HomeMy WebLinkAbout32030-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31736
Date: 08/07/06
THIS CERTIFIES that the building ADDITION
Location of Property: 315 GREEN
(HOUSE NO.)
County Tax Map No. 473889 Section 109
WAY
(STREET)
Block 5
CUTCHOGUE
(HAMLET)
14.23
Lot
Subclivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 23, 2006 pursuant to which
Building Permit NO. 32030-Z
dated
MAY 23, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to PATRICK LONIESKI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~~~
A orized Signature
Rev. 1/81
.,,--
~
11:[ ~ I I
APPLICATION FOR CERTIFICATE OF OCCUPAN<;CX - __ .1' - / I
This application must be filled in by typewriter or ink and submitted to the Buildmg bepartment with the fcil\~
Form No.6
TOWN OF SOUfHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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A. For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines. streets, and unusual natural or
topographic features.
2. Final Approval from Health Dep!. 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.
S. 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" laud 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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00. Alterations to dwelling $25.00,
Swinuning 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, Corrunercial $15.00
/'
Date. ~ - cJff- c7 ~
New Construction:
Old or Pre-existing Building:
( check one)
Owner or Owners of Property:
GPE;c.A/I"-</'/4; Cb'~~I"./p_
Street amlet
~~/C~ "<'OA/'--'~ ~ /l~./r/"f- o!. I'JV.eSk.,/
Suffolk County Tax Map No 1000, Section J..f.13 6' g 'f Block t:>tJ 0 5 __ Lot 0 I Y. o;;Z 3
~/z:;
House No.
Location of Property:
Subdivision M/A'/Cu.-9Y rH""'~C"
Permit No. '3/JfJ3:z- DateofPelmit.~~ lLf-ol:,
Filed Map. 60 6C- Lot: ?,. 3-
APPlicantJ4IP/c.k J 0 A/ /e.,k,/
Health Dept. Approval:
Planning Board Approval:
~~ Underwriters Approval:
Request for:
remporary Celiificate
Final Certificate:
(check one)
Fee Submitted: $
0(0;-00
jJa/i;d .~.
Applicant Si~ature
~ )013(
CO -E. 3/7 3(,
3?-03 0 ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING M' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
INSPECTOR ~<~
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.
32030 Z
Date MAY
23, 2006
Permission is hereby granted to:
PATRICK LONIESKI
PO BO 1342
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR. THIS PERMIT REPLACES BP #28448.
at premises located at
315 GREEN WAY
CUTCHOGUE
County Tax Map No. 473889 Section 109
Block 0005
Lot No. 014.023
pursuant to application dated MAY 23, 2006 and approved by the
Building Inspector to expire on NOVEMBER 23, 2007.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
~Y9J> -b- /1/1 3:.2u-30
765.1802
BUilDING DEPT.
NSPECTION
[ FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. ~~~:...
DATE &fX / () V INSPECTOR
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It
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.
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) / . '7 J ~~
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FOUNDATION (2ND) 1>'" '"
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ROUGH FRAMING & ~ i"l
PLUMBING ""l
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INSULATION PER N. Y. j ""l
STATE ENERGY CODE
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FINAL
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ADDmONAL COMMENTS ~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD /"1- /"
/ Cl 'j -:.5 - /"/, .;3 ' '
STREET ~ 1.0 \{ILLAGE DIST. SUB. LOT '/:::
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., Iff aV WA C v 'f'ch 0 vE \" r,..;~-<<,.a.v ,_:,-,~v
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W TYPE OF BUILDING
OWNER
~-" ,....,.,, /(
RES, SEAS, VL, I
LAND IMP. TOTAL
!?Od !?(l'O
(~ CJC) /6'c:JD
/900 ......
;; ,..-'" <:>
/ /yDO 00
FARM COMM. CB, MICS, Mkt. Value
DATE
REMARKS
7.t., , U
'1/7'1 0. C4 ..73, 000
rc</J.w",'
Tillable
House Plot
.
r
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH vi
BULKHEAD
':;S'o
/ 1 I
Woodland
Meadowland
Total
'-
)LOR
)/A~i ~D"'"
TRIM "-'I.;,ie /l/I<t:.
r."",
f) 'V<- If 5"
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109-5-14.23 02102 v I~ 1. ,.
'Ig
- - I- .39 - - - -
i:':7;~'-..\ " 39,,3/.:: /;lo9 ~.oo 4'~Sr;, 2~ ,"-
uu '"-'z~ Ale-
BJ~on Z ". Z 0 '" 5'"'00 " .c
J..r",- - .LSo/("S'< J, SD 2275 ~
Extension .'
, .
Extension
Foundation Pc.. Both ziz.. Dinette
a:;:c .t..ro...r Basement Floors K.
Porch 39- 8=- 3/2. .,0 15'(, rvll
Porch Ext. Walls t.e0A< Interior Finish 'ihe.dc.dc' LR.
Breezeway Fi re Place Ye:5-2... Heat ",f DR.
Garage Z-Z...2.8 := c,/G /.7r 1079 Type Raof Rooms 1 st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer 3F",-<>^,," Driveway
Iv. /. /u
Total $'3'2-0 h
I n,1~'" p, ~!l::sL-~mll
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TOWN OF SOUTHO ~. JUN 115 2002 :... I
BUILDING DEPART NT - ! -' ;
TOWN HALL I I '
SOUTHOLD, NY 119 1 "I~LD~s~'GrrT~OLD
TEL: 765-1802
PERMIT NO.
3 ';).\)'~O e.1\
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
BO"~ nHlp"lth
~ts of Building Pl~
,. Survey
,
'>< Check
Septic Form
N,Y.8'o,E,C
Trustees
Contact: p;;r i-o,v/e s /L I
Mail to: Ro.l6ct><... /3 JI:J..
Co7C//O&.CIe- be; //?,:2,5
Phone: 731-- ~.3E~
li>f/o ,20~
~(/ 0,20 6,)-
Examined
Approved
Disapproved ale
E"-f/<'05 ,
{~11 of 07
;)(JL. J
, Buildin~ ,
- r""" '[:+<-
APPLICATION FOR BUILDING PERMIT
Date
tIfJ - I
,206':1-
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 oflot 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-sa-ever until a Certificate of Occupancy
is issued 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 inspections,
Az;;-,~. ~~ PA ~
(Signature of applicant or name, if a corporation)
/lo. ,8 CJ k ) ~ lid-.. CGl~ tGuc"" )[/. (./
. (Mailing address of applicant) II ,/8S
Stat\'. whether applicant is ~, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
I4-fJ r' I/c /11-1(//
/ 5 r~ Oc,_<hue ~
P'4-T.e/cK, /l~P/::'/A- J.CV(.Hes.(/
.
(as on the tax roll or latest deed)
Name of owner of premises
If applicant is a corporation, signature of duly authorized officer
APPROVED AS NOTED
.'P" "to/" >1.p.#. 2Bcff9-l;.
. ,
FEE: I.,V. BY: PI,.. .JJ
NOTIFY BUILDING DEPARTMENT AT
785.1802 . AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATIOM . :WO FlEQUlltED
FOR POURED CONCRETE
2. ROUGH. FRAMING & PLUMBING
3. INSULATION
... FINAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
1 Location of land on which proposed work will be done' ALL CONSTRUCTION SHALL MEET
. . THE REQUIREMENTS OF THE N.Yo
CGlTChtO (5 Wtl CONSTPllCT10N . ENERGY
oenat NOT RESPONSIBLE FOR
DjiJON OR CONSTRJIPTION ERROR'
Block 0 Lotl't. .;J.. 3
Filed Map No, Lot ;;1. '3
(Name and title of corporate officer)
Builders License No,
Plumbers License No,
Electricians License No,
WITHOUT CERTIFICATE
Other Trade's License No.
a~eell/ tAl .-91
Street
if;'
County Tax Map No, i 000 Section If) 1
,
Subdivision ,cA/RM/A V ~.4/eIV~
(Namef
r1=00177 ~~qJA ~
3/5'
House Number
2. State existing use and occupancy of premises and intended use and occupanc~ of proposed construction:
a. Existing use and occupancyl./..o.v('" .'
b. Intended use and occupancy
/?e.....e.. O=k.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
Dec"'-.
(Description)
4. Estimated Cost
f/fJa:) ,00
5. If dwelling, number of dwelling units
If garage, number of cars
Fee 167;>.00
(to be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Rear
Depth
Height
Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .....,.bs ,7'3
Depth J'1/. <f/'
9. Size oflot: Front
Rear
:;"60.7"3 Depth ,ql. c.{1 1
Name of Former Owner C.e4<?-Y C~.;A/dH~ Clef'.
II. Zone or use district in which premises are situated
10. Date of Purchase
12. Does proposed construction violate any zoning law, ordinance or regulation: IUD
13. Will lot be re-graded
Will excess fill be removed from premises: YES NO
--..
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES ~e 5> NO
. IF YES, SOUTHOLD TOWN TRUSTEES PE ITS 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:
CO~OF ) "
'fff17P / e / A 10,,<)1 r' 5 ~ / being duly sworn, deposes and says that (s )he is the applicant
(Name of indi",a..aJ.'liilJW~ above named,
UJIU~1 '...,( '.J1VUii'1~A
(S)He is th~ ' \\ .c' '''lTAfVt-U ~ e 1<2....
___... ......., (Contractor,.~t, Corporate Officer; etc.)
H T'~...\.,?,. ilIOJH!8 Y'lIC m1
of said ownl!J1ff~; ~ is p1.JBafl~ Ytperform or have pe.if<?TIAe~.th~.~l\i,d.'foJ:k and to make and file this application;
that all statements contained in tlItfllPpUtattbtllBlt true to the best ofhislai.CilWledgeand belief; and that the work will be
f. d ''''l1<"'-'"-''-' r w,..th. pl' ,.. fil d h .th ~.........q , ."
peLorme Ix ~~euj,j;W.Uer.set.LOrh'lUUi e4.p l.Catwn 1 e t ereWl .~-:-.. .-....,.;~. ~. . , - ".,:
.- -, ,{ '" .. <
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A<lRlllC'.Hl ihT
n<'i~OO ",;.1.03
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IlRCUZll3 ~a~Ii'1 .MS' v.vM4JIJIao ""'I~jQ
.'N\Jt(,y l"u Ie. tate of New York
No. 4952246. Suffolk COlJJ1ty
'fWm Expires June 12, :.t063
Signature of Applicant
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)
e..,...., 3 ").0 3D
PERMIT NO. 28448 Z Date JUNE 10, 2002
permission is hereby granted to:
PATRICK LONIESKI
PO BO 1342
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at
CUTCHOGUE
315 GREEN WAY
County Tax Map No. 473889 Section 109
Block 0005
Lot No. 014.023
pursuant to application dated JUNE 6, 2002 and approved by the
Building Inspector to expire on DECEMBER 10, 2003.
Fee $
150.00
/J /)'^.
/tl:tt~-- :" ~
, Authorized Signature
ORIGINAL
Rev. 5/8/02
BlEAM LAYOUT
CUS1I'OMER --
DA TE 05/30/02 REF Ded02150
A
BEAM
LABEL
A
B
BEAM
LENGTH
POST
COUNT
S
5
44' 9"
44' 9"
Post spacing is measlIled center-to-center.
~-:,--:C~"",--,
Depth of post-in-concrete footels ~
~ ~~'O ~~1l"" 1'"'1'",:.. /)
RBS
1093 PULASKI STREET
RIVERHEAD, NY
fs::m 727 7713
7' 6"
7' ]'
POST
SPACING
S' 10 112"
II' I 1/2"
@
CUT LIST
CUSTOMER
DATE 05/30/02 REF Deck02150
RBS
1093 PULASKI STREET
RIVERHEAD, NY
rS3D 727 7713
r
fF
A A A [ A A A A A A A [A A A A A [ A A A A fA
B
L!!
[j] [J]
LABIEL LENGTH BEVIELS LABEL LENGTH BEVELS
A jOist (33) 7' 1 1/2' G section 4' 10'
B joist (33) G' G 1/2' H cap 5' 3" m S45
C faSCia 15' H section 4' 5 1/2"
C ledger 7' 1 1/2' I cap 7' 11 1/2" F45 SO
D ledger 44' 3' I section 7' 1 1/2"
E faSCia 15' J cap 7' 11 1/2' FO S45
E ledger 7' 1 1/2" J section 7' 1 1/2"
F ledger 44' 3' K cap 15' 4 1/2" F45 SO
G cop 5' 38 K section 7' 3"
t
CUSTOM VIEW
CUSTOMER -- PAT LOLONIESKI
OA TE OS/28/02 REF 00,,02148
R8S
1093 PULASKI STREET
RIVERHEAO. NY
(6311 727 7713
N
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STRESS ANALYSIS
CUSTOMER: PAT LOLONIESKI
DATE: OS/28/02 REF:
SALESMAN #
MEMBER STRESS FACTOR COMPOSITE
TYPE SIZE FACTOR LOAD LOAD
-------------------------------------------------------
JOISTS 2X8 DEFLECTION 246 PSF
16IN BENDING 180 PSF
SHEAR 166 PSF
COMPRESSION 268 PSF 166 PSF
BEAMS 2-2X10 DEFLECTION 113 PSF
BENDING 55 PSF
SHEAR 58 PSF
COMPRESSION 263 PSF 55 PSF
BOLTS 1/2IN SHEAR 1533 PSF 1533 PSF
POSTS 4X4 STABILITY 307 PSF 307 PSF
-----------------------------------
TOTAL LOAD 55 PSF
DEAD LOAD 10 PSF
LIVE LOAD 45 PSF
STRINGER 2X12
DEFLECTION
BENDING
SHEAR
COMPRESSION
855 PSF
415 PSF
279 PSF
967 PSF
TOTAL LOAD
DEAD LOAD
LIVE LOAD
279 PSF
10 PSF
269 PSF
STRINGER 2X12
DEFLECTION
BENDING
SHEAR
COMPRESSION
831 PSF
403 PSF
271 PSF
939 PS F
TOTAL LOAD
DEAD LOAD
LIVE LOAD
271 PSF
lOPS F
261 PSF
STRESS ANALYSIS
CUSTOMER: PAT LONIESKI
DATE: OS/28/02 REF:
SALESMAN #
MEMBER
TYPE
SIZE
JOISTS
2X8
16IN
STRINGER 2X12
STRINGER 2X12
STRESS
FACTOR
DEFLECTION
BENDING
SHEAR
COMPRESSION
TOTAL LOAD
DEAD LOAD
LIVE LOAD
DEFLECTION
BENDING
SHEAR
COMPRESSION
TOTAL LOAD
DEAD LOAD
LIVE LOAD
DEFLECTION
BENDING
SHEAR
COMPRESSION
TOTAL LOAD
DEAD LOAD
LIVE LOAD
FACTOR
LOAD
232 PSF
172 PSF
162 PSF
263 PSF
13122 PSF
2749 PSF
1517 PSF
2735 PSF
10738 PSF
2249 PSF
1242 PSF
2238 PSF
COMPOSITE
LOAD
162 PS F
162 PSF
10 PSF
152 PSF
1517 PSF
10 PS F
1507 PSF
1242 PSF
10 PSF
1232 PSF
PULL LIST
CUSTOMER: PAT LOLONIESKI
DATE: OS/28/02 REF:
SALESMAN #
---------------------------------------------------------------------------
WOOD TYPE SKU QUANTITY DESCRIPTION
---------------------------------------------------------------------------
CONST CEDAR 654X06X16 64 EA 5/4X6X16 STK
CONST CEDAR 654X06X14 32 EA 5/4X6X14 STK
CCA 702X12X16 4 EA 2X12X16
CONST CEDAR 654X06XIO 24 EA 5/4X6XIO STK
CCA 702X12X12 1 EA 2X12X12
CONST CEDAR 654X06X08 4 EA 5/4X6X8 STK
CCA 702XIOX18 4 EA 2XIOX18
CCA 702XIOX14 8 EA 2XIOX14
CCA 702X08X14 22 EA 2X8X14
CCA 702X08X08 35 EA 2X8X8
CONST CEDAR 62XIOX16 2 EA 2XIOX16
CCA 702X08X18 2 EA 2X8X18
CONST CEDAR 62X06X16 1 EA 2X6X16
CCA 704X04X12 2 EA 4X4X12
---------------------------------------------------------------------------
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I am lamiliar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and wift abide by Ihe conditions sel forlh therein and an Ihe
permit 10 conslrucl.
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\ >-:6'-1'
80'20'30' W.
S. 17'
64.
WAY
we/I /50'--1
@ee
The locations 01 wefts and cesspools
shown hereon are Irom /ield observations
and or from dolo oblained Irom olhers.
ELEVA TIONS ARE REFERENCED
TO AN ASSUIED DA TUI.t.
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CERTIFIED TO'
PA TRICK e. LONlESKI
PA TRICIA A. LONlESKI
COMMUVWEALTh LAND TITLE
INSURANCE COMPANY
BNY MORTGAGE CO., LLC
ANY AL TERA TlON OR ADDITION TO TIfS SURVEY IS A VIOLA TION
OF SE/7TION 7209 OF THE NEW YORK STA TE EDUCA TION LAW
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAIOMAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ADDlTIONALL Y TO COMPL Y WITH SAID LAW THE TERM "AL TERED BY"
WST IiIE UseD BY ANY AND ALL SURVEYORS UTILIZING A COpy
OF ANOTHER SURVEYOR'S MAP. TERIoIS SUCH AS "INSPECTED" AND
"8ROU6HT-TO-DATE" ARE NOT IN COMPLIANCE WITH THE LAW.
AREA = 46,333 sq. ft.
SCDHS REF. # RlO - 99 - 0093
e WI)I
SURVEY OF
LOT 23
"FAIRWA Y FARMS
FLED FEB. 75,7974 MAP NO. 6066
o AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
1000 - 109 - 05 - 14.23
Scale: 1" = 40'
No v. 6, 1996
MA Y 19, 2000 ( prop. hse. )
JUL. Y 27, 2000 ( revised hse )
DEe. 1/, 2000 ( cone. loundalion )
MAR, 23,2001 (certitication)
AUG. /3, 200/ ( final )
.-
f
1
O. 496/8
ECONlC
(63f/ 765
P. O. BOX 9
1230 TRAVEL
SOUTHOLD, N. Y.
96 - 285