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HomeMy WebLinkAbout20239-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20493 Date JANUARY 23, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 1100 ORIOLE DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.37 Subdivision HIGHPOINT MEADOWS Section No. 2 Lot No. 34 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1991 pursuant to which Building Permit No. 26239-Z dated OCTOBER 29, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued i.s ONE FAMILY DWELLING WITH ATTACHED GARAGE & PORCH AS AE~PLIED FOR The certificate is issued to DBM CO. (owner) of the aforesaid building. u'i7FFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-56-119 - JAN. 13, 1992 UNDERWRITERS CERTIFICATE NO. N-220347 - JANUARY 14 1992 PLUMBERS CERTIFICATION DATED JAN[IARY 13, 1992 - K&K PLUMBING & HEAT. uilding Inspector Rev. 1/81 ]fOH1H NO. f 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_ 20239 Z Date .....rbal..~:..y 19..x/ Permission is hereby~gr~a-nte~d toy: ~ / . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' ~ G~r'~... ~ at premises located at ......~~lK.?4~ ' County Tox Map No. 1000 Section Block Lot No. .1.~ pursuant to opplieation doted ...~~1.,<.i~:~/.F~ 19........, and approved by the Building Inspector. / Fee S•.7`•`~~l,~S~`~ ....G. Buildir 1 for Rev. 6/30!80 c~77~- ~ ~ Form No. 6 '~1,~ Z~i2'-~ TOWN OF SOUT}}OLD ~A~ Z /J ~ BUILDING DEPARTMENT +.~f :i „ i.p7~ .~~yJ" TOWN BALL _ 0~/`'"~ /U( 765-1802 APPLICATION POR 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 2/10 of 17, lead. S. 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. 1. 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 $L5.00 Date JunuCUty t~,. 1992 :ew Constructionxx......... Old Or Pre-existing Building .ocatlon cf Property.,1100,,,,,,,,,,,,,0/u,a2e Dni.ve..,....,,,,,,,,,, Sawtho2d }louse No. Street .Hamlet )nwer or Owners of Property....D.~.M.~a ;ounty Tax Map No 1000, Section.....~5. ..IIlock....~'............Lot.~'.:'~.~ ubdivision....Nti9hl?a.~,f?~,Meadauzs ...............Filed Map............Lot,#&................... 'ermit No..~Q21'~~........Date Of Permit.~Q~29~91..... A licant. D B M Ca. , lealtlc Dept. Approval...90;SU;119,,,,,,,,, ,,,Underwriters Approval 'lanning Board Approval request for: Temporary Certificate........... Fina>'l Certicate...~...... 'ee Submitted: $,25:00 •\~~:~`R~~~..:~'r".•: F~,,~,N3as.q APPLICANT Cd ~aoy war .~.~.~.....'o~:r r~°x is ~<s~s«:aas~ •..M.~..~ _ . _ *'~>~t" ~ ;y~;~~ ~ '~~1. ~EF01.~ TEL. ~~s-ISO2 , 05 ~o, morvrr or sr~v~r>3oa.n ~ ~y ~ F _ ~ OFFICE OF BUILDIf4G INSPECTOR ~ r~~' W ~ ; ~ , rn P.O. BOX 728 ~ r~m' ~ ~0 ~ =c TOWN HALL ' ~~~'"'.i ~b~~ SOUTHOLD, N.Y. ! 1971 `r ~~xs; ,,.e,, eta s:, ~ trr _t. i{~"`, C E R T I F I C A T I O N - d , '.'•`4',~in. Date 1t l /r n~'•~? ls, ~1 Building Permit No. 'Z o Z 3 ~ ~ Owner ~ 'Q~`C'(\ e.o(`Q }k`,r', ,f:- lpic:ase print .,;z PlumSer_~ ~ ~~umb~c~~ o-hc~ ~~e~\(\~ (please print) ure.: 2 certify that the solder used in the water supply system ~ contains less than 2/10 of 1~ lead. 1*~ h. t. 4 it:;f t ~x 3f `t~; s s tp' r t, . ,r. ~~~~..1 .C~~/~t ~ b ' (plumber's signature) <s, ~I Sworn to before me this 16 day of -J~~t. ' 19 ~Z . Notary Pub c ? tlotary Pubilc, ~ County - 5ti°A~~`4`3i J. P~R~t~~tdl3 NOTARY PU9lIC. Stu?~ 8f T1aW 'fdPIF ~ No. 4902799 ~ i Qualified in Suffolk County Commission Expires Jen. 20, 1943 ~ I I _ , - 't ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS i'ai;~; ` 4°i"I) J BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 70038 i1rAlllhf%1' l4.ri8`II ')!i•"lb:i~?4f9i D'1 :03rr"1" Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as deacrihed 6ebw and introduced 6y the applicant named on [he above application number in the premiaea of R ~ nRe1 Ix>. ~ ox loss; r~i,':, ,,txl~f's±:al,it, v. in thefallouing location• ~ Basement ~ Iat Fl. lJ 2nd FL. (;A~'tA.i~~i.-1 {;i Oi'1~"~ Section Block Lot T;d JAb~~lal:'r UG, 7.992 urns examined art and found W 6e in Wnrplianee with the reynirenwnts q(this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMi K W PMi K W. AMi K.W AMi K W. AMT. N P. ak f) I~j I f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K. W. OIL H. P. GAS H P PMT. NO. A. W. G. AMT. AMP AMi AMPS TRANS. AMi H. P. NO. OF FEET AMT. WATLS .I 1^ l 2 (l I. SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP, TYPE METER I YW I %DW, 3 % 3W 3,e'.IW NO. OF CG COND. A. W G NO. OF NLIEG A W G NO Of NEUTRALS A. W. G. EQUIP. PER % OF CC.COND OF HbLEG OF NEUTRAL .I 2~tt Safi . 'i e7,if~ i s.1(") OTHER APPARA7U5: (i_F',(L7,-~ S~Gf. 6, IIAt141hiAISA1 CnT(`. ;+"(C.~(1fi+'S W: h`l)l7`P~t)f ~U, ~JY , i i ,q'i 1. - - GENERAL MANAGER fi , gggx ~ 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 CERTIF~CATF~MUST NOT: BE ALTERED IN ANY MANNER, J i;:S: _J;i ~~J„; j~ ~C`R4tNIC I~~ I ! M m~ a ~ _ ~ y lU OUI7DATION (1st) FOUtlDATI011 (2nd 1 2. `o 'OUGFi FRAME & y ~ PLUMBING I / ~ ' ~ ' ' - ~ 1 3 O ~ r \ o m~ n IJJSULATIOH PER N. Y. I -3` STATE E2IERGY II CODs II ' II ~ ~I F I,lAL II ADDITIOPIAL COMMEPlTS: x . ca x H ~ oA~J~31 • W m~ ? Q r 4 _ _H v`~y,~~\ • H ~ t ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]~~INSULATION [ 7 FRAMING [4iI FINAL REMARKS: Cs~~ i DATE Zs INSPECTOR ~ G I rss-iso2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [(~}~IN/SULATION [ ]FRAMING [ ]FINAL REMARKS: Q ~ DATE INSPECT 765-1802 BUILDING DEPT. ~ INSPECTION ] F UNDATION i5T [ j ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [J ] FINAL ' KS: REMAR f L .i DATE INSPECTOR ~f ~ 765.1802 BUILDING DEPT. 1 NSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL "REMARK~gS~ V K- i ~z v? ~ r E i DATE INSPECTOR La ~L~~IJ~C--`'~~~~1 E10,1R0 OF HE.ALI'll FORMN0.1 ~ SETS OF PL.\aS ji TOWN OF SOUTHOLD SUIivEY _ _ , 2~4l991 ~ k~ BUILDING DEPARTMENT CIICCR _ ~ • • • ~ • ~ • ~ • TOWN HALL SEPTIC !'ORii . . . gLIS(.,, 13F~~T; SOUTHOLD, N. Y. 11071 TdWiyUF U'it-0()1.11 TEL.:7G5-1II02 p t. O ; 1 F'f ; samincd .~Q .~.,,w,,s„~.~, 19O~ CALL . . . . CtALL T0: •PProved 19,~~ Permit No..~2-.~~. . isapprovcd a/c / _ _ . .t~. G~Gr.. (Bui mg In p cto APPLICATIO FOR BUILDING PERPAIT Date ......V~•..°~`-a,, 19 INSTRUCTIONS a, T}tis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s o`s plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- iorl. 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 11 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 Il 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 Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~ulations, for the construction of bu~]dings, additions or alterations, or for removal or demolition, as herein described. applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to pit aut}orized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ie whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. b. cJ ,v /L ae of owner of premises ~ F'( e~ (as on ttte t:rf roll or latest deed) ~plicant is a corporation, signature of duly authorized officer. - (Name and title of corporate officer) Builder's .License No . Plumber's License No. . ,3,~, I \ ~ Electrician's License No . .~,SAGyE~ Otltcr Trade's License No . . .ocation of land on which proposed work will be done. . ~~--z~,LL ..I.~.O'..Q .....................O~IOLL J!1:...... .....~dC1.P!l.Q.~:l................. ' 'oust Number Street ' ' ' ' ' ' ' ' ' ' FIa ntlc t aunty Tax ilfap No. 1000 Section .....4~5.. , , . , , , Block 3 Lot ibdivisicn ...~.LC? H PO / OJT M,C11D,U,4t.)S. Piled blip No, 3 ot (1Jamc) ate existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy : Intended use and occupancy ,,,,,,•ONE /;flM•1~`/ ~F:SI j~~,vC~-•.•••••••.••...•••,.•••• it / 3. Nature of work (check which a 'plicablc): New Building ..:4~ P Repair Addition ,1ltcratron . • • • • • • • • • • • • Removal Demolition Other Work . . ~Lo it,7 s . 4, Estimated Cost . ,C",~c 7fl ' {6cscription) . Fee ...y.~ ~ , . 5. If dwelling, number of dwelling u (to be paid on filing this application) nits Number of dwelling writs on each floor . I garage, number of cars 6. If business, commercial or mixed ~ • . occupancy, specify nature and extent of each type of use . 7, Dimensions of existing structures] if any; Front , , , , , , Height Rear Depth . p er of Stories . Dimensions of same stnutur,,uvith alterations or additions: front • • • • • • • • • • ' ' ' ' ' ' ' Rear.................. g ...............Numb. Height , Number of Stories . Hciht ~tion:Front..... 8, Dimensions of entire new constru~r of Stories • • • • • Depth , , , , , , , , , , • / Rear......... 9. Size of lot: Front .....2, Rear . /,pp•! . p Depth uo,!, atcofPtirchase ..rte:... •..NamcofFormerOwncr I. Zone or use district in which rcnises are situated , ' ' ' ' ' ' ' ' ' 2. Does proposed construction violate any zoning law, ordinance or regulation: • ~ • • • • • • • • • • • 3, Will lot be regraded 4. Name of Owner of premises 1'],(~,ti(, o , • • , • , , , , , Addrassxces~~l~eSTm~~c~~ m premises: Yes _ 4µ3 , I~o G,p_ 2 .PlloneNo. ,x.7,7, ZZ'Z3:~'" ~ ..Address ,FRo~!• sT Nante of Contractor AIRute~ir • • ~ • • • • ...Phone No..a1.7?, ,`~?,S, z, , ~ .Address .Phone No. . Is this ..............r proper y wzth>_n 30 y 0 feet of a tidal wetland? >ryeS• No a,~ „ •If es, 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 r raperty lines. Give street and block nu}nber or description according to deed, and show street names and indicate whether uerior or corner lot. i ' ~ , H .TB OF NCW YORK, ; ~ I JIJTY OF , ~ V / ;U e., t~ • ~p .S ! ......../C 1 ~ l•~.~l;,Q,l~, ;L ,ss~-~.G.~. bcin clul (Name of individual signing contract) g Y sworn, deposes and says that he is the applicant •c named. I / the c. b.'•~'.?-..P.~.C. :-rJ ~'.,lr?9 ~?•T.v e !2. . (Contractor, agent, corporate officer, etc.) • • ~ ' • ' ' ' ' ' ' ' id owner or owners, and is duly authorized to perform or have pcrforntcd the said work and to make and file this cation; that all statements contained i,n this Application arc true to the best of Iris knowledge And belief; and that the will be pcrfomtcd in the rnanncr set forth in tlic application filed therewith. n to before me this Z;~,t_a!...day f.....~~~.~~... .,1~9./. Y Public, . Count i StySANNE J RRICONE ~ • • • • • • • • • • • . . NOTARY PUBLI SieTe of Mlew York • • • • • • • " ' • • • • " • • • • • • . No. aae2z99 (Signature of applicant) qualified In Suffolk Cauniy Cornmieaion Expires Jan. 20, 1fl Jo 0'39 Nm. 20 2 3 ~ -Z LISA DRIVE tRS40o°, 22s P~ as 0 ~o°, ~ °2 \ F493. ~ ~ O~~ / ~ O/ R,, ~_\4`T~ M OR~VE ~ ~ Lot 33 s~o4,/ R_ ~ ~ , li~~I ~4.~ ii 3°s,07, ~yl4i ~ :s B, a~ 6~ D / t~ ~ 36.0' / M1N N M ~ _ _ FO UNOATlO O O 4k ~ ~ I CONCRETE PILLAR \ 22.0' ~ J LD ~ I a T T I ~ I ~0f 35 I ° y 3 I- ('n ~ I w o I m_ 3 a` - ~ ~ I - - - - p ~ I 3. - - ~ ~ ~ I O 3 N I Lot 34 ~ m Area = 25494 s.f. I M N Uj z I I / I I _ _ N. 89°54~IO~~W. 100.23 now or formerly Carl 81 Anthony Codan 81 Another SURVEY FOR D.B.M. COMPANY LOT N0.34, HIGHPOINT MEADOWS, SECTION TW01i Nov Iz,lssl OCT. 31,1991 AT SOUTHOLD DATE OCT. 15,1990 TOWN OF SOUTHOLD scaLE 1"= 40' SUFFOLK COUNTY, NEW YORK No 9o-oaol K ulMU7NONl2 CO AL iERp TIOM OR 4001nON TO THIS NEWYYORK ST1T[EDUCAT ONE a~ON 1209 OF THE RP~E OF NFw N COZIES OF TN13 3U11VEY NOT BEARWG THE LANO 6 R~ w. `O~ SUR VE WR'3 INKED SEAL OR EMBOSSED SE4L SHALL P NOT e[ CONSIOE RED TO eE 1 VALID TRUE COPY 0~ rO K GUARAN TEES INDIUTED NE REON SHALL RUN ONLY TO .r G HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTa.~ . ? THE PERSON FOR WHOM rHE suRVEr IS PREPARED ANO Q1 HIS BEHALF TO THE TITLE CON PANY, GOVEAN- R N[ARCST WATER ~AIM_MI ! RSOURCE O< WATER PIIIMTE -PUBLIC _ MENTAL AGENCY AND LENDWG IN3TITU i10N LISTED R EIIf CO TA%MAR pfT 1QQQ SCC TION 3'~ NDCK g LOT 1537 HEPE ON, AMD TO THE ASIION EES OF THE LE NOI NG R TN[R[ ARE NO DWFLLiMef WITNIM 100 FEET Of TWS PROP[RTY INS TITUiIpI GUARAN TCES ARE NOT TRANSFERABLE OTNCR THAN THOSE SHOWN HEREON t0 AD0I TIONAL INSTITUTIp/3 OR SUBSE OUENT M iNE WATER fU1MlY AND SEWAe[ Dlfl'O11L lYf TCN F011 TNIf RCIIDENCE NOISTA MCES SHOWN HEREON FROM PROPERTY LINES a0 458 3 MILL COMfORM TO TNC STAN DAROi OF THE SUFFOLK COUN7Y D[?ARTM[Ni i0 E%ISTING STRUCTURES AR[ FOR A 3PECIfIC OF HEALTH f[1M IC[f PURPOSE AMD ARE NOT TO BE USED 70 ESTAeUSN (AND U'(~' APRLICNIT' PROPERTY LINES OR FOR THE ERECTION OF FENCES ADORE SS TEL YOUNG a YOUNG R~RHEADNNEWAOR~KE NOTES ~=MONUMENT Q=STAKE ALDEN WYOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911. 4N0 LAND SURVEYOR N YS LICENSE NO 12845 HOWARD W YOUNG, LANG SURVEYOR m MTNE LOUTf7N aF WELL(W I, SEPTIC TANKIITIe CCSfPOOIf(C?) f110WN MG[ON N Y S LICENSE NO 45893 o ARE FROM FIELD OpER1MT10N9 ANO OR DAT1 01 TAIMEO FROM OTHER S Z.B. R RAN DIS 6 SONS INC. LISA DRIVE R:4 0 ~ a2 00, _ as. s;, a~ 0 I V4O4Nt1 e~,, ~O?v ~ +2?e \ ~ E rr q,, ~~4rPR OJO ~ G~J^O ~ NON R~~~ fX EI,D a - Q ' ~ Lot 33 ~ ` ~g>.~' j (VACANT) tiJ ~ 9Q~~ ~ / a.iy ~ /o ~ / M Oyu \ a ~ [ °ry ~ M N M~ lg°/ w i 2' So ~ 1 ry~ / pROA C 31' M W~ Op HO`s N h O \ ~ N ih a I N i (D I O) I a qo t 35 G~ v E C 1 R NT) L- O 1 yam-. N I L Cn IN ~ ~ ,.ac 1 = - _ ~ i I C G~ lyj i `O 3 N Lot 34 ~ N°Di Area = 25494 s.f. i ,°Y) I N Uj Z m ~m N IN J J W W N. 89°54110°W. 100.23 - - //JJ6ry~ s [[[[~k//~Cqq/,,t //jPl~ y~ now or formerly Carl 81 Anthony Codan & Another F~ . ~~:p S9f~l~s6._I F:'~~-°~~r_~` £i'~'ifEl_~L@i~~~s ~3~R Y f9¢ ?~1)6i~E8 "t"1/~'t~i ~`E/~~ii i=..~y~d ~.3€i~'E A~~~~taVAL. ~ ~~~~j~~ SURVEY FOR "<<S D.B.M. COMPANY SUFFOLK COUNTY DEPARTMENT OF HEALTH sERVK~ LOT NO. 34, IIHIGHPOINT MEADOWS, SECTION TWOII AT SOUTHDLD GATE. OCT 15,1990 FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE 1~~=40~ OCT 191990 C, SUFFOLK COUNTY,-NEW YORK No. 90•De01 DATE S REF. G ~4 RUIMUTN0111ZE0 AITERATIOM OR ADDITION TO THIS SURVEY Q A VIOLATION Of SECTION 7209 Of 'THE ' NEW PORN STATE EDUCATION LAw IPDRQVED NCOPIES ai THIS SURVEY NOT BEARWG TNF LaeD ~ ,~p,4E OE NFBy'', 3 0 7/ / ~ ~v 1 SURVEYOR'S IMNEO SEAL OR EM[053E0 SEAL SHALL 5 aD w ~ !~~a (J (Q MOT [f CONSIOf RED TO [E A VALID TRUE COPY MGU 4RAMTEE3 IN0I CA TED HEREON SHALL RUN ONLY TO ~P' THE PERSON FOR wNOM THE SVRVET IS PREPARED ® ~ HEALTH DEPART MENT-DATA FOR PPR TO CONSTRUCT AND DN Nls eE NA Lf TO THE TITLE COMPANY, 60VERN- Z MENTAL AGENCY AND LENDING INSTITUTION LISTED ~ ~ 3~ N MLMt3T WATER SIAIM~MI N SOURCE OF WATER PIIIM7E _PUBIIC _ ~ • SI/f Cp. TA%MA? p[i 1000 SCC TION SLDCN ~ LOT o 15.1 HEREON, 4MD TO 7NE a3510NEE5 OF 7NE LE MDING M TN[R[ AR[ MO DW[LLIMS WITHIN 100 fEET Of THIS IROP[RTY INSTItUT10N GVARANTFfS ARE MOT TRANSFERABLE p,,~ OTNLR TNAM THOSE SHOWN N[RtON TO AOOITIOMAL INSTITUTIONS OR SUBSEOUEM7 R iN[ wg1TtR 7UMLY AND SEWAB[ DISIOSAL lYSTfM fOR TMH ROID[NCE OMNER S WILL CONFORM TO TNL STAMDAROf OF TM[ SUFFOLK COUNTY OE?ARTMlMT R DI STAMC[S SHOWN HEREON FROM MOPEPTV LIMES ~ 10E%ISTIM6 STRUC NRES Mf fOR A~S?fCIFIC Of M[ALTN f[INIC[S. PURPOSE AMD ARE MOT TO BE USCD TO ES GBUSN F;b ARLICAMT~ ~(Z w1 P ?RO?ERTY LINES OR fOR THE ERECTION OF fEMCE3 dND S1lRV~~®* AOOIIEU '/,1> I.Jv~A~V~`L.in1WS7- 6-v-ee,~~Y`f" Nye [[9yy 'f7.-~ IV` Ttl ,y~~-z~,z3 ~ YOUNG ~ YOUNG ~ R'~~'A'o"~w"~R E NOTE ~ ~ =MONUMENT ALOEN W.YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N Y.S LICENSE NO 12845 SUFFOLK COUNTY ON MAR. 19,1990 AS FILE N0. 8911. HOWARD W. 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