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Home My WebLink About26773-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27753. Date: 06/15/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 595 ALBO DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 2000 pursuant to which Building Permit No. 26773-Z dated SEPTEMBER 14, 2000 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 COVERED FRONT PORCH, REAR DECK, UNFINISHED ATTIC AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to PETER & DEBORAH CONRAD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0071 05/25/01 ELECTRICAL CERTIFICATE NO. 1815 04/16/01 PLUMBERS CERTIFICATION DATED 06/08/01 G.A.H. PLUMBING IP4or' ed Signature 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. 26773 Z Date SEPTEMBER 14, 2000 Permission is hereby granted to: PETER & DEBORAH CONRAD 12 STONY BROOK LANE ST JAMES,NY 11780 for CONSTRUCTION OF A ONE FAMILY DWELLING WITH 3 BEDROOMS, PORCH, DECK UNFINISHED ATTIC AND ATTACHED GARAGE AS APPLIED FOR AS PER DEC & TRUSTEES. at premises located at 595 ALBO DR LAUREL County Tax Nap No. 473889 Section 126 Block 0002 Lot No. 011 pursuant to application dated AUGUST 9, 2000 and approved by the Building Inspector. Fee $ 875 . 60 Authorized Signature ORIGINAL Rev. 2/19/98 ' roan ivu. u TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1 . Final survey of property with accurate location of all buildings, property lines , streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used -in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant . If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00. Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $100'.00 3. Copy of Certificate of Occupancy - .25v. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 1xr5--((.00, Commercial $15.00 Date . . . . . .1 . � .`. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . .cA�0 d Or Pr e-existing Building. . '' �. ff Location of Property. . . . . . .b: . ✓.y a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. ( Stree"t p Hamlet Onwer or Owners of Property. . . .t r. .Q, i,' , ✓k,�3O, , , . County Tax Map No 1000, Section. . . . . . . .Block. . . .Z. . . , , . . . .Lot. . . • . . . . . . . . . . . . . . . . . . . . . Subdivision. . . .�.n. . . . . . . . . . . . . . . . . . . . . . . . . ..FFileJd�rM�ap. . . . . . . . . . . .Lot. Permit No. . . (.:.(�,� Date Of Permit. . . 1. !�—vv . I,. . • . . . . . . . . .Applicant. . .. . . . . . Health Dept. Approval. . .... .. �(7 „ . 1, , , ,Underwriters Approval . . . . . . . . . . . . . . . . . . . . : . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Finalftertic e. . �... . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . / loso P ICANT y F -TAH 19 100 13:29PM SOUTHOLD TOWN HALL 516 765 1833 P. 1 o Fax (516) 765.1823 Town Hall, 53095 Main Road N Telephone (516) 765.1802 P. O. Box 1179 0-0 Southold, Now York 11971 -4,0 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: t Q Building Permit No . (:� 1� Owner: (please print) Plumber; C vl ' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbs signAftrC Sworn to before me this day of (-� �" - LINDA 8. HANSEN, NOTARY PUBLIC, Sten of Now York Notary Public , 5� � County No. 52.4524455. Suffolk Cw*y form Expires MW 7/3i oa Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application No: 1815 Date: 4/16/01 Issued to:Schembri Homes Address: Albo Dr. Village: Laurel Zip: 11948 Township: Southold Introduced By: DeLane Electric Inc. License# : 4354-E was examined and found to be in compliance with the National Electrical Code Attic❑x 1st RoorE Residential 1XI Pod W.Garage BffiM nt❑x 2nd floor 191 C,onynercial F-bt Tub W Defects Switches Receptacles Fixtures G.F.I. Heaters Air Conditioners 31 49 21 4 Fans Dishwasher Washer/Amps DryerlAmps Oven Carbon Range/Amps Monoxide 3-paddle 1 20A 30A 40A 1 Furnace Oil Gas Circulators Smoke Bell Detectors Transformers 1 yes 3 6 1 Other Meter Amps Phase Motors Equipment 2-Exhaust Bath 1 ODA UG 1 1-Hood ut,Res This certificate must not be altered in any manner Building Permit No.26773-Z o��S�FFO(�cOG �� yam► Town Hall,53095 Main Road p '� Fax(516)765-1823 P.O.Box 1179 W �? Telephone(516)765-1802 Southold,New York 11971-0959 X01 � dao BUILDING DEPARTMENT TOWN OF SOUTHOLD June 11, 2001 Schembri Homes, Inc. 20442 N, Country Rd. , Suite 203 Wading River, NY 11792 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is (not on file• )$25.00 xx No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26773-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-02503/00001 ■ March 6 2000 FACILITY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental Conservation Law March 6, 2003 TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Managem ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ■ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, Y Scenic and Recreational Rivers ❑ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Contro PERMIT ISSUED TO TELEPHONE NUMBER Deborah & Peter Conrad (631) 862-6113 ADDRESS OF PERMITTEE 12 Storybook Lane St. James, NY 11780 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Conrad property, 595 ALbo Drive LOCATION OF PROJECT/FACILITY Laurel, NY COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: Construct single family dwelling, decking, driveway, septic system and install one well as shown on the attached plans i prepared by Joseph A. Ingegno last revised 2/1/2000 and NYSDEC approved on 3/6/2000. 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 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans (KAK) Building 40 SUNY Room 121 Stony Brook NY 11790-2356 AUTHORIZED SIGNATURE n DATE March 7 7nnn Page 1 of 4 1 i STATE OF NEW YORK ) ) ss COUNTY OF SUFFOLK ) WARREN A SAMBACH SR. being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 7675 COX LANE, CUTCHOGUE, NY . 11935 That on the 3 day of August , 2000 deponent amAiitexVengineer, licensed by the State of New York, hereby states thatys/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 126-2-11 0 , PETER CONRAD street address595 ALBO DRIVE, LAUREL, NY 11.948 MOMMEngi peer, Sworn to bVea is 41day o , 2000. OMr J.8CHOLAND Notary Pu lic IoyryPublic.>l�sofNsw� No.4795M 8ufiolk CouMl► ' CC' Applicant '• �,k �. `tel r•- � N ; Board Of Southold Town Trustees , SOUTHOLD, NEW YORK . April 26, 2000 ' . PERMIT NO. 5.1510 . . DATE: ......P .. ISSUED TO .......PETER...&..-DEBORAH_.CONRAD......... Aut4odution ' Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the y REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;". and in accordance with the .:<. Resolution of The Board adopted at a meeting held on .....A...P...�..ri.. ..1-9., 000 150.00 ......... . aid b ''. ,`'° I�.._........, and in consideration of the sum of �........ p y .......... _ ._ _ _.... ...... ......................................................... Peter & Deborah Conrad St. James of - _.............. ... N. Y. and subject to the ` Terms and Conditions listed on the reverse side hereof, °; ' ►:. of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a wood frame, single-family dwelling, public water, septic system and a gravel driveway as per Ap;,rovl survey dated Sept. 21, 1999 and last revised Feb. 1, 2000. 1 all in accordance with the detailed specifications as presented in 4 the originating application. h The said Board of Trustees here- •,� a� IN WITNESS WHEREOF, < Corporate Seal to be affixed, and these presents to by causes its Corp �:- - be subscribed by a majority of the said Board as of this date. ; .y x Henry_ Smith - Absent / Trusteesw � •�' .. .�-.-.�• .y,—.R..w.o .Y a:..'s.. may..�• ,• '\ Yom.--.I r1' ]/ �'�arM�- ./ ./.{'• -_.,, •,•fir. t � � �� ,�.,;.�p. +� �� M► ''��-ii►� .•fir' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER i EFFECTIVE DATE 1-4738-02503/00001 March 6 2000 FACILITY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATE(S) Under the Environmental Conservation Law March 6, 2003 TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ■ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ❑ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Deborah & Peter Conrad L(631) 862-6113 ADDRESS OF PERMITTEE 12 Storybook Lane St. James NY 11780 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Conrad property, 595 Albo Drive LOCATION OF PROJECT/FACILITY Laurel NY COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk 7"Southold DESCRIPTION OF AUTHORIZED ACTIVITY: Construct single family dwelling, decking, driveway, septic system and install one well as shown on the attached plans prepared by Joseph A. Ingegno last revised 2/1/2000 and NYSDEC approved on 3/6/2000. 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 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans (KAK) Building 40 SUNY Room 121, Stony Brook NY 11790-2356 AUTHORIZED SIGNATURE DATE toAM07' .4'1A March7 z000 Page I of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights 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 impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to EC.L 71-0301 and SAIDA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities(SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1', SUNY Bldg#40, Stony Brook, NY 11790-2356 . General Condition 4: Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: 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 regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology,.or applicable law or regulation have materially changed since the permit was issued. DEC PERMIT NUMBER PAGE 2 OF 4 1-4738-02503/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLE 5),24,25, 34 AND 6NYCRR PART 608 ( FRESHWATER WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes,and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S.Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. 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 project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application.' Such approved plans were prepared by DEC PERMIT NUMBER PAGE OF 4 1-4738-02503100001 r, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. Any work, disturbance, and storage of construction materials shall be confined to within the"Limit of Clearing and Ground Disturbance"as shown on the approved plan. 2. A 25 foot buffer of undisturbed natural vegetation shall be maintained landward of the wetland boundary at all times. 3. Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end on the downslope edge of any areas of filling, grading or excavation. The bales shall be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. The average useful life of a bale is approximately 3-4 months. Sediments trapped by the bales shall be removed to an approved upland location before the bales themselves are removed. 4. Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of on an approved upland site more than 100 feet from any regulated freshwater wetland. These materials shall be suitably stabilized so as not to re-enter any water body, wetland, or wetland adjacent area. 5. The driveway must be surfaced with a permeable material. 6. All equipment and machinery shall be stored and safely contained greater than 100 feet landward of the regulated wetland or water body at the end of each work day. This will serve to avoid the inadvertent leakage of deleterious substances into the regulated area. Fuel or other chemical storage tanks shall be contained and located at all times in an area greater than 100 feet landward of the regulated wetland or water body. If the above requirement cannot be met by the permittee, then the storage areas must be designed to completely contain any and all potential leakage. Such a containment system must be approved by NYSDEC staff,prior to equipment, machinery or tank storage within 100 feet of the regulated wetland or water body. 7. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass, and mulched with straw immediately upon completion of the project,within two(2)days of final grading, or by the expiration of the permit,whichever is first. Mulch shall be maintained until a suitable vegetative cover is established. If seeding is impracticable due to the time of year,a temporary mulch shall be applied and final seeding shall be performed as soon as weather conditions favor germination and growth. 8. Suitable vegetative cover is defined as a minimum of 85%area vegetative cover with contiguous unvegetated areas no larger than 1 square foot in size. 9. The permittee shall incorporate the following language as a notice covenant to the deed: 'Regulated freshwater wetlands associated with NYSDEC Wetland MT-4 are located on or near the properties of Deborah & Peter Conrad and their heirs, assigns or successors. This property is subject to the provisions of Environmental Conservation Law(ECL)Article 24, and the conduct of regulated activities may occur only pursuant to ECL Article 24 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor(s). Regulated activities include, but are not limited to clearing of vegetation; application of chemicals; excavation; grading and filling; and erection of any structure(sj:" 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 permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager Bureau of Habitat, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER PAGE 4 OF 4 1-4738-02503/00001 1 J/ STATE OF NEW YORK ) ss COUNTY OF SUFFOLK ) WARREN A SAMBACH SR being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at 7675 COX LANE, CUTCHOGUE, NY . 11935 That on the 3 day of August , 2000 deponent aochilazVengineer, licensed by the State of New York, hereby states thats/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- 126-2-11 0 , PETER CONRAD street address595 ALBO DRIVE, LAUREL, NY 11.948 '1 MOMMEngineer Sworn to beJo7wis -uay o , 2000. G J.S4'iIO-AND Notary Pu lic PuWia.9h"0INGwVxk V Na 4M cc: Applicant ti Taj V • S%-E- NSFi�pV JQ ioo o Air Or ,� ' •F �• `Vit'''. ` f 4 Cd Co C \ , N 373, 444 m / \ .n ' .; /000,1, l SURVEY FOR GREGORY M. & ELLEN SILIRIS A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 126 - 02 - 10.1 Scale: 1" = 40' July 25, 1995S - NYSDEC Commencement NoticeAm Bureau of Habitat SUNY, Bldg. 40 Stony Brook, NY 11790-2356 Permit No: I-Yq39-62so 3L___ _ I Issued To: RU G Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized activity shall commence on The permit sign will be posted at the site and copy of permit will be available at site for inspection. Submitted by: This notice is to be sent at least 2 days in advance of commencement of the project. Failure to notify or post will leave owner and/or contractor subject to applicable penalties for non-compliance with permit conditions. Cut along this line NYSDEC Completion Notice AM Bureau of Habitat `/ SUNY, Bldg. 40 Stony Brook, NY 11790-2356 Permit No: Issued To: old Contractor's Name: Contractor's Address: Contractor's Phone No.: To whom it may concern: Pursuant to Supplementary Special Condition D of the above referenced permit you are hereby notified that the authorized activity was completed on Submitted by: This notice, with photos of completed work and/or completed survey, is to be sent to above address promptly upon completion of project. Failure to notify will leave owner and/or contractor subject to applicable penalties for non-compliance with permit conditions. T65-1802 BUILDING DEPT. INSPECTION [ ] FDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE �� 7/dTD INSPECTOR �'^'� 773 -76� BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING � [ t FINAL [ ] FIREPLACE/4k CHIMNEY REMARKS: � ?J ,DATE �/Xl/ INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2NDNSLATION [ ] FRAMING FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: �a ,DATE f INSPECTOR i M-iso2 G suaciNc car. INSPECTION [ ] FO ATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE �� INSPECTOR 1 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FNDATION 2ND [ ] INSULATION [ FjiAMING [ ] FINAL [ �!FIREPLACE 8 CHIMNEY REMARKS: -tizM ,DATE 9 169 Z INSPECTOR BUILDING DE". INSPECTION [ J FOUNDATION IST [ ] RO GHPLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: tz DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO PLBG. [ ] FOUNDATION 2ND �j [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C NE REMA .07 DATE � INSPECTO BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ON [ 1 FRAMING [ INAL / - . [ ] FIREPLACE 8 CHIMNEY REMARKS: ,DATE � '� 4 INSPECTOR �� 73 � M-iso2 BUILDING DEPT. INSPECTION [✓] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: 7 j ,DATE INSPECTOR o I M.180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ J ROUGH P BG. [ ] FOUNDATION 2ND [ ] INSTION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE � �� INSPECTOR / 11/ TV tP r Al,!, �A / 'm -.52�- �I� 1 - - i a :✓i/ /i % i! EllI�� l Effs BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: q CALL . . . . . . . . . . . . . . . . . . Exaanned...l //......... 20jap MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....��.........Z�c1®. Permit No. ! � .� .�Z- .................................... Disapproveda/c .................................. .................................... ...................................................... ..(Building•Inspector)........ APPLICATION FOR BUILDING PERMIT AUG 9- 20M Date. . . . . . . . . . 209. . . �--,� INSTRUCTIONS a. letely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings an premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection througl=t the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of occupancy shall have been granted by the Building Inspector. APPLICATION IS HUM NAIL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demlition, as herein described. The applicant agrees to comply with all applicable laws, ordi bu" i housing code, and regulations, and to admit authorized inspectors an premises and in buiidi i ' tions. 1 _ . tun e.•f•applicant,.or name, co••.•.rp tion) GiW3 � A / (SiTr ./... ...... ............. ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber buil ....•:........:.........r...'.. L�..T------..........__.....r...... , 1___ _.........-.1....................•....... Name of owner of premises 2erT�'r..u'G?..Y1JC' .Q��...�Pr1 . ..1Qr.Cl -C-O.bra:G........................... (as on the tax roll or latest deed) If appli2.6.Ss4 ati signature of duly authorized officer. • . . .••••--••••.-•-•.• (Nameand title ofcorporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be dam....................................................... ....... 5.a5..Alli Zr i ve ........l-o:uv all.................................................................. House Number Street Hamlet Canty Tax Map No. 1000 Section ....k 7—.6...... Block .............. Lot ..JA........... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... b'can ...IQ�nd.................................................. b. Intended use and occupancy ...!5in Ae...�o,ro1 y... W1.0 ............................. �J 3. Nature of work (check whidi'applicable): New Building ..X..... Addition .......... Alteration Repair ............ Removal ............. Demolition ............ Other Work ................................. 5 ) a (Description) 4. Estimated Cost .... ........... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......I.... Number of dwelling units on each floor ........... If garage, timber of cars ............I......:................... . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....NIPS ...... Rear ............... Depth ................. Height ......................... Number of Stories .................... Dimensions of sawstructure with alterations or additions: Front ....Nj A...... Rear ............... Depth .................... Height ....................Number of Stories ............... 8. Dimensions of entire new construction: Front .5.5.' 5 .'. " ,,.., Rear .. ,,,, Depth .............. Height ......................... Number of Stories ......2........... n 1 I.Z wes-}side taa4�icle, 9. Size of lot: Front .....10C).Le.C4 ... Rear .... O,.31...... Depth ...z1q., 5.. .,�1 1 -02- 10. ()Z,10. Date of Purchase .51391?4 c?Q ... Name of Former Owner .An�b9ny.�-Q�Rp50;..q�d.�tAjne, �.ARosA. If. Zone or use district in which premises are situated ........................................... 12. Does proposed construction iolate any zoning law, ordinance or regulation: ..........04(5 ......... 13. Will lot be regraded ......... Will excess fill be reamed from Lpremises: YES LL 14. Names of Owner of premises r{.1ens- De6or&l!i.CRnrdcJ Address No. $(PZ-013.. p Name of Architect l Mi.3Arm...................... Addressa1.3Q ►n�O CKIGu� ��5oK{.�olPixxhe No.145'!$4?-.. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES ........ NO ...X1- .. *IF YES, SQT>IYHD TOM TRUS'IMS PERMIT MAY HE WJWIRED.° . PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. SfK[T OF NZJ Y(X2K14 ...... SS 0CMIT OF .... -- - A-17-e� S�ele- being duly sworn, deposes and says that he is the app] .icatht (Name of individual signing contract) above named, Ile is the .......jaoou '� .......................... __ _ _ (Contractor, agent, corporate officer, etc.) •..••.'•.•-.'•• •• •• -�� of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mam er set forth in the application filed therewith. Sworn to before me this ...... .J1/L ....day of ..Act .:?0.d 62 Notary Public ............. ............ . • ••.•..•...-•. (Signatureof Applicant) C-0 Q�� Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/09/00 Receipt#: 2994 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Check#: 2994 Total Paid: $10.00 Name: Conrad, Peter And Deborah Albo Drive, Laurel 12 Storybook Lane St. James, NY 11780 Clerk ID: HELENEH Internal ID:16312 D U 1U-)l N O Applicant/ �le .i. n J Date Owners Nanie: or L o nr a Reviewed: Architect/ Date G�.r'�� Engineer: WJ� G� r4- Submitted: '��V'09.-00 SCTM fl: District: 1,000 Section Block Lot I Project 11- (� --p— Subdivision 1,4 Location: 5ci5 /� o DA �'Z--CJI Name: � Single 8c separatetired certification. Ye /No Rey y / Req. _--- — -- 7onote DISIrlct /4 l iot size �^ Acmial 2-.31Oj .Z9# ro I' Ios "�QQ xc.l L ReyQQ�� Rey Re (Front Yard T� Proposed. % , J (Side Yard �.'�/ j Proposed:*65 / J (R ar Yard SAO/ AO Proposed Project Description: ;A4.6 4 U,A F'7,31 S STC-+ tee-, AGENOtVERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ✓ Rid—QG1707/ New York State D. E. C. -o2&3A00a ) Town Trustees ✓ Town Zoning Board approval: / Town Planning Board approval: ✓ Flood Plane Elevation ??? Flood Zone: t ¢&1 Notes.: �s� F•� � 20 6'� s�- 2�o F� . i Bim► -SF ' SSS $F `/C6 SF K -26 '�;c CSC Ia^ TEST HOLE DATA (TEST HOLE DUG 9Y kQ2Q l Lp C-£OSGIENGE ON AUGUST 26, 1999) a". d SURVEY OF PROPERTY r�tg N� Nio °`"," ""SArxsr `°"'' °` SITUATED AT vt', co s� > LOAMY S" SM LAUREL •�0` F RY�cY .. 3' TOWN OF SOUTHOLD ev SUFFOLK COUNTY, NEW YORK or+r£ S.C. TAX No. 1000-126-02-11 \ £ f��3f• PAIS BMWFSE SP SCALE 1"=40' \ To L6DR11A sura SEPTEUKR 21, 1999. \ OCTOBER 22, 1980 ADDED PROPOSED HOUSE \� NOVDA" 19, 1908: ROAM PROPOSED HOUSE '-, FEBRUARY 1 2000 REMED AS PER NYSDEC NOTICE JUNE 6. 2000 REASW AS PER S.C.D.H.S. ,lea-v a MV AREA = 23,465.29 sq. ft. \\ A N 0.537 ac. �jyV + \ c u S SP CERTIFIED TO: q�g \ DOWN STATE TITLE AGENCY, Inc. PPETER C N RAD 1 7--. - \ 44 w 1. EL[Y/ATNNAS J� TO NA V.D. IBM "TW SABRING 001110184 LIMES ARE WOW IMM -- -- --5-- ----- 2. LRIIMRtit St*T1C TAlll( 0AtA01T1ES FOR A 1 TO 4 BEDROOM HOUSE 15 1.000 CALLOW& TNB(:a' LAZ 4'-74` WEE. 6'-f OEM 3. 1 POOL. 12' NIING P BEDROOM FOR A t TO 4 OROOM HOUSE M 300 sq fl SDEWALL AREA. FE _ t/ /do 'l bjii T.S \\ \ 4tTQ�OP 1 M0�txp*Mlft POOL ®Qw PROPOSED LEACHIMS POOL B / ' _w.a ' l �POOPOREO S6P14C TANK -- IS- A1' 4. TME LOCATION OF IItt63 A1D CEVW4XKS R A' MDKON ARE FFjj J LO 0 1fAlk0f$AMO/40 DATA OBTARIED FH011 Oi1DRS. / / ! S FLOOD ZONE k FLOOD RXrId F576SORCMI r_T O 1 -,� �"'T+ pStV ,�► / '`'/9 zm AE am mom Emmom MTB&w DAWM IW T1MM Fi°ae`roDT'ai Ic '== � f { SUFFOLK COUNTY DUARlMW OF HEALTH V AMB BE O PR0ti1lwo .�LOW�t11,M_. - = _ e� __. �. •"'r� A� Tp to ee aursoE eoo-t�rw ftnoon:An c")c-:1 co � --- r i100 � ti w,,�R��rfv PEMUT FOR APPROVAL OF CONSPRUCTION FOR A ° , �, ANGLE FAMILY RSSIDRNCE ONLY "'"' r wie t -" 'u+� , Mme, ",�,r� DATE HS REF.I�10. 0 't �._a c�, _ 9 a ,�,fixx APPKOYED O rF tJ Cs "i FOR MAX1M(bi OF, B R MS �tr SXlM IMN YEARS FROM DATS OP AtP' , , r �! la 4,Y.$. fC� Dom. ALTEMgOM CR AQOIOOM "��Lllyv. >SOF AE NENTODtSTATE Jo " : 1NELAIONMDCOMINDINED [0 10 TIA ,"M om,. BE :5i—m- veyor OoLLYla M 4"s low ALD rft S - 9rb4fA+bm - suo ftm - Co mirmfon LWOnt T� PHONE (431)727-2M Fox (531)727-1727 THE El ISINDE OF R19EIT bF MAYS 01 LOCATED AT AOUL C AGIONEW ' /%TORD �i1R�NWoMiON/M. 13M 140#61M fNE1RlE P.O. Bac 1931 _ RAID. Nm York 11901 Rlvabsoc IND York 11901-OM SURVEY OF PROPERTY Tk� SITUATED AT LAUEL s3s Nw co S8R TOWN OF SOUTHOLD e ''• .1Q; f SUFFOLK COUNTY NEW YORK rvx � S.C. TAX No. 1000-126-02-11 qc t2p SCALE 1._40. •3 \ � � SEPTEMBER 21. 1949 \ 3,1 OCTOBER 22. 1999 ADDED PROPOSED HOUSE \ NOVEMBER 19, 1999 REMISED PROPOSED HOUSE FEBRUARY 1. 2000 REVISED AS PER WSDEC NOTICE JUNE 6. 2000 WMED AS PER S.C.O.H.S. N NOVEMBER 20. 2000 FOUNDATION LOCATION '\ \ AREA = 23,405.29 40sq. ft. .\ \\ '++ \ CERTIFIED TO: , '\ DOWN STATE TITLE AGENCY, Inc. \\ DEBORAH CONRAD �► ''�,t� T�'+ '\ PETER CONRAD v marlm. \ v 1. ELEVATIONS ARE F"EKMCED 70 NJO.VJL 1M DATUM OUSTING nEVATIONS AK III00 TMllir U L F1A00 mW NFOMMTiOM TAM FWA f1ME AF. BIITr AK�00 3610900481 O �, h FCONCRr [ zaNE x•: DAWAS onN OF FF LOS WW 1�FUDr�Wa 100-NSWo NAl li 7 OP SQUAW MRL M WA POMMID er lt1ASx f110M ift-MM RACD. s 4 =' ZONE X AWAS DEMSIM TO SE OUM E 500-YEAR R CUPLARL 0 / o e� � h' / ti 100.00s MNNUM a. � pd,•N� T y f. �ll�� FOR UIO AL oWA? . 4 4v 1 0A. z _ 6 \ F NX-S. 70 TM0°a er �ReMm MAOOOrM „ OF 0E IES Pall(4iA1E Jo A. k�gegno ne"m mom NOW my `a Land Surveyor 10�t A�YM D'LTDE OOII�E® Comm►wols tlpCAPORSOMlrl NaeoMINDIA ova RUN ON=7RLt aoWAMM.fOYTHE sumov ORW 10 THE K ANN=MID Tft S n"s — SY6dvfliORd — Sb ftm — CONMbucum LOWA NRIf19NIRON Low NOOK AND WAL N'"EiE a'IDTTwIr AKL PHONE (631)277-2000 Fox (631)72-1727 TW OF OMIT OF WAYS OFFiLY:B LOCATED AT W M ADLM Alq/ %Aw+ExTs aF flEooIN9. s AMY. NOT lIIOWN AK MDT NRIAMNTEEo. 1360 RDAl101LE AVENUE P.O. Sox 1931 RIVER HEAD, Now York 11901 Wwrhood. Nw Ywk 11901—OM r _ .-__.....1 SURVEY OF PROPERTY JUN 15 ��' '�� SITUATF,D AT _ s TFi� 'V4�rl�,F%i� _ �._�_. LAUREL i) r- `- c TOWN OF SOUTHOLD N�• . , I,iT TOLD C n E t - SUFFOLK COUNTY, NEW YORK � S.C. TAX No. 1000-126-02-11 rV 'k M A'F �2 ---`—'_ SCALE 1"=40' r 0 31 S[IlL,'i r'CIi;v 1"�� i l .. ' SEPTEMBER 21 1999 _ tip: APPR7. AI. D FEPO 108ER 22, 1999 ADDED PROPOSED HOUSE NOVEMBER 19, 1999 REVISED PROPOSED HOUSE RUAP.Y 1, 2000 REVISED AS PER NYSDEC NOTICE jo O QQ JUNE 6, 2000 REVISED AS PER S.C.D.H.S. 4f(ET " - /1 �a �O - NOVEMBER 20, 2000 FOUNDATION LOCATION MAY 2 5.20Q1 APRIL 11, 2001 FINAL SURVEY `L J r AREA = q ft. r° 1'he � �✓, r found to E t ....i !tv 9 t^'1 tuYC T1 �`` 3 N rdf 537 ac. 23,405 29 s I °"E x Y `'`'' CERTIFIED TO: ti F yGko bo,S2t1Sfa"j0!f 19� z' N�,�1-oas f� avE >r ° ._ DOWN STATE TITLE AGENCY, Inc. "j, 'ae tie ,mow DEBORAH CONRAD N , ME sH o" eRM PETER C w�rFa ONRAD a q �� -- �`_ �y WA rEN -7 " WFr, .Q• ?_, - .eia , -'r v e° 01f(Ce Of 1 .Wxl tildaiw"rE .�I!VIwTAgCment S.C.D.H.S. No. R10-00-0178 �i I E� STEpc s `O NOTES_ -, - 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM I �FCe o 1� I,r, 70 -�__ �• EXISTING ELEVATIONS ARE SHOWN THUS: ,O OOL ,';fir - 2 FLOOD ZONE INFORMATION TAKEN FROM: ECk >� - FLOOD INSURANCE RATE MAP No. 36103CO481 G LONE AE BASE 8006 ELEVATIONS DETERMINED V Q Z S / ZONE X AREAS OF 500-*EAR FLOOD, AP,FAS OF 100-YEAR FLOOD WITH AVERAGE SS THAN I FTOT OR WITH DRAINAGE AREAS E �G R�M� �N�7�R� �� DEPTH ESS SQUARE MILE. ANO AREAS, P OTTECTED By LEVEES FROM L100 YEAR FLOOi' O V Q(,'� ZONE x AREAS DEfERMwF.D To BE nIJTS10E 500-t EAR cLOODPWN 3 DISE�Re�lvct r� r� ,AN L RL h M:NO 3 M F`Li'Ck tV 13 3Q �SppO�� a so W PREPARED IN ACCORDANCE WITH THE MINIMUM R TITLE SURVEYS ` _ / THE NEW YO D UNG OVERHF.90 O oo, `0UN�� _ � �,p,ND TANTHE DARDS AFOS AND APPROVED AAND SADOPTEDD -�� WIRES 1�N/NG 0 NC MO�` 196' (.t IATION. RK STA L �I S SSOC USE BY �PI)e(Ic wAr f EOGE OF VE _ r/i r P Lf j UJ oy�Q�A.IN 0 7 $ }': N � i1. 1 v l ONCG • '- MON Z NY S. Lic- No. 49668 �� -- UNAUTHORIZED ALTERATION OR ADDITION \ _ TO THIS SURVEY IS A VIOLATION Of - SECTION 7209 OF THE NEW YORK STATE �t -- EDUCATION LAW. Joseph A. Ingegno I COPIES OF THIS SURVEY MAP NOT BEARING, INKEDTHE LAND SURVEYOR'S EMBOSS D SEAL SMALL NOTBE ECONSIDERED Land Surveyor 70 BE 4 VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN - ONLY TO THE PERSON FOR WHOM THE SURVEY ---- IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727--1727 THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED Ar MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF P.O. Boz 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE RIVERHEAD, New York 11901 Riverhead, New York 11901-0965