HomeMy WebLinkAbout45755-Z �guEF01 `a Town of Southold
�o �cooy 6/11/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42079 Date: 6/11/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2415 Cox Neck Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-7-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/14/2021 pursuant to which Building Permit No. 45755 dated 1/28/2021
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:
accessoryground swimming pool fenced to code as applied for.
The certificate is issued to 153 Herricks LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45755 4/22/2021
0-1
PLUMBERS CERTIFICATION DATED
tho ' ed Signature
TOWN OF SOUTHOLD
�o aye BUILDING DEPARTMENT
C x TOWN CLERK'S OFFICE
Wo • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 45755 Date: 1/28/2021
Permission is hereby granted to:
Tsounis, Nicholas & Thomas
57-17 256th St
Little Neck, NY 11362
To: construct an inground swimming pool as applied for.
At premises located at:
2415 Cox Neck Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 113.-7-10
Pursuant to application dated 1/14/2021 and approved by the Building Inspector.
To expire on 7/30/2022.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO- SWIMMING POOL $50.00
Total: $300.00
Building Inspector
®��oF sovey®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �. • �o sean.devlinCab-town.southold.ny.us
at�c®UNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 153 Herricks LLC
Address: 2415 Cox Neck Rd city.Mattituck st: NY zip: 11952
Budding Permit#: 45755 section: 113 Block: 7 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pro-Line Electric License No: 32279ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1 st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt I Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches 4'LED Exit Fixtures Pump 1
Other Equipment: Intermatic Pool Tranny, 2 Lights, Pump on 220GFI Breaker, Pool Heater
Notes, Pool
Inspector Signature: Date: April 22, 2021
S.Devlin-Cert Electrical Compliance Form As
OF SObTyo� Ll 57 J j'` �L-4 15 Co � B
f # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
ANSPECTION-
FOUNDATION
1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] -FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: Td 0 >,-- ��� i_,-I) �t
DATE .2 INSPECTOR
# # TOWN OF SOUTHOLD BUILDING DEPT.
�`ycoum � 765-1802
- INSPECTION
[ ] FOUNDATION 1ST . [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND = . [ ] INSULATION/CAULKING
[ ]
FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ h] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O
REMARKS: �s
DATE hl/ INSPECTOR
�aof SO(/j�°
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL fwl�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: `V A Y W
-
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DATE INSPECTOR k2
�a0f solyt,
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# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATI,O,NN/CAU G
[ ] FRAMING/STRAPPING [v/FINAL Pot, V�p�
[ ]- FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: gg
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DATE INSPECTOR
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RAY DOVER,ARCHITECT
ARCHITECTURAL DESIGN
INTERIOR DESIGN
PLANNING&DEVELOPMENT
RESIDENTIAL-COMMERCIAL.-INDUSTRIAL
95 RICHMOND AVENUE
S.AMITYVILLE,NEW YORK 11741
Phone/Fax: (631)6914718 EMAIL:RDARCHITECT@YAHOO.COM
May 14, 2021
Southold Building Department
54375 Rte. 25
Southold,New York 11971
RE: CERTIFICATION of POOL RE-BAR
2415 Cox Neck Road, Mattituck.
BUILDING PERMIT NO: 45755
To Whom it May Concern:
This Letter is to Certify that as per My Inspection All Re-bar was installed to the Walls and `Floor' of the
In-ground Pool before the Pouring of Concrete.
I Acknowledge that the Southold'Building Department is relying on this Affidavit to issue a Final
Certificate of Occupancy for the above ConstR�on.
Sincerely,
NED)
Ray Doner, Architect.
024���0��
OF N EW
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
6'
-''z ----------------------------------
;r FOUNDATION(2ND)
R v'
ROUGH FRAMING&
PLUMBING y
eCr'
INSULATION PER N.Y. y
STATE ENERGY CODE
51,
Ji2
' FINAL
F �.
Irv:
r : I
ADD ON COMMENTS
Af
e
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at
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b��St�f We off, TOWN OF SOUTHOLD —BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny-gov
Date Received
APPLICATION FOR BUILDING PERMIT
"a
For Office Use Only
� �,� J
PERMIT NO. Building Inspe or: AN 1 4 2021
-Applied'tions_and`foi•ms musttbe#il(ed=out,in thei�'enti�e Incom+let`e`Y` _ _- -_= `��'r'--'' ` '� :, - - ���
:applications will:no"t_fe accepted:Wfie�e the Applicant is=not=tlie`ouiner,'ari =
;,;
Date: f /3 2
`t6WNER - - -
S
Name: 153 -� �' 2l_C�S_L L C SUM#s000- //3 - 07=- to
Physical Addresss:- 2(,r j S Cox A eqt __ cl
Phone#: Email:
Mailing Address: 8F/2
CT
E - - - - - _
011L AC�:P� -
T RS- =-- -
Name: 214 �J / V O_f2_ _
Mailing Address: 2) '7 SA lJ 'J
Phone#: (,t (,t 3 Email__ S -Rol
DE51GN PROFESSIO AL� fF - - - -
N IN ORNIp►T-IONc - - - --
Name: � -
Mailing Address: 73 -tf _Ea� Q ��
Phone#: ' 2 8- _ �3 � Email: j
s,-
"CO TRACTOR`INFORMATION:��
Name: V' .Ift-S—
Mailing Addres - - — Co --ta A I E- (2--v VF-----
Phone#: 1V Email: N
Q � TjPOSED -Q- NSTRU,C'�CTODPR0
- - - - _ -
EJ New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 20' x �0 I 1700L $ C2(2 --- __
Will the lot be re-graded? Yes El No Will excess fill be removed from premises? MYes ❑No
1
E AfYINFOR
q
Existing use of property:
f('o Intended use of property: 1AeG*614?11
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? [Aes ❑lyP IF YE4, PROVIDE A COPY.
f,cz�,- V,
h-6ck,gd)(Aftdt-',Rciadihg:,'-The owner/eciiitiact6r/disign'O'&feiti4h-al'is�iit0br(s'lblk' ra age'andst;')'
Tin water iiiiii'
,Xhapter 236 of the-Town Code.-APPLICATION IS HEREBY MADE 1:6-thcguildirig 09partment for theOssuanco of a,Building Perm.itpurs 1 11
a
-of Southold,Suffolk,C66rity,Ne i cI
bidii:iinie�oi thifown Regulations;
_V 'na- uil I
ina
rL
housing code and admit ecte ir
rsonperipm O�--pecqssary.-insplictiori�.-Falie statements i
eanor purstidnt t6S64ti6n,21-0.,45�6ftW4--�i�vYork-Stati eniii Liii4z
abk�4_cloi_ OT
Application Submitted By(printnarne): tu OAuthorized Agent 601caner
Signature of Applicant: . Date:
///3/�� — --
STATE OF NEW YORK)
SS:
COUNTY OF S VFFOL C
_a7 f—(A 'y CO/V t 0 P_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the F fZ__
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of A-N U/4 P_Y 20 2,
Notary Public
Monika Majewski
YORK
92440
JH Mk' r
NOTARY 11LIBLIC,Wn OF NEWYORK
Ismu
PROPERTY OWNER AUTHORIZATION Register No.OIMA6392440
r
Q C ty
n
(Where the applicant is not the owner) QualifirA in Sju�ffolk COOV
ou
Commission
Expires
051 10
ommisgon Expites 0512812023
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
j 1 .,BUILDING DEPARTMENT- Electrical Inspector
0 2021 TOWN•OF SOUTHOLD
Town Hall Annex -54375 Main Road - PO Box 1179
- Southold, New York 11971-0969
=;' ' ?`-t ' 6 xTetephone (631) 765-1802 - FAX (631) 765-9502
rog6 r(@_south0' ldtow' nny.gov - sea nd(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: , 2— C 2 .
Company.Name: ,=tai`" a - _ -_ _fit �•
Name: Pl C/4 l .
;License No.. 22: L` email: � E6D
Phone No:' . 2. [/]i request'an ernait copy of Certificate of Compliance
Address.. f13, - 0IN U-If { )"YS
JOB SITE INFORMATION` (All Information Required) _
Address:
Cross,Street:
Phone Nq:. ;
BIc1g:Permit .f=1
- =Tax Map.District: 1010 n. }1 BlQok: Lot:
BRIEF DESCRIPTION OF. �,NORK (Please Print Clearly) j/��': J�"a,e f ot"
' Check All That Apply:. . i
Is jeb ready for inspection [jRougti In []Firial
= i
e
,
.D6you-need a Temp Certificate?: YES NO
.- .. -- _ -� _ � ` Issued On •X0/7 � •
Ten o linformati (AII information required)
Service Size 1 Ph Ph Size:. A #Meters Old Meter#
iEl
aNew Service D Service Reconnect° UndergroundOverhead
#,Underground Laterals 01 02 2 Frame QPoleWork done Ely
Service? Y I_JN
Additional Information:
PAYMENT DUE WITH`APPLICATION
QN,
Electrical Inspection Form 2020.XIsx
6Y Q`
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
HH's
UC Lts
Fans fridge HW
Exhaust - Oven Dryer.
Smokes-., Serrrice;
Car=ooh-. - _� -" -- ., -- •. - _� �Mcr�z�" � � . - � -•- . . "- -. - ; � . , -� , -
Ger�ertor:
Cortrbo- ;- . -'• - . -_ - -•_`-: .-, - ;- -- --,-- -:--�aca�tc� - -- , -----•-•------ •-,- ---•- --------,-- -----Tr- - ------ : ----------•-- --------------
" ansfer i
AC AH Mini- -
Special:
Comments.
• CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made thel'3 day of w.�� 2021
BETWEEN
NICHOLAS S. TSOUNIS(98% INTEREST), THOMAS A. TSOUNIS (1% INTEREST), and CHRISTOPHER
TSOUNIS(1%INTEREST)
57-17 256th Street,Little Neck,N Y.11362(NICHOLAS S TSOUNIS)
162-31 91h Avenue,Apt.8A,Whitestone,N.Y.11357(THOMAS A.TSOUNIS)
80 Ketchams Road,Hicksville,N.Y.11801 (CHRISTOPHER TSOUNIS)
party of the first part,and
153 HERRICKS LLC
87 Sandy Court
Riverhead,KY 11901
party of the second part,
WITNESSETH,that the party of the first part,in consideration of Ten($10.00)
dollars
paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs
or Successors and assigns of the party of the second part forever,
SEE THE ATTACHED SCHEDULE A
The Grantors herein being the same parties as the Grantees of the same premises as described in a deed
dated June 18,2012 and recorded at the Office of the Suffolk County Clerk on June 27,2012 in Liber 12697
Page 639.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof,TOGETHER with the appurtenances and all
the Estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
purpose. The word"party"shall be construed as if it read"parties"when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above
written.
NICHOLAS S. TSOUNIS
IN PRESENCE OF.
0
r
THOMAS A.TSOUNIS
L
VRISTOPHER T UNIS
Standard N.Y 8 T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts—Uniform Acknowledgment
Form 3290
a `
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York,County of ss. State of New York,County of qs�0.550-v ss:
On the day of in the year 2021 On the O% day of,)l I t7o-VT- in the year o0 2.[
before me, the undersigned, personally appeared Nicholas S. Before me,the undersigned,pers nally appeared ti�Ckiotck,s
Tsounis,Thomas A.Tsounis,and Christopher Tsounis �; rkTnp � -Tsourv,s
Personally known to me or proved to me on the basis of
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is
satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to
(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
me that he/she/they executed the same In his/her/their cepacity(Jes), and that by his/her/their signature(s) on the
capacity(es), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which
instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument
the in ' id�acdtedd the ins ment.
L7�e--O!offfc�ei rJ king acknowledgment)
(signature and office of individual takin acknowledgment)
No.011AMSM11143
Common d tEVIres�teni y 21,,�(
untY
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,Territory,or Foreign Country)of ss:
On the day of December in the year before me,the undersigned,personally appeared
personally known tome or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are)
subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/herRheir capacity(les),and
that by hls/hbr/their sighature(s)on the instrument,the individual(s),or the person upon behalf of which the mdnriduai(s)acted,
executed the instrument,and that such individual made such appearance before the undersigned in the
in `
(Insert the City or other political subdivision) (and Insert the State or Country or other place the acknowledgment was taken)
(signature and office of individual taking acknowledgment)
DISTRICT 1000
BARGAIN AND SALE DEED SECTION: 113.00
WITH COVENANT AGAINST GRANTOR'SACTS BLOCK: 0700 2415 Cox Neck Road
LOT: 010.000 Mattituck, N.Y.
Title No, -15079/Abstracts Incorporated COUNTY OR TOWN 11952
NICHOLAS S. TSOUNIS, THOMAS.A. TSOUNIS, Suffolk/Southold
AND CHRISTOPHER TSOUNIS STREET ADDRESS,
TO Recorded at Request of
153 HERRICI(S LLC ABSTRACTS,INCORPORATED
RETQRN BY MAIL
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS ,
" DlstnbtAed by
Commonwealth
Ar vwA.cu .t .
COMMONWEALTH LAND TrrE INSURANCE COMPANY
i
T- ABSTRACTS, INCORPORATEC"
RasidanLial 6&Commercial Title Insurance since l 584
as agentfor
First American Title Insurance Company
SCHEDULE A DESCRIPTION
Title Number: 563-S-15079
Page: 1
ALL that certain plot piece or parcel of land, situate, lying and being in the Town of Southold,
County of Suffolk, and State of New York at Mattituck, described as follows:
BEGINNING at a point on the westerly side of Cox Neck Road, distant 551.56 feet southerly from
the corner formed by the intersection of the westerly side of Cox Neck Road with the southerly
side of Bergen Avenue;
RUNNING THENCE along,the westerly side of Cox Neck Road, South 15 degrees 43 minutes 30
seconds East, 126.50 feet;
THENCE South 74 degrees 16 minutes 30 seconds West, 153.85 feet to land of Mendozza;
THENCE along said land of Mendozza, North 14 degrees 45 minutes 50 seconds West, 126.52
feet to land of Sheldon;
THENCE along said land of Sheldon, North 74 degrees 16 minutes 30 seconds East, 151.73 feet
to the westerly side of Cox Neck Road at the point or place of BEGINNING.
/Pk\
N Y S ' F
New York State Insurance Fund 8 CORPORATE CENTER DR,2ND FLR,MELVILLE,NEW YORK 11747-3166
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
D D
^^A"^" 461989045
NORTH FRANKLIN BROKERAGE ,
13 NORTH FRANKLIN STREET N
HEMPSTEAD NY 11550
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
CUBIAS CONSTRUCTION CORP TOWN OF SOUTHOLD
76 GARDNER AVE 53095 ROUTE 25
HICKSVILLE NY 11801 PO BOX 1179
SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
H2462 539-4 656200 01/24/2020 TO 01/24/2021 10/6/2020
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2462 539-4, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/NWIW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
NOEMI LOPEZ TORRES
CUBIAS CONSTRUCTION CORP
ONE PERSON CORPORATION
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 190125258
U-26.3
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 113-07- 10
/001 IF) LITEg LOT COVERAGE SCALE 1 "=40'
AgREN gINDERLITER 1,g1'3, // 15.5 ��� DESCRIPTION AREA X LOT COVERAGE SEPTEMBER 17, 2020
PROPOSED HOUSE DECEMBER 5, 2020 ADDED PROPOSED POOL
'S
�fi z 2,058 s ft. 10.6%
DANA DWs"GWA'SR / D� & PORCHES q'
& usQ c / / //� 10 C ' 924 s ft. 4.8%
PROPOSED POOL
PLT & COPING q'
yap�� TL
•�6'3��� / ��pt1�i/ / ��/ WL` S�tY ON TOTAL 2,982 sq. ft. 15.4X
ILA �� AREA = 0.444 a�. ft.
�5 . >..v,.
0 .Z ? ` v 25' RIGHT OF
' / TEST HOLE DATA ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM
•„ �,_/,.,,gy�pp QOM :�:�::. .• •• Q EXISTING ELEVATIONS ARE SHOWN THUS:�x ---
X. i �1" � 'cCti rt o o (TEST HOLE DUG BY NATHAN T. CORWIN III. L.S. ON SEPTEMBER 20, 2020) EXISTING CONTOUR ONES ARE SHOWN THUS:----�
O / n 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 4 BEDROOM HOUSE IS 1,250 GALLONS.
LTVfir' 1 TANK; 8' DIA. 4' UQUID DEPTH
y O / �� OyN EL' 12'2' O, q ft 3. MINIMUM LEACHING SYSTEM FOR A 4 BEDROOM HOUSE IS 300 s SIDEWALL AREA.
3 POOLS:
SOXDFUNRE EXPANSION POOL
O 0:.: .�.: :: Gf BROWN SILTY SAND (SM)
n v�C1 c Qp Y'': '0 J Z� 4• ®PROPOSED 8' DIA.X 4' DEEP LEACHING POOL
rn ,� ;::;; f
PROPOSED 1,250 GALLON SEPTIC TANK
to a O H ::.;,0,::: Z Pt"'• (J� 12.0 A
c "' "' �'` PALE BROWN FINE TO MEDIUM SAND SP 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
O to �.;;.':;:.;2p"•i:•i' T1t "� 1r ( ) OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
DRAINAGE SYSTEAf CALCULATIONS:
r� W il9 DRIVEWAY AREA: 7000.1 = 11
EL. 4.7' 700 aq. it. X 0.17 = 119 cu. ft.
d QIL�W $TJ 7.5' 119 cu. ft. / 42.2 = 2.8 vertical ft. of 8' dia. leaching pool required
y�L/1 y(OGK W 1rJ3' HIGHEST EXPECTED GROUND WATER
a N'y yp�L TEST WELL No. USGS 405924072321501 S 39269.1 ROOFOVIDE (i 950 dia } 3' high STORM DRAIN POOLS
EL 1.7' 10.5' 1,950 sq. ft. X 17= 332 cu. ft.
WHO u / TEST HOLE GROUND WATER 332 cu. H. / 42.2 = 7.9 vertical ff. of 8' dia. leaching pool required
/ y"G WATER IN PALE BROWN PROVIDE (2) 8' d1o. X 4' high STORM DRAIN POOLS i
��� ut � / D�BUC WAS TO MEDIUM SAND (SP)
USES 0/F S PROPOSED e' DIA. X 4' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS:
N�FDTAKI KIS `-' -
PROPOSED 8' DIA. X 3' DEEP DRYWELLS FOR DRIVEWAY RUN-OFF ARE SHOWN THUS: €::
$ogN9LI FFoTAgiS
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PROPOSED SEPTIC SYSTEM DETAIL
E
HOUSE (NOT TO SCALE)
F FL 18.0' ♦ TOP BURIED
4' DEEP max. FINISHED GRADE
PRECAST REINFORCED CONCRETE COVER //j!Z4
- `� FINISH GRADE
BURIED 1' DEEP min. 2' DEEP max. dia. LOCKING. WATERTIGHT & INSECT PROOF ELEV, 14.0'T IRON COVER TO GRADE
LEANOLU 20'mIn 20'min. MIN. 4'dia. t TOP EL 12.4' 3
__ _ TOP ELEV.4; APPROVED PIPE
TO BE USED WHERE TOPSOIL IS NECESSARY FOR NOTES. - -fH FTS "L-- PITCHED 1/8"/1' 8" a :r
1. AREA CHOSEN FOR STOCKPILING OPERATIONS ro o -
REGRADING & VEGETATING DISTURBED AREAS. � MIN. 4" dia. S' GLEX,
SHALL BE DRY AND STABLE. INV. EL' _ 4' dia.'
TEMPORARY STOCKPILE STABILIZATION MEASURES INCLUDE APPROVED PIPE 3 .° SAND
2. MAXIMUM SLOPE OF STOCKPILE SHALL BE :1. 12.4' PITCHED 1 4 1 INVERT ?rn °° a CROSSOVER COLOR
VEGETATIVE COVER, MULCH, NONVEGETATIVE COVER, AND 3. UPON COMPLETION OF SOIL STOCKPILING, EACH / "/ ELEV. 121' INVERT PIPE ° °
PERIPHERAL SEDIMENT TRAPPING BARRIERS. THE Ems• 11.8' >
PILE SHALL BE SURROUNDED WITH EITHER SILT• 3 FLOW +'
STABILIZATION MEASURE(S) SELECTED SHOULD BE FENCING OR STRAW BALES, THEN STABILIZED WITH ' BAFF n
APPROPRIATE FOR THE TIME OF YEAR, SITE CONDITIONS, VEGETATION OR COVERED. e ro
AND REQUIRED PERIOD OF USE. i 4.
i
STABILIZE ENTIRE PILE 2
SLOPE OR LESS I g' -{
W W W W W W I _ . 3HIGHEST EXPECTED GROUND WATER
SEPTIC TANK .WITH VEGETATION OR COVER LEv.
Ile
Al!
1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,250 GALLONS.
W W W W W W W 1 TANK; 8' DIA., 4' LIQUID DEPTH
I W W W W W W 2. CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. LEACHING POOLS -3�
3. WALL THICKNESS SHALL BE A MINIMUM OF 3', A TOP THICKNESS OF 6'AND A BOTTOM THICKNESS OF 4'. 1. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 a ft SIDEWALL AREA
ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPUED FORCE OF 300 pal'. 3 POOLS; 4' DEEP, 8' dia, q
w W W W W .V W W W W W 4. ALL JOINTS SHALL BE SEALED SO THAT THE TANK IS WATERTIGHT.
v W W W W W 5. THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX. TOLERANCE OF ti/4') 2. UEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL)
ON A MINIMUM 3"THICK BED OF COMPACTED SAND OR PEA GRAVEL LEACHING STRUCTURES, SOLD DOMES AND/OR SLABS.
y
41 J y y ,y ,y 6. A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 3.ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL).
4. A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER UNE SHALL BE MAINTAINED.
5. AN B' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL BE MAINTAINED.
6. AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED.
STRAW BALES OR SILT FENCE TYPICAL STORMWATER UNIT
STORMWATER MANAGEMENT NOTES: SOIL STOCKPILE (TOPS TO BE TRAFFIC BEARING)
1. ANY WORK OR DISTURBANCE, AND STORAGE OF CONSTRUCTION (NOT TO SCALE) (NOT TO SCALE)
MATERIALS SHALL BE CONFINED TO THE LIMIT OF CLEARING
AND/OR GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS. CAST IRON INLET FRAME & COVER (FLOCKHART J63518 TYPE 6840)
2. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, FINISHED GRADE OR 6'THICK REINFORCED CONC. COVER
A CONTINUOUS LINE OF SILT SCREEN (MAXIMUM OPENING OF 8'TRAFFIC BEARING SLAB 1'-0'
U.S. SIEVE 20 SHALL BE STAKED AT THE LIMIT OF CLEARING 36" HIGH POLE (FCST max.)
�' ) STEEL OR WOOD fCST
AND GROUND DISTURBANCE SHOWN ON THE APPROVED PLANS.
THE SCREEN SHALL BE MAINTAINED, REPAIRED AND REPLACED AS FLOW PIPE FROM ROOF GLITTERS
OFTEN AS NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL
DISTURBED AREAS ARE PERMANENTLY VEGETATED. SEDIMENTS 50' MIN.
TRAPPED BY THE SCREEN SHALL BE REMOVED AWAY FROM THE OR TO BE SUFFICIENT TO PREPARED IN ACCORDANCE WITH THE MINIMUM
SCREEN TO AN APPROVED UPLAND LOCATION BEFORE THE KEEP SEDIMENT ON SITE * CRUSHED 3/4" - 1-1/2' STONE STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
SCREEN IS REMOVED.
HAY BALES AND/OR ALL AROUND BY THE L.I.A.LS. AND APPROVED AND ADOPTED
3. PRIOR TO THE COMMENCEMENT OF ANY CONSTRUCTION ACTIVITIES, SILT FENCING \ c^;;?; ~ FOR SUCH USE BY THE NEW YORK STATE LAND
A CONTINUOUS ROW OF STAKED STRAW OR HAY BALES SHALL a i 0 LEACHING RINGS TITLE ASSOCIATION.
BE STAKED END TO END AT THE BASE OF THE REQUIRED SILT o . ' REINFORCED PRECAST CONC.
SCREEN AT THE BASE OF THE REQUIRED SILT SCREEN. THE BALES W 4" x 6' TRENCH 3 4000 PSI O 28 DAYS °
SHALL BE MAINTAINED, REPAIRED AND REPLACED AS OFTEN AS IS " I �A W/ COMPACTED aat a
8p
NECESSARY TO ENSURE PROPER FUNCTION, UNTIL ALL DISTURBED p y (min.)
r S1`:!•j C 0
-------- --------------
'-
AREAS ARE PERMANENTLY VEGETATED. THE AVERAGE USEFUL LIFE Q - BACKFILL (min.) 4'
----
OF A BALE IS 3-4 MONTHS. SEDIMENTS TRAPPED BY THE BALES O I o TRENCH DETAIL
SHALL BE REMOVED AWAY FROM THE BALES TO AN APPROVED N
UPLAND LOCATION BEFORE THE BALES THEMSELVES ARE REMOVED. I (NOT TO SCALE) o r1 {
4. STRAW BALES SHALL BE RECESSED TWO TO FOUR INCHES INTO THE GROUND. I E
5. SILT SCREEN SHALL BE RECESSED BY TRENCHING SIX INCHES INTO THE GROUND. v F, $
6. LEADERS AND GUTTERS THAT EMPTY INTO DRYWELLS SHALL BE INSTALLED I STEEL OR WOOD GROUND WATER
ON THE PROPOSED RESIDENCE. ExTRA STRENGTH FILTER FABRIC POST(TYP•) ,y ` ' :41>
7. ALL PROPOSED SWIMMING POOL DISCHARGES SHALL BE DIRECTED TO DRYWELLS. I SILT FFEENCCINC D/OR REQ'D. WITHOUT WIRE MESH SUPPORT �;„ ti
8. PROPOSED DRIVEWAYS MUST BE CONSTRUCTED OF PERMEABLE MATERIALS 10' MAX. O.C. SPACING ' `•4 ..�'.•''' ' 0-
' OR IF PAVED, BE EQUIPPED WITH DRAINAGE SUFFICIENT TO PREVENT RUNOFF W/WIRE SUPPORT FENCE ' "` N.Y.S. Lic. No. 50467
FROM BEING DISCHARGED ONTO THE ROAD OR OFF-SITE. PLAN VIEW 6' MAX. O.C. SPACING " -
W/O WIRE SUPPORT FENCE •. •• '`�*.,,, •'''"''-'
9. ALL AREAS OF SOIL DISTURBANCE RESULTING FROM THIS PROJECT SHALL BE :d.•v - UNAUTHORIZED ALTERATION OR ADDITION
SEEDED WITH AN APPROPRIATE PERENNIAL GRASS, AND MULCHED WITH STRAW TO THIS SURVEY IS A VIOLATION OF
IMMEDIATELY UPON COMPLETION OF THE PROJECT, WITHIN TWO (2) DAYS OF ,.;.j;: �.,�..� ' F,aR SECTION 72LA OF THE NEW YORK STATE Nathan Taft Corwin III
FINAL GRADING, OR BY THE EXPIRATION DATE OF THE BUILDING PERMIT, IXISnNG GRADE � "' EDUCATION LAW.
WHICHEVER N FIRST. MULCH SHALL BE MAINTAINED UNTIL A SUITABLE ROAD + '"i`:'
VEGETATIVE COVER IS ESTABLISHED. IF SEEDING IS IMPRACTICAL DUE TO
..•,., COPIES D THIS SURVEY MAP NOT BEARING
HAY BALES AND/OR •'�:: .•• `' `,
TIME OF YEAR, TEMPORARY MULCH SHALL BE APPLIED AND FINAL SEEDING SILT FENCING z ATO UP FILTER 1'A9RIC SECURELY THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
��or
PERFORMED AS SOON AS WEATHER CONDITIONS FAVOR GERMINATION I CONSTRUCTION CE BASE OF TO UPSTREAM SIDE OF POST EMBOSSED SEAL SHALL NOT BE CONSIDERED
AND GROWTH. COMPACTED 3/4 STONE BLEND TO BE A VALID TRUE COPY.
OR N.Y.S. D.O.T.APPROVED R.CA
10. SUITABLE VEGETATIVE COVER IS DEFINED AS A MINIMUM OF 85% AREA FILL TO 18' MIN. ABOVE EXISTINGGRADE TO ALLOW FOR DRAINAGE SILT FENCE DETAILS CERTIFICATIONS INDICATED HEREON SHALL RUN
VEGETATIVE COVER WITH CONTIGUOUS UNVEGETATED AREAS NO LARGER NOT TO SCALE ONLY TO THE PERSON FOR WHOM THE SURVEY
THAN 1 SQUARE FOOT IN SIZE. IS PREPARED, AND ON HIS BEHALF M THE Successor To: Stanley J. Isaksen, Jr. L.S.
11. ALL CONSTRUCTION ACCESS WAYS SHALL BE RAISED SUFFICIENTLY AT THEIR CROSS SECTION TiTLE COMPANY, GOVERNMENTAL AGENCY AND y
SITE ACCESS LOCATIONS WITH THE EXISTING ROADS, TO PREVENT RUNOFF NOTES SILT FENCE SHALL BE PLACED PARALLEL TO SLOPE CONTOURS TO LENDING INSTITUTION LISTED HEREON, AND Joseph A. Ingegno L.S.
TEMPORARY CONSTRUCTION ENTRANCE MAXIMIZE PONDING EFFICIENCY. INSPECT AND REPAIR SILT FENCE AFTER TO THE ASSIGNEES OF THE LENDING INSTI-
OF WATER, SILTS AND SEDIMENTS FROM BEING DIRECTED OR DISCHARGED ONTO EACH STORM EVENT AND REMOVE SEDIMENT WHEN NECESSARY. REMOVED TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Title Surveys - Subdivisions - Site Plans - Construction Lc
THE ROAD. A NON-LOAM BASE MATERIAL, SUCH AS CRUSHED STONE, GRAVEL, (NOT TO SCALE) SEDIMENT SHALL BE DEPOSITED TO AN AREA THAT WILL NOT ALLOW
OR RECYCLED CONCRETE BASE, SHALL BE PLACED ACROSS THE DRIVEWAY OR OFF-SITE TRANSPORT.
CONSTRUCTION ACCESS WAY AT THE ACCESS POINT ALONG THE ROAD. PHONE (631)727-2090 FOX (631)727-1
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAIUNG ADDRE!
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New Yol
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APPROVED AS NOTED
DATE: l 'Z�t I ( B.P # Luj
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B F ?b BY _c= .- O a ti
NO -IFY BUILDING �,EPARTMENT Al U) o
33'-8" 765-1802 8 Ari TO q PNI FOR THE ¢ 5.:
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FOLLOWING INSPECTIONS: 00
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0" 321_011 ®" 1. FOUNDATION - TWO REQUIRED w
FOR POURED CONCRETE
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2. ROUGH - FRAMING & PLUMBING 12'-0" lo'-��� 3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
® F _ — _ - - - - - i _ _ _ _ _ _ _ _ _ _ i _ _ _ _ _ _ _ _ _ _ _ ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
RE IRK RETIR4 I I YORK STATE. NOT RESPONSIBLE FOR
I I DESIGN OR CONSTRUCTION ERRORS.
211-011 z
COMPLY WITH ALL CODES OF
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AS REQUIRED AN -CONBi-T-I OF W 3 - w a
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TOWN TRUSTEES
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RETAIN STORM WATER RUNOFF
I I PURSUANT TO CHAPTER 236 w W z
OF THE TOWN CODE. c ami =c""
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OCCUPANCY OR
USE
IS UNLAWFULPOOL NOTES
WITHOUT
1-ALL GUNI[E MALL HAVE A MIN.28 DAY STRENGHT OF 4,500 PSI.
Q F *I " I T H O OT O E T9 FI OAT 3-WELDED WIRE FABSM RIC REINFORCEMENT SIIALL BESHALL BE GRADE 60 yCOLD DRAWN FORMING TO CO FORMING TO AST 185
o O I I� - o � OCCUPANCY
B 7-ALL WORK SHALL BE IN ACCORDANCE WITH THE LATEST ACI CODE
8- LEGS OF REBAR ACCESSORIES SHALL PLASTIC TIPPED.ALL SNAPTIES AND WALL
SCALE: 1/4" I'-0 PENETRATIONS 9-SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE CORROSION >
10-ALL DIMENSIONS GIVEN SHALL B CONSIDERED A MIN. CONTRACTOR MAY INCREASE
TO PROVIDE FOR DRNNS&COPING
11-ENGINEER CONTROLLED INSPECTION REQUIRED
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101, x 101, P.C. 04 REBAR FOR *4 RE5AR FOR 101, x 101, P.C.
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BEAM WIDTH OF POOL WIDTH OF POOL BEAM fn mcn "
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POOL NOTES w
1-ALL GUNITE SHAL HAVE A MIN.28 DAY STRENGHT OF 4,500 PSI.
2- STEEL REINFORCEMENT SHALL BE GRADE 60 CONFORMING TO ASTM A615
3-WELDED WIRE FABRIC REINFORCEMENT SHALL BE COLD DRAWN CONFORMING TO AST 185
7-ALL WORK SHALL BE IN ACCORDANCE WITH THE LATEST AC(CODE
8- LEGS OF REBAR ACCESSORIES SHALL.BE PLASTIC TIPPED.ALL SNAPTIES AND WALL
PENEIWONS 9-SHALL BE CLEANED&GROUT REPAIRED TO PRELUDE CORROSION >
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10-ALL DIMENSIONS GO SHALL BE CONSIDERED A MIN. CONTRACTOR MAY INCREASE
TO PROVIDE FOR DRAINS&COPING
11- ENGINEER CONTROLLED INSPECTION REQUIRED