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HomeMy WebLinkAbout23835-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25307 Date: 10/06/97 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1115 WHITE EAGLE DR LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, 1996 pursuant to which Building Permit No. 23835-Z dated JANUARY 23, 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 & DECK AS APPLIED FOR. The certificate is issued to WALLACE DAVID MACOMBER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-95-0138 10/01/97 UNDERWRITERS CERTIFICATE NO. N430919 09/05/97 _.._ PLUMBERS CERTIFICATION DATED 09/03/97 EDWARD F. SCHILLER Bui ing Inspe or Rev. 1/81 FOSS[ NO. s 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) NO. 23835 Z Date ............................�......................., Permission is hereby gra t to: , .. ....0 .................... . .�.M..3......il ., . °. .... ... /� ......... . ........ ................................ at premises located at ..........................��� `G .. ..........................................................................� . .. .... .............................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ...........�..�... Block ........Z........ Lot No. /............... i pursuant to application dated .................................... ........... 19.Sk, and approved by the Building Inspector. Fee $./ .�� . W. ... .... .... ............. Building Inspector Rev. 6/30/80 yI S 6a �C TOWN OF SOUTHOLD I j � Q � BUILDING DEPARTMENT TOWN HALL li 1997 r f,, 765-1802 �; -SEP g APPLICATION FOR CERTIFICATE OF OCCUPCY E'"GO'O� °' AN ' a -- - --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 propertywith 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 Buildinz - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy -- $50.00 5. Temporary Certificate of Occupancy - Residential $ •0 , Commercial $15.00 Date . . . �.Iflf�. . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . Y. . . . Old Or Pre-existing Building. .-- . . . . . . . . . . Location of Property.Oocue.7:�. .!�� j�!/% ; ��'6� j�/UF. . , �Jl,�,/�� L • . /vC •/!� . House No. • •Street• • • • Hamlet Onwer or Owners of Property.. (/�L��� 9.����1. . �' � . . . . . . . . . . . . . . . . . . . . . . . . • • • County Tax Map No 1000, Section. . Zlock. . . . . . �` . . . . . .Lot. . . /. . . . . . . . . . . . . . . . Subdivision. . l-2:� ." ' . . .Filed Map. . . . . . . . . . . .Lot. . . . !. . . . . . . . . . . . . . . 62 Permit No. VP.2tS. .Date Of Permit. / A � . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . z Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .. . . v Fee Submitted: $. . �Y�>`. . . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . APPLICANT CO �2 307 i i r SUf l ' IY v Town Hall, 53095 Main Road y Z Fax (516) 765-1823 P. O. Box 1179 �O Telephone (516) 765-1802 Southold, New York 11971 z 7 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: T' Building Permit No . Owner: Dave 4 a( hnm V!/l gcom per (please printl Plumber: owd r. S-c t1(ey (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 5-/-a--day of 19 � (/ ter- public, GC County i�L ft Q New York Ib o.o.aNNF i r - - r Pit /�� t � r„- / ter' � �_. � �,��•:— IP C� ROARII 01- IIf.AI,111 _ . . . . _ - r•ORM NO. I /3 .rir'rS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVrY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT �C119CR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN iiALi, r Si P'1'1.0 FORM . _ . .. . . . . . . . . . . . . . . . SOUTIIOLO, N-Y. 11971 TrL.- 765-1802 NOT'LFY 19. '" MAT1, To: W%!_!. , ..., 19 ! fermit No.�J. Apprw,d...0c�' Q.. Dirmppruveda/c .............................. •• ................................. .... ...................................................... Ikri Ic.ling Inspector) AV . 41CATION FOR BUILUTNG PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . NSTRUCTIONS Ibis application irnrst be carPletely filled in by typeWriler or in ink and sulanitt:ed to the ikrilding lnslxc•lor rail 7 sets of plans, accurate plot iilan to scale. Fee according to schedule. * h. Plot plan showing location of Iot and of: buildings on premises, relationship to adjoining; premises or lxrhl is streets or areas, and giving a detailed description of: layout of in.operty rust he drmm on the ding", n which .is pm-L of this application_ c- 'lire work covered by this application rviy not be conrnerrced before issuance of Building Permit. d. l)gxxr approval. Or this application, the Building Tnspector will issue a Building 1'ennit to the agrg>l.icant. Svclr permit shall be kept on the premises available for inspection throughout the work. e. No imil.ding; shall. be occupied or used in wliol.e or in part for any purpose whatever until. a Certificate of Occupancy :.ball. have been granted by tl►e Building inspector. APPLICATION 11,3 11riI.U3i1Y tW)r, to the Building Deparment for the issuance of a Building Vermil: Pasant to the Building 7cne Ordinance of the Town of Scxrtlrol.d, Sulf:olk County, New York, and other. applicable Laws, OrdirrUrrces or Tlegul.aticnrs, for the ccnstrrreticn of Imil.di.ngs, mldiGons or alterations, or for renoval or demolition, as herein clescrilrecl, lire applicant agrees to comply with all. applicable laws, ordinances, Ixa.i.lding code, housing code, and ref;r.rlaticns, and to a(lmit acrtlror.ived inspectors on premises and in Imil.ding for necessary inspections. M.A .......... (Signature of ygticl or Warn, if a corporation) . 13d�C � - ��Uem s_1-R . (Mril.ing; address Of applicant) State whether applicant .is owner, lessee, agent, architect, engineer, general. contractor, electrician, plrmler or lxrilder O. �? ....................................................................................... ................... Nang of owner of premises �i )vl .JS. Ll.0 l� .1 ............................................................. (as on the tax roll or latest deed) If: airlil.i.cant is a corporation, signature of duly authorized officer. ......................................................... (Nang and title of corporate officer) ik61ders License No. ....._.... Pl.udmrs license No. ......................... rl.ectriciaor, License No. OUrer. Trade's License No. .................... I. Location of IMWI orr which proposed work W.i1.1 be dome.............................................................. iknrse Nurix-r Street ilarilet (:cxml:y Tax Kip No. lO()O Section laj........... Block .....7..��ht ............. SulxlivisiOn LA(.1 t5L.�C91,.................... Fi.led Map No./ _ .... of ..��-�......... (Nave) 2. State existing use and occupancy of premises arxl intended use and occupancy of proposed ccrcrstructicn: sr_ fixistirrg; trse and OCC-Upalx y ................................. h. TnCerxk'tl use and occ7Jparrcy ./..1.'1�?'!�(�Y...2�.VU.L.-zL/1.............................'............_._..... V{.��3':ife1�i's"?itd.Pi.� rs;r t•s"�r�'^�: ��I.7 op 1. N•tlorc of work (check wliidi applicable); W_m Ikci Ill ing ..... .... . AtkliLion ... ...... . Alterar..ion .. ........ Rolla iI. ........ .... IkalnvaI .......... ... lk�tlloliLioil ............ Ocher 1•k)lk ............................ ...... ((kscripCicxt) (t. Esl.ilikatcd ()nL ... ©i..��.. .�...... fee ....... ......... ............ .................. (to be paid on filing I.his al)lAication) 5. 11; th,x�lIing, mmiller of dwelling uuiLs .....1....... Miller of: (h4el1ing uflics oil each floor ............. ... Ifgilrage, ►ullber of cars ...4;9 .. . . ............................ !i. If Ilositress, clvinllercial or Mixed (xx:ulrarlcy, specify nacore and extent: of each Lype of use........ .. .. ..... ... .. ?. IliulullsiixLi of existing st.rru.Lures, if illy: hrout:. .... ...... . .... Rear .... ........... Depth . . ............... I It-iI�11: ......................... l4miber of Stories ............. ..... ... . Dinieiisioos of sense scrim-,Cure with alteraticxls or .ltkliClons: FronL ..... .. .... .... .hear .............. . Ik:l►tll ...... ......... ..... IleigllL ta,tl,er of Stories ... ............ fl. Diiiensiot►s of entire ixhj mnSCrtu:tio►. lrrooL .... ............ Itear .... ... ........ lk.pth . ............. Ileil;llt Unller of: Stories ............ ......... 9. Size of lot: Frcxlt I A/T Z:--. 7.8. ...... hear -L' . 1'(D........ Del)t1, 9 10. Nice of Hirchase ..................... N.villc of Forn,er Wiwi- .. .... ........ .................... . r 11. Mile or use ilist-ricC in uA►ld► pranises are situated �LSI !�L............ ....... ....................... .. 12. lkles propotithl cooslruc:Liixl violaee ally cooing law, ortliOaOce or regulacion: ... .... ................. H. Will lot: Ile regraded .................... Will excess fill Ix: rainved froin prcanises: YES tJO Ill. Males of Owner of prcanises V\^LPcCC-�/NNE-� �l:N':$Acklress �U.a..�7�..�����C )1L1.. NtaY iJo. ....... ....... .... Mane of. ArdtitecC ................................. .... A(ldress ........ . ..................... Phone No. ...... . ......,• y Nxix_- of Cotirraccor P.:P ►Z7V!3 1\)V..................... Acklrc:ss .shone K).�:gg-/�"�. \................ ...... IS Is ►his pmlx=rCy within 300 feet: of a Liclal wetlalxl? * YES .......... M) ..."...... *1G' YES, S(XfIlYIID 7(XJN '11t11SI1��S 113RMIT MAY Ic InplRIJ). PLOT UTACRAM lcx:afe clearly all distinctly all lx►ildings, wherher existing or prolxlsed, a►xl indicaL'e all. seL-lack dimensions from property Ihles. Give street aril block IYniter or (lescription according Lo deed,-arxl sltaa street ravines alxl irxlir-ace %Aiether interior or corner lot. lzxurlY (xll�..... ...... .....1m...... ... ... .. .... ............ . .. ....... . .. ..Ixtiltl; Holy ;woru, delxtses alK) says (hr►L he is the ttpplicnnl 0-LDIx: of ilKlividoal signiog, cowract.) ;ilxiye llixied, /�^^ K! i:: lllc ....... ..... . ....... f. R' ...... .. ........... .......................... .................. (Ccmtract.or, agelm, col-por►ce officer, etc.) of said mloe.r or owners, alxl it; duly atldlOriZed to lx,rfonn or have lx:rfonned the said work and to nvike alxl fill: Ibis application; Lhal: all. scat' nenCs contained in this application are LlUe Co the best: of his Iu10441edgc: ;]Od N'dief; alas that Lhe work will. Ix: Ix:r.fonlied in the ukunx.r set forth in Lhe aplAichLion filed therewiUt. ,k.xin► to Ixppt-�llore 11W! this15 q ... ..... ..L.9 ...(Illy of . `. ..... ...... C.A.. 1J)c a ry 1'I tb 1.i c: ...... \ ....... ................... .... OBERTI.SCOTT.J (S'tl;oa(.ure of Applicant.) ARY PUBLIC.State N.Y. No.4725089.Suffolk ounty Term Expires May 3 .192. ass-isoz suaoiNG oar. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �INSTION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REM RKS: DATE 2 S � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: Aiovlgoi� DATE INSPECTO 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ] FIREPLACE & CHIMNEY REMARKS: AF or zo oq- DAT INSPE � rss-isoz BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ V -`RQUGFI P6.BG. � ) [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE '� '26 IP7 INSPECTOR ���� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [�OUGH PdBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE S -A INSPECTOR 765-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMKS• � i DATE d"� INSPECTOR .�2� 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INLATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: e�� DATE / � �7 INSPECTOR_L�G� THE..:NEW YORK -BOARD OF FIRE. UNDERWRITERS .PAGE 2 10013$1„ .; BUREAU:OF.ELECTRICITY ,. �+i ,„'t,i 1-'rw :� .':, ,,• ;_'85 JOHIN-STREET, NEW YORK, NY 10038 Date NEPTE14BER 05,1997 Application No.on file. 1303G296/96 N 430919 THIS CERTIFIES THAT only the electrical equipment as described be low and introduced by the applicant named on the above application number in the premises of WALLACE D, .14ACOMBER, 11`15 .. WHITE- EAGLE, LAUREL, IJ"i'. in thefolloteing location; ❑,Basement ElIst Fl. ❑ 2nd Ft. GAR/ATTIC/OUT Section Block Lot 23 was examined on SEPTEMBER 02,1'.997 and found to be in compliance with the National Electrical Code. FIXTURE ' FIXTURES RANGES COOKING DECKS OVENS . DISH WASHERS 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 AMT. K.W. OIL H.P. .GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. N SYSTEMS O.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S . E R V I C E_ AMT. AMP, TYPE METER .4W 3W 3,B'3W 3 p�W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Z OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: It MODERN ELECTRIC EAST, INC LIC.#2300 1 I � L L 10470 ROUTE 25 DY.PUMILLO PAT LANE GENERAL MANAGER MATTITUCK, NY, 11952 11 r _ tt 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. ju COPY,FOR'.BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE , NEW YORK BOARD OF FIRE UNDERWRITERS: 100131 BUREAU OF: ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 SZ PTEMBER. O5 1997 1302,6296/9-6 h 430919 Date � Application No.on file 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 VJALLACE.. D. HACOMBER, 11].5 ' WHITE EAGLE , LAUREL,. NY in the following location; El Basement 0 1st Ft. ❑ 2nd Fl. I AR/ATTIC/0UT .Section Block Lot 23 was examined on SEP`!I I ME R' 02,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 76 76 6.9 73 ' 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS 7PECIAL RE TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 3 F 1 20 1 SERVICE DISCONNECT NO.OF S E R V I C E .METER NO.OF CC.COND. A.W.G.' A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1-0 2W 1,0'3W 3.0'3W 3 0 IW PER Ar OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CS I X 1 2/0 OTHER APPARATUS: 100A TRANSFER SWITCH-1 TRONI. NG..CENTER MODEL BR-40-,I , WIRLPOOL I11-1 PADDLE FANS-4 WE-11-L PUMP-1 MOTORS:4-F H.P. ,I-•F .H.P. 'PANELHOARDS:2-I CZR. 60,1--16. CZR. 100 - G.F.C.I:-9 SMOKE DETECTOR:-5 . Gwz <<< Continued on Page .2 >>> GENERAL MANAGER 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. COPT FOR BUILDING DEPARTMENT. THIS..COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. = NTS. SUFFOLK M. HEAL/H utf-I. Arr'i vvs+L H.S. N . STATEMENT 0 IN ENT THE WATER SUPPLY A SEW E DISPOSAL SYl FOR THIS RESIDENCE W L C N ORM T THE ST, OF THE SUFFOLK EPT. HEALT RVICE. SUFFOLK. COUNTY DEPT. OF HEALTH SER ` FOR APPROVAL OF CONSTRUCTION ONLY +� DATE: Guarantees indicated here on shall run H.S. REF. NO. only to the APPROVED: .) y person for whom the survey is prepared, and on his behalf to the SUFFOLK CO. TAX MAP DESIGNATION title compcny, Govermental Agency, DIST. SECT. BLOCK PCL. lending institution, if listed hereon, and , to the assignees of the lending instituti /000 /27 09 2/ Guarantees are not transferable to additional institutions or subsequent owns OWNER: - WALLACE DAVID MACOMBER GINNY MACOMBER l nauthorized.alteration or addition to this TEST HOLE DATA survey is a violation of Section 7209 Of AS PER FILE MAP 7770, the New York State Education Law. TEST HOLE I ORIGINAL GROUND Copies of this survey map not bearing -- _ — 0.0 the Land Surveyors embossed seat shah TOPSOIL not be considered to be a valid true — to, Dopy CLAY — 3.0, �A SURVEYED.BY, . ICES STAN LEY J /SAKSEN,°�R. + T OF H�yTN.� RV`,oulii PO. .BOX294 . SAND t NEW SUFFOLK;N.Y.,I/956 "' �,®NSTF<UeTJON OF (516J 73A.=58,35 OR pprivIRL�irL�l � S4N�G ONLY P g v13 -- 3 0 1995 gas REF. JID` - i �► I3.0, APPROVE ��/A1. L/CEN4E t ND.Sf[F�VE Q 4 PR t,. N Ys, LI ,jV 4s2�3 ^' } �., S ,j. H`d i s�,:�;r i t � fr r r 37}' i l 1 y E t,�.•-- ' 9.' -�OT 18.0E FILE MAP 7770,FILED 8130184 +/O/60 fl0%00 4100.45 Sr 1�5 +/022 y5 q r r ' +IgL35 WHl TE f loo.s3 EAGLE 100.2 DRl VE +IOI.85, CONCRETE CURB . "_ASPHAL T PAVEMENT S 320 33'.42"E: 148. 7 Po Po STAKE FO \o\ R=25.00' r Qi� A=3 ..27� f ' PROPOSED - . Q {. CESSPOO 4P 96 SEPTIC TANK PT C ' S f �0 I •' 97 -PROPOSED 2,400 S.F RESIDENC O 40' GARAGE 60' we - Ln O m c1 ti v Q PROPOSED 35 WEL L --�� /O' N 320 33' 42 W 184.1 N/F RASWEILER THERE ARE NO WELLS SEPTIC TANKS CESSPOOLS OR RESIDENCES OF ANY FIND WITHIN FY0' OF THIS 1 PROPERTY.' c� i I i� I ETIIZD - " i -o 'tOF NEW CE X I I i r r �O 032254-1 v� yx L 1. ESS I ON P� �i r-ocrn nNrS S'\A'"VAuLrl 13ELOO 612/j-D E G O Focs7"►N6-S -7 oN c e7uTaTZ G121JC"� a- 01`�i� UrJ (p X la POSTS 5/q �o DcCJC►uG- aX ow cG-rr�1Z tHC-/l 40 A[ COD s � — axis x vv�1��Ct oh) A F00-77iNt�rs A4 Z3 03 S m R; Z ` -TEST HOLE4I IN All, LOT 18 OF FILE MAP 7770,FILED 8/30/84 -I"101.60 11l0/00 410045 f IG'0 fJt) f102.2 SURVEY OF N 0 LOT 2/ Iol.85' +101.35 WHI T E '100.63 EA G L E + 100 2 D R I V E F IN CONCRETE CURB MA P OF GOLDEN VIEW ES TA TES �! A S P H A L T PAVEMENT R = 520.001 A=35.4/' S 320 33/ 42"E '' 14 P 78' SITUATE LAUREL, TOWN OF SOUTHOLD STAKE FD. SUFFOLK COUNTY, N.Y. R=25.001 A=39.27 1 � FILET 7770 SURVEYED FOR : WALLACE DAVID MACOMBER SURVEYED 9 NOVEMBER,1995 D FILED AUG 30,1.984 GINNY MACOMBER SCALE I' = 20' Q) AREA=40,132 SF Or � TAX MAP#1000-127-09-2/ 0 9213 Acres D N ` GUARANTEED TO: 'C % ^ ; WALLACE DAVID MACOMBER �1 ! GINNY MACOMBER FIDELITY NATIONAL TITLE INS. CO. TOWN OF SOUTHOLD ZONING: R-40 4 ALL ELEVATIONS ASSUMED DATUM 46'— 28-6' ;� 1.0' !27' l0'U 6 20.0' `r 173 to N 1 D.5' co = 37.1` tv POURED FOUNDATION FINISHED GRADE B��CONCRETE WALLS (FINISHED GRADE 1rt21*_1vd�t�cc ..iYclrljy,y4n liL tt�Le�i�`lG�_� (EXTERIOR WALLS SHOWN) !MIN 1 MIN 42 GAL 2 MAX 2'M4X /6,6,,, N O STORAGE TANK 114/I 1/8 l Nj -- � v r f1 - o tJ � y 300'SO FT O 884 e SIDE WALL y tV MIN AREA LEACHING N Z POOL 2 6 70 - ~ 900 T SEPTIC � GROUNDWATER O TANK I8.0 2'M/N GROUNDWATER, ? �— 5 GPM TYPICAL SEWAGE DISPOSAL SYSTEM SUBMERSIBLE PUMP -- NOTE FOUNDATION LOCATED 12/28/96 TYPICAL WELL DETAIL NTS SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDAROS OF THE SUFFOLK CO. DEPT OF HEALTH SERVICES S ' SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY W DATE: � . . H.S. REF. NO. Guorcntees 1,^.�:fr�nC� f?^r�? C'1 5�1�1i on!y to th^ rcr-on fc r v.l;gin t',-, sing-1 APPROVED is prey--red, cnd c,. !;i; hehaif t, is�, SUFFOLK CO. TAX MAP DESIGNATION titi� ccrr;�:r.t, Gc�•..;r.•an".;! f •ci�-� DIST. SECT. BLOCK PCL. ntnC?�r.q ... ,.:i..:ct, .. i�-,i•�a F.?rP="', rack iC tir 4ssrn.^ . cf ti:_ i^,_•.n� ;Iat:a;iun. 1000 /27 O9 2/ Gucrcrt;-s are r^t trcnsftrcalo t�) N 320 '1.3' 42" W 184.16' +�---• iddi"ot:a1 irs?itu?ions or s;.;a_r,o-ir.t owners. OWNER WALLACE DAVID MACOMBER GINNY MACOMBER Unav!�ta�ze tT a. TEST HOLE DATA or ca'd'.ocn to tE:'s AS PER FILE MAP 7770, surv-y is n vic!a'ion Of 7209 pF TEST HOLE I the %'Olk ":fCOe Ed'u,7"Ion 17w, Tlaf Fl AFf ':• uf, ;� ;t f r�: TA",'k� �c;•c,-L';7(=; ti fI: ;4 ,a .4 "';7Y ;.'f" r t+ �. ORIGINAL GROUND 1'FRT Y 00 TOPSOIL Corics of this survey r-an rot Ercrino _ /O' V:? l^ntt Stri'_)'Ors cT:acS!sd S ! shall CLAY nct be ccrsider.ad t, be a valid trv, — 3.0` c^,p y. SURVEYED BY: STANLEY J. ISAKSEN,JR. PO. BOX 294 SAND NEW SUFFOLK,NY,11956 (516) 734-5835 13.0' *IAVIYS FIN D LAND SURV OR NO 49273 95C 583 ` - TES T HOLEz#I IN LOT l8 OF FILE MAP 7770,FILED 8/30/84 *101.60 1-10100 4100.45 410000, +� SURVEY OF f 1022 N LOT 2/ +101.35 WHI TE '100.63 EAGLE 4100.2 DRI V E + 9956 IN +101.85' CURB MA P OF GOLDEN VIEW ES TA TES CONCRETE �-'� - - — A S P H A L T PAVEMENT SITUATE ��a R = 520.00 A=35.4/' S 320 33 42 E 148. 78' LAUREL, TOWN OF SOUTHOLD -STAKE FD. O\ j00 SUFFOLK COUNTY, N.Y. + � R=25.00� \ r A=39.27' 99 FILE 7770 SURVEYED FOR : WALLACE DAVID MACOMBER SCALE-EYED 9 OVEMBER,1995 D FILED AUG.30,1984 GINNY MACOMBER AREA=40,132 SF or V 0.92I3 Acres TAX MAP#1000-/27-09-21 D 'PROP v N CESS0PO00 GUARANTEED TO 03 J 98 WALLACE DAVID MACOMBER m GINNY MACOMBER FIDEL I T Y NA TIONA L TI TL E INS. CO. R1 TOWN OF SOUTHOLD ,--PROPOSED !t SEPTIC TANK ZONING: R-40 0� OQ ALL ELEVATIONS ASSUMED DATUM QQ 97 FINISHED GRADE FINISHED GRADE 3J1= Ir�nhr IMYI..e .. _o ,..milli l I'M/N /'M/N k 42 GAL. 2'MAX. 2'MAX STORAGE TANK PROPOSED — 2,400 S F RESIDENC B 0'SO FT SIDE WALL r O - MIN. AREA LEACHING • y 40' N 2 .-• � 900 GAL. POOL SEPTIC TANK 25' GARAGE GR�ouNOwA h N 2 2'MIN. GROUNDWA�ER4�„ o g f ' 25, bO S G.PM TYPICAL SEWAGE DISPOSAL SYSTEM, _ SUBMERSIBLE PUMP cT �- TYPICAL WELL DETAIL z NTS SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. N . c STATEMENT C IN ENT N THE WATER SUPPLY A D SEW GE DISPOSAL SYSTEMSFOR THIS RESIDENC L C N ORM T THE STANDARDS OF THE SUFFOLK EPT. 0 HEAL T RVICES m r s O � SUFFOLK COUNTY DEPT. OF HEALTH SERVICE -+ FOR APPROVAL OF CONSTRUCTION ONLY b � N -� ap DATE z p Guarantees indicated l:mre o•* 3!o!• r., H.S. REF. NO. Op on!y to the person for whom the survey APPROVED is prepared, and on h's behalf to thq SUFFOLK CO. TAX MAP DESIGNATION ti'le cerrPcny, Covermental Agency, PROPOSED 35 lenc'�.g ins it,Von, if fisted hereon, and DIST. SECT. BLOCK PCL. WELL to the cssignees of the Ie•+dilg insti':Itior /000 /27 09 2/ /0� Gucrante-!s cre not transferable to N 320 33' 42 W 184.l6 additional incti•ut'^ns or sLbsegrent owne OWNER: " ' . , WALLACE DAVID MACOMBER GINNY MACOMBER N/F RASWEILER l.ncutfiorized al#eraticn cr cdditinn to this TEST HOLE DATA survey is a v;o'a`ion of Se:'.rri 7209 of AS PER FILE MAP 7770, the P1e:v York S''ate Education Law. TEST HOLE I THERE ARE NO WELLS, SEPTIC TANKS CESSPOOLS OR RESIDENCES OF ANY KIND WITHIN 2YO' OF THIS ` ORIGINAL GROUND PROPERTY `"t4 C:cpies of this survey mop not bearing - t',e land Si,rveyers e^*botsad seat sha'I 0 0 TOPSOIL act be ccnsiderad tin be, a vat',_ trio - to, Cagy. CLAY - 3.0, SURVEYED BY: . ...,�.---.^.v,W,.... .�•'. F r ��g� Ci'•tc'�ii/;t'i�S STANLEY J. ISAKSEN,JR. L�+4+ff uim f t' ».. PO. BOX 294 SAND �t �� CX, NEW SUFFOLK,N.Y.,11956 s� +.�crrrt b'�i qu.+ 6' (5/6) 734-5835 <gel"9 /3.0 ,.. -fin L LICENSE L ND SURV- 0 nt' . Qe TE 0�...," �i �l� F N YS. L! N 49273 rr ����. �� �• 95C 583 I ` TEST HOLE I IN LOT 18 OFFILE MAP 7770,FILED 8/30/84 f 101.60 410100 410045 410000 +-� SURVEY OF +102.2 LOT 21 DRl V E IN +10135WH1TE +100.63 EAGLE +1002 + -0956 +101 B5' MAP OF GOLDEN VIEW ESTATES CONCRETE CURB-----ASPHALT PAVEMENT , SITUATE A=35.4/ S 32° 33' 42 E l 4 8. 78 R _ 520 00 LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. STAKE FD, R=25.00,E A=39..27 FILE 7770 SURVEYED FOR WALLACE DAVID MACOMBER SURVEYED 9 NOVEMBER,1995 SCALE l" = 20` FILED AUG 30,1984 GINNY MACOMBER AREA=40,132 S F m or VTAX MAP#1000-127-09-21 0 9213 Acres CESSPOOL A o O sr F N Q o m o P 03 03 KD Ri JET N GUARANTEED TO �L-A WALLACE DAVID MACOMBER I \ GI NN Y MACOMBER nl FIDELITY NATIONAL TITLE INS'CO. j TOWN OF SOUTHOLD SEPTIC 0 ! TANK ZONING:-R-40 ALL ELEVATIONS ASSUMED DATUM 46 29.2' v 10 16B' 1.1 13.1' ' S, o 10.6' �--- 37.1' °? GARAGE N FINISHED GRADE t\j N FINISHED GRADE I STORY /•MIN I•MIN 2•MAX ?'MAX WOOD FRAME STORAGE GAL - ORAGE TANK _ RESIDENCE l/4/I Is.L 0 O 300'SO FT B, SIDE WALL �T ~ MIN AREA LEACHING r i POOL y ENTRANCE - 2 ? p CELLAR b 900 GAL i 6ZO � SEPTIC TANK N - ` GROUNDWATER p ��►� `co COMPOSIT WOOD DECK Q �~ � 2•MIN GROUNDWATER, 41.0' j TYPICAL SEWAGE DISPOSAL—SYSTEM 5 GPM SUBMERSIBLE PUMP TYPICAL WELL DETAIL NOTE FOUNDATION LOCATED 12128196 NTS SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS � m FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES B Cuc `1 I �J SUFFOLK COUNTY DEPT. OF HEALTH SERVICES enly t n-;th, i-rv)tPU harp an s'��a'� rvr FOR APPROVAL OF CONSTRUCTION ONLY � cnly tc th^ p�r�nn for wh,�m thA s�frv�;r ' i, r,eper.d, and on his behalf to tFe DATE b I Y, r H.S REF. N0. t t._ rcm Cn Cv� rt,eniz! ARc nCy if l:st-:± hereon, and APPROVED: tr t�> c s;,;noes of thr lere*,-g in.=t,!(W,n, Cocrrr.+rrs cre net trc^r+Prjbtr tc, SUFFOLK CO. TAX MAP DES/GNAT/ON WELL acidisicnn! imf'utinns or DIST. SECT. BLOCK PCL. /000 127 09 21 OWNER: N 32° 33� 42�� W 184.16� WALLACE DAVID MACOMBER GINNY MACOMBER N/F RASWEILER 'rnut!eriaed alteration or ed6t',m to t!:ie TEST HOLE DATA SUFFOLK COUNTY DEI'AIaTh'iENTOF HEALTH SERVICES s6rvey i% a viclat'son of Srtt'vn 7209 of AS PER F/LE MAP 7770, ►ho rew York State fducatipn law• TEST HOLE I APPROVAL OF CONSTnUCTED WORKS FOR THERE ARE NO WELLS, SEPTIC TANKS, CESSPOOLS OR A SINGLE FAMILY FEMDENCE ORIGINAL GROUND RESIDENCES OF ANY KIND WITHIN 250' OF THIS �t 1 4997, �_ � Q 13 — ' 0 0 PROPERTY ' Dili. H.S.I`ef.No.� Ccpias of this survey map not beering TOPSOIL e4» [er<d Su�veyars e�*!^�c•+d srn! spry" — l D' The sewage disposal and water supply facilities at this location have been CLAY ___......-. inspected andlor certifed cy this Depatnent or other agencies esd found to npt it, romsidere a to 1,,e a y014 trolb be satisfactory FOR ZAXI .q OP r B DROOMS. �Y. — 3.0' c � 0. St hen A.Costa,P.B..Chief o i Off ice of Water=d WaStcvrater MWIS&CnIcrt SURVEYED BY: STANLEY J. ISAKSEN,✓R PO. BOX 294 SAND NEW SUFFOLK,N Y.,1/956 (516) 734-5835 NOTE : SANITARY LOCATION PROVIDED BY OTHERS AMEND MAP TO SHOW CORRECT LOCATION OF SANI TARY AS PER S C.D.H.S 29 SEP 97 . � /3 0' , LICENSED L NO SURVEYOR FINAL SURVEY DONE 22 AUG1997 NYS LIC. N 49273 95C 583 _ I I .1-1 I - - I - I . - ,- . - "" - I I -"" 11 I - I -1 -111,--- , - ' -1:' - ',7-.-- -'--7, � -17"-' 1 � � .I I 1. - -" -- I - I 11�� : ,� .- � � . .1- - � -- -.�_- - �,� ,--, � --1-- -1-1 ----I'---- -- �I.---- --, �' %-1 I.1- I I � - .1 .I I -1 �' I _71 , , , , ."�, -1:71 . .11 I , � I ��' I 11 11 , � I I /' ��� .1� I I I , . I .// I - I � I � . I 11� I � I . I . � '' 1, . I I I I I � , I � , I I I I I I I I I I . . I .�- : . I � � ,,, � I � � 1. I � I. �� 1. �' ", "� :-:�"�'' , - " -I I I . I I . . I I ,!. . 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