HomeMy WebLinkAbout22737-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25177 Date JULY 31, 1997
THIS CERTIFIES that the building NEW DWELLING
Location of Property 1085 ORIOLE DR. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 1995 pursuant to which
Building Permit No. 22737-Z dated MAY 5, 1995
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 2 CAR GARAGE (1ST FLOOR ONLY)
The certificate is issued to DMB CO.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0052-JULY 14, 1997
UNDERWRITERS CERTIFICATE NO.-N-401406 - OCTOBER 28, 1996
PLUMBERS CERTIFICATION DATED MAY 1, 1997- K&K PLUMBING & HEATING
Bu' ding nspector
Rev. 1/81
FORM NO.3
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)
Date 19 l .
N® 227371
Permission Is hereby granted P:/,
~ ~ /..4r?.~1.:4.
! . .
r/®.r....`..~...... ,
to r ..r!4°T l...... ...l. ~`..`.°';Y „~...~.y......
1...C~.~............,04S .......~d...~z~4.,..rC'.cI
...........m..../..®6,...-
at premises located at.......... ~1......... ~C -.0.'..................................
, rt......... V
County Tax Map No. 1000 Section N-5,,50~ Block ......Y! LOot'N"o. 1 `r6...............
pursuant to application dated C7........ 19..91..... and approved by the
Bullding Inspector.
eel
Fee 5...~.........
s
Building Inspect
Rev. 6/30/80
Form No. 6
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 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 $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 ....7j.1A.0.7
New Construction....:... Old Or Pre-existing Building
Location of Property... . 95 OfZtd~t .,v/Z,,,,,,,,,,,,,,,,,,,,;;S,OUT7}p.~
House No. Street Hamlet
Onwer or Owners of Property ......D Q.... C
County Tax Map No 1000, Section... Ar .....Block Lot..............
Subdivision.. WW.P0QlD_r. M'IrA~ayO.S...... Filed Map............Lot..:3 ~
Permit No.. 2 3. Z ..Date Of Permit.:. ;_195..... Applicant. ..4)6 H..,,20
Health Dept. Approval ..........................Underwriters Approval... DI........
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: $...9ZS O a
Q~ Q C o2n~ Ff - APPLICANT
G0~ aSl~7
a FFowe TEL It W1
TOWN Or SOOTHOLD
;-r OFFICE Or nUILDINC,INSPECI'OR
i F.U. BOX 728 • ~
p p to TOWN HALL t-~
SOUTHOLD, N.Y. 11971 P
f 'a
C E R T I F I C A T I O N
pa tt
Date I
Building permit No. a 737 2
Owner
r~ / q f
p ~aese pr nt
plumbs, k
Ip \uase print!
2 certify that
,contai ie8g the solder used in the water supply systllurs'" Y' t
ns than 2/10 of lA
lead.
(plumber's signature) Sworn to beforo ma this
6
ay of
t 19 97 1 aR.~'
110t4ty Public Notary P4 Li:e
0 unty
SUSANNE J. PERRICON
• NOTARY PUBLIC, State of New York
No. 4882799 • f;Y f} i
Qualified in Suffolk County f"'
Commission Expires Jan, 20, 199q
.,1,~ y '~yyyY, r,
t t.;:a~3i4Wt'4 Vi+11x,.. L.urw~iiv4_ ~'4.
THE NEW YORK I30ARb OP, FIkE UNIA'' Wkif
1195099 WhkAtl 00 SLrzeTAICITY „ih 1 ~ Ill l III ; it ~,II -111 iIl ~ III,
1, ill "L I I
:ulll
AE J014N STRSPT, NRW V60KI NY 1008 tll, lit
Batb OCTOBER 28j1995 AppllcaHadNdtgdjll~ 8828395/95,; II,tI1lI 'N:4&406'lll,''~4~t11j''~1111 g
q III lj
TWit CERTIFIEl3 TNAT it P t 0
' only k s[ectrieal equipMent as dncrtbed below and lntrodoced by the applicdrii nomad on iite ohnve opfilieot lion rrUMhsi to lira Jtieinli~le~ll~tj~ , ~
1r u r Ill 'I
1
11b8M Co., ORIOLE DRIVE, SOUTHOLD, N.Y.
14 11h6./ollowinN Irmatidn; ® j~ Mi IP 4 4 III I~1
Barement ItlFI. El 8Ud Ill GAIt/ATTIC/08'' 4eai I'tlloeb' tI,"1 31'
Y 1
OCTOBER 24,1996 .I~It~l~
!examined do fottAti to be IN cblilp(iHncc ilHtk tA8l~dt~NaT EYetlt7~7erii ddb.";I Ili !.I Ili_,.IIl,=1
and
1: P ql pl lu- nl lit .Iller It- Ili;
RAN6E5 COOKING DKKS OVENS uI DI HW R
NXiURE FIXTURES
OUTWS fCf/TACUS tM/ITCHES INCANDISCINi rwORESCENi OTHER AMt. K. W. AMT.
41
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16 35 21 16
tll i' .il I! lit ' r1JI §I L;J I_lit
OIkYtRS FURNACE MOTORS RIAW AN?UANCN teibiAS 3rtcrAtAicrht TIAlidioeKi ilfttl uNrfiliAfilA3' "MUtriWIT1Er, IMAI! t;t,
~AMr. k, w. Oil d. Y. GAS N. P. ,var. No. A. I,Wt. T. AM6s. tRAYt3. AMT. 'I ii!i„1 NbY01 fE{'t I tY~}tfill
- lit:= IIll-111- II=
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EERVIC! DISCONNECT NO.OT S E It V u.; n1 't l 'I
Al ,wt rnc' MINI. I N hw i jr Sw t x aw S A 1w . ra,o RC~coND. W 't eoNd.,, i1b. tll Hi.lto " . 1 Nd, bt iAuitAu 11 t ~I y) 1
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JIM SAGE ELECT INC. LIC43635E ll~ ~II II} IU at
uj iII 1• Ip:
350 MARINE PLACE 11 -II ll~ I t u ,I q Ill; III 11[ .I
GREENPORT, NY, 11944 ]jI:III~IIIL A~IIiIII'`lili(UI
III III tll ,I III' Ill PR
1 GlII 1 a~", tl.a il. Ill 111 ( ~u :Ijy~~l: I 1- II ; c IIP 11,.:1111 I It-,
This terfi )cafe mutt not be offered in any manner) return to the office of the 0oarJ W,I11114 11111 Oct
-
r
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: _____iy-r
DATE INSPECTOR
r
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ } FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
RE KS:
za_
p
DATE INSPECTO
40
06
0f+.~~" vr,~, 765-1802
BUILDING DEPT.
7 ~ f lei NSPECTION
FOUNDATION 1ST [zJ,-/R; GH FLOG.
[ ] FOUNDATION 2ND [ INSULATION
[ RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
-
G~
DATE INSPECTOR
Zl fir.. ~ ~y~'=!
765-1802
BUILDING DEPT.
INSPECTION
[ ] FO ATION 1ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE c2 INSPECTO
X273-7
765-1802
BUILDING DEPT.
INSPECTION
[ /FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: '10e, e
DATEJl~~ INSPECTO _
-I`
M-1802
BUILDING DEPT.
INSPECTION
[ J FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND j ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK .
DATE L INSPE,TO
FIELD INSPECTION REPORT IIDATP It
Q)a
I N
FOUNDATION IS
ii
O
FOUNDATION (2m 1) _ It it
ii
en,
ROUGH FRAME I rte/
PLUMBING u I s~° 1
-14
II It y /I '
!I it it
INSULATION PER N. Y. e '
it
STATE ENERGY jj i /
n
CODE ii
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n
II II
II
II II
II II
________===-=c=eeeee==_=c=e=e=#====e#==______________:-=====veccee==_______
III^1
ii wn r3
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II II
II II
II
II II
FINAL ii
ADDITIONAL COMMENTS:
1 ~
lor
1-4
H
N
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~S
a Q
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ro
H
BOARD OP HEALTH 1,1.
3 SETS UP PLANIJ
APR 171995 aohMrva.t SURVEY ..1.!,!.,44!,,,;,411„
IOWNOrSOUTHOLD CHECK 444++11444+1,..,.,,,,41
13UILDING DrPAnTMENT SEPTIC PuRtf
TOWN HALL
SOUTHOLD, N.Y. 11071 NOT Iry i ~vJ ~23
TEL.: 765.1802 CALL' 144 1t .71,.11.44,41,
bxamined ...1 . Jam.., 19/~ P,, / MAIL TOt !
Approved , + 19~f. Permit No.v`~ .
i . 1 7 , . + i + i l , , ? + .
bisapptoved a/c .
(Building Inspector)
, h LICAI'ION FoM BUILbING ph1iMIT ! +
y/ '~I1I p
bate )g l s
r INSTRUCTIONS
a. 'T'hus application must be completely filled in by typewriter or In ink and submitted to the Building thspectot, with 3 i
sets of plans, accurate plot plan to scale. Cee according to schedule. ~ .
b, Plot plats showing location of lot and of buildnngs on premises, relationship to adjoining premises or public streets
of 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 hot be commenced before Issuance or boOding Permit.
it. Upon approval of this application, the luilding Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throu0iout the work.
e. No building shall be occupied of 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 firREBY MADE to the Building bepartment for the Issuance of a Building Permit pursuant to they ~
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appli Ve Laws, ordinances or
Regulations, for the constriction of buildings, additions or alterations, or for removal of demo itPri, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building de, housing c e and regulations, and to
adinit authorized inspectors on premises and in building for necessary inspect 1.
(Sign i e of npp a t, o name, orporation)
. P...4:. J a•'Y- 21 3 c), `C Rt=t.lJf~ole r I/9Ile
„ ..4.41 I
(Mailing address of dplillhut)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciah, plumber or builder.
0. MA N..~.R .
i.,
Naine of owner of premises....... , , '
(as on the tax toll 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 .
Mectrician's License No .
Other Trade's License No.
1. Location of land on which proposed work will be done;
...............c±.o.~.c
.Y, (`'1t Y/r'IY1x„i,i 11.14. t1
Ilouse Number Street I431tllet
County Tax Map No. 1000 Section , ..4. Block 6
Lai.. 9(
Subdivision , i, 441. ti QO,I!-~ T • • •M Eq„i~o cJ5 . , . riled flap No . ,...4.i , Lot +t?-li
(N;nnc) i
Stzte existing use and occupancy of premises and intended use and occupancy of proposed cohsttuctlow
A. Existing use and occupancy..... c1 T L .1. v D
B. Intended use and occupancY• .,...L...T,~?`.MIL,,,,,
i
i f
I s
Nature of work (check whicjt alpplicable): New Uuilding Addition . , . , , • , • , 1 Alteration , , ! . , '
Repair • . , . , , , • c , (1011+bli'dl , . , , , DcrnoNtion . , , , . , , / , ,Swimming ',pbo1 d3;,;,
: srat 1 t !
Tennis Court Actessory building . , . oEher
~~ff/ • Fence Work r..,,.,
4• Estlnlated Cos(. 17 0~~ li ,..•r,•..,,,,.. red 1,+,1„1,.•+•+
(to be paid on filhld this application
5. It dwelling, number of dwelling units . , ....I... , , • , Nunlbcr of dwelling units on each floor , • , , . , , , , , , ,
Itgatace,nunlbetofcats ..1 U,1 ...1..,....,,•l,..,,lt{!!11/,1,,,,11ti1.1
6. If business, CO1r1Illercial or mixed occupancy, specify nalule and extent of each typo of use + . , , ..1. • ,
7, Dimensions of existing structures, If any: hront (lent ; .:1 . , , . + , 1 . + Depth : , • , , , , , , + ,
tlelcht .,,....,.1.. . Number of Stories..... .........!.....1, 1!.!1/11..,•1.111
Dimensions of same structure lyilh alterations or additions: Front ! . ttedt t +
Depth ...................I... height .
. , . NUM bet or $tbHC§ 1
8. Dhnensions of entire new construction: wont . ,
llelcht Ilcar ,,,,11...,... Depth .l,,,. ,.,../11
Number of Storks , . ~Y: • 1 . .
9. Sfze of lot: rt „ • + t , , 1 1 1
10. Date ofPurchasret ,a.Q, Rear. llcar. .....~,U Depth pth ..Q..........,
Maine Of Vernier Owner . , I , , , I t l .
11. zotle or use district in wilicil premises are situated , 1 1 . + , , • . . .
12. Does proposed construction viglate any zoning law, ordinance or regulation: , 1 1 1 , . lu; 1 + • . .
13. M11 lot be regraded 1 + , , , . , . , WI?1 excess rill bet moved from premises: Yes
14. Nmne of owner of premises D !3,M, C% r , , , , , , , Address Plsone No. l ?53 d
7 .kT.^T r i'. . ! . 1
Name of Architect FR awrnfil,Ea: (320 ata Saar 7?
, , , Phone Ntl. y17~1.` ..?r+
1 Address
Marne of Contractor . . Address 1 1 , / 1 , 1 1 i 1 Phone No.: l , a 1 1 , 1
15.Is thist property 1otal:bd wititio Soo , feet of n tiddl wetldudt Alrkll,a,,.,N0, 1
Atf yes, Southold Towin Trustees Permit roily be tolidit:id,
PLOT DIAGRAM
Locate ctedily and distinctly all buildings, whether existing or proposed, and. Indicate all setback diniensiont front
property fines. Give street and bloc lT number of description according to deed, ahd shoW street htuneA And Indicate whether
Interior or cornet tot.
I
. I
I
II ,
I
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I
STATIi of Nmv Yoit1C, I
COUNTY or ,,$.U.r.r S.S
A
e NI
.E `
cn individual s~ll . ' ' • , • • • • being duly sworn+ deposes and says that lie is the applicdn
(Naine of going contract)
above named.
tic is the . • • lpl~r',!•^?.c, ~
• ...,•.11 .,li11. 11{//111111,11/t,.lll,i{
. C.v
(Contractor, agent, corporate officet, etc.),
of said owner or owners, and is duly authorized to perform or hdvd performed lid said Wotk dhd to make and tih± till
applicalion: [lint all statements con dined in this application are true to the best Of his knowledge and belief; and that IN
work will be performed in the marnnr set forlh in the application filed therewith.
Sworn to before tee this
i`:,.+...... day or CA~ P2i.L . 19(9,
`I
Notary Public, •K
SUSANNE J. PLRRICON@ COQ GL's
NOTARY PUBLIC, State of Z Yi
No. 4882799 111ff • ' • • • • , 1 / ! 1 , . 1 1 , , 1 • . .
Qualified In Suffolk County _ dtlatUte f applicant
commission Expires Jan.20, 104 ?
Lot2g
Lot 24
Cpt~6 ~CONSERVATION EASEMENT
i
\ S.80035'41 "E, II
65.98
Lot; 1 ai
SUbdivisipn
~~t 1
lyighp
Suffolk count .v F% ee
Npows Sect i„ I 3 ; o
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Lot30
14. b' FNt o j J
- ` 22. BILCp
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N a 376' IB.p' L'
0 m 2 Sr
Y FRAM -
0 OSC4
6FRp§B
D 22.0'
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2 zJ ~5j
1 G~oy83~
R 5
9 7, 1 e• A32j2
L_10,536
R'759.07' L=405.98 ,
DRIVE (jr ~W)
WATER M
o
t.
u~ LAND
SURVEY FOR
APPROVAL OFCONSTRUCTED WORM FOS BARRY A. STANDISH 81 DAWN M. STANDISH
A9Q~LiFAii1lLYRBSIBFSjIC,S LOTN0.31,"HIGHPOINTMEADOWS,SECTIONTW011
DBEB ".'Iffl 4 t9971i uB 12 [O^9~ QOS~ + AT SOUTHOLD DATE'. JULY I, 1997
The mvw dbposet and wow supply thci! aw Bt ibis iocagrR hs m bgL., TOWN OF SO U T HO L D SCALE 1"- 40'
WVDawdBRd/OEmftiBEdbythis ChpshwdorofimsgenDiDsEndfmdto SUFFOLK COUNTY, NEW YORK NO 97-0442
be setif wImEyFOR OF gy?)3R( OHS.
~ 0Z %UNAUTHOIIZED ALTERATIONORAODITION TO THIS CERTIFIED T0: , EY 13 NE WVYORK 3TAi(EDUATIONE('TYON 7209 OF THE BARRY A
1 S STANDISH
vst;=0 a I P.L., Chief *COPIES OF THIS SURVEY NOT. BEARING THE LAND DAWN M. STANDISH
OtflceofWataatdWaskwBterhY8RUgOTUDRt NOTBEACONSDEREDTOLBEAVALIID RUECOPY HALL BANK OF NEW YORK MORTGAGE CO. INC.
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO D.B.M. COMPANY
HEALTH DEPARTMENT-DATA FOR APPROVAL THE PERSON FOR WHOM THE SURVEY IS PREPARED 'TICOR TITLE INSURANCE CO.
AND O/ HIS BEHALF TO THE TITLE COMPANY, GOVERN-
N NEAREST WATER •AIN-MI I *SOURCE OF WATER' PRIATE PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED
N SUFF CO TAX MAP DIST 1000 SECTION Y _ MACK 6 LOT AS 34 HEREON, AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ,
N THE WATER SUPPLY AM SEWAGE DISMAL SYSTEM FOR THIS RESIDENCE OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES s 4
TOEKISTING STRUCTURES ARE FOR A SPECIFIC
OF H[AITN SERVICES
II/b PURPOSE AND ARE NOT TO BE USED TO ESTASLISN 1nA/M~,~. I)
APPLICANT, n / M ^ PROPERTY LINES OR FOR THE ERECTION Of FENCES
ADDRESS,
TEL U»-taao YOUNG a YOUNG R4000 1 t AVENUE
RI ' NE'YORI~j
l
NOTE ¦ MONUMENT FOUND - ~ ~Fk,~
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ,ALbEN PROFESSIONAL ENGINEER
" N
SUFFOLK COUNTY ON MAR.19, 1990 AS FILE NO.8911. AND W LAND YOUNG, SURVEYOR N YS LICENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR ~e4
m *THE L0CAT1QNOF WILL(W),SEPTIC TANK(ST)GCESSPOOLS(C?) SHOWN HEREON N.Y.S. LICENSE NO 45893
a ARE FROM FIELD OPERATIONS AND OR DATA OBTAINED FROM OTHERS' p~ 1 T.B.
8RANDIS A SONS INC. - `
APR
Lot25
Lot 24 &C. DEPT. OF
(VACANT) . HEIR SERVI -
1 1 v
40H"D6 \ ~C~ERVATIONE4SEMENT
65.98
Subdi D~ Lot4 w N, a
visiop
G I ~L W 1 i co, Suff °ikHCOuf7t Fi eeN °ws>Sect „ 40 :111 C 7~-
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EL°els 7 L=10$36L-20.8.
\ \ OR/0 R=759.07' L=405.98
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(VAC APR 171995
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TOt`h" 01°:gUTHOLD
SURVEY FOR
SUFFOLK COUNTY DEPAR1AdEHl OF FlEAt M SERYS D. B. M. COMPAN Y
LOT NO.31,"HIGHPOINT MEADOWS,SECTION TWO° DEC. 16, 1991
FOR APPROVAL OFCONSTRUOTIONONLY AT SOUTHOLD DATE. JULY 22, 1991
TOWN OF SOUTHOLD SCALE 1"-40'
DA 1 HS REF. NO•RL~-0 SUFFOLK COUNTY, NEW YORK NO 91 -0645
,pp UNAUTHORIZED ALTERATION OR ADDITION TO THIS
L, *11, R CERTIFIED T0:
AM EY 13 NEWVYORK STATE EDUCAT ON€ AW'ON 1209 OF THE D.B.M. CO OF NFW
*COPIES OF THIS SURVEY NOT BEARING THE LAND BRIDG A ~~~Al!lR~U'' A'Fp NK 00 EVMS THREE YEARS FROM DATE OF APPAL SUA SEYOCONS TO R'S INKE OERED EALBE A EMBBOD SED AL HALL TICD TI NOT NEE t TRUE COPY K GUARANTEE! INDICATED HEREON SHALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
N NEAREST WATCH RAIN-MI t III SOURCE OF WATER PAIMATE _PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
K BUFF CO. TAXMAP DIST,~SECTION 55 HACK G LOT 15.34 HEREON, AND TO THE ASSIGNEES OF THE LENDING
MTHERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RR I DENOE O DN STANCES ERS
SHOWN HEREON FROM PROPERTY CANES 4p 4589'
WILL CONFORM HE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC
OF WEALTH S[MICE
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH V/
APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES 1
ADDRESS
"L YOUNG a YOUNG R400 IVERHEAD, NEW YORK
NOTE~¦=MONUMENT 6 =STAKE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911. AND LAND SURVEYOR N Y.S. LICENSE NO 12845
m HOWARD W. YOUNG, LAND SURVEYOR
m *THE LOCATION OF WELL(W),SEPTIC TANK(ST)B CESSPOOLS(CP) SHOWN HEREON N Y. S. LICENSE NO 45893
< ARE FROM FIELD OSSERNATIONS MOOR DATA OBTAINED FROM OTHERS %
Z.B.
BRANDIS 6 SONS INC.
~~G'arr7 - /0026
Y737 - - - -
-
I OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
3 0 3 0 y/ - -
:i OF OCCUPANCY
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PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
' NIA I N - - - - x REQUIRED BY PART. 714 OF '
~oN:Y. 3*91PI QI1Ni CODE.
Ia i k k-ao~y for water distributing J M K1TC Hf'N ` i
Ei"';~r'+e system: Piping shall be
of types K or L onl 0 "Q
rt PROVIDE TI 0. "WE tt1 pr' „f~,:z. ,r
RATED SEPARATION 10
PART. 717.3 (f) (1) YP PLUMBING ~ 45 /.V.' STATE RUILDIRD CDYE.
ALL PLUMBING WASTE - - - - -
& WATER LINES NEED TESTING BEFORE COVERING -n^a%--- a % Al
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T I kl T3ED,W2,0 . 9 PR91ND ENINGS FOR
1 ; II - j EMERG ESCAPERS
n k. 7 ' 1 E f G 6k 4yc* Ir APPk VE AS WOR ¢ EQUINE Y PARE 7110
DATE: "SG R.R ? y ern V • _ - 7G-~ N.Y. A ILDIIISCODSi.
FEE. BY p .NOTI
i yr Ci?c-. 1- F FY SUILOIN DE t 7fe5-1802 9 AM TO ~^,1
FOLLOWING INSPECTIONS: n- 1. FOONOATION - TWO REOIJIRED - - ._.-i- _
FOR POURED CONCRETE 1 F _ 6_
2. ROUGH . FRAMING & PLUMBING - -
3. INSULATION
4. FINAL CONSTRUCTION MUST
LE COMPLETE FOR C.O. _
ALL CONSTRUCTION SHALL MEET - - - „
THE REQUIREMENTS OF THE N.Y. RGY
ST CODES. NOT fl ENEFOR
DESIGN OR ATE CONSTRUCTION TION ~FT~IORS
23
iRAMING UNTIL SURVET V'oiy°
OF FOUNDATION UXX? M To the best of my knowledge, belief, and r
NAS KM AMWJM professional judgenieni and specifications
are incompliance with !Aate En gy tiY
Conservation Code, se poll ~1_part.. 41 7985
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