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HomeMy WebLinkAbout27256-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28136 Date: 12/27/01 THIS CERTIFIES that the building ADDITION Location of Property: 2515 CALVES NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 4 Lot 45.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 2001 pursuant to which Building Permit No. 27256-Z dated APRIL 20, 2001 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOIS T ANDERSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 569895 09/20/01 PLUMBERS CERTIFICATION DATED N/A Authorized Sic gature 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. 27256 Z Date APRIL 20, 2001 Permission is hereby granted to: LOIS T ANDERSON PO BOX 1329 SOUTHOLD,NY 11971 for NEW ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH TOWN TRUSTEE'S AND NYS DEC APPROVALS. at premises located at 2515 CALVES NECK RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0004 Lot No. 045 . 005 pursuant to application dated APRIL 4, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature Rev. 2/19/98 f � i FORM NO.6 TOWN of SOUTHOLD ��ll Building Department Town Hall — - --- Southold, N.Y. 11971 Tr, �T 765 — 1802 ` ..� `QLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink,and submitted ea a�iii to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1.Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use,occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. - C. Fees: Additions $25 .00 POOLS $25 .00 ALTERATION $25 .00 1. Certificate of occupancy New Dwelling,$25.00, Accessory $10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 .00 3.Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 -00 4.Vacant Land C.O. $ 20 .00 O ,.I. O. O ! 5. Updated C.O. $ 50 .00 Date . . . . . . . . . . . . . . . . NewConstruction, x, , Old orPre-existing Building . . .z . . . . . Vacant Land . . . . .. .. . . . . Location of Property4�. J.�. . R 1 . ),I . .1�. .Q� . . . . . ��� I . . . . . . . . . . . . . . . . . . House Na StreetHamlet Owner or Owners of Property . . . . .O . . . ... . . I S . S.e? -l. . . . . .. . . . . . . . County Tax Map No. 1000 Section . ... . ... . . . . . . Block .Pqp.� . . . . . Lot.�` Q.:0:�4,?. . Subdivision . . . . . arlx3e . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot o. . . . . . . . . . . . . . Permit No. Date of Permit .1. . . J .Applicant . T\+. . Health Dept. Approval . . . . N.I. . . . . . . . .Labor Dept. Approval , . . . . . . . . . . . . .. . . . Underwriters Approval. . � . . . . . . .Planning Board Approval . �.1(.I.. . . . . . . . . . . . . Request for Temporary Certificate. . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . .. . . . Fee Submitted $ C)o. . . . . . . . . . . . . . . Construction on above described building and permit meets all applicable codes and regulations. Applicant . .h'�: U � � } , . ... . . . . . . . . . . . . .. . . . Rev.10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1001071 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 20,2001 Application No. on file 13076401/01 N 569895 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ROBERT ANDERSON, 2515 HILI, ROAD, SOUTHOLD, NY in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on AUGUST 29,2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. I K.W. AMT. H.P. 7 8 3 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. -AmT.7 H.P. NO.OF FEET AMT. I WATTS SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 4W 1 0 3W 3 0 JW J 0 dW PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.It-1 G & S CONTRACTOR LIC.#578E L 2.,, BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 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. 11 MI to 1111111111 to IMP qM1 tMI Imp top qM COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 14ew Vbrk State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40-SUNY, Stony Brook, New York 11790-2356 O r Phone: (516)444-0365 - FAX: (516)444-0360 G o Website:www.dec.state.ny.us John P.Cahill Commissioner July 14, 2000 Ms. Lois T. Anderson P.O. Box 1329 Southold, NY 11971 RE: 1-4738-01469/00003 Dear Permittee: In conformance. with the requirements of the State Uniform Procedures Act. (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to conspicuously posted at the project site and protected from the weather. Sincerely, George W. Hammarth Permit Administrator GWH/ls Enclosure DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01469/00003 ■ July 12 2000 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental SAPP Conservation Law July 31, 2005 I� TYPE OF PERMIT '■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Lois T. Anderson (631) 765-2928 ADDRESS OF PERMITTEE 'P.O. Box 1329 Southold NY 11971 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Matt D. Ivan Suffolk Environmental P.O. Box 2003 Bridgehampton, NY 11932 (631) 537-5160 NAME AND ADDRESS OF PROJECT/FACILITY Anderson property, 2515 Calves Neck Road Southold NY LOCATION OF PROJECT/FACILITY SCTM 01000-70-4-45.5 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Jockey Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Construct 12'x 22'addition adjacent to screened porch on northeast side of existing single family dwelling. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. LPERMITINISTRATOR: ADDRESS Hammarth (MMR) Bldg. #40, SUNY, Stony Brook, NY 11790-2356 SIGNATOR DATE Jul 13 2000 Page 1 of 4 NV I IrilUA I IUI4 U1. U I hkm rt1KMl1 I lhE USLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this.permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to.Other Department Orders and Determinations Unlessexpressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination Systeim (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities(SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to modify; suspend or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. DEC PERMIT NUMBER SAPP PAGE 2 OF 4 1-4738-01469/00003 ntw YUKK S TATE 13"AANE14161'f II 4A04WENt&CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLE 5),24,25,34 AND 6NYCRR PART 608 (TIDAL WETLANDS) r I. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health,safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work,obstructions,or hazards caused thereby without expense to the State,and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission,consent or approval from the U.S.Army Corps of Engineers,U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. Ail necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the'top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted'by the applicant or his agent as part of the permit application. Such approved plans were prepared by: Joseph A Inaegno dated 8/1and las revised 4110/06 DEC PERW NUMBER SAPP PAGE 3 OF 4 1-4738-01469/00003 sOf_ ALdON601101431' 1. Anydebris or excess material from construction of this project shall be completely removed from the adjacent area (upland)and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 2. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers,or other devices enter tidal wetlands and or protected buffer areas. 3. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration,whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation(grasses, etc.). b. Temporarily stabilized with straw or hay mulch or jute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. 5. If seeding is impracticable due to the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be contained by a continuous line of staked hay balesisift curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 7. Necessary erosion control measures i.e.,haybales, silt fencing,etc.are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained In good condition until thick vegetative cover is established. 8. Roof runoff must be directed to drywelis a minimum of 75 linear feet landward of the most landward edge of the tidal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater. 9. This permit does not authorize any alteration, expansion or replacement of existing septic systems. DEC PERMIT NUMBER PAGE 4 OF 4 1-4738-01469/00003 w . 9b2D1(81d7►-9d . New York State Department n pa tment of Conservation OTICE 0 t " The Department of Environmental Conservation (DEC) has issued F permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any F Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit NumberJ-113 3 JOHN W. P.AVACIC N11` Expiration Date NOTE: This notice is NOT a permit Albert J.Krupski,President _A$V FF014, Town Hall James King,Vice-President y 53095 Route.25 Henry Smith P.O.Box 1179 Artie Foster y = Southold,New York 11971-0959 Ken Poliwoda �y� !� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 28, 2001 Mr. Bruce A. Anderson Suffolk Environmental Consulting, Inc. P.O.Box 2003 Bridgehampton,NY 11932-2003 RE: LOIS T. ANDERSON SCTM#70-4-45.5 Dear Mr. Anderson: The Southold Town Board of Trustees reviewed the survey dated August 19, 1996 and last. revised April 10, 2000 and determined the proposed addition on the east side of the house to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits 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:hns uFFot Albert J.Krupaki,President �0� �CO Town Hall James King,Vice-President Z.0 53095 Route 25 Henry Smith P.O.Box 1179 Artie Foster O Southold,New York 11971-0959 Ken Poliwoda Telephone(631)765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 28, 2001 Mr. Bruce A. Anderson Suffolk Environmental Consulting, Inc. P.O.Box 2003 Bridgehampton,NY 11932-2003 RE: LOIS T. ANDERSON SCTM#70-4-45.5 Dear Mr. Anderson: The Southold Town Board of Trustees reviewed the survey dated August 19, 1996 and last revised April 10,2000 and determined the proposed addition on the east side of the house to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require permits 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, d M1,-� n. /&, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms 72- BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED:_4/20/01 APPLICANT NAME: ANDERSEN wFFpd-1( v �a�'�m-� _ DATE SUBMITTED: 4/04/01 SCTM# --- DISTRICT: 1.000 SECTION:_70 BLOCK:–4— LOT: 45.5 PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION ADD T ACC OR N/D: �"� Qty STREET:_2525 CALVES NECK ROAD CITY:_SOUTHOLD SUBDIV. NAME: ARCHITECT/ENGINEER:_DOANLD ALAN DEN'S FAST TRACK: YES OR NO SINGLE & SEPARATE CERTIFICATION-REQUIM.00PERMIT N OTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,i 8), S F 1 .1"7 100-25.Merger.(A nonconforming at any time after 7/1/83 44moi" so,/ ZONING: PERMIT ESTIMATE AMOUNT:-$—�-' is USE: EXISTING: s�Q INTENDED: ZONING DISTRIC . R40 R80 AC CONFORMIN :�NO REQUIRED LOT SIZE: sKOX SQFT. WHERE ACTUAL LOT SIZE FRO .TAx cmw ACTUAL LOT SIZE: � S7! SOFT. REQUIRED UIRED REQUIRED FRONT:,'PROPOSED:^� ' SIDE YD: ,t_' PRO�>SED:-24 '/ ' REAR:_, 0 'PROPOSED:L2 ' LOT COVERAGE: LOWED:?O % EMS G: sf % NEW: sf % TOTAL: sf % CORNER? YES o NO WAT ER FRONT? YES R NO DESCRIPTION:a Cdr FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #:-144 FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN ATION TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or (BED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEc 9/1/�s or NO A1OCA SOUTHOLD TOWN TRUSTEES: r �+ 2 TOWN ZONING BOARD APPROVAL: VES or TOWN PLAN. BOARD APPROVAL: YES o NYS ENERGY:(90R Nd EGRESS: VENT: LIGHT: NOTES: ze �� FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : <AA SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE lot' T( SF)- (-_SF)= SF X $ =$ +$ +$ _$ THE NEW YORK STATE INSURANCE FUND 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 (63;) 756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AAAAAA R & R HOME IMPROVEMENTS & POLICY NUMBER BUILDING INC I 1245 408-8 P.O.BOX 555,211 3RD STREET-SUITE 21 DATE GREENPORT NY 11944 3/12/2001 CERTIFICATE NUMBER 035-808 PERIOD COVERED BY THIS CERTIFICATE 12/15/2000 TO 12/15/2001 POLICYHOLDER CERTIFICATE HOLDER R & R HOME IMPROVEMENTS & SUFFOLK ENVIRO CONSULTING INC BUILDING INC MONTAUK HIGHWAY P.O.BOX 555,211 3RD STREET-SUITE 21 BRIDGEHAMPTON NY 11932 GREENPORT NY 11944 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY NO. 1245 408-8 UNTIL 12/15/2001 , COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK- ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 12/15/2001 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THE STA E INSURANCE FUND U-26.3 DIRECTOR, INSURANCE FUND UNDERWRITING QIlILDINQ DEPT. � CTION V�F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION ST [ ] INSULATION I 1 FRAMING [ ] FINAL I 1 FIREPLACE & CHIMNEY REMARKS: n 1 ,DATE � � IN8PECTOR 7611-1802 BUILDING DEPT. INSPE 1 [ ) FOUNDA N IST [ ) ROUGH PLBG. [ FO ATION 2ND [ ] INSULATION [ l FRAMING [ ] FINAL [ ] FIREPLACE & HIMN" REMARKS: D�-- 01, ,DATE .moo? INSPECTO SZ t A BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ In N PLBG. [ ] FOUNDATION 2ND [ NSULATION I 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK8*4 �� �G — 00, ZQ-.00,01 ,uwre �� INSPECTOR 7iS-1102 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBQ. [ ] FOUNDATION 2ND [ ] INS TION I 1 FRAMING FINAL [ ] FIREPLACE CH MNEY REMARKS: Ldp DATE INSP Me / / \ MEN 0- j� r� Fyn X AWA �mn t • ' I KAI lisp .r �Jv� ; 0 / FORM NO. 1 ._ p E TOWN OF SOUTHOLD "^ c BUILDING DEPARTMENT &P r. Pf?o+ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ?-d 2001 Approved— eZQ 2001 Permit No.�7?SL 27 Disapproved a/c (Building r) APPLICATION FOR BUILDING PERMIT Date March 26,2001 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 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 appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws, Ordinances or Regulations, for the construction of buildings,additions or alterations,or for removal or demolition,as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necess ections. (Signature of applicant,or name,if a corporation) Suffolk Environmental Consulting,Inc. P.O.Boz 2003;BridQehampton,NY 11932 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder AGENT Name of owner of premises Lois T. Anderson (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. N/A (Name and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done 2525 Calves Neck Road Southold House Number Street Hamlet County Tax Map No. 1000 Section 070 Block 04 Lot 045.5 Subdivision N/A Filed Map No. N/A Lot N/A (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occups e.1,,V1 Q warttt_M b.Intended use and occupancy Single family residential dwelling with related AMM,—g,Cane y 3.Nature of work{check which applicable): New Addition X Alteration •` Repair Removal Demolition Other Work (Description) 4. Estimated Cost •ob Fee {to be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor N/A If garage,number of cars 2 - 6. If business,commercial or mixed occupancy, specify nature and extent of each type of use N/A 7. Dimensions-ofexistinng structures,if any. Front 93'{max:L_Rear 93'(max.) Depth b9' (max.Z_ Height 32' (max.) Number of Stories 2 Dimensions of same structure with alterations or additions: Front 105' (max.) Rear 105' (max.) Depth 69' (max.) Height 32' (maxJ Number of Stories 2 8.Dimensions of entire new construction: Front 22.0' hear 22.0' E Height 10.5' Number of Stories 1 9. Size of lot: Front 202.4' Rear 278.1 Depth 212.4' ± 0. Date of Purchase April 1996 Name of Former Owner Blanklev 1.Zane or use district in which premises are situated R-40 2. Does proposed construction violate any zoning law,ordinance or regulation: No. 3.Will lot be regraded No Will excess fill be removed from premises: Yes No 4.Name of Owner of premisesLois T. AndersonAddress2515 Calves Neck Rd., Southold.NYPhone#765 -2928 Name of Architect Donald Denis Address PO Box 565• Awuebosme NY Phone No. 722-3511 Name of Contractor N/A Address Phone No. 5. Is this property within 300 feet of a tidal wetland? *Yes X No *If yes, Southold Town Trustees Permit may be required. PLOT DLIGRAM Locate clearly and distinctly all buildings,whether existing or proposed,and indicate all set back dimensions from ,roperty lines. Give street and block number or description according to deed,and show street names and indicate whether terior or corner lot. Please refer to attached Plans. ;TATE OF NEW YORK, :OUNTY OF 7W"LK- S.S - being duly sworn,deposes and says that he is the applicant jWs-(Name of individual signing contract) bove named. ie is the A&MI-Suffolk Envir l Consultor Inc. (Contractor,agent,corporate officer,etc.) if said owner or owners,and is duly authorized to perform or have performed the said work and-to make and file this pplicatio n;that all statements contained in this application are true to the best of this knowledge and belief,and ,at the work will be performed in the manner set forth in the application filed therewith. ,worn to before me this Aav of AZC 2001 dotary Public - MultlN�D.Iveuw Public of New lfbtk (Signature of App licant) V 011V8053859 QigdMed In Suffolk Cou �pmmiaflOn Expires Jtrwuy .200.> ASPHALT SHINGLE ROOF 15 LB BLDG FELT 3/4" CDX PLYWOOD R19 INSULATION BATTS 1/2' GWB 1/2- GWB (2)2x6 CONT. 28117 (RB: HEADERS W/ 1 x5 W/1/2' HURRICANE ROUTED ED CLIPS 1 x4 SILL W ROUNDED E PLATE HT 1x6' FASCIA 1x5 W/ l/ 7'-8 1/2" GUTTERS DIA ROUTEI & EDGE LEADERS TO ---,—MATCH 28071(RBS EXISTING SCREENED 1x8 BASE 1" CONTINUOUS 29197 QUA VENTS BEADED B( CERAMIC T BY OWNER ANDERSEN THICKSET I WINDOWS W/SCREENS 4" REINF01 SLAB �t pF NEW y,Q �P �cE r9 RADIANT F TUBING A: BY HVAC W t s 1 �? 2" POLYSI 32 54•1 MIN COMPI FE10 40 PSI 9� SS QE:MOLISH FOUNDATI( 1x4 TRIM AS REQUIF SIDING TO NEW SLAB MATCH (8" WIDTH EXISTING COMPACTS R13 INSUL 6 MIL VISI W/V.B. CCA TREATED LATE 0 0 0 0 TERMITE ---------------- SHIELD CEMENT d' ", 6x6, 10/10 4WF PARGING BEARING 3/4" COVERAGE• . ABOVE �. 2" RIGID POLY . • STYRENE INSUL ` PITUMINOUS 'e TWO FT BELOW DEC I 2ATERPRIPOF�ING' • GRADE •' 1/2-:POURED ONCS v 1 RETE >� ' 9M.DEPT. DATION I I El I I �- -1111 8, I s FOOq jGS=1 = •—1 I _I :IIINdI I I LII � � � � VI II- II -1111 IIII IIIc illi II ILII ► iii— I Pill � iil ► iii iii= ASPHALT SHINGLE ROOF 15 LB BLDG FELT 3/4" CDX PLYWOOD R19 INSULATION BATTS 1/2- GWB 1/2- GWB (2)2x6 CONT. 28117 (RB: HEADERS W/ 1x5 W/1/2: HURRICANE ROUTED ED CLIPS 1x4 SILL W ROUNDED E PLATE HT 1x6 FASCIA 1x5 W/ 1/ '7'-8 1/2" GUTTERS do DIA ROUTEI LEADERS TO EDGE MATCH EXISTING — 28071(RBS SCREENED 1x8 BASE 1" CONTINUOUS 29197 QUA VENTS BEADED B( CERAMIC T BY O ANDERSEN THICKSETRI WINDOWS W/SCREENS 4" REINF01 SLAB DE NEW RADIANT 1- TUBING AS t` r ¢ BY HVAC U) 2" POLYSI 032254-t ��� MIN COMP) AoFESSION40 PSI P Z 2I D I DEMOLISH FOUNDATI( 1x4 TRIM AS REQUIF SIDING TO NEW SLABMATCH " 8" WIDTH EXISTING COMPACTE R13 INSUL W/V.B. 6 MIL VISA CCA TREATED LATEo 0 0 0 TERMITE �r�s.. —�••-� �K — -- SHIELD eY CEMENT 6x6, 10/10 VVWF PARGINGBEARING 3/4" COVERAGE _ ABOVE L : ' ' 2" RIGID POLY= STYRENE INSUL • R ITUMINOUS a TWO FT BELOW SEG 2'11120111 ATERPR.00FING' GRADE I I i 1/2-:POURED G : ' ✓ / {w- BLDG.DEPT. - 4''� NCRETE . ' /1 S F DATIONim Z / $1 M:DEE _ FOOgjGS=1 A I I ffiIII . IIII- II Till III ! I I I O -1111 Iiii I IIII IIII � � � � 1111= ASPHALT SHINGLE ROOF 15 LB BLDG FELT 3/4" CDX PLYWOOD R19 INSULATION BATTS 1/2 of GWB 1/2- GWB (2)2x6 CONT. 28117 (RB; HEADERS W/ 1 x5 W/1/21 HURRICANE ROUTED ED CLIPS 1 x4 SILL W ROUNDED E PLATE HT 1x6' FASCIA 1x5 W/ 1/ '7'—S 1/2" DIA OUTEI GUTTERS do EDGE LEADERS TO ----MATCH EXISTING 28071(RBS 1x8 BASE SCREENED 1" CONTINUOUS 29197 QUA VENTS BEADED B( CERAMIC T BY OWNER ANDERSEN THICKSET I WINDOWS W/SCREENS 4" REINFOI SLAB Eerr It RADIANT I• TUBING AE E'y�� BY HVAC JAY s lt � , W 2" POLYSI MIN COMPI 032254-1 40 PSI — A9OFESS►ONP� DEMOLISH FOUNDATIC / L 1 x4 TRIM AS REQUIF SIDING TO NEW SLAB MATCH (8" WIDTH EXISTING COMPACTS R13 INSUL 6 MIL VISI W/V.B. CCA TREATED LATE 0 0 0 0 TERMITE .—•r•-•-• —'� �'• — — SHIELD • CEMENT a• 6x6. 10/10 11kWF " PARGING BEARING 3/4" COVERAGE• , BOVE ' 4 2" RIGID POLY-. STYRENE INSUL ' ITUMINOUS 'e TWO FT BELOW :• SLOG.DEPT. ; AERPFt0OFING' ' GRADE - G J 1/2-:POURED l ' • /�� �► trS� *, ONC RETE • ' 44� " DATIONz. ��rP1 ---J . IIEl III_ . . d _IIII I81 IME M I . _ F00 G5= =1111 IIII III IIII 1111= it I21 -IIII IIII IIII IIII II -1Ni .IIII- ' I IIII IIII IIII 1111= ASPHALT SHINGLE ROOF 15 LB BLDG FELT 3/4" CDX PLYWOOD -- R19 INSULATION BATTS 1/2' GWB 1/2- GWB (2)2x6 CONT. 28117 (RB: HEADERS W/ 1x5 W/1/2' HURRICANE ROUTED ED CLIPS -- 1 x4 SILL W ROUNDED E 1x6 FASCIA 1x5 W/ 1/ PLATE HT DIA ROUTEI '7'-8 1/2 GUTTERS & EDGE LEADERS TO MATCH 28071(RBS EXISTING 1x8 BASE SCREENED 1" CONTINUOUS 29197 QUA VENTS BEADED B( CERAMIC T BY OWNER ANDERSEN THICKSET I WINDOWS W/SCREENS 4" REI . SLAB — RADIANT h c TUBING Ac. I BY HVAC rl 2" POLYSI MIN COMPI 40 PSI - DEMOLISH FOUNDATI( AS REQUIF 1 x4 TRIM NEW SLAB SIDING TO (8" WIDTH MATCH COMPACTE EXISTING R13 INSUL 6 MIL VISI W/V.B. CCA TREATED LATE 0 0 0 0 TERMITE _ .._•. — -- SHIELD - , - CEMENT ", 6x6. 10/10 VVWF PARGING BEARIN 3/ 4" COVERAGE• , ABOVE • • 4 RIGID POLY'. 2OOL •, STYRENE INSUL BITUMINOUS a TWO FT BELOW , BLDG.DEPT. WATERPROOFING' ' ' • GRADE _1 9 ;1/2":POURED =1I ONCRETE ; DATION • , S /� ,� IIII IIII- . , • ; 8h 1 - 16' EI — �-- FOOgjGS--I = •—I I —I A I I Ed iii � � � � 11 � �= II IIT ul II III ! Till I111=11I _ � � � � lIIIIIII i � li- K ROAD SURVEY OF PROPERTY CALVES NEC SITUATED AT WEST HILL ROAD 'VeM cs ROAD) SOUTHOLD (PUBLIC.WATER IN STREET) ,•. •: • ..� •. ••. , .; .•i 13.3 Q EDOE of PArF1' 3 ; �• E 67.36 TOWN OF S O U T H O LD 1.493'1 S 8 W. E • 135.00' ►+ 8300 SUFFOLK COUNTY, NEW YORK 0 wow Sm Immulalrr Pole-cur wI11E 6 s 141, S.C. TAX No. 1000-70-04-45.5 /1 a. ,2 SCALE 1 "=40' z •. AUGUST 19, 1996 i OCTOBER 22, 1996 (ADDED PROPOSED ADDITION & DECK) `o al % APRIL 10, 2000 (ADDED PROPOSED ADDITION) FI AREA = 53,573.89 sq. ft. 12 _ -— —-I— - --- some 1.230 ac. Oaf ga i �o jam• APPLICANT TO: Q h J I '' "' LOIS T. ANDERSON A � c/o SUFFOLK ENVIRONMENTAL CONSULTING, Inc. i P.O. BOX 2003 � WATER 9P�f � VI �+ BRIDGEHAMPTON, NEW YORK m tai4 d v 10 4 \ , 5- gong 7 r sntrs U 0 Oaf f SLATE / 9' V '1( �Ma• � ounET-s , Z o Va- 00 O z q - POLE - , N o1 l I 41 PREPARED IN ACCORDANCEWITH THE MINIMUM -1 STANDARDS FOR TITLESURVEYS AS ESTABLISHED DLErE* �: �I xT BY THE L.I.A.L.S. AND D AND ADOPTED re 59 — TOF Jr BUL.iEAG E!_LVAI1oN AN *L TITLE A I �' Z ►� 5 FOR SUCH U YORK STATE LAND FY" � � � S E 7A &.9 TOF Of WAL_ F[EVAT,ON ms"m o.�a L F.f L. '5-' - FRS' '1(10P ELFVATk_1N 0 i i/ / ��2v — XISr]N(, NT,uFV�pSgPH 10 C EXISTINS SPOT FLEIATION r.e. Ab S MW AyphR � N 81.31'34+ r.a. s. Zm RAyp N 800'11+ W w s N 87.51'37' SW t4.6% 31.15' F / N.Y.S. Lic. No. 49668 NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM J O C KE Y CREEK 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 380813 D078 F Joseph A. Ingegno ZONE A4 (EL 8): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. � �� ������0� ZONE B: AREAS BETWEEN UM1TS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD: UNATHORIZED ALTERATION OR ADDITION OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS TO THIS SURVEY IS A VIOLATION OF LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS SECTION 7209 OF THE NEW YORK STATE LESS THAN ONE 1 SQUARE MILE: OR AREAS PROTECTED BY LEVEES FROM EDUCATION LAW. THE BASE FLOOD. ZONE C: AREAS OF MINIMAL FLOODING. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Title Surveys - Subdivisions - Site Plans - Construction Layout EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN PHONE (631)727-2090 Fax (631)7227-1727 ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE OFFICES LOCATED AT MAILING ADDRESS TITLE COMPANY, GOVERNMENTAL AGENCY AND THE EXISTENCE OF RIGHTS OF WAY LENDING INSTITUTION LISTED HEREON, AND 1380 ROANOKE AVENUE P.O. Box 1931 AND/OR EASEMENTS OF RECORD, IF TO THE ASSIGNEES OF THE LENDING INSTI- RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ANY, NOT SHOWN ARE NOT GUARANTEED. TLIT10N. CERTIFICATIONS ARE NOT TRANSFERABLE. 96-263 t5 r • FORM NO. 1 P' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL _ - SOUTHOLD, N.Y. 11971 TEL.: 765-1802 -xamined_�___ , 2001 kpproved_ . 2001 PermitNo.L72�," Disapproved a/c _ Building nspector) APPLICATION FOR BUILDING PERMIT Date March 26.2001 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 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 appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa pections. (Signature of applicant, or name, if a corporation) Suffolk Environmental Consulting,Inc. P.O. Boa 2003; Brideehampton.NY 11932 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder AGENT Name of owner of premises Lois T. Anderson (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. N/A (Name and title of corporate officer) Builder's License No._ Plumber's License No. Electrician's License Other Trade's License No. I Location of land on which proposed work will be done 2525 Calves Neck Road _ Southold House Number Street Handet County Tax Map No. 1000 Section 070 Block 04 Lot- 045.5 Subdivision __ N/A Filed Map No. N/A _Lot N/A — (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy__ Single family residential dwelling with related appurtenances '•1 Q W-4r-kA b. Intended use and occupancy--Single family residential dwelling with related aMrtenances -trN 3.Nature of work(check which applicable): New Building Addition X Alteration - Repair Removal Demolition Other Work �1� U� (Description) 4. Estimated Cost "7 6©if��•o� Fee (to be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor N/A If garage,number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N/A 7. Dimensions ofexisting structures, if any: Front 93'1max.) Rear 93' (max.) Depth 69' (max.) Height 32' (max. Number of Stories 2 Dimensions of same structure with alterations or additions: Front 105' (max.) Rear 105' (max.) Depth69 (max.) Height32' (max.) Number of Stories 2 8. Dimensions of entire new construction: Front 22.0' Rear 22.0' Depth 12.0' Height 10.5' Number of Stories 1 9. Size of lot: Front 202.4' Rear 278.1' Depth 212.4' ± 0. Date of Purchase April, 1996 Name of Former Owner Blankley 1. Zone or use district in which premises are situated R40 2. Does proposed construction violate any zoning law, ordinance or regulation: No. 3.Will lot be regraded No Will excess fill be removed from premises: Yes No 4.Name of Owner of premisesLois T. AndersonAddress2515 Calves Neck Rd., Southold,NYPhone#765 -2928 Name of Architect Donald Denis Address PO Box 565;Aquebogue,NY Phone No. 722-3511 Name of Contractor N/A Address Phone No. 5. Is this property within 300 feet of a tidal wetland? *Yes X No *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings,whether existing or proposed, and indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed,and show street names and indicate whether sterior or corner lot. Please refer to attached Plans. ;TATE OF NEW YORK, �.OUNTY OF r-nZ1L S.S u c.2 {c • A -N4mdJAnWMs-AM being duly swom,deposes and says that he is the applicant (Name of individual signing contract) bove named. Ie is the Agent Suffolk Environmental Consulting, Inc (Contractor, agent, corporate officer,etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication;that all statements contained in this application are true to the best of this knowledge and belief;and iat the work will be performed in the manner set forth in the application filed therewith. ;wom to before me this Z 6 Mi- Aav of j,4-(Z76112001 dotary Public a- — __7T_ Mantow - Mantow D. Wins UM Public of New York No. Cl IV6053859 (Signature of Applicant) CualMed in Suffolk County tommiasion Expires January 22, 2003 SURVEY OF PROPERTY CALVES NECK ROAD SITUATED AT WEST HILL ROAD 'rPUOE cs ROAD) SOUTHOLD (PUBLIC WATER IN STREET) ,° 6,.36 TOWN OF SOUTHOLD 1.493't 'Na�l�uv'S�oxx S•8 '00" E 135.00• � N 8500'00" E ° � SUFFOLK COUNTY, NEW YORK O In.n, � N S.C. TAX No. 1000-70-04-45.5 SCALE 1 "=40' a °. AUGUST 19, 1996 wo 1 • a^ / " OCTOBER 22, 1996 (ADDED PROPOSED ADDITION & DECK w -I _ APRIL 10, 2000 (ADDED PROPOSED ADDITION) AREA = 53,573.69 sq. ft. 1.230 ac. a xZ \\\\ Un�� `3I � '�, APPLICANT o T0:gg I Y �4 � . $ LOIS T. ANDERSON � " y{. c/o SUFFOLK ENVIRONMENTAL CONSULTING, I WATIER P.O. BOX 2003 BRIDGEHAMPTON, NEW YORK 100 I b� 9 A pyQf►.f .,.o ,:`i sTErs - v, iOp'L Fr.Nib sure ' 4 F y a. F` , A C. P 0 r 1 `ars .B YE ��% N fE el I I _ Imo / PREPARED IN ACCORDANLE WITH THE MINIMUM LEGEND: t ryl +h, ♦ STANDARDS FOR MILE SURVEYS AS ESTABLISHED _ � JIk � BY THE LIALS. AND D AND ADOPTED iE*�E �S S'V T�SUCH US YORK STATE LAND o.L I SI2 a5 I .� ♦ •r!o LAI u ,f' R.• J EpN 7 SG J� MEW AI N 6 61'31'34' --_ ° c / X00 RAw 70.36' N 833.511'1" W V _ __ `'6�M1 91 .':tt � 07 W h` 0 9T � ) � N eT51'37' W 5 81 6B / 7 31.15' f \\1 N.Y.S. Lic. No. NOTES: 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM JOCKEY CREEK 2. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360613 D078 F Joseph A. Ingegr ZONE M (,EL 8): AREAS OF IDO-YEAR FLOOD: BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. ZONE B: AREAS BETWEEN UMTTS OF ME 100-YEAR FLOOD AND 500 YEAR FLOOD: UNATHORIZED ALTERATION OR ADDITION Land Surveyor OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS TO THIS SURVEY IS A VIOLATION OF LESS THAN ONE(1) FOOT OR WHERE THE CONTRIBUTMG DRAINAGE AREA IS SECTION 7209 OF THE NEW YORK STATE LESS THAN DNE(1) SQUARE MILE: OR AREAS PROTECTED BY LEVEES FROM EDUCATION LAW. THE BASE FLOOD. ZONE C AREAS OF MINIMAL Rrxyxur•. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Title Surveys - Subdivisions - Site Plans - Constluctior EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTTFCATIONS 1—CATEW HEREON SHAH" = PHONE (631)727-2090 Fax (631)7227 ONLY TO THE PERSON FOR WHOM THE SURVEY 5 PREPARED. AND ON HIS BEHALF TO THE OFFICES LOCATED AT MAILING ADDI THE EXISTENCE OF RIGHTS OF WAY TRUE COMPANY, GOVERNMENTAL AGENCY AND 1360 ROANOKE AVENUE P.O. Box 1 LENDING IN LISTED HEREON, AND AND/OR EASEMENTS OF RECORD, IF TO THE ASSIGNEES OF THE LENDING INSTI- RIVERHEAD, New York 11901 Riverhead, New York ANY, NOT SHOWN ARE NOT GUARANTEED. TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. �� Cca/�/ ,-d,'Tk �%sx'16E A.+n 7ww-� 7x✓s;r�s APPROVED AS NOTED D. X1961" B.P.N 272i z; �r� %" ', 'ICY OR _ «� BY: �;r,�, FEE: �'UI PNLAV''��Il4r NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE 1. _ IIII y I, FOLLOWING INSPECTIONS: I i,NT CE�y]�Y I I I I 1 FOUNDATION - TWO REQUIRED1 'pp�� FOR POURED CONCRETE '.r E.7f 11NI 2. ROUGH - FRAMING & PLUMBING \ 3. INSULATION 4, FINAL - CONSTRUCTION MUST UNATRWRITERS CERTIFICATE BE COMPLETE FOR C.O. MIRED • \ ALL CONSTRUCTIONMEET THE REQUIREMOr THE Of THE N.Y. STATE: CONSTRUCTION & ENERGY PROVIDE OPENINGS FOR \ CODES NOT RESPONSIBLE V-011PROVIDE ESCAPE AS DESIGN OR CONSTRUCTION ERRURP„ REQUIRED BY PART.714 OF \ N.Y. STATE BUILDING CODE. \ DO NOT PROCEED WITH 7s FRAMING UNTIL SURVEY FOOT OF FOUNDATION LOCATION Q:o HAS BEEN APPROVED. v Lu I v Jv GAJ � Q)� EXISTING \ /N F ^� GARAGE \ ate' I �} G' EXIST. Pq7 PORCH 4 / Q / EXISTING 2 STORY � = / FRAME HOUSE � � Co / 2��� 4.6 / 7' t5L° Q DRAWING TITLE: / _ / EXTENT OF EXISTING o O SITE PLAN / SCREENED PORCHQ- / / EXTENT OF NEW ENCLOSED �o 4 I PORCH / JOB: Q 9 Q T UNC NEWSROOM HILL ROAD SOUTHOLD. NY uj Q I �v 9TOWN CT17YOF SOUTHOLD / ARCHITECT: C5 tm = II �-/•C DONALD A. DENI9, AI J MAIN ROADLS 2 I W °' AQUEBOGUE, NY 11931 W N (FIL) 122-3611 (FAX) '122-38-36 61 Ix II 9E �E,O ARCA o-0 \ I 20 FT SIDE YARD S TBACK LINE / N l I � 1 REV.: DATE : 8 FEB 2001 SCALE : 1/I1,' . 1'-O' JOB NO: 4420 ZONING DRAWING NO. DISTRICT: R90 REQUIRED PROPOSED LOT AREA 40,000 SF 53$79 SF f� COVERAGE 300 SF MAX COVERAGE 20% L.9 % FRONT YARD 50 FT TI FT REAR YARD 50 FT LIA FT SIDE YARD 20 FT 91 FT SIDE YARD 15 FT 33.6 FT OF 3 —'- -'— — — — — — - - --- - -F: ,R&T—FJCIOR- - - - -'—'—' I z \ \ I I I I I REHAN`G EXIST I \ d DOOR \ N- UP 3 ® 5 v a j EA HaA2 (D wlp o n„ n N^ I T I I u / \ j 2x RR I < NEW 16 O.C. BRICK STOOP — - - — — — — — — — — — — — — — ANDERSEN NOTES: _ _ _ _ _ _ _ _ _ _ _ _ LOW E GLAZING FOR 1 ALL WINDOWS AND DOOR. N f 6x6, 10 10 LIMIT OFI XISTING N PROVIDE SCREENS FOR j a / j N ALL WINDOWS AND DOOR. WWF4"CONC, SLAB SCREENI] PORCHI 7 N w r- °i REINFORCING o y z 3 o I 2x8 C.J. 16" O.C. 7 l r3) a I 1- Op NEW FDN\ I iw IIII INIIIIIIIIIIII 911 I I / WALLS IL IJ-III III IIII IIII ILII ll9-�,. N /— — - - — — — — — — — N 111111 6 ' IIII IIII IIII IIII J IIII IIII IIII IIII 16 4 c II\IIIIIII_I_I\IIII I-lj_llllllll_II=111-WIIII==--1II111pII "PACTED IIII IIII I - oI =lull-F CLEAN = =1EFILL EXISTING -2 n 1/4�� 5�-1 1/2" 5'-1 1/2" 5'-1 1/2" 3'-2 1/4' FOUNDATIONS ------- PLAN OF PORCH ADDITION SECTION L 21 -9 DRAWING TITLE: PLAN, ELEVATIONS SECTION JOB: ANDERSON 1x10 RESIDENCE BD _ NEW SUN ROOM HILL ROAD 50UTHOLO, NY TOWN OF 50UTHOLD 5CTMs ARCHITECT: i DONALD A. DEN15. AIA P.O. BOX 646 i MAIN ROAD AQUEBOGUE, NY 11431 i (514) 144-3511 (FAX) 172-3061 I NORTH ELEVATION SE AFD ARCN SAME SLOPE y�P ALAN AS EXISTING (ABT 2 1/2:12) o° IF LIGHT ANDERSEN CASEMENT z ;ti WINDOWS --� REV.: NOTE: NON-STD MULL. PATTERN FOR DOOR DATE : 8 FEB 2001 SCALE : 1/1' - 1'-O' JOB NO: 1420 SIDING TO DRAWING NO. MATCH EXISTING /^J/) I I I I i ' OF 3 _J____ I l____i-------------------------------------------------------- I __________________ _ 1 SOUTH ELEVATION EAST ELEVATION IN CONTEXT I CONCRETE NOTES: I. CONCRETE TO BE 3000 PSI AFTER 28 DAYS. 2. SLAB REINFORCING AS INDICATED ON DRAWING. 3. ALL FOOTINGS SHALL BEAR ON UNDISTURBED SOIL W/ A MINIMUM BEARING CAPACITY OF 2 TONS/SF. 4. ALL FOOTINGS SHALL EXTEND A MINIMUM OF 3'-4" BELOW FINISHED GRADE. EXISTING WALL & SIDING FRAMING NOTES: PATCH AS NECESSARY I. ALL FRAMING LUMBER SHALL BE GRADE STAMPED DOUGLAS FIR-LARCH STRUCTURAL GRADE No. 2 OR BETTER - 30 GAUGSTAINLESS ASPHALT SHINGLE F ASHINGE 12" UP WALL TL 2. ALL SHEATHING TO BE APA RATED. EXPOSURE I, 5/8" MIN. THICKNESS. ROOF & 12" UNDER SHINGLES 3. ALL SUBFLOORING TO BE APA RATED STURD-I-FLOOR, EXPOSURE I, 3/4" MIN. THICKNESS. ALL EDGES OF PLYWOOD 15 LB BLDG FELT 2x8 RAFTERS 16" O.C. TO BE SET ON SOLID BLOCKING. GLUE AND NAIL PLYWOOD SUBFLOOR TO FLOOR JOISTS. ' AND OVER SHALL WITH BLE 3 4" COX PLYWOOD I. ALL HEADERS SHALL BE A MINIMUM OF BE 8POR AS SHOWN ON DRAWINGS.HTS, 9'-0" AND OVER WITH TRIPLE UPRIGHTS. /f / 2x8 CEILING JOISTS �J R19 INSULATION BATTS ® 16 O.C. 5. 50LID BLOCKING SHALL BE PROVIDED FOR ALL JOISTS AND FLOOR BEAMS AS PER N.Y.S. CODE OR AS NOTED a 8'-0" O.C. PROVIDE 2" SPACE FOR AIR CIRCULATION IN ROOFS. 1/2" GWB 1/2•• GWB L. DOUBLE FRAMING AROUND OPENINGS (Skylights, Stein, etc.) OR AS NOTED ON PLANS. 28117 (RBS) 1/2" GWB (2)2x6 CONT, 1. DOUBLE UP FRAMING UNDER ALL POSTS AND PARALLEL PARTITIONS OR AS NOTED ON PLANS. � HEADERS W/ 1x5 W/1/2" DIA p HURRICANE ROUTED EDGE 8, ALL FLUSH WOOD CONNECTIONS SHALL BE FASTENED WITH RATED GALVANIZED METAL CONNECTORS BY "TECO" OR APPROVED EQUAL. CLIPS 9. NAILING SCHEDULE SHALL BE AS PER THE N.Y.S. BUILDING CODE AS A MINIMUM. ALL 2xL STUDS SHALL RELIEVE 5-I00 NAILS AT SILL 1x4 SILL W/ AND PLATE. ALL EXTERIOR NAILS SHALL BE GALVANIZED. ROUNDED EDGE 1 10. PLYWOOD SHEATHING TO BE NAILED WITH BD 6 4" O.C. EXTERIOR EDGES AND GD a 12" O.C. INTERMEDIATE. 1x6 FASCIA0 1x5 W/ 1/2 II. ALL ROOF RAFTERS SHALL BE ATTACHED TO THE PLATE AND STUD WITH GALVANIZED HURRICANE TYPE CONNECTORS BY "TECO" PLATE HT BEADED BOARD OR APPROVED EQUAL. 7'-8 1/2" DIA ROUTED GUTTERS & EDGE LEADERS TO 12. RBS RIVERHEAD BUILDING SUPPLY MOULDING NUMBERS ATCH 28071(RBS) O EXISTING SCREENED 1x8 BASE 1' CONTINUOUS 29197 QUARTER ROUND MECHANICAL NOTES: VENTS BEADED BOARD � 1. PROVIDE RADIANT HEATING SYSTEM IN SLAB, TUBING AND LAYOUT AS PER HVAC CONSULTANT. 2. PROVIDE NEW BOILER AS REQUIRED FOR RADIANT HEATING SYSTEM. CERAMIC TILE AS SELECTED BY OWNER W/ EXISTING WALL 3. ALL WORK TO MEET ALL STATE AND LOCAL CODES. ANDERSEN THICKSET BED WINDOWS W/SCREENS 4" REINFORCED CONC REMOVE EXSTING SLAB SIDING ELECTRICAL NOTES: RADIANT HEAT REPLACE SHEATHING o 'RISING AS REQ IF NECESSARY W/ 1. PROVIDE LIGHTING AND RECEPTACLES AS INDICATED ON DRAWINGS. FIXTURES TO BE CHOSEN BY OWNER. BY HVAC SUB 1/2" CDX PLYWOOD 2. ALL ELECTRICAL WORK TO MEET ALL STATE AND LOCAL CODES. 2" POLYSTYRENE RIO BEADED BOARD DRAWING TITLE: MIN COMPRESSIVE STRENGTH 40 PSI EXISTING FLOOR DETAILS t DEMOLISH EXISTING NOTES FOUNDATION WALL EXISTING SUBFLOOR 1x4 TRIM AS REQUIRED FOR & JOISTS SIDING TO NEW SLAB MATCH (8" WIDTH MIN) EXISTING COMPACTED CLEAN FILL R13 INSUL 6 MIL VISQUEEN W/V.B. JOB: CCA TREATED - LATEo o 0 0 0 0 0 N a 0. o ANDERSON RES DENCE TERMITE - - - - - - - - " - - - - NEW SUN ROOM SHIELD - 1/2" DIA DOWELS . a . ® 12" O.C. HILL ROAD CEMENT 3 6x6, 10/10 `NWF SOUTHOLD, NY PARGING BEARING 3/4" COVERAGEM1 ABOVE TOWN OF SOUTHOLD 2" RIGID POLY= P' SCTM* STYRENE INSUL BITUMINOUS 'n TWO FT BELOW WATERPROOFING' - GRADE ARCHITECT: 9 ;1/2-POURED d � DONALD A. DENIS, AI _ ONCRETE v" l �i TON MAIN OADL5 EXISTING AQUEBOGUE, NY 14131 IIII—IIII CELLAR (516) 122-3511 -IIII—III (FAX) 122-3059 8,1 x — 1— — — SEAL: IV 17-= III—III IIII=IIII— IIII=IIII= -IIII=1 I I I=I I I I=1 S I I—� FOOTINGS TO 3'-O"I IIII IIII= III BELOW GRADE MIN 1 -IIII—IIII AND TO UNDISTURBED v_ SOIL —IIII— l l .IIII—IIII- REV.: DATE : 0 FEB 2001 SCALE : 3/4' - 1'-0' JOB NO: 1420 ,n EXTERIOR WALL g OLD FOUNDATION C HOUSE FOUNDATION DRAWING NO. WALL WALL Q � OF 3 �1 'z5iI6