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Home My WebLink About49580-Z z 5w- S4fF01' y Town of Southold 1/29/2024 a P.O.Box 1179 o • ,�ie 53095 Main Rd y oma,, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44673 Date: 10/20/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 360 Bayview Dr, East Marion SCTM#: 473889 Sec/Block/Lot: 37.4-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2023 pursuant to which Building Permit No. 49580 dated 8/15/2023 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for i which this certificate is issued is: "as built"partially finished basement, including bedroom and bathroom to existing single-family dwelling as applied for. 1/29/24 Corrected to add final Suffolk County Health Dept. approval number. The certificate is issued to Goleb Paul C&Diane M Revoc Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-22-0934 8/8/2023 ELECTRICAL CERTIFICATE NO. 49580 8/18/2023 PLUMBERS CERTIFICATION DATED 8/31/2023 PatkGoleb fi Aut or ed i nature 1� FFOI ff�OSO xpoGa Town of Southold 10/20/2023 'a y14 am , P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44673 Date: 10/20/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 360 Bayview Dr, East Marion SCTM#: 473889 Sec/Block/Lot: 37.4-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2023 pursuant to which Building Permit No. 49580 dated 8/15/2023 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: "as built"partially finished basement, including bedroom and bathroom,to existing single-family dwelling as ap Ip ied for. The certificate is issued to Goleb Paul C&Diane M Revoc Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49580 8/18/2023 PLUMBERS CERTIFICATION DATED 8/31/2023 aul Goleyg f -0 Alith ed Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE oy • N 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 #: 49580 Date: 8/15/2023 Permission is hereby granted to: Goleb Paul C Revoc Trust 9292 Blue Sage Ct Frederick, MD 21704 To: legalize "as built" alterations (4th bedroom on lower level) to existing single-family dwelling as applied for per SCHD approval. Additional certication may be required. -(01004 D t�( k1 At premises located at: 360 Bayview Dr, East Marion SCTM #473889 Sec/Block/Lot# 37.4-1 Pursuant to application dated 6/30/2023 and approved by the Building Inspector. To expire on 2/13/2025. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $521.60 CO-ALTERATION TO DWELLING $50.00 Total: $571.60 Building Inspector pf SOUTyoI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 ae sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 QIyCOm�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Goleb Paul C Revoc Trust Address: 360 Bayview Dr city:East Marion st: NY zip: 11939 Building Permit#: 49580 Section: 37 Block: 4 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: DAK Electric License No: 5120ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures Bath Exhaust Fan 1 Service 3 ph Hot Water Gas GFCI Recpt 3 Wall Fixtures 3 Smoke Detectors 1 Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures 12 CO2 Detectors Sub Panel 100A A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO 1 Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect 1 Switches 17 4'LED Exit Fixtures Sump Pump Other Equipment: Instant Hot, Septic Disconnect, W/D, Mini Fridge Notes: AS BUILT NO VISUAL DEFECTS " Finished Basement Inspector Signature: Date: August 18, 2023 S.Devlin-Cert Electrical Compliance Form Town Hall Annexes Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD J/ SEP 8 2023 BLUDINr(G� DEPT. CERT.TICATION i 4 Date: Building Permit No. _ Owner: Q (Pleas print) Q � Plumber: L... . .. . . ......•. .. _:•. (Please print) 1 r I certify that.the solder used in the water supply system contains less than 2/10 of 1% lead. - 4 31st Sworn to before me this —HD (,A)r\," F day of 20 i SUZANNE HAND Notary Public, _ County NOTARY PUBLIC,STATE OF NEW YORK Registration-No.O I HA6371024 Qualified in Suffolk County Commission ExpiresZcbp,ar., i i ROBERT I. BROWN, ARCHITECT P.C. 205 BAY AVENUE GREEN PORT, NY 11944 631-477-9752 FAX 631-477-0973 info(@ribrownarchitect.com ® is PU E September 27, 2023 OCT - 3 2023 ' Building Department Building Depprtm-nt Town of Southold, Town Hall Annex Building Town of SOLA-1;Old 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Goleb Residence 36o Bayview Drive East Marion, NY BP No. 4958o John Jarski, Deputy Chief Building Inspector, Based on my inspections of the above referenced project, and to the best of my knowledge, belief and professional judgement, the framing, rough plumbing, and insulation has been completed in accordance with the plans, and with the Residential Code on New York State. If you have any questions, please contact me. Thank you for your attention to this matter. Sincerely, �ry a Robert I. Brown, Architect Cc: Paul and Diane Goleb --- hO�aDESOUTyO� �� !/-(� �Paa�+•'�r - # * TOWN OF SOUTHOLD BUILDING DEPT. courm N 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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: '_�, r<PA-r d— ,Sf=L-t--- Alcc<l on ✓� DATE 7 LZ INSPECTOR �('� �o�aOF SOUTyOlo TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [eFINAL SULATION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 6 1( 4 l S 56c�/ ; q luw�(oiwc�, cm kfa,, t -AlmvkiC�a 7-a � l� �• CIS �-n �l ' DATE INSPECTOR O m M c qCo ( -4v ham- Wl-�z -Fyb,y, (KCSh) ce-,O-.-r�5 LD m'a o E.c D N Go C1 d C �'- cD c ° Mode{ H0135rr 3 Heat Alarm Heat alarms resp�nd n� H U1 temperature€ather tha srnoke.Tile alarm Kidde dCtiVsee if ve air 13 tempera#cine uses above g35°F. Heat alarms are best fcr- 'garages or kitchims where corking fumes or exhaust m, A rause frequent nuisance alar •homes also protected by conventional smoke alarms. Installer FeaturesFor Areas Prone to uisance Alarms* s„terconnectabte s si N �, }nterconrtects with u devices kot)o;rkh is �i'% — initis#ing)3ncluding Co and heat alarm Separate Mounting Fits all standard electrical box Configurations Tamper Resistant tea Va 1,3 t T n i;ie}; �d- D � c � a � � AUG 18 2023 Building Department Town of Southold a � y �n. k s ' ° �vag 5g a G .4,4gaD D ECEOVE AUG 18 2023 Building Department Town of Southold J 1 ,. �.� R ECEI AUG fS 2023 E)ul�'�ng De acme| Town Southold . y . . . . . . . . «« ; \ d » � \ �« y � 2C � . .� ?IELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (IST) ------------------------------- FOUNDATION (2ND) z �Jo 5 H ROUGH FRAMING& S y PLUMBING I r � r INSULATION PER N.Y. STATE ENERGY CODE e - n ARL . FINAL INa 1 N ! �o ADDITIONAL COMM N S ZI e Iss tc' �ew - TiI 1 e) El e-c rte c,Qt z rn C 0.) b vu � o z �x N E� H Q, x a _� �o�SufFocK�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• ��o�� Telephone(631) 765-1802 Fax (631) 765-9502 hgps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only J 1 PERMIT NO. Building Inspector: _ 111 JUN 3 0 2023 Applications and forms must be filled out in their entirety. Incomplete r applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall.be completed. Date: (o :2,0 PZ g3 OWNER(S)OF PROPERTY: Name: -bA. SCTM#1000- eb Project Address: 3(op - Phone#:-3161--W 26,6 .��t�.0!•- Mailing Address:— or Po -1e,�MaM M 3__ . - CONTACT PERSON: L l C4 + Name: Mailing Addressq Ck ( Lyy -�J Z Phone#: Email: 19 DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: (p 7, mail: 'Yl --- ( E CONTRACTOR INFORMATION: f Name: Mailing Address: CV4S Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: [S�6ther Will the lot be re-graded? ❑Yes i�No Will excess fill be removed from premises? ❑Yes Qeoo 1 PROPERTY INFORMATION Existing use of property: ,Q 1- _y Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to "t- r - 5 this property? ❑ jVYes � o 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): L ❑Authorized Agent ❑Owner - e o _ ____ Signature of Applicant: Date: C/ �� STATE OF NEW YORK) CONNIE D.BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF ) Qualified,in Suffolk County L,� Commission Expires April 14,2- 1 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 ay of , 20A3 E A-v-,%-"' 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 ' ,✓t1-� �-_ Glenn Goldsmith, President �' ,' Town Hall Annex ., 54375 Route 25 A.Nicholas Krupski, Vice President P.O. Box 1179 Eric Sepenoski ,rv'"` s > Southold,New York 11971 Liz Gillool 3 t' Telephone(631) 765-1892 Elizabeth Peeples �. ' af Fax(631) 765-6641 '}� 7. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10161A Date of Receipt of Application: May 25, 2022 Applicant: Paul C. & Diane M. Goleb Revocable Trust SCTM#: 1000-37-4-1 Project Location: 360 Bayview Drive, East Marion Date of Resolution/Issuance: June 15, 2022 Date of Expiration: June 15, 2024 Reviewed by: Eric Sepenoski, Trustee Project Description: Installation of an Innovative &Alternative on-site Wastewater Treatment System. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Homeport Engineering, P.C., dated May 24, 2022, and stamped approved on June 15, 2022. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President ��F sorry Town Hall Annex �0� Ol0 A.Nicholas Krupski,Vice President 54375 Route 25P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly N ,c G Q Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 Irou�tr,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2076C Date: September 81 2023 THIS CERTIFIES that the existing 615sq ft second-floor balcony; and installation of three new columns to help sport the structure; At 360 Bayview Drive,East Marion Suffolk County Tax Map#1000-37-4-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 31,2015 pursuant to which Trustees Administrative Permit#8720A Dated January 20,2016,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 existing 615sq ft second-floor balcony• and installation of three new columns to help support the structure. The certificate is issued to Paul&_Diane Goleb owner of the aforesaid oil property. '4L 4d"— Authorized Signature Glenn Goldsmith,President O��QF S0!/r�ol Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O. BOX 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly N G Q Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 �y�OUNvi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 20770 Date: September 8, 2023 THIS CERTIFIES that the installation of an Innovative&Alternative on-site Wastewater Treatment System, At 360 Bayview Drive,East Marion Suffolk County Tax Map#1000-37-4-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 25,2022 pursuant to which Trustees Administrative Permit#10161A Dated June 15,2022,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 installation of an Innovative&Alternative on-site Wastewater Treatment System; The certificate is issued to Paul C. &Diane M. Goleb Revocable Trust owner of the aforesaid property. ex, 4a"g- i Authorized Signature J ii � gUFF01k '� BUILDING DEPARTMENT- Electrical Inspector 5S y� TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 '14 rogerr(cDsoutholdtownny.gov seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: i�p Company Name: ` )O_v e- Ki Vi", 1�tc, ,yz c.. Electrician's Name: _Dame, l iyi License No.: Elec. email: J� Elec. Phone No:(,3 ( 7di4 ov q ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: P l Ok,6 Address: 360 Ela vie". `fir Cross Street: Phone No.: Sol j9dl Bldg.Permit#: q.5�S0 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): rtes &L1 W1 eii6 m n P, otr lotve-r te, � Square Footage: (oov f PFJ Circle All That Apply: Is job ready for inspection?: YES ❑ NO -]Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ®'IVO Issued On Temp Information: (All information required) Service Size F1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 12 H Frame Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION �o�gufFO[�CoGy BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o 'z Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ,r rogerlDsoutholdtownny.gov-- seand(a)_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:August 16, 2023 Company Name: DAK Electric Electrician's Name: Dave King License No.: 5120 Elec. email:dave@dakelectric.net Elec. Phone No: 631704-8441 ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Paul & Diane Goleb Address: 360 Bayview Dr, East Marion NY 11939 Cross Street: Cedar Lane Phone No.: 301 801-2564 BIdg.Permit#: qq "d email:dgoleb@aol.com Tax Map District: 1000 Section:37 Block:4 Lot:1 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As built inspection of bedroom and bathroom on lower level I/A septic system installed June 2023 Square Footage: 900 Circle All That Apply: Is job ready for inspection?: Z YES❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES F&-/]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 FJ2 H Frame 0 Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownny.gov — seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:August 16, 2023 Company Name: DAK Electric Electrician's Name: Dave King License No.: 5120 Elec. email:dave@dakelectric.net Elec. Phone No: 631704-8441 ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Paul & Diane Goleb Address: 360 Bayview Dr, East Marion NY 11939 Cross Street: Cedar Lane Phone No.: 301 801-2564 Bldg.Permit#: if 15-190 email:dgoleb@aol.com Tax Map District: 1000 Section:37 Block: 4 - Lot:1 BRIEF DESCRIPTION OF WORK, INCLUDE-SQUARE FOOTAGE (Please Print Clearly): As built inspection of bedroom and bathroom on lower level I/A septic system installed June 2023 Square Footage: Igoo Circle All That Apply: Is job ready for inspection?: 0 YES [] NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 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[711 n2 H Frame Pole Work done on Service? Y N dditional Information: PAYMENT DUE WITH APPLICATION *lSo PERMIT# Address: SwitchesC I �� Outlets I I Il GFI's �J Surface Sconces H H's UC Lts Fans Fridge HW —' Dryer Oven Exhaust � __- Smokes I DW Service Carbon Micro Generator Combo Cooktop Transfer I AC Mini Special: ---d. f C ��LPJ Comments C e�l� J.d - eJ 1 q A5-5UILT 517E INFORMATION: S OF NEw SUFFOLK COUNTY TAX MAP ID:1000.37-04-01 4' Abp -EXISTING 3 BEDROOM HOME WITH I BEDROOM ADDITION.TOTAL OF 4 BEDROOMS._LOT A - \ PROPERLLOCAT D;0.32 ACRAT 3GO BAYVIEW DRIVE \ -EAST MARION,TOWN OF SOUTHOLD.SUFFOLK COUNTY.NEW YORK i 40 NCO -SURVEY PROVIDED BY:SCAUCE L.S.DATED 07-21-2021 = -VERTICAL DATUM-NAVD'1988 DATUM p �tll•tM -PUBLIC WATER SERVICE \\ -All HOMES WITHINI SOLF OF PROPERTYCONNECTED TO PUBUC WATER 5ERVICE. -SURFACE WATER SHOWN ON SITE PLAN. N\ \�� GENERAL NOTES: 0 \ \or um �-. I. 61�GN FOR YR-7- HOME 2.VA OWTS SANRARY REPLACEMENT DESIGN-SUFFOLK COUNTY SIP GRANT PROJECT. 3.SITEPLAN AND REFERENCE ELEVATIONS TO BE USED FOR VA OWT5 SANITARY SYSTEM CONSTRUCTION ONLY.EXACT PROPERTY BOUNDARIES. UTILITY LOCATIONS AND ELEVATIONS L alio`( {p Tp �1 ARE NOT GUARANTEED. ELEVATIONS BASED ON PROPERTY SURVEY PROVIDED BY 5CAUCE L.S.DATED 07-21-2021 R ? 5.ONSITE UTILITY MARK-OUTS TO BE PERFORMED BY CONTRAGIOR PRIOR TO PERFORMING SITE YhTP/;0 WORK G.SOIL TE5T HOLE DATA PROVIDED BY MCDONALD GEOSEPACES OG-24-2021 NOWO pl/E(TO, / l'is ` 7.EXISTING SANITARY CE55POOLS(5)TO BE PUMPED AND REMOVED PS NECESSARY PER SCDNS ,DHNa FORME wArfR/Y�y� g �}m" �'� STANDARDS. 0) �4y'�� ,. BfRkfRY y / '' \*\` a n PROPOSED VAOWT5 5M]C SYSTEM FOR UP TO 4 BEDROOM RE5IDENCE W W I.ONE I)HYDROACTION AN.500 VA 0 5. >r EXI9TIND PUBUC WATFA 9ERvtCE 2.ONE HYDROACTION HPBO BIAWER.VENT AND CONTROL ASSEMBLY. Z R} Fy,.?,yy� �•pl / , J \ 3.THREE(3)8.5'X 4.75'X 4'EFFECTIVE DEPTH LEACHING GALLEYS WITH I'EXTENSION WITH '!' `�F / ! IXISTINGGVEFHEAD EIECTRIueL TRAFFIC SLAB AND H-20 TRAFFIC RATED CASTINGS TO GRADE O Z / SERMCE 4.TWO(2)NAB FUTURE EXPAN5IQN GALLEYS _ Tr / Ali Ater \� ge PROPo9ED THREES)AFOOT PRECAST LEACHING GENERALS SPNITARY SYSTEM AND INSTALLATION NOTES: In W Z �y y ; GALLEYS MTTHVEXTENSION—TRAFFICSLASH-m I. VAOWT55EPTIC5Y5TEMDESIGNEE)FORUPTO4BEDROOMHOMEPERSUFFOLK000NTY W Q Jrj RATED RINGSANO TRAFFIC CASTINGS70 GRADE DEPARTMENT OF HEALTH STANDARDS(SCDH5). m 2. SANRARY GRAVITY DRAIN PIPE TO BE 4-INCH CAST IRON AT FOUNDATION PENETRATION AND PO )•• p , \ PROSED W%EXPANSION NOT INSTALLED) 44NCH PJC 5DR35 DOWNSTREAM OF FOUNDATION. m Q Q / \ EXISTING ft-W-ESSROMAN0 LEACHINGPWLTO 3. VA OWTS SHALL BE TESTED FOR WATER TIGMTNF55 PRIOR TO ARRIVING ONSITE U51NG THE J m BEPUMPEDANDAGANDONEOPERSCH9STANDMD9 METH OD APPROVED BY MANUFACTURER. 4. THEDESIGN ENGINEERSHALL OVERSEETHEOWTS WRING INSTALLATION AND 5Y5TEMSTARTUP. O 5. THE OWTS INSTALER SHALL BE LICENSED.HOLD AN ENDORSEMIENT FROM 5CDH5 AND BE A 0 Cm7 HYDROACTION AUTHORIZED INSTALLER. pp N y111:bV n,n �� G. THE OWT5 IN SHALL REGISTER THE ONSITE TREATMENT SYSTEM WITH SCDH5.THE DESIGN ENGINEER SHALL PROVIDE CERTIFICATION DOCUMENTS AS REQUIRED BY SCDH5. cb B pp 7. AN OPERATION AND MAINTENANCE CONTRACT BETWEEN THE MAINTENANCE PROVIDERAND THE a p� 3� OF Ilal PROPERTY OWN 5HALLBE PROVIDED TO SCDH5 FOR VA OWTS AND PED SYSTEM. 9 A GARBAGE GRINDER SHALL NOT BE INSTALLED UPSTREAM OF THE OWT5. a � � g yq ig I 5T 9. WATER SOFTENER BACKWASH SHALL NOT BE FLUSHED TO PROPOSED SEPTIC SYSTEM. 10.CONTRACTOR I5 RE5PON51BLE TO OBTAIN TOWN BUILDING PERMITS AS NECESSARY PRIOR TO r� I i aif INSTALLATION OP THE PROPOSED SEPTIC SYSTEM. Iet1A's 1 11.EXISTING SEWER UNE HAS A HOUSE TRAP. VA OWT5 TO BE VENTED THROUGH 2 INCH CARBON VENT. n T'ROMSNM i AJt P � , OMSW DHYORO TW ICTIQNMWEERSAND0 VA M a II.Zt y� CAST IRON OVER TIO GRADE RISER9AN0 Zi S�Taoflor W wa1 _- Z O ;'® 4YDROACTI0NWNTRMPANEL9OMPREeS0R T, S1 jJ� {•. ASSEM9LYANOVEM W ZZ �� (^` smn�a�' Dvv.uexTvr�tm Y¢+ia5 ❑ ( Z /y�/•Y' \T' A� i L 6A / J� •N`/` Ma�Dnt%4 Y ATOc W TSI �W m="arMSevA�iNe�ru su.0 a aYXis F- a 6 o r N o o _ a.o oY Q p 00, z a o 2'1.10 `�Q o m �v °' MEL IA/OVVi'S HydroAction 4v £ss> L — Sy 460. ��r SUFFam Cwtm DMIAIMENT OF HEAILTH SERVICES DATE:05.2422 SAT `gA PmcTFoRAPaRovALOFCoNmRuctloNFORA SCALE:1:30 SANITARY SITE PLA ,NSINGLE FAMILYRESIOEFCEONLY DESIGNER:TAO EActN¢W m CtanrauT:oN R¢gAhNeM. SCALE= 1:30 --'- sLLDNI.P-r:-o.RA.CCRrTICAno» 8/23/22 SHEET: Abc af�8swigry+l+tyemlbl:$a r—INsvALu AN.CONatRu¢ . BATE H.S.ReF No. R-a2-ossa 0 30' W' m�xara�d911 ataLg'i�&8�k of IWOWTS Aar FOR OR R .'/:_F- _ "L'�/�.1-•79n��w Comp diLa��lp►f-�_speoof tFos�INALAPPRooA... FoRNLHREE a OFAPPROoms sem ' EXPIRESTHREE YEARS FROM DATE OFAPPROVAL COUNTY OFSUFFOLK h V� STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H.PIGOTT,MD,MPH Commissioner THOMAS O'DWYER June 28, 2023 P.O. BOX 1111 SETAUKET, NY 11733 360 BAYVIEW DR, EAST MARION R-22-0934 Inspection Completion Report THOMAS O'DWYER, The Office of Wastewater Management has performed an inspection of your site on 06/28/2023. The inspection of the Sewage Disposal System and/or Water supply, as required by the approved plans and permit conditions, has been completed and found to be acceptable. The review of the "Final Paperwork" may require the need for additional inspections. Please do not hesitate to call (631) 852-5700 with any questions. Regards, Office of Wastewater Management CC: DIANE GOLEB DIVISION OF ENVIRONMENTAL QUALITY-OFFICE OF WASTEWATER MANAGEMENT 360 Yaphank Avenue,Suite 2C,Yaphank,NY 11980 (631)852-5700 1 Fax(631)852-5755 \ 4 A5-5UILT SITE INfOkMATION: SOF NEW, -SUPR :P .0934C1'a227A P IG:1000-37-04-01 %1A. -SCUM O•pk,�r \ -IO r AREA:0.32 ACRES,13,773 SP, -PROPERLY LOCATED AT 3GO DAM541 DRJVE a, \ y,� •EAST M4R10N•TOWN OF 90U fhOLD,SUPPOU:COUNTY,NEW YORK x w.e -5URVEY PROVIDED BY:SCAUL'E L.E.DATED 07-21-2021 -VERTICAL DATUM—NW)'1988 DATUM •PUBLIC WATER SERVICE Gem \ -ALL HOMES WITHIN I SOUP W PROPERTY CONNECTED TO PUBLIC'WA.TER SERVICE. \ -SUFI ACE WATER.SHOIAN ON SITE PLAN. OFESSION /Y A. y\\ � [aENEkAL NGTES: p� SEPi1C SYSTEh1 DESIGNED POR UP TO 4 BEDROOM HOME PER SUPPOLX COUNTY\ ^ 05RARTM5Nf OF MCA TH STANDARDS t3CDHS). cO O 2,SITE PLAN AND REFERENCE ELEVA110N5 TO BE USED PDR VA OU+TS SANITARY SYSTEM G CON51RJJCTION ONLY.f91ACT F'ROPWY BOUNDAME5,UTIUTY LOCATIONS AND E5VATION5 T� ARC NO r GUARANI TEED,. �\ 3.AN OPERATION AND MAINTENANCE CONTRACT b1inPeEN THE MAINTENANCE PROVIDER AND THE d PRO°EP ry OWNER 51•AU BE PROVIDED M 5CDMS PDR UA OWr9 AND P5o SYSTEM. //N \ yCP '04 `/ 4.A GA.R51,Ge GR1NOEk 5HAU NOT EE INSTALLED UPSTREAM O'THE OVlT5, �Oy� qy�9 � / S. WATER SOFTENER BACKWA511 ShAUL NOT BE PLU51-E0 TO PROPOSED SEPTIC SYSTEM. NOIVO-PU $ 77 ('-� UA 04.79 SEPTC 5Y5T5M POR OF TO 4 B:JRAOM R`_SIOENCE: �pgg I.ONE II)HYJRDACfION ANC-500 UAO 5 �4yM� 2.ONE t1)WDROAl7ION HMO BAWER,VOJT AND CONTROL ASSEMBLY 3.THROE t3)ti..`•'X 4.75'X 4•P.fl ECEN DEPTH LPAOIIING GAU`_YS VATH V EXTENSION Wt7M uj W Ql • Y // / A �� \ a `, TRA-FIC 51A0 AND M-20 TRAPPIC RATED CASTINGS TO GRADE. L) 7 ♦/ y \ \ WATS SMVICE 4.TWO 1t�28.5'X 4.75'PUTURe WANSION GALLEYS r• " y,�. / ��/J" e.•Fx+Fxo eLEciwca ewHOE �u�erw w: - 4'T� Q 0 Z TNREE r_,acucTWECASTLEAcwNo oauEVsvnnlr pr_��i� y4•�• -.wye,r•YL°,y"•�1p U1 j Z /A/ OWV AIf ria• T...ONWTHTRAMCSIAB RAT®pN66AIID ee-o Site Bn r vve m�tva�p:re etM LNL O YJ..O TR.[FAC CA9nND6TO GRADE ar4:a 9iw,wa rd_ e'ocmurtrovAmmrtc.rsaan[unve ai / P ! I ' � \ FUiUREE+PA140H oe_mipeortraA ee[n'wir ""�oaMn a+,:[ m �QC Y oaO .utuMne„ Q 6 . �'o'n'wnT'r'a°Pe.°,A"n':i`wma-ou. o F' / Ip p M (A h b (7 g � t 1t n a II II !� 3 I AS-BUILT DWENSIONS FOR II/A OWLS SEPTIC SYSTEM: _ d1 ".m V �17LET OE LEACHOIO GALLEY CA 1/A OWIS TANK : ACCESS HOLE R2• Fq 8 Y n.m 3A:NA .�. h 8 U a� x u.n m 111:3,5' 3B:NA 1. I p •M1.\Yn.a IFACHI,Nr r,AI�FY IGACLII�IG rAI�iY ? , sib. ACCESS HOLE n1: ACCESS HOLF 6: 2A: 42' 4A:63.5' n M - / xrGRGACTax cGxTRotrANe..cauvNesoR 28: 31.5 4&36,5' �M 99• / AYGEYa1.Y —T :p xaGRGAeTONAYwSLANo-ewuAGWn;WI on S \` I GGV9iTOGRA0�R9EARANDGASTbmN 7N Z> ,.r tV ,(;. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 0 Z �� J APPROVAL OF CONSTRUCTED 4NORKS FOR 1U 0 .A'3•fA, ,a / o3�INLU �� ASItdGLEFAMI!_YRESIDENCE W g v� � A.N �a ' > � r 4p e I rppc' S� DalO e/areaza H.S.Ref.No R-22-0934 w Q I / � •d. "'4 4."41ALL The sewage disposal and Water 9Uppty taC:titles at this location have been Z p 1 yp1 ® Oinspected ander certified by this Department or other agencies and found Q a O' �0r to be satisfactory FORA MAXIMUM OF <._ ,BEDROOMS. ¢O MCL 0 a Office Of Wss1mviter Management DATE 07-14-23 n AVA �n� ,a,- L s�Ep03 kthl SANITARY RECORD DRAWING SCALE:1:30 DFSIONER:TAO SCALE= 1:30 SHEET: D 36' so• S� 7 APPPIOVED AS NOTED DA B.P.# FEES BY: ELECTRICAL NOTIFY B LDING DEPARTMENT AT INSPECTION REQUIRED 631765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE Z ROUGH-FRAMING&PLUMBING 3, INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS Additional COMPLY WITH ALL CODES OF Certification NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF May Be Required. -S�tt{HOt$T6WN-i9A— SOI HOL$Tov!PAN4NWARD Tµg�{Oydld TRUSTEES –N?FS6E�- JOC,UPANCY OR USE-iS UNLAWFUL WITHOUT',`CE'* TIFICA OF00, "UPANCY ISSUES I REVISIONS L 17772° 0 BASEMENT/ STORAGE DQ MASTER BATHROOM MASTER BEDROOM i� MASTER CLOS 27-10° '-- 3664 7V f= I P-71/2" 0 N N — 7 GARAGE BEDROOM 3 DROP I o i BEDROOM 2 C O N — 306d 2969 ' 0 m O nW'i H __ _BOILER 0 ATH ROOM C — —_— vSEPTEMBER my AT OM a THESE PLANS ARE AN DISTRUME.YT OF SERVICE D2YE2 AND ARE THE PROPERTY OF THE ARCHn'ECr. OINFRINGEME.YIS WILL BE PROSECUTED __ _'_ _=_______ _= KITCHENb D'w v AIL RIGHTS RESERVED FIREPLACE F a FIREPLACE m Robert I. Brown Architect,P.C. ------'l —________=====2 p?5Bay Ave. Greenport NY w /\ inf0@nbrownarchitectcom 0 3'X 8°EXPOSED DRE555E1 631-4779752 '--------- Im COLLAR TIE5@48°O.C. 3669 I,¢c I IT IS A VIOLATION OF THE LAW FOR ANY PERSON. ! n LIVING ROOM 14'-3 /2° UNLESS ACTING UNDER THE DIRECTION OFA LIVING ROOM LICENSED ARCHITECT.TO ALTER ANY ITEM ON THIS DRAWING DI ANY WAY.ANY AUTHORIZED ALTE ON W I ~ l O ---------------� DESCRIBED I AfCOST BRDANCEDWRHTHE TAW o f BEDROOM 4 0 b N 1 1(/ In OFFICE �Zi 12'-11 1/2° 1 28'-G' 4a.4.e- ( 4069 4064 ! 1 V p - N ! ' ■{ CLIENT'/OWNE -- G EB ! i P L&DIANE WOODEN DECK i ! � o BAYVIEW DRIVE 1 EAST MARION,NY '1939 ------------------_. 42'-1 1/2' PROJECT TRlE LINE OF DECK ABOVE— -- — INE OF DECK ABOVE AS BUILT DRAWINGS DRAWINGTRLE - --- °a FIRST AND SECOND b FLOOR PLANS ® FI RST FLOOR PLAN (A5 BUILT) ® SECOND FLOOR PLAN (AS BUILT) -�F 0 S I O 2B SEPTEMBER goy SCALE NTS TT��"'�. DRAWING NO. r a� ��'� Al