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TOWN OF SOUTHOLD �SUFFockC�Gy BUILDING DEPARTMENT cn _ 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#: 43779 Date: 5/21/2019 Permission is hereby granted to: Mattituck Park Dist PO BOX 1413 Mattituck, NY 11952 To: demolish an existing shed as applied for. At premises located at: 11280 Great Peconic Bay Blvd, Mattituck SCTM # 473889 Sec/Block/Lot# 126.-6-18 Pursuant to application dated 5/14/2019 and approved by the Building Inspector. To expire on 11/19/2020. - Fees: DEMOLITION $145.00 Total: $145.00 s Build' g Inspec ---- TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL. Board of Health SCDHS(wastewater) SOUTHOLD,NY 11971 4 sets of Building Plans x TEL: (631)765-1802 Planning Board approval FAX: (631)765-9502 �:J�'�� Survey x Southoldtownny.gov PERMIT NO. / c Check x Septic Form N.Y.S.D.E.C.x Trustees x 1 C.O.Application `► Flood Permit Examined 20 06� 00a Single&Separate �l�`L4 Truss Identification Form . Storm-Water Assessment Form Contact: Approved ,20ii Mail to: Disapproved a/c Phone: Expiration ,20 D C� �'a D Buil ctor MAY 1 4 2019 APPLICATION FOR BUILDING PERMIT Date May 2 12019 INSTRUCTIONS TOWN OF SOIPt uLD 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,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ap icant or nam ' a corporation) P.O.Box 1413,Mattituck,NY 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician,plumber or builder Agent Name of owner of premises Mattituck Park District (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Doris McGreevy,Co Chair (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 11280 Peconic Bay Blvd Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 126 Blocks Lot 18 Subdivision N/A Filed Map No.N/A Lot N/A 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Wood Framed Storage Shed b. Intended use and occupancy N/A 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition X Other Work (Description) 4. Estimated Cost Fee ($100.00+($0.30*150SF))=$145.00 (To be paid on filing this application) 5. If dwelling,number of dwelling units N/A Number of dwelling units on each floor N/A If garage, number of cars N/A 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 14.4' Rear 14.4' Depth 10.3' Height 15' Number of Stories 1 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 604.24' Rear 548.11' Depth 525.78' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated Protected 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO X 14.Name's of Owner of premises Mattituck Park District Address P.0 Box 1413,MatGtuck,NY 11952 phone No. 631-298-9103 Name of Architect LK McLean Associates P.C. Address 437 South County Rd Brookhaven,NY 11719 Phone No 631-268-8668 Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO * IF YES, SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES X NO * IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES NO X * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFl(c ) Dor-.5Dop-. 5 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing con act)above named, (S)He is the C-";r Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Zn ►� day of /14-1.q 20_t_ DAVID B.PROKOP '-Nafary Public State of NewYodt Qualifiedm Suffolk County O lic No.4977533 Signature Applicant W Commission Expires Feb.04,2Qjr3 L11AAL. K. McLean Associates P.C. 437 South Country Road • Brookhaven New York • 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 • lkma@lkma.com Associates RAYMOND G DiBIASE,P E.,PTOE,PTP,PRESIDENT and CEO CHRISTOPHER F.DWYER ROBERTA.STEELE,P E.,EXECUTIVE VICE PRESIDENT JAMES L.DeKONING,P.E. DANIEL P.JEDLICKA,P.L.S.,VICE PRESIDENT STEVEN W.EISENBERG,P.E ANDREW B.SPEISER MATTHEW C.JEDLICKA,LEED AP KEITH J.MASSERIA,P.E. VINCENT A.CORRADO,P.E. May 8, 2019 Town of Southold Building Dept. 54375 Main Rd. P.O.Box 1179 Southold,NY 11971 RE: Veterans Memorial Park Mattituck, New York LKMA No. 17107.000 To whom it may concern: As Consulting Engineers for Mattituck Park District, we are submitting, on their behalf, an application for a Demolition Permit to make way for a new comfort station. Enclosed herewith for your review, please find the following: • Building Permit Application • Check in the Amount of$145.00 • Survey • Existing Conditions and Demolition Plan If you have any questions or require additional information,please contact this office. Very truly yours, CFD:amb Christopher F. Dwyer,Associate L. K. McLean Associates, P.C. Enc. (4) Cc: Mattituck Park District, w/enc. LKMA File Copy w/enc. •Founded in 1950 • DEMOLITION NOTES: PROPERTY LINE EXISTING 1. THE CONTRACTOR SHALL PERFORM ALL REMOVALS AND RELATED WORK AS SHOWN ON THE DRAWINGS DESCRIBED AT BAY AVE. "*�► ••. 7-7775. _ _ BAY AVE. o, GRADE 8 1, IN THESE NOTES AND REASONABLY INFERRED AS NECESSARY TO COMPLETE THE SCOPE OF WORK. --___ X �" X `-- ---- --____ 00.00 �C� °V t S 0.5' : 7BROWN LOAMY SAND (SM) 2, IT IS THE CONTRACTORS RESPONSIBILITY TO THOROUGHLY INSPECT THE SITE IN ORDER TO VERIFY ACTUAL 0 '� a A --- _ •... ...,� CONDITIONS AND FULL SCOPE OF DEMOLITION WORK AND REMOVAL REQUIRED PRIOR TO BID. -; --•...r ..,,,,_ 3. THE CONTRACTOR SHALL INSPECT ALL EXISTING SURFACES TO REMAIN AND PROVIDE REASONABLE AND ADEQUATE ' �,� �•• PALE BROWN FINE PROTECTION FROM DEMOLITION WORK. / TO MED SAND (SP) aloft 4. PRIOR TO REMOVAL THE CONTRACTOR IS TO IDENTIFY ALL MATERIALS, INCLUDING SURFACES, PIPES, WIRING, CONDUIT, ETC. QUESTIONS REGARDING IDENTIFICATION SHALL BE ADDRESSED TO THE ENGINEER. 4 1'---- `-, 7.8' 2.1' (WATER ENCOUNTERED) ^� _��� ' ;, 5. THE CONTRACTOR SHALL PROVIDE DUST PROTECTION AT POINTS OF DEMOLITION, AND EXISTING AREAS TO REMAIN. °° 6. UPON COMPLETION OF THE DEMOLITION WORK, THE CONTRACTOR SHALL INSURE THAT ALL AREAS BE LEFT CLEAN. WATER IN PALE BROWN FINE asPru.r PaVEXKr asPftr pavFnr ----` '�� x TO MEDIUM SAND (SP) 7. THE CONTRACTOR SHALL EMPLOY MEANS AND METHODS THAT MINIMIZE VIBRATION, NOISE, DUST, POLLUTANTS AND UPPER LIMITS OF 7HE-- OTHER DISTURBANCES TO DAILY OPERATIONS AND BUILDING OCCUPANTS. MHHYV LINE AS DELINEATED ' BY GAR` L GENTILE, R o FEBRUARY 13, 2018. t 14.0' 8. THE CONTRACTOR SHALL PROTECT AND BE RESPONSIBLE FOR SPACES AND ASSEMBLIES ADJACENT TO THE AREA ---`�{ OF OPERATION UNDER THIS CONTRACT. ANY DAMAGE OR DISTURBANCE RESULTING FROM WORK DONE UNDER = O TEST HOLE PERFORMED BY THIS CONTRACT SHALL BE PROMPTLY RESTORED, REPLACED, OR REPAIRED A NO EXTRA COST OF THE OWNER. JOHN EHLERS LS ON --------�1 00 �--- 12-11-2008 9. ALL DEBRIS AND ADDITIONAL MATERIAL SHALL BE REMOVED FROM THE SITE AND DISPOSED OF PROPERLY. d- TEST HOLE 10. PROTECT, REROUTE, ALL MISCELLANEOUS PIPES, CONDUITS AND APPURTENANCES LOCATED THROUGHOUT THE AREA LrD W X BRICK PAVERS TO BE CONTRACTOR TO - 071 P N.T.S. OF WORK. CONTRACTOR SHALL BE DEEMED RESPONSIBLE IF THERE ARE DAMAGES TO THIS EQUIPMENT DURING D AREFULLY REMOVED AS INSTALL SILT FENCE __ - N CONSTRUCTION. ALL REPAIRS NEED TO RESTORE DAMAGED SYSTEMS DURING CONSTRUCTION SHALL BE THE AS DETAILED TYP. � N E�ED. REMOVED BRICKS � ) EXISTING BUILDING �� t CONTRACTORS RESPONSIBILITY AT NO COST TO THE OWNER. �0 ARE TO BE REUSED & FOUNDATION TO ° ., BE REMOVED z 11. CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, DRAINAGE AND SANITARY. LOCATIONS 0100 _----- P r OMIT OF GRADING __ --j� Cn ON THE PLAN ARE APPROXIMATE. ALL SERVICES TO DEMOLISHED BUILDING SHALL BE TERMINATED AS PER EACH • EX. SANITARY SYSTEM RESPECTIVE UTILITY'S REQUIREMENTS. a.00 (APPRV'D MAY 23, 2010 -------- LAW H.S.# C10-09-0003) \ SEDIMENT CONTROL NOTES: .-._..-"__ r�.._.._� — _ � ( ...� � \ � m "� `� \ , ' 1. MAINTENANCE: WITH A STIFF BRISTLE BROOM, SWEEP SILT AND OTHER DEBRIS OFF SURFACE AT THE END OF EACH DAY AND A PAI \ ` AFTER EACH STORM EVENT. Z = EX. 1 DOMESTIC ,� I GREAT P ECO N I C BAY 2. PRIOR AND/OR DURING THE COURSE OF CONSTRUCTION, THE CONTRACTOR SHALL COMPLY WITH ALL ADDITIONAL MEASURES ! " 'L*PA" "' --- g— r / I I� ' x ` ` DEEMED NECESSARY BY THE ENGINEER AND SHALL BE RESPONSIBLE FOR MAINTAINING ALL EROSION AND SEDIMENT CONTROL 1 � . m � WATER SERVICE F .� r -�; �� ` DEVICES. A�to� x-A cRa I o vE�rnrrav x ` ;_ �! 1 I , 3. ALL DEBRIS OR EXCESS MATERIALS FROM CONSTRUCTION OF THIS PROJECT SHALL BE IMMEDIATELY AND COMPLETELY REMOVED CK t _. • ,.:, . „ N FROM THE PROJECT AREA. LP NN - .. �' ,.•� �I I BEACH WAS= I / 44 . LAWN ,�..; s' ` 4. ALL INLET SEDIMENT CONTROL DEVICES AT EACH LOCATION SHALL BE INSTALLED PRIOR TO COMMENCING ANY SITE WORK IN ( f I I t \ ✓ ".� .r I l , r THAT LOCATION OR AS OTHERWISE DIRECTED BY THE ENGINEER. THE CONTRACTOR SHALL MAINTAIN ALL SEDIMENT CONTROLS r-+ AND REMOVE COLLECTED SEDIMENT ON A WEEKLY BASIS OR AS DIRECTED BY THE ENGINEER. COLLECTED MATERIAL SHALL BE SIA 1 —e L.aw , '} J ' DISPOSED OF PROPERLY TO AN OFF—SfTE LOCATION AS DIRECTED BY THE ENGINEER'. _ \� _ Q , / W ��— 8 �— — _--r ----------- pD � 1�/.�l �// f - - -- K w .r - 5. ALL SEDIMENT CONTROL DEVICES SHALL BE REMOVED FROM THE SITE AFTER CONSTRUCTION IS COMPLETED. LP FL Z4c\LP int I a r'•« .4t .. . I i WOVEN WIRE FENCE MINIMUM 14-1/2 GAUGE, MAXIMUM 6 MESH SPEAKING 0Lu \ / i`rf a.� ate. . ` z I t FT. • f i a, CL r �•, • . { / ' ' 1 ` 36" MIN. FENCE i USMo t } ME7t6dAL ! asc MTs '� ` POSTS DRIVEN MIN. /8< 3 tatnv �_ 'a 4" 16" INTO GROUND T Ml CCBAR* IV.CEn4k { '� '\ 1 ' ' f I I HIGHT MEN MUM F FILTER FABRIC 16" PLAYGMM CEPA", X �pnsr a RAI3 F� gT�; 14 La `t 1 8 MINIMUM ------ j \113 1 � y I 1 �F 'g< PERSPECTIVE VIEW EX. BRICK PAVERS TO BE NOT TO SCALE 1 CAREFULLY REMOVED AS NEEDED. REMOVED BRICKS WOVEN WIRE FENCE (MINIMUM ARE TO BE REUSED 14-1/2 GAUGE, MAXIMUM 6" MESH SPACING) WITH FILTER CLOTH OVER x x �� ? COMPACTED O __ x ------ x ___ OSOIL ti '` UNDISTURBED x - x ---^ x 0 t w FLOW GROUND CO 1 O EMBED FILTER CLOTH SILT FENCE SECTION 00 MINIMUM GROUND VL NOT TO SCALE CONSTRUCTION NOTES FOR FABRICATED SILT FENCE ° 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POST: STEEL EITHER 'T' OR 'U' POSTS WITH WIRE TIES OR STAPLES. TYPE OR 2" HARDWOOD w c0 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOKEN WIRE FENCE WOMEN WIRE, 14-1/2 GAGE, FENCE WITH TIES SPACED EVERY 24" AT TOP AND MID SECTION. 6' MAX. MESH OPENING O t IRAn 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER FILTER CLOTH: FILTER X. AI� U INK THEY SHALL BE OVERLAPPED BY SIX INCHES AND FOLDED. T140 M APPROVED EQUAL 0 , 4. _ MATERIAL REMOVED WHEN 'BULGES' DEVELOP IN THE SILT PREFABRICATEDUNIT: SEOFAB. 1 CV FENCE. ENVIROFENCE, V-- OR APPROVED LO r�f) EQUAL ° SILT FENCE DETAILS Ln Q0 N.T.S. Z ' 1/7/19 AMB ISSUED FOR REBID CFD 1 8/2/18 MF ISSUED FOR BID CFD DATE BY DESCRIPTION APPROV. BY 1 REVISIONS MATTITUCK PARK DISTRICT SUFFOLK COUNTY NY VETERANS MEMORIAL PARK - BATHROOM FACILITY REBID 1 EXISTING CONDITIONS & 1 DEMOLITION PLAN L. K. MCLEAN ASSOCIATES, P.C. N 21 ° 31 ' 00.00"W a.. .-- --- -- """ ""_ CONSULTING ENGINEERS 437 SOUTH COUNTRY RD., BROOKHAVEN, NEW YORK 11719 SITE PLAN Designed By: MF/CFD scale: AS NOTED sheet No. PROPERTY LINE ONO= art 525.78' M A R LE N E LN. SCALE: s 30' Drawn By: M F Dote: DEC. 2017 AT MARLENE LN. O o 60 2 Feet Approved W. RAS File No. 17107.000 2 � Ft°cre\\QP moo,, a NO WELLS WITH 9� 0 0 150' .L o� D - - - Veterans -10- - Beach Distrit __ D Par Ngo' " -�.-- --- ----------- __-o` Peconic bay — ' 1 t 1 0 600 ftod o ' waster LOCATION MAP 1 NO LL WITH 150' O ` -- CL 1110 CQ," CD Li LA01. ' °JQa 1/ \ \\ \ \ ; t 1 fn P r�6� L Lp C -- ♦w`♦ ° 2 www co \ O \P 1 root F' �" N o� d5p vp 6 26. ♦www °0. op pP G 7 LA 0 Uk ��/ ♦``♦ G-, o w``♦ `` `` V `T ` `1 w\\ ,' (� \ 5\ v SCO © o r- A bP ° P 28, G LP � 6l ro ° 1 - ``,`` �G ^ \ ``\ \� •� S \I I \ ` `` 1 `w `. PARKING AREA p. el /4 \\ LIMIT . ♦ ` \`\ \\ \ \ ` \, O�♦1 � , \\ shad♦ � ,' � � N5 WELLS WITH \ C'ttrJJe S'r.0� 150' F t \n9 1 1 �• '� 2 N°' PARKING AREA ( `, `\\ ° `\ \\ `\ LIMIT \ C no 0 0 ? `` LIRK NG AREA \\ ,` ,` N / --------w --.- - ',, AI e ' - ;----\ - / ' AS BUILT LOCATIONS FROM BLDG CORNERS RECEIVED _ ------ NTS p o2010", s tt / --- - - -' - ' U tC.p�HEALTH SERVICES B ' ' --'- ' " -5\ ---_-- VIASTCb$'ATER MGT. -P.N Suffolk Count Health Department {,�. • --------------- SITE PLAN KEY G.T. - GREASE TRAP S.T. - SEPTIC TANK L.P. - LEACHING POOL E.P. - EXPANSION POOL7. . . , ,. K tip 10'20 o�� 3a S - SANITARY PLUMBING LINE ' -... K - KITCHEN PLUMBING LINE ° ° o ``�w,\,,o SD - STORM DRAIN - - - - . o hie �eV� G r 1 + . ,' . .' ,- '-' ,'� fes° i G .1 -------- EXISTING CONTOUR ..nw4 SwL oT kVr tiC4:.YIlU:.J.D..n fl'l�` , i Mapes,P.E.Michael A 163 PENINSULA PATH �\ A ` RIVERHEAD, MY 11901 ' y4 PHONE 631-369-2170 TITLE. VETS BEACH PARK DIST. y„ AS BUILT PLAN SIZE 1000-126-6-1.7.18 SEPTIC RF D DRAWING NUMBER DATE:5-18-2010 SCALE. 1"=40' SI= 1 OF 1