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HomeMy WebLinkAbout25361-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26739 Date: 10/13/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 270 WILLOW TERRACE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1998 pursuant to which Building Permit No. 25361-Z dated NOVEMBER 30, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED FRONT PORCH, TWO SECOND STORY REAR DECKS AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to PETER W WERDEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0145 09/23/99 ELECTRICAL CERTIFICATE NO. N 500499 09/13/99 PLUMBERS CERTIFICATION DATED 10/ 99 PECONIC PLUMBING & HEAT. Building Inspe or 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. 25361 Z Date NOVEMBER 30, 1998 Permission is hereby granted to: PETER W WERDEN 106 CHEVAS RD AVON,CT 06001 for CONSTRUCTION OF SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. at premises located at 270 WILLOW TERRACE LA ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 011 pursuant to application dated SEPTEMBER 29 1998 and approved by the Building Inspector. Fee $ 517 . 00 Buildingnspector ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.000, Commercial $15.00 Date . ��/� �.Cp. J. . . . . . . . . . . . . . . . . .. .. . .. . . . . . New Construction. . Old Or Pre-existing Build�•ng. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . .. . �LL.Gw. . .�e�. .�:�. . . . . . .!-!. lzs� f.� :. . . House No. Street Hamlet Onwer or Owners of Property.. .Ia r4 . :--,M -. � . . �� �� . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . County Tax Map No 1000, Section. . . Q a.1� . . . .Block. . . d . . . . .Lot. . 0.11. . . . .. .. . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .//. . . .Filed Map. . . . ... . . . . . .Lot. . . . ... . . . . .. .. . ... . . . . Permit No��3 . . Z. . . .Date Of Permit.111A�IM. . . . .ApplicantF . 5�. .. . . . . . . Geigy- . . . . . Health Dept. Approval. . .I/:Q3/91. . . . . . . . . . . . . .Underwriters Approval. �g9`. . . . . ... . . . . . . . Planning Board Approval. . =.. . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . .. . .. . . . Final Certicate. �. . . . . Fee Supmitted: $. . .CA 6-7.q v . . . . . .. . . . . .. . . . .. -513' sv G� c�P� . .. . . . . . .. . .. . . . . . . . �� fOCIC�G Town Hail,53095 Main Road y = Fax(516)765-1823 P.O. Box 1179 • Telephone(516)765-1802 Southold,New York 11971 y'fJpl � �a0 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T• I F I C A T I O N DATE• Building Permit No. .3 Z- Owner: F 0Q w (please print) Plumber: . (pleaseprint) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ,9004 (Plu Signa e Sworn to before me this day of 14 Notary Public, County -44ox PATRICIA CORWIN Notary Public,State of New York No.01005017852 Dua5lfed in Suflogc Counri Commission Expires Sept 13,L:2:0 a'5 3 ] -R- THE NEW YORK BOARD OF F19E UNDERWRITERS PAGE 1 1135021 BUREAU OF ELECTRICItY', 40 FULTON STREET, NEW YORK, NY 1#1038 SEPTEMBER 13,1999 L82,G5799/99` N 500499 Date Application No. on file rF THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ni med on the above application number is in the premises of PETER WERDEN, 270 WILLOW TERRACE, POLE 4 L 3, ORIENT,';;NY � GAR/AT"T"IC/OUT in the following loc njj 1st Fl. 11 2nd Fl Section Block Lot STA&gy,�199t1 was examined on and found to be in compliance with,.the Notional Electrical Cade., FIXTURE FIXTURES RANGES COOKINGDECK5 OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. `K.W. AMT.• K.W. AMT. K.W. AMT. H.P. 34 49 49 31 3 1 8.8 1 1.2 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. 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. H.P. NO.OF FEET AMT. WATTS 4 F 2 SERVICE DISCONNECT NO.OF S E R I" C E METER NO.OF CC COND. A W r �. A.W.6. - A.W.G. AMT.` AMP. TYPE EQUIP. 1 0 2W 1.3W J®JW J/4W PER i OF CC CONLS;' '46.OF HI-L§G OF NI-U 6 NO.OF NEUTRALS OF NEUTRAL 1 200 CB 1 OTHER APPARATUS: PADDLE FANS F-4 WELL PUMP F-1 THREE "C" ELECTRIC LIC.#3327—E L L RT.#1 BOX 45M SOUND AVE RIVERHEAD, NY, 11901 GENERAL MANAGER Per This certificate must not be altered In any manner;return to the office of the Board if incorrect..Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS Y OF CERTTrl= U NOT BE ALTERED IN ANY MANNER. /o I ,Peter Werden ,owner of the property at 270 Willow Terrace Lane,Orient,N.Y acting under building permit #253612 take full responsibility for construction of a driveway and landscaping at the above address. Peter Werden -Uv 5 106 Chevas Rd °ca Avon,CT 06001 JANINAJ.SPENCER Notary Pio 1�ly Conienh am it e,Id1/S0o4 ELEVATION CERTIFICATE O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement.This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER f',e,f'-e,c 4/. W 6x-pE4JI STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER wtccow � kAGE OTHER DESCRIPTION(Lot and Block Numbers,etc.) /000— 26 — 02 --// CITY STATE ZIP CODE otel e,yr N `/• 119s 7 SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION (in AO Zones,use depth) 3C1O3 C 006 G MA 1 1796 A 9. n 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): ❑NGVD'29 [:]Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site, indicate the community's BFE: .❑feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level Z- . 2(a). FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I 119 .0 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I .❑feet NGVD(or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is ILI.❑feet above❑ or below❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W.❑feet above❑ or below❑(check one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:❑ NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ANo (See Instructions on Page 4) 5. The reference level elevation is based on: Y actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: / IDI.L9 feet NGVD(or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I I I I I .❑ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31,MAR 97 REPLACES ALL PREVIOUS EDI1I NdS SEE REVERSE SIDE FOR CONTINUATION) SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30,AE, AH,A(with BFE),V1—V30,VE, and V(with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building official, a property owner,or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use,wall openings,or unfinished area Feature(s),then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be e Q SND /certify that the information in Sections B and C on this certificate represents my best efforts to interpre /understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code 0 GF S O CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) TITLE COMPANY NAME 4- sc,Xcc< 0E f lip 4,vq / s o itr/v p Op N EW y0 ADDRESS CITY STATE ZIP 0 Bo x /93 ►flea-,)/—.,Qz u- Y. //9o/-0 9Cs— SIGNATURE DATE PHONE r0->- 9 9 s-1E- Copies should b a e of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS,OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION BASE BASE FLOOD ADJACENT REFERENCE FLOOD ELEVATION REFERENCE ADJACENT GRADE LEVEL ELEVATION LEVEL GRADE ADJACENT GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 i j TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Receipt N? 55854 Southold, New York 11971 Date.... Receivedof.............................................................................................................. ............................................................................................. .... ...:�...... .. . p For........ .................................................................................................................................................................................................................. Fee for Fee forF or Fee for Certificate ❑ Sign Flood Development Pmt. ❑ Building Permit ❑ of Occupancy ❑ ❑ Cash G O-- Check I3 $................................................................ ...................................................................... ' Building Department NDITH T. TERRY 1 = r - 'Town Hall. 53095 Main Road 1 P.O. Rox 117) TOWN CLERK Southold. Ncw Turk 111)71 RE CISt72AR OF VITAL.STAMS11CS /� ( `•* �- Fax (516) 765-1923 MARRIAGE OFFiCI:RTcicpllunc (.'S 1(,) 765-I K()1 RECORi)S MANAGEMENT OFFICER , l jib FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93)] and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)] . Siiv. DEPT. _ TOWN OF SOUTMOLD Judith T. Terry Southold Town Clerk August 25, 1993 • APPLICATION # PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to 'be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sigttl: 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE,TOTHE BEST OF MY KN WLEDGE, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE 4' SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANT NAME ADDRESS TELEPHONE APPLICANT k( S O Gd {-LL4 GL Pr I^,FrS' BUILDER IZR OL �l / ENGINEER .�b S �P►�4 A 1 tom! G r-G,114 - 70 7A a -50 4t 3 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. / ,e/- S 11ve.- O w r-i v w-S RD L 6D0 I FDP(93) APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE e New Structure 0 Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation 13Combined Use (Residential & Commeraal) 13Demolition ❑ Manufactured (Mobile) Home (In Manu- 13 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S 02 B. OTHER DEVELOPMENT ACTIVITIES: a'F'tll ❑ Mining ❑ Drilling la 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❑ Individual WaterVor Sew r System for nsion) ?jq W 0,L" ZI L 'A C ❑ Other (Please Specify) After completing SECTION 2,APPLICANT should submit form to Local Administrator for review. SECTION 3• FLOODPLAIN DETERMINATION (jo be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No.______, Dated The Proposed Development: ❑ Is .Q1 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 he completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale,and specifications,including where applicable:details for anchoring structures, proposed elevation of lowest floor(including basement), types of water resistant materials used below the first floor,details of floodproofing 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 if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting this finding must also be submitted. ❑ Other: - SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. ❑ Is B.0 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 de iciencics. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. r - APPLICATION # PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? O Yes O No Hearing date: Appeals Board Decision --- Approved? ❑ Yes O No Conditions SECTION 6• AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard ea , bottom of lowest structural member of the lowest floor, excluding-piling and columns) is: Fr. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is Fr. 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? OYES ❑ NO DATE BY DEFICIENCIES? ❑ YES ONO DATE BY DEFICIENCIES? OYES ONO SECTION 8• CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 . AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) ELIZABETH A.NEVILLE,TOWN CLERK RECEIPT 73 Town of Southold Southold,New York 11971 Phone:516-765-1800 DATE 19 RECEIVED OF: S / 0 ' 00 FOR:a44p CASH K BY: L BUILDING PERMIT REVIEW CHECK LIST Application Name: fivT>c- R WE R D& L-r5 n C 5 N s-r R c3C.T 1 o N Architect/Engineer: LARPL%( I-,U, L I .f. SCTM #: District: 1.000 Section: 1G Block: Lot: Subdivision Name: W l L L D W TL ikRA G.6 ReqR 4b [Lot qD 000 �4� Regdo Zoning District: [Lot size: ��II 1 lN�./ Actual: Q(y] [Lot coverage ��� Actual: 0 ] Regd.. 3#RDW Regd.. � Regd.. ''�y�t � [Front Yard "I V Actual: Ya RDS [Side Yard Actual: ] [Rear Yard w Actual: �� ] 0, `I'D'EAG.II Project Description: C.OKIAL)Ud lord of A SlWyLE fRmcLJ! OWULaI& WITy GARAGb AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number N Suffolk County Health Dept 3 �EaDr�+�s MAxImU �Jp�QS'-l`f5 New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: X Flood Plane Elevation ??? Flood Zone: ZINE R L'RA WL SPAGE. Notes• 6AAA&F, A 14 Sf FIRST R MR — 92& Sf SUDHO FSR I H 09 SP flEG(CS 24-1 sr_ o rAL, #0C4 O SF .. Qh S O 2 210 27 10% F 511 765-1 2 suaoINa v 1ECTION [ /FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY REMARKS: DATE a/1 INSPECTO BUILDING DE". INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND ( ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ��� ,� �-/--vu - (Re�� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ P14OUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ MIN ,��f ,��� ] FINAL [ ] FIREPLACE CHIMNE 4 /) REMARKS: Qu - -4047m-1,4A46 A� wad! �,—&*C%e A &fte, L-A DATE / INSPECTOR /L ��� ..CO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Ac.o aw DAT d IN8PECT0 L r J INSPECTION FOUNDATION IST • • • INSULATION FRAMING FINAL FIREPLACE & CHIMNEY REIVIARKS:4� AX"�e ze�g� �., / t.�...► ;t s DATIE INSPECTOR `� ice ' � •� i i 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ LATIOM�/�"�`'�''�`) [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: u� L's<i�'� 00, DATE �! f f INSPECTOR I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUN ATION 2ND [ ] INSULATION [ ] F MING [ ] FINAL FIREPLACE & CHIMNEY REMARKS: 4-ez�aAA4 or -000 'o Z; .2� DATE 6112 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC 8 CHIMN REMARK5: 1� II��s"T"�-� DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: ,,.e lam► AfA/0 DATEe-24 INSPECTOR 91 ® Z7lam A c� M.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j IN TION I 1 FRAMING A$ [ FINAL [ ] FIREPLACE & CRIM Y REMARKS• �L/ > DATE INSPECT � ', ► I 7"-,W NOW MINIM �( Imo!, mw SON �- • i BOARD OF HEALTH :. . . FORM NO. 1 3 SETS OF PLANS r. . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK s .S�a�... . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: C/ CALL I g ' . . . . . . Examined.... �130...... 19�?. 2 MAIL TO . . . . . . . . . . . .. . . . . . . . Approved.......<<�AP.... 193F Permit No. 3�Q� ................................... Disapproved a/c .................................. ................................... ....................................... ...... . ......... ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT l Date. .Gi.!b%' . . . . . . ., 19ft6p . INSTRUCTIONS a. 'lois application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 may not be caimenced 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 Zane Ordinance of the Tam 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 necessary inspections. �, % s0 G . " s l. . Ga R ........................... ............P......... (SI ture of applicant, or name, if a corporation) Y o 3 0 5C � 3Gl (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ...................... 4r ....� .p.r�.�13 �? v.� ................................................... Name of owner of premises ....`..F ...................� �t4 ............................................................... (as on the tax roll or latest deed) If appli t is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builders License No. ...Q►►.--1.1. .0.. ..... Plumbers License No. .....CGS ..�.......... Electricians License No. ....lt. .7. ..... Other Trade's License No. ... ............. l _ 1. Location of land which proposed work will be done.�l.5.. LL!w/ R2 N c► ....................................................................................................................... House Number Street Hamlet County Tax Map No. 1000 Section ... o........ Block ...O.0�........ Lot . ,[f.......... Subdivision .......-............................. Filed Map No. ..—.......... Lot .—.......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..� ° P !! 1... aT! ........................................ b. Intended use and occupancyL!!Y.u�!........ .:........ Y OWNBAHM \ **YwW too" D"qf 00" ii ATOW JJSU9 YR 3. Nature of Work (check which applicable): New Building .Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .... 12.5e �.. fee .............................................. (to be paid on filing this applicatJign) �SI 'YL eZ 5. If dwelling, number of dwelling units ....L..... Number of dwelling units on each floor�.� If garage, number of cars ....A L. .0..................... tet{ 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 ......................... timber of Stories ...................... Dimensions of same structure with alterations.or additions: Front ............... Rear ............... Depth .....—........... Height ......=........... Number of Stories ........... 8. Dimensions of entire new construction: Front ..... �f...... Rear ...S�g........ Depth ........ Height ........ ....�G.a Naber of Stories f 7� .............. 1� .... 9. Size of lot: Front .................... [Lear .................... Depth ...... 10. Date of Purchase ..................... Name of Former Owner ........................................ II. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..H4�................. 13. Will lot be regraded ......&d.......... Will excess fill be removed from premises: YES — 3 14. Names of Owner of p\renisesTZ 1FA;.VkfAVja*v4... Address ............................... Phone No`�g �[1�:... Name of Architect t ....... Address !;?0.rJgXtt.?.o p-:4..).W ... Ptare No.�77-1G�a l S o Z owctiit,j,ZL- d, PO 3d 9A r i S` Name of Contractor -r........................... .... Address ........�...,../.S� .fic�..Phone No.7v�aZ ' .i- Nam Is this property within 300 feet of a tidal wetland? * YES .......... NO .Y........ *1F YES, SQT111taD MM TRUS MS PM41T MAY BE REQUIM. PLOT DIAGRAM Locate clearly ad distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block amber or description according to deed, and show street names and indicate whether interior or corner lot. v4.14!-=-- $ SPAIr: OE NI3i YM, SS OOUNIY of ....................... LA- 7—N �� � I s o � I� ..... ....................................................being duly sworn, deposes and says that he is time applicant (Name of individual signing contract) above named, Ile is tine ......... Co prs L c, vn+T/� v�(-oR ......................................................... . (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. %worn to before or this �.�.Z../.Q.........day o�/�`?� 19.9 Notary Publio4F /E� MARY PU (Signature of Applicant) T E>�Ins� s� r z I r r S. 0, 9 a t ZONE x G k 4 a QLQ � lil w Q k 11'', a 11'Ew .Ln Ktp �: S pAS (y a 0RCNARD ST �i ay 0- D F\FSM . 4 d sa 3t;E PROTECTED AREA IFIED 11-16-91 ; ZONE X U BARRIER LEGEND) ZONE y $a $ X �Ea5i Xr 44 �£ u g �' < ss ZONE Rp�IE AE y 'CTS (EL 9) �.` JENT HARB OR 1" COASTAL I COASTAL BASE FLOOD ELEVATIONS o APPLY ONLY LANDWARD OF 0.0 NGVD ar �s s� 3el F.: n, F 5 ' \\ r { _ t...�-'3����-0✓Y" . ✓ �� � ,�Q" AGE" j'�T �" _°� r ^ i' � : Y F -f NEW h � y 1^0 ; r w LU - �' 032254-1 - EsslaNP� PI l J k �l . r7 7► .... -. /' 4.: +_ -•-. ".r.„ `"'.F+r- - �` � :. � c4L paw TY t � �• alb u: =4 - _ c� i j� f - .-, .. _...•: ,. .�,.. .a"-:. ,,a .£x<,,,4. .>.�.. > .,. ,-�hl-.,�- ..u._�.>.V.�' .._..,., ."-ti.°;. _r 1,�. s•7..-.r,...,.. _ > F '�- __>.. -_ __"- ., <,,..;•:3.k,t'�:f�.:� somm®rriY�«,*.,,�.�s d w �. eR �'�w � �.�4 x�x.:' •fat` y f�eY 1 - �� cwt ,N. r r �# Y , wo 81 jib a � k 4 y . qn Jr '• - pj r � w f�-,�•,+LT'�,`�' y Sf. 1�A'c t z �i�y F �r- ,. t " � y � � � .i � pr .r 7F #°- } , , , +`� g�rid• - t .,y "'� �: � � .:-� �. A<� � @. 1 ^ x.7• kit y p � t� •,.. •• ,. ,• ," ,y, ,. ` , ��Xf it Y j�,;�.� a.u' _'�� n� z x �r�n�.�� r w a X � : w.+'n.n,�...wY�}'�n'�.rr^,• uw —77-7, Ca sE:' OVA V I ' • � b�! ".,-.- .... •....•-.....»,ie....rv..p...,;F...,.,..s..-..n.:....L1wer:. n .r.«,�„J„,;h;4g,.p�,..« . t � �.++,.,a..► r a..w..vy».Q ., u s+n r.m Yir a+i .w.»� �a.«+...y«, .,.,,e,.....`i":�,.,G4,w"ia`mtruc'CS:wa:w_,.au cs,asci+..,�;�v:=*s�wJc..',.;,:a�.b.,,1et::..r���r,4..,.�,,:'..�n.•w...g,... A,.,ri.: «�.ac�...�e=�.ar�"'a,..5,r Av: te 4. AI rM rt A mt of NEW E w-, TG # ----------- 032 541 11DON-st M' CI-" • Une °F `"' r _ ,..._ � ,_: P V 43 ti o JamesPort. N.Y. 77. 74 7- 4 17 SURVEY OF PROPERTY SITUATED AT /a ORIENT e66!" TOWN OF SOUTHOLD KING STREET SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-26-02- 1 .1 \i9 SCALE 1" =20' MARCH 7, 1997 MARCH 26, 1997 REVISED PROPOSED GRADES zG APRIL 9, 1997 REVISED AS PER S.C.D.H.S. NOTICE (3/31 /97) L I PROPOSED SEPTIC SYSTEM DETAIL 0.514 TOTAL AREA = 22,386.07 aq. It. (� TO �) Oc. rt -.. I 320. rrra+En caAnE EINSx aaasAOE EIEV ,o.o• eF/. toe EL a.r �,• wx. roa EL rz"^' I Aepap.FD asE 7.3' wx 7µO e b wa r 3� Pacx /W/,. w 4 aIDNOTESIMEL e' IV L W. 0- 4. MOIL T.a t ,. 1. EXISTING ELEVATIONS SHOWN THUS:JD.O ARE REFERENCED TO N.G.V,D. 1929 DATUM 0 : H—e—i PROPOSED ELEVATIONS SHOWN THUS: Flo-01 ARE REFERENCED TO N.G.V.D. 1929 DATUM 2. PREMISES IS IN FLOOD ZONE A6 (EL 9) AS SHOWN ON: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0048 E � vooL B0f E'' °A• EIzO.eai4�a e a0a STEN ZONE A6 (EL 9): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. l F SEPTIC TANK (1) ZONE B' AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD; ,;�y11 R \ weww smtc rnnc crrirncs M A i m 4 �.Oo: xn:eE a +.000 awns LEACHING POOLS (5) OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS '� nnx: r inw 4•-r v,x, r-r Own VI £ z. CONtlRTE SxNL +MA: A +1a,NY aMO+E9M Saa1DIN a 3.000 p1 M L GAYS t. +nxwW ta/C1atl TninN rat A + m 4 �a)CN 145E a ]00 M x slw M+U LESS THAN ONE 1 FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS h-, rn 31aOLR x• oma, r �. 1i '$ '�] 3. W rx4alLtis awi eE A 11: rc s. A ror rxclvm ar r us A it rt nl4ous ar .• y. yR m eE maniuc,m a narwvt amrpe;Eo calnerE (m Ewru LESS THAN ONE 1 SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM EMSTNa clsswo+ ML "M3s. exrraN MU Tv s WwAa +mxmissa ro ai:6f An Mrlax lana a 309 N wNy f01L op6 MOyM aL.Js. THE BASE FLOOD. a g = T+ • ML A1Ma awu E a•A3m so Tar ac TMW a wTEa,4n `� s. rxE sr1lc runt sxAu sE rsrAueO u uon a ML oaEaflOrs (rnr: A wv. TarTNxa a •t/r) x All aTelS a BE a .nafisT 1Fnr01cE0 COAa1LT (a EMM C x Ox A lI J MIX aim a COIVACnD li a M a 4. A ,0• mh. aTM10E ePaED, l 10011 Mo WT IAE 9WL E NWtNm. 3. WELL & CESSPOOL LOCATIONS PROVIDED BY OTHERS. O/F DAVIS I x n C A lW Min asrAasc aoxEEx av,c TMa Mo IcusE ax4u c N xllxoa x Ax e• Min. anxi 111 a All vAE1N1c aoo18 Mo avec TAw1 awu BE wMlM 4. S.C.D.H.S. REFERENCE No. RIO-95-0145 N/ DWELLING o I I b PROPOSED EXPANSION POOL N/O DF COOPER WELLING ' PROPOSED LEACHING POOL oor• Dow L PROPOSED SEPTIC TANK S 7 4,p0' W 67 .7 72__ 4_ ..°�.Ln 5 •52'00' w .�„aa� ,HT F WAy 0 0 ' C 5 , CERTIFIED TO: _ "°" W E RI .• PETER W. WERDEN 2 p ID owT r (rr°Mr%`1 _ -� Y. ayssxr Z _ - tf !k x 4} o TEST HOLE DATA \ q•x N (TEST HOLE DUG BY MCDONALD n'nerrvurr ON FEBRUARY I2, 1997) a \ N o 'ix _ ' Z VA \ �}, •. O .Ionx u3w axm suc 'QA' 3 \ i / \ iO 1 •` t-��7 w,a / / ,�N APProved in accordance with o& £c \ \ o RA ,� J \ F•° �( ES<GAVA710P1 INSPECTION REQUIRED / 'c"" °A`T'' a"O LN Review 0 x N _ R SANITAPy o E• . determination date a. L`I`� \ •, \ ") \ \ Tq 13Y HEALTH EALTH CIEPARTWCNT ,\ � � ,\ Q ��("yyy�-x2.6'a y \ '+p .ua x anw rat �T_.•..,,�..,, I:'YU SUFPOLRCOUN7YDEPAR7'MENTOFHEAL7RSERVICES \,+A •'I / 1 01 PERMIT FOR APPROVAL OFCONSTRUCTIONFOR A \ F O 1qx \ 0 SINGLE FAMILY RFS;DENCE ONLY r \ \ a n DA � HS , '+CIO -q �-IYS , ao V A"3, \ 1 y9� x au APPROVED QE ee t h x� <0 0 , x 1 \ FOR UMOF�REDROOMS F �( \ •° \\R ,tr i 1 T \ , 0041RHSTHREE YEARS FROM DATEOFAPPROVAL SEP 29 1998 - Cut, 0 1 N 15 'A a \S LOT 0� A \ '49j u 'wr 3640 W vPG' 1 X M m TNIS TIIM.TERAA W ADarlw an \ \ a N \ a %SUR'AEs• a A c vPION M ar sEcrarl 72 LA 0E me NEw rax, srATE -,� FDUCATOx LAW. t'3 % a Tws svccn• N.v xar eEArwc lk TxE u o wR.Ewx•s wao NAL M O , \ x SEAL aNML WaE Wr61pEaED M BE A 10 A vAUD TIe,E can•. \ 1 CEaDrTCTIoxs POISON Eo x 111 a axML a1N oxLv ro T1rt t'01sa1 l011 Wxa1 Trt 111A1VEY 4 crasMlEo. " W las lots vim (ano.a onincorn[A1rENrAL°rn�Eawun(sEo x TIII INIIII . WG) NITON. �TIW9 M1E q 'piMxffl-WE. o 0. THE EAIaiANC[ OF dONT OF WAYS O£ ` AND/ FAHOWIll S Of rGIJA 6' ANr, N�T sNI7NN ARE NOT ouA1IAN1[m. ' LOT 18 sYMaraDs Ann TrrIE aswrEl9 As mAaUMD y \ OPA� a Nax NE Na WxN Joseph A. Ingegno Mi TIE 14 UM IrID APM V0 MID A00Nm roa sial IaE ar T1IE NEa Tula STATE Lwo Land Surveyor \ +► III S1AANys - SNaa(.Ia/oIw - SN. Plan, - caatn aaa+ Layout ap * PHONE (516)727-2060 Fax (516)722-5093 4 9 OQ. OFFICES LOCA7ED AT MOAM ADDRESS 001'"`4a x OP W y N.Y.S. Uc. No. 49688 �u nNav Sgyo°,a1 j 1931 s6v.aum r w x931111901 SURVEY OF PROPERTY KING STREET SITUATED AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 20' I S.C. TAX No. 1000-26-02- 11 w I SCALE 1 "=20' MARCH 7, 1997 I MARCH 26, 1997 REVISED PROPOSED GRADES rn APRIL 9, 1997 REVISED AS PER S.C.D.H.S. NOTICE (3/31 /97) DECEMBER 11 , 1998 FOUNDATION STAKE-OUT �z FEBRUARY 16, 1999 UNDER CONSTRUCTION SURVEY b rI TOTAL AREA = 22,386.07 sq. ft. trl 0.514 ac. I�� I NOTES: 1. PREMISES IS IN FLOOD ZONE A6 (EL 9) AS SHOWN ON: �z �] FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0048 E ZONE A6 (EL 9): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND p FLOOD HAZARD FACTORS DETERMINED. ZONE B: AREAS BETWEEN LIMITS OF THE 100-YEAR FLOOD AND 500 YEAR FLOOD; OR CERTAIN AREAS SUBJECT TO 100-YEAR FLOODING WITH AVERAGE DEPTHS �I \ LESS THAN ONE 1) FOOT OR WHERE THE CONTRIBUTING DRAINAGE AREA IS LESS THAN ONE(1) SQUARE MILE; OR AREAS PROTECTED BY LEVEES FROM THE BASE FLOOD. I I 2. S.C.D.H.S. REFERENCE No. R10-95-0145 I NIOIF DAVIS rn N/OlF COOPER 67 .72' - I •D.T s. a 3'WIS I� X9.24'00" W - s WIRES 5 7g•52'00" W ']CE R WAY _ JIG P\ OF 0 '4 PIPE — P 19 WIDE WIRE '— r g \ 9 UOF o 0 Z j5 a \ o w \\\\�\-mob° \\ �, \ r m i � RFSi a m / .;° 22, p 4 0 45i � / m UJ N y \ O 0 o N 15 FWw° M� 1+ OT \ • \ � Z 5 7336' 40 Y, J \ o, z ` \ IDU NDP I ION L.QCf1'I lb'F.) TNATHIS SUD ALTERATION DR ADDITION TO ON F ROUHGMOH SuRYC'IY SECTION 72M OFSURVEY STHE NEW TIYGRN STATE VK 5��99 EDUCATION LAW. 2 ,RTHIS COPIES DF NN SURhY IMP NOT BOR EARING THE LAND SURVEYOR'S INKED O, EMBOSSED SEAL SHALL NOT BEE CO CONSISI DERED p i0 BE A VAUD TRUE COPY \ O, CMIFICATIONS INDICATED HEREON SHALL RUN \ £ ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TIRE COMPANY. GP/ERNMEMAL AGENCY ANO LENDING INSIIRRION USfEO HEREON, ANO \ m TO THE ASSIGNEES OF THE LENDING INSTI- .N CERTIFIED TO: TUDON. CERTIFICATIONS AAE NOT TRANSIMI PETER W. WERDEN OT 16 THE EXISTENCE OF RIGHTS OF WAY CCQ \ C°w L ANDEASEMENTS OF RECORD, IF ANY,, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM Joseph A. Ingegno STANDARDS FOR TR SURD— AS NEFTABUSHED o ADOPTED BY THE LIAL6. AN 'PROVED ANO ATE UIN FOR SUCH USE BY E NEW YORK STATE UND TITU AS Y�Amay/ 5E0 H LAN Land Surveyor Y (`a SAA. G G Jv �o rn{ atitle Surveys — Subdivisions — Site Plana — Concfruction Layout .�\ • PHONE (516)727-2090 Fax (516)722-5093 NE 6 OQ OFFICES LOCATED AT MAILING ADDRESS OpNE N.Y.S. Lic. No. 49666 bog Union Square P.O. Box f Aquebogue, New York 11931 RiveMad,< New Yolk 11901 SURVEY OF PROPERTY YUN G STREET SITUATED AT ORIENT --- - TOWN OF SOUTHOLD �. SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-26-02- 11 0 ,� 9 SCALE 1 "=20' MARCH 7, 1997 I q ?o dp MARCH 26, 1997 REVISED PROPOSED GRADES � > ycx APRIL 9, 1997 REVISED AS PER S.C.D.H.S. NOTICE (3/31 /97) � �Qs a e DECEMBER 11 , 1998 FOUNDATION STAKE-OUT b CI b s b FEBRUARY 16, 1999 UNDER CONSTRUCTION SURVEY zlrii � � o ° C. AUGUST 2, 1999 FINAL SURVEY Ir "9 TOTAL AREA = 22,386.07 sq. ft. 0.514 oc. z� NOTES: & 1 . PREMISES IS IN FLOOD ZONE A6 (EL 9) AS SHOWN ON: FLOOD INSURANCE RATE MAP COMMUNITY—PANEL No. 360813 0048 E ZONE A6 (EL 9): AREAS OF 100—YEAR FLOOD: BASE FLOOD ELEVATIONS AND 1 - FLOOD HAZARD FACTORS DETERMINED. ZONE B: AREAS BETWEEN LIMITS OF THE 100—YEAR FLOOD AND 500 YEAR FLOOD; a�I OR CERTAIN AREAS SUBJECT TO 100—YEAR FLOODING WITH AVERAGE DEPTHS LESS THAN EA IS I LESS THAN ONE(1) SQUAREFOOT R MILHERE THE ONAI R E: ORAREASPROTECTED TRiBUTING DRAINAGE LEVEESFROM THE BASE FLOOD. I Z 2. S.C.D.H.S. REFERENCE No. R10-95-0145 1 N101F DAMS m . . � 1 N/OlF COOPER 24 0o W 67 .72' p tp 1 41 5 g FpILC Fa5f �1LE " `'r, •° W 89.92' orveF"REs"u° pNs \ uL• 7g•52 y FENCE o.4 ass. WAY O S R•IG Tl OF o;, �I�N RPE • WIDE 0' •GyV � �, • , � JL TY Pa , , •2,0'. d POIdMnY I fH GN' WIRE � •° ,V \ \� lar _�\\ ,/ / .• L ��> Cg, Q \ \ �Z 4 a. O I \ •" ,-•f-SEPTIC LANK Or eY( 8 IRI �y "• . ' aMbOa OECM O LLI 20' a Y' I \ } • (no G / \ � me SIR � W"7, • N= a �/ oarvEwnr uNDFn C04 uca " a"o'r wl% al .k$ ga 22.o' ` A. • , \\ ^ O \\ \ OI rn \ 4. UD o \ °9 tr fouNa ' w -G \ • GajOZ 5 13,36' 4D' \ N \ • . ON UNATHORIZED ALTERATION OR ADDITION fd✓NO MON TO THIS 7209 FSTHEoEWRYIXM STATE Ix EDUCARON LAW. Z COPIES OF THIS SURJEY IMP NOT BEARING NN THE LAND SURVEITIR'S INKED SELL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED WO To BEA A. TRUE COPY CERTIFlGTI0N5 INDICATED HEREON T I RUN 00� ONLY TO THE PERSON FOR WHOM THE SURVEY \ O! PREPARED, ANO ON HIS BEHALF TO THE 4 TITLE Co.,ANY. GOVERNMENTAL AGENCY AND \ LENDING INSRfUTION OSTEO HEREON, AND V TO THE ASSIGNEES OF THE TENDING INSR- O CERTIFIED TO: TUTIm CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF tp. PETER W. WERDEN \ \ fMme'LD'r 1 6 AND/OR NOT EASEMENTS RIGHTS NOT GUARANTEED.A F ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ALCORDANCE WITH THE MINIMUM Joseph A. Ingegno STANWROS FOR TIRE SUM AS ESGBIJSHEO BY THE LIA.L AND APPROVED AND ADOPTED FOR SUCH 09 N, THE NEN YORK STATE LANG Land Surveyor TOLE ASSOCIA ON. 5 i Tql F Title Surveys — Subdivisions — Site Plana — ConsWction Layout •a., m ( )722-5093516 PHONE (516)727-2090 Fax N` O \ yA�4'9 nU �q 2.� OOne Union LOCATED AT N.Y.5, Lic No. 49668 Aquebogue, New York 11931 Riverhead, New Yo k1 \DPN 11901 97-149) LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (510) 4191652 qq e- e✓ pPjf � ch AI,oh 1 7 rSec �loNS �vrrfC4h l� SIS C/, � ,.dry po,Sfs un Jer m aih// / / p /7 /� 7 Syclr l..r/l (SY�' f/`l .l " z x / F,J /a /L " oma�j r/c Ohl cc u 61d- 2 2. c # b cc- d 'rlpO' l ✓ ENERGY CODE REVIEW (non-electric) 78/14 (Part 5) 6,000 degree-days For Pe?'evhd/�h Per Dwgs Corey ,Qes� f QYiCh� Dated A<r p11t/SG C/7) Envelope Component R-Value Exterior Wall R-18 Ro6f/Ceiling R-19 Floor R-19 Foundation Wall R-10 Slab edge Insulation R-10 Glazing R-1 .7 Entrance Doors R-2 .5 All HVAC Equipment to meet requirements of 7814.11 All HVAC Control Systems to meet requirements of 7814.12 All Duct Systems to meet requirements of 7814. 13 All Ventilating Systems to meet requirements of 7814 . 14 All Piping Insulation to meet requirements of 7814.15 All Service Water Heating Systems and Equipment to meet requirements of 7814. 21 All Electric Systems to meet requirements of 7814 .31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code. tE OF NEW,, T 6 W _ W zieFO 032259-1 V 9pFESSIONP ©fflcx 5f;� APPROVED AS NOTED DATE:II-30-SI2' B.P.a FEE: �I BY: �GN1 OCCUPANCY OR NOTIFY BUILDING DEPARTMENT AT 706.1802 9 AM TO 4 PM FOR THE USE IS UNLAWFUL 10 FOUNDATION - TWO REQUIRED WITHOUT CERTIFICATE FOR POURED CONCRETE Z ROUGH - FRAMING OF OCCUPANCY S. INSULATIONa I7AMBNG 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. c TATE COMSTfl i�fn�ON' A ENERGY FOR -------------------- --- -- - - PROVIDE OPENINGS FOR DO NOT PROCEED WITH EMERGENCY ESCAPE AS FRAMING UNTIL SURVEY --- REQUIRED BY PART.714 OF OF FOUNDATION LOCATION N.Y. STATE BUILDING CODE. HAS BEEN APPROVED. - --- PROVIDE% HR. FIRE - ' --- - - RATED SEPARATION TO If copper tubing is used 717.3 (f)(1) OF PARfor Water distributing - T. system;piping shall be N.Y. STATE BUILDING CODE. of types K or L only UNDERWNIECERT QUIIFICATE PROTIDE ANDCKMIAND/OR Q ED ME� 102.KK) -- - N - - --- - N - - i -- -- - --- -- I - - - - - BMND ------- - - - - --- MBI -- -- PLU NG -.---— ALL PLUMBING WASTE -- ------ - - ---------- ---�-- -_---- --- ----- _-_-_ - ----- ----- 11�LFI f sWATER UNES NEED 11 } - . — -DETECTING '� NGBEFORE COVERING PROVIOESNOKE - TA --- _-- - -_— -- ALARM DEVICES AS TO PARE 72L1 PLUMBER CERTIFICATION 1133 BUILDING CODE. ON LEAD CONTENT BEFORE -- -- - - -'-- - — -- - CERTIFICATE OF OCCUPANCY -- - - - - -- - - - - -------- - SOLDER USED IN WATER ---�------- ----�-- ------�._---------� -- �-- --._ ____------`- -.— FI- ccs 12,oa WSL SUPPLY SYSTEM — -- -- --- ` - ------ - - — - - - --- ---- - Tor _ EXCEED EX o AD ryuup rtn.1 /D,4Z' [GSt. 2/10 OF %1 LE ab77Dµ1IF �INSL ' !� tC OF NEW YO 4 'NEE . T 4 2 S 012259-1 _ 9pFESS10NP� 7zcSCF�e ,h/��[ ! �10606 7 60 ` 543—3#rs— LISO CONSTRUCTION CORP- Herricks Lane P.O.Box 439 JaResporto N.Y. 11947 c ��� \•� ___ ___ _ _ _ _ ('K I. `f.3 U no - 12 ytiP ONCE JVJ ?- yf U 032254-1 � - OFESS164 i'CF i p 1 (Ir� i 3 _ - --_ - _ - - - - --- _ � v I I i ;11Fill" ! 1f ,Till �.Lut .. L= IL.: 1 - � . : f-1J _I-moi OF SNEW � yPE rO�r 1 - W W m I Y 022254-1 AV T `�✓I � � '�����i ' I 14•-'� 1 '�' JL /�LL: ����I I op�OFESSI�NP� C... v ti:>A �7 • Fektplbnilr Sill seal on top of foundation,2 2"O"pressure treated sill belted b' Of,center 00nrc bolls aaposed 4"),shun dock within 1/4•' of leW with MISS Floor joists per plan with 1"x3"bridging with 3!4" lonsim and ip orn>aedeAsyracrt nailed and glued to joists, OWbb all joists aaMler pmhtl101pm'titinus. For - - plupbing classes•allow roam for piping. Flumbiog contractor not to cut spy snurnpol gaining without notifying cnntracrmr M Danoles a""a pest. Carry this post mrd block wig to soil or concrete hearing Exterior wall,: Singly 1"x6"alae.2"x6"studs ZYv center with double IN',*top plate: Sheadungto be 1/2"odx plywm il,Tyvek or equal wrap, siding W ami Neadcrs 10 be 2 2"x98'•hpdess other wise noad. Interior walls: gurgle 2"x4"sbac. 2"n4"studs IG'on center with 2 24x4"topplat; Fireblock all scud walls over 8' in height. Luplba Design standards: Design Lands Live Ikmd: First floor 404, "eased flomrlos.attic floors 200, roof§400 ardexteriat docks 60#, Lurnbea design criteria: Framing harbor: Fb1150psi, t,' :1.400,o00psi. All I,VL lumber to bti.Fb=2950paa mrd£='20,000,Mxlpsi or ltcum Roof framing: rafters or Drosses per plan. Collar lies positioned 1/3 distance f i...i ridge to ceiling 'I fusses to be "J%ed by mnmdhcunar said installed and braced in accordance witty instrucHoni' pmvided. Root •4hoalhhtg to be Ifs' cdx plywood. l Ise clips lbr 24"on center spacing Vg"flib tlan: cra tinuouesoftlt and ridge vents. Vent around skylight hornier. ! D galls R= I F I,isc , mcan IasWMHomupFlnt ge)liugs R= 3 C'atherhnl ceilings R- 3d extea'o•�'• ceRing R`I l gamfic colings R- 36 Use pmpyr vent owl, -al Io insula insulation does not 'block air flow nom vents. Rcccssai lights not te,x,unncndcA fn asOrcdrul ceiling , 71zRh0(x Rrz toG�-, tOea; ro :R�oPur-IG 'la SedtT 2- Of LVL. 6rRR'£R.- l_-1-Ve.Ae7�' 1ta >tl9 �L� 1'0 - ; t Ito ' Yd FI /V9 'I✓h fes; '...�., :( ,. '"`, I.r7 T{r�' '../lily( L,Jv 11,4Cr-- S 217 TH.Y C Q • 2`tid o' l6"ate ZY 6 tT"P5 _ �,� - - - - - . - - -.._ _-_u. - :,_ —_,.-� r .rte-,"tYC5fn7ksHc- 4.Z%. z6'xW4��1_��Fz -rixrz- Zrl�`©�vC�"n,K/sCi_rb- Hvsr(6,t'✓a..,P. f L� 14 ^A � e� Ii.od core. 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O� 7 eteeMkul Nojvs All work according to prevailing codes'. 2,10k, outlet pull chain light '/h 1 sinplc Switch light 17.4v aullct �,,1 double switch light }- 161110 smich light (1" smoke deleclor !(i telephone cable lv fi1�I recessed lightexhaust} e¢haual fan lim/light 3�°k 10r R�lc- r I „ i1OA N ".: nh' S tt � � IoalD"�' /LJ u3(r � • 1 ; — -- `Q F � Z -/ LVA ryl 36g , , I YC' os • L ats - i u 'Ir- b 1t� DA7l 3 -1 Y 1113 _. ,ate,, :vrxxd'_ = _ I ` l I s�tePP�61KP�2 J l N° ` eF NEIv r + 1 g••yv"„1 ;az �s �A i ,E, _L� .�.�—__..dry F a32i54-1 �l �1Q � j rpVpf op9pFE551�HP� e 5b o - MJttFF �" ' � /�