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HomeMy WebLinkAbout24697-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26549 Date: 07/07/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 540 RAMBLER RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 2, 1998 pursuant to which Building Permit No. 24697-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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to ROBERT V & MARIA COCKERILL, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0134 06/17/99 ELECTRICAL CERTIFICATE NO. 21506 08/19/98 PLUMBERS CERTIFICATION DATED 09/15/98 K & K PLUMBING & HEATING Build g Inspect 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) PERMIT NO. 24697 Z Date FEBRUARY 19 , 1998 Permission is hereby granted to: ROBERT V JR COCKERILL 145 BUDDS POND ROAD SOUTHOLD,NY 11971 for . CONSTRUCT A TWO STORY SINGLE FAMILY DWELLING WITH AN ATTACHED TWO CAR GARAGE AS APPLIED FOR. at premises located at 540 RAMBLER RD SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 022 pursuant to application dated FEBRUARY 2 1998 and approved by the Building Inspector. Fee $ 659 . 80 Bui n Ins ector ORIGINAL Rev. 2/19/98 Form No. b TOWN OF SOUTHOLD 1�io BUILDING DEPARTMENT TOWN HALL 1999 1999 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY n! F1U A,.,.�4-is-`agpl ci ation must be filled in by typewriter OR ink and submitted to the builc inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lir streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 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 applic; 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 - .25r,%. 4. Updated -Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . : .-.47. ./1. . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . .. . . Old Or Pre-existing Building. .. . . . .. . . .. . . . . . Location of Property.. ... .0.0. ..../6-fM�./�Y. . .Y . .... . ..l�",P, G? 0� . . . . . . . . . . . . . . . . . .. House No. Street Hamlet Onwer or Owners of Property..4l� /-°�. �:�1 �'� . . .. :�.-l�.G!��LL.. . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section— ASS. . . . . . . .Block... . 0 . . . . . . . .Lot. . . .2'.�2. . . . . . . . . Subdivision. . . . . ,� TS . . . . .. . . . . . . . . . .Filed Map. .:M1. . . .Lot. . . 3.1. . . . . . ... .... . . Permit No. . :L�./. :z . . .Date Of Permit. Applicant Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . ... . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . �. . . . Fee Submitted: $. . . . t. . . . . . . . . . . . . . . . . . . . . oS 9 . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516) 286-6642 21506 DATE. 8119198 APPLICATIONNo.ON FILE VILLAGE: Southold TOWN: Southold ADDRESS: 540 Rambler Road ISSUED TO: Robert&Marie Cockerill INTRODUCED BY, A.Silvestri Electric LICNo: 4217E was examined on 8119198 and found to be in compliance with the National Electrical Code LOCATION- Base.. xx 1st xx 2nd xx 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND. 34 47 29 2-exhaust .10 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR 1 20 Amp. 6 FURNACE OIL GAS CIR. MOTORS BELL TRAM. SER VICE DISCONNECT 4 f 1 METER Adq'S I PHASE 1 200. UG OTHER EQUIPMENT 1-20 Amp. water pump 1-hood 3-20Amp. a.c. outlets HUGO S. SURDI PRESIDENT BUILDING PERMIT No. This certificate must rimbe altered in any manner Inspectors may be identified by their credentials BLUE ORIGINAL YELLOW COPYPINK COPY OFFICE r �• ' ��` 'TOWN Or. SOUTHOLD � ... .c OFFICE OF IIUILDINCi INSCECTOtt ,P.O. IlO:C 728 TOWN HALL va ; 0 .tiO SOUTIIULD, N.Y. 11971 C E R T 1 f I CAT I O ND ql -5/ ' rl- r to 1 -- Building permit No. J,.... i;; .fix Owner a , P ease rint J. ' P'1umber Ip oas print) ,•,': eortify that: the so :;: '°;' YdN C tclnr usceci in t1le water 1 Nt , ' ' ` ' `� - 4`, ontain le g than supply eY at - } ' 9 Z/10 of 1t lead y t ! (plumber 's aignatuie) Sworn to b6faro me this • -;� ,;'wY" °^f' ..L_dny of ' . 19� +• llotar� b!,` Notary Publ i�.� to �U d� U Count64 y :;:.7 `; , _ .., ..,,M.• �- ELIZABETHASTATMS NOTARY PUBLIC,State of New YoAc No.01 ST6008173,Suffolk County Term Expires June 8,20a0 . af�'t i> — �t gQFFOI/rCOD cQG O y1 Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 �$ • Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 15, 1998 Mr. & Mrs . Cockerill P.O. Box 1835 Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy ecause of the following reasons : XX . An application for Certificate of Occupancy is \ not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 XX No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 24697-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE 9 �`� � INSPECTORS" 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Are-, CA P-l')Ir 41 DATE INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ Vf ROUGH PLBG./it.gc�.a+�) t [ ] "ONDATION 2ND [ j INSULATION [ FRAMINC� �� [ 1 FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � .3 �.t�� 7 DATE S/3 y8 INSPECTOR v�G� 765-1802 BUILDING DEPT. INSPECTION [ ] FOU ATION iST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS:'--",3/2�Z/' ElAl- 7 be2— DATE INSPECT T65-3802 BUILDING DEFT. INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP ;E & IMNEY REMARKS: �� L ATE INSPECT �q7 765-1802 BUILDING DEFT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ARKS: DATE °� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST OU PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: a-�� ___= DATE INSPECTOR 1 • � MAIN �.is_-.[✓. /- /'' �'�' .7�ti�✓` ice. 4 %ice i �sv ZIA Ow R VOIF,OR WAIN Mal. � fff� - - 1 1 ENERGY CODE REVIEW (non-elect.ric) . 7814 (Part, 5) 6,000 degree-days For 6 G�wt l/ Per Dwgs �� l Dated r �. f SLP Envelope Component R-Value Exterior Wall R-18 Rodf/Ceiling R-19 Floor R-19 Foundation' Wall R-10 Slab edge Insulation R-10 . Glazing R-1 .7 Entrance' -'Doors R-2 . 5 All HVAC Equipment to meet requirements of 7814.11 All HVAC ..Control Systems to meet requirements of '7814. 12 All Duct Systems- to meet requirements of 7814. 13 All Ventilating systems "to meet requirements of 7814.14'. All Piping Insulation to meet requirements of' 7814.15. Af-1 Service. Water Heating Systems and Equipment to meet. requirements of 7814.21 A11 • Electric Systems to meet requirements of 7814. 31 To the best of my knowledge, belief; and professional judgement, these plans are in compliance with the code. ®FNEW �� GE to , LU FQ. 032254-1 A��F ESS IO�P�. BOARD OF HEALTH . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . ... . . . . . .. TOWN OF SOUTHOLD SURVEY \ BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . �-. . .. . • !- Examined....../ ./^^�....., 19. MAT I. TO: . . . . . . . . . . . . . . . . . . . . No Approved_.__ I./......, 19 � ,Permit No. � �..... .................................... Disapproved a/c .................................. .................................... 03uildi g ns tor) w'2 l'•,' : � APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . 10 —SL. G.P>:P T. INSTRUCTIONS a. 'His application Dust be completely filled in by typewriter or in ink and submitted to the Building Inspector will 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 laycxit of properLy iyust. be drmdn on the diagrnn which is part. of this application. c. 'Hie work covered by this application may not be commenced 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. APPLICAfI(N IS HEREBY MAD- to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... .. .. ..V............... ..................... (Signature of applicant, or name, if a corporation) A4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general. contractor, electrician, plumber or builder. ........ �1°y................................................. ................................................... Name of owner of premisesQ � ..�:.!Y.►. C.`]c<.. C4 i/;l LL:................................................. (as on the tax roll or latest deed) 'If applicant is a corporation, signature of duly auttx>rized officer. ......................................................... (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 done.............................................................. . ............................. House Ncnber Street Hamlet County Tax Map No. 1000 Section ..... ....... Block ._..2,1 ...... Lot ....1: ........ .r- Subdivision f.�..d ..l�rr�. ?a �Y�..... Filed Map No. ..Z.I.21..... Lot .. 1.......... (Name) 2. State existing use and occupancy of wpremises and intended use and occupancy of proposed construction: a. misting use and occupancy ..... ................................................... b. Intended use and occupancy C'eP1 C e............................................... 3.v Mature of work (dxec:k whido applicable): New Wilding ...`!...... Addition .......... Alteration .......... Repair ............ Removal .............. DOMI it ion ............ Other Work ................................... (Description) 4. Estimated Cost y0. ODO............... f .......................... (to be paid on filing this application) 5. If rkaelling, nuiiwr of dwelling units ... Number of cwael.ling units on each floor ....L9Ne...... If garage, rxmer of cars ..... Gv© b .......................... 6. If business, cemnercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front'................ Rear ............... Depth ................. height Minber of.Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... height- .................... Number of Stories ........... 8. Dimensions of entire new construction: Front ..�I.._........ Rear ...`1.3....... Deptlm .... ......... lleiglmt .. Number of Stories ..Tl'?!v............. 9- Size of lot: Front ... /DD,. .... Rear ... ....... Depth .....77:.... �...._.... - 10. Date of Purchase ...��/�3( l7•..... Name of Former Owner 11. Zone or use district in whidm premises are situated ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....•!(! .......... 13. Will lot be regraded ....At/19.......... Will /eexcess fill be removed from premises: CT YES 14. Names of Owner of premises AP�.��.f ? �✓,! .4��rP:S?If Acklress '� .? .ZJ.`47..QU,r Avid. Fume No J� :� ��... Nameof Arclitect .................................... Address .............................. Pixxme No. .............. Nave of Contractor ................................... Acklress .. ....-.................... No. 15. Is this property within 300 feet of a tidal uetland? * YES .......... NO ../�..... *IF YES, S01MM 31D M 7Md.1SIP-.S PCRMrr MAY BE WgJIRMi . PI.O'1' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frcm property lines. Give street and block number or description according to deed, and show street names an(] indicate wheel er interior or corner lot. Q 7q, V) o ^v Sl'A IE Or. Mad Yo w, SS /77-$9 C(XINIY Ot ....................... ........'.la '&.....CQr:-f`e(�. .......................being duly sworn, deposes and says Lhat he is Late applicant (Mare of individual signing contract) above named, Ileis Lhe .........Owl!�............................. . ..............................•--•._............. MmLracLor, agent;corpora Le officer, etc.) of said owner or owners, and is duly aulhor.iz_ed to perform or have performed the said work arxl to nuke and file Lhis appl icatioii; Lhat all. statements contained in this application are tnje to the best of his knowl.edge aixi belief; aix] Lhat Lhe work will be performed in the manner set forth in the application fil.ed therewith. 4worn to before me this ... ....clay of:o ...� .19....... Notary Public .. rPOTClUic, . ..�.... E M.WILKINS .....!votary State of New York (Signature of Applicant) No.4952246,Suffolk Counjy,,, Term Expires June 12, 19 r SJFFO# DEPT. OF w � i RIYERtf . l 0 l ANY AL MA TAW ' ACIOSM IM SWVEY M A WMA 7XW \y P12 :00 yr Oj► f r t 4L �� '97 20 Y Sly MkkQ TURf� A L OP 77A<aYO�P o O Y T Y MIT�t. .' � MW 'ALmY' w °► s' 4, rAte' ! G1rAJOW A A* r AV Wl� WC \( FO.,s� . \ Mfr• �✓�.� �r � _ t\,x Tire l±Qca c►ns bl` w�e#�s 'aid o show o ftroon are fi*v l sWINONo" eo� �4 read or ' db/a obl d vM *Oisrs. �' !4� \ ti �• Q \ .90 h �o 0 , ou. Q SURVEY OF 'LOT 3-1 "AW OF M OVY WA T.J " E,a \ Q,, ` FXE M4P NO. 2961 ALED W0. 29, Mg rEsr HOLE A r SOUTHOW 2' UFF<XK COUNTY NY0rowN OF SOUtHOLD a L P100 - 86 - 05 lip acv sir �i � g• � `�y C Q, Y 1997 WAALW -are. of1MR APPIOVAL O1t7iME"m'!'lO1�i!OT.A ws�� r Of NEIV I om f� with. the STANAARDS FOR APPROVAL P 3 MYSSP N t. Mir y�� AND CONSMUCTION OF SLSSURFACE SEWACE' Q �' j g� /3 �o� _ F� 'f 17" DISPOSAL 'SYSTEMS FOR SINGLE FAW Y AMDENGES and i!M abide by the con(Gions set forth /herein and. on the APMOM F permit to construct FOR mommm OF tio,l N Y.S. LIC. T. 3. 49610 AREA. � 17,517 Sq! ft. RlCP11t88• Y8AR8 FROM D�118 OF/1PMOVAL . ; i O P. O. ELEVATIONS ARE AEFE*fl TO K.G.V.Q, fE.30' �I1+ 1.ER STREET SOUrh40 A M Y. ff977 97 - 235 O 110, O ANY SEC 7TERA T/VN OR 209 OF THE AEW YORK STTO TMS SURVEY TEV EYIS A DUCAT�VOLA►wW, \? .0�1 `0 TARE AS PER ALID FAR TM M lel COPIES ALTf�EREIaF' OVVI.YL CERTFICA TIONS F S Irx SANT APAP OR COPIES BEAR THE M UMESSED SEAL OF THE SUF?VEYCJR �� O WHOSE MATURE APPEARS HEREOM ADDITIONALLY TO COAPL Y WITH SAID LAW THE TERM 'Al.TERED BY' q S G P MUST BE USED BY ANY AND ALL SURVEYORS UTX IZM A COPY OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS T&PECTED' AAV \Q 02, / � TROUGHT-TO-DATE" ARE NOT !N COWLIANCE WITH TW LAW. RO. t�\o �i The locations of wells and cesspools �h -IQ40 shown hereon are from field observations and or from data obtained from others. 0 e so2F SURVEY of LOT 31 "MAP OF TERRY WA TERS" FALE MAP A10. FRED DEC. 29, 1958 TEST HOLE Oj► d� Q A T SOUTHOLD 0 ® TOWN OF SOUTHOLDy ��►� A� 3 a1� 2 d6 4 ,� . \ SUFFOLK COUNTY, N. Y o 1 kd 1" — 88 05 — 22 9.aT '! SCALE 1"= 30' Aw so as `'' .AIS Y 14, 1997 AM Cuero. of k CERTIFIED TO rO COAsM �( We I/ COMMONWEAL TH LAND TITLE SAM I am familiar with the STANDARDS FOR APPROVAL INSURANCE COMPANY �OF NEW yQ AND CONSTRUCTION OF SUBSURFACE SEWAGE I7' DISPOSAL SYSTEMS FOR SINGLE FAM1L Y RESIDENCES �' o'�`�t. ;r-O and will abide by the conditions set forth therein and on the , ' F� permit to construct. i•--�,,�,;,',�Ls:� J 1 {'r J AREA = 17,513 Sq! f f. -N. 1C. NO. 49618 CO 15/61- 7 S P. 0. BO ELEVATIONS ARE REFERENCED TO N.G.V.D. 1230 TRA VEL ER STREET SOUTHOLD, N.Y. 11971 97 - 235 T. SCDHS REF NO RI? . -0134 fit• i • O ANY ALTEMATION OR ADDITIIW TO MIS SLOWY IS A VIOLA TAW �\ X e0 - of S=MN ?" OF 7 /�'� Yq�( STATE EDWAT101V LAW, G O j` EXCEPT AS SECTION 7Zo�i-�3fILaIV P. ALL CERTFICATIONS �h ©� aE MVALD FOR TJO 14AP AAV COMES TIEREOF ABY IF ON 4.MBEAR TW S. SEAL OF the StXtVEYd4 oWHOsr O - ADDITrGWAt!Y TO Ctrl.Y NgT�►I SAD LAW TAC TERM 'AL TERED BY' °► �S' Q A"T BE D BY ANY AND ALL SIARVEYORS UTAIZMllfl A COPY Ooh 6�1D .Ss. I OF AM00 f SURVEYOrt'S MAP. MW SUCH AS WVE•CTED'AMD \� p2, SWL0fT-TO-0ATF ARE NOT MI COIAPLMNCE 1NTH TIE' LAN. Fp. \\� o� , ��, 'C�j The f aflons o wells and cessPoois show le �WpkMTH SUVPMS ` �g © and from a o c ). APPROVAL OF C0*57 tUCTED WORKS FOR O A SMLZ FA1V fL'V PMM FI►'z / �•� „�p� Mete • t t Nes. �r The awage d 3 and vjwy hwi itw=-A this iowJon nevi bmn �. \4 \ ia�wwof cellirw by this D-rLtrrnc �k.r�,.v*Smck#and fwmd to 8 w � q to eapsfe< y EUitI 4 . OF . ! r �r gip. Orke of 'Wil, 8tld p � SL(i8$CfllEftt c; 7! , �. .., sso ,�,� �; ; 4 SUR IfEY OF �. 998 0 ��� `p LOT 31 gfi. ss "MAP OF TERRY WA TERS" oaP ^4P• FEE MAP MO. 2901 FRED DEC. 29, 1958 TEST HOLE ��.* �' �Q.4 A T SOUTHOLD Aww,. �� , � ® TOWN OF SOUTHOLDO ' z ��' ��► ti� �� SUFFOLK COUNTY, N. Y. N, .h� oto 1000 — W — 05 — 22 SCALE r= 30' APRL Dov, 4b SEPT. 30 19 1 J �s• N carte of r CERTIFIED TO, �( well COMMONWEALTH LAND TITLE Y l am familiar with the STANDARDS FOR APPROVAL INSURANCE COMPANY � NEW Q� AND CONSTRUCTION OF SUBSURFACE SEWAGE y �Q �,�• Merjc� '� 17' DISPOSAL SYSTEMS FOR SINGLE FA A&Y RESIDENCES and will abide by the conditions set forth therein and on the 'a permit to construct. Y. NO. 49618 AREA = 17,513 sq. ft. PECONle f5/61 765 OA' r' P. O. BOX 9 ELEVATIONS ARE REFERENCED TO N.G.V.D. 1230 TRAVELER STREET SOUTHOLD, N.Y. 1197/ 97 - 235 - � �W '. - - - "�I ; I : - - I f 7 7 I I. 7,;, - , � - - I I, __ , I � I , , - F-, - 7 � , I ,- � 7- - I � � 14 "N' �� 7,�-�.­�',o_�­,,­�,,�--,�-"TKV��7,11r­­11411 111- - - - -1 --- 7 flll� oc-lo - � � � -1 . � I I � ­ I- - -, F ,7 - I � o�, ,�i � , i�,,, ,!�:oi-�, -1 , V - i 1'�'. , ` _�_,- - - 7 i T . o ­ � � � - ,, � , - ­ , � - o7 ?" F . 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