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Home My WebLink About40561-Z Town of Southold 1/26/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38796 Date: 1/26/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 330 Watersedge Way, Southold SCTM#: 473889 Sec/Block/Lot: 88.-5-51 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/25/2016 pursuant to which Building Permit No. 40561 dated 3/25/2016 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: ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR The certificate is issued to Leonard,Thomas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3045387 09-14-2007 PLUMBERS CERTIFICATION DATED A Signature guFFQt� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BEKEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40561 Date: 3/25/2016 Permission is hereby granted to: Leonard, Thomas 27 S Van Dieu Ave Ridgewood, NJ 07450 To: CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL IN THE,REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 36038, At premises located at: 330 Watersedge Way, Southold SCTM # 473889 Sec/Block/Lot# 88.-5-51 Pursuant to application dated 3/25/2016 and approved by the Building Inspector. To expire on' Fees: CERTIFICATE OF OCCUPANCY $50.00 PERMIT RENEWAL $125.00 $175.00 Building Inspector 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. 36038 Z Date NOVEMBER 19, 2010 Permission is hereby granted to: THOMAS & JANE LEONARD 27 S . VAN DIEN AVENUE RIDGEWOOD,NJ 07450 for CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 33145 at premises located at 330 WATERS EDGE WAY SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 051 pursuant to application dated NOVEMBER 19, 2010 and approved by the Building Inspector to expire on MAY 19, 2012 . Fee $ 250 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 33145 Z Date JUNE 19, 2007 Permission is hereby granted to : T LEONARD 330 WATERSEDGE WAY SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR at premises located at 330 WATERS EDGE WAY SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 051 pursuant to application dated JUNE 8, 2007 and approved by the Building Inspector to expire on DECEMBER 19, 2008 . Fee $ 250 . 00 Authorized Signature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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: 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 $15.00 Date. New Construction: OI l-d�or Pre-existing Building: ""�� (check one) Location of Property: �6aero &V House No. St et -Hamlet Owner or Owners of Property: 7:D)b� Suffolk County Tax Map No 1000, Section b Block Lot Subdivision Filed Map. Lot: Permit No. I-A 95CQ 1 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ Applicant Signature 5 BY THIS CERTIFICATE OF COMPLIANCE THE S 5 U NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 I S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 G &S ELECTRICAL CONTR. TOM &JANE LEONARD 5 5 P.O. BOX 215 330 WATERS EDGE WAY 5 5 SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 c5 5 Located at 330 WATERS EDGE WAY SOUTHOLD, NY 11971 5 5 5 5 Application Number: 3045387 Certificate Number: 3045387 5 5 ns11 S Cj Section: Block: Lot: Building Permit: BDC: rj 5 5 3 I 5 q's 5 Described as a occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Outside,Pool/Spa, 5 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 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September,2007. 5 Name OTY Rate Rating Circuit Type 5 5 Miscellaneous 5 5 1-cover motor 5 Appliances and Accessories 5 5 Pool/Spa Bonding 1 0 5 �j Pool Heater 2 0 Gas 5 5 Panels 5 5 1 100 6 5 Wiring and Devices 5 5 Fixture 3 0 Pool/Spa 5 5 GFCI Circuit Breaker 2 0 Pool/Spa S 5 Receptacle 5 0 20a Pool/Spa 5 5 Switch 1 0 General Purpose 5 5 (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 5 frequent test and/or repairs made by a qualified person. 5 5 5 seal 5 5 1 of 1 5 5 • 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. 5' 5 o ��Lp��r��LPLPL��Lpd-L3I ��LPL�LP��@�LP� o rjf sotl 33 il% eoum, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION I FOUNDATION IST ] ROUGH lPL13G. ] FOUNDATION 2ND I INSULATION FRAMING / STRAPPING [VFINAL ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR 512� pF SOUTyolo o�ycou I TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN PECTION [ ] FOUNDATION IST [>] R UG UMBING FOUNDATION 2ND [ LATION FRAMING /STRAPPING [ AL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: fv c� DATE INSPECTOR ate, h OE SOOTy� h� l0 ooUNi'10 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [/] FINAL NSULATION FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Q�W6, 2Aad- c8vt gwvn t y iron vvvxn pw W%' N nn �v( 40 O k4�- *f*Y ire v✓ PsJ 4-- b DATE 1 l o INSPECTOR *OE SO�lyO H O i TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ F;NALA-�*01- [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL`(ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �Vf-gt,,e, -o'v At OK DATE 1, ANSPECTOR FIELD INSPECTION REPORT DATE I COMMENTS FOUNDATION(IST) i� ------------------------------------- FOUNDATION ---------------------------------FOUNDATION(2ND) ty U1 �Imlq,�•, ga i Da.! j7-jr0M 946 lr* YLS O/! lY �c tnS t ry y H FRANIING& �1YM ,��Vi <�G IaS Lvr hAe IY 1 f INSULATION PER N.Y. -- y STATE ENERGY CODE (' V t L go Po(iNti tK19 x FINAL �V W �- vb $v(' W AYftl 0 r ov ADDITIONAL COMMENTS .h n% b 3 0* Z 1m x d W-M y TOWN SOF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDL ffTG DEPARTMENT Do you have or need the following,before applying? TOWN DALE Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1502 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 3 3 0 94;—E� Check Septic Form N.Y.S.D.E.C. Trustees Examined & ,20_ _ Contact: Approved ,20 0 Mail to: Disapproved a/c Phone: Expiration �S: ,20 0 Building Inspector 7 ICATION FOR BUILDING PERMIT 200 s Date , 20 jiLUG DEPT. INSTRUCTIONS T Vll� F S UTHOLD a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws, ordinances,building code,ho ' g co ,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ®CCUPPA rCYR 'USE M UN�;AWFUL (Signa cant or na e,if a corporation) OI (rtW J � `a (Mailing address of applic I�� 0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Jq APPROVED AS NOTED Name of er of pre ises 1`' (As on the tax 1 or latest,deecl)OTIFY BUILDING LE.�ARTMENT nT If applic t ' a e yo � i�n Moo 765-1802 8 AICA TO k ?".R FOR THE WftL� 1I FOLLOWING INSPECTIONS: ENO WE PF*Q CODE 1. FOUNDATION - TWO REQUIRED e nd 'tle c rporat offi er) Ul�ow gg- ETOO�9 FOR POURED CGNC;RETE �C�W�` 9A5W° 2. ROUGH - FRAMING & PLUMBING Builders License No. 3. INSULATION Plumbers License No. 4. FINAL - CONSTRUCTION MUST Electricians License No. BE COMPLETE FOR C.O. Other Trade's License No. _ L _. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed v�o �`�� EC�i� YORK STATE. NOT RESPONSIBLE FOR ` I� o� �, I_;E DESIGN OR CONSTRUCTION ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section Block Subdivision Ay f A- Filed Map No. "VA '•4t -Lot (Name) ,.>:, , C 2. State existing use and occupancy of premises and inte ded use and occupancy of proposed constr,;Wtiorr.� a. Existing use and occupancy ,j b. Intended use and occupancy �� G�C 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work , L-- -� (Description) 4. Estimated Cost � C?oo Fee 2-- 'J (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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front-it I Rear Depth Height Number•of Stories" r 8. Dimensions of entire new construction: Front Rear Depth- Height Number of Stories 9. Size of lot: Front /"' da r Q® Rear / 00 Depth 10. Date of Purchase ( Name of Former Owner . 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOK- 13. Will lot be re-graded? YES NO-)� Will excess fill be removed from premises?pYES N 14. Names of Owner of premises 1�60AA-Its Address o Phone No. 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 X * IF YES, SOUT_HOLD,TQW,N-TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO , � 4 * IF YES, D.E.C. PERMITS MAYr'MIEQUIRED. R, i.? €kit i�i.,-a t:��.A �.,,� •-.�,d i,.3 16. Provide survey, to scale, with accurate foundation Plan Edadjdistairces,to p ierty linen 17. If elevation at any point on property is at 10 feet or below,must provide t po rapHical data on survey. STATE OF NEW YORK) SS: COUNTY F ) being duly sworn, deposes and says that(s)he is the applicant (Name of inaividuaf signing contract)above na e $$ a y•wa ;.�"ayY to>.�-•rk 4�g49: (S)He is the (Contractor,Agent, Corpar4lp,QMce'r,�W6)J 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, ... s.s, 4o ' of= 20 Notary Public Sign u�Appli Ruth Love Notary Public State of Neve York No. 01 L06054063 oualified in Suffolk County Commission Expires March 5,20 Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. _ Note: If you answered Yes to any of the above,a Storm-water,Grading,Drainage&Erosion Control Plan is not required. -------------------------------------------- ---------------------- ACTIONS REQUIRING THE SUBMISSION OF A STORM-WATER,GRADING,DRAINAGE &EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J)for each question is required for complete application) Yes No 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2. Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards ofmaterial within any parcel? ❑ 3. Will this application require land disturbing activities encompassing an area of five thousand(5,000) square feet of ground surface or more? ❑ 4.. Is there a Natural Water course running through the site or is this project within One hundred(100)feet'of wetlands or a beach? ❑ 5. Will there be site preparation on slopes which exceed fifteen(15)feet of vertical rise to One hundred(100)feet of horizontal distance? ❑ 6. Will driveways,parking areas or other impervious surfaces direct Storm-Water Run-off q into and/or in the direction of a Town Right-of-Way? ❑ V! ./r 7. Will this application require the placement of material,removal of vegetation and/or the construction of any item within the Town Right-of-Way or road shoulder area? - ❑ (This item does not include the installation of driveway aprons.) 8. Will there be site preparation within the one hundred(100)year floodplain of any watercourse? ❑ Note: If any answer to questions one through eight is answered with a check mark in the Box,a Storm-water,Grading, Drainage&Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit. ------------------------------------------------------------------- STATE OF NEW YORK, C UNTY OF.. .. ss That I, �.. �. . . .. .. �.l y�1� being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) Andthat He/She is the ... ..... . . .. .. .. . . . .. ....... ... ..... . . ... . ... .. ... ........... ........... ... . . ...... .. . (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owner's,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belier;and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me this; sk'J'-` da of .... tib. ......20.6. o , Notary Public: Lp"... ......................... ........ ....... . •� NWARY FLOW,ft*dN@w V t (Signature of Applicant) No.OIRA6149M ChuMed in 10 MCCARTHY'MANAGEMENT, INC. LETTER TRANSMITTAL ,, `F 46520 County Road 48 SOUTHOLD,.NEW.YORKI1971 r 14 / 6 � �. JOB NO. (63.1) -765=5815= FAX (631)A765-58.16 :°„ ATTENTION WE,ARE SENbif o YOUAttached ❑ Under separate cover via ' the following item_s:'� + `t ! F El Shop;drawings . Prints dans SamPies'. ❑ Specifications ", t,❑f Copy of"-(etter ❑ Change order ❑ 3COPIES DATE NO. DESCRIPTION �J 57� C s'�uc c4'%J A-)d-S THESE ARE TRANSMITTED-as checked below: KFFOr approval ElApproved as submitted ❑ Resubmit copies for approval or your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints. ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGN PRODUCT 240T if enclosures are not as noted,kindly notify Lis of ce. MR. & MRS. THOMAS L)FON,ARD 27 S. VAN DIEN AVENUE DGE' OOD, N.107450-462.5 To Whom It May Concem: Thomas and Jane Leonard authorizes Thomas 1.McCarthy an(Vor mccartby management, Inc. to act on my behal,f in reference to the s•ukiect property located at 33o 330'Aatersedge Way, Soutbold NY l iwi. SCTM# 1000-9$-5-5l Thank you. Sincerely, t C- lJ .pane L d l omas Leo,< d I6�TC�'d 0e6SFTb2T2T pF SO!/j�,Qlo Town Hall Annex Telephone(631)765-1802 54.375 Main Road Fax(631)765-9502 P.O.Box 1179 G • �Q Southold,NY 11971-0959 �Q COUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD July 1St, 2010 First Notice Thomas &-Jane Leonard 27 S. Van Dieu Avenue Ridgewood, N.J. 07450 RE: 330 Waters Edge Way (IN-GROUND SWIMMING POOL) SCTM #1000-88.-5-51 To Whom It May Concern: Please be advised that your Building Permit # 33145 issued June 19th, 2007, has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $250.00; at that time, we can schedule an inspection by one of our Building Inspectors. PLEASE SEE ENCLOSED DOCUMENT REGARDING SWIMMING POOL CODES. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT -- 7010 p290 0002 8968 0785 pF SOUjy®l 0 Town Hall Annex J Telephone(631)765-1802 54375 Main Road y ye Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �Q lyc®wn�� BUILDING DEPARTMENT TOWN OF SOUTHOLD FINAL NOTICE November 12th, 2010 Thomas & Jane Leonard 27 S. Van Dieu Avenue Ridgewood, N.J. 07450 RE: 330 Waters Edge Way (IN-GROUND SWIMMING POOL) 5CTM: #1000-88.-5-51 To Whom It May Concern: Please be advised that your Building Permit # 33145 issued June 19th, 2007 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before use of the structure. To renew your Building Permit, please submit a fee of $250.00. At that time, we can schedule an inspection by one of our Building Inspectors. If you have any questions, please call us at 765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. 7010 0290 0002 8968 4554 (all O NOV 19 2010_ D eLoc Deer." TOWN So, oio Ao -r-W ) ALL 20 i Y C/// '/tel//V.L7�YilylV'✓- - 05�'4:::'_tl SENDER: COMPLETE THIS SECTION COMPLETE THIS I SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse ❑Addressee I so that we can return the card to you. ■ Attach this card to the back of the mailpieceB.tceived by(Printed Nam) C. Dat of Deli or on the front if space permits. 74, . L ea n7' 1. Article Addressed to: :.a.g D. Is delivery address different from Item 1? Yes J�3fSF5+ If YES,enter delivery address below: Jo 3. Service Type ❑Certified-Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ' : = i (Transfer from service ' s SPS Formi 381 i1,,'Febr6ary 2004 Domestic Return Receipt 102595-02-M-1540 SCDHS Ref.# R/0-04-0033 N SURVEY OF PROPERTY AT BA YVIEW TOWN OF SOU - I{� THOLD- SUFFOL COUNTY, N. Y. HSE- 1000-88-05-51 SCALE '3`1 ' 61.14 DECEMBER 5, 2003 .L!z /in. orodeFEBRUARY 23, 2004 (CERT/FICA 770N) June 7, 2004 (revisions L June 28, 2004 (re visions) � sp// !o` 9 r 10-5lo,�k OOC?. Z ! zoos ( C sj -Lp r- 3 JUNE 30, 2006 fFNO T1 1 82 F<<w A NOK 20, 2006 (FINAU EZ-!.B MOU-0 R'A TEP C OT rc�V —__ 3. r PROPOSED SEWAGEDlS.vOSADE P — 4iycJ L SYSTE 3 LEACHING POOLS 4.5 CLEAN SAND COLLAR 1000 GAL Pr'rtCM AST CONC;?ETE SEPTIC TANK- BOTTOM O,c s� LEACHING POOLS TO SE 2' GROUND WATER 0 CROSSECTION SECTION SEPTIC Q 's�6 �2. �'r SYSTEM V p� �i 40" 1°� S� CC/A'GJ of hg \0 "V M SOT S V 4V NO ! \ 0.00' f 'a's a R 31.42 _ rev °ef hro 1 Lo 510 op-- _ G ° F.� -'h TEST HOLE DA TA ,oma �y �� Cb� ' 12/12/03 �� \(� Oyu • 40ti — DARK BROW LOAM OL 2, BROWN SANDY CLAY C1 EC 0 f°✓ � 4.i \_ /fib C --- h BROWN fJNE TO COARSE SAND Sw L� ell. 70 yF Ali j \ WA IER/N PALE BROWN f7NE TO COARSE g/y D sw E� 'c� n CERTIFIED TO r EAST COAST ABSTRACT, INC. FIDELITY AMERICAN TITLE INSURANCE r0*1 COMPANY OF NEW YORK OBRA REALTY CORP. sox J \\ HUNTER HOME REALTY CORP. , ANDA.J HOMES CORP. cP . / am familiar with the STANDARDS FOR APPROVAL AND CONS TRUC TION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAM/L Y RESIDENCES row er and will abide by the conditions set forth therein and on the cA F�liNc Permit to construct. 'so• J Tne location Of wells and cesspools shown hereon are LOT NUMBERS REFER TO MAP OF TERRY from field observations and or from data obtained from others. WATERS" FILED IN THE SUFFOLK COUNTY ANY ALTERA770N OR ADDITION TO THIS SURVEY /S A V10LA770N CLERK'S OFFICE ON DEC. 29 OF SEC77ON 7209 OF 77-1E NEN' YORK STATE EDUCATION LAW. NO 2901• AS FILE EXCEPT AS PER SEC/TON 7209-SUBDIVISION 2. ALL CER77F/CA7IONS y�P�(EOF 11IE� HEREON ARE VALID FOR Tl-llS MAP AND COPIES 1HEREOF ONLY/F OWN T.MFT1 rO'Q� SA 04 MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR 3 WHOSE SIGNATURE APPEARS HEREON. d Elevations referencedto N.G. V.D. 49618 CONIC AREA=17,500 SQ. FT. =MONUMEN e1 e y Y^ l 31) 765 65 1797 T P.O. BOX 9 ,yo - ®=PIPE 1230 TRA VEL 1 n _ SOUTHOLD, N. Y. S —`�8c7 VII At • s • r I ` it - ; w •. ; _ . -r+ I - ,._ •,Q•.; N EYP PITTA+ � �►+Y�9R+f1Yrt! LAW IL ?IZ nor fin v _ X61 1~'t : - .• 1 , Ixg--o +mf► CT1®N R A gyp.(uj Q � N .�•.j' 1�Afgt[ /AKA - amp 1` ;� � ttTeN[A fls11oYN •• kit Or N[ ®0 t�_ Ott w ftTYfl! to • •MT[41 �1f1� ._ T163 $•« Wall - P[Yqw :I rJ onogCH 1+IATrC 13'4P PIP�lii6 ARARRAN 4 +Lfh► WALL 3EZTI8l� � :• -. .o.T. ss'-e• ,Y—�' �...a�+q� eorr�aciOi( - !�� f0®e( Paw P 0