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HomeMy WebLinkAbout32932-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-33673 I~te: 04/27/09 THIS CERTIFIES t~at the building ACCESSORY Location of Property: 800 PkAITY LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 109 Block 5 Lot 27.1 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2007 pursuant to which Building Pexl~it NO. 32932-Z dated APRIL 23, 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 IN GROUND SWI~4ING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CHRISTOPHER & BARBARA TALBOT (OWNER) of the aforesaid building. SUF~DLKCOI~FI~f DEP~_R/I~ENT OF ~J~THAPpROVAL N/A ELEt-£KIC3~L C~RTIFICJ%TH NO. 4025567 03/27/09 ~ER~ u~TIFICATION DATED N/A Rev. 1/81 This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 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~ater supply and seweragc-dispesal (S-9 form). 3. Approval o f electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used ia system contains less than 2/10 of I% lead. 5. Commercial building, industrial building, multiple residences end similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accumtesurvey~fpr~pertysh~w~nga~pr~pertyYm~treets~bui~dingandunusual~natum~rt~p~graphi~ features. 2. A properly completed applieation 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 dwelllng $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildihg $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 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Hew Constmction:~/ rc, Old or Pre-existing Building: Location of Property: C-~(y') ~7-0~' lb ( (~[~ .~_ House No. Street Owner or Owners of Property: _"~ (' [c3(~ ~-(~ C,[.(~ Suffolk County Tax Map No 1000, Section I 0 q Subdivision Permit No. '~ ~-~-q 3c~ ~Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c':'~- --'~f~.~ Q~?'~' t ~ Date. (check one) Filod Map. Applicant: Underwriters Approval: Hamlet Lot (")c~'~ O0 \ Lot: Final Certificate: ~check one) .~cant Signature /~,- S - 2-~, 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 Located at TUCKER ELECTRIC 1800 HARBOR LN, BOX 1065 CUTCHOGUE, NY 11935, 800 PRAITY LN CUTCHOGUE, NY 11935 BARBARA & CHRIS TALBOT 800 PRAITY LN CUTCHOGUE, NY 11935 Application Number: 4025667 Certificate Number: 4025567 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Swimming Pool occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, 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 the2'/th Day of March, 2009. Name QTY Rathe Appliances and Accessories Pool / Spa Bonding 1 0 Pool Heater 1 0 Panels Rating Circuits Type 1 100 7 Wiring And Devices Fixture 2 0 pool Receptacle 1 0 pool Receptacle 4 0 20a-pool Switch 4 0 pool Gas Incandescent GFCI Special / twist lock Gen, Purpose (Swimming Pool): This certificate covers compliance at the date of inspection only Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person I of 1 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. 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. 32932 Z Date APRIL 23, 2007 Permission is hereby granted to: CHRISTOPHER TALBOT PO BOX 1142 CUTCHOGUE,NY 11935 for : DEMO EXISTING & CONSTRUCT NEW INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD,FENCED TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 109 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 800 PP~AITY LJ~ CUTCHOGUE Block 0005 Lot No. 027.001 19, 2007 and approved by the 23, 2008. Fee $ 332.80 /~ri~nature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~J~- ~ ~ ~ f INSPECTOR~ DATE ~---/~--~ FiELD INSPECTION REPORT FOUNDATION(1ST) FOUNDATION (2ND) ROUGH F~G & - PL~G _._ ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF.SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold~ Examined ¢/g~ , 20 O 7 Approved z//23 , 20 ~ ? Disapproved a/c Expiration /o/.~, 20 o'~Y PERMIT NO. · Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Surve~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS [7._ i ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /~Ill~ (Signature of applicant or name, if a corporation) (Mailing address o?apphcan;) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises C¢l[lS-rt~hte~,. ~0 ~_~t.A (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. 52--~) - i4 '~ Location oflandon which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~' Filed Map No. Lot Lot 2. State existing use and occupancy of premix_es and intended use and occupancy ot~proposed construction: a. Existing use and occupancy ~*_5,~4-~_~ ~ ~t~ y~,~,.,~.-f b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ ~' Addition ~ Alteration -- Repair -- Removal Estimated Cost '~°e°'''~- ~o, If dwelling, number of dwelling units If garage, number of cars (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor --  . If business, comp~ercial opxmixedoccuvancy, ~ffecify n.ature.and extent of each type ofuse~ · Dimensions of existing structures, tfany: Front" - Rear '" Deptt5 Height -' Number of Stories Dimensions of same structure with alterations or additions: Front -- Rear Depth -- Height. ~ Number of Stories, ~ 8. Dimensions of entire new construction: Front ~- Rear ~ Depth Height ,-' Number of Stories 9. Size of lot: Front 2IL, arq Rear 9-47.., °eq Depth ZI2~5 · 10. Date of Purchase Io/oz Name of Former Owner 11. Zone or use district in which premises are situated / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES __ NO '/'Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premisesettlt/.s * t~thtSta TAt.~Address f~o -}¥~,~t.,,. doid~q~Phone No. Name of Architect Address Phone No NameofContractorAt-e~mO {~5o~,~ + Address [[Si. ,leatt/xt~q-~:g. PhoneNo. / 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) SS: COUNTY o %ffVtx4co ~ tte..t ~;~-e~ Il- F-a. I ~,- t~'~ 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, 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 tree 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. Swom,tobefore me this .ti iq/t/, day of ~Uf)l"l No at0~ublic Signatu~'e of Applicant MELANIE DOR0$KI NOTARY PUBLIC, State of New No. 01 D04634870 OualifiedinSuffolkC0unty ~ ,,_. 0erami*a0n Ex,oires September 30, PHILIP C, PANDE]LFI 610 VETERANS MEMORIAL HIGHWAY A R ~ H I T E ~ T HAUPPAUGE, N.Y. 11788 (631)543-1300 FAX(631)543-1349 Town of Southold Mr. Michael Verity Building Dept. Head Town Hall 53095 Main Road, Box 1179 Southold, NY 11971 Re: April 12, 2007 Proposed Gunite Swimming Pool Chris & Barbara Talbot 800 Praity Lane Cutchogue, NY 11935 Dear Mr. Verity; This is to certify that the designed construction of a swimming pool on the above referenced premises will not require special drainage facilities. The swimming pool will be constructed of pneumatically applied steel reinforced gunite and the pool water is designed to be continuously recirculated through the filter and reused from year to year. The drainage from the filter backwash cycle is nominal and therefore will not interfere with the public water supply, the existing sanitary facilities, neighboring property and/or public highway. Any make up water required will be drawn from a hose bibb which shall have a vacuum breaker. Very truly yours Philip C. Pandolfi This certifies that the bearer is duty licensed by the County of Suffolk SUFFOLK COUNTY EXECUTIVE'S OFFICE OF CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICENSE PHILIP ARClLESI ALCAMO SUPPLY & CONTRACTOR CORP 5280-H 07/01/1979 ~'~*~ ~*~ 07/01/2008 ACORD. CERTIFICATE OF LIABILITY INSURANCE 04/11/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bagatta Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 823 W Jericho Turnpike Ste lA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. S~thtown NY 11787 Phone: 631-864-1111 Fax: 631-864-8274 INSUR ER S AFFORDING COVERAGE NAIC# INSURED Alcamo Supply Contzactiag ~NSURER^ Nationwide Insurance Co. 234 Corp AKA Alcamo Swim~ing Pool AKA Alcamo Supply Corp & Phill ,~SURERB & Patricia Arc,esi AKA Alcamo Swizing Pool INSURERC 1152 Jericho Turnpike ~NSU~ERD Commack NY 11725 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANy REQUIREMENT TERM OR CONDITION OF ANY CON~ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAy BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAy HAVE BEEN REDUCED BY RAID CLAIMS GENERAL LIABILIT~ F~ACH OCCURRENCE $ 1000000 A ~ COMMERCIALSENERALLIASILITY 66PR8531510001 03/04/07 03/04/08 u~L ,u,u~,Lu $ 50000 I CLAIMSMADE [] OCCUR MEDEXP(A~yoneporson) $ 5000 X Contractual Liabi PERSONAL&ADV INJURY $ 1000000 eENE~ ^~RE~TE $ 2000000 ~EN'L ASSREGATE L~MIT APPLIES PER PRODUCTS - COMP/OR ASS $ 2000000 AUTOMOBILE LIABILITY COMBrNED SINGLE LIMIT $ 1000000 ALL OWNED AUTOS COOLLY INJURY A ~- SCHEDULED AUTOS 661~.8531510002 0S/04/07 03/04/08 (Per person) -- (Per accident) ~ OCCUR [] CLAIMS MADE AGGREGATE $ $ WOBKEBS CO,,,PENSA.,O. AND A Proper t~ 66PR853151-0001 03/04/07 03/04/08 Proper t7 750,000 RC/Special With Standard Contractual Liability. CERTIFICATE HOLDER CANCELLATION Southold Building Dept. P.0. BOX 1179 Southold NY 11971 SOUTHHB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA~]ON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988 NEW YORK STATE INSURANCE FUND 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 1-888-997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE LOVELL SAFETY MGMT CO., LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 POLICY NUMBER 1382 116-0 CATE 4/11/2007 ~ERTIFICATENUMBER 182-267 PERIOD COVERED BY THIS CERTIFICATE 4/01/2007 TO 4/01/2008 POLICYHOLDER ALCAMO SUPPLY & CONTRACTING CORP 1152 JERICHO TURNPIKE COMMACK NY 11725 CERTIFICATE HOLDER SOUTHOLD BUILDING DEPARTMENT PO BOX 1179 SOUTHOLD NY 11971 THIS IS TO CERTIFY TEIAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY NO. 1382 116-0 UNTIL 4/01/2008 , COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK- ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 4/01/2008 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE STATE INSURJ~NCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVER. AGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVER3~GE AFFORDED BY THE POLICY. U-26.3 THE ST,ATE IN,S. URA~CE,FUND DIRECTOR, INSURANCE FUND UNDERWRITING STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1~ LegalNameandAddressofInsured ~sestreet~dressonly) ALCAMO SUPPLY & CONTRACTING CORP. 1152 JERICHO TURNPIKE COMMACK, NY 11725 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) SOUTHOLD BLDG. DEPT. P.O. BOX 1179 SOUTHOLD, NY 11971 1 b. Business Telephone Number of Insured (631)543-8820 lc. NYS Unemployment Insurance Employer Registration Number of Insared 72-53002 I d. Federal Employer Identification Number of Insured or Social Security Number 1 3a. Name of Insurence Carrier THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA 3b. PolicyNumberofentitylistedinbox"l~': 144346-100 3c. Poiicyeffecfiveperiod: 01/15/1990 ~ 06/30/2007 Policy covers: a. [] All of the employer's employees eligible under the New York Disability Benefits Law b. [] Only the roi ow ng ¢ ass or classes of the employer's employees: Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described (Signature ot~msaranee carriers authori~ r~entative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number ( 21 2 ) 9 6 4- 21 5 0 Title Second Vice President & Actuary, Group Insurance PART 2. To be completed by NYS Workers' Compensation Board (Only if box "4b" of Part 1 has been checked State Of New York Workers' Compensation Board According to information maintained by the NYS Workers' Compensation Board, the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/bar employees. Date Signed. By (Signature of NYS Workers' Compensation Board Employee) Telephone Number Title Please Note: Only insurance carriers licens S disability benefits insurance policies and NYS licensed insurance agents of those in.rurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB-120.1 (5-06) Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in box "Y' on this form is certifying that it is insuring the business referenced in box "la" for disability benefits under the New York State Disability Benefits Law. The Insurance Carder or its licensed agent will send this Certificate of Insurance to the entity liated as the certificate holder in box "2". ThisCertificateisvalidfortheearlierofoneyearafterthis form is approved by the insurance carrier or its licensed agent, or the policy expiration date listed in box "3c". Please Note: Upon the cancellation of the disability benefits policy indicated on this form, if the business continues to be named on a p~rmit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorizod proof that the business is complying with the man--tory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head ora state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article, and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (5-06) Reverse TOWN OF $OUTHOLD PROPERTY I~CORD CARD OWNER F~0RMER OWNER VILLAGE RES.2~_O s~s. VL. FARM CO'MM. CB. MICS. Mkt. J DIST. SUB. LOT TYPE OF BUILDING ~alue LAND IMP. ~'20o TOTAL ??oo ~,~oo ./ DATE Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH House Plot BULKHEAD Tota I i //~-~- COLOR R ~ ~~ TRIM Extension Extension Porch / "~ ' Porch BreezeWay Garage Total /7'7/ Ext. Walls Fire Place Type Roof ~. Dinette Floors 0~/~' K. qnterior Finish Rooms ]st Floor Recreation Room Rooms 2nd Floor Dormer Driveway I ? LR. DR. BR. FIN. B TI T£E NO. T-1~SG-55G5 Frank or now or formerly Stonley d Porkin, Richord Ionk ~ Another formerly /h~' B. Rogers _1" ' ROAD N. YS. Rte 25 ! /,no~. or ~'°rrner~v tot 5 noa~ or ~°rrner/j. tP°6~r! ~ NOTE: · = MONUMENT DIST. I000 S£CT. 109 ~£OCK OS LOT 05Z001 THIS SURVEY NOT TO BE USED FOR TITLE PURPOSES UNAUTHORIZED ALTERATION OR ADOITtON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURV[¥ MAp NOT ~EARING REVISIONS dAN. I$, YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUNG SURVEY FOR: WOLFGAN~ O. ~RU~E ~ CHARLOTT£ A. ~RUBE ~WN OF ~ ~ CNARLO?TE A. GRUOg SOUTHOLD ] r/co~ r/r~E euA~rm ~ SUFFOLK CO, N Y eY , POOL ~=NC;LO~U}~ NOTES, 4-h",c~dkrneUr 0m ,wr,) ¢44 ~. 'PIPING SCFtEMA I'IC ~- DO NOT DIVE ~N Tile 5HALLON END SEC I'ION 'IA - At' NO ~CALE SPA PLAN VIEPq No 5CALL TYPICAL I,,qALL SECTION B - B GENERAL NOTES FOLLOWING INSPECTIONS: (~ J'IMMEDIATELY" ENCLOSE POOLTO CQDE ,ORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RET.,AI~ STORM WATEP PURSOANTTO SECTIC: OCOl 'ANO? OR ALL CONSTRUCTION SH~L ~ UNLAWFUL WITHOUT CE~ FtCATE ~s~A~, ' OF oCCUPANCY CAPACITY HOTIFY BUILDING DEPARTMENT AT ~4ooo 765-1802 8AM TO 4PM FOR THE ~ALLO~5 ~ 1. FOUNDATION - TWO REQUIRED ,TELY" ~ FOR POURED CONCRETE ?r~l~OE /~. ROUGH-FRAMING& PLUMBING ~L,~TI~ /3. INSULATION ~ /4, FINAL - CONSTRUCTION ~UST '"~ / BE COMPLETE FOR C.O. ~~LL CONSTRUCTION SHALL ~EET THE ~ hEQUIRE~ENT$ OF TH~ CODES OF NEW NOTE: GUNITE SP',II~ING POOL STANDARD ALCAMO POOL$~INC. 4/19/2007 SCALE NONE PCP q401-]70 SHEET NO PHILIP C. PAIdDOLI~I A R C H I T E C T .~ / ~5 t BARBARA TALBOT 800 PRAITY ~NE TI TLE NO. T- ~BSG-55G5  M~IN RO~D I~ Rte ~5 ~, I~ i~'~· ''~ now Or formerlp ~ ~ w or formerly ~1 " ~ ~ ~ on~ ~ Another ~ ~ ~ - ~ , ~ "~ ~ ,, ~ ~0~ K 0o~ or ~Or~erl~ ~°~r! / / / THIS SURVEY NOT TO BE USED FOR TITLE PURPOSES ~2zoo! ~WS~ONS YOUNG & YOUNG SURVEY FOR: ~,lo. WOLF~AN~ O, ~RUBE t~ CHARLOT~E A. ~RUB~ AT CUTCHOGUE GUARANTEED TO: