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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24867 Date JANUARY 29, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 4490 OAKLAWN AVENUE EXT. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 47 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 1996 pursuant to which Building Permit No. 23736-Z dated OCTOBER 9, 1996 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, FRONT COVERED PORCH AND DECK ADDITION AS APPLIED FOR. The certificate is issued to ANITA HILTZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0019-JAN. 27, 1997 UNDERWRITERS CERTIFICATE NO. N-409456 - JANUARY 23, 1997 PLUMBERS CERTIFICATION DATED JAN. 24, 1997-GALE KASKE Building Inspect 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) rT° 23736 Z Date ......1C1 ................................. 19.9(a Permission is hereby granted to: l��l?77 .... to 1. .... ....... 4—�..... Z7.... .... ... ... .�,f�...�.. L ... /d..` ,� !� at premises located at ......ell�KI 10........... l'%—41 ... r ............../�..t7/! ...............................................................%Z;; .................................................................. .....................................................................................................,,.�...}........................................................ County Tax Map No. 1000 Section ...��.+�............. Block ...E/.�1r�........... JLot No. ...Kx........ pursuant to application dated .......` /..:........ ........... 19.2. , and approved by the Building Inspector. Fee $..... .. ... ... din i;;; ctor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD �rJF51V BUILDING DEPARTMENT 1 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 $15.00 Date . . . 1./.24/9,7 . . . . . . . . . . . . . . . . . .. ...... . . .. New Construction. ## . . . . .. . Old Or Pre-existing Building. . . . . . . Location of Property.. . . Qg$]Aual.AyC♦E�t:. . ..- - Southold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... House No. Street Hamlet Onwer or Owners of Property.. 1A1n0 .$Q41es ,Inc. County Tax Map No 1000, Section. . .Q. . . . . . . . .Block. . . . .99. . . . . . . . .Lot. . . . . 7. .. .. ..... . . . . . Subdivision..Smi thfieId J ark. . . .. . . . . . . . . .. .Filed Map. .#4:M. . . .Lot. . . . .. .. .. .. ...... . . . . Permit No. . #23736, , , , , ,Date Of Permit. . AQ�919E . . . . .Applicant. Inland H mes . . . . . . . . .Q. . . .. . . ...... . . . . Health Dept. Approval. R'IO7- 9f-QQ19 . . . . . . . . . . .Underwriters Approval. 28490-96 , . . . . . . . .. ...... . . . . Planning Board Approval. . . .. . . . . .. . . . . . . .. . . . . . Request for: Temporary Certificate. . . .. . .. . . . Final Certicate. . . . .. . . Fee Submitted: $..2J.QQ. . . . .. .. ..... . .. . . . .. . . . . . . 1nlaud. .KQuAe�Ing: ... ... .. . . .... . . . . . . co _a a l[, 6 APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 BUREAU OF ELECTRICITY r-- 85 JOHN STREET, NEW YORK, NY 10038 Date JANUARY 23,1997 Application No.on file 12849096/96 N 409456 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of INLAND HOMES, OAKLAWN AVENUE, SOUTHOLD, N.Y. in the following location; 21 Basement 0 1st Fl. ❑ 2nd Fl. GAR/OUT .Section Block Lot was examined on JANUARY 20,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT RVORESCENT OTHER AMl K W. AMT N WI AMT I AMT K W AMT, H P 24 42 28 24 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS "I K W OIL H.P GAS H.P AMT NO A W G AMT AMP AMT AMPS 11 TRANS. AMTH p SYSTEMS AMT WATTS NO.OF FEET 2 1 F 2 - - 3 - 1 SERVICE DISCONNECT NO.OF S E R V I C E AMI I AMP I TYPE METER I R 1W 1 R 3W 3 9 3W 3-e AW NO.OF CC COND A W G NO OF HL FG A W.G A W G EQUIP. PER A' OFA COND I OF W.0 NO OF NEUTRALS OF NEUTRAL 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: WELL PUMP-1 MOTORS: 1-F H.P. G.F.C.I: -4 SMOKE DETECTOR: -5 � LJIM SAGE ELEC. INC. LIC.#3635 350 MARINE PLACE GREENPORT, NY, 11944 GENERAL MANAGER 11 is 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. ,1 Town Hall, 53095 Main Road ; 1 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 DATE: 1/24/97 Building Permit No . #23736 Owner: Inland homes (please print) Plumber: Gale Kaske (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. lumbers Signature) Sworn to before me this aL-1, day of � nn/�c 19 q`7 Notary Public, ` /�ttJ�4 County AMYFRuST W/PI0ER7' Notary Public,State of New York Qualified in Suffolk county g commission Expires April 13,18g7 ,,IP;,1N9P1: :1*1off_Itrroltr_-- DA'IK. _ COHMEN1.S _ ----- �Va FOIINDA'I'I ON y FOUNDATION (' D) --------I-------'_----------------------- -- ' � 1101101 FRAHM 11I.IIMR I N(: II I --------------- -- ---- - ------- --_---- ---- ---= - - -- ------------ .- -- ----_- INtitTATION PER N. Y , STATE ISNF.RCY COUP. _. I •/fioil 393.�..�%jd _ .-. _ �( II w I N I NAI, ADD 1'1'I ON corfMrNTS: Hq O a: a 1 m-C n 6' 765_1802 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 12 DATE /� INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] F UNDATION IST [ ] ROUGH PLBG. [ I FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS- DATE � INSPECTO 3 7 765-1802 BUILDING DEPT. INSPECTION [ } FOUNDATION IST [ ] ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMAR DATE '/ INSPECTOR 7 �L 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING EP FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /6� DATE� �INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ dfROrUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY RE RKS: DATE ` INSPECTOR BOARD OF HEALTH . . . . . . 3 SETS OF` PLANS . . . . . . . FORMNO. 1 SURVEY .'. . . . . . . . . TOWN OFSOUTHOLD CHECK • • • • • • • • • • SF�p 2 3 ._.;�„ BUILDING DEPARTMENT SE'P.TI'C`",'k,0RM . . ... . ... • . . . . . : ole TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765.1802 CALL MAIL TO:, 19 Approved . . . .�i�/��. • . . . ., 19/. (Permit No. ..'737 Disapproved a/c . . . . . . . (B dYng 1 spec or APPLICATION FOR BUILDING PERMIT- t Date 19 . INSTRUCTIONS �,� '; ",`''?� •i�„ . 'a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :cta of plans,accurate plot plan to scale. Fee according to schedule. ' `' b. Plot plats showing location of lot and of buildings on premises, relationship to adjoining premises or public streets oro areas, and giving a detailed;description,of,layout of property must be drawn on the diagram which is part of this appli- cation. " I 1. 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 ,ihall 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 iihall 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. I Ise applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ridmit authorized inspectors on premises and in building for necessary inspections. . . . . . . . Ial=d. Home& .Inc... . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) PO .Box. : 17,Nattitnek,X.Y.-t-1-1952 . . . . . . . (Mailing address of applicant) State whether applicant is-,owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G4n? ��. C4ritFa� QF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . 111140. I wes. . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) II'applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Natne and title of corporate officer) ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. . .1.9 . . . . . . . . . . . . . Plumber's License No. . 245:1 rP . . . . . . . . . . . . . . Electrician's License No. .3635. ,E. . . . . . . . . . :. . . ' Other Trade's License No.. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . b1/.6. OL .Otak1 town• Ext.: 810 f-tog/O, •.• • • • • • • • • - Pineneck Rd. ,Southold . . . . . . . . . . . . . . . . . . .. , , ,I's..is j; ,,;l .Street t . it wi '. . . . . . . . + . . . . • . .. Hamlet, " . , ti ! :t i,. ..,,. . County Tax Map No. 1000 Section I't.70. . . . . . . . . . . . . Block . . . . . . . . . . . Lot . . . . . ..A.? . . . . . . . . . . Subdivision . .Smit hfeild. . Park . Filed Map No. , .477 .. . . Lot . 47. . . ., . . . . . . . . . . . . . (Na.me) •�. . . . . . .,. . Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . ... . . ... . . . . . . . . . . . . . . . . . b. Intended use and occupancy . • Single Family Dwelling , 3. Nature of work (check which Aipplicable): New building . . .i# . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . , . . . . . . Demolition . . . . . . . . . . . . . . Other Work,. . . . . . . f : ,. "' t''• (Description) 4. Estimated Cost . . . . $901 QQQ...QQ. . . . . . ." . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . .1. . • , . . . . . .Number of dwelling units on each floor . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . .'1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 C. 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 of Stories . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . , , , . , • , . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . ... . . . . . 8. Dimensions of entire new construction: Front . , .5:1. . . . . . . . . . Rear . . . 51. . . . . . . . . . Depth . • .34 . . . . . . . . . Height . . I&'. . . . . . . . . . Number of Stories . . . . :I. . . . . • . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .J.00. . . . . . . . . . . . . . Rear . . . .100. . . . . . . . . . . . . . . Depth . . . .i 59. . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . Name of Former Owner . . . , D41Y. . . . . . . . . . . . . . . . . . . I I. Zone or use district in which premises are situated . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: No . . . 13, Will lot be regraded . .I:yes. .1. . . . . . . . . . Will excess fill be removed from premises: Nc 14. Name of Owner of premises n� and Homes. . . .Address . .Mattituck . . . . . .Phone No. . 298-9696. . Name of Architect . A41PLAA! Homes , , Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Phone No. . Name of Contractor . .11%Lend-Homes• • • • • . . . . Address . .Phone No. .. . . . . . . . 1.5. Is this property located within 300 feet of a tidal wetland? *Yes . . . . No . *If yes, Southold Town Trustees Permit ma be reqqu�i�r�ed. : PLC 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 Attached purvey SI'ATEOFN YO COUNTY OF�,� S.S . . . . . . .Robert. F, .11jltz . . . i. . . . . . . . . . . . . . . . ... . . • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ibove named. 110 is the . . .cAutr�Gt9F. . i'. t . . ',y, . , . . . . . (Contractor, agent, corporate officer„etc,) •)f said owner or owners, and is dully authorized to perform or have performed the said work and to make and file this : pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the matingr set forth In the application.filed therewith. Sworn to before tile this r .day of, 9 I Pu is 't . • . County Notary Public, tate of p wvork t f applicant) QuaNfi dNo InSufk o C79.506 ounty Commission Expires December 8,19 ANY AL MA7XW OR AOATW W IM SLAY IS A "XAnW OF SECTM 71W W 1W AE1 YaW STATE EDl1Cr n W.LAI, AREA _ 15A,00 SQ FT. _ MEPT As M SECnW rRo SAWMW z ALL c07* cABs PAE AECK ITL. fMW ARE VALO FOR 7M5 AW AW COVES 7WIEW MY F SAD MAP oR CoSES BEAR 7W MWM SEX OF TW SENVEM 1 ad wflh the STAtVUstRD.S FOR APPROVAL W10SE Srt M TUW APPEARS NMW . AtI�T'4'6MiSTRC�TfaN C� St7�i�4ftF,ACE SEM'Ab"E . SYST S FEAR SW6i E FAA�LY RENES ABYd'770 ur TO co PLY NPrN Stip Lm ric TEM -At TENm B t+ruf>.ss�l abs'�e svndlhlgns sef Torlk N�reh aad on 1hs "T BE LISW V ANY AAD ALL StRVEYORS WIA Ns A COPY GF ANOTAEff b7A4YE777 m A0P. raw suai As crm'AAI Tes/ har"qThe locations of wells and cesspools G k"ep /off � n # f �P /So * Shawn hereon are from geld observaficrs N es' and or from dais obtained frooi others. a• s well k$ SPS scq j1pi S T f D `ELLIIVG J �: /Hz� AROL YNE. 150.'00' arL�, o/ well •P..'. k� Ary Q A T 'SOUTf 1�OLD'- : .Q - TOWN OF SOUTHOLD SUFFOLK COI NTY, N Y. WW r r r o k� e7a1"0Sca - 30' o �, March 8 Lot so.o p April 2, 1916 tSCDHS Addif,onsl t LAW L°/ '9.0 '2 _ _ N V Apr:/ 9, 19 ScDyS Acta•t� 6LLUyG J 2 — - Oct. 1O, 0 P•K Pd. n (p - _ 4Xc- c.r D E h Y 0.45. 3e y�M F X8.2 N tet, 8 4 �.�... _ w M: ;-- PPc< YVl t 00. - � ee33 y2 i8,t I(CS 4SC$ Titf TM TOt,:':'iiC'.- V�O/F A�,,�C P * ` : Itx�Chg�fA a o Well -- o DWEL"IVGAloft 1 / . L Na49 W- 6 NOTE r LOT . � REFER TO S[1BMISION PLAN P.C. ` SOTWELD ,AW ' EXED #4 ThE TQIWf E/�tCS F516J OFFICE AS FILE No. 4770;- FILED DEC 27,19 ELEVATE ARE F? O. � Yo AN ASsi�oAneut 1230 TRAVELER STREET ✓a ca / x SS UTHQLD, N.Y 11971 1.71 ANY AL7ERATIOw OR At1FMON TO TMS S&OVEY 1 A 19Ot 4TM OF'SECTk�N 7209 OF 7}E MV MW M M&%%AIM LAa'> AS PM AREA = 15,004 SQ. FT. �l n > Ca s� r r PJNE NECK RD. � , , SAV M4P OR COPXs AFAR E ssev SEAL sx ME I am tomA(or with the STANDARDS FOR APPROVAL p ; ARSMWOM AND CONSTRUCTION OF SUBSURFACE SEWAGE � E SEP 2 3 1998 a AAInrnWat.lr TO cca1PLY a7TN sAv LAN TE7Al ALTEf{�t!e DISPOSAL SYSTEMS FOR S1N6LE FAMILY RESIDENCES A&6T 9E USM BY A-NY AM ALL s-MWYWS t A dWY and wN ablde by "Me con0ions set forth therelp and on the BLDG. � m OF AN07WR SWWYOR's W. MW r AS'.V409 V AAP We W?0M T TO-IATV ARE NOT!4 C�VM MIME permit to cons ruct. TOWS = rl 7-6,5f Boring <// /oc. nE ow^ S LOC u1 e The tOCa�tar wefts and CB serls o shown hereon are f#60 oiservations o iso and or from data obtained from others. fopso// 2.5 moo.+. Jon e 3.i o-va ;. /� well � $thFOIKQOIIM'YDdIARl�1ZOF�A�.l1l�YK"$� D/o-npp i v.a" s a d S T. ° ester t Irl vAt.oirQOl�tftiKTlltl� MA m � i •r���.f��1�ww�.rr,Y itT�1 r/�i OIA.T �{ Sand !:P = C f DWELLIAIG j I N101F'CAROt* EcAchkiwt,' ' SC+-nay Pae�„J_S 83,48,00- E. ®QMTIUY.BARSMMPAIMMAP"OVAL wader ei 2o.a s ' 150.00' we/ arcrs a f F.YC �I SURVEY OF PROPERTY Lot PROPER T Y rs r. o A T SOUTHOLD s-r TO /� TOWN OF SOUTHOLD X0 `\ SUFFOLK COUNTY, N. Y. ° 1000 - 70 - 09 - 4T WATER SUPPLY AND SEWAGE DISPOSAL SYST]E T �' s"� -A• { �,fz o � Scale .- 1rr = 301CONFORM WITH NEW STANDARDS DATED NOVr,,ME i ,1'193. T 3 ` Giza a >u�7K ' o Manch 8, 1996 — 1 Lot Q April 2, 1996 (SCDHS Addillons) �7 � k* !�� ' - /aP,,'l 9, 199d, ( SCDHS Aowc.f:) Approver in acwdarm with Surd of Review ( DWELLING ) 2 rDc qd. ,I' . 011filM�t•INi diteQ..,l�lE..iV ,. n^-... e:o`E R.ca_ 12=Cvu ane �N ;,;:, f,� `•3 N 83• �l� t 48'00W. o.g•s�;.' �"''.�.,,; - - �ti9FNEW y0R \ Pflsst O /8./ ; � FR N101F �A/g ��/ 7� N po 150. 40 — � , H�. ,G/S' b o Hell cP /50'+ - , l V OWELUtvG 1 a (v SUFFOLK C"TY DEPART T KES C N ,s FOR APPROVAL OF CON.STRUCTIO Y o. 49 J� nT p well Q LAA S. LIC. NO. 49618 NOTE LOT REFER TO SUBDIVISION PLAN DATE . No. ECOMC SURVEYORS, P.C. " SMITHF/ELD PARK ' F1LE9 W THE TOWN CLERKS (5161 765 - 5020 OFFICE AS rLE NO. 4779, FILED 27,1966. ELEVATIONS ARE REFERENCED P. 0. BOX 909 TO AN ASSL44D DA TLAA APPROVED 1230 TRAVELER STREET ,,p tea„ I SOUTHOLD, N.Y. 11971 well 96-121 SCDHS. Rol. # RIO-96-0019 ANY ALTER4TIoN OR ADD/7nN To IM StAWY IS A VIOLA TON - w�M OF SECT M 7209 OF THE AEW YORK STATE EDUCATION LAW, Imo/ /'1 = 15,000 SQ., FT. EXCEPT AS PER SEC770N 7209-SMIMEM 2.PMA Cil RD, HEREON ARE VALID FOR THS MAP SALTHEREOF OALYL CERMC4T F� .. SAn AAP OR CSS BEAR THE AM'RESSED SEAL OF rW SLRVEycV am faAWw wh!h the STANDARDS FOR APPROVAL WHOSE Mt MW APPEARS HEEoec AAV COMSTRUCTION OF SUBSURFACE SEWAGE ADDITTONALLY TO COAFLY ASTH SM LAW THE 777LU AL77�B)- and BY it ab on by the condHlons set /Ort/1 thereto and on the OF ANOTHER SLRVEYOR'S UAP. T&W SUCH AS WSPECTae AHi permit !O construct. WMAgHT-To-DATE"ARE NOT N CAM MACE " THE LAW. Tesf $aria_ Well ,ate �n The locations o1 wells and cesspools mown. _ shown hereon are from field observations P /5p't and or from data obtained from others. l� .ossa Jana. . AS aw P well SOUTH ST. ♦� CAROL `JAN 15 '107 /0 F Ip r ' -- - - - YlV EC/CJ%a st�°1l?'Co. /Y . wafer � ei 2o.n �" • o /so•oo• J a«a � o h f � 20,, Lot 2s a i SURVEY OF Q , �,. 30.3 _ x_ 4 , PROPERTY AT SOUTHOLD S{ TOWN OF SOUTHOLD - SUFFOLK COUNTY N Y. Q , f w�o 1000 - 70 - 09 - 47 oys, S6P" Aa Seale : 1" = 30' Lot " ti 3 Q MarCh 8, 1996 ?7 303' p April 2, 1996 (SCDHS Addii;ons) 4a"2 O v Apr,/ 9, /9 50e, 5cpy5 Ao&,1-. ( DWELLING Oct. /0, 1996 (foundation) Jan. 9, 1997 (final) /V. 83• x ,r4800' W el. t� Is0o0• 43'•ry. d�ai�m��a�f�e{,•f/F11 raw ,t aT T .Yi lm&OLK ^i0•Jiv a n DEPA8'+�V0 l OF PcMa'SALMI.SERVIC—Ea < c . I. ML, P 'e :r D ZSCW 7 WELLING 3¢� !C. NO. 496/8 3 . NOTE = LOT ® REFER TO SUSDIV/S/0N N ECON , P.C. SMITHFIELD PARK ° FILED IN THE TIOWVN �.»' ERK'S 1 . f5l61 76 OFFICE AS FILE NO. 4779, FILED DEC. 2T,1 a<:. - P. O. BOX ELEVATIONS ARE REFERENCED aa..� TO AN ASCD DAT(ML °_?: _ ,u td.9 �= 1230 TRAVELER STREET �i �f'` r Y nt s i sus.- SOUTHOLD, N.Y. 11971 Baca f pefl 96-121 ANY AL TER47R3N OR ADD/T/p4 TO TIPS"VEY LS A VIOLATION OF AREA = 15,000 SO. FT. ry EXCEPT SECTION 720 NEW LSL MSTATE M 2. AEL'L CERTIFICATION TIONS PINE NECK RD. WAEON ARE VALID FOR TMS MAP AND COPES TMOREOF ONLY F SAID MAP OR CORES REAR '7W MMESSED SEAL OF W SURVEY I am famllfor with the STANDARDS FOR APPROVAL WHOSE WM4 TURF APPEARS M7EON. AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ADD17XWALLY To COMPLY W?N SAID LAW TW TERW ALTERED er and will obtde by the condo/ons set forth thereln and on the MUST RE USED BY ANY AND ALL SURVEYORS UMaM A COPY OF ANOTAER SURVEYOR'S MAPP, TERNS SUCH AS 74PECTED'AND permfl to construct. 9ROUWfr-TO-VA TE'ARE NOT OV COAI°LNNCE WITH TIE LAW. res/ Boring w<r „A, ow^ The locallons of wells and cesspools o shown hereon are from field observatlons 10 Jai �P /sem"* and or from data obtained from ofhers. - /opm JPnP 3.2 n 9.e' Asa 9e I SOUTH ST. Sun a� :.P 13 / "v - - -- - i ( DWELL/NG J OS 7 AM* CAROL YN ECKHgRDT " ill s a./oa Pie�.A.S. 83.48'00• E. wal,r e% 2, /50.00, 2 O o.rcro. of O rrf,I, <l eo, well Q, c P Lot * SURVEY OF - __ _ _ - o PROPER T Y O Q A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. rer o v 1000 - 70 - 09 - 47 c Scale - 1" = 30' Lot 27 " jo 0 o Q March B, 1996 Apr/1 2, 1,996 (SCDHS Addilrbns) 4.0,2 O 9, 1996 ( SCDHs Aud.r ) ( DWELLING 1 2 Pl"° - - -- - w Ocl. l0, 1996 (foundation) Ot ad avJ aa'F a.v's W, IAI /50.00' N/O/F PAUL — <pt' OW ELLING / LIC. NO. 4961816D E NOTE I LOT 3 REFER TO SUBDIVISION PLAN P.C. SMITHFIELD PARK ' FILED /N THE TOWN CLERKS ISI 6)Nt2w OFFICE AS FILE NO. 4770, FILED DEC. 27,1966. ELEVATIONS ARE REFERENCED P. 0. I TO AN ASSLWED DATUM. 1230 TRAVELER STREET ✓mea.,, f d..a SOUTHOLD, N.Y. 11971 - — 96-121 - - T71-4 Il I L - FRONT 'Ar",li DO NOT PROCEED WITH PLUMBING FRAMING UNTIL SURVEY ALL PLUMBING WASTE OF FOUNDATION LOCATION &WATER LINES NEED HAS BEEN APPROVED. PLUMBER CERTIFICATION If copper tubing is used P, APPROVED AS NOTED OCCUPANCY OR d� 2 3�-�- ON LEAD CONTENT BEFORE for water distributing PROVIDE OPENINGS FOR PROVIDE % HR. FIRE SEP DATE: B.P.# USE IS UNLAWFUL CERTIFICATE OF OCCUPANCY system; piping shall be EMERGENCY ESCAPE AS RATED SEPARATION TO 23 i FEE: '5-Vf' ��V- of types K or L only REQUIRED BY PART. 714 OF PARt 717.3 (f)(1) OF 1,996 —4 � WITHOUT CERTIFICATE SOLDER USED IN WATER vvi'v P NOTIFY BUILDING D�PART�ENT AT 0 765-1802 9 AM TO 4 PM FOR THE UNDERWRITERS CERTIFICATE N.Y. STATE BUILDING CODE. N.Y. STATE BUILDING CODE. FOLLOWING INSPECTIONS: OF OCCUPANCY SUPPLY SYSTEM CANNOT REQUIRED OLD 1. FOUNDATION - TWO REQUIRED EXCEED 2110 of 1% LEAD. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. i ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 191, + - A J r;IR4E--/XII . - - - - - -- - - 2 -- - ---- ------ - _ ------� - 2 ° yl �pteat 1 fad-trNc, , Benrin,r, U - g 0"(M I yF 6KPUd" Q • t lr F1 r,7pr_oa S I I �g! p -"'�-- CEIUNO trYQPllWTl W WAU- ©li NeP-r�2 __ __ Q ON _ I � a!I YYPI CA L 3 1 L. en nry - - - - - - l.O�rX 2D'x l-- io - -I - �I - D—! - - - J I GIRD [ZR t 4Vq _ 4x4'r 9 UN EX CH�IA�'tn � N ✓� � °� �� I I I I I r ' J I . ' a l1 StLL ��yy-- -110 , A T r C v CN l/ I ly I �F fr�i LD<i 0 ' 7� PIvD }ori S �2Z- � /v l9 20� `Y i I = I X942 2 283 ' .✓ n -�� ��wl� zvl CR I WPSH DRY 8 3 , 1_ J-30 I �. I � , �, �„ - �,r - ;, 1.._ -- -- ��. LAUKDRN NIL '0 ------n ` - . - Dil thiGr ; 'Q N� �^ - nsEnac.� htr �.�� 1i �I mj oBATN --� A RAF s 6alta 'SY'QTSYUM PE DK,aLL DW[LL rIGCL �C-axxc�n( wnu-S µnu �f 4,1VII (7. 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