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Home My WebLink About31532-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32136 Date: 01/12/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 13457 OREGON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 2 Lot 10.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 2005 pursuant to which Building Permit No. 31532-Z dated OCTOBER 18, 2005 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 ACCESSORY INGROUND SWIMMING POOL WITH ON GRADE PATIO, IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to OREGON CLIFFS, LLC (OWNER) of the aforesaid building. ELECTRICAL NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 2088603 09/14/06 AutTiorized Signature i Form Na 6 TOWN OF SOUTHOLD Z BUILDING DRPARTMENT TOWN HALL 765-1802 Q0 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department witha 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 a 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: 13 House Owner or Owners of Property: Suffolk County Tax Map No 1 Subdivision Nina Ste Permit No. 31532 Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: Date. 12/14/06 (check one) S57 Oregon Road Cutchogue No. Street Hamlet Martin Soja / Oregon Cliffs. LLC D00, Section 083 Block 0002 Lot 010.013 rens Filed Map. Lot: 2 DateofPermit. 10/18/05 Applicant: Martin Soja Request for: Temporary Certificate Fee Submitted: $ 0 S • O c 6Npc..?�`55 Ca --?-- 3d)3� Underwriters Approval: Final Certificate: X (check one) Applicant Signature �- PERMIT NO 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) 31532 Z Permission is hereby granted to: M SOJA 13457 OREGON RD CUTCHOGUE,NY 11935 for : Date OCTOBER 18, 2005 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE (PATIO TO BE ON GRADE) at premises located at 13457 OREGON RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0002 Lot No. 010.013 pursuant to application dated OCTOBER 14, 2005 and approved by the Building Inspector to expire on APRIL 18, 2007. Fee $ 150.00 ORIGINAL Rev. 5/8/02 Authorized Signature - 2.— to, I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 1 Upon the application of upon premises owned by ALL WAYS ELEC. CORP. " SOJA 262 ORINOCO DRIVE 13457 OREGON ROAD BRIGHTWATERS, NY 11718, CUTCHOGUE, NY 11935 Located at 13457 OREGON ROAD CUTCHOGUE, NY 11935 Application Number: 2088603 Certificate Number: 2088603 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, PooUSpa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard 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 14th Day of September, 2006. Name QTY Rate Rating Circuit Type Miscellaneous certificate includes -house - pool & hot tub Alarm and Emergency Equipment Sensor 3 0 Carbon Monoxide Sensor 10 0 Smoke Appliances and Accessories PooU Spa Bonding 1 0 Exhaust Fan 4 0 F.H.P. Oven 2 0 50 Amps Dish Washer 1 0 1.2 KW Hydro Massage Tub (Therapeutic) 1 0 Furnace l 0 Oil Steam Unit/Sauna 1 0 40 Amps Air Conditioner 1 0 18.000 BTU Air Conditioner 1 0 24.000 BTU Air Conditioner 1 0 42.000 BTU seal Air Conditioner 1 0 60.000 BTU Continued on Next Page 1 of 3 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O cPPr3pLrLrrPPrJ�l-II � 19,P��Jr 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY C5 40 FULTON STREET — NEW YORK, NY 10038 CC5 CERTIFIES THAT 55 5 Upon the application of upon premises owned by 5 ALL WAYS ELEC. CORP. * SOJA S 5 262 ORINOCO DRIVE 13457 OREGON ROAD 5 5 BRIGHTWATERS, NY 11718, CUTCHOGUE, NY 11935 r5 5 Located at 13457 OREGON ROAD CUTCHOGUE, NY 11935 5 Application Number: 2088603 Certificate Number: 2088603 5 e� 5 Section: Block: Lot: Building Permit: BDC: ns11 �5 Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at:5 5 Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, Pool/Spa, 5 inspection limited to devices to the detailed 5 A visual of the premises electrical system, electrical and wiring extent herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September, 2006. c 5 Name 2 Rate Ratin Circuit Type 5 5 Panels 5 5 1 50 5 5 5 5 1 100 4 Wiring and Devices 5 5 Outlet 125 0 Fixture 55 5 Fixture 116 0 Incandescent 5 Fixture 9 0 Flourescent S 5 5 CJ Outlet 216 0 General Purpose Receptacle 113 0 General Purpose Crj, Ij 5 Switch 134 0 General Purpose Dimmers 4 0 01 5 Receptacle 2 0 20 amp Laundry S 5 5 Receptacle 2 0 20 amp Appliance GFCI Circuit Breaker 1 0 50 amp 5 5 5 Receptacle 26 0 GFCI �5 C5� Disconnect 4 0 60 amp Air Conditioner 5 Disconnect 1 0 60 amp Pool/ Spa seal Receptacle 5 0 20 amp Pool/ Spa 1 +J. 5 5 Continued on Next Page 2 of 3 5 c5 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 I �II��s�LpL��rnLpr pCj� ��s�!rQJ o O 111 J��PrdrJi>n t!@![n[Pc1� [J�[J@J� cPrJorJ�cP� rEarco rJPM rJMrI'cPrJ'rJMO'cPrM O 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY S 5 40 FULTON STREET — NEW YORK, NY 10038 5 SCERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 5 ALL WAYS ELEC. CORP. * SOJA 5� fj 262 ORINOCO DRIVE 13457 OREGON ROAD 5 BRIGHTWATERS, NY 11718, CUTCHOGUE, NY 11935 5 5 c�c5 Located at 13457 OREGON ROAD CUTCHOGUE, NY 11935 5 Application Number: 2088603 Certificate Number: 2088603 S 5 5 Section: Block: Lot: Building Permit: BDC: ns11 S Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of 5 SBasement, electrical devices and wiring, described below, located in/on the premises at: 5 First Floor, Second Floor, Attached Garage, Outside, Attic, Pool/Spa, 5 SA inspection the limited to devices to the detailed 5 5 visual of premises electrical system, electrical and wiring extent 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 5 5 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September, 2006. Name (QTY Rate Rating Circuit Type 5 5 5 Fixture 1 0 Pool/ Spa 5 5 Receptacle 1 0 GFC1 c5 L5, GFC1 Circuit Breaker 1 0 40 amp Pool/ Spa 5 C] 5 GFCI Circuit Breaker 1 0 50 amp Pool/ Spa Service C5 5 1 Phase 3W Service Rating 300 Amperes res 5 Service Disconnect: 2 150 eb 5 Meters: 1 5 5 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. 5 RM 5 5 1 11 5 5 5 seal 5 3 of 3 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 lio M �L�� s��s��ssss��ss��ss�� •ter �.... —1 1— ,uviuuuvioo uuvcnolmn CRol UUR61 08/30/2006 WED 8:59 FAI 801 373 5095 Coverstar -)-I-) CSE COVERSTAR EAST COAST Date: March 6, 2006 To: To Whom it May Concern MEMO VJ UUe/UU4 1002/002 From: Harold Rogers, V,P. Sales Re: Coverstar safety covers: UL and ASTM standard F 1346-91 for safety covers for swimming pools All Coverstar covers Including the CS1600 and CS1600 Leading Edge aro certified by UL and meet the ASTM standard for safety covers as speeded in ASTM standard F 1346-91 when they arc inslolleo and maintained properly according to the Installotlon and homeowner Instructions which have oean provided by Coverstar. On several different occasions, the Coverslar covers, both automatic and manual have been tested by Independent testing laboratories and have always been round to be In Compliance with all the ASTM requirements for safety covers, Our cover Is also listed by VL (File E164633) and classified by UL as a power safety cover in aeeordarlco with ASTM F 1346-91 If you wish to verify either of the UL certifications, take the following steps: Go to www.ul.com Once there click on Search UL.com Click on Online Certifications Dituetory, Under General Search click on UL File Number (Not UL Category Code) Type In E164633 and hit enter You should now see Coverstar's listings. Click on the top listing shown to get more details. If you have problems, you can also search by company or by Aulonlntle Pool Covers If more Information Is required about ASTM and its standards, you can go to their webaile at www.astm.orc. Shown below Is the UL authorized label that Is attached to each automatic cover system we ship showing both UL certification and compliance with ASTM F 1346.01 Safety Standard. COVERSTARTm PC 533 So. 500 K;'Prbvo : UT,?B4i MODEL:::.:; :.:: OWNER .. ...... .::::..:...:.,.:.:.. DATE .. SERIAL # 8.8 Amperes 110 Volts 60 Mi RED'S O 117T VE in;ais cdrefanes Ir you have any further questions about our covers, the UL certifications Or the ASTM standards, please cell or Email me. L0127 3 06-06 C0VlR5rAR 1AfC. 1795 west, 200 Norih, Undon, UT 64042 Phone 600-617-7263 Fax 601373.5095 Emai hr@coverslar.eom vol �o/cvvo 10. dv rnn IJVIOJOVIJO uuvcnolmm CA01 uuAil 1pj VVO/VV4 COVERSTM wl.. Lt COVERSTAR COVERS ARE SAFE • III. LISTED Uaked States • CUL IMTED Canada • UL cla='&4 " a Plower Safety COVET An aeeordasee wkb ASTM T 1346-91 C (9)US 11SHO CS1It ENG9 t181IRE 3 CAUTION: READ THE INSTRUCTIONS CAUTION: ADEQUATE DRAINAGE MUST BE PROVIDED IF THE EOUIPMENT IS TO BE INSTALLED IN A PIT. WARNING: DISCONNECT THE ELECTRIC POWER BEFORE 'SERVICING. CAUTION: CONNECT ONLY TO A CIRCUIT PROTECTED_ BYA CLASS A GROUND FAULT CIRCUIT INTERRUPTER. CSA ENCLOSURE S ATTENTION: LIRE LES INSTRUCTIONS ATTENTION: LORSQUE VAPPAREILLAGE EST INSTALL!: DANS UNE FOSSE, ON DOIT-ASSURER UN DRAINAGEAMOUAT. AVERTISSEMENM DIWCONNECTER DU CIRCUIT VALIMENTATION I*L.ECTRIQUE AVANT UENTRETIEN. ATTENTION: CONNECTER U IQUEMENT A UN CIRCUIT PROTtGt PAR UN DISMNCTEUR DIFFERENTIEL DE CLASS A. Lous oDMI rV, 1— ru.— rnl. IJVIVJVVIJV VVYLIIJIlY 11 LfIJr VVnVr Size of pool: 15'x 27'; water level; 16" deep, 7" below deck; Ambient air and water temperature: Approximately 55 ° F. PRODUCT SAFETY CON16 I DESIGN ASSWANCE TO MEET DOMESTIC 5 jWERNATneNAi a TEST CERTIFICATE PSC File No,: 941101 Date of Certificate: 19 November 1994 Specification; ASTM Standard F 1348 - 91 "Standard Performance Specification for Safety Cover and Labeling Requirements for All Covers for Swimming Pools, Spas and Hot Tubs" Date of Test: 19 November 1994 Test location: Factory warehouse, 533 S 500 W, Provo, UT Site description: Size of pool: 15'x 27'; water level; 16" deep, 7" below deck; Ambient air and water temperature: Approximately 55 ° F. Test Item Classification: Power safety cover (PSC)(4.11 with mechanism mounted above deck t Manufacturer: Coverstar, Inc. 533 S 500 W Provo, UT 84801 Model Designation: CS 1800 Date of installation or manufacture: manufactured & installed: November 1994 The above described test item complies with the requirements of the above referenced specification, as stated In the detailed Test Report, PSC File No.; 941 101,dated 19 November 1994. Respectfully Submitted, MARLO R.' ANDERSEN OF P. 0, BOX 2142 PROWkUT 94503--2142 (801] 377-9885 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 /9K INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG.��. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE I r� 2 L 4 INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) -------------------------------------- ---------------------------------- U\ � y FOUNDATION FOUNDATION (2ND) �y ROUGH FRAMING & PLUMBING x 0 HF7 �rA --j-4 INSULATION PER N. Y. STATE ENERGY CODE y FINAL ADDITIONAL COMMENTS C O �m > r � y J °x W New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 • FAX: (631) 444-0360 Website: www.dec.state.ny.us LETTER OF NO JURISDICTION - TIDAL WETLANDS ACT Martin Soja 62 The Waterway Manhasset, NY 11030 Re: Soja Property, ROW N/O Oregon Road, Cutchogue SCTM # 1000-83-2-10.13 Application #1-4738-03387/00001 Dear Mr. Soja: August 30, 2004 Am Erin M. Crotty Commissioner Based on the information you have submitted the Department of Environmental Conservation (DEC) has determined that the property landward of the top of the bluff as shown on the survey by Howard W. Young, dated 5/5/04, last revised 6/1/04, is beyond Article 25 (Tidal Wetlands Act) jurisdiction. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Sincerely, Mark C. Carrara Deputy Permit Administrator cc: MHP T. Wolpert, Young & Young File TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plan Planning Board roval Survey PERMIT NO. 5 302 Check -J�- Examined /' d / E , 20 19 Approved rO 1 Ll k,20_0 _3�- Disapproved a/c Septic F( N.Y.S.D Trustees_ Contact: Mail to: Phone: (Rw-313 6? Expiration , 220197 &4& Building Inspector 142005 LL T �' APPLICATION FOR BUILDING PERMIT T� ,. ,.OLD Date 06.f l 4/ , 20o_:r- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 aut,qffJiytsppctprs pn,pyWises and in building for necessary inspections. ENCLOSE PPOOAAL1TO CODE UPON COMPLETION BEFORE "WATER' /Nigno6re of applicant or name, if a corporation) VIWAIiEAS C U` �'�' q5U &L CONSTRUCTION SHALL E Tf (Mailing address of applicant) StateTHE jEQUIREMENTS OF THE EDS n lagM/j a i�lessee, agent, architect, engineer, general contrARRIDVED �a br or builder l nP/�/V C ! / �hQRCTU DATE: %° /V L B.F. � Name of owner of premises d (As on the tax roll or If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. CUPAN OR Plumbers License No. Electricians License No. WITH01 IT GERTIGIGATE Other Trade's License No. 1. Location of land oft which proposed work will be done: L,( -4--W 2 /I//V/� S7`Pt1?WJ ' FEE: /5-b- BY: F CP--N-.4- NOTIFY BUILDING DEF !ATMENT AT FOCCO� T(n INSPECTIr'NS: 1. FOUNDATION - TA EQU RED FOR POURED CL. 'c 2. ROUGH - FRAMING PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE F^s C.O. ALL CONSTRUCT:; N SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. , RETAIN STORM WATER RUNOFF House Number Street HamJ-dF,%W TOWN CODE. tdt W fiu s}et2 ai!du9 (�tlON /�99 Count Tax Ma No. 1000 Section �� Block 0 fSi adib'`C 1 Y �p pnun7 rfhdtu2mt�N415fi�t Subdivision N jll lyq ` S7P u a/s { Filed MapM. 1 ktquN ima ttoitqYS43 (Name) 2. State existing use and occupancy of premises and intended qse and occupancy of proposed construction: a. Existing use and occupancy /BSc '6� b. Intended use and 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (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. Dimensions of existing structures, if any: Front Rear_ Height Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 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)LWill excess fill be removed from premises? YESX- NO 14. Names of Owner of premises MArA/ RIV Address Phone No. Name of Architect Y'd�� -r i%+� . Address r/;v 0sk-wt«. A -t- Phone No 2 2 7 2 -So ? Name of Contractor Address Phone No. FV7 a, 3430 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOX—�— * 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. 16. Provide survey, to scale, with accurate foundation plan 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 OP&kf-holkL CQC-k 4,d 4-, _ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Tle AGrole (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said,vtork qnd to make and file this application; that all statements contained in this application are true to the best of4, inowledge grid belief; and that the work will be performed in the manner set forth in the application filed therewith. ' "• Sworn to before me thi Y day of 20 0,15- Not* ' b is f: NOIMr 1�r1bA 1001 Signature of Applicant � * � � `>� es ', . �w .� ,�. �; •,o .sem �' ® • _1.=f "lam.;�.b �! V-� I L- 1 f7l r 1 VC, CAv jc 7r/ /r- 1 co STEED. REBAR I Z o.c. i �,tr o.c trc�i 4 4tss14A. Go•? �- { • 6 r OG tach A. i a � Y • 4 s . •' J 'R91Com- GUNH POOL SECTION { 3 • a LUNG ISLI�ND SOUND nE UNE ALDNG APPDR2Oz2/Ds HIGH WATER MARK N OA -I 'yam *07 EI - MONUMENT R 0 - MONUMENT FOUND p - suNE SET ♦ = STAKE FOUND Q - REaAF SFT NO - FOOF OVFA /zs E N59.55 S,ee\ �\m °thy a TEST HOLE FROM SUBDIVISION MAP DARN GREY Do' LOAM (GH) e' SANDY LOAM (SM) .5' COARSE SAND (GP) 2.5' BROWN SILT (ML) 55, SAND k GRAVEL (GW) n.D Young & Young 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2303 Howard W. Young, Land Surveyor Thomas C. Falpert, Professional Engineer Robert C. Tart, Architect Ronald E. Pfuh,4 Landscape Architect Douglas E. Adams, Professional Engineer HEALTH DEPARTMENT USE NOTE AREA = 1.8145 ACRES • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) • THIS MAP 15 BASED ON FIELD SURVEY COMPLETED MAY 9, 2003. SURVEYOR'S CERTIFICATION MAP PREPARED FOR MARTIN SOJA & ANN SOJA / LOT 2, MINOR SUBDIVISION "NINA STEVENS" r At Cutchogue, Town of Southold IoW t ° 0\ 5 4\ Suffolk County, New York 0000 y County Tax Map DMnml 1000 sscu", 83 emcK 02 Los 1013 BUILDING PERMIT PLOT PLAN REVISED LOG. OF PROP. HOUSE, DRIVEWAY & POOL MAY 23, YY UPDATED BOUNDARY SURVEY MAR. 2, 2005 REVISED LOC. OF PROP. EO LCIA PO2 JAN. GE BDIFPS \ V L ERS TMEHTOP RD UNE 'Ok \ 2005 AMENDED TO SHOW NEW 4 0 ' �o4h °r , \ , 40 S r\ 20D5 AMENDED TO SHOW REBAR SET r� ° sGARAGE �OL \�tPR0P0 °SLo OF �WIROOMi -52' - GFS'- REVISED LOC. OF PROP. q b AUG, A � REVISED LOC. DF PROP. `C & DRIVEWAY JUNE 1, 20D4 � i �h. �t5o• s�'d ip MAY 5, 2044 OA -I 'yam *07 EI - MONUMENT R 0 - MONUMENT FOUND p - suNE SET ♦ = STAKE FOUND Q - REaAF SFT NO - FOOF OVFA /zs E N59.55 S,ee\ �\m °thy a TEST HOLE FROM SUBDIVISION MAP DARN GREY Do' LOAM (GH) e' SANDY LOAM (SM) .5' COARSE SAND (GP) 2.5' BROWN SILT (ML) 55, SAND k GRAVEL (GW) n.D Young & Young 400 Ostrander Avenue, Riverhead, New York 11901 631-727-2303 Howard W. Young, Land Surveyor Thomas C. Falpert, Professional Engineer Robert C. Tart, Architect Ronald E. Pfuh,4 Landscape Architect Douglas E. Adams, Professional Engineer HEALTH DEPARTMENT USE NOTE AREA = 1.8145 ACRES • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) • THIS MAP 15 BASED ON FIELD SURVEY COMPLETED MAY 9, 2003. SURVEYOR'S CERTIFICATION MAP PREPARED FOR MARTIN SOJA & ANN SOJA / LOT 2, MINOR SUBDIVISION "NINA STEVENS" r At Cutchogue, Town of Southold IoW t ° 0\ 5 4\ Suffolk County, New York 0000 y County Tax Map DMnml 1000 sscu", 83 emcK 02 Los 1013 BUILDING PERMIT PLOT PLAN REVISED LOG. OF PROP. HOUSE, DRIVEWAY & POOL MAY 23, 2005 UPDATED BOUNDARY SURVEY MAR. 2, 2005 REVISED LOC. OF PROP. POOL JAN. 31, 2005 AMENDED TO SHOW NEW HOUSE JAN. 14, 20D5 AMENDED TO SHOW REBAR SET OCT. 20, 20D4 REVISED LOC. OF PROP. HOUSE: & DRIVEWAY AUG, 23, 2004 REVISED LOC. DF PROP. HOUSE! & DRIVEWAY JUNE 1, 20D4 MAP PREPARED MAY 5, 2044 SCALE 1" = 60' JOB NO. 2004-0214 DWG. 2004_0214 by &Ag� ra,�a pa.cA AS X4i v Fig.' Fie v apo Epps b e �s