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HomeMy WebLinkAbout19677-z IRW FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20392 Date DECEMBER 4, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 690 ORIOLE DR. & 265 LISA DR. SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 1991 pursuant to which Building Permit No. 19677-Z dated FEBRUARY 21, 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 GARAGE OPEN PORCH & WOOD DECK AS APPLIED FOR. The certificate is issued to DBM CO. owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-141 - NOV. 27, 1991 UNDERWRITERS CERTIFICATE NO. N-203202 - SEPTEMBER 11, 1991 PLUMBERS CERTIFICATION DATED OCT. 3, 1991 - K&K PLUMBING & HEATING Building Inspector Rev. 1/81 YORK X062 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) N2 19677 Z Date 199..J Permission is hereby granted to: G J...... 'v c 00 0...... . . . County Tax Map No. 1000 Section Block `O Lot No..... pursuant to application dated IZ~ 19 1 and approved by the y Building Inspector. Fee ' A. 4 . C/'--'i~r Bui 9 nsDect r Rev. 6/30/80 i 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 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 19 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. 3. 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 Y Date :ew Construction....C:..... Old Or Pre-existing Building...... .ocation cf Property.....A90 ©!Q 1.0 L C ~ ~ , . J 0, v T"H0 6 }louse No.~~ Street , Hamlet )nwer or Owners of Property....,~1 M CJd.' ;ounty Tax Map No 1000, Section... `2....... Block ...........Lot...~ s.'.3 iubdivision..I}I~~F~POiiJT N}}~~ ..../Filed Map. Lot ~ 'ermit No......Date Of Permit.?-;. ~L.. .....Applicant... C.Q lealth Dept. Approval.. Underwriters Approval.. ....~'./.41./~~....... 'lanning Board Approval :equest for: Temporary Certificate........... Final Certicate...x....... 'ee Submitted: $ E ~e . 43oc~~ . C 0 Z'a 0.3 q,~ APPLICANT rv,+ruvwWiwis/u1.YI4wYLYWWaWUWw'yY.Wla l..:wM1. L.1w..rv-s. ...w _ TELL 765-1802 TOWN OF SOUTHOLD l~'c OFFICE OF BUILDING INSPECTOR o ` P.O. BOX 728 , Y z TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. q Owner ~VlbyA CO( O (please print) Plumber A w M\j c~~ (please print). \4cemle: 235 \ - P I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. (plumber's signature) Sworn to beforo ~me~ this .day of dam(/ 19 q( z Ne~~ Notary Public Notary public, County IARY PMu(, &414 a &A09~99 Qualified No. in lull" ~mibafo„ Expirgg ~1®'Nr~~/ g~d~3 THE NEW YORK BOARD OF FIRE UNDERWRITERS PACs, 1 ~ 1.1951.1."/. BUREAU OF ELECTMCm F- 88 JOHN STREET. NEW YORK. NEW YORK 10038 Date SEPTEMIIER 11,:1.991 Application No. onfile 72610041/91 N 203202 THIS CERTIFIES THAT only the electrical equipment es described below and introduced by the applicant named on the above application number in the promises of DHM CO., ORTOLK OR., SOUTHO1,D, N.Y. in thefollowinR location;. Basement ® Ist Ft. © Ynd Fl. GAR/ATT.) C/()DT Section Block Lot 1 was examined on AUGUST 14 , 1991 and found to be in compliance with the requirements of this Board. NXTUN JRKIPIT AGES S"TCIRS R7LTIMK RANGES EROIS OVENS BTSN ASNM T FANS OUTLETS INCANOESCEm FLUCRTSCENT OTHER AMT. K. W. AMT. X. W. AMT. EAV. AMT. K. W. AMT. N.F. an- 34 45 39 29 1 I 1.% s F EL- P DRYERS RMNACE MOTORS PUTUM APPLIANCE IREEEES SPROALEEC'PT TWAECLOCAIS UNIT WATERS MtItTLCuliff DEAATERS AMT. K. W. Oil H. P. GAS N. P. AMT. N0. A. W. G. AMT. AMP. AMT. AMN. TRANS. or ~y AMT. WATTS ~ 1. F '1 SERVIQ 00MO'MCT No. OF S a R V 1 -C E AMT. MV. TTN 1.0 tW 1 / 3W 3X TW 3,9 4W NO.OF CC. COND. A. W.O. NO.OF HI-LEG A. W. G. No. GF taUnMS A. W. G. Ns r tt. G. Of nlEC a munAL 1 I I 150 CA 1 X 1 3/0 I 1/0 . OTNEE APPARATUS: G. F. C. T:-5 SMOKE DETECTOR:-1 SAGE & T,ADEMANN TNC. LTC../3635E P.O.BOR 1769 SOUTHOLD, NY, 1.1.971. Opium MANAM 11 per This certificate must not be altered in any manner; return to the office of the Board if incorred. Inspectors may be identified by Their mdetNiak. Off POE MNLLOMIG DEPARTM W. TINS COPY OF CMIFICATE MW MOT 31 ALTMD MI AMY UM M. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector 1~ ~73 Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gar Fis Building Inspector Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVEMBER 27, 1991 D M B COMPANY 443 MAIN STREET BOX 2130 GREENPORT, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is OmUnduaaWnot on file.)$25.00 XXX No Health Department Approval on file. No final inspection has been made. XXX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19677-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: C DATE /[/X,4 X7/ INSPECTO 1E:LD -UN L)A7 1 ONMEMT° \ J11VIIA 10, FOUNDATION (1st) 3 4PFOUNDATION (2nd) _ 2. z ~ z ~c P,000H FRAME & PLUMBING 09 06 y ~ 3. my m INSULATION PER N. Y. STATE ENERGY CODE FINAL 7 .74-7 o y E z ADDIT ONAL COMMENTS: s CAI _ b tl H N 2 m b O r ~ H ~ - Z U Om M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING FINAL REMARKS y DATE INSPECTOR 57 77~-- BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ZFO NDA TION 2ND ) INSULATION MING [ J FINAL i REMARKS: r "C.Q/LD ? DATE ? INSPECTOR PIP 7-1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ] RO ON PLBG. ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE R INSPECTOR 777 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: cry i DATE INSPECTOR i ppP7 M-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL RE ARKS: DATE INSPECTOR 4L c I ~C~l 9 Fairweather _ TRANSMITTAL FE8 2 5 M Architects - Designers " Box 521, 122 Front Street LETTER AIA DOCUMENT G810 TOWN OF SOUTHOLD &reenport, New York 11944 (516) 477-.975 9752 PRQJECT: +(-tel f:0((AT Mefi(090~:> ARCHITECT'S (name, address) PROJECT NO: l' DATE: V241 1 TO: f I W~ •TC4~ If enclosures are not as noted, please ~rE{a inform us immediately. If checked below, please: ATTN: /~~(~~f~~ J ( ) Acknowledge receipt of enclosures. L ( ) Return enclosures to us. WE TRANSMIT: ( r)Terewith ( ) under separate cover via CXin accordance with your request FOR YOUR: ( U-4pproval ( ) distribution to parties ( ) information ( ) review & comment ( ) record ( ) use ( ) THE FOLLOWING: ( vYDrawings ( ) Shop Drawing Prints ( ) Samples ( ) Specifications ( ) Shop Drawing Reproducibles ( ) Product Literature ( ) Change Order ( ) COPIES DATE REV. NO. DESCRIPTION ACTION CODE ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS CODE B. No action required E. See REMARKS below C. For signature and return to this office REMARKS P-t~2 laJ)YL ~F yaU MftD & V Eve-raa2 1i4r]2 ,qA fC) COPIES TO: (with enclosures) V-iG0~4, 0 (SR Z ? ? BY:= - AIA DOCUMENT G810 • TRANSMITTAL LETTER • APRIL 1970 EDITION • AIA® • COPYRIGHT © 1970 ONE PAGE THE AMERICAN INSTITUTE OF ARCHITECTS, 1785 MASSACHUSETTS AVENUE, N.W., WASHINGTON, D.C. 20036 Fairweather • Brown Architects • Designers Box 521, 122 Front Street Garden Greenport, New York 11944 (516) 477-9752 April 12, 1991 Mr. Tom Fisher, Building Inspector Town of Southold Southold Town Hall Main Road Southold, N.Y. 11971 Re: DBM Co. House design Highpoint Meadows Southold, N.Y. 11971 Dear Mr. Fisher: After discussion with Mr. Otto Schoenstein, the Contractor for DBM Co. at Highpoint Meadows, and a review of the structure at the breakfast area of the standard house design, I find the substitution of a girder of (3) 2"x12" in place of (2) 211x8" with a 4" steel flitch plate to be structurally sound. If you require any further information, please contact me. Sincerely, Robert Brown, A.I.A. N 11'aT f.: ,or N i ; J APR 161991 n~~ m~Gfj:"'! tl;l~ 1 b l~ O 51 u f -I) u ~ l V 0 q qr BOARD OF HEALTH 0, I~ 3 SETS OF PL. NS, .0-.4 , , OR M NO. 1 SURVEY TOWN OF SOUTHOLD CHECK UILDING DEPARTMENT lJ SEPTIC FORPf ~(CTOWN HALL 7,;7 TC1Lt,;,; SOUTHQLIZ L\LY_tiaZ1 T_ tt?TIFY, TEL.: 765.1802 CALL Examined ~~............19l./ MAIL TO: Approved ..•P10-:// 199/Permit No.~;67 7 Disapproved a/c pector~ APPLIC TION FOR BUILDING PERMIT Date ebnucv 15: , 19 91 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with . 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL 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 permi shall 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 Occupanc,, 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 th( Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o; Reculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described Tile applicant agrees to comply with all applicable laws, ordinances, building code, housinl- code, and regulations, and tc admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) 443 Main St.P. U. Box 2130, Gneenpott, N.Y.- (Mailing address of applicant) 19 944 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owneA D. . ~0 . . Name of owner of premises . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (A'ame and title of C. 1 officer) Builder's License No......... . Plumber's License No. YC Electrician's License No. Other Trade's License No . 1. Location of land on which proposed work will be done: 9 I 0,,tiote DAive, ~,i65~~ma p owthofd Ilouse Number Street Hamlet County Tax %lap No. 1000 Section Block , , , , , , , , Lot . , 15 - .3 Subdivision . Nigh~oiv~t fTeCidq(Uh, Filed Map No, . P. .7.,/0. . (Name) . Lot . . . 1 State existing use and occupancy of premises and intended use and occupancy of proposed construction: A. Existing use and occupancy new B. Intended use and occupancy.... !19 i . i~ 3. Nature of work (check which applicable): New Building x Addition r3flAtion . Repair R;mo,val Demolition ng; pool............ . Tennis Court Accessory Building.......... Fence •erlWork........... 4. Estimated Cost 4e~i. Fee . (to be paid on filing this application, 5. If dwelling, number of dwelling; i nits . 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 type of use 7. Dimensions of existing structure, if any: Front Rear Depth . Hei;ltt Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth ....................'u.. Height Nuvjber of Stories . 8. Dimensions of entire new construction: Front Rear Depth , Hci;ht . Number of Storks • • • • • • • . • • . 9. Size of lot: Fiont .1 DS.' Rear.1961.................. Depth L.160 i . , R-24~t 10. Date of Purchase Name of Former Owner . 11. Zone or use district in which promises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded Will eye s f 1 Ue o d fF om remises: 14. Name of Owner of premises D B M-C0: Addres. ax 2r~ inP.:. Phone No. 477=222s3 N° Name of Architect G uLwec GLen • Address..... Phone No.......... • • Name of Contractor Address . Phone No . IS-Ts this property located within 300 feet of a tidal wetland? *Yrs.... NO.... *If yes, 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 property lines. Give street and block'Inumber or description according to deed, and show street names and indicate whether interior or comer lot. II . 1 I i I ICI III STATE OF NEW YO /t `S.S COUNTY OF. K. G H!9R•5R~7 , , • • , • , , • • , , • , • • • , • being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above named. He is the 9 Qf ? A)?? ......i . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dilly authorized to perform or have performed the said work and to make and file th'. application: that all statements contained in this application are true to the best of his knowledge and belief; and that th work will be performed in the many}er set forth in the application filed therewith. Sworn to before me this l.~ day of 1914 i . ' , c- Notary Public,:....... . 1 • Y SUSANNE J. P[RRICONF NOTARY PUBLIC, State of! Now York (Sig • ture of applican No• 4882799 Qoalified in Suffolk County Commission Expires Jen!120, 199¢ i I I now or formerly Robert Goldsmith S ba~~~s7o - - SV ff0 A/- iq SS9o2S• cony /6's M m F p7/0 eooo now or formerly - fors do ~ys• Chester Finne Sect,~ - Tko „ Lot 1 0; 2 sue, Area = 28865 s.f. a W !P, oP M14 J now or formerly N - - - - 90.9' - - 9y J?OS / F~ w A O/ Robert Toplin N Z J I ~ NI a 1 L-A9 p0 / Q N.0r-4140W, 159.93' R=AO WATER MAIN -7 LISA DRIVE / IJ I0 ~o r: a W f Q D oFVr. ,3~~ SURVEY FOR D.B.M. COMPANY LOT NO.1,"HIGHPOINT MEADOWS,SECTION ONE" MAR 8,1991 FEB. 25,1991 AT SOUTHOLD DATE DEC. 7, 1990 TOWN OF SOUTHOLD SCALE I"- 50' SUFFOLK COUNTY, NEW YORK NO 90-0977 K UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY O A VIOLATION OF SECTION 7201 OF THE NEW YORK STATE EDUCATION LAW ~PZ f NFw R COP IES OF THIS SURVEY NOT BEARING THE LAND SURVE VONS INKED SEAL OR EMBOSSED SEAL SMALL ~O MOT BE CONSIO[RED TO BE A VALID TRUE COPY E,pD *GUARANTEES INOIUTEO HEREON SHALL RUN ONLY TO w A HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED y r0 0 AMC ON HIS BEHALF TO THE TITLE COMPANY, GOVFJIN- T / NEAREST WATER ISAIM_MI ' MSOURCE OF WATER P I -PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED / ¦/F CO. TAX MA? My 1000 SECTION 55 BLOCK 6_ LOT D(0 15 l HEREON, AND TO THE ASSIBN[[S OF THE LENDING MTHIR ARE NO DWELLINGS WITHIN 100 FEET OF TIBS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT N THE WATER SUPT AM SEWN[ ON?OSAL SYSTEM FOR THIS ROID[NCE OWNERS WILL CONFORM TO THE STANDAMOS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES OF MMTH SERVICES TO EKISTOB STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 'r A/?LICANT PROPERTY LINES OR FOR THE ERECTION OF PENCE$ `~Zp~AMD fU~1+~°~ ADDRESS YOUNG a YOUNG ~ H OSTRANDER AVENUE NOTES ~~=MONUMENT O=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR. 19,1990 AS FILE NO. 8910. AND LAND SURVEYOR N.Y.S. LICENSE 140. 12845 HOWARD W YOUNG, LAND SURVEYOR o /THE LOCATMOF WELL(W),SEPTIC TAMMISTOBCES WOOLSWI SHOWN HEREON N.Y S. LICENSE N0.45993 AGE FROM FIELD OMW ATIONS AM OR DATA OBTANNGD FMOLN OTHERS z.B. BRANDIS A SONS INC. • 1 N l M I I now or formerly Robert Goldsmith 19 (RES. 100'+) - - 4146 A% /0 11 " 0/ Ax. 2S k /96 G sss0 co~npO'~r ~ y 49 M SAO F F~~e B°0' m N °h~ now or formerly T1,4 Chester Finne o"s ° 89~!, SeCt/°n r (RES. 100+) Lot I 2 Area = 28865 s.f. 0 4938. / N 2 ' w ti" ` se F<,~3s u j [ \ 3Y rFgRY,O OA / et =3? now or formerly O450c Robert TOplin to (RES. 100+) Z _ - zp" hyTC4 sFA o\yv B rye. Q / /Q~W l Im ~J / \ lo-I I 0~` ~ EL= 3.8 I'y PO N.87021140-IW. 159. 31 RcRO WATER MAIN-7- \ \ EL_250 LISA DRIVE /EL=23.4 z W I W (VACANT) o N A: LI._ W,s W F 1Z Q 3 [ v, 1 L t. SINGLE F!AMILY DWElLING ONLY RIES RfVO Y `A RS FROM DATE C ) Ai'F'3€''A DEFT. OF `FAE.41 SLIiViCES SURVEY FOR D.B.M. COMPANY :UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE; LOT NO.I,IIHIGHPOINT MEADOWS,SECTION ONE" AT SOUTHOLD DATE DEC. 7, 1990 FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE 1"=50' )A1tLGrn~EcC 1 f F. NO.L Q ,j ~4 SUFFOLK COUNTY, NEW YORK NO. 90-0977 ~ M UNAUTHORIZED ALTERATION OR ADDITION TO THIS APPROVED SURVEY M A VIOLATION OF S4CTION 7208 OF THE NEW YORK STATE EDUCATION LAW C) RCOPIES OF THIS SURVEY NOT GEARING THE LAND ~PZE ° NE)S' A URVEY0R'S INKED SEAL OR EMBOSSED SEAL SMALL S NOT BE CONSIDERED TO BE A VALID TRUE COPY PgD W KGUARANTEES INDICATED HEREON SMALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED O G THE MIS BEHALF M THE TITLE COMPANY, GOVERN- 'r Z HEALTH DEPARTMENT-DATA FOR APPROVAL TO ONSTRUCT AND PE MENTAL AGENCY AND LENDING INSTITUTION LISTED Q M NEAREST WAT(lE MAIN-MI ? _ *SOURCE Of WATER' MIMTE-PUNIC- AND TO THE ASSIGNEES OF THE LENDING N fUFF CO. TAX MAP DIST 1000 SECTION 55 - BLOCK _5LOTPAJIL-1 . HEREON, 41 MTH9W ARE NO DWELLINGS WITHIN 100 FEET OF TIES PROPERTY INSTITUTIOM GUARANTEES ARE NOT TRANSFERABLE OTH911 THAN TM9SE SHOWN HEREON OWNERI3IOMAl INSTITUTIONS OR SUBSEQUENT N THE WAT904UPPLY AND SEWAGE DISMAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LIMES h WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF WEALTH APPLICANT fbNIGEB PPURPOSE ROPERTY AND R OR N FOR TO THE EERUSED TO ECTION OF ESTABLISH CES ND S01411 4-A, (10 ADORES! P, 13 a 13 a 400 OSTRANDER AVENUE G r rt tEL. Zf77-zz YOUNG a YOUNG RIVERHEAD,NEW YORK NOTES: X=MONUMENT 8=STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S. LICENSE NO, 12945 SUFFOLK COUNTY ON MAR. 19,1990 AS FILE NO. 9910. a HOWARD W. YOUNG, LAND SURVEYOR e MMLOCATIONOFWELL(W),SEPTICTAMKISTIOCESSFOOLf(O)SHOWN HEREGN N.Y.S. LICENSE NO 45893 a ARE FROM FIELD OBSERVATIONS AND OR DATA OSTAMED FROM OTHERS Z.B. SRANDIS 6 SONS INC. P I I now or formerly Robert Goldsmith S 1/6 Q14, 'S/o °/k y'9 m SS9o2 C°v tpO'~v M 1011 y //e e00, now or formerly - dot ~o 4's Che Finne S (919//119e 011/% T Lot I o; 2 Area = 28865 s.f. o"Z' A93B / p~ W ?Y w pp ~ o9y \ s O y F 0 crow or formerly Robert M 2zQ"a 0 p m O ~ TOPIM a „I It 2Y~ Min Z ~zs. I ly ~ Nr / MI 92"IJ )~P I L,q9 OD / Q \ _ N.87021'40"W 159.931 NO WATER MAIN _7- LISA DRIVE I J 0 0 rQ rc w r Is a 3 SURVEY FOR SUFFOLK COUN-iY DEPARTMENT OF HEALTH SERVICES D.B.M. COMPANY NOV 20,1991 LOT NO.1 "HIGHPOINT MEADOWS, SECTION ONE1 MAR 8,1991 ppB,~f f,, SINGLE FAMILY DPIEt.LINO ONL + + FEB. 25,1991 °"0® 9(~YIq r Fl .10 ~T( AT SOUTHOLD DA 7E. DEC. 7, 1990 DATE -_MIH.- R_ . - _ The sewage dis,n4 and water supply faciln;es for f1iis TOWN OF SOUTHOLD SCALE I"= 50' location havebeen lns;;ectedhythis Departrrantarid/or SUFFOLK COUNTY, NEW YORK NO 90-0977 other aggi) d {OU~tU S~y[ISYilivw~~~q UNAUTHORIZED ALTERATION OR ADDITION HIS CERTIFIED TO U Ll OLATION OF SECTION 7209 OF THE BRIDGE HAM PTON NATIONAL BANK J SURVEY 4 A VI NEW YORK STATE EDUCATION LAW TICOR T TEE Chief of Bureau of Wastewater management *COPIES OF THIS SURVEY NOT BEARING THE LAND D.B M. Y ~Yh SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL NOT IE CONSIDERED TO BE A VALID TRUE COPY aD w *GUARANTEES INDICATED HEREON SMALL RUN ONLY TO F^ HEALTH DEPARTMENT -DATA FOR APPROVT+L TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED Y0 AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- G M NEAREST WATEII MAIN-MI ! NSOURCE OF WATER PRIVATE -PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED Z 0 SUFF CO TAX MAP DIST 1000 SECTION s'~!f5 BLOCK 6 LOT 15.3 HEREON, AND TO THE ASSIGNEES OF THE LENDING G7t PTNEIM ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT M THE WATER SUPILY AND SEWAG[ WBPOSAL SYSTEM FOR THIS AQIDENCE OWNERS WILL CONFORM TO THE STAND ROS Of THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR ASPECIFIC ( p, PURPOSE AMC ARE NOT TO BE USED TO ESTABLISH AALICAMT~77`j~h ,a~g,L //5RI ~ PROPERTY LINES OR FOR THE ERECTION Of FENCES ysFA IAMD SURV£yo@ ADDRESS eox T/L~~i?/ A~~/i (~9~f 'EL ~17~ 222 3 YOUNG a YOUNG RRIIVOERHEAD, NEWAYORK E NOTES: •-MONUMENT 0=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8910. AND LAND SURVEYOR N Y.S LICENSE NO 12845 „ 4 HOWARD W. YOUNG, LAND SURVEYOR. ro N711[LOUT1011aWELUWI,SEPTICTANK(ST)BCESSPOOLS(CPISHOWNHEREON N.YS LICENSE NO 45893 < ARE FRpE FIELD 0=RVATIONS APO OR DATA OBTAINED FROM OTHERS L.B. _ BRANDIS 6 SONS INC. issues/revisions. N 14.9b•50 Jolcst gIZrF, LIY all PLUMBING~~~p~~ ti Z, • 91 bI E sioNSl,a t, ALL~ ft~~~wpIKNG WAffM I GM N•'MTER ONES NEED q WSMG BEFORE COVERING CO 0, If h11 ec, nl/o/r- I ~~~v~slnnr~l Ali-rlc~urowY Nlawrr~U~s - Rnn>YreT Gou).iNIrN ~ ~ '2tX 40 13 T••1 Ln C. OIL.E, N2 8=11 f I 9. n 7r pLUMBER CERTIFICATION W 9 ZS i ON LEAD CONTENT BEFORE Z W9Yn CERTIFICATE OF OCCUPANCY CNCO JIYOIC PINN{+ ~ If copper tubing is used SOLDER USED INCA N NOT is used SYSTEM OT W I 9NGWU~G ,Nlaw,,.~u = V d r.~saopM #L p, for water distributing ributing SUPPLY n J I system: piping shall be shall be EXCEED 2/10 of 1 /o LEAD' W of types K or L only L only ~ W v LO'f Phan: III ~~9~4/ ' ~J'G<, Ft91117ER'. nh~lod PR, f - - - ;u PIeOPO9Eri -rw D- yfDRY L~FP`^b ?rte -tn ~ ,I ' U u N/O/G NOIi _I Y e Z3 / KGVi@KT ranLl~l N ~ a i ~ Ly Gg A m /yew ,(1 F N lJ ' N N87°21146"w rS°).a3~ 'l ~ 0 I I Y/ OI 3 W L)5A owgvE ~V - Z rl _ `0 o I1'in~H"2 6~r~Q~M'~3 I O o>"x4° DO NOT PROCEED I I ~RHm I N Z r UI UNTIL I&SURVEY OF W W F~ t - _ - 26x4 - H~ FOUNDATION LOCATION r/Y~ OH 9V,'Zv~-v f?y~ YOL'Nl b YO~NC.I ?~.%R~'PY747p+S HAS BEEN APPROVED KNgRr1~M"~ NY. i 1'L 7. 19gp W I Ifl UNDERWMERS CERTIFIGTE REQUIRED Q °~ITE CLAN 'h 35'- Cn" xx~ ~ i W A PR ED AS NOTED W uJ~ DATE. - 9. B P # 477 N FEE NOTIFY MAIL NOTIFV BUILfY!14G DE PA E T AT , - P~KCd° 91.,1: i•~H GL=''~ {X'^k~ cr, r Em~,2w_'.r ' 7136-`1802 9 AM TO R PM FOR THE I~ - FOLLOMNG INSPECTIONS. Z `o (2)2%d v1'A x"i'h"sP-FWTT t¢~6a-ltD 3°x~ I FOUNDATION - TWO REQUIRED O N &iC )It i2''o o w-H .x 'G~lo or -IS _ i - 7:,, -t - Auk u~ FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING ' - ~ ~ ' 01zEAV~pG,'>Y {aKEA 1 I . AI~ 3 INSULATION ur " ~ BE COMPLETE FORRC.O.ION MUST N ALL CONSTRUCTION SHALL MEET P•1 r o-o v THE REQUIREMENTS OF THE N.Y. clisnt/owner hwl STATE CONSTRUCTION & ENERGY R-. U n•° CODES. NOT RESPONSIett rvn V-4 DESIGN OR CONSTRUCTION ERRORS CV .A YI i m = It q~ - I I . u ~ F9 i ~IVIN~ iZOC M Q O b V9 +6~ q 3 4 4' i H aH 'th IL o, 0 i u Z NOTE: ,'h L'.. ~n ~C9r PA~ I: 2HA1.1. ~A~pDONE I~~ i>CCO~unl.l ct N-3A n6L A,PP IOAP,,t r-ra~~, %Ar( ANO LaA1, uo,x ri AhG, I2 & F lez Melt Q project title. 1H!Li Y.AJIL+'IW.'1 °~lir<.69n IEa~'locY1IPG1 W/FId9I-sNF.MR'I CLN(tdtVA¶GDl ClIX. _ Gr 'l-b'~M I'mo' ~Ji Gi~(N'r=81~~ I \ yFSa:r z f ~~zTwr~'~5 ~~3.3 O pal-.l11--1 m6v" _ ~2at2.-~C~. iNO -V,1',?-.V~ v N W` I I v r ti MEMO 1' drawing title. ~~l N 'p 41 i Q t•5L.6 rJ~ 1 r z77~ Z 3 I _Q 4• O date. scale. o Ya m issue. srcvs -ra q me. 2srt 3° ~?f W drawing no. 10 µE0 AR Q ~ ~~G 0~pj I. BRO, c W r \y~~ CH/T G_c G D,. V ¢ ~20' a„ _ 22'_ q." N o ..1-.: of, no. S te341 a I OK NASSAU SUFFOLK BLUEPRINTING issues/revisions. N 12, 2b •9o -.lol'rfM2ft ~ i 3r. 9r GeYrSE ~oT~f. 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