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HomeMy WebLinkAbout42078-Z Town of Southold 1/26/2018 P.O.Box 1179 53095 Main Rd A6 W Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39480 Date: 1/26/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 3350 Grand Ave., Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-2-4.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/23/2017 pursuant to which Building Permit No. 42078 dated 10/23/2017 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: GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Gaffga, Jesse of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42078 01-10-2018 PLUMBERS CERTIFICATION DATED tho ' d Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT =�h TOWN CLERK'S OFFICE '$ SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42078 Date: 10/23/2017 Permission is hereby granted to: Gaffga, Jesse 3350 Grand Ave Mattituck, NY 11952 To: A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT # 38491 At premises located at: 3350 Grand Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 107.-2-4.2 Pursuant to application dated 10/23/2017 and approved by the Building Inspector. To expire on 4/24/2019. Fees: PERMIT RENEWAL $222.60 Total: $222.60 Bui spector TOWN OF SOUTHOLD BUILDING DEPARTMENT - TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 38491 Date: 11/8/2013 Permission is hereby granted to: JESSE & JENNIFER GAFFGA 3350 GRAND AVENUE MATTITUCK, NY 11952-1245 To: A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT # 36571 At premises located at: 3350 GRAND AVE MATTITUCK SCTM # 473889 Sec/Block/Lot# 107.-2-4.2 Pursuant to application dated 3/19/2002 and approved by the Building Inspector. To expire on .51/9/2015. Fees: PERMIT RENEWAL $142.40 Total: $142.40 k/-\77 Buikli s ctor "to TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE '� • �;� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36571 Date: 7/21/2011 Permission is hereby granted to: JESSE & JENNIFER GAFFGA 3350 GRAND AVENUE MATTITUCK, NY 11952 To: A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT # 28207 At premises located at: 3350 GRAND AVE MATTITUCK, N.Y. 11952 SCTM # 473889 Sec/Block/Lot# 107.-2-4.2 Pursuant to application dated 3/19/2002 and approved by the Building Inspector. To expire on 7/20/2013. Fees: NEW DWELLING/ADDITION/ALTER. $184.80 Total: $184.80 r i r i Building Inspe 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. 28202 Z Date MARCH 21, 2002 Permission is hereby granted to: JESSE GAFFGA 3350 GRAND AVENUE MATTITUCK,NY 11952 for A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 3350 GRAND AVE MATTITUCK County Tax Map No. 473889 Section 107 Block 0002 Lot No. 004 . 002 pursuant to application dated MARCH 19, 2002 and approved by the Building Inspector. Fee $ 184 . 80 � Autho ignature COPY Rev. 2/19/98 pF SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.sox 1179 ioQ roger.rich ert(d)-town.southoId.ny.us Southold,NY 11971-0959 'QI�COUNV'��a BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jesse Gaffga Address: 3350 Grand Avenue city Mattituck st: New York zip: 11952 Building Permit#: 42078 Section: 107 Block: 2 Lot: 4,2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage LN INVENTORY Service 1 ph Heat Duplec Recpt 18 Ceiling Fixtures 3 HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 4 Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel 100A A/C Blower Range Recpt Fluorescent Fixture 8 Pumps Transformer Appliances Dryer Recpt 30A Emergency FixtureTime Clocks Disconnect Switches 17 Twist Lock Exit Fixtures TVSS Other Equipment: "ATTACHED GARAGE ALTERATIONS" 1- Special 50A Receptacle. Notes: Inspector Signature: Date: January 10, 2018 0-Cert Electrical Compliance Form.xls yao�� ass-iso2 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE 8 CHIMNEY REMARKS: DATE �� //7/0k----,'NSPECTOR M-iso: suanINa oePr. INSPECTION [ UNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C DATE L/O eANSPECTOR 0200 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ .]'FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ;INSULATION O PLBG. FOUNDATION 2ND [ [ J FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE INSPECTOR ✓'� Llao-2k M-iao2 BUILDING oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I CATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C e:7 DATE � 0 0 INSPECTOR J Of SO�lyo6 f�Z o — 1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ( ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTO62 - SOply TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ) FRAMING / STRAPPING [ FINAL /Q [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: file , VKV/ ve-DATE ! IO INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) Q " ------------------------------------ FOUNDATION(2ND) rU'� � Z � O � y ROUGH FRAMING& PLUMBING yxy t 7 INSULATION PER N.Y. 17 y STATE ENERGY CODE t r-- FINAL �vi7/ Cei� Vol - ADDITIONAL COMMENTS �iZ j ljlj 0 y 4qrm 0 our" R o9 3 0 Z m _fib✓ V 1 _ ;u x l � x d 1V IfLVt UVV1.I.LVLL �' V) �� �l T 11 , i d - vuavury r=Vyul nrrrvly rrr l BUILDING DEPARTM �N'�' `; Do you have or need tbo following,before appy TOWN HALL � -. MAR 19 AM Board ofHea]th S OUTHOLD,NY 11971 ✓3 sets of Building Plans TEL: 7,65-1802 , R;DGT�, DFrT4 ✓Check Septic Foffi ��,Ur�L�r� N'Y.S.D.B.C. ZTrastees EYaT mcd 20 contact. Approved ,20_ Mail to: Disapproved a/c Ph=,—229 - 00 I Z AAC APPLICATION FOR BUILDING PERMTF Date Few,, I 000 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or,hi ink and submitted to the Building Inspector with sets of plans, accurate plot plan to scale.Fee according to schedule, b. plot plan showing location of lot and ofbw1dings on promises,relationship.to adjoining premises or public streets c areas, and waterways. c. The work covered by this application may not be comuced be&=issuance of Building Permit. d..Upon approval of this application,the Bwldmg bspector.will issue a Balding Pounit to the applicant. Such a perm shall be kept on the premises available for inspection ftoughout the work. e.No building shall be occupiod or used in whole or in part for any purpose what-so-ever until a Certificate of 0ccupa is issued by the Building Inspector, APPLICATION IS HEREBY MADE to the BmIdi ag Department for the issuance of a Building Peamt pursuant to the Building Zone Ordinance of the'Town of Southold,Suffolk Coimty,New York,and other applicable Laws, Ordinances or Regulations, for the construction of bwldings,additions,or ahezatious or for removal or dmuolit km ah erein described. The applicant agrees to comply with all applicable laws,m4inanoes,building code;housing code,and,cgu1afions, and to admit 'authorized inspectors on premises and in building for necessary l aspections. ( ; of or name,if a corporation) G rmD Hvrt7_ (Mamlmg addrow of applicant) State whether applicant is.owner,lessee,'agent, atdAtc#,engineer,general contractor, electrician,plumber or builder Name of owner of premises (as on the tax roll or-latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corp6rate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which roposed work will be done: 1 { House Number Street Hardet County Tax Map No. 1000 Section /0 -7 ' Block Lot c� Z Subdivision Fred Map No. Lot (Name) 2. State existing use as�d o cq ofpre>t> ses�8��ct we and occupanaY proposed construction: of a. Existing use and ocxupancp N e F i� ; t p e,11 b. Intended use and occupancy 3. Nature of work.(check Bch arpplicable),New Buikliag' Addition Alteration Repan R�emaval Demolition Other Work (Description) 4. Estimated Cost 17— 222 Fee •(to be paid on filing this application) 5, If dwelling, number of dwelling units Number of dwelling units on each floor if garage, number of cars 6- If business, commercial or mixed occupancy' specify nature and extent-of each type of use. Dimensions of existing structures,if W.Front . 3 Rear 3'0 ` Depth 3 2- Height Number of Stone$ Dimensions of same structure with attet-AOns Or additions: Front' - '7Z Rear Depth H16ight 269 - Number of Stories a 8. Dimensionsof new construction:Front 3 y Rear Depth . Height o�A — Number of Stories 9. Size of lot: Front c'�a�� Rear a a�� Depth a ZC� I 10. Date of Purchase CDC.k 1 l i r Name of Fomiex Owner �'M ti e� ;7 11. Zone or use district in-which premises are situated 12. Does proposed construction violate any zoning law,ordinance or regulation: MP 13. Will lot be re-graded 'V J WM excess fill be removed.fiom premises: YES TQC 14. Names of Owner ofpremises Gia Address 6"L Nat Phone No.a9 8- 00cta Name of Architect - Address Phone No Name of Contractor Address Phone No: 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey,to scale, with accurate foundation plan and distances to pioperty lines. 17. If elevation at anypoint on property is at 10 feet or Below;nmst provide topographical.data on survey. STATE OF NEW YORK) SS: COUNTY OF ' ' �einvduly sworn,deposes and says•that(s)he is the applicant (Name of individual signing )above (S)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized topmf orm or have that all statements co�aixied m rs�;; �the said work and to make and file this application; zppli�tion ax a 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 thetewitll. Sworn to . ore me this y� day of 20Q_ Notaryfid S licant DILLAYE D. KRUSE Notary Public, State of New,York , Qualified in Suffolk County 011KR7360260 a�0� Commisetot Expires May 31, i oF so�lyol o Town Hall Annex 7 54375 Main Road Ph P.O.Box 1179 G� Q ro �'-rf U O S Southold,NY 11971-0959 y�OUHi`I,� OCT 2 3 2017 BUILDING DEPARTMENT ?-* ,?3tPr7GDIF'PT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY: Date: U 12_3/)- Company Nanle: Name: SS< '- License No.: I Address: Phone No.. - t i JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: t: cK E *Cross Street: *Phone No.: (p3 ) - 375- Permit No.: ! Tax-Map District: 1000 Section:__ Block: Lot: y. *BRIEF DESCRIPTION OF WORK (Please Print Clearly) C 6a (Please Circle All That Apply) *Is job ready for inspection: �S' O Rough In Final *Do-you need a Temp Certificate: YES/ NO Temp Information (if-needed) I I *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT GLUE WITH APPLICATION M0 1I 82-Request for Inspection Form �J I `SIA) 1 SO!/r�ol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Telephone(631)765-1802 Southold,New York 11971-0959 Comm BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 8th, 2006 Jesse Gaffga 3350 Grand Avenue Mattituck, NY 11952 RE: 3350 Grand Avenue S.C.T.M. # 107 0002 004.002 Dear Mr. Gaffga Please be advised that your Building Permit#28202 issued March 21St, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of$184.80 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. *rif SO Town Hall,53095 Main Road 41 Fax(631)765-9502 co P 0. Box 1179 Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 27th 2007 Jesse Gaffga 3350 Grand Avenue Mattituck, N.Y. 11952 RE: 3350 Grand Ave. (garage addition) 2 nd NOTICE SCTM: 107 2 4 2 Dear Mr. Gaffga, Please be advised that your Building Permit#28202 issued March 21 st, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$184.80; 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. pF SO�ryol 0 Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G • Q Telephone(631)765-1802 Southold,New York 11971-0959 IOUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD October 19t11, 2007 Jesse Gaffga 3350 Grand Avenue Mattituck,N.Y. 11952 RE: 3350 Grand Ave. (Garage Addition) SCTM# 107 2 4 2 FINAL NOTICE Dear Mr. Gaffga, Please be advised that your Building Permit#28202 issued March 21St, 2002 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit,please submit a fee of 184.80; 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. 33s� 1 2003 pF SOUIyOIo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O Box 1179 G • Q Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 9th, 2009 Jesse Gaffga Jennifer Krause 3350 Grand Avenue Mattituck, N.Y. 11952 O V Re: 3350 Grand Avenue/ iodation SCTM# 1000-107. -2-4.2 To Whom This May Concern: Your BUILDING PERMIT # 28202 issued March 21St, 2002 for construction of a GARAGE ADDinoN has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $184.80: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, 7009 0820 0001 7821 5042 ZP- Damon Rallis, oning nspector Southold Building Department 40Townof Southold Annex 7/5/2011 54375 Main Road Southold,New York 11971 MEMORANDUM OF VIOLATION(s) ISSUE DATE: 7/5/2011 REGARDING: 3350 Grand Ave SEC-LOT-BLK: 107.-2-4.2 ISSUED TO: Gaffga, Jesse&Kruse, Jennifer 3350 Grand Ave Mattituck LAW TYPE: TOWN OF SOUTHOLD CODE SECTION: 144-15(A) DESCRIPTION: No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector. OBSERVED: Expired building permit#28202. Town of Southold Annex 7/5/2011 54375 Main Road Southold,New York 11971 COMPLAINT To: Gaffga, Jesse&Kruse, Jennifer Complaint#: 2011-129 3350 Grand Ave SCTM#: 107.-2-4.2 Mattituck,NY 11952 Follow-up Inspection Date: 7/20/2011 Location: 3350 Grand Ave PLEASE TAKE NOTICE, a complaint has been registered against the location described above, in that the above named individual(s)did commit or permit to occur the following offense: Expired building permit#28202. This condition constitutes a violation of: TOWN OF SOUTHOLD CODE 144-15(A) To Resolve: Renew expired building permit#28202 within ten days or legal action will be taken. When on 7/5/2011,I did observe the following: Expired building permit#28202. r ' This property will be re-inspected for compliance on: 7/20/2011 ` t s Damon Rallis V2=4 Southold Town Building Department P.O.Box 1179 Permit#: 36571 54375 Main Road Southold,New York 11971 Permit Date: 7/21/2011 (631)765-1802 Expiration Date: 7/20/2013 J% Parcel ID: 107.-2-4.2 BUILDING PERMIT RENEWAL LETTER Dated: 10/18/2013 Applicant: JESSE& JENNIFER GAFFGA Location: 3350 GRAND AVE MATTITUCK Work Description: ACCESSORY GARAGE A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT#28202 A FEE OF $142.40 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: JESSE& JENNIFER GAFFGA Address: 3350 GRAND AVENUE MATTITUCK, NY 11952-1245 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery is desired: , ;; EIAgent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B o ived by(Printed ame) C. D to of Delivery ■ Attach this card to the back of the mailpiece, eSSr Pr a or on the front if space permits. D. Is delivery address different from item 1? ❑Y -- 1. Article Addressed to: 02 voa If YES,enter delivery address below: J6566 CArc4rA AVG 3. Service Type ❑Certified Mail ❑Express Mail ATr/TU e, , Aj, y' ❑Registered ❑Return Receipt for Merchandise �l 9sa ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; -7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB LOT ACR, REMARKS TYPE OF BLD. PROP. CLASS LAND IMP TOTAL DATE I I -, 854 E) I C) \fa✓ baatcl 111-FA5 3t3oo vo cow ' 00 - 30oo 80o S f9y7 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL o G Sl.nnlay N N N Cr a_ 0. 9YIIwey{sy '� 0 O O 0.P ° ef 4 ° N Q fi f N� > O 2 " G Rti1 o 204,67' r m N 78 8 50� E ; o 2 70 2 x L t 1p0 S.F.15 1�N of �[ °� O forPp;�y,y feo ;� r< O�► 1 0 n C�1 w N A , Z John npW Of fOrPplyn g1(ot � e 1ic1 +'fir FRS£ i N ZO'00 ` 19 0B 50 W 5 52 1 220.52 ef�y S7 1 r noW of to r Simons 3 °► Steer en d' NOTE. 1. ■.MONUMENT FOUND A. STAKE FOUND 11 2. LOT NUMBERS SHOWN HEREON REFER TO SUBDIVISION MAP— 1 'GRECORY SIYONEw'FILEO IN THE OFFICE OF THE CLERK99 OF SUFFOLK COUNTY ON SEPT. 20, 15 AS MAP NO, 9745. 1 ELEVATIONS SHOWN HEREON ARE FROM TOPOGRAPHICAL MAPS PREPARED BY US REFERENCED TO MEAN SEA LEVEL DATUM AND ARE SUBJECT TO FIELD VERIFICATION. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR: 'I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND MU•ABIDE BY THE CONDITIONS JESSE J. GAFFGA & SET FORTH THEUC REIN AND ON THE PERMIT TO CONSTRT.' i APPLICANT'S SWYIATURE. JENNIFER A. KRUSE A"LIGANT• At: MATTITUCK Town of: SOUTHOLD STREET ADDRESS: Suffolk County, New York 0TY.. STATE: ZIP CODE. TELEPHONE NUMBER: Stiff Co. Tax Mop: , 1000 I 107 I 24.2 District Section Block 'Let CERTIFIED TO: Young & Young, Land Surveyors JESSE J. GAFFGA JENNI400 Ostrander Avenue, Riverhead, New York 11901 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK 516-727-2303 JUNE 25, 1996 NOV 27, 1995 Alden N. Youna, P.6 k L.S. (1908-1994) '� /v/j � nATs •nrY a .occ SURVEY OF PROPERTY [� at MA TTIT UCK , M-11 /0 2018 TOWN OF SO UTHOLD = �• TO vTN OF SOUTHOLD SUFFOLK COUNTY, N. 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PECONIC—SURVEYORS, P.C. EXCEPT AS PER SEC77ON 7209—SUBDIWS/ON 2. ALL CER77FICA77ONS (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY lF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR AREA m 56,700 S0. FT. 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. SOUTNOLD, MY 11971 16-011 _+ �'" ` •: � •VES{.M N� �� ___. ase `x;ORA '{ . AO -----__ - ..,v._ .r ., ter.--- ,...T_ �•_-,.,.•r..-.. ,,..�_...-, P • 'I T W CD p V J !7), S w J O _ UJ a' S4 W is a U Q } a: E • Q � v F- W >"i•Q Mt Q = U Z NUJ O (3 R :3Z W WE UA ui W� U. W J z J!-•WJ� ` `K t- x 0. O Q �mZ o x � •• �•- x No LL wd aaNO OoNozz,:. x a goo � ovz¢ jr CCzoWFoo uj - �N LLJz_ cc Z GaZ0acr- WN�..O t - � N -J — 1- W . O_ JF OV t �1 M. m cm _ OO J JZO= O 3= aC:D < uVNvZ O 1= UJ i\mON Z � LL oc? u. mJcaQOW LU U)J O m O r- U. C4cd4 QhN o in ` ) co E , tr. .. 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