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Home My WebLink About17964-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19180 Date JULY 5, 1990 THIS CERTIFIES that the building NEW DWELLING Location of Property 4625 (PRIVATE ROAD #11) ALDRICH LANE EXT. LAUREL House No. Street Hamlet County Tax Map No. 1000 Section 112 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1989 pursuant to which i l Building Permit No. 17963-Z dated MARCH 28, 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 AS APPLIED FOR. The certificate is issued to WARREN M. & SUSAN C. CANNON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-175-MARCH 20, 1990 UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 11, 1990 PLUMBERS CERTIFICATION DATED JUNE 15, 1990-MATTITUCK PLUMBING & HEATING Aa-Z'4 Q" ��— Budding Inspector Rev. 1/81 FORM NO, f 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) N2 017964 Z Date ........ . . i.. p..................... Permission is hereby granted to: M. .. ,,.. ... . .:J..'A. x... s..... ..... ......... .......... ... ....... to ....)a 4-w1. .. .... �.. ....44JLX .... .. .. t�...tjA. . .. .... r .... .. .... ...... .. at premises located at ..7 .. &T I x.).. . ........ . .. .......pc..... ... .. . = +., ar... a.v�-,ti.�,^ .. ...:... . .. ... .... ........... .... .......... ............. ... .. County Tax Map No. 1000 Section � Block ......41.........`. Lot No ...a]:. .. ... pursuant to application dated .. .'. �C. 1 �4rx t-l!l 1V .. . . 19.!19., and approved by the Building Inspector. I Fee S. Lullg .... ... ....... . Inspector Rev 6/30/80 FORK NO. ! , 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 617963 Z Date ..... .. .. .t ................. 1Al Permission is hereby granted to: ......... . ...... ... ........ . ...... .. ... ...... ......t.r1. ... . to . .... ....).. . ..... .. .. .. .. ....... .... . ................. . 4 ....... . . . .. ... .. at premises located of .... .\R.n�. .� 5?4 1��...1 1L.A. . .. ..... .........0. ....... . ':... M.+..4.n . .�O'!T-+... ! . ... ... .. ................ ..... ......................... .... ...... .. �.(.... County Tax Map No 1000 Section 1/4t .. ... Block ....0.t........... Lot No. ... �..{ pursuant to application dated .... !J' .GfC a .. ... . . ., 1917 ., and approved by the Building Inspector. / Fee . ... .. ........................................ Building Inspector Rev 6/30/80 0l0Nif1OS d0 PJM01 Form No. 6 �� (p Z Q< t� '1d30 'J018 TOWN OF 50UTHOLD IM BUILDING DEPARTMENT INS ¢ W TOWN HALL 765-1802 ORM091@MWIATION FOR CERTIFICATE OF OCCUPANCY A. 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 1Z 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling 25.00 Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. .SuF. .! �t�9�E?.. . .. . ......... . . . . New Construction. , x. . . .. . Old Or Pre-existing Building. . .. .. . .. . . . . . . . . . { � Location of Property. . r. .�!ll . {�(h �rl4 . . . C.ARdV�� House No. Street rpt ( Street �n � Hamlet -8rie �r Owners of Property..Val.�Yt�CnnJ.t. f Y} ��w�'�V �' :.�,eZ ��q14�. . . . . ........ . ... County Tax Map No 1000, Section. . IA? . . .. . . .BlOck. . PA . . . . . . . .. .Lot.Ckt.4. . . ........ ... . Subdivision. ... . . . . . . . . . . . . .. ... .. . . . . .�..{. .. .. .Filed Map. . . . . . . . . . . .Lot. . . . . . .. .. ........ . . . . Permit No. l.'.'VA +.7- . . .Date Of Permit i'r ht'k•qA)-VA'3.Applicant-%. . N` D.`k�:�? Qr.-zfA.1Sm1. .n . Health Dept. Approval. . .MAdy'S .f-..C1tV�n44 . . .Underwriters Planning Board Approval... ...... ... ......... ... KAROLDILRWA St SOW NQ Request for: Temporary Certificate. . ... . .. . .. Final Certicate. / . . ... . .PA RDx 14N Fee Submitted: $.. .t'. t. ... ... . .. . .. ... .. ... 3A ... .. . . :. . . ...:.. .. .. . •.APPLICANT ,J�M�S F,'Rs.CdE(A+u z 1000121 THE NEW YORK BOARD OF FIRE UNDERWRITERS PM BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dare June 19, 1990 Application.4o,on f le 619195-89 N858864 r THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Warren Cannon, Private Rd. , n/o North Rd. @ Aldrich Lane, Laurel, N.Y. in thefollowing location, rr1 n f g ® Basement LX�� lsi F'I -%2nd F1 garage,OUtaide,attiC Section Black Lut wasexaminedon June 7, 1990 andjoundtobeincmnplianor with the requirements of thus Board FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENL ftXTEKENT OTHER AMT K W AMT K W AMT KW AMT K W AML HP 99 99 93 96 3 7 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS = PMi AW OIL I HP GAS HP AMT NO A W G AMT PMP PML AMPS TRANS AMT H P NO OF iEEi AMT WATTS - I I 6 F 1 2 12 1 30 1 SERVICE DISCONNECT NO OF S E R V I C E AMT AMP 150 TYPE METER I,R'1W 1 9 3W J 8 JW 3 AAW NO OF CC GOND A W G NO Of Hf LEG A W G NO Of NEUTRALS A W G EQUIP PER B OF CC COND OF HI LEG Of NEUTRAL 1 100 cb x 2 2/0 2 1/0 OTHER APPARATUS 3-1/3hp, 1-1/2hp Air handlers 2-2 ton, 1-3 ton, 1-5 ton AC Units 1-100amp. Auto Transfer Switch 1-8KW Emerg. Generator Unit 9-G.F.C.I. N �� Paul Burns C/�� C75 TOwn Harbor Lane GENERAL MANAGRR Southold, N.Y. 11971 Lic.282 E �j Per This certificate must not be altered In any manner, return to the office of the Board If Incorrect Inspectors may be Identified by their credentials COPY FCR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUTT NOT BE ALTERED IN ANY MANNER. HAROLD R. REEVE & SONS, INC. BUILDING CONSTRUCTION { 1......... COUNTY ROAD 48 P O BOX 1441 (ff 5 11 MATTITUCK, L I , N Y 11952 `II MAY q 1989 �f ,f TELEPHONE 516 298-4713 �c_ JTOWN OF 5t May 30, 1989 Building Dept. Town of Southold Town Hall - NYS Route 25 Southold, NY 11971 Re: Permit No. 17963 Z Cannon Residence Gentlemen: Please be advised that we are the builder on the above -project. The permit was issued on March 28, 1989 to the architect, Donald A. Denis. The electrician will be Paul Burns of Southold and the plumber will be Mattituck Plumbing & Heating Corp. Any questions concerning the construction of the Cannon Residence should be directed to our office. Yours truly, HAROLD R. REEVE & SONS, INC. Ja es eeve JFR/ea SOUND j51,PND z%% ONO 06 . JNE \ SSE , N \ / N 0( lye O \ z \\ � n W y Ot \ \ / \ p \ O_ ( O 0 i n o. �0 30 o =3 m.e = r 8 `m m vo r TEL. 765-1802 pc��EFQG�COIF. TOWN OF SOUTHOLD ! CIlOH1nOS d0 Nmol l.:•' OFFICE OF IIUILDIiIO INSPECTOR1d30 '�JOIe P.0 BOX 728 TOWN HALL SOUTHOLD,N.Y. 11971 q 8 ) w �c�a �Fn C E R T I F I C A T I O N Date Building Permit No. la z own r VAS uCIN N NfG yV (please print) Plumber ( INJ , (please print) I certify that the solder used in the water supply system contains less than 2/10 of l% lead. J"#-�' (plumber 's !C) Sworn to befor: me this '51 of 19� Not Public notary Public ,k'�'r��zx� County lOIINf�IMA � ILS. !1 pQPd1WMW��i Tom;;; fib�1�11� 1::LD I:•S: EC--U;. JIL)A E OMMENTC r t H H FOUNDATION ( 1 et ) c FOUNDATION ( 2nd} m I 2 . Ir z- o � ROUGH FRAME PLUMBING c 3 . m m INSULATION PER N . Y. STATE ENERGY CODE x � 4 . m / J H i FINAL <�,no r �r !� , ' o ADDITIONAL COMMENTS • m x c oil r/ c 3 x H x • 9 H _ H � O } H a m -a H � • a HAROLD R. REEVE & SONS, INC. BUILDING CONSTRUCTION COUNTY ROAD 48 P O. BOX 1441 MATTITUCK, L 1 , N Y 11952 TELEPHONE 516 298-4713 June 13, 1990 Building Department Town of Southold Southold, NY Re: Cannon Residence Aldrich Lane Extension West Mattituck Gentlemen: We wish to apply for a final inspection and Certificate of Occupancy for Building Permit No. 17963Z. Attached for your use are a copy of the Final Survey with Health Department Approval (8850 175 dated March 20, 1990) and a temporary Underwriters certificate dated June 11 , 1990. At this time we are not also applying for a C. 0. for the pool , pool house and garage under Perm>t No. 18668Z. Yours truly, HAROLD R. REEVE & SONS, INC. auresF . Reeve JFR/ea Encs. HAROLD R. REEVE & SONS, INC. BUILDING CONSTRUCTION COUNTY ROAD 48 P O BOX 1441 MATTITUCK, L 1 , N Y 11952 TELEPHONE 516 298-4713 June 9 , 1989 Building Department u3 Town of Southold 1E JUN 2 �ggg Town Hall - NYS Route 25 Southold, NY 11971 BLDG DEPT TOWN OF SOUTHOLD Re: Permit No. Cannon Residence Gentlemen: Attached is one copy of a survey by Young & Young dated June 2 , 1989, locating the new foundation on the lot. We trust that this location meets with your approval . Yours truly, HAROLD R. REEVE & SONS, INC. aures F. Re' eve JFR/ea Enc. ,... 4 s �» ,...mea-.... ..�.»._m.,—..........»�.Ae..�+:g. •'�.e�e,,..�._ „ . _ ... - _ _......_..... .._ .�.... ....,..s�:.= 'h � w New York State Department of Environmental Conservation Buiidin - SUNY, Storty Brook,New*&rk1V94 DATE: Re: �� Thomas C. i C}D Commissioner Dear (� A review has been made of your proposal to: tet- d y a�S pp_ ow� b_-�- W ` Bas d oh tffe` lnformation you have submitted, the New York State Department of Environmental Conservation has determined that the parcel 44- project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure 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. �xLandward 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 10 ' 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 bale 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 responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, ti Deputy Regional e mit Administrator IS 161 722,351 1 TELEPHONE DONALD A DENIS A I A . P C ARCHITECT AOUEBOGUE SQUARE RTE 25 P O BOX 565 AQUEBOGUE, N Y 1 1931 DONALD A DENIS. A 1 A FREDERICK R WEBER. R A March 22 , 1989 Mr. Victor Lessard Southold Town Building Dept. 53095 Main Road P.O. Box 1179 Southold, New York 11971 Re: Proposed Residence CANNON, Warren & Susan Dear Mr. Lessard: .y Enclosed please find one set of Construction Drawings , Building Permit Application , Survey with Health Department approval thereon , Letter of Non-Jurisdiction from the D. E.C . , blank check made payable to the Southold Town Building Department and Application for Construction of Cesspool with check for $10 covering fee for same. We hand-delivered three complete sets of Drawings to your office on Friday. In today' s mail we received some of the items back , including one set of plans. Therefore, you still have two sets of drawings in your office. Please review the paperwork for the required permit ( s ) . Also, we ask that you advise us of the amount of the building permit fee when it has been determined. Ve truly yours, e DONALD A. DENIS, I.A. DAD/lv Encls. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION VrFRAMING [ ) FINAL REMARKS: i .-� DATE INSPECTOR 765-1802 �~ BUILDING DEPT. INSPECTION NDATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: � o`rc✓ , " n DA*TE 3/ Jc INSPECTOR f 17 � � 3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST (zUG'H PLBG. [ j FOUNDATION 2ND [ ] IKSULATION [ 7 FRAMING ( j FINAL '- REMARKS: LML4 DATEA / 3 Yl INSPECTOR 765-1802 111 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( I ROUGH PLBG. [ ] FOUNDATION 2ND [✓] INSULATION [ ] FRAMING I -[ ] FINAL REMARKS: L Vd DATE INSPECTOR // 765-1802 (� BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( FINAL REMARKS: LL DATE INSPECTORA" /i, 'FORM NO. 1 U U TOWN OF SOUTHOLD 2 (Co BUILDING DEPARTMENT 3AX4 ° K TOWN HALL C, F 4R SOUTHOLD, N.Y. 11971 BLDG.0�F TEL.: 765-1802 t�•�.d TOWN OF SOL,, Examined . . . al 8. . , 198.`1 179 b3 Received . . . . . . . . . . . , 1 Approved . ,Y}o, —;? ., 1999 Permit NoAX*001116. . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT March 13 Date . . . . . . . . . . . . . . .. li INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this - 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 pi 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 Occup shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc Regulations, for the construction of buildings, additions or alterations, o for removal or demollWon, as herein desert The applicant agrees to comply with all applicable laws, ordinances, building code, housing code and regulations, an admit authorized inspectors on premises and in building for necessary inspect' s. (Signature of applicant, or na e, if a corporation) P.O. Box 565, Aquebogue, New York 11931 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil ARCHITECT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . , . . WARREN & SUSAN CANNON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. N/A . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . , (Name and title of corporate}officer) y Builder's License No. UNIDWN Plumber's License No, . . . . . . .(*fes Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. ,(390. . north of Sound Avenue) lq-LDR ie0 . . . . . . . . . . . . . . . . . . . . . . . . . . . ch Fact. 4625 Private Road #11 Mattituek House Number Street Hamlet 112 01 014 County Tax Map No. 1000 Section . . . . . . . . . . . . . Block . . . . . . . . Lot . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction- VACANT Existing use and occupancy . . , , . VACANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . .Single Family. Residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable) NEW Building XX Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description} 4. Estimated Cost . . . . $425x000. . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5 if dwelling,number of dwelling units . . .97. . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions. Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . 92.1-411. . . . . . . Rear . .921-411. . . . . . . Depth ,52' Height . . . . 34. . . . . . Number of Stones . . . . .T . (2) 9. Size of lot: Front . 200 . . . . . . . . . . . . . . . Rear . . . . .200. . . . . . . . . . . . . Depth . .924. . . . . . . . . . . . . . . 10. Date of Purchase . .1984. . . . . . . . . . . . . . . . . . . . . Name of Former Owner Search, 11. Zone or use district in which premises are situated , . ,.'A.' Residential—Agricultural 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . .YES. . . . . . . . Will excess fill be removed from premises: No 14. Name of Owner of premises Warren, &. uCannoi�ddress ,Southoldr. * . Phone No. ?65-3716 Name of Architect .Donpl�l,A, ,��PI SusanS,,Q,�,A;, , . Address .AQVPbggV@, .W. (**) 'hone No. 7$?.$511. . . . . . . Name of Contractor .#?M Ri Reeve.&,Sons, , , Address .Matti uQk, .NY(***)Phone No. W$—.4713. . . . . . . *Calves Neck Road **P.O. Box 565 ***P.O. Box 1441 PIAT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from 3roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. TATE OF NEW YORK, S.S :OUNTY OF . 91 .0) A . . . . . . . DONALD . . DINIS , , . , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ; uuve ndmec. leis the . . . . . . . . . . . . . . . . P11M1 EC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent,corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in the application filed therewith. wom to before me this QQ . . . . . ./�� .. . . . . . . .day of. .�r . . . . . ) . . . . . . . ., 19V� lotary Public, . . . . . . . County 1N(DKS.VGZ Ok -U DA S YOLtiNOEII ER NoWyMille.StatadNow Yc* } �4 U(;� L k DONALD A. DINIS ( ignatureofapplie ft 4923702p ram EVWW 4 rv!9 P .y 50UNP � PLEASE NOTE AND Requires septic tank PN 200 cover to grade. oNG Q M I6 /60 0E 0100" P / SUFFOLK COUNTY AEPARTMENy OF HEALTH SERVICES T`E FOR APPROVAL OF C(<jry�',{T,L3CTION OF Ingle 2s211yResidenovally N .,• / 9JflF z� � s F o. oe o APPROVED oM/ O �^ EXPIRES 7#010 YEARS FROM DATE OF APPROVAL z dO N e � A £ O /s ' • op_/___ Da t�- loan. ------ _ ----------- ------------- ------------ __________ lsa _ O / __ xe\x 0 - -�eAN I ._k Nla LP . _ O E PFWlU / PO" I — f 'IO.:I(`�, fe`�E PEMOJ EHE td 'I �ssPop `� pOPO•'\ ; 2G1'M'5`'E , sEN ytELL J Cl c ax` O W� sT, ef' EEo eEHT H 'E1 ' Z '6LE Le`< CEJ xH _WNL Wn � \ Y e o r ee 4N . ePDOL GPHP EO �T1`W E'o LTS O 'O _ J H OL ''• x � \ L APE` O O AER'" Tp N�EPp1`x_ MJ e6 M"' 4 3Q \W OPOfxJE \ h �EEE,Ix� n afPEeE ' W O_ OH G OGJE � �P E*eJ pO L S TEST HOLE ...A... D D' 1Nxor Loa o D• \ YYwN LOAMY eac 2.2' a 'LLE EII 'AND TO. W \ 1.1NIE SAND 7.0' w a_ Eo / w _ A / / n� 2 00 OO.0-xQ PCS 1Q• �,P/K c.�� / /WeY no i os APPLICANT: DONALD A. DEN IS, ARCHITECT Aquebo ue New York 11931 o of / 0 t Tel. Ido. : 516-722-3511 70 / 5 OD08 Right TOPOGRAPHICAL SURVEY FOR3 5p5 p0 WARREN M CANNON 9 SUSAN C CANNONEB. 15,/9@9 --2 5' eTly I -DEC• 20, lk /9BB `� OCT 27,198$ Z / fDrm Dlesk AT AYArm'UCK DATE SEPT 22,1988 / pe'00 E 0/ a KO/ TOWN OF SOUTHOLO SCALE /"•=50" � NJO now ROS SUFFOLK COUNTY, NEW YORK NO. 88- 103/' `FI �Ohn_ #FV T.. L A,1 ..0,10% 011 lOO1TIOR 10 THIS \ 11# VIOLATIOO Of EE'TIm 1200 OF THE tE OF NE "NE. l STATE EDDGTOM LIA 5P Fy OF TIIIS SIIRHEY NOT aEAR4Na THE LINO S iO 1 ONES RSE" SEAL OR EYROSAEO S1ll SMALL P,5t0 W y T 00X0#011#010 TO RE A v LIP TALL'9 YI O`LL rO T W 'rEEs R TED q! y.8 CP "D.NILI ro TRE Sox FOR VolNxpA rH1 wONEr IE RRERAAEo, •_ �, ao AIFD'dA HIS KNMLF T9 THE TIT EE CGY1iNN,GDVERN- p Le (�N'TAL ASENCT ANO LEASING INSTITUTIDi LISTED ?RD TD THE ASSIGNEES tlf TxE LEN G .4 I !?(YNf,o DUINlNTU fl MC MOr TN mftrL !ELE Wqq naxAL iN2TrrunGHa oR EwREGulnr,v •�+ :'ic, ORS 6HOYN ""W'S "KH' fN@ERTT owlsy�Q NO 45895 C R r ANO AN[Nor1To RE vsEO TO xsE MR A na i1H E, Ma�'lAND 50ENEySE •�• -+r,'1 I LINEN ON FON THE ERECTION OF FENCGS (O� \ NOTE AVENUE / ■ = MONUMENT 40O'bSTRANDg R AVENUE SOUND -- 2. AREA= 4,319 ACRES YOUNG e► YOUNG RIWERHEAD, NCtW YfSRM 3 SUFFOLK COUNTY TAX MAP DISr Icon SECT 112 BLOCK of LOT EALDEN W YDUNG,PROFESSIONAL ENGINEER 4LFV SHOWN HEREON ARE REFERENCED ES AND LAND SURVEYOR NY.S.L1CNSE#00.12140 TONGVDtMSL 1929). NOWARO,VA mwU LAND'2,URVEMR NYS,LICENSE N -!Sftv►3 5oUNp AND 000 / 660 9 2 >� TFp0x \\ NE L \ S\E \ \ LIl / / N / \ O e DS O � \ m \ \ z \ / IF 6 o. m 4Op \ \ \ / \ u \ a O_ O PSLO °E m n Y GDa �yN �G` b N m o 3 N� 4 R o � _ �o 3 m L° m�e � 0 n I , \ o W d , � R \ a a L s \ a 0 m n 0 P. A v + W A_ mCP A O 1ij1 W � 20 000 Cly / Wpy O Of _ / ,0py� 5 70°06 hf SURVEY FOR JUN 2, /989 3 Rlg APA 24, /989 3 m j '"5p5 p WARREN M CANNON 8 SUSAN C CANNON FEB. 15,1989 3 DEC 20 1988 0`c / 5 - (lY OCT 27,1998 / AT MATT/TUCK DATE SEPT 22,1988 pp b T fOKo oleSKi TOWN OF SOUTHOLD SCALE 1"=50" N7p°pe pW 0�p9e SUFFOLK COUNTY, NEW Y014K NC 88- 1031 p 61 php MUNAUTNORIZED ALTERATION OR ADDITION TO TXI9 I '\ J SURVEI' IF A VIOLATION OF SECTION +TOS OF THE (E OF NE NEW TORN STATE EDUCATION N T D y'\p' w A \ N SURVEYOR THIS SURVEY NOT REARING THE LAND p0 W, NOT It Op 5 (DERE TO OR ENLISTED s'EAL SHALL t'� Y NOT R NTEES CONSIDERED T REE VALID TRUE CONY THE PERSON F R DILATED HE KERN RH ALL RUN RED ip =� OG lH THE ON "IS FOR LF TO THE TITLE ' M FNY G EE * s b \ AND ON H19 BEHALF TITHE TIi IN AMNANV,GO VE RN D MENTAL NGETOT HE LENDING TNS TT EiILE DI G l\ NERCON,ANO TO THE NAN,EES EE5 OF THE LENDING \� T ADDi ION L HI TITEES ARE S DSUIDE TRANSFERABLE \ OWNERS iIONEL INS TRU TIONR OR SURSEpVENi V *61S NDISTA NCES SHOWN HEREON FROM PERTT LIN" 4 4Ee95 \ TO EEIS TING STRUCTURES AEEEA SFOR A SPECIFIC RURRStE AND ARE NOT TO RE USED O ESTABLISH MDRERTY LIMES OR FOR THE ERECTION OF1IENCES � wNV- �_ - --��— NOTE AVENUE l III = MONUMENT 8 -STAKE YOUNG a YOUNG 4000STRANDE.RAVENUE BOUND RIVERHEAD, NEW YORK _-\ 2 AREA= 4.3194eRES 3 SUFFOLK COUNTY TAX MAP ALDEN W YOUNG,PROFE SSIONAL ENGINEER \ z o \ LUST '°c° SECT--L-? BLOCK �!LOT oIr AND LAND SURVEYOR N.YS LICENSE NO 12845 \ m m HOWARD E NOYOUNG,LANG SURVEYOR N.Y.S.LICENSESENO 45993 15�AN� goo �ONG G SIE \ \ N / N \ / O / WIJff/` a j O SDN Of \ O \ 2 \ N W \ cm \ \ o_ I � \ ry510fD ,6 .\- -J a m. t I � 1 I 1 nllu / I III lu / I 3 7 DAS\ON I I N \ 'W O v` m m O W . O, 0 y.p (O f0 OZ S WY_ ^ DLJ 0 90 7 2 m N a` m w 0 m A O P. v w � mm SUFFOLK COI ITY DEPARTMENT OF HEALTH SERVICES SIIVOLF F* L,INM ING ONLY onrEh�r:R 2_ � 3f ?;rr, raa s Fc_ 125 N TI),, t/ HIi /,e for this - IJJatI l lt, I C `^rl II , u,,.I [ II'll-IlLapd/w w_ OIhO� OpCi ,a:S- I1G I)IJIY i0 @-;;IL,u,uGOJ. ClTyef of Fl lreaof N1aszcT,,t iv: f;wi silent oy 20000 O Of p"A 0,080 v 5 � JAN. 3/, /990 / R pf / _ REVISED JULY /3 /989 �O 900� JUN. 2, /989 3 / 505 SURVEY FOR APR. 24, 1989 FEB. 15 1989 lY WARREN Af CANNON 9 SUSAN C CANNON DEC. 20,/986 �< 25 / for olesOCT pl DATE SEPT. 22,1988 m 00 E of KOf AT xTarnrucK p5e TOWN OF SOUTHOLD SCALE' /"-SO' , -\ NYO p0V•' R SUFFOLK COUNTY, NEW YORK No. 88- 1031- ,JOn� NAU 13 A VIED ALTERATION SE ON ADDITION TO THIS \ " IS 1!A VIOLATION OF SECTION )EDB OF THE TE OF NEk' ... 11[11'V1RK !TATE EDUCATION LEN OC[INK> OF THIS SURVEY NOT SPARING THE LAND µ0 }O !1/FVI VORY INKED SEAL DR EMBOSSED SEAL SHALL p IV IIOTDE CONSIOER[O TO SE R VNLID TRUE COPT * �� }0 1'F fpp�MAM[f! INOILITEO HEREOIJ SHAH PUN ONLY TO 0 THE [EE9ON FOR WHOM THE SUR'IEI IS IREPAREO, AMD ON HII BEHALF TO THE TIT LIE CON IANT,GUVERN- p - IENNTAt AGENCYANO LENDING IN>TRUnON LISTED \'Y' NENEON�AND TO THE ASSIGNEES OF THE LENDING IMRITUTION.GUARANTEES ARE HOT TRANSFERABLE TO A.14TIONAL INSTITUTIONS Gil SU>SEDUENT O OMM171/ OCIRfAXCES STRUCTURES HEREON E FOR A SPERTT LINEL `fN,T 4D5gS - RECEIVED _ _ TONEETIND ETRUC TURES ARE FON A SPECIFIC 1FD E E AND S O NOT TO EE USED O OF FtLI>H 4'1ND SURVEyD NOTE' MDR TY LINES OR FOR THE ERECTION OF FEMttt IS = MONUMENT n =STAKE 400 OSTRANDER AVENUE M 22 1990 SOUND YOUNG YOUNG 2. AREA= 4.3/9 ACRES AR RIVERHEAO, NEW YORK — > 3 SUFFOLK COUNTY TAX MAP DIST 1°°° SECT lT BLOCK°l LOT-EL-1-/ ALDEN W YOUNG,VROFESSIONAL ENGINEER DONALD A. DENIS, AJI — m A AND LAND SURVEYOR N.Y.S.LICENSE No 12545 x HOWARD W.YOUNG,LAND SURVEYOR N.Y,S.LICENSE 90.45593 "