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HomeMy WebLinkAbout20321-z C FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20645 Date APRIL 15, 1992 THIS CERTIFIES that the building NEW DWELLING Locaticn of Property 400 MOCKINGBIRD LANE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.54 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4, 1991 Pursuant to which Building Permit No. 20321-Z dated DECEMBER 9 1991 was issued, and conforms to all of the requiremQnts of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE & PORCH AS APPLIED FOR The certificate is issued to ROBERT & ANN-MARIE VanMATER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-29-MARSH 31, 1992 UNDERWRITERS CERTIFICATE NO. N-230960 - APRIL 7 1992 PLUMBERS CERTIFICATION DATED APRIL 1 1992 - PECONIC PLUMB.&HAATING Building Inspector Rev. 1f 81 FORM NO. • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CAMPLETION OF THE WORK AUTHORIZED) N°- 20321 Z Date ..~~.......4 199.1. i Permission is hereby g d to: ~.!T?.!?....I. ~ .w~~..~ ~..~:..~~:~i,11...~~.p.,.~~ premises located at .7. ~....YY./ .......4sr.B~<t:4S.........~......... County Tax Map No. 1000 Se~cti~on~....O.a.Sp...... Block Lot No..I.~:..~.......... pursuant to application dated ...!.:ed,:?.?r~!i?:~.`.ur1s...T 19.9..x.., and approved by the Bulidfn/g_ Inspector. Fee S..~S!~.:..~~ Building Inspector ~:i x» Rev. 6/30/80 0~~1~~`~ G~~-~s~os 1~.~....~V Form No. 6 G 6~ y 7 ~ TOSTi3 OF SOUTitOLD A~ ~ ~ ~ BUILDING DEPARThIENT TOWN HALL EiLDr, CiEPT. 765-1802 TOWN GF 50UTPi0LD APPLICATION POR CERTIFICATE OP 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 ly, 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .....f. b'ew Constructian...,~.... Old Or Pre-existing Building....... „ Location of Property.... ~~;-;t,G,~,l?G;{~ ~t2\~„~-;~-,~'c L ~jc•i~T_"t~{c~~.f~ House No.' Street Hamlet ~ Onwer or Owners of Property.. ~ ~:r, fv\~;~: , !;-~?Q?~='~-~, , , ~T~~ _ . . . . . County Tax Ma`p1 No 1000, Sepct4ion.....rl".~ :....Block.... .........Lot... , ~:5; , , , , Subdivision. .`~1zh;L'-1E~.Sf~T..l:a~.-~. ~J;~-a?5.....Filed Map..........(.~.L~ot.....\ Permit No..:-~.~.;-?~~,,,,Date Ot Permit ................Applicant..;;-?;«.~-~„~, `~~ol,~J~~do~~._ Health Dept. Approval.......? ..................Underwriters Approval.... Planning Board Approval Request for: Temporary Certificate.........,. final Certicate....x;..... i'ee Submitted: ~7"0`~ ~a©~f.(5 - APPLICANT o~OSVFf ~U~CDIs TEL. 7G5-1802 _ , To~rr or soo~'~oa.ID f ~c OFFICE OF BUILDII~7G INSPECTOR o • i ~s^~ P.O., I30X 728 ,v -r TONN HALL ~~/f~~ ~0~' SOUTHULD, N.Y. 11971 pl~~, C E R T I F I CAT I O N Date ~j~ Building Permit` N/o._o`2 ~ ~3a/ Owner ~od3GtlT V,~N~ht~l2_ (please print) Plumber /~~>~%~l ~~!//IJ ye /TLf~'/ //~r~r^ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. /tai ( 1u er's si nature? Sworn to before me this ~_day of 1 , Notary P~blic Votary Public,~'~ 1~,/County ~ ~~WSKI ~+tY , State of New York Ow11kd ktM 9ulbMc County ComaYaebn x.90 t~ THE NEW YORK BOARD OF FIRE UNDERWRITERS L~AGC; 1 Q113f3 BUREAU OF ELECTRIGITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~}j?){.((,~ ~I •i,1992 Application No. on file %h9tk3192/~)~ N 23Q9bU THIS CERTIFIES THAT only the electrical equipment oa described below and introduced by the applicont named on the obove app/icotion number in the premises of [tURFRx UANr1~11'P,k, nMt~CF;'C~t;.CIIRC) L/4,tlE„ 5~~,1-17J~'HfJY.1J), PI,Y, in the follawing locotian; ~ Basement ~ Tat FL 4KJ 2nd Fl. {rAr~/Ull~ .Section Block Lot was examined on (i.piT, 1. ~.l , 19 ~ ~ and found to be in correptianre uith the reyuirentenLS q(this Board. x FIXTURE ECEPTACLES SWI7CNE5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT ftUORESCENi OTHER AMT. K W AML K W AMT KW. AMT % W AMr H P. 31{ ) 2 8I ~ 1 i. j r~ DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT 71ME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. Oll H. P. GAS N. P. AMT NO A. W G. AMT. AMP AMi. AMPS TRANS. AMi. H P SYSTEMS AMi WATTS NO.OF FEET e ~ 'l 2 'l 7. $ SERVICE DISCONNECT No. of S E R V 1 C E AMi. AMP. TYPE METER LB, ]W 1 ,9 3W 3 N 3W 3.e 4W NO. OF CC. COND A W. G NO. OF HI-LEG A W' G NO.Of NFUTRAIS A. W G. EQUIP. PER % OF CC COND Of MbtEG OF NEUTRAL 1 ?~d~J CD I X 7. c!f0 1 2/4 OTHER APPARATUS: r ~i.~''.~,j.r^~ ~ st~uur D~'x`r;cror,t I JUDY P17P11:I[IU LTC.~i3@~-h"1 rnr r,nllr: MnT"t'ITIiCk, tdY, 11952 GENERAL MANAGER 11 C„v Per This certificate mGSt 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. r1c:LD If:S:'~:,:-utl ~IDr,:c ~OM~KENT° Q~ 1 . ~ ^v 0O m 9' FOUI7DATION (1st) ~ - -~i(~' . ` _ FOUNDATIOIJ (2nd) c ~ ~ - m V' 2. P,OUGH FRAME & •PLUMBING y ' r 3 • I2JSULATIOPI PER N. Y. m~'° H STATE ENERGY CODE ' ~ ro H ~ FIiJAL f o s ADDITIONAL COMhfEh S: c~ ,t LLk~9.liA.~s.lii ~r m ' x • 'b•6, H 77 y . ,A • '-3 H .,.p O Z W ' i m • A • r I H I.0 ~ .-C o~ 1 m • H .1J I: N ~ 1~ G ~ C C~ U f_= C~ 1. C~U L ~ ~ ia~v DESICA CAITEAIA 6,000 Degree DI.Ia (FOA AON*ELECTAIC fiEAT) O,A, 10°T I.A, ~0^F a ~ _ ,....x_ r 1~ - ~3 S ! J ~I ~RE S pk-s~Cy T(J,FRhIRI. . REM~R ff S d ' l ' . py~r,erier WailM (Opaque) ~7 o L ~ - / . Cla~ina / _96 l~ ~ , 3~ ,.,g'~ ers°^ ~er~u?eneye-' Fete 3 8 , Lj° b' Cattina/eoof (Or+aque) dflt~3-y--- P?L~ L3 ...__y__..... S~vlivhte 96' Thor /Ju°L .off izonndatien Na11N Slab I-naulatl~n TOTAL + / .,v. . ~ h Notea~ s,e.' ~ +`t AMlldixq Ehaelape SlhteMx to Meet req>aireMantt~ °f ~81~wi ~ [j~,(; 4 ~';f~ HVAC EgnirMents t•~Meet regriteMantk of 7~1~.11 AVAC SfnteMM to Meet req?dreMantn of 7M15,1f, _ ~ ? Diwet 7SreteMM t• Meet regrireMentn of ~fd15.13 ~ ~ ~ . YahtilrltienM SyeteMa to roeet regnireMante of 7A15.I4 Innvlatlen of Piroina lSyRbaMrs to r~eet requixeMenth of 7M1'S.15 service Hater. Heating 3yateMn snd Eq~~ipMAnt to Meat Aeq~iirelaentn of 7~15•tl Rlectri°al and LiahtinA SfnteMn and FquipMent t° Meet regnireMentn of ryA15.31 t Ts tie beet of Mr Khexledae, t+elfef, and rrefenhienal ,~pk r y,~ ~/daeMi•ht, theAe nlana ara 1n \~~e nn. Tr A~,. caMpiianca xith the code. 2ti' ~,r ~ r ~ w >5 1 , -s SU r~ d~ ~ 022541 ' ~g®~ ESS IO"~1'~ ~ q~ _ ~ 76S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS:_ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. FO,SINDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL ~a f~ REMARKS: V~S~~---~- X°r' ~ ~t ,rte ~ . DATE ~ ~ ' Z~-~ INSPECTOR ~ ~"'~j /?fl~ ~ ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ]FRAMING [ ]FINAL REMARKS: C:.,~nw2~~ C~ e DATE INSPECTOR i~r_ ?,(,~-1;. ~ BO,1RD OF NEALTIi ;'1~~°~t'"~(~~~9 ~';(fi°"i~,i;°~"~FORMN0.1 SETS OF PL.127S TojryN OF SOUTHOLD ...'SURVEY ,r, fiC/+ _ 4,~~{ BUILb;T WD FPAARLMENT SEPTIC FoRt1 ~ _ . e AU3Ct~ SP~~FIOLD, N. Y. 11971 ~ e. T~L.:765-1II02 t.o-• i~~~,~ E:xamincd~~~ , q "l~ Qa NAIL TO : . :lpproved ~~-,~`•"-w`:u ih . 19R ~ .Permit No.oZ, CS ~aI 2~. . . Disapproved a/c _ . \o/ (Building Inspector) APPLICATION FOR BUILDING PERMIT t~ Date .v,!~..~:~~'?z~-. 19 INSTRUCTIONS a. Tltis 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 tr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appii- :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 :tall 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 have been granted by the Building Inspector. APPLICATION IS HEREBX MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicab]e Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. .-he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authonzed inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (1•failing address of applicant) irate whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder. 1 „fir, ~v;~~ OC_ . ................j.........,..... t game of owner of premises '(3ev!-;~', ; ~ j~Nil~~(C~ .y~Wtl..f~~ ;lr,al~` ~/s,~~ ~ %C~. (as on the t:rx roll or latest deed) (applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. . L•Icctrician's Liccnsc No . Other Trade's License No . ~DQ _i ~t `~c~.fi-.o ~ ~z Location of land on which proposed work will be done. ~ aCrl-\~~il/a;~;-. /~~18)~+~5 ~?~-~-:~:lJC~131Y.~.~~... ~i'~-fit:......... . louse Number Street Hamlet Counq~ Tax ~fap No. 1000 Section Block b........... Lot ..1~~ U y7~J v, . Subdivision ..~.~~(r?/P.ri./~%% /`(,C~1~~U~~.......Filcdt,tapNo. ...~,4~~,. (Name) Lot S~.. , . State existing use and occupancy of premi~sefs and inLte/nded use and occupancy of proposed construction: a. Existing use and occupancy .L~. f LU!~~:~ . b. Intended use and occupancy " ' ..._.r..". ..i 3. Repair otwork {check whiRempplica le): New Building , , . , , addition .Vtc ation r OVaI .i Demolition Other Work. 4. Estimated Cost , , , , ~5, pl~~Q, , ~ (Description) i Fec.....,.... . 5. If dwelling ~ (to be paid on filing thi application) ,number of dwelling units d units on cacti floor . Numbcrofdwcllim• If garage, num ber of cars , , , , , , , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7, Dimensions of existing stnrctures, if a ~ y; Front , ' ' ' ' ]icigltt Nur' ber o ~ Rear Depth . n Stories Dimensions of same structure With alt rations or additions: Front ~ • • • • • ~ ~ ~ • ' ' ' ' ' • ' ' ' ' Depth .Rear...,. • , IIe ght Number of Stories . 8. Dimensions of entire new constnrction: Front ......~j; , , , , Rcar . Height 1Et~...... .Depth . 3`;~ %i ? . ..Number of, Stories , , , , , ,2-, , , , • • • 9. Size of lot: Front ..~~A.9srF,t~ ,1 • • r Rear 7:~? % • . 10. Dale of Purchase . , Y c I" " " ~ • • • " " " " ~.1~, fJ Name of Fo , Depth , . 1 I. Zone or use district in which premises re situated , , , , , rmer Owner \~~'~i1!~, , , , , , I Does proposed construction violate an ' zoning law, ordinance or regulation: ...tJ~, , , , , , , , , , . • • • , . , , . , , • • 13. Will ]ot be regraded , , ~(~j,, , • 14. Name of Owner of premises . U~~'I;,;,K • • • • ' ' ' ' Wrll excess 611 be removed from premises: Yes No Name of Architect 5 • • • • • • • Address :~tyf~:~n,td,3s ,IL{,u~v77(;« Phone No.. Name of Contractor . ~ac~y ~-~:rY:-~.l;f ,a ~ ' ' 'Address . ,Phone No... . • . ~ ~ ~ • • • 15. Is this p y i ' • • • • • P~'4 • • Address .~r,<«~qil~ f%,~~r..r phone No...~:2~, ; ~s;?~, • • pro ert within ~00 feet of a tidal wetland? *yeS,,,,,• „ No..~...... *If yes, Southold Town T~~ustees Permit may be required. PLOT DIAGRAh1 Locate clearly and distinctly all'!buildi cgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block numbe 'i or description according to dead, and show street names and indicate whether interior or corner lot. Scz= /~T~,~~p n T.1TE OF NEW YORK, ~I S.$ OU:vri'Y OP (frame of individual signing contra' ~ • ' ' ' ' ' ' • being duly sworn, deposes and says that he is the applicant i•t) ~ovc nanud, :isthc .1 (C'~I i ntractor, agent, corporate officer, etc.) • • • • ~ • ' ' ' ' ' ' ' ' • card owner or owners, and is duly at~thoriz •d to perform or have perforated the said work and to make and 61e tftis plication: that all statements containctl in th's application arc true to the best of his knowledge pad belief; and that the irk will be performed in the manner scl forth n the application filed therewith. om to before me this tary Public . ~;e ~ . , Count C LINDA J. CO PER , ~'~C. v-rr Notttry Public, Stetelof New . Na.48221j63,Su olkt:ounty ~ (Signature of applicant) Torm Fxpires~Decembsr 3t, t 1 t F i y ~3a~ ~'7`r 3~ ~ f s~ . , ~ r ~ f, 1661 p - 33Q ' . ~~lt~' _ t~j (VACANT) WA -TER MAIN i Jl _ / ~ ~ '.2 ~ ~ a_=1,7t.~s, ~ o ~ U ~r ti°~ 2 o6i6 ' u' 5y Qo { ou,. ~p~ ~O p ti~ 6 p ~vti g m tk~ pfl ~OA`P`',~~ cis q E?0 (0 f, ~ Oo• r 22436 s. f L =z4 D~To Q / TO ~ \ `~2 s'o 'L SURVEY FOR E ROBERT A. VAN MATER & ANNE-MARIE VAN MATER 1 eC~~` lih~f~'E LOT tV0.48,~~HIGHP0INT MEADOWS,SECTION THREEII ~I~~;~~~ ~ ~ ? AT SOUTHOLD ogre: Nov. Is, ta9o e.~~, ~ - ~ 1~~1 ~ ~S TOWN OF SOUTHOLD scALe I": ao' f ! SUFFOLK COUNTY, NEW YORK N0. s0-O9t3 ~ ~ 1 ~f d~ 6+ « < f cl>'> 4 +euw~urNORlzfD ALrcRAnoN DR aoDlnoN ro nlr! CERTIFIED T0- c SURVEY 0 A VIOLATION Of lE CTION 7209 OF THE ROGER „Y,„„~.r„~'~~~f~ ~Ja" NEw rORK STATE EWCATION LA 1Y ANN ~tt ~ R R coPlE! OF THIS suRV¢r Nor SEARWO TnC LANG 8R G T NAL BANK suev[YOR'! INKED SEAL OREMLOSlEO sEAL snALL T OR G +4~. NOT s[ CoNS10ERE0 TO LE A VALID 1RUE COPY HEALTH DEPART MEN7-DATA FOR APPROy4L t0 CONSTRUCT NGWRANTEE! INDIW TEO NC RfON SHALL RUN ONLY 10 THE PERSON FOR wMOM THE SURVEr 19 PREPARED .Z+~ G N MfARfiT WATEJI bIM.MI ! MSOVRCE of 'LATER' PRIMTE ~PUlLtC_ MENTA AOENC YAANO LEND MG IN1 T~~uT DN US1ED ~ Q N f4?f CO iA[MM DHT .1000 lfC110N 3y5 _ (LOOK LOT 0%IS.i HEIIEON, AND TO THE ASSIGNfES Of THE LE ND7NG OTNf ~TNAN TNOl~INOWNl NER OIN 100 FEET OP TNI! ?ROPERTY T~SA~~T~~AIUANl TtTUESON! ORN5U95 OUENiA FLE M TN[ WATER SLIMLY Alp SEVAtY[ DISPOSAL SYST[M FOR MII.R[!IO[MC[ OWNER! VIl.I. CONFORM TO iN[ STAMOARp3 OF TN[ SUFIOLK COVM7Y OCIARTM[MT N 013TANCf! SNOMN HEREON fROM PROPERTY UNCS OF MLAL TN t[RY ICCf 70E%tSTING STRUC NAf3 ARf POR A S?CCIflC "`i"' ~ APFLICAMT• PURPOSE AMD ARE NOT TO LE UlFO TO ES TAlLIlN sF~ .,Q~' PROPERTY ONES OR FOR THE EREC110M OF FENCES LAND SOa ADOR[u YO U NG a YOU NG ~'rRi?NDeR AvEN~- NOTE _ q =srAKE RIYERHEAD, NEW YOR SUBOfVIS10N MAp FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MARCH 19,1990 4S FILE N0. 89i2. - AND LAND SURVEYOR N Y.S.UCENSE N0, t284S W N ~ N TII[ LOCATIOII DF M'ELL(w},SEPTIC TAMK(fTI• C[SlPOOL!(C?) LNON'N N[R[ON HOWARD W. rOUNG, LAND SURVEYOR ' r A11E PROM flfW DpERWT1ON! AND OR DATA OfTMNED FROM OTNFR! N.Y. S. LICENSE N0.45893 BRAN019 A SONg INC. '~'m~~ ' air ;x~;/ , ,b (VACANT) WATER MAIN r _ ~~K1NGg`RD LANE E~` ~ A t~ xeo.> \ ~ \v` L=171.46'. \ \ za 00 \ 6~'°* R:~~ x'27.3 'P`~ \ `J~04JbZy~ 2rO A~~~ x ' \ yyo96'LA ?~v ~ ~ e °°--~------.__t-- a O~ ~ - ~ rY ~ O I O M ~ I ryry, oo OI k ----""--d v Rt O) \JP ~O 'Y NQ ~ 24365P G G._ _ ~4d! 5~, 19 t LV404N~ \ F ~ ~ , , ~ f' - p_ e ~ ~~Ir I( 5d. ~ S{I PPP? 1'1 I I y &9a DEC - ~ I~v'1 I°,`,,. SURVEY FOR ROBERT A. VAN MATER & ANNE-MARIE VAN MATER LOT N0.48,"HIGHPOINT MEADOWS,SECTION THREE~~ AT SOUTHOLD DATE: NOV. 19, 1990 TDWN OF SOUTHOLD SCALE 1~~= 40' SUFFOLK COUNTY, NEW YORK No. so -OS l3 RIwMUTN01112 EO ALTERATION OR AOOITION ro THIS CERTIFIED TOE GURNEY 6 A VIOLATION OF SECTION 1209 OF THE ROBER p _ _ wEV YORK SLT[ EDUCATION LAW ANN ` RI a A N01 R C011 ES OP THIS SURVEY NOT SEARWG TN[ LAND BR GG SUR VEY01~i INKED SEAL OR ENS053ED SEA4 SMALL T NAL BANK NOT LC CONSIDERED TO a!E A vAUO TRUE COPY T OR C~ G A~~ KGUIMNTCES MOIfd TEO N[REON GNALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREFAB EO 2° G HEALTH DEPARTMENT-DATA FOR APPRON9L TO CONSTRUCT ANO a ws OENALF ro THE TITLE CON PANr, GOVERN- ~ G R M[ARflT wATEII MAIN~MI. MSOWCL OF MATER MIw1TE _PUlLIC _ MENTAL AGENCY AND LENDING INSTITUTION LIGTfD R S1If CO. TAK MA? 01ST 1000 Sf CTIOM SS SI.OCK ~ LOT p/Q IS.I NE/IEON, AMD TO THE ASSION ECS OF THE LE NOIN6 R MLR ARf MD DWCllllpS WITHIN 100 FEET Of TNIf ?ROPf RTY INSTITUTION OUARANTFES ARE NOT TR,W SFERAOLE OTNLR THAN THOSE SNOwN HEREON TO A001 TIONAL INS TITUTIp13 OR SUOSEOVENT OMN ERS M TNf WATER SUPPLY AAq SEYMGf DISPOSAL SYSTEM fd1 TNI! RQIDE MCE R DISTANCES SMOwN HEREON FROY PROPERTY IIMfS wILL CdFORN TO TNC STANDARDS OF TNf SUFFOLK COUNTY OE?ARTMENT TO EX ISTIN6 STRUC TUR CS W1E FOR A SPED FIC (1J ~LIt ~T; SEMICf S. PURPOSE •ND ARE NOT TO OE USED TO ES TAOIISN y'r6p /ROIERTY IINEl OR FOR THE ERECTION OF fENCES (AND SUR Aoaecss . YOUNG & YOUNG ~R~' o"'~wroR E NOTE ~ ~ =STAKE SU80IVtStON MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W, YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MARCH 19,1990 AS FILE N0. 8912. AND LAND SURVEYOR N.Y.S LICENSE N0. 12845 HOWARD W.YOUNG, LANG SURYEYOR m NMLOUTLwarwnLlwl,tE?reeuNKl9r)~eES9rooLa(vlwowNNUEGN N.YS.UCENSE N0.45893 e ME PROP Fl[LD OpERWTION3 AND OR DATA OtTNNfD FROM OTNERf Z.B. t: ( ~p I I ~ §j PI IG 1~~. I~ DEC ° 4199( ~ _~.~~~~-:.,iJ ~L~G. T3EWT: TCJi~V~n S Fpy ~~6;T O (VACANT) WgTER MAIN f Gg,RD LANE F~, p ~ ~ oG G x M ~ / ~ L=171.46' \ / 5 00 \ K'\ C'~' \ 20~ a6 a ~°o. F<.. \ \ yDy6 ~ r y oO~' \A~ ~O /yyQ 8 ~ ~~P ~s Argo` t 48 22436 S. f o C~/~ ~<•1 g- LZ o2~9/ ---~~~~3-~~ ~~~~f ~ r ~ { AO4N~ \ I Q ~ t ' Fps/ o~ ~ ~ i , APR 16 ig9r ~•C~ DEP'i. OF ~iEALfiH SERVICES suRVEY Foa S11FfOLK t~{itfiY aE?ARtMENT !K HEfLLTN gERViCfS ROBERT A. VAN MATER & AN N E -MARIE VAN MATE R flMAPPROVAtOFCONSTRUCTiON flE LOT N0.48,'~HIGHPOINT MEADOWS,SECTION THREEII Single (amity Residence ORIy aT souTHOLD DATE Nov. Is, 19so TOWN OF SOUTHOLD SCALE 1"=40' RATE 5'~$ REF. N0~ ~ _ °2 SUFFOLK COUNTY, NEW YORK ND 90 -0913 1 1 APPROYEfl K'UIMUTN011i2CO 4L7ERATIONORAODIr10N To nns CERTIFIED TOE ! supvcr a A vlALanoN of sECnoN Tzoa of rNE ROBERT A. V ER NEW YORK STATE fWCAiION LAM ANNE- ( IES of THIS suRVCr NDT BEARw¢ THE LaNO GRID P~~ T R AL BANK C. f.XPIRE$ tiNfl YEAR FROM~3 APPRflVA1 SURVEYOR'S INKED SEAL OR ENBOSSED SEAL SHALL 'I.IC ~U _ N07 fC COMSIOERED TO lE A VALID TRUE COPY O KGUARAMTEEf IMDIUTED NERCON SHALL RUN ONLY TO } ~t1 DEPARTMENT -DATA FOR 4PPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SVRVEr IS PREPARED ~ ~ O~ ANO OM NIS BEHALF TO THE TITL[ COI( PANT, GOVERN- + MENTAL AGENCY AND LENDING INS TITU710M LISTED LEST WATEI! MIN~NI _ R SOURCE Of WATER p111wITE -PUBLIC _ ~ ICO iAK NAP pfT IOOQ S[C TIOM s5 BLACK _S_ LOT p/015.1 HEREON, AMO TO THE ASSI¢N EES OF I'HE LENDING I E AI1E NO OwELL11Nf WITHIN 100 F[fT OF THIS ?RO PERTY INSTITUTIM GVARAMTEES ARE NOT TRANSFERABLE ' ~ITNAM THOSE SHOWN NLREOM TO A001 TIONAL INSTITUTIONS OR SV BSE OUENT PATER fU?pLY ANO SEMMBE DIfPOSAI SYf TEN FOR TNif REf IOE NCL OWNERS WFORM TO THE STAMOAFIOf Of TN[ SUFFOLK COUNTY OCPARTN[MT • DI STANCES SNOwN HEREON FROM PROPERTY LILACS TN (~11V iC[S iO Ex (STING fTRUC TVRfS ARf FOR A S?ECIFIC y `L/-fO ^ pVRPOSF AMO ARE NOT i0 BE USED TD ES TABUSN `F•Y,. 5 Q, M``T ~~~/1 ~u~~~~l C_ \ f~~~'-~ pgOpERTY ONES OR FOR THE EREC TIOM OF FENCES eq {AN(S SUR~F'ro I[>~nx la'3l ~olrvav+~~/ Y 11~s~4 _ "L ~ C~lo4~-~ebb7 YOUNG & YOUNG R~IYOERNEQD"NEWaYORKE =STAKE ,ISION MAP FILED IN THE OFFICE OF THE CLERK OF AL DEN W YOUNG, PROFESSIONAL ENGINEER ;K COUNTY ON MARCH 19,1990 AS FILE N0. 8912. AND LAND SURVEYOR N Y.S LICENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR of wELL1w1sEPTlc nNN(fne cESapoaf{a) tNOwN NacaN N Y S. LICENSE. NO 45893 I[lA OBSERw1T1DNf AND OR DATA OB TMNEO FROM OTHERS ' z.e. ,A SONS (N0. , a - _ - - ~~ti ~ of WATER MAIN c~G',`~S _ i \ `VV ~ ~ ocK\N~g1R LANE \ ~ ~ ' / ~ \V` L=171.46' \ ~ / 00 \ / \ R ~ / 'P,. ~ v,J'" / SDP. N"~~"'z;, i A \ ~yOY'16 'IIYQO ~ 24.'1 ~V1~ CHIMNEY !zf m ~ 7;., 2 STORY FRAME U AiO 0 ' vvi m HOUSE 9 GARAGE '(rte v~ i w • 29.1' N lT.4' N ~ I oQ ~ G~ / \ / V' N N~ .y0/ ~ / `S~J` O ~O Argo . 2 48 ` o- 2436 s P ~ - 20 Dv6 _ < X ~6`9O~1' r. O / ~ i _ / ~Dt46 \ 90 F~ F` ~s 'o _ SURVEY FOR SUFfOLi(COUNTYDEFARTMENTOFHEALTNSERVICES ROBERT A. VAN MATER al ANNE-MARIE VAN MATER M[~p SINGLE FAMILY DWELLING ONLpY~ ~ ~ LOT N0.48, "HIGHPOINT MEADOWS ,SECTION THREE ~I jqN 8; 1992 Dom, 31 1__ga7_ FLS. REF. (d0. _.___ki._~~„_~~ AT SOUTHOLD DATE . NOV. 19, IssO TOWN OF SOUTHOLD scALE I"=4o' The sewage disposal and v~aler sunnly fariiliies for this loca~on have been Inspected by this t7cpartment and/or SUFFOLK COUNTY, NEW YORK NO. so - 0913 Othe( a~EOC~ en 1GUih~/t7~ he 2[IStaCtU .r R WMOTNORI2CD ALT[RATIOM oR AoDInoN ro rHls CERTIFIE L°y ' ~~~'_"~ff`~~, SURV(Y q A VIOLATION Of SECTION 7209 OF THE ROB EIONAN{p R NEW YORK STATE EDUCATION LAW A gP ~ TER, Chief of 3 raaN of Wastewater Management RcorIE3 as rNls 3uRVEY NDT eEARwG THE LAND i PVT ONAL BANK SVR VE KIR'S INKED SEAL OR EMBOSSED SEAL SNAIL IC E Glop E MOT BC CON SIDEREO TO BE A VALID TRUE COPY Rey K GU ARAMTEES INDIUTED HEREON SHALL RUN dLY TD I$ E E I IN ORP. HEALTH DEPARTMENT-DATA FOR APPROM4L TO CONSTRUCT THE PERSON FOA WHOM 7ME 3VMEY i3 PREPARED ~I N TIC E I SURANCE •ND d NIS BEHALF TO THE 71TLE COMPANY, GOVERN- COM E B N[AR[ST MAT[II BAIN.MI 2 MSOURCE OF WATER MIWTE -PUBLIC MENTAL AGENCY ANO LENDING INSiITUT10M LISTED • fIIFF CO. TA%MAP Dlfi 100 SCC TION SS LLOCK _S- LOT 15.SG NEJIEON, ANO TO THE ASS IeNE[S OF THE LENDING M MLRL ARE NO OW[L Lllg3 WITHIN 100 FEET OF THIS ARO PfRTY IN3T11UTION GUARANTEES ARE NOT TRANSFERABLE ' OTN[A IMAM THOSE SNOWM N[REON TO 'A001 TIONAI INS TITUTIpIS OP SUB SE OUENT OWNERS . N THE WAT[R fUML7 AID SCM3IBL OIfFOfAL SYf T[M Fdl MIS ALf IDC NCL NO t WILL CONFORM TO TNL fTANOAR03 OF TN[ SUFFOLK COUNTY DC?ARiMCMT N DISTANCES SHOWN HEREON FROM PROPERTY uNCS 4B$~ (,II^ TO Ex 13 TIMG STRUCTURES 4RE fOR A !?ECIFIC 4• W N[AL TN fLMICLf. PUR P03C AMD 'ARE N01 TO SE VSED TO ESTABLISH ~+td AMLICAMT~ PROPERTY ONES OR FOR THE ERECTION a fEMCES EANO Stl'~ AnDResf TEL YOUNG a YOUNG R~IVOERt1EADNNEW YORKE NOTE~I :MONUMENT ~=STAKE 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. 4ND LAND SURVEYOR N Y.S UCENSE NO 12845 w HOWARD W. YOUNG, LANG SURVEYOR NM LOGTIOI OF W[LItW), EEPiIC TANKfiTI•CESfP00LStr7) !MOWN N[REON N.Y.S. UCENSE NO 45893 e ARE MOM flEU) OMERMT10N3 AMO OR DATA OBTAIN[D Fk011 OTN[Rf Z.B. RRANDIS 6 SONS INC.