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Home My WebLink About45126-Z Q�I�UFFUt,�cpG Town of Southold 12/16/2020 a P.O.Box 1179 53095 Main Rd �4,Q Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41689 Date: 12/16/2020 THIS CERTIFIES that the building DECK Location of Property: 875 Gull Pond Ln, Greenport SCTM#: 473889 Sec/Block/Lot: 35.4-28.42 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2020 pursuant to which Building Permit No. 45126 dated 9/21/2020 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: two deck additions to existing sin leg family dwelling as applied for. The certificate is issued to Gull Pond Lane LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ho " e Si ature 1 o�%'10014co TOWN OF SOUTHOLD h� �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE • 1 ao� 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#: 45126 Date: 9/21/2020 Permission is hereby granted to: Gull Pond Lane LLC 2320 Bell Blvd Apt 1 K Bayside, NY 11360 To: construct deck additions to existing single-family dwelling as applied for per DEC & Trustees approvals. At premises located at: 875 Gull Pond Ln, Greenport SCTM #473889 Sec/Block/Lot# 35.-4-28.42 Pursuant to application dated 8/12/2020 and approved by the Building Inspector. To expire on 3/20/2022. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $371.20 CO -ADDITION TO DWELLING $50.00 Total: $421.20 Bu ing Inspec or Form No.6 -r 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: Old or Pre-existing Building: V (check one) —Location of Property: �U LL -I�" N r/ cA v �r ��aj— House No. Street Hamlet Owner or Owners of Property: �I��C�v9" �I mo� Suffolk County Tax Map No 1000, Section —5) Block Lot Subdivision r Filed Map. Lot: Permit No. Z� Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary`` Certificate Final Certificate: (check one) Fee Submitted: $ pplicant Signature ti��OF SOGlyo6 6V I 404 I&W." 6rJe46lv?04_ TTTT # # TOWN OF SOUTHOLD BUILDING -DEPT. `ycourm N�' 765-1802 LNP S ECT 1 O N [` -FOUNDATION IST [ ] ROUGH PLBG. [ ] F UNDATION 2ND ° [ ] INSULATION/CAULKING [ RAMING/STRAPPING [ ] FINAL ------------- FIREPLACE &.CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- _[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) , _ [ ;] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: , DATE D Z INSPECTOR FIELD INSPECTION REPORT DATE COA01ENTS FOUNDATION(IST) ------------------------------- --- - FOUNDATION(2ND) vu ,OW ROUGH FRAMING& PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE AT FINAL ADD . if N ,Y�compNts- -ab ln-014X'lab R 76 Q Ld/K m X O - � b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILT ItNG DEPARTMENT Do you have or need the following,before applying? TOWN BALL —i3card-of Health SOUTHOLD,NY 11971 Gets of Building Plans TEL: (631) 765-1802 ming Board approval FAX: (631) 765-9502Su ey Southoldtownny.gov PERMIT NO. Check Septic Form --N.Y.S.D.E.C. ---Trustees _ M plication Permit Examined ,20� ;ugle&Separate —T+us&4dentification Form Ston Water Assessment Form ,l Contact: v Appioved ,20 t NCjynR ; } -o: Disapproved a/c --- t Phone: Expiration_ �', 120 h� B 1 Ctor :,D ' ATION FOR BUILDING PERMIT 12 2020 Date , 202-0 INSTRUCTIONS ELI= a.This ilieation; i letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to's we 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 emolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code, housin code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ignatureof aplicant or name,if a corporation) S G uLL 00N6 C (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder n 0i NJ Name of owner of premises ` D �-t"'��YJ P- �j� C, (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (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: � LL- 1a N 0 /�-N Cs 0-1� House Number Street Hamlet County Tax Map No. 1000 Section BlocLot k „ ` . g "r ,fe. Subdivision Filed Map No. Lot,/-Y, �- Q 4 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5 l b. Intended use and occupancy 5d Y 3. Nature of work (check which applicable): New Building Add tion 4C C L Alteration Repair Removal Demolition O lork (Description) i4. Estimated Cost Fee v (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 t 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 Ll 12. Does proposed construction violate anyzoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO\!/Will excess fill be removed from premises? YES NO 14. Names of Owner of premises GP66ot2y G�ddress 2 i` S (ru t-t- P"() L4hone No.71 1?-6 ` 0- Name -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 "I/ NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES \,/' NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) dS: COUNTY OF� ) �d (�-sS(wt s being duly sworn,deposes and says that(s)he is the applicant (Name o0individual signing contract) above named, (S)He is the (Contractor,Agent, Corporate Officer, etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowled e and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to j�efore me this day of / r- of PHILIP ZERILL® Signature of Applicant otary Public, State of NewYoris No 01ZE5055484 Qualified in Queens County commission Expires February 12, �� Glenn Goldsmith,President f so Town Hall Annex Michael J.Domino,Vice-President °° '° 54375 Route 25 P.O. Box 1179 John M.Bredeme er III Southold,New York 11971 A. Nicholas Krupski Telephone (631) 765-1892 GregWilliams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9651A Date of Receipt of Application: February 5, 2020 Applicant: Gull Pond Lane LLC SCTM#: 1000-35-4-28.42 Project Location: 875 Gull Pond Lane, Greenport Date of Resolution/Issuance: July 15, 2020 Date of Expiration: July 15, 2022 Reviewed by: John M. Bredemeyer III Project Description: Remove two (2) existing wood stoops on seaward side of house and construct a 16'x25' wood framed deck with stairs down to grade; and a 7'x4' deck accessible from existing 1 st floor bedroom. Findings: The project meets all the requirements for issuance of an Administrative .Permit set forth in Chapter 275 of the'Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Press Start received on February 5, 2020 and stamped approved on July 15, 2020. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4L 4e" Glenn Goldsmith, President ® DIVEBoard of Trustees �� AUG 12 2020 13UILDING DEPT. 7�� sgr,r •v• 1.,�j'L1QLO1LD 1 //,5-12 � Glenn Goldsmith,President Qf SUr Town Hall Annex Michael J.Domino ,�® l® 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski c� Telephone (631) 765-1892 Greg Williams ® �® Yax(6.3.1.) 765-6641 6—<V BOARD OF TOWN TRUSTEES DEC - 9 2020 TOWN OF SOUTHOLD RITC:,; CERTIFICATE OF COMPLIANCE # 1778C Date: December 2, 2020 THIS CERTIFIES that the removal of two (2) existing wood stoops on seaward side of house and construct a 16'x25' wood framed deck with stairs down to grade; and a 7'x4' deck accessible from existing 1 st floor bedroom; At 875 Gull Pond Lane, Greenport Suffolk County Tax Map #1000-35-4-28.42 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 5, 2020 pursuant to which Trustees Administrative Permit#9651A Dated July 15, 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is beine issued is for the removal of two (2) existing wood stoops on seaward side of house and construct a 16'x25' wood framed deck with stairs down to grade-, and a 7'x4' deck accessible from existing 1 st floor bedroom. The certificate is issued to Gull Pond Lane LLC owner of the 4:f ores 'd ropert�. d Authorized Signature 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Invironmentel Permits,Region 1 SUNY A Stony Brook,50 Orcle Road.stony Brook.NY 11750 P;(631)444-03651 F;(631)444-0360 www,dee.ny gov September 17, 2020 Gull Pond Lane LLC C/O Gregory Cassimos -23=20 Bell Blvd.; Apt. 1 K Bayside, NY 11.360 Re: Permit No. 1-4738-03158/00005 , -Dear-Permittee: In conformance with the re" uirements'of the State Uniform Procedures Act (Article.70, ECL) and its implementing'regulations (6NYCRR, Part,621)we are enclosing your permit,for the referenced activity. Please carefully read all permit conditions contained in the permit to ensure compliance during the term of the'permit. If you.are unable to comply with any conditions, please_contact us at the above address. Also enclosed is"a NOTICE sign which is to be conspicuously posted at the project,site and protected from the weather and a Notice of Commencement/Conipletion of Construction form. Please note, the NOTICE sign.and Notice of com letion form are sent to either the-permittee or the facility application contact, not b a in rely, an rmit Administrator �mlttt Oontal lConwnvlroArv�llmoaloonl NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03158 PERMIT Under the Environmental Conservation Law EC1L. i Permittee and Facility Information Permit Issued To: Facility: GULL POND LANE LLC GULL POND LANE LLC PROPERTY C/O GREGORY CASSIMOS 875 GULL POND IN 23-20 BELL BLVD APT 1K GREENPORT,NY 11944 BAYSIDE,NY 11360 (718) 640-5511 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 722.122 NYTM-N: 4555.037 Latitude: 41°06'58.5" Longitude: 72°21'15.7" Authorized Activity: Construct one 25'x 16'deck with proposed wood steps. Construct a 4'x 7'deck. Remove two existing stoops. Approved plan by John T. Metzger is last revised 03/17/2020 and stamped NYSDEC approved on 09/15/2020. Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-03158/00005 New Permit Effective Date: 9/15/2020 Expiration Date: 9/15/2025 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:JOHN A WIELAND,Deputy egional Permit Admistrator -- ------Addressr---------__-NYSDEC -LHead tens-- --- --- - --=J------------- - - -- --- ------ - SUNY tony . roo., Circle Rd ny B ok, 1 0- Authorized Signdture. Date/�/dC o p Distribution List Marine Habitat Protection JOHN A WIELAND Page 1 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03158 " 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. 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. 2. 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. 3. 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. 4. 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. 5. Precautions Against Contamination of Waters "All necessaryprecautions 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. 6. State May Require Site Restoration If upon the expiration or revocation of this permit,the project ------herebyauthorizud-has-not-been-compl-eted;the-applicant-sh-dl,without expense-to th—-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. 7. 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 John T.Metzger last revised 03/17/2020,stamped NYSDEC approved on 09/15/2020. Page 2 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 0 Facility DEC ID 1-4738-03158 8. 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 accountof any such removal or alteration. 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 determine whether the permittee 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- ransfers The-permittee-mustsubmit--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 SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 Page 3 of 5 J NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03158 ' days before permit expiration for the following permit authorizations: Tidal Wetlands. -� 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. - NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS _ 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 not 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 of ------ ------ Item B: 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 4 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03158 Item D: No Right to Trespass or Interfere with Riparian Rights This permit 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 5 of 5 a°5� ST�O�)[�I��/][WA\T)E)[, Scott A. Russell � ` SUPERVISOR � G)E ��[]E � Tz IMANA SOUTHOLD TOWN HALL-P.O.Box 11790 53095 Main Road-SOUTHOLD,NEW YORK 11971 - Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET, ( TO BE COMPLETED BY THE APPLICANT) ]D IES 'I'H)iS_ -1yRQJECT - INVOLVE- .ANY -OIF `I HE FO][:>(;CDWI(1\1G: (CHECK ALL THAT APPLY) • Y Yes I E A. Clearing, grubbing, grading or stripping of land which affects more I' than 5,000 square feet of ground surface. +, ❑® B. Excavation or filling involving more than 200 cubic yards of material � within any parcel or any contiguous area. tomf ® . C. Site preparation 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 erosion hazard area. E ' E. Site preparation'within the one-hundred-year floodplain as depicted on FIRM Map of-any watercourse. -t rE 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. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T IVI. #' 1000 Date D1ut-rricl NAME: Y 1 "r C.J � `') ��• Y Z _1 !/_`' IN a Section Slock Lot c " FOR,BUILDIING DEPARTENT U-SE ON\LY " Contact Information 1 /�r `�� d r / Tdrylana Nwn0.+ Reviewed By: - Date: _- Property Address/ Location of Construction Work:: — — —= — ^_ N'n � Ej Approved for proces�tng Buildingtof Permit. �� /.JD vl �Lh--Ill Stormwater Management Control Plan Not Required_ 9 ® Stormwater Management Control Plan a Required (Forward to Engineering Department for Review.) FORM a SMCP-TOS MAY 2014 IF , f SURVEY OF PROPERTY A T GREENPORT TOWN OF SO UTHOLD I SUFFOLK COUNTY, N. Y. 1000-35-04-28.42 SCALE: 1'=40' DEC. 3, 2002 I SEPT. 14, 2004 (FOUNDA 7)ON) JULY 15, 2005 (FINAL) l� ly/ I JAN. 31 2006 (FINAL) F DECEMBER 15, '2016GNPR�o \'\ sf Vq Ci pF DECEMBER 28, 2016 (REVISIONS) NSMp,N�ON� R 6�� `\ Ss�• T�R£ Rq TO JANUARY 24, 2017 (REVISONS) R� os p,��•1Gl '�° 250' 3p?p F Tp AUGUST 14, 2017 (CER7IFICA71ONS) EptE�6JANUARY 18 FEBRUARY 13,2018 �NDRYNI'02 o°s/ �s MARCH 17, 2020 (PROPOSED DECKS �r Nos 14- r %) 3j` �N qN ,��'o � (F2oNF I NORTH RD. (SR 25) P�WEB EN 8 9 3 0 6 e ej 04F >< PROPOSED , �� 0 , LOT COVERAGE $ WOOD DECK n�,B ° �. ° ` UPLAND AREA FROM MHWM 16,744 sq.ft ) 6.000 NcE 0� 6U `�. t r 2.o. 70 FecE-q� q AO eGt-,yo ��,2 •��00'rob >> D s EXISTING N6400 PROPOSO�F k" c,�q �` o\��tiF �? �~-0 fp� HOUSE 1616 sq.ft FRAMED C p ST WOOD STEP FR BLDG 200 sq.ft E�• 9 5 SHEDN �oUs, ORr F ? STOOP W/STEP t ,yy 1p SHED 112 sq.ft TO BE F iQ 4.O• \ °� M DECKS 36 sq.ft. ° 9 REMOVED 4p 0• FL 74 S� a 0 oy 'O EL 9 9 STOOP 12 sq.ft °?s Cii,,�. e STEPS 48 sq.ft °E' N U 24 0• H t3 ip 8 QD '�' sq, ,• /�/ sT°C,S-,9 p � i CON`, 1, �6 3o� E�' 00 s F / 65• 8y9, Nc ' F I,�r/ oaf, 2024/16744 = 12.1% F< F oo" F o �C 9 ' 9go ----------------- �s• a �'s �OF,Q �5�� P� �l Sip e E_ �W PROPOSED A 7�0,p p, F< 98I� HOUSE 1616 sq.ft / CSF GE V�P�NGI FR BLDG 200 sq.ft. l I GEOR <p �' DECKS 428 sq.ft. � STOOP 12 sq.ft. STEPS 52 sq.ft `� 69• 2308 16744 = 13.83K vAc�NTJ � ----------------- KEY I C,OF NEtV), ■ = MONUMENT C,ERT I F I ED -TO � ��.� Fy�� - WE7ZAND FLAG F I R5T NA L T I ON,W DE TITLE A&ENC,Y, LLC, AND AM TRU5T TITLE: I N5URANC,E COMPANY. ELEVA77ONS REFERENCED TO NA VD 88 i: .,,. FLOOD ZONE FROM FIRM 36103C0176H �, N lC. NO. 49618 EFFEC77VE DATE SEPTEMBER 9, 2009 ` PEC C. ANY AL7FRA770N OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE � (631) � Q�E��F`A' (631) 765-1797 NEW YORK S7A7F EDUCATION LAW. EXCEPT AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77FICA770NS HEREON ARE VALID FOR TRIS MAP AND COPIES THEREOF ONLY IF SAID AkE,A = 23,777 Sq.ft. P.O. BOX s MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE I 1230 TRAVELER STREET 02_337 APPEARS HEREON. SOUTHOLD, N.Y. •11971 AP HO E//D��AS NOTED / DATE., ��B.P.# l J[� FEE:. m BY: NOTIFY BUILDING ,EPARTMENT AT 765-1802 8 AM TO A PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TiIJC R=QUIRED FOR POURED CON,-RETE 2. ROUGH - FRAM:,: a Al CASSIMOS RESIDENCE 875 GULL POND LAND EXISTING HOUSE EAST MARION N.Y. SCTM# 1000-35-04-7.4 & 28 22 ZONE R-40 0.39 ACRES --- ------------ - --- - - - ---- -� ---- -- ---------- — -- - - ----- -- --- - - - -`• --- ---- - - x M ----- --- -- ---- -- - EXISTING SINGLE FAMILY RE IDEN _2x12 LEDGER FASTENED TO EXISTING HOUSE _ NEI y,O —__ —,_- _WITH 1/2" STAGGERED LAG BOLTS @ 16" OC _ PROPOSED: T, f(��< '�i�,rr - - --- --- --- - _ -- -- - - _ -- _ _-_ -- - .___ '--- --- _---_---- _ - --_----- REMOVE EXISTING EXISTING HOOSDE STOOPS OOSONREPLACE WW ARD SIDE OF ND ---------------- ------------------—-------------------'-----`- -----------' --------------• TWO DECKS A 16'x25'WOOD-FRAMED DECK DECK '*" is * - ---- ----- ---- " -- -'- ---- - -- - - - - - - - --- ." ---- - --- ----_ --------- -- - - `la --- - - -- - BEDROOM ESI E FROM EXISTING 1ST FLOOR __ DOW O G x BL F M _ r EXISTING PROPOSED '�. W --- - - - '--- ----- --- _ -- ------ � Z DECK, o so FTN aoo so Fr x DECK 2 0 SO FT 28 SO FT 'I�VV --_ --- - -- -- -- -- -- — - ------_- O^ 527 ` C/ --- -- - - - ------'-- - --- - -- --------O - - -_-' - - -- - --- - -- - ---- - rk shall ca U d N(� FES � V _ '-_ _ - _ _ _ , "I w.mry and TGENERAL pmeti n�l he RC..p.al Cada of thew and ' Of C lON - --- - - -- - - - - ' - '- -- --- - D Pa b Y P Y ep m n6 en P - ES - -. -- -- -- - — - - - - - - � - e tae.. z Dam an r `• _ r shall rte all d—menb re ,red by the c Stele,C own a nm Re Na e - o bear uaa - ----- � 2 Belvue coon:work the DmlroCb pu rn 6x6 ACO POSTS ANCHORED TO B.dd,ng D.p.nmenl,pay a1 fess regmreE by bcal agendas and.blain all regwrea` Denn,Is 10" DIA POURED CONCRETE PIER "- - 3 no convanar shelf—the she and.mfy a1 roman—and the e.omg --- ------ ---- -- --------------.._------ - --"- ON 18" DIA 8", FTG TYP ns O. ____ _ —__ x __-- _ _ rgndn,ms e8ecun9 the work pfior to co wdmn Mydrsaepanues wh¢h wool mt.d—wnh the sabsfadory mmplalenon of the work d.smbed herein shall be - - ----- -- --- - - - - - - - -- ----- -- reponetl to the eN,rtecl or property Iml, Do net scan work wbi suN cmd,uons hale been a atoned and a m,,e of adorn manually agreed upon Fa,I,,Ip nabfy the .,shoed of msabsfadary conft—oral be coned es an axeprona mla of one cnodo-s 1.proper,pad..the q.sad work 4 All work,s to cmf,m to the drawings antl specKcalmna,of the or,ht-and , --- ----"--—- -- -- -'--- - -- ------'---- - -- "'-- —' ---- - -'1-' "-----"'" - '-' Snp. r 9e Conlrw andsrs to mamrsn a complete and vp to dans set of plans m the In ant el all braes 6Th.dr.Na a non la be scaled coder any c msnonces 1x6 WOOD DECKING 7 d'span be me d.ledprs n to..ced--.9 n _—..-- _------'-_'_---_ -- - --_-- —_-_-- _-- _-----------_-- stars and tonal Ie Taes p�lendmn o/eusln8 work to 1. cimdu no - 2-2x10 GIRDER FASTENED TO AND �xda,,, pe y o Power Hours m aerm,ned work,ayanaban f wane,and oleoma and an c-the D WN RI BEARING DIRECTLY ON POSTS _ --__ oma,n a cvmf and ,d,dy for r prowler lst p n.marl....a aerate. -- _-.. _ _ __-- _ _ _ d m lul and be By rem one leas)pots ble dsturbanceelp the pubbe ' 8 TheeaCmlrecbr shag m ke he nre¢esary emangemenb 1.u1p 8" XIM M ISE np..hly do.—..orbs.pedormng the work aa repbred. s p n rs B r a remar : roc _ - 9 The Conlrector then prow a all imensoorms cul nub for other trades s PLAN 10 The Conlracnor Shan prov,tle proper n to poor Ip,amoral of essnmp suudure 11 Plumbing,elerinml,HVAC and s,m,la,were shall be pedormed by bce...d 1/4" = 1'—0" ose�rsona who snail orange for and.Mall lg all other naapecoon Th,Gq,lmd IIL T-8'• T-8" 7'!8" 12 ra a shall ks ret adaly a for acble for all other rasped,a as mgdod 12 The Cm,,,a.b rods nsapsfront sg.for cons,.. sthey and shell hold Ina - 25'-0" t prowdeand amh,u h h.safety s..alnd amah.ds np ora of the Conuadofs la,lure to CONSTRUCTION NOTES 1 All face...than real m uhtlmurbed sad el.m mol 36'below 6n grsa. 2 Poured concrete shag here. m ps,al 2800uen 28 days miss,noted 3 S,11plates shall be preseweE treated w d and be nsallstl abw,o 16 oz. capper ferthl she,lb 9 Snrngle slam:snaiconform to ASTM D 3679 and be bsbiled,n e—oferne vnIh the New York State Boeing Code and—h.fe....sp.sdi®.ons 5 Prangsshag be nsroll.d by a"'Tod cenp.mar fo o depth arm beamp agreed 'p" p by on e,gmeer and eeN(etas shall be rssued sbnnB s 6 Unless.Iherw,se noted ell Iraminp and seucturol wood compo eons shell be EXISTING HOUSE 92 m better Dou9tas Fa 7 All Ino ng ledn,pues and methods shall be as presmp—desgn based.n AFBP Wood Frsma Cptod—t-Manual far One and two F—dy Dwellings(WFCM) or as m sp,,,f,d R301 2 1 1 8 All buidng antl.,a wmpo..ons shall oornply wd,Chapter 6 of me Energy Consenrobon Code of the She,of Na.York 9 Fu.blockng shall be prw,tled n at wood Irsmed n.ne th In ccordance wnh NYS Code R 602 8 no norm an e6e.b :re barn.,between stories and between the top story and of space HANDRAIL @ 36" 0 P damwe panels snail be prondad for gle.ea opmmgs in aammanpe wth HANDRAIL @ 36" NYs aaa.R3D1 z,z rr cosy.ro regbred EXISTING HOUSE 11 All patrons of the new slmtture are des,gned 1p—pt,,wnh local 9eo9rapn¢ and d,mabc thene as stated an the following table 4x4 POSTS THROUGH-BOLTED TO JOISTS 4x4 POSTS THROUGH-BOLTED TO JOISTS 0 o GEOGRAPHIC & CLIMATE DESIGN CRITERIA C7 I GROUND SNOW LOAD 45 pal m WIND SPEED 130 MPH 1x6 WOOD DECKING 202 LEDGER FASTENED TO 1x6 WOOD DECKING SEISMIC DESIGN CATATGORY s 2x8 JOISTS @ 16" O C EXIST HOUSE WITH 1/2" LAG-BOLTSWEATHERING SEVERE @16" OC STAGGERED 2x8 JOISTS @ 16" O C > 2x12 LEDGER FASTENED TO FROST LINE DEPTH 36• EXIST HOUSE WITH 1/2" LAG-BOLTS TERMITE THREAT MODERATE TO HEAVY 2-2x10 GIRDER BEARING DIRECTLY ON JOISTS FASTENED TO @ 16" O C STAGGERED DECAY SLIGHT TO MOOERATE AND FASTENED TO POSTS JOISTS STRAPPED TO LEDGER BY TECO 2-2x10 GIRDER BEARING DIRECTLY ON WINTER DESIGN TEMPERATURE 11 ti GIRDER PER CODE AND FASTENED TO POSTS FLOOD HAZARD AS NOTED r ' 6x6 ACO POSTS ANCHORED TO PIERS6x6 ACO POSTS ANCHORED TO PIERS A-101 PLAN AND SECTIONS FLOOR PLAN, FOUNDATION PLAN I 10" POURED CONCETE PIERS 2" SCALE AS NOTED AUGUST 17TH, 2016 ABOVE GRADE o 10" POURED CONCETE PIERS 2" SECTION 1 ABOVE GRADE SECTION 2 TARTIi A 101 18" DIA x 8" POURED CONCRETE FTG 1/4" = 1'-0" 1/4" = 1'-0" Dermlis droft(n eedltln 1 OF 1 18" DIA x 8" POURED CONCRETE FTG x PO BOX 49 JOAN CHAMBERS SOIT(HOLD NY 11971 631-294-4241 I