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HomeMy WebLinkAbout28976-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDI17G DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31141 Date: 08/31/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 10740 SOUNDVIEW AVE. SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 6 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 2002 pursuant to which Building Permit No. 28976-Z dated DECEMBER 5, 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED THREE CAR GARAGE & COVERED FRONT ENTRY AS APPLIED FOR & AS PER CERTIFICATIONS OF WARREN A. SAMBACH, P.E. DATED MAY 11, 2005. The certificate is issued to DIANE & ROBERT R. SCHROEDER JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0066 03/30/05 ELECTRICAL CERTIFICATE NO. 2000682 12/23/04 PLUMBERS CERTIFICATION DATED 05/13/05 RBT.VANETTEN PLUMB.&HEAT. Akfthorizedignature Rev. 1/81 61 byt FormNo.6 l iy .� r TOWN OFSOUTHOLD BUILDING DEPARTMENTi TOWN HALL ii 765-1802 �.__— ._ .f h, oEPr o� _trt�; APPLICATION FOR CERTIFICATE OF OCCUI�A�FO?tN+ .)_)_ r This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building$25.00,Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial $15.00 Date. S//1 45� New Construction: _fin Old or Pre-existing Building: _ (check one) Location of Property: 10770 5-01/A V16--W ko_ S0Y77t" House No. Street Hamlet Owner or Owners of Property: pftr x va, / Suffolk County Tax Map No 1000, Section 5� Block V Lot �• 3 Subdivision /_ Filed Map. Lot: Permit No. Z gR7e_Z Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: _ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature (a,.ee. (c8g 3q Coy 3i1�� ° C.nLIC.nC.nCPCnC.I� O 5L 5 BY THIS CERTIFICATE OF COMPLIANCE THE ' 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 CC5 5 CERTIFIES THAT e5 Upon the application of upon premises owned by 5 PUMILLO ELEC. ROBERT SCHROERDER 5 P.O. BOX 323 10740 SOUNDVIEW AVE 5 e LAUREL, N.Y. 11948, SOUTHOLD, NY 11971 Located at 10740 SOUNDVIEW AVE SOUTHOLD, NY 11971 5 Application Number: 2000682 Certificate Number: 2000682 c5 1002003 ns11 5 Section: Block: Lot: Building Permit: BDC: � Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: e5 Basement,First Floor,Second Floor,Attached Garage,Outside, Attic, 5 SA visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of December, 2004. 5 5 Name QTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 Transfer Switch 1 0 100 amp L' 5 Sensor 2 0 Carbon Monoxide S Sensor 8 0 Smoke Appliances and Accessories 5 Future Appliance Feeder 1 0 30 Amps �5 Furnace 1 0 20 amp 5 Exhaust Fan 6 0 5 Furnace l 0 Oil L+ Panels 5 5 1 100 20 5 5 1 100 12 5 1 60 18 �5+ Wiring and Devices _ 5 Outlet 122 0 Fixture 5 Fixture 122 0 Incandescent 5 Outlet 132 0 General Purpose sed/ C Receptacle 83 0 General Purpose 5 [7CJ Continued on Next Page 1 of 2 C� 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 o�gOFF0j/( COD Town Hall,53095 Main Road t+, Fax(631)765-9502 P.O. Box 1179 �,yf. �_' Telephone(631) 765-1802 Southold, New York 11971-0959 "701 �a0 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 10, 2003 To Whom It May Concern: Re: Suffolk County Tax Map #54.-6-4.3 Premises: Sound view Avenue &Rene Drive Owners: Robert R. Schroeder Jr. &Diane Schroeder Please be advised that since the above premises is a comer lot two house numbers have been assigned to this property. The address is 10740 Soundview Avenue & 150 Rene Drive, Southold,N.Y. The property owner can choose which number they wish to use for their legal address. Respectfully, SOUTHOLD TOWN BUILDING DEPT. lap air, � r,�Fr Town hell, 5307.5 Main Road �WfQ ;�:_.��Wo3l) fi5.950: P.O. Boz 1179 'relephone(6M) 7KS tR Rnuthold, New Yotk 119?I-(N"54 BUILDING DBPAATMBNT TOWN OF SOUTHOLD CE TIFICATIOI� Date:_V��T /3 Building Permit No. _., ��P d _ Z Owner: R_o 5ch roe .er (Plea%le se print) J. Plumber: —� 12 'print) i I certify that the soldci used in the water supply system contains lass than 2/10 of 1% lead. (Plumbers Signature) Sworn to before the this day o _� 200 ,5— Notary 0D ,SNotary Public, County ca 'stOu` OS Albert J. Krupski,President ��OF SOUlyO Town Hall James King,Vice-President ,`O 53095 Route 25 Artie Foster .1/, i. P.O. Box 1179 Ken Poliwoda T '! Southold,New York 11971-0959 CA Peggy A.Dickerson �O Telephone(631) 765-1892 lYC,oU Fax(631)765-6641 �� �1111I i I BOARD OF TOWN TRUSTEES AUu L 2 2006 Lj TOWN OFSOUTHOLD �---. . ,1FPT—� F" , a N OF 4Oi1T . D ui mg Dept. FROM: Board of Trustees DATE: August 22, 2005 RE: ROBERT & DIANE SCHROEDER 150 RENE'S DR., SOUTHOLD SCTM#54.6-4.3 With regard to the above-referenced property, an inspection was made and it was determined that the single-family dwelling and garage and driveway were constructed in compliance with Wetland Permit#5451, as issued on November 20, 2001. If you have any questions, please do not hesitate to contact us. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28976 Z Date DECEMBER 5, 2002 Permission is hereby granted to : ROBERT R SCHROEDER JR PO BOX 119 PECONIC,NY 11958 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH THREE CAR GARAGE & COVERED FRONT ENTRY PER PLANNING BD & TRUSTEES; ACCESS LIMITED TO SOUNDVIEW at premises located at 150 RENE DR SOUTHOLD County Tax Map No. 473889 Section 054 Block 0006 Lot No. 004 . 003 pursuant to application dated NOVEMBER 7, 2002 and approved by the Building Inspector to expire on JUNE 5 , 2004 . Fee $ 1 , 948 . 20 li(. i 4,Lw Authorized Signature ORIGINAL Rev. 5/8/02 WA. RREW A. . 275 DOGWOOD LA WE E . MA. RIOW'q WY ( 631 ) 477-2521 J /2?CUs May 11, 2005 .,.,r Southold Town Building Dept. Southold, NY 11971 Attn: Mike Verity Re: Robert and Diane Schroeder SCTM #54-6-4.3 —Building Permit#28976-Z Dear Mr. Verity: o ur* As per final inspection requirements by Michael Verity dated January t 2005 relative to the above entitled all work has been complied with All changes that amend the plans meet or exceed New York State code. Landings and stairs constructed as follows: Landing #1 —house to garage —2' x 8' CCA joists 16" on center with lekos 34" x 6" decking, 6 treads 7 risers, 10" treads, 7 '/4" risers, 4" x 4" rail post, 2" x 4" rail stringers with 2" x 6" cap. Landing#2—outside to garage— 3' x 6' CCA joists 16" on center with tekos 5/4" x 6" decking, 6 treads 7 risers, 10" treads, 7 '/4" risers, 4" x 4"rail post, 2" x 4" rail stringers with 2" x 6" cap. Very truly yours, WARREN A. SAMBACH = 9 3 ,,I/ WAD. REW NA. MB .ACS 275 DOGkWOOD LA WE E . M .A KIOW-9 WY ( 661 ) 477-252 May 10, 2005 - L_- Southold Town Building Dept. Southold, NY 11971 Attn: Mike Verity Re: Robert and Diane Schroeder SCTM #54-6-4.3 —Building Permit #28976-Z Dear Mr. Verity: M w4 As per final inspection requirements by Michael Verity dated January M, 2005 relative to the above entitled all work has been complied with. All changes that amend the plans meet or exceed New York State code. C Vera'truly yours, ¢ WARREN W. SAMBACH � fi SEDT SY: mcon7; 631 768 464P; oc'-18-02 12:12; PAGE 1!1 New fork State Deparuiieut of Eu:t is obuieiital Cowecwatio><t ,. ' ., DuOd;iq 40-SUNY, Sway brcwk NY 7.17.404J56 Tolephanc: (516) 444-0275 � Fac"mile: (516)444-0297 Mishuel D. ZaVta Cowudsslouer 24 October 1996 Peter and Agadla f.bbate 384 Clement Avenue Elmont, NY 11003 Dur Mr, and avis. Abbate: In response to your request for a fieshwater wetlands determination for the property identified Wow, the New York State Departrnem. of Environmental Conservation has determined that the parcel is more :Ian 100 feet from regulated f:esltwater wetlands, Therefore, no pennit is required under the Freshwater NVetlands Act (Article 24 of the New York State Environmental Conservation Law). Location: South of Sound View Avenue, Southold i'own: Southold Tax Map Number: 10(10-54-6-4 This determination may be consiJeied permanent and should, therefore, be retained along with other documents redawd to this property. If future actions by this Department result in any change in jurisdiction, you or any subsequent owner will be so notified in writing. Please be aclyised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals fro,n oder agencies. Very truly/yours, tro Permit Administrator cc: ureau of Environrtteatal Protection �thryn J. Eiseman, Charles Voorhis and Associates, Inc., 54 North Country !toad, Suite 2, Miller Place, NY 11764 4 _ � �•f.•�'f'�!'•!!'�7r.'i!�sve(;�.'r,G-!Sder,C!'rt°ar.<<!`::;C:.''i��� ",i, �.,,1'�.,f;u!xr!rs4rrn•icl - t and Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. On DATE: ...Nov. 20,v 2.001 ISSUED TO ..... ROBERT & DIANE. SGItROEDER........._.................... ....... ........ Pursuant to the provisions of Chapter 615 of the Laws of he State of New York, 1893; and Chapter 404 of the Laws of the ate of New York 1952; and the Southold Town Ordinance an- � kd "REGULATING AND THE PLACING OF OBSTRUCTIONS , N AND ON TOWN WATERS AND PUBLIC LANDS and the `i c OVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM %; J DS UNDER TOWN WATERS;'.'. and in accordance with the fid'' I esolution of The Board adopted at a meeting held on -Nov. ....2.0.... • ,. 1 + ` 2011.1..., and in consideration of the sum of 5...200:Q0 ...... paid by l .I Robert..&---Diane.Schroeder.. 3 ' arms an 0&ditions listed on the re erse ws iide hereof. ` I 1 *Is Southold Town Trustees authorizes and permits the following: Wetland Permit for a two story house, garage and swimming pool with option # 2 for the driveway. .Y. aN in aeeordanee with the detailed specifications as presented in ` a originating application. IN WITNESS WHEREOF, The said Board of Trustees lora- by causes Its Corporate Seal to be affixed, and thesep�es!�s to be subscribed by a majority of the said Board as of this dafe. !j ` '� �• 1�y,.�..,,�r„`l" '7'/si 1'.i'+�MY.:+'�'ir„r'a"y"r../-'J_;/t'./r.�'i;.•i�''i'.'� " - .jF'4i"1.."�: `�R C�,' Alk- rf • • • • _ — • • • • • • • • • • `rr1A'q: r'ilii •11'1 A.rilri 1.:: r.•..� ' _ ____ • iii that. �.' r I i _ .• _ TERMS and CONDITIONS i The Permiaee R^►+a"t a n'aneye#ree@er tr reA '8 at 150 Rene nrivaSQ,,the}d, X Y., as pant of the coudde[adon for the Iwoaoce of the Permit does umdersaad and paeaNu to the (d- kwbEt 1. That the said Hoard of Trustees and the Town of Southold ate rdamed ham say and all do mpe, at c dma for dams&*% of auks &china dire* cc indirectly as • rook of any open scion performed pdatum m this pemrit, and the said Pecaduse wilt, at his or but owes aepeew, defwd say and all an& sda-iddaeed by third parties, and the said Pecokma mesmm fall I d ft wkh respect therein, to the complete aeon of the Hoard of Trustees of the Two of 800dmid 2. That Me Paeakit is valid for a petlod of — 34 rata which b woddemd to be the esdnmmd dme'requdtfd a compkm the we& involved, but should cradmanas wseat, ngamt for an armedon ay be made to the Board at a later date. S. That this Pe®k should be retained indefinitely, or as long as the said Pemalaee wLhes to mushman the atroetnre or project involved, to provide evidence to anyone concerned due aa& oehmtion mem originally ebeakmd. ,t. Thar tie wodc kmolved will be subject to the inspection and approval at the Board or An apse. and neat tauip»anee wkh.the provisions of the oriaiaatiaa appHc mmmq be cease for revocation of tbh Permit by resolution of the said Hoard. S. That there will be no mteuonahle interference with navlptiou as a result of do wade herein sshbabrod. 6. That there shill be no interference with the tight of the puhlit to pas and " a" visa beach between high and low water muks. 7. That if future operations of the Town of Southold require the semnal sad/or sheeseioa in the location of the wodc herein suftebmed, or if, in the oplul n of dm Hood of Tsomes, dm. wade doll camee emressooeble obstruction to free navigation, the mid Pamdttm will be t"Wmd, upon dns notice, to temwe of alter this wadi or project herein sated wlthoot espmem to the Town Of scludmold. 9. That the aid Board will be notified by the Permitter of the ctatpkdoa of dw work meth. Orb" 9. That the Permittee will obtain all other pesmtek and cooments tint may be rapdcd star p[anental to this permit which may be subject to revoke upon fallow to obtdo ams Albert J. Krupski, President James King, Vice-President �$1ifFO(�Ys- Town Hall Henry Smith �� 53098 Route 25 ~� Artie FosterP.O.Box 1179 Ken Poliwoda Southold,New York 11971.0959 � �,y • Telephone(631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 27,2001 Patricia C. Moore, Esq. 51020 Main road Southold, NY 11971 RE: ROBERT& DIANE SCHROEDER 150 Rene Drive Southold, NY SCTM#54-06-4.3 Dear Ms. Moore: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 20,2001,regarding the above matter. WHEREAS,Patricia C. Moore, Esq. on behalf of Robert A Diane Schroeder applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 6, 2001 WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 20,2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application,and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. WHEREAS,the Board has determined that the project as proposed will not affect the health. C) OWN 0 SOUTHOLD PROPERTY RECORD CARD 39. OPA44ER STREET VILLAGE DIST. SUB. LOT Sau'�o �c� S o v R � r Ml�r,� R N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ,T, •F9..a �a' �C�e,.-de..✓-� - f� � 66a of q- LN ko20 ti_;_t:r Ors C V400 41SI a149 —L —106b fags S Ar- $S-7 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot �. 1 dC C)U BULKHEAD Total 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REM RKS: 00, DATE 6/ �° o S INSPECTOR 'v � qI Ce M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR �� DS?7�lez�T- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] TAMING NDATION 2ND [ ] INSULATION 7F [ ] FINAL [ FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: J,6,z 22 C DATE d INSPECTOR Z/L M-1802 BUILDING DEPT. IN ECTION [ ] FO DATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL E A HIMNEY REMARKS: DATE INSPECTO 27- M-1802 BUILDING DEPT. 1 SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C� DATE INSPECTOR 1 11 1 ;d' 1 1 1 11 IWAM KRUM Vrl W,12 ROUGH 1 • 1: 1 • G 1INSULATION PER N.Y. , STATE ENERGYCODE ADDMONAL COMNaDMS r REM TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN,HALL /U,/' —Board of Health SOUTHOLD, NY 11971 - 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ---Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined (//Q ,20 0 a� Contact: Approved S ,20 Da-- Mail to: Disapproved ac Phone: Expiration 4/C _11000 J 'apZ al(f'1 Building Inspector '963 7C I APPLICATION FOR BUILDING PERMIT Date 12002— �-- - '— INSTRUCTIONS TOV1c _-_�D �� a s pplication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with-3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or 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 for necessary inspections. /-"' (Signature of applicant or name,if a corporation) Pa. bx iiq &*c, guy, 1059 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor,electrician,plumber or builder 0wNef2 Name of owner of premises �OT R. SCtlI2Gie fi /RJI `SdE�I� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed wor4 will be done: �Ji?�lOL soV/uD✓6Y) House Number Street / Hamlet County Tax Map No. 1000 Section 5 T Block 06 Lot 7 3 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V LA-AID ��rp b. Intended use and occupancy (�� Fftl tWFU�uU ' °� 5TI1,2�1) 51u1 Menl�L- 3. Nature of work(check which applicable): New Building k Addition Alteration_ Repair Removal Demolition Other Work----- (Descri tion) - 4. Estimated Cost / 57 mr Fee p (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor ---------- If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories g u O Dimensions of entire new construction: Front a �� � Rear ��` Depth 9Q, Height Number of Stories 9. Size of lot: Front /� Rear Depth 44%0-9- 1 ,�,_-- 10. Date of Purchase ►q Rq Name of Former Owner r G 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded?YES_NO* Will excess fill be removed from premises? YES_NO—k 14.Names of Owner of premises�IIW -"C"M Address It I lq POW 14 Phone No. %6y795- Name of Architect -�OW Phone No o Z Name of Contractor EI.F Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. i+hs r�Lus ra62nttT 16. Provide survey, to scale, with accurate foundation pian and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF SJPFD D iq >�-`X f� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CS W/16£f-1 (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 knowledge and belief; and that the work will be Performed in the manner set forth in the application filed therewith. Sworn to before me this U 4 day of (3 Cf o A EX- 20 D d— av— Notary Public Signature of Applicant LJNE)Ai.COOPER Notary P bk.Stat of New Yak No.4@22563,Suffolk Cory T,rr:.Expires Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/24/02 Receipt#: 1598 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 1598 Total Paid: $10.00 i V Name: Schroeder Jr., Robert& Diane P0Box 119 Peconic, NY 11958 Clerk ID: LINDAC Internal ID:63691 Applicant/ Date. Owners Name: 1) J Reviewed: J�- Architect/ Date Engineer: S &UCU4 Submitted: SCTM #: - District: 1,000 Section: S�L [flock: Lot: Project n Subdivisioi i y Location: 1 S� F��E eC[n •�—�� � ----- — Name: �-7 I Sin&Ie& separate Required `a certification: (Yes/No) O//y Req. Req. Zoning District: Il,ol size: �J� Actual: I Lot coverage �1'ropuscd�-� I Req. Req. /n i Req. 11'ronl Yard Proposed: !2,0 (Side Yard S--,W2q4)proposcQ0 k 7Q [Rear Yard Proposed Project Description: tc, - AGENCUERMITS �� � � UZUIRED FOR REVIEWermit . N.A.�� � YES tuber Suffolk County Health Dept. New York State D. E. C. AJ u, Town Trustees /f Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone:No � Q, ex - PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, N.Y. 11952 rqs}- _-- Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary December 4, 2002 Bennett Orlowski, Jr., Chairman Southold Town Planning Board Town Hall 53095 Main Road P.O.Box 1179 Southold, NY 11971 (BY HAND) Re: Robert and Diane Schroeder SCTM91000-54-6-4 + Dear Mr. Orlowski: T represent Mr. and Mrs. Schroeder,they wish to relinquish the use of Rene's Drive and the building department forwarded the request to you.Due to the unique environmental conditions along Rene Drive,the Trustees granted my clients access on Sound View Avenue. The relocated driveway access mitigated environmental impacts on the"Ponds" on the subject property. In response to your memo of December 2, 2002 to the building department, enclosed please find a copy of the deed for their portion of Rene's Drive. Robert and Diane Schroeder no longer have use of Rene's Drive. Bayberry Corp, the new owner, is still obligated to contribute their respective share of the road improvements. In accordance with your condition,my clients will maintain only one driveway access onto Sound View Avenue. Thank you for your courtesies in this matter. Very truly yours, Patricia C. Moore cc: Robert and Diane Schroeder Building Department ✓ PATRICIA C. MOORE 4 Attorney at Law 51020 Main Road Southold, N.Y. 11952 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary December 4, 2002 Bennett Orlowski, Jr., Chairman Southold Town Planning Board Town Hall 53095 Main Road P.O.Box 1179 Southold, NY 11971 (BY HAND) Re: Robert and Diane Schroeder SCTM#1000-54-6-4 Dear Mr. Orlowski: I represent Mr. and Mrs. Schroeder, they wish to relinquish the use of Rene's Drive and the building department forwarded the request to you.Due to the unique environmental conditions along Rene Drive,the Trustees granted my clients access on Sound View Avenue. The relocated driveway access mitigated environmental impacts on the "Ponds" on the subject property. In response to your memo of December 2, 2002 to the building department, enclosed please find a copy of the deed for their portion of Rene's Drive. Robert and Diane Schroeder no longer have use of Rene's Drive. Bayberry Corp, the new owner, is still obligated to contribute their respective share of the road improvements. In accordance with your condition, my clients will maintain only one driveway access onto Sound View Avenue. Thank you for your courtesies in this matter. Very truly yours, Patricia C. Moore cc: Robert and Diane Schroeder . Building Department , PLANNING BOARD MEMBgUFFO(� ERS �O C49, BENNETT ORLOWSKI,JR. P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 NJ = Southold, New York 11971-0959 RICHARD CAGGIANO W Telephone (631) 765-1938 WILLIAM J. CREMERS KENNETH L. EDWARDS y�o! u ��0� Fax(631) 765-3136 MARTIN SIDOR �. PLANNING BOARD OFFICE TOWN OF SOUTHOLD V� f MEMORANDUM To: Mike Verity, Principal Building Inspector / Pat Conklin, Building Permits Examiner From: Bennett Orlowski, Chairman Re: Robert And Diane Schroeder# 1000-54-6-4 Date: December 2, 2002 The Planning Board reviewed the applicant's request to relocate the driveway access for the lot from Rene's Drive to Sound View Avenue. The approved Subdivision Map of Indian Woods dated June 2, 1977 shows four"pond" systems located on the lot. The relocation of the driveway would impact a "pond" adjacent to Sound View Avenue and therefore Town Trustee approval is necessary. However, due to the geologic and hydrologic reasons stated, supporting the relocation of the driveway access from Rene's Drive to Sound View Avenue, the Planning Board grants the relocation of the driveway access from Sound View Avenue subject to the following: 1 Town of Southold Trustee approval for the action.. 2 Access from Sound View Avenue to the to is limited to one driveway access. 3 The submittal of letter addressed to the Town of Southold Plannine Board stating the relinquishment of the use of Rene's Drive right of way together with a copy of a new deed filed with the Office of the Clerk of the County of Suffolk outlining the relinquishment of the Renee's Drive right of way for our records. This approval does not supersede any other necessary permits or coordination with any other department, board or agency to implement the action. PLANNING BOARD MEMBERS gOFFO(,� BENNETT ORLOWSKI,JR. hQCO P.O. Box 1179 Chairman Town Hall, 53095 State Route 25 W : Southold, New York 11971-0959 RICHARD CAGGI NO Telephone(631) 765-1938 WILLIAM J.CREMERS KENNETH L. EDWARDS 'yAJr�l ��0� Fax(631) 765-3136 MARTIN SIDOR PLANNING BOARD OFFICE TOWN OF SOUTHOLD V �h� MEMORANDUM To: Mike Verity, Principal Building Inspector / Pat Conklin, Building Permits Examiner V From: Bennett Orlowski, Chairman Re: Robert And Diane Schroeder# 1000-54-6-4 Date: December 2, 2002 The Planning Board reviewed the applicant's request to relocate the driveway access for the lot from Rene's Drive to Sound View Avenue. The approved Subdivision Map of Indian Woods dated June 2, 1977 shows four"pond" systems located on the lot. The relocation of the driveway would impact a "pond" adjacent to Sound View Avenue and therefore Town Trustee approval is necessary. However, due to the geologic and hydrologic reasons stated, supporting the relocation of the driveway access from Rene's Drive to Sound View Avenue, the Planning Board grants the relocation of the driveway access from Sound View Avenue subject to the following: 1 Town of Southold Trustee approval for the action. 2 Access from Sound View Avenue to the lot is limited to one driveway access. 3 The submittal of letter addressed to the Town of Southold Planning Board stating the relinquishment of the use of Rene's Drive right of way together with a copy of a new deed filed with the Office of the Clerk of the County of Suffolk outlining the relinquishment of the Renee's Drive right of way for our records. This approval does not supersede any other necessary permits or coordination with any other department, board or agency to implement the action. October 28, 2002 Southold Town Building Dept. Main Road Southold, NY 11971 Attn: Mr. Mike Verity Dear Mr. Verity: Please be advised that we have given up our 25% ownership in the right-of-way at Rene's Drive, Southold, New York SCTM#1000-054.00-06.00- 004.002 as is evidenced by the enclosed certified copy of deed dated October 25, 2002 which deed was recorded in the Office of the Clerk of the County of Suffolk on October 28, 2002 at Liber 12217 at page 074. Very truly yours, DIANE SCHROEDER f TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of 1New York, County of SUFFOLK ss: State of New York, County of Ss: On the a7"'day of October in the year 2002 On the day of in the year before me,the undersigned, personally appeared before me,the undersigned, personally appeared Robert R. Schroeder, Jr. & Diane Schroeder personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(,) is satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to _ me that he/shetthey executed the same in his/her/their me that he/shetthey executed the same in his/her/lheir capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,expbuted the instrument. the individual(s) acted,executed the instrument. signature ahT45ffice of individual taking acknowledgment) (signature and office of individual taking acknowledgment) FRTFMCO"Tft k Sbfs�Nse yak Ne.01005017852 QuId d In SuNolt Camp Gmmhabn E*m Ssp,13.aaqj� TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Territory,or Foreign Country)of ss: On the day of in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/shetthey executed the same in his/herttheir capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument,and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) (signature and office of individual taking admowledgment) BARGAIN AND SALE DEED SECTION BLOCK WITH COVENANT AGAINST GRANTOR'S ACTS LOT COUNTY OR TOWN Title No. STREET ADDRESS TO Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY RETURN BY MAIL TO: STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by Commonwealth .\INJDAAfPWG\CDMA\Y ST14TE OF NEW YORK SS: C UNTY OF SUFFOLK 1, DWARD P. ROMAINE, CLERK OF THE COUNTY OF SUFFOLK AND CLERK OF THE SUPREME COURT OF THE STATE OF NEW YORK IN AND FOR SAID COUNTY(SAID COURT BEING A COURT OF RECORD) DO HEREBY CERTIFY THAT I HAVE COMPARED THE ANNEXED COPY OF DEED 1 U 1 - AT PAGE 67q RECORDED 10 - 9S- - 00 0�— AND THAT IT IS A JUST AND TRUE COPY OF SUCH ORIGINAL DEED AND OF THE WHOLE THEREOF. IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED THE SEAL OF SAID COUNTY AND COURT THISQC OF DAY TV 6 � 20.0 � e CLERK ,:-0,56. it ' CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the )S1y1 day of October, 2002 , BETWEEN ROTITRT R. SCHROEDER, JR. and DIANE SCHROEDER, his wife as tenants by the entirety, both residing at 36 N. Apollo Drive, Aquebogue, New York 11931 ; party of the first part, and BAYBERRY ENTERPRISES, a New York partnership having its principal place of business located at 39380 CR 48, Southold, NY party of the second part, WITNESSETH, that the party of the first part, in consideration of ten dollars and other valuable consideration dollars paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the (see Schedule A annexed hereto) TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" when ever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: ROBERT R. SCHROEDER, JR. DIANE SCHROEDER Standard N.Y.B.T.U. Form 8002-Bargain and Sale Deed,with Covenant against Grantor's Acts—Uniform Acknowledgment Form 3290 'Twd-i T$.,,.. r�—rte-ager t Tax Map Lot 4 . 2 SCHEDULE A All that certain plot, piege or parcel of land, situate, lying and being at Southold, in the Town of Southold, county of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the southerly line of Soundview Avenue, which point is northerly the following three (3) courses and distances from the intersection of the southeasterly side of Soundview Avenue and the northeasterly line of Hickory Road; 1 . North 27 degrees 12 minutes 10 seconds East, 134 . 99 feet; 2 . North 27 degrees 12 minutes 10 seconds East, 5 . 63 feet; 3 . North 36 degrees 52 minutes 10 seconds East, 185.01 feet to a point; RUNNING THENCE from said point of beginning, along land now or formerly of Macchiarolli and land now or formerly of Gendron, the following two (2) courses and distances; 1 . South 47 degrees 56 minutes 10 seconds East, 200.84 feet; 2 . South 42 degrees 51 minutes 50 seconds East, 310 . 00 feet to a point; THENCE from said point along the arc of a curve to the left having a radius of 55 .00 feet, a distance of 46 .26 feet; THENCE along the arc of a curve to the right having a radius of 200 . 00 feet, a distance of 168 . 21 feet to a point; THENCE from said point, South 42 degrees 51 minutes 50 seconds East, 55 .00 feet; THENCE at right angles, North 47 degrees 08 minutes 10 seconds East, 35 . 00 feet to land now or formerly of Hahn; The policy to be issued under this report will insure the title to such buildings and improvements erected on the premises which by law constitute real property. FOR TOGETHER with all the right, title and interest of the party of the first party,of, in and to the land lying CONVEYANCING is the street in front of and adjoining said premises. ONLY Page 2 Tax Map Lot 4 . 2 SCHEDULE A THENCE along land now or formerly of Hahn, South 42 degrees 51 minutes 50 seconds East, 30.00 feet to a point; THENCE from said point, South 47 degrees 08 minutes 10 seconds West, 65 .00 feet; THENCE at right angles, North 42 degrees 51 minutes 50 seconds West, 85 .00 feet to a point; THENCE from said point along the arc of a curve to the left having a radius of 170 .00 feet, a distance of 142 , 98 feet; THENCE along a reverse arc of a curve having a radius of 85 .00 feet, a distance of 71 .49 feet; THENCE North 42 degrees 51 minutes 50 seconds West, 308 .67 feet to a point; THENCE North 47 degrees 56 minutes 10 seconds West, 196 .78 feet to southeasterly side of Soundview Avenue; THENCE along the southeasterly side of Soundview Avenue, North 36 degrees 52 minutes 10 seconds East, 30. 12 feet to the point or place of BEGINNING. Said premises being a vacant private road. The policy to be issued under this report will insure the title to such buildings and improvements erected on the premises which by law constitute real property. FOR TOGETHER with all the right, title and interest of the party of the first party,of, in and to the land lying CONVEYANCING in the street in front of and adjoining said premises. ONLY Page 2 MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release I DATE: 10/08/02 Bldg. Dept. Use I Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] L Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] 1. Window l: Wood Frame,Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: # Panes_Frame Type Thermal Break?[ ]Yes [ ]No Comments: I Skylights: [ ] 1. Skylight 1: Wood Frame,Double Pane,U-factor:0.440 For skylights without labeled U-factors,describe features: #Panes_Frame Type Thermal Break?[ ] Yes [ ]No Comments: I Doors: [ ] 1. Door I: Solid,U-factor.0.400 Comments: [ ] 2. Door 2: Glass,U-factor. 0.450 #Panes_Frame Type Thermal Break? [ ] Yes[ ]No Comments: I Floors: [ ] L Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: I Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions [ ] Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces(except basements)must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: ( ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics (adhesives),mastic-plus-embedded-fabric,or tapes. Dud tape is not permitted. Exception:Continuously welded and locking-type longitudinal joints and seams on duds operating at less than 2 in.w.g.(500 Pa). [ ] Ducts shall be supported every 10 fed or in accordance with the manufacturer's instructions. [ ] Cooling duds with exterior insulation must be covered with a vapor retarder. [ ] Air filters are required in the return air system. [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. I Electric Systems: [ ] Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State,the Residential Code of New York State or the New York City Building Code,as applicable. I Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat rap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 105 °F or chilled fluids below 55°F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pees. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating_Mains and Runouts Temperature(Fl Uu to F Un to 1.25" LS'to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts P and Less 1.25'to 2" 2.5"to 4" Heating Systems Low PressurelTemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 LO 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) SURVEY OF PROPERTY PROPOSED SEPTIC SYSTEM DETAIL (NOT TO YIt .SITUATED AT SNE R �`�� SOUTHOLD I SEPI"" TOWN OF SOUTHOLD * SUFFOLK COUNTY, NEW YORK R�� ' ``. *Jhyw• �s S.C. TAX No. 1000-54-06-4.3 p r / .m > SCALE 1"=40' • a'� ' '� I 1 olrf\` FEBRUARY 10, 1999 —� MARCH 12, 1999 ADDED PROPOSED HOUSE T D JUNE 9, 1999 REVISEPLOPLAN \ /j\ SEPTIC TANK (11 — > FEBRUARY 3, 2001 Rn/ICED PROPOSED HOUSE e.�r BBOT Ir W.rO11C.on. ..mAld xM1fL 6,II4 GWLR DECEMBER 6, ZU01 REVISED SI(E FLAN "w•'��-+'� �`*� r.iweWlll Hr4 OTT+errm eve+awee e+oNW a AOl m am ryA ,� \ AREA = 49 625.30 sq. ft. ' ".ua1p1 irE' o'{a'W'�'i`aa'. U6QymR Pons tzl / I Ip i y . w Arm s WAm N nr K ma.WeDNPr r.rr ems Nr. .o.vsw mss n eDo n n emrn.Nu 3' ,r' "1Z.7 '` \ 1.139 ac. _/ e. xns Wma=.awm = I i w.'w"'or.'im°'°`eu®m'slc nwlm's slue wrzwm "u"s'wo '"r iu on q+.w'a."A"a rwa�moarz la euro v d 2� I] 1� - / ( r 9 \ -" ! >w uNW.er R m N�r/I Imo.®omuW.M armor D 1 ti . _ Q,'L A Ia' ..own obi YOB rsu no wa ua m w m rmurm )2xx � "/ I -�Ol '4 s10 a e' w u eTwm.i`vA°o. a'^r'+ws s vnrWi�mw.w..mwm / I o/y<* o F CERTIFIED TO yfr % • j '�'/ ` I "_ Sy 10 F(<J Ate, FIRST AMERK)AN TITLE INSURANCE COMPANY OF NEW YORK / 1^' J0 4, / ./ / ROBERT R. SCHROEDER JR.�A Q. i- / ,' X /' I I \ \ S�, DIANE SCHROEDER TEST HOLE DATA B7 WOONALD GEOS/ENC[ ON JANUARY 19, 1999) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES MRH BROWN cum Law oN o / a PERMIT FOR APPROVAL OF CONSTRUCTION FOR A ' o-llVGLE FAMILY RESIDENCE ONLY ti h•N �+ t / - '! r /./ /, / / / - J.\`aFP, WITH 5-10% euro a � An� HS REF.NO, (Q6 �I _ EL BJ OVER I6' ' W - .x a` ' I I I ` \• '/ WATER IN GROWN SANDY CUY FOl(MAX MOF BEMS mn 5-10f RAL n a tib J- / ?lY/({J�/ 1 / V I YEARS FROM DATE OF APPROVAL 9 .g Sds �)PCy, 10, WATER TN BROWN cure. SAND x �b h All,IS9,P '—O �IA- / ooa,2, 2a- - / \ .y00" `4 ' / / J9] a III I I I �` r .P WATER 7N-'BROWN,v`Wk r0 •,orQsS SAND sw srNID.MoI FORrf 7 , = I \ , / ,i ,\ •1\ \ I I I �`�` Q'� Br THE * TrtL[ '!O, AOL's: � !` !- ' 34.41 >(-r' 1. ELEVATIDN9 ARE REFTREARED TO AN A53LNED DATUM / ' !T y•9C / \\ \\ 1 I Y W ��� .(� OUTITRIG EEEVATN ARE SHOW N TM13:209 -0-:-0,' ESIDT*G CGNTD1Rs ARE sHQNN, THUS:----20-- - - - F +J. �O \ i REFER TO TILED WAP FOR TEST HOLE DATA. �r ``.44���'� 3. WIN1111111 SEPTIC TANK WACRRS rot A I TO A 90900011 NOISE R 1.000 GALLONS. / CO VA S Lc. No 19668 1 TANK; 9' LUNG, e'-3' WIDE. 9'-7' DEEP y C 5� `4V 4. MNRML LEADING SYSTEM FOR A I TO A 9EDR0011 HOIEE IS 390 p II SIDEWALL AN4. �!�!� / \ �� Y° S0� i0 SVRKT Nr[9\TIJN `Of m y I POOL 12• DEER. 9' Ale. O \ Y01R STATE Mob PROPREm EXPANSION! POOL - OV y, E NOTE �19�OF �9�Nc Joseptf A. 'hWgm ®PR9/0![D LEM:IRND Pp0. / `'� TO I A qw TIL CONSIDERED Land Surveyor ®PROPOEfp TNR ¢ o9e Is tfi8 applicant's responsib ,� 5. THE L0fX1011 a WELLS AND CENNOOLS SHOWN HEREON ARE FRON FIELD f' /s- 3'' To ONSMATIOM AND/OR GAU MfMft PR0I1 OTHERS. ,n—O(�(' �.] n1a ain adequate sanitary di °N0 rHN Surveys - fiODAAvRAWs - 5,'Ie Frons - Censhucfion loroul III THE PRMOS[p scwANN: Rgr94.L sTST4r SHALL R cFFIttNELv DUG 0pyy11�� DOWH Fo tiG, \ b@tWeen a{{ water supply and PNTNIE (631)727-2099 For (631)727-1/27 A SIR (4) FOOT STRATA M ATICEITAYE 3A1N) AIR! oMVR, ro! A DIAIIDIIR sNK (6) FEET GREATER THAN! THE LEACHING P90L EYLSTIIIG 1. MEA OF ERCAVAI" TO R /041011.1.00 KITH ACCEPTABLE SAND R GRAVEL. E ISMNG Tor WAYS OFrIM LOCATO AT "LWG ADDRESS WELL - /CC disposal facilities. eR RECORD. N 9. TWE EITTIR AREA O EXCAVATION R TO R WILL P011IW TO ALLOW THE EXCAVATION CESSPOOL 19s1 M/'. IIDT IqT GUARANTEED. 1360 ROENOILE AYEMIE P.O. FMa TO R ORT WHILE RENOVRIG THE UND[SNI9iE 30x.4. OOARANI G'J' RNERHEA0. Naw Y" 11901 RNeMeeA. NeW TOM 11901-0965 '' 16 '�`�r \/ SURVEY OF PROPERTY PROPOSED SEPTIC SYSTEM DETAIL OAT m scup A, SITUATED AT ,P .. . .• ' ;, , WSJ SOUTHOLD -*���.� rr .�•s,�,p, Swm T"i TOWN OF SOUTHOLD �) � �+► A / , 't SUFFOLK COUNTY, NEW YORK a / �A ' a` S.C. TAX No. 1000-54-06-4.3 "•fFA t• /a �j SCALE 1"=40' FEBRUARY 10, 1999 —� / 11L:e MARCH 12, 1999 ADDED PROPOSED HOUSE JUNE 9, 1999 REVISED PLOT PLAN FEBRUARY 3, 2001 REVISED PROPOSED HOUSE aa. .[ erne iL NT _ DECEMBER 6, 200 REVISED SITE PLAN _ �.rrr w arc arAea m•I n.am WAs c.w Aetac 1 rAruwO ?a e OCTOBER 23, 2002 REVISE PROPOSED HOUSE LOCATION 12? �,� / •/ti' - •m iw�t w�.�w.ass w.w..mnnmuxu / I AREA - 49,626.3039ac. 9q. ff ,�, .�„ �,.. ;!y�;g�,g$ 1.139 OC. . use m.a s c�iim a rear Is.am msec is s,vu •\,(a- V�. .u wn w c w w v a es.waa uw c.m.a ae w. 1L5 1L9)[ / r a.era r aa�s'�'��.s a rY wa w ,r�v aan uos ma s ac ua cru c rwwm I:A 'Qp '��j- id.w uwu en as wu c raa. °w i.'moi.w�s�c an�a�.�a w�ic w�o:s s vcic sw�iiu c rroA�, '. / / - • 4 ] ( T F o CERTIFIED T0: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK Q+' Th' ROBERT R. SCHROEDER JR. DIANE SCHROEDER �'� �.• • �C/ :/ // // I \ — ``_3r 'f' TEST HOLE DATA (TEST HOLE DUG EN McOOW1LD CEOSCIENCE ON ,LWUARY 79, 7999) �O 1 O.ARI( BROWN CIAYEY LOAM ()H c /Y :.F:cr::. : ��: :. .. I I I •s „ �+) /aN ?b _ - ..,r .. /• "" ::: {Y: / l 1 / 1 -- ".. BROWN SArnY cur �( h' / As • QI! 1. "7..27,;" ::>: / / / 1` / J \ /'\ wrlN 5-IM a+wvet ct — 'p* .. _ _— : la . / f..'•F : ': / aueyyy//1 \ ./ MATER IN BROWN WDY CUY J� wml 5-IM rrul4t a �...... / f .: ,yam / .. #: i .:" ' " WA1FA IN BROTe-1 CtATEY SNM) 5[ Ali t / l \\ 4• l I 1� �, 1 1 I I �.� i .�o WATER IN BR[YMI rME TO COARSE SANG SW 'p �`oe• 14N-1t, dc1'o a / / / ..:::;... 1 I I I I / asp 'Y A9oPrm 46 .It.! I I I I 0 /` !r, I BI nc raw ror+x srAlr wo �O•� moi. y��qpp�m AN Ar�p am 'ry��A y4c \\ \\\ j I lI e Y °�ail�w PE MIIt M[ TMm mp -p- - --- Te+,�o 0+' '� / ---\\ \ s �/jir,[[\ 9, ,\ I'(C, •�0 L Sea m no tw IOA IM MOIL SATL -✓!^�A / \\ \\ �Vt;G Cjv tPr 1At CMMOIO FOR• 1 m . ,479AOOY fill[ i 1,000 9Allb6. `_ r 1 r Ira r-r Vie r-r ow 'l�� O� UWrWtlr®KIOMTGM GR AOMOW , N.Y.S. tic. Na. {9088 ♦ l� t#ACWM MM M9 A 1 m 4 MWAM MOW 0 t0 q 0 SGMIIU ARL � � 1 Pow Ir im. r Br. �io / a1/'u1 \ 'c/'' If pS M TS SI~E A WeIAIYIN 0I S"M 7]0]a THE Nn T ]TAS[ �ItMI.OOMI.IA lOak y'/ - --, ��, ° o.s T I�. oseph A. Ingegno s M IMOR9 E,pR Irk SIXR[�MIO ®M.®I.aE.Pea , ` °K°A ,R r a°�°� Land Surveyor (.� '��. � '� WNPLNCNe IIOIGIFD NOFM Lw.E.. ®wtareo!FlR TAIE _r�P 9a as M "� sYrlvw�n.ago a+res eN1tlYRls m ni A'Y a THE tOgtliN Qi Ali COOPOOL] >1r0IM IIOEON At IO9N IELD f" .(..NI.`t• TI11L CarrlMr a9.v9AEna Aar.Y rAo T7tY S.M. - SuedNdenr - SW PA. - C n tnxum Ladd / �rAlai Mia otlA A]w� IOW oOIO>i. Ar 0 (� tF101C 1R81f1101 IROO 1i�4 MO L TME 9t1N/[ OWOML fYf101 tel t prCC11Y[LT Ou9 OUr, 00,'N ro A,� / ro IIr A101A]]a'TIE IrM- A >fE�OR�SMU Or Aa EPTANU SAM ai GhWEL ra A OMMEN RI (9) 1m , loy,+ TmBW. ta1RTw,ola AR10'4,M.9oraP rM01E (ulpv-zo90 Far (s31)n7-17z7 QNLAM 1118 Im LL40M POOL L +DL' 7. ARA R OIOAWOIIN m t W PIMIUM 90N AOWTASU O A iAYCL WELL Ei5191G—`/ GD, GTaRIfi 7EtO� OFFTCO LOOMED AT MAIM AOO/ESS L UK i M t IRA POWND M AUM M Or-WATT N CESM x O ANr, NOT 9NOIa At NOT t9lAWl11t9. 1300 IiNOM a'ENIE P.O. W. 1931 TO t OR'Ali( SWAM 10[ 1,0100111111111m]0L7. MOW-V. Nm Yak 11901 OMrlw4 Na Yak 14901-0605 SURVEY OF PROPERTY SITUATED AT SO UTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-54-06-4.3 \ — _ �- SCALE 1 "=30' r✓R FEBRUARY 10, 1999 �,. /g MARCH 12, 1999 ADDED PROPOSED HOUSE ^ gam, osnQvQs�� o, `2 r �� JUNE 9, 1999 REVISED PLOT PLAN f w�a� p 4A. . -» FEBRUARY 3, 2001 REVISED PROPOSED HOUSE `S ' FEBRUARY +10 2` DECEMBER 6, °001 REVISED SITE PLAN \ a � gyp, \\ OCTOBER 23, 2002 REVISED PROPOSED HOUSE LOCA110N Px T^_,�_ JULY 7-9, 2003 FOUNDATION LOCATION �, JANUARY 21 , 2005 FINAL SURVEY AREA = 49,625.30 sq. ft. > 1 .139 ac. ' ti� \ IT i CER7_'IFIED TO: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ROBERT R SOHROEDER JR. e / 22•_1 \v• ICE, DIANE SCHROEDER + �7ef ��� i. f ,vY O 4Tt�i ED 9 y 5 19�',� i 9 us —IRL Y POLE �4s\ NYr j90 k N�� N afR?MO ,?nbi e 0 lbc �, ,• a 0,4� .. / ,� W�Q• orb Sp- �'°e .,, Zy may: N r oL ' 1AQQG / ..� > OQ-�p ,BPSD5 ,ny pro •_ ��f �s� 5�� � ��V k�`�n . t c° N9. lF, O ,•� _D � _ o r� J W� n• �p�s,5,sS��v p � •• �� � , ^ � �2` �t Hca t ,, AA\ Eso v, Yfl iTs' g S t•. iM1N '`�^4n �p �t w. oe n aw'k, R N J2 2 �V O Trl Alp by. O. C \ ���Jr --� PREPARED IN ACCORDANCE ITH THE MINIMUM /� '� El THERrLSA15 ANO APR TITLE ,R OVED ADDS AS ADOPTED `.� HH' ASSO USE I �W T N STNS LAND �Y9� f -T T / l c AND`'J O _ NY S F,c HE, 49668 -RO, TO THIS SORIZEDSURV AULRAVIO TI ADDITION F �ti EDUCAT SURVEY oP5 ESE°�E VIOLATION Joseph A. Ingegno SE TON 7 LAIN COPIES OF THI5 SURVEY MAP NOT STARING Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN -- "-- ONLY TO THE PERSON FOR WHOM THE SURVEY 15 PREPARED. AND ON HIS BEHALF TO THE Lfle Surveys - SubdIV,SI0,15 - Site PIOne - COnSf/Ucbon LOyOuf TITLE COMPI,NY. GOVERNMENTAL AGENCY AND j LENDING INSI ITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSI- PHONE (631)727-2090 TO, (637)727-1727 1 TELTON CERTIFICATIONS ARE NOT TRANSFERABLE j OFFICES LOCATED Al MAILING ADDRESS y THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF RIVERHEAO, New York 11901 RlverM1cad. New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED - -- - --- - - 99-137E _ - ;Brr +.6114G�A►�F+ o"�My1�nY'• � .- lR,�N!t�FHYVU �favi�TaivaW' - - �� �r ' hbpi.r?IF�W�d�yvtuc�ara+uf- -, - rl.�,'M171r r#Vp,PW�lwalN+tiN,t .rellMirFdlt+ndPldk , ut0�au+f►tu..arddtvdr,,?tda.. . KA4""Maed4aoiiiAonYldVbthlireit . - iTfAVMiaga dUdtljl✓R.t aidm aT:.TtndBo wdli n�MOta1n91Wa11iWMr+on, •• wdugh�4dudidanYbnin>apafdMa acedgitva •> bdt �Il�+aaMk61MlIf O>fu - 1SAurh'oflaawa atiwli M., dNN,m fir; - . 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Flo .1�'' 'S- '�4tluF�kiuld•Mat14 lA;t Tvudm lMVifAdiidd 7lod[tluU E , A , �.u��"�: r . n � �� ! 7 qq y �'k_I � DIN l4 f 1 � _ 1-4 —� —1 I �h1 L•� 2k` JrP ac7N� oo ' al ^•; - 4 �i r - - - -- - I 11 t IjI Q � i. . �I J . / e r-:? _ `I m T BING ALLWASTE der ',I I - ._.^ -,�-•. ''�-' — _"+ // 1 — - _ TER RUNES NEED �t y4 If copper tubing is used 43 ✓ �fr �, . y f . �J for water distributing PRO IDE ANTI-SCALD AND/OR system; piping shall 6a THERMAL FFl11CN PREVENTING x � llL 1 {Jnr } ( a of lupe K or L only { — DEV CES AS TO PART. 902.6(K UNUERW'61iFRS C€R1IFICAT'E N. . STATEBUILDING CODE � , - HEQ611RL0 3-l,`l; ROVIOE OPPUNRS,FOR — 9 APPROVED AS NO - ., r ewTED rE acs ESCAPE 7 As R USfiED BY PART. 714 OF - � ¢ vr..�N - - r0 `� No NOTIFY BUILDING EPARTMENT AT . STATE BUILDING CODE 4 7B5.7BOa Y AM TO d PM FOR THE 1. FOUNDATIONLLOWING -TIONS: elf T �{ RTI�PCFIT dA? 1 FOUNDATION • TWO REQUIRED ROVIDE SMOKE-DETECTING �w p - TT A,q r , • FOR POURED CONCRETE ALARM DEVICES ! ROUGH • FRAMING Ik PLUMBING - AS TO PART 721.L ��� �' / < e 4 ➢ i is ie,t. N" i INSULATION N Y S BUILDING 6DOE1 w - Lf USED 1/U IASt�f-� -CON8TgfICTAOIL.YUST,.. .�.�h,_,.,..w.„ ._, - 4D WITH r t,r,.:,,rpALL CONSTRUCTION SHALL MEET DO NOT-EECOMPLETEFORC.O. 1:J.@ - ", ' z'rb° T� Cli, STATE CONSTRUCTION A ENER Y RAM NGPUNTILESURVEY : CODES. NOT RESPONSIBLE FOR F FOUNDATION LOCATION IpEE1GMOtICON5IRUCTIONERHORS HAS BEEN APPROVED. /C) r PROVIDE% NR. FIRE FATEDSEPARATIONTO p _ _ - - --- ----- -- ----- - - -- W f a ARL 717.3 f .1)'Op OCC"I ( ) ( ITOF Q6. 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