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Home My WebLink About23835-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25307 Date: 10/06/97 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1115 WHITE EAGLE DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, 1996 pursuant to which Building Permit No. 23835-Z dated JANUARY 23, 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 & DECK AS APPLIED FOR. The certificate is issued to WALLACE DAVID MACOMBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0138 10/01/97 UNDERWRITERS CERTIFICATE NO. N430919 09/05/97 PLUMBERS CERTIFICATION DATED 09/03/97 EDWARD F. SCHILLER t ;��a'V'e Bui ing InBpeAor Rev. 1/81 r0VX NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FU,,, COMPLETION OF THE WORK AUTHORIZED) N4 23835 Z Date ........ ... �........................ 19.1... Permission is hereby gra/�Pt to: /�®.... ......... . . .. .... . . ............... .................... a. .... ........ ...... .................................. .. ..... . .... .. ........ at premises located at .................... .......................................................................... .......................................................... .........................................................................................................C....................................................... County Tax Map No. 1000 Section ....../ .7... Block ..........T............/Lot No. a/............... pursuant to application doted ................... l..............., 19.7J�?, and approved by the Building Inspector , Fee $./,3(XX ... .. .. .. ............. Building Inspector Rev. 6/30/80 a �� -pLI S 6,� ----- Lk ) 1 . . �fJ �?^ �� TOWN OF SOUTHOLD I t1 - l- H "1 BUILDING DEPARTMENT A TOWN HALL 765-1802 I� �`� � SEpSsa$ 199T APPLICATION FOR CERTIFICATE OF OCCUPF;LLO,LEVO tvCY3'l7WNOFS0iETk101,,.D 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 - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ .0 ,77Commercial $15.00 / Date . . . �lf<7. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . Y. . . . Old Or Pre-existing Building. . . . . . . .... . . . Location of Property. cps 9(/, . . l�f//Y� �L . . . 9l�ll.� . . 4 . .�/�/.v. . . House No. Street Hamlet Onwer or Owners of Property..e4,� 4,1 Ee!Ep� �. . • • . . . . . . . . . . . . . . . . . . • . . . . County Tax Map No 1OOO, SSection.*.9 ./a Zlock. . . . . . 9Y . . . . .Lot. . . f,?-. . . . . . . . . . . . . . . Subdivision. . L9:��J�� . .: . . `.. . . . . . . .ls•Filed/Map. . . . . . .Lot. . . .7 . . . . . . . . . . . . . . . . �Permit No. VP13 J .Date Of Permit. 19?��C� . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .i/. . . . . V Fee Submitted: $. . � .411. . . . . . . . . . . . . . . . . . . . . 64-c , S30? N c d Z .2530? �.�. ,. yti� y� Jy 2 Town Hall, 53095 Main Road z 765-1823 Fax 516 w y ( ) P. O. Box 1179 ?.Y� Telephone (516) 765-1802 Southold, New York 11971 `.��0 aa�l ✓f' 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 . � F36 7 Dave Owner: ave 4 lD( h 'n/ n4 YY IaciombeX (please pri ��iint) Plumber: P4M)o I f, Sc 7 Me,- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. —L (Plumbers Signature) Sworn to before me this 'f8 day of 19 417 ar Public, County Now R°46L York �CJ I'MINDATI 014 ul ewl -Ie'---�- IMUCII IFRAHR I NO IMIlLAI'lotl pirit If. y WI ATE C0 1W I HAI. ADO I I 10flAl 746. rs Coe 1 0 1 tZI 141 ✓ 14VARD OF llhAL III . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD isSURVBY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT 'CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN MALI, SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOID, N.Y. 11971 'ITL: 765-1002 NOTIFY: � ��y Exrxriiw'd...(2ae . .., 19 "/ MAIL I'0• WLl. .[�/cfc.4(.,,�. . . . . nppprrovea.. 191 I'e rm i C No.0.1.> `��. Disapproved a/c .................................. ................................ .... ...................................................... yno Ikri IdiryI In.^,pe Ups) AP .ICA'TION FOR BUILDING PRRMt'r Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS -' n. 'Ibis app I icaliou must: be completely filled in by Iypxnoritor or in ink and submit loil to the Building Inspector wit 3 sets of plane, accurate plot plan to rcale. Pee accotding to schedule. r b. Plot plan simmiag location of lot arxl orbuildiags on premises, relationship to adjoining promises or public. streets or areas, aril giving n tletaikxd description of layout of piopert:y must be drawn on the diagram which is pall. of I.lris application. r c. 'Ihe work crverol pry this nrgplication Play net be emrmnced before issuance of Building Permit. d. Ilton approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on due premises available for inspection throughout the work. V. No building shall be occupied or used in whole or in part: for spry purpose whatever until a Certificate of Occupancy rhal.l have been granted by Lice Building Inspector. APPLICATION ]S I1FREBY MADE to the Building Department for the issuance of a Building Permit- pursuant to the Building Mile Ordinance of Lire Tome or Southold, Suffolk CounLy, Noxa York, and other applicable Laws, Ordinances or Regulation;, for lire construction of buildings„ a(klition s or alterations, or for rerruval or dcrralition, as herein dercribeol. 'rile applicant agrees to cnmrty with atl applicable laws, ordinaries, luibding code, housing code, and repndaLions, aril to admit: antlarized inspectors on proidr,es aux] in building for necessary inspections. 4? d.G :tis.mu'p; j j A.� � ........ ... (Signature of pplicalpt, or nam, if a rarpmtat.irnr) Go,?AMC.,/ RM ECIC N� (Mailing acklress of applicant) it State wheLher applicant in owner, lessee, agent, architect, engineer, general contractor, electrician, plmixpr or milder .U`.Gt�Aa�.................................................................................. .......... ..... .......... N:nre of owner of premises ........................................................ ... . (as on Lire tax ro]I or Incest dee(l) If apryplicanl is a corporation, rigrature of rhuly authorized officer. ......................................................... (Napo: and title of corporate officer) Ouildevs License No. Pladers License No. ......................... Electricians license No. ..................... Other 'b'anke'r Lionise No. .................... I. I'Mat ion of land on winich proposed work will be (koe......................................... ......... ............ 1.0.E .. /...........IIV. ?7C..L Gly:..?alz............. .....1..?9 t c: G2�..................... House Niadmr Street IlamleL r Canty Tax Map No. KXX) Secl.ion %�.7........... Block .. .. ......... for 'TV... .. &rlxlivi:;irnn ............ Filed PtopNn./ ..... opt_ ..�:�. .... ......... (Name) 2. Slate existing use aril occupancy of. Promises and intetxleol use aril oxccuparrcy of proposed cnstruclion: a. Rxistiug use and oxupauxy ............. .............. .................................................. b. pnl erxkvl use send ox:onp-urxy .1-6 t-V. �.V.V4;'ZL/,lv.��.`J............................................ . Q.h la7tr7r#i'. .;)ilp$:i'iW'A'PotA ytra3so:°s dir�ila�a: .O3JO��:1;- ,r,;i —61 Ji,Y6A,At f 1jgX'3 tgtj 7. IhI lire of IAakcllc a . ( c k YAof<lo lgrllcahlc): MnJ I0.rIId'I n(, ... .. ... . . Arklllfon . .. .. ... .. All'c.ralfon . . .. . ... . . fAel)4rfr . . . . .. .. .... Iturroval . ..... .... ... I)e11k0liLion ..... ...... . (liber lkak . ... ...... .... ... ..... .. ... . . . .... ' ... .. .. .......(Ck.carlpl ion) 4. E:;liuultedlbnl .L�Dr .�.. .. ... I'en .. . .... .. ....... . ... . ... . (it) Ixe Swid on filing HAS applical:fon) :i. If rAxelling, rxuix:r of tAJeilfng lkohn . ....r.... .. Iknbx:r of rkaell !ng oohs on each floor ... . .. . .... .. . .. If Baral;c, rxYJ:er of cars ...q9-.!. . ... ... ... . .. . . ...... ... . . ... . (. If Ixrafoesa, cxuuercfal or mixed �x:rtilwrwy, aix:cify naluro loll extent of each I.ylw of title........ . . .. . .... ... . . 1, Dinx:onionn of existing aUru:Urres,, if any: Shall . . .. . ... .. . .. ... Near .. ... .. ... .... . bulAll . . . . .. .... . . .. .. . Ik:fl;fd. �i Moiler of Slovien . .... . ... ... ...... .. . . Dinxewdo s of sole atrwture. will' alleultiam or .uidit ions: Irroot . .. .. . . . ... . .. . hear ..... .... .. ... . Depth ......... ...... . .... Ile ij;kl .. . ......... .. .... . . Mniker of Stories .. .. ... .. . .... . Il. Diuoor:f<xls til` entire oe,4 const rtwi ioo: Flod_ 14tar .. . . . .. . ....... Ik:plh . . . . .. ...... .. Ika(�ll MYliker of Slorlen . .. . .... .. ....... .. . . ' lS9. Size oflot : Pool [. g�.� ��. . ... .. hear . C.� / ..... . .. 0.:pth 6a... . ...t ... .. .... .. . ID. Nile of Nrrcilaae ................I..... Nary. of Srorurer Wiwi. .. .. .,.. . .. . .. .. ... ......... . ...... .. . .. . r 11. Ztxw or use diol ricC in YJlrfclo pruaisea are fi NAml.ed . .. .. . ... .. . .... ... .......... .. .. . .. . . . ..... 12. Ikxes prolxaaal coralrlxafixo viollife any uxofniS low, ordirullwe of regulat loo: . .. . ... .... .... ..... .... r If, Will lot lx: relf1mled ............',........ Will excess fill Im rumored frac prunfnea: YFS SJD t Irl. I`IrYIY_a of (kJrx:r of pruaiaresS k1 ens �?4�.'..�Y��.'. .��1.'R�fCiJ�)IgSa-T1wr>L Mo. .... . .. .. ..... Nolle of Architect ..... ........ ..'...... ........... . ... luklreaa I'llorx+ M). I I Y .. �.................... Acklresa ... . .... .,..... ..... . ..... ...ltoox: Mo.o1$�"/a 33 .. . LbYne of hxol rant or M�-:...��t)�' h. IS Lluo )rnxerl within 3W feel: 'of it Lidal lm3Uaol7 A Yli .... ...... ND ...7..... . Aiv Ym, S(1JI11(HD 'IT1NN -misiDis memrr my me 18X(1 imm. PLOT DTACIIAM l)u:ate clearly aril dial.ftx:tly ail Ixoildinga, Oielher exlal inll or' proposed, mxl iolfcate all seL--hack dialensiona frau prolwily lines. five sl.reei. rail block nober or ck:scriptiaJ srcnrrling to rleed,�arxl sluxa street moles mill inrlicarn %Aioller iotelior or corner lot.. ;i I'A'16. W Wit Y(Xw, c rTOOC . ,.`�'. ...'... .. . . . . . .... . . .. . .Ix:iog duly r.Yn rnr, deli leen mill soya IhaL he is the applicant (Mm! of; irulividoal uigniolS coal rant ) alxrvn lased, Ik: is the ..... .. .. . ... . .. .. ..`CO.rts .C�'O.'..... ... ... ........ .... . ..... . ... .. . .. .... .. .. ... . .......... . ... ((bo(lactor, ngont, ciolforiue officer, etc.) of raid IAJIIL'1 or cxJrx:ra, sol is duly it: llhorizol to forform or have parloolYed the said work mill to ucdw aol lile thin application; Ih+rt all stalaseots cvootaio:d in this application are 11M Lo the telit. of Ilio ItlX"ledge aril kfl iel; alxl Ilial file Milk will lie lx:rf000kerl ilk theaauax:r set forth in the appLical.ion filed 16erewrilh. (>.Amr to Wforo like thn i . .. . .... ..(A . ..day of . . .. ... �rP. .. Mol ray Krol is . . . .... ... ....... . . . .. . u ... .. . ... OBERT 1.SCOTT (Sil,unltoe of Al)plicrll) ...... ARY PUBLIC.State N.Y. No.4725089.SuNo k WOW Term Expires May .19 2 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REM RKS: .��^� �-�- DATE INSPECTOR sr ,�pc�z�:5- 765.1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE ` INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ "FOUNDATION IST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY `S REMARKS: i!912r- 7/1 /✓ yI ar At Ak-lltvl I c DAT INSPECT R 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ v ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE `� 'fid 9 7 INSPECTOR �� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [VfIROUGH PLBG. [ ] FgIINDATION 2ND [ ] INSULATION [ /FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: . - (f DATE 5- s-- Ic 7 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: er . DATE < INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 11'7 INSPECTOR X-44 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1001.381 ,BURCAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 05,1997 Application No.on file 1:036296/96 N 430419 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 WALLACE D. MACOMBER, 1115 WHITE-EAGLE, LAUREL, NY in thefollowing location; ® Basement ® IRE FL ❑ 2nd Ft. GAR/ATTIC/OUT Section Block Lot 23 was examined on SEPTEMBER 02,1997 and found to be in compliance with the National Electrical Code. FIXTUR! ECEPTACLEs SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER I IMT I K W. I AMT I K.W I "T I KW. AMI K.W. AMT M.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS I BELL UNIT HEATERS I MULTI-OUTLET DIMMERS AML K.W. OIL M.P. GAS H.P. AMI NO A.W G AMT. AMP. AMT. AMpS. TRANS. AMi H p SYSTEMS AMT WAILS NO.OF FEET SERVICE DISCONNECT NO-OF S E R V I C E AMT. AMP, TYPE MITER 1 p'tW 1,e JW ]6 3W 3.P AW NO OF CC.COND, A W G NO OF HI" A.W.G. A W G. EQUIP• PER% OF CC.GOND. lFG OF HI EG NO. NEUTRALS OF NEUTRAL OTHER APPARATUS: MODERN ELECTRIC EAST, INC LSC.#2300 I #' Ids _ L L 10470 ROUTE 25 DY PUMILLO PAT LANE GENERAL MANAGER MATTITUCR, NY, 11952 31 "I, a Per This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR' BVILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 151, 1 THE, NEW YORK BOARD OF FIRE UNDERW77TERPAC'E,PAGE 1 1001381 BUREAU OF. ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 08,1997 Application No.on file 13036296196 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant namedon the above applpremises ofWALLACE D. MACOMBER, 1115 WHITE EAGLE, LAUREL, NY in thefollowinq location; ® Basement ® Ist Fl. ❑ 2nd F'l, t7AR1AT'PIC10U7P Sertiot 23was examined on SLPTEM8ER 02,1997 and found to be in compliance with the Nationa FIXTURE ' FIXTURES I RANGES COOKING DECKS I OVENS DISH WASHERS EXHAUST FANS 15 OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER I AMT I K.W. I AMT I K W I "T I KW. I AMT I K.W. AMT. H.P. 76 76 1 59 "13 1 3' 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS S►ECIAI REC'PT TIME CLOCKS BELL UNIT HEATERS MU YSTEM LET DIMMERS AMT. K.W. Olt H.P. GAS H P AMT NO. A.W.G. AMT AMP AMT. AMPS TRANS. AMT H P SYSTEMS AML WATTS NO.OF FEET 3 F 1 20 1 1 SERVICE DISCONNECT HOOF S E R V I C E AMI. AMP. rypE t a,tW t R]W T�,SW SX METER �W NO.OF CC.GOND. A.W G NO Of HbLFG A W.�' NO.OF NEUTRALS EQUIP, PER B OF CC,COND Of HbIEG OF NEUTRAL 1 200 CB 1 X 1 2/0 1 110 OTHER APPARATUS: 100A TRANSFER SWITCH-1 IRONING CENTER MODEL BR-40-,1 , ' WHIRLPOOL BATH-1 PADDLE FANS-4 WELL PUMP-1 MOTORSI4-F H.P. ,1-F H.P. FANELBOARDS:21 CIR. 60,1•-16 CIR. 100 SMOKE DETECTOR,-5 i <<< Continued on Page 2 a» GENERAL MANAGER isit 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. ` --TEST HOLE-n I IN LOT IS OF FILE MAP 7770,FILED 8/30/64 +10160 +lOIOO +100.45 +/O�00 SURVEY OF 022 N LOT 2/ IN °- .10135WHITE +100,63 EAGLE 1/00,2 DRI VE , 9956 .101,85 CONCRETE cube _ MAP OF GOLDEN VIEW ESTATES �—ASPHALT PAVEMENT -S1 SITUATE ' S 320 33 42 E /48. 78' R = 52000' A=354/ I / LAUREL, TOWN OF SOUTHOL D 100 SUFFOLK COUNTY, N.Y. STAKE FO Ory \D\ R=2500' A=3927' FILE 7770 SURVEYED FOR WALLACE DAVID MACOMBER SURVEYED 9NOVEM6ER,1995 70 98 FILED AUG 30,1984 GINNY MACOMBER SCALE l" = F D Ln AREA=40 or SF 0 92/3 Acres 'M TAX MAP#1000-127-09-21 N D v • p o Q PROPOSED p { CESSP00 GUARANTEED TO WALLACE DAVID MACOMBER GINNY MACOMBER Cn FIDELITY NATIONAL TITLE INS CO - t1l 0 TOWN OF SOUTHOLD /PROPOSED 1i SEPTIC TANK ZONING R-40 �y O ALL ELEVATIONS ASSUMED DATUM 2P / I 97 pFINISXEG GRADE FINISNEa GRADE --��--��111111�� _� ! ---35= l MIN I ON 42 GAL Y MAX YMK STORAGE TANK ) ve'yr PROPOSED v e' 9 Is qu 2,400 BE RESIDENC r M/N AREA LEXNGA` O V 2 MOL i ~ 40 1 SEPTIC GAL ANK 25 GARAGE GAOONDWATER 2'MIN. GROUNDWATER,' 2 25' ED5 TYPICAL SEWAGE DISPOSAL SYSf£M SUBMEERSIRSI BLE PUMP o_ TYPICAL WELL DETAIL i Nis SUFFOLK CO. HEALTH DEPT APPROVAL HS. N n 'o STATEMENT 0 /N ENT THE WATER SUPPLY A SEW E DISPOSAL SYSTEMS FOR THIS RESIDENCE W L C N ORM THE STANDARDS £ of THE SUFFOLK EPT HEAL T RVICES ti O m , SUFFOLK COUNTY DEPT OF HEALTH SERVICE y_ FOR APPROVAL OF CONSTRUCTION ONLY DATE .D ~ i Guarantees Indkoted here an shall me HS REF N0. O x Ct only to the person for whom the survey APPROVED: is prepared, and an his behalf to the SUFFOLK CO. TAX MAP DESIGNATION title compeny, Covermenlal Agency, DIST. SECT. BLOCK PCL. PROPOSED35, lending i-01ftfion, if listed hereon, and WELL -�' to the assignees of the lending jonnAi /000 127 09 21 /0 Guarantees are not transferable to additional irofitulia, or subsequent owns L OWNER: N 320 33' 42" W /84.16' WALLACE DAVID MACOMBER GINNY MACOMBER N/F RASWEICER lncuthorized alteration or addition to this TEST HOLE DATA survey is a violation of Section 7209 of AS PER FILE MAP 7770, the New York State Education Law. TEST HOLE l THERE ARE NO WELLS SEPTIC TANKS CESSPOOLS OR ORIGINAL GROUND RESIDENCES OFANY 11/ND WITHIN 250' OF THIS Copies of this sosveY map Pat bearing PROPERTY s�' - 0 0 the land Surveyors embossed seal shay rors0/L not be considered to be a valid tm - /.O' Copy. CLAY - 30 _ C...--- , SURVEYED BYE ~��~—y T{{ SERVICES STANLEY J /SAKSEN,✓R 32C UCiUIv1Y DEPART,1EP4T OF HFJ� RD BOX 294 SAND NEW SUFFOLK,NY,//956 \ FOR APPRCIYW 05 UpNSTRuCTIO11OF (5/6) 734-5635 S1tie E -A,YIILY REST N E ONLY p/3 \�nlpy 3 0 1�J5 Rs REQ. No. /D-9 DAT /30' APPROVE REEP1�YALALICENSNO SURV Os �pMDATEOF,_,., - - 49273 PSC 583 ` ,TEST HOLEH£I IN LOT OFFICE MAP 7777 0,FILED 8/30/84 +I0160 +l0/00 +10045 +p000 SURVEY OF ✓•/02.2 � N LOT 2/ r39.27' MWHITE +100c EAGLE 1002 DRIVE 9956 " rE cuae— MAP OF GOLDEN VIEW ESTATES �—'ASPHALT PAVEMENT `s/' S 32° 33' 42"E /48. 78' SITUATE (.AUREL, 70WN OF SOUTHOLD SUFFOLK COUNTYNY �LFILEyAUG3 SURVEYED FOR : WALLACE DAV/O MACOMBER SCALEYI" 9 20' aER,1995 FiI ED AUG 3D,l9ea y\ G/NNY MACOMBER AREA£ 0, = 20•(n AREA=4O,lor2 SF TAIxMAP#1000-127-09-21 092/3 Aes o o � N GUARANTEED TO n WALLACE DAVID MACOMBER L11 G1NNY MACOMBER FOELITY�1 TO" OF SOUTHOLOL TITLE /NS CO ZONING. R-40 ALL ELEVATIONS ASSUMED DATLIM 46, 26 6' IO20 127' 10' 3 0 0' v (73 0 81, 'h N `105' all• N POURED FOUNDATION PrrvrsNEG GAAGE I RNISH11AO B E °CONCRETE WALLS + m Is"' (MM (EXTERIOR WALLS SHOWN) qz GAL ?Max z'MAx $r42 GAL mNK\ 16066' SICEPWALL BB- MIN AEA l NG c) OL i 2 ~ N 2 SEPPGT C GTANK f 67O GgOUNGWATEA �� h Q h O 9,MIN GFOUNGW� ATF 5 GPM TYPICAL SEWAGE DISPOSAL SYSTEM SU.ME.4/ALE PUMP NOTE FOUNDATION LOCATED 12/28/96 TYPICAL WELL DETAIL NTS SUFFOLK CO. HEALTH DEPT APPROVAL H S NO. STATEMENT OF INTENT _ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES S '•� SUFFOLK COUNTY DEPT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE: O Guarantees indicated here an Alta" tssl HS REF NO. Q, only to the person for whom the survey APPROVED. O is prepared, and on his behalf to the SUFFOLK CO. TAX MAPDESIGNATION title company, Gavermental Agency, ending institution, if listed hereon, and DIST SECT. BLOCK PCL. io the anignees of the lending institution /000 127 09 21 Guarantees are not transferable to additional Institutions or s„bsequent owara OWNER: N 320 33' 42" W 184.16' WALLACE DAVID MACOMBER GINNY MACOMBER llnaatimrized alteration or addition to this N/F RASWE/LER survey Is a violation of Section 7209 of TEST HOLE DATA the New York Stale Education Laic AS PER FILE MAP 7770, TEST HOLE I THERE ARE NO WELLS SEPTIC TANKS CESSPOOLS OR ORIGINAL GROUND RESIDENCES OFANY MIND WITHIN 290' OF THIS _ PROPERTY Copies of this survey map not bearing rGPGo2 the Land Susveyon embmsed seat shall — /01 nat be considered to be a valid t" CLAY copy. — 30' SURVEYED BY STANLEY J /SAKSEN,JR PO BOX 294 SANG NEW SUFFOLK,NY,H956 (516) 734-58.35 13.0 2 T„n/ 9 LICENS L NO .SURV Y0� 6 - �/Lr% NYS L N 49273 95C 563 ` -TEST HOLE41I IN LOT IB OF FILE MAP 7770,FILED 8130184 +10160 410100 +10045 40000 SURVEY OF LOT 2/ 022 IN 110135WHITE +10063 EAGLE 1/002 DRIVE 9956 MAP OF GOLDEN VIEW ESTATES +10185 CONCRETE HALT SITUATE 1 —._ASPPAVEMENT �� 148, 78 REL, TOWN OF SOUTHOLD 52000' A=3541/ S 32° 334211E LAUREL, R -- SUFFOLK COUNTY, NY STAKE FD Y R=2500/ m SURVEYED -NOVEMBER,1935 A=3927/ FIL£#7nD SURVEYED FOR : WALLACE DAVID MACOMBER SCALE r" - 20' FILED AUG 30,1984 G/NNY MACOMBER AREA 40,J32 SF Or x1 y 0 92/3 Ave, Z V TAX MAP#1000-127-09-21 CESSPOOL �p o D V Sr0't'F Z3 N o tJE'p PY GUARANTEED TO c N �LFND � OR St -- WALLACE DAVID MACOMBER i. GINNY MACOMBER < FIDELITY NATIONAL TITLE INS CO M b TOWN OF SOUTHOLD rri SEPTIC O i TANK ZONING:'R-40 3 . rn �/tip s* ALL ELEVATIONS ASSUMED DATUM / 292 Il' - 204' LI' 4131 Id 3' o 46 v 16B' _ ° 106' N 371 FINISHED GRLDE ° GARAGE t ,p FINISHED GRADE LIu4dWIu6aHLvn-�L.1 N !'MINI,MIN I STORY z'MAX :MAN WOOD FRAME sTGGAase:::I ve/I — RESIDENCE 16 L o r J 3DG'SG FT Q a 0 6' "Of .LL MIN AREA LEACHING It ` y PoDL 2 pCELLAR A •� N z ROD Gat i y ENTRANCE- ' i sERnc raNK ^UNGWATER 6 � COMPOST i W000 DECK O _ 1'Ml GRW� ^ �,�. 41 O' oN � IB 5' z _ TYPICAL SEWAGE DISPOSAL—SYSTEM 3 GPM 3UDMERSIBLE PUMP TYPICAL WELL DETAIL NOTE FOUNDATION LOCATED 12/26/96 NTS SUFFOLK CO HEALTH DEPT APPROVAL H S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS A FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS p m OF THE SUFFOLK CO DEPT OF HEALTH SERVICE S Gearantees indicated here an shall tall SUFFOLK COUNTY DEPT OF HEALTH SERV/CES FOR APPROVAL OF CONSTRUCTION ONLY only to the person for whom the survey IV h prepared, and an his behalf to the DATE: N - title ccmpany, Covern,ental Agency, HS REF NO Ql tending inslitAcm, if IistN hereon, and APPROVED- to the cnignees of the lending institWims O Caaramees are not transferable to SUFFOLK CO TAX MAP DESIGNATION WELL additional instpuli n, or s�Ieequwnk agrga DIST. SECT BLOCK PCL. 1000 127 09 2/ OWNER 32° W 184.161 WALLACE NNY MACOMBER MACOMBER N 33' 42 ~hedxed eIter.fi n er addition to Ihb TEST HOLE DATA N/F RASWEILER survey w a York State of cation ow. o q5 PER FILE MAP 7770, SUFFOLK COUNTY DEPARTMEN'fOFFQ:ALTFi SERVICES the New Yads State Educotien Law. TEST HOLE I APPROVAL OF CONSTRUCTED WORKS FOR ORIGINAL GROUND A SINGLU FAMILY TESIDENCE THERE ARE NO WELLS SEPTIC TANKS, CESSPOOLS OR ( ��Q) — 00 RESIDENCES OF ANY MIND WITHIN 250' OF THIS Dalry 'e•• ' H.S.Re4.Na. � � / J Copies of this survey map trot bearing rovsat PROPERTY — !0 The sewage disposal and vntcr sapplY ffcililics at this location nava been the 61 C Sudlned embossed seal shall Mf �e consislere� b �e a volil True tta' inspecicd nnL/or ecrti:Ied hY this Denzt'Ss�-:t or other ngeneies and found to _ 3 O• ho satisfactory FOR t { U:.O ,OMS- aPY• ` St /lien A.Coslx,P r.,Chief •. c� of ccof Walcraad'VWl water Manegamenl SURVEYED BY+ STANLEY J ISAKSEN,✓R PD BOX 294 SING 11, 1-- NEW SOFFOLK,NY,I1956 L' (5/6) 734-5835 U NOTE SANITARYLOCATION PROVIDED BY OTHERS AME/s9J MAP TO SHOW CORRECTLOCATION OFSANITARY 4S PER SC D H S 29 SEP 97 ALICENSEDNDURVEYORFINAL SURVEY DONE 22AUG/997 49273 95C 583 I s. r V 5 Ir � v „ f C I r y 7.4 , - ,,t "� �' " .. , !"t*+n-r^ .'. . ' � ' . .. - _ ��, x%-�:�^`ir_�.J�.. +�� .........,.,�• _._•-.m...,..,__,.-.�+..mr:,.n...r,r.,.r+,sw.^.—•.r�,.=.....-,.,:...,..._........-�cc r ,-..-.,. .. �-..,..+,,.w..:+M.w..-.�.+w.r....:v,.r..•�awrf.�_ _____-- �� - t t5 oil- -,—_ �� a e ,�,v IMIOFIIwIInElIseER11FIrJ11E LA ,2 1013 tl - r= nry y� Inn V 6a.T L,s'r "1 .,Y�W e N � uS � i\f .i rY�f;1101 UfnlG DEF FOR Th^ r _ c"'p up ynnIING wsvecTlDNs: r011REL) DO NOT PROCEED WITH ( � p AM TU »Y PM , `5 w „ ' e� ,AliNrlAT00 - TWOR ' I rd .,'-, tl 'sl�uln °"G�?Lu�nelrac FRAMING UNTIL SURVET Of FOUNDATION LOCATION „,r,4,LATlrrra UCTM+1sT YtAtB�6WABQROVED: CQi4STRION I;E COMPI..ETF. FOR SHALL MEET P1_I, COPdSTRUCTION _ TME REOUIREMENTS OF THE N.Y. r - ,-,PATE CONSTRUCTION & ENERGY " CODES. NOT RESPONSIBLE FOR - DESIGN OR CONSTRUCTION ERflORS r — _ LUAIBER CERTdFdCANON EA _ ON OR E OF OCCUPANCY _, 1 ten_ __ : __�,. . __ :.... , , _.,.,._ � �� ;(BA-it;:,cdt� USED dR/ WATER : w - - - " — _ 1_V'sysTEwCAAWOT 7 cz 1 ,� ' i. • . « «. n Ji :'.. ._ ',i r _ , _ ._i i� ..n � r_ y.. �, ._ ._ .. .. ..,.. 'r- --w.wmr'W..u.,w e. ._&— ... lna W 'l,.r . _. PLUMBING ALL PLUMBING WASTE copper tubing is used _—_— ._ -- - -- I for water distributing &WATER LINESNEED .. TESTING BEFORE COVERING system: pining shall be - k of i „I i t � i k ' 1�-r...�n MP°r,M w•�XN'M1w M=WaP -tiMM'F'/nw m'ti 'r""TpM MK[-+wFq' ` awr+b'^".rr �r„]� ILI e�j a F - � - �F (� 1 � E£.�,d.ir•• � r —7 r a . SCAL II )II APPROVED BY .I, a DPAWN BY ATE. DMWIWG i ;! . _ I . .ter s F i I - I � t� ------------- 1 5 76 140, _ . ,_ OF NEW T,o i 7-S �9pFESSIONP�' ' 7 c / I C.�'L_F'• 11� �{ SCALE. 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