HomeMy WebLinkAbout30182-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31200 Date: 10/11/05
THIS CERTIFIES that the building ADDITION/ALTERATIONS
Location of Property: 1905 GULL POND LA GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 35 Block 4 Lot 16
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 2004 pursuant to which
Building Permit No. 30182-Z dated MARCH 19, 2004
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 ADDITION & INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to PAUL D & PATRICI AHLERS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1136817 05/21/03
PLUMBERS CERTIFICATION DATED 01/05/05 VANETTEN PLUMBING
'��4 ; - /--�
hor' zed V- .7
Rev. 1/81
FormNo. ti lgo5
TOWN OF SOUTHOLD
R BUILDING DEPARTMENT
TORN HALL f 0
765-1802 :N J
o 15 2P",
t APPLICATION FOR CERTIFICATE OF OCCUPANCY t '_
This ai�plination 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 certifving that the solder used in systertt contains less than 2/10 of Pig 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 oCcontpleted site plait requirements.
B. rot-existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate surrey of pioperty 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 hispector shall state the reasons therefor in writing to the applicant.
C. Fees
L Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Switnnung pool $25.00, Accessory building $25.00, Additions to accessory building$25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.01)
3. Copy of Certificate of Occupariev - $.25
4. Updated Certificate of Occupancy - $56.00
5. Temporary Certificate of Occupanev - Residential $15.00, Conunercial $15.00
Date.
New Construction: Old or Pre-existing Building: _✓ _(check one)
Location of Property_19Os _GG!_�/Z) z �_ -
Home No. Str�eetty� / Hamlet
Owner or Owner of Property: —
Suffolk Countv Tax Map No 1000, Section_ _ _ � _Block_�— Lot
Subdivision— -- — -_ -- -- --- _ ---Filed Map. ------ Lot:
Permit No. 30 /07 0 - Date of Pemit. ---Applicant_
Health Dept Approval: _-._ -_ -- — Underwriters Appro%al: —
Planning Board .Approval: —
Request for: femporar;Certificate - Final Certificate: (check e)
Fee Submitted: 4.
i'
Applicar ignattue
Co 31�oa
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CSSU BY THIS CERTIFICATE OF COMPLIANCE THE Lc,
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038
5 CERTIFIES THAT 5
CSU Upon the application of upon premises owned by 5
5 5 R.A. ELEC.CONTR. INC. PAUL AHLERS �5
415 2ND AVENUE 1905 GULLPOND LA. CCNU
rj EAST 5 NORTHPORT, NY 11731, MAIN RD. 5 GREENPORT, NY 11944 5
CCAS Located at 1905 GULLPOND LA. MAIN RD. GREENPORT, NY 11944 ff5
c7 Application Number: 1136817 Certificate Number: 1136817
Section: Block: Lot: Building Permit: BDC: NS37
5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
First Floor, Second Floor,Attached Garage, Outside,
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was CSU
rj found to be in compliance therewith on the 21st Day of May,2003. 5
5 Name QTY Rate Rating Circuit Type 5
5 Miscellaneous 55
5 FINALED 5/21/03
5 INSPECTOR R. RICHERT
5 SAlarm and Emergency Equipment [5
Sensor 5 Smoke 5
5 Appliances and Accessories 5
CU Dish Washer l l 5
5 5 Exhaust Fan 1 F.H.P. 5
Wiring and Devices 5
5 Outlet 36 Fixture
5 rj Receptacle 47 General Purpose 5
Switch 40 General Purpose
5 Fixture 32 Incandescent 5
5 Fixture 4 Fluorescent 5
5 Receptacle l 20 AMP Special t7
5 5 Dimmers 11 600 W General Purpose sea/ 5
Receptacle 14 GFCI 5
5 Paddle Fan 7
5 Continued on Next Page I of 2 5
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 5
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5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY C5
CS 40 FULTON STREET — NEW YORK, NY 10038 S
CERTIFIES THAT
5 Upon the application of upon premises owned by S
SSR.A. ELEC.CONTR. INC. PAUL AHLERS
415 2ND AVENUE 1905 GULLPOND LA. 5
C�5 EAST NORTHPORT, NY 11731, MAIN RD.
REENPORT, NY 11944
Located at 1905 GULLPOND LA. MAIN RD. GREENPORT, NY 11944
5
Application Number: 1136817 Certificate Number: 1136817 S
5 Section: Block: Lot: Building Permit: BDC: NS37 5
5 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: 5
First Floor,Second Floor,Attached Garage,Outside, 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S
Srj found to be in compliance therewith on the 21st Day of May, 2003. 5
SName ( TY Rate Ratine Circuit Tvoe 5
SService 5
1 Phase 3W
5 Service Disconnect: 1 200 CB 5
5 5
5 5
5 5
5 5
S Sea, S
5 5
5 2 of 2 5
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. S
5 5
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�aUFFO(�C�
Town Hall, 53095 Main Road Fax(631) '165-9502
P.O. Box 1179 v�j, �� felephone (1)31) 7651802
Southold, New York 11971-09.59
BUILDING DDEPARTMEN7'
TOWN OF SOUTHOLD
CERTIFICATION
Date:---/4 0 --
Building
—Building Permit No.
Owner ,rL �siR/C��_
(Please print)
�.- Plumber:
t6+ ase print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(Plumbers Signature)
Sworn to before me this ]_L
day of-_L - -- 206 _1
Notary Public, ounty
JANET E.STAPLES
Notary Public St b of New Uk
No.483194b S J*" ^
Commaegrl Expires July 31. 11
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. 30182 Z Date MARCH 19 , 2004
Permission is hereby granted to :
PAUL D AHLERS
GREENPORT,NY 11944
for
ADDITION AND INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#27100
at premises located at 1905 GULL POND LA GREENPORT
County Tax Map No. 473889 Section 035 Block 0004 Lot No. 016
pursuant to application dated MARCH 19, 2004 and approved by the
Building Inspector to expire on SEPTEMBER 19, 2005 .
Fee $ 154 . 60
or edignature
?oma i?r"'(-c/5 -
ORIGINAL
Rev. 5/8/02
so4i/foGlj f3u�/��,� ,�i�T o/82
Albert J. Krupski, President QNO 402' Town Hall
James King, Vice-President 53095 Route 25
Artie Foster ;N cm = P.O. Box 1179
Ken Poliwoda Southold, New fork 11971-0959
Peggy A. Dickerson
Telephone 1.631) 765-1892
Fax 1631, 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0015C Date 10/29/04
THIS CERTIFIES that the pouch, patio, shed, second btoon addition to dwet?.i.ng,
At 1905 Gu.tt Pond Lane, Gneenpont
Suffolk County Tax Map # 35-4-I6
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 113102 pursuant to which Trustees Permit# 5480 Dated 1123102
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is—a poneh, patio, shed, and second-6foon addition .to dweui,ng
The certificate is issued to Paul 8 Pa tAi c-i-a Akel-u owner of the
aforesaid property.
Authorized Signature
i
IA
I/ ✓ i DDITIONAL CONMNTS:
r4 r
Wall
Em 0 Ma M
rM
l o iiQ!� i
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ) FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ) FIRE SAFETY INSPECTION
REMARKS:
DATE 9,// �� INSPECTOR
r o
71&0 J
✓ 765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R GH PLBG.
[ 7FRAMING
NDATION 2ND [ INSULATION
L [ ] FINAL
[ ] FIREPLACE & CHIMNEY
R ARKS: Ole —
C
12
Ali
DATE c 4�1401 INSPECTOR
4����,�
7xooC
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST f--ROUGH PLBG.
[ JFO ATION 2ND [ ] INSULATION
[ FRAMING [ J FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ✓
DATE S�i% [ INSPECTOR
Po
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: LAG
DATE Dz-ZIP
d=- INSPECTOR � U
^91A/ pD TITLE No. STN 334/9
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WAys ANO�e-F CNSE .�ivrs .f FAL 6O 3-o7-/9G2 f/GC Ah 35/9
.✓•+T GuiJiPA.ujrG'O Ar PER OEEOs:
G/arx rear L/f, " 9649 f oEs�a/sEO p.4acE L
MEASUREMENTS IN U.S. STANDARD PAyE !G¢ )IwopArrc 517
y �LSau l�� O ��w 63 THE DIMENSIONS SHOWN HEREON, FROM THE STRUCTURES TO THE P%OPMrYLINE ARE FOR A SPECIFIC PURPOSE ONLY. SECTION BLOCK DATE
P'� Pi C4 E & AN THEY ARE NOT INTENDED TO BE USED FOR THE ERECTION OF FENCES-ST C RES OR ANY OTHER IMPROVEMENT.
LAND SURV RS, P.C.
, GUARANTEED TO 6.eErvpo�T
Q--�_ _ ( - INDICATED HEREON SHALL RUN ONLY C9wyta3 T/TGE /N-sciPAA/cE
UNAUTHORIZED ALTERATIONS COPIES OF THIS SURVEY MAP 10 ffm PERSON FOR WHOM THE SURVEY IS PRE
OR ADDITIONS TO THIS SURVEY IS NOT BEARING THE LAND SUR- F AND ON HIS BEHALF TO THE 7T71.E COMPANY.
LONG ISLAND OFFICE WESTCHESTER OFFICE VEYOR'S INKED SEAL OR EM- ( ENTAL AGENCY AND LENDING INSTITUTION
THE
A VIOLATION OF SECTION 7206, HEREON, AND TO THE ASSIGNEES OF THE �' Y�/� F6GE.aVL -sy�i.vcs .�.vK COUNTY
P.O. BOX 497 P.O. BOX 179 - SUB-DIVISION 2 OF THE NEW BOSSED SEAL SHALL NOT BE ",' INSTITUTION.
LONG 6EACH, N.Y.11581 POUND RIDGE. N.Y. 10576- YORK EDUCATION LAW. CONSIDERED TO BE A VALID;- " ARE NOT TRANSFERABLE TO ADDI- JOB No.
900.541.5124 TRUE COPY. '., Y,;, INSTITUTIONS OR SUBSEQUENT OWNERS,
FAX 15165 431-9461 FAX(914) 7540308 9Z-3B2/S
r'
r11�U 2 7 BOARD OF HEALTH
. . . . . . . . . . . . . . .
_ - FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . . . . ... . ... . . . .
TEL: 765-1802 TRUSTEES . . . . . . . . . . . . .. . .. . . . . .
NOTIFY:
c)ls-� CALL . . . . . . . . . . . . . . . . . .
Examined,V( /
o � MAIL TO: . . . . . . . . . . . . . . . .
Approved O&A.-*4.��.., �l.'�.,7 Permit No. ./'/a�. ; ...�j.7.-...+�3-/•2:---
Disapproveda/c .................................. ...................................
...............................................j...�.�... J
(Building I tor)
C �
APPLICATION FOR BUILDING PERMIT
Date. . . . . . . . . . . . . . . . . 2C. . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w-
3 sets of pians, 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 giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
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
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATIQi IS HEREBY MADE to the Building Department for the issuance of a Building Penni[ pursuant to the
Building Zone Ordinance of the Tam 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 demDlition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and
regulations, and to admit authorized inspectors on premises and in building for ssary in �Lu ms.
(Signature of applicant, or nacre, if a corporation)
133 5c1WPi1 "Wo (a f/ 4 y �� 7eroo
°... ....7..................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
C7L�J!?f ✓ .......................................................................................................
Name of owner of premises .��-ef 4...1Y...d.F.T.�C✓."C.ti'... 1.L�. x............................................
(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. ..i.7�.0:3�./y .....
Plumbers License No. ...�..3,(.�_. .......
Electricians License No.
Other Trade's License No. ....................
1. location of land on which proposed work will be done..............................................................
................ ............ �'s1��JG. 7
....................
House Number Street Hamlet
County Tax Map No. 1000 Section .� .... Block ... lot
Subdivision�!�r�� C!�R/�Al?1_r9CPCS .�r.41 Filed Map No. .35.1.9..... Int .... .........
(Name)
2. State existing ruse and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....`JrI.�L! .4�....P!t. ../tt�'AC�1.! ;7.....LJ.I,rI.G.(//�!�.............
b. Intended use and ocevpazmcy ...�lIAKG.l.-* .....milt s..J-.1r!rl.�</`l.d,�.Gr�P.!/.'��✓6"............
•• 1-- 111« �' � lu . .wuu, aPtucaule/: Nev Building Addition Alteration
.....
. ....
Repair ............ Removal ............. DemolitionOther Work
(Description)
4. Estimated Cost .. .7. `.'S?:r.J......... fee ..............................................
(to be paid on filing this application)
5. if dwLlling, nmlrer of dwelling units ..Qez?� .... Ninber of dwelling units on each floor ..4!✓:r........
Ifgarage, nuhber of cars ......................................
G. If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
7. Dimensions of existi .11ng structures, if any: Front..$�Q•��_.... Rear ...$.�rl�..... De th
height .......�.7 ............ Nnber of Stories ...
Dimensions of some strncture `citln alterations or additions: Front ..... Rear .,x:8:6......
Depth ....... Height ..../..7............ Number of Stories ..pJZC ......
8. Dimensions of entire new construction: Front ................
Rear ............... Depth ..............
Height ......................... Number of Stories _........... ........
9. Size of lot: front .../.O..d/r.•`Q.._.... Rear _../-K6,RZ..... Depth .......
10. Date of Rhrchase 5 �7( `[ ..... Name of Former Owner
II. Zone or use district in which premises are situated ................ f.✓!Q.,txJJ!1�./q. .........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...!(„�Q...............
13. Will lot be regraded .... .......... Will excess fill be removed from,rpgremiises: YES NO
Ownerr
14. Hanes of Owner of pises1.rG.tJ/� /-GF IP�t�'1�. Address/ �/CPhone No63/.Z69: 5S%�
Dane of Architect 6,0_iQ!'SRA_��frrl``44"F7+?.............. Address .....,45: / '-7.'/t� '.l'.�I.LHxM Nrf3J..ZS,7c�4'S:�
Hare of Contractor ................ Add res sIJ7-5R ttV - lle'74. :lOM/!U;/Phone No.61Z-,Zl:075
15. is this property within 300 feet of a tidal wetland? * YGS .......... NO .�..... /
*IF YES, SOLM D MM TZ61I S PM1117 MAY FE ML IIRFD.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bark dimensions
from property lines. Give street and block neer or description according to deed, and slow street names and indicate
whether interior or corner lot.(
/UoeM kc)
J
/P 13.52
- ---------
I-)7k Z4
------l.r-kZ4 +r Loi `
-46.
'T/ �
�i
� try v
srrclr Or• Nw Y(m,
SS
O"lY Or .......................
-.... •G�l..... . exr '..........................being duly sworn, deposes and says that be is the applicant
(Nam of individual signing contract)
above named,
]le is Lhe ...oay� �E�s-2vi >Ainr ?19/0RJS(fS-...CokP
..............
(CcxiLracto:, agent, corluraLe officer, etc.)
of said owner or owners, and is duty 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 Lo before m= this
r� M
............�U....rlay of
Notary Rnblic .. ;..�".............
.. ..1 ... ... .....
R4uLETTEF.CAREY (Signature of Applicant).
NOTARY NBUCC Srme�d NDWY*r e
Qualified in Suffolk Couft
CommiWon ftiresJam 81,SBw6i/D�
95241 (&87)-90
New York State
Department of Environmental Conservatio
NOTICE
c�
The Department of Environmental Conservation (DEC) has issued
permit(s) pursuant to the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
shown when contacting the DEC.
/ Regional Permit Administrator
Permit Number /a- 4-778Q—0;1.M` 0007 JOHN W PAVACIC
Expiration Date 121dea /=d QM
NOTE: This notice is NOT a permit
Albert J. Krupski, President - Town Hall
James King,Vice-President c�VfFO(�- P.O. Route 25
O�0 coG� P.O. Box 1176
Artie Foster ,\� %'n Southold, New York 11971-0959
Ken Poliwoda o=
Peggy A. Dickeron y � f Telephone 1631) 765-1892
pry Fax t631) 765-1366
BOARD OF TOWN TRUSTEES fl r r FS R
TOWN OF SOUTHOLD t t:�.,
L ' " FM2 2002
February 1, 2002
Mr. & Mrs. Paul Ahlers
1905 Gull Pond Lane
Greenport, NY 11944
RE: 1405 Gu([Pond Lane, Greenport, NY
SCTM#35-4-16
Dear Mr. & Mrs. Ahlers:
The following action was taken by the Board of Town Trustees during a Regular Meeting, held
on January 23, 2002, regarding the above matter.
WHEREAS,PAUL & PATRICIA AHLERS applied to the Southold Town Trustees for a
permit under the provisions of the Wetland Ordinance of the Town of Southold, application
dated January 3, 2002
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
January 23, 2002 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,
safety and general welfare of the people of the town,
2
22172
NOW THEREFORE BE IT. m • r D
RESOLVED, that the Board of Trustees approved the application of aul& Patricia Ahlers for
a Wetland Permit to relocate front entrance adding front porch- front bay window add 2'x 12' bay
window on side of house—reconfigure rear entrance and wooden steps and increase patio area
add 12'xl6' shed—reconfigure a portion of existing roof line to accommodate second floor
bedroom add drywells and gutters on creek side of house.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency, which may also have an application pending for the
same or similar project.
Fee must be paid, if applicable and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified when project is started and on
completion of said project.
FEES: NONE
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/cjc
cc: Building Department
DEC
n ENT OF ENVIRONMENTAL CONSERVATION
172
DEC PERMIT NUMBER O II EFFECTIVE DATE
1-4738-02595/00007U December 10, 2001
FACILITY/PROGRAM N (S)D":`. `V ERM IT EXPIRATION DATE(S)
December 10, 2004
7—Inde the Environmental
BLDG r` "T. C nservatlon Law
THOLD
TYPE OF PERMIT■ New ❑Renewal ❑Modification❑ Permit to Construct ❑ Permit to Operate
❑ Article 15,Title 5: Protection of Waters ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27,Title 9; 6NYCRR 373:
Hazardous Waste Management
❑ Article 15, Title 15:Water Supply ❑ Article 19:Air Pollution Control
❑ Article 34:Coastal Erosion
❑ Article 15,Title 15:Water Transport ❑ Article 23,Title 27: Mined Land Management
Reclamation
❑ Article 15, Title 15: Long Island Wells ❑ Article 36: Floodplain Management
❑ Article 24: Freshwater Wetlands
❑ Article 15,Title 27: Wild, Scenic and ❑ Articles 1, 3, 17, 19, 27, 37; 6NYCRR
Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control
❑6NYCRR 608: Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360:
Solid Waste Management
PERMIT ISSUED TO TELEPHONE NUMBER
Paul Ahlers 631 269-5516
ADDRESS OF PERMITTEE
133 Sunken Meadow Road, Fort Salon a, NY 11768
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
l
Land Use Ecolo ical Services, 2576 Sound Avenue, Baiting Hollow, NY 11733 631 727-2400
NAME AND ADDRESS OF PROJECT/FACILITY
Ahlers Property, 1905 Gull Pond Road, Green on
COUNTY TOWN WATERCOURSE NYTM COORDINATES
E: N:
Suffolk I Southold Gull Pond
DESCRIPTION OF AUTHORIZED ACTIVITY: Remove portions of an existing asphalt driveway, construct an
addition to an existing dwelling, a deck, and a porch ,All work is to be done in accordance with the plans
stamped NYSDEC APPROVED on 12/10/2001.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
applicable regulations, the General Conditions specified (see page 2 &3) and any Special Conditions included as part
of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Region 1 Headquarters
Mark C Carrara Bld .#40, SUNY,Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
December 10, 2001 Page 1 of 4
Survey for:
PA UL D. AHLERS &
IBJ C PATRICIA A. AHLERS
_ mIo r At
(�y r Greenport
� of o �a = _ I w,,:,, 1,L,; � Town of
_(w of �e5 e5s\e( "I" No Southold
�o �e ] _ N Suffolk County, New York
O 1 W O S.C.T,M.: 1000-035.00-04.00-016.000
A o
7
NOTES:
1. AREA = 21,950 S.F.
2. ■ = MONUMENT FOUND, O = PIPE FOUND.
Z 00
00 3. LOT NUMBERS REFER TO SUBDIVISION MAP
'I / ^
"FORDHAM ACRES" FILED IN THE OFFICE OF
THE CLERK OF SUFFOLK COUNTY ON
AT
O�0 10 / sTs ; MARCH 7, 1962 AS FILE NO. 3519.
N6Q ` Housapy 1 I 4. REFERENCE DEED: L. 11968 P. 418.
s^�r,iz. RACE• L,a.e I ,
5. ELEVATIONS SHOWN HEREON ARE REFERENCED
e 1 TO N.G.V. DATUM (MSL 1929).
L O 6. FIRM BOUNDARY LINE SHOWN HEREON IS
FROM FLOOD INSURANCE RATE MAP NO.
36103CO176 G LAST DATED MAY 4, 1998.
JUNE 18, 2001 iRgCATC) PROP. STRIP
Z A�5 , 0� ,
v - ,�o� DATE: JUNE 01, 2001
O �O. aO 5 . O O`� VOA Jt� _§" l 1T ./ _, SCALE: 1"=30'
Zti T? JOB NO:2001 227
O p`yOQO � � S4Q r 60Qo --- LANDWARD LIMIT OF TIDAL WETLANDS CERTIFIED T0:
O I �` 0.yO �� S - AS DELINEATED BY CHUCK BOWMAN PAUL D. & PATRICIA A. AHLERS
004 OF LAND USE COMPANY ON MAY 17, 2001.
cj
Z `� ° �e (
�A s *O0.
ole,, jX600 .88,00, �o
U 004
DAVID H. FOX N.Y,S.L.S. x!50234
FOX LAND SURVEY/NG
PO X SPEONKBN.Y. 11972
(631) 325-2902
E`.E;lig". _ IiE NE, v
1,.
rL
DWG: 2001-227
r W, r5
��{ � l�� I Survey for: �,.,�
r T l; � I _ PAUL D. AHLERS &
PATRICIA A. AHLERS
BLDG. DEPT. r
FS UTH LD mlo - - `o`�s j 1 At
" e<\ l <'< 'E^ \ Greenport
-- , .� Eot� e( � �l y i_ Town of
\
�Wi F o� e55 5\e< Ln Southold
N Suffolk County, New York
S.C.T.M.: 1000-035.00-04.00-016.000
s • m O NOTES:
a. \ T; L
1. AREA = 21,950 S.F.
II9 v 2. ■ = MONUMENT FOUND, 0 = PIPE FOUND.
9$ ea?oe " IA� 3. LOT NUMBERS REFER TO SUBDIVISION MAP
"FORDHAM ACRES" FILED IN THE OFFICE OF
OQ�E �O
VIC, 61 ?p \ s
9Q
1013 THE CLERK OF SUFFOLK COUNTY ON
Q ,,,, \ MARCH 7, 1962 AS FILE NO. 3519.
600 `: s �i 4. REFERENCE DEED: L. 11968 P. 418.
D <. " Hgsst r ` ; i j 5. ELEVATIONS SHOWN HEREON ARE REFERENCED
v' �°pSn O4q4Cf4 e9 : ` i /' TO N.G.V. DATUM (MSL 1929).
G QUaN \6�P a 6. FIRM BOUNDARY LINE SHOWN HEREON IS
°�° I � FROM FLOOD INSURANCE RATE MAP N0.
//
"'"` '�"=r0j ��..PRp6�µ 3610300176 G LAST DATED MAY 4, 1998.
F'T.nnOct,°AJF.�' 7 \y JULY 16, 2001 AMENDED CO> RAGE
1?9° . T 9ti' o JULY 02, 2001 INDICATED COVERAGE
pN 'rte . . w ',� or. JUNE 18, 2001 INDICATED PROP. SrnuC.
eE °0 .� T / 0/moa° DATE: JUNE 01, 2001
o` SCALE: 1"=30'
O . •O %6 J
0%6
° �' ,0 aP , // JOB NO: 2001-227
Z O a
`O S O, °
%y O P�/� LANDWARD LIMIT OF 110AL WETLANDS CERTIFIED T0:
AS O �0. O \ S T `OF FANO FUSE COMPANYATED BY OON MAY77, 2001. PAUL D. & PATRICIA A. AHLERS
0.
\ Grp X �0 �.00 \y
WJ Ip ~�90 (c. 15� �� f���
( o
f s
00 he)- I � 'q VN \off rS\ �tIDs°
bo �0 s Z X5 PSIL
�o 0. A4PRONDtTID s 04
' AND
DAT DAVID H. FOX N.Y.S.L.S. x/50234
LOT COVERAGE: FOX LAND SURVEYING
PO BOX 224
SPEONK, N.Y. 11972
1, TOTAL LOT AREA = 21,950 S.F. (631) 325-2902
2. ADJACENT LOT AREA= 14,345 S.F. 1 P441 -:`-CE -_ - ,",...
3. EXISTING STRUCTURES WITHIN ADJACENT AREA= 3074 S.F.(21.4%)
E_ P -E-,
4. PROPOSED ADDITIONS WITHIN ADJACENT AREA= 331 S.F.(2.3%) "^` " - "`F" " "E' '' -
Ll
5. AREA TO BE REPLACED WITH PERVIOUS SURFACE= 331 S.F.
- 6. PRE-EXISTING NON-JURISDICTIONAL AREA WITHIN EXISTING
HOUSE ENVELOPE= 317 S.F.
Survey for:
PAUL D. AHLERS &
j c PATRICIA A. AHLERS
At
MID r Greenport
,._ = ��� ala eN r
Ii �e gy LEI �� -- - Kr—f--� Town of
- t 40< yet et �,N ti1 -- — Southold
°e �e�e5s� N Suffolk County, New York
s ��Pen °�O -J7 N w S.C.T.M.: 1000-035.00-04.00-076.000
tb W u
(A O NOTES:
3,� mo5``a1. AREA = 21,950 S.F.
1 � A / ,`W ` 2. ■ = MONUMENT FOUND, O = PIPE FOUND.
O\ �' QRI �` T 3. LOT NUMBERS REFER TO SUBDIVISION MAP
0
9 Rdr � r
"FORDHAM ACRES" FILED IN THE OFFICE OF
a PDR ., i`-Bm THE CLERK OF SUFFOLK COUNTY ON
``pouf O .y. o, ` - �4z MARCH 7, 1962 AS FILE NO, 3519.
4. REFERENCE DEED: L. 11968 P. 418.
0 i 5. ELEVATIONS SHOWN HEREON ARE REFERENCED
lJ6 10 sr TO N,G.V. DATUM (MSL 7929).
0��P�� L NC 4Y ! z I 6. FIRM BOUNDARY LINE SHOWN HEREON IS
r,
I ," AQr 1 Q {/AV FROM FLOOD INSURANCE RATE MAP 1NO
95
QER`I`�oF' 1 F;1/ I 3610300176 G LAST DATED MAY 4, 1998.
/) O /
nFlv[wAv cr,,o� ,pR OE�h 11 � I .�/
A0 / '�`'�R—"'�- p FEB. 15, 2002 AMEND D CO STRUC
psa•eA �o OIL .,r . `�., 1 �,�NS 1 li -.� JULY 16, 2001 AMENDED COVERAGE
(r, e� 1 E�Q� l I r r'— JULY 02, 2001 INDICATED covcRACE
I� v R 1• �[� `, I JUNE 18, 2001 INDICATED PROP. STRUC
v 1' ei^'�,•. 7'' oR`a�s 1 9, �Go� I! • i. 6448 5 2002DATE: JUNE 01, 2001
i D �.0
a'"4. A SCALE: 1"=30'
0x -2
27
0. o JOB NO0
.p0�
a LANDWARD LIMIT OF TIDAL - CERTIFIED T0:
AS DEUNEAIED BY CHUCK BOWMAN PAUL D. & PATRICIA A. AHLERS
b \0 OOLL l X j OF LAND USE COMPANY ON MAY 17, 2001.
61
t t°\
'V AN
00. 7600 S�',�' f\° JOr�
00.
DAVID H. FOX N.Y.S.L.S. #50234
FOX LAND SURVEYING
LOT COVERAGE: PO BOX 224 Ili
SPEONK, N.Y. 11972
1. TOTAL LOT AREA 2. ADJACENT LOT AREA21 (631) 325-2902
14,345 S.F. 11 •,,.."„
FI Thi E '.1+TE
3. EXISTING STRUCTURES WITHIN ADJACENT AREA= 3074 S.F.(21,4%) 1 % E',r EIFL, E El-1 E`�1.111'-
4. PROPOSED ADDITIONS WITHIN ADJACENT AREA= 331 S.F.(2.3%) ETE ILE FE ` - I IL1 -11
5. AREA TO BE REPLACED WITH PERVIOUS SURFACE= 331 S.F. - -
' . 6. PRE—EXISTING NON—JURISDICTIONAL AREA WITHIN EXISTING - ry .1
i HOUSE ENVELOPE= 317 S.F. i
' DWG: 2001-227
.• �. r �R-- I Ill-TGN'vN
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To
Fred N . Snyder P . E .
CONSULTING ENGINEER
f
6.
5
February 14, 2002 i----.---_. -
Town of Southold, Building Department
Town Hall
Box 1179, Main Street
Southold, New York 11971
Re: Ahlers Residence
1905 Gull Pond Road
Greenport, New York 11944
To Whom It May Concern:
This is to certify that we have inspected the existing sanitary system at the above
referenced location and find the system is in good working order. Further the existing sanitary
system is sufficiently sized for the existing three bedrooms and the proposed one bedroom
addition.
If you have any,questions please do not hesitate to call
Very truly yours
t Ck Rlvl.•vY
Fred N. Snyder, PE
19 GARFIELD PLACE, E. NORTHPORT, NEW YORK 11731
Tel. 631-368-1792 Fax 631-368-1794
_w
i
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_ AS TO PART. 721.1
_-- A� {1 A$tvOTFD N.XS BUILDING CODE.
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DATE: SOI -12
Fv,E:
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NOTIFY BUILDING DEF M T AT Pj
-=- 766.1802 9 AM TO 4 R,THE PROVIDE OPENINGS FOR L,
— FOLLOWING INSPECTIONS: EMERGENCY ESCAPE AS
- 1. FOUNDATION -FORPOURED CONC EOEREOUIRED REQUIRED BY PART. 714 OI
— 01,11LBINGi
3. INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
t ----'T THE REQUIREMENTS OF THE N.Y. � -
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STATE CONSTRUCTION 8 ENERGY �
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G� I TESTING BEFORE COVERING ^
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ON LEAD CONTENT BEFOREY � ADD�TIc�N LT�2�p'rQN
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EXCEED 2110 OF 1%LEoA
DEVICES AS TO PART. 902.6(K) DNDERWRRERSCD(ORGGE D. •; 3
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GENERAL N01E5: Q "xoa" -,I
1. All construction Is to conform to local and N.Y.S.Fire Prevention A Dullding - 2'iX�' --r-'
Construction Code. 6911pq NLJUV,
2. All electrical work la to conform to local, N.E.C.and Underwriters Requirements. - 1 I f Q"x(moo G,J• 8 I�11� (2) dny 1011
3. All materials,assemblies,constructlon and equipment shall conform to the QTA 1 1.. //
regulations of the N.Y.S.Uniform Fire Prevention 6 Building Code and shall /d"r Q 1 'I
conform to generally accepted standards. f
4. Contractor shall furnish all labor and materials to carry out the work shown on the
drawings herein. Contractor shall exclude work shown"Not In Contract"(N.LC.) "y- f. FLfr-rs
5. Do not scale the drawings. Any discrepancies In the plans or details shall be reported 1, I QQ-" LUNG B 12 'e'G'
In writing to the engineer for clariflcatlon before commencement of work. -IOR12' -..
HPrYY I-1 ' rcj y,
6. Contractor to coordinate all Inspections from all agencies and municipalities having _ 1
p e p g Nk,\V NA�I.-Ir4 .b� \�Au. _ 2.4 e Ifs' � M g
-- - Jurisdiction. _
7. Contractor and/or respective subcontractors shall be strictly responsible for their - 1✓JA`( WI I`I7D\\) Igtyh:
1 work and shall be responsible for adequately bracing and protecting all work during
ronstructlon against damage,breakage,collapse,distortion,and misalignment
I according to all applicable codes,standards,and good conotructlon practices.
y
8. Contractor Is to verify all eMsting conditions prior to start of work. Notify engineer of 1 1 1j / IQ'17 3fo' �GGI 1G, ), ,!1 �l ?��
L�oNY any discrepancies. - ?/,12 i .!',�� rC� G <f.-,�INII u
9. Contractor Is solely responalbic for maintaining safety on the Site. He shall protect - 10I 0 GMU - - 411 aA �T-� y7 112 %(� T'{G �A71N INS
the public and all others ham the hazards of excavations and all other damagesGII WL- �ftC _ � ANGNOR- VENTS VIN`(L ej'rQci
during the course of his work. _ _
10.Adequate escape faculties shall be maintained at all times In buildings under
— construction. -- -
- \ i4 g 1211 z"n/ R
it.All footings must rest on undisturbed sell having a minimum bearing value of 2 tons - '
GONG, E.R _ n
P.S.F.. All concrete block must be load bearing"a. All concrete shall be 3000 � ci, " ` 4-F 10 I�EA�7rh ?j�!q,aJ--'
-- 0 ^�
0 28 days. ' N� r
/\ 12.All structural framing lumber shall be Douglas fir#2 with a minimum fiber stress of II 1 ;G•'-4tJ O,G,
1450 P.5.1.or as noted. Double all floorJolsts under bearing partitions andrp'GONb 7P- � GGAp�7 k
around all Openings, All plywood must be exterior type. All headers shall be double Id 12 2-D l�
�,.,.�xA (2)2"x 6"Unless otherwise noted. -- - ' -�•�p��
13.Unauthorized addition or alterstlon to this document is a violation of Section 7209 pjLUClirUN PC O/E(L t (01 „
of the New York State Education Law. 121•dl "'�1 " 411 pi�GONG pU.Ap7 1 �I
14.The engineer is not responsible for construction means,methods,techniques,
sequences or procedures. For safety precautions and programs In connection \VNM
with the work,he shall not be responsible for the contractors failure to carry out I -\V• !n%(O 6/n '1
the work In accordance with the contract documents. The engineer shall not be
responsible for acts or omissions of the contractor,subcontractor,or any other �^'� ^ X11% ICdI�MCJ _ fi
r persons performing � ID the work. U 4�7 I 0 r-Il
15.The engineer has not been retained forjob supervision. -- u
/¢''x Co" GQa� GFGLI NG oN 211x 41, E r✓•' AND 62aveL 1
G�LLfidL _. 1111' P��GPGSM �Allhc24 -e, TAI'FRG� -roMAfi-�
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-e 00.08
,
PLUMBING r1 $ r 41 r
ALL PLUMBING WASTE
i WATER LINES NEED I
TESTING BEFORE COVERING MAR 16 2002
l—�
Ell DG.nEPT. ;q
r:S •un,o o
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PROVIDE SMOKE-DETECTING PROVIDE3/4 HR. FIRE • OCCUPANCY OR
ALARM DEVICES RATED SEPARATION TO USE IS UNLAWFUL
AS TO PART. 721.1 PART. OF
N.Y.S BUILDING CODE. N.Y. STATEI7.3 BUIL(DNG'CODE. WITHOUT CERTIFICATE
--- _ _ - - OF OCCUPANCY
_ - - -- - _ - - - - - __- _:.r -
PROVIDE OPENINGS FOR PROVIDE ANTI-SCALD AND/OR
t EMERGENCY ESCAPE ASTHERMAL SHOCK PREVENTING Neoppertubing Is used
— - - - - -'_ — — - N.YAT I piping shall b
- - - - -- - -- - - - - - - - .r -- opt
pas K or L ani
distributing•
REOUIRED BY PART 714 OF DEVICES AS TO PART. 9D2.6(K) for water
\ Y STATE BUILDING CODE. N.Y STATE BUILDING CODE.
LUAII IER CI R71¢I CATION
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GENERAL NOTES: "x(y" ALIO �Osj 2"*8°
1. All construction Is to conform to local and N.Y5.Fire rrevenvon&8uilding 0”f(y"
Construction Code. CO° rLl�( INCL.
2 All electrical work Is to conform to local,N.E.C.and Underwitere Requirements. �---"� R 1 "x „ G " -\ ,- Q nil y O'I G r
3. All materials assemblies, 2 !l J• 1
so I es,construction and equipment ment shall conform to the E I / V
A\
a t ❑ J .� T�� � . G� L Fa I_2
conform
to generally
the llyN.accepted
Uniform Fire rrpvantion&8uilding Code and shall q �s (-�"' 4'�uA f�T
conform h generally acceptednd materials
�__
1�jllr 4. Contractor shall furnish all labor and matedala to carry out the work shown on the �•x^p�L�, I"_ hpR n �(��
drawings herain. Contractor shall ez'clude work shown"Not in Contract"(N.I.C.) ��7EEL IX�\VEliv
5, Do not scale the d'rawinge. Any dlscrapancleo In the plans or dd 2 G
etail,shall be reported LON6 12 "O:cr
In writing to the engineer for clarification before commencement of work. �CGMOvE. �XI�iTlruia -OR12r HA'TCI-I ' j�
6. Contractor to coordinate all inopectldns from all agencies and mu ticipalitiea having Ai fly \v�� I l p „ M
- - -- Jurisdiction, fn ddWh"- \NALI. 21 4 e ItyI -
7. Contractor and/or respective suboontractora,shall be strictly responsible for their (✓JA`{ \VI 0W —
work and shallpe reoponoibiefor adsJivahe[y bracing and protecting all work during I �I?GI I r `I III _`Q
construction against'damil breakage,collapse,distortion,and misalignment
I according to all applicable codes,standards,and good construction practices. y"
M' M �A�LlJNY I 6. Contractor low verify all existing conditions prior to start of work. Notify engineer of
2 N(f II, oil 2nx 3�r p/ANG h u
any discrepancies.s' Q
9. Contractords,solely responsible for maintaining safety on the site. Heshallprotect �nx ,„rr U _ - ,/n% ,}r�� .I-_- ' C �'�}2.[—fJCf-I �C0.:7rINC� G �-
the public and all others from the hazards ofeaoavations and all other damages r/ — �R,A\vL � `t 4 -�\ J %
II n
during the wurse of his work. - _ � I�NGHD�-- ENT VINYL < �1�' 112 CL T46, - ':H -TH II`1G-,�
10.Adequate escape facilities shall be maintained at all times in buildings under
construction. '0 8'•� n n �,,� 'jlj7gi(2rID•r� 24lorc.
It All fooGngo must root on undisturbed soil having a minimum bearing value of 2 tuns
r.6.F.. All concrete block must be load bearing type. All concrete shall be 3000 ry GOI`!G, PI I Gr,` — .'IN �,Irlp
.— ' r,5,1.a 23 daye. _0 1 x11;11 ,111 , 1
X 12:All structural framing lumber shall be Douglas fir#2 with a minimum fiber stress of r ' 'V "Y 4` O HEAI�E 'K -- - 3°x 9" G•T
1450 P.5,I.or as noted, Double ellfiaorJofets under bearing petitions and
i711101`4y 712-EN444 c1 c 4Ptjl ore,
around allopenings. All �0TI NLi 1� n plywood must be,e%urlor type. MI Meader,shall be double �- Li. GGA _
r�/,.v�w� (2)2"a 6"U1110158 Otherwise noted. �ISI IQ 12 121
_6 PST <�
LI VI N G 1-,ti • 13.Unauthorized addition or alteration to this daqument is9 violation of 5ectlon 7209
of the New York State Education law.
r 14.The engineer Ip net reepnnoible for construction means,methods,techniques, 12x_�u „ II v' - -'
sequences or procedures. for safety precautions and,programs in cannectlon F] •%- � TI �� 'J. D -�- 4 h'/corlGr G.(.ApI I
with the work,he shall not 6e responoible for the contractors failure to carry out I Ie
'
the work In accordance with the cantractUdocuments. The engineer shall not be
reopopolble for acts or omission,Of the contractor,subcontractor,or any other
_ 8% ICJ GMU
persons performlng the work. J p ❑ y,.... D / , ,TD 4N--r-
x ,15.The ap (neer has not bean retained fcr ob su ervhlon. I V IJ `
C--�l hn PJB iV� '1/4 It �' 211%411 c✓�. � a rt v o
/� AIIhG 24'o,c. TAPER Co MATZ44 I`Z - AND GRAVEL
- ONf, SLY 12-U Q- ?--OFrat ov p- 4T 444. I-L`f\Voor-�
plow wAr
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e 1/ I/ti PiTc44 U CJ GU77�R- �NEWy
Ii .J
13 4: 'E'EC "� �� }�j- yr,r (2� IG " g ANC��R.
114 LVL �7 �¢ NINv
R � ATE_ <R"2t2•c.�; .
C e.T,6� 434N1WT -<P3 I
t--?\Y4. N2 q 00"og