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HomeMy WebLinkAbout18714-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20424 Date DECEMBER 23, 1991 THIS CER'PIFIES that the building NEW DWELLING Location of Property I45 HICKORY ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 9 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 1989 pursuant to which Building Permit No. 18714-Z dated DECEMBER 29, 1989 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 WITFS ATTACHED PORCH & GARAGE AS APPLIED FOR The certificate is issued to RONALD G. & VERONICA H. BURK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL $7-SO-121-JAN. 13, 1989 UNDERWRITERS CERTIFICATE NO. H-025233 - OCTOBER 28 1991 PLUMBERS CERTIFICATION DATED DEC. 19, 1991 - K & K PLUMBING INC. ~, -~ uilding Inspector Rev. 1/81 FORM NO. D 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.8714 Z Date ....~,u.ru-~-r.,.~-4~.....~.9..,....,, ~9.~.•I Permission is hereby granted to: ~ p ,~ ~ ....~. ~9......~ 4~'~'.. ~.4~.~F. a~......o~.~........ . ro ......... r!1-S:CSI'....g.....f?~1.a._~...... J... n,~ ~-~q ..~F~fr~.~.....Sx.,GK.Q.c./:4~c14.. I ..... NMA..Y.[~!~ I~'.yk ~l.~~rsA...,...st-~...a (~..~u.<........... .. a ~-sta........./..~a.7.o.`f..~~. ,....e ................ .... ct premises located at ...~..`~!:~........1`l.:c,s...t.~?l ..:.......... .................................................... Caunty Tox Map No. 1000 Sect^ion~.... ~.5../T.._..... Block .....49..........gLot No....~.~ .............. pursuant to application dated ....!.-~?~.~9.'.'.^R!^~M....~.~ ............... 19...7.., and approved by the Building Inspector. Fee $.~:a.:~! 9a...... .c c~0 t..c. ...... c,~r ......................... Rev. 6/30/80 Foam xo. s TAWN OF SOUTHOLD BliILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUIILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMMPLETION OF THE WORK AUTHORIZ'E'D) Nfl T U I O `h Z Date ....1...~.R.S,J?'i:'Z.1~A......~ ~.........., 19.~.~. Permission is hereby granted to: ...r.F~? :............... ~1..:!~,.:.....9..-.'l.~.o......... ..... fo .~ ~......~r.....~A.~ ..... G p~p ~y~ V ~,J..l~.. ~.1 ~~...:: u~y. ..... ....................................................................................................... ct premises IocatedVVatV...~~~.....~.:~.'~:`.....\~~.:..........~A-S.fi.:C.~ .................. ................................................................................................................................................................ ................................................................................................................................................................ County Tox Map No. 1000 Sect~ion~.....Q.~.~..... Blockq.....0~......v.. Lot No......V..~P........... pursuant to application doted ....1..3s?:.~ti:~!-!5~4....c?1....}..........., 19.41.., and approved by the Building Inspector. Fee 3..T.~~.:.q~.... I~ ............................ ............................................. Building Inspector Rev. 6/30/80 „~ Form No. 6 ~~ r TOwN OF SOUT110Lq BUILDING D):PARTMHNT TOIdN HALL 765-1802 APPLICATION POR CtiRTIPICATE OP OCCUPANCY '.. This application must be filled in by typewrieer OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate loca[ion of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Heal[h Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undert/riters. 4. Sworn statement from plumber certifying that ttte solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible £or the building. 6. Submit Planning Board Approval of completed site plan requirements. :S. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. .lc curate 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 Co 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 - 5100.00 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 I ~...~cC ~ 7 .~C ::cw Construction..,,/ ..... Old Or~P)re-existing Building ................. Location of Praperty...~.y.~ .....(.T. X414' e~ac y'....~~... y ..,~,ocss [~f°.L: t? .................... Itause No. / Street Ham1eC Unwcr or Owners of Property... l..!'~19:~'12...~.^.. ~.,V.~T'.~~?~/!C/~'..~....!:-: t/~.k'............ <:uunty Tax Map No 1000, Section....Q.y.~ ...,Block.......~........Lot......'~/ ............... :;ubdivision ....................................Filed9ri;~p..,.........Lot......./.'...~~. {{.......... pcrmlt No. ~ ~ 7J J.-.~ ....Date Of Permit.p4%.~ . ~ J~./~b'/..Applicant..~~.~.'~~: ~ . `:.. t!.`~'~'.~..... :!ealth Dept. Approval..,:'. N...~:[.K .............Uaderwriters Approval.....tl"1..~:4~ ........... loaning Board Approval, ° 1!.. E' 1 ~ ~........... :equcst for: Temporary Certificate........... Pinal Certicate... K...... 'ce Submitted: S...C.J.~o~,d .................... CO ~ aOtt~y , _ APPLICANT _ _ .. - - - - ~~+ '~`~ T6L. 7G5-1802 `~ c~~~FOU,'C , `''~ ~p ~. Qly TOWN Or SOU'luoLD ~'' ~ ,4. " "~~ . ,; is OFFICE OF IIUILD114C INSPECTOR P.O. DOX 728 ~',~ w~. ~ ..~ T01VNH,'~LL O/a~! r~ ~~~`r SOUTHOLD, N.X. 11971 C E R T I F I CAT I O N Date ~~\` ~` -~ ;- ~ ~~t' Building Permit No. ~~~~~~ Owner ~y"nG`~~ (~y ~~ (please print) Plur.ber ~~ ~-- ~v~CTs`~ ~ ~t\ ^~ ., (Please print) 1.~~,L~~jti4t~ t~~S~ ~~ :;,~ . . ~. I certify that the sol_d~r used in the water supply system ,y~_~, contains less than 2(10 of l;; lead. :~{`:. ` ~, <,°, `~i , ,~ ` ' r /~ /~ , ~~~r~ /~-C~JGZ - (plumber's signature) Sworn to be£or~ me this ~~~ day of ilY/v",•l 19 q~ r ~r. ~; llokax;~ t>ubLia, ~~~~ r~'v County ~. ~~ ~~ ~, ~?~~~ ~-- Notary Public Nota P ERIC. G Kp(;N ry uhNC, Su,ce ut New York No. 52-2762top Qualiiietl in Suffolk C_uuntY Tsirh Expires January 31 i 992 i i THE NEW YORK BOARD OF FIRE UNDERWRITERS T'AG~: 'I 8Q28461 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 OCTOBF:N 28,1947 60344684/84 N U25).,"s3 THIS CERTIFIES THAT .App~tc~ttor+,No.otfi'f~a% orrly the e/ectrdcal puipmant a described helots and inrtrrortdRuc~le~d lhy the opplicent rwmed on the those oppBcetfon rwmher in the promises of R.ONAhD G. BURK, 155 HICKORY k/~Aia, S(w'rf(O)d), N.Y. ~3(~ GAk/Ai'1'IC(Oil`r G54 4 F in thefoUoteinR loca ' l_1 Ist Fl. ~ Ynd F'1. .Sertiun Block' Lut ft~~7Kr~ ~Y,ei+f9~ toas etamined un andJound to he in compliance with the requirements uJ this Buard. RXTIIY OUTYiS ACtRS SYIR7cXK I RXTURES NGNDlSCFNT FlUO11E3[ENT OTHER RA AMT. NGE K. W. cOOK111 AMT. 0 DECKS K. W. O AMT. VENS K.W. DISHW AMT. ASHERS K. W. lXMAU AMT. ST FANS N. P. 25 3 38 .75 3 ) 73.9 ) i.2 3 t~' ~ DRYERS FLRNAGR MOTORS lUTW! AMRIANCR INDRRf SHOAL EECt•T 11ME ClOCK4 Yll IHNT IIRA1lRS pf _ DIMMlRS AMT. K. W. Oll N. r. GAS N. P. AMT. NO. A. W. G. AMT. AMP. NAT. AMPS. TRANS. AMT. N. P. YSTlA15 ~, « tRET AMT. WAITS 3 F ). i 0 i. SERVK>! DIfOpNNECT NO.OE S E R V 1 C E AMi. AAV. TrPE ~ 11 TV 1 / 7W 3 A SW 7 { KW ~' ~R COND. a CC COND. ~. a NI-lEG a' ~'~ NO.Or NEUTRALS a ~~~~Al 1 ?.00 C.B 1 X 7. 7.10 1 ?./0 OTMR AMARATUS: G.F.C.I:-8 SNOKt: AF:'I'FCTOR : - / C/~~Q RONA).I) Cr. 811RK ~(/~~ 164 S. MAll1SON ST. S.ISI,TP, NY, 11730 Gptplµ ] I ~)J Pe' vy ~ Thit urlificaM mutt not bs allerod in any manmr; refum to the office of Mle Eoord if incorrscl. MspscforE may be idsMif'Nld by .their crodantiak. ~ ,- DOPY FOR BINLDNW DEPARTMENT. THIS COPY OF CERTIFMATE MUST NOT 0E A~TCRED MI ANY MNFNER. .~.' _, -: .- j%~ Z~ `!`l~~ ~~~ ~~~.U~ ^-~ed ~~~: ~ ~ ys ~~~ ~~ ~~ ~,~p ~ ~ ~ ~~~~ ~~~ ~ ~ ~ ~ ~ ~~ ~~ ~~ ~~ ~~~ ~~~~ ~~~ ~~ ~ ~ ~~ ~ ~, ~ ~~ ~'.~ ~-y-, ~~~~~ - INSPECTORS Victor Lessard Principal Building Inspectar Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 ~~o~~SpfFO(,{~~OG o y~ ~y x SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 18, 1991 Mr. Ron Burke 169 East Madison Street East Islip, N.Y. 11730 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber solder Certificate on file. {All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18714-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. `~~r~ rss-lsoz BUILDING DEPT. INSPECTION [ ]FOUNDATION !ST [ ~ ROUCH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL ~- REMARKS: DATE ~°~ ~ INSPECTOR `~ -1EL~2 I:: s:~C:iU:I je ll„.i:. ~ CCMME;NIS ,,_ L . -_-- ~ m 1. _ z H FOUI7DATION C1 t) - ., T ._ ` ~2 ~ © ~ ~' c ~ ° G ~ ~ ~ FOUNDATIOtd (2nd) - - K 2. z a~ FRAME & Dn ~ ROUGH y ~ PLUMBING ,~, c rk 3 ~ r~ IfdSULATI0P7 PER N. Y. ~ ~ y r L STATE ENERGY CODE " m _ a ~ /, ~c.~: r ~ G. H .. ~- FIi4AL ~ /~ ~ i ~ ~ - ,~ ~ ADDITIONAL COMMENTS: x . ra ~ ~ k r- ~ x ro• H ~ _ H U H b z J _ -,; x d ca a. i r H b - x ~ e i m . ro H 1~~~~ 765-1802 BUILDING DEPT. t NSPECTION [ ]FOUNDATION 1ST f J ROUGH PLBG. DATE l ~ ~ INSPECTOR ~ "~ [~ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL l ~ ~ ©~ res-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [r INSULATION [ ]FRAMING [ ]FINAL REMARKS: `"~~?%%~~~ CiGc~ --~--~-i^~2 . DATE ~ 3 ~ INSPECTOR '~-isoa BUILDING DEPT. ~NSpEC°rsoN ,~ [ ]FOUNDATION 1ST (~j ROUGH PLBG. [ ]FOUNDATION aND [ ]INSULATION [ ]FRAMING [)FINAL ,~ . DATE '7 ~ INSPECTOR ~~d ` r l~ ~®~~ 765-1802 BUILDING DEPT. II~ISPECI'141V [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL REMARKS: DATE ~~INSPECTOR `~~UU_ ~(~~ ~G ~ o `f ~ rsS-isoz BUILDING DEBT. iNSPECTI [ ]FOUNDATION 1ST j ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: (~ r (~ , (~ DATE ~~_INSPECTOR ~~t ~~ ~~~ 765-1802 IJILDING DEPT. INSPECT'1®N [ ~ NDATION i5T " o ] FOUNDATION 2ND ( ] BOUGH PLBG. [ ]INSULATION DATE ~~ ~~ 1 c [ ]FRAMING [ ]FINAL ~~ 0 ~~ ~' d ~~~ 0 2 ~~ ~~ v ~.:~ ~~ '~ `, tti. 5' 0~ ~~ i~ P`~o n ~. ~,-~.. ~~ ~°° . ,p ~~ ~~o 9."-// ~~~ ~~~ 1~ ~~ ,, '~ 6~ /6 ~~ '~ i >~)s ~~~ c~3~ a ,his ~` FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examine~d'~~?'~?:^~ 30, 19 ~ .7 ~ S 7 1 ~r I"~ Approved 1~~ ~., 19~.~. Permit No...... ~ 7.~~ Disapproved a/c .................................... . BOARD OF HEALTH .~ . 3 SETS OF FLANS ~... SURVEY.../.- CHECK •~'f°-zI}.. , SEPTIC FORM .a?'( 93/ NOTIFY CALL MAIL ~; gyp, .... (Building Inspector) APPLICATION FOR BUILDING PERMIT ,x'77.: 3./.3 :~ ... . T0: ;5 t ~~, °, i.1 L, V ~ ~ ..- J 1 Date . ~.~..~......., 19 ~7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building 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 Depaztment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in tions.. -. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is_ owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ........~c'!f~!.~ /~ ............................................................................. Name of owner of remises U...Ff.......d.'.. ~~I?,K,,,•,,,,•,,,,•,_,,,,,,...„ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .....~^~rN.,v~,yr, .......... . Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . 1. Location of land on which proposed work wil~llbe done . ................................................ . .. ~ ~5 ................ ~ ~. e r~o~~ .... ~.~ ..................... ~ovP~ P4 ~D..........:............ . House Number StreJet Hamlet County Tax Map No. 1000 Section .... ~'~-/ ............ Block ..... 9........... Lot.... 6 ............. Subdivision ..................................... Filed Map No. .............. Lot .............. . (Name) 2. State existing use and occupancy of prem''is//es and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... (/~/.ucc/~i ~ P~ . ~~ (~,T y.. ,G. ,r9,NtJ .............................. . b. Intended use and occupancy ......~?/. !'!4 c,~-, , yr'gr~ f f,y.. ~wEG~ifv G .................................. ~~~ (~6~~1°~saaidxg uoiss~uawo~ 63uno ~{~o;nS ~0 Pel!1 o;eo~}1;~a~ F}unop n@ssi=N ui pagi~ena (Iusagdds;o amleuBiS) K~oA MeN °o a9GSS •oE 'oN { Ts ` end navtont aa~zsl3o Nlna ......... G~~'Y'~<:/ v'.' ', ~~~~~/~~~!~ '/ .i;uno~ ......... ....O,a°rlgnd,tze;o j 1~. 6I .............~ o~ .. ,,,o ,tap. • .~.~. ............ . siUl our aso3aq o; uzon+ •q;?MazaUl paig uoilea?Idde au; ui c{Izo3 Ias zauueuz aril u? pauuo;sad aq i[?M xzo. ar{I IeUI pue :3aiiaq pue aSpaiMOUK siU 3o Isaq aUI o; anzl aze uoilsa?Idde siUl ui pauisluoa sluauralels IIe IsU1 : uo?Isa?idd snit aid pue axeu: o; pus ~izoM pies aUI pauuo,Izad aneti zo urzo,Izad o; pazuoUlne ,Crop s? pue `szaumo zo saumo piss 3 .......................... 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TUB?ag p h q;daQ ~'~ • ~ ~ ~ zeag • • • • •,~x • • • • • • Iuoz3 :uoilarulsuoa Mau azilua;o suoisuauriQ •g ...................... S 3o zaqumN ...................... ~UBialI ...................... UTdaQ sauo ' ' ' ' ' ' ' ' ' ' ' • • ' • • • • zeag • • • I • • • • • •.b.• Iuoz suo? ? e zo suo[ eza e t iM asn aru;s awes o.suoisuauu ............. ...................... ..... saiz ... Bia O o a urn IS3 q N"""""" TU H ~ , d . ~ Q l .T 3 ......... • . ' .. , UIdaQ ..... % ........ zeag ......:y. ~.... Iuoz bus [ `sazn orals Bur sixa o suoisuaun L ' ' ' ' ' ' ' ' ' ' " • -~/~ • • • •asn 30l adtl Uaea 3o Iualxa pus aznleu ~C~iaads `,iauednaao paxiuc zo ieiazautuzoa `ssauisnq 3I '9 szea 3o saqumu aBsze83I 7i .......... . ..... ... s can Bui aM o za urn ........ zoom gasa uo I. II P 3 q N ~' ' ' ' ' ' sliun Buiiiamp 3o zaqurnu `Bui[IaMP 3I . • • • • . • 'S ( uoc sa[ dds s? Bui c uo isd aq oI) 3 I 4T IJ P . ..................... ............ aa3 ..........................~...r........Tso~ paleur?Is3 .... '~. oOdl Q~- 'b (uoilduasaQ) ............... xzohC zag30 .'............. uoiliioucaQ .............. ieeourag .............. zisdag .......... uoi;ezalid .......... uo?I?PPd .... '^ ... Buipirng Magi :(aigeoiidds UaiuM ~iaaga) ~izoM 3o aznTeN •£ ~ nbazdea .L~O~d °wI ,` rr ~~, ~~ ~~ ' SINQt.E FAMILY f3WEi11NG tSY~Y DATE.)Q~ ~ ,~.~H.S. REF, W0. R9 ~~-/.~/ The sewagr, disposal and water supply fBDilillBE falr 11A3 bcation have bean inspected by this Dapaktr~ent BRdY~ 0t BBfBBU 0{ YtB9't8welBr HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT R NEAREST WATER WAIN MI. S MSOURCE Of WATER PRINITE PUBLIC. R BUFF CO. TA%MAP glT~00 SECTION .Q¢Z, BLOCK _~. LOT N THERE ARE NO DWELLINB6 WITHIN 100 FEET OF THIS -ROPERTY OTHER THAN THOSE SHOWN HEREON. N THE WATER SUPPLY AND SEWABE DISPOSAL SYSTEM FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUPFOLK COUNTY DEPARTMENT '~sr~ 277-J~3 ~ I NOTE _ • .MONUMENT 1 M THE LOfAT1011 OF BNOWN HEREON ~5~ G~ r.,. ,.~~ SURVEY FOR RONALD BURK & VERONICA BURK AT SOUTNOLD TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK M UNAU TNORIZ ED ALTERATION QR ADDITION ro THIS SURVEY 9 A VIOLATION OF SECTION 7209 OF THE NEW YORK STAVE EDUCATION LAW M COPIES OF THIS SUIIVEY NOT BEARN/O THE LANp SURVEYOR'S INKED SERI OR EMBOSSED SEAL 9NAll N07 BE CONSIDERED TO BE A VALID TRUE COPY M GUARANTEES INDICATED HEREON 9NALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND QY NIS BEHAIf TO THE TITLE COMPANY, OOVERN- N ENTAL ADENCY AND LENDING INS TITU iI ON LISTED HEREON, ANO TO THE ASSIGNEES OF THE LENDINB INSYIYUTION. GUARANTEES ARE N07 TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS N DISTANCES SHOWN HEREON FROM PROPERTY LINES 70 E%18TING 9TRUC TUWES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES GUARANTEED USLIFE TITL ~~ ~~ ,s e9 S©__/ SEf'T.12,1988 MAY 2,1988 APR. 8,1987 DATE' FEB. 6, 1981 SCALES I~~=30' N0. 81-25 .'C:~,~NEW YORK YQ~, H 60/Gby ~ ~ f ~ o/PaD $o _ YOUNG a YOUNG ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE N0. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.YS.LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK iDY POST E0494 O~ +. ~/ / ~ ~ ~~2C l 1~ ~.~. ur.n. ur ur^ HEALTH SERVICES °~~R,~ ( .~r~ M i-fl-M l ~ / n K wirFt rft~ ST9'NO~¢20 s F° 2 /~6/~r~a~rn~ ~vY/ Co Nsr~uc~ro„r~o'1~~. .S/aS/2l~drev St+wHGv ~is/~~S ~L SySTC A~5 Fd~ 5'iA/6 c u Gir-sAr c yi ~rs5/oc~vcCYS rF Nn culcv ~Ftl1~e- r3y T/tom Coa~O~T/an/~ ~~~ ~=g2~lfi T/tv2C~A/ /i-///J OW TNti rr'~Stml7- To Cani57-0cL/~T SURVEY FOR U,~/!/~~ze-ca/~jL(~'j~L iUFFOIK COUNTY DEPARTMENT OF HEALTH SERVN:E! FOR APPROVAL OF CONSTRUCTION ONLY JUL t ~ 1981 DATE rhIS~REF. NO. ~" I ~~ ~a-~~ v ~ J~X~ HEALTH DEPARTMENT-DATA FOR APPRO CONSTRUCT N NEAREST WATER wA1N_ML! NSOURCE OF WATERS PRIVATE __PUBLIC_ M SUFF CO. TA%MAP DI3T 1000 gE CTION 054 BLOCK 9 l0T 6 NTHERE ARE NO DWEIlING3 WITHIN 100 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF iME SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. APPLICAN ~A/I~'t~Y1 t'I- ~~J71J A//C!F ~l/dL. II NOTE _ ^ =MONUMENT 1 AREA=13000 S, F. N TILE LOCATgN OF WELI(W1,SEPTIC TANKISTID CESSPOOLS(CP) SHCWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OfHER3 RONALD BURK 8. VERONICA BURK s A , 2~ COARSE SAND 17' APR.Fi,1987 AT SOUTHOLD DATE FEB. 6, 1981 TOWN OF SOUTHOLD scALE I"=3o' SUFFOLK COUNTY, NEW YORK N0. 81-25 K UNAU7HORIZEO ALTERATION OR ADDITION TO TN IS GUARANTEED T0~ ' NEwVYOR1c~,STATELED CA TOIONE p~ION 7209 OF THE USLIFE TITLE ANCE CO.OF NEW YORK ~0'PTES OF THIS SUR V~EV NOT BEARING THE LAND ~ PSE OF yE SUR VEYOR S INKED SEAL OR EMBOSSED SEAL SHALL Bp. S~ NOT BE CONSIOE RED TO BE A VALID TRUE COPY $ O D K GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED ~ ~ I4' d~ ¢ AND CN HIS BEHALF TO THE TITLE COMPANY, GOVERN- ~ ,BQ ®~ MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE (ENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE I TO ADDITIONAL INSTITUTIONS OR SUD SEOUENi OWNERS ~ ~ 1L1 N DISTANCES SHOWN HEREON FROM PROPERTY LINES TOE%ISTING STRUC TUNES ARE FOR A SPECIFIC a ~i„ O ~ PURPOSE AMD ARE NOT TO BE USED TO ESTABLISH $gB9 ~, PROPERTY LINES OR FOR THE ERECTION OF FENCES ~Sn .w YOUNG ~ YOUNG R~RHEAD"NEW YORKE ALOEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.YS. UCENSE N0. 12845 HOWARD W.YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO.A5893 TDY POST EOd9d ,~~• ` pD ~Bp9 A C~' ~~_ I G~~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT H NEAREST WATER MAIN_MI. ~ MSOURCE OF WATER: PRI WITE _PUBLIC_ R BUFF CO. TA%MAP DI3T I~.~SECTION 054 BLOCK 9 LOT 6 H THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON. M THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. APPLICANT: I ADDRESS TEL. NOTE _ ~ =MONUMENT 1I THE LOCATION OF WELL(WI, SEPTIC iANKISTIB CESSPOOLS(CP) SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS SURVEY FOR RONALD BURK & VERONICA BURK MAY z, (sea APR. a, 1997 AT SOUTHOLD DATES FEB. 6, 1981 TOWN OF SOUTHOLD SCALE: 1'~=30' SUFFOLK COUNTY, NEW YORK No. &I-zs K UNAUTHORIZED ALTERATION OR ADDITION TO MIS GUARANTEED TO~ SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDVCATION LAW USLIFE TI d~®R//k(d O.OF (JEW YORIC~^ M COPIES OF THIS SURVEY NOt BEARING THE LANG t,°4p SUR VEYOR~S INKED SEAL OR EMBOSSED SEAL SHAH NOT BE CONSIDERED TO BE A VALID TRUE COPY r~D W, ` REL ~ E T EY A L ~ 01/ ~ THE PERSON HE SURV PREPA FOR WHOM IS D .$ ~' AND CN NIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCY AND (ENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING iNSTITUTiON. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOUENL ~ OWNERS ,D .,,. R DISTANCES SHOWN HEREON FROM PROPERTY LINES q TO Ex (STING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ~°~ ~ ~~ PROPERTY lINE3 OR FOR THE ERECTION OF FENCES D uND S YOUNG a YOUNG RI~vERHEAD",NEW YORKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE N0.12645 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S.LICENSE N0.45893 rov rosr eaafa