HomeMy WebLinkAbout18986-z
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FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20672 Date APRIL 24, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 515 BAILEY BEACH RD. & 2645 REEVE AVE. MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 1 Lot 44
Subdivision Filed Map Na. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 23, 1990 pursuant to which
Building Permit No. 18986-Z dated APRIL 25, 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 & DECK AS APPLIED FOR
The certificate is issued to JOHN C. & GAIL M. MEYER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-10 - MARCH 4, 1992
UNDERWRITERS CERTIFICATE NO. N-228967 - MARCH 20, 1992
PLUMBERS CERTIFICATION DATED APRIL 1 1992 - SOUTHAMPTON FLUMB.&HEAT.
l Bu lding Inspector
Rev. 1/81
goaes xo. s
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)
No x.89$6 Z ~ o
Dote .........Ss~ Z? 19. Y:...
Permission is hereby granted to:' ~,u p~~ /
.....~.C:.~::....7LY....~~a?~n.1....~,~ ~..1~..?~:ec..
n .
to ..~rA.nnPr~...4r....s?~!11.4~....RAN,:C~L/.....1..~4~~4:!~q.....~?:?:S.:~k.1...4t~Gl..~lf'f,!~i~
~ I
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a premises located at ...5/s„`l~a,~o,~j tLd,~;.~10,,5~~'
County Tox Map No. 1000 Section Block Lot No.......~.T............
, ~
pursuant to application doted ...~!1~1......aai 19.9..., and approved by the
Building Insp~elctor. V
Fee S../.~N`~a.J~.
....Y..~.C:/I.. Rr.C.....~~ ~:5~~
Building Inspector
Rev. 6/30/80
765.1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[)FRAMING INAL
REMARKS:
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DATE ~O ~ INSPECTOR
s
~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN CATION
[ ]FRAMING FINAL
' REMARKS: ~ ~
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FOUNDATION (1st) ~
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FOUNDATIONd (2nd1 _ V
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P,OUGH FRAME &
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PLUMBING
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INSULATION PER N. Y. ~
STATE ENERGY
CODE x
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ADDITIONAL COMMENTS: x
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' ~ Form No. 6
TOWN OP SOUTIIOLD
BUILDING DEPARTMENT
s i ~3; y,=,~
s
. t r~, ~ ~ iJ:,-. TOWN HALL
~ ~1" 76s-laoz
U i~u , n
os Ea s
YO'Jd(~J fs'=` ° APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OP, 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.
~R. Final Approval from Health Dept, of water supply and sewerage-disposal (S-O form).
Approval of electrical installation from Board of Fire Underwriters.
'~I. Sworn statement from plumber certifying that the solder used in system contains
less than 2J10 of 17 lead.
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.
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 - Residential $15.00,,x~,{{ Commercial $15.00
Date J~I!!~.°'!".......
New Construction......... O~~ppld Or Pre-ex is ing Building..~~1
Location of Property„d~0,~5..1)~!'G IZGQ.....~p,{~l}~G`L...I7.1....~.~.~,rJ.°~'
I-iocs~-. Na. Street y,~ Hamlet
Onwer or Owners of Property.. ~IUNU C. Gf- i' ~Il. M•. ~ IP.e~eir.. , ...../.I.... ' . .
County Tax Map No 1000, Section.~~~........,Block...~.~...........Lot...
S
Subdivision.Q~~YYU...I;~.~
.................Piled Map.gS 3 `.....Lot.
Permit No..~.~~ $~O. .'......Date Of Permit.-a3: «~...Applicant
tIealth Dept. ApprovaL.:~ .......................Underwriters Approval.`
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate..~
Fee SubmiCted:
C®-~ ~b6"7~ APPLIC~fT
TEL.'1G5-1802
~oSNFFOU'~o`.- TO'tt~N 0~ SOt3TII0~.?J
~ . ~ OFFICE OF BUILDING INSPECTOR ~ . j° i ~'r ~ ; _
~
' P.O. BOX 728 E ~ 1 ~ ~ '
=~~~,~i~ TO~VNI~iALL , ,
~ ~ snuTxotn, N.Y. 1197t ~•i~.` r R!:},~ 2 3 h~:~;
~
C C R T I F I C A T I O N '
Date~fLGV ~ i
6~ ${o' ~
Building Permit No.
Owner ~.ic>!1~ ~ ~rc~-e f"
(p(le~ase print) ,
P1umUer LILT ~US~~ ~c7C'tD ~t1na~(M~6-~i
(please print) ~S~~lo~
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
..'_Y~
{plumber''s signature)
Swo~r/n to befor,{~ me this
~'JI day of G ~
19~ 7% N ary Public
Uotary PuUlic,_L~~~1 County .
~~~PC~o~u f4f>`'`r .
7HE NE~IN ~fC~l~~, ~~X~~ ~~'~~~~1'_~1~~~~~~1~`~~~ ~ `eAcE 1
1195100 6i1R~AU tl~ ~`L~ty`'~~I~i~`V,(! f('i'u i!_nn~ „k1(ifF11lii~ ti ( s ;t (i
~f3 JdNIV 5tk~€'Y, N~Ui WfYt~tPti W@W ';f~l~~ 1Y3t9~~ i ( i1" .n
Darr MARCH 20,1992 ApjillraftuHNa,Nkj~~P, " ,~.~Sn''~ 4}{11l~l1<, ~ ,~2$~R!}
j , 1st-~Ai ~ r ,
THIS C~R'YiF1ES THA'h ~ ~ - _ °I(' Ip IN .ji: ~ ; ~ "
f ,iE
only th¢ electrtcbf eg4ipGn¢nt ti! deecrtAed oAtofb nad tthtkv?ddt'ex1 by fh6$~1
`pf'
ftWNt kdiVt&d»N t~tk'lf~iBUk'Cf~i}~~~EdFIdH AUiiiaei~ tii ttteElFc~tb25 8jT
SOHN MEYER, BAILEY~~yyBEACH ROAD, MATTI~'~~pUp--{C{IS,~~N.Y. g~' ~'li~~~~~~('( `,i~(h(li~iji~~ ~.I~( ~ ~
in thefollmuinp loectfoth L:_I ~o5rrn¢nt ~ Gt ~'I. G'_I phd kh'~ " tiAK/AT'~IC/~V~'i~~i iii 79~l~tfutr{ i Uld~ck ~ /,ot ( ,
HARCH i5 1492
u~¢t exnmihed od I brill foUhd fu bU fN t'JNiji~fbNre l$ft~i tA~ ~~}(UtF€iO~bH'~i iiJ' fitfa f}oiiwt7 .
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FIXTURE ECEPTACLi:S SWIttHES IXTU ES 5 C -K G~ EC ~ u pit 4 X S
OUTLETS IN<ANtlESCENt klUd1E6CENi OTNEif , . ANt.. k. W... , tkA :.R.W G, ~ 1t •W k, . KM ai k, W. 7Jdt.. , K. h..
95 4 %8 90 g ~ ro i. is fi~lji !1 I tJ r ~nr,;
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DRYERS FURNACE MOTOR5 tUtUAE AWklAfitE tEStiEE§, 46EtIAL M!t dP ,tiM tltitaiY ~~1( i. UF~ii f)E,Af€R~ MUtif.~Ut1ET ; bIMME'R3 ,
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e F ~ ' ..a ' 'i'('~ ''1111 ;"i ' ,h'~1,, '
1 ! ~ ~ 4 G99
„1 ~`I ,,1 4~~ ({a Ii. ~L-.4,(s s+.i~l _o-. „sl~ °
sERVicp bi5cbNNEC No. of - ~ ~ ~ ~ ' 9 8 tt " 's~-+ii t$t-t" y _ t ~i-` ~
METER No Of < c 6. b = ,
M11. AMP. TYPE EQUtP. ' k sw l ,b aw i k Tw !.4 Aw PE¢ .e + 01 L Fi ,NG a~ NiiEd i ..t~~{' ~ N5. of NEUitnlt (t.O~NEUT .i
1 JRI :'t it ~ kh
1 209 CB 4 % 1 ~ X10 ~ ~ '(ilf~i't'1~,f1J1 fiiilt~?ii# i L':_., 2/0 .
OTHER APPAIIATUS: ~ ~ ~ I= A ' I 116 (it ' , fi' ~
~,i Ii( SiE~ i} I ~
FRACT. AIR HANDLERS-4 I ii ( sl
HOTORB:1-0.33 ri,P. 'i'` 'I ~ ih t' +~ir fl n h ,
( , <lIl i
G.F.C.II-9 ~ II ~ ii 41 ii ~ ~ ~
~ sir i! hi ~~{t] 3' 'ks 't, !I! i' {,S `tt
' ~ ~ t ~ ~'fY E { (sr i S+i~~~ t1S 113 1}l Sr}~ (1~ ~i 1! f~ it1 t~` 't~ x t r yt ~
t~ d ~(i' .IiI ,I' NF jli'° t (H gi -~Itj 111 !fi "I, (s d( t+. t [it
' _ Mr 1 '+"-H' !t "~[~,alt 1ij i!l 11f' ~1 s! i I ai Itl I;, , .,i;.
~ r •3J '91 - i{~ `!II ilf !1!; ~{i..l, (n ;,t
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3EA4UCK/KE'LLEY ItIC;G3t?r31, 1(~ i!1 Sp ijr
LAURA CT. `,'(i+~."i4t~1i("49i`114(~111 il( ~4(t1~~~G}P1+(r~, t1 i .
P.O, B08 523 f ~,i~°.{i 61 lh~-li4 3i' lt1 (il'_iC U I~f4kl iriA~~CA~R 9'
3PEOEE NY 11972 A ( { 7i+. ,,,{(ii i}7~tli Ut riles {(I~~i HF ~lttl r ,i y~~~t
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P' ~ .i ' . ,i } f (r .!6 lv# ~ iii 'ih =19„ II( Ii' , ~ I ( r_ ii';
ui:°Hi !I )f( ill ,+t 151'
This cerfifiwke must Odf be altered in tiny inahnerj tbfur8 fa Ih~ 61`1:1ce 61 l~Se boa}~ 1~ iNl;o~}bcjft 1il`£ "iy~i6f`:~ k`i1`a'r` ,`~@ Y~KN?i{ifj~ by 1HeiE <tddeh$ai4.
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INSPECTORS
Victor Lessard ~
3JsFI)(<f
Principal Building Inspector GQ
Curtis Horton ?''a SCOTT L. HARRIS, Supervisor
Senior Building Inspector caa `
cn , t"i~(w,, T` z Southold Town Hall
Thomas Fisher "''i f~' rr,:. rn P.O. Box 1179, 53095 Main Road
Building Inspector ~ d~'-~(~~a~°.&}'~, ~ S
~g ~ Southold, New York 11971
Gary Fish `~~,1`,<<~ Fax (516) 765-1823
Building Inspectar a Telephone (516) 765-1800
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
APRIL 9, 1992
JOHN & GAIL MEYER ,
20 TUTTLE AVENUE
EASPORT, NY 11941
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)
No Underwriters Certificate on file.
xxx The check is X~1~,1~lnot 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 # 18986-Z
Please contact our_ office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
' ~
765-1802
UtlLDfNG DEPT. - "
tNSPECTI®N
/~,~r
[ ] FOUNDATtlON 1ST ( J ROUGH PLBG.
~~~D ~97'1c7.t1
FOUNDATtlON 2ND [ ]INSULATION j~
[ ]FRAMING [ ]FINAL
REMA S:
~ `s~
6
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1
DATE ~ INSPECTORS
U l
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[~RAMING [ ]FINAL
REMARKS: ol,~.%
DATE ~ r ~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
]FOUNDATION i5T [ ] ltOUGN PLBG.
FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: G?~~ F
~ ~ ~
r
DATE ~ INSPECT ~
` Salvatore Iannone Jr.
Licensed Architect
18-17 Pond Way~~~
q --a ~ y"ow.. ~
Manorville, NY 11949 ~I~L"'~~~~"
(516) 878-9516 . ~r
1
4~~'1~
t JUI. " 91 ,
y~F~SOUTH0~O
TOWN U
July 5, 1990
Town of Southold
Building Department
Main Road
Southold, NY 11971
Dear Sir or Madam:
This letter is to certify that girder pockets in the
Meyer foundation are in accordance with my instructions.
Sincerely,
Salvatore Iannone r.
~ilrchitect ,
~'c,,,....... R~,
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765-1802
BUILDING DEPT.
NSPEC7'I®IV
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[)FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [)FINAL
a
REMARKS: Q-
DATE INSPECTOR
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BOARD OF HEALTH'./........
3 SETS OFD PL.\NSv.'..........
FORM N0.1 SURVEY ? ~i
TOWN OF SOUTHOLD CHECI:?~".. ~ f ~ .
BUILDINGDEPARTMENT SEPTIC r•oarl
TOWN HALL
$OUTIiOLD, N.Y. 11~J71 NOTIFY;
TEL.:765.1B02 CALL
r1AIL TO• `
Examined r~ 1990
APProvrd `'..,"S 19t, Permit No. 9.Sw.~4-f~'1+,~.~5~"~.......).. .
Disapproved ale . , D ~ J
LS~Mf_~ ~
• ~ . APR 2 31990 -~i?
(Builditti„ [a~5pectorl ~ mv„o~y°
Bt.,O_
vcf{ f.
MOWN OF SOUTi-0OLY~
lrPPLICATIGN l=~,Jri 3U1! DING PERMIT .„„,,,,,m„t
Date/7JS~1ti/.~A.~r _Lg....., Is9J.
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted fo the Buildin; 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 ar 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.
e. 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 shall be occupied or used in whole or in part for any purpose whatever until a Certificaic of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY jvIADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
'Regulations, for the construction of buildings, additions ar alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with alt applicable laws, ordinances, building code, housing code, and zcouiations, and to
admit authorized inspector on premises and in build ink for neceesar;~ inc ~j~
• tgnature•oi 5pplic n , or nam , if a~porattot')
' ..~.4.Tutt(~:~v~ntaz, F.~stp~~~'...NU ~1~1~{~.
' ~ (Mailing address of applicant)
State whether applicant is tivner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..(TU~7t:N
:
.
Name of owner otpremises ~.D~n n ~ ~-~cu..~...~.'.: .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) '
Builder's License No. ......~,~.73."~:,/,.~,~.,~,,.,,.,./~.y..... y!n ~ ~
Plumber's License No. ~~~~,!:~^.^p.~': YC.~`~~. ~
Electrician's Liccnsc No. , :~~•'t-.r!N:?~. ~:^~!1!~ ~ v~~ ~'L"
Other Trade's Liccnsc No . . U
Location of land on which~uo;toned work will be done; .a'/~ L~~
(louse Nunibcr~ ~ ~ Street ~ • ~ • Hamlet ~ ~ • ~ ~ ~ ~ ~ "
County Tan \tap No. 1000 Section Bfvck Lot U: I'~'~. J
L''
SubdivisionC?.'~°4~.~}'l.fae~L~~ Filed hlap No. Lot ..~p...._......
(Name)
State ecistino use and occupancy of premises and intended use and occupancy of proposed construction: .
a. Extsttng use and occupancy . UQ'C~Ln't • ~bl
b. Intended use and I Vt~tR, ~<.t.Vh,~~ ld„~UYVt.~... • • . • •
occupancy
r--r i
v .
Alteration -
Nature oCtvork (check which applicable): New Ruildtng Addittcn .
Repair Removal . Demolition ..............Swi;nning pool.. _ .
Tennis Court . Accessory Building. .........Fence .......Other Work:.
Estimated Cost ~ ~;f~.~1F ~,0, v • ~o Fee _
(to be paid on Cling this application)
i. If dwcllin;, number oC dwelling units Number of dwelling units on cacti floor . JQa ~sk~[;,. • . _ . .
iC garace. number of cars . c~. and 2;': ~5~.....
i, if business, commercial or mixed occupancy, specify n turF and extent of each~typrc oC use t. , ! .
Dimensions o cxt~Cting structures, if any: Front Rear Depth . .
Heieltt Number'of Stories . .
Dimensions of same structure with gltdrations or additions: Front Rear .
Depth Ficigltt Number of Stories .
3. Dimensions of ent~rc new constntction: Front . , , Rear Depth ...Z~ .
Hciglzi :1Numbcr,ofStorics : 2 .
ils^ of lot: F`ront' ~ , Rear , . , . I Depth ~?.S[.~~ , . .
I.?:~ . , ' _1?'C;1^.Se . ia~4/~A9. _ r::a:::: v~ :~iiii7lC,r iJwner fol.rn~an~E`.' ~dx . ~Q~ ~ntl4~!'t. >
fa:~,c ar use district in which premises arc situated . . .
hues proposed construction violate any zoning law, ordinance or regulation: ,NO , . , , , , - , , _ , , , , ; , , ; , , , ,
3, Hill lot be regraded .....~P?, , , ; , , , , , , , , , ,,,,,Will excess fill be removed from prrmises: Xes No. .
6. Name of Owner of premises ~.°h Gf~,~'!~y:~! ,Address •F~ u7f{a pl"e: ~5tj?~'t. Phone No. '~°z 5- ~ny~
Name of Architect ~G.IUa-ra,~ ,~h.noyi~ Address~"~~.~~~ uwilLc `~',7~,: ~~5/tQ ,
Phone No.
Name of Contractor .TO~J!~ ~•.~?~;1C~•:F;s~'?Y.+~..,~?+,":.Address .°?O. ~ Phone No. 3d~`.~~®:~~
S.Is this property located within 100 feet of a tidal wetland? *YtiS.___NO
*Ef yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and disfinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether `
tenor or comer lot.
y
~~a~/9v i~a ,tee-rnrs•Col,~~''.~~~~
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srnre or• ~e~
Yo~ s.
couyry OF s
• • being duly sworn, deposes and says that he is the applicant
• (A'amc of individual signing contract)
above named.
Ht:istltc
(Contractor, agent, corporate officer, ctcJ
of said owner or owners, and is duly puthorizcd to perform or have performed the said work and to make and file this
application t that all statements contaiticd in Utis application arc true to the Ucst of his knowledge and belief; and that the
work )vill be pcrfornted in the manner set forth in dtc application lilcd tltcrewitlt. '
Swom to beiorc me this n
Votary Publ...... ~te:erl(i....... County n /i„ fin,, '
j LIND J. COOPER ~ •ignaturcoCapplicany
Notary Public, State of New York
No. 4822b63, Suffolk County Q~ ~ '
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SURVEY FOR .
JOHN MEYER 'Q GAIL M. MEYER JULY 10,
LOT N0.6,11OREGON HEIGNTSI~ JarNi ia;
AT MATTITUCK DArE. oec.ia,
TOWN OF SOUTHOLD SCALE+ I"= 60'
SUFFOLK COUNTY, NEW YORK No 99-133
k UINUTNORI2ED ALTERATION OR AODIi10N TO MIS
SURVEY b A v10l ATYON OF SECTION )209 OF THE
NEV YORR STATC LDUUTION LAM
SURVEYORS MNED SEALYOREN OSSED SEAL SNAOLL SSptE OF NFW
NOi BL CONSIDERED TO 0E A VALID TRUE CORY
N GU4RAN TCES INDICATED HEREON SHALL RUN LVILT ro PRO W, `
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s~fPt~:EK e4J13N]'Y UEPA&T.TNEN.T CxF ke~A~tF#i vrd'r, LOT N0.6, OREGON HEIGHTS JAN 18,1990
AT MATTITUCK DATE. DEC. 14,1989
FC?R APPROV,~, Of Cc7N5'K~7Cgt TOWN OF SOUTHOLD SCALE 1"= 60'
SUFFOLK COUNTY, NEW PORK No 89-1332
DATE r ~R 22 y pqp,+,. o~/a KwaurNORlzEa ALTER4TION OR 40°ITION m rNls
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PERSON FOR WNON THE SVMEY IS PREPARED `Z` ~-f,
HEALTH DEPARTMENT-DATA FOR APPRO TO CONSTRUCT ~
AND ON NIS BEHALF TO THE TITLE COMPANY, GOVERN-
N MEARC3T MATER B1AIN _NI ! NSOURCE Of WATER PRI WTE _PUBIIC _ MENTAL AGENCY AND LENDING IMSTITU 710N LISTED
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PROPERTY LINES OR FOR THE ERECTI OM R FENCES
ADORE SS
"L YOUNG 8t YOUNG R~IVOERHEAONNEW YORKE
NOTE ~ =MONUMENT ALDEN W YOUNG,PROFESSIONAL ENGINEER
- SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAY 27, 1988 AS FILE N0. 8532. AND LAND SURVEYOR N.YS LICENSE NO 12843
y HOWARD W. YOUNG, IAND SURVEYOR
Nil[ LOGTEII OF MELUW), SEPTIC TANK(fAB CLSSFOOl3(CP) NIOMM MCRCON N.Y 5. LICENSE N0.45893
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AUG. 6, 1991
SUfF0LX000NTYDEPARTh1EtiTOFH£ALTHSfRY1CES JOHN MEYER & GAIL M. MEYER JULY 10,1990
NGtE i~A~l?LY ffWELUMG OittY " ~ JUN a, Isso
LOT N0.6, OREGON HEIGHTS' JAN 1a, 1990
DAiF^R~H.S.REf.tIO. 9~°.6b-!Q AT MATTITUCK DATE DEC. 14,1989
TOWN OF SOUTHOLD SCALE I"= ao'
The sewage disposal and water sepply facilities fw this No as -1332
t4ca6onhavebeeninspectedbythisDepartmantandfor SUFFOLK COUNTY, NEW YORK
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~°j, 1~'~•y sugvtr e A vloLarroN of SECTION 7209 Of THE JOHN ~IiL%E ~Fty
-""'T NEW YORK STATE EWCAiION LAW GAI R Y
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ANO ON N13 BE NALf Tp THE TITLE COMPANY, GOVERN- yy
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WILL CONlORM TO TNC STAMDAROf OF TME SufFOLK COUNTY DEPAR TMCM7 • 01 STAMC E! SHOWN NE REOM FROM PROPERTY LIMES
TO EKISTIMG STRUCTURES ARE fOR A SPECIFIC
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AP?LICNIT~ PROPERTY LINES OR fOR TME ERECTION Oi fENCES LAND SUR
ADOIEE Ss
"L YOUNG ~ YOUNG Rt~vERHEADNNEWAYORKE
NOTE ~ Q =STAKE ALOEN W YOUNG, PROFESSIONAL ENGINEER
Su6DIVISIUN MAP FILEO IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAY 27, 1988 AS FILE N0. 8532. ANO LAND SURVEYOR N YS UCENSE NO 12845
HOWARD W YOUNG, LANG SURVEYOR
~ RM LOGTX1N Oi W0.L(W), SEPTIC TANK(ST)OCCSSPOOLS(CP}ENOWM MCII[OM NYS LICENSE N045893
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