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HomeMy WebLinkAbout20806-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21158 Date NOVEMBER 1$, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 360 JASMINE LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 1 Lot 6.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1992 pursuant to which Building Permit No. 20806-Z dated JULY 9, 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 (FIRST FLOOR ONLY) The certificate is issued to PECONIC PROPERTIES MANAGEMENT INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-54-NOV. 17, 1992 UNDERWRITERS CERTIFICATE NO. N-256234 - NOV. 9, 1992 PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALANSSENA JR. uilding Inspector Rev. 1/81 rows xo. 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) N00-N° 2080BZ Date 19.9.'.x.. Permission is hereby granted to: .1..'.4sc.DKt•5....7.~~!~.~49.~..Q!!'!~~y!;~ Ov`C-. ~4 x 1. J. ~ . to .1.f?".^.-R.A%1:ti.C..IC.....g.....~'~R..~.... ~?.a.~ti!:3.....~?:".....~~SR~f~............ . . n of premises located ot ...~Q....~Q.QM^.".'.hA. . ~NY~......... . County Tox Map No. 1000 Section .....S~-l.~?........ Block ....4'?.~........... Lot No....G..:l?............ pursuant to application dated 19.~.?-, and opproved by the Building Inspector. Fee 5.1.'Z~.:~~...... uilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 £rom Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer , responsible for the building, 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,,,,November 18,.1992.,.... New Construction........p... Old Or Pre-existing Building Location of Property..r-~G.O JASMINE LANE SOUTHOLD: NEW YORK House No. Street Hamlet Onwer or Owners of Property..........,,PECONIC PROPERTIES MANAGEMENT.INC: County Tax Map No 1000, Section..~~..........Block....~...........Lot..~P.~~Q Subdivision.., M/0 S+.y~OUTHOLD VILLAS.... .,,Filed Map...9737. ....Lot...~•s Permit No.~.~ ~~~t.f~t...Date Of Permit..:~Y.9~.1992..Applicant.,DONAI.D.BRACKEN....,....... Health Dept. Approval ..........Underwriters Approval......................... Planning Board Approval Request for; Temporary Certificate........... Fin erticate........... Fee Submitted: $...;~.00 / ~~/~1~? ra~~.~~ ~ ~v ~ a ~ ISM APPLICANT . _ ^ ~~e-oG -Z THE NEW YORK BOARD OF FIRE UNDERWRITERS Irli~~r I4)6~ES37 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 70038 Date NP71t7P1AI.t{ ~9r1997, ApplieatianNo.anfile .j t1Sl+12;392~~'2 N '1,56232 THIS CERTIFIES THAT only the electrical equipment as deaeribed bebw and introduced by the applicant named on the above application number in the premises of „ M7GHIl.k(i', RNAaRGA~9!S', tib'~i ,7~+.i34lINE Gt"~NFi, J~}(3p7.7, SGUI4IQTID, N.Y. in the follouinq location; © Basement ~ /xt Fl. ~ 2nd F'l. {)LST Sertion Blcek Lot was examined on 1Jn UFi (~~f;P !3 2 ,1 y g 2 and found to be In cuntplianre with the requirementx u/this Bourd. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEM FLUORESCENT OTHER AMT. K. W. AMT K. W. PMi K W AMt K W AMT H P. 19 .f1 ~l t} lA 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULiI.OUiIFT DIMMERS AMT. K. W Oll M. P. GAS H P AML NO. A, w. G. AMT. AMP AML' AMPS TRANS. AMT, R, p, SYSTEMS AMT WA[iS NO. OF FEET z ~ z 1a z SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER t a. RW 1 ,e 3W 5 H 3W 3~' 4W NO. OF CC COND A. W. G. NO. OF HFIEG A W O NO. p'r NEUTRALS A W G. EOUIP. PER 9 Of CC. COND. Of MbIEG OF NEUTRAL 1 ~7 l I~ I X .I OTNER APPARA7U5: G.G+.~:.J:I-2 sllaxr; r,rmrl„r~~l-> ! seao.; [~~tlel~r.t?xc srauzci, r,~e.~1sz~~~ 175 3t2D, 6T. Iin7t 1 G6 GENERAL MANAGER r P. JAPfk~~, ~Y, 11'ttt(~i e .t'L V 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 ORBU DING DEPARTMENT. THIS COPY CER I . ~ Village o~ ~reen~ort 0 cers UTILITY OI+FICF. t~ -J'--~ INCO RPOfl ATEO IB]B (SIG1477-174% MAYOR NEW INCOflPORATION APRIL 1848 ~ RE~INCO PVO RATION UNOEX GENEPAL LAw .n AV ]B. 1B0< ~ PA)C (SIE)477-I'IU7 WILLIAM N. TELL III ~i~°'b POWER PLANT TRUSTERS ~~r ~i' 15Ib1 477-0172 WILLIAM D. ALLEN ~„/S_Q_~7q~fr F°J µ . STEPHUN L. CLARKS f' V c,.~~V SUPT. OF UTILITIES U N G I S L A N D IOHN A. COSTI:LLO , V ~y. IAMES 1. MONSELL VICfOR1A SWENSF:N „ ASST. SUPT. OF' UTILITIES ?36 THIRD STREET GERALD w. IUCKSON GREENPORT, NEW YURK 11y44 November 10, 1992 Mr. Robert Petritsch Suffolk County Health Department Suffolk County Center Riverhead NY 11901 Dear Mr. Petritsch: The following water service lines were recently connected to the Public Water Supply by the Village of Greenport. The installation was done according to our rules and regulations; and to the best of our knowledge, meets with the Suffolk County llealth Department standards. The location of the work and the date the job was completed is shown below: Joseph Best Lot Number: 1 265 Jasmine Lane Reference No. 92-SO-38 Southold NY 11935 Job Number: F93-076 Water District: Outside Date Completed: 10/26/92 Paul Zeneski Lot Number: 2 365 Jasmine Lane Reference No: 92-SO-39 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/26/92 Edward Dunne Lot Number: 3 665 Jasmine Lane Reference No: 92-SO-40 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Norman Waterhouse Lot Number: 4 775 Jasmine Lane Reference No: 92-SO-41 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Kevin L. Santacrose Lot Number: 5 875 Jasmine Lane Reference No: 92-SO-42 Southold NY 11971 Job Number: F93-083 Water District: outside Date Completed: 10/29/92 Over 700 Years of Community Service L Page 2 John Jaklevic Lot Number: 6 780 Jasmine Lane Reference No: 92-SO-43 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Lorraine Haeg Lot Number: 7 95 Apple Court Reference No: 92-SO-44 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Robert Jenkins Lot Number: 8 55 Apple Court Reference No: 92-SO-45 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 11/02/92 Glenn A. Staples Lot Number: 9 205 Apple Court Reference No: 92-SO-46 Southold NY 11971 Job Number: F93-087 Water District: outside Date Completed: 11/10/92 Julia Benjamin Lot Number: 10 235 Apple Court Reference No: 92-SO-47 Southold NY 11971 Job Number: F93-087 Water District: Outside Date Completed: 11/10/92 Roy Macomber Lot Number: 11 275 Apple Court Reference No: 92-SO-48 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Donna Lyburt-Childress Lot Number: 12 250 Apple Court Reference No: 92-SO-49 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: llJ2J92 Delaney Lot Number: 13 220 Apple Court Reference No: 92-SO-50 Southold NY 11971 Job Number: F93-087 Water District: Outside Date Completed: 11/13/92 Walter Berry Lot Number: 14 155 Apple Court Reference No: 92-SO-51 Southold NY 11971 Job Number: F93-087 Water District: Outside Page 3 ,r Thomas Helenski Lot Number: 15 60 Apple Court Reference No: 92-SO-52 Southold NY 11971 Job Number: F93-083 Water District: outside Date Completed :;ll/2/92 William Gaffga III Lot Number: 16 420 Jasmine Lane Reference No: 92-SO-53 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Rose Anasagasti Lot Number: 17 360 Jasmine Lane Reference No: 92-SO-54 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 The above are from Southold Villas off of Main Road, Southold. If I can be further assistance, please contact me. Sincerely, James I. Monseli Superintendent of Utilities JIM:jgk sept23a c~~FFQ(~ C TEL. 7G5-1802 0~4 -v TORN OF SOriJTIIOd.D f ~ OFFICE OF BUILDIPIG INSPECTOR ~ , ~f<z;;: 'a~~~ P.O. BOX 1179 ~/~O~ `e TONN HALL p'r SOUTHOLD, N.Y. ] 1971 C E R T I F I C A T I O N Date Qom. Building Permit No. ( Q ~j Owner (please print) Plumber . ~k%/'.' ~~iA~-SS~~tI~~ (pl/ease p int) 1~~~~ I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this day of 19~, ' Notary Public notary Public, ,County MARYANNE E. OOWUNG Notary Public, State of New York No. 5000030 Qualified in Suffolk County Commission Expires August 3, 998I~".. - I ao 30~ ~ 765-1802 BUILDING DEPT. INSPECTION [)FOUNDATION 1ST [JQ ROUGH PLBG. ~ [ J FOUNDATION 2ND INSULATION [)FRAMING [)FINAL REMARKS: I~~t,~,.y, ~ur DATE ~1" °1~. INSPECTOR Y Q L a®~o~ ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION p~j FRAMING [ ]FINAL REMARKS: ~ -?,v d c~,,, 7 DATE~~ ~ INSPECTOR V. ~ . ao ~o~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. p~ FOUNDATION 2ND [)INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~.,ia ~eL~:rr. © ~2 ~'o ~ at r.YS ~ a.Y~f DATE ~ q~.-. INSPECTOR V (~L ~0 8a1~ ~ 765-1802 BUILDING DEPT. tNSPECTt~N p~'f FOUNDATION iST [ )ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: I sd' ci~"~~a~:.~..., - ~ o oo ~Nd o~ca. i DATE 7 91- INSPECTOR V G~ L_ aaBcz(~ ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [)FRAMING FINAL REMARKS: ~ ~ C • ~ t i DATE " qz INSPECTOR ~ 'lELD i;:~. _...l:::i ~~J6: I~ ~i;ai•tE.NT.^, ~ ca• 1 . 7~ ~ ~ • I H P - H 6"+ ?OUI7DATION (1st) I a ~i • 714 _1 ~ ~ ~ ~ 'OUNDATI01! (2nd) _ - m : ' ~W TOUGH FRAi•1E & p PLUMBING -y~ 9 1, ~ m ~11SULATI0;1 PER N. Y. ' p`, y STATE EiIERGY II CODs • n ~ C.o . .._~rp FI;IAL I 1 • I _ o ~1 A~ ,y ADDITIONAL COMMENTS: ~ ~rn2x ~JSiAn~,,.t. ~~rf ~17~9`~ • n~ ___LL Q 1 ~ ~ _ .tit" 1.~.t.• ' ~ ~ VU _ 1.~1+ ~ ~ M X ' ro i H ~ G • A H -a G.O O •-F- ~ i i y m u ~ ~ t ,r„~ (A s G _ ~ • H a I B0,\FD OF HEALTH FORM N0.1 3 SETS OF PL \:75 TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CtIECt: . . TOWN HALL SEPTIC PORCI SOUTHOLD, N.Y. 11971 TEL.: 765-1802 f7oTIFY ~ ~6 O, CALL 7 Examined . ,1, , 199.Z" MAIL TO APProved 19 Permit No. >~A.~:O~~ _ _ . Disapproved a/c (Building Inspector) 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 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. 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu' ding code, housing code, and regulations, and to admit authorized inspectors on premises and in buitding for necessary ' ections. , ~ ~ /J (Signature of applicant, or name, if a corporation) (Mailing address of a licant) State whether applicant is ow//~~ner, l//e~~s//s//e~~e, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of ow of p miser .~...l,~:dl~Lfi. ~i~~' /f~~~ . ....~0:~ /?~~~~s on the to roll or latest deed) If ap i s a o po tion signature of duly arrut~~h rized officer. N me and title of corporate officer) Builder's License No . . Plumber's License No. ....oCnn.D. ~ . Electrician's License No. ..~7~.~ Other Trade's License No . . 1. Location of ]and on which proposed work will be done. .._,.:~~~~44~4i4~1-:~GX..K~~~!-~...../.'~'~.~~.%Ul. (/1.~~..... House Number ~ Street Hamlet County Tax Map No..-1~0v00pS//ecti~o/n~..... Block P.~ Lot C?......~.j....... . Subdivision ..tiyu9: `:a!. /!,t:('.ilQ~'<' p 9~~.3 / ~ ~ / Filed Ma No. Lot............... (Name) 2. 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 ....~.~~~z'~1~ . G~GU:I~I-~l?~9 . . Re air Rem~plicable): New Building Addition Alteration . 3. Nap re of work check which a oval Demolition ..............Other Work . (Description) 4. Estimated Cost........... Fee (to be paid on filing this application) 5. If dwelling, number of dwellingil If ara a number of cars , . units . Number of dwelling units on each floor . S g , 6. If business, commercial or mixe,~d occupancy, specify nature and extent of each type of use . 7. Dimgensions of existing structurt;s, if any: Front . . . . . .Rear Depth . , , . Hei ht Number of Stories . Dimensions of same structure vli • • • ~ ~ • ~ ~ • • ~ ~ ~ • ~ ' ' ' ' ' ' ' ' ' ' ' ' ' ith alterations or additions: Front . . Rear . Depth : ..Height Number of Stories . Hei ht Num ction: Front Rear Depth . 8. Di ~ensions of entire new const ber of Stones . . . . . ; ; , , , , , , , , , , 9. Size of lot: Front , , , , , , , , , , Rear Depth 10. Date of Purchase . ..............Name of Former Owner . 1 1. Zone P r P e district in which primises are situated . . . . 12. Does ro osed construction violate •any zoning law, ordinance or regulation : . g 14. Nameoof Owner of premises , . ~ ~ ~ ~ ~ ' ' ' ' ' ' • • • • Will excess fill be removed from premises: Yes No • • • • • . • • • ,Address ...Phone No..... Name of Architect , , , , , , , , , , , , , ,Address ...................Phone No. . Name of Contractor . .Address . Ph~e No. . 15. Is this property within X00 feet of a tidal wetland? 'ryes.. No. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ally buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block fiumber or description according to deed, and show street names and indicate whether interior or corner ]ot. 'I . I j I I i STATE OF NEW Y R COUNTjY~OF ~ \k,. $.S • • • • • ~.?©•%V/~~-~~~~/•~lY being duly sworn, deposes and says that he is the applicant (Name of mdrvrdual signing contract) above named. He is the (Cont tor, agent, corporate officer, etc.) ~ ~ ~ • of said owner or owners, and is duly'I authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 .day ....5~~ 19 Q ~.c c Notary Public, Cou ~~D ROBERTIJSCUTT, NOTARY ~UBLIIC, Stata Y. ~ ~ ~ ~ • ~ ' ' ' ' ' ' ' ' ' ' No. 4725039,iSuffolk u~p~yr (Signature of applicant) Term Expires May 31,19 ~y- r; ~ / ~/jO/~ ~ ~,z4 >S3e ~'9~PipN 0 s IFS , 0 etih T s~F3O~ '~ryOa c o N s F Eg 'l ? \~ti• y 9 o O F q T/ N \~ryhh y~ ICS S / ~4°t- F ~'9gyF~S .S, \ ~ F \ F ,mss. ,o. ~l•1'zx_. x.-~'~ ~1S~A ~ ~ ~ r ~ a~~ s~ ~ b 1` ~ T ~~/Ic ~ ~ti h o ' ~~ro \ ~ O' /ZZ ~S s ~j., o~F ?q ~~°Q S,Li\ \ ~ '~5~ „,,h. \ \ sue. 2s~ P. QO ~ \ ,ate ~a' ~ st ~Q~~. EA = 39,838 sq. ft. C° / 93 ~ SURVEY OF SiNGkE. ~AI1+tILY Q~t~tf~~ ONLl~ ~ ~ T 17 EXPIRES...3 Y.-BARS ~C~O A~'~ i~F~APPROi~AL ~~~qP OF SOUTHOLD Vi~l.,4s" FALED MAP NO. Prepared !n accordance wllh the m/nfmum A T SOUTWOLD slandards for l!fle surveys os eslabNshed by the L.I.A.L.S. and approved and odopled TOWN OF SOUTHOLD for such use by The ew York Slale Land SUFFOLK COUNTY N. Y. Tllle Assoclollon. , The waler supply and sewage dlsposol 1000 - 70 - 01- P'/0 08 systems for /h1s residence will conlorm .~!?Cc'~6`r r~~- '~0~ !a the slandards o/ The Sullolk Counly D rlme~eo th Services Mc7l'Cf1 r~, ~99~ b.w,tA n °i „4 ~ he locollons o/ wells and cesspoo/s shown hereon ore /ram fl 4. observol/ons and or lrom dalc obtained from others. 4 `'?F,~ SUFFOLK COUNTY DEPARTMENT OF ~HEALTN 6ERVICES ""1~ jy^~~ f ~ , . ~`Ga FOR APPROVAL OF CONSTRUCTION (1NLY s~ p~ p s ' ~ Y.s. uc. rv0. 4ssie . DATN~R o .REF. N0. !.Z SO"S yfgll6r'SEIi,.( LJ ( ~2_ ~ E S, P. C. P.~'Q,.,~' ~1 MANN' Q! APPROVED SOUTHD"I;D;' '~N. Y. 1/97/ 87-670 f 7 >,c O e~ ps'~S3 ' 4 B~o~ '~3. a0 c F ' ~ ~tih d'~~`9 •ti~ ~ s Fi Zs O ~~0~ ~ p \aN h ~ ~ .o ~ ~ r ~ o h~ s F " ~Y s .s. ~ F N F o .o r ' ~ ryy. ~"'ao, .o. o . 0 4" 9 % 1 V ~ \ , ~ ~ W 19.52 ~ S+ ~~ZZ ~~0. S N, ~'~°oo ~°F o y` S,y~ tic ~ F~ w, fH \ /V \ ~i \ aNd ~ ~ ,85t ~ ~~~,~~z~ ~w AREA = 39,838 sq. ft. CERTIFIED TOE - THE LONG ISLAND sA V/NGS BANK SURVEY OF PECONIC PROPERTIES MANAGEMENT CORP. LOT 17 "MAP (yF SOUTHOLD V~LAS" F~ED~UNE2S,1s92MAPN0. s297 Prepared In accordance w11h the m!nlmum A T SOUTHOLD s~ ndords !or !!f!e surve~s os eslabllshe~ TOWN OF SOUTWOLD b the L.I.A.L.S and a roved and ado led for such ase ,py The New York Stale Land SUFFOLK COUNTY N. Y. Title Association. v The water supply and sewage disposal 1000 - 70 - 01- P/O 06 sys/ems for bls residence w11/ conform ii 40r to the standards of The Su/talk County SCB~e~ r Depor/menl 01 Hea/lh Services. M$V'C~`I f992 JUL Y fb, f992 (foundation) The locations of wells and cesspools shown hereon are Irom geld observollons and or Irom data obtained /ram others. ~ ~~#'9~.'~sr> $UFfOLK COUNTY DEPARTMENT Of'NEALTH SERVICES ~ f FOR APPROVAL OF CONSTRUCTION ONLY ° f a ~ _ ~ ~ Y.S L1C. NO. 496/8 DATE Ns. REF. No. ON ~ V S, P.C. APPROVED SOU . Y. 1197/ F?7-F7r7 l 7 ti~o'~ / S ~gSq, •~3. a~ 0~ 62~~'~F 1ryo o N s F \ pti' 9 ~ ~ h \ ® B ° N \rati T ~O~ic ~q sF~ ~~~~5 ~ > r A/, . '33. i ~O . \ ~ / tip. 2sy 3 V u~ r 3~i. 3. s T~Di ~ 25 , ~ -'~4 /'''37/ gs ~ ~ ~~'9 ? s F \ ~~3` \ S N,~00 ~F. ~O'~ sy\ \ w F~~ ;~J! 1't)ib"", (.~lify?Y.,i;; '~,~iil tr;f ``U: i:'t,<1~.ili SERVICES \ \ /~~s~ ~ ~n\I:Y~.C i Iii if.Y i5',r L! ~;l~i (i?dLY~~S n S~ \ 2s~ OQ0 the sr;!~~,;;-^• r1 r; c~~ ,.~'i sur.~.;h~ facilities for this ~ ~OGni7011 h9v'B i.^"=Pi it15~'e'S 'ti a:~!i~t79(tfil0flt :Vfld~Of other ~;~:napes arri ioc;;d~~i~ i;z. c.i'isfsrtmy. _ ~ ~ Ci^~°i o~i?e`~~rcau r,1 ` ;sv~°~r IJ,~'naEcm~nC Gj. _...._.F_.~ o ~Q~ AREA = 39,838 sq. ft. CERTIFIED TO+ SURVEY OF THE LONG ISLAND SAVINGS BANK PECONIC PROPERTIES MANAGEMENT CORP. ~ O ~ ~B. I/5r~ Cu~~-~/-~ //~3s' "MAP OF SOUTHOLD VILLAS" FiB,EDJUNE 25, 1992MAP N0.9287 Prepared in accordance with the minlmum A T SOUTHOLD slandards /or /Ills surveys os eslabllshed TOWN OF SOUTHOLD by the L.I.A.L.S. and approved and adopted for such use by The New York Stole Lond SUFFOLK COUNTY, N. Y. TUIe Association. The water supply and sewage dlsposo/ 1000 - - 01- P/O ~ systems for this residence will conform SCc1~9~ rii = 4~~ to the slandards of The Sullolk County Depor/menl of Hea/lh Services. March 11, 1992 JULY 15, 1992 (foundation) The locations of wells and cesspools shown hereon are /ram /leld OCt.23,1992(f%nal) observations and or Irani dalo obtained Irani others. j~ ~j f'-.:, , ~Uj ~(,~~J~ SUFFOLK COUNTY DEPARTMENT OF~NEALTH SERVICES IAj~`^°"`°'° Vf j_>w FOR APPROVAL OF CONSTRUCTION ONLY ~tjj`"' N `~MS. L/C. N0. 496/8 92 SO 54 NOV ~ g, " .DATE wS, REF. NO. c> t4~2 EGa, VEYDRg'~~ P.C. (5/fi`~;'76"~°';.- 5020:.. S,G, 6f P7. OF P. O.`~~;;~07?C ~~G?9~~ . HEAl;Pt S£RV(GES MANN R~t4~ APPROVED SOUTHOLD, N. Y. 1197/ ~ 87-670 ~-17