lEG A.W'O' NO.OF NEDTRAa A.W,p. E TER e F CC. OND. OF X-IEO W EViRAt E 1 2@0 CB 1 X 1 2!0 1 210 r OTHER APPARATUS: n y WELL PUMP-1 E G.F.C.Ie-11 E SHORE DETECTOR:-8 E 1 E E - 6 1 E G & S CONTRACTOR LIC.#578-E Q. ...-._.-. 1- L, E BOX 215 ANN E SOUTHOLD, NY, 13,971 GENERAL MANAGER E per E This certificate must not be altered In any manner;return to the Office of the Board If Incorrect. Inspectors may be Identified by thele credentials. E COPY FOR BUH.DING NT. THIS ' CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ��o�g�FFOC,I-�OGy o � Town Hall,53095 Main Road y x Fax(516)765-1823 P.O. Box 1179 v- Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE• `/ zyto-yD Building Permit No. LSSl3`/ owner: r,l aUc W.. L 11 r (please print) Plumber: Puvw:c� Plkm4l�c l�� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. i (Plumbers Signatu Sworn to before me this Z'9 day of herr", 19 a 200 Notary Public, County BARBARA STEPNOwSM N*ry Public,Stale of Neryalt No.O1ST4844752 Qualified in Sufloik Cwyy 7 ,„�( Cww"onE4*"Sep.0q, '2 May 6, 2000 Mr. Richard Romeo Romeo Builders Jennings Road Southold,NY 11971 Dear Mr. Romeo; This letter is to confine that placement of the driveway, walkways and landscaping were not part of our contract for the construction of our home at 752 Jennings Road, Southold. These services are to be provided by individual contractors and are not part of our contractual agreement. Sincerely; William R. White Elaine P. White 54-mle of Flew York c4ux4-c aF Sc��folk Swom bzj;oY . nae_ dktis 8° ANN 0, ROMEO Notary Public,State of New York No.4764227 Qualified in Suffo0.County Commission Expires 7B!/ZOo M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: D ayt3 DATE INSPECTOR 3s� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: l� 8 12 f DATE( INSPEC 765-1002 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREFOL C & CHIMNEY ,, RE RKS 4A L%� DATE 1 NSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] F UNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ J FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 4 INSPECTORX:�-4AILY\ 765-1802 BUILDING DEPT. INSPECTION [i.4/FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ } FIREPLACE S CHIMNEY R KS:7 ,I� Q� or �> DATE1 INSPECTO 765-1802 BUILDING DEPT. INSPECTION , [ ] FOUNDATION 1 ST [ ] R GH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO 765-1802 BUILDING DEPT. ! NSPECT [ ] FOUNDATION 1 [ ROUGH PLBG. [ ] t DATION 2ND [ ] INSULATION [ ING [ ] FINAL [ ] FILI�E_P`LACE & CHIMNEY lam'`"' � RppEMARk- `.— IA. /A ean DATErf INSPECT & iolre— �n. � ��S�FFO(,rc Town Hall,53095 Main Road o�O OGy'c Fax(516)765-1823 P.O.Box 1179 w = Telephone (516)765-1802 Southold,New York 11971-0959 Oy j 1% BUILDING DEPARTMENT TOWN OF SOUTHOLD May 5, 2000 Romeo Builders Inc. P O Box 111 Southold, NY 11971 Re: W & E White TM# 54 . -6-19 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : PLEASE HAVE HOMEOWNER SUBMIT NOTORIZED LETTER RE DRIVEWAY, WALKWAY & ALL EXTERIOR LANDSCAPING (keep bottom r:seer- equal while grading walks) . _X_ An application for Certificate of Occupancy is not on file. (Enclosed) X No Underwriters Certificate on file. X The check is (not on file. ) ;25.00 X No Health Department Approval on file. Igo final inspection has been made. X No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25834Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. O1� '" EL-2 INSPF,.^TION REPORT �DATE COMMENTS UNDATION T) )UNDATION (2ND) N =--- —________________'___=_________________________ b -- ®l2 OfJGU FRAHF, b `— u PLUMBING p A `• of _ rRSUL.ATION PER N. Y. STATE ENERGY u CODE N ` SUI '01- FINAL tl p CIN - --- — ------- DITIONAL COMMENTS: _�-- —_---------------------------- 'pf ---------------------- a �• ea r r_ C i BOARD OF UEALTH . . . . . . . . . . . . . .. FORM NO. 1 3 SETS OF PLANS . . . . . . ... . 1 . . .. TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . .. . . . .. .. . . . BUILDING DEPARTMENT CHECK . . . . .. . . . . . . . . . .. . . .. .. . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . .. SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL : . . . .. . . . . . .. .. . . . 5mmined. 19.[j� MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.. ............, 19.(.7 Permit No. ................ ................................... ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. �f�?!�. .�a . . . . . . . 19.�?. i INSTRUCTIONS `_' 'this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 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. Sucli permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in Wbole or in part for any purpose Whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS DEWEfff MNL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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. ......................... (Signature of applicant, or nam, if a corporation) .0 3ox Ifit, So�ff- (J& n-Y. 1177r ................................ (Mailing address of applicant) State v>tnether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or build - e ...k %qfor....................................................................................... Name of owner of premises .. .f................ .................................................................. (as on the tax roll or latest deed) If applicant/iiss a corporation, signature of duly authorized officer. .f.. -...................................... (Name and title of corporateofficer) Builders License No. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be dare.............................................................. ................................. .'.".'}yt•:.` 5...!`.. ...........................S....Mu....................... House Number Street Hamlet Canty Tax Map No. 1000 Section ...:S.y........ Block ...D 6......... lot ..l q........... Subdivision ...................................... Piled Map No. ............... Lot ............... (Nam) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .�21m..r.................................................................: b. Intended use and occupancyClv�¢„ S-a-��'�1�...Ce�tk:,,.cx. E. e(7 V 3. Nature of ,cork (check which applicable): New building ._.. Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) G. Estimated Cost .�S o c�c7�J........... fee ................. ............................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...!........ Nuhber of dolling ,nits on each floor ................ Ifgarage, number of cars ...................................... 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 ......................... lumber of Stories ...:.................. Dimensions of same structure with alterations or additions: Front ............... Rear .......-........ Depth .................... Deiglht .................... limber of Stories ............... 8. Dimensions of entire new construction: Front ...'t -...5!?... Rear ..:��.�........ Depth ...yt''. Height .....2�..t.'......•••••• lumber of Stories ...i............... 9. Size of lot: Front ...t S S,.......... Rear ...1 7 l . Depth .:31:3........: ............ ..... 10. Date of Purchase ..................... Nae of Former Owner :S{� ��....��SlF�J.................. 11. Tore or use district in which premises are situated r.............................................................. 12. Does proposed constructio nviolate any zoning law, ordinance or regulation: ..No................... 13. Will lot be regraded ...cy.R............ Will excess fill be removed from premises: YES(� j•D v � ., �I4l�Q....... Address Pct tZ� „2S0 $�wTk• 14. Names of Owner of premises ...... ....... ......... ISlhore No. .,........ Name of Architect .................................... Address .............................. Phone No. .......... Name of Contractor ,l A? s I . ............... Address ?�. :n.11ll S; yt .......Pihone No.70::.?O 15. ,Is this property within 300 feet of a tidal wetland? * YES ........ k...... *1F YES, SOLMOD TOWN IMME?S PEGS lT MAY RE REQUIM. 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 Danes and indicate whether interior or corner lot. p Ro 1 wx•v' a•r � u � x 2 $ m w - sZ E 4 a A O t - o a o m 9, 4a c C 14 �,^ x sx'rr jQ•� n!TA . Oa STATE OF NEW YORJ!5 \) ` SS COUNTY OFy/_� . . . . . - ................ being duly sworn, deposes and says that lie is the applicant .................. ..... (Nam of individual Sipping contras!:) albove named. .. Ileis the ...::r::Y•c' ......................................................................................... (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 said 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 therewitlh. Sworn to before me is ..............� ` day 19,r . ..... Notary Public . .......... .. JR. ary ublic,Stats of Now Quallo OiSC472 lified in ounSuffolk County ................... Te 5OCty�5 rm Expires Msy 31, Siepature n t) BUILDING PERMIT REVIEW CHECK LIST Applicant/ r' Date q Owners Name: C(/ Reviewed: i�/ if yf Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: Block: Lot: Project 7-5-z Subdivision Location: Name: 3� 82 Single&separate Required certification: (Yes/No) 2 Req- Req. Zoning District: (XJ [Lot size: 60 DGC� Actual: �S [Lot coverage Proposed:—t--30 Req. � � f Req. ,�a ' �.3 i Req' / J [Front Yard•—�C� Proposed: ] [Side Yard Proposed: / Zr Yard Proposed: ��a Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES/ Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • /L TEST HOLE DATA v - N/F STRICKLAND SUPPLIED By McOONALD GEOSCIENCE _2 EXISTIN3 GRADE SURVEY OF i 171.78' BROWN LOAYI SAND SM N/F ' LOTf/ 3 IN Ly N 46' 26' 20" E KRAUS MINOR SUBDIVISION MADE FOR DR. HEROOOTUS OAMIANOS 51TUA TE GROWN cu YEY SAND sc 42 o SOUTHOLD 44 �'' . e, TOWN OF SOUTHOLD 46 SUFFOLK COUNTY, N Y. "t 48 52 50 `*GWN IINE SANG sP / � 54 � N/F �� SURVEYED FOR WILLIAM WHITE BARKLEY 17' ELAINE WHITE 56 VACANT \ LOYMENrS: WARNING - rN15 IS AN ARG IRAPIDLY CNANGMG SURVEYED 58 SUBSURFACE cosomONs. 29 JAN, 1999 SCALE 1"=30' FINISHED GRADE AREA= 51,838 SF N/F KELLER `�'' 1 MLN OR 2 1190 ACRES ' MAX i I 300 S F. W SIDE WALL ZONED R-80 AREA LEACHING VACANT POOL TM 1000-054-06-19 0 1 10 y7AJ IN GROUNOWA TER TO (nCM GUARANTEED TO TYPICAL CESSPOOL SYSTEM WILLIAM WHITE 58 PROPOSED ELAINE WHITE WELL ---- — N 1 5 FIDELITY NATIONAL DRE INS. CO. / LOT 1 TOWN OF SOUTHOLD gMAP OF OAK RIDGE NOTE: ELEVATIONS SHOWN HEREON EXCAV TION 6N$p�L / HILLS ARE ASSUMED DATUM AT 56 E OEAITHT RY3°yS EUIRED 50utHOLO — FINISHED GRADE EPgRT FM# 3555 FILED APR. 30, 1962 1MIN 150' 2' bIAJ' 54 WELL TO ri A•/ r' ILL SEPTIC2J' 50 2 'SED 3BRP ROOM GARAGE 8' MIN TO CESSPOOL 35' 52 RES. 25, 50' ,— 1000 CAL SEPTIC TANK 50 / ` 50 OR Y/07 o D T. - O�, _ 1 ,FICAL SEPTIC TANK A Gvoranleez indicated here on shall run 3 PROPOS 48 h Q only to the person for whom the svrvay SEPTIC is prepared, and on his behalf to the Ltle <cmp..y. Covennentol Agency, TESTH LE a) — � lending ins6tbtm., if listed hereon, and zP'R'R' GsSDR LOCAT]O SUFFOLK . . HEALTH DEPT APPROt -ILIe I ., ossynees of the lending irslilution. PO -- EXPAN510 A� R 'D H5 NO Guarantees are not transferable to \ additional mutilations or scbszgaant owner.2 "0 46 V , _ —.___ - cm m KyY+r'� STATEMENT OF INTENT Unauthorized violation alteration or addition 9 this survey is o violation of Section 7209 of rvvE 548' 25' 00" W /55.0G (��° THE WATER SUPPLY AND SEW.4E DISPOSAL SYSTEMS the Ngw Yolk Slate Eduo tion Low. TlE= 150.00' �QF' P FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLI, CO DEPT OF HE,lTH SERVICES Copies of this survey map not bearing the the land Surveyors embossed seal shop h JENN/NGS ROAD \ SGP °� P 5 A PLl A - not be considered to be o valid trw ASPHALT RD. (PRIVATE) _ \ TOWN OF SOU Th,''10 Copy. ` FOR APPROVAL OF CONSTRUCT?ON ONL Y _ ' 1 y'OFMALTH SERVICES ' DATE -- {(I APPROVAL q y�WRAPPWVALP1t�RUC[lOIw Polk - SURVEYED BY 5VM &jpAMMV gzsMM2 ONLY SUFFOLK' CO TAX MAP DESIGINATION VACANT 9 � D �� 0 D pLs7 SECT BLOCK PCL STANLEY J. ISAKSEiv, JR. P.O. BOX 2kny' DA78 �- 1000 054 06 19 NEW SUFF(, IVEYOR APPAOVlD OWNER S1 "4 _POR or,�„(L BEDROOMS '.4 " ��gg,YEARSFROMDA'C'EOF/IppROVAL WILLIAM WHITE & ELAINE WHITE LICE r„LAND 1 NYS It-. N O. 49.' 99C771 TEST HOLE DATA . V SUPPLIED BY : McDONALO GEOSCI£NCf NIF STRICKLAND - - EXISTING GRADE 2, BMW LOAMY SAND su - SURVEY OF 171.76' NIF LOT,# 3 KRAUS IN Cm N 46' 26' 20' E MINOR SUBDIVISION MADE FOR DR. HEROOOTUS DAMIANOS BROWN curer sAnO so SITUATE 42 b SOUTHOLO 44 Nom. B, TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. M 48 46 52 50 BROWN FINE SAND SP 54 NIF \ SURVEYED FOR WILLIAM WHITE BARKLEY v' ELAINE WHITE 56 \ VACANT COMMENTS: WARNING - THIS IS AN AREA OF RAPIDLY CHANGING SURVEYED 58 SURURTACE CONDITIONS' 29 JAN 1999 SCALE 1"=30' NIF FINISHED GRADE a7izOL1; 4011P!'1'YC3".J2?Y[^IT CP FLAL'fli SCRVICH3 A A= 57,636 SF N KELLER l.SP30*7 . 0 ACRES OR �, I MIN y r�L'a'.LEICCFC+W4lET :OI: 7.1 2' MAX S.F SID TI 5/Of WALL P, servaro :c u c rl ^tI / r 't tl me - .t::wQ6w R-80 AREA LEACHING aJ Bound rD Ln's.� I � i!I I 1 c o ;I '.1 , POOL 9e satLracic.'y lot q j UNC "", 15JO v1> VACANT SCREENED ICI N �F/"i,f_t�,.•j ( .,, g«_ TM 100 —054-05-19 PORCH s,' Ia WELL 2' MIN GROUNOWATE St,phtn A.Ci.Ao.?.C.,Cufci 12? D6' el. 'r')D R zr %R "�> _ WA OTce of Watcr and 6WuSbIVMWT Meng=Bnt C8LAREN1 06, u.' 30' q9. TV G) TEED TO $84oi SS' >s 2 sroor va an CM TYPICAL CESSPOOL SYSTEM WILLIAM WHITE N'OOd FRAME _ ELAINE WHITE s' a,-9"STDENO ' IRD N. T 5 FIDELITY NATIONAL TIRE INS CO I32. Eno 65.8' TOWN OF SOUTHOLD 3,xv WODO 0. LOT I ' \ W/RAILINGe MAP OF ROOF $ OAK RIDGE NOB ELEVATIONS SHOWN HEREON BRICK WOOD STEPS ETODP HILLS ARE ASSUMED DATUM N� AT SOUTHOLD "NI5HE0 GRADE 56 %y° FMC# 3555 r - o FILED APR. 30, 1962 2 MIN — 2' MAX 150' n WELLTO 54 � sa lrAR 18' EAN ViSEPTI 23' 5O MIN TO CESSPOOL 50' 1000 GAL SEPTIC TANK s 50 � CFSSP Guarantees indicated here on shall nm OOL 9p • TYPICAL SEPTIC TANK only to fie person for whom the survey is pr:pared, and on his behalf to the 3 48 iy O fiil=_ cca^rnv. Cover,em,.1 Agency, h `l Iendin9 1 =.m nc'n, rf hstad hereon, end „Carrs of the landing irsh fim / TESTH LE to t1� r iFaFNN v� H Guaranbcs are not transferable to LOCATIO 5JFFOLK CO. HEALTH DEPT APPROVA� quort owners z SPOLf'. ( r LZ O H S NO. additional institutions or subse 2 ¢ 6 m D Q 11 J� cu cu m STATEMENT OF INTENT Unauthorized alteration or addition to thio N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS PIPE S148' 25' 00' W 155.0 TIE= 150.00' FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS survey is a violation of Section 7209 of n� OF THE SUFFOLK C0 DEPT OF HEATH SERVICES the New Y'oric Stole Education Law. 5069 0 5 LD JENNINGS ROAD s PPLIGANT o m Copies of this survey map not bearing ASPHALT RD. (PRIVATE) TOWN OF SOUTHOLD the Land Surveyors embossed seal shall not be considered to be a valid true ` FOR APPROVAL OF CONSTRUCTION ONLY copy. DATE APPROVAL SURVEYED BY SUFFOLK CO TAX MAP DESIGINATION VACANT DIST SECT BLOCK PCL STANLEY J. iSAKSEN, JR. 1000 054 06 79 P 0. BOX 25'4 N SUFFOLK, NY 55c OWNER 5.*W 58 rY WILLIAM WHITE & ELAINE WHITE LIC - D LA JD SUP:FI'GF NY LlC NO 9L"73 3 2 10 APRIL 2000 FINAL HOUSE,WELL, SANITARY LOCATION UeI'7'1 ` 1 29 JULY99 LOCATE POURED CONC FOVND4TinN NV301 1ii', �i',i rEsr Holc 0a TA B?DEPT. EURPOED El" MaDONALD GEOSCILNCE 1'04V - - - N/F STRICKLAND Er1snNG .RADE ---n-^n?^�"�-_- - ---- SURVEY OF 1, BROWN LOAMY SAND SM N/F LOT,¢ 3 FD 171.78' KRAUS IN CM N 46' 26' 20' E MINOR SUBDIVISION MADE FOR — - - \ DR. HERODOTUS DAMIANOS SITUATE li BROWN CLAYEY SANG SC OUTHOLD 42IN TOWNOFSOUTHOLD - 44Ie F-� 9. C SUFFOLK COUNTY, N, Y 4 \48 6 52 SD BROWN (lN! SAND Si 54 \ N/Fi- SURVEYED FOR WILLIAM WHITE BARKLEY J n' ELAINE WHITE 56 \ L 14/Q1 \\ COMMENTS: WARNING - THIS IS AN AREA OF RAPIDLY CHANGING SURVEYED VACANT SUBSURFACE CONDITIONS. 29 JAN, 1999 58 (1 SCALE 7"=30' \ - FAREA= 51,838 SF INISHED GRADE OR N/F KELLER i MIN 1190 ACRES A' MAX I ,A 300 S F P —11DW AREZONED R-80 rof wau- / A I LEACHING POOL 7M 7000-059-06-19 VACANT 2 MIN GROUNDWA TCR z� b r. ' GUARANTEED TO cm TYPICAL CESSPOOL SYSTEM WILLIAM WHITE ..rrrE, __ --_ — ELAINE WHITE 6 s,s 1'OLRE CONCRETE __ y0 3 bN arloN �� N FIDELITY NATIONAL TIRE INS CO 'z 659' TOWN OF SOUTHOLD LOT I -/ o MAP OF NOTE: ELEVATIONS SHOWN HEREON `t OAK RIDGE ARE ASSUMED DATUM v� HILLS AT SOUTHOLD - FINISHED GRADE 56 FMJJ 3555 '- -o FILED APR. 30, 7962 MIN VA 150' 54 WELL TO SEPTIC,\ 2 50 \ y 9' MIN TO CE'5FOOL 10,0 JAL SEPTIC TAN,. Guarantees indicated here on dog M \ 50 only to the person for whom he survey / is prepared, and an his behalf to the 'IPI( AL SEP TIC TANK 642 ccm cn - - P Y: Govermentol Agency, _- _ —- - - -- -- - —--- - -- _ - - tending instikticn, if lined hereon, and 10 the -n49Dees of fho lending imannfion 3 48 2 Cnn-lees arc ocl kmafcroble to h odA6mnd imtwfosss or s.bsc TESTH LE y - - gaent osrnen 1 �Llf L 6 L Ll HCAC TH DEPT. APPROI' L an � � PR OSE LOC 0 50� t ERFANSIuf 45 h 'D Q H.S NO ._ {I 2 46 ED FD m --"—-- _- T "I -"yUnouth ad olleriolotioor of or adslifion b thh GM Cu CT� TEMc N, OF INTENT �0ryp ° Setlion 7209 of (D THE W4TER SUPPLY AND SEWAGE D15POSAL SISTEMS b1! NEW York State Edocorion Law nvE s 46' 25' Do' w 155.0 TIE= 150.00' FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS Copies of this wrvey map not 4earine OF THE SUFFOLK CO DEPT OF HEATH SERVICES the Land Surveyors embosxd seal shah not be considered to be a valid tM JENNINGS ROAD S APPLICANT copy. ASPHALT RD. (PRIVATE) TOWN OF SOUTHOLD �I ` FOR APPROVAL OF CONSTRUCTION ONLY DATE APPRG VAL SURVEYED BY SUFFOLK CO. TAX MAP DESIGINATION STANLEY J. ISAKSEIJ, JR DIST SECT BLOCK PCL P4NS 0 BOX 294 VACANT 1000 054 06 79 UF,�t7l IC, NY 7 95OWNER34WILUAIv! 'NHI TE & ELAINE WHITE ED SAND SU YORC. NO, 492 3 990771 1 29 JULY 99 LOCATE POURED CONC FOU J: OCCUPANCY OR USE IS UNLAWFUL APPROYE�nj-As NOTED U, Ncopper tubing laused WITHOUT CERTIFICATE DATE z IrB.P# `� for water distributing _ - - votatWes K o9 shall a L only ofOF OCCUPANCY NOTIFY BUILDING DEPAFW1E 746-ION 9 AM TO 4 FOR THE UNDERWRITERSBRED CERTIFICATE FOLLOWING INSPECTIONS: 7 FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE - DO NOT PROCEED WITH 2 ROUGH - FRAMING & PLUMBING a. INSULATION - - FRAMING UNTIE SURVEY 4. FINAL - CONSTRUCTION MUST _ PLUMBING BE COMPLETE FOR C.O. Q OF FOUNDATION LOCATION ALL CONSTRUCTION SHALL MEET ALLPLUMSING WASTE HAS BEEN APPROVED. THE REQUIREMENTS OF THE N.Y, ! _ .&yypTER IJNES NEED STATE CONSTRUCTION & ENERGY TESTING BEPORE COVERING CODES. NOT RESPONSIBLE FOR , DESIGN OR CONSTRUCTION ERRORS PLUMBING PLUMBER CERTIFICATION ALL PLUMBING WASTE ►pOYIDE OPENINGS FOR &WATER LINES NEED EMERGENCY ESCAPE AS ON LEAD CC BEFORE STING BEPGRE COVERING pEQUIRED BY PART.714 OF CERTIFICATE OF OCCUPANCY N.Y.STATE BUILDING CODE. SOLDER USED IN WATER 1 2, N SUPPLY SYSTEM CANNOT 4 EXCEED 2/10 of 1% LEAD. SDE ANTI-SCALD AND/Olt Aw,/e e INERNAL SHOCK PREVENTING 40 G TIN o _ ETEC _. D .6K I 1 5• pG PpDVIALSNOKE DEVICES AS PART.902E 1 ri ALARM DEVICES �Uv/�J✓�� (I •IV+_N" N,Y.gATE BUILDING CODE. } ASIDPA BUILDING CODE.r N,1t.SSUILDiNGCODE. � t - -- ' 7 r1 4lrW j 411 i 1YM1 .j.` • ._,: r : ,, .. __, l'.. . .,, ' n' .a vv 1"^^ - - .,H"�Y^�r r _ •.{ .,�:% r qG q :,. : ,! : ,, • (*.�+*t 1. - ,i .'7-.^� _ «..-.MFW.. y, F y f .1 r, f LNEW+ - .. 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J Exterior Wells (Opaque)(O( x1xue) 4 O (� IDA Glazing � Doors Ju fU 2 � Cciliuy/Roof (Opaque) Sky lights b Floor s oS a Couudatiou Walls Slab insulation Insulation 4- /DS '1'0'1'I1L Butes: D'ililiuy Envelope Systems to meet regairemenLs of 7015 .2 15- 11"C Equipement to ,at regrementsllo f' 7015 L2 11 ❑VAC Sys te,,Is to u:eet reg Duct Sys Cems to meet requiremeaLs of 7415. 17 Venula Lions Systems to meet requiremeuls of 7015. 0 15 ui menL to meeC reyuirements of 7015 . 71 Iusu Lalibn of piping Sys Leets to meet reyuiremen is of 7015. Steil Service Water Ilea Liuy Sys Cems S Equipl,lent Co meeC reg Electrical 6 Light Sy 'lb Lie best of ary know Ls lye, 3f HE/yyo belief, 6 professional �bE . TV ju<ly emen t, theseare plans y3Qp ?kF campllance With L11e code* Q m fF 03164-1 �A - - -- OpftPESSIDHP�