HomeMy WebLinkAbout20739-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21045 Date SEPTEMBER 28, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 135 MOCKINGBIRD LANE SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.61
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 17, 1992 pursuant to which
Building Permit No. 20739-Z dated JUNE 19, 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 & WOOD DECK
AS APPLIED FOR.
The certificate is issued to DBM CO.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-91-SO-74-SEPT. 22, 1992
UNDERWRITERS CERTIFICATE NO. N-251253 - SEPT. 22, 1992
PLUMBERS CERTIFICATION DATED SEPT. 21, 1992 - K & K PLUMBING
C~
ilding Inspector
Rev. 1/81
roans NO. s
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)
WN° 20739Z Date a - .........LA 19.4.4p
Permission is hereby granted to:
m......
to ...fit.....`... a .....'~'1d ...9t ..>S.~s .1 Ca ..?n
at premises located at ...~.5.....d.! ? tt{.......s~........1~~~~ l~Gf.....L4?~ ..J
S
County Tax Map No. 1000 Section Q.....~...... Block Lot No.........
pursuant to application dated .e.....1...1 197 and approved by the
Building Inspector.
Fee 5...51.1... 65..
.
uilding Inspector
r
Rev. 6/30/80
I
Form No. 6 i ~<-u<z. ea< vtJ..
TOWN OF SOUTHOLD
So) 3 BUILDING DEPARTMENT
TOWN HALL
765-1802
w..F'..._,. 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.'
,
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.
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 , SgAembeA 14, 1992
:(,.w Construction......... Old Or Pre-existing Building
.ovation of Property.Z35,Moelungb,uq Lane SoU,tho2d
House No. Street Hamlet
)nwer or Owners of Property.. .1J E M C~:
;ounty Tax Map No 1000, Section..M .........Block... A ..........Lot...j.*P.1
>ubdivision..H.igh1?qi-Meadoms....6............ Filed Map............ L0t. .#.5.5
'ermit No.2QM.;........Date Of. Permit.A~/92.... .Applicant D B M Co.* Iealth Dept. Approval ..........................Underwriters Approval.........................
'lanning Board Approval
request for: Temporary Certificate........... Final Certicate. x.......
'ee Submitted:
`.a ~Io
4 APPLICANT
I r - .-........,.~,•+aw.,w ur..r.?::tlL".r':S"'[^9:'1..':~ w TM 4.._.-.. 0 .1
TEL 765.1802f,
TOWN OF SOUTHOLD
OFFICE OF UUILbIt9( INSPECTOR
v~ rn 14P.Q. BOX 729
.r'
TOWN HALL
SOUTHOLD, N.Y. 11971 t r SE'p
C E R T R.1
nrf I F I CAT I O N
I jY #
I~. n.e 1
4E , i41~
Date Z 1 -WZ x
lildi ,
f BL ng Permit No. 20.7 39 2-
§z Owner 'b (d 11 CJ
':b ip ease Print)
Plumber I~ y 1< ~tu
.'i. M 6 ik7 G
(please Printl
f ,~~Ak-`11
:t'r I certify that the soldnr usocl in the
contains less water auPpiy system
than 2/10 of 11 lead.
r
r.
(Plumber's siynature)
~
f,M
'1 "y
Sworn
_o before me this
'7 n
--k day of
Nora Public
Notary pub
Cal u n L• y
SIJBANNE I PERRICONE s
NOTARY PUBLIC, State of New York .in"•'4'I
No. 4882799
-ri Qualified In Suffolk County t Commission Expires Jan. 20, it 413
• ' i er?~'iY:N
1c LD l:; i~;;i C:fi•1LNTC
. W
- y Sl
'OUt]DATION (1st)
7 Z ,~D
'OUNDATION (2nd)
- cr
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0
;OUCH FRAME & W
lei
.PLUMBING
3. f~ 9 z ti., y
100
m
:NSULATION PER N. Y.
y
STATE ENERGY II
CODE I , 2
c y
• FINAL
rv-J
ADDITIONAL C ENTS: m
s
H
y
• F~ rD
O
W
• A
- x 0
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~ 7
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING E FINAL
REMJ RKS:~
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [L--*OUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[,qlRAMING [ ] FINAL
r
REMARKS: D
's
f
DATE INSPECTOR
r
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
REMARKS
DATE °z~~2/ INSPECTOR-.,
765=1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ } ROUGH PLBG.
[ ) FOUNDATION 2ND [ ) INSULATION
FRAMING FINAL
REMARKS.-.,O-/,Z/
f
t
f
i
DATE 7 1171A INSPECTOR
~ ~ 1
r
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ] INSULATION
[ ] FRAMING FINAL
REMARKS: D~
DATE EINSPE66TORR r
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I
L L95099 BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Date SEPTEMBER 22,1992 Applicat ion No. on file '17938692/92 N 2551253
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
ONM CO., MOCKING BLVD. LAME, SOUTHOLD, N.Y.
in thefollowing location; ® Basement ® lst Fl. E 2nd FL GAR ATTICIOUT Section Block Lot ~)y
" SEPTEMBER 17,1992
was examined on and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMi K W. AMT. K W. "T KW. AMi K W. AMT. H P
24 32 19 24 1 P
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT 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 AMT WATTS
NO.OF FEET
2. F 2
SERVICE DISCONNECT NO. OF S E R V I C E
AMT. AMP. TYPE METER 102W 1193 W 3 $ JW 3,e' 4W NO OF CC CONe A. W G NO. OF HI LEG A. W. G NO Of NEUTRALS A. W G.
EQUIP. W C.
OF CC. COED OF Hj.uG OF NEUTRAL
1 100 C11 1 X 4 a 4
OTHER APPARATUS:
G.F.C,7; 3
WEE DETPCTORt-1
S
SAGE JAMES LIC.03635 E
P.O.Box 38
GENERAL MANAGER
GREENPORT, NY, 11944 11 y`
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.
NN R.
BOARD OF HEALTH
JUN 17 1992 3 SETS OF PLANS , , ,
FORM NO.1 SURVEY 'V
TOWN OF SOUTHOLD CHECK , , • •
BUILDING DEPARTMENT SEPTIC FORM 1 ,
TOWN HALL .
SOUTHOLD, N.Y. 11971 NOTIFY:
TEL.: 765.1802 CALL 7.7.-. 4~A~3
Examined.. ,.A-lit,,,I~I„ (gcj2 MAIL T0:
Approved .44414, , ST, , I9c 2. Permit No. QQ.7:4 q , t
Disapproved a/c
C.
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .......?uvte,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets 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
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
e. 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
shall 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
shall 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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appli able Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or de lion, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building Code, housing e, and regulations, and to
admit authorized inspectors on premises and in building for necessary 4insp ns.t , lic n or n , corporauon)
P. 0. x 2130, Guenj wtt, N, Y.. 11944
.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
owneA
Name of owner of premises . , D, .g ,CQ., , , , , , , ,
(as on the tax roll 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. 1-~4 1-~ , ,PL U H s.levi%
Electrician's License No. ? V M. s AG e _6 6 '3 s-
Other Trade's License No .
1. Location of land on which proposed work will be clone: Lot'#55 Highpo.ivtt Meadowa, Southo.Cd
...6 Moc.kingbi&d• Land. Sot Lthotd
E(ouse Number Street.
Hamlet
County Tax Map No. 1000 Section , . $5........ , . Block , . , , , , , , , , , , , , Lot . 15, 61
Subdivision. . Highpo.iv.t .Meadow.s
Filed Map No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
A. Existing use and occupancy
B. Intended use and occupancy ..o17,e.-&Ad(. Appte
t
3. Nature of work (check which applicable): New Building .,1(,1(....... Additicn Alteration
Repair Rlimov'al Demolition , ....Swimning pool .
Tennis Court Accessory Building . . . . . . . . . . Fence .......Other Work..
4. Estimated Cost ...z~~~U(J6.. Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units I............ Number of dwelling units on each floor . . . . . .
If garage, number of cars iii . .
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
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear , , , , , , , , , , ,
Depth sleight Number of Stories • .
8. Dimensions of entire new constnICtion: Front Rear Depth „ . , , , , , , , ,
Height , , .i, , Number of Stories . • .
9. Size of lot: Front
..P Rear . ~~t.... Depth ...2.4.0................. . .
10, Date of Purchase , . Name of Former Owner
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation: .
13. Will lot be regraded .~y Will excess fill be removed from premises:, 'Yes No X,
14. Name of Owner of premises . P. U*M' Ca;, , Address 443 Afq~ti S Q,%PA . Phone No.4.7.7.-222.x'.......
Name of Architect Address Phone No................ .
Name of Contractor Address . Phone No......
15.1s this property locatied within 300 feet of a tidal wetland? *YES....,,NO....
*If yes, Southold Town,Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
I
ill
I
I
STATE OF NE\ Y I K, / S.S
COUNTY OF cW'K.
being duly sworn, deposes and says that he is the applicant
(Nnine of individual signing contract)
above named.
He is the..... PFl137.~?Gn ....l,
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
1.7 ..........day ofl,.... V 19
Notary Publi , 61 County
SUSANNE J. PERRI NE
NOTARY PUBLIC, state Of New York 1 (Signature of applicant)
No. 4882799
Qualified in Suffolk County
Gummission lxwe,, tan. 9n .eq3
VERNAL AREA
INTERMITTENT
4 (W ET LAN DS)
I now or formerly
Francis 81 Patricia O'Malley Y EDGE OF WETLANDS
I~
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72.61 .N1"I
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L:62.83
R'40.00' _^Q
SURVEY FOR
D.B.M. COMPANY JUL. 2T, 1992
LOT NO.55r"HIGHPOINT MEADOWS, SECTION THREE' JUN 30,1992
DEC. 16,1991
AT SOUTHOLD DATE JULY 22, 1991
TOWN OF SOUTHOLD SCALE I"-40'
SUFFOLK COUNTY, NEW YORK NO 91- 0648
uHHUTHOe¢ED AIn EAATTOROAADCITION TO THIS CERTIFIED
Iii A YORK STATE EDUCATIONE `z rox 72 09 of THE ' OF Npk, r
D
R COPIES OF TXI] SURVEY NOT KYRWG THE LAND .B.
SVRVE TORS INBED SEAL OREMBOSS pO SEAL ]HALL BRI EH ~e$UH VPIA BANK
HoT ¢ CO.SmERED TO Rc A VALID UE COP. TI R GUAR
x GUARANrEEI INOICATED HEREON SHALL AUK ALLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE MASON FOR WHOM THE SUWCY IS PREPARED
AND a S KHALF To E TITLE COMPANY. GOWN- * O
Y NEAREST WATER MAIM _MI YSOURC[ OI WATER PI,IrrF -PUBLIC _ MENTAL AGE NCr AND LENDING INSTITUTION LISTED
M "I CO TAR MAP pET ION SEC TIOx 55 KDCR 6 LOT 15 GI NER[Ox, AMO TO ME S]IONEES Oi THE LEON
N TREK ARE WAS MELIIXI WITHIN 100 FEET OF IRS PROPERTY INSTITUTION GUARANTEES ARE TOT TRANSFERABLE
OTHER THAN THOSE SHOWN N[REOH TO ACOIIIONAL INSTITUTIONS OR SUBSEQUENT
:WN ENS
0
• iME WATER SUPPLY AM SEYMB[ DISPOSAL SYSTCY IOII THIS RESIDENCE OI STANCES SHORN HEREON FROM PROPERTY LINES Qf 46 9
WILL COMIORM TO THE STANDARDS OF THE SUFI0.R COUNTY O[IARTNENT TO EXISTING STRUCTURES ARE FOR A ]PECIIIC M1J' p~
OF HEALTH SMICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH fA <<
ATLICANT' PROPERTY LINES OR FOR THE ERECTION O FENCES 1A SUBN
ADDRESS
TEL YOUNG aYOUNG RIVERHEAD, NEW YORK
NOTEI p=STAKE 0 =MONUMENT 0-PIPE ,
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO 6912. AND LAND SURVEYOR N Y.S UCENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
IF WM LOUnox4 LIWI,X"ICTANNISTLCESro S(M)w NHUECM NY S LICENSE NO 45893
14
MIE IBOIE FIELD OB]ERLWTIOH] ANG OR DATA 05YUM[D INCFI OTHERS
z B.
BRAND$$ 4 SONS INC.
I VERNAL AREA
INTERMITTENT
(WETLANDS)
now or formerly-_
Francis a Patricia dmalley f EDGE OF WETLANDS
la
N.88056N3ZE. m
72.61 _ IN
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SURVEY FOR
D.B.M. COMPANY JUL. 27, 1992
LOT NO.55 IIHIGHPOINT MEADOWS, SECTION THREE" JUN. 30, 1992
> > DEC. 16,1991
AT SOUTHOLD DATE. JULY 22, 1991
TOWN OF SOUTHOLD SCALE I"=40'
SUFFOLK COUNTY, NEW YORK NO 91 - 0648
UNAUTHORIZED ALTERATION ORADOITION TO TNIS CERTIFIED
NEW VYORK STATEEDUCATION f ANON 720% OF THE OF NeIV `
D. B.
*COPIES OF THIS SURVEY NOT BEARING THE LAND BRI E e~QN W tS9L BANK
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL €1`
NOT BE CONSIDERED TO BE A VALID TRUE COPY TI R GUAiR
.GUARANTEE! INDICATED HEREON SHALL RUN ONLY TO Z
HEALTH DEPARTMENT-DATA FOR APPROVAL. TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON MIS BEHALF TO THE TITLE COMPANY, GOVERN- Q
M NEAREST WA"M MAIN-MI t *SOURCE OF WATER PRIVATE _PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
M SIAFF CO TAX MAP DIST 1000 SECTION 55 BLOCK _6 LOT 16.61 HEREON, AND TO THE ASSIGNEES OF THE LENDING
OTHERS ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
rW
NTH[ WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOP THIS RQIO[MCC OWNERS
y 4A a
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM TO THE STANDARDS OF THE 3UR0LK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC
~'Yf
OF WEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ltd y,~
APPLICANT' PROPERTY LINES OR FOR THE ERECTION OF FENCES ~411a 7ST^'
ADDRESS
T[L YOUNG a YOUNG RIVERHEOSTRANDER AD, NEW YORK
NOTE: p = STAKE a = MONUMENT 0= PIPE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARCH 19, 1990 AS FILE NO. 8912. AND LAND SURVEYOR N Y.S LICENSE NO 12845
m HOWARD W YOUNG, LAND SURVEYOR
ro *THE LOCATION IX WELL(W),SEPTIC TANK(ST)S CESSPOOLS(CP) SHOWN HEREON N YS. LICENSE NO 45893
a ARE MON FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS S
Z.B.
BRANDIS B SONS INC.
I VERNAL AREA
INTERMITTENT
(WETLANDS)
now or formerly"
II Francis a Patricia 01Malley 4 EDGE OF WETLANDS
N.88°56 3211E. ~m
T- 0
72.61 1 I
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062.83'
8=40.00' ~OCJ
SINGLE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OFAPPROVAL
SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES D.B.M. COMPANY
LOT NO.55,IIHIGHPOINT MEADOWS, SECTION THREE"
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE JULY 22, 1991
yG TOWN OF SOUTHOLD SCALE I"=ao'
DATE dlE2n - H NO. SUFFOLK COUNTY, NEW YORK NO 91 - 0648
M NAU THORI2 ED ALTERATION OR ADDITION TO THIS
`•"VFD SUR Y IS A VIOLATION OF SECTION 7209 OF THE
YORK STATE EDUCATION LAW PqE pF NfK. `
3 4 O/ ~ / COII ES a TNI! SURVEY NOT SEARING THE LAND
(p SUR VE YOR•S INKED SEAL OR EMBOS SEO SEAL SHALL S 0
MOT BE CONSIDERED TO BE A VALID TRUE COPY ~W) W.
,GUARANTEES INDICATED HEREON SMALL RUN ONLY TO
rO ¢
SURVE
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE Y IS PREPARED O G
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
M NEAREST WATER IIIAIN~MI ± *SOURCE Of WATER MIIATE-PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED
N SUFF CO TAX MAP DMT IDOO SECTION. 55 BLACK _SLOT 15 61 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
M THE WATER SUPPLY AND SEWAGE DISPOSAL 3YS TEN FOR THIS REf rOE MCE OWNERS C
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT , DISTANCES SHOWN HEREON FROM PROPERTY LINES NO o
Of WEAL TN BLRV ICES, TOEXISTING STRUCTURES ARE FOR A SPECIFIC 4
PURPOSE A
APPLICANT PROPERTYLINES ARE NOT T TTHEEERECTION OF ESTABLISH ..I+"•I~~A
ADDRESSg43 MAI/ ST.i to,0./.3okdl3o
CRc~~°~2T N/ JI9y4 TEL s(c -~4~7-z2z3 YOUNG & YOUNG RRIIVOERFEAD,NEW YORKE
NOTEI
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO. 8912. AND LAND SURVEYOR N YS LICENSE NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
m *THE LOCATION OF WELL(W),SEPTIC TANK(ST)BCESSPOOLS(CP) SHOWN HEREON
[141
N.Y.S. LICENSE NO 45893
ARE FROM FIELD OBfER'ATIONS AND OR DATA OBTAINED FROM OTHERS Z G
BRANDIS 6 SONS INC.
R R
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Francis & Patricia O'Malley Y EDGE OF WETLANDS
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SURVEY FOR
SUFFUTA COUNTY DEPAWMMT OF HfA H 9ER VICES E D N A M c G U I R E
~~-owaE YDMIfJ.umONLY LOT NO.55,11HIGHPOINT MEADOWS, SECTION THREE"
DATE.k NS. REF. NO. L7 AT SOUTHOLD DATE. SEPT 18, 1992
The sewage disposal and water supply, facilities for this TOWN OF SOUTHOLD SCALE 1 40'
location have been inspected by this Department and/or SUFFOLK COUNTY, NEW YORK NO. 92-815
other agencies and found to be satisfactory.
R4 - *UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED T0: ~1\w
'-(b,SURVEY n A VIOLATION OF SECTION 7209 OF THE /M
Ifl? Of r89U OT W3sTBW Wr 2n nt NEW YORK STATE EDUCATION LAN TICOR TITLE GUARANTEE
*COPIES OF THIS SURVEY NOT SEARING THE LAND gRIDGEHAMP'[QJJYia,1 NIATIONAL BA(1JC
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL f®13dY`' A
NOT 01 GUARANOTEESI CONSIDERED HEREON SHALL ER N ONLY 10 EDNA `MMFRI~ d
M s®y~` PERSO
HOM AND CH HIS BEHAWLF TO THE TIT EECOMPANY, GOVERN- (L~°Y1•°VDU$
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT < CP
M NEAREST WATER MAIN_MI MSOVRCE OF WATER PRIWTE-PUBLIC _ MENTAL AGENCY AMC) LENDING INSTITUTION LISTED
R 15. 61 HEREON, AND TO THE ASSIGNEES OF THE LENDING
M SURF CO TAX MAP DIST IOOO SECTION `5 BLOCK S_ LOT
OTHERS ARE 110 QW[LLIMG! WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE r 8 f
OTN C11 THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT A
r ~O
M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
DISTANCES
CONFORM TO THE STANDARD! Of THE SUFFOLK COUNTY DEPARTMENT M SHOWN HEREON FROM PROPERTY LIMES
TO EXISTING STRUCTURES ARE FOR AIPCCIfIC jlI ~.,N ELBgg e ~ ~tP
Of HEALTH SERVICE! PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
APPLICANT, ` PROPERTY LINES OR FOR THE ERECTION Of FENCES (pN®SURV~e~`~ 1404? 11
ADORE SS 13-0
1v ~(4 `l7 7 2223 YOUNG 8t YOUNG RIVERHEAD, NEW YORK
NOTE: p=STAKE • =MONUMENT 0=PIPE SSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALANDDEN W LAND YOUNG, SURVEYOR N PROFESS LICENSE ENGINEER
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO. 8912. NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
R THE LOCATION a WELL(W),SEPTIC TAMK(ST)B CESSPOOLS(CP) SHOWN HEREON NY S. LICENSE NO 45893
ARE FROM FIELD OMlERWETIONS AND OR DATA OBTAINED FROM OTHERS Z.B.
BRANDIS & SONS INC.
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MONIKER CERTIFICATION
pIyLEADCONTENT BEFORE
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4L _ Fa - NOTIFY BUILDING DEPARTMENT AT drawing title,
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104 FOLLOWING INSPECTIONS:
--1---- } --I 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE /
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
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