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HomeMy WebLinkAbout22402-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 5-24044 Date NOVEMBER 24, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 365 MOCKINGBIRD LAMB SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.58 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 4, 1994 pursuant to which Building Permit No. 22402-5 dated OCTOBER 21, 1994 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 & COVERED PORCH The certificate is issued to HERBERT MANDEL (DBM COMPANY) (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0088 11/24/95 UNDERWRITERS CERTIFICATE NO. 11/16/95 PENDING PLUMBERS CERTIFICATION DATED 11/20/95 PECDNIC PLUMBING & BEATING NOTE: DECK NOT INCLUDED Building Inspe r 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) / 9/p/~ 22402 Z Date .........,../..h/-~? 19.'./...... Permission Is hereby granted to: ` s s?ih.....,../ ! I....... ....~.?i.? f!?~/'9.~1'~........ mey.' to...( J??J6t :............f .............U?o.,..,..,fi.............. ~rryls/4... f/~c /~i~~~`.......... ~.0.. . ltll ?ul- at premises located at ......../rg................ Z!.r'.-.:...,......... . f7~/ County Tax Map No. 100b Section . 4~~7 Block ,rLot No. pursuant to application dated Qcz,....... / 19..... p yam., and approved by the Building Inspector, / Fee .../nInspec '1....,.................,.,,,.,, uild tor R ev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD l~S - 3Y~~ 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 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. Fo r'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 New Construction...... Old Or Pre-existing Building Location of Property.W Of ~</f~~rhal2~..~R'V~ P f .%0.~ House No. rr Street Hamlet Onwer or Owners of Property. ............:~r..... 7..... County Tax Map No 1000, Sec/t~ion... Block..... Lot.............. Subdivision..#A. &A<?f. 1......Filed Map............ ~~Ljjott Permit Noe! ...Date Of Permit Applicant...fl3.~r/. .....7.....~~y~~~.:: Health Dept. Approval Approval:/// ` Planning Board Approval Request for: Temporary Certificate..........: Final Certicate........... Fee Submitted: k-or2jpg0 / APPLICANT ~~gOFF014-C =~0 oGy o y 2 Town Hall, 53095 Main Road O Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 O( .~`a OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 22, 1995 DBM Co. Main Street Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx ? o Underwriters Certificate on file. xx The check is not on file. $25.00 Y X No Health Department Approval on file. ~r1~,e~ tg li(24(9 /No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22402-Z Please contact our office on this matter., Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - il~i,,....a,,._u:I ~(J:,,E COMMENT JIIDATIOV !11DATI011 (2nd) 470 001A 0 dt/a, o ' C H FRAME ':~;'•PLUDIHING•. im I ~ Jam: H [*7 .UL:,TIOII PER N. X. m STATE EIIERGX II . Cij • ' q/z zy~ CODE ell i FINAL ADDITIONAL COMMENTS- • c*r } r / Town Hall, 53095 Main Road ? Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 -,.~j - - - S OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O NG~ p DATE : Building Permit No. Izl;l 2 Owner: 06/n c2a ~7YQMlis ~@ NAl7~ (please print) Plumber: ~P~~/I/t /~,Grh/Jirvu~HP9T//Y9 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plu e s Sig ture) Sworn to before me this AO day of 114 / 191'r, Notary Public, y)~~G County BAit9AFU STf.PN0iW5Kl NotarVNo,OIST49444 Vork 752 @unlif ed In Suffolk County Cammlbslon Cyores Sept. 30,19'7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATIO 2ND [ ] 1 LATION [ ] F NG [ ] FINAL [ FIREPLACE S CHIMNEY REMARKS: (I,c DATE / r INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL EPLACE & CHIMNEY REMARKS: Z ! _ e_, DATE L1 INSPECTOR ~70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS CON [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~'!i?il~f C/ A~ J d't w DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] F MING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: DATE °z~ INSPECTOR ppp~ 65-1802 ` BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [KING [ ]FINAL [ FIREPLACES & CHIMNEY REMARKS: .~_--.(/Y~A~~~- a ram f ~ ---0 a DATE INSPECTOR tee M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: l2 9`- Z~7- DATE~~ INSPECTOR . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r.,& ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION' [ FRAMING [ ] FINAL REMARKS: t i 7 DATE d INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FO ATION 1ST [ ] ROUGH PLBG. C . FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: tell DATE / INSPECTO M-1802 BUILDING DEPT. INSPECTION [ /FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: i f E 1 DATE INSPECTO c2 0r,-~?-- C0 0 L 42 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I 8052598 BUREAU OF ELECTRICITY F 88 JOHN STREET. NEW YORK, NEW YORK 10038 Date NOVEMBER 22,1995 Application No. onfile 8'7272715J95 H 047875 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 JAMES SCHADE, 365 ryryMOCKINGBIRD LANE, SOUTHOLD, N.Y. in thefollowing location; L`J Basement ® Ist FL ® 2nd Fl. GAR Section )9 Block6 Lot 52 was examined on NOVEMBER 16 , 1.995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES MCANOESCENi FLUORESCENT OTHER MIT K W. AMT. K. W AMT K.W. AMT K W AMT. H. P. 39 49 45 39 1 6.6 1 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS 'BELL UNITHEATERS MULTI-OUTLET DIMMERS AML K. W Olt H. P. GAS H. P. AMT NO. A. W. G. AMT AMP MAT. . AMPS TRANS. AMT. H p SYSTEMS fuNi WATTS NO. OF FEET 4 F 2 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER 1a, RW 103w 303 3,e AW NO.OF CC COND. A W G. NO OF Hl LEG A W C'' NO. OF NEUlRAI$ A. W G EQUIP. PER .B' OF CC. COND OF NI-LEG OF NEUTRAL 1 200 CB 1 X 1 2J0 1 2J0 OTHER APPARATUS: - PADDLE FAN-1 MOTORS:I--F H.P. G.F.C.I:-4 SMOKE, DETECTOR: --2 JAMES SCHADE MAIN STREET GREENPORT, NY, 1.1971 GENERAL MANAGER 11 Per fe.. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF. CERTIFICATE MUST-NOT BE ALTERED IN ANY MANNER. BOARD OF HEALI`11 FORM NO.1 3 SETS OF P[,a\21S OCT 4 TOWN OF SOUTHOLD SURVEY t BUILDING DEPARTMENT CHECK tiTOWN HALL SEPTIC 1.011M . SOUTHOLD, N.Y. 11971 TEL.: 76r~ 9 xamined <©~y~... 119 CALL . / MAIL TO: '•PProvcd l®Z~ 19P ermit No..,4s40/--Z ~a . . . lisapproved a/c , Soh T (r2........ i?y .......................................V(ifl- nspcctor) APPLICATION FOR BUILDING PERMIT L~ Date a , 9 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. location ip to adj public ab as, a dpgiving a dwin~g etailed de cnp ion of layout lof propertyemustsbeedrawnslon the diaogining ram which is part of hissapplis ion. 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 II 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 .11 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 ;lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ;ulations, for the construction of bu;ldings, additions or alterations, or for removal or demolition, as herein described. applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspectio (Signature of applicant, or name, if a corporation) (Mailing address of applicant) to whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0.u~ c_ R ne of owner of premises P. Q. M C° (as on the tqt roll or latest deed) pplicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) t Builder's.License No . Plumber's License No. Electrician's License No . . Other Trade's License No . _ocation of land on which proposed work will be done. ........M ~I~ ~~f n ~n~ L iq~ t 'louse N.umber Street " " " " y / . , •.Hamlet ounty Tax Map No. 1000 Section ...~m , Block • ? - Lot IS-............ tbdivision ~~.+{~o i J i l ~C/YDd tJ S Filed M:i No. Z (Namcj P Lot ate existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occu aney . . . V fl r . 9.!~ l P Intended use and occupancy 3. Nature of work (check which applicable): . . New E.... ng Addition Alteration . Repair Removal . Demolition Other W .4 . 4..(Estimated Cost ..l 9 (Description) Fee S, If dwelling, f (to be paid on filing this application) number of dwelling units , . , , , , , . , • • . , , , Number of dwelling units on each floor , If garage, number of cars g , , , , 01 1. 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 . . Hei~•ht . Numbper of Stories Dimensions of same structur with alterations or additions: Front ' ' ' Depth , Height , ' , Rear . 8, Dimensions of entire new construction: Front , . , , Number of Stories . . . . . . Rear ....~7.~ , . , Depth ....4xp, Height ~a.. Numb r of Stories . P~ 9. Size of lot: Front . , ZS 'F 0. Date of Purchase Rear ......I. ~ .a Depth .70q . Name of Former Owner . I. Zone or use district in which promises are situated . . . . . . . . . . . . 2. Does proposed construction •~v1iolatF any zoning law, ordinance or re • , • • ' ' . ' 3, 1Vill lot be r raded /vU emulation:..... . .ya... 0 ~-y~ . Will excess fill be removed from premises: Yes N/' 4, Name of Owner of remises ...?>~rJm iyiN ST 6PI AI Address . Y Phone No./ S!/'? Name of Architect I • • ~ ' ' ' ' ' • ' • m• • • • • • • • • rs: ,.?a f ? . ' • ' ' ' • • Address . . . Phone No, . . Name of Contractor _ p y Address " . . . pro ert within 300 feet of a tidal wetland? 5. Is thisIf es Southold To " " " " •o... . Yes........ No.... y , fvn Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. I~ H TE OF NE, Y I K,'~ ! JNTY OF pu h~ S,S • 4F , , , , S, , SCf/ q tyryJ L7D) being duly sworn, deposes and says that lie is the applicant (Name of individual signing cgntract) 'e named. the (Contractor, agent, corporate officer, etc.) id owner or owners, and is drily autljiorizcd to perform or have performed the said work and to make and file this cation; that all statements contained in this application are trite to the best of his knowledge and belief; and that the will be performed in the manner set forth in the application filed therewith. n to before me this • q day of 19y7 Y Public, County • auSANNE~ J, RI N9 II NOTARY PUBLIC, State of New York (Signature of applicant) No. 4882799 Qualified in Suffolk county Commltann ex~'r^* Jan. c0. to now or formerly Francis & Patricia O'Malley N.88056'32' IE. 127.09' I ~O~F I N DFk N ert4NOS ~ V ~ 0\ a Fq p O 41 h m0 NrFR 41 O F N 4i~rr QR I_ FhrF4 S \ lA C \ CON iI ~rP <Of = SeR~4 O 39>`' ~ ~ ri 6g ti's r ~Ots3 ~ ~ s s~ \ FRT O 3 T / D D4 Oo b'Ga• to ? / Q Q'.lOD. N A 3 / GJ ,~o a r RoYGTr. Nl3, c ~ n~ 20~ y ~O<e NA Y 6RLL ~ V m .E(/ ~~/FIB sy.b„49yQONn 1'%. 0 /~~OQ• 1 ' I QUO ~m°//i~ ryb 3~. Cg oW6 /3~lUCu X / j L25'S w y ry 1\~ D 5 rri Qi ~ L=230.82• ~ ( 1 4 0 R=230.00' ~I 0 z 4V \dyo° ZOO `R\30 / y D? CD q(,62.83' 0j~yoy6 r'4,l CF(IN~G° L R -6 N W. J S~~p yU O~~' LAND ~~'e=:•.~.;~.,ad FAMILY DwEk' , NLY nn~~ n o,., .e^~ Et Dta 19a? ~a'•~4a.~,~Z -(JO SURVEY FOR 20, M• D.B.M. COMPANY NOV. 1995 I NOV 19 ,1994 LOT NO.52, HIGHPOINT MEADOWS,SECTION THREE' OCT. 21,1994 - - DEC. 16,1991 .44ut AT SOUTHOLD DATE NOV. 29,1991 ~.ri.'sils•e9 t;,,ry`TC"ee _ :`a.,»~..Z+~el~~e2Ylu'.Y3$ TOWN OF SOUTHOLD SCALE 1"=50' SUFFOLK COUNTY, NEW YORK NO 91 -1035 m•SC ,_n...~>.,~...~W MUNIAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED T0: SURVEY 13 A VIOLATION OF SECTION 7209 OF THE •..6E.1.)e.,eP /`N. v~r ly Y'.L .p mn.F,Wq NEW YORK STATE EDUCATION LAW O.B.M. COMPANY @3 «covlES OF TN1s sunver NOT GEARING THE LAND BRIDGEHAMPTON NATIONAL BANK #.^,¢sr 2-.:p-•n;_,c.+o:zs2.,::e6:~^ SURVEYOA'S INKED SEAL OR EMBOSSED SEAL SHALL TICOR TITLE GUARANTEE NOT BE CONSIDERED TO RE A VALID TRUE COPY MGUARANTEES 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- M NEAREST WATER MAIM_MI 2 MSOURCE OF WATER PRIVATE -PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED R BUFF CO TAR MAP DIST 1000 SECTION 55 HACK LOT 1550 HEREON, AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLING! WITHIN 100 FEET OF THIS PAOPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE OTHER THAN TH03E SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT / OWNERS ' / R THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS R[SIDEMCL RDI STANCES SHOWN HEREON FROM PROPERTY LINES KYWQ.L^~ //•^j'C///•-__ WILL CONFORM TO THE STANDARDS Of THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICE! PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS rzL YOUNG aI YOUNG RIVERHEOSTRANDER AD, NEW YORK NOTE: As STAKE FOUND ALDEN W YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LANG SURVEYOR N Y-5 LICENSE NO 12845 SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO. 8912. HOWARD~W YOUNG, LAND SURVEYOR N THE LOCATION OF WELL(W),SEPTIC TANKIST)B CESSPOOLS(CP) MOWN HEREON NY S. LICENSE NO 45893 o ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS Z.B. BRANDIS A SONS INC. SEP 15 1994 S.C. DEPT. OF HEALTH SERVICES now or formerly Francis & Patricia O'Malley N.88D 56132"E. 127.091 PO I EL=18.8 - EL-20.1 4H~ eDk`~Fr< qs `F ~~NQo. I ^h' eRM ~ F I N ~r? gRs, F"l co"SF 2 O R~4r/0 ~p N ti r - / q 4 H r3 I ~4S~MF" I \ r ~ I O I q,e 1, f \ i C7 I 0 39~ ti`j2or M Nom.. \ CIS /~~A XI ONE Rq TOSEO~ h 1 O NM PROP HOBS ~ , < 9H s/\ = Ysr¢~ ~~sr \ Ni `90 Q ti0 r~ L-230.82• v -C c ?s. Z R=230.OO, tio• t"~cp a.W v-, 0~1 \ayo° Zoe ~R\30 ~Q'~ 5 q4' 6z83' ~y5°~ f~II0C U;? -00' L= 4.~~~. 90.00 NG'e R X66' a PC,2p.O ~ \ R'g000 ~ ' .49, /~404NrJ n~~ \ 2 Y41,4 i9 SINGLE #AMILY D11ilELLNG ONLY... S THREE YEARS FROM DATE OF APPROVAL SURVEY FOR D.B.M. COMPANY SUFFOLK COUNTY DEPARTMENT OF HEALTH 9ERVXlw LOT NO.52,11HIGHPOINT MEADOWS,SECTION THREE" AT SOUTHOLD DATE'. NOV. 29,1991 FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE: 1":50' Dag SUFFOLK COUNTY, NEW YORK NO, 91 -1035 DATE r R NO 1 N UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY R_ A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW APPROVED M COPIES OF THIS SURVEY NOT BEARWG THE LANDS P E OF NpM' SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL S NOT BE CONSIDEREO TO BE A VALID TRUE COPY S1 ~Q MGUARANTEES INDICATED HEREON SHALL RUN ONLY TO ~PtItD W Y 9,f HEALTH DEPARTMENT -DATA FOR APP VAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY 15 PREPARED O ANO ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- O M NEAREST WATER •AIN-MI t R SOURCE OF WATER PRIIATE - PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED M BUFF CO. TAX MAP DIST 1000 SECTION 55 _ BLOCK 6 LOT VKU HEREON, AND TO THE ASSIGNEES OF THE LENDING ~Q MTHEK ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE S OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES TOEKISTING STRUCTURES ARE FOR A SPECIFIC ~O OF HEALTH SLIM ICE B. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH - $ APPLICANT. DOM CO. PROPERTY LINES OR FOR THE ERECTION OF FENCES A ADDRESS . P,O. BOX 2130 - GREENPOHIT, My 1194dL 4W YOUNG a YOUNG RRHEAD,NEWAYORK E NOTE; ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALANDDEN W LAND YOUNG, SURVEYOR N YS. LICENSE PROFESSIONAL ENGIN0. NER SUFFOLK COUNTY ON MARCH 19, 1990 AS FILE NO. 8912. 12845 HOWARD W. YOUNG, LAND SURVEYOR M THE LOCATION OF WELL(W),SCPTIC TAMK(ST)B CESSPOOLS(CP) SHOWN MERLON N Y S. LICENSE NO 45893 e AK FROM FIELD ONKOWTI601111 AND OR DATA OBTAINED FROM OTHERS Z. a. BRANDIS A SONS INC. i . - ,::N~.Sw.~vLcn.~~ y,'.,"+ ~.""I~`-"~."^"TJ"`.•s.. ;mow'" .,v-- - * a€'~s-Wa ~-'i`, .,w-_•~+-.w,..^..w,~,.. .~w.. "~T,,ku..~...... ,.-w x-, ~ti~""c~~~G3~~11~r_+~- i- ,,,vw-e-.,L ~'t,,'-rN.,.,c ~ Y _ ~ _ - I i ~ Ili _ sxa~ I "-N{~Y~}fYtLL"rF ~ . ~f ams.~ cG _ cysTa'TC' lLUMaIdO 4 ~vm/~m um mm ! UT"BEPOIIECO mill S~-r 3 n-s•, 41 - - - - - - - - - - - - - - PLUMBER CER77RCA77ON ON LEAD CONTENT BEfORE CE01FIGATE Of OCCUPANCY OCCUPANCY OR SOLDER USED IN WATER APPROVED D AS DOTED SUPPLYSYSTEMCANN07 USE IS U*NI AW~FUL DATE o ai ` srx uu~z~ FEE: EXCEED 2110 off%LEAD. W~OU'1 CERTIFICATE NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: _ 1. FOUNDATION - TWO REQUIRED DQ N07 PEiOCEED.-", FOR POURED CONCRETE R`~'~ ~Ty UNTIL 2nd SURVEY OF 2' ROUGH' - FRAMING 14 PLUMBING }M WMR IRIIIO 9. INSULATION MIMTIG~ ~b FOUNDATION LOCATION 4. FINAL - CONSTRUCTION MUST HAS BEEN APPROVED BE COMPLETE FOR G.O, dtyp~sKor arLL qW a1M ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS. OF THE N.Y. STATE CONSTRUCTION & ENERGY •1 I I , - CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS /ef n~W r 0 4i~" To 9'f j--j--,------ - y+ W2 23Y1 ~y! 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