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HomeMy WebLinkAbout17026-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17572 Date DECEMBER 7, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 465 CEDAR DRIVE MATTITUCK NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block I1 Lot 6.3 SubdivisionM/o MATT.DEV•CO.INC.Filed Map No. 776 Lot No. 26 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 9, 1988 pursuant to which Building Permit No. 17026-Z dated MAY 25, 1988 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 WOOD DECK The certificate is issued to ELLEN BARKER (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-95-11/25/88 UNDERWRITERS CERTIFICATE NO. N048293- DECEMBER 2, 1985 PLUMBERS CERTIFICATION DATED DEC. 1 1988 - FRANK MEYER Building Inspector Rev. 1/81 FOBM NO. 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) N~ 7~2~ Z Dnte 1R~~ Permission is hereby granted to: ro .~Ka , ........~r~ie~,~j...........~..~........... of premises located ot ......~y~...~~.....~:trt~••~....~~ ............................................~iG,, , . . . . . . . . . . . . . . . . . • . .7. ...r. . . . . . . . . . County Tox Map No. 1000 Section ...../.Q~....... Block ~~Lssot No....~d..!. pursuant to application dated 19r~Q.,, and approved by the Building Inspector. l,LU Fee uil Inspector Rev. 6/30/80 FORM NO. 6 1.J k TOWN OF SOUTHOLD ~ ' Building Department {UI Town Hall Southold, N.Y. 11971 TOWN OF SO 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ er~~ to the Building Inspec- tar with the following; far new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unuwal natural or topographic features. + 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Cade compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming. uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographicfeatures. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Uodated C.O. $ 50.00 Date / New C ons t r u c t i on .Old or Preexisting Building Vacant Land . Location of Property , 4l~S , , ,C'CY~,q ~2. , , . ~'i'C1"l'U e House No. _ Sheet . . . . . .........Nam/et Owner or OwnersotProperty .......~L.~,~",~,,,,~~'~IdG12,."'."..•.•..•....,.•.•.•.. County Tax Map No. 1000 Section ~ v Block ~ Lot....~°.',3 Subdivision .................................Filed Map No. ..........Lot No. . Permit No..~.~~~?, Date of Permit .~~.;~,~,~.Applicant ~:r.vl`~~,';'~,,,~;,eS+~S,a~ Health Dept. Approval . , .8 ~O, , c' ~ .............Labor Dept. Approval Underwriters Approval . G~1~6 2°i 3 ,planning Board Approval Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ Construction on above described building and permit mee~all applicable codes and regulations. Applicant ................~c4"`,"`A'..~~. Cie~ja~c.-.......... . Rav. 70-10-78 . 34 ago TEL. 765-1802 ~pS~~F~~~pG TOWN OF SOUTHOLD ` ~.~c, OFFICE OF BUILDING INSPECTOR ~ _ i P.O. BOX 728 v' g TOWN HALL .rO,~y~o~ ~~~`c SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date !Z~/ ~8 Building Permit No. 1 ~ Owner ELLcr~J ~fi+~KCk' (please print) Plumber (uEYf=+~- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbe s signat re) Sworn to before me this day of Q,ot_ _,Q,sJ" 19 °d~ ~ ~c~fiz ~ Notary Public HANOLD t CARR Notary Public, Sur'~'u~~~ County NNOA~~7L8UFFOLR000NYTYK COMMISSION FXWRES JAN.3,19.~ _ . ¦ THE NEW YORK BOARD OF FIRE UNDERWRITERS c'Arr; ? ~(IUt1hb i BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK. 10038 Dote ()h:fP:Ml1}'& 117,19$8 A,pplkati No. ott ft~a r'!)~657515/ttR N ()68').43 THIS CERTIFIES THAT Nk,RM I.T~1<).. 1.7t1 `l.fi' only the elecerieel equipment ae described 6eloro and introduced by the applkont sensed on the above opp(tcetion number Jn the promLaa RI F,'LLM:N AARki•:8, CkaYAR TYH 1'lT;, /PtiI,F: #5 L(b~CO. MA'I"PYTt1CK: N.1", in the follotcing IIMOCIOR • ~J B c p't"C [ C' I Sl1Y'P N(7V'k;PiA~k~?S~~k{8 u let Fl. ? Ynd F'l. .Section Block Lot ores examined on and found to be in compliance with the requirements of thu Buord. AXTURE RXTURES RANOlS COOKING DECKS OVENS DISH WASHHS EXHAUST FANS OUTLETS ACtES SWITCHES INCANDESCENT-PWgESCENi v AMT. K. W. AMT. K. W. AMT. K.W. NAT. K. W. AMT. N. P. DRYERS FURNACE MOTORS IIJTUR! AN91AteC! tEt0ER5 SEKIAL REC'/T 11ME CLOCKS RRLL UNIT HEATERS MUg40UTlRT DIMMERS AMT. K. W. Oll X. P. GAS N. I. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ T M1T. WAlT3 _ to '-!lRVICE DKCONNKT NO.01 _--__-__5. E_ _R r_.~. V-_.. _._I _.__..C._.__.. E p~ AMT. AMP. 1YPt EQW 1/TM t/TV 3/TV i/AW NO.O~R;COND. OE CC.COND. ~.OF N4U:G NO.gNEUAMS ~'IlUTIIAI 1 inn K.'B 1 l.li7 ~ ^f11 OTHER AMARATUS: F'.C..T TY2A('Y( L,7GH'1'1. [@,:-6 t t:i~N;M'N it. ARAIH~hfY Y'.O. N(7$ h6;d ' Lgllyt,Y;L. N'Y. 1.194Yr OgBASM Bl ~ ,I tJCt;titir; No. l a27. Per This urlificah mwt not ba altered in any manner; return to 1M office of tM Boord i# incorrM. Inspectors may be identified by their credentials. ` JFOR WILDIIIE DEPARTMEIfT. THIS COPY OF CERTIPICATE MKT NOT tE ALTERED. IN ANY MAIiiER. r1GLU lu.~•.. ~w n.t. v:7 Cl t'.N l.. -1~ i ~ ~ 1 . D ~ H - H 'O UNDATION (1st) i _ ~1 6 ~ ~ ~OUNDATIOW ( 2nd ) m o Y~ ?OUGH FRAME ~ ~ / p 9 ~ PLUMBINQ - LSD D N 3 . m y y IIJSULATIOPI PER N. Y. STATE ENERGY CODE x a 1~ d.~ ' c~ . ~ L FZ;JAL p~ o z. ADDITIOPlAL COMMENTS: x X \ 'd p~ H U ~ \ 9 H l~ H `~1 O z x m a ~ ~ 1 s q_ b ~ ro U~ 1~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [)INSULATION [ ]FRAMING [ FINAL REMARKS: J V© J~CL~S,S DATE f INSPECTOR. 765.1802 BUILDING DEPT. INSPECTIAN [ ]FOUNDATION iST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ~ATIION 0 [ 7 FRAMING [ FINAL REMARKS: ~ ~~~~a DATE a~ INSPECTORS r I 765-1802 BUILDING DEPT. INSPECTfON [ ]FOUNDATION 1ST [ ] R GH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL i /f REMARKS: ~~-X (1'f~--- ~,6~e.~,t..- 4 k I f r+-~- f DATE ~ INSPECTOR i ~ ~ . 1 ~~1~ rss-iso2 BUILDING DEPT. INSPECTiCJN [ ]FOUNDATION 1ST (d1 ROUGH PLBG. [ J F NDATION 2ND [ ]INSULATION [ FRAMING [ ],FINAL R ARKS: ~.f F DATE ~ ~ ~ INSPECTOR . ~ „ ~?©z~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ J ROUGH PLBG. [V] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ i - t DATE / ,_INSPECTO _ I 765-1802 BUILDING DEPT. i NSP'EC7'ION FOUNDATION i5T ( ]ROUGH PLI3G. [ ]FOUNDATION 2ND [ ] INSUIrAT10N [ ]FRAMING (]FINAL RE ARKS: ---~-~~~G~~-~~~ t F DATE J ~ INSPECTOR D - 51988 BLDG. DEf'T~ TOWN OF SOUTHOLD ~~6 d`/ s'o - 7 . s~ o^ s e ; moo„ cP Soso es 2~ X50 00 0~ 5~~~ ~o~ ~'o T. 2° Oy{ /P n ~o~ ~~O / 00 ~ P~eo o ~1 ~,~p UO O Q~E NVJ J~~ ii 0 ~ ~ ~ Y~~y ' O~ hh ~9. Ik2 ~tc. J . ~ 3 C„ ~~s ~ psp 2 moo tea, ~ ~ op ~ ~ 2'l S3 p, ,~o ~o O~ , ~`O F~ ~ 9~ J i F % J~~ P~ oQ~` soo ` \~~c~ fir'°~ ~A• V ~O y , ~77 s f~. 0"~~~~ ~ ~ ~ G°~ ~ 5J ~i~~~ N" ~ r ~~k e5 ~ a , P°~ ' ® ~ g1 g~ ~ ~ ~ .r gJ~ ~ O ~.y~ / ~ ,0 ''O~ ~ ~ o~ ° a vd ~ ~ ~ s~ 3° n ~ ~ C. ,q '+'rrY s • y ^ i ~ ~~Yy_ ; s ~s=, t 6.• P ~ ~ ~ ~ tOb3 ~ t V•~ ~ ~a-~ v1~ T~~ O1it~ I ~ BOG °~S. _ .per S+~J+ ° ~ ~ ~r` s~j aa~~o~°m~so ~~P oa y ~ a ~ q, G ~ ~ < ~ ~ /~y?O~ s / ~9 +r/ ;r • ~ ~ any r . r„~~t, . ~ "i 5 ;'f:'. t.'r l - ~ v - i z.xrta .u _ - ~km'~ BOARll OF HEALTH / 3 SETS OF ~ANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK ~ BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL • •/1.~~.`~ • TEL.: 765-1802 MAIL TO:~~~..~jc~ Examined , 19 , . , ~/~~Z ca~~`;1 fa~ii~ i7 ~a~ Approved.~?J`.r.......,19~~PermitNo.~r~~~G?e7~.~ ~~Q~~erx6-"'` ~;~~°.v,.....~„_..;~.`:__~ Disapproved aJc MAY - g ;:.-o;i BLL'G.i}Lt'T. ~~/~///J TOWN OF SOUTNOLO ( ildmg Inspector) APPLICATION FOR BUILDING PERMIT Date ..'~?~r ~ 19 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted 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 buildin for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contracTOr, electrician, plumber of builder. ~ILQEV` Name of owner of premises ~L~en„ ~ :..~.-t.!'~'~~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . I. Location of land on which proposed work will be done . . ~~5 ......................GecQar...~Dri maf+. -~Gct,~.....:............ . EIouse Number Street Hamlet County Tax Map No. 1000 Section f 66 Block ....Ol Lot .....fit . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ N ~ . b. Intended use and occupancy ~'t-t- ~ 'U 3. Nature of work (check which applicable): New Building ....C Addition , Alteration . Repair Removal , Demolition Other Work . (Description) 4. Estimated Cost t~.~.(~ l Fee . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage; number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures,6if any: Front Rear Depth . Hei ht Numb D ~ensions of same structure ~ith Heeraritions or additions: 8. Drrnensions of enl.rre new eonstm Front Rear . De th ' g I .........Number of Stories . ction: Front Rear . Z S`.......... Depth .-~.`,~.r......... . Height , Number of Stories . 9. Size of lot: Front .t. , ~ Depth /5~©. y . Rear::..... 10. Date of Purchase Name of Former Owner ~t'~.~~ndl, , (~y?n;C,S, , , , , , , , , , 11, Zone or use district in which prerrlises are situated ...,1~ : (r'4'S../.f(;.~~~ . 12. Does proposed construction violate any zoning law, ordinance or regulation: ~f? . 13, Wilt lot be regraded i...... ......Will excess f'll be removed from premises: Yes No 14, Name of Ovrner of pr miles ~'4~';u.~ . . Address~,oves ~q~zucK, phone No. 2,9,$x$(965.... . Name of Architect .~q(5o:'C.W~'`4~!'~tJ..........Addressr:'•7~.-uCuK:gW~:M1:~-.~`G.PhoneNo..~9~ S?`.~.4.... Name of Contractor Uha., . 15. Is this property located ~'sccs,n ~ • ~ ' 'Address~n2r.~/~eK.2n,Rl~:rt"„ Phone No. Zg8"-5,`IQ~', . ithin 300 feet of a tigidal wetland? *Yes No *If yes, Southold Town Trustees PermitpmLO~DIAGKAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. CQ f 5~ g`, Mi fi, ~,6 5i)' STATE OF NEW YORK, S S 10 I'F Zs ~ IS, COliNTY OF . a ~"u~ wv C 5l,'C s,4/~ , , , , being duly sworn, deposes and says that he is the applicant (Name of individual srgnrng contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly, authorized to perform or'have perfonned the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner',set forth in the application filed therewith. Swom to before me this G ...............5........day of 194 Notary Public, s .~.J.~?4- ~LL.'.?"~- County / / HELEN R DE VOE ~J.. Si na pp NOTARY PUBLIC, State of New Yak ( g ture of a licant) ~ No. 1707878, SuHoik Counhl% Term Eapirea MacM30,19_,rs~./ I sG 6 ~E7 . s ~"'a 9n o ,e BOSS s 5 ~50~ ~O ~G ~ F F ~o~ 26 Q`'~' fro 0, ~ o~' ' ~N Leo ~a , P 53 ' y O "~9' _ 1 ~ Qly e?' ~ `~ZO ~~~Om \oO , 8F' ~ f \Vi. OP1 OV i ~ 9~ 6 P ~ . P~" / ~ ~P f efl by ` A~ ,5~. ~ i' e ,p ' ' ~ ~s. `~s S , . ~o ~ ~ 2 S3 p. ~,.ZO ~o Off, o~ g. ~p~ 9~@ e; I 1~..~,-___. I P ~g ~~~{{tb ~~z~1 Ord ~1 ~q~~gy ~q oe~` ~~r'eLDf i'LYb~i\ ~AIC?tka; Y fan-)"~~ ' ~ 1'h6ffril.usryn S~ ~kde ~€~a p ~m ~~(M~~~~ii'~T.'.qq~~fp+}'ppN~~i?. `S u+'ni~..~.a S~ ~lS F~ _ IO f py~}! ~~.df71ll7' ~ ` ';:i.' <^.;F. »+„o..ey,w, P [~ni' Thy. SC4;~a,~9 tU° .rlc,C1 `,'+rR - . c~..;i}i~%; (Uf i~ . a Icca~io,F i1~4R beer': = othera~nrles~~~t4.~u•' =~>s" ~~~=~-F-°'~'~~ f~lief of Eiu;z4,u c'. ' SURVEY FOR ELLEN L. BARKER ocr. Io,19aa LOT 26, MATTITUCK DEVELOPMENT CO., INC." JUNE Is,ISeB AT MATTITUCK DATE APR. 5,1988 70WN OF SOUTHOLD SCALES 1" = 30' SUFFOLK COUNTY, NEW YORK N0. 88-0297 N UWUTNOR/ZED ALTLRATION OR ADDITION TO TNIf (~UARANTE ..,p,, ~OF roF 4VRVEY S{ A VIOLATION OF SECTION >20f OF THE ELLEN L Allll )1' NEW rORK ftATE EWCATtON LAM _ N COPIES OF TNIS SIMVEY NOT fEARf10 THE LANG AMERI N T 3MFt n~ WRVEYOR'4 INKED SEAL OR EI,fOffEO !!AI SMALL NORTH FO ~ K d TR MOT fH COME IDERED 110 OE A VAUO TRUE COPY ~ ' MOUARANTEHf INDICA'fE0 NEREOM SNAIL RUN ONLY 10 ~ Z HEALTH DEPARTMENT-DATA FOR APPROOMI. TO CONSTRUCT TME PERSON FDR wNOM rNE fuRVEr IS PREPARED p AND ON NIf fENAlF-TO THE TITL[ COMPANY, OOVGN- M N[AllE4T W~qHHRR ~AIM_ML! MSOVRCf DF MATEh~ PRIMTE ...~P1~fLIC_ MENTAL AOHMCY ANO LENOINB INfTITUTI ON L14T10 N fl/F C0. TAK MA?`OIfT IODO fECT10N _144_ HLOCK Q11 lOT p~6 N[11EON, AMD TO THE AdfiON[[S OF iN! LENOINB R TM[RE AR[ NO Olf[LLMNf MITNIN 100 FEET OF TNIf PROPERTY INSTITUTION. OUARANT[ES ARE NOT TppAA1N1fFERAHLE A, OTNG TMAM TNOM fNOMM NHREON. TO ADDITIONAL INSTITUTIONf OR SUBSEO ENT ~ ~0 N THE WTM fUPPLY AND fEYflf[ DIfPOSAI SYftlM FOR TNIf RAIDHNDE OYINERf 4 8 MILL OOIIFORM TO TNH fTAMOAROf OF THE SUFfOLK COUNTY OEPARTM[MT N 01fTANt[f SNOMN NERfON FROM PROPERTY UMEi 'p tO EMIfTINf fTRUCTUR[f AIIE FOR A fPEtIFIC AND 5 VE M HHALTN ftAUltHf, ?UI1pOSE ANO AAE NOT TO fIE USED TO E-ETAHLIfN APILICANT` + PRO?ERTY LINES OR FOR THE ERECTION OI F[NCEf AOORESf TEL. ~ YOUNG 8t YOUNG R~READ,~NE YAma E NOTE O = STAKE ALDEN W. YOUNG PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF , SUFFOLK CO. ON MAY I, 1923 AS FILE NO. T76 AND LAND SURVEYBR N. Y.S.IICENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR •TN[L.OCATIDMOFM0.1lM),lEPTIeTANKIfT)•ttffP00LfN71fNOMNMgEON N.Y.S.LICENSE N0.45893 AIIE !LION /1[1.0 0/RIIMIITIOMS ANO OR DATA MTAIN[0 pkOM OTM[Rf BRANDiB A SONS INC. 1048 r ,NL ' S ~ TOWN OF SOUTHOLD SG 6d. ~Li S'i0 4 . , S~ O^ s m .sue" ,9c~e sos,~, s 2~ ~`~O~ o~~F 5~~~ ~0~ C'o 26 ~y~• a o~ .~h0 0 R/ `02 O~ ~oQ`J~4Pa ~ \~OQO ~h ~ y~O~F. ~ ~ NDry LU 0 F a~E J CI~Q ~ 2 ~ 9 - 7k ~ 'y ~ lv ~ ~~s PsP2~o0 rya o,~p0~ 2~ s~ O ?°O ~o'~ O~ 0~ ~ a~ s - ~o L~ sue, i oQP\ r TEST HOLE S. J `C~~ o.o 00 .sF y0U \ SANDY LOAM 3.6 SAND 4.2 SAND G GRAVEL 17.0 SURVEY FOR ELLEN L. BARKER LOT 26, 'MATTITUCK DEVELOPMENT CO., INC" JUNE 16,1988 AT MATTITUCK DATE APR. 5,1988 TOWN OF SOUTHOLD SCALE I" = 30' SUFFOLK COUNTY, NEW YORK No. se-o2s7 k WMU7N011/2ED ALTERATION OR ADDITION TCI THIS GUARANTEED TO SURVEY 4 A VIOLATION of SECTION 7209 OF THE ELLEN L. BARKER NEW YORK STATE EWCATION IAT/ k COPl E3 OF'TMIS SURVEY NOT \EARWG THE LAND AMERICAN TI vJN9~1lR 0. SUR VEYOR~S INKED SEAL OR EN\OSSED SEAL SMALL S~ } NOT \f CONSIDERED TO \E A VALID TRUE COPY (yp yV O k GUARANTEE! INDIUTEp MER[ON SMALL RUN ONLY 10 oyLP ~o HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME hEesoN fOR wlloM THE SURVEY IS PREPARED ANO di NIS \ENAIF N THE TITLE COMPANY, GOVERN- 1` k NEAREST WATER SIAIM.MI. S kSOURCE OF WATER PRIWTE _PU\LIC_ MENTAL AGENCY ANO LENDING INSTITUTION LISTED R PUFF CO. TA%MA? pST 1000 SECTION 10g HACK DII LOT 003 HEREON, AND TO THE ASSIGN FES OF THE 1EN01N8 R TNLRE ARE MD OW[LLIN\f WITHIN 100 FEET OF THIS hROPfRTY INSTITUTION. DUARANTEES ARE NOT TRANSFERA\LE TO ADOI TIONAL INSTITUTIONS OR SUS SEOUENT OTNCR THAN THOSE SHOWN HEREON. OWNERS M THE WAT[11 SLIMLY AMD SEM41\E DIS?OSAL SYST[M fOR MIS RRIDfNOE R DI STANCES SNOMN NERCON FROM ?ROPER7Y LINES WILL CONFORM TO TN[ STAMDAROS Of TMf SUFFOLK COUNTY DEPARTN[NT TO E%ISTIMG STRUCTURES ME fOR A ShECIFIt ~ q g93 AMLEtM1T \[RVICE\. PROPERTYAIINE SR OR ORT NEEER ECTIOM Ea FENICES ~~'TFO (AN SD['~~ - ADDRESS TEL. YOUNG & YOUNG RBI ER~FIEAD"~wAiroR~KE NOTE ~ ~ = STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ANO LAND SURVEYOR N.Y.S.UCENSE N0.12845 SUFFOLK CO. ON MAY I, 1923 AS FILE N0. 776 ~~d~ HOWARD W. YOUNG, lANO SURVEYOR /~J-~` N TTE lOGT1011 Oi WELL(W), lEPTIC TANk(!TI•CESSh00L3(C?) SHOWN N[RfON N.Y.S. LICENSE N0.45B93 ARE FROM HELD OMERMETIONS MID OR DATA O\TMN[D FITOM OTHERS SRANDIS A SONS INC. 1048 F~LEASE NOTE It is the appHcant'~ f~e~ss~pppTiSibiti{y tQ maintain adequate sanftary distance between ail water suQply and sewage dlsposat facilities. ~o 7 S~ o„ s P wY ~ SOS Ps o r ~ 0 0 ~ o ~ 1~FY~' 6 Q5~• 90 ~P e ' ~ Q,< O o, p~,c ~j 00 { c~`ZO o~~~E ~ l 9 L, rJCq i"I UnI ~ ~ P O ,p60 9,A l ~ s^~ ~`i ~ f 9sp ~ S ~ ~ O ~ J~Op ZOp'~ ~p'~ 1 gyp,, ~ z 5y p•~~ Illy F ~ > c,. 9~m ~ ~ ~ ~k ~ ~~v E 'A~ ~~o - - a - ~ ~ P i oe~~ -c, TEST HOLE SO \~0 0.0 ~~q O. SANDY F V i LOAM ' tl mAYA' ~+r~' 3.6 . i._~ SAND ~ir{° .r_A:. s"36k €Yx-e~s`~?ti =•s .afi~-, 4 ~ ~p~ 1 .J~~ SAND k ~1~/1rrrr~~yIA~rtMU~ ~C7 ~ry*-*r/:~ 1~7j~~wY~ti'?~ e ~ `-Vt1 l~~rt_~~ C f.+:/ ~Lr j ~(C~CC ~8 GRAVEL C SYST~i'~ ~/~sC~°T O,c 170 SURVEY FOR ~s SUFFOLK COUNTYa DEPARTMENT OF HEALTH SERVICES ELLEN L. BARKER FOR~APRROVAIOFCONSTRUCTtONOF LOT 26,' MATTITUCK DEVELOPMENT CO.,INC. r AT MAT71TllCK DATE APR. 5,1986 ~ Single Family Residence Only i 7 70WN OF SOUTHOLD SCALE I" = 30' ~ DATE..~J HS N0. gUFFOLK COUNTY, NEW YORK No. 33-0297 APPROVED Mu1wUTNOR12E0 ALTERATION ORADDITION m THIS GUARANTEE 9URYEY 6 A VIOLATION Of fECT10M 7209 OF THE ELLEN kRERvF F NEW YORK STATE EOUCATI ON LAW W ~ CE, C~. EXPIRES TWO.YEARS FROM ATE 0 APPROVAL R SSOPIES of MIS SURVEY NOT fEARINO THE LAND AME u ' SUi1VEYOR'S INKED SEAL OR lMfOSSED SEAL SHALL rtD W, 9 NOT DE CONSIDERED TO fEA VALID TRUE COPY y1P' ~'O 'r N6UARANTEES fN01CATE0 HEREON SHALL RUN ONLY 10 O G ' HEALTH DEPARTMENT-DATA FOR APPR0U4L TO CONSTRUCT THE pERSQM fOR WMON THE SURVEY IS PREPARED ~ 2' Z ANO ON NIS fEN11Lf Tb THE TITLE COMPANY, OOVEIIN- N NEAREST W fIA1N.MI.I NSOURCE tK WATERS M11YNTf PWI.K_ MENTAL AOENCY ANO LENDN/8 INSTITUTION L{STED I M PUFF CO. TAX MAp DIET 1Q.4G-SECTION .J9S. KOCK SLL. LOT~OS N[REON, AMO TO THE ASfI0NEE3 OF THE LENOINO N THERE FR[ NO ,OWI~LIINIf WITHIN 100 FEET Of TNb FROF[RTV INSTITUTION, OUARANTE[S ARE NOT 7RANafERABLE OTHER THAN THOSE S OWN HEREON. TO ADDITIONAL INSTITUTIONf OR SUESEOUENT M TN! WATER fUpM,Y SlWAff DlfpOfAl SYfTfM F'OR 7MIf RRIDENCE ONSTAMCfa 9NOWN NEREOM FROM pROpER'TY LINES Np WILL CON?ORM TO THE STAMOAROf OF TN[ SUFFOLK COUNTY DEPARTNENT TO EX1ftIMf fTRUCTU,REf ARE fOR A 3PlCIFIC ~O Q. OF NpLTM aERY4CES, q pURpOSE AMD ARE NOT TO fE USED TO ES7ADLIaN (AND SURV AFpLICANA G 4L L^~ ~ ~6,~BH 6TY'; PIIOPERTY LINES OR fOR THE ERECTION Oi fENCEf A0011Eft L~„~ l.n..K.,~ ny}TT-I'rv~K Nv _l4sz 4000STRANDER AVENUE nl. z9 x ~ GCS YOUNG & YOUNG RIVERHEAD, NEW YORK j NOTE ~ O = STAKE ALDEN W. YOUNG PROFESSIONAL ENGINEER t SUBDIVISION MAP FILED IN 7HE OFFICE OF THE CLERK OF + SUFFOLK CO. ON MAY 1, 1923 AS FILE N0. 776 AND LAND SURVEYOR N.Y.S.UCENSE N0.12845 HOWARD W. YOUNG, LANG SURVEYOR N7IK LOCATI0I Of WRLfN'>,fEPnc rANKlsrls efffroOLftC?1 aNOwN HEREON N.Y. S. LICENSE N0.45893 ARE FROM MELD oaERwTloxa AND oR oArA OfTANlEO FROM o*xERf BRANOIS A SONS IN - - ,~I + PLEASE: NOTE it is the applicant's responsibility to maintain adequate sanitary distance between ail water, supply and sewage disposal fac+lities. s~ 6oh sa s~ o„ s ~ a ~ o yc^ QQ~~ sp`r~- `OS% ~l1 r \ OO O~ ~G~~n ~O Co ~O .C~. v~\ ~F o'~~` 2rO o5 p°~ 'G t~s ~ ~ ~~~;:.x : - Qs - - ~ eo"'` t ,t Q~ Py O. \ OO J~ 5~0~ ICJ. 9 ~ ~ O p66 i V~ ~ s. np2~so ooh. 21 °s~p, h2o~ <i , F~. s ~~J pJ oQ~~~ TEST HOLE S~ ~ o.o ' OMF J\ SANDY ( - \ ~ `~yO ~ - LOAM 3.6 ~F ~ SAND - - _ 42 ~ r r. _ SAND.`.. - ' S' 1gg t9 GRAVEL H~FiDT Izo SUFFOLK COUNTY bEPARTMENT OF HEALTH SERVICES SURVEY FOR ifs ELLEN L. BARKER FOR APPROVAL OF CONSTRUCTION OF LOT 26, "MATTITUCK DEVELOPMENT CO., INC." Single family Residence Oniy~ ~ AT MATTITUCK DATE APR. 5, 1988 7OWN OF SOUTHOLD scALE I" = 30' DATE H F. N0, SUFFOLK COUNTY, NEW YORK No. as-o297 APPROVED NUINUTHOMZ[0 ALTEMTIONORADDITION To THIS GUARANTEE EXPIRES TWO YEARS FRCS^, OF APPROVAL 1f1EwYYOivl4c STATE EDUCAT~oN (ANON 7209 OF THE ELLEN L RiFfE F NFn, N CO?IE! OF THIS SIMVEY NOT BEARWO iM[ LAND AMERI N ~aJJJ~,I 0. SURVEYOR'S IMKEO E[AL OR CMBOSSED TEAL SHALL N07 C,ON 9ID EREO TO fE A VALID TRUE COPY Q~ BOG N GUARANTEIf NIDIGTlO HEREON SHALL RUN ONLY 10 ~ ,Z` Z HEALTH DEPARTMENT-DATA FOR APPR01A4L TO CONSTRUCT THE rtR~ON FOR weoM THE SURVEY IS PREPARED O ANO 011 NIS BEHALF TO THE TITLE COMPANY OOVERN- N NEARElT W fIAIN~MI.2 NSOURCE OF WATERS MIWITE PU/LIC_ MENdI AGENCY AND LENOINB INSTITUTION LISTED N Wff CO. TAx MAP pqT 1QO.Q, SICTION .IQ~KDCK .41L L07~0y NEf1E0N, AND TO THE Alf18NEE4 OF THE LENDING N'TN[R[ ARE MO DW0.LIMf~WITNIN 100 FEET Of TMif ?RO?fRTY INSTITUTIpp11 OUARANTlLf ARE MOT TRANSFERABLE OTHER THAN THOSE; fNOWN HEREON. OWNA~STIONAL INSTITUTIONS OR SUBSEQUENT NO N THE WATER SYMLY MID BEWARE DIS/OfAL SYfTEM F011 TNIf RRIDENCE ~ b WILL CONFORM M TN[ STANDARD! Of THE SUFFOLK COWITY DEPARTMENT N DISTANCES SHOWN HEREON FROM ?RO?ERTY uNEf QF HEALTH fEMlt[f. TO Ex1f71M8 STRUC TURff A11E FOR A SPECIFIC (ANDS VEyO ARLICAMT. PURPOSE ANO ARE NO7 TO BE USED TO ESTABLISH C'L LC ~ ~iAR11EP PRO?[RTY LINES OR FOR THE ERECTION OF FENCE! , ADDRESS ~o~L ~fSnns It'14~TtTU~+C NY GlRS2 TEL. 2~8 $b~s YOUNG a YOUNG ~~T o"~w „oR E NOTE ~ ~ = STAKE SU@DIVISION MAP FILED IN THE OFFICE OF 7HE CLERK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUFFOLK CO. ON MAY 1, 1923 AS FILE N0. 776 AND LANG SURVEYOR N.Y.S.UCENSE N0.12845 HOWARD W. YOUNG, LAND SURVEYOR NTNE IOGTgN OF WELLMI,PEPTIC TANK(STID CEBSIOOLf(M)fN01YN NG[OM N.Y. S. LICENSE N0.45893 ARE FROM HELD OpERWTIOMS AND OR DATA OBTMN[D fROY OTH[Rf B SONS INC. 1046