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HomeMy WebLinkAbout26741-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27931 Date: 09101101 THIS CERTIFIES that the building NEW DWELLING Location of Property: 8265 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 6 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 2000 pursuant to which Building Permit No. 26741-Z dated AUGUST 28, 2000 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 TWO CAR GARAGE AND DECK AS APPLIED FOR. The certificate is issued to HEIDE GRAY (OWNER) of the aforesaid building. SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL R10990044 08/31/01 ELECTRICAL CERTIFICATE NO. 49493 05/08/01 PLUMBERS CERTIFICATION DATED 09/05/01 THOMAS MAFFETONE Authorized gnature 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. 26741 8 Date AUGUST 28, 2000 Permission is hereby granted to: HEIDE GRAY 1270 VILLAGE LANE ORIENT,NY 11957 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE & DECK AS APPLIED FOR & TO THE COND. OF THE DEC & CH. 46 OF TOWN CODE. at premises located at 8265 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473889 Section 059 Block 0006 Lot No. 017 pursuant to application dated JULY 24, 2000 and approved by the Building Inspector. Fee $ 727 .00 2 M'z', AuthoriiWd Sign re ORIGINAL Rev. 2/19/98 Form No. 6 Ll i TOWN OF SOUTHOLD L.Il1 JG. 5 fi?. it j BUILDING DEPARTMENT ti 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: I. 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 supplyand sewerage .disposal(S-9' form) . 3. Approval of electrical installation from Board bi Fire Underwriters.- 4. nderwriters: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 Comp;lianoe 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 'build•ings .and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual n$tural or topographic features. 2. A•properly completed application and a.couseut `to inspect,signed by the applicant, If a Certificate of• Occgpancy 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, Additiouo to• dwelliRg $25.00, Alterations to dwelling $25.00; Swimming pool $25.00, Accessory building $25'.00, Additions to accessory building $25.*00. Businesses $5Q.00. . . . 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy, - 4. Updated Certificate of Occupancy - $50.00 5: Temporary 'Certificate of* Occupancy - Residential $15.00, Commercial $15.00 .Date ... . .. . .v.�.. ..... . .. . ... . :. .. . . . .. New Construction. . . ... . :. . Old Or Pre-existing Building. . . .. .... .. . ... Location of Property.. .�.^.� . .. ... .. . .... ...' ' House No. Street Hamlet . . . .. . . Onwer or, Owners of Property..... . . . . . . . .. . .. .... .. . .. . . .. . . . County Tax Map No 1000, Section. . . ..15-_.j. . . . .Block. . , .. . �. �. . . • .Lot... .. .... ... . . . . . . . . ... Subdivision. . .. . ...0 ... . . . . . . . . .. . . . . . .. . . .. . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . ..... .. . . . . . . . . . . . ` 'Permit No. . . . . .. . .Date Of Permit. . .. . . .. . . . .... .Applicant. . .'�. A 7(:Q. . . : Health Dept. Approval. . ... . .Q.4.. .. . ..'. .Underwritera Approval... .. 0�. D. .�. . . . . .. .. Planning Board. Approval.,.'. . Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . .. .. . Pee Submitted: $. .. . . . . . . . . . . . . . . . . .. . . . . . . . : ADDT TOAS"' ' } Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631)286-6642 Date: 5/8/01 Application No. : 49493 Issued to: Alexandra Jones/Margaret Gilbert Street: Soundview Avenue Village: Southold Zip: 11971 Town:Southold Section: Block: Lot: } Introduced by. Double-Pole Electric Inc. Lic.# 3913-E was examined and found to be in compliance with the National Electrical Code ❑Attic ❑1st Floor ❑Indoor © Residential ❑ Pool ❑ Det. Garage ❑Basement El 2nd Floor El Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GFI Heaters A/C Fans 42 48 58 9 2 3 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal 1 1 20 1 30 1 40 Furnace Oil Gas Circulator Smoke Detector Bell Transformer 1 1 5 1 Meter Amps Phase UG/OH Telephone Television Carbon Monoxide 200 ❑/ © 1 Other Equipment: jacuzzi/micro waveLpump ' Hugo S. Surdi President Building Permit No. 26741 This certificate must not be altered in any manner Inspectors may be identified by their credentials 1 ��o Gyp Town Hall,53095 Main Road Z Fax(516)765-1823 P.O. Box 1179 o Telephone(516)765-1802 Southold,New York 11971 .f•�o� �a�! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: / l Building Permit No. Owner: &/QIqO� .S= (please print) Plumber: -P400))4 S rm � L (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumber S ature) Sworn to before me this day of ,SeA Notary Public, SEt`/tiUe County ROSgI,� NOTARY �j",dNW� a,e�ledti8uNorc� mo C *" �' 0 � 317100.1A STATE OF NEW YORK } } ss.: COUNTY OF SUFFOLK } ;Ed6'e z I,/t 7AgAe4_, being duly sworn, deposes and says: That deponent is over the age of 18 years, and resides at e QTLAN rtt /41F. Z. &Y-1 That on the J7 - day of &P L , 1////999, deponent, being the architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCR Archite ngineer Job 9169 Proposed 2, 158 s.f. residence Sworn to before me this 3 day of A-o P,\l 199T—"900 , Notary Public W Wu► m c.lAM Notvy York cc: applicant ^Yi1'4. v `5k, O��g�fFO�,�coG cc* y� CA Town Hall,53095 Main Road 1 Fax(631)765-1823 P.O.Box 1179 A Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 1, 2001 Alexandra Jones & Margaret Gilbert 630 Lake Drive Southold, NY 11971 NOTE: Letter from To n Trustees required before Certificate of Occupancy can be issued• - 624. 'k VIVO)) RE: 8265 Soundview Ave, S6uthold TO WHOM THIS MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) _X_ No Underwriters Certificate on file. xx The check is (not in file)$25.00 X— No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) • BUILDING PERMIT * 27199-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Albert J. Krupski, President OSIJFFQ��,C Town Hall James King,Vice-President 0N, 53095 Route 25 Henry Smith �� G'y� P.O.Box 1179 Artie Foster o '� Southold,New York 11971-0959 ti x Ken Poliwoda Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Building Department FROM: Board of Trustees DATE: August 14, 2001 RE: Alexandra Jones Property located at: 2065 Soundview Ave., Southold This is to inform you that Alexandra Jones has satisfied all of her outstanding violations with the Town Attorney. I 14 �� Albert J. Krupski, President �O$UFF���'C Town Hall James King,Vice-President 53095 Route 25 Henry Smith c yP.O.Box 1179 Artie Foster ti Z Southold,New York 11971-0959 Ken Poliwoda ip �.F Telephone(631) 765-1892 1 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Building Dept. FROM: Board of Trustees , ' DATE: June 7, 2001 RE: Alexandra Jones 8265 Soundview Ave., Southold SCTM#59-6-17 We would like to request that before a Certificate of Occupancy is issued to the above-referenced property owner, that you contact our office. We would like to make a final inspection to determine whether or not the violations have been satisfied. Thank you for your cooperation. --7 q 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: f.-,00 � 2 -0 IV ,DATE /VZo y 00 INSPECTOR -2?5G� BUILDING DEPT. INSPECTION CJ� FOUNDATION iST [ ] ROUGH PLBG. � ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: zzl� ,DATE INSPECTOR�//� 7 y/4 765-1802 BUILDING DEPT. NSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & 111MNEY REMARKS: /* ,DATE ll l -INSPECTOR a67 7 �r� BUILDING DEPT. INSPECTIO" [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [MING [ ] FINAL [ FIREPLACE & CFIIMNEY REMARKS: A J DATE a � �/ INSPECTO / "� 7/P suaoINc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ INSULATION [ 1IN FIREPLACE & CHIMNG [ 1 FINAL � (� ] R -401 EM KS. ,DATE INSPECTOR T65-1902 BUILDING DEPT. INSPECTION [ ] FOUNDATION 73T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARK : �� � -611c 3 DATE 7131ol INSPECTOR YllN� c)Z 7YIk M-11W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING [ NAL REMARKS: ........... ,DATE INSPECT OMMENTS [ELD INSP[:GCLON KF,POKT__I� UAtN- - --- --_-_=-__ --------- i ------ - -------------------- v'-77ffc----- --- )UNDAT ION OST) 00-1 -- - ---- if u -°- - JUNDATION (2ND) II 11 eyL 2 1 0- ~ t+7 u � oil ir OUGH FRAME & -II _ tt---- PLUMBING if >r- IfG II R114/W / v ===1 ========11— iiAe NSULATION PER N. Y. --NI H STATE INERGY CODE' u p �1 II u—moi --;-------- ______________________ V,� i II if j - y I II p N_ I FINAL II q,e 11 NC ADDITIONAL COMMENTS:a o-r u C X ' S co B i M C 14 8 � o z a — O i r0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-02227/00001 ■ FRA TE FACILITY/PROGRAM NUMBER(S) PERMIT ATES) Under the Environmental 4 Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection of Waters ❑ 6NYCRR 608: Water Quality ❑ Certification Article 27, Title 7; 6NYCRR 360: Solid Waste Management ❑ Article 15, Title 15: Water Supply ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR ❑ Article 15, Title 15• Water ❑ Article 19: Air Pollution 373: Hazardous Waste Management Transport Control ❑ Article 34: Coastal Erosion ❑ Article 15, Title 15• Long ❑ Article 23, Title 27: Mined Management Island Wells Land Reclamation ❑ Article 36: Floodptain ❑ Article 15, Title 27: Wild, E Article 24: Freshwater Wetlands Management Scenic and Recreational Rivers ❑ Article 25: Tidal Wetlands ❑ Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO James Gray TELEPHONE NUMBER ADDRESS OF PERMITTEE (516) 765-1850 1270 Village Lane Orient NY 11957 CONTACT PERSON FOR PERMITTED WORK Alexandra Jones TELEPHONE NUMBER 11A Bayview Avenue, Huntington NY 11743 NAME AND ADDRESS OF PROJECT/FACILITY (516) 673-8720 Gray Property Soundview Avenue LOCATION OF PROJECT/FACILITY SCTM #1000-59-6-17 Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Great Pond DESCRIPTION OF AUTHORIZED ACTIVITY: Construct single family dwelling with associated deck, septic system, and driveway. All work shall be done as shown on the attached plans prepared by Joseph A.Ingegno dated July 11, 1995, last revised April 13, 1999 and stamped NYSDEC approved on June 3, 1999. By e of rmit the permittee ECL, all applicapblecegulatiions,,etheGeneral Conditions sepecihat fiedh(see pagermit i2 & strict Conditions compliance with the part of this permit. Pe nditions included as FFAUTHORIZED TRATOR: ADDRESS ara JJK Bldg. #40, SUNT, Stony Brook, NY 11790-2356 ATURE / DATE June 4 1999 Page 1 of 4 JUDITH T. TERRY 1 ►= G.'.=.' To%— Hall. 51095 Mam Road 1 ~ P.O. MIX 1179 TOWN CLERK C''�t; �• SOU(1101(1, Nc- York 11'171 IZEGt5f1Wz OF VITAL STATISTICS Tcicnc y� (C� ti Fax (5161 765.1 R'_'1 MARRIAGE OFFICER �inc (S I(,) 7(�5_I X0 I RECORI)S MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER 1 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 : �y o 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) ] . V � TOWN OF SOi-PIOLD Aj-du- ilt/h�, T. Terr Y Southold Town Clerk August 25, 1993 APPLICATION # PAGE I 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_ S. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hdby 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 STATEME HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE, TO THE $EST OF MY KN EDGE,TRUE¢ND ACCU TE. (APPLICANT'S SIGNATURE) DATE O SECTION 2: PROPOSED DEVELOPMENT e com lett v APPLICAN NAME I ADDRESS TELEPHONE APPLICANT /1 LP �j ,, ,/ C9 Y v � iq v�Hl ��vP /�UA1'T BUILDER GS S7 r i fyI17y-:3 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 f PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTWITY STRUCTURE TYPE 34 7ewStructureOtr esidential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residential (Floodproofiing? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yr-s) ESTIMATED COST OF PROJECT S 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 floodproof ng of utilities located below the first 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 IN they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproo£mg 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 an increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: SECTION 5: PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR I have determined that the proposed activity. A. O Is B. O 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? ❑ 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 bell W. 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? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF COMPLIANCE(To be comnleted by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE: BY: �y 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_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) O��SUFF04 Town Hall Albert J.Krupski,President �Z• oy 53095 Main Road James King,Vice-President = P.O.Box 1179 o Henry Smith Cz Z Southold,New York 11971 Artie Foster 2 Telephone(516)765-18Q2 Ken Poliwoda y�101 �a0� Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: February 16, 1999 AGENT: APPLICANT: Alexandra Jones ADDRESS: ADDRESS: 11A Bavview Lane Huntington, NY 11743 PHONE: PHONE: 921-3911 or 765-4685 RE: SCTM# 59-6-17 The Southolnn Board of Trustees reviewed the survey dated and received in our office on / /99 and determined that your proposal to Construct a single-family dwelling, garage and deck. to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, �' - Albert J. Krupski, Jr. President,Board of Trustees AJK/lms BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: e l Reviewed: 49 r0 Architect/ Date Engineer: Submitted: SCTM #: / District: 1,000 Section: Block: Lot: Project < �b `'� Subdivision Location: env. V 1 4 0 � Name: Single&separate Required �/_ certification: Yes/ o Q► (/� Jk �/� Req- � @� Req. p� Zoning District: —7 (Lot s' �0 tw Ac ual:_�CJ Q (Lot erage � /.,Proposed: Req. + f f Req. [Front Yard �Proposed:_ Propo 1 [Rear Yard �� Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW Nt A1NQ'- YES umber Suffolk County Health Dept. v ��'79— �•'`°, J New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: cc��10'e// emotes: oz : AAU4M " UW UA[1L1L . . . .. . . . . . . . . .. FORM NO. 1 3 SETS OF PLANS .. . .. . . .. . . . . .. TOWN OF SOUTHOLD SURVEY . .. . .. . . . . .... .. . . . . . . . . BUILDING DEPARTMENT CHECK . ...... ..... .. .... . . . . . .. TOWN HALL SEPTIC FORM ..... .. ....... .... . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY:` CALL �& .L')3 .. Examined �.,,1�'�!"� MAIL TO:. ... . . .. .. . ..... . . . . .: ... h' dit. Permit No. .. .�.�.7yf Z� ................................... Dia/c .................................. ................................... ...................................................... �... ..... ............ ..... (Building tor) JUL APPLICATION FOR BUILDING PERMIT U�.I j a ., Date.. . -Z 4 Y. INSTRUCTIONS F S-OUTHOLD a. 7hhis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector vi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram Which is part of this application. c. The work covered by this application PW not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building hermit to the applicant. Such pdrmit`'&Al be.kept on the premises available for inspection throughout the Work. t_e,; 1Qo building doll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occmaniy shall have been granted by the Building Inspector. APPLICATION IS HENRY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Iowa of Southold, Suffolk County, New York, and other applicable Lars, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for renoival or demolition, as herein described. line applicant agrees to comply with all applicable laws, ordinances, building , housing code, and regulations, and to admit authorized inspectors on premises and in bui!d'4r�.nece tions. .... . . ........................ (Siof appli , name, if a corporation) ...>11�.A�. ..... ......ems ftvN ��� , (Mailing address of applicant) /`/•C/f!7 State whether applicant s owner,► essee, agent, architect, eagineer,'8eneral contractor, electrician, plumber or builder ........................................................................................................................ Name of owner of premises ......Jf31?:1: ..... � .. .............................................................. (as on the tax Kroll latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. Nqltx(�... s6amp Virw 4vemale- .04-p .......a..................................................... q�?.r . .............................. House Number Street _ Hamlet County Tax lisp No. 1000 Section ......4. (�.[. ..... Block .. /2.6......... lot J.7.......... Subdivision ...................................... Filed Mep.No. ............... Lot ............... (Name) 2. State ehdsting use and occuvanccy of premises and intended use and occupancy of proposed construction: a. Mating use and occupaay .................JlA. ............................... b. Intended use and occupancy ............... �N.r�..:4:...f: .�1.I..... 3. Nature of work (check Whirl: applicable): Net Building .......... , ... ...... Addition Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description)............... 4. Estimated Cost .... RV.Q11.V......... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..�........ Ntmber of dwelling units on each floor ................ If garage, number of cars2— ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Naber of Stories ...................... Dimensions of same structure With alterations or additions: Front ............... Rear Depth .................... Height .................... Nanber of Stories ............... 8. Dimensions of entire new construction: Front ...cf%j........ Rear �........... Depth Height .................. .... umber of Stories ..... 9i6 9. Size of lot: Front .. JO®.r........ Rear ...... Depth ... J:. ........ n� t t 10. Date of Purchase ..` 1.. .�9....... Name of Former Owner ... ��... .. .. ............ ' II. Zone or use district in Which premises are situated ................................. ...............................7 ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .....NV.............. 13. Will lot be regraded ...... �4�J........ Willll excess fill be removed from premises: YES � 14. Names of Owner of premises �1 /�r" �Ll .. ... Address 7O...b/./Zou e�.q& No. 707&P. .... /. Name of Architect .. r:.6-ahi%....... .. Address 447k.�� Phone No.4AW-0.9? Name of Contractor .. �,.E�L9/l�.�f0. C11J 4°.cr ss !✓� Ll W./� �D�.Phone No.673R7•?P.. 15. Is this property within 300 feet of a tidal Wetland? * YES ...✓..... 1!A ..... . .. *IF YES, SWMD =a 1RDSMS PERMIT MAY BE RH(MM. ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-hack dimensions from property lines.-:Give street emod bl"ck member or description according to deed, and show street names and indicate whether interior or corime'Y lot. S IE OF N1 YM, 31.�it- �S WMIY OF�l. S�<Li g.. ..... .. 9I Q A'._-. �'��....................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, 1p Slleis the ...........d.�..f'-�........................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 9taorn tlo►,befpre tura this J�' ... Ot '1`T"ym�1 .day ofm� Yl.lq; Notary Publi . ... ...... . .. ... ....a�; / .......O-L..... ELIZABETH f.oCURTO ($ilurecant) NOTARY PUBLIC, St.-.to of New York No. 6_' 037 Quaiifi^d in Suffolk County, 'lnmmission Expires V;/ /�U 0 1JLogXa6,rD2,o JOA10LI�iCYL .�R'� Ll�tRT r Proiect Name do hereby cer* that the opening(sj designed for installation in the aforementioned building will allow for the automatic equalizing of hydrostatidlood forces on exterior wals by allowing for the 8u omatic entry and exit of floodwater during floods up to and including the base( 100-year)flcod. 'v7D A� Z R/ 2 Oa-0 signature DateZ4 'Sa TitleR Type of Licence Licence Number Address P I EAL +' i...o.... 5 82000 k ' E L)G.rEPT OWN Gi=ooUTHOLD SURVEY OF PROPERTY SITUATED AT X, SOUTHOLD k /'AL SUFFOLKNCOUNTOF �,UTHOLD N W YORK I ' 437 ��� . �s4�. S.C. TAX No. 1000-59-06- 17 �Q P �2 SCALE 1 "=30' r ,� 0 °• JULY 11 , 1995 . v Lv 4� 11#i14, r AUGUST 7, 1995 (ADDED WETLAND FLAGS & FLOOD ZONE INFORMATION) SEPTEMBER 5, 1995 (TOPO BUILDING ENVELOPE) OCTOBER 11 , 1995 (PLOT PLAN) APRIL 13, 1999 (REVISED SEPTIC SYSTEM) MAY 5, 1999 (REVISED AS PER S.C.D.H.S. 2nd NOTICE) O =3� E u JUNE 15, 1999 (REVISED AS PER S.C.D.H.S. NOTICE) h ai ,M OCTOBER 25, 2000 UNDER CONSTRUCTION SURVEY A / p i, � JUNE 5, 2001 FINAL SURVEY / & DE \ ix z. \ 14,' AREA = 31,443.60 sq. ff. AL.\�.1 I ' tom a (To TIE UNE) 0.722 ac. \ S ,M\2�& NOTES, �?- 1e*4" 1. EXISTING ELEVATIONS SHOWN THUS: 4ARE REFERENCED TO N.G.V.D. 1929 DATUM. \20si°` 11 vRLL °vs4, 2. ZONING USE DISTRICT: R-40 \ r 3. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO154 G \ ZONE AE: BASE FLOOD ELEVATIONS DETERMINED 4 ZONE Xe: AREAS OF 500—YEAR FLOOD; AREAS OF 100—YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 100—YEAR FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE 500—YEAR FLOODPLAIN. 4. S.C.D.H.S. REFERENCE No. R10-99-0044 '10 J�. N cc�'��Sf 'f'/- Q4 � fs /G PREPARED IN ACCORDANCE WITH 1HCNIHWUN r s rO :-RT YE N O �E w AAND� a. ✓eel ,y�� :-ESU.CH � RX STATE uND a s �49 N.Y.S. Lc. No. 49668 UNKMORQED AU'UtKRON OR ADDITION 10 n115 SURAEY IS A NOIAnoN OF Joseph A. Ingegno SECTION 7PDs OF ME NEW YORK STATE EDUGTNIN !AW COPES OF THIS SURVEYOR'S NAPKED NOT fiEAeNC Land Surveyor THE NANO SUINIYON'S INIRD SEAL OR TO BE m SEAL R E NOT RE CONSIDERED 10 DE A VAIO TRUE COPY. GUARANTEES INDIGIEO HEREON SHAL RUN ONLY TO THE PERSON FOR WHOM ME SURVEY Is PREPARED. AND ON HIS GERAF TO THE rifle Surveys - Subdivisions - Site Plans - Construction Layout TREE COMPANY, OOHEIiNYEMA MElKN AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF ME LENDING INSn- TUnON. GUMANIEES ME NOT PHONE (631)727-2090 Fox (631)727-1727 1PANSfpMRLE OFFICES LOCATED AT NAILING ADDRESS THE EKISTANCE OF RIGHT OF WAYS 1380 Roanoke Avenue P.O. Box 1931 AND/04 EASEMENTS OF REODRD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Riverhead, New York 11901 Riverhead, New Yom 11901-0965 �04' 95-207I SURVEY OF PROP -- / SITUATED AT q AL SOUTHOLD P!0 - 320� TOWN OF SOUTHOLD �� '"` "` SUFFOLK COUNTY, NEW YORK 3 / � :� S.C. TAX No. 1000-59-06- 17 // ° �� r SCALE I "=30' r� WA, /4') �` ° °' JULY 1 1 , 1995 I AUGUST 7, 1995 (ADDED WETLAND FLAGS & FLOOD ZONE INFORMATION) si SEPTEMBER 5, 1995 (TOPO BUILDING ENVELOPE) ,�, 4y OCTOBER 11 , 1995 (PLOT PLAN) APRIL 13, 1999 (REVISED SEPTIC SYSTEM) MAY 5, 1999 (REVISED AS PER S.C.D.H.S. 2nd NOTICE) / ,4q ai AH. JUNE 15, 1999 (REVISED AS PER S.C.D.H.S. NOTICE) MO OCTOBER 25, 2000 UNDER CONSTRUCTION SURVEY dH. '�` � \>, AREA = 31,443.60 sq. ft. (To TE UNE) 0.722 ac. o NOTES: 1. EXISTING ELEVATIONS SHOWN THUS: ,t1 ARE REFERENCED TO N.G.V.D. 1929 DATUM.2 A4 \I r ; 1 oyyy 2. ZONING USE DISTRICT: R-40 3. FLOOD ZONE INFORMATION SCALED FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0078 F \20 °v y+N ZONE A7 (EL 11): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND °'0" FLOOD HAZARD FACTORS DETERMINED. ZONE 8: AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD; OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS LESS THAN ONE(1) SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM \71 A y THE BASE FLOOD. ZONE C AREAS OF MINIMAL FLOODING \\ A a 4. S.C.D.H.S. REFERENCE No. R10-99-0044 P C" A`\ $ 4WgYkpG " 2s 96`- \ °° � 13 �G PREPARED IN R MLEASUR EYS S MINIMUM STMDS 1 �O BY ME LIALS. AND APPROVED ANDDAADOPREDD Q �9 FOR SUCH USE 9Y THE NEW YORK STATE _ANO TILE ASSOCunDN. O Zai@D �a� u4zsT► s� IIIS �°� U N.Y.S. Lie. No. 49668 UNATAORI'M ALTERATON OR ADORTON TO THIS SURVEY IS A N OF Jose h A. Ingegno SECTOR 1209 OF TAE NEWEW YORK RH STATE EOUGTON RAW. COPIES OF THIS SURVEY MAP NOTBEARING Land Surveyor TO HE A THE SURVEYOR'S SEAL INKED SEAL OR SSE SEAL SHALL NOT BE CONSIDERED TO 9E A VALD TRUE COPY GUIJUNIELS INOICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS fiEIV1P To THE Title Surveys - Subumsion5 - Site Plans - Construction Layout TIRE COMPANY. GOVERNMENTAL AGENCY AND LEAOING INSTITUTION USIED HEREON. AND TO ME ASSIGNEES OF RHE LENDING INST- PHONE (631)727-2090 Fax (631)727-1727 TITHER GUARANTEES ARE NOT TRNISFERARIE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF 1380 Roanoke Avenue P.O. Box 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. Riverhead, New Yolk 11901 Riverhead, New York 11901-0965 p J.-1 #41 95-207H w� TYPICAL SEWAGE DISPOSAL SYSTEM SURVEY OF PROPERTY mmt / Twwwwwwow SITUATED AT SOUTHOLD bow TOWN OF SOUTHOLD+,,. "ffi `� � - SUFFOLK COUNTY, NEW YORK S.C. - -TAX No. 1000-59 O6 17 "Ew.r —r—i SCALE , 1995 ji JULY 1FE 1995 _ /'h4 _ vuR III "n1°s1'^J°' AUGUST ], 1995 (ADDED WET-AND FLAGS k FLOOD ZONE INFORMATION) / ^ u. Yr ,d4w q ,^ '', m°7.Y�'.^.:9'00:^•�141�_•'pO•X1011 SEPTEMBER 5, 1995 (TOPO BUILDING ENVELOPE) m %OI � f A %Yy' ' �'�,h A7 "�7ei''ia"aA�i'1•i o7.'"kR�"�91^°'�'H," -- OCTOBER 11, 1995 (PLOT PIAN) IS." 121 APRIL 13, 1999 (REVISED SEPTIC SYSTEM ../O ® •&n:�w.:^•'rnn^"`w^ w0"im'^"$a"A11111o°Y66i/s0 _ MAY 5, 1999 (REVISED AS PER SCDI 2nd LOTICE) / • py 'Tf • +•`u'x¢r.`m' u^x^ w"•.m, '"'"" ''N" rv'" ^•�^X'� '•'� JUNE 15, 19]9 (REVISED AS PER S.CDH.S. NOTICE) / ^�\•�' ♦ pi , ^�mioa^� SEPTEMBER 13. 1999 LOCATED ADDITIONAL WELL S REVISED SEPTIC SYSTEM. E "^c`^�•"^•O® OCTOBER 28, REVISED SEPTIC SYSTEM. � � JUNE 16, 2000 REVISED SEPTIC SYSTEM AS PER BOARD OF REVIEW DECISION A, r \i ` • \ `\ _ {` AREA = 31.443.60 a9. It ,• pproved in accordance wi h oard of Review .1 LNO o.JYz .\'•� �\ � '\ `'� deter Kation dated 65 � \�Oer B'g, 1 \I�p •V ` -',Ir _ L EXISTING ELEVATIONS SHOWN THUS. yDARE REFERENCED TO NON D. I929 DATUM. lA"\ $ .� f .:9..6 L,O� PpbBPAft2ml-NT VN KLALTR SERV 2' %ISTINO CONTOURS SHOWN THUS. ---'a---- ARE REFERENCED i0 N.G.V.D. I929 DATUM {.yy'' fCES 3. XMNG USE DISTRICT: q-40 J. LFLO ZONE TRANCE ATE SCALED FROM. ` \\7 ayp?-' PERMIT RF,PPROVALOPCONSTRUCTION FOR A FLOOD INSURANCE RATE MAP COMMUNItt-PANEL N0. 360613 OOJB F INGLES FAMILY RESIDENCE ONLY ZONE n] (EL 11) AREAS OF 1DD-rare aopD B'sE a000 Elevnnorvs AND I FLOOD HAZARD FACTORS DETERMINED \ \ )'•• I o `A / 1 II�� ZONE B. AREAS BETWEEN LIMITS OF ME 100-YEPA FLOOD AND 500 YEAR FLOOD. yT, d) a , •f '°` DA L U [eOLL�p app L( OR CERTAIN AREAS SUBJECT TO 100-YEAR RODDING WIN AVERAGE DEPTHS �` ^ /•, ' llJ aNya' 1 - ` LE55 MM' DNF I) FOOT ore WHERE THE CONTRIBUTING DRAINAGE AREA IS AP OYFiD MES6l5ENFLOO�1� SOUANE MILE, OR ARM PROTECTED BY LEAH FROM — �\ ZONE C. N- OF MINIMAL FLOODING. ED 5 PROPOSED ELEVATIONS SHOWN THUS: �`\�, FORMAI 1U6 R�B BROOMS A. _��� O�S,�NCENTQ hiT� ilk EXPIRES THREE OMDATE 0FAPPROVAL yQ'�Lv`' • ;l I / I y ^ 6. S.C.D.H.S. REFERENCE No R O-are-DO44 Aa " 1. THE PRD D SEWAGE OISPO9.V.SYSTEM SEALE RE UPI IDO GOT USIH DI INA, A slx ( ) bPOW STRATA OF ACGEPTAGL SABO AND GRAVEL FOR A OUMErE" 51 ) ET OMSATEn MAN ME IFACNIN4 POOL 6 ARG Cr EXCAVATION TO "E MC%FUMED MTH ACCEPTABLE SAND ! GRAVEL EP '/ p j 9. COMES TOR THE PROPOSED SEPTIC SYSTEM SHALL BE SET A VARIDm REmRE PROPOSED CONC. RETAINING WALL DETAIL \ e" / (, •7 I o .� ra START of CONSTRUCTION. NO, D 85 I CO.ms4uo / '�'�� / I a° ,Sy'J O N �GAG 4 0 A. • \ 4 1� CERTIFIER TO' m m R Xnwc wmI THE Mxluuu •a OC�'" pT t ry TLOR TITLE GUARANTEE COMPANY ME LIALS m E Ao YWiu,S Mo LARS / / '' TEST HOLE DATA T.P.S. ABSTRACT Cor,. R wOH 1. SHE NLW Yc"x s<A,E LARD /- .� JAMES L GRAY. Sr MEW, x R a"°�" V / " DUG BY Mc00NALD GEOBCIENCE ON JULY ], 1995 TO NEIDE GRAY _Gnxc _ WArta M " "MI Ery ssly a10E� �9� pHA IN U,xR A EXCAVATION INSPECTION REQUIRE ° �o" I mo y FOR SANITARY SYSTEM JWOO BY HEALTH DEPARTMENT - sPAW ,n NY S. Lc N. 49668 xEARAB I ,S CS'ami.D,,,"IEA Y'YEA,STATE , h "° F N RW MT.MN„° Joseph A. Ingegno I r m° ;.,E M>m W IN Px'S IE. .N °” L d Surveyor Tr El� WOETYJHE1 cSw, 9E CIXISWPN n IXLIBGDO,6.G W. „F$°R A fiHx ONLY °E A" TNNd"cvuPAw IXlu SON, My FOe Survrya - SUMMaom - 9ta Plam - L°mtrvdlm L°yuuf A.1 IHSILIIIIpX 1 TTE HGEON.M0 TO GN ASSTER OF THE IRE,IHG MiD- �� as Tlm4x cBrnFlunFOR ATE xW TTwrsFmM1E PHONE (516)]2]-2090 Fav (516)722-5093 y THE EXISTENCE OF RIGHT OP WAYS OFFICES LOCATED AT µAURA]ADDRESS a"f AND EASEMENTS OF RECORD. IF ANT, NOT SHOWN ARE NOT OWRAXTEED, 0°a U°:°O DATER PO 6°x 1931 MuaOv9ua, Na" YoM1 11931 RINENRI Now Yak 11901 NOTE 1. L ISTINO ELEVATIONS SHOWN THUSI y1ANE NLFLItt N(;LU TO N.U.V.U, III UAIUM. 2. EXISTING CONTOURS SHOWN THUS: — — —10- - - - ARE REFERENCED TO N.G.V.D. 1929 DATUM. / 3. ZONING USE DISTRICT: R-40 4. FLOOD ZONE INFORMATION SCALED FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0078 F 4L ZONE A7 (EL 11): AREAS OF 100-YEAR FLOOD. BASE FLOOD ELEVATIONS AND SURVEY Olp PROPERTY O$ � /� r FLOOD HAZARD FACTORS DETERMINED. ^ ZONE B. AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD; SITUATED A T .41 •W f OR CERTAIN AREAS SUBJECT TO 100-)EAR FLOODING WITH AVERAGE DEPTHS LESS THAN ONE(l) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS SOUTHOLD A�, �j / MA• �! ,�. LESS THAN ONE(1) SQUARE MILE; Oil ARLAS PFIUY LEVELS FROM Q. o�',�. / o � . THE BASE FLOOD. TOWN OF SOUTHOLD A +� + // . �o. ZONE C: AREAS OF MINIMAL FLOODING. r� 4� ,, SUFFOLK COUNTY, NEW YORK 7 y 5. PROPOSED ELEVATIONS SHOWN THUS: 1 T /, PRoppSF➢ 'JdIpPW510NPa0L S.C. TAX No. 1000-59-06- 17 4" L O SCALE 1 "=30' L P PROPOSED SANaIRY rar.HlNc PaoE a //I.*, • 4 A � © JULY 1 1995 Arorosm mnc TANK AUGUST 7, 1995 (ADDED WETLAND FLAGS AGS & FLOOD ZONE INFORMATION) M 1 6. S.C.D.H.S. REFERENCE No. R10-99-0044 SEPTEMBER 5, 1995 (TOPO BUILDING ENVELOPE) OCTOBER 11 , 1995 (PLOT PLAN) APRIL 13, 1999 (REVISED SEPTIC SYSTEM) RE \ AI, s�• _ A. Al, \ I� \ (To Tref HE) 0.7223.oc. aq. /f. � \2 + !✓!ni gM1H PROPOSED SEPTIC SYSTEM DETAIL ;r ,EI, (NOT TO SCALE) \�OsAAk AL x 1 \ h o o frees n @Smut 443SPOOL SYS7OOL EM o� _ .12 AIL \ _ \ )e C .Jl( G•P+y`'�ynG.w- /ro SEPTIC TANK ! n 1 -- LEA v K vy SI \ /\\ /m 'l yt ,oh° rw•, ?+ ,�, 'm•mm,iaa.,®wa. Y qj\ /�w Ni dumm .wow M'wn,m" SZ "9,i 'd"d'Yn ,wen rri.�,sw.•s.,,o�.,...wr,.a. n•„u�u,a s.�r•T a,. ,aun ou.u�uu.,ma r,u `Ka A � \` / / 9S• i I 1 � \�\m„ �`• G , j i i If ( �, • 1� / /� / / AdT,j� Im, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD w µ wEu OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS T' " Th. water supply A sewn • drop sal eye- 6\ tams for this residence will Conform to the standards of the Suffolk County Department \ \II® y l / •.I .\ OC,i V� of Health Service.. 1 / i f \,h/HaarO, Y TaII • y�1 .'� �� PREPARED IN ACCORDANCE MITI THE MINIMUM 1^ STANDMOS FON TITE SUINEYS AS ESTMUSHED M 1 Fy, O �� BY THE LIALS. AND ANOY I MID ADOPTED / Y FOR E AS OCIIATI na THE NEw YEAR mA,F LMro F TEST HALE DATA °�� CERTIFIED TQ: yFo AND I IN DUO Hf McDONALO GEOSCIENCE ON JULY 7, 1096 rAu Y, TICOR TITLE GUARANTEE COMPANY yy�' y¢pkk B 4), T.P.S. ABSTRACT Corp. GMM 0000% LAW J JAMES L. GRAY, Sr. s r rDMI nem HEIDE GRAY eNa uMM Q O N.Y.5 Dc. No. 49668 scowl wen LID _y UNKTHOWE �,f�.i Ohr II) `a/ EU TION 7209 OF THE N OR ADDITION Jos ph A. Ingegno TO THIS SURVEY 15 A NfIU➢aN OF SECTION LA OF INE NEW YdIN STALE N Y 5 D P C COPIES OF THIS SURVEY MAP NOT SWING 1 Buser THE LAND SUMEYOR�S INKED SEM OR Lan Surveyor APPROVED A6 PLR TF.RM9 EMBOSSED SEM SHALL NOT BE CONSIDERED AND CONDITIONS OF TO BE A VAUD TRUE COPY y. �o ' , ^ 1/Otl0[)/ ONLY TO I PERSON HEREON WHI BHALL RUN PERMIT NO.1- 7Ja O++'�" ONLY TO THE PERSON FOR ON S THE PON IS PREPARED, AND ON HIS BEHALF TO THE RIM Swveys — summMone — Site Plow — Constrydion Layout WIG M eeOYM r.[ 1 DATE LENDING AINSDIUPONNNNSTEO HEREON. AND MENTAL AGENCY D A stR e g fume TO THE ASSIGNEES OF THE LENDING INSD- /($�✓T�ssT,�ppl THIGH, GUARANTEES ME Nor TRANSFERAaE. PHONE (516)727-2090 Fax (516)722--'493Mr THE ERISTANCE OF RIGHT OF WAYS OFFICES LOCATED AT IAAiLM ADDRESS AND/OR EASEMENTS OF RECORD, IF One Union Square P.O. Boa 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. Aque6ogus, New York 11931 Riverhead, New York 11901 W, r =-- — — � — --- — — --- -- --- �- ---- ---' ELEVATE HEATING --- - -- APPLIANCES 18"AS J L FI 44 T �9�m� REQUIRED BY PART. /z K9rrn 717.3 (e)(4) OF U 4 4cc✓J .f/vsi oN COIB!LYWRIIdiRIm vEw cot N.Y. STATE BUILDING CODE. �ASNOTED ')6 ppEVENTION DAMw g,Rie `027 /� t t1 /6:�q '• 3G'OGEP//Jim• RAS 60DL _ b CaWc.Prime fTg, p >f0111tlo Wm TEe_�Bv: _ _ __ - _ _ _ _ __ so=Q'. - --- ---- - - _ ._ . -_ ART EN AT ALL PLUMB GWASTE 799BING 4 02 9FY 1 AM TOLDING D4 PPM FOR THE t�` _ p E FOLLOWING INSPECTIONS: rg" ZaJ -_ ..�. _ /26" ;\ _ _-- 1-� .-_--- _-- OR YESTIG BEFORE COVERING 1LFO FOUNDATION - TWO REQUIRED OCCUPANCY - '� <�S'r9S/�.Y.yCT .J.Yi.✓ILES -- FOR POURED CONCRETE USE IS UNLAWFUL 2 ROUGH - FRAMING 6 PLUMBING .NCL 3 /'fNl3' rIiBC �S.S S INSULATION /JfCR9+✓L ,)'O.KR % CATS N MUST 1 '� . _ ,rW.P �E✓6e. � ��'GOx PGy'!+/GGIJ syE9 Hiit'ly' BE COMPLETE FOR C.O. 2Er:a6� T .-.-- - o , .PSC /9 CUPA DO NOT PROCEED WITH MEET � 4 FINAL CONSTRUCTION --- - -" _" C ALL CONSTRUCTION OF THE N x' __ _ - - --�-- --- - T --- —_ ---- - — aM "'fz " �� N Y ` �� ING UNTIL SURVEY I] STATE CONSTRUCTION 9 ENERGY 1✓s�fi/ /3vaY✓ ✓SVT 0 FOUNDATION LOCATION CODES. NOT RESPONSIBLE FOR F i ^r HAS BEEN APPROVED. xv,,wy DESIGN OR CONSTRUCTION ERRORS E �i kyr 9�- --�`coX /' H✓G. s vEH -tiy PLUMBER CERTIFICATION FRONDS�h HR. FIRE 2= 8 vo C ivas &'I6' c ON LEAD CONTENT BEFORE RATED SEPARATION (1) TO CERTIFICATE USED IN ATTER PART. 717.3 I OF 9 SUPPLY SYSTEM CANNOT N.IC STATE BUILDING CODE. - , � N9opatordist Is EXCEED 2110 OF Gorr/ } br water dlstdbuUn e h Vii' i til L"�ay`�fi �°.yo'?\�'�t`. �}I'' I r _ 2<rd' _---/s6=_o8 r'C2U=tidc-../.-�La-,O—E.✓�—Edr�E?vse-- yo✓ ei - � -- r- _J 3); io�',' � ��j --- I .� �� �IU I �iYc cam✓ �NII IIS II � bm:piping shell h9 �CE1II61CAlE PROVIDE SMOKE-DETECTING of ryPeKL+ ALARM DEVICES - AS TO PART. 721.1 J YBUILDINGCODE. Kill = l ` - G ./o"F✓. /6': c . r�Q�r� PRONOE OPENINGS FOR EMERGENCY ESCAPE'^�E , � I 1 z"�co.✓c.,_rG-o? I I ,III �I / - -- -j—� -- - REOtHRED BY PART 71 N. STATE BUILDING CODE. , iN /O kO.GOR Z'/o o, 0�2 J �. CALD AND/ORA3 x/ ro. _ ' PROVOS AN1FS-_--- _ - 1 — ---- - THERMAL SHOCK PREVENTING, S 1 - o ��✓6 B o�w a: �. . y '.36"oBe� /,v✓, DEVICES AS TO PART.902.61 i NX STATE BUILDING CODE. E= w e- , � f C �.� � _ � 's .,��✓v y'o.R r'-I I "/o s✓c,.s'G.e,Tj,/-$n 01 , I r I ���r•t -JKfi L I� -�� �,�� � � � -_ �� � IAS `� ` %Ca.✓C ^`ir:� �sfL.+l_- ��� ,I � -- -_ _— I . 4 t e y� I N <- 1r.Cays' y 1 ,PxBi'arG/G 'O�L \N _ - - _ ..�';��P i9 /n/S.t/G -�—��v8� ✓ R L -- I C � 91 ' n - - - _. - ZQ-o - - -- -_ . .; - - - . `�._ _--� �^. - - � i , .�� ---°. 8"C,/ GG/6 !n- _7r ? I r�,f'f/YL 'ff. 12 CAW 4eloall ��� IF � � � � _�, I' ='Y/ �/✓ � 'I �G':Pc�,/s - .. �-Y� �++v'iJ J^ "��Mc�" �, `�y„ p y; �rC'=9 2YJ y��.� ON \ — .Z=P./KZ�o x/;''�:' "i sJ':iwiC! .i".'J115"2.S rylwi"' Fw `� . .� 7- _j ti 'e,�iy ,h � - _ _ --Jim - .�_.1[ �_-�--ff_ �� �I_ �� ��`�I��li F ii- �- �-. �_�_� • - - - � i,� �'I `ls/ I _ .P/�irvfO'L. � - - — 0 r47.r✓CEC7 CLN./L, i.ne ' ' �' l-cYTn/�j .I G.�91✓G .S�Lf+LC � ti: , i - - - -- -- — - � 1 � � � i .I 1 I � � �p I �� � �SrC"G�/mit✓ - /� ' � L� f� � �v � � > , ,,. 1 "1 S - l E ' 1 - ,' Fc.PiFE: � _;ts.:p r Y17Dr)�I I'7 2��16 I 1. .\ �✓' �Y� e y - I � I --- �n o sww Ir r 2 a3. APPROVED er s l� - i_ _ - - - _ - - - - - - - Robert"J. Grab r f�rcfik Q 76,Ezpressul ,4 I�nye gyp. M¢dfor�? Nb��T743 k .. : ' �. . , :' �, , .,,,y ., ,. .., ,. .'.., .. � '.,� _ .., .:. .-.. ' . ., :� � ." r 7 _ - n '- Jo-, Y' - •;�t� t YN1 -., .r< ..y �-al P.�, dY � A �,k §SIY�L;.,� I ..,. &, .. "'. .�. .., ,• . . , ya u w �. > ,, . .x +',:::n . . : . , , ,. :.- ,.. rt .. .n. .t- ::'M::g? fy,. ,—.�a_.::a.1a.�:�.:�,L,.a{v�d":3Y4iSu�,4ri;'�uru :rL .�i:.�'. 'L'`'em�a -r..+ - •�.�.—�r.,.e.. ' T--7 T 7K 7' ? TY, GENERAL NOTES z Allz�e(�; 1 ALL CONSTRUCTION SHALL BE IN CONFORMANCE WITH N.Y BUILDING CODE. N.Y.S. ENERGY CONSERVATION CODE AND ALL fft 4.FT. d BLE ERMFL Anpr/lfl!� LOCAL CODES HAVING JURISDICTION. 2. ALL CON-CRETE SHALL BE MINIMUM F.=2500 PSI AT 28 DAY TEST V �012'1116 ag4r !16-/ 1246 3. ALL FOOTINGS SHALL BEAR ON UNDJ�STURBED SOIL HAVING st, MINIMUM BEARING CAPACITY OF 2 TONS PER S.F. 4. ALL LUMBER SHALL BE DOUG/FIR Na. 2 OR BETTER MIN F.-1250 v4 If 715 3Z 4;-/ &8 UNLESS OTHERWISE NOTED. cdE $fo '40 ALL PLUMBING SHALL BE IN ACCORDANCE W/STATE & LOCAL I C z 11104 CODES. ov BE 1�4w --- - — — --- - I - p0 _ 6. ELECTRICAL WORK BE IN ACCORDANCE W/ N.E.C. AND '�W'Alzlr3ll CERTIFIED BY BOARD OF FIRE UNDERWRITERS. 6" UNLESS OT14ERWISE 7. ALL STRUCTURAL HEADERS TO BE 121 2' OP NOTED. OPENINGS, UNDER a. ALL FRAMING SHALL BE DOUBLED AROUND PARTITIONS AND UNDER POSTS. Z9 9. DIMENSIONS SHALL BE CHECKED BY CONTRACTOR PRIOR TO _6 ORDERING MATERIAL OR CONSTRUCTION, DIMENSIONS TAKE PRIORITY OVER SCALE. 10, WINDOWS & DOORS SHALL BE WEATHER STRIPPED & CAULKED. MAE U FACTOR - WINDOWS w 0.60. DOORS - .040. of i 11. HEATING & VENTILATING EQUIPMENT TO MEET SECT. E-503.2 0' ENERGY CONSERVATION CODE. elf, IT LL 'A 7 ki 75p, j 019V Nll -3 L/ e. 1A exe.zte 4a� N, 1V \9 I -tV J, N1 4- 0 'Te-�-C'!57 T---- - 1 + K lo 6-7 L-4 R uxes --Z fiC.LE JAPPROVC081 ,RAWN 8Y lop" F 77 I rill D.TEr Robert J. Gruber Architect,,, -- --- ---- 76 Expressway Drive So. N*Adf,prd, 14Y 11765 '516-OAP ki� A i%l�' "�,K E"� ie a z J Z4,—4, . It — ' OA�7ifg 9 - F — YV fvJl ' I it It 11 11 fl 11 11 it I It 11 11 1 11 it It MN _ i — 3-'.J:ntdiL'yP�Ltlt✓ ,.',:"J r i k' s -- C 02 x � Ml � ,� _— -CH/ir•✓NE.y - �\�Ss 'J/�Hfi'GT -S•Yi.�/>IGEt' _� t r � d ��- 4 Giyf,O.Q7.0 O. Y +-MM i .Y �h _ .___. ��iTy •"t-.t'� i SIT — - - - - - - _ _ _ _ ` ;.l >r „ t 4 wnxCVeP�eY Y � CI I jr n . ' te3sU7+a�� D�fue ,Sp;,S, �F d,riV:�" •l# A�; ; "' ` '+ +td r, v:., l i y r.,H• q. 1-� - J F 'M , Y'S . i -p ,r,Y r 1 a �