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HomeMy WebLinkAbout27178-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28079 Date: 11/19/01 THIS CERTIFIES that the building ADDITION Location of Property: 8516 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 5 Lot 23 .10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 30, 2001 pursuant to which Building Permit No. 27178-Z dated MARCH 27, 2001 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 DECK ADDITION WITH AN INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to KEVIN R MIDDLETON & MARIE JONES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A ori ed Si nature 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. 27178 Z Date MARCH 27, 2001 Permission is hereby granted to: KEVIN R MIDDLETON ISLIP,NY 11751 for DECK ADDITION WITH IN GROUND SWIMMING POOL AS APPLIED FOR WITH TRUSTEES 4928 , NYS DEC AND FLOOD PERMIT 1 at premises located at 8516 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 087 1Block 0005 Lot No. 023 . 010 pursuant to application dated JANUARY 30, 2001 and approved by the Building Inspector. Fee $ 488 .20 Authorized Signature COPY Rev. 2/19/98 Torm No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%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 Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: /(check one) Location of Property: 6 rxti die GJ House No. Street A Owner or Owners of Property: K0_U i% d d�1) v 1[,i ✓1 4 f 1&_ �C>�-ie Suffolk County Tax Map No 1000, Section t o o v Block S 7 - j Lot 2 3 1 C Subdivision Ta t j, 0 a w 0. �^ Filed Map. /000 Lot: Z 3 . i O ) Permit No. Z 7 2-- Date of Permit. _j 2 5_i h tool Applicant: 6e J; Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2- G e-.-) �`�e-1 k_01%p Applicant Signature NEW YORK STATE_ DEPARTMENT OF ENVIRONMENTAL CONSERVATION F UMBER /OOOQi FFebruar TE �R 11t1���Q(s3 1499 PERMIT ATEIS) Under the Environmental Conservation Law 003 i TYPE Of PERMIT ■ New ❑ Renewal ❑ Modification A^Permit to Construct ❑ Permit to Operate ` ■ Article 15, Title 5: Protection ■ 6NYCRR 608: dater 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 O Article 15, Title 15: Water Control El Article 34: Coastal Erosion Transport Management ❑ Article 23, Title27: Mined ❑ Article 15, Title 15: Long Land Reclamation C Art?cte 36: floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands 13 Article 15, Title 27: Wild, 13 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers Y Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Kevin Middleton and Marie Jones (516) 277-6785 ADDRESS OF PERMITTEE 2393 Union Blvd., Apt. 3A Islip, NY 11751 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Middleton & Jones property, Main Ba • iew Road Southold NY 11971 LOCATION OF PROJECT/FACILITY SCTM 91000-87-05-23.1 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Corev Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a single family dwelling with associated sanitary system, deck, driveway, pool and catwalk, ramp and float. All work shall be done in accordance to plans stamped NYSDEC approved. By acceptance of this permit, the pernittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the Genera! Conditions specified (see page 2 & 3) and any Spaciat Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C. Carrara (Chu) Bldg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE / DATE Page 1 of 4 February2, 1999 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 45 DATE; 312199.........., A A ISSUED TO ............I... ARIE..JQN.&5.,..&...KEVIN..R...-.MID.D.LET(.)N•- �• Pursuant to the provisions of Chapter 615 of the Laws of ' the State of New York, 1893; and Chapter 404 of the Laws of the x State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;'..": and in accordance with the Resolution of The Board adopted at a meeting held on ..3/241.9.9..... 19.....99., and in consideration of the sum of 759.,00......., paid by Marie..., axe. s. .&...1 .vin ..R. ..Middleton. ....................................,...........I......... of .........$gUO.ald......... ............ N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to constr. a 41X24' fixed dock, ele. min. 4' abo ' 1 marsh, a 2 1/21X16' walk-ramp & a 61X20' float with 2 2�-pile dole a pool at 77' as shown on survey dated 3/24/99 with condition th it inchAde a drywell for drainage & a dock application as submitte y on all in accordance with the detailed specifications as presented in sheethe originating application. 1 of 2 of application on approved pla :r in the dotted located at a "T" shape configuration. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a'majority of the said Board as of this date. =` ................. �- w: .... Trrasees ?` T= . n ZP,Eva TERMS and CONDITIONS The Permittee MARIE JONES & KEVIN R MIDDLETON residing at 2393 Union Blvd. , Apt 3A Tali,, 11751 N. Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or lndirecdy as a result of any open. &tion performed pursuant to this permit, and the acid Permittee will, at his or her own expense, defend any and all such suits-laidated by third parties, and the said Permittee assutoes full unbuilt' with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for a period of 2mos. which h considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project invqJved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4,• That the work involved will be subject to the .inspectioa sad approval of the Board or • its agents, and non-compliance with the provisions of thi'origin&ting application, may be cause for revocstion of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the wade herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or &Iterations In the location of the work herein authorized, or if, in the opinion of the Board of Trustees, dye. work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. : 8. That the said Board will be notified by the Permittee of the completion of the work wAh orned. 9. That the Permittee will obtain all other permits and consents drat may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain tame. Town Hall Albert J.Krupski, President ��~O ,y 53095 Main Road James King,Vice-President .fit P.O.Box 1179 C* Z Southold,Now York 11971 Henry Smith art Artie Foster � 'F Telephone(516)765-18,42 Ken Poiiwoda y�Ol �aFax(516) 765-1823 BOARD OF TOWN TRUSTEES TO`''N OF SOUTHOLD March 26 , 1999 Kevin R. Middleton & Marie Jones 2393 Union Blvd. , Apt. 3A Islip NY 11751 Re: SCTM #87-5-23 . 10 Dear Mr. Middleton, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on March 24, 1999, regarding the above matter: WHEREAS, KEVIN R. MIDDLETON & MARIE JONES . , applied to the • Southold 'Town Trustees for a permit under the provisions of the Wetland Ordinance of +the 'Town of Southold, application dated -- February 25 , 1999 and, WHEREAS,, said application was referred to the Southold Town •Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to .said application on March 24, 1999, at which time all • interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, r ' RESOLVED, that the Board of Trustees approves the application of KEVIN R. MIDDLETON & MARIE JONES to construct a 4 ' X 24 ' fixed dock, elev. a min. of 4 ' above marsh, a 2 1/2 ' X 16 ' walk-ramp and a 6 ' X 20 ' float secured to two 2-pile dolphins, a pool at 77 ' as shown on survey dated 3/24/99 with condition that it include a drywell for draining, and dock application as submitted on sheet 1 of 2 of the application on approved plan in the dotted location at a "T" shape configuration. Located: 8516 Main Bayview Road, Southold. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. ' FEES: Catwalk: 4 ' X 12 ' = 48 ' X $3 = $144 ramp: 30" X 14 ' = 35 ' X $3 = $105 Float: 6 ' X 20 ' = 120 ' X $3 = $360 TOTAL DUE: $609 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc . DEC Dept. of State ACE Bldg. Dept. APPLICATION PAGE 1 0( 4 -- TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. 1,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) y +e( DATE_ SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICAN1l NAME ADDRESS TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION PAGE 2 OF C DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE New Structure dResidential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Usc (Resideatial & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT SJ©+c© d B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Seyt!,r Systom ❑ Other (Please Specify) Alter completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3 FLOODPLAIN DETERMINATION fTo be comnieted by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is +i �located in a Special Flood Hazard Arca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVEIAPMENT PERMIT IS REOUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ Sec Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans,drawn to scale, and specifications, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the fust floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residen(ial only) Ft.'NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in Any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5 PERMIT DE'T'ERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. O Is B. O Is not in conformance with provisions of Local Law , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION PAGE a OF a APPF—ALS: Appealed to Board of Appeals? ❑ Ycs ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). fi NOTE: Any work performed prior to submittal of the above information is a( the risk of the Applicant. SECTION 7: COMPLIANCE ACTION fro be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECT-AL FLOOD HAZARD AREA (OW'NER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF - LOCAL LAW # , 19_ SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) IA- BUILDING PERMIT REVIEW CHECK LIST / DATE REVIEWED: 3 /9 /01 APPLICANT NAME: / - r���-fes-' /-a, DATE SUBMITTED: / / 310 SCTM#--- DISTRICT: 1,000 SECTION: &2 BLOCK: -S LOT: ,23./( p J PROJECT LOCATION AND TYPE OF PROPOSED WO � /I rf e ! �^T!O--a f ./1 4 , ^l �j ZCt5S6Tr"y-"` PROJECT DESCRIPTION: ADD.ALT, 6c,OR N/D: _7_4 . '/UFC STREET: 12"'1 t1/`4A /e­o� CITY: �o r,�o cQ SUBDIV. NAME: ARCHITECT/ENGINEER: '�//Z FAST TRACK: YES OR SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o O NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOT ROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83 ZONING:-- PERMIT ESTIMATE AMOUNT:-$. .00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICT: R40 R80 AC. CONFORMING: YES o N REQUIRED LOT SIZE: 00,r SQFT. WHERE ACTUAL LOT SIZE FROM?TAx CARD ACTUAL LOT SIZE:f&0'$'2 SQFT. REQUIRED M REQUIRED REQUWD FRONT:Sy 'PROPOSED:SD' ' SIDE YD: 20 'l 9'C) ' PROPOSED:39 //Z9 ' REAR: G 'PROPOSED:12. ' LOT COVERAGE: OWED:% EXIS G:36 fb sf_% NEW: /94� sf_% TOTAL:t2Cc sf/d % CORNER? YES OR O WAT ER FRONT? NISR NO DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: /i�C FLOOD ZONE:K_ "�3` AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APP TION TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES orO (BED #): DTE: / / PERMIT#.R10- NEW YORK STATE DEC: PRE-DEC 9/v4YE orNO - '¢2�- 0.2o 19 OSOUTHOLD TOWN TRUSTEES: or N ,r� s2� �7, TOWN ZONING BOARD APPROVAL: YES o TOWN LAN. BOARD APPROVAL: YES or O NYS ENERGY: YES OR O `S/a EGRESS: VENT: LIGHT: NOTES: {( Q' JC r ,,j61 ad, SU h-< a J 6— Cl,-,/ / +� 3 f - 7 L 14 ! 4 -" a.-! <CK- > R •t O(MIW FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR 1/62 SF SECOND FLR SSOf SF INIT OTHER TOTAL TOTAL: /GG6 SF FEE FEE FEE .L T( 14,1-6 SF)- ASF)= F/," SF X $ ,20 =$ /t 20+$ �s +$ X0- =$ 38-1 - /!0 /a d ;7r4 M-1802 BUILDING DEPT. NSPECTION /IFOOUUNDA-TION NDATION 1ST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ,DATE 014�r INSPE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] 7FNDATION 2ND [ ] INSULATION FAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: ✓ c.rfic� — Ar Z-_5�-Ag� � ��, DATE � (J� INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING [ 1 FINAL [ ] FIREPL & CHIMNEY REMARKS: �- DATE !�Q �- O INSPECTO BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE � 3 Q I INSPECTOR FIEi�D IIM, PSCTION REPORT DATE _:;,.,,,,s. COMMENTS J �_ -_ ___1== - ________=__------------------ J II � Ole FOUNDATION ( 1 FOUNDATION (2ND) — _-------- ---------------------------------- &,e4ei< ROUGH FRAME PLUMBING 4(4 I Z — 4 INSULATION PER N. Y. 1 6 STATS ENERGY u Gt7o " H CODE; u . I p j Cl l� tf, fl H u �I FINAL ADDITIONAL C0124MS: . QN x . i` }d H 1 V VV v,4 Vt' 0V 1riVLL zbU1L,1ANU 1'hKM11 A ?UC;Af10N CHECK-LIS PUIL,1DING DEPARTMENT ''r Do you have or need the following,before applying TOWN HALL JAN 3 d Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: 765-1802 Survey P11JR1 I1' NO,.. �;2 7 7 e— Check Septic Form N.Y.S.D.E.C. Examined -,200/ Contact:.Trustees Approved .3 , 1200/ Mail to: Disapproved a/c Phone: 7I—t uilding Inspe APPLICATION FOR BUILDING PERMIT Date ra,n uGr y 29 t�` , 20 0l 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 waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall 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 what-so-ever until a Certificate of Occupan is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk-County,New York, and other applicable Laws, Ordinances or Regul;tions, for the construction of buildings, additions, or 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 authoorized inspectors on premises and in building for necessary inspections. ih'Z.t,ddLJ�Q�.— (Signature of applicant or name, if a corporation) �(o Mc,ty, l3o,!jute-0 Rd So�Aold (Mailing kdress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder wy�P✓' Name of owner ofpremises K ,uty\ ({ , MIUd1 _fort ` + Mari Jov%es (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. --tt 2-4 O V1 H T 1. Location of land on which proposed work will be done: $5l to M G►v\ [?i cru u t e 1P a �'��;k(•�01 cl N e�.� y mr ,1 M House Number StreetHPW amlet . Vim County Tax Map No. 1000 Section I ado Block - 5 Lot 2 3 0 Subdivision 2-c,w, 6 W . p a, w S o v) Filed Map No. l000 Lot z 3 , p (Name) :. Mate existing use and occupancy of premises and intended use and occupancy of proposed construction: , a. Existing use and occupancy Re, 5 I d e tnG 4 � � b. Intended use and occupancy (' n6s+ra cJ:►bv► n-� a S1rlc Ip -� , �„ s��►�rhi h Aon / >. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work_n s per_ �( I * X 3 T (Description) 1. Estimated Cost Fee "r 5 0 , a p (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor ,��,4 If garage, number of cars d /A- If business, commercial or mixed occupancy, specify nature and extent of each type of use. 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 Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2, Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Y Q S Will excess fill be removed from premises: YES 4. Names of Owner of premises_i&%A M,dd(e+ate Address 4SSl� Ma,h 6-,3-1 No. _ 7 6 - 12 75% Name of Architect Address Phone No t Name of Contractor M w�i t vt pools, .L n c. Address per, ,a,� yphone No. 7 3 8 2 S$5 14 � l '11G 5. Is this property within 100 feet of a tidal wetland? *YE NO / • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED �'°"'� Per,�,,►p-1- �•�c(�Ic�ea7 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: OUNTY OF�JZ[L� 1-1 ►Q . Mt d j being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, i)He is the d u) ,Aer (Contractor, Agent, Corporate Officer, etc.) C said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be �rformed in the manner set forth in the application filed therewith. worn to before me thi day of 20_0L_ C otary Public Signature of Applicant LYNDA M.BOHN NOTARY PUBLIC,State of',%*y&k No.01 B06020932 Oualified in Suffolk Cou Term Expires March S,26 Kevin Middleton Pool and Deck Plans .- (. i0CKIR1r "0 ILL t n �{ - i it C�`,'Cy✓i t', 7/f Backyard --/--------- Lineof f'Faybales------------ ----------- -------------- ----------- -------- -- - 1 �� �a Pool fully fenced in 4' high fence, Il`�1, 44, 3 ---- — VV 30 3 S - ' south Backyard 1 Pool ¢��( -�r�� = /.2o4i*Deck 15 East --_.--West 3' 38' — ;North Son� 5 Backyard 12'---- � ear o \\\EEVN� Ouse House 5 Garage 28'4' 15' Front of House These preliminary plans include: #1. 16'x 38'Offset in the ground pool. 42.Deck that fully surrounds pool with 4'railings that fully enclose pool and locking hinged gate for entry to pool area. #3.Lower deck which goes from the pool to the house. Decks will be made out of CCA pressure treated wood. These plans contingent on any recomendations or modifications by Southold Town Building Dept. First Draft,Dated:January 31,2001 UNDERVVRITERS CERTIFICATE REQUIRED APPROVED AS NOTED DO NOT PROCEED VVITH DATE:4 2, D _B.P# &7�� FRAMING UNTIL SURVEY FEE: ,26 BY: OF FOUNDATION LOCATION NOTIFY BUILDING DEPARTMENT AT HAS BEEN APPROVED, 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED "IMMEDIATELY" FOR POURED CONCRETE ENCLOSE POOL TO CODE 2. ROUGH - FRAMIN3 & PLUMBING UPON COMPLETION 3. INSULATION BEFORE'WATER* 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET OH�jR11TD 1 t �� THE REQUIREMENTS OF THE N.Y. �1►V STATE CONSTRUCTION & ENERGY COIYlMY WITH CHAP'T'ER 10460 CODES. NOT RESPONSIBLE FOR FLOOD DAMME PREVE ff" DESIGN OR CONSTRUCTION ERRORS SOUS. TOM COM ;�•_ =,-t _ _.__ __ BAR 2 2 Ju1i DG.ral 1-mu) �r•-?•_• � � � ice. _ � _ _ � ,�.i„� 1 Rol � 1 .t s --•---.i � r i► C— fie r 0e L k 1 �- iz S ,o c ; LA ` ' :+. V/ A T / Er �, a ► in d' or_. c� p� f�Qr� V1 �, c��a� �t� VtiA7 }( I 0 � 9� T r-A e- 6 Pi - _ to 17 sPIIce - j rat 3 0 •� Lo^ TOP CAP RAIL RAIL a - .111' � 'w.y-,• IST RAILING ' GUARDRAIL POST '� •IV/p'IIe- - END JOIST CLEAT BRIDGING VREAD e ��rr F• RIBBON ` 111 fir``\\ BEAM BOARD 4x4 STRINGER POST trrlw CONCRETE FOOTING 9.y ; --- - --- f1 O 1 C'7 1 '7Caf TA 1 ']U WOC-C fAMQ /G11 7 } ,;{ey;.. . , •-a a.� ronaw �w ,::� u,w oa=c __._..,. _ FROM 84 LUMBER TO 916313690139 PRGE.001/017 f 20 •01 13: 11 FROM 84 LUMBER TO 916313690139 PRGE.G16/017 IL 00 W(N0 Ch AY Y m W 5:M W O O 3 Ul _W >O O p.V~71W- 04 hinged locking gate to enter pool Pool fully fenced in 4'high fence. I , 16 Pool L titi 38' i I � I I Rqo i - - - i House 5 Garage „ - �,.qq cpnw. on t i iMaGv Tn PAGF . RR 1 /R 1 7 d ' 01 13: 11 FROM 84 LUMBER TO 916313690139 PAGE - 015/017 Y7' r ` BEAM LAYOUT FOR LEVEL 4 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 1' 4 3/4' Y 4 3/4' BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 36' 8 T 13/4' 9 S 7' 13/4' Post spacing is me med center-to-center. Depth of post-in-conaeto footers --- 36 inches. ,� . FROM, 84 LUMBER TO 916313690139 PAGE . 001i017 'al 1 3: 1 1 FROM 84 LUMBER TO 916313690139 PA5E .014i017 - BEAM LAYOUT FOR LEVEL 3 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 F 4 3/4' 6' 1 1/4' 6' 1 1/4' 1' 4 3/4' BEAM BEAM POST POST LABEL LENGTH COUNT SPACNdG A 30' 4 9- 10 3/44 8 3a' B T 5• C 30' 4 9' 10 3/4' Post spoai V is nneosurad center-to-center. Depth of poet-in-concrete footers --- 36 inches, E34 LUMBER TO 916313690139 PAGE . 001 /01r E �0 01 13: 11 FROM 84 LUMBER TO 916313690139 PAGE . 013i017 BEAM LAYOUT FOR LEVEL 2 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 1' 4 3/4' 1' am I I I I I -. .-L. 1 11 A I I - _F 3' 2 1/2' 1' 4 3/4' BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 2P 4' 3 10' 6 1/4' B 2P 6 1/2' 3 10' 7' C 44' 5 10' II V4' Post spoang is rneosaed center-to-center. Depth of post+-concrete footers --- 36 inches. L0 '01 13: 11 FROM 84 LUMBER TO 916313690139 PAGE . 012i017 BEAM LAYOUT FOR LEVEL I CUSTOMER -- KEVIN MIDDLETON i DATE 03/20/01 REF KKMO6204 2' 3' 2' 8' 4 1 0 2' 1' 4 3/4' BEAM BEAM POST POST LABEL LENGTH COUNT SPACING A 4l' 8 819, B 17 6 I/2' 2 IT 2' C 18' T 3 W13/d' D 36 2 2' 8 1/2' E 3' 2 2' 8 1/2' F 3' 2 2' 8 1/2' G 3' 2 2' 8 1/2' Post spacing is measured center-to-center. Depth of post-irt-concrete footers -- 36 inchos. i CUT LIST FOR LEVEL 4 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 C A A A LABEL LENGTH BEVELS LABEL LENGTH BEVELS A joist (26) 13' 9' E ledger 36' B ledger 13' 9' F cap 14' 4 1/2• FO S45 C ledger 36' F section 4' 5 3/4" D ledger 13' 9' G cap 12' 11 1/2' F45 S45 G section 3' 11 3/4' CIT LIST FOR LEVEL 3 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKM06204 H A A A A A A A A A A A A A A A A A A A C E F LABEL LENGTH BEVELS LABEL LENGTH BEVELS A ,joist (22) 14' 9' F cap 15' S 1/2" F45 S45 B ledger 30' F section 4' 9 3/4' C ledger 14' S' G cap 3019, F45 S45 D ledger 30' G section 5' 10 1/4' E ledger 14' 9' H cap 3' S 1/2' F45 S45 H section 217 1/2' } CUT LIST FOR LEVEL 3 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKM06204 H A A A A A A A A A A A A A A A A A A A J, 1 11 � E F LABEL LENGTH BEVELS LABEL LENGTH BEVELS A ,joist (22) 14' 9' F cap 15' S 1/2' F45 S45 B ledger 30' F section 4' 9 3/4' C ledger 14' T G cap 3019, F45 S45 D ledger 30' G section 5' 10 1/4' E ledger 14' 9' H cap 3' S 1/2' F45 S45 H section 2' 7 1/2' s i CUT LIST FOR LEVEL 2 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKM06204 wi LABEL LENGTH BEVELS LABEL LENGTH BEVELS A joist (16) 4' 9' F ]edger 2c' B joist (16) 6' 9' G l edger 4' 9' C ledger 6' 9' H ledger 44' D ledger 22' I cap 5' E ledger 2' I section 4' 7 1/2' '01 1­6----FROM 84 LUMBER TO 916313690139 PAGE .008i017 CUT LIST FOR LEVEL I CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKM06204 r, MN kilkkuw r LABEL LENGTH BEVELS LABEL LENGTH BEVELS A joist (14) 4' 9' J ledger 1q' B joist (14) 219, K ledger 16' C jo;st (2) 7' 1 1/4' L ledger 3' D joist (4) 11' 7 3/4" M ledger 18' 9" E joist (2) 9' 1 1/4' N ledger 44' F" ledger 3' 0 ledger 20' 9' G ledger 16' P cap 21' 4 1/2' F"45 SO H ledger 19' P section 5' 1 1/4' I ledger 2' 0 cap 44' S 1/2' F-45 S45 0 section 5' 4 112' '01 13: 10 FROM 84 LUMBER TO 916313690139 PR3E . 007i017 PLAN VIEW FOR LEVEL 4 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 36' v LOAD AND SUPPORT: Your deck Will support a 49 PSF five load. Posts have 36' below-ground poet support. DECK AND POST DIGHT: You selected a height of 24' from the top of decking to level ground. The top of the deck support posts will therefore be 15.25' above ground level. Your salesperson con provide information for uneven or sloped ground. JOISTS: Set joists on top of beams, 16' center to center. NOTE The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished baldmg plan. You are responsible for dl measurements being correct for verifying that the design (and any substitutions or modifications that you make) meets all local budding codec and requirements. To verify that the suggested design. WW any substitutions or modifications, is consistent with conditions at the construction site. review the design with your architect Also consult your architect for proper construction and use Of materials in the structure. Be sure to follow the deck construction detail avaloble from your store salesperson. FR'QM 84 LUMBER TO 916313690139 PA6E .006i017 '01 13: 10 PLAN VIEW FOR LEVEL 3 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 30' in LOAD AND SUPPORT: Your deck will support a 53 PSF Iva load. Posts have 36' below-ground post support. DECK AND POST HEIGHT: You selected a height of 24' from the top of decking to level ground. The top of the deck support posts will therefore be 15.25' above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on top of beoms. 16' center to center. NOTE: The design may require knee braces and bridging between joists. Your materials lot OKAx es the necessary items. The suggested design is not a finished budding plan. You are responsible for all measurements being correct. for verifying that the design tend any substitutions or modifications that you make) moots all local building codes and requirements. To verify that the suggested design. and any substitutions or modifications, is consistent with conditions at the construction site. review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store solesperson. .� '01 13: 10 FROM 134 LUMBER TO 916313690139 PA6E . 005i017 PLAN VIEW FOR LEVEL 2 CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 44' 2c' 22' N t` U7 LOAD AND SUPPORT: Your deck will support a 58 PSF Iva load. Posts have 36' below-ground post support. DECK AND POST HEIGHT: You selected a height of 24' from the top of decking to level ground The top of the deck support posts vAl therefore be 15.25' above ground level Your salesperson can provide information for uneven or sloped ground JOISTS: Set joists on top of booms, 16' center to center. NOTE The design may require knee braes and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for aq measurements being correct, for verifying thot the design (and any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design. and any substitutions or modifications. is consistent with conditions of the construction site. review the design with your architect. Also consult your architect for proper construction and use of materials in this structure. Be sure to folow the deck construction detail available from your store salesperson. • .rIV .r i vv 1 JOJr� 1 JJ rHUt . bd4i0 1 7 PLAN VIEW FOR LEVEL I CUSTOMER -- KEVIN MIDDLETON DATE 03/20/01 REF KKMOS204 44' c� M N cvM MT is -r iv L I JN 3' Mr 19. 3' LOAD AND SUPPORT: You ded will support a 46 PSF five loud. Posts have 36' below-ground post support DECK AND POST HEIGHT: You selected a height of 24' from the top of docking to level ground. The top of the deck support posts will therefore be 15.25' above ground level. Your salesperson can provide information for uneven or s4ed ground. JOISTS: Set joists on top of booms, 16' center to center. NOTE. The design may roquiiro knee braces and bridging between joists. You materials fist includes the necessary items. The suggested design is not a finished building plan. You are responsible for al meosurements being correct, for verifying that the design land any substitutions or modifications that you make) meets ail local budding codes and requirements. To verify that the suggested design. and any substitutions or modficotions. is consistent with conditions at the construction site; review the design with your architect. Also consult your architect for proper construction and use j of materials in the structure. Be sue to follow the deck construction detail available from your store saleepereon. f. f 13:09 FROM b4 LurlbtK TO 916313690139 PR6E . 003i017 BILL -OF MATERIALS --- OTHER MATERIALS CUSTOMER• KEVIN MIDDLETON DATE: 03/20/01 REF: KKMO6204 SALESMAN # ROB --------------------------------------------------------------------------- COMPONENT SKU QUANTITY DESCRIPTION --------------------------------------------------------------------------- 16D NAILS 92135 76 LBS 16D GALV. NAILS 8D NAILS 92127 46 LBS 8D GALV. NAILS DECK STAIN 35051 10 GAL DECK STAIN RAILING BOLT, 6IN 834808 68 EA 1/2"X6" BOLT WASHER 834816 178 EA 1/2" WASHER NUT 834712 178 EA 1/2" NUT BEAM BOLT,8IN 834810 110 EA 1/2"X8" CAR BOLT CONCRETE, 60LB 34101 55 BAGS CONCRETE, 60 LB BAG -----------=--------------------------------------------------------------- d 101 13:09 r-r<url U4 LUrltitK TO 91 631 366 1 39 PRGE . 002/01 7 jXLL OF MATERIAL'S --- LUMBER CUSTOMER: KEVIN MIDDLETON 'DATE: 03/20/01 REE: KKM06204 SALESMAN $ ROB --------------------------------------------------------------------------- COMPONENT SKU QUANTITY DESCRIPTION WOOD TYPE --------------------------------------------------------------------------- DECKING 5460806 164 EA 5/4X6 8 ' PT PINE DECKING 5461206 78 EA 5/4X6 12' PT PINE DECKING 5461006 40 EA 5/4X6 10' PT PINE DECKING 5461406 69 EA 5/4X6 14 ' PT PINE DECKING 5461606 10 EA 5/4X6 16' PT PINE VERTICAL RAILS 2020807 263 EA 2X2 8' PT PINE RAIL CAP 2060870 9 EA 2X6 8' PT PINE RAIL CAP 2061670 3 EA 2X6 16' PT PINE PiORIZONTAL RAILS 2040870 5 EA 2X4 8' PT PINE HORIZONTAL RAILS 2041670 8 EA 2X4 16' PT PINE RAIL POST 4040806 17 EA 4X4 8' PT PINE BEAMS .2081406 12 EA 2X8 14' PT PINE BEAMS 2081206 10 EA 2X8 12 ' PT PINE BEAMS 2081006 20 EA 2X8 10' PT PINE BEAMS 2080806 12 EA 2X8 8' PT PINE BEAMS 2081606 8 EA 2X8 16' PT PINE JOISTS 2081406 34 EA 2X8 14' PT PINE JOISTS 2081606 22 EA 2X8 16' PT PINE JOISTS 2081006 17 EA 2X8 10' PT PINE JOISTS 2081206 8 EA 2X8 12' PT PINE JOISTS 2080806 2 EA 2X8 8' PT PINE LEDGER 2081006 7 EA 2X8 10' PT PINE LEDGER 2081606 8 EA 2X8 16' PT PINE LEDGER 2081206 7 EA 2X8 12 ' PT PINE LEDGER 2080806 8 EA 2X8 8 ' PT PINE LEDGER 2081406 9 EA 2X8 14 ' PT PINE GROUND POSTS 4041006 28 EA 4X4 10' PT PINE --------------------------------------------------------------------------- 0 _ Ze/ r Well 4& 46 -10 N ti ?C' 41 2 A06 �ii� r Jr t to 8 � R C cr SCI 1s Q�"+�j'- Q OIL .40 41 �p� ' Ae sr b , 50 "' g,, E �� ` , TEST MALE40( 'S/ lb Ejtb 1 TEST MALE # P Dant brow rip ( � , O l bowOL 3p �• 4 /• Brow rn d ba Shownewe iNs- X11 amp" mad I dm)W qC 14 j Broom sny RL ke "sand W.rrr i Mere g• doyey sand /' AAVPborn SC 22 U L� y�: �,;' J `'(�✓�J � n�Aek5o;w A NOTE cooaa rse saM 8' REMOVE ALL M/°ERVI" SOH. 6.6' �OWL 3' MALUM Woter;h Pde Water In brown NOTE' WSA/� d SLS BACKFILL coarse VEL swd sfhe ondto medwn SP LOT NUNNER REFER TO W40R SUBDIVISION' MADE FOR JAMES W. DAWSON /t•o 13' 14' shed c�rc:cce ��/.o I am I r with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE _ /E J/3 apt J000 gaJ [,P�nfer) �2 DISPOSAL SYSTEMS FOR SINGLE FAML Y RESIDENCES fs and will abide by the coadlllons set forth therein and on the Pl 44 permll to construct. ----- — _ -- GRADIN(/ PLAN (hJ yn s,r exPeoto.�� FLOOD ZONE LINES FROM FiYA11 i2 =p/op con>ovr 36103CO166 G MAY 4, /9W = Prop •/`v . SURVEY OF PROPERTY hV-4 AMCE NOT AVAILABLE A T pop C�ONST7"X 7AN COASTAL BAt7AER NOTEO SENSWACE "AGE DWOUL BA YVIEW SMW ELEVATIONS ARE REFERENCED BY, JOSEPH TTI, RE TOWN OF SOUTHOLD TO N.G.V.D. HMRT R00 SOUnaD, A1Y. 11971 SUFFOLK COUNTY , N. Y. The locations of wells and cesspools W& 765 - 2954 – 87 – 05 – 23.10 shown hereon are from field observations SCALE Y 40 and or from data obtained from others. MA Y 19, 1988 AANE n IM( TOO) AAL Y 15, WO(prop. hse &pool) ARE14 = 1. W acres to tie Im Aug. 14, 1998 (revisions J 1998 ( test hole #2 1 9 (additions) ANY ALTERATION OR ADDITION TO TMS SURVEY IS A VIQLAT7AN S prx.3N Ised FIRM) OF SECTION 7209 OF THE AEW YO1K STATE EDUCATION LAW �o l EXCEPT AS PER SECTION 7209-SUR%V SAN Z ALL CERTFICi1 VW MWON ARE VALID FOR TMS MAP AAD COPES TTEAEOF OAA Y F SW MAP OR COPES BEAR THE SSED SEAL AF 7W SLRVEYAR D LS lUJ [S },. * N.Y.S. LIG NO. 496/8 AWTO"LL Y TO COWL Y W M SAID LAW 77£ MW 'ALTERED eye C; E V. Y S, P.C. b1UST BE USED BY ANY AAD ALL SURVEYORS UT"M A COPY _ 3 ' � , OF ANOTMN SLRVEYORS MAP. TERNS Supt AS ASPECTED'AAD WOU6HTT-TO-DA TE-ARE NOT N COb LANCE WITH THE LAW. STREET BLDG.DEPT. N.Y. 1/971 ()F SQUTNOI"7 98 - 186