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HomeMy WebLinkAbout22954-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26092 Date: 11/09/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 150 HUNTINGTON BLVD PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 67 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 1995 pursuant to which Building Permit No. 22954-Z dated AUGUST 18, 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 ATTACHED GARAGE, COVERED FRONT PORCH & REAR WOOD DECK AS APPLIED FOR. The certificate is issued to ARTHUR P FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-138 08/18/97 ELECTRICAL CERTIFICATE NO. N409461 01/23/97 PLUMBERS CERTIFICATION DATED 08/21/97 BERTSAND PLUMBING & HEAT. Bliilding 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) N922954 Z Date................�//.,p........................... 199W5 ... Permission Is hereby granted to; � .. . .. ........................ w . t ��� .. % ''....../.� ........./....�.................... a ........... ......00000. ��'T` i�......... ....... ...... . . .... '{/✓ 9 .................................................................................................................................................................. ...................................................................�� ......... '' ............................................... at premises located at.........f..`��.... �e !�'/�� lfz"., ........... ......................................................................... ....................... .......I..................I........... fir.......................... , ....................... . ............ County Tax Map No. 1000 Section .....(l/. ............ Block...... ......... Lot No. ..... �„✓.............. pursuant to application dated ............/.yam/G/ :.: ....................... 19.... and approved by the Building Inspector. Fee .. . ............................... Buil ng Inspector Rev. 6/30/80 TOWN OF SOUTHOLD 3UILDI'TG DEPA.RT21ENT TOTWL\T 1iALL 765-1302 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 sur-,-ey of .property with accurate location of all buildings, property lines, nuvooto, aid urTu®►wl 044vlral Pr copogrspSiq features . 2. Final Approval from Health Dept. of water supply and sewerage-d isposal(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 10 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. �. 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, dweiling S25.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building S25.00. 3usinesses $30.00. 2. Certificate of Occupancy on Pre-?Yisting Buildine - .SI00.00 '3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - S50.00 5. Temporary Certificate or Occupancy - Residential $13.00 , Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . � . . . Old Or Pre-existing Buil-ding. . . . . . . . . . . . . . . . . Location of Property. . . /`_�.. ... . . . . . . �!V�Jlrl� ° O . . . . . . . . s0. . . . . . G . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Proper ty. . .�?l,�,fu[� . . . . . <A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . �7. . . . . . .Bloc!c. . . . �. . . . . . . .Lot. . . . . . . . . Subdivisian. . C ;StlQAC_�. . . . . . . . . . . . .Filed 2'M_ap . .6S . . . . .Lot. . .TZI fA. . . . . . . . . . . . Permit NoA�!j Z . . . .Date Of Permit. `� ��, ��/�V� .ADDIi cant. 0,$f�2, Health Dept. :approval. . . . . . . . . . . . . . . . . . . . . . . . . .Under-writers Aooroval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Carticate. . . . . . Fee Submitted. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q S5 5691/' APPLICANT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town Hall, 53095 Main Road ; ;..;ls -z ..Y Fax (516) 765-1823 P. O. Box 1179 :•. '`� '' Southold, New York 1 1971 :• Telephone (516} 765-1 t3ci2 .OFFICE OF THE BUILD114G INSPECTOR TOWN OF SOUTHOLD _C E R T I F, I C .T1 T I O Y3' DATE: August. 21, .1.997 Building Permit No. Owner,: Prr+K1-4-f roS � , (please print) Plumber: Bertsand Plumbing & Heating, Inc. (please print) I certify that the solder used in the water supply syste,,u contains less tharit 2/10 of ].�� lead. (Plumbers Signature) Sworn to before me this 21st day of, August 19 97 Notary Public, Suffolk — County EiLEEN M.ROACHE Notary Public„State of New York No4826942 Qualified in Suffolk County Commission Expires January 31,191T THE IVEW YORK BOARD OF FIRE UNDERWRITERS PA BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date 31'1IUPTlY 23,"1.`_97 Application No.on file 12468296 96 N 4(,')9461 Magnum 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 ARTHUR P. Pt}STE i 150 I.111dTINGTON BLVD., 2 SECTION 67--4-1.0, PEC'0171C, N.Y. in thefollowinq location; � Basement EM Ist Ft. �� 2nd Fl. �Te`�R/f",TTI_C�OUT Section Block Lot ' 1 9- was examined on HI'T AR 1 r'p 1_-)97 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. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 37 45 49 37 1 1a2 ? 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. I H.P. NO.OF FEET AMT. WATTS — L I SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER 1-0'2W 1 0 3W 3•0'3W 3,0•IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A•W G• NO.OF NEUTRALS A.W.G. EQUIP. PER.Br OF CC.COND. OF HI-LEG OF NEUTRAL 1 1.5<' (P3 1 OTHER APPARATUS: E'i?i"JL?LE E`ANS- W JU., MILP-1 IMOTORS:3—F H,P. r1-2' H.P, G.F.C'.I:—v HOKE DETECTOR:—r L L 1•10PERh ELECTRIC .EAST, INC LIC.1,1230 0—L 110170 ROUTE; 25 D PU9�1I`1 110 GENERAL MANAGER E'AT LANE RATTI:TUCK, 2r1, 11952 Per 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. C�A z 7 X # zoo-el--/d �= CA ' a All`Y7 � N tea-- Z O•-ONt ---_ _ oil r r► i 't PROVIDE % HR. FIRE a RATED SEPARATION TO PART. 717.3 (f)(1) OF N.Y. STATE BUILDING CODE. i -� i r i y! q X --1 \� r r� r APPROVED AS NOTED . e i DATE' B.P. � PROCEED FEE. • �� BY: DO NOT WITH . • NOTIFY BUILDING DEPART ENT AT FRAMING UNTIL SURVlEY!���.,.;,,,�.,•-••.-� ` 765-1802 8 AM TO 4 PM FOR THE OF FOUNDATION LOCA1 FOLLOWING INSPECTIONS: ON 1. FOUNDATION - TWO REQUIRED HAS BEEN APPROVE FOR POURED CONCRETE !r nvd ! t 2. ROUGH - FRAMING & PLUMBINGt 3: .INSULATION } 4. FINAL - CONSTRUCTION MUST r, BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. y� I STATE, CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR I'I1 i,i5_J1 SPRe_rt_ION "REPORT _ DATE ___C_0_MM_C_NTS — --� ------ ----------- -x— --- T ----tc•-- --- ------------- -- ------ ---- --- --_'--_— -II-� Jr - .Q FOUNDATION ( I ST) 101 FOUNDATION (2ND) I ; II ROUGII FRAME, & I � PLUMBING II II INSULATION PER N. T. it--- I i STATE ENERGY CODE II I III H I n , FINAL II Q\ ADDITIONAL COMMENTS ------------------ ------------------------------------ dp I t 6-4� /Alt�l 444,A- c H O z \N� d I � p r6s.isox BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ I FRAMING [ FINAL [ ] FIREPLACE dE CHIMNEY REMARKS: 0 lei DATE �� � INSPECTOR 765-1802 BUILDING DEFT. INSPECTION ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: -Z:"ib DATE INSPECTO 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE C INSPECTOR .� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ '] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 9� INSPECTOR I 765-1802 BUILDING DEFT. INSPECTION [ ] F NDATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS;- DATE lo),1191� INSPECTOR Ot44 � 165.1802 BUILDING DEFT. SPECTION [Vf FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �- r l DATE INSPECTOR ��� c5 , c�/te-7"J4L � R __..-_ .... _ .--_—._... .....:..:�:aa_...ac_.....-�u.rMa+ev.�+.w�s..-a�..r....+.�•w•r�+✓. -�- A I/1 i h'l 1:710-vll' i r� I �l G� f I f , I a PROVIDE % HR. FIRE RATED SEPARATION TO PART. 717.3 (f)(1) OF ! .N.X. STATE BUILDING CODE. 1 X.._.j..._.. �xrr _ Ut'�P.�1��ti� llama Qt/F•t� !"� a I I APPROVEDAS NOTED �. DATE: B.P.0Z DO NOT PROCEED WITH $�. .� FEE: BY: OF ,����'j--." NOTIFY BUILDING DEPART ENT AT FRAMING UNTIL SURVEY%=s�:�..,�••-•. v 765-1802 8 AM To 4 PM FOR THE +��• : r���3',,y FOUNDATION LOCATI�bN; •p`i FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED HAS BEEN APPROVa FOR POURED CONCRETE r� 2. ROUGH - FRAMING & PLUMBING _...._.. 3. .INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ��+F ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE- CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR lFp� BOARD ' OF HEALTH . . . . . . . . . FORM NO. 1 SETS OF PLANS .SURVEY . - - . . . . . . ! O �� 'a TOWN OF SOUTHOLD �BUILDING DEPARTMENT CIIECK . . . . . . . . . . . . . . . . . q TOWN HALL SEPTIC FORM - - T SOUTHOLD, N.Y. 11971 TOV!N OF SJUTH01 C � TEL.. 765-1802 t:OT I FY U /� CALL � ���• IP.Q. . . . . . . Examined . . . . . ' D. ., 19 MAIL TO : Approved . . . . . . �O . ., 19/�. Permit No. a2�g . . . . . . . . . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . . - 7&1 ' g In pector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . .. . . . . . . . . . ., 19 . . . 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 br 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 inspectio s, p 9 . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) >/9sZ. . . . . . ... . . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ... . . . . . . Name of owner of premises 1�r.rvtmr.. � . Ao Sf P.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. ... . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. �`b ! S # l . . . . . . . . . . . . . . . HUAT n.9 Ton? . . a c-Vb . . .. . . . . . . . . . . V_CONA iC.. . . . ... . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section473$89. j,:q- /0 Block . . . . . . . . . . . . . . : . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision i'n uy1.I.r_ . Si1.Oe_ S . . . . . . . . . . . . . . . . Filed Map No. ���. .Z. . . Lot 7`. (Name) 2: State existing use and occupancy of premises and intended use and'occupancy of proposed construction. a. Existing use and occupancy . . . �Ce l�'Pl� . . .1. . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . �?51'9. � E. . . . . . : ...(. . -3. Nature of work (check which applicable): New Building . .' Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . .Demolition . . , . . . . . . Other W(Lrk . .: . . . . . . . (Description) 4. Estimated Cost . . . . 000. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . .. .r C',. . . . . . .. Number of dwelling units on each floor . . . . . .. . . . . . . . . . . If garage,number of cars . . . . . al>?J , , 6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . N?u . . . . . . Rear. . . ... . . . . ... . . . . Depth . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . _ . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . : . . . . . . . . . . . . . Height . . . . . . . . . •. . . . . . . ... Number of Stories . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front .:.sF.. . . . . . . .. Rear . . .S$. . . . . Depth T 6? .Height . Number of Stories . 9. Size of lot: Front . . . Rear. . . .�4. . . De th . . `f 10. Date of Purchase .ni q. . . .,Name of Former Owner 5 . t�' 1�4 S T, 11. Zone or use district in which premises are situated . . . .�'S.I� r.Iy9-(�. . . . . .12. Does proposed construction violate any zoning law, ordinance or regulation: .NO . . . . . . . , , . . 13. Will lot be regradedC'_,S . . . . . . . Will excess fill be removed from premises: Yes RNO . 14. Name of Owner of premises Pr ue ?. �'';S?_5_P— Address fo: 9�..I13?: 1!11W:%r . Phone No.Z.9,$ .-.K$ S- • Name of Architect . . . . . . . . . . . . . . . . Address . . . . . . ... . . . . . . . . . . . Phone No. Name of Contractor 1`_M(h . Address .Phone No. . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes.. . . . . . . . No: . . . *If yes, Southold Town Trustees Permit may-be required. 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. pp l Zak Q.4 1Z 'T= V i 32- STATE OF NEW YORK, S.S COUNTY O�F�. . . . -- • • • • . . . . . . . . . . : being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 in the application filed therewith. Sworn to before me this . . . . . . . day of. . . . . . . . , 19 Notary Public, . . . . . „ (�County JQYCE \ Notary Public;State-of Now , No.4952246;Suffolk Cflut Term Expires June 1Z (Signature of applicant) S9 h; �\ / N i• v 30 /D t MON _ 9r MD 97 0, �9 k FND P�, elk 4D a r. 110 MON '� G ) �. /.. N�Q 1 �� k °fir� & y �' ' � �V. E l o �, , 91. . t ASP. 6 FWD o • J AWN $ X 0to Q• pg�jop. G\� TEST HOLE - , 0.4•. CO��R 5VP DARK BROWN LOAM g•• =cC% • BROWN LOAMY•SAND PALE BROWN MEDIUM _ '.S ! 2 w\ TO COARSE SAND BROWN'.SAND Y tLAY P `0 SANDY CLAY rN WATER _ l - 00 0 0\� AREA' 9;871 sq. ft c o� YL �. ti SKM FAULT OWELLNGU LY UP sIM,rEM FM o►w , over' S SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE _` H a REF.No. di` SURVEY OF APPRo L OTS 91 & 912 . �. MAP .NO. , 2 The locations of wells and cesspools shown hereon are from field WIPE SHORES observations and or from data,obtained from others. FILED SEPT_EMBER 15, 1830 F/LE NO. 654 A T PECONIC The waters Iy and sewage disposal TOWN OF' SOUTHOLD systems fort is residence wdl conform to the standards of The Suffolr County SUFFOLiC COUNT� N Y Department of Health Services. 1000 - 67 - 04 - 10 CERTIFIED TO SC?I@ � = 2O JACK P_ . CHRYST Nov. 1, 1990 MARIE R. CHRYST• ELEVATIONS ARE .REFERENCED' TO -ASSUMED DATUM . i NO: 49618. �;r'•_ P,repared in accordance with the minimum ' standards for title swveya as estaNkhed PECO C UI E'Y RS ��C. b the UA.L.S and roved and adopted (516) 7.65.,, 0 y al° P P. O- BOX;-�9Q� aft r such use by The�w York State Land 4 ��s , Title Association. MAIN ROAD ,a �4,r , N V MONFND 9� MON 97 a / FND // f 00 0 MON / O i / O N / l W E FND _pp p i MON • _ p 2' i 0 95 S - g el,' 12 a5 P G P. -77 93 DARK BROWN LOAM C•• 9ROWi!LOAMY SAND 2.5' Q;1 • ` . PALE 9ROMN MEDIUM os TO COARSE SAND 2 0 1QJ' BROWN SANDY CLAY A P O P:. . . . . P� sANDY CLAY IN WArER - �.. \� RD AREA 9,871 sq. f t.' 2 3% A 711 SUR VE Y OF 1 LOTS 91 & 92 MAP:NO. 2 The locations of wells and cesspools shown hereon-are from field "pECONIC SHORES" observations and or from data-obtained from others. FILED SEPTEMBER 15,. 1930 FILE NO, 654 and sews a disposal A T PECONIC The water au�ply g- p syetema for't la residence will conform TOWN OF SOU THOL D to,the standards of The:Suffolk County SUFFOLK COUNTY, . N. Y. D6portmOnt of Health Services. 1000 - 67 - 04 - 10 _ CERTIFIED TO : Scale 1" = 20' NO-V: 1, 1990 July 23, 1996 (foundation) ' ELEVATIONS,ARE REFERENCED TO ASSUMED DATUM' . ��,fjF NEI�1' -10 L v S Y LIC. NO. 49618 Prepared in accordance with the minimum standards for title surveys as established PECON YORS, P.C. by the L.1A.L.S and approved and adopted (516) 765 - 5020 for such-use by The Now York State Land P. 0. BOX 909 Title Association. MAIN ROAD SOUTHOLD, X Y. 11971• Seg, je sys�cm �eYiS/dam 2/20�9/ SCDHS Ref. # 90-SO-138 N FAD / MON Cf T FNQ 91 MON 97 t 36 ` 0 5 3. 0 32 \ 3 L w� � x 15 e FNO �0.0 z S / � MON 1 P O 3Q �•, ' W E FN MON 00, ok 0 2 2� 3o'' 0 f 0 3q 3 `\ �eG�. \ o � t� r .11 a P �� �� I.z• a3 L.P L�- z7 93 �C1\ HOLE TESr O�do 0.4 p�0¢�5VP0 DARK BROWN LOAM G ' - BROWN LOAMY SAND p,s• PALE BROWN MEDIUM TO COARSE SAND IZ y 1Q� BROWN SANDY CLAY, zo 0 SOP , SANDY CLAY IN WATER �'i �� ) o � AREA = 9,871 sq. ft. SUR VE Y OF LOTS 91 & 92 MAP ,NO. 2 The locations of wells and cesspools shown hereon are from field SPEC®NIC SHORES" observations and or from data obtained from others. FILED SEPTEMBER 15, 1930 FILE NO. 654 1-H-) 4E7�- # 949 "s°-'38 AT PECONIC The water supply and sewage disposal TOWN OF SOUTHOLD systems for t is residence will conform to the standards of The Suffolk County SUFFOL K COUNTY, N. Y Department of Health Services. 1000 - 67 - 04 - 10 CERTIFIED TO : Scale 1"" = 20" No V. 1, 1990 July 23, 1996 (foundation) ELEVATIONS ARE REFS ENCED,..TO ASUIEC ® r.` Nov. 7, 1996 (final) �cr '3i_e r,1✓et:83} "i1. 91 vi � ftZA--AL—M Dien /191 +t. it"a'Yx -*2 MLd famid to %,4 OF 44 1997 ` o�"kl.aaeraQ �' Witten A.Cons,P.E.,Chief Suffolk Co.Dept of Health Services bra? Office of war sued Wastmaw Managmw Environmental Proteetion ? f', ANY AL TERA T10N OR ADDITION TO THYS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS IC. NO. 49618 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR E ONl C. WHOSE SIGNATURE APPEARS HEREON. 76) '65 ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' P. .0. BOX 909 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY 1230 • TRAVELER STREET OF ANOTHER SURVEYORS MAP. TERMS SUCH AS -INSPEC72F'D" AND tp v I1Y7I °BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. PLUMBER CERTIFICATION PLUMBING ONLEADCONTEMBEFORE „L,KLIIIIAM WW12 " CERTNWATE OF OCCUFAAICV I� •VWM K NEEDSOLDER USED w WATER TESTING 6EPORE tOVERINO SUPPLY SYSTEM CANNOT ` EXCEED 2/10 of 1%LEAD. forwom dgpMKorLgpd Li'L IRMERMtl191t4ERIRR9RE J . - C J E 5 — �� P, � t r I 1 1 � VFT[--VL`, ICJ A 1 �i( lz i I A 'P I'M ® ,{ FR01W%Il1K fw RATEp REMIRA110111R + �j FARC MJ M 41)OF N.r.STATE RUILDIRR cooE.it I i L IVING ---- -- -- {_ I� 00IIBFlIIOCEEDIIRFI ERAMIN9 M L SURVEY - - ars DATE: '. �EEg 0 NOTIFY BUI ING DEPARTMENT ATia OF � LOCATION - I 788.1802 • AM TO 4 PM FOR THE 11113$BEEN APPROVED. ." - ..,Ar 3 � 1 r a"II FOLLOWING INSPECTIONS: '�>� .0 ' - 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING4-� �:; 3. INSULATIONp — —" 4. FE COMPLETE CONSTRUCTION MUST f C — — FOR C.O. B ALL CONSTRUCTION SHALL MEET i THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR "! DESIGN OR CONSTRUCTION ERRORS OCCUPANCY NLAWFUL PROVIDE oFERiROs FDR USE IS U I EVERGENcyMMASWITHOUT CERTIFICATE �^' REQUIRED RV MUD:714 OF A rlo �r MY .i' LV,STATE RU LMN CODE. OF OCCUPANCY _ . - e . 4l �` � T �.},�vOW SGHn1a �E ; 1X Scs�En1S �` tIN SUL ...C3LcS3' . k S - I.010 I � QATH i f ALAS m to � `,✓J �� � � �Yi x� r 3 Low IRooFrCrR'RAG,F a 1 r 47i �w 1.65E'TS 3 /Acce�5— G 519AtJ j T1 C SPACE I , u,IDe nNp lA t�� DNTr16w�a IROOF _PoR��-_UNDER ark �wo€st . PLP,ni i4c� , atzF� L"c Iort. 0u1��i� ISI I �I I 3 2 eta r k fro rRD� aXt� -ttw, J'fi F�*�t � ta_j 01V EK t Lx v Ly-. i� T CST' it pp int w€w u 1 ' fit �� �JlYPICA 4'e Fc;6l'I,&, ERFRS F�f�,_ ��f�cH . tle n - 8-I t2 ➢r}a . - . t7 -1�. - D�vF - - �- t Z � $.. �. +"'f �—u� G f 7 -. Foy NDAT,0rd ' -, ; ,.a Ar_ I; E Fr i, F t, - . ..i - o>, S {J.LhIG .�O15T _ f!D -(�:f,_f -- _ _ .v.` �;`�'•--1'1fi •�'#'�1. 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