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HomeMy WebLinkAbout27880-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29320 Date: 03/19/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4410 OLD NORTH RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 2 Lot 8 .10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 2001 pursuant to which Building Permit No. 27880-Z dated NOVEMBER 8, 2001 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 AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to STEPHEN BERTSCHI & VIRGINIA GILMORE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0-073 01/31/03 ELECTRICAL CERTIFICATE NO. 1117950 03/13/03 PLUMBERS CERTIFICATION DATED 02/03/03 ROBERT VAN ETTEN Authorized Sig ure 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. 27880 Z Date NOVEMBER 8 , 2001 Permission is hereby granted to: ALINA & ORS WIEDERMAN 450 E CEDAR POINT DRIVE SOUTHOLD,NY 11971 for NEW CONSTRUCTION OF A FOUR BEDROOM SIN. FAM. DWELLING WITH A COV. PORCH & 2 CAR GAR.W/ ATTIC STORAGE ABOVE AS APPLIED FOR W/PLAN. BOARD APPROV at premises located at 4410 OLD NORTH RD SOUTHOLD County Tax Map No. 473889 Section 055 Block 0002 Lot No. 008 . 01C pursuant to application dated OCTOBER 10, 2001 and approved by the Building Inspector. Fee $ 1, 605 . 00 Authorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1 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 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 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. �311� 0 New Construction: Old or Pre-existing/Building: (check one) Location of Property: �T//�jQ L�� G/Z7le7 J`o7L�GLL� House No. Street / /Hamlet Owner or Owners of Property: S�Ei�����/ �1-/�75/f � Suffolk County Tax Map No 1000, Section 55 Block Q Z Lot J" j O Subdivision Filed Map. Lot: Permit No. Z '7��D� Date of Permit. Applicant: Health Dept. Approval: v' Underwriters Approval: G Planning Board Approval: Request for: Temporary Certificate Final Certificate: a ' (check one) Fee Submitted: $ Z '5 /'z' (� ��� Applicant Signature O rJrJ�rJ�rJ�rJ�rPrJ�rJrJ�rJrJ�cP�frJrJrlrJdJ�cPrJIJ�rJ�rJrJ�rJ��Pr1cPr�r�rJrJrJrJ1011011011 :i,ari :i iJI J�rMR'ERPRI 11 PRIER rJERPil El 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 rj 40 FULTON STREET — NEW YORK, NY 10038 55 CERTIFIES THAT S 5 Upon the application of upon premises owned by 5 5 �5+ �5 SCHARADIN ELECTRIC STEVE BERTSCHIP. �5 RD CUOTCHOX 107 ,OGUE?NYA1 936 O SOUTHOLD, NY NORTH. 4410 OLD 19771 5 Located at 4410 OLD NORTH RD SOUTHOLD, NY 11971 5 5 S 5 Application Number: 1117950 Certificate Number: 1117950 e5 5 Section: Block: Lot: Building Permit: BDC: NS11 ff5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 55 5 Basement, First Floor, Second Floor,Attached Garage,Outside,Attic, 7 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below, was 5 5 found to be in compliance therewith on the 13th Day of March,2003. 5 5 Name OTY Rate Rati Circuit Type 5 5 Alarm and Emergency Equipment 5 5 Sensor 2 0 Carbon Monoxide Sensor 8 0 Smoke �5 C5'J Appliances and Accessories 5 5 Exhaust Fan 3 0 F.H.P. Range 1 0 12.2 KW 5 5 Dish Washer 1 0 1.2 KW 5 5 Hydro Massage Tub,Residential 1 0 5 5 Pump/Motor 1 0 1 H.P. 5 5 Furnace 1 0 Oil CS 5 Wiring and Devices �5 5 Receptacle 63 0 General Purpose 5 Switch 63 0 General Purpose 5 5 Fixture 51 0 Incandescent 5 5 Fixture 3 0 Fluorescent 5 Arc Fault Circuit Interrupter 3 0 15 amp 5 5 Receptacle 1 0 20 amp Laundry seal 5 5 Receptacle 1 0 30 amp Dryer 5 5 Continued on Next Page 1 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. LCJ 5 5 v I �����s�ssr3PLPCJ �ss���ssss�LPLPLPL�� o D rJ�rJ�rJ@PrJr��PrJ�rJ�rJ�rJ�rJ�cncnrJ�rJ�rJ�rJ@PrJ'rJ'r�rJ�rJ@.rrJ�cnr.r�nrJ�rJ�r>�r��PrJ�rJ�rJ�cncnrJ�crcncnrJrJ�r1rJr�r1rJ@PrJ��nrJ�rJ�rJ�cnrSrJ�rJ�rJ�rJ�rJ� o 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 BUREAU OF ELECTRICITY C5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT Upon the application of upon premises owned by rrr5 SCHARADIN ELECTRIC STEVE BERTSCHIP. C� CUOTCHOX 1077,OGUE, NY IN 11935 SOUT. 4410 OLD HOLD, NY NORTH 7 1971 5 Located at 4410 OLD NORTH RD SOUTHOLD, NY 11971 5 5 5 5 Application Number: 1117950 Certificate Number: 1117950 5 5 Section: Block: Lot: Building Permit: BDC: NS11 C5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: �5 5 Basement,First Floor, Second Floor,Attached Garage,Outside,Attic, 5 5 5 55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 13th Day of March, 2003. 5 5 Name t TY Rate Rating Circuit Type 5 5 Lighting track 3 0 FT 5 5 Receptacle 8 0 GFCl 5 5 Service 5 5 1 Phase 3W Service Rating 300 Amperes 5 ,CSJ Service Disconnect: 2 150 cb 5 Meters: 1 C 5 5 5 5 5 5 5 5 55 seal C 5 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the Iota?ion indicated. 5 5 D rJ�cPU�PrJrJ��Pr�rlr.PrlcPrJ�rJ�rJ�r�rJ�rJ�rJ�r�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ'd1rJ�rJ�rJ�rJ�rJ�rJ�rJrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ@PrJ@J�rJ�rJ�cPrJ�rJ�cPrJ�rJ�rlr�rJ�rJ�rJ��P � �osuFFoc,�� Town Hall,53095 Main Road i Fax(631)765-182 P.O. Box 1179Off, Telephone(631)765- Southold,New York 11971-0959 y�0� BUILDING DEPARTMENT _ __ — -- TOWN OF 80UTHOLD CERTIFICATION Date: T"� • 3 (� 3 Building Permit No. CA Owner: (plea/se print) Plumber: k o b'�✓T (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of 20 JOYCE M.WILKINS Notary PubliC,State of New York Na-495224.6,Suffoik County Notary Public, County z BUILDING PERMIT EXAMINER CHECK LIST 11/�Io i - DATE REVIEWED: l 0 /Zs/01 /( DATE SUBMITTED:j/o/01 APPLICANT NAME: sfteN��f�rScr1�/ V�R4xNIR SCTM# DISTRICT: 1,000 SECTION: 1�� BLOCK: ��Z-- LOT: 8.10 STREET:<f�!nO CITYC�,QOtACt LA, SUBDIV. NAME: N �// ' PROJECT DESCRIPTION: y 1� �+J���-W Zc� ARCHITECT/ENGINEER: 1�TM �� FAST TRACK? JJo Ammum y SINGLE& SEPARATE CERTIFICATION-REQUIRED? &I [J NOTES:SYu-r PER- ►x. WAR- sub blytStoN LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Mergec(A nonconfortning at any time after 7/1/83; ZONING DISTRICT: A C CONFORMING?YE-s 6S� ccyy��99�� REQ. LOT SIZE: SACT. LOT SIZE / REQ. LOT COV. C!% ACT. LOT COV. REQ. FRONT 4600/ PROP. FRON'It2-9:�_REQ SIDE 5� o�—�� "ACT: SIDE REQ. REAR PROP. REAR /�J WATERFRONT? /410 DESCRIPTION: PANEL #:is FLOOD ZONE:._, 4411�001� AGENCY PERMITS REQUIRED FOR REVIEW PPROVALS REQUIRE SUFFOLK COUNTY HEALTH DEPT: U9or NO, (BED#): DTE55 - o/ PERMIT#:R10-oi - ma 93 ✓ NEW YORK STATE DEC: PRE-DEC 9/1/75 YES orvu _ SOUTHOLD TOWN TRUSTEES: YES 0140 TOWN ZONING BOARD ordQ TOWN PLAN. BOARD APPROVAL: /YE o / - TOWN HISTORICAL PRE (SPLIA): `4S o NYS ENERGY OR NO : 7 1:I S / EGRESS (18 H mm.? 4 sq total) -/ VENT(SQ. FT. x 4%) ./LIGHT(SQ. FT.x 8%) ✓ BUILDING PERMITS OPEN/EXPIRED: BP a-7feC/0 Z- HAVE PRE CO'S : Y ORBP -Z/C/o Z- NQTES: FEE STRUCTURE: FOUNDATION: 16 .S SF FIRST FLOOR SF SECOND FLR QQ SF INIT OTHER TOTAL TOTAL: 5'j fl n SF FEE FEE FEE 'OT pO SF)- SF)= A,d SF X $ 3 =$ 1 5' +$ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATI 2ND INSULATION [ ] F NG [ ] FINAL FIREPLACE HIMNEY(O REMARKS: DAT ` v NSP 765.1802 BUILDING DEPT. SPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /✓ QSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] UNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAFIR [ ] FINAL [ ] FIR LACE A CH NEY REMARKS: .�7 DATE D SPECTOR 0-? fo 765.1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS:CaIa Ali oe DATE INSPECTOR M-1802 BUILDING DEPT. 1 NSPECT10 [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ] FINAL �� [ ] FIREPLACE & CHIMNEY (ffEMARKS: A'/l &W 0496� /le-� o.� DATE /4e92,--INSPECT0 M-1802 BUILDING DEPT. INSPECT10 ( ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDA ION 2ND [ ] INSULATION ( ING ( ] FINAL [ FIREPLACE & CHIMNEY e�9/0,- REM 4KS: — 4�t� DATE INSPECT -��77 M-1802 BUILDING DE INSPECTION [ ] FOUNDATION 1ST [ ] GH PLBG. [ ] FOUNDATION 2ND ( INSULATION [ ] RAMING [ ] FINAL [�/, ]/ FIREPLAC A CHIMNEY f/.�� // � REMARKS: DATE INSPECTO e-e � . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LOG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE IMN� � REMARKS: DATE -INSPECT FIEUINSPECTIONi ' 1 1 1 I' / I s i FOUNDATION � / !L. - � •moi �_ 1'I 1 ; 1 1 r2_, i 1 I Hi FRAME � ' A . / PLUMINGIHA'1" r m8utAxiolfvlxn MTH ENERGY CODE r/ Mt)ITIOMLL.L1'i , fowli'C SOUTHOLD BUILWNUJKbRAI11APPLItA"TIUNCtiECKLIS BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL , Board of Health �4 SOUTHOLD, NY 11971 3 sets of Building Plant TEL: 765-1802 Survey PERMIT NO. Check a��3 Septic Form N.Y.S.D.E.C. Trustees Examined ,// ST 1200/ Contact: Approved 20. Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT at oG.olPt. Date /9 /o , 20 o l INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways. 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 a 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 what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION 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. Signature o p 'cant or name, if a corporation) (Mailing address of applicant) �TL°�.Fii/PDB�, ^/,>/, //�71rly State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eleeftician, plumber or builder Name of owner of premises /�/%/=r/ �jl/� ' /�//�Gic///� 4:1 AZ /Z (as on the tax r 1 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: �� �p WPAA>1 Z� ,5,.,Il r/e� House Number Street Hamlet County Tax Map No. 1000 Section SS Block 02 Lot ,g•/� Subdivision Filed Map No. Lot (]`lame) Z. State existing use ani occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. b. Intended use and occupancy1Vl>L L; ��� �/ �/�����✓� 3. Nature of work (check which applicable): New Building 4, Addition Alteration Repair Removal Demolition Other Work (Description) Estimated Cost ZDOy D p,o Fee (to be paid on filing this application) If dwelling, number of dwelling units 21 / Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories t�1411 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Sides . „ , xLr 3 / r/ Dimensions of entire new construction: Front . Rear f'9'9" Depth 32 ' 4 el Height 30 ' Number of Stories 'Z Size of lot: Front 3/S Rear 2 ob Depth 3-7S- 0. Date of Purchase d / 3 0 / Name of Former Owner 1t)jFb9,em1'1.✓ n*h Cr>LowS �a 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: /V/,O 3. Will lot be re-graded Will excess fill be removed from premises: YES NO j .y 57E10/70n0 SEC-> i /('>J CS I2 r y/ 415-5-2107 4. Names of Owner of premises Yi te 6H14 lc LftyMAddress cAQF yAv d-7 -u�Z Phone No. �7 7 - 5--v > o Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OU—NTTY OF ) / being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, i)He is the �94_'/✓45& (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 application; tat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. wom to before me this w _day of 210afl otary Public X Signa of Applicant JOYCE M.WILKINS Notary Public,State of New York No.4952248,Suffolk County Term Expires June 12, 20 d3 ENERGY COVE CALCULATIONS (For Non-Electric heat) Design Criteria G, 000 Veyree'.Days !!7� l //7 /o. A. 1U'P• I .A. 70OF FOR: (� P! >< Sr- lT , �h,o�< PER: i��h�7 � �n �. 2227 S'o✓��p DATED: �f� �f2 �o/ SUUSYSTEM AREA DESIGN THERMEL REMARKSU RATING ExLeriur. Walls (Opaque) or + 2542 Glazing I Q S 71'-;Pe,75-nc4c• 5' 9S' 3� Doors S8 .�10 - 23 ,. Ceil.iny/Roof (Oikaque) /702 o,- p SIcy liyIIts / $ ha r4 /.' - �•n �<i Floor 1718 . 03 0 Foundation Walls Slab Insulation TOTAL r 95 NoL'es: uuilding Envelope Systems to meeL• requirements of 7015. 2 11VAC Equipement to meeL- requirements of, 7U15. 11 11VAC Systems to meeL- requirements of 7015 . 12 VucL Systems to meeL• requiremeftL-s of 701.5 . 1.3 Ventilations Systems Lo meet requirements of 7015 . 14 iusulatiohl of k'ipiny Systems to meet requirements of 7615 . 15 •.-vice Water lleaL•iny Systems & LquipnlenL• to meeL- requirement's of 7015 . 21 ctrlcal & Lighting Systems & EquipmenL• to meeL requiremenLs of 7U1.5 . 31 To the best of my knowledge, OFntwY belief, & professional S4P�NCE judyement, L-hese plans are i.11 compliance wiL•lh the code . ' c 1 W NF` 032254-1 V ®P90fESSIONP��a ��� 8/ 0, aLD H©lt?j' jtW SURVEY OF PROPERTY �""'--� + SEL L AT SOUTHOLD TOWN OF SO UTHOLD 3 SUFFOLK COUNTY, NEW YORK � o 1000-55-02-8.10 co S .� SCALE: 1 "=50' FEB. 21, 2001 C.P. M/O/F VIED£R l (DVEc�1AIG)L°�✓sxi ac. 0 4 tv 3 9'61 f + Y --��---�--�_ EL 41. SUFFOLK COUNTY DEPARTMENT OF HaCALTH ,c,--Rv10E;; — — Se' 84 �V E o i I J PERMIT FOR APPROVAL Op CCIVSTRUCTIOf�I FORA` 36!0.3?, dmf E� SINGLE FAMILY RESIDENCE ONLY o U ® k. bito DATE Z /��{I.�. Gp fbR MAXIMUM OF ..+ � BEDROOMS EXPIRES THREE YEARS FROM DATE OF APPROVAL _ Q TEST BORMIG ' 0. Orown EXCAVATION i Imo, LemaK 0=1 REQUIRF9. Brown Lomy i Gravel0 SWI � Q 4' CJ /0 M! h—W . f Cooft Send Gravel Sri !T C V ��- r EL 40.0 0\ Q - . ISOT E S;, � � �, - -r,. [- 1.�• i I om fa-miliar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE 2 ` OE NE* -1 w DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES �� � 40.7, �4 � '� �, i. �Erj0y��*t and will abide by the conditions set forth therein and OF A" F I. >a -srw F4 on the permit to construct. Fn f _ The Location of wells and cesspools shown hereon are N LIC, ND. 49618 from field observations and or data obtained from others. �Y Pr~ ANY ALTERATION OR A9D1710N TO THIS SURVEI' IS A Vi(pLA TSV Elevations are referenced to an assumed datura. OF SECTION 7"209 OF THE NEW YORK STATE EDUCA I&4 LAVA Cb81 FAX:(631) 76571797 EXCEPT AS PER SECTI7N 7209-SUBDIVISMN P, A C RTIPICATI€NS - P, 0" HEREON ARE VALID FOR THIS MAP AND COPIES T#4C0)4t Y IF 30 7RA WL ER S T REE T SAID MAP OR COPIES HEAR THE IMPRESSED SEAL DF THE SORY-CYOR rw THOLD, N,Y. 11971 0 AREA= .1532 ACW WHOSE SIGNATURE APPEARS HEREON. Nojtr8 jjW SURVEY OF PROPERTY + 1 u£LL 0 UTHO D AT S L TOWN OF SO UTH'OLD SUFFOLK COUNTY., NEW YORK % 1000-55-02-8.10 r�— r W1 SCALE: 1 "=50' FEB. 21, 2001 -` CP MARCH 27, 2001 ( certification I , N�O�F M/IEjJEp�lya Moy 18, 2001 (revision) N & GILOI✓ OCT. 14, 2001 ( prop. hse. ) S TAKE CDWEL(ING) I C.4'M J9,v EL 4j sir 40 E q — — — >`af 3A6a.37' ...."`� 39.0, Set f 7S, c TEST 90R#46 /fes• -- 1 0. { Lora I v Brow L*=V CERTIFIED TO$ q W ro STEPHEN BERTSCH/ Gravel SW VARG#WA M. GILMORE COMMONWEAL TH LAND TITLE 4• INSURANCE COWANY I Q BANK OF SAOTHTOWN a ' F68.40 irer�! SIN r EL 40.0' .� jn str cy 3 .18. NOTES! I ars femitiar with the STANDARDS FOR APPROVAL OF NEW y O AND CONSTRUCTION OF SUBSURFACE SEWAGE # % ,�Z�ip• W DISPOSAL SYSTEMS FOWtINGLE FAMILY RESIDENCES t�r FL 4,7 S CARE > f and wit( abide by the conditions set forth therein and !�/Ol f or the permit to construct. �. M ` A T f� -� The location of welts and cesspools shown hereon are l YAC LIC. /VET. 49618 from field observations and or data obtained from others, ANY ALTERAT400V OR ADDITION TO THIS SURVEY ISA VIOLATION PEON S, P.C. Elevations are referenced to* an assumed datum. OF SECTION IeO9 OF TME NEW YORK STATE EDUCATION LAW. (6 31) 765 - 5020 FAX:(631) 765-1797 EXCEPT AS R SECTION 7209-SUBDrvTSION 2, ALL CERTIFICATIONS P, D. BOX 909 HEREON ARE At.I!! FOR THIS MAP AND COPIES THEREQF Ol&Y IF SAID MAP OR ..t�PIES BEAR THE IMPRESSED SEAL OF rW SURVEYOR 1230 TRAVELER STREET ' 532 ;AL WHDSE SIG =.,A E APPEARS HEREON. SOUTHOL D, N.Y. 11971 D ' SURVEY OF PROPERTY �� AT SOUTHOLD I TOWN OF SOUTHOLD ' SUFFOLK COUNTY, NEW YORK � 1000-55--02-8.10 SCALE: 1"=50' FEB. 21, 2001 - c.P MARCH 27, 2001 ( cerfifkaffon 1 lyjD�FWIEIIEjQjy May IS, 2001 (revision) AN OCT. 14, 200/ ( prop. hse. 1 ( �DWELLIj OWSKI et. Q f Apr# 11, 2OW flowdo#w) o 4 N E 3 9'w 4L 4j 84'06'40' E �` se. , 70'e%f bi - •37' S' w �• , 1 rEsr eons a t.3• tiwwn Loa q CERTIFIED TO, iv o sa.e. T b send STEPHEN BERTSCH/ Q ' / • o e ? &*VWoSW VbVGM4 M. GILMORE C(M WOONWEAL TH LAND TITLE 4' INSURANCE COMPANY % f BANK OF SMI THTOWN a m RaM Ahwww Z '' 1 F7m to r &low SW W y' O EL 40,0' 3 1e, NOTES: I aM fctmil►ur with the &TANDARDS FOR APPROVAL �pV NEW AND CONSTRUCTION OF SU$SU&FACE SEWAGE �9•02�10' �,1.Me,j y0.p� DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES E` 40' S CgREY n ,o� 0.and will abide by the conditions set forth there r-) and N/QEF F E ��'`�. ��, or the permit to construe. ' I i M i 1S li < '+ r 4 / ` F ( VACANT The location of wells and Cesspools shown hereon. are o N.Y�S. ; � ND 496 18 fro^ field observations and or data obtaired from other-s .22 I� ANY AL TEkAT OR ADD1',l[7N TO THIS SURVEY IS A VIOLATION PECGNIC S Elevations are referenced to an ossumeci da+urn. OF SECTIOty 9 OF THE NEw YORK STATE EDUCATION LAW 0631) 765 - AX:<631) 765-1797 EXCEPT AS k SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS P. Q, BOX 909 HEREON ARE ALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET t� SAID MAP OR _jPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR A=2.ta5e= lC WHOSE SIG: 4ftf APPEARS HEREON. SOUTHOL D, N.Y. 11971 t ! i J OLD NORM MAD SURVEY OF PROPERTY 6ELL AT SO UTHOLD ---T— Scaws REF RIO- 01- 0073 TOWN OF SO UTHOLD f SUFFOLK COUNTY, NEW YORK ti 16 i 1000-55-02-8.10 QD SCALE: 1 "=50' FEB. 21, 2001 c F i MARCH 27, 2001 ( certification J i N/O/F VIEDERMA/ May /B, 2001 (revision)vision) I GIL D{✓SKI a/ ,,s— OCT. 14, 2001 ( prop. hse. J STAKE (DW£LLAC) et' Q .J Aprll ll, 2002 (foundation) 04,N NOV. 1, 2002 f final J 3.9'v i -- oe -—— _ et 4g,, 84 4 '06'40' �-- .� - r; �f 1�af o , _ 360.37 R i 6 rig ; �Q ; $; 4! q 0 EL 39.0, . I so to a..x mss. TEST 80RRVG 01 L ' �•'s' CERT/FIED TO* ti t Jr.� �' j z 4 Brow Loony i Smrd STEPHEN BER TSCH/ Grovel SSW V/RGIIWA M. GILMORE COMMONWEALTH LAND TITLE t- 4' INSURANCE COMPANY BANK OF SMITHTOWN et ` Pdo avow" � + nt �I Flo to = + � I wo 10% Awal SW it A0.0' Q1 t6 1JP,k tt) , 2 375,1e S\OE OF NFA NOTES, PAN TME! iG I am famitiar with the "TANDARDS FGR APPROVAL � ���� '�� AND :❑NSTRUCTI❑N ❑F- SL BSURF-ACE SEWAGE 79.02'10 W * R - - E ,. DISP❑SAL SYSTEMS F-UR -INGLE �AMILY RE�� EN�_E' sp,r� �o, S AR Y .r s.. EL /DAF C E n and will wide by ti-c- _o -.��t�ons set dor+l' r,e�C- ,�_r� � � i F � on the permit to c--ifs'. r- ac-t P i." M a 49616 �OQ t c YAj;pAµT qN $ The iocatior o� wei-is and cesspools shown %ereor e „ N Y, 49618 from field obserV( -r!C and or da+_a obtaIred 4:,-Cr' o'r,ers / — AN� ALTEkAT OR ADDITION TO THIS SURVEY IS A ATION ��C�NIC S EYORS, PC. JF SEcrlory OF THE NEw YORK STATE EDUCAZt 631> 765 - `02C FAX.(631) 765-1797 E,evations are referenceu ,o an oss,-4meu EXCEPT AS R SECTION 7209-SUBDIo VISION 2 t .� . IFf4TIONS 909 HEREON ARE OLID FOR THIS MAP AND COPIES THE F ONL > IF BMX EL SAID MAP OR` -OPIES BEAR THE IMPRESSED SEAL OF THE SUR-VEYOR DU RA'✓ELER STREET AREA=2.1532 ACRES WHOSE SIG LJRE APPEARS HEREON. �" SOL'THOL J N Y 11971 m I z � i i cc cc 14 Ic LLLIII ti NEW), w i F os2254-t 2" opq�FESSIpHP� K� c� LL r iq I Q 2 r C , tl r FI ' p6' N oe 4 ^ 1 I moi" p LLIE -- I - Lj tr . ' -----I----- u - - IJ _ u - - I 'h �'• w x I HEY, e - •�'�9OFESSI0NP i w �t I � � it � I 7 f lo' W" N�?" / 1�{* 0 Vob PaLCA°G' 7 I 4 (� 0 i Wlla" 5dr- I 144 y - n '.y4 I ; �..:/ ,i 7.t�J" go I> 4`x71Y6nLj f p Zl4�� II"�� LVL a 6 T I , � � 1 l ,� — I � 2-I�a x 4;�2'LVL�d ! --- - ----•r--• 4 - • ---- - . — . � -.---0-- ,-( y ! � i x 6 c'x-4`a" x t.o, I ! to' cv I i II ; I i I G A 2.ts,(A �I �- I�,/a" cN � 2 '� � � - Q J ------ �2 x� Ccs. 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