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HomeMy WebLinkAbout25110-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26541 Date: 07/01/99 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 25 BEACHWOOD RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 4 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1998 pursuant to which Building Permit No. 25110-Z dated AUGUST 14, 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 ALTERATION & RECONSTRUCT AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOAN M AYLWARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-491896 06/21/99 PLUMBERS CERTIFICATION DATED 05/28/99 PECONIC PLUMBING & HEAT. y ild' g Inspector 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. 25110 Z Date AUGUST 14, 1998 Permission is hereby granted to: JOAN M AYLWARD 21 ORCHARD DR WOODBURY,NY 11797 for CONSTRUCT ALTERATION AND RECONSTRUCT AN EXISTING SINGLE FAMILY DWELLING TO CONDITIONS OF DEC, TRUSTEES AND CHAPTER 46 FOR FLOOD CONTROL. MAINTAIN ORIGINAL SET BACKS TO PROPERTY LINES. at premises located at 25 BEACHWOOD RD CUTCHOGUE County Tax Map No. 473889 Section 116 Block 0004 Lot No. 030 pursuant to application dated JUNE 18 1998 and approved by the Building Inspector. Fee $ 353 . 60 Application Fee +75.00 FEMA Flood Permit 100.00 528.60 Q41�— BuiYdrn§ Insp for ORIGINAL Rev. 2/19/98 I� Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: • 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. _ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - - .251;. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . NC'.. .Zb�.�51� . . . . . . . . . . . . . . . . . . . New Construction. .. . . .. .. .. Old Or Pre-existing Building. . . . Building. . . .X. . . . . . . . . . Location of Property. .. . . .a� 1 c2... . . . .. . . G-v,�.^:1C)A .�-c":R.-:. . . . . . . .Ct.tl C.+:� House No. Street Hamlet Onwer or Owners of Property. . . .. . . . A4�n. YWGC:_.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . ..Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . .. . . . . .. . . . . . .. . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .(A OIQ. _. . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . /. . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . .t.l. . . . . . . . . . . . . . . . Planning Board Approval. . . . . .. .'. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . �. . . . . Fee Submitted: $. . .f. 0. . . . . . . . . . . . . . . . . . . . . JII Q. APPLICANT \co-�a6, ?-7 ..c SATFOL't Town Hall, 53095 Main Road CCOB Fax (516)765-1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, Now York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T 1 0 N DATE: Z4, 12:A PR—�9 Building Permit No. owner: (please prin(y) 112, v /,/ '� /�6_/q-r//v Plumber: /_29��L-� �/1 �1/ �_4_ lwe (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. -,4 (Plufttrs Signature) Sworn to before -me this b' day of Notary Public, Lyv(&y'_/b County BARBARA STEPNO KI Notary pliblic,Sue of New york NO.OIST4644752 Oulfiflad in SUffolk Cnunly com"i'slon C."?),ros Sept,30�199�9 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 21,1999 Application No. on file 17460399/99 N 491896 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 MRS. JOAN AYLWARD, 25 BEECHWOOD ROAD, SEC. 1000-116-04-30, CUTCHOGUE, NY in the following location; ❑ Basement ® 1st Fl. ® 2nd Fl. ATTIC/OUT Section Block Lot was examined on J= 15,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 25 45 42 25 1 1 8.1 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 2 - SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. GO AMT. AMP. TYPE EQUIP. 1 0 2W 1 O 3W 3 0 3W $0 4W PER 0 OF CC. ND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL 1 200 CS 1 X 1 2/0 1 2/0 OTHER APPARATUS: PADDLE FANS-F-6 ELEC. ROOM HEATFRS:2-.250 K.W. ,4-.375 K.W. ,2-.625 K.W. ELEC. ROM HEATERS:5-.75 K.W. G.F.C.I:-10 SMOKE DETECTOR:-8 L G & S CONTRACTOR LIC.#578 E BOX 215 ANN GENERAL MANAGER SOUTHOLD, NY, 11971 Per 3 1 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. mss"/�� - 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ 1,-�'FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR 7'65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ } FOUNDATION 2ND [ ] INSULATION [ ] F ING [ ] FINAL [ FIREPLACE & CHIMNEY REMARKS: o? � ✓ - . r DATE INS I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ 7NG [ ] FINAL [ !iLACE & CHIMNEY REMARKS: ,Xt57 DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] "ROH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ,2 ��� L/ M-1802 BUILDING DEPT. INSPECT ON [ ] FOUNDATION IST [ ROUGH PLBG. [ /] FUNDATION 2ND [ ] INSULATION AMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a/��I'l�At1C POS/ S u DATE INSPECTOR . 1, E • ��FrOI���� �c JUDITH T. TERRY 'town Nall, 53099 Main Road P.O Roc 1170 TOWN CLERK tP max Southold, New fort. 11071 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER - �� �°� � �� Telephone (S 161 7(5-1801 RECORI)S MANAGEMEM'OITICER FREEDOM OF INFORMATION OFFICER 'a 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) ] . TOWN OF SOUYIlOLD Southold Town Clerk August 25, 1993 APPLICATION #_ PAGE l 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 siQn): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE SECTION 2: PROPOSED DEVELOPMENT (To be completed by APPLICAN n NAME ADDR TELEPH NEAT APPLICANT BUILDER 3 J 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) APPLICATION _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure 0 Residential (1-4 Family) ❑ Addition 0 Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? 0 Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: O Fill ❑ Mining O Drilling O Grading O 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) The 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). O 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 floodway. FBFM Panel No. Dated ❑ Sec Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4• ADDITIONAL INFORMATION REOUIRED (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 fust floor,details of floodproofing of utilities located below the first floor and details of enclosures below the fust floor. Also ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by 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. APPLICATION # _ PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ 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: Ff. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofng protection is Ff. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? 0 YES ONO DATE BY DEFICIENCIES? IJ YES ONO SECTION 8: CERTIFICATE OF OMPLIANCE(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 O EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #_, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # 19 AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0373 AM John P. Cahill Commissioner AMENDMENT TO PERMIT JUNE 10, 1998 Ms. Joan Aylward 210 Orchard Drive Woodbury, N.Y. 11797 Re: 1-4738-01937/00001 Dear Ms. Aylward: Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: All work shall be done in accordance with NYSDEC approved plan dated June 10, 1998 and prepared by Whomas G. Samuels on May 26, 1998 . This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Sinc/erreely, Permit Administrator CAF George W. Hammarth cc: Samuels & Steelman Architects NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PEMIT NUMBER EFFECTIVE ATE 01937/00001 _—_ ■ May 4, 1998 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE($) SAPP Under the Environmental May 31, 2001 Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection 13 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 11Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Joan Aylward (516) 692-8279 ADDRESS OF PERMITTEE 210 Orchard Drive Woodbury, NY 11797 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Samuels & Steelman Architects 25235 Main Road Cutchogue NY 11935 (516) 734-6405 NAME AND ADDRESS OF PROJECT/FACILITY Aylward Property 25 Beachwood Road LOCATION OF PROJECT/FACILITY Mattituck COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Great Peconic Ba DESCRIPTION OF AUTHORIZED ACTIVITY Reconstruct existing functional single family duelling which will continue to be located 75 feet or more from the most landward edge of any tidal wetland. ALL work shalt be done in accordance with approved NYSDEC plan dated May 4, 1998 and prepared April 27, 1998. By acceptance of this permit, the permittee agrees that the permit is contingent'upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any, Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: George W. Hammarth CAF Bldg. 40, SUNY, Room 121, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE May 6, 1998 Page 1 of 5 o��g�1FF0(�CO Town Hall Albert J.Krupski,Presidentmay. G,p, 53095 Main Road James King,Vice-President c P.O.Box 1179 Henry Smith ti Z Southold,New York 11971 Artie Foster p Ken Poliwoda Telephone(516) 765-1882 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 29, 1998 Samuels and Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: Joan Aylward SCTM #116-4-30 Dear Samuels & Steelman: The above referenced property was inspected by a member of this Board. The proposed demolition and reconstruction of the residence as per survey dated April 27, 1998 was found to be out of the Trustees jurisdiction. This decision is not any type of approval from any other agency. If you have any further questions, please do not hesitate to contact this office. Sincerely, Alber uski/ J"r 6� President, Board of Trustees AJK: jmd cc: Bldg. Dept. I' JUDITH T. TERRY I .'� � •`� Town Hall, 51095 Mam Road TOWN CLERK H = '*• { '"' P.O. Rox 1170 t: tlCi.w� Southold, New York 11071 REGISRW2 OF VITN,STATISTICS Fax (516) 765-1921 MARRIAGE OFFIC[iR _ .�2�" y:�� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER 'Dl �" ) FREEDOM OF INFORMATION OFFICER .a 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) ) . k B carr -R._. TOWN OF SOjV7.OLD �h> Southold Town Clerk August 25, 1993 e , APPLICATION #_ PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE 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) APPLICATION # _ PAGE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE O New Structure ❑ Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration 0 Non-residential (Floodproofmg? 0 Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) 13 Demolition ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: • Fill ❑ Mining 0 Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) IJ 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 O 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) 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) O Unavailable O The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4: ADDITIONAL INFORMATION REOUIRED (To be comnieted 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. El 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 floor,details of floodproofmg of utilities located below the fust floor and details of enclosures below the fust floor. Also, •Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofing protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. • Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. • Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity: A. O 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. APPLICATION # _ PAGE 4OF4 APPEALS: Appealed to Board of Appeals? O Yes O 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 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. INSPECTIONS: DATE BY DEFICIENCIES? O YES ONO DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8: CERTIFICATE OF COMPLIANCE-(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW #_, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # 19_7 AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) ELEVATION CERTIFICATE O.M.B. M y3?,1993 O.M.B. 030671993 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 LOMB). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Joan M. Aylward STREET ADDRESS(Including Apt.,Unit,Suite and/or Bltlg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION(Lot and Block Numbers,etc.) 1000-116-04-30 CITY STATE ZIP CODE Cutchogue, NY 11935 SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 1 2.PANEL NUMBER 3.SUFFIX 1 4.DATE OF FIRM INDEX 5.FIRM ZONE 6,BASE FLOOD ELEVATION (,n AO Zones,use depth) 360813 0116 D 08/16/93 A4 El . 8 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE); 0NGVD'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 BFE for this building site,indicate the community's BFE:L I I I I .U 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 5 . 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 1 181.�J feet NGVD (or other FIRM datum—see Section B, Item 7), (b). FIRM Zones V1 430, 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 .LJ 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 L-12J.hJ 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 L_L_I.❑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 FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ®No (See Instructions on Page 4) 5.The reference level elevation is based on: Q 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:I 1 1 1 151.L5J 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.LJ feet NGVD(or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-311 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 Al—A30,AE,AH,A (with BFE),V1—V30,VE, and V(with RIFE) is required. Community officials who are ai.jthorized by local law Or Ordin;n,n,ce t�TrnYiile,(ln,C�Jr`l: 'iR C`i l'}fl^fdTkli�'ii�^vSTIAi'rJil,may hie 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 sign the certification. Reference level diagrams 6, 7 and 8- Qistinguishing 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 Feat the Feature(s) not included in the certification under Comments below. The diagram number, Section C, its 11 t s N I certify that the information in Sections B and C on this certificate represents my best effo iii'pret the'aaf g ble. /understand that any false statement may be punishable by fine or imprisonment under 1 rr . lection s CERTIFIEA'S NAME LICENSE NUMB Efl John T. Metzger 99618 ar No 6�0 rd�a TITLE ' COMPANY NAME ` ` President Peconic Surveyors, y. ADDRESS CITY STATE ZIP P.O. BOX cing Southold , Y 1 10 SIGNATURE DATE 12./01/97 (516) 765-5020 Copies sho d be made of 41S icate for: 1)community official,2)Insurance agent/company,and 3)building owner. COMMENTS: i ON WITH ON PILES, SLAB BASEMENT PIERS,OR COLUMNS A V A A V ZONES ZONES iI ZONES ZONES ZONES REFERENCE REFERENCE 9ASE LEVEL REFERENCE LEVEL FLOOD LEVEL I r ELEVATION '.iy,1 :i':4::::,,:,', BASE LOOBAS "' ADJACENT :Fi un'' REFERENCE FLOOD FLOOD '"j' "... ... },.;, ELEVATION GRADE LEVEL ELEVATION RE LEVEL aGRADET i`. 1 � AACE G RADE , 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 shou0be measured at the bottom of the lowest horizontal structural member. Page 2 � i I I r v ISIPRO 00.111 ��►r hI ISI v: HEALTH . . . . . . . . . . . . . . . ..... FORM NO. 1 /) SETS OF PLANS . O ; I TOWN OF SOu'ruou) SURVEY . . . . . O BUILDING HPARTMENT CIIRCR • . . . • . . • . • . . • . • • . . . i 8le TOWN IIN . 11971I .YSEPTIC FORM . . . . . . . . . . . . . . . . . . . SOII'I' O h " TFL: 7615-� 1807 NOTIFY: 4 7w - CALI. .. . . . . . . . . . . . . . . . ... . _,- I'sxarnined... .., MAIN TO: . . . . . . . . . . . . . .:�: : .: :�_ ' 1.�Q��' Alq>rovcvl..... `� ., 19.... Penui l: Hkn. ....:.....:................. .... .... Dinapintimerl a/c .................................. .................................... ........................................ '... ......... O �� � g (IMuildiog hmixa�l .• .. .. - AUGPPI,I CATI ON FOR BUILDING PERMIT /V nQ ..Co/a f.ViO Data. . . . . . . . . . . . . . . . . 19. . . . x'. V +"?'INNSTRUCTIONS BLDG.DEPT OF SOUTH a. 'Hila nppl icnL inn mint be ro"pletely filled in by typewriter or in ink nrxi mrlxnitte<I Lo the Building tunpe.clor wit 3 sets of plans, accurate plot plan to scale. Fee according to scim(hde. b. Plot plan sbowing location of lot nrxl of Inuildings rn prenises, relationship to adjoining pronisen or Ixrblic streets or areas, aril giving; a rletalled description of layout of property "list be drawn on the dingran Osiris is part of this nigAication. - c. 'life work covered by this Of7ptientloss may not Ire caamnced lmfore ismiance of idIding Permit. d. U116' app oval-of this application.- the Butltling Inspector will lassie a Building Pennit to lite applicant. Srx'1r permit shall Ile kept on Use prantses available for Inspection thror,gftout- the;w'ork. ----�- e. Notbuilding shall lm occopierl or userl in whole or in part for any pxnrlxise whatever until a Certificate of _-- Occupancy shall have been granted by We Building Inspector. - APPI.ICAriom iS IERI:fIY HAUL' to clue Budding Deparurent for the isatnnce of a Building Perndt pnt-sonnt to the Building Zone Ordinance of the Toch of Southold, Suffolk Canty, New York, and other applicable Lawn, ordinances or Regulations, for lire conatruction of Ixuildiaga, arklitions or alterations, or'for re+noval or demolition, as herein described. Tire applicant agrees to canply with all applicable laws, ordinances, building cafe, housing code, arxl regulations,,arid to admit auUnrized inspectors or premises aril in Ixuildi�ng-�for -necessary i ctions. - . '......... . .. (Signature of applicant, or rune, if a corporation) (Hkailing n(kiress of applicant:) 11/'35 Slate wlmtlmrr tippppplliicant yids-o-wr-mse er, lessee, agent, architect, engineer, general contractor, electrician, pludmr or Ixui lder ...........!. ../?.....1..�....................... ......................... /.............�..,...... ... ...........9�........ ....................................... Hone of owler of. prealses .....:Yl1&...cltu.l . ,G.l�F.:"' 1 .. ............................... ........ . ... (as ar the tax roll or latent deed) If applicant is a corporation, signature of duly autlnrized-officer.- ......................................................... (Nam and title of corporate officer) - - - - Btilders License Hb. ......................... Plumbers license No. ......................... Electricians License No. ..................... -- OLlmr Traders License No. .................... 1. location of lanl on which prolxused work will be ckxx..... ......................................................... ......��............ 1 ` ?D......i�.................................. ................... House Hlnimr Street//////,,,, Barnlet (X) - _ County Tax Map No. 10Section .....(l. 7.... Block .....�........ Hot ..V'©....... Solxlivision ...................................... Filed Map Nn. ............... Lot ............... (Nave) 2. State existing use and occupancy of p/rpanises and intenlied use airedi occupancy /of proposed construction: a. Existing use six] occupancy ......v� � .. /.:/��Z....Y!2��.C� ".:`.':"::................... b. Intended use and occupancy lie)• New Iluildin tuklitioll (, L N rturc of work (dx.•cltal�iovh a(ryll ical !3 .......... .. .' e n •••••••••• C i t Its war ......... Jr � � ..... Ik�inllllon .......... .. Other {Jerk .... §�„�.. )......... . ,�Lp. (Oe .ri tial) �a l` Eat basted Cost ../.�C.....�.. .... fee .......................... .... t'hl•f�`fi s•.,•sry n.>,« c / (to be (wid on ng Lhis sill icil["1 If [Melling, Ixnix:r of dwellhlg units ..../....... Muller of (haeliIlia lmlts of each floor ................ Ifgarage, outr6er of cars ......... ............... ............. If Ixlsi(wart, wraiercial or mdxerf o:Fulw,x:y-, aped fy-Iwl.ure- and extent of each -tyylxI of use......I.ssyy..............._. ._.__. Il luxmaims of existing strrx;turea, �f allyl LhoxIL.I fr..._ gear ,Z,Z /..... Depth 4.7 .F...... IWI IC -.. ia nher of Stories ......./...... ....... . . 1 1 Iters""'i[xls or a[klillona: Front Ilu )tilalwls of ul aC Ichlr11,11 IIL n,.�.P.Y.C.FZ....... Mni)er of Stories .... ..... Ilei nC Mr o. 1't'of cwC ................ hear ............. ¢)`�)llht .,.{..;...,,. Miliellsl s of new . d© fT dyer Storieeyss� ........... Size of[xlot l'rw la.�.uxretrucCt�...., Itear,�S✓r 9.FT...... Ih 111 Si �� rbc•..... ....,.�...,...-.,.„,..,.� f 191r7IJ�}4i'l In i . i. Dale of l'[Ir[:Iwae ................... Nanx: of Former Owner ......... .......... .. ,�^^..�.,..^�,•«L.,:.•M,�° ya,e or use district In vAddl prend a are situated ......... .. . ............................................ hoes prolxlsed cwlatrucLion violate any roiling law, ordinrslce or regulation: ....�o....I......... - , 1 ..... Will excess fill Iw reinNed fran prentaea: YES © �` WI11 lot 1)e regra[led ......-'•,--” �� C? Miles of Owour of Irennises A/S !?7s �Akiresa � D��Y1i .!hrp!,Y�C�. No. ........ ....... Minae of Arclnilect ........ Address ) ......... Name of Cxxltractor ................,................... Address ...............................Mane No. ...k......... . . Is Ilds prop r9(1lllidiiii'1Old1-fee'IMIdlot a Lidsl laetlalxl7 * YfS .Y.. ...._ ND ........ .. ._ property Y - PERMIT MY 1% MAJIMU). PLOT DIAGRAM Locate clearly six] distinctly all Imilditlga, wlwtlwr existing or proposed, aril Jindicat'e all set-link dimensions uu property lines. Give street aml block rxnher or description according to deed, and allow street Ir[.res and Indicate ietl,er interior or comer lot. 1 - 55 tINIY OI'' y t•1•"///� '+• �� V.`".':.^! .....Ixxiiyq duly sworn, delxwes and says that be ie Like applicml. 4111 Of irxlivi(Ilall algnilg conLIIICO i isthe .... ... ....................... ........ .... 1 - . .TEe /. ,... .............................. (U)nLracLor, agent,-cor(k)rnte officer, etc.) I ` said [inter or mnx:rs, rail is duly nuLljori7ed to perform or halve dxrrforued the said cork taxi Lo make mil fife Ihis 'IlllCaLioo; Thal. all sLaLeneota contallxNI 111 thia ill)hileatioll are trite La the heat of Ilia knowledge laid fx±lief olid wt tam kink will Ix performed )a the uviooer set forth in the opplic.nLion filed therewith. om to I>efure ole Lhis ,.... .j.d ....day [of ..AUC7a... 1..19 AXC}I�i! .9... M)Lary INdrlic ... !�:`:.'. DIANE DeFABPJZ?6 JA Notary public,state ofNe,wYoty ... (S'lipuu:ure-of A(ry)l-ieaut) No.4995125 (lualHeil in Suffolk county Ct1ml11*n F,ores May 25, A a 2 m 14-42 � E N. 40,0 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION cmt. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW cm/. 5.4j „ EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICAbONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF / 2.0' 22.3' yea SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. FR.TY . to ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY- - ' 2 BAR i' MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY p OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 'INSPECTED" AND BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE WITH THE LAW. cage. W h" �,dc51 LOT O LOT O LOT O CP CP. 4e Ie.2' a M 1 STY. ::r-1 tm ro w -- "' cmf. 1 .l meR VIPq Ir. cm. tnuR cn hse. ti 4 C`! ' ' wood � ? dick o/` SURVEY OF LOT 4 "MAP OF BEACHWOOD COLONY PROPERTY" FILED FEB. 14, 1917 FILE MAP NO. 727 AT CUTCHOUE co m TOWN OF SOUTHOLD n olpe SUFFOLK COUNTY, N. Y. 1000 - 116 - 04 - 30 SCALE 1" = 30' Q) SEPT. 3, 1997 I20'! Tle line S 89'46710 W. — 38.90' --'— OREA T PECONIC BA 'Y 1.0 til Y. LIC, .NO. 49618 PE N � o e°7 " 1440.00 Q ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION- eml. OF SECTION 7209 OF THE NEW YORK STATE EQUCATION-LAW EXCEPT'AS PER SECTION 7209-SUBDIVISION Z. ALL CERTIFICAbONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 2.0' 22.31 gar. cr SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. Tv ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' FGAR MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A CQ Y OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS "INSPECTED" AND "BROUGHT-TO-DATE" ARE NOT /N COMPLIANCE WITH THE LAW. 3' cont. l W s r I i ,. .<. L p''r 4 L O 7, it � •, �/ rsp � I STY. oh**W ro aM^'K O 6R' I �aosm4 '� stop lcml. p kill" U. c .cm/. m hse. o •A woad A deck '% SURVEY OF LOT 4 } "MAP OF BEACHWOOOD COLONY PROPERTY" FILED FEB. 14, 1917 FILE MAP NO. 727 o AT CUTCHOGUE m m pie TOWN OF SOUTHOLD 0 SUFFOLK COUNTY, N. Y. 1000 116 - 04 - 30 SCALE: 1" = 30' $ SEPT. 3, 1997 120'= Tie line – S. 8904871" W. — ��I# NEW�o 38.90' -- — -- - S�Q �a t. ME, 'Pf �0 Fp GREA T PECONIC BA Y 0$_' 1, LIC. NO. 49618 � 496 PECON!^� �IrA C. Q REvIsIOIJs: } DO NOT PROCEED WITH FRAMING UNTIL SURVEY UNDERWRITERS CERTIFICATE / ✓"/ /N" p, OF FOUNDATION LOCATION QR REQUIRED HAS BEEN APPROVED. AS NOTED - WELL gFll z B.P. " SITE DATA DATE: roti FEE: NOTIFY BUILDING D4 FOR THE QQ� �X�SIING SCTM # i 786-7902 9 AM TO 1000 - 116 - 04 - 30 NG INSPECTIONS: �\ I,QAT E R I, N E E �` - WELL FOLLOYn TWO REQUIRED 2� /�. t FOUNDATION - 'J PROPERTY: 25 Beachwood Road FORPOURED- FRAMNGIEFE SING �o�TZ 2 ROUGH - FRAMING • lUNA ADDRESS Cutchogue, NY 11935 \ 1 & INSULATION 4. FINAL • CONSTRUCTION MUST . . . OWNER: Mrs Joan Aylward BE COMPLETEUCTIO C.O. 21 Orchard Drive ALL CONSTf�UCT10N SHALL MEET PROVIDESKIOKE-DETECTING THE REQUIREMENTS OF THE N.Y. 5T0F� :, Woodbury, NY 11797 STATE CONSTRUCTION & ENERGY GPRA6Xle'n NG I 1 1 Y ALARM DEVICES uNUEF2G�a no SITE: 1 O CODES. NOT RESPONSIBLE FOR FYJLIEI2 LINE 13,421 sq.ft. VACA N T AS TO PART.721.1 DESIGN OR CONSTRUCTION ERRORS AREA U >- \ \ N.Y.S BUILDING CODE 31 acre \ \\ z W 51% A Q S ZONING: R-40 N GONGIicTE I - " I Z _ _ I FLOOD: Zone A4 r+r ZONE Q LEOT 16 Llhl P G — SURVEYOR. C OCCUPANCYpR BKISTING NpcRGRa IJ N PeconicSurveyors USE IS UNLAWFUL _ Southold, NY 11971 1 -- - -- —� -- P.O. Box 909 UA4I° 'v 38 FT. N.Y.S License # 49618 I / - � W WITHOUT CERTIFICA� I OCCUPANCY — — / J� 0� - Dated 3a-s6 HoUS6 _ ,' .( � -'" I � EXISTING LEAGHIINGi h�Q7L --- �j� � I NOTES: Elevations shown are referenced to NGVD 0_ �XI47[0c w RJOR LINE AV^ Fcr /� • '�, I I I t�� �-- i � Loca7loN Plotz -ro k'xcA�.�TiorJ EXi.STINfC C�JEI�.HEAD - � I Q / , . I❑ ct,�IMUN T'Ta p0W5Fl LINE� W"•TEk • i I WATER LINE KF=WA1N, pK NEW WA1'F .p: W LIN. FRo cnK-Llr- Ta m LAwI R�sla� J / PROVIDE ANTI-SCALD AND/OR EXIsTINC� LEACHING F L — / THERMALSHOCREVENTING DEVICES AS TO P NT. 902.6(K) Q U k I N.Y.STATE BUILDING CODE. +ltr � N5 W E S-F E N fpo KC H h � 6P - -- 1t MaoPOKbibirMIauMd l II _- far WjVW&MIMNng F_XISTING ayeftirlC pipinp•and1 M TD KE MA I N j 2.v FT %V"Lff.LanLL — �x,snNc� NEIL� N�nrz I EX1.5TNG oNE s�orzY I = I ? ESIpENcE C�HoWN HATCHFPj I p NEW o ITbooR SHoWEK REN0VA7FP ^VAdriITICNO 3 - ��-- - pleO ;ECT �N CsHohIN SHaDE7� -- P -��isTINGt nE I sh n � I \�, 21 ^ i � - I4 P � N ¢ - N LE �cple Ep 10 140 p _ I o aTIF ails iEM ��P ) = N5-W 4TAIRC— 70 G�RA� � J L - I CES �,0gYS�pof1 NSW 1-NFr porlcH — - -- { J7 EO 2/ w w > ; SUPPLY I ` y I �E EI � w • T �, V � bNwEl 311Od39 ONUS31 i Q ~ • u ��C�N IG 033Na3N1iTy I I - ��\r ZO JF= A4- ACL a) — e� VICINITY MAP ,ri i SCALE : 1" = 60'_ 0" 3� � �� ZO V A� - �\, �_`\ - ,�'\ n�/J N EAST �,M TiINCK �.p 11195 �� ✓���,, v - \ /\Y ��I 1935 . W Project No: \cure Drawn By: ILI — {I =\r1`��� x• �, V ,\ rtl• Checked By: r Date: 98 NJ 201.0" Sheet Title: z G + wAFZ MA2K C J n/ t a 1 . 1-f 1 �. ..� namruce '^ R � � �6 � �. AIR/P/ORT tSn " r e I�H I •. SITE•n��� MarrutooAn Pl R q 12, 27 j1 w PLAN NEW SUFFOLK NORTH R Sheet No: LOCATION MAP SITE PLAN 1 SCALE : 1" = 20'- O" T z r� InAli SI Ox x Q'-Oy �I 5 2•+•nlo FIPR-, � CA6iEl7 LJ Ir � ' L� �� /cam �a Ili III,�� j - - - - - - - - N - -- - - ZZ� --- - 3 c-� o S I 10-1 uo, 7 5EPRom=4lA44 PvEDRoo +F3 / �� U i �d 9 csiRPGT rsLR-PET �' OI=FIGE FAMILY Roots ° cA RPE.] vIIJYL L F3 r N I cl } � GEIUNCJ pGwE `q I1'-O 4 0 4x x .I 3 -a y-o I � PROVIDE OPENINGS FfI _ EMERGENCY ESCAPE I I -o' 4 � A PR'PVlF F d' REQUIRED BY PARI 714' EkIEPaCEtt, b 1 I �.+ N.Y. STATE BUM. to DIN C01 1N\4gaA]'�s e3lJtiUt, 2ae� 'i C,Ld10 - - O ur61I.IETe j• I 9 APIJR E4 IERGEN oE1PROVIDE OPF/�+1e7 �QRS �'' � 5 � 0 Ov- REQUIRE _ I DRE' N.Y. 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