HomeMy WebLinkAbout25545-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27147 Date: 06/19/00
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property: 1145 MAJOR POND RD ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 26 Block 2 Lot 39.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 28, 1999 pursuant to which
Building Permit No. 25545-Z dated FEBRUARY 17, 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 DECK ADDITION WITH ABOVE GROUND POOL IN SUNROOM ENCLOSURE AS APLIED FOR
The certificate is issued to PEGGY C HELLER & ANNE WYDEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-524931 05/19/00
PLUMBERS CERTIFICATION DATED N/A
Authorized Signa re
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. 25545 Z Date FEBRUARY 17, 1999
Permission is hereby granted to:
PEGGY C HELLER
1145 MAJOR POND ROAD
ORIENT,NY 11957
for
CONSTRUCTION OF A SUNROOM GLASS ENCLOSURE OVER AN EXISTING DECK
FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 1145 MAJOR POND RD ORIENT
County Tax Map No. 473889 Section 026 Block 0002 Lot No. 039 .001
pursuant to application dated JANUARY 28 1999 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN :.__.i.:_
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 survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) .
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'.'pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and 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 Building - $100.00
3. Copy of Certificate of Occupancy - .25C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date I/�r.eKI
New Construction. . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. NA"ice..JCM447 .j .. . . . . . . . .Ql e/imw... . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . Ads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . pLrLP. . . . . .Block. aO47.L. . . . . . .Lot. .4. �[97^ iT . . . . . . . .
Subdivision. .`.`. . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . ....... . .
Permit No. 2✓5.4t5. . . .Date Of Permit. .h/.�.7/g . .Applicant �e ��'�.��.CT.4k .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . .. . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .. . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. � . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�� . . . . . . . . . . . . . . . . .
Q QC , �80KU APPLICANT
Co
THE NEW YORK ,BOARD OF FIRE UNDERWRITERS PAGE 2
1'1`95099 BUREAU OF ELECTRICITY'
F 40 FULTON STREET, NEW YORK, NY 10038
Date MAY 19,2000 Application No. on file 16
9100/0
9 N 524981
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named,on the above application number is in the premises of
PEG HEIAMR, MAJORS POND ROAD, ORIENT, NY
in the following location, ® Basement ® lst F1. ❑ 2nd Ft. Section Block Lot
wag examined on location,
15,2000 and found to be in compliance with the National Electrical Code.,
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS IDISH WASHERS EXHAUST FANS
OUTLET$ INCANDESCENT FLUORESCENTI OTHER AMT. K.W. AMT. K,W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERSFURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W, OIL N.P. GAS H.P. AMT. NO. I A.W.G. AMT. AMP, AMT. AMPS. I TRANS. AMT. H.P. NO.OF FEET AMT. WARS
SERVICE DISCONNECT INO.OF _ S E R V ` _ 1 C E
METER NO.OF CC GOND. A. 6. - A W.O. _ A.W.O.
AMT. AMP. TYPE EQUIP. 1 0 3W I 0$W $0$W $e 4W PER 0 OF CC.W.
NO.Of HI-LEG OF NI-LEO NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
made by a qualified person.
JIM SA
�>GE ELEC. INC. LIC.#3635-E tdu..,..._. L L
PO BOX 38
GREENPORT, NY, 11944-0038 GENERAL MANAGER
11
Per
This certificate must not be altered In any manner;return to the office of the Board if Incorrect.Inspectors may be identified by their credentials.
• COPY FOR BUILDING T NT:-THIS OOPY OFCERTIFICATEMUST NQT"BE ALTERED IN ANY MANNER.
1HE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1195099 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY'; 030 "
MAY 19,2000 100r7ioo N 524951
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and Introduced by the applicant.Ntuus joti the-above application number is in the premises bf
PEG 2f"LLER, MAJOR
nnS
��TTPOND ROAD,y ORIENT, NY
in the following location• EJ Basement IM ]st Fl. ❑ 2nd Fl. ,Section Block Lot
was examined on MAt 15,2000 and found to be in compliance with the National Electrical Code.,
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGIES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AM}, K.W. AMT. K.W. AML H.P.
1 2 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC-PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS
AMT. N.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT, H.P. NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S- E R V - 1 c E
METER NO.OF CC COND. A.W.O. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2WJI 0 JW 3 0 JW J 0 dW PER 0 OF
CC.COND. NO.OFHI-LEG OF NI-LEO NO.Of NEU}RMS OF NEUTRAL
OTHER APPARATUS:
POOL/SPA-1
6A CONTROL PANEL-1
MOTORS:1-4 H.P. ,1-2.5 N.P.
G,F.C.IF-2
*(SWIMMING POLL) This certificate
covers compliance at the date of
inspection only. Because of unusual -
environments it is advisable to
have Frequent test/snit or repairs
<<< Continued on Page 2 >>>
GENERAL MANAGER
PeA )
This certificate must not be altered In any manner;return to the office of the Board If,Incorrect,Inspectors may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MVST:,NOT BE,ALTERED IN ANY MANNER.
S14FF014.49
Gy
Town Hall,53095 Main Road o Fax(516)765-1823
P.O.Box 1179 Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 13, 2000
Robert Saetta Construction
P.O. Box 72
Greenport, NY 11944
RE: Heller, 1145 Major Pond Rd. , Orient.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
The check is (not on file. ) $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25545-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
r,
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG
[ ] FOUNDATION 2ND [ ] INSU ON
[ ] FRAMING [ NAL
[ ] FIREPLACE CHIMNEY
REMARKS:
PX
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU H PLBG.
[ ] FOUNDATION 2ND [ } 1 SULATION
[ ] FRAMING [ FINAL
[ ] FIREPLAC%8,:MNEY
REMARKS:
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS i
I It
II II hi �Il
FOUNDATION ( 1ST)
FOUNDATION (2ND) -------------------------------
-------- ----- -------------
ROUGH FRAME 5
PLUMBING
a.
INSULATION PER N. Y. _-`�i 4 H
STATE ENERGY
CODE ---ii
----
------ - --- ----- --
ii n A
II II
N-.I
FINAL I
ADDITIONAL COMMENTS:
1 c Pi n> Dzco
-- CIO
H I
H
O
x
r
ro
H
BOARD OF HEALTH . . . . . .
_,__, ...._ _.._..._ . . 3 SETS OF PLANS . . . . . . .
P (r v ,�I FORMNO. 1 SURVEY
t 1 TOWN OFSOUOUTHOLD CHECK • • • - • • • • • •
Z I J� `JM
BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . :
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 CALL
BLDG.DEPT TEL.: 765.1802 • . . ' ' ' . ' ' . . . . . •
3W0f84lIWLD ___•.I qq MAIL T0 :
Examined . . . . . 'J. . . . . . . . ., 19 . . ./ �f
Approved . . . . . . . �. . ., 19�q. Permit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
(Building Inspector)
PLICATION FOR BUILDING PERMIT
Date JANUARY 26 1999 , , 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,wit'
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 stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap_
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 pen
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 Occupw
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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance:
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
RICHARD SAETTA GENERAL .C9Nn.ZAQTQ$,]NC. . . . . . . .
(Signature of applicant, or name, if a corporation)
P.O. BOX 2047 GREENPORT NY 11944
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
GENERAL CONTRACTOR
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PEGG
Name of owner of premises . . . . . ._HEELER & ANNE WYDEN
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applica c rpo at i n ur of duly authorized officer.
l . . . . . . . . . . . . . . . .
(Name and title of orpor officer)
ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. A3`086 .111 . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1145 MAJORS POND ROAD ORIENT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section 26 . . . . . . . . . . . . . . . . Block . . . .0,z . . . . . . . . . . . . Lot . 39.1, , , , . . , , , , ,
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy RESIDENTIAL . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy RESIDENTIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . .
25 000.00 ' ' Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . .
' (Descriptipr�)
Repair . . . . . . . . . . . . . . Removal
Estimated Cost . . .$ . . . . . . . . . . . . . yit=.r
Fee .
` (to be paid on filing this applicatiot
g g is . . . . . . . . Number of dwelling units on each floor,:M -_ T'
r s', 1 Ni"JT
If dwelling, of dwelling inti ONE • . : : : : : g �,,,,�„,,,,,,-, , -
Ifgarage,number of cars .TWO. . . 1; . . . . . . . . . . . • • • . . . . . . . . . . . . . . . . . . . . . . . . . • • .
If business, commercial or mixed oQQcupancy, specify nature and extent of each type: of use . . .KA . . . . . . . . . . . . . . . .
Dimensions of existing structures, i$ any: Front .EXISTING . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number; ofStories JWQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front . . .5AM . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number`ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Size of lot: Front .400! . . . . . . . . Rear AW . . . . . . . . . . . . . . . . Depth . . •130'• • • • • • • • • • •
Date of Purchase . . . . 10/30/94 fName of Former Owner .NANQX .RQt[G4AS . . . . . . . . . . . . . . .
Zone or use district in which premises are situated . M$1RPrMAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Does proposed construction violate)any zoning law, ordinance or regulation: . , NO
. . . . . . . . . . . . . . . . . . . . . . .
Will lot be regraded . .NO. . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes X No
Name of Owner of premises HBLLB$./. .WYI)FN. . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No.323-127.4 . . . . . . .
Name of Contractor RICHARD.SAETTA. Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
property TTA.GC.INC. . . . . Address GREENPORT. , , , , • , • , . Phone No. 47,7,-],433 . . . , . . .
Is thislocated within 300 feet of a tidal wetland? *Yes . . . . . No . . . . .
*If yes, Southold Town Trusties PermitPLOyymaTbe required.
Locate clearly and distinctly all bul�ldings, whether existing or proposed, and.indicate all set-back dimensions from
perty lines. Give street and block number or description according to deed, and show street names and indicate whether
•rior or corner lot.
r
ATTACHED
II
.TE OF NE
INTY OF . . . . . . . . . . . . . . . . .
S.S
RICHARD SAETT. . . . . . , , . , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing ontract)
,e named.
s the . . . . . . . . . GENERAL CONTRAC'�OR
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
ication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
< will be performed in the manner set forth in the application filed therewith.
rn to before me this
. . . . . . . . . . . .e . . . . .day of . J*.Ili .. .. . . . . . . . .. 19 .515
try Public, . . . . . . . . . . . County
PEI
NOTARYNo6 2,St a ONow IIiYork . . . . . . . . . . . . -
of Signature of applicant)
Qualified in Suffolk County
Commission Expires March 30,?Moo
s
Allstate Cedwrlite Greenhouse Mg- CorA
(59) AW14.14-Nswkm4 N.r.
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APPROVAL
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39.1 AREA = 62,958 sq.ft
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Revised Hse. Loc.) UR/ENr N� ,a E )c48,VS 540, s
mil of clearing B ground Dist.) y , //VCYke clearing limits) CERTIFIED T0+
,undation) PEGGY C. HELLER
1 ANNE WYDEN
ze(final) COMMONWEALTH LAND TIME
INSURANCE COMPANY
\� BRIDGE14AMPTON NATIONAL BANK
is �� i �F 44 NEWy A
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S. LIC. NO. 49618
s = WETLANDS FLAG P.C.
LANDWARD-EDGEOF FRESHWATER-WETL ZS AS DELINEATED
IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSULTING, INC. p. O,
JAN. MA
8 1995 IN R
CONTO1JR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V.D. SOUTHOLD, N.Y. 11971
01�
ANY AL TERA TION OR ADDI TION TO THIS SURVEY /S A VIOLA TION L O T 3
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, %31 , "'E';50' f--�`- WILLOW TERRACE FARMS, INC. N
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS ,S B8 P.O. BOX 773 �--
S MA OR CHEfiE0N ARE AOPIES BEAR FOR ITHE IMPRESSED SEAL MAP AND COPES OFEHE SURVEYOR / 2/50 E. 8/.11 ' ORIENT, N. Y. o� -x4
WHOSE SIGNA TUBE APPEARS HEREON. m i m sixe
sP'k e Sof COQ�
P —t f
AD01110NALLY TO COMPL Y WITH SAID LAW THE TERM 'AL TERED BY' sec n =O p N=
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY I -p D -
OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 'INSPECTED' AND O O Qq
BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. Z� T
N D IT1
I am familiar with the STANDARDS FOR APPROVAL P —� — / o { -� >f--Q
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct. o.' :' l r, 74 D
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ZONING DISTRICT R80 \� o Je%,/
L O T 3 IS REFERENCED TO WIL L O W TERRA CE FA RMS, INC.
SUFFOLK COUNTY FILE NO. 9572 Q �I a� t` �." o ,' Ole 10 L
SCDHS, Ref# RIO-95-049 Q �./ / ok y X4 m ���,,I ,b�p
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SURVEYFOR- o` `� ; Sa,fi0
PEGG Y HELLER & ANNE W YDEN o \\ /3z�,. 5, �n k
AT ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y. \
1000 - 26 - 02 - 39. /oqR� �. AREA = 62,968 sq.ft
o ,
Scale: 1" = 40' �C14 YG
\
Jan. 27, 1995 sUF ��'�' r x= a fi ti
Mar 8, WD
1995(additions) �/ FOLK C��/Q,q CE
Mar. 21, 1995 (additions) <<04, 1Vjy , SEC��
May 24,1995 (additions) /?p TERR #4 C& N O/y 7
June 12,1995 (Revised Hse. Loc.) QR/ENT's x'73 cE Fq,4,Ms�0 s40,,-
June 29, 1995 (limil of clearing d ground Disld NC `
April 1, 1996 ( .Stake clearing limits) 1 CERTIFIED TOt
Aug. 1,1996 (Foundation) PEGGY C. HELLER
1
ANNE W YDEN
Jan. 18, 1997 (final) 1 c.OMMONWEALTH LAND TITLE
Mar. 4, 1997 ( Gazebo) /
� fNSURAN'�;E COMPANY
E3RlDGEHAM�TON NATIONAL BANk
The locations of wells and cesspools
shown hereon are from field observations
and or from data obtained from others. 10
N. '.S. LIC. NO. 49618
Q = WETLANDS FLAG \ �' /PSC_ ( � / ✓_, S, P.C.
LANDWARD EDGE OF FRESHWATER WETLANDS AS DELINEATED (51 ; a �
IN THE FIELD BY SUFFOLK ENVIRONMENTAL CONSUL TING, INC, P. O. (�:�' 9
JAN. 8, 199 5 MAIN R
CONTOUR LINES AND ELEVA TIONS ARE REFERENCED TO N.G.V.D. SOUTHOLD, N.Y. 11971
95- 107
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M ! , �, UNDERWRITERS 44- ,U, REQUIRCERTIFICATE
OCCUPANCY OR
USE IS UNLAWFUL
� � WITHOUT CERTIFICATE,
OF OCCUPARCT
of APPROVED AS PORED
Z. sea Jp5:5q-5-
N d
FEE: - d1F
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NOTIFY BUILDING DEPARTMENT AT
FOLLOWING INSPECTIONS:765-1802 9 AM TO 4 PM
1- FOUNDATION - TWO REQUMED
FOR POURED CONCRETE
2. ROUGH - FRAMING &� PLUMM46
3. INSULATION
— 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
� t ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
r 6 ��j" CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
of N
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cj S- �flY C OG/t) St, PC'r'va: G,7` .d� J IVT
4C A
12-
REVISIONS /� /`�'r"Q !" s:►F�t)
Q!ESSiQNP� DATE APPD. r� � / Y'
SUPERSEDES DRAWN BY. SW OATE_Z /// / REV.
J DRAWING
''7 9� '"'r
SUPERSEDED BY �! _ APPROVED BY; SHEET / OF f NUMBER
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