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Home My WebLink About26670-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27735 Date: 06/07/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 830 DEEP HOLE DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 115 Block 12 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2000 pursuant to which Building Permit No. 26670-Z dated JULY 25, 2000 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES INC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0144 04/17/01 ELECTRICAL CERTIFICATE NO. 1715 02/26/01 PLUMBERS CERTIFICATION DATED 03/12/01 G.A.H. PLUMBING f \ A rized Signature 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. 26670 Z Date JULY 25, 2000 Permission is hereby granted to: SCHEMBRI HOMES INC 2042 N COUNTRY RD SUITE 203 WADING RIVER,NY 11792 for NEW CONSTRUCTION OF A ONE FAMILY DWELLING WITH THREE BEDROOMS AS APPLIED FOR (DECK NOT INCLUDED) at premises located at 830 DEEP HOLE DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0012 Lot No. 012 pursuant to application dated JUNE 9, 2000 and approved by the Building Inspector. Fee $ 618 .00 Authorized Signature ORIGINAL Rev. 2/19/98 rorm tvu. u �' I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF ��ANCY-__'-. A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 fo'rm) . 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 a 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 - .25v. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residen,tiialf $15.00, Commercial $15.00. Date .:'::'Il.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Or Pre-existing Building New Construction. ,. . . . Ol , g. . . . . . . . . Location of Property. . . . .. 1 . . ... . . . . . . . . . . . . . . . I tC�t�/ . . . . . . . . . House No. Street Hamlet • •�: 1r+'1 . . . . . . . . . . . . . . . . . . . . . . . Onwer or Owners of Property. . . . . . . . . County Tax Map No 1000, Section. . .` . . . . . .Block— P. . . . . . . . . . .Lot . ` A.. . . . . . . . . . . . . . . . . Subdivision. . . . . /I.,�.,,. . . .Fil /dam Map. . . . . . . . . . . .Lot. Permit No. .a.Lo !, Applicant M.Date Of Permit. . ...�a:� vo �/'�� . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .!� ,J, . .��(Lq,Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certica . . . . . . I Fee Submitted: $. . �RG5g3�� . . . . . . . . . . . . . .APDL C . .T . . . . . . . . . . . . . . . . . . . . . . . . '+AI"co 0 35 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY CERTIFICATE OF OCCUPANCY No Z-27635 Date APRIL 19, 2001 THIS CERTIFIES that the building NEW DWELLING Location of Property 830 DEEP HOLE RD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 12 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2000 pursuant to which Building Permit No. 26670-Z dated JULY 25 2000 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 ONE FAMILY DWELLING * The certificate is issued to SCHEMBRI HOMES INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0144 - 4/17/01 ELECTRICAL CERTIFICATE NO. 1715 DATED FEBRUARY 26, 2001 PLUMBERS CERTIFICATION DATED MARCH 21 2001 - G.A.H. PLUMBING *THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM TODAY'S DATE. UPON COMPLETION OF KITCHEN SPECIFIED ON PLANS, FINAL CERTIFICATE OF OCCUPANCY WILL BE ISSUED. Bu/4 ding Inspector Rev. 1/81 J41 19 '00 12:29F11 '=,OUTHOLD Tik-111 HALL 516 76E, 1623 P. 1 O�a�ffOt��O o Fax (5`16)765-1823 Town Hall, 53095 Main Road N Telephone (516) 765.1602 P. O. Box t 179 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I V I C A T I O N DATE. lCIL Q Building Permit No , al �� owner: �ivLw6C ��^''"-�� (please print) Plumber: 4-4J�' Pis„X— (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (pluroevs si nature) Sworn to before me this IO� day of Q� ` S ly County ( ' UNOA N.,AANSEN Notary Public, WrAp PUBLIC, State of Nevi vorfi )rlo. 52-4524455, Suffer 0,, 6°, 7 �/Q� Term Expires 02/01/2001 15: 29 6314771746 ELIHADMIN PAGE 02° k .IAN-2K-!p1 r=13,1 03 :05 PM SCHEMBRI Homes INC 516 929 64r8 � y Schtrubri Homsa ; '6042 North CoLuitry Rd Fy V/adina River,N.Y, 11792 1 (63 l)929.396 N : (631)929.6375 fax � )Amery 26,2001 Attention: Southold Towu Building Dopt.&Pwt COan r t RE. Z50'20670 �4 ~ Piaase be advised that in regards to above residence at 830 peep hole Drive,Mattituck,that c0totne(, ti1r. Paul Conner takes responsibility to providc and install kitchen cabinets. Mr,COMW also accepts s responsibility for providing do iastalling Catpet in untlnished rooms. (Proper credit will be applied for cabinets&carpet at tune of eloai* At this time w%are requesting your consideration for a Final Building r Inspection for C.O. with the above mentioned work Ictt to be completed by Mr.Conner after iaauanca of s = Certificate of Occupancy and closing. ` Respect[nl ly, Anthony Schetnbri a Paui Conner i Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street• Center Moriches,New York 11934 • Tel:631-878-3500 • Fax: 631-878-3764 Application No: 1715 Date: 2/26/01 Issued to: Schembri Homes Address: Deep Hole Rd Village: Mattituck Zip: 11952 Township: Southold Introduced By: DeLane Electric Inc License# : 4354-E was examined and found to be in compliance with the National Electrical Code MCS 1st Floor El Residential0 Pool Det.Grange Basement El lid floor❑X Caorrrr>erdal Hat Tub Pfd Defects OEM Switches Receptacles Fixtures G.F.I. Heaters AirConditioners 26 42 37 4 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide 1 20A 30A 1 Furnace Oil Gas Circulators Smoke Bell Detectors Transformers 1 Yes 2 6 1 Other Meter Amps Phase Motors Equipment 3-Exhaust Bath 1 ODA OH 1 1-Wall Oven 40A 1-30A Cooktop 1-20A Well Pump -Air Handlers -30A Compressors O ut,Res This certificate must not be altered in any manner Section: 115 Block: 12 Lot: 12 WMI ("n-� New York State Department of Environmental Conservation NO E Tic The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number 1'�73r.,01179laowl JOHN W. PAVACIC Expiration Date / 30 —CW0 NOTE: This notice is NOT a permit 7 0 T65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ J FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS• C.O ,DATE �3l � IN8PECTOR BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLAC & CHIMNEY 7MA7RKS: 0 DATE INSPECTOR �`"'� ass-ieox BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ J FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY RE ARKS: �� _fit/c�.Cs� 9f— ,DATE 31,9101 INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RQUZ`aN PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE � YV � INSPECTOR �n/f� BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ �OUGF1 PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [i.-<FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• ,DATE < < (.1 00 INSPECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ -FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE / 7/cO INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY i REMARKS: -SIT U DATE � •� p INSPECTOR �«-!� M-iso2 suu.niNa oar. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 1 FIREPLACE & CHIMNEY REMARKS: �n DATE rMkIdn INSPECTOR �� p II II II FOUNDATION' ( IST) — II II II II 7_ ll —� FOUNDATION (2ND) II /� u I'll OF I� o ROUGH FRAME & -,-a -J- ---- ------- ,-, it--- — ---- PLUMBING ------ -01 X e INSULATION PER N. Y. ii II STATE ENERGY ii q CODE II p r ------------------------- --- _____ - ---------- oearay II IIOFc H t\ ii --11 H 3/ rel FINAL a �� u ---- -------- __=__=___ =__________________� - ` ------------- o - - - -- - ---- ------------ ADDITIONAL COMMENTS: - ------------------ ---------- 01 $ i S t o o - Ilk, J � � H H n ---------------- ----- MAR-0$-01 FRI 02 :26 PM SCHEMBRI HOMES _ INC 516 929 6379 P. 01 02/01/2081 15;2.9 6314771746 EL,IHADMIN PAQf 02 1 FFIg 0;1 am PM SeMEMln s Homes INo 01* 929 **is r'• �� S6herubri Homes ;002 NorO Cmattry Ad ; aWina Rlyst,K.Y. 11792 (61 l)429-396 k631)929.6378 tax January 26,2001 Attention. Southold Town Bulkling Dept.6t Pavi Coarser RE, ZBo 26670 - Please be advised that in regards to abort tesidenee 11830 Decp aloin Driver Mattituck.that Cllitomer,vtr Paul Conner takes respoostbliky to provide and install kitchen cabinets. Mr.Coater also Accept responsiblltty•or providing dt iastalling carpet in unfinished rooms. (proper credit wOl be applied for cabinets&carpot at tient ofeloatng) At deb amt ws are mquosti%your consideration for a Final Build)n` Inspectiorw for C.O. with the aboye mantiored work left to be eotapleled by Mr.Coaner deet Issuance of Certificate of Occupancy and closing. ` e Respectfully. / i zoo,I Anthony Sehernbri Pau!Conner 11• NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT NUMBER 1-4738-01179/00001 ® EFFECTIVE DATE FACILITY/PROGRAM NUMBER(S) Se tember 13 1999 PERMIT EXPIRATION DATES) Under the Environmental September 30, 2004 Conservation Law TYPE OF PERMIT ❑ New ■ Renewal ■ Modification ❑ Permit to Constru,:; ❑ permit to Operate ❑ Article 15, Title 5: Protection of Waters ❑ 6NYCRR 608: Water Duality Certification ❑ Article 27, Title 7; 6NYCRR ❑ Article 15, Title 15: Water360: Solid Waste Management Supply ❑ Article 17, Titles 7, L': SPDES ❑ Article 27, Title 9; 6NYCRR Water 11Article 19: Air Pollution 373: Hazardous Waste Management ❑ Article 15, Title 15 Transport Control ❑ Article 34: Coastal Erosion ❑ Article 15, Title 15: Long ❑ Article 23, Title 27: Mined Management Island Wells Land Reclamation ❑ Article 36: Floodplain ❑ Article 15, Title 27: Wild, ❑ Article 24: Freshwater lJettands Management Scenic and Recreational Rivers ■ Article 25: Tidal WQtlands ❑ Articles 1, 3, 17, 19, 27, 37; PERMIT ISSUED TO 6NYCRR 380: Radiation Control Staple Chase TELEPHONE NUMBER ADDRESS OF PERMITTEE (516) 922-1808 143 Centre Island Road 0 ster Ba NY 11969 CONTACT PERSON FOR PERMITTED WORK EnConsultants, Inc. E(516 PHONE NUMBER 1329 North Sea Road South a ton NY 11068 NAME AND ADDRESS OF PROJECT/FACILITY ) 283-6360 Chase Property 830 Dee Hole Drive LOCATION OF PROJECT/FACILITY SCTM #1000-115-12-12 Mattituck COUNTY TOWN EDeep RCOURSE NYTM COORDINATES Suffolk Southold holeCreek DESCRIPTION OF AUTHORIZED ACTI%, TY: Construct a single family dwelling, deck, sanitary system, bluestone or similar pervious driveway, underground utilities and bank vegetation. All work shall be in accordance with attachec' r." -DEC stamped approved plans. This permit modifies the originally approved activities to eliminate the catwalk, ramp float. By e of the rmittee agrees that ECL, all applicablec egulatiions, the,General conditions specified'(s, - i9e i2 & 3)contingent nd any Special Conditions compliance with the part of this permit. nditlons included as PERMIT MINISTRATOR: J n . /Wieland LJS td_. g. #40�suNyStony Brook, NY 11790-235 T ZED SIGNATU E j ',fE n:bcr 13, Page00f 5 Albert J. Krupski, President �OSUFF�(�'C' Town Hall James King,Vice-President h�0 �Gy 53095 Route 25 Henry Smith Z-3 P.O.Box 1179 Artie Foster v2 = Southold, New York 11971-0959 Ken Poliwoda �y �� Telephone(631) 765-1892 'IJQl �a0 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 6 , 2000 Mr. Peter Schembri P.O. Box 163 Wading River, NY 11792 RE: DEEP HOLE DRIVE SCTM#115-12-12 Dear Mr. Schembri: The Southold Town Board of Trustees reviewed the survey dated June 24, 1995 and last revised November 29, 1996 and determined that the construction of a single-family dwelling and deck to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75 ' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, 9 Albert J. Krupski, Jr. President, Board of Trustees 1 AJK/lms STATE OF NEW YORK ) ) ss.: COUNTY OF SUFFOLK ) -r , being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at a� That on the day of %"M" deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). Ar t/Engi Sworn to befcpfe me this 000 ,2 day of O Q--- � Notary Public l:.AxuL L. 1KVING Notary Public, State of New York No. 4867673 Qualified in Suffolk County C1Mnnieeioo ExPim Apr. A WO �-- cc: applicant Cd NNlrQ New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, NY 11790-2356 Phone: (516) 444-0365 Fax : (516) 444-0360 r John P. Cahill Commissioner �4 9 September 13 , 1999 Mr. Stanley Chase 143 Centre Island Road Oyster Bay, NY 11771 RE: 1-4738-01179/00001 Dear Permittee : in conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with 'any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Laura J. Scovazzo Environmental Analyst I LJS :cg enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01179/00001 ■ September 13 1999 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental September 30, 2004 Conservation Law TYPE OF PERMIT ❑ New ■ Renewal ■ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater '.letlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Stanley Chase (516) 922-1808 ADDRESS OF PERMITTEE 143 Centre Island Road Oyster Bay, NY 11969 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER EnConsultants, Inc. 1329 North Sea Road Southampton NY 11068 (516) 283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Chase Property 830 Deep Hole Drive LOCATION OF PROJECT/FACILITY SCTM #1000-115-12-12 Mattituck COUNTY TOWN WATERcouRSE NY TM COORDINATES Suffolk Southold Dee ole Creek DESCRIPTION OF AUTHORIZED ACTI','ITY: Construct a single family dwelling, deck, sanitary system, bluestone or similar pervious driveway, underground utilities and bank vegetation. All work shall be in accordance with attache(: DEC stamped approved plans. This permit modifies the originally approved activities to eliminate the catwalk, ramp r, . ! float. By acceptance of this permit, the permittee Egrees that the Itirmit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (s, r -ne 2 & 3) and any Special Conditions included as part of this permit. PERMIT MINISTRATOR: A PDRESS J n ./Wieland LJS ldg. #40, SUNY Stony Brook, NY 11790-23 T ZED SIGNATU E / E 13, 1999 Page 1 of 5 cber utvv +'UKK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATON NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS 71temermittee Accepts Legal Responsibility and Agrees to Indemnification ermittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation ae of New York, its representatives, err ployees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. 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. 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. GENERAL CONDITIONS General Condition 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. General Condition 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. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for 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. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered;or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. DEC PERMIT NUMBER 14738-01179/00001 TPAGE 2 OF 5 PERMIT.Tw,rev.6199 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 (TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. 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. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may 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. 8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. 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 and, if required, a survey. 10. Ail activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Roderick VanTuyj_(sUrvey) Inst revised 11/29/96 and Bank Planting Plan by EnConsuttants. both stamped NYSDEC approved 9/13/99 DEC PERMIT NUMBER PAGE3 OF 5 1-4736-01179/00001 L I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVAT!CN SPECIAL CONDITIONS 1. 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 tidal wetlands and or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 3. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.), b, Stabilized as per specifications identified on approved plans. c. Temporarily stabilized with straw or hay mulch or jute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. 4. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 6. No permanent structures may be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). i 7. Docks/catwalks/floats may not(a) extend laterally beyond property lines, (b)be placed so that docked boats extend over adjacent property line, (c) interfere with navigation, (d) interfere with other landowners riparian rights. 8. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 9. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 75 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 10. Roof runoff shall be directed to drywells a minimum of 100 feet landward of the tidal wetland boundary for immediate on-site recharge. 11. Driveways and parking areas shall be constructed of pervious material. 12. Roads, driveways, and/or parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 13. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 14. The permittee shall incorporate the following language as a notice covenant to the deed. "Regulated tidal wetlands associated with Deep Hole Creek are located at Deep Hole Drive, Mattituck, County Tax Map Number: District 1000, Section 115, Block 12, Lot 12, otherwise known as the properties of Stanley Chase and his heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law(ECL)Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." DEC PERMIT NUMBER PAGE_4 OF, 1-4738-01179/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS is This deed covenant shall be recorded with the Clerkoo of rel oCd,unty within 90 along with the numbers of he issuance of assigned tot ishperpmitmshall copy of the covenanted deed or other acceptable p be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Habitat, SUNY Building 40, Stony Brook, New York 11790-2356, 15. The bank shall be planted with approved species as per plans and the applicant shall ensure a minimum of evaluate the survival of plantings by the end of five growing seasons. If this goal is not met, the app restoration project in order to determine how 40meet SUNYemitigation i ya8roo o l 11790-2356.tplans to be approved to the Bureau of Marine Habitat Protection, Building �1 I` I I PAGE—5 OF 5 DEC PERMIT NUMBER 1-4738-01179/00001 Albert J. Krupski, President �OSUFF0J/r Town Hall James King,Vice-President �h�0 �?y 53095 Route 25 Henry Smith o P.O.Box 1179 Artie Foster ti = Southold, New York 11971-0959 Ken Poliwoda % Telephone(631) 765-1892 'll�l Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 6 , 2000 Mr. Peter Schembri P.O. Box 163 Wading River, NY 11792 RE: DEEP HOLE DRIVE SCTM#115-12-12 Dear Mr. Schembri : The Southold Town Board of Trustees reviewed the survey dated June 24, 1995 and last revised November 29, 1996 and determined that the construction of a single-family dwelling and deck to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75 ' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call . Sincerely, 9L Albert J. Krupski, Jr. President, Board of Trustees 1 AJK/lms STATE OF NEW YORK ) ss.: COUNTY OF SUFFOLK ) being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at a� That on thea- day of %"M" deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). #rtV/Engi Sworn to befqre me thiso® �2 day of tt-� 1\A Notary Public (:.Aw-)L L. IRV1NG Notary Public, State of New York No. 4867673 Qualified in Suffolk County Pummieeioo Ezpim Apr. 28► QO Z .r cc: applicant Co NNlSrle SGTS+ t ori - 11.5'- 1; P44 t*X 1 P BOARD OF HEALTH . . . . . . . . . . . . . . . 9FORM N0. I 3 SETS OF PLANS JUN 92000 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . y m BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . CPT. TOWN HALL SEPTIC FORM . . .. . . . . . . . . . . . . . . . t'�J� v .1I � SOUTHOLD, N.Y. 11971 _.. TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined. .1�o..... 20AW MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.. g...... Zocsa. Permit No. �...O... ................................... Disapproveda/c .................................. ................................... ...................................................... (Building.Inspector) •. APPLICATION FOR BUILDING PERMIT. Date.S�. . . . . . . . . . . . . . . 20.0 INSTRUCTIONS a. this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and 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 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 MALE 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, houAc , andregulations, and to admit authorized inspectors on premises and in building for necessary inspectio� ..... �r....��?G.... ......... (Signature of applicant, or name, if a corporation) (Mailing address of applicant i&,1)/AVIdel APE--Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or .................................. . ? 9.G.. . °�e?. ! .-�...!z>........................................... Nameof owner of remi s .................... .................................................. (as on the tall*roll or latest deed) If applicant ' c -ati signature of duly authorized officer. i (Nam and title f corporate.officer). ..•••. •••••. Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done. ....L........ ........................ . .. .... , '? ..��. ".. .��...........C.h1?.?.Zl.c ............................................. House Number Street / /Hamlet Canty Talc Map No. 1000 Section ..1/ .......... Block ...../.° ......C.�j. lot ll....!. ..../.... Subdivision ...................................... Filed Map No. .. ..L. s�4... Lot ..`"!.�7...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... ............................................................ b. Intended use and occupancy ..!'!.�j ......�! .... .. •��rf.-. 0i;Y+v v4 I. Nuture of work (check wlhich applicable): New Building ... ...... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) Cstinhated Cost ...1.. • ..V........ fee .............................................. �•• (to be paid on filing this application) If dwelling, number of dwelling units ............ tkirber of dwelling units on each floor ................ Ifgarage, cumber of cars ............—...................... If business, comhercial or mixed occupancy, specify nature and extent of each type of use...................... 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 ............... d Dimensions of entire new construction: Front ...� ..�... Rear ...: : 5 �.. Depth Height ......................... Number of Stories�.... . ........ / Size of lot: From ...��..�.......... Rear ....s?�?!tV ... Depth ....l.� 7........ 0. Date of Purchase ..................... Name of Former Owner .... ..... .......................... I. Tune or use district in which premises are situated .................................... 2. Does proposed construction violate any zoning lata, ordinance or regulation: ........................ 3. Will lot be regraded ...y&05.......... Will excess fill be removed from premises: YES CP 4. Names of Owner of premises ........................... Address .............................. Phone No. ............. Name of Architect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address ....... .................Phone No. ............. 5. Is this property within 300 feet of a tidal wetland? * YES .... ..... NO .......... *IF YES, MMUD TOWN TRUSIF.E.S PM41T MAY BE MQUIMD. PLOT DIAGRAM Iocate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ran property lines. Give street and block amber or description according to deed, and show street names and indicate hether interior or corner lot. 1,13 (Kli's OE NliYt�iK �� JUN ..... .....� �..... h e. JL J ...........being duly sworn, deposes and says that he is the applicant Hare of individual signing contract) rove named, istlhe .......... ..... ... .. ............................................................ (Contractor, agent, corporate officer, etc.) f: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ppl.ication; that: all statements contained in this application are true to the best of his knowledge and belief; and ihat the work will be performed in the marnier set forth in the application filed therewith. worn to before me this ` `...... of .V1 1'.. ,.:20.0Q. ! Notary Public .. Ut3tl�,St�Newllbrk ............. ........................ o.01806020932 Qualified in Suffolk CourtJ� (Signature of Applicant) Term Expires March 8, 2 1_ Qo � r �P ONE X Town of Southold Z 360813 �9 r m � 'af � ZONE X k m Yx a r0 9 ZONE Xr . 3 rn ZONE X Z o , x AVE ZONE X SOFFO� bt m m om o v Z 3 ZONE AE = v (EL 8) m Vin' N Dow D ZONE X4 wi ZONE X LUPTON POINT P ZONE X PO \G� T TITUCK (PORT oa ;. .^ ZONE X e ZONE X i r BUNGALOW z y N Y. �Q PVE ZONE X4 ZONE X r+ PARK ZONE X COASTAL BASE FLOOD ELEVATIONS APPLY ONLY LANDWARD OF 0.0 NGVD f a.ce f 5 Town of Southold 360813 BAS NIC nFC� C � BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: � wu/ /� 92S Reviewed: >16-0 �.2�- Architect) 9.641 Date Engineer: Submitted: SCTM #: / / District: 1000 Section: �� Block: !� Lot: !oZ ProjectT Subdivision as QL Location: D Il Q`-� Y►-, Name: Single&separate Required certification: (Yes/No) <.D a Req. I Req/ / �y Zoning District: —gam [Lot size: K- Actual: /0�� AO ] [Lot coverage ?0% Proposed: ] [Front Yard -3j/ Proposed: 3� [Side Yard /C Proposed: ,�/ZSR [Rear Yard Proposed: Project Description: Nzb T SA�x AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. ✓ /o-9S o1�¢ �d New York State D. E. C. .11/10 6 ,e� Town Trustees Town Zoning Board approval: Town Planning Board approval: ✓ ✓ Flood Plane Elevation??? Flood Zone: ' Notes: m,r sx ya-► PLANrs_ 4cj< 2 - 3�� I1\- 6 7L A-el-r Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/05/00 Receipt#: 2173 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 2173 Total Paid: $10.00 Name: Schembri, Homes Inc 115-12-12 Po Box 163 Wading River, NY 11792 Clerk ID: LYNDAB Internal ID:12083 Q3 o v&-6P H O LE 1>,e. 4w*r t ruck } SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. ` d S6=l/h�FGfCS DK�v�s s T iu.+i�Ta►-,..► 6 x ►-r rcy . tl L "C" j. - -- -- FL-COO ?.0"e L I VES S WELLuj EGiNTON Lu 1WMWW . AS STATEMII MT ge� 141104T 4T: ' `RES IVENCE'` i. { U THE WAFER SUPPLY .AND;SCWA 01spa" r' Q 'M f SYSTEMS FOR THIS, RESI £riiC � C FOOL" t ,� t r / MON.o.4cw, va { 1 !K NFOOM TO THE STANDAO'M • � CO I f SUFFOLK CO. E* _5.87 Iq E. 7 ' ` 7d6- AM.. i/M 11t ! ! AI Up ul 3. SERV14E8: !` 3 t_ !. A •� �D�-•. COM 1C110N Ct3K;T I 1,ON CA + . ' raaLE _ to i �� rO11C�0�C. DATE: ALL CO THE R MEW 1 M•'aJr; I`�i' STATE STRUC 1 • VIEW A"RW ( CODES RESPONSIKE FOR ARTMENT OF M&M SEIF"M DESIGN CONSTRUCTION SUFFOLK apUN'tY I' u, # � i Stj POL:K `CO. TAX M/1;P Qt5'F. ICT, pmtxff FOR APPROVAL OF CONMUCTION FOR A LOS tG l t' o ICk70 !1 # SIGLE FAMILY RESIDENCE ONLY ( St DEI XF. OWMr.RS A55 _ AIZEA'z 1.0,500 ss. APl'RO 'POC LsI.� t h1,o►N WA ` 3 G e�t Chase FO NIAXIItiiUM.OF BEDROOMS �;- %=Ix1.1` ` 143 0entre andflood lood EXPIRES MWC YEARS FROM DATE OF APPROVAL ` ',� ( pyster Bay,.N.Y. 11771 EX ts� !arUAO tea PLAN i I ED: I.. , P: . ,. Approved in accordaace with &WWd Of RwiaM S._.._3 �� e., ,��ctS•r. determination dated,.,. ,---.-,--- �__ i' � m this eun+ey Iru 6ktalian d ' /��i�%�l✓ '� G� i f` S�lld-U 0.� 8.1 T•4 4 7.{ ,�F _�7M tuoniawtmer�er.rtur• 4a,itl"s o.+h!s sfuvey map ruri�f s ;. L s•,_ tMd fa.d survsyarsi3odseat or i MAP PfZG PEATY .nhosc*4 .Wt, be Y Mbea.audm+eaopy t xF - GC[3�.1tV(] 1h(+4'} " �'L• .�'}( Yl owsanihes indonfor heron a as W or 1 is the Peuon to x om .¢..+^�s1r is w •:.rod d n.,r s.A STANLEY > CHASE •.a.— ........—. ......,I.., wJ fe that 1icmW ' 1 .t Y• Iia NOV., , �..ttr rrsta�t '"'� + t0 L�dR�...'i•.I Y�dw.u.•C1 cc r,'f 1' ' Q MMl'W>R fr A 0. MAT 11:T U C.K ,OWN OF SOU7�4 MAPPEDWr NOW it !" ly''��Isba�j1w+wGi-A-.iF• •wb FRT Tyr v . I `F• ' I /il !" ..•. r �Fjy Q � S . �YY`��.��T•�� _ GlR" E T Y WW YORK 'Am �. y.. N .. .. ... .... - w a .. . .. .• - 4,.. n. •�.i fid•,.;:.:ASe a Y. �l ' r 0 NEW SUFFOLK AVENUE SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN Of SOUTHOLD SUFFOLK COUNTY, NEW YOLK S.C. TAX No. 1000-115- 12- 12 SCALE 1 "=20' AUGUST 8, 2000 N X/O/F AREA = 10,411.80 sq. ft. JAMES XCINTON (To TW LIW) 0.239 ac. W � IS 8711'20" E _ - �,rN, 19.9.89' W ,� aevpw►r , Air- �/ ADd11Cpt► A Cb ( p• ° 0.4 O F-L-I N M N470 !� u CONCRETE FOUNDATION a O ' 2 v I . (� II I AUG 22 2�0 1 id ev C4 470 3W 2 0 o O A . wAtmWMTW �M FOLIM BY IM LLAA.& NFM SIX" USE 1w 7w wv Nm SUK Um V)87 19 20 W W TALE ASSOMaM. N/%, 214-04 :',. ` •�.,- ��-Alvo JOAN KOSLOSKI STELLA KOSLOSKI e •� ' � o �IL k N.Y.S. Uc. No. A. kVegm r=5009'06"!IOVNOtOJR NtM1 Land Surveyor =mtOF 7W N" YM STATE tA1M. 00lMt:'8 OF 1MI6 StMlVEY NAI NO=(* Tw uem-MURrEMMR'�5 NSD fi — S" "MIS — Cme&ucughl Lgmowd t+n w10 INK oo� e� W!:"ft= PWW (631)727-2990 Fax (631)7227-1727 IY AND TO OFFICES LOCA10 AT WAAVG A001iS THE E%13iE#= OF RMTS OF MY IMA 1390 ROOM AVEWX P.O. Bac 1831 ANO/OR OF RFS. IF Vo GF t wn- AtiY. NOT Sli01MH AIIE N07 AkNYtAMiEE9. TUt70N. �. tE�. New York 11901 FMverheod, New Yortc 11901-OMO6 26— A NEW SUFF'QLp RVEY OF PROPERTY K AVENU SI TUA TED A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 115- 12- 12 SCALE 1 "=20' AUGUST 8, 2000 N JANUARY 30, 2001 FINAL SURVEY N/0/F a0 AREA = 10,411.80 sq. ft. .TAdlES EGINTON (TO TIE UNE) 0.239 o c. S 87'19'20" E S.C.D.H.S. NO. R10-95-0144 4V iBULIOWAD 1.3'N SULKW.AD a �., 1.6'N _ a _ �w� w LAWN ORMAW s ' . 199.89,o SUF7FOuK COUNTY DEPARTMENT OF HEALTH SERVICES 00 M ` �� of LAWT DIdVEIrAY �. 4 APPROVAL OF CONSTRUCTED WORKS FOR O 3.0's --q A SINGLE FAMILY RESIDENCE � *0% ale, 1 b Oy N — — ri am oRlrtiwY O to epQ 17 W H.S.Ref.No. �� O l y q �"` � �� i� 119• ��'� CDIISTRUC710N) � I sewage disposal and water supply facilities at this location have been w �� 47.4' ___ 3sA — inspected and/or certified by this pepartment or ether agencies and found to q W �� ~ 13satisfactory FOR MOF B DROOMS. 2-1/2 STORY �:. � FRAME HOUSE - St hen A.Costa,P.E.,Chief Office of Water and Wastewater Mana Cmcnt 04, tD0 I I � � 8 N N 47.4' o w00101 srEPs ___ — N • z c O d - PREPARED IN ACOORDMICE 119TH THE, SW"Ws FOR WU SURVEYS IIB IRON UM I/l BY THE L..W.S. ALO AP M40 AM / D r, FOR SUCH UK Bf THE NEW STAAL LAK) ` 8T 19'20" W , w 214.04' `w N/0/F �os_PH A 6, JOHN KOSLOSKI * 4 y s �7n STELLA KOSLOSKI d - �� ew Approved in accordance with oar of Review N.Y.S. Uc. . 49 4 determination dated u 3 Joseph A. keo UII/iIM01tl ALTERATION ADoff" L Surveyor TO TSURUR NIO VEY 6 A LA1AT 10N OFF HIS SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPES OF THIS SURVEY MAP NOT WARM THE LAD SUFMEVOR'S ,LIKED SEAL OR EMBOSSED SEAL. 94ML NOT BE CONSIDERED Me Surveys — Subdiviwm — Site Plops — Cam6tuebon LcryOut TO BE A VMA 70JE COPY. CERrt ANONS INDCAIED HEREON SHALL RUN PHONE (631)727-2090 Fox (631)7227-1727 ONLY TO 71E PERM FOR11LIIOM THE SURVEY 11E0 IS INNO . MID ON HIS L1EflALF TO THE Off1C£S LOCATED AT AfAf1Nr6 AOORfSS THE EXISTENCE OF WHTS OF WAY URE OOW01Y. OONERN�MAL AGENCY AND AND/OR EA Md1T3 OF OMTMOAO. IF Q AMIE L � - 13W ROANOKE AVENUE P.O. Box 1931 ANY, NOT SNOWM ARE NOT GUTARANT£ED. � ME NOT TRANSFERABLE. RIVERHEAD. New York 11901 Rtwrlleod, Now York 11901IL 20-43219 ( rrl CF SST 6 ��cG Ski u'- o � Ii�' „ CONT RIDGE VENT L AS NOIEN OAi! oJz anOUR# MOUSY BUR MG DEPARTMEIR R 7S61SOE E AM TO 4 FM FON IM __ RAKE. TTP. _- 10 _- -. __ -'-- FASCIA TYP. FOUNDATI0TI TWO REMORSE lo" FRIEZE BD. TYP. —_ --��..�ePu.u.r.RcoP eNINGLee rtrP)1. z-- - FORFOURMCONCRETE t AOIFDN • FRAMING & FLUMNO 0. NNNNJOION 4. FINAL • CONSTRUCTION MLMT ----- _-- -- - - -- --- --- EECOMPLETEFOOC.O.ALL CONSTRUCTION SHALL MW -_- - - _-- 2030 OVAL- THE REQUIREMENTS OF THE Nr - --- - - -- -- - — - -- _- — �- _ — - SM CONSTRUCTION & EN -- — -- - - - — — - _ — - -- --- — CODES. NOT RESPONSIBL TOP OF PLATE DEEIGN OR CONSTRUCTION .._ - - __ -- ___ - - -. - - - - - - - _. _ - - - 3E IS UN _ _ _ - ° ITHOUT CERTIFI Tt= -= -- -- - - -- - P _ -_ -- -- - - -- � ,TO OF SUBFLO OR - TOP OF BUBFLOOR —9 _TOP OF CEILING -- --" --- -- '-'- -- -- + . - �3 - TOP OF CEILING 1E] DO NOT PROCEED WITH FRAMING UNTIL SURVEY - - OF FOUNDATION LOCATION - - -- -HAS BEEN APPROVED. FT71 - - — .- CERTIFICATE - --- - _ uNDERWARERS - O � REQUIRED - -- - - -- - -- -- -TOP OF BUBFLOOR TEP9 AND z - _ - __ __ - - - - _ __ - - - - _ _ __ - TL PER CODE -- TOP OF SUBFLOOR PROVIDE A NR. FIRE - TOP OF FOUNDATION RATED SEPARA A OP OF FOUNDATION GRADE PART. 717.3(f)(1)OF k.Y. STATE BUILDING CODE, ; ' I 8" P.C. FIND. WALL ° I i O m PROVIDE OPENINGS FOR ON 16" x e^ P.C. FTG. ; m ; EMERGENCY ESCAPE AS I I r . I REQUIRED BY PART. 714 OF X N.Y. STATE BUILDING CODE. r r ---------. — _ -TOP of =DOTING ' ' - TOP OF FOOTING - ------------------------- MBIN ALL M�UMBING ASTE FRONT ELEVATION &WATER LINES NEED RIGHT SIDE ELEVATION ---I F- = r {IAa M, TESTING SWORE COVERING - cD ctl eq, _0 O 3 � L ROVIDESMOKE•DETECTING CONT RIDGE VENT X i - ALARM DEVICE; - _ _ - _-_ MASONRY CHIMNEY _ -- t — — - _ _ - —' - — __ -_ Z tD AS TO PART.721.1 O � — - - - _ N.Y.S BUILDING CODE. � ` - _ _ - _ _ - _ PERMIT REQUIRED FOR _ _ - - _ - _ ALARMSYSTEMSUNDER - -- -- - _ _ - - - - ALARM LAZY - 1 r.Ae _ - - _ PMALi ROOF OMINGLFD RYPI - _ tu PROVIDE ANT14CALD AND/OR - - — — _ - -- - THERMALSHOCK PREVENTING ENGINEER DEVICES AS TO PARE 902.6(K) - CT=I M.Y. STATE BUILDING CODE. -z - — . -- - - NEW Yo94 _- -- - _-_ _ - - -- _ --- -- - _— - TOP OF PLATE y * D TOP OF PLATE Q CERTIFICATION - - — - - - - - _ -__ S T - L p O 4D CONTENT REFOR r _ - T �_ °9pFE SIO�PAA ` CEfi '1rCATEOF000UPAN - - - �� r= _- - m _ _- - _ _ - _ _ _-_ O JEFFR � T BUTLER, P.E. R - - _ USED IN WATER - - - - - = _ - - _ / /S�IVTEMr�/ - — � - � VINYL SIDING(TYP) -= O 2/'fO G/ / G - - — - (OPTIONAL OMAR BIDING) - rJ TO OFS BFLOOR _ .- __ _ - - - - __ - .- - _ - _ - _ - _ O P U , _ - -_ -- - - _ - - TOP OF SUBFLOOR Z m TOP OF CEILING __ _ - _-_ - -__ __ _ - - _ y Q o TOP OF CEILING B If copper tubing is u -_ _ - — - -- W p _ for water distributing 4 } system:pipingshall be a @ of types K or L only W W _ o UNDERWRITERS CERTIFICATE REQUIRED O 4 LUCO 4 . AND RAILPS F Y - - - -_ - - - -- WOOD S - - - _ _- PER CODE -__ --_ - - __ - -_ - - -- - - - - -- -- - _ TOP OF 9UBFLOOR RAIL PEF TOP OF BUBFLOOR O 'n ii R TOP OF FOUNDATION -. _tJ_- '-� CL m - GRADE GRADE — - TOP OF FOUNDATION O u a z o I u ILI vi 8" P.C. FND. WALL O O ON 16" X S" P.C. FTG. m i CSE . �---------_�_________________________ �_________________ --------- — - TOP OF FOOTING _i i.____r_________________________________________________________________________________ L, — _ _ - TOP OF FOOTING __________ _______________________________________________ ____________________________i REAR ELEVATION LEFT SIDE ELEVATION q" 9'h„ 6'0" 9,6" PROVIDE FOUNDATION NOTES' G. FLUE 1 112"Anchor Bolts @ 8'-0"O C Maximum r----- -------------1 2 8' Concrete Foundation Wall, 8'-0"High, 3000#Test 3, 16' z 8"Concrete Wall Footings, 3000#Test 4 2-1 %"x9114" Microlam Built-Up Girder-Grout Beam Solid in Pocket ____ ____________________� D +r a ;' 4 ' D ____ _______________ 5. 24" x 24"x 12" Concrete Column Footings, 3000#Test r r _ 6 4" Concrete Floor Slab, 3000#Test with 6"x 6"#10 mesh and vapor barrier / 7 Damp proofing and at exterior foundation below grade '� - -�-•- --------- - --- -��-s- - - --------- -', 8 Foundation wall to extend a minimum of 8" above finish grade r. 9. Assumed soil bearing capacity, 2 ton per square foot, subject to Inspection and verification. 10 All footings to be carried down to undisturbed sod. a OVER FURNACE rr 11 No footing shall be set higher or lower than a 30 degree angle from any other footing PER CODE 12. Pour no concrete on frozen ground or in freezing weather. I,- 13 3 112' lally columns r' 4 m, � FURNACE - ------------------ MATERIAL NOTES. Floor Construction 314"OSB plywood subfloor, glued °• ti '' T-TI 9%floor joists, spacing as noted - - - - - - - - - ' ' - - - - - - - - - - - - - - - Bridging per code _ 2-2x6 CCA sill with termite shield and sill seal. - - _ - •' o EXCAVATED CELILAR " Finish floors as per agreement 'r LL 4" P.O. SLAB 'r Roof Construction' Asphalt Roof Shingles, 20 year 3-tab o 15# Felt Paper - 1/2"CDX Plywood Sheathing 200 Ridge as notedm 3 1/2" STEEL COLUMN 2x8 Roof Rafters @ 16" O C. as noted �r rm� 24"X24"XI2" POURED ,m 2x6, 2x8 Calling Joists @ 16"O.C. - CONCRETE FOOTING 2x4 Collar Ties @ 32" O.0 (TYPICAL)Wall Construction' '' S 11" i' I" 5' 11" 5' i l" '• - 2x6 Fascia, wrapped with aluminum Overhang as noted Vinyl full vented soffits I{\\2-I /4"x 9 I/4" 'r3/4"x 9 /4"�r �2-I 3/4"x 9 /4"i '2-II 3/4"x 9 I/4" .r CHEEK WALL Aluminum DER ----------- 112" COX cedar hp siding leaders ! L EAM POCKET M.L GRDE -� n MT GI ER -BGROUTLIpETRD R , '-_-_._--__ 9 G - Tyv 2x4 Studs @ 16" O.C. with 2x4 shoe and double 2x4 plate ROUT SOLID _ ml0 p 4" X 112" Gypsum board - x 112" MR In wet areas - m R n Al least one window in each room shall comply with exit requirements - •' - Q u W W " Insulationlt 4" R-13 In all exterior walls common with living areas and living areas common with garage 6" R-19 in cathedral ceiling5 I ',CNEEK WALL e _ V w . I c0 rA 6 R-19 in all Flat ceilings •. - -- - r 2-F'J •. . (`(� m ff FRAMING NOTES' '° 'Q 'r r-------- - M•` O O 1 All headers 2212 unless noted Ti X 3 LA 2. All corners are solid - r 3 Double jacks over 48"spans r_ _U_ LL } r = _ 4. Double joists under all parallel partitions ' Iry 6 z F, 5. Provide fire slopping in all walls as per N Y.S Code m L _ _ _ O 6. Rafter heel cuts shall not exceed 4" " n 3F.J. W do 7 Where joists are notched to headers so as to reduce beam depth, use bridle irons or metal connectors r �p a til S. All floor joists, rafters and telling beams to be Hem fir number two or better construction grade with a minimum fb= 1200 ps.i s• I I" 9 All 2x4 and 2x6 partition walls to be Doug fir number two or better construction grade with a minimum fb = 1200 p.s ii U- =ENERGYNOTES and girders shall have 2" bearing min. LLm ' Oji-' WIt New York State Energy Conservation Construction Code, Part 5(7814) '• m _� ^ Envelope Component R-Value - x � ENGINEER. Extenorwall I . R-13 v Roof Ceiling 'R-19 Floor R-19 Iii til - / '"'°'f ,k�OF NEW Y�9 Foundation Wall R-10 Glazing R-17 m�f Entrance Doors R-2.5 _ ___ __ :�. I 1/a" TJ 250 F.� � I6" O.0 II l/S" TJI 250 F.J c I6" O.C. y All HVAC Equipment to meet requirements of 7814 11 All HVAC Control Systems to meet requirements of 7814 12 All duct Systems to meet requirements of 7814 13 Ti A All venting Systems to meet requirements of 7614 14 0 495 ��= All piping Insulation to meet requirements of 781415 I' 10" a x,� I' Ig^ AAOFE V44 BEAM POCKET JEFFRE T, UTLER, P.E. All water service heating systems and equipment to meet requirements of 7814 21 m oaoo All Electric systems to meet requirements of 7814 31 = GROUT SOLID To the best of my knowledge, belief, and professional judgment, these plans are in compliance with the code " L--- ----------- - - W - ___________ ________ O � Z W o V 3 m (n aL O O W 4 } cr0Cr z � H WJ U O Z O O O = � � OLUF W ~ V o C) U o 0 O d) U. � FOUNDATION PLAN d o O cr o Q SMOKE DETECTOR CL Z l INTERCONNECT PER CODE U PAGE : 2 of 4 NOTE. FIRST FLOOR WINDOW HEAD HEIGHTS 25'0" AT T6" ABOVE FINISHED FLOOR 9'6" 60" 9'6" 4' 11" 4'7" 4'7 4' 11" STEP STEP 3068 3069 0 s w o - MASONRY FIREPLACE y WITH 16" HEARTH PER CODE GENERAL NOTES: 1.All work shall be performed In accordance with all state, PROVIDE FRESH AIR INTAKE municipal, local Zoning and building codes and ordinances ,n AND GLASS DOORS PER CODE VERIFY SIZE having jurisdiction and best standards of construction 0 m practice. til The American Institute of Architects Conditions shall apply to all work performed on this project. 2.The Contractor shall verify all conditions at the site Any d FAMILY ROOM Z discrepancies must be brought to the attention of the Engineer 9 0" GLC. HGL _ prior to commencement of construction The Contractor shall be q 9' responsible for corrections not reported once he has started work ,v o except for hidden job conditions. a ~ H 3. Contractor shall guarantee to the Owner that all materials and F equipment Incorporated in the work will be new, and that all work will be of good quality,free from faults and defects for a period 1 W of one year from the date of the final Certificate of Occupancy 4 The Engineer shall not be responsible for the construction means, methods, techniques, sequences or procedures, or for the safety -2 /J m n pw2s precautions and programs in connection with the work, and he 10" SQUARE HBKvx/3 shall not be responsible for the contractors failure to carry out FIBERGLASS COLUMN, TYP. the work in accordance with the construction documents. The Engineer shall not be responsible for the acts or omissions by 24'4" the contractor. No changes shall be made in the documents andlor the building as designed without the expressed written 8 consent of the Engineer. -O BEARING WALL- --- --------9-- K 5, The contractor and all subcontractors shall maintain continuous _ - ------------------ - Insurance coverage including statutory policies(Worker -- _ -1 3/4"x 9 1/4" H.L. HDR. m 2-1 3/4"x 9 1/4" M.L PDR. 11, a�.e Compensation. etc.)and general liability in an mount not B , less that$5 million and automobile liability and damage CON not les6 then $2 million The Engineer shall be n ul _LINE OF WALL ABOVE m O a named insured on any and all policies n 2' 6" - p a I (�/ LL 6 Provide 0.025"aluminum termite shields over fibrous -I _ N11L1 Q insulation at all perimeter sills o m p% ¢ 3 FOYER = m d U4 LU m =r .A DINETTE J W OPEN TO ABOVE �S o 7.All wood In contact with concrete or masonry to be Wolmanizetl p o or pressure creosoted 9'O" GLC. HGT. 8 A single station smoke detector alarm device shall be installedID .G. tt I Y 'n 4 1n each bedroom, on all Floors and shall be all Interconnected per code, a STOOP 9.All bathrooms without operable windows to be mechanically ventilated ,n 12 0 8.81. m S as per New York State Code. m O 10. Heating to be designed to provide 70 degrees F.with outdoor _ X Q D A D `o X designed air-temperature of 0 degrees F and 15 MPH wind. o a Oto 11.All electrical work to be m accordance to the rules and II /9" Tit 250 F.J. 0 16" O.G. P 15 10" SQUARE HB1Gin regulations of the N.Y B.F.0 and a N.Y.B.F.U.certifcate 1s z COLUMN 7Y Z to be presented to the Owner at the completion of the job 1Y - K -- cowMN, rYP. LU r 12 Plumbing Installation to comply with State and Local codes O � and the sewage disposal system to meet Health Department standards, o m WDR CL n' m 13, Do not scale drawings Use figure dimensions only. ° O � F. W.G. 14 All work to conform to the rules and regulations of the New York ° I2'0" 4" F' 6'2" '" - U- Energy Conservation Construction Code. All glazed area to be double 7 ,U,1-1 glazed and all exterior doors to have insulated cores 706 POCKET, UJ 15. The Insulation protection as indicated on these plans exceeds `FO the Code's minimum standards. �r 16. These drawings and specifications are instruments of service andENGINEER: shall remain the property of the Engineer whether the project for N 7/0" JI 250 F.J. ar 16 O.C. which they are made is executed or not They may not be used :. O on any other project except by written authorization of the Engineer T = N A of N 51PF' Yp9 D W.I RFF. e 0 _ FQ� mrw G LL J CL' e 9 0 STUDY m r KITCHEN N SO" CLG. H+GT. �j p ,✓ 0 493 F� e m SO" Cl-G. HI Q m AyQF IONP� 4 13,0,. 3 o I I'U" 4" E X00 Imo• JEFFR UTLER, P.E. tt WALL LOVEN O W Li 3052 3052U 50 Z W O s1g" W4" r, 1o° fn Q ° crazy nHy 25,u" W UI i d Z -J 3 nO O Z It: UJ U Q •• F 0 V o a ^ o 0 FIRST FLOOR PLAN LL � ° LIVING AREA . 1175 80. FT. a SMOKE DETECTOR , la INTERCONNECT PER CODE PAGE : 3 of 4 2x10 RIDGE 2XB RAFTERS 1/2" GDX SHEATHING IS• FELT ASPHALT ROOF SHINGLES 2X4 G.T. 0 32" O.G. 51 Y 2sn" ATTIC 9'6" 4' 1 I" 4-7 4'T' 4' 11" I/2" GWB TOP OF PLATE . _ - I'O" OH CONT. VENT VINYL SOFFIT (TTP.) LL SEE ELEVATION FOR BEE ELEVATION FOR - -- - c _ WINDOW IN GABLE END WINDOW IN GABLE o H 0 3042 3047 gyri MASTER MASTER BATH BEDROOM j® 3/4" SUIc TOP OF 9UBFLOOR 6'6" 17'6^ .. I/2 GWB —0 — . TOP OF CEILING 2x10 C.J . O.G. MAS 16"ER BATH L i 4 p 70 EG. HGT, v y FAMILY VINYL BIDING m p -- (OPTIONAL CEDAR) 2.9 R.R. 16" O.G. I /2xB R.R. . 16" O.O. w ROOM z ✓ � m HOW MASTER - BEDROOM _ p ij��1I 8'0" CLG. HGT. m S2 B 1 3/4" 9UBFL0 -- TOP OF 9U5FLOOR DE TOP OF FOUNDATIONI , GRA t ry W.G. PITCH GRADE AWAY FROM FOUNDATION Fc 2-2%6 GGA BILL 7' b" 7' 4" ul CELLAR 1/2" ANCHOR BOLTS BILL SEAL TERMITE SHIELD = V S" CONC. FOUNDATION WALK-IN = X CLOSET c Q B"kl6" GONG. FTG. - KI @ N Q LL 5. DAMPROOF BELOW GRACE `r p' to 3 r 0" 6' 10" _ 3'p. 4,. W x.K�� IIl O — . TOP OF FOOTING ATTIC � dC a J Z3 W.G. > N �( O J p SECTION A-A m ATH zr OPEN L W o e o B'o" cw. HGr _ a BELOW x } Mz.rU /SHOWERo c WCL0 LL 2-2x12 HDR. / IT7--- I O" SLIDING I ROOF RAFTER ' 6'6" % 5'2" I P �+ HURRICANE CLIP NAILED ENGINEER:1 TO RAFTER 4 PLATE �4C® NEW YO (2)2'.4" TOP PLATES /7x6 C.J. . 16" O.G. 7:6 G.J. . 16" O.C. � � � * t�QEV T 96-* 4" VTR e ♦ 3 _--_ a ro BEDROOM 02 v B' O' C�. HGT.3 � � SO" GLC, HGT. N� O 4g3 P�,r4�44 ES 44 LSV _4V 4 _ HURRICANE CLIP DETAIL ^ w.c. W.G — ? JEFFREY LIT ER, P.E. TUB 3"'i SHOWE777UR 2.8 R.R. . I6" O.G. 2x R.R. . 16" O.C. n SECOND FLOOR 17 77 u2 / ly� ✓ �fi 2.. 3" 2" 2.. 3" 7 = 1�, U 0 GL GL c => Z tl1 r____� -1' S" 4" 1'h" — w iy O ______________ LAv-- m W.4 BINK SHINGLE RIDGE GAP — RIDGE VENT 3042 3012 (n V p m l D.W. MAIN FLOOR � } r D 2 3" 2" BEE ELVEVATION FOR WINDOW IN GABLE END O 2" EXHAUST AIR z ;fHINGLE9 FELT PAPER ROOF SHEATHING (TTP.) 6' 10" w -1 3" II I'4" fi' 10" Z O FAI O F O U ~ s RAFTER ❑ y y Lu cn ~ ,2 v O G.O. C.O. 4 4. TO AN APPROVED Q O I[ SANITARY SEPTIC SYSTEM SECOND FLOOR PLAN a ON O 0 O LL O v HOUSE RTRAP LIVING AREA 1067 SO. FT. X } _ RIDGE BEAM INTERCONNECT PER CODE Sz d p MOKE DETECTOR 1. PLUMBING RISER DIAGRAM (NTS) RIDGE VENT DETAIL PAGE : 4 of 4