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Home My WebLink About45349-Z SIOEfD4 Town of Southold pGy�. 11/28/2021 a P.O.Box 1179 H' :* 53095 Main Rd ` `�?,j�jo�► Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42576 Date: 11/28/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 105 Bittersweet Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-2-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2020 pursuant to which Building Permit No. 45349 ' dated 10/20/2020 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 in-ground swimming pool fenced to code as applied for. The certificate is issued to Klein,Jeremy&Maiick,Marissa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45349' 9/1,;4021 PLUMBERS CERTIFICATION DATED J A ho zed i nature 4 TOWN OF SOUTHOLD �o�gt1FFQif� BUILDING DEPARTMENT mco y� TOWN CLERK'S OFFICE o e1` 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 #: 45349 Date: 10/20/2020 Permission is hereby granted to: Mangini, Mark 366 W 11th St Apt 6C New York, NY 10014 To: construct an in-ground swimming pool as applied for. At premises located at: 105 Bittersweet Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-2-3.2 Pursuant to application dated 10/7/2020 and approved by the Building Inspector. To expire on 4/21/2022. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector Form No,6 TOWN OF SOUTHOLD BUILDING_DEPARTMENT TOWN HALL 765'-1862 . APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 responsiIble 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 consent to inspect signed by the applicant.If a Certificate of 0ccupancy is denied,the Building Inspector shall state the reasons therefor in writing to the'applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building'$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial-$15.00 Date. New Construction: Old or Pre-existing Building: (check one) l� p Location of Property: b / '�SV I, i-T— G� House No. Street ; Hamlet Owner or Owners of Property: !i (� �'u � '!�'�� L L Suffolk County Tax Map No 1000, Section 1d . Block Lot 2 Subdivision #A Q U P6-125w rzt," Filed Map. G c Lot: ,�7e 3 Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ pplicant Signature OF SO�j�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 e ® Q roger.riche rt(a)-town.south old.ny.us Southold,NY 11971-0959 R° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To 105 Bittersweet LLC Address: 105 Bittersweet Ln City: Cutchogue St: New York Zip: 11935 Budding Permit* 45349 Section: 104 Block: 2 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Laurel Lighting Inc License No: 4718-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 2 Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 3 Twist Lock Exit Fixtures �] TVSS Other Equipment: In ground swimming pool to include, bonding, control panel, 1-GFCI circuit breaker 1-combination GFCI/Arc fault circuit breaker, 1-GFCI recpticle, low voltage pool lights, 1-salt generator,3-switches, 1-Polaris pump, Notes: 1-pool filter pump, 1-gas pool heater,electric pool cover. Inspector Signature: Date: September 15 2021 81-Cert Electrical Compliance Form.xls - - -�� OF SO(/T --- - _ # # TOWN OF SOUTHOLD BUILDING DEPT. °`y�nurm ' 765-1802 INSPECTION , ; [ ] FOUNDATION IST [ .] RO GH PLBG. [ ] FOUNDATION 2ND [ ] SUL TIO CAULKING, [ ] FRAMING/STRAPPING INALVM�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION'` [ ] -FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: i DATE INSPECTOR / O�aOF SOUI�o # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J , ] FOUNDATION 2ND [` v ], I ULAPXLKING [ ] FRAMING/STRAPPING [ FINAL [ ' ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI/O��N�� [ ] PRE C/O REMARKS: I k:)R t" IIIA r COQ, SOUP- _ 3I�WA ap IV, \_000,A4, s DATE INSPECTOR �OFSOUry � o # # TOWN OF SOUTHOLD BUILDING DEPT.- co EPT.co765-1602 INSPECTION - [ ]- FOUNDATION 1ST [ ] ROUGH PL13G. [ ']- FOUNDATION 2ND [ ] NSULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL P(VL, [ ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: - a _ S► Pyr Pn- _ DATE a Zl INSPECTOR OWL # # TOWN OF SOUTHOLD BUILDING DEPT. couto l 765-1802 INSPECTION [ -1 FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] NSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 'Ppt0 . FIREPLACE,& CHIMNEY r[ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT-PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 04) MO"" WWA Iry _ :F!�_ _Jz ?Z' Q&mr- ox Cir DATE I INSPECTOR s ' 11N�� aia�,ryrra � �i�r�r f r' ri r �y r DRE c E � , r NOV 1 0 2021 ' BUILD'N 7 DEPT TOWN OF SOCi1HOLD ks qi^ .t TFRIAL M0.TFFt �k..a�1'�tfowdflta./aar,atc. � � � v... IxL: M0.IEAIAU {tin.t 4 sola(a.gla +x k w C( ...YT.�- .... _, _•` MtpTE:Farr -. - .. .,w,w�v Iptq,tt M4TA.PaYt�Mn��d°( uwgriria " Nlf+(�pa•1fpy aa.gfata}- iMer p„t 9aalw M cava � WcAw ((. ttti(y tfi Maxja fa wtilk i+NaMlt iezalu ' la4-1 Spills r IIa44l16 �A1Si!� i{ •� 11+aorr MI e.r+•..a4ar�:.. t � I Brrrslea.� j 1 � Strike pal Bull w ta/r+drt Be.ta...lagaal I i t COAOMNTS • ! • ----------- FOUNDATION ! •il INSUI�ATION PER N.Y. STATE ENERGY • ! 1 1 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �/' lJe� Survey Southoldtownny.gov PERMIT NO. `� 7 / Check Septic Form N.Y.S.D E C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate P� Truss Identification Form / Storm-Water Assessment Form O Contact: Approved 2 ,20 Mail to: �J Disapproved a/ QFQ. Phone: Expiration 120 Building Inspector i X020 PLICATION FOR BUILDING PERMIT -_w� Date 0&)-o -A- 7 , 20"Z-0 INSTRUCTIONS a.This application MUSTpb'ercompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. I ' f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code, housing code, and regulations', and to admit authorized inspectors on premises and in building for necessary inspections. c(- ignaJe of apphcalnt gr name,i�f�a corporation)VV IL �� )(Oa} rig address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �` `� �� - MA4411h , (As on the tax roll or latest deed) QJ If app ' ant ' a rp tion, sig re o duly authorized officer e-NGC,.i (Name and title o corporate officer) Builders License No. Plumbers License No. vk 6J 1 `U a7/ Electricians License No. i ot>� Other Trade's License No. 1. Location of land on which proposed work will be done: , /493, `J VL S� &-- House Number Street / Hamlet County Tax Map No. 1000 Section ly� Block Z Loth Z Subdivision /°►�/A Filed Map No. Lot °� J 2. State existing use and occupancy of premises and intended use and oFcupancy of proposed construction: a. Existing use and occupancy JA GSL J b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work / (Description) 4. Estimated Cost �(� ac"a Fee (To be paid on filing this application) 5. 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 s 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front /00 Rear 100 Depth 10. Date of Purchase 7 7 2 Name of Former Owner Z-mow'12 S J-tIM 6- 11. Zone or use district in which premises are situated �2 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises 1,P c- Address I W.Aone No. ( b �1(2 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES N * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation.at any point on property is at 10 feet or below, must provide topographical ata on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW Y RK) COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the &4gev&:V. d4G�/�' r��l G/ r � �G c C G (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to Wore me this day of Af Y226 6220%':Z ,A� PAbTe&4APEl lic nature of Applicant Notary public,state of New York No.02GI420630 commission Expires: f� Scott A. Russell 5� � S�C'�0)][�-IW�I[WAXIEK SUPERVISOR ;rZ_ N11= I��I.ASOUTHOLDTOWNHA.LL-P.O.Box 1179 � � Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 'dot CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT IINVOLVE AN3i OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑rBB. caring, grubbing, grading or stripping of land which affects more an 5,000 square feet of ground surface. ❑ xcavation or filling involving more than 200 cubicyards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ . Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. Q❑ F6'1nstallation of new or-resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater,Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. i If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control.Plan and a completed Check List Form to the Building Department WAFyour Building Permit Application. S.C.T.M. 1000 Date APPLICANT (Proy oppertOwnneer,A_-z,_— Designr�Proffeessional.Agent,Contractor.Other) Disirici , NAME ��S //� y 'r Section Block Lot Rm0 FOR BUILDING DEPARTMENT USE ONLYS7 L * ` Contact information rrdrnv mtr i Reviewed By: Date: Property Address /Location of Construction Work: - - — — — — — — — — — — — — — — Approved for processing Building Permit. /(7J eFrC4,rj ec-4(- G��- Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review) FORM 4 SMCP-TOS MAY 2014 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 .® Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr@southoldtownny.gov- seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: L111'0� L-lC. Name: License No.: 71 r,, 6mail: Phone No: request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: 105, Address: Cross Street: Phone No.: BIdg.Permit#: 4,5-37 l email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) (A)I ZA-f PL&-n L/a�l"l� Check All That Apply: Is job ready for inspection?: YES ❑N ❑Rough In InaI Do you need a Temp Certificate?: []YESGNU Issued On Temp Information: (AII information required) Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead #Underground Laterals ❑9 ❑2 ❑H Frame[-]Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx c�a�ti� u� NYSI'F 199 CHURCH STREET,NEW YORK,N.Y.10007-1100 New York State Insurance Fund I nJ►Sif.CO(Il CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 112377925 LEVITT-FUIRST ASSOCIATES LTD 520 WHITE PLAINS ROAD,2ND FL TARRYTOWN NY 10591 v SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ARTHUR J EDWARDS MASON TOWN OF SOUTHOLD CONTRACTING COMPANY INC P.O.BOX 728 929 RTE 25A SOUTHOLD NY 11971 MILLER PLACE NY 11764 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE G 2438 491-9 308232 06/29/2020 TO 06/29/2021 06/18/2020 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2438 491-9, 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. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT .OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COMICERT/ CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. 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: 730432298 ®INm0000000000008834569251 fi1ill Form WC-CERT-NOPRWT Version 3(08129/2019)[WC Policy-24384919] U-26 3 57 [00000000000083456925][0001-0000243849191[**G[3540B-10][CaUcP{ERT-1][01-0W01] S.C.T.M. NO. DISTRICT: 1000 SECTION: 104 BLOCK: 2 LOT(S):3.2 II MAY 2 4 2021 LAND N/F OF LAND N/F OF VERA REID , LAND N/F OF I RICHARD JERNICK KELLY DAVIS I P 0 LOT 57 6' STOCKADE tl N 66 22 SO E / 100.00 �� 3k ,�tL PIPE W 24.0 , EL 24.0 40 MON. t vy*j U� it % �1 N 83.8' z p !� ip o � � `�' rn 24 t V001 fir? LAND N/F OF ELL LAURA WAHL r� s'DIAxS'DEEP LAND N/F OF ) PATRICK MORIARTY P/0 LOT 57 (24.5) -� A P/0 LOT 57 ;�� P/0 LOT 57 COVERED 13.2'• WINDOW PATIO n WEL4.5 — 17.4' .: .. 6.0 COVERED "?:'' .,:';�CP. GAS P/0 LOT 56 P/0 LOT 58 PORCH :.•.•:':••:' ;:; 0 P/0 LOT 56 f 1 :2 SIY FRAME:::, \`— j :.13.3' DWELLING fFL 27,25.-:�,.•.;,i. 8'DIAxS'DEEP �' • 25.2' 1.5'.; o'' ,.•cp COVERED �. I !`12.7'm PORCH I (24.5) ::-GARAGE r+•'GF 25.3'•. 17' co ::''21.0':::':'.(241.5) 2a' 124.8' �. LUi 0 �7 LP ZI o DRAINAGE CALCULATIONS: 0 4 BEDROOMS I¢ 0 A) DWELLING W/COVERED PORCHES-2331 SQ.FT. 1,250 GAL S.T. 60D' 0 2331 x 0.168 387d RED. , (1)8'DIAx12'DEEP L.P. I (2) 8'D1A x 5' DEEP DRYWELL- 442cf PROVIDED B) DRIVEWAYm1,115 SQ.F7. 1,115 x 0.166-185cf REQ. N C) (1) 8'D1A x 5' DEEP DRYWELL-221cf PROVIDED �a I v MON. 100.00' EL 24.0 ` EL 24.0 S 66022'SO"W 100.00' �. PA•D.1WAY \ plRl IG�'� RCA BASE EXISi1NG bYATER h1AIN -- ,BLT 'I� EEP30')LANE �� END E7GSRTdG PAVED ROADWAY ZONED R-40 NON—CONFORMING FINAL SURVEY 05-10-21 FRONT YARD: 50'MIN THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL REAR YARD: 35' MIN LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FND.LOC NOV. 4, 2020 AND OR DATA OBTAINED FROM OTHERS AREA:19,999.86 SQ.FT. or 0.46 ACRES SIDE YARD: 10'MIN (25' TOTAL) ELEVATION DATUM: NAVD88 UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARAN7EES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INSTITUTION, GUARANTEES ARE NOT 7RANSFERABLE. 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 77-IE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL S7RUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S77?UcvRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: PCO LOT 56 & 57 INCL. CERTIFIED T0: JEREMY KLEIN; MARISSA MALICK; MAP OF: NASSAU FARMS JP MORGAN CHASE BANK, N.A.; FILED:MARCH 28, 1935 No.1179 WESTCOR LAND TITLE INSURANCE COMPANY; SITUATED AT: CUTCHOGUE EMINENT ABSTRACT, INC.; 105 BITTERSWEET LLC; TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE # 220-67 SCALE: 1"=30' DATE: JULY 14, 2020 PHONE (831)298-1588 FAX (631) 298-1588 N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Voychuk NY W workers' CERTIFICATE OF INSURANCE COVERAGE srAte Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAMP PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or licensed Insurance Agent of that Carrier 1a.Legal Name&Address of Insured(use street address only) 1b.Business Telephone Number of Insured ARTHUR J EDWARDS MASON CONTRACTING COMPANY INC 929 ROUTE 25A 6317440174 MILLER PLACE,NY 11764 1c.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage isspecifrcallylimded to or Social Security Number certain locations in New Yak State,i.e.,Wrap-Up Policy) 11-2377925 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Standard Security Life Insurance Company of New York TOWN OF SOUTHOLD PO BOX 728 3b.Policy Number of Entity Listed in Box"1 a" SOUTHOLD, NY 11971 Z06874-000 3c.Policy effective period 7/11/2020 to 6/22/2021 4. Policy provides the following benefits: Fu A.Both disability and paid family leave benefits. n B.Disability benefits only. C.Paid family leave benefits only. 5. Policy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. ❑ B.Only the following class or Gasses of employers employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as desc' d above.. Date Signed 6/23/2020 By 4j*eut (Signature of Insurance carrier's authori: d represents hie or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBL/POLICY SERVICES IMPORTANT: If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box 4B,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the NYS Disability and Paid Family Leave Benefits Law.It must be mailed for completion to the Workers'Compensation Board,Plans Acceptance Unit,PO Box 5200,Binghamton,NY 13902-5200. PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law with respect to all of his/her employees. Date Signed BY - - --- (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insuiance policies and NYS licensed insurance agents of those Insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to Issue this form. DB-120.1 (10_17) �IIIIBiiiiao�0iiiio�i111111iiuiii01111�ll11 A P-6• 1 ✓ { APPROVED AS NOTED DATE: � 2C>Z.6 B.P;#®L FE42-n BY: �YL� NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. P,OUGH - FRAMING & PLUMBING 0. INSULATION 4. FINAL'- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET, THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED SO� LAN RD 80U1N6C 70WNTWEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY "IMMEDIATELY ENCLOSE POOLTO`CObE UPON COMPLETION ,'.' BEFORE,VATER",, .; RETAIN STORAX WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. A I - • ' O 'y I I FMW o T®�tt� (�wig of � � Plan Piping., g Pi in Arran ement of now '5D Section B--B, - Or, r ;ESS10 Section A—A Typical Wall Section!"I'.1,31 SIZE A! B C]' D E I F: G H'111 AREA ! CAP I - FEET- ;FT; FT FI't�;FT� FT FT FT FT, SQ FT GAL. 14 X 30 1 8, 420 12,000 ,14y ,30 �30 '',10 7 3 3 ,��"�SPA CFNTBB --- • -.,,. . _ . ..- _ . . - . 16X34' 116 34, 10' 14' 6!i 4'_ 4 8_, ,544 '21,000'fi PE RM WALL SYSTEM 18 X 38 ;18; 38 ;14 14 .,_6' , 4 5' t,8 684, 24,000 29 Route 25A Miller Place NY 11764 20 x ao' 20 40 126, 14 6 ' 4 ` 5 4: 800 ►i 33,000; (631) 744-7185 FAX (631) 744-0174 10 24X44, ;24 44. 18 14 8 i ,4 8 j 79$,; "35,000 Suffolk License #4436—M _.. _.., Nassau License #HI74450000 _ 24 X 48: ,24 ,48 '20' 16 ` 8'I 4 6 10, 900 Jf 38,500 r ' S C T M NO DISTRICT. 1000 SECTION 104 BLOCK 2 LOT(S) 3.2 r TIPLCAL DRtWELL CROSS SfCTON (CONC PRECAST coLWaN ,I r e�'i°ie vin;�°1e"bvwse� mt/ey, rtiom,pY. ®I]❑❑❑ �o❑❑D sur 8' C1FiVl WA AND A\'LBEL D%i2LNT DWELLING W 7kN W/PUal1C WATER W/DIVERWU150' I L fso I LAND N/F OF LAND N/F OF VERA REID LANO N/F OF I RICHARD JLRNICK -_ KELLY DAVIS —• —' —' P/0 LOT 57 STOG40E �I N 66"22'50"E 100 00' PI+E EL 24 D WOOD RAL FENCE 1.2N A r° _ 14 OF OSTUFavicE 1 (/� J o - Dnt7LR= W/so'W WATER W/Puatc WATER LAND N/F OF DRY WELL 150 Q ri/(t ) 6 a � LANDRICK N F OF 1 sv uaA LAURA WAHL (I t. fPATRIl7C MORIARIY I S�NEL�TLON SITE P/O LOT 57 P 0 57 (215) V_ P/O LOT 57 HAY[iNL Nd0/ORpATIO CO SILT FENCING :;1{5�.:n;iy?•':ff.D (24� �— — P/0 IDT 56 PACOT �+• `P2SLY lRN.n'0?OSE✓1•'` t P/O LOT 56 P/0 LOT 56 ia;' : 0 25.2* R. Q1LR/yCE-FWNINTION OF CDNPACfm Ow nt2 PoRGi :''f 1 /4'STONE BIFND OR R.SiXTE DOL APPROVED RCA D.M x(245) Ni:CARAGE',. I Fri.ro la'(IL(0)ABOVE DOSTI C GRADE FOR DRAINAGE. n cF(2s 0) i 24.8' (245) ELEV.24. O g c 1 OL DR BROWN r EXP e e LP 18. g DRAINAGE CALCULATIONS: Igs tauA —1' p 4 BEDROOIfS o u 2331 G W/caFTaFn Ro aFs-2>3i SaFr O 2271 i 0.166-DEEP IV I E•r S 1-SD 2T ss 8 60' F (z)eTkA:s'1)t8 ORrwxTtr 442d PRLWIDO) SM sarr sum Z (i)9'Du,12bFFP Lr_ °�¢ y I PATE —25' � n t;" B)DIO.LIL'Aw1.1f5 SG.ET 2 MT. BROWN ion t.ffs:IL766-tasd RED. SILT _5• O �• ENIPANLS - (0 t0u.a'°tEr ORiW01-22id 1'ROVZED in- PALE y SP GROWNFINE I 1— ALm _6 Non 100.00' ELzso (Ji O gRp S 66°22'50"W 100.00'• ��_.._ SP FNE ro — --- NFORW QPAbVAY PROPOSED M1SPFIALi ' �D E END F]09RTGPAYED)OATWVAY_. SANG 17' NO WATER - JAN.01.2016 _ —_ J. .�..`__- _. PREVIOUS SURVEY 19Y — —� —• — -�-- - "N OILERS 150202 ZONED R-40 NON–CONFORMING FRONT YARD: 50'MIN THE WATER SUPPLY, WELLS DFIELD SAND CESSPOOL REAR YARD: 35' MIN AND OR D SHOWN ARE FROM OTHERS OBSERVATIONS SIDE YARD: 10'MIN (25' TOTAL) AND OR DATA OBTAINED FROM OTHERS AREA:19,999.86 SQ.FT. or OA5 ACRES FIEVARON DATUM NAVD88- UNAUTHORIZED ALTERATION OR ADDIRON 7D 7HLS SURVEY lS A V10LA7lON OF SECTION 7209 OF THE NEV%YORK STATE EDUCA77ON LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSLa SEAL SHALL NOT BE CONSIDERED 70 BE A VAUD TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO 7NE PERSON FOR'WHOM-THE SURVEY IS PREPARED AND ON NIS BEHALF-TO 7H£717LE COMPANY•-GOVERNMENTAL AGENCY-AND LENDING_1NS71TURON _ s LISTED HEREON, AND TO THE ASSIGNEES OF 7Nf LENDING lNS717U710N, GUARANTEES ARE NOT TRANSFERABLE. t THE OFFSETS OR DIMENSIONS SHOWN HEREON fROM THE PROPERTY LINES 70 THE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOTINIENDED TO MONUMENT THE PROPERTY ONES OR TO WIDE THE ERECTION OF FENCES,ADD17IONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE S7RUC7UR£S RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF. P/0 LOT 56 & 57 INCL CERTIFIED TO. 105 BITTERSWEET LLC; MAP OR NASSAU FARMS STEWART TITLE INSURANCE_COMPANY, FILED:MARCH 28, 1935 No.1179 RESOLUTION TITLE AGENCY LLC; SITUATED AT.CUTCHOGUE TOWN OF'SOUTHOLD KENNETH M SYOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boa-•163 Aquebogue, New York 11931 PHONE (631)298-1588 FAX(831) 298-1588 FILE220-67 SCALE:1"=30' DATE:JULY 14, 2020 N.Y.S. USC NO 050882 md0tafnln�the—,ds Of Robert L 8°°0`°69 h E600eth M-We9ch01c