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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-24122 Date JANUARY 22, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 405 MAJORS PATH SOUTHOLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block 1 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 12, 1994 pursuant to which
Building Permit No. 22412-Z dated OCTOBER 26, 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 A ONE FAMILY DWELLING WITH AN ATTACHED DECK AND ONE CAR
GARAGE UNDER AS APPLIED FOR.
The certificate is issued to SALVATORE & KATHLEEN CARIDI
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0065 1/17/96
UNDERWRITERS CERTIFICATE NO. PENDING NOVEMBER 15, 1996
PLUMBERS CERTIFICATION DATED JANUARY 16, 1996 HAMPTON BAYS PLUMBING
~s~J6
Building Inspect
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..
No 22412 Z
Permission Is hereby granted to:
.wr 41
I to...,.1 s cGCi_......,..~~..........0.....~::; ;EJ Cf......... !r7.
......../......Cr~.......~~~ ..,.C~'IS
I
at premises located at...........7`~57......... ~r?..!e............
..............................................z;:;. a
CountyTgx Map No. 1000 Section V/ Block ......Q`............ Lot No. ......J~
k pursuant to application dated VCJ ..../2 19-e and approved by the
Building Inspector.
eC7 1
Fee $
i
I ~
i Building Inspector
Rev. 6/30/60
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~n ~MPie}~
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00//, Commercial $15.00
Date ...Q.~ I ~-q`R
New Construction... Old Or Pre-existing Buildin(~g_.`.' t
Location of Property 1Q5 MQ '`a ..(Ak JA ®1
House No. 1I`Street Hamlet
Onwer or Owners of Property. .G..\14~7~tn••~y1•••••.•••••••••••••••••••••••••
County Tax Map No 1000, Section Q J.q....Block.....QA........Lot...'?Y5
Subdivision p.................................... Filed Map............ Lot].,....................
Permit No. J Al.l~ ...Date Of Permit. )Q :Zt ApplicanAr"o 1~1JWi.~T •L( •
Health Dept. Approval ..........................Underwriters Approval..';`C'-:•:-w.a,;a,..........•
Planning Board Approval k•
Request for: Temporary Certificate........... Final Certicate...V.~!.;...`IAN
JL
Fee Submitted: ~ $
A PLICANT
JP~`16 196 09; L9 T01,111 OF S01UTHOLD P.1•'1
4
Town Hall, 53095 Main Road Fax (516) 755-1823
P. O. Sox 1176 1 ~ Telupilono (516) 7651802
$0ulllold, New York 11971
OFFICE OF THE SUIL.DINC INSPECTOR
TOWN OF SOUTHOL_D
C E R T Z E I C A T_I O N
A
Building Permit NO.
(please print)
Plumber:
(pl ase print) I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead,
~ so R6 ~'CROffN</DfAF R,
(P rers 5ignatu )
Sworn to before me Chic
day Of r\yar 19°16
Q CYNTHIA FRANCIA
N4 t n r y P u b l i c, J V 1 l~ ^ C O u n L NOTARY PUBLIC, State of Now Yowk
No. 4875251
Qualified in Suffolk County
-commission Expires Nov, -3,19%
o~~gpFfO(,~~, c~
O
c~ Gyp
CA x
Town Hall, 53095 Main Road p Fax ~(516) 765-1823
Telephone (516) 765-1802
P. 0. Box 91971
Southold, New York 1
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 16, 1996
Hanna & Hanna Ltd.
P.O. Box 1499
East Quogue, NY 11942
Re: Andris Zilite (Caridi) - SCTM#1000-54-1-25
Prem: 405 Majors Path, Southold NY
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 No Underwriters Certificate on file.
xx The check is not on file. $25.00
xx No Health Department Approval on file.
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 # 22412-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
- ALSO REQUIRED, LETTER OF INTENT TO FINISH DRIVEWAY
WEATHER PERMITTING.
HANNA A HANNA L'S'D.
Post Office Box 1499
East Quogue, New York 11942
(516) 653-6439 - FAX (516) 653-6439
January 15, 1996
Town of Southold
Building Dept.
Town Hall
P.O. Box 1179
Southold, NY 11971
RE: Letter of Intend
Permit #22412 i/n/o
Salvatore and Kathleen Caridi
TO WHOM IT MAY CONCERN:
This letter is to confirm that the Driveway of above listed
permit will in fact be completed, weather permitting in the
Spring of 1996. W"w vetrn4~
This letter if to conform to the obtaining for Certificate of
Occupancy to be delivered upon receipt of the Letter..of Intend.
Sincerely,
R. G. Hanna
VP Hanna & Hanna LTD.
cc: Caridi
file
01/18/1996 11:300 7185448942 2ALVATORE OARIDI PAGE 02
111117/1996 20:37 0'16-653-E.4?1 HANNA t'ac,t sl~
t,
Form No.
ti
TOWN OF SOUTHOLD
_ BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
i
A. This application must be filled in by typewriter OR ink and submitted to the building'
inspector with the following: for new building or now use:
1. Final survey of property with accurate location of all buildings, Property lines,
$treets, and unusual natural or topographic featute5.
2. Final Approval from Health Dept, of water supply and sewerage-disposal(5-9 form),
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber rartifying that the solder used in system contains
less than 2/10 of 18 lend.
5. Commercial building, industrial building, multiple rasidencea and similar buildings
and installations, a certificate r,f Code Compliance from architect or engineer
responsible for the building.
b. Submit Planning Board Approval oE, completed site plan requirements.
H. For axisting building,; (prior to April 9, 1957) non-conforming uses, or buildings an4
"pre-existing" Land uses:
1, Accurate survey of property >howt,ng all property lines, streets, building and
unusual natural or topographic features.
2. A property completed application and a conaent to inspect signed by the applicant
if s Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant,
C. fees
I, Certificate of Occupancy - Now 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 Buildln¢ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4, Updated Certificate of Occupancy - $50.00
5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction........ Old Or Pre-oxl.sttng Building.
Location of Property .....IMSt J. ..YR111............. ,
House No. Street Hamlet
Onwer or owners of Property. r-71•""~1.......•
County Tax Map No IOQO, Section ....Q 5.LA ....Block..... Q ....,,..Lot...~(5.....,.,,...'...
Subdivision ....................................Piled Map............ Lot-
Permit No-- -Date nf. Permit ................Applicant,.......,,,,
Health Dept. Approval. . ................Underwriters Approval..,.
Planning Board Approval
B9que$t for: Temporary Certificate,........ Final Certicete.I%Y
Fee Submitted: $..7..5.,4...... ~ ~
APPLICANT '
o~OgpFFO(,~co
o~
W x
Town Hall, 53095 Main Road p • Fax (516) 765-1823
P. 0. Box
Southold New York 911971 Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 16, 1996
Hanna & Hanna Ltd.
P.O. Box 1499
East Quogue, NY 11942
Re: Andris Zilite (Caridi) - SCTM#1000-54-1-25
Prem: 405 Majors Path, Southold NY
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 No Underwriters Certificate on file.
xx The check is not on file. $25.00
xx No Health Department Approval on file.
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 # 22412-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
- ALSO REQUIRED, LETTER OF INTENT TO FINISH DRIVEWAY
WEATHER PERMITTING.
rl/ j!•-~u..V•_u.I I(JHlr II .......r~h•,~`}_ (R ...may... r.r.,~~~
'•orlclcurs ;
]ZIDATIOY _(15 t)
!1IDATIOZI
(2nd) ti
'GH FRAME - I "
%FLUMBIHGy . ' j ? r 1
c(i
UL TIOII PER N. Y.
STATE ENERGY r/
CODE - l~7d77
~ H
FINAL
ADDITIONAL COI-I.k
rte`
x
i~
H
a '41
o .
CT7
07/28/1995 12:49 7185448942 SALVATORE CARIDI PAGE 02
DATES 1uIy 20, 1995 ?
r
FROMt KATHLEEN AND SAL CARIDI
75-02 AUSTIN STREET APT.61-FOREST HILLS, NEW YORK 11375
(718) 544-8942 199,E
T0: Gary Fish
Building Inspector
Building Department,Town Hall
Southhold,New York 11971
REt Permit NO. 22412 2
Property Address1405 Majors Path,Southold
Dear Gary Fish,
Please be advised that Permit No. 22412 2 General
building contractor has changed. We will be using Hanna & Hanna
LTD. Please transfer Permit toe
Hanna & Hanna Ltd
P.O. Box 1499
East Quogue,New York 11942
Please note, the sign (Bulling Permit) was issued to
211Ite,Andris. Please inform us with the proper procedure to
display notice during construction with our names.
Please Inform me if other procedures are necessary in order to
tranfer this permit.
Thank You,
Kathleen and Sal Carid!
07/28/1995 12:51 7185448942 SALVATORE CARIDI PAGE 02
DATE: July 28, 1993
FROMi KATHLEEN AND SAL CARIDI
75-02 AUSTIN STREET APT-6L
FOREST HILLSo NEW YORK 11375
(718) 544-5942
U
TOi Judith T. Terry
~9
Town Clerk
Town Hall, 83093 Main Road 9S
P.O. Box 1179
Southhold< New York 11971
RE: Permit NO. 1231 R
Property Address.-405 MaJors Path,Southhold
Dear Judith T. Terry,
Please be advised that Permit No. 1231 building
contractor has changed. We will be using Hanna & Hanna LTD.
Please transfer Permit toi
Hanna & Hanna Ltd
P.O. Box 1499
East Duogue,New York 11942
Please inform me if other procedures are necessary in order to
tranfer this permit.
Thank You,
Kathleen and Sal Carldi
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ FINAL
( ] FIREPLACE A CHIMNEY
REMARKS: Ole /,V-?
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I PLATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REEMAR~/K~rS:
Ala, 1~111AO DATE 1NSPECT0
x7
M-11102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND j ] INSULATION
[ ] F MING [ ] FINAL
[ FIRE ACE A CHI
REMARKS:
DATE lC ' fo'~ INSPECTO
-iso
B DE
INSPECTION
INS
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO ATION 2ND [ ] INSULATION
[ FRAMIN [ ] FINAL
[ IREPLACE & CHIMNEY
REMARKS:G 4 u^
R t3Z~ b 5' h'
A~l
Co~v X300 !LVe'l~i t~= C.~
INSPECTOR-~
DATE_
76S-1802
BUILDING DEPT.
INSPECTION
[ ] F NDATION 1ST [ ] ROUGH PLBG-
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE CHIMNEY
REMARKS:
r -
s
100,
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ 41/FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE I~ INSPECTOR
14 - c,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
11351.29 'BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date TAMPRY 18, 1996 Application No. on file 10535$95/95 N 375603
THIS CERTIFIES THAT
only the electrical equipment us described below and introduced by the applicant named on the above application number in the premises of
SALVATORE CARIDI, WOR'S PATH, SOUTHOLD, N.Y,
in thefollowing location; ® Basement ® Ist FL ® 2" Fl. GAR/OUT Section Block Lot
was examined on JANUARY 15,1996 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS ECFPTACLES SWITCHES INCANDESCENt FLUORESCENT OTHER AMT K W. AMT. K W. AMT. K W Ami K W AMT. H P
24 32 32 23 1 1 8.8 1. 1.2 2 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RENPT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMT K. W. Oil H. P GAS H. P AMT NO. A. W G. AMT AMP. AMT. AMPS TRANS. AMT. H P. SYSTEMS qMT. WATTS
N6. OF FEET
3 F 2 -
SERVICE DISCONNECT NO-OF S E R V i C E
G.
MAT AMP TYPE METER 11.02W170 9W 9 b, JW ] A AW NO.Of CC COND A W G. NO OF HIAEG A W. G. NO. OF NEUTRALS '1W
EQUIP. PER9 OF CC. COND. OF HLLEG Of NEUTRAL
1 150 CB
I 1 X 1. 1 1 1
OTHER APPARATUS:
PADDLE FANS-4
MOTORS:4-F H.P.
G.F.C.Tt-4
SHOKE DETECTORi-•2
Pa'l
FRANCIS J.MC LOUGHLiIN LTC.#4046E
25 HONE.LL AVE.
ISLIP, NY, 11.751 GENERAL MANAGER
11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPS( OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
BOARD OF HEALTH x.e }..,e s.R Ras9
FORM NO.1 7 SETS OF PLAN$ ....,.s.,,",
},•.1
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC FORA
OCI 1 2 1994 SOUTHOLD, N:Y. 11971 pQ „
TEL.. 765:1002 t:oTIFY: ~t~6CS
CALL 9 ..l...R,..RR'
Examined
4Ki.13GRT.ly kIAIL To ,
,I ~06 SOl1Tii0l~ ~ '
rOYCd .lE~.. • 19 ~l~Rrnllt, NQ.: . ~ ~ r -e . a k. ,t r tr.? A
1Pp
Nsapproved a/c . .
' x
Ll
* h
(Bu tc o Inspector)
APPLICATION FOR BUILDING PERMIT Date ..f.0.:
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit#t_3'~c
is of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets*
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this applx
tion. h
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
all 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,
all have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to this e "
iildin-. Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
:gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
u applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. and tq
mit authorized inspectors on premises and in building for necessary insp~cctions.
(Signature of app icant, /Qr name, iify-a corporatlo~
.Lb,'.Z.c
.../tit
(Mailing address of applicant) „e
All
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, ,electrician, plum•lj or 0tltldtt>< f -s
6-A,Q.R1(; • d0 R C ~dF . r
. .
une of owner of premises .
tp
(as on the tax roll or latest deed) n
applies a coln-t lion, signatu of duly authorized officer. 'k9
d
Name itleof co or e officer) .
zy,E
Builder's License No........... 1.12 .
Plumber's License,No. .........11M, . - "`fir
Electrician's License No. .
- o- 9 '1 F N
' Other Trade's License No. •,ka;1„i
Location of land on which proposed work will be done........
• • ~lr.,•„~ •Sb
(louse Number .......................Street Hamlet.... a' T<.
~Q
County Tax Map No. 1000 Scction , Block . : . Lot ~7 3
Subdivision Filed Map No. Lot , • All
(Name)
,
4 4"
State existing use and occupancy of promises and intended use and occupancy of proposed construction:
a• Existing use and occupancy '
• 5
Xrt Q.
R•Yd i. ti V.(~ ~'jtlr r.r•,•,..,1~ ~
b. Intended use and occupancy
...w4P,eft sf :...~re«, r+. ",ErYSr ~s')' }
3. Nature of work (check !which applicable): New BupdinR • ~ • • 1 Addition Alteration
1
' ; ,
Repair
d • , ,,Removal Demolition . Other Work , .
~61 4. Estimated Cost . 0 Q00 (Rat
Fee'I
(td! ba aid on
p ilin th'
I R ail
S, If dwelling, number of dwelling units . / . , • P,p
If garage, number of cars Number of 1 dwelling units on each floor , • , , , , r Xjfe
6. If business, commereial',or mixed occupancy, specify natur and exta Ilnt of each t
pe of use
7. Dimensions of a sGn structures, if.any: Front . , ,Rear` .
Height 1.. Number of Stories • . • . • Depth , .
Dimensions of same structure with alterations or additions: Front . • . • . • • . •
Depth Haight .-.G , Rear
Dimensions . , , Nuptl~',r of St . .
t~ire now construction: Front p Dries
ss~~ lion: Re r , jDopth
9. Size of lots Front :IMO of Stories • ' . .
10. Dateof Purchase Rear. ....,Jl Depth ...q,y,t(;,,,,,•,•,
Name
I.I. Zone or use district in which premises are situated Former owner , , , , , , , , , , , , , , , • • , ,
. .
12. Does proposed constrKtion viq1 to any zoning law, ordinance or regulation: . .
13. 'Will lot be regraded 4 0 P V•X tl ; -~otq D y l " " " "
14. Name of Owner of prem ises i1"/H{ 1 • • Will exc~ s till by rpgovVe rom premises:T~:yq;
I • • . Address q~Kt yl 1lS ,Ii/,~`, ,Phone No. ~iY
.
Name of Architect . . • , Address Phone No. . .
Name of Contractor. 4 t
Address 6~.
.~IWtFG>rul~.PhopyNo.a.`$;~`~,
'
15. Its.this ro w 0 feet of a tidal wetland? *Yes No.
Yes.ert y within 3
*If hold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all setback dimensions
property lines. Give street and'I block number or description according to dead, and show street At m4s;ap¢
interior or Corner lot.a
I ~ r f;
F
I
,
s
I
I w ~)j
W
~j
M
i I -'r~rd~tu
;TATS OF NGW XO•RK,
:OUN Y OF
.
M J
nom.. . .
being qY sworn, deposes and $am r,
(Name, of individual signing,contr ct)
bove named.
1 . . . : Ss~$i4t
agent, cor orate offil
' (Contractor, corporate Per, etc.)
f said owner or owners, and is (duly authorized to perform or have performed the said work and to make and frloll
-)Plication; that all statements contained In this application are true to the best of his knowledge pnd beliof;And.that,
ork will be performed in the ma ner set forth in the application Mad therewith.
worn to before me this
...daV Of.. 8 19
C
otary P( u ....C! County' )p
E s:.
- Nmerv Publ o. St d fl ewW
No. 482 ci 88.0S~... . ,
Qualified in'Sffolk Dour ,
Commission Expires rJece~nber 6,18 a turst.of stRl
' SURVEYED- PB MAY 13' 4
TMEl000-054SURVEY OF 30„i
-07
DESCRreEb _ PROPERTY or. ,
„ 033!4 Acrra
s1TUArg . GUARANTEED,TOSOUTHOLDy TOWN OF SOUTHOLD VERTICAL DATUM FROM
SALVATORE CAR101 SUFFOLK cowry; w..Y V~ K ~nVTYDPw
KATHLEEN CAR/D/ • -
FIRST AMER/CAN TITLE INS. CO. SURVEYED FOR : $ALWORE a KA j/-/(: ,E'EN CA
TOWN OF SOUFHOLD SUNMODMOVARTMENT OF "IN
V FOR APPROVAL
v~
SALE FAMti YF V
Qom. _00
N/F SALTUPS N/F MILLER
/000-54-01-23 1000-54-01=16 EXP S THREE, WAR$ ATE
OF
° E
N51058'40: /00' A
NOTE STRUCTVRE AREA /S N \
6.6% OF LOT AREA V -
PROPOSED CESSPOOL TO
PROPOSED EX/STING CESSPOOL
' VNITAR /S l20'
WELLS;d CESSPOOLS t OVER /50 FROM fo' YTSQwco/KG N/F G/LSON
PROPOSED WELL SE78ACK ENVELDRe 1000-54-01-24 fy
AND CESSPOOL 34'' ~J
NfF f PROPOSED
S44TUPS 1%2STORY
(VACANT LAND) WOOD FRAME 3 p
RESIDENCE N \
1000-54-01-26 \ pVE pj5
p
~ I20' GEI~PpO~
3
l'A~Mbssfstii abesrHon or addMm to Mb
/ TEST *00111 b a "Bib" of Sectlon 7209 of
o y HOLE ' the NOW York State Education Law.
_ 12 m 150 4 TO EXISTING
Z PROPOSED h WELL
WELL LOCA
2 WE TION
O
A
S 52°05'/D"W /00
mss indicated here en shall ran
2 only to the person for whom the survey
MAJOR'S PATH (PRIVATE) 50' WIDE is propared, and an his behalf to the
Z title company, Covernentat Agency,
lending instih.tlon, if listed hereon, and
to Ow assignees of the lending institution.
Guaeatees are not transfcroble to
additional kwitutions or sbbsegvent owner.
/ b
SOUND VIEW AVE.
EX/ST
EX/ST WELL
WELL
TM 1000-54-01-08 TM 100044-01-09 Copies of ibis survey map not bearing
CESSPOOLS 1504 AWAY N/F FISCHER the Land $urveyors embossed seal shah
FROM PROPOSED WELL CESSPOOLS 150' FROM not be considered to be a valid true
FROM PROPOSED WELL
SUFFOLK CO. HEALTH DEPT APPROVAL copy.
HS. NO. /O. T/E FROM NORTH coRNER OF
HORTON LANE AND SOUND VIEW
AVE.. 308 88' ALONG THE
EASTERLY SIDE OF. HOR)F ONS
LANE, 70 TEE NORTHERLY
STATE T OF INTENT SIDE OF MAJORS PATH, THEN
THE WATER S YAN WAGE D! ROSAL TEST HOLE DATA O2 N 25010 E 146.96
SYSTEMS FO ? S /D NCE WILL. CONFORM REFERENCE WDONALD GEV$C/ENCE, SDD7NOLD,NY.
70 THE STA O S C K CO PT. DATED 8113194 Q N 52 ° 05'I0 E 200'
OF HEALTH
'S BROWN LOAMY SAND
PPL/CAN ZONING, R-40
SVFIVLK COUNTY DEPT. OF HEALTH SE'RV/CES
FOR APPROVAL OF CONSTRUCTION ONLY
i tpSPECI I NO OATE SURVEYED BY<
H.S. REF. NO.
APPROVED BROWN CLAYEY SAND STANLEY ISAKSEV, ,R7.
WITH SOME LAYERS PO. BOX 294
OF. HEAVY GRAVEL. NEW SUFFOL K, NY. , 11956
SUFFOLK CO. TAX MAP OESIBNATION /5!6)7 45514 `,v,
DIST. SECT. BLOCK PCL
1000 054 0/ 25
OWNERS ADDRESS
-22'
75.02 AUSTIN Sr
No. 6L CLAYEIN
8N'v-~ .
FOREST HILLS, N.Y.,11375
WATER IN BROWN N.Y.S. /L~f NO.<92
FINE TO COARSE SAND
LE T
94R54P a
TM#1000-054-01-25 SURVEY OF SURVEYE0 168 MAY 1994
SCALE 30'
AREA : 14, 437.52 S P
DESCRIBED- PROPERTY
0,5314 Acres
s~ryTUArE '
GUARANTEED 70: SOUTHOLD. T`Otr?tX U#r SOUMOLD VERTICAL OArUM FROM
S41FPM1( COUNTY DPW
SALVATORE CAR1D1 SUFFOLK COUNr'Yr N. 7000 MAP
KATHLEEN CAR101
FIRST AMERICAN TITLE INS. CO. SURVEYED FOR: SAL 710RE Q KATHLEEN CAf't/O/
TOWN OF SOUTHOLD
92~'A0~ / \ 0~ .
p~ CQ5~ ~VON& ,
N/F $ALTUPS N/F MILLER
Fy 9. 1000-54-01-23 /000 54-0/-/6 b
11151059~40~
CESSPOOL
NSF: SrRUCrUR£ AREA 1S N tl
6.6% OF LOrAREA
PROPOSED CESSPOOL TO
7o EXISTING CESSA?OL
b h0. .h / /S . 120'
WELLS B CESSPOOLS
OVER 150'FROM eo' r uicDNG N/F GILSON
PROPOSED WELL ON N 1000-54-01-24
r 0,
I 1000-54- 01- 24
AND CESSPOOL 34' i \ O
N/F POURED-
SALTUPS CONCRETE
(VACANT LAND) FOUNDATION s k Igp
1000-54-01-26 \ 7 ; 04 fo 06
.%p0a
L
~ TEST
o H04t^;_ h
;4 4R
/50+ TO EXISTING
c~ PROPOSED \ c Cry WELL
Z - WELL LOC.4710N a
O
70 ~j
® 1 nauthorized alteration c, addition r• ttti: survey is a v2 MAJOR'S PATH (PR/V~J7E) 50, WIDE New York State Ed cation l w 9 Of
the Copies of this survey map not earing
the Land Surveyors embcsse4 sjc: shall
not be considered to be a valid true
b s COPY.
SGYlNO VIEW AVE. ~
A I EX/S7 Guarantees indicated here on shaft run EX/ST WELL a"'Y to the person for whom the survey
WELL fs prepared, and on his behalf to the
TM 1000-54-01-08 TM 1000-54-01-09 title ccmpcny, C ovorn entr•t Agency,
' CESSPOOLS 150+ AWAY - N/F FISCHER ending inslit. tier, if fisted hereon, and A30' FRO MOM PROPOSED WELL FROMPPROPOSED WELM to the assi Guarantees are gnees of not the lending
institulfon,
transferablendinge to
SUFFOLK CO NEAGTH DEPT. APPROVAL add'
H. S. NO. paflM090*O&'l.-ntFownsrs
AL HORTON LANE AND SOUND VIEW
AVE.: 308.88' ALONG THE
F,AS7ERLY SIDE OF,HORTONS
LANE, 7O rhlF NORTH RLY
STA EMENT OF INTENT SIDE OF MAJORS PA H, rHEN
THE WATER SUPPLY AND SEWAGE DISPOSAL TEST' HOLE DATA ® N 25°10'E 146.96'
SYSTEMS FOR THIS RESIDENCE W2L CONFORA/ nEFE mar *mNALO afa9C/ENcr, sourna[D,Nr
70 THE STANDARDS OF"THE SUFFOLK CO. DEPT pATfO 8//S/94
OF HEALTH SERVICES O N 520 05' /0 °E 200'
S BROWN LOAMY SAND
APPGlCA T ZONING R-40
SUFFOLK COUNTY DEPT. OF NEAGTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
DATE SURVEYED BY:
Ms. REF. NO.
APPROVED BROWN CLAYEY S4N0 STANLEY 1SAA-5i9V ?R.
W1 rH SOME LAYERS PO. BOX 294
OF HEAVY GRAVEL. - NEW SUFFOL K, N.Y. , 1195&4_
SUFFOLK CO..rAX MAP DES%¢NAT/ON (5!61734-5835
DIST. SECT. BLOCK PCL
/000 054 O/ 25.
OWNERS ADpRESS
75-02 4VSriN Sr 22'
No. 6L cLAAT E t~N~i~N
FOREST HILLS, N. Y, 11376 29'
LICENSE ;L AND $.URdEICF
WATER IN BROWN - N.YS L O ~492R3°~ ;
FINE W COARSE SAND =
---35'
LLOCATE FOUNDATION and CESSPOOL, 7SEPL, 9$ 94R54R.
TY901000-05 4-0/-25 SURVEY OF SCALEYED -23OMAY 1994
AREA = 14, 437.52 SF
DESCRIBE
-D PROPERTY or
SITUATE 0.3314 Acres
GUARANrEED 70SOUTHOLD, TOWN OF $00-HOLD VERTICAL DATUM FROM
SALVATORE CAR/D/ SUFFOLK COUNTY, N.Y. SUFFOLK COUNTY DPW
TOPO MAP
KATHLEEN CAR/O/
FIRSr AMER/CAN r17LE INS. CO. SURVEYED FOR : S&VATORE Q KATHLEEN CAR/D/
TOWN OF SOUTHOLD
f\~ vy
yo co
~g9"C'
F$ N/F SALTUPS N/F MILLER
1000-54-01-23 1000-54-01-16
TONE E
N5/°59'40"E /00'
FD
ps CESSPOOL tN,
NOTE STRUCrURE AREA IS
N
6.6% OF LOrAREA
i
` PROPOSED CESSPOOL TO
{ y0~ EX/STING CESSPOOL
lS /20
WELLS B CESSPOOLS SANK
OVER 150' FROM, N/F GILSON
PROPOSED WELL 4,09' /000-54-0/-24 a
AND CESSPOOL / 34.4' \
SALTUPS ENV6red WOOD FRAME
(VACANT LAND) o:c'i" RESIDENCE j5p \
1000-54-01-26 i 0-C1A01N0
Coples of fills survey
3 T, the Land Surveyors embcssad not +sao f .,Hall
MCIP h not be considered to be a valid true
6 OPY.
TEST It e gh' u~ (HOLE 44
M
x - -
- + WEEC IST%NG
s WELL LOCAr/ON
BIiFFdUfc tP 52°05'/0"w
51N /q~yjJ E IN ^LILY Only to the indicated hers on shall ivtt
Q tnl~t / ' only to the person for whom the ivrvaY
Datt J1ILLI 'r, S tl . Rec. N D'CI ' AJOR S PATH (PR/V4TE) 50 W/DE ' itle ceprepared, and on his
behalf to the
+ tmpcnY, Covera.ental Agency,
The lending institution, if listed hereon, and
at th S8LY8Q6 dl9lDU3 BIIttY~1ttt 6 Ai' IdlUe tta41 to the assignees of the lending institution.
C@rulltd t~',
byt~.;;d?P~r~:'t?~titl'feftf~$ ~~J', additional• not transferable to
and Jt $shf6tOtofaf. .afin,tiam or subse vent ow4ar6.
N AVE.
A. Craft, ' .s`.; CbW EX/S WELL
IS
OMICe Ot Walter and W8$t@Wat6f
Ulm W
TM 1000-54-01-08 rM 1000-54-01-09 Unaufhorizad altrrcti^n er addit(rn thb
CESSPOOLS 150'+ AWAY N/F FISCHER survey is'a violation of Section 7209 of
FROM PROPOSED WELL CESSPOOLS 150 FROM the Now York State Education Law.
SUFFOLK CO. HEALTH DEPT. APPROVAL FROM PROPOSED WELL
H S. NO. 0 T/E FROM NORTH CORNER OF .
HORTON LANE AND SOUND VIEW
AVE. : 309 88' ALONG THE
EASTERLY SIDE OF HOR7041
DANE, 70 rA NORTHERLY
STATEMENT OF INTENT SIDE OF MAJORS PATH, THEN
THE WATER SUPPLY AND SEWAGE DISPOSAL TEST HOLE DATA (2) N 25010'E 146.96'
SYSTEMS FOR THIS RESIDENCE WILL CONFORM REFERENCE-AW01VALD OeacENCE, sounrocD,Rr.
rO THE STANOARDS OF THE SUFFOLK CO. DEPZ DATED 611d194 3.
OF HEALTH SERVICES N 52° 05'10 " E QUO'
O
S
APPL/CANT BROWN LOAMY SAND
- 2
SUFFOLK COUNTY DEPT. OF HEALTH SERVICES ZONING' R-40
FOR APPROVAL OF CONSTRUCTION ONLY
DATE
H.S. REF. NO. SURVEYED BY +
APPROVED BROWN CLAYEY SAND STANLEY ? ISAKSEN,, ?R.
' WITH SOME LAYERS PO BOX 294
OF HEAVY GRAVEL. NEW SUFFOLK, NY, 11956
SUFFOLK CO. TAX MAP DESIGNATION - /516)734-5835
DIST SE6T. BLOCK PCL
/000 054. O/ 25 ,
OWNERS ADDRESS
75-02 AUST/N Sr
-tWy22AYE Y~~'qq/ g6 _ = =~r
No. 6L CLNSANOWN
FOREST HILLS, N.Y., 11375
UCENS N11511RVE Ii
FIN4'
WATER IN BROWN NY.S. L
F/NE TO COARSE SAND
2. FINAL SWVEY,12/29/95 -
1. LOCATE FOUNDATION and CESSPOOL, 7SEPT., 95 948542
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