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Home My WebLink About51474-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 51474 Date: 12/13/2024 Permission is hereby granted to: Sary 20 Properties LLC 7937 Myrtle Ave Glendale, NY 11385 To: legalize an"as built"demolition (as per Town Code definition) and reconstruction of a single-family dwelling as applied for per SCHD&ZBA approvals. Premises Located at: 15775 CR 48, Cutchogue, NY 11935 SCTM# 101.4-12 Pursuant to application dated 10/16/2024 and approved by the Building Inspector, To expire on 12/13/2026. Contractors: Required Inspections: Fees• As Built Addition/Alteration $1,789.00 CO-RESIDENTIAL $100.00 Total $1,889.00 ____ Building Inspector yaamx v " TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 %'Vi Telephone(631) 765-1802 Fax (631) 765-9502 https://www.sg-_utboldtowim Date Received APPLICATION FOR BUILDING ER IT.__ .., I 0 " For Office Use Only PERMIT NO. Building Inspector. Applications r�s and fnrrrls°rnps�be'fNlNed out in tN�eir eratire � ,lnua:op late a lications will not be acce ted,;,Where the Applicant is not the owner,an, Ownees Authorization form(Paige 2)shall be completed. Date; OWNER(S)OF PROPERTY: Name: . i° -V SCTM#1000- Project Address: i�-77.5. C.000l"Y 1z-0v-,-D qf;, CA,, . vs ( 7. Phone#: -, ,. Email: Mailing Address: CONTACT PERSON: Name: Mailing Address: H7 yn 1 N =1 ,j y 577 Phone#': I 0z 2 Email: P a l Y�►Hvo, c®.iq DESIGN PROFESSIONAL INFORMATION: Name: 1 Mailing Address: Zl 0 iaI5 are . I If IV Phone#: 631, 717. 05q-1 Email: t Msr-l.GoM CONTRACTOR INFORMATION: Name: � d Mailing Address: 6 , I S Nlo� 1171 Phone# ooR� Entail: DESCRIPTIONS OF PROPOSED CONSTRUCTION El New Structure ❑Addition C61teration GAepair ❑Demolition Estimated Cost of Project: ❑Other $ T6,5vo,ov Will the lot be re-graded? ❑Yes N'o Will excess fill be removed from premises? ❑Yes Q'I�IO 1 PROPERTY INFORMATION Existing use of property: 15;:51 c Nn. Intended use of ro ert : P P Y �cs�VcI�ITI/al.... Zone or use district in which premises is situated: AL Are there any covenants and restrictions with respect to this property? OYes IN o IF YES, PROVIDE A COPY. Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,Ordinances or Regulations,for the construction of buildings, additions;alterations or for removal or demolition as herein described.The applicaht agrees to comply with all applicable laws,ordinances,,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.4S of the New York State Penal Law. Application Submitted By rint ame)," j i5er--A,. 7-,!,14d l3`Authorized Agent, []Owner ,Signature of Applicant: Date: STATE OF NEW YORK) � SS: COUNTY OF S A being duly/sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)& i named, (S)he is the (Cont ., or,Agent, )rporate Officer,etc.) of said owner or owners, and is duly authorized t perfor or have performed the said work and to make and file this application;that all statements contained in this ap lic ion are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set fo in the application file therewith. Sworn before me this day of 201 / Notary Public NZATION ( ere the applicant is not the O ner) I� .V1 to o(�j I h,� residing at i o hereby authorize e. p.2 to apply on my behalf to the wn of Sout 4d_Building Department for approval as described herein. Owner's Signature Date ARIEL RABAN'IPOUR Vl �asa�l rnr� I+NOTARy PUBLIC-STATE OF N++IIw I YOR No.02RA0430082 Print Owner's Name Clusliflsd In Nassau County My Commission EXPI(Bs 43-07.2026 2 Building Dg artment A lieation AUTHORIZATION (Where the Applicant is not the Owner) l r006 � t�i� s I, reside%at I (Print propel owner's name) (Mailing Address) do her authorize aL�F A. %'WJ (Agent) to apply on my behalf to the Southold Building DepW nen+� (Owner's Signature) (Date) C T® (Printaer',s Name) ARNEL R`ABAN IPOuR NOTARY PUBLIC-STATE NAP NEW"YORK No..02RAe430082 Qualified In Nassau County MYC'orramission Expires 03.07,2026 Generated by ,EScheck-Web Software Compliance Certificate Project Sery 20 Properties Energy Code: 2018 IECC Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 180 deg. from North Conditioned Floor Area: 1,940 ft2 Glazing Area 13% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 15755 CR48 Paul Toobian Jeff A.Zahn Cutchogue, NY 11935 Sery 20 Properties Jeff A.Zahn,Architects, P.C, P.O Box 47 215 Roanoke Avenue Roslyn, NY 11577 Riverhead, NY 11901 1,516,244.0262 631.727.0544 ptoobian@yahoo.com jazcad@msn.com Compliance: 5.0%Better Than Code Maximum UA: 202 Your UA: 192 Maximum SHGC: 0.40 Your SHGC: 0.31 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. Slab-on-grade tradeoffs are no longer considered in the UA or performance compliance path in REScheck. Each slab-on-grade assembly in the specified climate zone must meet the minimum energy code insulation R-value and depth requirements. Envelope &sembfies Prop.Gross Area Cavity Cont. Req. Prop. Perimeter Ceiling: Flat Ceiling or Scissor Truss 388 30.0 0.0 0.035 0.026 14 10 Ceiling 1: Cathedral Ceiling 188 30.0 0.0 0.034 0.026 6 5 Wall: Wood Frame, 16"D.C. 1,563 15.0 3.0 0.061 0.060 81 80 Orientation: Unspecified Door: Solid Door(under 50%glazing) 37 0.300 0.320 11 12 Orientation: Unspecified Window:Vinyl Frame SHGC: 0.31 200 0.290 0.320 58 64 Orientation: Unspecified Floor:All-Wood joist/Truss 663 30.0 0.0 0.033 0.047 22 31 Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 1 of10 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 lis ed in the REScheck Inspection Checklist. --'T Z644 &0.,#+-7-c—C-7, J -7 Name-Title Signa ure ,f Date Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 2 of REScheck Software Version : REScheck-Web C�(J Inspection Checklist Energy Code: 2018 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified Pre-Inspection/Plan Review Value Value d a Complies? Comments/Assumptions &Re .ID 103.1, :,Construction drawings and ❑Complies 103.2 documentation demonstrate y❑Does Not [PRl]1 energy code compliance for the ; building envelope.Thermal ❑Not Observable envelope represented on ;❑Not Applicable construction documents. 103.1, „Construction drawings and r =❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 ;lighting and mechanical systems. ' ❑Not Observable Systems serving multiple i ?❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: tlComplies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable onoI Manual J or other methods Btu/hr j Btu/hr approved by the code official. °❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 3 of10 Section # Foundation Inspection Complies? Comments/Assumptions &Re .ID 303.2.1 A protective covering is installed to ❑Compl'ies [FO11]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below grade. ,❑Not Observable, j El Not Applicable 403.9 ;Snow-and ice-melting system controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable; j❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 4 of10 M i Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Re .ID 402.1.1, Door U-factor. U- U- ;❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FRll1 .❑Not Observable :DNot Applicable 402.1.1, Glazing U-factor(area-weighted U- U- 4❑Complies See the Envelope Assemblies 402.3.1, average)„ ❑Does Not table for values. 402.3.3, 402.5 ;❑Not Observable [FR2]1 ❑Not Applicable 303.1.3 U-factors of fenestration products' ❑Complies [FR4]1 are determined in accordance ❑Does Not with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 "Air barrier and thermal barrier `E]Com lies [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable UNot Applicable , 402.4.3 Fenestration that is not site built ]Complies [FR20]1 !is listed and labeled as meeting ❑Does Not , AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC "❑Not Observable 400 that do not exceed code T]Not Applicable limits. ; 402.4.5 IC-rated recessed lighting fixtures . ,❑Complies [FR16]2 sealed at housing/interior finish ;❑Does Not and labeled to indicate :52.0 cfm leakage at 75 Pa. 1E]Not Observable n ,C]Not Applicable 403.3.1 Supply and return ducts in attics ❑Complies [FR12]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >_ R-6 where < 3 inches. Supply and' ❑Not Observable return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 ifor< 3 inches in diameter. 403.3.2 Ducts, air handlers and filter ❑Complies [FR13]1 boxes are sealed with ❑Does Not :joints/seams compliant with International Mechanical Code or ❑Not Observable International Residential Code, as: ❑Not Applicable applicable. y 403.3.5 ;Building cavities are not used as r ❑Complies [FR15]3hducts or plenums, ❑Does Not mm ❑Not Observable ' ` ENot Applicable 403.4 HVAC piping conveying fluids ' R- R- ;❑Complies [FR17]2 above 105 4F or chilled fluids ❑Does Not !below 55 °F are insulated to >_R- j 3 �❑Not Observable j ❑Not Applicable 403.4.1 Protection of insulation on HVAC ,,;❑Complies R2411 piping. ,❑Does Not i /�rv��/ ,, r❑Not Observable ` „x �� ; r l❑Not Applicable r 403.5.3 Hot water pipes are insulated to R- R R- a❑Complies [FR18]2 F>_R-3. E❑Does Not ' ;❑Not Observable ❑Not Applicable 11 High Impact(Tier 1.) 2 Medium Impact(Tier 2) 3 1 Low I act(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 5 of10 Section Flans Verified Field Verified Framing/Rough-In Inspection Value Value Complies? Com►nents/Assumptlons Req.ID 403.6 :Automatic or gravity dampers are: E❑Complies [FRI9]2 =installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable j ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Im act(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 6 of10 Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions &Re .ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values Z]Does Not j provided. ❑Not Observable ❑Not Applicable 402.1.1, 'Floor insulation R-value. R- R- °❑Complies See the Envelope Assemblies 402.2.6 E❑ Wood ; ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable 110 ;❑Not Applicable 303.2, Floor insulation installed per "❑Complies 402.2.8 manufacturer's instructions and ,f❑Does Not [IN2]1 in substantial contact with the underside of the subfloor, or floor; ;❑Not Observable framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing,or continuous insulation is installed on the underside of floor framing and extends from the bottom to the top of all perimeter floor framing members. 402.1.11 Wall insulation R-value. If this is a, R- R ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1/2 of the ❑ Wood ;❑ Wood ❑Does Not ;table for values. 402.2.E wall insulation on the wall ❑ Mass ❑ Mass [--]Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per ,❑Complies [IN4]1 manufacturer's instructions. q❑Does Not ' -],Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 7 of10 ep section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re .ID 402.1.1, Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ❑Not Observable 402.2.E[FI1] ❑Not Applicable 303.1.1.1,;Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. ❑Does Not [F12]1 Blown insulation marked every 300 ft2. ❑Not Observable ❑Not Applicable 402.2.3 ;Vented attics with air permeable I❑C'amplies [F[22]2 :insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [F13]1 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = '❑Complies [F117]1 ach in Climate Zones 1-2, and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable , w❑Not Applicable 403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ,❑Complies [F127]1 =determine air leakage with ft2 ft2 f❑Does Not either: Rough-in test:Total leakage measured with a &❑Not Observable pressure differential of 0.1 inch ❑Not Applicable w.g. across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g, across the entire system including the manufacturer's air handler enclosure. 403.3.4 `Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in _ ❑Not Observable :tests,verification may need to ❑Not Applicable occur during Fram1n2 Inspection, 403.3.2.1 ",Air handler leakage designated ❑Complies [F124]1 Eby manufacturer at<=2%of ❑Does Not design air flow. ❑Not Observable EINot Applicable a ' 403.1.1 Programmable thermostats ,� ❑Complies [F19]2 installed for control of primary % ❑Does Not heating and cooling systems and initially set by manufacturer to []Not Observable code specifications, ❑Not Applicable 403.1.2 Heat pump thermostat installed :i❑Complies [FI10]2 on heat pumps. / /� / //1 ❑Does Not r / Not Observable ❑Not Applicable u /ii�iii��ai ��/ ' o%i1 �ii///iiiii%iii // // �403.5.1 Circulating service hot water % �! ��// /i��///��/, �'/�/"�❑Complies , [FI11]2 systems have automatic or / ,,,,,,,,;iiii/,,;//�� //// %� �/❑Does Not !accessible manual controls. /�;;�/ /�� ❑Not Observable �❑NOt Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Im act( er 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 8 of10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re .ID 403.6.1 All mechanical ventilation system, ❑Complies [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits per Table ❑Not Observable R403.6.1, ;❑Not Applicable 403.2 Hot water boilers supplying heat "' ❑Complies [F126]2 through one-or two-pipe heating - ❑Does Not systems have outdoor setback control to lower boiler water r o❑Not Observable temperature based on outdoor ❑Not Applicable temperature. y 403.5.1.14 Heated water circulation systems : 't❑Complies [FI28]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply; ❑Not Observable 2 pipe. Gravity and thermos- ;❑Not Applicable syphon circulation systems are not present. Controls for !circulating hot water system pumps start the pump with signal for hot water demand within the Y k occupancy. Controls automatically turn off the pump when water is in circulation loop r is at set-point temperature and no demand for hot water exists. 403.5.1.2 Electric heat trace systems ❑Com plies [FI29]2 comply with IEEE 515.1 or UL ,1❑Does Not 515. Controls automatically adjust the energy input to the r❑Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the r u 'piping. 403.5.2 Demand recirculation water UComplies [F130]2 systems have controls that ❑Does Not manage operation of the pump and limit the temperature of the 3❑Not Observable j water entering the cold water UNot Applicable piping to <= 10011'„ x 403.5.4 Drain water heat recovery units ❑Complies [F131]2 , tested in accordance with CSA DDoes Not B55.1. Potable water-side ;. pressure loss of drain water heat. ❑Not Observable recovery units < 3 psi for ❑Not Applicable individual units connected to one or two showers. Potable water- side pressure loss of drain water heat recovery units < 2 psi for individual units connected to three or more showers. . n 404.1 ;90%or more of permanent ❑Complies [FI6]1 Mixtures have high efficacy lamps. ;, H ` �❑Does Not ❑Not Observable r ❑Not Applicable 404.1.1 Fuel as li htin s stems have ( 9 9 9 Y �/� ';�"❑Complies /� ' [FI23]3 v no continuous pilot light. ❑Does Not �u /� //��r � � �� /� �� ' ✓y❑NOt Observable ❑Not Applicable licable �� / �� j //%'9 �/ /�� 401.3 Compliance certificate posted. / �a%/ ,/% / ❑Complies t p t [ l �a❑Does Not ❑Not Observable ✓��//i///iii///�i/ �r/��1///i�ii%/��//��/�/i/j rig��/ p. a /i/i❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 9 of10 Fa Section plans Verified Field VerifiedFinal-inspection Provisions Value Value CComplies? Comments/Assumptions 5e Ro .11) 303.3 Manufacturer manuals for ,"ElComplies (F11813 mechanical and water heating ;❑Does Not �systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Sery 20 Properties Report date: 06/15/23 Data filename: Page 10 of10 NJEfficiency Certificate Above-Grade Wall 18.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 30.00 Ductwork(unconditioned spaces): Window 0.29 0.31 Door 0.30 oil M Heating System: Cooling System: Water Heater: Milli Name: Date: Comments DATE(MMIDWYYY) RV CERTIFICATE OF LIABILITY INSURANCE 06/29/2023 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 endors ntO. PRODUCER co"TACT Automatic Data Processing Insurance Agency,Iliac Automatic Data Processing Insurance Agency,Inc. Imt 1-800-524-7024 Net ADDRESS: 1 Adp Boulevard INSURER AFFORDING COVERAGE NAIC a Roseland NJ 07068 INSURER A: NorGUARD Insurance Company 31470 NSURED Hercules Brothers Construction Corp INSURER 8, WSURER C: 6 Standish Rd INSURER D: INSURER E: Brentwood NY 11717 INSURER F: :OVERAGES CERTIFICATE NUMBER: 3090442 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. TYPE OF INSURANCE POLICY NUMBER POLICY fiff POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S iu CLAIMS-MADE DOCCUR PREM P•� S MED EXP ft one person) S PERSONAL 6 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY JECT LOC PRODUCTS•COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY S ANY AUTO BODILY INJURY(Per Person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED S AUTOS ONLY AUTOS ONLY Per accirwe S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE 8 DEC RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y A N TA TE ER ANY PR'OPRISTORMARTNERIEXECUTIVE E.L.EACH ACCIDENT S 1.000.000 4 OFFICE ER EXCLUDED? N/A N HEWC471545 01/10=23 01/10/2024 (Mandatory In NH) E.L,DISEASE-EA EMPLOYE S 1-000,000 It describe under nder RIPTION OF OPERAT04S below E.L DISEASE.POLICY LIMIT S 1-000-000 ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be atteehed It more space is r"Wred) 'ERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED'BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' Town Hall Annex Main Road ACCORDANCE WITH THE POLICY PROVISIONS. P.O.Box 1179 Southold,NY 11971 AUTHORIZED REPRESENTATIVE 0196111 r015 ACORD CORPORATION, Ali tights reserved. CORD 25(2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °A,> `29/2023 O6/29/2023 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(les)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 ri td to the certificate holder In lieu of such endors t( ). 3RODUCER &:94F, A do Data Processing Insurance Agency,Inc. Automatic Data Processing Insurance Agency,Inc. 1-800-524-7024 N 1 Adp Boulevard INSURER AFFORDING COVERAGE NAIC/ Roseland NJ 07068 INSURER A: NorGUARD Insurance Company 31470 NSURED Hercules Brothers Construction Corp INSURER B: INSURER C; 6 Standish Rd INSURER D: INSURER E Brentwood NY 11717 INSURER F :OVERAGES CERTIFICATE NUMBER: 3090421 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTSO 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. TYPE OF INSURANCE INSD WVO POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S �CLAIMS•MADE OCCUR PREMISESoccu 5 MED EXP(Any one arson) S PERSONAL R ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY JECT LOC PRODUCTS.COMP/OP AGG $ OTHER, S AUTOMOBILE LIABILITY COMBINED SINGLE LIM17 3 ANY AUTO BODILY INJURY(Per pamon) S �- OWNED SCHEDULED BODILY INJURY(Per nt) S � AUTOS ONLY AUTOS _.. HIRED NON-OWNED 3 AUTOS ONLY AUTOS ONLY r S UMBRELLA LIAB EACH OCCURRENCE - $ EXCESS LIAB CLAIMS,MADE AGGREGATE S DED RETENTIONS S WORKERS,COMPENSATION PER AND EMPLOYERS'LIABILITY Y!N _STATUTEER ANY PROPRIETORIPARTNEMEXECUTIVE E.L.EACH ACCIDENT $ 1.000,000 4 OFFICERIMEMBEREXCLUDED? Y NIA N HEWC471545 01/10/2023 01/10/2024 -- -- (Mandalory In NH) UJI E.L.DISEASE-EA EMPLOYEE S 1,000.000 IIyaa deacrltyaunder 1,000,000 II S RIPTIS OF OPERATIONS Wow E.L.DISEASE•POLICY LIMIT S ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It mom space Is re"red) ERTIFICATE MOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Hall Annex Main Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.BOX 1179 ACCORDANCE WITH THE POLICY PROVISIONS. Southold,NY 11971 AUTHORIZED REPRESENTATIVE 01968.2015 ACORD CORPORATION. All rights mairved. CORD 26(2016103) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °ATE /20°"3"' 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 poiicy(tes)must the 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 endorscmerkt(s). QODUCER DEBBIE L. ARON L. GROBER AGENCY, INC. PHONE (516)872-9500 1316)472-2021 Ne NE SUNRISE PLAZA "W 4DLEWIS@GIAINS.COM ALLEY STREAM, NY 11580 INSURERS AFFORDING COVERAGE NAIL M INSURERA:MAXUM INDEMNITY CO. 26743 SURED INSURER B: ERCULES BROTHERS CONSTRUCTION CORP. INSURERC: STANDISH ROAD INSURERD. RENTWOOD, NY 11717 INSURERE: INSURER F: OVERAGES CERTIFICATE. NUMBER:UMASTER REVISION NUMBER: HIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO VVHICH THIS CERTIFICATE MAYBE 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. IR ADM POLICY it TYPE OF INSURANCE POSY NCR LIMITS X COMMERCIAL GENERAL LIABILITY DD001e3403-02 09/30/2022 09/03/2023 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE 10 OCCUR PRIM-1511a lea gmatmo� S 100,000 MEDEXP(Any one rsan S 5,000 PERSONAL A ADV INJURY S 1,000,000 GEN'LAGOREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECT LOC PRODUCTS-COMPIOPAGG S 2,000,000 OlHam S AUTOMOBILE LIABILITY S ANYAUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per attWeM) i---- � AUTOS AUTOS NON-0NMED PROPERTY DAMAGE5 HIREDAUTOS AUTOS S UMBRELLALUIB OCCUR EACH OCCURRENCE S EXCESS LU1B CLAIMS-MADE AGGREGATE S DED I I RETENTION$ S WORKERS COMPENSATION107". AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE �NIA E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory 1n NH) E.L.DISEASE-EA EMPLOYEE S It yes,describe under DESCRIPTION RATI E.L.DISEASE-POLICY LIMIT S SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101,Additional Remarks Schedule,may be altached H more space Is requkred) :RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE VALLBE DELIVERED IN Town Hall Annex Main Road ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE Aaron Grober/DEBBI.E. !D 18.2014 ACORD CORPORATION. 'RATI . All rights reserved.. :ORD 26(2014/01) The ACORD name and logo Are registered marks of ACORD S025(201401) DATE(MNYDWYYYY) CERTIFICATE OF LIABILITY INSURANCE DATEPU 023 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 CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. MPORTANT: If the certificate hoh r is an ADDITIONAL INSURED,the policy(es)must be endorsed. 11 SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s IODUCER DEBBIE L. .IRON L. GROBER AGENCY, INC. PHONE (516)872-9500 Na: tngsn-2o2i .M SUNRISE PLAZA MDLEWISQGIMNS.COM aT.T.RY STREAM, NY 11580 BNSURE S AFFORDING COVERAGE NAIC tI INSURERA.bPXW INDEtdNITY CO. 26743 SURED INSURER S ERCULES BROTHERS CONSTRUCTION CORP. INSURERC: STAND ISH ROAD MRER0' .MNTWOOD,-NY .11717 INSURER E�: WSURER F: OVERAGES CERTIFICATE NUMBER:UMASTER REVISION NUMBER THIS IS TO C RTIFY?HAP t HE POLICIES OF tNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. R TYPE OF INSURANCE I vivo POLICY NUMBER ITS X COMMERCIAL GENERALLIAIRLITY =00263403-02 09/30/2022 09/03/2023 EACH OCCURRENCE S 2,000,000 CLAIMS-MADE ED OCCUR E SE F S 200,000 MED EXP A -0 Haan S 3,000 PERSONAL 6 AOV INJURY S 1,000,000 GEWLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POSY 0 JPE"C"T' 0LOC PRODUCTS-COMPIOPAGO S 2,000,000 OTHER: S AUTOMOBILE LIABILITY S ANYAUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED --..� - AUTOS AUTOS BODILY INJURY(Per accident) S NON-OWNED PRaWYOAMAGES MREDAUTOS AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE S JFXCESS LU1B CLAIMS MADE AGGREGATE $ 0 RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN TA TUT III ANY PROPRIETOWA4RTNERIEXECUTIVE NIA E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatary 10 NH) E.L.DISEASE-EA EMPLOYEE $ K e,desulDe under APT N OF OPERATIONS bMft E.L.DISEASE-POLICY LIMIT S SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.AddXkmal Remarks Schedule,may be attached N mere space Is required) !RTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Hall Annex Main Road ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE aron Grober/DEBBIE GRIMMACORD CRPMORATIOIN. All fights TesoMd. :ORD 25(2014101) The ACORD name and logo are registered marks of ACORD 3025(201401) so BOARD MEMBERS �� Southold Town Hall 53095 Main Road • P.O. Box 1179 Leslie Kanes Weisman, Chairperson * Southold,NY 11971-0959 Patricia Acampora Office,Location: Eric Dantes Town Annex/First Floor, Robert Lehnert, Jr. 54375 Main Road(at Youngs Avenue) Ni cholas Planamento ' C®UNT1 Southold,NY 11971 RECEIVED http://southoldtownny.gov h° ZONING BOARD OF APPEALS r� c TOWN OF SOUTHOLD APR 1 9 2J,_4 �:q ' 20',',A Tel. (631) 765-1809 qMU#h®Id Town Cler k I INJ)jNGS, DELIBERATIONS AND DETERMINATION MEETING OF APRIL 18, 2024 ZBA FILE: 7887 NAME OF APPLICANT: Paul Toobian PROPERTY LOCATION: 15775 County Road 48,Cutchogue,NY SCTM#1000-1O1-1-12 S'L QM.-DETERMINATION:RMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SLIEI OLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 25,and the Suffolk County Department of Planning issued its reply dated January 25,2024, stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. L)YR.P DET CWINATIQN: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPEWrY FACTS/DESCKL TIONw The subject property is a nonconforming 22,382 square feet parcel located in the Agricultural Conservation (A-C) Zoning District. The northerly property line measures 65.00 feet, the easterly property lines measures 341.53 feet, the southerly property line measures 65.00 feet and is adjacent to County Road 48(aka Middle Road)„and the westerly property line measures 352.73 feet. The parcel is improved with a two-story frame dwelling that is currently in poor condition with an attached rear porch/shed as shown on the survey map prepared by David H. Fox, LS, and dated June 19, 2023. BASIS OF APPLICATION: Request for Variance from Article XXIII, Sections 280-124 and the Building Inspector's December 28, 2023 Notice of Disapproval based on an application for a permit to legalize "as built" demolition (as per Town Definition) of a dwelling and reconstruct a single-'family dwelling; 1) located less than the code required minimum front yard setback of 40 feet; located at: 15775 County Road 48, C.utchogue, NY. SCTM41000-101-1-12. RELIEF REQUESTED: The applicant requests a variance to legalize "as built" demolition (as per Town Code definition) and reconstruct a single-family dwelling. The "as built" construction, on this nonconforming 22,382 square foot lot located in the Agricultural Conservation Zoning District, is not permitted pursuant to Article XX.III, Section 280-124, which states lots measuring 20,000-39,999 square feet in total size require a Front yard setback of 40 feet. The construction will have a front yard setback of 17.4 feet which will include a 3 feet by 4 'Feet covered front entry having a 3 feet overhang. ADDITIONAL INFORMATIONS During the Public Hearing the applicant stated that he has applied for a new Innovative Advanced (IA) Septic System from the Suffolk County Health Department. It was also noted that on Page 2, April 18,2024 #7887,Toobian SCTM No. 1000-101-1-12 May 4, 2023, a Stop Work Order was issued to the applicant by the Southold Building Department for construction without first obtaining a building permit. The applicant now has an architect and has obtained the needed permit. It was also noted that the architectural plans include a covered front entry which will add 4 ft. by 3 ft. to the existing footprint. The original denial by the Building Department set the front yard,setback at 20.04 feet. The covered entry will make the front yard setback 17A feet as shown on the Architectural drawing prepared by Jeff A. Zahn, Architect and dated December 20, 2023, The dwelling was built 80 years ago and there are no Certificates of Occupancy on file with the Town, During the public hearing, a representative of the neighboring property currently owned by the Peconic Land Trust requested that the owner of the subject property create a 50-foot buffer at the rear north side of the property. The applicant has agreed to create a 50-foot buffer at the rear of the property. FIND The Zoning Board of Appeals held a public hearing on this application on April 4, 2024 at which time written and oral evidence were presented, Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following findings: I Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The dwelling is existing,and the footprint will not be altered, The applicant wishes, to rehabilitate the dwelling to better fit into the character of the neighborhood. Presently the dwelling is in disrepair and in need of repair and updates. 2. The benefit sought by the applicant cannot be achieved by, some method, feasible for the applicant to pursue, other than an area variance. The dwelling is existing and there is no possibility of moving the structure to a conforming front yard setback. The other residences nearby have non-conforming front yard setbacks. . The dwelling is not out of character of the neighborhood. 3. Town Law j' 7_b `ls 3 . The variance granted herein is mathematically substantial, representing 49% relief from the code. However, neighboring properties have similar nonconforming setbacks.The home was built 80 years ago and as many of the older dwellings in the Town the setbacks do not meet the new codes. 4. Town Law 267-1a(3)(b)(4), No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5, The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations oil the use of the parcel tinder the Zoning Code in effect prior to or at the time of purchase. 6. Town Law,§267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a reconstructed single-family dwelling while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RE5Q factors and applying the balanc i fig test under New U( TION QEJEE_BOARD: In considering all of the above York Town Law 267-B, motion was offered by Member Weisman(Chairperson)seconded by Member Lehnert,and duly carried, to GRANT the variance as applied for, and shown the Architectural Drawings(T-1,A-I thru A-5) prepared by Jeff A. Zahn, Architect, and last revised December 20, 2023. Page 3, April 18,2024 97887, Toobian SCTM No. 1000-101-1-12 SUBJECT TO THE FOLLOWING CONDITIONS: 1. The septic system on the subject property must be approved by the Suffolk County Department of Health Services. 2. The applicant shall perpetually maintain a fifty feet wide non-disturbance buffer of natural tree growth along the rear property line. This approval shall not be deemed effective until the required conditions have been met.At the discretion of the Board of .Appeals,failure to comply with the above conditions may render this decision null and void That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. IMPORTANT LIMITS ON TIIE APPROVALS GRANTED IIEREIN Please Read, Carefully Any deviation from the survey,site plan andldr architectural drawings cited'in this decision,or work exceeding the scope of the relief granted herein, will result in delays and/or a possible denial by the.Building,Department of a building p,erntit andl°or the issuance of a.'Stop Work Order, and may require a new application andpublic hearing before the,Zoning Board of Appeals. Any deviation from the variance(s)granted herein as shown on the architectural drawings,site plant and/or survey cited above, such as alterations, extensions, demolitions, or demolitions exceeding the scope of the relief granted herein, are not authorized under this application when involving'nonconforrnnities under the zoning code, This action does not authorize or condone any current or future use, setback or other feature of.the subject property that may violate the Zoning Code, other than such uses,setbacks and other features as are expressly addressed nrn this action. TIME LIMITS ON THIS APPROVAL: Pursuant to Chapter 280-146('B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a.Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(J) years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1) year ternns. I I"IS THE PROPERTY ER'S RESPOIN.,IBILITY TO ENSURE DLSC QED HERE Failure to comply COMPLIANCE a t melt'manner TINIE FRAME he denial b Department of a Certificate of Occupancy, nullify the approved e TIIE CODE REQUIRED may result in t y the �unld"nng p variance relief,and require a new variance application with public hearing before the Board of Appeals Vote of the Board: Ayes: Members Weisman(Chairperson), Dantes, Planamento, and Lehnert. (4-0) eslie Kanes Zeits-m— n, Chairperson Approved for filing // `� /2024 r PROVIDE 6" STABILIZED SAND BED UNDER I/A OHT5 .m k p UNIT; MAX TOLERANCE OF IN ANY DIRECTION. W NIGE 4. HEAVY CONSTRUCTION FOUIPMENT SHALL NOT BE ALLOWED NEAR AREA OF I/A OHT5. W O 5. I/A OHT5 SHALL BE TESTED FOR WATER TIGHTNESS (� 0 UTILITY POLEAFTER INSTALLATION PER SGHD5 AND THE DE51 ON }- Z ENO I NEER (PROVIDE 48 HOURS NOTICE). THE DES I ON W (� Q o. ENOINEER SHALL INSPECT THE I/A OHT5 PRIOR TO < m - BAGKF I LL AND DUR I NO SYSTEM START-UF. O J 6. I/A OHT5 SHALL BE INSTALLED WITH A 2"(P VENT 4 PIPE TO THE EXTERIOR OF THE RESIDENCE AND W Q W z o Ua t^F1.L LOGATION TERMINATE 18" ABOVE 6RADE HITH A CARBON Q � o a FILTER. ALL VENTS AT THE EXTERIOR OF THE < L_1 o RESIDENCE SHALL BE PITCHED TOHARD THE I/A _ OWTS AND MAINTAIN 5' SEPARATION FROM H I NDOHS o AND DOORS. bPQ a) 1. PROVIDE A SECONDARY SAFETY LID DEVICE FOR IJNTY DEPARTMENTS ANY COVER WEIGHING LESS THAN 60 LBS (INCLUDES O TREATMENT UNIT D 15TR I BUT I ON BOX). Q 4E CONTRACTOR'S Q ~ z 5 DURINO HOURS WHEN 110 OL 0 a C� 5NS, BARRICADES, 00 a � )NFORMANGE HITH a iOL I T I ON AND-11 a a Water ' 5.G.H.D APPROVAL STAMP pQQ)01E@ T#o 232a FEDERAL LAHS, lines roust be inspected b the,, t. is s. RIALS. THE ENGINEER Suffolk Call 6 i��2��?54 48 hoursi ., ..,�32) g n QAg IOdMo PROJECTS-2023 PROCTOR DENSITY advances t® schedule inspection($). SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A GIFIGATIONS. ::IMENT. COMPACTION Abandonment of the existing sanitary system must be in SINGLE FAMILY RESIDENCE ONLY conformance with the Department's requirements. =RVICE CONNEGTION5, Submit completed form WWM-080 as proof _W _ _......_ .. DATE 10/11 i, R-24-0312 ...... ...m Q C� QED TO REMAIN IN �PPRC?`.�E� Design Professional's Certification Re sired. FOR IMU Submit F.E. car R.A. Certification for she M OF 4_ �EDPOOMS installation and Construction of the Sewage Disposal Systerri EXPIRES THREE YEARS FROM Y Em OF APPROVAL Use Ferro WWM-073 ry Folk SCALE: 1 �� _ 4, 6ENERAL NOTES I. THIS PLAN RE SURVEY PREF NEW 5E'TIG SY5TEM Orb-Icf-2025 I/A AIR BLOWER 2. EX 1ST I NO SEF I/A CONTROL PANEL REMOVED UNI PORTION OF EX15TINO 55. NO SURFACE DWELLING TO BE REBUILT LOGATED WI7 12&.30 S.F. TE5T HOLE PLOT. DRAIN 4. ADJAGENT Pf F , O AREA "B' 5. NO EX 15T I NC 0 XIS"IICdG BEDROOM Op RESIDENCE I/A OWTS NOTES (CRML5PA(;W NEH I" DOME5TIG HATEI /�PR 16'42 STEPS5VG 1. OARBA6 E 6F NOT D I SGHAR " q 2. INSTALL EFFL APPROVED El A uA �._.' j COVER. 3. PROVIDE 6" � .,, , 7 EXISTING SEPTIC SYSTEM UNIT; MAX TOL TO BE REMOVED NEW OH ELEG. 5ERVIGE 4. HEAVY CONS] ALLOWED NE/ 5. I/A OWTS 5HA m I' unurr� AFTER I NSTAL ENC 1 NEER (PR ENC 1 NEER 5H/ BACKF I LL AN] 6. I/A OWTS 5HA PIPE TO THE E WELL LOCATION TERM I NATE 18 FILTER. ALL ti RESIDENCE S� OWTS AND MA AND DOORS. � STANDARDS AND SPEC Y �. PROVIDE A 51 IFIGATION5 OF THE TOWN OF SOUTHOLD, THE SUFFOLK COUNT DEPARTMENTS ANY COVER > I�ATI ONS A5 APPL I GALE. TREATMENT Ur 3IN6 AREA WITH THE OWNER PRIOR TO THE START OF CONSTRUCTION. AS A RESULT OF GONSTRUGTI ON AGTI V I TI ES SHALL BE IMMEDIATELY REPA I RED AT THE GONTRACTOR'5 T-E SEGURITY BY MEANS OF TEMPORARY FENGINC, LOCKS, ETG. TO AVOID TRFcPAc�INr nlJPIN(--7 a-In11PC, I..I�-►�r.I