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HomeMy WebLinkAbout20806-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21158, Date NOVEMBER 18, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 360 JASMINE LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 1 Lot 6.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1992 pursuant to which Building Permit No. 20806-Z dated JULY 9, 1992. 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 (FIRST FLOOR ONLY) The certificate is issued to PECONIC PROPERTIES MANAGEMENT, INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-54-NOV. 1.7, 1992 UNDERWRITERS CERTIFICATE NO. N-256234 - NOV. 9, 1992 PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALANSSENA, JR. r:z • (�—� GLt uilding Inspector Rev. 1/81 ti FORK NO. S 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) NaN® 20806 z Date ............. .. . . ......I...............,I................ 192. Permission is hereby granted to: A T, ..................................... to ....ctv%.. ....... . . ..... .... I-P................ .................................................................................... .. ....... ................ at premises located at ...4%..0......�. .... . ..........L-7....... ................................................................................................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ....... Block ....Qd.......... Lot No. ...p... ............ pursuant to application dated ...... Lai— )........................ 19.bm, and approved by the Building Inspector. Fee ...... GL4_. ..........4 s! ....... .... ........ ................. ding Puil ing Inspector Rev. 6/30/80 + O,/�fficers MI-laye of 9,reenporl UTILITY OFFICE * ffi INCORPORATED 1838 1516)an-nax NEW INCORPORATION AP RIL 7,1868 f MAYOR REINCORPORATION UNDER GENERAL LAW MAY 28,1894 FAX(516)477-1707 WILLIAM R.TELL 111 POWER PLANT TRUSTEES �r - (S 16)477-0172 WILLIAM D.ALLEN F ti r ......_.. ,�5.3 ..STEPHEN L.CLARKE p.N C , I S L A N SUPT.OF UTILITIES D ,dd JOHN A.COSTELLO �V'� JAMES 1. MONSELL VICTORIA SWENSEN ..u.,,a •�•� ?'ZIF ASST.SUPT.OF UTILITIES 236 THIRD STREET GERALD W. HICKSON GREENPORT, NEW YORK 11944 November 10 , 1992 Mr. Robert Petritsch Suffolk County Health Department Suffolk County Center Riverhead NY 11901 Dear Mr. Petritsch: The following water service lines were recently connected to the Public Water Supply by the Village of Greenport . The installation was done according to our rules and regulations; and to the best of our knowledge, meets with the Suffolk County Health Department standards . The location of the work and, the date the job was completed is shown below: Joseph Best Lot Number: 1 265 Jasmine Lane Reference No. 92-SO-38 Southold NY 11935 Job Number: F93-076 Water District : Outside Date Completed: 10/26/92 Paul Zeneski Lot Number: 2 365 Jasmine Lane - Reference No: . 92-SO-39 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/26/92 Edward Dunne Lot Number: 3 665 Jasmine Lane Reference No: 92-SO-40 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Norman Waterhouse Lot Number: 4 775 Jasmine Lane Reference No: 92-SO-41 Southold NY 11971 Job Number: F93-076 Water District : Outside Date Completed: 10/27/92 Kevin L. Santacrose Lot Number: 5 875 Jasmine Lane Reference No: 92-SO-42 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Over 100 Years of Community Service • q `- Page 2 John Jaklevic Lot Number: 6 780 Jasmine Lane Reference No: 92-SO-43 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/92 Lorraine Haeg Lot Number: 7 95 Apple Court Reference No: 92-SO-44 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 10/29/ 92 Robert Jenkins Lot Number: 8 55 Apple Court Reference No: 92-SO-45 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 11/02/92 Glenn A. Staples Lot Number: 9 205 Apple Court Reference No: 92-SO-46 Southold NY 11971 Job Number: F93-087 Water District: Outside Date Completed: 11/10/92 Julia Benjamin Lot Number: 10 235 Apple Court Reference No: 92-SO-47 Southold NY 11971 Job Number: F93-087 Water District: Outside Date Completed: 11/10/92 Roy Macomber Lot Number: 11 275 Apple Court Reference No: 92-SO-48 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Donna Lyburt-Childress Lot Number: 12 250 Apple Court Reference No: 92-SO-49 Southold NY 11971 Job Number: F93-083 Water District: Outside Date Completed: 11/2/92 Delaney Lot Number: 13 220 Apple Court Reference No: 92-SO-50 Southold NY 11971 Job Number: F93-087 Water District : Outside Date Completed: 11/13/92 Walter Berry Lot Number: 14 155 Apple Court Reference No: 92-SO-51 Southold NY 11971 Job Number: F93-087 Water District : Outside r. Page 3 •� Thomas Helenski Lot Number: 15 60 Apple Court Reference No: 92-SO-52 Southold NY 11971 Job Number: F93-083 Water District : Outside Date Compl•eted:,-il/2/92 William Gaffga III Lot Number: 16 420 Jasmine Lane Reference No: 92-SO-53 Southold NY 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 Rose Anasagasti Lot Number: 17. 360 Jasmine Lane Reference No: 92-SO-54 Southold NY. 11971 Job Number: F93-076 Water District: Outside Date Completed: 10/27/92 The above are from Southold Villas off of Main Road, Southold. If I can be further assistance, please contact me. ;Sincerely, ames I . Monsell Superintendent Of Utilities JIM: jgk sept23a TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date �/� Q� Building Permit No. (� 6 Owner (please print) Plumber (please p int) I certify that the solder used in the water supply system conta ins less than 2/10 of 1 0 ' lead. (plumber 's signature) Sworn to before me this . . � day of _ ,• 19 , Notary Public Motary Public, j County . MARYANNE E. DOWLING Notary Public, State of New York No. 5000030 Qualified in Suffolk County Commission Expires August 3, 199* Form No. 6 . 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. 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 - $5.00 over 5 years - $10.00 4.: Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .November. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . . Location of Property. . 0$ . . . . . .JASMINE . . . .LANE. . . • . . . . . . . . . . . . .SOUTHOLD, .NEW YORK. . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . . . PECONIC.PROPERTIES..MANAGEMENT.INC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .?0. . . . . . . . . . Block. . . . ! . . . . . . . . . . .Lot. .�.J0 . . . . . . . . . . . . . Subdivision. . . . .. S . . . . . D VILLAS . .Filed Map. . . 9737 . . . . .Lot. . .! 7. . . . . . . . . . . . . . . . Permit . . .Date Of Permit. .-YnY.97. 1992. .Applicant. .99N4D.BRACKEN. . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . .. . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . .. . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Fin erticate. . . . . . . . . . . -13 Fee Submitted: $, , . -00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS !AG 1 I•`J0t�3 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date 11(luln"'1: 09 , 1�ln Application No.onfile 784432292/92 td 256234 THIS CERTIFIES THAT �y only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises ofts ts RTC1iTtC1):, ANASAGASTI, 360 JASt'IINEs LANEI , JOU17 , SOUT1101,D , al.Y. in thefollou;ing location; ® Basement EXI (st FL M 2nd F'[. OUT Section Block Lot was examined on N O VE R1.1 E[? 0 2 ; 19 9 2 and found to be in compliance with the requirements qf this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1t1 31 1a 14 1 1.. 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS BELL 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 2 F 1. 2 14 2 - SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 1 A.4W I,B'3W 3 0 3W 3,B'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 HI-LEG OF NEUTRAL 1 150 OB 1 X 1 OTHER APPARATUS: S€10FP 1)1",T I TOR. -1. c2. n SPUDS LLNi-'TR1C SERVICE FITC. 9192"E ryl\ 175 3RD.ST. BOX 166 GENERAL MANAGER ST. JARBSr NY, 11.130 t 11. ! �� Per f 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 Fq"UILDING DEPARTMENT. THIS COPY OF CERTIFICATE-MU- ao $ olq 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [�Q ROUGH PLBG. ] FOUNDATION 2ND [la INSULATION [ ] FRAMING [ ] FINAL REMARKS: I� �u.✓� -T cn DATE �I " `��- INSPECTOR V 9 L ao �3oS � 765-iS02 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION QCJ FRAMING [ ] FINAL REMARKS: a.va Swt.v..a, Zwwe.4 DATE�� 9 L INSPECTOR V • Q L . ao 76s-sso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. p� FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: —02 ,A �Fuw.loQn�.�u. If-YC DATE 14-- INSPECTOR J � � � 0 765-1802 BUILDING DEFT. INSPECTION p�J FOUNDATION 1ST ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: I sv' �ac.�..,�a�:a., — D-Yc 1} n WAA DATE 7 l`4 q INSPECTOR V IR L aaBaC� . T65-1802 BUILDING DE". INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [x] FINAL REMARKS: bZ C DATE " VA 0 - INSPECTOR Y �,L 09 ?OUIIDATIb.V ( 1st) 'OUNDATI011 ( 2nd ) r' O ;OUCH FRAME & 6- o •PLUMBING m :IISULATION PER N . Y. I 4 ' H STATE ENERGY II CODE I ? FINAL ADDITIONAL COMMENTS : m CA. j p . _C7 ----------------------------- i i m 4. \ BOARD OF HEALTH . .\. . . . FORM NO. 1 .3 SETS OF PLANS . . . . . . . . .... TOWN OF SOUTHOLD SURVEY . . . . . _ _ . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . _ . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . SOUTHOLD, N.Y. 1.1971 TEL.: 765-1802 NOTIFY : 76 S_ e �. . CALL . . . . . T . . . Examined . . . 19 QL— MAIL TO : . Approved . . . 19 /?e Permit No. �P.Q P� . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . a. . . . . ., 19 .9INSTRUCTIONSPT a. This application must be completely filled in by typewriter or in ink, nd 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. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall bd 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, bu' ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessaryTll� ections . 6d J� . . . . (Signature of applicant, or name, if a corporation) �1:�' .l.1.9�S (Mailing address of a licant) 6 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . .� . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m Nae of ow of p mises .1 . '.� 1� a. . . . . . 4C7. . . . . . . . . . . . . . . . . . . . . (as on the to roll or latest deed) If ajis tion signature of duly auth rized officer. title of corporate officer) Builder's License No. . . . . . . . . . . . . . .j. . . . . . . . . . . Plumber's License No. . . . .ZoQ /. ID . . . . . . . Electrician's License No. . . . . . . . , . . . . . . Other Trade's License No.. . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . .. �.� . :. .�i!�. j. all. . . . . House Number et Stre Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . Block . . . . .D. ./. . . . . . . . . Lot . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . 1.-� . . . . . . . . . . . . . . . Filed Map No. �� 3�. . . . . Lot .- . ././. . . . . . . (Name) 2. 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 . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,4t a of work (check which applicable : New Building 1/ildmg Addition Alteration Repair . . . . . . . . . . . . . . Removal Demolition . . . . ... . . . . . . . . Other Work . . . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . (Description) . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage,number of cars . 6. If business, commercial or mixed occupancy, specify nature_ and extent of each type of use . . . 7. Dimensions of existing structures,if any: Front . . . . . : . . . . . 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 . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth. Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . :. . . Rear'. . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . .. . . . . . . . ... . . . ... . . . . . . . . Name of For.mer Owner • . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate-any zoning law, ordinance.or regulation: . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . ... . . . . . . . . . . . . . ... Address . . . . . . . . . . . . . . . . . . .Phone No. . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . .:.. . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . Name of Contractor Address . . . . . . . . . . . . . • .Phone No. . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *yes. . No.,X. � � � � � � � . . . . . .. . . . . . . *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. u' STATE OF NEW R Y COUNTY OF . . . . .(�. �k;.. . . . S.S • . . . �4./(�/.SI.�. . . . 1� � . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Con; tor, 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 . . . . . . . . . . . . . . .L day . . . .- . . . ., 1917 otary Public, . . . . . . County /6§v / ' RO63ERT 1.SCOTT, NOTARY PUBLIC,State TP . . . . . . . . . . . . . . . . . No.4725089, u IL u (Signature of applicant) Sffi0 o Term Expires May 31,19 0� ) -Iwo s •� �gssr, .D 03o4 0 N s F�Z3 N lb /O/ICE � N L' N/ R=37� '16' 9oz, Z Z �O• SS \ ��• O \ EO 00, �tV EA = 39,838 sq. ft. SURVEY OF stNGLE. ���tt'WO', •;� :LL��t . G ONLY LOT 17 EXPIRES.:. Y- RS DATE.OFAPPROVAL "MAP OF SOUTHOLD VILLAS„ FILED MAP NO. Prepared In accordance -with the minimum A T SOUTHOLD standards for title surveys as established by the L.I.A.L.S and approved and adopted TOWN OF SOUTHOLD for such use by The New York Slate Land Title Association. SUFFOLK COUNTY, N. Y The water supply and sewage disposal 1000 — 70 — 01— P/O 08 systems for this residence wlll conform to the standards of The Suffolk County Scale: ii i = 40 rPmenl of Heo Ph Services March 11, 1992 spools shown hereon are from fie dy, z> observations and or from data obtained from others. �r 1 S`1 � a3 00. ao ,A i` � SUFFOLK COUNTY DEPARTMENT OF"HEALTH SERVICES 1y,�. `: � f AqF°,' FOR APPROVAL OF CONSTRUCTION ONLY. of pp�� Cj S yf Y.S. LIC. NO. 49618 DAT�UN Q REF. N0. `.Z So"s F ;.; ELF©l VE o r S? P.C. M AIN' APPROVED SOUTH Y. 11971 87-670 17 Nip ell � N'No E2�uT0z O 4f �F �S 41 o JC O A0 G Ncc .� \ 10 N 19.5r \ C7 00 0. ss 00 Vie \ S°°°• 9 OCV 04 � AREA 39,838 sq ft. . CERTIFIED TO: THE LONG:ISLAND SAVINGS BANK SUR VE Y OF PECONIC PROPERTIES MANAGEMENT CORP. LOT 17 "MAP OF SOUTHOLD VILLAS" FILEDJUNE 25, 1992MAP NO. 9237 Prepared In accordance with the minimum A T SOCJTHOLQ standards for title surveys as establlshed by the L.I.A.L.S and approved.and adopted TOWN OF SOU THOLD for such use by The ew .York Siale Land N. Y.� Tlt/e Association. SUFFOLK COUNTY, The water supply and sewage disposal 1000 - 70 — 01— PIO 06 systems for ihls residence will' conform ii to the standards of The Suffolk .County Scale 1 = 40 Department of Health Services., March 11. 1992. - JUL Y 15, 1992 (foundation) The locations of wells and cesspools shown hereon are from field observations and or trom data obtained from others. 'SUFFOLK.COUNTY DEPARTMENT OF'HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY Y.S. LIC. NO. 49618 4. DATE- --MS. REF. N0. ON C''°�,, Yi s P.C. ' 50?�VE� P.iC: 1Q � Qy9� APPROVED MA. R so .Y. 11971 87-670 1-7 0 s�sZile, �h• yG ;PQ. p N p� s�g�0� ��° s F O 0 N �oryhh N� �y � 'y'• \ N .37 w o 46' ,�01 ,moo. ss ✓� 0000.k o� tiF � g s ;SUr1=Ji_K C iJN1iY I?'=?r1;Ii;�`.`y+ Ur ' Fr4_'iN SERVIEICES J+IE�:I_- i�'4 i;'�E`� JLj';r L�li'i 1 0 1.1� 1• \ •��' O fhb 3:':F o�° Q1:}uS^a1 i+`e ti:i'H`°r s�„x ly faciiities for this \ O- �0 ry Iccadt�o hav, ir3"I: �i-partment and/or other c:g�r!ii£•s Land fo , d to l;2 �ti-s nii0ry. \ a i rullal., 01 oC-SLTA+after �nagement m G�. AREA = 39,838 sq. ft, CERTIFIED TO, THE LONG ISLAND SAVINGS BANK SUR VEY OF PECONIC PROPERTIES MANAGEMENT CORP. LOT 17 "MAP OF SOUTHOLD VILLAS" FILED JUNE 25, 1992MAP NO. 9237 Prepared In accordance with the minimum A T.SOUTHOLD standards for fills surveys as established by the L.I.A.L.S. and approved and adopted TOWN OF SOUTHOLD for such use by The New York Slate Land SUFFOLfC COUNTY N. Y. Title Association. The wafer supply and sewage disposal 1000 — 70 — 01- P/O 06 systems for this residence will conform Scale: 1" = 40" to the standards of The Suffolk County Department of Health Services. March 11, 1992 JUL Y 15, 1992 (foundation) The locations of wells and cesspools shown hereon are from fleld Oct, 23,1992 (final) observations and or from data obtained from others. D 4 SUFFOLK COUNTY DEPARTMENT OF`HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY 3 N.YES. LIC. N0. 496/8 92 SO 54 NOV 1 1992 DATE HS. REF. NO. EGOIWC� VEY,QRS, P.C. S.C. DEPT. OF P. 0.``'`- HEALTH SERVICES MAIN I�OADz ` APPROVED SOUTHOLD, AY. 11971 8 7-6 70 / 7