HomeMy WebLinkAbout28601-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29596 Date: 07/25/03
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 3655 BAY SHORE RD GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 6 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NNE 17, 2002 pursuant to which
Building Permit No. 28601-Z dated JULY 26, 2002
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 FRONT AND REAR PORCH ADDITIONS, ADDITION AND ALTERATIONS TO AN EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD & EILEEN MAHER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1111976 07/17/03
PLUMBERS CERTIFICATION DATED 07/01/03 MATTITUCK PLUMBING & HEAT
Authorized gnature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28601 Z Date JULY 26 , 2002
Permission is hereby granted to :
EDWARD & EILEEN MAHER
260 LINCOLN AVE
ROCKVILLE CENTRE,NY 11570
for
ADDITION AND ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR WITH TOWN TRUSTEE ' S, NYSDEC AND TOWN ZBA#4994 , INCLD. $100 FLD PMT
at premises located at 3655 BAY SHORE RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0006 Lot No. 015
pursuant to application dated JUNE 17, 2002 and approved by the
Building Inspector to expire on JANUARY 26, 2004 .
Fee $ 675 .40
A ho zed Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
7 ^n 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, 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. 7/T�.;
New Construction: Old or Pre-existing Building: (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property: 45S4
Suffolk County Tax Map No 1000, Section 53 Block 49W OOE7<- Lot Oi S
Subdivision Filed Map. Lot:
Permit No. ���' w oDate of Permit, 7 Applicant:
Health Dept. Approval: Underwriters Approval: -
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: v (check one)
Fee Submitted: $ ------L
Applicant Signature
r Il ..l '.iu •
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OFFICE OF THE BUILDING INSPECTO(i
TOWN O1= SOUT1IOLU
C 1; R T I F I C n T 1 0 N
DATF:
Duitd) ng PeYmlt No. �2`of60/ . Z
Owner:
(please( print) ('[/
Plumber! tum` 111? VIL_.:.1 .=" ^�
p ense print)
- I certify that: the soldor used iI1 the wc!ter supply syotem
contnins loss than 2/10 of J % lend.
_.._�Ilnnf�ttr.q �lynnl.iii=�j
Sworn to before me this
Notnry Publico Canllly
JSALLY BLADOS
HOW Public,Stave of New Yolk
No.47M55
CmMW in Soo Courily
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5
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 555
5 CERTIFIES THAT 5
Upon the application of upon premises owned by eS
5 PAUL R. BURNS ED & EILLEEN MAHER 5
r5j P.O. BOX 1061 3655 BAYSHORE ROAD 5
5 SOUTHOLD, NY 11971-0932, GREENPORT, NY 11944 [5
cLocated at 3655 BAYSHORE ROAD GREENPORT, NY 11944 e�
5 Application Number: 1111976 Certificate Number: 1111976
CCCS Section: Block: Lot: Building Permit: BDC: NS11 5
Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor, Second Floor, Outside,
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
rj found to be in compliance therewith on the 17th Day of July, 2003. 5
5 ame QTY Rate Ratine Circuit Type
5 Alarm and Emergency Equipment
5 Sensor 2 0 Carbon Monoxide 5
S' Sensor 6 0 Smoke �5+
5 Appliances and Accessories 5
Dish Washer 1 0 1.2 KW
5 Range 1 0 11,7 KW
Cj Water Heater 1 0 4.5 KW 5
5 Exhaust Fan 1 0 F.H.P. 5
Furnace 1 0 Oil 5
Wiring and Devices
5 Receptacle 39 0 General Purpose
C5 Switch 42 0 General Purpose
C Fixture 18 0 Incandescent 5
5 Arc Fault Circuit Interrupter 3 0 15 amp 5
Paddle Fan 9 0 5
5 Receptacle 1 0 20 amp Laundry
5 Receptacle 1 0 30 amp Dryer seal 5
5 Receptacle 9 0 GFCI C
5 Continued on Next Page I of 2 7S
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
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ral
BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 55
5 CERTIFIES THAT �5
5 Upon the application of upon premises owned by 5
5 PAUL R. BURNS ED & EILLEEN MAHER S
5 BOX 1061 3655 BAYSHORE
0
SOUTHOLD, NY 11971-0932, GREENPORT,, NY
5
5 Located at 3655 BAYSHORE ROAD GREENPORT, NY 11944
5 Application Number: 1111976 Certificate Number: 1111976 5
�S Section: Block: Lot: Building Permit: BDC: NS11 5
c� Described as a Residential occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
SBasement, First Floor, Second Floor, Outside, 5
5 5
c5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
found to be in compliance therewith on the 17th Day of July, 2003. 5
Name OTY Rate Rating Circuit Type 5
5 Service CLJ
5 1 Phase 3W Service Rating 200 Amperes 5
Service Disconnect: 1 200 cb 5
Meters: 1 Lj
5 5
5 5
5 5
5 5
5 seal 5
5 5
2 of 2 •5�'
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
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New York State Department of Environmental Conservation
Division of Environmental Permits
Rm 219, Building 40-SUNY AM
Stony Brook,New York 11790-2356tuba
Telephone(631)444-0365 -
Facsimile (831)444-0360
Erin Crotty
Acting Commissioner
LETTER OF NON JURISDICT1ON
April 10, 2001
Mr. Edward Maher
330 East 38"'St. #14
New York, NY 10016
Re: Maher property, Bayshore Road;Arshamomoque, New York
SCTM# 1000-53-06-15
DEC#1-4738-02857/00001
Dear Mr. Maher;
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The property landward of the concrete seawall greater than 100' in length, constructed prior to 8/20/77 as
shown on the aerial photo by Aerograohics. Bohemia. NY. dated April 6. 1976, is beyond the jurisdiction of
Article 25 (Tidal Wetlands).
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) no
permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction,
sedimentation, or disturbance of,apy kjnd_;mpyyake,place seaward of the tidal wetlands jurisdictional
boundary, as indicated above,withoutaapermit. It is,your responsibility to ensure that all necessary
precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface
or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may
include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project
(i.e. a 15' to 20'wide construction area) or erecting a temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the respori ttY of obtaini any necessary
permits or approvals from other agencies.
W7
ry truly o rs
ohn Wie a
Permit Administrator
cc: Meryl Kramer
BUILDING PERMIT EXAMINER CHECK LIST "/ / -
DATE REVIEWED: 6 //i /02
APPLICANT: E. # E MAyc1L DATE SUBMITTED: e /02
SCTM#DISTRICT: 1,000, SECTION: 3 BLOCK: 6 , LOT: Is-
STREET
sSTREET ADDRESS:,Us-6 g F �� CITY: SUBDIVISION: 'B;67&S
PROJECT DESCRIPTION: AM9vs� S)rD•
ESTIMATED PROJECT COST: 15-04 /ENGINEER: ge~ FAST TRACK? No
SINGLE & SEPARATE CERTIFICATION-REQUIRED? No NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before lune 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Mergev(A nonconforming at any time after 7/1/83
ZONING DISTRICT: R CONFORMING? No a� a
REQ. LOT SIZE: -'16,~ ACT. LOT SIZE:(694 REQ. LOT COV. �/ ACT. LOT
REQ. FRONT S5 PROP. FRONT�✓REQ SIDE iVZS- ACT. SIDE 7
REQ. REAR & PROP. REAR / REQ. HEIGHT .PROP. IGHT
WATER FRONT? SCRIPTION:
PANEL #: FLOOD ZONE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:_/ /_ PERMIT #:R10-
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PP -DEc 9n/7 ES r NO
SOUTHOLD TOWN TRUSTEES: r NO X3.5
TOWN ZONING BOARD APPROV or NO Q� AzQ 1,7o_ ,r-
TOWN PLAN. BOARD APPROVAL: S or®
TOWN HISTORICAL PRE (SPLIA): YES ors
NYS ENERGY: YES OR NO :
EGRESS (18 H min.? 4 sq total)�L VENT (SQ. FT. x 4%) / LIGHT ( Q. FT. x 8%)
BUILDING PERMI OPEN/EXPIRED: BP -Z/C/0 Z_
HAVE PRE CO'S : ,MN a008 BPS- -Z/C/o Z-
NOTES:
A/
�yS L na C v. -pe r ae
FEE STRUCTURE: FOUNDATION: SF r�
FIRST FLOOR: SF
SECOND FLOOR: SF �l
OTHER: SF INIT OTHER TOTAL
TOTAL: SF / FEE FEE FE
. .. �qq
`tSF) SF SFX $. -$ +s
2. (
+$
2. ( SF)- SF)= SF X $ _$ +$ +$ _/y$-- y�
BUILDING PERMIT RL��ILW HILI: L. [ S I
Applicant/ Date
Owners Name: EiLEEnI KA CR- Reviewed: -7 12 60 b
Architect/ Date
Engineer: qeQ— {L Submitted:
SCTM it:
District: 1000 Section:_ Block. Y_ Lot:
Project �y��+� �,��- Subdivision
Location: �6J�� �'"'"ls]�Sr�_—_-�_— Name: .
Sin&le &, separate Req"/,i;e
certification: (Yes
D Rcy. / Rcy. D
7.omng D(Smcl: R.- IIAi size. O !X7 Actual_ 6169 I IIAi euvcragc p_I'nyxtieJ I
i
Req. Req. �� Req.
(From Yard �Projosed: (Side Yard 'D/ Proposed'. ! I [Rcar Yard 35 Proposed-
Project Description:
AGENCY,RERMITS Permi
REQUIRED FOR REVIEW N.A. NO XES Number
Suffolk County Health Dept.
New York State D. E. C. _
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes:
a y�"
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
WASTEWATER MANAGEMENT
COUNTY CENTER
RIVERHEAD, N.Y. 11901-3397
(631) 852-2100
ED & , ILE,SN MAHER
260 LINCOLN AVE.
ROCKVILLE CENTR9'NY 11570
CASH RECEIPT
Date Processed: 01/05/02 Receipt #: 88084-P-53630-12424
RESIDENTIAL PUB WTR & LP'S
Hdref No: R10-02-0006 Fee: $250.00
Received From: MERYL KRAMER ARCHITECT
Amount Paid: $250.00
Check Number: 132
Project Name: RESIDENCE 0 E/S BAYSHORE RD. , 639' N/0 ISLAND VIEW LA.
Location: E/S BAYSHORE RD. , 639' N/0 ISLAND VIEW LA.
GE0155
M E R Y L K R A M E R
a r c h i t e c t
_ a
neo
LOT COVERAGE CALCULATIONS
July 1, 2002
MAHER RESIDENCE ADDITIONS
3655 BAYSH ORE ROAD
GREENPORT, NY 11944
SCTM#1000-53-06-15
EXISTING HOUSE 977.15
EXISTING GARAGE 323.00
EXISTING LOT COVERAGE 19.4%
HOUSE WITH PROPOSED ADDITIONS 1338.00
PROPOSED LOT COVERAGE 24.79%
ALLOWABLE LOT COVERAGE 24.80%
AS PER ZBA VARIANCE
.,cEa D ARc
OF NEW yOQ�
124 BROAD STREET GR EE N PO R T , NY 11944 631 - 477 . 0826
Thursday, July 25, 2002 328 PM meryl kramer 631-477-8936 p.04
M E R Y L K R A M E R
a r c h l c n c t
`yi to FDA
ENERGY CODE CALCULATIONS
(NON-ELECTRIC HEAT)
MAHER RESIDENCE U'T
3655 BAYSHORE ROAD
GREENPORT, N.Y. �OF N �
SCTM# 1000.53-615
Design Criteria: 6000 DEGREE DAYS
OA 109f I.A. 70OF
SUBSYSTEM AREA DESIGN U THERMAL REMARKS
(S.F.) RATING
Exterior Walls 912.00 0.04 36.48
Windows 268.00 0.32 92.16 Andersen High Perform.
Doors 144.00 0.33 47.52 Andersen High Perform.
Ceiling/Roof 832.00 0.03 25.71
Floor 1029.00 0.05 49.39
Foundation Walls N/A
Slab/floor insulation N/A
TOTAL 3205.00 251.26
TOTAL THERMAL RESISTANCE 0.08
Notes:
Building envelope systems to meet requirements of 7815.2
HVAC equipment to meet requirements of 7815.11
HVAC Systems to meet requirements of 7815.12
Duct Systems to meet requirements of 7815.13
Ventilation systems to meet requirements of 7815.14
Insulation of piping systems to meet requirements of 7815.15
Service water heater systams and equipment to meet requirements of 7815.21
Electrical and lighting systems and equipment to meet requirements of 7815.31
124 BROAD STREET GREENPORT, NY 11944 631477 . 0626
0
0
cl 3-2x8 CCA3-2 CCA ,��pEDgA
�5
I C.
ONOruBE �6 PR
UNEXCAVATED a TO UN DIST.SOIL
U PROVIDE 3-0•
u�g �p COVER, TIP. �}
9� NEW SOP
z
� MIN
O 1900MIIG 2'CONCRETE SLAB--�
Ixz0 TO u
rr o i LATTICE PANEL
_ i 3'-d'WIDE X 2'O'HIGH,TYP
< il Z 1 Cf�liT� 854 SO.IN. PANEL WITH 50%
CD
(�j W 0 3- 2x6 GIRDER 3. 2x6 GIRDER OPEN SPACE.
� � Q O
�n PLOW-THRU CALCULATIONS:
Z BASEMENT-875 SF
E N } 00 NOTE: LATTICE PANEL-8G4 SF FA.
Y A J Q H FILL IN EXIST. CRAWL SPACE NEED 2 PANELS
2' O n O n TO 10"BELOW GRADE
E f 7 L6 h SEE SEGiTON A A
2-2x I O GIRDER
.u.„-.- �----2'CONCRETE SLAB—�
u u NEW CRAM SPACE
NEW CHIMNEY
&IGCAMRim '&49 p RHO ABOVE
2-2N6 GIRDER
_ J
a u
r 33x8 CCA
0
0
0
n
vi I r. x" CCA
81K I G'CMU FOUND.
r - TO UNDIST.501 $ WALL ON 8'X2'-0"
PROVIDE S-O' PC FOOTING
n COVER,TYP,
FOUNDATION PIAN
Thursday, July 25, 2002 3:26 PM maryl kramsr 631-477-8938 p.03
EDAI4„_
�V R.
rLvvi) ZONE 14 E-K
COMPLY WITH CHAPTER "4611
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE �9
OF NEW
2x I C FJ, I G'D.0
T. 9
:2Y,4FRAME,
LU511 HEADER
4 51DE5 OF OPENING
FLOW-TNRU PANEL-PKEFAB LATfICF
rANrL'5ANVWICMED' D[rweEN
2-3/4L3'FRAME(FA VD
GRADE-ELEV. 8.0 101/2")11 112"CCA STOP
40e . • T.O. SLAB ELEV. 7.2
it d
8'CONCRETE FOUND. WALL
4 �
1 DETAIL @ LATTICE PANEL
°= P-C,
APPLICATION a
PAGE 1 of a
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION I: GENERAL PROVISIONS (APPLICANT to read and sign):
1. No work may start until a permit is issued.
2. The permit may be revoked if any false statements are made herein_
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
S. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
- THIS APPLICATION ARE,TO THE BES OF MY KNOWLEDGE,TRUE AND ACCURATE.
(APPLICANT'S SIGNATURE) DATE 7 y
SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLiCAN'n
NAME ADDRESS TELEPHONE
APPLICANT
� wR�ryi}'�tA�f-r��e- �55�#l �f ,�A��1�'�►�iri�`l r,1,p�2�9��6
BUILDER
ENGINEER IV
PROJECT LOCATION:
To avoid delay in processing the appllcatiop, please provide enough information to easily identify the project
location- Provide the street address, lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or yell-known landmark. A sketch attached to this application showing
the project location would be helpful. -
FDP(93)
` APPLICATION
PAGE 2 OF 4
DESCRIPTION OF WORK (Check all appGcablc boxes)
A. STRUCTURAL DEVELOPMENT
ACTIVFTY $TRUCl'URE TYPL-
❑ New Structure MResidential (1-4 Family)
❑ Addition ❑ Residential (More than 4 Family)
IITARcration ❑ Non-residential (Floodproofmg? ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
❑ Demolition ❑ Manufactured (Mobile) Home (In Mauu-
❑ Replacement factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECTS C)
B. OTHER DEVELOPMENT ACI-IVITIES:
❑ Fill ❑ Mining ❑ Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements (Including Culvert Work)
❑ Road, Street or Bridge Construction
❑ Subdivision (New or Expansion)
❑ Individual Water or Sewer System
❑ Other (Please Specify)
After completing SECTION Z, APPLICANT should submit form to Local Administrator for review.
SEC'T'ION 3: FLOODPLAIN DETERMINATION (To be completed by LOCAL ADhiINTSTRATOR)
The proposed development is located on FIRM Panel No. , Dated
The Proposed Development:
❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
❑ Is located in a Special Flood Hazard Area.
FIRM zone designation is
100-Year flood elevation at the site is: - Ft. NGVD (MSL)
❑ Unavailable
O The proposed development is located in a floodway.
FBFM Pancl No. Dated
❑ See Section 4 for additional instructions.
SIGNED DATE
APPLICATION d
PAGE 3 OF a
SECTION aADDITIONAL INFORMATION REQUIRED (To he coin nlctcd by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the application can be processed:
❑ A site plan showing the location of all existing structures, water bodies, adjaccut roads, lot
dimensions and proposed dcvclopment.
❑ Development plans, drawn to scale, and spccificatipas, including where applicable:details for
anchoring structures, proposed elevation of lowest floor (including basement), types of water
resistant materials used below the first floor, details of floodproofmg of utilities located below
the first floor and details of encdosmcs below the first floor.
Also
❑ Subdivision or other development plans (If the subdivision or other development exceeds 50
lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new fill elevation Ft. NGVD (MSL).
❑ Floodproofmg protection level (non-residential only) Ft.'NGVD (MSL). For
floodproofed structures, applicant must attach certification from registered engineer or
- architect. .
❑ Certification from a registered engineer that the proposed activity in a regulatory floodway
will not result in any increase in the height of the 100-year flood. A copy of all data and
calculations supporting this finding must also be submitted.
❑ Other.
SECTION 5: PERMIT DETERMINATION (To be completed by LO AL ADMINISTRATOR)
I have determined that the proposed activity. A- ❑ Is
B. ❑ Is not
in conformance with provisions of Local Law lR 19 . The permit is issued subject to the conditions
attached to and made pan of this permit.
SIGNED , DATE
If BOX A ischecked, the Local Administrator may issue a Development Permit upon payment of designated
fee.
If BOX H is check, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an application to the Local Administrator or may request a hearing from the Board of
Appeals.
APPLICATION s __
PACE 4 OF 4
APPEALS: Appealed to Board of Appeals? O Ycs O No
Hearing date:
Appeals Board Decision --- Approved? O Yes O No
Conditions
SEMON 6: A5-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of COmoliance
is issued
The following information must be provided for project structures. This section must be completed by a
registered profcssional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the lop of the lowest Door, including basement (in Coastal High Hazard
Areas bottom of lowest structural member of the lowest Door, excluding piling and columns) is:
FT. NGVD (MSL).
2. Actual (As-Built) Elevation of Doodproofmg protection is FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 7• COMPLIANCE ACTION (To be comolcted by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on iraspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPECTIONS: DATE BY DEFICIENCIES? O YES ONO
DATE BY DEFICIENCIES? O YES O NO
DATE BY DEFICIENCIES? O YES O NO
SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR)
Certificate of Compliance issued: DATE BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
❑ NEW BUILDING
❑ EXISTING BUILDING
❑ VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW:
A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW #_, 19
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE #
DATED
SIGNED: DATED:
C/C(93)
O�OgUFFOL,fco
o� Gyp
CA z
Town Hall,53095 Main Road Q • Fax(631)765-9502
P.O. Box 1179 Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Office of the Building Inspector
December 18, 2002
Meryl Kramer C/o Maher Residence
124 Broad Street
Greenport, NY 11971
Dear Ms. Kramer,
Please take notice that in review of your letter dated December 17, 2002 for construction
issues which exist at the property located at 3655 Bay Shore Road, Greenport, N.Y.
County Tax Map Number 1000 - Section 53 Block 6 Lot 15
This letter is formal notice of the following. We are in receipt of the letter and can't
except a conditional LOMA from FEMA. The permit was written and noted to elevate
and comply to Flood Zone AE-8 as required. On site inspections dated 9/23/02 and
12/17/02 we requested a foundation survey and as built elevations to actual construction
for verification to the flood compliance. To date we are not in receipt of the documents
requested. At this time we request that the project stop and new plans be submitted
showing all changes from original permit. Under NYSBC part 806.6 Flood Proofing and
Local Southold Town Code Chapter 46 the construction must comply with the
corresponding flood zone. The project appears to be in violation to Town Code Part 45-
13 and forces a Stop Work order.
Please submit all plans and specification items that represent the As Built Condition. of
the permit work.
If there are any questions you can contact us at (631) 765-1802 between the hours of 8:00
a.m. and 4:00 p.m.
Respectfully s,
Bruno Semon
Building Inspector
CC:file
M E R Y L K R A M E R
• a r c h i t e c t Q
I
1
Southold Town Building Dept.
Southold Town Hall
PO Box 1179
Southold, NY 11971
December 17,2002
RE: Maher Residence
Tax Map# 1000-53-06-15
Permit#286OIZ
Dear Bruno and John,
As per our discussion this morning,this letter is to notify you that there is an FEMA LOMA application currently
under review. I have been informed that the paperwork is being processed and the decision "looks favorable."
Therefore we are not filling in the basement,or relocating the mechanical equipment, nor providing flow thrus
in anticipation of this decision. I am sending an original survey to you by mail.
Also,the additions to the foundation are CMU as indicated on the drawings.
WKe
�hpo I. LOMA aWltW -1 k
1 2 4 B R O A D S T R E E T G R E E N P 0 R T N Y 1 1 9 4 4 6 3 1 - 4 7 7 - 8 7 3 6 6 3 1 - 4 7 7 - 8 9 3 6 F A X
Monday, December 30, 2002 2:07 PM meryl kramnr 831-477-8938 -'� P.01
M E R Y L K R A M E R
e r c h t e c t
3 �
.J
Southold Town Building DepL
Southold Town Nall
p0 Box 1179
Southold, NY 11971
VIA FACSIMILE
765.9502
December 30,2002
RE: Maher Residence
Tax Map#t 1000.5306.15
Permit 0 2860]Z
Dear Bruno and John,
This letter is to inform you that we are in receipt of the Letter of Map Amendment from FEMA(attached)for the
above mentioned property. We will be leaving the exiating crawl apooe as it exists(5.7')and will leave the
existing mechanical equipment in the basement as well. Please let me know if you require further
documentation regarding this matter.
est Regards,
Encl.
1 2 4 8 R 0 A D S T R E E T O R E E N P 0 R T, N Y 1 19 4 4 6 7 1 . 4 7 7 . 8 7 9 6 631 -4 7 7 -8936 F A X
Monday, December 30, 2002 2;07 PM meryl kramer C31-477-8938 p,02
Pegs 1.of 2 Date:Mcernbeir 26,2002 Case N0.:030244 9A LOMA
Federal Emergency Management Agency
Washington, D.C. 20472
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
TOWN OF SOUTHOLD.SUFFOLK Lot 85,Peconic Estates,also known as Tax Lot 15, Block 8,Section 053,as
COMMUNITY COUNTY,NEW YORK described in the Bargain and Sale Deed, recorded In Book 11634, Page 122,
filed on June z3, 1893,by the County Clerk, Suffolk County,New York
COMMUNITYNO.:3WO13
NUMBER 36100001600
AFFECTED NAME:SUFFOLK COUNTY,
MAP PANEL NEW YORK
ALL JURISOICTION8
DATE:51411998
FLOODING SOURCE: GREAT PECONIC BAY APPROAMATE LATITUDE 6 LONGITU DE OF PROPERTY:61.001,•72370
Sou RCE OF LAT d LONG:PRECISION MAPPING STREETS A0 DATUM:NAD 03
DETERMINATION
OUTCOME 1%ANNUAL LOWEST LOWEST
WHAT IS CHANCE ADJACENT LOT
LOT BLOCK/ SUBDIVISION STREET REmovEO FLOOD FLOOD GRADE ELEVATION
SECTION FROMTHE ZONE ELEVATION ELEVATION (NDVD pg)
SFHA (NGVD 29) (NGVD29)
65 Peconle Estates 3655 Sayshore Residential
Drive structure X(shaded) 6.0 feet 8.0 feet
Special Flood Hazard Area(SFHA)-The SFHA is an area that would be inundated hythe flood having a 1-percent chance of being equaled or
exceeded in any given year(base flood).
ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional mnslderations listed below.)
PORTIONS REMAIN IN THE SFHA
This document provides the Federal Emergency Management AgenWs determination regarding a request for a Letter of Map Amendment fon the property
described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the
structure(s)on the oro0ertyl'res)!state not looted In the SFHA,an area inundated by the flood having a 1-percam chance of bang equaled or exceeded in
any given year(base food). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP
map; therefore.the Federal mandatory flood Insurance requirement does not apply. However,the lender has the option to continue the flood Insurance
requirement to protect Its financial dsk on the loan. A Preferred Risk Policy(PRP)Is available for buildings located outside the SFHA Information about
the PRP and haw one can apply is enclosed.
This determination Is based on the food data presently available. The enclosed documents provide additional IMonnadon regarding this determination. If
you have any questions about this document please contact the FEMA Map Assistance Center toll free of(877)3362627 (877-FEMA MAP)or by letter
addressed to the Federal Emergency Management Agenoy,P.O.Box 2210,Merrifield,VA 22116-2210, Additional Information about the NFIP le available
on our web site at httpYAvww.fama.gov/Kp/.
Michael M.Grimm,Acting Chief
Hazard study Branch
Federal Insurance and Mitigation Administration Version 1.3.3 MX173014003K0660LOMAK6660SPF2
IV
Page 1 of 2 Date: December 26,2002 Case No.:n-omo16A LOMA
Federal Emergency Management Agency
` Washington, D.C. 20472
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
COMMUNITY AND MAP PANEL INFORMATION LEGAL PROPERTY DESCRIPTION
TOWN OF SOUTHOLD,SUFFOLK Lot 65, Peconic Estates, also known as Tax Lot 15, Block 6, Section 053, as
COMMUNITY COUNTY,NEW YORK described in the Bargain and Sale Deed, recorded in Book 11634, Page 122,
filed on June 23, 1993, by the County Clerk, Suffolk County, New York
COMMUNITY NO.:360813
NUMBER 36103CO159G
AFFECTED NAME SUFFOLK COUNTY,
MAP PANEL NEWYORK
(ALL JURISDICTIONS)
DATE:5/4/1998
FLOODING SOURCE: GREAT PECONIC BAY APPROXIMATE LATITUDE&LONGITUDE OF PROPERTY:41.081,-72376
SOURCE OF LAT&LONG:PRECISION MAPPING STREETS 40 DATUM:NAD 83
DETERMINATION
OUTCOME 1%ANNUAL LOWEST LOWEST
BLOCK/ WHATIS CHANCE ADJACENT LOT
LOT SECTION SUBDIVISION STREET REMOVED FLOOZONED ELEVATION ON E FLOOD GRADE ELEVATION
OMTHE (NGVD 29)
SFHA
(NGVD 29) (NGVD 29)
65 Peconic Estates 3655 Bayshore Residential
Drive Structure X(shaded) 8.0 feet 8.0 feet _
Special Flood Hazard Area(SFHA)-The SFHA is an area that would be inundated bythe flood having a 1-percent chance of being equaled or
exceeded in any given year(base flood).
ADDITIONAL CONSIDERATIONS(Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.)
PORTIONS REMAIN IN THE SFHA
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Amendment for the property
described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we have determined that the
structure(s)on the propeny(ies)is/are not located in the SFHA,an area inundated by the flood having a 1-percent chance of being equaled or exceeded in
any given year(base flood). This document amends the effective NFIP map to remove the subject property from the SFHA located on the effective NFIP
map; therefore,the Federal mandatory flood insurance requirement does not apply. However, the lender has the option to continue the flood insurance
requirement to protect its financial risk on the loan. A Preferred Risk Policy(PRP)is available for buildings located outside the SFHA. Information about
the PRP and how one can apply is enclosed.
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this determination. If
you have any questions about this document, please contact the FEMA Map Assistance Center toll free at(877)336-2627 (877-FEMA MAP)or by letter
addressed to the Federal Emergency Management Agency, P.O. Box 2210, Merrifield,VA 22116-2210. Additional information about the NFIP is available
on our web site at http://www.fema.gov/nfip/.
Michael M.Gri�ng Chief
Hazard Study Branch
Federal Insurance and Mitigation Administration Version 1.3.3 MX173014003K666oLOMAK6660SPF2
Page 2 of 2 Date: December 26,2002 Case No.:0302-0016A LOMA
Federal Emergency Management Agency
Washington, D.C. 20472
LETTER OF MAP AMENDMENT
DETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATIONS)
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA(This Additional Consideration applies to the preceding 1
Property.
Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special Flood
Hazard Area. Therefore, any future construction or substantial improvement on the property remains subject to Federal,
State/Commonwealth, and local regulations for floodplain management.
This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the FEMA Map
Assistance Center toll free at(877)336-2627(877-FEMA MAP)or by letter addressed to the Federal Emergency Management Agency, P.O. Box 2210,
Merrifield,VA 22116-2210. Additional informatioon'about the NFIP is available on our web site at http://www.fema.gov/nfip/.
✓
Michael M.Gri�ng Chief
Hazard Study Branch
Federal Insurance and Mitigation Administration Version 1.3.3 MX173014003K6660LOMAK6660SPF2
Community Map Repository
Federal Emergency Management Agency
Washington, D.C. 20472
0 0
Dear Community Official:
Enclosed are copies of recent Letters of Map Amendment(LOMAs)and/or Letters of Map
Revision based on Fill (LOMR-Fs) issued to amend or revise the National Flood Insurance
Program(NFIP) map for your community.
As you know, the map repository is a local resource for information regarding the risks of
flooding in your community. A priority of the Federal Emergency Management Agency(FEMA)
is to ensure that changes to the flood-risk information, such as those resulting from the issuance
of a map amendment or map revision,are sent to the repository for the benefit of the public.
Please note that NFIP regulations require that the local map repository attach the enclosed copy
of the LOMA and/or LOMR-F to the appropriate NFIP map on file.
We appreciate your cooperation in maintaining this valuable community resource. If you have
any questions about any of the enclosures, or if the address of the repository for your community
has changed,please contact the FEMA Map Assistance Center toll free at(877)336-2627 (877-
FEMA MAP).
Sincerely, /�
��l f-^—
Michael M. Grimm,, Acting Chief
Hazard Study Branch
Federal Insurance and Mitigation Administration
Enclosures
Federal Emergency Management Agency
Washington, D.C. 20472
December 26, 2002
MR.MERYL KRAMER CASE NO.:03-02-0016A
124 BROAD STREET COMMUNITY: TOWN OF SOUPHOLD,SUFFOLK COUNTY,
GREENPORT,NY 11944 NEW YORK
COMMUNITY NO.:360813
DEAR MS. KRAMER:
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine if the
property described in the enclosed document is located within an identified Special Flood Hazard Area, the
area that would be inundated by the flood having a 1-percent chance of being equaled or exceeded in any
given year (base flood), on the effective National Flood Insurance Program (NFIP) map. Using the
information submitted and the effective NFIP map, our determination is shown on the attached Letter of Map
Amendment (LOMA) Determination Document. This determination document provides additional
information regarding the effective NFIP map,the legal description of the property and our determination.
Additional documents are enclosed which provide information regarding the subject property and LOMAs.
Please see the List of Enclosures below to determine which documents are enclosed. Other attachments
specific to this request may be included as referenced in the Determination/Comment document. If you have
any questions about this letter or any of the enclosures, please contact the FEMA Map Assistance Center toll
free at (877) 336-2627 (877-FEMA MAP) or by letter addressed to the Federal Emergency Management
Agency,P.O. Box 2210, Merrifield,VA 22116-2210. Additional information about the NFIP is available on
our web site at http://www.fenia.gov/nfip/.
Sincerely,
`
Michael M.5nmm, Acting Chief
Hazard Study Branch
Federal Insurance and Mitigation Administration
LIST OF ENCLOSURES:
LOMA DETERMINATION DOCUMENT(REMOVAL)
cc: State/Commonwealth NFIP Coordinator
Community Map Repository
Region
JL
2 T 2002
TFi
*- SOLD
MEMO TO: Michael Verity
FROM: Gerard P. Goehringe
DATE: June 27, 2002
SUBJECT: Decision of Matter—Appeal #4994
Based upon my discussion with Damen of your office, the decision rendered on
October 4, 2001 regarding second story protrusion of primary structure, west side
only, pertains to that section which deviates from the normal setback and not the
entire setback on that side.
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APPEALS BOARD MEMBERS
Southold Town Hall
Gerard P. Goehringer, Chairman h�� �Gy ( F 53095 Main Road
James Dinizio, Jr. c P.O. Box 1179
Lydia A. Tortora W ,? Southold, New York 11971-0959
Lora S. Collins � • �'Z` ZBA Fax (631) 765-9064
George Horning 'tlQl �.a� Telephone (631) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF OCTOBER 4, 2001
Appl. No. 4994 — ED AND EILEEN MAHER
Street & Location: 3655 Bayshore Road, Greenport 1000-53-06-15
Date of Public Hearing: September 20, 2001; October 4, 2001
Findings of Fact
PROPERTY FACTS: The subject parcel contains 6,696 sq, ft. of land area and is
improved with a frame single-family dwelling and frame garage, as detailed on the
February 13, 2001 survey prepared by John T. Metzger, L.S.
BASIS OF APPLICATION: Article XXIII, Section 100-242A and Section 100-244B, based
on the Building Department's July 27, 2001 Notice of Disapproval for the reason the
structural alterations and additions to existing dwelling with an increase in the degree of
nonconformance with regard to the nonconforming side yards and lot coverage
exceeding the 20% code limitation.
RELIEF REQUESTED: Applicant requests variances authorizing alterations and addition
to the existing dwelling. The dwelling as exists contains nonconforming side yards at 7.1
feet on the south side and variables of 3.87 ft. and 6.4 feet on the north side. The
original request was based on a site plaid- afed 4z.T T "prepared by Meryl Kramer,
Architect, for a covered porch, two-story addition, and a two-story addition over the
existing nonconforming dwelling location. The lot coverage requested on the 4-18-01
plan was 27.32% of the total lot area.
ADDITIONAL INFORMATION:
At the hearing on September 20, 2001, the applicant discussed lesser variances with
Board Members, and an alternative plan was prepared for Board consideration. At the
Board's request, the site plan was revised (September 24, 2001). The September 24,
2001 revised plan shows a smaller two-story addition, after removal of the existing stoop
and porch areas
aLt west and east ends of the house, and a lot coverage reduced
from 27.32% t 24.8° Board Members explained thei cerns with the northwest
corner of the hbrand confirmed that t northerly 3.87 onconforming setback
shall not be two-story, and that the roof line shalle a one-story with a general higher
slope. The architect for the applicant acquiesced and agreed to design a roof line that
will not have a two-story effect into the side yard.
BOARD REASONS: On the basis of testimony presented, materials submitted and
personal inspection, the Board makes the following findings:
` Page 2—October 4, 2001
Appl. No. 4994—E. Maher
Southold Town Board of Appeals
REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony
presented, materials submitted and personal inspection, the Board makes the following
findings:
1. Grant of the area variances will not produce an undesirable change in the character
of the neighborhood or a detriment to nearby properties. The garage and house have
been in place for 40 years, and are an established part of the neighborhood. There will
be no intrusion into either side yard with a lesser setback. The lot is very small leaving
no other area for expansion. The site plan was revised to reduce the lot coverage to
24.8%, which is more in keeping with the general area and small lots of this size.
2. The benefit sought by applicant cannot be achieved by some method, feasible for
appellant to pursue, other than area variances due to the size of the property and
established building locations.
3. The requested area variances are not substantial.
4. Grant of the variances will not have an adverse effect or impact on the physical or
environmental conditions in the neighborhood or district. There was no evidence
presented to suggest that the physical or environmental conditions in the neighborhood
would be adversely impacted.
5. The action set forth below is the minimum necessary and adequate to enable
applicant to enlarge the dwelling and replace existing step and porch areas, while
preserving and protecting the character of the neighborhood and the health, safety and
welfare of the community.
BOARD RESOLUTION: On motion offered by Member Dinizio, seconded by Member
Tortora, it was
RESOLVED, to GRANT the variance as requested and more particularly shown
on the September 24, 2001 amended site plan prepared by Meryl Kramer, R.A.,
SUBJECT TO THE FOLLOWING CONDITIONS:
Page 3—October 4, 2001
Appl. No. 4994—E. Maher
Southold Town Board of Appeals
1) The area of the building at the northwest comer which e ' an 10 ft.
from the side property line shall not be at a height greater the one-sto hem and the
second-story addition for this existing protrusion of the house sn`i TWMM"d
2) The lot coverage shall not exceed 24.8%, as requested.
This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses,
setbacks and other features as are expressly addressed in this action.
VOTE OF THE BOARD: AYES: Goehringer Izio, T ora, d Co This
Resolution was duly adopted (4-0).
GERARD P. GOEHRINGER
CHAIRMAN 10/11/01
APPEALS BOARD MEMBERS �FFO(
ops /rCQ Southold Town Hall
Gerard P. Goehringer,Chairman = Gyp 53095 Main Road
James Dinizio,Jr. o P.O.Box 1179
Lydia A.Tortom W , Southold,New York 11971-0959
Lora S. Collins �,y • �'� ZBA Fax(631)765-9064
George Homing 'J!Q! �.a0 Telephone(631)765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
October 12, 2001
Mrs. Meryl Kramer, Architect
124 Broad Street
Greenport, NY 11944
Re: Appl. No. 4994— E. and E. Maher (Variance)
Dear N *mer:
Enclosed please find a copy of the Appeals Board's determination rendered at
our October 4, 2001 Board Meeting. Please be sure to realm to the Building
Department to submit any other documentation, or amendments to conform with the
Board's determination (before requesting issuance of a building permit). A copy of this
decision was furnished to the Building Department for their permanent records.
Very poly yours,
YT
1 '
GERARD P. GOEHRINGER�
CHAIRMAN
Enclosure
Copy of Decision to:
Building Department
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N QTI CC OF 0P3AITR 0Vn(-
To
PLFASFTAKE NOPICF hint Vvor application dared . . . j�� /. . . . . . . . . . . . ..
for penoil to /� � �!�R-Tivc�J �. s.��sr`/J�O R/.t'.c�-?i✓ ( L�j . � l
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Nnw, Nn. sim". Nandrr
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Suhdivision . . . . . . . . . . . Filed Map 11,41. . . . . . - . . . .JLoott iNo. - . . . . . . . . . . .
is rclorned herewith and disalynoved goo Ihr rolln.ving proonds .�.✓. - L�4 . .�T/pLJ.0.�4! . . .
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llui, ldinq InspecCm:
RV I /on
765-1802
BUILDING DEPT.
INSPECTION
[ ] OUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNE
RE Se
DATE �� INSPECTO 'z
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS.
DATE - �7 a---INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
IZe -,�,-['x ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE / INSPECTOR -rte'
2Z-010
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
(7,7
ARKS•
S
DATE / O 3-- INSPECT
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU H PLBG.
( ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHI EY
REMARKS:
DATE ((/ � (/� INSPE
1 1 1 � • � 1.� � lier,�
all
_ � 'V
I&SULATION PIER
STATE ENERGY CODE
�I
OWN
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ADDMONAL CONMENTSM
i
i 8WN OF SOUTHOLD
BUM VWG DEPARTMENT
i TOWN HALL
SOUTHOLD,NY 11971
TEL: 765-1802
1 BUILDING PERMIT APPLICATION CHECKLIST:
- Do you have or need the following,before applying?:
Board of Health?
3 sets of BpAding Plans -7�--
Survey
Check
Septic Form
N.Y.S.D.E.C.,,/
Trustees
Examined d' ZS , 200 Ll,?.�_o $�(o
Approved 6,;IAC 20CZ PERMIT NO. �$60
Disapproved a/ p
Buil ng Inspector
APPLICATION FOR BUILDING PERMIT
Date �� Qj 20 01
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to sale. 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector .
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. 1, Q
( ;igkure of applicant or name, if a corporation)
�A l' reed st .��r �orfi !Y �V4'
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
f�RGtt 1�'T
Name of owner of premises Ep T-
(as on the tax roll or latest deed)
If ap lie is a c �a n, signature of duly authorized officer
(N (ed title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Locatlen of land on which proposed work will be done:
X1055 PAI- fAOR4--- Ea6b i C t2C� C�1i'
House Number Street Hamlet
County Tax Map No. 1000 Section�_Block 0 _Lot 5 _
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 61NCa(9a EAM 1 uY PEG I DeNG
b. Intended use and occupancy 10
3. Nature of work (check which applicable): New Building Addition Alteration> _
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost A 150 , CDL-) Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units_ Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 30 Rear 61 Depth_4-0, +
Height Number of Storiesi q
Dimensions of same structure with alterations or additions: Front Rear _ I
Depth 40, 14- Height I& Sip Number of Stoners
8. Dimensions of entire new construction: Front 2A Rear ) [ Depth 40. 4
Height LTJ Number of Stoners \1 0
J
9. Size of lot: Front Rear Q. 0 l Depth
10. Date of Purchase 5/1q/900 Name of Former Owner br <P,64V
1 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: �� - �t7T a�
13. Will lot be re-graded IVQ Will excess fill be removed from premises: YES NO
N� IC.b1 to
14. Names of Owner of premises D EI LF�EIJ M/kYC��ddress 250 � 34�J'"S`r N� Ph ne`N o.516 '. 20
Name of Architect M�''(L) iI�U1r� Address 17.4 P?KDA<D Sa���£Qo
Name of Contractor Address Phone No.
15. Is this property within 300 feet of a tidal wetland? *YES ✓ NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, indicate scope of project, to scale, with distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY O>v�A �
Mj&, I L KF�AVE— being duly sworn, deposes and says that (s)he is the applicant
(Name of individual,signing contract) above named,
(S)He is the A Ilw-eJ-
(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 thi
ay of 20_
otary PubNOTARY PUBLIC,State of'Now York ig(natlure of Applicant
No.01B06020932
Qualified in Suffolk Cou
Term Expires March 8,2045
SURVEY OF PROPERTY
�. NOroe 3 A T ARSHAMOMOQ UE
TOWN OF SO UTHOLD
SUFFOLK COUNTY, NEW YORK
132,63' b 1000-53-06-15
64 t , .- 63• `^ SCALE: 1 "=20'
L�7 , y�9 Cl FEB 13. 2001
^JO ./�> ms! fI OJ Sept. 17, 2002 (LOMA INFO)
/ t�R JCT. 2, 2002 (revision J
o
\ I s
E c p3.Op' v
40 -c , o
j3.00 � o s .
N
6 16'S ?a 3'
1 OCp
N
FR �pR •� -�� � 125 rA v KO1 (��eio Go`it `,��•�
Z r
pNC 9
4
24
lE
�ppcR�p_-
No ��
ZONE '69 OL �� s A �
,s
O
80.00'
c, c
S,oc,:Ac
CD
6
0c S 73,p0'40
, W
�'MBERS KED e. `4 Mc tiLc:D MAP A.
A� ES-A-ES " �ILiD :^� THE SUF��LK CGS^�'� _LERKS
MAP '40 1124
^N� t -EriLL '� ✓ L
FLOOD ZONE AE (e1. 8)
FLOOD ZONE TAKEN FROM FIRM
# 36103CO159 G MAY 4, 1998 �FNEW y�
�1P
I.METZ,40 R�
ISLAND VIEW LANE 4
E 496.8
ANY AL 'ERATIDN OR ADDITION TD 'HIS SJR✓E" :S 4 v'LLATIDN
2F SE T.TpN 7209 OF THE NEW YDRK STATE LLULA T 1 Aw 765 - N, <9�x 765 797
r• EXCEPT AS PER SECTION 7209-SUBDIVISIDN 2 ALL ERTTT CATIONS AREA=6,696 S. F. C� BOX 909 Std $�
HEREON ARE ✓ALID FOR THIS MAP ANL t;DPIES THEREDr ENL . TP 11 Ci TRA VELE '�•E"1-
SAIL MAP OR =OPIES BEAR THE IMPRESSED SEAL -F HE TO TIE LINE �DUTHL7_D, N.Y ii97i D 7,/
WHOSE SIGNATURE APPEARS HEREON
0A PF
z - 3 - - 3 - LEGENDFIE
R°y�r
w EXISTING WALL
ROOF ELOW O ROOF BELOW - - - - - -
DEMOLISH WALL
O NEW WALL yoQ� i
_SLOPE Db. SLZP�D L E _-_ INSULATED WALL
- - - -- LINE OF WALL BELOW _
_ X _ 2-2x 1 SET 2x I R ON 2-2x 10
ctS, 11 or NEW ASPHALT U - - - -
TOP oCJ. - - - - - - - - - - - - - - - O,•+ys2c
Da11oz
w
SHINGLE Poor O 0 srzcwzraecoNsmu
iV 1 rars� jn...., /tee t �.s/���+�/�jCixCro X99¢.y I�ro�PROGlvss ser
IT AND PRICING
U AREA OF - U REMOVE IX. AREA OF tegy�am
O SLOPING C� SLOPING Gc� J/tel=7> // i
O MASONRY CHIMNEY _ "'
D - CEILING 1 \ O FLOOR LEVEL CEILING �iry���p �Rp
12'-55/8"'\T- _ `- I I'-d • 12'-5 ��LUDp �-
N w = + m qt p <l COMPLY WIIH CHAPTER r46w
2x 1 0 RR TO MATCH MAIN o O N v N - N FLOOD DAMAOE PR
ROOF SET ON 2.5 PLATE m K I - -I EDGE OF ROOF SOUTHOLD' TOWN CE p EON
N
OR L_ _ _J . = SITTING DR 2
X
N (20
N (2061 ,20T i
— I (204)
2x 10 RIDGE +R rn s+R m --
3'-0• -0 q,_5• 4 5 S APPRCVEP AS NOTED
�y, I , r U DATE. a� B.H # ,ai�i
TOWEL
,r - OTIFY BU
*P w ;-� U w ' ' ' "" LT WALL CARPET BY OWNER zio 1 0 l' MAf PARTMENTA'r
NEW ASPHALT 0 O 5 (205) ( )
PE ON SLOPE -' oZ RELOCATED r ,I , TI I _ 5 PANEL I..� I2o U I� v�' // � � '� 4 PM FOR THE
SHINGLE ROOF I 10'1 012 lD °O HALL �� O (/ 10FOUNDATION
ECTWO 'REQUIRED
KKNO - p _ FIXTURES n P oDR1Nc "\ 6
3
o — �I-� �' �- _ ---- 0 EE W 8 L} U / FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
R�p �Cw - �' - - -- - - - 1 3. INSULATION
X _ 9p oeo.o p 0 - I �I 2+-9"- _ Id-T ' 1 'a° 1z'-s s/8^3 AREA OP
� �� O o I �," ,.,.,, -_ _ WOOD STAR b CEI 4. FINAL - CONSTRUCTION MUST
-_ __- -
x �-� F - N BE COMPLETE FOR C.O.
x ,�C\j - (RAILING- (n ) 0 ALL CONSTRUCTION SHALL MEET
C11
N. "FLAT° ROOF N ~ N F T �I =T.- _ ,: u0 N STATE CONSTRUCTION &TENERGY
- — - CODES. NOT RESPONSIBLE FOR
NEW CHIMNEY SL? MAIN ROOF O �-2 8 2-2x 10 DESIGN OR CONSTRUCTION ERRORS
N
OCCUPANCY OR
ROOF BELOW USE IS UNLAWFUL
ROOF BELOW `t
liz WITHOUT CERTIFICATE _
2x 10 RR 2x 0 RR
SLOPE DN. SL PE DN. WOODEN TRELLIS I. 2XIO-RR- _ 2x_l0ci) OF OCCUPANCY W
WOODEN TRELLIS ~
A o U
A PROVIDE OPENINGS FOR
3 J EMERGENCY ESCAPE AS C�
REQIJIREO GY PaS*T. 77a nr Z LU
SECOND FLOOR PLAN 25'-43/16^ F . • rh:L � ,L�;„'" ,. o
ROOF PLAN B31 /4I' 1113
-----_----EQUAL EQUAL ------I IX Q A s
41 /4°= I I-o° 3 A - I -0 3 _ _ _ _ - - - F�q tiN�.' E�a,wrrN o' (I�
3 _ _ _ _ - _ _ - _ - - -_____-____- - - - - - - .� - __ _ - - - 3000# SAFE WORYJNG 4F OUINDAT OTNLLOCATION Q
cOMPosire LOAD PROVIDE HOLD DO SURVEY W
_G_OLUMN
2x8 CCA 3-2 CCA
-- _ _ - -_ - - - , STRAPS GIRDER TO AS BEEN APPROVED. �
FOUNDATION- TYP. z
II 2-2x 10 � 3-2x 10 I Q
10 50NOTUBE 1 O VIDE ANTI-SCALD AN DAR
UNEXCAVATED p TO UNDIST. SOIL 1051 cO LIMN ° THERMAL SHOCK PREVENTING W
FILL IN TO 2” <IU OVIDE 3'-O 15R K AST m DEVICES AS TO PART. 902.6(K) z
BELOW GRADE U it C ER, TYP. r _ - - _ _ _ _ _ _ _ _ _ , WD DECK m O
N.Y. STATE BUILDING CODE.
�1@� - - - - - - - =__ _-_= 12EMOVE L - - eQRCJ L - - - - - - -I Q Q
U -+ N 1 If copper tubing is used
0 w EXISTING CJ -
U \'X, far water distributing o
system; piping shall be z
3/4 x 17/8 LUL �' rl �) SX.36 i35os� of types K or L only L1J
EXIST. FOOTING-� �o Q25�
4 ><B PLUMBING
_ 3 ALL PLUMBING WASTE
TO REMAIN 2" CONCRETE _ - x - - - 1 &WATER LINES NEED
SLAB Q ELEV. 8.0. �{
KITCHEN N w I L - - - _ TESTING BEFORE COVERING
U �c � 1� VENT EX, w LIVING R ./ DI INC RM. , 1
EXIST. CMU 0 // � STPVE TtfRU '� J U U REQUIRED
PIER - ,.eer. G'"^a M—/ WALL ,= , DOUBLE FJQ Z `�' UNDERWRITERS CERTIFICATE
EXI5T CMU STAIR CUT-OUT ZV
3- 2x6 GIRDER PER F- -3- 2x6 GIRDER - -
II � u� PLUMBERCERTIFICATIOPJ
U ry ON LEAD CONTENT BEFORE G[
L - �x I G CMU PI Dl� Cx - WALL TO WA L CARP BY OWNER x ne CERTIFICATE OF OCCUPANCY LU
2'x 2'x l ' FOOTING, TYRZ BATH M I L SOLDER USED IN WATERS z
- I --n
I z N PLY SYSTEM CANNOT O F
NOEX D OF1%LEAD. 4
FILL IN EXIST. CRAWL SPACE HALL 1 z 00
O TO 2" BELOW GRADE L -� Ya' w o
SEE SECTION A-A T-1 1^ 2'-8" 6'-2• I 1 ' 2' 5'-3" _ n
LAUNDRY 3-2x l z , 1 ONE HOUR RATED PARTITION PROVI SMOKE-DETECTI t a
2- x 110 IRDER / ALARM DEVICES -t L
L i" FLU5H HEADER _ _(iocW L AS TO PART. 721.1 r L f5Im
L N.Y.S BUILDING CODE, to
�x 16 CMU E ON J - 2" CONCRETE SLAB -_ -- - - 07) 02) o os QQ E 1°
2'x2'# I ' FOO G, TYP LD NEW CRAWL SPADE U �' �^ W
L _._ F YER — m
N - CHIMNEY D N — Q MECH.
C� ABOVE U �� o� N
2- 2x6 GIRDER U Ua ~
O \ C A
U _ �r=1r= _ 71r= = f , WD ECY� 4 CUSTOM
M_ m TAPERED WD. PLANS
EXl5T.8x I G 3-3x8 GGA N p = ; - COLUMNS
3 14� 3X 10
CMU PIER x �—
\ N
-- I G" 50NOTUBE - 5"x ) G" CMU FOUND. z ;9% - LINE OF
TO UNDIST. 501 A WALL ON 8"X2'-0" - OVERHANG
PC FOOTING
PROVIDE 3-0' ABOVE 3 —_ -
COVER, TYP. A_ _ _ _ _ _ _ _
L - - - - EQUAL EQUAL - - -2 3' 8'-I^ 8' V, 7'13" .
FOU N DATI O N NOTES:
I ion_ I 1-011 1 FI RST FLOOR PLAN 3 4' �' 7`e' 3'$^ 1 - MIN HEADER SIZE 2-2x8
1 25'-8"
3 11411= 1 '-0"
WOOD LOUVER FLOOD ZOE
ASPHALT SHINGLE ROOF
COMPLY WITH CHAPTER 1146"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE
OVI Ip2
215032 PERMIT NID MCING
DORMER BEYOND
12124101 PROGRE555ET '
CHIMNEY BEYOND ___= 10
Iz
_ - --- .oP E_ 12 4 4 TIC, PLA E
- J 1 z --- - -
r- DORMER BEYOND
I —'III
I I � 10to
12
5E_COND L 2 6 ___ SECOND L {I _
COMPOSITE COLUMN-- ' [[DIE
m
fxFIR5T FL.
--- •- - - FIRST L. _ -- - _
ELEV. 9.9 1 ELEV. 9.5
WOOD SHINGLE SIDING,TYP. WOOD SHINGLE51DING,TYP.
3 EAST ELEVATION 4__
SOUTH ELEVATION w
1 /44= 1 '-0" _
ANDERSON WINDOW SCHEDULE 1 /4' 1 '-011 ~ W
TYPE UNIT SF OPENING WHERE REO'D CD�
U
9 1832
(B 2-� 2- TW244 �° 4.36 SF (24 7/8"X24 %a")
C NOT USEDI� z W
D NOT USED
E 3-TW 203 7
F NOT USED
TW 2446 4.3G 5F (24 7/8"X24 1/4") 0 W
AW251
I 2-TW 203G' Q< N
z LJ_
Q �
� W
z
C =
A51`11ALT SHINGLE ROOF, TYP.
C
z
w
DORMER BEYOND WOOD SHINGLE SIDING, TYP.
oe
4 12 1
12
T.0 PLA E
- - -- - -
zu
G G 2 Q a o
SECOND L. 12 a) �i
=i
- SECOND L. _ Y +oc
w 00
_ ir
to
N
m L
A �os1 - -� =-- --_ W 0
� BIIIr� �loi• 1 � a
— N
i. .=, ---_F_IRST L. ..
ELEV.9.9 FIR5T L_ _
ELEV. 5.0
ELEVATIONS
COMP051TE COLUMN CUSTOM 5/4x4 WD. TRIM
TAPERED WD.
, NORTH ELEVATION 1 WEST ELEVATION COLUMNS
/411= 11-011 1 11411= 11-01'
DA
ROOF =-_
12
_ - - -==-=GONSTRUGTION _ �}
2x 10 RK Ser ON FLOOD ZONE
AA
--_ = 2x8 PLATE ON C.J. COMPLY WITH CHq ff Z=2 P AND MON
FLOOD DAMAGE PREVENTION ❑°z OQ i roR pz rrcu4T1
-- SOUTHOLD' TOWN CODE
T.OPLATE
1 -
TYP. EXT.WALL --- R-30 INSULATION
CONSTRUCT -- DORMER BEYOND
10
I0
12 - FLAT ROOF A N
MTL FLASHING - BR. 2 BAT�I-IROOM 2x4 STFJP WALL SET C.J. O '
� — 2X8 PLATE SET ON C.J. 7J
R-21 BATT
DS IN5ULATION
I2
i } — e � � dl 11 � A I rp iri Ka 1Y 1 r SECON F
lL
-
1 i� . J � ) Y `I �A� 1' ` Y � .a �' i �/ Y /,� � � / �/� / '1 �/�� � ��r X�'
--
IN5ULATION 1 1 1
--_ - I -- --- NEW FLUSH 2x I O I
- - - C.J.@I6..
N RDER
rIS
I I EXISTING CJ+GWB CLG. N
TO REMAIN IF P0551BLE
BREA FAST R.M. KITCHEN m DEN R-30 BATT.
I
/ IN5ULATION
NEW R- BATT. W
\ �j _
INSULATII�N I I FI FL. _
TYPICAL ROOF l
�'v'i� ,v,
CONSTRUCTION , �, �
\ EGIRDER W FOUND. O
TOO REMAIN WALL
1 - 1/2" AIR5PACE / z
�\ W/ INSECT SCREEN ��/�\// / / / //\ //\//\st /\\ �j z LLJ
\/\\//\\/ \/\\//\\j . O
\ \� /\\/\\
1/2' PLYWD. 5HEATI G
�� To TOP OF C.J. III=1 =1 T=III=III-1 I- - z' P.C. sLAB =1 =1 =1 -I Vvi`vv� o
—III=1 I 1-III- '
-- - --- LEGEND EDA
EXISTING WALL
ROOF BELOW DEMOLISH WALL
NEW WALL � FLOOD ZONE E� o
1 N5ULATED WALL _ ___ COMPLY WITH CHAPTER°46°
-- - - -- - -- FLOOD DAMAGE PREVENTION
- ---- - SOUTHOLD' TOWN CODE.
ELECTRICAL LEGEND OalI W2
2/5,92 PERMIT ANO P NQ
DUPLEX RECEPTACLE OUTLET az4roiPROQResss[T
OUADRAPLEX RECEPTACLE OUTLET
0 HALF HOT RECEPTACLE OUTLET
� ; I
BRI 4 SITTING RO M BR 2 ( p WATER PROOF RECEPTACLE OUTLET
(t)Gq GROUND FAULT INTERRUPTOR OUTLET
sD V
HIGH HAT FIXTURE
II I I I
DIRECTIONAL HIGH HAT
SURFACE MOUNTED CEILING FIXTURE
SMD SURFACE MOUNTED WALL FIXTURE
- - --
ink -.l --- S D � � I i I � SWITCH
BATT I HOUSE FAN—� / i
/S D DIMMER SWITCH
Q TELEPHONE
414� .. � - --
__ 1 - -N -SBR 4
15T- L S�y TELEVISION
� i� IT£
MD SMOKE DETECTOR
SURFACE MOUNTED CEILING FAN
I � -F SURFACE MOUNTED FLORESCENT FIXTURE
UNDER CABINET MOUNTED FLORESCENT FIXTURE
- --
=T SURFACE MOUNTED LIGHTING TRACK
EXTERIOR WALL MOUNTED FLOOD LIGHT
j ELECTRICAL PANEL
W
II �
TO SWITCH @FRONT DOOR Op U
z
25ECOND FLOOR ELECTRICAL PLAN o W
1 /411= 1 '-0"
D
z
BREAKFAST /� u� �J
64 ,
PORCHV O Z
Q
0
z
1
w
3
I I �
_ II_
KITCHEN -_-
I !
_I LIVING RM./ DININ RM.
EX15TING ELEC OUTLETS, _ i
LIGHTING, ETC L �
TO REMAIN IN THI5 AREA _
TO THE GREATEST EXTENT IiB Hp,M)-
w
POSSIBLE z
Q v F
c �
HALL acv
I - +• w o
I
LAU DRY r_ UP TO 2ND FILDOlt
HALL LIGH - --
EXI5IT LEC. PANEL - OILS
DEN W
��, FPyER m
04
MECh.
I JL i ro Flo r ELEC PLANS
I
4
1 FIRST FLOOR ELECTRICAL PLAN
r
4 Im01
I . ,ol r958
ORZOA
47'
2.
c� FLOOD ZONE_AE�--9-
COMPLY WITH CNAPTER"46"
FLOOD DAMAGE PREVENTION
Q SOUTHOLD TOWN CODE
�: P �► �.�
� ptO
o
GOAL
L
QROp���
i 2
Q
LIJ
W
~ U
o z
Ujo
0
SITE PLAN o
SCALE : 1" — 10'- 0" z
Q
Z LIJ
O =
a Q
C)
SITE DATA W
SCTM # 1000-53-06-15
PROPERTY: 3655 Bayshore Road
ADDRESS Greenport, NY
OWNER: Ed and Eileen Maher
516-220-9336
SITE: 6,696 s.f.
AREA
w
ZONING: R-40 f
Non Conforming
FLOOD: AE(elev. 8) m ,:
ZONE
SURVEYOR: Peconic Surveyors, P.C. „
Southold, NY a
631-765-5020 w
N.Y.S. Lie. No. 49618
Dated Feb. 13, 2001 „
NOTES: 1. Elevations shown are based on an actual
field survey and referenced to N.G.V.D.
2. The location of cesspools shown hereon are from SITE
field observations obtained from others. PLAN
HEALTH I am familiar with the standards for approval and
DEPARTMENT construction of subsurface sewage disposal systems
STATEMENT: for single family residences and will abide by the
conditions set forth therein and on the permit to
construct.
„ . ,-.4,',..,l,Eu,^.4..�,,.,,.,...,�,a+.,+.,a�, ,,7-�,. "n'r„`.;', ,,+.,.,.:ru..'.��'. ..:.:'�s,Jl"5),,'!.ral [ �>�a”r:+'AP•u'a.,,...:,,�, �' ` .,p�,,..,,r.,tr.'w��...`"��",, :1!.7!.�ll a.,. '. �'M1.'-:�"V^;q�, �� 1r mos .
±?r>•gc7tT^�, � F^''� ,d, .."'r.. W.. , ,".x . q,,rA r,,.. n 4 ; .7T..
L `:4 P "w., r :C F c7i�•. ' Y . "Rr
j,
., ., � ., -, ' • .,d .,-,� '' ' , �. . , ' ' i , .:"�� li '� 'a. . ..P: .Ni
CRAVE EL. e,0' Do
DARK BROWNa'
SILTY LOAM OL.
01 "
PALE BROWN G, D.
LOAMY SILT r
ML
3.0' ,._ U
BROWN SILTY
SAND WITH 20% .= •u - �: 1 �.+, j : 1
GRAVEL SM
C.W. EL. 2.4'
MRTMEMT OP HEALTH SERVICES 5.6' L LJ� ` !
SUFFOLK COUNTY DE ^
WATER IN BROWN ` �_ �_� +
PKRMITFolk APPROVAL OFCONSTRUCTIONFOR A SILTY SAND WITH i
SINGLE FAMILY RESIDENCE ONLY 20% GRAVEL SM -
EL. -1.0'
9.0• v
as 31HS. F. Flo O_ _ '__pO_b6-
da'
a -
DATE ",''l��J� ,.,,, _ (S
WATER IN BROWN
APPROVED i
FOR MAXIMUM OFA BEDROOMS \32 �3, 9 FINE TO COARSE
SAND WITH 20% LLJ LU a-
CX14NFSTHREE YEARS FROM DATE OF A" GRAVEL SWPROYAL S 3 "" ', 1
s
T {�
,R� - TEST HOLE C z Ij
A"IW9PEl, RECiU r (� � 0
FppBANITARYSYSTEM 5so¢NpOf` � i NO SCALE Z '
I
TEST HOLE PERFORMED BY McDONALD GEOSCIENCE 10/3/01
i'!
LfHDEPARTMENT C 19tRWO5Ep 2 m
m q —
0
AO"
oO, God„ GOND. Pppgpapo"y
I
73
kp
E�. S' 6pRPG ��
Od\ µpPEP�GH / CAP
2' DQE 0a. p� �GpOH�p��PH�X 9'PE0 S '1
AOR ANO AN9 G�J0 r {��
co / / ` \\ A0 y'E�O %' :! EDGE OF BUILDING S - 6' DIA. x 2' DEEP - .`+,
0
2 S� 10, \ 50
LEACHING POOLS aa3ti� �r
CAST IRON COVER TO 4' DIA. CROSSOVER PIPE
FII. FLR. ELEV. 9.9 +u m
'0001, w- GRADE EL 8.6 GRADE. TYPICAL
TYPICAL OF POOL'
CRAWL SPACE I.E. 6.2
`` , • �E5T /a IE. 6.7 1000 GAL LP. l.P. "gyp
5;y ���111 s slem IE. 7.0 -/ SEPTIC I.E. 60 EL. 4.a'
p M\N oLE ent of existing sanit I, 9 — -- aY '�1�.
tpi)NtWitnessedbyHeaIthDepal<ment t TANK GROUNDWATE 'EL. 2.4 J�,s - L�
I� L. — _ _ _ _ _ — �I BACKFILL EXCAVATE O ELEV. N LO
pp0'' T :' �. , � I I 'ti �."'♦
S N. „owe - T
WITH CLEAN
p ? x oe-VIP°
AND GRAVEL LL ;111
° �. Sb Ao„ NOSCAL°OYPw°° .D PROFILE
is o EI
'13'00` r
q r6 �
9 cj b" ,yp
a ,V
Loo
•+ i <M1
P / \
V VOA� I ! ii• (O F
4
~' i 3�{
cr
LANE •�
15L ANS VIEW ryI
N
�] C
SANITARY SYSTEM PLAN ee�a-ee b ` i u�r
'a 'o
SCALE: I"=10'-O" ,
TAX MAP NO. 1000-53-06-15 e
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