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HomeMy WebLinkAbout26505-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27997 Date: 10/05/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 170 CEDARS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 2000 pursuant to which Building Permit No. 26505-Z dated MAY 17, 2000 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 COVERED FRONT PORCH, SCREENED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RAYMOND & ELIZABETH HULBERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0028 10/01/01 ELECTRICAL CERTIFICATE NO. N 558456 05/14/01 PLUMBERS CERTIFICATION DATED 09/20/01 MATTITUCK PLUMBING & HEAT uth 21i zed Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26505 Z Date MAY 17, 2000 Permission is hereby granted to: RAYMOND HULBERT GREENLAWN,NY 11746 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT PORCH. at premises located at 170 CEDARS RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 028 pursuant to application dated MARCH 24, 2000 and approved by the Building Inspector. Fee $ 860.00 Authorized Signa re COPY Rev. 2/19/98 . Form No. 6 l a OO �a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' 765-1.802 APPLICATION 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 1% lead. 5. Commercial building, industrial building, multiple. residences and similar buildnf' � and installations, a certificate of Code Complianoe 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 -arid "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.conseut to inspect signed by the applicant. If a Certificate of Occ4Pancy 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 - . .2i 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . !.��.a,/.�. . .. . ... .. . . .. . .. . . . . New Construction. . ... . . . .. . Old Or Pre-exiting Building. . . . . .. . . . . .. . � � Location of Property. ... . . .. . .. .. CL3Lh t House No. Street Hamlet" . . . . Onwer or. Owners of Property... . . .t: .`a'�.T�:... . ice . ?!:Xd :. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . ! b . ! . .Block. . , .. . . . . , , . . .Lot. . . . . . . . . . . Subdivision. . .. ... . . . . . . . . . . .. . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. . .R co'sJ.'. . .Date Of Permit. . ._._'. .a O. .... .Applicant. . f.'J.e .. . . . of Health Dept. Approval. . . . . . . ...... . . . . . . . .. ... .. . ..Underwriters Approval. . . i.r. . . . . .. . . . . . . . . . . . Planning Board Approval. .. . .'. ... . . .... . Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . .l.� . . . . . U Fee Submitted: .. . . .... . . . . . . . . .. . . . . a� a �� A"V§T T^A I" j i Town Hall,Slow;Main nood .' •`"' j 1 wit (S If,) V15-1 1323 P.U. [lox 1179 ,� ~' 'I relaphone(516) 7r,5-1602 re Snirlhol,l,Now York 11971 ✓ r' OFFICF OF TI-IP- BUILDING INSPECTon TOWN OF SOUTFIOLD C C R T I r I C A 'r t O N VA,rr::�� ao a huild] n permit No. (� Owner! (p se print) w I Plumbers . , v J Pil v.�. (please print) 1 certify Shat the solder used in the writer supply sylotem contains loss than 2/10 of 1t lend. - I rI innhc�r:� -44�— e ) - r sworn to before me this day of NoLnry Publics � Comity sww �VA NotarvWo.of Quell6d M v Term Expires June 1135107 THE NEW YORK BOARD OF FIR U*Ni'E�VVRITERS PAGE ' BUREAU OF ELECTRIQJTY. , 40 FULTON STREET, NEW YORK,NY 10038 Date 34' N 55£3455 2001 Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named an the above 409cation number is in the premises of RR.YMOND&ELT'ZAMM HULBFRTT 170 CEADAR.5 ROAD, C(JTG'HM 7,AR ­ �.` in the following location- [n Basement I ) i"^� t,°: 14 Ist Fl. El2nd Fl. Section Block Lot was examined on '� 08,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCE0 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 43 50 33 43 1 11 .0 1. 1.2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pr. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 2 F 2 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. If 2W 1/3W S/SW J/4W PER 0 OF CC.COND. NO.OF HIdEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: CO DETE=R-1 WHIRLPOOL BATH-1 WELL PUMP F-1 PADDLE FRMS F--4 5 TON A/C-1 HOTORS:1-F H.P. ,1-F H.P. TANELBOARDS:1-1 CIR. 60 G.F.C.I:-9 SMOKE DErt'ACTOR:-5 <« Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner;return to the office of the Board 11 incorrect.Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT.. THIS COPY OF CERTIFICATEMUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDER' WRITERS PAGE 1135107 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,NY 10038 Date MAY 14,2001 Application No. on,Pile N 558456 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RAYMOND&ELIZABEM MUBERT, 170 CFADARS ROAD, CUIC;H.Ocr „�.�� n --,. in the following location; 29 Basement I Ist FL ElGAR 2nd Fl. / `'rt_. Section Block Lot 14 was examined on MAY 08,2001 and found to be in compliance with the National Electrical Cade., FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENIA FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELLUNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. NO.OF FEET AMT. H.P. SYSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NOOF CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 .2W 1 0 JW J P JW 3 0 4W PER• OF CC.COND. NO.OF HIdEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: JAMES HURRAY LIC.#355: L L P.O.BOX 305 LAUREL, NY, 11948 GENERAL MANAGER 11 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. STANLEY J. 1SAKSEN, JR. Professional Land Surveyor P.O. Box 294 Topographic Title Telephone&Fax New Suffolk,N.Y. 11956 Surveys Surveys 631-734-5835 15 May 2000 Town of Southold Building Dept. C/o Mr. Michael Verity Town Hall 53095 Main Road Southold,N.Y. 11971 F-7 RE: Proposed building of Residence . c/o Cases Lane Extension and Path Way TM# 1000-109-05-28 2006) Owner: Raymond&Elizabeth Hulbert Dear Mr. Ve As per our telephone conversation on May 12,the following information is submitted in reference to the above described parcel. Please be advised the proposed house that the Hulbert's are planning to build will not fall into the AE flood zone. This letter should serve as a"non jurisdiction" statement. Very y yours, i cc: file Stanley J. Vsaen, . 98C755 Licensed Land Surveyor MEMDF,R: AMERICAN CONGRESS NEW YORK STATE ASSOC. NASSAU•SMTOLK. ON or CIVIL ENGMERS,INC. SURVEYING AND MAPPING PROFESSIONAL LAND SURVEYORS BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: A- Reviewed: •�Z ov Architect/ 7— Date Engineer: Submitted: SCTM #: District: 1.000 Section: A/q Block: S_Lot: Z'a Project /7 /�_ � Subdivision o Location: (�:�G -446Name: Single&separate Required iok certification: Yes/No "Coning District: 7� [Lot size: � �U Actual:�,��/�[Lot coverage 1��proposed:� v Req. / Req. C�Req. [Front Yard Proposed: [Side Yard Proposed: � �✓1 [Rear Yard Sb Proposed: Lf �O Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. `Town Trustees 1Jk` Town Zoning Board approval: Town Planning PP Board approval: Flood Plane Elevation??? �6'�C. Flood Zone: 8 (I ',' �r; ":{=i I t;'•�•`•I-t1 =dll_I-il{(_LITCI•II I riF-ILL 51r, '�'� 1 : _ t'. 1 STATE OF NEW YORK ) I'IuLri�rzT -�u�sc f(��.� 2,o 7 } ss.: by P�hw� Lti���n COUNTY OF SUFFOLK ) L P,--j K'e-N C-"` M t�rl-�' , being duly sworn, deposes and says: That deponent is over the age of 16 years, and resides at That an the?` day ofteMi deponent, being the architect/et{cgineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State l=ire Prevention and Building e (9 NYCRR). Architect/Engineer Sworn to befgre me this C60 %/_ clay of!v11 y �1,, _ 5� NEW vzn/ 9 Notary Public 1 � r rx+ EILEEN S.SANTORA NOTARY PUBLIC,State of NOR DIN V No.30.4916018 0 032254-1 ��► Qualified In ' - Commiuion Eapir.��� O€EWS1 co: applicant ENERGY CODE CALCULATIONS (For Non-Electric IIeat) Design Criteria 6, 000 Degree'.Days '/ 4ea0.11. lU'C Z.A. 7U'F roH: �l YER: ��Ah► to i) 04 DATED.- •s. /6 L� 7 1 SUBSYSTEM AREA DESIGN '1'11EIZMEL REMARKS RATING ExL•eriot: Walls (Opaque) //65 zy, Glazing 1 6 g 20 3 L OJO � �� ♦a FTI rii:�►�'c.� Doors 2/0 Ccil.irty/Hoof- (opaque) ! •� . C� 0 Skyl.iytits g Floor 47 vs O / S FoundaL3.ot1 Walls Slab Insulation TOTAL Motes: Building Envelope Systems to meet- requirements of 7015.2 11VAC Equipement to meet requirements of 7015. 11 11VAC Systems to meet requirements of 7015- r2 DucL• Systems to meet requirements of 7015. 13 VenL•ilaL•ions SysL•ettts to meet- requiremettLs of 7015. 14 InsulaL•ivn Of Piping Systems to meet- requiremenL-s of 7015. 15 Service Water IIeating Systems & EquipmenL- Lo meet- requiremenL•s of 7U15. 21 Electrical & Lighting Systems & Equipment to meet- requirements of 7015. 31 To the best of my knowledge, belief, & professional t�Of NEW YD judgement-, these plans are in �P���E T � compliance with Lhe code. � �T fs f W e W J'FO 032254-1 A9OFESSjO1k r Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/24/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Milner, Fred For Ray Hulbert Cases Lane, Cuchogue NY Clerk ID: HELENEH Internal ID:5531 suu.niNc oar. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: dl2l C� cool DATE INSPECTOR I M-tso2 BUILDING DEPT. INSPECTION [ ] F DATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS DATE INSPECTOR�X�/�� ss-isoz C� ILDING DEPT. I NSPECTION [ ] FOUNDATION IST [ '] ROUGH PLBG. [ ] FDATION 2ND [ ] INSULATION [ FLING [ FINAL [ rj" FIRECE & CHIMNEY �""f REMARKS: 3 - : CJAA vs A/n --7'- 4�-T� ,DATE 1h INSPECTOR �� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ X NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: r X., C ,DATE l �� ' INSPECTOR 76s-sso2 suiLoINc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REM RKS: ,DATE (�f;do INSPECTOR i � 5 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F ND ON 2ND [ ] INSULATION [ F ING [ j FINAL [ FIREPLACE & CHIMNEY REMARKS:Z/1-z_e-i r G .DATE �L � IN8PECTOR M-isox BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU [ ] FRAMING [ INAL [ ] FIREPLACE 8 CHIMNEY REMARKS �` a 3 6 � _ ,DATE INSPECTOR suauiNc uEVr. INSPECTION [ ] FOUNDATION iST [ ] ROUGH BG. [ ] FOUNDATION 2ND [ ] I CATION [ ] FRAMING [ ] FINAL r [ j FIREPLACE & CHIMNEY REMARKS: ,DATE -INSPECTOR M.iaoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATI [ ] FRAMING [ IN/�L � J [ ] FIREPLACE & CHIMNEY REMARKS:v� Q � ,DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INS TION [ j FRAMING [ FINAL [ ] FIREPLACE & CRIMNEY REMARKS: ,DATE � �� INSPECTOR t I I s Awlir i -S h lima, - IIS -- • -.;;�llllllllllrw -W—_4 lillim j i r • 11 1 • . r l �'' I PrA RUM Q-d roll Fl,laiw BOARD OF HEALTH . . . . . .. . . . . . . . FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . 2 Q M { x BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . .. . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . ,-- -- :--" SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: _ CALL . . . 1�. . b . . . .`. . Examined. MAIL TO: . . . . . . . . . . . ... .. . . . . !l�' �, Approved.. .... .1/-��Y Permit No. .ts�� l i�. Disapprovedc .................................. / ......................................................Yor) ....... ..... (Building APPLICATION FOR BUILDING PERMIT Date. .a/j�s1. . . . . . ., 19 INSTRUCTIONS a. 'Iris application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector w. 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. c. The work cowered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be.kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BEMW MADE to the Building Department for the issuance of a Building Permit pursuant to the Building .7bae Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulati.:ns, and to admit authorized inspectors on premises and in building for necessary inspections. 77-k . ...oi .�...................... (Signature of applicant, orrkm, if a corporation) (Mailing address of applilt) State whether applicant is owner, le see, ag t architect, engineer, general contractor, electrician, plumber or builder ria�c �... �.. .e ........ ........................................ Name of owner of premises ..\`.... k..... .....} 41.1 ........................................... on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) �] Builders License No. . 1(0...'.l .� Pluohers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. ......................C0.5 e-S.......... r^`R ?r ................ .......................... Haase Number Street Hadet County Tax Map No. 1000 Section .....Y 0.q.... Block. ..... 5 .... Lot .... ........ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... � ..... ........................................... r b. Intended use and occupancy ......R .......prime............................... 111QK 7N�yi 10�._"-.'�: +,q Y1TIITOY� SCBts *00"n') ,.m.. „1,4% 3. Noture of work (check wlhidn applicable): New Building ..... . Addition .......... Alteration ... . Repair ............ Removal ............. Demolition Other Work Re (Description) 4. Estimated Cost fkow- ...... fee ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... }Amber of dwelling units on each floor .... If garage, number of cars ...........�......... ................. 6. If business, commercial or mixed oc cupancy, specify nature and extent of each type of. ..... Depth ....use.......••.... 7. Dimensions of existing structures, if any: Front......• Rear •.....•. �.. Height ........ ............. Number of Stories ........ .............. ..... Dimensions of same structure with alterations or additions: Front Depth Height ....... Rear ............... 8h ...........�....... .................... Number of Stories 8. Dimensions of entire new construction: Front 'r L ��•-..... Rear ....�Q....... Depth Height ......................... Number of Stories ...... .............. 9. Size of lot: Fruit ........0;.'3 O Rear ... Depth 10. Date of Purchase ....�.l.l..l.......... Name of Former Owner ........ . .............................. 11. Zane or use district in which premises are situated .....?'Vn` 12- Does proposed construction violate any zoning law, ordinance or regulation: ......1 V.Q . ............. 13. Will lot be regraded ..... Q Will excess fill be removed from premises: YES 14. Names of Owner of sem .3Yi, } "'lill�3tlress ....G -C?X� ... .. Phan No. ........... Name of Architect 11. ..... ..... Address .. ,ZR . ... .. I `' I ............... Phone No. Name of Contractor .�?moi0�...... l.N�'�' —.... Address ,04-A Phone No. 15. Is this property within 300 feet of a tidal wetland? * YES .......... *IF YES, SOULIIOlD 1UM TRIISIM,; pM4rf MAY HE RE()[I M. NO .. ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street nares and indicate whether interior or corner lot. AF 31'A1r or N;W ycW, 14 ` 0"(Y OF x ............being duly sworn, deposes and says that be is the applicant (Nae of individual signing contract) above named, Ile is the ..... �A 1?. Co . l .................... Contractor, agent, corporate officer, tc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and Chat the work will be performed in tine manner set forth in the application filed therewith. wornre me this o Notary Public ....! — U LYNDA M.DOfiN J.. . . NOTARY PUBLIC,State of NOW%* (Signature of Applicant) No.01806020832 tluatEfied in Suffolk Term Expires Match a 20 w 3 / D RO" 44.0 , 9 s5 5' 5 C E pAR 4 PA TH WA Y 48. et48.8' 49 48.52 40" E PAVEMENT 50,1 EDGE OF ASPHALT UTILITY20� N *POLE 5 g9• 50o/ v S 74' 57' 30' f 00' EX #NS N 46 NIF Z ( 48 CABERON PROP. INC. O RaroSEO 44 CESSP O S Z TEST HOLE J PR osED POND WETLAND DELINIA TION SEPT TANK / 1-2 S 16' 01 ' 38" W 25.75' 40' - 4 '2 Q� 2-3 S 10' 40' 26" W 63.73' cs 3-4 5 19' 07' 04" W 22.75' 70• fill ~ 4-5 5 44' S0' 41 '" W 37.08' \KD 5-6 S 01" 40" 11 " W 16.05' Q PROPOSE ONE STORY / \� 6-7 S 25' 51 ' 07" E 27. 1 1 ' J a 3 BEDROO RES. 7-8 S 01' 39' 34" E 39.25' 30, 48 O 8-9 S 89' 58' 12" E 20.76' yr 9-10 N 40' 52' 55" E 36.35' � � o 10- 1 1 N 19' 05' 00" E 38.57' 11-12 N 13' 10' 00" E 57.70' o 12- 13 N 07' 34" 58" E 50.90' all Q 46 1� w 13-14 N 04' 25' 00" W 34.55' �co W �0 44 � 74-15 N 55' 41 ' 55" W 37.61 " CS OS .6 PROPOSED 5 . 1 GARAGE 24' S 9 52 Sp w `�, V 15- 1 S 1T 51 ' 43" W 11. 14' `rA M DRIVEWAY W 48 C1 O 24 W 40" 1 POLE 188 15 p 0 WELL 2 PROPOSED _ _ — 223.54 L \ WELL _ � 7 700' L / _ 14 750'+ TO CESSP II 1.5 50.9 � 5 .5 50.3 N 80' 05' 30" W N F HORN ,BI PLEASE NOTE Minimum distance between well z and cesspool is to be 150 feet. IINISHED RADE 1 13 R i - v 2' MA, N"Y i / y TEST HOLE DATA tOp tiY I,, 1 q"" �l' � -/D PERFORMED BY Mc00NALD GEOSCIENCE + DE n a l F FiA r A ``5 FINISHED GRADE �l\`1 SII es E — — \ �\ ,\.,:/, r.s• BROWN SANDY LOAM OL So Hea\1h Setvw I '�j vIN OUNOWATER NOTE Dept,o1 FFOLK COUMN DEPARTUMOF TH SERVICES 190EC 9B REVISE SANITARY by SU �� TIPICAL CESSPOOL SYSTEMONL - -pgRFOE APlROVAL OF - YNIPE H SEVOL&FAIYIILY R FALE BROWN FINE to COARSE vN0 SW pAaiiTn - 3 Hs _ ooa8 12 APPROVED ��. R FOR MAXr4 MI OF t00MS EXPIRES 1'[fREE MARS FROM DATE OF APPROVAL 131• I FINV,nFC GRADE OND L WAFER IN PAIS BROWN FINE r0 COARSE SAND 5W MIN MAY T 1)' t - I LL ' m17 '�° Guarantees indicated here an shall run only to tlu person for whom the survey 8MIN TO CESSPOOL is pr_perad, and on his behalf to the " I tit6 CowrmenLd Agency, 000 GAL SEP9C TANK 1,7,2. ins;if.tl:n, If listed hereon, and b ii:: csa,,nees of the lending institution. TAX MAP NO. SURVEY OF Guarantees One net trail..able to / 1000-109-05-28 TYPICAL SEPTIC TANk 5 _ additional institutions or subsequent owl DESCRIBED PROPERTY -- -- – _ SITUATE Unauthorized is olation on or addition 9 this survey is a violation of Section 7209 of the NOW Y'orla State Education Law. ZONING : R40 CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK CO HEALTH DEPT. APPROVAL SUFFOLK COUNTY, N. Y. H.S NO. Ccpies of this survey map not bearing _ in, Laid Srrvayors embossed seal shall STATEMENT OF INTENT not be consi.:arad to be a valid time THE WATEIR.SUPPLY ANC SEWAGE DISPOSAL SYSTEMS may' 10 FOR THIS R@SIDENCE WILL CONFORM TO THE SIANDARDS Of THE SUFFOLK CO DEPT OF HEATH SERVICES SURVEYED 27 OCT., '98 5 SCALE i —APPLICANT __— AREA= 26,316.87 SF SURVEYED FOR RAYMOND HULBERT TOWN OF SOUTHOLD SURVEYED BY OR 0.604 ACRES ELIZABETH HULBERT FOR APPROVAL OF CONSTRUCTION ONLY DATE STANLEY J. ISAKSEN, JR. 91 APPROVAL - - - — P.O. BOX 294 8 t -- SUFFOLK CO. TAX MAP DESIGINATION NEW SUFFOLK, NY 11956 GUARANTEED TO DIST. SECT. BLOCK PCL. RAYMOND HULBERT 51 b•-734- 8 5 1000 109 OS 28 I r, / ELIZABETH HULBERT ELEVATIONS ARE TO AN ASSUMED DATUM OWNER �; uG - ' FIDELTY NATIONAL LAND TITLE INS. CO. POND WETLANDS DETERMINED RAYMOND HULBERT & ELIZABETH HULBERT IICENl LAND S RVEYOR TOWN OF SOUTHOLD a BY THE LAND USE CO., BAITING HOLLOW, N.Y. - - NYS UC. NO. 49273 98C755 I tI I AUG 2 5 2000 �\ r— L2 OA R D 44.00 CEDARS 46 PA TH WA Y 48.56 48 87 49. 48.52 40' E N 50�� EDGE OF ASPHALT PAVEMENT 20' m *POLE S 89 S` S 74' 57' 30" E 100' cm Z: o o l[) A O J POND k1ETL4ND DELINIaTION ei � s I— , s Io' OI -e" W ,o -5 LQ ]—j S 10' JD' _b �V 67 5� 4 40 0, 23 C za r' —� , I D-! W _5. ti 24 5' - -5 -7 -I l' `0 11 bV J- 03 z ti GARAGE 5—L, vl' _0' II " E /6 N I E _' Q ¢ AREA " --L ��/" _,o' _�.. L J o POURED CONC. � FOUNDATION - - - -= W zz.! rA LQ HOUSE UNDER OI � ' _- Q CONSTRUCTION _ 14- 1` tT - ^1 U� lyl � 5➢FFNER � 1 — I � i J O : 51 6 U h r0� 40.1" zs.o 20' 1 az' o 5.0' N W O h OLE ^ x/4Z 223.54' . 5 545 1 5 W 50.9 50.3 N 80' 05' 30 NIF HORN FRESH WA TER POND TAX MAP NO. SURVEY OF Guorontaa Indicated here on shall mil 1000-109-06-28 DESCRIBED PROPERTY only to the potaan for wham me survey is prepared, and -, his behalf to the SITUATE lily. : cny. Covars.ros „'-:c�nry. ud:.ilcn, if iirL.J I:cnosmt, �cnd to the cssiyneos of the Ierd"j imliNFmm ZONING : R40 CUTCHOCUE, TOWN OF SOUTHOLD Guarcn}aos ate not transferable ro SUFFOLK COUNTY, N. Y. additional institutions or subsequent owners Unauthorized altsration or addition to this sc.rv,y is o violcuon ci Seafioa 7209 of �h^ New Yorl< Slate Education La, SURVEYED 27 OCT., "98 Copies of this survey map not bearing SCALE I"=20' the land Surveyors embossed seal shall AREA= 26,316.87 SF SURVEYED FOR RAYMOND HULBERT not bo masldcr.d to bo a valid True OR ,apy SURVEYED BY ELIZABETH HULBERT 0.604 ACRES STANLEY J. ISAKSEN, JR. P.O. BOX 294 *NEWSLIFFOLK, MY 119GUARANTEED TO 5 RAYMOND HULBERT ELIZABETH HULBERT ELEVATIONS ARE TO AN ASSUMED DATUMFIDEL TY NA DONAL LAND RTLE INS. CO. POND WETLANDS DETERMINEDDwN DF sawn oc0 SURVEYOR BY THE LAND USE CO. BA177NG HOLLOW, N Y NOTE: 1. 8 AUG, 2000 LOCA FED CONC. FOUNDATION NYS LIC. No. 49273 98C755 N ROAD 44.00 PA 7-/� I^//� �/ CEDARS 46 0j PA / I I VV PA DEMENT 48.87 49 48 52 EDGE OF ASPHALT 48.5 E 50�� 0UTILITY 89• 20' Q'0 S 74' T POLE S 30" E 100' M � 0 I i RECYCLED CONCRETE p 0' c' h BELGIUM BLOCK CURB Co ` " J PRODUCTS MIS DATE END Cl/ l YN�0 CURB ILTL +PJD DE; N,, -,Jv y v � zJ<' m I, _ 39 9' 23iJ --� _ C L1- ' r 2 cavcaED PORCH _5 S 41' GARAGE L-o _ 3to Q 24 ' p SI ' _ Jo 7 STORY S ,93." E ;C a RESIDENCE i"Jw m as 4' o _ -9l 5, U5� Q 103, 1' m yO - a° - D-F' 25 0-1" H 5e' Uco W " p It i5 N 55 -EI j • 576 °U W - S V 1+� 40.0' W 2 26 1 2.0' 22 2' W 50' CHIMNEY WOOD K W h ro 27.8' POLE ^ "Jh 92 y14 2 223.54' 5 E 5 .54 75 50.9 50.3 N 80. 05' 30" W N/F HORN FRESH WA TER R7o -vu -DQ�B Fo�R POND � I TAX MAP NO SURVEY OF 1000-109-05-28 DESCRIBED PROPERTY SITUATE ZONING R40 CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. SURVEYED 27 OCT, '98 SCALE 1"=20' AREA= 26,316 B7 OF SURVEYED FOR RAYMOND HULBERT -- - DR ELIZABETH HULBERT SURVEYED BY 4 0.504 ACRES r' STANLEY J. ISAKSEN, JR. - ELEVATIONS ARE TO AN ASSUMED DATUM P.O. BOX 294 - - POND WETLANDS DETERMINED NEW SUFFOLK, NY 11956 GUARANTEED TO BY THE LAND USE CO„ BAITING HOLLOW, N.Y. RAYMOND HULBERT 576-7 4-5 35 ELIZABETH HULBERT EOELTOWN rr NATIONAL LAND nTLE Trus co. NOTE. 1. 8 AUG, 2000 LOCATED CONC. FOUNDATION rowN of SousvoLD 2 07 June, 2001 FINAL SURVEY LI ENSED N SUR VE R 3 04 SEPTEMBER, 2001 ADD DRIVEWAY NYS LIC. NO 4927.3 `�� 98C755 PROVIDE SMOKE,=DETECTING ALARM DEVICES AS TO PART.721.1 M.Y.S BURAING CODE. ` _PPROVEOASNOTEO DA+p 11.:00 ■� dlaso5 Do OCEED"m NOTIFY BUILDINGER E MA NBUNTIL$URVEY 705-01104 0 AM TO 4 PM FOR HB DF FDUNDATIDN:LOCATION ' FOLLOWING INSPECTIONS: ` �1 FOUNDATION - TWO REQUIRED NS BEEN APPROVED: . FORPOUREDCONCREIE � 0. ROUGH - FRAMING & PLUMBING { S INSULATION - 4 FINAL - CONSTRUCTION MUST - _ BE COMPLETE FOR C.O. B copper tubing IS used _ - ALL.CONSTRUCTION SHALL MEET - for water distributing 1 THE REQUIREMENTS OF THE N.Y. 0yetenY piping shallbe - STATE CONSTRUCTION & ENERGY gtypeaKaL CODES. NOT RESPONSIBLE FOR - - - DESIGN OR CONSTRUCTION ERRORS - OCCUPANCY OR PRm f ANn-mALD AND/OR , USE IS UNLAWFUL- THERMAL SHOCK PREVENTING ; WITHOUT CERTIFICATE xBTlDfVK*Su a Pun�coo � OF OCCUPANCY - --------------_— ----------_-__ -- -------- U11DEA11RRD CBMFCK PLUMBER CERTIFICATION. , am= ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER PLUMBING SUPPLY SYSTEM CANNOT `. ALL PLUMBING WASTE EXCEED 2/10 OF1%LEAQ ,' '- ' &WATER LINES NEW _,� TESIINGBHORECOVF111N8 F 'yr GS FOR PROVIDE OPENINGS k . 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