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Home My WebLink About23821-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24980 Date APRIL 10, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 95 SELAH LA. & 2405.MILL RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 9 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 1996 pursuant to which Building Permit No. 23821-Z dated NOVEMBER 25, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & OPEN PORCH AS APPLIED FOR. The certificate is issued to CAROL COLLINS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0093-MARCH 25, 1997 ELECTRICAL INSPECTION CERT. #14731 - MARCH 28, 1997 PLUMBERS CERTIFICATION DATED MARCH 31, 1997-HI-TECH PLUMBING . BWflding Insp ctor Rev. 1/81 "RM NO. f 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) N° 23821 Z Date ..&.�..................................... 19�'r�.. Permission is hereby gr n ed to: , . . a .... ... ... ... .........1.-�..... ... ... .... ... . ..................... i ... F- at premises located. at .. D.... . .L:.....l..�. . ............................................... � ....................................................................... ................................................. ...................................................................... County Tax Map No. 1000 Section l �...... Block . Lot No. '� pursuant to application dated ........ ,/ ................................. 1916, and approved by the Building Inspector. Fee �..K�l... . . ......................... ding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 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 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: 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - .25�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential /$�J15.000,�]Commercial $15.00 Date . ." 1. U ,E./. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. .. .. . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Locationof Property. . . . ..... . . . . . . ... . . . . . . . . . . . .. . . . . . . . :� .. . . . . . House No. ,/?T Street Hamlet Onwer or Owners of Property.. . -ti✓ . .Cg County Tax Map No 1000, Section. ,/.�Q . . .. . . .Block. . . . .91 . . . . . . . . .Lot.. . ./.: . . . . . . . . . . . . . . . . Subdivision. ....`l.� .. . .Filed Map. . l.`�.`3(. . . .Lot .[. . . Permit No. :: 8f.�Date Of P,ermit. . .�� .J�.!J. . .Applicant. � /��.� � L' . . . . . . . Health Dept. Approval: . ... . . .9. . .. . . . ... ... .. . .Underwriters Approval. . . .. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . l1 . . . . . . . cC�v Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� d S�-) 3 2 APPLICAi co� aYI'B"0 ��g11FF0(,�co co - ti 2 Town Hall, 53095 Main Road _ • Fax (516)765-1823 P. 0. Box 1179 y �� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25,, 1997 GENDOT ASSOCIATES', INC. P.O. Box 84.7 Wading River, New York 11792 RE: CAROL COLLINS ' To Whom This :May Concern: We are unable to complete your Certificate of 'Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . . BUILDING PERMIT # 23821-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FRO1-1 OEHDOT 1 hdC G=ra l d T Simone FHONE NID. 516 '925 4310 Jul. 13 1996 02:15PIl P01 7�,Y Fax (b l6) 761, Tawri H!alL Z30951.1ain AW � �� ;� YafePhona �51c) '10� �gow p, C), aox 1179 S00 0 v`. Nsw Yotic K OH—ics OF THE J3UILDING 1h sPECTC)F# TOWN OF SOUTHOLD S csG,11 Jld �,� ,�1"�•_ � Cif ,��;d U ' z z,axt-gy thatl'ic: the ardtc�� SUPPLY ?;+ n.tr i► less tylLl'Yti 1'Ns�C3 , I 4JgA7 �Cy ?�afQT ttiP_ h�.e3 19 I� cmlrity JOOY l..S C PIELD NOTARY PUBLIC.STATE OF NEW YORK No,48541 S0;Suffolk CourttY Commission Expires March 10,1 I . ii�i i i i i i�i i i��i�i i��i i i�i i�i�i::;:;::::::::::::::::;;;�::;::::;;;;;;:;;;;;;;;;;;;;:;;;;;;;;;;;;;;;;:::;;;:�:;:::::;:::;;;;;;;;.::.:;.;:.:;;.;..:.;.:;.:;:;.:;.;;;;;;;;;;;;;;;;;;;;:;................................;;;;;;;:.;.................:: -� . !;::::::::::::::::.............::::::::::::::::::::::::::;:;:;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::;::::::::::::::;::::::::::::::::::::::::::::::::::::;::::::::::;;:::::::;:.::::::::!:::::::::::::::::::.:::.::::::::::::!::::::::::;:::::::::::::::::::::::: 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MELD:.IN--SP-E--CT--I-O-N RF FORT IuI D—A—T—E—--II- --------1-------- — COMMENTS =====— — — ------ — ----- r=_UNDATION ( 1ST) -----------------�------ -o II I II e II pell � if _ II l II II OUNDATION (2ND) �_____ Ase t p! u ROUGH FRAME a PLUMBING Tr-- 111dy11 It II jj _ Cn II t INSULATION PER N. Y. ;I t � STATE ENERGY CODE � r II II f �G� sssit ..,r ' IN 6666 6 FINAL I�i 11 ADDITI L COMMENTS: C) Z I 12I6311996 17'.Be 516369":596 M,; RK OSMA�N PAGE 91 " ji R AfP.I,icATl00 3 $•.2 y .ors •. . 6i eIJDoT co,,45T. NJ WW YORK STATE; ENERGY.CONSERVATION ION -CONS'1'RUC ION COUP , PART 6 COMPLIA14t�'1:rolant r"tratalAt,RATING AlMUM) ONEANU IMPI'AMILY BUILDINGS 14oildhtg addrdss> C-DLOAS SEp- Go'oss floor area Number of s[ories Degree days, ,:. . 40000 GENERAL NOTES: rntlaln matetlols which ore capable o1 Iiulihng All building envelope elements that c minsture shall be protected by.R vapor retarder located on the whiter waintslde of Ihe.insulal�im. . Insulallon.lo be inslalled In a manner that provides continuity of insulatioii'til:plate Ii�eA,sill lines,bend joists and corners. Moors over unrnndilioned spaces shalt be Insulated. Slab'edge insulation sliall conform to c Mesequlreim nis. All doors and windows to-meet code.requirements for air infiltration.: Fireplace to conform to code frr fresh air&air infiltration requlrctnents. H VAC system to conform to code requirements. TOTAL THERMAL RATING The total Thenn�a Raling Cor Ihis huilding design Is Tile worksheet that developed this Tberuial Ralhng is allachcd. A Thermal Rating of zero or greater indicalcst that the building envelope complies with the Energy Code. SUMMARY OF'1'U'I'Ai.'l'HI;R114A1 "RA'IINC If the"Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy.Code. z,TIAURMAL TABLE AREA. lJ-VALUE,,,:.RATING USED A. RO.OP/CEILING 14(400 O, B., Nlr WALLS C..GLAZING _ f 5�. r - O Windows(Ist t Windows(2nd Fir) � E .ti I,f • Skylights _/- D. FLOORS/WALLS/SLABS 1426 45 1. FLOORS . 2. DASEMENTICELLAR. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ Vf"FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � � � / INSPECTOR M.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ [ ) FOUNDATION 2N [ INS U N [ ] FRAMING REMARKS: DATE � ✓`� INSPECTOiye 1� 765-1802 BUILDING DEFT. PECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE Ic�" INSPECTOR r65-iso2 BUILDING DEFT. INSPECTION [ ] F UNDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: U,4, DATE INSPECTOR �382I � 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. � ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: �� DATE 3 /7Z INSPECTOR ih //� T65.1S02 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [k- ]-R9tlGFfPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE l � INSPECTOR . BOARD OF IIF.ALTII . . . . . . . . . . . . . . . --, FORM 110. I 1 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOII'I'IIUI,p SURVEY . . . . . . . . . . BU I LIMIG, UIWAR'I?1RNT CIIRCR . . . . . . . . . . . . . . . . . . . . . . . . . 1PC)13 TOWN iIALL SIT TIC CORM SOUTHOLD, N.Y. 11971 765- 11102 NOTIFY: CALL . _ .'. :'•: . . . . . . . . . . . . 1'sxalnine(I �f ..''......, 19.f. 1" f MAIL TO: . . . . . . . . . . . . . . . . . • . . Approved.. ......, 19 Iv. I'ennil No. ;2- / ............................ ........ . . Uisalrpr(rvec ah. .................................. .. ...... :... ..... . .......... (Iklild' g Innl . -tor) AITI ICATI0N POR BUILDING PHA MIT 1)nLe.A�. . . . . . . I NSTRUCT IONS a. 'Ilds applicatitxl nrist be cu)tiletely filled in by t:ylxaariter or in inlc atxl mibiAtLed to the Wilding I(lspecLor will J sets of limns, nccurate plot' plan to scale. I',ee according, to schedule. b. 1'lot plan r1Klwhig location of lot and of lmildingn cm premises, relationship to rxljoining premises or pribl is streeLu or nrenn, and p,ivi(ll,, a detailed desc.riptiovi of Iny(xit of prorrerLy mist lie dratw(t on the diagra■n Which is (yarn of thin appl icaticxl. . 'lhe Work covered by Iltin a[I)1 icaLion may wt lie cunne(x:ed liefore iNSMITI:e of Wilding Permit. d. Illxnl approval. of thin n1i4icnCim, the IhOldinll Inspector will issue n Iktildiog Petmit to the opplicant. Such lxmidL• shall be kept ort the premises available for inspection tlir(xigllt(xit [lie worlt. e. io Ixlildinl; shall Ire cxxtipied or used in W(iole or. iu Imirt for ally pxirpx)se Whatever until a Certificate of t)LctllxllK_y shall. have beeti granted by the Wildinll hispecLor. AI'1'1:1(:A'HON 1S Illi(tlil{Y RVE to tlm iktildioll UeparlmenL for the insumxe of a lkilldhT, Permit lxircaumt Co the Iklilding 7xxxa Ordimince of the 'I'(AM of ;10%)(1101d, "AlffOlk C(xnit:y, New York, n(xl other aplilicsble laws, Orcllimileen or itellulaH000, for the coostniction of Ixlildings, a(klitiotts or alterntions, or for renloval or (ietrtol Ilion, as herein described. 'Ibe opplicanL• agrees to Cu'llly With rill 111J)licable laws, ordinacx:es, Wilding code, Ixxtsing Cale, atxl regulatiomi, mx.l to ixlnit millx>rized innlx>clorn oil prx-miken mxl io Ixtilding for meennary innlecHoon.. . f .-. ....................- ..�/.............. (Sigttnttire of appl lca(iC, or name, if a corlxrrn Am) (Fklil.11yl ixklress of: ;)IJ l.icant) E/7f Slate Wltell)er alld icant. is owvier, lessee, agent, ar,cltil.ect, engimer, general contractor, electrician, plutber or builder. ........... .............. ....... . .. ......:................................................... Fi>rne of Caner of pretnioesI' ..� (/ � .. ;,Lv`r�/�� (an al the tax roll or Iles(' deed) If appl icatiL is o corlm-at•im, sigrwtur'e of dilly mithot ized officer. (ilnie 1 Cit`1c' of corlxrrate officer) iAIders License No. ......................... l'luiiern License Flo. 3... ./.� .... ..... i.lectricians License No. `y_�' ?. /C-- . .... OLher Trixle's i.icense No. .................... I. (nation of lnrxl ort Wltidt pmpxrsed Work Will. be (lone. ..........!.... ..... .................. .. ...........................................................................'.!./G.. .................. .. Ikxlse Ninler SLreeL �j /1l'aalet Gxlni y Tax KII) 140. lOOO Sect io(i ...Uk ....... Block ..!............. Lot ..`/...`........ INi1xilV18!oil .......... .!.. �J'�.... Filed Map No. .i: �..... Lot: ..1............ 2. Stale exisl:ing tine nix] occxij-,00cy of: premises mxl i itemled use nixl cx:(:up)arx.y of: proposed countnietion: il. IiXI st 11)g ll(',e illxl a:cxl(krtx.y ..../] .... r./ / .............................. 1). In[emled tine MKI occtrp)atx:y G'-. .� .............................. 1. I�-nlufc: oil ►x)ll( (clx:ck %Afldl a1lAicallie). tta+ Ikfilding . .°f ._. . NIditIon AIieral.Ioil .. ... .. ... Its!ltlir ............ Ikcaloval ............. Desist)I I1:101, . .. .. ....... Other lift[. .... ........ . ........ . . ... . ...... . (Ikacrlpticx,) 4. EaLinrfled U)SI: ..�.`...!`�`�J......... . fee '.......... ... . ..... .. ...... ...... ... .... .... .. (Io (x: paid on filing III is appIica(:iCHI) 5 If thmIling, cxnl,er of (kaelllul; u,iiia ..... . IAnlxr of lhmlling utiil'a cxf enclf floor . .. ......... .... If garage, lKtilx r of Cara ... °�:`2! ....... .... .. . . .. .. ..... . .. . 6. if Ixu111xena, c(na,ercial or adxed a:culuax:y, slIecify nature mKl ex(ent of each lyl,e of tine...... ... . . .. 7. Ilin,enaitma of exislAng nLr►►clurea, If airy: Cerex,l:. . .. . ...I. .. ... ... hear ..,......... . ... Ik:lgl►L lin,lfer of Stories . . . ... .. . . .... . ....... 1)I'leIInitMls of alme sL.rtu:ture wills alleratlonfs or addlliona: 11rOIfL Itear ... ...... ...... Ik:iHlf Ile:il)li: ... .......... ...... . Il<r;l,er (if Sioriesi . . ..... ....... . If. n I11u :n r ,;IcM►s of eallre +few ccxratnxa:icx►: IrrcH►l. .. .. .�. .. .. ... . Itetir . ../�.4�.... .... Ik:pllf ��,� ,f1...��L� ji Ik:il;lfl: ..A............. ..... lAnlx`:r of1Slorien . ... . ... y/ �. 9. ;iize of lot:. IrcxIL /.. 5 // 5 � ��c��c°�tccar . . ?L/D.... .... . .. Dd1)(Il .�.f!✓.. ... .... ... . . I(1. Mile of; flu clfane�r� e�ct�"Cc �feGC . fish: of Ruruer' (}alx:r f�1c./../>�. .6.'� . 1/, L� C� 11. 'ltxfe or fine district: III will(J) presuisea are ni,Luated . ....... ..... . . . .... . ........... .... ..6.. ... ... . .... . .. 12. Ikx:o prolxfae(I clM,s1:rtK:CIOo V101nCe any z0fling law, ordiname or regul fit-lost: . lvp.......... .. ..... IJ. will loL lle rellrexkd ...ll/ e�....... .... will excess fill lie ra,ttwed frrXn prcanlsea. Ylai t I Vs. Unman of (),focr of premises ........................... Acklrean .......... .. .... .... ...... .... 111olfe lko. ._....._..._.. Ilrnr_ oil Architect ..... _ Mklrenn � . ...... 1lfofx: tic). .. Miltx: of (;cx,I:rnctor A(klrefIs d." . . .. ... :. � "a�. B ... .......111ocIe tko. 15. is (Isis prolx:rty willlia 3W feel' of o ticinl tx:tlacxl7 * YI�,g 1,K) ..!✓.. , ... *IV, YES, SUIIIKMI) 9X1<Jl1 '11U1511?1?S 11314•11.1' 1.1AY iq? 110v11t111). PI.O•I' DIAGRAM lcx:ale clearly alxl disl:ilx;Cly all Ix►Ild[nga, tA►etlfer exlarlog or proposed, nfxl indicol:e all aeC-lux:k dlafemilonel fi-on properly lines. Civek•ntreet myl block rxr,lx:r or llescriptia, according Lo deed, nlxl allow agree[ nauea anti inxlicnfe la,etlner inferior or comer lot. , �1 :;I'A•Ils (W MI Y(MIK, ..... .. . ... .... .. ...... .. ................ ... . ... . ..... .. ..Italy, duly eaxfro, llelxfnea aiml anya daft Ile la llle appl iron(. (II;nKe of ilxliviclual. nignirfl; e:onl:racl:) alx,ve n;Xit:cl, ((onl:rnclur, agent, corlxfrale offi(:en-, etc:.) of nnid c,<nx:r or owix:r'ti, a;tl in duly fill(IforIZed Co Ix:rfolw fir lave IK:rfuluwad illo saki work and to nadm wxl fill; thin npplicntiun; l.IlaC fill. aCatesnenCa ron(ainx:d in Ilfin npplieatiun arc: I.nlx: to the bcIll: of [fill IuxfwlcHlge aft) Ixiliefi anti lifa(. (Ile txnlc wi I I lie Ix--rfonlr:d Ill I.Ilu aaau,er' tick: for1lf ill life appl iciltion flled (lu:rewitl►. IA•nffn to I)(!fo (- nrl kills ..... ..l.!... �iIny of: I•ku.ory 11df l ic; .............'`..: . (:iig,!dure c Al.)Is icunl:) HELENE D.HORNE Notary Public,State of New York No.495.13S4 Qualified its Suffolk County Commission Expires May 22, 19 L1,E-t_t, - o SUFFOLK CO..HEALTH DEPT. APPROVAL fi:.ni3L}: P H. S. NO. S.F F ZT� .\/1/Lj7 '�1it_�rc�}i �.` `y'1.Si ;`'^• MAP 1C� � �� -rY > Cl C f' tkT ti l-i 'rti,j f��: e r��'. 'y �r_ 2i�+� +a �3'r � i �� 'i`4t•.p< 1r.7�� - t" LD 3 C 94 0 A" 0 3 � r S.C. DEPT. OF I HEALTH SERVICEC r MINT.!TU.C.�� ! N. D) t J. > O w r+ n rn o c� . C I� ® CD ' I� W M r -gn3 CD CD 0 an LANE E > cn S IGNATION: S. -- ,7'o,��E+ ��.J I , DIST. SECT. BLOCK PCL. _tom Job,- 9 two- J GQ3 I ID- �� , i ` OWNERS,-ADDRESS: GEN�C.t? ?;ST Y/E L` }' t_, l R'` CJ L'i t TF_L .0 e 4,+u d -_ - ! �1:•ir)� :� P` DEED: L.Q-/A P. `� t__ ;, TEST HOLE STAMP ro this survey i,,a violation of 7208 of the New Ynik plat^ u,'Jucation La>,v. Copies c:'his survey map not b^arirvq : \ r'.j.,land surveyor's inked seal of i f i AA/�' I t embossed seal shall not be ror%idpry L} j SCALE'! f,1 ( tr be a valid true copy. j — � ° -- ` /', —`�^ f� � Gzs:anteas indicated hereon shall-:1 {{ / •.4<_L/� 14'f, •i orlyto the person for whom ilia sono� LE rra,ared,and on his behalf to Ina f {M� line company,govemtnental egsrcy t 1 lending institution lissd hem n and tho ac:.l,n -s c le:ding •. o l G s lutic;t to Ct;,r_c:�»;:a na!tranSf.;a6i. 0 -,-" - ' as�.. •--•2.i 1 A t4 Imo.N p�0 L9 .7a 1 2ddl:ia:,sl i::�t,.�,wna r subsc4u�;' I + SEAL TO WE L_L _-1 _, j-----. 9 Y2 - - `_ � ;2V EYEDLU RODERICK VAN TUI'L• P.C. `� o� � �_, `�'�� ; f: LICENSED LAND SURVEYORS --=- GREENPORT NEW YORK TEGEOYNE ron N81329 j T- INI i.,L SUFFOLK CO. HEALTH DEPT. APPROVAL K10TI-5-: H. S. NO. 10 Sj 01\1 WEST I-I!LL MAP OF PROPER-7Y T- P E{�TY 5- Q 2\ E` F F012. I--1,i�'A L F f2 E Q El E RG. F(111 R FILEP !1,.j' TH'E F;'-:: A5 MAP 07 ( � A 'I -1FAN "-EA LEV`; 'D --7-E(,\j MATT)T U C 1� TOWN 5,0UT-HOLD Nly- -.4 i7 4 7 5ELAH R�q SUFFOLK CO. TAX MAP DESIGNATION: :).71 CC E, DIST. SECT. BLOCK PCL. OWNERS ADDRESS: I AT E 5 G.E N1 P 0 1 A5 S Q! 45 P, - 0, E30 X ��4 1 G 7`2 2, DEED: L.Q/A P. TEST HOLE STAMP > to thJ3 Survey Wa%rlulatlor 01 section 7208 of the New Ynil,Mat- Ed-=tion LOW. Iv 1 Copies o!!his survey map not bee, S the land surveyor's inked seat or '-rALI- embossed seal Shall not be consideol E 4C I C- to be a valid true copy. ,F ruamnlees Indicated hereon shall i ,� 1 t y i } 1 A , cr.ty to the person for w1nom tho L.TM f is prepared,and on his bella:f io title company,Cc 'gcrcv lmilO hemoe end to the cl the inst;- tuticn. ara not transfamb-e A to z t4r)g D a C-r. to additional lnsliluZioms or subsequ" U) GEC.4,1 99"-� (f22 SEAL TO WELL EL 01 0 C", 45 CO Lu RODERICK VAN TUYL P.C. r<E 'isr IZ 0. LICENSED LAND SURVEYORS GREENPORT NEW YORK A 140 )CC N3137* SUFFOLK CO. HEALTH DEPT. APPROVAL W 1 ES: H. S. NO. l.Lc_T r10,r). 2.ETE? 7C+U1�/ `� I i✓iLLSUB[)i�,jI�fln�� MAP �F Pi�O�'l� (� 1 .t� FE? M[siEl� f�2r�, _-- ---- - -- — — - '=;L.=�, '�.: TH � t.ri c-(n,. LE 12VS `��( iF"� AS !�-'1AF .��'.95= SU��V�Y�C� --�a�? GE1\\1 AT `j MATT 17-U C i/ ` IYES. I e� r S E LA►-i SUFFOLK CO. TAX MAP DESIGNATION: I 5.71"W'E. 'p DIST. SECT. BLOCK PCL. IQ�.Q - -- __-- - -- — - ---- — -- ,-- — —- ---------——t loGn 106 1 OWNERS ADDRESS: GE]Q1.'C)i A! Q�Sr�TES_, C. 45 jg,. V 1A 0 G 72 1 V E Q, TEST V/ELL i �� --- _.. DEED: L. ,1/A P. c� 4► ---- d9'�_ C1�>✓C> i (�?�. !'d_)�1Gr.� �3T �,4 2 11 i TEST HOLE STAMP I v ''�' � � ,, ter,�tdFltr�'r+ra.�r�w+r•ects�w > 1 to fh1;surrey Lea vlolatim r4 Suction 7208 of tho New York&1att�+ Cdocation Law. I , Copies of this survey map not boar:- ! a SCALE ^ + r_ + the land surveyors inked seal or MCA L L I, ` embossed seal shall not be ronsidomJ { _rry, t�La r i 1t to be a valid true copy. �1 D 9 1 J, Guarantees indicated hereon shall i _�—�� `1 only to the person fonrham the sur,•A•/ F I i`✓i 4,l,i 1 1"/? - ( II `L L prepared.and on his behalf to the titler•cmpany. .,- lendinginsl,:u:iarr, l ^L,Jand �J - tothaass:�nc,ectb.alenen�in;,to- �� I _ tuticn.Guararn;-.-,;ra ncl trnsierab,e a` AN1J F-N Q E 0 OCT. r�� 199 n � to additional inslLuiluns or sub t L TO WELL La SEAL rJ _, —49 V E V E D S 2-13T,3Q ;c} 6 u I I RODERICK VAN TUYL, P.C. '' 3 ,_ QI U f LICENSED LAND SURVEYORS ��ti�v0 t "jy f GREENPORT NEW YORK ,�D � A".,r°Dyw POST NAl7r � .VEc,L -p SUFFOLK CO. HEALTH DEPT APPROVAL !vOTES: H. S. NO,Q' C, �` j,WT 'N0s.^.P5FETz TO WEST MIL VI91 i_ IS!OU MAF OF PROPE 2 moPERTY Siree-VEY'EV Fe- M,PAUL FIAED8E_6G, FiLE:P f?•.� ''NE 5IFF. r.D.CLEt"L�C �, FtC_ A��M_AP }.953 . )L,+.IZVEYEt� FC?2 ?_ Q+JT0JR-REFErC id MEAN SEA LXVEL WGYtA A5S0C [A_r__c__ r OLK COUNTY DEPARTMI14T OP HEALTH SERVICES AT APPROVAL OP CONS'TRU fED-INOR14 FOR I 6 MATT t T U C 1L A WNCLE vA>,'ULY RES LNCF, TOWN OF 5GU TH G r r �Y `' ---��-+�- H.S.ke..'Noi. L r-- t _� _ Q O i = Ua ' � t .." xn have b ?�Z b}' c i or Gthcr agczaptCS u:A folmd t: L.i 5E ;.::t.j►rl it F�,cA tiI'vtL�ya�if E�BF nGN_ . S.4.....•.A-Cosa,P.P_Chic' Otticcef Water fund Wastel rerManagement � j �v � LANE SELAH BP � SUFFOLK CO TAX MAP DESIGNATION- DIST. SECT BLOCK PCL. xr, e,p OWNERS ADDRESS: Tr:L.9Zq- '; QOOFEC w000 P<N. Q DEED. L.t , P - � _ 11.w Sjj��TaflyYy 43t �} L' x TEST HOLE STAMP a-.. t � roc i'I..JL/� ,, .,� V • a» k� .c;''yit:l vi�i+ltinn��+a�+r b /'� �r./.�h1G. • • U_ > t _ Laxoi.l thn Nnw Ycxtc 1`ilaf- 11 ► � t � survey map not beariru; eyohs Inked sealer a ool shall not be considers:' • } ��CA L E -4 - ' licrtru copy. i�dcated hereon snag r--,ARE a � {� � i•- r h:.,y.; -:� Is Person his bem the-tla, 3C' " _.�{ 'p2._`�..t_•^ � : �'� end a�his behotf to Ma f I �(r /.,, y governmental ag..cY 1 M E`y f t r tion Psted hemo and s cf:he lendu^g r+sti. . .:are not transfsub,.spa % ` l i ,� � � :;,:,•ions or wb:.equo-�c L AMIi*tQDBD Ocr. 16, 1996 TO WELL U+ GEC ,r996 (FC}U��D/1.) s •� L Y a� h"AQ.4,t997 L"FiNAi. f p _-LA Qk RODERICK VAN TU]�L., r. i ? -7 01. O LICENSED LAND SURVEYORS6'�'� ! GREENPORT NEW YORK a. kn sy ft xr Vi fir. at to ya Ire tt .V Fay 4. TTT Yr SY f. ,a 4 as 'rr jM y. _ rp4' ,�J� ., ,i. - 7r Irv. i IIttJ ...... .....Iq oo�_ ItI4 Ky-0 1'4 i95AT4 07- as C4 it4 Iz to tV I ,iz pe A.Iru >F, 4-Ar 4r—+I 4ext�y 0 T.N IIL 4V tIK tE E 3/4HR. FIR PROVIDL RATED.SEPARATION TO ,i (1) OF,&I v PART.717.3 (f)ATtBUILDING'CODE.IT14 I14 72 I3,4 vq 1417F I it t8 4 I_j -TROVIDEVENINGSfOR RGE &. SCAPE AS REQUIRED, 47-14 ff IL By 00t ATEjio,jbI FIll ST NG C( 2,�0 2�_c;4AK A q!�F_F/I Cam` use tV tit rx b. yx S. YM •is airy O • yCa roi kt Fr at • k. iF • ry dyeC4 A ZA Cl C 7.1 PROVIDE to PROVIDE OPENIr. NGS FOR .RATED SEPARATION IRE PART- 77�3 rd (f)(1) MERGENCY ESCAPE AS .L�REQUIRED BYfART. 714'OF OF. N Y.:STATE BUILbINtCOUE N.Y. StATE'B M if UILDING CO Iit . ............P T�, IT4 wy ti r. • tI7'Z�ItT7im f i - I 12- i i i K, 71" �,17 7 77-- 77 7:7 lz 7AF + , , _ " I k'P'F 0, '14 t w, r-T L % J! 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