HomeMy WebLinkAbout19762-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 220105 Date JULY 24, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2530 LAUREL AVE. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 56 Block O1 Lot 2.20
SEC. TWO
Subdivision LONG POND EST. Filed Map No. 9031 Lot No. 26
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 3, 1991 pursuant to which
Building Permit No. 197622 dated APRIL 3, 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 WITH ATTACHED DECK & GARAGE.
The certificate is issued to MOHRING ENT. INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-19 JUNE 6, 1991
UNDERWRITERS CERTIFICATE NO. N194581 JULY 1 1991
PLUMBERS CERTIFICATION DATED craaur.aS SANDERS 7/11/91
.
Bu lding Inspector
Rev. 1/81
I`
rotita xo. s
TOWN OF SOUTHOLD
6UILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 19 7 6 2 Z Dare ~S?.~¢..c~.....~ 19..`I
Permission is hereby grant' to: ~ Q n
O~YV?~L~?;.q . Cn~,a~I~L~,P.~
at+ es locut...°~~.~..~~.......~L~:..:!:!::^:'~r.~ ......................~J
t?:trr.~kt~r~:~.........
County Tax Map No. 1000 Sectio ~ 4S.!~P...... Bloek Lot No....~~:..:.~:'V
pursuant to appileation dated ...l,y~/ ....~,2 19.~.f.., and approved by the
Buliding Inspyet~ctor.
Fee 5...~.5 :.:.~D
Buil ng Inspector
Rev. 6/30/80
i
Form No. 6
TOWN OF SOUTHOLD
~~~~p ~ BUILDING DEPARTMENT
a~ TOWN HALL
765-1802
PLICATION 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 installati~~ns, 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 - Residenti/a~l $15.00, Commercial $15.00
Date 1.- ~
New Construction. Old Or Pre-existing Building
x.530 L,gu;g~;L...%U~: ..Socc~`/(o~t~
Location of Property.
House No. Street Hamlet
Onwer or Owners of Property... ~ ` P y4P.~!?G.., ~Nt• . Z^/C
County Tax Map No 1,/0/n00, Sect/i-on....4~(~~G......Block..... a~........Lot..°~: ~,U....
Subdivision J~p~~P.. l.QISI.C,~...G•,~.7.~;/.ca~~~.:~Filed Map.. /.Qr~ r ..Lot....
Permit No. f
%.°1.6...2 Z ,,,Date Of Perm i~Jt ................Applicant.............................
Health Dept. Approval...~~.~ .:-5.~, ~ !.........Underwriters Approval
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted:
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~/CO/~/~~~~5~ ...APPLI ANT........
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TIC li~~ll YtlRK ®'t)ARD OF FIRE UNDE~AFRlTLRS
t OOf168'L
sweewu oR E~crlelcm
~ ip JOHN STREET. NEW YORK. NEW YORK 10096-. ,
JULY U7 ,.1.991 ~~y f.1~ 91.it ti4?1 (91 ,u i 445ri 1
k Da[P E~'~t{~T.'1" Nt)o o'Pq !N J.
Is cERrtFlES TNAr
ettty ek. a4et.inl-pulptwswt a Js.a.tkt! tw~o..ttd inerwkecc.d M' tke ytplic.nt nramd sw tke dww yrpttcreton masks. in tMpewtw4d. t{/
* MOHRlNC EN'3'F12PRT.:'F;S, E.STDt: OF .Ai1N"d,~ AGfi., S(iU'l'HiiL~, iV,]'. ~ -
~-Aitf A't"P~~,iUi PP 5b ) 7,fy
in tksfolfoatinR ktcs ~ ir~tent ~ let Fl. ? 2nd Fl. Sertion~ aloek lot ~
useexsmined on un r. !4 ~ 149 and found to 6e in compfisnce ufth the rPyuiPemeute of ekL 8orry1. _
NItTW Afltf ftttTOlff iIAMQlf gffKf OVBRi
OVitfif nUOKtftttlt OTHER ' AMi. K. W. AMT. W. AMT CM ' AMT : It W, AAU. N I -
DRYMS RRMNA~ MOtOR3 IYtIlY McUAtt® 1'fRCUf l.~C'/i TNIlC10GIf ~ !flit tlM~f 6MIM1l5
AMT. K. W. dl KP. t?ef N. f. AMT. NO. A W.O. AMT. AMI. AMT. AMK. Twit. AMT. N A ~ AMT. WAITS
1 ~ 3 _ 1
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AMT. AIN. Tnt t/tW i/TV x>t rv ~/.w No. ~K
icaw. Ho.a HLiE6 O'w'le'i HD.WNtUiKA1b of } ~iut
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DEPARTMENT. Ti115 COPY OF' P1CA1`E W3T NO'f df ALTS Ni AlIY
Iii ~ TE 7G5-1802
°'~p~tl~Co~~ TONN U~' SOYIT~igLD
tee' " w OFFICE OF DUILDINC INSPECTOR j
~ . ~ ~ ~ P.U. AOX 728
~ TOWN HALL
~ WO~~ ~ ~~0`t' SOUTHULD, N.Y, 11971 ii
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C E R T I F I CAT I O N
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Via; f Date /l- g~ .
1
l~~ 1'"
eutldirlg Permit No . / °l 7
~
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owner 6h~.?i~G :C/(~~ 1.tirc. j
please print) I
(please print)
I carti£y that the solder used in the water supply s stem
captains less than 2/!0 of lu lead.
I,
~U I
(p tuber's siynaturel
Sworn to bel-:c ~ n•.c ti:is
i
d,ry oE'
i 13 9~ .
- ~ otary Publ
lotat•V i.ic:,, /2a.oaao.~- _County .
i
BUYAN EF. pONCKRO
I ~ NOTARV Rl&.16, W W d NwvYM
. I L. Np, 9pd616118
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:i.lELR I1:S:'EC::U;7 ~IDn:E ~ OOMMGNT~
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FOUNDATION (1st) , ,
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FOUNDATIOtd ( 2nd ) _ m
2 . JlA
o
P,OUGH FRAME & ` a
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PLUMBING
J~~D.
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I17SULATIOP7 PER N. Y. ~ ~ • •
STATE ENERGY
CODE
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FINAL
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n 9 ADDITIOP7AL COMMENTS: ~ "
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ) ROUGH PLBG.
[ J FOUNDATION 2ND [ NSULATION
[ ]FRAMING [)FINAL
REMARKS:
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DATE ~ ~ INSPECTOR
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS:
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DATE ~ INSPECTOR
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ OUCH PLBG.
[ ] FOU ATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
REMARKS: ~-C-~.."~1.~c.~?, ~C.i~~r
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DATE ~ ~ INSPECTOR
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765-1802
BUILDING DEPT.
1 NSPECTION
[ FOUNDATION i5T [ ]ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING FINAL
REMARKS: ~
~ ~ ~ ~ R
DATE f~ ~ INSPECTOR
~ ~j~~-
765-1802
BUILDING DEPT.
[ ] FO TION 1ST ( ] ROUGH PLBG.
[ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REIYiARKS:
DATE ~ INSPECTOR
"
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
(]FRAMING [y'FINAL
REMARKS:
DATE l INSPECTOR
} z
Builder and Land Developer
323 Glen Cove Avenue ,P
Sea Cliff, New York 11579 ~
(516) 671-0481 ~
April 23, 1991
Southold Building Department
P.O. Box 1179
Southold, New York 11971
Re: S.C.T.M. #1000-Sec.56-Blk.l-Lot P/O 2.1
Long Pond Estates, Section II
Building Permit #197242 - Lot 25
Building Permit #197622 - Lot 26
Dear Sirs:
As per your recent request, enclosed please find the
foundation location surveys for the above referenced.
If you have any questions, please feel free to call me
at the above office number. Thank you.
Very truly yours,
r;,
7
Richard Mohring
AFR 2 4 ;~~yi
RM:sc
Enclosures
' BOARD OF HEALTH
FORMNO.1 J SETS OF PL.\:75
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CIIECt:
~ ~ ~ ,j TOWN HALL serTlC Foart . .
: , SOUTHOLD, N.Y. 11971
,~II =``"~s TEL.: 765-1802 r:o~TI-P~Y;
~....LL~
Examine OWN OF &OtlTNC'
9
R 1., ~i MAIL TO
Approved , 199 .Permit No. ~ 9 ~ ~ . .
Disapproved a/c
(Bu mg Inspector)
APPLICATION FOR BUILDING PERMIT y/
Date . .z...., 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 shalt 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 applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here' described.
The applicant agrees to comply with all applicable laws, ordinances, building cod , ou ~ g e, an egul : ons, and to
admit authorized inspectors on premises and in building for necessary inspections
(Signature of applicant, r na , if a corporation)
X213 Cg,%t •~'~e.......~~:cl'~~....
(Mailing address of applicant)
State whether applicant is owner, lessD~ee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....../.y./../
U
Name of owner of premises 1.~/.P/!~!K-.F: C~~ :p~~PS ~
(as on the tax roll or latest deed)
If applicant is or or o ignat of ly authorized officer.
Name and title f co at officer)
Builder's License No . .
Plumber's License No. ~~2CS
Electrician's License No. .
Other Trade's License No . .
1. Location of land on which proposed work w~Sl3 done . .
House Number Street Hamlet ~
Block .........l Lot .
County Tax Map No. 1000 Section
Subdivision Filed Map No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy d/`~Lt. L~
b. Intended use and occupancy /~~'1~!~!.F....:~!'~/~ .
,J" - .
3. Nature of work (check which applicable): New Building , , , . Addition Alteration
P ~ Removal " " " " "
e au , Demolition Other Work .
75 (Description)
4. Estimated Cost ~ Fee
(to be paid on filing this application)
5. If dwelling, number of dwellin~units ~ Number of dwelling units on each floor .
. If garage, number of cars , , , • , _ .
6. If business, commercial or mixed occupancy, specify nature and extent of each t
7. Dimensions of existing structures, if any: Front Ype of use .
Height ......Rear Depth...............
••••••••••••...NumberofStories
Dimensions of same structure with alterations or additions: Front .
Depth Hei t...... Rear..................
~ • • • Number of Stories .
8. Dimensions of entire new construction: Front .
Height ...lei... Rear ...7.~P......... Depth 2~. (r.........
. • . .Number of Stories • " " " " " " "
•
9. Size of lot: Front ~G,'"~"""""""""
2 /,5 /ypS' Rear ~ ~ D th .27G,
]0. Date of Purchase ~~D
•~•••••••••••••••........NameofFormerOwner
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 S............ ..Will excess fill be removed from premises: Yes o
14. Name of Owner of pr ises . ~f+a~i~,G-n~..Lhc_ , • ,Address ~?/cn cK,e 1¢~ phone No... ~.7,I, ;-o~~ ,
Name of Architect S ~hr;lc~rew= P • , , , ,Address ~ff.E~~ksw~!~?e u~/ ~y
' ' ' / ~ Phone No..
Name of Contractor ..~CiIC'Qia`, ~*G , ,Address ~./q K./.-~{e, , ,phone No..<e.7.l-~~ l , ,
•
15. Is this property within 300 feet of a tidal wetland? *yeS•,,,•,,, No..~
*If yes, Southold Town Trustees Permit may be required. "
PLOT DIAGRAM
Locate cleazly 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.
STATE OF NEWyp RK
COUNTY OF (i//~S'S`!~'~C S.S L
/c~q¢ ..'.1.~.....
~ • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract
above named. /
He is the ..................~fU/2'e~ ~i~Gf
(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 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
i
.........day of . r~..........., 19
Nota Public, ,~AS_cgr,~ Count ~ ~
rY ~a7w er. eoru~ao• y
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--•A-- = NO VEHICULAR ACCESS
V
SURVEY FOR
_ MOHRING ENTERPRISES, INC.
~ ~,7 LOT N0. 26, LONG POND ESTATES, SECTION TWO~~ APR. Iz 1991
~r" '--~~-1 MAR. 16~ 1991
i I AT ARS HAMOMAOUE DAiE MAR. 5,1991
;~~ft ~ ^ ~ TOWN OF SOUTHOLD SC4LE~ I 50~
SUFFOLK COUNTY, NEW YORK No. 91-olsl
•uwurNwluO •LrumowDUOmnoN m 1Nn
„u•v(r o • rla•now or sacnow rx o3 ar rN[ CERTIFIED T0~
__.._-__..-__-N.'ILD [r ro••furz ewunox ur MOHRING EN TERPRISES, INC.
•corrta v mu aulvn wor M:urvo rn[ uwo NORTH FO RK.BA.~t~'~JRUST COM PgNY
surv[mws Iwe[D uu ar u•osa(o am axuL COMMON WE'AgYH'iA NB[~'1jLE INSURANCE
Yol •[cowUO»•[o Ta k•vulo nu[cwr COMPA RY~ p
•DU•9•x r[[a I orm[D utox x1aL •uN oxLr m ~ O
HELLTN DEPART MEHT-DATA FOR APPROItlL TO CONSTRUCT rn[ t[•foN row rNDY ro[ sD•v[r Is Ir(r•reo , ~L PnD W b p,
•wo a xla A[ruL3 m rwt n1L[ coxrur, Dovuw-
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•M[Il •1,[ xD 013[LLIMS ISITMIx 100 [E[T Of TM311101[11ir MSIIIUrI°II Ou•n•nr[[f 1,( pr rpµfE(11•[LE
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IMILI1rY LIN[3 OII E011 rn[ (11(C r10M Y [(MC(a
rz` YOUNG a YOUNG R'°ERHEAO'I3~
KNEW YORKE
NOTE: ~ =STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON NOV.29, 199p q5 FILE NO. 9031. AHD LAND SURVEYOR N Y.S. LICENSE NO.IIB15
HOWARD W YOUNG, LAND SURVEYOR
n •M LOfJTgl OI rfLLlrl,a[AK T•x•IarN C[aarooLalolaNOrw NU[ow N.YS. LICENSE NO.[SB9~
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NOT E
--NA--= NO VEHICULAR ACCESS SINGLE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OF APPROVAL
SURVEY FOR
.arULK COUNTY DEPARTMENT OF HEALTH SEkVICE1 MOHRING ENTERPRISES, INC.
LOT N0. 26 , "LONG POND ESTATES, SECTION TWO~~
FOR APPROVAL OF CONSTRUCTION ONLY AT ARSHAMOMApUE DAiE . MAR. 5 , 1991
q TOWN OF SOUTHOLD scALE I so'
`~-Zg-~ REF NOC ~ 1 SUFFOLK COUNTY, NEW YORK No 91 - DI51
~AiE
NuwuTNDRUCD ALruAnoN OR ADDinoN ro TNIs
SURV[Y q A VIOL ATIOM Of fE [TION )109 OF THE
~oDROVED NEr TORR 7TATE EDUCATION LA91 tE OF NEW
R COIL ES Of TN13 fURVET NOT f[ARWG TN[ LAND 1P
3~~OU ~/a IYioiiE[~ol+iloili[o
TOL{c~v,Ni~~o fr
leue covrNALL S pkD W. Ap'P
R GUARAMT[Ef INDICATED HEREON SNLLL RUN dLY ro ~ ~O
HEALTH DEPARTMENT-OAT OR R0441 TO CONSTRUCT TIN KRSON fOR WNON THE 3URVEY IS PREFAB ED ,r~ G_
•ND d NIS NMALF TO THE TITLE CON MNY, GOVERN- ~ Z
N N[AR[fT f/AT[II ~AIN~NI ~ M30URCE Df RAT[R f11tMTE _?UKIf _ NENTAI AGENCY AND LENONI6 INSTIiU 710N LISTED o
R fl/F CO. TA[ NA? DIET 600 fCC TION _ILF7_ KOCK ~ LOT R 2.1 N[RfOM, AND 70 THE Aff IGN E[3 OF iNE LE NDIN{
R TN[R[ ARE LID Dr[LIIM{ 1/I7NIN 100 FEET Of TMIf /RO/[RTT INl TITUTION. GWRIMTC[f ARE NOT TRANffERA{LE
OTN[R THAN TNO{E fN01fN M[REON TO A001710NAL INSTITUTId/f OR fU{SE OUCNT
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' ADDRCSs
YOUNG 8t YOUNG ~~,EA-~'w",roa E
L
N~ BDIV ISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN-W. YOUNG, PROFESSIONAL ENGINE Q~l,, 1t
SUFFOLK COUNTY ON NOV. 29, 1990 AS FILE N0. 9031. AND LAND SURVEYOR N. Y.S. LICENSE N0.12S~S _
a HOWARD W.YOUNG, LAND SURVEYOR
m RT1(LOGTD11 OF weLL(1E1,f[IT1c rANRI[T7{cESffooLfly)f1101fN NU[OR N.Y S. LICENSE NO.•5893 ~ '
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MOHR LNG ENTER PRISES, INC.
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MAR. 16 1991
_~I~ AT ARSHAMOMAOUE DATE. MAR. 5,1991
~ 2 4 ~ TOWN OF SOUTHOLD scALE I so'
SUFFOLK COUNTY, NEW YORK No. 91-0151
RUIYUTNOIIRLD AITOIATIONORADDITION ro raq CERTIFIEDT01
nl1 (ti..[j ME VVIORK ir~T[(pyui
pi ~~NON T20f 0/ THE MOH RI NG ENTERPRISES, INC.
NORTH FOR RUST COMPANY
RCO/IES Of TNIf 3U11VE• NOT [EARwO TN[ LAND
sue v[rDlis IMNED sEAL oR EN[osstD suL sNAU COMMON 1([ A LE INSURANCE
NOT L[ CONf10[RED TO A V1L10 TRUE COPT COM h~
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HEALTH DEPARTMENT-DATA FOR APPRON[L TO CONSiRUC T THE ftRSOM row r1IOM TN[ suRVEr Is PREru[D ~f~0 N! y
•MO OM NIf REIIA Lf TO TNL Tlil[ COMNNr, OOVl11M-
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N fUiF CO. TAR MA? OwT I 00 fLCT10N 3`fL_ RL.DCK J-- LOT P 2.1 NGtON, ANO ro TNC Aff NN[[S Of THE LE MDI M4 d4fa
N TMLIf[ ARE ND Or[LLIKE r1 TNIN 100 fE[T OF rws rnoftRrT IMf TITUTION. OUARANT[[f ARE MOT TRANSf[RA OLE
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NOTES p =STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON NOV. 29, 1990 AS FILE N0. 9031. AND LANO SURVEYOR N.YS.UCENSE N0.12B4S
e HOWARD W.YOUNG, LAND SURVEYOR
m NTN[LOGTONOfMFlL(rI,fEPTItTAMKIfTI•CEfSfOOLf((71fMOVMN[NLON N.Y.S.LICENSE N0.4S893
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BRANDIS 6 SONS INC.
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Glf Y DWELLING 0 Y MAY 2, 1991
JU,.$!y _ FA,~ LOT NO. 26, "LONG POND ESTATES, SECTION TWO APR. 12, 19s1
11 6 7!!~J MAR. 16, 1991
DATE S. REf. ND. SD-/9 AT ARS+HAMOMAOUE DATE. MAR. 5 , 1991
The sewage disposal and K~ater supply facilities for the TOWN OF SOUTH OLD SCALE, I sD'
bcatioo have been inspected by this Departmentand/or SUFFOLK COUNTY, NEW YORK No 91 - 0151
other agencies and f~pt ~t1~Ie~sa pct~~`~-~
ry-r ~•'C'M'MR, ~•4• +uwurNORlr[D ALT[RATI OM OR ADDI TION ro rNls CERTIFIED T0~
-r suev[r e A v1oLArroN of 7[cT1oN Tzo7 of rNE MOH RI N ISES INC.
NEr YORK STATC EDUCA 710N LA7 ,
hilt Of Bureau. at L a5tewdter Management +corlES ar rNn suRV[Y NDT 7[ARwc TN[ uNC NOR 6(fA~BPlB~ TRUST COMPANY
SuR VE rOR'S INRED SEAL OR EM70SSED s[AL sNAU CO A A ITLE INSURANCE
MOT 7[ COM710[RED i0 7E A VALID TRUE COR? CD 'D b'
+OU RRAMTCE7 INOIU TED HEREON SHALL RUM dLY 10
HEALTH DEPARTMENT-DATA FOR APPROM4L TO CONSTRUCT T~ RERSOM foR rMOr THE SURVEY IS RREPAREO rOG
ANO a Nls sEwLf ro THE nTl[ CONRANr, aovuN- ~ O
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R TN[R[ AR[ 177 Or[LLIIM7 rITMIM 100 FEET Of TMI7 RRORCRTT INS TITUTION. OUARANTCE7 ARE NOT TRYI SFCRA 7IE
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R THE rAT[R fUMlr Y7D f[vIAK pfRW AI Sr7TE11 fdt MI7 R01D[NDE OrMERS
rILL CON/ORr TO THE lTAMDAR07 Of TN[ SUfFOLR COUNTY DC?ARTN[MT N DI STRNCL! SN07IN N[REOM TROY RRO?ERTr LINE!
O/NpLTN fLRV IC[7. r0 [x If TINT 7TRUC TV REf YIE fOR • SICC VIC /6 $9
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1 ?ROIERTr LINES OR fOR iNE ERECTION a< fENCe! ~Q IAND 5U(4~
ADD11[73
YOUNG a YOUNG ~ ~~"~w
mR E
NOTE Q =STAKE 4LOEN W.YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON NOV.29, 1990 AS FILE N0. 9031. ANO LANG SURVEYOR N.YS.UCENSE N0.12845
$ HOWIRD W. YOUNG, LAND SURVEYOR
~ RTNE LOGTOI Of r4L(r1.7E?TIC TANKI7T171 C[f7I0013(C?) YIOrN IIEII[ON N.Y S. LICENSE ND.4S193
a RRE f71d1 fl[tD OMERMTIp17 YID OR DATA O(TYM[D fRON OTM[R7
RRANDIS 6 SONS INC.