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Home My WebLink About49207-Z �O��gUEFOiK o Town of Southold 8/17/2023 y� P.O.Box 1179 CO T 53095 Main Rd o , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44465 Date: 8/17/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 910 Glenn Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-2-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/17/2023 pursuant to which Building Permit No. 49207 dated 5/4/2023 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: accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Roberts Premiere Dev LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49207 6/14/2023 PLUMBERS CERTIFICATION DATED h riz ignature g�EEO TOWN OF SOUTHOLD BUILDING DEPARTMENT r�is x TOWN CLERK'S OFFICE ' SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 49207 Date: 5/4/2023 Permission is hereby granted to: McNamee FH Family Trt 19 Skipper Dr West Islip, NY 11795 To: construct accessory in-ground swimming pool as applied for per Trustees & DEC approvals. At premises located at: 910 Glenn Rd, Southold SCTM # 473889 Sec/Block/Lot# 78.-2-27 Pursuant to application dated 1/17/2023 and approved by the Building Inspector. To expire on 11/2/2024. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 Building Inspector pF SO!/j�,olo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �o sean.deviin(aD_town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Roberts Premiere Dev LLC Address: 910 Glenn Rd city:Southold st: NY zip: 11971 Building Permit#: 49207 Section: 78 Block: 2 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Electric Joe License No: 48402ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 1 4'LED Exit Fixtures Sump Pump Other Equipment: Intermatic Pool Panel 8 Circuit/4 Used, Timeclock, 1 Light 120GFI, Salt Gene, Pump 220GFI Notes: Pool Inspector Signature: Date: June 14, 2023 S.Devlin-Cert Electrical Compliance Form # # TOWN OF SOUTHOLD BUILDING DEPT. `"courm�f`` 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: A5 l Lt Toole- DATE ooliDATE INSPECTOR ,r 1�•�,(�/ hoy�a0f SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT. courm,��' 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIO N [ ] PRE C/O [ ] RENTAL REMARKS: P cov- eir, r r DATE 70 I INSPECTOR r a� r l 1• r1y� Vit.- i�a:,7 �t �*� ra:•- t� .r �� l ?Ft�' «z 6y;, � -�'�? h �y Y j� �� .T 1 .-al+r.°7 }y a' -� ,,�'4{{ �•A�f]G f *':�'{�-lo � r i.'[[? �' ;� rr !�gip• �r •µw 4 } _ tit,' I�u� y i�.Yt i I MR, /�� i 7r7 ` � -TiYSS� - pstYi i :4 ! � 11 �w it S 7 I • 4 t � - . T 1 I • r it ' � J r �/V k�gtr w i d f w I i I - _r 1 1- �Y� � � - "may y, '2 £,aY�c��A �a,` y-w• :L Y P,V'.. ..1'.* G'� �`� Y J'i {f' rK _ •`��L iw 4. r � A i' t�r�+'� � .0 X12 � r{ >v�z' -� Fs�� : +. ',V�? i'f SY 1 >r.. -,,.4 - - � '..• �4 ib �"�'"t1 Ly+a.,?C" ��:; �` �.e �'s y. ~�� b ,•'A�" "�` c, .r .r a i , E Oo - - 'd� .� �( „? .� .'t 'fir-�'• •y,yJ w L 3. 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S �;'. :^i '4_ t.'.4L ... ^:u�. _+ I '� E: .rt e' ._��+�L•�'r_sig-• �.• .,,..-`-yam..` ` `., t 1� ��`y f ------ W-1 /- }a tiu f -•'S�C'j � .. 1 ' r - V .E fel, } ti - .. _ +r• � t ljyJ... FIELD INSPECTION REPORT DATE COMMENTS •o � r FOUNDATION (1ST) j ' I ------------------------------------ I � FOUNDATION (2ND) z �o H ROUGH FRAMING& a PLUMBING J r r INSULATION PER N.Y. "3 STATE ENERGY CODE b c IV57 G 2 vrb W� LZ�1-tZSW�A' * 4SW IN v ADDITIONAL COMMENTS 23 Pat-cc 8 ?-r cc) Yee-#1 ( b 7 3!� i C (YO (� o � Z m 0 x r� x d b H ;��dyo co� M TOWN OF SOUTHOLD—BUILDING DEPARTMENT x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 y � ' Telephone (631) 765-1802 Fax (631) 765-9502 https://NvNN'Nv.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector:_j IIU'7 II JAN 1 7 .9099 Applications"and forms"must 6e filled out in their entirety.Incomplete, applications will not be accepted.•Where•theAppIIicant"isnot the-owner,an. BUILDING�T 0wner's'Auth&Uati6n form(Page 2)shall'be completed. ;'. 70WN OnowmOLD Date: l ( / Z3 OWNER(S)OF PROPERTY:; Name: �. ...cu"SAM _'1'1.0. SC TM# 1000- Project Address:..... .. �. . �•-��1']I'1.. ....�.00�c�• .�. �XJ`��I/1O�..G� �'�. . ..... � I.�.� I . Phone#: Lo3 QS.� .1 $ Email. Mailing Address: 3 � LCA r%— . CONTACT PERSON: " Name: �"Vv\.()V\j Mailing Address: �� d� I C4V--,f2 1-0 V-) &,c J s (v\-J I Phone#: Email: C e � DESIGN PROFESSIONAL•INFORMATION:. > Name: 1,\A l- Mailing Address: Phone#: Email: CONTRACTOR INFORMATION:,:, Name: ,2 DD MaiIingAddress:.. . ..hO......i��X.... ��3 �.... ... ..._� V..,,,�p Vl .• DGzGj S �J (.P Phone#: Q3 . . �1 Email:. C1 ..Cc GLf Gwf O(A S.C4Y-V--) DESCRIPTION OF PRO POSED:CONSTRUCTION XNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other S��1`� '% \ $ 5z , UOC). OCA Will the lot be re-graded? ❑Yes %No Will excess fill be removed from premises? Oyes ONO ', 1 PROPERTYINFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes EJ No IF YES, PROVIDE A COPY. 0 Che'ck.Box After,Reading:,The owner/contractor/design professional is responsible for all drainage and storm.water Issues as provided/by Chapter 236 of the Town Code. APPLICATION IS'HEREBY MADE to the Building bepartment forthe:issuance' of.a Building Permit pursuantto the Building Zone Ordinance of the Town of Southold;Suffolk;County,Newyork and other applicable Laws;Ordinances,o_r,Regulation s;for the construction of buildings, , additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances;building code, housing code and regulations and to admit authorized inspectors on:premises and in buildings)for,necessan/inspections,False statements made herein are punishable as a_Class'A misdemeanor pursuant to Section 210.45 of the New York State Penal Law, Application Submitted By(print name): >(Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) �J�JUVI S� V�&VV___"A—) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the , (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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of ,20 A L Notary Public poo, PROPERTY OWNER AUTHORIZATION ski (Where the applicant is not the owner) iiL I, Orn�� Lubes Yi� .s �l t o e K d residing at '� 1 do hereby authorize �CA-S U" S' V`\,Vv` j J�aiVs f to apply on my be If to the Town of Southold Building Department for approval as described herein. I 11? ) 2-S Owner's Signature Date \Dov(. P-e b6,rS Print Owner's Name 2 .................. BOARD OF SOUTHOLD TOWN TRUSTEES 3 `wSOUTHOLD,NEW YORK 4 PERMIT NO. 10363 DATE: APRIL 19,2023 ISSUED TO: ROBERTS PREMIER DEVELOPMENT,LLC PROPERTY ADDRESS: 910 GLENN ROAD, SOUTHOLD R . SCTM# 1000-78-2-27 AUTHORIZATION Pursuant 70 the provisions of Chapter 215 OT the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 19,2023, and in consideration of application fee in the sum of$250.00 paid by Roberts Premier Development LLC and subject 4�k' 4 i to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and 0 permits the following: Wetland Permit to construct a 16'x32' in-ground swimming pool with 11 wide coping; install code compliant pool enclosure fencing with gates; install a pool equipment area; and to install a perpetually maintain a 15' non- drywell for pool backwash; with the condition to establish and turf buffer landward of the non-disturbance buffer; and as depicted on the survey prepared by Feconic Surveyors,P.0last dated April 13,2023, and stamped approved on April 19,2023. K i IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these I rV presents to be subscribed by a majority of the said Board as of the day and year first above written. 0. i%3f FDJ C23 ELIZAB TH PEEPLES-ABSENT many5w,irmto 1� 9a.0 Glenn Goldsmith,President *rjf sorry Town Hall Annex A.Nicholas Krupski,Vice President ,`O� �� 54375 Route 25 P.O. Box 1179 Eric Sepenoski 1 Southold,New York 11971 Liz Gillooly G Q Telephone(631) 765-1892 Elizabeth Peeples • �O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2056C Date: July 27, 2023 THIS CERTIFIES that construction of a 16'x32' in-ground swimming pool with 1' wide copin • install nstall code compliant pool enclosure fencing with gates; install a.pool equipment area; and to install a drywell for pool backwash;with the condition to establish and perpetually maintain a 15' non-turf buffer landward of the non-disturbance buffer; At 910 Glenn Road, Southold; Suffolk County Tax Map#1000-78-2-27 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 2,2023 pursuant to which Trustees Wetland Permit#10363 Dated April 19, 2023,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for construction of a 16'x32' in-ground swimming pool with V wide coping-, install code compliant pool enclosure fencing with gates; install a pool equipment area; and to install a drywell for pool backwash;with the condition to establish and perpetually maintain a 15' non- turf buffer landward of the non-disturbance buffer. The certificate is issued to Roberts Premier Development,LLC owner of the aforesaid projqerty. Authorized Signature J A U G - 2 2023 BUILDING DEPT. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY;rn Stony Brook,50 Circle Road.Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 www dec.ny.gov PERMIT MODIFICATION April 10, 2023 ROBERTS PREMIER DEVELOPMENT LLC 3 SANDIE LN MANORVILLE, NY 11949 Re: ROBERTS PREMIER DEVELOPMENT LLC PROPERTY 910 GLENN RD SCTM# 1000-78-2-27 SOUTHOLD, NY 11935 DEC ID: 1-4738-02199/00009 Dear Permittee: The Department of Environmental Conservation (DEC) has reviewed your request to modify the above referenced permit in accordance with the Uniform Procedures Regulations (6NYCRR Part 621). It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is hereby modified to authorize the following activity: Install a new pool, pool equipment, fence, and drywell. All work as shown on the attached plans by Donald J. Metzger, last revised March 20, 2023, stamped NYSDEC-approved on April 10, 2023. This letter is a modification to the original permit and must be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Sincerely, Laura F. Star Deputy Permit Administrator cc: BMHP —TW _i NEV/YORK pepartmentOf Environmental `'- Conservation I `BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD JUN - 7 2023Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 .,--Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov seand(c�southoldtownny.gov 'APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: ,Sc, E1. <-z2tC� G� cs��— s 5 Electrician's Name: License No.: Elec. email: �zc��(Lc��oe�,�� ,��,rcc • �; Elec. Phone No: U2(- Ll��_v ❑I request an email copy of Certificate of Compliance Elec. Address.: 1(-7 C,ts r -7-Z- JOB JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit#: a � - email: Tax Map District: 1000 Section: Block: Lot: 7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: c Circle All That Apply: Is job ready for inspection?: c31YES ❑ NO ❑Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[]underground❑Overhead # Underground Laterals 1 R2 H Frame Pole Work done on Service? MY N Additional Information: PAYMENT DUE WITH APPLICATION 'BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD % 2023Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 s" _._. " _ --Telephone (631) 765-1802 - FAX (631) 765-9502 % rogerr@southoldtownny.gov seand southoldtownny.4ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: C, Company Name: Electrician's Name: License No.: Elec. email Elec. Phone No: ��(- Ll�l3-�,c � ❑1 request an email copy of Certificate of Compliance Elec. Address.: C�-� (F�l c-5 G Gas r �k�c��«� r -7 -71L JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit #:_ q6f �� - email: Tax Map District: 1000 Section- Block- Lot: 7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): f o xs- Square Footage: c Circle All That Apply: Is job ready for inspection?: YES ❑ NO F—]Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals F 1 F2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION sW MEW V aF�CG[5" CERTIFICATE OF YORK NYS WORKERS'COMPENSATION INSURANCE COVERAGE -TATE Compensation Board Insured Detail 1 a.Legal Nome and address of insured(Use street address only) ib.Business Telephone Number of insured MnryMcg,Inc. 631-324-7544 P.O.Box 1331 Hampton Bays,NY 11946 I c.NYS Unemployment insurance Employer DBA:Bills Pools,Bills Pools Service,Jasons Pools,Jason and Bills Pool RLgistratiuu Number of Insured Service Id.Federal Employer Identification Number of Insured or Social Security Number 113165202 Work Location of Insured(Only required if coverage lintiled to certain location in New York Slate,i.e.a Wrap-Up Polict) 2.Namc and Address of the Entity Requesting Proof of Coverage 3n.Nnntc of insurance Carricr (Entity Being Listed as the Certificate Holder) Technology Insurance Company,Inc. TOWN OF SOUTHOLD BUILDING DEPARTMENT 54375 RT 25 3b.Policy Number or entity listed in box"In": PO BOX 1179 SOUTHOLD,NY 11971 TWC4089971 3c.Policy effective period: 3/23/2022 to 3/23/2023 3d.The Proprietor,Partners or Executive Officers are: included(Only check box ifall partners/officers included) all excluded or certain partners/officers excluded This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box"la" for workers'compensation under lite New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PACE of the workers'compensation insurance policy).The Insurance Carrier or its licensed agent will send this Certificate of Insurance.to the entity listed above as the certificate holder in box"2". The insurance carrier mast notifj+the above certificate holder and the Workers'Compensation Board within 10 daj!s IF a pollcp is canceled due to rrotlpavnrent ofprelniaras or within 30 days lFrltere are reasons other than nonpaylllent afpralniunls that cancel the policv or eldalinare the insured fi•oui the coverage indicated on this Cerliftcate. (These notices may be seat by regt/lar mail.)Otherwise,this(76-ttfcate is valid far elle year after this form is approver/by the insurance carrier ar its licensed agent,or until the policy expiration dale fisted in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does net amend,extend or alter the coverage afforded by the policy listed,nor docs it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note:Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York Stale Workers'Compensation Law. Under penalty of perjury,i certify that i am an authorized representative or licensed agent of the insurance carrier referenced above and that the narned insured has the coverage as depicted on this form. Approved By: Matt Zender (Print name orauthorized repre5entativC or licensed agent of insarnnra tarried Approved By: 3/15/2022 (Signature) (Date) Title: SVP,Workers Cornp Production Management i -1 D 'SURVEY OF. PROPER . AUG 1 4 2023 AT SO UTHOLD Lot No.s are From "Map Of West Creek TOWN OF SOUTHOLZ Estates' Filed with the Suffolk Co. Cleric B _ �� " SUFFOLK COUNTY N on Aug. 19, 1963, File No. 3848 'Q•00V N .T Fad$ �'" N. 1000-78-02-27 a SCALE: 1'- 30' JUNE 2, 2022 JULY 18, 2022 PROP. HOUSE & SEP! AUGUST 3 2022 (FLAG WETLANDS) AUGUST 22, 1022 Revisions & Correcth SEPTEMBER 7, 2022 (Revisions Per Trust, DECEMBER 9, 2022 (Foundation Locatioi J Y 3, 2023 (mc .4sl- v i T SURw NO WELL WITHIN 150' OF SUBJECT PARCEL 0 -&air cPOOLET Y GLENN ROAD X a-E� ' TG.'tj,�/r�e `z' x oHw OHW----- EL 9.9' PUBLIC WATER IN STREET EOF SOH w�oHw EDP ABB CURB PIPE EOP OHW---_�OHW unuTY POLE .MTR. R:=129.8.3 L=100-00' p' j v ralrr 3 2 (5) 3'DEEP V m �'" ►+� $ r^� X B'DIA LP 81 EX 1 I O Q a coo r 3 ��LP3 LP4 L1 EXi � C7 LP2 LP5 1E 15.0' WALKW O SLATE J 23.0' 1.2 PORCH 0 CEN 3ST V 00 .- �w w C/0 �ItURB 2 sw SEP77C SYSTEM AS INSTALLED COR [1] FUJI CLEAN CEN 5 /A SEP77C TANK s 9.6 18 5 pA- '�,� 02'{y BB 2 SIOR1 AC• CURB [5] 8 FT. DIA. X 3 FT. DEEP PRECAST GATEIEE pUN/75CUR �QEO >- CONCRETE LEACHING RINGS c � X (Fin.Flr.212=213.1') "' o� 415 IE N 3 SCDHS REF. No. R-22-1594 0.5vp v PROPANE 23 0, S P RCH WELLw FRAME \ V r 20.9' SHED -+ 2 SEPTIC LOCA TION 100' wmmoS - r-- X z a - 300, SErwK X .A. .8., Qd _� 31.8' I w CDVD W -� nw A GAZEBO j ST 17' 22' '� ® POOL M _ f � � _� CORE: LP(1) 33 33 / POOL /-_� X� 4.0FILTER SEPTIC DESIGN Co —Nps SE�B- Pc� M£1AL FEX V GATE BY GLYNIS BERRY 6.2gw o NYS LICENSED ARCHITECT LOT 4' ACCESS TO D /{ o ° .:q' 25' NON D/S77)RBANCE O N NON TURF BUFFER ►� Z 5 L Vii TIMBER LI. RET 7FST HOLE DATA aNK_, �, E END McDONALD GEOSCIENCE 05/12/22 11:20 AM TOP OF BAN / / T � VIIMFp� A.9 E EL a9" - EL EL4.3° BELS% w�Fys MN ,DARK BROWN LOAM G roP 01 Y&F#5 - LANDWARD EDOF GE �19H � Yr'°'! BROWSILTY SAND SM 71DAL WETLANDS AS Y�F#2 Y&F#3 MH CATWAL LOCATED BY ROBERT/� WLF#1 3' ANDERSON, SUFFOLK PALE BROWN RNE SAI ENWIRONMENTAL JULY 21, 2022 EL. 1.0' 7.9' WATER /N iW� y PALE BROWN FINE SANT KEY 288 , 110.()0!� 7 = WL FLAG „ /��'�9� `',`. 2 SCJ^• t�0 � �C r,,t�• �'h. 17' = Rvap A 4ty� $'4`s D Q ear r4- ® - WELL BULKHEAD 2 �� .��• t �N01E':\WATER ETVCOUNIERED 1,OT ar ,j �7 9'`BELOW SURFACE ® = STAKE Creek Development' �`a� ® = TEST HOLE LOT 1 01 ,h(est 36 Map File tr , ; No. 12 o = PIPE SubdivisiSui10lk Co. �'�� ' moi• .-" k�' ® = MONUMENT �j0 �O, = UTILITY POLE ELEVA77ONS & CONTOUR LINES ARE REFERENCED TO NAVD 88' CERTIFICATIONS: N. Y.S. LIC. N0. 0511 Roberts Premier Development, LLC A o I N.Y.S. LIC. NO. ANY AL7FRA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON Prime Meridian Abstract, Inc. PECONIC S VEYORS, P.C. OF SEC77ON 72090F 7HE NEW YORK STATE EDUCA77ON LAW. Stewart 71tie Insurance Company 631 765-5020 FAX 631 EXCEPT AS PER SEC770M 7209—SUBDIVISION 2. ALL CER71FICA 77ONS ( ( ) 765— HEREON ARE VALID FOR 7H/S MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYORd P�,®= '� r�dR �►►n F,rl, 1230 TRAVELER STREET PROPOSED LOT COVERAGE SURVEY OF PROPERTY •PROPOSED HOUSE =2933 Sq.Ft AT SOUTHOLD PROPOSED STEPS =95 Sq.Ft N PROOL POSED PO &COP/NO-612 sq.Ft. TOWN OF SOUTHOLD PROPOSED POOL.EQUIP. -25 Sq.Ft TOTAL PROPOSED COMAGE 3666 Sq.FL SUFFOLK COUNTY, N.Y. BUILDABLE AREA OF LOT LANDWARD OF HE7LANDS-24133 Wt. 1000-78-02-27 D 23133/3666- 0.158 or I&EX SC2022 0' Lot Nas are From 7Ycp Of Mbst Croak JULY 18, 2022 PROP. HOUSE&SEP77C) Estates'FRod with the Suffolk Ca perk AUGUST 3 20 ((FLAG 6S£TLANDS on Aug. 19, IW4 FDe Na 3848 AUGUST 22, 2422 REVISIONS& CORR1,C77ONS) SEPTEMBER 7, 2022 (REVISIONS PER 7RUS7EES) DECEMBER 9, 2022 (FOUNDA77ON LOCA770N) MARCH 7 2023 (PROP. POOL) MARCH 20, 2023 (REVISE LOT COVERAGE) NO HELL WHIN 150'OF SUB.ECTPARCEL �s OLE GLENN ROAD X CLXL 10.D'. ,�,s o E Moi' ?,pPRG D AS PER PERMS ro,TQ�q�N �—' °nw xCL Q 9.9' pUBIJC WA70 IN STRtfT EOF aN ONDII TIONS 0- 494 OZ ti� DtdD Qq yLl`c`y EAO o4 i�1. arw Epp BB '_RMIT f�0 I 1 ROAp saw ELP _� 4WN u7kJTY ATS �.AW MOL P tz ra R=129.83 L"00.00' IL BY n W tl Y"SN U TEST ROLE (5)3'DEEP Q 5 2 ,g+ EL 89' IR X 8 DIA LP EX �O < s"s$' s, Hui _ --o _ sao' M i,a n s c ssr • r C%oE/tURB t i/q ylcrtf nv f COR t h io.s'f 0 2'W BB ,wz r b F°IItoA110M t�c/ I CURB t, CCURB 4.5E 3 k 8 OIL FRAME p v ° ! _ 54.2' o.s' SHED a vcoa t1 i oAtEYxr ,z a \ 1v o COW v = V av pii3 ostJ _ a GAZEBO J� J � �o °'• nv J�_ OR I 4'OE RAIN RUNOFF CONTAINMENT- . —x_x Y ;S vINDS 5PROPOSM HOUSE 2,95s Sq. Ft o�� o sp 2956 x af7 x 1-503 CtLFf, �T► FE LOT 11 N N 503/42.2= 11.9 W Provide 3 DW 8W x 4'Deeper 12 VF W 4'ACCESS 1O OOp� c N 3 Connected by Qitters N Leaders a SEPW DEM r 25'NON DISTURBANCE �q o NON TURF BUFFER �� BY ELMS BERRY NYS LILENSED ARON7ECT O � N 2 N RMSER. 7EST HOE DATA McDOYALD GEOSMW `f a/ 4 9E D 05/We= 11:20 AM TOP OF B M \ 4 ,3 WL EL&9— DAW aWW Law OL �y� BiE'-M' n�ALL cµAS/ r wiF/z hiFp MHW vnr WOOD IWAIJ� aPOMN 917Y SAM 57l LODATM BY ROOZ17- vnFfl Y EIM uL P E SWWi PYRE SAAB SP -ZY 27,2022 CREEK EL LD 7.9' prESTtE°F E w r PMAN FILE SAA/SP KEY Mt Fuc H62.?bel 110.0 y10��° "'ETI 9t Y REBAR ¢s40'w 518'05''w-BVAELLULKHEAD *' ';� a i1FROxrr+lexm - -STAKE LOT 8 t• •�hLiOW SVfd-AC£ B ZEST HOLE 1 est Creek Dole m� <•\ • PRE . LOT 'lae Co tFiile No.1236 �yS osita2°Jt" Suffolk `Larros ■ MONUMENT -UTILITY POLE ELEVA77ONS Lt CONTOUR LINES ARE REFERENCED 70 NAND 88' CER 77RCA77GNS' N.Y.S. LIC. NO. 051132-01 Roberts Premier Development LLC MIS LLC. NO. 49618 ANY ALMRAAON OR ADDIRON TO TMS SURVEY IS A VIOLATION Prime McNdian Abstract Ina pECONI RE RS,YORS, P.C. OF SECAON 72090E THE NEW YORK STATE EDUCATION LAW. �_ _ Stewart 77fle insurance Company PECO 7aa-an /a;t1 7R.r,-1747 PROPOSED LOT COVERAGE SURVEY OF PROPERTY PROPOSED HOUSE =2,933 Sq. Ft. A T SO UTHOLD. PROPOSED STEPS = 96 Sq. Ft. N PROPOSED POOL & COPING = 612 Sq. Ft TO WN OF SO UTHOLD PROPOSED POOL EQUIP. = 25 Sq. Ft �r TOTAL PROPOSED COVERAGE=3666 Sq.Ft. SUFFOLK CO LINT Y.9 N Y. BUILDABLE AREA OF LOT 100o_r�rB�Or� 2r'r LANDWARD OF WFTLANDS= 23,133 Sq.Ft. 23133/3666= 0.158 or 15.88 SCALE.' 1, 30' a JUNE 2, 2022 Lot No.s are From 'Map Of West Creek JULY 18, 2022 PROP. HOUSE & SEP77C) Estas' Filed with the Suffolk Co. Clerk AUGUST 3 2022 (FLAG WE7LANLI on ug. 19, 1963, File No. 3848 AUGUST 22, 2922 REVISIONS & CORR C710NS) APPROVE D B Y sEP7EMBER 7, 2022 (REVISIONS.PER 7RIVS7EES) BOARD-OF 1 R-USTEES DECEMBER 9, 2022 (FOUNDAHON LOCA770N) MARCH 7, 2023 (PROP. POOL) 'OWN: OF-SOUTHOL® MARCH 20, 2023 (REVISE LOT COVERAGE) DATE p PR It_ Q Z3 NO WELL Wl THIN 150' OF SUBJECT PARCEL APRIL 13, 2023 (15' NON–TURF BUFFER) ' EL 0,0" see nJl}o p-ma 88� POLE GLEN ROAD x CL.EL piouinoS . N � A I x IN SJR 0P T� e ,—oHw E oHw L EL 9.9 PUBLIC WA1ER E HOZ � I HdY A _OHw 0 EOP I—BB CURB PIPE oHw 9Q EL 10.3 FIND. TEST WELL EOP i _oHw P 7)U7Y R_129.83 L=100.00 EL a 1' W TEST HOLE5' MIN— U I Q 5 2 m M EL. 8.9' 4' (5) 3 —DEEP— —— � $ 1 x 8'DIA LP EX �u a� _ ` 3� 8� CV EX EX Pi , 15.0, / 40' FRONT 8' MIN_ Z O o I �MRVL O FUJ V I 23.0' ,.� 11.2 N 19.5 O CFAI 5� ST. / • ' £ ' C/o � CORB i t/2 std DW ' ' 10.5'/ II a2 W FwC GAIVA W ®N N1tc CURB � LINE I GOER N K k cot �� CR 4.5 •• �� 3 osy p 1 0/L. FRAME p c� sa.2� o.s' SHED \n m O '`r'X-- OODr fUW 3,x44 COMPLIANo J 3 / Poop QL FENCE %°°� a�x DV � �' _Q H ,c JIO RCO j' DW Fj x GAZEBO POOL DW Q RV COPING �O _X Jx� °' X__ -,4�'O E RAIN RUNOFF CONTAINMENT.• FE WINOS SETBACK r`? PROPOSED HOUSE 2,956 Sq. Ft. e��v RSP 75 LOT o v o 2,956 x 0.17 x 1 = 503 Cu.Ft. E 11 o v, N 503/42.2 = 11.9 VF k1 c �r0 - N Provide 3 DW 810 x 4' Deep= 12 VF ow d O 4' ACCESS TO DOCK 0 3 Connected by Gutters & Leaders O SEP77C DESIGN N BY GE MIS BERRY O I� NYS LICENSED ARCHITECT 15' NON TURF BUFFER :t Z N 25' NON DISTURBANCE XL N RET WALL NON TURF BUFFER TEST HOLE DATA MCOONALD GEOSL9ENCE T OF A - FE ENO 05/12/22 11.20 AM TOP OF BANK— L .3 MHS F 4.9,E EL a9" DARK BROWN LOAM OL TP A 1 �4� LANDWARD EDGE I WLF#2 "julH ,ys FOOD LK BROWN SILTY SAND SM ATWA LOCA TED BY ROBERT 'M-F#1 ANDERSON, SUFFOLK 3' PALE BROWN FINE SAND SP ETV NRONMENTAL JULY 21, 2022 REEK EL 1.D• 7.9' WEST WATER IN PALE BROWN FlNE SAND SP KEY 2887. 110.00 = WL FLAG Ale R R 4g40ry� 1578'()5 40„g LKHEAD 2 No>F_ wat ® LOT 7.9'BELO Sl/ L1E fit` O 0 1 West Creek Development � = STAKE o = TEST HOLE LOT ,Map of No. 1230 • = PIPE SubdivisiSuffolk Co. File ■ = MONUMENT116�. y1: '*Au= ctL = U77UTY POLE Qh132-01 ELEVA77ONS & CONTOUR LINES ARE REFERENCED TO NAVD 88' CERTIFICA77ONS. N.Y.S U - 32-01 Roberts Premier Development, LLC .Y.S. LIC. NO. 49618 ANY ALTERA770N OR ADD177ON TO THIS SURVEY IS A VIOLA77ON Prime Meridian Abstract, Inc.. PECONIC S YOBS, P.C. OF SEC77ON 7209OF THE NEW YORK STA 7E EDUCA77ON LAW. Stewart Title Insurance Company. 631 765 20 FAX 631 765-1797 EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77RCA77ONS ( ) ( ) HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR1230 7RA VELER STREET 22_012 WHOSE SIGNA7URE APPEARS HEREON. AREA= 29,348 SQ. FT. SOU7HOLD, N.Y. 11971 APP OVEIDAS NOTE DATE: B.P.# FEE:✓lJ - BY: RETAIN STORM WATER RUNOFF NOTIFY BUILDING --,':P`,..HTMENT AT PURSUANT TO CHAPTER 236 765-1802 8 AM TO 4 M FOR THE OF THE TOWN CODE. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - COI\J -RUCTION MUST BE COMPLETr FOP C.J. ALL CONSTRUCTION SHALL MEET THE ELECTRICAL REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR IMSPECT10s"4 REQUIRED DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF BOARD ElICLOSE POOL TO CODE -;UFON COMPLETION, SOUTHOLD TOWN TRUSTEES ='°' B FORE:"WAT;ER" N.Y.S.DEC, .00CUPANCY OR JSE IS UNLAWFUL 'WITHOUT CERTIFICA- 'F OCCUPANCY C-1 C Ste; V-n nle-v-s 2� r liths zu TH' yy " C4 I APR 2 0 2023ot ' �i�lli��7��1"�3r►'�7-ac's;