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HomeMy WebLinkAbout26867-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28205 Date: 02/08/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2190 LONG CREEK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 7 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 2000 pursuant to which Building Permit No. 26867-Z dated OCTOBER 24, 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, REAR DECK, SUNROOM AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to GERARD & SHARON MCELROY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0171 02/07/02 ELEC.'TRICAL CERTIFICATE NO. N 573825 10/23/01 PLUMBERS CERTIFICATION DATED 08/29/01 PECONIC PLUMBING & HEAT. r ori 7d Si nature 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. 26867 Z Date OCTOBER 24 , 2000 Permission is hereby granted to: GERARD MCELROY 1170 HENRYS LANE PECONIC,NY 11958 for X CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR r GARAGE, COVERED F ONT PORCH, REAR DECK AND COVERED SCREENED PORCH AS APPLIED F at premises located at 2190 LONG CREEK DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0007 Lot No. 006 pursuant to application dated SEPTEMBER 18 , 2000 and approved by the Building Inspector. Fee $ 1, 383 . 20 Authori d Sign ure COPY Rev. 2/19/98 f , Form No.61L)0 Lt! °"AN 8 2002 I�� TOWN OF SOUTHOLD BUILDING DEPARTMENT F .�G fi f nT. TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00,Commercial$15.00 Date. // .13/ OQ New Construction: V Old or Pre-existing Building: (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: eiI JA1�y0 t' 5/(tno/1 10c Suffolk County Tax Map No 1000, Section Block 07 Lot CJ6 Subdivision p�T�G,�,C/(� ��io�P S Filed Map. 3) e� ot: Permit No.a.6. 6 Date of Permit. OGT 6t,� aW6 Applicant:6p 6!�,,l 4 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: -v (check one) Fee Submitted: $ Applicant Signatur THE NEW YORK BOARD OF FIRE "OERWRITERS PAGE ' 1000121 BUREAU OF ELECTRICITY I' 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,2001 Application No. on file 12'384fi�i1/01 N 573825 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number isin the premises of .t GERARD & SHARON MCELORY, 2190 LONGCREEK DR, SOUTHOLD,. NY in the following location; ® Basement IN Ist Fl. ® 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined on OCTOBER 12,2001 and found to be in compliance with the National Electrical Code. 6 FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT OTHER AMT. K.W. I AMT. K.W. AMT. K.W. ' AMT. K.W. AMT. N.P. 57 67 69 44 13 i 1 5.3 1 9.0 1 1.2 4 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS tiEll UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS !T! OIL H.P. 6A5 H.P. AMT. NO. A.W.G. AMT. AMR AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT, WATTS 5 F 2 50 1 SERVICE DISCONNECT NO.OF S E R V 1 C E METER AMT. AMP. TYPE EQUIP. 1 0 2WJI 0 JW S 0 3W13 0 4W NO.OF CC COND. A.W.G. A A.n G. PER R OF CC. NO.OF HI•LEO NO.OF NOIITRAIf OF N 2 150 CB 1 X 2 1/0 -T 2 1/0 OTHER APPARATUS: CO DETECTORS-2 PADDLE FANS F-7 WIRLPOOL BATH-1 200A TRANSFER SWITCH-1 Y . AIR CONDITIONERS 1-3 TON 1-4 TON-2 MOTORS:1-3 H.P. ,1-4 H.P. ,2-F H.P. ANELBOARDS:2-1 CIR. 60 G.F.C.It-8 SMOKE DETECTOR:-7 1 <<< Continued on Page 2 >>> GENERAL MANAGER Per This cerittIcato must not be altered In any manner;return to the office of the Board It Incbrroct,) be Identified by their cred n Is. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU$T NC1T;-RE,'ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 2 1000121 BUREAU OF ELECTRICITY F - 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,2001 Application No. on file 12384601/01 N 573825 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 GERARD & SHARON MCELORY, 2190 LONGCREEK DR, SOUTHOLD, .NY in the following location; ® Basement ® Ist Fl. ® 2nd Fl. GAR/ATTIC/OUT Section Block Lot was examined on OCTOBER 12,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS ISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENJ FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REc,Fr.1 TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AM". TRANS. AMT. H.P. NOSTEEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C f METER AMT. AMP. TYPE ECUIP. 1 0 zW 1•3W 3 1 3W 3•4W NO.OF CC COND. A.W.G. p, PER a OF CC. NO.OF HI•UG M NO.OF.NEUIRAW OF NEUTRAL OTHER APPARATUS: PAUL R. BURNS LIC.#3897—E PO BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 11 per This certHkate must not be altered In ony manner;return to the office of the bard It Incofhclr 16$006tmA5 y be klenlNled by their CMAnkils. COPY FO BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE:'MUST'NOT BE,ALTERED IN ANY MANNER. � � ru Town Hall,53095 Main Road '- `UTNOLD 65-1823 P. O. Box 1179 0-0 Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: x..19 a o0 / Building Permit No. oZ Owner: (� d Anl Ar, lease print) Plumber: f"Al/L- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. A�zz�� J (Pluikbeff Sign re Sworn to before me this -- — day o �.c. S�'p Notary Public County BARB RA fa f. d Not^./Public,State Now York No.01ST4344io2 Qualified in Suffolk Couna& Commission Eqm Sep.30, ! I SEP 2 0 4-i � -_= I wr�<OF STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at i 2 r S fh lel .t e4 a Gr ire!ew/ IV Y K That on the 20 day of S`/��"' , 2000 deponent /engineer, licensed by the State of New York, hereby states that i/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 155 — 07 — D(a , street address c 19D Monte Cree-k Dri V-0— A�FEngineer Sworn to before me this Q0 day of " 2000. SOF NEWp. EILEEN Q� NOTARY PUBLIC,State,of New Y0* aCE No.30.1916018 Qualified In ue y y Commission Expires ac Notary Public a �Fo osrlrA•1 ave �g0 ESSIONR��. cc: Applicant 7777 '' SCWA SUFFOLK COUNTY WATER AUTHORITY 624 Old Riverhead Road,Westhampton Beach, New York 11978-7407 (631)288-1034 Fax (631)288-7937 Date 1/11/02 SUFFOLK COUNTY DEPARTMENT OF HEALTH COUNTY CENTER RIVERHEAD, NEW YORK 11901 To Whom It May Concern: This is to certify that the Suffolk County Water Authority has installed Public Water Service at the following location: 2190 Long Creek Drive Southold, NY A water meter was installed on June 29, 2001 Very truly yours, Dona Roberts Eastern Regional Manager SUFFOLK COUNTY WATER AUTHORITY DR:ba SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ------------- a H.S. REF. NO. S118114 COMPLETION REPORT — LONG ISLAND WELL Well No. WNER GERARD McELROY „ LOC A S _ 1170 HENRYS LANE, PECONIC NY 11958 Ground Surface LOCATION OF WELL El• ft,above sea LONGCREEK DRIVE SOUTHOLD V ft. DEPTH OF WELL BELOW SU FACE DEPTH TO GROUND WATER FROM SURFACE 49' ft, 11� TOP OF WELL ------------- ft. DIAMETER CASINGS 4" PVC in. In, r n LENGTH In, in. 4 0 45' ft, ft. 20' 0" 24' 0" SEALING ft, ft. CASINGS REMOVF-D 20' 0" 44' O" SCREENS 5' 0" 49' 0" MAKE OPENINGS NAGAOKA 12 DIAMETER 5 i n. LENGTH �n �n• in. 4 ft. ft. ft. DEPTH TO TOP FROM TpP OF CASING ft. PUMPING TEST DATE TEST OR PERMANENT PUMPi DURATION OF TEST MAXIMUM DISCHARGE days hours STATIC LEVEL PRIOR TO T ST LEVEL DURING MAXIMUM gallons per min. in.below PUMPING ft, top of casing ft. in.below MAXIMUM DRAWDOWN top of casing Approximate time of return to norm I level after cessation of pumping ft, hrs. min. TYPE PUMP INSTALLED MAKE MODEL N0, SUBMERSIBLE MYERS SS1535 MOTIVE POWER MAKE H.P. ELECTRIC 1 CAPACITY 25 g.p.m.against MBER BOWLS OR STAGES ft.of discharge head DROP LINE ft.of total head DIAMETER SUCTION LINE DIAMETER 1 " PVC in. LENGTH LENGTH In. ft. METHOD OF D ILLING ft. USE OF WATER ❑rotary 0 cable tool [3 other —AUf.E] ' IRRIGATION WORK STARTED COMPLETED 05 16 01 05/17/01 DATE DRILLER 05 18/01 KREIGER WELL & PUMP CORP,. LICENSE N10 *NOTE: Show Ipg of well - materials encountered,with depth below ground surface, water bearing beds and water levels in each, casings, screens, pump, additional pumping tests and other matters of interest.Describe repair job. See Instructions as to Well Drillers' Licenses and Reports. Pages 5 - 7. 1 of 2 18-1359:7186 Well Yield: 25 g.p.m. Casing: Type of Materiij PVC Drop Line: Type of Material PVC If plastic, was torque arrestor used? YES 3/16" S.S. cable installed? NO Sanitary Seal : Type Used WELL SEAL Storage Tanks: Size N/A gals. ; Type Inside Material N/A Type of Tank Drain N/A Pressure Gauge Installed N�A Shut-Off Valve Prior to Tank N/A Sampling Tap Provided N/A Shut-Off Valve With Bleeder Line Installed on Outflow of Tank N/A Method of Disinfection: Well Lateral : Depth Below Grade SLA Material _ N 9 Water Treatment Equipment Installed For Treatment of Make Type Model Number Well Driller' s Signature r Print Name ROBERT G. LAURIGUET Print Company Name Mailing Address PO.8ox101 -N.MainRoad Y 11982 Telephone Number (631)298-4141 18-1359 :7/86 2 of 2 BUILDING PERMIT REVIEW CHECK LIST Applicant/ C Date Owners Name: Reviewed: Architect/ Date c+ Engineer: Submitted: / ao SCTM #: District: 1,000 Section: —Block: Lot: Jv Project /� ubdivision / Location: a�K• 44* Name: Single&separate Required certification: (Yes/No) Req. �Q Y� 570. Req t Zoning District:_�� [Lot size: Actua]: [Lot coverageroposed: Req. Req. 20 Req. 6-� / / [Front Yard�Proposed: 1 [Side Yard Proposed: & 1 [Rear Yard �/� Proposed: /07j 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 I Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? �tit Flood Zone: Notes• I NI"s3tGY CODE CALCULATIONS (For Non-Electric Iieat) Design Criteria G , uuo Degree'.Da}'s O.A. 1OOF I .A. 70°F FOR: DESIGN TT1C,,RHE L REMARKS SUBSYSTEM AREA "U" RATING u,xLeriot: Walls (Opaque) � �f711 os fi26 �- A r►-. (31azilly /,�_$ 370 •3 2 - 70 v+- epuq Doors 9 7 --- _ r Ceilil'y/Hoof (Opaque) x '78 S O Skylights _ % Floor t 7 , Os- v i'oundat•ion Walls Slab Insulation TOTAL Notes: I3uilding Envelope Systems to meet requirements of 7915. 2 IiVAC Equi.pement to meet requirements of 7U15 . 11 IlVAC SysL-ems to meet requirements of 7015 . r2 Duct Systems to meet requirements of 701.5 . 13 Ventilat-iont3 Systems to meet requirements of 7015. 11 lnsulat•ion of pipir'y Systems to meet requiremenLs of 7U15 . 15 Service Water IIeaLing Systems & EquipmenL to meet requirements of '7015 - 21 Electrical & Lighting SysL•ems & Equipment to meet requiremet't-s of 7U1.5 . 31 .�tof NEWT To the best of my knowledge, �1P��aCE J, belief, & professional jUdyeme"L, L-ltese plat's are In comylianc:e with the code . a 032254.1 v� A9�FESSIBNP� 0 M-1802 BUILDING DEPT. INSPECTION �Zj FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMAR y ,DATE ` 716l' INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION 1ST [ ] ROUGH PLBG. [ UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP CE & C IMNEY REMARKS: ,DATE2/ / INSPECTOR suiwiNc DEPT. INSPECTIO" [ ] FOUNDATION IST [ ROUGR PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS: 4/aaz�79" IL� ppm "'v y DGfvi� d ,DATE J'� 0 INSPECTOR t9�� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R H PLBG. [ ] FOUNDATION 2ND [ ' INSULATION I [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE O INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: Z `-` DATE / INSPECTO �� ol ice= mow' RM (v _ WMWA 11 ' • 11 1 1 II' �4 i ~ ` BOARD OF HEALTH . . . . . FORM NO. 1 3 SETS OF PLANS . . . . .,. . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . .:. . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . TOWN'HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . .. ...... . . .. . . TEL: 765-1802 TRUSTEES . . . .. ... . . . . . NOTIFY• �. - CALL .-... . Examuned .., 20 MAIL TO: . . . . . . . . . . . . Approved. :a�..., �!:°O Permit No. �O.C)�..(. ......................... Disapproved a/c .................................. ........................ ...................................................... (Building Inspec or , '; )'APPLICATION FOR BUILDING PERMIT y // j + Date.! .�-5�. . . . . . . . . SEPQ g INSTRUCTIONS a. This applicatiou'mist,bcompl tely filled in by typewriter or in ink and submitted to the Building I 3 sets of plans, accurate plot pl scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which i this application. c. The work covered by this application may not be conienced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector dill issue a Building Permit to the applica 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 Certificat Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEMMY MAD- 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, Ordinanc Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as her described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, regulations, amu to admit authorized inspectors on premises and in building for necessary inspections. .............0................. (Signature of appli , or name, if a corF (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluabei ............................................................ Name of owner of premises .�,,4./ 'dx............................. (as 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. ../ .�..... ......... Plumbers License No. .6�7Zz. ..�%1&/... rElectricians License No. ��i�,C1.f.... I� / Other Trade's License No. .................... I. Location of land on which proposed work will be done.................................................... ....a.l.?a.............. ......................... Id ............ lbuse Number Street Hamlet County Tax Map No. 1000 Section .,1'........... Block lot Subdivision L..Q!�{.�llke�:.�5<.. !r.�.......... Filed Map No. . ..... Lot .J 1........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyA .l.....1:G7................................................... b. Intended use and occupancy ../.�l�?:`1 ,�•.�l•- ............1 ........... .......................... re of work (check which applicable): .. ` . lyP ): New building ... Addition '.......... Alteration ......... lr ............ Removal ............. Demolition ............ Other Work ...... mated Cost ...:. (Description) y..lis ��......... fee .............................................. (to be paid on filing this application) .selling, number of dwelling units lfio�)hd)r tkmber of dwelling units on each floor ........ arage, number of cars ...a............................ ... usiness, commercial or mixed occupacicy, specify nature and extent of each type of use.... ....... nsions of existing structures, if any: Front..._ ...... Rear ............ Depth ......i 1..... ht ............... ........ umber of Stories .....�:--� ........... nsions of same structure with alterations or additions: Front :i .................... height ......... Rear ............... nn Number of Stories ............... isions of entire new construction: Front ....go.. Rear ..90 . Depth ..�� . it .�f!.�............. Nud*r of Stories ... .............. of lot: Front PIX91.9.5.3...... Rear aW.-I S........ Depth of Purc�iase '//.aIC�.oD...... Name of Former Owners. ��!.�!4 5. '.. tA,Yjx.. !A.e' .... or use district in which premises are situated Proposed construction violate any zoning law, ordinance or regulation: ............•.... lot be regraded ;5 Will excess fill be removed from y� `l /� preruses: s of Owner of premises �����,(rA.GY...... Address .1i 2p.&1,2-)a' � a.�i...11-,-�Ib ne No. -7. ofArchitect .................................... Address .............................. Plume No. of Contractor .I f,/.�............................ Address .......... ............. .....................Phone No. ............. lis property within 300 feet of a tidal wetland? * YES .. NO ... *IF YES, SOI1Il11aD Tt7Ia TBiJSlms Pmu MAY BC R gmizFD. .. PLOT DIAGRAM to clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions rty lines. Give street and block cumber or description according to deed, and show street nares and indicate terior or corner lot. sT 2 y 1y Y61 ST��cfia2r �S � Id�f.. � r Still v e✓ ec l tc ^ ra W YORK, SS ......................being (July sworn, deposes and says that tie is the applicant dividual signing contract) f '• .agent,•corporate.officer,'etc.).- •.•. (Contractor, er or owners, and is duly authorized to perform or have performed the said work and to mke and file this that all statements contained in this application are true to the best of his knowledge arxJ lieJ.ief; arxJ ,rk will be performed in the manner set forth in the application filed therewith. fore me this ........day o .. . . ......20 G o rblilL IZABETH A STATHIS (Signature of Applicant) NOTARY PUBLIC,State of New York No.01 ST6008173.Suffolk County Term Expires June 8,2l.D`Z u POP SURVEY OF 'kCQ arm F1 LONG POND ESTATES SECTION ONE FILE No. 8037 FIND DECEMBER 27, 1985 r SITUATED AT '� v SOUTHOLD Y L �,• `pA S TOWN OF SOUTHOLD £a 00 r • � SUFFOLK COUNTY, NEW YORK N. S.C. TAX No. 1000-55-07-06 JUNE 27, 2000 I`+ JULY 9. 2000 PLOT PLAN ,AREA — 42,570.88 sq. ft. 4. . $ 0.977Ab oc. ,. • a CERTIF'= TO• uoy FIDELITY MATIO14AL TITLE INSURANCE COMPANY OF NEW YORK TITLE No. 28433 o GERARD McELROY ,M• SHARON McELROY t � � r �L H . ., ,ELEYATON ANEREiplfllCED TO AN ASSUMED DATUM EU MS ELEYA110M4 ARI SHOW ANIS: 7BP £ 0 � 2. IKFflI To n= W W FOR TEST HOLE DATA. 3. MONK MI SIR TANK CAPA9 M MR A 1 TO 4 BEDROOM HOUSE IS 1,000 CALLOW& 1 TANK; Or LONG. 4'-S' WOE, 6'-7'-DEEP /� 4 MRAEMRI LEACHNIN STSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 p ft SRMWALL AREA. 6. OW. 8' dk. yyy n ��j TNOIbfED ERPAM" POOL - y GYlrt PROPOSED LEACIMK POOL i OQ ®PROPOSED SOM TAINT , j,0� s. THE LOCATION OF WILLS AWB CES�QOt3 3HC: NER VM /M FROM FIELD OBIIERVAIMMIS AMB/OR DATA DBTAR�D f110M OTIIERB. ✓ ` w 00 fW/OLK COYNIY OIZMRTIKNT OF HMTN 59RVKSS d v rtRMlt Roe AIelMAL 0!CONlTRt�CTION llpR A "ADOORONCE OW RR AS `� SiNau FAMIIrII RtSlota a ONLY R U!b �„ ''" OATt l i-OO N.S.Rte. a w FOR MAXIMUM OF r=au& IJIROOMS r> ,5p" E EXPIRES THREE YEARS FROM DATE OFAPPROifA� S 1� OpBN SpAO 1,00 DstO � 91=7 LAW. aEan+E NEW raNsrATf . JF jJ8 0 5►1 BO COM OF M SUKIEY MAP HOT BEWM THe uolD 9lIIlVEYOII'S NNiED REAL OR Land EIS # "S pmt O S b Tt l o F f�'"°• YWE IAD UM X11111 tLcs'BE GOIINDERED ` . L )` ��,,�� TD 6E A SID i14rE COPY. �F -�'j9• ca""TIONS UNWED &f ALL IUEtl 2 Ww Owy TO 7HE FON MN TIE IIJRVEr SIN NG' f��� "o0 TLin °001061+BIt BEI+µs To THE OOME7NIMEILW AIID 77ds SunNyN — subdRaLiarK — 8lEe Plarn — ( bvdAr+ Load RaC oP`Awr L S NOW (631)727-2M Fwc (WP27-1727 THE ONTING[ OF NOW OF WAYS OFRM LOD=AT AXIM AND/OMt E1R1S OF RECORD IF AMY. NOt SMOIYM ARE MOT OUA�IREEO. 1300 NOM10lQ:AVEt/LIE 11!31 R(r@N". "m Y" Itsot li7L th" *W, i10(►1-4/Bb S yOT O SURVEY OF LOT ASAP OFl LONG POND ESTATES ,��;►1 SECTION ONE FILE No. 3037 FILED DECEMBER 27, 1985 +M'4`. _- SITUATED AT vO `'�� • ' ` SOUTHOLD . a1'' ,O�g'I •: • TOWN OF SOUTHOLD ;:� : ' �g5p E Wit•'` �, `� SUFFOLK COUNTY, NEW YORK ' N 0 S.C. TAX No. 1000-55-07-06 3 t SCALE 1"=50' JUNE 27, 2000 JULY 9. 2000 PLOT PLAN n DECEMBER 12. 2000 FOUNDATION LOCATION AREA = 42,570.88 sq. ft. 0.977 cc. °C CERTIFIED T0: FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK •Z TITLE No. 28435 �. GERARD McELROY SHARON McELROY .. A6 O 'f LOT J yAS CNFAU� ~ AM SL►lE LAND . � OT y0 « IR w W pwC$ N.Y.S No „ IIIWIRIOIIQ®AL16MT011 aR A0010011 y 5 1 Op$$1 N OF p.'�'S W"" mitiooawMf CF I ie wflrN0�0NWW TAX gUBD ,l1U F'wo 0q lof t0 aeras a ns SWAY W«or WAS �Se� A. �� ��G s iv�"" "` °„ .M 3M r K 0 aR Land Surveyor a�owm WL alvei wor a aaaoean 10 E A IND/A�aarY. N EpFA QM nRE oovAln.sww�wL Assld AIO 19b Savep — &**Aimr — Sib From — Camrucum Dart 18O10 I1lI®I�1,AM 10 M A �ONar M ul9lilo NW- �C) l an eel9ncamis�Wr iavmrvm@LL PHONE (931)727-2ero Fox (631)727-1727 TIE err Cola moo. n as yS o�LOWED AT MMM A001ESS AM. NK lI6a11 A A �EA1,ryM NOT gyp• 1390 IbA11010E AIMRIE PA. Bou 1931 WA3* A0. Nw Yak 11901 0 1- d. Nw Yak 11901-01W t j L01' I Si i RVEY OF _ LOT 11 L°T ��� °N°M` MAP OF i � _nNr fi LONG POND ESTATES, SE C'TION ONE r 'S FILE No. 8037FILED DECEMBER 27, 1985 0� 56 v1�cD�5SITUATED AT coi* 10� 6�. A�5 °3 v SOUTHOLD TOWN OF SOUTHOLD a So °"0Gx SUFFOLK COUNTY, NEW YORK • I 1�1N, S.C. TAX No. 1000-55-07-06 jib) p SCALE 1"=50' (� / � 10`1�N �S I• � lP - M _ JUNE 27, 2000 • JULI 9, 2000 PLOT PLAN DE,-EMBER !, 2000 F UNDATION LOCATION `�'•. fTT JANUARY 11� 200- FINAL SUPVEI AREA = 42,570.88 sq. ff. oe 0.977 ac. S.C.D.H.S. REFERENCE No. R10-00-0171 CERTIFIED T0,_ \~ z z r 25< 1-- E FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK FEN, TITLE No. 28435 O i �pD— ow � RAMR W E GERARD McELROY 'I .• N ,TEP SHARON McELROY L V r WO F•� WAfEF�,NE-..� • 'n�> _ WGOI: _ .. ..� ..— __� _..� ____ `� i iy- a WOOvD� z 90 6 �I 16 3 - T 0 �-i �- '� - pD LEACHING{ 16.3 —SVN ROOM r 2M, . � �j-� ��. r.. z P0015\y` T 3b4 - x `'�`� � _� ,a�f "�� =1q. zm ..,. Or �� 25�_ �er..J u� i PREPAR T E INIMUM HYAN .I T TABUS DD N o TE LAND �� \ ANG MON FOVNO Ojw ^ V .� co II LyJ 6, p0 11 3) aNa LOT Lo co 0" SPACE r NY S Lic No 49668 PEN N4AF Of ` UNAUTHORIZED ALTERATION OR ADDITION --- 01? �ON mAi psl�� C,OVNSY \ SECTION 72 9TO THIS E Of STHEVNEWTION OF ORi, STATE 1<l�_ DIV[S ��S uFFO�3� EDUCATION LAW St,e ,,`� wo F s Jose h A. Ingegno lvIO S rLRs��E No, THE LANOF SURveroa'r,INKED NOT BEARING eOER Surveyor � � SCO OF SN 990 P ` TOBBE�A VALDLTRUE LONPOT BE CONSIDERED Land Surve or tNE OFe R 29 CERTIFICATIONS INDICATED HEREON SHALL RUN ---- 2 ( \N OAF' ONLY TO THE PERSON FOR WHOM THE SURVEY" ------- .--- No' ��EO Op M IS PREPARED AND ON HIS BEHALF TO THE 1 BASIN -�e F TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys Subdivisions - Site Plans - Construction Layout IjGI; - LENDING INSTITUTION LISTED HEREON, AND RECHA TUT ONE CERTIISIGFICATIONS AEES Of RE LENDING TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1 727 \� AND/OR SEASEMENTSOF RIGH OF TRECORD,OF YIf OFFICES LOCATED AT MAILING ADDRESS • ANY. NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 Town Of Southold P.0 Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/18/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Mcelroy, Gerard 1170 Henry Lane Peconic, NY 11958 Clerk ID: JOYCEW Internal ID: 17993 IF APPROVED AS NOTED DATE-LQ-A-i-z--' jLR f ra(, FEE 1 6tEPAR EN AT [Ni NOTIFY Bull. 765-1802 9 AM TO 4 PM FOR HE FOLLOWING INSPECTIONS: x 1. FOUNDATION m TWO REQUIRED FOR POURED CONCRETE Z ROUGH - FRAMING & PLUMBING 3. INSULATION IL FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SMALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS L OCCUPANCY OR PROVIDE SMOKE-DETECTING ALARM DEVICES USE IS UNLAWFUL AS TO PART 721.1 WITHOUT CERTIFICATE NYS BUILDING CODE. OF OCCUPANCY �71 Z PROVIDE'A MR.FIRE ELEVATE HEATING APPLIANCES 19'AS RATED SEPARATION TO REQUIRED BY PART. 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