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Home My WebLink About26504-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27891 Date: 08/24/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 1125 OLE JULE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 10 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2000 pursuant to which Building Permit No. 26504-Z dated MAY 16, 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOSEPH M & DARLA A DOORHY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 071432 05/16/01 PLUMBERS CERTIFICATION DATED N/A 1 t ri d 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. 26504 Z Date MAY 16, 2000 Permission is hereby granted to: JOSEPH M & DARLA A DOORHY 1125 OLE JULE LANE MATTITUCK,NY 11952 for ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE TO CODE AS APPLIED FOR. at premises located at 1125 OLE JULE LA MATTITUCK County Tax Map No. 473889 Section 122 Block 0010 Lot No. 002 pursuant to application dated MAY 15, 2000 and approved by the Building Inspector.- Fee nspector:Fee $ 150. 00 C111-d Authorik2o Signature ORIGINAL Rev. 2/19/98 / Form No. 6 *_," ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ��765�1-B0� APPLICATION FOR,CERTIFICATE t�UP CY 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 o� 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 buildingf 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 99 1957) non-conforming uses, or buildings and -pre-existing land uses: I. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .2P0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 :Date . .. . .. ... . .. . . . . . . . : . .. . . .. . ... . .. . . . . New Construction. . . ... . . ... Old Or Pre-existing Building. . ... . ... . . . . .. . . Location of Property...rl . .. . . . . .. . .. .. .. . .. .. . .. . .. _ House No. Street Hamlet . . . . . . . . . . rs of Pro � lf . . . .Onwer or. Owne � . . . . . ... . . . . . . 4 . . . .. . . . . . . . . . . . County Tax Map No 1000, Section. K?- X,0. . .Block. . . `�.�lQ. . . .. . .Lot. . . . . . . �. . . . . . . . . . Subdivision. . .. . ... . . . . . . . . . . . . . . . .. . . . . . . . . .. .Filed Map. . . . . . . . . . .Lot. . . . . . . .. . . . . . . . . . . Permit No -?-. . . .Date Of Permit. . ��.�a:Q?;? .Applicant. . .. . . . . . . . . . .. . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . ... .Underwriters Approval. . ... . . . . . . . .. . . . . . . . . . . Planning Board Approval. . . . . ... . . . . . . . . . ... . . . .. Request for: Temporary Certificate. . . .. . . . . . . Final Certicate. . . . . . . . .. . • Fee Submitted: $a.•.. g�.1. . . . . . .. . . . .. .. . . . . .: • . . . . .. . . . .. ... . . . . . . . . 4T.1T Tn11Nn' BUILDING P III L._ A �W LHLK L1S l` Applicant/ „ `� Date Owners Name: } 1�,`1 ��Y�-N� Reviewed: Architect/ Date Engineer: Submitted: 15 _"15 SCTM #: District: 1,000 Section:,'�� Block: Lot: Project �— __ Subdivision Location: _T�a� D� Semnn LPt _ Name:_ Single & separate Required certification: (Yes/No) Req Rey. _--_- /onine District ILot size: _.�cWal_ I Hot coverage Proposed_ I Req Req. Req- [Front Yard Proposed: 1 [Side Yard Proposed ) [Rear Yard Proposed 1 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 Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: THE - NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8083772 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date MAY 16,2001 Application No. on file 12297101/01 H 071432 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 .70SE' I 17; 0LE r7LRF+ NF+r MI'I UCK, C)!}3' in the 0464' lobation; 1st FL Basement LJ 2nd Fl. Sectio' Block i of found to be in compliance wttl II[es National Elecirica/•Code. was exartliried'on MAY 0 7�2001 and ou , 33 FIXTUREFIXTURES RANGES COOKING'DECKS OVEN D1SH:WASHERS EXHAUST FANS OUTLETS RECEPTACLES 'SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT: K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME OCK3 EiNIT HEATERS I- + IIKL L., ,. DIMMERS SYSTEMS'" AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. 'AMPS. TRANS. AMT. g 41}P NO,OF.MET.. 'AMT, WATT,3,. 1 20 1 40 SERVICE DISCONNECT NO.OF S E R W C E yy dAMfui '' »R S1p p",,4. .ETER ,,..;a..RMF,)0 S#i3W.tai 0 3W ,.lam'- CEr '-'Ci'CC COH3 # . 'NC.dKi11�1E0N�'bF'idplllAti I --T OTHER APPARATUS: +" SWIMMING POOL-1 G.F.C.I:-2 : *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. because of unusual ` environmenta3 jt is advisable to have, fr1 4"c# to6t/a}nd .pr r-epairs AMOUNT ' MaC $ I flalitWd person. PLEASE REMIT BY CHECK OR'MONEY ORDER TO THE ORDER OF THE NEW YORK-,BOARD OF,FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL BEAT RISK _, OF SENDER.. <<< Continued on Page 2 »> Per L THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,40 FULTON STREET,NEW YORK,N.Y.10038 ti u.. 3Lnr� , -�. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 083772 BUREAU OF ELECTRICITY 40 FULTON STREET, NEWNI&K,NY 10098 Date MAY 16,2001 Appileadon No. onflie, 12297101/01 H 071432 THIS GE#,TIFIES THAT only the electl erlEFipnrenx as described N".and introduced by the applicant named on the above application number is in'the premises of J0.5EPT i, 1125 OLE 31L'. r in the following loca0lon; ❑ Basement U 1st FA 2nd Fl: OUT Section Block Lot was examined on MAY'-''617,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHEFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS S OUTLETS INCANDESCOM FLUORERCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. T. K.W. AMT. M.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTI. TIME CLOCK$ BELL UNIT HEATERS DI}N11�ERS AMT. K.W. OIL M.P. GAS H.P. AMT. NO. A.W.O. AMT. AMP. AMT. AMPS. TRAN$. AMT. M.P. N .OF �, •AMT. . 4178 W s 1 NECt METER AMT. AMP. I TYPE EQUIP. 1 E W11 R SW 3 R 3W •4W NO.OF CC CONO. I AW.O. OF NO A..W.O. NO.OF• LE PER a OF CC.GOND. HI-LEG OTHER APPARATUS: d • AMOUNT 4° F PAID ORDERETO THIE ORDER OF THE NEW MONEY ' ' OR YORK BOARD OF FIRE UNDERWRITERS C AS CASH SENT BY MAIL WILL BE AT RISK JOSEPH DOOM , OF SENDER. s 1125 OLE JULE LANE MAWITUC K, NY, 11952 Per 11 THIS IS YOUR BILL FOR 8ERVK:E RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE.THIS BILL PAYABLE AT THE NEW YORK OFFICE,40 FULTON STFIEET,NEW YORK,N.Y.10038 dx� sz (/� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ,DATE fl INSPECTOR FIELD INSPECTION REPORT DATE - --- V ----- ill ---_=0=11==c==co===o===o=====c==o_oc000eoe000-=====c=coed=Do==se 6\ ll 14 ii FOUNDATION OST) I II It m----��- ---------- ------ --- ---------- 1 FOUNDATION (2ND) ---------------------- ----------- _II {;-- --al--------- --— -------- ROUGH FRAME PLUMBING lr--ifif ii C3 `1 INSULATION PER N. Y. it u �a STATE ENERGY CODE to--- —u h u ii if tw �' II r� Ii p r H IIF I -IZZ � 11 L-01 FINAL a ii ----------- —u--=-- �—__=------—=____------------------------------- u ADDITIONAL COMMENTS: H H � z � laa ro H .V.... ..V. . �,J JYAN %JX eV L%Q . . . . . . . . . . . . . . . TOWN OF SOUTHOLD -SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT .CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL aQ0': 1ST Examined.................. 19.... MAIL TO. s o T�Ic lc� Approved... .�.'.� ei .. M.4,44, k. ...v .�ii4sd ..... ... ..fl Permit No. .......... Disapproveda/c .................................. .................................... ....................................... .............. ................. 1 n ; (Building Inspector) 5 2000 APPLICATION FOR BUILDING PERMIT w Date. ./YlAy/ /� . . . . . ,to �ov INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 must be drawn on the diagram which is part of this application. 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 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si A ......i'^ �,a 4��".................... eo applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, dgent, architect, engineer, general contractor, electrician, plumber or builder ............. .................\.......... Name of owner of premises ... `�its�?}?..:{..D�el�....;� p ?y ................................................. on-ithe tax roll or latest deed) If applicant is a,c9rporaton, si [irt a of duly authorized officer. • .lr ... (Name and title of n9 �4e43) r Pl' :,li Electricians License No. Other Trade's License No. ........ 1. Location of land on which proposed work will be done.............................................................. //aS oGE ��/c �:�......... ........ ....... i.. /C-- ............................................. .................. . .... .. House Number Street Hamlet County Tax Map No. 1000 Section .....`t??f ...... Block ...... Q........ lot ......1.�:...... Subdivision ..e�'t%! K PPE� ....... Filed Map No. . 9j°�7 7 ... .................. ...... ...... DAC ............ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....Q ^ I��S/... &�,y.......................................... b. Intended use and occupancy ..... �4�/...5 C�� :�f ..lp�: :...................................... Nature of work (check which applicable): New building .......... Addition .......... Alteration .. Repair ............ Removal ............. Demolition ............ Other Work ... N6.:o�•rc�.syu; m•y�,Po::L (Description) Estimated Cost ...��.o�u ............... fee ........ (to be paid on filing this application) If dwelling, nurber of dwelling units ............ Number of dwelling units on each floor Ifgarage, rurber of cars ...................................... If business, camrercial or mixed occupancy, specify nature and extent of each type of use.......... ............ Dimensions of existing structures, if any: Front......�.t........ Rear ...L b........ Depth ...` ........... Height ......................... Umber of Stories ...... Dimensions of sane structure with alterations or additions: Front Rear Depth .................... Height ..... Umber of Stories ........................... ... Dirrensions of entire new construction: Front .....y°......, Rear aJ , i ............ Depth ...13..... .... height ......................... Number of Stories ..................... Size of lot: Dont ls" Rear ... ........... Depth ....r'Fp j ...... 1. Date of Purchase ..................... Name of rormer Owner ... .. ................. ............... . Zone or use district in which premises are situated . ..................................... ... ......... .. '. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 1. Will lot be regraded .................... will excess fill be removed frau premises: (2EP N<7 Hanes of Owner of pranisesSose? +�oae/A �q�et!L!.. Address !/aS o!e��/� L«;-c . M�{.hone No. ::a9d: `1.. ss9 Nave of Architect .................................... Address .............................. Name of Contractor CC........ Address ...... .. ....Phone No. .......... ... 5. Is this property within 300 feet of a tidal wetland? * YCS .......... NO ..!�.... *IF YES, SOLM D 1IMdi 11II1S M PERMIT HAY Ile MWIRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ram property lines. Give street and block mr,ber or description according to deed, and show street names and indicate -ether interior or corner lot. APPR V"t? AS N"".�"j z "IMOVI " . EDIATELYDATE: S �0 5VXARTaT S��t ENCLOSE POOL TO CODE r--UPON COMPLETIONFEE' �� BYBEFORE "WATER" NOTIFY BUILDING DE 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: UNDER�h'RITERS CERTIFICATE 1 FOUNDATION - TWO REQUIRED REQui IED FOR POURED CONCRETE 2. ROUGH - FRAMING S PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST Be OCCUPANCY OR ALL p STRUCTIIOON SHALL MEET USE IS U N LAWFU THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY WITHOUT CERTIFICATE DERCO � RSM ONERRO $ CA1r Or Nw Y(w, S,SOF OCCUPANCY Jl1PIlY Oar .c�✓ v ............ .......................being duly sworn, deposes and says that he is the applicant Aare of individual signing contract) )ove named, is the ...... pw vvi . .. . ............................................................................. ........... Contractor, agent, corporate officer, etc.) f 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 Ihat the work will be performed in the manner set forth in the application filed therewith.' worn to before me this �5 .....day of {/9: .....:*9ZQ(�'j, LINDA K KOWALWj Notary VVublq&aW&NewYo*NcL 52-4524771 ?/ Owdiffed In Suffo*Comfy f Applicant) ..... Commission Expirss Nov.9Q 1! m BILL OF MATERIALS STIRLING FRONTIER �r 13-8 Plain Panels 08-009-5 08-009 2-6'Plain Panels 0"14-5 08-014 L I —40'-0" 1-4'Plain Panel 08-016-5 08-016TZF G H J K -�--I_88' 8' 8' 8' 1-90"Corner Set 08-020 08-020EJ 111 12-Braces 08-214 08-210 SIZE I A 1 B 1 C D E F G H J K L 1-Steel Hardware Kit 08-204 08-204 20'x 40' 20' 40' 8'6' 3'4' 13'6" 15'6" 7' 4' 6' 8' 5'2' 1.20x40 Straight Coping Set 6'Radius 10-003 10-003 KIM mF0-NOR DWM 6 8' 1-90"Coping Corner Set 10-004 10-004 PIKE STOCK OFIKIN 1-Vinyl Liner ADJUSTABLE TURNBUCKLE BRACE ADJUSTABLE �� 2 - FRONS I& 2-0• POOLS OPTIONSSTEP LDE G 20'-0" g' 44'-9 * 4' BRANGLE ACKETb'Slep-Remove 2-8'panelsand 1.4'panel. Insert 1-6'step TURNBUCKLE and 2-7'panels. 5rEEL POOL PANEL STEEL POOL PANEL8'Step Remove 2.8'panels and 1-0'panel. Insert 1.8'step 0 PLLAATEAMAe 6 8 and 2-6'panels. ONE PIECE FORMED Two PIECE BOLTED ANGLE BRACE ANGLE BRACE8' 8' 8' 8' u STEEL PANEL OPTIONS STERLING 8LNTIER CONCRETE FOOTER CONCIIETE FOOTERReplace4-8'plain panelswith: 1-8'skimmer panel Optional Optional z'��E s'POOL BABES 2-8'inlet panels 08-010-5 08-010 1-8'light panel 08.012.5 08-012 STAKE STAKE CORNERTYPICAL STEEL STEP OPTIONS COPING 8'Steel Step(side) 40'-0" Remove 2-8'panels. Insert 1-(08-301)8'steel step, 8' n 8' In 8' 8' 8' —f� �J — -+� 1.7'ponel,1408-167) 45"xl'filler panel and 14' filler panel, 1-(10-083) 6' 6' steel step coping set and 7' 1410-085)roping comer set required.See page 1. " 8'Steel Step(end) 20'-0 8 44'—g<* 8' 6' FILLET �� Remove 2.8'panels and 1-4' CORNERS ® pond. Insert 1 (08-301)8' I steel step,2-(08-167)45'x 6' 7' PANELS and2-ber raes.'2-5'panels 6' 1.00-083)steel step coping set and 2410-085)coping 8' 8' 11 8' u 8' u 8' ADDITIONALcomer sets required. THIS DOCLIMEW IS FOR ILLUSTRATIVE PURPOSES ONLY. See page 1. Aft tion Dealer. N is your responsiTHliy Ro see drat 1M Tofs,y provided by FWP is ddiwxad FWP makes any Arse represm Ghon,which aro stated in its written wamany.Ary alter so pod owner and 6 N ,ot Gro O DMNG wm oring labels ore imblbd. represente Ions,alosmos"n,or osnWwa made by the deakx/canhacbr I*.cuslonw regon4rg ony .*.rids produced by FWP""oMributable te the dealer/co*b an ® FORT WAYNE FOOLS®,INC. n.aenle armada who sells or m",yam pad is an independent an m te a d is • BUILDING THE not an tor employes of FW P.The aorsmt'I m"Inds dlushoted Mre are auggeslions STERLING 6930 G9NrsIMNJ PR[e NSPI TYPE III am ary to normal maid cendniens.Rie a may be addifianal pmoz tlw,s and/or FOLLOWING POOL, FT WAYNE IN 46804 USA 'Diagonals given to 90"point of corners. .W �r wnalnHtim.TRe raP°n b l y is he °"n°C°s. p�LS _ ' 06— These _ ❑STERLING J. _ (219)432-8131 • . • • • dig dimensions,�om�Iy wrath she National Spa and Pod lnstiMe suggested or THE s, a Y Alh,v = O minimum sbndards ror msIida,tinl pods. n diving bawds ar slides ore to be used ❑FRONTIER" ' T k wW W.SDFFIh0P00t.[llp 1.All"mors dimensions we rran hoer t.Soil b hove minim=bearing cglwiy of 2000 P.S.F. 3.Ewont ti n shall be Y Inrger 6hwh dl around with these pools please mnsdt the manuhxNr„h instructions and Iha Nmional Spa 8 DATE mu s s DRAWING NWI oftsions on all pods. 2.Loads 4 of pool of least 6'abose wmxmding Fill voids under base of ponds and IP Hell. Pod InstiluN's minimum standards prim to installing diving boards w:fides an dmse F r2 O N T 1 = R JANUARY 20 X 40 S land devotion. 4.Boddill with non-exponaive lenlarid. orad:. far information asnarnirg NSR minimum sto dards,write: Naliwwl$Do a P O O L g RECTANGLE 6"RADIUS STL-005 Pod Insfitute,2111 Eisenhower Amme,Akwndria,VA 22314•703/838 3 1999 COP"NENT 1999,PORT WAYNE e00lee,INC. / F/N/lNEa aBAOE It G i STORAGE MAX NEW SUFFOLK AVE OVER /50'to WELL and CESSPOOL N/F i KOWALSKI BMX/NOW WATER m 78 TEST VACANT ` NO HOLE 2 W � Q ~ o LOT 6 s G.PM SUBMERSIBLE PUMP N82027'50"W 30000' TYPICAL WELL DETAIL COVER O �—' DRIVEWAY- /4L'EA _1 WELL V Q NTS OVER / S' O U+. r SLEEVE---------------------------------------------- Mg3 Q p� F/NllH£D GRADE CESSP1 „O VQZ 0 tMAX 10 TERRAIN 41 GV 00 SEPTIC TANK GENERALY R0LU 93.0• A Qz e LEVEL 300 so,Y �+\ ° /DeLLPALLN/F STAR 7y AREAEACH 900 GAL. N N-hya r��laAnE! b E � lS h Lu O SEPT/C TANK oPc --� .CeJiv/en�e ?5,0/ LOT 23 O'± 2 [} � � YY/M aR0UN0 WATfRy B30' eco' to 85' WELL 83'to R. __ _ LI' SETBACK nNj W — — —y — — Z� TYPICAL SEWAGE DISPOSAL SYSTEM V O V NTS CONC MON O m y /lIFO. //ran Pipe "� W /250 / Found q S 6/0 07'40"E 300.08'LNIF / 1974, KALODS (RESIDENCE) N/F SMITH (RESIDENCE) WELL+ 150,*to CESSPOOLS SUFFOLK CO. HEALTH DEPT. APPROVAL /2o'toCESPOCL H S. NO 150= o WELL to t WELL STATEMENT OF INTENT _ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FILE NO 9327 SURVEY OFF SURVEYED 21 OCTOBER, 1994 FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS FILED FEB/5/993 LOT / SCALE /"= 40' OF THE SUFFOLK CO DEPT OF HEALTH SERV/CES. AREA=46,043 S F /N R-BO ZONING S rMiooO-122-/o-Oz MAP OF HENRY APPEL APPL/cAT/DN SITUATE NOTE, SUFFOLK COUNTY DEPT OF HEALTH SERVICES VERT/CAL DATUM PROVIDED BY SUFFOLK FOR APPROVAL OF CONSTRUCT/ON ONLY MATTITUCK, TOWN OFSOUTHOLD COUNTY DPW TOPOMAP (MAPAA-34) DATE SUFFOLK COUNTY, N. Y. HS. REF NO. APPROVED : SURVEYED FOR: JOSEPH M DOORHY SUFFOLK CO. TAX MAP DESIGNATION GUARANTEED TO! DARLA A. DOORHY SURVEYED BY. DIST. SECT. BLOCK PCL. JOSEPH M. DOORHY STANLEY J /6AKSEN, JR, /000 122 /0 02 DARLA A. DOORHY PO BOX 294 TOWN OFSQUTHOLD NEW SUFFOLK,NY,/1956 OWNER SOUTH KEY BANK 0/- A/EN/ ✓O,P,(c (5/6)734-5835 JOSEPH M. DOORHY and Guarantees indicated hero an shall M DARLA A. DOORHY only to The Person for whom the M.,ay is Prepared, and son his behalf to the title company, Gavesmental Agency, TEST HOLE DATA sensing instirttlon, if listed hereon, and TEST HOLE NUMBER I Ic the cssi nee. of AS FOUND ON LOT 6 9 the lending iSaMulion, /N THIS SUBDIVISION C--'vSTem ore not tmmferable to MAP BY YOUNG B YOUNG addilanal imlitufions ar ,bsequea eemea SURVEYORS, RIVERHEAD, NEW YORK, TEST HOLE NO/ UmWMrized alteration ar addition to this rovsoLe aos' Wmy is a violation of Section 7209 of LoaN the New York Sole Education Law. / 30 HARD PACKED SAND a GRAVEL 00' Copies of this survey map not bearing the land Surveyors embossed seal shag SAND net be Considered to he a valid two t ° 110ENLI L NDSURVEYOR °Opy' GRAVEL N . 49273 I{, B�o�95 Fj.YAt. 8U/LD/NG �ocAT/a.✓ 3 8//0/95 Located Cesspool B Septic TnnA.Gocat/an provided by owner /To' 2 4/8/95 Located WWI to Fmndatrcn,ondLom/ed Foundation 94C552 /. 12//0/94 Add We//LacahanA&..way. Rev Sm/tag,,Htuse,Setback ?6,T1'