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Home My WebLink About28510-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30239 Date: 06/14/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4785 STILLWATER AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 3 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 2002 pursuant to which Building Permit No. 28510-Z dated JUNE 27, 2002 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, REAR DECK, SECOND FLOOR DECK AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to PATRICIA KIERNAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0089 02/10/04 ELECTRICAL CERTIFICATE NO. 1090510 01/27/04 PLUMBERS CERTIFICATION DATED 03/29/04 ERIK ENDEN th ized Signature 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. 28510 Z Date JUNE 27, 2002 Permission is hereby granted to: PATRICIA KIERNAN PO BOX 479 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT ENTRY AS APPLIED FOR at premises located at 4785 STILLWATER AVE CUTCHOGUE County Tax Map No. 473889 Section 137 Block 0003 Lot No. 010 pursuant to application dated JUNE 11, 2002 and approved by the Building Inspector to expire on DECEMBER 27, 2003 . Fee $ 988 . 20 i Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 ! TOWN OF SOUTHOLD PIP Aire 6,01Z& 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 Depart ont with the ffolTowmg: A. For new building or new use: = , 1. Final survey of property with accurate location of all buildings,property lines, s3reets,and unusual—na'iwa ' 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. 1 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. d `f New Construction: Old or Pre-existing Building: (check on Location of Property: .J- ��" / 4v,(--- 1v3� House No. Street Hahilet Owner or Owners of Property: ��'� K 1 L a-ey A'yj Suffolk County Tax Map No 1000, Section '7 Block 03 Lot 6 Subdivision A,//�-- Filed Map. Lot: Permit No. ",5-/0 ' Date of Permit. 4 027 c6 Applicant: V M--^/ Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: eck one) Fee Submitted: $ 'A � 3�a3 F �10� Applicant Signature 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY S 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 7 rj CERTIFIES THAT 5 5 5 Upon the application of upon premises owned by 5 B.J. ELEC. CO. PATRICIA KIERNAN 5 BOX 16 4785 STILLWATER AVENUE 5 STILLWATER AVENUE CUTCHOGUE, NY 11935 5 5 CUTCHOGUE, NY 11935, 5 Located at 4785 STILLWATER AVENUE CUTCHOGUE, NY 11935 5 5 Application Number: 1090510 Certificate Number: 1090510 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 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: 55 5 Basement,First Floor,Second Floor,Attached Garage,Outside,Attic, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 Sfound to be in compliance therewith on the 27th Day of January,2004. S 5 Name QTY Rate Rating Circuit Twe C,CJ 5 Alarm and Emergency Equipment S 5 Sensor 2 0 Carbon Monoxide Cj Sensor 7 0 Smoke 5 5 Transfer Switch 1 0 200 amp [5 Appliances and Accessories Cj 5 Dish Washer 1 0 1.2 KW 5 5 Exhaust Fan 4 0 F.H.P. 5 5 Furnace 1 0 Gas SPanels 5 1 100 15 5 Wiring and Devices 5 Receptacle 74 0 General Purpose S C5'J Switch 93 0 General Purpose 5 5 Fixture 49 0 Incandescent 5 5 Fixture 6 0 Fluorescent 5 Dimmers 3 0 5 Receptacle 1 0 20 amp Laundry sea! 5 Receptacle 1 0 30 amp Dryer e5 Continued on Next Page 1 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 location indicated. 5 o �� 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET -- NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 5 B.J. ELEC. CO. PATRICIA KIERNAN BOX 16 4785 5 ST LLWATER AVENUE CUTCHOGUE,UE NY 1TER A1935 S 5 CUTCHOGUE, NY 11935, 5 Located at 4785 STILLWATER AVENUE CUTCHOGUE, NY 11935 5 5 Application Number. 1090510 Certificate Number: 1090510 5 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below, located in/on the premises at: SBasement,First Floor,Second Floor,Attached Garage,Outside,Attic, 5 5 5 S 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was Sfound to be in compliance therewith on the 27th Day of January,2004. 5 Name QTY Rate Rating Circuit Throe Receptacle 16 0 GFCI 5 Service 5 Cj 1 Phase 3W Service Rating 200 Amperes 5 Service Disconnect: 1 200 cb 5 Meters: 1 7 5 5 5 5 5 5 5 5 5 5 5 5 5 S seal 5 5 2 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. 5 o�su�Fo�'�oo Town Hall,53095 Main Road �j, Fax(631)765-9502 P.O.Box 1179 Telephone(631) 765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT 2 9 TOWN OF SOUTHOLD CERTIFICATION Date: 04RCH z�� Building Permit No. Owner: ' Ak—r iC( 4—=R N A til (Please print) Plumber: L2 ( km� 'D E71,J ' Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 2 (Plumbers Signature) Sworn to before me this day of &fcv\ 20� &m A Notary Public, County %Wv pobNcpob(k.no of Nw?A No.ovDoW5321L Ton„ J*it 2 6 200 BUILD-1- Applicant/ Owners Name: ctiliLc�c�c . l <;t Reviewed: �� Architect/ Date. Engineer: Submitted, 0 2 SCTNI #: Dis(rict: 1_,0000 Sect on: 7 Mock: _ lot: ((D Project Subdivision I..ocation: 4)S S Name: Single S separate Required cer(ifcation: Yes /No Req. Req. —^---- lctaing 1)istrid (lot size: ��_( Actual: a, 30 7 I (Lot cuvera c I rttpcisC4 R rant Yard �Proposed:: / / I Rcq. , `� (I' po (Side Yard lST roposed: ) (Rear Yard pfd 6� aS - — Prows Project Description: A ENCWERMITS a it REoUIR.ED Fog REVIEW MA. NO YES Number Suffolk County Health Dept. lej o New York State D. E. C. ✓ Town Trustees Town Zoning Board..approval: Town Planning Board.approval: Flood Plane Elevation??? Flood Zone.: P,,,,, 3 �—t� A ,4 vv�-. &J Sa, ,� t, J , 2 5 2CJ2 TITLE NO: 43107Lo ---____ . ... District : Section: 137. 00 Block: 03 . 00 Lot : 010 . 000 Town of Southold Southold, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies to the Town of Southold that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and finds : SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the above- captioned property has been in single and separate ownership Patricia Kiernan and his/her predecessors in title since prior to 4/1/57 except as follows : (see attached chains of title) . The liability of the Company is limited to the amount of $25,000 . 00 . Dated: June 24, 2002 FIDELTNATIONAL TITLE INSURANCE COMPANY zv_� Z&6� — Andrea Williams Sworn to before me this 24th iday of June, 2 02 Notary Public ANN Ni« ��=�"1 No.Sb3a�68 TITLE NO. 43107 STATE OF NEW YORK) ss : COUNTY OF SUFFOLK) Andrea Williams, being duly sworn deposes and says : That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises : SCTM 1000-137 . 00-03 . 00-010 . 000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 4/1/57 . SUBJECT PREMISES: 1000-137 . 00-03 .00-010 .000 Harry Annabel Liber: 4370 cp 301 to Dated: 04/04/57 Mildred Kiernan Recd: 10/02/57 Mildred Kiernan Liber: 12027 cp 306 to Dated: 03/09/00 Patricia Kiernan Recd: 03/13/00 LAST DEED OF RECORD PREMISES SOUTHEAST: 1000-137 .00-03 .00-008.003 Norma H. Fleet Liber: 1566 cp 510 to Dated: 10/02/30 Harry Annabel & Mary Annabel Recd: 03/31/31 Vincent Annabel & Raymond Annabel, Liber: 9231 cp 440 as Executors under the Last Will & Dated: 08/17/82 Testament of Harry Annabel Rec1d: 08/26/82 to Edward Tashjian & Louise Tashjian, his wife Edward Tashjian & Louise Tashjian, his wife Liber: 9362 cp 197 to Dated: 05/23/83 Edward Tashjian Recd: 05/23/83 FIDELITY NA NAL ITLEINSURANCE COMPANY BY: Andrea Williams Sworn to before me this 24th day of June, 2002 ,,� Notary Public �yF1' • �':.�ot�ewYait Edward Tashjian Liber: 9439 cp 133 to Dated: 09/28/83 John Caraccia & Christine Caraccia, his wife Recd: 10/07/83 John Caraccia & Christine Caraccia, his wife Liber: 12068 cp 871 to Dated: 08/18/00 William J. Graf & Rec ' d: 09/07/00 Susan H. Graf, husband and wife LAST DEED OF RECORD PREMISES NORTHEAST: 1000-137 .00-03 .00-009.000 Harry Annabel Liber: 4397 cp 450 to Dated: 04/04/57 Eugene Annabel Recd: 11/27/57 Eugene Annabel Liber: 11529 cp 169 to Dated: 07/03/92 Gerard Annabel Recd: 09/01/92 LAST DEED OF RECORD PREMISES NORTHWEST & SOUTHWEST: STILLWATER AVENUE aj6zz"FIDELITY T ONAL TITLEEINSURANCE COMPANY BY: Andrea Williams Sworn to before me this 24th d of June, 200 Notary Public —, '°u'Naw YA t ., 3 Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/11/02 Receipt#: 104 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 104 Total Paid: $10.00 Name: Kiernan, Patricia Po Box 479 Cutchogue, NY 11935 Clerk ID: LBOHN Intemal ID:56609 suauINc DE". INSPECTION [ 1,r FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS:j A a^ DATE � INSPECTOR T6S-1802 BUILDING DEPT. INSPECTION [ j F UNDATION IST [ ] ROUGH PLB6. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE C� 3-S� fl l� INSPECTOR M-isoz suu.uiNa DEPT. INSPECTION [ ] FOUNDATION IST [ 7OUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE � F1IMNEY REMARK 1 L DATE INSPECTOR �C� 765.1802 i BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FQ{JNDATION 2ND [ J INSULATION 1 FRAMING [ 1 FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ALI- v DATE Oj INSPECTOR suiLDiNc oar. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 00, DATE � h�/03 INSPECTOR 765-1802 BUILDING DEPT: INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ j FIREPLACE & CHIMNEY [ J FIRE SAFETY INSPECTION P R E M A R K S 121 L3 DATE � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:- DATE - - EMARKS:DATE INSPECTOR '�'� .�E: Fu FOUNDATION(IST) WAIW"M FOUNDATION (2ND) WA IR Pro ROUGH FRAMING& PLUMBING pp LIMA MOR! 11 1 / INSULATION PER N.Y. STATE ENERGY [//��:J i i �a- ✓I�� fes`. ;i/ CODE liq o ADDMONAL COWWUM- 60 WAr . / TOWN OF SOUTHOr ,-! BUILDING PERMIT APPLICAT,)ON CHECKLIST BUILDING DEPART _.�'._ `'._ r ._.r'{ Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 119 , 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �- Survey J g0 ,Z— Check Septic Form N.Y.S.D.E.C. Trustees Examined 6 ,20 C6t Contact: Approved �i�� Z,20Mail to: Disapproved a/c Phone: 3 8 3 — 7 7 3 Expiration uildingUmpaWw p APPLICATION FOR BUILDING PERMIT Date �.�OAJ // 12062- INSTRUCTIONS 2062-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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, andoth plicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal d lition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing e,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) AI (Mailifig address of app t) J 11193f— State 1193f— State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder QWi4CA Name of owner of premises Po,�- r c i 0� K r n CL Y1 (As on the tax roll or latest deed.) If applicant is a corporation, signature of duly authorized officer A(14 Name and title of corporate officer) Builders License No. 1 f $ q0 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 137 Bl'�4' T Lot 1 D Subdivision iVf.3 1 Lot (Name) r • r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V aG A iy T L to r D b. Intended use and occupancy. g(r'j G'"t(=' rf�rml t y R C S 117 E 1'j C"e / 3. Nature of work(check which applicable). w Buildin � Addition Alteration Repair Removal D ' ' n Other Work 1 (Description) 4. Estimated Cost 1 + 00c) Fee (To be paid on filing this plication) 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor N Afi If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. i✓/.4 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories S. Dimensions of entire ew constructio : Front _ Rear Depth 5 Height ?�� umber of Stories 2 9. Size of lot: Front 1-56) /.5D Rear a 3 Depth / 36 f`,eIfkrs �1 10. Date of Pose 44a60o Name of Former Owner Al/ 14V e�f 11. Zone or use district in which premises are situated 40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO- 13. Will lot be re-graded?YES ✓ NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises -PeT KI C-KrJ 4ftJAddress P6-&X 4qq 6LA�PMene No. 76 3 S3--2-7 7 3 Name of Architect UA-90-WA. G 6a, Address(�x L4w4. Phone No t- 7*1-- 7 Name of Contractor c— 4 h-NIV ierlsLsG Address 43rro S61 44,Py Phone No. 631 15q - I 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY ZE QUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) SS. COUNTY Or 5j ?a c'C' being duly sworn,deposes and says tha (s) e is the applicant (Name of individual signing contract)above named, Pe is the �,� (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. ,r Sworn to before me this Jf� 1 day of Q 20 D s4 IL Notarlic Signature of Applicant DONNA J R Notary No.0{J7pN�� Oualikad in Suffolk Commission Expirm ApSI'30, ! g V. xCtPF AS PER ! !-Scv � tURMT-y' t�DIFW rob � S �OT S NE' trKSDtA Or tom';vE^rdt E S1&lA7URC AVPCARS NCRfQN. ,y� A COTCH00, A ¢ r WN nip .. «... SO� W D !1 - .IIA •,. SUFFOLK t � �� YORK s r, r ;.-�l�N FOR OR A a vNLY - - j 74AE 17 Y - AfIrig 1 F'Gf� i'rir }nf'1tJM �'IE9i? : tF --- '�"ZP.00tyr, YEAR' €'P ,-. r e APPFZCllAL `*Nx% 44 t � . '�► '�` S%X11 pF N f w y I art Familiar with the STANDat�DS FOR APPROVAL p A4D CONSTRUCTION 13F SUBSURFACE SEWAGE i,e�'r� �,,'' � �� P t.MErz'0 DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES � \ and will �Igid by t"!^r • conditions set forth therein and cin the permit to construct. The.•, utf f wells and cesspopis ,rhawr� hereon are `�� Y,S. LIC. NQ. 4 961 t:r~aitd. jW a vo tions and or oiiWcab +^ . gtes. • Arte s. C. 4'. -(634) 765-4 41 Elevations fie referenced to an assumed '4"W,'-_,xt T x ;t ma ANY ALTMAMN OR ADDIrmN rO TWS SURVEr IS A VDYArmw . CF SECTMN 72" OF THE NEv YORK STATE EDUCATZN uv.EXCEPT /��j /' 402ON AS PER D FOR r H2osW AND CDN 2. ALL CfRrD'D:Anf7�a o' ' C UR L 1 Y V l' P�i 0pir .r. fEREOw ARE vA+1D FOR THIS MAP AND COPIES nl�pEOF ONL r g' �✓ .. SAID MAP OR CUMS )EAR TW POWSSED SEAL OF of SMWYEIR VFgSE SIGNAruRE APPEARS ,�W �.�. A T CUTCHOCUR TO WN OF SOUTHOLD SUFFOLK COUNTY, NEWir 1000-137-03-10 SCALE: 1"=40' APRIL. 17, 2002 APRIL. 19, 2W tl�EVitS;aAt) `J PGP MAY Y 3,22 VISJ O D OCT. 24 2002 CIT/k LOC.) ,01 G / ns0 p;rA 101 cz e - � 1 s t �`�� ZEA � ��2� -' 2,y •/��°(� r----- C<G� 'r,C' �r `, �y s n r oXF,p AGS •�� ,� GOV I N0T .oG�F f QR�s 69�56►p0' pN N, ?Usk- 14" BRIG I am familiar with the STANDARDS FOR APPROVAL r-�c�� `�a ob S g3/f �`I� \41-TVA �0� NEW y AND CONSTRUCTION OF SUBSURFACE SEWAGE 9 �,y N C��E SPA 1.MET DISP❑SAL SYSTEMS FOR SINGLE FAMILY RESIDENCES �0 ?`'F and will abide by the conditions set forth therein and �J '� h �,, on the permit to construct. The location of wells and cesspools shown hereon are '(F` v o from field observations and or data obtained from others. LIC. NO. 49618 ECON P,C. Elevations are referenced to an assumed datum. y�,ryy 0631) 76 FAX:(631) 765-1797 ■=MONUMENTP. 0, BOX 909 u •=PIPE AREA=21,307 $.F, 1230 TRAVELER STREETSOUTHOLD, N.Y. 11971 02 — 'f 6 SCDHS Ref.# RIO-02-0089 AMY ALsERArzw w AoxrjtM Ta na suRvrY a A vmLArov � Wr At °' „ ` sr"� '„mS UR�Y OF PROPERTY t AS PER M=rJWFOR fK9-�f t ALL W ably 7RMS p AiIC VALID FOR 7HTS ,.,.1W9� a�LY jr SAID AMI w'S em 1H+E ASD SEAL ID TF+E SLR Vf Y0R ,, A T C UT CHO C U�" VNOSE Sm�rArueE APPEARS Hwft TO WN OF SO UTHOLD SUFFOLK COUNTY, NEW YORK 1000-137-03-10 SCS: 1"=40' APRIL 17, 2002 PX� APRIL 29, R002 (REVISION) V T ) J p�' MAY 3, 2002 (REVISION) L OCT, 24, 20022 (FNDTN. LOC-) JAN. 30 20 mw ib$i CV V 2W4 rid "M CER TnED Ta 'y �1`,w 4p; `Fo ,P F 1 ,�D �, �►`gLI 4 Vry I ars familiar with the STANDARDS FOR APPROVAL f�4,' � Jd � S SUS vI llvl AND CONSTRUCTION OF SUBSURFACE SEWJGE gj,Y"A,y �, N DvI pF NEW y DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES T2, �� and wlll abide by the conditions set forth therein and ,0��,1,McF� �1 '•', on the permit to construct: The location of welts and cesspools shown hereon are F; N. c LIC. N0. 49618 From field observations and or data obtained from others. EC C �- 4- 0631) < FAX.,C631) 765-1797 Elevations are referenced to an assumed datum. .9�.��, ■=MONUMENT 1"y P. 0. B *=PIPE AREA=21,307 SF.. 1230 TRAVELER STREET 102 — f 62 SOUTHOLD, N.Y. 11971 Z) %-S-1 o SCDHS Ref.# RIO-02-0089 ANY ALTERArIO4 QR AMTHN TV WS SWvEY IS A v, Q rXN p OF SPr *s 71'D!OF w zoq YORK SPATE HDUCATIIW LAV. SURVEY OF �+ T EXCEPT AS PARR SE FOR TED9—SUDDIYfSIDJ P. ALL GSRTIFTCAPIpNS O �Q HEREUer ARE VALID FOR THIS MAP AA(E l�PrES THETEfQF OILY !F `7�4' SAIL MAP DR t�+ffS z ,R THE lilPRESSED SEAL tJF THE SLRV£YOR J" v APPE VAT CUT COG U—E HUSE SIGi+MTUFF ARS N' TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000-137-03-10 SCALE: 1"=40' APRIL 17, 2002 APRIL 29 V S` -- -.- ..,.. .,. .... MAY 3, 2002 (REVISION) 40 GOWO OCT. 24, 2002 (FNDTN; LOC.) ol' JAN. 30, 2009 FiNAt. I 1�v i', C r .:•� + , '� . ;�i�%?� `Xti".�7�i0� �s aQ _tP.�� •� meg r .`P :� ®iEW1Qt Su 00-� '=o�Z1 . ' OOZ ► T 83 apa1�x 7 ,_ t+v.1 �.. i •.''v tiA �.{+t:..t.� ��WWQY ��`'� 4R Y �a�'i'l,3.7..3�..E/v'4;•.S>�..,'.i'+t�( !G7 V��a+'�i.l•f 1VJ � V' - Af j lr 400 CERTIFIED TO, f c C CA NQTFS; 1< Q S ' SVSo\41 w I art familiar with the STANDARDS FOR APPROVALAND CONSTRUCTION OF SUBSURFACE SEWAGE r� ` DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ��'P�y ��'�� NEW METS rO�� and wilt abide by the conditions set forth therein and �Q' a1 cF on the permit to construct. -omaT. 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