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HomeMy WebLinkAbout17868-z - FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20302 Date OCTOBER 23, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 13200 MAIN ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 14 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1989 pursuant to which Building Permit No. 17868-Z dated FEBRUARY 24, 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 DETACHED ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to HENRY H. TRAENDLY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-116931 - MARCH 5, 1990 PLUMBERS CERTIFICATION DATED N/A ui.lding Inspector Rev. 1/81 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of tYie Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20301 Date OCTOBER 23, 1991 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 13200 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 14 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 1989 pursuant to which Building Permit No. 17868-Z dated FEBRUARY 24, 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 ADDITION SWIMMING POOL & DECK ADDITIONS & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HENRY TRAENDLY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-094642- 9/29/89-& N-087024- 8/17/89 PLUMBERS CERTIFICATION DATED SAN. 9, 1991-THOMAS P. McSHANE uilding Inspector Rev. 1/81 roam xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 017 8 6 8 Z Dote ....1,<.....`...1 19. Permission is hereby grunt to~ ~ . / ~-T~is1 . , B-i~C. ro C;e?1~XAt~?..G~:,G.F!rff..~ ~~~'~-~r.~i~.... ...cB??.q! 4~`~ Caunty Tax Map No 1000 Section -3,l Block ..l`f......... Lot No. f Z- / yyLL~~ pursuant to opplicat~on dated g. 19.°/., and approved by the Bu~ldmg llnsp~ejctor. ~Lr p q~` 2 2 2 7 Fee s~7.T.~''r..~ p A/~/~~/ ~ O~/~-~ 7-~d~~i. ~/~C uildi 1 for Rev 6/30180 """V- . Form No. 6 ~~~{~'_`'i~Gj~`r_j~~i~•i TOWN OF SOUTHOLD BUILDING DEPARTMENT ~9a ~ . TOWN BALL t!^ 765-1802 1 70v;; ~L~ ,C',.di_t'T ' ~..w'..x`a.-.Vl} rTAr.n~~l APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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. Fels 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, Com~~ym{ercial $15.00 o °'11 Date .......L~. 2~............ 'mow Construction........~/.,.~. Old Oar{ Pre-eyx~i_~sting Building.............. cation of Pro ert r. f•.......... house No. ii~~ Syy~~treet Hamlet i~iwer or Owners of Property.........(-l~~.~.~,...4f':~~N~(r~ ...............I............... aunty Tax Map No 1000, Section. ~.~L.......Block.... o L~......Lot....~.`.~L ~it>division..--.77.QQ...QQ ........................~.(,.(..Filed Map............Lot...................... "crmit No.Q~ T.V.~(.~.....Date Of Permit2~2-J.1.~......Applicant~~~.n'.~`~..~tt~~.~}~.~qq:a ~r•nlth Dept. Approval ..........................Underwriters Approval.~~~~T.~~.l~ 3~q~q`P ~ inning IIoard Approval ~~'D'~Iv`jv / fU ~•quese for: Temporary Certificate........... F nal Ce`r-t e. •c• Submitted: $ .~"':.:1.. y~gy~ e ~ ~ n~3o~ .APPLICANT y d~C" Form No. 6 ~ 1~ ~ 1~'~~; TOLR3 OF SOUTHOLD x~' BUILDING DEPARTMENT ~,+~9t~' TOWN HALL 765-1802 f~ 8Lp(, pf°p'~~- 70tyr1 ~ik 4rP rT~~..~ n APPLICATION FOR CERTIFICATE OF OCCUPANCY \ 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. 5. Commercial building, industrial building, multiple residences and similar buildingG 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. 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. FeAs 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, Com~~ymy{e{rcial $15.U0 o ° "1 4 Date 2~. ..........a ~w Construction........r~,.~.nOld Otr~ Pre-existing Building...?........... 1' ~ ocation of Property... (:JVSa`:d..: J~ l..l..~~~ ~.~~~~:--1.. k~:7r.......... . house No. Sy~treet Hamlet +nwer or Owners of Property.........~~~.~;~...~f~~N~ir~ ~~unty Tax Map No 1000, Section. ©~I........Block.... ~,.~......Lot....d~.~L..•............ ~ibdivision..~~77.QQ...DQ .........................d.r..¢F~iled Map............Lot........~y.~.y.-.~'...~.,~.'.I... '~~rmit No.Q~.T.U.~O.....Date Of PermitZ~.rL.J.I.~!ti......Applicant~~~a'.':~~~ :"GG~??.a{~-r~ ~.~alth Dept. Approval ..........................Underwriters Approval.~~~~~~~.!! ~3~9~f 3P~~Q9'. i:cnning Board Approval ~~tU~d 11U. c~quest for: Temporary Certificate........... F nal Cer e. J 1 I •'e Submitted: $ Q.,~., gag y . .APPLICANT ~v ~a03D~ THE NEW YORK BOARD OF FIRE UNDERWRITERS Pnrr: 7.00143) BUREAU OF ELECTRICITY ®S JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 23,19$9 APPlicationNo.onff(e 60963:?3!1/69 N 098657 THIS CERTIFIES THAT only the s4ctrled puiprnent v dreri6ed 6ebw and introduced by the opplicont named on the above application number In thepremleu of R. HENRY TRAENDLY, 7.:3'L00 NALN RU., POL,N~f269, E. NARI:ON. N.Y, ry1y~~-~~ OtIT ~ in thefolloleinR locations ~ Basement L'J /st Fl. ? Ynd Fl. Section Block Lot wes esamined on SBPTEHBER 7.6 , 7.9 $ 9 ondJound w be in compliancy with the requirements of thu Buord. RxTYM AGEi fWMGIK RXTUMS RANtMt COOItINO DICKS VBSS DIEM WASMERS EXMAUfT A11S DtITIEfS INCANDFSCtM HV011lSClM OTHEn AMT. K. W. AMi. N. W. AMT. K.W. AMT. K. W. AMT. M, P. DRYNS RIENACE MOTORS ti1TURE AMUANq IEDMR~f fMOAI Mx:'K iMIR ClOC1t3 pLL WaT IMATpf AWlT1-0Ui1lT DIMMERS AMT. K. W. dl N. P. GAS H. I. AMT. NO. A W, O. AMT. AAV. AMT. AMPS. TRANS. AMT. H. P. q ~T AMT. WAILS fERVIQ MlCONNECT ND.p f E R V I C MAI. AAV. TM! lwew IwtW trsv. aw~w MO. aPMCCKtdm. cc to'o. I+o.a u4lle uo.dulunAU d.w. o. 1 20o cB 1 x 1 Oro 1 1~ OTPIDI AltiMAT11S: •NOTB: Thia is apart ia;~ not a +-oRlplete certificate. v TBONAS J. BA?,I. I,LC.f250F, P.O. BOX 1'108 SOUTROLll, NY, 11971 OEIElALMIRNEIQ 11 Ptr This urtiBcoq mIKK not I!s alNrad in any mannarj raWrn ro tFle office of fFle Board if incorracf. Inlpsctprt may Ita ida '~Mlait cradaMals. COt'Y Fat BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALT I R. _ _ _ _ TT _ _ _ T _ _ _ -y i ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ~ 1001381 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 UCTUB$R `1.3,1.989 APPIlcarionNo.onjlle 654.5'1.589/89 N 098F55 THIS CERTIFIES THAT Doty the ehetrieat putpmant v dsecrlhed Mlom awd introduced by the apptieent nomad on theahooe sppfieoNon number in the promiwe of HF,NRY 'CRAENDI,Y, RTE.;25 MAIN R~t)ryAD, POLE;2fi9-5, EAST MARION, N.Y. frl thafoUmclnq lucotion; ? 8esament LJ Itt Fl. ®Snd Fl. UI.JT Section Block Lot uw exomined un U(:TOBER ].2, 1989 end ound to fx in com lionce with ehe r f p eyuiretnenfx of thu Bosrd. RXiYRR Af]g fWDGIlS RX COOKING DRCKS OVNVf DISHW ffXMAUfT Aqf OUTlRS INGWelSCRM flUplttRNl aTXRR NAT. K. W. AMT. K. W. AMT. K.W. NAT. K. W. AMT. M. R 46 3 16 4:3 3 DRYtfES tURNAt! MOTORS tvnaR AMl1ANd IERDBS fMOAlRRCOi 1KAetxoats IJ•lt 1Nily 1Mf IWLiFOYTIRT :BYIYEERS AMT. K. W. dl N. r. GAS N. r. AMT. No. A. W, G. AMT. AMr. AMT: AMRS. TRANS. AMT. M. r. NO.OF REt MMT. WATTS 3 F 7 fEEV1tR ~MR08MMECT Mp OF .__E.. ..R.- pp~~ V 1 C E AMT. AMI. I1rE 1 / 7W I / SW ~ / tW 7 / /W R~CdCONe. Oi CC ~ d~D. NO. OF N4LEa Oi ~ ~ NO.OF mwRA{S G ~NWEUIGWU Ol'/IRR AMARA711f: MOTURS:1-0.50 N.P.. SMOKE DETECTOR;-1. TRACR LIGHTING:-214 *NOTE: This is a partial, nut a complete certificate. ~a~ JODY PIJMIL,I.Q LL'C.;2300-E PAT LANF. MATTITTJf,R, NY, 11.95: 11 Per This c~rtificah mwt not I» alNrad in airy manner; Mwn to tM offiu of the Doard if incorrect. Inspectors may be idelTtifisd by fMir credentials. BUILDING DEPARTMINT. TNIS COPY OF CERTIFIGTE IKN1S 4E ALTERED IN ANY MAMIER. TEL.7G5-1802 ~pc~~FFflC,Y~Ol~/ TOWN OF SOYJTHOLD " ~ ~ < OFFICE OF BUILDING INSPECTOR ` „ ~ T P.O. BOX 728 TOtiVN HALL "O~Q~ ~ ~b0`r SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Hate /~9 Building/ Permit No. Owner_itAs?/C ~aneol . (please prin t Plusber ~ors•!~4 s ~ ~ `~IT~itIG (please print) I certa.fy that the solder used in the water supply system contains less than 2/10 of 1$ lead. , (plumber's signature) ,TAMES J. COR~af~Naw York Sworn to before me thzs NOTARY Nab2-te~We~ ,_,1 Que4lRed in Suffolk Caun•~ ._LW._~-.day Of .~Ar~/i ABC' ~ ~ Comrntsston Eupires Merch 30. 821- 19 ql Notary P lic Rotary Public, ~ti'.~i ~ ik County 41~ L~~~~Pr~ 1, SEP i 2 i99! ~i r,~, r; _ , ~ _ _ _ T _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE: igg13f11 BUREAU OF EI.EGTRICITf BS JOHN STREET, NEW YORK, NEW YORK 10098 ` MARCH 05,1990 gpplicationNo.onfile F7031g9O/90 N 1'.1ti931 THIS C! FIES THAT ody tha electrbd equtpmsnt w dsacrthad 6stoto and introduced 6y the applicant naFrEed on the Dhow application aumher in the promises 4/ ENRY TRANDLY, RTS.2S MAIN RD., POLE.269-5, EAST MART<7N, N.X. in thefdbteinR bcation• ? Basement GAR FSB~tUARY Ol 1990 ~ tst FI. ? Ynd Fl. Sertian Block Lot wos ezomined un ' and found to 6e in compliance with the reyuiremend of thu Boord. RXTIIW RXTURK RANGES COOKING WOKS OVENS gStl WASHERS EIiNAUST FANS OUTIlTS A~ SWnC11K INCANDESCEM FLUORESCENT OTHER AMT. E. W. AMT. E. W. AMT. E.W. AMT. E. W. AMT. N. F. 12 9 DRYERS RlRNACR MOTORS ttlTUEE AMYIANCE MEWES SPECIAE EIC'sT TUAE CLOCKS NM YNIT WATERS AUltil-0UTU!T DUMMBRS AMT. R: W. OIE N. F. GAS N. F. AMT. NO. A. W.O. AMT. AAa. AMT. AMFt. TRAWS. AMT. N. F. SYS/EMf AMT. WATTS NO. q 1ElT 3 f~D[a SERVICI pSCOtNtECT NO.Oi S E R V 1 C E AMT. AMF. TnE ME~~. 1 R T\V 1 / t\4 S 9 SW S / IW RM aCOND. Of C COND. NO. OF NI.IfG Of' M NO, q NEUMAIE Oj 'NEUAAI W OTMEII AMIARATUS: RUON ONLY-1 ELEC. ROOK ASATERS:1--`J. K.U. PANKLAOARDS:1-12 CTR. lOq G.F.C.I:-1 TRACK LIGHTING:-24 s JODY PUNILW LJ:C.#2300 PAT LANE NATTITUCK, NY, 11,952 t~ptRµ ~AwAO~I i1 L? Ptr L This artificata must not ba alNred in any manner; rafurn fo 1M offiu of the Board if inwrrecl. Inapecbrs may be identified by Chair cradanfiaM... - r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFNaTE ANIST NOT BE ALTERED IN ANY MAlNER - THE NEW YORK BOARD OF FIRE UNDERWRITERS PACs a 1001381 BUREAU OF ELECTRICITY - 86 JONN STREET, NEW YORK, NEW YORK 10038 E pore SsPTEHBER 29,1989 Applleotion No. on file 63344689/89 H 094642 = 0 THIS CERTIFIEf THAT c only the olectrdasl oqufNwoat w doteribsd 6sbtE and Introduced by eM oprlieent nomad on the sbooe epplkotion number in the protwiwe 4( HENRY TRAERDLY, RTt.25, HAIR RD., POLE~269-5, EAST HARIOH, H.Y. d in theJolbu~itlil bastion; ~ Btaement ®let fl. ®End fl. Section Blcek Lot e Tees examined on SEPTEHSER 14,1989 andfound to be in compliance with the reyuireTTlentK uJ this Board. c _C N%fUtl AOIBi At71CNf R%TIMlf RANOBf COOKING a[CKS OW.MI DISH WABNM6 AUf~ MNS; tNtlt~tt ECFM FWOMtRNT OTXER MIT. K. W. AMT. K. W. M1f. R.W. MIT. K. W. MIT. R. r. GBYtRf RMMA07 fNpTOBS ti11UY ANt1ANq ti8t81f frlpAL tMC'?i TIW 40CK{ WMi 11KAilKf Altlltl-0IIitR OIWABK AMT. K. W. ql K r: OA6 N. r. AMT. utz A. W.O. AMT. AMI. AMT. AMK. ittA?8. YTT. M. r. NO.Or tN? _ IMT. '-..1MXTI8 sBBVIa Brcattwcr No, a s t B v I c B AMr. AAV. iMt ~ I w ew I w sw t ~ ew s,I Aw ~o. or~c~ca+o. ~ Z w. °oiro ra. a ni.lto otA' ~le`c Mo. or RturKAls a""'r a I`~u 3, ~w~~ s v.An ANAKAtUf. JODY PUHILLO LIC.~2300a ~ ~ PA7 LAKE HATTITUC%, 11Y, 11952 oBNNtu MANi?oBII K~ 11 Psr ' iltlt oErHHeate Ia11N aot be tTlNfed in any ntanMr; Tofwn 10 tM oHiu of fM Board if iMOtrect. Inspxton he idEtlti(iEd b71 MMt z POR DEPARTMENT. TMIS COPY OF C~TIfH:ATE MYiT NOT BE AL NI ANY t . _ , _ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1OD1381 BUREAU OF ELEGTRICITV - 88 JOHN STREET. NEW YORK, NEW YORK 70038 Date SEPTEMBER 29,1989 ApplitwtionNo.onfile 63344689/89 N 094642 TN18 CERTIFIE8 TXAT oniytha e/ectr7eal equ7pment a dacrt6ed 6eloso and 7ntrodtsced 6Y the oppUcarat nartsed on the ahoua eppNgtion number 7n the promises of HENRY TRAENDLY, RTE.25, MAIN RD., POLEf269-5, EAST MARION, N.Y. in thafoNowinR ?acation; ~ Bassnsent Q /st Fl. ©Ynd Fl. .SerNun Block Lot was etomtned on SEPTEMBER 14,1989 and found to be in rnmplianre with the requirements of this Boord. RKTIRE TURES RANGES COOKING DICI(S OVENS DISH ASMBf lKNAYST ~ANi° OOTIETf ffMTCI~ NiCANeEECEAR FlUnllFttENT OTNFR AMT. K. W. AMT. K. W. AMT. K. W. AMi. K. W. AMT. N, P. 15 24 23 DRYERS RJRNAQMOTOK tililMf ArNNINCf fMafKS fs[gAI RfCA TMIR CYOCKf fNl WKT INATNf M1U1T401R1lT DIMhtlRS AMT. R. W, dl n P. aAt N. P. AMT. NO. A. W, G. AMt. AMI. MIT. AMPt. TKANS. AMT. N. P. « ~t NAT. WAT16 1 r 1 600 SRRVIt7 08OCMACT NO.Of S E R V 1 C E AMT. AAS1 TrPE t / tw t / fw s i 3w t /.w o~ ~couo. a cc c°aro. no. d Ni.IEC a ~ No. d murEAls a 'uwEUn;~I OTNN AP?hRATV& 4TON A/C UNIT-1 2 1/2 TON A/C UNIT-1 30 AMP SAMYO A/C UNIT-1 HIRING ADDITION ONLY-1 PANELBOARDS:1-10 CIR. 100 c.r.c.I:-a sMOEE asrECTOR:-1 *NOTE: Thin is a partial, not a cosplste certificate. .QA~ <<< Continued on Page 2 » > OWQAI ffAlfluiRlt Psr This arNawq mlM not be alNnd in airy momwrj return to 1!w oNiea of tlw Board if incorrad. Inspectors may be idemffiad by tMir crsdenKak. Cb~f 3~ itAL~li4!r ~T111lTidENT. TINZ COTY OF CERTiffCATE MUST NOT BE AU`ERED IN ANY IMir1ER. THE NEW YORK BOARD IRE UNDERWRITERS PAGh 1001381 OVREAU OF ELECTItlCITY 85 JOHNSTREET. NEW YOMC.NEW YORK 10038 AUGUST 17 ,1989 gppltroNon No. on file 63344389/89 N 087024 TH15 CERTIFIES THAT aaly tht elestefeol psdpwsast a deeorlhei before and intradw.vd hY the epplicent homed on the aftow oppUcetbn numher Jrl thepremieee t f t. ie~ BENRY TRAEIIDLY, RT.2n5 NAIN ROAD, POLE/269-5, EAST MARION, N.Y. in thefdbyhrR bcation.__Sy~_BeseyelsR ? 1st Fl. ? 4nd Fl. OUT ,Sertiun Bfork Lot F uKw examined ea 7 Ul,l`JtiY ondfound to 6e in romplianee with the reyuirnnentR Of thk Buord. IIX111R! ktXRf fMRiQIlf RXTIMK RANORf COOKM6RECR5 OVRNE Dp3N WAEIIIIi fiXKA1Kf tXt11R{ erCAgelSCKM llO~EdCFM OTHER NAT. K. W. AMT. K. W. AMT. K.W. NAT. K. W. AMT. R. 1. - c DRTRRE FlIWhC~ ksoiORS tuntln kPe11AMCE tuoRRS sRRClktlarn TueR txxRS dµ waf tturRlls DIMMRRS AMT. K.W. pl It 1. OAS X. 1. NAT. NO. A.W.O. M1T. AMI. AMT.. AMlb. iRANf. AMT. N. 1. ~.My~ AMT. WATTS S~RVIt! Op00N1'IRCy NO.OF S E R V 1 C E Wy,~~Oq, AMT. AIN. TTle ~ I l xw ~ / tw 7 / tw 7 / AW OPEe +cplD. p a ' $iro. tq. p M4lEa ~ ~ ~ ,a, p,tEUnAU OiNEU1Ml OilIN k#MRk1Ul4 ~o~ JODY PUNILLO LIC.~2300-E PAT LAME MATTITUCR, NY, 11952 ~ frveffloRR 11 Psr Thh artifka~ minf not be altered in any monmr; rvlwn b the office d tlla bard if incorrM. Inspectors may bs identified by Mris~cndsnfigk. z~~~~~ dUiLDING DEPAMMENT. C01.1f OF ARlST NOT !t ALTlItED1N ANM MIIi1tiER. T THE NEW YORK BOARD UNDERWRITERS PACx 1 1001381 - BUREAU OF ELECTRICITY AUGUST 1,19$98 JONN STREET, NEW YORK.r 6w 44389/8938 N 0870x4 Date Application No. on file THIS CERTIFIES THAT only the alset~(puipment v daecribed 6eloto and introduced by the applioent named on the shoos application number in thepnmLsa of BSNRY TRAENDLY, RT.a5 NAI4f'ROAD, POLP,/264-5, SABT NARI011, N.Y. in tkefolbwinp bcaHan.U3T ~ ? Ixt £f. ? Ynd F7. OUT Section Block Lot ,toga esamirted un ~~r l and found to 6e in complianrr with the reyuirementx of this Baard. gXTYRE AtalL SYNTOIlS XTWRIE RANOEi COOKRl6 D[CKf OVW16 WEN W EXNAtIET FAKE tXtTtETE NGINDETCTM nU011EECEM OTNEn AMT: K. W. AMT. K. W. AMT. K.W. AMT: K. W. AMT. N.I. 1 1 1 1 DRYERE RIBtAq MOTORS IUTINE MIt1AI1CE IEEaERE EMtlAI REC'1T 7NAE CLOCKS RHL tK111T IN1iER5 IAIS f DIET DNt11AERS _ NAT. K. W. Oll N.I. OAS X. I. AMT. NO. A W. G. AMT. AW. NAT. AMTS. TttANS. AMT. N. I. ~ ~ qRT AMT. WA115 c, 2 ao a 40 SlRVIQ OIf00NNlCT NO.Of E E R V 1 C E AMT. AIN, ttr! R~fl1Jl?. 1 / tw 1 / TW. ] / ]w t / !W ~ rlCOND. OI C CD' NO. OF MI.LEG Oi HO.OI NEUTtAlS Of 'NWEUIGWIL OTMR ARAl111TV& NOT TUB-1 NOTORS:1-1 B.P. G.T.C.I:-1 ° ~(SYINNING POOL) '1'hia certificate covers coepliance at the data of iaspectioa only. Because of unusual aaviron~enta it is advisable to have freQuent test and/or repairs wade Dy a qualified person. .da~ <<< Continued on Page a ORIEIRrtI AMNAOM Psr F' Tfiit eaNficaa ttWq not ba oaerad in any manner rafurn ro tM offiw of the Board if incorrect: Intpoctors moy ba idsntifatd by their crsdeMbk COPY FOR EUILDIN6 DEPARTMENT. THIS COPY OF CERTIPIGTE MUST NOT Bf ALTERED IN ANY MANNER. - - - (~UnT~ UUMhELNT° m 3 H FOUISDATIOI7 ~~+~L1 ~ w` m FOUNDATION (2nd) ` z ~ ' ~3 °C4 ROUGH FRAME & r PLUMBIiSG s ~ - H 21 lT1 ~ 3. y C IISSULATIOCI PER N. Y. . STATE ENERGY ` C CODE > r - cT"" 2 4. ti FINAL t ADDITIONA COM 1T3: r ~ ~ x .ti H .^7. i - ~ m ~ ~ r C _ s v ~ m -o L~LJ i::.°..`. Il:i:,:~ II i.KC1LNT~ 1• m I~ ~ _ I =OUIJDATIO;J (1st) ~ a I v =0UIJDATIO;J (2nd) - c'7 r O ` O 30UGH FRA1•SE ~ PLUMBING m y 3, m rn I13SULATIOPI PER N. Y, l ~ a STATE EPJERGY I CODE Iy { _ _J r m 4. I a FI:7AL ti _ o ADDITIOP7AL COMME11T5: m m • x ~v N 9 H O m 0 m ^o INSPECTORS Victor Lessard ~gVFFO(~~0 Principal Building Inspector ~ Curtis Horton ~ Gym SCOTT L. HARRIS, Supervisor Senwr Building Inspector o - Thomas Fisher ti x Southold Town Hall Building Inspector O ~ Ze P.O. Box 1179, 53095 Mom Road y Southold, New York 11971 Building Inspector ~~l ~ Fax (516) 765-1823 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 October 10, 1991 Mr. Lee Shadbolt 356 New York Avenue Huntington, N.Y. 11743 Re: Henry H. Traendly 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) XX No Underwriters Certificate on file. xX The check is (outdated/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 # 17868-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. gUFF01l~ 0~' Cry, ~ ..c FRANK A KUJAWSKI, TR ,Presrdent tP ~ TELEeHONE ALBERT J KRUPSKI, JR , Vrce-Presrdent ~y ~ (516) 765-1892 JOHN M. BREDEMEYER, [II O HENRY P SMI ~HKI JR '~'~f~l y~~~ l~~; FEB g 1989 BOARD OF TOWN TRUSTEES '~~~s TOWN OF SOUTHOLD 7O(y~~~4~~~ Ej-`j""~~y~--% Town Hall, 53095 Mam Road ~~uiNr}Lq P O Box 728 P~ Southold, New York 11971 ~,r1~¢~.~ . February 2, 1989 Mr. Lee Shadbolt YYY 356 New York Avenue Huntington, New York 11743 Re: Lee Shadbolt for enry H. Traendly to construct an addition to the single fami y i ence, p operty located at 13220 Main Road, East Marion., N. Y., Tax map number 1000-31-14-12. Dear Mr. Shadbolt, Please be advised that the Board of Trustees inspected the above referenced property and it was determined that the project proposed is out of our jurisdiction. This determination is only a determination rendered by this Board. Any other approvals that may be applicable are required prior to the commencement of the project. Enclosed is a check in the amount of $125.00, which is a refund on your application fee for a Wetland Permit ($150.00). The fee for an inspection is $25.00. Thank you for your courtesy and cooperation in this matter. Very truly yours, ~ ~ ~ Frank A. Ku7awski, J9~, yn~~n- President Board of Town Trustees FAK:jmr cc: Bldg. Deprt.~ Board of Appeals D.E.C., Stony Book t New York State Department of Environmental Conservation Bui{ding 40-SUNY, Stony Brook, New York 11794 DATE: ~~G,CCi'~(~ l ~7~LT Thomas C. Jorling e~ ~ /O113~ 'G~A.d.t YYJcihtD~C~ Commissioner ' a~`,'/'p'y/~ SC77Yt # Jb7ld - 31-/y- Dear ~~~1~ J A review has been made of your proposal to: CG'~t,o~iLttZ.~ p ~ avlt.gL~, f ~t.cut, ,ow~cr,c~.~g ~a-a.~,~/.,on.. ~Zeh-tt i3a,za Yr1~~ ~CAt,J ~ G'A,4.tt~~GL4.cC~. Q.Le cr,~~..~-d'-~GO ~d~rsC, ~-,f .1L~(,Lk~fc.2~e~, .~-~/%ko'~_~ O~(- ~hfR..11LnnC-~,,'d~~C~`"~`~b~',~`/~t'/'~~yJ'"3y~,0EC ~hC'ne.o~./¢L~t,~C. G/,rd~ S~t,~c~G~~.C~t. Ba"sed~ t~ he information you have submitted, the New York State Department of Environmenta] Conservation has determined that the parcel i/ project is: Greater than 300' from inventoried tidal wetlands. ? Landward of a substantial man-made structure ~JE",~t.f,~- greater than 100' in length which was constructed prior to 9 20 77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the l0' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay hale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the respansibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, .~rx~t. to : J-~ a_et~ .,,~,,~~/S~o ~et' G' Deputy Regaonal Permit Administrator ~~~4~-l s~~~.1~ ~ ~ ti~ g g ~ 1 d7 t , lWW{~ ~ Y~T~$ j1~ ' fir. Lee A Shadbolt d~~~, ~a ors ~aa~~~o~~ad 356 New York Ave Huntmgton_, N Y 11743 °ATE Boa No i (516) 385-7506 ~ ~ RE TO r So o 1.,~~ 1~~~1 i _ WE ARE SENDING YOU Attached ? Under separate cover via r ollowing Items ? Shop drawings ? Prints ? Plans ? Samples ? Specifications ? Copy of letter ? Change order ? OPIES DATE NO DESCRIPTION 1 V V 1 o ` G O O C C THESE ARE TRANSMITTED as checked below 6j/For approval ? Approved as submitted ? Resubmit copies for approval ? For your use ? Approved as noted ? Submitcopies for distribution ? As requested ? Returned for corrections ? Return corrected prints ? For review and comment ? ? FOR BIDS DUE 19 ? PRINTS RETURNED AFTER LOAN TO US REMARKS ^ ~ ~ ~ oA ` -~-1 6 J ,l" UJ ^ J 1 ~ U COPY TO ~r SIGNED rl.:?(-j - ~ , rxaaervor was ra om.. ax o o~ 1/ andosures aro not as noted, kindly noh/y ua at once TOtiVN OF SOUTIIOLD SUILD[NG DEPARTMENT SOUTIIOLD, NEW YORK STOP WORK ORDER To: ~(>=ixt~Y l-I, T2~tu~t,Y Owner, Owner's Agent or Person Performing 6Vork S,S Sc N at ~T, Nt~w Yv+Q.k ~f, ~ loQ3~ ~A ress o above-named person YOU ARE IiEREBY NOTIFIED TO SUSPEND ALL WORK AT: 13 X20 ~u It c r-( ~Ut4;a~ l~~~T cu ~~l r~Rt{ til~ Y, Address where work is to be stopped TAX MAP NUMBER /OQO ~ 0 3 ~ ~ / y _ ( 2 Pursuant to section ~6t7 - ,2 FS ( of the Code of the Town of Southold, New York you are notified to immediately suspend ali work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: t? i tr' I ?j ~ ~'r:" 1~,ut (T ~I` rd ~ bf O 7` P~Ee'~I-( I Ssur~~ R`/ 'TNI~ r3yt~.~t?-l.C, ~ u5~,we ~o~E.~ CONDITIONS UNDER WHICH WORK MAY BE RESUMED: (,LJ ¢t 1~- R/ yt} ~ U I h t~! 1-i p~~2.vu. tT ~-i~~ i gSu~1~ I~~/ Tel F r3Vc ~a1c-c C, I I.( "o I r:..TOdL , Failure to remedy the c6nditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: BUILDING INSPECTOR /CODE ENFORCE\tENT OFFICER v J~ u.J . Lee A Shadbolt ~~4~~a o~ ~aQa~~o~ 356 New York Ave Huntington, N Y 11743 °"TE ~ ( Qd) Zdd U G "TTENTION (518) 385-7508 ~h1 RE ra TovtliJ of scsu-r~}aL~ _L'ti°.1 N ~ ~aJ~Ti-}oL-i~ - WE ARE SENDING YOU Attached ? Under separate cover via the following Items ? Shop drawings ~ Prints ? Plans ? Samples ? Specifications Copy of letter ? Change order ? COPIES DATE NO DESCRIPTION 3 5 A -.~~°J s T~ e. ~o~ THESE ARE TRANSMITTED as checked below ? For approval ? Approved as submitted ? Resubmit copies for approval For your use ? Approved as noted ? Submltcoples for distribution - ? As requested ? Returned for corrections ? Return corrected prints ? For review and comment ? ? FOR BIDS DUE 19 ? PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED. ~ - - vaanr,zroz cm, a.n. men If ancloeursa ara n°t as noted, kindly n°hfy ua at once 765-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION i5T ( ] ROUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION [ j FRAMING [ ~ FINAL REMARKS: ~ _ ~ D DATE ~ INSPECTOR 1 ~ 8'~ ~ ~~-iSU2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ .c_.~ DATE INSPECTOR 1 7~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~RAMING [ ]FINAL REMARKS: _ Cfi'~ DATE © INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ( ] ROUGH PLBG. [ j FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( ]FINAL REMARKS: DATE ~ 3 INSPECTOR ~7~~~ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ INSPECTOR ~ 1 ~ ~ ass-isoa BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( j ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ )FINAL REMARKS: ~~~.Fo _ O CtiJ d~c, /V //V DATE -3 ~i INSPECTOR C~~~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ] FO NDATION i5T ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: '~_^P_ - DATE ~ INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [ )FOUNDATION 1ST (~OUGH PLBG. [ ] FOUNDATION 2ND ~ ]INSULATION [~RAMING [ ]FINAL REMARKS: ~~~.e f--/" i c r~ ~9 DATE / ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ( ) FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~Z DATE INSPECTOR D ~ BOARD OF• HEnLTTi • • • - 3 SETS OF PLANS FORM NO 1 SURVEY - Qlj~~ TOWN OF SOUTHOLD CHECK • • • • • BUILDING DEPARTMENT SEPTIC FORt4 TOWN HALL TOWN OF 8oEt1 HOLD SOUTHOLD, N.Y. 11971 NOTIFY -`~~(D TEL.' 765~18D2 cnLL ~W ,p//'~ MAIL ITO: G,' Eeantined t9~/7~j p L~(~ ~o-~,~t ,T' Approtcd ~y~ , 19 V~ Permit No ~~V ~ ~~'~~G~'K-lTi~ ~ Disapproved a/c , uild o Btspector) APPLICATION FOR BUILDING PERMIT t~ Date .~Ir-~ ~ I~ INSTRUCTIONS a Z his application must be completely filled m by typewriter or m ink and submitted to the Building Inspector, with sets of pl:ms, accurate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of buildings on premises, relationship to adloinmg premises or public strce or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 perm shall be kept on the premmses available for ntspection throug]tout the work. e No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupam shallitave been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constnicUOn of buildings, additions o? alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordman s, buildin od o mg code, and regulations, and admit authorized inspectors on premises and m building for neces a m e ~~~a-~r. (Signature of ap hcant, or name, if a corporation) ~v ~l~c~ . f-~1~~i7~i~C~lt~fy ~Y (4faIlmg address of applicant) ~ ~~L~,Z State whether applicant a owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises t~~N~ T 1~ ~~N~4~~ (as on the tai roll or latest deed) If applicant is a corporator, signature of duty authorized officer (Name and title of corEtorate officer) ALT. CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No ~~/I~-7 V'p~ Llectncian's License No 1 ~(,J Other Trade's License No 1 Location of land at which proposed work will be done . . Ilouse Number Street Hamlet County I,iK Map No 1000 Sc'1t1011 C'~~l Block Q.f Lot Q ~ ~ . Subdivision Filed Map No Lot . (Name) 2 State ceistnig use and occupancy of yrenuses and (intended u~s.ee~arnld occupanc~y/of proposed construction a Cristinguscandoccupancy ~I~~1~L~..~,`I J~V~ ~~j,.r,,s~~~~~~~ . b Intended use and occupancy SE NG1.~. ~i~P'i E~" ~ ~"?i~i, ~ , , , , , , . , . - -~cG - - / ~ ~ ..ti. Y , ~ „n ~ 3 Nature of work (check which applicable) New Building Addition i Alttcatidn , . . . Repmr Removal Demolition Other Rork . . , y~ -~eB••. ~~aCCli~dBl~- ~'J~LS~'SCf (Descr4plron) 4 Estunatcd Cost ~ ~•-~I~. Fee ...C/. U. O'r :r+. < . . (to be paid on filing this af+pEic`afion) 5 If dwelling, number of dwclhn • units ~ Number of dwelling units on each floor . . IC £aragc, nurnbcr of cars ~ . ~ . 6 If busntess, cottunerc+al or mixed occupancy, specify nature and extent of each type oC use . 7 Duncns+ons of eK+sur~ng structures, rf any Front . I• • 9 • .Rear . ~~e. Depth ~'T Ilcight 2~ ~I" Number of Stones 1 WC? ~,Z~: • Dunenvons of same stnrcture with altcratrons~a Front ~ . Rear Depth Ilerght Number of Stones ~rC~~"e.~ 8 {'irn+rnsiexri-ef PrrHfe raew enstu r*~ront . Rear . .Depth Herglrt nr~ Number of Stones 9 Size of lot Front 'r~(.O Rear . . Depth . ~q.Q. p. 10 Datc of I'urchasc I I~P~~& . Nam fQ Former Omer .~~,.I...I.~. ~ {t;..~G~(S~~f I 1 Zone or use distract m whrclr premises are situated . '~s.~-S e~~ f t~~~ 12 Does proposed construcu n violate any zoning law, ordinance or regulation 13 Wil] lot be regraded I~;~~l ~ t Will excess rill ppe remov d from premises Yes Nc 14 Namc of Owner of premises rtLJ~l. r'[ ~.~f~+~Address ~.t,IGafN~T.N~'~~. Pho e Na~?!~ `-(i~o'~~•`~`~- NamcofArchitcc,t ~-EG~'~~ •('.l1~lr~'. .Address.~~R~:tGFt~~fl~i'dn~No~l~-~Cr~'~-P. N;nne of Contractor Address , hone No . I5. Ls this property located within 300 feetyyof a tigidal wetland? *Yes No *If yes, Sou [hold Town Trustees Perm>_tpLO'P DIAGKAMed Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dintensrons from ;property hoes Cive street and block number or descnptron according to deed, and show street names and mdreate whether ~itenor or corner lot ?~U y-r IV,II 01~ iC3 2 ~ / ~ 8 F . fA l l~ OF NE1V YORK, S S UC)NIYO(' L~~ b ,7 A i L~t.I.I beutg duly sworn, deposes and says that he rs the apphcan fNamc of mdn idual signing contract) , `rove named rs the ~.~?Gl-~1~~G~" G(~1T~.. . (Contractor, agent, corporate officer, etc ) f Bard owner or owners, and rs duly authortzed to perform or have performed the Bard work and to make and file tfu phcation, that all statements contained in this application are true to the best of lus knowledge and belief, and that thi irk w+ll be performed m the manner set forth m the application filed therewith. om to before me this 9~/~// ~~da~~y of ~~~G~~~ . 19 ~ . atary Public, ~ i~r~2~%F"+`~'~ County vt~ LOTS A O'HARA • • • • Notary QNo152S4747827ew York (Signature of applicant Ouahfiad +n Suffolk Goy..,., Comm~as~~rr ExR+re< ii~-,F ''U f4~~ _ i 1~ ..1 ~ JDr ` J \'.I J•'f: a O 4~•'~ V \ V { Drys ~ ~e noel` 1 eP 0 / ~ 1 •(oOk 5 ~ 2D o a;•~ ~ 1 c j~i~~aA2~ <~o. ~ \ °v 3 A°/ ~ ~O piE ~ss~ > t Z E lie N. p W V~ Q V`~ I F~ Z ~ ~ ~ r 4 ~ c ~ \ • tie /E O~ le>> 'fix ~ ~ ~A1~ n2~~o `s moo= " s)t ~ \ ~ e~ e~ a\\ . ~ ~ ~ v \bD~ ~ ~ e9 1`~ c 1 ti~~ `V4 I y" ~ 0.01 r lee RO"~ V` Ay~~, \ ~ 0, . lJ ~ w ~ 1 y N1 •I /~y ~ ~yv ` ~ ° ~6ti a Y' /ti t R e~ $ e {r hd pO ~ •"r~s. , sty s~ ti~~w` ry 0~ ~ ' 61 ry J \ 4,/ ~ b Pr \7 a ~O ! ~ .r fe ? y O ,5~,~ tt~~ p ~ cry o yo° ~,T 'R" I 1 16. kl f ~ 1 \e p y\ i ' ~ .9 00 E i i 'ate, i' ~ ~ S~ kti ' ~ Q R / ((ll ~ D~ / ~ i't''C~ ~ ~5~~ ~ ~ / o. •c;°4 k6o5 b\ / ' SURVEY FOR i IRENE McKASTY { NOV 15,1985 AT EAST MARION DATE Nov 21, 1984 TOWN OF SOUTHOLD SCALE !"=aD' SUFFOLK COUNTY, NEW YORK No. sa -1162 ¦ul~aeTNOR1z[D ?LTfRAT1oN OR ADDITION m Twlf GUARANTEED TOI SURVEY 6 ~ VIOLATION OF fE CTION 7209 OF THE UNION $AYING$ B xER' YORK STAT[ EDUCITIOM I.A R' k COPIES OF TNt3 fuRVEY NOT fE1RfNi THE UND TP$ ASSTR ECi7RTt[y, SUR VEYDR~S INKED SEAL OR £Nf OSf ED fEAL SNAIL ~~5. ~YS NOT fE CONFIDE RED TO fE ~ VALID TRUE COZY ~ kDUARAMTEEI WDILATED HEREON SNALi RUx DNLY m ra W HEALTH DEPART MENi-DATA FOR APPROVAL 70 CCW STRUC7 T~ PERSON fOR WNOY THE SURVEY IS IREPARED r~`N ~G ?ND a ws FEMALE TD THE TITLE CONMNT, iovERN- k NGREST IFATEP MIN_NI k SOURC[ OF MITER PR1Nlif _PU6UC _ MENTAL A6ENCY AND LEMDIM6 INSTITUTION LISTED ; Q Z k SIiF CO TAR MAP OtiT IDOD SEC TION I~1~/LOCK Ol4 LOT 012 HEREON, ANC TO THE A3516N EES OF THE LC MDI Mi -b"1'~'j i'+ R TNERL ARE MO OICEIIiNff IEITNIN 100 FEET OF TMS PRO PCR TT INSTITUTION GUIRANTfff RRE NOT TRAx fFERASLE ~ . 1. OTHER Tx AM TxOfL SNOIEN HEREON TC AODI TIONAL INSiITVT10NS OR fuf SEGUE NT OvNERS K THE Y'ATCR SUPPLY AIC SCVMiC Dlf?OSAL SYSTfM FOl1 THIS RES IOE NCC j ~ ! I f k OISTAkCES fNOfN HEREON FROM PROPERTY ONES ~R. r WILL CONFORM TD TNC STANDARDS OF 7NC SU'TOLR COUNT7 DEPARTMENT TO EEif TINT fiRUC TURCf ARC FOR A bPLCi FIC / , r'i X~ •O!~ y Of NGLTk fCRV ICEf IURPQSE AND ARE MOT TO fC USED TO ES TAf L1iN ~ 4569 ARLICANT' PROPERTY IINEE OR FOR THE ERECTION OF FEMCCS ~ 0~ ADDRE u ~ ~C YOUNG & YOUNG` 4• ~R°HEae",raEw YoR""KE ~•MONUMENT FOUkD • STAKE fUIL01N6 13 W A 01LAP10ATE0 CONDITION AL DEN W YDUNG, PROFESSIONAL ENGINEER AREA TO TIE LINES • as,17s S F AND LANG SURVEYOR k Y.$ L1 CEN$E NO 12845 CLCVATIONS fNOMN TNUf~ (T f) ARE R[FEREN~DTO MU,N SEA LEVEL HOWARD W YOUNG, LAND SURVEYOR NT)Jr taCJlA'IV P~xL'~(M~~3CPTiC TINR(]TIACl JfPDO..f(b/fMOU'M KRLPt NYS LICENSE Nu 4`.P?3