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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27359 Date: 10/23/00 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 240 BAY RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 43 Block 5 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1996 pursuant to which Building Permit No. 25490-Z dated JANUARY 22, 1999 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 ADDITION & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RICHARD & JANE ROHMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-528506 06/28/00 PLUMBERS CERTIFICATION DATED 10/10/00 STEVE MONDA Authorized Signat e Rev. 1/61 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. 25490 Z Date JANUARY 22 , 1999 Permission is hereby granted to: RICHARD & JANE ROHMAN P.O. BOX 786 SHOREHAM,NY 11786 for CONSTRUCTION OF ADDITION AND ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 240 BAY RD GREENPORT County Tax Map No. 473889 Section 043 Block 0005 Lot No. 009 pursuant to application dated NOVEMBER 2 1998 and approved by the Building Inspector. Fee $ 358 . 00 Authorized Signature I f. Jf V ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT _ �� TOWN HALL 1 { ;j 765-1802 OCA _ 3 200q APPLICATION FOR CERTIFICATE OF OCCUPANCY A:+. .This7,sp'p.iicatlon must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1 . Final survey of .property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont. less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar bi and installations, a certificate of Code Compliance from architect or engin( responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. *ro B. For existing buildings (prior to April 9, 1957) non-conforming uses-, or buildii '.'pre-existing" land- uses: - - 1. Accurate survey of property showing all property lines, streets, building ac unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] ° If a Certificate of Occupancy is denied, the Building Inspector shall state reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0C Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $2` Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15ryryryry.000, Commercial $15.00 Date . jell. t �.Q . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . Location of Property. . o?!(S?. . ., f. ��. . . . . .C?Y.��'r��,p 7. . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . l��!u � . . County Tax Map No 1000, Section. . . . . . . . .. . . ..Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed / Map. . . . . . . . . . . .Lot. . .,'.J.1.`.. . . . . . . . Permit NoPPtg0.7.? . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant�.ai 4t /C�l/�•'•'A-7. Health Dept. Approval. . . . . IV,G.1. . . . . . . . . . . . . . .Underwriters Approval. . . v . . . . . . . . . • Planning Board Approval. . . . . . . . . .. . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . /� . . . Fee Submitted: $. . .2.� ..:=. . . . . . . . . . . . . . . . �t4� .4� . . ✓•:• • • . . . . . . . . . . . . . . APPLICANT 3,3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY R=: s- DATE C INSPECTO ' 10/30/2000 16:17 5163311407 PAGE 02 FEDERAL EMERGENCY MANAGEMENT AGENCY PExpl6mslutyr ,)y(B. a 3087-0077 NATIONAL FLOW!INSURANCE PROGRAM 31,2002 ELEVATION CERTIFICATE Itrl grant: Rad the Inatructfon On 1-7- SECTION A• MAT PROPERTY OWNER INFORION For Insurance 9!n I1N: NE w , .. DUILOINtl en's ry .:.._ : .. ...... . A � �A A1 H a 93 TRE DRESS p oa AingAl Unit Sake,endx clog.Ne.)OR P,O.ROUTE AND BOX No. core,,: . A P-P UN.OIN�tl R rE@Cc4N 0.p.0, � hf AddNbm,At:Oeea 21 CITY � 9 047- STATE i (Leta -Oum dDaseptbn,he.) my,"C. Use om"hos edkn if .) �S/DMITiI4 UTI(j D!( ) HORIZONTAL DAT W: SOURGE� 1�USC:S O x Mao LI 0"r ( W-ss,".O.Ow or (AsaNg7 I--I HAD 1827 LJ NAD 1903 L, SECTION 0•FLOOD INSURAWN RATE MAP(FIRM)IfIll TION 81.NF P CDJW=Tv NAbM i COMMUNITY TY .STATE gtie I Svc' AL lip 111,11,MAP AND ANlL B5. UFFfi( �.FDATE OEX =EFFE=70 .Ta ZON S) {7.one AO,cos daptFr d floods) NUM9lR O Bio.Indicate the source or the Bose Flood Elevation(Wily dee or basis flood depth entered in SO. L j FIS proplo b(J FIRM LJ Community,DetermlMd L j Other(Deme): 811,Indicate the rlavrson datum used far Nae WE In Bel NGVD 1929 U NAVD 1988 L! 'or(Describe): - — 912,k the IwIWIng located Ina Coastal Barrier ReeguFc"System(CORS)smear Otherwise Prot ed Area(OPA)7 LJ Yea WHO Oaaigrtatlam Date: SECTION C-SUILDINO ELEVATION INFORMATION 0110 Y R CUIRED) C1,sulWing earvatona are based on: LlCandrudon OralMmgs• USullding Under Carlow W Q4lHntshod Construction •A new Elevation Cartleede vAll be requ(rod when comslruetlan Of the oug"I hg is eomPlete. C2.Wuikling Diagram Number_&.(Setas fat buildliV diagram most similar to the building for whit (his cor iffici is being completed-see pages s end 7. If no diagram accurately represents the building,provide a Akatch or photograph) C3. ElavetWns-Zones Al",AE,AH.A(with BFE).VE,VII-V30.V(with WE),AR,AWA,AR/i AWA1-A30,AWAH,Ali Complaa lams C311.1 below acowdmg to the Oufldinp diagram specified In Item C2.Slate the da Aim used. If the datum is different from the datum used for the WE in Sedan B.convert the datum 19 that used for the Si Show UM measurements and datum Conversion CeloUMtlon, Use the apace provided or the Comments,erne of Section D Or Seadan G,as epprq}Nrle.to doeumam the datum conversion. Datum ConwreloNCornrem4 Elevation reference mark used Does ate elevation reference mark appear an the FIRfX! U Yss hoNo 0 a)Top of bottom floor gndudieg besament or endesurs) s IL(a) �! O b)Top of mead higher tow JC .„jam IL(a) No O c)Bottom of owed twnleordal stri dural member(V zones only) A�), j A 0 d)AftaCMd gamma(top of slab) Ij J 1 O e)Lwwat eNvatbn of machinery to dfor equipment A n r il.(ao� a9lVkhtD Ihe bY�O . n 0 Loarost adjacent grade 0") O g)Highed o4scent grade CHAO) � �r•� O h)No.of permanent openkpe(Rood vents)wiWn 1 It.above o4acentgrade6111. _ t O t)Tdei arae of at permanent opealrps(Rood vena)in Win I 1Z 9 sq.in.(Wago SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIF CATION This Certification is to be sand and waled by a and surveyor,engineer,or arannom oulhadred by loco to;i elewalion Information. I eawa►y,fhat ow InibrmrBon in SedlOsa A,9,and C on Ihls coyfflkale rsoreasma my Dee►of 0i to f me date ovallabls. I understand fhet an lake statwnenf be Iahow bv one,or Nn moonmenr uaderc S U.S. Secgur Qfg1• CERTIF FrA 4 -TMzWAM eR!sit2NDATE7�tFgMA Form 518EE lOEVER:iS SIDE FORZ:ONTIIJUATION REPLACES ALL PREVIOUS EDITIONS 10/30/2000 16:17 5163311407 PAGE 03 i tlne emnspondln Information Pam section A. For Insurenos.Coin0i"r U4e IMPORTANT: in these apse",cop : . L. Ila• _ WLPING ZJqO R OA9 $TAT! ,J Zlp ODE CIT' /V / ... ...:. .. . .:: .. SECTION D.SURVEYOR,ENOINEW OR ARCHITECT CERTIFIGATIO (CONTINUED) CovY both tdcleo a this Elevation CanlHceta for(1)coneMlnay oftst,(2)Insurance agemtcemParry end(3)butWing owner. Check here if attachments 8ECTION 6•SUII DING ELEVATION INFORMATION(SURVEY NOT REOUIRBD}FOR ZON AOAND ZONE A(wIT110UT OFF) For Zone AO and Zona A(without complete Itarna E1 through E4. 90W Wave tlon COMHcale /"landed Apr use as;supporanp Mfomreo m rbcs LOMA*40 MR-F. Skaon C Mum be see Welled E1.8ullding Diagram Number,(taele0t the building diagram moat similar to the building Rttwh this eemfrute Ie balrrC c9mpleled– see pages 8 and 7: N no dlagners doculd b represents to bustling,provide•ekolch or pholog ph.) E2.The top of Fla bottom Noor(including basement or e11160surs)of the building is 1 -U k(m) (cml LI above or LJ below (ohs&oro)the highest adlaant grade• E3.For Building Diagrams BSG with openings(sea Page 7),the not highs Moor or elewled Noor( tion b)a are bulldUg le LLJ IL(m)1 I Iln.(an)above the highest ed)soeM grade. floor , with the _ E4.For Zane AO ony: If no Good depth number le avaasble.Isom topUnkn�be The oorMU Q1l v1d@ 1 ' thiOcurd s InlormaUo^In Section Gs aln ma ORwnt ordaleroe7 YR SECTION F•PRNo OPERTY OWNER(OR OWNERS RBFRlSlNTATM8) HRTIFICATION The proparty owner or owner's oueedeed rapmi"ll"who comOlaM eecaon4 A,B,end E 101'Z b A(withWtt a FEMAdeaued M can Urilty4saued 6F or Zana AO must sign hsra. FROPERW D ADDREH C A 0WRIE Check hen If ettechments SECTION 0• MM INFORMATION IONALI The bcol ofadol who le susfor( od by law orordhtence t0 sdminfeter Ina OdnmuniVs NoodplWn ma n!ordilenea can wmpale Sections A.B.C(or 9),ane 0 a this Elevadon CergHbata. 0WPl@%uhe"Pa6able ltem(e)end sign)is W' 01.LJ The Information in$sdkm C was taken by ms o►clh ion that hasboelevation Informed ation.elan (indicate the soul a d ate a IM sufM engineer.or archaeN who Is sulk iced elevation date h the Comment*nes below•) 02.U A commurdtlfoffidOl oomFlaled SeOlen E fore building leeated In Zone A(without a FEM eued or rwmnunaY-issued BFE)or Zero AO. elrtent 03.LJ The following information plems G4-00)is PrOvld W for ammunmenslty floodplain e Y Ca7tt1 06,PE 4' lesueD 67,This psmN hoe been issued for. LJ New Consirudan l_l Subalemitl Improvement JL(M)hilum: Ga.Elevation of as•bolk leweet Noor Onoluding beeenlsng of the building k: ---�—'J G.(rrg Datum: 09,8FE or(in Zone AO)depth of Hooding at the building 4112 Is: L LJ. E IeW11 yyrw�ENTe , Check here if attachments FEMAFernrat•31,AUO118 (REPLACES ALL PREVIO SECITIONB THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001093 BUREAU OF ELECTRICITY ,. 40 FULTON STREET, NEW YORK, NY 10036 Date JUNE 28,2000 Application No. on�[e �11149 /99 N 52`8506 THIS CERTIFIES THAT t'33RA'11 NO. 25490 ' only the electrical equipment as described below and introduced by the applicant inmeo,on Elie,above NPplication number is in the premises of RICHARD ROMAN, 240 BAY ROAD, POLL" # pp3-T,, GREEN `d PORT, N ' ,°.� in the following locationt-�. El Basement ® 1st Fl. tJ 2nd Fl. OUT I Section Block Lot was examined on 'mac` 20,2000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHER AMT, K.W. AMT, K.W. AMT. K.W. AMT. K.W. AMT. N.P. 19 44 18 19 1 1.2 3 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALRECTY.1 TIME CLOCRS I BELL UNIT HEATERS I MULTI-QUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. p.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. WP. NO.OF FEET AMT. WATTS 2 F 1 3@ 19 60@ SERVICE DISCONNECT NO,OF S E R V .I C E METER NO.OF CC COND,, A.W.G. A.W.G. A.WIG AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 SW 3 0 4W pfR 0' OF CQ GOND. NO QF HI-LEG :'OF HI-LEG NO. NEUTRALS OF NEUTRAL -T-Po-0 CE 1 % 1 2/0. 1 210 OTHER APPARATUS: - PADDLE PAN$ F-5 WIRL POOL BATH-1 , 2 TON AIR CONDITIONER-1 MOTOR8:1-2 H.P. ,1-F H.P. PANELBOARD8:1-1 CIR. 60 TRACK LIGHTINGL-48 <<< Continued on Page 2 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if.incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST'NOT BE ALTERED iN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1001093 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 JUNE 28,2000 �,9111(i99199 N 528506 Date App�cation No. on�ile THIS CERTIFIES THAT E`ERMIT NO. 25490 - only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD ROMAN, 240 BAY ROAD, POLE # 3, GREENPORT, NY in the following location; ❑ Basement ® Ist Fl. KI 2nd F1. OUT Section Block Lot was examined on 'TUNE 20,2000 and found to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS HES OUTLETS INCANDESCE FLUORESCENT I OTHER I AMT. I N.W. I AMT. I K.W. I AMI. N.W. I AMT. I K.W. AMT. X.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS I BELL IUNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. I X.P. SYSTEM$ NO.OF FEET AMT. wens SERVICE DISCONNECT NO-OF S E R V 1 C E METER NO.OF CC COND. A.W.G. A.W.6. A.W.G. AMT. AMP. TYPE EQUIP. 1 R 21NJI R 3W 3 D 3W 3 0 dW pER 0 OF CC.COND. NO.OF HIAEG OF W G6 NO. NEUFRAI3 OF.EW OTHER APPARATUS: DOROSRI ELEC. INC. LIC.#2941 EL L425 MONSELL LANE CUTCHOGUE, NY, 11935 GENERAL MANAGER 11 Nper This certificate must not be altered In any manner; return to the office of the Board if incorrect.Iospector3 may be Identified by their credentials. PY �A-amu [) - � MTWIUAIL MU01 NUI BE ALItNtU IN Y .. 23/1994 21.: 34 5167 8`,4 I owr HAI! 5300 C) zIov I I 71b NOW YO'k TE BUILDIN-C, INGPEC) -'F" Glou y9v sno fir, r-t -ilk U,4 ed L"d. tri inei ,.'Ire IIeB mit 3i day JOSEPH DELLI$ANTl NOTARY PUBLIC,STATE OF NEW YORK N0.4895882 QUALIFIED IN SUFFOLK 0OU0T CQmmI@9I0N WIRES MAY 261— ' i I S A M U E L S & S T E E L M A N May 10, 1999 Mr. James Richter Southold Town Building Department Town Hall Southold, NY 11971 Re: Building Permit# BP 25490 ADDITIONS AND RENOVATIONS TO THE ROHMAN RESIDENCE Dear Mr Richter, As per my telephone conversation with your office, we are hereby applying for an amendment to the building permit for the above referenced project: Rather than selectively demolishing the existing wall construction, we are going to remove the framing entirely and rebuild to the exact measurements of the existing structure. The existing foundation walls will remain and be added to, raising the first floor elevation to elevation 10, as shown on the approved set of drawings. Should you have any questions or concerns, please do not hesitate to contact me. Thank you very much, Thomas C. Samuels, RA Q Pg c. S4 0 Dt- v -40 v ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX(516)734-6407 S A M U E L S & S T E E L M A N October 18, 1999 - - n [" ( fa (! Mr. James Richter Southold Town Building Department !� 0�- 9 1999 " Town Hall Southold, NY 11971 Re: Building Permit# BP 25490 THE ROHMAN RESIDENCE Dear Mr Richter, Please amend the above referenced project as per the drawings included herein, dated October 18, 1999. Basically they show a new foundation to replace the existing foundation, which was originally intended to be re-used. Upon uncovering and closely examining the existing foundation (under the surface stucco and rigid insulation) we have determined that the existing block wall was poorly constructed and insufficient for the quality of the new construction. The new block foundation will fall entirely within the footprint of the existing foundation, except as permitted for the addition, as per the original permits. We will complete and forward to the Town a foundation survey to verify this. Please amend the Building Permit and update your file on this project. Sincerely, Thomas C. Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (516)734-6405 FAX(516)734-6407 Kj F01A" s.�.._Pxij T6s-1Sz .= � Town Hall,53095 Main Road Gyp 1 P.O. Box 1179 �„ { 'elephvhe t;516�7�"5 18 Southold,New York 11971-0959 ♦ i - u n MOO BUILDING DEPARTMENTUDt 3f9 s,C TOWN OF SOUTHOLD l. a Sept. 13, 2000 Richard & Jane Rohman P.O. Box 786 Shoreham, N.Y. 11786 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : / XX An application for Certificate of Occupancy is l/ not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) ;25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. _11 � � (All permits involving plumbing being A/ issued after April 1, 1984 ) . BUILDING PERMIT # 25490-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. f % f FIAWMW ply u �607- • s! /_! s yL •_ 1 o � i / M-1802 BUILDING DEPT. INSPECTION 1ST [ ] ROUGH PLBG. //FOUNDATION ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: (9 ` DATE / INSPECTO M-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION 1 ST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] IN LATION [ ] FRAMING INAL [ j FIREPLACE A CHIMNEY REMARKS: �GS� ,,�e ° DATE ` INSPECTOR 60 765-1802 BUILDING DEPT. I NSPECT10 [ ] FOUNDATION 1ST /& [ /ROUGH PLBG. [ ] FOUNDATION 2ND k [k/] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: '%�&- L21-4 - DATE INSPECTOR bo 7 -1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS- Olt ✓� ,a� C DATE /0-0 INSPECTOR 765_1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE ARKS: a DATE A119140, INSPECT I 7 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ RO H PLBG.1` [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIR L E A CHIMNEY REMAR DATE INSPECTO eT S A M U E L S & S T E E L M A N January 15, 1999 Jamie Richter Southold Town Building Department Town Hall Southold, NY 11971 Re: Application for Building Permit for the Project: ADDITIONS AND RENOVATIONS TO THE ROHMAN RESIDENCE Dear Mr Richter, In response to your request, enclosed you will find a survey showing the location of the existing sanitary system at the above referenced residence. This system consists of two standard shallow leaching pools, and was installed at a date prior to the purchase of the property by the Rohmans. In the years since they have lived in the house, they have never had any problems with the functioning of the system, and they have not needed to have the system pumped or otherwise serviced. Together with our application for a building permit, we have submitted permits from the Southold Town Trustees and the New York State Department of Environmental Conservation for the proposed project. Neither agency suggested or required that we seek a permit from the Suffolk County Department of Health Services. The proposed renovations and additions project will not increase the number of bedrooms in the house: there are and will be three. The community is served by public water. Health Department policy states (and the Building Department has long recognized) that a residential renovations project which does not increase the flow rate does not require review of or permit by that department. We assure you that the existing system functions properly and will continue to do so after the completion of our project. Please expedite the issuance of a building permit for the renovation of this residence, as shown. Thank you very much, Thomas C. Samuels, RA ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (516)734-6405 FAX(516)734-6407 %N Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. DATE: May 29, 1998 ISSUED TO ..... AlQHARD,..&. JANE ROHMAN Ant4orization Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS-," and in accordance with the Resolution of The Board adopted at a meeting held on May 28,. 1998 19 . .9.8, and in consideration of the sum of $150.00 paid by r En-Consultants Inc, for RICHARD .& JANE ROHMAN of .,,.,,,,,,,,Greenport. N. Y. and subject to the Terms and Conditions listed, on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: f Wetland Permit to construct a 226 s.f. two story addition and a 280 s.f. second story addition to and over an exist. one story Ity dwelling and place approx. 370 c.y. of sand fill to raise first flo eleva ,q;i of hoose to, Aee�eyihh condi 'oii.that dr�wejs he mad a, �i , e lea 'to all in accordance wi e ed specsions as p esen ed in contlhq originating application roof runoff. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to id Board as of this data. be subscribed by a majority of the said Lvak',�l Trustees TERMS and CONDITIONS The Permittee RICHARD & JANE ROHMAN, residing at 1 ROOSEVELT AVE PORT JEFFERSON STA 11776 N. X., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit.is valid for a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned,that auth- orization was originally obtained, 4. That .the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there wlll,b$;t}o unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. li Ili ( APPLICATION #_ PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• 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. 5. 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 BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) Ct►1�,1N 499 4 DATE. S1tCTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANT) NAME ADDRESS TELEPHONE APPLI,d1T' BUILDER (dil � CROW � hl�� 6ld �/ �j� 331^ � ENGINEER �ALu�,�( � S�E,_f __ _ •. �_A- -�C���, '�3�_(0�05 PROJECT LOCATION: -'o avoid delay in processing the application, 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 d}stance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. - 240BAMA rt N ism-4-aG f , a FDP(93) APPLICATION # PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE E Yew Structure M1Residential (1-4 Family) VoLlition ❑ Residential (More than 4 Family) ®'Alteration ❑ Non-residential (Floodproofing? ❑ Yes) ❑ Relocation 0 Combined Use (Residential & Commercial) ❑ Demolition 0 Manufactured (Mobile) Home (In Manu- • Replacement factured Home Park? 0 Yes) ESTIMATED COST OF PROJECT S_Ids _ B. OTHER DEVELOPMENT ACTIVITIES: 0 Fill O Mining O Drilling D Grading ❑'Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) 0 Road, Street or Bridge Construction 0 Subdivision (New or Expansion) 0 Individual Water or Sewer System ❑ Other (Please Specify) Kam After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (TL) be completed by LOCAL ADMINISTRATOR) 8t oo58i7 The proposed development is located on FIRM Pane( No.3oaced 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). Vis located in a Special Flood Hazard Area. FIRM zone designation is _• 100-Year flood elevation at_the site is: �© Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated gS�ql,, D See Sectio u4'�ha Ir coons. SIGNED DATE ti. ��O'NEW APPLICATION # PAGE 3 OF 4 SECTION 4• ADDITIONAL INFORMATION REQUIRED (To be completed 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, adjacent roads, lot dimensions and proposed development. O Development plans, drawn to scale, and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the fust floor, details of floodproofing of utilities located below the fast floor and details of enclosures below the fust 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 are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. C Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in an 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 LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. 0 Is B. ❑ Is not in conformance with provisions of Local Law #_, 19_. The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, 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 bearing from the Board of Appeals. APPLICATION # _ PAGE40F4 APPEALS: Appealed to Board of Appeals? 0 Yes O No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete I or 2 below. L Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Haaard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2: Actual (As-Built) Elevation of floodproofing protection is Fr. 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 completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? O YES 0 NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01947/00001 ■ October 8 1998 FACI'LfTY/PROGRAM NUMBER(S) P E RM I T EXPIRATION DATES) Under the Environmental October 8, 2001 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, 8: SPIES ❑ 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 Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Richard & Jane Rohman - (516) 821-1328 ADDRESS OF PERMITTEE 1 Roosevelt Avenue Port Jefferson NY 11776 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Roy L. Haje EnConsultants Inc. 1329 North Sea Road Southam ton NY 11968 (516) 283-6360 NAME AND ADDRESS OF PROJECT/FACILITY Rohman property, 240 Bay Road LOCATION OF PROJECT/FACILITY Greenport, NY 11944 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: construct additions to existing single family dwelling as shown on the attached plans prepared by Joseph A. Ingegno, last revised 8/20/98, and stamped NYSDEC Approved on 10/6/98. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. Ham arth (KAK) Building 40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATU E DATE Page 1 of 4 October 8 1998 0512911998 13:48 5153311487 TIMECAPITAL PAGE ,, 02 p DEPARTMENT OF THE ARMY I NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K.JAVITS FEDERAL BUILDING NEW YORK,N.Y.7o2ro-0090 0mra mo> ' May 27, 1998 Eastern Permits Section SOBJECT: Joint Application with New York state Department of Environmental Conservation Richard & Jane Rohman 1 Roosevelt Ave Port Jefferson Statioon, NY 11776 Dear Mr. & Ms. Rahman: We have recently received a copy of the Joint Application for permit you filed with the New York state Department of environmental Conservation (NYSDEC) . Please be advised we have reviewed the copy of the Joint Application sent to this office by Ny3DEC. Samed solely upon the information provided, it appears that a Department of the Army permit is not required for your proposal, The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United states, including inland and coastal w-::lands. If your proposal would involve such work, and has not been port aged as ouch in your Joint Application, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit wall be required. Any i n(-pdri,es Can be directed to this office at (212) 264- 3912, 3FI3, 6730, or 6731. Sincerely, Jarcs W. Haggerty C ieca Eastern Permits Section 9RQ1tl ; �'; 4 JAW 2 11999 BLDG.DEPT TOWN OR�OUTHOLD j S A M U E L S & S T E E L M A N January 15, 1999 Jamie Richter Southold Town Building Department Town Hall Southold, NY 11971 Re: Application for Building Permit for the Project: ADDITIONS AND RENOVATIONS TO THE ROHMAN RESIDENCE Dear Mr Richter, In response to your request, enclosed you will find a survey showing the location of the existing sanitary system at the above referenced residence. This system consists of two standard shallow leaching pools, and was installed at a date prior to the purchase of the property by the Rohmans. In the years since they have lived in the house, they have never had any problems with the functioning of the system, and they have not needed to have the system pumped or otherwise serviced. Together with our application for a building permit, we have submitted permits from the Southold Town Trustees and the New York State Department of Environmental Conservation for the proposed project. Neither agency suggested or required that we seek a permit from the Suffolk County Department of Health Services. The proposed renovations and additions project will not increase the number of bedrooms in the house: there are and will be three. The community is served by public water. Health Department policy states (and the Building Department has long recognized) that a residential renovations project which does not increase the flow rate does not require review of or permit by that department. We assure you that the existing system functions properly and will continue to do so after the completion of our project. Please expedite the issuance of a building permit for the renovation of this residence, as shown. Thank you very much, �d S�so �y�r Q` !a 0. 411, 0 s mfg A � 1r ARCHITECTS y+� hb � g6 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (516)734-6405 FAX(516)734-6407 0 '19/1898 13:48 5163311407 TIMECAPITAL PAGE 02 DEPARTMENT OF THE ARMY NEW YORK DISTRICT,CORPS OF ENGINEERS JACOB K.JAMB FEDERAL BUILDING NEW YORK,N.Y.1027a-ooso ■roan ora ' May 27, 199$ Eastern Permits Section SUBJECT: Joint Application with New York State Department of Environmental Conservation Richard & Jane Rohman 1 Roosevelt Ave Port Jefferson 5tatioon, NY 11776 Dear Mr. & Ms. Rohman: We have recently received a copy of the Joint Application tor permit you filed with the New York State Department of environmental conservation (NYSDEC) . Please be advised we have reviewed the copy of the Joint Application sent to this office by NYSDEc. Based solely upon the Information provided, it appears that a Department of the Army permit is not required for your proposal. The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United States, including inland and coastal wetlands. If your proposal would involve such work, and has not been portrayed as such in your JointApplication, you should contact this office immediately so that a project-specific determination can be made as to whether a Department of the Army permit wUl. be required. Any in,rifries can be directed to this office at (212) 264- 3912, 3513, 6730, or 6731. Sincerely, � ''JJ Ja cS W. Haggerty ef, Eastern Permits Section AUG S A M U E L S & .._.a , .. aa���:'. '�',', �'�,_��.��..�_ S T E E L M A N August 7, 2000 John Boufis, Inspector Building Department, Town of Southold Town Hall Main Road Southold, NY 11971 FAX 7651823 Re: Permit #25490 Z ROHMAN RESIDENCE Dear John, I understand that you have spoken with Gil Tastrom of Airborne, Inc., about the ducting of and clearance at the hot water heater at the above referenced project. As described to me, the solutions to your concerns seem appropriate, and I hereby certify them for inclusion in the project: 1. Install a fire damper with a fusible link in the exhaust duct for the hot water heater, to prevent spread of fire through this duct. 2. Install a metal plate on the inside of the door of the mechanical closet, to prevent combustion of that door from its proximity to the hot water heater. Enclosed you will find manufacturer's specifications for that heater, showing it to be a zero clearance device. 3. Install a self-closing mechanism on the same door. 1 believe these measures will improve the fire safety of the residence, and bring it fully into compliance with all regulations. If you have any further concerns, please do not hesitate to call. We will request a final inspection at the appropriate time. Thank you, !1'( Tom Samuels cc: Rohman, Tastrom ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631)734-6405 FAX(631)734-6407 CONFINED SPACES: (continued) total input of all gas utilization equipment installed in the combined %9111117fNG (continued) r'a space shall be considered in making this determination. Each Vila 2 lists ft venting distances a AN with 4"diameter PVC pipa. �} opening shall have a minimum free area of i square inch per 1,003 umtirt with 4'PVC,use a4" to 3're p P en MA Btu per hour of the total input rating of all gas utilization equipment in v'0h39PVC.Use the 3"vent termin alsrta exit through the building rv4 N the confined space, but not less than i 06 square inches.One a3:keci with the water heater tc u) p g P q tarn oatteh nthe outside of the build+fit the length of the 3"PVC neectill opening shatE commence within 12 inches of the t and one within gn g the wail is greater than i 4 m 12 inches of the bottom of the enclosure.The minimum dimension of g u^e 4" PVC u go through the wa m andred Iusfo 3"PVC immediately aeciting the outside wall.Refer Eoga m air openings shall be not{ass than 3 inches. g tFati©ns on the fallowing ,Make sure the vent pipe terrrrt� b All Air From Outdoors: The confined space shall be provided wiili Clkv fitting is at least 1"away from 1L:dge of the wall. The National F tM two permanent openings,one commencing within 12 inches of the Gas Code ANSI 2223.1 Latest Edtti G to and one commencingwithin 12 inches of the bottom of the ft ( CGNCAN B74i installation Goch enclosure. losure.Theopenings shalt communicate direct or tr ducts, codes have specific require uts for the location of vent temartals ph+. Y oovartical walls.The guide lines fis edif, are from the National i uel Q with the outdoors or spaces(crawl or attic) that freely communicate Code. ConsuRtfie focal codes, and/ori as With the outdoors.The lay€imum dimension of air openings shalt be la National Fuel Gas Code ANSI not less than 3 inches. 2223.1 (Latest Edition), or CGAICA"1149 Installation Codeto determia elf 1. Where directly communicating with the outdoors, each opening tl't`-te are any additions or changes tett following specifications. shall have a minimum free area of 1 square inch per 4,000 Btu a. The vent terminal shall terminate per hour of total input rating of all equipment in the enclosure. inlet duct located within 10 feet. at least 3 feet above any forced air 2. Where communicating with the outdoors through vertical ducts,each his provision shall not apply to thee opening shall have a mihhmum free area of 1 square inch per 4,000 combustion air intake of a directvent appliance. Btu per hour of iotas input rating of all equipment in the enclosure. b. The vent terminal shall termina,4 at least 4 feet below, 4 feet 3-Where communicating with the outdoors through horizontal horizontally from, or 1 toot about any door, window,gravity air ducts. each opening shall have a minimum free area of 1 cinlet into any building.' The bottanofithevettenninal vnae square inch per 2,000 Btu per hour of total input rating of all shalbe located at feast 1 foot above grade. d. The vent terminal shalt not tormir ate over a public walkway or over ., equipment in the enclosure. an area where condensate or va 4. Where ducts are used, they shall be of the same cross-sectional POr could create a nuisance or area as the free area of the openings to which they connect. hazard or coutd be detrimental tothe operation of regulators, rettei valves,or other equipment. X SPECIALLY ENGINEERED INSTALLATION: e. The water heater location shall provide easy access for the entire LL length of the vent connector. The requirements noted under CONFINED SPACES shall not necessarily f. The vent system shall be inspects govern when special engineering,approved by the authority having jurisdiction, against leakage of exhaust produ� i least angio a year to ensure roaide>an adequate supply of airfor combustion, ventilation,and venting. VENTING fEXCIEPTIONS FOR INSTALLATIONS IN CANADA: i-vb water heater is a power vented appliance and is designed to vent its a- The vent ferminaf shall be focate:d of least one foot from any products combustion through 3' or 4'diameter Schedule 40 PVC pipe Ea window or door which can be optened in any building, any non- :ne owdoors. the water heater may be either vented through the wall or mechanical air supply inlet to any braiding, or the combustion alt var',caR through the roof The bower outlet is designed to fit 3"diaetreter inlet to any other app€iaace. PVC pipe. . Use a 3"to 4" reducerto connect to the vent outlet when usino4" b The vent terminal shall be located at east 61eefi from any mechani• P I cal arc supply inlet to a building. PVC- Seal the joint between the PVC pipe and the blower outlet collar wish G. The vent terminal shall not terml4ateabove a meterdregulator RTV Sealant. (see Fig 1 )Table 1 lists the maximum vent lengths for this assembly within 3 feet horizontallyV oithe vertical center line of the water healer using 3" PVC. if possible, locate the water heater so that the regulator and shall be at least 61e4i elitreur any gas service regulator venting length and number of elbows are kept to the minimum distance to vent outfet. -each the outside. If the installation requires venting lengths that exceed the d. The vent terminal shall be at least 7 legit above a paved sidewalk o• elgihs listed for 3" PVC in Table 1,then use 4" PVC for the vent connecl3r. a paved driveway located on pubtol:c Jroperty. e. The vent terminal shall not terrnhE�) ateabove a paved sidewalk of a g paved de'veway which is l0catcdoh�3n private adjacent property. ch L 6 THROUGH-THE-WALL GAS WATER HEATER N a b M BAWFGhb MUM In C O R P O R A T 1 O N m mTTW2 INSTALLATION m m OPERATING •MANUAL ti CD A Spanish language version of these instructions is available by contacting m the Company listed on the rating plate. CE La version espanola de estas instrucciones so puede obtener al esonbirle a la fabrica cuyo nornbre aparece a Is Placa de espedficacionas- WARNING! If the information in these instructions is not followed exactly, a fire or explosion may result causing property damage, personal injury or death. WHAT TO DO 1F YOU SMELL GAS • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. 19 Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. If you cannot reach your gas supplier, call the fire department. FOR YOUR SAFETY Do not store or use gasoline or other flammable, combustible, or corrosive vapors and liquids in the vicinity of this or any other appliance. I I Installation and service must be performed by a qualified i installer, service agency, or the gas supplier. r z E .. f For your family's comfort, safety and convenience we recommend this it 238-40630-00 C 28 water heater be instatted and serviced by a plumbing professional. 238-40630-00 C ® WARNING MINIMUMCLE�r.�i�Ir'^�s(oor. a DO NOT ATTEMPT TO LIGHT ANY GAS APPLIANCE IF YOU ARE � refrigerator a,J air cc'--70r_-, relr��;t- NOT CERTAIN OF THE FOLLI.)WMG: calcium and sodiurre ,e, � - Liquefied petroleum gaseslpropane as and natural ,,-- - N odorant added by the gas supplier that aids in the detection of the gas. their presence iN9 TE pA A rat lkvefs with little or rro od eSto Most people recognize this odor as a"sulfur"or"rotten egg"smelt. fBY EXPOSURE T DCOI;f;Ogl y� IHE WATER HEATER Cq gJ m - Other conditions,such as"odorant fade`can cause the odorant to THE WARRANTY. 4'PORS IS NOT CO VEREL7o CR diminish in intensity,or"lade",and no be as readily detectable. . C2 - It you have a diminished sense of smell,or are in any way unsure a COft46USTiON AifE SBPPLy m the presence of gas,immediately contact your gas supplier from a An adequate ai r supply shaft be roar neighbor's telephone. p t for combustion and Ventifatia zi m - Gas detectors are available. Contact your as supplier, or lurnbin insufficient supplyof aiIdll cause re'dMation of combustion products in air : p fro 9 PP P 9 wig ofteresultinn estJJ o a e1bw,luntanlination mirat that 610 hazardous to life. Such a cor��i professional,for more information. in sorting of the comJ�!bTl chamber, b u'er flame causing carbonizing This Installation CLEARANCES ��w� damage to the water taafar, r(s)) and flue tubes}, vvjth g Si This installation shatf allow access to the Front of the wafer heater and pow adequate clearance shall be provided for servicing and operating this water When an exhaust far isinslatied in The4me room colli this water sufficient openings fcrairrrlust be neater. The water heater may be installed on either a combustible or no V air to he drawn into tfrero"l throughteroq d• undersized openings wihliaca s� combustible floor. If the water heater is to be instafted directly on carpeting,itexhaust vent_ shall be installed on a metal or wood panel extending beyond the full A dh and depth of the appfianoe by at least 3 inches in any direction or, it the [BE FLOW OF CC N13LI TtO p44TI l r appliance is installed in an alcove or closet,the entire floor shall be oovued BSTRUCTED �ENTJL.ATtfVC AfA MUST NOT by the paned. The minimum clearances to combustibles for this water heater is: 0"from the sides and rear,5•'from the front of the jacket,0"from the rent (UNCONFINED SPACE o connector and 15'from the jacket top. In unconfined spaces inbufldfn gs of z waterlinTris e connections r heater swbe located in an area where ill not rresuit in damage to the areage of the tank or adjacent to title infiltration maybe adequate to provide hsit than unusually tight lobo,uctron CE water heater or to lower floors of the structure. When such locations carrot dilution of gases. tJncmMin pace is d for combustion, venttatfon, and not fess than 50 cubic feet p t ce s dOi ned as a space whose volume is bo avoided,a suitable drain pan must he installed under the water heater. rating at all n so cuo� ea(i"afplod In that s atu per hour of flra aggregate input Such pans must be ? /2'deep and have a minimum length and width of at with the space appliances whist the face. Rooms communicatinglGi0 dfrectiy east 2'greater than the water heater and must be piped to an adequate furnished with doors,avec appliances d a Bra installed,through openings not dram.A pan,constructed as described,can be purchased from a local sleet However, in buildings of unusual) light Writ°f the unconfined space, metal shop. The pan must not restrict the combustion air flow. It is r acom- strisiping,heavily insulated, caulked, va mrtstrudion(forexampb.K'�'ather mended that a minimum clearance of 4" be provided on the side of the be Provided usin the methods described r barrier,etc,}, additional air shall p g betowu ovaler healer for servicing and maintenance of the temperature and All Air From Outdoors Or SPECIALLY Er4a rider COAIFifJED SpAGE pressare relief valve. installations in Canada, refer to the fateatQfNEFRED INSTALLATIONS. For Installation Code for specific ofiGonof the CAN/OGA 8149 CAUTION!:The failure to adhere to these installation and operating gasappJlances, guidelines or. providing cornbustior,air supplyta instructions may create a hazard to life and property and will nullify the warranty. CONFINED SPACES:Pegs than 5D cu.ftng: , a. Aft Air From InsidO /IOM Btu per hour Water heater corrosion and component failure can be caused by the heating provided With two perrnane�� e confined space shalt be and breakdown of airborne chemical vapors. Examples of typical compounds an additional rocas) of sulficlenl vol communicating directly with that are potentially corrosive are: spray can propellants,cleaning solve rrts, volume of all spas meets the criteri larnor so nconfined spat the ce Th, l � 6 L_ 7 I, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages and costs, direct or indirect, of whatever nature and by whomever suffered, for liability it incurs resulting from activity conducted pursuant to this permit or in noncompliance with this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from such activity. Item B: Permittee to Require it's Contractors to Comply with Permit The permittee shall require its independent contractors, employees, agents and assigns to read, understand and comply with this permit, including all special conditions, and such persons shall be subject to the same sanctions for violations of this permit 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 for this project. 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 written or verbal notification is provided by the Department at least 24 hours prior to such inspection. 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. 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 If project design changes become necessary, the permittee shall submit the appropriate plan changes for approval by the regional Permit Administrator prior to undertaking any such modifications. Be advised that substantial modification may require submission of a new permit. 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 Bldg#40 SUN, 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 when: 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 PAGE 2 OF 4 1-4738-01947/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLES), 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 prosecution 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 too'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. All 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_ D 1-4738-01947/00001 EC PERMIT NUMBER PAGE 3 OF 4 .k t NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. No fill is authorized by this permit. 2. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 3. 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. 4. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 5. 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. 6. Necessary erosion control measures i.e., haybales, silt'fencing, etc. are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. 7. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the most landward edge of the tidal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater. 8. Due to the occurrence of New York State listed endangered/threatened species at this site, no work which involves the operation of machinery, redistribution of sand, or other physical disturbance is authorized during the period from March 15, to August 31, inclusive. DEC PERMIT NUMBER PAGE 4 OF 4 1-4738-01947/00001 . . . . . . . . . . . . . . . FORM NO. i /.l SETS OF PLANS . . . . . . . . . . . . . . . TORN OF SOu'fumm SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING IMPARTMENT CIIECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765- 11102 NOTIFY: ?Ovl9a�'C�.G3flL CALL . . ./ .1.'OAq . .�`.>LQ6 19ct7 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approvot.......,�-,�G,�. 9! .�57 �L7' ... 19. .. 4'enhnit: Nu. ...... ..:. .................................... Uisalpxrwel a/c ...:................. .......... .... .................... .............. O L5 (5t 0 M (d ..(lltilding lnnl"Ior) ' u' V l5 0 IPLICATION pbli RUILI)111t) PERMIT NOV ` 2 1996 li`i. . . . . . . . . . 'T NS'1'ilI1C'I'I ONS k, BLDG.,DEPT, TOWN P n'. 11110 app T opletely filled in by typxaarit.er or in ink nix] md.nptterl to (be Ddifling Inspector wil 9 cels of plans, accurate plot plan to scale. Fee according to ache(kile. b. Plot plan sl)owlog location of lot and of buildings no premises, relationship to adjoining premises or Imbuc streets or areas, and eivluyl p detailed Oescrip0on of layout of property moat he drown ixu;Clic dingrrrn which in pari of _ this application. c. 'file work covered by this application may not be camemm_e1 before issnace of Building permit. d. Upon approval of this application, the Ikuilding Inspector will issue a Ikuilding Permit to the applicant. Such permit Oiall be kept on Ube premises available for Inspection throtglhout tlme,vJork. e. No building slmll be Occupier) or used in whole or In tart for any purpose wlmtever until a Certificnre of Occupancy shall have been granted by Ube DOIlding Inspector. APPLIQATItN IS imm MAUI to the ikuilding Department-for tlhe Issuance of a Building Perndt pOrmmnt to tlhe - „- Ifuilding Zone Ordinance of tine"form of Southold, Suffolk County, Neto York, and other applicable laws, Ordi_nnnces tar .__.._._ Regulations, for We construction of Iuildings, ocklitions or alterations, or dor renuval or clemolition, as herein described. Ilse applicant agrees to comply with al applicable lawn, ordinances, building corle; tuausiog code, and regulations„and to admit authorized inspectors on premises and in 1 c ry inspections. (Signature of; applicant, or name, ii a corporaLion) (Kai I ing arirlrens of applicant:) Slate wlneUher applicant is Ower, lessee, agent, architect, engineer, general contractor, electricinn, pludx�r or hxntldem .............. .. p......,L....t....t.........+a...f.................� ��.1U. ... ....'..I................. ................... ... Nine of Owner of premises ....J\ .....f.�4,a� l}J.lY.t.7, ............................ ......... .. .. (as an lime lax roll Or latest deed) if applicant is a corporation, signature of duly autiorized of,Cicer. .............................................I........... (Nano and title of corporate officer) Ikuilolers License No. ...... Planbers License No. ......................... - Electricians license No. ..................... OUher Trade's License No. .................... I. Itx:ation of land an which proposed work will Ix rkxhe... .. ......................................................... ......................2:`.......:I�A`!...jc 1 --;::.4. ' r�.�'?'P>T ......... .:- ... ........... .......... Ilour>e Nanber Slree//tI- hma�let County Tax Map Ni). 1(X)0 Section ....`I.1....... Block ....1.:5......., lot ....Q7........ Sruldivision ...................................... Filed Kip No. .........I..... Int ............... (Name) 2. State existing use aux) occupancy of premises sxl iinletxk'd use nix] occupancy of proposed construction: a. Existing use and occupancy ......�iF,GIA.)J 1N(.?E... ... ........................ b, inteuxlerl use mhxl occrhpnrmx_y ..... ................ .................................... Vwura of work (dick rAnidn applicable); NLw Iloildinil .......... Addition ... .v.... Alteration •. . • Itepair ............ Itanoval ............. Ika;nlitioa ............ Other 1Jork ....................... ..... .... .. (wScriplion) ' ��RSLiuwteel coal .......20 fee .......... ............... ........................... _. .. '•.• (to be laid on filing this lifflication) lE eha!lliryl, miller of dwellbyl u •- nits ....... thu)er -of dwellingmilts on each floor .. .............. fgarage, nRniker of Cara ........... ....... If Ixnainnesa, cxnnercial or ndxed occulwuey, specify nature anal extent of each type of use....... .....i^....it.... i , ii t in 4 wbireuahx;s of extntiog atruct-urea, If any; hro l..... '�A, II4P.. Hear ..fr:!. .i-.!•.• Depth ... C.1......... Iklght ......................... Nobel: of SLorlea .. .5✓.LVr... ..... .,.1.. i_ it ✓�/� r_ II Dillenslons pens gitiructure with al Leratiaie or addlLL�ions;;' Front 140. .. 1 . hear .. .✓.`. w•t• ' Q...Lb?.. hear ..2,0-4"' ;�kr Sr.. . !.,.I ,,,,,............._*�,..,a .. ... ... Ik1 nC Mnber of St'ornen h i rr, 11 wbieuaio;a of ennLira new etxnatmc:frex;: FrcxnC ..... l' � ���•,• •• IklghL ......2........... .. . lhrdx.r of Storlea . ..I.YA.�. ....... . F.` , ) nn ��99 qq rn� I t Size OF lel: FrOut .�I./�.�.c. .l:�!... hear...•...1.lr .. .. . .. Depth ... ..... 6••!..I`-� .- 14ne Of llnrdnarre ... �...... . of Fonier O.kner...l` �^......... '...'f�U;:�!� ' ,,,. •Lone or use diatricl in rAnidn rernisea are situated ... Villas proposed courlclion violate any zoning low, ordinakwe or regulation: ........NO. ....... WI 11 IOL Ike regrmled ......)11.O......... Will exceas fill Ile reuuved Gran prenlace; HS idO N;rres of Owrx.r of �ai Urr�=�.`��i�-•F��N�•�Azklreae .:.:.. .-;.:'............. 1 ke NO.;....:. .....:. - 1 �,} ....... GUS fkrae of ArcJni Lect '4G V`(\ ' f P`tiklreae I:VJ.W-:.. llnone No. Nrnne oP. tOOCfacLnr ................. .... Acklrea .............. s ..... ..................,....,.Itrone No. ............. Ill Iiia prup"Ly within 3UO feet,of u Lidal wellaod? * YES ..1.. .... K) .......... *IF YRS, 90m1CHD 'Imf-imisim N3lirfrNAY Ic IwAillum. PLOT DIAGRAM Lcx:aLe clearly and dlatineLly all buildings, rAneU;er existing or proposed, and Imlicate all set-back dia;enalona un property linea. Give atreet aml block rxnber or description according to deed, and allow street runes and lodicate etla:r Intei•iar or comer lot. I'Alti lN' MiW Y(NtK, p/ Cf �jY O 'L- Se, . ...... ........ ... ... . . ..... . .. . .lx!ing duly e;wuro, defunea and says tint he is the appliconl `one of irxlividual. nig nn onUact) xrve ;oast, e Ia Lill' ............. . ............ ..... .. .... .. . .......... ... . ... .. .... . ... ..................... .......... (CouLractor, ageuLi- corlxkrr;Le officer, eta) f paid onax!r or cmmera, oixl is duly rx;lhorimil to lx!rfoon or have lx!rfunrc!d tris said work and to nuke and file Ihill pplicuLion; Lhnl. all alaLcsnents contahxxl in Lh(s ojkplicatiou are hies to the beat of hill knowledge a;xl belief; airl hal. the work will lm perfoocxl in the moiler set forth io the uppl.ickntion filed WerewfUn. worn to before ne this ...:day of?.......'�/��Jf.... Notary Fnhiie rvs ` G%��•L�'���G�y�. G������� �� STEPHEN F.MAILLARD NOTARVPUBLIC,StateOfNewYork (Signud.ure of Applic:nnc) No.4706203,Suffolk County Term Expires a� v O _ (8 19) < 3V 3NOZ Hinos m ji' EEz ,I. 3NOZ m MON 0'0 d0 (IUVMONVI A1NO AlddV SNOIlVAJ'13 00014 3SVS lV1SV00 1S 1S3M r m w g UOEIUVH dHOcrNHH D 1613) is I I[ I 3NOZ 4 it 3NOZ X 3NOZ r rV) Od0y0 u alAol 0 's; t,.`JNI7FIB1 X a` s 3NOZ iN No< k 9 � r t+ L 0 �. zsa wa X 3NOZ �3oC jo QV' yjyjyj S ! yy� i E I 4 v X 5 a; a)yr 3NOZ �2 m � . I tf a oxi4E. �� V;�lw I 4 s C s 3�aCrh be n 3� X s u= Oz 1 = (9 l3) „,.I ' sr 5•.x ;t Fk s'��Sw"i�s' °�b 3V 3NOZ L'fid.l%1 � (8 13) 3V 3NOZ L X66 EI809£ bys pjoglnos 3o unno j X 3NOZ ez X 3NOZ 4 X MOZ AVE . Y_ SURVEY OF PROPERTY- SITUATED ROP RTY-SITUATED AT . GREENPGRT 1. EL.EYATRNU ARE REFERfNCEO TO M.G.V.D. 1929 DATUM 0nsnt� ELEYAT1pW,4 u+s SHOWN Vios: TOWN OF S013T L� COSTING CONTOUR�LINES ARE SHOWN THUS -----s----- , ,•� SUFFOLK COUNTY, NEW YORK 2. FLOOD ZONE WIFORMATION TAKER FROM; FLOOD..ftUU0kE RATE YAP COMMUIRY-PANEL No. 3606Y3 DOW D S.C. TAX No. 1000-43-05--69 ZONE A7 (EL 10): AREAS OF t0O—YEAR FLOOD: BASE FL.09DELEVATIONS AND - - R.00D+KZ# 0 FACTORS OU87ARLM SCALE v=3D' ZONE v6 (EL II): AREAS of 100—YEAR COASTAL FLOOD *IH VELOCITY (WAVE ACTION):, BASE FLODO ELEVATKNNS Acro FLOOD HAZARD FACTORS DETERMINED. MARCH 6, }9R,J 3. EIDSTING HOUSE TO BE AWED TO M441MUN EL.EY. 10.W APRIL 29, 1898 'REVSEII PLOT PLAN ' L863V4;E PROPOSED ADDITION TO BE MORMON ELEV. 10.0 AUGUST 2D. 1948 AWED AWTIONAL NM AREA c 33.290:11 ff. (To TSE UK* 0.764 ac� LK T44.61'rSNOW 1 N 85 8'#t> E i /. j t� `L {107.$6' hi � 7 !CC w .'b ¢_`o ,n I A W BIDG.DEPT. e+ 7 a 70VJN Of-SDUTHDLD 'z z A. ' INC / / ! I 1 R X I N C d ZINC . I AL � � AL Q AL � r AL AL c4 _ L_' ^ ANC / f �fC �) N >>R+. 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U / .�/ ii {�� . tNo11 �! tri 'o. it �' �h ■J 11 . �i� ® t�7�Vi` I •• r. .r- 1 • • - _ rare f� • /-moi . rw - r —_ �� ��' L • r • - • W �^fI q• r•as> rV Q +ya r I FLOOR 1i �, ,•i141•j!'Yp..fpf.>•>Oi". -•1•.� •.f�•iuae,:'%i�%i���'r::!.�:bS�h?�iaf�ihA`...!i.n�+.•:^:r::a � � � 1 J 1 1 4 - - N�4 -Or J KYR h6Gl _ --- 0 - - - � -- - 1�4ti �� F.45C�,a \ Z Z � -A Q V) 5111-5" D<E5SE 1) _ Q 06 °' W o - � %� Lrrrlo� �Rl - .n # Tcscz�l-LaOA �� =_ � z \\�yy w gall- . - � = E �AIL. IvL � .� cr_ 2 O Q �. - - - - - --- - - - — — - - - -- - 104 NORTH ELEVATION SOUTH ELEVATION SCALE : 1/4" = 1"- 0" SCALE : 1/4" = .l*- 0" m z . 90 do L w � \ a UTAMDti�Si�IL;GLES -- i - - b='t.00(27 Project No: Drawn By: Checked By:Ts Date: 10,2`l , �$ \ ' E11M - --- - — -- - --.. ---- ----------- ------ -- ._ - — - ----- - Scale:• —Di - — -- -- - - CD - Sheet Title: to BUILDING stucco tils� —j u ELEVATIONS - - - L_ - - - - - - - -- -- - - - — -- - � Z - - - - - -,L _ - - - _ - -- - - - - - - - - _ � _-4 Sheet No: EAST ELEVATION WEST ELEVATION 2 SCALE : 1/4" = 1'- 0" SCALE : 1J4" = 1' 0" 1� 1 Wo 0 U } U Zz 0 W 0 Q o - o U od W o z � 0 Q Z z w c = o a C Q) --- - ---- -- - --- - -- - N -- - - -- -. -- ---- K - 30EATTINSUL.ATI0N --T�(a!i.RL f�00� CAS-TRIIGTI�I � IxIO r=R,EZU -ill z . NQ „ t rkALr_�NI Rc i 1�PIGALNEW NALL CONa79UJ(,M ToN Jp, crJ ; ON FE� " i CF�4R Sir IAC SIDlON J Y T C/ ON 6/ 11 PLYNDON w 1 x __oN GxlO RCbr / - ' b O�EJ a 2xG IND sn � . ICs^ aG W/ R-Iq <0 w r f��4fTERS�ICD�6�/� IW�UlOKI SKYL647 To faE U 6 - - P-S-U6sD 2%S COLLAR TIES 32"o,G, 19- Top 2Top Or I/2"GWg,rtYP G—r�EAT Rc�7M �NTtz�' ' To. - IST PLAT-F- - .tc 04o Project No: Drawn By: D2L.ic cY0WD x ,�;rlG, oN 2 5TS IColl O U.$ Checked By: Date: a - 3 lsri vJCpp ick � \ -# 3-2X'6 6Q-4 � N Tv SE= I .1A6a1D - yI` E_=N (51 U;D` ,'1 P Scale: \ IZ on r=Xls 1NC� + �--- � - � L Sheet Title: �--F �7CI�iNG 2*Cs �1JOFL PRAMnVv� C�RAI�E I ! SU6c:IVR p /' </ � �xIsTCoNc�. �ouNto.r� % , j � % Co Co coa Pest oN SECTIONS NALL if 50071l`-JG} ILI �/� f tr�y.1 2" 11i-FIGIL Poi li.z�r,� coryc.. �;n"!oM OP F�roT-INCA � /� f A / sl_a� --roP +•!+mac-#+— s�:�i A— Sheet No: A BUILDING SECTION 3 SCALE : 3/8" = T-0" MANHANSET AVENUE SURVEY OF PROPERTY NOTES. SITUATED AT 1. ELEVATIONS ARE REFEELEVATIONS ARE TO N.G.V.D.THU 1929 DATUM GREENPORT EXISTING ELEVATIONS ARE SHOWN WN TTN EXISTING CONTOUR LINES ARE SHOWN THUS: ----- s---__ TOWN OF SOUTHOLD rn - nur ne9n 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0058 0 SUFFOLK COUNTY, NEW YORK ZONE A7 (EL 10): AREAS OF 100-YEAR FLOOD: RISE FLOOD FJWA710Ns AND S.C. TAX No. 1000-43-05-09 FLOOD HA7ARD FACTORS DETERMINED. ZONE VB (EL 11). AREAS OF 100-YENR COASTAL FLOOD WITH VELOCTIV (WAVE ACTION); SCALE 7"=30' BABE FLOOD E1hVADONS AND FLOOD HAZARD FACTOR 5 OEtERMINED. MARCH 6, 7 998 y 3. EXISTING HOUSE TO BE RAISED TO MINIMUM ELEV. 10.0 7 PROPOSED ADDITION TO BE MINIMUM ELEV. 10.0 AUGUST 21998 REMSDED ADOPLONAPLAN NOTES AREA = 33,290.11 6q. ft. �M--'I .Y/O/£ 00 YE WNUG 0.764 oe. N/O/£ �y COUNTY OF 3U£FOLB 4.6 14 1' DONS I. SONNLR [-+ I N 85'38'40 J " E T ! MORDA £ MARTIN H $ Q r W / 107.86' 85'38'40 E 7 O nuu,. ,114 ' '• y AIL 1Al l I ! n4 0 I "7 I4 m A oCy AL E' T\ ,n5r '^ � .Ci' ¢ AW. i AL / / 1 / R ZE AL AIL b. I 4L AIL N I ..A I WI.1 ^:. [i] ! ALALL. 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