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22302-z
r Y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23450 Date JANUARY 15, 1995 THIS CERTIFIES that the building NEW DWELLING Location of Property 110 BURGANDY COURT SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 51 Block 3 Lot 3.17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 1994 pursuant to which Building Permit No. 22302-Z dated SEPTEMBER 7, 1994 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE & OPEN PORCH AS APPLIED FOR. The certificate is issued to NEIL REGO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0063-JAN. 12, 1995 UNDERWRITERS CERTIFICATE NO. PENDING - JANUARY 12, 1995 PLUMBERS CERTIFICATION DATED JAN. 12, 1995-BERTSAND PLUMB. & HEATING Building IXspector 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..9'..... . N2 22302 Z Permission Is hereby granted to; CHARDOATNAY WOODS ASSOC. - A/C RRGO, NEIL .......................................................................................... P.O. BOX 841 .......................................................................................... SOUTHOLD, NY 11971 .......................................................................................... to ..! Oq+3 TRUCT A ONE FAMILY DWELLING WITH ATTACHED GARAGE AND OPEN PORCH AS APPLIED FOR. .............................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. REGO, NEIL .................................................................................................................................................................. at premises located at.......1.10„BURGUNDY„COURT,...SOUTHOLD...................N.Y ......................................... ..............................................................................I......,.......................................................................... County Tax Map No. 1000 Section ..........5.1........... Block.............. .......... Lot No. .......3.. 17 pursuant to application dated ........AUGUST 1G,............................. .......... and approved by the Building Inspector. Fee$.. .7'y�s.,,& �. ......�. ... ...... ... . ......... :�. ............................... Building Inspector Rev. 6/30/80 \l / THE NEW YORK BOARD OF FIRE UNDERWRITERS Ppir,E 1 1065081 BUREAU OF ELECTRICITY F_ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date JANUARY f 5,1995 Application No.on file 86652794 i 94 N 340 463 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 -�'l-v CHA.RDONNAY WOODS ASSOC. , .SOUNDVIEW AVENUE, SOUTHOLD, N.Y. in thefollowing location; ® Basement ® Is Fl. ® 2nd Fl. GAR/ATTIC/OUT Section Block Lot 17 was examined on �TANUARi' 10 r 1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 30 50 32 29 1 2 F 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. H.P. NO.OF FEET AMT. WATTS 1 F 2 _ — 2 — SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 1-0 YW 1 X 3W 3 0 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 HIAEG OF NEUTRAL 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: MOTORS:1-F H.P. G.F.C.Tt-10 SYLOKE DETECTOR:-3 FRW ELECTRICAL LIC.# 4405-E SERVICES, INC. P. 0. BOX 1154 GENERAL MANAGER RONKONKOMA, NY, 11779 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. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Form No. 6 7Z�� v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final, Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains Less than 2/10 of 1% lead. i 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate .of Occupancy - Residential $15.00•, Commercial $15.00 / Date . . . .. .. .. . . . . . . . . . . . . . . .. . . . . . . . . New Construction. . . ... . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . jj Q. . . . ... . . . . . . . . .(IJAkt �IJA?�. . . . . . . . . ..C©f� �(7�. . . . . . . . . . . . . . . House No. Street . . Hamlet l ��Onwer or Owners of Property. . . .a�'i1-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . County Tax Map No 1000, Section. . . . . . .� . . . .Block. . . . . .3. . . . . . . . . Lot. . . ��: �.7. . . . . . . . . . . . . Subdivision. .dttP()r. . . . . oP_VV��i l�.(,(3 }5 4 ". J c9zb. .Filed Map. .4.��z . . . .Lot. . . !.?. . . . . . . . . . . . . . . . Permit No. . . . ... ;�7, , , . ,Date Of Permit. . ��.��g��, , , , ,Applicant. ��� �P 6� 9�ds Ccg�b�k1�c� Health Dept. Approval. . . . . . . . . . ... . . . . . . . . . . . . .Underwriters Approval. . . . .�. . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporaryt� Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. , , , ,cy; . QQ , , , , , , , , , , , , , , , , , Qom,• gygS . . . . . . . . . . v. .'.:�. . . . . . . . . . . . . . . . . . . . . Z- .3 y.S fD APPLICANT ,..; c��'�FOLk TEL. 705-1802 TOWN OF SOUTHOLD ►... .c OFFICE OF BUILDING INSPECTOR P.O. BOX 728 On TOWN HALL SOUTHOLD,N.Y. 11971 CERTIFICAT I O N Date January 12 , 1995 Building' Permit No. Owner e. ,L lC - o . (pleas print) Plumber_ Bertsand Plumbing, & Heating, Inc. (please print) I certify that the solder used in the water supply systea contains less than 2/10 of 1% lead. plumger's signature) Sworn to before me this 12 1 day of January , Notary Public Notary Public, Suffolk County EILEEN M,ROACHE Plotan/Public,State of Nov Fork No.4826942 Qualified in Suffolk County q Commission Expires January 31,19_c '1 , 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ] INS CATION [ ] FRAMING FINAL REM ARKS: DATE ! �' �` INSPECTOR T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] iNSU TION [ ] FRAMING FINAL eel 17, Alg02, DATE 1 `S INSPECTOR M-1802 BUILDING DEPT. INSPECTri N [ ] FOUNDATION 1ST [ R GH PLB(i. [ J FOUNDATION 2ND [ INSULATION [ ] FRAMING [ J FINAL REMARKS: vv DATE INSPECT 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ /401,�UGH PLBG. ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL REMARKS: DATE f l INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ef FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE 0 INSPECTO urn O 70UIJDATION ( 1st ) 4/0 L-OUNDATION ( 2nd ) �' — _ c� Cy 2 . o ?OUGH FRAME & •PLUMBING ' co 3 . : c cn G's Jol INSULATION PER N . Y. b STATE ENERGY -. Cl CODE . 4 . r n _ y FINAL IL ol z ADDITIOAJAL COMM�E)NTS : - •� _ H 1fl --------------------- - O (`v r Q H D V l5 0 V �;i . y BOARD OF HEALTH . , . r . � PL.11S r t; FORM NO. 1 3 SETS AA TOWN OFSOUTHOLD SURVEY . . . . . . . . ` pUG FI 611994 �� i BUILDING CIIECII � c9.0a . . . . . . . . . . . �i LDING DEPARTMENT � . . . . . . . _ . TOWN HALL SEPTIC FOR:1 _ . . . . . . . . BLDG.DEPT SOUTHOLD, N.Y. 11971 'E0dlVf�l SO-9&0LD TEL.: 765-1802 t:OC I F;` Examined On' 1�� ALL . . d- - . . . . . . �y " " " " '' -- t1 : AIL TO : Approved ./ . . . . . . . . . . ., 19 {�Permit No. �a Z . . . . . . _ . . . . . . . . . . . . y Disapproved a/c . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t (Buil ng Ins ctor) APPLICATION FOR BUILDING PERMIT Date r INSTRUCTIONS a. This application:must be.corim'pletely filled'in by typewriter of in' in arid'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. c�. 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 art for an ' ` P y 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 i�p ctions. ... . "✓,L h cry f &V Q .o3 . .asuc�. . . . . . (Signature of applicaIt, or name, if a corporation) (Mailing address of applicant). State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . .�,L`?-(!K... . . . . . . . : . . ... . . . . . ... . . . . . . . . . . . . ... ... . . . . . . . . . . . . . . . . ... . . . . . . Name of owner of premises . . . .Ni �S.L�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If appli.4,4 ca t 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. . . . . :. . . , . . . . l. Location of land on which proposed work will p be done. . . . . , . . . , _ . . . Q house Number Street Hamlet c. . . . . . . . . . . . . .c�� �.�..1:.1.i . . ... . . . . . . . . . . . . . .. • County Tax Map No. 1000 Scction '. . . .r�.��..1 g 100. . , : , . Block . . t®� . . . Lot . .(�. . . .��. . . . . . . Subdivision O/M.D.Por(I Filed Map No. �-2, , , ... Lot I . . . . . (Name) : . . . . . . . . : . . . 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- ' •'I'::..4'g. p.� add �j3 -3. Nature of work (check which applica _ `:':KE.:...`;'..p able): New Building. Addition .Repair . . . . . . . . . . . Removal • - . . . . . . . . . . . . . ^Alteration . . . . . • . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work 4. Estimated Cost . (Description) . . . . . . . . . . . . . . . . Fee . . �.. ,...a.«,. (to be paid onr,fjr 1')7'. S. If dwelling,number of dwelling units . , . . . ......._. -. P1 a.tien) . . . . Number of dwelling units on each floor .. . . . . . . . . . If garage, number of cars . ,�;, • � . . . . . . . . . . . . . . . 6. If business, commercial or mixed occu anc s ecif • - 7. Dim P Y� P y nature and extent of each type of use .Dimensions of existing structures,if any: Front . . . . . Number . . . . . . . . . Rear . . p . . . . . . . . . • Height . . . . . . . . . . . Depth . . . . . . of Stories Dimensions of same structure with alterations or additions: Front � . . . . . . . . • . . ' ' ' ' ' ' ' Depth . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: ' ' ' ' ' • Number of Stories . . . . . . . . . . . ' .Height . . . 6� . . Nu ruction: Front . . . .�.rj. �. . . . . Rear . . . . 5.�. . . . . . . Depth . . :3�.�. . . . . . . . . b Number of Stories �� 9. Size of lot: Front �Qr?.`7 Rear. , •d�2,"?'�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase " ' Depth .o? .l� yZ _ 11. Zone or use district in which . . . . ' ' ' ' ' ' . . • • . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . premises are situated . —• 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . ' ' ' . ' ' ' 13. Will lot be regraded g lation: 14 . ,. . . . . . . . . . . . . . . . . . . . . • . . 14. Name 1 • • • • • • - • Will excess fill be removed om premises: Yes •t� of Owner of premises . . . . . . •!2•> •D , , ,Address (��� o X 8"l( o Name of Architect . . , - , :5�srs • • • hone No. 3 -a JGo . . . . Name of Contractor Address . . . . . . . Phone No. . 15. Is this property with 300 �����1!` ' ' `•Address/lO. CI'0�L�S•�� a No. ?�.'g.:5,36 8 feet of a tidal wetland? *Yes. . . . . . . . No. . :1. . , *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. CL©5,2!!:) STATE OF NEW YORI _'OUNTY OF: . . . . . . .S.S . . . . . . . . . . . . . . . . bcinbg duly sworn, de de poses and says that ( e of individual signing contract) yhe is the applicant bove named. (e is the . :t. . ./���Z f� °l2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . (Contractor, agent, corporate officer, ete:) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this op w that all statements contained in ' ork this application are true to the best of.his knowledge and belief;and that the will ill b be performed in the manner set Torth in the application filed therewith. .vorn to before me this . . . . . . . . . .lG . . . . . .day of ., 19 )tary Public, ✓►�i_,�2cO • • • • , , , i 4 County HELENE U.HORNE Notary Public,State of Now York _ No.4.951364 (Signature of applicant) • • • . Qualified in Suffolk County S Commission Expires May 22, 19 Survey No.:89— 073 O .�tt�r, of Pll�ttr�oruttt� �oo.�s ttt Aoutllolr! S70'0231001E 246.42 Flled September 28, 1989 as Map Na. 880e 1994 ; 24,6' 72,6' a c� QUTiy 4.7' O m Founda tlon L ocalon t J 10/IS/94 Or Unauthorized alteration or addition to a map bearing a Professional �'� W 5.7 O Land Surveyor 2, s Seal Is a violation of Section 7209, Sub—Section M o of the New York State Education Law. 325' 71,7' Rights—of—way or easements of record not shown on this map are not certified. Certifications indicated hereon signify that this survey was prepared _ In accordance with the existing Code of Practice' for Land Surveys adopted by the 'New York State Association of Professional Land Surveyors'. Said certifications shell run only to the person for whom R _ 20,00/ the survey Is prepared, and on his behalf, to the title company, governmental agency, and lending institution listed hereon. Certi— L - 31.40/ fications are not transferable to additional institutions or subsequent owners. Copies from the 'ORIGINAL' of this survey mop not marked with an 'ORIGINAL' of the Land Surveyor's 'EMBOSSED seal or 'RED' Inked seal shall not be considered to be a valid true copy. CmtMed t. I hereby certify that this map was made from an actual / survey completed by me an 07130190 for Chardonnay Pi a . �- Edward A. Bullock, Jr. Professional Land Surveyor&Engineer 49 Miller Avenue Port Jefferson Station NY 11776 516-473-5332 17-01 -17 N.Y.S. P.L.S. No. 49214 &N.Y.S. P.E. No. 63675 Scale: 1" = 40' Tax Map No.:1000- 51 3 -3.17 Y - SURVEY NO.:89-073 m /o Chardonnay Woods @ Southold Filed September 28, 1989 as Map No, 8822 LOT l6 Q pRo D N. 19° 37' 00" E. 162.67' V LOT/7 LOT lB _ ZONED A-80" RESIDENCE JeOu— _z AREA OF PLOT 40,000f s.f. PROP. 1st FLOOR /8�c.! s.f. PROP. 2nd FLOOR i 7-7--S s_f . PROP. BASEMENT /575 s.f. PROP. GARAGE ��D s.f. ASSUMED DATUM_ There are no surface waters within 300 �_ �. feet of this plot. O AREA = 40,000; S.F. or 0.918 ACRES Unauthorized alteration or addition to a-survey map bearing a Professional Land Surveyor's Seal is a violation of Section 7209,Sub-Section 2,of the New York State Education Law. 1 Guarantees or certifications indicated hereon signify that this survey was prepared in j O O accordance with the existing"Code of Practice" for Land Surveys adopted by the �b "New York State Association of Professional Land Surveyors". Said guarantees or Q certifications shall run only to the person for whom the surveyis prepared,andon his behalf, to the title company, governmental agency, and lending institution listed O hereon and the assignees of the lending institution.Guarantees or certifications are Cc��11 not transferable to additional institutions or subsequent owners. H oV L"of this survey map not marked with an"ORIGINAL"of U s O PLEASE l\lit0 d Surve'y'r's" INKED"seal or"EMBOSSED"seal shall not be considered valid true copy. a Pao �o�s� andMiniini cesspool distance betweers-well cess ool is to be 150 feet, " Fr so.o 47 U p GAe 38•a k 35.o G S w 50'SETBACK /NE A O sat � 8 r-1p � 5 T (� JUN 30 199A 04R2 C P (L 3 S.C. DEPT. OF HEALTH SERVICES 3S GT oZ I Q 3 7 Q0 1& 142 o¢oa /,/oust EtB G/�/9L COUNTY TAX MAP NO.:/000-05/.00-0a 00-OOaO/7 CERTIFIED TO: CHA IS PA TH (50' WIDE) -_-- - - SURVEY OF LAND AT NAME-------------------------------- MNaLE �A�iLY ISWE�NB ONLY NORTH SOUTHOLD AnORESS------------------------------ - 1MIlEE YEAAS FROM DATE OF APPpO1t�L TOWN OF CITY----------------=--------------- PHONE_____ _ __ ______ _____ ____ __ �• f �, SOUTHOLD w. •A. The water supply and savage disposal systees for . SUFFOLK COUNTY DEPT. OF,HEALTH SERVICES SUFFOLK COUNTY NEW YORA this residence will conform to the standards and FOR APPROVAL OF CONSTRUCTION ONLY BY.' E.A.B. / hereby certify that this map was made specifications of the Suffolk County Departelent of �(, .42" QD 2 i'fromanactualsurveycom ietedbymeon Edward A. Bullock, Jr Health Services. ❑ s_� _ _H.S EF. �2_d� _ "" 66 p9/3®/yo P Professional Land Surveyor&Engineer DRAWN.• W.H.M. 1131189 '(r 49 Miller Avenus r -------------------------------_-__-- --_-- -�f 1 Pert Jefferson Stetlon SCALE: 1" = 40' ---- APPRO -------------------- ---- N applicant's signature N.Y.S. P.L.S. Nb: 49214 New Yak 1f776 - N.Y.S. P.E. No. 63675 516-473-5332 FILE NO.: IOOO-5/-3-3.17 NASSAU SUFFOLK BLUEPRINTING l:4poP `p SURVEY NO.:89-073 m /o Chardonnay Woods @ Southold �o Filed September 28, 1989 as Map No. 8822 LOT/6 N. 19° 37' 00" E. 162,67' v ma's LOT/7 LOT/B _ ZONED 'A-80" RESIDENCE _ AREA OF PLOT 40,000+ s.f. ,v PROP. ist FLOOR 783cJ s.f. PROP. 2nd FLOOR i z-ZS s_f . PROP. BASEMENT -S75 s.f. ),-k PROP. GARAGE 440 s.f. wASSUMED DATUM_There are no surface waters within 300 feet of this plot. O AREA = 40,000f S,F, or 0.918 ACRES Unauthorized alteration or addition to a survey map bearing a Professional Land Surveyor's Seal is a violation of Section 7209,Sub-Section 2,of the New York State Education Law. 1 = Guarantees or certifications indicated hereon signify that this survey was preparedin accordance with the existing"Code of Practice" for Land Surveys adopted by the � � Q bO "New York State Association of Professional Land Surveyors". Said guarantees or Q �/ certifications shall run only to the person for whom the surveyis prepared,and on his behalf, to the title company, governmental agency, and lending institution listed O hereon and the assignees of the lending institution. Guarantees or certifications are not transferable to additional institutions or subsequent owners. h o Copies from the"ORIGINAL"of this survey map not marked with an"ORIGINAL"of W the Land Surveyor's"RED INKED"seal or"EMBOSSED"seal shall not be considered to be a valid true copy. m (T) $� GAZ 39.E W 35.o L 5' 50'SETBACK /NE A O . . - �N� ST 30.Z3� l rycP0+ ' 3S 4r o 9 1 T ,OROP G/,-7/9< COUNTY TAX MAP NO.:1000-051.00-03 00-003.0/7 CERTIFIED T0: CHA IS RA TH (50' WIDE SURVEY OF LAND AT NAME----------------------------- -- NORTH SOUTHOLD ADDRESS—=--------------------------- TOWN OF CITY---=---------------------------- SOUTH®L PHONE------------------------------- The water supply and savage disposal systems for SUFFOLK COUNTY DEPT.' OF HEALTH SERVICES SUFFOLK COUNTY NEW PORK this residence will conforn to the standards and FOR APPROVAL OF CONSTRUCTION ONLY specifications of the Suffolk County Department of / hereby certify that this map was made Edward A. Bullock, Jr. BY.' E.A.B. Health Services. DAL E: -_____ -_ from actual survey completed by me on Professional Land Surveyor& Engineer___H H.S..S. REF. NO.: ________ O� o o ,y 9 DRAWN.' W.H.M. //3//89 - nn AA 49 Miller Avenue -__-___-__-__---_—-----------------—_ __-_ APPROVED: -_____ c�uk Q ' ) X�c�'��' Port orson Station SCALE. 1" = 40' applicant's signature N.Y.S. P.L.S. No. 49214 New Yrk 11,'f6 N.Y.S. P.E. No. 63675 518-173-5332 FILE NO.: 1000-5/-3-3.17 / SSAU SUFFOLK BLUEPRINTING Survey No.:89— 073 00P of 0V#.Nrh4arruZ# AM& at 28 �outlluld Filed September 2$ 1989 as Map No. 88PR S70.23'00S 246.42' SIN LE Fit AR Y DWELLING ONLY TY DEPAMUMIT OF HEALTH:eE:RMBERI A V-WW Of C"IMCWd WWU2 0EjS r-------------—————— - t' � U 17 F- 40.9 I F- 38.4 The-�O�`15c"`�.!Q ffspisej m-Bier str' t es . ♦w I � b or 9516 F- 40.6 F 39.6 l e a tz� Drsp s"t;6 a��snt 01'a�slher e2,&-tales 72,6 A: \ Car. a ` 402 16 I I rrr e a b ` Of I �. ti �Q �, 111 = Rda#li%.Loc+ ' lo5/94 17 r'Unauthorized alterotlon or addition to a map ea fig rofeutotl I \ 3y' 3 W Land Surveyors Seal is a violation of Section 7209, Sub—Section 2, of the New York State Education Law. i I ,r Rights—of—way or easements of record not shorn on this map are I ♦A f N V not certified. g3 36,5 32.5' 71 7. Certifications Indicated hereon signify that this survey was prepared i In accordance with the existing Code of Practice' for Land Surveys I ♦ F— 40.8 F— 39.8 adopted by the'New York State Association of Professional Land Surveyors'. Said certifications shall run only to the person for whom rl F— 35.5 the survey le prepared. and on his behalf, to the title company. F— 40.5 governmental agency, and lending Institution listed hereon. Certl— fications are not transferable to additional institutions or subsequent owners. I O 20100� Coplee from the'ORIGINAL'of thlc survey;cT not marked with an I I` 'ORIGINAL' of.the Land Surveyors 'E1180S5ED seal or'Rm'Inked I I 31. �, — a hall not be considered to be a valid true e I I 40' STEVEN K. S7RENGEL I I PATRICIA N. STRENGEL F7atbush Savings and Loan Association First American 77tle insurance Co. of NY I I - ♦ I I I - 1 hwaby cwft that this map wasm�. tram an actual >turv�y completed by me on 07/3/90 for Chardonnay F -S Bu-rgandyCourt ` w r Edward A. ®ullock, Professional Land Surveyor do Engineer 49 Miller Avenue Port Jefferson Station NY 11776 516-473-5332 N.Y.S. P.L.S. No. 49214&N.Y.S. P.E. No. 83875 17—01 -17 Scale: 1" 40' Tax Moo No.:1000- 51 — 3 —3.17 7 0 x + i y.. r.erc: w r n ,w'r "E y t "L`: ft el T„y F~ F,y.. , a q v , V k d + k w ti+,, 'GV rt N~+~ tt a }~x{` u~lakie'm.~.fl er f~b° a `~'~'N•(`fi z f z Ir y7a i '?t 1 , s ~n2~ ~1 I ~~~~'''y r tBk` ~y f v+ x Ir G J p 9-t1rr JON f° ,w,N n,„tJ ~ x ~+rT+.-tS'r•i'3'A r~,r.l~/x IY w Iw ~1 nk- .~~vr rr t r Y { .y "~t"f.'+`f~ ;r In vw~ x '"w"t'."r~ ~t rn.e c ra k' f rY {i . 1 R 'ty ' e I , N.4(Vk ab ~ n 4 r p ?'fi twr 2 - ~ ~ C Y~'gri _ n 1 T~,4;4~,. G' nA w]t eai''~5 y~ r R T `^?1 ~G ~7i ryQ~ ,Y G ' 4 fi~9~~ ~ , dV; r ~ ~ ~y~ y ".Fi 4w""}~, fir. 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RICi<'IFY B4 Ir L) OHPARTiih AT "rye r y~ ~ lV ~v{~Iy 1r,YR{6.~F a u r n M e f~-. ~ wH 1e r< {r i ; fJ YL ^3 . t 6- n F3:17 H A TO r4 PM FOR THE d 'w 1 x r~l ~ 1 ~'~qu N.~"' s v_ p}t? 4 r i} 7.°.~ r-0lu.i-'sl1M1'G !N.SPECTIONS: ~ t ~ Yt^ k J~ r f d i , t y~, ~ 7hA 4rbitartr w F i ~ , I FOUNDATION IWORL"-"-( U{RED' i!a a }lu.' tP,°",' r§tiw -~'t,,,,tn 4 ai r 8 4 bP~+brYakr - ei FOR POURED CONCRETE il' ' 1 ROUGH - FRAMING & PLUMBING ~~e goo, P{'.yYr;'m.~r7n'~Naq 3 1"n"~A r c r r p 1 tip( y5k 41 py gg PNSULATION r.T if' ~ ifi~ la i ~ y,hR~a r Tid t r h 11A6N ; 1Y~Y~.4~"Y.II~ ' . . L :t f . 4. FINAL - CONSTRUCTION MUST ~ "r.1 ! li 'je f a'yrY ti V fi J 7 "rr trve~ e t Z u,-wF { { w@ 15 tFdMM~k ty V ~ 1 I ~ 'Pei BF COMPLETE FOR C.O. ALL CONSTRUCTION SHALL' MEET ` ° S'y f v 4 F' 1 r r F r iE'4 y~g Y'~ 1 s n s a h ? Yt r ] r<'Yj .t aT,~v ~-e'^il ; J P ^r ~ C V y_ry`+,yt"~ W {1 ~ r \ { v f4; 1 ';i x n, 1 0#k+• U~ {'al r , 1 r h' -1 ' ^ a 9 ev ' t : i 4 1 V 1 } xo tzr?~. Itairar,- .a k3B,lf 9 4CP yx'ys ~ t + , a d 1 o r h 2~ 6t ~ M # Y 1 t .d[t ,aALtS A " G a THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY J „Y q,.y Irt W ^ 4.qq 7 ZxCo G-r '1(vn4G -r COOES. NOT RESPONSIBLE FOR ~ o n i~ x i~4j: r IG OA+IYpk iy~ ° ~ 3 M p t.(iJ' /1 r ET -"'T I I' o' -a FF --J I ` a qo t?N z qd PH 'OCCUPANCY )CCUPANC1f OR DESIGN OR CONSTRUCTION ERRORS q{11' i Sk7~yNEf i:~ ~ k b~ + USE IS Uy~NL4~ SE IS UNLAWFUL tf{fix; k 1 - rlpl `M1'F'ws ~l~+ ^1+n• T r 5 l C - f• ) WITHOUT CEtRTI HOW CERTIFICATE y r {~1~¢1, 1 { _ 317! T~CKDUAy"~1,7~~~IyS r L 'T- ~i OCCUPAI DF OCCUPANCY 9, " tvo PH ~9 fa' d'd c 1 "C e+VYG? t° 1' I n n u _ - TcM'A Q, 46 : -i. ',,.,Id r'~3. I-(,~,!C..r /r'~.i 1 ~1w"Ity~ ria~ar~p A 1 ly a tl y rn ~r~ ~ ~ _ r':Tk.'S t r , Faf+m yr i 1r ~5ty _ k. I` r 1 d 3 ~t plt _y x wIW N ~ dV u~ ~'JU yr , i. I, X11. ~o f fh,Z ark, h r;y r - 1 i r Y -A iYH f _.~V~ e'bk,,{rr w Y i(dll ^ RV , I I' Vr .L` . °j',t, an f- 4. B 4sil y4f'til _ ~ ~ ~ UIIDEA~I WAUIRED - 2050illii .;,.2so9,q ro,ti 2~~anH c i aa~~ t _`Qi r-_- T1 I I 1Z irk 3g3a nM'.~ 1i9'f - z 9 1 . v ~~#i,it 1 [I~wY II 4=y'7^.: Pi vt:i,n;. cu'ii.t~e. ^i O"• 1 it .4 I p Plu n ip, I M-1 r kV54" rl J u rt k Y c atiut'urr kpa~Ir, c l°u ryl 21.74-1"P U", It KITCHFl.{a ...t 4 A06*l;,.W ~'sW'C~4o5`iJ_he ~ p tan u 1 ',o a + ~ i , r "5 r ~ r ~ 5. vr,1 e~ r~n~~a w) r o: y tk'~ <f t h I, o~ d VI I „ff e 1 r`I" ` vF" 1 5~ r4e y til - 5 - a !1 ro 'ti. M1 a r %7t 1 M1 ~u>4 ,5 , e + 7, 5 r ar t~ Ay ~n 7, 3' Y i i~~VVV i .t IA- 1 swiy7 yN ! k l~ r w' a ~1` + 4 r ~ Fw d e + ~ ~ rr r - 'Ir] n 1Y~t5 F p111Vw st r ~,ne _ If LIV.RM i, p " 4 S '91'~rn~Yd'`9r f1 ~j r+t x 7 r~ 4 ~ 1ff at1~ I?l~?l~l [kI KiTt1h-~ gip:: ! w ' S [ ?zP7a To_ _ k2l r 6E "2 oc U4i i MVP 0- }amy~t~Tn~'t~41~~x'. B pI%A"w P wlo 5vt~~y~} If: Ir Ai& _ 11. 2x to 49 j~Ti!tlt~~~ x~ 10 2 2u'd ° G~A -,2 x h FI c,( yy q Al I ~~~(((yyy~~~ + r df uli - U ' . i - ,aL 15t'? 77. 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