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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25755 Date; 06/01/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 350 WEST DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 5 Lot 29.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1996 pursuant to which Building Permit No. 23533-Z dated JUNE 25, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED DECK & 2ND STORY DECK AS APPLIED FOR & AS PER ZBA #3649. The certificate is issued to CHRISTOPHER M. & WILLIAM T. CONNORS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0071 02/06/98 ELECTRICAL CERTIFICATE NO. N432234 09/22/97 PLUMBERS CERTIFICATION DATED 05/01/98 VAN ETTEN PLUMBING Building Inspector Rev. 1/81 "am NO. f 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) N423533 Z Date ............... . . .......`..$�............... 19&e Permission is hereby grantedT,�l 1. ............ 4. . ..... ....� �uu ....... . .r�.�........... .� . .... e.�........... ffrt .S. . �../� : .:.:�st�rd �f .elf....................................................... atpremises located at ......o?X p.....a'g .... .................................................................. .�%zro........................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ........ / ...... Block .... �............... Lot No. ..t r... ....... v pursuant to application dated ........... U�Ve- �4.......... 19.4..40., and approved by the Building IInspCe`ctor. Fee $.../... ....... ....... 60 /4V �............ ........ .`......... ........ Building Inspec I Jv. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ���j ��' �3_U c TOWN HALL 765-1802 � � APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 8. Far 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. 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 $155..00 Date . . �!.�1. . . . JIr . Z? Z_lp . . . . . . . . . . . . yew Construction. . . .. . Old Or Pre-existin Building. .. . . . . . . . . . .. Location of Property.. .50 11VEXT 17/) !�! / $ou T © . „ . . . . . . . . . . . . . . . . . . House No. . , Street Hamlet Onwer or Owners of Property..0/. lc�1�h.�w. P . .4°%!� r?�f . . ,�. /C��/ /?. . rq aCounty Tax Map No 1000, Section. . . . c ?. /. . . . ..Block. .. .. . . . . . .. .Lot. . . .9: :3 Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. -Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . . . . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Qac S`1S1�- ' . . . . . . . . . APPLICANT 5 o JS �.SS � a w ru � ^,f• o��gUFFO��-Co APPEALS BOARD MEMBERS tiy` Gym Southold Town Hall Gerard P. Goehringer, Chairman `;, 53095 Main Road Serge Doyen,Jr. �� P.O. Box 1179 James Dinizio, Jr. 0 Southold, New York 11971 Robert A. Villa Fax(516) 765-1823 A"i Lydia A. Tortora " t Telephone(516)765-1809 March 13, 1996 BOARD OF APPEALS TOWN OF SOUT TOLD Mr. and Mrs. Christopher Connors 4 340 Jericho Turnpike Floral Park, NY 11001 Re: Amended Appl. No. 3649 - (Variance - Front Yard Setback) Dear Mr. and Mrs. Connors: Please find attached for your permanent records a copy of the Findings of Fact and Determination rendered by the Board of Appeals at our March 6, 1996 Regular Meeting. Please be sure to check with the Building Department staff to determine what other documentation may be necessary to activate the pending building permit application. We are this date also providing a copy of the Board's determination to 'the Building Department for their update and recordkeeping. Pursuant to the Administrative Code of Suffolk County requiring referrals within 500 feet of the Sound or its estuaries, a copy of this variance file has been transmitted to the Suffolk County Department of Planning. It is expected that their review will be accepted without change to the town's determination. Very truly yours, Enclosure hinda Kowalski ' es of Decision to: -�-Co7Building Department Suffolk County Planning Commission i 4 / , { iZ o�osgFF0tkeo APPEALS BOARD MEMBERS Gy Southold Town Hall Gerard P. Goehringer, Chairman W T 53095 Main Road Serge Doyen,Jr. �y • �� P.O. Box 1179 James Dinizio,Jr. '�Oj �0� Southold,New York 11971 Robert A. Villa Fax(516) 765-1823 Lydia A.Tortora Telephone(516)765-1809 f3 BOARD OF APPEALS TOWN OF SOUTHOLD 4/114) ACTION OF THE BOARD OF APPEALS A206 Appl. No. 3648 as amended 2/13/96: Application of CHRISTOPHER CONNORS, for a variance based upon a Notice of Disapproval issued by the Building Inspector dated 2/8/96 for a building permit to construct single-family dwelling with an insufficient front yard setback, Article IIIA, Section 100-30A.3, and subject to obtaining approval from the Southold Town Trustees and other appropriate agencies, concerning premises known as 350 West Drive, Southold, NY; County Tax Map Parcel No. 1000-59-5-29.3. WHEREAS, after due notice, a public hearing was held on March 6, 1996, and at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. This is an application for an "area" setback variance. The appellant has applied to the Building Inspector for permission to locate a proposed single-family dwelling. The application for a building permit was disapproved on the grounds that "under Article IIIA, Section 100-30A.3, proposed construction will not have sufficient front yard setback - minimum 40 ft. required." 2. The subject lot is referred to as 350 West Drive, South- old, New York, and contains a lot width of 133.33 feet and lot area of 20,000 square feet. This parcel was created by town approval on March 16, 1972 under Appl. No. 1506 (Map of Druhl), and is vacant. 3. In this application, applicant proposes to locate a new dwelling at 26 feet from the front property line along West Drive, Southold pursuant to recommendations and discussions with the Town Trustees' personnel, and locating a smaller house as far from the wetland area as possible. The remaining yard setbacks will be in accordance with the code requirements applicable to a nonconform- Page 2 - Appeal No. 3648 Application of CHRISTOPHER CONNORS & ano. Decision Rendered March 6, 1996 ing lot of this size (ref. Section 100-244 as amended 12/95) . Y t. ill 4. In considering this application, the following facts are also noted: (a) approval has been issued by the Suffolk County Department of Health dated January 25, 1996, under HS Ref. No. R-10-940071, in accordance with a Board of Review determination dated December 17, 1993. (b) by Supreme Court Order granted July 1, 1992, Justice Thomas M. Stark, it was ordered that this property is exempt pursuant to the Environmental Conservation Law, Section 24-1305 from having the requirement of a freshwater wetlands permit for land uses referred to in the NYS Department of Environmental Conservation letter dated June 25, 1992 (DEC Ref. No. 1-4738-00560/00001-0; (c) the Southold Town Board of Trustees have on February 28, 1996 issued a Negative Declaration, determining non-significance under the SEQRA regulations; (d) under reviews by the Town Planning Board on or about March 24, 1970, the Town Board of Appeals dated March 16, 1972, and the Building Inspector dated December 13, 1972, it was determined that the lot was a separate lot for the purposes of zoning and building; (e) under Certificate of Occupancy No. Z-15292 dated February 23, 1987, the Building Inspector certified that the vacant lot conforms substantially to the applicable provisions of the Zoning Code (issued to Dorothy Babson and Daniel Gurkin); 5. Further, the Board finds and determines: (a) the circumstances are uniquely related to the sensitive nature, unique characteristics, dimensions, contours, and location of the property; (b) there is no alternative for applicants to pursue other than a setback variance; (c) the variance requested will create a minimal visual change in the character of the neighborhood along this street, and may cause a minor visual detriment, if any, to adjoining properties, although presently vacant, when comparing the difference of 14 feet (the code requirement of 40 feet less the requested 26 ft. setback, and any possible alternative to that figure); Page 3 - Appeal No. 3648 l Application of CHRISTOPHER CONNORS & ano. Decision Rendered March 6, 1996 (d) the relief requested is substantial at 14 feet, or 35%, however, the reasons for this request are rational and << necessary, and the variance as granted is the minimum which would allow some benefit to the property owner within reason, and at the same time not have an adverse effect or impact on physical or environmental conditions in the neighorhood (also see SEQRA Negative Declaration dated 2/28/96 by the Town Trustees); (e) it is not uncommon for an owner to request a set back variance in order to preserve the environmental character- istics of the property (such as wetland grasses, etc.); (f) the variance requested does not involve an increase in living area or dwelling unit density; (g) the relief requested will not cause a substantial effect on available governmental facilities since the structure is for single-family use in a residential zone district and residential neighborhood; (h) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town, or be adverse to neighboring properties, and the benefit to the applicant is greater when weighed against the health, safety, and welfare of the community; (i) the relief requested is not self-created by applicant; (j) in considering all the above factors, the interests of justice will be served by granting the variance as noted below. Accordingly, on motion by Member Dinizio, seconded by Member Doyen, it was RESOLVED, to GRANT a Variance for the front yard setback at 26 feet as requested (and shown on the Map last revised Octo- ber 23, 1995, prepared by Peconic Surveyors, P.C. for the applicant) . Vote of the Board: Ayes: Messrs. Doyen, Goehringer and DWzio. Nays: Members Tortora and Villa. This resolution was duly adopted (3-2 margin). (During a period of time in the deliberations prior to Member Dinizio's offering this motion, some dissention was discussed. The Chairman asked several times if Page 4 - Appeal No. 3648 Application of CHRISTOPHER CONNORS & ano. Decision Rendered March 6, 1996 anyone would like to offer a motion for alternative relief, however, no alternative motion was offered.) m * s ZBA:ik ERARD P. GOEHRINER CHAIRMAN AND✓ HfI D BY D Al ri IE rzv t.J z fown i MqR .... ';to Q ° Town in Roao w z = = S�SID x 1178 V Talepnone (516) 765-18C2 New YorK 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N �] DATE: M4 I g Building PPe�rmit No . a3 �,33 -� Owner: (Jr'I's > nriV"if (please print) Plumber: V14A/ f�`� eL4±nk Joeyq 00 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this day of M &q , 19� ' Nota---,/, Pub 4�5u � �.. County MELANIE DO SKI NOTARY WSUM State of New York 6�j1-DUd634✓37O'Suffolk County Z`ommissionExPIvesCr'3U ' 's f THE NEW YORK BOARD OF FIRE UNDERWRITERS '.�c,E 1f70ke71 'BUREAU.OF ELECTRICITY . 85 JOHN STREET, NEW YORK; NY 10038 Date ' SPPTE44BER 22,1997 Application No.on fiie I i1t.* 11 �3 N 432234 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CHRIS CONNORS, WEST DRIVE, 1w;00TEtO LD f NY in thefollowinq location; El Basement 1 3 1st Fl, IN 2nd FL OUT .Section Bloch Lot was examined an e�--�7 SEPTEMBER17 p and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FCE►TACLES SWITGNES INCANDESCENT FIVORESCENT OTHER AMt K W. AMT. K.W AML K.W. MIT K.W AMT. H.P 38 26 3!4 37 ], 1 10,2 l 1.2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL H.P. GAS M.P. AMT NO, A.W.G AMT MIP AMT AMPS TRANS, AMT H.P SYSTEMS AMT. WATTS NO.OF FEET Z F 3 2e � 3 faeG' SERVICE DISCONNECT MO.OF S E R V I C E METER NO.Of CC.GOND AW AM/. AMP. TYPE EQUIP. I'S'TW 1 X 3W J 6 JW ]X AW G.pER a Of CC.GOND. NO.OF Nb LEG A.W.G. NO.OF NEUTRALS A.W G, OF HREG Of NEUTRAL 1 7 Cid 1 Y 1. 4l0 1 ,rile OTHER APPARATUS: SPECIAL RFCPPT. AMP.30-1 WELL PUM-P_E" PADDLE I'ANS•-F•-5 HOTORSTI-P RX. 5--F fj.P ELEC. WATER MATIMS TT1-4.5 K.W, G.F.C.IT -9 -SMOKE DETECTOR,-? TRACK LIGHTINGT-S �IL «< Continued on Page 2 >>� GENERAL MANAGER -• iS 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 BU41DING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT- BE ALTERED IN ANY MANNER. ' THE NEW YORK BOARD OF FIRE UNDERWRITERS 10)1'017 " BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date SEPTEMBER 22,1997 Application No.on file 1'2�7f3196/�f N 432234 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of C14RIS CONNORS, WEST LIIU VE, �SOUTHOWT,�pNY in the following location Im,1 I Pment, `9( lnt Fl. C3 2nd FI. OUT .Section Black Lot s IT'£ 17 9 j wet examined on ° and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I OTHER AMT K W. AMT K.W AMT K.W. NAT 9.W. AMT H.P t DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET ET DIMMERS AMT K.W. OIL N.P. GAS H.P AMT NO. A.W G AMT. AMP. AMT.' AMPS TRANS. AMT H P, SYSTEMS AMT. WATTS NO.OF FEET f SERVICE DISCONNECT NO.OFI S E R V I C E AMT AMP TYPE METER I A, I ]W TW J AW NO.OF CC COND. A.W.G NO.OF HI LEG A'W C'' NO.OF NEUTRALS A.W G. {f FOUV. PER.e OF CC.COND. Of HbIEG OP NEUtRM f[ OTHER APPARATUS: G {{i I C & S CONTRACTOR L�f;.#�7R—ESlag, `L+'Kn.a...r. �.+ L IAC}X 2715 21NN l SOUTHOLD, NY, 11971 GENERALhJANAGER ' 1A. Per This certificate must not be altered in any manner; return to the office of the Board if intoirect. Inspectors may be identified by their credentials. jCOPY FOR, BVI,LDING DEPARTMENT, THIS COPY OF GERTIFICAT E ,M IST,NOY BE :ALTERED IN ANY MANNER, M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS�ILATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: &&" mit DATE -� �'9 �� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU BG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL & CHIMNEY REMARKS: �-lsJ zl� DATE INSPECTO 64z M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSTION [ ] FRAMING [ ; INAL [ ] FIREPLACE A CHIMNEY REMARKS: le- 40 DATE /� 3 INSPECTOR 765-1802 B INSPECTION [ ] FOUNDATION 1 ST [ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE !L945"l INSPECTO 1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] GUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: z DATE� INSPECTOR 765-1802 BUILDING DEPT. 1 ON [ ] FOUNDATION IST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS:zma6ll, IAI DATE `� INSPECTOR ' 7' c , . . , � ��� ���5 '� �- �� � ', ' �� �_ �� �� � ��� �I' � I! �/ash ��%,� � - !, � � �t�G� �; ����� � �_ s i r ` , / r 00 ��% I• cif .a ..% i �_a I �i � /..� '��� / ./ ,y �1 .. 4�. ' •• .`•�N1fMW1}'kVtiti»Sk3pYAWWNi44YN+*YkWNhrvhk.w».a1",mV.• December 17, 1996 5 Viking Rd. PO Box 278 Glenwood Landing, NY 11547 Mr. John Boufis Town of Southold Building Dept. Main Rd. Southold, NY 11971 Re: 350 West Drive Southold Permit #23533 Dear John, As per our conversation regarding the water seepage we sustained during the northeastern storm of 12/6/96, we have identified the problem areas and have, to the best our knowledge, corrected the problems. This letter further acknowledges that the Town of Southold should be held harmless regarding this issue. As agreed, we can continue with the construction of our home and will notify you for our next inspection (subflooring insulation and final inspection) sometime around spring '97. Thank you for all your help. Have a Merry Christmas. Sincerely you s� Colleen Connors CC Chris Connors k LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (516)477-1652 June 25, 1997 Chris Connors Residence West Drive (off Leeton Drive) Southold, NY 11971 TO WHOM IT MAY CONCERN: I have inspected the piling foundation, reviewed the house and piling pl.ans,and the pile drivinu data sheets and find the construction of the foundation in accordance with the New YaMk State Building Code. Lawrence M. Tuthill. , P.E. ONE J CE O 0322541 G�Z��`�7 Ap November 6, 1997 Noy X06 Aoe 0 11�> S°Fp GT T 5 Viking Rd. PO Box 278 Glenwood Landing, NY 11547 Town of Southold Building Dept. Main Rd. Southold, NY 11971 Aft: John Boufis, Building Inspector Re: 350 West Drive Southold, NY Permit#23533 Dear John, As per your conversation with my Father-in-law, Bill Connors, on 10/23/97, we wish to request an extenuation of our building permit which is due to expire in December. Kindly extend our permit for an additional six months (6/98.) This should enable us to correct the items you listed on our final inspection of 10/23/97. Since we seem to be working at a snails pace, it is most likely that we will not be ready till Spring '98. To date, we have submitted the following: Fireunderwriters Certificate - Electric Piling Certification We expect to obtain our Suffolk County Health Dept. certification very shortly and will forward same, upon receipt. Please let me know what else (if any) I need to provide in order to obtain a Certificate of Occupancy. Please let me know if I need to do anything further to extend our permit. Thanking you in advance for giving this matter your attention, l remain, Very truly yours, Colleen Connors cc sthld 14 December 17, 1996 5 Viking Rd. PO Box 278 Glenwood Landing, NY 11547 Mr. John Boufis Town of Southold Building Dept. Main Rd. Southold, NY 11971 Re: 350 West Drive Southold Permit #23533 _ - Dear John, As per our conversation regarding the water seepage we sustained during the northeastern storm of 12/6/96, we have identified the problem areas and have, to the best our knowledge, corrected the problems. This letter further acknowledges that the Town of Southold should be held harmless regarding this issue. As agreed, we can continue with the construction of our home and will notify you for our next inspection (subflooring insulation and final inspection) sometime around spring '97. Thank you for all your help. Have a Merry Christmas. Sincerely you s, Colleen Connors Chris Connors CC 9 6 COUNTY OF SUFFOLK ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD, M.D., M.P.H. COMMISSIONER ]November 8, 1995 Albert J. Krupski, Jr. - � Board of Trustees, Town of Southold 53095 Main Road P .O. Box 1179 Southold, New York 11971 Re: Chris Connors, SCTM# 1000-59-5-29.3 R10-94-0071 Dear Mr. Krupski: I am in receipt of a copy of your October 27, 1995 letter to Mr. Connors concerning the above referenced property. A revised application is presently pending with this Office. The .revision involves the placement of the sewage disposal system towards the front of the property, as shown on the enclosed plan. it should be noted that a four to five foot high concrete .retaining wall is proposed. Prior to making a decision on this revision, the Department would like to know if the Town has any restrictions or comments about such a wall. I look forward to hearing from you as soon as possible. if you have any questions concerning this please feel free to contact me. Yours truly, Royal R. Reynolds, P.E. Bureau of Wastewater Management cc: C. Connors Enclosure DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD.N.Y. 11901-3397 832-2100 RID Albert J. pski, President Town Hall �O\�$uFFUt,�COp John'ri zapfel, Vice President o 9� 53095 Main Road 179 William G. Albertson �' x P.O. Box 1 Martin H. Garrell O Southold, New Yorrkk 11971 Peter Wenzel y'flpl �.��� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 27, 1995 Chris Connors 5 Viking Rd. Glenwood Landing, NY 11547 RE: SCTM 41000-59-5-29. 3 Dear Mr. Connors: The following action was taken by the Southold Town Board of Trustees on Thursday, October 26, 1995 at the regular meeting; WHEREAS, On August 7, 1995 the Southold Town Trustees received a wetland application of CHRISTOPHER CONNORS to construct single family dwelling and associated improvements; and WHEREAS, based upon the letter of the Board' s consultant dated October 5, 1995, the Town Trustees by letter, to the applicant, dated October 6, 1995 determined the application to be incomplete; and WHEREAS, the applicant has submitted a revised survey prepared by Peconic Surveyors, P.C. , last revised on October 23, 1995; and WHEREAS, this Board has reviewed said survey and Timothy Collins, AICP letter of October 26, 1995; and WHEREAS, the location of the proposed improvements are f acceptable for the purpose of scheduling a public hearing; however; WHEREAS, this Board finds that the location of the sanitary system and water supply well is critical in the design of the system and for the protection of the groundwater and surface waters; and WHEREAS, the Suffolk County Department of Health Service is responsible for the review and approval of sanitary and water supply systems for the protection of the public health, safety and general welfare; NOW THEREFORE BE IT RESOLVED, that the application of CHRISTOPHER CONNORS is hereby deemed incomplete pending the submission of the approval from the Suffolk County Department of Health Service for the proposed sanitary system and water supply well. If you have any questions, please do not hesitate to contact this office. Sind Albert J. Krupski, Jr. President, Board of Trustees AJK;jmd enc. cc: Tim Collins, AICP Roy Reynolds, SCDH ZBA CAC ARQ.n-0 H.S. Rel.# 87 SO 93 (I GI. Y yOW JJ aR Of <IZd NJj Ott �9 I1'el14f' ' J' eJMIN ` N O .frT STA Ie !•6 59 G.Of�r) T Z, is �P IP0.0 IP6L 9 GGtI:'Na,WIrGy r. t3�•: M. � V� � GRADING PLAN e„_,.a � �� gyp. +G '`•.+y CSS .l- , ,•°={ �.�”" ���' P�� �� '--r� '. �I$ '09� \ SURVEYFOR Bs; CHRISTOPHER CONNERS PROPOSED G LONRETANNG �0,�5�PoV .'•_=�sa{ t �r \ AT SOUTHOLD WAL ItA \ TOWN OF SOUTHOLD Test Hole aA �` �` ' " '`'�`- y SUFFOLK COUNTY, N.Y. 1000-59-05-28.9 x.e,oy ��; •,; , . .. Scale: 1"=40' Ge ; "� a' °g 3 a�' Aug. 31, 1992 Nov. 3,1993 (B.O.Hrevisions) July 15, 1994 ( Fiq Revision) Z7 O s: „ ��+'" June 21,1995 1 Revised J Aug. 30, 1995 (Revised) h 4 Sept 27,1995 (Wetlands Flags) east Oct. 15, 1995 (Revised) $6ep c0� 5 � Oct. 23, 1995 (revisions 8 addil. J a , Pty; �4j^O Ak Tha locohons o/ woks and cesspools CX a,0 shown hereon ors /ram Oe/d observallons � and or from data obtained from others. '•\ - - f TOTAL qq EOP f.',pr AREA OFRWETLANEA DS OO/3,600s f/G el. T.6-prdposed elevation Q' —6— proposed confour Sl6FOL1C CaIMTY DEPARife4lfT&IEALAI SEPVILEa �- --.— a FOR APPeaVN.aF COWSTINCTM ONLY ESTM4 FILL a SIO! <ayds. "'-�'-� .} FEMA FLOOD ZONE A7 EL lI ��-j -LI P}bpored/n accordance with the m7Mmum �, ��Nj:B`l . NO. 49618 DATE ,.� may. ,� 87 so 93 II'I ): dards for file surveys as established o I� 1 �fi 25IM D J�he L.IA.L.S and approved and ad. led PECONIC Y .G The locations of wells and cesspooh or such use by The New York Stole Land 15161 shown hereon are from rlald obsuvations �.__ -_J Till Association. P. O. BOX 909 sPvnovm and or from data obtained lean others. TON I\I Gr ,_._. C__,`'';iLnl MAIN ROAD ELEVAn"ARE mrnmK To Atava, 1 - -- -� ,.d SOUTHOLD, N.Y. 11971 is/xs)g.. Special Conditions For R10-95-0071 1 . Unsuitable soils shall be removed and replaced with sand and gravel, acceptable to the Department, for a diameter six feet greater than the leaching pools (three foot collar) extending down into a minimum six foot strata of acceptable sand and gravel. 2 . Maintain a minimum ten feet separation between retaining wall and leaching pools . Plan indicates that leaching pools may be less than the required ten feet; therefore the actual location of the leaching pools or retaining wall may have to be adjusted to maintain the required separation. 3. A licensed design professional must inspect and certify construction according to the approved plan and conditions. cli 414�A1mr� 'AMiS e Blows-, Per ling NO;' Blows Per Esti Capacity Fadt Foot Tons SO 70 irv, nnnw--- (p 0 JAMES H. RAMBO, INC. BISHOPS LANE + SOUTHAMPTON, N.Y. 11966 �j j � PHONE: (516)2831254 t WUNNEWETA ROAD � � !( =' t. CUTCHOGUE, N.Y. 11935 may/ PHONE: (516)7345858 August 23, 1996 Mr. Chris Connors 5 Viking Road Glenwood Landing, N.Y. 11547 Re: Pile log for Southold job Dear Mr. Connors, The pile log is attached. The piles were driven with a Delmag D-6 diesel pile hammer developing 9500 foot pounds of energy per blow. S/ ely, Thom s E. Samuels enc. oco, Albert J. Krupski,President `y. y Town Hall John Holzapfel, Vice President c 53095 Main Road C*Jim King x P.O. Box 1179 Martin H. Garrrell �y e� Southold,New York 11971 Peter Wenczel �Oj �`a� Telephone (516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 28, 1996 William & Chris Connors 5 Viking Road Glenwood Landing, NY 11547 Re: SCTM #59-5-29.3 Dear Mr. Connors, The following action was taken by the Board of Trustees at their regular meeting of February 28, 1996: RESOLVED that the Southold Town Board of Trustees grant the following Negative Declaration for a one-family dwelling. See attached., If you have any questions, please feel free to call our office. Very truly yours., a 9. 14'c 'lel . �. Albert J. Krupski, Jr. President, Board of Trustees ' '-� p FE j AJK/djh FEB 7 9 1996 cc. CAC ZBABLDG.t�0i / TOWN OFSOUTHO'n BLDG. DEPT./ HEALTH DEPT. ` 1 { NEGATIVE DECLARATION Notice of Determinadon of Non-Significance ; This notice is issued pursuant to Part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Conservation Law. The Town of Southold Board of Trustees, as'Lead Agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Date: February 28, 1996 `1,R,m'li7".fL Project: Application of Christopher Conners' Fiji g lq j Applicant: Christopher Conners _~ Location: West Drive, Southold SCTM#: 1000-059.05.29.3 Brief Project Description: This application is a request for a wetland permit pursuant to Chapter 97 of the Town of Southold Code. The project involves the construction of a 25' x 40' two story dwelling, a 10' x 25' deck on the north, a 5' x 25' deck on the south, the installation of a sanitary system consisting of a septic tank and five leaching pools, installation of a water supply well, and the construction of a 375 square foot driveway. Associated with the project and the installation of the sanitary system will be the construction of a retaining wall and placement of approximately 510 cubic yards of fill. The project site is a 20,000 square foot parcel located on the west side of West Drive, Southold. It contains approximately 13,000 square feet of freshwater wetlands, or approximately 65% of the site. The wetlands are associated with a larger system which extends to the south and west. A portion of the project site, located directly adjacent to the road, has been previously filled. Consequently, the northeastern portion of the site is considered to be uplands. The balance of the site has been identified as wetlands. The project has been significantly revised from a previous application by relocating and reducing the size of the improvements. All of the improvements have now been located entirely out of the wetlands. However, approximately 1,250 square feet of wetlands will be cleared as a result of the proposed action. This clearing is necessary to accommodate construction and filling activities. . The Board has considered other alternatives, including acquisition, design alternatives and relocation of the neighbors well. To accommodate the location of the proposed dwelling, a variance is necessary from the Zoning Board of Appeals. This variance is necessary so as to minimize the disturbance to the wetlands. The Board finds that this proposal minimizes the disturbance to the wetlands to the greatest degree possible while taken into consideration the adjacent development and the applicants needs. The proposed project is considered to be an unlisted action pursuant to the State Environmental Quality Review Act (SEQRA). A Draft Environmental Impact Statement (DEIS) was prepared on a former application and is included as part of the record. Reasons Supporting This Determination: The Board has taken'a hard look at.the ormmrtronmental __,;,;.,, consequences of this project and has determined that the project•has been designerto maidmize `x _.; the wetland setback-and disturbance• to the greatest degree, possible. ivThe Board has,`also ',zz,'• '-, considered various alternatives. These include,_acquisition, design aRematives,'relocatiorr of the adjacent private well and reduction In the size of the proposed improvements. The Board ffnds . that the project as proposed provides the applicant with a reasonable use of the property while ` minimizing the impacts to the wetlands, surface waters and groundwater systems to the greatest degree possible. Mitigation measures include; project limiting fence, hay bales, covenant protecting the wetlands in perpetuity, leaders and gutters leading to one or mon: dry wells, sanitary system which has been approved by the Suffolk County Department of Health Service and provides for a 7 separation between groundwater and the leaching pools and revegetation of disturbed areas after construction. Therefore, the project will not have a significant impact on the environment. Copies to: CAC ZBA Bldg. Dept, Health Dept. 7 Board Of Southold Town Trustees SOUTHOLD, NEW YORK ip PERMIT ii-IS o "? NO. DATE- ...March 28, .1996 ISSUED TO .......Wil iam and Christopher Connors Pursuant to the provisions of Chapter 615 of the Laws of 1k the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance an- F, titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the 13 REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on . March .27 ly 19,. ..96 and in consideration of the sum of $ 150...00 . paid by Christopher. Connors of ... ... ... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to construtt a single family, two-story dwelling, a 10'X25' deck on north side, a 51 X 251 deck on south side, sanitary system, septic system with 5 leaching pools with approx. 40 c.y. of,clead, Rj fill, and well as approved by S.C.D.H. Map dated December 21 Z, all in accordance with the detailed specifications as presented in 1995.., the originating application. WITH THE FOLLOWING CONDITIONS Convert area on west side to wetlands, Haybales and silt fence. IN WITNESS WHEREOF, The said Board of Trustees hereiE - by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this daf.e. eeal�"Y 'Val ..............................I T.r.u.s.t.e.e.s.............. ............. **See details on approval letter. r1 i Albert J. Krupski,President 4�pS�fF01,�-BOG Town Hall John Holzapfel, Vice President =� 'fes 53095 Main Road Jim King H e P.O. Box 1179 Martin H. Garrell O .tr Southold,New York 11971 Peter Wenczel ?j0 a0 Telephone(516)765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 28, 1996 Christopher Connors MAR Z 8 in 5 Viking Road Glenwood Landing, NY 11547 ?'�Vi/5�OF SOi1T;{na.gJ a Re: William & Christopher Connors SCTM # 59-5-29.3 Dear Mr. Connors: The following action was taken by the Board of Town Trustees during its regular meeting held on March 27, 1996 regarding the above matter: WHEREAS, WILLIAM AND CHRIS CONNORS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated August 7, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 27, 1996, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, 1 RESOLVED, that the Board of Trustees grant a Wetland Application to WILLIAM AND CHRISTOPHER CONNORS to construct a single family, two-story dwelling, a 10' X 25' deck on north side, a 5' X 25 ' deck on south side, sanitary system septic system with 5 leaching pools with approx. 40 c.y. of clean fill,and well as approved by the S.C. Dept. of Health map dated December 21, 1995 subject to: 1. The area on west side of house be converted to a fresh water wetland during construction of the house. Construction of wetland area must be completed by November 1, 1996. (You can contact Chris Pickerill at Cornell Coop. for assistance) . 2. A staked row of haybales must be in place at the flagged wetland line at all times. 3 . A silt fence must be placed by haybales during construction. and, BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit _ issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/jmd cc: CAC Tim Collins ZBA Bldg. Dept. Chris Pickerill Health Dept. FE8 2 � w TOWN OF �0UT���D Special Conditions Fog R] 0-95-0071 1. , Unsuitable soils shall be removed and replaced with sand and gravel, acceptable to the Department, for a diameter six feet greater than the leaching pools (three foot collar) extending down into a minimum six foot strata of acceptable sand and gravel. 2. Maintain a minimum ten feet separation between retaining wall and leaching pools. Plan indicates that leaching pools may be less than the required ten feet; therefore the actual location of the leaching pools or retaining wall may have to be adjusted to maintain the required separation. 3. A licensed design professional must inspect and certify construction according to the approved plan and conditions. r_ 9i,� r E .s� r -h Y4ti p -------------------- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: . . y€brpaFy.8.,.!990. . .. . . .. . . To . , Christopher_ Connors . . . . . ... . . . ... . .. . 340 Jericho Tpke . .. . .. . . . .. .. . . . . . . ... . . . . . . . . . .. . . . . .. . Floral Park, N.Y. 11001 . . .. . . . ... .. . . . . . .. . . . . . . .. . . .. .. . . . . ... PLEASE TAKE NOTICE that your application dated .February 2.?. . . .. . .. 19. 9p... for permit to .. . . . . . . CONSTRUCT A NEW SINGLE FAMILY DWELLING _ _ _ . _. . _ at .. .. . . . . . . . .. . .. . . . .. . . . .. . . Location of Property . . . 350 WEST DRIVE SOUTHOLD, N.Y. . . . . . . . .. . . . . .. . . .. .. . . .. . . . . .. . . .. . .. .. . . . . . . . . . . . .. . .. . . House No. Street Hamlet County Tax Map No. 1000 - Section . ... 59. .. .. BLOCK . . .. 5. . . .. . LOT . . . 29.•3.. . .. . Subdivision . . . . . . . . .. . . . . . . . . . . . .. . .. . .. . . Filed Map No. . .. . . . . . .Lot No. . . .. . .. is returned herewith and disapproved on the following grounds . . UNDER ARTICLE IIIA SECTION 100-30A.3 PROPOSED CONSTRUCTION WILL NOT HAVE SUFFICIENT FRONT YARD . . . . . . . . .. .. . .. . . . .. . . . .. . . . . . . . . . . . . ... . .. ... . .. . . .. . . . . .. . . . . .. . .. . .. . . . . .. . .. . . .. . .. . ... . SET BACK. - MINIMUM OF 40' REQUIRED. . . .. .. . . . .. ... .. . . . .. . . . . . . .. . . . . . . . .. . .. ... . .. . . . . ... . .. .. . . .. . . . . . . . . . . .. . .. . .. . ... . .. . . .. ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. .. . . . . . .. . .. . . . . . . . . .. . . . .. . .. . .. ... . . . ... . . . .. . . .. . . .. . .. . .. .. . .. . . . . . .. . .. . .. . .. . . .. . . . . . . ALSO D.E.C. 6 TRUSTEES ARE REQUIRED. . . .. . . . . . . .. . . . . . . . . .. . . . . . . . . . .. . . . . . . ... . ... . . . . . . . ... ... . .. . . . .. . .. . . .. . .. . . . . . . . .. . . .. . . .. . .. . .. .. . .. .. . .. . . . .. . . . . . . .. . . . . .. . . .. .. . . . . .. . . .. . . .. .. . . .. .. . .. . .. . . . . . . . . .. . .. . .. . . . . . . . .. .. . . . .. . .. . . .. . .. . .. . . . .. . . . . . . . .. . .. . .. . .. . . .. ... . .. . . . . .. . .. . .. . . . . . . . . .. . . . . .. . .. . . .. . . . . . . . . .. .. . . . . . .. . . . . . . .. . . . . .. .. . . . . ... . .. ... . .. . . .. ... . .. .. . . . . . .. ... . .. . .. . . .. . . . .. . . .. . .. .. . .. . . . .. . . . .. .. . . . . . . . . . . . ... . . . .. . . . . .... . . ... . .. . . .. .... . . .. . .. . . . . . . . . . . . .. . . . . . . . .. . . . . .. . . . . . . .. .. . . . .. . .. . . . . . . . . . . . .. . .. . .. ... . .. . . .. ... . .. . . . . .. .. . . . . . . . . .. . ... . . . . .. . ... . . . . . .. . . . . . ... .. .. .. . .. . .. . . . .. . . . . . . . . . . .. ... . .. . . . . ... . .. ... . .. .. . .. . . . . . .. . . . . . . . . .. . ... . . C" l. .l . . .. . . . . . .. . . . . )BUILDING INSPECTOR JOHN M. BOUFIS RV 1/80 ENEJZGY CODE CALCULATIONS (1."or Non-Electric Neat) Design Criteria 6 , 000 Degree' Days O. A. l0°L•' J. .A. 70 F FOR: i57y h�� s . vdr/Ie PER: ,�,O7h5 — S T -- DATED: — DESIGN T11L•1RMEL REMARKS SUDSYS'l'EM AREA k'U11 RATING ExLevior Walls (opaque) 3 y" ("„J/ Glazing - - J ev � J Doors Ccil.i.uy/Roof (opaque) 741 , 5 5' © ----- Skylights Floor rG U} 6) -- Foundation Walls Slab Insulat-lon — 'l'O'l'AL '�� Notes: tluild.luy Envelope Systems to tneeL requi.remeuts of 7815 . 2 11VAC Equi.pement to meet requirements of 7U15 . 11 11VAC SysL•ems to meet• requirements of 7815 . T2 Duct Syst.entg to meet requiremeuts of 79.1.5 - 13VenC1.laLlouu Systems to meet requirements of 7015 . 19 l.n'UlaLlou of Plpiuy SysLems to meet r.equlr.ementu of '1015 . 15 5ervi.ce Wafer ileaLiny SysL-ems & Equipment: to meet requ.. renteuLs of '1015 . 21. i .lectrl_cal & Lightiuy Systems & Equipment Lo meet requiremenLs of 7UJ5 . 31 'l'o Lhe. best of my knowledge , belief, & professional r 's. judgement, C1teAe plans are 1.11 At e compliance with tice code . 03 V A9®lrE'Ssto%� e 3 k fl'.'Mmv^M1`Y 11i�Y�. Iork State Department of Environmental Conservation ,ding 40—SUNY, Stony Brook, New York 11790-2356 (516) 751-1389 /.' FAX (516) 751-3839 Thomas C. Jorling Commissioner June 25 , 1992 Daniel C. Ross, Esq. Wickham, Wickham & Bressler Main Road P. O. Box 1424 Mattituck, New York 11952 RE: Christopher and William Connors DEC No. 1-4738-00560/00001 -0 (Formerly Application No. 10-88-1572) Dear Mr. Ross: We are in receipt of your May 26 , 1992 request for an exemption pursuant to Environmental Conservation Law ("ECL") Section 24-1305 on behalf of your clients , Christopher and William Connors. On the basis of our investigation of the records of the Suffolk County Clerk and the Southold Town Clerk, Planning Department and Zoning Board of Appeals, we conclude that local approvals were issued before September 1, 1975 for minor subdivision ,#22 located at West & Lake Drive , Southold, New York. The local approvals encompass property currently owned by your clients which was the subject of the referenced DEC permit application. The ECL 24-1305 exemption from having to obtain a freshwater wetlands permit applies to their property within the lot lines and only as to those land uses, including a one-family dwelling, permitted by the approvals received from the Town of Southold Planning Board dated March 24 , 1970 , and the Town of Southold Zoning Board of Appeals dated March 16, 1972 , and further docume:ted by letter dated December 13 , 1972 from the Town of Southold Building Inspector . j 14 4 + i Daniel C. Ross, Esq. June 25, 1992 > Page 2 You should be advised that, absent the Department's own er which lead to an awareness that the investigation into this matt ECL 24-1305 exemption was applicable, the regulations provide that the burden of showing an exemption from the permit requirements of the Freshwater Wetlands Act rests on the person seeking to benefit from the exemption. Sincerely, Roy>b{{eerFt A. /Greene Regional Permit Administrator Region one RAGJrw cc: oymin Chin, Esq. Susan Quine, Esq. f f roncn nttr.a TOWN OF SOUTHOLD IIUILDINC DL•I'ARTAIL'NT TOWN CLERK'S OPI'ICG SOUTHOLD, N.Y, NOTICE Oh DISAPPROVAL Date . . . . . . . . . . ., 19 . To PLGASL' TAU NOTICE that your application dated . . . . , 2, . . . . .. for permit to1c2e . . . . . . . . . . . . . . . . . . a Location of I'toperty . . , . J. .®. . . . . ... /Dose No. Street . . . . • • • " . . . . .. ' damler county Tax Map No. 1000 Section . . . . . , . . . . [dock . . . d9 . . . . . . . . Lot o. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Piled hlap No. . . . . . . Lot No. is returned herewith , disapproved on the following around�/��/ . . . . ._ . . . . . . . . . c . . . . .. a . . . . . . . . . . . . . . . . . . . . . . . . . . . Y/ 61/ . . . tluilding Inspecto RV 1/©0 JUDITH T. TERRY 4 Town Hall. 53095 Main Road TOWN CLERK o ,� rn P.O. Box 1179 ZF Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �` o� Fax (516) 765-1823 MARRIAGE OFFICER n Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER s FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)] . s 6t.✓li. C,nPi. e TOWN OF SO-ua+2 D G� Ju Ith�T. Terry�� Southold Town Clerk August 25, 1993 APPLICATION #, PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO TH BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) 74WCu- alm� DATE 61Z 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 ❑ New Structure ❑ Residential (1-4 Family) ❑Addition ❑ Residential (More than 4 Family) ❑Alteration ❑ Non-residential (Floodproo6ng? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- C3 Replacement factured Home Park? ❑Yes) ESTIMATED COST OF PROJECT $ B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). ❑ Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION # PAGE 3 OF 4 SECTION 4:ADDITIONAL INFORMATION REQUIRED(To be completed by LOCAL.ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑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 floodproofmg of utilities located below the fust floor and details of enclosures below the first floor. Also, ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 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). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. Cl 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 BQX 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? 0 Yes 0 No Hearing date: Appeals Board Decision --- Approved? 0 Yes 0 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 Area , 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 communiWs local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES 0 NO DATE BY DEFICIENCIES? 0 YES ONO DATE BY DEFICIENCIES? 0 YES ❑ NO 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_, AS MODIFIED BY VARIANCE # DATED ' SIGNED: DATED: C/C(93) M �5 r->, Volt" N0. 1 -.--3 SETS OF PLANS . .. . . . . . . . t . . . . ' P9 lJ L5 U �I' TOWN OF SOUTHOLD SURVEY : : : : : . . . . . : : .. 1 . . . . . . : . . !i BUILDING IMPARTMENT CHKCR . . . . . . : . : . : . . : . . • . • . • . . • 'TOWN !TALL - �5CPT1C FORH . . . . . . . . . . . . . . . . . . . 1, FEB - 21996 SOUTHOLD, N.Y. 11971 i.,....�....,...-...,...• TCL: 765-IBOZ NOTIFY: BLDG, DEPT. G 9 O TOWNOFSOUTHO!,R... , CALL ��: . . : . P.. ? Bxamined..........I....... 19.... MAI TO: . . . . : .'. . . . . . . . . . . . . . Approved........ ., 19. . Permit No. a T Y ..1 (k ....... Disapproved! a/c -G Sr?..�.,: o.- .......................... 1 4_ (Wilding Inspector) APPLICATION FOR RUILUING PERMIT •Date. . . � 1. f S4! . , 19. . . . INSTRUCTIONS a. Thla application must be Completely filled in by typewriter or in ink mid oubmitted to lire hkuilding Inspector wit 3 sets of plane, accurate plot plan to scale. Pee according to schedule. b. plot plan stowing location of lot and of buildirgo on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application my not be camenced before issuance of Building Permit. Y� d. Upon approval of tills application, Une Building Inspector will issue a Building permit to the applicant. Such penktt shall be kept on the premises availoble for inspection througtout the work. e. No building stall be occupied or used in whole or in part for any purpose whatever until a Certificate of. Occupancy stall have been granted by the Building Inspector. APPI.IMION IS t)Ii1M, MAI1R to Ole Building Mimmrtvent for (lie issuance of a Building Permit pursuant to the Building 7nne Ordinance of lbe Town of Southold, Suffolk County, New York, and other applicable Laws, Ordionnees:or Regulations, fur the construction of Inildingn, mklitiow or ntleratiahs, or fcrc rturcrval or demolition, ns herein described. The applicant agrees to comply with all, applicable lass, ordinances, building code, lousing conte, and regulations, and to admit out)nori7ed inspectors on premises and in rip for uecessa insp�e�ctti�ons. .... .... ...S,.,l............•..... (Sllnture of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, ecng(ncer, general. contractor, electrician, plurdher or Wilder .............. x!,11 e ................................................. ....................................... Name of owner of premises .'uh l"� b� �... F �/ 1 {/�kn� IRSuJIVUI. L ..... ... ....... . ............................... (as on the tax roll or latest Gleed) If applicant is a corporation, signature of duly mahori7ed officer. ......................................................... (Mane ad title of corporate officer) Builders License No. ......................... Plumbers license No. ......................... Electricians License No. ..................... Otber Trade's License No. .................... 1. location of lad on whidn proposed work will be dare....... . ...W . ... 1� t2�ve ............................................................ .�.le 1�.....Y` : .:............................ tbuse Nudner Street q hamlet Canty Tac Kip No. 1000 Section .... ..1.... Block .... ...... Int ..... `�I�.... Subdivision .........:............................ tiled Kip Ib. ............... Int .....I......... (Name) 7. State existirl; use and occupancy of premise rs and intended use sal occupancy of proposed! construction: ndA. Existing use aoccupancy ...........\J.er ...('.`z.........�./.............................: b. Intended use and occupxunx9 .............1..U.•t I 3. Nature of work (deck which applicable); Next lk:ildiryl .. Aklitiot .......... Alteration .......,. hi ..... 1kn oval ........ 11aAnlitiot ............ Other lbrk A. Es ............. tk �661i $'Description) tiswted Coat .....Y...,. fee ................. ............................. (to ba laid on filing this application) 5. Tf Ak0ell2 amber of dwells utita -I........., Uniter of rktelling units of exit floor ally � t, ................ Itgarage, rxrniter of cars ...................................... 6. Tf Ixainasa, caarercial Or mlxed 'ocanancy, specify rat:uro and extent of eadt type of use........... ..... 7. Obrenshanm of existing structured, if any: Front................ hear ...,....,..,. Oepth lleipgttt ......................... Wudar of Storlea ...................... 11i:renadaaa of anse structure witlj alterations or additions: Front ............... Rear Ila lit p .................... ilelglr[ .................... Nyder of Stories ,..........:... S. Ohuenalata of entire new corretnxl � Lion; Frrxtc ..,... S?..... Rear flaigitt ......................... Nmher of Stories ...... 9. Size of lot: Frau' ^ ��'.,..... Rear .....1.3 ........ napl:h .......f II. Lata or was district in rinddl nrr Nare of ltnrner Owner ..... ase Ill. hate of hird uiAaa are ai{:mated ,.,,....f............. .................................... 12. Iktea prolxised axatnx:Clat violate any zoning law. Ordinance or regulation: ,..., .............. 13. Will lot la regraded i,, ,,,,,,,. Will exceaa fill la rearmed frau praniaes; YES IA. Names of owner of premises .,.,..,..................... Aklreaa ......... glare No, ........, Mine of Arditect •,•nz,..,l.,. .,.. .,. ... kkiresa ... ........ . . ........ lltone lin. .............. Nene of Contractor ,. ..................... Address ...........,...................Phone NO. 15. ,111 this property within 300 feet of a tidal wetland? * YES .......... 1b ........,, TlrYear WXT11C1111.UM '11il1ulnl.+S PRIUrt' MAY lig 18f1fflt1p1. P1.0T OTAGitAti locate clearly and distinctly all', lwildings, wltedar existing or proposed, and Indicate all set•-back dimensions frau property lines. Give street and Block tomer nr description according to deed, and allow street rutmes anal inlieare wiletler interior or corner lot, '•I,r 01r t STATE tNEW IS, IISS COI Ol t/L •......... laing nkdy sworn, deposes and says iliac he Is rhe applicant (N'rre oi' lnliv :dal Pi i ronlrgFK) allose naned, Ik is lite ........... .... ...�„4 !'.tJ4-.�. ................ (Contractor, silent, corporate officer, al:c,) of said anter or owners, unit is (illy'txttlwrized to perform or lama performecd rile said work and to make sal file this application; lint all atacerento contained in tills algdicstgort are the to the last of Fla knowledge and Wi lef; and lilac Ole work will be performed in tla'nanner set forth In the application filed t erewlrit. Sworn to before me tills glace 1\dt i ots public,State of Me York No.4879506 Qualified In Suftolk mbor 8 7 Commission Expires Deco 8. r BOARD OF IIIKAI:I'll a FORM NO. 1 :1 SE'1-S OF PLANS 'I'014N OF SOUTHOLD -SURVEY , ✓'..at--4r 94. . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK i TOWN HALL SlirriC FORM . . . . • . • . . . . , . JUN Wa SOII'I"IIOLU N.Y, 1197 ) -Tn"o- °' �C U'.tt2m zg 1g rrl.: 765-1802 NOTIFY: phi �.. TOWN .DEPT CALL SO OLD Q lixxniile(I.. . ... .. ... 19/. MAIL TO: . . . . . . . . . . . . . . . . . . . . 19. .� Permit No. .r1• ................................... Disapprcnr(x /c ... .................................. ( tildiag 1119pector) APP .ATION FOR RUII.DING PERMIT "�7`// Ilate, , . ./. ��. L,!t!. , 19. . . . INSTRUCTIONS a. 'Ib ia apgdteati(u nnsL be caopileleIy filled in by tylx:uariler or in iol( tail salrniLI-eil 10 the Hill IIIillg Iospeclor t 7 sets of plans, accurate plot plan to scale. Fee according to sche(k1e. b. Plot puna slxaaiag la:atiort of 101rail of Ixiildinfs oil pr(inises, relationship to aoljoining prenises or piblic streets or areas, and giving a detailed description of layout. of property Host be (Irarrl on the diagrrrn vAicli is part of this application. c.. 'lite work arvere(1 by this split ical.loo my uor be comleoreil before isssioce of wilding Permit. d. Upon approval of this applieaLiat, the Ikiilding laspector will issue a Ikuildiag Permit Lo the applicant. Sicl, l"mit Asan he kept on tlse prenises available for inslecliai thnuglxxrt the work. e. No Wilding sliall lie occupied or itself in wlole or in luirl for any pita-pose whatever until a Certificate of occupancy sliall have been graoted fly Ilse Building Inspector. APPLI(%r'1'1(N 1S 101101Y IWV to the Ikiilding Departuent for the iss once of a Building Permit pursuant Lo the Ikiilding lne Ordinance of We Taal of SuLlnld, Suffolk ([Holy, Num Yorlc, and other applicable Inws, Oldiimnces or Regulal'i(us, for lite coostnxLion of luildings, lxklilirus or alterations, or for rercrval or (k3mlitiat, as herein described. 'fire applicant agrees to cauply with all applicable laws, ordima es, Wilding code, luusilig cafe, 8011 regulaeiais, aid to admit adlorize(l ivapxx�lors at prlautises amt in luildiol; for necessary iospections. ..................................................... (Sigrudure of split icaot, or ixrne, if a corporatiolt) �.l �... �✓���G(/4�r?..lzc�... 1. c Avd (Mail ityl akiress of applicant) Al,I f Slate whether applicant: is caner, lessee, agent, architect, engineer, general contractor, electrician, plusher or his t. .......................... 4WD/? ............,,,.......,.._........................................................ Nmixi of owner of prenises .......W��IIl �.. ...�T1!YJ �`(2( ..,.ly'/•° U,..j ............................. (as on tile tax roll or latest: deed) If apgtticatit is a corptwaliat, signature of duly malnrim) officer. (Naie six] title of corporate officer) IkilldLrs License fki. ......................... Pladiers license Na. ........ ................. Electricians License No. ..................... OL1ter 'male's License No. .................. � 1. location of land at witicli proposed work will Ile (kne...... ...�!;z- 4✓. 4� ................... ..................................... .......................... ...,!�!Y` ..,....//X.V......... House NNniler Street Ilanlel (:amLy Tax Map No. 1000 SecLiai ....�.��..C1..... IIIocl( ....o.J�........ Int .... ".{t. ... Sulxtivisiat .................................. .... Filed it, M>. .......... ..... Int .,..,,....,.,., (Nile) 2. Stave exist.iog line slut occopaix:y of prenisen 11101 intentlei use nixtp occupxt( .y of proposeil construction: a. Existiog Ilse cal ocaipancy ,..... .`l. ..� .... �Si( erg}1 .................................. b. inlelxled use cal octuotiy ........... ... .i.��..,..Y. i�l,(.........................,.,.,,.. I•lrinrl. of lank dieck rduc:h n rlicl � ( utile li,r Ikrildio t .., pn - I .... .... .... It<arrrvsl ... . ... Drairrl Ilion Other link . . .... ( kocprCiar) Fal illvrlefl bel: ....... I .... en _ (to Ire Imld rel filinil 111111 nlgAii;Ul.itxY)- 41 ..... Unifier of rFaelllag 011ila ar ench flax .!. 1f rkx!Ilinti, r►nirer of rFx•I1it un,ils ..... If r I f lio ninesn coulterciol or mixed r i.. .. .. ..... .. . . c txrrirer of curs ............... A• r :rulmrrcy, Olrecify nnh!rtl !xl extent of each lylx! of use............ .. . ...... . ). Disxensions of exial ing sl ro:fures,i if' any: PrrxH ... �,/K, , , hear .. .. . . . . ...... . Delitil . ....... . Ikaglrt Mnin!r of Stories . ...... .. .. ....... .... Diaeosiars of 011ie sfnx.tore wilh i,alleratl0on or fxkl{tioon: Prost . Ilenr .. . .. II• Mu rlo:s of entire few consi'llw ....•••..•-.• - . +r of Slorlen .. ............. + rl r fJ /��� ` • Ilar: )marl ....:��. ... 14!ur ...`�`� �CP/� Ile 14011: .......J.l........ ...... t�obur of Stories ...... 7. Size of lot: Pr<xN c/ ...... 11nor ... . ./,33 . . ..... .. Wilt It .. . ../.a.2,D Ill. Ikil'a of 11u"cimuo ..... ... . Woe! of Pf> oomr AW.1, . . Q . a�-a . . ... . .. . �:�!.✓...... . 11. 12. Ikx!a rronronl carslnx:Uar vlolnt Irlses ire stluale<I . ... . . .. ' IS A fifty uxriofl Irxv, ordlulme or regolat lxr: . .. .../.V.,C�. ........... yaxre or Ilse distr'icC in rdric�h(Ip aerP I'1. WIII Int. Ix. re nxk!d .....L/V.v//. .. .... W'll excefis fill Ix! 1'exYNpell f/r/ds, /pr/eel Oes: YES W) Ili. IWrx!n of fk11er of pr enf nen .f..Vll(��'/.7,�.. ..��!(f.!�Q�Zf.. Arklrens l�O�d/ .G�Iivl(nfs() )) .'may%l ../. 17xxre No. (.rl�.2all Nrne of ArcIdImf Mo ilrJ tdnl . ........... .. . ............ .... .. ... Arklr ess 1. Mile lir. .... ... .. . 1er16is pnrlx;r Ly within 7l N) feel'. . .. . tvklreas . . ... ... .. . . .. .. ...Ilrorre lir. ..... of Coot.rnctor <!j) ix 1mallrf n tlrhr} MAY 1nxl7 II YI?.9 .... ND kllr YES, f+(Allli[N 1) 'ICEJN 'IlUNi 119r!i H?Ithl 'I' f1AY IU? IU?(rlllll?II So � '' ee rsSfrec� PLOT DIAD&AM la:nle clearly nxl distinclly olli,ler{Id{afla, rdrelhur exial ing or ptn(xrsed, noxi hxllcOCO ill net-brick dineonioon hull p!olx!rly Ilxes. Give Dive!t, n!xl hlrx:k nnber or rklacr !Ill itio ncconllog In deed, nxl allow street rxrren nxl imliente !d!elher inlrrior or corner loC. Pe��IC Q�,,rK sc0.w�z-�z 131 -------, (N' 1'lIt1J Y(NIK,QAINIY IF q I F ••°•• • • • /v`?�`f'. .Ix!iryl duly raarrn, delx!nes ruxl !n!yn 1111!1: he in 11111 nppl ivnnl (llnm alirxlividunl nigohyl c.onl uua ) � nlxrvs 111111x1, Ik! In the .. .. . .. ,r?.W,4/, �.�.... .... . f. .. . .... .. . .. .. . .... .. .. ... .. .. ... .. ... ... .. ......... .I ....... fbnl.rnctor, Nk!nl , ctirlxrrfile off leer, of mild woor or raaxxa, mxl is drily n,'rl lorizc-rl to lerform of have Ix!r"lorned Ile rrni(I w)ll< mxl to nr+ke aril file Orirr npplieul.ion; lhot. ill elnlmeutn cunlo{a!d in this nppljcaliuo ire life to the benl: of Lin k!x!wledive arxl Ixillefi nixl Ilrnt Ore cork will Ire Irerfoillel Io IlrejlOvuuxu, net forth in ilia npplicnl•ion 1 {led llrel- wil.h. f"Itil IogqlroGfit! Orin Li ./...7>.....dny of .��l.L:..',. ... 19.�.�.. mAnry l'obt{c .... .<.lrit:ar•rv./ —� r. ""TT (,igoalme of Applicant ) CanrdnC�nBMIAMtG my H.S. Ref.# RIO-94-0071A EL 11 4� moo'% NOTI_+ SEWAGE DISPOS,4 SY;r�M /N/sy�o F/N. GRgOE `,V -W e/t 5 /n ii..y. i --- – i– �`� k • INCLUDING W,4)_: i GR/tDf z 5 E#i t et z o r — - O� w BYr JOSt.:P�.� -'';''�', T!, P.E. �� HOB. R` RO./1!? 77rA1 r -- 14 REW ) 6' 9a REQ N o SOUTHOLD, N.Y. l/97/rac •rac � 15/61 765-2954 - -- — -- — -- -- t y e �O GRO!/ND WA��Q� P; � W4 rfiNPROaF V /- NEM, J — MALL iq !.�/V. o OF C Pew /'e9ves' FW cRAof �V y e ° 5 fl:-,c,y `�,� GRADING PLAN tees r �° 052`)1� SURVEY FOR 9! water #3 I!HAR B'O.0 s►3 REHAB 10 CHRISTOPHER CONNERS ArCPe PROPOSES CONC. RETAINING `Q, �� , �• ` \ � �_,�r~ ^= S� AT SOUTHOLD TOWN OF SOUTHOLD LL � -o r \. �V1 Test HolesR` ce�z. as �„� r�` ��"�`` •�''�+ Q` J y SUFFOLK COUNTY, MY c on s trv�f e o� cttj a y e o 1000 --159 – 05 - 29.3 Loom qNr✓� wcza`,. \ `., \ rom _ �- 3' Scale: 1"= 40' sated d�2Aug. 31, 1992 i'own - s t°' Z �? Nov. 3, 1993 0.0.H revisions) war," 19 \' July 15, 1994 ( Fill Revision) 9.7 ss �'•� P` :Y IF `3 June 21,1995 ( Revised ) IVa�'e r Aug. 30, 1995 (Revised) /h l Sept. 27,1095 (Wetlands Flags) Coo✓sem Oct. 15 1995 (Revised) 10MLK COUNTY DEPARTMENT OF HEALTH SERVICES 4 a� Oct. 2.3, 1995 (revisions 8 addil. ) 4� 0 �►• P _` FOR APP/~OVAL OF WNSTRUCTION ONLY Dec. 21, 1995 (Re vis e d) 9. /� \ , r✓rL=)JAPE 2 5 1996 � _ ��- o'�� v a✓ DATE F. . O S• N0 APPROVED a The locations of wells and cesspools �.� 44 shown hereon are from field observations. and or from data obtained from others. EXPIRES THREE iVAS FROM GATE OF APPROVAL') 05 V%,; _ '• approved in accordance with Board of Review tgo9 %o be re�ovBd �om 5 "r ..�<<.rm patios:dated Uf AREA = 2 yOC-Os7.fl. r aZf�fif N ly jl� N S t!'ii ES AREA OF WETZti^1D - IJ,500sq.if* �,�!' Nz.Me ro, el. 7.8 = proposed elevation oN rZ �; - --6— = proposed contour a �.�, 0FA SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES a FOR APPROVAL OF CONSTRUCTION ONLY ESTIMATED FILL = 5/Os cu.yds. FEMA FL00D ZONE A7 EL /I Prepared in accordance with the minimum ' ' N..Y.S. LIC. NO. 49618 standards for title surveys as established ' DATE —.HS. REF. Na R10-94-007/ by the L.I.A.L.S and approved and adopted P V S, P.C. The locations of wells and cesspools for such use by The New York State Land f5l shown hereon are /rom field observations Title Association. P. O. APPROVED and or from data obtained from others. MAIN ROAD EL EVA rIONtS ARE REFEREACED TO AL 66 V.Q . ; �,.< SOUTHOLD, N.Y. 11971 92-245 !' H.S. Ref.# RIO-94-0071 aF I,.pR `i �' ► �o - NOTE SEWAGE DlSPOSA:. SYSTEM DESIGN -7L r 7.d � eyes fiNrsHEo rw INGL UDING WALL GA'ADE ei 5 7o BY' JOSEPH r/ CHE T T!, P.E. - HOBAR r ROAD AR 4 AEAs. �A 6c SEPTIe Gti 5 9 L•P(Cenitr) `Z wa Y 0.0 Ira a N� o SOUTHOLD, N.Y. 11971 rA/J ` (5161 765-2954 GW&NO WAree7 NATEWRaOF q e r r'e fides f Fnc SUM �j �e o � Q GRADING PLANW0-7T7\77w, 67 of 3o�thoi� 3 � -B- 't9 k, c .Z QO � _ - 1 SURVEY FOR Wa, — s 9 er I►3 RAAR 9'0.G #3 REaAIP HiQ• w :r � t 3.0.. , P� '% �. CHRIS TOPHER CONNERS PROPOSED CONC. RETAMVG ol��� i�i' _ iy j/ , l�F, AT SOUTHOLD WALL �� ,gyp � -� - .. Bon "r be pence ect A� ' �° � . 3l�'�TOWN OF SOUTHOLD Test Holeas •�� h �� SUFFOLK COUNTY, N. Y. 5�, con s frvc/e,�( cstb o r e <,a 1000 - 59 - 05 - 29.3 Losny 9 'c✓nom wczto �� � ab! �;,66ASCale 1"= 40' Sa�►oc `�4i: iz 4- 4-i /.4 e, ? Aug 31, 199` Nov. 31993 (B.O.H revisions) drown 1-3 wat,. "' `� July 15, 1994 t ( Fill Revision) e�•wn �s !tP• June 21,1995 ( Revised I Aug. 30, 1995 (Revised) Wester OO•��" 4r. Sept. 27,1995 (Wetlands Flags) Oct. 15, 1995 (Revised) sa"d 4 Oct. 23, 1995 (re visions & addit. ) 4 � ,���` Dec. 21, 1995 (Revised) 9 •\,1\0 �P `d Sept. 5, 1996 l U.C. 1 The locations of wells and ce ools ` cr oo h / ssp fi � r shown hereon are from field observations ' and or from data obtained from others. Bog /o be removed from seor<<. 5,Y5 fe r; area encoinpa�si�y /7r�iGtin/np yya// moo�,n9s J TOTAL AREA = 20,OOOsq.tt. T el. 7.8 = proposed elevation AREA OF WETLANDS = 13,500sq.tr+ 6— = proposed contour fi SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ESTIMATED FILL = 510s cu.yds. FOR APPROVAL OF CONSTRUCTION ONLY FEMA FLOOD ZONE A7 EL /l Prepared in accordance with the minimum 1C. NO. 49618 standards for Lille serve s as established DATE Kc REF. NO. RIO-94-0071 by the L.1.A.L.S. and approved and adopted PECON P.C. The locations of wells and cesspools for such use by The New York Slate Land (516) 76 shown hereon are from field observalkns Title Association. P. 0. BOX APPROVED and or from Ma obtained from others. MAIN ROAD ELEVATIUM ARE REFERBOM ro AL&V1A tee, ;,�� ,U�Ls� �„ SOUTHOLD, N.Y. 11971 92-245 H.S. Ref.# R10-94-007/ EIL ,,.a FiN �egoe NOTEI SEWAGE DISPOSAL SYSTEM DESIGN c,7O ell F/N/ yf0 rK GRADE z e/ INCL UDING WALL j _ 5 Q�zo- r B Y, JOSEPH ISCHE-Tl, P.E. T o �c p 4�W ;. O HOBART ,ROAD e., 3 ` N SOUTHOLD, N.Y. 11971 ao SEP7/L 0.ti S-9, {er) 2 •2 0.G •£ 0.0 N TANr 1.e (516) 765-2954 CAMAW wArEe7 MSI TE7d°17ipgc � �. �•/ —_ — � _ MALL 1� �c P. E EY >ed PCr !s9de5{ FM SUDS �e o a GRADING PLAN �f s`�fho'o` -e s Y / O I 7:!� q 9 SUR VEY FOR 5v-w6+t er) 03 MEW e'ac 3 IiEBARQ•y e Q Q s � L. 3"�•• °P�� �� CHRIS TOPHER CONNERS F P ti. yz t� PROPOSED CONC. RETAINING ,O� �`�" F,• ` +` � ►+ st _ AT SOLI THOLD 9-c? �� ��,��� ed 9LL ;�`° = ;� '� \ TOWN (/MJF S UTHOLD ,�h `'ea °` SLFFOLK COUNTY N. Y. Test Hole Sot nd R p � o r, 3 h VW - 59 - 05 - 29.3 COn y/TUGfeo[.. 4Lboy a Looney 9ro�n w�to- �\ 1. � Scale: 1" — 40" J,• � Aug. 31, 1992 Brown e/Z h�hesi e��e�.'ems r t t3 -112 ti Q Nov. 3, 1993 (B.O.H revisions) A`Lr*r in CIS `��. duly /5, 1994, ( Fill Revision) n 2/,1995 ( Revised ) watsr �� 00.-" SUFFOLK COUNTY BFPARTMENTOF XSAL-M SERVICR$Ug. 30) 1995 (Revised) •�' APPROVAL OF CO ��UCTE"'N"/'% CS OX Sept 27,1995 (Wetlands Flags) C'ee✓s e sa�aL �Q a AN".�r�r`���i;hcE Oct. 15, 1995 (Revised) -Do cl. 2-31 1995 (re visions & oddil. 1 'n ,� H.S.Rcic No. f 4'-' °Q �• Drj\0 Ui-., s vgaq :--�!and vrt--r svpply #z^:.it���st this ioratie:: nzv�'`�ccCf. 2/, !995 (Revised) - 9 `s ;,uRi® t.. 5, l 996 ( U.C. J '�'�► ���` j`_ �� ut' r:.e t ^r a c:tc:esYd v, Aa ,. i tl stn Nov g �9 9 eo ( �P xf%"^.' Jan, 1998 (final) N 1A The locations of wells and cesspools ,� 5"'',,ia'a costa,Y.E.,Chief a a, 9 9 e (well shown hereon are from field observations O;fEce of Water and�✓t�sttwater Management and or from data obtained from others. area en coir oas 3/7 to/Gu inirn3 wa.// A-- : TOTAL AREA = 20,OOOsq.fl.e% 7.8 = proposed elevationAlREA OE WETLANDS = 13,5OOsq.l!*6— = proposed contour :``� ,ems, BLD . �' ESTIMA TED FILL = S/Ot .cu. ds y �ll��•�� l FEMA FLOOD ZONE A7 EL /l Prepared in accordance with the minimum � N.Y.S. LIC NO. 49618 standards for title surveys as established hereon ore from Hold observations by the L.LA.L.S and approved and adopted MORS, P.C. shown here The locations of wells and cesspools for such use by The New York Slate Land (51 020 and or from data ob/o/ned from others. T1114 Association. P. O. BOX 909MAIN ROAD ELEVATiw M AW REFEREMCEp TO tA&Va e�;>e4C ,opts j a SOUTHOLD, N.Y. 11971 92-245 er y'; ' r "-^'rr i � , "'--�r--"--"' _ x..51, � � .. . r. - '�M .p':>•+ '- ' 'l , - F - . - f , T r�r.�-�.Y � 141 ml. � LF .,.aL - i• 'vr � � j �; ��� j _ L, r I I i 1 I t • - '�� � 1 '.�: ' F h � � 'i r1 � ✓-� I : � l �II 1 j I I ' � � 1 � i. ' t Y 1 - 1 ( ' I . � j .� � I �. �� I L, t r` I .l,;r , iJ I � K _ �p�`" �pflRIR11ERS CERIWPAiE P OV AS NOT D !z OCCUPANCY OR DATE: s�3 z UP, � USE IS UNLAWFUL FEE: NOT BUILDING O ME T 786-1802 9 AM TO 4 R THE WITHOUT CERTIFICATE FOLLOWING INSPECTIONS: P- : 1. FOUNDATION - TWO REQUIRED �9 ROU POUREDFRAMING ' PLUMBER CERTIFICATION OF OCCUPANCY 2. ROUGH - FRAMING S PLUMBING (y _ ON LEAD CONTENT BEFORE a N FINAL . ISI J - u 4. FINAL - CONSTRUCTION MUST ( �►iITQ CERTIFICATE OF OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET SOLDER USED IN WATER THE REOUIR TRUCTOF THE N.Y.FOR CODES. NOT RESPONSIBLE FOOR _ SUPPLY SYSTEM CANNOT STATE CONSTRUCTION S ENE �tl EXCEED 2/10 of I% LEAD. DESIGN OR CONSTRUCTION ERRORS A 0 �4' IRAMMM ,h�1Y «fly o Te �,-. Jy , OF FWMMIIIIlolf1RL iV11YL► - 'l PLUMBING _ - 1� LOCM ALL PLUMBING WASTEmom "° w S WATER LINES NEED - WS_B_M cTESTING BEFORE COVERING y � 7 N copper tubing is used for water distributing system: Dieing shall be Of types K or L only RhGate �7�ttFh! O" txw� 3f Y4 i xpCl .i .Y.' A I934 I�p11 plt � iCNRISTaPMER �ieoLL�nColl,, o I aaaµ ELEVAIICNS � {''P,EI„IMtNAR'.1!, 7 9 . _. 1730JF7 �-s " • :..� - e ., " . u...._...'. .'J�..'ix .uu.vt±.r..r._v._:.iuk'ue.n ...»J.iS,_.�.iJ.._. ...._.,._ .—vY_..._ �tuVJe3naYE........... c- - �- . __l.. _} ter.._ _ e-.- ... � , .._.- a»�_,-. r .. _� ,. —�. . . " - , _. _�- - -,-. _ . - - .. . ..-., n- �-. ., .. ...:. s.a .,-_. _ 1 1 �,cpy j i . I r � f i � I i1 I C r _ /� - - - -- - 57, as - - -I ry off/{[fj/B1 --- ` N Nhi?nt. + hnitt Ru47/ J � �9� /ESSIOI ' 'x OF t F AIS r' _ _ ,.. -, _ �. .� _ .,_, _ . J :wry J •u:4+^'t4x77rM•}' ePtlFii. Ip 'f X L - y - - --� - L ' I o _ -- 9.1f DIY ! _ I 0 x I , X N I � i 1 w �ti e CCA' µxy.. L . I �? -i Ypic0L eCA4 ,JIL -to IMF • 4 Fte rL'sr� PvPAM A �'I I i 1J ofd p 4 I i ' e �• I I( , p HFLGDNJ YIM,SH V I `-- W � • _ _ rHrrn � l ' o , r D,a k uel v, l � r R7sC � rn —L • .. '_ - 1 + ISL r � IQ 6 - ' - cIct SUFVEY $F f'TiG nr 54,Pi I `f0 0 _ psi _ 1=1onR � 1 _ --I . pl ' OF REAP), . reV VtR1FY^DrnteNsloNS -- loop Q3 'M2�I �� V, � ✓;, ' gOFES5100P�. P1eo{ee 41'Mi,' m 144 6 m 1:4l FtlVNb Ci461 y ,._ ._ 5 6rRCE T �, 4 C4J2N5, Cwt u5 GWlt5 47rtt, vv_ � pa ' � -zxlo -. 3-exto A g -, gam,. R fc I � 2 DYE, ZI'J 1 2. ,0 3 j�tt� ZCCStW hUa5'rLR. bF 1) ROOM _ A 94 7 g4 rC?LtNC- b �. ' 7'g51� Cewma N� — J' PR VIDE OPENINGS FOR - PROVIDE OPENIN EM RGENCY ESCAPE AS° ° C� EMERGENCY ESCLr E ASS REQ IRED BY PART. 714 OF) } 5!c REQUIRED BY RA , 714 of S tYl. ATE BUILDING COOV , N.Y:STATE BUILDI CB1U. - C? 3_zx,RA,� w H lite �p� �i,VS Be'AMA N �.lEr.l•�'�. . . �7 �_. � v j 1`LU5H BEAM 13 . 4 � Atf OF4 - n0! 'b rr c C 4 y' roYr-r. 1 p . c. tPPEAI A306) _ 3X3 N i �• ' �..\ �� �A�M _ � � HE �", . `�� is I '7g (FILJi.G' 1_ 3 ,5 I lk5T T ll. 0 (D TFPILL •A11 -� Aim WR1FY Ir S eo Ess aNa`� f1ho xe 477'-(?40p .f p' . Main wad I� r » �Y, 1t �i�,4 ', . s/ads o PACK U _ ' - APICAL 3, 2OST A (1Ni`f P� �W Iao4P-'( 1P°esT � - PartA RAiL �, ,, m 3 g�ef- . q 000 Y°ggy 1ao y a bL�S - yp�JS W-'T 1 l M 1 (IM CE1UM. FOY r�aa+ � ' � •i7CHE � I � � f v - MOON nuc T Mp �Yyy10u5t. � / YcnH�4KISMN�;RAy�M F I/ TC 0 -0 MR dlrt?'Oo ow CTC W 2 - - .32 U t�pF pEWy NO rF VeR/FY b'(�1 E;N51rnr5 . FES 10 iwlt1• u�1 ��af�9G 6V j' fIV- 35DI m (` 1 D„r''�vA� .• Ir� »e . �' I. __ [,tS,L rat; �r� 11 as Notch it . I,II I �� II �'ll a. _._ - ! _ 'tlos-r 3 ? , i FLY re Lam ' t� I4 � . '"y' 2'tk6, ..' AROOiItCU12 rs�—R F ,E,-�-'- #! . 1' }T 1i I � g't�,u� 1 SOK( f9mi G'Ij?A B a' 9 a i t2 zx6 z F I! I I FrA'' ' I � _-I n ZA"la i, 1 f 1 `F 11 OWL I fnFx r�,tetaS-f I LW txra 5. 7-zK6 ttyM Cw' 4 � CWIa CX G'Z' $ CLAIM + t z' Pl'f7, .r y�h711_If 115fn ;.; T l j I» �5lyW 1� 11 I �� OPEN DECI< yYv ' SIH D€C'� Iq t'M1V 2�i I i 1 f33 I ftE1a#',.$ D£CKIN ON z13 vLnT - ,� . .',eus - :; i' . ',, _iAWEf�_p�a.,r'. .. 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Z 7`fLOaR � � 'i' r r IL m y PLG[s d TII `, -AYB Nere; ✓kris'. ,Y f�lWFNs(a Js j �I t (1t 3 � iour� ' 1Yoj1 f PCMWCI° l�P � Aaw� ` ?� � � I :�: r� +. �u �" I --- IAPh ,, $ . !n ��'- -. � Cr �Ic Main Roa4, 60 {:RFUN FORT - N. Y A 1944 _ DE AILS -- DECK T i h•._-_ I _ _ .. .�_ -.,..-..:;d _. . .y, _ _ - MIN Rt9 �/N HR CaNNOR - _ � � �� - � -, .,..—� _ � . �__-.. - I � r� � I�UrLRI c(YPG I L N. . �' � _ _,_---•--r.--_..._ .,.-,_.-_._ 'l�' _,..,.,. r::�-c T�-r Fri ..{". •m .173%BBRncf- � - - - - - ' - . � -• - - - . � . -- „ - - �. " r I 3X8 tRAC€ I J� ,SGA tXk .r - CcAb -Z,r_!v-lZOG QCA 2X � r ._y .a. ��'.GA'2X4'f2`0C� ff j I CGF3 CCA 3%8 TECOf Gb'IV 5 � g;F , •4j X16 - '4 D 15 r .9+EX[D TtET �:..,\ �dEs�ry '..Ta/fi t.9=ai� ' 'la � - - _ _'. i` � -I'`-, ._ '� � .��.:.�- -f,-.'k=-I; --r�—�-_- -- _ _. _ . _.. .. ✓r,� J /4 " Lg czar-,Hc J V I I y if5r long ;[ Zxlo pWMY° 2C XIp J015T { �I !11 �� h ` �'A - 9b5T $ ♦ w �c�ti'PIY - + 'IJ} _ LZ--- 3, Z-_3" l rl G - - zuo p veR r ATjjLEE I I J I I f I u I �•z><ro Pof7_ — T t — --- SLC©UD FLQdR fRAM( t ( Cs = X111 EuaroS �r-Co s -' - AS TIE DOWN ,_ ;. CCA 2910 - fQ;A 3xrri„ CCA 2iclo CCA d -.'.. . 44 —! [ if I all2 �' t I 'IRST keooR .l�j$, T f"'R¢ IUk.FRAMfhi z 14TE *1 Tr ihpa a 477-0400 , Main "mp, mxswi g G _ C4P4P40 7 17 Pl. " - - HQ . ' . kcC°. QN F�A: I , a F y rr t s4 _ d + Jr r I )• l � I � '�—'- ' lwl if k I i � I i T ` r �. : . I I f , 1 • - 1 I i' 1 „ ti,r „ �" . I 1 �,C: I i,� _ _.._ '*" _._. — ._. - __ := .,, -- _ _ , ,,,•.� L _71 _. : ' 1 , +I F J%. 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