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46896-Z
�O�S�FFO� I Town of Southold 2/18/2024 0 Gym P.O.Box 1179 co 53095 Main Rd 4, �ao�.y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44996 Date: 2/18/2024 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 565 Fishennans Beach Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-1-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/14/2021 pursuant to which Building Permit No. 46896 dated 9/29/2021 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: single family dwelling with deck as applied for. The certificate is issued to Kirkpatrick,Patricia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-0292 10/6/2022 ELECTRICAL CERTIFICATE NO. 46896 10/22/2022 PLUMBERS CERTIFICATION DATED 12/14/2023 CutePogrekast Plumbing&Heating u h i d Signature o�SUFFo`�i TOWN OF SOUTHOLD BUILDING DEPARTMENT co x TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46896 Date: 9/29/2021 Permission is hereby granted to: Kirkpatrick, Patricia 73 Strickland Rd Cos Cob, CT 06807 To: construct single-family dwelling as applied for per SCHD, DEC & Trustees approvals with flood permit. At premises located at: 565 Fishermans Beach Rd., Cutchogue SCTM #473889 Sec/Block/Lot# 111.-1-34 r Pursuant to application dated 9/14/2021 and approved by the Building Inspector. To expire on 3/3112023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,107.20 Flood Permit $100.00 CO-NEW DWELLING $50.00 Total: $1,257.20 uilding Inspector o�SufpQl�'c0 TOWN OF SOUTHOLD BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45800 Date: 2/9/2021 Permission is hereby granted to: Kirkpatrick, Patricia 73 Strickland Rd Cos Cob, CT 06807 To: Overhead service At premises located at: 565 Fishermans Beach Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 111.-1-34 ( 1 A 4kP L hnk-'&.e Pursuant to application dated 2/9/2021 and approved by the Building Inspector. To expire on 8111/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SOUj��l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.deviin(a)_town.southold.ny.us Southold,NY 11971-0959 Q�yCOU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Patricia Kirkpatrick Address: 565 Fishermans Beach Rd city:Cutchogue st: NY zip: 11935 Building Permit* 46896 section: 111 Block: 1 Lot: 34 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Habbard Electric License No: 4709ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 38 Ceiling Fixtures 11 Bath Exhaust Fan 2 Service 3 ph Hot Water Gas GFCI Recpt 6 Wall Fixtures 4 Smoke Detectors 4 Main Panel 200A A/C Condenser 1 Single Recpt Recessed Fixtures 2 CO2 Detectors Sub Panel A/C Blower 1 Range Recpt Gas Ceiling Fan 3 Combo Smoke/CO 2 Transformer UC Lights 3 Dryer Recpt Emergency Fixtures Time Clocks Disconnect 2 Switches 3Q 4'LED Exit Fixtures 11 Pump Other Equipment: Fridge, Oven, DW, Micro, W/D, 200A Panel 30 Circuit/ 30 Used Notes: New Two Story Inspector Signature: Date: October 11, 2022 S.Devlin-Cert Electrical Compliance Form ®�®SVF0:01,��®G Town Hall Annex �� •f.� Telephone(631)765-1802 54375 Main Road P.O. Box 1179 COD Southold, NY 11971-0959 - • 3 �� -�U t-- 4 ti , BUILDING DEPARTMENT E I TOWN OF SOUTHOLD 1 5 .2023 CERTIFICATION Date: Building Permit No. Owner: efo-koc C _ (Please print) ( /C( G �A Plumber: � 61S 0LT J (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this- day of lL e Cam 4' 1 20_a5 Notary PublkSL County CONNIE D BUNCH Notary Public,State of New York No. 01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 nD-� souryOlo # TOWN OF SOUTHOLD BUILDING-DEPT. �b- �y�0UNl1 765-1802 INSPECTION . .- .' = [ ] FOUNDATION 1ST [.4-ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION j ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ua r�/yr l �s ol DATE 2 2ll INSPECTOR I o�aOF SOUlyO - # } TOWN OF SOUTHOLD BUILDING s co 765-1802 INSPECTION FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND j ] 'INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH)- [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r ol< DATE Z INSPECTOR SO//l,�o # # TOWN OF SOUTHOLD BUILDING DEPT. `y�ouwtr '' 765-1802 INSPECTION [ /FOUNDATION 1ST [ ] _ROUGH PLBG: [ ] FOUNDATION 2ND [ ]. lNSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ -] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: o►� v OV DATE 3O12-1 INSPECTOR OF SOpT�o� - * # TOWN OF SOUTHOLD BUILDING DEPT. °ycourm,� 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: f on TO Ljv� r ( Iron :W, 'AX knvo,�, S . DATE 5 6 l ��� INSPECTOR OF SOUTyolo _ut # TOWN OF SOUTHOLD BUILDING DEPT. ^ourm,��'' 631-765-1802 'INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [rSLATIOWCAULKING U / FRAMING./STRAPPING [ NAL NY [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: JAklt7-,,, �fi Ohl S � TRJ7 I r c CPi DATE ��' �DY�/ INSPECTOR (/V UP SOGIyo 1 to # # TOWN OF SOUTHOLD BUILDING DEPT. �o • a� `yco 631-765-1802 INSPECT-ION [ ] FOUNDATION 1ST [ ] ROUGH=PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) L ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REMARKS: e av � eA 9 It 6 /It lz, :512 DATE INSPECTOR b ' IIO�Q� 1 C� Delfino Insulation Co., Inc. 1317 Burman Blvd,Calverton,NY 11933 CERTIFICATE OF INSULATION JOB INFO: Old Wood,Inc DATE OF INSTALLATION: 04/07/22 565 Fishermans Beach Cutchogue,NY 11935 ATTIC ROOFLINE 2X6 GABLE WALLS/BOX ENDS/2X6 EXT WALLS INSULATION TYPE INCHES R-VALUE INSULATION TYPE INCHES R-VALUE ❑ OPEN CELL FOAM ❑ OPEN CELL FOAM - CLOSED CELL FOAM 8.5" R-60 ❑' CLOSED CELL FOAM 2" R-14 ❑ FIBERGLASS 0 FIBERGLASS 3.5" R-13 ❑ CELLULOSE ❑ CELLULOSE 2X10 CLOSED SLOPED CEILING 2X4 GABLE WALLS/2X4 EXT WALLS INSULATION TYPE INCHES R-VALUE INSULATION TYPE INCHES R-VALUE ❑ OPEN CELL FOAM ❑ OPEN CELL FOAM ❑� CLOSED CELL FOAM 8.5 R-60 ❑r CLOSED CELL FOAM 3" R-21 ❑ FIBERGLASS ❑ FIBERGLASS ❑ CELLULOSE ❑ CELLULOSE CRAWLSPACE CEILING CANTILEVER INSULATION TYPE INCHES R-VALUE INSULATION TYPE INCHES R-VALUE ❑ OPEN CELL FOAM ❑ OPEN CELL FOAM 0 CLOSED CELL FOAM 8.5" R-60 CLOSED CELL FOAM 8.5" R-60 ❑ FIBERGLASS ❑ FIBERGLASS ❑ CELLULOSE ❑ CELLULOSE p FIRE CAULKED TO CODE DATE OF INSTALATION: 04/04/22 ❑ FIRE BLOCKED TO CODE DATE OF INSTALATION: I] AIR SEAL SUBSTATE TO CODE DATE OF INSTALATION: 04/07/22 ❑ IGNITION BARRIER TO CODE DATE OF INSTALATION: p THERMAL BARRIER TO CODE DATE OF INSTALATION: 04/07/22 I Tammy Mazzara certify that the residence referenced above was insulated as per signed proposal by builder/homeowner,and the installation was conducted in conformance to applicable codes and standards and regulations. AUTHORIZED SIGNATURE 'a J Ener Testing Nov 72022 Services - August 11, 2022 Town.of Southold Town Hall Annex Building 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Re: 565 Fisherman's Beach Rd Cutchogue,.NY 11935 As requested by the Town of Southold, Energy Testing-Services was retained by Oldwood Inc.to perform - a Blower Door test at the above address and found the,leakage rate to.be 587 CFM @ 5013a, equal to 1.85 ACH @ 5013a..This house meets compliance by leaking less than the maximum requirement of 3 ACH @ 5013a. If you have any questions, please do not hesitate to contact us. ..Thank you. Michael Fauci (RTIN: 8619824) HERS Rater Energy Testing Services 1648 Locust Ave., Suite E, Bohemia,NY 11716 -Office: (631)24472627/Cell: (631)405-9890 Retrotec rCloud Quality Assurance Report Single Direction Multi Point Blower Door Test PASS. Your Result: 1.85 ACH50 (587.20 CFM50 * 60 / 18998 .W) Target<= 3 ACH60 Test Information Test Name Oldwood Inc. 565 Fishermans Beach Rd, Cutchogue, N . Test Date 2022-08-11 10:53 AM (UTC-4) . Export id FXCDDXBY Company Name Energy Testing Services Technician Name Michael Caruso Technician.Email michael@hygradecorp.com Building Information Address 564 Fishermans Beach Rd City Cutchogue. State NY Zip/postal Code 11935 Country United States Year Constructed 2022 Elevation 3 ft Address Verified? Yes Building Latitude, Longitude 41.007912, -72.457422 GPS validation Latitude/Longitude: 41.007580, -72.457479: Accuracy 16ft Estimated Distance From Address 92 ft Test Equipment Fan Model Retrotec 5000 Fan Serial Number 5FN103130 Pressure Gauge Model Retrotec DM32 10A Gauge Serial Number 41.2397 Environmental Conditions Pre-test Indoor Temperature 85 OF Pre-test Outdoor Temperature 75 °F Wind Speed 4 MPH Average Barometric Pressure 101.3 kPa Test Dimensions Conditioned Floor Area 1840 ft2 Volume 18998 ft3 1 Retrotec rCloud Test Results Summary Test Type Single Direction Multi Point Blower Door Test Flow Reference Pressure 50 Pa Time Averaging 10 seconds Corrected Flow 587.2 CFM @ 50 Pa Air Changes Per Hour 1.855 Percent Uncertainty 3.7% Correlation 0.995 Intercept 35.599 Slope 0.717 Test Results Test Data Set 1 Flow Direction Depressurize Gauge Location Inside Baseline Pressure, Initial (Pa) -1.3 -1.3 -1 -0.6 -0.5 -0.5 -0.6 -0.7 -0.9 -1 Baseline Duration 13 seconds Average baseline -0.84 Pa Measured Pressure (Pa) -14.65 -22.75 -30.32 -38.61 Fan Pressure [5000- B2] (Pa) 78.83 142.72 Fan Pressure [5000- 134] (Pa) 44.98 60.8 Flow CFM) 231.06 348.48 405.24 480.55 Measured Pressure(Pa) -44:8 -53.89 -59.68 Fan Pressure [5000- 132] (Pa) Fan Pressure [5000- 134] (Pa) 76.03 93.65 107.55 Flow(CFM) 546.85 615.01 664.04 Baseline Pressure, Final (Pa) -0.4 -0.3 70.3 -0.3 -0.3 -0.3 -0.3 -0.4 -0.6 -0.7 Baseline Duration 14 seconds Average baseline -0.39 Pa 2 Retrotec rCloud Test Notes No notes entered. Flow Equation Parameters - Retrotec Calibrated Flow Parameters Certificate Number: 202011300816-5FN103130 Fan Last Calibrated: 2020-11-30 Fan Model Retrotec 5000 Fan Serial Number 5FN103130 Fan Last Calibrated: 2020-11-30 Units Used For Flow Parameters in Equation CFM Fan pressure (FP) is the measured fan pressure when using a self-referenced fan or when the room pressure is negative. If using a fan which is not self-referenced, and the room pressure is positive, fan pressure is calculated by subtracting the measured room pressure from the absolute value of the fan pressure. If PrA is greater than 0 or fan is self-referencing: FP = jPrBj-- PrA If PrA is less than 0 or fan is self-referencing: FP= PrB Flow calculations are not valid if fan pressure is less than either MF or(K2 x JR131) FP= fan pressure, RP = room pressure Range N K K1 K2 K3 K4 MF Open 0.4936 571.2.871 0.0000 0.3000 0.0000 1 10 A 0.4963 303.6204 0.0000 0.4000 0.0000 1 20 138 0.5366 116.1857 0.0000 0.7000 0.0000 1 40 flow= (FP- RPxK1)°x K+ K3x FP)xK4 Range A B C D F G K2 MF B4 0.0000269955 -0.01959863 6.8216 127.49 0.41 50 0.8000 40 B2 0.0000212130 -0.01424981 4.2559 -43.96 0.50 50 1.0000 50 B1 0.0000067829 -0.00499017 1.7517 -1.36 0.12 50 1.0000 60 B74 0.0000007960 -0.00095010 0.5900 18.00 0.15 25 0.8000 35 B47 0.0000002690 -0.00035905 0.2435 . 12.05 0.09 25 1.0000 50 B29 0.0000001110 -0.00014900 0.0920 4.40 -0.02 25 0.6000 50 flow= (A x FP3) + (B x FP2) + (C x FP) + D+((G - RP)x F 3 Energy Testing Services August 11, 2022 Town of Southold Town Hall Annex Building 54375 Route 25; P.O. Box 1179 Southold, NY 11971 Re: 565 Fisherman's Beach Rd Cutchogue, NY 11935 As requested by the Town of Southold, Energy Testing Services was retained by Oldwood Inc.to perform a Blower Door test at the above address and found the leakage rate to be 587 CFM @.50Pa, equal to 1.85 ACH @ 5013a.This house meets compliance by leaking less than the maximum requirement of 3 ACH @ 5013a. If you have any questions, please do not hesitate to contact us. Thank you e5p Michael Fauci (RTIN: 8619824) HERS Rater Energy Testing.Services 1648 Locust Ave., Suite E,Bohemia,NY 11716 Office: (631)244-2627/Cell: (631)405-9890 INVOICE Service Address Bill To Energy resting 565 Fisherman's Oldwood Inc. Services MO Beach Rd 7280 Sound Ave, PO Cutchogue, NY 11935 Box 1461 Mattituck, NY 11952 +631-603-4 506 - Amanda +631-978-1 169 - Arnold Energy Testing Services Payment terms Due.upon receipt 1648 LocustAve-Unit E Invoice# 760 Bohemia, NY 1,1716 Date 08/11/2022 Phone: (631) 244-2627 Email: mcaruso@energytestingservices.com Web: www.energytestingservices.com Description Total Blower Door $350.00 Whole House Infiltration Test. Subtotal. $3 0'� Total O Notes: Town of Southold Blower Door Test Requested by The Town of Southold. Please note our office address is 1648 Locust Ave Suite E Bohemia NY 11716. Page 1 of.3 Energy Testing Services is to be retained to provide the following services as they relate to the above referenced project. The client is responsible to contact our office to schedule any Insulation & Final Inspections (Insulation Inspection needs to be completed prior to installing sheet rock). Final Inspection requirements : -All Exterior doors are installed with hardware and weather stripped. -All above grade and foundation windows are installed. -All attic accesses need to be insulated and weather stripped. (ETS can provide an Attic Stair Cover for an additional $175.00 Installed) - Appliances should be installed (or provide ETS with an appliance list). - All HVAC systems need to be installed and operational. - All HVAC duct work is sealed. - All HVAC supply boots and return boots are sealed to the sheet rock or sub-floor and are accessible. - All mechanicals are accessible. -All exterior penetrations are sealed. - Mechanical Ventilation is installed with a programmable cycling timer(if using exhaust fan). * If Energy Testing Services is requested to perform the final inspection and finds that the project is not ready to be tested due to items not being completed on the list above,there will be a return visit fee of$200.00 plus travel time in addition to the Final Test Out Fees* Payment Schedule: - Provisional HERS Rating - Payment for provisional paperwork is due upon completion. - ResCheck- Payment is due upon completion. - Manual J, Manual S & Manual D - Payment for provisional manual reports are due upon completion. - TBC(Insulation Inspection)- Payment is due upon completion of inspection. This must be paid before scheduling Final Inspection. - Final Inspection - Payment is due upon completion. * PAPERWORK OR FINAL CERTIFICATES WILL NOT BE RELEASED UNTIL PAYMENT HAS BEEN RECEIVED * Manual D drawings are to be used as a reference guide only. Energy Testing Services will not accept any liability or responsibility for incorrect installations * By signing this contract, the customer agrees to the services and conditions outlined in this document. Page 2 of 3 Oldwood Inc. Page 3of3 J _i r r 14 ' � w V f tom. �iti. •��1 �r / � �, • / b 00 ` t M .•�` to ✓ .�. S •♦ n3'• ,..�• .ram !� �� •ti •MCA low _ ,,� � .,��,� �� w ,� � -� � t��t� � ..-. � �� �. �'" ` �.L.I. •• r.- Jam` . �. '� •. i } �w e,sue ram..•—• -'•��`' — a• A'1+'W i ,it+1 44 .�.r �e - ' �_,. , �n. -. .t •:Jr ,fit ,..- _.,� � mg � ; - � � � - .� :� .. Y �� ti � �► � �r 1 � � f,,�� ti � , i TTT)))• ��� J� � r �� � �� . .�. ► s ..- -- -r � i . .,. � �� �� ` •� e > M , / � `.� � � I 1 •tJ. '►� �. ` ��� �� � ,y 7, .' 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NTS �m FOUNDATION(IST) �y --------------------------------- FOUNDATION(2ND) t=i ROUGH FRAMING:& y \ PLUMBING t� V Z % Ov Donor.-rec SSt S r� INSULATION.PER N.Y. . A. STATE ENERGY CODE ?O stm M w . 3 min, v e _ tc�hnc. C FINAL. c4 • V JP ADDITIONAL COMMENTS. '7�70 ,M > c5 -! , (Ab 1-3 r 0 z H ufFOLK�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT �O Gyp ti x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 ?y�o Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowm.gov Date Received APPLICATION FOR BUILDING PERMIT �7 For Office Use Only V �C l20 D PERMIT NO. Building Inspector: / 1 S E P 1 4 2021 Applications and forms must be filled out in"their entirety.Into mplete applications will,not be accepted. Where the Applicant is not the owner;an BUILDING DEFT. Owner's Authorization form(Page 2)shall be"completed. TOWN OF SOiTTHOLD Date:September 10, 2021 OWNER(S)OF PROPERTY: Name:Patricia Goeller Kirkpatrick SCTM#1000-111-1-34 _ Project Address:565 Fisherman's Beach Road, Cutchogue µ Phone#:201-253-3555 Email:p.gKMpil@gMgILI.COM Mailing Address:73 Strickland Ave., Cos Cob, CT 06807 CONTACT PERSON: Name:Bruce-Anderson -Suffolk Environmental Consulting, Inc, Mailing Address:P. o. Box 2003, Bridgehampton, NY 11932 bruce@suffolkenvironmental.com Phone#:631-537-5160 T—MT, DESIGN.PROFESSIONAL INFORMATIONS" " Name:Samuels and Steelman - Architects Mailing Address:25235 Main Road, Cutchogue, NY 11935 Phone#:631-734-6405 Email:tom samuelsandsteelman.com CONTRACTOR INFORMATION: . Name:Oldwood, Inc. Mailing_Address:P. O. Box 1461 , Mattituck, NY 11952 Phone#:631-740-4918 rEmail:aldwood-in.q@,gmail.com__ _ DESCRIPTION OF PROPOSED`CONSTRUCTION ®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: [--]other $250,000 Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes ONo 1 . ......... ERTYINF. 'y Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? OYes ONo IF YES,PROVIDE A COPY. fikktox Afiir,_R6dI :'� �qn Ftq�dedhofisslofial 1trasppnjibj e f#t aidialiage and stomwater issues as provided biV, 'Xhapter 236 of the',Towncode.;APPUCATION IS,HERE!kYMAqk todieBuilding Department, rthe issti 6f 4 6411diki 0�ninftpirsu�nt fo a n'_ a 0 nanfes'ef,R4j W11atl6nkj6`r. etonstnict on a buildifts,Sop, olo;'spi, �99(,.ppftablle'laws, , "� On$odor, "n' Gscd '11he'app ;aptagrPes"'rPnip i a'i'* pp- iit66ii,iaw;,oWIA ,n,c-e,i;bulld[6&tedi,';> 4'rijiiWons•and to admit,housing fpqct dns.Fa!W statements made ereln.BW, -p ss iiihiWasada""'A'n s.ern Ursuant to an 210,jk,#," al New YorkAtp","n JAW Application Submitted By(print name):Bruce A. Anderson MAuthorized Agent [30wner Signature of Applicant: A- - Date: September 10, 2021 STATE OF NEW YORK) SS: COUNTYOF 5QfeO Bruce Anderson - Suff.. Env. Cons being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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/her knowledge and belief,and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this _edayo*f 20 Z11 A9 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Patricia Goeller Kirkpatrick residing at 73 Strickland Ave. Cos Cob CT 06807 do hereby authorize Bruce Anderson to apply on my behalf to the Town of Southold Building Department for approval as describe her in. Vd ,1�01+dhA - 4V/07;z/ - Owner'sVignature MA HE Lb ANO NOTARY PUBL.- -1..1-9 NEW YORK Patricia Goeller Kirkpatrick No-olIV6053859 Print Owner's Name Qualified in Suffolk county My Commission Expires 01-224Rel'l' Zoe_:; 2 sr APPLICA7"ION # • PAGE I of a —` TOWN OF SOUTHOLD FLOODPLA N DEVELOPMENT PERMIT APPLICATION 'niis form is to be filled out in duplicate. $ECTTON 1: GENERAL PROVISIONS (APPLICANT to read and sign): I.. No work may start until a permit is issued. 2 The permit may be revoked if any false statements are trade herein. 3. If revoked, all work must ccasc until permit is re-issued. - 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE BEST OF MY KNOWLEDGE,TRUE AND ACCURATE. (APPLICANTS SI ` IATURE) - '`�---• �� DATE SECTTON Z PROMSED DALOPMENT fTb be completed by APPLICANII - NAME ��, ADDRESS, TELEPHONE APPLICANT palrvi a wr Goe(1e�✓ (r%y�i k 7 y S ty ddauCA,CT 06 807 Ao 1-Zs� BUILDER ,n _ y 1 clatwocw.LN�. Po13 ►4b1 tMr-k4-!WU�4 1191'& 631-11 ENGINEER 63l-T6r- ZrfTJ -_ vela 6l(otSoutu-UL IP4 Will - To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark,. A sketch attached to this application showing the project location would be helpful. 6S _Ri 6fimupawS %eack 1Iea.S� Lu�elt o�..4-t N� 2,e.TW1 1000 FDP(93) 1 APPLICATION 4 , PAGE 2OF4 —�- DESCRIPTION OF WORK (Check all applicablc boxcs): A. STRUCTURAL DEVELOPMENT ACTIVTTY STRUCTURE TYPE If New Structure UrResidential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residendal (Floodproofing? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S Zs"ai ooa 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 'Aage Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Se r System Other (Please Specify). Tv.J �"✓a After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SEC ION 3 FLOODPLAIN DETERMINATION (To be comolcted by LOCAL ADMIIdISTRA_TOEt2 The proposed development is located on FIRM Panel No. Dated The, Proposed Development: ❑ Is VDI 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 is a floodway. FBFM Panel No. Dated ❑ See Section 4 for additional iastructioas. SIGNED DATE APPLICATION �1 PAGE 3 OF a SECTION 4: ADDITIQNAL 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, a.nd specifications,including where applicable:details for anchoring structures,proposed elevation of lowest floor(including basement), types of water resistant materials used below the Rrst floor,details of floodproofing of,utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft.'NGVD (MSL). For flo8ol oofed structures, applicant must attach certification from registered engineer or architect. ❑ Certilicatio n'from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year Rood. A copy of all data and calculations supporting-this finding must also be submitted. ❑ Other: SECTION 5 PERMIT DETERMINATION M be competed by LQCAL ADMINISTRATOR) I have determined that the proposed activity. A_ ❑ Is B.O Is not in conformance with provisions of Local Law # . 19 The permit is issued subject to the conditions attached to and made pant of this permit. SIGNED , DATE If BOX A is chegbcd, the Local Administrator may issue a Development Permit-upon paymcnt of designated fee. I!89X 8 is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a bearing from the Board of Appeals. 1 APPLICATION PAGE 4OF4 APPALS: Appealed to Board of Appeals? ❑ Ycs ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Conditions SECTION G: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a Licensed land surveyor (or attach a certification to this application). Complete I or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofnng protection is FT. NGVD (MSL). Csl NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To k e completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspcctioa of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? OYES © NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8• CERTIFICATE OF COMPLIANCECjo brcompleted by LOCAL ADMINISTRATOR- . Certificate of Compliance issued: DATE: BY: Attachment B {. SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area f TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: O NEW BUILDING O EXISTING BUILDING O 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. COMPLLiNCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19-1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) VAR ' pt ; J AN 2 3 2024 FEMA NAND sE�� .NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS 2019 EDITION U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660�0008 Federal Emergency Management Agency Expiration Date:November 30,2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community,official;(2)insurance agent/company,and(3),building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY IJSE Al. Building Owner's Name Policy Number: Ms Pat Kirkpatrick A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number Box No. 565 Fisherman's Beach Rd. City State ZIP Code Cutchogue New York 11935 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1000-111-01-34 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential AS. Latitude/Longitude: Lat.41.007094 Long.72.457289 Horizontal Datum: ❑ NAD 1927'. ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within,1 0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑Yes ❑x No —,S _X LIS A9. For a building with an attached garage: ! r, a) Square footage of attached garage --- sq ft, v` JA N 2-2 . ')024 b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in. �11...�_,•.y_ Y { ..3"V aY :.5 t:•J.1 "7A kT:'•i.. ..i.f d) Engineered flood openings? ❑Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community-Number B2.County Name B3. State southol 360813 suffolk New York B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel W. Flood B9.Base Flood Elevation(s), Number Date Effective/ Zone(s)' (Zone AO, use Base Flood Depth) Revised Date 36103c0164 h 09/25/09 AE EL 6 B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood dep'th,entered in Item 139: ❑ FIS Profile ® FIRM ❑Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD•1988 ❑ Other/Source: j B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Ranlarac all nrnvinim arlitinnc Fr%rm Pznp 1 nfA OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number S SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: navd Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement, crawlspace, or enclosure floor) 10.7 ® feet ❑ meters b) Top of the next higher floor ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) - ❑ feet ❑meters d) Attached garage(top of slab) - ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 7.9 ® feet ❑ meters f) Lowest adjacent(finished)grade next to building (LAG) 7.5 ® feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 8.1 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 7.9 ® feet ❑ meters SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑No ❑Check here if attachments. Certifier's Name License Number JohnT.Metzger 049618 N.Y.S. OF NEWr Title ` ; � M O Owner '' Company Name 'fir' �� Peconic Surveyiors * �k f, Address k. 1230 Traveler Street City State ZIP Code +;1 '¢�48'. Southold New York E, 11971 4-A Signature /I Date Telephone Ext. 1-19-2024 1-631-765-5020 Copy all as s of this ElevatiorkCEWiAte and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) Heat Pump outside EL 7.2 FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number 0 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. ` j_j1EIE f, I ►1 i - s � j Photo Three Captio Clear Photo Three Photo Four Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number 0 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. r rrr ■ ' t .e x Photo One Caption Clear Photo One r i t a .c Pft F Phota wo Photo Two Caption Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 ---------- BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.9791 DATE: DECEMBER 21,2020 ISSUED TO: PATRICIA GOELLER KIRICPATRICK PROPERTY ADDRESS: 565 FISHERMAN'S BEACH ROAD, CUTtHOGUE SCTM# 1000-111-1-34 AUTHORIZATION. Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 21, 2020 and in consideration of application fee in the sum of$250.00 paid by Patricia Goeller Kirkpatrick. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 341x28' two-story,single-family dwelling with attached 151x301 seaward side deck and 84'x1 1.5' driveway; install a new innovative,alternative,nitrogen reducing AVOWTS t. th septic system with±161.0 linear feet of retaining wall surrounding the septic system on the landward side of the proposed dwelling; and to establish.and perpetually maintain a 501 wide non-turf buffer area landward of the tidal wetland boundary; and a'non-disturbance buffer landward of the water's edge; and as depicted on the survey prepared by Peconic Surveyors,P.C., received on December 10,2020,and stamped.approved on December 21,2020. • IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these 2 presents to be subscribed by a majority of the said Board as of the 21st day of December,2020. 4, 41- TERMS AND CONDITIONS The Perm' ittee,Patricia Goeller Kirkpatrick residini at 565 Fisherman's Beach Road, Cutchogue, 3 New York as part of the consideration�for the issuance of the Permit does understand,and i prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directlyor indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there,shall be no interference with the right"of the 1public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or'if, in the opinion of the Board of Trustees,the work : shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within.ninety(90)calendar days of issuance of this'permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. 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. y 6�-9(el Glenn Goldsmith,President ��®� S® �® Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ,L® �® P.O. Box 1179 Eric Sepenoski g i Southold,New York 11971 Liz Gillooly eoa Telephone(631) 765-1892 Elizabeth Peeples • a� Fax(631) 765-6641 C®UNV E C Ea Q W E BOARD OF TOWN TRUSTEES i F E B 1 5 2024 TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2122 C Date: February 15, 2024 THIS CERTIFIES that the construction of a 34'x28' two-story single-family dwelling with attached 15'x30' seaward side deck and 84'xl 1 5' driveway, install a new innovative, alternative, nitrogen reducing AFOWTS septic system with t161 0 linear feet of retaining wall surrounding the septic system on the landward side of the proposed dwelling; and to establish and perpetually maintain a 50' wide non-turf buffer area landward of the tidal wetland boundary. At 565 Fisherman's Beach Road,Cutchogue Suffolk County Tax Map#1000-111-1-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated JanuM 23, 2020 pursuant to which Trustees Wetland Permit 99791 Dated December 21, 2020,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 34'x28' two-story, single- family dwelling with attached 15'x30' seaward side deck and 84'xl 1.5' driveway install a new innovative alternative nitrogen reducing_AFOWTS septic system with f 161 0 linear feet of retaining wall surroundingthe he septic system on the landward side of the proposed dwelling,• and to establish and perpetually maintain a 50' wide non-turf buffer area landward of the tidal wetland boundary. The certificate is issued to PatriciaGoeller Kirk atrick owners of the aforesaid property. 0 Authorized Signature NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Now Facility DEC ID 1-4738-04733 PERMIT Under the Environmental Conservation Law EC.L Permittee and Facility Information Permit Issued To: Facility: PATRICIA GOELLER KIRKPATRICK KIRKPATRICK PROPERTY 73 STRICKLAND AVE 565 FISHERMAN'S BEACH RD11000-111-1-34 COS COB, CT 06807 CUTCHOGUE,NY 11935 Facility Application Contact: SUFFOLK ENVIRONMENTAL CONSULTING INC PO BOX 2003 BRIDGEHAMPTON,NY 11932-2003 (631) 537-5160 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 713:813 NYTM-N: 4542.711 Latitude: 41°00'27.2" Longitude: 72°27'27.0" Project Location: 565 Fisherman's Beach Rd Watercourse: Cutchogue Harbor Authorized Activity: Construct a new single family dwelling with a deck,pervious gravel driveway and I/A OWTS septic system. All work shall be in strict conformance with the attached proposed project plans stamped'"NYSDEC Approved" on 6/21/2020. (GRZ) Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-04733/00001 New Permit Effective Date: 6/21/2021 Expiration Date: 6/20/2026 NYSDEC Approval, By acceptance of this permit,,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony Broo,t150 Circle Rd Stony Brook NY 11%t( -3409 Authorized Signature: /1� Date G /Z\ /ZbZ Page 1 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04733 Distribution List SUFFOLK ENVIRONMENTAL CONSULTING INC Bureau of Marine Habitat Protection Environmental Permits Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement 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. 3. Regulated Activities Authorized By This Permit This permit authorizes only those regulated activities/structures identified under the section Description of Authorized Activity. NYSDEC does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures,which would have required a permit but for which no permit or other authorization has been granted NYSDEC. 4. Failure to Meet Permit Conditions Failure of the permittee to meet all the conditions of this permit is a violation of this permit and grounds for an order to immediately cease the permitted activity at the project site. 5. Prohibition Period for Nesting Birds To protect nesting shorebirds, including threatened and/or endangered species,no regulated activities may occur between April 1 and August 31, inclusive, of any calendar year. 6. Concrete Leachate During construction,no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04733 7. No Construction Debris in Wetland or Adjacent Area 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 wetlands and/or protected buffer areas. 8. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 9. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 10. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 11. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 12. Department Jurisdiction The department retains jurisdiction of all regulated lands where fill has been permitted. Placement of fill shall not be used to alter the department's Tidal Wetland jurisdictional area at the project site. The area remains a regulated area subject to Tidal Wetland Land Use restrictions of 6 NYCRR Part 661. 13. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 14. Straw Bales or Other at Landward Edge of Buffer A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area as per the NYSDEC- approved plan,prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 15. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 16. Authorized Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) Septic Systems This permit'authorizes the installation of any models of I/A OWTS septic system which have received the approval of the Suffolk County Department of Health Services (SCDHS). If SCDHS rescinds its approval of one or more of these models during the term of this permit, DEC will no longer approve new installations of that model. The list of I/A OWTS systems which have received approval by SCDHS are found on the Suffolk County Website under the Reclaim Our Water-Homeowner section at: Overview of Provisionally Approved Technologies. 17. Maintenance of Installed Innovative/Alternative Onsite Wastewater Treatment Systems (I/A OWTS) The permittee must maintain, service and repair the installed I/A OWTS in accordance with the maintenance schedule set forth in the Suffolk County Department of Health Services (SCDHS) pen-nit issued for the system. Page 3 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1=4738-04733 18. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/ silt curtains (or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 19. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 20. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language) to the deed for the property where the project will be conducted and file it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 Attn: Compliance 21. Precautions Against Contamination of Waters 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. 22. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by John T. Metzger, last revised 12/10/2020 and the plan prepared by Joseph Fischetti Jr P.E. , last revised 6/8/2021. 23. State May Require Site Restoration 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 lawfully 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. Page 4 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Now Facility-DEC ID I,4735-04733 24. State May Order Removal or Alteration of Work 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. 25. State Not Liable for Damage 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. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 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. 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. Page 5of7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04733 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit 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. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. 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. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or' another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 6 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION FacilitpDEC ID 1-4738-04733 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, 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 acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in 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 or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. 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. Page 7 of 7 ,p, :S'uff8t, .;; .. BUILDING DEPARTMENT- Electrical Inspector 8 2021 TOWN OF SOUTHOLD R Y z .� s Town Hall Annex- 54375 Main Road - Pla.Boxx, -7 '. . r Southold, New York 11971-0959 ° y ` jQr , Q :; Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a)_southoldtownny.gov - seand(c�southoldtownny.gov - APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Z �/ Company Name_ G 7L/'ic Name: ' SS'b h License No.: email:,�fGvCp Z o y, �j��- 14,e Phone No: 7 72j I request an email copy of Certificate of Compliance Address.: /� �� v�r /2eh �. 4 c AV/-1, JOB SITE INFORMATION (All Information Required) Name: Address: jV � Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: n BRIEF DESCRIPTION OF WORK (Please Print-dearly) Check All That Apply: is fob ready for. inspection!: ZYES, ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: OYES ❑NO Issued On eirna�P.�� 2-Ot'Z Temp Informati n: (All information required) Service Size 71 Ph ❑3 Ph Size: Zoo A # Meters Old Meter# . New Service ❑ Service Reconnect ❑ Underground Ea6verhead # Underground,Laterals 01 ❑2. ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additio,dal Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx Z Y� �o�SUFFot,��oG y� BUILDING DEPARTMENT-Electrical Inspector ram„ x TOWN OF SOUTHOLD Gy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631)765-1802-FAX(631) 765-9502 Temporary Certificate # Date cl-9 2021 Customer Name K iRKm+r-fck Electrician Name j Address 1506 C �. p Phone jp3 Tj e-mail kC0 a, a-) 0 I e-mail ZCc Q)a @ O I(1 I e • e, Phone a53 3555 License# -- If 50 Size JDQ A Phase Overhead X Underground #of Meters Remarks ' #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect- Was work done on Service? Y/N Flood Reconnect Old Meter#F Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for the date above. Authorized by f�: 70 *oF soil Town Hall Annex AIM, Telephone(631)765-1802 54375 Main Road y pax(631)76595U2 P.O.Box 1179 G r0 er.rich, toWn uth0ld,n .us Southold,NY 11971-0959 �l �coul I;� MAR 2• 5 2022 BUILDING DEPARTMENT WIWI% Lup. TOWN OF SOUTHOLD ro�,�oFSOUIHoLa APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: rn ji g ` � Date: or _ Company Name: Name: k c- cue . u rcl License No.: d 17 _ Address: 1 Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: �a�' fl '►f� 4�`c�'f`;c�� *Address: C u4e-k o, .P *Cross Street: " (alp s �,� , IJ *Phone No.: a03 OA5-3- �S-5 Permit No.: 4A0?q(0 Tax-Map District: . 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) l V-� ►12ci vase cIrI& E n S 6\k ed 11 A lyyia .S2J CP (Please Circle All That Apply) *Is job ready for inspection: YES NO Rough In Final *Do-you need a Temp Certificate: S NO Temp Information(If needed) *Service Size: 1 Phase Phase 100 150 200 300 350 400 Other e e-connect' nderground Number of Meters' Change of Service Overhead -Addif nal Informa q PAYMENT DUE WITH APPLICATION kirk-0 .82=Request for Inspection Form PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments 1 CIU4-c� � f tc"r� 74 d c 1 os4`' L._ ! k CJ C-- A a � 3-U Ndie r- Cyr,+, tv � ccan ce y -��,1f Zrc ,kecl w11 s � 3 - G�C.L -3rr-4Ked Cro1�n b�o S A-0 6uYS�cQ e 6 UT(,e-U 02. ►' c✓Sher � �-�� � 6 cis lcte AF e r 3o� C L ®ur4p_ts = 3 � er o VT'S i�� C,Iv`kj� 4= 'a - Z�e oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N 5 P.O.Box 1179 • ��C ` / 1 Southold,NY 11971-0959 COW T`I,� f� Qh 64--, BUILDING DEPARTMENT C U d��� May 11, 2023 TOWN OF SOUTHOLD Patricia Kirkpatrick 73 Strickland Road Cos Cob, CT. 05807 ' off c r y A final elevation certificate is required from your surveyor. TO WHOM IT CONCERN: The items marked below are required to obtain your Certificate of Occupancy Chapter 236, Soil stabilization required. Electrical Underwriters Certificate. Final Inspection by the Building Inspector (631-765-1802) �t f '@�c" G� �'� � v Plum ers So der Certificate or Pex Affidavit �*G-4 Trustees Certificate of Compliance. (Town Trustees # 765-189i2) Final Planning Board Approval. (Planning # 765-1938) 1 ` Gf, Final Fire Inspection from Fire Marshall. (631-765-1802) Storm Shutters required for all glazing Energy Test Results and Manuals J & S are required. Final elevation certificate from surveyor. Spray Foam Insulation Certification from a NYS licensed architect or Engineer Placard required. BUILDING PERMIT: 46896-Z New Dwelling BOARD OF I TRUSTEES SURVEY OF . Part of, L07 9 TOWN OF SOUTI�OLD 'PECONIC .BAY PROPERTIES' N DATE p��� �� vzo FILED APRIL 15, 1931 FILE NO 786 ' AT CUTCHOGUE . { -TO..WN OF SOUTHOLD SUFFOLK COUNTY, N-Y. �s 1-000 111-61-34 SCALE 1=30' D �C ties OCTOBER 1,, 2018 OCTOBER 22,. 2018 .(BLDG. SETBACK) A�I '��. APRIL 22, 2019 .(SITE PLAN) . OCTOBER B. 2019 (SITE PLAN) G11- E1,40 NOVEMBER 4, 2019 (PROPOSED DRIVEWAY) x JANUARY 15, 2020 (RETAINING WALL) \\ �Fob FEBRUARY 13, :2020 (DECK SETBACK): `U o� SEPTEMBER 28, 2020 (DECK OFFSET). OQ ' EL. 3:9' ' , �1� G NOVEEMCBBER 10 6' 22020(TRUSTEE FLAGS) D �/TEST HOLE PROPOSED E FCa X GL.EL.3.\ , � E E WATER V SERVICE r N /"O' Ao�F�Tr srI �q Fc off` EL. 3' oy r r .2020 E� � Al TRENCHD Sou'fiold Tovin C4� ` <� �- �p DRAIN Board of Timtecs D-Box • �� rym� N58o��}0 W o /�pRRv ELECTRIPROPOSCNE Sal! /Q �• e? 0 ° t / vex, / •�,.^�a / PROPSED TRENCH .?8• ti °� °�/ AR 28' �O' DRAIN �v // 3 F..9 / SCREEN PLANTINGS-TYPICAL �QJ O E ^ • / �ry AR pMs /y� / FLOOD ZONE AE6 �oJ Al L AV TF o3Qm J <\ #2 TF - v try s� #3 #4 TF NON—BDIS�CE #55 TEST HOLE DATA McDONALD GEOSCIENCE 1%1-12018 NON—DISTURBANCE ,= BUFFER �i EL. J.8 MIXED SAND AND LOAM yry� 3' .; oA PALE' BROWN FINE TO MEDIUM SAND SP hsj T�F eF�c EL. 0.6' 3.2' `k• �44 y EL: 4.3' �•eQ �O� A&�• m WA TER IN "PALE BROWN-FINE SAND SP qv 'Ro�s F CO 0 Tj0 e r � = TEST HOLEtyF�,A_ 13 = PIPE /t Vas NOTE.• WATER ENCOUNTERED 3.2' BELOW SURFACE . = MONUMENT = TRUSTEE FLAG TF LEVi4710NS ARE REFERENCED TO NAVD '88 DA1UM. A�OF NEVy r LOOD ZONE MAP FIRM 36103CO164H �'� �•�.illiEp�C �t" . am famillar with the STANDARDS FOR APPROVAL AND CONS7RUC710N OF �Q 'UBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES nd will ab/de by the conditions set forth therein and on the permit to ' onstruct: The location of,wells and cesspools :shown hereon are from Held bservations and or.Arom data obtained from others. '-'• ; �' N 8PI C,. NO. 49618 NY ALTERATION OR ADD1.710N'TO THIS SURVEY IS-A VIOLATION OF -PEGONI EC.TION 7209 OF THE NEW YORK STATE EDUCA'T10N LAW. EXCEPT . AREA = 18,810 SQ.FT. S.PER SECTION 7209=SUBDIVISION 2. ALL..CER71f7CA:710NS HEREON ' (631) 76�i-5�9.�:. :X . 31) 765-1797 RE VAUD FOR'THIS MAP .AND COPIES 7HEREOF ONLY iF SAID 'MAP t0 TIE LINE ..P.O. SOX. 909 R- COPIES BEAR THE IMPRESSED`SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER 5TKEET 'IGNA 7URE APPEARS,HEREON. 5OUTHOL0, N.Y. .11971 �/-165 SURVEY Part Of LOT 9' TECONIC BAY PROPERTIES' FILED ApRIL 15, 19si. FILE NO 786 A T CUTCHOGUE TOWN OF, SOUTHOLD UFF0, LK COUNTY, X. Y 1000-11 1-01-34 SCALE V--30' OCTOBER 1, 2018 OCTOBER 22, 2018 (BLDG, SETBACK) tf APRIL 22, 2019 (SITE PLAN) OdT6BER`,8, 2019 (SITE PLAN) CIL. 51<.O' NOVEMBER 4. 2019 (PROPOSED DRIVEWAY) x JANUARY 15, 2020 (RETAINING WALL) �' �\\ 'cT lei FEBRUARY 1-3..2020 (DECK SETBACK '16 SEPT EMBER 28, 2020 :(DECK OFFS ja NOVEMBER 6, 2020 '(TRUSTEE SETBACK OFFS FLAGS I e �OF RojoDECEMBER 10, 2020 (SUFFERS) l TE5T HQLr:. EL3.5 CI.LJEL3.7' PROPOSED WATER /Ain SERVICE I t%7/ 0 F-L,F P ROPSED TRENCH DRAIN oy D-80 i N58-04!10-W PROPOSED 10.00 0 ELECTRIC LINE 0 PED TRENCH (p. 4,/ DRAINROPS 0 1 10 0& C) SCREEN PLANTINGS TYPICAL .9 '0 E Jq 00* (0i PROPOSED SILTATION FENCING FLOOD ZONE AE6 Lk 467 L 1100 TF #1 #2 TF ITF TF NON-DISTURBANCE #5 BUrFM TEST HOLE DATA McDONALD GEOSCIENCE 1010112018 NON-DISTURBANCE BUFFER EL. 3.8' MIXED SAND AND LOAM • R 3P C?,- PALE BROWN ME TO MEDIUM SAND SP 4s> EL. 0.6 J.2' 'At .3' 80- WATER IN PALE'BROM FINE-SAND SP SO � TEST HOLE ""V AE � PIPE NOTE.- WATER ENCOUNTERED 3.2' BELOW SURFACE MONUMENT A= TRUSTEE FLAG TT N v ;i bi-F. ELEVA 71ONS ARE REFERENCED TO NA W '88,DATUM. AND, r I1' `Qq OF.NE FLOOD ZONE MAP FIRM 36103CO164H � k6wl DA7E Q_� I am famNor with the STANDARDS FOR APPROVAL AND CONSTTUC710N OF— P SUBSURFACE SEWAGE DISPOSAL SYS7FJWS FOR SINGLE FAMILY RESIDENCES and will ablde by the conditions set forth. therein and on-:the permit to construct. the location of wells and cesspools shown hereon are from field observations and or from data obtained from others. -10: NO. 49616 ANY A0ERA770N OR ADD1770N TO THIS SURVEY IS A VIOLA 77ON-OF SECTION 7209 OF 7HE*NEW YORK STATE EDUCATION LAW EXCEPT AREA = 18, (6311 810 SOFT. 7 1631) 165-t797 AS PER SEC77ON 7209-SUBDIVISION 2. ALL CER77nCA77ONS HEREON ARE'VAUD FOR THISAIAP AND COPIES 7HEREOF ONLY IF SAID MAP to TIE LINE P.O. .DOX 909 OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR- WHOSE .1230 TfZAVM-M 5TP.6ET 18 SIGNATURE APPEARS HEREON. 5OUT.HOLD, N.Y. 11 SURVEY OF Part of LOT 9 'PECONIC BAY PROPERTIES' N FILED APRIL 15, 1931 FILE NO. 786 AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 111-01-34 SCALE 1'=30' ss OCTOBER 1, 2018 OCTOBER 22, 2018 (BLDG. SETBACK) APRIL 22, 2019 (SITE PLAN) d0r OCTOBER 8, 2019 (SITE PLAN) ys Goo' NOVEMBER 4, 2019 (PROPOSED DRIVEWAY) \ x JANUARY 15, 2020 (RETAINING WALL) \a�4 \\ '�.� FEBRUARY 13, 2020 (DECK SETBACK) 101y_11_U u EL. 3.9 °'- SEPTEMBER 28, 2020 (DECK OFFSET) NOVEM2020 (TRUSTEE FLAGS) EMBER 10 20 0 (BUFFERS) R0 "y ' ^ TEST HOLE PROPOSED G L EL.3.\ F� x WATER SERVICE Ae s Sr/C PROPSED TRENCH D—B XQ ry NPROPOSED �Q�� W (P Op /OQ ELECTRIC LINE 5 gyp• O /Q o 8 �r .���i�// �Q A 28•` Q0 / / DRAIN PROPSED TRENCH 3Q o S 06 / 3 90 E SCREEN PLANTINGS TYPICAL �QJ `�9FOR0 / ` / "V AR 04<S OF FLOOD ZONE AE6 �OJ V N Coo. Sri / #1 o �N,\\S #2 �y TF \ 4 s #3 NON—DISTURBANCE Q 4 TF BUFFER 5 TEST HOLE DATA McDONALD GEOSCIENCE NON—DISTURBANCE ��. 1010112018 BUFFER EL. 3.8' MIXED SAND AND LOAM y2 3 O PALE BROWN FINE TO MEDIUM SAND SP Nsj r,F< etc EL. 0.6' 3.2' EL': 4.3' �•eQ F*0, 1' �880, WA TER IN PALE BROWN FINE SAND SP ,M�o�'ftO qU Ro s O cc,;�o ey/�� 9 = TEST HOLE • = PIPE /N� 0H'ems-I;- NOTE.• WA TER ENCOUNTERED 3 2' BELOW SURFACE ■ = MONUMENT = TRUSTEE FLAG T 1 ELEVA77ONS ARE REFERENCED TO NAVD '88 DATUM. OF NEW FLOOD ZONE MAP FIRM 36103CO164H �T.mEr� I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES "y� and will abide by the conditions set forth therein and on the permit to I '�• p7 �' construct. The location of wells and cesspools shown hereon are from field k, observations and or from data obtained from others. rAQCAb -1 IG. NO. 49615 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF PEG � Y P.G. SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AREA = 18,810 SQ.FT. AS PER SEC770N 7209-SUBDIVISION 2. ALL CER71FlCA770NS HEREON (631) 7 X (631) 765-1797 ARE VAUD FOR THIS MAP AND COPIES ]HEREOF ONLY IF SAID MAP t0 TIE LINE P.O. Dox 909 OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET 1 U—165 SIGNATURE APPEARS HEREON. SOUTHOL0, N.Y. 11971 SUFFOI,ICg `I'DEPARTMENT OF HEALTH SERVICES FOR OFFICE USE ONLY CE OF WASTEWATER MANAGEMENT UARegistration#: JA� Udqc� NOV 17 2 22 360 YAPHAI K AT - k SU1TE 2C,YAPHANK,NY I l980 TUT p. 'C(6�1}852-'5766-.?,�EiealthWWM@suffolkcountyny.gov ()=r-01PLICATION FOR INITIAL REGISTRATION,REGISTRATION RENEWAL,OR REGISTRATION TRANSFER OF AN INNOVATIVE AND ALTERNATIVE ONSITE WASTEWATER TREATMENT SYSTEM(I/A OWTS) REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS—ALL SIGNATURES MUST BE ORIGINAL PLEASE INDICATE THE PURPOSE OF YOUR APPLICATION BELOW ��y-�;;}}�� r�� '`'��� ��;;e�.:5v. .�•, ,,{-. I, .' y,..�rN, Iv�+xa. .� ••� h viz .5,.y� :.i ?r 'L'1���•.R �S' .T'YI�1lrl„,�,,; i!,}�Ka �..� RLy`-1"+1LW�i�Q�t,��.�?. sd r �Y �.,.,{ re'I 'Ii� ��;K:ti�¢'ya ,Y .�or-�', n�iT�{ e;. ,M: .t���rF_-�� „� ; ate*^ .t4,.n�.I _ _ ..�:•{�"4t •.+ �n�t'a�z'•:v*�, f.__ +i i6: � ��"�'1 dv •�, �{, i ....ca'�"n,,k., + +�r.+ r A,rtT 7`�k���. i�hi �s�a•1.+t� '�„ _ ` 'ba ;7a.13 r'`1.r~a..r�.•r�St`s`, =.'r,�4 _.`$$-b�IQI����C?��71`��t'E'e�9 ?l ,fial �ljr'." ?° Y• zsN•a ray..�.r�53=.i.-�;:C �SS� ky{{��i j j�,��YytJ�y4iY�r q a{P+�iLte�r�e3c.J^�; ., J. iii�.->f:�7-1,hF v Y � �'! L�9,:1�'`.i'�:��'t�I�'it�� .;_i ,rt�''ba:�y�va; '!`!��1:y�-F.2�r��, '•fr"�`.'�.%i� � �; �:t%is?.+'°-s c'':..'i�'^it�,°t, ..:4'•'•1r,7.ty tire.`.-',..3,�.:,rk,;•� .F•#� - r rd:55, �n �;'� r1:Y.,,�+s-`a'�✓s�• tu.. - n r� •�.`.#' d 4r - .,„A`'„"" �,�.- qc. lira: .s`..�`Y»' ,S•t'�iY= n• °nt .f i '=ems T:�,r. '' .a?r.:; ;P�';�: x��.y'.,, ,..s;�,r�.',.Ea�,, .•;1?. .�#`.-:',��r�.fti*'' q::�>�_�:„:�s,K.�+x: �-•,,s;!��.�":w�: +�' �-.t. :mow" 1 ��''�.� '�`• .?n r�• ._�.'Y s°tw �v� Ya-_.sn3�r.'c»4:_C+:�e-'--:.•*.`:,::.•�,f ,.x .,e: .a7¢rTJ-'f�.c. .y�,�'�,';aa ?..>Y,. r`•td -_ .',`.. _ r}�':rPk>` =.,.>�.; ,.� ,x llq�isn,. b]�fi �fi.'Li.`a...T.y22.".t�..Y.cY:-.4��� dC-i w•4 .1'• .L,-:r+:"�i $.Rn�:"F,...Y ..1: -77:.'1� :l+T:��� .'t£I_„��.-. - ^c 5Y 5:5. - /...v .:YL•te..(.Ni.-l.�n'U'1.�,�.v..:>.`•�E:M-.,,mac .�":yisa _ T,wFir:!4.;�. Tax map#of I/A System District Section Block Lot -parcel location: 1000 III 1 34 •'585;Fshermari's;Beacti.Road,;Dutch gue,1VX. , PhyscaiA.ddress of UA"Systelii;Parcel. •,. , ,.,;;. tKi a k- m - _ �Pa n 'Pr .'of`C e ticre t o' Cl, n P 1?3 Name '. Mailing Address: Cutchoyue'NY,-:11935 Home: ( ' = ) P•9kmail@gmail.com' Contact Info: 1Vlobile:( 3);23- 555 _ `Email Address: I/A OWTS INFORMATION: CEN5 Manufacturer: FujiClean Model: OPERATION AND MAINTENANCE CONTRACT ATTACHED TO THIS APPLICATION: F_/1 YES NO* *If you have not enclosed a copy of a valid O&M Contract,please contact your O&M provider AAA The property owner must notify the SCDHS within 30 days when there is a change in Maintenance Provider AAA Has an effluent sample been taken and submitted to the Department since the previous registration renewal?(FOR REGISTRATION RENEWAL ONLY): YES NO* *If"NO",contact your operation&Maintenance provider and have them submit current effluent sam le results to the Department in accordance with standards. By signing,and submitting this'registration document,I certify that I have read and understand all I/A OWTS provisions as indicated in sections 760-1905 and 760-1906 of the Suffolk County Sanitary Code,as well as any manufacturers guidance documents. I also understand my responsibilities as the I/A OWTS owner as they may relate to the proper functioning and maintenance of the system. "Any Use statement made herein is punishable as a misdemeanor pursuant to S210.45 of New York State Penal Law." Sigg��tta"" e of Current Property Owner(s): /xa Date:06/23/2022 Print-Name of Current Property Owner(s): Pat Kirkpatrick _j DEPARTMENT USE ON);Y gour request for 1/A OWTS registration is acceptable,and your system has been registered until: 101 120,95 This registration will expire 36 months from the approval date indicated below. Your I/A OWTS registration form cannot be processed at this time. Please see the attached Notice of Incomplete Application. Signature of Department Representative � G Date WWM-304(Rev. 08/17) VA OYRB Gmmm Re9ubn"e"b n b°ma•r•Ne0 P:wdd••ae°ak•aon a N.Vvtdle•n ra aw°W cLw M.M.WPI N mi•P0.0iE89RYL ENGp1E1ar a0. _ _ RECL41ERtD ARCImFtrr°rtm�I WPu.Ya°�gehm 1 8 PER FOOT MIN. ) P•• sn"PER Om MIN. PER FOOT MIN.PITCH PVC WASTE UNE .nCHAN= zTM1.m°zwavAawrB mmlm eaarnumavnmismm•Pmemntm en.PmrsmMsvx[sPsemawvr Ptua PRmosEo MIN. 4°DIA. SANITARY PIPE SDR 35 DEe SDR 35 WATER TIGHT FRAME&COVER Y=' e..m.erw7.bE"a°,.no°+tmnweae.nd,vmnmwn°emmaerdm"mnabl°"�0'm°sxmx eommi a - PANEL AISFRamssR ,�,. _ ... .p.mrntmlAm,u�wp and cmwm°Arte...Pmw�+ms mcmmnad°ss�-vupR lnTM1.a.wn�d HOUSE CONCRETE COLLAR W/APPROVED LOCKING DEVICE dl.mclmmwm.em ewmmwAea.mameme.mavAowrs A°mYwo PmrM rmeR XPIF 20"D-BOX 1M®maoowm.mm xwa.u�wlvw.rl.a.mwrr.mi.°aw PrvvmbmdhvMYo.narmahe PAo°xc F.F.EC. 9.0' PLUS SECONDARY SAFETY .wmomama•o°P^mro° Aw arAAm STOPPER END PLUG UDS/DEVICES TO BE PROVIDED W/LOCKING CONCRETE COVERS aAAmaaba uAOVnlwwpilmdbluwwbrbstwrnmrtmyaM opeietmananVavnw ewiw wmrea o sEArn awE I COVER BELOW GRADE (rYPIrJL) nmxn w VAOW1Smqueoa.ent mvmd Nabevenmdbma mmam°ivaww Ewip VA.a6 VNpaazM1°A TOP OF WALL w.,demwnxmmabmw dmn n.mPRiu WUrtepdNewNalml wweembb.nnroNmme.um.wndtx .ae auo°e°O' 59 PITCH mmmmw+opedwum� nwemwm..+e.em�tpecammwa ar.rnmem Pw PBK D50„ swrvPam eor I.E. EL LLS' FINISH GRADE F EL. 6.0' ELEV.5.5' .myu, aJB soR�s I, 7.0' III TRAFFIC BEARING Pbe..wm_mdnm.mmm�dstaae°n°nrNNe°:+me®.+re�w mwtmm:nem.m�nwnmmoreeHm.,u ectio ICJ 8'min. 1'MIN. „ii ni yTAgg 1'MIN. .mngv�an...n�ma"une.�m.axrama m swnc w'rtr1Ci e�w.c� 2'MAX 2'MAX lowepetpmdmeew nabs pmmmad nbmen uAomsmxemdmmemwdw.waawazmeadAn"mr rRolr oxcrxvrc MNr 4 SQt PIF£ I.E. .. - - .. .. ms.wwrmawp.w,mvAowrs CLEAN CUT7.37' 7 7'7' si• I.E. T.mdavnoxrstw aw°m:mmme�aeam.a.ivmm�d+sme.ra wpmbbnmmwnmmwpvAAmptro u.ET PVC THE NausEa TO Pw t Aa Pap 5.2- I.E. �•��6�'•:,: .:�;:: 2'0" �'C� roam mnowpmmmmm.nma FLOW 5.0' »el. i: :".:.':'.<.`>'�:>.. :1� 'a aTn.vAowra tmaenaeeb.mrdetammeral.Crone l.eM1e,naa°,mmbtmwmwrmxmnawmm Q .�e�ti+l : 9wrmt Mlm.mFbmn>AN mWroddwWeMbMedmtl mrpamedamm lAeaM1mm moral wpa®pmee ❑ POLttOK 20' LINE y.µ. I�"':•"�':%"%''%' .� DIsm BUDON BOX 2'D" .. .. .. .. e.1M1Ptrm dNp VADWI•'fW eM1al nnrxalmma wewmanxn mdw Fvtlun wbd Eow MA pmdn CLEAN OUT DETAIL ELECTRIC RISER DIAGRAM W/LOCKING COVER 4l, (6]LEACHING GALLEYS w N.T.S. (2'DEEP) 2'O"MIN, Beadwl ReRwrrw.`e N.T.S. FROM OWTS —TO LEACHING FIELDS � —` �` E� - _ _ t.e�xmPmwe UI 0" .on.empty.pdw.mwme.w°bdwm°.mnamm,.mm®a.�wnend. fq 7 CLI.1-5 EL. 1"0' 2'0" ..�I ° EL. 1.0' wmnd Emcubcpe.MEaT endba waea 00 PROVIDE SPEED LEVELER —GROUND WATER nme®,mal°nmlmmabapwmdwmmweAxmm ON EACH OUTLET \ / EXCAVATE ALL UNSUITABLE SOILS �"`°�°N•°'°u°"mm""mr°in`1Qdvtlon Y10N0mB`'i°m°""1Ym"'I°"""m`O1� U I I `HIGHEST EXPECTED GROUNDWATER J cl nmmmdpaMdmF°rpm`p�mM1a ae adart m rem abem a N 12'THICK UNDERORAIN I..1-_ I FILTER MATERIAL TYPE I I F BACKFILL MATERIAL TO BE CLEAN SAND&GRAVEL ACHING GALLEY DETAIL ImusE I IOusE (6)2' DEEP LG + (3) 2' DEEP EC LEADER I NP°J alamumetranmiae4•y.a�edtumdbYN°m�mem•amvEukbau^n'.E. LINE OF NDDSE ABOVE "A°`° POLYLOK D—BOX DETAIL --- ---------------- FUJI CLEAN CEN-5 L 'a I w I N.T.S. � 2P°rgaiBb•me,�>y Bppyl,mxl Catlnb r � SEPTIC SYSTEM PROFILE m.roam dTmxm umwmpwwmpmmwmdme°mmb.ram amn•ammdAa ea pm VAaVnS mnkd�mnlor. J W I ammoronmvn.Pmamxeum Pero ryammaPrabim"9M1.mnmlawwmV aw> L. c mePemm x"teeYepe dmer�rm roan m6pe.°Ee n"da Nvbp Mpum�bm Pxmaw. A•PERPORATED PIPE TYP. I SCALE: NTS DRAINAGE CALCULATIONS General C°nsCu tlon Notes- � I ,e ANmx,eA,aaaraAmemA�A Ea DRIVEWAY c°m cpPPc - __.—ME— . PEc°� Ncono.. 12'X11O'X2" = 220 CUFT L A`�� "°`° �ro L___ LINE O<DECX ABDV--E ___--_-J e I - -- I I' cosna rm ° utim®o aNLwmumsuID e�rNDa9aPmr°muanaxm+.AiwxrwwroiPEsr HOUSE FRENCH DRAIN DETAIL � e.m a ®"m "� FRENCH DRAIN UNDER DRIVEWAY WITH Y4' STONE a , arN aNLL� r�eE � HOUSE FRENCH DRAIN DETAIL 110'X12'X6"STONE = 660 CUFT X 40% VOIDS = 254 CUFT _ UNDER DECK x SCALE: NTS - HOUSE ROOF ^�'�' '�° SCALE: NTS w.."... AD .aWpr°mmtlmNmb w.., e" . 28'X34'X2" = 158.67 CUFT BPAEaasAaEe � �ea� TMre ^°� G RO LN°M1mx vp°Bb•xu4pedwv hWyuwme+ndN°VA°IRSme°ed w rm o m°E SaRVMa aACID Em¢D wue IN Nsdmuu.raePunnntmxwNneemmw+�.TneDwrsNp.m FRENCH DRAIN UNDER DECK ND �J Nm rM1 Ne Avw uw ppewRA nv addUw. ngryhd = _ R E°�xe �n uwESmee nn�uASN cs Arm L^ 1.unam.mm.N.r�m°e,naxs.M1,ns..rtA®ArarnA°m.e 15'X28'X12"THICK 420 CUFT X 40� VOIDS 168 CUFT ti Aur+T.M1.p ee nuaooxasaMem.e. nsretweobexaeandmN.nom.mamapwl.nn.xa•mPbmad+ +z.0��e�vE�a m a��eA�muauAimuumamA.r�aPlww ELECTRICAL DETAILS COVERAGE CALCULATIONS DWELLING WITH SCALE: NTS DWELLING = 952 SOFT PUBLIC WATER _ DECK = 336 SOFT SANITARY SYSTEM DESIGN 3� TOTAL = 1288 SQFT 3 BEDROOMS a � IMPERVIOUS COVERAGE = 7% FUJI CLEAN CEN-5 = 450 GPD A o f �-T-T-PPE clwnmER V°Iona LEACHING W sa, KrE emabmFd � *111111, 300 SF REQUIRED (6) GALLEYS 2.0' DEEP a 3w� Awbla Coamd PilV oCLwbu F oN axcuLAnm sm cbembm (3) EXPANSION GALLEYS 2.0' s�D(E1 P z ® AIR EIET Pw° D'°infacbw NembQ 1 WD—1!1 /�-/l W C) '�'�� s[WEarlw Told Vob®e L ❑ (V °r' uxnEA�nowu r Z O LO rna m v m? •nnEi PI •t T PIPE sPEC6IGIlONs (� _ LOT® Q Al . ,A AmmvbcMda PP/PE Pa' R.m Bxx SURVEY OF LOT 9 = z 5 m a'-os 1� 0 BovdT °Awbic Mali°INC/PP/PE FiBk Rda 16X W O U- DWELLING WITH TIER 39= RVEMr ? mMndia ZPP/Pm8 Fillet Rdv 9TA PECONIC BAY PROPERTIES z co ti •r• ON TRErat eWx laEr BAFF — ^ "°° m m a°""�"` w,Ga° PaceLm FILED APRIL 15, 1931 LL, 03 yV a9 PROPOSED SILT Disufwmvr Cp Drive TAbm J o ELEaruc PTAVITE sclaa P�Ax I—-a- FENCE .11RE'LA°°+PUE _eArnE J rr MR tN1AFL _ _ _ IL. O w= rLov�cxlxc mP B O ED f a o 263.60' S28'40'50"W , PLmvmW�M� S BEACH RD W a O (� 'y O O '/ / // // // // //�'7 le•xNa¢c nrP Ir xNA¢c n a••xANUE am r •twmuc D. SCTM / ///j/// E1rEp la 565 FISHERMAN `"��`° "°" AREA FOR HEALTH o W.. .:'PERVIOUS GRAVEL DRIVE Y —� DEPARTMENT APPROVAL STAMP .. . .:...... . ,.. .. of I`r c°°`Rirr°�cTTYPxipu � o m _ / N -DISTURBANCE' // / n - � /. FFEft'/�/ / / �I� ' �F 19� ..3 rw°nut A oc a �Z ///// /// ///// // /// V 03 o gj W a o 0 0 / / / / / / / D) SUFFOLK COUNT DEPARTMENT OF HEALTH SERVICES oc z n W .vi J O to• �O j y a o r / // / /// // / /// �� ° c °o // // // / /// / :m O O D) s ® axwTlm PERMIT FOR APPROVAL OF CONSTRUCTION FORA NM In O m IxO w=¢ m Ei aV / /�// / / '"' ® •�"�• SINGLE FAMILY RESIDENCE ONLY W To, W O. .1 m OIN 1 O / •~�• a._�• ••-23• �t NOi qm. O c7 0 ox y,'O' ra• rs' / / //// // � // // F 0 a S•^) i "' �� �Peor°tzp vATER uRVICE N N-D TUR9ANCE�/ / 3 C~ d Q) CD °°°" °'" DATE 8/26/2021. S_REF ND. R-20-o2s2 •o y �"� E' .o.r J N35'49'30" � / BUFFE /��//�/ 7DP DT -"x r ` wrl-Asscx�Y APPROVED ).•F I 73.00' - -- -vaL�ss=_J E 40.0CI' j% /j // •u°0i v N SECTION A-A VIEW SECTION B-B VIEW FOR MAXIMUM F 4 BEDROOMS O •n N31'55'20"E / /// /// / / 3 w N31'S5'20"E / // Z Top EXPIRES THREE EARS FROM DATE OF APPROVAL DO 153.80, s CEN-5 I I " v. 4' WIDE PATH I r s P Structural Drawing REBM °' co m 3 (A / Design Professional's Certification Required. F o Z o E7 to Submit P.E.or RA Certification For DRAWN BY:JF/JP vAwEs Lr-zY !' The Installation and Construction a1 the Sewage Disposal System WF o LOT O rA rR vuoa I o io•®ARe Use Form W -073 a TEST ROLE DATA � WM r'`a DWELLING WITH tao oar w�a tar crow°r m•m r sA•o sP N .. t i,ua,aomd • m•t xnr xoaI I I10 65 ��`v rs JULY 25,2021 PUBLIC WATER m And Retaining Wall Town II" SCALE:AS NOTED I CapaKTE TO BE 300a PSI x-snaa.rU BE w.. rnTLA aprx s-EN@�QA Do A0.aaTCgT TD rFATM1 ME rWAL prp�Anp rvs CONSTDCTIar ar RET-0 WALL As velar AV PRL BWerI/Ar EAr°ID i°pWx ..• '...••.•........•0..•.....•.....•..... " m••0'aNVEVAr®rl°I • I° K`RTRED wNEAIT,DEPT. °roiw ro Q tava �• ME cmM OR Be ETO BE PuTEuNT OFT Wa ETE SHEET NO: taro¢mN �_7`+YY77 e. rr msnc ran + �• rc• ° � �moD,G To Ap t w axaa mm 1r�a.Rw.¢ ROADWAY DRAIN DETAIL A—A BELm.�A OR° D��NG /lASBAROB•GC9I FFavmC•Ipr SITE PLAN PI °WATER xArP too cc SCALE: NTS SEPTIC SYSTEM RETAINING WALL SCALE: 1•=20' N.T.S. i � � � � � � SURVEY OF ® Part of LOT 9 DEC 0 6 2021 'PECONIC BAY PROPERTIES' FILED APRIL 15, 1931 -FILE N0. 786 TOWN OF SOUTHOLD BUILDING AT CUTCHOGUE THO TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 111-01-34 SCALE: i3 OCTOBER� 2018 OCTOBER 22, 2018 (BLDG. SETBACK) APRIL 22, 2019 (SITE PLAN) OCTOBER 8, 2019 (SITE PLAN) �•o' NOVEMBER 4. 2019 (PROPOSED DRIVEWAY) x JANUARY 15. 2020 (RETAINING WALL) p16u a 3.�\ of B EPTEMBERRUARY 128? (DECK020 2020 (DECK OFFSEr) ��' NOVEMBER 6. 2020 (TRUSTEE FLAGS) DECEMBER 10, 2020 (BUFFERS) NOVEMBER 17, 2021 (FNDTION. LOC.) U n res BOLE o S O /w►-1rJU PROPOSED FC b$ X WATER kzl SERVICE /r�� /� �� � p /^a c Fc F�a►°' ET_. .3' oy`F,� iN ST��q Cc l p46� 2 <G `�� TRENCH DRAIN N PROPOSED 10.000,�•W % /°¢° � ELECTRIC LINE oe- a �F •� G/ �S• / PROPSED TRENCH AF ��/ /O SO?8 / DRAIN 41> A/ Gi0 / SCREEN PLANTINGS TYPICAL Q Nt �S caN� /v Qi y� / FLOOD ZONE AE6 \\\OO• / TF N,,Q �CciJv #1 #2 / � � TF try R #3 v /rrF DEC m 6 2021 2 NON—DISTURBANCE #4 TF BUFFER " '' #5 TEST HOLE DATA TOWN OF Sou THOLD McDONALD GEOSCIENCE NON—DISTURBANCE 1%112018 BUFFER EL. 3.8' MIXED SAND AND LOAM • - PALE BROWN FINE TO MEDIUM SAND SP 41� �, EL. 0.6' 3.2' ��, "'bra, •. F4 'P,F4 Pod 890. WATER IN PALE BROWN FINE SAND SP �8 viy� g�O,tC = TEST HOLE �Ti,� � 13' • = PIPE �T NOTE.• WATER ENCOUNTERED. 3.2' BELOW SURFACE ■ = MONUMENT = TRUSTEE FLAG T 1 ELEVA77ONS ARE REFERENCED TO NAVD '88 DA7UM. uF NEw y 1ti�"--� O FLOOD ZONE MAP FIRM 36103CO164H y�pa�p`P J. him A F� nth I am familiar with the STANDARDS FOR APPROVAL AND CONS7RUC77ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES as and will abide by the conditions set forth thereln and on the permit to asn�+ construct The location of wells and cesspools shown hereon are from field I observations and or from data obtained from others. nib N.Y.S. LTC. N0. 49618 ANY AL7ERA710N OR ADDI710N- TO THIS SURVEY/S A VIOLATION OF .Y.S UC. N0. 051132-01 SEC71ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AREA = 18,810 SQ.FT. PECON/C SURVE S, P.C. AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER77f7CA77ONS HEREON (631) 765-5020 FAX (631) 765-1797 ARE VAUD FOR 7H/$ MAP AND COPIES 7HEREOF ONLY IF SAID MAP t0 TIE LINE P.O. BOX 909 OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET SIGNATURE APPEARS HEREON. SOUMOL0, N.Y. 11971 18-165 GENERAL REQUIREMENTS: I/A OWTS INSTALLATION STANDARDS: �,, +,,"�`� "" y,. �,� ��� �Y ,, y `` ':�..;. V" ' � `� STANCES TO SEPTIC SYSTEM COMPONENTS 1_ The installer must hold a current Liquid Waste License pursuant to I. Install I/A OWTS tanks according to manufacturer's �', ti� ` - - -- - - -- PROJECT / ZONING DATA + ` ' '` {. "? MEASURED FROM BUILDING CORNERS) Suffolk County Code Chapter 563,Article VII (Septic Industry recommendations while conforming with these standard. All ✓;,,+ �;r' •'"� , �` �. F `' �. '' TAX MAP # 1000-III-01-54 Businesses) through the Suffolk Count Department of Labor, a licable recommendations provided the manufacturer shall be - - -- --- - - -- Licensing and Consumer Affairs,pursuant to Suffolk County Code, implemented. '` .7., 6 f " ! y .'* SYSTEM COMPONENT CORNER 'A' CORNER 'B' a ZONING DISTRICT R-40 NON-CONFORMING §563-7q. The Department of Labor, Licensing, and Consumer Affairs �a / ' ✓ . Q r,. jai > �M r maintains a list of licensed I/A OWT5 Maintenance Providers. 2. The I/A OWTS tank shall be installed at level in all directions v* �"�' :�'� -- - - # * +�*.�� ' t � _ C T � n.wr,_ -_ .i a „ A.++`i vV '1••, .3 n u y i i (with a maximum tolerance In an direction of +/one quarter inch) on 'c4 , r" .• G - FUJIGLEAN GENS I/A OWTS I 26.0 20.0 2. All I/A OWTS must be registered with th s Department in LU a minimum 3-inch thick bed of properly leveled and compacted sand .: '� `� .•�' 1 .., ��r w' r �' LOT GO\/ERASE accordance with Article Iq of the Suffolk County Sanitary Code (free from rocks) or ea ravel *�'�� 4- �` � � ���`"`" ��� ' �' ' �• +�aR _ (jj ,r . '"7 -« + 9 Ee` D POLYLOK 20 DIST. BOX 33.5 28.5 J P p granting p i w' S`±�y';. *`d' t ._' \�` ��•..,m.. �. mom' M riot to the Department rantin certification of completed `� `:'- . .' . . p+s w_,' ! �� r �'.,.'� x .. a % LOT construction on as built" plans. 3. I/A OWTS Tanks shall be provided with a single outlet. A � '• / �,` > <+ DESCRIPTION (FOOTPRINT) AREA <' �* ¢` �� " '` a �* "E" - LEACHING GALLEY (2' DEPTH) 3q.0' 38.0' COVERAGE Q }'' N distribution box/manhole or distribution leachingstructure may be +� ;•9► • "" . �. �; ' •- 3. An executed Operation and Maintenance, Contract between the re wired for all s stems with multi le leachtn tructures unless an �4a":` " Ty� •e'` "+ " ''* - y <: P q y p g >, °x� y . . `'y ��017 Maintenance Provider and Property owner must be, submitted to the alternative design is approved by the Department. �•' . ,;* •.' • ' ` _ .fi� F - LEACHING GALLEY (2 DEPTH) 4q.0 47.5 TOTAL LOT AREA 18810 S.F. O Department prior to approval of the I/A OWTS registration by the y � � �- � '�;'�,�, � �_� �f7. � y� „�`��„ � ;�' ,�� ,,c _ _ ■- ' Department in accordance with Article Iq of the Suffolk County 4. The top of the I/A OWTS tank shall not be located greater than ,i �p `f� „� r it �� ,� _it " '�*• , +' '' e "0" _ O Ir- Sanitary Code. 2.5 feet or less than one foot below final grade. '` ^�! [: �` �' * G LEACHING GALLEY (2 DEPTH) 48.5 34.0 DWELLING w/ HD. DECK 1288 S.F. 6.89b - N }: O <- SUBJECT PROPERTY .' ' , Y i 4. All installed I/A OWTS are required to have on initial 3-year 5. At o minimum,all sampling manholes shall have 20-inch covered ] i �, �; :.� a, ° � n/` ., H LEACHING GALLEY (2 DEPTH) 57.0 44.5 TOTAL AREA OF ALL STRUCTURES 1255 S.F. 6.Sgo - 1 warranty and operation/maintenance service contract. After the access openings to grade located over the Inlet and outlet. G! ° z .•::• �,�„ .,y ,r _ - / , •cc U Initial 3-year operation and maintenance service contract has Covers shall be either 20-inch diameter watertight and : ..> ,...::-r wIL ' .� 4 MEASUREMENTS AS PER SYSTEM INSPECTION CONDUCTED ON MAY 13, 2022 T expired,property owners are expected to maintain an operation Insect-proof lacking cast Iron covers or thermoplastic covers at .� 7W . d " '""�' `' MAXIMUM LOT COVERAGE ALLOWED - 20.030 X N P P P y P P P g P �I��� ,,� "'. ti ti BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ------ O i and maintenance contract in accordance with Article Iq of the final grade. All covers shall be designed in accordance with section }. _ _. ._.___ _. �. 4 r >.r ''' '+ ? NOTE MEASUREMENTS ARE TO THE CENTER OF COVERS. O m _� Suffolk County Sanitary Code. 5-III of this standard. :. =•' _ :. ,:. ... 4 ` i 0 cis O 5. When an I/A OWTS requires a vent, the unit shall be vented to the 6. When sampling manholes are approved to be installed to a �► " ,��. ..y''�'-' ,�,�. ,s.,,, .`"! � e roof of the residence being served. Vent pipes shall extend a driveway or parking area, the manhole shall be designed to be _� �. Q .- G O minimum of 6 inches above the roof line and the top of the vent traffic bearing to meet the requirements of AASHTO H-20 or �I shall have a minimum horizontal separation of 12 inches to the HS-20 loading. L.OGTI OI `l M � \ ��IL sloped portion of the roof. In cases where: it is not practical to vent the system to the residence roof, a vent pipe may be piped to -f. The outlet Invert elevation shall be a minimum of 0.1 foot below the exterior of the residence and terminate a minimum of la inches the inlet invert elevation. SCALE: NT5 n l above grade and at least I foot from property Imes. These vent W pipes shall be located a minimum of 3 feet from any window or b. Sampling manholes shall have on inside diameter of 2 feet or on ' doorway and must terminate with a carbon filter device. All vent inside area of 2 foot by 2 foot. EL. 3.ct' ss5t° pipes must have a minimum diameter of 2 inches. q. There shall be a maximum retention depth below the outlet invert /\b e O� . Installation and us of the I/A OWTS must conform to the elevation of six Inches. Department's approved I/A OWTS guidance; document prepared in / 7 �J accordance with the standards for " rcvol and Management of 10. All sewer a penetrations in the sampling manhole shall be BASES OF 2' DEEP LEACHING GALLEYS O AI'P 9 pipe P P 9 0 / U Innovative and Alternative Onsite Wastewater Treatment Systems." watertight. MUST BE INSTALLED 2' MIN. ABOVE HIGHEST 0 /.� \\�ipy C EXPECTED GROUNDWATER ELEVATION_ �` i( _ MINIMUM DEVON REQUIREMENTS: ELECTRICAL REQUIREMENTS: /Qv TEST � _16 , 7 /Q �� .Q I. I/A OWT5 tanks shall be constructed of precast concrete, CONTROL PANELS: HOLE \ �C� r �( , fiberglass,polyethylenepolypropylene,thermoplastics,or other 1_ The control panel box must be placed outside on a suitable / /�� EL.=5 b' \C Q ` Y �J M materials In accordance with Department standards and IONYCI2R, pedestal near the structure that it serves. Alternatively, the panel / ({.HEN Appendix '15-A. The use of steel tanks is prohibited. box may be mounted on an outside wall of the structure (preferable /3� �� TE5TED) ry a utility room, and not a living space). Other locations for mounting / 7 V 2. When on I/A OWT5 requires a septic tank for pretreatment the the panel box will be considered by the Department on a septic tank shall be designed in accordance with sections 5-107 case-by-case basis and with I/A OWTS manufacturer approval_ / / H RETAINING o. U and 5-IOq / i of this standard. r �. WALL EL_ 3.3, 2. The name of the I/A OWTS OdM Provider must be clearly 3. Unless otherwise specified, the leaching structure/system that identified on the outside of the panel and include a phone number / // O' / Q / / f follows an I/A OWTS shall be designed in accordance with section to contact in case of alarm. / O' 5-107 and 5-110 of this standard. 3. Exterior panel placement enables the system to be serviced at / �'�/iG ADO 4. At a minimum,all I/A OWTS treatment tanks shall have 20-inch any time,eliminating the need to access the inside of the building. O I �° /� covered access openings to grade located over the inlet and 4. The panel box must be within view of the system location to help / G i 0, outlet. Covers shall be either 20-inch diameter watertight and facilitate operation and maintenance. / / i 1 O' �✓ Insect-proof locking cast iron covers or thermoplastic covers at / Q final grade. All covers and chimneys/risers shall be designed in 5. The control panel shall be placed at a comfortable height for accordance with section 5-111 of this standard. access in accordance with Federal Emergency Management Agency, iy / (FEMA) flood zone requirements. 5. When a I/A OWT5 1s approved to be installed In a driveway or parking area,the unit shall be designed and/or installed to 6. The panel shall meet National Electrical Manufacturers withstand H5-20 or H-20 loading as designated by AASHTO. Association (NEMA) 4X specifications. N58004'40"W (� 10.0' \ x i , - E J� / b. Garbage grinders shall not be permitted when an I/A OWTS is Z. All below grade wirin must be run in electrical conduit. The utilized as means of sewa a disposal. g g NOTE: \ g p conduit must have appropriate seals to prevent gases and moisture from reaching the control panel or junction boxes. I. FLOOD MAP DATA: � / \ 19" f -1. Water softeners shall not discharge Into on I/A OWTS and the MAP #: 36103G0164H 00 / i/ / \ D F \ Q� Department recommends water softener backwash be connected to b. Each system shall be equipped with a functioning warning system MAP DATE: Oct/25/200cl /0' % � '> V. an onsite drywell acceptable to Town or Village building which will activate audible and visual alarms that can be readil d i O / y FLOOD ZONE: AEb 4 VEa FUJIGLEAN ALARM 1 Departments. seen and heard by the occupants of the building served. The O $ CONTROL PANEL Department recommends a telemetry device be Installed to / i 1 G \ 8. I/A OWTS tanks shall be watertight and constructed of sound and provide Immediate remote alarm notification to the 04M provider 2. SITE PROTECTION/SILT FENCING TO BE FUJIMAG AIR durable materials that are not sub ect to excessive corrosion or p p INSTALLED AS REQUIRED BY THE TOWN OF SS BLOWER covered by the O�M agreement. 8° decay. SOUTHOLD. O 8 / q. Systems which are not designed to flow by gravity are �.2�Sr I G.O. q. All tanks must be watertight. Two methods of ensuring tanks are recommended to be equipped with a control panel with means of 3. SURFACE WATERS OR WETLANDS ARE 8.0 / t1 B /t watertight shall be either vacuum testing or water pressure testing connecting a portable generator to operate the system during a LOCATED WITHIN 300' OF THE PROPERTY. / methods as follows: power outage. �i 10.Vacuum testing: Seal the empty tank and apply a vacuum to four PUMPS,BLOWERS,LEVEL SENSORS. AND CONTROLS: 4. ELEVATIONS REFERENCE NAVD IgBa 10'6 (4) inches(IOOmm) of mercury. The tank is approved if c1O% of I. The electrical junction box serving the pump motor and floats vacuum is held for two minutes. must be watertight and located outside the I/A OWTS tank chamber. 5. NO VISIBLE WELLS LOCATED WITHIN 150' OF 0 �j� d r0 A / SUBJECT PROPERTY LINES. CO C R� II. Water testing: Seal tank;f111 tank with water to outlet invert 2. Any blowers located outside of the I/A OWT5 unit must be placed �wp elevation, let stand for 24 hours. Refill the: tank to the outlet invert on a pad (concrete,plastic or fiberglass) and have a soundproof after the 24-hovr period is complete. Let the tank stand for on enclosure cover. additional 10-hour period. The tank is approved if water level Is SUBDIVISION INFORMATION: O,NO, held for the 10-hour period. Water pressure testing is 3. All pumps and float trees must be accessible and serviceable PEGONIG BAY PROPERTIES / ��F /s BURIED recommended to be done onsite after installation. from access openings. PART OF LOT q J MAP NO. 756 �q ELEGTRIGAL I/A OWTS TANK CONSTRUCTION MATERIAL REQUIREMENTS: 4. The floats shall be, attached to a Schedule 40 PVC float tree FILED APRIL 15, Ig31 / O, / LINE that can be easily removed for service or adjustment. The floats shall not be attached to the force main. / I. Reinforced concrete shall have a minimum compressive strength of 5,000 pounds per square Inch (psi) at :2a-days set. 5. The Department shall observe the pump system operate through THE FOLLOWING LOTS WITHIN 150' OF PROPERTY 6 00 / a normal operating cycle. UTILIZE PUBLIC WATER AS PER SGWA: FC,� 2. Wall thickness shall be. a minimum of three inches unless the F design has been certified by a New York Licensed Professional b.lnspection for leakage of the force main fittings will be made / W Engineer as complying with all appropriate requirements for thin during the pump test procedure. SGTM #1000-III.00-OI.00-013.001 2 wall construction. All walls, bottom and top shall contain reinforcing 5GTM #1000-111.00-01.00-014.000 / / g to resist an applied force of 300 pounds per square foot (psf). SGTM #1000-111.00-01.00-016.000 0 SGTM #1000-III.00-OI.00-031.000 / / 3. Pre-cast concrete sections shall be sealed with one (1) inch butyl SGTM #1000-111.00-01.00-032.000 rubber joint sealant which conforms to A5lM G-qqo. SGTM #1000-111.00-01.00-055.000 4. All sewer pipes shall penetrate the vertical sldewall of the tank SGTM #1000-111.00-01.00-055.000 and shall be sealed with grout or other means acceptable to the SGTM #1000-111.00-01.00-03(0.000 Department such as watertight sealed flexible joint and the pipe 5GTM #1000-111.00-01.00-037.000 H gasket fastened to the pipe with stainless steel retractable / / 0 clamp(s). ,�� 5. All joints shall be sealed so that the trunk 1s watertight. See section 5-114,5.10. Tanks that are cast In place require prior PROJECT: approval from the Department and must be certified by a Licensed OCTOBER 01, 201a Professional Engineer. At a minimum,the floor and walls of a concrete tank must be monolithically poured. TEST HOLE DATA KI RKPATRICK MGDONALD 6E05GI ENCE 6. Whenever practical,concrete I/A OWTS shall not be located BOX 1000 / AS-BUILT SEPTIC within groundwater. For installations that are placed within SOUTHOLD, N.Y. I Ig71 / groundwater,the bottom and side portions,up to la inches above 631-765-3677 / highest recorded/expected groundwater elevation, of the I/A OWT5 / unit shall be monolithically constructed. In cases where this is not practicable, the I/A OWTS unit shall be water-proofed up to IS Inches above the highest recorded /expected groundwater elevation and leak tested to ensure tightness prior to operation. MIXED SAND AND / �� 565 FISHERMANS RD 1. In cases when concrete tanks are Installed 1n groundwater, the LOAM \��Q� / CUTCHOGUE, NY 11935 design professional shall submit buoyancy calculations to prove the weight of the tank(with or without anchoring or the addition of ballast) will be at least 1.5 times more than the weight of the water 3' PALE BROWN FINE / displaced. The buoyancy calculations shall be done using highest 3,2' iP TO MEDIUM SAND / DRAWING TITLE: expected/recorded groundwater elevation with the tank empty.Soil U�/ cover on top of the tonk(s) shall not be considered when NOTES determining the amount of anchoring or ballast weight required. ,' �i / 0 r / EL. 4.5' ��� SITE INFORMATION SUFFOLK COUNTY HEALTH DEPARTMENT AFFROVAL SITE PLAN H.S.. REFERENCE NO.: R-20-02� 2 WATER IN PALE SP i BROWN FINE SAND / PAGE: ry'/ �t ® 1. ®® •gym SUf'FOL K CCUN T Y DEPAFRWENT OF HE.P,!TH SERVICES COMMENTS: GROUNDWATER �$�° � / j ENCOUNTERED 3.2' BELOW sue' p.PPl��aolAI-oFCC�N�Tt�l.4cTEn�d�KS�=�'' SURFACE LANDWARD EDGE OF DATE: 08/ 5/22 10F 1 A z'n}Cf��� :��PE�i0EN0� TIDAL WETLANDS AT M.H.W. AS DETERMINED FOGS / Dt�i� wiCi U '6 2022 H.S.Ref.No.�� i• _ r �,,r; ,� BY SUFFOLK --� SITE LAYOUT NOTES: ENVIRONMENTAL Off` The sewn d!^ o:st attd eaa° s!.p�fy f,Cpples at this JM3tion hava bean I. THIS IS AN ARCHITECT'S SITE PLAN 4 IS CONSULTING, INC. ON•.s SUBJECT TO VERIFICATION BY A LICENSED AUGUST 17 2015 ti /640) >G p inspected and/or c srtitied by"zis t)rr^arLnc.nt or ctmr agency°.,arcs found to �l,\� � T/fi SURVEYOR. THE INFORMATION \ / °� __\" _ 11 be satisf"ory FOR A MAXIMUM QF� BEDRO�'�. REPRESENTED ON THIS SITE PLAN IS TO THE C N'ti� �ryy � ��'� � `f p`'4Yn ARCHITECT'S BEST OF KNOWLEDGE. Illy 2. SURVEY INFORMATION WAS OBTAINED -1C ! \ / EL. 4.3' .� '*M; .;. 0 4^"ra K6?c-no ?`' P.E.. C+Hic FROM A SURVEY DATED OCTOBER 12015 s; a s. AND PREPARED BY: 0 JOHN T. METZGER N.Y STATE LAND SURVEYOR o & \ >q / O 5 10 20 30 40 50 �` 4 LIC. 4g618 1 moo, �_ iy1� PEGONIG SURVEYORS, P.G. I //�� / GRAPHIC SCALE �' -� P_O BOX q0q SITE FLAN 1250 TRAVELER STREET 5OUTHOLD, N.Y. I1g71 SCALE: I" = IS'-O" J =. Suffolk Environmental Consulting, Inc. Newman Village • Suite E 2310 Main Street • PO Box 2003 • Bridgehampton NY 11932-2003 t 631,537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED September 14, 2021 Building Department Town of Southold P.O. Box 1179 Southold, NY 11971 RE: KIRKPATRICK—single family dwelling Situate: 565 Fisherman's Beach Road • Cutchogue, NY 11935 SCTM#: 1000—11-1-34 To whom it may concern, This Firm represents the owner(s) of the subject property,who is seeking a Building Permit authorizing the construction of a new single-family dwelling and related residential appurtenances on the vacant lot referenced above: 1. Application for Building Permit,completed,signed and notarized, (one [1]original); 2. Building Plans Prepared by Samuels and Steelman dated July 8, 2021; 3. REScheck Compliance Certificate executed by Tom Samuels dated July 21, 2021; 4. Trustees Wetland Permit#9791 dated December 21.2020; 5. NYSDEC Tidal Wetlands Permit#1-4738-04733/00001 dated June 21,2021; 6. Suffolk County Department of Health Services Permit R-20-0292; 7. Survey of property by Peconic Surveyors, P.C. last dated 12/10/20; S. Contractors Certificate of Workers Compensation Insurance, (one [1] copy); 9. Contractors Certificate of Liability Insurance, (one [1] copy); and 10. Contractors Suffolk County Home Improvement License, (one [1] copy). Thank you for your time and anticipated cooperation regarding this application.Should you have any questions or concerns or should you require any further information to aid in the review of this application, please feel free to reach out to this Office at any time. Yours truly, Bruce A.Anderson Cc. P. Kirkpatrick Suffolk Environmental Consulting, Inc. Newman Village Suite E 2310 Main Street • PO Box 2003 • Bridgehampton NY 11932-2003 t 631.537.5160 • f 631.537.5291 Bruce Anderson,M.S.,President D [, HAND DELIVERED I;N �r M1 i September 22, 2021 SEP 2 2 2021 Building Department BUIL0w,(: Town of Southold TOWN of SM. .o P.O. Box 1179 Southold, NY 11971 RE: KIRKPATRICK—single family dwelling Situate: 565 Fisherman's Beach Road • Cutchogue, NY• 11935 SCTM#: 1000—11-1-34 111-I-3y To whom it may concern, Enclosed herewith please find a copy of the updated Contractors Suffolk County Home Improvement License for the project referenced above. Yours truly, Bruce A.Anderson Suffolk Environmental Consulting, Inc. Newman Village Suite E • 2310 Main Street PO Box 2003 • Bridgehampton NY 11932-2003 t 631.537.5160 • f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED October 13, 2021 Building Department Town of Southold P.O. Box 1179 Southold, NY 11971 RE: KIRKPATRICK—single family dwelling Situate: 565 Fisherman's Beach Road • Cutchogue, NY• 11935 SCTM#: 1000—11-1-34 III--I q To whom it may concern, Enclosed herewith please find a completed Floodplain Development Permit Application along with a check made payable to the Town of Southold in the amount of$1257.20 in full satisfaction of Building Permit issuance. 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1 t i t tit +�i, i, �Y k �t��} ,. t.t t l t`S. � ���y �l`ati'-� , 1 t� Y'���,1F "+'iitl'�Ai +i�i�`�."iiY�"+1�1t ltf.` y{tt A it{��t', }i{ i• 't �l �t•�. { � t.�. � � t'ttt�F';.�k. -+1,.1�ti ..l�Ncr�..i���i��.It1�Y3kl�c F�xl��.N.IF.�:i��.�.A.hft� t i'.?�t.4:tt t.t.4t',tY ltt,i;kt:?'1 tt,J;A,;' 1 NYSIF New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE, NEW YORK 11747-3129 1 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ft.2�i ^A A A A A 208229707 OLDWOOD INC PO BOX 1461 MATTITUCK NY 11952 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FISHERMANS BEACH OLDWOOD INC TOWN OF SOUTHOLD PO BOX 1461 54375 ROUTE 25 MATTITUCK NY 11952 PO BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12387 982-8 834345 04/01/2021 TO 04/01/2022 9/13/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2387 982-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/M/WW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRIES ARNOLD R GOLZ JR OLWOOD INC ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. i NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER; 966918610 NYSII F New York State Insurance Fund 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 I nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 0 0 ^A A A A A 208229707 OLDWOOD INC PO BOX 1461 ' MATTITUCK NY 11952 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER FISHERMANS BEACH OLDWOOD INC PATRICIA KIRKPATRICK PO BOX 1461 73 STRICKLAND RD MATTITUCK NY 11952 COS COB CT 06807 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12387 982-8 834886 04/01/2021 TO 04/01/2022 9/13/2021 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2387 982-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/M/WW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRES ARNOLD R GOLZ JR OLWOOD INC ONE PERSON CORP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT • AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:201209369 1 LOF 4 AC R® DATE(MMIDDIYYYY) �.. CERTIFICATE OF LIABILITY INSURANCE 09/13/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: John Trimpin Rogers Insurance Services, Inc P,vHc.N Exc• (855)615-6815 AIIC No): (855)618-3637 PO Box 984 E-MAIL G� ADDRESS: chest risdirect.info INSURERS AFFORDING COVERAGE NAIC# Danville CA 94526 INSURER A: UNITED SPECIALTIES INS INSURED INSURER B: Oldwood, Inc. INSURER C: 7280 Sound Ave,PO Box 1461 INSURER D: INSURER E: Mattituck NY 11952 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDPOLICY EFF MMIDD POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 A SISAZGL0000424 10/01/2020 10/01/2021 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JE� LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N/A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is named as additional insured CERTIFICATE HOLDER CANCELLATION Town of Southold 54375 Route 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Southold NY 11971 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Job:Fishermans Beach AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Suffolk County Dept.of Labor,Licensing&,Consumer Affairs HOME IMPROVEMENT LICENSE Name i... ; ARNOLD R OOLZJR • Business Name This certifies that the OLDWOOD INC. bearer is duly licensed by the County of suffolk License Number: H-37816 Fra-k.Nardel t, Issued: 09/27/2005 Commissioner Expires: 09/01/2021 '� Co wtie..�r"1 w'LGLy Generated by REScheck-Web Software Compliance Certificate Project KIRKPATRICK RESIDENCE Energy Code: 2018 IECC Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 1,868 ft2 Glazing Area 18% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 565 Fisherman's Beach Road Pat Kirkpatrick Tom Samuels Cutchogue, New York 11935 565 Fisherman's Beach Road Samuels and Steelman Architect Cutchogue, New York 11935 25235 Main Rd kirkcon2@optonline.net Cutchogue,NY 11935-1288 6317346405 Tom@samuelsandsteelman.com Compliance: Passes using UA trade�off Compliance: 23.40/6 Better Than Code Maximum UA: 336 Your UA: 259 Maximum SHGC: 0.40 Your SHGC: 0.32 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Prop.Gross Area Cavity Cont. Prop. Perimeter Ceiling: Fiat Ceiling or Scissor Truss 960 60.0 7.0 0.020 0.026 19 25 Wall: Wood Frame, 16"o.c. 349 19.0 7.0 0.041 0.060 13 19 Window 1: Wood Frame 7 0.300 0.320 2 2 SHGC: 0.33 Window 2: Wood Frame 7 0.300 0.320 2 2 SHGC: 0.33 Window 3: Wood Frame 7 0.300 0.320 2 2 SHGC: 0.33 Window 4:Wood Frame 7 0.300 0.320 2 2 SHGC: 0.33 Wall 2:Wood Frame, 16" o.c. 305 19.0 7.0 0.041 0.060 10 15 Window 5: Wood Frame 16 0.300 0.320 5 5 SHGC: 0.33 Window 6:Wood Frame 24 0.300 0.320 7 8 SHGC: 0.33 Window 7:Wood Frame 16 0.300 0.320 5 5 SHGC: 0.33 Wall 3:Wood Frame, 16" o.c. 283 19.0 7.0 0.041 0.060 9 14 Door 1: Solid Door(under 50%glazing) 20 0.350 0.320 7 6 Project Title: KIRKPATRICK RESIDENCE Report date: 07/12/21 Data filename: Page 1 of 2 9 Gross Area Assembly or Cavity Cont. Prop. Req. Prop. Req. Window 8:Wood Frame 16 0.300 0.320 5 5 SHGC: 0.33 Window 9: Wood Frame 16 0.300 0.320 5 5 SHGC: 0.33 Wall 4: Wood Frame, 16" o.c. 248 19.0 7.0 0.041 0.060 9 13 Window 10:Wood Frame 12 0.300 0.320 4 4 SHGC: 0.33 Window 11:Wood Frame 12 0.300 0.320 4 4 SHGC:0.33 Window 12:Wood Frame 12 0.300 0.320 4 4 SHGC: 0.33 Wall 5:Wood Frame, 16" o.c. 9 19.0 7.0 0.041 0.060 0 1 Wall 6: Wood Frame, 16" o.c. 283 19.0 7..0 0.041 0.060 6 8 Door 2: Glass Door(over 50%glazing) 106 0.300 0.320 32 34 SHGC: 0.28 Window 13:Wood Frame 21 0.300 0.320 6 7 SHGC: 0.33 Window 14:Wood Frame 21 0.300 0.320 6 7 SHGC: 0.33 Wall 7:Wood Frame, 16"o.c. 248 19.0 7.0 0.041 0.060 7 10 Window 15:Wood Frame 48 0.300 0.320 14 15 SHGC: 0.33 Window 16:Wood Frame 36 0.300 0.320 11 12 SHGC: 0.33 Wall 8: Wood Frame, 16" o.c. 349 19.0 7.0 0.041 0.060 13 19 Door 3: Solid Door(under 50%glazing) 20 0.450 0.320 9 6 Window 17:Wood Frame 4 0.300 0.320 1 1 SHGC: 0.33 Window 18:Wood Frame 14 0.300 0.320 4 4 SHGC: 0.33 Wall 9: Wood Frame, 16" o.c. 305 19.0 7.0 0.041 0.060 11 16 Window 19:Wood Frame 21 0.300 0.320 6 7 SHGC: 0.33 Window 20:Wood Frame 16 0.300 0.320 5 5 SHGC:0.33 Floor 1:All-Wood Joistfrruss 736 60.0 7.0 0.015 0.047 11 35 Floor 2:All-Wood Joist/Truss 208 57.0 7.0 0.016 0.047 3 10 Floor 3: All-Wood Joistrrruss 16 30.0 7.0 0.026 0.047 0 1 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2018 IECC requirements in REScheck Version : REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Z�M ' lex. I 1 0 - I Name-Title Signature Date Project Title: KIRKPATRICK RESIDENCE Report date: 07/12/21 Data filename: Page 2 of 2 PLUMBER CERTIFICATION I�E UAT A ON LEAD CONTENT BEFORE S I CERTIFICATE OF OCCUPANC' SCTM # 1000-111-01-34 APPROVED AS NO TIED S SOLDER TI PLYS STEM CANNOT PROPERTY: 565 FISHERMAN'S BEACH ROAD DATE: B P #� EXCEED 2110 OF 1%LEAD. CUTCHOGUE, NY 11935 OWNER: PAT KIRKPATRICK FEE: , Kirkcon2 o tonline.net NOTIFY BUlLDiN; --�' @ p ARTMENT AT ELECTRICAL Kir 637 0199 765-i802 8AM TO 4 PM FOR THEUj FOLLOWING INSPECTIONS: INSPECTION REQUIRED 1. FOUNDATION - TWO REQUIRED U FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING >- . INSULATION SITE: 18,779 sf = 0.43 ac LU Z 4. FINAL - CONSTn^11-T,ON MUST TRUSS PLACAIiDINIG REQUIRED AREA W BE COMPLETE i �,0 ALL CONSTRUCT110IN SHALL MEET THE ZONING: R-40 REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. DO NOT PROCEED "I" FLOOD: AE elevation +6.0 O _ FRAIMNG UNTIL S ZONE °J� =. r V OF FOUNDATION LOCr,,!'`ON UU COMPLY WITH ALL CODES OF PAS BEci,�APPROVED. W YORK STATE & TOWN CODES V AS REQUIRED AND CONDITIONS OF �Nlq HA V a �fity"�TfM"�P`�N,N4NG BOARD ® 0 U T HOD TOWN TRUSTEES Blower door N.Y.S.DEC4 and ductwork testing required. _ V CRUSHEID BLUESTONE Q DRIVEWAY ON COMPACTED W OCCUPANCY OR GRAVEL BASE m USE IS UNLAWFULMust provide Manuals WITHOUT CERTIf�iCA1�,- �s and s as per Energy Code Q OF OCCUPANCY 2 PROVIDE GLEAN FILL AS _ RETAIN STORM WATER RUNOFF REQ'D FOR 5GDH5 4 TO co PURSUANT TO CHAPTER 23 ACH I EVE NOTED GRADES • fi '--"'� � LL OF THE TOWN CODE. ly 5 28 • �- PLUMB ING. +3.3 0 ALL PLUMBING WASTE O - &WATER LINES NEED,,: TMINGBEFORE COVERING TRENCHDRAIN 5 I_OII I_/ TO DR1 WELL �- _ _ __ _ _ — I O — - --- -- - - +5.5 06 Z Q " Cl) ' `C �f.8+ I y a WATERPROOF I v %�� ;` ' I CUTGHOGUE w - Z GONG. RETAINING STEPPI G STON + R I D G I BEACH HARBOR w. 3 L o x u x Y k X X Y DN •!-J-.�J" 1 a N o WALL PER SGDHS. J _ F I N. FLR. +10.0> I w• " DESIGN BY OTHERS - - — � - - - I � � — — � ^ � L - - - - J L - - - -+ J L - - — J y +65 k' i OPEN WOOD DECK N Cn r — — — — — -f- -I — — — -I .> w/STA I R5 TO GRADE All exterior lighting,' I 5A1�I TrARY 5�''SIT M I ' DE I N BY �T RS Installed,replaced cr L _ _ _ $ — — _ _ — __ DN repaired shall conform T _ to Chapter172 0 — — - - � - - --- - - -- ---- _.- --- I = of the Town Code N 0 L — — — — L - - -I- -I .p L- ---- ---- -- -- - J +5.0 - -- -- - ---- - - -- - - ---- -- -� r .. FLOOD ZONE. , N 35 de 4 I „ "!'^ CHAPTER u46' g c[ 30 1 O ;� C4•... LY l:ITH CHA E 40.0 FLOOD DAA!A 7 G:.PREVENTION » SOUTFtJLO TOWN CODE. 0 � PROJECT NO: N 31 deg 55' 20" E �3.0 N 51 deg 55' 20" E TES 81 DRAWN BY: 1905 WATERPROOF TS GONG. RETAINING CHECKED BY: WALL PER SGIDHS. DATE: DESIGN BY OTHERS 7/8/21 SCALE: �p = 10 - 091 in �� SHEET TITLE: 1,Ltr-� 1QZI wh PM SCALE: 1 " = 10 -011 �� u/A � � SITE U SEE SITE ENGINEERING DRAWING SHOWING UTILITIES, } 7 _ PLAN SANITARY 5`(5TEM, DRAINAGE, AND OTHER INFORMATION, PREPARED BY OTHERS SEP 1 4 2�21 _ SHEET NO: firyr, 017 BID & PERM11" S' E T WIND-BORNE: DEBRIS PROTECTION FOR OPENINGSH (DT 3 STRUCTURAL REVIEW E3Y STEVE MAI<'ESGA PE FOR WALL OPE1�!I NCB PROTECTION OF(20 MPH 5-SEGOND WIND GUSTS I88-0�1 WEST MONTAUfG HIGHWAY, HAMPTON SAYS, NY I I�4� ( MAXIMUM MEAN ROOF �+�I GHT: ��I) 51MP50N LSTA - 20 GAGE I-p H0NE 631 �2a �480 RIDGE STRAP - ALL ROOF RAFTERS a a 2 x 6 TIE ® EACH RAFTER USE/OCCUPANCY • r IN VIEINOF STRAP. CLASSIFICATION DESIGN CRITERIA : a - ICE SHIELD UNDERLAYMENT S I N6LE FAM I L`1' RESIDENTIAL SHUTTER ASSEMBLY 1 REQUIRED - 24 FROM EDGE DESIGN IN ACCORDANCE WITH AMER I CAN .T.s. ° FOREST CONSTRUCTIONTI UMANUALF OR + RI AM2 FAMILY HOUSE FOR PANEL SPANS: O •c 4'0 WIDE SPAN 1 � \ 25/3211 (3/4") APA SPAN-RATED 48/24 SHEATHING GRADE PLYWOOD 1 HEIGHT PRESCRIPTIVE METHOD uj (OVERLAP AROUND OPENINGS 4") I 1 HURRICANE P051 IO OF 55-0 II MAXIMUM V G ASSEMBLY: I.- I I SIMPSON H3 ROUND SNOW LOAD - 45 PSF. ATTACHING STRUCTURAL PANEL: FASTEN TO BUILDING IN/ °I I FIRST LEVEL - 40 PSF. L.L. }" #IOx3" (w/ WASHERS) GALVINIZED OR STAINLESS STEEL i I LIKING AREAS - 40 PSF. L.L. Z WOOD SCREW @ 1611 O.G. SIMPSON H2 HURRICANE BEDROOMS - 30 PSF. L.L. Lu (� ALTERNATIVE FASTENER FOR SHUTTER TO BUILDING: I I " CLIP NAILED. FROM #10 TEE NUTS ATTACHED TO BLDG. w/ #10x1-1/2 ( W/ WASHERS) I I RAFTER TO STUD. - WIND SPEED - 150 MPH RS MACHINE BOLT a 12" O.G. a�-- 1 55 -PIad NAIAL LS EACH END SEISMIC DE51 GN CATEGORY - B ®/� I WEATHERING - SEVERE V 0 - APA RATED PLYWOOD TO „ EXTEND TO TOP OF TOP PROVIDE 8d COMMON FROST LINE DEPTH - 36 0 I PLATE. NAILS EXTERIOR O.G. AT SHEATHIN6ED6E OF ALL TERMITE - MODERATE TO HEAVY s TYPE OF CONSTRUCTION DECAY - SLIGHT V CONVENTIONAL LIGHT FRAME WOOD ICE SHIELD UNDERLAYMENT REWRED - YES 11 a CONSTRUCTION � ' Q 11 ® O I� LTIPLE SECTION ASSEMBLY: 1 1 1/4" THICK BOLTS a 2' OG V 1 , II GENERAL NOTES Q 10°� 1. ALL WORK MATERIAL, I P W I 1 AND EQU MENT SHALL BE IN 13. SEWAGE DISPOSAL SYSTEM AND FRESH WATER SUPPLY m 1 I I I ACCORDANCE WITH THE 2020 INTERNATIONAL RESIDENTIAL SHALL BE DESIGNED AND BUILT IN ACCORDANCE I I 1 I I CODE, AND THE NEW YORK STATE ENERGY WITH THE SUFFOLK COUNTY DEPARTMENT OF HEALTH. PLYWOOD 5HEATHIN6 CONSERVATION CODE, AND LOCAL AUTHORITIES. I I 1 I 1 1 TO OVER LAP BOX 14. THIS STRUCTURE HAS BEEN DESIGNED IN Z 4' BEAM - TOP + BOTTOM. 2. ALL CONCRETE SHALL BE STONE AGGREGATE WITH A ACCORDANCE WITH THE NEW YORK STATE ENERGY Q 1 I I I MINIMUM 28 DAY STRENGTH OF 5000 P51 CONSERVATION CODE. 1 1 I I 1 ( SIMPSON MST2'1 11/2" WIDE - 20 6A6E 3. ALL LUMBER SHALL BE GRADE STAMPED DOUGLA5 FIR- 15. ENGINEER TO BE NOTIFIED IN WRITING OF ALL 1 I I I ( METAL STRAP ®48" OC. CHANGES PRIOR TO AND DURING CONSTRUCTION. 1, I I LARCH STRUCTURAL GRADE #2 OR SETTER. LJ.1 1 1 ' 1�" I�, DOUBLE TOP 4. PROVIDE DOUBLE HEADERS AND TRIMMERS AT ALL lb. ELECTRICAL AND MEGHANIGAL COMPONENTS TO BE _ SHUTTER ASSE BLY I 1 1 I 1 11 STAIR AND FLOOR OPENINGS, POSTS AND PARALLEL DESIGNED AND SPECIFIED BY OTHERS. WI 2 x 6 ®I6 O.G. PLATEPARTITIONS, EXCEPT AS NOTED ON DRAWING. I'l. ALL STRUCTURAL STEEL TO BE ASTM A36 WITH ONELj,.I I 5. BRIDGING TO BE PROVIDED FOR ALL JOISTS ANDI I STUDS. I i I 1 � I I � GOAT EPDXY PAINT. ALL FASTENERS TO BE ASTM 3: FOR PANEL SPANS:41 OR WIDER SPAN I I l" I°j FLOOR BEAMS. SPACING NOT TO EXCEED 8.0 FT. A-525 BOLTS, 5/41' DIAMETER. I I 15. CONTRACTOR SHALL OBTAIN ALL PERMITS AND 23/32" APA SPAN-RATED 48/24 SHEATHING GRADE PLYWOOD I ( 6. ALL DIMENSIONS AND GRADE CONDITIONS TO BE I 1 I VERIFIED BY CONTRACTORS) PRIOR TO START OF INSURANCE NECESSARY TO PROTECT THE ENGINEER (OVERLAP AROUND OPENINGS 4") WRAP + NAIL STRAP AND OWNER. 2x4 STRONG-BACKS @ 24" Or-, 11 1°J," AROUND SILL PLATE 4 - 8d NAILS CONSTRUCTION AND ORDERING OF MATERIALS. THIS I I I I AT ANCHOR BOLT FOUNDATION HAS BEEN DESIGNED FOR A 501L IQ. DO NOT BACKFILL AGAINST FOUNDATION WALLS ASSEMBLY: I I SIMPSON MST2"1 BEARING CAPACITY OF TWO (2) TSF AND GRADES UNTIL FLOOR SYSTEM INSTALLATION 15 COMPLETE. 1 1/2" WIDE - 20 6ASE LESS THAN 5%. CONTRACTOR SHALL VERIFY THAT 1). PREASSEMBLE PLYWOOD TO 2x4"S: # IOx3" (w/ WASHERS) GALVINIZED OR I I METAL STRAP @48" 00. THESE CONDITIONS ARE MET. ALL FILL BENEATH 20. PROVIDE CARBON MONOXIDE ALARMS ON EACH LEVEL 5TAINLE55 STEEL WOOD SCREW a 62" O.G. I� ' AND IN BASEMENT ( IF APPLICABLE ). P051TION NEAR NAIL SHEATHING TO SILL PLATE CONCRETE SLABS TO BE COMPACTED TO q59� 2). ATTACHING STRUCTURAL PANEL: FASTEN TO BUILDING w/ 1 8d NAILS a 4 O.C. RELATIVE DENSITY. ENTRY FROM HOUSE TO ATTACHED GARAGE AREA. ad! -::Rig.::`i #lOx311 (w W/ ASHERS) GALVANIZED OR STAINLESS STEEL Zv WOOD SCREW 0 Ib" O.C. 21. SMOKE DETECTORS REQUIRED IN EACH BEDROOM AND rn tD ALTERNATIVE FASTENER FOR SHUTTER TO BUILDING: 2 - #5 REBAR '<":','.r ?�s` 2 x 6 SILL PLATE 7. ALL HEADERS 6.0 FT IN LENGTH AND OVER TO BE c� SUPPORTED BY DOUBLE UPRIGHTS q.0 FT AND OVER ON EACH LEVEL OF DWELLING AS REQUIRED BY#Io -. .`,,'•;,� AGQ TREATED. p Y MA TEE NUTS ATTACHED TO BLDG. w/ #I0xI-I/2 ( W/ WASHERS) " „ BY TRIPLE UPRIGHTS. ALL HEADERS TO BE NEW YORK STATE BUILDING GODS. .J MACHINE BOLT 12" O.G. :Y�, SEE FOUNDATION DWG. '";�ti,;�=r; cn ap p�D :•:X;-;;,.,�. MINIMUM OF 2-2x8 OR AS SHOWN ON DRAWING. � >-'-' FOR DE516N. ,,,.;y,}..,„ 5/8 x 12 A.B. 048 OG. 12. ANY ALTERATION, REPAIR, ADDITION OR CONVERS I'ON TO x w/ FENDER WASHER. 8. PROVIDE F I RESTOPP I NG AT ALL LEVEL w J 'tL- w U- AN EXISTING DWELLING REQUIRING A BUILDING PERMIT = Z '''''''"`ri' PENETRATIONS WINDOWS, - GLAZED OPENING NOW REQUIRES THAT ALL SLEEPING ROOMS IN THE w Q. PROVIDE FLASHING AT ALL ROOF BREAKS, HOUSE BE UPGRADED WITH HARD WIRED 4 Q N o PROTECTION 15 REQUIRED FOR ALL GLAZED AREAS. IN ACCORDANCE WITFf LARGE MISSILE TEST OF CHIMNEYS, 5KYLIGHT5, EXTERIOR DOORS, WINDOWS INTERCONNECTED SMOKE ALARMS. w �,• ul= cc A5TM E Igab AND OF A5TM 1886. AND DECKS ETC.. 25. THE NYS CODES ALSO APPLY TO ACCESSORY CONTRACTOR MAY USE WOOD STRUCTURAL PANELS -- N LIEU OF THE ABOVE MENTIONED WI NDOW5. HOLD DOWN + SHEAR CONNECTION 10. DO NOT SCALE DRAW I NG5. STRUCTURE DESIGN. co) N • PANELS TO BE PRECUT TO FIT OVER WINDOWS WITH CRITICAL LOAD PATH HARDWARE PROVIDED. FASTENERS TO BE DESIGNED TO 11. ARCHITECT NOR ENGINEER IS NOT RESPONSIBLE 24. GARAGE DOORS TO BE RATED FOR 120 MPH. WIND LOAD P.L4NEL5 TO BE M04INT�IN�D POSTS , HEADER + SILL PLATE. SHALL COMPLY W/NYSBG GH�PT�R #2304.GI.G FOR THE INSPECTION OR SUPERVISION OF LABEL LOCATIONS ON EACH PANEL. THIS CONSTRUCTION PROJECT. FEDERAL, STATE • AND LOCAL ZONING AND BUILDING CODE COMPLIANCE SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR. or- C. On 01 NAILING SCHEDULE FRAMING NOTES TAKEN FROM 2020 EDITION INTERNATIONAL RESIDENTIAL CODE I. ALL FRAMING LUMBER SHALL BE GRADE STAMPED 10. PLYWOOD SHEATHING TO BE NAILED WITH 8 d a 4" 0 DOU&LBETTER. INTERMEDIATE. 5 FIR-LARCH STRUCTURAL GRADE No. 2 OR o.c. EXTERIOR EDGE5 AND 6 d a 12" o.c. SIZED FOR COMMON NAILS; CONTACT ARCHITECT FOR BOX NAIL SIZES PROJECT NO: IMF- h 2. ALL SHEATHING TO BE APA RATED, EXPOSURE I, 5/8 II. ALL INTERIOR AND EXTERIOR FINISHES FLASHING MIN. THICKNESS OR AS NOTED. 1905 RAFTER/TOP PLATE 3-Ibd (TOE NAILED) AND WATERPROOFING SHALL BE SPECIFIED BY ARCHITECT. o �Io 0 CEILING JOIST/TOP PLATE 4-Sd (TOE NAILED) 3. ALL SUBFLOORING TO BE APA RATED STURD-I-FLOOR, DRAWN BY: job cl CEILING J0I5T/PARALLEL RAFTER 8-16d (FACE NAILED) EXPOSURE 1, 5/4" MIN. THICKNESS. ALL EDGES OF 12. ALL ROOF RAFTERS SHALL BE ATTACHED TO THE PLATE UT CEILING JOIST LAPS OVER PARTITION 7-16d (FACE NAILED) PLYWOOD TO BE SET ON SOLID BLOCKING. GLUE AND AND STUD WITH GALVANIZED HURRICANE TYPE COLLAR TIE/RAFTER 4-I0d (ea. end 1-1/4" strap) NAIL PLYWOOD SUBFLOOR TO FLOOR JOISTS. CONNECTORS BY "TEGO" OR APPROVED EQUAL. FOR CHECKED BY: GABLE ROOFS BLOGKING/RAFTER 4-8d (TOE NAILED) TIMBER PILE FOUNDATIONS, PROVIDE HURRICANE TCS o Flo- RIM BOARD/RAFTER 4-Ibd (END NAILED) 4. ALL HEADERS 6'-O" AND OVER SHALL BE SUPPORTED CLIPS AT ALL PERIMETER JOIST TO GIRDER DATE: TOP PLATE/TOP PLATE 2-16d (FACE NAILED) WITH DOUBLE UPRIGHTS, q'-O" AND OVER WITH CONNECTIONS. 7/8/21 TOP PLATE AT INTERSECTIONS 4-16d (FACED NAILED) TRIPLE UPRIGHTS. ALL HEADERS SHALL BE A a o STUD/STUD 2-Ibd (PAGE NAILED) MINIMUM OF 2-2X8 OR AS SHOWN ON DRAWING. 15. ALL PRE-ENGINEERED LUMBER SHALL BE GEORGIA • h HEADER/HEADER Ibd (FACE NAILED) 5. SOLID BLOCKING SHALL BE PROVIDED FOR ALL JOISTS PACIFIC GPI 5ERIF-5 WOOD-I-BEAMS AND LVL NTS AND FLOOR BEAMS AS PER N.Y.5. CODE OR AS NOTED PRODUCTS OR EQUAL. ALL JOISTS, GIRDERS AND o O TOP or BOTTOM PLATE/STUD 3-16d (END NAILED) ® 8'-0" O.G. MIN. PROVIDE 2" SPACE FOR AIR SHEET TITLE: to o L45 BOTTOM PLATE/FLOOR JOI5T 3-16d (FACE NAILED) HEADERS SHALL HAVE BEARING STIFFENERS INSTALLED o JOIST/SILL, TOP PLATE or GIRDER 4-5d (TOE NAILED) CIRCULATION IN ROOFS. AS PER MANUFACTURERS RECOMMENDATIONS. WEB BRIDGING/JOIST 2-I0d (TOE NAILED) 6. DOUBLE FRAMING AROUND ALL OPENINGS ( skylights, STIFFENERS SHALL BE REQUIRED AT ALL LOAD AND STRUCTURAL h BLOCKING/JOIST 2-IOd (TOE NAILED) stairs etc. ) OR AS NOTED ON DRAWINGS. BEARING POINTS AT A MINIMUM. A SINGLE 1 5/4" GABLE ROOFS BLOCKING/SILL orTOP PLATE 3-16 DOUBLE UP FRAMING UNDER ALL POSTS AND PARALLEL d (TOE NAILED) LVL RIM JOIST SHALL BE REQUIRED AT FLOOR NOTES & 0 7. 11 100< o �50 0 look o �45 0 LEDGER 5TRIP/BEAM 4-16d (FACE NAILED) PERIMETERS. HANDLING, STORAGE, AND ERECTION OF JOIST ON LEDGER/BEAM 3-Ibd (TOE NAILED) PARTITIONS OR AS NOTED ON DRAWINGS. COMPONENTS SHALL BE AS PER MANUFACTURERS DETAILS PROVIDE 8d COMMON NAILS"a 4' O.G. BAND JOIST/JOLT 3-16d (END NAILED) 8. ALL FLUSH WOOD CONNECTIONS SHALL BE FASTENED RECOMMENDATIONS. AT HIGH PRE55URE ZONE - 6 O.G. HIP ROOFS AT INTERIOR PORTIONS of ROOF - TYP. BAND JOI5T/51LL or TOP PLATE 3-16d (TOE NAILED) WITH RATED GALVANIZED METAL CONNECTORS BY I4. ALL MULTIPLE LVL PRODUCTS TO HAVE 2 ROWS OF I/2" nIA. l00< O <,30 O PLYWOOD ROOF DECKING 8d a4 O.G. EDGE5, a8 O.G. FIELD "TECO" OR APPROVED EQUAL. STRIP SHEATHING ad (ONE/RAFTER) GALVANIZED MACHINE BOLTS a 12" O.G.. SHEET NO: PROVIDE tad NAILS a 4" O.G.AT PERIMETER INTERIOR PLYWOOD WALL SHEATHING Sd a411 O.G. EDGE5, @811 O.G. FIELD q. NAILING 50HEDULE SHALL BE AS PER THE N.Y.S. PORTIONS OF PANELS IN HIGH PRESSURE ZONES. PLYWOOD 5U5FLOOR DECKING 5d ab" O.G. ED6E5, a12" O.G. FIELD BUILDING CODE AS A MINIMUM. ALL 2X6 5TUD5 15. TH15 DRAWING 15 AN INSTRUMENT PREPARED TO NOTE : a = 4 FT. IN ALL GASES SHALL RECEIVE 5-IOD NAILS AT SILL AND PLATE. FACILITATE CONSTRUCTION AND SHALL NOT BM COMPONENT AND CLADDING PRESSURE ZONES ALL EXTERIOR NAILS SHALL BI= GALVANIZED. CONSTRUED AS A CONTRACT BETWEEN BUILDER AND OWNER. BUILDING PERMIT/BIDDING 5" VENT THRU ROOF I ui GUEST BATH ' LAUNDRY MASTER BATH - - - - — — — — - - / Z - - - - - - - - - - - - - - - - - - - ?r— — — — — — — I I 2" VENT , Z 211 VENT 0 I I I I I I I I I I I I I � I I 2 VENT I I I 1^IC I LAV LAY I LA1l I I I I I WG 0-3 _ I � I I I I I Q I TUB kNASHER W I 5HOWER ( m 5EGOND FLOOR cl) I Z Q I � W 3" WASTE I W � I 3: LL I � GUEST BATH I I KITCHEN ` — /- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /- - Imo— 2" VENT BUILDING EXTERIOR I 2" VENT WALL odZ• I I I co a• W I I I KITCHEN -� • �, Q o M G � I LAY I SINK w .�• w Z 3 x _ zu. I I a SHOWER I I w w• N = M I I I I I Q i-- J— FIRST FLOOR I cncn- AIRSH I VENT I 3" WASTE 0F NEW� GRADE ��- � ' f0 SEPTIC TANKI , TANKq'- c 3" WASTE ` - 4" �,,I,J 4"X3" G.I. PROJECT NO: 1905 HOUSE TRAP - DRAWN BY: UT CHECKED BY: TS DATE: 9128/21 mtmjqhw"'h1v' mG RISERD I ASCALE: LUM ' AMAp3h 1/4" = 11 . oil SHEET TITLE: SCALE: NTS PLUMBING RISER DIAGRAM SHEET NO: E"I L bo- )I N Go P' E R M I T 28'-O" Loll 11_ II I I_O II 81_4II 81_41 I 51 _411 uj �I_O11 I II I II I II I B -O 2E -O 3 -O -- -- - w z LU I - - - - - 11 (' — � r— — � - - - - - r — t - -i cj) 0 r— II II 12 x12 POURED GONG. PEDESTAL Lu V ,Y w/56"x56"x 12" GONG. FOOTING. SEE I 1S)2x10 D.J� � j -� DETAIL F b- L OR REBAR. PROVIDE _ J L — — J L— — 61 RDER/PEDESTAL GONNEGTOR BY V I (� Q S I MPSON, #ABU662 p KI IK • b Q ,,rnrn K � x _ _ 2x10© 16 TR. _ _ I— V x N U N I WD. D.J. Icy PROVIDE GAL\/. FRAMING ANGHOR `t m I �. -� X w cV BY S I MPSON, #4210-5 m I- - � --� r — -- � cn _ LPL SOX z 18"x18" POURED GONG. PEDESTALHEM Q L _ _ 11 L I I _. J� I I I w/42"x 211x I a" GONG. FOOTING. SEE + 1L iL L --I+-� DETAIL FOR REBAR I II W 111 — ] ® ® i I � uj - LL (,SOLAR P NELS -1I I I GRAt W L SPA�iE I I I3: NGHOR D 11 m l PRO\/11:;)E y2" TR. PLYIND. -7 l Ilj > �jFM SEGUREL TO I L — UNDER JO 1 STS I — ROOF SU STRATE I ] _ = I M. it t� —I—_ — — —I y211xcf y�P�3 — — — - �- .. =N L 1 _ 81_ fl/2111 71 L - -- --J L- ---1 I L --I-�-J _ = 06 z- _ 1L ,( II I i O N Q "T � _IO11 _ r E I • M c F— — -� I�-— — -� I I— xq y2 AB — - - _ - - . w -�• wz3 � Wa _ Q z u i w. Lo Wv Q N tf L _ _J L - - J w• N x r = I p✓ I I I HATGH D AREA SHOWS 2x 10 Ua �I FRAM I N ABOVE, FOR FLUSH Q ~• U Q i I — INSTALLATION OF TILE Lu >L�ll m I � � L I LL }i I AI -i } m mlI N m ��pF NEtNy,""k> Ps C. S fin!o��_ I�L�L Xf"4-i2x10® L i — — — — — — — — — --— —— — — — — — — —— — — — — — — Ilx-I " P 2 2xIO I = PROJECT NO: 1905 III- - - - - - - - - -III _� r-�t==z DRAWN BY: _ I TS I CHECKED BY: 12"x 12" POURED GONG. PEDESTAL w/56"x5&"x12" GONG. FOOTING. SEE L — _ J L _— J DATE: DETAIL FOR REBAR. PROVIDE 7/8/21 GIRDER/PEDESTAL GONNEGTOR BY SCALE: I '-1 >%2" S I MPSON, #ABU662 1/4" = 1' - 0" SHEET TITLE: FOUNDATION A JOGS AT RIDGE & ROOF PLANS Ro"h 00"'' 0 F P L A Imo— F® u N "U"'A T 1 SHEET NO: SCALE: 1/4" = 1' -0" SCALE: 1/4" = 1' -0" 3Y2 5J/2 2 1 '_1 " I W Z LLJ 2'-5 2111 I '-6 Y2 25 I N 51_ 12 II '-5" 6'-6" DECK FRAMED w/TR.. ND. V �2 I 31V2 2 PROVIDE MAHOGAN`r DECK I NIS Q RA I L I NG PER SPECS — O SIMP50N STRONG -' WALL #SSW 15x8 lo S I MPSON STRONG WALL I- U - #SSWI5x8 Q r P 3 5 W 1(� I a 1 61 N I m 5-%2 X�-�2 �-�P rJ—�2 X�—�2 AP -, =N i (2)14 LYL w (2) / x15 STL. PL. i Z cli ILL] I IIMwl I _ MAN Y 5 queen _ Ct = O I p _ D I N I NCB _ BOARD E3ATTEN 51 D I NCB ON W I } ROC M queen I N _ ii' 0 I _ C5'' _ IXII HOODFLR. I °+00 I =N O _ -ty = I ROOM g „ I ti 50# 5LDO. PAPER ON 5/8 ' I' � —' I = I ��� _ PAT' I `� I m I LIVI G � HOOD PLD�. O N6 < I = PL`"`ND. SHEATHING ON 2xF�© IC _ Oi I I + = I I I rn _' I a' I Q I I m I -il I FRAMINCB, w/IN5ULATIION ,AND u' — I — ROO I I = c(� is - I ROOM WOOD PLR. ON g/a" 1 _ /� /� �/ _ J(� I OD r= R. 1L i INTERIOR FINISH Cl�ll _I PLYWD. DE ICING —— I \ SHEAR WALL //2" - fx cx I PLYWD. ONE SIDE = I N cSJ N o NI L6;i2 '-6"(4) nPROJEGTED WALL/WINDOW �°° — —_ —— ... (2)I �3 11 ��/ 1�L i�/_(2) "x I I " ST_L. I (2)L�L = w/ROOF ,4BO\/E — — — — — In /S I M N #H 512 2 co. END I I SLUSH N I uQ m 4, 5I,1 -?I I O' 11 " u 1f� �N I N HALL (n 2x12 RIDGE— I = ' I `n r o N I O d N __ K I TGHEN I ad z SHEAR WALL w/Y2" PLYWD. r = \9 I 3 PULL vo 11 II 5�_2 ��+8° - m i N N I = L N i , - x - - - - - - - - � I N ONE SIDE t� I DN STAIRS I I I PANTRY � � Q 0 _ _ I N I R/F I \ Jam• a li I I IM 2 -�2 GLO ET i 3m" _� x - I � I N —� _� °� BATH Z - W W.. = Z ° N O O M 1I \ \ V I.IJ• y ? C O N M W ° j I N IL \1�J TILE I O Er a " a m I } = LINE OF ROOF OVERHAN67 I I MASTER I d- m - = i 0 ��° I 0 ABOVE cl) co. HN = c I = I = I = BST TILE _ - fn \ I m STUDY TILE I - _I WOOD PLR. m N I I � c� ��+� '�` II - I - -' _' I o : I I N — tL F- - 1 1_.�11 I _ HATCHED AREA SHOWS 2x10 I x x N I - I = `� N FRAM I NCG AE301/E FOR FLUSH ° , w GEST = _N N I m MTID °I cSJ INSTALLATION OF TILE ,. ROOM CD N - (v W desk WOOD PLR. ( O' -' _� N \ I Tw3o �o* MINIMUM HEADER SIZE: (2)2x8 I Tw3o io - -- -- - — , 01835 " P,� GEDAR SIDING ON 50# BLDG. I I PAPER ON 5/g" PLYWD. ON 2x6® 16" L — — — — — — — — J i(� PROJECT NO: — 1905 NALL FRAMIN6 (TYP.) DRAWN BY: TS -4Y2" 5'-11 6 8 a�_-��� -7� O�� CHECKED BY: 3 6�_5�� 5�_4�� /V2 11 31_611 /2 8�_01 51_61I 5�2 5�2 I 5�2 5�2 5�2 DATE: 7/8/21 SCALE: 231'-I " 114" = 1' - off 10'-611 10' 01 I 10'-6" SHEET TITLE: JOGS AT RIDGE JOGS �T RIDGE FLOOR PLANS SECOINOD FLOU' Rk PLAIN F 1 "RhS SCALE: 1/4" = V -0" SCALE: 1/4" = V -0" SHEET NO: law E "R" M I I B 1 0 D` S` ET ASPHALT 5H I NOLE ROOF I NS ON LIJ 30# BLDS. PAPER ON 5/4" PLYWD. DECK I NS ON RAFTERS V PER SECOND FLOOR PLAN Z Z uj SOLAR P 5EGURELY W ATTAGHED ROOF FRAM I NS O O IxC PVG FA5GIA w/VENTED - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — - u U Fvc SOFFIT BELOW $ IxC _ �� - - - - - - - - - - - - - - - - - - - FRIEZE OVER GA51 NS5 U STEP FLASH I NS ©ROOF/WALL TW2B42 TW2 42 TW2B42 TW21342 TW2B42 TW21342 TW 42 TW 42 Q A - I — z] PAN FLASHING AT WINDOWS Tw2 052* ® 0 N CEDAR 5H I NSLE S I D I NS ON V SECOND FLOOR SEGO1�lD FLOOR - - - - - - - - - - - -v-O� -�3-LD�a—PAP-E-R-QN-5,� - - - - - - - - - - - a retractable awnin = - - -- - - - - - - - - - - - - - -PLYWD. SHEATHING. FLARE W 5H I NSLE5 OVER I x I O FRIEZE cf) — Ixl2 GEDAR SIDING w/Ix2- \ Z P3545 P3545 BATTENS ON 30# BLDS. PAPER \ Q FGP1 610* HAND/GUARD RAILS PER GODS _ W hd AN351 AT WOOD 5TA I R5 TO GRADE fn = FIRST FLOOR FIRST FLOOR m _ - - - - - - Na_ _ LL - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - — — LL — JOE x I O PSG FRIEZE AT GIRDERS jil� � I At \/INYL LATTICE IN TR. WD. FRAME TO GRADE. PROVIDE —11111 -- I R�� - TWO AGGE55 POINTS TO j I OUNDATI ON BEYOND L- - - J L ---J L ---J L-- J PIER F L-- -J L -- -J L-- -J I-- -- _1 VA wl"l 0 I'm buougTHI ELEVAINOIN WES"I"m ELEV IM SCALE: 1/4" = 1' -0" SCALE: 1/4" = 1' -0" ca Z co Q• ' U, r T d M. Y o � a y o o r W -j• w z � ; t a z u M W• U W w w u� > c a N � tL IN W• N 2 r v ASPHALT SH I NS_E ROOF I NS ON a 30# BLDS. PAP=R ON 5/4" co co PLYWD. DEGK I NS ON RAFTERS PER 5EGOND FLOOR PLAN - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - Ix6 P1lG FASCIA w/DENTED PVG SOFFIT BELOW $ I x6 of rr�4y FRIEZE OVER GAS I NS5 ,�"s�, trar 3om ORNAMENTAL SHUTTERS TW 42 TW 42 TW 42 ` { TW2 052 TW2 052 �. 8350-� • IxlO PSG FRIEZE OVER SIDINGr==l °r � Tw2 052* 5EGOND FLOOR SECOND FLOOR PROJECT NO: - - - - - - - - - - - -- - - - - - - - - - - - - - - 1905 IxI2 GEDAR SIDING W/Ix2 DRAWN BY: I I BATTENS ON 50# BLDS. PAPER > TS MCHECKED BY: I IX VINYL GLAD WINDOWS TW 3 3 3 3 w/I NTESRAL FLASH I NS $ I x4 DATE: P1/G GA51N5, 2'' SILL (T` F.) Tw3 410* Tw3 410* 7/8/21 SCALE: HAND/GUARD RAILS PER GODE ' 1/4 = 1 - 0" AT WOOD STAIRS TO GRADE FIRST FLOOR SHEET TITLE: VINYL LATTICE IN TR. ND. FRAME TO GRADE. PROM DE ELEVATION; TWO ACCESS POINTS TO I I I I I I I I CRAWL SPACE I I I I I I I I I I I I I I I I I I I I I SHEET NO: EAS" T T "SCALE: 1/4" = 1' -0ELEVATION- SCALE: 1/4" = 1' -0 REVISIONS w PROVIDE HURRICANE CLIPS AND ALL REQUIRED STRAPPING AS PER CODE. PROVIDE CONTINUOUS VENTING AT RIDGE Z W ® D TOP OF FRAMING — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ASPHALT SHINGLE ROOFING 0N30# V BLD6. PAPER ON V PLYWD. uj DEGKIN6 ON RAFTERS PER SECOND �- / FLOOR PLAN 12 PROVIDE SPRAY FOAM INSULATION IN "HOT ROOF" FRAMING, TOGETHER wNAPOR SEAL AT PERIMETER OF ALL FRAMING - LINE OF SHED DORMER BEHIND / ATT I G V 12 Q / �10 W co — — TOP 2nd FLR. PLATE — — — — — — — -- — — — — X X X. X X . \ X X �� J V x, ,x/ �v x / / PROVIDE SHALLOWER FRAMING AT BATHS PER FLOOR PLANS, FOR ACCOMMODATION / I W OF CONCRETE TILE BASE ,GUEST EATH 3: LL PROVIDE L.G.G. PAN FLASHING UNDER WINDOW SILLS IN BOTH DORMERS / STAIR I- L^ PROVIDE TEGO FRAMING ANCHORS SECURELY ATTACHED TO FRAMING AT ROOF OVERHANG (� II I I - � ' Ix& PVG FASCIA BOARD w/GUTTER. • TOP 2nd FLR. SUBFLR. ! - !' PROVIDE SUB-rASGIA FRAMING. 5 Tt *�c�ULA'TI�i�, y r\ \ v.^ �ti ( Y _�"-v v ;Y; �Y' - - T86 PVC SOFFIT BELOW AND IxIO TOP Ist FLR. PLATE — — — — — — — — — — �'------- _--- _ -- _ k a . X" x x.- X 7. � X XX ,X �_ l �� �/ k/ `X k' \ \� AYT�,�) IS�IJLA'FI�N PVC FRIEZE BELOW, OVER BOARD — — — X BATTEN SIDING T$6 PVC CEILING MATERIAL TO MATCH m' Ix12 VERTICAL CEDAR SIDING w/Ix2 SOFFITS BATTENS OVER 30# BLDG. PAPER ON 5/e" PLYWD. SHEATHING ON 2x6®16' Z. STUD FRAMING cl) M C, Ilk m u li VINYL GLAD WINDOW/DOORS w/'S/4"x4" J Y ROOM 0 0 PROVIDE SHALLOWER FRAMING AT BATHS j �f n PVC CASING (TYPJ ° PER FLOOR PLANS, FOR ACCOMMODATION E I RY L W J• W z w OF CONCRETE TILE BASE j = a z u W• U La u N = c 56" HIGH HANDRAIL PER GORE a N _ tO O ——" - W• N = C 36" HIGH HANDRAIL PER GORE � Ix4 MAHOGANY DECKING ON TREATED �� Q ~• U WOOD FRAMING PER FLOOR PLAN Ix4 MAHOGANY DECKING ON N 1st FLR. 5UBFLR. PER 51TE PLAN— — — __ �:� --- D FRAMING PER - - - - FLOOR PLAN I STAIRS FRAMED w/TR. WD., — - - - -_- -= - - -- -= --- - - -- -- --=- --A --- OL w/MAH06ANY TREADS, PVC RISERS /, - APB GIRDERS. SEE FOUNDATION PLAN ` �v_ � AND STRINGER COVERS i/� 5PRAY FOAM INSULATION UNDER �E6V FLOOR FRAMING. ;-�0?<_ i REINFORCED MASONRY PIER AND FOOTING REINFORCED MA50NRY PIER AND G 1114-i"' co �t PROVIDE Ys" TR. PLYWD. ENCLOSURE GRANL SF AGE PER FOUNDATION PLAN AND DETAIL SECTION. FOOTING PER FOUNDATION PLAN. SEE -J j SEE ATTACHMENT DETAIL TO FRAMING ATTACHMENT DETAIL TO FRAMING /\ \ \/ /\ \ / \ / /\ \ i \\ /\ \ \ \ \ \ \ \ \ \ \. �_.t. / i' \ \\ . \ \ \ \ . \� \\\ \\' 1 I�' \\ \\ \ I I ,\ \ \ c• - ' / ,\ \;L\/I \,/!\ / \%/` /�`//\yi'\./ �// / //' i1905 /// /' / / / \ /' // '\'/ %/j'// �% / , PROJECT NO.: — BOTTOM FOOTING j % \ \ �G\ \ / \ \ \ \ / / \ \ \ \ \�\ /\\ /_\\ / \J\ \\ \ `\\ ��'_,/ \;/\ \ \ / \ \ ------- —�\ \ \\ / \ \ \ -------J / \ / /\/ \/. \\/ \ / \ / \ / / / / / / / % \//` , /. / /, ,' DRAWN BY: / // / /, TC CHECKED BY: /XXi / / / DATE: 7/8/21 \ \i SCALE: \ \ /\/ \ \ \� /\/ /\ i\/� , : . SHEET TITLE: SCALE: 3/8 1 off \ \ `\ \\ \\ /\ \ \ \ \ BUILDING ; '/ /\ / / ' C UmIL � N %0j% 1�t to�%o T 0 SECTION 'A SHEET NO: uj 2x6 WALL FRAMING Z in uj 3/4" PLYWD. 5U5FLOOR 0 U JI OR T 2x l0®16 FLOOR JOISTS. SEE V FLOOR PLAN5 0 51V:2 x1Y:2" ANTHONY POWER BEAM 5ET U Q ON 2x6 TREATED WOOD PLATE — O 40 4"x5"x3/4"x12" LONG HDG. ANGLE USE 51MP5ON ABU662 GALV. W w/(2)3/4" OFFSET HDG. BOLTS ANCHOR FOR CONNECTION OF m CG 1 RDER TO PEDE5TAL cl) Z (2)3/411 ADHE51 VE ANCHOR5 AT EACH ° •.+; Ilk ♦+ ',e ',` .. i Y Q ♦' 01LL ► .•• ;.: . : .. (5 PER PIER) #5 EPDXY COATED :' :.:' :. e . ;'.: : ' (8 PER PIER) #5 EPDXY COATED D., .a•: .►. : : . ..• REBAR ► . . .;• : a' REBAR I •� .D i,, ,D... N .:•.,, ,' j.\ / X/ x \\ \ / / \ / •a P. t• ,D', b♦ •. \ \ / \\ \ // \,\ \ �\ \� \\ p• :� sD' •. i•• .D 06 Z. oo #4®6 VERTICALLY, EPDXY COATED \ •: : .. .. ;" , : /\ \ #4©6" VERTICALLY, EPDXY COATED J g• Y REBAR 5TIRRUP5 \ . .., \ \ \ \\ ,� •.. ; •. \\ /\•\ \, /\ \ \ \ \ ' ..': • ► D ,.•' .. .., \ \\ ,/ ,\ \ \ REBAR 5TIRRUP5 •' ..',, w } I. LL 1,r/�14• ',.. ••b• i / / / / •i't �• 1, �4 ..i ••• ' / i /. / / i' / / /' • • _ LLI :r 04 • •'� .•• •� • .; R: \ \ \ \\ \ \ / / \ / �.: ,, p•. .o ,, •► / \ \ / \ \ ,, \ I— II I— II II \ �' p••• .'D' G w• N = r \ \ \ \ �\ ►'' . \ \ \ 3 O x3 O x12 POURED CONCRETE , \. .. b .•.►:.' '��.' +! .•.,.• \ \ / / / ..,. •,', •.,'..>•' i• p:'• •.r /\\\ i \.\ / i\\ FOOTING w/(4)#5 EPDXY COATED Q F—• D • .A.'•• D: ' y'. .:�. / / / / /\// . b.'.. ♦' 'D: //\ \ / REBAR, EACH WAY / p:' ..; "•► ' •: D N r' D. r' .. R ► W; ' .: ..: . 't'. * r • :� ' b 3 -6 x3 —6 x18 POURED CONCRETE " , b : \ / . / oil oil •. :. •. . . ov ►. ...' FOOTING w/(4)#5 EPDXY COATED \ ' r► ► D , \ � ` . ♦ . .♦ . •'D . • . R D , ' o �^E�dV Ypp . . ': 4 • 'r: .. ► , • y.. i R' .• ► :D` , a D• •: •,• , EACH A '•. D. .• / � REBAR �. .. �� •� � �• ' j Di• ► D .► ♦. •., i / / i .. r•,'•r'! : R , D •,, pi .. ♦'• i ': / / ' / ► .• ► ►, ! •D •..p .a � _��( � ti�.n tr •p. ♦ . .. ►..•. ,'♦. ..• , ► i i . D••. ♦.D \ ••' ►R. is PROJECT NO: —oil1905 / ol 40 DRAWN BY: TS CHECKED BY: DATE: 7/8/21 SCALE: 1 1/2" = 111 . 0" E I ER TYr . DET AIL I D E TFA I L D E C K "P" I E SHEET TITLE: SCALE: 1-1/2" = 1' -0" SCALE: 14/2" = 1- -0" SCALE: 1-1/2" = 1' -0" FOUNDATION DETAILS SHEET NO: DID & PERMIT SET