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HomeMy WebLinkAbout28709-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29553 Date: 07/02/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 9680 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 8 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 2002 pursuant to which Building Permit No. 28709-Z dated AUGUST 29, 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE, OPEN PORCHES AND RAISED PATIO AS APPLIED FOR. The certificate is issued to RUSSELL & FLORENCE PELLICANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0099 06/27/03 ELECTRICAL CERTIFICATE NO. H074886 05/03/02 PLUMBERS CERTIFICATION DATED 12/29/9 PRECISION PLUMB.&HEATING i Authorized Sign re 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. 28709 Z Date AUGUST 29, 2002 Permission is hereby granted to : RUSSELL A PELLICANO 359 PENNSYLVANIA AVENUE BAY SHORE,NY 11706 for CONSTRUCT A 2 STORY ONE FAMILY DWELLING W/ATTACHED GARAGE, OPEN PORCHES AND RAISED PATIO AS APPLIED FOR. REPLACES BP23877 at premises located at 9680 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0008 Lot No. 013 pursuant to application dated AUGUST 29, 2002 and approved by the Building Inspector to expire on FEBRUARY 29, 2004 . Fee $ 4 , 385 . 10 Authorized Signature ORIGINAL Rev. 5/8/02 FORM N0. 2 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) N° 23877 Z Date .ZOO .............................. I..... I 191111 Permission is hereby granted t i �( ............... .......Q.Lt.G.... to 407folft4ela... at premises located tit.Cfi7.. ...... ........... p...... .. .. ........ ............... ........ - - ...� ...w....... .....................r�. .. . - County Tax Map No. 1000 Section ...........29...... Block .... .............. Lot No. .....z .......... pursuant to application dated ..... /..? :•••......................1 1996., and approved by the Building Inspector. QQ Fee S.%�.2.•8g'/.i..� ....4or ..................... ... in, Rev. 6/30/80 —/ ,Ir Form No.6 TOWN OF SOUTHOLD ` BUILDING DEPARTMENT TOWN HALL 765-1802 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: I. 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 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- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: V_ Old or Pre-existing Building: (check one) Location of Property: �6 to &)eo/ldila 5-0caL-yoeto House No.� Street Hamlet Owner or Owners of Property: S s,e& v- /IcLe 6k-� Suffolk County Tax Map No 1000, Section Block Lot 13, Subdivision Filed Map, Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: t�— (check one) Fee Submitted: $ p^ �� 3/ pplicant Signature C0$ agss3 gUffO(�- Town Hall, 53095 Main Road y x Fax (5 16) 765-1823 P. O. Box 1 179 W� ! Telephone (516) 765-1802 Southold, New York 11971 .fi • �! ' OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE Building Permit No . Owner: f L L (please pri�nt�)) Plumber: 1 rd /) /7k�+ a (please print) d/,3F /0/eC),cl-OA pCwtib,Lpof k"ecd; S:tiFfc/KGSw�Iy �,wcw�;i� d ;fs I certify that the soldeev%w ed in the water S491ly system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 7 day of 19F'7 Nota*.• Public, �u k County ' J JOAN F. DUppX NOTARY PUSLIC, *,N d No. 481f)808 QWWWed k3 Suffolk �tira exPAw A�r�y X19 D- A. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8067734 BUREAU OF ELECTRICITY. 85 JOHN STREET, NEW YORK, NY 10058 Date SEPTEMER 19,1997 application No.on file 14630697/97 H 057007 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of RUSSELL A. PELLIGANO, 9680 NORTH BAYVIEW, SOUTHOLD, NY in the following location. Basement ❑ Ist Fl. ❑ 2nd Fl. QIP Section Block Lot 2 was examined on ER 15,1997 and found to be in compliance with the National Electrical Code. FIXTURERecriXTURES lu COOKING DICKS TFANS OUTLETS ACLES SWITCMK NCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AML K.W. AML H, DRYERS FURNACE MOTORS FUTURE AMUANCI PROM SPWAL RK'►f TIME CLOCKS MLL UNIT NEATENS MULTIAUTLET DIMMERS AMT. K.W. OIL H.F. OAS H.F. AMT. NO. A.W.O. AMT. AHF. .AMT. mm. TRANS. A.T. NO.Oi FIST M.F. YSTEMS AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E — ROOMMMT. AM►. TTFE ESQW. 1 X 4W 1 0 3W 3 R 3W 3,e 4W NO.OF RC.C A.W.O.CC.CONNO.OF HI-►EO A. O' NO.OF NEUTRALS AOF'W' L OF 1 20 CB 1 K 1 4/0 1 2/0 OTHIR AMARATUS- 'EMP. SERVICE ONLY-1 RUSSELL A. PELLIGANO L L 359 PENNSYLVANIA AVENUE BAY SHORE, NY, 11706 GENERAL.MANAGER 11 per This certificate must not be ahered in any manner, return to the office of the Board if incorrect. Ms rs may,be identified, by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TME NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8067735 0UREAU OF ELECTRICITY �q 3 I 40 FAIL TON $TREET, NEW YORK, NY 10038 Date MAY 03,2002 Application No. on Fle 14630897/97 H 074886 TH,I.* CERTIF119 E T4,AT only she ekc&*gl¢gyipatent as described below and introduced by the applicant named on the above application number is in the premises of RUSSELL A. PELLICANO, 9680 NORTH BAYVIEW, SOUTHOLD, NY �+�ry GAR/ATTIC/0'6T 1 in{he followin loc ent Ist Fl. 2nd Fl. Section Block Lot was e;gmined on a L —' 2 and found to be in compliance with the National Electrical Code. FIXTU NOS COOKING DECKS OVENS DISH WASHERS EX AU9 FA S C FL, MEIt AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. 52 98_' 75 132 20 2 7.4 1 1.2 3 F FUTURE*?PLI,ANCE EEEpER$ SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K4, Qik' y.P. � X,►, W. NO. A.\M.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M.P. NO.OF FEET AMT. WATTS 2 4F 1 20 1 6 600 SE .I �QI 9NI CT P S E R V I C E ASAT. T 1S1 1 SW 7!�W �} 4W NO. COC9nA• OF CC.A. C ND. NO.OF MI-lF0 OF W. NO.OF NkVMA,S Oi W. .L 2 200 OTHER AF;0ARAtiy¢; PADDLE FANS,F-4 WELL PUMP "1 HP-1 AIR CONDITIONERS-5 2 3TON, �-4TON; 1-5 TON-1 MOTORSt1-1 H.P. ,2-3 H.P. ,2-4 H.P. ,1-5 H.P. ,5-F H.P. PANF'LBOARDS:1-14 CIR. 600,1-5 CIR. 6001-6 CIR. 60 ft.F.C.I:-13 SMOKE DETECTOR!-7 <« Continued on Page 2 >>> 09NERAL MANAGER Per .""Wo . , .; - A119 • •0IN, ,_, H IncorrgCt,Inspectors TroY bg 10nfl"O by N►gir crgdantigla. IS C• o i ATEY MUST NOT EIE .ALTERED IN ANY MANNER. TH9 09W YORK 80 ARD OF FIRE UNDERWRITERS PAGE 2 8067735 *UROAU OF ELECTRICITY I 40 FVC THIN OTR99T, NEW YORK, NY 10038 Date MAY 03,2002 Application No. on file 14630897/97 H 07$886 TH,1$ CBRTIIIIR$ THAT only the ellcacQl egrli m#W as described below and inlrod#ced by the applicant named on the above application number is in the premises of RUSSELL .A. PELLICANO, 9680 NORTH BAYVIEW, SOUTHOLD, NY r in the ollowin ! [ Zqd GAR/ATTIC/OUT 1 f $ �4li nt nt l st Fl. Fl. Section Block Lot was examined on `", 0�2 aA4 fpund to be to compliance with the National Electrical Code. fIXTU " E COOKING BECKS OVENS WASHERS I EXHAUST FANS OQnM PTA LES ff)(05010M OWN AMT, I K.W. I AMT. f K.W. AMT. K.W. AMT. K.W. AMT. N.I. PRYE4t8 =00 , ��1'0 AIPP0MC .Ej:I9 IIS SPECIAL RIC-PT. TIME CLOCKS BELL UNIT HEATERS M SVST M3 T DIMMIR-$ AMT. K.W. Qil AW. MQ• A•W Vi AMT. AMI. AMT. AMPS. TRANS. NO.O FSET AMT. WAiq BiFV E 1�1 $ E R V I C E AMT. AM/. 1 2�lI T iMl iyM S �W 0 CC.CORD. NO. F NO-LEG OW-EOf LNO.OF NEUTRALS OF N REIRUAL OTHE�APPARATUS: RUSSELL A. PELLICANC L 359 PENKMANIA AVENUE BAY STORE, NY, 11706 GONERAL MANAGER 11 Per Qf thip OA9ri1 b In00B*pt.Inswtgj may 0,9 IontIf11141 toy their Crodontlpls}. ycopoF MATIFICATE MUST NOT BE ALTERED IN A ANN New York State Department of Environmental Conservation Building SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (5161444-0373 Am Iftwo NOW Michael D. Zagata Commissioner November 30 , 1996 Mr. Russell Pellicano . 359 Pennsvlvania Avenue labn Bayshore , NY 11706-3322 lrb 2 RE : 1-4738-01329/00001 Dear Permittee : In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with any conditions , please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, y" Laura J. Scovazzo Environmental Analyst I LJS/ls enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01329/00001 � November 30, 1996 FACILITY/PROGRAM NUMBER(S) P EMIT EXPIRATION DATE(S) Under the Environmental November 30, 1999 Conservation Law TYPE OF PERMIT 0 New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate 0 Article 15, Title 5: Protection 0 6NYCRR 608: Water Duality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management C Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers t Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Russell A. Pell-icano ADDRESS OF PERMITTEE 359 Pennsylvania Avenue, Bayshore, NY 11706-3322 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Petlicano Property, S/S North Bayview Road, Southold, NY 11971 LOCATION OF PROJECT/FACILITY SCTM 4'1000-079-8-13 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Subdivide 18.54 acres into four lots and construct a single family dwelling, septic system and driveway on each Lot and a central access road. All work shall be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans Building 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE /�} DATE (�7GT�,6gV November 30, 1996 Page I Of 6 �l GNTAL CLTDITICIl6 Inspections 1 . The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Departm=-nt of Environrental Conservation (the DeparuTent) to determine whether the permittee is carplying with this permit and the EKL. Such represen- tative rray order the work suspended pursuant to ECL 71-0301 and WA 401 (3) . copy of this permit, including all referenced maps, drarvings and special conditions, mist be available for inspection by the Department at all tirres at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and FlenemiIs 2. The Departrrant reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit wes obtained by misrepresentation or failure to disclose relevant facts; c) nervrraterial inforrretion is discovered; or d) envirorrental conditions, relevant technology, or applicable lav or regulation have materially changed since the permit was issued. 3. The permittee rust sutmit a separate written application to the Department for rennet , modification or transfer of this permit. Such application mrst include any forms, fees or supplemental info rrstion the. Department requires. Arty renenel , modification or transfer granted by the Departmnt rust be in writing. 4. The permittee rust sutmit a renaneI application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (s1L6) , Hazardous Vbste Nbnagement Facilities (BIX/F) , ma j o r Ai r Po I I ut i on Cant ro I (AFC) and So I i d Vlbste Nbriagem mit Facilities (S%F) ; and b) 30 days before expiration of all other permit types. 5. Lhless expressly provided for by the Departrrent, issuance of this permit does not rmodify, supersede or rescind any order or determination perviously issued by the Department or any of the tears, conditions or requiramnts contained in such order or determination. Other Legal CbIigat ions of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all darsges, direct or indirect, of whatever nature and by wharever suffered, arising out of the project described in this permit and has agreed to inderriify and save harmless the State frau suits, actions, damages and costs of every rare and description resulting from this project . 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the inpaimrent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. S. The permittee is responsible for obtaining any other permits, approvals, lands, easeTents and rights-of-wey that may be required for this project. Page 2 of 6 91-20-6.(n921-25r TIDAL WETLANDS ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24,25, 34 and 6 NYCRR Part 608 ( ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized. or project. if, in the opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said _ shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplam or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10 That the State of New York shall in no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure orwork herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage, (PL 95-217)provided that all of the conditions listed herein are met. 11 Granting of this permit does not relieve the applicant of the responsi, 17. All activities authorized by this permit must be in strict conformance hility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Roderick Van Tuyl 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by of any wetland or waterway by suspended solids, sediments. fuels, dated 10/31/95, last revised on 5/20/96 solvents, lubricants,epoxy coatings,paints,concrete, leachate or any SPECIAL CONDITIONS The proposed development on lots 2 , 3 and 4 are greater than 300 feet from the tidal wetlands boundary and therefore beyond Article 25 (Tidal Wetlands) jurisdiction. Special Conditions for development on Lot 1 are as follows : 1 . During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas . 2 . Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal . No debris is permitted in tidal wetlands and or protected buffer areas . 3 . There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4 . All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first . The approved methodologies are as follows : a. stabilization of the entire disturbed area with appropriate vegetation (grasses, etc. ) . DEC PERMIT NUMBE.P 1-4738-01329/00001 PROGRAM'FACII.IT\ NUMPI R Page 3 of 6 95-206f(7187)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 25 ( TIDAL WETLANDS b. stabilized as per specifications identified on approved plans . C . temporarily stabilized with straw or hay mulch or jute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. S . the storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 100 linear feet from the tidal wetland boundary. 6 . To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 100 linear feet landward of the tidal wetland boundary. 7 . A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 100 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. S . Roof runoff shall be directed to drywells a minimum of 100 feet landward of the tidal wetland boundary for immediate on-site recharge . 9 . Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2 ' above seasonal high groundwater. 10 . The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with adjacent tidal wetlands at Cranberry Acres are located at south side of North Bayview Road, Southold, NY, County Tax Map Number: District 1000, Section 079 , Block 8 , Lot 13 , otherwise known as the properties of Russell A. Pellicano and his heirs, assigns, or successors . This property is subject to the provisions of New York State Environmental Conservation Law (ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure (s) ; excavation; dredging grading and filling; clearing of vegetation; and application of chemicals . " DEC PERMIT NUMBER - 1-4733-01329/00001 FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 6 gh 9520-6f 17187)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 111W SPECIAL CONDITIONS For Article 25 ( TIDAL WETLANDS 1 This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit . A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this p®::-mit, shall be sent within one calendar year of the issuance of this permit to : NYSDEC, Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40 , Stony Brook, New York 11790-2356 . Supplementary Special Conditions (A) through (F) attached. DEC PERMIT NUMBER 1-4738-01329/00001 FACILITY ID NUMBER PROGRAM NUMBER Page 5 of 6 �Urr.UZMENTARY SPECIAL CONDITIONS The folloeing conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365 . C. if project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, - or other necessary approval from the Division of Land Utilization,- Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. 1-4738-01329/00001 Page 6 of 6 dog e; &a�4(ii.} ' f '�•:•a S u: r 7uku IIoluinlcl, Vlcc hreslden[ N (\I ut;n H. (;aricll .y S� lji Southold.New York 11911 �� DI Telephone (516) 765-1892 t Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Melissa Spiro, Planner FROM: Board of Trustees`\ ��E : Proposed Minor Su?ivision Russell Pellicano SCTM 41000-79-8-13 E : January 23 , 1996 'Yc 8d of Trustees reviewed the above referenced map and the ,III y c oiiunent they have is with lot # 1 . 'ie Hard asks Chat the building envelope in lot # 1 be set back �- 1casC 100 ' from the wetland line. yca have any questions, please do not hesitate to contact li.s ,flice . if: jmd Eis N 2 3 19% _ �__r�wns Rosen s BUILDING DEPT. INSPECTION [ ✓] FO DATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: 1 itaA77' DATE INSPECTOR 2sS/ 77�,� 65-1s l BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ �] 'FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Ad DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ I FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: N , DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ]] FODATION 2ND [ ] INSULATION [ Gi F MING [ [✓] FIREPLACE & CHIMMO Alo REMARKS: DATE 3 INSPECTO ,F 7O-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) FNSULATION GH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL 'FIREPLACE & CHIMNEY_ -- REMARKS: - Ilk DATE 9 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL (4�!�ACESCHIMNEY REMARKS DATE / INSPECTO PV1 765-1802 & BUILDING DEPT. Q INSPECT10tNC [ ] FOUNDATION 1ST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL ��c 13oe�z1 [ ] FIREPLACE & CHIMNEY - REMARKS: �f GGJJ DATE /� 6INSPECTO Aw M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLAC & CHIM REMARKS. (Q& - T� DATE INSPECTO 41 MIA I- IN r \ W Mom Mm - y PAtL \ � 110A1(11 (11; IIFAI.III . . IrUI1H NO. I I !iIO N OF 1'1. AS/. . . . . . . . . . . . . . EG 2 1(1111 111' S011I1101.1) SHIIVI(Y . . . . .�141 '. . . . . . . . . . . . . . . It1111.I11 t10 I)ft l'Alt'llll?III' CIII?(;K . . . . . . . . . . . Itf ). . . . . . 10114 IIALI. 8101TIC Miff . . . . . . . . . . . . . . . . . . . .1, ..� ,.. !1(711'11101.0, N.Y . 1 191 1 'IIll.! 165- 11101 fill IIFYCALL ; r / � F.x,mirxvl�? . ........ 19.9b NAZI. 'f0: . . . . . . . . . • . ' • . . . . Algol(rv(vl. , ...... 19.?12 Permit M). 30, . 7. �. . Ili llnign(rvrd n�c ..... ..... .... . .. . . . . . . .. . . . .. . . . .. . . .. . . . . . . . .. ... .... . . . . . . .. . . . . . .. .... . . . . . .. .... . ... ... . .. . .... .... . .. . .. . . .. .. .. . (@1' 1111111 .gxv:1 off APPLICA'IA011 FOR II(111.01N0 1'l{Ifil11' bo 1.c . . . . . . . . . . . . . . . . . I if. . . . I if!;IWill;I'I010; n, '111111 nl4dit•+,1-huI Inuit III! cua1,1e1 oly filled to Ly lyp(x,i lllit tit in Ink 1110 mil.ni I led to Iho two 1lit hg1 1Imlx•1 11), 1,111 'I nein tit pinnn, twem nLe plul. pinu (,I ncnie. Fen n u(,odllx Lu nrhellnle.. b. III lit, pl nn IJxs4{1111 IIK:r11.I(RI of lot nI KI fit Ix1i ldmilli 4111 lit(411111(fn, rel It Inw:hlp to ,kl jot of nil In pll nen Ile to 11)111' tit veeln cor melon, noxi lliviull n Ilrtl:nlle(I ,lencrlpt (till of Iny(xd: of plull,etly nunt. Le thmun flit the dlngrnn Wltlrll In Ivnl of Ihin uppl lcnliml. r. 'life, Irak rrmlcvl by (lit I; nlgllicnl.logo Frty Ixdlie comellred Ix•lore Inlnxmre of NOIofloll; Peimlt. d. 0ixxt nllitimni or thin n(gillent Fol I, file Ik1l 1111114 Inlq,erlor will infix! n Iloiiding Permit In the npplirnnl . MI,11 1x:111)1( 116111 W keel: "I 1.111. pr4pnlxr:n nvnllnble for Llnlx'cll(xt lhr(xg11Kx,t lhn m)tl(. P. till ixlfldllgl Idxlll Ile mm ipled or coned io Wlxlle or fn Marl. for fifty 1xoloome u(mlever until n Qnlllirnle ur (M1111411k•y 11111111 have bVell 111nol:ed by ilk! Wilding lconlleelnr. AI11"IMA1'10N I!; IJIUUi;14Y NNjld.lo llw Ik)lidlvg OP141minnl: for (Ile inficiame of It Iklllding I'ennll, Immnnd. 111 Ow 11(if .hill 7xxx! 000 n we lir the 'Oxxl of &xllhold, mirroilt ('(x11dy, 11(.+14 Yllllt, moil miler nIj)I ICnble 14x(11, 01(111101weu of Wgofnl itxK1, for I)K! ctxlxl rllcti(KI of Ixllldiogn, mMI1,14xnl fit olletillAmn, or Cor efilmnl cor tlrilrll lf.lon, nn he(cio ,G-ncrfixvi. 'llic npplfcnnl. nflr(rn to coglly Willi fill nigdlrnbic tlMll, urJl(xuunn, Ixllldhgl axle, Ixx11lfcoit r(xla, IIIMI Ire)pinti(x1n, 111111 to Ixflllll: Ik11IKIrk(A I11xlx:r(0r41 fill pttednen nlxl in ixlildinq for Itet:Pnflar'y 11111pe(allx11). . . . .. ... . . .. .. . . . . . ... .. .. . . .. . . .. . . . . . . . . . . . . . . . . . . . 01111wiflove of 1114111(:ma:, of 111nr, if o (:mlx)lnl ion) 3S4„( Irv,. ( ..Y. .I,I.ZSf. . . . (tklillntl rxhhean of 111411Icnw ) [ilnlof 1,1101et nlgd lcnnt in ("x!r, leasee, nlle114:, fill:hilecf , ellgllx!(.'r. llelx!llll :ml iticim I elect,lrinn, pl,nix!1 u1 Intl ldrl . APP(_tcllht- 1S "7411= owwc=2 .. . . . . . ....'. . . ... . .. . . . . . . . . . . . . . . . . . . . .. ... . . . . . . . .. .. . . . . . . . .. . . . . . . . . . . . . . . .. . . . . Poue of (haler of ptnififiex ........ ... ... .. . . . ... . ... . .. . . .. .. .. . . .. . . .... . ... .. ..... . . . .. .. . . . .. . . . . .. (nn 111 Ibe I.nK Ill If Intent. de(?d) II Igg,l lennl 111 it rorlx)rnf:Itn, nittnnitne fit dally rnll.lk,r l>tsl oif Ice, . .. . . . ... . . .. .. . . . .. . ... . . ... . .. ... . .. . . ... . .... . . .. . . . ... (m4lc flout fol le. of eorixa'nte office,, Nii ldcrn Licen:w Of. . .. . .... ... ..... ..... .... Phollmrn Liccone flo. . ... .... . . .. ... . ... . ..... I{1e(.11101111n Licenne No. . ...... ... . . ..... .. . . Other '1'rluk!Ix Ll.cennr! fb. ... .. . . .. .. . .. ...... I. Irwin 11x1 of lolxl (lit Wlllch pmill'tKtli MIM Will Ix! dm ... .. .. .. ... . ... ... . . ..... . ..... . .. . . . . . . .. . . . . . . . . . . . . . . . . . . .. .... . . ...969IR .. ..i4 rare.. . A,i✓deco .RgpA4. ... ..$evrn454... . ..Alx4 . ..t..f.7,!. ... .. . . .. . . . . . . . . .... .. . . . . Ikxaie fArllm-1 lit 41.4.1: Ikndel Ommiy 'lax tk(p M). 11X711 !'xxtlirxl . .. .?.9... ...., 10tx:k .... ..10 ..... .. . Ir)I' . .. ..l.? ...... .. lkjIxIIv InI(xl .. . ......... . ..... . . . . ... ..... . .. . . . . . 1'Ilr:ll It'll fill. ........... .... I()t ... . ... . . .. ... . (mole.) �. •Sl i1.(.(! eRI nI;1111111:1( 111x1 M'1111MIx;V (If prolline” IIIMI IIII.1:1X1.!11 Ion(: 11141 M'I:I,I.fK:y 'If 1111Ytx),ICd C(nlnlrlln( I(',,: it. i?xifil.ing low lxxl I)CCcotxnx•y ... VRG HNT ... .... .. .. .. . .... .. . .. .. . .. . . .. . .. If. Int pifi"l one ofxl IxHlllxnx:y . ...St119(r.• ,F79'»4 er� >700.r,, .. . . .. .. ... . ... .. . . . ... ... .. . . . .. . . . . . . . . . . . . . . . . . . . i 11 I:nun] til Innh (cl4:011 1Adrh utgd lcl.hlc)t IAaI 141111111111 . .. . . . . . . . Milli loo . . . . . . . . . . AllUtxl lion . . . . . . . . . . 1 14:1.111 . . . . . . . . . . .. ILmuvnl . . . . . . . ... . . . 1),11.1111.loll . . . . . . . . . . . . 011'to SAO( . -tel) � t /� /^ life loll) 4 . I•:.1 lncd.al Cox1 .✓. O{-,:r .y, .�.r.L.�. .... No . . . . . . . . . . . (11. 1.1 Iwtld 4.11 IIIhyt Ihln 1.1,P110x1 Ion) '1. I I dn:l l lnq, ..idk:r of Am:I l Iq till . . . . .�. . . . . . Il nlx:l ,1IIll m! l 11% 11111 if off 1:1111 floof . . . . . . . . . . . . . . . 11 11x1 uq(:l 11.1).!1 of clft if . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 11 II In,milwful, cn11o:lcixl of 1.11 mild Ix:I:I11411k:y, npar.l l'y lot 4.111 mill It Nl cul 4.1 fall,1. 1YINI (if title. . .... . . . . . . . . . . . . . . .. . 1. Ill.w1w limn, nl` cm 1111 iutt ill It r.l til un, If fifty: 1'nta . . . .. . . . . . . 1!4:x1 . . . . . . . . . . . .. . . 11oplh 101111 .. . . . . . . . . llolmol nl til til lion Il lxolrle i l will of limn ml nrl11re W1 III fillctxl hmin tit ,kA111 iowl: 1111)[11 . . . . . . . . . . . . . . . 111111' . . . . . . . . . . . . . . . Il,•pl11 . . . . . . . . . . .. . .. . . . .. IA1lloll. .. . . .. . . . .. . . . . . . . . . 111111.1.4 of ,!111111:11 . . . . . .. . . . .. . 2 I1. Illum .x11x1:, til` 14.11 Int I.At cu till.111;1 I]m1: 1,.1.111 .. . !rl.S. . . . . 141111 . . . .(. �.1. . . . . . 11t:1.111 . :57! . . . . . 16:IIJ11 .. .. . . .. .364.. . . . .. . .... . 11.1Iwr t11' ,title let] . . . . .Tr. . . . . . . . . . . . . . . , 7. :OWL of lot ; 1111mll •. 1".18.: . . .. . 16551 . . . . . . . . . . . . IL.111 .. . . . . . .. IAtIII II . . .. . . . . . . . . . . . . . . . . III. IAd.: 4.1 11ti1h111111 . . .. . . . . . . . If.1n of 18114.1 Ilx.:1raw ALA. . . . 3. $1b 1.T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Z.N.1 or 11,10 dlyd l lcl (ti %A.I01 prtu.L11ux 1.,o title nlcd .•A.gvItW . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 12. lfo:a 1,111!4.1.011 c4A1xI 11),:11441 viulolc oily vmdoft Lm+, oldinmw'u o, 14.tpdotloo; . .Nq. . . . . . . . . . . . . . . . . . . 11. 1!111 left I.t l0gnmA:d .. ...yk5 .. . .. . . . . . %illI umcfixle IIll left luuwv.fI�fenn 111(31.1111111: YI!S 1111 111. Mona" til Riffle, (if p.'m1111e11 N1,111:1111 �4'�. .rGNH?.X4lr!OMC�LR � NLoIW IU.��G�OyBG. . II..... of A,11,1rc1 ITF.MAW. S.•Pof;.SrofN?. .. . .. . . . .. A.Ahcw] 41SOW-ML,.A.W. .60,!Mu6F. . , llxmv: t11,1$y-.RR77. . . Itaw of Cool u11:ltit ,l..e'10. .... .. . . .. . . .. . . . . lvAhunu11f,3;f1AJIrX.3>., ,8/�E)frt✓aA4..Hln1v: 111 5�7.-y(Tot�. . 1'i. 11. [life, Prl'txrtlIF %11111111 IM 1001 of 11 11.1111 txa lxul7 A YU; .!r�'7. . . . . 1.1)6. . . . . . . . . . All; Yl!!;, NIIIIlkvl) -11181 '11461kEN 11iiC•II•I' !NY IW' HI7r11101). 111.117" 111 AGRAtl I.N:nln 4.1 u1111y nlvl di x111 um:l'ly 1111 14111111 little, 1414!1 her elm iill hql co. III oloomnel, ]Il.l IINI Icxl it nil lie 1'-hlech dLnxw lint, Ilion 1,1 n1,toIy Ilftex. ,:Ivo lel rutll' olvl h11m:11 1.olxtr tie duxCI 1pl I'm, lecconll ioq l 1 1114th; well fJ11A4 m1 u:el. ob,.111 1...l 1.11r.1114t 1A 1014111 1111 ill lie of rlli liter I'll.. -A �I CRHNdCIZ�&YY Ac RC3 i >7 76/.23, 4►� G°'�;it.y \ ® . L1A11e of _521.6f � Iwp. r LIOL M Q •� 6° $MAYA �` . 19.syPcit Q a \ N I69S.3y gi<rci.v c 11TUS T-• y rt�(ti r y a- r 4684. NOR/1Y RltVt/itAw R4.. S'ouTlVotd ScTm'0 /1144.- 074-411-o 13 �Inll. IN' 1111 ' / f 1winit dnly 1mAuo. dclxml:ll 111.1 mlyu 11,111 I'll ill the xpplirxnl (Il.ua til if.11vidual mlgnloq c"1111,11:1 ) nlxwc, oilwd, 1• ix 1111: . . . . . . . . . . . . . . . . . . . . . .`"!.' � . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . .. . . . . . (1,11111111,til , 1111coi , 4111,111 filo oflico , etc.) 1lr xnld 4Anmt1 111 '"oo111, affect In fifty n,dhnl izod Ili IN" 14..111 111 hxvlt µn 14.n,.:d Il.0 11.1111 IAull ul.l to le.11.c o.kl filo 11611 11,111 hill full; 1141 Fill till,".1.11111.1 eou111Lm:d In fill,, 111,1,110.11 tun x10 lnkl to Ilxt (mull til- 11111 Iax Ad.olg11 n,.l Im:l 1111 ; ....I 1nl the ,null viii two 1.:1 lou.vd 111 Ih,1 11..11.m:. tial. Im1h i1. ILo 1.111114,11 lon Illc.l Ihelec"Ilh. Arun lee Iwltnit If.. 111111 . . . . . . . . . . . . . . . . (:Ilgn+n un: of 419.1 ,011.11 ) CLAIRE L. GI.EW Notaly Politic. Stan;of Now Yufk Q I L No •1875b.i6 _ Olialifi-d in S,n 11114 C011flly �j ` ' Cornnlias]on L,gfi!es D,xvxdlul G. 19q b i / � 7j - - ^- suFFozic m. �sent_YiA;✓etr�nP>'rzevnl,- 1 _ - SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVIC r I _ - -. - - PERMIT FOR APPROVAL OFCONSTRUCTION FORA - • - - SINGLE FAMILY RESIDENCE ONL4 DATEgSFO.APPROVED FOR MAXIMUM OFBEDROOMS I UI `� EXPIRES THREE YEARS FROM DATE OF APPROVAL 17 'D I i I i tx%+ATFR SUPPLY AND SEWAGE DISPOSAL SYSTEMS A^.{9J4T I in s �.'c'tTY&�€3I:1�Jfl uVPY&3NCIV�"TAIVTDAdLX�S YYA1�'ED IVOVI;IIRHL:II2 d5,flJ)5. r Sl1FFOLiC CC, TAX MAP DF$iGNATlQN , GI 55i. 3EC T. @Loll. FCL. _c '' 1 1{',co 0'79 4 l� 359 PEN ISYLVANIAAVE, 3 - f3AY5H 72F•_ ,tl_Y, ti-7C% " TeL,6ss-o4s� PEC-Dt L. ' _ TESTHOLE STAMP - r f ',9c°ISI� AREA_la,94 A,<_ ou.t3anwu� LOAM BROWN SANDY LOAM 1 I A PALE E[t_Pd FINE to 5EAL WAFER tt f _ \tN '(-tel _/08 �U9 Iij IAC WlWCLL. Y p I �- ~J I' Cl t7.1 I ..y i �v MAP _F F'`Lr1F"_—FY S URVEYFD w nrr_r i OCC Ct' f1T r - - --- -- u 219gg rEsT HOU-7 _ If l NOTE: Sri C r(7 t1G5 _;2_C_F_c_R TO MEA@„ 551I CVL,L,NGt�_D_ ,.G C` .. .. _ _ .. iJ CVCJ •a lele nunav nm li,InbnnM . .� ^:ao�notloubo rv•w von mm IrJ L,, e,cvoauan ww. caeirp olnlasurvep mpv Im epnmy ' i� MelantlaurveVafe ln:uG smlor wabosfutl peal sryull nol M10 nanslaoul n rf I lullvn 0 mn;brtt� Ia vJtl,wnul io.umnone o eueeOqupS ry k' an uo -,re's 'r 'e r". 1, l r-' ���+ 1—"�-➢s8 w_ lf- k , DEC 4 !S'!ii * e nq r� n � SwJaI,Ca. i I /nIJ1r J' m I p }rt O� I O .T_cc I IAND N/F MS N22'07'10"E 1081.73' I FND. MON. _—— 20'f WIDE 0.3W I /' 0.35 ----------_—___� �� — �� / DIRT ROAD N Z RIGHT OF WAY AS RECORDED — ———— AT SUFFOLK _ - COUNTY CLERK —— 10/8/96 L11796 PG176 I z m a) I 4 N S O C f s I ai TIC, '��p O . ';� S O+ v 'y y I - N 00 FND. MON. S21'40 40 W 521.65 FND. MON. /6 LAND NA STO1T � DNN cam^ ,y \ ^o r� l ✓k� 1213,63- S21'45'20"W S23'02 50 W 406.50 NAP M G.WDLRRV ACKS CERTIFIED TO: AT SAYtl / I THE ENISTENc.- OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. UNAUTHORIZED ALTERAnON OR ADD177ON SURVEY OF: DESCRIBED PROPERTY TO THIS SURVEY is A V70LA77ON OF C SEC71ON 7209 OF 774E NEW YORK STATE YMIEW -' EDucanav LAW. IN: BA COPIES OF THIS SURVEY MAP NOT BEARING �`?'> TOWN OF: SOUTNG�D THE LAND SURVEYORS INKED SEAL OR y>"r EMBOSSED SEAL SHALL NOT BE CONSIDERED ' ` ' N TH H. BEC N L& SUFFOLK COUNTY, NEW YORK TO BEA ✓AVD TRUE COPY. Surveying and Land Planning GUARANTEES INDICATED HEREON SHALL RUN '= ", ° 5018 Expreaeway Drive South ONLY TD THE PERSQN FOR WHOM THE SURVEY � � �..:�aa, �', suits 202 DATE: 3/13/97 JOB NO. B7-2737 SCALE: 1" = 60' 1S PREPARED, AMY QN HIS BEHALF TO THE o TITLE COMPANY. (�{.)c(WNMENTAL AGENCY AND w5C0 LANo'J Ronkonkoma, N.Y. 11779 DIST. SEC. ELK P/0 LOT LENDING INSn7umW LISTED HEREON, AND - (518). 588-9980 S,C.T.M. N0. 1000 079 08 13 TO THE AssGN CIT rHC LENDING rNsn- FAX (610) 487-2f141,. 7UDON, GUARAN ,ARE NOT TRANSFERABLE. rr� ,,�,' � .pfi IS "!F' "T Ae ,,.y 'n.. "G?:^,-2� 1.. _ _5 m:;'"'7ry ,"5 `F�?v, n' ,a..' . 1i / ,.ra t - .,+ f':,. e M ,n�: } ,I'� , l�• ._3u M "A'_ r s9-?�` a.. .,., ., -.r_ , T,. a r.,,�_ -. . sr, x-z �� am..-,r—:r:TM:G' ,,s -.r .,,Tm1',Tary t. ',.,i+' 4 . ,., . . .At-' '.r, ' u _ a± .L'., _➢ , v . ,_W - r, .M'n. _ .�. :'S �.\ I. (7f ai} t B f.` . .. +^ 3n. _ , y'.. .3n.'L' i'T n. � ' 0., :' S..' r ' _ 'S ':e'} V t'n`^ P. .f. M iry:'. rJ:P •1�'.fk o .. ... + r Sr, ;➢. .>Ty ' ; x•! :.".-. ,,r ,.r, . .. , ,�.':. is . r.�': Y _ .'! 'i, 'n i .W, '" 's:a r f,. '� a"TEa .,: '.. ,.. :,s9-.' r i r -,r r nl :c . 'a j.: �t 's.; :.T ➢` .yr S- r e "? a q - i t r �' ,{ - .. - T ._ � yT 1 u x y 7 9-n • '1. LAND N/F VMS l a ' 5 ti s� . rr » `]081.73' x% N22b710 E Pion F MaN 03 w 0 3e ;r. Al ?® '--� 4419- 70 _ m WAX / .� -- __ 1 at .s9—. __ 7-77 D mD J 1 RIGHT OF WAY `� _ � nux+ - �i � - w �� �fi h° AS RECORDED AT SUFFOLK [moi.nM __ -.-r—�MAIu � { 1 li COUNTY CLERK - ... aloes `_ ;➢c1w IIk 10/8/96 W.WAµ . L11796 PG176 Z ' kt vf� .Ay n ✓ O - ���" .DAA LOT No. 1 h 11.31 ACRES ` pMAW : . v r I qt. ti FND. MON. � far S21'40 40 W 521,6 ' FND. MON. �I AND N/F STOTT � K 128.63 521'45'20"W S23'02 50 W 406.50 Y a $ MAP OF CRAIRURRY ACRES AT SAYNEW THE EXISTENCE RIGHTS OF WAY CERTIFIED T0: pf " ANO/OR EASEM TS OF RECORD IF ANY, NOT SHO ARE NOT GUARANTEED. - SURVEY OF' DESCRIBED PROPERTY x UNAUTH OR77E0 �LTERA7ION OR AOD/nON ALSO KNOWN A5 LOT .No. 1 ON MINOR - TD THIS sURt•Ek Is A NOLAnON of SEC77ON 7209- &-THE NEW YORK STATE SUBDIVISION OF "PELLICANO. WOODS" _ - - EDUCA7/0H LANG"'' h p�p-- SITUATED' IN:. BAYVIEW COPIES OF MIS;SURI'EY MAP NOT.BEARING - INE'4AND.SURk€WWS INKED SEAL, OR - - 1t>.NNE )I WDWN OF: SOUTHOLD� _- - E�aossEO sEa vIAlL NOT BE coNsiDE<tE0 i - '.TO BE A.VALID;RUE COPY $uve�iag "d !' i` " - » A - iARANTS IN 'RS F SURVEEY Vii;. , _. SUFFOLK COUNTY, NEW YORK . . I�14t4►d1ero Lf U d DATE: 5114197. JOB NO. B7-2737 SCALE: 1, = 60 4 Is PREPARED AND pN;Hrs:BEHAs 7D THE ,,.nJiE-COMPANY„`Gt7L'ENNMENT,Ab AGENDY.•A'NDDoi g �I DIST.. , SEC. BILK. P/0 LOT - LENDIN4 INSn7TjT7.(X'7”US7fp�H�REQN, AND 3 �# �o. .7A.+, 7frq/ez TO'nJE ASSIGNf4' OF YNE b£NWNG'INS71— - $,O.TtMe NO. 079 ' 08 .-- ' 73. /-" ftcv. /2/�t - .. 7Un0N �GUARAWiEES��1Rf IJbY' #RA^Y PABLE _ a FINAL URVEY'6 4 02 B02-6926 - - - - - - IX7 ., '' r 5 ' t 4, h•-"r MI w. 1 �,5 f�y1r "c � �'�'f"?.- rK�n�, i. .�.A;. J ', '-:: ...�, "'� �Jr. " ' !: �. . � . ' � �:n . f, r *S L ♦ SP' �:ge � t T ` q'." •'x r� f''rm 9'U��, I�.�''��i ¢ rN�yu � � , ,,.11 �, `+ l h Ft �'M ➢ �, 1r N n { ' ; N 9-'k,9-a'"..;,r53':13..,J.,. z::;,#2h.*i...52_ ai,.,,_an-w +-,t. J I r - 9-yyyJ, t NEW YORK STATE ANERGY CONSERVATION CONSTRUCTION CODE - PART 6 BUILDING DESIGN BY THERMAL RATING METHOD GENERAL NOTES 1 . All work to conform to rules and regulations of the local Building MSL'• �' ' -°�-"`�, ,rn•"' — department. SYMhcL t:1851CAi-IATK•r ROU4"1 opEFJI JGi 1�IA&.UpA cbLnIz "_JJ r' 2. All plumbing work to be Installed in strict accordance to local codes. ® IIv �l Seal and"Signature: { • 5'-�fl.Ll --" - p' /0�-- 3. Electrical work to be fire underwriters Inspected and approved. �S� A�lo1.�---"-- 30. 04 - - Y2°_a45- 4. All wood I beams to be manufactured by Georgia-Pacific and shall be Oil/ bG 3'f5Ca 3-Ca/B x 5-9/q } " - -�- --'--- a• O1 - Installed in accordance with the manufacturers specifications. •�1a L 'fit' VALUE 3 11p� - 5. All framing lumber to he Douglas Fir, joist and plank, #2 grade, with a -`- � - "------- -"- _ minimum allowable repetitive bending stress of 875 �r% �32 p 9 psi, unless otherwise u-'---fL----------- - noted on plan. __._._..._.�— c 6. See N.Y.S. Building Construction Code Manual, page 3-101 for nailing O A 255 a 31-0/Z• h 31-0�2 a) a schedule. ._ _ 0 CO 1- a OR 7. Contractor to provide bracing as required to protect structure from !�G ?�I.51a'A 2-(o�b h `F1- 141 L N construction loading. ' I S. The plans comply with the latest requirements of the N.Y.S. Energy --� Conservation Construction Code. + 00 -- 9. Carry all footings down to undisturbed soil with a minimum bearing capacityr�' 4 1 2L 21,8>< 3'- 1 /�," U a) a of 2 tons per square foot. Ex-i'ERWR 51bn� -- :crEtS:." ` o - g15:-pSCtt1 10. Should existing soil conditions be found to be of less bearing capacity than —_O - 40-3-' 2 tons/s.f., or of unsuitable materials, Contractor is to notify Architect � (011#: "pA 7t5f)l,1•rc� .. 19 ,-O o__ immediately so that the footings may be appropriately redesigned prior to _ commencing with construction of same. 01 " w L' G g JG }� 3-1018 �{`-"1�4 11. All concrete to have a minimum ultimate 28 days of strength of 3000 psi., - "— O'O� and conform to the latest re uirements of A.C.I. 318 for mixing, 1 T-_i„_--"_.---"-- q 9, Placing, forming, and striping. ( !7G '� jIO 2- 12. 12. r-ontractor to provide tecos at all flush header and floor joist connections , - - -; t•W7 t7G 18310 -2 3-�'�'1� "`� '- 1�41 { 13. All structural steel (A-36) and to conform to to the latest requirements of th ` O A.II.S.T. f 14. StEBel beams to be laterally braced at 4'-0” on center with solid wood, " blorcking and shall be continued for 4 joist bays minimum. • -, 15. Alli 3/4" T & G plywood subfloor shall be glued and screwed - (y , o rI D3 SM�i 7ETFJ�cf25 h E1�: �Ef72c -M. U - - _ _ = o _` $l¢I �1� _� 8�-a' o, c NIAx • O bG2�'�Z 2-G/8x �•5.� 1 y � �i •> _ xG`8A -1NSUL1I`TIw I----- __jq • oo= 157 fz Lcoe- 3.081 S.F Y — O V� 1 Wit: .� �° �` --- - - -- - _•-��, ZNn �LooRi1 I 5/ � � 197A..L_'.R':vALu�__ . : 21 ;ot To7Al_ LIviQtci 5. O Y 9 I F HOY Ah'.Atr= z''I° �oo'� �I+.LcorJ�� 13B S.F. .-•..- - � � `� Z THERMAL RATING CALCULATIONS Ale- G?g �y I 21 �F7� x 2' 4�/e' • 4 COMPONENT SQUARE FEET 'U'-VALUE TABLE THERMAL RATING - "-`� �' Nr WALLS 4 022 . � s-1 + 3 Ire, - ' o � oS'u�7 re�t '�a/. / a� �� +se d� •r �s 3 0 3 o 31-2'/6�x fit'- 1%4' 0%5 FLOORSJ v v +7 6-3 D c py w ROOF/CEILING 3,016 • !3 6-3 JOzGe 0 FWMBM WALL GLAZING -77 � I 6-1 6-1 - M4LNR/1LNp -45DOORS iTR0SE0C0YER0 ROOF GLAZING 6-3 Ito'. a TOTAL THERMAL RATING t 2�•,'2 - • o• ice. 0 " _c. L Ir', LAVA ' M— W/c• LAv. LAv ELEVATE HEATING APPLIANCES ION AS T��___ �_UP '� If copper tubing N UNd REQUIRED B4 PART. r 717.3(.)(4) Of ������ � � �' �i L2 _ I,z�� ) A � � for water distributing , �,I ( � .a I'L(WaoD 5u ? -�LaGZ N.0STATE WILDINGCODE. Z z 2 eyetem;piping shell be O ::;LU Co 5%zEWEv -"1Ypl%AL" -"-- - ottypeeKorLan a d POOVIDE OPENINGS FOR `F W �} x 22 -rp� tewM EMERGENCY ESCAPE AS U W REQUIRED BY PARL'14 OF - �, PLUMBER CERTIFICATION z o 0 N.Y. STATE BUILDING CODE. t4:' - _ -- — o rn 2 I ON LEAD CONTENT BEFORE m / PLUMBER CERTIFICATIONCERTIFICATE OF OCCUPANCY w UJ LEAD CONTENT BEFORE W1r�E� SOLDER USED IN WATER CRTIfICATEOFOCCUPANCY W/t, ok s+Nr :.LSP SUPPLY SYSTEM CANNOT E'OLDERUSED INWATER 1-- - '1Nk EXCEED2/f00f1%LEAD. 3 5 - q o G o,o. UPPLY SYSTEM CANNOT / J l ' G I UNDERYIRRERS DFRFIFIGiE 1 ' 1• •�L - XCEED2/f00F1%LEAD. lr ti4 1 I REQUIRED liz r Vi lyi fi ¢ f1 - " DP�F9'RP,IG�'.[; O NOT PROCEED WITH 29 6- 38J —_ COIJiJ � FRAMING UNTIL SURVEY rr &�y BY uoux Z a OFFOUNDATION LOCATION nun _1n„ ni:rl T rcnsn :ar, r 7PAP � I 51MP6,:0J 1 d11 U T3514 7EGo I HAS BEEN APPROVED. "' '`n=' " 1'" Ts ^ Pnn For.' -i-IF PLUMBING SER , , s Y 11 iIGC}41J_`C OG IN'WECTIOPS- JolSj Ha�lgt5 - 1YPI .L Ca 'I '�5 �, F.J, vlC° o• G . Fo1�NirT1UN - nIVOAE uIF�Er DIAGRAMg p2ovlG LoGILI J< o cL1 s �,XSLIwJ 1^i.,-91+� �, l a-O �• L, . E. ICONCRETE DWG. NO. fMUGH -FRAMING ft, PLUMCING 7e, Vlr- L , _ AeacrfJ` OP LJ (q G2 ��T 1 Z. . FEfuN<IAu ,rinNIONSTRUCTIONMUST 1.? LA Jo s .41E BF COMPLETE FOR C.U. " 114E CONSTRUCTION OF Pan ELT � - � / � '/Z c;�,`(('• .wALL Pie7AP•,b TI,'F REQUIREMENTS OF TRE NX . STATE CONSTRUCTION & ENERGY ° '�•-T� SM . � �/T. F C(MFS. NOT RESPONSIBLE FOP 0 1 Fi�USH 1 -S i. i/EL .BEl �.L 11 - DETAM DESIGN OR CONSTRUCTION ERRORS • I 1 i , II " - 1281 ^ � — -- - - - - ------ - --- - — 3-8' SII It 3/2 I ' G%4° / to%} 312' 7d4 1 i ;L 9�y N AW41 — AW4R� I I Gow o , SASE 5L46 ' I I cA � �' 12" NIGK• � q'-d' 1-•�I�aN pa>I� co,..l,, i I I I FouATlol-) W1aLL W/2Coi - - final 1 aI. 2-d' WIvEx o +1- - _ n,-7 �4/ FIU92 2LK'4 f �Rp tl uJ/jpIR6G SII W/?MIJ. ffiE?R I _f3 _— w GAPAGr1 r o� 2"�' `�' PkEAWAY ' �� Fr -1 1 ° - - -� ( (y1-o n1aMr✓ SflRAL `7i I 1 1 - AW!� - - bI¢oP op aF u t�o�l 11-0" A7 DIAGo� !F-J. CA l'- _ -- - - ELEVATE HEATING toaL. fL, JsT. + - � — I-_ _-I APPLIANCES IS-AS d l" r FLS �I REQUIRED BY PARE (I " -�o I, LN 717.3(e)(4)OF � �. Ir � PRO, HR. FIRE N.T. STATE BUILDING CODE. \RATED SEPARATION TO „ LL O AR1.711.3 M (1) OF _S 1G�1 35�yF, J.�', ISI o �-"• 1 y� �1P1 35 - 14 r•J- u ° o.�i• :A101 513 J• C"i ILo a-c- �3 't _' .'j/ HICsN-INe�bF,r♦IL� JJI L N.Y.\kiATEBUILDING CODE. � W x (, - HR �R. F E z+ W r A D U X G A V A � �- - - _ -1 3 S — U o I N Y. i i I IL �Nd��DE N \`l �� I' ftiroUrzE� aaJGP-E� 5LA6 !J/ - _ ' IV I ELEVATEHEA7ING I �, %!n - lo/lo LJ. W,Ni of coMPAG7FJ� � 7 I� -� � J APPLIANCES 18" E AS REQUIRED BY PARI. 717.31e1(4)OF 12 N.Y.ST BUILDING CODE. - �.- -I ATE ➢ll CSI �I_�"x '-o" x -�I rOUW9a Ga+Jr I r - — 3 "3-I*& r�5 � wAY =Q I I �L 7YFIaAL I A- I I-- — J I N t- I � „ L � �. LALLY rroLuwllJ -`t�rt' 6 .+- � U 20 --I- i — _, 1 ;p,"-jHIc.K fi'cu1� GorJc�e. FoUIJ�,�fi�►t a•,, " YJItre x 8" nE w Pd pauP�G1 � � I '�• -d' J!, Lol4 /�IFA�' MN,•I • j -1'o bEAR erJ UIJ715iU1aBEla 4 II T.o, full. HALL• �L. + o'-o ' ou7SloeAca aF-FC,�bAI�� -•- - - ------ t - ----------- �— - - - -- - — -- - — 3 fi- - — - —� I U hl � x G v r-- i WALL EL .to'- � � Sh" r I � -r - � t � _ I L ----t - - GUS flF FT�a•--1 - I--H1 I _ i liI i lI I o' h I o' � I I-G rouF2Et� `� .��• N s. .. I I l1O,- 70 w. o 6 - 60 --- 131 -- - -- `� - 8-o Co rn� 3 FIs R IiI I yI I �y -�II II I-/IIID �fhlZ U 3 CIJ SOI � MM•I- 1Iti tr ,3G -I ---- -- - ---- i I I a ! A� CGI o'I ICa1- a - -21- ' - - --- - ----- - �o I II -- ---- --- - - -- - --- - - FOUNDATION PLAN 2 for 31 gl 211 - 41' bl -41- -. ZJ - 1 - - - All, u ' - - - - - - - - - - If 3- } �j• I8 39/b j/ / II , k 8 ,. 8 31' �I 3I /4 �I - - o 4 -0 0 - 2 �5 II 12 WInE cl2t$ I -- - - - 2 2 cd'�� ua z dear �x °� �awN 2 =�d 2• x�" ca Blue s N4Dl o IN Co 1 n I I� _ ((� �p_ O G��. '" �D"o. L • -r _-h �II i0' Gi�,i1 I�tl O. b i - ., O C� N _ � A6vvF- _ —i t1• l� ' o r- 1 T � - `4 i : J�� W JK vF�J� As l� A t N • -- -o I if J =0 \9 N �, N e'( okJ ,,Ew- - � - _ V j 2 bRIGI{ _ - ! - ' (�`, _ , RI66"i5 8°x Q��GI?F••aG PW. ° o a Fj" A - t:g- 8 ca Ari ; _ a _ rl Y_ a - 3 2"rl2" IDS 2" 12' w 1J/ / ' 11 �- P LI TcH �. ' - p s A 38^ --tN - W 3c 6�AM . — P �oaa we 2u�rL• a�� 30 �a64 vM .— _ - I- -o - �, • _-__- _ _— _�_- -_ - fi: -: . ..., • 27J� 7 ( .2 x d • 3 • ,2 �Ix NoR .1 �9 r— r � SpNK Y 3Cc I�ICaI-I -IAhIbR.P — p�6 IL I, -aPla,� .--{-�---� - _ uR ARE KAT(3'✓ vc.:�: x Ae�ovE .� �.--- l'4 N Lw,�1�J� oaaz _ g _ � Ptuvl D SoL� �rxl lcl < N fid. x i:� TGF 1 or _' � _ 3 �' ° GcMPvL JrPaAS W/ CoAly to/lo W W,M o v _ --pol _O _ EAG hl?£ 3 - $EPIC^ - — -- -- � f ------ _ -- - - I c. FOIL _ - X C _ 3 a d1 '. 30 Wlca HAJnza I --- - t a F - -I � 1- R2 2• r' 1 I -- - tIlb ---- T. -ut-== if' 1 --- - -- l_.i X97.:'• 7.•2 'Y' ¢ �•W, J,JALi.S *a•'1Mc.io �.�.M�Ac..tC �o -fir rl � .�_� `a II•.1hUL ALLS C 1^I/ 12 Df;x Io1-o' X41, - iY'C. RSS. Lo f4 , � � � .t�1.- LALL :x�,.IMIJ ,-�.. �.LIIJeop �r.LacJrA�..e \ l NlcauR►ILI,�q a 7Y d -Y ;� 4-V LBPKT. II - _. _ _� _ " I II II N PROVIDE % HR. FIRE I 2r - �{ o Co 23 - - - %n 2c .. 'l. Ca_ 14s - 0 �4 - �1-� 4 - - - - - _ - — �P1SR15Eft5 - - -- -- — - -RATED SEPARATION TO - -- -- 45W l Atp v 111 PL. J'..; " ° 2 2 n I2 µbb • N.Y. STATE BUILDING CODE. I 2 2" 0, � - �I 3S I '} L , J .,.' aPL w 216' Isr - - �➢ W x A I d1 _- - L _ — Lilloe c v�ck{yzn \ q W 14 r 2Z e\ _ I� 22 �y J � I I -57P-R. PjEAM -m , 1 + `>T�FL ✓Fa wl Ell) �1 ni T� po� �p 4�o L �UM�I DaL�> TQm_ m " f � - co I 3 tv ANG�IvR b�5 ?c .E2 - - O � I v 2 - Cc RIR. ,� e.l n I u b-91 g" y r .O - .1 " `r IZ � �i'p FII.aFa I°EF�WGA5T ° i Fc+V2 °�'L. GnL. `. �exCc' G. ..:I Cv 6,c, U oLU Mi.�i AS I <A� fl} � 1_'2 '<,8 � 1.2 '!8 ��� . � _ �'' 2'�2', Ndt, � 2 2"x8, b 2 x 12 aW.tt Nr+�• '� ••JJ � K} I u n� 'J mif 7 C� , ®_ � - I — tra Ms ! I� IsUilll �n L `EL�c"IFr� P� a JhJ 4 p 1p ---_- ------ ------ -- - -------- - --- - - - - �{ - \ �,- - -- - -__ m _ a V 0 G ' SI a I u c! PROVIDE 0 ESCAPE IS±Po 14 Of 5 EMERGEN � i W/ 3/l xI I° 461WL. FUT� �t �� 71�Jua1� — ° 3{ N REQUIRED PART. . �•�, � � N N ►,STATE UILDING CODE. .t. ... _ A 2 2 a 12 upPEr� �JP�L�E _ - Lyle of 2, D = , -. - . T — — - -- L TRW- __ -1111L�AAA "id'rF'. -10 Ili- a p,l _ U II I II 9 1 -�' - �' � I - _� -_ � I � � �. � •�. � -� .'.,y yin � � � �� �`, rdj ---------10 - �—�-- -- ---- 10- �I- � /"> j -S/e 3 5r � - - - - - - - - 12,E---- J2 _cs 11 • 12e -`�'1--- ---- ------ '--- ------------- -- -- —, Op OSB '_... ' esi enc for �r*+�r�--■— gay a �'' � �' L `il- '� �/i�' - y¢ ' �w. 9 Gll- A X31 - 8 . `•� ll-f'° 31_011 �, InR • I , Seal and Signature. I I co I `J 11 . I i i :3 n 0 ,s Q ! 3 n' � I I I v -- ' j Al a) ° 1 0 Al PROVIDE OPENINGS FOR u EMERGENCY ESC PE AS -- REQUIRED BY PAR .;,14 Of 1 -0 o N o �') N.Y. STATE BUILDI G'COD _ � 'tx 1830 2 n 78' 0-2 v _' e4442- t DGLB G ' 2-.2 x4s,, ' �' g .21v12 a.2 �G z z.� 2 2 x 1a" fin =- --- - I � - 13 s OM 02- - ( - NIS IS �� RAoILJ��, - - - �4�1 - -- - - - - - -- - - - -� '° - I C71-O A2cH ARcRAP ��-- � L 0 1 CI n 2 in CAtea. 1 26\ �e 3 LT. Trac J oM •. - �I N 4- v 4 - u 4r ovu 1:;R5 - -# ---- ,iv ------ - _ A c NI�N LJaaV 12<alul..h�, I � � � 1 FRov 6 LT. T Pz. - � �l��•ql� 2 akr AL _q - t 1� LJIh a J ovER M. I� • - N Z�Ix ,�} • IY �4 --P LAM LvL• , - "Lx� F..cr�2 Wa'U t a `�� • L� �_ 1i' O oll UI a — O ----� `-' t � I - ' HI4.11-I L1oD � 3�s Naf AR 2.2 8 ' -li._- bRcPPP.L+ NCf25•-; 2• °a'4 . %4" aav LGM LvL 60.:n. WALL,' 1-. oLv a b�fY+Fr� 4 W' --- ---- Nf - - ¢ � ui y Oxy c P IJM4l . "� �j-I 1..14U. GL `gGT GL 'fir' 2.2 !G aKT. 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