HomeMy WebLinkAbout17654-z
y FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19698 Date JANUARY 30, 1991
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2300 ALDRICH LANE LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 125 Block I Lot Z.22
Subdavision LAUREL ESTS.SEC. #1Filed Map No. Lot No. 13
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 29, 1988 pursuant to which
Building Permit No. 17654-Z dated DECEMBER 1, 1988
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR.
The certificate is issued to ROBERT & NANCY SHAW
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-125- JAN.29, 1991
UNDERWRITERS CERTIFICATE NO. N-147376 - SEPT. 6, 1990
PLUMBERS CERTIFICATION DATED SEPT. 24, 1990 - ROBERT SHAW
Q L~
/ uilding Inspector
Rev. 1/81
10EM 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)
~ 4 ~ 17 6 5 4 Z Dote ..yl~~~...~~~ 19......
Permission ~s hereby granted to:
~°a,...~~,,lr~....... s~z..~'
to .~'.ter-.a~.~~:::n.......~,~ac..... ~ : .
.
cY~remises located at .......a~.~.~7 .~..~.....Q.......... .....~iC?.:!~
..........................................tC,C2R%r.~/.srG•
Caunty Tax Map No 1000 Section ~/cry ~c Block ~..........FLot No ....~...t.tZ..~i
pursuant to application doted .f,/ ? ..P~./ 19.Lt.~ and approved by the
building Inspector.
7,~
Fee S.L~~.a'. r~
i~-y` i 7 ' . ~
Build I for
Rev 6/30/80
T#fiE MEW YORK BOARD OF FIRE UNDERWRITERS PAGb 1
lnoosa~
BUREAU OF ELECTRICRY -
BS JOHN STREET. NEW YORK, NEW YORK 70038
SEPT$NB&R Obr1990 gpplicetienNo.onple 5999D789/89 N 17376
THIS CERTIFIES THAT
only the a/ectricel equipment a described 6eloro and introduced by the applicant named on the ebose application number in the premises of
R.3$AY, 2300 ALDRIDGb LANb, LAUREL, N.Y.
GAR/ATTIC/OUT
in thefotlolrinp klcgtspy...3~ BaeegsFlEt ~ iat F!. ~ Pnd Fl. .Section Blcek Lot
una examined on AUIrU T 64, 177V and found to 6e in compliance with the reyuirementx of this Bwrd.
RxTURE ACIES SYRTQIK RXTURES RANGES CtMKING OECRS OVENS DISH WASHERS EXHAUST FANS
OUTIETS INCANDESCENT FlUp1ESCENT OTHER AMT. K.W. AMT. K.W. AMi. K.W. NAT. K.W. AMT. N.P.
a6 5 40 44 a a it -
DRYERS FURNACE MOTORS RJTURE APPLIANCE 1!laNS SPECIAL EK'PT iMAE ClOCES RLL Wai NEATEK MULTI-0UTllT gMMERS
AMT. N. W, ql H. P. GAS N.I. AMT. NO. A. W. G. AMi. AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTWS AMT. WATTS
NO.OF FEET
a F a - - 1 30 1 a f~ao
SERVICE DISCONNECT NO.OF S E R V 1 C E _
AMT. AMP. TYPE ~ 1 X tW 1 X ]W 3 tl ]W ] X AW NO. ~PERCCSCOND. ~ ZC. COND. niD. Of N4LEG Oi ~ IWM~IEG NO.Or NEUTRALS ~ 'NEUmAI
1 aoD CB 1 x 1 a/o ~ /o
i
OTHER AP/ARATUS:
MOTORS:a-.50 $.P. ;
G.Y.C.I:-9 _
SNOBb DETbCTOR:-2 R
NILLIA$ SINNbN
290 WOODLANN AVbNUb -
ST. JA$bS, NY, 11780 GYMRAI MANAGER
11
Per
This certificate must not be altered in any manner; return to the offim of the Board if incorrect. Inspscrors may be identified by their credentials.
COPY FOR BUILDING DEPART BE ALTERED IN ANY R.
12~~`~ ~
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST ( ] ROUGH PLBG.
[ ~ FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ )FINAL
REMARKS. ~ ~ ~ ~ ~ -
f
DATE ! fNSPECTOR~~
7 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ~ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ~ FRAMING [ FINAL I~
REMARKS: ~
DATE ~ INSPECTOR
~ S~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ } ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS:
DATE f~ INSPECTOR
17~ ~~-802
BUILDING DEPT.
INSPECTIQN
[ ]FOUNDATION 1ST (v]
OUGH PLBG.
[ ] FOUNDATION 2ND ~ ]INSULATION
[ ]FRAMING [ ]FINAL _
REMARKS: G'~-( ,,t,/a~f~'~__
DATE ~ 1 ~ INSPECTOR
l 7~ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [GJ-~t~OUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[~RAMING [ ]FINAL
REMARKS: v~--
w°~~-
,~i~P
~
DATE L INSPECTOR
765-1802
BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION i5T [ ] ROUGH PLBG.
[/~~UNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARK ~ ~ ~
DATE / ~ INSPECT
-zcLD I;.S.~C::u;i ~~Ui,Tc, ~OMMCNT° -
t. V t'!, ( n c
~ _
H
H \
?OUt1DATI0:! (1'st) Or , ~ ~
J~ c `
?OUNDATION (2nd) m
- - t
z. 3
Z
0
?OUGH FRAME &
PLUMBING
3 . 3 - - -
m
m
I2dSULATI0P1 PER N. Y.
STATE ENERGY
CODE
x
7
t , ~
4. y
FI,IAL ~
I s~
DDITIOPIAL COMMENTS: x
S $ _
~ Ana U~ u r„n~m X~,~ ~'Airr~ om ~~rIA~"~j.. ' )rt ~
.
m
' x \
. .v
H
y ~0
H Q
O
~ 0
r ~~n"""
- -3 V
e ~
m
H
O~,~F d TEL. 7G5-1802
o t 1 OG~ TOZVN Or SOUTIIOLD
:~'a =G 0I'f
ICE OF BUILDING iNSPECI'OR
a P.O. BOX 728
~0 TOtiVN HALL
~ SOUTIiOLp, N.Y. 1 1971
yol ~aO August 20, 19990
ROBERT S NANCY SHAW
P.O. BO% 475
LAUREL, N.Y. 11948
To Whom This May Concern,
t
We are unable to complete your Certificate
ot- Occupancy because of the following reasons. ,
i ,~~I`\/
An application for Certificate of Occupancy
its not on file. (ENCLO58D)
q,%~ / /!yt<jo Onderwriters Certificate on file.
1^,~ ~ie check is ( not on file.) $25.00
No llcaltti Dept. P.pproval on file.
No Lina1 inspccLion has been made.
' Pleaae contact our office on this matter.
Thank you for your cooperation.
Tsui] ding Permit ik 1 7 6 5 4 Z _
Build'n Dept.
rrh.-~ ***1 No Plumber Solder Certificate on file. '
O ( all permits involving plumbing being
i~sucd afL•cr April 1,19II4 )
i
. .
~,r Form No. 6
`1 ~c~, y~~
' a-~ q'C~ TOWN OF SOUTHOLD ` f E-7 ~t ` y
G ~y, BUILDING DEPARTMENT
-y~ TOWN HALL ~ ~ ~
,sue SEP 2 q
~'o~' 765-1602 - ~
i~ UUU _
~......'3lC<' ti ' ' 4
APPLICATION FOR CERTIFICATE OF OCCUP [`y7fil;'r°~c r~ ' e !
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:
i. 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-4 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 2110 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.
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
L'puaced Certificate of Uccupancy - $50.00 ,
S. Temporary Certificate of Occupancy - Residential $1{5~.00~/, Commercial $15.00
Date .......1~?!~!:''
~~w Gonstruction.....~.... 01d Or Pre-existing Building........///.......
:.~catlon of Property...C.~`.~~ ...............~:`:l~/IC~'1.~;U/~~',...........~tlfe:~....._.....
House No. Street Hamlet
')Hutt or Owners of Property..,~ob ¢~o! t;Zeancc~.Shaev,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,~
County Tax Map N/o,, 1000, Section.,.fP.7~.......Block... ~f .........Lot.. ~~4'~.:`.'7.~'.........
Subdivision....f~~~~~.~C:.4~.~:5:°.4'l:.~.Filed Map... ~~.7~.Lot....j 3
?ermit No.. ~.,j~i„-r,'t.7r.„Date Of Permit ................Applicant. ~Q~~C~.~:~~4~:.:~~
cam'
icalth Dept. Approval ..........................Underwriters Approval.........................
?lanning Board Approval ~i 1
?equest for: Temporary Certificate........... Final Certicate..~t~....... ,
Fee Submitted:
Qom, 41! 70 .
CO ~ ~ ~ 9 APPLICANT ~ ' .
TEL. 765-1802
~S~FF~~ Cp`,~ TOWN OF Sc»JT%OLO
f " ~c OFFICE OF BUILDI23G INSPECTOR
w P o.13oX 728 D ~
c°r °n ~ ' TONN HALL
~ f SOUTHULD, N.Y. 11971
Ol~~~ ~b~~ ~ 2 Q ~~Q ~ I ,
SLOG
70WN t)F SOtfTHOL
C E R `P I F I C A T I D N '
Date P ic?
Building Permit No./~ Sal Z-
Owner ~o e r ~ ~ ~v+ icy
(please print)
Plumber ~keber~- 5~r4w
(pleasE print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
~~w?
_ ~~plu~er's signature)
Sworn to before me this
~_day of
19~_. Notary Public
Clotary Public, County '
(7f ~ ¢.C/~~ HEIENKQE4'Qf
'~/Qf(.6~•~- ~ 1 ~t~47Q7878. S
Molk Caaw~
Yy,w~k
t@tm FxWres March 30,19_-/
2 [~~]~r-~~~ BOARD OF HEALTH
• D L5„~'-.~~~`-..=-~~l 3 SETS O F PLAN 5 a: 'ham.. ~.?QaJI?~
' w ~ ~ FORM NO. 1 SURVEY .
I ~2ti~ y TOWN OFSOUTHOLD CHECK .~~Y•?
- - BUILDING DEPARTMENT SEPTIC FORM .
gin^, ~k= ~ TOWN HALL
TOV.~~' OF g[~v1ti;~i0 SOUTHOLD, N Y 11971 NOTIFY
TEL.: 765-1802 CALL 5.(a :/0, , , , , , , ,
MAIL T0:
Examined 12~~ . , 19~ . '
Approved , 19 Permit No.~?~v
Disapproved a/c - .
C'~~~rtor)
APPLICATION FOR BUILDING PERMIT
Date . - - 19 . -
INSTRUCTIONS
a. This application must be completely filled m by typewnter or m 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, relatronship to adloming premises or public stree~
or areas, and giving a detazled descnption of layout of property must be drawn on the diagram which is part of this appl
catron.
c. The work covered by this application may not be commenced before issuance of Budding 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 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 Occupanc
shall have been granted by the Budding Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c
Regulations, for the constmctron of buildings, additions or alteratrons, or For removal or demohhon, as herein descnbe~
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t
admit authonzed inspectors on premises and in building for necessary ms ri nos Q
( ignature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is caner lessee, agent, architect, engineer, general contractor, electncian, plumber or builder
Name of owner of premises~4~Cl>v/:~ 1~~ . -
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authonzed officer
. .
(Name and title of corporate officer)
Builder's License No. . .
Plumber's License No °7 3 P
Electrician's License No. ~ ~J ~ ~ C
Other Trade's License No.
1. Location of land on which proposed work will be done .
//j~ ~ / ~ l~ / .
. . .
House Number Street Hamlet
County Tax Map No 1000 Section ~ea?Y~ . Block ~ - , , • . Lot • 'Z ~
Subdivision Filed Map No - • Lot . .
(Name) .
2. State existing use and occupancy of premises]a`nd intended use and occupancy of proposed construction
a. Existing use and occupancy v ~?~:°:'.tZ • - • • - .
. .
b. Intended use and occupancy ~ n"`•~-z • • G(" 0 ~~'"'-q .
J
3 Nature of work (check which applicable). New Building Addition Alteration
Repur Removal , . Dem6lition ~l~r~k . . .
(Descnption)
4 Estunated Cost f a A.4.4 Fee .
(to be paid on Elting this application)
5. If dwelling, number of dwelling units . Number of dwelling units on each floor .
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of rise
7. Dumensions of existing structures, if any Front ,Rear Depth .
Height Number of Stones .
.
Dunensions of same structure with alterations or additions Front Rear .
Depth Ileight . ..Number of Stones . .
8. Dimensions of entire new construction. Front . .Rear Depth .
Height .Number of Stones
.
9. Size of lot Front Rear Depth . .
. .
l0. Date of Purchase , ..Name of Former Owner . .
11. Zone or use district in which premises are situated . . .
12. Does proposed construction violate any zoning law, ordinance or regulation . .
13. Will lot be regraded .......Will excess fill be removed from premises: Yes
14. Name of Owner of premises 4~C!"f .~!-J ......Address . ~Q `t?~-`.~ ~vCe~Phone No .a~Q~' J~.~`~R . .
Name of Architect ..Address . Phone No. . .
Name of Contractor . ......Address Phone No
PLOT DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensions froi
property Imes. Grve street and block number or descnption according to deed, and show street names and indicate wheth€
intenor or corner lot.
~t4i n/ ~ M
S L
s~
1,
STATE OF NEW YORK, S 5
COUNTY OF
. , , ~ o ge $ h A W . , being duly sworn, deposes and says that he is the apphcar
(Name of individual signing contract)
above named.
He is the C° rV 7 214,c T ~ R.
(Contractor, agent, corporate officer, etc.)
of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file th
application, that all statements contained m this application are true to the best of his knowledge and belief; and that th
work will be performed m the manner set forth m the apphcatton filed therewith.
Sworn to before me this
2 day of ~4 d~~l^?1 1~.~~:. , 19
Notary Public, S~ t^ P e ~ ~ County
P
Not:, eo,,~~ ~ v<,.,, Y>~A .
r,~ ~-I~`c~,-'rr (Signature ofapplican
4uah%led n 5 `foil. Co
Con -,r,~, i ~ ~'.r i0 t~
\
s,~
o
A~
,Zg p° O t' O~
F.\' OU\ • 9c7 ~ ~
h
F
~b s°~
~9" po . ~'o
~ 5x 'P
o ~o F,\;
4< P`eo,
c \
~ \
~m ~~9
\ 5
p;.
~
\ ~ O M1
GV ~ D ~4~~
~.J 1 qa
~
of y\
r
~ ~ ~~~I R ,yip °
O pP
PR s.
„Q~ 2 ~2
,PG
9l_ ao,
Y~ y1
'pig ''o h~° ~
k y ~p aa0 ~aj0
J- ' 32 9
o'T'~ C, ~ '~O , OO 3,
~ ~~0 0 ~
92 °03 ~
~
F ~3a~o~ o~
3
° ha ~,3
p .y~.
~ 3~~ya z~ ~Op~
J`~~~
P~~~\~
9
SURVEY FOR
ROBERT SHAW & NANCY SHAW DEC Iz,lssa
LOT 13,"LAUREL ESTATES EAST,SECTI AUG 15,1988
AT LAUREL GATE JULY 25,1988
TOWN OF SOUTHOLD SCALE I"=5D'
SUFFOLK COUNTY, NEW YORK No ea-oasT
%uwurNaetzc0 ALT[RATION OR ADDI TIDN TD TNIf GUARANTEED T
auRV[Y 6 A VIOLATION OF SECTION Tzof OF r%E - FIRST AME D/rLf~r RANCE
NEW YDRK STATE CWCATI ON LAW
%CO?1[f OF TN13 SURVEY NOT fEARW6 THE LAND CDMPA ,~,R r
suRVEron's INKED SEAL oR ENfofftD SEAL fNAU ROBER SH ~D W Y ~f,T,
NOT CONf10LRED T6 K A VALID TRUE COPY
M BUARAMTlEf INOICATCD NCREON SNLLL RUN ONLY lO NAN $ Oc
HEALTH DEPARTMENT-DATA FOR APPRDNAL TO CONSTRUCT T~ FCRfOM FOR WNON THE SURVEY IS PREPARED
AND ON Nlf fEHAIF TO THE TITLC CONMNY~ GOVERN- Q
%NCAR[fT WAT[R •AIM~MI Y %SOURC[ OF WATERS FRIMTE PUfLIC_ MENTAL ASEMCY AND LENDIMf INETITU 710M LISTED
%fU/F CO iA%MA/ 01ST IOOO ftC TIOM 126 fUDCK LOT~,Y2 Nt11E0N, AND TO THE Aff liN[tS OF THE LENDINf
N TN[K AIK IK/ OWtLLNA{f WITHIN 100 FEET OF TNIf PRO?LRTY INSTIYUTIp/ OUARANTEtf ARE NOT TRANfFERA[LE '
OTNLR THAN T1gfE SHOWN N[R[ON TO ADDITIONAL INSTtTUTlplf OR SUfSEOUENT
% TN[ WAT[R fU?FLY AND f[NY1K DISFOfAL fYfT[M FOR TNIf RRIDLNC[ OWN[Rf
WIU.CpMO11M TO TNL STANDARDS Of TN[ SUFFOLK COUNTY 0[?ARTMLNT % DISTANCES SHOWN HEREON fROM MO?ERTY UNFf
TO L%IfTINi fTRUC TUREf ARL FOR A f?FCIRC ter`
OF NfAITN ftRVIC[f PURFOSC ANO ARE NOT TO fE USED TO ESTASLISN fA (A p41
1 ~1~'T' PRO?ERTY ONES OR FOR THE ERECTION OF F[NCEf SU
AOd![ft
~ "L YOUNG a YOUNG ~
Ro~T
DNOER~AVENUE
\ NOTE G=STAKE
ALDEN W YOUNG, PROFESSIONAL ENGINEER
511801VISION MAP FILED iN THE OFFICE OF THE CLERK OF 4N0 LANG SURVEYOR N Y.S LIC'ENSE NO 12846
SUFFOLK COUNTY ON APRIL 4 , 1985 AS FILE NO T8T0
HOWARD W YOUNG, LAND SURVEYOR
%7K LOGCIWI OF WRLOIO.fEPTlC TANKlfT1{CtffFOOtf~) MIDWM N[I/EO% N Y S LICENSE NO 4Sa9S
AK }11011 F10.0 OfS[J1MTN7%f MID OR DATA O{TANKW TROY OTN[Rf
1RANOIf A SO1fS iMC. f04°
~ ' ~ o~
\ "L
/ski
~N7
' Qo psJOJ O
Ou, °
5 ~
.y)~J~ ~ O~'• Q~~J s
F
,lb `s`ue
~9` "o, ~
5~
Pte
~g9,
.
<<
E ~
\ ,
.
~ „ o~
o s~. c i
9 J ~ r ~A
i ~ ~n
~
i.'
i•
~6F' a0~ / 2
2~0 ~ / ~o ~ ~t ~
s ~
i .
9~ ~ ~ i ~
~ ~ e5~
o~~~ti $ 5g~o ~
AJ 'Ij
\ ~Ra 9 ~
C9.~ ao3 0
6,
.yo
o° ya 3~
3 0~''
~
9 O
,~3o hR?0 ~~A
N~ 3
F~P~~~
suRVEY FoR
SUFFOU( COUNTY DEPARTMENT Of HEALTH SERVICES AUG , 14, 1990
£ Y OWELLtNG ONLY ROBERT SHAW d NANCY SHAW Nov I5, Isas
~FT~ L07 i3 ~~LAUREL ESTATES EAST SECT, I" DEC I2,ISae
pATEVN^~_.,~~~~S ftEF NO a-/~-~ ' AuG Is,le8a
AT LAUREL DnrE JULY 25,1988
Tfoe sewage dlsposai and water supply facddles for this TOWN OF SOUTHOLD SCALE i 50'
location have been Inspected by this Department and/or SUFFOLK COUNTY NEW YORK No, es - oas7
otlley,a~en es and and ~o be sa factory. ~
~jq wuNAUrNDRiZtD ALTEMTION OR AOOf TION m nllf GUARANTEED TO
Ch f of Bureau of Wastewater Mana ement-^ SURVEY N A VIOLATION aF fECT10N 7209 of iNE FIRST AMERICAN TITLE INSURANCE
g NLW YDRK STATE lOUCATION LAW COMP ORK
wC0?1Cf OF iilif fIMVET NOT fEARWf TNL LANO L~
fURVCYOR~f WKLD 'SEAL OR lNfOfflD PEAL SHALL RDB I"~ ~
w~WA
~NT[Cf WDIUT[OMNCR[ON fiMLL ERUNIONLY TO N C w ~
HEALTH DEPARTMENT-DATA FOR APPROMU. TO CONSTRUCT T~ K"f°N f°R WNDN TX[ fURVEY If PRE?ARFD UT Q SAVIN~6
AND ON Nlf fEMALf TO T11[ TTLE COMPANY, OOVCRN-
N M[M[fT W~TER WAIN-Mf ~ NfOURC[ OP N4W[R~ MIWTE LICE MENTAL AfCMCY AND LlNDiNi IMfTITUTIOM LISTED 'r
w fuFP CO TAxMM DifT 1QQ?Z f[C TION 125 fIdCN LOi E.SZ N01EOMr AND TO THE AffliNtLE OF THE L[NDINi G I
NTNL11t ARE NO DWCLLIWf WITHIN 100 F[[T OF TlNi ?RO/[RTY INfTtTUTIdI BUARA NTE[f AR[ NOT TRANfFERAfLE
OTN[R THAN 7'NOfE SHOWN N[RCON TO AOOITIONAL INfTITUTIONf OR EUf 7[OUENT
N TXC WATLR fUFF1.Y AMD fCMNfE DIfIOfAL fYlTLM /d1 TNIf RQ/DENCL OKW [Rf
Wi11 CpIFORN TO TN[ STANDARDS Of TNL SUFFOLK COUNTY DtFMTNLNT w DIfTANtLf fNOWN NEIItON FROM PROPERTY UNEf
T10 Lxlfrw/f frnucTUR[f ARE PDR A srtclFlc ~ ° 458`3
~LIC~Al1TN fLMi°Cf ?UR?OEC ANO ARL NOT i0 SE USED TO CiTASL1iH
/ROI[RTT LiNEE OR FOR THE lRECTION OF f[NCEf Nsf~ (AND <Il EyO~
AODRCfi
YOUNG & YOUNG ~°~"N
w
ro E
NOTE ~=STAKE ~ = M ONUMENT ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE Of THE CLERK OF AND LAND SURVEYOR N Y.S LICENSE N0,12845
SUFFOLK COUNTY ON APRIL 4 , 1985 AS FILE N0 7870 HOWARD W YOUNG, LAND SURVEYOR
MTN[ IOOfTIDN OF WRLOrf.lemc 1ANK(ST}a CEffI001.SkH f110WM Mq[ON N Y S LICENSE N0 43693
ARC FRaM FNU o orLRwrlDNf AND oR OAn OSTAIN[O IRON orNLRf
eRANDts A SONS INC. sons
r
c
• ds~l'~'!~J' 6Q,
~
w~~~~paa ~`rF \ `~o 0
Prl~~~~~~y'~• yC3 ~ A~0')
a aJ• ao ,t J` s F
~ fs ~ipy'~,p ~ 291 vo ~
osr~r ~°n
4?' OU, . v~ COs ~
9
' ~
1 si ~1 oo ,yam OFos
~~9~m~
~9~ 4co~
0''v Fo - cow
W 5~ io
o Vp
~OOO 2gh
~F P,ce°
<< ,
Rio ~ 3g
'.ate
\
- 'L O~ /M
~ ,ha - o~N,, ,
O ~t~9 /V ` ~d p1 \p
~l
~ d
9~0 SAO - QQO~b O ~ ~ ~ ~ \ G
°h
e
009 aao 5
3~ ~
~
O
p~/ ~~~\69~ O~
O
m ~?j ° O'' 16 .
ap ~ N ~A ~p~ ~
_ O
a g
O-y-
y ~ Off.
i ~ 0 39 O 04~ ,
L-' N a 2
P~~
SIrdGLE FASVIIL~
D`v1rE'+LlRlC Or>!LY 1
EXPIRES TWO YEtiHS FROM D
SURVEY FOR
,UFFOLK COUNTY DEPARTMENT OF HEALTH sER~~ ROBERT SHAW & NANCY SHAUN
LOT 13, "LAUREL ESTATES EAST, SEC'f.l~~
FOR APPROVAL OF CONSTRUCTION ONLY AT LAUREL, DATE JULY 25,1988
c _ TOWN OF SOUTHOLD SCALE I 50'
~ 80 S ~ la-~ SUFFOLK COUNTY, NEW YORK No ea-oes7
DATE
N uwUTHORI2[O ALTLRATION OR ADDITION ro THif ~?tE OF NFW
fVRVFY Mi A VIOLATION OF fECT10N 7209 OF THE +
- NEw YORK fTATE EDUCATION LAW S yO
40PROVED NC~IEf DF TNIf PURVEY NOT f[ARWE TNL LAND ,y~I`~D W y 'P,F.
3UR VEYOR•f INKED MEAL OR ENfOff EO PEAL lN4 LI / O O
1a~~1 NO7R CONfIDER[D TO PEA VALID TRUE COPY a` G
R eUARANTEEf INDIGT[O N[RlON SNAIL RUN ONLY ro t o
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE fOR wNOM rNE fORV[r iE PREPARro
ANO ON NIf fENALf ro TXE TITLE COMPANY, OOVEIIN- 1
N NEAREST WAT[It rA1N ~M1 ~ NfOURt[ OF 9MTER~ MIMtt `~?UM.IC_ MENTAL AGENCY AND IENDW9 INSTITUTION UsT[D
N fUFf c0. TAxM DIET iooo SECTION ~?¢_KOCK O1 LOT~,zx NEREON, AND TO TNF AEf IfN [[S OF THE LENDINt
N TNLRE ARE NO OW[LLNMf WITHIN 100 FEET OF TNIf FROP[RTY INSTITUTION fUARANT[[f ARE NOT TMNSFERAfLE q,
OTHER THAN TNOf! fNOWN HEREON TO ADDITIONAL INS TITUTIONf OR SUESEOUE NT rim 'O 9
N TN[ WAT[R fUPRY MID fFMMi[ DIfFOfAL SYfTEM FOR TNL! RQID[NC[ OWNERS y
WILL OONFORM ro TN[ fTANDAROf 01 THE fuFFOIK COUNTY OGARTMENT * DI ETANCEf SNOwN N[REON FROM ?ROPERTT L1N[f E
OF N[ALTN ![RVIC[f TO Ex IfTINi fTRUC TUREf ARE fOR A !PlCIFIt yuR~
AMLICANT~ FURFOEE AND ARE NOT TO RE US[0 TO EETAELIfN
MOFERTT LINES OR FOR THE [R[CTION aF FENCEf
ADdt[ff
ttL YOUNG & YOUNG ~RO~T
DNOERYAVENUE
NOTE ~=STAKE
ALDEN W YOUNG,PROFESSIONAI ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF 4ND LANG SURVEYOR N Y.S LICENSE NO 12845
SUFFOLK COUNTY ON APRIL 4 ,1985 AS FILE N0 7870
HOWARD W YOUNG, LAND SURVEYOR
N M LOCATKMI OF wn.Lfw),fE?Tlc sMWffr)f CgEroaLSKF) fNOWN N[R[ON N Y S LICENSE NO 45693
ARE PROM fl[LD 0~1[RWTIONf ANO OR DATA OiTMN[O FROM OTX[Rf
eRANDIi A PONE INC. 1W6