HomeMy WebLinkAbout27424-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28476 Date: 05/30/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 870 CHAMPLIN PL GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 34 Block 5 Lot 19
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 7, 2001 pursuant to which
Building Permit No. 27424-Z dated JUNE 21, 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 ONE FAMILY DWELLING WITH FRONT DECK AND ATTACHED TWO CAR GARAGE AS
APPLIED FOR.
The certificate is issued to THOMAS MARZANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0221 05/23/02
ELECTRICAL CERTIFICATE NO. 56761 05/01/02
PLUMBERS CERTIFICATION DATED 02/24/02 THOMAS MARZANO
LWal� j e�D�4
Authorized Sig Lure
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. 27424 Z Date JUNE 21, 2001
Permission is hereby granted to:
THOMAS MARZANO
16 HOFSTRA DR
SMITHTOWN,NY 11787
for
NEW CONSTRUCTION OF A THREE BEDROOM SINGLE FAMILY DWELLING AND 2
CAR GARAGE AS APPLIED FOR WITH TOWN TRUSTEE ' S & NYSDEC APP. INCLUDES FLD PERMIT
at premises located at 870 CHAMPLIN PL GREENPORT
County Tax Map No. 473889 Section 034 Block 0005 Lot No. 019
pursuant to application dated MAY 7, 2001 and approved by the
Building Inspector.
Fee $ 395 .40
Yut�ior'iized Signature
COPY
Rev. 2/19/98
�`— Form No.6
r l (� �>;
i r TOWN OF SOUTHOLD
MAY 2 3 Z�'J2 BUILD DEPARTMENT
TOWN HALL?65-1802
FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For/dew 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.
S. 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- $100.00
3. Photocopy of Certificate of Occupancy-$ 0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00
/ Date. 5 2 3 Z
New Construction: ✓ Old or Pre-existing Building: (check one) 1'
Location of Property: (7yc� CiC�u �� �^ n_~
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block .- Lot
Subdivision Filed Map. Lot:
Permit No. Y2-- ate of Permit. 2/ 0 Applicant:
Health Dept.Approval: Underwriters Approval: to7r?a
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ dy
cl L 2-"
L O a- Applicanture
765-1802
C2 BUILDING DEPT.
INSPECTION
[ FOUNDATION IST ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARKS: z e,00000,
47
,DATE 8/2n, INSPECTOR �
s
765-1802
BUILDING DEPT.
INSPECTION
[ ] F UNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL=ele
Y
REMARKS: l -
'060, -A
DATE INSPECT
O
7VaV,
M-11102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
� u
DATE�� �� INSPECTOR
7V�L7
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ROUGH PLBG.
[ ] F NDATION 2ND
[ ] INSULATION
[ FRAMING ( ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 4ao&
�/���
12
171° - _ U� 310 , l
DATE l D INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLA CHIMNEY
REMARKS:
DATE INSPECTOR r
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SOLATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: -;// � - -
C" c- 0)2
l
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING k [ FINAL
[ ] FIREPLACE & CHIMNEY y,
REMARKS: A
DATE tlllU �SPECTIO
1 1 ' 1 ' 1 •
i
I _
t I z
f I _
f
BUILDING
DEPARTMENT
13U1Li)INU Pl Klvll1 AePLIC:AfIUN C;HEckLIS
TOWN A DEPARTMENT Do you have or need the following,before applying
TOWN HALL •.
SOUTHOLD, NY 11971 Board of Health —
TEL: 765-1802 3 sets of Building Plans_
Survey
PERMIT NO. _ 2 ?4 sz Check
Septic Form
N.Y.S.D.E.C.
Examined G 41 200 Trustees
Contact:
Approved_ G12/ 20 aL Mail to:
Disapproved a/c
Phone:
Building Inspector
i
j MhY
17 200 i APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date �d 2_ _, 200/
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on'premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan
is issued 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.
(Stgnature of applicant or a name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder
Name of owner of premises
( 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.
Electricians License No.
Other Trade's License No.
1. Location of land on whichroposed work will a done:
House Number Street Haml t
County Tax Map No. 1000 Section_ 3. • Block 5 Lot 9
Subdivision Filed Map No, Lot
(Name) .
• s_
Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy VOX&,j
b. Intended use and occupancy JdA4, WIA,
3. Nature of work (check which applicable): New Building—X _Addition Alteration
Repair Removal Demolition Other Work
(Description)
t. Estimated Cost S D, 0 Oy Fee
(to be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars ;DL--
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front 5 (0 Rear 6 t Depth yf
Height Number of Stories l 4tZ
Size of lot: Front 13 O Rear_ i 6 Depth 125
0. Date of Purchase Name of Former Owner K o '0_ ,e�
1. Zone or use district in which premises are situated Q -L}u
2. Does proposed construction violate any zoning law, ordinance or regulation: n 0
3. Will lot be re-graded y\,,o Will excess fill be removed from premises: YES NO
4. Names of Owner of premisesTM a r z
Q,,4 Address 5 n Phone No. -72--1 - i o 5,
Name of Architect Address Phone No
Name of Contractor Address Phone No.
5. Is this property within 100 feet of a tidal wetland? *YES _NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
N Z -Jt Jj-. 1 &UL.� N' s a cc P---�r
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK)
SS:
:OUnNTY OFS_ r4 (&Awk)
C or c,�ex. f lcs3rct,...o being duly swom, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
3)He is the
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
-rformed in the manner set forth in the application filed therewith.
worn to before me this
7 day of 20a/
Nota Public
Notary Signature of Applicant
SANDRA M.COOPER
NOTARY PUBLIC,State of New Yatk
No.4801478
Qualified in Suffolk County
Commission Expires January 31r�
a Ci oat.,
FEDERAL EMERGENCY MANAGEMENT ACjc.i_
NATIONAL FLOOD INSURANCE PROGRAM' -!i' 23 2002
ELEVATION CERTIFICATE _...__.--_
^ -
Important: Read the instructions on pages 1 T .. L
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Company se:
BUILDING OWNER'S NAME Policy Number
Thomas Marzano
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NQ Company NAIC Number
870 Champlain Place
CITY STATE ZIP CODE
Greenport NY 11944
PR P TY D SCR 11 (Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
BUILDING e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.
Re ' dential
LATITUDE/LONGI IUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 1-1 GPS(Type):
or ##.M#H1) L-1 NAD 1927 1_1 NAD 1983
1_1 USGS Quad Map L-1 Other:__
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
Town of Nouthold Suffolk New York
AND PANEL B5.SUFFIX B . I M I D X B .FIR ANL B8. LO 89. ASE FL O EL A ION( )
NUMBER DATE EFFECTIVE/REVISED DATE ZONES) (Zone AO,use depth of flooding)
136 .. 3CO176 G IMay4, T998 5 4/98 X/AE 8
610.1 1 ndicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
--I FIS Profile 1X_1 FIRM 1__1 Community Determined � �Other(Describe):
B1 1. Indicate the elevation datum used for the BFE in 89: X-1 NGVD 1929 (Describe):
NAVD 1988 _ Other Describe :
12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? -1 Yes IXI No
Designation
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on: I_lConstruction Drawings' --/Building Under Construction' I XIFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number—___(Select the building diagram most similar to the building for whit this certificate is heinn mmnlPrPd_SPP
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones Al-A30,AE,AH,A(with BFE), VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.a-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 area of Section D or Section G,as appropriate,to document the datum conversion.
DaturrN_GyD2___ Conversion/Comments
---------------------------------------------
Elevation reference mark used__RM2-32---------Does the elevation reference mark used appear on the FIRM? _�Yes _�No
❑ a)Top of bottom floor(including basement or enclosure) _________8 ._9 ft.(m)
❑ b)Top of next higher floor 13 0 ft(m)
❑ c)Bottom of lowest horizontal structural member(V zones only) _
❑ d),Attached garage(top of slab) NIA ( ) ° 0
-ft(m) f
❑ e)Lowest elevation of machinery and/or equipment w M-
servicing the building(Describe in a Comments area.) _ 13 _0
❑ f)Lowest adjacent(finished)grade(LAG) 7 7 ft(m)
z
❑ gj Highest adjacent(finished)grade(HAG) __—___ 8-- _7 ft(m) w
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade_X/A__
L) i)Total area of all permanent openings(flood vents) in C3.h NSA_sq. in. (sq.cm) J
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This cedw-ation is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information in Sections A, 8,and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001
Ut:Ki 1FIER S NAME LICENSE NUMBER
John C . Ehlers 50202
Land Surveyor M �RAEhlers , Land Surveyor
ADDRESS clTMSTATE IP CODE
6 East Main Street Riverhead NY 11901
SIGNA DATMay 6 , 2002 TELEPHONE
E 631-369-8288
PPRAA nr �_Z1 .II II nn 91717 RF\/17PC17 CIr117 PnP r:01\1TIN1 IATIr1N RFPI Ar:FC Al I PRF\/Irl/IC F=n1TIhNC
o�o$uFFot,��oG
VIA
Town Hall,53095 Main Road 0 Fax(631)765-1823
P.O.Box 1179 ,yam_ Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. :7-� 7 4 Z A ~Z--
Owner: Ao f'h OV` f ` r Uav-Na
(please print)
Plumber: fkovylo,b ft)0,f2 4^ri
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
(J-V t
(Plumkiers Signature)
Sworn to before me this
day of L(, 20 02-
KENNETH AXELROD
NOTARY PUBLIC.State of New York
No.30-4670411
Qualified in Nassau Countlp�a;>
Commission Expires Feb.28.40_
Notary Public, YL-,;,>e7v County
Electrical Inspection Certificate
Date Electrical Inspection Service, Inc. Application#
05/01/2002 375 Dunton Avenue 56761
East Patchogue, New York 11772
(631)286-6642
Issued to: Thomas Marzano
Street: 870 Champlin Place
Village: Greenport Zip:11944 Town:Southold
Section: 34 Block: 5 Lot: 19
Introduced by: Diamond Electric Inc. Lic.# 2086-E
was examined and found to be in compliance with the NationalElectrical Code
r.
❑ Commercial [_INV Defects ❑ Pool W 1st Floor W Indoor ❑Basement ❑ Hot Tub
❑.i Residential ❑ Det. Garage ❑Attic ❑2nd Floor W Outdoor ❑ Addition ❑Survey
Switches Receptacles Fixtures GF/ Heaters A/C Fans
34 33 26 8 4
Dishwasher Washer/Amp DryerdAmp Oven Range/Amp Garbage Disposal
1 1 20 1 30 1 40
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Telephone Television Carbon Monoxide
1 200 1 ❑ W 1
Other Equipment: Building Permit#
ISAMPAIR HANDLER
Hugo S. Surdi
President
Rough Inspection: 04/02/2002
Inspector: Ed Scavelli
Final Inspection: 04/09/2002
Inspector: Ed Scavelli
This certificate must not be altered in any manner.Inspectors may be identified by their credentials
BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED: 6 /Z/ /O1
/f,/ DATE SUBMITTED: /x/01
APPLICANT NAME: //ae s .�
SCTM# --- DISTRICT: 1,000 SECTION: 3'f BLOCK: S LOT:
STREET: 9_;>0 (� ,•�� �.c� CITY: C ld SUBDIV. NAME:
PROJECT DESCRIPTION: ADD,ALT,ACC OR /D., `^'oi6ec � ��,,.
ARCHITECT/ ENGINEER: �u � FAST TRACK• YES R NO
SINGLE & SEPARATE CERTIFICATION-REQUIREDYE OR NO NOTES: /f .:.t-� h.k�
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDE LOTS FROM JAN,1997 100-25.Merger.(A nonconforming at any time after 7/1/83)
ZONING: PERMIT ESTIMATE AMOUNT:_$ / OK .00 PERMIT USE: EXISTING: V`ae,�-JT INTENDED: S
ZONING DISTRICT: 40 R80 AC CONFORMING: YES o NO REQUIRED LOT SIZE: 40/< SQFT.
WHERE ACTUAL LOT SIZE FROM?TAx CARD ACTUAL LOT SIZE: /3S03 SQFT.
REQUIRED 3$ REQUIRED REQUIRED
1ST FOUND:FRONT:Z,� 'PROPOSED: SIDE YD: /0 '/ A<' PROPOSED: 'f?EZo '/ ' REAR: 3s 'PROPOSED
r�i 2ND FOUND: FRONT: ACTUAL: SIDE YD: '/ ACTUAL: 23 '/ ' REAR: ACTUAL: '
LOT COVE E: ALLOWED;7^o EXISTING: sf_% NEW: sf % TOTAL: SfL%
CORNER? VEsRNd WAT ER FRONT? YES oR NO DESCRIPTION:
FLOOD CON LIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: 06 FLOOD ZONE:,10•-e- AO--Fr
AGENCY PERMITS REQUIRED FOR REVIEW
INCLUDEW APPLICATION
TOWN SPETIC PERMIT: or NO
SUFFOLK COUNTY HEALTH DEPT: E or NO, (BED #): 3 DTE: ,o /.w /cb PERMIT#:R10-p0-a2_z j
-APPROVALS REQUIRED:
NEW YORK STATE DEC: PRE-DEC 9/1/7 Y r NO /-4236-oma&i3 �/ 3 M, i
SOUTHOLD TOWN TRUSTEES: or NO rNrF
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES o — d ,Y c is aa�• rg
TOWN HISTORICAL PRE (SPLIA): YES 09
NYS ENERG YES R NO : ✓A) EGRESS: VENT: LIGHT:
BUILDING PERMITS OP91S/EXPIRED: BP -Z/ C/0 Z_
HAVE PRE CO'S : Y O -Z/ C/o Z_
NOTES:
FEE STRUCTURE: FOUNDATION: Cr,,, S,,.k� SF
FIRST FLOOR /9.!C4 SF
SECOND FLR SF INIT OTHER TOTAL
TOTAL: /risl SF FEE FEE FEE
FOT( 1952 SF)- ( &6d SF)= //02 SFX $ •Z6)=$ 2-26.4+$;)+$ /00 = $ 3 95. 4'0
S t /
Town Hall
53095 Route 25
Albert J.1{i upski,President P.O.Box 1179
James
King Vice President z +.. ✓
}k" i Southold,New York 11971-0959
Henry Smith a'¢
Artie Foster Telephone(631) 765-1892
�,
Ken Poliwoda Fax(631) 765-1866
��ol � dao
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 61 2000
Ms . Catherine Mesiano
12 Mill Pond Lane
East Moriches, NY 11940
RE: THOMAS MARZANO
SCTM#34-5-19
Dear Ms . Mesiano: dated
The Southold Town Board of Trustees reviewed the survey
2000 and determined
August 22 , 2000 and last rieifamised �ytober 23 dWelling, septic system,
the construction of a sing
clearing and grading plan 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 a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call.
S i)n�c�ere lye,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: 1ms
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
EFFECTIVE DATE
EC PERMIT NUMBER � March 9, 2001
1-4738-02813/00001 'o: EXPIRATION DATES)
FACILITY/PROGRAM NUMBER(S) PERMIT
Under the Environmental March 9, 2010
Conservation Law
TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate
❑ Article 27, Title 7; 6NYCRR
C3 Art icle 15, Title 5: Protection C1 6NYCRR 608: Water Quality
Certification 360: Solid Waste Management
of Waters
❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR
❑ Article 15, Title 15: Water 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, Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
Scenic and Recreational Rivers
TELEPHONE NUMBER.
PERMIT ISSUED TO .. '�
(631)-724-1031
Thomas Marzano
ADDRESS OF PERMITTEE
17 West Main Street
Smithtown, NY 11787 TELEPHONE NUMBER
CONTACT PERSON FOR PERMITTED WORK
(631) 878-8951
Catherine Mesiano, Inc.
NAME AND ADDRESS OF PROJECT/FACILITY
Marzano Property
870 Cham lin Place
LOCATION OF PROJECT/FACILITY
Green ort
TOWN WATERCOURSE NYTM COORDINATES
COUNTY 1
Suffolk Southold Sterling Creek
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct single family dwelling, attached garage, permeable driveway and sanitary system. All work must be done in
accordance with the plan prepared by John C. Ehlers, revised 11/15/00 and stamped NYSDEC approved on 3/9/01.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, all applicable regulations, the General Conditions specified (see page 2 8 3) and any Special Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Roger Evans Bldg. #40, SUNY, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
Page 1 of 4
.` March 9, 2001
l
d
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB LOT
-moms MarzQ00
=R OWN R � � E ACR.
S W TYPE OF BUILDING
RES. SEAS. VL. rcj f� FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
J 0 0 &00 l� ze al �w 11 ,000.5, ,7o s b,�t ^�n l Z -
Co o a ro o -L/ 7�= r �l SS d0
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total DOCK
FROM SPITALIERE CONSTRUCTION PHONE NO. : +516 765 6614 Nov. 19 1999 12:OOAM P02
STATE OF NEW YORK )
ss.
COUNTY OF SUFFOLK )
KIGI - $--V Tft-being duly sworn, deposes and says:
That deponent is over the age of 18 years, and resides at
VOW
That on the—7day of M)62996, deponent, being the
architectlengineer, licensed by the State of New York, hereby states that s/he
accepts full responsibility for the accompanying plans complian with the New
York State Fire Prevention and Building Code (9 NYCRR).
Architect/Engine
Sworn to before me this Z,
day of Cfhl�l/ X8139.
Notary Public
nARBARA McCAMtR
NOTAF't PUBLIC,St c#New York
PM
0UZ"i,:;j in SJli;ii County
Commission Expires Nov.25, a0p 1
oc: applicant
Town Hall
Albert J. Krupski,President 53095 Route 25
James King,Vice-President � g � } � P.O. Box 1179
Henry Smith 2 w ,` " R Southold, New York 11971 0959
h �J h
Artie Foster �`=.- ' '
`a® � _, Telephone (631) 765-189
Ken Poliwoda `p Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 6 , 2000
Ms . Catherine Mesiano
12 Mill Pond Lane
East Moriches, NY 11940
RE: THOMAS MARZANO
SCTM#34-5-19
Dear Ms . Mesiano :
The Southold Town Board of Trustees reviewed the survey dated
August 22, 2000 and last revised October 23, 2000 and determined
the construction of a single-family dwelling, septic system,
clearing and grading plan 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 a permit from this office.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to
call .
Sincerely, fF
DD
n � �ravfTii
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: lms
2n ar-)L+
APPLICATION a
PAGE 1 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 sign):
1. No work may start until a permit is issued.
2. The permit may be revoked if any false statements are made herein_
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six months of issuance_
6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory
requirements.
7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE, TO THE BEST OF MY_ KNO DGE,TRUE AND ACCURATE.
(APPLICANTS SIGNATURE)Oat/-��wt- o�/{j�,(, � (A—DATE 719 O
SECTION 2• PROPOSED DEVELOPMENT (Tb be completed by APPLICANTI
NAME ADDRESS TELEPHONE
APPLICANT ' I' ` L , ( 7 L y
' I �-ue 0 r t Ct�ia.n-u � � Nei �Y�L.. 'J/• din.�cw*.. 1 0 3
BUILDER
ENGINEER
PROJECT LOCATION:
• To avoid delay in processing the application, please provide cuou_vh 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.
U
FDP(93)
APPLICATION
PAGE 2OF4
DESCRIPTION OF WORK (Check all applicable boxes)
A STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
XNew Structure 5`�Residcuual (1-4 Family)
❑ Addition 0 Residential (More than 4 Family)
❑ Alteration ❑ Non-residendal (Flood proofing" ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
❑ Demolitioa P ❑ Manufactured (Mobile) Home (In Manu-
0 Replacement factured Home Park? ❑ Yes)
ESTIMATED COST OF PROJECT S / Sd, o UZ-)
B. OTHER DEVELOPMENT ACTIVITIES:
❑ Fill ❑ Mining ❑ Drilling ❑ Grading
❑ Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications)
❑ Drainage Improvements (Including Culvert Work)
❑ Road, Street or Bridge Construction
❑ Subdivision (New or Expansion)
❑ Individual Water or SeySpr System
❑ Other (Please Spec7y)`
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review.
SECTION 3 LO
FODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR)
The proposed development is located on FIRM Panel No. Dated
The Proposed Development:
❑ Is MOT 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 3OF4
SECTION 4 ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATORI
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 spccificatiorm, 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
0 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).
0 Plans showing the extent of watercourse relocation and/or landform alterations.
❑ Top of new fill elevation Ft. NGVD (MSL).
❑ Floodproo£mg protection level (non-residential only) FCNGVD (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 no( 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.
0 Other:
SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR
I have determined that the proposed activity: A. O Is
B.0 Is not
in conformance with provisions of Local Law tR , 19 . The permit is issued subject to (he 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 appfication to the Local Administrator or may request a bearing from the Board of
Appeals.
APPLICATION a
PAGE a OF a
APPE.AlS Appealed to Board of Appeals? ❑ Yes ❑ No
Hearing dale:
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:
FI. NGVD (MSL).
2. Actual (As-Built) Elevation of floodproofmg protection is Ff. 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.
INSPtCTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8• CERTIFICATE OF COMPLIANCE(To be comnleted by LOCAL ADMINISTRATOR)
Certificate of Compliance issued: DATE BY:
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 # , 19AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C/C(93)
FROM C MESIANO INC FAX NO. : 631-878-8951 May. 07 2001 01:38PM 131
File No.: RHBOO12229
Commonwealth Land Title Insurance Company
177 Old Country Road, PO Box 419
Riverhead, NY 11901-0203
Phone: 631-727-7760 Fax-- 531-727-7818
Commonwealth
SINGLE AND SEPARATE SEARCH
Title No. RH80012229 Effective Date: 3-1-2001
Commonwealth Land Title insurance Company
DOES HEREBY CERTIFY TO.-
PAUL
O:PAUL A. CAMINITI, ESQ.
CAMINITI a GIBBONS, LLp
54075 MAIN ROAD P.O. BOX 846
SOUTHOLD, NY 11971
THAT it has caused a search to be made in the Office of the Clerk of the County ofSUFFOte of t toLK, in the Sta
New York, against the Premises described herein and property adjacent thereto on all sides from he State
date to ascertain the fee chain of title respecting the premises described herein and the property adjacent
and
thereto and has found only the returns as set forth herein on the following pages as they bear on record title;,
Certifies that the owners of the premises described herein have owned the same in single and separate
ownership as defined by law during this period of time 11-9-55.
This Company's liability Is limited to One Thousand ($1,000.00) Dollars.
NO policy of insurance is to be issued hereunder.
Premises: 870 CHAMPLIN Place, GREENPORT, NY
District: 1000 Section: 034.00 Block: 05.00 Lot: 019.000
County: SUFFOLK
T/O: SOUTHOLD
Commonwealth Land Title Insurance Company
r
BY: � v
AN PRINDLEAl
he Company i r
Title Number: RH80012229
-o C3 --.
Dated: April 20, 2001 j
Single and Separate Search Q
TQ20015NY (07/00)
FROM C MESIANO INC FAX N0. : 631-878-8951 May. 07 2001 01:35PM P1
File No.: RMSOO12229
Commonwealth Land Title Insurance Company
177 Old Country Road, PO Box 419
Riverhead, NY 11901-0203
Phone: 631-727-7760 Fax: 631-727-7818
Commonwealth
SINGLE AND SEPARATE SEARCH
Effective Date: 3-1-2001
Title No. RH80012229
Commonwealth Land Title Insurance Company
DOES HEREBY CERTIFY TO:
PAUL A. CAMINITI, ESQ.
CAMINITI &GIBBONS, LLP
54073 MAIN ROAD P.O. BOX 846
SOUTHOLD, NY 11971
THAT it has caused a search to be made in the Office of the Clerk of the County of SUFFOLK, in the State of
New York, against the premises described herein and property adjacent thereto on all sides from 11-9-55 to
date to ascertain the fee chain of title respecting the premises described herein and the property adjacent
thereto and has found only the returns as set forth herein on the following pages as they bear on record title;
and
Certifies that the owners of the premises described herein have owned the same in single and separate
ownership as defined by law during this period of time 11-9-55.
This Company's liability is limited to One Thousand ($1,000.00) Dollars.
NO policy of insurance is to be issued hereunder.
Premises: 870 CHAMPLIN Place, GREENPORT, NY
District: 1000 Section: 034.00 Block: 05.00 Lot: 019.000
County: SUFFOLK
T/O: SOUTHOLD
Commonwealth Land Title Insurance Company
BY:
AN PRINDLE
he Company
Title Number: R►180032229
Dated: April 20, 2001
Single and•S
rQ20015Neparete
Y(07/00) Search \
FROM C MESIRNO INC FRX NO. : 631-878-8951 May. 07 2001 01:35PM P2
File No.: RH8001:
CHAIN OF TITLE FOR SU03ECT PREMISES:
District: 1000 Section: 034.00 Block: 05.00 Lot: 019.000
Carlotta Haneman Dated: 11-9-55
to Redd.: 12-14-55
Robert M. Preston and LaGrant R. Chapman Liber 4039 page 230
(premises and more)
Robert H. Preston and LaGrant R. Chapman Dated: 6-21-57
to Rec'd.: 7-8-57
Mary C. Zipkas Liber 4325 page 198
Mary C. Zipkas Dated: 11-28-81
to Redd.: 12-11-81
Nancy 3. Koehler Liber 9114 page 425
Nancy J. Koehler Dated: 12-6-2000
to Rec'd.: 1-30-2001
Thomas Marzano Liber 12099 page 795
LAST RECORD OWNER
STATE OF NEW YORK )
)ss:
COUNTY OF SUFFOLK )
JANA PRINDLE, being duly sworn, deposes and says:
That she is a Title Officer of Commonwealth Land Title Insurance Company, That the above is a true Chain of
Title of the subject premises as shown on the variance search under the above captioned title number.
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 0`h day of April, 2001. .
BY: /II�SE��/�C
JT3ANPRINDLE
HE COMPANY
Notaryy {iApu�W Shite at New Yo*
Single and Separate Search Guualilled1inSuflolkCournY /
Commission E)iroa July 15,
FROM : C MESIANO INC FAX NO. : 631-878-8951 May. 07 2001 01:36PM P3
File No.: RH00012229
CHAIN OF TITLE FOR ADJACENT PREMISES NORTH:
"CHAMPLIN PLACE"
CHAIN OF TITLE FOR ADJACENT PREMISES EAST:
"MANHASSET AVENUE"
CHAIN OF TITLE FOR PREMISES ADJACENT SOUTH:
District: 1000 Section: 034.00 Block: 05.00 Lot: 020.000
Carlotta Haneman Dated: 11-9-55
to Rec'd.: 12-14-SS
Robert H. Preston and LaGrant R. Chapman Liber 4039 page 230
(premises and more)
Robert H. Preston and LaGrant R. Chapman Dated: 9-24-58
to Rec'd.: 10-10-63
Ida Belle Latham Liber 5430 page 379
Ida Belle Latham Dated: 9-14-65
to Rec'd.: 9-29-65
Paul Harris and Joan Harris Llber 5830 page 474
Paul Harris and Joan Harris Dated: 11-4-76
to Rec'd.: 11-16-76
Joan Harris Liber 8142 page 135
Joan Harris Dated: 11-29-83
to Rec'd.: 12-2-93
Valerie M. Kramer Liber 9469 page 337
LAST RECORD OWNER
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
6 57 s t s20 th day of April, 2001.
BY: (�
NA FkINDLE
FOR-THE COMPANY
NotfUngy)VfA
Single and Separate Search Notary 49 4119 State of Newt
40
Qualified in Suffolk CofnrWn mn Expires u1Y 15, /
FROM : C MESIANO INC FAX NO. : 631-878-8951 May. 07 2001 01:36PM P4
File No.: RH80012229
CHAIN OF TITLE FOR PREMISES ADJACENT WEST:
District:1000 Section: 034.00 Block: 05.00 Lot: 018.000
Carlotta Haneman Dated: 11-9-55
to Rec'd.: 12-14-55
Robert H. Preston and LaGrant R. Chapman Liber 4039 page 230
(premises and more)
Robert H. Preston and LaGrant R. Chapman Dated: 7-3-57
to Rec'd.: 8-1-57
Peter Zipkas Liber 4338 page 516
Robert H. Preston and LaGrant R. Chapman Dated: 7-3-57
to Rec'd.: 8-1-57
Peter Zipkas Re-recorded: 10-18-57
Liber 4338 page 516
Peter Zipkas Dated: 2-9-80
to Rec'd.: 2-21-80
Fidia Guastini Liber 8781 page 07
Fidia Guastini died 6-27-89 (Suffolk County Surrogates File No. 1860131989).
Carubean t. Guastini, as Executor of Fidia Guastini Dated: 12-29-89
to Rec'd.: 2-14-90
Carubean T. Guastini Liber 11017 page 64
Carubean T. Guastini Dated: 8-27-92
to Rec'd.: 12-4-92
Albert F. Bauer Liber 11584 page 49
(continued)
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
this 201h day of April, 2001.
By: �v'
AN PRINDLEC'9-or —.
HE COMPANY
NAVAW State Of New Yak
No.4984119
Single and Separate Search cofidinn
eicommiso hdy s. /
FROM : C MESIANO INC FAX NO. : 631-878-8951 May. 07 2001 01:37PM P5
File No.: RHOOO12229
CHAIN OF TITLE FOR PREMISES ADJACENT WEST: (CONTINUED)
District: 1000 Section: 034.00 Block: 05.00 Lot: 018.000
Bette Thelma Woody, as Executrix of the Estate of Dated: 7-24-97
Albert F. Bauer, late of Queens County, Rec'd.: 7-30-97
to Liber 11843 page 815
Bette Thelma Woody
LAST RECORD OWNER
STATE OF NEW YORK )
)Ss:
COUNTY OF SUFFOLK )
]ANA PRINDLE, being duly sworn, deposes and says.
That she is a Title Officer of Commonwealth Land Title Insurance Company,That the above are true Chains
of Title of the adjoining premises as shown on the records of the Clerk of the County of Suffolk and the Variance
search under the above captioned title number.
Commonwealth Land Title Insurance Company Subscribed and Sworn to before me
/� his 20'h day of Ap '1, 2001.
BY: !y/LE
JADIA PRINDLE
R THE COMPANY
Notallousiv N0111111111311
leg,. Ste of New York
Single and Separate Search No.4084119 /
OuiYHed in Suffolk County
Oarurdsslor+Expires July 16.
New York State Department of Environmental Conservation _
Division of Environmental Permits, Region One v
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (631)444-0365 • FAX: (631)444-0360 _
Website: www.dec.state.ny.us Erin M.Crotty
Acting
Commissioner
March 9, 2001
Mr. Thomas Marzano
17 W. Main Street
Smithtown,N1 Y 11787
RE:1-4738-02813/00001
Dear Permittee:
1n conformance with the requirements of the State Uniform Procedures Act (Article 70, ECI-)
and its implementing regulations (6NT YCRR, Part 62 1) we are enclosing your permit. Pleasf,
read all conditions carefully. If you are unable to comply with any conditions, please contact us
at the above address.
Also enclosed is a permit sign which is to be conspicuously posted at the project site and
protected from the weather.
Very truly yours,
Rog�f Evans
Deputy Permit Administrator
_nclosure
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-02813/00001 Jim�! March 9, 2001
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S)
Under the Environmental March 9, 2010
Conservation Law
j TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate
❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR
of Waters Certification 360: Solid Waste Management
❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES O Article 27, Title 9; 6NYCRR
Supply 373: Hazardous Waste Management
❑ Article 19: Air Pollution
❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion
Transport Management
❑ Article 23, Title 27: Mined
❑ Article 15, Title 15: Long Land Reclamation O Article 36: Floodplain
Island Wells Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37;
Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
PERMIT ISSUED TO TELEPHONE NUMBER
Thomas Marzano (631)-724-1031
ADDRESS OF PERMITTEE
17 West Main Street
Smithtown, NY 11787
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Catherine Mesiano, Inc. (631) 878-8951
NAME AND ADDRESS OF PROJECT/FACILITY
Marzano Property
870 Champlin Place
LOCATION OF PROJECT/FACILITY
Greenport
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Sterling Creek
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct single family dwelling, attached garage, permeable driveway and sanitary system. All work must be done in
accordance with the plan prepared by John C. Ehlers, revised 11/15/00 and stamped NYSDEC approved on 3/9/01.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the
ECL, ail applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as
part of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Roge- Evans Bldg. #4C, SUNY, Stony Brook, NY 11790-2356
i AUTHORIZED SIGNA"URE DATE
Pace 1 of 4
March 9, 2001
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation
of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages,
and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or
operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the
terms and conditions of the permit.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their
responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that
may be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights
of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals
by an authorized representative of the Department of Environmental Conservation (the Department) to determine
whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended
pursuant to ECL 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the
permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for
inspection by the Department at all times at the project site or facility. Failure to produce a copy of the Oermit upon
request by a Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind
any order or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
General Condition 3: Applications for Permit Renewals or Modifications
The permittee must submit a separate written application to the Department for renewal, modification or transfer
of this permit. Such application must include any forms or supplemental information the Department requires. Any
renewal, modification or transfer granted by the Department must be in writing.
The permittee must submit a renewal application at least:
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES).
Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste
Management Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356
General Condition 4: Permit Modifications, Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification,
suspension o, revocation include:
a) :re scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions
of the ECL and pertinent regulations is found;
bl the permit Was obtained by misrepresentation or failure to disclose relevant facts;
c` new material information is discovered; or
c) environmental conditions, relevant technology, or applicable law or reculation have materially
changed since the permit was issued.
-cPER%1ITNuraBER PAGE 2 F_
I 4733-02813I000C' J
PERMIT.T'vV.wp4 rev.6/99
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
( TIDAL WETLANDS)
1. If future operations by the State of New York require an alteration in the position of the structure or work herein
authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or flood flows or endanger the health,safety or welfare of the people
of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the
Department to remove or alter the structural work,obstructions, or hazards caused thereby without expense to the
State, and if, upon the expiration or revocation of this permit, the structure,fill, excavation, or other modification of
the watercourse hereby authorized shall not be completed, the owners, shall,without expense to the State, and to
such extent and in such time and manner as the Department of Environmental Conservation may require, remove
all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood
capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal
or alteration.
2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized
which may be caused by or result from future operations undertaken by the State for the conservation or
improvement of navigation,or for other purposes,and no claim or right to compensation shall accrue from any such
damage.
3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission,consent
or approval from the U.S.Army Corps of Engineers, U.S.Coast Guard, New York State Office of General Services
or local government which may be required.
4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended
solids,sediments,fuels,solvents,lubricants,epoxy coatings,paints,concrete,leachate orany other environmentally
deleterious materials associated with the project.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendenby to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall, without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require,remove all or any portion of the uncompleted structure orfill and restore
the site to its former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302,303,
306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met.
9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by John C. Ehlers, last revised 11/15/00 and stamped NYSDEC approved on
3/9/01
DEC PERMIT Nur."BER PAGE 3 OF 3
1-4738-02813/0000'
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix
trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas.
2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area
(upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or
protected buffer areas.
3. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion
or prior to permit expiration, whichever comes first. The approved methodologies are as follows:
a. stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.).
4. The storage of construction equipment and materials shall be confined to within the project work site and or upland
areas greater than 125 linear feet from the tidal wetland boundary.
5. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall
be no disturbance to the natural vegetation or topography as per approved plans.
r
6. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer
area as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is
completed and all disturbed areas stabilized with vegetation.
7. Roof runoff shall be directed to drywalls a minimum of 125 feet landward of the tidal wetland boundary for immediate
on-site recharge.
8. Driveways and parking areas shall be constructed of pervious material.
t,
I
I
PER611T vuMaER -7 PAGE 4 of 4
I _'38-02813%00001
tip u 4 �Ba ap �S
Hole
'60 ��;7" obtained
8-22-00 1
p high tide }
Q� �./ l/� // F.1+ I•p 5111 I
OV-0rR I
4
! I
y,aib 5F 03.296)
tiFC; FIOU�F AF'FA
= 13.2%
p 1 Ai,F R�'PC 5E l7 G<��:Rr>GE
REA �,7 f:•1= M�ISP
C)51=D pFRpiEAEI_E D1'1VEWAY A = 5� (49GI + �,
1 /
/
1
/ I
ND AVI ,•. .- tr't;tt
T1pNs OF �a
- OR O 52 ACRES VP L_JL�J3/`o(y
It 1�F VD'2a pLttM1'T v 7
AREA = F,EFEkENGE M5L NG
El-EV/'TION5 50CIV`S R SUFFOLK COUNTY DATE_
WATER MA1N5 R'1�WNr P 22-5 DEG, 20, 1aa6
WATER AUT NC t Y M
GU61G YARD5 OF FILL NEEDED
FPR0Y'1HI\TEL" 100 I NE
�,�
y
not tosell
•,«al a
yra oweutnc r U GALE
ra
I" 20
e ,
ex ist in9 9° de love_ _
- aln. 1 love- 6.5 _._.
cover -- . . ! ^'�tt' _ __._. --
,A 1
love! __._. - --'— R V
toe safe etch ♦ 74Tj1 SUR • {�. l9
mtn , - alto.- ft LL11 fi�lJ J" FR
Inver inv_- septic I , per JOHN El
5.9 rh lana t/ C
)earninn,--- -- -.5 _ p„c.. ,c.:� tt - -- J�T.Y..S'.1.IC.NO.r30�(12
"Oennl It^
I 6 a,a.l 6
30dFAST MAIN STREET pro
w
rs=” gIVERHEAD,N.Y. 11901
Snoar.ttnn` ._.----- 369-8288 Fax 369-8287 - - -. REF.I�IIP SERVER�D�PROS�20-2&3C. -
nin
water
SURVEY O PROPERTY - - - - -- -
SITUATE: WAP, G1�LNpORT N
TOWN: 5OUT x1l)
f OL#; C-OL TY, NY
(SURVEYED 09-22-00 F
AMENDED: 10.23-oo,
10-26-0%(,
I f f y-6Z3`a S
SUFFOLY.�%(, Y FAX <
1000-34-5_1(1
I
GER'lWtED TO:
THOMAS MAF'.ZANC,
GOMMOPINEALTH LAND TITLEW `b /
tNSUF?ANG! COMPF:NY
RHB(COO282r}W
r ��I
M,
n'p.A■■W
20
ZE
35 / tesc I
hole �
7.4 Tom►
ropy wed _
perch
N 40941-
CiN
n a �1t1 �,�coxc o�Moflo�( fz10 [
+ ft fif9 ,
� P�09 �
a
i SURVEY OF PROPERLY51 TUATE: NEAR -
II TOWN SOUTHO GR�NPORT
51 Ill GOUNTIr, NY F
SURVEYED 08-22-2000
SUFFOLK GOUNTY TAX #
1000-34-5-IG
CERTIFIED TO:
EL=10
THOMAS MARZANO
LACE __ -
IN P
AM�'L _.
130.pp'
- r \
I �
_00V II w
LD
o
i I
u
i
hole
e1=7.4 r^
W I a OL,p50 v
v L
fl-
I v
� 5E
co co .
�o fl6 �
35 ' (q
w
ONO
m
?o 1
c
0 10' 1
T
Z
AC O isout
� I
•g r ota�'po��a0 CS •1 � �` III
05�00
- 0o 00&Q)
'
.96
� Test Hole
� 1 1
obtained
O�
ti -
1 8-2z o0
1
cp high tide
9 � \
� p
E� 9-F P
N �E
s
P
�P JPS- .IP
1
1 wane
sang
1 9rwel
1
1
1 4.
SUFFOLK COUNTY L)EpARI MENT Or f'SGhLi li SERVICES °'°°r
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A and
1
SINGLE: FAMILY RESIDENCE ONLY eRo ownreR 6.5
1 wager
1
DATE lO 00 H.S. REF. NO.
-0D p
APPROVED
FOR MAXIMUM OF BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL.
"wz1
N2 to -96-C Leo �'� 1
LHNVY.O aY'alM>wY.Ys�bnsb a evv�y
wle�i mei rc'�u�w.ibl.sefw]a�w
Nw Ys4llab GYv6bn lse'
NOTES:
� �-�. uy asP.+newwceYµW a.r w'w
�.: - wVYeC.MwP` al 6�bb Y
• �iL��G.Ey�� `0 .begs w wa e.�ieenen b e.wa w
PIPE FOUND
(/) � � ^j. q w w..rert!Ibb Nexblbn e1 Rvleeebd
ue�...yws.Baa eruesnm wvl n..
m w ve.+e.mr.wew w er.q. 'w
y � 1 °IC en IY bldl b W LLY W�qy gear
1S 1. ml egwry etl 1.�bg YYW Wn bbO lwIw.aW
AREA = 13,803 SF OR 0.32 ACRES 10"•�•q--^'"•���°-�•�
�b.en roi o-a.rraer m manor..ossa.
N ° JOHN C. EHLERS LAND SURVEYOR
�b IABD `;J 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202
GRAPHIC, SGALE 1"= 20' RIVERHEAD,N.Y. 11901
- 369-8288 Fax 369-8287
- REF.\\IIp server\d\PROS\20-243.pro
�SURYEY OF PROPERTY
SITUATE: NEAR GREENPORT � � ( �� � � N
TOWN: SOUTHOLD
SUFFOLK COUNTY, NY �l s
SURVEYED 08-22-00 W E
AMENDED: 10-23-00,
10-26-00,11-15-00,
OG-05-0I,46mMCTWDI I�P///d/
SUFFOLK COUNTY TAX #
1000-34-5-I9
4
CERTIFIED TO:
THOMASMARZANO s/7ZC U�r7L �^►�Ky a / /
COMMONWEALTH LAND TITLE
INSURANGE GOMPANY
RH80002828
tp
�G
F
35'
d I ♦ `\
< �G
L
t� z
r � ,
0
OP
��P GO PO O
0
°a °exp� ..1-/
° qco
r 00 P� {pe
ti v
OF NES,
—
i
P
5
NOTES:
„y.
I
GRAPHIG SGALE 1" 30 "
PIPE FOUND
.,,.a .
........
th-
AREA = 13,803 SF OR 0.32 AGRES
ELEVATIONS SHORN REFERENGE M5L N6VD'29 JOHN C. EHLERS LAND SURVEYOR
WATER MAIN5 SHOWN PER SUFFOLK COUNTY 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202
WATER AUTHORITY MAP 22-5 DEC. 20, 1966 RIVERHEAD,N.Y. 11901
APPROXIMATELY 100 GUBIG YARDS OF FILL NEEDED 369-8288 Fax 369-8287
REF.\\Hp server\d\PROM20-243fd.pro
SURVEY OF PROPERTY N
' 51'DATE: NEAR GREENPORT
TOM 5OUTHOLD W
5UH=0LK GOUNTY, NY F
SURVEYED 08-22-00
AMENDED: 10-23-00,
10-26-00,11-15-00 s
SUFFOLK COUNTY TAX #
1000-34-5-Ici
W '
I
CERTIFIED TO:
THOMAS MARZANO W b'
COMMONWEALTH LAND TITLE
INSURANCE COMPANY ��
RH80002828W �7 A
130.00, /
CA.
-00
X0
i ,off 0 8
hole
el-T4 f
j� rQ ed 49¢s/—
�z Q ott p HOU6E p '� °y--
rn � G��GE t+ ___ -
O 1 �(� pNCAµGRETEF ofTlo100 E�=IO a, ..,/ fs�2-SF
- ed p iry - z .
ONO
r �I ro
Pp5
me
u d
Q
� II C
E� DtP�pnm\q�
• ° FLoS,oa�oVnn
/
1 Test Hole
,c Q�
obtained
8-22-00
0
o* 9 high tide
/ 1
TG���
C /' � � o,�pN 1 1.5'
1
1
/ 1
coarse
/ 1 saw e
, 1 gwei
PROP05ED HOU5E AREA = 1,818 5F (15.2%)
TOTAL PROP05ED COVERAGE = 13.2% 4'
/ 1
PROP05ED PERMEABLE DRIVEWAY AREA = 55-7 5F (4%)
1 �eor
1
NOTES:
1 , smd
PIPE FOUND
1 /
I 1 � GROUNDWATER 6.5r
� / water
AREA = 13,803 5F OR 0.32 AGRE5
ELEVATIONS SHOWN REFERENCE MSL NGVD'29
scud
WATER MAIN5 SHOWN PER SUFFOLK COUNTY
WATER AUTHORITY MAP 22-5 DEC. 20, 19% \ 12'
APPROXIMATELY 100 CUBIC YARD5 OF FILL NEEDED N NWM
c
SEPTIC, DETAIL * Ner.ene a Ile a °eertl °° .y
not t0 SGQeo e e2
°or'I1ezrNe. st teeE—tl°
Le,
�/' yO mvk a°nit�eanr°rco�°�f eN lane`suzveyo�s
tl V zt°rrye°ze sMil ba
P g,.o., PROPOSED F,y N7.
EL- .0 existing gretle g DWELLING SF ��
_8 max_2' LAND ��gayola�o�re°.enl°-�1e` `� y�
mex. 2' min. 1' -----srfv..-_ GRAPHI 11 I a,n.Ne�'re.kst°`I'„`,;; y,°�� e
min. 3' cover Snv.- 6.5 .t__- _
env. 6.3 sero s�,�ey°,�. cele °o°ly
cover inv.. 5.7 — __ ePe�,�le...,°m:r, rmy lz P.ar�en.
G 5r.ALE I 20
ego oat. omP y,leaching 5.5.5 _ — septic min. pitch
Pools _ Sten 4' per ft t°: n -
2 tleeP min.
pitch
ft tank 1/ tlo�, el o-wrsra°nle m.,nr°sol;t¢cl°m
8' tlia. 1/a- per
3°D S.f. JOHN C. EHLERS LAND SURVEYOR
300 s.f: EL= 8.5
me". 2'
separation 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
ground Water E[,- 0.9 RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.W SERVER\D\PROS\20-243C.pro
5URYEY OF PROPERTY l
I51TUATE: NEAR GREENPORT
TOWN: 50UTHOLD
5WFOLK GOMTY, NY e' s
SURVEYED 05-22-00
W E
AMENDED: 10-23-00, `
10-26-00,11-15-00,
i
SUFFOLK COUNTY TAX # -
1000-34-5-19
GERTIFIED TO:
THOMAS MARZANO
GOMMONWEALTH LAND TITLE
IN51JRANGE GOMPANY
RH80002828
I _ I
c u,
�a ✓
N
I
O �
4J N 9,
e n
a� oe
G
a
y
BO
e
�
oT j e; 0 0 0 ��
�0
/o r ok
10
ti0
C� �P
� o
,
E' Q
�8y 4/0 �0Z JO a�Y
NOTES:
,
A
GRAPHIC SCALE "= 30' y
PIPE FOUND -,
AREA = 13,805 5F OR 0.32 AGRE5
ELEVATIONS SHOWN REFERENGE M5L N&VD'2G JOHN C. EHLERS LAND SURVEYOR
WATER MAIN5 SHOWN PER SUFFOLK GOUNTY 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202
WATER AUTHORITY MAP 22-5 DEG. 20, IGgb RIVERHEAD,N.Y. 11901
APPROXIMATELY 100 GUBIG YARDS OF FILL NEEDED 369-8288 Fax 369-8287 REF.\\Hp serer\d\PROS\20-243fd.pro
SURVEY OF PROPERTY
51TUATE: NEAR GREENPORT N
TOWN: 5OUTHOLD
5UIFOLK COUNTY, NY
5URVEYED 05-22-00
AMENDED: 10-23-00,
10-26-00,11-15-00,
09-05-01, OG-01-01 cJ
FINAL 03-20-02,
amended 03-26-021 ;.
.b ` rzLt9 CSU 02-20
SUFFOLK GOUNTY TAX # -
1000-34-5-IG
GERTIFIED TO:
THOMAS MARZANO °
GOMMONNEALTH LAND TITLE '
INSURANCE GOMPANY
(TITLE
RH80002628)
SUFFOLK GOUNTY DEPT. HEALTH -
SERVIGES #RIO - 00 - 0221
F 1
9 2002 b
L_ (L
1 (.1114^
G
_i LP
r 3y yS-� s ILw
4
UPP-t
Nbe
4,
-
e�P 0 'l
ll
a
s
s
�� fi00o+/
r %OOP {oe
�P�p G Eyp`0� m 1. nitn.nll ror l !o ,, y
(� ,rnr Ixxg I'censen irm.r.yas aeni ro o
i I ..F ..wim r.neuornm,xe-m.roon z,o,w
Non Ywk$tarn Edrat✓m Larv'
: `k \/ • 1 holy cry,lns I-an!I ,rlgN I of lnyb,irvny
f./' 1 J� .ri'kM wlylri o vLjlw vnyvk
�,.., liy +lmpne•nni rill the nMrn,1!n l,n aIN V
1}, cM,in
NOTES:
PIPE FOUND
AREA = 13,803 SF OR 0.32 AGRES M n mll� n,tll.l,P,
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC.NO. 50202
GRAPHIC SCALE I"= 30' RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.\\HP SERVER\D\PROS\20-243FN.pr
rL00D ZONB
ENERGY NOTES 6 TYPICAL WALL SECTION a.aM•1"a1•D••
COMPLYWUNq"Ma4 w CURPLIANCH OF NEW YORK STAT F. ENERGY CXNSF.RVA'I'ION CODE
��e�y��IIIN�T��V.�._ VENT TOP OF ROOF WrtVDGE VENT OR ROOF _- DATED ,21-1-1991 BY PART,6
PL�DAATAGIE P.KEcnERAla VENTS TO CODE THE! TOTAL THERMAL RATING SHALL BE NO LESS THAN ZERO.
SOUTHOLD• TOWN CODE, 1 ) __ ____-_ USING TAUM E, -1 , 6 -3, 6 E 5.
USE e'BATT)(RdU IN ALLATTICS
54 b 4
�or s! +) Co=�.y o.,i r.v Azc .�rsrscc r°,.. c°a s�.4•.vq ,,e .t NET WALLS / U = 6THERMAL. RATING- 4-
.5= 142 �I
2 C.�T-n e. /rw+°FF ees Mm✓.n r, _" ' rie.�s�.a v3°E{ .N° 's°u.+ rnu..xy�
3FE E� ' to 00 H BATT SIDE.INSULATION WNAPOR BARRIER ON
HEATED SIDE. GLA7.ING 231 = G = . 40 THERMAL RATING= - G 9
// JQ e.ilY On Ie+GI 45 154 15
cV '//� 5'ud .:� e..cwc //sft .T«a 20 TOTAL R UI
VRL 1 Wro�BATTs / I ,� I DOORS I � = U = , �O TIlEfAtAf. RATING= -O 8
ROOFIC
RATING-
'J l+:�/, r�� �2ss, v�7.�71 �q _FASCIA I AV( ,
( 1 FLOORS
•, 1S�S1J'E= U d •045THERFAL RATING= 4
G, �•i.,.. .., y�� se-+L°�:as an .e.o✓.neq _Y 4s nemv.ne4.
SOFFIT WK:ONT VENTING RVJ)WMuiE+v,u r�nesrov _
LOCII0F cwNis FOUNDATION WALLS = U = - TIIF.RPGIL RATING=
APPROVED AS NOTED °cam
t7 R 1
DATE: / °� B P N 2 ¢_ _ PLUMBING T7 SID FILM
SLAB LNSUTATIQ4 = U = -O� T1IERtIM, RATING- o
73 SIDING '
ALL PLUMBING WASTE as TYVEKaNSTALL BEFORE WINDOWS J TOTAL THE"L RATING= +-_7 C�
54 u•cox u Table 4 -6 on.Ano C* � o*4INSmenERon Heel
FEE: ''FO BY _ &WATER LINES NEED I;pe 20 AT Ie ON CENTER W/J IQ BATT INSULATION_ ( lRa Epulpmenll'
NOTIFY BUILDING rIEP^+' 1'� - F TESTING BEFORE COVERING \_ -
765-1802 9 AV 11) I , 65 I S FILM D. Mina Sam PeLMgnnee
FOLLOWING INN f. IS R —
1 FOUNDAP' `� � �. . 'IIt I� IS•�TOTALR U•1IR•.aG4 O• �" el« MlnUnumleHmmAllee
DE ope u«Iw IAI,IPI.
IlMael
UNDERWRITERS CERTIFICATE Ifwewl4lrlrww L.ee Nrn m,«eeAm. Ar DrxuVE)
_ REQUIRED FLOOR R 1 6844"070 Seem LI,,S ne.Eeo eWee T A De•<AnIF,)
' FOR PPI IP�� + '
2 ROUGH i ` If copper tubing IS Used t 17 I.S.FILM AND FINISHED FLOOR
e«-rewa.E.r tew lMnAeeAOP AIu
3. INSLILATIr+�' for Water distributing 5e Y.'CD%BUBFLOOR GLUED AND SCREWED TO JOIST __ _ _ --_ _ M m FIIE le0%ArUEI
4. FINAI CO U1: ,s:;l g _-, _-__- riLLreM,wln,nleeM b041Mne«,Doe muM T A Ire%Alu%)
100 AIRSPACE Wt reeO Aelw L«e ft. Ieox me
BF n' 11� F' Fv^rem; piping shall be
C.O. Of types K Or L only 19 00 e'BATT INSULATION WNAPOR BMRIER TO HEATED feO:aoe aluM YAr )
All + - � dN SHALL MEF Y SIDE
_ 1T O.S.FILA1 NonVEDpC CuvNN % pmt CE)
' IFNTS OF THE NI x2193 TOTAL RU-VR- 045 O..FUW r,mb04 AE 1 E ism IIIISCE)
TI GF l R W O*Fk .A e.1Nr AS
•N STR UCTION � ENERG O%iM rl.,ne• q
NOT RFSPON91RU For '" ,,,'^-F 1/1 HR. FIRE - pnr•w ewu. Ae r E RO%CE)
.
OR CONSWAK11l011 GWORS pax CEI
:ryI-P'ARATION TO u•DIAMETER V SOL.T MAX sv AT CENTER a
,,yy •• '��. 7A -7 6 0 " II .FNm,Fa.:,llr••bFM•.r••V i.e•4,IIp,�F,.I wNFM.N/�n.'ywF'I.,rQ
DD, LEER WITH -- ------ --- - MAX 1'-0'FROM CORNER INSTALL WASHERS aNUTa
zLL SEA UNILL 1 Table 4-S Canaal Alf CMINflonarell I
` N,Y. STATE BUILDING CODE. SILL SEAL UNDER TERMITE SHIELD WwnnxnPMammee
FRA INC UNTIL SURVEY FINAL GRADE r
J � UndwSLO��UWn Oer«O;IIMI WWII,11'.0
OF FOUNDATION LOCATION 1/ �' C•"eef• '•1f "^a IWWII,1wlm
1'PSC SLAB L $NEle PMee 11.04 Pb..* MUM
HAS BEEN APPROVED. _ . Ur*NT' rpc.SLAB ArcRAwLSPACE V 604 r •` _- _ S'P C FOUNDATION WAIL
UNM o- 4Ce.Ni �f.SlER
- _ _ -__ __ - _ _ _. _ _ ._. _� —"- _ __ _ WIOMIPROOFING ON E%TERIOR _ • �! :. pe.a AEle"I (10.0 AEE11) p e EEq p e EER)
PRO IDE ENIRGS FOR _ — I' — . — `� FD�kET3 ro
_
y CIEMI SAND BACKFLLL NUN eI -MQ11 NEE% MIEIF -e.1EE1r-
EME GEN ( ESCAPE AS E.P.C.MN
REQUI EDB PART. 7140F p -t Is-XS'PCFOOTwpwRlEv
_� I II I�/ aG 1 I ON VIRGIN SOIL a MW TD'BELOW GRADE `• p.e[III) pA EEeI NO.A EEaI pJr EEe)
N.Y. S TE BUILDING CODE, iy N j G P,AW L M IML -
1 011 e, -, �• Zr.P�{i• SL14'C3L E�/'f O I v r,.m�FFwFr.«.I.rNF.:.•.,..r.,..F..F
CONFIRM ORNNAOE OF SOIL,IF INADEQUATE, a •„y �• .N y •Fw.F•p w to
PROVID SMO E-DETECTING it k --L `-' 'T''-�1 OF 5i.-Alai, � INSTALL CONTINUOUS FOOTING DRAIN Tit To
F n� 1 lep
VIOHM UNNN , ` 4 '
HARM EVICE$ ! e ;-� tJ' 'a I n / 5 PTO THE RO FESS BEST OF
OJU DYE KNOWLEDGE ,ENT THESE BELIEFS,PLANS AND
A TO PAT. 721.1 8 V X8. 6 �' z 10 -Z e • SPECIFICATIONS C ORT TO THE NEN YORK STATE
N.Y. BUILDING CODE. _ I 1 ,
ENERGY CON SER VAT N CONSTRUCTION CODE .
."TIFF' FI'S,,--- — -- 'n - ----
\ SIGNEL1ZK HARD Ys. Sv TBR R h
PROVI E AN I-SCALD AND/OR4`,- 11 I
D R
-.. ) Z K 10 NT /y), 2 K I O x(� z 1 O ENERGY NOTES
THER AL SH CR PREVENTING /Zty ALL THERMOSTATS TO BE 45 DEG.-85 DEG,
OEVI SAS D PART. 902.61K)
Z) DOMESTIC HOT WATER• 140 DEG.MAX
N.Y. TATE WILDING CODE.
F! �� Oi5r 1 4) DESIGN U=.4 WI a O DEG.O.S.=DEG.WITH 15 MPH.WINDS
�/�' �' I 1 4) DOORS U=.4G WINDOWS=.58
----' 7J�iSG TsCRT EsrfJ ( 1 5) GLASS Z31 SO.FT. WALLS 4 7 7 5 SO FT I Z. I %GLASS
sL1� �vistrED o __ (2) 2-
PLI T11M 7 CERTIFICATILaR/#iG
ON EA ONTENT BEF
71 CER FlE OF OCCUPA Y i I I 5 - -
S DE USf R LpJGG>C , T _, Or
SU PLY WS T CA - ' Zb W
EX ED %10 F1%LEA . 9
�• STEP FTG- p �
OCCUPANCY OR
4)5
P ti ( USE 18/UNLAWFUL V � � `a ° -��=X`D
WITHOUT CERTIFICATE �� _ _ — - L!OF OCCUPANCY _r�i z � c' a-- � � op, I --
z X4 3IZ- It
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