The URL can be used to link to this page

Home My WebLink About24465-Z "~--"'-- FORM NO. I ' BH H,D! NG I~I'AR~W. NT TOWN I!^1,1, SOllTIIOI.I), N.Y. 1197 I . TEl.: 765- IRO~ ....... l}i ~I~1 n/c ..... ~ ............................ 1 NS'I'RIlCT IONS BOARI) OF IIF. AI.TII ............... 3 SWrS OF PLANS ............... .gURVET ........................ CIIECK ......................... SEPTI (~ FORM ................... .~OT I FY: (;Al .I ................... M^ll, TO: .................... Date ................ ,19 .... lhto ai~llcatlo~ must !~ c~,~,letely fillt~l in by tylx~riter or in i.k mgl mfl~ittt~! to tl~ I~silding Innl~etor with } m~tn of plmm, necurote plot plan to ~nle. ~t~ts ~ ~, ~ givt~ n ~tnil~ ~ripti~ o[ l~t of pm~rty ~t ~ dr~ ~ tim di~ ~dch ia ~rt of e. ~ ~{ldi~ ~all ~ ~i~ or o~ in ~le or in ~rt for ~ ~ ~mt~r mtil n ~rtifieate bf (Si~tur~ of ~llcnnt, or ~, State ~l~tJ~r a~,lie~nt is o~a~r, le~.,~'~, ~nrd,lt~t, engh~r, ~rnl c~tr~tor, electtielnn, pl~r or i~tlhb~. ~,~ o~ ~ ~ ~, ..... ~~. .... ~'~.,..z~~...~_~ ...................................... . (o~ ~ tl~ tax ~)ll or latest ~ly if a~lic~t is ~ ~ii~roti~, si~t~ of &dy mtt~ri~l officer. ., (Naire ~ title of corporate officer) Builders License No. ~t~t~.~ t.~ ~..',l~-/~ ....... 'J. F;IIHf, ()f ~.~)lk (dmck ~hi('JI allJlle,I)le.): ~. I~lllclhtj, . ......... Nklllion .......... AIL~i(~l . j i I~l~llr ............ I~fll I~,~)IiLI.~ ............ Othe~ I~)~k ................ ~ ' ~ " (l~rip~.i~O '~ ~: 4. E~t i,~L~l (~ ....................... '~ fL~ ............................................ ~. . .... 5. !~ ~llJ~, luJt~r o~ ~llitq~ units ...: ..... liu:d~r ()~ (k~lli,~ ~nlil;s (xz efldl l(~r-.,~,¥~ ..... ~ 6. !~ I~mlsess, mmercJsl or miml ~c~qv,~y, slecJfy trot.ute mKI exLent o~ erich tyle o~ u~ ............... 7. I)i,~lsi~m o[ ~[sl:Jn8 strtK:t~lrefl, Ir ,.y: I i(xll ................ I~flr ............... ~l)lh ................. I~l~lt ......................... ~md~r of St()rJe~ ...................... I)J,ensi~ls o[ sa~ st~t~t~re vilh ~tlterati~xls or zxklJl:J(His: l;r(M~ ............... l~ar ............... I~l)t'h ............... ' ..... I~ll~lt .................... ~ldx~r of Slories ............... I~i~l~ ......................... ~d~ o~ ~torie~ ..................... ~. ~[;~ ()r lot; Iai(Nit .................... I~ur .................... I~l)lh .................... I0. I~Le of [~Jrdm~ ..................... ~1~ o~ F()~l~r (~er ........... ~ae of arddt~t ...... j~... ff .......... &~hess .~/~ .............. II~ m.~ ..... 15. 1~ Ihi~ pn~rty vithin ~1 f~t of athEI s~tlm~l'/ * YI~ .......... ~) ...~ .... ~IF YIn, ~XIHIID ~tX~ 'I~JFII~S II~IHI'I' [~Y Ill l~lll~). PI.eT IHAOIIAH ~ ' I~te clearly m~! dl~tlmtly all I~Hhlis~,. d~tl~r existing or prol~l. m~l hglieate ~!1 ~t-I~k dt,en~lm~ fr~, i, Olerty lh~s. Oi~ ~t~t m~l bl~k i~ml~r or ~E~rlpth~s ~ccmdl,g to ~L~d. md ~ ~treet ~ ~ml ifflle~te ~d~ll~e Interior or mr~er lot. ,'~Dt~. NOT RFSPONSIBLE ~;I'A'It[ (X~ ff~ y(~, ~ ~rGN OR CONSTRUCTION ERROR8 (~1~ (~¢ ~ .................. , ..............~ ...................... ~z~~ ..................... ~,i,,~ d,,~ ,~,,,,. ,~q.,,~. ,,,.~ .,,~. u,,,~ (~ o[ h.livh~l..ilpd.~ ,,.. .................................. "' ........................... (~F .~1(I (.~r or ~r~, taxi I~ (~!~ mdl~)~lr~l to I~rR)H. or h.~e IXll'l:lJIIIx~l 1.1~ mild ~)~k mKI I.o lllq)l I~z~Ll(xlI llml: ~11 ~Latu~e.[~ (:(x~lahx~l ht Ihl..11)1 i(:lll i(~l m'~ Ill~ lo Ih~ Ixtnl:. or hi. ~1~ IhaL Ih~ ~)~ .ill I~ I~r[o~lsI hi Ih~ .vlm~r ~1: [()rlh i. Ih~ Zq)l)lJca~jo. [il~ II~r[~ilh. ~,,,, ~,, I.,f,,,. ,,. ii, u, ~.~ .... ~.~ .... dar o~1~ .... ~ . , ................. ...... ........ (Sil[~d:t.'e Of All.lit) ' ~OYCE No~ ~bl~ State of N~ Y~ No. 496224~, Suffolk Term.~lr~' June,. .1~ 19~ MAP SHOWING UNI TS 17 THRU 20 '~IAP OF MOORESLAIt~" A/K/A PHEASANT RUN ESTATES CONDOIVlJM~ I, I, & M FILED DEC. 22, 1994 MAP NO. 257 AT GREENPORT TOWN OF SOUTHOID SUFFOLK COUNTY, N Y. I000-40 - 05 - 17, 18, 19 & 20 SCALE.. 1" = 30' DEC. 22, 1997 ANY AL TF-_R4 TION OR ADDITION TO THIS SURVEY l$ A VIOLA TiON E~ SECTION ?209 OF THE HEW YORK STATE EDUCATION LAW, 'CEPT AS PER ~ECTION X2Og-,,,~.I~:~RL~ON 2. 4LL CERTIFICATIONS HEREON ,adr~ VALID FOR THkq M~= AND CO~S TH~O~' ONLY F ~ .~ S. LIC. NO. 49618 P.C. 1~70 TRAVELER STREET SOUTHOLD, N. Y. 11971 93 - 300 ( 17- 20 )