HomeMy WebLinkAbout24334-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25869 Date: 07/30/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 4225 BRIDGE LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 84 Block 4 Lot 11.3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 29, 1997 pursuant to which
Building Permit No. 24334-Z dated SEPTEMBER 2, 1997
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 ATTACHED TWO CAR GARAGE & FRONT
COVERED WOOD PORCH AS APPLIED FOR.
The certificate is issued to WILLIAM W & TERRI L PARK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0088 07/30/98
ELECTRICAL CERTIFICATE NO. N-453385 05/12/96
PLUMBERS CERTIFICATION DATED 04/09/98 M.DAWSON PLUMBING & HEAT.
Buil g Inspect
Rev. 1/81
"NX NO. ! _
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 24334 Z Date ....... ..... ................... 1qi. 7
Permission is hereby granted to-
..,/ �ir.........................
... � . fe .........<..............
... .
y
....to . � - .. .... . .... ...�....� .......
.... �.�...�..� -......................................................... .............
............................................................... .....
............... ..... .
..............
at remises located at...I�,�. CJt / ................
County Tax Map No. 1000 Section .. ... . ............. Block ........1//........ Lot No. ..1.14.............
pursuant to application dated ............ l.................... 19..✓., ,, and approved by the
Building Inspector.
S••!...1../.....
....... . ..................Bui....l.... .I ..r.........................
din
Rev. 6/30/80
fr a Form No. 6
D D TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL IC(
7 ((��,, Q
B, OG,DEFT. 65-1802 X�. 1rz0
T �.ypI FS, UTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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.
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.
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 - $100.00
3. Copy of Certificate of Occupancy - _ .?5,;.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.`00, Commercial $15.00
��// Date . . . . . ..-1 �! . . .. . . . . . . . . . . . . . . . . .
ew Construction. .. X . .. ...Old Or Pre-existing �Building. . . . . . . . . . . . . . . . .
ovation of Property. S> .!. Y � �». JIY �. . �'.rS .UQ . . . . . . . . . . . . . . .
House No. r - Stre-e-t�^ 1 vHamlet
aver or Owners of Property.W. �.\1QCf�. t./-. . . . .\�� 5 �. .t�..•. _ . . . . . . . . . . . .
ounty Tax Map No 1000, Section. . . .. 1. . . . ..Block. . . .CDL . . . . . . .Lot. . . .. . . . . . . . . . . . . . .
Q p Sq N5
ubdivision. ICS. . . . .. .. . . .Filed Map .IJ(Q�� . . .Lot. . . 'S. . . . . . . . . . . . . . . .
ermit No a`� �. . . .Date Of Per/mitt.. . t j Q.jQr.C . . . .Applicant��t.IftQrO .W...Pa(-.K. . . . . . . . .
ealth Dept. Approval.A)0.9�.QW. A+b--W . .Underwriters Approval. . C Cn :V..kIe. . . . . . . . . . . . . .
lanningBoard Approval. . . . . . . . . . . . . . . . . . . . . . . .
.equest for: Temporary Certificate. . . . . . . . . . . Final Ce'rrttiiccate..X. . . . . . .
��/��/�/fes/
'ee Submitted: $. . %t�5•L . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:5 g APPLICANT
�a� asgc9
TEL. 765-1802
S�FFQ�C
�p Op TOWN OF SOUTHOLID
OFFICE OF BUILDING INSPECTOR
� P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date ,9���
Building Permit No.
Owner/&J, ///ct n
(please print)
Plumber w 47-G .
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 18 lead.
(plumber' s signature)
Sworn to before me this /
q—ft day of
19 5'P • ��� Notary Public
Notary Public, County
�P ay3
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1000169 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date MAY 12,1998 Application No. on file 15176897/97 N 453385
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
WILLIAM & TERRY PARK, 4225 BRIDGE LANE, CUTCHOGUE, NY
in the following location; KI Basement ® Ist Fl. KI 2nd Fl. GAR/OUP Section Block Lot
was examined on MAY 07,1998 and found to be in compliance with the National Electrical Code.
FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES $WITCHES INCANDESCENT FLUORESCENT OTHER I AMT. K.W. I AMT. I K.W. I AMT. I K.W. I AMT. I K.W. AMT. H.P.
36 49 43 31 5 1 1.2 3 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECT. 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
2 F 2 20 5 600 ❑
SERVICE DISCONNECT NO.OF S E R V I C E G-
METER NO.OF Cc GOND. A.W.G. A.w.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0]W 3 0 3W 3 0 4W PFR 0 OF C0.COND. NO.OF HILEG OF HI, NO.OF NEUTRALS
WG OF NEUTRAL
1 200 CB X 1 4/0 1 4/0
OTHER APPARATUS:
PADDLE FANS-2
WELL PUMP-1
200A TRANSFER SW.-1
G.F.C.I:-6
SMOKE DETECTOR:-6
L L
COMMANDER ELECTRIC LIC.#302 E
PO BOX 526 GENERAL MANAGER
BOHEMIA, NY, 11716 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS s.'=
BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
^FFTE7 rFIJ'•7i .�'4,11 QY7
Date Application No.on fife
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
WILLIAM h TEPPY PARK, 4,^25 NRTDCFI LANE, CUTC3CrCU17,, N'
in thefollowinR location; ❑ Basement ❑ lAt Ft. ❑ 2nd FT. Ailp .Section Block Lot
was examined on -Ep'n" 4ER 1'4, 1997 and found to be in compliance with the National Electrical Code.
FIXTUR! FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
K[ITAClES SWITCHES —
OUTLETS INUNOESCENT fIVORESCENi OTHER AMT. K.W. AML K.W. AMi. K.W. I AMi.., K.W. � MT. I N.P.
y _ - I_—_.__— _
DRYERS FURNACE MOTORS FUTURE APPLIANCE HERDERS ISIPICIAL 111C7T TIME CLOCKS 1 UNIT HEATERS MULTI-OUTLET L DIMMERS
AMI. K.W. OIL H.P. GAS H.P. AMT NO. A.W.G. AML AMP. W. Mrs TRANS. AMT. R r SYSTEMS AMT. I_ WATTS
NO.OF_FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. . i'IPE METER 1/rW i At SW ]AT tW S l AW NO.OF CC.COND. A.W G. NO.OF HIdEG A.W G W.W NEUTRALS A,W.G.
EQUD. PER Nb E I_ Of NEUMAL
OTHER AP►ARATUS:
Tk,f1F . I_nNeTPffCTi()N ^F'.RVIC'E-7.
L L
G•P.C'. I: :L
i PPfPFP ELE"TF.I- LIC, 41302--F
'
1'0 PDX 52b
GENERAL MANAGER
111M 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ]
FIREPLACE
a��c
& CHIMNEY
REMARKS: 0.
DATE !`'8 INSPECTOR 10-4
gllffOlk�oGy
o
Town Hall,53095 Main Road W Fax(516)765-1823
P.O.Box 1179 �,y Telephone(516)765-1802
Southold, New York 11971 �JQl �a0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 6, 1998
Mr. & Mrs. Park
P.O. Box 1089
Cutchogue, New York 11935
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)
No Underwriters Certificate on file.
XX The check is (not on file. ) #25.00
XX No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 24334-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
I IP,L11 Illi l'I;GI Itfif 11l_(l'1111'C II�f 1: l;Ulll 11;111'{1
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS-
DATE
EMARKS:DATE INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROU PLBG.
j ] FOUNDATION 2ND [ NSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: l C
C,) mil r
DATE INSPECTOR
3� -
768-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST (144ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
VI"FRAMING [ ] FINAL
REMARKS:
c
DATE I go&M jfj 7 INSPECTOR
M-1802
BUILDING DEPT.
IPMPECTI®N
[ ] F NDATION 1 ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL & CHIMNEY
REMARKS:
V57-
12<4
1-7
DATE �/� / INSPECTOR
765-1802
BUILDING DEPT.
[/INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ) FRAMING [ ] FINAL
[ ] FIREPLACE' & CHIMNEY -
REMARKS:
G,
DATE INSPECTOR
BOARD OF HEALTH . . . . . . . .. . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . .. . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . .. . . . . ..
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . .. . . .
TOWN HALL SEPTIC FORM
. . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
/ CALL {�.� {����� �. .
Examined.,.'... �.., 19..17 MAIL TO: .F4'.11._F`2_X. �P�. . . .
Aplrzwed. �.... 19J!?
Permit No !./••t 3F• ...........cuk.c 1Q�C3� .....
Disapproved a/c .. .... ........... (4... .....
(building Inspector)
LIGATION FOR BUILDING PERMIT r{
'Date. . . . > . . . ..
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot 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 comenced before issuance of Building Permit.
d. Upon 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.
APPLICATION IS UFFM RAFE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tam of Southold, Suffolk County, Nein 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 essary inspections
" ,!�. . ..... ..................
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
J �Q�................................................................................................
Name of owner of premises ....L..1,..;?1A� \...�. C.�.
........ ..........................
(.as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.......�..�...........................................
(Name and title of corporate officer)
7
BuildersLicense No. .........................
Plumbers License No.
.........................
Electricians License No. 7
....................
Other Trade's License No. .....................
I. Location of land on which proposed work will be donne.. ..........................
........................................................... ��1 ....................................
House Number Street1 hamlet
Canty Tax Map No. 1000\ Section ..`.. Z ....... Block ....CIA....... Lot ... �:l.......
Subdivision ....s-� l�.i� .�?.44-K�). Filed Map No. ...Q.}��.... Lot .. ..........
(Nam)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......(�Ax\.........�................,I...n....................................
b. Intended use and occupancy .................
F� ANY ALTSU 7XW OR AOa7)bw To Ina SLRVEY IS A VIOILATMON / am fQM111Qr with the STANDARDS FOR APPROVAL
OF SEC7XW ?M OF ThE MY YOW STATE EDUCATOV LAW, AND CONSTRUCTION OF SUBSURFACE SEWAGE
EXl,EPT AS PDR SECTM�I T709-S(.BOUV15M7W 2. ALL QERTFICATMaNS
HMON cA Y � w I DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
SW BUR THE AOWSM SEAL OF THE and wit/ abide by /he condltlons set forth /hereln and on the
MO'#0.SE 91�VA TIARE APPEARS MMOAL permit to consirucl.
AGIQITK MLL Y TO COMM Y WTH SAD LAI THE TEAW 'AL TERED or t p
41 &WT BE USED BY ANY AAD ALL SLRVEYQRS U7LaW A COPY � �,°�� • � / 4�
we'll QF AI 7MN 5Lff 'YQR'S YAP. TERW SL CH AS 'SEC='ANO 2A'
SPODWr-TO QA TE`ARE NOT N COAFLUAW MTN TAV LAI. 36T• - ��
The locations of wells and cesspools
shown hereon are from field observations ,
and or from data obtained from others.
Lot <01
-
r
,a t ,•+'e� roe` MC
/ � rh � « f'� �• .•` �is .i {'�!" � 6� � ,,,5 —"--�.`.�.- -i. e1� � �� � ,...
CD
• s to
Lo 3
Ion i"10ftft4ftNW0AU0VA~AL
ZOO �Lill� �y \� ...en�e, c 35
\ 9
to
' 0
SURVEY OF
0 LOT 3
FROM MINOR SUBDIVISION MAP
OF
" SHA L VE Y PROPER TIES "
`s' 0 FILED AX Y 16, 1990 FILE NO. 8975
A T CUTCHOGUE
5g•�9 5 5 E TOWN OF SOUTHOLD
���� ,,; : 5• �aGd� SUFFOLK COUNTY, N. Y.
y I" - 84 - 04 11.3
CERTIFIED TO, SCALE: 1"= 50'
0 WILLIAM W. PARK MARCH 27, 1995
TERRI L. PARK
N j S. C. NO. 49618 COMMONWEAL TH LAND TITLE INSURANCE April 16, 1997 (SCDHS INFO)
" COMPANY
IPECO" VYO ,$,® BRIDGEHAMPTON NATIONAL BANK
(516) 765 Lht
P. O. BOX CONTOUR LINES ARE REFERENCED TO
MAN ROAD AREA = 20382 ACRES THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS
SOUTHaDj MY. 11971
95 - 141
ANY AL MU 774V OR AAWTM To rhO SOMY IS A VIOLA TAW
OF 4ECMV 7209 4T 77E ACV YOW SWE WMAMW LAW, I am fWkW4r with the STANDARDS FOR APPROVAL
HXWw �cT
AS PER SEM 7209-SGOdNLSAf�11 E ALL GE'RTFICATAa4 AND CONSTRUCTION OF SUBSURFACE SEWAGE
AW VALD FOR 7M MAP AAO ccQES 1MEW oM.Y F W r DISPOSAL SYSTEMS FOR SINGLE FA Y RESIDENCES
MV AW OR COFW5 AWAR 7SSO SEALOF TW StRKEYOR and wN ab/de by the condltlons set torth there/n and on the
wow mu nALE AMWAN permit /o construct.
AM77OAfAU Y TO CONEY /NTH SAD LAW 7W MW 'AL TEW Or
•� A"r or um or ANY AAD ALL SU EY04S U7XJZW A COPY
we r! O=A/OTM!9'SLIRVEYaM MAP. 71W SUCH AS TAMCMV AAD 2A' / `"�,�
'M90L&f-TD•0+/TE•AAE MOT N CO FLLANCE WTH 1W LAIE 36?• i� O ".-
4'- ^ 7
The locations of wells and cesspools
shown hereon are from field observations
d o c ' and or from data obtained from others.
Lot
<00
40 --- ti�� <
0 ir
i •Q9 o .
t�• 5g
2 /
to 40 / rro ' - __ fig ' n
J4 d/
G/f
en,e 0 7 /
\�
•
to
Q SURVEY OF
' 0 LOT 3
' R
FROM M NOR SSI V 11SlON MAP
�- OF
" SHA L VE Y PROPER TIES "
Q FILED AA Y 19, 1990 FLE NO. 8975
.�g,5o� A T CUTCIaOGV E
o. 5e 5g 5 r 3 TOWN OF SOUTHOLD
pF NEW S. SUFFOLK CCKIhITY N. Y.
VW - 84 - 04 - 113
O CERTFED T0• SCALE: 1"= 50'
WILLIAM W. PARK MARCH 27, 1995
N. /C. NO. 496/8 TERRY L. PARK
COMMONWEALTH LAND TITLE INSURANCE Apr# /6, 1997 (SCDHS INFO)
COMPANY Oct. 10,1997 (foundation)
PEC .C. BRIDGEHAMPTON NATIONAL BANK
11x61 E �
ROAD CONTOUR LINES AREA = 2 0382 ACRES THE FIVE EASTERN TOWNS REFED TO
Tt0Lt?, N Y. 1197/ TOPOGRAPHIC MAPS
95 - 141
ANY ALTERATION OR ADDI77ON TO THS SLRVEY/S A WOLATION I am tamillar with the STANDARDS FOR APPROVAL
OF SECTRW nog OF TTE AEW YORK STATE OUCAflON LAW, AND CONSTRUCTION OF SUBSURFACE SEWAGE
EXCEPT AS PER SECTION nos-SLewvaM R. ALL CERTFTCATTONs wail DISPOSAL SYSTEMS FOR SINGLE FAMtL Y RESIDENCES
HEREON ARE VALD FOR THS AAP AAV COPIES THEREOF O+LY F
SAA AAP O4 COPES BEAR THE AWRESSED SEAL OF THE SLRVEYOR and will abide by the conditions set forth therein and on the
WHOSE 9"TLRE APPEARS AERE'Ont IS$ permit to construct. N
AODITOWLY TO COWLY WON SAD LAW TAE TERM ALTERED BY' _ -/'�
RIS
•0- AT BE USED BY ANY AAD ALL SURVEYORS UTXZW A COPY �� S
"J j OF ANOTMW SURVEYOR'S MAP. n M6 SU7i AS 7KSPECTED'AAD ZD:� m ^� Q�. 'O P
p
WOURfT-To-OA TE'ANE NOT N COIWLLI%CE IN TAE LAW. 3g1• .tea, -�
,o �0'�� The locations of wells and cesspools
shown hereon are from fleld observations
and or from data obtained from others.
Lot -h �, ,ti -
SCOWS REF NO. R?0 - 97- 0088
n
<01
r
sr.
c- a
$ II COIINx OVARIMMOFI�BAtL'ill60tvlCifi
p2° Q
- �� �,9 , J� �o � 6t1 'AI.KTrCdlE4itttlL:l1'DWWUCSM�I
q9 50• 7°" �� �3 �o r a1 end avatar tr�i+fr fltdlitltf ec tAla uxe!f m r;vc dea,
/ 59 �. > 0+\ 0 �y andtarom ifledbythisD�$ta. lcaforrsdu+
�. "o FOR IIJAIQI'
m�� o- �� � cK \ 5� _ 45 (MlkaofYuatartdd�euwra +ntnt
B110 \
'P0.
ti
000� �0 SURVEY OF
Go O FROM MINOR SUBDIVISION MAP
�A LOF
0 �t " SHAL VEY PROPERTIES "
FILED JUL Y 16, 1990 FILE NO. 8975
. v+ P A T CUTCHOGUE
Q}
o_ x •AE95° 1. TOWN OF SOUTHOLD
se
Of NfK 5' S9 \ aLa°t SUFFOLK COUNTY, N. Y.
/
S 1000 - 84 - 04 - 503
�o��r. Merrc�0 �Fp CERTIFIED T0+ SCALE: 1��= 50'
tires. f\
WlLLL4M W. PARK MARCH 27 5995
TERRI L. PARK '
Aprll l6, 1997 ISCOHS INFO)
LI . 49618 LAKE SHORE ABSTRACT, INC.
A ti SUFFOLK COUNTY NATIONAL BANK Oct. 10,1997 (foundation)
PECONIC Og�s'%P May /3, 1998 ( final )
(516) 765 - CAND S�
P. a BOX 9 CONTOUR LINES ARE REFERENCED TO
MAW ROAD AREA = 2.0382 ACRES THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS
SOUTHOLD, N.Y. 11971
95 - 141
Amy AL MU 770W OR ALUDaV TO T4S SLHVEY/S A VDLA TION l am famlllar with /he STANDARDS FOR APPROVAL
OF SECTOY 7209 OF 77-E ACV YORK StATE EDUCATTav LAW, AND CONSTRUCTION OF SUBSURFACE SEWAGE
EXCEPT As V SD FOR
MS MALB AV>!ON 2. ALL CE F 000 TXJNS ® w.i. DISPOSAL SYSTEMS FOR SINGLE TAMIL Y RESIDENCES
&W " ARE VALD FOR R 7 MAP ES ED SE Th£REOF OA2Y F and will abide by the conditions set forth therein and on the
SAD AGP Q4 COPES BEAR 7tL'AIfRESSEO SEAL OF THE SGR4/El'Q't �� �(� � �
WhOS'£SMTlAW APPEARS hMON. permit to construct.
ADDITA%hALLY TO COWRY WITH SAD LAW T?E TEIW1 ALTEREO BY' cP
•A MIST BE USED BY ANY A/O ALL SLRVEYORS U7ZO.PK A COPY
wee' OF A80710?SWVEYOR'S MAR TERMS SUCH AS 191 ECTEV AAV
%W0LA9fT-T0-Q4TE'ARE NOT M' COAfLLAACE WITH ThE LAW. .61• ��
i/ The locations o1 wells and cesspools
shown hereon are from field observations
and or from data obtained from others.
Lotrn
r i
s� l j COUNN DWAtii#MMOVIWLMIIKVMAr
of
�
40ph7. 'So ��tA tJ ,c-
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\ ; 5 7 � F� o
a // h` ✓P i v
arBROOMS
Lot 3
Una mmlRA1rffimurs orA1' MAL
3635 _s5
moo.
SF,A� 4C
SURVEY OF
���� " OPS LOT 3
¢ FROM MINOR SUBDIVISION MAP
tio RP, " BRAC VEY PROPERTIES "
s FILED JUL Y 16, 1990 FILE NO. 8975
P A T CUTCHOGUE
Sefi 9.09'5° C� 1. �. TOWN OF SOUTHOLD
5 Udr SUFFOLK COUNTY, N. Y.
1000 - 84 - 04 - 11.3
4- CERTIFIED CERTIFIED TOr SCALE: i"= 50i
WILLIAM W. PARK
TERRI L. PARK MARCH 27, 1995
.4: N S. C. N0. 496/8 COMMONWEALTH LAND TITLE INSURANCE April 16. 1997 (SCD.HS INFO)
COMPANY
PECONt S V.,YDff1% BRiDGEHAMPTON IVATIONAL BANK
15161 765 LACi�
P. 0. BOX 9 CONTOUR LINES ARE REFERENCED TO
U411V ROAD AREA = 2.0382 ACRES THE FIVE EASTERN TOWNS TOPOGRAPHIC MAPS
SOUTHOLD, MY. 1197/
95 - 141