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HomeMy WebLinkAbout50224-Z TOWN OF SOUTHOLD IFolk BUILDING DEPARTMENT 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 #: 502247/2024 Date: 1/1...... ....................�. Permission is hereby granted to: Stack, John 7825 Nassau P... ....._ _.� .... ....�� ........� .�...... .. oint Rd PO BOX 1296 .... ww �..._ ... ........._ Cutcho ue, NY 11935 .. To: Construct an accessory deck which connects both the inground swimming pool and arbor as one accessory structure to an existing single-family dwelling as applied for. At premises located at: 7650. Nassau Point Rd, Cutchocgue� _.. _-- ..w... _ ..... SCTM # 473889 Sec/Block/Lot# 118.-3-4.1 Pursuant to application dated 12/18/2023 2/18/202 and approved by the Building Inspector. To expire on n www7/18/2025. Fees: ACCESSORY $907.00 SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00 CO-RESIDENTIAL $100.00 Total: $1,307.00 e_�.... ..........�. _..._ Building Inspector m TOWN OF SOUTHOLD—BUILDING DEPARTMENT s Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 lett :/",/% w, otitholdtowan . -lore Date Received APPLICATION FOR BUILDING PERMIT t r 11,171 il For Office Use Only PERMIT NO. O Building Inspector: DEC 1 8 2023 Applications and forms must be filled out in their entirety. Incomplete 7 g applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. 7" ' " ° „ _a. ` Date:12/2/2023 OWNER(S)OF PROPERTY: Name:John Stack & Patricia Stack SCTM#1000-118-3-4.001 Project Address:7650 Nassau Point Road, Cutchogue, NY 11935 Phone#:(646) 519-1093 1 Email:jackstacknyc@gmail.com Mailing Address:7650 Nassau Point Road, Cutchogue, NY 11935 CONTACT PERSON: Name:William Barba Mailing Address:PO BOX 90, Blue Point, NY 11715 Phone#:(631) 560-7908 Email:wbarba@bardarch.com DESIGN PROFESSIONAL INFORMATION: Name:Grant Wellman Design - Landscape Architecture Mailing Address:731 Bobbin Mill Rd, Media, PA 19063 Phone#:(813) 318-2525 Email:grant@grantwellman.com CONTRACTOR INFORMATION: Name: - I Management, LLC Thomas Downing Coasta 9 Mailing Address:26 Old Riverhead Road, Westhampton Beach, NY 11978 Phone#:(631) 288-1226 Email:tom@buildcoastal.com DESCRIPTION OF PROPOSED CONSTRUCTION RNew Structure [:]Add' iota ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑OtherTreuis c�C� . $30,000 Will the lot be re-graded? RYes ONO Will excess fill be removed from premises? Dyes ®'No 1 PROPERTY INFORMATION Existing use of property:Single Family Resider Intended use of property:Single Family Reside Zone or u5e district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? Dyes F*NO IF YES,PROVIDE A COPY. I 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,Nein 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 Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): Willi m arba, AIA INAuthorized Agent Downer , Signature of Applicant: r' Date: 11/9/2023 CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified in Suffolk County �a l / COUNTY OF Suffolk ) Commission Expire: April 14,2_. `C William Barba being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Architect/Agent (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 �.. 20 0�� -2�ay of Cly oY� . . Notary Nota Public PROPERTY'OWNER AUTHORIZATION (Where the applicant is not the owner) 1, John J Stacy 00t Patricia M residing at 7650 Nassau Point road, Cut( do hereby authorize William Barba to apply on my behalf to the Town of Southold Building Department for approval as described herein. d%&-4 k"o' � - M ;Z0 er`s Signature a'te Patricia M. Stack & John J Stack Print Owner's Name 2 Client#:9990 COASMAN ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 9/116/206/2022 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 I'N'SURED,the policy(les)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 any rights to the certificate holder in lieu of such endomement(s). PRODUCER Commercial Support Edgewood Partners Ins.Center PHONE 631-390-9700 c,No, 631-390-9790 40 Marcus Drive _INC s t 'cate cooltmaran.com ADDRESS: 3rd Floor INSURER(S)AFFORDING COVERAGE NAIC# Melville,NY 11747 INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B:General Casualty Company of WI 24414 Coastal Management, LLC INS INSURER C: 26 Old Riverhead Rd. -.._,�--�....... .._.... ......_m ." R DRE Westhampton Beach, NY 11978 INSURER .... ._ .._ INSURER E INSURERF: 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 CONTRACTOR 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 ApDLSUBR POLICY EFf POLICY ERCP LIMITS LTR TYPE OF INSURANCE I POLICY NUMBER WDD YYY MMIO,INYYYY A X COMMERCIAL GENERAL LIABILITY GL2021 LHB00393 10/13/2021 10113/2022 EACH A OCTCURREN;E $1.000 000 .,, ..., CLAIMS-MADEEXI OCCUR &1EiuFl`.J �ENTurrDaar _, $w1 OOO,OOO ........" X BI/PD Ded:2,500 ( _ - MED EXP An one person) PERSONAL&ADV INJURY $1#OO� 0 0l)O GENT AGGREGATE LIMIT APPLIES PER: _ ,GENERAL AGGREGATE .._. $2.,000,000 ._.n._. PRO- PRODUCTS-COMP/OP AGG $2,000 OOO POLICY�JECT �LOC OTHER: _ $ BOMBINEEksNNGLELAMIT 1,000,000 AUTOMOBILE uasluTY BCA000551100 10/13/2021 10/13/202 Eaaoctdexn,l ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS —�-T--D x HIRED ;;71NON-OWNED PROPERTY9AMAGE $ AUTOS ONLY AUTOS ONLY Per acdelon A UMBRELLA LIAB occuR EX2021 LHB00119 0/13/2021 10/1�. "s ITITIT 3/202 EACH OCCURRENCE $4 OOO,OOO ............ �( EXCESS LIAB CLAIMS MADE AGGREGATE s4000000 DEQ LLRETENTION$ _ $ -- WORKERS COMPENSATION PER IO . '- AND EMPLOYERS'LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EAC SSE CEACIID EMPLOYEE $ DENT OFFICER/MEMBER EXCLUDED? N I A E,L. (Mandatory in NH) $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $. '..DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE.HOLDER CANCELLATION The Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4285563/M3261846 RH002 /vOkN NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 202648957 COASTAL MANAGEMENT LLC 26 OLD RIVERHEAD ROAD iffil t" WESTHAMPTON BEACH NY 11978 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER COASTAL MANAGEMENT LLC TOWN OF SOUTHOLD 26 OLD RIVERHEAD ROAD 54375 ROUTE 25 WESTHAMPTON BEACH NY 11978 P.O. BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 2120126-4 254493 04/01/2022 TO 04/01/2023 9/16/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2120126-4, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:1 .NYSIF.COM/CERTICERTVAL.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 4 STAT SUR NCE FUND �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:639826224 U-26.3 . r, I 1:!s )'­­'(-_�11 4 Scott A. Russell13 sTF01KI��I[\�MAT]EIK Sc VISOR M[A NA.G lEI� UEN T SUPER SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 O' Town o So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM �. . _ �... �a APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT i ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) I ; APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: �i� 3. _ . Date: wgrrar A yrr�Yrrmet . Contact Information: _... _ .. . iC-.blml R Telephone.Numbed Pro ert Address / Location of Construction Site: �Di;ti ict 76 .. S.C.T.M. 1000 wW_ ........... ..m .. ._.. I.. --�--- — ""'� �'� Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT ® - Area of Disturbance is less than l Acre. No S P D.E.S. Permit is Required red I Project does Not DischargD e to Waters of the State. No S P .E.S Permit is Required I Area of Disturbance is Greater than I Acre & Stori­,\'ater Runoff Discharges Directly to Waters of the State of New York" THE APPLICANT MUST OBTAIN a.S.P,D.E.S. Permit DIRECTLY From N,Y.S, D.E"C. Prior to Issuance of a Building Permit, Arca of Disturbance is Greater than I Acre & Str,rm-�.N ater Runoff Flows Throu;F Southold Town's MS4 Systems to Waters of the State of Ne,,\ York. THE APPLICANT MUST OBTAIN a S.P.D,E.S. Permit through the Southold Town Enaineei D 'artment Prior to Issuance of a Buildin Permit, r 3 Revie\,ved By. _4r Date FnRnnS..cm�rnp—Tncm ?nin I ,� � Cep v��� I k 4i Scott A. Russell � \cGr�ElQ/1[]EMC' SUPERVISOR A[A\N A SOUTHOLDTOWNHALL-P.O.Box 1179 d Town of Southold 53095 Main Road-SOU`fEFOLD,NEW YORK 11971 CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) PLICANT. (Property Owner, Design Professional, Agent, Contractor, Other) NAME; � �R 3_ _ ��...... Date: a - h, awt�r�uu eu .. ,........... Prq^ � .4 Contact Information: IL-Mail&lelephnne:`lumhe,) Pr�Oerty Address / Location of Construction Site. S_C.T.M. ' #, 1000 Dl;trlct .. f �. " e ! - mITIT Section Block lint m �...µON1PLETED BY SOUTHOLD TOW.��...�..�.�_. � _� . ___...... TO BEC N ENGINEERING DEPARTMENT Area of Disturbance is less than l Acre No S P.D E.S Permit is Required Project does Not Discharge to Waters of the State, No S.P.D.E S. Permit is Required I Area of Disturbance 1s Greater than t Acre & Storm-eater Runoff Discharges Directly to Waters of the State of New York THE APPLICANT MUST OBTAIN a S P.D.E.S. Permit DIRECTLY From N.Y.S. D.,E.0 Prior to Issuance of a Building Permit ,1rca of Disturbance is Greater than I Acre R Sm-m-\,\arPr Rimoff Flows Through Southold ❑ Towns MS4 Systems to Waters of the State of Ne,,\ York. THE APPLICANT MUST OBTAIN a S.P D S. Permit through the Southold Town Engineering De artment Pi-10r to Issuance of a Building Permit Rei le\,�ed By: �4—/( Date........�.... .._..�.�... ..�. u CVl( P—T(1C (limb wFwa_ p P ?nlca � FARM e c`'1 ,: C / I qla 3 Client#:9990 COASMAN ACORD,. CERTIFICATE OF LIABILITY INSURANCE DAT9/116/2022612022 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 certlflCate htwtder is an ADDITIONAL INSURECI,the ptalicy(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 any eights to the certificate holder in lieu of such endorsement(s). PRODUCER N _ Commercial Support Edgewood Partners Ins.Center _.."IT JCI o 631 X90-9700 No. 631-390-9790 40 Marcus Drive EMAIL certificates@cookmalran.Com ADDRESS: _a 3rd Floor INSURERIS,IAFFORDiNOCOVERAGE NAIC# Melville,NY 11747 INSURER A:Southwest Marine&General Ins Co 12294 INSURED INSURER B:General Casualty Company of WI 124414 Coastal Management, LLC INSURER C:_ 26 Old Riverhead Rd. "' ITITIT INSURER.D. Westhampton Beach,NY 11978 INSURER mE ITmmmIT" _.."_IT __ ••_". _.. _ .. __.. 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 CONTRACTOR 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. TYPE OF INSURANCE R ADDL UR POLICY LIMITS R _ N(�R WNVD POLICY NUMBER- 1 "' W4NPrdDfYPF POLICY EXP MM/DDr1YYY�_ A COMMERCIAL GENERAL LIABILITY GL2021 LHB00393 10/13/2021 10/13/2022 EACH OCCURRENCE S1 000000 CLAIMS-MADE �X OCCUR ,"" ENTEO a rr urr $1,00000() ... BI/PD Ded:2,500 MED FXPJr!,y one par orn) 4t M PERSONAL 8 ADV INJURY $1,O�IO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE X000,000 1;zi �.......... $ r ....__.. �JECT _ LOCPRODUCTS-COMP/OPAGG $2OOO OO -�•-- B AUTOMOBILE LIABILITY BCA000551100 10/13/2021 10/13/2022EOaMa'BINEnO INeI E gMIT 1,00Qt000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERT'Y�7AMAGE'm $ Per aGGlderl _..._ X AUTOS ONLY X_ AUTOS ONLY I• A UMBRELLA L AB X OCCUR EX2021 LHB00119 10/13/2021 10/13 EXCESS LIAB ••••••• 'CLAIMS-MADE _.. ••. •• 1202 EACH OCCURRENCE � $ .00,.•.,,�.I C�,,,•LY�w,_ AGGREGATE $4 000 000 DED... RETENTION$ OTH- $ ............_ __ .... WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY ANY PROPRIETO'R/PARTNERIEXECUT'IVE�'/� E.L.EACH ACCIDENT $ OFFIC:ERIMEMBER EXCLUDED? � N/A IMandatory in NH) E.L.DISEASE FA EMPLOYEE $ Ups descrlbeunder E.L.OISPAE-POLICY LIMIT DESCRIPTION'OF OPERATdONS taeloww ____ __. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER. CANCELLATION The Town Of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 54375 Route 25 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S42855631M3261846 RH002 1A Mc\N411- NYSIF New York state Insurance Fund PO Box 66699,Albany,NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^"^ 202648957 COASTAL MANAGEMENT LLC " 26 OLD RIVERHEAD ROAD Q, WESTHAMPTON BEACH NY 11978 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER COASTAL MANAGEMENT LLC TOWN OF SOUTHOLD 26 OLD RIVERHEAD ROAD 54375 ROUTE 25 WESTHAMPTON BEACH NY 11978 P.O. BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE Z2120 126-4 254493 04/01/2022 TO 04/01/2023 11 9/16/2022 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2120126-4, 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, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WESSITE AT HTTPS.I .NYSI'F.COIWIIC RTI'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 STAT S7NCE FUND / DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:639826224 U-26.3 i I tAND N/F o-snoGx45. wrF Tv a vwcesxm OF (x0IX D OVERHcw Et[u^TNSc smncE PRDPosm 2 Bran' € ZIP ZAP I LLC SaNRHE) <D£VEtOPED/PUDLIC WATER) xlOx aF oEMousHm °°' °°� sOF ExFYPN6—W PDIE To BE snE SRA NOT N 80°43'23'E e4309,64`) - B, II F ' mxr rr. r Gy � e,! , t. t Rvxx• �" ME RewR uc-ws fim,Duv wl,x smxa. � rF �1t.— { �\ 5 Rrct N SCrSv f' '.T V `s•f ' } s �• / � � ` �I I ,d 9� � - N N:� t F-- ws or s€;v�rew o-,s+nn�m�ccmrwm,s emir m�c4ac , cw da. w f �} •' ae _�I E f eX,z .t N 'Z e ,- T„Fv.,,rus _ S199 REBIilfNCE i mss. H ,D T:rtw to �+v Jr { J ! , I F6ASEs Ni° (re ❑ PTenc:,wn _ « Er..,e.s 1 '� i i (1. j/J f .l 4 1 t o e C ! JAI f t &Ir• <<ei \ f-' o i ` �."xi�as iss P. s•:-w:� AR" °am Pai�rz"Dz RDS STORMWATER DRAINAGE CALOULATIONS ° ,OJ //J `� !. t / `> i�-• 1 f i`.v Z e _a�f ori RAIN Exr) 1ti<` t •�/ t / '` ' ;°�" € :� �` S=` us(D nhw v Owtr mv) o sF �i r Q' 3 � 81,67 CF SF �L_ X4430,00 t R TRu�f E REuoT�o azi°sr a°o i 3-57 Y Smut D z) 76.-2$'4 [ s%NOAR0.S 38,6]GF REW RE, _ ` w f,'✓<VSLU?ED/Wi t VA PE22 IX Y rzf M a Omv€,L ti PRONOE.C2)Btt LEACHING STRU.CFURES 5 5'4EcP pF F ems xG snTE .. L RWF(OW3 Dw) STELLAS PHINFE LLC CF REW REO (UNIIEVELOPEDIPUBLFL VATEM AVRILABLE> LEEP TU N MISTING LOT COVERAGE CALttIL TIOH HousE y y sH�E05_ 64 SF 90 i POEM_294 SF IBBEK-8,0050 SF TOTAL=5,062 SF {� PROPERTY=48,700 SF y � IXI6nNG w 'NyT.a,4s-s LOT CDYERAGE=5.062/48.)00-14.332 t Pt PROPOSED LOT COVERAE:€CALCULATION. PROS.HOUSE=2,800 SF N -8D SF GAZEOO Do SFF WL PLAN PO AL-'6,Y 36 ROSsf t SITE. PLAN f PPERTY-I% 0 EF Q _ LOT COVERAGE=6,135J48,T00=1269_4 209(Ox) a scALE:T"=AO' LANE: C� ARWATER LEGEND: ° PRmERTY uxE - tt--Ew6nNDamDDNRP,E,a.De, Rm DNE PRDFoscD cEm ItA TAxx m,E,Rn®n; t,R/s, .�� ° Rx. PRDPD6ED n�6m�6m,GN/R�MPNxD MANxnL< "' (�) PRDPDsm S xrzA Y—H-LGAGHING / PftaPDSED s+Nrzu[Y '+%«�>' DESCRIPTION APPROV.61' ;Dry nem R,m4ry B-1 REVISIONS ¢ —�—PR4PDsm serv4ARY PPE ___ ( , I.P.D NRE.1 7650 NASSAU POINT ROAD ��av o PRaPDsw PPE EOR uac I PR 6LmYFR CUTCHOGUE NY 11935 —PRS mD.G mn w STACK RESIDENCE ——PR4P4sm 2 v2 n HDPE m P E X99 `v PROPOSED SITE PLAN Ro MCLEAN ASSOCIATES,P.C. a,� wR6 4n TEST HOLE B1 TEST HOLE B2 DB99^e �PxcIxMF�CFD ASNOTED ..: NOV. 2023 MF `O GEC Duou6 snRu r� wAtER vuvE _ .., ras vaLVE �� - a� e RCM R .R m om: Cl ,s Tae DF Eur ���-A•�: By. ROD na xo.21188.000