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HomeMy WebLinkAbout40632-Z TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board ofHealth __ SOUTHOLD,NY 11971 4 sets of Building Pians, TEL: lans- TEL: (631)765-1802 Planning Board approval FAX:(631)765-9502 Survey_ SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application_ Flood Pennit Examined— wtt Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail Disapproved ajc---,,, —----- Phone: 4- -ot-55!57-16i(0 tifit Expiration 240, Expiration r r--N, Rau I VS g BUildit APR, i � 2016 APPLICATION FOR BUILDING PERMIT ,IUILI)ING DVT- INSTRUCTIONS 20_" aTd#MK)ffi0UT09W. be completely filled in by type%%�riter or in ink and submitted to the Building Inspector with 4 sets of PIWIS.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 d, molition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing ck de,and fC U'dons,and to admit authorized inspectors on premises and in building for necessary inspections. I Al Signature 0 plicam or name,ifa corporation) s (mailing address of applicant) OL/J-F-I of e, _4-, ' I/ q-7 State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or(milder Name of owner of premises LA&,, t ,J i.,Sc (As on the tax roll or latest deed) If applicant is a corporation,signature of duty authorized officer ............. —-------- (Name and title of corporate officer) Builders License No. Plumbers License No. ................. Electricians License No.--A-C)5�5, fis,t5, Other Trade's License No, 1. Location of land on whtp,,,,,pc,,ed work wt be done: q 3,7o House Number Hamlet J County Tax Map No. 1000 Section01ock" Lot Z ............ . ...... -7 iled Map No. -200 3 Lot— SubdivisionWo—,,)­,�­ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Q e",,L.?'^ 4�'.' I b. Intended use and anc oecu y 0, --4 p 4-\,/ ­---­­ 'j 3. Nature of work(check which applicable):New Building_ Addition Alteration. ........ Repair Removal Demolition -Other Work—-.. '!� 4N -e Lec i,, DesThr,fion) 4. Estimated Cost 0 CPO Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units ..—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. 7. Dimensions of existing structures,if any:Front -.-.--Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front ­Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories ✓ a 9. Size of lot:Front 1-1 ., Rear -L-L-7 Depth 10.Date of Purchase —Name of Former Owner Dc." CA.1 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO_ '�( excess fill be removed from premises?YES p - 13.Will lot be re-graded?YES_NOWill. NO 14.Names of Owner of premises ..77 -L-1n,e e,4 zr'L�- Address q� 1 6,4-Phone No.116 5 T14 z OSr Name of Architect-7o—e-5 oeewkej ft; ...........—Address r ate, t7Phone No 631 735r:5' Name of ContractAll e.'-L, Qa .is Address Phone No. 63 1 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO— * IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES—NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO IF YES,PROVIDE A COPY. STATE OF NEW YORK) -f-p- COUNTY OF ,e being c4dy sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are 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 me this 20 1 �- 17 1: ..__day of -1bAEGMMM I WTARY PUBM STATE OF NEW Y NO.01 PR*904W ......... --QWFW IN SUFFOLK 1qT U-V b�ic W COMMISSION EXPIRES AM 14, 1!.5"r,�'iic- --- New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 -SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 FAX: (631)444-0360 Erin Crotty Letter of Non-Jurisdiction .. Fres hwate'r Wetlands Act Commissioner Ronald Smith August 12, 2002 6320 Main Bayview Road Southold, NY 11971 Re: Smith property South side of North Bayview, 390' southwest of Seawood, Southold SCTM# 1000-79-8-12.2 Application #1-4738-03062/00001 Dear Mr Smith : Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Your parcel in Southold NY, as shown on the survey by David H. Fox dated June 28, 2002 is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the Environmental Conservation Law). Be advised, that all construction, clearing, excavation, filling, and/or other ground disturbance must remain more than 100 feet from the freshwater wetland boundary. In addition, any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibilit of obtaining any necessary permits or approvals from other agencies, Sicerely, Perm' ri° is atr cc: BOH file STORIMMA Z_I)cott A. Russell ( r SUPERVISOR ] NIF SOU OLD TOWN HALL-P.O.Box 1179 aM c k 53095 Main Road-SOUTHOLD,NEW YORK 11971 �� "� � _ '' �` Town of Southold CHAPTER 236 - STORAIWATER MANAGE M-EN'T WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) or,S THIS PROD C17 INVOLVE VE NY OF THE F o l., O N i i t . (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading r stripping iaffects more than 5,000 square feet of groundsurface. Excavation r filling involving re than is yards of material withinrc or any contiguous . C. Site preparationslopes 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 RTA -Map.of- .. . t r - . rs -.- --------- . Installation of newr resurfaced impervious surfaces 1,000 square feet r more, unless prior approvalt r Control s received by the Town and the proposalincludes in-kind lace t of impervious surfaces. If you answered NO to all of the questions above, l Complete the Applicant section below witb your Name, Signature, ro � n�.t.urem ict Information, ate County"f er! Chapter 3 do not apply toyour project- If mmmmmm you answered YES to one or more o e abwe,pleasesu o copies of a Stormwater Itlanspeent Control Plan and a completed Check list Form to the Building 'Department grit your Building Permit Application. �- 1000 x ..-... APPUC = $.Property ner-,Design Pr®t" i�arwnt,Aggem,Coraractor,Other) •�� "�' �° Mirmt 79 Cwe _Scr-fiun _ C� cot k3i s il>uOaCz r)l"_I .%l_r�.IaiNi1, t)N_ml' Reviewed By. Propertyt��t �lC. Onstruction W_-o_rk: Approved for processing Budding e rn ,a.t_. Storatwater a �cment Control Vaui No t Required, S€orrrowa er Manaernent CorrtroN Ran. is Required fforwarO to k:cawguieermg Department trsr ii.me,,O DUNRIA OP ID: LC TE(MMI CERTIFICATE F LIABILITY INSURANCE DADDlYYYY) NCE TE(MMI2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTCT AWalter Rose enc Jlnc Wafter Rose Agency,Inc PHONE 845 783-2555 Fn /a Na 845-783-2425 8 Stage Road _�LR.) _I_ ... Monroe„NY 10950 EADMDARL�SS, II$B� ePrCea _.. rn mm .... � .......- -en( .co NSURER(S)AFFORDINGCOVER�E NAIC#� , INSURERA:TWIn CI Fire Ins Co y347 INSURED A- ,,, __.....�,......e ....,, ........� ... Dunrite Manufacturing Corp INSURER B; Dunrite pools 3510 Veterans Memorial Highway INsuRERc _ -- -� Bohemia,NY 11716 INSURERom: �......._ INSURER E NSURERF: COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...... II.FR TYPE OF INSURANCE �WVD... POUCY NLIMBER MMIDDY/YYYY MMIDD/YEYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 00,000 CLAIMS-MADE OCCUR OIUENOJ2632 04/01/2016 04/01/2017 PPFh1I E5 Ea or ,iranceJm $ 00,000 one person) $ 5,000 aov INJURY $ 1,000 00 MED EXP(Any y.. ...� _. PERSONAL� 0 GEN'L AGGREGATE_IMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 00 X POLICY D PRO- D L GG $ 2,000,000 JEC7 PRODUCTS-COMPIOP A GTHEA: $ AUTOMOBILE LIABILITY I M IG F0 SmiGLE LIPrll $ LE, accidaRtl. ANY AUTO BODILY INJURY(Per person) $ - _.. ALL BODILY INJURY SCHEDULED PRf`JP "Y Aa/t(Per�accident)i$ AUTOS AUTOS NON-OWNED HIREDAUTOS AUTOS Pd1 ... $ UMBRELLA EXCESS LIAB� I, EACH OCCURRENCE OCCUR 11 CLAIMS-MADE AGGREGATE DED b RETENTI PER WORKERS COMPENSATIONSTAT . n ANY OPRIET ECUTIVE EL YYEACH ACI AND EMPLOYERS'LIABILITY N' N/A t� UTE I ER "'I( OFFICEER EXCLUDED? CDENT ( $ (Mandatory In NH) W �.L DISEASE-EA EMPLOYEE $ L sdescribe under RIPTIr?Pd OF OPERATIONS below DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Swimming Pool Installation Service or Repair CERTIFICATE HOLDER CANCELLATION SOUTH-7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept Main Street AUTHORIZED REPRESENTATIVE Southold,NY 11971 . ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVER-AGE la.Legal Name&Address of Insured(Use street address only) 1 .Business Telephone Number of Insured Dunrite Manufacturing Corp 631-588-1300 Dunrite pools 3510 Veterans Memorial Highway lc.NYS Unemployment Insurance Employer Bohemia,NY 11716 Registration Number of Insured 0592920-5 I(L Federal Employer Identification Number of Insured Work Location of Insured (Only required if coverage is or Social Security Number specifically limited to certain locations in New,York State, i.e., a 112245133 Wrap-E'p Policy) 2.Name and Address oft a Entity Requesting Proof of 3 . Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) Hartford Town of Southold 3b.Policy Number of entity listed in box"la" Main Street OIWECKU5003 Southold,New York 11971 3c. Policy effective period 03/27/16 to 03/27/17 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partners/offlcers Included) x all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under to 3A on the INFORMATION PAGE oft a workers' compensation insurance policy ). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above asthe certificate holder in box"T'. The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment Of prepniums or within 30 days IF'there are reasons other than nonpRypnenl ofprerniums that cancel the pohc�v or elbn inate the insured ftom the coverage b^idkated on this Certificate. (These notices I?loy be sent by regular mai.L) Otherwise, this Cert�,Jlcate is validjor one year after this fours is approved k)r the insurance carrier or its licensed agent, or until the policy expiration date listed in, box 9c", whichever is earlier. Please Note:Upon the cancellation oft a workers' compensation policy indicated on this form,if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements oft a New York State Workers' Compensation Law. Under penalty of perjury .,I certify that I am an authorized representative or licensed agent oft e insurance carrier referenced above and that the named insured hast a coverage as depicted on this form. Approved by: --Ke-vin-McDonoL2h g1riat name of authorized representative or licensed agent of insurance carrier) 1) - Approved by: 2-29-16 (Signature) (Date) Title: President of Walter Rose�nc Agency,Inc Telephone Number of authorized representative or licensed agent. of insurance carrier: 845-783- 2555 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-07) www.wcb.st-ate.ny.us Workers' Compensation Law A STATE OF NTW YORK WORKERS'COMPENISATION BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW fA_RT rance Ag,ent of that Carrier Ia.Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number Of Insured DUNRITE MANUFACT URINIGCORP 1 c.NYS Unemployment Insurance 3510 VETERANS MEML HCYHVvrY Employer Registration BOHEMIA,NY 11716 Number of Insured `Vork Location Of InSLIred i(,')nlv required if coverage Is specifically limited To certain locations In I d. Federal Employer Identification New Yark Star e,,i_o.,a Wrap-uj Policy) Number of Insured or Social Security Number 11-2245133 2 Name and Address of the Entity Requesting Proof 3a Name of Insurance Carrier of Coverage(Entity Being Listed as the Certificate Holder) WESCO INSURANCE Town of Southold COMPANY 54375 Main Street Southold, NY 11971 3b.Policy Nunibcr of entity listed in box 0403697 3c Policy effective period: 4/8/2016 to 121131/2017 4,Policy covers: a. Z.All of the cmploy&s cniployi.as ch-gib,1c widcr the N,.-,,,: "'orDisability Bcnefits.Law b. 171 Only the follmvin�g cWs OrClasscs of the crnployer's cmployccs Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NTYS Disability Benefits insurance coverage as described above Date Signed 4/8/22016 By 41Aa' 31 ky_'Yua. (S ignature of bstmance u arTiCT`.9 antfoori9ed reliresentative or NNS I.icensed Tnsurance A6v,�of tha[ininirance car ier) Telephone Number 800-535-2711 Title Vice President IMPORTANT: If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance kgcnt of that carrier,this certificate is CON'TLETE.Nlad it diecdy to thc 4cilifiQatc ho'der- If box"4b"is ch"kcd,this certificatc is NOT CWMPLETE,fair purposes of Set 220,SLibd, 8 of the Diswhikr,c Bcncfits Lnw, It nILISL be mailed for completion to the Workers'Compensation Rivard,D,B Plan,;Ac"pl,unce Unit,328 Stale Su­ees,SChen-,ctady, NY 12305 PART 2. To be completed by NYS Workers' Compensation Board(Only if box"4b" of Part 1 has been checked) State of New York Workers' Compensation Board Accordm,,to inforrnatton niavitamed by the NY'S Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Ld%v with respect to afl of bis/her tmplcayees. Date Signed By Telephone Number ....... — Title (Signature ofNYS WorkcTs'Coniq;)ensa6onBDard Eanployee) ............. ............... iiIease"Note: Only aiiuranct;carricrs licensed to vvTitz,\NS disabihoy bQncftts insuanci; policies and NYS licQnscd msurance agentsol'thosc insurance carriers are authorized to issue Form DB-120.I.Insurance brokers are NOT authorized to issue this form, DB-120 1(9-15) i TOTAL PLOT AREA: 166 596 SQ. IT. t / 3.824 ACRES ROAD NORTH BA(VIEW - - _ 572'59'11"E �it„ „---�-- __-57252'(70"'E 7 1 EA5EMENT AREA OPEN SPACE ) \ 24238 ACRE5 \ 1 J � D L �in J f 0 J w � �,.. o• J i it I �I Ji q I I 1 I f 1 Y w f I m d N ! Z � 1 d 1 1 f� Z 1 \ I 0 ie j _ r �✓/ eY`' 0 m � 4� 2 ooa �w rx �ozw ¢ LL y 206.Ls' __J�__� ` A4 yY w w2ttZ»o ii li � o z a aQo a ro (BUILDING AREA I M + I .40015 ACRES w :nr..2 p f Nw 34cwi v0 K _w 2 =w Wt~'Ci7N O z F=�Toz � v m in ea. q9a sd3 ! 3 t- - Y ¢ Z Ea Esr ''"` ZZ r Z 0 Y w9Aa �u w �. amw E ~� 01F AO f tONE E� \\\ txaNZ pnRax / la. 3 o r g o�x� re _I >=040= NLw�� ww 177.53• I 50.00' I. wp ..,q«.a 227.53' _....._......__...—...1 ! NGT04'03"W x _EOT d \ /J 03� SUFFOLK COUNTY TAX MAP DIST: 1000 SECT: 79 BLK: B LOT: 12.2 --.... -- ..._..........— MAP NO: 1115113 DATE: MARCH 13, 2001 Wallace T Bryan LOT(S): 2 Licensed Land Surveyor MAP OF: SUBDIVISION PLAT FOR NORTH BAYVIEW ASSOCIATES MAINTAINING THE RECORDS OF BURTON, BEHRENDT&SMITH LOCATION: SOUTHOLD TOWN OF 50UTHOLD, COUNTY OF SUFFOLK, STATE OF NEW YORK 559 Middle Road (� ; SURVEYED: MARCH 18, 2016 BdY.11074 New York 11705 't f (631)472-1770 CERTIFIED TO: VINCENT & EILEEN CARUSO Far 472-1771 SCALE: 1"=60' FILE NO: 16-129 TO H 1 z K ir W W cc O q 5�tiy +w.w, o of 1— N zw \ A i \ Jr � •C �' y \ r O a \ r V r zw le LL N \ r Y >Fr 2 \\ O O ONe } \\ r z cc 15 \ 1 m O 0 r \ w 'Q cr a W ya lruronoxrow \\ � , r ! a FI \\ 41 1 it 1. Fr 4\ q \ a oUZ (a C d O m O F on J � Z W W l f,W g3 ¢ W di 2 aZ °� W 4 a ; . . SURI z � J $ O cy rv. 6 A x5" y o q ocougoz.} q Lu 0 w I; LL cc cme}� mai c3. 2a 3 8 � � Q Z LL w,v e'7s ER.c,m 1 W aa �robd� -, u a a � m � 4 a te p 40 . \ _ 'p@ v 8 6- 9 e o � TOTAL PLOT-AREA:_166.596 SO. FT. b / 3.824 ACRES t4op,TH gpYV1EwRoAD Iz--1 11S�l 273.63' ——————— — 2.1.91 577-5200 I SPACE EASEMENT AREA BPEN 2.4238"C"S 0 0 -6 I z Ld Ld T V) lz ------206.55—_ 0 -9 BUILDING AREA ACRES 7i tt 3 j ITU SIAM nmKMt9 lz o 227.53' N68'04'03"W 1 4o as pppo,�U L01 3 RT jp SUFFOLK COUNTY TAX MAP DIST: 1000 SECT: 79 BLK: 8 LOT: 12.2 MAP NO: 1 05113 DATE: MARCH 13, 21101 Wafface T Bryan LOT(S): 2 Licensed Land Surveyor MAP OF. MAINTAINING THE RECORDS OF SUBDIVISION PLAT FOR NORTH 8AYVIEW ASSOCIATES BURTON, BEHRENDT& SMITH LOCATION: SOUTHOLD TOWN OF SOUTHOLD. COUNTY OF SUFFOLK, STATE OF NEW YORK 559 Middk Road..... ........ Ba)port,New York 11705 SURVEYED: MARCH 18, 2016 (631)472-1770 CERTIFIED TO: VINCENT & EILEEN CARUSO Fax 472-1771 SCALE: 1"=60' FILE NO: 16-129 ——-----— --------