HomeMy WebLinkAbout33027-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32934
Date: 03/19/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 575 JACOBS
(HOUSE NO.)
COunty Tax Map No. 473889 Section 88
LA
(STREET)
Block L-
SOUTHOLD
(HAMLET)
Lot 1. 4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 2, 2007 pursuant to which
Building Permit No. 33027-Z
dated
MAY 11, 2007
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 DECK ADDITION AROUND AN EXISTING INGROUND SWIMMING POOL WITH
FENCE TO CODE AS APPLIED FOR.
The certificate is issued to JAMES V MASELLA III & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE 11IO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
d~S' d-d-\ ~
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
I .
APPLICATION FOR CERTIFICATE OF OCCUPANCY
18
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 nse:
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 fonn).
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 PI arming 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,
Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. 3' I 8 ({) I?
"---~
Location of Property:
V
575
House No.
Old or Pre-existing Building:
(check one)
New Construction:
:T ~b"S Ln
Street
Sou...+ho/d
Hamlet
Owner or Owners of Property: ~ Ml(/<:' illCt \e..-ll GL.
Sum,lk County Tax Map No 1000, Section g'g- Block
Lot
1'-/
Subdivision
__ Filed Map.
Lot:
Permit No. 33oJ.i 7- Date of Permit.~ll' I 0 1
Applicant_,JQ..mt'S fY0:)e 110.......
Health Oept Approval:
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
Co 2~&) 3, '-f
\20 L.. l~c; ~ ~
V:A' ~ 5=+o-r~
Applicant Signature
FORM NO. 3
..
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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.
33027 Z
Date MAY
11, 2007
Permission is hereby granted to:
JAMES V MASELLA III & ANO
95 VANDAM ST, #3R
NEW YORK,NY 19913
for :
DECK SURROUND TO AN EXISTING ACCESSORY INGROUND SWIMMING POOL
AS APPLIED FOR
at premises located at
575 JACOBS LA
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0001
Lot No. 001.004
pursuant to application dated MAY 2, 2007 and approved by the
Building Inspector to expire on NOVEMBER 11, 2008.
Fee $
100.00
=kt~ 0lL
I Authorized Signature
ORIGINAL
Rev. 5/8/02
j 3D 1 7~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [~AL bcUL ~ /?rv-(
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: cf(~'T CO
/
/'
,/ /'
/ /
&/
DATE j {S-10J-
I t
INSPECTOR
3jtJ 'J-7 2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
t><( FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECnON
[ ] FIRE RESISTANT CONS11UJCTlON [ ] FIRE RESISTANT PENETRATION
,
REMARKS:
DATE S- J-I - 07
INSPECTOR ~ ~t~
33oJ-7+-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
[
[
[
[
[ ] FIRE RESISTANT CONSTRUCTION
NSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE,SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
DATE t;jr (0)
{
INSPECTOR
.
FIELD INSPECTION REPORT
FOUNDATION (1ST)
-------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
DATE I
COMMENTS
,
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INSULATION PERN. Y. --
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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TOWN IM'SOUTHOLD
BUILDING DEPARTMENT
'AI TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9S02
www. northfork.notlSoutboldl PERMIT NO.
330ol-7z:.-
BUILDING PERMIT APPLlCA nON CHECKLIST
Do you have or need the following,. before applying?
Beard of Heal'"
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
CODlld:
Examined }/; / 2001
APprOVed~2007
Disapproved ale
MIDI to:
Expiration
11/// .20m
I
Phone:
f:
-u~
Building Inspector
21
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ----.!JAy
.2007
a. This applicatioo MUST be completely filled in by typewriter or in ink and submitted to the Building Inapector with 3
sets of plans, accurate plot plan to scale. Fee according to scbedule.
b. Plot plan showing locatioo oflot and of buildings 00 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
sball be kept on the premises available for inapectioo throughout the work
e. No building shall be occupied or used in whole or in part for any pmpose what so ever until the Building Inspector
issues a Certificate ofOccapancy.
f. Every building permit shall expire if the work anthorized bas not coounenced within 12 mooths after the date of
issuance or has not been completed within 18 months from such date. If no wning amensbnents or other regulations affucting the
property bave been enaeted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
additioo six months. Thereafter, a new permit sball be required.
APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit porsuaut to the
Building Zone Ordinance of the Town of South old, Suffolk County, New York, aud 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, aud regulations, and to admit
authorized inapeetors 00 premises and in building for necessary inapectioos.
~:t:-~J:~naS.~fa~on~ct :tV1(.
lO l\AltJ ROAD ~Vt~h~o- d IJV
(Mailing address of applicant) 111\0 (
Builders License No.1 '-I 373 - H I
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location Qfland on which llfOJlOsoo. work will be done: \ I
ST"J5 ..JAc.obS \..o..Vle.. SOvho \<1.
House Number Street 0 :i' ~ Hamlet
County Tax Map No. 1000 Section' \ Block 000 I Lot CO (. O:::llf
Subdivision Filed Map No. Lot
(Name)
.
2. State existing use and occupancy of premises 'Jqd inteqded use and occupancy of proposed construction:
. a. Existing use and occupancy ~e~ \ de \'lee..
~. b. Intendeduseandoccupancy ~~OOl\A \e\Je.l..- De..G't Avz,ouI.I\J ?oo(...
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated CostJ .1 0) ~~()
Addition
Other Work
Alteration
3-ROLlV\th. \,,-ve.\ DecK- o..'Ro,,,,,,l
(Description) -y'l::OL--
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
a
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
AJh
I
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with aReratlons or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Fonner Owner
II. Zone or use district in which premises are situated ~ e <;; ~.. IA C. e..
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_ NO ~
14. Names of Owner of premises ;J MO!>~k~xJl~ 515 JJ\(.o~51u.\lt.phoneNo.
Name of Architect Address Phone No
Name of Contractor Bob c..or.hr~-k()~AddreSS 10 ~4;^ ~~PhoneNo. 1.0'i?-'ii'O~b
~cztD~(.(, i\J~~\c.e...d. .../
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? . YES_NO ~
. IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MA Y !l~ REQUIRED.
b. Is this property within 300 teet of a tidal wetland? . YES_NO ~
. IF YES, D.E.C. PERMITS MAYBE REQUlRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17, If elevation at any point on property is at to feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
. SS'
COUNTY OF),AiiA'
K. 0 0:::(+ S (' u .,,~~:J r. being duly sworn. deposes and says that (s)he is the applicant
(Nameo! individual signin~con .) aboVFed,
(S)Heisthe]>r es le I~r '\
(Contractor, Agen~ 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 oontained in this application are true to the best ofbis koowledge and belief; and that the work will be
performed in the manoer set forth in the application filed therewith.
Sworn to before me ~
( . day of C-.y
C:.jA.-ll ~~ 11'(
\ 6Ilc
E
/
CYNTHIA BUNCH
Notary Public State of NY
No.01-BU6033m
Qualified In Suffolk ~
Term Expl_ 12/Oll(08
Royal Fence & >eck, Inc.
70 Main Rd
-Riverhead, NY i1901
Tue Apr 24 08:h':52 2007
30 View
~ 1105\;'" (t1.AS~lh)
57 5JeA. ( l) 10 $ I 'Joe...
sllvl--tolJ
rV-YJIJt€WPANC
~E IS UNLh :UL
'HOUT CE r IF/CATE
)CCUPANC' f
",
APPROVED lIS NOTED
DATE: :,1/1(7 e,' ;}3o c} 7t:.
FEE: J efl' ." , !(-1L
NOTiFY' BU'l[;.'~-" 'lIMENT AT
765.1802 8 A'," A FOn THE
FOLLO\';::~~; L\,:-
1. Fe. ;';r~'/\TiO:.
FC'~,: FO~.I.':::'::
2. ROL_';"_~H _ ;:--
3. IN~~ji.....\E>,
,):
i~EQUiRED
:.:TE
'\.UMSING
4. FiNAL - C-.,~"
.. 1 MUST
BE COII,/?~ }.
ALL CONSTf,L< :"c MEET THE
REQUIREMENTS =)F Th ")"S OF NEW
YORK STATE. NOT~"c::",)iBLE FOR
DESIGN 'JR CONSTRJCTiOi~ ERRORS.
RETAIN STOF' ti,,(fC'i' iMJoFF
PURSUANT Tl ",'CD
OF THE TOWN:'OC)E
'his view is a t:ree dimensional view of the deck.
:onsult your loc,l buildinq department for your correct building code and fastener requirements.
'ortions Copyrig-:_t Cl 1989-2003 Cad Quest, Inc.
;ig Hammer DeckB.t, Version 5.5.0, Copyright e 2003 Big Hammer, LLC.
loyal Fence & DI'd<, Inc.
'0 MaiQ Rd
-tiverhead. NY 11901
'ue Apr 24 18:1lt45 2007
leek Dimenslom, for Deck 1
15 .-,-;,
l~.-
58'
,!i .S 'q 18' (;i'ij' -- "g ..9'" 13 ' S',--
,i! . - ..9 .- ,f/ .9" -
1 , , 1
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= ],6 in. Q.C. v'" '?''' -, </.
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,ng = 3 3/4" 1r::f ~ll "";Ii
3 3/ " ~ . l~ I,,' ',ii\ 111
= 4 " J . .1 >..:/I'D
Joist Spacing
Baluster Spac,
Toe Spacing =
Railing Heigh I
5 view is a gen1:ral outline of the diJDensions and/or substructure layout of your desiqn.
l deck is to be attached to your house, make sure a soli.d connection can be made.
~ design should be checked by a qualified professional or inspector.
suIt your local building department for your correct building code and fastener requirements.
! local buildin;;; codes require different beaa to post connections than what is shown.
:10D8 Copyright ~ 1989-2003 Cad Quest, Inc.
Ha1UIller DecltBot. Version 5.5.01 Copyright C 2003 Big HumerI LLC.
.
.
Royal Fence & Deck, Inc.
70 Main Rd
Riverhead, NY 11901
Construction Specifications:
Deck 1:
Construction Method= Beam Flush With Joist
Footing Type= Pier In-Ground
Footing Depth= 36"
Live Load= 60
Dead Load= 10
Decking Spacing= 114"
Joist Spacing= 16"
Beam Spacing= 60"
Post Spacing= 60 1/16"
Decking= 514 x 6 .40 Treated Southern Pine No.2
Beams= 2x6 .25 Treated Southern Pine No.2
Joist= 2x6 .25 Treated Southern Pine No.2
Post= 4x4 .40 Treated Southern Pine No.2
Deck Height= 12"
Diagonal Bracing= Yes
Deck Skirt= No
Decking Deflection Factor- 240
Joist Deflection Factor- 240
Beam Deflection Factor- 240
Stair 1:
Step Width= 192"
Step Height= 12"
Step Rise= 6"
Step Run= 11"
Stringers= 2x12 ACO Treated
Risers= 5/4 x 6 ACO Treated
Treads= 5/4 x 6 ACO Treated
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SURVEY OF
LOT 2
MAP OF
DEERFIELD FARM
FILE No 10596 FILED "ARCH 27, 2001
.')'ITUA TED AT
BA YVIEW
TOWN OF SOUTHOLO
SUFFOLK COUNTY, NEW YORK
S.C TAX No. 1000-88-01 - 1.4
SCALE 1"=40'
APRIL 10, 2001
FEBRUARY 25. 2005 UPDATE SUR\i[Y
APRIL '7 2005 RCVISED AS PER SCD HS NOTICE J/31/0'i
Af-'RIL 1 g, 2005 ADDED PROPOSED HOUSE
MAY 20, 2005 FOUND,AllON LOCATION
AUGUST 26. 2005 FINAL SURVEY
AREA'" 43,650.00 sq. fI
1.002 oc
CERTIFIED rQ_
FIRST AMERICAN TITLE INSURANCE COMPANY Of NEW YORK
CITIMORTGAGE, In,
JAMES V. MASELLA III
JESSICA f.tORDAS f.tASELLA
fI~
flooO ZONE l~rOR~AT1OI; l~K(~ f~O~
rlOOO 'NSUAAHC( AAT( ~"P ~o. 3510~CO'~~ G
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'$OOAA[",,,,,mo-..s""""ClID",U\'U'SI"ROl.l'OO_~f1.000
lON" AO[AS OffiJ>~IN,o '0 [l( "'-"'SJO' 5OO_((.OIl rtOOOPlAIN
MEASUREMENTS fROM BUILDING CORNERS
TO SEPTIC SYSTEM COVERS
DESCRIPTION CORNER CORMER@
SE?TlCTANK ,,' ,,-
lEACHING?OOL .' ". ".
UACfJING?OOl " ". )~.5'
UACKING POOL .' ,,- ".
t-lJ.S. UC No. 4%50!1
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TO """ SuRvo IS ~ V'IOl),TIC:>< or
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Surveyor
=rICAT1ONSINO"""ITO~rnEON~""N
ONLyrOTl<~l'OlSOt<;ORl'I'>>O>oI"<(S~
os PRl)>AAfl>.'-"O <lHHlSoo.....""T>Il:
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TH[ [X'SHHCE or R'eHl or wM5
~HO/o~ E..SEIo!(HT5 or R(CORI). "
~N~. Nor S>+OW~ UE HOT GU..R....TH~
l'ItI.S"fY.y,_S""",,..;,iam
set. Pl"M - Co~Nctio" lay<>u'
PfKlN[{6.l1)i27-2090
fa> (6-.\1)727-1/27
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P,O.Bo,1931
R"'e,h~d, ~.... yo<!< 11901_0965
IYFn:SllX"/Ul,o.T
JU RC\A~OK< ~VU<u<
RNEIIHl:AD ~O~ Yo'" 11901
Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes No
EXEMPTIONS: . ,/
A. Does this project meet the minimum standards for classification as an Agricultural Project. ~
,Note: If you answered Yes to any ofthe above, a Storm.water, Grading, Drainage & Erosion Control Plan is not required.
----------------------------------------~--------------------------
ACTIONS. REOUlRING THE SUBMISSION OF A STORM-WATER, GRADING. DRAINAGE &. EROSION
CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (A Check Mark (J) for each question is required for complete application)
1.
Will this project retain all Storm-Water Run-off generated on Site?
(This will include all run-off created by site clearing and/or construction activities as well as all
Site Improvements and the permanent creation of impervious surfaces.)
Yes
No
2.
Will this project require any land filling, grading or excavation where there is a change to the
natural existing grade involving more than 200 cubic yards of material within any parcel?
,,/g
(d/
gv
[dV
Id~
gJ
gJ
(dJ
Note: If any answer to questions one through eight is answered with a check mark in the Box, a Storm-water, Grading,
Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit.
3.
Will this application require land disturbing activities encompassing an area
of five thousand (5,000) square feet of ground surface or more?
-------------------------------------------------------------------
4.
Is there a Natural Water course running through the site or is this project within
One hundred (100) feet of wetlands or a beach?
STATEOF~~~~F Sv++o\K S8
That t. RI:l ~(.~1 ~k~.. -J (L berng duly sworn, deposes and says that he/she is the applicant for Permit,
(Name of mdlvldual signing Documez:..
And that He/She IS the Q V\ \:0\ c. to!1--
5.
Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to
One hundn;d (100) feet of horizontal distance?
(Owner, Contractor, Agent, Corporate Officer, etc.)
Owner and/or representative of the Owner or Owner's, and is dnly authorized to perfoml or have performed the said work and to make
and file this application; that all statements contained in this apphcation are true to the best of his knowledge and belier; and that the
work sill be performed in the manner set forth in the application filed herewith.
6.
Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off
into and/or in the direction ofa Town Right-of-Way?
7.
Will this application require the placement of material, removal of vegetation and/or the
construction of any item within the Town Right-of-Way or road shoulder area?
(This item does not include the Installation of driveway aprons.)
8.
WilI there be site preparation within the one hundred (100) year floodplain of any watercourse?
Sworn to before me this;
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Notarypnbhe~. flCC;.
LINIM P. IWlDCll.PH
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SURVEY OF
LOT 2
MAP OF
DEGRFIELD FARM
FILE No. 10596 FILED MARCH 27, 2001
SITUATED AT
BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.c. TAX No. 1000-88-01 -1.4
SCALE 1'"=40'
APRil 10, 2001
FEBRUARY 25, 2005 UPDATE SURVEY
APRIe 12. 2005 REVISED AS PER SC.D.HS. NOTICE 3/31/05
APRIL 19, 2005 ADDED PROPOSED HOUSE
MAY 20, 2005 FOUNDATION LOCATION
AUGUST 26, 2005 FINAL SURVEY
AREA = 43,650.00 sq. ft.
1.002 ac.
CERTIFIED TO.
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK
CITlMORTGAGE, Inc.
JAMES V. MASELLA III
JESSICA MORDAS MASELLA
---"'-'-'
NOTES.
1. flOOD ZONE IHFOIlWAnON TAK[N FROW:
flOOD INSURA),IC[ RATE WAP No. 36103COl66 G
lONt y' NltAS 0, 500-YfAR Fl.CXlO: AREAS or- 'OO-"r8\R fLOOD Wffi-I AVE:RAGf
DEPTH OF LESS 1l--\I\N 1 FOOl 00 Wll1-! DR.aJf'i.I<G( AA:EAS lESS THAN
1 SOI..JAA( )JILL: AND AADS P'ROIl:CTED BY UVEES FRON l00-YEAR rtooo
lONE ~ AR(AS DETIRWINED TO 6( 0UT5l0E 5OO-yfAR f1..CXlOPtAIN
MEASUREMENTS FROM BUILDING CORNERS
TO SEPTIC SYSTEM COVERS
DESCRIPTION CORNER CORNER@
SEPTlC TANK 31' 13'
lEACHING POOL #1 24' '4'
lEACHING POOL #2 36' 33.5'
LEACHING POOL #3 4" 24'
UNAUTHORIZED AllUV.1K1N OR -'DomON
10 THIS SURVEY IS A VlOl1oTJOH OF
SECllON 7209 CT mE N[W YORl<: S1ATf
EDUCATlOf,l LQIj
COPIES OF mlSSlJ~loLAJ' NOT8EARING
THE lANO SlJ!M'r'OR"S 1N1<l:.l) su.l OR
00l8OSSED SEAl. SIiAU NOT BE CONSIDERED
TO 8[ A VAllO 1RlJE COPY.
i
j
r
.'
N.Y.S. Lie No. 49668
A. Ingegno
Surveyor
C8mFICATlONS INOIC,O,Tro HEREON ~ RUN
ONLY TO THE pq60N FOR WHOt.l mE SURVEY
IS PREPARED. .oHO ON HIS auw5 TO THE
n-ru: COIotPmv, G:O'If:RNt.l()(T1oL -"GENC'Y #10
LENDING 1NSlTTVT1()N USTID HEREON. ANO
10 THE ASSIGNEES OF THE: LDlDlNG I"ISTI-
TVTlON CER1JflCA.T1ONS)p.E NOT TR/l,>lSFEAA&1
fflle Surveys - Subdivisions
Site PrOM - Construction layout
PHONE (631)727-2090
Fax (6JI)727-1727
MAlUNG ADDRESS
P.O. Box 1931
R.....erhead. Ne... yon. 11901-0965
TH( EXISTENCE OF RIGHT OF WAYS
AND/OR (,I,SEWENTS OF RECORD. IF
"'NY, NOT SHOWN "R( NOT CUARJI,JojTE:(C.
OfTIC[S lOCA rm AT
322 ROANOKE AVD-/UE
RNERHEAO. toe.. York 11901