HomeMy WebLinkAbout24053-z FORM NO. 4
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25478 Date: 01/12/98
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 700 COREY CREEK LA SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 4 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 2, 1997 pursuant to which
Building Permit No. 24053-Z dated APRIL 17, 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 ONE CAR GARAGE & WOOD DECK
AS APPLIED FOR.
The certificate is issued to INLAND HOMES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0061 11/14/97
ELECTRICAL CERTIFICATE NO. N-434708 10/14/97
PLUMBERS CERTIFICATION DATED 11/26/97 GALE KASKE
Build g InspectcPt
Rev. 1/81
FORM NO. f
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° 24053 Z Date ................ ......................, 19......9.7
Permission is hereby granted to:
to ... ....J/��cr.............. ...... ...... : . ...... -C ...... � ...��1
r. i"..... y7 r .........1 ✓ ...... s �� r.........................................
................................................................................................................................................................
.............................................................. .............. ........................ ....... ..
at premises located at.....�c ...... . ..... ......... ... .. .
County Tax Map No. 1000 Section .... .. .. Block Lot No. ...... ....
Pursuant to application dated ..... •'............ 19..f�, and approved by the
Building Inspector.
Fee S..Jl...'.........
......... .........................
it g Inspector
Rev. 6/30/80
_ --- -- Form No. 6 - - 9, J F 9iG
" 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 2010 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 $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 .11/2-5/97. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction— #. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . .
Location of Property. ,?00 Corey Creek La. Southold
House No. Street Hamlet
Onwer or Owners of Property.?nland. Homes Inc... . . . .
County Tax Map No 1000, section. . 78 . . . . . . . . .Block. . 04. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
subdivision, Corey Creek Estates #4923 9
. . . . . . . . . . . . . . . . .. .. . .. .. . .Filed Map.. .. . Lot.... .
240534/17/97 Inland Homes
ermit No. . . . . . . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
R10 97 0061
lealth Dept. Approval. . .. . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
?lanning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
tequest for: Temporary Certificate. . . . . . .. . . . Final Certicate. . .
Fee Submitted: $.. .�25:00.. . . . . . . . . . . .. . . . . .
Q
53&6 APPLICANT w
r rt i—_9 C Cf "7(:?,
Town Hall, 53095 Main Road .; 'Y1 a Fax (516) 765-1823
P. O. Box 1179 ? = Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATEi90u 26 199?
Building Permit No. 24053 Z
Owner: Inland Homing
(please print)
Plumber: Gale Karke
(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 this
oZ C 7'6day of NO✓, 19 97
Notary Public, gi4l"Poe-,fe- County
MARGARET C.RUTKOWSKI
Notary Public,State of New York
No.5982528
Jua65ad in Sutlo;k IWAY9 7 9
l ,
9L$105-3
JnCand .- oej, Jnc. -
CUSTOM BUILDERS
BOX 117
315 WESTPHALIA ROAD
MATTITUCK, N. Y. 11952
516 . 2989696
Mr. Mike Verity 12/2/97
Southold Town Building Dept.
Southold,N.Y.
11971
Dear Mr. Verity,
I George & Rose Spanos are purchasing the home at
700 Corey Creek La. ,Southold,N.Y. from Inland Homes Inc.We will be
supplying our own appliances,which will be installed after closing.
Sincerely
/ �----
Ge r el Spanos
Mrs. Rose Spnos
Jnland A.3, Jnc. <`.`. . r
T
CUSTOM BUILDERS
BOX 117
315 WESTPHALIA ROAD
MATTITUCK, N. Y. 11952
516 298-9696
Mr. MikeVerity 12/2/97
Southold Town Building Dept.
Southold,N.T.
11971
Dear Mr. Verity,
Due to the cool weather we are having now.We will
not be able to seed the yard area at 700 Corey Creek La. ,Southold,
N.Y. until the spring of next year.At which time it will be done.
Sinc e
Rob' iltz
Inland homes nc.
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] UGH PLBG.
[ ] FOUNDATMN ' ND ] INSULATION
[ ] F ING [ ] FINAL
] FIREPLACE A CHIMN Y
REMARK '-� e�
DATE 7 1NSPECTO
i
2
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ��
DATE�� INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIM�N�E,Y
REMARKSm.
DATE,/7- ///577 INSPECTOR_
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE d INSPE
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ROUGH PLBG.
[ ] FOU )ATION 2ND [ ] INSULATION
rKING [ ] FINAL
' FIREPILACE & CHIMNEY
REMARKS: CHIMNEY_
REMARKS:
74-
DATE
.DATE INSPECTO
i
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]
FOUNDATION
'2ND [ NSULATION
[ ] FRA [ ] FINAL
[ IREPILACE A CHIMNEY
REMARKS:
L
DATE eh INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ F WING [ ] FINAL
[ FIREPLACE A CHIMNEY
REMARKS: A"z /
a
r - U
DATE 931-55� l`�7 INSPECTOR
765-1802
BUILDING DEPT. _
1 CTION
[ ] FO DATION 1 ST [ ] ROUGH PLBG.
[ OUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA & CHI NEY
REMARKS:
--9, le? 7
405;
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE / � 2'9 %7 INSPECTOR
053
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
( ] FOUNDATION 2ND [ ] INSOLATION
[ ] FRAMING [v'j FINAL ( f
[ ]
FIREPLACE & C/HIMNEY
REMARKS:
DATE / & INSPECTOR
-- z 11
V
THE NEW YORK BOARD OF FIRE UNDERWRITERS tA.r
119509'' BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
,
Date (K!ThSFiR ''�� ,1997 Application No.on file �• Iter;. _..R°7(_. 414708
THIS CERTIFIES THAT
only the electrical equipment"deecnibed below and introduced by the applicant named on the above application number in the premises of
TNLAND HOMI, C.OREY CREEK DRIVE, SOUTHOLD, NY
in thefollowinp location; El Bosennent El )At Ft. Q 2nd Ft. '=' `R t(,11J .Section Block Lot
Fres examined on 0CT01?ER 07,1?97 and found to be in compliance with the National Electrical Code.
FlxTURE FI%TURES RANGES COOKING DECKS OVENS IDISHWASHERSI EXHAUST FANS
[CETTAClES SWITCHES
OUTLETS INCANIYXENT FLUORESCENT OTHEq AAT K W. AMT. K.W. AMY. KW ' AMY K.W. AMT. I M.P.
24 'l —1 1 . 4 �r
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS [SPECIAL RECTTJ TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET I DIMMERS
SYSTEMS ------_. --_
AMT. K.W On H.P. GAS HP AMT. NO. A.W.G. AMT. AMP WT
AMPS TRANS. AMT. H.P. NO.OF FEET M\I. WATTS
1 F 2 I _
SERVICE DISCONNECTING,.OIIS E R V 1 C E
METERNO OF CC COND A W G A W.G A,W G.
AMi. MIP. ME [QUIP 11-0-21,110 SW 11 7W 3 d KW PER/ OF CC,CONO. NO OF HbLEG aP Nb LEG_ �-OF NEULKAIs Op NE_U_MAl
3. ?v7v CB I X.
OTHER APPARATUS:
WELL HMP-1
I10TORS: I-F H.P.
3.F.C.I:-5 LK
SMORF DETECTOR:-6
rOWVOF I)EPr
S0(IF Oto
It
,TTfi SAGE ELEC, INC. LIC.#3635-1 IdAc _ L wr.
F10 BOR M
OREENPORT, NY, 11944-00: 8 GENERAL MANAGER
I
ri 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.
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BOARD OF HEALTH
^-^------- 3 SETS OF PLANS - -
FORM NO. 1 SURVEY .� .
TOWN OF SOUTHOLD CHECK �• •!'/t/$-
f
AM 2 W7 BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . :
TOWN HALL
NOTIFY
SOUTHOLD, N.Y. 11971
e_.u" T.ce� TEL.: 765.1802
CALL • •298-9696. . . . . .
n
MAIL T0 :
Examined . . . . 7. . . . . . ., 197//./
Approved . . . .41441,! . . . . .. 19! .�Pennit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . ..
Bui In ector)3
APPLICATION OR BUILDING PERMIT
Date . . .43197. . . . . . . . ., 19 .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,witY
seta 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 stye:
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apg
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 peri-
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 Occupan
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 t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
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.
Inland Homes
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
PO. Box •1 1.7.JIattituck,,I1IY,,'M52, , , , , , • ,
(Mailing address of applicant)
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build;
General Contractor
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises . . . . . . .Tu.11io. . Zori.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Robert E. Hiltz
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . . ?!:517T.
. . . . . . . . . . . . . .
Electrician's License No. . x635-E . • . • • • . . . • • • .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Corey Creek Lane Southold
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . .
Ilouse Number Street Hamlet
County Tax Map No. 1000 Section . . .78. . . . . . . . . . . . . Block . . .04'. . . . . . . . . . . . . Lot . . . . 1 . . . . . . . . . . .
Subdivision . Corey Creek Estates, , , , , , , , , , , • . Filed Map No. . .#.4923. . . . . . . Lot . .9 . . . . . ,
(Name)
'. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy • , ,Vacant land 3X)W 1TN3e00
rlsakwrrEk*W1*.P.•.DreU+C
New single family dwell n aAzV#rR`booliltuo
b. Intended use and occupancy B J . . . . . . . +il•'t2tG;1f , , , • • , • • • • , • , , . • , . ,
3. Nature of work (check which applicable): New Building ##. . . . . . . Addition . . . . . . . . ... .Altq-`'anon . . . . . . . .
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . .I. . . . . . . . . .
(Description)
4. Estimated Cost . $ !9'1000.00 "V
. . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . .: . . ir:'u-. . . . . . . .
% (to be paid on filing this application)
5. If dwelling,number of dwellin� units . . . . .1 . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . .
Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: Front . . . . . . : . . . . .. . . Rear . . . . ... . . . . . . . . Depth . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . .
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . �yC r$ir
8. Dimensions of entire new construction: Front . .39!8.". . . . . . . . Rear . .39.'$`! . . . . . . . Depth . . . . . . . . . . . .
Height . 25. . . . . . . . . . . Number of Stories . . . .2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'). Size of lot: Front . . . . . ..100. . . . . . . . . . . . . Rear. . . .100. :.. . . . . . . . . . . . Depth. . . 2.3.3. . . . . . . . . ... . .
10. Date of Purchase . .�Qing,to, Close , , . . , . , , , , Name of Former Owner .T1 ;UliQ, 7gxI, . , , , , , , , , ,
1 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . , no. . . . . . . . . . . . . . . . .1 _ ,
13. Will lot be regraded . . . 7es . . . . . . . . . . .. . . . . . . . Will exc fill be rem�v�� from premises:
I . .11io Zori ��ushing,NY .PhoneNo. . . . . . . . . . . . .
14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . .
Name of Contractor . Tnl atid. Rome.% . . . . . . . . . . Address . . . . .. . . . . . . . . . . . . . .Phone No. 29$-969. . .
15. Is this property located within 300 feet of a nidal wetland? *Yes . . . . . No .
*If yes, Southold Town Trustees PermitPLOT maybe required.
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions or
property lines. Give street and block number or description according to deed, and show street names and indicate whet
interior or corner lot.
See Attached survey
T
STATE OF NEW ytt- �� S.S
COUNTY OF . . . . .
. . . . . . . . . Robert .E.. Hiltz. . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applic
(Name of individual signing contract)
above named.
Contractor
(Contractor, agent, corporate officer, etc.)
Of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
application; that all statements contained in this application are true to the best of his knowledge and belief;and that
work will be performed in the manner set forth in the application filed therewith.
`;worn to before me this
. . . . . . . . 3rd). . . . . . y of) e a . . . . . 9
Notary Public, . _y: . . . . . . . . . . . . . �snkkttyy
Poem i.SCOTT JI."WLWr�
f�rNNiod in m of Now
Suffolk CeurBr
/ . . . . . . . .V111 . . . . . . . . . . . . . . . . . . .
��pyt�Ts26�OM � ' � (Signature of applic:
M,q /
N
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Rp
Q5.O0,
R� 3y.QT
SURVEY OF
LOT 9
well "COREY CREEK ESTATES"
O1 we;�i�H
FL60 ALG 15, W7 MAP NO. 4923
o
�' ��� ' 'u HT1 6r�,` AT BA YVIEW
TOWN OF SOUTHOLD
0SUFFOLK COUNTY, N. Y.
220.49'
/s 5 P� 14.9 1000 — 78 — 04 — 11
� .
N. 84'27"40" E. Scale: 1"'= 40�
�aa
Mar. 4, 1997
Z o.s yo 3v
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0
4 n O a 7' l ' \ OOUMYDWAR2M WOFRfiAL7U RRVXXB
f � _ -0
4 N EO plop,r }�XKA}jWVALO100iM'� FOR A
prop �I we o ��:L.�'-"- -L--AIMII�T IL
SYsf` 4'' DAMRI . Ob(aJ
AWROM
233.54
Awe \ rn � �}R wtAT�ptiAr28F_IISDROOM3
C S. 84.04'50' W. a a C gXp1R&Q TF1RBl3 YEARS FROM DA48 OF APPROVAL
41
vp t. MEr2�;
AREA = 22,503 sq.ft.
ANY ANON OR ADDITION TO TMS SOW VEY IS A VIOLATION 3
OF SECTION 72 OF THE NEW YORK STATE EDUCA77ON LAW
EXCEPT AS PER SECTION 7209-SLWIVOW 2. ALL CERTFICZ6 The locations o/ wells and cesspools Y.S. LIC. NO. 49618
HEREON ARE VALD FOR INS MAP AND COPIES THEREOF OACY F shown hereon are from fled observations I am tamillar with the STANDARDS FOR APPROVAL ,� �
SAID MAP OR COPES BEAR THE APRESSED SEAL OF THE SLNRVEYOR and or from data obtained from others. AND CONSTRUCTION OF SUBSURFACE SEWAGE
WHOSE SIGNATLRE APPEARS HEREON DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES PENOMMMVIVORS, P.C.
AD'DRTONALLY TO LOWLY W77H SAD LAW TIE TERM 'ALTERED BY' and will abide by the conditions set forth therein and on the t5/6J 20
MUST BE USED BY ANY AMD ALL SLPVEYORS UTL9." A COPY permit to construct P. 0. BOX 909
OF ANOTHER "VEYOMS MAP. TERMS SUCH AS WSPECTED'AMD ELEVATIONS ARE REFERENCED 1230 TRAVELER STREET
9ROUGfIT-TO-DATE'ARE NOT PI COMPLLeNCE WITH THE LAW, TO AN ASSUI" DATUK SOUTHOLD, N.Y. 11971
97 - 142
B 4 y R 10 - 97- 0061
vle R� N
R� �y.g1
SURVEY OF
LOT 9
g5.00
(3) „.:,: "COREY CREEK ESTATES"
° y FLW AUG. 15, 1967 MAP NO. 4928
n o M "�rp, AT BAYVIEW
m TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
220.49' of, 14,9
,3.5 1000 - 7e- 04 - n
N.
84'27'40" E v' Scale: 1.,/ = 401
Mar. 4, 1997
epe t^d' o.ID.w q,}2 lT
z _ -we 6 ;L1 May 22, 1997(foundation)
it a HT1Zw ' 2Z 1997 ( final); �' OCT.
Z+ W w m c P S
fr Ilse
4 4�
o --
SUFFOLK COUNTY D&AARIMENT OF F18A137I 5£RYICES
O
133 T✓✓ `� APPROVAL OF CONSTRUCD W=O X3 FOR
%v A SINGLE FAMILY R6SiD! Nfl`
<? 'D kit — ?2QQ6
e. 233.54' z \ The sewage disc ml and water oWly faoi!!tiea at this tocatiot,flaw trAr.
= F inspxted and/or art fled by this DcpatrT or other ag nc!cs and Ybuad to
C S. 8404'50' W. p p ., rn besot! =tMFOR ff IUMOF I —B D✓RQOMS.
lrt-
I r` A.Costa,P.E.,Chief
= 0 Office or WateraW Wastewater Mwgemad
_ OF NE
►y y - T.r--------$
O S�oa",t. ME?"ao
AREA 22,503 sq.ft. f 0 5 1997
ANY ALTERATION OR ADDirM TO TINS SURVEY IS A VIOLATION
OF SECTIOM 7,009 OF THE HEW YORK STATE&X CA 7M LAM'
EXCEPT AS PER SECTION 72O9-St#U NVMN 2. ALL CERTFICWTADNS The locations of wells and cesspools I am familiar with the STANDARDS FOR APPROVAL y .S. L/C. N0. 496/8
HEREON ARE VALV FOR TINS MAP AND COPIES THEREOF ORGY F shown hereon are from field observations
SAD MAP OR COPES BEAR THE/11°R£SSED SEAL CF THE SUP EYDR and or from data obtained from others. AND CONSTRUCTION OF SUBSURFACE SEWAGE7*4
WHOSE SWOTL49E APPEARS HEREON. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES PECS, P.C.
ADDIT04ALLY TO COWLY WITH SAV LAW THE TDD ALTERED BY' and w/b' abide by the conditions sal forth !herein and on the P. 0. BOX 90920
MUST BE USED OY ANY AND ALL SURVEYORS UTLRNS A COPY permit to construct.
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS V4PECTED'ANDELEVATIONS ARE i 'ERENCED 1230 TRAVELER STREET
'6ROUEHT-TO-DAM ARE NOT N CaIOUANCE WITH 7W LAW. TO AN ASSUACD DATLK SOUTHOLp, N.Y. 11971
97 - 142
4f'4 �N
B
Ay
v
N
RD.
R;39�1
SURVEY OF
LOT 9
Ne" w�w� "CrOREY 16CREEK ESTATES"
`` 5
0 i AUG. , 1887 MAP N0. 4923
W6.
r- c_,O �we ,;,,'g o 0 irll AT BAYVIEW
Q in /Car JSo.
M TOWN OF SOUTHOLD
-< SUFFOLK COUNTY, N. Y.
220.49' P� /4_9
ss N 1 1000 - 78 - 04 - 11
N. 84'27'40' E. Scale: 1" = 40'
n Mar. 4, 1997
O dwe'� ,9
U%
-a4z May 22, 1997 (foundation)
Q D e-ii w 30.E a AA7'_ m � ``
r f
4 nn O ° s
CL
OO
"C O c /4•i
233.54' \ d J
j�
s.
84004'50' w. ��a„ e R1
v
® 1F
AREA = 22,503 sq.f . s °
^ter°,•.:
ANY ALTERATKW OR ADD/TIW TO THS SURVEY /S A WOLATOV s �r
OF SECTOV 7209 OF rW AEW YORK STATE EDUCATXW LAW
EXCEPT AS PER SECTION 7209-SUWVMN L ALL 1=7FXA5048 The locations of wells and cesspools1 am fam!liar with the STANDARDS FOR APPROVAL r N, LIC. NO. 49618
HEREON ARE VALD FOR THS IMP AM COPES nIV EOF OMLY F shown hereon are from field observations U' 96 0 'i
SAD AMP OR COWS BEAR 11W ANNESSED SEAL OF TAE SLWVEYOR and or from dale obtained from others. AND CONSTRUCTION OF SUBSURFACE SEWAGE
WOX MMTL17E APPEARS MMOA: DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES PECON C.
ADD/TM4LLY To COMPLY 07TH SAD LAW TAE TERM 'ALTERED BY' and w9 abide by the conditions set forth therein and on the (516) 765
MUST BE USED BY ANY AND ALL SURVEYORS UTXMW A COPY permit to construct. P. 0. BOX 909
OF ANOTH7t SURVEYORS IMP. TETdIRS SUpY AS 1t9 C7ED'AM VAnq�S, 0 /230 TRAVELER STREET
'BROUGHT-TO-DATED ARE NOT&V COlN°L/ANCE W/77H TAE LAN. TO AN ASSUIED DATUK SOUTHOLD, N.Y. 11971
97 - 142
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DO NOT PROCEED
UNTIL 2nd SURVEY OF
FOUNDATION LOCATION Zf
Y ,
HAS BEEN APPROVED '.
OCCUPANCY OR
k USE IS UNLAWFUL
k < "
PLUMBER CERTIFICATION WITHOUT CERTIFICATE
MMIOE iOPENINGS FOR ON LEAD CONTENT SEFORE �F ��CUPANCY
* ° ENERGERICT ESCAPE AS CERTIFICATE OF OCCUPANCY
REQUIRED BY PART.714 OF SOLDER USED IN WATER
" as N.T. STATE BUILDING CODE. SUPPLY SYSTEM CANNOT
APPROVED AS NOTED
EXCEED 2110 OF 1%LEAD. !7 j 0� ¢ a Y a
DATE' B P M
NOTIFY BUILDING DEPA T ENT AT r
PROVIDIE!1 NR.FIRE
r y, 765-1802 9 AM TO 4 PM FOR THE - a
a,¢, ,, RATED SiEPARATION,TO FOLLOWING INSPECTIONS:
PART.7117.3(11(1)DF ALLM.IIMIINGVOSM 1. "FOR POURED CONCRETE REQUIRED 9w
r ' - &WATERLINFANEED;: FOR POURED CONCRETE - }
TL y, 111.13TATE BUILDING CODE., TESTING BEFORE COVERING '2.-ROUGH r FRAMING & PLUMBING s tX
z 3. INSULATION
`A A. FINAL -- CONSTRUCTION MUST
f
BE COMPLETE FOR C.O. - -i
.rALL CONSTRUCTION SHALL .,MEET
-77
YWild, THE REQUIREMENTS OF THE NY., _NmPPNtuEbq' ' "
STATE CONSTRUCTION A-ENERGY
_ mjM ^4� .'CODES. ' NOT' RESPONSIBLE FOR ,a
DESIGN OR 'CONSTRUCTION,ERRORS i
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