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HomeMy WebLinkAbout51891-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#: 51891 Date: 04/30/2025 Permission is hereby granted to: Zimmer LLC c/o Mark Breen Orient, NY 11957 To: demolish (4)structures and construct a single-family dwelling as applied for per SCHD approval. Contact with NYS DOT shall be conducted prior to construction commencement. Premises Located at: 29525 Route 25, Orient, NY 11957 SCTM# 13.-2-7.14 Pursuant to application dated 01/31/2025 and approved by the Building Inspector. To expire on 04/30/2027. Contractors: Required Inspections: Fees: Single Family Dwelling-NEW $3,218.38 DEMOLITION $3,086.20 CO-RESIDENTIAL $100.00 Total $6,404.58 u fc ing 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 his://www.southoldtorwiuz V. Ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only If PERMIT NO. 5 1�q I Building Inspector: I , Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorizati n form(Page 2)shall be completed. Date: �JWNER(S OF PROPERTY: Name: ' SCTM#1000-wzt\ .............. A Project Address: Qq?5�2s-r &1 0 ' t Phone#: lid � EmaiUA Mailing Address: a Z 0,5P CONTACT PERSON: Name: Mailing Address: Oro Phone#: Em(0-1 / —ASL---� I ail. DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: AM Ab'd Ck � Phone#: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: — �! Email fie' DESCRIPTION OF PROPOSED CONSTRUCTION Netiw Structure ❑Addition ❑Alteration ❑Repair C?errtolition Estimated Cost of Pr 'ect: ❑Other $ T OU Will the lot be re-graded? es El No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: I Intended use of property: Zone or use district in which premises is situated: Are there any c�Ves nts and restrictions with respect to this property? 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(pr" t ): Cg<u,thorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) oLbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the .......... OAJ� *144M�_ (Contractor, gent, rpoiate 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� lap r 20—aS LAURA FLEMING Notary Public NOTARY PUBLIC-STATE OF NEW YORK No.01FL6434464 Qualified in Suffolk County PROPERTY OWNER AUTHORIZATION my commission Expires 06-06-2026(Where the applicant is not the owner) I, residing at L OAMdo hereby authorize apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date W 'n, �� �C-e-pry Print Owner's Name 2 Building Department Agglication AUTHORIZATION (Where the Applicant is not the Owner) residing at 2 44D s" t j oi,ti1 (Print property owner's name) (Mailing Address) 0( s " Mn 1 CA-do hereby authorize julaL D�A (Agent) JOE. to apply on my behalf to the Southold Building Department. C't• (Owner's Signature) (Date) A 2 : (Print Owner's Name) LAURA FLEMING S,3, Y � NOTARY PUBLIC-STATE OF NEW YORK No.01 FL6434464 (� Qualified in Suffolk County My Commission Expires 06-06-2026 01 s � �.. ; 4/17/2025 MARK BREEN Service To: 24405 MAIN RD 29525 MAIN RD ORIENT NY,NY 11957 ORIENT,NY 11957 Customer Project#:900000219814 Dear MARK BREEN: This is to advise you that the PSEG-LI electric facilities at the above referenced location have been disconnected and removed off the building structure that is located on the property. Please note that there may still be PSEG LI facilities located within the property boundaries and that NYS law(NYCRR Part 753)requires all contractors to call for a utility locate(NY 811)prior to performing any ground excavation or regrade activity. The call to the 811 Call Center must be done at least 2 business days prior to the start of the work and confirmation of utility marks having been identified must be received from all the facility owners prior to any site work. You must also contact National Grid at 631-348-6150 to procure a letter of demolition associated with natural gas service,whether or not your home or business uses natural gas. If you have any questions regarding the above,please contact Building&Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Very truly yours, Katherine Giane/lllii� Building&Renovation Services PSEG-LI Evan T.Steffens Nat 1 O n a l gri Senior Supervisor Gas Customer Connections,NY April 2, 2025 Zimmer, LLC C/o Mark Breen 24405 Main Road Orient, NY 11957 E-Mail: 247_$_Qt .SMINE CEDA NOLLSHOMES.COM National Grid WO#: T 102667245 Service Address: 29525 Main Road Orient, NY 11957 To Whom it may concern, This Letter is to advise you that National Grid investigated your request and confirmed that the subject property does not have an active gas service line. By Law, excavators and contractors working in New York City and Nassau and Suffolk Counties must contact New York"811" at least 2 full business days, not including the day of contact, prior to digging by calling "811" or by using the website https://newyork- 811.com/. This confirmation letter of no active gas service line to the subject property does not relieve the excavator of contacting NY "811". If you have any further questions, kindly contact me at 833-359-0645. Respectfully, Evan T. Steffens Senior Supervisor Gas Customer Connections NY 1650 Islip Ave,Brentwood NY 11717 T:833-359-0645 evanwsteffens�i na4 t raaC gd.com 1vidirk r cess n -n tional rid.com, FFQ Albert J. Krupski, Jr. °5t Ir S']C'ORlMMA' ]El[L SUPERVISOR MANA ]EIS IENT w S5 Main R D TOWN UTHOHALL ,NEWBox K Town of Southold 53095 Main Road-50UTHOLD,NEW YORK 119T1 �.» CHAffER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - - - - - - - - - - - - — - - - - - — — — - - - - - — - - - - - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: Fleming Date:: 1/31/2025 t ,a tsp Contact Information: laura@cedarknollshomes.com E-Mail&Telephone Number; 631-231-1518 Property Address / Location of Construction Site: 29525 Route 25 S.C.T.M. #: 1000 Orient, NY 11957 District 13 2 7.12/13/14 Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Area of Disturbance is less than I Acre. No SY.D.E.S. Permit is Re utre 9 ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S.Permit is Required I ❑ - Area of Disturbance is Greater than 1 Acre&Storm-water 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. ❑ - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S.Permit through the Southold Town Engineering E2gineeripg Department Prior to Issuance or a Buildin Permit, P' 0" Reviewed By: _ Date ) FORM " SMCP-TOS December 2024 Town Hall Annex uu " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: la5- Owner: Location of Property: ` Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): �ITIT Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person (p s mitting this form): IV Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/23/2025 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 poiicy(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 NAME, Ma Lou Miner Borg&Borg Inc. PHGNE 148 East Main Street .Nr,,.E5�t1;61-673-7600 AfC N�;63�w5 -1700 E-MAIL cerlititesPtlorins.colxl Huntington NY 11743 i` INSURERS)AFFORDING COVERAGE NAIL# ..,.. ._ n #:PC-648965 INSURERA SDuth west Marine and General 12294 INSURED CEDAKNO-02 INSURER B: Merchants Mutual Insurance 23329 Cedar Knolls Inc. 900 Marconi Avenue ""suRERc Ronkonkoma NY 11779 INSURER D: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER:913565695 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 TYPE O 1di L,- ; POLICY EFF POLICYEXP ____ F INSURANCE POLICY NUMBER MMIDp MM/p LIMITS A X COMMERCIAL GENERAL LIABILITY GL2024LHB00326 10/12/2024 10/12/2025 EACHOCCURRENCE $1,000,000 CLAIMS-MADE OCCUR p�gwlySMEa,dcurrencel $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PRO JECT u I x I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CAP1071165 5/7/2024 5/7/2025 COMBINED SINGLE LIMY $1,000,000 (E�,acclda?1I� _ X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS d HIRED NON-OWNED X O .. DAMAGE $ AUTOS ONLY X AUTOS ONLY ParaecRlf111 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _....... DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N _T6TUTE_ R STAT ANYPROPRIETOR/PARTNER/EXECUTIVE I E L EACH ACCIDENT _ $ OFFICER/M m BE EXCLUDED. E L � NIA (Mandatory ) DISEASE-EA EMPLOYEE $ 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Route 25 PO BOX 1 179 AUTHORIZED REPRESENTATIVE Southold NY 11971 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NYSIF New York State Insurance Fund PO Box 66699,Albany, NY 12206 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 113120755 BORG&BORG INC 148 E MAIN ST HUNTINGTON NY 11743 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER CEDAR KNOLLS INC. TOWN OF SOUTHOLD 900 MARCONI AVE 53095 ROUTE 25 RONKONKOMA NY 11779 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12190 763-9 1 669554 02/12/2024 TO 02/12/2025 1/23/2025 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2190 763-9, 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, 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://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. THE POLICY INCLUDES A WAIVER OF SUBROGATION ENDORSEMENT UNDER WHICH NYSIF AGREES TO WAIVE ITS RIGHT OF SUBROGATION TO BRING AN ACTION AGAINST THE CERTIFICATE HOLDER TO RECOVER AMOUNTS WE PAID IN WORKERS'COMPENSATION AND/OR MEDICAL BENEFITS TO OR ON BEHALF OF AN EMPLOYEE OF OUR INSURED IN THE EVENT THAT, PRIOR TO THE DATE OF THE ACCIDENT, THE CERTIFICATE HOLDER HAS ENTERED INTO A WRITTEN CONTRACT WITH OUR INSURED THAT REQUIRES THAT SUCH RIGHT OF SUBROGATION BE WAIVED. 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 - S71*1 NICE FUND 4 DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 1062095156 YOitk Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance A ent or that Carrier 1 a. Legal Name and Address of Insured (Use street address only) 1 b. Business Telephone Number of Insured Cedar Knolls Inc. (631)231-1518 900 Marconi Avenue Ronkonkoma, NY 11779 1 c. Federal Employer Identification Number or Social Security locations in New York State,i.e.a Wrap-Up Policy) 2. Name and Address of Entity Requesting Proof of Coverage 3a. Name of Insurance Carrier (Entity Being Listed as Certificate Holder) Hartford Life And Accident Insurance Company 3b. Policy Number of entity listed in box 1 a": LNY641833 Town of Southold 53095 Route 25 3c. Policy effective period:12/31/2024 to 12/31/2025 P.O. Box 1179 Southold, NY 11971 4. Policy provides the following benefits: X A. All for the employer's employees eligible under the New York Disability Law _B. Only the following class or classes of employer's employees: _C. Paid family leave benefits only 5. Policy covers: X 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 Benefits insurance coverage as described above. Date Signed JanuaKy 23,2025By: David M Boy . (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone No. 631 673 760O Name and Title: President IMPORTANT: If box 4a is 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"is checked,this certificate is NOT COMPLETE for the purposes of Section 220, Sub. 8 of the Disability Benefits Law. It must be mailed for completion to the Workers'Compensation Board, DB Plans Acceptance Unit, 328 State Street, Schenectady, New York 12305 PART 2.To be completed by the NYS Workers Compensation Board (Only if Box 4C or 56 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-insured employer has complied with the NYS Disability Benefits Law with respect to all or his/her employees. Date Signed By (Signature of NYS Workers'Compensation Board Employee) Telephone No. Title: Please Note: Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS license insurance agents of those insurance carriers are authorized to issue Form D13-120.1. Insurance Brokers are not authorized to issue this form. DB-120.1 (10-17) Additional Instructions for Form DB-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"la"for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance 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 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 NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. 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 has been secured as provided be this article. 1j IIkid"I SITE: 29525 LAAIN ROAD GROUNDWATER MANAGEMENT ZONE IV: 600 GPD/ACRE ORIENT NY 111957 SITE SERA BY PRIVATE WELL: 300 GPD/ACRE AREA TO BE DEVELOPED WITHIN 2 LOTS- S.C.T.M. TAX LOT 1000-13-2-7.12&14 � SCTIA it tl 1 -2 7-11Z 13&14, LOT 7-12:12 ACRES+LOT 7.14:2.499 ACRES=14.499 ACRES � GROSS LOT AREA: 7641,261±SO FT.(17.54LnACRES)> D ) AISTED.ALLOWABLE SANITARY FLOW:14.499 ACRES X 300 GPD/ACRE =4,349i.7fM GF� SITE CLIENT DRIVEN SOLUTIONS 'C SCDF@5 REFERENCE NO.: �SYSTEM DENSITY� ,,A ALCU ONS, P.W.GROSSER CONSULTING PVVC ENGINEER AND HYDROGEOLOGIST,P.C. EXIST-BILDG-A-5,065 SF BARN NO.1 @ 0.04 GPD/SF =202.60 GPD amm JaM aS.vWNW.x,.atlNS M'. EXIST-BLDG.B-8,027 SF BARN NO.2 @ 0.04 GPD/SF =321.08 GPD Pron�.l83eu't 1,NY.rnrr Ie F—(01)5 DS PROP. D-2,811SINGLE FAMILY RESIDENCE @ 0.04 GPD/SF =112.44 GPD Ey L INFO@P ROSSMCOM 3DO.00'GPD .. �y CONSULTANTS E�IISIf..�lL.®I[FBMG TO BE EXIST. -C-2,811 SF BARN N0.3 0.04 G TOTAL -936.12 GPD Y" REMOVED Pam.-2-STOW SINGLE pA FAMILY I WEULI G F.E.EI.12.W' VICINITY MAP EXIISi1F..BUUDING TO BE FRCP. SANITARY SYSTEM SCALE: 1"=800' REMOVED FOR BUILDING 4 a& EW,. f>, ✓ D v "N AI'V N A .;n,e N "„ .• ..I". ,. ,,,.. ,,, ,..,... .,, ....,, ,,. ., ", ., ,°. �yl yam. kw "� w` �c � r `0pr1 / i 4� 'txr ,.,. ., .�, .... ,. - _ w q aro � ,m " % LC , Revised Plan Approved1I32025 29525 MAIN ROAD f - ORIENT,NY 11957 Y 3 �� aA,° , Expires 9l16/2025 PROPOSED SCDHS ► rb rr SANITARY SYSTEM EXIST. 1-STORY BARN NO.1 TO REMAIN 29525 MAIN ROAD Suffbik C'a1�.y Department Of�'IG'.jf&cervices ORIENT,TOWN OF SOUTHOLD = AREA, ,065 SF Approval!twr C i stroction-Other Tim Suagle Family SUFFOLK COUNTY,NEW YORK RSS BUILDING) �11 1 STORY BARN N0.2 TO REMAIN Reference No. 7 Irow Soo s&IA EX M r� r OVERALL RALL ` . AREA: 8,027 SF Use(s) ltitItFall,y Resin I T.1-STORY 1 NO.3 TO REMAIN (DRY BUILDING) These plans havelieee�rawiewed for genera•cwT.�ance with Suffolk TE ARE•:p►:2,811 S1F County DepartnsE=Of Health Services sxan&"ds;,, relating to water(DRY BUILDING)) supply and se:,Am a disposal. Regardlb--4s PLAN of any omissions, I' OVERALLSITE PLAN inconsistencies ar I<a& of detail, construc6m its; Tequired to be in accordance with SCALE: 1'"=150' standards, ldards,unsssyedfkaall Ikead v hd permit the DeFixtment This approval C- t, 0 150 300 ww to tlr tiNa/ s its expires 3 years fialsr,tf4e approval! date, u � ended Or renewed. 1 NOT SuIt7llMCnun O rJtHear t Ir< SCALE.- 1'"= Call(631)952-5754,48 hours in 12/26/2018 va�� �� 1 4 SURVEY INFORMATION OBTAINED FROM L.K. CLEPNWIA�S9^ Q 9P- OTES ENGIMER9l`Mr-& 1" advance,to schedule ins on(s). Approval Date ry-- CKH2401 � URVEYING,DPC DATED DECEMBER 13,2024_ Mrlr