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Home My WebLink About40410-Z , 41 Town of Southold 1/20/2016 P.O.Box 1179 53095 Main Rd t$ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38058 Date: 1/20/2016 THIS CERTIFIES that the building ALTERATION Location of Property: Hedge St.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 10.-7-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/19/2016 pursuant to which Building Permit No. 40410 dated 1/19/2016 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Brown III,WL Lyons of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3063330 05-21-2009 PLUMBERS CERTIFICATION DATED 01-19-2016 - Emery Nemeska P&H u4zed/ ture TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE '' SOUTHOLD, NY * 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#: 40410 Date: 1/19/2016 Permission is hereby granted to: Brown III, WL Lyons 1500 Birchs Creek Rd PO BOX 119 Batesville, VA 22924 To: Alterations to an existing Dwelling as Applied for: Replaces BP#33620 At premises located at: Hedge St.,Fishers Island SCTM #473889 Sec/Block/Lot# 10.-7-13 Pursuant to application dated 1/19/2016 and approved by the Building Inspector. To expire on 7/20/2017. Fees: PERMIT RENEWAL $100.00 CO -RESIDENTIAL $50.00 T• . : $150.00 • Building Ins•ector 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. 33620 Z Date JANUARY 10, 2008 Permission is hereby granted to: SUSANNAH S & ORS BROWN 2565 ALTAMAR DR LAGUNA BEACH, CA 92651 for : ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR at premises located at HEDGE ST FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0007 Lot No. 013 pursuant to application dated DECEMBER 17, 2007 and approved by the Building Inspector to expire on JULY 10, 2009 . Fee $ 200 . 00 Aut orize• ' •nature ORIGINAL Rev. 5/8/02 01/16/2016 08:58 8605262647 HP BROOM HOUSEWRIGHT PAGE 02 Form No.6 —,, 11 TOWN OF SOUTHOLD i ; BUILDING DEPARTMENT J41\1 1 9 2016 TOWN HALL 765-1.802 `------— - J APPLICATION FOR CERTIFICATE OF OCCUPANCY --- - This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 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. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. 1/19/18 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 667 Hgdg St Fishers island House No. Street Hamlet Owner or Owners of Property: W. L. Lyons Brown III & Suzanne S. Brown Suffolk County Tax Map No 1000,Section 10 Block 7 Lot 13 Subdivision Filed Map. Lot: Permit No. 33820 Date of Permit. Applicant: H P Broom BroomHouse ,Jrght Inc Renewed 1115r 18 Harry P Broom Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted:$ +� Appl Signature MP nc.ncncn�ncn�n�nr��nrJ��n�n�@n�n�ncncr�nr��ncncncnr�r�rJrJ��ncncr�n�nrJr�i��nr n�n�n�ncP�n�n�nrJcn�nr��PrJ�cn�ncn�n�n�Pdo BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 S 5 ZELEK ELECTRIC CO LYONS BROWN 187A BOSTON POST ROAD 667 HEDGE STREET OLD LYME, CT 06371-1384, FISHERS ISLAND, NY 06390 Located at 667 HEDGE STREET FISHERS ISLAND, NY 06390 c� 5 Application Number: Certificate Number: 3063330 3063330 5 5 Section: Block: Lot: Building Permit:0 BDC: ns11 c� 5 Described as a Residential 5 occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at. Basement,First Floor,Second Floor,Outside,Attic, 5 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 5 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 the2lst Day of May, 2009. Name c= Rate Rating Circuits Tvoe Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 4 0 F.H.P S Furnace 1 0 Oil Range 1 0 30 Amps Water Heater 1 0 30a Amps Panels 1 100 20 Wiring And Devices 5 Fixture 24 0 Incandescent Outlet 24 0 Fixture Outlet 68 0 Gen,Purpose Receptacle 1 0 20a-laundry Appliance 5 5 Receptacle 1 0 30a Dryer 5 Receptacle 7 0 GFCI Receptacle 38 0 Gen,Purpose Switch 33 0 Gen,Purpose 5 ,..)-9/1i seal Continued on Next Page 1 of 2 S 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 i �n� LUr�►��n�n�n��n�n�n�n��.n��n�n��n�n��n�n�n�rr�n�r��n��n�n�nr��n�n��n�n�n�nn�nnnnn��l-��nnLia M n�n�n��.r�n��.r�n��ns��n��n��n�n�n��n�n�.r�n��n��n��ro BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 C� CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 ZELEK ELECTRIC CO. LYONS BROWN 187A BOSTON POST ROAD 667 HEDGE STREET OLD LYME, CT 06371-1384, FISHERS ISLAND, NY 06390 Located at 667 HEDGE STREET FISHERS ISLAND, NY 06390 5 5 Application Number: 3063330 Certificate Number: 3063330 5 Section: Block: Lot: Building Permit. 0 BDC: ns11 c5 5 Described as a Residential 5 occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: CS Basement,First Floor,Second Floor,Outside,Attic, 5 Avi l sua inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rj herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 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 21st Day of May, 2009. Name ga Rate Rating Circuits :Ups 5 5 S 5 5 5 S 5 5 5 5 5 5 5 5 S S S 5 5 5 S seal 2 of 2 S 5 S 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S 5 nrPr�rJ�rJ�r�crclrJr�crrJ�rPrJ�crrJ�rJ�rJ�cPrfrJ�cP�cPr�i��n�nrJrJ�t�t��nrJ�rJ�r�r�rJ�rJ�r�r�rJ�cPcncPrrlrJ��nrJ�rJc��ncPrJ�rJ�nrPr�rJ�cPcncnJa „ ,,,,,,,,,,,, TEL. 765-1802 I &,"0 GULq�14 _ TOWN OF SOUTHOLD ,�� Fy< OFFICE OF BUILDING INSPECTOR =o z P.O. BOX 728 cr �� TOWN HALL `'O �- SOUTHOLD,N.Y. 11971 •0 J A N 1 g 2016 CERTIFICATION Date pr-f, Building Permit No. J (P U owner L.-10(4S c6QO /-4 (please print) Plumber (please print) LIG, 2SC0=') -- ("P I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ♦al ' ' t A ( • u •er ' s :gna ure) Sworn to before me this day of 3 PeGfrge , f/t ��'��%�`�'�” ,77��,, 1 otary Public Notary Public, /t /LP):)/t) County Rosemary F. Palumbo Notary Public My Commission Expires Mar. 31, 2020 36soop- • -- OF yo! o#. .0€# • TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] TSOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 61Ake✓a-c .I' /7S /.4,i A44,4e4,0i4- ?‘. /2R7. &ea.( 62/ i bil-e ye- DATE // /f[ INSPECTOR )74-.4 (r•Ou0Y\ ,�o��pF SO(/lylo`i /.-' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG LUMBING [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING / STRAPPING [ - INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: I W G11-47 7 1, DATE INSPECTOR 'r� • 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)765-9502 Survey www.northfork.net/Southold/ PERMIT NO. 33 C-D-Z Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration ,20 lul s • siector APPLICATION FOR BUILDING PERMIT Date !Z/ /7 ,20 07 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder k .c-W.¢L Name of owner of premises ell. [• 1 y 7,V5 Ei2a ?-V / ' tr Svc 47" f /2 c&4.7* (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 which proposed work will be done: 6 6 7 f �o(L= ST, '.071 rf$ 27 z.4,440 House Number Street Hamlet County Tax Map No. 1000 Section /D Block 7 Lot /3 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Sii✓6 4A- / '1-"i/7 • b. Intended use and occupancy s,,✓,G[4= 7=24-47/4 p ?&-S, �-- 3. Nature of work(check which applicable):New Building Addition Alteration XC Repair X Removal Demolition Other Work (Description) 4. Estimated Cost # 2 61/f/ 00 0 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 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. i 7. Dimensions of existing structures,if any:Front 2 2- Rear 2 3 5/ Depth 3'. S / Height 2 9 ' Number of Stories 2. Dimensions of same structure with alterations or additions: Front s4 i Rear 5 L._ Depth .C-4-pot &= Height S 4-"7 Number of Stories 54-ov 8. Dimensions of entire new construction:FrontRear Depth Height Number of Stories --- 9. Size of lot:Front 3 2, 2. Rear S G'67 / Depth ± / 7C) 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated R'`� b 12.Does proposed construction violate any zoning law,ordinance or regulation?YESNO X 13.Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO x /t.~5 v7AwN1F (3 aoww/ ,z SCS AThM"iR Doty I. 44vAR $x..=►4G4 CR 14.Names of Owner of premises Address Phone No. c S,t c/- 7/5,3 S 3 5 Name of Architect Address Phone No Name of Contractors.9.l3Reemt-Hoosetetittit lovtddressQo,8ov 70 Phone No. 1360 'S2 6- 9 8 3G 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES X 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 X 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. COUNTYooF�/F p ) ?rQStdeiKa� . C :16)06.1 c 1 NDvs& kJ til G RT i c 1 . C3t24,00M T . being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C tiVitttC�V� (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before medys t'1 day of �R_L 21Y-31 Notary Public �` Si:IV of Applicant • � r `rr 0SW/ 34' ,1 s I 1 Town Hall Annex * * Telephone(631)765-1802 1 54375 Main Road ; y � ��aaxx{631)76��5Q4, P.O.Box 1179 ca @ $ roger.rlChe IOWII.SOu O .ny.uS Southold,NY 1197I-0959 \3f ' I -------,..,,,,'"‘ )Nkopy BUILDING DEPART EN T TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION I . REQUESTED BY: j C. Zei , _ Date: / ), ) Company Name: (:)(1 TV(.4-6-,,A X61)-it )i LLL Name: j C' Ca License No.: ,'v/ LL5q 53 61c.-- ,J Address: 11.5 � 0/ ,,iv i 1.. -3 7 1 ��t.7r� �JSt- �C�C�_� � C� •Phone,No.. 2c() L)_3(] / -2-)} ,a JOBSITE INFORMATION: (*Indicates required information) *Name: f` i J0-11 *Address: I /y r -- Sl A-,, /' *Cross Street: *Phone No.: Permit No.: Tax•Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: * (�YE� ?NO Rough In Final r Do•you need a Temp Certificate: YES! � Temp Information(If needed) *Service Size: (ii5h sae) 3Phase C10-0 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 824Request for Inspection Form 9 - I --) - I 1+ -F i1aQ r:-..- „,,,, _ „a _ 7/f TOWN OF SOUTHOLD PROPERTY RECORD CARD -)/ _ OWNER STREET VILLAGE DIST. SUB. LOT 117F°554.els jUSanna� own - 1-} , (r /� 7 s L--Q �, FORMER OWNER E ACR. - 1 `J 'anda . b Ya 'i 51 c4) t. S .. W / 1 TYPE OF BUILDING RES. SEAS. VL. FARM _COMM. CB. MISC. Mkt. Value J LAND IMP. TOTAL DATE REMARKS _ y, } ' ' tr ,„ 4/�-2 l7 3- �` 0 o 0 54 gCa `� ? ° J / 4 7 / - / q ! 7 /' / 77FAA. IW c.; F 1 LLQ179 p .T� It' At eV 4 % P u'T C�Rf� z /7 f1fr. y �1PAnt e �, R.Ry�a►evf w r 7 i 5/2�/o`/-L / z3zypt15 - g ars Est- *3 caro&neo/.3 r--us s 1,35D00 Pr-e- Con 15 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD 3 y ' House Plot DEPTH S; 0 -t” -VIRPAr IIMAIO BULKHEAD • rotal DOCK / 3fte4?04. �. .��" ` ;_____1' ffl ;s r--n `�'4iL / c- ✓ COLOR 11 1;,i t-iiiffcr -/ : ,' r '''' cti Imommarilaiiitium -" ' `..,e s = t+" TRIM ruuu!! Eiii FIr -– _ 31 _— a' I , LI.....n _. I . l iii A. I 111.111111.1111111.11 T V1. Bldg. /� �A" r Foundation eL ` 21 e ti 5 Bath 0.- VI. Dinette Extension �, t , '� ` Basement 11,0 Floors �� K. Extension .'_ � ''. .' fr 7 7� i. . Walls t�- r Interior Finish l�i,a5-fc f LR. Extension /, r Y f Fi e Place / Heat :� DR. `_ , T .e Roof Ile, '' Rooms 1st Floor BR. 'orch Recreation Room Rooms 2nd Floor FIN. B. 'orch Dormer , Breezeway 1 r i t ' Driveway para a ."'` Patio 0. B. Total S'f ` — 3' ' 12/04/2007 15: 06 86O5i62647 HP BROOM HOUSEWPIGHT - PAGE 01 , 162 FERRY ROAD P 0. Box 70 HADLYME, CONNECTICUT 00439-0070 TELEPHONE (B60) 526-9836 FAX (860) 526-2647 11/30/07 To Whom It Mai Concern: }L P.Brom— usewrig Inc., P.O. Box 70,Hadlyme, CT 06439, is authorized to act as my agent to conduct and applyfor all necessary permits pertaining to the lalteration of a residence located at 667 Hedge Street, and a residence locateat 713 Hedge Street, within the Town of Southold, Fishers Island, New Yo • 4 Sign 7, co-) nate n7 1 ,- tck\ `i . ._ Date Owners)of record: W.J..Lrw,s Brrtrd Ip aid Sasdaae_Bra s Address! ;256F AtaimaIrlse J LAM*Bend. CA inn _1 •d [JR.-SIG-61,6 0026 13C21391:11 dH Wd62 : I LOOP 90 °aU 01/16/2016 08:58 8605262647 HP BROOM HOUSEWRIGHT PAGE 01 H. P. Broom - Housewright, Inc 162 Ferry Rd. P.O, Box 70 Hadlyme, CT 06439 Telephone(860)526-9836 FAX(860)526-2647 FAX/EMAIL TRANSMITTAL SHEET TO:BUILDING DEPT-TOWN OF SOUTHOLD FROM :JIM FLORIAN DATE : 1/19/16 RE:BROWN-HEDGE ST-FISHERS ISLAND-PERMIT#33620- CERTIFICATE OF OCCUPANCY APPLICATION ******* ******s****s***********************44**s************s*s*************** NO.OF PAGES(including this page) : 2 REPLY REQUESTED: NO REPLY REQUESTED : ADDITIONAL MESSAGE : Per your request, please find the Certificate of Occupancy Application Form for Permit #33620 Let us know if you need any further information. Thank you for your assistance. H.P.BROOM-HOUSEWRIGHT,INC. P.O. BOX 70- 162 FERRY RD. HADLYME,CT 06439 (860)526-9836 FAX (860)526-2647 LETTER OF TRANSMITTAL Date: 12/18/07 To: TOWN OF SOUTHOLD BUILDING DEPARTMENT P. 0. BOX 1179 SOUTHOLD, NY 11971 ATT: Re: BROWN RESIDENCE 667 HEDGE STREET FISHERS ISLAND, NY WE ARE SENDING YOU X Attached Under seperate cover via the following items: Shop Drawings _ Prints _ Plans Samples Specifications _ Copy of Letter Change Order Other Copies Date No. Description 1 12/17/07 Application For Building Permit 3 Site through 4 Architectural Plans 3 4/19/04 Site Plan 3 11/30/07 Act As Agent Letter 1 12/18/07 H.P. Broom-Housewright check #13867 in the amount of $200.00 THESE ARE SUBMITTED as checked below: For approval Approved as submitted _ Resubmit copies for Approval X For your use _ Approved as noted _ Submit _ copies for Distrib. As requested Returned for corrections Return corrected prints For review and comment REMARKS: Enclosed you will find the above referenced material which, I hope, are all the documents needed for the issuance of a Building Permit. A permit has been applied for with the Town Trustees. Please call regarding the additional fee and a cheque will be forwarded immediately. Please feel free to give a call should you have any questions or should additional material be required. Thank you, Anthony B oom Permits ,,sem•:r Southold Town Building Department 0gpFFO(,��'r Permit#: 33620 O?' e- P.O. Box 1179 I `' 53095 Main Rd ( lP Southold,New York 11971 Permit Date: 1/10/2008 **, gaol.;:- (631) 765-1802 Expiration Date: 7/10/2009 ' t' Parcel ID: 10.-7-13 BUILDING PERMIT RENEWAL LETTER Dated: 12/21/2015 Applicant: SUSANNAH S & ORS BROWN Location: HEDGE ST, FISHERS ISLAND Work Description: HISTORICAL ALTERATIONS TO AN EXISTING DWELLING AS APPLIED FOR A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: SUSANNAH S & ORS BROWN Address: 2565 ALTAMAR DR LAGUNA BEAC, CA 92651 The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold, New York 11971 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. //4? � *pF SO(/jy0 „O to Town Hall Annex � Telephone(631)765-1802 54375 Main Road * * Fax (631)765-9502 • PO. Box1179 • G • Southold,NY 11971-0959 i0 1 COMM I, 08 January 15, 2016 BUILDING DEPARTMENT TOWN OF SOUTHOLD HP Broom — Housewright Inc PO Box 70 Hadlyme CT 06439 Re: Brown, Hedge St, Fishers Island /- - TO WHOM IT MAY CONCERN: P a k. The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: $ 50 renewel fee is due as this permit expired January 2010 Vi• G • Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. ��jjFinal Health Department Approval. i- IG .11 OK./ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) 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 - 33620 - Alterations IC/OD,cJVr ti.JO 1031 r00f131 hr tR<IUM r1 YAC±. by 1.7ori5 IaRvwN co-m"Gr. RE,MOb•LE, NE.04 Ktr, NE.w ®A.Ti-I 3+, e"eskY Nann%siLe.1 $HEATING LIC . ZS-63 --"A BATH a. t yZ 2++ I t/L • tile if Z cLo. Z.N� Flom 3" ab + 314 I X12. 116 K►Y scNK 2A 1.44.$0. Z�+ • c.o �..` 3,+ GO F..xvSZ►NG K G. SOU.SOU. GO ac�vVa cVVr aa...� aVJa /VVlaJl nr nrcuuin r rHVC ql 1-YONS $1<CIN64"1 Call AGE. Le REma t1LF_ faxtt1 Emt RY NG.MESKA`/ Point.e -4 Virz•►ftu LI..0 li1 so TING BATH 2 1 I Lew, EXisT. Z" lg: 1t i1I/x .1 ili / 3n 21 t- „ /Z..✓ &{u%XtSTN6 I Sr FLOCA f—S— Lt” F.4c%sTtNG Corporate Offices/Laboratories • 297 Buell Read Rochester,NY 14624 (585)328-7668 Fax.(585)328-7777 ETC Laboratories Measuring Up To Your Standards And More ASTM El 886& E1996 Combine Test Report Rendered To: VuSafe Industries,LLC 350 Kidds Hill Rd Hyannis MA 02601. Series/Model's Type A Type A-Stitched Type B Type D Stitched Type D 86 in. Panel Report Number ETC-07-1089-19072.2 Joseph Labora Doldan. P.E. Florida P.E. #42929 /a—z3—0 7 • ETC-07-1089-19072 • Page 2 of 24 Report Number:ETC-07-1089-19072.2 Job Number:ETC-07-1089-19072-1 Test Start Date:04/30/07 Test Finish Date:07/10/07 Report Date:07/17/07 Reissue Date:08/27/07 Reissue Date: 10/17/07 Summary Description The storm shutter system tested consisted of three overlapping corrugated polycarbonate resin shutters (amorphous thermoplastic material),measuring 15 inches in width and 108 inches high except for the fifth specimen which was 86 inches high.The panels overlapped each other 2-3/4 inches. Hardware used consisted of an aluminum track mounting system,hurricane hooks,track nuts, female Panelmate fasteners,sidewalk bolts and polycarbonate keyhole washer,or a variation thereof. Summary of Results TypItem Unit Type A Stitched Type B S.t Type Type in. D Overall Design Pressure psf 50.0 55.0 55.0 50.0 55.0 Maximum Structural Pressure psf 50.0 70.0 55.0 50.0 60.0 Achieved • Missile Resisted - Large Large Large Large Large (9 lbs) (9 lbs) (9 lbs) (9 lbs) (9 Ibs) Nominal Missile ft/sec 50.0 50.0 50.0 50.0 50.0 Speed Resisted Maximum Cyclic psf 55.0 55.0 55.0 50.0 60.0 Pressure Achieved Joseph Labora Doldan, P.E. Florida P.E. #42929 lc' -zJ-o7 ETC-07-1089-19072 • Page 3 of 24 Results of Testing Results Allowed Type A 1. Uniform Static Air Pressure Test-ASTM E 330 Design Load:50.0 psf(100%x DP) Center of panel Positive Deflection 9.030 in. N/A Negative Deflection 5.188 in_ N/A Full Test Load: 75.0 psf(150%x DP) Center of panel Positive Deflection 10.500 in. N/A Negative Deflection 6.154 in. N/A Positive Permanent Set 0.081.in N/A. Negative Permanent Set 0.617 in. N/A The specimen had no damage to the hardware. The specimen remained in place throughout the test and no damage to the fasteners was observed. The specimen successfully completed all testing as prescribed by Test Protocol ASTM E 330 at a design pressure of 50.0 psf. No change in the specimen was observed that could be indicative of incipient failure. ( Joseph Labora Doldan,P.E. Florida P.E. #42929 /'0- z3 -c7 • Marvin Windows&Doors, MDS Version 15.5, MDS RB Tabs Version 15.5, MDS RB Code Version 15.5 D , , - - 01 - Scale: 1/2"= 1'-0" Call Name: CSFD-CUSTOM-OXO RH R.O.: 111 11/16"x 861/2" M.O.: 111 3/16"x 861/4" Project Name: Untitled • • CODE ANALYSIS r - � �• _� �F Residence:Lyons Brown III,Fishers Island NEW YORK STA i E & TOWN CODES ON Of' S 667 Hedge Streetr� P-cc‘01 -r\QN , AS REQUIRED ANDC.,C.,i,� TIONS OF G . Go tc, I K [] All new work must comply with the official compilation of codes,rules and regulations of the 2002 Residential -Pi/4;043°' B _ LANG&Qv�Aa0• °� Code of the State of New York. � i 1 may • �C' !�£SRS ,�IIr6�ARD NP �� °�cc h Viii t� • • []Other regulations apply. ,'� � `} sss-, �''V 'f'` c,u4q.s T [] Design criteria based on Minimum Design Loads for Building and Other Structures ASCE 7.(Section R i+.Y 4 DEC f.-r.r-r- 0 .! Srojvc. , 301.2.1.1) s,,,.✓r' r! � + fss„�� witi ,-��= A R 8`o R [] Seismic provisions not applicable: dwelling is located in seismic design category B(Section R 301.2.2) oo"'� ' P 't 1 �syfc_N.. i 7`;, [1 All glass exterior doors and windows meet safety requirements for wind blown debris protection in hurricane `� fs� ', \) ..,-..r—f 115— �: s�s tt prone regions by use of VuSafe storm protection panels. See attached. Additional information is available at ,<S -1-1- �,f s t V -.,;,),.',1:,,,,..,r vusafe.com (Section R 613.4) p , -s s oct- sf �se1 s Vit. []Provide smoke alarms per NFPA 72(Section R 317.1) <.1428J"r -- r - �� [] Wall and ceiling finishes shall have a flame spread classification of not greater than 200(Section R 319.1) i La.�a „ + � w `ft las. +tt O� J [] Insulation shall have a flame spread index not to exceed 25 with accompanying smoke developed index not to 0% PAN F ?0.00. Ork ravV exceed 450 in accordance with ASTME 84 (Section R 322.1) V% tl'. 18° t g44b'�� -'f N r - ,` � �`,, s ALL CONSTRUCTION SHALL [1 Moisture control in all framed walls, floors,and roof/ceilings a vapor retarder shall be installed on the warm in -� - 1*OR N MEET THE REQUIREMENTS OF THE AVE- winter side of insulation. (Section R 322.1) X 'mak„',or „,,r ',uP A "� poCy qM CODES OF NEW YORK STATE. TO. 1.,,.--.,--,- s"�b� Ful ART�y,ERs�ZY [] Provide pressure preservative treated wood in accordance with AWPA in area subject to decay(Section R - 'S U 'T P 323.1) GE t"� l/N Floor area of house 1973 SF VI'1HOu V �jY UER�RS Area of Porches(existing) 532 SF Cj P�� /� CE / � r t �F p� FQu�E 8r�F�A� Area of Existing space to be Renovated Aprox.912 SF APPRO /Ls <StOTE� Q • Area of Additional Living Space 0 SF DATE: 1'Ib b‘ B P.# 33C20 Area of Additional Porches 0 SF FLOOD ZONE AFEE: �2.Ob �PfZ • NOTIFY 13UIL�''i',a TENT AT ��QIEO ARcz. rvi. Suffolk County Tax Map 1000, Section 010, Blk 7, Lot 13 COMPLY WITH CHAPTER 4G rn 0 W F 765 1802 8 A /It FLOOD DAMAGE PREVENTION FOR THE ,JG �� C1�� FOLLOWING INSr'E.cTIoN5 Zone-R 40 .18+/-acres SOUTHOLD TOWN CODE. 1. FOUNDATION T"0 REQUIRED ::91105.BROWN RESIDENCE -Fishers Island -667 Hedge Street FOR POURED CONCRETE ,i '- A2. ROUGH FRt;iy;I & PLUI/18iiJGSoN. QtTABLE R301.2(1) CLAD ULTIMATESLIDING FRENCH DOOR3. INSULATIONyo CLIMATIC AND GEOGRAPHIC DESIGN CRITERIAEnergy • ENERGY DATA u-F,mr agar, UGC yr s= 4. FINAL - CONSTRUCTION MUST '9j4-OP GROUND WIND SEISMIC SUBJECT TO DAMAGE FROM Winter underlay- IrsrYatingGiass/CMar Air 0.47 2.13 049 0.50 BE COMPLETE FOR 0 O. SNOW DESIGN Frost line Design ment Flood Insulating Glass/HardcoatLowE-Air 038 2.63 042 0.46 NC ALL CONSTRUCTION SHALL MEET THE LOAD Speed(mph) CATEGORY Weathering depth Termite Decay temp required Hazards Insulating Glass/HardcoatLow E-Argon 0.35 2.86 042” 0.46 N,NC REQUIREMENTS OF THE CODES OF NEW 'UMBER CERTIFICATION Moderate to Slight to - bating Gass/Low Eli-Air 0.35 2.86 028 0.44 N,NC,SC,SON LEAD CONTENT BEFORE 45 120 B Severe 36" Heavy moderate 11B Yes N/a InsulatingGlass/LowEII-Argon 0.32 3.13 0.28 044 .N,NC,SC,S YORK STATE. NOT RESPONSIBLE FOR CERTIFICATE OFy Thermal ad solar values are subject to update.Values are generated in aaccniance DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY with NFRC]e fa t a 10udes that and other applicable NFes.S procedures.Argon gas SOLDER USED IN WATER is not avaiable for the attitudes that requre calx tubes.SHGC=Solar Heat Gam Coefficient.VT=Visible Light Transmittance.Energy Star Zones.N=Northern, SUPPLY SYSTEM CANNOT NC=North Central,SC=South Central,S=Southern. WINDOW / DOOR SCHEDULE Brown -667 Hedge St. N G EXCEED 2/f00F1%LEAD. # TYPE MFR SIZE/CALL# OPER. LITE ROUGH OPG. HEAD JAMB HEA SILL MULL 1'REMARKS PLUMB,W 'CE • CUT DIMENSIONS A.F.F. DTL. D DTL. DTL. : A`�g11)MB`NESNE DTL. L N POWs Residence H.P.Broom-Housewright R T NG BEF ORE CO 667 Hedge Street.Fishers Island,NY P.O Be 70 _ TES Hadlyme,CT 06439 1 Fr Sldr Marvin CSFD-Custom sldr 3w5h 111 11/16"x 86 1/2" Inslating Glass/Low E II -Argon VuSafe strm pact. Date: 10/2/07 Scale:As Shown see below for Energay Data Revisions Drawn By:SJ TITLE: Site Plan and Data _ I - f_ 1] 4] 7] • 2] 5] 8] Drawing SITE 3] 6] 9] Number 1 -- --- - . . . . .. .. .. ...., . .,... . . ., 0 0 1 ..„.1 . . . . . . . ( . 1 1 ( ; 0i ..„. (-- -c • • -‘,„„.4.....1. IL . .,_.....--,, ._ . VV/Q.rx) F li - , , I . . (Lays - l A 1 IN_S;_ov E1 . 1 -- i , • • . 1 ... _ _ . _ .. ....____ . 1' • I:...7....------ . . . . , i . , .....7.-____I • -4 1 • : i : • , . , • , . •< .. .i II. , . .: ..• • 1 _ .. . . . r . , • , t . . . . 'ff . .$, .4 ...„ - , i i .• 5: • Q. . 1 t 1 . . . . . . . ., . . . 4 ( W' f I 151.-V7. -W-41---(5 P 0..rN) I ii . 1 . . 1 • . Z i • NA . '.. • ., Isi-15.0-\-/m. , . • • N . .. . , . . - i • , . .., , .. . , , 1 • • . . , • , s . . . . 1 ' , . r . , , rt. ,... 4, . , .. ..-A-v-,,, . . v-• , .... .1 , t 14(1 -4 I 01 •Re,y,„ .. . • 1. I ,svg . iciii, ' No . .. .., ! , • T I s : i I r*C;pi 1 71„;.;:,.''..10 li ..-.• .''-'' 1.. .k' % lb 1% • 0 .,1-'k F 1 1-<c,-r \--7 Lo o i,z_. Pc)\--N, (E.. <4 Sr/1-\)G-) c OF tAw4- . . H.P. BROOM-HOUSEWRIGHT, INC. 162 FERRY ROAD Brown Residence H.P.Broom-Housewright • P.O.BOX 70 667 Hedge Street.Fishers Island.NY P.0 Box TO HADLYME,CT 06439 Hadlyme,CT 06439 Telephone(860)526.9836 Date: 10/2/07 Scale:As Shown Fan(860)5264447 TITLE: 1st Fir Plan - Existing Revisions Drawn By:SJ 1] 4] 71 2] 5] ft] Drawing 3] 6] 9] Number 1 i i : , , . , •. . . ....,, ,,..E.... _ 1., c : _, , 1 N, ,. . . . .I ,. :, . iii • y ;; ` . J_Ir IP - - _ • •• I- 0 8 f • 0 is. - testas 0 I - O. 4- N - . ailimailimolfil 903 `Co •i �__ _ _ ..__._-__.._..._.. _� _ _-_._ _ __,_ ._ _ . t. . \ t.51v $l' 0294O� .S.E: . ...b_ DTR i►.- fE)<SS11 M G) 'it o� Nti�� . - --,7-- --/S;KC ._____ V.-i.. /._1 --:—1 1 flIP. BROOM-HOUSEWRIGH T, INC. ' 162 FERRY ROAD , Brown Residence H.P.Broom-Housewright P.O. BOX 70 667 Hedge Street.Fishers Island.NY r.o Box 70 HADLYME,CT 06439 Telephone(860)526-9836 Haatyme,CT 06439 Date:10/2/07 Scale:As Shown Fax(860)526-2647 Revisions Drawn By:SJ TITLE: 2nd Fir Plan - Existing li 4] 7] 21 51 81 Drawing ik..2 . 3] 6] 9] Number .. . .... ._ . .... . . . . . . - i . tael.' .13•1' 11111111.1111110111111ONO -----.- Ialii••••Nsi . • . . i •_ 0 0 i --LA uN DRY ''. . . • i . , . - ~---. rim".".. _ : . . • : : , I . , . i • - . • . .':. 17 „TS3,,S6V.E—.. • . i MN . i. • 1\1 v-...v../Su D IN44E. tjAPID 0.TVAR 0641 ' . • ' . • ; 1 . . " • • X.Erna- -....1EMAZal I.N.z, ' II52:10.7CA-kv.N' ----"? — II" •. - -....-.:-IgIcita' • _.....„ . . i .... • . .. . _,.. _ i .. • . 1 . . .. pil • • . , . ' "N . :.-• , 1... - 1 , , , . . I .a • --"E. 1 . . . • 1 • • % 1 NEM ISF-LN__Tv_ _ • / • 1 i NO.._. r ..".. Z2WH- i _„,-,-,---------:--.„1-7:,-,-,„....,.. -1 • _ - 1111111111 IIIIIMIIIW - . . , ! . . • . 1 A . . • :4. . e••• 11- . , ( . F ! .• i 1 .. . . - • . — -- 1 . I .... r . 17-LX::77:51Y_F-.K)_ , - ; : • . . . . . 16:.CST.C...;_. - • . . . • . .... • • • :' - M l .S.E . . : • • • s. ' IMP aITAMV2V . - •-" .. • . . . 0. • ..,.... 6.4 .- ..0 51 - • - A se • - - • . , 1 Stri51‘515'CC-4)0 e . . ..0_1E.S.S1.71C107.-S Ks ' . • -. AWL"1;:".-.5 U p , . - , . . . : . - .) _PsaV5_\t-t- ..,:r.-.._. • - . . . .. . , • ,. ... • - - . . : . • . . . . .• . . - • ,- . . _e....ile : : . . . . . . •. - .. DN . • . . . , . I__ __7_,.......... • .. ,.. . ....,..,..,_, . • .....:: .. • .: • • ,, ,..; . _ .. . ,. .. .• ..: . ./.. - 4,,Nfrik , • ,:c_ ....._,..4_,• ,,,,,,, .i i ,.., • . .„ ..4, ..._i_______.,...::tyt4 • . • . „ .. , .7 - - . • • NI• . . , . • " ts • •• . _ . . . . . . . •1 i -- A. JP ' ,i• " • i ' OF. -9)-L. Istelv ' - • . . - . , • ---..r..1R.: 1-21.1V,ITicx5R2.2 -..V _. ... • , . a . _ .. •-.-. A—C-.3 .—.-.Vcrt---_---1-1' ---- . • •._,, . • Brown Residence H.P.Broom-Housewright H.P. BROOM-HOUSEWRIGHT, INC. 667 Heckle Street.Fishers Island.NY P.O Box 70 - 162 FERRY ROAD Hadlyme,CT 06439 P.O.BOX 10 Date:10/2/07 Scale:As Shown HADLYME,CT 06439 ' Revisions -Drawn By:SJ TITLE: 1st Fir Plan - Proposed - Telephone(860)626-9836 1] 4] 71 - rEtit(860)S26-2647 21 51 81 Drawing m3 3] 6] 9] Number . . ----. • 1 y -...._____--_• 7 :i. — f 1 - ._ 1 ..� - .,,.. 0 : , - $o0KS t`NES .. . % rd i, , r z r, . . ....- - • v _ -'. 0 I- , jlib st iere►.-ii:•rror»iiii Z _nr�� _. .. ill 111.1111- ....... . .. - lr////�/Il1/JI/7i� OPS-11PA 0 i ----- 1 1 • / •OPZs ! �4C'��t�f'^+ I. • '!I ° • 'i -. �� -... a , I \ , „1.;.,tn_ —t. - t - -.-\••lc.-W.:111351SSA.. 0 i • b. • k 0- , . . • • , ..-- P. • SF-CO V1o0g.,._ ?L-Rt . -4tE'of t�ti� • H.P. BROOM-HOUSEWRIGHT, INC. , 162 FERRY ROAD Brown Residence H.P.Broom-Housewright P.O.BOX 70 667 Hedge Street.Fishers island,NY P.O Box 70 - HADLYME,CT 06439Hadtyme,CI 06439 Telephone(860)526-9836 Date:10/2/07 Scale:as shown Fax(860)526-2647 Revisions Drawn By: TITLE: 2nd Fir Plan - Proposed • 1] 4] 71 • A.4 2] s] $] Drawing s] 6] 9] Number C7 / 4. E3O .5 c.? •cg.1 , \ \ km / A' a i 0 33 '4 I I 111 I I 111 I I lir:I 0"0 0 rti a (li / 4, \ 40L114. 1 4 . , g gi / 0 I-1(-; . • • / • . 1110111 II , v e",.... • 4,„40411 a.) ;,...t.4 , \ ra) 40" *m4� .5 .: (" 16 L . ... : / . 0 �_ • . \ 141t AI( r , , ,4 / 100. Si DRILL FIOLP \ti � y 4111 r If 11 is'i , if l'ily- �-% STOr1E \ ` - , � / s� _ .o WEST / N/Ff� ��:: �\ � C./ / W.L. LYONS BROWN 111 J r �;� HARBOR ; LOCATION MAP SCALE 1 "=400' & SUZANNE S. BROWN fs 'a mos • • \ N. i \ 4'... ''.1'-' ,,,, *41 c121* 4,4401 " ,. —, SS 1\111,2_5 sEcoNo` <0 v .sp it . s otr ::;.r,;::I:i' 1<r Wit : , `` X1171 011.1010 , OG�. p'y � Jia ,s '-''',4,1-1'.‘<::::.*::; y � x' r" � E,O �''�1`�� ` ~�yra ."5 `4 . '' 1 : d~ .f . ire �. �. (L' ' \ s• J f • .• 4.7g 1 i,4 4 F x,; "' ..7 , • CONCRr=TP �` W ?� I ` • a b'' It1'; s '0POSON I�FERE?ECES • j O • N WALL(FND.) a W W f r ,:''i�s Is' - 1.) PLAN OF PROPERTY OF ESTATE OF MARY S. MURPHY; HEDGE ST.; Q 0 W z ��O ff i. ", - `N\c FISHERS ISLAND, N.Y.; SCALE: 1"=20 FT.; CHANDLER & PALMER, ENGRS.; M V X Q xi' �P�' • p�• NORWICH, CONN.; NOV. 1965 w (1) Z ti j \-1.1 .\ c) .I' - 6 OIL TANK ♦ : (= O .Q 0 V) • 0 LLI POLE f _ . \ f- �� 115 06 1't 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED W cl X428 !' �,' %,,,il)i,,4;;,, 110' HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO W ....I = f i/ p0�% BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE 0 (1) ENGAGEMENT. • LT: \ 1J , -fir. '}-3;'a ...••q•q,- ', 1�` I.P. POST , " , S 6 N/F . ` , 2.) IT IS VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, • k� ',,,,,,,,f44,1 ,; , a-. ' HOCH FAMILY UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO y cA v` STONE I 1 ± ALTER AN ITEM IN ANY WAY. `' PARKING y ;r- `Q �/ PARTNERSHIP , ., `'� '' 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S • \ C SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF \ Vs � �, 6' HIGH WOOD FENCE • THE LAND SURVEYOR. � MON. OT RCCOVD) 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC • 0..AS .� Nor SURVEY TRIANGULATION STATION "PROS" m N Z3OO:ZJ`' 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP \ %OA \ 426.19 1000, SECTION 010, BLOCK 7, LOT 13. W \ . 6.) TOTAL AREA = 0.18± ACRES. \ Z E \ 7.) SITE IS LOCATED IN R-40 ZONE. O \ -I 8.) EXISTING PERCENT LOT COVERAGE = 27% ± - a a DO � w Z .r. y ERTI CED TA _ Ua cc m x W.L. LYONS BROWN III AND W I COMMONWEALTH LAND TITLE INSURANCE COMPANY IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS OF THEtil il I NEW YORK STATE LAND TITLE ASSOCIATION. A I "' 0 ; . • i •• ' . I- z o ci 0 coo • Sr I N I I —: D_ I N • I CO O c3 o J QUALITY CONTROL CERTIFICATION 0 0 0 " w 3 GROUP REVIEWED DAT LEGEND 0 PROJECT MANAGER � 57, i . a- m 0 0 U 0 L. SURVEY /, , N F NOW OR FORMERLY ENVIRONMENTAL 1''7 / DATE: 04/19/2004 CML VOL VOLUME 20 10 0 20 STRUCTURAL - Ea SCALE: 1fl = 20 ARCHITECTURAL • PG PAGE GRAPHIC SCALE IN FEET FILE F2564 SHEET: 1 OF 1