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HomeMy WebLinkAbout17094-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218130 Date JUNE 20, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 400 PETTY`S DRIVE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 014 Block 002 Lot 008 Subdivision PETTY'S BIGHT Filed Map No. 5859 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 1988 pursuant to which Building Permit No. 170942 dated JUNE 10, 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 ATTACHED GARAGE AND DECKS. The certificate is issued tc DINO & DESPINA DEMETRIADES (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-63 JUNE 16, 1989 UNDERWRITERS CERTIFICATE N0. PENDING SLIP APRIL 17, 1989 PLUMBERS CERTIFICATION DATED DINOS ZERVOS JUNE 20, 1989 Building Inspector Rev. 1/81 Fosas xo, s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEf{ON OF THE WORK AUTHORIZED) N~ 017094 Z Date ........dG4~l.'4A-.....~ ~ 19..A..~ Permission is hereby granted to: ......c~ ...a.::.....~?.:.~...........c.r.~.~...7.......... r , at premises focoted ot ....`~'.~.........}s......7.J.~:S..1!~............~1??~.:°r.>~ ......................................................................1.......................................................................................... County Tox Map No. 1000 Section .........Q.1.~...... Block .......Q::?::....... Lot No.......Q.~ pursuant to application doted 19..4.., and approved by the Building Inspector. Fee $..~.~~4..:.75/.. .......tlti Budding Inspector Rev. 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPARTSIENT D~ TOWN HALL ~ ~ .IU~I z V 1'~ ~1° tl r.~- SOUTIIOLD, NEW YORK 11971 765 - 1802 - . APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE AID.. ~ L9$"J.. . NEW CONSTRUCTION _~/,....OLD OR PRE-E%ISTING BUILDING...... VACANT LAND........ Location of Property. ~'°0........C'E~`5 _ Iarz1VE~_ _ 0121EN:1 ~ I~I.^/. It ~t"~'~ HOUSE NO. ~ STREET HAMLET'.. Ovner or Owners of Property..l~YIVCS:-F_~CS}~I(~R___b~~ET{ZI.A-I~C~.s County Tax Map No, 1000 SecCion .Q~~.. Block ~ Lot QQ~... Subdivision Filed Map ........Lot.......... Permit No. ©.I.1O:3y.Z:,Date of Permit ~~~o~£S~, N '~E12~ ..AppLicant .~.~..Q`-'?.... f-f,D,Rvg~:H g7q~S0--63 Health Dept. Approval -,11~.~~')I.~.1....... Underwriters Approval Planning Board Approval Request for Temporary Certificate .......'Final Certificate Fee SubmiCted: $..,u~,s:d O._..._._._. _ ~ 1 ' APPLICANT.~.~:1,zS .4f•,a;-~„~-~-£°.~~/.~?-~`.~, ~ - Z~.,-ems j~_©. (3~: 5-0:35 ~~~,/~y GO z /x/30 tev. 10/14/88 TEL. 765-1802 oS~FF~~Cp~ TOWN OF SOUTHOLD ~ OFFICE OF BUILDING INSPECTOR ~ z P.O. BOX 728 t°rr ~ TOWN HALL dQ~~ ~ ~.aOt- SOUTHOLD, N.Y. 11971 "~l 1 C E R T I F I C A T I O N Date ,Jf) p1F~°j Building Permit No. C~t"7 C~9 1~. ~ owner 'D~NO~ 'bESNPNh D€ME1121~5~~~ (please print) Plumber DpNOs `ZE12V0 °f~l'umb~rs ~ie.~ ~3~I~P (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ~2~-~ (plumber's signature) Sworn to before me this ~ p day of ~ ~ ~ !U2 UD-~ 19~` Notary Public Notary Public,~ic,~~~,p~_- County 7j'~'"~ HELEN K DE YOE NOl'Mn' PUBLIC, State ai New Yak Ne.4707870, Setfelk Cou~dt' Term Expires MercO 30.19-~ i FIELD INSPECTION DATE COMMENTS .ro + ` sty] ~ 1. 7 ~ H p r y -I_ _ FOUNDATION 1st, u ~ a cn O` FOUNDATION (2nd ~ ~ 2 . z, o'yg~ ROUGH FRAME & O PLUMBING p --S i o y J O ~ 3. - ~ ~ P7 K y . INSULATION PER N. Y. STATE ENERGY CSODE x a ~ r d` ( y 4. FINAL o, z ADDITIONAL COMMENTS: ~ 4 - ro H H H p O ~ µ z x rn ,6 C ~ H ~ x u d o ~ ~ ro ~ y W 765-1802 BUMLDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS CATION [ ]FRAMING [ FINAL REMARKS: DATE J ~ INSPECTOR ~ l ~o ass-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. (]FOUNDATION 2ND [INSULATION [ ]FRAMING [ ]FINAL REMARKS: v~- DATE ~ O i" INSPECTOR ~ ~.x 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ OUCH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [FRAMING [ ]FINAL REMARKS: l3"' ruii-d DATE O (fd INSPECTOR ~ b 2~0~~~- 'ss-isoa BUILDING DEPT. I NSPECTIAN [ ] FOUNDATION 1ST [ ] ROUGH PLBG. (FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ C~uv11~ ll~ttyr,.~ ~ ~ . _ r ` I ~~qqi DATE $"Sl INSPECTOR(/wu " i~D~'~~ 765-1802 GUILDING DEPT. INSPECTION [FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] iNSULATiON [)FRAMING [ ]FINAL r REMARKS: ~ f t DATE INSPEICTOR ~u~~~ -w { G .p THE NEW YORK BOARD OF FIRE UNDERWRITERS 'f f"~l' 1 I ~ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 0038 xftl[~Yf, 1.3t2~ La8r1..,i1^~s'f#~+~~5 ~>7~:a~~7 Date ~PPlieation No. on fele THIS CERTIFIES THAT only the electrfcal equipment as described 6elot%and introduced by the opplicant named on the above application number in the premises of F1t~i<);i AF:P~?~7!'RY7~R;S iia`i'~'S"~i ttif.; :aka".w;f5'P. ~t.r, r~ rr~~ t in the follouiaq hrca aory;, Q q g ent LJ !at FT. LJ 2nd Fl, xsllff Seetirm Block Lae # (f LUkr V J ~ 3'~.'+~~' rvos exarnfned art and found to be in cornplionce uith the regafremenra of this Board. FIXTURE ECEPtAClES SWITCHES HXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FAN5 OUTLETS INCANDESCENT FLUORES<EM OTHER AMi K W. AMT K.W. AMT. N.W AMi K W. AMT. N P. 77. `,iU G(~r i~7 ~'i .3 ~ A2 DRYERS FURNACE MOTORS FUTURE APPl1ANCE iEEDFAS SPECIAL REC'PT TIME CLOCKS 9Ell UNIT HEATERS MUITLOUTUiT DIMMERS SYSTEMS AMi. K. W Oll M, P. GAS N. P AMT. NO, A. W, G. AMi yAMP AMt. AMPS, TRANS. AMT H. P NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AML. AMP, rypp METE0. 1 2W 1 % 3W 3 % aW 3,e dW NO. OF [C COND. A W G. NO. OF NI-lEG A' W' O NO Of NEUTRALS A' W' G' EQUIP. PFR % OF CC COND OF HI-LEG OF NEVTRAL fsl{I ~ ~ ~S~i OTNER APPARATUS: ia.~'',L~. i.: C,~t;@~ lTz Laa~t~;eiAlada 'Ztir{.. T.tTT' ~3&3bTf i~tflt'k'ztf)fr0, z'X, 17.~sY1 GENERAL. MANAGER it fem. r' - Per I'~~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified~~l5y~their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. O~ In ,A W N N ~~b[~sJ~~~ ~ ~ H ,17 b7 H H ~~~~~z~ ~ ~ ~ ~ ~ ~ ~ k x ~ P ~ z'yz~a~ ~ ~BgNy~ ~ ~ H~.a~ro ~ r ` A ~rzro~O T~ y A ~ ~ ~ A ~ ~ R ~ in H ~ .-v ~ ~ p t~ h ~ ~ w N ~ ~ to ^ w H G r-. ~ ~ ~ ^ n~ ~G ~s A o ~ ~ 1~ C A ~ 01 c ~ ~ ~ y A N N n ~ D ~ "°c~~` p D ~ ~ ~ a b z r-- W W ~ ~ n c W ~ A ~ ~D ~ C/ ~ e i N s ~ Cif ~ C~ ~ O ~ ~J : Z z z~~~ o 0 0 0 0 0 o F ~ N~ b 0 0 'v, o ~ Co ~ ra p, ~n w O ~ UI V m '1 ° D Q 6` N x ~ Q o ~U ~ 9 ~ G) O~ d~~~ ab y ~ ZM n' ~ a A O ~ ~ 0 ~ ~ o o° o ea;'r~ ~ A A m ro , rn ~ ~ ~ M Z yC' `„'c \ 9CF ,h A~ O ~y 2~~NEER ~ ~ ___~.__~M~,,,,. i Z D BOARD OF HEALTH ~~'J~.•. 3 SETS OF PLANS Q'r•--.~R-~'~~'~'~ FORMNO.1 SURVEY ....Q:~... ~ TOWN OF SOUTHOLD CHECK ~ •~3~9 • - BUILDING DEPARTMENT SEPTIC FORM • • G• ~ • • • • • • • ; BLDG. DEPT. TOWN HALL TOWN OF SOUTHOLD ~ N O T I F Y .~OUTHOLD, N.Y. 11971 CALL • . ~a ~ as~~t~ • • - TEL.: 765-1802 1 MAIL T0: Examined . 19 b',8 Approved . ~.n.., 19 Permit No. ~ ~ ~ 9~.'L. . Disapproved a/c (Building Inspector) - APPLICATION FOR BUILDING PERMIT Date ...~uNG..I 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 builduigs 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 building for necessary inspec ions. 1 (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 or builder. Name of owner of premises ..~»©..~...~~P1,N~... DEM1_.l.(Z1l`)pE~ (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....I ;,~r~.$6.. -.l~l.Z....... . Plumber's License No. v~-.~J `:`.~.~....Q....... . Electrician's License No.~ 6.3~r. F:.. ?".~T~- . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ ~ E.~.) S ,131,0; ItT , , , , , , , , , (~E 1 TY ~s'.. , ,D,121 V C . „ .........O RlL",tJ T ...............Y.40. ....)..tom ey,, I i9 5.~.... House Number Street- Hamlet County Tax Map No. 1000 Section ....Q 1 `.t.......... Block d~:.......... Lot ~Q~ . 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 ~ Y~~.~~..~ o'~:....... - . r b. Intended use and occupancy ~AY~S~;wc;~ • ..I. A~'+x • • ~ ' I 3. Nature of work check which a' . . hcable New Buildin ~ 'Alteration r.'....... . Repair ( .Removal gDe ~ition • • Addition ; , . t ' Description) 4. Estimated Cost I $O!,C}'p dl,.: c. c3 Fee a.'.3...... . (to ba paid bri filing this application) 5. If dwelling, number of dwelling units ~.:~:0.1~ t ~.y... Number of dwelling units on each floor . . If garage, number of cars cor..~,o~:@:~~ . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . Height Number of Stories . Dimensions'of same structure with alterations or additions: Front Rear . De ~ h ......................Height ......................Number of Stories . w~". ruction: Front ...6y Rear ~O~P.......... Depth ~Fi ; . Dimensions of entire new coast ~ Hei ht 3oi t Number of Stories ~rr2 . 9 i Size of lot: Front .~-U~t~..',............ Rear l `b.~--r~#`~''........... Depth 3Ca...7p........... . 10. Date of Purchase .A ~ g'7 .Name ofA Fo er Owner ><1,h~'hQri~..:~..~r~~. . 11. Zone or use district in which premises are situated .....R.~S i 5"l ? . 12. .Does proposed construction violate any zoning law, ordinance or regulation: ....111PJ . 13. Will lot be regraded ......NS? ...................Will excess fill be removed from premises: Yes 14. Name of Owner of premises D.~.p~w.t:f.V-ia~r~.e5 Address X009 tslosl.;rc~•i~~h,gv~, Phone No~~J~ . G66-:~`}4`h. Name of Architect ..................Address ............'.......Phone No............. . . 15. Is this ro ert located ~R~QS ' ' ' ' • Address P.t=~.$tlK X35.. o.~~~NT Phone No. ~ ~`h"!-~ °'z 4'?!'zs Name ofCpntrpactoyDlN~,S..•',within 300 feet of a tidal wetland? *Yes~~:~~~5.~ No • *If yes, Southold Town Trustees Permit ma be regwired. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc) number or description according to deed, and show street names and indicate whether interior or corner lot. o t N'ic-Rlor2 Lo.r ' p i ~ ~g 1' 3,~ ti O ~ n LAT.., 1 i ~ ~N~ cn i/ rr'~ , r'r " ~4 ~ _d ' ~ Lc3Y- S ~ a ~ ~ a~_ I, xo~. ~ ~1 M ~ ~ ~ ~ D~~ ~ ~ I Y~S I~•~~~~`\ .?nom ' °o ~ STATE OF NEW YORK, '~h ~ COUNTY OF S.S ' (Name of individual si ~ ~ ' ' ' ' ' ' ' • • • • bein'g~dlaly sworn, deposes and says that he is the applicant grting contract) 4 4 ~ . above named. - ~ _ Heisthe m..................'................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed 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. Sworn to before me this ~ ~ . •dayyo~f ......~?l. G~-~s],:......, 19 Notary Public, ..~~~-~..~..~.../.1,j.. .L/....Q'... County T~xm ixpiresllA rs~ch 3~1 e~ Y4 R. ~ :"~O . C3 (Signature of applicant) ._;i._T r nil'. C~2 ~N ~ ~ ` • ~ a~ ~ ~ 20 sr ~ !s~.2 0~, ~ S F :~J` O ~9~0~~. ,Y,~b, G ~ °T 2 " ~~y ~ _ _ 1 ~ , 9J, F~ ' 'S'.d y , q~.OyO 9y -f~ ~ ~ o\ s ~ ~ ~Z C - , .QG~ s _ .a y ~ ~ ~~S7S~ . ' V ~ ~~~~"y - . oy9rOU'~ ~ ~ A ' M ~ ~ o h~ ~ bEGK CO / 3 w 2'9J Ig'_I" 30' ' N I p /v 11"e Se P'/ ~ 1~ / ~'1 / ~ ro M r-~rI .+3~,+~,y~°as~j ~m~," "~av ~ ,~-tty ~il~aq~~,c~ 1,. - ~ .W~"A7~#~11d 6'1~~'7•Tt~ ~ fr:l ,"E~wt~5~ ~a a,eb e:G E- ~ ~ ~ ~ ~p ~~~6 y h7 ~ f S a2`s: ~ B` ~ ~ ~ , ~ ~ ~ ~ z = - -fi'r' ` m" ~ oo, ~ x~ U ` ry'~~1 ~ 0300, i a i O r~~~l ~ ~ ~ ~ ' - .1 ' ~~~4~~ ~ ~;N ss~o r: °0 3 O SURVEY FOR ' D/NO DEMETR/ADES 9 DESP/NA DE`METR/ADES iUFFOLK COUNTY DEPARTMENT OF HEALTH SERVIGEb COT NO. 4,~~PETT~Y~S B/6NT " AT OR/£NT DArE AuG. /a /ser FOR APPROVAL OF CONSTRUCTION ONLY ~ ~ SCALE 50'~ '~1' pp TOWN. OF savTHOLO DATE I~ ~ H REF. O:g~ S'~- \j j' SUFFOLK COUNTY,'NEW YORK ~ NO BT'-107,9, M UNAUTHORIZED •A LTERATION OR AODI71ON 70 THIS ~ ~ SURVEY IS A VIOLATION OF SEC'TIDN '7209 OF THE PEE dF ~Fk' ~ tL APPROVED NEW YORK STATE EDU CA tIDN l'AW. ` K COPIES OF THIS SURVEY NOT BEARING THE LAND. ~ ~ ' SUR VE YO'R INKED SEAL OR EMBb$~SED SEAL SHALL (YD W, ~ ~ ' NOT eE CONSIDERED TO BE A VALID TRUE COPY jQ r ~ ' MGUQRAN TEE 8'.INOICA TED HEREON SHALL RUN ONLY i0 ~ d - HEALTH OEPAR MENT-pATAFORAPPROVALTOCONSTRUCT THE PARSON FOR WHOM TME~'SURVEY IS PREPARED„ aF 'r 2 . ANp ON.NIS'BENALF TO THE TlflJ: COM PA NY, GOVERN-Q $NEAREST WATER MAIN,_ML! _$SOURSE OF WATE RI PRIVATE i?PUBLIC MENTAL ACiE,NCY AND LENDING'' IN5TLTUTION LISTED iF 3UFF. CO, TA%MAP~DIST. ,oeo gECTION ~/4 BLOCK o2 LOT oo HEREON, ANb TO TWf .A SSI'GNEE9 OF THE LE,N DING _ iF 7H¢RE,;ME NO DWE ILIN WITHIN 100 FEET OF THI9 PROPERTY INSTITUTION, GUAgANTE ES ARE NOT TRANSFERABLE - - ' OTHER_Yi[¢N TN09E BROWN HEREON. ~ i0 ADOI TIO'NAL INSTITUTIONS OW SUBSEQUENT ~ ~ ' iF THE WATHW SUPPLY AND SE WAGE DISP09AL 9Y3 TEN FOR THIS RE9IDE LACE OW NER$. ~0 4589 ' , WILL CONFORM TO THE STAN DAR OS OF THE 9U FFOLK COUNTY DEPARTMENT * OIS TA LACES SHOWN HEREON FROM KRONER TY LINES ~ , OF MEAITH 9ERYIQEg ~ TO ExISTIN¢ STRVCTURES ARE FORA SPECIFIC ~ ///JJJ i PURPOSE AND ARE NOT TO BE. USEC TO E4TA BLISH, ` y ' APPLICAN L' iNl7S DFMF T'~.t V~D~ S PROPERTY LINES OR FbR 7HE ERECTION=OF FENCES. ~ 'BD 0 ADpREBg~~J A ~ ~ ~ - ~ ~ ~ , ' Lrrx~~ ~~W ASL~LNCyTcN ueFVC',= ©Lb'`TYtP~~~l ~ .h~~('! - W ~ ERS - re~~l~~~, 4fi~ . ~ I ~~I V V : YC~~~~V RIVERM~AD~NEW YORK~~ ' SUUBOPV/S,/ON~MAPFfL£D /N7HEOFF/GEOF7HECLERKOF ~ ALD~N-W YOdNGaPl~OFESSIONAL,~NGfNEER ~ '~I°'~ ' ~ 11MD,~.AN61' SURVEYOR N.Y.S. LICENSE Nq,17845 ~SdffOLKCOUNTYON:?AN.26, /973AS~F/L~NO: 3"659 ~ I ~ _ ---~'--tir~~a. ~ ~ HOWAR,p, W. YOUNG, LAND SURVEYOR ' "IE THE LOCATKRI OF WELL(W),SEPTIC TApIK(BTYBCEBBPOOLS (CP)SHOWN•HEREON - N,Y.S. LICENSE NO 45893 ~ ~ , ARE fR0 FIELD OBSERVATIONS AND bR DATA 0 AIN~D FROM 01 E 3 ~ 111 _ ~ `o 2c s ~ O •.9~. ~2 ~ y F TPO F ~2F Ops •n• ~~S l~O ~ 9s°~~ G2 i cZ~y VN. ~ 5 liW 9~ I ~`P qiS APO ~q'P.~ T~N OF .Q~VTM~ O.(•f ~ qS 9G~O\ ssO ,mot `fl~,'~<o rh ~ 0 c 'bp~.~ ~ F~~~, ~ p~. Fob p `s8 ~ qo M' O ~a. .4J~ ti O 0 ~ S9 3 P' /pp• P ~ 3_9_4 3p_O' - b 99 p' ~ `4 f a i 9 C/y~~~ ~ J^ ~ 4 r - - - - ~--~tl~ - - c i I t. m E ~ s v ?mss ' CO ~°o. ~O~b~ ~ - s~O ' o U ~s1eQ3O0 AY I ~ ' m it - ~ ~7Qj~~ ~ ~ ,o ~o CO ; N I ~ ~~10 ~ 7 3 f ~ ~ ~ iURVEY FOR ~~~•~eY'I^^T D/NO DEMETR/ADES Q DESP/NA DEMETR/ADES I LOT NO. 9, PETTY S B/GHT' ?ULY/3,1988 ?UNE 7, /9BB Ar OR/ENT nA-( AUG. /4, /9RT TowN of SOUTHOLD scAE F = 5D' SUFFOLK COUNTY, NEW YORK No 87-1079 i w uN AJryORIZEO ALrERAiION OR ADDI r'ON r0 THIS s_R~Er IS 4 vIOL AT'ON OE SECTION 7209 OF'HF NEw rORK SYAiE EDUCATION EAW ,.~y.TE OF Y~~ ' w LJP!FS OF iH~S SURVEY NOi BEARING !HF LANp S ~ SUR VE VOH 5 iNKF 0 SEAL OH EMBOSSED SEAL SHAT L Nu' aE consioERED ro BE A VALID rRUT ceR~ ay pRD W O~ MGUARANiEES :NDICAiW HEREON SHALL RJN ONLY'C O .~0 4 I HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT rHE PERSOn FoR wnoM rHE suavEr Is PREPn RED, ^Z' ~ AND ON HIS BEHALF t0 THE TfTLE COM PAN Y, GOVE FN- Z iENEAREST WATER MAIN MI!iF SOVRSE OF WATER'PRIVAIE?PUBLIC _ MENTAL AGENCY ANO LENDING INST17Ut10N LISTED Q ' iF9UFF CO TAX MAP GIST ieeo SECTION O/¢ BLOCK LOT ooB ~ HE HEON,4ND t0 THE ASSIGNEES OF THE LENDING iF 7H ERE ARE NO DWELUN09 W17MIN t00 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOi TRANSFERABLE OTH ER_THAN TH09E SMOWH HEREON TO ADDI TIONAI INSTITUTIONS OR SUBSEQUENT OWNERS iF THE WATER SUPPLY AN09E WAGE DIS P09AL SYS TEM FOR THIS RESIDENCE {F DIS TA NCES SHOWN HEREON FROM PROPE RiY LINES / ry0~ WILL CONFORM TO THE STANDARDS OF THE SU Ff OLN COUNTY DEPARTMENT I/~/// OF HEALTH 9ERVIC ES TO EXISTING STRUCTURES ARE FOF A SPECIE IC PURPOSE AND ARE NOT i0 BE USED TO ESTABLISH ~ APPU CANT PROPERTY LINES OR FOR THE ERECTION OF FENCES GND VET ' ADDRESS Q 400 QSTRANOER AVENUE _ _ rEL - I O V I V V Q (O V 1 V lJ RIVERHEAO ,NEW YORK ¦=MONUMENT SUBDl VJS/ON MAP FLED /N THE OFF/CEOFTNE CL ERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER ' SUFFOLK COON/Y ON, ?AN. 26, /973 ASF/C ~`ND. 5859 AND LAND SURVEYOR NYS LICENSE NO 12845 - ~ HOWARD W. YOUNG, LAND SURVEYOR iF THE LOCATION OF WELL(W1,SEPTIC TANR(ST)BCE93POOL3 (CP)SHOWN HEREON NYS LICENSE NO 45893 I ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTNE R9.r f ~ r,,. , ~ I ~O , . s is . ~ ,o F~ c V ,`9i' 'S'am pO ' ,9~,9 LSD ~~~a~y` Q~ . fJ p~.y~ZS~~ 0. i1 . c Q ;a ~ 9 1 \ ~F~ 9,~q .i9 p'~~ ~.A ~ ~pq\ sy GG,~pT p~2 Sim ~C a ~ G ~ qG 3.~ Sam/, ~ O Q~9 /Q1'9ravi~d LS'.c~ ~ ~ .o /M I / ~ ~ / / w i / / i Cp ti~ ~/~ry~~ R, O~STOAy ~ / I ~0~ \ ~fC,F h I O nd `bi \`9 \ WOODOEOM/ j h A~a\ ~ YWp yy pN s9,6• 0. WOOOpOgy , 2 ry STY N 88~' ~ /9p X00. ~ O'E'~'g0 Fry Oi 'T C~MC. STOOP ~ O ~ ~ ``JJ ro ~ $ MAY 31 1989 ?93. ti H~~ S~E`RV~6~S_ m s ~s ~ e° w 9,. C o I o v 't'siaQ3oo i. ~ 1 - I 3~?3'9 ~ o ~l ~D. R~. # 8? - SU 6 3 ~o ~o _ DD : N .p Sa. ^ O1 30 µ°'`A t°' btt'`1G~ '2CYtVQS ~ Q ~eP3, h a S',o,8oX2o3S - OP w~ ~F ~ ©RIE~ j A),Y. 1145'? 0 Q ~)~i$- `~q/qo, 2 J 4; _ _ SURVEY FOR SUFFOLK COUNTY DEPARTMENT Of HEs;tT{1 SFJtVICES D/NO DEMETR/ADES 9 DESP/NA DE`METR/ADES Noy za, lsea SWGLE;'AfAI~VDVJrLt.1NC;CidIY LOT NO. 9,'~PETTY~S 8/GHT~~ JULY/3,1988 ' JUN ~ $ Sd ~/J JUNE 7,/988 nAr~.__._._Sz_.1~9ts. REF. N0. _ 7 ,7 Ar ORIENT DATE Auc. /a, /9a7 The selvage dl>posal and waterrsupt;;y izcdlties for ttlis TOWN OF SOUTNOLD scALE = 50' ~ location haae been i;lspacted u/ ihls Dc~})artn)ent and/Df SUFFOLK COUNTY , NEW YORK No. 87 - /079 : other ~encl and f nd t ot~sa?IS~c~ny. ` ~ CS ~ ~ UNAUTHORIZED ALTERATION OR ADDITION i0 THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE Chief of Bu(eau of N'asfewaier Management NEW YORK STATE EDUCATION LAW at COPIES OF THIS SURVEY NOT REARING THE LANG SUR VEYOR~S INKED SEAL OR EMBOSSED SEAL SHALL ~;(E ®f N~'w NOT BE CONSIDERED TO BE A VALID tRUE COPY S'( NGUARANTEES IN OIC 4TED HEREON SHALL RUN ONLY TO w, O THE PERSON FOR WHOM THE SUR VEY IS PREPARED, HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ h0 ANO ON N13 BEHALF TO THE TITLE COMPANY,GOVERN- ikNEARE9TWATERMAIN MI!iF SOURSEOF WATER~PRIVATE?PUBCIC MENTAL AGENCYAND LENDING INSTITUTION LISTED ~ ,r iF SUFF. CO. TA%MAP DIET /ooo gECTION O/4 BLOCK O2 LOT oag HERE ON, AND TO THE ASSIGNEES OF 7ME LENDING 7t THERE ARE NO DWELLIN~WITHIN 100 FEET OF THIS PROPERTY INSTITUTION 6UARAN TEES ARE NOT TRANSFERABLE OTHER THAN TH09E SHOWN MER EO N. 70 ADDITIONAL IN$TITUTIO NS OR SUBSEQUENT iF THE WATER SUPPLY pND SEWAGE DI9P09AL SYSTEM FOR THIS RESIDENCE OWNERS _ WILL CONFORM TO THE STANDARDSOF THE SUFFOLK COUNTY DEPARTMENT iF DISTANCES SHOWN HEREON FROM PROPERTY LINES I- OF HEALTH SERVICES TO E%ISTING STRUCTURES ARE FOR A SPECIFIC APPIICANT~ PURPOSE AND ARE NOT TO eE USED 70 ESTABLISH ~ I1Jp~ ~E~~-~ ~l ~pt, _ PROPERTY LINES OR FOR THE ERECTION OF FENCES ,ES£ I 3L Q ( ADDRESS iOO9 ~ ~ N~L~~ TEL ~ ~ Po 40~~OSTRANDER AVENUE YC)UNG a YOUNG RIVERHEAD, NEW YORK ¦=MONUMENT SUBO/?/S/ON MAP F/LEO /N TNEOFF/CEOFTHE CLEHKOF ~ ALREN W YOUNG,PROFESSIONAI ENGINEER SUFfOLKCOUNlY ON.?AN. 26, /973 ASF/L~FNO: 59 AND LAND SURVEYOR N.Y.S.UCENSE NO 12845 ~ - HOWARD W YOUNG, LAND SURVEYOR - ifTHELOCATIONQFWELL(W)~9EPTIC TAf~K(ST)BCESSPOOl4 (CP)SMOWN HEREON - N.Y.S. LfCENSE NO 4g B9D I ARE FROM FIELD OE9ERVATION9 AND RDATA OBTAINED FROM OT ERS