HomeMy WebLinkAbout27819-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28727 Date: 08/21/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 510 SHORE LA PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 86 Block 1 Lot 4.9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 19, 2001 pursuant to which
Building Permit No. 27819-Z dated OCTOBER 22, 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 REAR DECK AND ATTACHED TWO CAR GARAGE AS
APPLIED FOR.
The certificate is issued to PETER M SCHEMBRI SR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0015 08/15/02
ELECTRICAL CERTIFICATE NO. 2614 08/14/02
PLUMBERS CERTIFICATION DATED 08/12/02 G.A.H. PLUMBING
t rized Signature
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. 27819 Z Date OCTOBER 22 , 2001
Permission is hereby granted to:
PETER M SR SCHEMBRI
76 OVERLOOK DRIVE
WADING RIVER,NY 11792
for .
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTATCHED GARAGE AS
APPLIED FOR
at premises located at 510 SHORE LA PECONIC
County Tax Map No. 473889 Section 086 Block 0001 Lot No. 004 . 009
pursuant to application dated OCTOBER 19, 2001 and approved by the
Building Inspector.
Fee $ 1, 217 . 10
Authorized Signature
ORIGINAL
Rev. 2/19/98
t
Form No.6
TOWN OF SOUTHOLD r---
BUILDING DEPARTMENT f r r ` r n n
TOWN HALL
765-1802 {
9 200.2
APPLICATION FOR CERTIFICATE OF OCCUPANCY i.
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and a consent to inspect signed by the applicant.If a Certificate of Occupancy
is denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to,dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Photocopy of Certificate of Occupancy-$ 0.23
4. Updated Certificaje of Occupancy- $50.00
5. Temporary Certificate of Occupanby- Residential$15.00, Commercial$15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 6V �IZ4 JAI
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County ax Map No 1000, S ti "No Block Lot
Subdivision Filed Map, Lot:
Permit No. Date of Permit. Applicant: 1(ri(� '
Health Dept. Approval: Underwriters Approval: Y
Planning Board Approval:
,//
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
L Applicant Zature
Robert James Higgins
Architect, AIA
50 Hidden Acres Path --- --
Wading River, NY 11792
631-208-3351
Town of Southold ,
Building Division - — --
Southold, NY
August 13, 2002
RE: LOT 9
Richmond Shores
Permit # 27819
Dear Building Department,
As the architect for the above project, I acknowledge that the outside cellar entrance
(Bilco) has not been installed as indicated on the blueprints.
Respectfully yours,
Robert James Higgins, AIA * `
cn
Ik
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764
Application No: 2614 Date:8/14/02
Issued to: Schembri Homes
Address:.Lot# 9 Shore Rd
Village : Peconic Zip: 11958 Township:Brookhaven
Introduced By: DeLane Electric License#:4354-E
was examined and found to be in compliance with the National Electrical Code
Attic❑X 1st Flood] Residential l] Pod Det.Garage
Basement❑x ltd floor 0 Comrercial Hot Tub Addtion
Switches Receptacles Fixtures G.F.I. Microwave Whirlpool
22 37 43 5 1 1
Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
5-paddle 1 20A 30A 40A 1
Furnace Oil Gas Circulators Smoke Bell
Detectors Transformers
1 yes 2 7 1
Other Equipment Meter Amps Phase Motors
2-Air handlers
-30A Compressors
ut,Res
This certificate must not be altered
in any manner
Section: 86 Block: 01 Lot:4.9
11
FR011 SOiiTHOLD TOWN PLANNING BOARD FAX NO. 631 765 3136 Jun. 11 0I'1 09:54H1 P1
rj�d��PO(kCOG
-Town Hai!, 53095 Main Road
C09 Fax (5 16) 765•1823
P. 0. Box 1179 �� . Telephone (516) -65-1802
Southo!d, New York 11971 ,f,
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E 12 T I F I C A T 1 0 N
Building .Permit No .
lWI1C'Y: -- - - qLJ
(please 'F)ilnt)
F,Iumber.
�rt-urA�,.,C,-
(paease print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead .
(Plu Lq- 4rL1C,=eF---
Linda B.Har�aea
NOMY public State of New Yost
Qualified In Suffolk Cout�t
Sworn to before me his No.O1Hp457 55
&day
;e
, Co�ssionExpires71311 of --- -� ?
Notary Public, b� County
*New York State Department of Environmental Conservation _
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, NY 11790-2356
Telephone (631) 444-0365 AM
Facsimile (631) 444-0360
_ Erin M. Crotty
Commissioner
3 2
April 29, 2002
EI_DG. D[^;,
Tr—A UToOLD
Schembri Homes Inc.
2042 North Country Road
Wading River, NY 11792
RE: 1-4738-02749/00001
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act
(Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are
enclosing your permit. Please read all conditions carefully. If you are unable to
comply with any conditions, please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously posted at the project
site and protected from the weather.
Sincerely,
Kendall P. Klett
Environmental Analyst
KPK/ls
Enclosure
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-02749/00801 901 A ri1 29,2002
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S)
Under the Environmental April 29,2007
Conservation Law
TYPE OF PERMIT■ New ❑Renewal ❑Modification❑ Permit to Construct ❑ Permit to Operate
❑ Article 15, Title 5: Protection of Waters ❑ Article 17,Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
❑ Article 15, Title 15:Water Supply ❑ Article 19:Air Pollution Control
❑ Article 34: Coastal Erosion
❑ Article 15, Title 15:Water Transport ❑ Article 23,Title 27: Mined Land Management
Reclamation
❑ Article 15, Title 15: Long Island Wells ❑ Article 36: Floodplain Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, Scenic and ❑ Articles 1, 3, 17, 19, 27, 37; 6NYCRR
Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control
❑6NYCRR 608:Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360:
Solid Waste Management
PERMIT ISSUED TO TELEPHONE NUMBER
Schembri Homes Inc. 631 929-5961
ADDRESS OF PERMITTEE
2042 North Country Road, Wading River, NY 11792
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Cathy Mesiano, 12 Mill Pond Lane, East Moriches, NY 11940 631 878-8951
NAME AND ADDRESS OF PROJECT/FACILITY
Schembri Homes Inc. property, Shore Lane, Peconic, NY SCTM #1000-86-1-4.9
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construct single family dwelling with associated garage, deck, driveway and septic system. All work must
be done in accordance with the attached plans stamped NYSDEC approved.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
applicable regulations, the General Conditions specified (see page 2 &3) and any Special Conditions included as part
of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Region 1 Headquarters
John A. WMand KPK Bldg. #40, SUNY, StonV Brook, NY 11790-2356
AUT ZED SIGNATURE DATE
/ e G A ril 29, 2002 Page 1 of 4
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, and agents("DEC")for all claims,suits, actions, and damages, to the
extent attributable to 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. This
indemnification does not extend to any claims,suits,actions,or damages to the extent attributable to DEC's own negligent
acts.
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 SAIDA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the permit
area when requested by the Department.
A copy of this permit, including all referenced maps,drawings and special conditions, must be available for inspection
by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a
Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
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 ofthis
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(SO DES), 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 in accordance with 6 NYCRR Part 621.
The grounds for modification, suspension or revocation include:
a) materially false or inaccurate statements in the permit application or supporting papers;
b) failure by the permittee to comply with any terms or conditions of the permit;
c) exceeding the scope of the project as described in the permit application;
d) newly discovered material information or a material change in environmental conditions, relevant technology
or applicable law or regulations since the issuance of the existing permit;
e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the
Environmental Conservation Law or regulations of the Department related to the permitted activity.
DEC PERMIT NUMBER
1-4738-02749/00001 PAGE 2 OF 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION - - -
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLES), 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 Departmentto remove oralterthe structural work,obstructions,orhazards 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 or any other
environmentally deleterious materials associated with the project.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall,without expense to the State,and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and
restore the site to its former condition. No claim shall be made against the State of New York on account of any
such removal or alteration.
8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302,
303, 306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are
met.
9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by Joseph Ingegno last revised on 2/6/02.
DEC PERMIT NUMBER PAGE 3 OF 4
1-4738-02749/00001
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 75 linear feet from the tidal wetland boundary.
5. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris).
6. 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 within an area extending 50 linear feet landward of the tidal
wetland boundary.
7. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer
area or 100 linear feet from the tidal wetland boundary, or 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.
8. Roof runoff shall be directed to drywells a minimum of 150 feet landward of the tidal wetland boundary for
immediate on-site recharge.
9. Driveways and parking areas shall be constructed of pervious material.
10. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high
groundwater.
11. The permittee shall incorporate the following language as a notice covenant to the deed:
"Regulated tidal wetlands associated with Richmond Creek are located at Suffolk County Tax Map Number: District
1000, Section 86, Block 01, Lot 4.9,otherwise known as the properties of Schembri Homes and their heirs, assigns,
or successors. This property is subject to the provisions of New York State Environmental Conservation Law(ECL)
Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior
approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor.
Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and
filling; clearing of vegetation; and application of chemicals."
This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit.
A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit,
shall be sentwithin one calendaryearofthe issuance of this permit to:NYSDEC,Regional Manager, Bureau of Marine
Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356.
DEC PERMIT NUMBER
PAGE 4 of 4
1-4738-02749/00001
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET 6-/ VILLAGE DIST. SUB. LOT c�
b `
c
FORMER OWNER N E ACR.
F, S W TYPE OF BUILDING
RES. SEAS. VL. - // FARM COMM. CB, MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
a ,lam /y/ 9I t� tv qI- L11 I !Tk 1 - G
o -Ll Ooq a -S en bn' . -4/0 �s
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
STATE OF NEW YORK )
ss:
COUNTY OF SUFFOLK )
F-c -r 41144W5, being duly sworn, deposes and says:
That deponent is over the age of. 18 years and resides at
✓Jh&•1 A cn;&F.s PA 'YAR.
w A tj4(p 1t tOfi/t Ny R.t I-Vz—
That on the 1Z day of ✓G y , 2001 deponent architect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000- -� `� • 9
street address ) stkat-107 L4 -
AArc-hltect/Enrr
Sworn to before me this
27day of , 2001.
Notary Pub i
TARA J. McDONALD
Notary Public, State of New York
No. 01 BO5041914
Qualified in Suffolk Cowity
cc: Applicant Commission Expires April 10,
+New York State Department of Environmental Conservation=
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, NY 11790-2356
Telephone (631) 444-0365 AM
Facsimile (631) 444-0360 lable
Erin M. Crotty
` Commissioner
� f 3
A
a ? i
April 29, 2002
BLDG. DEPT. -
'Jif F SC1UT}-fJLD
Schembri Homes Inc.
2042 North Country Road
Wading River, NY 11792
RE: 1-4738-02749/00001
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act
(Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are
enclosing your permit. Please read all conditions carefully. If you are unable to
comply with any conditions, please contact us at the above address.
Also enclosed is a permit sign which is to be conspicuously posted at the proj ect
site and protected from the weather.
Sincerely,
l
Kendall P. Klett
Environmental Analyst
KPK/ls
Enclosure
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
1-4738-02749/00801 Aril 29, 2002
FACILITY/PROGRAM NUMBER(S) PEpMIT EXPIRATION DATE(S)
Under the Environmental April 29, 2007
Conservation Law
TYPE OF PERMIT■ New El Renewal ❑Modification❑ Permit to Construct ❑Permit to Operate -
❑ Article 15,Title 5: Protection of Waters ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27,Title 9; 6NYCRR 373:
❑ Article 15, Title 15:Water Supply ❑ Article 19:Air Pollution Control Hazardous Waste Management
❑ Article 34:Coastal Erosion
❑ Article 15, Title 15:Water Transport ❑ Article 23,Title 27: Mined Land Management
Reclamation
❑ Article 15, Title 15: Long Island Wells ❑ Article 36: Floodplain Management
❑ Article 24: Freshwater Wetlands
❑ Article 15, Title 27: Wild, Scenic and ❑ Articles 1, 3, 17, 19, 27, 37; 6NYCRR
Recreational Rivers ■ Article 25: Tidal Wetlands 380: Radiation Control
❑6NYCRR 608:Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360:
Solid Waste Management
PERMIT ISSUED TO TELEPHONE NUMBER
Schembri Homes Inc. 631 929-5961
ADDRESS OF PERMITTEE
2042 North Country Road, Wading River, NY 11792
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Cathy Mesiano, 12 Mill Pond Lane, East Moriches, NY 11940 631 878-8951
NAME AND ADDRESS OF PROJECT/FACILITY r
Schembri Homes Inc. property, Shore Lane, Peconic, NY SCTM #1000-86-1-4.9
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construct single family dwelling with associated garage, deck, driveway and septic system. All work must
be done in accordance with the attached plans stamped NYSDEC approved.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part
of this permit.
PERMIT ADMINISTRATOR: ADDRESS
Region 1 Headquarters
John A. land KPK Bldg. #40, SUNY, St nV Brook, NY 11790-2356
AUT ZED SIGNATURE DATE
Page 1 of 4
April 29, 2002
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, and agents("DEC")for all claims, suits, actions, and damages, to the
extent attributable to 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. This
indemnification does not extend to any claims,suits,actions,or damages to the extent attributable to DEC's own negligent
acts.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their
responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may
be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Interfere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights
of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by
an authorized representative of the Department of Environmental Conservation (the Department)to determine whether
the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant
to ECL 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection to the permit
area when requested by the Department.
A copy of this permit, including all referenced maps,drawings and special conditions, must be available for inspection
by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a
Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
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 in accordance with 6 NYCRR Part 621.
The grounds for modification, suspension or revocation include:
a) materially false or inaccurate statements in the permit application or supporting papers;
b) failure by the permittee to comply with any terms or conditions of the permit;
c) exceeding the scope of the project as described in the permit application;
d) newly discovered material information or a material change in environmental conditions, relevant technology
or applicable law or regulations since the issuance of the existing permit;
e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the
Environmental Conservation Law or regulations of the Department related to the permitted activity.
DEC PERMIT NUMBER
1-4738-02749/00001 PAGE 2 OF 4
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 Departmentto remove or alterthe 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 or any other
environmentally deleterious materials associated with the project.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall,without expense to the State,and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and
restore the site to its former condition. No claim shall be made against the State of New York on account of any
such removal or alteration.
8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302,
303, 306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are
met.
9. At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and returned, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by Joseph Ingegno last revised on 2/6/02.
DEC PERMIT NUMBER PAGE 3 OF 4
1-4738-02749/00001
- r
^ 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 75 linear feet from the tidal wetland boundary.
5. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris).
6. 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 within an area extending 50 linear feet landward of the tidal
wetland boundary.
7. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer
area or 100 linear feet from the tidal wetland boundary, or 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.
8. Roof runoff shall be directed to drywells a minimum of 150 feet landward of the tidal wetland boundary for
immediate on-site recharge.
9. Driveways and parking areas shall be constructed of pervious material.
10. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high
groundwater.
11. The permittee shall incorporate the following language as a notice covenant to the deed:
"Regulated tidal wetlands associated with Richmond Creek are located at Suffolk County Tax Map Number: District
1000, Section 86, Block 01, Lot 4.9,otherwise known as the properties of Schembri Homes and their heirs, assigns,
or successors. This property is subject to the provisions of New York State Environmental Conservation Law(ECL)
Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior
approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor.
Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and
filling; clearing of vegetation; and application of chemicals."
This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit.
A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit,
shall be sent within one calendar year of the issuance of this permit to: NYSDEC,Regional Manager, Bureau of Marine
Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356.
DEC PERMIT NUMBER
1-4738-02749/00001
PAGE 4 of 4
�a
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: /O /22/01
DATE SUBMTTTED:�/,j_/O1
APPLICANT NAME:Sc�.r�N,B�t �,,,,�
SCTM# DISTRICT: 1,000 SECTION:86 BLOCK: / LOT: �/•9
STREET:SSo �,,.�r G�,y6 CITY: RzoA/i c SUBDIV. NAME:,Pc,,r„m o.Vo 5va e
PROJECT DESCRIPTION: A4V /�wEi Li.✓�r
ARCHITECT/ENGINEER--441 s FAST TRACK?
SINGLE& SEPARATE CERTIFICATION-REQUIRED?�NOTES:-p,6 j-46-/)/Y,15/Or l
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83)
ZONING DISTRICT: R-yo CONFORMING? .moo
SffT 2tCCS ?W-0 'f L#4 V'w/N
cr-
REQ. LOT SIZE: Vb,000 ACT. LOT SIZE?92"Z REQ. LOT COV. Zo`, ACT. LOT COV.
REQ. FRONT f PROP. FRONTj o REQ SIDE s-5 ACT. SIDE `�/z/ gy
REQ. REAR TO PROP. REAR /oz' —�
WATER FRONT? N O DESCRIPTION:
PANEL #:-162- FLOOD ZONE: x ,
AGENCY PERMITS REQUIRED FOR REVIEW
PROVALS RE UIRED:
SUFFOLK COUNTY HEALTH DEP YE r NO, (BED#):�DTE: 9 / 12 /oo PERMIT#:R10- oo- ooi s
NEW YORK STATE DEC: PRE-DEC 9/1n5 YES o
SOUTHOLD TOWN TRUSTEES: YES or60
TOWN ZONING BOARD APPROVAL: YES or 1
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES or
NYS ENERGY: SS R NO : -r I(� _ �� y- -7-,� �,� _
EGRESS (18 H min-? 4 s total VENTS FT ° .v o
q ) &/A ( Q . x 4/o) / LIGHT (SQ. FT. x
BUILDING PERMITS OPXPIRED: BP -Z/C/0 Z_
HAVE PRE CO'S : Y OR �_ BP -Z/C/o Z-- ,
NOTES:
FEE STRUCTURE: FOUNDATION: I a 49 SF
FIRST FLOOR I -1 5 L SF
SECOND FLR 13 3 6 SF INIT OTHER TOTAL
TOTAL: t U -4 SF FEE FEE FEE
'OT( 440-7 SF)- " o SF)= 559- SF X =$ 10691-10 +$ S� o +$ = $ 1213,to
7GS-1802
BUILDING DEPT.
-INSPECTION
[ vf FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
rr
x-2
C. -
DATE ////5 DINSPECTOR
2 L/ 9-:�-'-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE S/ CHIMNEY
REMARKS:
J�N pY 1
1' 47 O.JGI s 04
V
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [/�OUGH PLBG.
[ ] F DATION 2ND [ ] INSULATION
[ MING [ ] FINAL
[ ] FIREPLACE S CHIMNEY
REMARKS: , olllc
� C
s
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
0
REMARKS:
DATE -2- INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ XFINAL LOG.
[ ] FOUNDATION 2ND [ ON
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
REMARKS:
c 4a
DATE INSPECTOR
FIRW INSPECTION_REPORT ]DATE COHMENTS
r .13o
FOUNDATION ( 1ST) a
11NDATION
ROUGH FRAME A.A p�- c °
c
PLUMBING f
[NOULATION PER N. Y. M1
STATS ENERGY
CODE.
' r
VIRAL
ADDITIONAL COMMENTS:
Orr Lore oRr✓47ri Csr- ta� /,-1 A+vd a+vd
-5�74c
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c
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health J
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: 765-1802 Survey_
PERMIT NO. Z 4e If -7— Check
Septic Form _:_,�A
N.Y.S.D.E.C.
Examined I6Trustees
Z Z' >20 �' ` Contact:
Approved 10 2 Z ,20 O 1 Mail to:
Disapproved a/c
Phone:
t t R a il l Building Iscpecter-
9
t ;
APPLICATION FOR BUILDING PERMIT
ex SO�t Date 6 / 20 4/
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and 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 Occupancy
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.
1
(Signature of appli ant orLame, if a corporation)
(Mailin address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises c�e d / j , J/�J�j -4,
(as on the tax roll or latest deed)
If applican*and
or t Si ature of duly authorized officer
(Ntle of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on hich proposed work will be done.-/) ,
House Number Street p' Hamlet `
County Tax M No. 1000 Section p w Block D Lot
Subdivision Name) Ott Filed Map No. Lot 9
(Name)
2. State existing use and occupancy of pregoes and intended use and occupancy of proposed construction:
a. Existing use and occupancy ,K f�7
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost emp Fee (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars CZ
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /i
r, --- a,
7. Dimensions of existing structures, if any: Front Rear
Height Number of Stories f# ' ,.n
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of tori s
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front /-5 Rear , //� ,�r Depth
10. Date of Purchase Name of Former Own/err
11. Zone or use district in which premises are situated le— T �
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be re-graded2g 1;4;j i I) /b 4'6r Will excess fill be removed from premises: YESO
�o^ONTGyk
14. Names of Owner of pfernises fiey 410,fS Address ly.d-hirti001.yE/4wt;;+hone No.
Name of Architect Address l Phone No
Name of Contracto k2esA Address 4Phone No. -SgG/
15. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
(Name(of individual s'gning contract)above named,
(S)He is the
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of ()0/
Not is Signa
t e of Applicant
ONA
Notary Public,State EofZ New York
No.4785585;County Of Suffolk
Commission Expires Sept.300 ISO..
c?603
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 10/19/01 Receipt#: 4707
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Check#:4707 Total Paid: $10.00
Name: Schembri, Homes Inc
86-1-4.15
Po Box 163
Wading River, NY 11792
Clerk ID: LES Intemal ID:41373
01r
SURVEY
-
SURVEY OF
LOT 9
MAP OF
RICHMOND SHORES AT PECONIC
FILE No. 6873 FILED doVEMSER 20, 1979
SITUATED AT,
�O PECONIC
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
�� LO��pt �. S.C. TAX No. 1000-86-01 -4.9
i-
oFm'
SCALE 1"=40'
� �, JANUARY 14, 2000
R=25.00 Eas �r� AUGUST 17, 2000 ADDED TOPOGRAPHICAL SURVEY
m\
_ y AREA - 28,212.03 sq. ft.
0.648 ac.
p
(g� 0 F
AN
\ 7011
I. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
I �- - EXISTING ELEVATIONS ARE SHOWN THUS: ILD
Z2 \
9\_ " \ /-AD 2. REFER TO FILED MAP FOR TEST HOLE DATA.
}. MINIMUM SEPTIC TANK CAPACITIES FORA 1 TO a BEDROOM MOI/SE 15 1,000 GALLONS.
ux O V A A 79 9 / 1 TANK; S' LONG, 4'-3' WOE, 6'-7' DEEP
'f_ -9 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq it SIDEWALL AREA.
_8 2 POOLS: !' DEEP. R' Ma.
f6 P�10, A AV PROPOSED Ex►ANSION IDOL
Q v R
Op, \ \
cv v y LOT(61) PROPOSED LEACHING POOL
\ \ \
PROPOSED SEPTIC TANK
S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
i
v O.
4. FLOOD ZONE INCE RATTAKEN FROM:
00
FL0INSURANCE RATE
11AP No. 36103C0162 G
n ZONE x' AREAS OF 500-YEAR FLOOD, AREAS OF 100-YEAR FLOOD WI/H AVERAGE
\ d DEPTH OF LESS THAN 1 FDOT OR WITH DRAINAGE MEAS LESS THAN
1 SWINE MILE, AND AREAS PROTECTED BY IEYE100-YEAR FL000.
To RE OLrr51DE SOO YFPRDOOPLNN.
SUF OLK COUNTY DEPARTMENT OF I'MALTI-1 SERVICES
o� �6• \ \ PERMIT F 01.1APFROVAL OF CONSTRUCTION FOR A
6INGLE FAMILY RESIDENCE ONLY
BSEP 12 000
3 \
nA HS REF
,SO \\ \ \\ \ -Y° V�JP APPROVED �• PREPARED IN acepRwNGE w H MRMwUm
STANDARDS FOR TIRE SURVEYS AS ESr�ABo►rE
\ \ \ 5. AND APPROVED AN DED
�p P A) �� FOR UM OF„ ROOMS ME NEW YOaIL STATE I-AND
c v �^
/ti EXPIRES THREE YEARS FROM DATE OF APPROVAL �'�Su' N
F0 \
A1.2
ka
�
1pf
ti tisl� \ .00 N
\'°gyp' S- Lc No. 49668
4 \ LINAUTHORIZEo NTF%ATION OR ADDITION
Sf TO THIS SURVEY 15 A vrounON of _
�fi^jJ \.E3 EEDDUCA�TION Of THE NEW YORK 5rA1Ff6soph A. kVeaM
\ COPIES OF.THIS SURVEY MAP HOT BEARING
THE Vd10 SURVEYOR'S INKED SFAL OR ii
\ EMBOSSED SEAL SMALL NOT BE CONSWLREO L� Surveyor j
TO BEA VALITRUE COPT. L*id
CERTRICATIONS IRDK:ATED HEREON SFMLL RUN
\ LS ONLYTO
FOR WHOM THE
PER"MID ON HIS /HE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Canstructim Layout
LENDING LISTED ""CON. AND
1 To THE ASSIGNET OEF THE IENDKr6 INST1-
TUTION. CERTIFICATIONS ARE HOT rRANSfEHARLE. 11HIME (631)727=2090 Fax (631(727-1727
- THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT AVAILING ADDRESS
ANDANY./NOT SHOWN ARE NOTEASEMENTS OF CGUARANTEED, 138ORD, IF0 R(MNOKE AVENUE Pp. Box 1931
RIVERHEAD. New York '1901 __.. Rwe•4ead Nyw mor. 11901-0965
i
�r 1
SURVEY OF LOT 9
MAP OF
ICHMOND SHORES AT PECONIC
0
F+;_p�..f •=�T, FlLE No. 6673 FXED NOVEMBER 20, 1979
F 4n tF,QLD
4ti�� LDR tiO SITUATED AT
PECONIC
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
R=
S.C. TAX No. 1000-86-01-4.9
� + SCALE 1"=40'
�p fL�l 9p p0 S 6/ 'mss JANUARY 14, 2000
sc9,/O AUGUST 17, 2000 ADDED TOPOGRAPHIC& SURVEY
MARCH 14, 2001 ADDED WETLAND LINE
'PA OCTOBER 17, 2001 HOUSE PLOT PLAN
Col.. JANUARY 29, 2002 UNOER 28,212.03 SUCTION SURVEY
AREA t`1 0.648 ac.
O719
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AL
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DEPTH OF 1l:TWN 1 FON OR SIN DSWD10E ANS LESS TNM
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ZONE 2: ARS GE1E10040)To DE OUIME 300-400 FLOODP w.
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THE EIOSTIMICE OF DMNT OF WAYS OFFICES LOCATED AT MUM ADIVESS
M/BDR AEOF EN • 1380 11100JOW AEp6E P.O. E m 1831
/J(y mwumm, "m York 11901 Rkwhead, Nm Yak 11901-0965
V
SURVEY OF
LOT 9
MAP OF
RICHMOND SHORES AT PECONIC
FILE No. 9873 FILED N01/EMKR 20, 1979
SITUATED AT
�' v► ` PECONIC
\ TOWN OF SOUTHOLD
q SUFFOLK COUNTY, NEW YORK
n •\ \\ \�\ $ S.C. TAX No. 1000-86-01-4.9
LOGM" •y \ O• \� \` SCALE 1'=40'
Q `� 90 `�J• \� `rQ+PJANUARY 14, 2000
\SB ,Au . o AUGUST 17, 2000 ADDED TOPOGRAPHICAL SURVEY
\ \
00, 4,� 7`l MARCH 14 2001 ADDED WETLAND LINE
�\ 10'30 \\ F `` g� �� OCTOBER 17, 2001 HOUSE PLOT PLAN
N\6� \ 7/ AREA = 28,212.03 sq. }t.
0.848 oa.
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®�.�•�,-pap m _ '� OSW Land Surveyor
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SURVEY OF
yQ' LOT 9
MAP OF
RICHMOND SHORES AT PECONIC
FILE No. 6873 FILED NOVEMBER 20, 1979
SITUATED AT
L°T01 - _ '2� PECONIC
TOWN OF SOUTHOLD
y SUFFOLK COUNTY, NEW YORK
R=25.00' �, ,� �
S.C. TAX No. 1000-86-01 -4.9
SCALE 1"=40'
JANUARY 14, 2000
NFG SB. 7'e?pW AUGUST 17, 2000 ADDED TOPOGRAPHICAL SURVEY
0„ MARCH 14, 2001 ADDED WETLAND LINE
,
0 OCTOBER 17, 2001 HOUSE PLOT PLAN
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_ ��'� F d• �o /� JANUARY 29, 2002 UNDER CONSTRUCTION SURVEY\61 FEBRUARY 6. 2002 REVISED FOR N.Y.S.D.E.C. PERMIT
JULY 30, 2002 FINAL SURVEY
s AREA = 28,212.03 sq. ft.
0 A v es — — — 0 0.648 ac.
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FLOOO INSURANCE RATE MAP Ne. 36/0300162 O
zONE x•: ,wEAs OF soo-YEAR FLom mwAs OF too-YEAR ROOD Nm1 AvERADE "9
UMN OF less THAN t FOOT OR WITH DANNAI E ATEA6 uss 711AN
1 SQUARE NLE AND AREAS PROTECTED BY LEVEES FROM 100-YEAR FLOOD.
ZONE x- AREAS DETERMINED TO E OUTSIDE 500--YEAR FLOOOP AIN. + ,
2. ELEVATION! ARE INFERENtCD TO N.O.V.D. 1629 DATUM
D== ELEVATIONS ARE SNOW TAUS:1110 N.Y.S. Lic. No. 49666
Dan" CONTOUR UND ARE SHOWN TIES:- - _-12--- -
TOPOORAPNK RMORYATION SHOWN S AS PRNOR TO CONSTRICTION.
To TM 1WTFD ALIS A710N 011 ADDITION
ro TNS SURVEY 6 A VIOLATION EOF -
EDUCAn LA . FEAR STA Joseph A. Ingegno
EauA,xlT LAM.
COPES OF THIS AMVEY MAP NOT SEARING
EM �° '�D CTL OR
SI Land Surveyor
TO BE 1 SEAL SHALL NOT TIE
ro eE A vwn TRUE coTx.
CFIREKATIONS 2OICATED IENE M SNALL RUN
ONLY TO THE PERSON POR WHOM THE SURVEY
O PWAED, AM ONTITLE OM~.GOV�NEptTAL W"7O THE TRI, surveys - SuOdiNd - Ste Plum - Conutnxt*n Layout
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TOTTURN.ffl�lomms Rt Lewd III
ARE NOT TR,wSFER . PHONE (631)727-2090 Fax (631)727-1727
THE EfUSTENICE OF RMT OF WAYS OFFICES LOGTED AT MAILING ADDRESS
ANO/OR[ASEAN OF RECORD, IF 1360 ROANOKE AVENUE P.O. Boz 1931
ANY, NOT SHOWN ARE NOT 1NUARAMTEEO. RIVERHEAD, Now York 11901 RivnHead, New York 11901-0965
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SUNCATCHER ENGINEERING
SHELTER ISLAND HEIGHTS NY 1196531)749 4045 suncatcher apeconic.net
SECOND FLOOR ADDITION FOR MR. FRANK PRIOLO
500 FOX HOLLOW RD. MATTITUCK NY
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UNDERWRITERS CERTIFICATE
REQUIRED OCCUPANCY OR
USE IS UNLAWFUL PLut MNG
APPROVED AS NOTED WITHOUT CERTIFICATE
o�za v IAM ALL KLIMBING WUM
OF t WATER LINES NEED
FEIN 1,21 q.10 -P1gp TESTING BEFORE COVERING
NOTIFY BUILDING DEPARTMENT AT IF 'e Eaz u�2cc�j
765-1802 9 AM TO 4 PM FOR THE ELEVATE HEATING
FOLLOWING INSPECTIONS: APPLIANCES 18"AS
1. FOUNDATION - TWO REQUIRED REQUIRED BY PART.
FOR POURED CONCRETE 717.3 (e) (4)OF
2. ROUGH - FRAMING A PLUMBING PLUMBER CERTfFI��Tt'� �J
a INSULATION N-Y. STATE BUILDING CODE.
t FINAL - CONSTRUCTION MUST ON LEAD CONTENT R iFF(-,`-,`E
BE COMPLETE FOR C.O. CERTIFICATE OF Or~C1 SFA,'°,`gip Y
ALL CONSTRUCTION SHALL MEET PROVIDE OPENINGS FORSOLDER USED Ili Ix1>.�?Tt; t
THE REQUIREMENTS OF THE N.%
STATE CONSTRUCTION S ENERGY EMERGENCY ESCAPE AS SUPPLY SYSTEM Cxffr ` ' '7
CODES. NOT RESPONSIBLE FOR REQUIRED BY PART. 714 OF EXCEED 2/10 of 1�'/ LE.��:?.
DESIGN OR CONSTRUCTION ERRORS N.Y. STATE BUILDING CODE.
PROVIDE SMOKE-DETECTING PROVIDE ANTI-SCALD AND/OR
ALARM DEVICES THERMAL SHOCK PREVENTING
AS TO PART, 721.1 If copper tubing is used DEVICES AS TO PART. 902.6(K)
N-YS BUILDING CODE. for water distributing N.Y. STATE BUILDING CODE.
system; piping shall be
of types K or L only
UNDERWRITERS CERTIFICATE
DO NOT PROCEED WITH REQUIRED
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION PROVIDE 3/4 HR. F;RE
HAS BEEN APPROVED. RATED SEPARATION TO
PART. 717.3 (f) (1) OF
N.Y. STATE BUILDING CODE.
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TYPICAL ROOF CONSTRUCTION
Asphalt Roof Shingles THt�. a� ) GY/v /Lo 1i 1 1) -
I'tur d V'1 o�I„ N J
15 to roof paper LJAu(.', y - - S o 07A n oa.ox�
�I IV112" Exterior grade PYwaoil sheathing
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Rafters per plan 1 - Iq X _- - _ _ _ _�
I o V I --_—_ „n / _LZzL NNNV
TYPICAL SOFFIT CONSTRUCTION lj ” 'I IQ �+ LB J
2 /O Fr2o°overhang x x x - 1 `" r,o -1 0 . ,,.� Q,i _-___ Ov rlocksxf �ll
6"alum wrap wood fascia I �GyCJ f--I C1 8� ,� -I
Fully vented vinyl soffit I
� t� rl,usir r
TYPICAL EXTERIOR WALL J _ ,)/ $n p J IAf q O ?j i o 1 GI — Il,� I - ----__
2x4 wood studs® 16"ac _ L. _ - -_ - _ \J CF r( - -- - _ -_ --- _
double top plate, single sale plate J Nt5 4,,
p � _ L
PJ ell
112" Exterior grade plywood sheathing = _ - �} - - d - cilk
tyvec house wrap 'x viehb -o f!-µb W 2
vinyl or wood siding - _ ` 3U y� _ _
Il- Jlr ,s I OAK 2 ,.r lU C' -� 1 C.� �'L H 6 > N > >
TYPICAL FLOOR CONSTRUCTION 'ax�1 - J Ic I.UW n� ,'Iy O Z '� Rgit. O N d K
1 _ o I'321 �C� INc. �esz
314" Plywood subiloor,glue& nail W I Y N o I c i,., C r� r F ,c.t.J�
floor joists per plan p �j Iti.l I til L ��I �� C+� IhI4 7+ Sha-�1 c, - o a ,%
bridging per code ,I 1 T -� {, _ 0 I%
G rt
TYPICAL FOUNDATION CONST O M I°GV'`� 'xj(°rl ATo LgEO --A
�y� ��' t m Li
8"poured concrete walls an c - P _
16"x 8"wall floating ,✓� -ci- r�N Ppm N` d G a
Exterior damproof below grade 1 — -U = - I Ty'
2-2 x 6 treated sill plates, sill seal, _ U N z
termite shield 7j07i� ZxOJ`-2- X I4 L ��,r 14 I. y ?gyp 52 2 �j2 ~ Z U w
1/2"x 12"Anchor bolt @ 8'-0"o c - x - ¢ > 'n
hold bolts I'-a'from tamers 1 _ to ��~�G N O m � 3 o z �
4" cont. slab �� I� z I� - ea
Garage slab-4"wtopt W.W. M 17„ 1pl � SfZ xll°g /,2wb RrZl ( � U � o ^'
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INSULATION SCHEDULE 1
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All shall be Kraft Faced I� IA-./41Z `� -I
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R-131 all extenorwalls,walls common "h t I. 2�-T-
CUr-�r ,rJ�j
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A�,
with garage
R-19, flat ceilings,
R-19, cellar ceilings, living space over —
over garage,slope ceilings
2x6 exterior walls
TYPICAL INTERIOR FINISH _
1/2"Gypsum wall board on 7 �-
walls and ceilings unless noted11 41/ Z
waterproof 6W.bdinbathrooms
o ;:. -.! =. : ��I r7> �. -
7. ��1 w/ Gr ILI c-
12 7 5 S 1" qo N rf I '
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90
III
GENERAL CONSTRUCTION NOTES ENERGY NOTES _
1. All work shall conform to NEW YORK STATE & LOCAL 1 The Architect certifies that to the hest of his knowledge, belief and
building&zoning codes. All codes shall supersede drawings. professional lodgement. the drawings conform to the NEW YORK
2. Written dimensions shall take precedence over scaled dimeosmns. STATE Energy Conservation Construction Code, March 1 1991.
3. All dimensions, existing or new shall be verified by the contractor 2. all HVAC systems shall meet the NYS Energy Code It shall be the
4. The Architect shall not be repomible for changes made in the field responsibility of the Mechanical contactor submit the design, type
without his approval. The Architect shall not be responsible for the size. heat loss to the Owner as required by the Budding Dept.
construction means, methods,sequences or procedures. 3 All work shall conform to the New York State Energy code.
_. All electrical and plumbing shall conform to all state,local, county codes. i. All windows,glass to he U=.y!e
and shall be inspected and approved by the governing agencies. General 5. All doors, U=40 max., exterior& cellar doors weather-stripped
contractor shall be responsible for all installation, materials,des:en.etc h. Thermostat shall bei day programmable.
6. All footings shall bear on virgin, undisturbed soil with a minimum 7. Insulate all piping and ducts per Energy Code.
bearing capacity of 2 tons per square foot. S. All domestic hot water setting at 140 F. Ylnximnm
.all footings shall be a minimum of 3'-0" below final grade-
1, All concrete shall have an ultimate compressive strength al 28 days Thu Plan conforms to Part 6,Building Design by Thermal Rating - I ZIP 011
of 3000 psi. Concrete to conform to the ACI codes and standards. Method. Non-Electric comfort beat, 6000 degree days.
8. No backfill shall be placed against the foundatiou walls until Best Boor �'I✓/�� 4 rl I \ ��
framing is in place or brace foundation. Are. U-Value Thermal Rating I
9. Metal Bashing shall be provided were concrete abuts wood. And were GLAZING is J
decks but house framing. WALLS 22-c+
10. Double gists under parallel partitions and under whirlpools. DOORS 2G . 40 -`� __- _
i Pi P' 0 �- --- ---- - kJOUY� f'YL.ai'IG
11. .lois[ hangers required a all Bush stnnencal load fearing conditions. SKYLIGHTS ry • 33 -— � � � ',1
12. Frnmmg limber shall be DOUG-FIR,Y2 or better,E=1.6 FLOORS //51 -J`/I , 11 - Gil �'J�" -- �OAlIJL� aJ9
single member 1050 psi, repetitive member 1207 psi ROOF/CLG
13, Minimum lap of Joints 4 inches, inferior plates and girders. SLAB EDGE e1A Nil
14. Provide at least one window in each space,except kitchens and laths that
conform to the NYS egress code. Operable window to be(41 sq. ft.with 18"
minimum dimemion.with bottom of opening no higher than 3'-6" glove TOTAL CIIERrvIA I.RATING
faisli Moor and 4'-6" where required in basements. Muumum code coni pliancerauag-0
15. Architect has not been retained far roa.nrnrtion supervium:, Int.
Ins per ..... -----
observing the progress and quality of the work under construction or contract I
administration. The Owner/ builder shall be solely responsible fur the
constrnctinn phase,and fir interpreting the constriction drawings and g I
observing the work of the contractors to discover,correct or mitigate errors.
16. All door and window, headers to be 2-2 x 10 unless noted otherwise. 411
1�
17 Vent dryer to exterior and all hath fans on separate switch,
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