HomeMy WebLinkAbout27251-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28731 Date: 08/12/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3335 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 9 Lot 2
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARy 6, 2001 pursuant to which
Building Permit No. 27251-Z dated APRIL 18, 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 ACCESSORY INGROUND SWIMMING POOL WITH RAISED PATIO AND FENCE TO CODE AS
APPLIED FOR.
The certificate is issued to PHILIP J & SUSAN J BACON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELB~rKICAL CERTIFICATE NO. 1070470 08/12/02
PLUMBERS CERTIFICATION D~'ED N/A
~//S~'~ nature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28732
Date: 04/09/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3335 NASSAU POINT RD CUTCHOGUE
(HOUSE NO.) (STREET) (KAMLET)
County Tax Map No. 473889 Section 111 Block 9 Lot 2
Subdivision Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 6, 2001 pursuant to which
Building Permit No. 27251-Z dated APRIL 18, 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 NON-HABITABLE ACCESSORY POOL HOUSE AS APPLIED FOR.
The certificate is issued to PHILIP J & SUSAN J BACON
(OWNER)
of the aforesaid building.
SUFFOLK COUN~ DEPARTMENT OF ~ALTH APPROVAL R10-01-0023 04/02/03
ELECTRIC~26 CERTIFICATE NO. 1070470 08/12/02
PLUMBERS CERTIFICATION D~£~U3 07/24/00 MATTITUCK PLUMBING & HEAT
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)
PEP~MIT NO. 27251 Z Date APRIL 18, 2001
Permission is hereby granted to:
PHILIP J & SUSAN J BACON
GARDEN CITY,NY 11530
for :
ACCESSORY IGS WITH P-AISED PATIO AND NON-HABITABLE ACCESSORY POOL
HOUSE AS APPLIED FOR WITH TOWN TRUSTEE'S AND NY DEC APPROVALS.
at premises located at
County Tax Map No. 473889 Section 111
pursuant to application dated FEBRUARY
Building Inspector.
3335 NASSAU POINT RD
CUTCHOGUE
Block 0009 Lot No. 002
6, 2001 and approved by the
Fee $ 810.80
/A~ut~ ~at ure
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 ~ite plan requiremen~s]
For existing buildings (prior to April 9, 1957) non-conforming uses, or building~Z~d'L~
1. Accurate survey of property showing all property lines, streets, ~uildzng~J~d
unusual natural or topographic features.
2. A properly completed application and a consent to inspect
If a Certificate of Occupancy is denied, the Building Inspector
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~rmming pool $25.00, Accessory building $25.00,
Additions to accessoz7 building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exisginR Buildinm - $i00.00
3. Copy of Certificate of Occupancy - =
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~ ~ Date .... .....................................
Jew Constructionk~Q~...~%~Old Or Pre-existing Building...~ .....
........ .......
,ocation of Property..~55.~ .......... ~'~.~%~-..~.~..[~...~... ' .... '' JTO ~.~, .
~ouse No. Street Hamlet
~nwer or Owners of Proper ..~ ........ . ......................
.o.q
:ounty Tax Map No t000, Section..l.l.! ......... Block ............... Lot .................
;ubdtvision .................................... Filed Map ............ Lot ......................
'ermit ...................... J'7'''' ......... .....
[ealth Dept. Approval.~lO.f-.a[7.~.8~ ..... Underwriters Approval .........................
Rex I 17g
fl,mw Yolk I Ig?(
r.l-phon9 (516
OFFICE OF l'llE BUILI]ING INSPECTOR
TOWN OF SOUI'IIOLD
[.: G R T 1' F I C. A T I 0 N
i certify that the solder used 1, the witter supply sy,.;tem
contains loss than 2/10 o£ 1% lead.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITER
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY '1 0038
Upon the application of
CERTIFIES THAT
upon premises owned by
JIM SAGE ELEC, INC.
P.O. BOX 38
GREENPORT, NY 11944-0038,
Located at
Application Number: 1070470
Section: Block:
Described as a Residential
PHILIP BACON
18 ROXBURY ROAD
GARDEN CITY, NY 11530
3335 NASSAU PT ROAD CUTCHOGUE, NY 11935
Certificate Number: 1070470
Lot: Building Permit: BDC: NS11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, POOL HOUSE, Outside, Pool/Spa,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 12th
N~c QTY Rate
Alarm and Emergency Equipment
Sensor 1
Sensor 3
Appliances and Accessories
Exhaust Fan 1
Furnace 1
Time Clock/Switch 1
Pool/Spa Bonding 1
Air Conditioner 1
Motors
Panels
I 2
1 F
Day of August, 2002.
Ratin[ Circuit Type
Carbon Monoxide
Smoke
F.H.P.
F.H.P.
40 Amps
2
6O 1
Wiring and Devices
Outlet 15 Fixture
Receptacle 23 General Purpose
Switch 22 General Purpose
Continued on Next Page
1 of 2
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORk BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
JIM SAGE ELEC. INC.
P.O. BOX 38
GREENPORT, NY 11944-0038,
Located at
Application Number: 1070470
Section: Block:
Described as a Residential
3335 NASSAU PT ROAD CUTCHOGUE, NY 11935
Lot:
PHILIP BACON
18 ROXBURY ROAD
GARDEN CITY, NY 11530
Certificate Number: 1070470
Building Permit: BDC: NS11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, POOL HOUSE, Outside, Pool/Spa,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 12th Day of August, 2002.
Name OTY Rate Rating Circuit Type
Fixture 21 Incandescent
Fixture 4 Fluorescent
Receptacle I 20 Special
Receptacle 6 GFCI
Paddle Fan 1
GFCI Circuit Breaker 1 20
GFCI Circtdt Breaker 1 15
Phase 3W Service Rating 150 Amperes
Service Disconnect: 1 150 CB
Meters: 1
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BUILDING PERMIT REVIEW CHECK LIST
APPLICANT NAME:_BACON
SCTM#--- DISTRICT: 1,000 SECTION: 111 BLOCK: 9 LOT: 2
DATE REVIEWED: 4/ 12/01
DATE SUBMITTED: 2/06 01
PROJECT LOCATION AND TYPE OF PROPOSED WORK:
PROJECT DESC~TION: ADD ,ALT, OR N/D:~AS~
ST~ET: 3335 NASSAU PO~T ROAD CITY: CUTCHOGUE S~D~. NAME:
ARCHITECT / ENG~EER: S~EULS FAST T~CK~E~ NO
S~GLE & SEP~TE CERT~ICATION-~QU~D: ~OTES:
~TS 40,000SF -100-24. ~t recogfition.(C~ATED before June 30, 1983), ~DERSIZED LOT~OM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83
ZONING: PERMIT ESTIMATE AMOUNT:_$ Y~'~) ~ .00 PERMIT USE: EXISTING: ~f/-~ INTENDED: f~ ~/~r,.
ZONiNG DISTRIC~ R80, AC, CONFORMiNG'~ NO .SQFT.
WHERE ACTUAL LOT SIZE FROM?wax CaRD ~'/ //a-4 .SQFT.
REQUIRED REQUIRED
FRONT: 50 ' PROPOSED: ~ ' SIDE YD: /4 '/ .gff ' PROPOSED: 2~) '/ ,tx~, REAR: ..4'6 ' PROPOSED~q"~~ '
LOT COVE/,~E: ALLOWED: 220 % EXI~G:
CORNER~'/YE)S&R NO WAT ER FRONT? (.~R NO
FLOOD COMPLIANCE ZONE: PaE-FJmU ~as/80 PANEL #:
REQUIRED LOT SIZE:
ACTUAL LOT SIZE:
REQUIRED
sf % NEW: sf %
DESCRIPTION:
FLOOD ZONE:/~ ,
TOTAL:~9~2. sf/ro %
AGENCY PERMITS REQUIRED FOR REVIEW
INCL UIIi~I~I~ APPLICATION
TOWN SPETIC PERMIT: (Y..F~r NO -' Z't"~-,,
SUFFOLK COUNTY HEALTH DEPT: ~.~.~r NO, (BED #): 0 DTE~-- /! /o ~ PERMIT #:R10-
/
NEW YORK STATE DEC: PRE-DEC 9/1/75 ~or NO 713a le ) /- + )>x. - 0 ;g?//cO 0 953'
SOUTHOLD TOWN TRUSTEES: ~ESh.~ ,a/.T' ;,~'//P) '
TOWN ZONiNG BOARD APPROVAL: 'PEg ofN.._~_ '
TOWN PLAN. BOARD APPROVAL: YES
NYS ENERGY: YES OR ~'~ __ EGRESS: VENT:
LIGHT:__
NOTES:
FEE STRUCTURE: FOUNDATION: g/~ SF
F1RSTFLOOR: ,;2-oa/O SF
SECOND FLR: SF iNIT OTHER TOTAL
TOTAL: 3£~ 5 SF FEE FEE FEE
T( -~.2-7 SF)-( 3'08 SF)= .7/2-? SFX$.zo =$ ~/,~->'7o°o+$ -g.5' +$ 1.~0 =$ ,g>,)O ,=~2
LETTER OF AUTHORIZATION
Philip J. Bacon
Susan J. Bacon
18 Roxbury Road
Garden City, NY 11530
516-294-4013
March 2, 1999
We hereby authorize (architect) of SAMUELS & STEELMAN ARCHITECTS to act as our
agent in obtaining all permits required by TOWN, SUFFOLK COUNTY and NEW YORK
STATE for the construction of our residence at 3335 Nassau Point Road, Cutchogue, N.Y.
Owner
Date~
Owner
Date
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
- ', being duly sworn, deposes and says:
That deponent is over the age of 18 years, a?d resides at
· ~' · ? ' - I
That on the ~ day of ~,~_~'utCr'~ , ~, deponent, being the
architect/engineer, licensed by the State of New York, hereby states that s/he
accepts full responsibility for the accompanying plans compliance with the New
York State Fire Prevention and BuildingS. R). ,, (~
Architect/Engineer
Sworn to before me this ~_.~0
0¢ day of ~C'~ ~ ¢"1 ,/~4,Z, !999.
Notary Public
PATRIClA RICHARDS
. Notary Public, State of New York
No. 01 RI6042467
Qualified in Suffolk County
Commission Expires May 30, 2002
cc: applicant
Town Of Southold
P.O Box 1179
Southold, NY 1'1971
* * * RECEIPT * * *
Date: 04/18/0'1
Transaction(s):
Receipt#: 9294
Subtotal
1 Septic Permit - Construct - Resid, $10.00
Check#: 9294 Total Paid: $10.00
Name:
Samuels, & Steelman
25235 Main Rd
Cutchogue, NY 11935
Clerk ID: LINDAC Intemal ID: 30301
Division of Environmen~a! Pert "ts
Building 40 - SUNY, Stony Brc , New York 11790-2356
Telephone (516) 444-0365
Facsimile (516) 444-0360
LETTER OF NON JURISDICTION--TIDAL WETLANDS
September 30, 1997
John P. Cahill
Commissioner
Mr. Philip J. Bacon
18 Roxbury Rd.
Garden City, NJ 11530
Dear Mr. Bacon:
RE:
1-4738-01697/00001
Bacon Property
Nassau Point Rd, Southold
SCTM #1000-111-09-02
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that the property landward of the crest of the bluff greater than
10 ft. elevation is beyond the jurisdiction of Article 25 Tidal Wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part
661) no permit is required under the Tidal Wetlands Aot. Please be advised, however, that no
construction, sedimentation, or disturbance of any kited may take place seaward of the tidal
wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to
ensure that all necessary precautions are taken to prevent any sedimentation or other alteration
or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may
result from your project. Such precautions may include maintaining adequate work area between
the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area)
or erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
Very truly yours,
Permit Administrator
MMR
cc: John V.N. Klein
BMHP
File
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
P.O. Box 1179
Soulhol~ New York 11971
Telephone (516) 765-1892
Fax (516) 765 - 1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 29. 1997
J~hB V. N~ Klein
1505 Kellum Place
M[neola NY 11501-4824
Re: SCTM 9111-9-2
Dear Mr. Klein,
The Southold Town Board of Trustees reviewed the survey of
Philip J. & Susan J. Bacon and found that the proposed house is
clearly out of the Wetland jurisdiction, as per survey submitted
and received July 16, 1997.
This determination is not a determinati6n from any other agency.
If you have any further questions, please do not hesitate to
call.
Sincerely,
Albert J. Kru~ski, Jr.
President, Board of Trustees
AJK/djh
cc. BLDG. DEPT.
INSPECTION
[~] FOUNDATION 1ST [ ] ROUGH PLBG.
,DATE
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] F,REP~ACE&CH,MNEY
REMARKS. ~?~,
INSPECTOR~~/
765-1802
BUILDING DEPT.
INSPECTION
[ ~)UNDATION 1ST
[//J FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
.,DATE
765-1802
BUILDING DEPT.
INSPECTIO N
FOUNDATION 15T I"~ ROUGH PLBG.
[ ]/~iDATION 2ND [ ] INSULATION
[ ,~ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ I FOUNDATION 2ND
[ ] ROUGH PLBG.
[ '~NSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
76.~-180Z
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[~ FINAL
DATE ~.~/.-~/~.~ INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[ ] INSU~~/ON
[ ~/'1=1 NAL
RE:MARKS:
DATE ~'~/~/O~INSPECTOR ~~~'~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FIREPLACE & CHIMNEY ~.~ -
REMARKS: ~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~SULATION
[ ] FRAMING [/~FINAL /~-~-_,~
[ ] FIREPLACE & CHIMNEY
- . ~
DATE
INSPECTOR
FIELD INSPECTION REPORT
DATE
FOUNDATION (SST)
COI~IENTS
FOUNDATION
ROUGH FRAHE
coos
FINAL
.. ~ ~; ~ 'l'()~?N OF SOUTIIOI,I)
~ - ~ Btl 11,1}I HC I)EPARTHENT
! ~ TO~N Il^IA.
~ SOUTIIOLf), N."i'. 1197 I
1'El.: 765- Ill(IR
BOARD ~ III~,AI,'I'II ...............
~ §RT§., PI.MI§ ~ ..............
$11RVEY ........................
CIIECK .........................
SEPTI£ FORH ...................
NOTIFY:
l NSTRUCTIONS
CAI.I ...................
14A I L TO: ....................
a. 'lhis arrfllicati¢m mint be cxa~letely filled in by ty~*riter or in i~ atgl all~ittM to the lltildlng lns~etor will
3 ~ta of plans, ac~rate plot plan to ~ale. F~ according to
h. ['lot plan ~itg l~ati~ off lot mi of Ixlildh~s ~ pr~i~s, relatlon~dp to mljolni~ pr~i~s or
struts or areas, a~l givi~ a ~tail~l ~rlptlm~ of layout
this alqd lent itXl. .....
c. '11~ ~rk ¢~r~ by this allfllcati~ ~ w)t I~ c(~m~l I~fore ism}a,~e of ~dldi~ Pe~it;, .- . '
d. UIn~ .~)r~al o~ this ,~li~atla~. tl~ l~dldi~ !ns¢ctor will i,,e ~ ~ii~i~ Pe~it to thC applicant. A~h
;ytJJlit droll le ~pt a~ fie ~mtma avail~)le 'F~ hm~ti~ tl~t the a~rk.
e. ~> Imildit~ rl~all I~ ~i~l or u~l in Omle or in
¢~.~:y ~tall h~e l~n gr~[~ I~ tie ~[ldin~.!ns~t0r7
hPH,Ic~'rl~ IS 1~ }~E to tim l~dlding Ikpartnent for fl~e is~a~e of a ~dlding Pemit ~ramnt to the
I~dhlir~ 7~ ~im~t~e o~ tie ~ of ~tlmld, ~ffolk ~m~, ~* Yolk, a~ other a~ticable l~s, ~db~es or
~dati~s, for tim ~st~tim of ~dldi~s, ~itlms or alterati~s, or for r~al or ~lltion, as Imrein
¢~scril~. 31m a~licant a~s to c~ly with all a~licable 1~, oral--es, I~ildi~ ~, t~sing c~le, a~l
re~dati~s, md to alnlt a~tl~ri~ ins~tors a~ pr~i~s m~
(Sigmtt~f a~icant, or m~, if a co~rati~O
(~ai l lng ~lress
State whether applicant is ¢~er, lessee, agent, archite~t, engi~r, get,rat c~tractor, electrician, I)lmt~r or la~ilde~
........ ~.~w.. .............................................................................................
(as ~ the tax roll or latest d~)
If al~flicant is a cor~ratitm, si~ture of duly a~tlmriml officer.
(hkmne m~l title of corporate officer)
l~dlders l,ice~e ~ ..........................
I'lll~t~rs l.icen?,e Ho ..........................
El~triclans I.icen~ ~ ......................
OIImr 'lY~'s l.ice~r~ ~ .....................
I. Itxtatitm of laml m ~ir¢~ ~ml turk will ~ ¢~; ......... ;; ...................................... ~;;J~ .........
.... ) ~. ~ .......... ~~..~..~ ~ ~c~
Ik~ ~n~r Strut l~et
~,,,,,~ T~ ~p a,. ,m ~:ti~, ...... /I~ .....,,~ ...~..~ .......,~t ..~.~ ........
~dx visi~ ....................................... Fil~ ~[qp ~ ................ l~t ...............
(~)
2. State existi~ u~ a~ ~o~m~y of in~.i~s m~t inle~x~ ~lsp m~l ~t?~ o~ pro~,~l camt~tim:
a. Existi,~ ,,m a,xl ~e~,~,my ~.<~.~ ~g~ ~~ ............ ...../~... .... ~
....... ,,- ,,,t~n~ ',,~ a,,~ ~,~".. ~(~5 ~T... ~...~/~~ ...........................
Ib!l~Si / ............ l~mlOv~ ! ............. I)~x~l i t Jori ............ Oilier I~)lk
{l)~r~r J pt ~(xl) ,
~.~,~ . .... ~.~.Z ......... ~,,~ ,,~ s,~,,H~ ......................
R). {ttlq o~ ~%~;~:h;t~ ..................... ~;s~ cE Fot~r (~r ........................................
1. ~ill lot I~ ~egr~ ..... ......... ~ill e~:o~ gill I~ rot~] ~r~n ~,i~:
~:;~(:e ~early a~xl distir~tly all l~[Idio~ detl~r existinB or pro{~], ~l i~xlicate all ~t-I~k di~nsions
:r~ln prnl~ly li~s. fii~ ~t~t m~l [)l~k ~d~r or ~scri~ti~ ~cco~lin~ to ~1~ a~ ~ street ~ ar~l i~licate
~l]~tr ]i~lerior or corr~r lot'. '
\'IE (~: HI',~? . ['~{'"~ ~Y(~ ~ ,%.%*'
r,~ of i~lividl~l ~ilydn[~
,,, .......................................... ........... ........................
mid ~m~r or ~ers. m,I i~ duly ~Hhoriz~xl lo I~ro~m or h,~e lerror.~ the ~[d ~rk m~l I~ ~Le ~l. [ilo Ihi~
Ihe m,k viii I~ lerPor,tnl Jn Ihe ,~,n~r ~t ['orth i~1 the ~l]~lic~l:io, [Jill Iler~ith.
T! Ir) before .~_ Ihl,
·
PA~IcIA RICHARDs
Nota~ Public, State of New York
No. 01RI6042467
Qualified in Suffolk Coun~
(Si~ ........
TE~T
-
PALE
~ TO
COAR~
17'
SCDHS Ref. # R10-95-01,37
~of (~
~)
~4 381..00'
/
~LOT
/
/ t
LoT (~)
: AND CONSTRUCTION OF SUBSURFACE SELVAGE
· DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
L 0 T 16 a,,, .,,, o,,,,,. ,,, ,,,. ~o,,,,,,,.,, ,., ,o,h ,,.,.,n .,~ o, ,,.
MAP OF ~U POJVT CLU~ ,,.,.,,,il lo ,o,si,.~l.
CER T/FlED TO,
PHILIP J. BACON
SUS,4N J. BACON
COMMONWEAL TH LAND TITLE INSURANCE COMPANY
RHR 97 0855
AREA = ,! 0935 Acres
to tie lines
ARE REFERENCED TO N.G.V. Datum
The Iocolions of wells efld cesspools ,'" ~O__c~ El, 1998 ( sfk. h~e. 4 s~* cur~es ;
shown hereon ora from ~ observelio~ ~c. /, 19~ (conc. foundelion ). 1~30 TRAVELER STREET
one or from dote abided ~om others, -~ JAN. 3~ ZOO0 ( final )
' . MAR. [~ ~001 (prop. pool, pool hse. ) ~z?, ~/~; S~THOLD~ N.Y. 11971
95- I~
,LDG ?~ C:'T
SCDHS ReL # R10-95-0157 '
SCDHS Ret. # RIO - OI - 0023 ~ ! , .. ,', '-:~ I
I
I
I
I
~ ~'g ~[ ~J~ "~i / w~r¢ ~1~[~ ' ~ PHILIP J. BACON I
~ J~"-~ t ~ I~ ~ / ~l'~'/ // ~ ~ ~ .'.~ COMMONWEAL TH LA~ TITLE INSURANCE COMPANYI
~ J ~ ',~ ./ ~'/ ~/ /~ '~ ~ '-/ ~ ~ ~ RHR970855 [
I
~ ~ ~ ~ , ~, ,~ :-;.;.r I
= ~ ~ J ' ".~. ~ ~.. ~ I ~ femiller wil~ the STA~ARDS FOR APPROVAL J
~ ~ ~ ~ ~ .~~ ~ [~ AND CONSTRUCT/ON OF SUBSURFACE SEW~ J
~ ~ ~ ~ ~ ~ ;'~ ~ ..... DISPOSAL SYSTEMS FOR ~LE FA~Y RES~ENCES J
~ ~ ~ ~ ~ '~ ~ ~ ~ ond will obide bZ fhe con.lions sel Iorfh lhere~ ~ en Ibe J
~ ~ c~,~,..,~, A ~ASSAU POINT I
~ ~ TO~' ~ ~ SOUTHOLD J
AREA
0935
Acres
I
r'= 50, . (.( X.' I
J"'~Y tO ~Y ~ ~ ~ ~ ~ '~ aY' The IocatJ~s of ~ ~ ¢~ ' -~;'~, .~,f ~lJ. ~ ~ ~ ¢urve~ }MAR 1d, 2~3 Iwaler ~ P. O. 80X 909 J
,~ ~ BY ~ ~ ~ ~S ~ A ~Y _ shown her~ ¢e from 8~d observah~ ~'~ I, '~ ~ c~c. t~al~n ; , ~[ ~ f~ ~ 1~30 TRAVELER STREET [
J,.~~~.~,~ ~~a~ and or from data obl~ed fr~ oeers. :"JAN. 3, 2000 f f~ ) ''~ ~ ~' SOUTHOLD, N.~ 11.971 J
, ~ ~ , -~._ ,~
GENERAL NOT~c
FILTER
RETURN TO
SCHEMATIC PIPING ARRANGMENT
',J, oTE.S t
PT'.
PLAN
SECTION A-A ' I
43 Lovell Rd.
[5161 72~-'~ 777
Ham.Dr. on Bays, NY 11946
SECTION B-B