HomeMy WebLinkAbout20362-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22784 Date DECEMBER 14, 1993
THIS CERTIFIES that the building NEW DWELLING
Location of Property 2740 EA5T MILL ROAD MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 5 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 31, 1991 pursuant to which
Building Permit No. 20362-Z dated JANUARY 3, 1992
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 ROOFED OVER PORCH
& ROOF DECK AS APPLIED FOR.
The certificate is issued to GEORGE & Jf1DITH FLAIG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-101- DEC. 10, 1993
UNDERWRITERS CERTIFICATE NO. H-033428 - FEBRUARY 17 1993
PLUMBERS CERTIFICATION DATED SEPT. 24 1993 - GEORGE FLAIG
uilding Inspector
Rev. 1/81
FOBAI NO. ~
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)
N°- 20362 Z Date ...1~~ 19!':~
Permission is hereby granted to: ,
.
to o
of premises located ot ....u~...2..7...~...~r.....~.~.....
..................................................~~....,~.4 ~
County Tox Map No. 1000 Section ........~o/.Q.... Block Lot No........~
pursuant to application doted ~~~~..1 19.~~., and approved by the
Building Inspector.
Fee 5...~.y:~.~~..
Boi... ng lnspecton
Rev/30/80
Form No. 6
~~~r.~;~'~{V,,.,.
~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ Q ~~~~a~, TOWN HALL
,',y:,' 765-1802
~~„,,,,,`_'~'`'-'~r f~' ' APPLICATION FOR CERTIFICATE OF OCCUPANCY
:1. 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 2j10 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 Euilding - $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 2
;:ew Construction..,~{:S Old Or Pre-existing Building
Location of Property.'2 ~~0.....~'.~~1~ ......................./'~9iI fj~J ~41~/`...
House No. Street Hamlet .
Onwcr or Owners of Property..~'~0~~~~~, ~u'~y ~L~i~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
I
County Tax Map No 1000, Section..l.~ ~.......B1ock...:1............Lot
SubJivision..iv71j~ pi7F' ....................Filed Map...........
.Lot..,
i'ermit No.'20.-~~.~.~.Date Of Permit..(...C~~, .~`...Applicant.~r. ~:U~('~:..~G~/~'
!lealth Dcpt. Approval ..........................Underwriters Approval. ~rs...................
Tanning Board Approval
request for: Temporary Certificate........... Final Certicate...........
'ee Submitted: $
~ ~ n n - APPLICANT ~
INSPECTORS
( ~~'~SU~Fi3(,~~0
ha` G,~ SCOTT L. HARRIS, Su ervisor
Thomas Fisher 'ns», ¢ z Southold Town Hall
' ~~'r"'~"" ~ P.O. Box 1179, 53095 Main Road
Building Inspector w. t^
' "/+e '',c'~ cat Southold New York 11971
Gary Fish "':9,( ~ ~T Fax (516) 765-1823
Building Inspector Telephone (516) 765-1800
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
C E R T I F I C A T I O N '
DATE : / - ~ /
Building ,,rP°ermit No. ~ ~ ~ ~ ~
Owner: C7" ~ d ~ ~
(please print)
Plumber: ~'~O~ !'L~?lr
(please print)
I certify that Che solder used in the water supply system,
contains less than 2/10 of 1% Lead.
- A
(Plumbers S" nature)
Svgrn, to before me ~ s
day of~~, 19 ~ .
Notary Public, ,~f~~~~ County
~~r
Notary Public
CLAIRE L GLEW
Notary Public, State of New York
No. 4879506 L(
CwnmtGs.4ionfiF.
pir
a Decem4er
& 1g~
...,...,~,,a~;
~
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~At;~ ~ a
SN3R95'i BUREAU OF ELECTRICITY
88 JOHN STREET. NEW YORK, NEW YORK 10038
Dato 1?fi~1211A.RY ~.7r2:59d APP(icationNo.onfile 0493023{9,~ ~n;ia9z$
THIS CERTIFIES THAT P?Ei k2M~1:~ 2036Zi~
only the electr£col equipment as deacrihed 6eloro and introduced 6y the applicant Homed on th¢ alrove application number in the premises of
GEUR13t~ k'9~At~, '1,790 1jAS'P TLI.);1:~ Ht3f~L1, KAT'~'CA'UCK, ?~,`S,
in thefo[louinq location; 0 Basement 0 /st F(. ®2nd F7. GAl2JO1iT Section G17 e(cek9 Loi h{~{}~?-1
uws examined on 9rh 13 1211 A.nY ~ + t ~ ~ i andfourzd to be £n cornplimire with the requirements q(ehis Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FWORESCENi OTHER AMi K W. AMi. K. W AMT. K.W. AMi. K. W AMi. H P
h ~ 1 '.7 ~ ~ ft M ~
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME/;LOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMi. K. W. OIL H. P. GA$ H. P. AMT NO A W. G AMT AMY. AMT. AMPS. TRANS. AMi N. P SYSTEMS AMi WAIIS
NO.Of FEET
ft IT .17 halo
SERVICE DISCONNECT NO.OP S E R V I C E
AMi. AMP. TgpE METER ~ ]W ~ ~ 3W ~ % 3W 3,e' 4W NO. OF CG COND A. W G. NO OF HIAEG A, W' NO. OF NFNRAlS A' W
EQUIP. PE0. % Of CC. COND. OF HbIEG OF NEVTRAI
1 2Pa0 C13 1 A k 3ffS 1 a/0
OTHER APPARATUS: ~y
G. N.C.7o-10
GFJQF;GF YI,A7Cr
2740 rt~r,1, ftOAS>
M11S'A'I4'ltf,'({I E)Yr 11.95'1, 6ENERAt~AANAOER
' 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.
. E ED IN AN MANNER. ~
r
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8f1I, a~C' f BUREAU OF ELECTF2ICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
JTtilli;;~t{i 't i. i!1'3 i; d5'7,at,~rrcly~j„, H ii4F.'skil
Date Application No. on file
THIS CEF2TIFIES THAT
only the electrical equipment as described below and introduced 6y the applicant rwrned on the above application number in the premises of
GPX)1{f,,; d'ilR iii Cltii4, hA. (il[l i~'I', li, i~ 1i11'i•i:, 1'ni„4$1ty`f
.'r', CI Fa; t~44.1°, !'9`iH; [r; PI•Y.
Of9`C
in the following hrcotignq ~ Q Bagemertt , ? l.at FL ? 2nd F1. .Section Block Lat
was examined on and fourzd to be in compliance with the requirements q(this Board.
FIXTURE ECEPTAClES $WITCNES FIXTURES ~ RANGES COOKING DECK$ OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT RUORESCENi OTHER Mti K W. PMi K. W. AMi K W AMi K W AMT. H P
i I
I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEU UNIT HEATERS MULTI-OUTLET pIMMERS
i AML. K. W Oll H. P. GAS H. P. AMi NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT H. P NO. OF FEET AMT. WAiiS
1"
f
4
I
SERVICE DISCONNECT gO.OF S E R V I C E
AMi AMP TYPE METER I ]W I 3W 9 % 3W 4W NO. Of CC COND A. W. G NO OF HbLEG A W' G~ NO Of NEUTRALS A. W G.
EQUIP. PER % OF CC. COND OF HIdEG OF NEUFRAI
E f~31f I; t$
1~ OTNER APPARATUS: '
`G '1'P,j'I% SI!i'-irC>k l4i,~iG i'2+R PO:(k:- i
f
}
,:tkl aiie'1 it p;
'.i. );~T3'f L(u,~, IpY. i"17fiq OENERAt~~NL?NAOFR
1,.
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.
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PROPERTY LINE FINISHED
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TYPICAL PLOT PLAN TYPICAL WELL DE
HAROLD E. GEBHARO
' ARCHITECT, P.C. I~Is~~~CGD>3 ~ °tG°a~I~~O~ LIG°~L~ ;'"k
363 North Weliwood Avenue
- ~ LF~VDENHURST, NEW YORK 11757
I~I~c DATE ~ ^ JOB NO.
(516) GGV•37OH ATTENTION
k` 4
TD ~iUYI 1 ~ ~C~LJ~ II I4/~ ~ RE•
po l ~x ~
~~n~ N~~~~q~_ -
> WE ARE SENDING YOU ? Attached ? Under separate cover via the following items:
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copy of letter ? Change order ~I a~1
~(~~~~.t~'~~~"
I COPIES DATE NO. DESC IPTION
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THESE ARE TRANSMITTED as checked below:
~I For approval ? Approved as submitted ? Resubmit copies for approval
? For your use ? Approved as noted ? Submit_capies for distribution
> ~ As requested ? Returned for corrections ? 'Return corrected prints
? For review and comment ?
? FOR BIDS DUE _19 ? PRINTS RETURNED AFTER LOAN TO US
REMARKS
,I
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COPY TO
SIGNED:
~
I PWWCRIPI ~IZ, Croton, Mm 0101 It BOO/OBUfeO-8fB OOt as noted, kindly noti/y us et 0000.
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~,.:.a:Ma~ ~ - _ _ - - -
NEW YORK Sl-A'T'E E1~RGY CALGIx.AT1UNS -
SLJMMAR~ OF TOTAL THERMAL RAT tNG - LF THE TOTAL THERMAL RATINt; I5 Z£RO ~OJ
DP GREATER. THE PROPOSED DESIIiN FOR'THE BUILDING ENVELOPE COMPLIES WITH
T RGY COD .
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AREA U-VALUE RATING USED
A. ROOF /CEILING I2~I10 •~'3 2rQ CD~~
B. NET WALLS 'y-~_~ir.9 .OcJ' 3110 (o^I
C. OIAZ I2JCi
WINDOW ',.3°j.I •~•O ~ Co_I
WINDOW _
SY.YI.IGHTS
Dl. FlODR5 I~(p .G4.9 ~ ~ 3 .
D2, BASE,MENT/CELLAR WALLS ~
' WALL pERlMETER ~~FEET
EXPOSURE ABOVE GRADE FEET
WALL U-VAWE FEET
DEPYN OF WALL U-VALUE
BELOW GRADE INCNEB Z
03. SLAP INSULATION ,
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5lAB PERIMETER ~~FEET ~ iUII~
INSULATION R-VAWE FEET QI'(~
E. INFil TRA7ION CONTROL lJ
CONDITIONED FLOUR AREA Sd. FEET x y
F. SOUTH FAC2NG GLAZ lIJG
SOUTH GlASS!TOTAL GLASS I~3 PERCENT
GI.AP.EA7TOTAL GROSS WALL AREA PERCENT
CONDITIONED FLOOR AREA ~-p° 'Sp. FEET
TOTAL TIffRMA1 RATING
FLOOR S[:CTION I2cICO S.F. ROOF/CEILING 12QCO S. F. WALL SECTION 2-~"~~~05. i-.
C~ 'i7 _ = AIR FI IM •~7 _ EXTERSOP. AiR FILM - EXTERIOP AIF FILM
9 ~ ~ = FINISHED FLOOR •~Q ROOF SHINGLE G = SIDING
'47 SURF lOOR ~ _ °ELT PAPER _',,Yty~.. = FELT PAPER
1 _i.O_ = a=[tiSUL AT?ON _4?_ = PL YWpOD •`7~ = PI YWOOD
~ ~ = AiR FILM 2tnJ _OC:= A INSlJLAT ItlN - A = INSULATION
~ - - vf2~rdD IN~otJl: ~tiN
R=2o•i-~-~~=1;A •~-"7^•~. •~5_ = sHEEt 4DCr •~'_~a'_ 9++EET 9DC1 c~,..
INTERIOF, AI4 Fi LM - INTER1flR =19 'IL.
R J=t/R:.~„~: -1' ENE RGV SHIELD
rss-isoz
BUILDING DEPT.
1 NSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ }FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL"
REMARKS: ~=~'~``"`L'
j DATE ~ 3 ~ INSPECTOR ~
~v3~2.
7ss-1802
BUILDING DEPT.
1 NSPECTION
[ ] FO ATION iST ~ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
c
s
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DATE ~ ~ ~ INSPECTOR
765-1802
BUILDING DEPT.
1 NSPECTi~JN
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
C ] FOUjII DATION 2ND [ ]INSULATION
[~RAMING [ l FINAL
REMARKS:
I!
DATE Zi~~ INSPECTOR ~
~j~~
765-1802
BUILDING DEPT.
INSPECTIAN
[ ]FOUNDATION 1ST ROUGH PLBG.
[ ] FOUNDATION 2ND [,~11~SULATION
[ ]FRAMING [ ]FINAL
REMARKS:
r
DATE ~ 36 INSPECTOR
~31~ 2 ~
T65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [~I r~NAL
REMARKS: G?~-o:~il~~i.~
Z' d~?
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DATE ~ INSPECTOR.
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BOdFD OF HEALTH / _
~;,1_j~i FORMN0.1 3 SETS OF P)',-.1 :1SL~...~
]j;~°~, ~ nEC ~ ~ V991 TOWN OF SOUTHOLD SURVEY ~ _ _ .
`•!r'' BUILDING DEPARTMENT CtlCCI: .
I`~ _ ~ ~ TOWN HALL SEPTIC POR.f b/_ .
SOUTHOLD, N. Y. 11971
TEL.: 765-1802 t:oTIFY; Gy~o/2~1z rt~}il'
CALL ?1~/.
Examined , 19 - .
~ ~ rlnzL To•
Approved . 19 Permit No..~?~.~~~ Wy-J'°Sasd s4%I/,~,
ur, 13.g,t5 Yaa.? irsY:
Disapproved a/c //7dcJ'
,
f'-' ~,..~i.«.
(Bu' ng hrspector)
APPLICATION FOR BUILDING PERMIT
Date 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
+ets 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
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
.hall 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
•hall leave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
3~ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
ffie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
~ /,sic/ ~'s°o.v GI/, ,Bf>'~~'e a.+/ y,
y',,
....................r..............
(Mailing address of applicant) ! l ~d ~f
State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
tiame of owner of premises`r. !~D.!~~/= ~ ~~p' ~G~I /G-
(as on the tax roll or latest deed)
[f applicant is a corporation, signature of duly authorized, officer. •
(Name and title of corporate officer)
Builder's License No. O cv .v~-h,
Plumber's License No. .O wnNlv/2-
Electrician's License No. Orr.-N/`/Z y
Other Trade's License No. U.wni~2-
Location of land on which proposed work will be done.L.d.~ uiay Pik %ayra ~5 z°'iJ7`'~S
]louse Number Street Hamlet
County Tax Map No. 1000 Section Block ~ Lot : .
Subdivision In!vG~~?i1' /~oiva /_sS>/~f~=S• • . • . , riled Ma No. Lot
blame) ~ p
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . G!~iv~- 'yy'v'd
b. Intended use and occupancy ~@.lyS !O ~ ti' f'% ~1 L. .f C"^-.<
i
3. Nature of work (check which applicable): New Building . v Addition , Alteration
Repair Reml val .
• • • • Demolition ..............Other, lyork .
Js;'
6'~°`/;r ~ ~ ' ~ G~ (Descri lion
d. Estimated Cost . ~ . ~ P )
ei• Fee..
(to be paid filing this application)
5.- If dwelling, number of dwellin~~,units Number of dwelling units on each floor , , , , . , , , , ,
If garage, num ber of cars . ~ .
-fr-~ If business, commercial or mixed occupancy, specify nature and extent of each t
7:- Dimensions oti existing structures, if any: Front . . . . YPe of use , , , . , , , , , , , , , , ,
Height ...Rear Depth...............
..Nuir~berofStories
Depth sions of same structure w'th alterations or additions: Front Rear .
Height . Number of Stories .
8. Dimgenstons of entire new c Nta~ tction: Front ~Q.......... , , Rear :S°............ Depth 27
Hei ht ber of Stories ' ' ' ' ' ' ' ' ' '
9. Size of lot: Front ~,34r<`J~. !`~?i Rear ~ O6~ `~;3 /Zt ~ ~ ~ Depth .°~.3 9,': ;5"'~'
Date of Purchase `j/;. • . • • . • , • , , , , , , ,Name of Former Owner -S'.y~<`L~'~ ~~~~'d''
I 1 Zone or use district in w}ticlt promises are situated . . . . . . . . . . . . . . . ~ • • ~ ~ • •
Does proposed construction violPte any zoning law, ordinance or regulation:
13. Will lot be regraded ~l,o, , I , ,Will excess fill be r moved rom r t es: Yes No
14. Name of Owner of premises G=,B°26l- /~'~!4%G- , Address3~w.9fso.?~yvP; u%ay.~~.~~ S
~7
Name of Architect HARQ°~ Gt?;d1/.9Rd, , , , _ , , ; , Address ~ 6~e
Nw~'z~t'`soy°;1°~v~ one o. ~ 2 ~ ~ ,
Nance of Contractor . , , ~ w,r7 Phone No.
15. Is thi* r~ ert within 3 p~zj~~/ ~~'PhoneNo,
.................Address...................
P P y 00 feet of a tidal wetland? dyes,,,,,,,, No.~.....
If es, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all ~Ibuildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block umber or description according to deed, and show street names and indicate whether
interior or corner lot.
ill
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TATEOFNEWyQ~~I~~KIC, ~ 3UG y SOT ~ Vf1Gi`1N7`
OUNTY OP ..:S:i.r:.k~~~...... S'S ~ - ~ ~ ~ ~ ~ - `7
, , , , , , , , , , , , , ,C°t. eq Y J , ` , . , . , , , , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contrac~
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I
is the . ®`x'!~':e:~(.. .
';I (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' ' ' '
said owner or owners, and is duly authorized to perform or have performed the said work acid to make and file this
plication; that all statements contained in this application are true to the best of ltis knowledge and belief; and that the
irk will be performed in the manner seat forth in the application filed therewith.
•otn to before me this
tary Public. L,l,~w?' C~,t~~~
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ROOERT I. SCOfiT, J ;-!;e%~'ZG~~ ,.--G%~?;~.. .
NOTARY PUBLIC, Std ~ofuNu~Y. (Signa`~~tur"e of applicant)
Term
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SURVEY FOR
GEORGE J. FLAIG & JUDITH A. FLAIG
LOT N0. I , WOLF PIT POND ESTATES FEB. 3, 1992
OCT 17, 1991
AT MATTITU CK DATE. OCT. 8, 1991
TOWN OF SOUTHO LD SCALE I"= l00'
SUFFOLK COUNTY, NEW YORK NO 91- 0854
N UNAU TNORIZ ED 4L iERA TI OM OR 4001 i10N ro rHls CERTIFIED T0~
SURVET 6 A VIOL AiION OF SECTION 7209 OF THE GEORGE J. F
MEW YORK STATE EWCATION LAw JUDITH A. OF NE
MC011 ES Of THIS SUIIVEY NOT BEARWG THE lANO CHICAGO ITP CQ- MPANY
SUR VE YOR~S INKED SEpL OR EMBOSSED SE4l SHALL
NOT Bf CON 310E RED TO BE A VALID TRUE COPY Z'o~PP® W, `®G .~1~
KGU ARAN TEES IN0I CA TEO HEREON SNAIL RUM ONLY TO
HEALTH DEPARTMENT-DATA FOR 4PPROVAI TO CONSTRUCT THE PERSON FOR WHOM THE su RVEr IS PREPARED
AND OM NIS BEHALF 10 THE TITLE COMPANY, GOVERN-
M MCMCST WAT[11 •AIM MI S NSOURCE Of WATER PRIMTE _PUBIIC_ MENTAL AGENCY AND LENDING IN3TIiU TI ON LISTED L' (0
N {lRf CO TAK MAP OIBT 100 fEC TIOM ~-HOCK LOT 1Q.2.1 HEREON, AMO TO THE ASS ION EES OF iNE LENDING
M TNCRl ARE NO DWEILIMB{ WITHIN 100 FEET OF TM3 PROP[RTY INSTITUTION GUARANTEES ARE NOT TRANSFER48LE ~
OTNCR THAN THOSE SHOWN HEREON TO 4DD1 T10MAL INSTITUTIONS OR SU85E OUENT
N THE WATER SUPPLY AND lEMMBE DIfPOf AL SYf TCM F011 TNI{ R[SIDENC[ OWNERS z,,~I
WILL CONFORM TO THE STAMOARDf Of THE SUFFOLK COUNTY DCPARTM[NT N Dr STANCES SHOWN HEREON FROM PROPERTY LIMES ~ p 5
Of N[ALTN {[M IC[{ TO EZl3 TING fTRUt TU RE3 ARE fOR A 3?[Clfit
ANLICANT PUR P03E AMO 4RE NOT TO BE USED TO ES TABLISN F~
PROPERTY LINES OR FOR THE ERECTION OF fEMCE3
ADOR[33 ~
TEL YOUNG a YOUNG R~IVOERHEADNNEW YORKE
NOTES ~ =STAKE ~ =MONUMENT ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK AND LANG SURVEYOR N Y.S UCENSE NO 12845
OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 89G3.
HOWARD W. YOUNG, LAND SURVEYOR
N M IOCATIpI OF WELL(W), SEPi1C TANK(STI• CESSMOLSN7) {MOWN MCIICON N Y 5. LICENSE NO 45893
ARE PROM f1ELD OMERWTIg13 ANO OR DATA OBTYN[D IRON OTHERS
BRANDIS 6 SONS INC.
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"~:4"~`rsv~l=cT -rv ~ FTYa6'^°~~~or- 'TAS~rr,.~eGl SURVEY FOR
GEORGE J. FLAIG & JUDITH A. FLAIG
>UFFOIK COUNTY DEPARTMENT OF HEALTH SERVICEt LOT NO. I, ~~VIk~.F PIT POND ESTATES~~
OCT 17, 1991
AT MATTITU CK oarE ocT. B, 1991
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF S O U T H O L D SCALE ; I 100'
DATE 2 ~ 1991 NS REf. NO. I S / SUFFOLK COUNTY, NEW YORK No 91- 0854
w UMUTNORIZ CO ALTERATION OR 4DDI TION ro THIS CERTIFIED TOE
suwv[Y a a vloLanoN OF sECnoN 1209 OF THE GEORGE J. FLAT G
APPROVED NEW YORK STATC CDVCATION LAW JUDITH
wcoPlES aF rNls suRVflr NoT BEARWG THE LAND CHIC TEIKLfE RANCE COMPANY
38/ 3~S ~a3 SURVEYOR'S INKED SEAL OR ENBOS3ED SEAL SN4ll s
O MOT Bf CON 310E RED TO BE A VALID TRUE COPY
wGU ARAM TEES INDICA TEO HEREON SNA4L RUN ONLY YD PitD ry ~O
THE PERSON FOR WHOM THE SUMEY i$ PREPAR IO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC7 'P -
4N0 01 MIS BE NAIF TO THE TITLE CON PAMY, GOVERN- ~ O 'f'
N NURC3T WAT[R •AIM_NI 2 NSOURCE OF WATER P1IIMTE _PVBIIC _ MENTAL 4GE NCY AND LENDING R1ITITUTION LISTED * ~
R Ylif CO. TA%MAP DIET 1000 SCC TION 107 BLOCK LOT P/021 HEREON, ANO TO ME ASSIGNEES OF iNE LE MOING Z
R TNLRL ARE NO DW[LLINBi WITHIN 100 FEET Of THIS PROPCRTY INS TItUTION GUARANTEES ARE MOT TRANSFERABLE BD
OTNfR TN AN THOSE SHOWN HEREON TO 4001 TIOMAL INSTITUTIONS OR SUBSEOUE NT
M THE WATLR SU/flY AND SEWAB[ DIBFOl AL 3Tf TCN Fdl TNIB Rff IDEMR OWNERS "Fr3
WILL CONFORM TO TN[ STANDMOS Of TNf SUFFOLK COUNTY OCPARTMCMT R DI STA NCf! SHOWN HEREON FROM MOPE RTY LIN[3
OI N[AITN fgvlCLf TO E%If TING 3TRUC TUBES AR( FOR A 7P[CI FIC !!('F, ~O ¢JB
y- _ PURPOSE AND 4RE NOT TO BE USED TO ES TABlI3H
AMIICANT /'1C02 GF J ~C'Lq /~'L 6Tu/f ~~`/1 ~ ~ [h1/4 PROPERTY LINES OR FOR iNE ERECTION OI FENCES ~ilf.
ADDy_[ ss wA YSa.? A vi= . u/, .BABYG v.-/ ir! Y • //7o v o `4 E~o~ ,
S s~~ YOUNG & YOUNG RIVERHEAD",NEWAOR~KE
NOTES ~ =STAKE ~ =MONUMENT ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ANO LAND SURVEYOR N YS UCENSE NO 12845
OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963.
HOWARD W YOUNG, LAND SURVEYOR
m
N M LOCAT[B1 aF WLLL(W), BEPTIC TANKIfT)• CCSBPOOIS(C?) BNOWN MG[ON N Y S UCENSE NO 45893
ARE M011 FILID ONER1MTIgIS ANO OR DA T1 OBTYM[D FROM OTHERS
BRANDIS 6 SONS INC.
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SURVEY FOR
' SUFFOLK COUNTY DEPARTMENT OF HEAl1H SERVK:E'S GEORGE J. FLAIG & JUDITH A. FLAIG
LOT NO. I, •~WOLF PIT POND ESTATES~~
FOR APPROVAL OF CONSTRUCTION ONLY AT MATTITUCK DATE OCT 8, 1991
TOWN OF SOUTHOLD scALE I"= loo'
DATE _ HS REF. NO., SUFFOLK COUNTY, NEW YORK No sl- oe5a
. KUNAU THORIZCD 4L7[PAiION OR ADDI TION TO THi3 CERTIFIED
sunvcr a A vloLAnoN of SecTION Tzoc of rHE GEOR ff lSYfl
APVROVED NEW YORK 311TE EDUCATION l1R JU Fk,
N COPIES OF fN 13 SU11 vET MOT BEARWG iNE 14M0 C CA ~~,,LLv.~ FK,I CE COMPANY
' SUR VEY0R1 rNKEO SEAL OR ENLOSSED SEAL SHALL RSA'
NOT B[ CONSIDERED TO BE A V4L10 TRUE COPT
K GV ARAM TEES INDICATED NE REON SHALL RUM ONLY TO l~ `~G
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT rHE PERSON FOa WHOM THE su RVEY IS PREFAB ED T
ANO ON HIS BEHALF ro THE TITLE CON PANT, GOVERN- Q
M X[ARE ST WAT[11 ~AIN~MI ~ RSO UPCE Of WATER PRIWTE _PVBI IC _ NENiAt AGENCY AND LENDING MSTITUTION LISTED
R ri1FF CO TAK MA? DifT 1000 Sf CTIOM BLOCK LOT P/021 HEREON, ANO TO THE 44316N Ef5 OF iNE LE NDIMG y
M TNLR[ ARE 110 OW[ILIWf WITHIN 100 FEET OF THIS PRO PCRTT INSTITUTION GUARANTEES 4RE MOT TRANSFERABLE R 7
OTN[R THAN THOSE SHOWN HEREON t0 ADDITIONAL INS TITUTIp/3 OR SUB SEGUE NT y ,
N iNE WAT[R SUPPLY AMO SEYMBE DISPOSAL SYSTCN FOR THIS R[31 DE MCE OWNERS ' " .
N Dr STANCES SHOWN HEREON FROM PROPERTY UN[S ~ `(+q>: S`r
WILL COMFORN TO TNL STAN OIA11Df Of TNC SUFF0.K COUNTY OEMRTNE M7 i0 EK13 TING STRUC TUBES ARE FOR A 3Pf CIFIC ~fAC ~
' 0! NtALTN t[RV IC[! PURPOSE AMO 4RE NOT i0 BE USED TO ES TABl13N O(~IYO rOQ•.
A/iLICANT' PROPERTY lINE3 OR FOR THE ERECTION Of FENCES 5V
ADDR[ss
T[L YOUNG a YOUNG R~IVOERNEADNNEW YORKE
NOTE ~ =STAKE ~ =MONUMENT AL DEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK AND LAND SURVEYOR NY.S LICENSE NO 12845
OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO 8963.
HOWARD W. YOVNG, LAND SURVEYOR
r R ilE LOUTI0110F SttLUWI, SEPTIC TANK(S11B CESYOOLS(CPI f1101E'N N[RCON N Y S ll CENSE NO 4589)
e ARE FROM f1ELD OpERMTION3 ANO OR DI TA OBTAIMCD FRO11 OTHERS
BRANDIS 6 SONS INC.
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SURVEY FOR
GEORGE J. FLAIG 8i JUDITH A. FLAIG
LOT N0. 1, ~~WOLf PIT POND ESTATES~~ FEB. 3,1992
OCT. 17, 1991
AT MATTITU CK DATE OCT. e, 1991
TOWN OF SOUTHOLD sca~E 1"= loo'
SUFFOLK COUNTY, NEW YORK No 91- oesa
•uwurMORUtD urfR•noN oR •ooinoN ro rwn CERTIFIED TOE
SURV(? e • vIOL •TIOM OF f[CTIOM 1209 Of THE GEORGE J. I ~F NE
NEV .oR• sT•r[ EpyCAripN L•• JUDITH Q?L II' r
•con ES aF rNn suRVE• Nor fE•Rfla TN[ uMD CHICA ~I ~a.ICUR MPANY
SUR V[rO R'S IMNE D SE•l OR EMt Of SED ft•l lNfll N"~F:
NoT t[ eollaloEREO ro K • vino TRUF cove O,EI rpG
¦GW R•NTf Cf IMDIU T[D N[R[OM MIAII RUM dl• TO
HEALTH DEPARTMENT-DATA FOR APPROWL TO CONSTRUCT THE RRSON FOR WMOY THE suRVE. is IREr•R[O ~ _
•NO d NIS NwIF 10 THE TITLE COMIW, aOVERM-
• IM:ARtfT fIRG RAIN MI I RsOURCE OF WTfR MIrTE _?UQIC _ NEN qI AaEMCY •MD LEMON16 INSTITUTION LISTED
R fS1F CO. TYI MA/ ORIT~~Off CTIOM ~ffDCR _S._ LOT P/D 21 NGEOM, RMD TO THE •Sf ItMEC3 OF TNF LENDI Mt
R TN[It fRt MD DWLILMOf WITHIN 100 F[fT Of TMf ?ROI[RTr NISTIiUTId aWR•MTf[f •R[ MOT TRYISER•4E
OTN[R TMYI TMOfE fNOWI MERCON TO Y701 TION•l INSTITUTIONS OR SUIS[OUCN7 /
R TNt WTER fYFMIr YO iflfftt DtlMfAI Srf TEY F'OR TNIf RQiD[MQ OIfNERS of
RILLCON/ORN TO TMC 7T1MWOt 0? TNC SUF/OLR COUMTr D[?fRTMCMT ADI STRRCL7 SMOrN MERLON FROM MOIERTr LINLf ~~~///MMM
W N[AL 7N fpNltLf. TO [E If TIME fTRUC 1UR[f Y1[ f011 A f?[CIFI[ f~
?VII?OS[ •NO ARE MOT TO /E USCD TO [s 7t{IIfN
M?LICMT~ ?ROPERTI LIMES OR FOR 7NE CREC 710N aF fEMCff RD SUS'
RDDRC of
"L YOUNG a YOUNG ~~~"~w
mR E
NOTES D =STAKE ¦ =MONUMENT ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK AND LAND SURVEYORNYS.LICENSEN0.128~3
OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE NO. 8963.
m NOWARO W. YOUNG, LANG SURVEYOR
~ RTI[LOUTO10/fIRL1M1,f[ITIC TfMRItD9l C[ffMOLf(OI MIOIfM If11t OR N.Y S. LICENSE ND.~SlBS
Rfl[ FR011 II[LD OMERMTNM/f YID OR DA T1 ODTYMEO /ROM OTNpf
BR•NDIS { SONS INC.
SUFFOLK COUPyTY DEPAi;TiALNT OF HEALTH SERVICES
SlNGL.E. F.p P ova Dth'ELL.cNGYO ~./Y
H.D. Rei. iTo.~ s D Q
~ ~ The sew e d:~ o, a,~~7 •Nater supp!~~ +a~ila;es at this location
ha"e b ~a?. ~ G•r I I S Uepal htlent anJ aT6
~irnE,co~myl~~anc.,e,,~wwi lbee a.n~,~ plans
I1L+.-~-~--t~~ milt^1`:~:.v. ~~f~yt`c 1_,
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DATE ~ tir~:i-t OF GEiVERAt~ ~ ZqA. a,,~g~0. ~~j/
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SURVEY FOp
GEORGE J. FLAIG & JUDITH A. FLAIG ocr. 8,199s
LOT N0. I , "WOLF PIT POND ESTATES~~ FEB. 3, 1992
0 C T. 17, 199 I
AT MATTITU CK Dorf. ocr. e, 1991
TOWN OF SOUTHOLD SC4LE 1 100
SUFFOLK COUNTY, NEW YORK NO 91 - OB54
r uwurNaeluD LLTERATION OR ADDITIOw +D THIS CERTIFIED T0~
SURV[r R ~ VIOL ATION 0/ aC CTION Tx Oe Of THE GEORGE J. FLAT G
wEV roRR sratE [DUUnON u• JUDITH A. FLAIG
r coil ES a THIS fuRVtr NoT KARNO rNE LANG CHICAGO TITLE INSURANCE COMPANY
SUR VE r011'S INKED SEAL OR [MfOff ED KAl SHALL
MOT K CONf10[RED TO K A VAUO TRUE COIY
r GUARANTCEI INDIU T[0 N[R[ON MALL RVN ONLr TO
HEALTH DEPARTMENT -DATA FOR APPROM1l TO CONSTRUCT T~ f[RtON row WNON rN[ suRVEr Is IRErutD
•MO ON NIf KNALf l0 TM[ TITL[ CONf'Al1Y, OOVERN-
• NEAREfT r1AT[R RIAIM YI ! rSOURC[ 0/ VATER fRl1~TE _?UKIf _ MENTAL AK NCr AND LENON1a INf TIfUTIOM UST[D W
r fl/f CO. TAR W? OMT~Q,Qa[CTION 100 aLOCR LOT ~ NG[aN, AMD TO TN[ •ffIPMKS Of THE LENDIM{ Y
rTNLK AK ND OY[lLM1Af 1/ITMIM 100 FE[T Of TMf IROI[RTr INSTITUTION. GUARAM T[[f AR[ MOT TRANfF[R1 hE
OTN[R THAN TMOfE fNOrM HEREON 70 ADDITIONAL NIS TI7UTIp1f OR SW KOU[MT
M THE tMTER fYfRT AAD lEIrAK pffOOAI fTlTIJ fdl TNIf R610[MOI OWIERf
•ILL CONIORN TO TM[ fTANOAROf Of THE fUAOLR COUMTT D[IMITM[Nt r DIfTANC[f SMOrIN N[REOM FROM MO?ERTT UN[f
Of MEAL TM fO1VIC0_ TO ERIE TNIa aTRUf TVRLf AR[ fM • flttl Flt
AIIIICANT IUR?Of[ Ar0 ARE NOT TO K Uf[0 TO Ef TA{UfN w
?ROI[RTT LI MEf OR fOR THE ERECTION Of f[NC[f ~ AvC
AD011[ K
YOUNG er YOUN ~ ' Aow"ro
'E
NOTE ? =STAKE FOUND • =MONUMENT FOUND ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ANOUNDSURVEYORN.Y.S.LICENSEN0.12915
OF SUFFOLK COUNTY ON JUNE 21, 1990 AS FILE N0. 8963.
M HOWARD W. YOUNG, LANG SURVEYOR
rM LOGTOIO?nnLlvll,a[mcrAwcls»[cnroDLalvlwwNlfllEON N.Y. S. LICENSE NO.~Sl9S
n AK /ROY n[EO aucRrTloNS AND oR wn MTAINU?ROA7 oTN[Rs
e RANDIS a sown INC. -