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HomeMy WebLinkAbout22981-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24396 Date JUNE 5, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 525 TERRY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 65 Block 01 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1995 pursuant to which Building Permit No. 22981-Z dated AUGUST 30, 1995 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 COVERED FRONT PORCH & REAR DECK AS APPLIED FOR. The certificate is issued to LESTER J. STEPHENS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-95-0086-MAY 14, 1996 UNDERWRITERS CERTIFICATE NO. N-287249 - MAY 29, 1996 PLUMBERS CERTIFICATION DATED MAY 9, 1996-H. SMITH PLUMBING & HEATING Building Insp or Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24397 Date JUNE 6, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 525 TERRY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 65 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1995 pursuant to which Building Permit No. 22981-Z dated AUGUST 30, 1995 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 RENOVATE EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to LESTER J. STEPHENS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect r 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) Date................ / ................................. 19.... NR 22981 Z Permission Is hereby granted to; ...........%ra... ...., ............... cl/S...... ... ...:....�/jl/................... y 6✓f7..... J i��// ir ....wlT1 !! ...... .. GSo.....lo........ ......... . ...... !! ... X�r. .....�JL......a`J.S.. 4i� .G..........A✓41V//L......l�P.�..�.f.`.�7�3� ,0//�S/,fir D/.-o.................................. l..f,.............�.�I.!.. 2.............P .................................................................... .................................................................... ......................................................................................................................... .......................... ........... at premises located at.............. 5......� �� .................................................................... County Tax Map No. 1000 Section ....10..�.......... Block...,...CV.......... Lot No. ...� ` ................... pursuant to application dated ....,... .................................... 19.. and approved by the Building Inspector. Fee$...��P. . ) S ......... . . . ............................... pG Building Inspector Rev. 6/30/80 U � ti JUN 51996 _80 177DT -r 77ON 7r CS�AT- - =--- 07 OCCL?LNC" BLDG.DEPT. 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TOWN OF SOO� -- =C _.c yL`5= De -__ -- :7DeW---Z= 'CD '_-K an-,: _s-DeC=..= °'--= -ic _..__.,w•_.�. :eTv JL__C_-io ^_ SET.: :Sz: SL=•Tat% C= _.^.fi e _ - =__ ?C_ _Z=E _✓C =_Ci of C+?S, - D2- --=e5 S=rae-s, and '=u'suc_ i2__--- "- =D�CQ- - -E='••'-ES =7=roti.=_ __Cu �e�=_ Je==. �_ �c_c_ Supp_t= ESC Sevp-=aRc- _SpCSa_ S =.:.=M __.._ __om 3Gard of _y-a FACE �Wc=_ s_ _ .�� Emem_ from _ De_ _.az __e so ae_ �sEa _ :vs _-G_=s :eaa. = -aE-CanCeS cMC S-- ^C '�S lc ^.+'15, G ..__---__=-'- of Code COIL'=__once __om __ =or Bcz-- 0= aa =aG :=_a-e^_5 AD__ , _C� r; -G^-CCi�..._ .1SES, v_ .+�__�--•C^ a�G - - =-`-----= aC_ �n� C•_ --o=e=_' SyGW=c � -GDe=--: __-iES, 5==?E_S; DL*____"'� GYC c_ =J=o5:r =i___ _a Z_=Es. ___^_ =7=__ c=_C w'C E C:Cm sea-z - _�SDec_ -=meE _t' C_Ze c7D__CE^.= .._,_ -,'•T _ - tee_ a� c -5i:--C- S= ..EC= = Sic__ `aaso S --fie- -- w----c ae - GGC G (' (1 _- c Vcc_ ��c- - Nev. ewe___�c �G: —a�___��s _o CwC___�C _J.OI 23 G, S _^ci o-Doc- CCEsso� DU—C--c aCCasso' DL'seSSeS =DC.GC. �e_= o_ 3cc zamc-7 S_GO.OG .. vC=` Of vz_ ---____ v_ JCC-,:;amc- - - S25C. . =eG_e z o_ Occ uGac-" - S 50-GG J- _am-Do:G_- ..a-_=-- a.c- - Res==e IS 13 00- /C 5_.; GG Ja_E V�`. ,(,� �. _f'(. V�. . . . . . . . . . . . . . . . . . . . 3L=--=i`_ . .�. . . . . . . . . . -oc===om o_ =rope= . . . . . . . .�_`L`--. - - - - • . . . . • _ -'. . A14c. . . . . _ �uiJ. t-{�- . . . . =GLSE No. z_ee= 1zz. mwe= or -E-s o= _-op_ e=r-. . . L� �E _ . .J. ± . . . _(.�.�� I (:,_/`1.S . . . . . . . . . . . . . . . . . . . . . . JLL - .GCG, JEC _ J . _ . . . _ . . . . -` Ma.) No � .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --E` '- �G�_ - . . _ - . . . . Dec z -JDrov a-�. . . . . . . . . . . . . . . . . • . . . . . . .J.i L:�_--_= _a J �_.�..L G_. . . . . . . . . - - - • -- �- _ vG_ . . . . . . . . . . . . . . . . . . . . . . . . . . �S . l... . . . . . . . . . . . . . �o ��f39 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date MAY 29,1996 Application No.on file 10681095/95 N 387249 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 LESTER J. STEPHENS, 525 TERRY LANE, SOUTHO:L,D, N.Y. in thefollowinq location; D11 Basement LJ Ist Fl. [Z 2nd Fl. OUT Section Block Lot waIs examined on MAY 22►1996 and found to be in compliance with the National Electrical Code. 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. 52 46 67 51 1 1 1.8 1 3.8 1 1.2 4 F 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 SYEMS AMT. NO.OFST FEE WATTST 2 F 2 — SERVICE DISCONNECT NO.OF S E R V I C E AMT• AMP. TYPE METER I�,4W S 3W 3,6 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. EQUIP• PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 CB 1 X 1 2/0F 1 2/0 OTHER APPARATUS: PADDLE FAN-1 11OTORS:1-F H.P. ,1-4 H.P. ,1-F H.P. PPNEIBOP.RDS:1-1 CTR. 60 S140IM DETECTOR:-5 G & S CONTRACTOR LIC.#578 E BOX 215 ANN GENERAL MANAGER SOUTHOLD, NY, 1137.E r tm P e 2.1 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. INSPECTORS �SUFFO(��0 SCOTT L.HARRIS, Supervisor CM (`?. _- ..: - cry Southold 1� ,� = Southold Town Hall Thomas Fisher 0 �t' �E�la ' "T P.O.Box 1179,53095 Main Road Building Inspector � Southold, New York 11971 Gary Fish i0( r �� Fax(516)'765-1823 Building Inspector Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: May 9 , 1996 Building Permit No. 2 2 9 81 Z i Owner: Lester P. Stephens (please print) l Plumber• H. Smith Plumbing & Heating Inc . • (please print) I. certify that the solder used in the water supply system i I contains. less than 2/10 of 1% lead. 1 ers Signature) Henry P. Smith, President Sworn to before me this day of May 1996 Notary Public, q»ffnl k County I �• I �ft ' I I otary Public II' JOYCE M.WILKINS Notary Public,State of New York JUN ` 5 _ No.4952246,Suffolk Cou 4 Term Expires June 12,19 /-,, BLDG.DEPT. y ,T TOWN OF SOUTHOLD • .mar:: � 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS:d� /,jaaz.� gozn — DATE INSPECT � 765-1802 BUILDING DEFT. INSPECTION [ ] UNDATION 1ST [ ] ROUGH PLBG. [ c�j OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Z�azz DATE INSPECTOR 765.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACEHIMNEY REMARKS DATE � INSPECTO 76s-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 7ST [ ] RO F1 PLBG. [ ] FOUNDATION 2ND [ INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLA 8� CHIMNEY REMARKS DATE j �� INSPECTOR - ` 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ 4��4�UGHPLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4P C0 DATE INSPECT �S _ ' NSl EC'LNN RI:I UfZT Un'1'C COMMENTS FOUNDATI.ON IS FOUNDATION ----- -- ---- ----- z� z ROUGH FRAME { ------------------------- - -------- I{� INSULATION PER N. T. I I{ M STATE ENERGT CODE ------------------------- - - -_ =_=11 --_---- --------.---- --- - -- ---------------- -- -- - -- --- ---------- --- ---- - -- 1-2 67 ADUITIONAL COMMENTS: w Cie Z - — -- R O a; e �rl O New York State Department of Environmental Conservation �� Bu,Rdin9 40 -SUNY, Stony Brook, New York 11790-2356 ?'r Phone (516) 444- 365 ft �+ Fax * (516) 444-0373 5 W 2 P44f Pr �e5v h s MkNW D.zagaw CanvnLgzkww 30 lVaInhlin.cud Date: Uurje 0?o] 5 l'�gnha �/V RE: Dear /ry/� Sf2��ien5e 5oufholG��IVY .� 1g71 Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that. frvfer X landivq d o¢' o fhe �l ��� 9,� �2,� -I" � 1d , .i n e(ev��i an 0og Meah 52a le.Ve- 1 a5 56wri ors 5 urvey by jr) 1n T , d a4e j a f �RS /&;,5ed s���9S ' s be-yo"c( dal weflar► ri I Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR• Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of,the . tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation. or other alteration or disturbance to the ground surface or vegetation within Tidal.Wetlands jurisdiction which may result from your project. Such precautions may include maintaining an adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. iV yours, 0 er L'-Vot 1S uty Regional Permit Administrator cc: L �el'f�/1 i /P�erf�/►t e ui(slier aMHP 4T ___.� �vaF F04 . Albert J. Krupski, President Town Hall John Holzapfel, Vice President ZZ � 53095 Main Road Cm William G. Albertson eA P.O. Box 1179 Martin H. Garrell �O Southold, New York 11971 Peter Wenczel 4-1 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,,May 19 , 1995 John Bertani Builder Inc 1380 Oakwood Drive Southold, NY 11971 Re: Lester J. Stephens SCTM 365-1-22 Dear Mr. Bertani, Based upon the information received in our office, updated survey dated May 9, 1995 and an on-site inspection, the Southold Town Board of Trustees feel the construction of a new home is out of our jurisdiction based on the measurement taken from the 1Y11ean High Water Mark, landward, to the stake indicting deck construction. If you have any questions, please call our office. Sincerely, av-�i 9 Albert J. Krupski, Jr. President, Board of Trustees AJK/djh BOARD OF HEALTH v FORM NO. 1 3 . SETS V PLANS TOWN OFSOUTHOLD SURVEY . . . . . . . . BUILDING DEPARTMENT CIILCK4..e�.Q - A�16`'+�� TOWN HALL SEPTIC FORM . _ . . . . . . . . . . . SOUTHOLD, N.Y. 11971 Lr r _�S TEL.: 765-1802 t (><Z FY 19�5 CALL . - - - . . . . . . . . . / MAIL TO : Approved . . , 1.��. . . . .. 19/ . Permit No.)-P9T1 . . . . . . _ . . . . . . . . . . . . . Disapproved a/c //. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . . . . . . . . (Buildin ector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . .. 199r� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose.whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . . . . . . . . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) k(V I tq 7 State whether applicant is owner; lessee,, agent, architect, 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 corporate officer) Builder's License No.. . . .II.rr.I.� : f f. . . . . , , Plumber's License No. . ./7:�1 (Y)? - , , , , , . , , , Electrician's License No. . . .4 r. . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . l. Location of land on which proposed work will be done. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S . : . . . . . . . . . . . : . . . . . . . . . I 1�_r.�'r. L�?rL?-. . . . . . . . . . . . House Number State Hamlet County Tax Map No. 1000 Section . . . . .(9 (3 S. . . . . . . . . . Block . . . . . . . . . . . . . . . . Lot . . . . . . , . . . , , , . , Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot (Name) . . . . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . N�7.�Yro t .fit lI CA 1I., i 3. Nature of work (check which applicable): New Building . . .X. . . , . Addition . . . . . ... . . . Alteration . . , , Repair l c ;� . Removal . . . . . . . . . . . . . . (Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) (�(S;Q� 4. Estimated Cost . . .I •� . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . , , , • . . . . . . Number of dwelling units on each floor . If garage,number of cars ' ' ' ' ' 6. If business, commercial or mi ed occupancy, specify nature and extent of each type of use . . . . . . . . . • . . . 7. Dimensions of existing struct�s,,if a .)Front . .ZO.iH. . . . . . . . Rear . . . , , , , Depth . , Zz, Height . . . . . . . . . . . . . . . Number of Stories . . ... . . Dimensions of same structure with alterations or additions: Front Zv:`� . • Rear ? Depth . . . . .z�:�+. . . . . . . . . . . . Height . . . . . . . I . . . . . . . . . . . . . . 8. Dimensions-of entire new construction: Front • % ' ' ' ' ' - Number of Stories . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . Height . . . . . . . . . . . . . Number of Stories . Z% 9. Size of lot: Front . . . ? O.0 1: . . . . . . . . . . . . :, Rear i. . ..�{B.•121�: . . . . . . . . . . . .Depth . . . . . . . . . . . . . 10. Date of Purchase • • • • • - • • • Depth . . .� �:2�l. . . . . . . . . , .. . Name of Former Owner 11. Zone or use district in which premises are situated . .i' K-t-4,1 • • - • • • • • • • • • • • ' ' ' ' ' ' ' ' ' ' 12. Does proposed construction violate any zoning law, ordinance or regulation: • .0.0. , . • . . • . 13. Will lot be regraded ..C\Q. . . . . . . . . . . . . . Will excess fill be removed from remis . . Yes • • . . 1 14. Name of Owner of premises ),%@: . *h\ l4°. , �. Address �?!m �Ntkjj\Q it 0� )D Name of Architect ,�� ,oc�, EII%C-rZA� rAddress ' � � �"MiN�No. . . . . . . . . . . . . . . . .Address . . Q1,� a l . Phone No. Name of Contractor Oh .� fin'), . �h�,12�, .Phone No. �(oS (te,I. . . . . .15. Is this property within 300 feet of a tidal wetland? �c " " Yes. . .x. . . *If yes, Southold Town Trustees Permit may be required Tc. No. . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I - I ' i i STATE OF NE Y�,2�K, COUNTY OF . .' . � jC S.S ..�,kfv�� a. �� � . • • • • • • . • I • . . . . . . . being duly sworn, deposes and says that (Name of individual signing contract) i Y at he is the applicant above named. i Heis the . ... . . . . . . . . . . . . . . . 1��(G�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized;to perform,or have performed the said work and to make and file this application; that all statements contained in this 'application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth iniithe application filed therewith. Sworn to before me this . . . . . . . . . . . . . . . . . . . . . ./.day of . . . . . . . . . . Votary Public, . . . . . . . . . . e. .. . .,County F{ELENE D.HORNE .LC�G-�:. C�{1;%--:. . . . . . . . . . . . . . ,. Notary Public,State of New York (Signature of applicant) No.4951364 Qualified in Suffolk County Commission :`xplres Rflay 22, i9` SUFFOLK.000NTY DEPARTMENt-OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY / � . DATE- uS.`REF. N0. N APPROVED ,Tesl Boring FOB o, O .9 Dark:'Brown L o'am Brown Silly Loam; 3' o• �` Palo Brown Fine to S Coarse �I,- Sand O 20, w o Gr. Nader d.. .�. Pale.Brown 3i .x��� F �"Y Flne to 'Coarse.Sand - \� N � gam•.- / � � . c �(Ye j� ��. •9 JI ,b ,yG : o� �XN fQj SRo .9. 0 y� y / �� .<� �h ELEVATIONS.ARE REFERENCED TO N.•G.V.D., �' 5' ..a .SUR:VEY':-FOR : . L ES TER, J. S:TEPHEI MI5 A T -SOUTHOLD AREA = -27,553 ft. 9 - TOWN:OF,SOUTHOCD. to tie line - LKCOUNTY N. Y' 1000 - 65 �..01 -.22 • Scale: 1" = 40' _ . - _ . • . .. , •, • Feb. ,2,19 CER TIF/ED;.TO, . May 9;1995 '(Hed1lh Dep-f.,, Wo• ) _ LESTER_J STL�PHENS,, JR. Oct.- 2, 1995 (FOUn-daZiOn L.0c,G#Oh) IyA,TIONS T1TLE'INSURANCEQF NE.k. YORK'Nc. ~." -COOKE 'ABSTPACT-CORP., C A`C IOIo9,9:S. 1.'am•familiar with. the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set_forth /herein- and--on the permit 10 construct. 6� / ANY"ALTERATION OR ADDITION TO THIS SURVEY dS'A •VIOLATION OF-SECTION 7209 OF.THE NEW YORK STATE.EDUCAT16N LAW,, r ` EXCEPT AS-PER SECTION 7209-SUBD/VISION 2. ALL CERTIFICATIONS l ., ARE VALID.FOR'--TH1S MAP,AND COPIES;THEREOF ONLY 11F �* % N Y.S. L/C.- NO.-- HEREON 43618 'SAID MAP.OR:COPIES BEAR THE IMPRESSED SEAL OF THE-SURVEYOR,- WHOSE lr' 6�a :• , SIGNATURE APPEARS.HEREON. EYORS; P C ADDITIONALLY TO COUP WITH SAID LAW THE -TERM .'ALTERED BY' MUST.BE USED BY ANY AND ALL SURVEYORS UTIL%ZING A;COPY OF ANOTHER SURVEYORS MAP. . TERMS SUCH`AS_'dNSPEC.TEO.'AND �Q�v' �oN; i�'8V9s P O BOX 903 `BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE 6Y/TH TIiE:LAW. (eEv/s/b�/>: 3/3i%9S MA.'lN ROAD ' cERnFE0;o3ii�is5 SQUTHQLD, N Y %197I : s : - 1r2 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY bus 15 1ss�; /® DAT S. REF. NO APPROVE O .Tess Boring -OP A O Dark Brown v" L oom. oI Brown Srlly Loam: Q\ q Pale Brown o' Fine to e�\' Coarse Sand O I o.4 � — — — 29, � Gr. Water Pale Bra wn r' 20• �" Fine to Coarse Sand r- 4e v / 6 Qj y s\� Y sF29 O Q 04 13 '�` 4 �b P Ln 4 �iQ co• ELEVATIQNS ARE AFERENCED TO N.G.V.D. / oiCL` As y SUR VEY FOR L ES TER J. S TEPHENS AT SOUTHOLD AREA = 27,553 sq f t. TOWN OF SOUTHOLD to tie line SUFFOLK COUNTY, N. Y. 1000 - 65 - 01 - 22 Scale: 1" = 40' Feb. 2, 1995 CER TIFIED TO+ May 9,1995 (Health Dept. Info ) LESTER J. STEPHENS, JR. NA TIONS TITLE INSURANCE OF NEW YORK'"c. COOKE ABSTRACT CORP. c Ac I0(099 S I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. _ t\D �j.MET2 '!-N .. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION -�3' OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS ;. -i': N.Y.S. LIC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. EGO 4 ORS, P.C. ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' (516I 76�5� 0 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY P. 0. 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED'AND MAIN ROAD BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE WITH THE LAW. (,eevisiaN> 3/31/95 SOUTHOLD, N.Y. 11971 CERTIFIED 03117195 95 - 112 SUFFOLK COUNTY DEPARTMENt OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY O DATE_ HS. REF. No. RIO-95-0086 N APPROVED Test Boring FO OP < O' Dark Brown Loom O0, \\ O ` O I• Brown Slily Loam. \0 Pale Brown Fka /o Coarse Sand fJ- F292 Q/ik% �p 10.41Gr. Water Pale Brown Flne to Coarse Sand xCrN VVR sa JQl9 A . 41 c QA, !� , 3K , 0 4.x ��J tS�T •s9. HIV ELEVATIONS ARE REFERENCED TO N.G.V.D. vnf '' 7, SURVEY FORT C.P. .n 3, S R J. STERWENS , A T SOUTHO�D �i':.,,�..v.'1 i,�%,.i �yl �(ulf. rr�.•:'�t��'�-�rA r. � �` — AREA - 27,553 sq.ft. TOWN OF SOU T HOLD �` to tie line SUFFOL K COUNTY N._Y c `=^�� �� -��- r�• �° 1000 - 65 - 01 - Wt: �tV`�''_=� Scale: 1" - 40' Feb. 2, 1995 CERTIFIED TO# May 9,1995 (Health Dept. Info 1 LESTER J. STEPHENS, LIR. Oct. 2, 1995 (Foundation Location) NATIONS TITLE INSURANCE OF NEW YORK'Nc. May 3, 1996 (Final) COOKE ABSTRACT CORP. y C AC 10(099 s / am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCES '�-Of [,Elf and permit)to bconslide 6rucl.e conditions se/ forth therein and on the C�o�tk 1. MErj��,p . ' fly;;;-- 1'� # ANY AL TERA TION OR ADDITION To THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, ' ;G . EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS o Al HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF s � . , ' IC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGMA TURF APPEARS HEREON. ECONI C Is U , P.C. ADDITIONALLY TO COMPLY W1TH SAID LAW THE TERM ALTERED BY' (516) 765 - 5020 MUST BE USED BY ANY AND ALL SURVEYORS UTIUZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED'AND �PEVi3/oN 6/519S P. 0. BOX 909 BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE W1TH THE LAW. 3/3,/93 MAIN ROAD CERTIFIED 03117195 SOUTHOLD, N.Y. 11971 95 - 112 .. ., n.,,— '- _•.,--,...:. :,l-j!'„ 77 7: -1•-r e I , M ." ., . er : ;-• 'A n'^) n.' y. r�' -.`I',>f^F,:,t�,P-A- frv-a, "+".,.R.Y"'hm7Sq"5'TPRA A- r'^"""1q,,,CuFip.i ';.,n.,”..'.•.rm�,•-., ,,"�y,$ .M1 . ?r• 'T' mw 4 . r4dfalLF - - - - - - ; is ilr FT a s: .'Q e4r ii v�Ar''n�t�+ s r h IT IT I• c " {�u r'hff ��f I F. J .j 1 Yr,fu � SI Y r �l I I _ I',1, v �" ( - - n t ,I 'S I'Y lnllrta so "f • r y 4i 1; 51. rIT I IITTI ,k r . r,ttd n w PIF I If ryr r .4 pA ,�FpA y4 FSLI"r,9y u (([[ h 1 u rUx a ll"��tt� IIgP f I Io T�F IF IT y4 z '.fid w7W9Airrrl�'yk . '. A ulr r ^ rl A � i i � � S f ✓H � �'� 1 �9y 9N I $� : 1 iy �� iot ' 9 . 'V F IF4 1e1M1�l1MO�M Lw�t wwww a dY[ r�r•S�W h^ _ '• \ �• O JN ;��' • , P �Iry USE I&QW, t >e �. L� 'I I � 4 l L 4�4 � � �. —W1� n Fl I II Y y / � 11 1 1051 ALL.�LIMANIO NM{1A �r: w ti r s a r �MMa�I INM N[k4 'r" I TOY i IBUM@ Fo CWAR o . 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