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HomeMy WebLinkAbout39419-Z ate= r 1 �� Town of Southold 9/14/2015 P.O.Box 1179 •co 53095 Main Rd S4j® '0 0' Southold,New York 11971 ` -1 "kIlly , CERTIFICATE OF OCCUPANCY No: 37775 Date: 9/14/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1940 Mason Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-7-16.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/5/2014 pursuant to which Building Permit No. 39419 dated 12/15/2014 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: concrete patio additions to existing concrete patio as applied for. The certificate is issued to Ambrosio, Scott&Ambrosio, Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1 Aut "ZS' atu ,,. �FEo��r.r TOWN OF SOUTHOLD ��0 %: BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy. .".,# SOUTHOLD, NY 4sf605 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39419 Date: 12/15/2014 Permission is hereby granted to: Ambrosio, Scott &Ambrosio, Susan 25 Brian Ln East Northport, NY 11731 To: Addition to existing concrete patio as applied for per DEC and Trustee approvals. At premises located at: 1940 Mason Dr, Cutchogue SCTM # 473889 . Sec/Block/Lot# 104.-7-16.1 Pursuant to application dated 12/5/2014 and approved by the Building Inspector. To expire on 6/15/2016. Fees: CO -ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $228.40 Total: $278.40 7 4L /r/ / '�, Building Inspe- _. Form No.6 , TOWN OF SOUTHOLD ' 1\41)6.d' ' . '; . , BUILDING DEPARTMENT (��' 1K TOWN HALL "�U 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:r ' - - • •I. 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. ' 5: Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate • of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 13. For existing buildings (prior to April 9, 1.957) 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$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00, Swimming pool $50.00,Accessory'building$50.00,Additions to accessory,building$50:00,'Businesses$50.00. ' 2. , Certificate.of Occupancy on'Pre-existing Building- $1.00.00 ' ',' - __.._ 3: Copy"of Certificate of Occupancy c-'$25; , 4: , Updated Certificate of Occupancy.. _$50,00 5. Temporary Certificate of Occupancy -Residential $1.5.00,Commercial$15.00 , • ; . . ° Date. q i( ( (5 New Construction: . Old or Pre-existing Building: (check one) Location of Property: - i c(L O I . O 1 oi^r . .- , , • ( 4,0- 'House No. Street Hamlet Owner or Owners of Property: SR:9 14"' 0,4,1‘.0 - S41A6v,,, to - Suffolk County Tax Map No 1000,Section 0,4 ' , , Block -7 ' . - Lot l`e ' I s Subdivision ' = , . . Filed Map. Lot: Permit No. (R `I k l Date of Permit. 12,115' ( 14 Applicant: (.1c)4- • -0 Health Dept. Approval. - . ' Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate' - Final Certificate::.. .(/ __ , . , , c___.. ..Q.:,. .. (check one) Fee Submi't'ted' $ 60uQ fC}-'&-- -,-",-- ---, ,,,:,.„ ,,,_ .:.„,:, „ . . Applicant Signature' „,,,,,,,,,,,,,, 3cfme . 4of SOut4,;\ E $ T WN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLUMBING ” 5 • - [ , ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: PiouffS k_ c37% ,fix pO\c4 &et e /11 DATE (t2- 113 INSPECTOR AL' '(4 ( 1,���0��,,OF 9sout,y-:lo,` CUUMY, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO > [ ] FOUNDATION-1ST [ ] ROUG LUMBING [ ] FOUNDATION 2ND [ ] 1 LATION- [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: /1 (3-( DATE INSPECTOR - 1"7 • FIELD IN•SPEcQN REPORT DATECOMMENTS • u. • -.4,e-- am b.it .d ,4 � 1� — -,f,. �,tt.i • FoUND,f lON(1ST) ifi,--a-ti/44- •/ ;Ta-r .• 0 /' XX 4",4•4 Osk •S •;# J FOUNDATION (2ND) • Y • • • • • • • • 1, • • ROUGH FRAMING& H PLUMBING . • • INSULATION PER N.Y. STATE ENERGY CODE . . . , ,),/,' ...,-..5" FINAL , • • • • • ADDTIG�MIYIENTS . �. . 4,ai 115 R c O 5 o 01-9'! .o , • _ , • . t, • . . , . abg • e ° -2 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX:(631)765-95021-) Surve SoutholdTown.NorthFork.net PERMIT NO51 Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined /J ,20 Single&Separate /-7 Storm-Water Assessment Form J ) Contact: Approved ,20 Mail to Disapproved a/c Phone Expiration -,20 10/ .uildin_ Iti:pecto u } i ATION FOR BUILDING PERMIT DEC `5 2014 Date CPI ,20 ILI INSTRUCTIONS a Thin �t41i m''MUST e omple ly filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans;accu liti Patpto scale Fee ccording to schedule b.Plot plan showmgocf 1 d of buildmgs on premises,relationship to adjommg 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 Buildmg 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 buildmg permit shall expire if the work authorized has not commenced withm 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 writmg,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, .8.regulations,and to admit authorized inspectors on premises and in building for necessary inspections cc-)tla.M 12I _. - (Signature o applicant or name,if a corporation) (Mailing addregs of applicant) i/75/ State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder � • s Name of owner of premises SLS c SSS (2)4 461 CQ' (As on the x 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. 3((0 ow Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1114� 144D 6 <DV,a C2o4cPAcxic)� House Number Street( l Hamlet County Tax Map No. 1000 Section I tf Block C) 7 Lot (CP r I Subdivision Filed Map No. Lot 2. State existing use and occupancy of premiseid intended use and occupancy of proposed construction: a. Existing use and occupancy `J,� ..-1-119e10-)-1-1 44- b. Intended use and occupancy S i,r,L2A.4-1 0-(--- 3. Nature of work(check which applicable):New Building Addition Alteration __ Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars C.) ----- 6. 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear_' , Depth '2-0 C---Pm-10, Height /3" Number of Stories --- _ _ , 6:4c/ Dimensions of ame�,,structure with alterations or additions: Front a� i Rear 3 y) _ 11 Depth 4O Height / `P' Number of Stories 8. Dimensions of entireeneo f construction:Front `34(/f Rear a� Depth / Height F 0 !' Number of Stories 9 9. Size of lot:Front 3/ 6(a2-` Rear 5 i;1/ Depth 3-7 I. 1/ 10.Date of Purchase 61/217 f Name of Former Owner 11.Zone or use district in which premises are situated -(1)-6"--it i At 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO c."-"---.----- 13.Will lot be re-graded?YES NO 'Xill excess fillbe removed from premises?YES NO ' 40,, 9L,'P7, /!!w3/ _ 14.Names of Owner of premises c fir c Address 2(13/tom d 0-- Phone No. SA,r CQ"/ 57f Name of Architect Address Phone No Name of Contractor Address Phone No.� 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.G� iIiiZ101,,4- b.Is this property within 300 feet of a tidal wetland?*YES C./go *IF YES,D.E.C.PERMITS MAY BE REQUIRED. --Ai.v l if o 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. FA 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 ) co P4CQQ being duly sworn,deposes and says that(s)he is the applicant (Name of individual si in17 g contract)above named, (S)He is the 0(i " JAN SCHOTTENFELD (Contractor,Agent,Corporate Officer,etc) Notary Public,State of New York vi No.4949213,Nagi3@ig,+ '"sr or owners,and is duly authorized to perform or have performed the said work and to make and file this application, Commission Expire iri 6TS-:;_nts 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 m the application filed therewith Sworn t efore me this. q ._...,(.z.-)( ...40 29 day of .mai 201 gf C Notary Public Signature of Applicant • o�ggi"'pf SOU Ty John M.Bredemeyer III,President �� �� 4.. l0 Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee ; * Southold,New York 11971-0959 Dave Bergen,Trustee G til y $ Telephone(631)765-1892 Charles J.Sanders,Trustee = Oly`,DU ,' Fax(631) 765-6641 , # BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8418A Date of Receipt of Application: May 9, 2014 Applicant: Scott& Susan Ambrosio SCTM#: 104-7-16.1 Project Location: 1940 Mason Drive, Cutchogue Date of Resolution/Issuance: May 21, 2014 Date of Expiration: May 21, 2016 Reviewed by: Board of Trustees Project Description: For the existing 26'x20' concrete patio; install a 54" wide by 20' long concrete addition to each side of patio; install pavers or stone on top of patio; and to install an 8'x12' shed. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter;275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Scott Ambrosio, received on May 19, 2014, and stamped approved on May 21, 2014. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the:requirements for issuance of an Administrative.Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer III, President Board of Trustees John M.Bredemeyer III,President �•0 N140 S0Ur#11y0 `` Town Hall Annex Michael J.Domino,Vice-President �� 54375 Main Road 7` � P.O. Box 1179 James F.King, Trustee ` Southold, New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee =�0 ,����,I Telephone (631) 765-1892 �c'DUIiri*`'��� Fax(631) 765-6641 • ,,,r BOARD OF TOWN TRUSTEES November 19, 2014 TOWN OF SOUTHOLD Mr. Scott Ambrosio 25 Brian Lane East Northport, NY 11731 RE: SCOTT AMBROSIO 1940 MASON DRIVE, CUTCHOGUE SCTM# 104-7-16.1 Dear Mr. Ambrosio: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit#8418A to modify the dimensions of the concrete patio addition to 30" on the east and west sides; add 2' onto the length of the southern back of the patio; install new steps off of the back of the patio; and to install a new 8'x12' shed 10' landward of the non-turf/no-mow boundary area; and as depicted on the revised project plan prepared by Scott Ambrosio, received on October 20, 2014 and stamped approved on November 19, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:amn : :: .' ' ' ' ' , '._ : , )(, . . . _ .. _ , , çk' 6( , . , , ,,,, _ , , . of soar = - , John M. Bredemeyer III, President ' , ' , 01 �� y� _ '- Town Hall Annex ' Michael J.Domino Vice-President• .'. ' �0 h0 l4 y--, - - .• 54375 Main Road ' ; 4 , ' • r P.O. Box 1179 , James F.King,Trustee ; N - - Southold, New York 11971-0959 ' ' • Dave Bergen,Trustee ` , `` �' '°, Q �0,�� Telephone (631) 765-1892 Charles J. Sander's,Trustee. lif'`+oUNly�� �ii• Fax(631) 765-6641 - ' ' BOARD OF TOWN TRUSTEES: , ' ' - TOWN OF SOUTHOLD - - • , . J - ' - CERTIFICATE OF COMPLIANCE ''' ' . - ' '- # 1161C, ' ; , -° ' . - Date: August 26, 2015 THIS.,CERTIFIES that the'existing 26'x20' concrete'patio;the'addition of 30"on the . east and west sides Of the.patio; add 2'-onto the length of the southern back of the patio; install ' pavers'or stones on top Of the patio;.install new steps off of the back of the patio; and to install a - ' new 8'x12' shed.10' landward of the non-turf/no-mow boundary area - . ' At 1940 Mason Drive, Cutchogue ' , ' ' . '' Suffolk olk County Tax Map#104-1-16:1 - ' - • Conforms to the application fora Trustees Permit heretofore filed in this ' ' office Dated May 19, 2014 pursuant to which Trustees Administrative Permit#8418A , Dated May 21, 2014, was issued and Amended on November 19,2014 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 the existing 26'x20' concrete_patio; the addition of 30"on the east and west sides of the patio; add 2' onto the length of the southern back of the patio; install pavers or stones. on top of the patio; install new steps off of the back of the patio; and to install a new 8'x12' shed 10' landward of the non-turf/no-mow boundary area - - ' The certificate is issued to SCOTT AMBROSIO owner of the aforesaid property. far . ' Authorized Signature ift Mimi NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION •.•P' , , Facility DEC ID 1-4738-03872 • • PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: �. Gt,- '� ., Facility:-'" , ' SCOTT ALAN AMBROSIO AMBROSIO PROPERTY 25 BRIAN LN k:hw 1940 MASON DRISCTM#1000-104-7-16.1 ,t.. ry, EAST NORTHPOR' `'NY 11731 CUTCHOGUE,NY :: ,F (516) 644-3710 ''f� - SUSAN AMBROSIO ix. 25 BRIAI�kLN ` , „fJ EAST AfI”JRTHPORT,NY 11731 ',€,,s,, F ;f ass" L` Facility Location: in SOUTHOLD in SUFFOLK COUNTY ii., Facility Principal Reference Point: NYTM-E: 714.2 NYTM-N: 4543.4 vi Latitude: 41°00'49.2" Longitude: 72°27'09.6" ,o Authorized„_Activity: Construct 140 sA ft addition to existingpatio &relocate exis in ste.s. All Ai ':x'.' ,,,,,.e'4,,,,,.ux,aw37,rr,:;;a_,..c4'mv.,-,7,-- - 7.,01.0 5:iemi-',,..,,,,z Y,d,�.2 `tm,.'�4-5,u,':''51, ,,B .y,s44 ::,,..33�s:C.u::.=.'i33: l:,!::;,-,Zg)iNStgi iiw` . ='4 ”i'fkaJ�i'.,°54+3"..;,:'a`',�.E74%a` o work must be done in strict conformance with the attached plans Stamped Approve. on October 6, 2014{; f�:.s:° =. , ,6z�,;. :�.., 0f�• 't Permit AI thortzat ons F,r..s..,,.,,n<.t'-e''" i TidalWetlands-Under Article 25 gi V. Permit;,ID 1-4738-03872/00006 . , NO* Permit Effective Date: 10/6/2014 Expiration Date: 10/6/2019 °` z—,,",,,,7' ,-„ ,,ci:,,`-,`-„ ,a:.?.s.,,,,, >;Yi ,,,.;,:c.W s,_,,,,,,,,-...:..,w,-, _.>...,.,.,r,w................,r_,,,, ,-.2...,, ,..,,,,,,,k,,z4,,,z,z,,,A,.". ".:,,,,,c"' ,,,,-;'a:fm,Y 1,.:,,?:ti,-iev,e,r,a.,,,,,, `.`T�..,;e:7re,g,,,t ?3,<'n--c`,,,,, ,,4"iii a ,,._._., .,,,,,,,,,zY.,i .,...s%e:d1:L„'%." oRgTR . SC'Appr'oal” , By acceptance'of this permit,the permittee agrees that the permit is contingent upon strict compliance with'die ECL, all applicable regulations, and all conditions included as+part of this , permit. ,,-� Permit Administrator GEORGE;W HAMMARTH, Deputy Regional Permit Administrator Address: 'NYSDEC REGION,1 HEADQUARTERS: .2/7 SUNY @ STONY BROOKjSO-CIRCLE RD STONY BROOK,NY 11790 -3409 - Authorized Signature: Date 0i/, ' Page 1 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Nur ' Facility DEC ID 1-4738-03872 • Distribution List Habitat- TW SHERRI L AICHER ,:PermiteComponentss i,. NATURAL RESOURCE'PERMIT CONDITIONS ti�,a ": A- Jr dv 1_ii GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS ' A NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS k:;. NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following .i,° Permits: TIDAL WETLANDS w 11F 1. l otice of Commencement At least 48 hours prior to commencement of the project,the permittee andcontractor shall sign and return the top portion of the enclosed notification form certifying that they are fuflfav a etifa rel intre"r tared allgterm aridreoriditiflns`tif'this petifiit it1 3'ardaWof-coi pletaon of project,the botto portion of:tl;erform must also be signed and returned, along with photo hg oc the complet d wo k..- -,1;... ,400.4.- ' x � - 2. Conformance With Plans All activities authorize .b, this permit mus e�.,,,,A,'"'trict conformance r with the approved plans submitted by the applicant or applicant s-`agenras part of the permit application. Jo Suc iapproved plans were prepared by Scott Ambrosio last revised August 26, 2014 and stamped r "NYSDEC Approved" on October 6, 2014. ':M u 3. PosPermit Siv. gn The permit sign enclosed with this permit shall be posted in a conspicuous=�r locationearPtl eiworksite andtadequatel =protectedfro nwthe�weathe wi =a,ar x z= ze `e- F1,S,gti^ :".s.,,:',c�';r,n,,4,5,'.zw:va.'",.; . z>i'''"n°• ;N, ;7°w3:,....'mwa%,,z,y`,^:zra,,,ga<f'-�..zkr�:Sri_r.yerani^.kw4'w"�°rtt'."0;^'-':eriE.�:.'z W`3,�r"?isi�+i':;.i:,^::''z,>°i4.!itr`.gxe2i--,N7 4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material tpin construction of this project shall be completely removed from the adjacent area(upland) andtremoved to an approved upland area for disposal. No debris is permitted in wetlands and/or protectedbuffer areas. • 5. No Disturbance"toz Vegetated Tidal Wetlands There shall be no disturbance to=vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. >T 6. Storage of Equipment,Materials.,.The storage of construction_equipment and materials shall be confined within the project work area and/or upland areas:greafer'than 50 linear feet from the tidal wetland boundary. Page 2 of 5 - - r v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION New , Faci;ity DEC ID 1-4738-03872 7. Seeding Disturbed Areas ,All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.) immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 8. Concrete Leachate During construction,no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters ofNewTaft'State;i or"sliall washings from ready-mixed concrete trucks,mixers, or other devicoWillowed to enter any wetland or water=s.;.Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace within the forms. 9. State Not Liable' Damage The State of New York shall in no case be liable for, ny damage or injury to the str `ture or work herein authorized which may be caused by or result from fitture operations undertaken by€`he State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 10. State'May Order Removal or'Alteration of Work If future operations by the State of NewYork requir j'n alteration in the position of the structure or work herein authorized, or if, in the opinion of the Depanent of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of sajg waters or flood flows or endanger the health, safety or welfare of the people of the State, or use loss or destruction of the natural resources of the State,the owner may be ordered by the Department, o ren�ive or alter the structural work, obstructions, or hazards caused thereby without expense to the Site, ander irftli tlfeeitplit�C bin ei`�i atl'o��cifilEfpeitn`if:f tlfe s re° t Mill fte" atio;ofs lie :am =�K=o modification Of the v apt. rcourfthAeby authorized shall not be completed,the owners, shall, without. . expense to the Sf'ate,, and to such extent a 1 in such time and manner as the Department,,of, Env onxriental Conservation may require,reirroxo,all or any portion of the uncompleted structure or fill anct jestore to its former condition the navigable anood,p acity of thewatercourse. No claim shad be thade against the State of New York on account of any such removal or alteration. 11. State May Require Site Restoration If upon the expiration or revocation of this permit,the ;' project hereby authorized has not been completed,the applicant shall, without expense to the Statend to suchextent and in such time and manner as the Department of Environmental'Conservation may lawfully re'gitfiYafffCive'al o `an ;fT. d fie dffi �-... �� ..:.�.,. s_: �'y'porti"on�o�fli'e�ineompe�ed"s�rucfure`�or fifl~'aiicl i°e'sto'�retlie`sxteto its • . former conncllti+anviblot-lair hallaboanaric;againststhe<xState:mT.e Yorkon aecounttof yisueh removal or`alteration. fi• 12. Precautions,Against Contamination of Waters All necessary precautions shall bol;t'aken to preclude contamination of any wetland or waterway by suspended solids,'sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the prole*,h ,Page 3 of 5 Aft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03872 e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION'OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification . - The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harth1 ss the Department of Environmental Conservation of the State of New York,its representatives, emplof s, and agents ( EC") for all claims, suits, actions, and damages,to the extent attributable to the permittee's Acts or omissions in connection with the permittees undertaking of activities in connectio with,or oeration and maintenance of,the facility or facilities authorized by the permit whether in complian€e or not in compliance with the terms and conditions of the permit. This indemnification do3$eus not exteR'd to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or ., 1,4 intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article °$ t eNew York Civil Practice Laws and Rules or any citizen suit or civil ri . ts ,provision f ��k New w :•uv,y" ,, . : f,s;as'Haub ,." . "5`muos ` .i t. '"ig.-`+a§=-, ar"n," r,swt under federal or state laws. Item B: Per ee's Contractors to Comply=with Permit k� `N The perniffee is responsible for informing its indeperide t contractors, employees,agdnts and assigns of their responsibility to comply with this permit, including all olcial onditio1 pile acting as the permitte 's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the'Environmental Conservation Law as those prescribed for the permittee. 4"r Item C: Permittee Responsible for Obtaining Other Required Permits The permit ,is reslaoa sib e,fo obtainingrany.>aether,permit ;..appy • . ,land asomentsV andaights. cif- way that may be required to carry out the activities that are authorized by this permit. `+'.21.^';rxes»iyme� • Item D: No Right to Trespass'or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere.With the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest;`in real or personal property held or vested in a person not a.party to the permit. Page 5 of 5 V 11111101 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Now ` 'Facility DEC ID 1-4738-03872 L , . GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records,is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to,determine whether the permittee is complying with this permit and the ECL. Such representative'may order t�e`worksuspended pursuant to ECL 71-0301 and SAPA 401(3). ,2;,,-"-",l'- '''''° --,i-t-,,,,. , iiz 40 The permittee shall pdvide a person to accompany the Department's representative an inspection a; to the permit area/then requested by the Department. ``r; A copy of thipermit,including all referenced maps, drawings and special conditions,musik a available for inspec ' `n by,the Department at all times at the project site or facility. Failure to producecopy of the perm upon request by a Department representative is a violation of this permit. _ 4 2. Re #tionship of this Permit to Other Department Orders and Determinations Unless expssly, provid for by the Department, issuance of this permit does not modify, supersede'or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements - cont fined in such order or determination. - ti li . ' j 14 3. E'7 t�rUll liTffre i ``fie r 'x..v d '� .ta1 w�;. ,c,.; it rerc u r_.cr»c=rs-.m..iftf a'•:it.cr:: ``�'e �s;�toclificatioin�°�or- r�ns`�ers`=`)'heYpe�rinrttee�n"�` -''b .' 2t separate written ap parr ixsete gRartment for permit renewal,modification or transfer of th o= permit. Su *=app ication must include ny forms or supplemental information the Dep ifea quire.+ , Any renewal,modification or transfer granted byythe Department must be in writ g 'submission of I app cations for permit renewal,modification or transfer.are to bbe submitted4: »Y iti o Regional Permit Administrator ,: NYSDEC REGION 1 HEADQUARTERS g 4, SUNY @ STONY BROOKI50 CIRCLE RD ,f STONY BROOK NY11790 -340901 '`F".,emsz'.s,.4 LT2-7d`r.3F..a. �a` 1-:G .•wec`r".7-2,cSie�?I?,a:rl>'.tiF�`'.'art's.,° a'3�».»,2., „: ,,,,,s;,%w4.„Y_-fi: .,,,,.J".:.... _,,...*o:,,„..„,.,,,,,, a.._„,,„..,'a4, L.,... ,,,: n 4. Submission-of Re1rewal App'lieation =�TLLp heern itteee mustisubrnit=aw enewalr pplieati�o�2gatNleast 30 days beforeernmt expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right*exercise all available authority to modify, suspend or revoke thisgpermit. The grounds for modification, suspension or revocation include: 4'1; a. materially false or inaccurate statements in the permit applicationmor supporting papers; b. failure by the permittee to comply with any Terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; ' d. newly discovered material information or a material change in environmental conditions,relevant” technology or applicable law or regulations since the issuance of the.existing permit; . Page 4 of 5 ` ,Scott A. Russell S•'' �°Sll � STORMWATER SUPERVISORMANA\(Gt]EM EN T SOUTHOLD TOWN HALL-P.O.Box 1179 ° •++ 53095 Main Road-SOUTHOLD,NEW YORK 11971 • ti +• Town of So u th o l d DEC R 2114 CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) -- - -- ---- - - ----- --------- -- --- -- - --- -- -- -- - DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: • Yes No (CHECK ALL THAT APPLY) ❑ Clearing, grubbing, grading or stripping of land which affects more �than 5,000 square feet of ground surface. ❑L3 . Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑Q C Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑aP. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. * If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. * If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. • APPLICANT: (Property Ow er,' Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date District 4,■ 1 ,,/ / d o _/( NAME: .r. Section Block Lot .091 "�' FOR BUILDING DEPARTMENT C;SE ONLY .51141t-CQ��= 371 Contact Information y _ r1 / rrdephone Numbed l/L/ZU--�,.�4 Reviewed B Date: /3 y Property Address/Location of Construction Work: / ID Approved for processing Building Permit. f7.7(2 c � . / � Stormwater Management Control Plan Not Required. Pi/ ( ( [i/_ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 �T— APPLICANT S.C.T.M.#: 1000^ .r'o CHAPTER 236 --=, (Property Owner,Design Professional,Agent,Contractor,Other) • • - -- -' • a i f(,/ ``f (" Stormwater Management Control Plan CHECK LIST NA > SMCP C P -Plan Requirements: Provide ONE copy �ol 1 . ,( �6C] Section Block Lot � q of the Building Permit Application. Pleere Prmr .' Date: =.� `"� * The applicant must provide a Complete Explanation and/or Reason for not providing - "� X11'°(0L/4,37 ----,Y..1 • )"?,:o' all all Information that has been Required by the following Checklist! Myna np a Telephone Number ,ser 1. A Site Plan drawn.to scale Not Less that 60'to the inch MUST YES- NO NA If You answered No or NA to any Item, Please Provide Justification Here! show all of the following items: - - . If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries J r/�(J J(""_ b. Total Site Acreage. c. Existing-Natural & Man Made Features within 500 L.F. .� — of the Site Boundary as required by§236-17(c)(2). , - d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. 1 e. Limits of Clearing & Area of Proposed Land Disturbance. — - f. Existing & Proposed Contours of the Site (Minimum 2'Intervals) r/ s ItHID5 © g-Sttt1:16G NT CON' g. Location of all existing & proposed structures, roads, - Shall include but not be limited to: driveways, sidewalks, drainage improvements &Utilities. � 1 1 A well maintained Construction entrance, h. Spot Grades & Finish Floor Elevations for all existing & — 1-- Wire Backed Silt Fencing,stabilization & proposed structures. Seeding of exposed and/or inactive soils. I. Location of proposed Swimming Pool and discharge ring. J J r-", J. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). [7J II a-" I. Location of proposed concrete washout area(s). J I 47,/ , iTt. Location of all proposed erosion&sediment control measures. J _tr 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture,store,and infiltrate - on-site the run-off from all impervious surfaces generated by a two(2')inch r/ - rainfall/storm event. 3. Details&Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion & Sediment Controls. 1 J 1 b. Construction Entrance &Site Access. —J-(T . c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc) niJ— - d. Leaching Structures (e.g. Infiltration basins,swales,etc.) M _ e," FOR ENGINES -NG DEP --' '�. T USE ONLY**** 1 Additional Information is Required. Reviewed & i I III Stormwater Management Control Plan is Not Complete. (r:. _ Approved By: - ni ,; � ';; - . __ — _ L v4, Stormwater Management Control Plan is Complete. Date: ., ( 1 SMCP has been approved by the Engineering Department. FORM * SWCP Check List -TOS MAY 2014 !e< `ff TOWN OF SOUTHOLD PROPERTY RECORD CARD M _ 9 loon -'/off-�' - ( _1 OWNER STREET RelI VILLAGE DIST. SUB. LOT SU_C )) K-. ( ))U /i .L.xo#r Di-/Lit C u 7€1.0,9 we ' , )e.rc riiiecr ORMER OWNER m v itAc(so N E ACR. ( cc r7 o r D a S c 41..r04. ,C�k- r`✓e 0�-4 _.�vo 1 /%it ti's a n d S W TYPE OF BUILDING c /YYit./A.:, nhi dos,. .4«`1aai I c lr Flu IMS _ H.. R(o.4nk unV kU ,Desai. C1.--- -.t... C w,,, RES. J�� SEAS. VL. g FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7/27/7/ g cid yf;a A at ape i.. / ô47' /so% .a De @. 47. / 0 d ,2/e d 7/24/67 3)/7( ii ' Z.2,,Z.2,, 640• Pre.h4, ilk d&) im 114, ..rd'h 2.3 a d ,13 0 0 JJ/.J/7z. i 4/8" - C� H e r .e,1 _3,43C)c) ?.- 'k.:2;1 c) 6 0 .7/ dk.2. 3 f rlctr1- .47eanor- cleceQsed( /27/7: b-t will MI*c tae/s0- 4 1 O 2 ,4.)c ) (6cc) ,z 4 4/rs(dp- L 4427v6qq-n ii` itelsovs 0 flti (ty --fax stile n/c. li - : - wow' -1' iv v7 • (1,-;) /PDj/ LH ent Ao # . _ 1� 417 Tillable FRONTAGE ON WATERT f,(7( L ,ii e)&1p-- = 4 f 46 Woodland FRONTAGE ON ROAD /5,j.-; 7 Sj7ef. Meadowland DEPTH (lf/$r-a9�) 275717i; House Plot I BULKHEAD i Total s .. •, fu .. .• V ' ` • F SOUTHOLD PROPERTY RECORD CARD n Q•= .. STREET VILLAGE DIST. SUB. LOT 74ah6r- k, 114, asQ4 AcISOit /C.Jt-ivd Ov fcieive y barcv-,4e w FORMER OWNERN d-J'sta Di-iv e E Ci 1/47—ah f z e 4 ACR.4- I S W e/ TYPE OF BUILDING ,. .�eg, M ci-I'd A *Wit S. i a SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS J;At/rick,ara t-- /&i.571 0 01/12,1 /9-2J— Z as ,2.2. d Q 3/6 D +, /6s /.2,/pi' ,e,,,,,ye a/ 4✓r 6L H cLi. a•.. I i le c pl, _ - LrZ'd , 2---6 d° / r c / yi /-r/,7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre finable I f illable 2 'illable 3 Voodland wampland FRONTAGE ON WATER �1'�t"'f¢, / (j a 0 /- r rushland FRONTAGE ON ROAD louse Plot DEPTH A`e�d� er 3, 11- • �•, BULKHEAD otal DOCK • w-- ..r, , • COLOR / lit''' '- ,::::;.-44.- ''...'x' '4► '... '`nr1_71 ;LI 4' F ..'..M1 ;;l ;11. is .. »: TRIM —;� (lin d o £ 1 ) / M. Bldg. .Y v1, p 57 ( 3 Tr,3%7 Foundation e:; f :' Bath Dinette Extension J Jn :asement a,f4..+,t f�/ Floors /2' -4-- K. Extension t. Walls C,'� '' i Interior Finish 6'A-i 19 4 ree, LR. Extension - CF a / (, i 5e Place ,.QC- Heat "7-._,L/ DR. ype Roof yoci/...-6-\ Rooms 1st Floor BR. Porch •ecreation Room Rooms 2nd Floor FIN. B. Porch Dormer Breezeway Driveway Garage (-(0 r v l Patio 1).€*. ,q`,C 0 ,. `1 0 y' 1 v O. B. i Total 1, G G g / , A /..c. 1111111111111111111111 IIIA Hill 11111111 Hill 11111111 111111 1111 INTI IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 06/12/2013 Number of Pages: 7 At: 05:50:29 PM ' Receipt Number : 13-0071329 LIBER: D00012732 PAGE : 958 District: Section: Block: Lot: 1000 104 . 00 07 .00 016.001 ' EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35 . 00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15.00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $0 . 00 NO RPT $60 . 00 NO Fees Paid $135.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County • , •;,V,' ' . ""4';`,4711443q1-141`017g-Wk,' ,,,•.•,::' ,. ,,,,,,TniFg.FaMicil,k,,,t4t.dtor,-iiNx,4)P,,*,,L-'-i, m,J-27-''''''• , ..._ •,,.„,%,4,,,,,,..,,,„,,,,,,,:t0,-.t,,,A46,,,,'1/4,4i.sAt.,44 ,14,,,,,,,,,,,,,,,(41,,,„,,,,,,,,,,,,i ,,,,„„„; ,,,,,.„ ,,,,:,,,,,;,,,y,,40,40,-,14,„11`.11,,4,41, I -----'••••••)':',,,r,z,74V-1-1:1"';',A)Alfifr,e,034ATIVO;t,"•v:04 ifttit,(4,,avt,e„"Prit,14,10,,,' ,,,,,41,14,/,,ii""7132::;g;":"''',,,,,),cluful,,,,'1,4;614444:,'io'i6r.'4',411,1;11', •;14,,,N6141,01,6t41,W;1•4t. O.,:h.:4:::!_sizi',v:,1:::,:ct..",314:44,,,;;E Rs,:.!,,',.:,:4,,, ,,r,.„.a. :,,,,,v(Ft.,,1 4,;,,a):4:1:it,i,,,,:;441;:.4,.,1.:.i;4i11,:i4iit,:4‘,;.:iiii:;;;;:,,t7$1,i • '"4;',:,,`;-,,,,,44,?,1 ,„yittp.w01,0.•r.i.A.g;7,-,,•;!••',,•••,*4011,..,,,,r'6.; '.4 tik-INI--,',--M4,(1 Number of pages -2 This document will be public SUFFOL"K DINT'? L D00012732 record. Please remove all Social Security Numbers prior to recording. ( I Deed/Mortgage Instrument Deed/Mortgage Tax.5••.• FS •0.,''I'r,lt 10 j j Page/Filing Feett h "f' 411 44'11.1,141 A fe,n,,,1,1,,„,..,,.;,,,,,r1 i,4,,,4,..,;••••„4,1,-,,.0 u,.',•.,9q161A6414, j14'i'''''t Wirtirri VA , ,‘'.11.-A,..).',,,,?-v,,,m0,E,,orv.*14, iirw,t,:c, ,,,,,..,;I,,,, TA,,,,nwm,,ow r'•..:•okit '441 4 i'At '%,,stket ''''''1':'''''',: ,;':''' 'fl:::;:-v'''','.,„'''''''''',1".7?6' ti-''',',..,]'''',;,:kfe.::.:t,AVreLtP,,,,,1144VriZtall'• #71117.'"''''''''•`11'"°P.' 20. 03 Handling •-•-•';':,:;:.r„ ,',:- '..1"i';','`it 1•1;'`:,,f,;,411,,12,1k:''''l P, u,',,'I,,,4 j'ilte,4,,Te''. !'AM Wir$ A ' 1 r',i4.4:L.'',,,' ;.! I, ' ,I"',0;`:,,,V0,104 01q4044;4041,01119:int,l'iqrSPI,Pipt'''' TP-584 " ,,,,l'",,,;',',:ill„,',',, ,,,,,..-,,,,,o,,•,,,,100,,I,p,v4,••;;; to Ottrilpt,,,,Is 4,,,,o,,I,,cw,1,,f,,,,c,1 !twills,. 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The prciperty covered by this mortgage is Certified Copy mall be improved by a one or two ,'i".ollanfitrobtro..0-11firre ar:F4- „ NYS Surcharge IS. 1'13 ., ''1?0,1,,q,,,t4(1:1%,tii',1,',;A;'>-,VI's?',:ii),C46.,,,-,;,..:!,„,:,,;t0:11M7,„. ,;,,,., ,- ,vg 515. -, - ir...,•41::,;r4•'le Lvdfilp7atra•-•• •••"' .,'''' , ,q;•-,• •utr,,,4,,.1,4•4,,, •J • .-'14. 4..—. , - -,11,,, ckger,ret,11,1011 •-•• '''--rY"'''''' Otl,tq• '.:•;,'',,', X.,pf,X.41,4:OVAr',04008,114a104inUr701'is+Ilii?". , ‘.. :. ,„..,....,:".„,, 7,.., ,i,,,,,,,11,,,y4 N'''''' 'I';''.Y,Yi!'''I'l','Ik'iAtO44010'ft,____2,.,_2 iiii 4'4'44''''il '1'1''''''''' - -,fi,;,!0,144,',',-11,146,N,$,*,ON,t,.:57,Mit,,..19.4 %X.,,'N'',6i1404014,1iNir,,,,M;4116,J.4 14*,1•.14 . .t: Y,,t,•titirgt,„Var ,p(m)Atpol,'4,v1K114;•,41`'i.,104r,1141,0101••i , ' ''•'•••''' ..,-,f q•',.; kfAifygitt„ .,:•.,', ;.;h1,g':',,:,',g'•„„''' ;•41,•,•;;,1,,::4 "'±..... ' ..,..":.'-...','',/. ,,,•,• ',4:,:., LBlock 'Let - ' ''',"",.'%'.•V`,A!ilk 1).,.q, ' :,, ,,,•inic4.F•fit 4 I Dist. ___I-Section ------- , .,,,•:.,,,,,,,91,1,014,0,414•Azotnowl•,,0 74Pfr'It.i.ilt,?4,v,10410, 2 4 92 666 1000 10400 0700 *16001 ',i, """); r ag• '`•-•1111 Real Propert: ,•.;'„;,,,,;,„, n,,,,,p,,irftli,,,,,O; ',WdfitV'tqltik:',!'0,11.',Plii,,f).44,;',4V ,1"1.1,11 Tax Service p T s ' '''i '''''' Ip L , , , ,.;',21b0,10derT1.41,Kre,4!,1,11-, ,,,'cp,p Tat;'.a' ',..-.. ,,,,,,.',..,'.'•,'.,..4.10:1,4,Joh a , , I Agency R SMI A 11'•'•ii 'I''1; 1 ,r 'III il , i' ' . - • •11,,ftl:,41 1;itrti.:61,,1• 11 11 t 1• kll 1 , 1 - ,'A q 0 0 to""T:d 11,,,,!.,•es A II IP.' ,''ill'0,i Verification 30-MAY-1 ,,N,Weitt40114 Satisfact..,--- 6 RECORD & RETTY11TO: -----, I Nbraittir 314'1/4.;'.11 _fOr'r41,414, 7,771,37.7.511 RETURNTO. .. / TD ;•'',.)''';','',,:,'1'..".'''''''':'.'illl 9e°7/1 '•-C7"'4/3 ?S'-- 25vi44.) C TD ‘I'W A/e('` 14,1°V- i— A- .1 TD . ii 73 ( . , „ „ '., •'..,. • • ' 1 . . Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information . 4 -thele - - _, fiy4ficl% 310 Center Drive, Riverhead, NY 11901 CoName 00q1 -- ' (I4 / www.suffolkcountyny.gov/clerk Title # 0 r—4sc— ci‘(,‹"*.--7 t 1 „ Tzwwirwiplipktf*VP—Ar - 1 ,„, ,- ' ,' -' • ' .-=.- ' '' ','D u' ' TZ0/40,#0.Eqe,ilk ,i .;J-!ts,v4 40.-$16ikk,„:,,,,.`':,' 7,,,Nm715mwm,m,,, - ' 1 1 THIS DECLARATION made this 18 day of September______, 2012 , by SCOTT _. LI . AND SUSAN AMBROSIO, residing at 1940 MASON DRIVE ) hereinafter referred , -------_____ to as "DECLARANT(S) ”: WITNESSETH : ' , WHEREAS, DECLARANT (S) is/are the owner (s) - of certain real Property located on 1940 MASON DRIVE , CUTCHOGUE tr , Town of Southold, - State of New York, described in ,the Suffolk County Tax Map, as Eli,,rrict 0 , i Section 104 Block 7 Lot -- --' 16.1 which is more particulk*CAA# ----- ---- 4i bounded and described as set forth in Schedule "A" annexed herpt...0,„ . c, 7-v-i'42101i1"1W P:,.10: 1 .,4°010*' referred to as the Property; ',41,, lia0A , l',A111.401LY6 WHEREAS, the Property is situated on lem4s,171,g742-/AW10,4044044,00p1;ait*I4110 Board of Trustees of the Town of Southold Chiztr**A40,4q04*444tWAMili!0400440* , ,, •• .;.•_ ,H,,;,,,,6,0,,„3i,4*,4,-iNb44,13tAttexii.,,),,,iatimagikearikneroopplf#,, to Chapter 275 of the Town Code of the Town—Of SoutholdrOrit'P'S'A'8-e , "and6''''46" 11 or '1 ? -[ 4 various activities conducted upon the property may thus he =.-',--- to rhe otkt , regulation and approval of the Trusnees Prr to NT'J 4,Sq;111 :.111116411 WHEREAS, the DECLARANT(S) therefore .-- az--.72.blit,EttL_II''`,‘, itra? ,I44ie Ircalsmase; klia1.1'' #11:,,,;$40 11 permit pursuant to the Wetlands Law of the Ircwn, of Somtiketg '' ''', ',-,P'"=r7Pm= cre,rt-ACIO,C:A 1 M ',1TM(14,444Y regulated activities; and • , .:-,' •,' ;',',--: 5:.:q,'' ',:'.':'':',;%'"j''",,". ,: , ,:!',HAAIi:'i"liii0,1i•blA ','1''',' , ' Vilinkl WHEREAS, as a condition of the granting of a Wetlands SearmIlt ttm ttmidamtalth§:04,,kW i uch regulated activities, the Trustees required that a twenty foszweide sztr, 0410, ----------- .41r isturbance buffer area to be established and subselpJenr17, maiardttetmf irime =5,,,;: 4AO'f11,01.: VOil .: ;tablished wetland line on the west side and a ten foot wide moz-taire' llTmli=e- to 110p '.11; 1?kil IMA;'4 .11 ' established and subsequentl maintained from the established wetland Tine on .1,34,,.,A,I,,6 •''''' Via AiliAj .. . 746 NOW, THEREFORE the DECLARANT (S) do/eickoe hereby covenant and agree as .041, 0 lOWS: 1r44"°P ';rri 0,u,lijOk l' 0 1 9"pVt, AlfiV 40A ;114 , Now' _ 1 TO CX' 811's Seo# 41 Asi-Lfori 0 _ 4Laghad ' Ir 45 atis-bektel 4914.- I:6. C91°) ai 44701nr HthAM"ILLETLAoGfE ' -—,-, ' .'', •VVI4Wz.''.'173.7a4l'eP,F,AltrP, 4,k1,s' ,..•.,V.j4-4''`'•,-;'4W,‘'.--',1,';-e,',';, ,,...e,,,, . ' ,'.•i,..,,-,,. , , ' '''AtligAt446 '''.:'..t'47SAft 049r 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained _wid e non-disturbance buffer area to be established and subse.uentl maiantained from the established wetland line on the west side and a ten foot wide non-turf buffer to be established and subse.uentl maintained from the established wetland line on the east side of the .ro.erty. "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the SURVEY/SITE PLAN LAST DATED AND STAMPED APPRO7ED ON 6/20/12 4 and ,.. ,.. ,,.,.! 2) These covenants shall run with the land and shall be binding on DECLARANT(S) , his/her/their heirs, assigns, purchasers, or succeeeOte)',,,44:1-, ANY 1*0 interest and may only be modified after a public hearing and upon '4+' resolution of the Trustees . ill rl.., 4,,,i:Ngortolitli41 -T -,vA,14 40 i10111 l'iill 0,01 ,g,irw,'4 do% IIPI 00t,4 4 if '11 k 2 °A#411/ ,I'l'ip4 Phri.1'N Pilii!0614 4401 IMAM Soo# 41 Astlf6SY0 - g<., ,S' /4-• Olvin the v n.,,..,1-1, Cork hOrE. 1,100040,1 HAMLET of or 46 1(-s- old 4'4- • --••••,---,;•7-Pri,,ww.msru,,—,••-;zirw;;7,.:9:,`„,,Ww--..•74;',T2WRM""Fii,,,, =';',,,-,•,,.ri,'',•:.,‘,, ,. 1.., „Rotp7.,,Tioym.vmx------ ,„,„,•.,,,,,,,, . 1 • - -twioao....,,,e0ivx-,4,,I., ,,„.. , -, ,, _,,,,,••„,,,,,,4.0,•.,„,....:,,-,&-„,,,I,,-• , • .,- , ; • 4-6! . , . . . , '''''" ,,,,,Ag,Polgorlt•- {,,,szkl,,,,L'vf ,,i, !'.14,,,A4344V4.7.1;t', , . , . . , ----,i,,,, ••,,,p;,,,,,,,...„...,:,.)i,„,..,,,i; ,---,oz,,,.---4,4,-Kazio„;,„ , owner (s) 'wee/have duly IN WITNESS WHEREOF, theexecuted this instrument ,this,' day of at_1.--eAr,,,, 22_, 2 0/2,_...' OWNER'S SIGNATURE ' -1•13atit(1';t Ak1,ti64,L,.0 OWNER'S SIGNATURE STATE OF S s: COUNTY OF /04-SSA-1,1 o ..-''• 'I'm',6±EL.a.,',*a' arz:ii2,24,,,4gbeattifi, , 1:-141'lr l':il" undersigned, a Notary Public in and for:, sAid•,,A§liate,;:.i44-:..±7.;Fiiirtlitlat.c.1:4,',"'4 'i'ttirlitAill - -•4•,,-,.,...-.: 4.,,,,,,,N,,,01,,,,,,,,- ,,,,,,,,_,_,,,,-,,,,,,,., • ,",,1,.,,,„;,,o,n i,17.;;1„„i:;,, ,,p;;1010,!•it.",,v-,i,,,h,Y SiC40 r* f-s LL4 a,,, 11-mbros 10 , personally known ea. ,,,74e1,ps....14,aptci,'Vedi.,,vt911}1pe- 35:4,,-,z,AWO In'z'-'l'o-irc,t,pil,`,,,,ti,,;0, „, ,,,,, .. ••,..!,„,-•;,-kv,,c,..„,,,,,..„,g,,,•,,ix,,,,,,Amh,,,,,9,,,i4 ti,r,44 „,i,v.„7„,-..,z.q.i.:•,•,\,„,,,,,,4,0;,,;,.;,,, '•,,,,i.,'Ali k4444111! 40 satisfactory evidence„,t,o. b,e,,,.the ,,i-t-Id ,Voicli,Aakiges,,,),ttlimpts- ,,,,Aap,a,k,$)•41v -alp*;.5,1ilipovTg,,,, ,6-6 ^if ',III*',I? ,,,,,, the within instrument and acknowledged to me that hO/che/thay exedtte -the '..me h' ' ' - h+s-7/-1.rec/their capacity, ' and that by hi-a-71-h•er/their signature (s) on the instrument, the individual or the persons on behalf of which the individual 's' acted, executed the instrument. „, ,iiio, ,,'•,.0tv :....f,„ 4„,,0174;:.—hu4z1 • ,,,,,',,,,,,,p:„ ''' ',1'' f'h'' 4tsr'17'ilitieltiOtta4, ettalZ ''''' ' li 141114.#1r0,, it, ,,, . •'r:',';,1‘,44V,',,2,,,i,,,,•J.;.'„dr:,„.....). 11, o'', 1 ' "., ‘.,;•,Ii:-,•,.:.t!,,t,, .1,;),!?,';,,to*4"Iliir 111',P' ',1;;1 h,,,' 04':r1L.'.41q;:flri,V •"o' ';';1,„7'; '',01T411114'1,,je"'°'17''''"''; ''''''':''Ar)'''l NO 0 l' '"'' ''i'''' ;;v. at. ;,..e; ,,,,,i,,,:;',44,4vr'0,';q4 ,,: ,isk• ,,t{ Ji Ai, i 4,1 i'AArt.11" ,v•4 r,t:ik p ip.A4,1 ,', k,A Niittp!!!_. 'r" )i,R:1- 4,,,., t trt'ill "kl, !II,ir,'14,1;"1 -•:,"4,,',Aio,u...,,,';•,-44r-1 yloplIV,-, I), "11,1=4”4.a 07414'.10,,e,,.Qt.;VI,,O.,0114.11,i. '.,;(,' ,...,,;', At,, ' I=1,1,'''' '''''''• . •"' ' `'''' ''''''W''''4,i,1 I.1ipi t i g `Tr 1 1'11111 ' ) .'4',,,',V' !!4Vi"41,' S'4,';'6704r. qt.'0.•;'il,t.;ii'.4,1,' .'ir IR,:*fl ,,t,':' IP' iii:tif, „1 ,?1,riOur ,; 1 1,l'„1, 0,1„,01,,,1 V it ,1,I 1 i '''', ' '-'''''"A'";,4,<;14;,'•,,400,1}A1,4y,11 trift14,.'6 $1k,I'Pi ,4 4'10,4),?,111,t4 11 1/61 1!II 1 14.It 111114.1!,,,1 1 . I i„ , -•',,,e,t,,';,4;'i,'",,,',-,1.,;;',4,',AigriV;dg,,,;;1.,M,t'401,111 I ,lilt I; 1;;;4;1'''I,Ili 1.iy Al,:';'' • ., - .0 .c.,..,,,,-.4.'04,,,,,limor''',',,,''''t-;i1\,j'All'AM+114,',1.qc'f;,{?I 411 li:Q1,11 1 II;'. 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HANEr Le"ich4-*T-Ir ,„,,,,,,AfINvore.)AN 'I,.�� ® Town Hall Annex �, ` Telephone(631)765-1802 411 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ®3 �I ... .iiS• BUILDING DEPARTMENT TOWN OF SOUTHOLD June 6, 2014 Scott Ambrosio 25 Brian Lane East Northport, New York 11731 RE: S.C.T.M.#1000-104-7-16.1, 1940 Mason Drive, Cutchogue We are returning your incomplete Building Permit application for the following reasons: Any construction within 100 feet of wetlands or water requires a Southold Town Trustee permit or non-jurisdiction letter. Any construction within 300 feet of wetlands or water requires a New York State DEC permit or non-jurisdiction letter. The 12' x 8' shed does not require a building permit but the location is not allowed. Accessory structures are not allowed in a side yard. It is also within the jurisdiction of the Southold,Town Trustees and New York State DEC. I've also enclosed the required Stormwater Management Work Sheet which is required with every permit application. If you have any questions, please contact Damon Rallis, Plans Examiner, in our office. Respectfully, Connie Bunch p 6-“Atin Southold Town Building Dept. •011 ACif Town Hall Annex ��II & ®l® : Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ct- ,� Southold,NY 11971-0959 a I August 28, 2015 BUILDING DEPARTMENT TOWN OF SOUTHOLD Scott Ambrosio 25 Brian Lane East Northport, NY 11731 Re: 1940 Mason Dr, Cutchogue TO WHOM IT MAY CONCERN: T - Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: "- Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) v, Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39419 — Patio Addition \-- .-----------------j \ .'''/--)l St01 t Z Udd 1.,U1 1 --'1.6413'31f-'0 ` °+' I cvi3O30� b \ QJ f -` �` f. -_.z I'a'n f Y e. ;, .. • .'! } __ eh . ' * '' '''. ' — '''''' -;-::• '7. '' ' —- • r24.-i;'m ,n. It Q T^1r s.•;,i',.-.0•.,, !.f'. � "k r. 4iii. 1' �'z f .., • .,*......r '"'" � it a r a i'.'',"'.. '. f44; •14, „ res.. yu,,r. "i i F _, C x (1 o e...c- c From: saa844 saa844@optonlme.net f c(y o 11' 1^6C51,--) ( �:;) --... Subject: No Subject 7 c�r ".I' Date: April 17,2015 at 4:08 PM (�`�.1, � To: saa844@optonline.net ; ;1 i, d Sal t --- ._„—.-APR-_2.1...-_2015- -'j iJ. v Sent via the Samsung GALAXY S®5,an AT&T 4G LTE smartphone ,, M *. w k j' .. Zb'u.-z4 Y .` ;f, es'_ " / "r ' kr'l :fir r ,' y' �,t 7,..,:-,.."..*„.:',.;---:.„-„,,,,,,i',..,_;.:„.. .•• . ' • '4,4; ; "7., 4,',.','', 4;.",,', .f:.-", .' ''.",'''''li tr t ..1-i.,;..'‘i•Z“.`2-•.:!-,'. :'-''''' ' ••5 'x18 .�?6 =' '� 4 � 't q r � s� `'" £ ( ii' 5 t {} M c // 4. + 1 -+ - L rV zt k S � �( 4 .,1 •VSs .}f llik L r. 's'+ j - :..,L;•'-.:-.;,1, i,''',,..- , 'M'. �� ._ �, : r : _. . 7. pp a 'dt 3ry}"�F ,r„3„.,,,, x 3' 'g i a. `,aP J,.` • \ a � n ! Y - v,.. l9 ' 6►�N7R,x�.6 1 0-1� SUI- VEY 0 P Loi ERTY I, �� E OGE OF PPsjEMENt 37 .94 P�E SITUATE ND _ �, CU TC 1 0GUE 11 IT SA 1226rg 0 P°PED oo TOWN OF SOUTHOLD 11 SUFFOLK COUNTY , NEW ' YORK = FC N� p1,ON J EROSION&SEDIMENT CONTROLS S. C . TAX No. 1 000- 1 04-07- 1 6. 1 Shall include but not be limited to: o' z . STONEA well maintained Construction Entrance, SCALE 1 "=40' 316.1 DRIVEWAY Wire Backed Silt Fencing, stabilization & AUGUST 19, 2009 i`: ` ' Seeding of exposed and/or inactive soils. DECEMBER 1, 2014 SHOW PROPOSED LOCATION OF SHED o AREA = 62,613 sq. ft. NyROp ► 04 (TO TIE LINE) 1 .437 ac. Q" WI. , RoS ®t HpUSE 1 STORY Sl?�0,0.0 UNE,OF SHOWER ,, FRPME NOES 1 +1 ' a' color Rot" CERTIFIED TO: 'P' � , •�j�i,`7I �,o�s SCOTT AMBROSIO d SHED �! �/CI 1 J� 1� B�£N ccE OW�taNOs CIC.°1 6 NOTES: all. NSUCTSA'A1�EoN�T£D7 A�� g �� P� I cl 1. ELEVATIONS ARE REFERENCED TO MEAN LOW WATER ELEV. 0.0 W 0/24/as a/02 _�0.• c...,`-<,z, EXISTING ELEVATIONS ARE SHOWN THUS: 1 D° �s r n>.., EXISTING CONTOUR LINES ARE SHOWN THUS: ------1----- .. xz all, ✓�i •• \`` rzo l — \ \ OO q ^ F� o d U� o ,meq C.�\ , all, ili \\9i d r�' 1,lam' APPROVAL OF STORMWATER MANAGEMENT c all, all, a i, = ail, = CONTROL P .N - n Cod• , . . r236 z Date: I 9. c' ail. alb wEl`ANos ,\\ ,i,, Approv d .y: �lF: '� ''/tet yy 111. ��; it I 1 , Ail. 1 I all. r l 1 N all, /��\ rr / PSK \ I 1 2 07x / R to ...iv I 1 ,c,-.0 aP1E ;n 0�/ Vv x .7z � all. Cfl /__ ��/ �V /�/ ._ 2.35 i . 2.29 ail. �/ S 6660e- uj ��; %1 I dam\_ all. il y0I 3 all. // //�..��� \\\ ' all, �_� I o. I / / / 19 \ \ . NI 7/ 6 81 ; 1 -4-(0 I /X l.sl/ // /- ' NN N all, • S(4, \ 19s1 in all, l__i / / �\ _ ,:. U, o�\ \ Sp�, �l,F\ 2.08 \1 I / / __l In Fe.�\\ \ l.ss -1 -ata uNF 1��t `t // / F \ `7 o�s,¢r \ �\ Cr6 \ \ 0) / / I // \\ \\\ 1.93 \ ,fe \ \ '43, , _/ /075 1 1 \ \ _i 1• \ 2.30 /9 i\x \14s \\ \ X1,22 / 1 \ 7 N \ / x IIT\ \\ ��___,/ \ \1\\ \ \ 0.13 all, 030 \\ 11 11 f Doii I // ////c,? i • v \ \ 024 I 1 \-, / I l "- / a v \ \ i / 4, / P) g Co Cte�. - / 1 �i�-to 1100,`--10,3 1 him, E'e'✓e,� II Level grade Io Slab • ir.-- ---'retained Level an height , epitipocArD _ . gradeII . c,_ ii o. O ► R iN4 E r , ',lav 3'RE FiE Q`t'% ;' ,t------ �1 hip COi i;:i ch: I'.. B1ckfip,OR Provide Eng c Certtficaticn II that the drainage has been installed to Code. 3 ' - . te0 &4047t__ . APPROVED AS NOTED DATE:J. bJLB.P.# �1�,�q1— S•� �� FEES B�(: �-� NOTIFY BUILDING DEPARTMENT AT ct L A . 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED • ,� �,.�U� 9lC 1 OR ,FOR POURED CONCRETE � N 2. ROUGH - FRAMING & PLUMBING 3. INSULATION USE IS UNLAWFUL 4. FINAL - CONSTRUCTION MUST WITHOUT CERTIFICATE BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE OF OCCUPANCY REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. p COMPLY MTH ALL CODES OF NEW YORK STAT E & TOWN CODES AS REQUIRED ' ' , • _S'i „ ,LD c SO -i;-OL.D TOWN PLANNING—50M -- SO IIsOLD1V;"";' '!STEES • AvrerzY5to let((o gi . of 1 6/4/2014 7:10 AM 01' I SURVEY OF R® ,R T Y 137.9 4 Fouso SITUATE aE OF PP�EMENT \ CUPIPE ED — O„ � 1 1 u TE N 77.51 5 cls 24;3o n W TOWN OF SOUTHOLD N1'2 1-193 PpPEO SUFFOLK COUNTY, NEW YORK O Fp0NOM,ON. S.C . TAX No. 1000- 1 04-07- 1 6. 1 co cri - SCALE 1 " =40' 36.10' z STONE DRIVEWAY AUGUST 19, 2009 DECEMBER 1, 2014 SHOW PROPOSED LOCATION OF SHED N 0 \ AREA = 62,613 sq. ft. ,.�9<,- • (TO TIE LINE) 1 .437 ac. 1 O73 s `09T'SF�° ————— STAKE•INE OF HOUSE 1 StORVSE O 55 FRpNt ‘-‘4 oN�oW�a O. FRPME HO Fa f��` CERTIFIED TO: ?.........\ �'��;,` ��.�c 51oC-S SCOTT AMBROSIO SHEp �! _ i'i ONC,. �. .k y'v 1 9'3' . /i so 1� - a°'-oC:f OF wF�AND _ tci 41+`41 NOTES: all, II NSu�TAN sA NOE�oNEA1p/24/08 ����/Qj� �f 'e,� - z 1. ELEVATIONS ARE REFERENS CED D TOOOMEAN WN TH LOW WATER ELEV. 0.0 r c-'o EXISTING CONTOUR LINES ARE SHOWN THUS: ------1—---— �{ y all, —_.. t"o xz 11, 11, 31 \ ll, z' › o �!D o "! d C m o all, 11, 9y ads M all, \\ C7 \ i r -=1 -i- 0 11, r C ; T all, ,i1i, all, a11, \\\ /t �� a11, wET\ANpS a11, yy a11, 1. .111, r 1 alis r 1 N all' \ i 22o7x �� MPR ,1 \ I , i SER +\ V4 I i \p\�SNP .:8 �o/ x?12 / j all, �J / �i� •1� 4/ 1 2.35 � 2.29 ,111, // S 66 6O/ sem, —� _ 2'� a11, 1 •0I 3 // OII, / /�„-011 �\.zs j i all, / moo. 6 \ 1 ,Ay, —\ � I O_ I // / / 7�q,, N \N N 1 7\ 6 - N \ I d- I / x / /L ��\\\ 011, N 1 , \ +�I to all, l-moi / /' �\ .o: W Si/ �� - \ \\ 6 ue N z.o8 `I V. // / =1.1a F�tie\\ \ 1.98 j <‘•06,,,, -5,29 N �j /4,. \\ 1\d / / \ \\ o� \\ \\ \ x I \\ 1.88 /i --_ �1 N fn x I /� \\ \\ \ �J 8 / \ \1.93 7\\S�T�9�s\\\ \\\ 643, \\X 92/ //O 25 I \\\ \� .,. \ 2.3Q /'xlso \N 0.1143 alb\ x 1 ao ( I \ ��\ \ \\ // �\ -2\\ \\ \\ N /) 083 \\ II _2 \ \ ...\\ \ / /� - x2.31\ \ --- _. v / \ \ 1 / °Q \ N\ \ \ I 1 x 1 / / /.�P I 1.94/ \\ \ �� ,III, 0.39 \ I I / / I // / /�� \ �N \\\ \ 024 1) II \\�// / 1 \ x1_4 ////moo,// - .05x \ \\\ NN �N. �o.os 023 1 I / // �-��/ // 2.4@ \ / / -2 \ \ � �� / / / / alis ) N x \ \ I \ 0os \ N \ x-0.41 / 2.16\ \ \ —ii:111 ?* t : i i \ \ \\ _--- — _ —'/ --- -5.10`x\ \ ,. \ ,.—._ — - \ -3.11 /-—'X-4.03 — N \ - -- x- .41 \ \x-3.69 - -- -- .. _---_ \ \Q \S\\ _ ---- --'- iv// - - \\\\ \\\ ''i \ \ s --------- - \ \ 8 -— \ \ \ �-- \ '---------�\� x-7.18 x \ x-851 x-7.36 I I ,8 1 1 I x-5.40 V I ROADWATERS COVE a, 0 DOCK 0 0 x 1 i , SHORELINE 1 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OFA ■ SECTION 7209 OF THE NEW YORK STATE PREPARED IN FOR TITLEEASUE WITH THE ESTABLISHEDMINIMSM Nathan Taft Corwin I!{ I. EDUCATION LAW. STANDARDS SURVEYS AS T6 r` ice" BY THE L.I.A.L.S. AND APPROVED AND ADOPTED COPIES OF THIS SURVEY MAP NOT BEARING FOR SUCH USE BY THE NEW YORK-'STATE' AND TITLE ASSOCIATION. THE LAND SURVEYOR'S INKED SEAL OR � OF 1�1r�'ie� an Surveyor EMBOSSED SEAL SHALL NOT BE CONSIDERED ��,./"'�- 'C) 1\ TO BE A VALID TRUE COPY. �.i` _yam, 1P.F7 0 _, y CERTIFICATIONS INDICATED HEREON SHALL RUN ,. 'P� k� ONLY TO THE PERSON FOR WHOM THE SURVEY ;,Ar t S PREPARED, AND ON HIS BEHALF TO THE �' ,.?, 1 • Title Surveys - Subdivisions - Site Plans - Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND l i'; -, _ LENDING LISTED HEREON, AND V PHONE (631)727-2090 Fax (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. ,� ", ; ,i- t r., e. ,,,i OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1'„ �t,!,f,ri ,r AND/OR EASEMENTS OF RECORD, IF ...-,:s1,., 1586 Min Road P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. (ArN.. cS.ciic.. a. '50467 Jamesport, New York 11947 Riverhead, New York 11901-0965 - •