HomeMy WebLinkAbout24891-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25882 Date: 08/13/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1025 LONG CREEK DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 3 Lot 28
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 12, 1997 pursuant to which
Building Permit No. 24891-Z dated MAY 18, 1998
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 ACCESSORY GARAGE "AS BUILT" AS APPLIED FOR. Z.B.A. #4548, 3/3/98.
The certificate is issued to JEFFREY WORTHINGTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 460355 07/28/98
PLUMBERS CERTIFICATION DATED N/A
0.
RiAlding Inspector
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. 24891 Z Date MAY 18, 1998
Permission is hereby granted to:
JEFFREY WORTHINGTON
45 EAST ARGONNE RD
HAMPTON BAYS,NY 11946
for
CONSTRUCT AN ACCESSORY GARAGE IN THE SIDE YARD "AS BUILT" TO
CONDITIONS OF Z .B.A. APPEAL *4548 3/3/98
at premises located at 1025 LONG CREEK DR SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0003 Lot No. 028
pursuant to application dated DECEMBER 12 1997 and approved by the
Building Inspector.
Fee $ 35 . 00
Building nspecto
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . July. .1. :1998. .
.
New Construction. . . . . . •. • • • . , • . . • . • . • . • • • • • • . •
Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property.102,'a .LOzlg .Crook .Dr... . . .Southold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Dnwer or Owners of Property. . . . . . . . . JTFFRFX .W0R. !NG. OAT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. .0.r55 . . . . . . . .Block. . . 0003. . . . . . . .Lot. . . . .028. . . . . . . . . . . . . .
Subdivision. . .TCIAtcott. 2arl. . . .. . . . . . . . . . . . .Filed Map. .10/.9/.68. .Lot. . . .12. . . . . . . . . . . . . . . .
?ermit No. . . . .a4�59A . . . . .Date Of Permit. .5/14/9a. . . . . .Applicant. .J... WOrthi.ngtan. . . . . . . . . .
iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. /.1:.: 7.1';
Manning Board Approval. . . . . . . . . ... . . . .. . . . . . . .
1equest for: Temporary
� �Certificate. . . . . . ... . . . Final Certicate . . . . . . .
Fee Submitted: $. .� . ... . .. . . . .
cPJ-1SCro� .
c . . . ... .. . . .mss.. . . . . .. . .. .. . . . . . . . .
C RAS APPLICANT • •'
OFFICE OF
APR 16 BOARD OF APPEALS
ft.
BLDG•DEPT - 01 Southold Town Hall
F 53095 Main Road
Southold, NY 11971
(1-516) 765-1809 ZBA tel.
765-9064 ZBA fax.
April 8, 1998
Mr. and Mrs. Jeffrey Worthington
4.5 East Argonne Road
Hampton Bays, NY 11946
Re: Variance Request (Garage)
t
Dear Mr. and Mrs. Worthington:
Enclosed please find a copy of the Appeals Board's determination adopted
at the Board's April 7, 1998 meeting.
Please contact the Building Department regarding a follow-up and request
issuance of the pending application for the new construction. Please do not
commence building activities until a permit has been issued by the Building
Inspector.
The Building Department was today furnished with a copy of the ZBA
action for their update and file.
Best wishes to you in your new home.
Very truly yours,
Linda Kowalski
Enclosure (4/7/98 Decision)
Copies of Decision also to:
Building Department (update)
Original Decision filed with Town Clerk's Office
O��gOFFOJOlt
c�
Town Hall,53095 Main Road CIO
y, Fax(516)765-1823
P.O.Box 1179Oy �� Telephone(516)765-1802
Southold,New York 11971 �Ql �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 23, 1998
Inland Homes
Westphalia Dr.
Mattituck, New York 11952
RE: Jeffrey Worthington, 1025 Long Creek Dr. , Southold.
1000-55-3-28
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX 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 # 24891-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
i
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: CAt.
f
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ }DATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: e 7
DATE 1&1199 INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR2W,
1J-
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
F
BUREAU OF ELECTRICITY
I 40 FULTON STREET, NEW YORK, NY 10038
I nate JULY 28,1998 Application No. on file 16451098/98 N 460355
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
INLAND HOMES, LONG CREEK DRIVE, SOUTHHOLD, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. GAR Section Block Lot
was examined on JULY 22,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. KW AMT. H.P.
3 1 1 3
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECRT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.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 - V I C E
METER O:OF CC COND. A.W.G. A.W.G. A.W.G
AMT. AMP. TYPE EAUIP. I 0 2W I 0 3W 3 0 3W J 0 dW PER 0 OF CC.CONO. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
JIM SAGE ELEC. INC. LIC4363L
PO BOX 38
GREENPORT, NY, 11944-0038 GENERAL MANAGER
11
Per i.
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 MUST NOT BE ALTERED IN ANY MANNER.
=1=LD I':SPiC710N COMMENTS
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FOUNDATION ( 2nd ) —
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INSULATION PER N . Y. H
STATE ENERGY
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DITIONAL COMMENTS:
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APPEALS BOARD MEMBERS o��gUFF014�o
Southold Town Hall
53095 Main Road Gyp
Gerard P. Goehringer, Chairman -13e
James Dinizio,Jr. W P.O. Box 1179
Lydia A. Tortora O Southold, New York 11971
Lora S. Collins ` ZBA Fax(516) 765-9064
George Horning *a0Telephone(516)765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
REGULAR MEETING OF APRIL 7, 1998
Appl. No. 4548 - JEFFREY WORTHINGTON PARCEL 1000-55-3-28
STREET & LOCALITY: 1025 Long Creek Drive, Southold.
DATE OF PUBLIC HEARING: March 23, 1998
FINDINGS OF FACT
PROPERTY FACTS/DESCRIPTION:
The above-identified property is located on the northerly side of Long
Creek Drive, Southold. This property contains a total area of 32,446.41
sq. ft. and is shown on the Map of Yennecott Park as Lot #12. The
premises is located in the R-40 Residential Zone District. The survey
map updated November 6, 1997 shows two existing foundations, one for a
new dwelling and the other for the subject accessory garage building.
BASIS OF APPEAL: Building Inspector's Action of Disapproval dated
January 20, 1998, which reads as follows:
" . .Please take notice that your application dated December 12,
1997 . . .is returned and disapproved on the following grounds: The
proposed accessory garage being in an R-40 District shall be
located in the required rear yard pursuant to Article III-A, 100-30
A.4 which refers you to Article III, 100-33. . . ."
AREA VARIANCE RELIEF REQUESTED BY APPLICANT: The request
made by applicant is for approval of a 15' x 22' accessory garage in the
"as built" side yard location. The "as built" setbacks of the foundation
for the garage are confirmed on the November 1997 survey to be 22 feet
from the westerly side line, 50 feet from the front (southerly) property
line, and greater than 105+- feet from the mean highwater mark along
Long Creek. The dwelling location is not the subject of the building
inspector's disapproval or this variance application.
REASONS FOR BOARD ACTION, DESCRIBED BELOW:
The Town Trustees' authorization for construction in this lot
precludes any construction more than 105 back from the street. The
house already erected on the lot leaves no room to build a garage in the
rear yard in a location complying with the Trustees' authorization, and
applicant therefore wishes to place the garage in the side yard with a
setback of over 50 feet from the street and 22 feet from the nearest
property line.
Page 2 - April 7, 1998
Appl. #4548: 1000-55-3-28 (Worthington)
Southold Town Board of Appeals
Because this is waterfront property, Section 100-33(C) of the
Zoning Code permits the garage to be located in the front yard provided
that the front yard setback requirement is met - in this case, 40 feet
from the street line. However, there is not enough room in the front
yard for a garage complying with this setback requirement.
The Board finds that, in light of the location of the house within
the lot's buildable area as authorized by the Trustees, the benefit of a
garage can be achieved only if it is located in the side yard. The
garage setback from the street complies with the applicable front-yard
setback requirement, and the Board finds that the variance applied for
is not substantial because a front-yard location with the same setback
would be permitted (if it were feasible). Because of the substantial
setbacks of the garage, and because it will be architecturally consistent
with the house, the Board finds that the variance will not produce an
undesirable change in the character of the neighborhood or detriment to
nearby properties. The fact that the garage will be located within the
area authorized by the Town Trustees provides assurance that it will not
have an adverse impact on environmental conditions.
The Board deems that granting the variance applied for is the
minimum relief necessary and adequate to achieve the benefit sought
while at the same time preserving and protecting the character of the
neighborhood and the health, safety and welfare of the community.
RESOLUTION/ACTION: On motion by Member Collins, seconded by
Member Tortora, it was
RESOLVED, to GRANT the relief as applied for.
VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO,
TORTORA, HORNING, and COLLIN RE I w duly
adopted (5-0).
GERARD P. GOERAINGER, AIRMAN
Approved for Filing
********************* **************
AS400/txtlk/actions.all/55-3-38
FOR`! NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT r,2 q
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: January 2Q,_ 1998,
To Jeffrey.O.Nortbinrop. . . . . . . . . . . . . . .. .
45 E. Argonn Rd.
. . . . . . . . . . . . .. . .. .. . . .. . . .. . . . . . . . . . . . . .
HamRton Bays= NY: 11946
. .. . . . . . . . . . . . .
PLEASE TAKE NOTICE that your application dated DecC7q11er .l2,. . . . . ._ 19.98 . . .
for permit to construct an accessory garage at
. . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._
Location of Property . . AZA . .. . . . Long CreekAl:. . . , _ _ .._ . . . Southold
. . . . . . . . . . . .
House No. Street Hamlet
County'Tax Map No. 1000 - Section . . A5 . . . . . . BLOCK . 03 . . . . . . . LOT
Subdivision . . . . . . . .. . . . . .. . . .. . . . . . . . . . . . . Filed Map No. . . . . . . . . .Lot No. . . . . . . .
is returned herewith and disapproved on the following grounds The proposed accessory
praFe being in an. R-40. . .Di.s. . . . . . . . . .
trict shall be located in the required rear yard pursuant
. . . . . .
. . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
to Article III-A 100-30 A.4 which refers you to Article III 100-33. Action fequired
. . . . . . . . . . . . . . . .. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
by the Zoning Board of Appeals.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. . . . . .. . .. ... . .. . . . . . . .. . . . . .. . . .. . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .. . . ... . .. . ... . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . .. . .. .. . . .. . . . . . . . . . . . . . . . .. . . . . . . .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . ... . . . . . . . .. ... .. .. .. . . . . . . .. . . .. . . .. . .. . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. . . . .. .. . . .... . . .. .. . . . . . . .. . . . .... .. .. . . .. . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .. . . . . . . .... .. .. . ... .. . . . . . . .. . . . . . ... . .. .. . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . ... . . . .. . . .. . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
/SPTOBUI DGR
RV 1/80
BOARD OF4HEALTH
FORM N0. I3'SETS_OF, PLANS. . . .. . . . . . . . . . . .
TOWNOF SOUTHOLD SURVEY. ..:. . . . . . . . . . . . . . . . . . . . . .
bEQ 121997 BUILDING DEPARTMENT CHECK . .. . .. . . .. . . . . . . . . . . . . . . . . .
TOWNHALL SEPTIC FORM . . . . . . . . . . . . . : . . . . .
SOUTHOLD, N.Y. 11971 "`-`��''•` -
L�u�. 3�Pt', TEL: 765-1802 NOTIFY:
TOW F H
CALL . . . . . . . . . . . . . . . .
Examined.... .
. oCT;0 �. :. IL TO: . . . .'. . . . . . : . . . . . . . .
Approved.. �0••. '19.. . Permit No�.y . ::.................. ............
Disapprovedarc ....................................
................:........................... ........
Tn
specto
AP KATION FOR BUILDING PERMIT
Date.Ive . . . . . . . . . 196.QQ
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Milding Inspector wit]
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plat plan slowing 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. Ujion approval of this application, the Building Inspector will issue 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.
AMACATION.IS HEMff 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, Orditumes-or
Regulations, for the construction of buildings, additions or alterations, or for remwal',or demolition, as herein
described. The applicant agrees to comply with all applicabl5rlaws, ordinances, building code, housing code, and
regulations, and to admit authors inspectors s i " luil ing for,neces ins tions
� .... ..............
•Signature'of applicant, or name, i corporation)
'
LICE. ..
(Mailing ress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluni)er or builder,
...
Noo Premises �/6: �r' .�:fd� y,Ga��?J.✓ `j F?l�!�i: � Yt ..(/! . ., . �
ne ..........
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License No.
Electricians License No. .....................
Other Trade's License No. .................... / /J
I. Location of land on which proposed work will be done.!.� ... !el .. �rE'r �6.... ...............
............................... ��
.... .... ... ........................
House Number Street Hamlet
p ,
Canty Tax Map No. 1000 . Section .. '1-jam...... Block . ............ lot ...o............
Subdivision .....[�.yr+••..... Filed Map No. Ioa/a:... Lot,....:1 .....
(Nam) tr
2. State
ng
exist iuseaand occupancy of premises and intended use and occupancy of proposed struction:a. '
'ng occupancy Jf. 17 / ...... '#'tTfRS'.......................
b. Intended use and occupancy .. U✓ .. .({„1 w�ti.�": : .x N....................
i 3 t
L .. -
""Alm
3. K11-ore of work (check whirl: applicable): 'New fuilding ......... Addition .......... Alteration .........r
Repair .........?.. Ileoval ............. Demolition ............ other Work .................................. .
(Description)
4. Estimated Cost :1 a, ?.P�.:':.:..:.... fee ............................ ............
(to be paid on filing this application)
garage, L. its .............. rber ...... —loo . .....
If �anber of care � of ckuelling units on each floor ................
�. if dwelling, ranter of dwelli :mile Nud:er
? If business commercial or�iwedsoccupancy, specify nature and extent qf each / of use......................
Dimensions of exrsti at /y
6. If i 3E any: Irront/671 ..... Reafv.�/.......... i?epth ..(�./ .
DimensionsDaIC ...�....•••!]ei• Tinter of Stories .... ... ........:.
i
// l��// D.
am structure with alteratiPns ov additions: P�Yont .......I� Rear .1�?........�"�'y �
S. Din�ensc � , ter of Stones ........... .. �S �
... . ..... ..
•ons of entire new construction: Front .../l?.. Rear .....��'7..... leptl:
Ilei :t ..... ..............
.01 ...... �G
+Z�/ J 1 .
.... .......... limber of Stories ......................
9. Sire of lot: Front ....�'ll .... Rear IA: /.l ./. 7...... Depth .
I
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LONG SURVEY OF
A„ HNH WA MSK C�I��� LOT 12
MAP OF
nE UNE _ - \ YENNECOTT PARK
), FILE No. 5187 FILED OCTOBER 9, 1968
— I
To,a
RKv* \20,
� eo 10 ao E — 9 , \ F SITUATED
'°P °FRANK � \ SOUTHOLD
1 \ \ TOWN OF SOUTHOLD
z I \ \ SUFFOLK COUNTY, NEW YORK
o I \ S.C. TAX No. 1000-55-03-28
CD SCALE I"=20'
0 11. / \ \ MARCH 22,
1997
NOVEMBER 6, 1997 FOUNDATION LOCATION
O
/
,y LOT
X 1 / In AREA = 32,446.41 sq. ft.
1 / (TO TIE LINE)
X
0.745 OC.
� 1 % �
I / 00
ny I .gpSET o
�TEsr HOLE % - - ">' I / j
SET uTHd/ d / I ,p
BUILDINGQ��� � / / 1,
No. 48 I / TEST HOLE DATA
1e.v
PERMD 653 DATED 9/26/9
20' 74' (TEST HOLE AS SHOWN AS TEST HOLE No. 2 ON FILED MAP)
yr
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> .1 r �' IFOUND
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O ^/MNLeox tc,�� N CERTIFIED T0:
1 'TCA 9ASI" FIDELITY NATIONAL TITLE INSURANCE COMPANY
EouN '> STG ASSOCIATES, Inc.
coNc. MOM. x JEFFREY WORTHINGTON
5 83.4 00 EDGE °F wvwEHr :•
a, HEATHER HILL WORTHINGTON
4' 4 DRIVE
C� TO THIS SUR EY IS ALTERATION OR AODmoN
LONG (PUBLIC WATER IN STREET) O THIN 720 Is A w NEW
YO of
— -- ESECTIONDUCKT 7209 OF THE NEW YORK STALE
UDUIY �� EDUCAnON UW.
% UL p — — COPIES OF THIS SURVEY MM NOT BEARING
THE LAND SURVEYOR'S INKED E CO SI
WIRES
EMBOSSED
A°VAUO TRUE COPY.NOT BE CONSIDERED
1 CERDFlCAnONS INDICTED HEREON SHALL RUN
_ ONLY TO THE PERSON FOR WHOM THE SURVEY
_ IS PREPARED. AND ON HIS BEHALF TO THE
pWELLINWATER)
(USES PUBLIC TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION USTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSIT—
TUTION CERTIFICATIONS ARE HOT TRANSFERABLE.
DWELLING EI THE EXISTENCE OF RIGHTS OF WAY
(USES PUBUC VIA, AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
S FOR TND APPROVE AS ESTABNSHEO
BY THE Joseph A. Ingegno
BY THE LIALS, AND APPROVED AND AOOPPEO
FOR SUCH USE BY THE NEW YORK STATE LAND
NOTES:
TRUE AAA°`WH°N. Land Surveyor
1. TEST HOLE DATA REFERENCED FROM TEST HOLE No. 2 AS SHOWN ON FILED MAP. 2E0 No
2. EXISTING ELEVATIONS SHOWN THUS: 5D.D ARE REFERENCED TO N.G.V.D. 1929 DATUM. �A�?°SEPNA.IN 9<�F
3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. n rtle Surveys — Subdivisions — Site Plans — Construction Layout
1 TANK; 8' LONG, 4'-3" WIDE, 6'-7' DEEP IPHONE (516)727-2090 Fax (516)722-5093
4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. s�
nFF10E$_1DCATE2dL MAILING ADDRESS _
- Aqueb°gue, New York 11931 Rlverhevd, New York 11901
97-221