HomeMy WebLinkAbout17663-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218101 Date JUNE 9, 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 420 ROGERS ROAD SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 066 Block 02 Lot 15
Subdivision BEIIfEDON EST BL 4 Filed Map No. 1472 Lot No. 6
conforms substantially to the Application for Builduiq Permit heretofore
faled in this office dated DEC. 5, 1988 pursuant to which
Building Peraut No. 176632 dated DEC. 6, 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 2nd FIAOR DECR PERGOLAS.
The certificate is issued to ANNE K. RILEY
(owner]
of the aforesaid building.
SUFFOLK COUNTY DEFARTMENT OF HEALTH APPR04AL 88-SO-148 5/23/89
UNDERWRITERS CERTIFICATE N0. PENDING SLIP 6/8/89
PLUMBERS CERTIFICATION DATED 5/24/89 PECONIC PLUMHING
B ilding Inspector
Rev. 1/81
f1DHEi NO, f
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N a ~ 17 6 6 3 Z Date ..~~..:~.~~..?-':1.4f.:~S,.........4,e 19.4.G7
Permission ~s hereby granted
....tea ~-~1...`-'mod
to ..C~7n.s,4' .a.......!T.-tiR. L~a-~.~.~ c~~s<.,PP-~..~..4~-~ .U"~""~,
.................................o .
I n.........
ct premises located at ..`*:1~........F'?',°.....V,.~............~C~s..t.~..!::Y.r:7:--'
Caunty Tox Map No 1000 Sec~tio~n Q4~P.. Block .....Q.~-..... Lot No. r~'
pursuant to application doted ..~.,,~J}?c9.^.^^`:~?~R..~.. 19~g.., and approved by the
Building Inspecctor.
Fee $..~.1.~'~.~ .
~ ~q iT'c. aq
. .
llding inspector
Rev 6/30/80
TOWN OF SOUTDOLD
BUILDING DCPARTiIEiST
TONN IIALL
• SOUTIIOLD, NEW YO121C i ]971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE. 6/9/89..........
NEW CONSTRUCTION XX.____OLD OR PRE-E%ISTING BUILDINC..___.YACANT LAND....._..
420 ROGERS RD. S0.
Location of Property "
BOUSE NO. STREET IIAMLET
Ovncr or Owners of ProperCy...._ANNS.R:.RILEY
County Taa Map No. 1000 Section .66... Block Lot 15
Subdivision Filed Map ........Lot........_.
PcrmiC No. _176632
..Dace of Permit ..~?I618~_Applicaot
Bcalch DepC_ Approval Undcrvriters Approval_.___.._.___..
Planning Board Approval
Re~{uesc for Temporary Certificate Final Certificate
Fcc Submitted: $
• ROBERT BOGER
APPLICANT
~
~ly~~"y
~UZj~I°1
rev, 10/14/88
TEL 7G5-18~'
zr:z"~,
~~~FE~I_.~(CC~~ ` To~~ri Or so~~o~.~
_.f,..,
r'+'~36u:~~ y,4 ~t OP{'ICIi OI" FsUILDfiv'C INSPECTOR
~ ^ R^~L8° = I'.O. [SOY 1 1 7 9
~~~R/n rn
~ ~ ~ T01VN 1tALL
~ SO[3'S'f TOLD, N.Y. i l97 t
~~Q~ Y~`t r~ June 8, 1989
ANNL IC. RILEY
333 PEAKHAM RD.
SUDSI3RY, MASS 01776
To Plhcm This May Concern,
47e are unable to complete your Certificate
of Occupancy because of the following reasons.
/-~11n application for Certificate of Occupancy
is not nn file. (ENCLOSED)
CIO Under~lriters Certificate on file.
Che chec}: c;, (3/nut nn file.) $25.00
ho i~nalth Dept. Approval on file.
I I No final insl~~c:t.ion hay been made.
Please contact: our office on this matter.
Thank you for your cooperation.
iluilclic.q Pcrm~t- ~k 1 7 6 6 3 Z
IIuilclinq Dept.
*~"/~lo Plumber So1Qer Certificate on file. '
{ all permit:, involving plumbing being
iasucd after April 1,1984 )
:lE~D 1:. .1~:+ ~~J;,:E „~.KMENT~ ~
7.
H
OUI7DATI0;1 ( 1 ~ ~
/ C~
FOUNDATIO[1 (2~) mi
2. ~
- 2 ~L y? si a e o
r
P,OUGH FRAh1E &
PLUMBING
T d.
ti
3, z
ra
I1d5ULATI0P1 PER fd. Y. ~
STATE EidERGY
CODE _
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F I Sd A S~
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ADDIT AL CO:Nh7EPlT'S: ~ ~
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BUILDING DEPT.
iNSPECTIQN
[ ]FOUNDATION 1ST ( ) ROUGH PLBG.
[ }FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ( FINAL
REMARKS: `l
DATE ~ ~ INSPECTOR
ass-isoz
BUILDING DEPT.
1N5P~CT1C3N
[ ]FOUNDATION 1ST [ ROUGH PLBG~.
(]FOUNDATION 2ND [ ]INSULATION
~RAMIN6 [ ]FINAL
REMARKS: f~~~'' t~L
G~~
~f ~ _
p, c~ ~~1-d~L--
DATE ~ ~ ~ INSPECTOR /
/7~C~ 3
T65-1802
BUILDING DEPT.
tNSPECTtt~N
[f'1 F UNDATiON i5T [ ] ROUGH PIBG.
[ ~ UNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ] FI~N~A/L
REMARKS: ~!~x-~'
cw,r
DATE / ~ INS CTOR
S A M U E L S&
S 7 E E L M A N
Jan. I8, 1989
Building Department ~
Town of Southold ~~/l
Main Road
Southold, New York 11971
BLDG DEFT
Re: Riley Residence YOINN~UFSOUTHDLD
Rogers Road
Southold, NY
Dear Inspector,
We were requested by Mr. Robert Boger, contractor for the
Riley Residence, to inform you that the subsitution of an
8"x8"x16" concrete block wall for a poured concrete wall
is acceptable to us.
Sincerely,
Samuels & Steelman Architects
Nancy L. teelman
Principa
Ns/ns
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE, NEW YORK 11935
(516) 734-6405
~
j c rs ~ ~ urlLl7 Y of elcr TcL
Y[~LQ~q'6 Off' ~reeizpOrt ('6)477-1748
M YO.
GEORGE W HUBBARD INCDnPDnsrLD uaL P01VCR PUNT TLL
NCW INCORPORAr10N 1pRIL } 1LOt (516} 477-017''
TRUSTEES RC INLOnPDR.PTION UNOCR DLNCnl1L LAW M/ir ILP.
STEPHEN L CLARKE ~ 5}~y~r
JEANNE M COOPER -
DAVIDS CORWIN
GAIL F HORTON ~~L • ~~~y -
V~ µ G I S L A N D
s,. 1
SUPT OF UTILITIES ~ ,z,. v7.
IAMESI MONSCLL
?36 THIRD STRCCT
P O BOX AH
GRECNPORT, SUCi'OLK COUNTY
NFN' YORK 11944
May 16, 1989
tdr. Norman Wagner
Suffolk County Health Department
Suffolk County Center
Riverhead, N. Y. 11901
Dear Mr. Wagner:
The following water service line was connected to the
Public Water Supply by the Village of Greenport during May 1989.
The installat>_on was inspected according to our rules and
regulations and connected to the exa.sting service on the
property. To the best of our knowledge this service meets w>.th
the Suffolk County Health Department standards.
Anne Riley -Lot #6, Rogers Road,
Beixedon Estates, Southold - JO#F219
Installed 5/17/89 -Ref.#88-SO-148
Bob Boger -Builder.
If I can be of further service, please contact me.
Very truly yo rs,
~~x~Tnan~-_-
Superintendent of Vdater & Sewer
HBS:lkm
100 Years of CommunJty Service
`1~~ Y • T
TEL 765-1802
~pSUFF~Lk~p TOWN OF SOUTHOLD '
~t OFFICE OF BUILDING INSPECTOR
z P.O. BOX 728
yc TOWN HALL
'YO ~ O~ SOUTHOLD, N.Y. 11971
col ya
C E R T I F I C A T I O N
Date (y
Building/~it No. ~7~L,~T
Owner
(pleas print) 1~
Plumber ~
/!/C. ~LGs?~~J"/N4 >l//C~'~~
(please print}
I certify that'the solder used in the water supply system
contains less than 2/10 of 1$ lead.
plu er's s' nature)
Sworn to befor me this
day o~,~J~/~;~/ r ~
C Notary Publ~c
Notary Public, 'r ~O ~ ~ County
BARBARA STEPNOWSKI
Notary PuAi~a, State of New York
ko 4!344752
~uahfiad m SuNaik County
Commiasrors Expires "~ti., r_,
~ ,
THE NEW YORK BOARD OF FIRE UNDERWRITERS FAGS 1
1000174 DUREAU OF ffLEGTRICITY
83 JOHN STREET. NEW YORK, NEW YORfC 10038
pelf JULY 11,1989 Application No. on file 61390789/89 N 080236
THIS CERTIFIES THAT
only the abctricd equipment ae deecrihed 6eloRO end in[roduced 6y [he applicant named on the ahooe eppltee[ion numhsr in thepromieee of
ANN RILEY, ROGERS ROAD, SOUTHOLD, N.Y.
in the folbteinq location; ®Basement ® I et Fl. ®Ynd F7. .Sertiun Block Lot
une examined un JUNE 20,1989 and found l0 6e in compliance with the reyuirementn of this Brwrd.
pxTIME AGK SYYITOIlS XT{MES RANGES COOKING wcXS OVENS gSNW RXNAUST FANS
OUTIETS INCANDESCENT RUDIIESCENT OTHER AMT. K. W. AMt. K. W. AMT. K.W. AMT. K. W. AMT. N. P.
18 36 18 18 1 12.f; F
DRYRRS FWNACE MOTORS tUTINE ANRlANf1 Itl0ERf LMOAL REt:'?T TIME CIOCKS ERL UNIT HEATERS MU1T401R1lT
AMl. K. W. dl N. P. GAS N. P. AMT. NO. A. W. 6. AMT. AA1P. AMT. AMPS TRANS. AMT. M. P. NO. RRT ~
a F 1 30
54RIVICI.OKCONNRCT NO.OF S E R p~ V I C E
AMI. AMI. TYPE ~ 1/tY/ t/3W S1 tW 3/~W ~~~PERCC.eCOND. d: CC
COND. NO. OF N4LFG ~~H~~~ NO.Of NEUfRAlS ~'NWEUTOIiAL
1 loo ca 1 x ] a 1 2
oTNnI AF?AIIATUS:
G.F.C.I:-5
SNOKE DETECTOR:-2
.Po'(
E.E.C.O. ELECTRIC CORP. LIC.l2816-E
35650 COUNTRY RD. 48
FECONTC, NY, 11958 ANAORR
Per
' This cerNfltale must not be alMed in a manner; Mwn to tM office of tM Board iF incorroct. Inspectors be id by tMir crodentiak.
WILDING DEPARTMENT. THIS COPY TE MUST NOT 0E ALTERED IN ANY MANIER.
BOARD OF HEALTH
ID 3 SETS OF PLANS .~~1. .
tp ~n+ FORM NO. 1 SURVEY ^ :
IIILLLiii11166111L..... TOWN OFSOUTHOLD CHECK
U BUILDING DEPARTMENT SEPTIC FORM -~c d N. , • .
TOWN HALL
$OUTHOLD, N Y 11971 NOTIFY
~r~=~.~,_.. TEL.. 765.1802 CALL
Examined~fO""~p4*!~ .`4'.., 19 MAIL T 0
Approved C0."."^X~: , 194 Permit No ~ta(P 3~
Disapproved a/c
. . . . .
A C~ ca•~.. a-t.dC
(Bwldmg Inspector)
APPLICATION FOR BUILDING PERMIT
Date . l~EG' 15~
INSTRUCTIONS
a This application must be completely filled in by typewnte~ or m ink and submitted to the Building Inspector, wilt
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 adlommg premises or public stre
or areas, and giving a detailed descnphon of layout of property must be drawn on the diagram which is part of this apt
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Butldmg Inspector will issued a Building Permit to the applicant Such pen
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 Occupan
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constructron of buffdings, additions or alterations, or for removal or demolitron, as herein descnb•
The applicant agrees to comply with all applicable laws, ordinances, building code, housint; code, and regulations, and
admit authorized inspectors on premises and in building for necessary mspecfftrg~ppn s'~.
4!":: .
(Signature of applicant, or name,
ife,
a~uon). .
..333 {~.E~K h?~M .p~1. ab6-?k^°
i,~~:t
(Mailing address of applicant) QJ~7(U
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builds.
p(>il~E2.................................... .
Name of owner of premises ~x.)!VC 11 : ~ L~.t=:~ . .
.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
. . . .
(Name and title of corporate officer) ' 1
Builder's License No. ~ca0>uCo-• ,~if~C~~j, 1'K?~db5 ~t'1C . '
Plumber's License No 1EC~~tG. r~~(1Yl'! ~I~~ ~ ~~~~I
Electrician's License No ~~.g.`.Jc. G L-CCT(~ I G
Other Trade's License No .
1. Location of land on which proposed work will be done CJ i ' ! 1 ~I ~ : • • . .
. . .
~ a o ~ o~E,es. . .
.
House Number Street Hamlet
County Tax Map No 1000 Section ~fO tO ~ ~ Block . r?a C`~d Q J 5 OCR U
. Lot
Subdivision 3E1 XEI,OIi-1 E~i,I la~ ~ ~ Filed A4ap No Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructron•
a. Existing use and occupancy t 1 ~ 5 • • • • • • • • • .
b. Intended use and occupancy- - 1•~~'• ~G~•
3. Nature of work (check which applicable) New Budding Additio Alteration .
Repazr .Removal Demolition ~ Otr~,
~i ~
(Description)
4. Estimated Cost ~ ~ • • Fee .
(to be paid on filing 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, specif natur~ and extent of each type fuse , ,
7. Dinensions o existing structures, if any Front . ~ " ~ Rear y~ : ~ ~ Depth ! , -
Height .a.~'-? ~ Number of Stones . , , , , , ,
Dunensions of same structure with alterations or additions Front Rear ,
Depth Height .Number ,o]~ Stones
8. Dimensions Qf entire new construction Front j~~.'.`i~.`. Rear h~~•.?.~ Depth ...,a~ ',a,~ , , ,
Height ~ S~. ~I;umber of Stones ..r~i....... . ; . .
9 Size of lot Front Rear .....t epth .
10 Date of Purchase ..~E4: 9. !`l ~ ..Name of Former Owner 71H~f(l.G(e:l fit.. {~.tIGIS(.G(~.
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zomng law, ordinance or regulation• .
13. Will lot be regraded 71 ? .Will excess fill be rem ved from premises `Yes i
14 Name of Owner of premises ~yNinJ,c ,IS, /1{ 1 ~ , , , , Address333. PEN14h~tYYi.~12~hone No.~4 ~)4~3,
Name of Architect Jc14vnuel,~ ~Y ,J~,1"~~LNwn-~ , , .Address C1~fCh o true, ,/~(l~ (pihone No4576!'?35~.:~`}P~
Name of Contractor Lorca C R~,c K. ,Hoyt Sy ..Address ..~auf.!?o(d, j nJ r,~ , , ,phone No~Slb),~65.-(°.§
15.Is this property located within +00 feet of a tidal wetland? *YES.'y`..NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions frc
property lines Give street and block number or description according to deed, and show street names and indicate wheti
interior or corner lot.
~
STATE OF NEW YORK, S S
COUNTY OF .
• • • - • • • • • • • - • • • • - • • • being duly sworn, deposes and says that he is the applic
(Name of individual signing contract)
above named
He is the . .
. . .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the sazd work and to make and file r
application, that all statements contained in this application are true to the best of his knowledge and belief; and that
work will be performed m the manner set forth m the application filed therewith
Sworn to before m//e this
.......r. day of . . ~/k/;~ , 19 tf
Notary Public, ~`R :~-~'c?^:. ~ Y~':e"... County ~
HELEN K DE VOE " ~ " " o " "
NOTARY PUBLIC, Shte of New Yak - (Sienature of applica
Na 4707878, Suffolk Coun
Term ExWres March 30,1
The locGllons of walls and cesspools show f hsreon ors from 9dd
obrarvollons and ar lrom data obldned Irom oh7ers
B 0 H No 88 - SO - 148
SUFFOLK COUDIT'f DEPARTMENT OF HEALTH SERVICES
FOR APPROSAL OF CONSTRUCTION ONLY
DATE HS REF. NO
APPROVED
0
x
J
J
LOT l0 LOT 5 0
(DWELt1NG )
( DWELLING)
r N 60° 20`40`IE ll6 00` _
fEN - ~ ~ A5 PHALT DRIV WAY
I8'W GARAGE I el 150
4` 3 2 ~ 3 I cN
_,,.,.-----r el w z Q
CM el 12 6 I ~ WAiER LINE
r
-t01 O
`I O
a W I ( I tp O
W
~ 12 4 ~ W
Y, 1 WOOD I ~ H
CO STEPS B °
w i ~ LANDIN4 44 3 ~
LOT 9 LL LOT~~ E, I M R. ~ -
~54 1 .TJRY FP ~ ~ ~ W
~ Q rl0U5E ~ 33 , w o
~ (DWE LLINGI O rcI i ROOF d 0 ~ _ ~ i
r, DE OK ~ CP W i
o W
~ \ ~ X31
w
O r^ v m
N ~i P7 el 443-- _ N V _ m
J
O) aN ~6y--__-Z I ~dl - O -
~ ~COF DECK 01 I 5 ~ p
N a ~~FL DECK I X90 ~ a /V a =
m 1.L~
Z° N R,7R 1 TEST N j
ES1 n! ~1 !n ;
PENN 0 3 W - I 1 H W N - _N t3 4 ~ °
Ib 0/lN/S e1115 CM '_2-- WFE
12~W ~f e1 13 AI
i--'~'~ 18 2 3
GA ~ GARAGE
o(I S 60° 20~ 40"W. I ifi 00 ~ i
LOT 8 `
0
( DWELLING) LOT 7 ( OW ELLYNG~
I
I
HIPPODROME DR I V'E
AREA = 7* 888 SD. FT.
i
he eY~ter sµDPly and sewoge dlsposol
systems for !h!s residence w~ eon/orm SURVEY O F
to the standards of The Sullolk County
Deportment of Health Services. L~
(I MAP OF BEIXEDON ESTATES ,BLOCK 4 "
Prepared h aceordmre w/He hYa mi+irnan FILED MAR 1 6 1 9 4 6 FILE N C 1 4 7 2
standards /or Hfle sarvey s ns es7obgshePd
~.rf
oGn'r'u Eby Tns r~~rJYark S,al~oLara AT SOUTHOLD
T~~,~r,a~,allan' TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
ra
f Sl'`cl;i K 1"'1!Ip;lti' ilz!'",I"f ~i'I' Of hE~LTN S". Q5 066 - 02 - 15
nArA ~ ,
.,t•,,,rr,,, .~l;I,,~h„ly SCALE I° = 20`
oA)argrwWNLaw B• p„~AAl~2~@_1n{~1~z FC `au ~ SO /
eRVxw sANDr Law Lr S E P 2 9, 1 9 8 8
The sum„°~ dl<~•; ~ C;I^, , ;;rl~,,, ~ ;o- "+~s MARCH 3 19 8 9 (u c )
1
PALE BROWN COAMY i.^r IL+": i°RV~ t1'' I" ~ IfI ~ I: TN;rli anli/(il +
SAND oktlar ~a,~c,es a~IG "w .e t,r~,r.~:~•,za~:cry MAY 15 1989 (f (not survey 1
PALE BROWN `
COAR5IE SAND f3 P'
Chef of Bureau et Wasie,~ater Management
~
fl 9 CERTIFIED TO
o c ~m LONG ISLAND MORTGAGE CORP
~ .v,r o AMERICAN TITLE INSURANCE COMPANY
s s ANNE RILEY
' ~ .S. LIC. NO. 496 f 8
_
P~CON RS P.C. 1f ~r``~ ` ~ w
(5167 ~55a<~ ~ / _ j~, ~L-.,.-., ~ .
MAIN ROAD ~
SOUTHOLD, N.Y. 11971 ELEVATIONS ARE REFERENCED
TO AN ASSUMED DATUM IOC4tIOn t0 for~ndatlon -
D K
8 8 ~ 5 8 ~#~'~`iryS a~. ~F
The locetlons of walk and cesspools show' 1 hereon are Irom !leld
observallons and or Irom deco obtained Irom olhers. \\3 ~C~O
SUFFOLK COUNT.' DEPARTMENT OF HEALTH SERVICES ~9O r- ;`;°r*
' ~ ~ ~ ~r
F\\O~~R~~ A~~PPRO`•AL OF CONSTRUCTION ONLY u ~ r
UATEy.l~~~~~ HS REF. NO. ~ 5~.. 1 NOV ~
APPROVED _ gg~~ ~F~T OF
I U ~ N~41.7{i g~VICFS o
5,:.
J
LOT l0 LOT 5 ;
°
( DWELLING 1
OWE LUNG)
N 60° 2014011E 116 001 - _
FEN I - - - ASPHALT DRIVEWAY fL
y3 GARAGE el 15 0
16 W `
~ ! 7 1 . 3 t LM
` ~ \ CM el 12 6
~T' \ _ ,G/oF a.~_:
Vo `T I r~Jrc~~J .X// lid - Q
_ eons ~ I , _ _
S
~~,a o a ~ - 2 / p5 ~
~~JL'\ ` ~~`/'~Q~'_~Z,J\~,jJ W I~ Q~4 / fiOr'~ IZ 3' Ci-~ N
vWV V ~ ~ ° i
2 _
LOT 9 W LOTI 8 ~ 3 (n
y ~ W
W 1 _
(9NE LUNG 7 3 ~ I I ~Y CPISnN~ i ~ C E ~ HOUSEFR ~ J ~ fi~ (L} ii~~ ; ; fi
~~O_ Q r \ - } be {i lle~-~ E~CLO SEO FF= 1569 0 v O ~ ~ m
~~-^~'"c^r1 _N ~ in o~ rem ovc~ PORCH / Y'°P -l -
I _ J
~~R ~ M " I o I ~ N e o' - - - 4 5 2- - - - - - - - ~ O '
G 1 ~ ~ ~ 4
N ~ 0 wl ~ 7~ ° e/As ~ ~TESr E, ~ i
N
Z RfS ~ 6~ 6'.~ 12 3~ _ ~I 133 Cn W
\ 0 WOOD ~ ( el 139 0
OQN~ 03W e1115 CM s FENCE t01 UH W'R ES_d Q V
PIPE
12 W 0/L N/5 el I3 41
I8 ~23
GA ~ G AR AG E
26
" to l " '~.6.'9.g..-
~,I s so° 20l 4ol'w, PLEASE NOTE
LOTS ;
C~ ~ , DWE._rNG it is #hl3 appiicant's reSpOtlSl~li1#y t0
' °WE ~ mainta€~~ adequate unitary distance
between ail water su~ply and sewage
dlsposai facilities. I
HI
PLEASE NOTE ,
AREA = T~ 888 SD. FT. Requires septic #~nk
cover to grade..
-he ~rafer supply and sewage drsposo! 0
systems for ffus residence w4l canlorm
to fha slondards o/ The Su//olk Coun/y
Deporlmenf of Heolfh Services. L0 T
MAP OF BEIXEDON ESTATES ,BLOCK 4 "
Prepared h accordance w/M the mhbmun FILED MAR 1 6 , 1 9 4 6 FILE N O 1 4 7 2
slandords Jar Nf/e sarve} s ns eslabOshed q
b the L.1.A.L.S. and opppr~vod and adoPled AT SO U T H O L D
Jor such use by The New Yrrk Sfote Land ?
T"f° Ass°cf°f`an' TOWN O F S O U T H O L D
SUFFOLK COUNTY, N.Y
7ESr 1000 - 0 6 6 - O I - 15
RGLE
DATA SCALE III = 20
DA/nf BROYN LOAM 6'
eROAN sAroY Law ra' S E P 2 9, 1 9 8 8
PALE GROAN LOAMY
SAN7 3'
PALE BROMN
COARSE SAND 132'
wAfvt rr PALE CERTIFIED 70
eROrN coARSE
LONG ISLAND MORTGAGE CORP
sAnD /7
AMERICAN TITLE INSIRRANCE COMPANY
a ~ ' / _ ANNE RILEY
A ti_ N,Y.S. LIC. N0. 49618
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