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HomeMy WebLinkAbout25352-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26600 Date: 07/28/99 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2625 BAY SHORE RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1998 pursuant to which Building Permit No. 25352-Z dated NOVEMBER 23, 1998 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 12' X 20' ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR AND AS PER ZBA #4587. The certificate is issued to JOHN B. & ALBERTA DWYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-492370 06/24/99 PLUMBERS CERTIFICATION DATED N/A -?��Building Ins ctor 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. 25352 Z Date NOVEMBER 23 98 Permission is hereby granted to: ALBERTA DWYER 14 ELIZABETH DR LAUREL HOLLOW,NY 11791 for CONSTRUCT ADDITION/ALTERATION 121X20 ' TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR & TO CONDITIONS OF ZBA #4587 AND NEW YORK STATE DEC. at premises located at 2625 BAY SHORE RD GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 021 pursuant to application dated APRIL 3 98 and approved by the Building Inspector. Fee $ 175 . 00 Above fee includes $100.00 Flood Permit G BuildinT InspeVtor ORIGINAL Rev. 2/19/98 r BUILDING DEPARTMENT n � � D TOWN HALL 765-1802 JUL 2 61999 APPLICATION FOR CERTIFICATE OF OCCUPANCY A.T Wed cit-, r must be filled in by typewriter OR ink and submitted to the buildir, he 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildi 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 a '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 YDate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. ../` . ./. . Old Or Pre --exi/sting Building. . . . . . . . . . . . . Location of Property.qzY. .. .. . .. . . . . .'d��.�W&XQQ. . : . . .. . . �D • • • • House No. Street Hamlet Onwer or Owners of Property..�Q �. '!. l f E�'�.�T. .. � • • . • • • • . . . . . . . . . . .. • • • . County Tax Map No 1000y,, Section. /o.00n r3. .Block. . . . . . ./ . . . . . . .Lot. . . . ..J. '?2-1 • • • • • Subdivision. . .. .. � Mt..v! . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. C.J. �.��. Z,Date Of Permit. . . . . . . . . . . . . . . .Applicant. . � . Health Dept. Approval. . . . . . . . . . . . . . . . . .. . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . -/ PLICANT co-p- 0 a o�OgpFFOI�-C O o� Gyf2 Town Hall,53095 Main Road ti x v, ,� Fax(516)765-1823 P.O.Box 1179 Oy Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 23, 1999 Alberta Dwyer 14 Elizabeth Drive Laurel Hollow, NY 11791 A Certificate of Occupancy can not be issued until a final Certificate of Elevation is submitted and your surveyor updates your survey showing elevation of the additions. 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) 9s gX 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 25352-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Of THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000337 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 24,1999 Application No. on file 14248997197 N 492370 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DWYER, 2625 BAYSHORE RD. , WEEKEND HOUSE, GREENPORT, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JUNE 18,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 14 5 4 14 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.I TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS is AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 30 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC A W G A.W.G AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0GOND OF CC.COND. NO.OF HIAEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ELEC. ROOM HEATERS:L-.75 K.W. G.F.C.I:-2 SHOKE DETECTOR:-1 JOHN GIELLA LIC.#4411 IdEw. L L 20 HENRY ST E.LIRMINGVILLE, NY, 11738 GENERAL MANAGER 17, 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. 6�2 oz` :3 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION 1ST [ J ROUG PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE CHIMNEY REMARKS: or DATE INSPECTO APPEALS BOARD MEMBERS gpFFO(keo Southold Town Hall Gerard P. Goehringer, Chairman =� 'lA< 53095 Main Road James Dinizio,Jr. o P.O. Box 1179 Lydia A.Tortora T Southold, New York 11971 Lora S. Collins ZBA Fax (516) 765-9064 Rom— ' 41 �a Telephone (516)765-1809 BOARD OF APPEALS AUG 2 71996 TOWN OF SOUTHOLD 111 . FINDINGS, DELIBER4TIONS AND DMRMINATION BLDG. DEPT. REGULAR MEETINGOFAUGUST24, 1998 TOVVN OF SOUTHOLD Appl. No. 4587 - JOHN DWYER Parcel: 1000-53-4-21. PROPERTY LOCATION: 2625 Bay Shore Road, Greenport DATE OF PUBLIC HEARING: August 13, 1998 PROPERTY FACTS/DESCRIPTION: The above-identified property is situated along the easterly side of Bayshore Road at Peconic Bay Estates, Greenport. This parcel contains a total area of approximately 9,300 sq. ft. (to the 6/7/1997 high water line). Existing at the premises is a one- story frame house, as shown on the April 8, 1998 survey prepared by Anthony W. Lewandowski, L.S. BASIS OF APPEAL: Building Inspector's May 5, 1998 Notice of Disapproval which disapproved an application for a permit to construct addition to dwelling for the reason that it encroaches on the combined side yard setbacks, Article XXIV, Section 100-244. AREA VARIANCE RELIEF REQUESTED BY APPLICANT: The request made by applicant is for permission to locate a proposed 12' x 20' addition over the area shown as 'foundation' on the 1998 survey. The total side yards will be 18.8 feet, with 15 ft. at the northerly side yard and at 3.8 feet at its closest point from the southerly side yard. REASONS FOR BOARD ACTION, DESCRIBED BELOW: (1) The granting of the area variance will not produce an undesirable change in character of neighborhood or a detriment to nearby properties because applicant's request will in effect be a "squaring off' of the dwelling over an existing patio foundation, meeting all other setbacks required under Bulk Schedule AA for nonconforming lots having less than 20,000 sq. ft. of land area. (2) The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance because of the nonconforming size of the property and limited buildable land area for a corner lot and waterfront area. Page 2 - August 24 , 1998 Appl . No . 4587 - J . Dwyer 1000-53-4-21 Southold Town Board of Appeals (3) The requested area variance is not substantial representing no increase in the present nonconforming setback of the dwelling as exists. (4) The proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because a majority of the homes in this waterfront community have existed with similar lot sizes and similar setbacks. (5) The situation has been self-created because the original dwelling was constructed more than 35 years ago and the only addition to the dwelling was about 1976, more than 22 years ago. In considering this application, the Board deems this action to be the minimum necessary and adequate, and at the same time preserves and protects the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Member Collins, it was RESOLVED, to GRANT the variance, as applied for. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, COLLINS, HORNING. (Member Tortora wa bsent (e This Resolution was duly adopted (4-0). ERARD P. GOEHRINGER, CHAIRM 765-1802 -` BUILDING DEPT. INSPECTION [ ] FOUN ATION IST [ ] R GH PLBG. [ ] F NDATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE &, eCHIMNEY REMA 5: / DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FRAMING 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,s REMARKS: .((4'e y��rl d a DATE `' INSPECTOR � s3c�-2— 70-zsoz BUILDING DEPT. INSPECTION [ ] OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACEACHIMNEY REMARKS: ale t DATE INSPECTOR M-1802 BUILDING DEPT. 'NSPECTION [ J" UNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: , ZZ 01—po- ,&4 , W� g .Z 's _ DATE / INSPECTOR �� y0& 3067 ELEVATION CERTIFICATE O.M.B.Expires may y31, 1977 ay 31, 1943 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Jack Dwyer STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER Bayshore Road OTHER DESCRIPTION(Lot and Block Numbers,etc.) SCTM#1000-53-04-21 CITY STATE ZIP CODE Greenport N.Y. 11944 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 6A/ r 0 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX .DATE 5.FIRM ZONE 6.BASEO ZoneOs use ELEVATION 360813 0076 F 8/16/93 A-4 8 7. Indicate the elevation datum system used on the FIRM for Base vations(BFE): ®NGVD'29 ❑Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a SFE for this building site, indicate the community's BFE:I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level A . 2(a). FIRM Zones At-A30,AE,AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation oil l l 1 181.11Q lj feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I.0 feet NGVD(or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is UJ.❑feet above❑ or below❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is UJ.0 feet above❑ or below❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:© NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the r/RM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑X Yes ❑ No (See Instructions on Page 4) 5.The reference level elevation is based on: 0 actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: 1 61.L4J feet NGVD(or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I I I I I I.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31r MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer,or architect who Is authorized by state or local law to certify elevation Information when the elevation information for Zones At—A30,AE,AH,A(with 8FE),V1—V30,VE, and V(with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information,may also sign the certification. In the case of Zone$AO and A(without a FEMA or community issued BFE), a building official, a property owner,or an owner's representative may also SIgn the certification. Reference level diagrams 6, 7 and 8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment,area use,wall openings,or unfinished area Feature(s), then list the Feature(s) not Included in the certification underi,Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the Information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001, CERTIFIERS NAME LICENSE NUMBER(or Affix Seal) Anthony W. Lewandowski 33696 TITLE COMPANY NAME N.Y.S.Land Surveyor ADDRESS ' CITY STATE ZIP P.O,Box 48, South'ol , N:Y• 11971 SIGNATURE i ATE PHONE Copies should be ma a of this certificate for: 1) community official,2) Insurance agenUcompany, and 3) building owner. COMMENTS: ON WITH ON PILES, BLAB WITH PIERS,on COLUMNS AV A A V ZONES ZONES ZONES ZONES ZONES NEFEEPE EflE LEVEL 6ABE LEVEL REFEAEME LEVEL ELEVATION BASE v.\.> eOO R.000 AaAceNr `' NeFenence eLEv--Arlon eP=oe R�6 flE LENENCE AORCEM \� lfiVEl ELEVATION LEVEL ONAe6 !.!i.v„ 3.11 ADJACENT The diagrams above Illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 04/14/1998 09:34 5163859340 VALLEY IND PRODUCTS j PAGE 01 ,. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION !. DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01685/00001 November 20 1997 FACILITY/PROGRAM NUMBER($) p p(,( T EXPIRATION DATES) Under the Environmental Noveeher 30, 2002, Conservation Law "TYPE OF PERMIT ■ New 13Renewal- 0-Modification- r„ P4fmfl:H Construct 13 Permit to Operate y � +'r © Article 15, Tide 5, Protection OI '6NYCRR`608;-Wet00 Gu!(yi tir" ❑ Article 27, Title ; 6NYCRR of Waters ! certification ? �{ 360: Solid Waste M inagemant y9 j ❑ Article 15, Title 15: Yater ', Sy e 1 , Tltlea ZiJi SDDRS 13 Article 27, Title 6NYCRR Supply 373: Hazardous Was :e Management uti ❑ Article 15, Title 15: Water Con1oll.100,18 ❑ Article 34: Coasts Erosion Transport { �}f91 ?s Management '"'"'B7"' lirbc e , Tale inW Q Article 15, Title IS: Long La:M Reclamatian ❑ Article 36: Floodp min Island Wells Management ❑ Artfcle 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: Rediat on Control ❑ Other- PERMIT ISSUED TO TELEPHONE NUMBER John B. Dwyer (516) 385-9300 ADDRESS OF PERMITTEE 11 Elizabeth Drive ' Laurel Not low, NY 11791 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Stephen Oaten 22 Tall Tree Lane Rocky Point NY 11778 (516) 744-2106 NAME AND ADDRESS OF PROJECT/FACILITY 'Dwyer Property. 2625 Bay Shore Road LOCATION OF PROJECT/FACILITY Green rt NY 11944 COUNTY TOWN WATERCOURSE MYTH COORDINATES Suffolk Southold Peconic Bay E: 720,0 N: 4551.3 DESCRIPTION OP AXYT1101tIZED ACTIVITY Construct a 20I x 12' addition onto an existing single family dwelling. AIL work shall be done in accordance fth plans stanpsd NYSDEC approved on 11/19/97. By acceptance of this permit, the permittee agrees that the permit is contingent upon Strict compliance ofth the ECL, all spplicable regulations, the General Conditions speeified (sea page 2) and any Special Conditions fnatud d as part of this permit. DEPUTY REGIONAL PERMIT AOMINISTRA- ADDRESS TOR.- Roger OR:Roger Evans JAW Bldg. 40, SUNY, Roam 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE I I Novenber 20, 1997 :Page1 of 5 - �O��gUFFOt,��oGy O � Town Hall, 53095 Main Road "p ® Fax (516) 765-1823 P. O. Box 1179 Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, fresh water wetlands, we will need a waiver of jurisdiction or a permit from the DEC and the Southold Town Trustees . Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Building Inspector i Phone numbers : DEC - 444-0360 TRUSTEES 765-1892 FORM NO. 3 TOWN OF SOUTHOLD BIIILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: May 5, 1998 To ,John.B_.&.Alberta.Dwyer. . . .. . . . .. . . . .. . . M5. .. .. . ... . . . .. . . . ... . . Greenport.,,New York 11944 . ... . . . .. . . . . .. PLEASE TARE NOTICE that your application dated .. .April_ 10... . ... .. 19.98. . . for permit to p styp.et_a_ 12..by_20'.addition. at Location of Property .. .?625.. . .. . . ..... .BaYshore Road Greenport ..... . . . .... . . ... House No. Street Hamlet County-Tax Map No. 1000 - Section .53... .. ... BLOCK ..4..... ... LOT .?!. .. ... . . . . Subdivision ... .. . . ... ...... . .... . . ... . . . .. Filed Map No. .. .. . ... .Lot No. . . ..... is returned herewith and disapproved on the following grounds .. . ... . .. .. .. ... . . .... . ... that theproposed addition encroaches on the combined side yard setbacks. . ... . . .. . . .. .... ... .... . . . ... .... . . . ... . . ... ... .. . ... . ... . .. . . ... . .. ... . . . . . ... Under Article %XIV, Section 100-244, Nonconforming lots require 25 foot combined .. .... . . .. .. . ... . . . ... . . .. .... . ... . . .. .. . ..... . ... . ... . .. .... .. .. .. . ... . . .... . . .... . ... . gQKttalcls.,,,( 13,721;40 square feet -, nonconforming, in. an R-40 zone). . . ... .. . .... .. . ..... . ...... . .. . . . . .. . . .... . . . . . .. . ..... ... .. .... .. . ... ....... . ..... .... ........ . ....... ... .... . . . . .. . .. .. . ..... .. . .. . . .. . Ac tAgn required by the Zoning Board of Appeals: . ..... . ... .. ... .. . .......... .... . ..... ...... ..... ..... ... .... . ..... . . ... . ...... . ... .... . .. . . ... . .. . .. ... . .. ... . ... .. . .. ... ....... ..... . ... . . .. . ... . ..... . ... . .. ... ... .. .. . . .. . .. ... . . .... ..... . .. .... ... . ... ... ....... .---. . ..... . .... ... . . . .. .. .. .. ... . .. .. .. .. .... .... . . . ... . ... . . . ...... . ... . ..... . ... . ..... . ..... . ..... . ... . ..... . . . . .. . . ..... .... .. . . .... . . . . . . ... . ... .. . ... . . .... ....... .... . . ... . .. ... ... ... . ... . ... .. . ... . .... .... . ..... .. . . .. .. . BIIILDING IIIINNSPECTOR RV 1/80 Lor 4� I 571 VQP TOs4�i�/ p,c SOGJT�/p�p D � l 6�Og£II LAND�` Ory ,y1. LEIL,yyOO��p 9 u^696 'b GOT.l,I,S.�J.J•OPOfGE��GLV/G ��JYE"STATE F�p NEW Y pP lGL�''f�TiCrV.Cnf.EEN.49.eT TOIyyOf.�OUT•4L^�L17 N•Y. fYNTif�O.t/Y 1�LBWOiLG�S.G e:../ess�E7/yq7 O B x�y8� ,�c.�tt�/�+'<1r�' iX�.!�>/.✓Fianv7� 11771 Q14C'CETESS�IIyErtlTf�i'ICGf�O�il�s�N= �6%�,� f.[.I.�>d�'<�vGYO Albert J. Knipski,President �o�pS�FfO(,�-cOG Town HaII John Holzapfel, Vice President y` 53095 Main Road Jim King y Z P.O. Box 1179 Martin H. Garrell O .1e Southold,New York 11971 Peter Wenzel y�lj� .a0`` Telephone (516) 765-1892 1 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD �) Q o4ly 31, 1997 APR Stephen Galen , }„ �tIDl .mtHPA 22 Tall Tree Lane Rocky Point NY 11778 RE: JACK DWYER SCTM #53-4-21 Dear Mr. Galen, The following action was taken by the Southold Town Trustees on Wednesday, July 30, 1997, at their Regular Meeting: RESOLVED, that the Southold Town Board of Trustees grant a Waiver to construct a 12' X 20' addition on north west front of existing house and a 15 ' X 15' patio made up of patio block set in sand at rear of house facing water where patio door is located. This approval does not constitute approvals €rom any other agency. If you have any questions, please feel free to contact our office at 765-1892. Sine l&"L Sincerely, 9. Alberti. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. i' JUDITH T. Tr RRY �, i L '' t"u: • ;J '� Town ILII, 53095 Muih Road TOWN CLERIC o °. rn P.O. [lox 1179 1 U° Southold. New fork 111171 REGISTRAR OF VITAI.STATISTICS �' V' SLS d�� ~� Fax (516) 705-1823 MARRIAGE OFFICER y�'" Tcicphooc (516) 765-1901 O RECORI)S MANAOEMEW OFFICER " O,j �" I FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUT14OLD 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) ) . i ' FiL✓moi. Dc 'rf3c((r .�:... TOWN OF SOJiNOLO � Judith T. Terry Southold Town Clerk August 25, 1993 APPLICATION # PAGE I of 4 TOWN OF SOUTHOLD FLOODPLAIN DDVELOPMLNT 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 fulfdl 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. S. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THEIBE—ST KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE—,�gj* SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLICANT) NAME ADDRESS TELEPHONE APPLICANT 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. FDP(93) • - tea. APPLICATION # _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACPIVITY STRUCTURE TYPE • New Structure ❑ Residential (1-4 Family) •Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofing? ❑ Yes) • Relocation 0 Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 13 Replacement factured Home Park? O Yes) ESTIMATED COST OF PROJECT $ B. OTHER DEVELOPMENT ACTIVITIES: O Fill ❑ Mining O Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) • Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) Toe proposed development is located on FIRM Panel No., Dated The Proposed Development: O 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) O Unavailable ❑ The proposed development is located in a Goodway. FBFM Panel No. Dated 17 See Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4:ADDITIONAL INFOItMATION 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. ❑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 first Boor,details of floodproofrng of utilities located below the first floor and details of enclosures below the first Boor. 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 rill elevation Ft. NGVD (MSL). ❑ Floodprooftng protection level (non-residential only) Ft. NGVD (MSL). For Boodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory Boodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this fording must also be submitted. ❑ Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. ❑ 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 hearing from the Board of Appeals. t APPLICATION # _ PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? O Yes O 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 Boor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest Boor, excluding piling and columns) is: FT. NGVD (MSL). 2. .Actual (As-Built) Elevation of Boodproofing 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 bg 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 Cor hood damage prevention. INSPECTIONS: DATE BY D$FICIENCIES? Cl YES ❑ NO I DATE BY DEFICIENCIES? ❑ YES 0 NO DATE-BY-DEFICIENCIES? ❑ YES 11 NO SECTION 8i CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area J, a TOWN OF SOUT11OLD 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 O EXISTING BUILDING Cl VACANT LAND THE LOCAL ADMINISTRATOR 1S TO COMPLETE A. OR B. BELOW: A. COMPLIANCE 1S HEREBY CERTIFIED WITII THE REQUIREMENTS OF LOCAL LAW #_, 19 SIGNED: -' DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED ' SIGNED: DATED: . ; C/C(93) " r ELEVATION CERTIFICATE Expires M y31, 1977 Expires May 6 0993 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this farm can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Jack Dwyer _ STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER Bayshore Road OTHER DESCRIPTION(Lot and Block Numbers,etc.) SCTM#1000-53-04-21 CITY STATE ZIPCOOE Greenport N.Y. 11944 SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 1 4.DATE M EX 5.FIRM ZONE 6.;ASSES FLOOD ELEVATAD Zones.use ION 360813 0076 F 8/16/93 A-4 8 7. Indicate the elevation datum system used on the FIRM for Baseevations (BFE): ENGVD '29 0Other(describe on back) 8. For Zones A or V,where no SFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's SFE: I I I I I.0 feet NGVD(or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1.Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level._A_ . 2(a). FIRM Zones At•A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I 1 1 1 181.10]feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I l i.0 feet NGVD(or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is I_I LLJ feet above 0 or below 0 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO- The floor used as the reference level from the selected diagram is LU.0 feet above 0 or below 0 (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference level) elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:© NGVD'29 0 Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section 8, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 0 Yes 0 No (See Instructions on Page 4) 5.The reference level elevation is based on: © actual construction 0 construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, In which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is:I I I I I61.W feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I i l I l l.0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 61-31,MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION c SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who Is authorized by state or local law to certify elevation information when the elevation Information for Zones Al—A30,AE,AH,A(with BFE),V1—V30,VE,and V(with SFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also fgn the certification. Reference level diagrams 8, 7 an�8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the Feature(s) not Included in the certification under!Comments below. The diagram number, Section C, Item 1,must still be entered. I certify that the information In Sections S and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable byline ar imprisonment under 18 U.S. Code, Section 1001, CERTIFIERS NAME LICENSE NUMBER(or Affix Seal) Anthony W. Lewando4aski 33696 TITLE COMPANY NAME - N.Y.S .Land SurvevoL ADDRESS I CITY STATE 21P P.O.Box 48, Southol , N.Y. 11971 SIGNATURE i ATE PHONE Copies should be me a of this Certificate for: 1) community Official,2)insurance agent/company, and 3) building owner. COMMENTS: ON WITH SLAB ON PILES, BASEMENT PIERS,OR COLUMNS A V i A A V ZONES ZONES ZONES ZONES ZONES REFERENCE AEFERENCE LEVEL BA— LEVEL REFERENCE . ELEVATION LEVEL BASE ;, ft I" ""' AWACENT !f REFERENCE BASE FLOOD ELEVATION REfEflENCE ORA —OE ' LEVEL AWACEM ELEVATION LEVEL aMOE S r::i:7;:•'Lr.�Yrl: `,;iAWACENrY. The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones shou'd be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 Lor �s! 17r! is • s y '�roi.YiOe1 �g �7 �joL/7 1PiB/G ��y a\ U LAiV .1pryW, LE►t �yO94� * LZ: v 7e . Q — �l1Ri��+yFO,e. JOy�(/u�../.pC.e✓I.��f/YE'.e f va 33696 � La7'•�5 iylpPO�,oE�dV/G E9YEvSTATES � � F NEW V P L�e'A>/oN.GaCEEN.R�.eT TC�✓NOF.�GUT//dG� N•Y+ � z4 Ave/C B//�/8 . 1.f�0A/YN/�EWOi1/LI�lW�J eje �rs �/n�itaavZaK� lao�.'/at0,N.Y. �LtiCE7EK'/MENTff-YWO�/�9K�N YU/•8J SC ✓/GAJ -p4= ALr 4Yd/wa'NG O o u�� (�. 7 0 F/ARE�•6 7.d � N d �66'Q9�yY ,e ys =z Y1 y�` 'ff LST �9/G LLC// ,v TO/tiiV ------- - -- - - - - - - - - - - - - - - - - p,c 5©ur„io�p u O LA IY p LEWq 0 �� 9 �J,�i'1y�O,Q• .�O.SVN u..l9C.C'yf>K/i�E.� � 9T �a s e 6 8 LoT. sl3 iY1OPaFP�av/C Sr9YGG✓TATES °°NEW yo. Luc9TiaN.Cs�PEEN�.e> TowryOfloU7-./ne0 Al. Lcc�.aP/L B�f� .9N7HO.VY K/�BOYO�Yl�r .E'i fC�LEH�'3d fid/N0;?oav2ac 7DOT•5/GtO,N.Y. t^CETE S�'lylENTf fc'l�G!/O i�Wwov A' C!r/•8� �iC7A//G1G�J- -04'-2 49Z4WWW-rNGYO j !71 }p��4 � IF- 4•Jp RREN S'RMti i=rCF1 , 51e'734?rlg2 P. 4"il 6`a�f 5 =�II;.._ BOARD or iwn1;rN . . . . . . . . . . . . . . . JUN 101997 � � FORM NO. , 3_MTS OV' PLANS . . . . . . . . . . . .. . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . BUTi,D1140 DCCARM90T Grit?CK €3LDG.D €T IOWN HALF. SEPTIC T' - - - . . - . . . ;,;rL['ri�• . . Tf}WP!pf SCIS �l�l.II SnU'1'kIpLD, H.Y. 11971 .,_--.--•.•-�.�,.m.e._..-...,,,.._,.iS TRI.: 765- 1$02 NOTIFY: 9 % CALL, ISx-rnined. ..y, /) , 19 / TtA17, TO: . Il . :A`,-'ytA-.4'A•. . . . Ap(rrrr�rd.../•..;",..(. .�.., l9.1,_ F°e n,liP T3+?. ��G ........C.irL✓ t r,Zie�J ,J �y1,� / z i/ ..... _......�.....,. i)isalrproved s/c -... .!-...�i '.�/- .(�....... .............�!'75�........... ._ (Ikrildin. Inspector) ;I ., APPLICATION FOR HUILOTNG PGRMTT h Date. , 1917. ..M.,.._,-..�4 ¢ TNS•IBUC'rTONR B".0% r. a. 7111a. r1)- f•F Sva.91i°tp— al�if>.ea�scat�lrX1.^,i i>r ratlrlaeely fil.lerl in try Cypetariter or .in ink aryl b'ttlmit[ed to Lbe Ikti.lding fnapF.Ct9r witJ 3 sets of plans, ac:cuxate plot plan to scale, tree according to scilelk.1le. b. Plot plan alwMing location of lot aryl of hoildings on premises, relstionsbip to adjoining premises or Inlblic sl.reets or arwts, mud giving; a detni.led clescr.iplirnr or: layouL of; properly ngJAt be drmAl txa OW diaJ;T•7mwiriclJ Is part or Lllis application, c. Tlw task covered by tbi8 olTl.ication vvV. not lw ctm'nerred befoxe isstlamce of Rttilding Permit. d. itptm algntrval of this application, the l'TlildiM Inspector will isrve a Building Pertni.t to the applicant• Such 4 Ixamit Alai l be kept tx) the prendses avallable for inspection 0hrcx1811otzt� the work. e. ta, 1xlllding shall be occopied or used in vAK)le or in part for any pirpose whatever until a r'.err-ificare of O_a,;.r>xy OW have bo2n Br:mted by the Building inspector, AL°L'I,ICAM-M 15 itIMM ME to t1Je i illding, Delxarment for the issuance of a Building pclmit parstwant to the 14.Alding 74wx2 0rdinancw_ of the Tcxn of Southold, S<tffolk Ccnmly, New York, nail other applicable I,aws, Ordinarx;es or ,r ptdaticnls, for t11e ctxlstrncti.on of lxtildiogs, additions or alterations, or for, rernval or dermli.tiun, ae hereln tle.'ArTAXt�'l 'Atm applicant agrees to coNly with all, applicable,Laws, ordinance-, l.)uilding code, Imsing rode, anti ` r.-hf licxls, alk; co W111it. auf-bixized inudlec'mra on premise8.mx1 in boOd%c1g for necersary inspections. (Sigoature of applieant, or team, if a corianratitm) / (Mail.ityd address of applicant) 51„�le whether oppiiumL is cxmcr, ler-me, agent, ambi.tect, engineer, general touLlactor, e.lertrician, plkw[ber or Imiltlet• Na K of nwrer of premises ..J ........� (a; on Cbe tax roll or lntesl deet]) 1f al>nl.i.cnit is a corpnratiol), signature of tlul.y autiroriy-ed officer. Okmit� and title of corlorale o(ficer) lklildcls License No. ......................... PltrriwS Lirenae No. ......................... , rleclriciaitg License Tk>. . . .. ................. 013k=r 74-axle's I.icen;,e No. .................. . 1. tcK,'jttoo of land on which pT.r>p sed writ will tm done ... ............ ... ................................ ......... Ikxnce H>tt#ier Street il��//nlet 1-3 Canty Tax Kill lb. I(X.A) Sect;on ..,0.......... BIoc-k ....�......... 'Allxllvlsion ......tiJ�? .¢.24...... ............. P1IEKl tiipPin• __._.._. ...... IM. `'.... ..... M4TO -7_ .hale existing use MA mcujxjmy of proTiiws aryl intended Ase mxl oc:cktpawxy of prOpoagt] consLmetion: a- Ixistirip rise etxl ot:tnrp..Wn y ....t.. 47.,...t.`r'.`R'.t..�;� !_..... ................................. b. Ynt.eaxknl itsp wxl (Kox(a:nxy .....�.C`?^ !/...f. f< !(J� r7 rL..................................... r+ I Ii.more oil tank (dwc;k w(li(ll upl)liclble:): L1a4 Iklildini'k NkISLSon . ,K . . . ... Q)enc11 pilon) 00 an, t:Ht(iIIVIt(A lAml: ... . .. ' . .. ... . .. ..... .. . . . . . ` (it) lx' IMid on HIlog !hill ol,;dicolAr t) ;i. if (kael'Iin11, nudlor of tkaellling ol11Cs ..,..L..,,. tlutrer of il' rIlhrg unirs oo eoch film .. . . .... .. . . . . .. If prilgll, nuilawr of carsf... ......... . .. .. . . .... .... . . ...... . 6. if borhinue, ramlaercial or ildxe41 (xxofwrx;y, al>zcify nature Hill exLent of each tylr_ of use. ...... .. . .. . . . .. . . .. . �. Rklar . ... 3.• v... . lis Itlt _'?�'.:3. . . . . .... 7, Ilinsnsi/xts of exist(ng stcluaUrea, if Huy: Pnx1c......,�,... {. Ikiiht .......-lQI..�........ Moiler of ;furies . ,. _ . ... I. .. .... ...• . hialerlslrnrls of Firma strllr-torl Willi alterations or wMil.furu;: Prom .... ." Ce' r Rear . .. . Ik!plh .... ..44,a.. . .... �IuSyJlt .. . .. . ..1.41.�.r. , .. ._ Moier of Sl'orie, .. . .,1' . ..... . R. biuKi,J%M 711s of entire Ino Col Istrll(A ii'o: Moot. Rear . .. . .. . .. . . .... Will 11 . . . . .. . .. . . . .. Ik-ILjii: .... ........• ....... Nsi>er of Stories .. ... .... .... .. . ... . . �!.;,�9,�-'. .... wnie .. ......�Q ..... 9. Sirs of lot: V'rot S .. . .. . . TkLprh ....�/�d.:a.... . . I(1, Ik>('a of Purchase ..,.. .....lig.• ....... . . Plnrti of Pnrl)nr (latter ,.... .. ... . ..... .. . .... . .... . ..... . ... . . I1. 2Axv or wx; distr)rt in Ad prollisea ar-e srtualetil ..,.f,::45;?. .... .. .. .... ....... . . . .. . . . . ... . 12. Ik7es prolll'I>uxi (xxlrlful !Hon �iolete any waling Iaw, ordinfitwo or regulat:loo: ,`1' .>.. . . ... . . .. . .. .. . 13. Will lot: la: r'ellraded ....-.aa.........., Will e)wesa fill lie reniiield frail prinaises: US M iti. Holes of ().axil of trtaaitiirs I.. ...�fr..,.�.k?`.I.FS ........ ft(klress 'ml.�. .. .. ... INIaIw }k,>. 1 � . ... .. . .. Nyle of Ardlitect !JR4.Ti.�?!'��".P. . ....... ......... .. Addrens ey7ovIr. 1kI X91-GSeG Mille oil (:cwttractor ................................... Address ...... ..... . .. ... .. .. . . ... . ....17e)rw Ikt. . .. . . 15. is this pmiterty within 300 feet of it tidal ivetlarvi'1 * VI:S ... ....... M) ... . ..... . *11' YM, 11(AIIlYllll 11MR4.117 mi1i8 MAY IAi 1(1q)llwm? PLOT IIIAORAH 1[x:01'0 OQ60y and distirx:l'�'�lly all boi'lrlinga, uia:ther existing or proposed, and Indicate all set-back dillmMons him prnla;rly lines. Cave strvaeti and 1a1cx;k rasher or tlescripti(xt arrotdinu to Iked, ntvl shwa street' +xuCs alit hldical'I, lAtether interior or Cor er lot• v. a a i .9 0 0 \4 N — o Sum., (IP FIIW Y(/NUC, Ss .'-..-. ,.. ,•. � ... .. . ... .......... .JxAllf, July r,;muo, delowes and rays fl :n: lie is the: npplicant (Nrnr. of indivifluid. fiillning Conti' UL) above rltov:d, Ik! is Lile .. ... .... . �.'.I—T. ...... ... .. . . . .. .. ... . .. ...... . "Al-,Lilt, nll ... .. ... .... . (ColILI' ... ... .. • I,(.,I c, <:urloraLe uffictir, etc.) or Haid (Miler Ili C"Kira' and in (Illy anthprived to Ix!r-for'11) Inr have perfonit_'d the sald work nlxl Ln arlke dial fit, Iht% nel ppiication; that oil stallkznt's ronf0Srxyl in 111h% applicatflan are trlle to file befi( of his k000li; Ip ruvl lxil.ie:f;' aril I% the work will. he lxrfoniied All Lim avinner set forth in the aplllicaLlun flltd tllereroil.b, fkxarn Ix, fatrtl Im Utis (/ .......day >f Mttary IhibliC ,.. ....' .. - .,. ._ OH�5p14.OftiEw iytjl►,PVP Hp,51bp UgpUNf i.$ ntan'e o ' A pl Senn!,) pU At��0�N Y a r Y'21PC3 71771 I cat. ....................................................... 3 5� - L _ 1 u— r- � - yl 2 19/'cItJ� � — APPROVED AS NOTED DATE: B,P. FEE: �n BY: 2 eco cx NOTIFY BUILDING DEPAR 1E T j I Q9 [ , 7654PROVIDE OPENINGS FSP 802 B AM TO 4 PM FOR E o -O'L'D �F' I' " J�"�rsGI,` :N FOLLOWING INSPECTIONS: - I- EMERGENCY ESCAPE AS dat- o Q•,p ,.:, I�.� o. I.IJ'I 1 G, 7 FOUNDATION - TWO REQUIRED �� I -- - REQUIRED BY PART.714 OFFOR POURED CONCRETE N.Y. STATE BUMPING CODE. 2. ROUGH - FRAMING & PLUMBING 3. INSULATID 4. FI - COrFO N M E COMPLETO.ALL CONSTRUHALL MEET THE REQUIREOF THE Ny'� P7 ¢ 4 _�� STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOFI INJ G V!' Ic, ' DESIGN OR CONSTRUCTION EQf;,gjt£ NNG" O O y , OCCUPAPJCY OICUSE IS UNLAtA.FUL t1r'ITHOUT �' � .� io'�—II u� Ir ,EFMFICA�E OF OCCUPANCY � �aY' (� I"rrxis E'—I�la � ,lL�cC- PI�ti�JUrraJ UNDERWRITERS CERTIFICATE I,Z �-'!t y�•-I v>), J I s.l REQUIRED 0 p I N T I 4%� GF-1 YtiiJ E,�U tiJ�T Tv q-" �TE — Yxrlo-"E >fU.1:nel / .1TIJtJo11S SoG("( vkr-I"J E Ji J6 LIhIL r�-lyrellvriq_I: JIJ!L :JOS:-�. c./FK 0o O✓r L �'i,�4' S i�pS,Q IC"cam "f v 1 cO 1 Ca.lt'tR�GT %� 'Yt-'(i� SrIY�-F�'-� -• .'.' _ _-___ IJ4'I.r�TIgJ, 'Y t a "� I _ 2-2"�r" L-��HhiJlzFr� SILL �J;"(e?-r-7;'ife- s� 4i^G F�L L- Tc>I'�Gc1%17"c <oL•J j , hod L. '1reof meN AQP 71 HALTER LANE LEVITTOW N, N.V. 11756 731.5506 -T �n 1 Qo�-rd7(ZccFJB o✓1'� 15"a 6�T /l- �3�p n,�9l�zl Hrc(<o L,.+s �2 I1{�q/}01 CtA•�O Tc �. n!�F 4JA14. w6 uG�� Z°�-B � Q;'Go.�.. P�L�zG r-w-IDdTaJ -o�1+�Ju�a o� OI[-��'r. GIL+-U 'GE � � faJl�ocrf•�cx� ,/L •O �i�f.D A,?Ctiti�ti �' R. r CF Zt517� �e�J o°ry-7v ° _ O Cll AS *'T 11 NAL7Ep LASAMONE LEy7TG'WN, 11750 731.5506 I �l D 3e 2 0 * I VkSO AR '2 It ST'4Te of TITLE NES a� "L11 ALTER LANE LE107T OWN, N.Y. 11786 H 731-5506 0 NEW YORK STATE ENERGY CODE PART 6 BUILDING ADDRESS ARCHITECT OR ENGINEER 1�6Ac) eQ2�pj ,_ WARREN SAMBACH 11 HALTER LANE LEVITTOWN, NY 11756 (516) 731-5506 GROSS FLOOR AREA -a. O NUMBER OF STORIES COUNTY suriqx-iL DEGREEDAYS ne) C7 BUILDING IS ONE OR TWO FAMILY RESIDENTIAL. BUILDING IS DETACHED. BUILDING IS LESS THAN 5,000 GROSS SQUARE FEET. ALL WINDOWS ARE HI PERFORMANCE U=.32 OR LESS. OPAQUE WALL AREA = 90% CAVITY AREA AND 10% FRAMING AREA. OPAQUE CEILING & FLOOR AREA @ 90% CAVITY AREA AND 10% FRAMING AREA. MAIN SUB AREA THERMAL COMPONENT COMPONENT "U" VAGUE RATING TABLE USED OPAUE WALL AREA �j4'Q'• gj • n�v t✓. '� 6 - 1 GLAZING 134 • bob .rls2 _ZZ 6 - I DOORS 6 - 1 OPAQUE CEILING AREA 4-7$ ,2- • D/(-2, 3 6 - 3 SKYLIGHTS 14 •p (, 6 - 3 FLOORS 47s • - c)4-2s 3 6 - 3 SLAB Lwe"MET -a^Vn m PERIMETER r 6 - S FOUNDATION EPTBBELOWGI E LBm. wET - - ,•-'��. WALLS 6 - 5 TOTAL THERMAL RATING I HEREBY CERTIFY THAT THESE PLANS HAVE BEEN PREPARED ACCORDING TO AND COMPLY WITH THE NEW YORK ENERGY CONSERVATION CONSTRUCTION CODE. tFf ...-.--•"'.'„' �� �� IS"FW--(! �L• Is�qu,cY lit' HItRoI,.v_.rs ----...., 444 '—O l� QL11Lp G2'j �,�6UL � � f r _____�'�. rel� ,a�� ...._.. .�.._. ...___.,_.._.___-..�._...._..._.. _.-_-_'_--._.-----••_--�-----� � 24"i ,2" ua-k. 2 *<fA.0s • cea�'�'rJ11nJ s \ \ /// rFI ' -x rkbsKs. . If- J ,* g fl= \v 'J ta¢ a+Rlt :: jpp,+ Fr Wp, `4 , �Ql / Qom , f'�� rt ?fl�lc+s •,f//, 4 �" !wF" y TE OF NEW i.. I o.n e 11 NILL1'r<h LANE L6VfR0WN, N.Y. 11156 131-5506 r