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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27751 Date: 06/15/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 700 BEEBE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 7 Lot 6 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1998 pursuant to which Building Permit No. 25382-Z dated DECEMBER 7, 1998 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 REAR DECK AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to DOUGLAS FOERTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-96-0115 06/11/01 ELECTRICAL CERTIFICATE NO. N 550032 02/06/01 PLUMBERS CERTIFICATION DATED 06/08/01 DENNIS FRANKS t ori d 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. 25382 Z Date DECEMBER 7, 1998 Permission is hereby granted to: R ANGUS C/0 INLAND 700 BEEBE DR CUTCHOGUE,NY 11935 for CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 700 BEEBE DR CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0007 Lot No. 006 pursuant to application dated OCTOBER 8 1998 and approved by the Building Inspector. Fee $ 697 .80 Build ng Inspector ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL r` F-� o c'( L►� 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 off' 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 Buildinr: - $100.00 3. Copy of Certificate of Occupancy - .2-5V1 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$115 • • 5.0000, Commercial $15.00 Date . . . . . (� . • 1• •� . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . .2q p. . . . 13e t. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No.� Street Hamlet Onwer or Owners of Property. . . . ✓. (,G�li2S. . .G. ,c�,LY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . .Block. . . . . .2 . . . . . . . .Lot. .Q 6 . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . .� 3. . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0J � a-�-)s APPLICANT `0SoFO���� opo Gyp Town Hall,53095 Main Road y Z Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 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. C Owner: (please print) Plumber: ' �itJ/� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. r (Plumbers Signature MICHELE A.FFNN!N!3 Notary Public. No.Q' ad ii New A 1'c C_ . �t���/ Sworn to before me this Aug.14, _ day of JI Ln e ' )(92901 rA rNc!F A.FENN Notary Public, �j(j PR) k County Comm,....; THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1045!'33 BUREAU OF ELECTRICITY �y�y 1� ,yes ham, 40 FULTON STREET, NEW YORK, NY 10038 ',ra'. (_ . _'�,. Application No. on file - �'t'--, N 550432 THIS CERTIFIES THAT PERriIT NO. 25382 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DR.DOUGLAS FOERTH, 700 BEEBE DRIVE, INS.Y.TEL # 5, CUA r I:` �"jL. 11f in the following location; El Basement U Ist FL El 2nd Fl. GAR I V� -T: C 4-, J^' Section Block Lot was examined on JANUARY 31,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 27 40 43 27 1 1 10. : 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.j TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. OAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 3 F I —T- 2 - SERVICE DISCONNECT NCO.OF S E R V I C E METER NO.OF CC D. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1/2W 1/SW /3W J/4W PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 X 1 2/ 1 2/0 OTHER APPARATUS: CO DETECTORS-2 PADDLE FAN F•-1 WHIRLPOOL HATH-1 AIR CONDITIONERS 4 TON, 1.5 TON-2 M13TORS:1-4 H.P. ,1-1.5 H.P. ,2.-F H.P. P.ANELBOARDS:2-1 CIR. 60 -G.F.C.I:-8 SMOKE DETECTOR:-6 TRACK LIGHTING:-17 <a< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE`` UNDERWRITERS PAGE 2 1045135 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRUARY 06,2001 Ap I gn No. on le ``x''�''- ''/ N 550032 THIS CERTIFIES THATERFilT NO. (5382 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DR.DOUGLAS EOERTH, 700 BEEBE DRIVE, INS.Y.TEL # 5. in the following location; E3Basement El1st Fl. D 2nd Fl. GAR �i.1��11'i`„ Section Block Lot was examined on JANUARY 31,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEto FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC,Fvr.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC COND. A.W.G. A.W.E A.W.G. !I MT. AMP. TYPE EQUIP. It 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: De'1 ELECTRIC LIC.#3443 L L PMB 148 1078 RTE 112 PT JEFFERSON STATION, NY, 11776-•3043 GENERAL MANAGER 11 Per This certificate must not be altered in any manner;return to the office of the Board If Incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 12- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ CATION [ ] FRAMING [ ]] 1FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ILI ,DATE -INSPECTOR / X65.1802 BUILDING DEPT. INSPECTION [ ] FOU ATION iST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ) FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: DATE 1 INSPECTO ass-iao2 BUILDING DEPT. INSPECTION [�J FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE [ ! INSPECTOR a5�� 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ j FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY REMARKS: 3 �zr ,DATE INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE IN8PECTOR,,,,4�//�/%�� � 1--765802 --�! BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [c- -1lISULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: td Irl l'7 DATE INSPECTOR l M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ LJIF-RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 12 DATE 47117 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] �NDATION 2ND [ ] INSULATION [ i/j FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: I;,-/. I DATE INSPECTOR � ; o��SUFFO��-�O o� Gyp Town Hall,53095 Main Road H Z Fax(631)765-1823 P.O.Box 1179 Oy �.tC Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 9, 2001 INLAND HOMES, INC. 315 WESTPHALIA RD. MATTITUCK, N.Y. 11952 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 # 25382-Z FOERTH Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. .D IN:SPE&ION_RFPORT DATE , COMMENTS i ----____---- u u dDATION ( IST) ii — �i- -- 1 ------- -- - - iii - - - - - - - - - ----- ---- a VDATION (2ND) II a r� I of Z Gft FRAME & jr---------II-'� --� �� --- � PLUMBING �I II - -- --- 00, n -II II II T� ------ /�✓ F g ULATION PER N. Y. if x STATE ENERGYi' � cozr CODE AV os ----------------------II #___ ------------------------------------ -------------- ow, 11 N G7 FINAL ,I ADDITIONAL COMMENTS: --------------------- ------------------- SV RV li4ole TC Fil OSG07 c".Ally 0(.1t 'FLOOD If s ouU VeKIF tgls caN n Lgueve oze,6 ro oNo 4 rlvil Is 0 yr o F F(-cv a AmF,4t)Sn 9LA N S RA rn s T oo+f8 IAst' flew IKt ep t &ff. £ Re we- vor-mee-, U� 0/ 09c, y � --— - ------. _ C b I -- ------- 0-3 _- -------------------- --------------------------------------- NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01585/00001 ® 5/27/98 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) 5/31/01 Under the Environmental Conservation law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate I � ❑ 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 ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Claudia and Richard Angus ADDRESS OF PERMITTEE 163-34 87th Street Howard Beach NY 11414 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Patricia C. Moore Esq. 516-765-4330 PO Box 483 Mattituck NY 11952 NAME AND ADDRESS OF PROJECT/FACILITY Angus Property Beebe Drive LOCATION OF PROJECT/FACILITY Cutchogue SCTM#1000-97-07-06 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Construct single family dwelling, garage, driveway and sanitary system and place approximately 500 cubic yards of clean fill to regrade property. All work to be done in accordance with approved NYSDEC plan. c 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 George W. Hammarth MMR Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790=2356 AUTHORIZED SIGNATURE DATE 5/28/98 Page 1 Of 6 �t ZONE z5 X 0 OpO P C ZONE AE (EL 8) ZONE X C r Mn: ZONE X �' ZONE X DEER FOOT Ria DRIVE X RM97 ZONE *Coasi Ki Hazar ZONE X 9� 09 Z ZONE X ONE X ZONE X tiF Oe' Town of Southold e� 9 360813 "Refer N� O J W Z Q a ZONE X z 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER ® EFFECTIVE DATE 1-4738-01585/00001 5/27/98 FACILITY/PROGRAM NUMBER(S) PERMIT 5/31RATION DATE(S) Under the Environmental Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate I ❑ 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 ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Claudia and Richard Angus ADDRESS OF PERMITTEE 163-34 87th Street Howard Beach NY 11414 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Patricia C. Moore Esq. 516-765-4330 PO Box 483 Mattituck NY 11952 NAME AND ADDRESS OF PROJECT/FACILITY Angus Property Beebe Drive LOCATION OF PROJECT/FACILITY Cutchogue SCTM#1000-97-07-06 COUNTYTOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Construct single family dwelling, garage, driveway and sanitary system and place approximately 500 cubic yards of clean fill to regrade property. All work to be done in accordance with approved NYSDEC 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. [AUTHrOR,,ED RMIT ADMINISTRATOR: ADDRESS eoge W. Hammarth MMR Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790=2356 SIGNATURE GATE 5/28/98 Page 1 Of 6 GENERAL CONDITIONS Inspections 1. 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 ECL 71-0301 and SAPA 401 (3) . 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. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2 . The Department 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 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. 3. 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, fees or supplemental information the Department requires . Any renewal, modification or transfer granted by the Department must be in writing . 4 . 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 . 5 . Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other Legal obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. 7 . This permit does not convey to the permittee any right to trerspass 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. 8 . The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required for this project. Page 2 of 9,10-ha(7192)—2,c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title S), 24, 25, 34 and 6 NYCRR Part 608 ( Tidal Wetland- ) 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 floodplain 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 claire 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 or work 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 bility 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. Peconic Sunm OTS 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by y 10-24-96 R,ast revised of any wetland or waterway by suspended solids, sediments, fuels, on 6/18/97. solvents, lubricants,epoxy coatings, paints,concrete, leachate or any SPECIAL CONDITIONS 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.). b. 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. DK PERMIT NUMBER 1-4738-01585/00001 PROGRAMPACILITY NUMBER Page 3 of 6 95.20.6f(7180-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 0 SPECIAL CONDITIONS 25 Tidal Wetlands For Article 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 Linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1)week shall be contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 8. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 9. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. Therc shall be no disturbance to the natural vegetation or topography within an area extending 50 Linear feet landward of the tidal wetland boundary. 10. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 75 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. 11. Roof runoff shall be directed to drywells a minimum of 100 Feet landward of the tidal wetland boundary for immediate on-site recharge. 12. Driveways and parking areas shall be constructed of pervious material. 13. Roads, driveways, and/or parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 14. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. DEC PERMIT NUMBER 1-4738-01585/00001 PROGRAM NUMBER FACILITY ID NUMBER Page 4 of 95.20.6f(7/87)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For Article 25 Tidal Wetlands t 15. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with canal off East Creek are located at Beebe Drive, Cutchogue, County Tax Map Number: District 1000, Section 97, Block 07, Lot 06, otherwise known as the properties of Claudia and Richard Angus and their 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." 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. Supplementary Special Conditions A thru F Attached DEC PERMIT NUMBER 1-4738-01585/00001 FACILITY ID NUMBER PROGRAM NUMBER Page 5 of 6 SUPPLEMENTARY SPECIAL CONDITIONS The following 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.-4738-01585/00001 Page .6 of 6 9520.1 ter8-1)-9d New York State Department of Environmental Conservation ® Am `rNOTICE 011111110 o imw The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number -'{ �'4/S 8'S 0000/ JOHN W. PAVACIC Expiration Date j //07 00/ NOTE: This notice is NOT a permit COMPLAINT REPORT NAME S DATE ADDRESS PHONE# HOW RECEIVED, TEL MAIL IN PERSON LOCATION OF COMPLAINT rjOQ Beed- NATURE OF _ COMPLAINT n �a ASSIGNED TO INSP. DATE REMARKS r- . S- 0 ACTION TAKEN ftk S�N k3o FILE # (IF APPLICABLE) RE-INSP DATE L]= pro poseo< con-four- or c/evcvA o 1 ' Teal Boring FLOOD ZONES FROM FIRM COMMUNITY-PANEL NO. my s;a a c p r.L 4 3608/3 0092 D N gds AS p� TBRUG o ' ANP GONDLTIOm OF lT xa1-X938-v/SgS�oo��� 31 e.. . ro �._ DATES-a�-98 mn��2 _ C see Sw el f. - • 3 0 � , 3 , OOO• �' ?� �`� Dr. FIM /o comw 0 6 WOW Said Q � Sw Ir " SURVEY OF � LOT 28 'U4P OF MOOSE COVE' ?� Fie?AUC 30,1960 AS MAP NO. 3= O A T EA S T CUTCHOGUE TOWN OF SOU THOLD •or'� i i � �V -- �io SUFFOLK COUNTY, N. Y. 1000 - 97- 07 - 06 tea,,,,• 'Z �° �QQ� Oct. 24, 1996 Q� ?� 4, P 9 tour z O Mar. 21, 1997 (/0' Contour) .lune i8 - 11997 � A S ON lyes, a *3 G <- pools 0 ervatlons others. aV V 1 'mi BOARD OF HEALTH . . . . . . l' 3 SETS OF PLANS . . . . . . . .. j FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK • • • • • • • • • • ��nt .Tuy_ BUILDING DEPARTMENT SEPTIC FORM . • • • • • . . . . . . . TOWN HALL NOTIFY I&OUTHOLD, N.Y. 11971 MAIL TO :CALL • • • 298-9696 • • • • • • • • • • • • - I:xaniined . .L?�7. . , . , , , , , . ., 19 TEL.: 765-1802 :Approved . . 1g7. . . . . . . . . .. 19 Permit No. .�5��� Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) AP CATION FOR BUILDING PERMIT Date . . . 924. . . . . . . . . ., 19 98. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit ,:Ball be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,Ball have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 13uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tile applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Idinit authorized inspectors on premises and in building for necessary inspections. Inland Homes Inc. (Signature of applicant, or name, if a corporation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fame of owner of premises . . Mr.- & Mrs. Richard Angus (as on the tax roll or latest deed) It'applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz . . . . . . . . . . . . . . : . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL ONs RANo.CTO .��+��-ISLIFFOLK COUNTY LICENSED BuildePlumber's License No. 245'1 P . . . . . . . . . . . . . . . . Electrician's License No. . .36357. E . . . . . . . . . . . Otlier Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Beebe Drive, East Cutchouge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . Ilouse Number Street Hamlet County Tax Map No. 1000 Section . . 97 . . . . . . . . . . . . . Block . . . 0? . . . . . . . . . . . . Lot . . , ,06 Subdivision .Moose Cove . . . . . . , , , , , , , , , , , , , , , Filed Map No. #3233.0. . . . . . . . Lot . . 28 . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant land a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy New single family dwelling 3. Nature of work (check which applicable): New Building . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . , . . . Demolition . . . . . . . . . . . . . . Other WTk . "''... . . . . . . . . . . $150,000-00 (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . 1 . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . If garage, number of cars . . . . ?. . . . . . . . . . . . . . . . . . . . . . . . e�. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front Rear Depth . . . . . . . . . . . . . . . . . . . . . . Height.. . Num ,of Stories . . . . . . . . . . . . . . . . . ,S. Dimensions of entire new construction: Front . Rear Depth 56' ' ' ' ' ' ' ' ' . Height 24 2. . . . '100 Number of Stories . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . .1.Q4. . . . . . . . . . . . . . . . .Depth . . . . 24+. . . . . . . . . . . . . . 10. Date of Purchase . . . . Name of Former Owner 11. Zone or use district in which premises are situated . , . residenial 12. Does proposed construction violate any zoning law, ordinance or regulation: no 13. Will lot be regraded YAP . . , . , . Will excess fill be removed from premises: . . . N, 1.1. Name of Owner of premises Richard. Anus . . • , Address . Phone No. Name of Architect .George fisher .. .. .. . " . . ' • . . • • • • • • • • Inland homes � ' ' ' ' ' • • • • Address . . . . . . . . . . . . Phone No. Name of Contractor . Address Phone No. . . 15. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit ma be required. PLO DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fror i)roperty lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. See attached p1.gns and survey STATE OF NEW YORK, 'OUNTY OF . . . . . . . . . . . . . . . . . S.S -Robert • E•.• .Hiltz . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applican (Name of individual signing contract) Bove named. Contractor !fe is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) -)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to the best of his knowledge and belief;and that the %vork will be performed in the manner set forth in the application.filed therewith. Sworn to before me this . . . . . . . z-�, . . . . . . . . . .day of.Ocs-0(-rA�. . . . . .. 19 (120 otary Public, . `4". 9. .e.t . . . . . . . . County LINDA J.COOPER Notary Public,State of New York r . . . . . . . . . . . No.4822553,Suffolk County �i (Signature of applicant Terra Expires December 31, 19 2O BUILDING PERMIT REVIEW CHECK LIST Application Name: AW&U6 , PICIµn Rp Architect/Engineer: L49gr lufltlbc� Date Submitted: 8 9 SCTM #: District: 1.000 Section: 91 Block: Lot: (o Subdivision Name: SOUZ DAfv-G fAbose Cove, Req. Req. Zoning District: [Lot size: Actual: / �• [Lot coverage Proposed: ] Req. Req. ,t Req. , [Front Yard �Proposed: 4fO 1 [Side Yard �$L� Proposed:�,s 7• [Rear Yard s� Proposed: Project Description: rpus-rgVycraoN ' SINGLE FoMiLy M11,;+s AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. x �10-1(O-11- New York State D. E. C. -y73�-015$5/0060/ Town Trustees Town Zoning Board approval: Town Planning Board approval: c� Flood Plane Elevation ??? Flood Zone: S�Ruu� �c�►.sc INOICAtc-s 41005e, Is Dom OV t.eca zaw e� Notes: UCC C#q$ b()kL'-r) T3Y*A)O' out �.0 UeftFV EM14 ► S 00-1- 04= G I VI R 6T V Lout- AREA 2 tog S _ � E aeLK. i GwQaz UL 1. 114� x2o4$(Oz o SCDHS Ref. # RIO-96-0115 Zl: prop„sco<- con-e`c��' o` %va.r► . FLOOD ZONES FROM FIRM COMMUNITY-PANEL NO. t Borft SUFFOLK COUNT1t DEPARTMENT OF HEALTH SERVICES °� , 360813 0092 D Or. LO PzmW FOR APPROVAL OF GONSTRUC 0NI FORA MLE FAKMT RESTDENCZ ONLY 31 -- SOT !ei �.* S�6 oto SW ss • R's� S� 69� F011trlAX�tWrtOF. ,BBD mom sp ej-1-2-- `�`; °qo•F tiow �w�„�� 6XMRBB'iFIFe�Y6AR8i+RObtDATBOFAPP=iO�►AL Or. Fft-1 coew st e 6 WNW 9� QQ Approved in accordance with rd of Review SW v � determination dated 3 9 ►P' ,o- G •� e SURVEY _OF 0 9 .- �s�4• _LOT 28 , OF MSE COVE' �/ FY.W AUI�33i0, $At AP NO SM 41 ® � 3o A T EA S T CUTCHOGUE �'AA TOWN OF SOU THOLD SUFFOLK COUNTY, N. Y. w S 69.30 1000 - 97 - 07 - 06 w � ,.P N `�• � Scale: 1 _ 30 ZoT — ' ,� 'Z �, OCt. 24, 1996 ?� torr 4� �� 9 O Mar. 21, 1997 (/0' Contour) � eon c a S .:.. ZL I June i8/ i997(iwiso� moo. � •,� � 2 �a AREA - 23,137 sq.ft. a A? j to tie tine `C-) The /ocomb” of welts and cesspools shown hereon are from field abservoNons Tr-, p �(/ '43 and or from data obialned from others. �(/ ELEVA"OW , 71D Kw,a �PtE 0f NF LEA 11/ T R ti\� \ S NO 14 T Al O� ANY AL TEM TION OR AaanaN TO TW SURVEY IS A M”TION ANE / ��`� �� 3 m AP A OF SECTION FWD OF THE NEW YOM STATE EDUCA LAID � �� a campT As Am S cnm �Tt7r;A�Jq�Rs / on fmkfkr with the STAAVARDS FOR APPROVAL �a� �• J N. .�. UC. NO. 496/8 MMM AW V",�p FOR Tta MAP M Y F AI10 CONSTRUCT ION OF SU9SURFA CE SEWAGE sAm MAP OR CORKS OEM TTE SEAL OF TW SURVEYOR MOWS SMMA n,W,V�Ms DISPOSAL SYSTEMS FOR SINGLE FA IL Y REMENCES PEC VEy�R , and wM @6144 by the conditlons set forty /herein and on the (316) NT AQ01►TJI ULL Y To COIRY NRH SAD LAW TIDE TEJiN/ *AL TEAED ®Y' pernV7 to construct. P. O. $V "Mr BE LOW 9Y ANY AAD ALL= M UTY,OW A Cary 1230 REST OF AWTM W SUTVEYOM MAP. TL}> drJCahl As '/1 1C AAO TROLEIT-r0-0A TE'AAF MDT M CORM MMLE NRH T!E LAI►. SOUTMOLD, N Y. 1197/ 96 - 271 SCDHS Ref. # RIO-96-0115 �s propasca� confovr or etwv ad*� T FLOOD ZONE'S FROM F#?M COA &W TY-P, 'L NO. p �'� D ��813 •���3 G M.r 4, 1�9a ~ a�•r� am el 42. r cc saw it G ,\ SURVEY OF .4jN� LOT 28 oo r t 'UuP OF MOOSE COVE %11 , ALED AUr3.34 ISW AS A64P Ab SW A T EAST CUTCHOGUE Ilk '�' TO WN OF SOU THOLD � " � Via. �9 ss SUFFOLK COUNTY, N. Y. �9• VW - 97- 07- 06 • f t ; Sca/e: 1 = 30 ,L OCt. 24, 1996 ?� /o P O 9 P four 4 cQ v '� Mar. 0, 1997 UO' Contour) `on ,fvnQ i8, i997(iwis.vr+ s , ' ` �• cc-f. /$ �99�(Sfak�� �pa.,�b FtaWo ZO"b AREA = 23,x37 s f! to tris km 'so. � CT\ At TM lecarllow of we& am caagook , and or frau d e ablebod Imm o#w& X43 R G"AMW AAEW To"VA A N tL NEW y �R � k.,0 c,'`��?. MErZc�Q3'� Aw Tip ImAS A WQLA TA�11 \off' . .. .< , 1 dW I&Wft NO Of CG AST� VAL ��� ��. �J mil A LA. NO. 4.W& AD N�T14ifJCTI�M► Or ASPOSiAL SYSIEW FOR SOWE Y RESVENCES &WELM P.C. V ALL &.0 Irr wI n/ a/1W bj AM cm ad Mores sW an AM bca *W. /IAfT�!► wnv LA / s1` T l7� m 11971 96 - 271 �'E ICI I i l'r 1'C SCOHS Ref. RIO-96-0115 prop®sem- con-taw or a/rry ,* T: �— FLOOD ZONES FROM FARM COAMNaM1MTY-PAWL NO. 4 „ r S 3logl3 -ojG3 G 14AY 4 � a / Zrllr or r Al "17 10 ep oT rVow10 A TCAJ P TOW OF 6` �,� f�� O �" -ISS I WFOLK 3 g. • low 44 ti Oct. 24, T' Er M 00 � - a + rte, Vie. Mar. 21, 199T ,t10' Can1mrl 'mea Jvn� i8j�f 4�{'Ln ,f,sem'•� s h s Oal. 1AX 1 #44 �raa A9t�1 E car : A4�c+d h•i � DyE� �, l9� pbJ h A = �'� � CERTF'D Tim RFA 2�� �137 ft. `�"'•� '�" '� ocwl�cas A=OERTfr to tie �'ns �• � SAFE HAAS M 7M ACY v: ST Ail JWCAN TILL'IMWAAA CE Tht boafeu Of w * and cook 0 (4 COMWANY Oir HIEN' YORK IpMe4rn wo �rosr IM�d , and' or ham dak olNi bed hear ons ,. � 3 FDUVW AI t0I1 LDC.-A-00VI, DK , EL�1►ATI AIS !l1RIE11 9 MKA. OUT OF fLOD� `L HL LER ,4 NE ©LAIDS�, To A WM A710M ' wjdw a / an; *08T VAS sY r s a� c sT�s wd so d" NM. lm-dit— art .w on A. r Ar- L apraA► N �i� l. P. a1 AIID f T M ! '. 277 SURVEY OF LOT 28 MAP OF MOOSE COVE FILE No. 3230 FILED AUGUST 30, 1960 SITUATED AT EAST CUTCHOGUE via TOWN OF SOUTHOLD � SUFFOLK COUNTY, NEW YORK S 069 3p"00•, S.C. TAX cALEo. 10002097-07-06 FEBRUARY 14, 2001 Lo?, MAY 21, 2001 LOCATIONS OF SEPTIC TANK & CESSPOOLS 4 /r ] r ri �� -�' AREA = 23,914.35 sq. ff. P9,� f/f (TO TIE LINE) 0.549 BG. -,o GP1� '�� S ,/ �'tY,s D� / I I S y ,{ •`(�, GM%E m no OUN I a( 1 t0.. U axWW 22$ 6 NOTA'' o�;u-0 LOP , s / ' � "� �,, r o 4, of ELEVATIONS ARE REFERENCED TO N.G.V.D. DATUM EXISTING ELEVATIONS ARESHOWN THUS: ase EXISTING CONTOUR LINES ARE SHOWN THUS: - -1°a'— 1 O� WELL O I 1m ti Na y 0 � u 6g.3x�� �� p. _ 1 ss. / 144.92, — z�`2 �sO BOa &q�.c CS x� •. �� � - ��s / � � �1 ,a \�1 a 8 ��� GTS � ��s• /'�`��1/ e F a n `oi z2.� SAT ,Ll'1 `a, 5% rNxe A'cfl, e� vvi \ WN4k a' \ W. WOOD 5' \ Lop 3 e .��� zy � CERTIFIED TO. 4PoON'Tnte Sg,N�, D� > DOUGLAS FOERTH � 2 � 53 79, o0 Y� UNAUTHORIZEDSURVEY ALI EAAPON OR N F d TO TOR SURVEY IS A MOUTON NEW YO OF EDUCATOR 7209 OF THE NEW YIX2K STATE EDaCA¶ONNOT COPUW THE IEIANDF SURVEYOR'SINKED SELL TEARING EMBOSSED SELL GRAFF NOT BE CONSIDERED TO BE A VAUD TRUE COPY Y ONLY TO THE INDICTED HEREON THE S FUN �O ONLY TO THE ANDPERSON FOR WHOM THE SURVEY IS PREPARED. AND VE HIS BEHALF TO THE 2 c1' TALE COMPANY, GOVERNMFD HE AGENCYEON. A DAND Zo TENTING ISSIGNE 10N LISTED HEREON. AND TOTHE CERFFlGTONS ARE NOE9 OF THE T'TTRRANNG 'TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF L ANTLER LANE ANY, NOT SHOWN ARE NOT GUARANTEED. 1\V 1HJ PREPARED IN ACCORDANCE WITH THE MINIMUM BTMDMD9 MR 9URVEYE M ESTMBSHEO Joseph A. Ingegno ST THE MMR M MPROVED MO AT-SHE FOP SU E NEW YORK STATE LWO Land Surveyor C ffile Surveys — Subdivisions — Site Plaas — Construction Layout R •,L` PHONE (631)727-2090 Fax (631)727-1727 OFFlCES LOGTED AT MAIIJNG ADDRESS N.Y.S Tic. No 49668 1380 ROANOKE AVENUE P 0. Fax 1931 RIVERHEAD. New York 11901 Riverhead, Neal York 11901-0965 21 -113A D k tub S��i PLUMBER ON ON LEAD CONTENTNTENT BEFORE PROVIDE%NR. FIRE CERTIFICATE OF OCCUPANCY RATED SEPARATION TO �\ PART.717.3(f)(1)OF APPROVED AS NOTED _ SOLDER USED IN WATER �- DATE: 2 T B.R x 0 t,38ae SUPPLY SYSTEM CANNOT N.Y STATE BUIIDINGCODE - ,, EXCEED 2110 OF 1%LEAD. FEE: n 9 7 kD NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE - FOLLOWINGINSPECTIONS: PROVIDEANT114CALBAND/0111 I FOUNDATION - TWO NEOUIREDPROYID THERMAL SNOCKPREVENTING EOPENINGSF� FOR POURED CONCRETE DEVICES AS TO PAR[102.6(K) EMERGENCY ESCAPE 2 ROUGH - FRAMING a PLUMBING REQUIRED BY PARV Of 3. INSULATION N.Y.STATE BUILDING COOL 4. FINAL - CONSTRUCTION MUST N.Y.STATE BU IL9 MODE. BE COMPLETE FOR C.O. / _ - I ' �_� - _ -' i • - ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. H cOPPer tubing to used STATE CONSTRUCTION A, ENERGY for water distributing CODES. NOT RESPONSIBLE FOR SM"U Piping shall be (- DESIGN OR CONSTRUCTION ERRORS - - - - - - - — Of types K or L on - - :I ' hl + PLUMBING ALL PLUMBING WASTE OCCUPANCY OR n"AERES"�a — TEsNceEtroEcovENoUSE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY -7. UNDIRBRTMCEIMCATE REQUIRED MswiiCOOL 1 I —L1IY-/v— - A F DO NOT PROCEED WITH FouuowioN Lbr-mhoN SAAL_ FRAMING UNTIL SURVEY f,*f1f ,Ly pUCSIT]E_ OF -Ntr FLt�L _ L IF OF FOUNDATION LOCATON ZtmlE ABf-A . HS BEEN APPRM I I 11 Q • I FL,4/ i - Pi 1 LJPii — ....r' .. ._- ... ' _ -- - OCT 8 i ENERGY CODE REVIEW (non-electric) 7814 (Part 5) 6, 000 degree--''days Ahs S Per Dwgs For 7 p Dated /?e ✓ f �/ / 8 Envelope Component R-Value Exterior Wall R-18 Roof/Ceiling R-19 Floor R-19 Foundation Wall R-10 Slab edge Insulation R-10 Glazing R-1 . 7 Entrance Doors R-2 . 5 All HVAC Equipment to meet requirements of 7814. 11 All HVAC Control Systems to meet requirements of 7814.12 All Duct Systems to meet requirements of 7614. 13 All Ventilating Systems to meet requirements of 7814 .14 All Piping Insulation to meet requirements of 7814 .15 All Service Water Heating Systems and Equipment to meet requirements of 7814.21 All Electric Systems to meet requirements of 7814. 31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code. 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STATE BUSDINM CODE. - Sy6yM O Q M a --;-� 91P66 aLan IROYSIE SMOKE-DETECTING PROVIDE — ---- — — - — - - — ALARM DEVICES N TOR i O�C+�I�UPmYI OR AGMMRT T�1.T EMERG AS Ua7G:, ILY MlLDING CODE REQUIRED N „{OF N.Y. TATE�{,pDE. !UNLAWFUL S _ I WITt1 - 0 y4TE , OF Cy r_ u " i UMRAWRRERSCERfF i „ ' CEAT/f/aU*Of OCCUPANCY _ ' _ - REQUIRED A a 7E MM pRE SCIUM MIN WATER RAM OM WO TO SUPPLrMTEMCANNoT A)CEEOAESOP 1%LEAD: .) u N.AMm.EA(1) OF SES�SBESm COIDE. 1'411% f'=t�S f-nFh "I'N !At ' ENERGY CODE CALCULATIONS (lar NOR-Electric nea L) Design Criteria G,000 Uegree' Oays n C.A. 1U'P S.A. 7U'P -OH: ✓u�q�y'sY ,CO c'2 ?/,� PER: � Csha' � P 4 - S'-/w DATED: A SUBSYS'T'EM AREA DESIGN 'THERMEL REMARKS" U' RA'T'ING xterior. 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