HomeMy WebLinkAbout28322-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29737 Date: 09/29/03
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 12355 NEW SUFFOLK AVE CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 116 Block 2 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 23, 2002 pursuant to which
Building Permit No. 28322-Z dated APRIL 23, 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 ONE FAMILY DWELLING WITH FIRST AND SECOND FLOOR DECKING AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR PER ZBA 44593 DATED 12/10/98.
The certificate is issued to ZARKO SVATOVIC & BARBARA BEST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0136 07/14/03
ELECTRICAL CERTIFICATE NO. 1122705 03/31/03
PLUMBERS CERTIFICATION DATED 02/21/03 JACK GISMONDI
A ho zed gnature
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_ 28322 Z Date APRIL 23 , 2002
Permission is hereby granted to :
ZARKO SVATOVIC
NEW YORK,NY 10012
for
CONSTRUCTION OF NEW ONE FAMILY DWELLING WITH ATT. 2 CAR GARAGE &
1ST & 2ND FL DECK ADD. AS APPLIED FOR & TO CONDITIONS OF ZBA DATED 12/10/98
at premises located at 12355 NEW SUFFOLK AVE CUTCHOGUE
County Tax Map No. 473889 Section 116 Block 0002 Lot No. 005
pursuant to application dated APRIL 23 , 2002 and approved by the
Building Inspector.
Fee $ 1, 513 . 80
y�
Authorii6rd Signa re
COPY
Rev. 2/19/98
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. -21-6335--• Z Date FEBRUARY 7, 2000
Permission is hereby granted to:
ZARKO SVATOVIC
12355 NEW SUFFOLK AVE
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF NEW SINGLE FAMILY DWELLING WITH ATT. 2 CAR GARAGE
& IST & 2ND FL DECK ADD. AS APPLIED FOR & TO CONDITIONS OF ZBA DATED 12/10/98.
at premises located at 12355 NEW SUFFOLK AVE CUTCHOGUE
County Tax Map No. 473889 Section 116 Block 0002 Lot No. 005
pursuant to application dated JANUARY 31, 2000 and approved by the
Building Inspector.
Fee $ 984 . 20
` fI '
—TAuthoriz Signat re
COPY
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD 1
BUILDING DEPARTMENT
TOWN HALL
765-1802
�j
APPLICATION FOR CERTIFICATE OF OCCUPANCY' ,
This application must be filled in by typewriter or ink and submitted to the Building Departmentwitli 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:
I. Accurate survey of property showing all property lines, streets, building and narsual 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 stale the reasons therefor in writing to the applicant.
C. Fees
I. 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 - $IWOO
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificaue of Occupancy - $50.00
5. Temporary Certificatc of Occupancy- Residential $15.00, Commercial $15.00
Date. 991z 1 /a 3
New Construction: �__ Old or Pre-existing Building: _ (check one)
Location of PropeRy: AV ��I 'C c)
House No, Street Hain et
Owner or Owners of Proper ty: ZL1q 12hCeJ S V ✓ v�0�I Q l� �S�
Suffolk County Tax Map No 1000, Section_ ,Block 02— Lot d r
Subdivision Filed Map. Lot:
Permit No. -2-8-3 2. 2 DateofPermit. ,Applicant: _L14eV, 0 SUATbU (C
Health Dept, Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Cj2G b Applicant Signature
APPEALS BOARD MEMBERS S�FFO(,(
S
Gerard E Goehringer, Chairman =�0�� COGy� 53 951 l
Main Road
James Dinizio, Jr. P.O. Box 1179
y
Lydia A. Tortora Southold, New York 1197
Lora S. Collins -yOtt ZBA Fax (516)765-9064
George Horning �l `ta Telephone(516)765-1805
TTBO�OyyARRD��EOFF•Ai C APP0
FINDINGS, DELIBERA&IN ANDODETERMINATION
REGULAR MEETING OF DECEMBER 10, 1998
Appl. No. 4593 —ZARKO SVATOVIC PARCEL 1000- 116-2-5
STREET & LOCALITY: 12355 New Suffolk Avenue, Cutchogue
DATE OF PUBLIC HEARING: December 10, 1998
17NDINGS OF FACT
PROPERTY FACTS/DESCRIPTION: The subject lot is 15,000 sq. ft. in area and is a
comer lot with frontage along New Suffolk Avenue and Short Road, Cutchogue. The
premises is vacant land in an R-40 Low-Density Residential Zone District.
BASIS OF APPLICATION: Building Inspector's June 24, 1998 Notice of-,Disapproval
which states that under Section 100-2446, for nonconforming lots, the rear yard setback
must have a minimum of 35 feet. Under Article WII, Section 100-232A, a corner lot has
two front yards, and both front yard setbacks are required to have a minimum of 35 feet.
Also, one yard other than a front shall be deemed a rear yard and the other a side yard.
AREA VARIANCE RELIEF REQUESTED: Applicant is proposing a new single-family
dwelling and requests a reduction in the rear yard setback from 35 feet to 27 feet. All
other setbacks are proposed to meet the minimum requirements of the Zoning Code,
Section 100-2446.
REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on testimony and
record presented and personal inspection, the Board makes the following findings:
1) Grant of alternative relief will not produce an undesirable change in the
character of neighborhood or a detriment to nearby properties because the floor area of
the principal building will not exceed 200 sq. ft. (a size smaller than an accessory two-car
garage if it were located in the rear yard of a comer lot). Also the driveway and other
access to the dwelling is proposed from the opposite (south) end of the dwelling.
(2) The relief as alternatively granted is not substantial, representing approximately 15%
of a variance.
t
R•e : 1000_116-2-5 Svatovic )
(3 The relief as alternatively granted will not have an adverse effect or impact on the
physical or environmental conditions in the neighborhood or district because the area is a
private residential community, and the dwelling is proposed greater than a side yard of 15
feet (which would be the alternative yard allowed for a comer lot), and it is 45 feet or
greater from any other neighborhood dwelling structures.
(4) The variance is related to the difficulties created by the layout of the
property, with two front yard setback requirements rather than two side yard
requirements for other lots in close vicinity to this property.
(5) In considering this application, the Board deems this action to be the minimum
necessary and adequate to preserve and protect the character of the neighborhood, and
the health, safety, welfare of the community.
RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Member Collins, it
was
RESOLVED, to DENY the 27 ft. rear yard setback as requested, and
BE IT FURTHER RESOLVED, to GRANT ALTERNATIVE RELIEF for a 30 ft. rear yard
setback in this proposal for a new principal dwelling.
VOTE OF THE BOARD: AYES: MEMBERS GERARD P. GOEHRINGER (Chairman), JAMES
DINIZ10, LYDIA TORTORA, LORA S. COLLINS. This Resolution was duly adopted (4-0).
(Member George Horning of Fishers Island was absent at thIs time of this determination.)
< ( z� �,c
GERARD P. GOEHRINGER
CHAIRMAN
Approved for Filing 12//8/98
1000-116-2-5 7,,_-.TT� LIT TE B Y I,
u i'
I
DATE ? i;
Town Clerk, To.-n of Southold
AYYEAjS BOARD MEMBERS
O ` Southold Town Hall
Guard P. Goehringer, Chairman 53095 Main Road
James Dinizio, Jr. cm
w P.O. Box 1179
Lydia A. Tortora Southold, New York 11971
CIP
Lora S. Collins y �� ZBA Fax (516) 765-9064
George Homing �Ol `1a� Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
December 18, 1998 �>
c'
Mr. and Mrs. Zarko Svatovic
250 Mercer Street
New York, NY 10012
Re: Appl. No. 4593 - Variance for Rear Yard
Dear Mr. and Mrs. Svatovic:
Enclosed please find a copy of the Appeals Board's determination
rendered at our December 10, 1998 Meeting. A copy has been furnished
to the Building Inspector's Office as an update to their open permit
application file(s). You may wish to contact the Building Department
directly for amendments to your building permit request for comformity
with the Board's determination (for the alternative setback at 30 feet
instead of 27).
Very truly yours,
Gerard P. Goehringer
Chairman
cc w/ encl:
DepartmentB(u'iill�dinng� �� s,
"_�J /
Town Hall, 53095 Main Road y Z Fax (516) 765-1823
P. O. Box 1179 W Telephone (516) 765-1802
Southold, New York 11971
-z
:R
U'
OFFICE OF THE BUILDING INSPECTOR s
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: a'
Building Permit No. 3 2 2
,r.
Owner: A94,� a Vr1 j v 1
— xl
(please /print)
�� 1:�
Plumber :
/ 1� t1"1 '.*.�.
( please print)
I Certify that the solder used in the water supply system
"1
contains less than 2/10 of 1% lead.
f 1 r
1
( Plumbers Signature)
V
t
Sworn to before me this
Z / day of
Z ✓t __
Notary Public, County ; RICHARD NONCARROW
Notary Public,State of New York
No.2902160
Qualified in Suffolk County
Term Expires January 31,20
O rJ�r Prr Prr fflPrrjL L3ffJ�II ffilicJ�1J10111J1rJ !10!1�r 110i I0i I :facPrlE I I I�rJ�rJ@PrJ�rJ�rJ�rJ�rJ�rJ�rJcPrJ�rJ�rJ�rJ�rJ�rJcP�PrJr�r��PrJ�rJ�cP�PrJ arJ�rJ�rJ�rJ�r�rJ�r�rJ� o
5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
SBUREAU OF ELECTRICITY 5
r5j 40 FULTON STREET — NEW YORK, NY 10038 5
5 CERTIFIES THAT
Upon the application of upon premises owned by 5
5 JIM SAGE ELEC. INC. ZARKO SVTOVIC 5
rrr+++ P.O. BOX 38 12355 NEW SUFFOLK AVE 5
GREENPORT, NY 11944-0038, CUTCHOGUE, NY 11935 C�
Located at 12355 NEW SUFFOLK AVE CUTCHOGUE, NY 11935 5
CC 5
Application Number: 1122705 Certificate Number: 1122705 5
Section: Block: Lot: Building Permit: BDC: NS11 5
.lc Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 Basement,First Floor, Second Floor,Attached Garage,Outside,Attic, 5
5 5
l5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
found to be in compliance therewith on the 31st Day of March,2003. 5
5 Name QTY Rate Ratine Circuit Type 5
5 Alarm and Emergency Equipment e�
5 Sensor 2 0 Carbon Monoxide 5
rj Sensor 5 0 Smoke 5
5 Appliances and Accessories 5
C5] Dish Washer 1 0 1.2 KW
5 Exhaust Fan 2 0 F.H.P.
5 Water Heater 1 0 4.5 KW 5
5 Pump/Motor 1 0 1 H.P. 5
5 Furnace 1 0 Oil 5
5 5 Wiring and Devices 5
Receptacle 40 0 General Purpose rrr5
5 Switch 37 0 General Purpose
LJ' Fixture 35 0 Incandescent 5
5 Receptacle 1 0 20 amp Laundry rCj
5 Receptacle 1 0 30 amp Dryer 5
5 Receptacle 8 0 GFCI 5
seal
5 55
I of I 55
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
a ����srsrs��rs�sss��ssssrs��rs���rs���rn�srs��rr�s�srss���srrrr��������rs���� v
Bruce McClure, Arch.
136 N. 3rd St., #3 — -
Brooklyn, N.Y. 11211
(718) 384-7075
22
Michael Verity - Building Inspector
Office of the Building Inspector; Cutchouge
P.O. Box 1179
Southold, NY 11971
February 16, 2000
RE: Svatovic Residence
New Suffolk Avenue and Short Road
Cutchouge, New York
Lot # 100-116-2-5.
Dear Mr. Verity;
With this letter I would like to state that the it is the intent of the drawings
submitted for a building permit to document a residence that will satisfy the
New York State Energy Code. Roof construction will be insulated to a value of
R30, walls to a value of R16, and that the windows installed will be
constructed will Low-E, insulated glass as per code. All other stipulations
contained in the Code are assumed to be in effect and are understood as
conditions of the proper execution of the plans.
Sincerely,
��PED AgOyi
/l✓�V \y P M p C ��
m
Bruce McClure.
N °o
022 �OQ
TF OF NO
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ -7 �7
Owners Name: irk D —Sq0 C)V I L Reviewed: * 7 o
Architect/ Date
Engineer: '92Y 1A U Submitted: 04-9
SCTM #: 1
District: 1,000 Section: 10 Block: a- Lot: -�
(Sha-T Rc90)
Project _ Subdivision
Location: N\ew Su-/4x- nvf �
Name: W r
�
in &separate
cSeification ed (peep D,P6P. rym,- l �GO
leyS(
coo
Zoning Disirict:� [Lot size: If 60o Actual. r� � l� [Lot coverage A?Aroposcd.
qRcq, Req
�I [Front Yard ✓`l Proposed:_� [Side Yard « Proposed. 1 [Rear Yard 3S Proposed. J
Project Description: bet,-' t&Y»iy /% /,"
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A.. NO YES Number
Suffolk County Health Dept. 610-`j6 13(,
New York State D. E. C.
C ``�
Town Trustees _
1
Town Zoning Board approval: C30 �eAfi+ `fq�p ra�d� X 4freAL4-
Town Planning Board approval:
Flood Plane Elevation ??? AE(E���) %rN�tGAred tlovsr c}rr or Z e.
Flood Zone: PH ars L- Sc
-D L �eLlI�� �le \
Note
OtAL Pre Po sed. o+- o egAG J �o S r-
eme�tir Re � O J F.
tlgsr rtec,-- ly(6A ucd
Se=crno �
kC e Fica� �sraanZ 5/
-f4d �
PT
�.}
August 8, 2000
From: Bruce McClure
Architect
718-384-7075
To: Suffolk County Building Department
RE: Foundation rebar, permit number 26335,
Residence of Zarko Svatovic & Barbara Best
12355 New Suffolk Avenue
This is to certify that rebar was installed to my satisfaction.
V`� � 1✓W�'
- 3 - 00
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE December 20, 1999
TO Zarko Svatovic
250 Mercer Street
New York NY 10012
Please take notice that your application dated November 8,1999
For a permit to construct a one family dwelling
Location of property 12355 New Suffolk Ave Cutchogue
County Tax Map No. 1000 - Section 116 Block 2 Lot 5
Subdivision Filed Map # Lot #
Is returned herewith and disapproved on the following grounds: proposed construction not
permitted pursuant to Article IIIA Section 100-30.A.3 which states: No building or premises shall be
used and no building or12art thereof shall be erected or altered in the Low-Density Residential R-40
District unless the same conforms to the requirements of the Bulk Schedule and of the Parkin
Schedule.EN with the same force and effect as if such regulations were set forth herein in full
The bulk schedule requires a maximum lot coverage of 20% in this R-40 zone
The proposed project is located on a lot containing 15.000 square feet, the maximum allowable lot
coverage would be 3.000 square feet. The proposed project contains 3.336 square feet, an excess of
336 square feet.
Authorized Signature
FORM NO. 3
TOWN OF SOUT19OLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: . . . . . . . . . . . . . . .
To ,Zarko Svatovic
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
250 Mercer Street
. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
.Nev.j9i1k.NT. 10021
.. . . . .. . . . . . . . . . . . . . . . . . . . . . .
PLEASE TARE NOTICE that your application dated May. �, . . . . . . . . . . . . . 19. 98. . .
for permit to foundation. .
for a single.family.
family dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . at
... . . . . . .. . . . .. . ... . . . . . . . . . . .. . . . .
Location of Property ?355_. . New Suffolk Ave .. .Cutchogue.. . . ... . .
House No. Street Hamlet
County-Tax Map No. 1000 - Section , 116. .. .. .. BLOCK . . ..?.. .. . . LOT ..5. .. . . .. . . .
Subdivision ... . . . . ... .. . .. . . .. . . ... . . . .. . . Filed Map No. . . .... .. .Lot No. . . . . . . .
is returned herewith and disapproved on the following groundsUnder Article%%IV
Section 100-244-B for non-conforming lot set backs the rear yard must have minimum
. . . ... . . . .. . . .. . . . . . . .. . . ... . .. . . . . .. . . . . . . .. .. ..... . . . . . ... . . . . . . . . . . .. . ...... . . . . . ...
of 35 ft. setback. Under Article %%III Section 100-232A on a corner lot, front
.. . .. . . .. . .. . . . .. . . . . . . . . ... . .. .. . . ... . . . . . . . .. .. .. .. . . . .. ... .. .. .. .. . . . . . . .. . . . . . . . . . .
yards are required on both roads, one yard other than the front shall be deemed
... . . . . .. ..... ... . . ..... . . . . . . . . . .. ....... . ... . . .. . . . . . . .. . . . .. . . . . . . . .
a rear yard and the other a side yard.
... . . .. ... . .... . .... . . . . .. ..... ..... . ... . . . . .. .. . . . .. ... . .. . . . . . .. .. . .. . . . .. . .. . . . ... . .
. .. . ............ . . . ... . .... .. ... . .. . . .. ........... .. . .. ..... . .. .. .. . . . . .. . . . . . . . . . . . ... .
. ... .... . .... .... .. .. .. ..... . .... . .... . . .............. . . .. . ....... .. .. . ...... . . .. .. . . .. .
. . . ... .... . . . . .... . . . .. .. ... . . . .. . . .... .. .. .... .. .. ... . .... ... .. . . . . ... . . .... . . .. . . .. . . .
.. . ... . ... .... . .... .. . . . . . .... . ... . .. .. . . . . . . . . .. . . ..... ... . .. ... . .. . . .. . ..... . . . .... . . .
.. . .... ... . .. . . .. .. .. . . . . . . .... ... . . . .. . . . . . . . . . . . . . . ... . ... . . . .. .. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . ... . . . .. . ... . . . .. . .. . . . . . . .. . . . . . . . . . . .. . . ..... . . .. . . . .. .. .. . . . . . . . . . . . . . . . . . . .
4.. /W ./. . . . .. .. . .
BUILDING INSPECTOR
RV 1/80
COUNTY OF SUFFOLK
O'Now'!
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF HEALTH SERVICES MARY E. HISSERD, M.D., M.P.H.
COMMISSIONER
PERMIT
THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OF THE
DEPARTMENT, CONSTITUTES A PERMIT TO CONSTRUCT A WATER SUPPLY
AND/OR A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED.
CONSTRUCTION MUST CONFORM WITH APPLICABLE STANDARDS INCLUDING
THE STANDARDS FOR CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL
SYSTEMS FOR SINGLE FAMILY RESIDENCES AND STANDARDS AND PROCEDURES
FOR PRIVATE WATER SYSTEMS.
THE PERMIT (PLAN) EXPIRES THREE (3) YEARS AFTER THE APPROVAL DATE.
ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL
SYSTEM OR WATER SUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY
ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE
PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS.
PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY
APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE
STANDARDS IN EFFECT AT THE TIME OF REISSUANCE.
A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT
OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT
OF ANY REQUIRED TRANSFER FEES. IN THIS CASE, THE PARTY PAYING THE
ORIGINAL APPLICATION FEE WILL BE CONSIDERED TO BE THE ORIGINAL
APPLICANT.
WWM-058 PAGE I OF 2
DIVISION OF ENVIRONMENTAL QUALITY
COUNTY CENTER
RIVERHEAD. N.Y. 1 1901-3 397
862-2100
18-380..12/92
765-1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
�U� rr✓ /rV - Ale
DATE INSPECTO
M-1802
/ BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: L
7 0z"
DATE INSPECTORS
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLAC A CHIMNEY
REMA KS: G
R
3 � �
r�
;DATE v 0 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTIO
[ ZFAT
ION IST [ ROUGH PLBG.
[ ION 2ND [ ] INSULATION
NG [ ] FINAL
[ FIREPLACE & CHIMNEY
REMARKS: , ,lE
DATE �7 INSPECTOR f ��
765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] UNDAT"-2NOI INSULATION
[ F I [ ] FINAL
[ FIREPLACE & CHIMNEY
REMARKS:
DATE v 1121 INSPECTOR
M-1802
UILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY/
REMARKS:
DATE I INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ ' FINAL
[ ] FIRECE A CHIMNEY
GREMARK I
3
Z � -
DATE `�" / �� INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ]
FIREPLACE & CHIMNEY
MARKS:
DATE 06 ® INSPECTOR
�F3 2�
M-lW2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
co
DATEY/ /&& 03 INSPECTOR
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LATION PER N. Y. u
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ADDITIONAL COMMENTS: S
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+ 1 � tOAIiU Ulr 111sAl:l'll
$ 'S OF i'LANS
JAN 3�i r . . . . . . . . . . . . . . .
TOWN Olr SOII'f11UL0 ./11RVhY . . . . . . . . . . . . .
l
11111AMIG, IMPAlt'l'MMI' ..CIII:CK . . . . . . . . . . . . . . . . . . . . . . . . .
'I'014N iIA1,1, + 51i1''1'1C POIIN . . . . . . . . . . . . . . . . . . .
F 9 °�fJLD
Sod. -1), N.Y. 11971
._.. T'i'll,: 765-11102 NO'fiYY• �VATO D . `,
IC
CAM, g6 f
' th7I.x:■uitxd. r �\ NAIL 1'U: Liz-7? 6 — 600— .
1
Approvctl. �..�... � i'en11i C tkr. ... �...... M E R.. ..� ... ..
Ui»r►pptoved e/c .................................. ..N
...........".................................................
,f
._.�..r' .. __._�._.',. ..�Ihrildirq; ntrl)ect. ......
I,
APPI.ICATio" roit tttlli.:mw. rtuttlt.-r
t f ': NOV - IM Da Le. . . . . . . . . . . . . . . . 19. . . .
k
___ 1N!iTIt11C'f 10"S
rt. Ihi» ► )li 'r►'' `'1>Lt �,i>Q, La1 Jlel:el filled to by fypewrlLer or in iok,i;i(J sulvAtLed to Lite Ikiildini; b'sixactor wit-
J nein of: plmmn, nceurnLe plot pian Co ncnle. Pee necordLn11 to Schedule.
h. Plot pinn »Ixx+llls locat'io"'of lot nlxl of boildingn oil prernlsea, relatloornldli--tfo sxijoinin11 preninen or lxdrli0:
nlreel» or wren», ntxl giviolt n detailed deacripLicrr► of lnycx►t of properly Aunt: 1)e drm•n► cxi lite din11crrn ultich in ,/nt. of
thin npplicatior►.
c. lite work ccnrered by lhir;`uppllentim my ooL• Ire cvunr_oce(1 1)efore iN»tutoce of Wilding Permit.
d. Ulxx► n1lir val of lhld-applicaLlbo, the Wilding buyer.lor will inntre n ik►ildlop, rer►nit to lite uppl knot. Suc•1►
-I ix!tmiL t:hnll Ire kept;'m the premises available for inslxic0oo throOdix►t lite work.
e. tar) Ix►ildiog sl►nll Ire omililed or used In whole or io part for nhy lx►rix)se ubnLever until a CertifkaLe of
' 0(:crgx11x:y nhali 1►ave Ireengranted by'the tk►ildiryi TnnlxecCor.
- � t
AIT ACNI'MU Is i>I:ItI'sl)Y ME to lite lk)ildin11 1)elx►rUtenL for lite tamua►ce of a Wilding Permit Ix►rtamol! fit the
Iktildiop, 7,6a Orciittame of t1►e 71x,a► of Sooti►old, Suffolk Um y, Ness York, nix] outer applicable Laws, Ordil►mx:en or
ItelntlaLluns, for (.Ile coonlnxaloo of lxtildiogn, acklilicx►s or niterad '►9, or for re►rvvnl or de►nolilioo,,m► 1►ereto
descrilx:d. 'lite applicant agrees to cat►l)ly with all nlq)licnble law,,, o ioflo:en, lxtildin ode, houniop, code, 111x1
rd,ulitt.iotsn' mx) to rxlult mrll►orized joslim-torn o►► pr ininea Srx) in Imi) 11 fpr t►ecenaa inSi tltn►a• `
(811,pu►lure of nlq)I lenot•, or t►rne, if n cx)rix)r-it ion)
�.. .1= ... S!.,r N C .. — 10 012
m"it.iol; ncklress of nigA Icno0
Slr►le wl)ethcr nig)licnnt is ow►rer, lennee, nitcot, nivitit.ecl, engtoeer, genernl coot:rnctor, eleclrir.ino, pl►rdxer nr Iltildc•t
b.w. .............................................................................. ............. .. . ...
Z .. v t c R 111 B �`} R►4 '8 S 1..
t1:nr. of omwr of-prvui net; ... ......
(an "I Ilse tax roll or ln(ent deed)
ll' npplicsutl in n ex)timrs►t:lon, ni,;t►nlvre of duly )n)t.lx)rivc:d off:lc(!r•
......................................................
44m! ntxl Ch le of c()rlx)rnle officer)
Iktildern Lic:ent►e tkr. .........................
1A Plu►llern Liceime No. ,
7 l?Ircl:rir.innn l.irencte NO. .....................
=I 011►ec• 1'r"1NIc1» i.icetine Ito. :................... uu ,�•� L
I. 1,1x::11.101► of: lntxl oo which pro,x)red vA)tlt will Im dovie......d`.T, �/g........NSW �: ..FFQ�/`u.....VE...
i2-
3NEW SU1=FO -VA'. = UaC.HOG.9r-
......................................................... V ..................C. . ..... .... ...
•T
Ik1tNe 14111I)er SLreel/ / lb■nlel'
(kitioLy Tax My ib. 1000 Sectim ... ........ lllcx:k ....�.......... int ....�; .........
!;ttixlivinicxI .................... filed FL)p t1). .............. iot ................ .
........ .. •
2. Nlat.e exist_inl; title_ mxl octmillarx:y of prelni!mr; mttl in(etxled Lire mxl omopamcy of. prolxmed cxnnlruc:tion:
a. Exir:t.itgl ime s►txl cx:cttl>at)cy ............j....T.........................................................
b. rtitetxk:d tn:e ntxl cxrti,>ux:y ..S.l N G1 E FJa11'� 1L t s!-f! t s`r...................
Af
I. 14d 1111: uF tAa l( (fled( IAlllh nitlll leahlr.): ILas IIli I III Ing .X,„-„ hidillun . .. . .... . . Allr.rallon . . . . .. . .. .
16:141it . .. . ... . . .. . luelxsvnl IA.uuI II.Io11 . .. ......... Other lJolk ....... ..... .... . ... . . . . . . . . . ... . .
Okilacr l pt 61)
... . . . . . . let! . .. . . .. .. . .. . .. . . . . . .. .. .. .. ... .. . ... .... . . . . .
Oo Iw: paid mi fll loll IItlu nppl leaf IMI)
'i. IIIAA:IIhill, n.d.sr of tArielI 1111t will it . . . !. . . . .. .. IArtber of .AAtll loll ttrtllfi Mt Tach flMtr .. . . .�. . ... .....
11' IVa ugs, nulwr or clea .. ..X. . . . . . . . . .. . . . ... . ... ... . . . . . . . .
6. If I.ulllu:nn, ctun.:rclet or 1111XIM IM.l111.1ol , tllwa:Ify 1111111111 mul oxicnC 11f inch lyla of use. ... .. .. ..............
Il ilwilt lin ul of ewl Oil lug nLntr(tit en, If nny; Vi Hit'.. . ... .. . Itear . ... .... MIMI ..
I011d . . . . . . . . . ........I... lLalws of 1;1418-len . . .. ... . ....... ...
niur:nu it.m of.a.n,e utltv:ture WIUt n11cnH:lt.m or OkilIlI10nnl fro.IL ... .. ... ... .... lu:nr . .. ... ... .. ....
lA:plh . .. . .. . .... . . ... .... na ll)IL . ...... . .. .. .. .. .. . . IAnber of li Lurinn
. .. .. ... ... .. ..
II. IlluanuiMm. tit -Ili It,- Zuni rrwvll'nu:111.I: Prlall: . . �.0.... .... luun' .. . d P... ... . italeit . .3�. .... . .
r'
Ik 111LL . . . . . . .. .25....... ..,. PLoiu:r of stie lea . . '
9. :ii10 of till.: 1'lrntl: ... ...p�p.�. . .... .... ,lu:ar . .. ..I.SQ.... .. .... IAeplh ... �.Y.4.. ...... .. .
II1. ILtle of ILrchnne . . ..��.�..iS........ . . IbJiw of Irurlwr "Joe.ry.... .........
II. %11111: .r aro dial rice In %Atich. pronleen fire ntl:ualed ....................... .....I,......... ... ............ ... . . ... .. .
12. IAu:a prrtltrmstl cittis:llw:LIMI vlilote pony uttilull s+
II , orditmlw:e or relluluclooi ..,/,y V.............. ..
It. Witt tut Its relynukd .....MAN JK... . 14111 0uceas fill. Ite rut.rved fr(.n prmllnent YIM 110
11, ILo.:a of llnu:r of pr"Maea ...... ... ....... .. ......... A61rrnn Mill Nu. .... ..... ..
Ihu.: of Architect: ... ............... ... .. ...:......... A.klrssa ..... .......................:. HtMte tkl.. ...... .....
IL.,.: of Cx.rtra:lor .. ...................... ....... .... fuldl'eaa ........... ....................ILiuts Ib.
Ili. In 161a prole:Ity Within 3Mx) fe(:L ofyn 1.1.101 WeL11auI1 A U-S ..... ... .. N) ...... ....
All' Will SYAIIICMII 7[]M 411IISIT09 IMIIIIIT MY Illi 111YAJIM).
PLOT IIIMMOM
14w111LL• (A"I'lly srul tllotltic Lly all I.tlltllngn, ldmllter exlaLlea or prorweied, arul itrileate all ReL-back 41111u1101011fi
I'.I.0 prtq.erly I lllea. Give street DMI MMI( Imullen or tkarripLiMt acrording fo .Ieed, arul dims street itnren alul btdicnle
0.01w, iulerior or'cnt1 w lot. '
REAL PROPERTY LAM!4309-a
NEW YORK 'ALL-PURPOSE' ACKNOWLEDGMENT I
�� p
LS da of i`� in the year
State of New York On the _ Y Monts year
Day
SS. I
rsbefore me, the undersigned, a Notary Public in and for said state,
County of
n personally appeared� ..-E-OJ I L , personally
f Name of Signer
known to me or proved to me on the basis of satisfactory evidence to
be the individual whose name is
subscribed to the within
instrument and acknowledged to me that he/ /ty executed the
same in his/o{r/tr capacity(if, and that by his/Ir/KI r
fi
signature( on the
instrument, the individual , or the person upon
behalf of which the i ividualy�O acted, executed the instrument.
GRACE MAstaw CO�'l Mk
NuY4�81�A3s
JSIIuorY 3t• t!/J(�l signature of P nc
h Serffl E't{a ll��//rr]]//MWSJ//
r. OPTIONAL
5 -
Though the information in this section is not required by law, it may prove valuable to persons relying on the
document and could prevent fraudulent removal and reattachment of this form to another document. Top of thumb here
5 Description of Attached Document
� cCa�
erns
^\y Title or Type of Document: n
?
Document Date: ��� Q 1 q Number of P s:
h Signer(s) Other Than Named
1997 National Notary As ociat on•9350 De Soto A e P.O.Box 240 Chatsworth,CA 91313-2402•www.nafonalno[ary.org
Prod.No.5925 Raortler:Call Toll-Free 1-B00-W6-6e2'
i
SURVEY OF PROPERTY
qg� SUt�I SITUATED AT
TEST HOLE DATA 3 i1EPT Of}{, ;kt
gX RIVER CUTCHOGUE
(DUG BY MLDONALD GEOSCIENCE ON OCTOBER 17, 1995) 3 n / TOWN OF S O U T H O LD
° SUFFOLK COUNTY, NEW YORK
b 99 Q 26 P2\28 S.C. TAX No. )000—) )s—oz—os
Awor u,TEW sWo �_,_` SCALE 1"=40'
NOVEMBER 1, 1995
r i0F"f�`r i D MARCH 20, 1997 ADDED SURROUNDING WELL b CESSPOOL LOCATIONS AS PER S C 0 H S NOTICE
r WL41T( ,y 41NG SEPTEMBER 15 1999 UPDATE SITE PLAIN
��W o /r �UN r►'p��� / OCTOBER 18. 1998 CORRECTED PROPOSED WELL LOCATION
Mot—ft Nd ���"
4 '--J �d'g AQQ u-�•r.E AREA = 15,000.00 sq. it.
Op.--o.a• z1, J r IPU 0.344 oc.
i i
x - dflt7d'S:
YaE m mR MaoISINOY M 144E 6ROR11 G)8�'-O 76-58
s
•SQ• � 1. ELEVATIONS ARE REFERENCED TO H.G.V.D
. 1929 DATUM.
2p, Z. EKOHNG EE MS SHOWN THUS, LJ
3PROPOSED VAFIONS sTNilg
♦ RWD ZONE INFORMATION TAKN
EROY: ROOD INSURANCE RATE MAP LOMMUHTTY-PANEL No. 36103L0501 C
a F I o..•s. �e�QQ.OQ' ZONE AE (a 6): 9sE RUDE E ATONE DETFItlrrD
SUFFOLKCOi7NTYDrPARTME: r0FHEALTHSERVI ' fi4 X «E _• ,9�DE ME Y� F,DDa ARS D IDD-,�9 FDDD
q I' n Eo1pb I THAN O E SOA DE LESS THAN I Ea Or OR TERN MYMME FROAs
S' E55 THAN ONE SOMME MILE: AND NiFAS PROTECTED 3t l£VitS fR04 :DO-MEM
USE
PPtiILA3T t3 '�iFI�4Jkt��?10- ce-N-13'P: IC1111v0INFO A o nv S. s.C..oH: DISTINCT:No R10-95-D1x
J`1RSLE 1F AlY..;•Ti�M411-„0NICE ONLY � 7 MINIMUM 8' IL TANK LAP IDE. 6 FOR A J BEDROOM HOUSE IS 1,000 CALLAIIS.
Q 1 TANK; 9' TIC MR( C WRY:. S FO DEEP
I .•1Y, r ® ?p IF) S. YRMRIY EFACNRID SYSTEM FOR A 3 BEORCOM HOUSE:
�� Y iFaoImv q�w� tT
4D s POSr DEEP. 6 e
DATE MYa.
75• RD MANS
aM PoOL
APPROVEIWWO9m LEADxND
P091.
FOR MAXIMUMOF—jilBEDROOMS 'd 8 '„;' �R� MFWPOSr9UmLTM9L
EXPIRES THREE YEARS FROM DATE OF YAL Q 5' D ' 9. THE LOLAHON Of WELLS AND CESSPSTAIME F S M TH HEREON ARE FROM FEW
r n1 &l � i OBSERVATIONS ANO/011 DATA OEEANED FROM OTHERS.
_ O
�y n n n �•
1ZFv<ce� 11 1: o
n�rL• 9.7 199R
•g r W r l 2 �'yq W
i t n i fi 'i:.iii•''x tc•f; rN(::�� t�.i?$T i Qi}i(i'/i£;W �oY o
T. PROPOSED SEED STEM DETAIL
*-7ItOwatar r
A
TC1T IAYC , M �MPROOWTE 1aEL1 Rama AATEArr�N
58
R
STANPGAARDSi F
0 QOR TITLE SURVEYS AS MAINLAND)
100 �'`I • pA'Y��p Rt t, b4 p T E LIALS. MD APPM'PhD MD INRF➢
S U 7� ' {- - •' . _ .0' `�_. USE of M NEW PORN STATE LWL
ECERTIFIED T0
CEs4CESSPOOLSU
` E N0s�\ � k ZARKO SVATOVIC
N
CESSqp�� e
"'EwNG
01Ep _ - - NS Li
.Y. c No. 49668
r30) -__
UNAUTHORIZED ALTERATION OR ADOMON
TO 116 SUNEY 5 A MOUTON OF
��. SCL110M 7209 OF THE MEM W STATE -
D TMNA IAS.
_ e no
Joseph A In
D _ �a � M•PNDT P 9 9
w TIE EA j aff'"°'" Land Surveyor
EMBOSSED LIL 94491 1AOT 9E LGNSUEAfO y
TO BE A VMD TRUE coP..
it C{I11R1d1T0Ab RRENRD NFIEON SHALL RUN __ _ _
t`-_ OILY 10 1N[ PE1L50M EWA YRKM TIE SUR2Y .— -.
r
TE Ab PBIAIRIDWR0.PN!TO THE
LOCATION 101L C
.0 ROP Surveys - Subdo4sions - SNe Pons - Coostrudw Layout
1EMSM” 1u111NRM kv IIEIEOII. AIRI
r Fes,or, A9f#@4IA w NOTRI9T1M�9E. PHONE (516)727-2090 Fax (516)722-5093
r =THE EXIST%IiE wE OF RIM OF C WAYS
AMD/OR EASOEYI4 R R[CGUA H OOm Union Squa AT MM/NO AOORE55
ANY, MOT SIMWN ARE NOT QlARANT[ED. Oro . Nv Sock 1 P.O. Boa f931
ork
AqueDoque. NeTE York 11931 RiwMee6, NRTE Yak 11901
Rich — �S- i 36
SURVEY OF PROPERTY
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
\ S.C. TAX No. 1000-116-02-05
SCALE 1"=40'
NOVEMBER 1, 1995
• ` ( MARCH 20, 1987 ADDED SURROUNORTO WELL. a CESSPOOL LOCATIONS AS PER 5.C.O.H.S NOr1CF
SEIRIEMBER 15. 1999 UPDATE SITE PUN
lw
�UN1' /�//•�. ALI 11. 20M FOUNDATION I OCATv_
A•... 4 �rx+p4O lyjvc .KNUARY 22. 2003 F91AL SURVEY
MAY 28, 2003 ADDED WATER SERVICE
AREA = 18.000.00 sq. It
De.
• 0.0.3"6 58A2p" CERTIFIED TOL
�} �'O O.A•E ���/// 11100./30 ZARKO SVATOVIC
0.4
0.1
i
PIPE_ �_ FOM1O M9 1, FUD00 ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE FATE MAP COMMUNITY-PANEL No. 3e T03CO101 G
LONE K (a R). 9 E FL000 EI£VA1bNs DEfENNYF➢
ZONE x•. AFFAs OF s00-v nitro: AREAS OF 100-rF0iks FLOOD
O • a I t). A / p WRN AVERICE OEPII6 OF LESS 7NAN I F00T OR WN ORVtYGE A F
11! 8 h `` IESS RVN ONE SIXMRE AIDE, NA AREAS PRUDMTED 9I tEW,S FRou 100-YEAR 19-"
ET Aar >.m 2. ZwWMD USE DISTWr: a-AO
S. S.C.D.H.S. REiLREWCE No. RIO-x9-ODM
i _�
•' I
P3 cl
O A gg 15.3•
N�y�6.
2p W 4
c1 I IN IL 00010E MM THE MRMRN
FOR rTLE SURhIS Al 6TABISXED
00.00• 'PI1E THE L I ALS. AND APPROVED NO IUOPfED
�pl_U2 TIE NEW YptN STATE VND
UE
cam ' 1 ire c A�
N.Y.S. Lic. No. 49668
�.- CV LRIAU�2m ALIEMAWON OR AOpIgM
t0 iN6 4ARMEY S n vWAAI10H R ��
9�Of
THE NF3I Wax STAIE
GD� Mw oseph A. Ingegno
N E
TOO A WIND 1FLE COPY. Land Surveyor
I
_nMJE aw�r m n'E 'E'wR INaMsuaiEY
'-E 6 PIIB.I�,Aro OM Elu RFEM"C TO AXE
e••-, 11MVIION UAED NNONO rMe sunaJe - SubdMsioro - STN PIa1s - caFabvclion Lop1R
ti MOF� Ir
Uo�iwWW
TunaN. cg u isERAaE. PHOK (631)727-2090 Fax (631)727-1727
TIME ODSTEN" W 11191O OF WAYS OFFICES LOCATED AT UVLM AODRFSS
MD/OR CA60LLWI3 Q KCOb. 9
AFZV• NOT SHOWN ARE MOT OUMANIEEO, 1380 RmmW AWvuleP0. Fio: 1931
RICO. id• k" Y" 11901 RNaft d, New York 119DII-ONS
SURVEY OF PROPERTY
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
w
` S.C. TAX No. 1000- 116-02-05
SCALE 1" =20'
w a NOVEMBER 1 , 1995
3 hnom- MARCH 20, 1997 ADDED SURROUNDING WELL & CESSPOOL LOCATIONS AS PER S.C.D.H.S. NOTICE
O u APPRO
\'AREA pFl ANE` 1 AREA = _15,000.00 sq. ft.
3
CERTIFIED TO:
\ I OFNE� ARl DWELLIN � JOHN E. KELLY
I ILEiN
I 1 Mov DPO°i1 I D ;y G
pARkBR TRU
Cz1A Z� NOTES:
/
x a•. y� t /Jy� 3�r/
1 . ELEVATIONS ARE REFERENCED RO N.G.V.D. 1929 DATUM.
2. EXISTING ELEVATIONS SHOWN THUS: -LU
"$ @r'�pro la
3. PROPOSED ELEVATIONS SHOWN THUS: e.o
y� �?pND Y1TOD 765g'20' E o �S"' / 4. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY–PANEL No. 360813 0094 D
ZONE A4 (EL 8): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND
FLOOD HAZARD FACTORS DETERMINED.
e LP y$ 100.00, B: AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD;
IpO' LIP LIP — °RCN °qs / 'OD' OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS
LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS
/^7 co �" °NA'N O+s LESS THAN ONE(l) SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM
e / P \ UND SO,0. THE BASE FLOOD.
ENP. 1 ty� �HaA' PIPE
,- 5. ZONING USE DISTRICT: R-40
C°°DNCOMON 6. S.C.D.H.S. REFERENCE No. R10-95-0136
x O
OSSS" \ \ \ \\\\\\\\ EXP. ` PROPOSED 50% ENRNNSION POOL
2 \
Q 35•
PROPoSm WInARi IFILHINC POOL
r-
' PROPOSED SEPTIC TANK i
I I
O O I N
\\ \ \\ Il SPpOLSE II
N \ \
'. � � � ���� \ L
111 rn \ �' –J (Nor To SEPTIC SYSTEM DETAIL
O m \ I} C.D15 (xsrAL1}
nnlsx oRAtt
nr xNxvpaaa
aLv. e.aA I
�:
TOP M, A,r CLEAN
r I
S51 \O
m !Z V 41 —I• IGx, ra ¢. Hs' —r Yw.
u
YIN f DM
sEPm LF/OIINa LFICHWa ! J'
�F ILLI Q NJ. PIIC'M HmE°I/P/1' POaL PWl u
Tp0' I
O 4,N
YtANSAND
rdm I/c%I• Ixt ¢. J.r ¢. Le• cou.0
n
J.eI��e•—�--11—e�r-1 �.,
--
• lisle°'o. DoGlwUND MATER
• O Euv. -0.2'
/M �RX Mi .a MAL sENAGE MPONPL SSfd MIN r aIF.W SAND !GRAVEL COUI 1-900 GV1DN PRECAST CONCREW
SEPTIC TANK,AND 5-eA DDYEmE M xA HIGH FlSGST WHOPE1E r
. @ I MIIA, I � � IEtH,NG encs. 110"1 or LVLS To PDDME AN. z
' JMwE clRluxD WATfA
N1 O 9
4, o/ d .. `
Y• •� ' 76. I
M 4A' ° "TE wEu.
/9 $'20" Y HAIL LOCATION SUFFOLK
PT HEALTH SERVICES
C,0
FOR APPROVAL OF CONSTRUCTIONONYk
i
EDGE OFP N AN ,°1H00.00, ROq°LND DATE H.S. REF. No.
p° - ` TV ` '° ' + TEST HOLE DATA
U7�
1y 'p 'p a . a .q (DUG BY McDONALD GEOSCIENCE ON OCTOBER 17, 1995) APPROVED G
1 ' y TJ EILv. - ar r' � I
rT r IIYNIMa" U
CwEDWELLING ' AV 1V U x
OVER /SO') w� L°N"N YND THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD jh
CESSPOOLS 3 r OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS, 11
4 DROWN ONE
TO C
10 WRSE sAND
L
1. 1
H Otl' -GG
The water supply & sewage disposal sys—
tems for this residence will conform to the ,
eessP DWELLIN wAm w PNB OHNIN, standards of the Suffolk County Department
MINEro EaNSE SAND of Health Services. UNATHDRIZED ALTERAnON OR ADDmoN
pOLS G TO THIS SURVEY IS A VIOEAnpN OF
OVER EDUCATION ww E THE NEW roreu STAFF Ili
COPIES OF THIS SURVEY MMP NOF UEAITN III
THE LAND SURVEYOR'S INKED SEAL CR
EMBOSSED SEA SHALL NOT BE CONCELIoi �I
TO BEA VALID TRUE COPY
GUARANTEES INGICATN HEREON S.ITIJ IFOR WHOM THELPI ONLY TO THE PERSO [�
DWELLING
Is
PREPARED,
°OVERNMENTAL ACENUI hl,
LENDING INSTITUTION LISTED HEREON. "ill
TO THE ASSIGNEES OF THE LENDING 1911
PFENNIG CONSTRUCTION CORP. TUTOR GUARANTEES ARE NOT TRAwsreernEE. 'I!
P.O.BOX 244
WADING PHONE(516)929-345692 ANI
THE EXISTANCE OF RIGHT OF WAY'
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AND/OR EASEMENTS OF RECORD, II"
I , FAX(618)929.4272 ANY, NOT SHOWN ARE NOT GUAttnH;110
APPROXIMATE WELL I I 1
LOCATION
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FOR iR DANCE WITH
ASE MINIMUHEOBY THE —�•Y`•' J,•, _�h
L FOR SUCHI USE BY TIEAND PNEW YHK'STATE LAND ADOPTED
MILEPROVED CA. Ingeg 1_.�
—� E ASSOCIATION. Land Surveyor PryI
Title Surveys — Subdlw.,.re — Site Plans — COnsfruchon IOP
PHONE (516)727-2090 FG. (516)727 „
OFFICES LOCATED AT L00ING FIIAB5
L N.Y.S. Llc. Na. 49668 One UnSquare IAA ❑r, IsF
New New York 71931 RlverhP 0 Nevi 1,
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\ V V TATE CONSTRUCTION h ENEflGY '+
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PLUMBING f
. ALL PLUMBING WASTE
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N.Y. STATE BUILDING CODE.
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New Suffolk Ave
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