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.
SorrIT
Ju�Lu
Jit
I
uTC�11"mT
rsa Nt gflE&,s - 2_�X _ RKs _ "SHFETl2a�; - rte eie:
3 �t•, �^� AL
/s 5� � a r t rrrrr F 'rats C� We hh
A � I
Lld�NG iZa;ar�1 4'
tsk�Ffc-r Si't�t►,tt- _cc_3 �`t 2 �. C. `,
Rti�, 1iN4� P, int ' C 8TI
-oR \
4j axf0 LST 1lz"E7 C f,._ ,'1 \ ,A tE{ n1SulL"1 - - -- Pea bt rc t`>"f Et� ------ ,-
�XS SCF I!Pne. -�- - - --- --
F�fJ {� _
Col L W Nii[ _i hrocrtp) ,S 12 SorJryT
f\ _ � r;_ FnuUts:t.lcS1- RAN - -- - .
j •" i I � ew .. _
I. ' . � � t'oc,TltilCa_�ATTc�7ti
.— 'h Lam. `_ �.'�`,c,Fi • . : -I .. ' —( - - A- (' q
f . __ _ -. _. 1-. • • n f. L i r , v • � 1�Y I _ r ._y. _ Y_`_•—J.� I:� M
A • C`o-& EK �;lnStDi�N��
r
-
-t
a z-
� 44VM
T
"n+iYi ^ PJ.
- . .� :- �' ', � '...3'�'�,`."�"^�yr.�.,�.'�mrir^�.+- - T' � tri, _x+`._:s,..�y.r-� " -' .'..T....•. ,.., _--�--_..
49
r
71, _e
Iry
f ,
�r'wne T
' _ I _.-....-......., ....,.+., +-.�Y..,.,,.. ._...,..,.....,.a� .,^�•ti,.....�... .._s�'.� � �1 �Y ___,ate:-._-'x }PJ—^—R,� y�1,k6�_;C: 1 I
I I
I
y
t
71
RTI
;
_ „ 1 1e...r.�y.W, -
Fl
n
tI
Zt-
IF
IF
n.
1 I I{
IF ..�
-
--
r
u
`_r 5r✓w 'Sn., i _YNR'^ 4 I , .a,
yr
Y"' 01, .,t.^y.>+ �1ly L' y` C +v, _1✓-I K ! ,C, /-t 1 Q ,J �i 3F
'r{ _ui... }rTr� T A
� 1,1 F, ..�� - - , i. , T t� 3 yr_
Yc a i' a 9Z1 ' 4k m vh rt+- a J7 M1 N ''� . ., __ 'k. ,[-', .,.
....�y.�...
ryr7 "5 r '.t4vt
.e.1`
. a1, vrW�.y.,r�mn'ts.�y1�•-r.,-1.....��_.:-ysrtc,*!+xd•4"S y:v., .,,},,; v��,�„'•..._W�D`1z�ta��(rT':S"'''r'nYr,`�.",,v'Skk""°}.4r'ss"7a..,ati�'I�'''r»-,'�•J"K'aSa.'4_.'�.r.it1�-,kl`11*fo�;..'-';-T,�vAP7E y:'.”a$1 -y,c�',r-r�>,:r1.i J,.ve.r,�S`'�`a4-rT'r4',,
.�uP
NY �*
R',
..
..'�`f:. ti�t{'�-Iµ,p a:v'�'Aa-Ay^Y•�t?m.4�n.i.,l;,p- _Y r fit : ,S s a. r,r,n J r r"&i _.
s S r a??Y z,y,:'ru,t•? . ,�.i1.="✓.f•. :;',-,l.am.Y^°'Yrt>...., ._may
_
%:." T.. :..:-"''r G .'�} �S ' - s-. � {. .p?�: .} IFy7•,,, ..t r l� 4 �� FIA r :, •r .- . : 5 'F :. �t� 1., d A �r , f�t � :, � r U "
F_.A1: ., i1.. l "rt ..I. .- d : . ..,a. - ..,.1r. 'AY'. F�[.,'V '- : < _n y.. , i ,.. � ,n..Y :'. •Y } r - �'.Sa: ` � SV +..* v'i V �� d - . f � :� �C Sh.� iJ J y
....FY.. :'y. h a. it :..: I .�.W d ISct "'4 �F`�''# a: irLl4 .'f`c+- '. , I i:>ajlr -d -.a . -rt1,4 r � L' rh) .h ]34, # , {,( 1 wnY Fi{L _ ��• y' � < •1 }:yC••r
�--...,: ',. , .fy ,. , ,.. . . , ]. '+. �-,- N[""W"u _ rr '>ti,.� y.� . t,Y .q�. e'-- . , ,. .. , .. ,., .. '1,,- 3 �, � r, \ I= +S .dui 4 - r'. =:- . . • ' :. ',1
.-• y .F t' �.'r s S ;N J,., : c `.,' - r"' - ,�. ryM� 'tW _ - G 1 _ - •
< `L 'w• f ..` Y fl"a Y .�rr 1 Y lr �1 rc- , 4 r
f F
r i� r •' K 'r- � x i� r + � F r r - p YC s - -
}.
V lyh�,`. A f,F �•� I
44Y rti ii
,
n
1
Y
b
- \ - it
- _
u
ij
Y < v
y t '
c
y ;
I
y
- - .k r ( - z se t.„yy„�y„ ,..,. s: tee-. �_ -`- •.-r,-ci'p• -
-
r
M K #
��- � �:rte: ) ' - •. _ -- - "
r.. ' •'�. -, lEut.� �,�\ J, \.,M, _ . l rl�'____ i� "'-,1 ; , � .�-,-,.„ - gin,- -
Y �
' _ __ r y.rs .�+' 's••f' — i.�.-.r,.:�i, � -+r ,..,.,.� �1 �"":sri��� fi, �� � y �r�*� � .
.. � . - -' r •�q'n'. �. . . '- j^:^r„n+�.m�ww..raw.;4•G.4' �--�
rs
�; e,
i '•nom _ , �
J 1
i
, � a
i
- fit
«,
cr1. � -^—r---.••+.. - r .
• 1. qWr
m- r.
i
Y ,6. ..
I
r ,