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HomeMy WebLinkAbout50948-Z *°f soaryo�o Town of Southold * * P.O. Box 1179 ad 53095 Main Rd �¢cuoxty.� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47122 Date: 06/09/2026 THIS CERTIFIES that the building HOT TUB Location of Property: 1500 Mason Dr Cutchogue, NY 11935 Sec/Block/Lot: 104.4-9.1 i Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/31/2022 Pursuant to which Building Permit No. 50948 and dated: 07/15/2024 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: f Accessory hot tub as applied for. The certificate is issued to: L78 LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 23-88771 7/21/2023 PLUMBERS CERTIFICATION: utho ed Si ature . TOWN OF SOUTHOLD ,�o�sNFFUIK�OG� . BUILDING DEPARTMENT �t{} TOWN CLERK'S OFFICE co �{ "o • n� 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#: 50948 Date: 7/16/2024 Permission is hereby'granted to: L78 LLC 159 Hendrickson Ave Rockville Centre, NY 11570 To: install hot tub as applied for per Trustees & DEC approvals. replaces by#48126 At premises located at: 1500 Mason Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 104.-7-9.1 Pursuant to application dated 5/31/2022 and approved by the Building Inspector. To expire on 1/14/2026. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building Inspector TOWN OF SOUTHOLD - jo�° may BUILDING DEPARTMENT y 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#: 48126 Date: 7/27/2022 Permission is hereby granted to: L78 LLC 159 Hendrickson Ave Rockville Centre, NY 11570 To: install hot tub as applied for per Trustees & DEC approvals. At premises located at: 1500 Mason Dr, Cutchogue SCTM #473889 Sec/Block/Lot# 104.4-9.1 Pursuant to application dated 7/27/2022 and approved by the Building Inspector. To expire on 1/26/2024. Fees: SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $250.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $300.00 Buil g Inspector s •ate , IIII I� Certificate=of Compliance= I lul' ; All, ,. I' jN,I CERTIFIED INSPECTIONS I _C - _ — I "',"`1188,,PARXI AVENUE _ AMITYVILLE, NY 11701 P: 631 I'S98 56101 = . !I J U L ; 3.1 2023 = - CERTIFIES THAT I' - Upon the application of Upon premises owned by ;L` ENG,DE A Ruggiero Electric Inc Jonathan Lewis _ T©Fan,7N!4 �t:r PO Box 1'533 '','' 1500 Mason Drive = - West Babylon,'iIN I;I117.04 ','�'��' Cutchogue-, NY 11935 --- - -= Located at 1500-Mason Drive_, Cutchogue, NY,11935 i Applicafon,Number#: 23 88771 Certificate#=23 8877'11 I " d El.ectricaLLicense#: = ! plil Block' Building Permit#: 48124 11,4-8125 / II Section) Lot 48f�B J el . Described as-a Residential occupancy, wherein-the_premises electrical system,consisting of - _ t .: _ 1wp III ,I, electrical_devices=and wiring, described below, located in/on thel'� remiseslat:'� �� _ New House w/400 Amp UG°_Service Equ_ipmenf/Air Contlitioning Equipment ('S llJn'its) A visual inspection.of the premises=electrical`=system;-Jimited to electrical devices and l,wirin;g to =the extent detailed herein, was conducted in accordance with the req'uirements'of'the'ap;plicable --= -code/or-standard promulgated by-the State of_New York, Departmeri ,of:'State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith. on the 21 st day of July 2023 Name` QTY Oven-Circuit-40 Amp_, 220V_ AC Condenser- 30 Amp, 220V GFI Disconnect'- 50 Amp,'220V• ==1 = Chandelier Lift= 20 Amp, 120V = 1 „III mp ARC-Fault 20 A ; 120V - _ 4 Power Panel -200 Amp, 240V 2 Dishwasher Circuit-12'0 Amp;°1120V . 1 Exhaust Hood,,:,20 Amp,"1120V. _ Electrical Inspector Anthony GiordanoCAJ _ ``` .. .!M -LNG"_ APPROVED I" =- "This certificate'is not valid unless raised°seal--_is present __ _ „ A II o Iln ill;' I'.II II;,• - _ _-- 'I.1 III I II I 1 'OI 11 :�,il II 1 I: pli9e, 1 I;��'.. I i.,'I II = II�� '�I;lilt, o I L. I II _ - _ _ n III 01 l,ii -_ —_ ,I I•;: Ili 011 lu. II I Ilhl V II� � - . — .- ._ ,_ 'Ij Iql II '.ICI I �1 � III'II.''.I"� I. ! _ ; Certificate of Compliance ......... I f;I�r �... - CERTIFIEDI1 INSPECTIONS INC ,1 I I ELIEI L CTRIC�Alr ll 188 PARKAVENUE (631 11 "-- - __ - CERTIFIES Upon th.6applicati6n of I I ��'�,' '; Upon premises owned- ' by- A Ruggiro Electnclllnlc , Jonathan Lewis PO Box'15'33 1500 Mason-Drive = _ West Babylon, NY 11704 Cutchogue, NY 11935 III .'I,I III ''' Ii ' - - � 1I,I��I II ,r - Located lat 150�0 Mason Dnvc, _ _ - II �: 'I1C✓J,tchogue,IINY',I�111935 dl, y ,, II L, " I .I-'I, I II' i��., ' I •"1 Application Number#: 23-8'8771 Certificate#: 23-88771 Electrical License# Section Block ,, LotI�Bulilding Permit# 48124/481251/ _ 48126 Name AC Blower-15 Amp, 220V - 5 ARC-Fault-_15 Amp,,120V--- _ 8., Combo Smoke & Carbon Detector=- 15 Amp, 120V;I'2. _ = _ Duplex Receptacle 15 Amp, 12OV 104'" Exhaust Fan, 15 Amp,; 120 - G.0 Receptacle- 15 A mil p,l'120 V 7 HW Heater Circuit- 30 Amp, 220V 2 Heat Mat Circuit 26AM I20V=_ - 3 Hot Tub Circuit 50=Amp, 220V =1 Meter-400 Amp, 240V 1 - ,Power;'Oanell - 70 Amp, 24.V Eilectncal,l'hsp'ector: Anthony Giordano' W.APPROVED. _ S C4�� This certificate is, not valid unless raised seal is._present -- __ _ - - III.•� L. I , I In• I nl Certificate of Compliance- a' _.._...._..... __ . ...............-.......... .... CERTIFIED;ELECTRICAL'INSPECTION8, INC . 188�.PARK AVENUE . AMITYVILLE,NY 11701 P: (631) 598`5610 ................._............_.............................-..................... ........................................... ........-.................... CERTIFIES THAT Upon the application of ',. Upon premises--owned by. 1 A Ruggiero Electric Inc Jonathan Lewis PO Box 1'533 " 1500 Mason-Dave _ West Babylon, NY 11704 = Cutchogue, NY 1193 5 Located at 1500 Mason Drive, _ Cytchog,ue';INS'';11935 �!',. �i III!!ul!' III !I�I! - — - i !�! tl. !., •.,I Application'Number#: 23-88771 `Certific.ate#: 23-88771 Electrical License#: I ''Building,Permit'#. 48124 /48125 1Section Block Lot 48" Name ___ = _QTY ,. Recessed Fixture-=15 Amp, 120V = 117 Service.Disconnect-.=200 Amp, 240V 2 • Smoke-Detector_ 15-Amp, 1.20V 8 ' Switch _ 1-5 Amp, 120V 70 _ UG Service Feeder- 400'Amp, 240,V- 1 " Electrical Inspector:LAnthony Giordano = \��p�pWlll°rdpi�i . RIGO.0 GAS _ APP_-RGVEDio This certificate is not valid unless raised seal is present. *OF SOOIyO� - - - # TOWN OF SOUTHOLD BUILDING DEPT. lou 631-765-1802 . INSPECTION ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] . SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL AT-- VP . [. ] FIREPLACE & CHIMNEY [ ] --FIRE SAFETY INSPECTION [ ] .FIRE RESISTANT CONSTRUCTION [ ] FIRERESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]. RENTAL REMARKS: w kiv La DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ � C FOUNDATION (2ND) 0 y ROUGH FRAMING& PLUMBING r INSULATION PER N.Y. y STATE ENERGY CODE I© 2 vy df(p C Z N � FINAL ADDITIONAL COMMENTS � 41,{ lbovoo a (lip 0 a a3 aY 4F 1 #� -7 1 #y - 3- 5 CjC�k6 EieCWC t c�A V► z x e b H „�SUFFO(�c`h: TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownnygov Date Received APPLICATION FOR BUILDING PERMIT �- For Office Use Only PERMIT NO. Building Inspector: BUILDING I` �Ot/VN OF S0ljN THOLD Applications and forms must'be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is.not the,owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: L-1 b I_LC._ �canclicus) LQ.�jj iS SCTM#1000- "'] . C50 t Project Address: t SGQ N%Q� 'Zr-) 4 P C_U\ -KU'(,'UE N r r93 j Phone#: 9t-J) 3G3 30"1q I Email,�L�tS i�gl �l , Ctar�� Mailing Address: I J9 14erf�&-w"6c-, cwe . V`JL. N I rS-7 Ca CONTACT PERSON: Mailing Address: (Sck 1�erlc�zL�LSe Cj �C_ Phone . WO S665 3 eL. Email lk.:,t S, 19cl 1 1 q9L_ C 'Sft1,aA Cam,--” DESIGN PROFESSIONAL INFORMATION: 4 if Mailing Address: r 1 1F'` !t ` $ % f 0 >f .4 Phone#: z I T1 Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: :q.`°a 1 Fm ail: r DESCRIPTION OF PROPOSED CONSTRUCTION XNew Structu.resr ❑Add'tion ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other bt� p $ c w (-,cn Will the lot be re-graded? ❑Yes ZNo Will excess fill be removed from premises?'WYes ❑No 1 PROPERTY'I N FORMATION Existing use of property: �i�5 i 7�� Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yesj' �o IF YES, PROVIDE A COPY. Check Box After Reading The owner/contractor/design professional is responsible for ah'drainage and stonn;water issues as provided by �pter_236 of the Town.Code. APPLICATION IS:HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone, Ordinance of the Town of3outhold,Suffolk,County,New York and other applicable,Laws,Ordinances.'or Regulations,for the construction of buildings,. additions,alterations or for removal or demolition rib,as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors onpiemi§es and.in building(s).for necessary inspections:False statements made herein are punishable a's a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law., Application Submitted By(prin na e): � �� s ❑Authorized Agent Owner Signature of Applicant: Date: STATE OF NE S COUNTY OF p i A ,) )( 'U11 lam- S being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the �PU.i4v': (Contractor,Agent, Corporate Office, 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/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this ALANA IV,PASSANA.NT! Notary Public-Slate of day of 20_ New Jersey 0 � res u L1 Notary u`l is PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 ' ¢F� UILDING DEPARTMENT- Electrical Inspector ��Su Cx�® 1 �e�� �9 ® Gy�L �� S�U TOWN OF SOUTHOLD a Town Hall Annex- 54375 Main Road - PO Box 1179 v Southold, New York 11971-0959 ,11 *4� �O�.�f Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov - seand(a southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 3/15/23 Company Name: A Ruggiero Electric Inc Electrician's Name: Anthony Ruggiero License No.: ME-62287 Elec. email:maruggie@optonline.net Elec. Phone No: 631-484-2958 01 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1533 West Babylon, NY 11704 JOB SITE INFORMATION (All Information Required) Name: Jonathan Lewis Address: 1500 Mason Drive Cross Street: Phone No.: 917-363-3074 Bldg.Permit#: 48124, 48125,,48126 , email:jlewis@lkpartnersinc.com Tax Map District:116%.1to 90 0 Ro*- Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Rough inspection of new home Square Footage: Circle All That Apply: Is job ready for inspection?: YES 0 NO ❑✓ Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 F2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION lwq I(p 8P 'rr 4$12 S ` of O o0 SIP a 81210 �o a l o4-oq°I t.. 4 a : �n..:,,v.YCrx ..v...,.t'txi,,...lctl_.1.�X,^,;i'T-.nl't;:A,. x ..i, Am "'lax ti C't•.,.,.,s �-. �: f J//I 1Y BOARD F S UTHOLD TOWN TRUSTEES SO HOLD, NEW YORK DATE: OCTOBER 20,2021 PERMIT NO. 10009 r� ISSUED TO: L78,LLC c/o JONATHAN LEWIS PROPERTY ADDRESS: 1500 MASON DRIVE, CUTCHOGUE SCTM#1000-104-7-9.1 i AUTHORIZATION Pw-suant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ►++F � ! t p lae' accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 20, 2021, and ' in consideration of application fee. in the sum of$250.00 paid by L78, LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the , following: t �aF Wetland Permit to demolish existing single-story bungalow and construct a new two and one- 7 $ half story dwelling with a basement(f6,675sq.ft.) that includes a 345sq.ft. front entrance,a A 138sq.ft. balcony off master suite,and a 333sq.ft. second balcony off guest suite; install 660sq.ft of proposed patios and walkway at the rear and side of the proposed dwelling; a proposed 8'x8' hot tub; a proposed 10'x11' outdoor shower enclosure that includes a 6'x10' shower and a 3 = ' .5'x10- changing area connected to a drywell, and the shower is open below and above; a 1707, octagonal shaped gazebo; and to abandon existing sanitary system and install a new VA I onsite wastewater system: with the condition that any trees that are removed are to be replaced ' a minimum of a 2" caliper; and as with native hardwood trees at a minimum of six {6) having„ p ` i depicted on the site plan prepared by Denise Iirl. Bradley,RA, .last dated October 5,2021,and ` ^� k €r stamped approved on October 20,2021. 1. 1T -i j p...... t €x 1N WITNESS WHEREOF, the said Board of Trustees hereby causes it<Corporate Seal to be affixed, and these c� sa`t� F �- 2021. presents to be sahscribed by a majority of the said Board as of the 20th day of C�tober, f 01 h O i � 6t t s ti Rf, Y k•``" s St.WC�a EtiSi :�a'�.,.htr•:G JuS�i J,,,.`r"'ta l.u.,us£wi � �crfiu:�..7I[rx a .>r '+s.. tirz�5•t �,�..s?7 wr .w.-s—,+5 +.,'v.+� � a.ahv a,�wid:.e r i�ia�v�. ,u4,)iab �2 4.e]i. ;i). +, �" 9�+�✓:, ' !l )�gy: .. / \ "•'- i't'\ �'��� .-Yr<„^,�+ \ � �''b J � +xz �' t '*✓` - "ham, � p��l+a�o*• w � -� 4� �"7�^nr�..�-@ y� >w,.�r,Wig,-+a"`������'^4Rm�.,y.,..,,q ��`'`�*a.e,[,g, sn,�;c•"�/ ..*sr-.i**t*t".,..+4"`�� �����4.,3?'.�+ \`�`�.� ,� .s C+ r fig gpl � ti oe+ c: ,r §d :., ✓d1'Y, [ y �at. l L+5,, "a ? f %�` aae�a •,+� ,�:� xx� iR,u;7• \ s a «a! �a+ �v ,ham �. •,gyai �"LSY.. ..:•-- "r sna �i'ra _ FIE � V E F 11 Glenn Goldsmith,President ��0� SOUryO t Town �11 nex 54375 0 Ite 25 Nicholas Krupski,Vice President �� _ O. 179 t Eric Sepenoski l� �' �lJ� o?t� d,N ork 11971 Liz Gillooly Telephone(631) 765-1892 Joseph Finora Ega11dip19 a fiag_sWPr -,(6bl) 765-6641 Tvvv ri o-% S r)L.i"h "'d BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2375 C Date: June 3, 2026 THIS CERTIFIES that the demolition of existing single-story bungalow and construction of a two and one-half story dwelling with a basement(16 675sq ft)that includes a 345sq.ft. front entrance.a 138q ft balcony off master suite and a 333scgft second balcony off guest suite; installation of 660sa.fft. patios and walkway at the rear and side of the dwelling.• a 8'x8'hot tub:a 10'xl 1'outdoor shower enclosure that includes a 6'x10'shower and a 5'xl0'changing area connected to a drywell, and the shower is open below and above-,a 17'x17'octagonal shaped gazebo: and abandonment of existing sanitaa system and installation of a I/A onsite wastewater system. At 1500 Mason Drive,Cutchogue Suffolk County Tax Map#1000-104-7-9.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 27, 2021 pursuant to which Trustees Wetland Permit#10009 Dated October 20,2021,was issued and Amended March 18,2026 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the demolition of existing sin lg a=story bungalow and construction of a two and one-half story dwelling with a basement(-±6 675sg ft)that includes a 345sq ft front entrance a 138sq_ft balcony off master suite and a 333sa ft second balcony off guest suite installation of 660sq ft patios and walkway at the rear and side of the dwelImg;a_8'x8'hot tub: a 10'xl 1'outdoor shower enclosure that includes a 6'xl0'shower and a 5'x10'chan mg area connected to a drnell and the shower is open below and above:a 17'x17'oct;jjzonal shapedgazebo-,and abandonment of existing sanitary system and installation of a I/A onsite wastewater system. The certificate is issued to L78 LLC c/o JONATHAN LEWIS owner of the aforesaid property. Authorized Signature NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04072 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: JONATHAN LEWIS LEWIS PROPERTY 159 HENDRICKSON AVE 1500 MASON DRISCTM# 1000-104-7-9.1 ROCKVILLE CENTRE,NY 11570 CUTCHOGUE,NY 11935 Facility Application Contact: TAHIR QURESHI 27 CASEY LN MOUNT SINAI,NY 11766 (631)732-3150 Facility Location: in SOUTHOLD in SUFFOLK COUNTY 'Village: CUTCHOGUE Facility Principal Reference Point: NYTM-E: 714.081 NYTM-N: 4543.328 Latitude: 41°00'47.0" Longitude: 72°27'14.8" Project Location: 1500 MASON DRIVE WATERCOURSE: HAYWATERS COVE Authorized Activity: Demolish the existing single family dwelling(SFD) and accessory structures. Construct a new 2.5 story SFD with stonnwater roof runoff drywells, accessory structures and install a pervious driveway. Abandon the existing system and install a new UA OWTS sanitary system. All authorized activities shall be done in strict conformance with the attached plans stamped "NYSDEC Approved" on 3/31/2022. (GRZ) Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-04072/00002 New Permit Effective Date: 3/31/2022 Expiration Date: 3/30/2027 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Regional Permit Administrator Address: NYSDEC Regi n 1 Headquarters SUNY @ Ston B ok150 Circle Rd Stony Brook, 1 790 -3409 Authorized Signature: Date ]Page 1 of 7 4 Awe NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Ivi Facility DEC ID 1-4738-04072 Distribution List TAHIR QURESHI Bureau of Marine Habitat Protection Environmental Permits Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS -Apply to the Following Permits- TIDAL WETLANDS 1. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. CIGRCr ete lueachaie During construction,no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 5. Materials Disposed at Upland Site Any demolition debris,excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 6. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04072 7. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 8. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.)immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 9. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department(permit, modification, amendment). 10. Establish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 30 linear feet landward of the tidal wetland boundary. 11. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area as per the NYSDEC-approved plan,prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 12. Runoff Directed to Upland Drywells Roof runoff shall be directed to drywells a minimum of 75 linear feet landward of the tidal wetland boundary for immediate on-site recharge. 13. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 14. Direct Runoff Away from Tidal Wetland and Duffer Roads, driveways, and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 15. Authorized Innovative/Alternative Onsite Wastewater Treatment Systems (VA OWTS) Septic Systems This permit authorizes the installation of any models of I/A OWTS septic system which have received the approval of the Suffolk County Department of Health Services (SCDHS). If SCDHS rescinds its approval of one or more of these models during the term of this permit, DEC will no longer approve new installations of that model. The list of I/A OWTS systems which have received approval by SCDHS are found on the Suffolk County Website under the Reclaim Our Water-Homeowner section at: Overview of Provisionally Approved Technologies. 16. Maintenance of Installed Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) The permittee must maintain, service and repair the installed I/A OWTS in accordance with the maintenance schedule set forth in the Suffolk County Department of Health Services (SCDHS) permit issued for the system. Page 3 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04072 17. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language) to the deed for the property where the project will be conducted and file it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 Attn: Compliance 18. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 19. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 20. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 21. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 22. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site'to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Page 4 of 7 S s NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04072 23. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Tahir M. Qureshi P.E., last revised on 1/8/2022 and the plan prepared by Michael J. Scalise L.S., last revised on 10/27/2021. 24. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department)to detennine whether the penmittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SLTNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. Page 5 of 7 4 AM liftni NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION qHW Facility DEC ID 1-4738-04072 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. E:��NO�TIF�XCAT�10N�OF ®7Cil$]ER PIEl{�MJI'�'B'I�1l+J �1��>I�GATlI®I�� Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or riot in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item D: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Page 6of7 �v NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION � Facility DEC ID I-4738-04072 Item D: No Right to 'Trespass or Interfere with Riparian Rights This pen-nit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 7 of 7 t , ~ 1 a, *ALL ELEVATIONS REFER TO NAVD8B'DATUM V — SYMBOL LEGEND MASON D D T °e oa (50' WIDE) ___--------- t---- --- I -------------- ®150.68' EEx TNo. ' ,72^24'30E_ — o. I . - I R®M I I3pT .- . - I - ' zfi.5'�1I N I I I` _- I � I r 0 I ,sroRY TAX LO P/W T 70 1 I-+� I 10.z• o 1 .I -_ she' 16.6• 7.A' 29.0, �II`Q, m-1atf1 .I /� 1 STIX2Y fiLJ1C RE90FNC[ O PE,=.37 r^. v� iFL.IS.VI I I Z. � I I � ; Tax LOT 9-' GRAPHIC SCALE B D.7• .J I ~'1.3 30 0 15 30 J 1� I o� eJN IN FEET ) ;100'h 73.57,��574�09'00"W' `BM)" 0�1 1 inch = 30 ft. pl // o GUARANTEED TO: o� 1 W L78 LLC. � ��I '-: FIDELITY NATIONAL TILE INSURANCE COMPANY I v 1 BROAOV A ER C » Y NO VISIBLE WETLANDS WITH IN 300' NO VISIBLE WELLS WOT1 IN 15D' _ OF SUBJECT PROPERTY OF SUBJECT PROPERTY / (FOR HEALTH DEPARTMENT USE ONLY) F- I,YSDEC .+RO`JcD AS PER TER!A' CONO ITIPNIS QF_.. n TEST HOLE - NOT TO SCALE 0. GRADE ELEV.7.08' OP 'L P) / BROWN SILTY / SEND(Su) ORANGE BROWN 5• SAND(SP) BROWN SAND -�-- // (SP) 10' WET BROWN SAND(SP) LOT AREA WATER ENCOUN EKED AT 7.5' 29s00.n S.F. ROY K. REISSIG,P.E. : .. _ 0.88 AC. 04-10-2021 I SCALICESURVEY OF PROPERTY land surveying SITUATE ✓%�7 .��s — mislondsurvey.com P:631—957-2400 CUTCHOGUE, TOWN OF SOUTHOLD TAX MAP No. SUFFOLK COUNTY, NEW YORK DR.:MC CREW.:AL SCALE: I" 30' 1000-104.00-07.00-009.001 DAIS SURVEYED:07f08/2019 JOB No.519-1393 �a I STORY FRAME _ FIGURE 3 TEST HOLE DATA p RESIDENCE I PUBLIC WATER :A7 I.c =:.;,m m I _GRADE ELEV.7.1' 0.01. o TAX LOT 7O .r.L.]o. .L= S12°08 f0 roA.m K p�11�•�DO BROWN SILTY SAND•SM - �•B.9 g ------ E—` ues M _ --------- -2.0- - o 4 I G) spur aNL 184.91° >7 S >7 >r-� EI.EV.5.1' w 0 1p `AN _ �g�rmDED AS EA E9 (md �do (W. G. T�;} Bnlc ORANGE BROWN SAND•SP pN 2 10 giAS9 UWN IB/W ■ Z ------ f .. — y' D __ I ELEV.LT z rz A �` .•a.x•rWc-.e E QB' 'R',',"�`I'�'',', - sLAP.BNIW[AO --- BROWN SAND-SP - 7.5 /r •.e /•B.dl�t - OU To BE WATER ELEV. IP Sr-fir, r ! FI , D PIEIELT. O7 m- HIGHEST EXPECTED WATER ELEV.-0' W V i I �� WET BROWN SAND-SP w V' ;�� `' BROADWATER a ED y _� WAs9 urn ;%f PROPOS I `21Y1SIumI BEDIBS& TT (�•�-� e o \� RESIDENCE COVE +JJ.JJ� 1.0 V E a y H EFE ID.U- JJUJJ �J SS8' I h ----------- 5A._ 5' 1 ' -- ELEV.-7.9' Iry 'I IJJ S88 STING 12R33 15"E TEST BORING DATA BY: a,y J.JJJ o 9.55, 90 DATED:Vl,O20-21 OCK,REISIG,PER eo0 Da TERPINE STREET E % - ---- - -Z -a MEDFORD Pvn61-2N8Y9171375603 Q `7d 'P OSEO�• NOTE-ALL EROSION AND SEDIMENT CONTROL DETAILS SHALL DE p Z - SK JJJ '•JJJj I I` AS PER NYSDEC STANDARDS AND SPECIFICATIONS. 6 JJJJ \\ )nK rDrl Q p F 7Ai,-CE N LO\\ \ i o Mur C.ro c. 1P 4 NNE w ¢ K 0° 0•pF i Dw�• �N,DIgTIRBAN �'� r�\ ho ow I o DRABB urM \ � \" o � g o g i I TIIYIIY \ ��° _ aM o I T� �NI � 2da� DpM R - - - - - GRASS LAMM \ 1\ 110AL NETLAND BWNDMY(BASED ON YEGETADON AND EVd1FMCE DF DDAL FLOOOND EKTEHT) KR r"KOL rna rm, II I f my 1 L PROPOSED LDU=M OF CLEwaa/DRwn \ BY:D.WWANS 11/I,/2021 0 I _ PRovo�SAY FT Nx:SEE THIS SKEET row WORE DEV)L5. \ cP wrc A��- _ ,urtP YmAm 'p '(PHI R'M 6\_------ - �V12 08 10"fY e6 ----_ -- y, ['DNCTRLIGTIDN CpcC1FICATIDNC d -------- NYSDFG \ Ta�Kr�aRo�r � 1 wf -- -'- 1\ \ Lan M rRn. •,•a v,rrt m w.wmn o Bg 0 S m6E a PAIELI b --_ 1 APPROVED AS PER TERh1ti \ v iHLnFi`a e�`RY art IT rm1Ora urno" •._�'7 A.ND CONDITIONS OF 6.sK.a•w,ww)alM scorn b BROADWATERS DRIVE I \ \ X^TrcAIrN3. r )LfG:)an' z L,vI..LE.,. I E�w DDT a r� SITE PLAN I ; ¢SILT FENCE Aa.,uva ADa cn AREA Q,ALCULATIONS- U LOT AREA = 29,500 SF NEW HOUSE )B•D MOVE SECURE HEAVY EDVER TO GRADE BY POLYLDK C) ELEV)AND SAFETY SCREEN BY POLYLCK(TYPJ 21.1 HD PE SECURE HEAVY COVER TO GRADE BY POLYLDK IXISTING HOUSEFTO BE DEMOLISHED = 885 SF 3.8% FIN WADE (ELEV.)AND S/SETY SCREEN BY PDLYLO.RYPD t ELEV.BD' M'D 7 HOLE PDLYLOK 0-BD%Y/DPOLY RISER ( ) SDR-O5. TO GRADE AND SAFETY SCREEN BY POLTOK FIN.GRADE IXISTING REAR CONCRETE PATIO TO BE REMOVED = 277 S= MM.IX SLOPE L�CI.EAN SAND ELEV.Ba• V W Q PROPOSED HOUSE = 3514 SFLLIl Od PROPOSED COVERED PORCH = 408 SF a" o PROPOSED OUTSIDE BASEMENT ENTRANCE = 56 SF mEANDUT 1'DIA SDR-39, TOP EL.6.7' W �2 m PROPOSED HOT TUB = 64 SF MIH 2d SLOPE 1.Ola s0R-D9, O -•C C M N c PROPOSED PATIO (NON-GROUT) = 990 SF MIN 12 SLOPE B.D' W s �-, m .c PROPOSED GAZEBO = 239 SF L 1 0) J Z 0 u L' O tNv.EL.6.2• LEACHING GALLEY y z � C PROPOSED AA COVERAGE - 4281 23481 = 18.3% < 20% .......OK 72' EL INV.EL. \ IHV.EL.63' (W4.75 x B.So'x 2.00' C o a m M; ��011 TONISPSITE PLAN IS NOT A LEGAL SURVEY, IT IS FOR ILLUSTRATION PURPOSES I INV EL 6.A rJ .I"'I.r W U C •I, 0 L CHLY. ALL SETBACKS,DIMENSIONS,LOCATIONS,AND STRUCTURES WERE TAKEN - .Pi O Z FROM TIE SITE PLANS PREPARED BY. '- D.I.EL.AD' 03 C N D)Z SCALICE LAND SURVCYDA rF_>0➢-('oD FrJt� TRFeTMFUT ➢ICTR,RNTINN POr IEST HOLE - 0 TO E MICMAEL J.scA ICE.LLS USE G)700 GP➢FUA GEMS E CAP LEVELING DEVICEi WOUNWATER n IO t LL WASTEWATER TREATMENT SYSTEM VILL BE INSTALLED IN ELEV 01• Y d w P1RJE NO 691-95 400 MODEL CENS-M H-20 LOADING DISTRIBUTION BOX__ I TT[➢ __ Q) DATED. OCTOBER 27,2021 --------------------"ROUNT)VAYEk CLEI:On__ ___--_= C cc A LICENSED SLRVEYER FUR MCI PROPERTY LINE LOCATIONS. PROPOSED SANITARY I/A OWTS SYSTEM PROFILE (NTS) � J SURVEY OF: PROPERTY LOCATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.T.M. # 1000-194-7-9.1 AREA = 29,588.4 SF. SCALE: 1"=48' NOTE: THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. ELEVATIONS REFER TO 1988 NAVD ELEVATIONS SHOWN THUS ++_ NO WELLS WITHIN 150' OF SUBJECT PARCEL FEMA: TOWN OF SOUTHOLD 360613 MAP No. 36103CO164H MAP REVISED 9/25/2009 Q 1 V As ° wlv.T�� (50 CONC. MON. Zf nw 0� LIN 6' .W Oyer m 01 N OR TEST HOLE.. Ln P LAND N/F a �8.5 �, 17• ALFRED SILBER PLANTER 2s.5 POSED U5 m RANDI SILBER 2 ORES DENCE N 0 CA }q.{ Z GARAGE FRAFF Et 142•g 10 Q= N m N 57•5� i R10GE E�.. 6 o EXISTING HOUSE g2.5 OUTSIDE O a CA TO BE ABANDONED e..,. IT,O SHOWERLn ` 0 AND REMOVED m Q a d GAZEaO P �°�® ti 31.5' ___ 6�. UB BALCONY N 52.5 - neovE c h0 CA� %PORCORCH 0i =c �► % ABOVE m LA _ Wp00^D 970 NO �� S 12033'15"E % 5 9.55' F E LB RY,S 0 - / CO Q �s✓ '� cl / SHORELINE 1-12-2022 SAND S' TEST HOLE DATA (NOT TO SCALE) B R O A D W A T ER S BY: ROY K. REISSIG, PE q�O APRIL 10. 2021 a 9:00 AM COVE ....... .......... 0.0•-0.2' TOP SOIL PT x — 02.'-2.0' BROWN SILTY SAND SM _ Lo o 3 2.0'-6.0' ORANGE BROWN SAND SP 0 6 0'-7 5' BROWN SAND SP WATER WET BROWN SAND SP I� SURVEYED BY: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION PAUL BARYLSKI LAND SURVEYING- A OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. p/\T C H O G U E N Y 11772 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED JUL �Qn f OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ` PHONE 6 31-2 9 4-6 9 8 5 GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION FAX 6 31-6 2 I7-316 6 LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. BUFLDINO DTUOLD cow, OF PAULBARYLSKIaYAH00.00M GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL J A N U A R Y' 12, 2022 INSTITUTIONS OR SUBSEQUENT OWNERS. 4992-P-1 5-25-2022: PROPOSED RESIDENCE 7-12-2022: REVISED SURVEY SURVEY OF: PROPERTY LOCATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.T.M. # 1000-104-7-9.1 AREA = 29,508.4 SF. SCALE: 1"=40' NOTE: THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD IF ANY. NOT SHOWN ARE NOT GUARANTEED. ELEVATIONS REFER TO 1986 NAVD ELEVATIONS SHOWN THUS +++ NO WELLS WITHIN 150' OF SUBJECT PARCEL FEMA: TOWN OF SOUTHOLD 360813 MAP No.. 36103COi64H E MAP REVISED 9/25/2009 g,I , SO ow (5 .y Q+ CONC. MON. 0' EpOE �1 rL°2 A" z rn •W oy�� �rn cP N OR F,v� J 0� 9 epF`t TEST HOLE., _ ' w �6 20 to a 19.0 t9 j8.5 17•�' LAND N/F 8 4�' Ls u•5 COt-i ALFRED SILBER PLANTER 23'S PROPOSED m & RANDI SILBER 2 S 0 D RESu m Z GARAGE, FR oe FF F-k-0 2.9 w c N 57.5 / RIDGE Eu �V o EXISTING HOUSE 32.5 SID W TO BF AB NOONED w, ,, N I7.0 SH R O > ANk REjpVEO ham_ m. 9. t�-t Z� GAZ AO P'PTIO 10' .�O UB ro' BALCONY �-. N 52.5' ABOVE o h0 Cr N CVo PORCH 0 o % ABOVE �� , WOO NO + o x 6 moo 3x S 13 5� v ti S 12033'15"E 9.55' Ncb CD ;f 3 SHORELINE TEST HOLE DATA (NOT TO SCALE) B R O A D W A T ER S PR ROY K. 21 a 9 G. PE M 4� APRIL 10, 2021 n 9:00 AMCO V)E 0.0'-0.2' TOP SOIL PT Of — w 02.'-2.0' BROWN SILTY SAND SM = in Q o 3 2.0'-6.0' ORANGE BROWN SAND Sp o 0 6 0'-7 5' BROWN SAND SP WATER ............— h 7.5'-15.0' WET BROWN SAND SP �s• SURVEYED BY: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION yq �c P A U L B A R Y L S K I LAND SURVEYING OF K STATE EDUCATION LAW. COPIES OFNTH S SURVEY 7209 OF EMAP WNOT RBEARING THE LAND SURVEYORS INKED .? ' PATCH 0 0 0 E NY 11772 OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. •�� +,(Y ) ` - „a PHONE 6 31-2 9 4-6 9 8 5 GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO !'i. i THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION •.. FAX 6 31-6 2 7-318 6 LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. �3';)t�ojj�G P A U L B A R Y L S K I a Y A H 0 0.C 0 M GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL ,` INSTITUTIONS OR SUBSEQUENT OWNERS. J A N U A R Y 12, 2022 4992—P-1 5-25-2022: PROPOSED RESIDENCE• 7-12-2022: REVISED SURVEY -)Ul-T-UL-I\ L-UL.11141 1 . IVLry 1 unr\ C)I- lhUkl-I'LIJ 11VUl-l-KZ S.C.T.M. & 1000-104-7-9.1 ASINGLiE FAMILY fl;-'StfjENCE- ,AREA = 29.508.4 SF. SCALE: 1'-40* No. R-21-1105 NOTE: THE EXISTENCE OF RIGHT OF WAYS, WETLANDS ANQ/QR EASEMENTS OF RECORD rILDy �f:lfj w-l", iiij hilf"d IF ANY, NOT SHOWN ARE NOT GUARANTEED. I flifth d;iry f 0r:A A A 6 I!Lu ELEVATIONS REFER TO 198E NAVO ho- ELEVATIONS SHOWN THUS NO WELLS WITHIN 150' OF SUBJECT PARCEL FEMA: TOWN OF SOUTHOLD 360813 MAP No.MAP REVISED36103CO164H 9/25/200S "SON 'I'm (60 cow --m 131ft- t/A L I Ir IN LNIRA M OM Ac cn IT A, to a. 19.3 LAND N/F tts ALFRED SILBER 0. RANQI SILBER is 0 ZaA gay VEr-K * S ra villa TRCrg S 12d33'15oE 9.55' AW SHORELINE1-12-2022 KOTE.- WATER SERVICE AND SEPTIC SYSTEM LOCATION BY OTHERS. B.O.H. REF, No. BROADWATERS SEPTIC LOCATION CO VE 'A' -a- I/A 44- &]a' De 47* be, LPI 30.5' 4L' LP2 38.5' 40' SURVEYED BY: LP8 49' 40 6' PAUL BARYLSKI LAND SURVEYING LP4 41.5' OF F1 PATCHOGUE NY 11772 9 PHONE 631-294-6985 WWHCR=ALTMTWN CR AlUTRIN TO TK9 VJMT 19 A VICLATEN FAX 631-627-31B6 Cr IZCT)M raw Or TK Wx TOM WAIT IlLcArx"ux PAULBARYLSKIcYAHOO.COM COPn Or THS WMV PAP NOT WARM TIE LAW VJ?%IVM DPZV GR IDUMM 6CAL PML PDT K OMMM TO W A YALID TRE CO". JANUARY 12, 2022 GUAR)OITIMS up crwrp=Arps KXGA70 PcNam VML RON OPLY TO 110."to NWEN im p0mm F Fi-ps;-Pax)- Ppnpn-czFn PFR[nFNrF OR Tic Kdmv m plov"m AM CK ma rim APPROVED AS NOTED DATE: P.# FEE: BY: NOTIFY .BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE � �' �NCCOSc POOL TO.0'' FOLLOWING INSPECTIONS: =E�llPO1V COMPLETI01� 1. FOUNDATION - TvtilO REQUIRED 1R§fQR �ti FOR POURED CONCRETE 2. ROUGH ..FRAMING & PLUMBING 3: INSULATION 4. FINAL - CONSTPl.',r r n1 MUST BE COMPLETE ALL CONSTRUCTION Si-ALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF INSPECTION NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S�!0 BA Ste'-�' �W BOARD &OUfROL ?OWRUSTEES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICAT OF OCCUPANCY 4 I i t - , C 1 Jo Jr 4-"' Sunbeit p� *w Hot I Enjoying Life. Stai Since 1979 pr Kxl- x s� { :I .. .� T r _ `4 r q 1 Pump System LS' 400 . , : , LS 500 LS 550 4 .. y /,d4j, ^: [i 78 66 x 34 78 x 78 x 35 ti. 78 Round x 35 4 Seats 5 Seats (1 Lounge) 5 Seats 20 Stainless Jets 25 Stainless Jets 20 Stainless Jets 1.x 12'Amp�Pump 1 x 12 Amp Pump 1 x 12 Amp Pump yi ,Ines { r:" Our Lone Star Series was designe AKt.i you in mind. 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"- LONE STAR WARRANTY STANDARD FEATURES STRUCTURE 10 Years ',a _ Digital Programmable Controls Al SURFACE 5 Years - = = Factory Installed Ozonat r . 12 Volt Light PLUMBING 3 Years /SPACr00 Pillows EQUIPMENT 3.Years ct, ' ® Endurance Cabinet w/ABS Bottom P_W LABOR 2 Years 4"to 2" Tapered UI Safety Co mil` v 'X M a�- m LS 700 LS 800 w.: 5 89 x7x78!".x35" 89" x89" x39" 7 Seats (I Lounge)- 8 Seats (1 Lounge) 30 Stainless Jets 45 Stainless Jets 2 X'r -., '. 2 x 12 Amp Pumps LS 900 LS 950 _71 •' s! oil; 0 e eo 95" x 95" x 4011, 95" x 95" x 42" - � . 7 Seats 8 Seats (1,& 112 Lounges) i - 60 Stainless Jets 60 Stainless Jets .t. x 12 Amp Pum' 2 x 12 Amp Pumps OPTIONAL FEATURES • Blueto ih Audio System w/4 Transducers & 8 Spot, 16 Spot, or 32 Spot LED System Subwoofer LED Jet Package I' Ozone w/ UV Sanitation Landscape Perimeter LightingMw/Photo Cell Sensor '• • Cover Upgrade to Y to 3" Taper 3rd Pump Addition (Only Available on Certain Models) • Real Cedar Cabinet • Cover Lift }. r• 4r �t _ r. r CONTACT US S(inhelt 1-10: Tu1)s 1,-800-258-SPAS(7727) ALL BIGHTS RESCRVF-D ?022 281. 575-981.1 sines alid specifications of(felivered Illo(Iuc[s may very sli(1ht1y li(ln [!le sli(-,s (111(1 Spec hCalions In this NOCIMIC. 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