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
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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. �
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ENERGY CODE CALCUL141ION5 G 000 Uey _ ❑a s
e=_
Oesiyu Cri Letia 0 � LV
(Fur Nou-Electric Ileac) / t 77
PER. 7 tin n} !-"m
COIL:
UA'1 L'U:
DESIGN '1'IICR11EL REMARKS
AREA U. RATING
SUBSYSTEM _
, ? 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
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