HomeMy WebLinkAbout18972-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219574 Date DECEMBER 27, 1990
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 910 ORIOLE DRIVE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 06 Lot 15.5
SECTION ONE
Subdivision HIGHPOINT MEADOWS Filed Map No. 8910 Lot No. 3
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 16, 1990 pursuant to which
Building Permit No. 189722 dated APRIL 23, 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
The certificate is issued to DBM CO.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-26 NOV. 14, 1990
UNDERWRITERS CERTIFICATE N0. N158569 NOVEMBER 1, 1990
PLUMBERS CERTIFICATION DATED K & K PLUMBING JULY 17 1990
Village of Greenport Water Service 11/8/90
Planning Board Approval 12/27/90
Bui ding Inspector
Rev. 1/81
i
tosai 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)
N~
18 9 7 2 Z Date .K~itrf~:......°~...?~ . 9.q.o
VVV
Permission is hereby granted to:
~-0
.........loo a.. a.a..3 a
µ.s4'-....s~... ' . " Gm..~....c:~s:pR..
.~Q.~~i-,s ........................J.......
.~n_
at premises located att.Q........~~!'~-~lSk....•.~4~.1~........
County Tax Map No. 1000 Section Block .......S.j~..~o...... Lot No...,,lQ..~.~'.,r~..J'
pursuant to application dated . 19./.i;?.., and approved by the
Building I/n__spectoQQr. ~6T 3
Fee $..~.!P ~
:..l. 0
•t C.f 0-l
wilding Inspector
Rev. 6/30/80
a 5~i'~ ~.Q~pt~'.~'?'~ ~~orm No. 6
D ~ v ~ u.e
TOWN OF SOUTHOLD
t a~° BUILDING DEPARTMENT -sJ'fw
1, TOWN HALL '
e
emu)'"" ~ 765-1802
F3t~_17~a.c~
pU7FiO4C) ....9 .
APPLICATION FOR CERTIFICATE OF OCCUPANCY
-1.1 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 17 lead.
S. 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
Date ~
.ew Construction... ? Old Or Pre-existing Building..
.ocation of Property.....~.~.U ~.21 Ut- c...~~-.....: SD u%,Hr~~
. . . .
House No. Street Hamlet
~nwer or Owners of Property......~.a M.. C
/ 5/
,ounty Tax Map No 1000, Section...~r5. 5......,Block...../O .........Lot.. nJ
ubdivision,~~.qC,N~o1lJ.i...M.cf}~iou~S.........Filed Map............Lot..~...J
ermit No. ~ 1.~ Z .?'....Date Of Permit. :~.L23~.~ ~.....ApplicanC.. ~.~-3, M... C.`~
ealth Dept. Approval, . Q 4~.:: S.U..-. ~::~.......Underwriters Approval. , ~ :S. ~ ~ V, , . , , , , ,
lanning Board Approval
equest for: Temporary Certificate........... Final Certicate...:/
'ee Submitted: G~:-2~., 0 ~ (,i~~~S~6:~,.~~2!4~SE?~
Rio S
M3
C o Z /~S-/ ~ APPLICANT
r~.._ /a7 ~9 0
r ,
TEL. 765-1802
S~FFOU, TO~/N Ob' S()YJTF30d,FJ
.~0
~ ~ OFFICE OF I3UILDIIQG INSPECTOR
~ P.O. I30X 728
'~f' r" TONN HALL
~rO~~~~O~ SOUTHOLD, N.Y. 11971 .
01
C E R T I F I C A T I O N
' Date
Building Permit No. ~ d /
Owner
(plea~'s~e, print) t
Plumber~~~ ,/W'(`f~~\~TCJ~{'L~ 1~'C~C~~~~r
(please print) ~ 1~ .
I certify that the solder used in the water supply system
contains less than 2/10 of l~ lead. ,
- (plumber's signature)
Sworn to before c his
7 day of '
19 '
,~,p~ Notary Public
Notary Public, U~~\ County EIiIC,G.KOCM
fir Na i2$1~02touwvurk
AnA i~i/MJmwry $C
1
882
-,__._T~
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~~L~~};
119577.1 BUREAU OF ELECTRICITY '
65 JOHN STREET. NEW YORK, NEW YORK 70038
Date Td(tVRM$N;R 17'~,19~i") APPlicatfonNo.anJile f'`7-~'7~~~+U/9U Pi 1„'.it£b6~t
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced 6y the applicant named on the above app(icotion number in the premises of
1'tHkt C"i'S„ 13b1S51~~11 itVN;, [3L3kx~f?, ;'lUti9'fffi.C}(.<i7, l4n°X.
in thefo[lowing location; Bosernent ~ lst FL ? 2nd H1. 1~~7 .fC J(}fJ~ Section BloK;k Lot
f)l.`('fif3F;f2 1,5,'i 9§Sry
was examined mt arul found w be in coneplianre uith the reyairementc o(this Baard.
~ c
FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASXERS EXHAUST FANS
OUTLETS INICANDESCENT FIUORESCENi OTHER AMT K.W. AMT. K. W AMT KW AMi K.W. AMi. N P
i F (SY k ter I ) ~
f. °11ER5 FURNACE MOTOR5 FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MUlil-OUTLET DIMMERS
AM' ~ K, W OIL N. P GAS H. P AMT NO. A W. G. AMi AMp AMT. AMPS TRANS. AMT H P SYSTEMS pMT. WAIIS
NO. OF FEET
7, 1 7 sg.
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO. of cc COND A w G. A w G A.W G
AMi AMP. TYPE EOUIP l q ]W 1 ,a' JW 3,e' JW 3,e' 4w pER % OF CC. COND NO OF HbLEG OF HbLEG NO OF NFUTRAIJ OF NEVTflAL
OTHER APPARATUS:
u.~'.. ~',X.'~±
?!'~1~~~'~ ~)T~'I'i'~f~'~'Q[': 7 I
9ioCYA~ & L+"iilf^;P~3AIVIIII 'CNC. )..]{'„#13h3~°~$`~ ~ Li2~ .P~
hf)f_tPHOfeU~ PdY, ~('I.~)~I, GENERAIMANAGER
11
Per l ,l - ~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Officers
MAYOR V IGLCIl~'e a~ ~reentnort UTILITY OFFICf:
GEORGE W. HUBRARU INOOPPOgpTE0 IB0B (516) 477-174N
NFW INCOgPOgpTION APflIL ~EEf
TRD$TF.RS flE'INLONPOgATION UNPfPPENEgAL LAW MAY YB. IBY/ POWGR PLANT
WILLIAM U. ALLEN ~ rwrrk? 1516) 477-0172
STF.PhIEN L. CLARKS r
DAVIp S. CORWIN ~r~,~~
p~'~ FAX ISlfil 477-1877
r l V
GAIL I'. MORTON , `~'O , NrrA 1 S LAN 0 ~ ~ SUPT. OF UTILITIES
SUPT. OF' WATRWWASTF:WATF.R ..L.., ` ~ ~ JAMES I. MONSELL
GC:RALD W. IIICKSON
236 THIRD STREET ~ P.O. 130X AH
GREENI'ORT, NEW YORK 11944
November 8, 1990
Mr. Robert Petritsch n~/'y r`~'~,
Suffolk County Health Department U
~"J ~
Suffolk County Center ~t } ! 4£
Riverhead, N.Y. 11901 ~ i ~ ~ ~
Dear Mr. Petritsche 6LOG. DEwNI.
'r®WP~
pF 606)'INOL~, ~
The following water service line was recently connected to the
Public Water Supply by the Village of Greenport. The installation
was done according to our rules and regulations and, to the best of
our knowledge, meets with the Suffolk County Health Department
Standards. The location of the work and the date that the job was
completed is shown below:
D.B.M. Co. Lot No.: 3
Oriole Drive Job Order No.: E91-31
Highpoint Meadows Water District: Outside
Southold, N.Y. 11971 Contractor: Latham Sand &
Gravel
Date Completed: 07/23/1990
If I can be of further assistance, please contact me.
V,e~ry trul/'y.yo/urs,
Ge
ald kso~~
By order of the
Superintendent of Public Utilities
GWH:cr
100 Years of Community Service
~,y
f r,~j~~'~~~'f~
w
~ ~.ma
PLANNING BOARD MEMBERS ~ ~
~r rn
E ~y _ ~ _ g. SCOTT L. HARRIS
Bennet[ Orlowski, Jr., Chairman ~,~-'~+'ai*' Supervisor
George Ritchie La[ham, Jr. ®~a~l =".^r ~'w~®~
Richard G. Ward c 1'~ Town Hall, 53095 Main Road
-Mark S. McDonald P.O. Box 1179
Kenneth L. Edwards pLANNING BOARD OFFICE Southold, New York 11971
Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823
TO: Victor Lessard, Principal Building Inspector
FROM: Bennett Orlowski, Jr. , Chairman ~~t ~ n ~S
~ L5 ~ \:J__l5
/mss ~~u !f °~i ,I
RE: Highpoint Meadows ,U u ~G 2 ~~j°
SCTM# 1000-55-6-15.1 II
DATE: December 27, 1990 TOWlV~UFSOUTFPOLD
The Board has reviewed the interim inspection report dated
December 24, 1990, from the office of Sidney B. Bowne and Son.
A copy is enclosed for your records.
The Board is in favor of your office proceeding with the
issuance of Certificates of Occupancy for lots contained within
this subdivision.
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1ELP--T;J?~'EC~IU;J ~~UATE ~ COMMENTS
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FOUIJDATION (1st) M
t~i~ t
FOUNDATIOW (2nd) - ~ Tj
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P.OUGH FRAME &
.PLUMBING
D ~ ~
3. ~ m
IJJSULATIOPJ PER N. Y. ~ , ~ ~ o
STATE ENERGY '
CODE x
A
7
7f0 s-cx0 ~ V~"~: ~
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2
ADDITIONAL COMMENTS: x ,
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x
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Town Hall, 53095 Main Road ( y`=',y ~Y~ 'T' SCOTT L. HARRIS
P.O. Box 1174 aY" ~ Supervisor
'r`, Fax (516) 765-1823
Southold1971w York ;~/f~ t Y Telephone (516) 765-1800
PLANNING BOARD OFFICE '_~_~_f_~i~j'\wy"_
TOWN OF SOUTHOLD ~ ~ '
~'i .qr.•p ~ 'a
' ;.i v i:: Jli
TO: victor Lessard, ~ ~s •';f
Principal Building Inspector 3l-c+~:
u~rr.
FROM: Bennett Orlowski, Jr.
Chairman
DATE: April 23, 1990
RE: Highpoint Meadows Sections 1, 2 & 3
SCTM# 1000-51-3-3
Attached please find correspondence from Herbert Mandel dated
April 20, 1990. This correspondence is in response to the
Planning Board's request for a letter from the applicant
acknowledging that no Certificates of Occupancy will be
requested and or issued prior to completion of the road and any
other improvements included in the bond estimate.
The Planning Board recommends that Building Permits be issued
for lots in the above mentioned approved subdivision under the
following conditions: ~
1) The road servicing the proposed building(s) has been
completed to a degree satisfactory to the Building
Inspector. The base course must be completed, and the road
must be accessible for emergency vehicles.
2) The roads shall be maintained at the conditions noted in
Number 1, or the Building Permit(s) will be revoked.
• TEL. 7G5-1802
gpc~~FE01k~oGy TOWN OF SOUTIIOLU
'(~!g.~, 1 Ol'p1CE Or BUILDING INSPECTOR
~ P.O. BOX 728
~ . ~ ?y~4~ r-Ty
O ~ SOUT iO1Lp EN.Y 11971
'~O~ ~ ~aO August 3, 1990
D.B.M. CO.
BOR 2130
GREBNPORT, A1.Y. 11944
To Flhom This. May Concern,
we are unable to complete your Certificate
oL- Occupancy bccatrse of the following reasons.
An application for Certificate of Occupancy
is not Ori file. (BNCLOSBD)
/~?/~No Underwriters Certificate on file.
Ji/J Tlie check is( /not on file.) $25.00 •
/~No ttcalth nept. P•.pproval on file.
/ / No final ins.pcction has been made.
Plea~c contact our office on this matter.
Thank you for your cooperation.
Building Permit 11 1 8 9 7 2^ Z
Bui.ldin Dcpt.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
.iasucd after npril 1,19II4 )
-1
" i
_ .
r y,.., , > ~
. . _ ,tiaMie, a6y,n.~mtired~tm ~x.m..e
o4a,5+:~ax,._n=ar-
SIDNEY B. BOWNE & SON
FOVNDER v~ U~t t-G~
Sidney B. Bowne, P.E., L.S.
(i9]Z-1959) „n~
T„~
PARTNERS
Chester C. Kelsey, P.E., L.S.
Ra bart A. Stanton, P. E.
Rebertw. Bruwn,LS. April 23, 1990
2ahtlfal A, Blackman, P.E., L, S.
frank J. Antetomaso, P.E.
milt
Mr. Raymond Jacobs, Supt. of Highways ifs ~r; t/~ ~ ,t~ ;
ASSOCIATES { y'3 ~ ,
George A. Style, P.E. Town of Southold si~ "
Jerry o. Almon,, P.E. Peconic Lane Q~~
George L. Fagan, Jr., Ph.D., P. E. PeCOnIC, NY 11958 APR 3
Frank Capsblaneo, C.E. a-.1,
Paul F. Stevens, P.E. § ,
Rnger L. Caccm, P. E. RE: P02809, High Point Meadow, Southold ~
~~~~?~'~.~;~}~,_ys
3i YC1V+;t~,~F.~`.~'"
Dear Sir:
SPECIAL CONSULTANTS
Thamaa R. Pynchcn, L.s. An field inspection of this subdivision was completed on
Prof. R. F. snenn9en, P. E.,LS. 4-19-90 by this Office.
SENIOR STAFF GJe find that the roadways have been stripped and rough
Francis J. Lynch
Phllip Schlolzhauer graded and that approximately 50% of the drainage structures
Joseph F. Stegman and pipe have been installed.
William T. Styne
Richard B. Weber
Ralph Anderson, L.S. Very truly yours,
A. Barton Casa, P. E.
FredNaa Grdntna, Jr., L•S• SIDNEY B. BOWNE & SON
"ndrla"'Na"is,P.E' CONSULTING ENGINEERS
Gregg G. Kelsey, P, E.
Oane C. Kenny, P.E.
Howard W. Millar, P.E.
Richard P. SWtaah, P.E. ~I
/ ~~/if
A.~R a~~'
ABC:Is
cc: Ray Dean
p~ i APR 2 51990
I
.
sC!~',
45 Manor Road Smithtown, New York 11787 (516) 724 -0611
235 East Jericho Turnpike P.O. Box 109 Mineola, New York 11509 (516) 746.2350
. o , 'i
11030P~~~~
DECLARATION OF COVENANTS AND RESTRICTIONS
FOR HERBERT R. MANDEL AND RI~CfHARD ISRAEL
This Declaration made the ~ ~ day of ~ aRG(Y 1990, by Herbert R.
Mandel and Richard Israel djb/a DBM CO., a New York partnership with offices at
443 Main Street, Greenport, New York 11944 (hereinafter referred to as
"Declarant"%
D WITNESSETH
~ .~.,,y
~,wr. ti WHEREAS, Declarant is the owner in fee simple of certain premises situate
at Southold, Town of Southold, Suffolk County, New York, described on the Suffolk
MAR 12 ~g§8unty Tax Map as District 1000, Section 055.00, Block 06.00, lot 015.001 and
as more fully described in the attached "Schedule A" and,
pisi WHEREAS, the Southold Town Planning Board, by resolution made on February
13, 1990 granted final subdivision plat approval of the property described in
gFC?fo^~ "
o95',W Schedule A, as shown on map of Howard W. Young, NYLS, dated September 27, 1988
~~pcK
~b.oo as last revised February 5, 1990 and,
o° S ~i WHEREAS, the final subdivision approval was conditioned upon the filing
of certain covenantg and restrictions,
NOW, THEREFORE, in compliance with the resolution of said Southold Town
Planning Board, Declarant herein declares that the land described in Schedule
~A is held and shall be conveyed subject to the following covenants and
restrictions which shall run with the land:
1. Each lot in this subdivision shall, when improved, provide two parking
spaces, exclusive of a garage or carport, for off-street parking.
2. The application rate of inorganic fertilizers on any Lot in the
. 9.10~OPC49~~- t ~ .
subdivision shall not exceed the rates recommended by the manufacturer of said
fertilizers.
3. Lots numbered 22 through 25 and 27 through 31 inclusive shall be
burdened by a twenty-five (25) foot deep conservation easement at the rear of
each lot which easemelt shall run across the width of each of the respective tots
as shown on the subdivision map prepared by Young d Young dated February 5, 1990.
~i No buildings or structures of any kind shall be constructed or erected in the
easement area.
• 4. Lots numbered 50 through 55 inclusive shall be burdened by a
conservation easement as shown on the final approved subdivision map. The
following terms and', conditions shall apply to that land lying with the
"conservation easement area" included in Lots 50 through 55:
a. No structure or building shall be placed within the easement area.
The term's "structure" and "building" shall be Interpreted as
including swimming pools; patios; garages; sheds and other storage
buildingsi; structures for the housing of domesticated animals; the
storage of boats, trailers, recreational vehicles; and the placement
of fences'„ retaining walls and bulkheads.
b. The entire easement area shall remain in its natural state.
c. The easement area shalt not be filled with soil, sand, brush or
other debris.
d. The easement,area may be traversed by a walkway, whether elevated
or on the ground, provided permits can be obtained from the
appllcablg agencies, which may include the Southold Town Board of
trustees, and the New York State Department of Environmental
Conservation.
e. Any di~lsturbance to the land within the easement area shall be
redressed', by the restoration of said land to its prior state within
Sixty (60 days of the disturbance or of the date the disturbance
was reported to either the Planning Board or the Bay Constable.
f. No inorganic fertilizers shall be applied within the designated
"conservation easement area."
~ .
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i t
11030P~~~~'7
IN WITNESS WHEREOF, the foregoing Declaration has been executed by the
Declarant on the day and year first above wr''ittennn.
~r~Ctc~X`
Richard Israel
Herbert R. Mande
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the q day of ~ ~2 Gu 1990, before me personally came
Richard Israel to me known to be the individual described in and who executed
the foregoing instrument, and acknowledged that he executed the same.
~c -
Notary Public ~
WILLIAM D. MOORS
Notary Public. State of New York
No. 4832728
STATE OF NEW YORK Ouelitied in Suffolk County
COUNTY OF SUFFOLK Commlasion Expires January 31,1990
On the ~ ~ day of m 1~2 C ~ 1990, before me personally came
Herbert R. Mandel to me known to be the individual described in and who executed
the -foregoing instrument, and acknowledged that he executed the same.
V V `I }
1~~
Notary Publ
WILLIAM D. MOORS
Notary Public, Stale of New York
No. 4832728
Quallited In Suilolk County
- Commission Expires January 31. 1990
_ 1 i
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1.~U~iaPC~98
RCNEOULE eAn
ALL that cer4ein plot,'pieea or parcel of lend, with the buildings and
inprownenta lthe reon erected. slCUeta, lying and being at Routheld, 1n !ha
sown eL Foothold, County of Futtolk and Rtata of Nar fork, 6aittg bounded
aed daactib4b ss'[eliowat. ~ •rly •'•I 1.ti~n,~ ,~~v.•
. r I, ~ , . ,.r.
~i( 6EOINNIN6 a! s point en th• asslarly eida et Rolsaesu Arenw Aistant eha
folloring twe (2) eeurees end d!slsncea es nauerad aouthetly along sera
Iron !ha cer~er forted by thn intersection of the essterly eida et
't Roiesaau Ara^ve with the eoutheriy edit f0 tannacott Drirat
! 1. 8euth 22',degrees 31 ninutee !6 eeconde Wes! 336.68 teat to a peltt!{
:I, 2. Routh 2 degrees 3R ~inulea 20 eeconde Nest 439.00 [fat to eha lrea paint
. ' el 6aginn,ingi '
' RUNNING 1'NENCE 8ovth 8) degrees 21 ninutee 40 •aeonde Ess! along the aonlhatly
line of Lod 'nor ee IeraarLy e[ Rebate Tsplitt 200.00 tae! to • pofnlt
t '
RUNNING TNENCB North 2 degrees 3F ninutee 20 ueonds tot along the solar Ly ~ '
11na et lands. now er torrerly eL 'Lplin, Ram, Qoldss!!h a Nhaalat sad lheoagh
rhos (3) tanuntr?b• 1lt.ll tact to • nonusanq
RUNNING tNENCE North BR degrees !I ninutee 30 eeconde Esst along !ha aeutharly
lino et Iends~nor or foraerly of Tuehiil and lands shown on map et tannaeet!
Park, file 9l,iR7, 924.13 feet to a point{
' RUNNING TRENCF slong lends now or formerly of Rlehard end Leurua Nhadar
the following',two (2) courses end dietencest
1., Rovth 14 ¢egreee 42 ninutee 20 eeconde Eee! 226.31 teat[ '
2. North RR degrees !9 elnutae 00 aatonde 6a•! 200.02 teat to a point{
RVNNINO TNENC¢ Routh 2 degrees 32 ninutee 10 seconds Ees! along lends nor
~ or teraarly of Frencls end Petrlek O'Malley 272.59 [ea! !e s nonuran!{ '
RUNNING THENCE North 8R degrees !6 ¦lnutas 31 ucends Ees! 372.59 !ut
!e • polo!{
RUNNING tNENCE 9oveh 23 degrees 29 elnutes Ot aateede Esst 34t.16
tea! to • aronpmenq
RVNIItNO t1fENCy, South de greet !6 ninutee 20 eeconde Naa! along leads new
or toraaely of Edwin Nooney 902.45 [tee to a ronunantt
y ~
' RUNNING tNENCR South degrees !4 ninutee SO eeconde Nes! along lands nod
or teraarly of Peter Hayer Jr. 382.92 teat to a nonuneet{ '
RUNNING THENCE North 6 degrees 00 elnutes 40 sacends Eee! 488,47 tut to
' • eeeuetanit '
BURNING SIiB1ICF North B9 degrees 54 elnutes 10 aatonde Nast 872.10 tu!
!e • ronusenlp, '
RUIIIIIR6 1'HANC6, North 2 degrees 3d ninules 20 aaoends Les! 162.43 tea!
- to • ronunent{', .
RUNNING TNENC6~ North R7 degrees 21 ninates 40 uteeda Naat 465.00 last ~ i
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LUtfNINC TNF,NCL North 2 dlgtees 38 ftnellt1;20 laceeds Csl! ~96.1s Ult to i~,;
peintt . ,t:~~~~; ~ I
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LUNIfINO THENCE North E7 degrees 21 sinuteA IO eacenda tilet~'200.00.lnt to
l fonument ee! on the eaetlrl7r side et~Deibllln Avlefet•Iat:r•,, ;•.,•t
LiNININC INENCE elong the eesterlT eida et~bdilelev~Aranua. Nerk6 2 detreef
3E finuces 20 seconds tee! 60.03 felt to ltll!h]7Y, ~eie! et plecl el DLOIIIt1iR0.° vi~
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LESSA~R i7
MuyA-µon~
HERBERT R. MANDEL
RICHARD ISRAEL
A~ni,2 20, 1990
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Bennett Un2owb Izi., Cha,inman aYr ~ ~
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Southold Ta6Un P.Canning Boand e~,~
Sautho2d Tawn Na22 ;~°g ~ ~
gain Raad ` ' /Q~Q
SauthaQd, N. Y. 11971
~r„ ~
Re: N~,ghRo.iv~t (deadawb Lomas 3 B Q ~ '
Dean A4n. OnCowalzi.;
Pwwuar~t .to aun neeewt conve~.sati.an, zh.is .%s ~a conb.inm ~1w.t
we w.L22 nat nequest nan make aR~.P.i.catt,an ¢an centi.{~~.cate~s o4
aeeuRaney ,ion the homP~s .ta 62 caws~lcue~ed on the bubjeet 2a~s
un.2esa and unti.2 .the e~ie.eets bnon;{;i.ng ~h.eneon cute eamy~.2eted
~a ,the hati>s~aati.on aU Sou~ha2d'a de~antmewts hav~.ng 1wri.1-
cli.ct%an.
Veny~icu2y yowut,
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443 Main Street • Greenport, NY 11944 • (516) 477-2223
Y'
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765-1802
BUILDING DEPT.
INSIPECTOON
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INS CATION
[ ]FRAMING [ FINAL
REMARKS: ~ ,
\ p
Tr n
i
DATE ~ ~ INSPECTOR
rss-iso2
BUILDING DEPT. ~
INSPECTION~~~`~~~'~~~-:,
[ ]FOUNDATION 1ST [ ] !R GH PLBG.
[)FOUNDATION 2ND [ ' INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~
~ /~sf
DATE INSPECTO
(~6 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T ( ROUGH PLBG.
[ ~ F UNDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS: ~v~-~~ ~
DATE i3 ~ INSPECTOR
_ ~ ~
yy~~
~ 1~G rss-a~az
BUILDING DEPT.
iNSPECTiON
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL -
REMARKS: _1~
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r
DATE .~t~ INSPECT ~
LISA DRIVE
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~ SURVEY FOR
I D.B.M. COMPANY
%D~ LOT N0. 3, HIGHPOINT MEADOWS,SECTION ONE~~ MAY 9
~~p ~ ~ APR. 3
a
Ut ~3-u"""'~'-~} I~ AT SDUTHOLD DnTE: SEPT. 6
j TOWN OF SOUTHOLD 9CAlE~ 40'
~ I SUFFOLK COUNTY, NEW YORK ~ ~ ~ ~ ~~-;-NO. ~~;~-~es,-~10;
-cpwr~~a'•'~ ~ «u~wurHOnlico a~r[narlow on aoolrw¦ ro n~ls GUARANTEED TO ~
Su.rJ~ suevn a a rlaarlo~ a accrlow rzo9,or TNt ~ D.8 M: COMP
, _ ~ .ra,~,~~-w, ~,i< ~ wcr roaK wart foucaTlOM uw T)~~R. TIT fjU~F~~I
- ..oii~t8www~91"~c:M_..C9R!les.~q<.~n.~a..,+~wv«..n9T:..KawwRy~q~ygyilB1f „s~.
BOARD OF HEALTH
rrte' -1 3 SETS OF PLANS. .Q•.K•..
' ~ ~~...~1~ Lea I' FORM NO. 1 K
~,~„„„w...~..w_.,..... SURVEY
~ TOWN OF SOUTHOLD CHECK G"1 .....b t3,M, . , Cd_
BUILDING DEPARTMENT SEPTIC FORDS
TOWN HALL
BLDG. DEPT. $OUTHOLD, N.Y. 11971 NOTIFY
TOWN UP 5OU7wOLD TEL.: 7G5-1802 CALL , , , , ,
Exantincd..a-•3...,19gq~ MAIL T0:
Approved ..a':3..., 19 ! Permit No. 1 S 97~.~1".. .
Disapproved a/c
.o...p
Building Ins ector)
APPLICATION FOR BUILDING PERPAIT
Date ....A~~. 1590.
INSTRUCTIONS
a. Tlus 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 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 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 of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Re;ulations, for the construction of buildings, additions or alterations, or for removal or olition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building de, hou ink e, and regulations, and to
admit authorized inspector on premises and in building for necessary inspec ' _
(Signature of app rca , or a corporatton)
.p.« •G« .8ux .21.3.0.,..Glce.2vt~o!4t,. N.. y,...1,19Q~1 .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...awrte~
Name of owner of premises v. ~.M. ~4 .
(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 . .
Plumber's License No . .
Electrician's License No . .
Otltcr Trade's License No . .
1. Location of land on which ro osed work will be done;
P P ~~~p
• . Suu~hakd, SGUxhG2d, N.Y:.......
House Number Street. ~ ~ ' ' ' ' ' "
Hamlet
County Tax Map No. 1000 Section . Block Lot . r~/~, 15.1..... .
Subdivision H.cyhpo~.vt~ h~eudowa cat Sau~ho.E?d , , , Filed Map No, , , , , , , , , , , , , , , Lot . .
.Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
0
a. Existinguscand occupancy ..nane
b. Intended use and occupancy . ane. ~{yam•t.e y. h~uGe .
-
- e
3. Nature of work (check which appljcabte): New Building X , Addition Alteration .
Repair Removal Dcinolition ..............Swimgmi~ng pool. .
Tennis Court , Accessory Building.......... Felice ...p....Odl~~~l~, ,
4. EstimatedCost,~..~~F~4P
.:.......................Fee.~i.~t.7,C~.................•..
(to be paid on filing this application]
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage,numbcrofcars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing stroctures,lif any: Front . . Rear , Depth . .
Hcigitt Number of Stories , . .
Dimensions of same structure with alterations or additions: Front . . Rear . .
Depth . Height ..............Number of Stories .
S. Dimensions of entire new constnr~tion: Front ..45,r........... Rear A5! Depth 30! ,
Height Number of Stories . , .
9. Size of lot: Front . Rear Depth
10. Date of Purchase , , ................Name of Former Owner . .
11. Zone or use district in which prerttises are situated . . .
12. Dees proposed construction violate any zoning law, ordinance or regulation :
13. \Vill lot be regraded . . ~9ill excess fill be removed from premises: ,Yes , No . .
14. Name of Owner of premises . a, ~ Cu; , , , , , , , ,Address 4g3. Mcrt.h. , G~i~.t.. Phone No..471:2723 , .
Name of Architect .Address ...................Phone No................ .
Name of Contractor . : . ...Address ..Phone No.. , .
15.Is this property locaCed within !00 feet of a tidal wetland? *YES....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 number or description according to deed, and show street names and indicate whether
interior or comer lot.
See Attached p2aws
OUNTY OFE$U~f~ Wit.... , ! S.S
fle~be~ ,R., Ma,Vlc~erQ , , , , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) ,
above named.
Iicistlte...aWrlKh............
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dt%ly authorized to perform or have performed the said work and to make and file this
application; that all statements con~airred in this application arc 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 thcrcwitlt. ,
Swom to before me this ~ ,
.............~.~0.........dayo,f......~!~.~,hL.....,19~6 ~
Notary Public, S .',U F ~ ~ , , /
~fo', Y K. .county
/~~,fp~f/f~C/r~~Y.2
O PUB41~~•Na~
No. A6u27g9 ($lgnarllf applicant:
Qbalified in Suf{olk County , ~ '
_ Cam~mission Exp(res .tan. 20, f9Cli -
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LISA DRIVE
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I ^aw or Richard
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SURVEY FOR
D.B.M. COMPANY MAY 9, 1990
LOT N0. 3, " HIGHPOINT ME ADOWS, SECTION ONE qpR. 3, 1990
AT SOUTHOLD DATE: SEPT. 6, 1989
TOWN OF SOUTHOLD SC4LE I 40'
SUFFOLK COUNTY, NEW YORK NO 89 - 1025
NuNAUrNDRIxEO AITCRAT10NOR40DIT10M ro rNls GUARANTEED T0~
SURVEY 4 A VIOLATION aF SECTION 7209 Of THE D.B. M COMP cc''
NEW YORK 3T1TE EWCA 710N LAW TICOR TIT QITItf~IV
NCOPT ES Of THIS SURVEY NOT SEARWO TN[ LANG
SURVEYOR'S INKED SEAL OR ENS OSSED SEAL SN4ll
NOT L[ CONlIDERED TO LE A VALID TRVE COPY ~PPD K. O.P
N GUARAM TEES INOIUTEO HEREON SMALL RUN ONLY 10 ~ ~O ~oG f
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME RERSON FOR WHOM THE SURVEY IS PREPARED
/ AMO d NIS BE NALf TO THE 71TLE Cd PANY, GOVERN- Z
M MLARCST WATLR ~~fIM~MI ~ MSOURCE OF' WATER MIVATE _PUlLIC MENTAL AGENCY AND llMOING INSTITUTION LISTEO ra
M LIIf CO. TA%MA? DIlT RlO.Q SEC TIOM KOCK _St_ LOT P O IS.I HEREON, AND TO TME ASSIGNEES OF iNE IENDIN6
R TNLRt ARE NO DW[ILIINS WITHIN 100 FEET OF THIS PROPERTY IMSTI TUTIpI 6UARINTLES ARE NOT IRAN SfERA SLE
OTNLR THAN THOSE ~SNOWN NLREOM TO A001 TIOMAL INSTITUTIp15 OR SUSSEOUENT
N TN[ WMLR SLIMLY AND SEWAG[ DIlPOlAI SYfTCM FOR TMIf R[f IOE MCE OWNERS
'R DISTANCES SHOWN HEREON FROM PROPERTY LINES 4
WILL CONFORM TO TN[ STANDARDS Of TM[ SUMOLK COWITY OENRTMlNT TOE%ISTIM6 STRUCTURES AR[ fOR A SP[CI FIC ~ /
01 MLAL TN SLIW ICC! ?UR R03E AMD APE NOT TO SE USED TO ES TAlIISN TAD Oa'
AMLICANT' 1RORERTY LINES OR FOR THE ERECTION a fENCE1 AMD SURVEY
AOOR[SS
T[L YOUNG 8s YOUNG R~IVOERHEADNNEW YORKE
NOTE ~ =STAKE ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MqP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAR. 19,1990 AS FILE N0. 8910. 4ND LANO SURVEYOR N Y.S. LICENSE N0. 12845
„ HOWARD W. YOUNG, LANG SURVEYOR ~ '3`
R 11E LOGTMIN a WLLLIwI,SEPTIC TANKISTIS cESSPOa.s(ol LNOWN NLRLOR N.Y.S. LICENSE NO 45893 ~ ~ A
ARE fRdl fICLD OgERMSTIOMS ANO OR DATA OLTAIN[D FROM OTHERS
SRANOIS 6 SONS INC. NAS
- _.-'~'es n_ Yi .
LISA DRIVE
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_ SURREY FOR
SUfFQLK,000NTY DEIARTMENT OF HEALTH SERVICES D.B.M. COMPANY AuG. 15, Isso
~~~~~~NIr~~~~ F ILY DWELLING 01`;lV LOT NO. 3 HIGHPOINT MEADOWS SECTION ONE I. MAY s, Isso
~oV~•yr~~ 1 ~ 4PR. 3, 1990
DATEIV 11
ss~"H.S. REF. PJO. ~D_"~Q'~sZ~ AT SOUTHOLD DarE. SEPT. s, Ise9
The sewage disposal and water su,.ply iacili'ias for this TOWN OF SOUTHOLD SCALE i 40'
location have been inspected by tlus Uepa;trnent and/or SUFFOLK COUNTY, NEW YORK ND• 89 - 1028
oth en 'es and ound Yo1~be satisfactory. GUARANTEE
d. ~~P~-~~Va_ RUIMUTNORI2ED ALTCMTION OR ADDITION ro rNls
SURVEY R A VIOl4T10M OF SfCTION 1209 Of THE D.®. M. Y'roE'
Ch f of Bureau of Waste ater Management NEw YORK STATE EDUCATION LAW , TICO •b~ RD ~ ~'r
K COPIES OF THIS SURVEY NOT EEARWO THE lAMO
SURYEYONS IMNED SEAL OR ENSOSSED SEAL SHALL otAP' B°~ `O'
NOT GL CONSIDERED TO SE A vAl10 TRUE COPY ~
M GUARANTEES INDICATED NCREON SHALL RUN ONLY 10 .Z`
HEALTH DEPARTMENT-DATA FOR APPRO~MI. TO CONSTRUCT THE PERSON FOR WNON THE 3UMEY IS PREPARED
/ ANO ON NIS GEHAIF ro THE TITLE. CONPMY, OOVERM-
M NCMtlT wATE11 *AIN _MI ~ MSOURCE OF wATlR MIwITE UEIIC `L MENTgL AGENCY AND LENDING INSTITUTION LISTED ,
M fllif CO. TM ALA/ pST Imo SECTION _T)f` ttACK Jj~ LOT P O 18.1 HEREON, AMD TO THE ASSIGNEES OF iNE LE MDYMG
R MCII[ ARE NO OWCLlI1Nt WITHIN 100 FE [T OF THIS ?RO PEATY INS TIiUT10N GUARANTEES ARE NOT TRANSFERA SLE
OTHER THAN TNOlE~3NOWN NERCON 10 1DDITIONAI INS i1TUT10NS OR BUBSEOUENT ~ /YO /
K TN[ wATER'SU Y AND SEGNGC DISPOSAL SYSTEM Fq1 TMIf R[SIDENCE '/R ON STANOES SNOwN, ~NE REON FROM ?RO?ERTY LINES ' 9
WILL CONfORM TO TN[ fTAMOMOS 0? THE SUffOLK COUNTY OCPARTNCNT TO Exl3 TIM6 STRUCTURE} ME FOR • 7PECIfit F ~.(0
OF MtALTN f01VICEf. PUR PO}E AND ARE NOT TO GE USCD TO ES TAtlIISN (A D S
AMLICMT~ PROPERTY LINES OR FOR THE ERECTION Di fENCES
AODIIESS
_ ~L YOUNG e~ YOUNG ~R~gpNOEwAroR E
NOTE d =STAKE AlOEN W. YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ANO LANG SURVEYOR N Y.S. LICENSE N0. 12645
SUFFOLK COUNTY ON MAR.19, 1990 AS FILE N0. 8910.
HOWARD W YOUNG, LAND SURVEYOR
m NTH[LOCAT10MOfWEi4lw~,gEPTICTANKI7T)ECLSSMOU(CPIfNOwNNE11EON N.Y,S.UCENSE N0.45893
a M_ E PROP HELD O~RWTIONS ANO OR DAM OETMMEO FROM OTHERS
eRAND13 A SONS INC. WlS
LISA DRIVE
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.~aIRIGI~~ ~'A~tII~.Y ~~S~~I~ C3~~LY <L~~~',, ~9Qo
EXPII~Ir~ ~VVO YI=RFi~ FI~C`~iV9 ~A~°Iw CCi~F API~~C3?!A~ ~ Q9~,~
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SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HFAi7H SERNYCE:+ D.B.M. GOMPANY 9d
LOT N0. 3, HIGHPOINT II AT SOUTHOLD, SECTION ONE'S
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLO DArE. SEPT. 6, 1989
APR ~ 2 990 TOWN OF SOUTHOLD SCALE I 40'
DATE________.---H NO' c' SUFFOLK COUNTY, NEW YORK No. 89 - 1025
~ GUARANTEED T0~
K UNAU iNMIZ ED Al T[RATI ON OR AD0I TION TD TN I!
APPROVED sunv[Y q A VIOLATION OP s[crroM 1209 OF THE D.B. M CO
MEW YORR STATE EWCATION LAw TICOR TI A~~NY
z U (~j JJ~ ~aS ~q~~ K COMES OF THIS SURVEY NOT 9EARWG TNf 14N0
.J lUR YE YOR~S INKED SEAL OR EMEOSSEO SEAL SN4LL
MOT Bf CONalOE RED TO BE A YAUD TRUE COPY VL P'~ w• pr
MGU4 RAN TEES INDICATED HEREON !HALL RUN ONLY 10
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC i THE PERSON FOR WHOM THE SURVEY IS PREPARED ~ `Z' G
/ ANO ON NIS BEHALF t0 THE TITLE COMPANY, GOVERN-
M NCARCai WATER •AIN_MI ` MSOURCE of WATER P111MTE --PUBLIC `L MEN iRI AGENCY AMD LENDING IMSTIiU i10N LISTED y
N aLlFF CO. TA%MA? DIaT IWO Sf CTION ~6_ BLOCK J._ LOT 1~
15.1 IN9RTE~UT pON GUARAMTCEa DARE S MOT TTRAN aFERA BLE T
R TNLRE ARf NO DW[LLIKa WITHIN 100 iEET OF TWS PROP[RTY TO 4D01 TIONAL INS TITUTIONS OR SUaSE0UEN7
OTN[R THAN THOSE !MOWN HEREON OMNERS
N THE WATER lU?RY AID 3EYNGC DIaFOaAL lYf T[M Fdl MI! ROIDENCE R 01 lTANC[3 SNOwN HEREON CROM PROPERTY uNCS j5
WILL CONFORM TO TN( STANDARD! Of TNC SUFFOLK COUNTY OC?ARTN[NT TO E%ISi1M6 3TPUC TUREa ARC FOR A SPECIFIC
pF?L`CANT BEM IC[7, PROPERTY A~NE SRORNFOR TTNE EER ECTION OFrf ENICES ~O` P/A9 ~Ry~,V®&
aa~
ADDRE sa ~ , 3 ~
G-r R~ o{`~ N- • (~B~Y _ '~~7"ZZZ-3 YOUNG ~ YOUNG R~IVOERNEADNNEW YORKE
NOTE ALDEN WYOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP NOT FILED AS OF SEPT 6, 1989 AND LAND SURVEYOR N Y-S UCENSE NO 12845
m HOWARD W YOUNG, LAND SURVEYOR
e M THE LOGf0/OF wELI(W1, lERTIC iANK13T)B C[SlIOOLS(CPI /NOMN NU[O11 N Y.S. LICENSE NO 45893
e ARE FwOM FIELD OpERMTlgla AID OR DATA OETAIN[D FNOII OTNERa
8?ANDIS b SONS LNG. ~ NAS
ENERGY CODE Cf-i~CUL~T t Of YJ ~FG1 /U[~jN-£Ll<GTR/L =/c.aT,
- ~ /~A : pa l~ ~ Pz6 ~WNly~ - ~6..Llr.J C3/ZF.cir - _
ro OOO ~Eya.E-E Qe~<
M° ~ 1~.o.7~p f~~iL~_ _ o.,n.: to
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~'XTfA/DA \V4LL5 [(alSOSS) I ~ 0. I7
~ , EXTEAroA \V.dL1S [o~ec,~uE) /3~~ l P ~ °-D~ yr.P°
G~'LAZINri % 1 S 3 ~ O.SB ~'3 y D
~ mamas I o.yo I Sr n -
GE/LINC~S ~ J•1~F q L / Q I I O. D3 S-~g ~
SNF/LTAATION (~/ul~rtia> /4i70v I ~ O.D~B I v°u° -
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1) _F"-.'TING DQULn^II.T 1V N8:.5T 7813.7' - 758 E?F. 7U TBE BFST GF t~Y RNGN*I.°JGE, ~ZE NF^Yo
IJ F.~TING CONTROLS T9 MEET 7813.13 BEI.IE_"~ ADID FROF;SSIDNAL r~~=-rvi, r,T9,F
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4) PIPE INSOLATICN 7813.19
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