Loading...
HomeMy WebLinkAbout24693-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26439 Date: 05/10/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 380 HORSESHOE DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 95 Block 4 Lot 18.21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 1998 pursuant to which Building Permit No. 24693-Z dated FEBRUARY 19, 1998 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE TO CODE AS APPLIED FOR. The certificate is issued to CHARLES G & LAURA M GOY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-455996 06/11/98 PLUMBERS CERTIFICATION DATED N/A Bu' din Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD PUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..... RUARY 19 19..98.... Z 24693 F " " ' Permission Is hereby granted to: CHARLES G & LAURA M GOY (CH I TU k PooLS) .......................................................................................... 380 HORSESHOE ROAD ................................................................................ CUTCHOGUE,NY 11935 .......................................................................................... to ,,,,,INSTALL AN ACCESSORY INGROUND POOL WITH FENCE ENCLOSURE TO CODE ..................................................................................................... ........... ................... AS APPLIED FOR. .................................................................................................................................................................. .................................................................................................................................................................. ................... . ............................................................................................................................................ .................................................................................................................................................................. 380 HORSESHOE DR CUTCHOGUE atpremises located at....................................... ....................... ................................................................................................................................................................ County Tax Map No. 473889 Section 095 Block .....0004 Lot No. 018.02i pursuant to application dated ......ANUARY 30 98 pp y .................................................... 19................ and approved b the Building Inspector. 150.00 Fee $......................... .. ............ /�.... . `........ .. . ............................... Building Inspector Rev. 6/30/80 I Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT L, 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. 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 - _ .25e,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .�. �� - 7 g. . . . . . . . . . . . . New Construction. . . .. . . . Old Af> Pre-existing Building. . . . . . .. . . . . . . . . . . . . . . . . Location of Property. . . 1.!l.�. . . �r. . � . .�. . .. . . . . . . ��`� j � . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet (I,,,, cc�+r�:"}�,,S L Onwer or Owners of Property.. .C:�.l . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . ..Block. . . . . . .. . . . . . . . .Lot. . . . . . . . . ... . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .c..Fi�ljed Map. . . . . . . . . . . .Lott . .,j . . . . . . . . . . . . . . . . . . Permit No. . L� ! . .7—.Date Of Permit. .. �.l . .L � . .Applicant. . 1�:Z !�. . . �O'.1. . • • `� 15 y Health Dept. Approval. . . . . . . ..... . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fina Certica e. . . . . . . . . . . Fee Submitted: $. . .Q. .'��. . . . . . . . . . . . . . . . . . . . . I C3.SSG 1 Q . . . .,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AP ICANT �O��S�FFO�,�cOG O ?1 y Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 i*py � Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 3, 1999 Chituk Pools P.O. Box 9 Cutchogue, New York 11935 RE: Charles & Laura Goy, 380 Horseshoe Drive, Cutchogue. 1000-95-4-18 .21. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24693-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. lELD` I;; :CTIUti JJDATE COMMENTS _ H FOUNDATION ( 13t) FOUNDATION ( 2nd ) 2 . z O W ROUGH FRAME & •PLUMBING y 3 . 0 INSULATION PER N . Y. STATE ENERGY CODE C 4 . FINAL .^y z ADDITIONAL COMMENTS : rzl x x • H �_ H � _ O z x �C m r y d . CTJ 'U y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1185077 BUREAU OF ELECTRICITY 40 FUL TON STREET, NEW YORK, NY 10038 JU.NE 11,1998" .. Application No. on file 16153498198 N 455996 THIS CERTIFIES THAT PERMIT NO. 246932 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of CHA.RLES GAY, 380 HORSESHOE DRIVE, CUTCHOQUE, NY in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on MAY 26,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. - 1 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. 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 20 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. n AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC. G. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ON SWIMING POOL-1 0@4 TIME CLOCK 40 MP-1 ON G.F.C.I-1 IN "SWIMINJ POOL,) This certificate covers compliance at the date of inspection only. Because of unusual of environments it is advisable to s have frecfsent test/and or repairs :made by a qualified person. DI <« Continued on Page 2 >>> DN i GENERAL MANAGER DE I { 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 OE Date JUITE 11,1998 Application No. on file 16153498/98 N 455996 THIS CERTIFIES THAT PERMIT NO. 246932 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DN - CI-MRLES G Y, 380 HORSESHOE DRIVE, CU^1CHOQUE, NY DE in the following location; ❑ Basement ❑ Zst Fl. ❑ 2nd Fl. OUT Section Block Lot DN was examined on MAY 26,1998 and found to be in compliance with the National Electrical Code. DN DN FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.V.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: DN DN DN ROSLAK ELECTRIC LIC.#3677 E P.O.BOX 164 _ CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. suauiNa oar. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTION [ ] FRAMING [ INAL REMARKS: L�2 L- DATE � INSPECTOR , (� (2 BOA►O OF HEAL 1•1 . .rr. . . . .I . . . . . . D U 15 FORM NO. 1 3 SETS of P NS .:/ . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . (: t BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . !'11� TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y_ 11971 Try`„p• BLDG.DEFT. - TEL: 765-1802 NOTIFY: N F SOUTHOLD CCALL� . . . . . . . . . . . . . Examined.....`. ..... 19. MAII. TO: . . . . . . . . . . . . . . . . . . . . Approved..... 7....., 19O Permit No. L. / ..... .................................... Disapproveda/c .................................. .................................... ...................................................... _ ... .... ildi tor) APPLICATION FO BUILDING PERMIT / . Date. . . Ga . . . . . . 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this,application. c. The work covered by this application may not be ce mienced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 Tam 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) 1 ,9 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............co/?T, . cr .............................................................................. .......... Name of owner of premises _ZX6 5,4,F?_..¢..,��.�.?!� ....y.fJ.lf. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...... -✓U..L%...:C� iru� ...:.:.1..�. s!� %.. (Name and title of corporate officer) Builders License No_ Plumbers License No. ...................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be dorm?.............................................................. ........ �U..................�� ���1 4i ...�J2............................ (�7 .�?�4�1/��.................. House Number Street Hamlet County Tax Map No. 1000 Section -- -....... Block ... ........... Lot .10b ....... Subdivision eMRI-Eg.d. [?? ..�f�.i':...... Filed Map No. � �....... Iot ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .,l.. .U ..f�..- --Ak-6 .... ........ .................... b. Intended use and occupancy .�.:571Z`%�...1 /`��...i1. x.rs.. 4..... ..,��!J r`!•^t� F 3. Nurture of work (check wluidt applicable): New Wilding .......... �L- Z' �/�ICeration ....... Relkuir ............ Removal ............. ilemol ition .......... fl r�!'!>/v�,; Md`/iNG° CY L (D�scripLion) 4. Estimated Cost �9Z. U:��--......... fee ...........•.DlJ..............k... (to be paid on filing this aNHtafion)'- 5. If chael l ing, ntlrt#uer of dwell.iirl; units ............ tluduer of okael.l ing units on each floor ................ If garage, rxniuer of cars ...................................... G. Ifbusiness, commercial or mixed occupancy, specify nature aril extent of each type of use........ 7. Dimensions of existing structures, if any: Front. /,..� ...... Rear ..(� 1 �.... Depth ........ height .. d.................. Nur#uer of Stories ...../............... Dimensions of sane structure with alterations or. additions: Front ............... Mear ............... Depth .................... lleiglil .................... Nrn#uer of Stories ............... 8. Dimensions of entire nea construction: Front ................ Rear ............... Depth .............. lleigluL ......................... Uxri)er of Stories ..................... / 9_ Size of lot: Frcutrt ............. Rear .../vZ7........... Depth ........... 10. Date of Prrrchase ..................... N.me of: Former Owuer ........................................ I.I. 7.rxue or use district in thick premises are situated .�(� , t� iUT�% ................................... 12. Does proposed construction violate any zoning law,•or-dinance or regulation: ...ZUU............... 13. Will lot be regraded ............ Will excess fill lie removed from premises: YE NO 14. Naves of Caner of premises CJ14Z". . --G7-W-—-------- Mdress _�" Z�.N c.�Z. C.1 Ptxxue No. ;7 :7Fj3� n- NR--me of Architect ...... ............................ Arklress 11iorre No. .............. Nave of Contractor �°I J771�.1'X ...,�T1>......... tv1dress ....Phone No.� 15. is this property within 300 feet of a tidal wetland? * YES .......... NO ..X..... *IF YES, SOIJi KX.D ITX40 llwl TS PE[d°Iu MAY ilE ME()ITLMED. no'r DIAGRAM i.,ocaLe clearly and distinctly all buildings, wfietluer existing or proposed, and indicate all set-back dimensions from property lines. Give street and block rxn#uer or description according to deed, and show street ruins and indicaLe wheLl►er interior or corner lot. m./vIT.- (R, PA;,1d yum, ss (IAJNtY M ....................... .4i................ _.........lue.int; duly sworn, delx)ses aril says that he is the applicant Mme of individual. signing contract) alxrve nmird, Ile is tl to ..............�z/L.� GU :......... ((XmLracLor, agent, corlioraLe officer, etc.) of said owner or owners, and is duly auLhori.zed to perform or iave performed the said work and to make and file this aplul.icati-rm; Lhat: all. statements contained in this sl)pl.icatimr are Lnae to the lx'sL of his knowledge and b6lief, atxl LhaL Lhe work will be per.forrted in the manner set forth in the application filed therewith. Sworn to before rrte this 6_ehu ..._..........._ of ...... .... 19........ Notary Pttlulic .. ... (Sip natu Applicant) JOYCE M.WILKINS Notary Public,State of New York No.495224.6,Suffolk Coun Term Expires June 12, 9 9�7 ar e ./ y/A/1.viv5 aF Lvrt9� sji;,;� �� � ,SELF C1�•t.� //�/���''� 97'�T .°i-�/LL /t-/.E6T �i; ✓"rl�l(Jd�l,, /ALL �ur�►rt� Q�i�S "IMMEDIATELY" MEDIATELY" ENCLOSE POOLTO CODE Ile UPON COMPLETION BEFORE"WATER" UNDERWRITERS CERTIFICATE REQUIRED IL �[�dL /461 �0 S,>E _ CCCd!pp lIli Y O USE IS UNLAWFUL WITHOUT C RTII=ICATa Cr OCCUPANCY torso oATE: ?AV,p.#D403 FEE: �"� 'c2 s1f: NOTIFY BUILDING 765-1902 9 AM TO 4 FM fa M IM FOLLOWING iNSPEC1oft 1 FOUNOMM - TM f1EMED FOR POURED CONIMM 2. ROUGH - FPAMI M a RUN" 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF.THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS . , .. ... ,. _.. - _ - _ _ .;:: _' rT , _ ... T _ .. _..— , ., ._ .-.:. , .-. ..l_ .. , , . - _. F r. �_ - t... . . ,. ) . }. :,. .( , ,... _ _. , �, Y, .. _ ''� - % - _ -..,. ._-. ... ,.... .1 _.i -.. .. .. -.. --..- _ ..., p. -, i - - - - - i - ,i - .. w. - .. .. _ 1 ,.. 4,.L ._..4 v a. ... ,,.. , - .. , .- � .v a . - .. , ...-. Y , - ..t. _..,,..... .,. . .. . s- , .,., _ .. ,.� t - - - _ - - .. - - _ ,. .. _ . - _ _ a �O . - . Y I Iki „ „.. - _ . -:_.;_ . " 1 -. � .: -..,,: ..-. w :- . _ _ - , } o s�'P'OI�(,�� .. i• �Ty " . I _ DEPA$ • 1: I . . _ 1. - _ . . . ,. - - I T �ft .. . .. _ . 0 :: - _ a. '-�� :. . 4 �. s _� _, - 65�= . ,.. . .._ . - _ T T WW , ., -- .' @ _ :. - _ - _ . .. .-. I: sail ". 6 E ms- ci tad i fliepo Wator " h alit su a1.r. .. .. \. o ies P 1 :.'. > % :.. :. : ; . .. . : _ lIIsp�et ., f Lion"have Y . , -. -- 1. _.. 0 r: � . _ .. . ,. . 2 - . f J. a / F` °Q.bpth PArt�e been ,_ . . _ . .... _- . . - - - - - . 0 n t " 0 b , . 0 :. '(\ @ an d p `e o� oto` ot?nd. , p. ... .." y .,. :,. ... ,:..... ... 0 �.. Q. o P \ , : I P; o � � Q 4 r ". ,.:. 0 _ .._ _., . . :, -:. o r-' �✓ r, i of:o' _ eae r.... .. .. o y r ! _ . 5 • aI_. ,.... . ,-. ,.. _ . �0""�� � _ � Ch t•-G En i ae M 5 --- . . . " _:,. ... ,, �S n� _ :" ., , " . ti . , �` '_ ;. .--- .. . _..: , _ GI. 7i C`. %`�Q 8 _ " I� er _:- _ es J i �� S R � P c __. v _....._ . '�." . �1 .� _ , E. .. r�dr - - - _ 5 , it_ .. .a .. .. ,- _ _ ... _ - V �._��\G b ,� 1. sz9 <. . _ " _. _. . _. _ . _ _ .f.. - x11 _cF 1 " . .: _ .. . G .,: . . _ . :. .,.. � .. -- . . . - :.z4. T, .. _ _. _ - I. , ... - : (( _ - • I. A T-1 4 f. t•. ."a . '_„- _ - - '- - _ - - _ { , .. .I .... i• . - h; . 1 �� . . . � . -- - s� k�' 'th - 1 . i e� E of , �h / . r Asa ►Y J- .y�Q. a� / S�P� NE ti , . ., . . h° . . - . . ' . O� 41. . . . .. ��� r :,.��- �o�P - ° W � x4 G .. V. .I . 0 ,1• Y, S / �O 1.. : ��\ �, f Goo s. �o°o ��'' •mod. �� c ��c�, 0. I-�_ - 1. - �S - R=3 6.6 2 _ : \�s D 4C�ggM� `q I - - _ !,`fy �'o• 45s9'� .cam / . O. i `s - ��,r� ?�• ys ' `�2�- �'c SE�.I,�ND SUMO♦ . . 4 ��"`9' 'Q ryry, 22 2 - to �. c� S / .: : 4) 5--'___.� \ NOTE= • - Q��- ' , /�. \� ■ = MONUMENT. j s S i °� SUBD/V/S/ON MAP FILED /N THE OFFICE . I - - - . - - `spy � �•°� - - . OF THE CLERK OF SUFFOLK COUNTY ON - - `l . • > o`' .. . APR/L 4, /975 AS MAP NO. 624/. .., . . . ��- . . . h` NEAREST WATER MAIN = 4 MILES t 2 0 WATER SUPPLY= PRI VA TE WELL. ,. --- THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD O : % %ems _ .G�° 1 - OBSERVATIONS AND/OR FROM DATA OBTAINED FROM OTHERS. . �� I �2 .��; ` I,c REVISIONS YOUNG 8c YOUNG . THE WATER SUPPLY,AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL �� . . 5 �� AUG.//,/977 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK } CONFORM TO THE STANDARDS iEls--15--i FFOLK COUNTY DEPARTMENT OF HEALTH F� ;� SERVICES I� — - ��2 ALDEN W. YOUNG HOWARD W. YOUNG APPLICANT — — L -ti""� — — — — — — — - 6� PROFESSIONAL ENGINEER AND LAND SURVEYOR a�J�ES—. _, — —'-1— — — __� LAND SURVEYOR• N.Y.S. LIC. NO. 12B45 - N.Y.S. LIC• NO. 45893 1 YF l �' - SURVEY FOR: 5 ' "4 - `ter .. THIJNAS S OP;ZEO ALTERATIONVIOLATION OR ADDITION TO FRANK B O R N '. - �2 O THIS SURVEY EY IS A VIOLATION OF SECTION - - J, 7205'D- THE NEM YOR. STATE EDUCATION - . - - - - - . % . "' A" LOT NO. I."OREGON VIEW . ESTATES -OPiES OF THIS SURVEY MAF NCR BLARING THE LAW: SURVEYOR�C INKED SEA: OR aI).., - ' - ' EwB'SSE_ SLA; SHALL NOT BC CONStDENEC 9 " . .. - • T: BE A VALID TRUE COPY AT GUARANTEED TO: _ .. CUTCHOGUE 5 -'- - - - - _ jARA\TEES INCICATED HEREON 5�4�. HUB a .> :- :.i:.-. - _ - . - .-.. - - .. •H' P'PSON "OF WHO E TOWN OF :.. . _ - M THE' " SOUTHOL D I. _ - .. - - - •I E•.JRVEY IS vRE PAREC,•AND ON HIS BE-iAI° I y - _ _ t ' THE 'ITLE COMPANY,GOVERNMENTAL _ BY _ _ - _ ' AGENCY AND LENDING INST:7_i.;h LtS-ED _ SUFFOLK CO. y - HEREON AND TC 7HE SSiGNEES .; :- ,-, '-'- ,': - LENDING INSTITUTION p GUARANTEES 5 ARE - - _ • , % - _ .. ...' _ NT TRANSFERABLE m AOJ'T.ONaL SCALE: r� DATE: NO. ., •., _ {HST IT_IT 4�N5 UP SJHS'_(:UENT C•rRE RS. - _ /7, /976 '76-7?5 l / �O ,I SEPT. �. _.- ---; _._ --, - -?-- - - .. ,.",... .. - - — - — - - __r.. 1. -. - _ ' :: .' _