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HomeMy WebLinkAbout32427-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32249 Date: 03/15/07 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2960 LIGHT (HOUSE NO.) County Tax Map No. 473889 Section 50 HOUSE RD (STREET) Block 4 SOUTHOLD (HAMLET) Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 2006 pursuant to which Building Permit No. 32427-Z dated OCTOBER 13, 2006 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 TWO CAR GARAGE & COVERED FRONT ENTRY AS APPLIED FOR. The certificate is issued to VIVIAN ANEMOYANIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0060 02/01/07 ELKCTRlCAL CERTIFICATE NO. 2049483030 11/13/06 PLUMBERS CERTIFICATION DATED 12/15/06 ANGELO VASSILOS ~<~ t~ize Signature Rev. 1/81 r ~~ )&5- JfJty I MMt .. 2007 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Dep!. 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 2/1 0 of I % 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: I. 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 ofCcr1ificate of Occupancy - $.25 4. Updated Cer1ificate of Occupancy - $50.00 5. Temporary Cenificate of Occupancy - Residential $] 5.00, Commercial $15.00 Datc.l!ir.J R. CII ! 5/ 0 f New Construction: . V Old or Pre-existing Building: (check one) Location of Proper ty _u_ --' 9H0 o_J~(jHiI./CJ t,!..f f.! 12:L... S QU j 1-(0.b.J2.; N. y.- House No. Sheet Hamlet -<"7 1/ Owner or Owners of Property: Vrvrp J JOHN'! /7NGE'U:J . NEMtJYIFlNfS Suffolk County Tax Map No 1000, Section _:50 Block _ 4- __.____ Lot:':.2 Subdivision ___ ._._______ Filed Map _ __________ Lot: ___ PemlitNo. 3..2i.(--t.1 ~ Date of Permit. Id. !,7'Cl6Apphcant:...J!tr(#l-rJ ~fJ F.!~OYIINI$ Health Dep!. ApprovalF':. I O____~<( O~O--.!' Ift>lUnderwriters Approval..1! t:J""!"1.J"i!..!!....!!H'1 ;? / ~oo.~ Planning Board Approval: _ ____n____ Request for: Temporary Certificate ___ __ Final Certificate: (check one) Fee Submitted: $ Applicant Signature ~.QA . I , 1 r ~ Co !C:2dd L{ T_ 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. 32427 Z Date OCTOBER 13, 2006 permission is hereby granted to: VIVIAN ANEMOYANIS 645 HICKORY AVENUE SOUTHOLD,NY 11971 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING W/ ATTATCHED TWO CAR COVERED FRONT ENTRY.~ ODAR BSGK. REPLACES BP# 30631 at premises located at 2960 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0004 Lot No. 002.002 pursuant to application dated OCTOBER 6, 2006 and approved by the Building Inspector to expire on APRIL 13, 2008. Fee $ 1,937.10 ~CiL- J Authorized Signature ORIGINAL Rev. 5/8/02 l!I.l!I ~ , BY THIS CERTIFICATE OF COMPLIANCE THE !J~tJ, - '/-;)... -=l ~ ~ ~ ~; NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ R.J. CORAlllNI ELECTRIC JOHN ANIMOYANNIS ~ ~ 320 RICHMOND LANE LIGHTHOUSE RD ~ ~ PECONIC, NY 11958, SOUTH OLD, NY 11971 ~ ~ ~ i Located at 2960 LIGHTHOUSE RD. SOUTHOLD, NY 11971 i ~ Application Number: 2049483 Certificate Number: 2049483 ~ ~ ~ ~ Section, Block, Lot: Building Permit: BDG: n511 ~ ~ . . 8?Y;).7 ~ ~ 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, ~ ~ ~ ~ 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 13th Day of November, 2006. ~ ~ Name OTY Rate Ratinl! Circuit ~ ~ ~ Alarm and Emergency Equipment ~ ~ Sensor 1 0 Carbon Monoxide ~ ~ Sensor 8 0 Smoke ~ ~ Generator Portable Connection 0 0 50 amp ~ ~ Appliances and Accessories ~ @I Exhaust Fan 4 0 F.H.P. @I ~ Dish Washer 1 0 1.2 KW ~ ~ G F 1 Equipment Protection Device 2 0 ~ ~ Hydro Massage Tub (Therapeutic) 1 0 ~ ~ Furnace 1 0 Gas ~ ~ Air Conditioner 1 0 40 Amps ~ ~ Air Conditioner 1 0 30 Amps ~ ~~~ ~ i Wiring and Devices 1 50 8 i ~ Outlet 68 0 Fixture ~ ~ Fixture 68 0 Incandescent seal @ ~ Outlet 97 0 General Purpose ~ ~ Continued on Next Page 1 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. i l!I.l!I 00.00 ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~- NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ ~ ~ CERTIFIES THAT ~ I Upon the application of upon premises owned by I ~ R.J. CORAZZINI ELECTRIC JOHN ANIMOYANNIS ~ ~ 320 RICHMOND LANE LIGHTHOUSE RD ~ ~ PECONIC, NY 11958, SOUTHOLD, NY 11971 ~ I Located at 2960 LIGHTHOUSE RD. SOUTHOLD, NY 11971 I ~ Application Number: 2049483 Certificate Number: 2049483 ~ ~ ~ ~ Section: Block: Lot Building Permit: BDC: n511 ~ ~ 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, ~ ~ ~ ~ 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 13th Day of November, 2006. ~ ~ Name OTY Rate Ratine Circuit ~ ~ ~ Receptacle 57 0 General Purpose ji!J ~ Switch 49 0 General Purpose ~ ~ Dimmers 5 0 ~ ~ Receptacle 2 0 20 amp Laundry ~ ~ Disconnect 22 00 60 amp Air Conditioner ~ ~ Receptacle 20 amp Appliance iij] ~ Receptacle 9 0 GFCI ~ ~ Service ~ ~ 1 Phase 3 W Service Rating 200 Amperes ~ ~ Service Disconnect: 1 200 cb ji!J ~ Meters: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 2 of 2 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I 00.00 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD 1E1'20QS CERTIFICATION --"., Date: -r'" /A Ii r ,,~ .~ Uy; Building Permit No. 3~Jf.f2."1 Z Owner V /-1/ 1. R N II (IJ ~.f!! 0 Y R I^-i ( S (Please print) Plumber:,d ('rIb t) f/ tMf l.~ ')<:0 S- (Please print) lead. I certify that the solder uscd in the water supply system contains less than 2/10 of 1% .~~ (Plumbers Signature) Sworn to before me this -1J:._ day of~~ 20~L_ ~ CAMILLE NOBLE Notary Public, State of New York No.01N06122973 Qualified in Suffolk County Commission Expires Feb. 28, 20 ~~ Notary Public;,)~;FD\ ~ . County - ~ - 32V2-7 t- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION R~ARKS: !~- ~- (~L DATE .3 Is- /07 / I ] ROUGH PLBG. ] IN ATION ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRAnON Co Ij ~c;,~ INSPECTOR 32-7").. 7c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] 9'5U .. N [ ] FRAMING I STRAPPING [t1' FI" L k-' [ ] FIREPLACE & CHIMNEY [ ] FIRE TV INSPECTION REMARKS: ~ LHtS to ~ (D ~ JtW- Clo~-J, r (~01/~& - ~ INSPECTOR - DATE ~ }Z-:/i16 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ULATION [ ] FRAMING I STRAPPING [s-1FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION REMARK~ ~ CbJ6I-S yO If+t/~ ~_ [i;,;Ju~ 'tv (P.oSL c{-- (M74 T~ /16-mL th{;-{y. :tL W CntM-G6- /3 UuL d{ w{~w J;~~. ck. DATE /-ji f 7 INSPECTOR jo Co 3 l t- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [] R~H PLBG. [ ] FOUNDATION 2ND [ ..--(INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: :J;jJ -17"1'";.) * to ~.a- I DATE f~~r- INSPECTOR 3003/ Z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST ~ ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION M FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~L::;S' ~ ~#~ ~~_t~ DATE 5- b-OS INSPECTOR ~ ~ ') ~ .-~, ~ "'~l ~'J ~~;' -""I. Robert James Higgins Architect, AlA 50 Hidden Acres Path Wading River, NY 11792 631-208-3351 i=-r 2 0 2004 Town of Southold Building Division Southold, NY December 20, 2004 RE: 2960 Light House Road Southold, NY 11971 Dear Building Inspector; On December 18, 2004 I inspected the strapping for the above residence and I hereby find that the strapping as installed in the field meets the New York State Building Code of2003. Respectfully yours, Robert James Higgins, A A GEORGE K. PALEOS, PE I'iUV , 0 2004 3160 ughthouse Road Southold, New York 11971 Phone: (631) 765- 5075 November I, 2004 Buildings Department Town of Southold Southold, New York] ]97] Re: Foundation Work / New Dwelling permit No. 3063] Gentlemen: This is to certify that the foundation work for the above dwelling was completed on October 23,d 2004 as per the approved plans and specifications and received the standard tar waterproofing. The foundation was monolithically poured on undisturbed clayey sand and gravel strata of adequate bearing capacity for the proposed dwelling. The foundation can be backfilled upon completion of the first floor framing. The actual location ofthe foundation is shown on the attached survey prepared by Young & Young. flry truly your /~~..k. . George K. Paleos, PE 0' ~ FIELD INSPECTION REPORT DATE FOUNDATION (1ST) --.--------------------------------- FOUNDATION (2ND) I (.lad J. --- t (J / '( ""-.., . z ,~t.,~ . (" Ii-' 1 J /l /I, /1~ \ r-J- _.A '" . /J f.! 9 -r J-=1[ AAA lJ/P / .A 10 /JA .A 4. ~,-,A7.::.n /l ';J d L/ . \ /O~ // /"' /.L _ ~ ~ ~ ~ I'/.A' ,":., Af./!#;P~ \ -~~~, .....---/7.,1>fr/ 'f;; '--./ o~ _:/ '7/? r-;;J ~ ,....7-~o 1'" Po - '.R. k" ~ '" -u u. 0 k. ~ d'lO 0'. 4 r~ 1\:)~ t> I. h ~,{, c.~ r (/ r A''J/~ Z?" J ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE . . ~ - '. I;VLL <7 '1(7/ e/~ (~JrM..S'.4.... .,j~L r~hc>.J ~ [" II / '''('''''oj.. / Arr N ~ v~ I. ~MA ,,-10 j .; /.. . ij' rJ-l J A<....iZ: f.cWu- /~) (~"A' ~ k IAL F ~~ - .A7 /~:;./ .Ad ,,/ I . I.. ~_ ~ , ?f ~ -) (J)J a.e..Lof' L:'.~ ~ ~' "t - L -r/oA /.I')--j~'- "':'" P.'" i_.....s 7n {~'AAJ _' ~ / ( r:z;;.h' (7, /L- f#i1-.,' _ 9'-f, - y~.v " ( I A.,.... \ ~. ) -, I / # / "- / / '-..../ '-........../ ADDmONAL COMMENTS ::P z ('fI 3- .2._0 ')>~ zm .;0 FINAL 1/ /, / t.I r -::; jJ .!~c ,,.t /'/ ;' A- \ J'")., ;). -r j) . -Ta, /..vI r}- ...., D) A IV.-- \ tf c: - n o.fL.::z./ ....J...J JV1'r/I7~ () fc ~ 'Ii? . . -' _ rl'if-I n._~'J" "'A/ iJff'!l;V<<;''1i.+:JI ' ~A ;...Df\.~~ (7 /1 v f<;7(J7 I~' , - L',t, :I L-z ,,-; ~../ . #J ~ / ." ~/ "-:> .A JZ- _ f , ?"-;1,, . '7- . / /) I / L f7 -j y~ ~ i'"l ~ ~*- ""0.\ .~~ OQ Err. Oi'"l , ;.- i~ . 0 o i'"l ~ ~ (7 \ '...... .......~. " I------ - PERMIT NO. ., J C {, 31 b . 5'';6Le * ~~ra.-te sec:~ BUILDING PERMIT APPLICATION CHECKLIST Do yO\! ,have or need the following, before applying? -;f< Board of Health 7!( 4 sets of Building Plans To' .!! D~~ ..1 MPlP.!-nval ,4 Survey 7: Cheok ~ Septic Form r"f.....;..LJ.J......C. T~;' L~s < Contact: Mail to: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl Examined ~/t 9/13 I ,20ll'L ,202.':L. Approved Disapproved ale Phone: Expiration 0/ (0 , ,200.-'- rCJ-L Building Inspector "'^\~ " APPLICATION FOR BUILDING PERMIT Date ~ /.3 / / I I , 20 tJ ;L INSTRUCTIONS a: This application 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 oflot 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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 insp~ctions. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /) uJ rJ-P f s Name of owner of premises l (As on t 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. L . House Number Hamlet County Tax Map No. 1000 Section Subdivision 5</ Block <0 4- Filed Map No. Lot ~,B Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy nfjj) j tJ I1f Jl.. ~f251 I)~N ~C 3. Nature of work (check which applicable): New Building Repair Removal Demolition v Addition Other Work Alteration 4. Estimated Cost 5. If dwelling, number of dwelling units I If garage, number of cars ? (Description) Fee (To be paid on filing this ~pplication) Number of dwelling units on each floor / 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~ 7. Dimensions of existing structures, if any: Front Height Number of Stories -- Rear ,.....- Depth Dimensions of ~e structure with alterations or additions: Front -' Depth Height Number of Stories -- Rear 10. Date of Purchase Cq' Rear NOC ~ I d2 0 G I <J t/ '. Rear ~ 1 ' Depth ~ iJ ( - 8' F I I ! 7. (/7-.:-C NameofF~~~~1J. ,5R e-O(3 I Depth ,,3+' 8. Dimensions of entire new construction: Front 1- + Height .3~ , Number of Stories 9. Size oflot: Front II. 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 ~ll excess fill be removed from premises? YES_NO ~ I f t..\ \ ~ ..3'~ <111"4"" '::.!> 14. Names of Owner of premises V. A\.lE'M,c"fI~Mdress.G~,It-r~~'1 Phone No. Fe? d!i''F'( Name of Architect e. '~<1q'N5 Address5ow...~!tr.:; Phone No dtl'S 3.3-S-r Name of Contractor Z-d u ~ ff- '> Address ~~"" f&' v $: ~ Phone No. IS 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: 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: , S being duly sworn, deposes and says that (s)he is the applicant contract) above named, (S)He is the o !J) nJ ( (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. 20~ jNv JOYCE M. WILKINS Notary Public, State of New York No. 4952246. Suffolk County Term Expires June 12, Q () 0 ;) TITLE NO: 04-3704-57221.SS-SUFF District: 1 000 Section: 050.00 Block: 04.00 Lot: 002.002 Town of Southold Southold, New York Gentlemen: FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned property and properties immediately adjoining and finds: SEE ATTACHED And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further conveyance of any of the foregoing lots other than as set forth. FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the above-captioned property has been in single and separate ownership of Vivian Anemoyanis and his/her predecessors in title since prior to 4/23/57 except as follows: (see attached chains of title) The liability of the Company is limited to Twenty-five Thousand Dollars ($25,000.00). Dated: June 1, 2004 FIDELITY NATIONAL TITLE INSURANCE COMPANY ,J 11M II/( aJi. h>> 1JJ.lI f', SANDRA J. G ESKI Sworn to before me this 1 st day of June, 2004 ~V~ Notary ubllc MARGARET VOLLMQELLER Notary Public, Stale of New York No. 01 V05032469 OualHied in Suffolk County OJ OD fc Comm/SSlOn Expirea August 29._ TITLE NO. 04-3704-57221.SS-SUFF STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) SANDRA J. GOLESKI, being duly sworn deposes and says: That he/she has had a search made of the records of the County Clerk of Suffolk County with reference to an application for a variance affecting the following premises: SCTM 1000-050.00-04.00-002.000 That the said records indicate the following chains of title as to premises and adjoining lots since prior to 4/23/57. SUBJECT PREMISES: 1000-050.00-04.00-002.&0 Marjorie M. Heublein To Simon F. Peavey, Jr. Liber 1597 cp 523 Dated: 7/21/25 Rec'd: 8/19/25 Alfred C. Peavey, William B. Peavey, and Simon Fillmore Peavey, III, being all the heirs at Law and Next of kin of Simon Fillmore Peavey, Jr. To Theodore Dowd and Carol Dowd, his wife Liber 5716 cp 249 Dated: 12/18/64 Rec'd: 3/10/65 Theodore Dowd and Carol Dowd, his wife To Walter H. Jacobs and Julia Jacobs Liber 7410 cp 241 Dated: 5/14/73 Rec'd: 6/4/73 / Walter H. Jacobs and Julia Jacobs , To Vivian Anemoyanis LAST DEED OF RECORD Liber 7980 cp 63 Dated: 1/21/76 Rec'd: 1/27/76 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: vfAA/l/LI1~~ . SANDRA J. GO ESKI Sworn to before me this 1 st day of June, 2004 ~cpuL V~U- Notary Public MARGARET VOLLMOELLER Notary Public, Slale of New York No. 01 V05032469 Qualified in. Suffolk County oltJcJ ~ Commission Expires Augusl29, - PREMISES NORTH: 1000-050.00-04.00-002.004 Marjorie M. Heublein To Simon F. Peavey, Jr. Alfred C. Peavey, William B. Peavey, and Simon Fillmore Peavey, III, being all the heirs at Law and Next of kin of Simon Fillmore Peavey, Jr. To Theodore Dowd and Carol Dowd, his wife Theodore Dowd and Carol Dowd, his wife To George K. Paleos and Vassiliki Paleos, his wife George K. Paleos and Vassiliki Paleos, his wife To / Michael Koutsouvanos and ./" Helen Koutsouvanos, his wife Michael Koutsouvanos and Helen Koutsouvanos, his wife To Helen Koutsouvanos Helen Koutsouvanos To Gregory Rigas and Eugenia Rigas, his wife Gregory Rigas and Eugenia Rigas, his wife To Eugenia Rigas Liber 1597 cp 523 Dated: 7/21/25 Rec'd: 8/19/25 Liber 5716 cp 249 Dated: 12/18/64 Rec'd: 3/10/65 Liber 7941 cp 148 Dated: 10/6/75 Rec'd: 11/12/75 Liber 8642 cp 114 Dated: 5/29/79 Rec'd: 6/14/79 Liber 9700 cp 576 Dated: 3/14/85 Rec'd: 3/28/85 Liber 9900 cp 598 Dated: 9/30/85 Rec'd: 10/25/85 Liber 11694 cp 852 Dated: 7/11/94 Rec'd: 9/20/94 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: vf:fJ/r//df?o~~A~ Sworn to before me this 1st day of June, 2004 lJYt'u~V~ Notary Public MARGA'iET VOLLMOELLER Notary Public. State of New York No. 01 V05032469 O!lallfied in Suffo.1k CounlYcYOO V> Cot\1mlIIIoo1 expIrei AugIIsl211, Eugenia Rigas To Angelo Rigas LAST DEED OF RECORD PREMISES NORTHEAST: Marjorie M. Heublein To Simon F. Peavey, Jr. Liber 11900 cp 916 Dated: 5/20/98 Rec'd: 6/24/98 1000-050.00-04.00-002.005 Liber 1597 cp 523 Dated: 7/21/25 Rec'd: 8/19/25 Alfred C. Peavey, William B. Peavey, and Simon Fillmore Peavey, III, being all the heirs at Law and Next of kin of Simon Fillmore Peavey, Jr. To Theodore Dowd and Carol Dowd, his wife Theodore Dowd and Carol Dowd, his wife To Thomas J. Gibson and Eleanore V. Gibson, his wife Theodore Dowd and Carol Dowd, his wife To Thomas J. Gibson and Eleanore V. Gibson, his wife Thomas J. Gibson and Eleanore V. Gibson, his wife To J Emmanouel Marrkozanis and Giannoula Marrkozanis, his wife Liber 5716 cp 249 Dated: 12/18/64 Rec'd: 3/10/65 Liber 7586 cp 517 Dated: 2/2/74 Rec'd: 2/11/74 Liber 8683 cp 417 Dated: 7/31/79 Rec'd: 8/2/79 Correction Deed Liber 8669 cp 395 Dated: 7/13/79 Rec'd: 8/2/79 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: ~1~LIi1. ~o~~~ Sworn to before me this 1 st day of June, 2004 VY.'CU-qou..d- \j~ Notary Public MARGARET VOLLMOELLER Nolary Public, Slale of New York No.01VOSQ32469 Cuallfied in Suffolk County '.." I ~ CommiSSion ExpIrei Augusl211. ~..... Emmanouel Marrkozanis and Giannoula Marrkozanis, his wife To Zoi Marrkozanis Foreclosure of Mortgage Liber 18704 mp 143. John F. Corrigan, Esq., Referee To Angelo Rigas Angelo Rigas To Zoi Markozanis, Evagelis Markozanis and Ekaterina Markozanis LAST DEED OF RECORD PREMISES EAST: 1000-050.00-04.00-002.003 Marjorie M. Heublein To Simon F. Peavey, Jr. Alfred C. Peavey, William B. Peavey, and Simon Fillmore Peavey, III, being all the heirs at Law and Next of kin of Simon Fillmore Peavey, Jr. To /Theodore Dowd and Carol Dowd, his wife Theodore Dowd and Carol Dowd, his wife To , Anthanasios Kontoleon and Maria Kontoleon, his wife LAST DEED OF RECORD Liber 11710 cp 962 Dated: 10/13/94 Rec'd: 1/18/95 Liber 11831 cp 941 Dated: 5/2/97 Rec'd: 5/22/97 Liber 11845 cp 507 Dated: 7/11/97 Rec'd: 8/11/97 Liber 1597 cp 523 Dated: 7/21/25 Rec'd: 8/19/25 Liber 5716 cp 249 Dated: 12/18/64 Rec'd: 3/10/65 Liber 7410 cp 66 Dated: 5/15/73 Rec'd: 6/1/73 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: ~lffJt1f~'L~LfJPA; Sworn to before me this 1st day of June, 2004 lfVtumu.TV~ NOtarYPublic MARGARET VOLLMOELLER Notary Public, State of New York No. 01V050~469 aualified in Suffolk County,;7o 0 I,tJ Commlssion ExpiIeI Augusl29._ . . PREMISES SOUTH: LIGHTHOUSE ROAD PREMISES WEST: 1000-050.00-04.00-001.000 Marjorie M. Heublein To Simon F. Peavey, Jr. Alfred C. Peavey, William B. Peavey, and Simon Fillmore Peavey, III, being all the heirs at Law and Next of kin of Simon Fillmore Peavey, Jr. To Theodore Dowd and Carol Dowd, his wife Theodore Dowd and Carol Dowd, his wife To Joseph Harrison and Genevieve Harrison, his wife Joseph Harrison and Genevieve Harrison, his wife ./To George K Paleos and Vassiliki Paleos, his wife George K. Paleos and Vassiliki Paleos, his wife To Vassiliki Paleos Vassiliki Paleos To George K. Paleos and Vassiliki Paleos, his wife LAST DEED OF RECORD Liber 1597 cp 523 Dated: 7/21/25 Rec'd: 8/19/25 Liber 5716 cp 249 Dated: 12/18/64 Rec'd: 3/10/65 Liber 6282 cp 307 Dated: 12/18/67 Rec'd: 1/4/68 Liber 8137 CP 555 Dated: 10/30/76 Rec'd: 11/9/76 Liber 11172 cp 196 Dated: 1/11/90 Rec'd: 11/14/90 Liber 12268 cp 159 Dated: 7/9/03 Rec'd: 8/22/03 FIDELITY NATIONAL TITLE INSURANCE COMPANY BY: vJllf:gtl/!-2~!::! JxUI~; Sworn to before me this 1st day of June, 2004 ~CLLt.:kl/~ Notary ublic MARGAAET VOLLMOELLER Notary Public, State of New YOlk No. 01 V05032469 Qualified in Suffolk County _ 74~ v Commission Expires Augusl29, ~ Pennit Number REScheck Compliance Certificate Checked BylDate New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ie Data filename: D:\custom homeslanemoyanis\energy.rck PROJECT TITLE: Anemoyanis COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric DATE: OS/26/04 DATE OF PLANS: 5-26-04 COMPLIANCE: Passes Maximum UA = 519 Your Home UA = 508 2.1 % Better Than Code (VA) ConI. R-Value Glazing or Door U-Factor UA Gross Area or Cavity Perimeter R- Value 0.350 0.400 0.400 61 10 139 176 31 34 57 Ceiling I: Flat Ceiling or Scissor Truss Skylight I: Wood Frame:Double Pane wiIh Low-E Wall\: Wood Frame, 16" o.c. Window I: Vinyl Frame:Double Pane with Low-E Door \: Solid Door 2: Glass Floor 1: All-Wood 10istlTruss:Over Unconditioned Space 30.0 0.0 1774 23 2979 504 77 84 1729 0.440 19.0 0.0 30.0 0.0 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent wiIh Ihe building plans, specifications, and oIher calculations submitted wiIh Ihis permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, Ihey are attesting that to the best of hislher knowledge, belief, and professional judgment. such plans or specifications are in compliance wiIh this Code. BuilderlDesigner Date ~. REScheck Inspection' Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release Ie DATE: OS/26/04 PROJECT TITLE: Anemoyanis Bldg. Dept. Vse Ceilings: [] L Ceiling I: Flat Ceiling or Scissor Truss, R-30,0 cavity insulation Comments: Above-Grade Walls: [] L Wall I: Wood Frame, 16" O.c., R-19.0 cavity insulation Comments: Windows: [] L Window I: Vinyl Frame:Double Pane with Low-E, V-factor: 0.350 For windows without labeled V-factors, describe features: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Skylights: [] L Skylight I: Wood Frame:Double Pane with Low-E, V-factor: 0.440 For skylights without labeled V-factors, describe features: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: L Door I: Solid, V-factor: 0.400 Comments: 2. Door 2: Glass, V-factor: 0.400 Comments: Floors: [] L Floor I: All-Wood JoistlTruss:Over Vnconditioned Space, R-30.0 cavity insulation Comments: Air Leakage: Joints, penetrations, and all other such opeuings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be I) 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. Vapor Retarder: [] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's iustallation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all iustalled heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing V-factors must be clearly marked on the building plans or specifications. Duct Iusulation: ] 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. Duct Construction: [] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. Cooling ducts with exterior insulation must be covered with a vapor retarder. Air filters are required in the return air system. The HV AC system must provide a means for balancing air and water systems. Temperature Controls: [] Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [] Separate electric meters are required for each dwelling unit. 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. 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 trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [] Insulate circulating hot water pipes to the levels in Table 1. 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. Heating and Cooling Piping Insulation: r] HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the levels in Table 2. Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Non-CircuJating Runouts CircuJatin2 Mains and Runouts Up to I" Up to 1.25" 1.5" to 2.0" Over 2" 0.5 1.0 1.5 2.0 0.5 0.5 1.0 1.5 0.5 0.5 0.5 1.0 Heated Water Temperature ( F) 170-180 140-160 100-130 Table 2: Minimum Insulation Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range (F) 2" Runouts I" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressuretremperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigeraut, and Brine 201-250 1.0 1.5 1.5 2.0 120-200 0.5 1.0 1.0 1.5 Auy 1.0 1.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) GRADING PLAN "'.., ~/,' ~~ ., , ~ ~ \ t -~ g:f. ,~. .,,.W A Y~II-.!'!j;. , (l~ . ~ +\0 'q. ~ 'i>, NA;). Y1t' .\~ .~~) ~s SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY. N. 1': 1000-50-04-2.2 SCALE: 1-=40' APRIL 6, 20tU '*1 4, 2004 AUf. 9,2004 (oddiIIoMJ '.F. a. ... 4'_ ~ .........,1. ~ .1" I __ . I 1- ., '" ..If.... !:! 1 : J.: 1 . I I .. I. '"-., ,._.fa. 41 [1] LEACHING P<<Jt. 12' DEEP ltfTJj 3' CLEAN I" _: SANO COLLAlt. 1tDtO~ IlA ltlWAI.. OOWN I.. I TO SANO SP ANO 8ACK1'ILL It/TJj CLEAN SAND.: . -. : ...vn I I -.V4...... ~------~a. H' ;;IItI L ".1' __ a.II' ..... PROPOSED some SYS1EItI [1] 7,000 GALLON SEPTIC rANI<. ~, o 'lilt --------- .-- .~ i . I ,(j) ... , I ~ ~ ro "'.... ~~o, ~ 1'0 t>' ~ .~ ~ f!J'-. ~.... # ..<I ~ "..~~ \')#~ /~at .,~ ;. . I Qr'II fom/liQr wi", ~ STANDARDS FOR APfi'ROVAL J.NQ CONS"fIffJC~ OF SUBSURFACE SEttMo.r DISPOSAL $~ F'OR SINGLE FAMtL Y RCSIO€NCiS qm/ wll I/IIkltf 'y the ctNIditkms Nt forlb tIl~ and "" thfI . pfIIm/t t(1~. . Th. /o(:GtitNl Of..."tIs tmd ~np~s. showrr herllOfl are fram fieJdCJb......<<fQns and or from dt,to obtained from oth.... ~ellOtlon$ refllt"MltJH to on assumed dQtum. ANY ~~ ,.. ADlJlTION TO 110IIS SlIIM'Y ~. A VIOI.A TION OF." ,..... NEW lQi<< $TAtt' tIN/(/A1f9N 4Att: . ~.T.J1'J..~!: .._~.'\.W l;:.-:::~rJl:l'i;"r _. .1oU~ Cit .. .. H II/I'IICS!IETJ ..01' ".... ~ ,,--'nIIr. .. .. . .HCJI6(JN, .. I, "- . - " >:- '. *....iJfI ~.... F'T. ~ .J>"' ~ ~ ".f) '- .....-:....... ~ 11m< __.~: '.1 (~J . 'It$r HOLE 1M 1'A 4/tVCU ... .' El. _ ___ "1' - lIUIIt It............. ,. .... _ fI' N. 'CCNtC . P. . . (~:J7) 76$-!J620 FAX (631) 715-'797 P.D. BQX !JOg '2",. mA~ STReET 04-444 ~"r. 1""" II. H' -- 41' 41' .... GRADING PLAN F.r. CL.. 66' ,," APPRO"4D !'/PC I'INISHQJ "'AiJE a. 82' '- ..., PROPOSED SEP TIC S YS TCM [IJ 1.000 GALLON SEPTIC TANK. SOUND ~ /' <) ... ""- ~ ~ (' ('~ ~ G' O. IUFfOJJC COUNTY DlPAR'IMIlIft'alHBAL11t1DVlClll Pt'nMl1'lI011Iv..-AOVAtOPCOIGI'RlIC'I'lO_A ... iilNGLlWAMu.YllIizIurINC&OllILY . '. i DATE ~lt-~"HS_~. 'L~-\)v..,-~ I ",pi'KCVED ~I.N--- "~'IV- . .', II 1lOIl.~1MaI~'-OOMI I EXPIRES 11IREB YEAlSFIOM DA1E OF MfIIt1VAL .-- SCDHS Ref.# RIO-04-0060 '0 ~ <'~ ..-...~o ""-" v ~.. o. . I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon ore fram field observations and or from data obtained from others. Elevations referenced to an assumed datum. ANY AL TCRA TlON OR AoornON TO THIS SURVEY IS A II70LA nON OF SECTION 7209 OF THE NEW YORK STA TC EDUCA TlON LA W EXCEPT AS PER SECTION 7209-SUBDIII7S1ON 2. ALL CERTlFlCA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. .-PIPE AREA=J1.518 SQ. FT. J.e '000 ~ ,~ JfJ'WC .~. I (€. . I 8r.2' TANK 80.7' I 80.5' ~ I 1 J' r_1.EACHI<<: ~ I I .-oa 11 I I ! ;. ! I I ~-"\ ..-..let. 42' [IJ LEACHING POOL 12' DEEP WITH 3' CLEAN :8' OIAIo/E1El'i': SAND COLLAR. REMOVE MA TCRIAL DOWN I SANO I TO SAND SP AND BACKFILL WITH CLEAN SAND.: .. ~1Et : I I 1..______-' Ct.. 24' <)... ... ~ ~ ('~ It'A 1FR IN BRa""" CUI'I'('Y SAND liWTJ.1 (' ./ G" ....... GRA~ IN LA~ sc U"o t.. j.Jel~'::'; , . j>" \ o <1>0 ~". ~ ~ ~ o --~ '\.-t> .. ..." ~ "'t- "'.... ~ "'.... ''0 ~~ <' <'"" -" '1< 'b. 0 " TEST HOLE DA TA 4/12/04 EL 65' BROYtN Ct..A Yl"Y SAND EL !tl~ ___ 6.7' EL. 24' --- .,,' SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-50-04-2.2 SCALE: 1-=40' APRIL 6, 2004- May 4, 2004 Aug. 9, 2004 (addillonsJ o "F4 I J1t---o ~~ iO~ 'f~Jf'i ((~ O<'"-f. o ~S - "" . 1~ 0'" ')) ~. .--- _~ ~('O"/ ._____ . ~U' // ~(Y ~ri' ,f!' ~~ ~-t-~O ~tl ~r.,1 rf \) ,J;,. ':~"v ~~ ~IJ' IS> "rf -,,~ <(. ~~ G. ~ lJ. ~~ ~"" j (f; c:: po ." C "':;0 en Orn - re-; N :;>;:fT1 !;: C')< 0"" Cc.:; W :z: -t Q -< (01'1 ~ ~~\'::) ~Q~ '" '\u... ~ ~\)"'- "''''j <::,'S"""~<..(,-..~ ~~ \N~( '. , " "oi ~" (f' /,.. " ~. ~ (631) P.o. BOX 909 1230 TRA VELER STPETT SOU THOLD, N. 1'. :. 9 71 04-144 47' _ TFR IN PALE MOflyrlfE ro AlCf)lUM SAND sP GRADING PLAN F.F. n. 66' 4- ~ APPROV[O PIPE AN/SHED GRADe EL. 62' '- I.E. 61.2' fOOO GAL s<pnc TANK I I,E,. ! I ,60.5 ,<.0 I i J' 8'rll.EACHlNC I ~! : POOL 1: : iQ : '-_., _.J [L 42' PROPOSED SEPTIC SYSTEM [1] LEACHING POOL 12' DEEP WITH 3' CLEAN :8' DIA/'/,TEe SAND COLLAR. REMOVE MA TERIAL DOWN I SAND TO SAND SP AND BACKFILL WITH CLEAN SAND.: " CARVEL SOUND [1] 1,0DO GALLON SEPTIC TANK. , '------- EL. 24' '" " " ~ <' .. (> '<:> '-<) ~ . -y <'0 <"~ (> 0 -v'" '0 "I- ~ "1- o~ I om familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FA MIL Y RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon ore from field observations and or from data obtained from others. Elevations referenced to on assumed datum. ANY AL TERA TlON OR ADDmON TO THIS SURVEY IS A 1t10LA TION OF SECTION 72D9 OF THE NEW YORK STA TE EDUCA TlON LAW EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTlFICA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF' THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. e=PIPE AREA=31,518 SQ. FT. 0_0 b \,' ~" o <~ ~ ~ O~ ~ / " '<:> ~~ <' <'~ ? 'to ~~0 " TEST HOLE DA TA 4/12/04 a ~ inl " I . i i i /u ,. N/O/F A IC NGeLO ,DI11cLLlNG RIGAS S rHf;:, /' 74"36'.301- J? ~-'. '" 'V/. .~ o ~.o oi b' \''' ~ ~ BROWN eLA 'rFY SANC WA TER IN BRO'M>l CLA r!"Y SAND ~m GRA VEL IN LA YERS :;C EL 24' i ---141' I L-J 47' WA TFR IN PALE BROVtN FINE TO MEDIUM SAND SP 30 3/ C NO~ I \ SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-50-04-2.2 SCALE: 1"=40' APRIL 6. 2004 AUGUST 9. 2004 (additionsj OCTOBER 28, 2004 (fodtn. iOC.) _~__.~..i o We" -11.........0 ~ ~ ro~ '1tP-t; ""*0 O<"...,~S ", ~o~ :\OV ,IO~ ~ .... 0'1' 1:>'?- ~i"" ~~ 01 Ii< '-' \10 ,f~\o .~ S . j..'V v~ .. ~o 90 ISl 'VO _\'?- ~. '?-~ v' ~ ~ '?-~ j..'V'V Co. (631) P.o. BOX 90.9 1230. TRAVELER SOUTHOLD, N. Y STREET 71971 04-144 . GRADING PLAN SCDHS Ref # RI0-04-0060 ro' ! ! ~"'--_._-', ~ <' <{l. C> '0 .-<:> "" . <<: <'0 <~ ~ 0 "6 't- ~ ~ o~ tV/OR (o-4tVG~LO ~ I1tzL~C) R/C-4S S?4".3F" r" uJO"f SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y: 1000-50-04-2.2 SCALE: 1'=40' APRIL 6. 2004 AUGUST 9, 2004 (additions) OCTOBER 28, 2004 (fndtn, lac.) JANUARY 3, 200? (FINAU JOJ). '22) '2007 (rcvu~/o" ) o ~, F.F'. eL. 66' 4-'" APPROVED PIPF: EL. 62' -- I I.E. ~l I 60.5' .lO I I J' B'_IEACHlNG ~ I I POOL 11 I I I . I I ~ I 1.._, ("'-"IE:L.42' {t] LEACHING POOL 12' DEEP WITH J' CLEAN :8' DIAMETFR: SAND COLLAR. REMOVE MA TERIAL OOWN I SAND ' TO SAND SP AND BACKFILL WITH CLEAN SAND.: .. GAR~L : I I 1..______,,1 EL. 24' ~ {I] 7,000 GALLON SEPTIC TANK. SOUND <y0C:J W A VENUE EXT. ~~V VIE ~ S-V ~(,l . ' .;" ~Cj ;.:"'0 '\ ~ ",~ \~ \5l '0'0' 0-' ,,\0 ~" o \ PROPOSED SEPTIC SYSTEM I III/Q ~ -'4'. ro~ "T-1>.f; ((/.1.-00<'"""-17S '-~ .,. '----. Ii "t. ~v '. ~ " i~:.r, "". ~v Rlo-d-f- CO(~G ~ ~ ~ 00: ~ j- 0" :,\0 f. 0" # ~~ ~-t-'f.O ~\'f.('l O'f. \1 S ~~"V(j~~ cp \5l ,,0 _\~ ~. ~~ (j. ~ l!- ~" ~"" L./ I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon are from field observations and or from data obtained from others. Elevations referenced to an assumed datum. ANY AL T[RA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STA TE EDUCA TION LA W EXCEPT AS PER SECTION 7209-SUBDIVlSION 2. ALL CERTlFICA TlONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID' MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. e=PIPE AREA=Jl,518 SQ, FT. '0 ~~ <' ~ ? "k \ ~.0 " BRO'MI eLA YE'Y SAND SC i ,,0' IY' ~ TEST HOLE DA TA 4/12/04 EL 65' WA TtR IN 8RO~ eLA 'IT}' SAND VtfTH GRA\If"L IN LAYeRS SC --- 6.7' fL. 24' --- 4" WA TFR IN PALE BROWJ FIVE TO Alrn/VAI SAND SP <7' GRADING PLAN SCDHS Rei # RIO-04-0060 F.F. EL. 66' 4" APPROVED PIPE FINISHED GRADE fL. 62' .... I~ 1000GAL. _"r ~ ,,I;,, SEPTIC J,F. I I.E. "" I 61.2' rANK 60.7' I 60.5' ~ I I J' 8', LEACHING ~ I I POOL 11 I I PROPOSED SEPTIC SYSTEM : 10 : r.._, ,._..lEt.42' [1] LEACHING POOL 12' DEEP WITH J' CLEAN :8' DIAIIEIDl: SAND COLLAR. REMOVE MA TERIAL DOWN I SAND I TO SAND SP AND BACKFiLL WITH CLEAN SAND.: " GAR~L : I I [1] 1,000 GALLON SEPTIC TANK. ,------'EL 2~' f"\ ~oc, VIEW A VENUE EXT.~ ~'f-'V g.v 'i'OI . ~ ~'f-Cj .t'yv ,l< o' \~ ~~v rof?:r \.V ~\O N/Oft (OANC~f.O WeLLING) RICAS S74"3.6' r ~ 301- SOUND ci ob' I>' r-'" . I . ~, ~ <:> "\ <t< C> '0 '-<) ~ .,<<: <0 </'1,; 9" S- -?~ ~ ~ o~ ~ ~ % ~ ~ D c",I- c,o ("U f,P- '-' - . ~,. '1 --/ .~ . .- - .....,., "..... ~ '0 ~~- < '<"" ~~ o.~ " tfl'J. I>' I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. The location of wells and cesspools shown hereon ore from field observations and or from data obtained from others. Elevations referenced to an assumed datum. ~ TF:ST HOLE DA TA 4/12/04 EL 85' 8RQWoI CLA ~y SAND --- 8.7' AN Y AL TERA T/ON OR ADDITION TO THIS SUR VEY IS A VIOLA T/ON OF SECTION 7209 OF THE NEW YORK STA TE EDUCA T/ON LA W. EXCEP T AS PER SECTION 7209-$UBDIVlSION 2. ALL CERT/FICA TIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. eaPIPE AREA=31.518 SQ. FT. . ,. WA7E'R IN 8RO'ItN CLAn:y SAND ~TH 'C" GRAVEl IN LAYERS S": ,..11.('" EL. 2~' --- ~t' WA TE:R IN PALE BRO""" FINE TO MEDIUM SAND SP ~7' - SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y 1000-50-04-2.2 SCALE: r=40' APRIL 6, 2004 AUGUST 9, 2004 (additions) OCTOBER 28, 2004 (fndtn. lac.) JANUARY 3, 2001 (FINAL) Jt:U}. 'Z'2.J 2,oc::.7 (r4W ~J 0,1 ) o ~l I 111.....-0 ~ 4,., ro~ A/~..r, ((~ O<~ o I\I,Is . 1~ 0" 'll ct ~O.j) f.ci' # ~'f- 'i't-~O '\\0 'i'O\~\l (:) 'V-i-"-S 'f-~ ~O ~ "Ov .~t' ~. '" v' ~ v. 'f-~ -i-v . fF8 2' CONIC S YI (631) 765 5020 FA P. O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.1. 11971 04-144