HomeMy WebLinkAbout33078-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33144
Date: 07/09/08
THIS CSRTIFISS that the building ALTERATIONS
Location of Property: 1775 INDIAN NECK LA PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 86 Block 5 Lot 9.1
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 18, 2007 pursuant to which
Building Permit No. 33078-Z dated MAY 25, 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 INTERIOR ADDITIONS AND ALTERATIONS,INSTALL NEW HOT TUB, INSTALL NEW
AND SECOND FLOOR DECKS, NEW REFLECTIVE POOL, NEW SCREENED IN PORCH.
The certificate is issued t0 DONNA MARIE IGLESIAS WEXLER & ANO
(OWNER)
of the aforesaid building.
SIIFFOLR COONTY DRPARTl~NT OF HEALTH APPROVAL
HLSGTRICAL CERTIFICATE NO.
PLDFII4SR5 CERTIFICATION DATBD
119408C 12/07/07
06/09/08 PECONIC PLUMBING
u or' ed $ gnature
Rev. 1/81
.~nn~, - ~3~-!gyp
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 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.
S. 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 Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $.2S
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 ~./
Date. ,~'~ ~~ ~O ~5
New Construction: Old or Pre-existing Building: ~ (check one)
Location of Property: ~ ~'~-'~ ~~. ~v c~ ~.px,(L
House No. `Street Hamlet
Owner or Owners of Property: _~~~ ~ /~Q~~p
Suffolk County Tax Map No 1000, Section ~ Block ~ Lot ~,
Subdivision Filed Map. Lot:
Permit No. ~.~U7f~ Date of Permit. f ~~f .~ ~ Applicant: _,
Health Dept. Approval' Underwriters Approval: /~C~ `/ -7.p~
Planning Board Approval: -1.~ K'
i
Request for: Temporary Certificate Final Certificate: __ r/ (check one)
Fee Submitted: $
~f ~L' y ~"1/~ ~/ Applicant Signature
~/ ,~
~ <. ~.
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. 33078 Z Date MAY 25, 2007
Permission is hereby granted to:
WEXLER
INDIAN NECK LANE
PECONIC,NY 11958
for
INTERIOR ALTERATIONS ONLY TO AN EXISTING SINGLE FAMILY DWEELLING AS
APPLIED FOR ND T.~~ '~( Ll./~ I (I..- nC~C A'P~l~pV~iJ'
at premises located at 1775 INDIAN NECK LA PECONIC
County Tax Map No. 473889 Section 086 Block 0005 Lot No. 009.001
pursuant to application dated MAY 18, 2007 and approved by the
Building Inspector to expire on NOVEMBER 25, 2008.
Fee $
200.00
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL _
SOUTHOLD~ NYTI971
TEL: (631) 765-1802
FAX: (631) 765-9502 -~
www. northfork.net/Southold/ PERMIT NOt~ ~~~~c ~~
Examined ~/ ~ 20
Approved ,20
Disapproved
~,
~-.",
J ._
APPLICATION FOR
Mail to: ~T\,A ~,.~1~~~.y
l t 7~ ~.Ja->Jv X9.0 t~-D . ~ . ~l y
Phone: ~ 3 is - 1 ov a
~'b5-y3uc>
~ ri ~ ~ Date ~~ t ~ ~ , 20 a`~
Ci~~r`t -'~ INSTRUCTIONS
a. yT~ris applicat~MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets o plans,ipccur$Ce plot plan to scale. Fee according to schedule.
~t plan showing location of lot and of buildings on premises, relationship [o adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
~ ~ ~ l-~.~r 1-~;xe ~ _ ~~1d2 ~ ~1
(Mailing address of plicant) ~~Q~~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~I~1,,~: W 1,..y ~e~
(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. - a,~, 0 ~( -~ ~ ~ C~,:~-~,,r
Plumbers License No.
Electricians License No.
Other Trade's License
1. Location of land on which proposed work will
~ l-~~S S-~.~r. ~1eJtL I~ ~ ecc~.s,~. ~~1 ll~.
House Number Street Hamlet
County Tax Map No. 1000 Section
Subdivision ~ ~ ~ --r/ ~-b0~;
(Name)
~i
Board of Health
4 sets of Building Plans /
Planning Board approval
Survey /
Check
Septic Fonn
N.Y.S.D.E.C.
Trustees
Contact:
r~~e.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy r~S,~C~,~~Q
i
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition~Alteration_1.~, ,J~,~
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 1 00 000 ? Fee
(To be paid on filing this applicaation)
5. If dwelling, number of dwelling units ~ ~F~ca-~cNumber of dwelling units on each floor ~ 2''"~~i ~o~r ~1~
If garage, number of cars o2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front y~ Reaz ~ b Depth 3'i
Height ~ ~~ Number of Stories ~t llv
Dimensions of same structure with alterations or additions: Front '~~ Rear 'y~
Depth ~b Heig~ht,~p,, ~ ~~¢~ Number of Stories ~~(~
8. Dimensions of entire new construction-F't'oii7 ~ i Rear 3 I Depth i c~
Height n Number of Stories c~
9. Size of lot: Front I SD • Reaz ~ ~ 3 . o I ~ Depth ~ i . ~ ~
10. Date of Purchase ~~ t IZgo~ Name of Former Owner l~„~tQ ~ ~a,~.,. ~'~w-...~-
11. Zone or use district in which premises aze situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~
13. Will lot be re-graded? YES NO~WiII excess fill be removed from premises? YES NO (~
~E i • i 30 ,~
14. Names of Owner of roremises~ti.n ~.o~Qx Address 11~J.,,-t 41~LG I~ ~ Pho e N\o. b 3 ~' fr 3 ~ .ion v
Name of Architect
t~0 1~ ] 1L ~;.~.~1.~
Name of Contractor Address Phone No.
.us S b
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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)
S:
COUNT((Y~~OF w
(Name of individual signing contract) above named,
(S)He is the
being duly sworn, deposes and says that (s)he is the applicant
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to b fore me thi
~ay of 20~
Notary Public
~ ^vv' w~ yolwPrrep
~+~awla y r.w.lo
ower-wua ~
M+oA MeN W NRS'J11WY AW10N
F~•~ir1ONNH'd VONr1
~.0~
Signature of pplicant
~~ ~ ~
Emircs ,~ 2~o i0
3308-~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING /STRAPPING
[ ]FIREPLACE 8~ CHIMNEY
[ ]ROUGH PLBG.
[ ] IN
[ FIN L
[ ]FIRE SAFETY INSPECTION
DATE INSPECTOR
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION
1ST (
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FOUNDATION (2ND) i ~
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ROUGH FRAMING &
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INSULATION PER N. Y.
STATE ENERGY CODE -
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FINAL , t
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ADDITIONAL COMMENTS
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Electrical Inss~iection Certificate
Issue Date Electrical Inspection Service, Inc. Application Number
12!72007 375 Dunton Avenue 119408C
East Patchogue, New York 17772
(637) 296642
Issued To: Ms. Donna Wexler
Street: 1775 Indian Neck Lane
Village: Peconic
Zip: 11958 Town: Southold
Section: 083.00 Block: 05.00 Lot: 009.001
Contractor: Elec-Tec Electrical Contracting Lic. # 4814-E
Was examined and found to be in compliance with the National Electrtcel Code.
IJ Commercial ^ NV Dehtcts I l Pool Cx 7st Floor [XI Indoor I l Basement (X) Hot Tub
i~ Residerdial l_] Det Garage ~ 1 Attic UPI 2nd Floor Lxl Outdoor Addition I Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
70 41 115 10 5
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
3/20a 1 20 1 30 1 Gas 1/20a
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
4
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/ 1/20a 1
Bldg. Permit: 33078
Other Equipment
__ - -
15' Plug Mold/ 5-20 amp Spec. Outlets/ 1-50
mp Hot Tub Disc.
~x/ ; Q~c.~~~
Hugo S. ul di
President
Rough Inspection: 10/032007
Inspector: John Mc Mahon III
Final Inspection: 1 210 62 0 0 7
Inspector: John Mc Mahon III
This certificate must not be altered in arty manner. Inspectors may be identifred by their credentials.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
O~g~FFO~,~co
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Fax (631) 765-9502
Telephone (631) 765-1802
Date: ~ - ~ ~ O
Building Permit No.
33b7t~ ~
Owner: ~~~u ~~>~{ ~X
(please print
Plumber: ~~.C'OVl ~~L ~~°~'~~
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(P bers Si e)
Swom to before me this ~-
day of ~i.~n P _ 20~
\ ~ n
~~~
Notary Public, County
pyMpap~o, t. torex
~ t~dNewlMk
Ne.01 06070081~ry
R'
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To:
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o ~'~~.~'
--, ~~
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
Town of Southold Building Dept.
Date: October 9, 2007
Re: Insulation Inspection
Wexler
1775 Indian Neck La.
Peconic, NY
Permit #33078
To Whom It May Concern:
After an Insulation inspection was performed on the above structure, it is deemed that all
work was done as per plan, and meets all state and local building codes at the time of
construction. Any other questions please call.
Y
Deerkoski
2 ~~UI
JAMES J. DEERKOSKI, P.E. __~
260 Deer Drive -' N~, ~
Matrituck, N.Y. 11952 ~-- - ~"
(631) 298-7116
Date: October 1, 2007
To: Town of Southold
Rc: Foundation/ trapping/Praming/Plumbing Inspections
Wexler
1775 Indian Ncck La.
Peconic, NY
Pcrmit# 330782
'fo Whom It May Conccnr:
Tlus letter certifies that all wind strapping on the above mentioned project is in tact, and
meets all state and local building codes. A Foundation/Framing/Plumbing/Insulation
Inspection was also Performed on this Struc~re, and the Foundation, and all framing,
Insulation, and Plumbing was done correctly and also meets all state and local building
codes. A pressure test was also performed on the waste/water plumbing systems. Any
questions please feel free to call.
,,
P.E.
1 awh
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
,~ Region 1, Regulatory Affairs
Bldg. 40 SUNY Dt,tl-y Attictlu(S't
Stony Brook, NY 11790-2356
(516) a-44-0365
TIDAL WETLANDS .TLIRISDiCTIONAL INOUiRIES
For us to determine that the Department does not have jurisdiction, you must provide documentation that your
projecUproperty satisfies one of three conditions (please see I,II, and III, below). Please make sure that your
inquiry includes all required documentation. Inadequate submissions or discrepancies cannot be interpreted in
your favor. All inouiries must include:
1. A cover letter (or application form) stating the reason a determination is needed; nature of project; address
of property in question; name, address and telephone ntwber of landowner; and the same information for
any authorized contact person (authorisation letter required).
2. Recent clear photographs (dated) showing relevant conditions at the site.
3. A location map showing the property in relation to local roads and landmarks.
4. Documentation as explained below (I,II, or III).
If the projecUproperty is:
I. Landward of a substantial man-made structure that is greater than 100 fe°t lono was constructed prior to
Austtst 20, 1977, and has remained functional:
Provide two copies of a stuvey of the site dated before Auatrst 20. 1977 which the clearly shows the structure
(i.e. paved road, bulkhead, seawall, retaining wall, etc.) and confirms its length. Two copies of a plan
showing all proposed construction must accompany the survey. Photographs must show entire structtue. If a
survey cannot be provided that confirms these conditions, you must provide a copy of the tidal wetlands aerial
photo map* indicating the location of the property in question and clearly showing the structure.
_~
II. ~)~ndward of the ]0 foot (MSLI elevation contour on a eradual. rtatural sloce: or landward of the
Provide two copies of a survey of the site showing the exact location of all proposed construction (including
clearing, grading, excavating and filling). This survey must show elevation contour lines at two foot intervals,
must be completed by a licensed surveyor, and must'Iie efeienced to United States Geological Vertical Datum
(liSGVD).
III. Greater than 300 feet from tidal wetlands:
Provide two copies of a survey of the site showing the exact location of all proposed construction (including
ci;aring, grading, excavating, and tilling). In addition, provide two copies of a ]arge scale map showing the
par:;el in relation to the wetlands or apparent hilt, water. If a map cannot be provided. you must provide a
copy of the tidal wedands aerial photo map* indicating the lotaton of the property in question.
To obtain an aerial photo map, contact Nassau-Suffolk Blueprin[ Co. (516-234-0666) with specific site
iocation information or the map index number. The map index numbers are obtainable from:
\assau County Clerk's Office.
Suffolk County Clerk's Office,
-Vl Town/Villa;e Clerk's Offices
~~"
~, f'^
.y '.n ~~
,_, --~_
New York State Department of Environmental Conservation
Buildi~gt~p~~~~, Stn4~Bro~~c4NgY~~f~rk 11790-2356
Facsimile ((5161) 444-0373
-.
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j` "! ~N11'~ Q Y/ Ct I~ '9 Y'C J'I LVPG i'I C-
~(~~1 yld ~~~..,. ., ~~Jx ~l
C.~,,,,,~,. NY rr~a'
Dear !~l ti •+- l~ ,.Y ~~ , c n E-
Thomas C. Jorling
Commlasioner
/
~J ciK ~~to/:f. N~ /(Y7(
Based on the information you have submitted, the New York State
Department of Env//ironmental Cons//ervation has determined that:
9 7 . ~ (Q / P, ~- /r // JJ
J E ~ !~"~` /[~ w~tr,.~ o t ia~ f~'rC E'/eV4C~,b
h CCU Y/ fc' (y r
r I ~it O 'w .-y cv .'1
i'J t ~~: al ~"~ 9 rc/,
l~, : K ~ c)): , -~ c l ~"~ h
iS
/'G//!i
Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations (6NYCRR Part 661) no permit is required under the Tidal
Wetlands Act Please 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
necessary 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 betweer_ the tidal wetland jurisdictional boundary and your
project (i. e. a 15' to 20~ wide construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
Very truly yours,
cc:~~ /~~ ~j7 Deputy Regional Permit Administrator
~'
.~ o h h l /y'e7z~ +°r
~^
COLOR
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TRIM
~~
BI g. 3 b ~ Foundation Both 3 Dinette ~
. = x n Z oYY~
Exsten ion ~ x ., Z 3 50 5'3 Basement Floors K. ' __
ens on ~ x Fd ' ~~~ ~~ D3 ad Z Ext. Wolls ~,~y~ ~ Interior Finish LR. '
a:
;Extension
Fire Place
~
Heat
DR. -
Type Roof Rooms 1st Floor BR. 3
tch Recreation Roo Rooms 2nd Floor
rch /D X /Z - ~ Zp lb 2 °`o Zt~ Dormer
`-
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~ 03
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Driveway
Z SYYI.kL~- 51+eDs 06 10"D
6~ ~ .
N.
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NOr>_, : 5 1 3 a 200
`; ;' i,~y;"~ - ~ No'fE ~• ~ -h.ird 5-h~ I S Fi IJ~ 51{'E~ AS o F 12~348b
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OF SOUTHOLD
PROPERTY
RECORD CARD
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OWNER STREET ~ 7 VILLAGE 1
ST.
D SUB. LOT #
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FORMER OWNER N ACR.
Yo/t~i ~ ~A ~CU-oLQ,nS I~-~
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Q T s W TYPE OF BUILDING
RES. ~ ~ SEAS. VL. ' FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS N r' ~ is .~ ~ :./,a! c r • / Ae .
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3a~ i '' ~-/Y-6s- 7 S-L 1113 2,35- t7e ~ 6arcltn3 ~~IC -~o ~yr~n-t +~ ~/30voz
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FARM cre Va~fe er Value 1 ~ ~~~~ Q~
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Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER SSG A'3Qa ~GS-~ ~ ,gy$'0
Brushland FRONTAGE ON ROAD
House Plot DEPTH
Q.G., ~- ,~. d3 ,Ac_ ,~ ~ ~D' BULKHEAD
Total ,u7 ~ ~~-~ DOCK
.y v ~ r
hse . ,_ S >;p,~ /~
>;~ f/i. e1 r5.5 ~ eil d' c ,~\~~ ~ ~ 9 3pS9~4 S°'e /~
SCDHS. Rel. # RIO-95-0068 ~,~
# RIO-0/-0159 e/l~ r,,, y~ade eri3s o-n o ~ eji', .F s
RIO - 01 - 0159 /'m,~ ~' se.ia ° - /~
L.p.. ..e. ST 6g3, 9' S` r°, ~iyl" '~,, ,~~ -1 _ ~4? 43,E
SANITARY SYSTEMS- m~ ms 5 '+ ~~ \ c'\i i
POOL HSE. !1000 gal. SEPTIC TANK B -_ _ _ -__ % ~~"` 1
min. 4 deep 8'm leaching poop - y,. wa+~r e/ i± ~,nW iti•? r \~ ~ ~~ ~ ~ emu'
\_~ w
BARN (IOOOgoI. SEPTIC TANK & nJn. CROSSECTION ,/ln~g`;aw ,f I / q^i ~ i~ X ~ ~ ~ \ a~ ~ I No
l2' deep 8'~ leaching pool! SEPTIC SYSTE v°~' ` ~ // FLOG ~ '\r ~ " ~ ~ \ = J °'- w
i
(~ ~ zf \- ~ wmBT \ ~ ~\~~ I~ 1 ~
Pw1 ~ NO SCALE' mss., 0 3z.3• ~ LO ~ - ~. ~~ ~ ~ 3 m m
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RAN I G ~ /' 3Sa ~ 13.2 `Y m PAVERS \,\ \\ 13.5 i 1 I / M~(D
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2~ sr°d ~ zcs. •'o v roo~
Nr ~. a -~ Pool Ffe~ \ ~ \ {nd'~ 6~ °~~
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p° 2P.2' Q~ ci
en ~~.~ ./ ~ v~~ ti. _ ~i~,v ~ 767 oT ~.
~ Zk 00.E .( Wood ~0n °~o •\ ~.fJ~ eA • ~ ~ ~ 9 ~ o ~ WETLANDS FLAG BY ROBERT E. HERRMAN
N" 69• / vP°~e E ~\ 8~" W ~ ~ u ~OT ~ l EN -CONSULTANTS, INC. 1 ON MAY 7, /99g
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mn °~ ~/~~~~W 2~. ; ~ SURVEY FOR _. -„-._. To,
~ ' P 39' ROLAND & KAREN GRANT ~~ ~ - ''~ -RANT
p K~nf.^! .~nANT
e • w• AT PECONIC s~-~~r„ BAY A;~;T,~AcT „v~::
~ 0 6g•2A 00 Tesf Boring a / Tesl Boiing d TOWN OF SOUTHOLD wA SrWJu TON MUTUAL BANK, F.q,
0 3 5' 4 P.AL 2yP.AL
zo 0 o SUFFOLK COUNTY, N. Y.
2, 3 "'{~d T ~ /, roP`sJDOL 1DOO - 88 r 05 - 9.1
'~ 2 LOAMY SQ,A,,DMY SCale/ 1" = 60'
Z 65 co~ 2' Mar. 16, 1995
~~ 6 ~ SAND APRIL 4, 1995 (revisions )
('n GRAVEI WITH April 6,/995 (revisions!
1O. GRAVEL
SAND s May 1,..1995 (revisions!
MAY 4, 1995 (revisions!
LOT NOS. ARE REFERENCED TO 'MINOR SUBDIVISION FOR ~VEL GR. w:7TER JAN. 16, 1996 (slk hse 8 barn
PECON/C BAY GARDENS, INC."EKED /N THE OFFICE OF 11.5 /l.5 _ _ _
THE SOUTHOLD TOWN CLERK. WHITE ~ h9Or. II, 1996 (loundalion locDlionJ
ELEVATIONS ARE REFERENCED TO N.G.V D°1um. ~ l2' SAND SOH -. April 3, 1996 (AddiJionsJ
PALE GRAVEL Dec. 20,1996 (fina)l
AREA = 2.6069 Acres to tie lines 16.5------ GR. WATER ~ i/ r f' NE~,
ORANGE
SAND MAY 14, 1999 (srK Farr DOCK r ~ - r ~ ~
JuOC 23, 1999 (ievi3ion~ f ~: Via; '
Om Jami/iar with the STANDARDS FOR APPROVAL duNE 7, 200! (prop. addll/onsl r / N
AND CONSTRUCTION OF.SUB,SURFACE SEWAGE ~ July 24, 2001 (add/JlonsJ ~ r ~, ,
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES NOV. 4, 2002 (Final 1 `
and well abide by the conditions set lorlh !herein Ond On the ~ ANY ALTERATION OR ADD/T/ON TO THIS SURVEY 1S A VIOLATION t /~LT'~$, Gl(,', N •. 96/8
permit to consfrucl. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, ~ 4
EXCEPT AS PER SECTION 7209-SUBDIV/SION 2. ALL CERTIFICATIONS : - ~ -- ' _
HEREON ARE VALID FOR THIS' MAP AND COPIES THEREOF ONLY lF PECONIC U, EY;'Q'R.4'r ",P.C - ~' .
FLOOD ZONE LINES FIRM 3E103C0162 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR (63/1 765 5020~~A.X ffn,q'/r! .~'6y ~ 1797
AND ACTUAL FIELD INFORMATION WHOSE SIGNATURE APPEARS HEREON. P. 0. BOJ( 909 '~-- - '
The IOCOIIOns of wells and cesspools ~ ADDlT10NALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY• 1230 TRAVELER STREET
SJlOWn hereon ore lrom /field ObServolions ~ MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY -
and or Iron dolo obtained /ram Others. OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED' AND SOUTHOLD, N. Y. 1197/
'BROUGHT-TO-DATE' ARE NOT W COMPLIANCE WITH THE LAW.
ti ~ ~ 95-133