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HomeMy WebLinkAbout46378-Z �agUFFOtk GI.c Town of Southold 9/13/2023 a y� , P.O.Box 1179 C r 53095 Main Rd o�� Y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44545 Date: 9/13/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2405 Glenn Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-1-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/19/2021 pursuant to which Building Permit No. 46378 dated 6/7/2021 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 Jaugietis,Martin&Heather of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46378 10/12/2021 PLUMBERS CERTIFICATION DATED Author ze Si nature �� SufiK� TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "o • 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#: 46378 Date: 6/7/2021 Permission is hereby granted to: Jaugietis, Martin 1 W End Rd 8D New York, NY 10023 To: Construct in ground gunite swimming pool as applied for At premises located at: 2405 Glenn Rd, Southold SCTM # 473889 Sec/Block/Lot# 78.-1-32 Pursuant to application dated 5/19/2021 and approved by the Building Inspector. To expire on 12/7/2022. Fees: SWUMUNG POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWR"ING POOL $50.00 Total: $300.00 Building Inspector OF SOUjyDI Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 o sean.devlint-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Martin Jaugietis Address: 2405 Glenn Rd ' city:Southold st: NY zip: 11971 Building Permit#: 46378 Section: 78 Block: 1 Lot: 32 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Country Club Electrical License No: 63975 SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1 st 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 Transformer 300W UC Lights Dryer Recpt Emergency Fixtures Time Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment: Intermatic Pool Panel 8 Circuit/4 Used, (4) Lights 120GFI on Pentair 30OW Tranny, Pump 220GFI, Heater, Hayward Salt Generator Notes: Pool �) October 12, 2021 Inspector Signature: Date: S.Devlin-Cert Electrical Compliance Form Of SOpIyO� # TOWN OF SOUTHOLD BUILDING DEPT. . 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 REMARKS: DATE l Z- INSPECTOR I f ��pF SOpI�° TOWN OF SOUTHOLD BUILDING DEPT. °�ycourm ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINALpov� [ ] FIREPLACE & CHIMNEY [ ]° FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: o, e, L i vk--ra- L2 S,Cub 5Pec,5 GF Dox t-41fr-4-, e(z4zo►z) Cc,,-pa-g-.c1-r ? ,�1' jjL2ci7 V C Z> Wz.+(/ba L-✓, µ l DATE 'Y� -INSPECTOR \ �✓ � OF 50Glyo� . # TOWN OF SOUTHOLD BUILDING DEPT. `y�OUrrrt,��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULK ING [ ] FRAMING /STRAPPING [Z �1/ lINAL ` e„- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE �''�a” �'� INSPECTOR Jeffrey Sands Architect %` f ► ��� August 8, 2021 AUG 2 0 2021 Tp,IQ�ING DEFT Coastal Planting ej- 54Wr`HE I—rl 2405 Glenn Road Southold, NY 11971 RE: Swimming pool rebar inspection Attention Town of Southold Building Department: Upon inspecting swimming pool rebar at the above mentioned property I find all to have been installed to meet current building code requirements. Sincerely, ,�EFtED qRc BEY M.S i� 2 78 OF ESI Jeffrey Sands Architect 6 Evergreen Lane, East Quogue, New York 11942 phone-631-375-5997, fax, 631-576-8916 email—Jeffrey sandsna.hotmail.com FIELD INSPECTION REPORT, DATE COMMENTS �e FOUNDATION(1ST) J y -------------------------------- FOUNDATION(2ND) No l Q ROUGH FRAMING& PLUMBING •� S � !V � r INSULATION PER N.Y. S y STATE ENERGY CODE -� V 1 U tZ I v F Zzo dLEc�vZk'G�� Z)LICnTot DaclL w. 8,flwaj�*x4,Ls Aga 7�t7 COM6�LZ 3' SMT d(� f2G� Z�7 &AA ,,l, wsr, iri s Gv s mcg5:76E. FINAL. 9 �� a �►L e- Co. ADDITIONAL COMMENTS y 00 etb b �d 5' c l( iMal m x t4 �d b 1 y o�g%JFFOtKeO TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownngov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only } 1 x r I PERMIT NO. 3 Building Inspector: i ? Applications and forms must be filled out in their entirety. Incomplete MAY 1 9 2021 applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. M;;y•n f Date: Q �` OWNER(S)OF PROPERTY: Name: SCTM#1000- Project Address: Phone#: _��� 00 .JEmail:m $ _C _Y10 ►hQ(��� IVB..-.. . Mailing Address: CONTACT PERSON: Name- _ -- Mailing Address: PO 9� D& Cf�1'll-�- _. -- -- ---. _. . _ . Phone#:. USA . 1M3- Email: 0.� _. . .�Cc(�CI (a) .. DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: D ` Mailing Address: -. 70 __..__- _-. �__Vii_ l: Q.- .- Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: tither )Ve,�U Zb-D) $ CDC:) Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION 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 ONO IF YES, PROVIDE A COPY. ❑ Check 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 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 Regulations,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 building(s)for necessary 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 ) 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 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing.at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 PROPERTY INFORMATION Existing use of property: Intended use of property: ` ---- --_-_-- -- -. S i G�2(� 1.�L(- - _ .. _ _..- .._ . �l._ . . .�h cU - - Zone or use district in which premises is situated: Are there any covenants d restrictions with respect to RC) _H this property? ❑Yes No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contradoi/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 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 Regulations,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 building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted S By(print name): c Authorized Agent ❑Owner _ _ __. _- _ - _ _ -. i_ ��uc� . __ L h�.--c�-S .__ --- --- ---- _ -_- Signature of Applicant: Date:�_/�- a STATE OF NEW YORK) SS: V COUNTYOFto6fL. ) r✓� LX19 Al being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, I/ (�� 7 (S)he is the (Contract r,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 ther�vith , BARBARA H.TANDYY Sworn before me this Notary Public,State Of Now York No. 01Tmomo1 Qualified In Suffolk County day of ,20�L Commisslen Ex irPc -fJ =1- c?3 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Iq � I, DQ l Vt Gi i Q."�1 residing at c7�{U 5 G I el r) do hereby authorize �L� �((��(.1Y1(� -( to apply on my behalf to the Town of Southold Building Department for approval as described herein. C) Owner's Signat Date -PSV C��I-21�5 Print Owner's eame 2 -S(o s F, I OPIg I g%IFFECE � VAI I DEPARTMENT-Electrical Inspector OL,��O ,� Gy OCT 0 5 2021 TOWN OF SOUTHOLD o - Town H nex- 54375 Main Road - PO Box 1179 CS x BUILDING DEPT. TOWN OF SOUTHOLD Southold, New York 11971-0959 p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerra-southoldtownny.aov - seandasoutholdtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Cpm Electrician's Name: fcc.t License No.: /yl(== 6 -4q'1-'5' Elec. email: Cc,vvit4-1 oukib �1, �-r�r,,�l,�. yyoqp� Elec. Phone No: 6)1- (61Y ---/f co { request an email copy of Certificate of Compliance Elec. Address.: a-4- C& 2�d�� ��" kf .e A9, 140 JOB SITE INFORMATION (All Information Required) Name: 'Yyykot +44coYt er- �5 qu q 1efc5 Address: �- 0 G1.e-Y. r. (�� S�C,rf-CAA td Cross Street: Phone No.: 1¢-- ",�M( Bldg.Permit#: email: yr)(,,. j F�t�. lu�l Q trh'irnrli %OP�i Tax Map District: 1000 Section: Block: Lot: -;?, BRIEFDESCRIPTIONOF WQ0K INCLUDE SQUARE FOOTAGE (Please Print y : IACD �ibSL1 }�C L i��'��'�"cc''► rNb �1:� V t)C"6- -?06 i, t 15 ir IleI Square Fobtag Circle All That Apply: Is job ready for inspection?: EJ-Y"ES[]NO ❑Rough In Final Do you need a Temp Certificate?: ❑ YES❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph F-13 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals M 1 2 n H Frame M Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION PaAA OC W0U � 1�� D E C E � Will I DEPARTMENT-Electrical Inspector ��0� COGy OCT 0 5 2021 TOWN OF SOUTHOLD Town H nex- 54375 Main Road - PO Box 1179 H' BUILDING DEPT. TOWN OF SOUTHOLD Southold, New York 11971-0959 y p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: -- ---- -- - ompany ame: �+ ��� �� ' CC-= Electrician's Name: co-CT- License No.: . fl&-= 6 2�q' Elec. email: yyFpl� Elec. Phone No: 6-31- `G4' -Wco I request an email copy of Certificate of Compliance Elec. Address.: - - C& � 1 d c W 'R *�-e JOB SITE INFORMATION (All Information Required) Name: yt0,Cf + WTtvr �5c(U 1e-F- S Address: a- pg' G 2.e-y-, r, r� SSC, iQ Cross Street: Phone No.: f¢-- ' _ Cf(.903 o Bldg.Permit#: email: yr cc. �+i> IR�� 'tim�l�` r✓, �1 �^ I Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OAF W(�RK INCLUDE SQUARE FOOTAGE (Please Print y . - �ptn� ibSf;, �'` I c�rY• , �6'+a`��.� �eN�-.mac-, ���,•� ���.�f��s� �1.� taw U0(.fy&- X06 t `' " � Square Fo Circle All That Apply: Is job ready for inspection?: EJ-Y"'ES❑NO ❑Rough In Final Do you need a Temp Certificate?: ❑ YES❑NO Issued On Temp Information: (All information required) Service Sizer-11 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 M2 H Frame n Pole Work done on Service? E1Y N Additional Information: PAYMENT DUE WITH APPLICATION PaAA 9eC /too l J 1 00 PERMIT # Address: Switches Outlets GFI's Surface —Sce S. H H's UC Lts Fans F"ri'dge _,...:._.. Exhaust Oven W/D Smokes DW Mini. Carbon _ ....Micro.- Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments: Al r `�-�- J,71'1�� NYSIF New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y. 10007-1100 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE n n n n n n 451778267 TOMPKINS INSURANCE %aiw AGENCIES, INC. 90 MAIN STREET BATAVIA NY 14020 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER COASTAL PLANTINGS INC MARTY AND HEATHER JAUGIETIS P O BOX 484 2405 GLENN RD PECONIC NY 11958 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 22245 015-9 522269 07/01/2020 TO 07/01/2021 5/14/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2245 015-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER THE SOLE PROPRIETOR,PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:273574740 U-26.3 COASPLA-01 BMARRO UIN ACORO® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/14/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Neefus Stype Agency PHONE Fax 711 Union Ave. (A/C,No,Ext):(631)722-3500 (ac,No)-(631)722-3591 Aquebogue,NY 11931 E-MAILADDRESS:info@nsainsure.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Hartford Accident&Indemnity 22357 INSURED INSURER B:Hartford Insurance Company of Illinois Coastal Plantings Inc INSURER C:West American Insurance Co 44393 PO Box 484 INSURER D: Peconic,NY 11958 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP TR TYPE OF INSURANCE IND WVD POLICY NUMBER (MM1DD1YYYY1 fMMfDD1YYYYiLIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MAD.E ❑X -PREMISE S(Ea occurrence $ OCCUR 12SBMAJ2SA1 11/9/2020 11/9/2021 DAMAGE TO RENTED 1,000,000 MED EXP An one person) $ 100'000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY IX JEST LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMaBINdED SINGLE LIMIT $ 1,000,000 X ANY AUTO 12UECGA5221 11/9/2020 11/9/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTO.pSWN BODILY INJURY Per accident $ AIRES ONLY AUTOS ONLDY (Fer.cidenDAMAGE $ 0 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N T E ER ANY OFFICER/MEMBOE,R EXCLUDED?ECUTIVE ❑ NIA A E.L.EACH ACCIDENT $ (Mandatory in N�F'I) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Equipment Floater BMW58611228 6/12/2020 6/12/2021 Deductible 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ma and Heather Jau letiS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Marty 9 ACCORDANCE WITH THE POLICY PROVISIONS. 2405 Glenn Road Southold,NY 11971 AUTHORIZED REPRESENTATIVE 4 � ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD S.C.T.M. NO. DISTRICT: 1000 SECTION: 78 BLOCK: I LOT(S): 32 \ LAND N/F OF \ FENCE U/L JON BAXENDALE 0.2'W N 3.5'S STK. "o :?o / 1.5'W EL i 7.7 ^� lfl NG .� '7' 2¢ 78 O �. _- —----------- STK. a FENCE 0/L Proposed Patio6" 44 �'-'-..-'- d -- -- - -------- Proposed 20'x44'Pool II '� !co ---------------- N1 ...._._... �_.__.___S _ ----- _.___._____.______ I Ln } 33'3" t- ------ -.---, W _ Proposed Deck' L al Wood Framed (rem ovin i� _jI g prev.stoop) p W EL 14.0 3.7 n Y)G^D �i �j(— iF EL 13.8 \,2 0.6'W 2.71K9.2' O z Y 25.3 z j Q Ld ,l Q Q DRY WELL O U W 2 STY FR!d. w 8'DIA,,7'DEEP DIAEt_LINGr- i 1.4' 1 1 F'FL 7.0 a U \� � _ I i c RCA DRIVE'NAY ^ L7 d O BASE N GARAGE N GF 14'.2 --j ly,. o ?5.3' y- - _ _ 3 `,, O � 13.3" 7 _ 34. 1 ' _-- 11.7' CL 13.0 Q EL...1 .8 a y �!y SLATE VVALK � ...OUT 23' II 1 W , 35' 4 BEDROOMS `. S.T. I O m; 1,250 GAL S.T. 43' cr'(5)8'DIAx.3'DEEP L.P, 39' LP fr i O LID \LP� LP \ - Y 236.9' \ ti } DRY WELL. GUTTER L\_ V 8'D'Ax6'DEEP STK_ �vJ� STK. I DRAIN 120.00' U.P. N 87030'00"E I 0U.P. EDC_E OF PAVED:ENT — — — — — — — — — — — — — �— -- — — —I — - — — _ G LIEN NT I+ WEST CREEK DRAINAGE CALCULATIONS: A) DWELLING FOOTPRINT=1,718 SOFT. 1,718 x 0.166=285.2 < 286cf REQUIRED (2) 8'DIA x 7' DEEP DRYWELL=310cf PROVIDED 8) DRIVEWAY=1,485 SO.FT. FLOOD ZONE X 1,372 x 0.166= 247cf ZONED R-40 (1) 8'DIA x 6' DEEP DRYWELL= 265cf PROVIDED MON–CONFORMING LOT FRONT YARD: 40'MIN REAR YARD: 50'MIN THE WATER SUPPLY, l�✓F-!_LS, DRYWELLS AND CESSPOOL SIDE YARD: 15'MIN 35'TOTAL FINAL SURVEY 07-28-20 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FOUNDATION LOC. 01-08-20 AND OR DATA OBTAINED FROM OTHERS. AREA:21,449.21 SQ.FT. or 0.49 ACRES REVISED 01-05-20 ELEVATION DATUM: NAVD88 ------------------------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING MISTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASE114ENTS AND/OR SUBSURFACE STRU'GTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LO 1- 28 CERTIFIED TO: SLIGO CONSTRUCTION; MAP OF:WEST CREEK ESTATE — FILED: AUGUST 19, 1963 No. 3848 SITUATED AT: SOUTHOLD TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1588 APPROVED AS NOTED DATE: �= g.p,� OCCUPANCY OR FEE: 0 BY: USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENT WITHOUT CERTIFICATE 765-1802 8AM TO 4 PM FOR THE pE OCCUPANCY FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4..FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. i ALL CONSTRUCTION SHALL MEET THEMEDWTELY" REQUIREMENTS OF THE CODES OF NEW \R00t.TO CODE. YORK STATE. 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