HomeMy WebLinkAbout31973-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31603
Date: 06/13/06
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 1820
(HOUSE NO.)
County Tax Map No. 473889 Section 103
STILLWATER AVE
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Lot 11
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 5, 2006 pursuant to which
Building Permit No. 31973-Z
dated
MAY 8, 2006
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 TWO CAR GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR & AS
PER CONDITIONS OF ZBA #4489.
The certificate is issued to DOUG MCGAHAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2097786
05/10/06
PLUMBERS CERTIFICATION DATED
N/A
?ne.~ ~4
Aut orlzed Slgnature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~
PO () ~ Od-
Cu;f cJ-.:, ~
.
APPLICATION FOR CERTIFICATE OF OCCUP ANCY
This applicationrnust 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 fonn).
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 I % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
ofCodeCornpliance from architect or engineer responsible for the building.
6. Submit Plarming 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 applieation 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, Aceessory 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 $] 5 .00, Commercial $1 500
New Construction:
t/
l'j').-O
House No.
t,.. h.( Cl(,
Date.
. Old or Pre-existing Building: ___~ (check one)
Location of Property:
)''Tl\..W~ Nil
Street
C~a"\L
Owner or Owners of Property:
Hamlet
OwUUM
~{G~
lCJ', Block
':t
Lot
( (
Suffolk County Tax Map No 1000, Section
Subdivision
h ~ t-Ib't:.U...
:s t q-fi ~ Date of Pennit.
Filed Map.
Lot:
Pennit No.
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
~check one)
~-
Applicant Signature
Fee Submitted: $
'ZS-,=
~Jl..C- 7 a 3l( b
C.or.3/&tL5
l!I~~~Iii!Iii!~l!I
~ I{).'?J,~--" - 'I ~
~ BY THIS CERTIFICATE OF COMPLIANCE THE ~
I NEW YORK BOARD OF FIRE UNDERWRITERS I
~ BUREAU OF ELECTRICITY B /PI 1 3 ~
F.!I 40 FULTON STREET - NEW YORK, NY 10038 F.!I
~ C/~ - ~
~ CERTIFIES THAT ~
~ 3/t,Oo ~
~ Upon the application of upon premises owned by ~
~ ~
~ ROSLAK ELECTRIC DOUGLAS MCGAHAM ~
~ P.O. BOX 164 1820 STILLWATER AVE ~
i CUTCHOGUE, NY 11935-2453, CUTCHOGUE, NY 11935 i
~ Located at 1820 STILLWATER AVE CUTCHOGUE, NY 11935 ~
~ ~
~ Application Number: 2097786 Certificate Number: 2097786 ~
~ Section: Block: Lot: 28 Building Permit: BDC: ns11 ~
~ ~
~ Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of ~
i electrical devices and wiring, described below, located in/on the premises at: i
~ Basement, First Floor, Second Floor, Attached Garage, Detached Garage, Outside, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 10th Day of May, 2006. ~
~ Name OTY Rate Ratin. Circuit Dm; ~
~ Alarm and Emergency Equipment ~
~ Transfer Switch I 0 30 amp ~
~ ~e::~:nces and Accessories 4 0 Smoke ~
~ Exhaust Fan 4 0 F.RP. ~
~ Dish Washer I 0 1.2 KW ~
~ Hydro Massage Tub (Therapeutic) I 0 ~
~ Pump Motor I 0 I RP. i!jI
~ Furnace 3 0 Gas ~
~ Air Conditioner I 0 24.000 BTU ~
~ Air Conditioner I 0 36.000 BTU ~
i Panels I 60 6 i
~~~~ ~
~ Outlet 45 0 Fixture ~
~ Fixture 45 0 Incandescent ~
~ Outlet 76 0 General Purpose seal F.!I
~ Receptacle 46 0 General Purpose ~
I Continued on Next Page I of 2 . I
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
l!I~~~~~l!I
l!l.l!l
I .. BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ ROSLAK ELECTRIC DOUGLAS MCGAHAM ~
~ P.O. BOX 164 1820 STILLWATER AVE ~
ii!l CUTCHOGUE, NY 11935-2453, CUTCHOGUE, NY 11935 ii!l
~ ~
~ Located at 1820 STILLWATER AVE CUTCHOGUE, NY 11935 ~
~ 2097786 2097786 !
~ Application Number: Certificate Number: ~
~ Section: Block: Lot: 28 Building Permit: BDC: n511 ~
~ ~
~ Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
~ Basement, First Floor, Second Floor, Attached Garage, Detached Garage, Outside, ~
~ A visual inspection of the premises electrical sy$tem, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 10th Day of May, 2006. ~
~ Name OTY Rate Ratino Circuit ~ ~
~~ ~O ~~ ~
~ Receptacle 2 0 20 amp Laundry ~
~ Paddle Fan 31 00 ~
ii!l GFCI Circuit Breaker ii!l
~ Disconnect 2 0 60 amp Air Conditioner ~
~ Receptacle 9 0 GFCI ~
~~ ~
~ 1 Phase 3W Service Rating 200 Amperes ii!l
~ Service Disconnect: 1 200 cb I
~ Meters: 1 ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ ~
~ 2 of 2 ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
l!l~.l!l
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIWING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
31973 Z
Date MAY
8, 2006
permission is hereby granted to:
DOUG MCGAHAN
PO BOX 602
CUTCHOGUE,NY 11935
for :
CONSTRUCT AN ACCESSORY TWO CAR GARAGE IN THE REAR YARD AS APPLIED
FOR & AS PER ZBA #4489. (REPLACES BP#24491-Z)
at premises located at
1820 STILLWATER AVE
CUTCHOGUE
County Tax Map No. 473889 Section 103
Block 0007
Lot No. 011
pursuant to application dated MAY 5, 2006 and approved by the
Building Inspector to expire on OCTOBER 6, 2007.
Fee $
40.60
ORIGINAL
Rev. 5/8/02
,!i1'-:V
TOW.1iI OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDjlTION 2ND [] INSULATION
[ ] FRAMINCij I STRAPPING [~NAL
[ ] FIREPLA(:E & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: _
0)' ~ C.o.
DATE O~~, /0,
INSPECTOR
/U~~~4-
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PROPERTY\',!.~Sg!2l*,~~!2,tf.... .
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I SEAS.
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TYPE OF BUILDING
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DATE
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Mkt. Value
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REMARKS
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FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
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J'ORM NO. I
TOWN OJ' SOUl'1I0LD
BUIJ.UING UEPARTHENT
TOWN HALL
SOUTIIOl.U, N.Y. 11971
TEl.: 765-1802
El<anined..lM'h~2, 19.... ~'a /.)
Al'pr<Ned..yo/i'z, 19.... Pem.it lb.eY9'5.lf
Disappll:JVed ale .. _..........o............. .... ..
.... ..... ...... .............. ...... .....(....'
h
... ~.... ..
PI.ICATION FOR BUILUING PERMIT
INSTRUCTIONS
BOARD OF IIEAl.TIl ...............
3, SETS OF PLANS ...............
SURVEY ........................
CIlECK ' . . ; . . . . . . . . . . . . . . . . . . . . . .
SEPTIC FORM ...................
NOTIFY i
CALi:... q~:-:\. .loJ...:e
tIAII. TO:...................
..................................
00
o<<:n, <'\ '.'
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", nate. .SWt ~.~~... ,19~:-;
ILDG. DEPT.
8. 'nlis application oust be,(~(JI.,letely filled in hy typewriter or in ink and Bubnitted to the Building Inspector
J sets of plans, accurate plot plan to scale. Fee according to sclledule.
h. p'lat plan showing locatiolll of lot and of buildings on premises, relationship to adjoining premises or pd)] ic
streets or areas, and giving a det...iled description of. layout of property nIJat be drawn on the diagnm ~1idl is pa..-t 0'
this application.
c. lhe woTk covered by this .application my not be crnrrenced he fore issuance of Buil.ding Permit.
(L Upon approval of this application. the nuilding Inspector ,.,ill issue a fuilding Permit to the applicant.. Sud
l"'Imit shall be kept on U", premises availahle for inspection throughout the ""rk.
e. No huilding shall I", occupied or used in .JlOle or in part for any l"'Jrpose -whatever Imtil a Certificate of
OcCIJpancy shall have been granted by U", I\lilding Inspector.
APPLlaTI(JiI IS lERKIIY !WE to. the &.lilding 1Jepartrrent for tl", issuance of a &.lilding Pennit l"'mllJant to the
Building Zone Ordinance of the Ta-ll'Cl of SoJthold. Suffolk ('D.mty. New York. and ollter'-applicable l.aws. Ordinances or
Regulatioos. for the constnx:tion of lJUildings. Mditions or alterations. or for renDY'sl ,or dem:>lition. as herein
described. .11'" applicant agrees to C011'ly with all applicable laws, ordinance. i i;,g code, housing code, and
regulations'. and to aclnit aJthori2:ed inspectors on premises and in building f r inspections.
~~.. .~.,~..~... .............
(Signature o. Ii t. or ....Hoe. if a cOrpJration)
, i,
..... .?,';l., :?:!f...'. ~?~,.. .C;~~.~. .M\-.
(Hail iog address of applicant)
I
Stnte ~~ther applicant is <M'ler. lessee. agent. architect. engineer.' general contractor,. electrician, pllJdler or hUll
............. ...()':-!~.. ~ .e~ \-1).~......................................................................,
NaTe of """,r of premises ....PChiG.\....r'~....~.'...f'!!:..:.G.~............. ................................. ...
{as on the tax Toll or latest deed)
If appl icant is a corporation. signature of duly 8lJthori7ro officer.
.......-...........-.....................................
(H....., m.1 title of corporate officer)
&Iilders Licen..c;e lb.
...~:?\.?..1(. ~tL....
Plmi>ers l.icense No.
Electricians 1.icense lb. ................. -...
Other Tnxle's IJcense lb. ......... _..........
1. I,x:atioo of land on .Jlid, proposed 1oIOrkwill be done.......................'.....................................
....... .1~.'Z9..... .5.11l-<k~(~....~.......................... ~ .~~~~......................
loose lUd",r Street lIamlet
('.Olfflty Tax M.,p No. I(xx) Sedioo.... \.0. 3..... Illock .....r........ lot .. ...\,L.....;..
Suhdivision ...-e.lW...a~~21:-,l....~<'#S....... Filed M.,p No. ....s:t$3:... l.ot ..7t..........
(NaTe)
2. State existing use and occupancy of prenises Bnd intended l1..r:;e and occupaocy of proposed constnlCtion~
a. Existing IL'ie mid occupancy ...... .9.(~.~..... ~1~..~.1l)~: . ,','. ......................
b. lntended Il!;e and occllpar>oy ................... ,./.~C.................. ...........,.................
I.
tJ..:.IlU1C 01' ~:Hk (check \ohiul
H{~pa i [ _ _ . . . . . . . . _. HenOVid
dl'pl icahle);
t-l..."Y B'.ii~ding,~.._.
1k..'1IUlll1on _...........
Additioll ..,
OLlie 1- \.,\llk
\ I ! c'~-dl j{ III
I.' .1(' ~.....,~,
~SUIll"'1te< 'ost X. ~7':"{. .... .
(De:.cl iptiuliJ
fet~ _.
(to he paid 011 iii illg this i1ppl li'id:iuo}
If Ik.-ellillH. rUlher of (k.Jelllllg units
U..lj>el o/' ()...Jell illg lUlils Uf\ ~dch flocl
J f garage>> .u.i>er of cars
-'J
<"'...............
If husiness, Ct.llll€t"cial 01 Illbu...."t) OCL'llpancy. specify ualun: lUKI extent of emJI type ot IIse
Ilci~lt ...J..a.: ..
ninensioos 0 sall~ stnlC
I~Pll: : --r..:.......
DIlI~'rfil~ entIre 1leW'
lIei[~I""... f'l;j(l~.. ......
i'1,lf'll'.t"l'!1
Si~'of-lot:.;,.-
ltront. .
_. . _ Hem
l)(~pt h
t'Ulil€X of SlOt- ies
alterations or ac:L:litiolls: Flont
It _ _. _............. ... tini>et" of Stodes
\
7"2.
lCtiexl; Frnl.ll ...., .'........
l{ei.ll
Hem
{.S::
Depth
.,..,
;. lini>er of Stories..... \..
\ "1 \
. . . . .. ." }.......".. Hear .."..\...'~...
n.
Dale of l\uchiJ5e
..... ~1:: .'i.; "":I}:".
Ni~le of Foru~r ()..Iller' ..
.. .e,
,.~-.l~'-. :r:
" ~\Jt.\-~'V:..J. .rJ,~.
neplll
I. Zone or use district in lAdch pH~mises are situated ...
2. noes propoSE..,,<1 construction viol'ate any zoning liJW~ ordinance or regulatiol:l: .......,. ~ll. .
J. Will lot be regraded .....J}J?.......... Will excess fill be re:I~Ned hOll plt:11116eS: tff!P u)
(. \K"I.-< . ~"ItJ,.,U>.-- i-' Q....... ell" .? .- "" 'VI I>l1<-
I.. N",,,,s of (""lOr of premises ..)G...'.....\./...V:'.....'.:~.'.'Wl<lress . ":"..y..\.JI.-f.......:oc,...ll.'t.n I1K'''' lb. .'..... _.:._:~_i
tbre of Architect
i\iklress
Phone Ii,).
Nane of C..ontractor ........'........................... J\ddress
_ , .. .. .11K}()e f-l:L
S. Is this property within 3(X) feet of a tidal ,,,,tlm.1"! * ms ....... _ _. ~ _. _......
*n' ms. SUJI1lID lU.lIl111JSI1!l!S mlMIT HAY lIE m':(~J1mm.
'PLOT DIAGIlAM
locate clearly and distioctly all buildings) \oAlether existing or ]lroposedJ aud indicate all set-l>i.K.:k dimensions
HIli ]lropel'ty lir.eB. Give streetiand block IUlber Dr description acconJing to deed. and sh<N 6tl-eet BalleS and ilidicat~
helhcr illtel'jor or conler lot.
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:lJN'1Y OF q ..~~':'.~~~7.~.......
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........~!~\..M....tt-!.~.l'\~~-.,.~...............l)(~illg duly ~;w(HllJ depos.e~ alld says that he js the ilpplicant
t'tJI"~ of iudividui..il signing contract)
lXNe IUJUL"(I,
:~ I B
"'- .. fJ~" 1; ('.'" nO L-~I~
the............... k.it,b'l..~,..~.. L.~.t."'.~'I:-.A\L ....~....,
(Contnlctor I agent. corporate officer, etc.)
r' Raid owner or o../neni, mKJ is duLy mJlhodzL"<.1 to perform or have pl.~rrolllled the tJilid work aud 10 llIakt~ and file this
ppl icatioll; thaI. all slalenellls ccxllained in lids applical:ion are t.n.e to the hest of hi:; kl)();.Jledge Dud I)(~lief; .(lIltl
hat tile W\Hk will he perfollled in the IIIiUlUer set furth in (he appl.katioll fiJed then_".,dth.
worn to hefure lie this
... -- .\S.:~...... .day DC .. N~.';,~~.~~r... 19. J ~.'i7.
n . p ,
Notary .\.hlic _.l/~..l\:.L1~~....
\/
i ,/
j JANE R MINERVA
NOTAf!Y ?UHLlr. Stat', of New Yorll
hw 48':.3 ~OH, Suffl)ik County ....&v
Comm:ssiiJ'i E:1(pIW', F~bruary 18, l~
I
S.C. T.M. NO. DISTRICT: 1000 SECTION: IOJ
LOT(S): 71
BLOCK: 7
SUfFlU OOUNlY llII'.4\..... fIIll811M ~
FOIl APl'lIOWi. Of CllllmIlUCnlIll Cll.Y
The water SUpPly and sswage d~
system far t.IlII ~ will conform to
the ~ It the Suffolk County
IlepIrtmaDt ar Health Servlce.
Received
Suffolk County-
AUG 2 0 1997
[j,l.TE
HS RH. NO.
Dept. Ot Health Services
!lice Of Wastewater Mgmt.
APPROVED
,
I ""..45 IN JI6,C.NT]
'- ~y ","flTIIS
STILLWATER (50') AVENUE
(24'tSTONE AND OIL PAVMT. TOWN MAINTAINED)
c@]P
c6I9
______"'NY'
_________ . ".of
NY, ..
JI.lt T
MAiJ 318.0....
,.,...._ 377.1"
S ~6"2~'.w' E
193,00'
SAAJ.oy
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(j1'';) (6'2 ,,-\
54.00'
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17 .0-- 30
~-_.~-
To}.) PKUV'\ /:.,." MAjJ PROPOSED
131" 611l",;" 4cA#1 a 1 STY. FRAME
a ~
LayJl3 DWELL. W/CELLAR
lvAC.ANT) to
v 1ST ~p, ELe't/ 'b
L.J / (VACANT)
(.5"'> 0) "!'
'b ....
LOT 6 :" 02.'-) :" LOT B
...
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GAR, ,
...
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9
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SUFFOLK OOUNTY DBP
HRALTH SERvrCBS
PERMIT lIOB APilROVAL OFCONSTRUcnON vnn.... . W
SlNGl.EFAMlLYRBBm&NCEONLY 'I'r...,:r~8 20
:::::e;I!!~-97-0~L T 4
PORMAJaMUMOF.LB~
EXPIRES THRRB YEARS FROM DATE OF APPROVAL
192.97'
A pp~J) I/IM4 T4"
)..tJc. '
~ T.H.
lVAC-ANTl
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o
~
,
LOTJ
AREA: 39,957.5 S.t. OR 0.92 ACRES
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UNAUTHORIZED AL TERA nON OR ADDmON TO THIS SURvey IS A VIOLA nON OF SEcnON 7209 OF THt NEW YORK STA TE EDUCA nON LA w. COPIES OF THIS SURvey
MAP NOT BEARING THE LAND SURveYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INOICA TED HEREON SHALL RUN
ONL Y TO THE PERSON FOR 'M-iOM THE SURvey IS PREPARED AND ON HIS BEHALF TO THE nTLE COMPANY, GOveRNMENTAL AGENCY AND LENDING INsmunON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING iNSmUnON, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREcnON OF FENCES, ADDmONAL STRUCTURES OR AND OTHER IMPROveMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALL Y EVIDENT ON THE PRfMISfS A T THE nMf OF SURvey
PUBLIC WA TER AVAILABLE 0
WELL WA TER C
ELEVA nON DA TUM:
A S5 i-'^",M(L
INDI VIDUAL SAN! TAR Y SYSTEM 0
,
SURVEY OF: LOT 7
MAP OF: alG GREEN ACRES
FILEO: JULY 12. 1972 AS 15757
!lIOIUATED AT: CUTCHOGUE
TOWN OF: SOUlHOLD
SUFFOL.K COUNTY, NEW YORK
CERTIFIED TO: JJOV(jL~~_VII.J."J~.!j~I:IAtl; _
/I' n J1, t.A
~ ----..--
KENNETH M. WOYCHUK L.S,
Land Surveying and Design
Calverton, New York 11933
(616) 727-6127
1Da1a.tala1Dc the reoorda or ltobvt J. Bonn...,
FILE * 97 -~5
SCALE: 1- "'30" DATE: AUG. 14,1997
N. Y. S. UC NO. ~227
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