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23912-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25245 Date SEPTEMBER 8, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 90 HOWARD AVE. & 4690 WESTPHALIA RD. MATTITUCK, NY House No. Street Hamlet County Tax Map No. 1000 Section 113 Block 11 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1997 pursuant to which Building Permit No. 23912-Z dated FEBRUARY 7, 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 GARAGE AS APPLIED FOR. The certificate is issued to ROBERT G. & LOUISE M. RULAND (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0001-AUG. 25, 1997 UNDERWRITERS CERTIFICATE NO.-H-056693 - AUGUST 26, 1997 PLUMBERS CERTIFICATION DATED AUGUST 25, 1997-PERFECTION PLUMBING & HEAT Bui ing Ins ctor Rev. 1/81 FORM NO. a 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° 23912 Z Date ..........:�1- .................................... Permission is hereby granted to: . : ......................................... ................. 'o. X.... ...................................... 45 to s .C%:............ ....... .�17ai✓........ ... .......f.... ................ ........ %.. .. . ...... 1........ ...... ....��........................... ..:............. ...- . at premises located at ........ .. r. ....... ............................................... .................................................................................................................................................................. County Tax Map No. 1000 Section ... .�V.......... Block ......1./........ Lot No. ..s;&............. pursuant to application dated ......1;. U I. ........ 191... , and approved by the Building Inspector. Fee $....f.• ••• 1... ........ . ....:.... ............................... Bui mg Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART`INT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must by 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 17 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 325.00, 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 - .25,zz. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .8/27. . ./97 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New 'Construction. . . ? . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . .90 HOWARD AVE. MATTITUCK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. .LOUISE. . . . . M. RULAN D. . . & ROBERT. . . .G. . . RULAND. . . .(JT TEN ) . . . . . Py. . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 113. . . . . . .Block. 11. . . . . . . . . . . .Lot 20. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 239122 2/7/97 LOUISE M. . . . . . . . . . . RULAND ?ermit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . R10-97-0001 „Underwriters Approval. . . . . . . 3ealth Dept. Approval. . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . teauest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .X. . . . . . 25.00 Submitted: 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cie-S33s g UKTC.LN_ e ?days V�gUFFD(K�OGyA Town Hall, 53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 .+% • Telephone (516) 765-1802 Southold, New York 11971 y o! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No Owner: (pl X11-i2..A �-(p—l^ease print) Plumber:7., . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1& lead. (Plumbers Signature) Sworn to before me thi day of qvKI No y Public,�� County WS, r RC1. I' I P,LI1 11151'I.l:I 1011 HKCO1t I UA 1'I( _ CUttFIIS"U 1';i IOONIIA')'J DN ( L'i'1') �I II II ruurn)n r toN ( 2ND) �I - - ---- --- - t • '----- "- ------- -- 19;, z�unmal rltnfnt F II ° • . �� II� I'I.IIFI It f NC elite; fl INS)I.A'IAON ITR N. Y , - / •__ _.._ LssQ�X _ . . - ,._ ') .gl� STAIR RNE.Itf:'/ I J �G�� �'� __ _ //_,����"/� �•t 'N� 1:DDR.. I . A�- II �� �'�CA��/i✓j -�p�y�`c/�Jy� �////jam,,,. ) V I II .. ... . • ld�'�"a'�- F I N A I. I11,4 ANNITIONAf. CONHF.NTS: ------------- b � 0 J 1'i \ ! oi Louise M. Ruland P.O.Box 143, Mattituck,NY 11952 6/24/97 Southold Town Building Dept. Main Rd. , southold,NY 11971 Dear Sirs; Re Building Permit #23912Z, Hhward Ave, Mattituck; Please amend the pians as follows; Replace main girder in basement with( 3) 2"x10" in place of Microlane as shown. Install LVL Valley Rafters & single collar ties 16" O .C. in Garage (no attic storage) . Yours TRuly, Louise M. Ruland _ N S- Y n .� fj: � � �� - •4 r V (4 + J ^a .�Yh � k� Y" � x y27. F� � 2'"-�X1O" ^c•- �T < _ �YTpyj t a3 d 4 l• t �� 1- � .. •i� •`y'r L. . 5 r .,.. y, �j. ' �r A �•. ,. .. �- �`� p- 'mss ":wu;#v.��, -� f .„,. 4� iv .�, 1',Via''"1 y� f cs ( rot'-w -IPL't :- "„-y `•�� v f T ti Y' GARY FLANNER OLSEN COUNSELLOR AT LAW P.O. BOX 706 • MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 • PHONE 516-734-7666 FAX 516-734-7712 January 10, 1997 Re : Cavaliere to Ruland Our File ft 6049 Dear Gary: I am enclosing herewith the following: 1 . Building Permit Application for a house foundation. 2 . Survey. 3 . Filing Fee $75. 00 . 00 . Very truly yours, o-� ER O N � GFO: lmk Enclosure Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 Attn: Gary Fish X41 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: r e' DATE ✓nZ INSPECTOR � 765-1802 BUILDING DEPT. �SI�ECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTORA�i7� J 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS. LtC6�jhy DATE �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. �� [ /FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: ��C DATE INSPECTOR - Z) 765-1802 BUILDING DEPT. INSPECT [ ] FO DATION IST [ ROUGH PLBG. [ ] OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: mzV mP DATE INSPECTO . M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �G �-�•� „ DATE `/ �� I` INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: Z~ DATE INSPECTOR I THE' NEW YORK BOARD OF FIRE UNDERWRITERS 1PAGE1. 8065396 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date AUMIST 26,1997 Application No.on file 13620597/97 P1 05669 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number inLOUISE M.RULAND, ROVIARD AVEN�U[7E, POLF445, HATTITUCK, N.Y. in thefollowinq!station• Basement L'J Ist Fl. ❑ 2nd f'l. C`ARl?�`1".lilCfOt77.' Section Blaek �IMUS-1 37,,1997 andfound to be in compliance with the National Electrical Code. uws examined un J` P FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OU7LE7S INCANDESCENT fLVORESCENT OTHER AMT K W. AMT K W AMT. I KW. AMT K.W AMT. I H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTj TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. Olt H.P. GAS H.P AMT. NO. A W.G. AMT, MAP. MLT AMPS TRANS. AMTH P SYSTEMS MMT. WATTS NO.Of FEET SERVICE DISCONNECT NO.OF __ S ..E _ R V 1. _ C E AMT. AMP. TYPE METER 11,4`2W11$SW 3$JW ]$AW NO OF GC COND A.W O NO�OF HbIFG A'w'G NO.OF NEUTRALS A W.G. FOUL►. PERM OF CC.COND. Oi HbIEG M NEUT0.Al OTHER APPARATUS: it LOUISE M.RULAND P.O.EOX 1.43 HATTITUCK, NY, 11952 GENERAL MANAGER 11 . aS 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 PAGE 1 I'x-3065306 BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NY 10038 Date AUGUST 26,1997 Application No.on file 13620597197 11 045669:3 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 LOUISE M.RULAND, HOWARD AVENUE;, POLE05, M WITUCK, N.Y. in thefollowing location; © Basement ® Ist Fl. ❑ 2nd�Ft. CARMYTIClOUT ;,eti,m Block Lot was examined on AUGUST 21,1497 and found to be in compliance with the National Electrical Code. FIXTURE KEPTACLES SWITCHES FIXTURES RANG S COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHEA AMT. I K W I AMt K W. AMT KW. MIT K W. AMT. I H P. 39 53 32 35 1 4 1 1 10.8 1 1 1,2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE PEEDERS ISPECIAL KC'PTJ TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMI. K.W OIL H.P. GAS N.P. AMT NO A.W.G. AMT ANP. MIT. AMPS TRANS. AMT H.P SYSTEMS AMT. WATTS NO.ST FEET 2 F 1 2.0 1 3 600 SERVICE DISCONNECT NO. IF _ __S _ _ E _ _ R V 1 C E AMT. AWP. TYPE METER 1.0 M 10]W ]9 JW ],e AW NO OF CC COND A.W G -- NO OF NbIFG A W'G NO.Of NEUTRALS A'W a EQUIP. PER a OF CC.GOND. OF HI LEG OF NEUTRAI 1 200 fL� 1 X 1 2/0 'L 1!0 OTHER APPARATUS.. SPECIAL RECEPT. A111".30-1 200A TRANSFER SW. -1 WELL PUMP-F-1 PADDLE FANS-F--2 2.50 TON AIR CONDITIONER-1 MOTORS:1-F H.P. ,2-E' H.P, ,1--2.5 lf.P. ,1--V H.P. PANELBOARDSt1-1 CSR. 60 j TPEPe G.F.C.I:-4 e SMOKE DETECTOR:-4 e<.K Continued on Page 2 >>> GENERAL MANAGER >b 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. , BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLAYS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . JAN ? BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t 971 11 FY ; .r� �j CALL . . . . . . . . . . . . . . . . . . Examined . . . . . /. . . . ., 197/7 q HA I L TO : Approved . . . . . .l`./. ., . . . . , 19/.7Permit No. . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in nspector) APPLICATION FOR BUILDING PERMIT Date .January . _ , . . , , . . .. 19 .97 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 appli- 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 permit sliall 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 HEREBY 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, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees # 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. o� .� .fY/."X:e ��. . . . . . . . . . . . . . . . LouiSign tur@uofaapplicant, or name, if a corporation) .4.0_55. Westphalia. Rd.,. Matti tuck,. NY. 9]952. . . . . . ` (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contract Vendee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . of Joseph, David, Caval i ere (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . : Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . ,North .East Corner. of Westphalia . :4 9� . .and,Howard ,AYenue,.C� zk . ,W. � �fil�Li9 . . p. . . . .`j It ��.TuG . . . . . . . . . .. (louse Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . . . . . . . . .. . . . Lot . ?A . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Ncunc) , 2. tate existing use and occupancy of premises and intended use and occupancy of proposed construction: I a. Existing use and occupancy Vacant Land ... -m:. . . . ,G .,q . . . . . . . . . . . . . . . b. Intended use and occupancy Incy . One Family Residential - This building .permit application t s 'for 'a Toar da'Ci'on' 'p'ermi't. . . . . . ,-.=r: . . . . .._. . . . . . . . . . . . . . . . nv ( pp Nouse Foundation 3. Nature of work (check which New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . . . . . . . (Description) . . ,, . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . units (to be paid on tiling this application) number of dwelling 5. If dwelling, g is . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . , _ If garage, number of cars . . . . . . . G. If business, commercialor mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ures, if 7. Disensions Of existing strut any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height rbcsof Stories . . . . . . . . . . . . . . Dimensions of iltcrations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . 8. Depth ton. oC e noirestructure new ca* . . . .(height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . : . . . . . . . . . . ion: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth Fletght . . . . . . . . . . . . . . . Number;of Stories . . . . . . . . . . . p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. Size of lot: I-ront . . . . . . . . . . . . . . 11, 'Lone or use district in which premises. . • • • . . . Rear . . Name f Form . . . ser Depth . . . . . . . . . . . 10. Date of Purchase " " • • • • • • . . . . Name of Fortner Owner . . . . . . . . . . . . . . . . . . . . . . 1 es are situated . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13, '. . . . . . . . . . . . . . . . . Will lot be rc,radedl Will excess fill be removed from premises: Yes No 14, Name of Architect . ' . . . • ' ' ' ' • • • • Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone NO. e of wner . . . . Name of Contractor tracotorrerniscs . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 3001 feet of a tidal wetland? *YeS. . . . . . . . No. . . . . . . . . If e$ Southold Town Trustees Permit may be required. 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 names and indicate whether interior or corner lot. SEE ANNEXED SURVEY: OF STANLEY J. ISAKSEN, JR. DATED DECEMBER 13, 1996 APPROVED AS TOTED DATE: —_ FEE D_.w'_.__2sY: .:. •_^"��__ NOl'IFY BUILDING DrPARTMENT`AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: DO NOT PROCEED WITH t. FOUNDATION - TWO RECUM n FOR POURED CONCRETE 'FRAMING UNTIL SURVEY 2. ROUGH - FRAMING & PLUMtnNG OF FOUNDATION LOCATION 3. INSULATION 4. FINAL - CONS71RUCTION MUST HAS BEEN APPROVED. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION a& ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS TS.SATE OF NEN YORK • OUNTY OF . . . .SUFFdUK`. . . . . . . . . . . • . . .( .. . . of iLouise ndiviM.dual signing . . . . . . . . ' . ' ' ' • • being duly sworn, deposes and says that he is the applicant Ruland ame b ;ontract) love named. is the . . . . . . . . . . . . Contract. Vendee, , • • . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. porn to before me this . . . . . . . . . ld . . . . .(lay of. . January. . . . . . . . . . . .. 19 . 97 Mary PubliQ�idit�JFS�ffohk , County N Public,N8�k NewVmk Louise M. RUl arid. (Signature of applicant) LOHIIAINE KLOPFE ChNIMM No.4828373 No Commission Expires Nov.30,199X7 loo' rrCesspool TEST HOLE DATA h,* o well O REFERENCE; MCDONALD 0 GEOSCIENCE, /2//6/96 N N /ig'o q rCesspoo/ EL. = 30.8 $ LOT 35 U More than 125' to well BROWN LOAMY B Sanitary SAND (SM) 22N71030'50"E 127. 83' Q5 299. z P;0 tC BRONMI B PALE BROWN FINE /� ty TO MEDIUM SAND (SA) m_ ro- J � In excefs of 4P5 / Q I 150 to Cesspool ILO' PALE BROWN 29.98 qO J40 .,,D �I FINE TO COARSE SAND Oq/VFgFe CEssrooL (SW) 4R4G£ M COVERED —17.0' PATIO /?g• ,//0 N `gym. Cesspool '40 SEPTIC 20 WOOD r-y�4ePl/C '`944fLr I, OOD U lank FIN. GRADE Q �2 ' Q QQ 8tj8• h £ MAX A, h ..�Q Q�Q`/ CHIMNEY V ISaoN- y s2 O LEACHING o POOL Y r�Q Cl) M.V ra 0.p In excess of 15D' NROHNOWATER E'M/N. e to Well " 30.17 O 106'-- Y Well ' 29'91 Q TEST 34TYPCAL CESSPOOL HOLE w" SYSTEM i 30.6 33.40 -per S 66°29 00 W 31.69 -110 ROAD 34.68' O FIN. GRADE WESTPHAL1A " r ���o F zIMAx 32.70 x 141 IN-->, � � —a.our VACANT LA NO IN EXCESS OF 150' ` o cEssPoa 900 GAL. SEPTIC SURVEY OF SURVEYED 13 DECEMBER, /996 TANK LOTS P/0 /7, l8, I9 SCALE: l" = 40' TYPICAL SEPTIC SYSTEM 1N AREA = 34,245 26 S.F MAP OF TOL L.EWOrOLD � 0.7862 Acres SITUATE UNTY OEPAR WjW0F HEAL. .4 SERVICES ONING - R40 MATFL7UCK, TOWN OFSOUALCPCpNu^a7?JL^EAWQx�F :t�pyg or£s IT SUFFOLK CO.,N.Y. SINJGLE EAIWILV RESTI)MZ 1, ELEVATIONS SHOWN(300)ARf 97+ ff.S It c No. ASSUMED DATUM. 2. ALL SANITARY AND WELL LOCATIONS SURVEYED FOR : ROBERT L AY atM'vzier suPPIY fxtf%tea act t14 >x.t{oA F.evt to l WEST SIDE OF HOWARD AVE ARE FROM OTHER SOURCES AND ARE NOT LOUISE RU 411IOR f aJpydtts rntheru3ca;esaadtoundw CONFIRMED. NO RESPONCE To �R 0 ? PERSONAL THESE SERVICESRARE, YAS TO WHERE TAX MAP NO 1000-1/3-I1-20 GPS 3. ALL OTHER SANITARY/WELL INFO FM #175 Woof Watts PROVIDED BY ADJACENT OWNERS. FILED 1/25/1927 Guarantees indicated here on shalt run QYIatAherized oiteration or additicn to this only to the person for whem the survey ;,msl H a iewladan of Sccticn 7209 of SUFFOLK CO. HEALTH DEPT. APPROVAL is pr,pared, and on his behalf to the Ib9 NgW 'lark State Education Laws 141'. ccmccny, Cov:r;rentcl A._cncy, H.S. NO. Wncir:g ir,stlt_ticn, if list^d h-r>on, and tc iha css:gnees of the lenv.''ang institution. Goes of this survey map not bearing STATEMENT OF INTENT the Land Surveyors embossed seal shall Guarantees I ore trot or SLcrabie to rot be considered to be a valid true THE WATER SUPPLY AND SEWAGE DISPOSAL additional institutions or scbsequent owners SYSTEMS FOR THIS RESIDENCE WILL CONFORM TOHEALTH THE oopY SERVICES TO INCLUDEFR VSONS UPTOANDPT. OF ICLUD- GUARANTE£D To: SURVEYED BY 1NG NOVEMBER 13, 1995 ROSERrG. RULAND STANLEY J. 1SAKSEN, JR. S LOUISE M. RULAND PO. BOX 294 APPLICANT FIDELITY NATIONAL TITLE INS. CO. NEW SUFFOLK,N.Y., 11956 TOWN OFSOUTHOLD (516) 734-5835 TOWN OF SOUTHOLD FOR APPROVAL OF CONSTRUCTION ONLY - : zld s t ,9nV L6. WE! APPROVED : l0i Tt �t$ ^13t# 3AI8 OWNER. ROBERT G. RULAND LOUISE M. RULAND 8IN..Y. LAND SURVEY } .Ifa`:;)4 ?1l0j.41S C. NO. 49273 A f 2 AUG97 FINAL SURVEY 4/4/97 LOCATE FOUNDATION 96C615 IISo N_o IOD' ,—Cesspool TEST HOLE DATA N g REFERENCE MCDONALD �m o well GEOSCIENCE, 12/16/56 // Q rCesspoo/ EL. = 30.8 3f v $ LOT 35 More than 125' to well BROWN LOAMY 8 Sanitary SAND (SM) , 29.58 N71030/50"E 127. 83/ 25' r33 29. ra Ce�pOpr H /9 18 I P/O Q BROWN 8 PALE I I7 (1 BROWN FINE , TO MEDIUM tiAl SAND (SP) Cb In excefs of Q - Ces1spool50 0 110' CpssPOpr - PALE BROWN FINE TO 29 98t6 o COARSE SAND (SW) / GARAGE, —170' 20' Cesspool (� Q-•Septic �` RPD Y Tank FIN. C /. ONC Q � FOUN RETP RADE, r� P MAX l� � IN-•i Qv r Zg a O Q 9009E q 9AE WALL W Q 13 LEACH EIANG O POOL N V o ./ V Y O , �RO p'MIN. �1 In excess of 150 ---> to Well 30.17 p 106' y Well TYPICAL CESSPOOL 29'91 TEST SYSTEM HOLE 3/69 20 � FIN. ORADE S g6 a 29 00 VV ROA 0 34.68' ""%O So�2"F Mav, WESTPHALIA 1 32 70 �s pMAx 3076 OUT, VACANT N� Q VACANT LAND IN EXCESS OF 150' CESSPOOL 900 I!SEPTIC TANSURVEY OF I SURVEYED 13 DECEMBER, 1996 LOTS P/0 l7, 18, 19 SCALE: I" - 40' TYPICAL SEPTIC SYSTEM IN AREA = 34,245 26 S.F or MAP OF TOLL.EW000 07862 Ares i SITUATE ZONING = R40 MATTI TUCK, TOWN OF SOUTHOLD NOTES SUFFOLK CO.,N.Y. 1. ELEVATIONS SHOWN(30.0)ARE ASSUMED DATUM. 2. ALL SANITARY AND WELL LOCATIONS WEST SIDE OF HOWARD AVE. ARE SURVEYED FOR : ROBERT G. RULAND FROM OTHER SOURCES AND ARE NOT CONFIRMED. NO RESPONCE 70 LOUISE M. RULAND PERSONAL INOUIRYAS TO WHERE THESE SERVICES ARE. 3. ALL OTHER SANITARY/WELL INFO TAX MAP NO 1000-113-11-20 PROVIDED BY ADJACENT OWNERS- FM 1 only to Pe Guarantees indicated here on shall run `'t'`-L'.1 Q i the person for whom The survey 11 FILED 1/25)'1927 is prepared,r� ared, and on his behalf to the title company, Govermentai Agency, lending institution, if lisiec' hereon., and SUFFOLK CO. HEALTH DEPT. APPROVAL to the assignees of the lending institution, Guarantees are not trans'+ruble to H.S. NO. odditional institutions or sebsequent gN114(6 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL nauihcrzed alteration or addition ro thi: SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE survey is a Nlolation of Section 7209 of STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH the New York State Education Law. SERVICES TO INCLUDE REVISIONS UP TO AND INCLUD- GUARANTEED TO' SURVEYED BY ING NOV9MBER /3, 1,995 ROBERT G. RULAND STANLEY J. 1SAKSEN, ✓R. S LOU/SE M RULAND PO. BOX 294 APPLICAAT "'r-ilrt<-ICY NATIONAL TITLE /NS CO NEW SUFFOLK,N.Y., 11956 TOWN OF SOUTHOLD (5/6) 734-5835 TOWN OF SOUTHOLD FOR APPROVAL OF CONSTRUCTION ONLY DATE APPROVED : 1OWNER: ROBERT G. RULAND LOUISE M. RULAND 7/ LICEA#EQrLAND SU OR '. CW/01L" 3Wkey49 not bearing the Land Surveyors embossed seal shall 4/4/97 LOCATE FOUNDATION not be considered to be a valid true 96C615 o N o 100' o Cesspool 'TEST HOLE DATA well REFERENCE MCOONALO w m�� GEOSCIENCE, 12/16/96 m U_r Cesspool EL. - 30.8 o LOT 35 More than 125' to well BROWN LOAMY 8 Sanitary SAND (SM) 029,58 N71°30150"E 127. 831 25 294 FO IP l9 /B I P/O 315 Q % BROWN d PALE 17 I fD' BROWN FINE TO MEDIUM SAND (Sp) ii In excess of Q cesspool 11.0' PALE BROWN PSS°oar 2998 pq/ FINE TO 41- D 3s COARS (SW)E SAND GARAGE dao% EXPANSION L-j —170' to PROPOSED 1 �Cesspoo! Heir RESIDENCE 20 Septic A PROPOSED Toni( FIN GRADE SEPTIC O y h TANK ROPOS£D CESSPOOL 2'MAX aQ QQ 9s\ 1. I/e/I V O /N J O Qv V Qa O O Q\ SIDE ALL m EA O LEACHING o PROPOSED \ POOL L(, N WELL / _y t tiQ jVd - CGROe10 2M/N u In excess of 150 30/7 p \ �� ----� to Well � -�-34 106' - y Well , TYPICAL CESSPOOL 2991 Q TEST HOLE SYSTEM 06 --...'.iV - -1340 3169Zp O FINN cBRADII, S66029 00 3 W ROAD � 4.sB' Fti WESTPHALIA CI <1 M" r. 32 70i 2'MAX. 3076 >_ a —a WT' VACANT LAND IN EXCESS OF 150' B MiN 70 CESSPOOL 900 GAL SEPTIC , SURVEY OF SURVEYED /3 DECEMBER, 1996 TANK LOTS P/0 /7 /8 /9 SCALE I" = 40' TYPICAL SEPTIC SYSTEM. N AREA = 34,245 26 S F or MAP OF TOLLEW00D 07862 Acres St TUA TE ZONING = R40 MATTITUCK, TOWN OFSOUTHOLD MnvRXKCOUNTY DEPARTMENTOF L SUFFOLK CO.,N.Y. Vv IONS SHOWN(30.0)ARE PERIMTFOR APPROVAL(W CO"L7 w'AsSU DATUM. FA. r- .1f. 1A�L NITARY AND WELL LOCATIONS ONLY ` IDE OF HOWARD AVE. ARE SURVEYED FOR : ROBERT G. RURS FROM OTHER SOURCES AND ARE NOT LOUSE M. RUL ,i " F. COED. NO RESPONCE TO RS L INQUIRY AS TO WHERE APPROVED Tos ERVICES ARE. (� TAX MAP NO 1000-113-11-20 L THER SANITARY/WELL INFO 11 EXPIRES 25/1927 FOP MA)MdUM OF / BEDROOM$ pR_QV ED BY ADJACENT OWNERS. FILED 1/ FM 1 THREE YEARS FROM DATE OF APPROVAL -Un ition to this Guarantees indicated here on shall run survey is a violation of Section 7209 of only to the person for whom the survey the New York State Education Law. SUFFOLK CO. HE LTH DEPT. APPROVAL is prepared, and on his behalf to the H.S. NO, title compcny: Govermental Agency, lending instit0ion, if listed hereon, and Copies of this survey map not bearing to the assignees of the lending institution. thc: land Surveyors embossed seal shall STATEMENT OF INTENT Guarcniees are not transferable to not be considered to be a valid true THE WATER SUPPLY AND SEWAGE DISPOSAL additional institutions or subsequent owner. COPY- SYSTEMS FOR STANDARDS OFHIS THE SUFFOLK RESIDENCE DEPT. OFREA0 H HE LT SERVICES TO INCLUDE REVISIONS UP TO AND INCLUD- GUARANTEED TO SURVEYED BY : ING NOVEMBER 13, 1995 ROBERTG. 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