HomeMy WebLinkAbout19609-z
Y
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21126 Date OCTOBER 30, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 2080 LAUREL AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 56 Block 1 Lot 2.23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER Z7, 1990 pursuant to which
Building Permit No. 19609-Z dated DECEMBER 27, 1990
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 6 DECK
The certificate is issued to MOHRING ENTERPRISES, INC.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-134- AUG. 14, 1992
UNDERWRITERS CERTIFICATE N0. N-241586 - JULY 7, 1992
PLUMBERS CERTIFICATION DATED ~T. 26, 1992-CHAS. SANDERS fi SONS PLUMB
l` ~ `
B lding Inspector
Rev. 1/81
trosvc xo. s
TOWN OF SOUTHOLD
SUILDINCs DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°- 19 6 0 9 Z Date ....I~.~.s,:~:-xa~........~.~........, 19.Q
Permission is hereby granted to:
to ..S;r.!:r..:~Ar~::.`.:~:51'......~Sr.....~:49... !
:'^').i.JN.t ..1..,1.4!:w.XAr~:re}..,...4:4~..~111~,.....~a.~"'~"
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of premises locoted at .52.E ..:......1.x..1 ~i.:c~(./.~i~
County Tax Map No. 1000 Secti~on-....6.~~....... Block Lot No.....~.:~:~'......
pursuant to application dated ~ ..aka SMrr.:~:~......11........, 19.`.x. and approved by the
Building Inspector.
Fee 5..+.~.$.~.i..'-~-
Bu ng Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
gi"-; Town Hall
~ 6 ` ~ ~ Southold, N. Y. 11971
765 - 1Fi02
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR in1<, and submitted ® to the Building Inspec•
for with the following; for' new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa•
bons, a certificate of Code compliance From the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings jprior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn skatement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25.00 POOLS $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00
Certificate of ocarpancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 10.00
4.Varant Land C.O. $ 20.00
5. Updated, C.O. $ 50.00 Date (0-.023,-.~;~;........
NewConstruction,,,,,.O1dorPre-existing Building Vacant Land
Location of Property .~.4 . , ~~~,U;4~,~, , , , TO~,~~ , , ace f~ L./~
NouseNo. Street ~.~~~~~~Hamlet
Owner or Owners of Property ~/4~~~RfiP~,S~,.~ ..--~!V. ~ .
County Tax Map No. 1000 Section , ..~.`.~b. , , , , , , Block , lot
Subdivision~6~///~~, . ~,cl,D, ,,~~J~97~~~..~K~,xj,Filed Map No. . ~ , ,Lot No. .
PermitNo.f9Lor3.yZ Date of Permitf,~?;a~-`~,0•APPlicant./../.47f~4'!!"?G,,~it/,~,,~-.~!C;,.,
Health Dept. Approval ..G~.Q. SQ' /3~
................Labor Dept. Approval
Underwriters Approval If~.rJ,~l ~ , , , , , , , , , ,planning Board Approval
Request for Temporary Certificate .Final Certificate , .
Fee Submitted $ . , 01~l; 6~D
Construction on above described building and m mee s all appl' abl codes d regulations.
APPlican
Rev. 10~10~78
C~ec. ySD~Ofn
t',o~ ~.11•~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1155013 BUREAU OF ELECTRICITY
85 JOHN STREET. NEW YORK, NEW YORK,~10038
pate JULY 07,1992 App(icaNonNo.unfi(e 76352292/92 N 241586
THIS CERTIFIES THAT '
onty the e(ectricol equipment as described belou+and introduced by the applicant roamed on the above npp(ication number in the premises of
HOHRING ENTERPRISES. E(S LAUREL AYE, (POLE #29j, APPROA 225 FT N!0 POND AYE, SOUTHOLD, N.Y.
in thefollotcing location: ®Batement ® l.et FL ®2nd h'L GAR/OUT .Sertion Bock Lot
uws exmnined on JULY 02,1992 andfound[o be in conrplianre with the requirencenta of thin Board.
FIXTURE ECEPTACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT RUORESCENi OTHER AMT. K W. PMi N W AMT. KW - M1i K W AMT N.P
22 53 26 22 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCNS gEll UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OU N, P. GAS RP AMT. NO A.WG AMT. AMP AMT AMPS TRANS. AMT. H.P NO. OF FEET AMT. WAiiS
3 F 2 - - 2 - 1
SERVICE DISCONNECT NO.OF $ E R V 1 C E
AMT. ~ pMP. TYPE METER I H, YW , 9 3W 3 $ JW 3 % 4W NO. OF CC COND. A W G NO OF HbLEG A' W G NO Of NFUTRAIE A W G,
EQUIP. PER a Of CC.CONO OF H4lEG Of NEUTRAL
1 200 CH 1 % 1 2/0 1 1l0
1 OTHER APPARATUS:
G.F.C.I:-2
SHORE DETECTOR:-1
390 OPERATING CORP. LIC.#268 G~~~~~
1555 LOCUST AVE.
$OHEHIA, NY, 11716 GENERAL MANAGER
11 ~ j/
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.
~s
INSPECTORS . _
~G-,,~
Victor Lessard F`°~~JFfO(; ~
Principal Building Inspector ~5~ V--„> ~`~'d,~~,
Curtis Horton ti~ y~ ~~5 SCOTT L. HARRIS, Supervisor
Senior Building Inspector c~a ~'ti'1!~sX , t „
~n ~ F~ ~~9a:~ ~ } Southold Town Hall
Thomas Fisher P; :;,i~' nt ,
Y'( ~ ,
J P.O. Box 1179, 53095 Main Road
Building Inspector d,.,,~~+;;''~,`` ~ `J~~:;' Southold, New York 11971
Gary Fish '+/1 = y '?~;v"~ Fax (516) 765-1823
Building Inspector Telephone (516) 765-1800
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) ?65-1802 TOWN OF SOUT'HOLD
OCTOBER 26, 1992
MOHRINC ENTERPRISES, INC.
347 GLEN COVE AVENUE
SEA CLIFF, NY 11579
RE: PREMISES @ 2080 LAUREL AVE., SOUTHOLD
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
~w x~c An application for Certificate of Occupancy is
not on file. (Enclosed)
aC~ No Underwriters Certificate on file.
0~, x~ The check is not on file.)$25.00
Rffit No Health Department Approval on file.
No final inspection has been made.
IIXx No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 19609-Z
Please contact our office on this matter. Thank you for
_ cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~ ,
Builder and land Doveloper
323 Glen Cove Avenue
Sea Cliff, New York t1579 _
(516)671-oA31
p ~ ~
October 28, 1992 ~ ~ 9
BLDG. DEPT.
TOWN OF SOUT LD '
Town of Southold
Building Divison
53095'Main Road
Southold, New York 11971
Re: Building Permit #196092
( Dear Sir:
I
6 Enclosed, please find the Plumber's Certificate to be
included with the application, which was previously
f aubmi~ted for Certificate of Occupancy for Long Pond
Estates, Section II, Lot #29.
! If you need any additional information please feel free
! to call the office. Sorry fox any inconvenience that
I was caused.
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~ Very truly yours,
C~~.c.R-aroclr'
Richard Mohr
~ RM: sc°--"
Enclosure
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Srii c ,.vl~~ ~lulvly ut~ sul~~.l~lil~l,u ~ ~ ~ ~ ~
r... ,L',S.i~,..1' OI'I~ICIS <7I' OUILUIi•I(. IN„l ESC"TOIL D
~c~ •I !nuts u,~r,l, OCT 2 91~t
~/i~ `n>',>Rer~.~y`c' S(JU 1 IIOI~Lt, IJ.Y. 11971
TOWN OF SOUTHOI.D
C~ !t'r z~
i c n 7' t o ll
Uata , 6 - d.L
tjuiidinq Permit tJo. /g~da/ Z
Uwtrat 1~p~i2iN6 ~iv?~ ,1,,,~~
lpiettse p>:inb
Pi4rrber ~f/ste%S Sffc/D .v. fcn~ ~r
Ipiaase p>:1rtt1
1 cot: ti Cy that the soldek used in the toMtnr sul.~ply ayslem
contains lass than 2/10 c~~ .19 lead.
pirxu,bet:' siynzltui<ct)
swo/rn tn.bePnr~~ mcl this
a'8"`~' duy of .
199v ~-~~G ~tio
c~, 1Jot:.~ry PtibiS.c
IlorUry Public. tjo,.d.~.a..~.~ Coiurty '
susw~~,corx~ao
rvoraar wrsuc, subs r~ewvon:
No.36I618H8
lbm6fie91~Mssaau CourAYq ~ ~ .
Cgnmivebn Expkea Ra+g. 3D• feS 3
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765-1802
BUILDING DEPT.
r NsPECT~aN
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
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DATE Id ~ IN8PECTOR
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765-1802
' BUILDING DEPT.
if
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INSPECTION
T ~~~~L~?~
[ ]FOUNDATION iST ( ) ROUGH PLBG.
[ ]FOUNDATION ZND [)INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~
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' DATE ~ 1'~ r'7i INSPECTO ? 4.Q..2
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ ~-'off---- w~
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DATE ~ ~ ~ INSPECTOR
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST OUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: d~'C
J sir ~y411~1
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DATE ~ ~ INSPECTOR
i 7'65-1802
. BUILDING DEPT.
INSPECTtOrN
[ ]FOUNDATION 1ST (''J'RJOUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[~RAMING 17 FINAL
REMARKS:
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DATE Y INSPECTOR
~
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T65-1802
BUILDING DEPT.
INSPECTION
[ ] FOU DATION 1ST I ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL/
REMARKS: c_~ _
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DATE Q o~ INSPECTOR
f~~~~
T65-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ e~~~ e~
I, DATE D~'~ INSPECTOR ~~;2, J
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FOUIJDATION (1st) ~
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PLUMBING
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IIJSULATIOP7 PER N. Y. • • ,
STATE ENERGY ,(/r77 ='"NS? ~.rp "
CODE ® "4,
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IS_...~ 5 (j l~~~~~^^^^~^^^~~fff n BOARD OF HEALTH 'J
D ~ f' y~ORM•N0.1 3 SETS OF PLANS Q;!C,
u SURVEY p;'~;,,
~'l 4~ TOWN OF SOUTHOLD CHECK , , ~0,~ ;7, , .
BUILDING DEPARTMENT SEPTIC r• o[tr1 ,a : K.•.......
TOWN HALL
r;{.
9LDG. DEPT. SOUTHOLD, N.Y. 11D71 NOTIFY E -7
OFSOUThIOL[a__,. TEL.: 765-1802 CALL , ; a,y~j,
~ MAIL T0:
Exatnincd~~^^~:L1, 19.~~
Q Yrld~,~e
Approved ~1, 19.10 Permit No~..t.~~~ ` 0
Disapproved a/c
.V~~.
(Building Inspector) ~ •
APPLICATION FOR BUILDING PERMIT
' Date ./~~Z3~~~., 15...
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or jn 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 oC 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 oC this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of tl»s 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 shall 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 oC Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Rc;ulations, Cor the construction oC buildings, additions or alterations, or for re al or demolition, as here' described.
The applicant agrees to comply with all applicable laws, ordinances, buildin od , h ing d ,and reg lions, d to
admit authorized inspectors on premises and in buiiding for necessary inspe r t
• (Si Lure of applicant, or ame, if cor,~ rra~t~on) ,~~y
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~~te~,/~,~/~•~~.............................. .
Name of owner of premises <v~~l G_~1 ,Ql~f'.S' ~G~.
.
(as on he tax roll or latest deed)
IC applicant is a corporation, signature of duly authorized officer.
{Name and title of corporate officer)
Builder's License No .
Plumber's License No. ~`32O
Electrician's License No. ...5`33E~
Otltcr Trades License No . .
1. Location of land on which proposed work will be done: •
~.`.#a Y.....~084....~!~~?-I Vie-. s~~~~,~~
Eiouse Num bcr Street, " " ~ " " " " " ' • • • • • •
Hamlet ,~9/~_.~.
County Tax Afap No. 1000 Section DE' ~ , : Block ~ , , , , , -~f~-.~ ~ a j
Lot
~n~. ~bsrr.~G-~~is~s. s~?s- ~1 X03 / '
Subdivision Filed A ap No. Lot ..ZC......... .
(Name) ~/e l?vU 2~ /Yyf~
State existing use m+d occupancy of premises and intended use/anted accu ancy.oC proposed construction:
A. Existing use and ~o~ccupancy.......
B. Intended use and occupancy........k.~
~...~~/~K.~
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..q.r~:... .
n
3. Nature of lvork (check which applicable): New tluilding , . •X: , Addi Dti ~ • • • • • • • Alteratio 186
Repair + + , . .Removal , . , , : bemolition .Swimmi~nag.._°°"1•. .
Tenuir; Court ' Accbssory $dildfrig, , Fehc . t:bt;'he~r "~c .
4.' Estimated Cast •rY?r,~ t , + . Feb
{to bC paid on fili~gt„ s app teat n~ •
S.. IC dwelling, number oC dtv, chinh+ units ~ Number of dwelling units on cock lloot~:~: • r• .
If gaiagd, numbctof cars " ' ' ~ " •
6. IC business. commercial or mixFd occupancy, specify haturc and extent of each kypc of use .
7. Dimen'sion's Cf existing structures, if any: Ftant . r. , Rcar • Depth , ,
fCeigltt , + Nu~1 ber of Stories • .
Dimensions of same structure !l•ith alterations or additions: Front Rear ,
Depth J.:. Fleight . .Number of Stories .
8. Dimensions of entire new constnuction: Froht Rear • Depth .
Nciglit umber of Stories ,~~~j~ .~,y. • • • • • • • • .
9. Size of lot: Front . ~lf~.<.. , • Rear : x*t~•r..` :?s'r{7 F pth .~.ci....: .
10. Date oC Purchase , .~s`:.6~ G?; ; , , ; : ; ; , , ; , : ; Olathe of Pomtcr Owner . R/8:r!/• w•`-a"'e++
11. Zone or use district in which premises are~situated ...................:...~v , . • • • • • • • • • • • • • : • • • ; ;
l2. Does ptvposCd construction violate any zoning laty, ordinance or regulation: . ~
13. 1Vii1 lot be regraded ..~~s •r~ r... \Vill excess Cll be removed fr~~rrpp~~remises: Ycs , Na?~
IA. Name of Owner of premises .~hfr" ftirlj:.: Address . $ i~.4~ltkLv ^:'PTione No..Q0:7t'b~~'/• • • .
Name of Architect .•~~4 w~[t~4• .......Address .r+'~/!~°~} ~~r~: • Phone No. ~i~:'fp'u~'•
Nam6 of Contractor hlV~~:~`/.l'`T.4*.".".`.". • . • • • • Address d ?a.QY~wz"~?'~ .Phone No. ~O. ~~:'t.'~~~
IS.Is th#,s property iodated tai.t:hin 3p(j feet oC a~tidal vetlandY *YES....NO....
*If qea~ Southold Totan Trustees piOTD1AGRA1vf a required.
Locate cleazly and distinctly I~nll buildings; whether bxlsting or proposed, and indicate all set-back dimensions from
property lines. Give Street and blo~k number or description according to deed, and show street names and indicate whether
interior or corner lot.
~ ~ racy i'M4fd\~~ ~~'t~M~'~'M••1'~~,.+n,•"AL+ISIIt'6~"~`"rL11N~C tlIIFl %hi~!inaMl pnh
~ ,~f,~rctir,5~;fl~,aE~t~~. '~if±(~i?~~F~yrfti~7s!~U~~iM1!*y`~"1!'~~IM 9$~I~~,.,' Ir'., 1"t~`I,
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STATE OF NE1V
COl)NTV OF , • , ,`'1'"'°, ,~.y/. S.5
• • ~~C({/~/Z.•d , , ,/,I•/FJ,F/.~/;tl~, , , , . , , • , , , , , bcin6 duly sworn, deposes and says thak he is the applicant
(Name of individual signing contract)
above named. 'i
(Conttactoq agdnt; cOrpoiat oCficcr,•Ctc+) •
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that elf statements!, contained in this application are tnic to the ~est of his knowledge and belief; and that the
work w81 be perComted in the manner set forth in the application fled thcrowith.
Swom to before me this
Notary Public, wot Aifc;~w.~aNewrail• County
N0.3Wbi817B
IWMMeo~auGau+dY ~D ~
aa',h~EZPkIaaW.9o,ta..:[.°L ~ (SI$ ure• (applicant)
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NiOHRiNG EfdT~F3P424SE841NC.
LOT N0.23,"LONG POND ES1'A7ESY5EOTIOIV TWO° oc7 3i, lssi
AY P,RSHAMOMAOUE oarE DEC. fit, t5so
TOWA! OF SOUTt10LD scALE i"=yp'
SUFFOLK f.OUNTY, NEW YORK No 80.0992
YIWiU iNgfllkl0 ILtERlt10N OR RDDI t,ON TU M,f
YURtlY p A v~OL AY{OH qF SECTIVN 130Y 6 1HI
XCW /qRR SiiiC CWCAiION LAY
Y CURES CR M14 YURVEY pot GEAR WO iHF. LAHD
wVi 0¢~COk 41UAE [0 ill 4E A vALOD ry{RUE tGAi HALL lPSE OF /yFK,
_ _ _ gGVARANi[[41NDICAYED N[REOH WALT RUH bIdtY ',p A+ A~
HEALTH DEPA NT
0.iENT-OATH fCtt 4PNR0`JaL TO CC7,S YRU[ r : o aRw~i 6;HAlF ~O the nr ¢[<wr.~r. uo
~wN~ .t~P'aD W' td Pf
Y kCAROi WAIL1 YAIN~NI ° N1l1UNiC pY WdilH RRIW1![ AVAI If N[NiAI AOENCV AND ILNDINO IN{kltOflOX {.1380 ~o
N4ff1 <0 iAA Nb p41,L!?SLC IIJN=@_plOCf l LOi PZq?~~ HGICGH, RNO TO Mf NN1pn[tY OF Nf LCwV1HV ~L
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DTHCR tYIN iNOSf SNOWN HCRE04 10 AWIPIOHAL lH3iRVT1py3 QR 6Ve3COVENt 1
AfN[WAiCR 4UPAL[ANU 4(tTi4C U~tYOl AL STSTtY 1pR iNli ACSIDPNR OWNf<S ! fl
WILL CONIOMM M TNC S[AHIVtNtt[ OF TIII SUIYOLS CDUN +Y 9t R41i iNt Hi 4915fA kC(3 SHOWN N[Af ON FRgtl VRONt Nf+ t1Hf4
DI N[AL tH 4Oh'ICO t0 fR~S IIY6 1iRUC to R(S AR[ FOR A 9ACLIFlC
AUR AOYC AMD AR[ NDk i0 RR U3f0 Tq FS fALL15H ~ hy~ U ~
all{CANM1 RiMPFRTV LIHFY OR FOR !NE ERCCTIOYI CN F[HCIS P 4845
Abp1[iS .p (MXb"tUR'lE'ro
Rt'.___._._~__. ~/y/~~ ^^''~-5 ' f ~w HOER AVE:
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NOTF ~ STAKE
SUBOIViS IUN MAP FIL F.D 1N 7HF OFFI!;F. OF 1'HE :.ERN OF AL. fiFN W YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON NO4, 25,1950 AS FILE N0. 5O3i. aN0 LAND $UNVf_YUR N YS LICENSE NO 12845
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SURVEY FOR
SIJFf01.K COUNTY DEPARTMENT OF HEAL`tH SfRUICES MOHRING ENTERPRISES,INC.
SINGLE FRMILY D~ELLtNG 0~~~ /3 LOT N0.29, II LONG POND ESTATES ,SECTION TW011
DATEAUB 4 .S. REF. Nfl. > "T AT ARSHAMOMAQUE DArE DEC. 31 ; isso
The sewage disposal and water sunplY i-aciirties for th's TOWN OF SOUTHOLD scALE 1": 50'
IocaUor. have been inspected by this OApartmentand/Dr SUFFOLK COUNTY, NEW YORK
other agencies and fo nd taI'be sati~{actolD-~{~ No so - 0952
~/IEYyWM ~^'~7~~• KUIMUTHOMIZED ALTERATION OR ADDITION TO THIS
Chief Of en(eaD Of PJast~ewater
Ma`nag-ement NE rVYORR STATEE WCAT ONE ~~ON 1209 OF THE
R COZIES Of TN13 SUIIVEY NO7 BEARWG THE LAND ~-~~~YC rJF Nf,Y
SUP VEYO R'S INKED SEAL OR ENBOS3E0 SEAL SHALL ~ I''
MOT B[ COM310ERED TO 8E A VALID TRUE COPY '7 ~Y7
K GUARAN TEES INDICATED NE REON SMALL RUN ONLY 70 p.PD W. -
NEALTH DEPARTMENT -DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WNON THE SUMEY IS PREPARED
ANO ON NIS BEHALF TO THE TITLE COMPANY, GOVERN-~~ OC/
M MCAR[3T MAT[11 B1AIM.MI NSOURCE Of WATER PRIVATE PVBLK _ NENtAL 4GE NCY AND LENDING INSTITUTION LISTED ~ Z
R 34Rf CO. TA%MAP dBT 10005[CTIOM 58 BLOCK I LpT~J{
021 HEREON, 4N0 TO THE 44310N EE3 OF iNE LE NDIN6
R TMLRL ARE NO OW[LLINBB WITHIN 100 FEET Of THIS MOPCRTY INSTITUTION GUARANTf ES ARE NOT iRAMSFERA BLE
OTNfR TNAM THOSE SHOWN HEREON TO ADOI TIONAL INSTITUTIONS OR SV BSEOUE NT
N TN[ WATER SURELY AND 3[MMGE DIf?03 AL SYlTCM F011 TN 13 R[31DEMC[ ONNERS
WILL CONFORM 70 TH[ STANOAROB Of THE SUFFOLK COVNTY DLPARTM[MT • DI STAMGf3 SNONN HEREON FROM PROPERTY LINES r
OF HEALTH B[RV IC[! TO E%iSTING STRUL TURES ARE fOR ASPECIFIC p '~j
PURPOSE ANO ARE NOT TO BE USED TO ES TABLIlN
Y?LICYIT~ ?ROPERT Y, LINES OR FOR THE EREC iION OI FENCES FNSFD ~OF
SAND Siff&`~~'~
ADDRfu
- YOUNG a YOUNG R~IVDERHEADNNEWAOR~KE
NOTE I p= STAKE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON NOV. 29, 1990 AS FILE NO. 9031. AIJO LAND SURVEYOR N Y.S LICENSE NO 12845
HOWARD W. YOUNG, LAND SURVEYOR
~ N THE LOCA/CM Oi Wkl L(W 1, SEPTIC TANKISTIB C[SSPOOLS(V) BNWM N[I1COM N Y.S. LICENSE NO 45893
c ARE FROM FIELD OpERWT10M3 AMO OR DATA OBTAIN[D FROM OTHERS
Z.B.
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BRANOIS A SONS INC.