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HomeMy WebLinkAbout51138-Z TOWN OF SOUTHOLD 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#: 51138 Date: 08/28/2024 Permission is hereby granted to; Donald T Brudie 5 Cathedal Ave Garden City, NY To: Install fence to comply with pool barrier requirements. Premises Located at: 900 N Sea Dr SCTM # Section\Block\Lot # 15.-3-39 Pursuant to application dated 06/28/2024 and approved by the Building Inspector. To expire on 02/27/2026. Contractors: Required Inspections: Fees: ACCESSORY $125.00 CERTIFICATE OF OCCUPANCY $100.00 Total $225.00 Building Inspector 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 Date Received For Office Use Only PERMIT NO. Building Inspector:, vw- Applications and forms must be filled out in their entirety. Incomplete gaVNG i ;- applications will not be accepted. Where the Applicant is not the owner,an T 'IFS Owner's Authorization form(Page 2)shall be completed. Date: (s n.4 OWNER(S)OF PROPERTY: Name: t)Q(xa 1d Y; &mat;a SCTM# 1000- 15_ Project Address: C70() tjoj+n wQ C-► t)(� ©r�t?uv4� I R 5 7 Phone#: 5�6 ' �3� '��7-/ Email: �:1r brcl 6 90T,Aet Mailing Address: �a.�, I.Ld�a U mvt,f,, t?r GPM c4y 0-y- l/5 3 0 CONTACT PERSON: Name: p o ti LLD i4wtJ3w ' kK �"uS ' clov� 60 Mailing Address: 10 2(4 5tA&k1^;s,e (-4wy• w J'(t'e iu-)' /170( Phone#: 6 71 _ 5�40---7 8W 1 Email: dfl DESIGN PROFESSIONAL INFORMATION: r " Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATIO,,N�!: Name: 0 c� et GO Mailing Address:{p ��k"V�S� Ikv„�; _ VU Nv+ " //-*p Phone#: 1_Wa- 7 9-Q0 Email: fl(/t ` OS'.IG K t Cd DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: they Kepmw $ (7 SDO Will the lot be re-graded? ❑Yes 9�No Will excess fill be removed from premises? )IYes 014o 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 ❑No IF YES, PROVIDE A COPY. ❑ 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 n me): -0-.,,-%60A L'h 6w-s-CDc3A ++? LS 16t), EfAuthorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF /U Q !95a it ) �Yy a f�4,Cs being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is th A " (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. before met is Sworn ✓,. day of 251 -MAUREEN E.'MANDATO Notary Public,State of New York Notary Public No.4955616 Qualified in Nassau County / Commission Expires Sept. .a a�S (Where the applicant is not the owner) l III I, � dresiding at � oh ��r J O�c �! 1 I � —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 ' rrr NON o N tr"u i m t tlJ rl ' r d%rjr ur� wANf GryN r., rU d�lV6kw 1 Jdfl4fu a ��PfIEs NdIU6 dlfti'V[ w7a /a6la r� dd64' ira Kwi, �uFIE4k� �' �14�4ti r .. o�M, .,,,., t Suffolk County Executive's Office of Consumer Affairs I VETERANS MEMORIAL HIGHWAY * HAUPPAUGE,NEW YORK 11788 DATE ISSUED: 9/1/1980 No. 6244-H SUFFOLK COUNTY Home Improvement Contractor License This is to certify that MICHAEL,IAMENDOLA doing business as b AMENDOLA IND11S'IMES INC having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,rules and regulations of the County of Suffolk,State of New York is hereby licensed to conduct business as a HOME IMPROVEMENT CONTRACTOR,in the County of Suffolk.- ' — License Category { NOT VALID WITHOUT Additional Businesses DEPARTMENT ALSEAL ` AMENDOLA INDUSTRIES AND A CURRENTAMENDOLA r.4 FENCE CO CONSUMER AFFAIRS AMENDOLA I ND AMENDN SUSTTRIESRIES FENCE INC DBA CO ' ID CARD D (� r Director i r ;+ Suffolk County Dept.of ), Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name V VICNAEL J AMENDOLA Business Name This cerl5fies:hat the fearer is duly licensed AMENDOLA INDUSTRIES.INC DBA :y the County of suffolk License Number:H-6244 Rosalie Dr ago Issued: 09/01/1980 Commissioner Expires. 09/01/2024 Client#:171 AMENIND ACORD. CERTIFICATE OF LIABILITY I SU C DATE(MIDWYYYY) 11/13/2023 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 1NSURER(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 any rights to the certificate holder in tieu of such endorsement(s). PRODUCER N ME; Commercial Support Edgewood Partners Ins.Center 40 Marcus DriveE-MAIL -390-9700 a Ext A'C Na: 631-390-9790 3rd Floor � �AOORESS, NEcertificateS,@e icbrokers. om Melville,NY 11747 INSURER(S)AFFORDING COVERAGE NAIC9 ' INSURER A:Pennsylvania Lumbermens Mutual Ins Co 14974 INSURED Amendola Industries,Inc. INSURER B:Zurich American Insurance Company 16635 INSURER C:The North River Insurance Company 21105 1084 Amendola Fence Co. The Travelers indemnity Company 25658 INSURER D; tY P Y 1084 Sunrise Highway Amityville, NY 11701 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 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. IN R ADD L SUSA PO4 icy E�F p043 P LTR TYPE OF INSURANCE I "Lo POLICY NUMBER MN MMYD I LIMITS A _ URRENCE $1 000�000 LAIMS-MADE X OCCUR y ENTEO "� COMMERCIAL GENERAL LIABILITY 31A5600523 1/13/2023 11/13/202 EACH OCC Ea+^ unence $100,000 X Contractual Liab. MEDEXI(Any one Person) 55 000 PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE ss 2000�000 POLICY 14,ECOT- LOC '', PRODUCTS-COMP/OP AGG 52,200,000 OTHER S A auTOMOBILELIABILITY 31ASS00323 1/13/2023 11/13/2024 wnO BINen °� LNI� ca„ ,��,� 51,000,000 _ X ANY AUTO BODILY INJURY(Per person) 5 AUTO 01"1SOONLY AUTOS BODILY INJURY(Peracadent) S X AHIRED UTOS ONLY X NON-0INNED ITR-6f E TY D/1 E ry s AUTOS ONLY Pevax�osntq� _ yu L.�....�. .... .. A X UMBRELLA LIAB X OCCUR 31AS600423 1/13/2023 11/13/2024 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE S5 000 000 OED X RETENTION$10000 S WORKERS COMPENSATION PER -. .- AND EMPLOYDTkS'LIABILITY Y/N ANY PROPRIET R/PARTNER ECUTIVE, X E.L EACH ACCIDENT S 'OFFICEWM.EMDWE.X,CLUDED� ❑ ..NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S Ues,des be un,04r CRIPTIiON OF OPERATIONS below E L.DISEASE-POLICY LIMIT S B 12nd Layer Excess AEC869412102 1/13/2023 11/13/2024 $6MM Ea Occ/$5MM Agg C 3rd Layer Excess 5228117199 1/13/2023 11/13/202 $1 OMM Ea Occ/$10MM Agg D 4th Layer Excess EX9S08545423NF 1/13/2023 11/13/202 SSMM Ea Occ/$5MM A99 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) i'5th Layer Excess Liability Firemans Fund Insurance Company NAIC#21873 Policy#USLO15019225 11/13/2023-11/13/2024$5MM Ea Occ/$5MM Agg. CERTIFICATE HOLDER CANCELLATION' Village of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Mail Rd ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE Cd 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S60292851MG029098 CPRAV 4 s Workers' CERTIFICATE OF Corraptlnsation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Hoard" 1 a.Legal Name Address of Insured(use street adcress only) 1 b,Business Telephone Number of Insured Alcott FIR Group LLC DBA:Alcott HR Labor Contractor,for leased workers (631)420-0100 to: Amendola Industries Inc dba:Amendola's Fence Co 1c•NYS Unemployment insurance Employer Reglst°at°roa Number of imWi d 104 Sunrise Highway Amityville,NY 11701 Id.Federal'Employer lderitfication Number of(Insured or RodN canny Number Work Location of Insured(Only required if coverage is specifically limited to certain locations in New York State,i.e.,a Wrap-Up Policy) 112356286 2.Name and Address of Entity Requesting Proof of Coverage(Entity Being 3a.Name of Insurance Carrier Listed as the Certificate Holder) American Zurich Insurance Company Village of Southhold 3b.Policy Number of Entity Listed in Box"1 a' 53095 Mail Rd WC 98-3$-269-47 Southold , NY 11971 3c.Policy effective period 1/1/2024 to 1/1/2025 3d The 1Flroprlelor„Part.ners,or Il::::xecukuve Officers are X included(00y check box if all partroers/offlr,,:erz)rre:ll.ued} all ex�clud S or curtain partners/oficem exc1udeat, f l its mr0fes that:the insurance carner rndicatod above nri Nu'3 msaures the business referenced Kabiave in taox"i:a"for wa others"aaornpPitsal under flue New York&als Wcxkers' (;rrmpensallon Lava.(Tab i.ise this lorrrr,Nftf Yo da(NY'(trust be listed under Itenvr'1A,on the lNl-(.)RlhAATQN PAGE of the workers'a;orvapens+:ation iasui°draa e Ir olicyT•The[nsul Carrier or ols licensed agent will send this Craatrforate of Insurance to the entity Ilis&ed above as the certificate(lid der in box T" ftip msudmil carrier must notify the above certificate hdde auod the WM( s Co n aensation Board with._.. ... ca ill itaere are reasons ofl9eu than non a anent of rernivams ffnat cancel this xot far&Bianinate line insuuredhfrrom the awera nndlcala, on this jai ttfioala a._ nt rr m^^^ . on of I{wrem am�rw s�rwusfYian�1a7 days yrn t n p y •> p 1 � � (i bees notice inaray sand t:oy regular mail,)Otte mse,this Certlafirate'is iraulicN fea one year alter lta'is form us approved by the inrsuranoe raarrtes'or ills tlir:*uisud agent,or aunta'B the p:aoViaay exlsnrG:ataorn date BGstascf iin box scp wI'oiauR'ronsrrro is ea dier.. This certificate Is issued as a nalter of iinformation only and coiffers ny fights upon the redPirate holder. This trertficate does aunroend,extend or alter ltre coverage ailcurde¢9 by lG'ie policy I steel,nor does h confer any nghts ur responsibilities beyarnd those co nlaiuned in the refem nm d policy. Tlln'is certificate may be used as evidence of aWorkers'Comjoensaf=u,orntrad of insurar'uce aarrly whiPe the underlying lao tcy is in effect Fleale Nca :l•l nan cancellwan of the r°amnpensabm pdRcy indcated as Oft bm,of due busmerz con5nues to lx.,c named m a dui lip or ocatrad issued by a cedkMa Il ft bul mW provide dial onfficale holder i0th a new Cat do of WtwkeW Compesisation Coverage or aMw audaard 1prod Vfral..the businew its comp irig wflh the rrrmndatimy a requirrrw T*nts rA the Now York Sto Wodk s°Ccfnpensaon l...aaawr. Under pmmlty of perlury,I theP II am an authorized repr 'i hemsed ., d of is insurance e nftnced above and dial the nwriad tin aauraad has the cawage a dspa ded on Ws flan Approved lay. Douglas Toffee (Flrim name of acufho6zed repiresentalivee or ficerused agent of insurance r amer;Y l etcinare.rr y _ __ Oruts. Tide: Vice F)Ire lderlt f eVelrYnoa7e Inurvnluer of ai•utl7orrr. a reprafsentat ve or I r nsa d atlent of nsurance carnet Please Note:0nly assurance carriers and their licensed agents,are authorized to issue IForaow C-105.2.Insurance brokers are NOT authorized to issue it.. C 105 2 l ww.wcb.ny.gov Y workers' CERTIFICATE OF INSURANCE COVERAGE ._........ srATr. Compensation ` � Board NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by NYS disability and Paid Family Leave benefits carrier or licensed insurance agent of that carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured AMENDOLA INDUSTRIES INC. D/B/A AMENDOLA'S FENCE CO 1084 SUNRISE HIGHWAY 17162214109 AMITYVILLE,NY 11701 Work Location of Insured(Only required if coverage is specifically limited to 1 c.Federal Employer Identification Number of Insured certain locations in New York State,i.e.,Wrap-Up Policy) or Social Security Number 11-2356286 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier VillaN e o ty gLioud as the Certificate Holder) Standard Security Life Insurance Company of Nevy York 53095 Mall Rd 3b.Policy Number of Entity Listed in Box 1 a Southold, NY 11971 35079-75 3c.Policy Effective Period 2/16/2016 to 2/9/2025 4. Policy provides the following benefits: Q A.Both disability and Paid Family Leave benefits. B.Disability benefits only. C.Paid Family Leave benefits only. 5. Polipy covers: Q A.All of the employer's employees eligible under the NYS Disability and Paid Family Leave Benefits Law. B.Only the following class or classes of employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS disability and/or Paid Family Leave benefits insurance coverage as descr' d above. Date Signed 2/11/2024 By (Signature of insurance carrier's authori d representative or NYS licensed insurance agent ofthat insurance carrier) Telephone Number (212) 355-4141 Name and Title SUPERVISOR-DBUPOLICY SERVICE IMPORTANT:If Boxes 4A and 5A are checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder. If Box 4B„4C or 5B is checked„this certificate is NOT COMPLETE for purposes of Section 220, Subd. 8 of the NYS Disability and Paid Family Leave Benefits Law. It must be emailed to PAU@wcb.ny.gov or it can be mailed for completion to the Workers'Compensation Board, Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200, PART 2.To be completed by the NYS Workers' Compensation Board(only if Box 4131,4C or 5B of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability and Paid Family Leave Benefits Law(Article 9 of the Workers' Compensation Law)with respect to all of their employees. Date Signed By (Signature of Authorized NYS Workers'Compensation Board Employee) Telephone Number Name and Title Please Note: Only insurance carriers licensed to write NYS disability and Paid Family Leave benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DS-120.1. Insurance brokers are NOT authorized to issue this form. og_,zo., (12.21) I Nib �� �iiiid�iiii iiiiiiihlI I Additional Instructions for Form 1313-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in Box I for disability and/or Paid Family Leave benefits under the NYS Disability and Paid Family Leave Benefits Law. The insurance carrier or its licensed agent will send this Certificate of Insurance Coverage (Certificate)to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This Certificate may be used as evidence of a NYS disability and/or Paid Family Leave benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or Paid Family Leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Insurance Coverage for NYS disability and/ or Paid Family Leave Benefits or other authorized proof that the business is complying with the mandatory' coverage requirements of the NYS Disability and Paid Family Leave Benefits Law. NYS DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided;by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. D13-120.1 (12-21)Reverse of'"'PICL CERTIFIED T0. LOT 25 a SURVEYOFPROPERTY DONALD T. BRUDIE & BARBARA T. BRUDIE _T o n030 '00" LOT 76 N U c728 19 MAP OF � . MON. MON ORIENT-BY- THE- SEA F .0.4'S iE0.3" LOT 7o ' FE SECTION TWO 145.�3 4 u P/E FILED OCTOBER 26, MAP #:3444 E � SITUATE' 120 SOUTHOLD N 7 90 58 TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. - - -- 1 SURVEYED: SEPTEMBER 8, 2023 OI � INGR. SWIMMING POOL NOTES'� b 1. PROPERTY KNOWN AS TAX MAP# 1000-15-03-039.0 o (� 2. LOT AREA =23,643 SQ.FT. (0.543 ACRE(S)) N Q 3. THIS SURVEY WAS PREPARED USING A TRIMBLE 440' 35.9 S3 ROBOTIC TOTAL STATION. Z*- 4. PROPERTY CORNER MONUMENTS WERE SET Lo MAS• STANDAD NOTES; LOT 1. COPYRIGHT 2023 MICHAEL K. WICKS LAND SURVEYING 1 / 2. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209. (16 K BELOW SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LA1':. DEC (15.5'x4 3. ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL ^, WORK AND OPINION. 4. CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP p' q,Iy' m h WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF ABOVE(4'%48,2') 4a'6 F1 PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE w1+LLASSOC 48 ~J LIMITEDIATION OF O PERSONS PROFESSIONAL HOM�THE BOUNDARY SURVEYND SURVEYORS, INC. 'TM P IS IPREPIGN AP PREPARED. co Q " TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY c 5_THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. Story 6. THE LOCATION OF UNDERGROUND IMPROVET.'=NTS OR ENCROACHMENTS ARE Q Res,' '"�',I W NOT ALWAYS KNOWN AND OFTEN MUST BE EiTl6 cD IF ANY UNDERGROUND �---I "f'My, M+"1 py ' ` IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE N ,(,' P N .p 1`J� IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. 7i 7. THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO 'A/C THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE O _„„,„, ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, T DRIVEWAY _ IL_..bl O POOLS, PATIOS PLANTING AREAS, ADDr10N5 TO BUILDINGS, AND ANY OTHER � 11�1 TYPE OF CONSTRUCTION.P "„.. Fw �a 4! PVC FE. W L � ENEWAPPROVEDAS 0 FRONT RANCE 40*6" y �� a w113 AT `a 2 B.P. • MAS a 00 � �� O - -BY �. DEPARTMENT AT CDMas. WALK � I IjTIF "BUILDING J7-765-1802BAMTOAPM FOR THE OLEO IING INSPECTIONS: Ln COPIES OF THIS SURVEY MAP I OP BE R!hG THE LAND SURVEYOR'S INKED FOUNDATION-TWO REQUIRED OR EMBOSSED SEAL SHALL NOT E ONSIDERED TO BE A VALID COPY„ FOR POURED CONCRETE MICHAEL K. AT AS, P.L.S. f50390 i ROUGH-FRAMING&PLUMBING INSULATION MICHAEL K. WICKS FINAL-CONSTRUCTION MUST LAND SURVEYING BE COMPLETE FOR C.O. 15( -� 15 FROATEIN RD — SUITE E2 CONSTRUCTION SHALL MEET THE W�, S'I' CENTER MORICHES, NEW YORK 11934 0'N. CE: 631.874 0156 FAX 631.909.3845 r {� NIA �0' i 1CALIFORNIAOR NEW E � AL I N U E±QUII�EMENTS OF THE CODES OF �2 . D I www.wzcksZsxndsurveVing.com OW STATE. NOT RESPO E A V EbOr 1 S RECORDS OF RICHARD C. DRAKE ESIGNI OR aTRUT101 ERRORS ro D T H (� ,p,`��`� )- � SCALE: SURVEYED BY: DRAWN BY: SHEET: NORTH\, 1 T �'C�w ✓ " [ 1°=20' M.W. J.W.W. 1 OF 1