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HomeMy WebLinkAbout23345-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24579 Date August 19, 1996 THIS CERTIFIES that the building repair Location of Property R.O.W. off of Peguash Road, Fishers Island House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 3 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 25, 1996 pursuant to which Building Permit No. 23345-Z dated April 5, 1996 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 repair to systems in walk in cellar of existing one family dwelling. The certificate is issued to Judith C. Edwards (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 389994 & N 389995 dated June 28, 1996 PLUMBERS CERTIFICATION DATED N/A BUM ing Inspector Rev. 1/81 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) .............................................. 19. Nc 23345 Z Permission Is hereby granted to- - p, .. .�. .............................. A ........ .. ..�`�� ..... A ......... t0 ... .' �f.GY'G? �J........CM .�. ....... ,. ......... -;............................. .................................................................................................................................................................. .................................................................................................................................................................. atpremises located at...... .. ...... . ......... ....... ......................................................... �...... . . ............................ ............ County Tax Map No. 1000 Section ......... .d....... Block.......-�'�.............. Lot No. .11--�...................... pursuant to application dated . ��? 1 ....... :........................ 19................ and approved by the Building Inspector. � Fee$ ......... .... ..................... v Building In pector Rev. 6/30/80 TOWN OF SOUTHOLD rb. BUILDING DEPARTMENT 's TOWN HALL . JUN 17 1996 SOUTHOLD, NEW YORK 11971 4� 765 - 1802 BLpG. I�E�T -TUWIiI OFF SOUTFiQL ___ APPLICATION FOR CERTIFICATE OF OCCUPANCY a DATE. NEW CONSTRUCTION . . . . . . .OLD OR PRE-E%ISTING -BUILDING.x _ .VACANT LAND Location of Property. . . . . . . . : . . Alull'ja4. h L� o'A'k _ . _ - - ./' /SNeRS LS_&vjd HOUSE NO.. STREET - -HAMLET- - - - . . . - Owner or Owners of Property. ::!�.�-1- , -�� �b c.JAR, /J.5 - . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section -� O Block . . . . . . . Lot . .'s. . . . - r Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot. . . . . . . . . . Permit No. . . .Date of Permit . /-/ .?S.Applicant .41 Health Dept . Approval . . . .:11 . . . . . . . . . . Underwriters Appr ova l41. ::.39.q . ,ar.`. . . Planning Board Approval . . /l/ . . . . . . Request for Temporary 'Certificate . . . . . . . Final Certificate . . . . . . . . . O 0 Fee Submitted: APPLICAf. F Y rev. 10/ 14/88 C� -2 79 THE NEW YORK BOARD OF FIRE UNDERWRITERS rimm 1 1235043 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date JUNE 28,1996 Application No.on file 11454496/96 N 359995 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JUDITH C. EDWARDS, PENINSULA ROAD, FISI�RS ISLAND, N.Y. in the following location; ® Basement I2 lst Fl. ❑ 2nd Fl. -Section Block Lot was examined on JUNE 25,1996 and found to be in compliance with the National Electrical Code. w FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1-0 2W 1,B 3W 3.B 3W 3 JF IW NO.OF CC.COND. A.W.G. NO.OF MI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER.B' OF CC.COND. OF HIAEG Of NEUTRAL OTHER APPARATUS: FIRE ALARM SYSTEM-1 CONTROL PANEL-1 ALARM 3E11-1 HEAT DETECTORS-2 S14OKE DETECTOR:-4 L L WALSH SERVICE LIC.,#924 E MONTAUK AVE. GENERAL MANAGER FISI3ERS ISLAND, NY, 06390 f is Per This certificate must not be altered in any manner; 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1235043 BUREAU OF ELECTRICITY F_ 85 JOHN STREET, NEW YORK, NY 10038 Date JUNE 28,1996 Application No.on file 11454596/96 N 389994 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of JUDITH C. EDWARDS, PENINSULA ROAD, FISHERS ISLAND, N.Y. in the following location; ® Basement ❑ 1st Ff. ❑ 2nd Ft. OUT Section Block Lot was examined on JUNK' 25,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 9 13 8 6 3 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT I AMPS. TRANS. T. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 1�,2�N �,3W 3,�3W 3,0'�W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER ft OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: PAMLBOARDS;1-15 CIR. 100 G.F.C.I;-4 WMISH SERVICE LIC.#924 E 1 MONTAUK AVE. FISHERS ISLP,',TD, NY, 06390 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; 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. P l ELI)=I NSPtiI:'('LUN_I(I,PUR•c DATE CUMMGtI'i'S uj „1. -r u ------11 -- ----------------- 1'UUNI)AT f Otl (2140 I it---- II I ROIICII F RAF1fi ly jl II ------------- � Q PLUMB f N(' II II II r�dl 'r fNSULATTON PER N. Y . I t� STATE ENERGY I I ------ ii-- ---------- ----- -----—-- ---- c;of71's I{----- II I — _______ — ------=---=AI)DI'f'[UNA1.. COHMI:N'lSa=====___________________- ------------- -------- -------------------------- ti: �g, H O ra �t Y MATTHEWS & HAM ATTORNEYS AND COUNSELORS AT LAW �y 45 HAMPTON ROAD SOUTHAMPTON, NEW YORH 11968 1 `11 PHIMP B.MATTHEWS V /6'�Q •1(�— %'� (1912-1992) 516-283-2400 STEPHEN L. HAM, III FAGSIMILE 516-287-1076 BARBARA T. HAM e-mail:Matthamesq@aol.com February 9, 1999 Mr. Edward Forrester Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 Re: Premises at Right-of-Way off Peninsula Road, Fishers Island (SCTM No. 1000-10-3-5) Dear Ed: I have enclosed a print of a survey of premises that a client of mine has contracted to purchase later this month along with copies of Certificate of Occupancy Nos. Z12765 and Z24579. I would appreciate it if you or someone in your office would confirm to me that any structures shown on the enclosed survey that would require a building permit are covered by the permits referred to in the enclosed Certificates and are therefore covered by those Certificates. Please also confirm that the tax map reference in the first-mentioned CO should be 10-3-5 instead of 101-5-3. In case an application for an updated Certificate of Occupancy is required in connection with this inquiry, I have enclosed a completed application form and a check to the Town in the amount of the $50.00 fee. Thank you for your attention to this matter. Sincerely, Stephen L. Ham, III Enclosures a FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . Z12765. . . . . . . . . Dale . . . .. . . . . . . . . . , :ll;. . . . . ., ., 19 64 THIS CERTIFIES that the building Dne ,Family Dwelling . . . . . , . . .. . . . . . .. . . . .. .. Location of Property Hoagp.e Nnoi. ns.u. l. .a. .Rd. Fishers Island Sit . .. . . . . Hrm/et County Tax Map No. 1000 Section , , 101. ,. , ,Block . . AS . . . . . . . . . .Lot . .0003, . , . . . . . ,. . Subdivision .. . . .4.. . . . . . . . . . . . . .. . . . . . .. . ..Filed Map No. . . . . . . . .Lot No. . . . . .. . .. . ... conforms substantially to the Application for Building Permit heretofore filed in office dated ... . . .. , , . Aug., 31 19 8 4, pursuant to which Building Permit No 4 5 9 6 Z . . . . . . ... ... . .. . . . .. dated . 12 J 2 0 J,8 4)7 j 9/7 5.,Aug:3119 .84,was rued,and conforms to all of the requirements of the applicable provisions of the law.-The occupancy for which this certificate is issued is . .. . . . . .. . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . The certificate is issued to . . A4Y00AQ,;PMP�$ • - ' of-the aforesaid building. Suffolk County Department of Health Approval . . ..6-80- 5 8, , , , , , , , , , , , , , , , , , ,,, , , , , ,, , UNDERWRITERS CERTIFICATE NO. . . . . . .. . .. N 4 56 39 5 . . .. . . . . . . . . . . . .. .. . . . . . . .. . Building Inspector Am 1181 Z0 'd 6£2:t88L9TS Wd S£: TO 86-9T-33a r Form No: 6 TOWN OF SOUTIIO.LD BUILDING DEPARTMENT TOWN. HALL 765-1802 ,APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 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 2/10 of 1% lead. -,,-5. Commercial building, industrial building, multiple' re'sidences 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~^ "prp-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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, Accessory building $25.002 _ 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 . 5. Temporary .Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date , , February 9: 1999 . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . , Location of Property (no #). . . . , r/o/w/ off Peninsula R94d Fishers .Island - - . .. . . • . . . . . . . . . . . . . . . . House No. Street Hamlet. . . . . . Unwer or Owners of Property:, , , Judith C. Edwards County Tax Map No 1000, Section. , 0 . . . . . . . . . .Block„ 03.00.. . . . . . . .Lot. 005. . . Subdivision Map .of Peninsula S 223 .. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . .. . . . . . .L'.ts..-. 37,38 :. . . . . . . . . . . ,Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . .. . . . . .. . . . . . . . . . . . . llealth Dept. •Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . , .I _ r Tanning 'Board 'Approval. . . . . .... . . . . . . . . . . . . . . . . . . t ,:..quest for Temporary "Certificate: . . . : . . X Final Certicate .. ti. Fee "Submitted. $, ,50..00 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined . . . . . . . . .. 19 W Application No. . . . . . . . . . . . . . . . . Approved . . . . . . . .1 19 Z,&Permit No. Disapproved a/c . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . ° �� L'' W._L • • • C`•�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PP�,R.f� 5 1908 (B din sp ctor) APPLICATION FOR BUILDING PERMIT - ' _ --. s _._. _....._.. Date 6 . . . . . . ., al INSTRUCTIONS ; r a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin. Inspector,with 3 sets of plans,accurate-plot plan to.scale. Fee accordir}g to schedule., _ ,• b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street 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 issue a Building Permit to the applicant. Such permi 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 Occupanc, 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 th' Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t,_ admit authorized inspectors on premises and in buildings for necessary inspections. U/4 ZS 6•vTAA•CTi^! LTA .. . . ATE ' ' r ' 0140ERWRITERS CERTIFIC (Signature of applicant,'or name,`i a ccorporation). REQUIRED . .�al� . .%`.76. . . S�eR •y (Mailing address of applicant). • • Q.63 jU State whether applicant is owner, lessee, agent, architect, engineer, general contractor,t electrician,-.plumber-.oi•builde'i R!4 L C o ?—A A C.T !�. . . . . . . . . . . . . . . . . . . . . . ... •r• . , . Name of owner of premises . .Y. u � T� . . . . . .'! . . .D w/}• ;0 S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly a thorized officer. . • • • 116. 1 �', 7 PROVIDE OPENINGS FOR •?. . ���� ' EMERGENCY ES(Name and rtle of corporate officer) REQUIREDGE CAPE AS / G / zL A/ BY PART 714OF Builders License No. . . i• . • • • . . • N.Y. STATE BUILDING CODE. . Plumber's License No. . . . . . . . • . . . . . . . . . • . . . . . . Electrician's License No. . . . . tM Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 11'"t J V,i tonT CERVRCALTE , ro -1 r l's�F,I'v, ,..,•I;�; • 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . peg Iti S 4 Li9. . . .�?. o ff. . ... . . . . . . . . . . . . � s Xe-A s . •1 s•LA:,,,jd . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . ©• /.9 . . . . . . . Block . . . . . . . . . . Lot . . -.el. .?r# . 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 . . . Sil�.S.��.. . . . ./. .!.i•!':1.� �.`�. . . .Q ! e'�•�t N . . . . . . . . . .. . . . . . . b. Intended use and occupancy . . . .: •�ti.1.�. P . . . . ....!`�M.! r.`( . . '�. .e (�.� . . . . . . .. . . . . . . . . . . 3. Nature of work (check which applicable): New Building . Addition . . . . . . . Alteration !� Repair . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition, . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . � (Description) 4. Estimated Cost . . . . . . Fee .7 '. . . . . . . . . . .cc . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . . . . . . . . Number of dwelling units on each floor. . . . . . . . . . . . . . . . Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . 6. If business, commercial or mixed occupancy,specify nature and extent of each t pe'of use . . . . . . . . . . . . . . . . . . : : . 7. Dimensions of existing structures,if any: Front . . . . Z �. . . . . . Rear . . .,A'. . . . . . . Depth . . .?:�!�. . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . y. . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . �.� . . . . . . . . Rear . .L.� . . . . . . . . . Depth . . . . .2.f.... . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . : Number of Stories . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . • . • . . . . . . 0 . . . . . . . . . . . �. . . . . . . . . . . . . . 9. Size of lot: Front . . /.�• . . . . . . . . . . . . . . Rear . . . . . 0.. . . . . . . . . . . . . Depth . . 1.2- . . . . . . 10.' Date of Purchase . . ?/.? r . . . . . . . . . . . . . . . . . . Name of Former Owner /•Q1�yNaptid• .k`�: * w:alq��s 11. Zone or use district in which premises are situated . . . • • • • • • • • • • • • • • • • • .. . . 12.- Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . NO . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of.premises-Atdorf% .Cr.9VIP* 4 Address teBox•6,v .,194 4;Z.s, Phone NoX/(P. .7cpff.'74rY.o Name of Architect'. . . . . . . . . . . . . . . ... . . . . Address . . . . . . . . . Phone No.' . . . . y Name of Contractor4*94.PH?kA5T1?*. GT , , , Address&8%%.06. Phone No.V . ,?89 777 78 r PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing'or proposed, and,indicate alf 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� NoED w cQ T _ _.FIF W_G' ?D B.P. ,,'•: �'� ,•,ir~'0,..,.;'� •' =,,••• •r..; -'Z�y. ,: ..:�•'.' '.:r''•' �' FEE: BY: NO FY UI ING OEPAR 65-1802 9 AM TO 4 PM FOR-7HE FOLLOWING INSPECTIONS: ... � +'... .ei�:.;;�.Y.' ��.::�••••its:' "�«fi�. REQUIRE z'::-. .�' ,5. '>::',r i'..-",;• rs• ->=: , .;. 1. O C). r.:.;;: FOUNDATION TW �. FOR POURED CONCRETE ti ,; ;;:,,•,' ' ,• 2. ROUGH - FRAMING & PLUM J1 G' - INSULATION :r . 4. FINAL - CONSTRUCTION•Mi).ST, BE COMPLETE FOR C.O. -". ::t w. ,,: _ • j. St,- a.'it•'S•:�*, .as.Q' �• ? '3�sk; ;••.'•.,i:.�ft:., •,:a C�{ ALL CONSTRUCTION SHALL�"JA :, -; :�• �.� �,,... +'..�:�—.. . _ THE REQUIREMENTS O , �tr �: �� � r' � '• ����•� "'�• '� Y & ENo STATE CONSTRUCTION . '. '•� r': CODES. NOT RESPONSIBLE 'FOR" o" _ x DESIGN OR CONSTRUCTION ERRORS WEST 0 14 .. •,V.s aM�`y Rco '7a'�b !••"i•'•I'.. .C.JS. ,.ry�}; �. •+°...�:�� �` '• �.:' �a. .��. 'STATE OF NEW YORK, /[ S.S . . sZ � •'�'� BOUNTY OF : : . . . . . . . . . . . . . . . _ AT wie. . . .�. . .�A. . . !. . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual_signing contract) above named. / , :le is the . . . . . . . . . . . . . i►•�r.. C7-0� / ,C'oRPoAATE . . .O>E'fjeeR. . . . . . . . . . . . . . . . . . . . . . (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 wo;k will.be performed in the manner set forth in the application filed therewith. . Swprn to before me this 7� . . . . . . . . I . . . . . . . . . .day-of. . . . Ce!?:�!l . . . . . ., 19 Notary Public, . . . . . . . . . . . 5.��'�'•�.►:4 . .\. . . . . . County �. . . . • . f MARY S ANKIEWIG4 . Signature of applicant) M 52 — Sfl1FM a8°IN p:ii..11sil N EXPIRES o'W f 3 0/y 1. F- it i 2 N/F SCRIBNER L. FAUVER TRUSTEE I NOTES IRON 90.0, IRRON I 1 . PROPERTr 1' , LOCATED ItJ THE TO'v"dN OF SnIJTHnLD, COU14T'i OF PIPE PIPE SUFFOLK, DISTRICT 1000, SECTIOIJ 10, BLOCK 3, LOT 3. o ®SAS Po. ( I 7 REFERENCE IS MADE TO "PL4N OF PENINSULA AT FISHERS ISLAND -��' '�� SHED �` C,'Y^JNVv�D BY CHARLES 'd"d. HEDGE & FRAIJCIS G. THORP, 1 "=50', w/WELL POLE Q I I CHANDLER, PA0,1EP & KItIC, 1913". o —20.0-�-�- 1� O IGHT OF WPY \-STONE LOT #37 WALL TOTAL AREA = 10,050+/— SF WEST (GREAT) HARBOR I� I 1 LOT LINE o I DECK W/ F RESIDENCE APPROX. CITY WATER O ( SURVEY APPIROX. LLL J CLOSING ��\ SEPTIC TANK to Q UNE ( I I � rn I - _� l �z4 .� 1 O. LOT #38 �1 I MONUMENT t APPROX. rn DRY WELL 91.87' I 122 0-. • t � I I N/F DOROTHY HOADLEY IRON IPIPE I �� SURVEY MAP PREPARED FOR I� bI MON. ELIZABETH W. FURSE OF NFL,H. y0 ST9 V O •• N 20 10 0_ 20 GRAPHIC SCALE ire FEET LOTS #37 & 38 -- PENINSULA FISHERS ISLAND, NEW YORK 0 J� ` D SV� REVISIONS M 0-7 CHANDLER. PALMER Ec KING DATE DESCRIPTI(DN ' Ci r°"� r i r ' Architecture. Engineering and Surveying GUA4 NTEEDT 110 BROACNAY NORWCH. Cr 05360 660-8P,9-3397 FAX 660-686-76101 ELIZA.BETH W. FURSE & FIDELITY NATIONAL TITLE I'JSURANCE COMPANY OF tJE'N YORK ItJ ACCORDAI"JCE 'Y%'ITH THE MINIMUt)1 STANDARDS FOP, TITLE SURVEYS OF THE NEW YORI< STATE LAND TITLE ASSOCIATION, DATE: JANUARY 15, 1999 SCALE: 1 " = 20' SHEET 1 OF 1 1. F- it i 2 N/F SCRIBNER L. FAUVER TRUSTEE I NOTES IRON 90.0, IRRON I 1 . PROPERTr 1' , LOCATED ItJ THE TO'v"dN OF SnIJTHnLD, COU14T'i OF PIPE PIPE SUFFOLK, DISTRICT 1000, SECTIOIJ 10, BLOCK 3, LOT 3. o ®SAS Po. ( I 7 REFERENCE IS MADE TO "PL4N OF PENINSULA AT FISHERS ISLAND -��' '�� SHED �` C,'Y^JNVv�D BY CHARLES 'd"d. HEDGE & FRAIJCIS G. THORP, 1 "=50', w/WELL POLE Q I I CHANDLER, PA0,1EP & KItIC, 1913". o —20.0-�-�- 1� O IGHT OF WPY \-STONE LOT #37 WALL TOTAL AREA = 10,050+/— SF WEST (GREAT) HARBOR I� I 1 LOT LINE o I DECK W/ F RESIDENCE APPROX. CITY WATER O ( SURVEY APPIROX. LLL J CLOSING ��\ SEPTIC TANK to Q UNE ( I I � rn I - _� l �z4 .� 1 O. LOT #38 �1 I MONUMENT t APPROX. rn DRY WELL 91.87' I 122 0-. • t � I I N/F DOROTHY HOADLEY IRON IPIPE I �� SURVEY MAP PREPARED FOR I� bI MON. ELIZABETH W. FURSE OF NFL,H. y0 ST9 V O •• N 20 10 0_ 20 GRAPHIC SCALE ire FEET LOTS #37 & 38 -- PENINSULA FISHERS ISLAND, NEW YORK 0 J� ` D SV� REVISIONS M 0-7 CHANDLER. PALMER Ec KING DATE DESCRIPTI(DN ' Ci r°"� r i r ' Architecture. Engineering and Surveying GUA4 NTEEDT 110 BROACNAY NORWCH. Cr 05360 660-8P,9-3397 FAX 660-686-76101 ELIZA.BETH W. FURSE & FIDELITY NATIONAL TITLE I'JSURANCE COMPANY OF tJE'N YORK ItJ ACCORDAI"JCE 'Y%'ITH THE MINIMUt)1 STANDARDS FOP, TITLE SURVEYS OF THE NEW YORI< STATE LAND TITLE ASSOCIATION, DATE: JANUARY 15, 1999 SCALE: 1 " = 20' SHEET 1 OF 1