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25825-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27798 Date: 07/09/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 1195 WATERS EDGE WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 66 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 1999 pursuant to which Building Permit No. 25825-Z dated JUNE 24, 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to JOAN M REILLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A M Authorize V ignature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27797 Date: 07/09/0 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 1195 WATERS EDGE WAY SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 66 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 1999 pursuant to which Building Permit No. 25825-Z dated JUNE 24, 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 SECOND STORY ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN M REILLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. 31595 08/30/00 PLUMBERS CERTIFICATION DATED 06 26 MARK BLOCK Authorized Sig ture 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. 25825 Z Date JUNE 24, 1999 Permission is hereby granted to: JOAN M REILLY 12 CIRCLE COURT FARMINGVILLE,NY 11738 for CONSTRUCTION OF A SECOND STORY ADDITION & ALTERATIONS TO AN EXIST- ING SINGLE FAMILY DWELLING AS APPLIED FOR. FLOOD PMT. INCLUDED. at premises located at 1195 WATERS EDGE WAY SOUTHOLD County Tax Map No. 473889 Section 088 Block 0005 Lot No. 066 pursuant to application dated MAY 5 1999 and approved by the Building Inspector. Fee $ 713 .0000 Authorized Signature ORIGINAL Rev. 2/19/98 . " Form No. 6 j J l�J 1 TOWN OF SOUTHOLD (� 1 BUILDING DEPARTMENT1e TOWN HALL 765-1802 f APPLICATION FOR CERTIFICATE OF OCCUPANCY ' 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 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar building 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 V unusual natural or topographic features. 2. A properly completed application and a.cousent 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 - Residential $15.00, Commercial $15.00 Date ... . .. '. . . . . . .. . . . . . . . . . . New Construction. . .. . . .. Old Or Pre-existing Buil:ding. .� ,. '• �" Location of Property T.f. . . . . ..W. !4rEPSFJIF So(JT bG . Y S J House No. Street Hamlet Onwer or, Owners of Property.. . . . . . N. M: .g�1, .? L�C.. . . . . . . . . . ./. ./. . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . .Block. . , �. . . . . . .Lot. . 6?}� . . . . . . . . . . . . Subdivision. . .. . . . . . TJ.y!!.�V�% . . . . . . . . . . .'�FF/iledd Map. . !VV . .Lot. . . . . . . . . . . . . . Permit No, o2JoZ S Z . .Date Of Permit. !1.7. gl.. .Applicant. . . . . . . . . . . !. , . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . .. . . .. . . . . .Underwriters Approval. . . . . . . . . . . . .. . . . . Planning Board Approval. . . . . . .. . . . . . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . r- �- Feubmitted- $. z c �7'J1-7 12c ;-q . . . . . . . . . . . . . . . . . . . . . . . . envr.Treram ELECTRICAL INSPECTION SER VICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 31595 DATE: 8/30100 APPLICATIONNo.ONFILE VILLAGE: Southhold TOWN: Southhold ADDRESS: 1195 Wntarcvrlge Wrzv ISSUED TO: Reillv INTRODUCED BY. Co roran Electric Inc. LICNo: 3967E was examined on 0812912000 andfound to be in compliance with the National Electrical Code LOCATION: Base.. Ist xx 2nd zz 3rd Attic Det.Garage Hot Tub Pool F ES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND. 51 52 9 6 2 SHER DRYER CLOTHES WASH, GAR.DISP. RANGE OVEN SMOKEDETECTOR 30amp 20amp 30amp 1 5 CE OIL GAS CIR. MOTORS BELL TRAN SERVICE DISCONNECT X 1 METER AMPS PHASE UG 200 OTHER EQUIPMENT 20amp dacuzzilhood nticroll5amp air handlerl2-30amp a/c HUGO S. SURDI PRESIDENT BUILDING PERMIT No. r a Nfiaem�stnotbeaaemdinaymaM Inspector may be identifed by their credentials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE ��o�g�fFOCK�oGy o � Town Hall 53095 Main Road y x Fax(516)765-1823 P.O. Box 1179 WO • Telephone(516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N / DATE• b — — 0 Building Permit No. ! t� �8d� S Owner: :n0AIJ j�'rl,L� (please, picint) Plumber: &Z6,;rt 6LOG/— (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) 11.15] Sworn to before me this ��-�� day of Une- ROUO Notary Public, County Carrie Anderson Notary Public,State of New York Registration#01 A46033341 Qua!rtted in Suffolk County MY COfIN1rIOW EK*n Nov. 29,2001 June 27, 2001 Joan Reilly 1195 Waters Edge Way Southold NOTE= Two Certificates of Occupancy required• 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 not on file. (Enclosed) No Underwriters Certificate on file. xx The check is (not on file• )$50.00 No Health Department Approval on file. No final inspection has been made• No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) • BUILDING PERMIT s 25825-Z Please contact our office on this matter. Thank you for cooperation• SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 SOLATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ;DATE INSPECTO 7W-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] G. FOUNE�ATION2NDA SULATION [ ] FRAMING [ ] FINAL [ ] FIR PL" & CHIMNEY REMARKS \/A4 An G�- DATE INSPECTO t 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY.Z REMARK -�g �ais, DATE INSPECTOR <�r� F,2 7W-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION �n [ FRAMING [ ] FINAL FIREPLACE S CHIMNEY REMARKS: �c DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ XFOUN IATION i ST [ ROUGH PLBG. IATION 2ND [ ] INSULATION NG [ ] FINAL [ ] FIREPLACE & CHIMNEY / REMARKS:, / //V kAe ol-tte4w 114-&e 10,F�PA Q� DATE INSPECTO C91/ 765-1802 BUILDING DEPT. INSPECTIO [/IFOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIR EPI.A & CHIMNEY RE RKSo �-- /�p al� DATE 3 INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL & CHIMNEY RE ARKSA!: 74, DATE INSPECTO BILL PISA, ARCHITECT Nine Coles Avenue; Amityville, New York 11701-3605 Telephone: 6316912243 1 Fax: 6316911275 1pstyc7 az. soNrJ 60uptS .4 vaE 251 Zoo 0 O"''U of S'avrHa`o �J1LWi1JCt �EPA-k7w+e.Jt . LLL y ES(o&j CE lt�ts W ATfp-s knaE w07 SduTH6L0 /JELJ yot.v- 4r i t_ - 1 fu S u m ATL o jK& E.'YA'L Ctf( #A eJE� k tTENS 1vv JmviCTdL saof(S .L Ab- W PIT r1a6 TO cEz.Tt� THh7 TNF— /A)S7ALL A'rto.) O F T(fe AoL T SET 2(OJ` A /2 1 ,JSU LATf O TjLdt,f. WALL, CPj MrJF_y S'ySTCn. 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M jmc� QO aN � zz � � I'LDbb L � >- CO9M ¢> > avp"'ui vvix Q �7 � V / I" � n / I 1*2 w � � �000zLLm Jwao � �- J U.1 z CfllY1QC ( uJ6�1� l� 4FAV(�i�' �to o LLZhLLO cvci� aI00a C-D FLOOD DAMP( 6 fceueK- tvN Cn O v -"bkoN C006 = O z C.a ---------------------- W))Vx PCLVS dA2 1 mff4&46-St U-S f --- tt - ------------ f G ----- i -- �22 --- -�! Aft jo�•u 0%* 0 Town Hall Albert J. Krupski,President 53095 Main Road James King,Vice-President P.O. Box 1179 Henry Smith Southold,New York 11971 Artie Foster Ken Poliwoda Telephone(516) 765-1842 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE OWNER JOJ") R�� �`� PHONE 51e - 7 3 a -3 69 q ADDRESS a CI ✓c'C�r= R4rPGtj/(/QZU_C-.,PV I IJ AGENT PHONE ADDRESS PROPERTY LOCATION L j 9 W,1+-`EA6SE4)a Lyl4`T•. �1u7 Ally 1 17/ TAX MAP NO. J7 3 ,-^ U �d14� i L request an Amendment to Permit# 02 J 24 Signed By: s r _ JUDITH T. TERRY ;�+= rte•-?_'•-. .`� Town H:dl, 53(195 Main Road I TOWN CLERK P.O. Rm 1179 STASouthold, Ncw Ytirk 111171 l L IiECISI'RAR OF VITVITAL 'iIS7lCS �Ji � (G� � 4\ Fax (5101 765-1823 h1ARRIACF.OFF1CI7R _ r ���� Tcicphonc (510) 705-I801 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" (FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area (C/C(93) ] . 5�1v. GcrOcr TOWN OF SOi1TIlOLD d;�h T• T��� Southold Town Clerk August 25, 1993 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 BEST OF MY CNONEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE SECTION 2: PROPOSED DEVELO MENT (To be completed by APPLICAh n NAME ADDRESS TELEPHONE APPLICANT 50A-yj d TjYm9 t�i/�/ ��a�c ..Pc/}u�r C7- :346 BUILDER ENGINEER PROJECT LOCATION: To 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 distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. tPf -'Wt�siy , �ryb N£74P+�s� �P�9n �i�l FDP(93) APPLICATION PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure 2TlResidential (1-4 Family) Cl�httoa ❑ Residential (More than 4 Family) GYAlteration ❑ Non-residential (Floodproofine? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECTS B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except. for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) /JoVATAAI 4 I4�D/leo 1����• After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. . Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a Iloodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3OF4 SECTION 4: ADDITIONAL INFORMATION REOUIRED (To he 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. •Development plans,drawn to sale,and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodprooFing of utilities located below the fust floor and details of enclosures below the first floor. Also. ❑ Subdivision or other development plans(If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide IM-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). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be comol t d by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. 0 Is B. 0 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 checkr�, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION a PAGE40F4 APPEALS: Appealed to Board of Appeals? O Yes ❑ 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 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be 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. INSPtC'MONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? 0 YES 0 NO SECTION 8: CERTIFICATE OF COMPLIAN E(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE-% BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL. FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF - LOCAL LAW #_, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19� AS MODIFIED BY VARLANCE # , DATED SIGNED: DATED: C/C(93) O j fpS " O S 0 U Q ZONE X WE AES \.r MAIM RD ,' ¢o ZONE X .. 9a. ZONE Q 3 ` X q° ZONE ZONE RAMs X X ZONE cR r X ZONE ro� X . PL ZONE m SUNSET X ZONE X LA WA7ERSEDGE WAY _ ZONE X 41.01' S2- 5 ZONE X WE T ZONE VE ---. DR (EL 8) i� AF, CL 8� COASTAL BASC FLOOD ELEVATIONS APPLY ONLY LANDWARD OF 0.0 NGVD Town of Southold 360813 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION L DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-02067/00001 ■ April 28 1999 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental April 30, 2002 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: 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 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 PERMIT ISSUED TO TELEPHONE NUMBER Joan M. Reilly (516) 732-3694 ADDRESS OF PERMITTEE 12 Circle Court Farmingvilte NY 11738 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Same as above NAME AND ADDRESS OF PROJECT/FACILITY Reilly Property 1195 Watersed a Wa LOCATION OF PROJECT/FACILITY Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Peconic Ba DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a second story addition to existing house. All work shalt be done as shown on the attached plans prepared by Donald A. Kolacki and stamped NYSDEC approved on April 27, 1999. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, alt applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Mark C. Carrara JJK Btdg. #40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE t DATE / April 28 1999 FPage1 Of 4 e NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, 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 to Require its Contractors to Comply with Permit The permittee shall require its independent contractors, employees, agents and assigns comply with this permit, including all special conditions, 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 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 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 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 1-4738-02067/00001 • PERMIT.T W,rev.1x198 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 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. 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 Donald A. Kolacki and stamped NYSDEC approved on 4/27/99 DEC PERMIT NUMBER PAGES OF-!L- 1-4738-02067/00001 F41-4738-02067/00001 • NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. 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. 2. 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. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. 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.). 5. This permit does not authorize any alteration, expansion or replacement of existing septic systems. 6. 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. 7. A row of staked hay bales shall be placed 5 feet landward of the existing bulkhead at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. DEC PERMIT NUMBER PAGE 4 OF 4 1-473M2067100001 T Board Of Southold Town Trustees , SOUTHOLD, NEW YORK PERMIT NO. DATE: Aug. 31,_..19.98 ISSUED TO ...........JAMES,_&...NAN...RZILLY.... -.......... ...... ... ....... 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 Aug,....Z6......,1998 4 19.98....., and in consideration of the sum of $15.0-0.0.. _ paid by James..&...Joa, ... ..... ......................................................... of ........Southold .......... .............. _ N. Y and subject to the Terms and Conditions listed on the reverse side hereof. 17 of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a 14.6' X 241 extension to soutwe part of house, a 22' X 161 brck patio, a cedar deck and a second floor addition with cond. that a row of haybales be placed when doing cpnstruction. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of is data. VF .. ....... ... ... ..... . ............... .. ........... .................... Ak Trustees 31 TIRE STATE INSURANCE FUND 199 CHURCH STREET,NEW YORK,N.Y.10007 (212) 312-9000 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE EMPLOYER CERTIFICATE HOLDER I POLICY NUMBER FINAL CUT CONTRACTIBG CORP SOUTHOLD BUILDING DEPT L254 931-7 25 BRIAN AVENUE 53095 ROUTE 25 PO BOX 1179 HOLTSVILLE NY 11742 3OUTHOLD NY 11971-0959 UNIT PERIODCOVERED CERTIFICATE NUMBER DATE ISSUED HAUP 6/15/1999-6/15/2000 lU— 946098 6/14/1999 THIS IS TO CERTIFY THAT THE EMPLOYER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER THE ABOVE NUMBERED POLICY COVERING THE ENTIRE OBLIGATION OF THIS EMPLOYER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS'COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. IF SAID POLICY IS CANCELLED OR CHANGED IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, WRITTEN NOTICE OF SUCH CANCELLATION OR CHANGE WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. TIQ xxxxXz�I'X��I141�� >'+ W � �lil'Jilldii3� THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION H.JACOBS DIRECTOR INSURANCE FUND UNDERWRITING U-26.3(1900) ACORD„, CERTIFICATE OF LIABILITY INSURANCE PRODUCER `THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Paradise Bkge Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3632 Rte 112 INSURERS AFFORDING COVERAGE coram N,Ys _11727____=_ - INSURED INSURER A: Utica First Ins Co Final Cut Contracting Corp. INSURER B. 25 Brian Ave INSURER C: - - Holtsville N.Y. 11742 INSURER D: INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS DATE __DATE(M!A/DDl1'YI -__- GENERAL LIABILITY EACH OCCURRENCE $ 300, 000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50, 000 CLAIMS MADE —I OCCUR ART1124959 8/31 /98 i 8/31 /99 MED EXP(Any one person) $ 5. 000 _ PERSONAL 8 ADV INJURY - $ GENERAL AGGREGATE $ 600, 000 GEN'LAGGREGATE LIMITAPPLIES PER:. li PRC DUCTS-COMPIOP AGG $ 600, OOO POLICY PRO-JECT LOC I — AUTOMOBILE LIABILITY -- ---- —�- - ---_- - COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accidenq $ GARAGE LIABILITY �AUTO ONLY-E_A_A_C_CIDENT $ ANY AUTO IpTHER THAN EA ACC $ AUTO ONLY. AGO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR 11 CLAIMS MADE Iii AGGREGATE $ $ - DEDUCTIBLE $ RETENTION $ _ $ WORKERS COMPENSATION AND WC STATU- DER EMPLOYERS'LIABILITY TORY LIMITS ER E.L.EACH ACCIDENT _$ E.L.DISEASE-EA EMPLOYE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS7LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/S.PECIAL PROVISIONS HOME IMPROVEMENTS ALL LOCATIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL L DAYS WRITTEN Southold Building Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 53095 Rte 25 IMPOSE NO OBLIGATION OR LIABILITY OF ANV�CINO UPON THE INSURER,ITS AGENTS OR P.O.B. 1 1 7 9 REPRESENTATIVES. lam`( Southold N.Y. 11971 -0959 AUTHORD:ED REPRESENTATIVE / ACORD 25-S(7197) /L/ ©ACORD CORPORATION 198= - �f - - D N - �COES16LDINSPEC[IONRAPORT1t,Z�w___--i--- __- - ---=- 7UNDATIONOST) < 1ST) 4 - :S N N OUNDATIONUND)__ N n '{ OJGU FRAME PLUMBING _—Ju n M t r V CA f niSULATION PER N. Y. —1 STATE ENERGY N CODE �� S uQic' 'tel N q n _ N 6 's u FINAL N N N t ADDITIONAL COMMENTS: -------- ------ -- - 2- 91 L9n, - t a Loop_Zp N e: -. 3,moLe r - ►Jo FLoad E riav 12 u, d S-r L Must So {RAspuple tom,5 6 urk — �J e r) �l� MO x t- p Q i BOARD OF TH �, ... ....... . SOUTHOLD SURVEY q U — FORM NO. 1 3 SETS O S . . . .... . . .. BUILDINGF FDEPARTMENT CHECK /'.. b1.1.. ...... . . .... TOWN HALT. SEPTIr Fer y. .... . . . . . . ..... .. BLDG. DEPT. SODTHOLD, N.Y. 11971 �R-U3.1r-� ✓ T MN F L,L ff�lD 'TEL: 765-1802 NOTIFY: CALL 7 :l.-.-112 9. . . ... Eremined.................. 19.... _p _ MAIL TO:. ... . . .. . . . . . . .. . . . Approved..... 'Z. ..., 19.11 Permit No. �5.d .. 5.� ................................... Disapproved a/c ......................... ..... ................................... (Building Inspector) M PLICATION FOR BUILDING PERMIT Date.... .... . :1. .3�, 1999. INSTRUCTIONS a. This application must be completely filled in by typewfiter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot,plan Co 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 wfiich is part of this application. c. The work covered by this application my not be comaxtnced before idsuance of Building Permit. d. Upon approval of this akAication, 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 H3[= MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for reroval or demolition, as herein described. Tne applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. �. ....... . .... ........... goature of applicant, or Hare, if a ation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builde2 Qt1I1�1,.X................................................................................................... Name of owner of premises ..... 7�:11� ..::J..�...J.�l ;1...................... .................................... (as co the tax roll or latest deed) If applicant is a corporation,rporation, signatcue of duly authorized officer, ......................................................... (Name and title of corporate officer) Builders License No. .. c�3 :7 S`f H 1....F17 N,4t- C ITT cag l)- i(cT/K/< - Plimbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done...Z......................................................... l.(.9. ............? t'!yT � s C3Yi�E.i....X........................�Q� f?+ca D................. House Nhrber Street �/et' Ctmty Tax Map No. 1000 Section .....C:.r..... Block .....J........... Int .....4a"tw.s..... Subdivision ....../ � Y�!t' .......... Filed Map No. .....Q?.94 . Lot ...c.1.�`� ... (Name) 2. State existing use and occupancy of and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .:: {/,7f`rfy... ...................................................... b. Intended use and occupancy�'....,.ZL.../..���15...................................................... 1. Nature of writ (check which applicable): Nein Building .......... Addition .......... Alteration . Repair ............ Removal ............. Demolition ............ Other Work ...s.............................. -4Q2 F16iiULl......... (Description) i. Estimated Gost ...93P'P, fee .. .., .... ...... ...... - (to be paid on filing this application) 5. If dwelling, ouber of dwelling units ............. Number of dwelling units on each floor ................ Ifgarage, number of cars ......... ......................... 5. If business, pial or mixed occupancy, specify nature and extent of each type of use..,! A............. 7. Dimensions of existing structxn.-es, if any: Front....AS t..... Fear ..71,....... Depth 14J.............. Deig)it ......1i ............. Nmber of Stories ....... ....I...... 7 �l Dimensions of same structure with alterations or addition t ...�o.$ ....... Rear ...:4.......... Depth .... �.$'J....... eeigbt ....02 J�!}r f1tG�eY df Stories ...ZL........ 8. Dimensions of entire new construction. Front ,..^.�. / .. r .�G.V ........ Rear ....7a�....... Depth ........... Height "3. .............Q...... Number of Stories ...4L............... 9. Size of lot: Front ...7Lt.l4 V......... Rear /1 �/ ..J03.J......... Depth ..F Cyd:........... 10. Date of Purchase ... :C:pr.... Name of Former owner ..rll t? cfclQ ...�r..�,STRr.+.4rZ- 11. Zone or use district in which premises are situated . CA YW�Ii!M-7A7 ..SOunlhv 17:.................. 12. Does proposed construction violate any zoning lata, ordinance or regulation: ...Nd............... 13. Will lot be regraded ...N.d........... Will excess fill be removed from premdsea: ®� ND 14. Nares of Owner of premises 114' T1Y...[:Lf.... 1p. Address �P2�J/ tk.CT., �74ePMll±Y _ No.7i�: r'fo7 Nate of Architect l.�Zcyf4.. .. ..?..�h/.r... Address !!+JAUC�Cc 6 �Ptwoe No. 34-7-9U: Name of Contractor ................................... Address ...............................Phone No. .......... 15. Is this property within 300 feet of a tidal wetland? * YES .. NO .......... *IF YES, 9MMII)tD IM ME= Pmff HAY BE RD¢llM- PLOT DIAGRAM locate clearly and distinctly all buildings, whether e4stiog or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 5)5C" :5701eu16 y STALE Of MW YOM, SS 071IPDY OC .S.�I FFn 1�f......... y nTO!q!b?. .12�t'4LjY.............................being duly sworn, deposes and says thatSTa is the applicant (Name of individual signing contract) above named, Slle is tine ...... elld ?iv...........,........................ ................................................. (Contractor, agent, corporate offices, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in rine manner set forth in the application filed therewith. Sworn to before me this ..........al!S1 d /�, 19.1. x.; .. Notary Public MARK SGNISSLER ...... ............. ..... .. NOTARY PUBLIC, State of New Yalk �� No. 524654335. Suffolk'loBuntY. Signature of Applicant) Term Expires A7areh'30 tU S✓ BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: E I LV Y O A W Reviewed: Architect/ IIll Date Engineer: h LO t�.D�•�aK i Submitted: SCTM#: District: 1,M Section: W Block: Lot: G Project Subdivision Location: IM l41`Mt0&6W01t&&+�OLO Name: A`( I�'A e,+h. Single&separate Required certification: (Yes/NO)) ESC l S T►iu'S Req. tt�� Req. Zoning District: [Lot size: Actual: .eJ �9 4.0 eV [Lot coverage Proposed:_) Req. Req. Req. [Front Yard �Proposed: [Side Yard Proposed: 1 [Rear Yard SD Proposed: Project Description: L 4 ! i N �e, fAWILYD(. e l ll k,�5 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. 2�_ New York State D. E. C. Secopv O :S-td%y i7�a� �-�f 73$-6�ooc o Town Trustees A N •t 1y\O Town Zoning Board approval: _X Town Planning Board approval: X Flood Plane Elevation??? L 8) Flood Zone: A� 4 Notes, -ArL f[RsT f t..(ZR ee.>oy0,*« Secoto cSt1 e y 4001'rvh-� :�P- Sc)%, �e4c6c*OU—� -LI ), figs-r fLoott 2QS4 Sr- l mat-_p®rr,adr '7q QeNovAt" 0AeA AODITWAL Ak p SF � Syo 5 2Z.90 sFx .20 .538 `° 3 �n 4W w z uri LU - OOCC r 3 a(�aa� a wzw Wo 4 �ksnit� J '/ r-LooJQ ��O J L O Wcc w Z J F W m Z "�!h rrl�}1 'TO )t A l(?4 f4A/l� f'Ja15 5")t)1 AJL''MU)K� ,- ••� a a-O0 Wa, (rj V(=Jf O Z Q Crj � 1?C1C)I� a+"fA.G" S 'Y-O P/�-17!`F-J Pi H�:�r tl�i✓,1-r ,";'L��y� 4 m x4 �z � xz�� a � Q C)tiJb Bwc*� S: 000 z -' t-OOZvWur L p F- Lau � 0 ZwtriWO ¢Z = LL ' s pQzQwu Zvanc�umrirc0i � � F— >- F Z f71� 1=La� � �� �°f z c c x� D— Z Z M O Q W � L 000 r,` Ott e oc N m�3�apo�Mav�� wwz V Z V c[ {Cv6Mt'Lv IJJi(�F Cc+aDvp1�Q In U. pt z ti m J W R 0 i � � � l L.�n ��rn�'G� I[�6V fJ����N �xr0W p LLz��•= Nrid armOo CL. co � �Dt3}kOLD Y6coN �DS � CW � O QUO o� NOTE: LOT NUMBERS REFER TO "MAP OF BAY HAVEN" FILED IN THE ??Oa ��" SUFFOLK COUNTY CLERK'S OFFICE O� F�Sr G� JAN. 22, 1959 AS MAP NO. 2910 qy a AREA = 18,366 sq. ft. to tiY In n •R Q bfR `f`(y o SURVEY OF PROPERTY 4F,s ��� / �, "� A T BA YVIEW TOWN OF SOU THOLD SUFFOLK COUNTY , N. Y r6° \3�?• s � 1 1000-88-05-66 30 0 30 60 90 o,. .1� Scale 1 " — 30' JULY 22, 1998 i w ` 'vHWM c, as &047,0 Zn.✓E AIF rpt $ ° •'J_ �Q� Pc "m 94.103,- cw&6 G May 9 /99 R C Y, . IC. N0. 49618 &A `' ANY AL$RATION OR ADDITION TO TFUC cnas-v .c .nn. . �r }` situ r -- fo8.alof , 3` 1 na e�xss-N ti 73 l �03 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 BUILDING DIAGRAMS NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram Important: Read the instructions pages 1 -7. number in Item C2 and the elevations in Items C3a-C3g. SECTION A-PROPERTY OWNER INFORMATION RMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor James Reill elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIL Number Watersed e Way Section Q. CITY STATE ZIP CODE Southold, NY 11971 DIAGRAM 1 DIAGRAM 2 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-88-05-66 All slab-on-grade single-and multiple-floor buildings All single-and multiple-floor buildings with basement BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section 9 necessary.) (other than split-level)and high-rise buildings,either (other than split-level)and high-rise buildings with Residential detached or row type(e.g.,townhouses);with or basement,either detached or row type(e.g., LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: IJ GPS(Type): without attached garage. townhouses);with or without attached garage. ( + °- '-4# or IJ NAD 1927 IJ NAD 1983 IJ USGS Quad Map IJ Other: Distinguishing Feature-The bottom Boor is at or above ground level Distinguishing Feature-The bottom floor(basement or underground (grade)on at least one side.` garage)is below ground level(grade)on all sides. Buildings constructed SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION above crawl spaces that are below grade on all sides should also use this diagram.` B1.NFIP COMMUNITY NAME R COMMUNITY NUMBER B2.COUNTY NAME B3.STATE n Southold 360813 Suffolk New York a ; NEXT HIGHER i//)•_J a � � Ba.MAP AND PANEL B5.SUFFIX BS.FIRM INDEX 87.FIRM PANEL 88.FLOOD B9.BASE FLOOD ELEVATION(S) i FLOOR NUMBER O5 RATE98 EFFECTIVOREVISED DATE ZONE(S) (Zone AO,use depth of flooding) NEXT HIGHER b 3610300166 G /V4 FLOOR B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. AE 8 GRADE BOTTOM FLOOR �J FIS Profile 01 FIRM U Community Determined U Other(Describe): GRADE B11. Indicate the elevation datum used for the BFE in B9:J NGVD 1929 U NAVD 1988 U Other(Describe): BOTTOM FLOOR (BASEMENT) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? IJ Yes IXI No •i t _ _ Designation Date: - � SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: LlConstruction Drawings' �JBuilding Under Construction' 1JFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. f 9 (determined by existing grade) f g (determined by existing grade) C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARAE,AR/Al-A30,AR/AH,AR/AO DIAGRAM 3 DIAGRAM 4 Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade), the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion detached or row type(e.g.,townhouses);with or either detached or row type(e.g.,townhouses);with or calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. without attached garage. without attached garage. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? LJ Yes lX No Distinguishing Fere—The bottom floor(excluding garage)is at or Distinguishing Feature—The bottom a)Top of bottom floor(including em floo!(basement of underground basement or enclosure) 7 .•Lft.(m) ay above ground level(grade)on at least one side' garage)is below ground level(grade)on all sides. Buildings constructed El b)Top of next higher floor 9 .9 fL(m) ,��4. above crawl spaces that are below grade on all sides should also use this Elc)Bottom of lowest horizontal structural member(V zones only) _fL(m) 2 A c� N 1• MFr20 diagram.` on ❑ d)Attached garage(top of slab) H .3_ft.(m) E „�,tsa W a ry ❑ e)Lowest elevation of machinery and/or equipment a ; servicing the building 9 3 ft-(m) E b a b ❑ f)Lowest adjacent grade(LAG) 7 .2_ft.(m) z' HIGHER HIGHER 0 g)Highest adjacent grade(HAG) 7 -g_IL(m) FLOORS FLOORS �' <�,>• HO t96�0 �� NEXT HIGHER GRADE NEXT HIGHER 13 h)NO.Of permanent openings(flood vents)within 1 ft.above adjacent grade 2 JFQCAVO RADE FLOOR BOTTOM FLOOR FLOOR O 1)Total area of all permanent openings(flood vents)in C3h sq.in.(sq.an) BOTTOM BASEMENT LOOR r SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a(and surveyor,engineer,or architect authorized by law to certify elevation information. i he data available. i 'fi re resents m best efforts to interpret t B and C on this cerh cafe - - 1 that the information in Sections A a ce P Y rP rtify :,..: - lundeunderstand that any false statement may be punishable by fine or imprisonment un er 18 U.S. Code Section 1001. - CERTIFIER'S NAME LICENSE NUMBER f g (determined by existing grade) f g (determirnedbyexisting grade) John T. Metzger L.S. 4gti1A TITLE President COMPANYNAME Peconic Surveyors, P.C. ' A floor that is below BADDRESS ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office, P.O. BOX 0 9 CITY STATE ZIP CODE Southold NY 11971 garage,workshop,etc. SIGNATURE TELEPHONE Instructions—Page 6 DATE June 30, 2000 ( 631 ) 765-5020 FEMA Form 81-31,A E REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar CITY STATE ZIP CODE Company MAIC Number written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) management laws or ordinances. Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenticompany,and(3)building owner. COMMENTS Item G7. New Construction or Substantial Improvement. Check the applicable box."Substantial Improvement"means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. I_I Check here if attachments Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement)when the construction SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datumused. information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed– Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE(or base see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) flood depth)of the building site. Indicate the elevation datum used. E2.The top of the bottom floor(including basement or enclosure)of the building is I I I ft-(m) LLlin.(cm) I_I above or I_I below (check one)the highest adjacent grade. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is blanks. I—I—I IL(m) LLIin.(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? LJ Yes LI No LI Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS LI Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. U The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. U A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. U The following information(Items G4-G9)is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCOOCCUPANCY ISSUED G7.This permit has been issued for: L—I New Construction I_I Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _fL(m)Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS J Check here if attachments Instructions–Page 5 FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS GENERAL DEMOLITION NOTES ,1, All demolition work-shall-bo coordinated with the complete finished construction 11. All interior walls and ceilings to be patched and repaired as-required by new H 'program. The Demolition Contractor shall review all work to remain, to be alteration or to remedy existing defects in same. All interior walls and ceilings to be refinished,or salvaged and coordinate demolition work accordingly. See drawings I' primed and painted so as to achieve a uniform finish in keeping with the quality of a , and specifications for extent of work. .the overall renovation. ^ 2. 'Demolition Contractor to familiarize himself with the existing structure of the house, 12. All existing wood finished flooring to remain. Protection shall be provided for same. - Itxv�i1111 a 3In � ilocating bearing walls and headers. Repair any damaged flooring and apply new floor finish. a 3. '(Contractor to provide temporary bracing as required to protect the structural integrity 13. All demglition debris shall be remo,ved from site and disposed of in a safe, legalbf the building during the alteration and construction period. All work shall be kept manner. Job site shall be free of actcumulated debris. A refuse dumpster ofenclosed and protected from weather. appropriate size shall be made accessible on the site during the construction period and shall be emptied on a weekly basis. Construction site shall be broom swe t on a4. emove✓salvage existing windows undamaged, as required. Remove/salvage slate nightly basis. P .roof tiles and any materials required to miitch existing in new work. Store on siteZ O 'and prep for installation into new work. 14. Upon completion of job,site is to bic cleared of excess debris and materials. The \ 0 ' house is to be broom swept and cleaut of excavation dust and debris. All windows to C ) — l� 5. !Demolition Contractor to remove stairs as shown thus. Demolition Contractor to be cleaned inside and out. 7 (provide temporary bracing and shoring of existing/remaining structure m required I sand repair floor as required. 6. ;Demolition Contractor to remove existing walls or partitions for new window or O idoor. Contractor to provide new structural headers and posts as per structural plans W 0 ;for exterior walls and new headers at areas of interior partitions that are removed. Refer to Construction Drawings for exact new window and door locations and sizes. 7. All electrical lines t6 be capped in walls to be removed and disconnected at the 'electrical panel. Contractor to provide new outlets and switches throughout the Inhouse, and in new walls as shown on plans. Contractor to provide new lighting as shown on on plans, and to replace existing fixtures as per owner. 0 S. Contractor to modify and upgrade electrical panel as required. �.; I� [� c 4. Demolition Contractor to cap all existing plumbing, electrical and mechanical lines 0 .-. w0 �o as required for demolition. Contractor shall then assess the re-usable value and suitability of remaining lines and remove or replace same as required. All existing mechanical ductwork shall be capped as required for demolition and removed for re- use as required by new HVAC system. - 10. Contractor to modify existing heating systems as required. -- - rL=lloVe ExIC57N(� �'dl 55 L, HW Hifi (t 1 N IN T�6 �I11 . �<���� G ��r I 5 T° — _ _ o _ � \ L—J I- --II 1T — � 5f141 II�F�E✓� 5 i E?/111 Il _ CNK AN �.J. G°N�-TRU fl N I� ✓ TO Nth WIN. GIV SIJ CoNS�`UGflo� � �' n� �r I rMIN H z PROVIDE % HR. FIRE O U 3" RATED SEPARATION TO Td 96--ie,(E �ISr �aL. Cil.. Lara PART. 717.3 (f) (1) OF N.Y. STATE BUILDING CODE. APPROVED AS NOTED b - DATE: �'Z 9 Pit-?, Nasi' UNDERWRITERS fERTIfICAIE J r- NIS F �� PROVIDE OPENINGS FOR FEE �o I3 BY Ic .r. REQUIRED 2 EMERGENCY ESCAPE AS NOTIFY BUILDING DEPARTMENT AT ,� '��N 765-1802 9 AM TO 4 PM FOR THE E� O ST q pat I REQUIRED BY PART. 714 OF FOLLOWING INSPECTIONS: I _ I –� � N.Y STATE BUILDING CODE. 1 FOUNDATION - TWO REQUIRED L f� U I I / I —b-- — FOR POURED CONCRETE U L/ -- — 2. ROUGH - FRAMING & PLUMBING - --� — 3. INSULATION PROVIDESMOKE.9CMING 4. FINAL . CONSTRUCTION MUST ALARM DEVICES BE COMPLETE FOR C.O. ALW L CONSTRUCTION SHALL MEET _ THIS � p AS TO PART.721.1 THE REQUIREMENTS OF THE N.Y. 1-- -- N.YS BUILDING CODE. STATE CONSTRUCTION & ENERGY f/] CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRO S ID ,>. 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NSW 2 x 4 m Z o o , 71 Toe J` 55x1STINcj G.-1, �1J2� r�. ��� Fut txis, Nc� 11 �� PI,'�IN � WALL I j .,• � � n W%�gW�11 �N _ �NriLt P, O LUMII UH INgJ .7I-N L'� 5L2 ?STT INSuLrT��IJ. � \ ]ll vINYL v�NTIN� ��IT S o�� TH N �L6oN-f MNNa� , -- — -- e L cHM IN G 12 72 12 ui -- _ ari4"6ce�-o — VENT v�NIT - - N� VENT - - - - — - — �I Y -- L -- Tap or NEW f L"'TE - -71 _ — Nb -_-_ -__—_-- I-,-- - III -- _ ..�_— i � v�T �� �T� N� �i -- o I _ -- T°I' _ c T°p °�N�4"12 - I r n h I. - ELtEI -lo — J -- -- - --- �Lt a �' Cv.l � --- - - - - - _ i v� -- j --ILI— - � O SIS° j� ri 4 SNF T r - -�- - - -- - - �-- - — — - -- - - - — — - - --- - - - - Q W cn F°UNDhT°N vvlrNra- OZ Z YINYI 1jG�ar, o �NT�L VIII L 11 �e INS O vll��l. �I�IN�• — r - c�bar IMf°K�s!`N�-- x .`- f�i�HT �Ib� o �� IO� P4. p p s- '<a�•' <'JP _ 6 sr iseae • + _ �Tf OF NEW SOP r H I-H TYPICAL ROOF CONSTRUCTION 12 j2 W C,�a A5 pE� �LaN• ARCHITECTURAL GRADE FIBERGLASS ROOF SHINGLES � O Q � r,�`G AS I � r�N 154 FELT !,/! 1/2" PLYWOOD SHEATHING ROOF RAFTERS AND CEILING JOISTS AS PER PLANS Q; R-19 BATT INSULATION @SLOPED CEILINGS I'I R-30 BATT MSULATION @ FLAT CEILINGS Q I- 1/2" GYPSUM WALL BOARD 1/2" GYPSUMWALLBOARD ,P'bjuST THIS ,� G� py �O o, _ URLN TP TYPICAL WALL CONSTRUCTION „ Z r, n$ ( T s °F1 MANY zp x o WI °W. co ^ 7'f1; @32 o.c, VINYL SIDING T< C 2`}� C�gy2. J u o. ) _ - 1/2" INSULATION BOARD }1'r� r, T° 9'N � 1aTe s — � "' � HOUSEWRAP (2 La �}is I" INS JAI ✓`T CoN� uc / W O A5 u^;v w� 1/2" PLYWOOD SHEATHING C22'X6�-T°' � �° INSUI-hI�N, I STUDS AS PER PLAN o C' I c}��-� y " �w� Q p L5 pN� -(� R-13/R-19 BATT INSULATION _ 0 = G S. CiYPI"'��. — I/2" GYPSUM WALL BOARD r p1 (°�M � TYPICAL FOUNDATION CONSTRUCTIONNI�' Q �. V T/ �W 'LNt� F � C�wc-WD N� �� INS (2) 2'.x 6" (CCA) SILL PLATES 1/2" DIA ANCHOR BOLTS @ 8'-0" 0 C , NOT MORE THAN F-0" FROM ANY v O C)�/� h Lna ^ CORNER �41F--I Zo 0 _T �I TING 8" CONCRETE BLOCK WALL CONSTRUCTION AS PER PLAN _ FJ i5 /6 'ESIN I� t 8"I +" CV'I'F� 8" 16" POURED CONCRETE FOOTING AS PER PLANS O ' rr I � Ci. �O 7s NSW sluc�I� Cq MIvP{�. ExI�1N� g' �ylr-T �YJN GTIoN CZ7 C c�v �2��T, Q CY�ca�) TYPICAL FASCIA CONSTRUCTION CMIN) coN crloNJ, W Q o - � Etlll"Is-up >� I��• NSW �2 c�wp e N,LLs -- �- ANS GEII-I1dG- CT`(plc�L) I" X 8" FASCIA AND RAKE BOARDS (ALUM WRAPPED) 11 Ny r� VINYL VENTING SOFFIT ISS rl IN 1 T °NC7YP) M TOF Z' T � Axl mej T r a�IN L. QJ �al� `a"1R�NT� � oo• — r t IsTIN� VE�TIch6L� � N��l 5Cc�T, c*Hflvo�Hei IN�L�TIrN WaU CrsT f �G I NW 5 l�) STT IN Nt�l EnI� N� o �1 ALL NSW rxlsT(Net - y41i = �'_p�l PT GC-ILING� CddSTPNCf °N, --- 5 12 �712 � z F l� ra- as N�Tt N w �I_ 1L1 21 -- — N 3 - `'' � °NTINU�uS � N W/ �� Wp IWSTpL aTI�N �� o Q JUsT 4-- 5�ph e, T� I� Fs a�� T� Y � �' �'L` cJ,'s a5 P I _c �11I Ns1Jl-I-TI`W \ �� � . ------ 7 r --._.T°P NE�-I 14aTs PTS fi .o � jtNJTur �� (t�G � 5 pLs�P�co�ILii� T°I' �I' I Tr 7-F -- rL C N�� T� F �Jlw -uP ExI�rIN� eN + Ig-1 + I3'-(�' � ,� �e(oNn� HV� As � n, � N— • �� - �' h br +61-1 of �." cJ74 �— -�-_ _`_-I T I'OF I'w + �_ L— �,� ' ° ENT —__ _ t.XI:�� 1 I---I 01, all�� cJ's � O +8- �- i - s L NT, c IN�r ILb{ O w < 20Na _ N A� N ca�� I�I G c7 �I N K �I✓� e cN � J -1 CaPli�a -� o --I-�� aLlraN'•, �� �, 2x s 1✓�� W ...a 5r P aQ I J � II T 4 T I r-U F- � sr --_n- 1 � . . paN T SUI�F� _ -- � fi ,i^ WT INS• W 3 -T- — 0 on l L I n f',, �o',o" ChTIM, I - Dp11JM � ' � - NEW 4 ANDI W/ �Ja' NSW 5 P^rT INs1 �T� N• N / o Jr�l �iuu� cIu L �� Look 2� c SIU �LrT�' _ �- � 'tar� ��nL�E N �°tJ r-r�I�� r -TINISTIN� (� CcpNT Gxl N� �F � ExIsTNS @ MlI )—� edJ �Nue� aN b �TII'Jc-1 �oJNuaTI�N d Ilr - /C-• � — / S 1592' F T9TF OF NEW y0, SUMMARY OF TOTAL THERMAL RATING O.i FLM bl If the Total Thermal Rating ie zero (0) or greater, the proposed F�y 9"Ill. 50.00 design far the building envelope complies with the Energy Lode. 1/2'00 .15v IS.FLM bl ♦ 1 U �1 ��i � ' 1 THERMAL TAIL!' R- 5167 AREA 'U-VALUE RATING USED [� GENERAL NOTES °°/w 50 A. ROOF/CEILING SL/ �p a}O } 2x O II n B. NET WALLS . _J3I0 .04 �filp10� ro-� o-,a �-Trel voLut- 01 Dol C. GLAZING 1 CONTRACTOR SHALL CHECKAND VERIFY ALL CONDITIONS AT THE SITE AS POSSIBLE PRIOR TO STARTING OF WORK AND SHALL FAMILIARIZE HIMSELF WITH THE Y Nal l S. Window ye Is3 3� s�s � Q c� INTENTOFTHESE PLANS AND MAKE WORK AGREE WITH SAME 20. 1':\fC11,15 kLVU112lU,V.L;lltEA.S WIIERI:LXIS"TING IL\S BLI:N ftEMUVEU I .wNORNEWWOR{. \BITPSEXIsEING WHLRTLXISTINGWALLSNCL r 2 CONTRACTOR SHALL OBTAIN A BUILDING PERMIT FROM THE TOWN OR REMOVED Olt NEW OPENINGS ARE CALLED FOR IN EXISTING WALLS,PRIOR Dl. FLOORS •ate t2 6_3 VILLAGE PRIOR TO STARTING ANYWORK 'IOREMOVALOF EXIS'i'IN(i,CEILINOPIiAML.ROOFRA1rI1:RSl':1'C, Q� C� CONI'RAC"1'ORSHALLBR,\CFFXISTIWGASREQUIRIULNTII.NEWIIEADER' D2. BASEMENT/CELLAR WALLS I-'7 r 3 CONTRACTOR SHALL OBTAIN ALL REQUIRED APPROVALS.PERMITS, ASSPECIFIEDISINS'I"ALLED. {II17�A' n F-�{A' \ LG.I 'CERTIFICATES OF OCCUPANCY,INSPECTION APPROVALS,ETC.,FOR WORK I it ll�l- FO VL IryL Wall Perimeter Feet Exposure Above Grade Feet PERFORMED FROM AGENCIES HAVING JURISDICITON THEREOF,IF REQUIRED, 11 CON )lRlC"U, 511AL1.RITIONILEAS REQI11R1i'IN.I.EXISTINGPI.UNIBING, Wall U-Value LLECIIHEN,.Alk-NSTRUIUNING.ANU HEATING LINT?S WIIICII INTERFP.RF Depth of Wall U-Value WI'1'll'I'HE NEW CONSTIIIIC'TIUN Below Grade Inches 4 ALL WORK SMALL CON]'OlihI TO CONN[RIC''110N CODES AYPLICABLF. 22 %111112"1'rRIC WORK SHN-L OF BOARD OF FIRE INDCRWRITEWAPPRUVLD, D3. SLAB INSULATION 5. IF N TI III CtIVRS6 UI CONSTRUCTION A CONDI'T'ION RXISTS W HIC'H AND N.I.APPLICABLF CODES, INSTN.L AS PElt OWNERS DIRLCTIONS.\NY DISAGIU,,ESWI"rF1*rHi. 1'ASINDIC.4'1'LDON l"fIIHCOMRACI'OR ANDN.I.INTERCOAL'fIILLPIIONI'NSD'OR TVANTENNA WIRING IN WALL Slap Perimeter Feet Insulation R-Value LLS.T( WANUNOI'INSTAR. 1TP:'C"CSIHFlFAIPRIOR IIINSfNTAIIONOW4L ) . .L'IL \r1RLCtNBOI. 1OLLOWCEDIREANDCOM1TINIIIIWIILwotlCIIESIIAIJ. WIRING SIIALLRERfINCfNCFAL[.IINW.UIfi,I'LOORSNU41iCCILIN(S ASSUMPALf.RFSPIINSIIilL1'fYMD134HIIOYARISING'I'1f:IDI1pM I ' S ' W O 23 MOOILI SRIBQDRLTIHl NCX . LI;IIIirflf; ISI'SI'F,hl OILSI'ANOSILU.I G ALL PROPFF.hf911LMOVia.EXCHHCONOIIi l'C'1'1lEl3R]SWIIIChINNT1ILOWNFR6 HEINSTNLEAL IN RLNTRACTOR SSHIN"I'HESIGNT FLOIWlff. TING PkOPEl2TS Wil'11'1'i ILi EXCEI'rION OF'I'llI;DEBRIS WIIIL`H SIIALI.BF.L;Vt'fED CEILINGS tIEA'I'ING CONTRACTOR SI1Ah1.U1351GN THF.NR\411P:A"fINNNR CON- 7 OFFTIIESI'1'EANDhRGALLYDISPIISEDOF CONDIIIONINGINIIG 'SU',M3LEOPGTH H,wDIJNIi EN'riRI.IIULISIL W f7 lyGveS I ""O Ml IhI1LE UANLIGI: IgffiVEM 116 7. ✓:ON'fRAC"I'OIt SI TALL EXERCISE GOOD JL DGI:MEN1 1 N 24 GUN"I'ltpt'"I'CIIi SHN.I UI:'1'P:ItMINif WADI'Mat'IRINOVAPIONAN: SIIIAEI bUTTSTING CRNS]RUCLUUINGIL HE Ei DSFIRI!HS). NtE;VSDAM:SGFD NIi1iVIC'P.IS SUFI'IL'IEN"I 'I'OSP.ItVIL'L'1'i 11:NEW ItFNOVA'iION,\NUSIIN.1 1/7 RM10. 61 - Dl!E'1'O NEW C'ONS'1'ItUC'I'I(lN SI1ALL.BL.RI:S'I'OI2FD T(l'fliLlkllltlUINA1 Nll'rIF1"THIIOIVNFRAC'CORDINGLI' 51/2'N5. 17,00 TOTAL THERMAL RATING CONDITION UItN)ING,V(CRINU NEW CONS"1 RUC"I'ION SI SALE OI'Ii AWAY 1/T'010 45 ;Hyl FROM HOUSL AND HLFND IN TO EXIAIiIt'FINO 25 INS INIBSIIALI,CONNECT U.I,NI.W VVSD RELOCATED FADI1111, 15.7LM S lO III � S ALL POOLINGS SHALI.BEAR ON ONES SURGED SOIL W1111 A h11NIMUM SOIL I`NISI'ING SCPI'SC SYS'I'Fhl r4 W PRISSURROF4TONS1902SQ.Il' ANDSIiALL.IIAVI!AMINmiIINiOI't'-6"OI' 2G C'ARI'ITIINGSIIALI TIESLATIIl!DANDINS"1'ALLLDBYOWNCIi C- 21� � W O QI/PJ p')6 NY N R V ON RVATION OD COVER ^ 27. N.L MOLDINGS.IND rami Sn:V.i,HP.ti I:vN URaue 1. ALL WINDOWS SHALL HAVE AN INFILTRATION R � ATING OF 0.5 CFM PER FOOT OF rr, 9. V.I.CUNC121?"I'FSIIN.1.13F UNu1 PSI CON'CRE1h 128 DAPS 28. !AL WINDOW'S SIIALI,BE PFRMA-SHE[l,l)INCLUDING DULIHL.E-INSU LATED {�pI�A1 G�/.(��71/y� 1,LI.t' 1 L'�{/�11 OPERABLE SASH. ALL SWING TYPE AND SLIDING GLASS DOORS SHALL HAVE AN GI-ASS INSECT SCREEN AND J4NI BSEXT'PNDURSAN REQ11IRE D.AS Ilfll..!'✓ EVEMOR 1'Y/Y-I- MAL INFILTRATION RATE OF LD CFM PER SQUARE FOOT OF DOOR ARE A. III DESIGN LEADS' FIR61 PLOOIS-SprhSP A1�wLIFACfU1tEDBY ANDERSER WINDUWN.LS OR PQLIAI_ �/ � w r-jNo SECOND FLOOLl SF 2. ALL HEATING EQUIPMENT SHALL MEET THE EFFICIENCY STANDARDS OF THE F-I F� ROOP-Ipu15F 20 DO NOT SCAIL DRAWINGS WRI ITEN DMI.NSIGNS SI MRSFVLISCA1.FD NEW YORK STATE ENERGY CONSERVATION CODE. 6 (~ rnhB.NSIUNS p II N.I.LphiliCR'fU CI BG DOUGLAS FIli I2ANTI HF'I'I ER C/) \D lu I uS I ING CONDI'I'IGNS INDICAI'I'A)WERE:FROM FIELD MEASUREMENTS ON IS RM 092 3. ALL MECHANICAL SYSTEMS SHALL CONFORM TO NYS CODE, AND ALL LOCAL W � 6,1198 /y'f�M1 18 CODES HAVING JURISDICTION, 13 ALL HEADERS All'1N"FERIOR WALE CONS PIiDCTION SHALL HB(2)2N 6'• hill TOO 1 INIESS NO,1,1)Or,HERWISL 31 All IIASNO1 IIFF.NIZIaIAINE.DFOIt CONTINUIIUSON-Sills OBELIIV\'PIONS 6w ISM LIS 19,00 u Ml1015'1'5 uNDER,\Ii 1'vt'1'I'I'IONS 1';�RALLLLTo SAMR AND:VtOUND liL"iLiLCON'I'S'I'RUCTION FFF105.mm 92 4. THERMOSTATS SHALL MEET A MINIMUM REQUIRED RANGE OF 45-74 DEGREES ALLOPENINOS 32 DRAWINGS,\NII SPECIFI('AI'IONS AN INS FIGAIEN rS 01 SfAVICl. UtL AND 6 2262 F. SHALL REbLVN TIIR PROPER1 Y OF'IIILNtCIII'I'ECT WHETHER TIIR PNOIEC I ICI/D- ON 14, ALI.SI'IS IC'I'VRAI.,I'll SHALL BF: \3SSPET AND NIS%1 I,HE INS'fAll.LD FIIRWHICII'I'IILYARFMADIi ISENECUTEDORNOTl"IIPA',1REN011'0131. 5. DOMESTIC HOT WATER SHALL E EQUIPPED WITH CONTROLS TO LIMIT HOT \5 PLR A I$C' USED ON ANY O'IIN IN PILO G AEI OR EX'I'CN'1'IONS'I'lA E IIS I COMPENSATION 1 "I' WATER TEMPERATURES TO 140 DEGREES FAHRENHEIT. IFI AORP.P.hIP.N'I IN WIt111NG,WO\VIM N'PROPRIA'IE CUSIPLNSATION"IO IS. N.1.UItl"W ALLSHALL BF IIS.U.N,\"fIIIN,V.U1'1'SIISIC'(3,UR LQIIAL. 12"11110E,T:V'I-I> "fI1RARC'lll'fECI. sCAc Kl.EH'rHNEC cu4TS 6. ALL NEW CONSTRUCTION SHALL CONFORM TO THE NEW YORK STATE ENERGY le. 11T DRYWALL SHALL.)IN PRINTED AND PAIN"III)Q 1'INISH CIA S) CONSERVATION CONSTRUCTION CODE FEBRUARY 12,1992. n nLI,1N'1'IHaoR DGDae su:\LL HF:S'I,\Np:U(iR:v)t rr.x^uR;n X I-S'S°'rinCK C 7. ALL EXTERIOR WALLS AND ROOFS SHALL BE INSULATED WITH KRAFT PAPER WIDI'11 AS NOTED ON PLAN WI i'il \ITROPRI\TE:HARDWVU: ALI,DOORS ,1\ SII U.S.BESTASKEDWITH 2 COATS OS SATIN IIL)j YtTRFTHNJE FINISH. .�l y��r,t' FLOOR MAL FACED FBERGLASS BATT INSULATION BY "JOHNS MANVILLE" OR APPROVED 111 1 if IM 1 LOOK VI- AL EQUAL. Z SANDY)BP:I'IVEhN C'O4'18 18. OWNI:RSIIULSLI.CC'FALLCOtORS. S. THE RATIO OF GLAZING SQUARE FOOTAGE TO GROSS EXTERIOR WALL SQUARE FOOTAGE SHALL BE UCH TING F THE 19 AL1,I'INISHED(IN'I'lvRIOR R fsfERIOR)SIIAI,I,Ai.STC1I EXISTING AS CLOSIL BUILDING ENVELOPE SHATHERMAL HE NO LESS THAN ZERO ASSPECIE 6D BYTE NVS ENERGY CONSERVATION CONSTRUCTION CODE. A. ALL GLASS TO BE INSULATED OR TO HAVE STORM WINDOWS. z , B. ALL DOORS TO BE INSULATED OR TO HAVE STORM DOORS AND WEATHER- STRIPPING(.40U). �n ' THIS ROUSE WILL CONFORM TO THE NEW YORK STATE ENERGY CODE ,( REQUIREMENTS,IF BUILT AS DRAWN. ENERGY CODE COMPLIANCE z I L4 � w 2„ 4' Q Q X21 4 2u y1Nb �Lo --- - - �IL- - 4 Co. /-R__ 4I' --111 I� „ TLA � -� j1� 4w� 211 3n - - -- 411 -'---- - c,o. -1 1 31 � a w WW Y1I\1� 41L-�{cH C:) z g�� WQ Nor �7 ° o 0.Ed A'RCFi�t ! SCHEMATIC PLBG. RISER DIAGRAM =x�' C �H"(29 TOE "-,UL,6z� - 15929 A 8 NOT TO SCALE 01, rgrE OF N544 0eF I - � �1 �-- 1. +>1.L IN✓�k ALL �MPIY rrI-I \ N� 4'LL jr r te, oc�L, N� TILIr7' ogmF�N-( — T P I A �o �W• N� NTroNs. a o Zq JP> ra � P� r,4�Ng . F,-Nri c T C a C°N45NIE- Z— qu7� T°. r-� INST-�F011 .° W' NNIS , LD IN IXTN�- _ �- Lr To -rH� �E�I-r\ . W ��\ / 5. INSTALL. CSI-i�us7 SIS �2 N/ \ N Gi, Cdr Ju �JG W \ �j ALI�W�i��� . � INSTaI-L �-IartiyWlK�u .�Jr� UNh� eM� e-�o�� IN SIJ, Q � H 711i PHNLl NYS. Coin. w o 7 aUrTLr Cir=1, IN ,ALL \ I N N,5 N cTMJ WNL r1�zTfJ Is m'� T -- � T Q W � w � l cj - -- �N pNIGN T° JUN ql I�-xilfl2 � - �- Nr-p'- or- �IIiGIC-s TI,N nou7LE P, - --�W U - o = i. OJwroN o u Q FAIv/�I�r 5 5IN�1_t ml c- dIT29FI. — u r' — — — FF�= C7,WN UGIT ------ CWP� IND��� WEATFI�'K�'� I 11h' T C�Upzr- -LFT IO E"TtI,,j , WPI � IbuN-� UcIHT b U oam uaNITY LrcHT G� FUJ°P��FNT LIGIHT' —� UNC I N�f L�� IH�I d sbE, LT - ---- -- O 3 �- �' Q z O axa F � 3 9 (RED SRC, 6 r Cn