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HomeMy WebLinkAbout33501-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33258 THIS CERTIFIES that the building NEW DWELLING Date: 09/03/08 LOCation of Property: 1500 BAY AVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 8 Lot 12.9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2007 pursuant to vrhich Building Permit No. 33501-Z dated OCTOBER 30, 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 CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH BREEZEWAY,ATTACHED GARAGE & REAR DECK AS APPLIED FOR. The certificate is issued to ROBERTS CUSTOM HOMES (OWNER) of the aforesaid building. SIIFFOLIC CODNT'Y DHPARTMBNT OF HEALTH APPROVAI, R10-03-0145 09/02/08 HLHCTRICAL CHRTIFICATH NO. 3061196 07/22/08 PLDI+HiSRS CERTIFICATION DATBD 08/04/08 W.SCHWAB PLUMBING Aut orize Signature Rev. 1/81 _.~- t-~ ~ ~ r l ; Form No. 6 TOWN OF SOUTHOLD ~~ U BUILDING DEPARTMENT ~ 2 ~ ZO~B TOWN HALL 765-1802 pEpT. , APPLICATION FOR CERTIFICATE OF 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. Swont statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Coimnercial building, industrial building, multiple residences and similar buildings and installations, a cedificate of Code Compliance from architect or engineer responsible for Che building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) uou-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, sheets, 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 Neva 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy -Residential $1 x.00, Contntereial $15.00 Q Date, y I ~U ~ ~ New Construp[ion:x! Old or Pre-existing Building: (check one) ,, Location of Property: ~ 50 0 _ _ y ~ ~(~ S`~ fl/(Yt'1~ 1 D/`-t __ House No. f_ "t Strecl Hamlet Owner or Owners of Property: ~ ~ ~ t/`~_~~ tQI~ ~Y1'_1 ~ 5 Suffolk County Tax Map No 1000, Section ~ Block ~ Lot ~~- Subdivisiou Filed Map. Lot: Pemmit No. ~ ~ ~~ ~ Date of Permit. __ Applicafit: Q~ 1~`~ ~(,~,~ ~ ~~ Health Dept. Approval Underwriters Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~(~.(~D ~. ~ 33~s~ Final Certificate: 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. 33501 Z Date OCTOBER 30, 2 Permission is hereby granted to: ROBERTS CUSTOM HOMES 50 DIANA COURT WADING RIVER,NY 11792 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH BREEZEWAY ATTACHED GARAGE & REAR DECK AS APPLIED FOR at premises located at 1500 BAY AVE EAST MARION County Tax Map No. 473889 Section 031 Block 0008 Lot No. 012.009 pursuant to application dated OCTOBER 19, 2007 and approved by the Building Inspector to expire on APRIL 30, 2009. Fee $ 1,610.00 ~~~ ~~ Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL Building Inspector SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.North~ork.net PERMIT NO. ~ ~,5'a/~ Examined /O ~ 20~ Approved,20 ~Z Disapproved a/c Expiration~l~) , 20 ~,~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Boazd approval Survey Check_ Septic ] N.Y.S.1 Stotm-Water Assessment Form Contact: I,~ Mail to: T~r ` Phone:~,~~j p~7-(q APPLICATION FOR BUILDING PERMIT Date ~~ ~ ~~ , 2~~ 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. £ 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. ~ P ~0. ~ ~~ (Signature of applicant or name, i corporation) ~5 .Tac~,b~ fn~~t,t-~4-61oid (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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._ Plumbers License No. _ Electricians License No. Other Trade's License No. 1. Location of land on i SOU House Number County Tax Map No. 1000 Subdivision (Name) work will be done: Hamlet Section ~ ~ ~~ Lot n}I`4! ~Ita}'V4 ,e! .ta,tiM ze BUILDING PERMIT APPLICATION CHECKLIST a~~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~-td~~ ~) h ~ l~Ll r7C'~ ~ , b. Intended use and occupancy Nature of work (check which applicable): New Building~_Addition Alteration- Repair Removal Demolition Other Work (Description) 4. Estimated Cost vb(ri ~, t~UU ~ OC7 Fee (To be paid on filing this application) If dwelling, number of dwelling units ~ Number of dwelling units on each floor 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 P~~ttine structures, if any: Front~_,_, _ ~ Rear ~ Depth ___~ 1__ Height ,~~,~ Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories (.v~~ Rear t-(~ 3 S Depth ~ ~ 8. Dimensions of entire new construction: Front Height ~.(to ~ Number of Stories 9. Size of lot: Front L1~6 ~ ~ / r Rear /J~~ • 5 3 /Depth o~y~y ~~ ~ / 10. Date of Purchase " r ~ U" 1 Name of Former Owner ~ ~~g,~ 1n t 2 r / ~ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V 13. Will lot be re-graded? YES / NO Will exFess fill be removed from premises? YES_ NO '~ 14. Names of Owner of premises ~dCVU"TJ ~,UsX~>'IYf"Ae~ess 3~1 4~one No. 3(P~ ~U ( Name of Architect ~ n Addres one No U$ 3~S' I Name of Contractor ie3~ Address hone No. ,~nS-~ G ~ 8 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. PERMTI'S 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. 18. Are there any covenants and restrictions with respect to this property? *YES NO~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF (~ `~ (~~ ~(J"f- 1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, 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 mauuer set forth in the application filed therewith. Swo o before me this r- ~l n day of C~i/'T 20~ ~,Q~: Notary Pu 1 c ~ MIOSIU Signature of Applicant to of New lbrk rw 63aw Is. _1L. Jamea F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. _' - _ ~ u u 5 ~ ~~ aU6 2 9 2ooe L b~D<;. DEPT. ,,~'~ of so~ry~ ~~~~ "O • ~O ~~'yCO--url 0~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 CERTIFICATE OF COMPLIANCE # 0358C Date August 22, 2008 THIS CERTIFIES that the single-family dwelling, sanitary system, driveway removal of shed, drvwells & gutters, and 50' non-disturbance buffer At 1500 Bav Ave., East Marion Suffolk County Tax Map #31-8-12.9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/13/07 pursuant to which Trustees Wetland Permit #6741 Dated 10/17/07 was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a single-family dwellin¢, sanitary system driveway removal of shed drvwells & tters and 50' non-disturbance buffer. The certificate is issued to ROBERT'S CUSTOM HOMES owner of the ayf~/~o~[r~,es'_a~"i~"d proper~~ // u' r Authorized Signature FIELD INSPECTION REPORT DATE COMMENTS I- o-og , 1~- o ~ ~ FOUNDATION (1ST) ~ q ~ i ------------------------------------ ~ r _ Z FOUNDATION (2ND) Q G z 3 C. ° ~~~ o ~ ~ ROUGH FRAMING & PLUMBING y -- --F' ~~i~= - -~ - ~ ~ - "~ INSULATION PER N. Y. STATE ENERGY CODE o / w J ~4r s ~~r c/ FINAL ~y„j.~ S /.//J/ C / ~ w A ADDTTIONAL COMMENTS ~ ~ ~ ~ ~ ~ 2 m A J l-l 6 y ~. z Jb o - o •~ x c r~ b y 3301- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION DATE ` ~ INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ~3~0(~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS ION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESIST CONSTRl1CTI0N [ ]FIRE RESISTANT PENETRATION r REMARKS: ~'7~/RS ~ ~'7~' ~~ ~ " r ~~r~- ~~'"~~' ~~' ,,D,A,g1~ ~ ~-- __ ~~ ~ ~7._ ~ , V~ DATEI~L, ~~~~~ INSPECTOR 3 3 ~©~ ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING /STRAPPING FIREPLACE 8~ CHIMNEY FIRE RESISTANT CONSTRUCTION Gl ~ ROUGH PLBG. ) INSULATION FINAL ] FIRE SAFETY INSPECTION ] FlRE RESISTANT PENETRATION ~"„ . ~~ REMARKS: DATE /~ ~ ~ INSPECTOR 33s~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST ( ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT CONSTRUCT [ ]ROUGH PLBG. INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATI01 w~~~ ~ wvw_ / ` . DATE 3 ~~~ - ~ ~ INSPECTOR /~ ~,~ ~ 3 ~~ I .-~---_ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECT ON [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ~UNDATION 2ND [ FRAMING /STRAPPING [ ]INSULATION [ ]FINAL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION DATE b ~ INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION ~3 TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION FRAMIN ./`y~TRAPPING [ .~ ~ ]FINAL l~ [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~ ~ ~~ INSPECTOR 33sa,~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSP [ ] FO ATION 1ST [ OUNDATION 2ND [ ]FRAMING /STRAPPING [ ] FIREPLACE A CHIMNEY [ ]FlRE RESISTANT COpISTRUCI ECTION [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FlRE SAFETY INSPECTION [ ]FlRE RESISTANT PENETRATIOI REMARKS: DATE ~J ~~/ ®~ INSPECTOR 33s©~ ~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION FOUNDATION iST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~ ~L. 1"~' 6 v ~ ~ ~Q~U v ,~ " p v" -.~1~ f~- ~ DATE ~ ~/~ ~ ~ ~ INSPECTOR ` s " ` ~ `~^~ .Town Hall, 53095 Main Road P.O_Box 1179 Southold, New York 11971-0959 p [~OdC~f, Ali 2 0 2ooa U ~ TnWN nDc cDEPL.^_ _ I 'Fax (631) 7659502 Telephbne(631)765-1802 Date: ~ ~ ~"~ ~~~ Building Permit No. ~3S b ~ _ Owner: ~D~Q /~ ~ 11.9, >M ~ /~ (Please print) PhmiUer: ~ ~`~ ~saW~ Se.~\l.J~'r'ti~ ~..,"l~ 4-11->c, -41~~ (Please print) l I certif}~ that the solder used in the water suppl}~ system contains less than 2/10 of 1 lead. S~a~orn to before me this ~ ~ day of~~ 20_U~ _, Notary Public, _ ~~ ~~C,Comlty Phmibers Signature) DEF^RRH k. DOh:[tE~N NOTAfiY E'C5t!C S:s;~:: ai New York Q'.iz!i'ie~d in S~~.iHt4~%cunty~~ ~1 Cammis¢n ErGlres tAsrch Ib, ~~o~gUFfO(kcOG Z ~W BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTII'ICATION BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by KC ANDERSON ELECTRIC PO BOX 16 MILLER PLACE, NY 11764-0016, Located at 1500 BAY AVE. EAST MARION, NY 11939 Application Number: 3061198 Section: 31 Block: OS ROBERT'S CUSTOM HOMES 1500 BAY AVE. EAST MARION, NY 11939 Certificate Number: 3061198 Lot: 129 Building Permit: 33501 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Flooq Second Floor, Detached 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 lzna Day of amy, zoos. Name ~ Rate Ratine i i Tyyg Alarm and emergency equipment Sensor 7 0 0 Smoke Appliances and Accessories Air Conditioner 2 0 Above 1500 BTU Dish Washer 1 0 1.2 Kyy F~haust Fan 3 0 F.H.P Furnace 1 0 Gas Oven 2 0 9.0 Kyy Service Service Disconnect: 0 200 cb Servicel Phase3w Service Rating200Amperes Wiring And Devices AFCI 3 0 15a Fixture 42 0 Incentlescent Outlet 42 0 Fixture Outlet 83 0 Gen, Purpose ReceptaGe 1 0 20a-laundry Appliance ReceptaGe 16 0 GFCI seal Continued on NeM Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by KC ANDERSON ELECTRIC PO BOX 16 MILLER PLACE, NY 117640016, ROBERT'S CUSTOM HOMES 1500 BAY AVE. EAST MARION, NY 11939 Located at 1500 BAY AVE. EAST MARION, NY 11939 Application Number: 3061198 Section: 31 Block: 08 Lot: 12 9 Certificate Number: 3081798 Building Permit: 33501 BDC: ns11 Described as a Residential 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, Detached 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 Cade Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the zzaa Day of Jaly, zoos. Name ~ Ra[e Ratine i i j'ypg Receptacle 40 0 Gen, Purpose Switch 47 0 Gen, Purpose 2 of Z seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~J.. /.._. DATE:..._July 21, 2004 ROBERTS CUSTOM HOMES ISSUED TO .............................................................................~................................................... ,~utl~ari~tttinn Property location: 1500 Bay Ave., East Marion Pursuant to the provisions of Chapter 616 of the Laws of the State of Naw York, t893; and Chapter 404 of the Laws of the State of New York 19li2; and the Southold Town Ordinaeee en- titled "REGULATING AND THE PLACING OF OBSTRUCTlQNS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SANb, GRAVEL OR OTHER MATERIALS.F$OM LANDS UNDER TOWN WATERS;•,'. and in accordance with the Resolution of The Board adopted et a meeting held on .._July 21,., 2004 and in consideration of the sum of j.?50_.0.0 . paid by ......Roberts Custom..Homes ..................._.._......._............._............................ of ......Wadinp,,River. _ _. N. Y. and. subject to the Terms end Conditions listed on the reverse dde hereof, ofdSr~tho~d Towri Trustees authori:e~ an~ ~ermits the followin~• Wetlan arm t to construct a sing e- a ily dwelling wi h associated sanitary system, with the condition of a 75' non- disturbance buffer,a line df staked haybales is placed down a the 7S' non-dlsturbance buffer prior to construction, and all depiarreM eec~'~a~' 'Z~~46Epdbf~i~4'speeifieations as prosented in the originating application. John T. Pletzger last dated August 3, 2004. IN WITNESS WHEREOF, Tha aid Board of Trustees here• by ceases ifs Corporate Seal to be affixed, and these pros~nts to be subscribed by a majority of the said Beard .as of this data. Artie Fostei . ~ YC' - rout«, REScheck Software Version 4.0.1 Compliance Certificate Project Title: proposed residence Report Date: 08127/07 Data filename: E:\COPY D 1104\builders\criscito\1500 bay ave\energy.rck Energy Code LocaOOn: ConsWCtion Type: Heating Type: '~ Glazing Area Percentage: HeaOrg Degree Days: Construction Site: 1500 Bay ave East Marion, NY New York State Eruergy Conservation Construction Code SuRolk County, New York Detached t or 2 Family Non-Electric 12°k 5750 Owner/Agent Robert Criscilo Robert Custom Homes Wading River, NY DesignerlContractor: Robert Higgire Architect 831-2083351 Ceiling 1: Flat Ceiling or Sdssor Truss: 580 30.0 0.0 20 Ceiling 2: Cathedral Ceiling (no attic): 1050 19.0 0.0 55 Wall 1: Wood Frame, 16" o.c.: 2542 13.0 0.0 180 Wndow 1: Wood Freme:Double Pare with Low-E: 288 0.340 98 Door 1: Solid: 40 0.400 16 Door 2: Glass: 20 0.350 7 Floor 1: All-Wood JoistrTruss:Over Urrcmdibonetl Space: 1519 19.0 0.0 71 The proposed building represented in this document is consistent with the building plans, specficatbns, and other calcula0ons submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design ProfessionN has stamped and signed this page, they are attesting that [o the best of his/her knowledge, belief, and professronal judgment, such plans or spedficetions are in compAance with this Cade. Name -Tithe Signature Date proposed residence Page 1 of 4 Compliance: passes Maximum UA 448 Your Home UA: 447 --> 0.2% Better Than Code (UA) I REScheck Software Version 4.0.1 Inspection Checklist Date: 08/27/07 Ceilings: ^ Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insuWtion Comments: ^ Ceiling 2: Cathedral Ceiling (no attic), R-19.0 cavity insulation Comments: Abovelarade Walls: ^ Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: ^ Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled LLfactors, describe features: #Panes -Frame Type Thermal Break? Ves No Comments: Doors: Door 1: Solid, U-factor 0.400 Comments: ^ Door 2: Glass, U-Tactor: 0.350 Comments: Floors: ^ Floor 7: All-Wood Jast/Truss:OVer Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: ~ Jdnts, penetratlons, and all other such openirgs in the buiklirg envelope that are sources of air leakage are sealed. ~ Recessed lights are 1) Type IC rated, or 2) ir~5talled irside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. 0 non-IC rated, fixtums an: irstalled with a 3' clearance from insulaton. Vapor Retarder: ~ Installed on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. Materials Identirication: ~ Materials and equipment are installed in accordance with the manufacturers installatlan instructions. ~ Materials and equpmem are identified so that compliance nn be detemtirted. ~ Manufacturer manuals for all installed heating aM cooling equipment and service water heating equipment have been provided. ~ Insulation R-values and glazing U-factors are Dearly marked on the building plans or specifications. ~ Insulation is inst~led according to martufaaurers instructions, in substantlal contact with the surface being insulated, and in a manner that achieves the rated R-value withotrt compressing flte insulation. Duct Insulatbn: ~ Supply ducts in urtconditionetl allies or outside the building are insulated to R-6. ~ Retum tlucls in uncondttioned attics or outside the buiklirg are insulated to Rte. ~ Supply ducts in uncondifioned spaces are insulated to R-8. proposed residence Page 2 of 4 ~ Return ducts in unconditioned spaces (except basements) are insulated m R-2. Insulation is rot required on return ducts in basements. Duct Construction: ,~ All joints, seams, and connections are securely fastened with webs, gaskets, mastics (adhesives), mastic-pluscmbedded-fabric, or tapes. Tapes and mastics are rated UL 181A a UL 1816. Exceptions: Continuously welded and bckingtype bngitudinal joints and Beans on ducts operating at less than 2 in. w.g. (500 Pa). ^ The HVAC system provides a means for balancing air and water systems. Temperature Controls: ~ Earh dwelling unit has at least are thermostat cepable of autanaticalty adjusting the space temperature set print of the largest zone. Electric Systems: ~ Separate electric meters exist to each tlwellirg unit. Fireplaces: ~ Fireplaces are installed with tight fitting non-combustible fireplace doors. ~ Fireplaces have a source d combustion air, as required by the Fireplace cersWCflon provisions of the Building Code of New York Stare, the Residential Code of New York State a the New York Cily Bulldr'ng Code, as appiiceble. Service Water Heating: ~ Water heaters wkh vertical pipe risers have a heat trap an both the kdet antl aNet unless the water heater has an integral heat trap or is part of a circulating system. ~ Ciroulafing hot water pipes an: insulated to the levels in Table 1. Circulating Hot Water Systems: ~ Circulating hd water pipes are insulated to the levels in Table t. Swimming Pools: ~ All heated swimming pods have an oNoff heater switch and a Dover unless over 20%of the heating energy is from nontiepletable sources. Pod pumps have a time Gock. Heating and Cooling Piping Insulation: ~ HVAC piping conveying fluids above 10.5 degrees F a chilled fluids below 55 degrees F are insulated to the levels in Table 2. proposed residence _ ~ Page 3 of 4 _ Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes InaulaUOn Thkirnass In Inches by Pipe Sizes Non-Cir~ latptg Runouts Cirwlating Malls and Runouts Heated Water Up to 1" Up to 1.25' 1.5" to 2.0" Over 2" Temperature (°Fj 170-180 0.5 1.0 1.5 2.0 140-189 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thkkness In Inches by Pipe Sizes Fluid Temp. Piping System Types Range(°F) 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heatlng Systems Low PressurelTemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) My 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40.55 0.5 0.5 0.75 1.0 Brine Bek»v 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Ordy) proposed residence Page 4 of 4 o~r~ Town of Southold ~ " Erosion, Sedimentation 8 Storm-Water Run-off ASSESSMENT FORM y,--~ PROPERTY LOCATION: S.C.7.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMIS810N OF A ~p~ ~L ~ ~a, ~ STORM-WA_ TER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Distrkt Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) -------- Yes No ------------------------------------- Will this Project Retain All Storm•Waler Run-Off Generated by a Two (2") Inch Rainfall on Site1 Thi ------- X ^ ( s item will include all run-off created by site clearing and/or consWCtipn activities as well as all Site Improvements and the permanent creation oT impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include elf Pro osed G d Ch d ~/ ^ L p re e anges an Slopes Controlling Surtace WaterFlow! ~ $ Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural E i ti G d I l i ^ \/ ~l x s ng ra e nvo v ng more than 200 Cubic Yards oT Matedai within any Parcel? Q Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of ^ v /~ Five Thousand (5,000) Square Feet of Ground Surface? ,.t rj Is there a Natural Water Course Running through the Site? Is this Project within the Trustees judsdiction or within One Hundred (100') feet of a Wetland or Beach? - 6 Will there be Site preparation on Existing Grede Slopes which Exceed Fifteen (15) Teet of Vertical Rise to ' ^ X One Hundred (100 ) of Hodzontal Distance? - 7 Will Ddveways, Parking Areas or other Impervious Surtaces be Sloped to Oired Stonn-Water Run-Off into and/or in th di ti f T d h f ~ ~( ! e rec on o a own g to -way? -> $ Will this Project 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? L (This Item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? ® - NOTE: If Any Answer to Questions One through Nine is Answered with a Cheek Mark in the Box, aStorm-Water, Grading, --- Drinage 8 Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! ------------------------------------- ----- EXEMPTION: ------- Yes No Dces this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Ouestlon, aStorm-Water, Grading, Drainage & Erosion Control Plan is NOT Required) ~/ - /~ STATE OF NEW YORK, ~~`` COUN''TJJY~O[~F~.SL(.~..J ~~~............ SS That I . ....................Y.~`.~r!-:f..........1. v!,.!.. ~ .................. being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing DocumenQ And that he/she is the ................................... .... ~........................................................................................................ (6Wner, Conlreclor, Agent, Coryorale ORcer, elcJ Owner and/or representative of the Owner of Owner's, 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 We to the best o(his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Swom to before me this; C ,~ L / ..................... / ~....../1.... day of ...~.G~.~.7.7..5.~ F~C./~.... , 204. ~1 ~.. I Notary Public: nature FORM - 06/07 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. October 17. 2007 Mrs. Vicki Toth 425 Jacobs Lane Southold, NY 11971 h~q~~OF 50(/T~®l® , T ~ ~' ~ ~ ~ ~0 ~ ~~ ~4UNiY,~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: ROBERT'S CUSTOM HOMES 1500 BAY AVE., EAST MARION SCTM#31-8-12.9 Dear Mrs. Toth: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631)765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wed., October 17, 2007 regarding the above matter: WHEREAS, Vicki Toth on behalf of ROBERT'S CUSTOM HOMES applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 13, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LW RP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 17, 2007, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2~ WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ROBERT'S CUSTOM HOMES to construct asingle-family dwelling, sanitary system and driveway, and to remove the existing shed, with the condition drywells and gutters are installed to contain the roof run-off, and in accordance with Chapter 236 of the Town Code- Stormwater Management, the installation of a line of staked hay bales along the 50' non-disturbance buffer during construction, and all as depicted on the survey prepared by John T. Metzger last dated August 30, 2007. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Very truly yours, o~ Jam F. King President, Board of Trustees JFK/Ims BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT N0.6741 DATE: OCTOBER 17, 2007 ISSUED TO: ROBERT'S CUSTOM HOMES PROPERTY ADDRESS: 1500 BAY AVE., EAST MARION SCTM#31-8-12.9 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Boazd of Trustees adopted at the meeting held on October 17, 2007, and in consideration of application fee in the sum of $250.00 Daid by Robert's Custom 1 and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct asingle-family dwelling, sanitary system and driveway, and to remove the existing shed, with the condition drywells and gutters are installed to contain the roof run-off, and in accordance with Chapter 236 of the Town Code-Stormwater Management, the installation of a line of staked hay bales along the 5 non-disturbance buffer during construction, and all as depicted on the survey prepared by John T. Metzger last dated August 30, 2007. IN WITNESS WHEREOF, the said Boazd of Tmstees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Boazd as of this date. ~y~~°~_ -" ~va~ o y O ,g ~1 ~ ~aa Town Of Southold P.O Box 1179 Southold, NY 11971 ***RECEIPT*** Date: 05/12/04 Receipt#: Transaction(s): Subtotal 1 Septic Permit -Construct - Resid. $10.00 Cash Total Paid: $10.00 Name: Roberts, Custom Homes P.o. Box 372 Wading River, NY 11792 Clerk ID: JOYCEW Internal ID: 93748 ' SCDHS Rel. # Rl0-03-0/45 '~ SURVEY OF PROPERTY , ' N, VP\~ POl A T EAST MARION °~ ~~ TOWN OF SO UTHOLD s ~. ~ 4 ,. J ,~,P~~J P . r ~~ ~~ 4;- M , .~ rN . ~, 4 ,~ S -~ ~e ~~° SUFFOLK COUNTY, N. Y. ' ,~; ~ ;., , . ~4 vur, ~~~• ~~ ~ ? `~~` ~~°5 1000-31-08-12.9 °~Y~, SEP - 2 2008 , ,-,, 7 ~,t ~4,~J- ~ ~ pT~~p~,, SCALE.• 1'=50' SEP flC MEASUREMENTS -- - - ~I p- p3' of ys ~~~d~p1 OCTOBER 6, 2003 ,A, ~, •C' .b' iP~ serr r i i. ' Q 1G \F.\' t, F/pr,/ ~8, X00 d'Cc+dct+t-) 14.3' 25' v A ,,,c. - ~ ~ b focutlon new IwP + z Q ~ ~Q~9A' '(!~ V J ~ i~ ~ , i 'ST r. rag~ncb; antlbunOb p a~ t \~' 's Au /n ~ - ~~ ~ 5 Q S~ 3 2004 (rev~~ion s P 41,5 3L5, be33~aPac ,. ^!~~ r - :;;UOMS ~ Q \~ ~ Gl 9 •~~ ~~~ G 1oQ ,18`A `~~\~a a .Ju,~e /9~2ooG (rcvldiun5~ .r. ;.,.• r ._' _...- ~ ~Q ms C Ju/~ 27, 2on7~hsc C gar) _ vJa'tsr J. Hilbert, P.E., .( S~' j ~ N~ fry ~~ a10~ ~ NS` ~~ ~ Auq 30, X007 rev/a,. Ofiice of wesc~t~t Mrne R `~ < -t JAN l6, 2008 ffounaA~tionJ ac ~1~ ~ 9 / 1 ~ 1P \ ~Q aP • ,,. G~ • '40/ i °~^ c o ~J ~'`~~ p~ 'pa Jdn. 31, 2008 (LIPA Easement) ~,~6P1 `~~ ~' ~ / ~ ''o JULY 23, 2008 (finoU • a'~' Q~.C~P ~ T~` ~y Ow G~2 _,0 G~ ~ AUG. 4, 2008 (cerlificationsl TEST HOLE ~F l4 /oE :• ~ ~ + ~ 4p ~P ~ •w AUG. l4, 2008 (REVISIONS) ~~ A 3/30/04 al0 /Rp~ ~ ~~ ~~~.~ 9w ~F , ~ O~I6~ lQ `: errown carer sAM se < 0 m '~ ~' •r S• ~ ~ ~~ - - -- y C1~5j pa ~~--~ ~JPGp ~ PALE BROwH FlnE TO COARSE G c` ~ ~ 2 20- ~,t_~ 20_ _. -_ ~ '- -' * _ _ ~ ~5.a02 ~ a I ,~y0 ~qoi ~ e ~~y~ ' 2~~. SAM SM ~ N C`y~ ~ 16 _ _' f;QSVI ~~ ~ ~\~ < ~ ~~ "ON ZJ N I ~ ~ ~ , ~ 50~ ~q 6 ' . ~ °+ © `~ ~ ~9. qy ~ c'~?`- ~sN :~ ' ~~OIIO~;~' . ~~ c 10 ~.E -A ~ q QV°" ~ ~~ e PROPOSED SEPTIC SYSTEM J o} ~ 1'L ZN~ •\ ~ ~~ a"2-. ~ ~ , ~ ~ ~`rm<% ' g~ 'C l ,~~~.° .` ~ 0. ,, 4 BEDROOMS I - 1000 gal. SEPTIC TANK N ~ ~~J~ oV">rc \~c '~~-' yam.' o~ \ F ~ 'Dr pR• p` 5 f B' 0 • l2' OEEP LEACHING POOL n ~ v r ~ N ~ ~ ~-. y . ~ ~~ ' ~ c.2`~~~s . _ __ ..... _ = ~ _+ .196' Ao~~oN ..~ ~~` •? ,~'~~~P~ c' OF ~ feo\ /boo Gd •. P by McDONALD GEOSCIENCE 4 - ~ ~ \ \ ~\ ~~ ~ <r ~ ~ ~ ~~ A, ~E~ - ' l ~ ~ ,~ ~ ~ , ~ OW ~ ORYWELL ~~T \\ m~ \ ~~ •''~'° ~ ~ __ - ' e ~' j ~ - _ '~ / ~ 0 ~ L\P `MI6 l am familiar with the STANDARDS FOR APPROVAL 4~~ \, \\\ OIF ~ 5a1'Z~ If AND CONSTRUCT/ON OF SUBSURFACE SEWAGE al -~- 5 ~~\ o'Z o.H ~R \ j 5• DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES `!~ ~ \g O,,P' - ond will abide by the conditions set forth therein and on the ;~ permit to construct. C RTIFIED T0+ ~OBERT c. GABBER.. ~~ of yEW r •~ The /ocatian of wel/s and cesspools shown hereon are /SA DEUTSCH!`R '3P 1 M O from field observations and or from data obtained from others. ~ ELLS FARGQ .N.A. ~ at` Er2c ~~i- FIDELIT'Y.NA71(dIVAL T/TL€ INSURANCE ~O' ~~ ANY ALTERATION OR ADD/710N TO TFIIS SURVEY /S A NOLAT/ON ~roq j)ryk,/c~/S [ COMPANY # ~ * , Y.S. L/C. N0. 49611 OF SEC770N X209 OF THE NEW YORK STATE EDUCATION LAW, rr,n GU, ~{' EXCEPT AS PF_R SECTION 7209-SUBDIVISION 2. ALL CER77FICAflONS 29rI'3 5 ~/', x,^„14 ~ l - ~`~ HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF l ~ ~< Y RS, P. C• SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ~~o/~•g,3 / ~ Vii F ~, ~~ WHOSE SIGNATURE APPEARS HEREON. r~ v/.~~ ~' i[rv w~?//t G,`/h /~ ~~~ ~ FAX (631) 765-1797 ^ =MONUMENT ~ =p/pE ELEVATIONS AND CbA/TOUR LL~IES ARE REFERENCED AREA=46,396 SQ. FT. TO THE FIVE EA5TEIw TOWNS TOPOGRAPHICS MAPS (N.G.V.D.1 X~ /afh ,S,g(• SOUTHOLD, N.~ 51971 03-260 N SURVEY OF PROPERTY A T EAST MARION ' ' TOWN OF SO UTHOLD .,.. , ~1 ~ SUFFOLK COUNTY, N. Y. ~i SUFFOLK COUP:T~'[3EP'9Rt.""RTBrNE.,T~+SERVICES ~O'~~r 05 1000-31-OB-12.9 O ~e ~ pJV PERP=51T FOR ~~FPRC''•r~aL C1e`^~OcS~RC R !QS`1 i=OR ~ slrac± E Fav,:LV , ~~.,.~~-r\.,~ r.~ :~ ~ ~pTa 1 ~~, SCALE.• 1'=50' pV ~ gip. OCTOBER 6, 2003 i .~-___._-_°.------- ..G'-~ ZP ~ol~ GR14~0~~c ,~~~' APr,7 ~~, <o,Fl~~r_~ ,~ ~,, ~~ C(''F, ~:, d ~~~QO\aGI A~9 3 2 oa( vi io s! ATE ~~1l.'mJ. ^~ l=. l~{~. (O. .r l_ o ~09V1 June /3~2ooG ~rc riJia,~S~ '.1'[jY v re s .I /..,. sal A ~ 4 e IMUMBEORCOP:-S ~,~ S ' h;.. i r, ` NI ~ / ,~,,\ M1i'~ a10~ l0 ~5~ Y 2on7(hse c 94.-) IOTA ~~r1 ~° Pdl ~,cf-Og / / ~~ + ~\/ ~ _ EXPIRES THREE YEARS FROMDATEO APPROVAL Gl ~e /°~,1 ~eil5~pa a ,t, .tom Prc 5~5 i ~r ~P' R ~ C/ -;t _ y~l 0 e r PRO y~~G~tiE 4~3 TEST HOLE ~(CJ-VATION INSQE~TfON R~au~~E., '~ ~t+~'- ~ ~ ~ ~~ SYSTEM a`~IF Act" i J/5~-!FE4~ ~ ~a10~ ~~ a 3/30/04 ~ }R{gpLA.TH DEPARTMENT J ~ \P` ~~.22Ih', .~ ~ ~ C e/l9.2 +~//5PS a. yy. v ~ ~ BROWN d.AYEY AM SC - <~ (~ ~5 - - - - e' ~ y ~ ~~5 k1/ - ; ~ `C P ~, a ' 0 4. ~ fio Pp~ c~`'~ ~ J o? ~ ~V`. I~,"Y'T~ __ ~ ~ o ~ ~ ~ vacE eROwN c>NF ro coaRSe G~ ~ ~ ~ Z 20_ \~~~' 10~~ _ ~~ _ ~ ~ / -as, m a'^ \ `~ e l,i ~ ~ ~ 1y~ 020 M1 e-'~S c~ ' y "f^J.J. SAM SN ~ ce ~~ya O /6 _ ~ fE a5~ J \ I j °. `:n '>~ ~~'ti ~• \ 1 ~ ~ / ~ _ _ ` ~(~ ~' ~ <• ~ POa S~~`` y '-a ~2 ~~ 1~ ~ r cam/ / ~ ~ s ~~0 ~.c i 6~ p ~ 00 ~ ~~ ~ -~ tP 1~ ~ ~ \ ~ 50~ Q 6\ °' ~.'9~ Z\` ~ ~~~+~ ~ a~0~pr~tG~ ~~ v~ p j ~ E~ 1P~E PROPOSED SEPTICSYS7'EM ~ o '1; Z~ ~ C?~\`2s ~ ," ~S~ ~, ~ \ \ ~ ~PV°" ~~Q ?. 4 BEfN40OM5 ~ ?0 ~~' ~ ~O y ~,~ ~ ~~ h._ , ~ ~ y \ \ p . 1 . l - rood sd. sEPr>G raNrc Nn ~a\ ~`si,~ ~` °~ ,_ ~ ~ - -~ 61 .~. \\\ \~ ~ 55AGPa. ~ ~ I 8' 0 • 12' DEEP LEACH/N~ POOL ~, ~ ,~(~ . \/ ~ ~~o~ ~ ~ ~.T~ ~,~ ~~~~C~ 'ly\a~v~ v~~- FE3~~ ~~ • Pay '( \ Ir' \ ~X.,./ . ° ` 002 0~ ~!~ „~/ ~ \I$ '~~ by McDONALO GEOSCIENCE << ~ ~ \ ~\ ~'°` ~`r~`~ ~<' _`F,~ ' - ~~ \O ~ /X I om familiar with the STANDARDS FOR APPROVAL °4`~\~ \\\ ~IIF ~ ~. 14 ,~,'., AND C01\'STRUCTION OF SUBSURFACE SE~IAGE ~ ~ \a~z ~~~ P o.i+.-w~aEs DlSPOSAI. SYSTEMS FOR SINGLE FAMILY RESIDENCES ° ~ \a O~, :~iic-,~~ ~ cr:[ G,N~ t ~,I ~~Vaste y r~ ~ w!~; ~, and will abide by the conditions set forts therein and on the \e ' k permit to construct. The loca.`ion of wells and cesspools showy hereon ore ~ 0 ~P,~~OFNEVyI,O from fief observotions and or from data obtoined from others. ~~p]~APProved 5 ~~T•ME'T2 'P,F RVEY IS A VIOLATION A a/j1~J~V ~~ C~~ ANY ALIER4TlON OR ADDIT]ON TO THIS SU YORK STATE EDUCATION LAW / ~ $ 4 . OF SECTION 7209 OF THE NEW , , , EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS ECONIC S VE R P. HEREON ARE VAL/D FOR THIS MAP AND COPIES THEREOF ONLY /F 765-5020 1 7 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR (631) WHOSE SIGNATURE APPEARS HEREON. p. O, BOX 909 ^ =MONUMENT ELEVATIONS AND CONTOUR LINES ARE REFERELICE.D OwNS TOPOGRAPHICS (RAPS (N.G.V.D.I ~~ /Q,th SPf 1230 TRAVELER Y N OUTHOLD STR 11971 O =P/PE . TO THE FIVE EASTERN 1 . . , S AREA= 46, 396 SQ. FT.