HomeMy WebLinkAbout40688-Z o�guEfOl�cOG Town of Southold 5/8/2018
-P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39634 Date: 5/8/2018
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 700 N Parish Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 71.4-31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/3/2016 pursuant to which Building Permit No. 40688 dated 5/10/2016
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 Maroney,Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 4tk688 r,, 5/1/2018
PLUMBERS CERTIFICATION DATED A7 A
Auto ' e Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 40688 Date: 5/10/2016
Permission is hereby granted to:
Maroney, Maureen
165 Hudson St 2A
New York, NY 10013
To: construct an accessory in-ground swimming pool as applied for.
At premises located at:
700 N Parish Dr., Southold
SCTM # 473889
Sec/Block/Lot# 71.-1-31
Pursuant to application dated 5/3/2016 and approved by the Building Inspector.
To expire on 11/9/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Building Inspector
Form No.6
To WN OF SOUT HOLD
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- $100.00
3. C6p9'6FCertificafe-of Ocdupancy-S$:25 -
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. 5hk2
New Construction: —7 Old or Pre-existing Building: (check one)
Location of Property: (Y-2 /_)y -o2, /Y71
House No. Street Hamlet
Owner or Owners of Property: /2291x2�1J /—)*W-!P PLV
Suffolk County Tax Map No 1000, Section 77Z Block U, Lot
Subdivision (, Filed Map. Lot:
Permit No. �b 'Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
ra Certificate Final Certificate: °' check o
Request for: Temporary
tS0
Fee Submitted: $ �
A nt Signa ur
pF SO!/T�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 ® aQ roper.rich ert(aD-town.Southold.ny.us
Southold,NY 11971-0959 ®l�c®U0'�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Maureen Maroney
Address: 700 North Parish Drive city,Southold st: New York zip: 11971
Building Permit#: 40688 Section: 71 Block: 1 Lot: 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service.3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks 1
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Inground Swimming Pool to Include, Bonding, Control Panel, 1- GFCI Circuit Breaker
Pool Light.
Notes.
"As Built" - Electrical Survey" - "No Visual Defects".
Inspector Signature: Date: May 1, 2018
r
0-Cert Electrical Compliance Form.xls
BOE SOUTy
�o� olo
N O
i
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULAT OCT
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
44/ U
DATE INSPECTOR
SOUlyolo
N o
00
OOUMV
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE ! INSPECTOR K
•I r
. • s . . 1Y
• Cl
•
STATE ENERGY C ODB
MUM M �Hw.fj mm�
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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
SoutholdTown.NorthFork.net PERMIT NO. !�1-06UE Check
Septic Form
N.Y_S.D.E.C.
D [E(9[90V[R9.ntact:
Trustees
C.O.Application
Flood Permit
Examined 120 Single&Separate
1 ggqg aStorm-Water Assessment Form
17 ® /& MAY — 3 2018°
Approved .20 Mail to:.7—$L'FIJ 0 f ft"
Disapproved a/c BLUDING DWE 103- F s K-e� A(/,e,e FZ(0 e�ffe� <<g�
T 07/ 1 .a
Phone: 651 ���7 -�3 /Z..
Expiration 20�
'71 Build Inspec
APPLICATION FOR BUILDING PERMIT
Date GEr9 ,20
INSTRUCTIONS
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.
c.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, nd r lati ,and to admit
authorized inspectors on premises and in building for necessary i
(Si lure of ppli at or;W,(o
`rlS (�
(Mailing address of a /(%/
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder �i/
Name of owner of premises 1 ►`1Atk e— ' F-1 IV / V1 A-Lo OJ V�
(As on the tax roll or latest deed)
I�ap 'c"acd rati tr
afore of duly authorized officer
ame d ti le of coT=0'—)
uilder Licen N
Plu ers License No.
ctricians License No.
Other Trade's License No. g ,/
1. Location land o> which /!osed wor w ( ncy �PV�— So C)1h oz-y
House Number sLl/ Street 7 Hamlet
County Tax Map No. 1000 Section � Block V Lot `
i
is Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy SWC 41/l ( (icJ
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
�+ (Description)
4. Estimated Cost ala,�(,� 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 Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth . Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear 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 NO
13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YESX NO
14.Names of Owner of premises QAM `t" Address 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
*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_2!�_
*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 NOA—
*IF YES,PROVIDE A COPY.
t STATE OF NEW YORK)
SS:
COUNTY OF )
qui V c SGC 2 -14 being duly swom,deposes and says that(s)he is the applicant
��m�jo (Name of individual igning contract)above named,
m��x0
LU y (S)He is the
vGt j (Contractor,Agent,Corporate Officer,etc.)
>� a 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 containedin 's application are true to the best of his knowledge and belief,and that the work will be
Z' performed in the manner set fo in the application filed therewith.
f0 C7 E
Z o Sworn to b ore me this/
ay 20�
otary Pub is
ligna Applicant
• A i!
Scott A. Russell SuFFQ�F i]F O IKMMA\T)E]E,
SUPERVISOR 0MOAN A(Gi)EMUEN T
SOUTHOLD TOWN HALL-P.O.Box 1179 p
53095 Main Road-SOUTHOLD,NEW YORK 11971 / Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
------- --- - --
's DOES THISPROJECT INVOLVE ANY OF THE FOLLOWING.
(CHECK ALL THAT APPLY) t
Yes No
❑[ ] A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑[ ,B. Excavation or filling involving more than 200 cubic yards of material s
within any parcel or any contiguous area.
C Site i)reparation 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
E erosion hazard area.
❑ E. Site preparation-within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse. _
's
E10 F. 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.
- S.C.T.M. '�: 1000 Date:
APPLICANT: (Property Owner,Dessignn_Prof onai,Agent,Contractor,Other) District
NAME: / 1 �� Z- �— l( 5-3-N .
(P—) ection Block Lot
°'s'""` FOR BUILDING DEPARTMENT USE ONLY
Contac abort
Reviewed By:
- - - - - - - - - - - - - - - - - - JCS
Dat -
5-3 -
Property Address/ Location of Construct Ion Work: — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
— — Stormwater Management Control Plan Not Required_
0 / o G // ❑ Stormwater Management Control Plan a Required
(Forward to Engineering Department for Review)
FORM " SMCP-TOS MAY 2014
Pop
Town Hall Annex J [ l�[ Telephone(631)765-1802
54375 Main Road Nax(6 31)765
P.O.Box 1179 �. Q roger.richert town.souf 50 15.ny us
Southold,NY 11971-0959
'Coy f s"
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION '
. ,n 3
REQUESTED BY: M
(� c or) M.ano n e�, Date: 0 CJ
Company
Name: W '
Name: � 0-
-
zfn
i
License No.:
Address: rA &�iL ash
Phone No.: l
JOBSITE INFORMATION: (*Indicates required information) D �a V
*Name: mare (' C` D
*Address: -70 N d r S SOV 3 2017
*Cross Street: ' 4 n/ . I
*Phone No.: a
r - 3� � ��,D ( DEQ.
Permit No.: It'o 6 88 TOWN JTU0LD
Tax-Map District: 1000 Section: 7/ Block:_� Lot: _ II
_ 1
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Blease Circle All That Apply)
1
*Is job ready for inspection: YE / NO Rough In Fina!
*Do-you need a Temp Certificate: Y
. ES! NO
Temp Information (if needed) I
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I -
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT_. UE WITH APPLICATION
82-Request for Inspection Form
J ���
pF SO!/T�®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G •
Southold,NY 11971-0959 'Qlyc®U
October 23, 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Maureen Maroney
165 Hudson St, 2A
New York NY 10013
Re: 700 N Parish Dr, Southold
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. �WA !1'311
�Q�
A fee of$50.00. fie," QAA A J,,t" �O �
vjgsx c -dor A*-,t� -6 � -
Final Health Department Approval. kAt6 .0( OJN. �,Sp,� -�•
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 — 40688 —Swimming Pool
10/31/2017
Maureen Maroney nD 15V D
165 Hudson St, Apt 2A
New York, NY 10013 NOV . 3 2017
Building Department, Town of Southold
54375 Main Rd BUILDING DST.
PO Box 1179 TOWN OF SOUTHOLD
Southold, NY 11971-0959
Re: 700 N Parish Drive, Building Permit 40688
1 am requesting an extension of Building Permit 40688 which was granted for a swimming pool.
The pool inspection has occurred and during that inspection I was informed an electrical
inspection is also required to issue the Certificate of Occupancy. Included with this letter is the
application for the electrical inspection which is the only outstanding item in connection with the
permit. I appreciate your consideration for an extension in order to complete this inspection.
Please let me know if any additional information is required.
Regards,
Maureen Maroney
I
00
UP
se P
VOOL ODE
ION
E14 ou?LVt
BEFORE
APPROVED AS NIOTEDALL CODES OF
/ &R NrEV'l YORK STATE- & TOWN CODES
DEPARTMENT DAT P.#,4- AS REQUIRED AND GGis4q1T-ie?qe, eF
4
BUILDING D
FE 2-;D- BY: SC HOLD TOWN ZPA
N OT TMENT AT
F
765-1802 8 AM TO 4 PM FOR THE D
FOLLOWING INSPECTIONS: 6UU I HULD IO EES
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.C.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW OCCUPANCY OR
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONST RUCTION ERRORS. USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
ELEC'TRgCAL
-� REgLi�m'RED
�HSPECTV
'H. ROY JATr FE, P.E.
82 EAGLE CHASE,WOODBURY,A.Y. 11797
516a-64-0148
FAX 516-364-0158
April 27, 2016
----Town.-_.of S.ou.thold_.
Dear Sir:
This is to certify that the drainage facilities to be used
exclusively for the construction of a swimming pool on the,
premises of
will not require draining because the pool is constructed
with a vinyl liiner. The pool water will be continuously
recirculated through the filter and will be. reused from
year to year. The- drainage from the filter backwash is
nominal and will not interfere with the public water supply,
the existing sanitary facilities or public highways.
The proposed pool measures 512 SQ FT The soil disturbance
will be about 836 SQ ET square feet. Since thisis less than
5,000 square feet as outlined in your Storm Water Management
code, no drywell is required.
Very truly yours,
t OF�E
RT no:
H. Roy Jaffe, P.E.
[t'Zlo RoyJAF7F,F.E M
82 EAGL CHASE,WCODJBURY,A.Y. 999 797
w -
516-364-0148
FAX 5 16-364-0158
April 27, 2016
___Town--.of S.outhold_.
Dear Sir
This is to certify that the drainage facilities to be used
exclusively for the construction of a swimming pool on the
premises of
will not require draining because the pool is constructed
'with a vinyl liner° The pool water will be continuously
recirculated through the filter and will be-. reused from
year to year. The- drainage from the filter backwash is
nominal and will not interfere with the public water supply,
the -existing sanitary facilities or public highways.
The proposed pool measures 512 SQ F`I' The soil disturbance
will be about 836 SQ FI' square feet. Since t'zisis less than
5 ,000 square feet as outlined in your Storm Water Management
code, no drywell -is required.
Very truly yours,
,OF Al
H. Roy Jaffe, P.E. rs► °~
2
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°. UNAUTHORIZED ALTERATION OR ADDITION
A
° TO THIS SURVEY IS A VIOLATION OF
e 7209 THE NEW YORK STATE Lathan Taft Corwin iii
d -d COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI– Tiy
Title Surveys — Subdivisions — Site Plans — Construction Layout
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
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S.C. TAX No. 1000-71 -01 -31
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U DECEMBER 4, 2004
QoO�Jo-OI / •a , APRIL 7, 2016 UPDATE SURVEY FOR NEW POOL
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SOPREPARED WITH THE MINIUM
•a e A. STAN ARDSI FOR TITLEANCE SURVEYS AS ESTABL
O ISHED
BY THE L.I.A.LS. AND APPROVED"ANT ADOPTED
TITLE SAUCH S OCTA E BY THE EW r ORK"STATE LAND,
D �L4�?4:
7.
JUN 1 5 2016 4 BUILDLNG DEM 00 RA,
TOWN OF SOUTHOLD a° d' �17
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• ,�• !' N.Y.S. Lic. No. 50467
4, v
-. J •, '" ,c�e• UNAUTHORIZED ALTERATION OR ADDITION
'` / ,Q° • TO THIS SURVEY IS A VIOLATION OF
SECTION 72LA OF THE NEW YORK STATE Nathan Taft Corwin i i i
• ° • •° .• EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
r TO SEAL OR
BO SADVALIDLiRH CONOT PY.INKED
BE 0 SDERED Land Surveyor
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI– TiConstruction Y
Title Surveys — Subdivisions — Site Plans — Consttion La out
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Y
PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
36-068
.04- 412�'�--S 5/4-"$ '-o
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oPOOL wE ��k c2FPRWEM o�� La:Y. STATE RI•sloExl•I�L ; �P,`�.®��
POOL M CCNFO t TO AKSIMSPI STANDARDS AG103:1Ip
G� � n Swirntn11�O f-•C�
Marony
SOMON 0106700 Parish Drive
UM G107PROrPMC(q REQUIRED I c1'`cOA° , • �a�� Southold, Ny 11912 .
POOL. AfAM REQUIRED