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HomeMy WebLinkAbout32976-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32358 Date: OS/21/07 THIS CERTIFIES that the building ADDITION Location of Property: 8585 (HOUSE NO.) County Tax Map No. 473889 Section 116 NEW SUFFOLK AVE (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 1. 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore APRIL 25, 2007 pursuant to which filed in this office dated Building Permit No. 32976-Z dated MAY 1, 2007 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY J. & PATRICIA LAURO (OWNER) of the aforesaid building. N/A SUPFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 08/25/93 ELECTRICAL CERTIFICATE NO. N-287523 N/A PLUMBERS CERTIFICATION DATED ~~.- ~ thor1zed S1gnature Rev. 1/81 --;0, is' :- --.-.~~ /' Form No.6. _', ,.:-.:_:..........~ TOWN OF SOUTHOLD .,;y !( r BUILDINGDEl'mtIMEN. T 16 TOWN H ILl '~ MAY I r 765-1802 J<'!:. I L~",' . APPLICATION FOR CERTIFIC~IJ)F02CUPAN.fziJ This application must be filled in by typewriter or ink and submitted to the Building Department wit f , '-e ',' Q' ~..., ~ t-;'::' ~t\ h ~ .::~ . ..'J,,'QL . \\\~\ \ <6 S 'is S r\h-J 2>\A~ 4~ ~+~c-s "'Z. . the following: 7 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 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 2/1 0 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 PlarUling Board Approval of completed site plan requirements. ! B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses: I. 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 Celiilleate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the appjicant. C. Fees I. 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 Certificatc of Occupancy. Residential $15.00, Commercial $15.00 Date 5ht...l~_.._______ New Construction __ _._ __. Old or Pre. existing Building: II Location of Propeliy _. 9>0~" __ N ev-l Su FFowL. ~ ~ House No. Street Owner or Owners of Property:_____il:~n:1t,,-JVY . __ (check one) eLl TLHPw..i-.._ Hamlet Suffolk County Tax Map No 1000, Section '. T. PA-nt.l44- , ~]3 ~f6q_ Block_ J-.A-v(l..{) ..1IG SubdivisIOn .___.__ _._____._ __".. "_'__..._ Fried Map. Pemllt No. _.___. '2.102.9.1.__ Dale ofPenllit..'3/UfbD__ Applicant !oll-L..L.. Lot - - - - - -- --- Health Dep\. Approval: _..__ __ Underwriters Approval -.-.__. -------- ------ --. ------------ Planning Board Approvcll Request for: Temporary Certificate ______ Final Certificate .___.._._ (check ol1e) Fee Submitted $._ 'd:>2..oQ.-l ~_(!, Q ) ~ htt.rJ Applicant Signa re ~.7J.S~?- CO-c 77J35~ 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. 32976 Z Date MAY 1, 2007 Permission is hereby granted to: ANTHONY J LAURO 8585 NEW SUFFOLK AVE CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR .THIS PERMIT REPLACES BP # 21291 at premises located at 8585 NEW SUFFOLK AVE CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0001 Lot No. 001.004 pursuant to application dated APRIL 25, 2007 and approved by the Building Inspector to expire on NOVEMBER 1, 2008. Fee $ 106.60 --... ORIGINAL Rev. 5/8/02 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG!: t 1000121 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Dofl' AUGUST ;~~5/1!)93 Application No. onfilp 8(,1843693/93 N 2875?3 THIS CERTIFIES THAT oraly the electrical equipment.. daeribed below and' introduced by tlw applicant named on the above application number in tM premise. oj ANTHONY LAURO, 3579 NEW SUFFOLK AVgNUE, NgW SUffOLK, N, Y. in the followinR location; []] Bmement GI h. FI. o 2nd f'I. OU1' SHtion Block W. U'O$ examined on AUGUST 19,1993 and found to be in compliance with the National Electrical Code. FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ICEPTAClES SWITCHES INCANDESCENT FlUORESCENT OTHER AMT, K.W. AMT. IC.W. AMY. K.W. ",^T. K.W. AMT, H. P. 1.: 10 9 1:? DRYERS RJRNACE MOTORS FUTURE APPliANCE FEEDERS SPECIAL IIC'PT TIMl CLOCKS BE" UNIT HEATERS MULTI-OUTLET DIMMERS TRANS. SYSTEMS AMT. K.W. 0" H.P. GAS H.P. AMT, NO, A.W.O. AMT. AMP, AMT, AMPS. AMT. H,P. NO. Of FEET AMT, WA.TTS 1 600 SERVICE DISCONNECT NO. OF S E R V I C E MITIR NO. OF CC. COND. A.W.O. A.W.O. A.W.G. AMT, AMP. TYPE EQUIP. I,/OW 1,3w 3163w 3'4W "',. Of CC. CONDo NO. Of Hl-lfG OF HI-LfG NO. OF NfUTR....lS OF NfUTRAL OTHER APPARATUS: MfJfORS: 1. 3 Ii, P , ,1. F Ii, p, ,1 .F H, P , P ANELBOARlJS : 1..1 DR. 6'1 G,F,c.r:.2 - PAUL R, BURNS LIC,1!31'~ ~f~ 275 TOWN HARB('R LM1~ SOUfHOLlJ, W' 11911 GRIlItA& MANAOII I, 11 ,. p" .r ~, This certificate must nat be altered in any manneri return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 3:?-1 7' :z- 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 ] FIRE RESISTANT CONSTRUcnoN [ ] FIRE RESISTANT PENETRATION REMARKS: ~ P." , ~. ~{).k, ~~Wi-iJ DATE ,5---.3 ~ 07 INSPECTOR ~,~L~ ~ --- ~ -----~ z .0 t- N! ... I C5 U --:' Z III ! ~ A- i", Z - . C5 !I ~ L ;: i ~ ..I ~o~; = ar:: Z ii:: ~ ,....., ~ '-' '-' a t; ~ .. Z Z o 0 - - !c !c I a a - z Z I ~ ~ c fl fl E ,....., ....... ,....., I....,..J '--' ~ ! L 1ft Z - ) .. 1ft ~ = ! ar:: = a # ~ ~ ro . " !J z Z L 0 '5- - 5 .0 z " ..I I: N & t= ~ ~ C ~ 0 <<I) Z I: Z - - ... .a U ~ ~ ~ L .." ~ '--' <<I) .Z III '--' Z I- t; a - ... ~ a. Z .. N ilcn Z Z ~ Z 0 0 ~ - tc " - a a z .. - <<I) Z Z . ~ ~ E ~ 2 2 = =~ ~ . ... ... = '--' I: a rf; --- C' ~ r& . .-J " !I z Z L 0 > - 5 0 z -= " ... ~ . ;:) ;:) c & - i <<It Z ... Z - sa - 110 L U ~ ~ ~ <<It ..." ~ ........ ........ Z .z III - I- I;; a ....9 A. z - ... N ;:) en z z II 0 0 Z ~ - tc " - a a z .. - <<It Z z IE ~ + ;:) ;:) e = ~ 2 I; IE --. ,...., ... ........ ...... -= a I C5 !I z Z 0 L - z 5 . 0 C5 ..I ~ I :>> :>> = t - 0 en l- . z - L ... - &r. sa en U ~ ......., ......., z ..C5 ~ '-' '-' - .z III a I- t; ...9 A. z N - .. :>> en z z II 0 0 Z ~ - !C C5 - a a z II - en z z I .: :>> :>> f . 0 f I I; &r. ~ ......., ... '-' . a -"f..' ,.-...-0: .... l=:LJ .1........::......... -...... ilJ;'::: il. :,,;\,;:-!~,tLNr.: OUN'DATIOH (2nd) nSULATIDN PER N. Y. ~ '"" "'. :::l ~ H -i ~ "" ~ c: ~ (I) [r' .0 ~ . ~ 0 . t ~i -i r:;; ~ > o. "" ~ z: r- '-"IS2-- :---1;:; DUll DATION' - -- (1 st) -.- DUQH FRAlolE &: oPLUMBING .. CODE: STATE ENERGY FI;IAL . .' % 0 t .... ~j .~ . . -~ ... >< "t .-..... >- '- ::: " I . . ~ ...... , c I - () . -~ . . - I ADDITIONAL COMMENTS: \.t~. L'-K- 0...(V~\}0r l-\r.,-<, ~. [TJ jO "" G r- -i - - - "1:> o. I [TJ , "" o-j - . "" f'~;~\~l':~~:~~(:-;"? . j ! )'..~ '\.\"'~J j ~ .', "i',--..-..-:::;:: '- l' MAR 2 4 1993 FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOAGD Of HEALTH ......... J SETS Of PLA~S .......... SURVEY ..... _ _ _........... ClleCK ...... _ . . . . . . . . . . . . . SEPTIC fOR:! .............. -.; c.. l .... , ;~'; - ~"....."'- r:OT! F"f: CALL ~IAI L " . . . . . - - . . . . . . . . . . .. Examined. h1.~. ~;t . ., 19'1 ~ Approved . h'\~. ~~..., 19 ,~. Permit No.ql.I.~.~.~.~ Disapproved alc .................................. .. TO: "..".."........."...... . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . : 1?ii. . . . : : . . '. .. ~~. . . . . . . . . . . " ~ .. " .. .. .. . .. . . . .. . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . ~/!? . . .. . . . ., 19. ?3 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 "ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ltion. 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 lalI be'kept on the premises available for inspection throughout the work. e. No building shaIl be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy lall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to 1m it authorized inspectors on premises and in building for neces~~~4;\r~'(~. . ~~.".~. . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) '6Z"l. '!I!: ~\J~~. ~-/~:-A... .~.~<J~<,o\~".\.\."\-l.\...... (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . .~l?~\~~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ame of owner of premises .. A-Yi+~'(\Io\ . A. . PC\~ ~~.\~~. . . \-: ~'-?:<~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roIl Or latest deed) . applicant is a corporation, signature of duly authorized officer. .~ /-'7 ~ ......................................;?~.. (Name and title of corporate officer) Builder's License No. .. .1.7.. 4.2.l.~ HZ.... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... Location of land on which proposed work will be' done. . .J?0.-:J a. .It!tf./.V. .0t!FF. Ph)r:.. .A-:.!'f:. . . . . . . . . . ... .'Ng~... ~~\k::... .A..\J~!J.~...................................................... House Number Street Hamlet County Tax Map No. 1000 Section . .1.\.( .. . .. . .. . .. BloCk...O.\............ Lot.... \.4. . . . . . . . . .. Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ), "., . ..', ., a Exist' ou 0"""'- LWe.-el:::-...J)<;,,,v ,...., . ..,~. ""'"1 . mo se and occupancy .. .2.\'\&-. . . .~. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ,.. . . . . . . . . . . . . . . . . t. ': b.Inte d d d (' u.W' ~ . . d' ....... " '.J.".,;" ,0. ", n e use an occupancy......~............................ ~.... 0"....... ."ol.-<t,..;. .0. .'0.0'0. ."....... 3. Nature of work (check which applicable): New Building. .... . .... Addition /... Alteration .......... Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost. .4.'6;0?? . . . . . . . . . . . . . . . . . . . . . . . . . .. Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . .1. . . . . . .. Number of dwblling units on each floor.. . . . . . . . . . . . . . . . . If garage, num ber of cars ........................................................................ 6. If. busin.ess, co:"n:er.cial or mixed o.ccupancy, specify n}lture and extent of each lj'pe of use . . . . . . . . . . . . . . . . . . . . . 7. DimensIOns 01 eXlstmg structures, If any: Fronl . . .~'\ . . . . . , . . . . Rear .. .8"1. . . . . . . . . . Depth. .'2-.7. . . . . . . . . . Heighl ............... Number of Stories. . .? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . .1.Q'1. . . . . . . . . .. Rear.... (~'1. . . . . . . . . . Depth. . .-:?>~. . . . . . . . . . . . . 00 . Height. . . 00 . . . . . 00 . . 00 . . . . . . Number of Stories ooS:IJ(Yl.f(. . . . . . . .. 00 . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth ............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . . . . . 9. Size oflol: Front.. ~~:'<............... Rear.. 7<~............... Depth . .~"Sa..... 'C'" 00... 10. Date ofPurch~se. ".:s.~ )":-1':1.1....:...:......... Name of Former Owner Y...\~. ~~.. ~.">\~. 0lf.:.... I I. Zone or use dlstnct m which premises are slluated . . ~'>:'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed conslruction violate 3IJY zoning law, ordinance or regulalion: ... t\J~ . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . .Ye~.. " . . ..... k' . .. . .. . Will excess fill be rem~ved from premises: cfiS) No 14. Name ofOwn~r of premises Ah~"'1"'" >'1'.... Address ~~~~.( .rh~.'. .. Phone No. 1"?~;-."(t?~. ....: Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . , Name of Contractor . . . . . . . . . . . . . . . . . . . . . " . . . Address ... . . . . . . . . . . . . . . . . Phone No. ............... 15. Is this property within 300 feet of a tidal wetland? ~...... No......... *If yes, Southold Town Trustees Permit may be requ~red. PLOT DIAG RAM 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. 0 C) n .~^ . ()e<::.- -J<..>rv€.'leJl.. """"'<:VP -:- STATEOFN~O~ f~ SS . COUNTY OF ~ . .. 00. ... . . . C\'% \" . D:. .l.J.';""~;<? \ ...................... being duly sworn, deposes and says that he is the applicanl (Name of individual signing contract) lbove named. :Ie is the... ~':->).\~~. .. ........ ................ ....... " ... ... . .......... . . . ..... .............. (Contractor, agent, corporate officer, elc.) )f said owner or owners, and is duly authorized 10 perform or have performed the said work and to make and file this IPplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in t e application filed therewith. iwom to before me this l~l~ ". L' (EN'" Not8ry Public. S1lIte of New YcIlk . No. 4879506 ~ OualJfled in Suffolk CounlYe, 1 CGmmIll8lon Exp\rM o-mber coun:~..~..~..~ (Signature of applicant) -,><~9; 'i!- ~ , ___ .,111M -- JJ(;-I-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 'K L:; S( ~ VILLAGE DIST. SUB. LOT , -AI ~.hDr")(A J, ~ P~-lr I(fl'. kau r:-O n S'u a. lie.. II tJ Cuf-c!l6fVL 9 M; He)'\" 5t1~ ) , ACR. REMARKS u 3, IS- TYPE OF BLD. 1\ "2 l) I 'b C( "B t'.:ft: l:.1 .n;..!..... ) \li72..- ~fvJ c\v"e~\l/\c, Eo... q, ly,-o,cco, Winds LUcull3/dC} (1. PROP. CLASS~ lof ClI.}/c\'I-l-..II~(P3o\ sZ; -W, W. 6/J. 6:, -Iu Ja.ucrD 4; 4- 4IJ./ooooo /tJ LAND IMP. U TOTAL DATE lei (q;qa-l-If4<i ~':) 4-~f1- uJ. tv. Bid ~&r:gt\O 1a1J..~e>t_ N/ r ,--t.. Jf ""# D .,;/.!srlfQ I I , ,.1. (I"!J t!-,o ,. 0 f{.~o t: " . J I .."? G" 0 /6 S /N /9'() I I I FRONTAGE ON WATER TILLABLE . i-'/I/ 1. I FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND /.3 ~ 15 ~ ,- BULKHEAD HOUSE/LOT )tJ -/(,/6' - TOTAL Jr')s'O 1/ " " ~ , l \, , 1/12.. If I'" ,I' v y \' '\ ., r ~~ \'\- .~ II \ v v I' 2, " 1, / S 12- M.~I~~ 27".32.: If" 7 ~ 99' 5~ ., -.5<17 F Foundation P,C. (:J.e. Bath 3 Dinette ( //",/2: ) ! ,. C.B. , r~ '6 FULL Do L Extell~1' ,J / X -< to .s </1.. 3-=- /"1 J / Basement CRAWL F 1/ Floors Kit. ( ~ SLAB lJ .; ,;-i;" ;!. >< II> ::. ~()'"' Co. Jll" ~t, I Extension Ext. Walls Ij1terior Finish ('12 LA. Ii ^;.. "" _ <C":f - II 'f '0 . Extension /'f. Ii' :: f .;(~ .:2 FS Fire Place ( Heat tJ, ff iJ, . D.A. I -Eati<r '1 f;{ ;"2 ).. 3"'(, Wood stove BA. = , Porch I &;(.2</0 J 'r <,/ '/00 ,So ? (lO Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor Lf c1 i/ X :? .s' ;; <: Driveway Rooms 2nd Floor \3arage /.:, 0 (J / 7. 70'0 3 .- b.B.. , Pool >( Z- y , ..,.. </ /, -/ - -, < ----"- ;; >\ - ,. ".1 '"I ;",:. '.::..:.' COLOR )\(\1' (., TRIM. .5-f9 whde. "~I')"'l"}' _. J, '~~~.r;-:~~~,'7".1?.".,..! -..: .~..':~:~':" -.; .. '.:"'"'~;if".;f',,:;;,;.1 ..' .'.. :~'.'-.--,.-. :.'.;';'r.'. ~r'~~~ (,.'2\ tRE~7DaJc.E) 14 \~ 10 t, e 0 .ol \ \ , \ \ \ \ , ~2 Z~ \8 \$ '\ , \ ~.s.5l.25 00" E. Jv-+\ \ ' \ '\ \ \ \ , \ t , \ \ \ \ I J " i\ r \ \ ~ -' . \ H-Clf<?SeA. , ~clJ\t\ol'\ \ 1- "\'\ ~ "& ~t- ~'\ [."3' (6:71 ,,'"- ..~ i ~ lF~L~: ._..:~:/ 1. t, \ \ . =-- \ I '~ !\ , \ f \ "nt., 2 4 .,' JV~j-\i\ : NE'I'I ~ ---------- ~ :- .' \ --.. , "" ....0 , ." :~ A ./ ~ / \ ~ .~~ '. , , , ~ .'" " '. ' ~ " \ .422.17 .A 7", ,\ " '-' 0, " \ , '0. '~~ . ,:10 , ,01.- \ \ "- '" '\" ~" r-- I I , -.fIJ ' I I . I &51.25'oo'W. \ " 'Ii \-1 SUFFOLk. 12 "l070: -- _=. ~ 'JE5 1 7C0JG;':Nl.,V ;:;QO~.r; MINOR. SUBOlVISIOJ'::Li='OQ --:c':"J.-;;-M,~':;F:';' ::;::"',-~~ ::: ::..:<\/EY;:-;Gt ENGINEEidi',G PC ______,__ .l_.~_. _ '_._ .__ _._._.,~,__.___~_. ___.... __J-._ \ ,..... . ......MAP QF"PrlQPERTY SURVEyeD 'FPQ \)'~TH 0 ~.,r(t Pi:..,IQ I C I p., .0_'_,_----- LALJ [20_ ~ ~'(),. ~, ". ~~. '\" '" 9.:-?_ . ,,"1;)' ", --....., , ... . . ' AT .- I i i . ~, 1 II --.1 I \ " \ \ I pl' u> ..J ..... _0 'j... -.I. \>>J2. f.; o " \ " \\ \\, \ , \', , , , " \\ , \ , ' , , ", CUTCHOGUE TOWN 01= $OUTHOLD N.Y. '- -:1 c ~ h ! : L_j SCALE -60', i - - AlZEA <[37 218 SF 'JPLANO-80.092 S.S ,..MAf2.SH - 57)26 S.P. U\ I .~, . .--\--6 \SO~- \~ \J\ , ..- :J JI , ~ r;'% -$~1-.5' o O>~ ~~ ~.9' .....~,.;" . '-""''''fi'~ "x" , , , \, .. , \., '\ --.., L \......._. -- v~ ,,-'/ .p.$' ! '" \ . .( --.-.- '~'--. ,438.21 ---------~ ~, '- - . AVENUE. 10 i i _____1 i is i I I --;"..':':;;'.:':-:-EE: -~: ::':.rF.':'_.":' ~:>~>,r;'( ',"-j7-:,::::;:::r~:L-S,4}:~'~: z;,~;:- ,,'~:cj...~ ,:... -S;--.:'4C:- .:..s '-~C'~/E.y'Ei5"'~-' --. ~cTJu2S ,',q99- RO~R,IC)< VAN JfD'L. P.,S. ~- I'. v ---... . ~_~ LICENSED LAND SURVEYORS GREENPORT NEW YORK ~C. . H~E r'-'A~'G~ ~~' 'ft, i-: i.;..C'", " = rrE-: --",.j- ..~r~l:':'__.::,,~:~,:,""_~_.~,-:_~,,:,~.;:--: .~~.::""'..:'. . < :, '~.~..:- ....'->1.._.......: SUFFOLK CO. HEALTH Dtf''i'. APp'~VAL :-'"-; H. S. NO. B:"l~SO-,-n STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS Of THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S) APPLICANT SUFFOLK COUNTY SERVICES - FOR CONSTRUCTION ONLY DATE: H. S. REF. NO.: e,-so-ni APPROVED: DEPT. OF HEALTH APPROVAL OF SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. rGOO lI6 01 1.4 OWNERS ADDRESS: 1020 GLENN ROAD SOUTHOLl'. NY. 11971 .165 -1335 DEED:.L.S594 TEST HOLE P.21 (REF;) STAMP 1;OPSO [ L UI''='' >'\'~"\Z<'l~ sl~~::!!lol'l or erlditlon to t":'3 St:f....~V ie; ~ vio~n~r(ln of 5o,,~'''n 7/:::-:> "f t:10 N-.:w York Stm '"d\:cati!)n!..aw. . 5 Cop:ES of -:;his S!5~ev m8:" nor: bnrfng.. th~ ta"d SlIl'VlSyor.!. inl<.e1 tf)al Of embOSseo sesi sh.alf rwt he conslderect to be a valid true cop). Guerl1m~ Indicztgd hereon shaD run only (0 trla person for whr.m tho $UIV0\" i:> pf12<:lllr'it!:i.. and on his b&hslf to t~" !i~!.'~ commmy. government:!!1 ::fit!I'lCV and 1'3r:,:',,~-;! in~ttitutk-Alliawc h;:nz;c-n .:nd to ,ha ;:.'lSiqn895 01 the lan~ln;l ir.sti- ~u,:,::;n. GU<i;'''lr,~ses ere not tr;:ns:':arahl. to i:e.;':ian~ institutions or su~uent cw;-')e.-s,. .s;!NDV LOAM , 3.5 SANO 14' ?'o~ ~O-9. V'" /c, \JArv i' 't" 1/;"'h.V"""r v;.~ ~ r ~ ~') ~,:\~-'~~:\ r'" a:. \ I... a'lh' ,.1'.' 0\ .",o'W'.,:,~,~ >- ~".~.'''".'''.'i\!3'' <oJ", I \.'.....i C'yl~h (" .-:.:.#- ~lb...$:"/ ~.....".{1~~,-,.., ~"\;';E::lL;;:)~/ ~_.--:7 - WATER I , l_ ,':{: , ' ". i -t>".,. '( '..' C POOl.. 1"'- ,;IT-H. " , '. BUILDlNG 1'~ i ENVet.OFE f.i,._ \\.-..~._ uf' . -.' ,;;)- I ;).. q / --z:... ~ :2 ' \ ~ RES! r'EI"CE) ,,, ~ ,Q ^^ ~, '8 l~ e " ~ 'Zo \ , 5.5 1"2.5 0::)" E . , , . , , /~."~ , \ " , , \ , \ \ \ .r.- - <" -<', 'C ~~ .~ .. \ ., '- ;. .,;- .'" ""0:- '';:' '...~ " ~""/>..\Jt. .-\ 0(.0. . ,0 l; \\?6<:>'1 .. . , . r , f'lEvl 422.17 -.. '", '<. .~ ,-< ^ " - 'f:. 1"G c. ~. -f:> \r.:.."",. '. \ '" '\ .... ~. ." ....0 . 1.. '::", <:I)' , . .. N.~,lo25'CO"W. Si)FF'O:"'i( ~---_. ./'/ >8 16 I~ ---------.. " .....6". <?' " /~, 'T: :n~ 1\/ i. '>L "-;-"Ii i I \~~ t=-~~.'\_,J:J~-:-::"u-.:' ,r. ~_C/_. '_ ",_ i t. ~\.'.~-& , . ".. . . j ) I I >----\ \ , -\ 'C) \ ~ \ \ . \ \ , MAP 01=" P~QPEf2TY SURVEYED mQ f I l-' ,.--- ...-\ , ',...." -, ~ ..... ..~ . ~ I lJ} , ,-.Jt. ~o .40-.--1. U1.!2. f- Ar CUTCHOGU E m'wN OF SO'JI't:i.<.?_Lf? , t--J.Y. \' , . . , . \. \, . \ . \ , " SCALE 60 -\ ------ AREA '137 218 S. F. 1____ UPLAND'80.()225.F MAI2Sl-l- 57, :26 SF ,<\ ::.; p (1'1 ~ :> U' '~ -1'>. ,.IQ~. ',~U'. l _-.,,;. i.. r~ .~~~ ~ 1--s- o O>~ ~~ ~.o. ~, <}. . ~ '\ 'x A_ -/ '1" C, 'L ,..19/ . ',9 S , .. , \ . 458,2./ AVENUE _ J 12 ------..+------------- ..--.,..~------ 8 NOTE _t,.'J:r:_L.~N_E:~j_ TOPQGr<:AFhV FrL()~.J'1!1:'!PR. SUBD!\~:SLQi':-. rgg \Ni I'JDS 'NAY MADE bY St=AJ..t:-,:'- ~,-'i;::VfYj NG It E~--lG; NEErd NG, PC ,__ ____L_. ____"__ __..__ __ '._ ~__ ____ _.._..._ __._...__ ___.._._. ._ '.. . .~. ._ VI..fOYN Km - .....m /0 c-:;ot J.....R.A_~.:,EED i1~ <::,ljFFOUl <:C0NTY ~TI0~.c~k::l'JtJ,~-IE~~YM'-~" 'i:-J~. 1>8 5U2.VEVED ocr. 25,~ ft~~tt VAN !f~"t LICENSED LAND SUftVEYORS GREENPORT NEW YORK {.l....ME Cfi^~lGE 1.::;,..'....I<ANTEE5 ADDED SEf'T'9 !99' . '--"---'--.-~'-'- -_'_'_'_____ ,___ __ _..._____._~" 0_ 1. .._ MAP A..M~~l?..s12.._!,PRI ,"20, .9.22 SUFFOLK CO. HEALTH DE..,.. APPROVAL H. S. NO. 8"l-SO-nl STATEMENT OF INTENT THE WATER SUPPL Y AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (S) APPLICANT SUFFOLK COUNTY SERVICES - FOR CONSTRUCTION ONL Y DATE: H. S. REF. NO.: 8'7- SO -1'11 APPROVED: DEPT. OF HEALTH APPROVAL OF SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PeL. 1000 116 01 ,.... OWNERS ADDRESS: 1020 GLENN RQAP SOUTHOLD I\.:,y. 1/971 . ,6'3 . 1~35 DEED: L. 3594 TEST HOLE P. 21 (R.EI=; STAMP TOPSOI L eel aneration or adl:I*In this auN8Y is a violation of 7208 ot the New York_ SducaliGlllJ;W. 18$ of tliis :;u!'vey map_~ ~ land &UNa'lor'~ Inil.ad - CQI'lIIdIrId mbossed 'Ssw shall not be be a vaUd true CDPY. --... uarantees Indicated the ~ nl to ''';8 person for whom the :e~rec", ..:r.;:\ on his betalha1~... compar,!. .,','e,(,men on'" lending insult... _ ,,"5~ed hereon.... to the asstgnBf...~ (,j ,he lending....... tutiOP. GU81ant601:: 'f(a not ".1 ,,-Il to additiDP&l instil.UIIOOS or It SANDY LOAM SANO 14' WATtR..