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HomeMy WebLinkAbout25120-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26374 Date: 04/14/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 775 WEST COVE RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1998 pursuant to which Building Permit No. 25120-Z dated AUGUST 20, 1998 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 ATTACHED DECK & ONE CAR GARAGE UNDER AS APPLIED FOR. The certificate is issued to RICHARD & UNNI JOHANSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0086 01/01/99 ELECTRICAL CERTIFICATE NO. N 483052 03/18/99 PLUMBERS CERTIFICATION DATED 03/17/99 MIKE JACOBI PLUMBING ;071AI"�60 Building Ins ctor 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. 25120 Z Date AUGUST 20, 1998 Permission is hereby granted to: KROSLOW (JOHANSON) 775 WEST COVE RD. CUTCHOGUE,NY 11935 for CONSTRUCTION OF A TWO STORY SINGLE FAMILY DWELLING WITH ATTACHED DECK AND ONE CAR GARAGE UNDER. at premises located at 775 WEST COVE RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0003 Lot No. 017 pursuant to application dated JULY 7 1998 and approved by the Building Inspector. Fee $ 587 . 00 Buil i I spec r ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C.. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. IA/ . Old Or Pre-existing Building. . . . . . . . . . . . . . Location of Property 4c/5..O r .w�7 ._QVr. . A ' / ✓ "a i . , A . .. . . T. . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.`Q�C.1fI}2� ..JO/f 4AlSCA--' . . . . . . . County Tax Map No 1000, Section. . . ..Ll . .. . . . .Block. .. ..�. . . . . . . . .Lot. . . . 1.7. . . . . . . . . . . . Subdivision. . . . ..l. . . . . . . . . . . . . . . . . .. . . . . . . . .. . . .Filed Map. . . . . . . . . . . .Lot. .40,. . . . . . . . . . . . . . . . . . Permit No. . ./�. S ! /`2 0 .Z. .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . ... . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . 6,p�c• 5 6 6 q/ � 2(''�. . : .f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1000121 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date 14ARCH 18,1999 Application No. on file 17569099/99 N 483052 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD JOHANSEN, 275 WEST COVE ROAD, CUTCHOGUE, NY in the following location; ® Basement ® 1st Fl. ® 2nd FL GAR/OUT Section Block Lot was examined on MARCH 12,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT i OTHER AMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. H.P. 23 32 33 23 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS NO.OF FEET AMT. WATTS 2 F 1 nw 12/ METER 3 - SERVICE DISCONNECT MS E R V I C E METER AMT. AMP. TYPE EQUIP. IS 2WF CC COND. A.W.G. A.W.G. A.W.G. 1 0 SW NO.O 3 0 9W J 0 4W PER 0 OF CC.COND. NO.OF HIAEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2 F1 2 OTHER APPARATUS: WELL PUMP-F-1 'WHIRLPOOL BATH-1 PADDLE FANS-F--2 G.F.C.I:-6 SMOKE DETECTOR:-5 PAUL R. BURNS LIC.#3897 PO BOX 1061 GENERAL MANAGER SOUTHOLD, NY, 11971-0932 Per This certificate must not be altered In any manner;return to the office of the Board if Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �Q�$�FFoi,��oGy Town Hall,53095 Main Road C2 x Fax(516)765-1823 P.O. Box 1179 � Telephone(516)765-1802 Southold, New York 11971 *4 �QQ! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N / qc} DATE• .3 j 7( < Building Permit No. / 20 7, Owner: KfeSL6uj / To On,I (please int) ) Plumber: �� " CI � (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers nature) Sworn to before me this day of A0/� 19q /p Notary Public, County �aw� NM«Y `*sa°or New York QaareLEw d s s��o rl�y Commission Expires Dec.8, 2 -7 7s rr/�S` �drtc Ke- Grdi�� � �1'/+�-e � 7�� N4.�+-ie� !//✓N/� < K�e�r�rec/ ✓v�-r.°,vJ�•�/, -7 WE6 7- A1 /✓ 1 ,. r L'�?l�Pr,CisniU"(�•. !au-;�:;JttC:, 7:.r.�.Qp ENERGY CODE CALCULATIONS (For Nott-Electric !feat) Desigii Criteria 6 , 000 Degree' Days O.A. lU°r• I .A. 7U°r• FOR. Joh0hSe14 PER: ioPphy DA'TE'D: SUBSYSTEM AREA DESIGN 11IE(iMEL REMARKS U RATING Exterior Walls (Opaque) lq73 Glazing (73u '( , 32 53 O,- ciouc, Doors Cell.itty/Roof (Opaque) Skylights 8 Floor lo 2-5 0 S 0 Foundation Walls Slab Insulation TOTAL UuLes: Building Envelope Systems to meet requirements of 7U15. 2 HVAC Equipement to meet requirements of 7015. 11 HVAC Systems to meet requirements of 7815. 12 Duct Systems to meet requirements of 7815 . 13 Ventilations SysL•ems to meet requirements of 7015 . 14 Insulation of Yipltcy SysL•ems to ►neet requirements of 7015 . 15 Service Water Ileatiny Systems & Equipment to meet• requirements of '1015. 7.1 Electrical & LigllL•ing Systems & Equipment to meet• requirements of 7U15. 31 To Elie best of my knowledge, SOF NEW belief, & professional A, CE r judyemeiil•, these plans are 1.ic compliance with the code. ' Q W w �F`O 032254.7 A � 9 IrESS10N� 765-1802 BUILDING DEPT, INSPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS: DATE /a 3 INSPECTOR M-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ('� ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARK c 1 , y DATE INSPECTOR 'G✓.` l�i/� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ j FRAMING [ ] FINAL [ j FIREPLACE & CHIMNEY REMARKS: ZA'/A 41124.2 016- DATE_ INSPECTOR 76S-1802 65 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [/IR GH PLBG. j FOUNDATION 2ND [ LATION FRAMING [ L [ ] FIREPLACE & CHIMNEY REMARK Ole DATE INSPECT0 N-57�/ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 3 " ZI DATE J [ INSPECTOR i { i . �-I M / lr4 - •fr i 4_- i �ti/`� W-4 Lam' -� � f ---—^--O BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTUOLD SURVEY . . . . . . . . . . . . . : :: : BUILDING DEPARTMENT CIIE 'XCR .��. . . Ol�ri, -T� TOWN HALL SEPTIC FORK . . �. . . . . . . . . . . . SOUTHOLD, N.Y. 11971 Wf { BLD ,DE TEL: 765-1802 NOTIFY: �a 7 �s e��"I�-y���` CALL .��45. �. . . . : . . . . J Examined... /.......... 19. t ��VI HAIL. TO: . . . . . . . . . . . . . . . . . . . . Al�>rovc-d..(1. .�K........ 19. Pennit No. Ss1 � .......... Disapproved a/c ........... ...........I........................ (1lmdldi• ..�.. tor) APPLICATION FOR BUILDING PERMIT .Date. . . . .. .. . . . .. . . . . 19. . . . INSTRUCTIONS a. 'this application must be corpletely filled in by typewriter or in Ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoving 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 not be drawn out the diagram whlch is part of this application. c. 'lire work covered by this application may not be commenced before issuance of Building Permit. c1. Upon approval of this application, the Building Inspector wilt 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 4bole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICKPION IS HEREBY MARC to the Building Department for titre issuance of a Building Permit pursuant to the Wilding Zone Ordinance of the Tom 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,,ard to admit authorized inspectors on premises and in building for necessary inspections. ..................................................... (Signature of applicant, or name, if a corporation) l/3o..� .!? c�.... ..... (Mailing address of applicant) State wliedrer applicant is owner, leasee, agent, architect, engineer, general contractor, electrician, pludher or builde, r.L'N .....R......... .. ....6!N .................................. ... .... ............................ Name of owner of preml sea !7RS..R1 C, Jr... �ON�!1/ N. .. ............................................ (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. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done. s.d.... !1/..... .CDU&r- AO4l?........ ....... • SSA� .. ...Pp�tiT.......................................... ......... .... .............................. ... ... .... House Number Street hamlet County Tax Hap No. WOO Section ...(1t.......... BlockP.-1........... Trot .X7........... &Mivision 11MA1P. U9)7 5M4.!°!MM749M..... Filed Map No. 763....:.. ... Lot �q............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ezodating use and occupancy �....1-/f�A!,D ........ b. Intended use and occupancy .. .foVo11.JV /9IY'a/,0ffA, L'f� ..........................0...................... y.l Al terat ion3. Khure of work (dmdt wiiidt applicable)t tiew Building .... Addition Repair ............ Remonl ............. Demolition............. Oder Work ..... :..: ........ .......... .;: Id 4. Eat imetecl Cost3'..�1.............. fee . .. r .(to he paid a: filing th[s al.�� .. .[l. <<, S. If ckxlling, aruber of dwelling units ...1....... limber of dwelling units on eaclh Itgarage, e*nber of cars .... �46......................... 6. If bnainess, commercial or mix&f occupancy, specify nature and extent of ead, type of use...................... ). Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. lleight ......................... Kober of Stories ...................... (Dimensions of soma structure with alterations or 'additions: Front ............... Rear ............... Depth .................... lklght .^..... N,nber of Stories ............... S. Diaensions �of entire new construction: Pront �.......... Rear Ol 6.......... Depth .Y;L......... .............. Naber of Stories . J-................. 9. Size of lot,: lit i'�: VV.pp..aa Rear .rm:!9T......... Depth d�lS�sit I(1. Ikhre of Hrccdmse ...,lJ.�...... IV... Nam of Pon�r Omer N.��Ij�...Tt..,[II�.Q.S.L.�J.!�....... . 11. Zone or use district in whidh premises are situated .............................................................. 12. Does proposed construction violate any zoning leer, ordinance or regulation: .vQ................... 13. Will lot be regraded .tr1-F."�............. Will excess fill be re led from promisees: 14. Nacos of Owner of premises Address�?"S 1.�1�NRQ .S! � ... tiiooe Noj...�40-2 yJ Hare of Architect 419WAdtiC�...rdyrlf!L( ....... Addresslr�L .T<,G 6REiE�fi�G}(�I'I:one ��1`1�.(aS2 . �- NFme of Contractor C(y/!{1. sw..&P[�ii��l�4..?!h;i�.. AddressAiRA&.111A �Pk?' *40....11v No74S 300P. 15. Is this property within 300 feet,of a tidal wetland? * YRS ......4... NO .......... *IF YES, SOU EM MM 71IUff= PSI(MPP MAY BE REQUIRED. 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 amber or description according to deed, and slow street nenea and indicate ,d,ed,er interior or corner lot. r SfAlE ()lr NN YU K, SS (1)lIN1Y (lir ....................... L !�S /� haunt; duly sworn, delxhses and says that be is lbs appl.itamt (None of Individual signing contract) alxrve waned, Ileis Lite .. ��SA!z...................................................................................... (Cahtractor, agent,-corporate officer, etc.) of said cHmer or owners, and is duly authorized to perform or lame performed Lite said work mxl to rmke and file Lhis apps leadon; Lhat 8.11 statements contained in this application are true to d:e beat of his laxmledge and belief; aixi (lint the work will be performed in the manner set forth in U:e application filed therewith. Sworn Lo before me this p �f.,�c.......day of A-( ........19. Notary hhd,lic .4-l.K-da.��'..lrG!'Ckj..'...... ... UNDAJ.COOPER (Signature of Applicant)' Notsiq Pftblic,State of New York No.4222563,Suffolk County Term Expires December 31,1 I am fwdkr with the STANDARDS.FOR APPROVAL -Pg—a-- FOR APPROVAL OR COMMUCTION FOR A AND CONSTRUCTJON OF SUBSURFACE SEWAStb-WGLZ RAMILY RBB1DINCE ONLY DISPOSAL SYSTEMS FOR SINGLE FAML Y=CES and w/N ON& 0 the conditions set forth the ded on the DA f d� EISRBF.NO. -4G� permit to construct. A"ROM n vas a t POWWAXPAL190F.L. ., OMs LOT tYR$R Y690 FRdN DATE OF APIROYAL 0 qu 484 ,o n o ' 1 3 17 11 1 9 1 11 r 10_ V ti / ' SURVEY OF F , '�?'�I � LOT 19 O � ' REVISED SUBDI VISION 71 ' PROPERT Y OF 50 �•� T� 3 " "" AL ONZO JERSEY ~� a O W ` I h Z s 6 ti / BEM PLOT 282 W E f r , , / NASSAU POINT CLUB Lor Fpm OPER TIES30 �L�I INC. s LOr CD A T NASSAU POINT TEST HOLE TOWN OF SOUTHOLD SUFFOLK COUNTY, �V. Y. MON - f 11 - 1 SIu p 1000 0 PWe I \;– wail S 1rr = 30' 3 � ioU4.,�,�� ' Wr 't �' �.% --� ow -90v. 15, 1990 I I b \ W wow JUNE 3, 1998 (prop. 1 L6 ® I ✓�z�a ,r t< `�.`> JUM6 2311995(c.e well eM tom'" o ^ l \ sand SW C 4 The locations of wells and cesspools I �w shown hereon are from field observations n and or from data obtained from others. r ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION I Crm mos OF TIE NEw Yoiw sTATE EDUCA TAW LAW CERTIFIED TO, T AS SECT1pY 7209-SLBO/Vi,810N 2. ALL CERTFI.ASi NS ARE��Fat TMS MAP A/AJ COBS TIFF Ir OIA.Y i ` I,I� pr. P/O�iEEAA/fR Tri ArREsss€D SEAL OF rr+E sLrtvEYotr RICHARD .IOHANSEN ��pF NEIy y JUN .3 SE SlBNAT A S M71EON WN JOHANSEN A t MET ITVXALLY To COI Lr WTN "D LAW TIE T):YlM •ALTERED BY' 03 T sE �p 3Y ANY AM ALL SL VWYORS UTXIZAW A COPY �"� I1NOTfID/ SL�tVEYOR'S IMP TEINUS SUCH AS CTED' AND XiMr-TO-DATE•ARE NOT w COII'L/ANCE ISTN T L.MI w O ,/E ROAD EST G �( L00P) t+ LIC. NO. 49616 TH WES 0. B NOR P.C. P. 1230 TRAVELER STREET EA = 21,528 sq. ft. SOUTHOLD, N.Y. 11971 I am familiar with the STANDARDS FOR APPROVAL SCDHS REF. NO. RAO - 98 - 0086 N AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and wfN abide by the conditions set forth therein and on the permit to construct. va,c a. �f \LOT ® ' O 79 0 1 0 J 40 F FAV MON ` 77ryry�� SJET 11 1 SURVEY OF O r &Alt �•£Fjyp LOT 19 MaM SLIT I LOT ® REVISED SUBDIVISION e ,, ,� 3 _ _ PROPERTY OF - T H �0- A L ONZO JERSE Y P O W b 1 1 z .to. �/ BEM PLOT 282 W E ckar.I N NASSAU POINT CLUB PROPERTIES INC. FILED APRIL 28, 1830 FILE NO. 763 3 V T O A T NA SSA U POINT — i_ TOWN OF SOUTHOLD TEST HOLE 2 °N SUFFOLK COUITY, y. Y. Brown / s y 1000 �� 0 land SM 3 STK �g9 '• o '��r f Scale 1 = 30 9 _Uj ser • . 7 E.,o w N e? J8• M PIPE FW � Nov. 15, 1990 i L6T O M mow . �IOH SET JUNE 3, 1998 (prop. ,�� Pati brorn o/ 0 20 ✓GLc n t X,111E 24 18918(CA A we#) Pdft" to N I OCT.2X EA8 f cone.fi�flan) coam I sand SW j The locations of wells and cesspools J shown hereon are from field observations . ; vn and or from data obtained from others. + ,,,,/C 9 IY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 1 SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, f XPT AS r3ER SECTION 72O9-SU19DIVISI0N 2. ALL CERTFI-AT/ NS LEON ARE VALV FOR THIS MAP AND COPIES THEREOF OM Y F \ D MAP OR COPES BEAR THE WRESSED SEAL OF THE SURVEYORA`�OF NEW y� 7SE SEAM TORE APPEARS HEREON ^� 5� METIcf .�jT NTIONALL Y TO COMPLY WITH SAV LAW THE TERM 'ALTERED BY' ST BE USED BY ANY AND ALL SURVEYORS UTILIZM A COPY CER MED TO' l 'F ANOTM60? SURVEYORS MAP. TERM ECTED' AND OAD �m r. �O(IGHT-TO-DA TE" ARE NO ANC �Wlr,�}I r (� t RICHARD JONANSEN f 1 COVE `O v UNAp JOHANSEN z D WE`' " CS r L �" C URA COWANY TITLE o �a 7V�S. LIC. NO. 49618 G t (NOR TH W TITLE N0. 70 98 P/27 PE S, P.C. (516) P. O. BOX 909 ?EA = 21,528 Sq ft. - 7+ D 1230 TRAVELER STREET 08 i 05 i 98 r..ads. SOUTHOLD, N.Y. 11971 I am famNar with the STANDARDS FOR APPROVAL SCDHS REED_RZOL=9f} _ OM N AND CONSTRUCTION OF SUBSURFACE SEWAI E r — DISPOSAL SYSTEMS FOR SINGLE FAMILY ft-WENCES ! c.L; ;�;i,n ': E'. �' " -?/f� ° ter' i f'r:?r�'-T':isF,RVIC S and wN1 abide by the conditions set forth therein dhd on the permit to construct. f r e[� t 4 . r,..APR LO •ti j T,r c . r ♦ ;l `.� R iG.v i .is C.l(t to lq " 10 (O I h WN JFA°y� 40"' E �� ' Oifir; an ' t B1B� SEr O W l SURVEY OF O CP f LOT 19 1 9�' � qK'Q \ � t PJpE F� Z �7 Lor REVISED SUBDIVISION wellrn9 �Bg �� 3 PROPERTY OF p �° e� 403 0 A L ONZO JERSE Y "� h r W I �, \ ado M 2 c� \ so / BEM PLOT 282 W E 5O "�91- r) l RB.\ NA SSA U POINT CLUB PROPER TIES INC. k r -_ y wP� ` FILED APRIL 28, 1930 4E NO. 763 S AT NASSAU POINT — _ C TOWN OF SOUTHOLD TEST HOLE _ MON SUFFOLK COU T Y, Y. Brown 9g ' b1 _ o we„8p� 1000 - ill - 0 - 1 'gid t , (� Wise �e '• o io�4�,� Scale 1” = 30' 3' LQ K se% a» P FAV w , No v. 15, 1990 / kn L d r ?0 I ✓ \W MaN SET JUNE 3, 1998 (prop. o n �C�IIE 23, WS(CP. 6 we/) �to own �* ,r / OCT.2; SW(conn.foundshbn) o I o Feb. 26, 1999 (final) Sand SW u The locations o/ wells and cesspools shown hereon are from field observations �w gun and or from data obtained from others. `9 l7• NY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION I ' SECTION 7209 OF THE NEW YORK STATE £DUCA70V LAW C&T As PER SECTION 7209-SUWVI3ION 2. ALL CERTF/ANTI NS I REON ARE MILD FOR TWS MAP AAD COPIES THEREOF OACY F D OR COPES BEAR THE &PRESSED SEAL OF THE SURVEYOR \/ TITRE APPEARS HEREON. FAD OF NEy, ATW'W TO COWL Y 07TH SAD LAW THE TERM 'AL TERED BYAAD ALL SURVEYORS UTILRM6 A COPY CcRTFED T0* XWAMDTS A/AP TE1MIlS SCK71 AS 'MSiPECTED' AAD DP0L"1WRE NOT A4 COAPLIANC£ WITH THE LAW. A?OE a RICHARD JOHANSEN sed 'o OV �e, EST COVE O p) COWS TH_LAND TITLEb. f ANY ,L, 496,8 Dq g�'tc/Y,- (NORTH WEST- TITLE 70 96 6127 PECONIC SUR ,74/ (NOR M 8 T MORTGAGE CORP. f516) 765 - 50 t , • Ate' ` P. 0. BOX 909 ?EA = �' , sq. ft. 1230 TRAVELER STREET 08 / 05 / 9e rewdm SOUTHOLD, N.Y. 11971 k _ P _"3fcg',.kna 121o"slT,l' I4 aZ. -, - =a ._._ s. �' • _ ff - h ' '" '3 '"SAI[- "Y'' = iM1 . � - - - - '' - ', - r ]7 - pt ` A F y�, �4° A r � i 1 I r x ' .. psrq / AM-"Ml � $n � 5 . _ RPE'1CFIORAGk / �-_�-- IV s h .. �' Pnanl "*"'� DO NOT PROCEED WITC 6 ,' �' - —I 4 -... . " - FRAMING UNTIL SURV d © � ' ? h UNDATION LOCATI, �J �: IDE 'h HR. FIRE ATEDSEPARATION TO �' HA EN APPROVED. , PARBUILDING CODE.III&RATE PROVIDE SMOKE-DECTING a x 'PROVIDE'OPE111NC5' R � �I �d ALARM DEVICES pp r EMERGENCY ESCAPE AS AS TO PART.721.1 PLUMBER CERTIFICATION e"x REQUIRED RY PAR[714 OF N.Y.S BUILDING CODE. ON LEAD CONTENT BEFORE a 22 I I N.Y. STATE BUILD CODE r CERTIFICATE OF OCCUPANCY Q z CUPANCY OR SOLDER .e s P srsrEMCAANoT EXCEED 2/to OFY% EADTWIHoUT CERTIFICATE, n Cy OF OCCUPAN PwnnelNa I - w _ Tz ALLpLUMBINESNE [ i YWTER tJNB NEED AP',�R�/O,YE�D AS NOTED TESTING BEFORE COVERING 77 PATE- �B.P,M 1 - N copes tubing N used I „ - -•_ °"'"•- "-,-'-- ""--'� �'-' jl — _ _ FEE: MBIA for weterdistributNq _ - ^" _ "'.`".' / I - _ - _ _ , ., . __ _ NOTIFY BUILDING DE,%1 M[e11 piping shell be +r,q a'n t -r -a-- -- __ _ 'x765-1802 9 AM TO 4 PM FOR THE of typef K M L OR �r': '. 4, l�r� FOLLOWING INSPECTIf�NS: 1 FOUNDATION • TWO REQUIRED - _ FOR POURED CONCRETE PROVIDE ANARDJOR (M� 2.. ROUGHINSULATION- FRAMING'&RUMBING _ C.OTION MUSTCONS?RUC DR„ CU fIOVSK V, 4. FINAL NO �/ IIRCODE - �”`-""- •-`""- "� -�+ =- —'�--, _ _ - - ALL CONSTRUCTION SHALL MEET, tEOF REw rO SHE REQUIREMENTS OF THE N.Y. _ %p' NGE iU •�.r -'3 r 1 `- :' k •%- STATE CONSTRUCTION iENERGYVI I fI _ -� ;-.-+. CODES. 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