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HomeMy WebLinkAbout27254-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28490 Date: 06/06/02 THIS CERTIFIES that the building DEMO ADD AND ALT Location of Property: 2670 DEEP HOLE DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 2001 pursuant to which Building Permit No. 27254-Z dated APRIL 19, 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 A SINGLE FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE, PORCH & DECK AS APPLIED FOR. The certificate is issued to CHARLES & MARSHA MILLMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0207 05/21/02 ELECTRICAL CERTIFICATE NO. 2255 02/19/02 PLUMBERS CERTIFICATION DATED 05/28/02 PAUL'S PLUMBING Qa' F Authorized 0 gnature Rev. 1/81 L-1 Z- FEDERAL EMERGENCY MANA` 1W IT a9kEN�y. n'1 T 5. NATIONAL FLOOD INSURAI C#IOROdRAM— J ��G� � 0 No, 3067 0077 V R Ij E res July 31, 2002 ELEVATION CER IF6Te7-7 r •: Im ortant: Read the instructio SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use! BUILDING OWNER'S NAME SECTION Numoer BUILDING STREET ADDRESS(Including Apt.,Unit,Siete,andlor Bdg.No.)OR P.O.ROUTE AND BOX NO-- - Company NAIL Number Ac tTp /fid 6r b2I V CITY Zir/,,� OSE /�-7r/M C X STATE N V01- PR P R V D I t ( ot an o umbers, ak arcel Num .r,Legal r5escripfioni7etc.) - -- IOvv - q -/0 - 1L3 BUILDING (e.g.,Residential, on-residential,Addition,ACce9sory,etc. Use Conmtents section if necessary.) - R E-5/rY-v77e9 C. LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM. SDURCCl I�i GP (Type): or ##.✓bgtAgt) 1_1 NAD 1927 i_--I NAD 1983 L-I USGS Quad MaP SECTION B.FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP COMMUNI TY NAME&COMMUNITY NUMBER n1.COUNTY NAME B3.STATE —� So�T1toID 360813 -- 5offo Ik NY 14EL 65. U HX I B6.FIRM INDEX =r=FFEC'6'TlVEJI-MEVI.S1 B8 FLOOD. B uc LEVATI N(S) NUMBER DATE D DATE ZONES) (Zone AU,use depth of floodingj 3f,1o3G048Z Cr wtAy N 19988 Ac 810.Indicate the source of the Base Flood Elevation(8FE)data or base flood depth entered in B9. 1!1 FIS Profile 1X1 FIRM 1_1 Community Determined 1__1 Other(Describe):_ 811.Indicate the elevation datum used for the BFE in B9:X1 NGVD 1929 I,I NAVD 1988 1-1 Other B12.is the building located in a Coastal Barrier Resources System(CBRS)area of Otherwise protected Area(OPA)? I—I Yes 11 No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings' 1_ 18uilding Under Construction- IFinished Construction -A new Elevation Certificate will be required when construction of the building is complete. C2 Building Diagram Number I (Select the building diagram most similar to the building forwhich this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations-Zones Al-A30, AE, AH,A(wlth BFE),VE,Vi-V30,V(with BFE),AR,AR/A,ARIAE, ARJA1-A30,AR/AH, ARIAO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments oroa of Section D or Section G,as appropriate,to document the datum conversion. Datum N(,-V D Conversion/Comments Elevation reference mark used 130VC&m A e r _Does the elevation reference mark used appear on the FIRM? No Ll a)Top of bottom floor(including basement or enclosure) — S Z ft.(m) v D b)Top of next higher floor _ 17 2- ft.(m) c J c)Bottom of lowest horizontal structural member(V zones only) o Ud)Attached garage(top ofstab) — _ft.(m) $ �f U e)Lowest elevation of machinery andlor equipment w ` t"* servicing the building Yo7 7 fl(m) g D f)Lowest adjacent grade(LAG) 7 S ft(m) ' IJ g)Highest adjacent grade(HAG) !/ y ft.(m) If D h)No,of permanent openings(flood vents)within 1 ft.above adjacent grade­ 0 __ . U i)Total area of all permanent openings(flood vents)in C3h — sq.in.(sq.cm) SECTION D-SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevalion information. I certify that the information it)Sections A,p,and C on this certificate represents my best efforts to interpret the data avaiiable. I understand that any false slateMent may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001, ER Ii �y1 � -- K 4U 0, - !Uj ( , :5 . LIC N Code' i L !C/�-' C(JMP 4JY fVA E 0 5 Z Z '-- 0UJ4)t k- ADDRESS 7 t -o• Box 3 ryi i4 r'i'iTu l u --- FFMA Fnrm t_3 At 1 ,RQ tiFF RFVFgRF SInF Fr1R r.ONTINl IATION RFPs ACPS Al I PRF\/I 11 IS FIIITInNS BUILDING PERMIT REVIEW CHECK LIST �1122_1�'� -,?--- A,/ DATE REVIEWED: -0 /S b/ APPLICANT NAME: /-'i /// n DATE SUBMITTED: // /6 b SCTM# --- DISTRICT: 1,000 SECTION: /23 BLOCK: t LOT: /G PROJECT LOCATION STREET:_267a �r, n. - CITY: SUBDIV. NAME: ARCHITECT/ENGINEER: 1 q i , FAST TRACK: ES R SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES oR NO NOTES: ZONING: PERMIT ATE AMOUNT:_S ,.SX .00 ZONING DISTRICT R40 R80 AC CONFORMING: YES of O REQUIRED LOT SIZE: fb,e SQ] WHERE ACTUAL LOT SIZE FROM TAX CA ��+�P. ACTUAL LOT SIZE:120?A, SQ REQUIRED REQUIRED i9 REQUIRED FRONT:4O ' PROPOSED:10•3 ' SIDE YD: /-'5 PROPOSED:3S PROPOSED: /1"3 '14,5 REAR:SC) ' PROPOSED:163 LOT COVERAGE: ALLOWED: % EXISTING: sf_% NEW: sf_% TOTAL3439 sf/O CORNER? YES o NO )WATERFRONT? YE R NO DESCRIPTION: LOTS 40,000SF--100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.) PROJECT DESCRIPTION: ADD.ALT.AZoR iD. �a 0 "j /3.4�9/ "J/no AGENCY PERMITS REQUIRED FOR REVIEW EDED TOWN SPETIC PERMIT: r NO ///0 16C., SUFFOLK COUNTY HEALTH DEPT: E r NO, (BED #):� DTE:/d /J0/o 6 PERMIT #:R10- W -Wo) NEW YORK STATE DEC: PRE-DEC 9nn5 r NO f i1 oo i- t73&-o��9 O0oo 3 c3�izao Yos l/ SOUTHOLD TOWN TRUSTEES: r N0 TOWN ZONING BOARD APPROVAL: E r 9/L- of S.Q G !� TOWN PLAN. BOARD APPROVAL: YES or O FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: ��� � FLOOD ZONE: ��' "Clyi NYS ENERGY: YES OR NO EGRESS: VENT: LIGHT: NOTES: /r-o _z Cam.,s 4, ooh ZV�C 4E STRUTURE: FOUNDATION' 2-3// SF�e-^' f /G / CC rCw �s,.r wf FIRST FLOOR 19 99 - SF 6 JA SECOND FLR SF INIT OTHER TOTAL k ? TOTAL: 53/0 SF FEE FEE FEE i ' ��C�o TOT( 3/O SF)- ( 9:!';d SF)= SF X $. _$ fi92 +$ +$ '/',o G = $ /66� Ar-rd t�10 SFJ(.a Go c-�-(� �' !w'��itr'/aw /rr�c /..� /-;-71 1 a nn o2r'_p3 'b«.. - D G .G - S c ,Cc �uY+t� /1sS• 498 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; December 19, 2000 TO Peter DeNicola A/C Millman 1695 Chablis Path Southold NY 11971 Please take notice that your application dated November 6, 1999 For permit for demolition and reconstruction of one family dwelling at Location of property 2670 Deep Hole Dr Mattituck County Tax Map No. 1000 - Section 123 Block 4 Lot 10 Subdivision Filed Map # Lot# Is returned herewith and disapproved on the following grounds Proposed project, on lot 37078 sq.ft., not permitted pursuant to Article XXIV Section 100-244B which requires minimum side vard setbacks of 15 &20 feet with a combined of 35 feet Proposed structure shown with side yards of 15 and 14.3 feet with a combined of 29.3 feet Authorizekature SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 (631) 852-2100 PETER DENICOLA PROFESSIONAL BUILDER 1695 CHABLIS PATH, P.O. BOX 841 SOUTHOLD NY 11971 CASH RECEIPT Date Processed: 08/26/00 Receipt #: 73005-P-45148-11927 RESIDENTIAL WELL & LP'S Hdref No: R10-00-0207 Fee: $375.00 Received From: PETER DENICOLA PROFESSIONAL BUILDER Amount Paid: $375.00 Check Number: 2700 Project Name: RESIDENCE @ SIS DEEP HOLE DR. Location: SIS DEEP HOLE DR. o�> z GE0155 Suffolk County Department of Health Services Office of Wastewater Management Suffolk County Center Riverhead,New York 11901 (516) 852-2100 CERTIFICATION OF CARBON MONOXIDE ALARM INSTALLATION FOR A ONE FAMILY DWELLING BY A LICENSED ELECTRICIAN Health Department Reference Number: Tax Map Number: District Section Block(s) Lot(s) House Location/Address: I HEREBY CERTIFY THAT: 1. Carbon Monoxide Alarms have been installed on each level of the dwelling in which sleeping quarters are located, AND 2. All carbon monoxide alarms have been installed in accordance with Article 10 of the Suffolk County Sanitary Code and the Carbon Monoxide Alarm Standards,AND 3. All Carbon Monoxide alarms are UL2034 listed(Latest Edition), AND a. They have a Digital Readout,AND b. They have a reset button,AND c. They have a button to indicate the maximum concentration recorded since the last reset. (Signature of Electrician) (Date) (Print Name) (License Number) I HEREBY CERTIFY THAT THIS DWELLING IS EXEMPT FROM THE REQUIREMENT TO INSTALL CARBON MONOXIDE ALARMS BECAUSE: 1. There are no fuel burning appliances installed, AND 2. The garage is not attached to the dwelling, AND 3. The dwelling uses an electric heating system (Signature of Electrician) (Date) (Print Name) (License Number) THE ORIGINAL SIGNED COPY OF THIS FORM MUST BE SUBMITTED TO THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES IN ORDER TO RECEIVE FINAL APPROVAL W VM-075 18-1759,.///99 COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES CARBON MONOXIDE ALARM FACT SHEET On June 16, 1999,the Board of Health adopted new standards to the Suffolk County Sanitary Code for Carbon Monoxide(CO)Alarms. Beginning October 1, 1999, CO alarms must be installed in all new one family, two family and multiple dwellings. By October 1,2000,CO alarms must be installed in all existing hotels and motels. Carbon Monoxide Alarms are acceptable if they are certified by a nationally recognized testing laboratory and conform to Underwriters Laboratories Standard UL 2034. Units must be equipped with a digital readout of CO concentration and a button to indicate the maximum CO concentration since it was last reset. All new construction must have CO alarms directly connected to the lighting circuit with no intervening wall switch. Line cord,direct plug-in and battery-powered alarms are not acceptable. Carbon Monoxide alarms are required on each level of one family, two family and multiple dwellings on which sleeping quarters are located. All existing multiple dwellings must have a CO Alarm installed by October 1,2000. These alarms may be directly connected to a lighting circuit, be line cord connected or be direct plug-in models. The alarms must be placed on each level in all dwelling units or sleeping rooms containing a fuel-fired appliance or served by a centralized system supplying air for cooling, heating, or ventilation. Additionally, a CO Alarm shall be located in dwelling units and sleeping areas sharing a common wall with,or located directly above or below,a room containing a centralized fuel-fired appliance. They also must be placed in corridors which serve both a room containing a centralized fuel-fired appliance and dwelling unit or sleeping rooms. Each alarm must be mounted in accordance with the manufacturer's instructions. CO alarms are not mandated for existing one and two family homes,but they are recommended if the home has an attached garage or any type of fuel burning appliances. For more information on the requirements or installation of CO Alarms,call the Office of Pollution Control at 854-2540,or check the internet at h!W://www.co.suffolk.nv.us/health/environ/cofacts.htm. For a fact sheet on CO poisoning,call the Department of Health Services CO Hotline at 853-2911 WWM-075 (P 1 of 2) APPEALS BOARD MEMBERS OGy Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road James Dinizio, Jr. y = P.O. Box 1179 Lydia A. Tortora 0 • Southold, New York 11971 Lora S. Collins ?,� �� ZBA Fax (631) 765-9064 George Horning Ol �a Telephone(631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS AND DETERMINATION March 15, 2001 Meeting Appl. No. 4916— CHARLES MILLMAN STREET &LOCALITY: 2670 Deep Hole Drive, Mattituck 1000-123-4-10 DATE OF PUBLIC HEARING: February 27, 2001 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION Applicant's property consists of a total lot area of 37,078.10 sq. ft. (or .85 acre) with 75 ft. frontage along the south side of Deep Hole Drive and average depth along the east side property line of 467 feet to the high water of Deep Hole Creek. Existing is a one-story, one-family frame dwelling at 82.2 feet from the front property line and with side yards of 22.8+- feet and 19.9 feet. Applicant proposes to demolish the existing dwelling for this new single-family dwelling construction. BASIS OF APPLICATION: Building Inspector Notice of Disapproval dated December 19, 2000 denying the new dwelling location with proposed side yards at less than 15 and 20 feet, and less than a combined area of 35 feet required under Article XXIV, Section 100-244.B. AREA VARIANCE RELIEF REQUESTED: Applicant requests a Variance for a new dwelling with side yards at 15 feet and 14.3 feet, and a total of 29.3 feet. , REASONS FOR BOARD ACTION: After consideration of all testimony and documentation, and personal inspection,the Board makes the following findings: (1) The granting of the area variance will not produce an undesirable change in character of the neighborhood or a detriment to nearby properties because the applicant is proposing to build a single-family dwelling unit of similar size and shape of the dwellings located in the area. (2) The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than an area variance because the subject lot is narrower than most lots in the area. (3)The requested area variance is not substantial. (4) The variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. (5) The alleged difficulty has not been self-created because the lot is long and narrow. If the total square footage of the lot were less than 20,000 sq. ft., the setback requirement would allow the applicant to build a house four(4) feet wider than the proposed. In considering this application, the Board deems this action to be the minimum necessary and adequate for the applicant to enjoy the benefit of a new dwelling and that the grant of this variance will preserve the character of the neighborhood, and the health, safety,welfare of the community. Page 2—July 28, 1999 ZBA Appl. No. 4674 - S. Friedman Parcel ID 1000-123-4-4.1 RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Member Horning, it was RESOLVED,to GRANT the variance, as applied for. VOTE OF THE BOARD: AYES: Members Tortora, Horning and Dinizio. NAY: Member Collins, for the reason that a reasonable house can be built without a variance. This Resolution was duly adopted (3-1). ydia A. Tortora, Chairman Pro Tem Albert J. Krupski, President �Q$UFFO(/C Town Hall James King,Vice-President �.Z� GGy 53095 Route 25 Henry Smith C P.O.Box 1179 Artie Foster y Z Southold,New York 11971-0959 Ken Poliwoda • 'F Telephone (631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 19, 2001 Mr. Peter DeNicola 1695 Chablis Path Southold,NY 11971 RE: CHARLES MILLMAN SCTM#123-4-10 Dear Mr. DeNicola: The Southold Town Board of Trustees reviewed the survey dated June 9, 2000 and determined the demolition of the existing house and the reconstruction of a single-family dwelling with a larger footprint 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, Beard of Trustees AJK:Ims APR 19 ?;"91 APPLICATION a_ rAGE t of a TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and SiQn)= 1. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are made herein_ 3- If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. / (APPLICANT'S SIGNATURE) jo&% DATE SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICANTI NAME ADDRESS TELEPHONE APPLICANT �e�e217e6`�iWL� Lb4 C- ArSLas ? -2 3098 BUILDER Gplm ENGINEER C T t^ti ern ?UL Wdw 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. �(�70 l�eeP ala � �I� I�Y1a,�-f-wcic 7 FDP(93) APPLICATION a PAGE 2 OF G DESCRIPTION OF WORK (Check all applicable boxes) A. STRUCTURAL DEVELOPMENT ACTIVITY �q STRUCTURE- TYPE I.New Structure W Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residenual (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) (�J Demolition F ❑ Manufactured (Mobile) Home (In Manu- Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S� I960 B. OTHER DEVELOPMENT ACTIVITIES: 'M Fill ❑ Mining ❑ Drilling 10 Grading N Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or $rriidge Construction ❑ Subdivision (New or Expansion) 50 Individual Water or SeVor System ❑ Other (Please SpeciTy)" After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3 FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ IsIM 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 w 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 floodproofmg 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 arc 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. ❑ Is not in conformance with provisions of Local Law , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION N _ PAGE 4 OF 4 APPEALS: Appealed to Board of AppealO ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). �_.� NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF OMPLIANCE(To be completed by LOCAL ADNITNISTRATOR) 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: O NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND ,1:; THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # DATED ' SIGNED: DATED: C/C(93) Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 11/01/00 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Total Paid: $10.00 Name: Millman, Charles& Marsha 2670 Deep Hole Dr. Mattituck, NY 11952 Clerk ID: LIZS Intemal ID:19491 _l Tss-isoz c . BUILDING DEPT. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL r [ ] FIREPLACE A CHIMNEY k f REMARKS: I E F to a F ,DATE INSPECTOR k I f 7i5-il02 BUILDING DEPT. INSPECTION [A<FOUNDATION 1ST [ ] ROUGH PLB6. 115t/ [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: O p6L ar7 TJvsr�.�- �7' ✓�.Ai�� n � i I ,DATE / INSPECTOR suaoINc DEPT. INSPECTION [ FOUNDATION 18T [ ] ROUGH PLBIi. [ ] FOUNDATION 2ND [ ] INSULATION [ 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARK8: 1� Cw..O.W /v0� J ,DATE IIJ 1,aj INSPECTOR_� `�'� BUILDING DE". NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE RKS: IC �K Oma, c.�eo ,DATE S /`� O / INSPECTOR_21� �� ass-t et BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH [ ] FOUNDATION 2ND [ ] CATION [ ] FRAMING [ j FINAL [ ] RIREPLACE CHIMNEY REMARKS: e -,57 j I DATE �� D N8PECTOR L ns-1aa2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 8ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY I REMARKS: DATE 10111zaINSPECTOR � i suILnmo DEPT. 1 INSPECTI I 1 FOUNDATION 1ST [ ROUGH PLBQ. [ ] F NDATION 2ND [ ] INSULATION [ Fw�iwNG x [ I F7wLL R�EPu►cIE a cam+ REMARKS: s4; DATE d INSPECTOR � � • • � • � • � it �o i • � � � . � � � .. ., rte. _ � J OF /,- DuAhu Ur nL'ALrtl . . . . . . . . . . . . . . . a � FORM N0, I 3 SBT$ OF eLftNS . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . . . . . . . . . 3t ; TOWN HALL SLP'PIC FORM . . . . . . . . . . .. . . . . . . . SOUTHOLD, N.Y. 11971 DEC TEL: 765-1802 TRUSTEES. . . . NOTIFY: 5^ •f4 CALL .: Examined....�/ S- �O Q/ MAIL TO: . ... . . . . . . . . . . . . Approved.... 119 1001 Permit No. Disapproved a/c °2 !9 aV.. ....................................................... ..G. .... .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT /�� Q Date. ..�`.�... . .` . .�2G. . . . INSTRUCTIONS a. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector 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 mist be drawn on the diagram which is part of tl;is application. c. The work covered by this application may not be emmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit _ rall be kept on the premises available for inspection throughout the work. „�L No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occul.. .-y 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 necessary inspections. �e-�e(Z be 4,_e6 La. ..................................................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build( .......................... Ao4.��ea.......................................................... ........................ Name of owner of premises .......1A2.L8S._. ..yySR.jm).L, hYMFth.............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................................... Plumbers License No. ......p.`��.............. Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done......................... ..................................... lql q a 7 . .......... �e. ..�....Vn...........1 ............. ....................................... House = Street Hamlet County Tax Map No. 1000 Section ....U—; ...... Block .............. Lot ......10....... Subdivision ...................................... Filed Ma No. Iv[ (Name) P 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ber,c e b. Intended use and occupancy eta''T�.Tg A N tar.1 S .►tiS.r ruruLz:uuiq�i n�.eat 3. Nature of work (check which applicable):lhP . New Building ..... .... Addition . Alteration ........ Repair ............ Rehhoval .......... .. Demolition ....Y Other Work ................ (Description) 4. Estimated Cast ...7.�.................. fee ..................... (to be paid on filing this application) 5. if dwelling, runiher of dwelling :wits ............ timber of dwel I ing units on each floor Ifra ga ge, rubber of cars .................... .................. 6. If business, comercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front...G2�fl;2 Y Rear ........ '.`(]...... Dep height -J:5.. l y ........... ••••••••••••••••.. Number of Stories ....,[... Dimensions of same structure with alterations or additions: Front .......•• Rear ..... Depth Height •••�•..•"."""-•' •.•.•• Number of Stories ...... ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth ...... Height ......................... N:mber of Stories ....... 9. Size of lot: Front ............. Rear y(s'7 67{ ..� _..��3.:�e2...._.. Depth ......... 10. Date of Purchase ..................... Nale of Former Owner ................................. I. Zone or use district in which premises are situated12. .............. ..................... ......................... Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .. excess fill be r ............... Will emwed from ®nisei: �pc � 14. Names of Owner of prennisesGE`alrlps d/11n2 liYz7 ScftrwPl<ce0Kjue t aar� r 1r ........... ,5��/}l ll/y4ths. Address 4A4.rr41-1-_!-t'ac't 4nt..YLD3?-Phone Name of Architect &6eA,�..�h5S..r•g................... Address . Phone Nave of ContractorT,���eP 4c.................. Address[(t4 7S I�, oC . ...�t...�4u ..Phone No.76. . s3�e IS. Is this property within 300 feet of a tidal wetland? * Yr.S ...,•,• *IF YES 9D[Illlq[D 1UIdl u/ .. NO .......... > TRIISIFES PERMIT MAY BE Fn"RM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensiong from property lines. Give street and block number or description according to deed, and show street Harps and indicate whether interior or corner lot. srAlr Or M;W YORK, rd (x711N[Yr Or ?t�`kOL[� SS .......... �e4 Pry .�Pe(4 fG .. being duly sworn (None of individual signing contract) , deposes and says that be is the applicant above n•med, lie is Lite ... LDnie (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 Chis application; that all statements contained in this application are true to the best of his knowledge and belief; and t haC the work will be performed in the naarnner set forth in the application orn Co before me this filed tlherpcwitlh. %w �y .....�1.........day of(1Q/�{� %!L: :2000 Notary Publi Iva,/-•� MWABE1'l1ASTATHIS ........... NOTARY PUHUC,State ofNewVb* (Signature of Applicant) No.01ST8008173,Suff0&CMMV Tenn Expired dune 8>20G.F-• S.C.T.M. ►¢0. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 l i_ . 13 r DWELL. a L ,y h WELL OVER 100' FROM CESSPOOL / OEXISW CESSPOOL �D N/F OF BARR PIPE / 467.00FD EXISTING POOLS TO BE ABANDONED S 00.5010A" E EL 7.8 EL 5.5 vi RAIL FENCE 0.6'E el C EL ISTNc CE n, / (7.7) OF FILL EDGFIEOF AREA ..,Yj` TP ^ PROPOSE LAWN (�0 I 1 �M[IOP OIM.Iw1 r., EL B.2 W /5 O6 'SANITARY 171' / _(`Z' ^ I ,a LP M_PQ _✓ .2 I r� ti. '91 o LP EX 7.7\ �, EL 7.1 a QpJ `t' 1, _ LP 11 E 2}e' ,�• o pop' w 3 `l DOSING WELL I EL J I -Y ^J ' Oi / ^ LP y( O O (V W •S..i W / 1.1 1'EA GU. YO CLEAN AN W I� \ y - e— • N I PROPOSE / �y/ Flu REGUIRE0 l' EL 5.8 � DO VR HOUSE o p ` o h 0� 1 1� 0 32_8•r ' OO r Q g r 8 W (7.7) n �•J OC a EL \ 1 n n ^ _ r EL 7.1 EL 7.1EL 6.8 EL 6.1 W /�P�Q- �(v 2 RAN. FENCE 0.5'W N 01'45'00" E 412.00' I PROPOSED 3 BEDROOM DWELL. Cv FLOATING DOCK O `°°L LAND N/F OF GEOFROY L. PENNY F O DWELL Q WELL OVER 100' FROM CESSPOOL ELEV. 8.2 REVISE 11-2-00 C.I. LOCKING DR. BROWN REVISE 10-23-20 ADD WATER SUPPLY COVER i0 GRADE O (8.7)MIN FINISH GRADE LOAM 1• REVISE 8-22-00 ADD WET LAND BOUNDARY 10'=2 f/2' BROWN REVISE 8-4-00 ADD SANITARY SYS. 1/4"-FT. aw COVER 1�B_-FT. e COVERFe (e.,) p'�' 3.5. AREA: 37,078.1 S.F. OR 0.85 ACRES FIRM ZONE AE (EL 8) EL£VAnON DATUM: _________________ 6 6" SLAB (7.1) BROWN UNAUTHORIZED AL TERA TION OR ADD/TION TO THIS SURVEY/S A KOLA TION OF SEC77ON 7209 OF 7H£ NEW YORK STA TE EDUCA TION LA W. COPIES OF THIS SURVEY INVERT) �VRT MED TO ' MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO B£ A VALID TRUE COPY. GUARANTEES INDICA IED HEREON SHALL RUN (7.56) IN68RT I(( )T COARSE ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO 77-IE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU7701V ( 5) ) SAND LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION TANK 8Y J' COLLAR 5.1' THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE WALL MI POOL CLEAN WATER IN NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GU/DE THE EREC77ON OF FENCES, ADD17/ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS COARSE WATER EL 3.1 •_�" 2 SAND & AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY£NDENT ON THE PREMISES AT THE 77ME OF SURVEY 3'MIN GRAVEL BROWN SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MILLMAN• USE 4" DIA. APPROVED SEWER PIPE MED TO COARSE MAP OF: 1000 GAL. PRECAST S.T. (51) SAND z FILED: S �+ SITUATED AT: 1MATTITUCK WATER EL }-i 8-2-00 11' TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. THE WATER SUPPLY, WELLS AND CESSPOOL SUFFOLK COUNTY, NEW YORK Land Surveying and Design LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS EXISTING ELEVATIONS SHOWN AS EL 50.0, 50.0 // Calverton, New York 11933 AND OR DATA OBTAINED FROM OTHERS. PROPOSE ELEVATIONS SHOWN AS (50.0) FILE �' SCALE: 1��=40' DATE: l " ' PHONE (S18) 727-5127 FAX (Sl8) 727-8127 20-86 JUNE 9,2000 N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Henneay S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 a DWELL. PROPOSED FFL EL (17.3) CELLAR EL (8.1) i WELL OVER 100• FROM CESSPOOL / NG CESSPOOL �D N/F OF BARR OPE E 467.00' EL 5.5 EKISnNG POOLS TO BE ABANDONED S 00'50'09' E EL 7.a W of RAIL FENCE 0.6'E I — — _ 1= 'o (7.7) EDGE EDGE OF /O a EL STING C[SS a / / OF FILL AREA TP "!/ PROPOSE LAWN I Ti Ami � EL a.2 W Is .D' a (& 121' 121' i y 11�j s I 'Lj ti. 'S{J/ LP LL EK 7.7\ EL 7.1 too, HCl` aCU. YO 40EL 5.B w E1rsInG•L,1 I EL > R o i / A o LP `T H PROPa�s[o� yN,' 1'700 12Q �yt 0 O 3 O GARAGE W W rIj W / CLEAN UPLAND W Q uJ C P � • 1v9.1 ° PROPOSEQ i.1 LF'y FILL REQUIRED ' 1+ OZ•�— R R HOUSE o p / 26J' "O ° h c� 3z_a' � h o * d►° a 8 d (7.7) h F� n ,14# co EL \ q g W �^�- — — -- — EL 7.1 EL 7.4 EL 6.B EL 6.1 d /'��lv� 2 RAIL FENCE 0.5'W ,1. V q� • � 7 N 01'45'00" E 412.00' 0 /- FLOATING I PROPOSED 3 BEDROOM DWELL '' OVV DOCK O DnMC CESSPOOL LAND N/F OF GEOFROY L. PENNY pF DWELL. Q ELEV. 8.2 REVISE 11-2-00 C.I. LOCKING WELL OVER foo' FROM CESSPOOL REVISE 10-23-20 ADD WATER SUPPLY COYER TO GRADE C DR. BROWN REVISE 8-22-00 ADD WET LAND BOUNDARY (a•7)MIN FINISH GRADE LOAM 1• REVISE a-4-00 ADD SANITARY SYS. ,o=z 1�r 16•.r Z BROWN FIRM ZONE AE (EL 8) uscs 11/SFT. LOAMY CLAYEY AREA: 37,078.1 S.F. OR 0.85 ACRES ELEVATION DATUM: _________________________ COVER 1/8�—FT. �O 6 COVER (B.1) SAND 3.S 6• 6` SLAB UNAUTHORIZED AL 7ERA TION OR A0017ION TO THIS SURVEY/S A VIOLA TION OF SECTION 7209 OF THE NEW YORK STA IF EDUCA TION LA W. COPIES OF THIS SURVEY INVERT) VINERY `= (7'1) BROWN MAP NOT BEAR/NC THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES /ND/GATED HEREON SHALL RUN (7.35) MED TO (7.56) INVERT I(6��T COARSE ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 7111E COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION (I�6 )) LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS71TU77CM GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION TANK 8.0 3' COLLAR SAND 5.1• THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE WALL MI POOL CLEAN WATER IN NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS 2-SANDE WATER EL 3.1 AND/OR SUdSURFA C£ STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREM/SES AT THE 17ME OF SURVEY Ak _T GRL 3'MIN AVE ertowN SURVEY OF: DESCRIBED PROPERTY CERTIFIED T0: MILL USE 4' DIA. APPROVED SEWER PIPE MED TO MAP OF: COARSE 1000 GAL. PRECAST S.T. Z (5.t) SAND FILED: N SITUATED AT: MATTITUCK WATER EL 3.1 1 1 iowN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. B-2-00 / ' Land Surveying and Design THE WATER SUPPLY, WELLS AND CESSPOOL SUFFOLK COUNTY, NEW YORK f, !t/ Calverton, New York 11933 LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ON5 EXISTING ELEVATIONS SHOWN AS EL 50.0, 50.0 "/ AND OR DATA OBTAINED FROM OTHERS PROPOSE ELEVATIONS SHOWN AS (50.0) PHONE (516) 727-5127 FAX (516) 727-5127 FILE ®20-86 SCALE: 1"=40' DATE: JUNE 9,2000 N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Hennessy S.C.T.M: N0. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 SUFFOMCOUNTYDEPART IENTOPHEALTHSERVICES EXCAVATION INSPECTION REQUIRED PERMIT FOR APPROVAL OF CONST:2U3_'TION FOR A FOR SANITARY SYSTEM o BINDLE FAMILY RESIDENCE ONLY i HEALTH DEP NT DATE 0 "SO" HS REF.NO.R 10-Q0-0d7: APPROVED FOR MAXIMUM OF '�-40OMS EXPIM THREE YEARS FROM DATE OF APPROVAL WELL OVER IW` FROM CESSPOOL /V iA PIPE Ewsnm CESSPOOL Ea �,�5 LAND N/F OF 13ARR � O/ A�` ca'up�, � 467.00' N E7D511NG POOLS m se ABM/DONEO S 00.50'00 E EL 7.8 EL 5.5 du FENCE O.8'E a OF £! a N ) U E\ F10LLEAREA �O 9 fffyyy I 1 / 1 EL 8.2 W I S e (swlWN r�Rr 12,1 '�1 r J0• EL 7.1 �'1� 'Sl 0 7.7 85 a E O -0� u+ E t!0' w L1GSIe1G.FE„ .3 o J g x o r3e �4 x o ' W yy g� ) CLEAN1200 Cu. ro W _ W H9W�M.E �' aaa PRO I i.t i1..1 W ley LE UPLAND EL 5.8 ,O� a w' c= <n 1� -`�•7- TI T`t o HOUSE o p / rte. 'o - O I",0 32_8. - \ O MCD AA /� Wool1 'aa, p 8 W (7.7) vet �y `,f1 S"'7 C—) T1;:u EL EL 7.1 EL 7.4 EL 6.8 EL 6.1 W / Q- �v u7M N r C7 W 2 RAIL FENCE 0.5'W �P rn E; q1 • E I N 01'45000" E 412.00' r,� �' mrTl o®PROPOSED 3 BEDROOM DWELL/ FLOATING OEXISTING CESSPOOL LAND N/F OF GEOFROY L. PENNY �Q :rm ..1 OWELL Q WELL OVER IOD' FROM CESSPOOLELEV. 8.2 C.I. LOCKING REVISE 10-23-20 ADD WATER SUPPLY COVER TO GRADE DR. BROWN REVISE 8-22-00 ADD WET LAND BOUNDARY (8-7)MIN FINISH GRADE LORA/ 1' REVISE 8-4-00 ADD SANITARY SYS. 10'=2 lir +6'=2' 3 BROWN FIRM ZONE AE EL 8 USGS Loon CLAYEY 37,078.1 S.F. OR 0.85 ACRES ELEVATION DATUM: _______________________ 1/4'-Fr. COVER rg 1/8--Fi.' COVER (8.1) SAND 3.5' AREA: Ir 6' SLAB UNAUTHORIZED ALTERA7101V OR AD0/TION TO THIS SURVEY/S A VIOLATION OF SEC7101V 7209 OF THE NEW YORK STATE EDUCATION LAW, COP/ES OF THIS SURVEY INVERT) NVERT a (7.f) BROWN MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAL/D TRUE COPY. GUARANTEES /ND/CA7ED HEREON SHALL RUN (7.35) MED TO (7.56) IN6VF�R7 I��f27 COARSE ONLY TD THE PERSON FOR WHOM 1HE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING /NSIIIUTION NMI, )) SAND LISTED HEREON, AND TO THE ASSIGNEES OF THE LEND/NG /NST1TU710N, GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION TANK 8Y 3' COLLAR 5_) THE OFFSETS OR D/MENS/ONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE POOL CLEAN WALL MI WATER IN NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO CU/DE THE ERECTION OF FENCES, ADD/7/ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS COARSE WATER EL 3.1 2 SAND h AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 71ME OF SURVEY 3'MIN GRAVEL BROWN SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MILLMAN; USE 4' DIA. APPROVED SEWER PIPE MED TOCOAMAP OF: 1000 GAL. PRECAST S.T. (s.f) SAND FILED: z iv SITUATED AT: MATTITUCK WATER EL 3.1 i l' TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. THE WATER SUPPLY, WELLS AND CESSPOOL 8-2-00 SUFFOLK COUNTY, NEW YORK Land Surveying and Design � LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS EXISTING ELEVATIONS SHOWN AS EL 50.0, 50.0 Calverton, New York 11933 AND OR DATA OBTAINED FROM OTHERS. PROPOSE ELEVATIONS SHOWN AS (50.0) „ PHONE (518) 727-5127 FAX (518) 727-5127 FILE #20-86 SCALE: I"=40' DATE: JUNE 9,2000 N. Y. S. LIC NO. 50227 maintaining the records of Robert J. Hennessy — n S.C.T,M. N0. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 r � ! ELM c-•>- �, F PROPOSED FFL EL (17.3) CELLAR EL (8.1) LAND N/F OF BARR PIPE 467.00' FO o 0i /2 RAI. FENCE 0.61E .S' 0050'00 E EL 7.8 EL 5.5 W q �y O EL 8.6 P 9s.J 1 �p� 6h .0'91 EL 7.1 top of am&t S fsl ::.Yp ?Q i° CWCE FOUNDATION LOCATION j Q TOP K WALL EL 12.5 n FgJI1MTpD n ' 70P OF FOUNDATION EL 16.1^ IMEL 5.8 '^I 22.J' 0 T7 4.S W) 10.010 0 32.9' 26Y CJ Oi '1 a.Y O/f� nom'Z EL 9.1 f�^c.IC.• cn EL 7.1 EL 7.4 EL 6.8 EL 6.1 IS �t 2 RaL FENCE OXW A N 01045'00" E 412.00' C PROPOSED 3 BEDROOM DWELL �`� V FLOATING O� DOCK LAND N/f OF GEOFROY L. PENNY ................... l FOUNDATIN LOCATION 6-27-01 AREA: 37,078. 1 S.F. OR 0.85 ACRES FIRM ZONE AE (EL 8) £LEVADON DATUM: __NG`°___ ___ _____________ UNAUT14OR12ED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STA TE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT 81-ARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LI57ED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT DN THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MILLMAN; MAP OF: FILED: SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. EXISTING ELEVATIONS SHOWN AS EL 50.0, 50.0 SUFFOLK COUNTY, NEW YORK / / Land Surveying and Design PROPOSE ELEVATIONS SHOWN AS (50.0) /�, /L/ P.O. Boz s, MatUtuck, New York 11952 FILE M 2O—$6 SCALE: 1"=40' DATE: ,TUNE 9 2000 PHONE (691) 298-1688 FAX (691) goo-15se N, V. S. LIC NO. 50227 maintaining the r rda of Robert J. Hannas7 S.C.T.M. NO. DISTRICT: 1000 SECTION: 123 BLOCK: 4 LOT(S): 10 3 LAND N/F OF BARR PIPE 0i /2 RNL FENCE 0.8'E S 00050'00" E EL 7.8 467.00' FO 0 EL 5.3 r1 O 9.0 11.0 a t L O Srae t '^ $ uwsm smc^W�� „ EL 7.5 yO A R 8.0 ��. 50.o' L 10.8 10.2 ,Q�J ►5 ,mo 7. 47.5' EL 7.1 22 3' 1 STRY EFL- 17.2 n I. ' 4 LP LP 0 8 O n yk 1 n CELLAR EL' .2 1.04. �y ,�vA EL 11.1 2A]' �3 5 LP LP `0 EL 5.8 OO ^• l¢¢to h � •Y 1 O O . � O tF O cltls,m titlit aNflwr L 11. EL 10.8 t.o• O zt o Q K atv aNMo[ EL 9.1 t� Nt --:'-,2 PAIL !-1 �]TTTili, EL 8.0 EL LA�4 EL 8.8 EL 6.1 W FENCE 0.5'w �P 2! 4 N 01"45'00" E 412.00' �Cv FLOATING LAND N/F OF GEOFROY L. PENNY DOCK 0� �O Q ROOF DRAINAGE; HOUSE 2480 S.F. X .17 = 422 CU.FT GARAGE & BREEZE WAY 801 S.F. X .17 = 136 CU.FT FINAL SURVEY 2-1-02 TOTAL 558 CU.FT FOUNDATN LOCATION 6-27-01 AREA: 37,078.1 S.F. OR 0.85 ACRES FIRM ZONE AE (EL 8) NGVD £L EVA17ON DATUM: ------------------------- 558 CU. /42.14 CUFT/VF (8'DIA)= 13.2 V.F UNAUTHORIZED ALTERATION OR ADD17701V TO THIS SURVEY IS A WOLA77ON OF SEC7701V 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY INSTALL 14'V.F. OF 8'DIA POOLS MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSID£REO TO B£ A VAL/D TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY/S PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777UT/0N LIS7ED HEREON, AND TO THE ASSIGNEES OF THE LEND/NG INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR D/MENS/ONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT RE RECORDED LINES OR TO GUIDE TH£ EREC7)ON OF FENCES, ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCR/RES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EWDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED T0: MILLMAN MAP OF: FILED: SITUATED AT: MATTITUCK TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK KENNETH M. WOYCHUK L.S. EXISTING ELEVATIONS SHOWN AS EL 50.0 Land Surveying and Design PROPOSED ELEVATIONS SHOWN AS EL(50.0) , P.O. Box 9, Mattttuek, New York 11952 FILE r!!2D-86 SCALE: 1 "=4Q' DATE: JUNE 92000 PHONE (sal) 298-15M rAx (881) 298-15M , N. Y. S. LIC NO. 50227 malntalaloR the records of Robert J. memmem NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION EFFECTIVE DATE DEC PERMIT NUMBER Se tember 11, 2000 1-4738-01195/00003 0, EXPIRATION DATE(S) FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental September 11, 2005 Conservation Law truct El Permit to Operate TYPE OF PERMIT ■ New ❑ Renewal 11 Modification ■ Permit to Cons ❑ Article 27, Title 7; 6NYCRR ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water OuaLity 360: Solid Waste Management Certification of Waters ❑ Article 27, Title 9; 6NYCRR El Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES 373: Hazardous Waste Management Supply ❑ Article 19: Air Pollution Control ❑ Article 34: Coastal Erosion ❑ Article 15, Title 15: Water Management Transport ❑ Article 23, Title 27: Mined Land Reclamation ❑ Article 36: floodplain ❑ Article 15, Title 15: Long Management Island Wells ❑ Article 24: Freshwater Wetlands ❑ Articles 1, 3, 17, 19, 27, 37; ❑ Article 15, Title 27: Wild, 6NYCRR 380: Radiation control Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands TELEPHONE NUMBER PERMIT ISSUED TO Charles Millman ADDRESS OF PERMITTEE 11427 Sutton Place Drive East Carmel, Indiana 46032 TELEPHONE NUMBER CONTACT PERSON FOR PERMITTED WORK P (631) 765-5368 Peter DiNicola 1695 Chablis Path, Southold New York 11971 NAME AND ADDRESS OF PROJECT/FACILITY Millman Property 2670 Dee Hole Drive LOCATION OF PROJECT/FACILITY Mattituck, New York NYTM COORDINATES COUNTY 11111 TOWN WATERCOURSE Suffolk Southold DeeD Hole Creek DESCRIPTION OF AUTHORIZED ACTIVITY Remove existing single family dwelling and construct new single family dwelling, driveway and associated septic system. Place 1200 cubic yards of fill. the permittee agrees mit t upon t compliance with By acceptane of this ermit ablecregulations, the, � General Conditions specifiedh(see rpage�2 & 3)�and nany Special Conditions h Condiittions included as ECL, all app part of this permit. PERMIT AD NI TRATOR: ADDRESS Joh el end KPK Bldg. #40, S NY, Stony Brook, NY 11790-2356 AU HOR D SIGNATURE DATE Page 1 of 4 GSe tember 11, 2000 „f , ! , n ,'h, © = �ih, , 1f( �qqV ! , - - �oxs ) Co a- a ,Trig rwsOf F6n•(A %SEC ��w```��JO {�� / A” 1. J ,, r _/-Ir-1 ,.45S :/5 1 av-cep. d . J � 1 } 3�o��" �w.I�P,-�ia�s sw.t� Towa' LA/af ?9/6. Y r - , MJ.+ .unn, „/s FE as J/edF 4rrn„A /3 y' `Z"oe0 ZQ,$ . - M j �✓V,Yr / K r r//r/-/y Q/SC6,1.3"/ / q, fr,on 4— /,)'~/ J,, . ��"ti -', . �o furor/ 'k ra gcoc �-coan Er4✓4 a? ,OF "+ D,` SG Ag '�J rr Or '�� a [ if 7 - - _F.0 4,,IA•IOt -f 54 ,FG I e cr J4 4wj. /r« i ]o '6e rz �uAFI r - - - :I I ,r Imos ,� �3jgr {' QCRlL�'1M111'Qlp1RTERa"o ` Na t0111T,=. TOWN avelfreqI1CQDq,ON /,, F,r X16 ' , ).,m ,� OCCUP�4�9CV C! o" ,1` ` APPROVb AS NOTED 1 �p p � E - DATE: /9 0/ 8P# 271.49 z� Ue�JT�t���J1g PCD&�0 �Ir, r�-� �� T Yf . II 11 � _ _ - _ 'FEE, �/� BY, - WITH faPL1'L;f@ . 6a- 6�A1 0 , NOTIFY DUILDING DEPARTMENT AT VI ®rl:�°y/F3 p t, - - 76F 98 RAM TO 4 PM TOR THE r rtaLr {'�: a„ - 1 f t,l'DATION - TWOREQUIRED. 5 j- 'FDI In CNG IfJSPECTIONS: 1b. P F - - 1 2 r !G II� FRAMRED ING 6 PLUMBING A�ETE r � - ' 1 r , a r,:,uLaTlo" PROVIDE ANTI-SCALD AND/OR I1/ 4 FINAL, - CONSTRUCTION MUST 1� r�' J _ _ �; -. It �,_ RF COMPLETE FOR c.o.' THERMAL SHOCI(,PREVENTING Io I ' _ ALL CONSTRUCTION. BHAL MEET :DEVICES AS TO PART, 902.6(R) fy� - I _-_._.._..�,--____ —_ __- -___ �-_,-,,._,� ._. _;_ __-•--.r--„^- ' - - i�1�y--_ �I ' 11 ^ I II _.._..._.._-.�„�....,.,,_ ,p�' STATE CONSTRUCTION &' N N '� 1t4 � , ', ti , ' �n� l N.Y. STATE BUILDING CODE. 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AII'MAN ehnit auparaSdc dcowings- Profeuigo+U.iudgemeo4 t6c drawiaga wdfotm to to NEW Vol _ + :; '1�rittap;dimeaaiirm{leap UNn,pi'Gdedaoce d{ieraraled•ilimepsiom. - STATE:,Enerp CdMI&Yatiaa 6enatmaiea Cods,,'Marah 11091: - 3.' A!t dimelditinF a ilSidB'.'arneYr ohall be vailiGd'by the contractor, 2. All HVAC s ems Abid (meet the,KY9 En#V Cade. It abill'be the .- res lbil of the Biacliaph al'toutra for submit the design,type V:.,Ti�4'ArchitaGapi";,..all To AFn ldiiogt.$hallo the caps"in'ther the P^m,' dy. as 'witbodt his apprevnt. Toe Arc4itest akWl"the rta�ransiilk.(orthe eiz4.knq lops to,WeL'twtrer eNess,York Suit Ener&v code. - cgaskryGlieq,m�ags,aWbods,',sequeaees'or pca anivs. , ' 3. A&work_ahalicepform:to the Ness,York_ State Enrrgyx�cod4. 5,,, 'Ag deranul and'Plnm4ing�hailcwtorm'to,�YN alerts,local,Canny coda, a. Ail-windaWl,gnat lailC'p :41-,, TYPICAI-A 4 ; and'ha9.beltlapatotl And aPPrc"`�Withe gararnin*agencies•Cwend 5. A4 doors,II�,aO moa.,-eztenor d';;cello doors wea[4er-stripped 'pa k l;PPi aturlpies ,,i'� Wn(ngiprsh ,ll lee r'tipagsibk for all'enetti4liop ntateriais.drslgh,etct '4. Thermoafatfbai1447 day programmable, - '15,16.ioof•paPhr heating; ,.. bear oq,xiigia,;podntu{bed a minimum 7. Immolate ail phpipg aPd'ducte 4Gr Eoap�Cwie. Rk"m W, pt7lda Plywood sh®tithing 6. 'All 16-bass aha0 nd with a, 1f1'Eaiai4r .- . Ail foods 'ebitll be aml� um below,final a at V,aO F. Madmum / • ui of 3 ton$pot agoaie toot. AB domestic hot water eedrng Uft Re Goya We'atr4 6 d� h 8'OFF th rt 2B'daYi B' Tkb Pisa conforms to kart 8,Hugdiag Design by Thermal lbttin)t �TYPIQ ti CQNSTRUFTION ^T @ 1 '7 :R71s:oncrear►4a4kaaf+n 4pa .P!'4+t - - YZ'' -� 11`-2`j- �?• , �} ATI an res, GagerNe l4a'atdarm to the ACI codes athndards. Method. Non+F.lerlrincoodiart beat, 6000,degree days,' - ,S alta0 x+raP Peed faoCig' �y ��• - -." ,� ;I <`3 �J - Ftdty VatNldvl'ilyl 8.".Na4ukffUetulibepiued;agaidetthe ,f0'uodatkmwalls until iSnt.tloor Area U•Vstut Thermal - J 7X(� C.• G}j� V ''`. t• l _ 'iramtngn iu,pinu or 4raoaydhpdntloa yocl YYs� T'�PIM P RJO VALI, _ - '` ` 4, MGtid Nnhlog chap btpkevldGd,wsrq tdperete nhgd wood..And were - GLAZING 2a4'1Naptl,fQ1„tia Qi AS'D,d. l \. WALLS ,Y.&1 fJ?l.' decks a4u1 hoose 1`nm1140. . as _ c4 .- - " "10.Dou61e)o&ts'hader parallel,particana and'usMerwhidpgols.'. Vol , _ t F-%la '+l'11m�Pt d'sjwdSFiing 111,Jo 11a16seq'ra(#uW at all Bushstroctµral load bescingcogditipos. 9HYI;IG8T5 -_.- tldtih0 �� t - �, U37GP[R tit r' atter1:0 k1:QOit6 - n0,17 12. B _ a e EDGL _ 4 .„= STRUCTION� ,' .. - ---- Mingle yaember' 054 rme4a;kiterinr: "lata alto B tt0(1PJCLG' _o .°S� TYisiCAL PLQQ4C G - -'- - --”.--- - :-' ber1247-psi 4. Op e '_ h eh la drloutsd inches, momnd .. 13:Mmemo r. P � iealas' SLA c.-JZ -�: � � a, � iy- P '1314- P :atOS�geYa 6 nail, _ .„protons ahioaft Ona wigd!lw m OR, spaa4 4acApt•kilehens.aod bathe that - g0uf 1 c9al'orm to the'NY$egrops code,Opol window 1 niioapp4m�iWensiop,'wsih bokamviloirens'ng'ne higher than 3'.6" above TOTAL TH&KHAT PATIYiG + TYPICAL R�Ut1t1AT10N OCJPiST, Rp41h$Ipr uoii110 'sYhere regmred rb,.4atements, Minimum code ztlmRh+nce ndoB-,0 5 pdunM7 CYlftlsale waGs on, f Arcbittatlue ant bean re`Ea ilea foroopyteuction sujx'rvision,itlnpeadon,+," ' ,'Ex**dikMWagluoh 1` ' EMOs9pf tlhm oiv ,.l ' „n6seVving.11it SrograFs sod,quatifi'nttMl'alorll agtlSr ednetr'nstiPn or contract 246 v”so plapea,oatitbgl, �j ('C{�•� , r - xI ,adWiaht"'flop. TheOwaGr(4hdaete(Y',06e wiely respoollbk for nct ' 4stmih., - '� ' iaonstYactiagphos%*AdforlaierproCingthe e0111ftaiandgwiop)t - ''"1A2"Xd Mls Wt'ISpO,Q ti'rQ'q.c.- - !' ob/ervingthe stork ot`'the eontrartari to discover,twat or mitigate errors. _ - hditf6d 7• l"1'rot0 gprtlef5 � ., m z,10 nntaa natal otkeRvsisa dGarage$hsti 4"4 e app stab 17, VOW fry'ar to,ezteiiorand all Oath to 3'an separaN switch. 1NS1K_A WM.. -.�,-_. =_-; +=_.1—.' :"_..,'---•"�-,{' ---.-,.--�: .� ' _ r, Jjf If - AN shrg 6d KrAlt Ftnxd• . -�, 1f ..•.1 tr----- - ---_ l e< i. ll4LJJ 'i.1 �'- 1 111111 Tinct VVWX walls' t Po 30.�ilhgp �� . ✓' "i p ' . - , ' , , �ft YB ebltaf raligpYgs hYgipy slices', c,J 1?� E,�' ii✓I�^ �, = - ovirr,SN�tYIVib 61a'taNfa>;Igtg3, - - ' t2✓�L,r2 f Tyol&AL IN 'ERIpR MIST{ - JJ L, IM'-GYps+rtdwad bcwdon, ' wallatlrld.i silirps gnipn-no/Od', ' - 1C-_ 1t, r ill xy z�,i// 1'z I — _ _ w , „ 9 t� tI N Si 4 i N fn z J 4ILM•3nnll ARC F t rlt �� �0 Mi(tnF,rti I 'rl alb, •__--""'— x I y*' - Q >ai* , - - .