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Home My WebLink About33249-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ I CERTIFICATE OF OCCUPANCY Date: 07/30/07 No: Z-32494 THIS CERTIFIES that the building ADDITIONS Location of Property: 525 (HOUSE NO.) County Tax Map No. 473889 Section 103 WEST CREEK AVE (STREET) Block 13 CUTCHOGUE (HAMLET) Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore ~ f filed in this office dated JULY 17, 2007 pursuant to which Building Permit No. 33249-Z dated JULY 17, 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 SUNROOM AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID G WALSH & JUDY O'KEEFE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 092595 09/19/89 PLUMBERS CERTIFICATION DATED N/A ~..,~ Rev. 1/81 .. . Form No, 6 TOWN OF SOUTHOLD 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 Department with the following: 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. 5. Connnercial 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: 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 Certificate of Occupancy is denied; the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinnning 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, Connnercial $15.00 Date. New Construction: Location of Property: c5;;o Old or prMBuiljing: ~ (check one) #llJa/ _~ ~ C _ d3~ 7J1 N~};;t {/ \O~ Hamlet House No. Owner or Owners of property~Ai'v'~ Suffolk County Tax Map No 1000, Section Block _t ~ Lot -.--.J ':> Subdivision Filed Map. Lot: Permit No. ?~ d-~ OJ Date of Permit. '1 ~ I '1- 0"1 Applicant: ~....t Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / #~ Fee Submitted: $ Go -:,",),yqLf ~(., J~I Applicant Si ,.---- -.----- ---- w THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 JOOI0Q'l I Datf> BUREAU OF ELECTRICITY B5 JOHN STREET. NEW YORK. NEW YORK 10038 SEPTEMBER 19,I.9H9 ApplicorionNo.onJiI. 62462089/89 N 092595 THIS CERTIFIES THAT only the electrical equipment cu described beloul and introduced by the applicant named on the above application number in the premiM. oj DAVD \lAI,SH. 525 !lEST CREEK AV, POI,,;-5, ClJTCHOGUE. N. Y. in theJollowinR location; 0 BOIIement [3] ht Fl. D 2nd n. OUT Sf>{'tion Block Lot U'OS examined on AflGUSl.' 31,1989 andJound to be in compliance with ther"(IUirementsoJthb Board. OTHER RANGES AMT. K.W. COOKING DECKS AMT. K.W. OVENS AMT. IC.W. DI~H WASHERS EXHAUST FANS FIXTURE OUTUTS ICEPTAClES SWITCHES FIXTURES INCANDESCENT FlUOItESCENT AMT. !C.W. AM'. H. P. AMT. !C.W. AM'. A. W. G. AMT. AMP. AMT. AMPS. BELL UNIT HEATUS MULTI-OUTL!T SYSTEMS TRANS. AMT H. P. NO. Of FElT DIMMERS .1 J J DRYERS RlRNACE MOTORS FUTURE APPLIANCE FEEDERS SHOAL REC'" TIME CLOCKS 04( H.P. GAS H.P. NO. AMT. WATTS AM'. NO. Of' HHEG C A.W.G. Of HHEG E TYPE ~.~ S E MITII EQUIP. 1.... 2W 113W 31 3w 3.1 4W NO'~Ei<j.COND. R A..W.G. OF CC. CONO. V S1!RVla DISCONNECT AM' NO. Of NEUTRALS A..W,G. Of NEUTRAL OTHER APPARATUS: ADDITION \lIRING-] G.F.C.I:-l TRACK LTGHTING:-8 GARY DOROSKI 420 MONSELI, LN. CUTCHOGUE. NY, 11 4., ~ LIC.'2941-E ~K~ p"l1 ~tr7)/ may be identified by their credentials. I COpy FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. This certifica'e must not be altered in any manneri return to the office of the Board if incorred. Inspeclors 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. 33249 Z permission is hereby granted to: DAVID G WALSH PO BOX 1023 CUTCHOGUE,NY 11935 for : Date JULY 17, 2007 CONSTRUCT A SUNROOM AND DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 18029. at premises located at 525 WEST CREEK AVE CUTCHOGUE Lot No. 015 Block 0013 County Tax Map No. 473889 Section 103 17, 2007 and approved by the pursuant to application dated JULY Building Inspector to expire on Fee $ 50.00 ORIGINAL Rev. 5/8/02 1'0_ NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 3?:>;).qC) N! ~ Z Dote ......~.....I...~.................... 19.~~ Pennission is hereby granted to: -Ill: .€'~.!...~;'...4?.~.~...f;'p"~..........~ ~~...~.......~.,........................................... c:::i:)'~4;:....!:?:1:-...I..(.~..~..~.... to ..~.rJ:...Q......&&.u.s..... .......... . ...:t...~.~...~...~..~.. ~~~,S),~;l...~...... .... ...................................................... at premises located at .$'~~.....W.~..... .....I<Y'..:.......~~..t.Y-............ ...%..~.......................................................................................................................................... .......s:.......L..).~....w..~.b................. ................................................................................ County Tax Map No. 1000 Section ......1..~..a...... Block .....l..:~......... Lot No. ..1.;;::............ pursuant to application dated ......~.~J),......;;!..~................. 19~.~... and approved by the Building Inspector. Fee $..~~.:.:~.... y{~._.........4._.... Building Inspector Rev. 6/30/80 33 ~1 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION tp<( FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~D . ~ , hit; ~lLC_ f4.,a,~~~ DATE 7-- -;-0 --- () 7 INSPECTOR ~~ I ro v:; 765-1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PlBG. [ J FOUNDATION 2ND [ ] INSULATION ~RAMING [ ] FINAL REMARKS: ~Kgr-~) -- DATE fr</1 P1 INSPECTOR 1~ -- -- u_ -- -- -- : ELi) - ,. (" 1;:-.........."'; :,,: I/lJ;;;i:: II (;O,\fMUH': ~__J l.h......~~............U --''''''0 '" 1. '" ~ H '- - .- o-i i'OU1JDA TION ( 1 s t) .. - - - - - - - - ~~ i'OUNDATIOll (2nd) ~/s; '1'1 rJr AU _.....r ~ ( h.R/ 16_ /~ "/-./ ., - . II I - -tJ: A. ~..JII ... z- .1> '.t_ _ ~A .,--....:., . 0 ,/ '"' / .'" . ROUGH FRAME / " -PLUMBING -- en o-i 3. '" I '" '" IllSULATION PER N. Y. /VI/) - . o-i . STATE ENERGY f CODE - "" :;:: " , r- '" 4 . 7~/I 07 P ..J .-,;L ok. ... ~ ----;Ph~'__It. - /'Y5.J- ~ ... ........... . '7 J::>1/1 "'$"~ II ~, lJ. - FDJAL 'Q O~ cb-...; (" I ~--^ . I ~. . ,J 0 &A." 0 l./\ . :=c - - ADDITIONAL COMMENTS: ... '" ~ '" .. . . . . , . - . '" o' X ." 0 H "" o . =- . o-i H 0 - ., 1 - . - '" "" r- o-i . :I: 0 '" ." o-i -- . .. ~ ~r , tJ v-, t. r c; , f 1 ~ s t f. ~ -- 11 ~ '---- ~ Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 12th, 2007 David G. Walsh P.O. Box 1023 Cutchogue, N.Y. 11935 RE: 525 W. Creek Ave. (Sun foom & deck addition) SCTM # 103 13 15 Dear Mr. Walsh, Please be advised that your Building Permit # 18029 issued April 12th, 1989 has expired. According to the Code ofthe Town of South old, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $50.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Examined~.. ~~. .., 19~\ Approved ~ . . \.~ . ., 19 j'1 Permit No. J~ ~~~.~ . ~~s~~~~~v.e~. ~/~. : : :: : : : : : : : : : : : : : : : ~ :;: : : : : : : : : : 0 1.~.~~. .~.~.t........ (Building Inspector) . FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 BOARD OF HEALTH ~... 3 SETS O~./LANS ....... SURVEY 'V~;;tIH" CHECK ..=:tt:..ly.. SEPTIC FORM NOlI FY CALL MAIL .1. 4. ~ : ./ il. ~:;? TO: '/fi) MB wm ,1iiI l1/lJ . ZI _ Ji: TowZ~l,9(PT ~~;T;.,. -- APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . ., 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 buildings 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 neces~~~. i~.S~W~. . .~ . . . . . . . . . . . . '. . (Signature of applicant, or name, if a corporation) ....... ... .......... ......... ...... ..... ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, neral contracto electrician, plumber or builder. .. ..... ..,................... ................ ............... ............ ... .... ........ ...... ... Nameofownerofpremises~~,-l/.I..?>.. .1;.)1J.0.H... ............... ...... ... ............. ...... ...... (as on the tax roll or latest deed) If applicant is a corporati~ of duly authorized officer. .......1/~............................ (Name and title of corporate officer) ALL CONTRACTOR'S MUST IE ~qEfOLK COUNTY LICENSED Builder's License No. . /-S:'%.>. . -:". t:tz:. . . . . . . . . . . Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done. ...-........... ......... ....-................. ... 5.1:-S.... .u)t;$T.C~G.f3t.. ./'tY.lir{Ut:..... .c.UTe fI()(JUb,. ~Ou.7HOLA......... House Num ber Street Hamlet C M " /oJ-F, :&- 17 /S' ounty Tax ap No. 1000 SectIOn .................. Block .... . . ' . . . . . . . . . .. Lot................... 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 .. r. ~70(C}.l. . l>.W6w....t N~. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . , b. Intended use and occupancy .. ~ . .{2..E)Or:Y.\ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable); New Building.. .. .'... . . Addition.. . v-:.... Alteration ........ .'. Repair .............. Removal . . . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost. . . . . . . ~. q (0. .00 . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . .1. . . . . .. Number of dwelling units on each floor. . . . .N fA . . . . . 6. ~~~~s~~:~;'~~~%~!c~;1s r'~ix'ed' ~~c';p'a~~~: ~~~;~; ~~~~r~';;d' ~~;e~~ ';f'~a~h't~~~'~f~;e' : : :: :AJ/A: : : : : : : : : :: 7 D. . f' t' ,J 'ru' t 'f F t "0 ' R ,10 ' D th !2/"' . ImenslOns 0 eXls Jrtg s cures, I any; ron...:-l . .. .. . , ... ear.. ~ .. .. .. .. .. ep ..LAJ'... .. . .. .. Height . ./.:).. '. . . . ... . . . . Number of Stories. . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DimenSiOns'u_ructure with alterations or additions: Front ..5:2..'.......... Rear.. 40.'. . . . . . . . . . . - -- /2' I Depth ~. . .............. Height. . . . ... . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . '.8. Dimensions of entire new construction: Front. . 1.(/. . . .. . . .. Rear.. .t.V.'. . . . . . . . . Depth .. 1.2:. . . . . . . . Height ... 9. ~ . . . . . . . . . Number of Stories. . . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot; Front .. . . .I.Q Q: .' . . . . . . . . . .. Rear.... f.Q V. .' . . . . . . . . . . .. Depth ..l {.q <:>.'. . . . . . . . . . . . . . . : O. Date of Purchase ............................. Name of Former Owner ............................. II Z d. . . h' h . . d 0 fi<f "-=N7Ifl L . one or use Istnct III w IC premIses are sItuate .... Ii-o . ~ . ':"'Y. . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulat, ion: ... ./J.e . . . . . . . . . . . . .~. ........ 13. Will lot be regraded .........~. O. . . . . . . . . . . . . . . . Will excess fill be removed from premises: es No 14. Name of Owner of premises .J?fW 10. . WI'3!-:?H.. AddressS".z5: ~f:C/":~1.. .f.lnPhone No.S?!/. .7.3. :SSP.L Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. ......... . . . . . . Name of Contractor .~f3.e>~. .flf;f;>PTT . . . Address 1.*4.&. Cow.rf'j fJ>>d.~Phone No.~(P-'(P.1': S'~-?- 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~. *If yes, Southold Town Trustees Permit may" be re,guired. PLOT DIAGRAM 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. .---- ~---- , Ill~ '" '" " , , J;.. "" ~ \ It, D"' - -r~", y;:, /\ J \ \ S -' 14-> ." <( ( ,,'. ~ " ';<;;:" \f:.: . ,I" '- E '; ,',.-' ,'- [. , ,,-~ ~ "'- .;;, ~l:~__.~ ~_._.. -- , - 1"0.'12 '~ .j ~ :..) '1., .\.--- u -----. L f1 '-I.> ~ STA TE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . .. S.S . . . . . . . . . . . . W 585Tf5f?-. . .~T. . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the. . . . . . . c;..q N"!.f41l!--:T.Q!:' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . (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 / IIOMt4ICK DI CORCIA NallIy PublIc. Stall 01 New Yor1I No. 52-4908383 . SuIIoIk CounlY, Commission Expires Dec. 21, 1ffl'j . . .. . ~q '!!: . . . .. . ... . .day of. /)(t!-:l./.!--4... . ......, 19r.1 Notary Public, . ~~ :R:J?lt.~. . . . . .. County 'v~ at.4d ........... .............. .......... ..... ....... (Signature of applicant) . /o-t . 1 f ..l.... j rocl e. UNDERWRITERS CERTIFICATE REQUIRED ~. ~ I<-I'l ~ P'fIJUinc . //'A. IJ- I , "..{ -~ {I' .. ~ , -' . 41,0 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY r- r- -'- == fia,r .. // / / c . APPROVED AS NOTED ~ :''d-I.\: ~ DATE' '/-1, ~'i'f B.P. # ~ 't- FEE sZ,. - BY: V. lV. L.. ' NOTIFY BUilDING DEPARTMENT AT 765. 1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2 ROUGH . FRAMING & PLUMBING. 3. INSULATION 4. FINAL . CONSTRUCTION MUST E COMP T F ALL CONSTRUCTION SHAU MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION .a ENERGY r44 ELevd/o.v ~ "=.f!o II CODES. NOT RESPONSIB'!A.!~ 11 'J ' DESIGN OR CONSTRUCTION ~ /<. eSI e-l>L( ~~~~ ~~ fYl51;j (.wjL- I . l'- ~... ;; ~... ~ ,. " .... o' , I:}~ /1 ~ }'J . ~ :: " "" ~ ~ ., . . . . '. , . . . . . . . '" - ~ \ . -< '" "- ~ - <' "7 , . l <- ", 1 ! I .- ._,. (:~; 1/'1'-", ~', I T I ~. J 'f ~ J ~ I\"~ d-~ ... ;/ , l.~\ ~J I c..t) ~ t l. J" ~ '"t S ~ . ~ ~ I~ ~ t, ;t R 0 ~ I."t ~. c:l' ~ I I \I, I oJ, ~. VI <-,j \ ~. ~~i).;- " l~" ~ ~""" .. ~ ~ '-J;: 'r '. . .' .~ '~ ! ~~Iv~~O .ll",~~~~' ~~ "I" "" _. ~ t:\ [ r . ~ . -X- ~c-*4\' . t. ~;;.~ \::l ~ ~ ~~ ~ (j) <;) '" I t !":t f t ~ ~ ~ ...:! ~ ... . 5', "I I, ,. . I( ..... --~~""". f ....;.......(~~ ..0 . ..,..~.i-~. . .;,"'.""....;,"'...~~. :.:.::~::=t....1'.._. '. . bo9-l:": .- "...--.,- .... ,- ....... ....-"'.- .. . .~ I "- d' ~ ,. t " -(. ~ ~ ~ A" <> ..... ~ .!,~ ':: K -:::::. ~. '\, )! I - ~ '-..~, ~ ~ ::::,: y "l: Cl.~t4,' . .~ ..; ~ .... .' ~ ~ . ltj .~ ~ ~ a ") ~ . El'Z5.Z I I I I I I I I I I ~- ~ ..~ _ i., :1 ll; , (;) 5'" ~ a ") "'" ---- . .~ . ,Y /J')' I) 1; r- ~ c:; :;: /" ~- ~~ ~-/- - ~ ~ ~-~ < , ror(1lerl! !AcNed nOI'l Jonn or H. "E 74"28'20 . , N. \>.>> \ "" \~ \' I .. , ~ i 657 S.r, '.,.REA' \4, \ \ ' , , , 121.40 < ~.1.'6.o 'f' "" '" a NO '" ~ <:> . ':'I "e....,t4.4 -=> o -:<.~ o C'l'" ~o a", ~'? -=>'" ~ '<. 6O...---'S;....... ..WE....1. ", " , ...... 5o'~ ----'-.:.._----- '<i'''' ~ oS', " .,.e."!>1 \o\n\..e.. S lV't~.. ~t.'''l.'~ 160.92' ~ ~t.'z"-s , OI'W. 5.75"/00 Or formerly noW T. Beebe , , \ I I ( <:> :2 ...J ...J ... ~ o .+. :!".. 1'--''''''..__-' I .' l '..... ~ ~-- -""-"'-~ _.. -.. .~ NORTH CROSS ROAD .Y '~,' ~ ~~ T~$' HD'- ~lfItPkl1l -------- 1.0 loam ------- ~/ coors. ..fand ------- I~O SURVEY FOR AUGUSTINE GILLEN 8 GEORGINA J. GILLEN AT CUTCHOGUE TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK .,If urtAufH(lR:lfD AlTERAT!C'" tJ~ ADD!r'Oll/ TO THIS Sl.;RVf\' IS A Y'\JLATlO~ OF 5ECT:O~ 1209'" r....[ ~-;(w YGR..; <;irATE E!)UCAT'Oflt ~ A'll .. COPIES OF r.-j,s SU1h'E;Y ."iOT B[A~tNG r"'f LANO SVPVEyorl'S J"olIl:t(; SEAl.. :JrJ EMBOSSED Sfl1L SHAll NOT Sf C\)NSIOEqEO tl) Bf t. ....'"-'D HII)€: "JPl' ., . (i.JA>.oAtiJfE S J."'~,I'C A TED I1ERE eN S"'A-.L h~'\J ON!.. '( TO fHE PERSON FOR WHOM THE $LR\I( Y ''': PRE.~'AREO, 1."':;0'" H/5 8E"'ALF Tor...( Y.T...E COMPM,l'.Gf)v(R/Ij. M[NTAl AGENCYANO :..HW-NG ,NSTITL-!"''"'N l,STEO MfRf'.)~, AND -0 THf ASSH.PliEfS OF r,.,t ;. fNDI!'Il,j INSi!1'UTION GvARA/IlHES ARE 1<101' TRANSFEkABLE TO ADDITIONAL :~Sl'ITUTIO"'S OR ~veSEO~EIIIT OWNERS * DISTANCES $HOwlli HERE"~ rRQM ?ROPERTt L'NES TO EXiST'NG STRUCTURES ARC FOR A SPEC!FIC P~RPOSE AN:) ARE NOT TO Sf l':S('O rOEsrClBL.15H PROPERTT LINES OR FOR TH[ ERECTION OF FENCES, AUG. 23, 1979 OCr. 27 /~78 OCT I?; 1978 JUNE I, 1978 I": 40' 78-288 DATE SCALE' NO GUA/?ANTccO TO' THE TITLE GUARANTEE ca AUGUSTINE a GEORGINE J. GILLEN HEAL T,; DEPARTMENT - DATA FOR APPROVAL TO CONSTRUCT '* f.j[AREST WATER MAIN~M!_ ~ ~ SOIJRSE OF WATER' PRIVATE ~PUBL.IC_ ,*SUFFCOTAXMAPD!ST SECTION BLOep:; lOT * THERE ARE NO OWELl'iNO'SWITH1H 1000000eT OF"fHiS PRoPffry OTHER THAN THOSE SHCW,.l HERreN, * THE WATER SUPPLY AND Sf WAGE DISPOSAl. SY$TE'" FOR THIS RESIDENCE WIL.L CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTy OEPARTME-.r OF HEA'-Trl SERVICES , APPLICANT: .. AODRESS TEl..,j.:->" ; · ; MONUMENT fOUND :>.".:. "- . -~ "' YOUNG a YOUNG ALDEN w. YOUNG,PROfESSIONAL ENGiNEER AND LAND SURVEYOR N.YS.LICENSE NO/2845 HOWARD W YOUNG. LAND SURVEYOR NYS. LICENSE NO 45893 *!U[ L..OCATIO,"l Of WELL{W),Sl.:J'TIC TANK(ST)8CESSPOOLS (CP)SHOWN HERE"N ARE FROM F'IE:..O OSSERVATtONS AND OR DATA OBiAJNEO FROM OTHERS. ~ I I I I 'I I i I I i , I , i I I , I I i i I , ! 'j I I I I I I ! I I ,