HomeMy WebLinkAbout20250-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-2t~48 Date NOVEMBER 18, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 55 ORIOLE DR. & 410 TUTHILL RD. EXT. SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 30, 1991 pursuant to which
Building Permit No. 20250-Z dated NOVEMBER 1, 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 is ONE FAMILY DWELLING BREEZEWAY & GARAGE AS APPLIED FOR
The certificate is issued to JOHN & CLARE KUJAWSKI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-93 - OCT. 27, 1992
UNDERWRITERS CERTIFICATE NO. N-254385 - OCTOBER 21, 1992
PLUMBERS CERTIFICATION DATED OCT. 6, 1992 - MATTITUCK PLUMB. & HEAT.
~.~L.~L/
Buil' ding Inspector
Rev. 1/81
:lOBM 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° 2 0 2 5 0 Z Date 19.9..t.
' Permission is hereby granted to:
~ ~ .~5-a'o~
~.:.......l..l..
......~~~c.....~a a
..C:lat.~:!!~Md....... ~?.:~.:.....1..!..9. ~
ro..G~:..~?~.~.:!:t~~"...c~...a~av...:~.s`~rtn~,~....i~.s:l!-!~:Q~!.:~y^~aa~la~1L:R
' at premises located at ..4Sr.~..Y.':~1:9''.'.4:.....1~.~:4~. ~.~~~...1:.~.!~I.,.a~'K~~...~~Q:tiLd~YUY(~_
County Tox Map No. 1000 Section ....O.S~.......... Block ......Q.~i........ Lot No....~..r~i.:.aZ.~....
pursuant to application dated ..cp.S,.%1.:.~M......r~l.2 19.9.7.., and approved by the
Building Inspector.
Fee 3...I.~1 t.
Building Inspector
Rev. 6/30/80
Form No, ( ~ t~~~
' - J - TOWN OP SOUTIIOLD /P/--
` BUILDING DEPARTMENT ~p~ y~~•_` ~~~~J
' ~ii)~j { .3 f,~.%. TOWN HALL ~G .~_a~ `
• 765-1802.
APPLICATION FOR.CERTZFICATE OF OCCUPANCY
<<• 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 3~sed in system contains
less than 2/10 of 17. lead.
5. Commercial building, industrial building, multiple residences an~ 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 $15.00 '
Date ~ ,
:w Construction.. Old Or " " "
P//re~~-exis tin~g/,,Building,
cation of Property:...~~.......Y..`:'Ib~ ~-J.~• ~ •
. House No. ............~~,1
• Street
Hamlet
acr or Owners of Property.,~~/,~V\,•}
inty Tax Map No 1000, Section..,~~ `EE
........Block.... ..........Lat. .l sit~.~....
~diviaion. -.~.~-~~,~(jl„ „~.c~.'........Filed Ma
mit No.~~s-s~J.Q..... P•........:.:Lot .
.Date Of Permit,~~,~,~, ~,~,,,,Applicant. .
lth Dept. Approval ~
..Underwriters Approval........
fining Board Approval
lest for: Temporary Certificate...... •
~ Final Certicate..
Submitted:
X3.2 • .
en~~ y~~
ICANT
o~oS~FfOL,`'~ol~ ~ TEL.7G5-1802
To«N or so~~r~o~,~
l~
• ti 1 OFFICE OF DUILDIt•IG INSPECTOR
~ ~YY~jk, .=rrn P.O. BOX 728
TOWN 1lALL
%~O~O~ SOUTFIOLD, N.Y. ] 1971
C E R T I F I C A T I O N
Date ~p~---_
Building Permit No.
Owner
k~~~.wgk
(please' rint) _
Plumber ',~a~~
(please print)~~ ~
I certify that the solder used in the water supply system
contains less than 2/10 of 1, lead.
(plumber's s' a
Sworn to before me this
.5~~~.JrT/~ day o f (~C'7~/~Fs~
19 /"-Z ,
Notary lic
Notary Public, ~'c/~~aL/G County
Ed1H F.JMCKSON
Noa7P
N
R~Nh?Yak
fhnAMai In SuNolk County
Term Expires Feb.18,1998
' THE NEW YORK BOARD OF FIRE UNDERWRITERS nnG~ ~
~ 17.850T7
BUREAU OF ELECTRICITY
r ~ 85 JOHN STREET, NEW YORK, NEW YORK 50038
Dace OCTO(iklR 21, L93'l ApplirationNo.orzfile 7'7909A92/9? I] 2~4~135
j THIS CERTIFIES THAT
only the electrical equipment as described 6elorv and introduced by the applicant named on the above application number in the premises of sd
JOHN KUJALVSCiT, 55 r]C2TOLN QRTVS, SOBTNC}LD, N. Y.
in thefollouing hmotion: ~ Basement ® lst F'(. ? 2nd F'l. CACt~CTQ~' .Sertion Blaek Lot
uws examined on QrY'Q{)f512 lfi~]9J2 arzdfomtd robe in emnpliarzre with the requirements of this Board.
R FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ~y
E OUTLETS ECEPTACIE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMi K W AMT. K.W AMl NW qMT K.W AMT. H.P
27 45 25 2'7 2 1.2 2 ~
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MULTI.OUTLET DIMMERS
AMT. K. W. OIL H P. GAS H. P. AMT, NO. A. W G AML AMP AMT AMPS TRANS. AMT H P. SYSTEMS AMi WATTS
NO. OF FEET
Z ~ Z ~ ~
SERVICE DISCONNECT NO.OF S E R V 1 C E
METER NO.OF <C. COND A W.G. A W G. A W.G.
AMi. AMP. LYPE EQUIV 1 YW 1 % 5W 3 $ 5W 3% 4W pER % OF CC. COND NO OF HbLEG OF HbIEG NO OF NEU1RAl5 OF NEUTRAL
2 7,04 C~1 t H k 2/0 2 1t0
• OTNER APPARATUS:
1{QTQRJt~.'~ }I.
ri. f~r~t,. r~
S~f9KC; 1?F;4'~"C~'0RL _L
' RQSCIAK 11I1&C4'[t]:C T,tC.I<3G7't C; G!~~~
' P.O.'uU% 16A
CICTCCCUCIt~ r NY, 11935 OENERAI MANAGER
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.
clELD II:SP~C:iUN ~IJi,:~ I ~ CDh{MLNT° _
FOUilDATION (1st) ~A,
~ ~ t,'
cZ
FOUNDATI0IJ (2nd) tn~
- z
o
P.OUGH FRAME & ~ A/
_ ' /v d
PLUMBING `
~o /EGG Go G ~ G ~6 ~
3 . 7 ~ jC'--/f' ~ a
It1SULATIDA7 PER N, Y. _ y
STATE ENERGY o
CODE 4
4 , ~ -ma
/3
FIidAL
E
ADDITIOPlAL COMh1ENTS:
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765-1802
BUILDING DEPT.
lNSPECTlON
[)FOUNDATION iST [ }ROUGH PLBG.
[)FOUNDATION 2ND [ )INSULATION
[)FRAMING FINAI
REMARKS:
DATE 1 ~ ~ INSPECTOR _'L
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ FINAL
REMARKS: e„~ ~ c~
DATE ~ ~ ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST {~J' ROUGH PLBG.
(]FOUNDATION 2ND [ ]INSULATION
[ ~RAMING [ ]FINAL
REMAR/~KS:
y/ ~ /,t-yli ~ ~Tf G 1
e
®R
' ~
I
i
~ r
DATE INSPECT~~
4
765-1802
BUILDING DEPT.
1 NSPECTItJN
[ ]FOUND ON 1ST ( ]ROUGH PLBG.
[ OUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
r
Y
DATE 3 INSPECTOR
t
~ ~
765-1802
BUILDING DEPT.
INSPE~TIC?N
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ 7 FINAL
REMARKS: `~2--~-~~.~ 'z~-~
J`"~
°
DATE ~ ~~tNSPECTOR
i
T65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T ~ ] ROUGH PLBG.
[ ]FOUNDATION 2ND N
[ ]FRAMING [ ]FINAL
REMARKS:
c
~ l
DATE g7,~ INSPECTOR f
` ~
t~ _ ,
JAMBS C. McMAHON t
~ ~ ~ - o SCOTT L. HARRIS
Administrator v rnz+ v " $ ~99~ , ;p Supervisor
b 1~~
Telephone (516) 765-1892 ~ ~ r q , ~ a t- Y ~ laa Ton Hall, 53095 Main Road
~~l ~R „L9t~~ e ~,`°._";`„F71~7._ ,B P.O. Box 1179
w u ~ Southold, New York 11971
Fax (516) 765-1823
TOWN OF SOUTHOLD
COMMUNITY DEVELOPMENT AGENCY
TO: VICTOR LESSARD, PRINCIPAL BUILDING INSPECTOR
FROM: JIM MCMAHON, DIRECTOR, COMMUNITY DEVELOPMENT
SUBJECT: CERTIFICATE OF OCCUPANCY - AFFORDABLE HOUSING PROGRAM
DATE: November 8, 1991
I hereby certify that John Kujawski has been
issued a valid Certificate of Eligibility for the Town of
Southold's Affordable Housing Program and the issuance of a
Certificate of Occupancy to John Kujawski will not
permit a use, occupancy, sale or lease of a dwelling unit or
unimproved lot in violation of the provisions of the Southold
Town Affordable Housing Code.
~Vv~-~'\
James C. McMa on
Director, Community Development
Lot #21, Highpoint Meadows
~ ~~~y u.i;=~,_, , r f30,1RD OF HEALTH ~?v'~
6~~~,5'~- _ FORM N0. 7 3 SETS OF PL.1rtS
~f ' TOWN OF SOUTHOLD SURVEY
~:re OCT30l9~1 clll:cr ~.a.~D_`f--...........
oI,'> BUILDING DEPARTMENT
tt. TOWN HALL
+,I4~i,._.. {:~w'~, SEPTIC PORN
i ~ t,~ • ~ ~ SOUTHOLD, N.Y. 11971
~ ~ p~ ~ TEL.: 765-1802 r:oT I FF ;
Examined . ND?~?~nYt4.t. I, , 19`.x.1. CALL . . . .
~ MAIL T0:
:approved .Nif~»'?~.~ , 199 Permit No.g1C~.a,S~ ~ . .
Disapproved a/c _ .
(Building Inspector)
APPLICATION FOR BUILDING PEfiMIT
Date ~ ~..~.s?. 190
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 mus(,.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
.;call be kept on the premises available for inspection throughout the work.
e. Iv'o building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
ia11 ii5ve been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
:cgulations. 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 authorized inspectors on premises and in building for necessary insp tio~
~re of appli , or name, if a corporation)..
...:Pct s~~...~e~~~.: ~ va.
(Mani 1g~~da~e~f applicant)
Mate whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder.
.........(~1~a?~~S?x"
\amc of owner of premises !„)Q~, ,1. ; `~~~Q1.!~},,G~ . . . . . . . . • , .
. y.
(as on the tcrx roll or latest deed)
:f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No . : . .
Plumber's License No. ' .
Electrician's License No .
Other Trade's License No .
Location of land on which proposed work will be do~ ..~~.1QWr. , l~ ,l, ~,~`,.®1 Ub.,'
--(.~gi~pp n~p pp
house Number Street Hamlet
15~'~
County Tax lvlap No. 1000 Section Block Lot `
Subdivision Filed slap No. Lot , .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.C•xistinguseandoccupancy trtit.'=~.`~';`-`.*-r
_ s,,
b. Intended use and occupancy ~i ; . ~ ~ ;.f~,:"
3. Retaite• of work (checl~which applicable): New Building ~
P Removal . Addition Alteration .
Demolition . Other Nork ,
4. Estimated Cost ~Qf~ (Description)
Fee
5. If dwelling (to be Paid on filing this application)
e, num er of dwellin
units , I, , , , , , , , , , Number of dwellin units on each floor .
if garage, number of cars
6, If business, commercial or mix g
d occupancy, specify nature and extent of each type of use . , •
7 Hci~l
Ysions of existing structures, if any: Front , , , , , • ' ' ' ' ' ' ' ' ' • • • • • • • •
° e Nurrjber of Stories , , Rear . Depth .
imensions of same structure wjth alterations or additions: Front • • ~ • • • ~ ~ • • ~ ~ • ' ' ' ' ' ' ' ' ' '
Depth ....................',..Iicight......•, Rear..................
8, Dimensions~1o~' entire new construction: Front , , ~ t Nurttb r Pf Stories , , , , , , , , , , ,
Height .~.7'. , Number of Stories . .~~f.~ • Rear ..4~..6....... Depth , q.~Q
9. Size of lot: Front . ,1,e~-'~ , ' • • 4xgcaR,
10. Date of Purchase ' ' ' • • • • • Rear , ,~,~,,Q~ , • • . • e th ~
, .5.~a4 . .....Name of Former Owner , .
11. Zone or use district in which premises are situated , • - • • • • • • • • • • • • • • • .
I Z. Does proposed construction violate any zoning law, ordinance or rem
13. Will lot be regraded oulation:
14. Name of Owner of premises ti1Q~A1 ' ° • Will excess fill be removed from premises: Yes o
Address
Name of Architect • • • • • • • • • • • • ......Phone No.
Nance of Contractor . ' ' ' ' ' ' ' • • • • Address . .....Phone No. .
15. Is this property within 3'00 feet of a tidaldweCland? • ~ • • " • • " " • • Phone No. .
Yes........ No.~Q
~If yes, Southold T~,own 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 r;umber or description according to deed, and show street names and indicate whether
interior or corner lot.
„ ,
rATE of NE Yo ~ s:s
ouNTV or .~C~~~.
.
...~~bi~ ~ . ~aG~ . `cc~n.~~.C~i .
being duly sworn, deposes and says that he is the applicant
(Name of indi ' ual signinglcontract)
~ovc named. . ~
(Contractor, agent, corporate officer, etc.) ' ' ' ' ' ' ' • ' '
said otvncr or owners, and is duly authorized to perform or have performed the said work and to make and Gle this
Plication; that all statements containcil in this application are true to the best of his knowledge and belief; and that the
irk will be performed in the manner sek forth in the application filed therewith.
am to before me this
,day of.. ~ ~..,'19
'
taryPublic _ •~,i.
' \ .County ~ r
GLAIRE 1.. GIEVII
!bury Pubtta Sate of New Yak
No.4879606
~mQ~~I~i~n~Sutfnik u 8 Qom`" (Signature of applicant)
I
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i
SURVEY FOR
JOHN P. KUJAWSKI
LOT N0.21, ~~NIGHPOINT MEADOWS, SECTION TWO~~ MAR. 17, 1992
AT SOUTHOLD sEPrz4,lss1
DATE. SEPT. 5,1990
TOWN OF SOUTHOLD SCALE I"= 40
SUFFOLK COUNTY,NEw YORK No so-os5s
K U/MUTNOIOIZED AIiCRATIOM OR 4DDITION ro rNls GUARANTEED
3URVCY B A VIOl4T10N aF 3[CiION 7209 OF THE JOHN P ~$K~
NEW YORK STATC. CDUCATION LAw TICO IF Alt~/~l E
RCOPIES OF MIS 3UIIVEY NOT BEARWG THE LAND I3RI E Pd~~I D ANK
SuRVE'IOR'3 INKED SEAL OR EMB033E0 SEAL SHALL
MOT BL CONSIDERED TO BE A VALID TRUE COPv
M GV4RAMTEE3 INDICATED NERf ON SHALL RUN ONLY m O rO
THE PEPSON fOR wNOM THE SUMEY IS PREPARED % ~ Z' G
HEALTH DEPARTMENT-DATA FOR APPRO~MI TO CONSTRUC i Z~
ANO CN HIS BEHALF TO THE TITLE COMPANY, GOVEAN- ;
R N[AR[!T WATCH ~AIM.MI ~ MSOURCE Of WATER PRIMTE -PUBLIC _ MENTAL AGENCY AMD LENDING INSTITUTION LISTED
MWf CO, TAX MA? OHT 1000 3f CTIOM 55 BLOCK 6 LOT 15.2< HEREON, AND TO 7NE 41310M EE! OF iNE LENDING y
RM[RL ARE MO OW[LLIM! WITHIN 100 fEET Of TNISfROPCRTY IM3TITUTIp1 GUARANTEES ARE NOT, TRAMSFERA BLE
OTN[R TMAM THOSE SNOwN HEREON 10 AOOITIONAL INSTITUTIp13 OR SUBSEQUENT
R TN[ wAT[R SV?R.T AMD S[MMBE DI!?OSAL lYSTCM Fdl MY RtS 10EMC[ OWNERS N
WILL COIIfORM TC1 TM[ STAMOARDB Of TN[ SVPPOIK COUNTY DEPARTMCMT N0I STANCES SHOWN NE REON FROM PROPERTY LIME!
OI NULTN B[M ICC 1. TOE%ISTIM6 STRUCTURES ARf fOR A lPECIFIC
PURPOSE AMO ARE NOT i0 BE USED TO ES TAB IiSN yOQ'
A/rLICAMT' IROPERTY LINES OR FOR THE ERECiI ON OF FENCES ANO SU
30011E fE
TEL YOUNG & YOUNG RBI
VOERFIEADN NEW YORKE
NOTE STAKE O= PIPE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ANO U1N0 SURVEYOR N Y.S UCENSE NO 12845
SUFFOLK COUNTY ON MAR.19, 1990 AS FILE NO. 8911.
„ HOWARD W YOUNG, lANO SURVEYOR
N M LOGTIOI Of W[LUw), SEPTIC rAMKahe cEUroOlstnl SNOwN N[REDN N Y S. UCENSE NO 45897
< ARE PROM FICLD OMER111TIOM3 AND OR DAiA OBTAINED fR'OM OTHERS -
z e.
BRANDIS 6 SONS INC.
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SUFFOLK CQUNTY DEPARTMENT QF HfkL7H SERYtCES SURVEY FOR
_SIrNyGt~;~#A~QILYD5'ElL1a~c[~~~~LY~ ~9 JOHN P. KUJAWSKI oCT Iz,1992
DAI~~~.S._~M.S. REF. IdL...1L:U~..-=LJ. LOT N0. 21, HIGrIPOINT MEADOWS, SECTION TWO~~ SEPT24,iss
The sewage d~spcsal and wr<ter sLy~ply fal^I'r?+e3 fat'th~s AT SOUTHOLD DATE SEPT. 5,ISSo
locailonhacebe~nlrlsp2ctedbythssi',e~artmentand/ot TOWN OF SOUTHOLD SCALE 1"=ao'
other~~tlc(~sandf~urNl1totyesatit:E~:tolY. SUFFOLK COUNTY, NEW YORK No 90-0659
+UWIUTNORIZ ED 4LiERAT10N OR AOOirwN ro THIS GUARANTEED TO
Chlef of Bureau of Waste~vater Management SURVEY a A vloLarloN of SECTION T2ov of THE JOHN P. KUJAWSKI
HEW YORK STATE EDUCATION LAN TICOR T,IT•L~ ~ltiN NTEE
+ COPIES OF TN13 3U11V EY MOT BEAR WG TME L4N0
SURVEYORS IMKEO SEAL OR EMBOSSED 3E4L 3N4LL BRIDGP~Af~'pT tbl~~A AL BANK
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+GUAR4N TEES INDICATED HEREON SMALL RUN PNLY TO ee-` Aa+ ~ yy
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME PERSON FOR WNOM THE SVMEY IS PREPARED DSO ~ '
ANO O1 N13 BEHALF TO TME TITLE CdAPANY, GOVERN-
N MCAREST WAT[I1 fIAIM_MI ~ NSOURCE OF WATER P111MTE PUBLIC _ MENTAL AGENCY ANO LENDING INSTITUTION USTEO v A A Q
M fI/F CO TA%MA? pfT 1000 SEC TIOM 55 BLDCN 6 LOT 16,24 HEREON, 4M0 TO THE A3SION EES OF TME LE MDIMG ~ ; u ~
MTNCK AK ND DWELLIIbf WITHIN 100 FEET Of TINS RRO PCRTY INS TITUiIpI GUARAM TCE3 4RE NOT TRANSFERABLE i I ti
TO A001 TIONAL INSTITUTIONS OA SUB SE OVENT i
OTNCR THAN THOSE SNOWM HEREON OWNERS > rs9 flt + =°~g
N THE W1T[R fUP?LY Alb BEWARE OIfROf AL lYf TCM F011 iNlf RCf IDENC[ °s CT SNQ vo
WILL CONFORM TO TN[ 7TAMOAROf Of TNF SUFFOLK COUNTY DCPAR7M[MT N DI lTANCE! SHOWN HEREON FROM MOPERTY LIMES
TOE%IS TING STRUCTURES ARf FOR A SPECIfIC • t
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Af?LICAMT' PROPERTY ONES OR fOR TME ERECTION aF FENCES 'leceoangP3^^n
Aooa[fs
"L YOUNG 8r YOUNG RR~RFIEAD"NEW YORKE
NOTE+~=STAKE O=PIPE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8911. 4ND LAND SURVEYOR N YS UCENSE NO 12843
HOWARD W YOUNG, LANG SURVEYOR
m R TIE LOCATgN a WEL LIw I,fEPTIC 7AMNlST)B CESlWOLY(C?) tMOWM NG[ON N Y S LICENSE N0 45893
a AK FROM FIELD OpERWITIg13 AMD OR DATA OBTAIN[D FROM OTNERf 2 B
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