HomeMy WebLinkAbout1000-103.-1-19.12 TOWN OF SOUTHOLD
L Rental Permit
0723
Owner Crossroads Vineyards LLC
Occupied as Single Family Dwelling (aka 31520 Main Road)
Located at 31320 Route 25 Cutchogue 103-1-19.12
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
8/4/2022
ode E o e en Official
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road jig Fax(631)765-9502
P.O.Box 1179 th
Southold,NY 11971-0959
D
BUILDING DEPARTMENT
TOWN OF SOUTHOLD JUL - 6 2022
RENTAL PERMIT APPLICATION BUILDING DEPT-
TONVIN OF SOUTHOLD
Rental Permit Fee $200 (Applicatlon must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
34& fl MAIN ROAD, CUTCHOGUE
31-'-�-aa
Tax Map Number: 1000 SECTION 103.00 -BLOCK 01.00 -LOT 019 - 012
SECTION B.
OWNER INFORMATION:
Property Owner Name: CROSSROADS VINEYARDS LLC .
Property Owner Legal Address: Property Owner Mailing Address:
9 W. 57TH STREET, SUITE 4500 9 W. 57TH STREET, SUITE 4500 .
NEW YORK, NY 10019 NEW YORK, NY 10019
Telephone Number (s): Daytime212-715-0217Evening Emergency 917-929-1914
Property Owner Email Address: SWEYMOLTH@SOL09W57.COM
Page 1 of S
'1\
Town Hall Annex r t Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 :
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: MARTIN D. FINNEGAN, ESQ.
Address of Authorized Agent (no P.O. Boxes): 13250 MAIN ROAD, MATTITUCK, NY 11952
Mailing Address of Authorized Agent: PO BOX 1452, MATTITUCK, NY 11952
Telephone Number(s): Daytime 631-315-6070Evening Emergency
Email Address: MFINNEGAN@NORTHFORK.LAW
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: STACEY SOLOVIEV
Address of Authorized Agent (no P.O. Boxes):4455 OREGON ROAD, CUTCHOGUE, NY 11935
Mailing Address of Authorized Agent:4455 OREGON ROAD, CUTCHOGUE, NY 11935
Telephone Number(s): Daytime 917-929-1914Evening Emergency
Email Address: STACEY.WILLOW@ICLOUD.COM
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):.
Page 2 of 5
ZVZ
Vf
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 �✓'` >
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2,'Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
a,
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
i
i
Rental Dwelling Unit Identifier: 1 I
Requested Maximum number of persons allowed to occupy Dwelling Unit: 10
Number of rooms in Rental Dwelling Unit: 11 !
Use and Dimensions of each room in Rental Dwelling Unit:
LIVING ROOM 1 (255SF); LIVING ROOM 2 (225SF); DEN (158SF); KITCHEN (225SF);
1
REAR DEN (90SF); BEDROOM 1 (165SF); BEDROOM 2 (199SF); BEDROOM 3 (201SF); }
BEDROOM 4 (189SF): BATH 1 (70SF): BATH 2 (28SF)
_ � r
Page 3 of 5
I
Town Hall Annex Telephone(631)765-1802
543.75 Main Road Fax(631)765-9502
P.O.Box 1179 ;
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
INSPECTION: .
Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety _
inspection by Code Enforcement Official is required. If the owner chooses not to have said
inspection performed by the Town, a certification from a licensed architect, a licensed
professional engineer or a home inspector who.has a valid New York State Uniform Fire
Prevention Building Code Certification is required stating that the property which is the subject
of the rental permit application is in compliance with all of the provisions of the code of the
Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
Nf I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I STEFAN Q. SOLOVIEV ,.certify under penalty of perjury, the following:
1. 1 am the owner of the property identified in "Section A" of this application.
2. The property owner's legal address set forth in "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that I will notify the Town of Southold
Building Department of any changes of address within five (5) days of any changes
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide by the same.
4. 1 will notify the Town within five (5) business days as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
CROSSROADS EYARDS LLC
Property Owner's Name:. BY: STE IEV, SOLE MEMBER
Property Owner's Signature.
Sworn to before me this0-�day of '�� . 2022
Official Notary Public Signature and Original Notary Stamp
Biserka Honovic
Notary Public,State of New York
Registration No.01HO6339378
Qualified In Queens Courtly
Cortunisslon Expires March 28.2024
Page 5 of 5
Town Hall Annex If, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , 9z
Southold,NY 11971-0959
Zzz
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer, licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number: 1000-103.00-01.00-019.012
Rental Property Address: 31520 MAIN ROAD, CUTCHOGUE, NY 11935
Owner/Name: CROSSROADS VINEYARDS LLC
Rental Dwelling Unit Identifier: 1
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
&bow, - s S , Wz - 14fr SF ;4AW'o it - 20l SF
rg5 sF
Property Description (Include all improvements indicated on survey)
I certify that I have done a physical inspection of the subject rental dwelling unit and f' at it
fully complies with all the provisions of the Code of the Town of Southold,the Re ' ntia ode
of New York State,the Building Code of New York State,the Plumbing Code Y State,
the Fuel Gas Code of New York State, and the Energy Conservation Const r t' n e of New
York State.
le* OF NE�Y
Print Name and Title `P �N D LFA �'P,� or al Signature
r N s _ W
W
Please place professional seal: 2�
�O 05990y
J
of souryolo
# TOWN OF SOUTHOLIY BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ECTRICAL (FINAL)
[ ] CODE VIOLATION [ Puw
REMARKS:
DATE INSPECTOR
t'
1 `3 TOWN OF SOUTHOLD PROPERTY R `�l
__
OWNER STREET =' g VILLAGE DIST. --4— SUB. iLOT
ACR. REMARKS073
s
. j — -- —
TYPE OF BLD. Tl
Lp - CG/ Anir,
t L t •�� , m'ra 6v /-ed ) 'l
J
PROP. CLASS '
a� ":� ` . . / '`� � °0 7-7 . ` °'' � k . -,�-- /�i, l
LAND ' IMP. TOTAL DATEa.
/, 4
} g .Jt per' v�'•1,9-6 _
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10600 f o' o 0 ' // { �N 666 S2 d—V
----
a —
N i 0 �°� - - �31 f l �r 51
all
FRONTAGE ON WATER TILLABLE j
FRONTAGE ON ROAD WOODLAND I
DEPTH MEADOWLAND
BULKHEADHOUSE/LOTJi
TOTAL
7777777
TOWN OF 'SOUTHOLD POOPERTY VE ORD CARD
OWNER STREET , . "«+; r VILLAGE DIST. SUB. LOT
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FORMER OWN—`— N E ACR. �� pp
4c G�t7 l�l( i a1�� S W` CODE �r DATE OF CONSTRUCTION
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LAND IMP. TOTAL DATE REMARKS ''°
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Woodland FRONTAGE ON ROAD
Meadowland f"�
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Total
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OWNER
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SEAS. VL. ,
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Woodland FRONTAGE:ON ROAD.
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101-1-19.12 barns&outbuildings 9106 » ;=_
•
Extension
:
Extension — — -
BIrn
Extension
Foundation Batil
` . Dinet <
'Porch r,�,X Basement x Floors ^.._
K.
-Porch' F r> Ext. Walls t h ' a -
', ;s interior Finis LR,
Breezeway ��, , a j, Fire Piace Heat DR.
_ gra
_Garaged tfsa.r:'i� " . Type Roof Rooms 1st Floor S BR,
t .
" Pe*°e� 5 i;s F e, ' ' l QEF_ Recreation Room Rooms 2nd Floor B
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c t rW s s' 9 e', i } Dormer pwa Driveway
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0 ENE
ONE ONO
no MEN MEMNON
M! ONO ME
No NOON No ON
_ 4 Ad
■■■.■■■■■■■■■■■■■■■■
■.■■■■.■■■■■.■■..■■■
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Ext. Walls All-t
• -_
FORM NO.Q
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z.1.1423. . . . . . . . . . Date . . . January, .13. . . . . . . . . . . . . . . . .. 19 $3
THIS CERTIFIES that the building P. . .0). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 31520 Main Road Cutchoj�ue
House No. Street Hamlet
County Tax Map No. 1000 Section . . . . ? 0.3 . . . .Block . .0 1 . . . . . . . . . . .Lot . 01 9:002
Subdivision . . . .X. . . . . . . . . . . . . . . . . . . . . . . . . .Filed . . .Lot No. . X.
Requirements for a private one-family dwelling built prior..' 't;o
conforms substantially to the Appii cation-for-Rail ding-Pp-fmiT-hzf-eWere_filed in-this-office-d-ated
Certificate of Occupancy
A p r 7-.1. .2 3. . . . . . . . . 19 .5 7 pursuant to which-Bmiiding i°mm&—No. . . Z.1.1.423. , . . , . , . , . . .
dated . . . January 13. . . . _ _ . . _ . . 19 $3 ,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 . . . . . . . . .
. . . .a, private. .one-family dwelling and seven accessory structures*
The certificate is issued to . . . . . . . .BENNETT ORLOWSKI, JR.
(owner,�y&sBe:r3i-Fena++tf .
of the aforesaid building.
Suffolk County Department of Health Approval . . . n/a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . n/a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
* 1 . Sprout house 2 . 2-car workshop 3 . Potato storage barn
4 . Large 2-door storage shed 5 . Small portable greenhouse
Building Inspector
6 . Farm produce stand: B. P . 10714Z issued 6/9/80
Ra".��s� C. O. Z10022 issued 7/10/80
7 . Above-ground swimming pool : B . P. 11819Z issued 7/23/82
Pool not completed
C .O. pending
BUILDING DEP.4RT1dENT
TO1'4N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 31520 Main Road Cutchogue
number do street !Municipality)
Subdivision X Dlap No. x Lot(s) X
Name of Owner(s) Bennett Orlowski, Jr.
Occupancy R-1 owner
(type) owner-tenanz
Admitted by: Mr. Orlowski Accompanied by: same
Key available ` Suffolk Co. Tax No. 103-01-019.002
Source of request Bennett Oriowski, Jr. Date 12/16/82
DWELLING:
Type of construction wood framed ;#stories 2
Foundation CeXar full Crawl pace
Total rooms, lst. 6 2nd. F1�. 4 3rd. FI large attic
Bathroom(s) 1 Toilet room(s) 1
Porch, typd_ large--roof Deck, type Patio, type
Breezeway overGarage Utility room
Type Heat gas Warm Air Hotwater x
Fireplace(s) No. Exits 4 Airconditioning
Domestic hotwater yes Type heater gas
Other
ACCESSORY STRUCTURES: SEE ATTACHED SHEET
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Description IArt. Sec.
outside deck & steps and railing needs
repairing badly III 52-30-A
outside dwelling needs painting III 52-31-B
sprout h use supports need replacing III 52-30-A
2-car work�hop needs various repairs III 52-31-B
Remarks:
Inspected by: e of Insp. Dec. 23, 1982
Curtis W. Horton Time start 11 :45 end 12:30
Mr. Bennett Orlowski, Jr.
31520 Main Road
Cutchogue
Inspection Report, continued Page 2
7 ACCESSORY STRUCTURES
I . Sprout house
2. 2-car workshop
3. Large 2-door storage shed
4. Potato storage barn
5. Small portable greenhouse
6. Farm produce stand:
B.P. 10714Z issued 6/9/80
C.O. Z10022 issued 7/10/80
7. Above-ground swimming pool:
B.P. 11819Z issued 7/23/82
Pool not completed--C.0, pending
Inspected by
Curtis W. Horton
Building Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218392 Date SEPT. 7, 1989
THIS CERTIFIES that the building ALTERATION
Location of Property 31320 MAIN ROAD CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 01 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 11, 1989 pursuant to which
Building Permit No. 183032 dated JULY- 12, 1989 _
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 REPLACE EXISTING ATTACHED CONCRETE PATIO (ABOVE GRADE) WITH
WOODEN DECK.
The certificate is issued to HERMAN BLUM--IRWIN KRUGER
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. _ N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
RNNEGAN LAW, P.C.
13250 MAIN ROAD
P.O. BOX 1452
MATTITUCK,NEW YORK 11952
(631) 315-6070
MARTIN D. FINNEGAN, ESQ.
MFINNEGAN@NORTHFORK.LAW
BY Hand
July 6, 2022
Town of Southold
Building Department
PO Box 1179 C
54375 Main Road AL m 6 2022
Southold, NY 11971 .
D .
BUILDING DEPT.
Re: Rental Permit Application TOWN OF SOUTHOLD
Applicant: Crossroads Vineyards LLC .
Premises: 31520 Main Road, Cutchogue, NY 11935
SCTM 1000-103.00-01.00-019.012
Dear Tracy/Sue:
In connection with the above application, enclosed please find the below
listed documents along with a check in the amount of$200.00 representing the
filing fee:
1. Rental Permit Application, including Rental Property Certification.
2. Written Consent of Crossroads Vineyards LLC.
3. Certificates of Occupancy.
4. Floor Plans.
Please advise our office when the property inspection is scheduled. Do
not hesitate to reach out to this office if you require anything further.
Vruly yo ,
Martin D. Finnegan
MDF/as
Encl.
WRITTEN CONSENT OF THE MEMBER OF
CROSSROADS VINEYARDS LLC
The undersigned, being the. Sole Member of Crossroads Vineyards LLC, a New York
limited liability company (the "Company"), hereby consents to the adoption of the following
resolutions as fully as if they had been adopted at duly held meetings of the members:
RESOLVED,that the Company is record owner of certain land known as 31520 Main
Road,Cutchogue,NY 11935,Suffolk County Tax Map number 1000-103.00-01.00-
019.012,located in the Town of Southold, County of Suffolk, and State of New York;
and it is further
RESOLVED,that Martin D.Finnegan and Michael Hershman are hereby designated as
the attomeys-in-fact and Agents for Stefan Q. Soloviev, sole member of Crossroads
Vineyards LLC;and be it further
RESOLVED,that Martin D.Finnegan and Michael Hershman be, and hereby are
authorized, empowered and directed in the name of and on behalf of the Company to take
any and all actions and to execute,deliver and file any such instruments,certificates,
agreements and documents as he deems necessary or appropriate, and to pay all expenses
and fees to enable the Company to carry into effect the intent and the purposes of the
foregoing resolutions, and that the execution and delivery of any such instrument,
certificate,agreement or document shall be conclusive evidence of such member's or
agents authority granted herein and the approval thereof by the members of the
Company; and be it further
RESOLVED, that there has been-no change in the*make up or composition of the
Company, and that there have been no amendments made to the Articles of Organization
or the Operating Agreement; and be it further
RESOLVED,that a copy of this written consent be filed in the minute book of the
Company.
IN WITNESS WHEREOF, the undersigned ve ex nsent as of June 241h,
2022.
efan Q. Soloviev, Sole Member
REV REVISIONS DATE
1 — —
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THESE DRAWINGS ARE THE PROPERTY OF
SOUTHAMPTON ENGINEERING SERVICES, P.C. THE
DESIGN SHOWN AND DESCRIBED HEREIN, INCLUDING
ALL TECHNICAL DRAWINGS, ARE PROPRIETARY AND
CANNOT BE COPIED, DUPLICATED OR COMMERCIALLY
EXPLOITED, IN WHOLE OR IN PART. THE DRAWINGS
AND SPECIFICATIONS SHALL NOT BE USED BY THE
E X I S T I N G T H I R D F L 0 0 R P L A N OWNER FOR OTHER PROJECTS, FOR ADDITIONS TO
THE PROJECT, OR FOR COMPLETION OF THE PROJECT
Kitchen S C A L E :1 / 4 " = 1' - 0" BY OTHERS.
THE OWNER AGREES TO HOLD HARMLESS, INDEMNIFY,
AND DEFEND SOUTHAMPTON ENGINEERING SERVICES,
P.C. AGAINST ALL DAMAGES, CLAIMS, AND LOSES,
INCLUDING DEFENSE COSTS, ARISING OUT OF ANY
F REUSE OF THE PLANS AND SPECIFICATIONS WITHOUT
WRITTEN AUTHORIZATION OF SOUTHAMPTON
ENGINEERING SERVICES, P.C.
DIM
closetSouthampton Engineering
C: Services, P . C .
CTS
Bath Closet 72 EISENHOWER DR
Bedroom #1 EAST QUOGUE, NY 11992
Bath Bedroom #2 T. 631. 478 8002
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165 SF AeI
199 SF
I PROJECT:
Closet rr
-- - -- Closet 31520 MAIN ROAD
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Closet ------- C U TC H O G U E, NY
Bedroom #4 CONTENT:
Living Room #2 — ------ Living Room #1 Bedroom #3
- '189 SF EXISTING 1st, 2nd , 3rd
201 SF
FLOOR PLAN
EEE4 MA
DRAWN BY: TB
EXISTING SECOND FLOOR PLAN DATE: June 30, 2022
SCALE :1 / 4 = 1 - 0
EXISTING FIRST FLOOR PL
DRW. NO.
SCALE :1 / 4 " = 1' - 0" oFNEw
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(SD = Smoke Detector + Carbon Monoxid oA� 09901) : �1��,
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REV REVISIONS DATE
1 — —
THESE DRAWINGS ARE THE PROPERTY OF
SOUTHAMPTON ENGINEERING SERVICES, P.C. THE
DESIGN SHOWN AND DESCRIBED HEREIN, INCLUDING
ALL TECHNICAL DRAWINGS, ARE PROPRIETARY AND
CANNOT BE COPIED, DUPLICATED OR COMMERCIALLY
EXPLOITED, IN WHOLE OR IN PART. THE DRAWINGS
AND SPECIFICATIONS SHALL NOT BE USED BY THE
OWNER FOR OTHER PROJECTS, FOR ADDITIONS TO
THE PROJECT, OR FOR COMPLETION OF THE PROJECT
BY OTHERS.
THE OWNER AGREES TO HOLD HARMLESS, INDEMNIFY,
AND DEFEND SOUTHAMPTON ENGINEERING SERVICES,
P.C. AGAINST ALL DAMAGES, CLAIMS, AND LOSES,
INCLUDING DEFENSE COSTS, ARISING OUT OF ANY
REUSE OF THE PLANS AND SPECIFICATIONS WITHOUT
Unfinished Basement WRITTEN AUTHORIZATION OF SOUTHAMPTON
ENGINEERING SERVICES, P.C.
Southampton Engineering
.
-------- Services, P . C .
72 EISENHOWER DR
-- - - EAST QUOGUE, NY 11992
T. 631 . 478 8002
PROJECT:
31520 MAIN ROAD
CU TCH OGU E, NY
CONTENT:
EXISTING BASEMENT
PLAN
DRAWN BY: TB
DATE: June 30, 2022
E X I S T I N G B A S E M E N T P L A N DRW. NO.
SCALE : 1 / 4 „ = 1C„ .��°F.NE'
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