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HomeMy WebLinkAbout28245-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29877 Date: 11/26/03 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property: 192 WILLOW TERRACE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 7 .1 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2002 pursuant to which Building Permit No. 28245-Z dated APRIL 4, 2002 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 DECK ADDITION, ADDITIONS AND ALTERATIONS TO Ala EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & BARBARA DEFINA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1052263 08/05/02 PLUMBERS CERTIFICATION DATED 11/24/03 PECONIC PLUMBING & HEAT i C,' 21"L, Authorized Signat Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28245 Z Date APRIL 4 , 2002 Permission is hereby granted to: JOHN & BARBARA DEFINA PO BOX 413 ORIENT,NY 11957 for CONSTRUCTION OF ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR FLOOD PMT INCLUDED at premises located at 192 WILLOW TERRACE LA ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 007 . 001 pursuant to application dated APRIL 2 , 2002 and approved by the Building Inspector. Fee $ 415 . 60 FL& tP. t t)mt Tvxlur�Pt� Authorized Signature ORIGINAL Rev. 2/19/98 11 \ 01 OcPrJ��IL3lcnrJ�iJcncnrJ��nrPcncn�li_IclrJ:1i_Ii_I11:1IrJcPcnrJr>JainrJ@ncncJrJ�li_Iin�li_Ii_I1n�li_I�nrJ�rJ�rJ�Ir��lrJrJ�rrrrrnrJ�rJ�rJ�r>�rJL3IL3IL3I3PL o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT Upon the application of upon premises owned by 5 PAUL R. BURNS BARBARA DEFINA 5 5 5 P.O. BOX 1061 WILLOW TERRACE 5 SOUTHOLD, NY 11971-0932, ORIENT, NY 11957 5 5 5 Located at WILLOW TERRACE ORIENT, NY 11957 5 Application Number: 1052263 Certificate Number: 1052263 C� e5 Section: Block: Lot: Building Permit: BDC: NS11 C5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 Second Floor, 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 Lj found to be in compliance therewith on the 5th Day of August,2002. 5 5 5 Name OTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 Sensor 3 0 Smoke 5 5 Appliances and Accessories 5 j5 Exhaust Fan l 0 F.H.P. 5 5 Wiring and Devices 5 Receptacle 14 0 General Purpose 5 5 Switch 11 0 General Purpose 5 Fixture 16 0 Incandescent 5 5 Dimmers 4 0 S5� 5 Receptacle l 0 GFCI 5 5 5 5 5 sea, I of 1 01 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 WPOME031001 1l 1 11I II! P flPl1l1!1IcnrI-1n�l-1nrrr_Ir1 1:11:Jr!1:11Ur1iii rUrUrJ0rJrJEVER! J 1: 1: rJrHr1rJrJ'rJ'rJrJrJ'rJLrL3'r3rr3rL3rJr3i_ncP 50 E'NE'RGY CODE CALCULATIONS (For Non-ElecL-ric Heat) Design Criteria G , 000 Degree'.Days O. A. 10°F L . A. 7U°F FOR: aha PER: Pe k ✓ r' V hj ze� " 22/9 Qrieh DA'Z'ED: ;�,✓ (?/3/D) SUBSYSTEM AREA DESIGN '1HERMEL "U" 11A'TING REMARKS Exterior Walls (Opaque) 7/S D S x 7`7 Glazl:: g Z � r7 . .3 _ 2, s o,. efuq Doors Cell.ing/Roof (Opaque) Go S or O Skylights % Floor Foundation Walls Slab Insulation TOTAL + V Notes : Building Envelope Systems to meet requiremenL•s of 7015 . 2 HVAC Equipement to meet- requirements oC• 7015 . 11 HVAC Systems Lo meeL requirements of 7015 . 12 Duct Systems Lo meet requiren:ei:Ls of 70].5 . 13 Ventilations Systems to meet requirements of 7915 . 14 InsulaL'lon of 111p1ng Systems to meeL' requirements of 7U15 . 15 Service Water HeaL-iny Systems & Equipment Lo meeL- requirements of 7015 . '1.1 Electrical & LighL-ing Systems & Equipment- to meeL requirements of 7(115 . 31 To the best of my knowledge, belief, & Professional PS+`OF NE judyemenL- , these plans are j.11 Cae Tr �9 cumpliance with the code . * Q T 6 IC n W m W 2 V �Fo 032764-1 � 9OFESSIOpP 9 /0/ g1►FFO(,Cc Town Hall,53095 Main Road O ,� Fax(631)765-9502 P.O. Box 1179 'y�0 � Telephone(631)765-1802 Southold,New York 11971-0959 ,( BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: y Building Permit No. 04 t�o2`e Owner: &W 64 z•+ 1 - F,•jA- (please print) Plumber: P?2f,L J/G /.ZU//7hll,4 1 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. �jU (Plum ers Signature) Sworn to before me this ay rd day of &2v 200 Notary Public, Lcounty vlaa L.IUPER Ndwyft StIteiodorAw eYork c E -= / Form No. TOWN OF SOUTHOLD / J BUILDING DEPARTMENT � TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP�ICL..�_.-- - - --- - �----� A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25xn 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $,115.. 01 Commercial $15.00 New Construction. . Date .C/ .?4 ::� . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building. . . . . . . . . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . .1 L A3L 'Te44+C.L_5_1_ . . . . .�-( t J House No. ��pQp� Street Hamlet Onwer or Owners of Property. . .W/l��U':/ . . . . E ./A� . . . . . . . . . . . . . . . . . . . . . .II . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . .�b. . . . .Block. . . . . .1� . . . . . . . .Lot. ?.". l. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .c�( } 7 . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . 1 / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . !. . . . . . . Fee Submitted: $. .L .:� . . . ^ . . . . . . . . ADPL At 002 PROFESSIONAL ENGINEER 1725 HOBART ROAD!PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631.765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com -- Date: April 4, 2002 Reference: DeFina SCTM#026-02-007.1 Southold Building Department Main Road Southold, NY 11971 Dear Sir, With regard to the home on 190 Willow Terrace Lane in Orient, I have reviewed a May 9, 1998 appraisal prepared by Vincent Cannuscio NYS Certified Residential Real Estate Appraiser and a June 6, 1998 proposal by Robert Bohn Contracting to complete the proposed renovations for the residence. The 1998 appraisal concluded that the replacement cost for the improvements was $156,450.00. The proposal from Robert Bohn Contracting Inc. dated June 6, 1998 for the proposed improvements was $74,257.00. While this replacement cost is 4 years old the proposal is also from the same period and will be consistent when used in the calculation of"Substantial Improvement". The calculation of the percentage of proposed work to the existing value of the structure is: $74,257.00/$156,450.00 = 47.5% This is less than the 50% limit definition of"Substantial Improvement" pF NEhry 1SCpF� eui 2 ~�• 0525�� 4� pgCFESStO�� Joseph Fischetti, PE GO Z . G t� ,I T Fax(631)765-1823 P.O. Box 1179 ,j. Telephone(631) 765-1802 Southold,New York 11971-0959 BUILDING D PA��R�__Ttt��tt TOWN OF +ti#�»l� A Matt Ivans Suffolk Environmental Consulting P O Box 2003 Bridgehampton, NY 11932 Re: DeFina Property 26-2-7.1 Dear Matt: With reference to the above property we are in receipt of the survey omitting the deck and updated DEC letter. However we still need the following: //) e,,r�d/.Signed Flood permit (enclosed). � C Engineer's Septic Certifications Ze C ( E �s letter regarding lack of substantial im roVem /. 1�� 9g+ g g P Thank you for your attention to these matters. Sincerely, Patricia Conklin Permit Examiner MORRIS CESSPOOL SER. INC. 2760 YENNECOTT DR♦ SOUTHOID,NEW YORK 11971 Phone 631 765 3300 Phone 631 765 3300 4 Fax 631 477 0614 March 05, 2002 Southold Town Building Dept. Main Rd Southold, New York 11971 Ref. Permit for Barbara DeFina 192 Willow Terrace Orient, NY 11957 Tax Map#026 02 007.1 Dear Sirs: Please be advised that on March 5,2002 I inspected Ms. DeFinas septic system and have found that the proposed addition of one bedroom, library and one bathroom will not affect the septic system adversely. I have found the septic system adequate to handle these additions. Sincerely Yours 1J /14/� Douglas A. Morris I It r l' I J T3 S i; n MAR 11 2M ,�J t r s Board Of Southold Town Trustees SOUTHOLD, NEW YORK b PERMIT NO. DATE: February 23, 20 I BARBARA DEFINA ISSUED TO ....................... . .. ...... s 4 .'' � ,�1ttl�Llxt�MfiAlt Pursuant to the provisions of Chapter 615 of the Laws of A, the State of New York, 1893; and Chapter 404 of the Laws of the s ' State of New York 1952; and the Southold Town Ordinance on- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS „. IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;•.'. and in accordance with the >` Resolution of The Board adopted at a meeting held on .... .20.0.1....., and in consideration of the sum of ;... 200.,..0..0. ... paid by s Suffolk Environmental,for. Barbara.__DeFina,,,„,,,,,„,,,,,,,,_. .. ......... ?. of Bridgehampton .. ... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of $do 614 Town Trustees authorizes and permits the following: . Wetlan er^nt to construct an addition to a one-story single- family residence, including a 241X 26' second story addition and the enclosure of a 12'X 12' breezeway. Two 8' dia. drywells are t be instal�1e i order to c� oofCBrppun}-poff. (R� e ove the exist. c%be eecor alnee wif�let#hef defaU,SPBCttICat1O^SrOSspiiieseen a in the originating application. elevation of the existing house. e IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this data. Albert J. Krupski, Jr. - Absent Z O1 �•�� Artie Foster - Absent �(/ �” Trustees 1 I I-u OL 1 0 T' RU.S TEES T"H.. Nd. Sao E- M . , s , durI eJ Toa►__.� Date it t-tt T' a .loc HIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 ri - -- - . APPLICA )N PACE t --- ( TOWN OF SOUTHOLD FL'OP.,Drl'L N DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six mouths 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 L STA MENTS HEREIN AND W ATTACHMENTS TO - THIS APPLICATION ARE, TO THE T OF Y KNOWLEDGE, TRUE AND ACCURATE. �(APPLICANTS SkAIATURE) DATE / Z3-2roo SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICAN n NAME -. ADDRESS TELEPHONE APPLICANT Matt D. Ivans * PO Box 2003 ( 631 ) Suffolk Env. Consult Inc Br; daehamnton , NY 119"27 R17—S1 Fp BUILDER Jason Leonard P.0 Box 1528 ( 631 ) c/o J.C.L. Sou hold NY 11971 ENGINEER Lawrence Tuthill PO Box 162 ( 631 ) Licensed Prof. Engineer Greenport, NY 11944 477-1652 * Agent for the property owner, Barbara Defina : 192 Willow Terrace; Orient, NY 11957 PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. R.O.W. off King Street; Orient: Town of Southold, NY SCTM # : 1000-026- 2-007 . 1 FDP(93) APPLICA T-li)r. PAGE 2 OF A ----- DESCRIPTION OF WORK (Cheek all app6cnb1e boxes) A STRUCTURAL DEVELOPMENT Y S 11 CTU RE TYPE ❑ ew Structure Residential (1-1 Family) AdIui,n ❑ Residential (More than 4 Family) ❑ Alteration ❑ Non-residenual (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition ❑ Manufactured (Mobile) Home (In Manu- ❑ Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: r11A ❑ Fill ❑ Mining O Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road Street or $ridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Ser System ❑ Other (Please Specify)' After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3: FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is +LIQ=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 O The proposed development is located in a floodway. FBFM Panel No. Datcd ❑ See Section 4 for additional instructions SIGNED DATE APPLICATION n PAGE 3 OF a SECTION 4� ADDITIONAL INFORMATION REQUIRED (To he completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the apphcauon can be processed: ❑ A site plan showing (tic location of all existing structures, water bodies, adjacent roads, Ici dimensions and proposed development. ❑ Development plans, drawn to scale, and Specifications, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the flust floor, details of floodproofmg of utilities located below the first floor and details of enclosures below the first floor. Also, ❑ Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 ages, whichever is the lesser, the applicant must provide 100-year flood elevations if they arc not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fell elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Ft. NGVD (MSL). For ❑o`;4roofed structures, applicant must attach certification from registered engineer or architect. ❑ Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting,this finding must also be submitted. ❑ Other: SECTION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. ❑ Is B. ❑ Is not m conformance with provisions of Local Law , 19 . The permit is issued subject to the conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION a PAGE a OF a APPEALS Appealed to Board of Appeals? ❑ Ycs ❑ No Hcarmg date- .Appeals Board Decision --- Approvedl ❑ Yes ❑ No Couditions SECTION G- A$-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliant, is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal Hieh Hazard A.reas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is Ff. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. Al SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO SECTION 8: CERTIFICATE OF OMPLIAN E(To be completed by LOCAL ADMINISTRATOR) Certificate of Compliance issued: DATE BY: TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. R.O.W. off King Street _ PERMIT DATE Orient, NY SCTM # : 1000-026-02-007 . 1 OWNERS NAME AND ADDRESS: ECK ONE: Barbara DefinaNEW BUILDING (addition) 192 Willow Terrace Lane ❑ EXISTING BUILDING Orient, NY 11957 ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF - LOCAL LAW #_, 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: C/C(93) A1bgrt J. Krupski, President �O,SUFFOI/r Town Hall James King,Vice-President h.2.� Gy 53095 Route 25 Henry Smith o P.O. Box 1179 Artie Foster W Southold, New York 11971-0959 Ken Poliwoda G Telephone(631) 765-1892 y�ol y �a0� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 23, 2001 Mr. Matt D. Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932 RE: BARBARA DEFINA 192 Willow Terrace Lane, Orient SCTM#26-2-7.1 Dear Mr. Ivans: The following action was taken by the Board of Town Trustees during its regular meeting held on Wednesday, February 21, 2001 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of BARBARA DEFINA applied to the Southold Town Trustees for a permit under the provisions of the Welland Ordinance of the Town of Southold, application dated January 18, 2001, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 21, 2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold 2 Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of BARBARA DEFINA to construct an addition to a one-story single-family residence, including a 24'X 26' second story addition and the enclosure of a 12'X 12' breezeway. Two 8' diameter drywells are to be installed in order to catch roof run-off. Remove the existing chimney and build a set of 6'X 10' steps towards the east elevation of the existing house. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, Albert J. Krupski, Jr. President,Board of Trustees AJK/lms cc: DEC Building Dept. - �'• • - t-- .. . .. fes' - - _ ._�-., . � r- .. Board Of Southold Town Trustees , SOUTHOLD, NEW YORK k PERMIT NO. Sa80 . DATE: February 23, 20 I 1' BARBARA DEFINA ISSUEDTO ................... ........................ ............ .... .. .. .................... .. .. A f Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance an- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS „. i IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;". and in accordance with the Resolution of The Board adopted at a meeting held on .... 2001_..... and in consideration of the sum of =....200.,_00.. ... paid by z Suffolk Environmental for Barbara DeFina .............. . t of ....Bridge. .... n N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of So�1thold Town Trustees authorizes and permits the following: t' y + Wetland Permit to construct an addition to a one-story single- family le- family residence, including a 24'X 26' second story addition and ; the enclosure of a 12'X 12' breezeway. Two 8' dia. drywells are t be instal�e i order to c�� oof run-off. Re ove the exist, c�ii in actor uan1ce wif�letthef oetel spec lcatt°Ionira s p seen e in the originating application. elevation of the existing house. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to *' be subscribed by a majority of the said Board as of this date. Albert J. Krupski, Jr. - Absent �g�fFD(,rj-Cp � N Ol � � Artie Foster - Absent Trustees OUT.WLD TRUSTEES R. 1 1 ed To- na Date Iress Vu'ttlaTea. .artar HIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 %Q/ 00c - o? ( ;r, TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER �1 ((-- \\ STREET q Z VILLAGE DIST. SUB. LOT � Vl !JGi'(' a,-ck )e P`k'nc1 u; _! a+�, %r r'r ACE JANF G,E'iCN l Z DFsc , FORMER OWNER N E C FRN�� \/,�1ow 1efy- sub 307 S W TYPE OF BUILDING (� �lc<✓ (PS � Kfu � rhty €��• GeRRIr �/ oK;'cN a'r.ol� RE!� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IM/P. TOTAL DATE REMARKS L r ;3 - L 22� u 9oou /r� 79 6 6 "r 7 H�fe t 'o ��oD 11 22oc� �o i od `t 23 CO6�3p' Tillable FRONTAGE ON WATER L 2O U e° G, Woodland FRONTAGE ON ROAD Meadowland DEPTH R V So House Plot BULKHEAD Total s Suffolk Environmental Consulting, Inc. Newman Village, Ntain Street, P.O. Box 2003, Bridgehampton. New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, NI.S., President December 12, 2001 Lawrence Tuthill, Licensed Professional Enginer, P.O. Box 162 ' 12OOI 1' Greenport, NY 11944 L u Re: Defina property Situate: R.O.W. off of King Street Orient; Town of Southold, NY SCTM #: 1000-026-02-007.1 Dear Mr. Tuthill, As you know, this Firm represents Barbara Defina who is pending final approval from the Town of Southold Building Department in order to construct the single family dwelling indicated on the plans that you had designed and were submitted with the initial building permit application on October 12, 2001. Shortly thereafter, we received notice from the Town of Southold that two (2) additional items would be required in order to grant final approval. For your records, please find enclosed herewith: (1)�" /Survey of the property referenced above, prepared by Joseph A. Ingegno, L.S., last dated February 4, 1998, indicating all existing and proposed structures, including the location of the septic system. By way of this correspondence, and on behalf of Ms. Defina, please provide this office with: 1)', Letter addressed to the Town of Southold Building Department, from a licensed engineer, indicating that the proposed construction r' t� will not be substantial pursuant to FEMA standards; and 2) Letter/septic system certification addressed to the Town of Southold Building Department, from a licensed engineer, S indicating that the existing septic system will be able to manage the proposed improvements. t (d. � O Hammartbl 2 Kindly review the enclosed item and forward directly to this office the above requested items. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Matt D. Ivan enc. cc: B. Defina NEW YORK STATE INSURANCE FUND 8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK 11747-3129 (631) 756-4300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JASON C LEONARD INC POLICY NUMBER PO BOX 1528 I 1296 758-4 SOUTHOLD NY 11971 DATE 9/25/2001 CERTIFICATE NUMBER 130-865 PERIOD COVERED B1 I HIS CE'i T INCA I E 5/05/2001 TO 5/05/2002 POLICYHOLDER CERTIFICATE HOLDER JASON C LEONARD INC THE TOWN OF SOUTHHOLD PO BOX 1528 RT. 25 SOUTHOLD NY 11971 SOUTHHOLD NY 11971 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY NO. 1296 758-4 UNTIL 5/05/2002 , COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK- ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 5/05/2002 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THE STA 71E INSURANCE FUND U-26.3 104;;X. DIRECTOR INSURANCE FUND UNDERWRITING New York State Department of Environmen Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 D Phone: (631) 444-0365 FAX: (631) 444-0360 i -[, � ) '� 7 PERMIT RENEWAL Tr.. „_,i_o Barbara Defina October 12, 2001 PO Box 2040 Orient, NY 11957-2040 Re: Permit # 1-4738-01101/00004 Dear Ms. Defina: Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR Part 621 (Uniform Procedures Regulations). The request has been reviewed and the expiration date is extended to October 5, 2002. This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Very truly yours, Mark C Carrara Permit Administrator cc: Suffolk Environmental Consulting, Inc. BMHP File TERMS and CONDITIONS Ile Permittee Barbara DeFina residing at 192 Willow Terrace Lane, Orient N. y, as Pan of the consideration for the Issue of the Permit does understand and prescribe to the fol- lowing: 1. 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 directly or indirectly as a result of any oper• ation performed pursuant to this permit, and the said Permittee will, at his or bet own expense, defend any and all such suits inklaxd by third patties, and the said Permittee asahmes 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 mm which is aoasidered to be the estimated time required to complete the wort involved, but should dtwcntaaca warrant, request for an extension may be made to the Board at a lata data 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 anth- orization was originally obtained. 4. That rhe work involved will be subject to the inspection and approval of the Board or its agents, and non-complisnoe 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 react of the wort herein authorized. 6. That dim shall be no interference with the right of the public 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 authothed, or if, in the opinion of the Bond of Trustees, the work stall cause unreasonable obstruction to free navigation, the said Permittee will be requited, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee or the completion of the work anth- oraed. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain came. New York State Department of Environme 1 , Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 i 1 s Phone: (631) 444-0365 FAX: (631) 444-0360 _ 7 J PERMIT RENEWAL Barbara Defina October 12, 2001 PO Box 2040 Orient, NY 11957-2040 Re: Permit # 1-4738-01101/00004 Dear Ms. Defina: Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR Part 621 (Uniform Procedures Regulations). The request has been reviewed and the expiration date is extended to October 5, 2002. This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Very truly yours, Mark C Carrara Permit Administrator cc: Suffolk Environmental Consulting, Inc. BMHP File Suffolk Environmental Consulting, Inc. Newm n V lage. Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 16311537-5160 Fax: (631) 537-5195 Bruce Anderson, M.S.. President January 23, 2002 Patricia Conklin, Permit Examiner Building Department Town Hall P.O. Box 1179 Southold, NY 11971 Re: De Fina property Situate: 192 Willow Terrace Lane Orient; Town of Southold,NY SCTM#: 1000-026-02-007.1 Dear Ms. Conklin, As you know,this Firm represents Ms. Barbara Defna who is seeking final Building Department approval in order to improve upon the property referenced above. Pursuant to your correspondence to this office, attached herewith for easy reference,please find enclosed herewith: (1) Town of Southold Floodplain Development Permit Application; and (2) Copy of your correspondence for easy reference. Kindly review the enclosed items. In the interim,this office has forwarded a request to Ms. Defma's engineer for both the Septic Certification and the letter concerning the lack of substantial improvements associated with this proposal. Upon receipt,this office will immediately forward same to your office in order to secure the requested Building Permit concerning subject property. Should you have any questions regarding this matter,please feel free to contact this office at any time. Thank you in advance for your continued attention and consideration. Sincerely, Matt D. Ivans enc. cc: B. Defina Suffolk Environmental Consulting, Inc. [Newman Village, Main Street, P.O. Box 2003. Bridoehampton,.{Ne -2003 TO(631) 537-5160 Fax.,(63 1 Bruce Anderson. M.S.. President j BLDG.DEPT. ;.N OF S UTH LD January 1, 2001 Michael Verity, Building Inspector Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Barbara Defina Situate: ROW off Willow Terrace Lane, Orient SCTM#: 1000-26-2-7.1 Dear Mr. Verity, Enclosed herewith please find the revised survey prepared by Joseph A. Ingegno last revised December 15, 2001 for the property referenced above. You will note that an active Building Permit Application is before you and you have requested that the front stoop be amended to only include the steps and that the proposed breezeway be likewise removed. The enclosed survey satisfies these concerns. I also enclose the NYSDEC Permit Renewal #1-4738-01101/0004 for your records and in furtherance of your requirements for permit issuance. I alert you that Mr. Tuthill will shortly be providing you with two correspondences, the first of which will certified that the proposed improvements do not constitute a substantial addition, the second of which will certify that the septic system is adequate for the project as proposed. Upon receipt of these items, I would presume that the requested Building Permit would be issued. As a final matter, please be advised that it is our intention to seek a zoning variance for the non-conforming shed and I am of the belief that the Zoning Board will be successfully persuaded to grant same given that the shed has been in existence for years, that there are no sensible alternative locations for the shed and that the effected neighbor has no objection to the continued existence of the shed. Upon issuance of the Building Permit, I would request a Notice of D wappFoval a theshed w1mch would rintmine to resolve this issue prior to issuance of a Certificate of Compliance.. As always, I appreciate you continued assistance in this and other matters. Sincerely, Bruce A. Anderson cc. B. DeFina L. Tuthill Suffolk Environmental Consulting, Inc. Newman Village. Main Street, P.O. Box 2003, Bridgehampton. New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President R � I December 19, 2001 �{� ;L) 'L Ed Forester, Department Head BLDG. o:PT. T D Town of Southold Building Departr16- Town Hall P.O. Box 1179 Southold, NY 11971 Re: Defina property Situate: R.O.W. off of King Street Orient; Town of Southold, NY SCTM#: 1000-026-02-007.1 Dear Mr. Forester, As you know, this Firm represents Barbara Defina who is seeking final approval from your Department to improve upon the above referenced property. This office initially submitted an application for same to your Department on October 12, 2001, whereupon we were notified that further information was required. At present we are in receipt of two (2) of these items. Please find enclosed herewith: (1) Copy of the New York State Department of Environmental Conservation Permit Renewal, dated October 12, 2001, for Permit No. 1-4738-01101/00004, and (2) Revised survey of the property, prepared by Joseph A. Ingegno, L.S., last dated December 15, 2001, indicating the requested changes (five [5] copies). Kindly review and supplement the pending application with the enclosed items. In the interim, we will secure and immediately forward to your Department the requested Town of Southold Floodplain Development Permit Application, a letter from the licensed engineer concerning the compliance of the proposed construction regarding FEMA standards, and a certification from the licensed engineer concerning the ability of the existing sanitary system to successfully manage the improvements upon property. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your continuing attention and consideration. Hammanh/ 2 Sincerely, Mat D. Ivans enc. CC' B. Defina Suffolk Environmental Consulting, Inc. Newman Village, Main Street, P.O. Box 2003. Brid_ehampton. New Y"ork 1193=-2003 16311 537-5160 Fax: 16311 537-5198 Bruce Anderson, M.S.. President Hand-Delivered October 12, 2001 5 epartment Head 6j o, Building Department Town Hall n P.O. Box 1179 /G Southold, NY 11971 < Re: De Fina property Situate: 192 Willow Terrace Lane Orient; Town of Southold, NY SCTM#: 1000-026-02-007.1 Dear Mr. Forester, This Firm represents Ms. Barbara De Fina who is seeking further improvements on the above referenced property. In order to do so, a Building Permit is required. Enclosed herewith please find a completed Town of Southold Application for Building Permit. Application contents are as follows: (1) Town of Southold Application for Building Permit; (2) Owner's Endorsement; (3) Copy of the original NY State Department of Environmental Conservation - Tidal Wetlands Permit (No. 1-4738-01101/00004), dated October 6, 1997, regarding the property referenced above, in order to "Construct a second story,addition to an existing single family dwelling, breezeway, and(2) drywells." (4) Copy of the original NY State Department of Environmental Conservation Amendment to Permit (No. 1-4738-01101/00004), dated March 16, 1998, concerning the property referenced above; (5) Copy of the original Town of Southold Board of Town Trustees Permit (No. 5280), dated February 23, 2001, concerning the property referenced above, in order to construct an addition to a One-stoty single family 2 residence, including a 24'X 26'second story addition and the enclosure of a 12'X 12'breezeway...Remove the existing chimney and build a set of 6'X 10'steps toxards the east elevation of the existing house."; (6) Copy of the original Town of Southold Certificate of Occupancy (No. Z-26838), dated December 16, 1999, concerning the above referenced property, (7) Copy of the original Energy Code Calculations, as prepared by Penny Lumber, and stamped by Lawrence Tuthill, Licensed Professional Engineer, dated August 6, 2001, concerning the above referenced property; (8) Copy of the New York State Insurance Fund Certificate of Workers' Compensation Insurance, dated September 25, 2001, concerning the above referenced property, (9) Survey of the property referenced above, prepared by Joseph A. Ingegno, L.S., last dated February 4, 1998, showing all proposed and existing structures (five [5] copies); (10) Plans of the proposed construction located on the property referenced above, prepared by Penny Lumber, stamped August 6, 2001 by Lawrence Tuthill, Licensed Professional Engineer(three [3] sets); and (11) Blank check made out to the Town of Southold in order to cover the requisite building permit application fee. By way of this correspondence, and on behalf of Ms. De Fina, I hereby request the review of this application for Building Permit. Should you have any questions regarding this matter, please feel free to contact this office at any time. Thank you in advance for your cooperation. ncerely, Bruce A. Anderson enc. cc: B. De Fina OWNER'S ENDORSEMENT (TO BE SIGNED IF APPLICANT IS NOT OWNER) STATE OF NEW YORK) COUNTY OF SUFFOLK) SS: Barbara Defina being duly sworn, deposes and says; I reside at 192 Willow Terrace: Orient, NY. In the County of Suffolk, and the state of New York , and I am the (owner in fee) (officer of the Corporation which is owner in fee) of the premises described in the foregoing application and that I have authorized Suffolk Environmental Consultins. Inc. to make the foregoing application as described herein. Signature Signature If Corporation. name of corporation and Officers Title Officer's Title (; for me, tl 's O day of 200 tary Public Veronica F.OldOne Notary Public, State of New York No:52-4661406 Qualified in Suffolk County. Commission expires Dec.31— � 4 New York State Department of Environmental Conservation _ Building 40-SUN, Stonyony Brook,New York 11790-2356 Telephone (516)444-0365 Facsimile (516)444-0373 John P.Cahill Commissioner AMENDMENT TO PERMIT March 16, 1998 Barbara Defina PO Box 2040 orient, NY 11957-2040 Re: Permit 11-4738-0110 U 00004 Dear Ms. Defina: Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621 . It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: That all work be done in accordance with the plan prepared by Joseph A. Ingegno dated July 8 , 1997 last revised on February 4 , 1998 . This letter is an amendment to the original permit and, as such, shall be available at the job site whenever authorized work is in progress. All other terms and conditions remain as written in the original permit. Sincerely, Permit Administrator George W. Hammarth cc: Suffolk Environmental Consulting File 1 NEW STATE DEPARTMENT OF ENVIRONMENTAL CONSER )N DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01101/00004 ■ October 6 1997 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION 2 01(S ) Under the Environaental Conservation Law TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ■ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, Title 15: Long Land Reclamation ❑ Article 36: Floodplain Island Wells Management ❑ Article 24: Freshwater Wetlands ❑ Articles 1, 3, 17, 19, 27, 37; ❑ Article 15, Title 27: Wild, 6NYCRR 380: Radiation Control Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands ❑ Other: PERMIT ISSUED TO TELEPHONE NUMBER Barbara DeFine 516-323-1338 ADDRESS OF PERMITTEE PO Box 2040 Orient NY 11957-2040 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Suffolk Environmental Services 516-537-5160 PO Box 2003 Bridgehampton, NY 11932-2003 NAME AND ADDRESS OF PROJECT/FACILITY DeFine Property 192 Willow Terrace LOCATION OF PROJECT/FACILITY Orient COUNTY TOWN WATERCOURSE MYTH COORDINATES Suffolk Southold Orient Harbor DESCRIPTION OF AUTHORIZED ACTIVITY Construct a second story addition to an existing single family dwelling, breezeway, and (2) drywells. All work shall be done in accordance with the plan prepared by Joseph A. Ingegno dated July 8, 1997 last revised on August 14, 1997. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, ell applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. liannnarth Mx Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE + 1 - DATE 4 /� % t, 10/6/97 - �'1ltt� Page I Of 4 GMIAL =ITICAS Inspections 1 . The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation ( the Department) to determine whether the permittee is cm-plying with this permit and the ELL. Such represen- tative may order the work suspended pursuant to ECL 71 -0301 and SOPA 401 (3) . copy of this permit, including all referenced maps, drawings and special conditions, rrust be available for inspection by the Departmant at all tirrps at the project site. Failure to produce a copy of the permit upon request by a Departn2nt representative is a violation of this permit. Pe rmi t Changes and Flenw%e I s 2. The Department reserves the right to rrodify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) envirorTrantal conditions, relevant technology, or applicable lav or regulation have materially changed since the permit was issued. 3. The permittee rrust submit a separate written application to the Departrrent for renenel , modification or transfer of this permit . Such application must include any four-s, fees or supplarantal info nation the Departrrant requires. Any renenal , modification or transfer granted by the Deparlmentrrust be in whiting. 4. The permittee rust submit a renenel application at least : a) 180 days before expiration of permits for State Pollutant Discharge Elimination Systen (SPCES) , I-lazardous V�hste Nbnage-rent Facilities (WWF) , rrejor Air Pollution Control (AFC) and Solid Vkbste fvmnaga ent Facilities (&VX) ; and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Departnent, issuance of this permit does not rrodify, supersede or rescind arty order or determination perviously issued by the Department or any of the terns, conditions or requirements contained in such order or determination. Other Legal Cbl igations of Pernittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by Wiormver suffered, arising out of the project described in this permit and has agreed to indam ify and save harmless the State frau suits, actions, damages and costs of every name and description resulting from this project . 7. 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 irrpai m-ent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit . r 8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required for this project . Page 2 of t} ADDITIONAL GENERAL CONDITIONS FOR ARTICLES IS (Title 5), 21, 25, N and 6 NYCRR Part 6081 Tidal--W n Ilial if lel urn npeotbnns Ls till, Slate• of N--,i; yrnk wquvr .pr al- orlwr errsironnwnlally rdr•Ielennus nralrnals assnaalrrl ,a illi the b•grtmn m the pnailion of Ili,, Ilene lure lir avork herrnn authorized, lir pronto F. it Ihr• opinion of the Depar hne•nl of I mmnun.•N al Crnxero Blinn I I .1nY nr.grrral dredReef in the prncr•rulron of the work hermn pe•enilted u (hall rdnle unreaaonah L•nhsfrur hon to the fern nasigahnn 11 <,od shall be rrmoaed evenlywithout leavin•lar n,refuse ilrs rill 6 t p ,,rs across ss oleic lir 1lnnrl Ileo. ur -,ndang.•r 16-, hr,lllh .a bay lir w.•I Llrr no the lied of a walcnu.ty lir (fnndplain lir deep holes that moa hate a the P,•.ROe ill [he Stale ,, . mw Ines •.r de,ton hon of the natural b,ndem v to n,usn damage to navigable rhdnnels or to the hanks of rr.nun t• ill fill-Slme then n,r nrdy hr n nb.rd fry the Drp.ulment In t•n.oar. r . it till, fill, tuiaaal avn,k -1111....thins a walenv ay lir hanuds cauu•d rherrha o nhnul •• tense 1.1 There shall be no pnrl-asnnable intnrinrenrr wnh na,,gabnn by rhe work • l fn the SLIti` .u+.l it. uPrnr the rx enation or n n. ahnn ql Ihr, pemtl the It nu fur-, fill ell avatinn. or other herein au thorited ....,.lith loon of Ihr o,,t....•nucn hrn•In lutbnruecd \hall not be Ivor. 15 It upon file expiration or resnr,Itioo of this permit. the project hereby p 1w l-0 rhe• non.•,.. ;11,01 "ilhnut espr.rtsr. to till- state. and In cu,,h aulhorved has not been r oroplitted the apphrant shall.without e,pen,e ,-,hint 'od in aur h title and menn••r.is Ih•,I)rp,ut meal of F nvir,•nntenrat to the State, and to Inch extent and in such time and manner as the I onu,n anon mos reretr,• rsnu+ue all or any portion of the uncon.pleled Department of F owon nenlal Cnnservatmn may require. ernmr,all or Or...hue lir till and re,bxr In its form,,, condition the nay igahle .utY portion of the unron.pleted structure lir fill and restore the site and flood. iparrh of the,,,ileo-rnnv Nno lairs sha11 he enarfe against to its feline, condition No claim shall be made against the Stale of the State of N,,\v l irk on air 000l lit ant silt It rennt,al lir ,flt,ralion New York on al-count of any cu,h removal or alteratinn Ill that the 51.11.•lir Neav )ark shall ,, nn ,oar• be liable for any damage 16 If granted under 6 N1CRR Part 608 the NYS Department of Emunn- or injury In the sore-lure nnsnrk lre,l•.n anthori7od which map her aused n.enlal Concenabnn hereby certifies that the subject prnjerl wdl not ba lir re,olt floor fulnre ,.predtions nnderl.aken by the State for the contmarne effluent limitatrrnw lir ether limitations or standards under .noses ation lir nnprotemenr of na\igation lir for other purposes anrd Sections 101 102. 101, 1116 and I(q of the Clean Nater Sol of 1`177, Fel Lunt lir ng11t 1n Congtens,.tion hall at r rut Irnro Ina such damage till. ,,15.217) provided [hat all of the conditions listed herein it, meI I t;ranbng of fill s.ellit rine. nnf rele,se[he apple.rnr of Ihr,,,,Pont 17 \II activities Guth..rued by this penml roust he In ,tnCt -0ofnrmanre bdrt\ of obtaining an\' other pennrssrnn, t nnaenf lir ipprneal loin. with the approved plans submitted by 11te applicant or his agent as part tilt, it S .\ons I nips of Fnglnel-rs. Tl S Coact Guard. N-,w York State of Ihr permit application Office ill (:.•neral Sen,..es lir Ihr:d env mnif)enl whrc It may Iv req..hell 1 to eclud•• Sit(If approved plan, were prepMe•d by _ I! all nor rss.vp ttrrau buns :hall by taken pr a nntaminahtn -- --—"-- nt Ins ""Hood lir wab,naas by cu aTwmlyd snhrds s.•dunent,. fuels Infirm. lubm ,,is rpmy n otnig,.paints ,onr,rte ear-hate lir.ms. SPECIAL CONDITIONS I. 'I be storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 40 linear feet from the tidal wetland boundarv. 2. During construction, concrete or leachate shall not escape or be discharged, nor shall washings fronT transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 3. /any debris or excess material from construction of this palest shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 4. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed oil the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to he maintained in good condition until thick vegetative cover is established. 5. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the most landward edge of the tidal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater. 1 6. This permit does not authorize any alteration, expansion or replacement of existing septic _III el R•.�11 anV ill INystems ---- 1-4738-01101/00004 - SUPPLT• *MrARY SPBCIAL CONDITIONS A— F AITACIM) PRI vPage 3 of 4 SUPrLEMENTARY SPECIAL CONDITIONS The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress . The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the .Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365 . C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications . The permittee is advised that substantial modification may require submission of a new application for permit. D. 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 the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years . F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services , Tower Building, Expire State Plaza, Albany, NY 12242 ( 516) 474-2195 , which may be required for any encroachment upon State-owned lands underwater . DEC Permit No . I -� �3 �- Page of Y" 9S2141 087)-9G New York State Department of Environmental Conservation v v 0 T I C E Now The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator_ Permit Number I ' g73g'd1101A JL JOHN W. PAVACIC Expiration Date S moo l NOTE: This notice is NOT a permit L 765-1802 BUILDING DEPT. SPECTION /IF001UNDATION UNDATION iST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY r REMA : DATE a �,:,3'1-�INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [,(] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�] FRAMING [ ] FINAL [ l FI �DX A CHIMNE � � < REMARKS: DATE cS a� INSPECTOR 10 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ L,-r'ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ rFRAMING [ ] FINAL [ ] FIREPLACES & CHIMNEY REMARKS: ' y � DATE INSPECTOR (/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ INAL [ ] FIREPLACE � CCHIM Y REMARKS: tL lel.! ' /moi �.8�-•� DATE 3- INSPECT FIELD INSPECTION REPORT DATE COMMENTS m s FOUNDATION(1ST) y` _ ®L x ------------------------------------ s FOUNDATION(2ND) m Z ROUGH FRAMING& PLUMBING Os3+ Did- O�c, y vS i� a INSULATION PER N.Y. — STATE ENERGY CODE v� f og z;7 v FINAL ADDITIONAL COMMENTS O z Z m S � S m o.Q l — G W O 2 z I � z 0 m t y TOWN OFSOUTHOLD buiLL)iNIVrrtcivul [rrrLaa.raasva. . •L- --- BUILDING DEPARTMENT Do you have or need the fo before appt TOWN HALL Board of Health i✓ A SOUTHOLD,NY 11971 3 sots ofBwTdiug Plans ✓ TEL: 765-1802 Survey, ✓ PERMIT NO. ����7`S Check Seprio Famr , A NY.SDEC. Trustees Examined20 Q� Contact: A. AvbEq/o- s r~ au Approved200? Mail to:f V112o 4. Co NJ(-M� Disapproved s c I�o.f f Zoog;fmoaF�';ky ty Pheee�3i�S37-S/6O APPLICATION FOR BUILDING PERMIT. t Date Oma¢ !2 INSTRUCTIONS 20, a.This application MUST be completely filled in by typewriter or in ink and subm tW to the Building Inspector wi sets of plans,accurate plot plan to scala Fee according to schedule. b.Plot plan showing location of lot and ofbuildmgs on premises,relationship to 4oining premises or public street areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a pa shall be kept on the premises available for inspection throughout the work c.No building shall be occupied or used in whole or in part for any purpose wbat-so-ever until a Certificate of Occti is issued by the Building Inspector, APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemrit pursuant to Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations, for the construction of buildings,additions,or alterations or for removal or demolition as herein described Th applicant agrees to comply with all applicable laws,ordinances,building using ns,and to admit authorized inspectors on premises and in building for necessaryinsp (Sigoamre of appliosut or name,if a corporado �vFFo<-L FNv,iZ0,.1^+ENv�t1C. . �0. $R 2033; lkw DG E; A address of apphcam) State whether applicant is owner,lessee, agent, architect, engineer, general contractor,electrician,plumber or buil 4�EA)-r- Name of owner of premises�IE:FZ7 4jr,:�4 (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. za N Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which Proposed will be done: House Number Street Hamlet County Tax Map No. 1000 Section 26 Block 0Z of C07• Subdivision AJ1A Filed Map No., �d Lot nl (NOM) State existing use and occupancy ofand intended use and occupancy of proposed construction:- a. Existing use and occupancy MIDIFi M-AC. b. Intended use and occupancy '/ l'%� nlTri aL Nature of work(check which applicable):New Bung_ Addition Alteration Repair Removal Demolition Other Work (Description) Estimated Cost 7/A Fee WI (tote paid on filing this application) If dwelling,number of dwelling units 3 'P4L Number of dwelling units on each floorZoN�s T10J Z"D If garage, number of cars if business, commercial or mixed occupancy, specify nature and extent of each type of use. IdA Dimensions of existing stmctures,if any. Front 62. Rear Z• s Depth Z� Height 3Z Number of Stories / Dimensions of same structure with alterations or additions: Front 6 Z. 5— Rear 62. E DWh___2:c6 5 Height < Z Number of stories. 2 Dimensions of entire new construction: Front 60• S Rear 6 2 S Depth Height { 32 ' Number of Stories 2 Size of lot Front a I.Oy' sn",Cr "o Regr /09 SNoREfrW n Depth 'L.0 0. Date of Purchase- e of Former Owner J A 1. Zone or use district in which premises are situated —y 0 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded No Will excess fill be removed from premises: YE NO . PO .'Fok Q' ?Q 40 4.Names of Owner of premises t"bea� A Q& DC 1 l Address QL j2jn� /1 ) one No. Name of Architect Address Phone No Name of Contractor Address Phone No. 5. Is this property within 100 feet of a tidal wetland? "YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey,to scale,with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. TATE OF NEW YORK) SS: :OLTNTY OF 1 l�ru cG Q. ✓D � b ' dul sw d says ( ) applicant (Name of individual signing contract)above named S Y °m deposes and that(s)he is the 3)He is the Q (Contractor,Agent,Corporate Officer,etc.) f said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this apphcajiM Mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewih wom to before me this /?"A y f OcrOPQ- .200/ Notary Public � Sigttattrre of Applicant Notar Pub c of New York 0 3859 Qualified in iSuffa k count(yy Commission Expires January 22,30o3 NOTES: SURVEY OF PROPERTY 1. EXISTING ELEVATIONS SHOWN THUS: —ARE REFERENCED TO N.G.V.D. 1929 DATUM 2. EXISTING CONTOUR LINES SHOWN THUS: - - — 10— - - ARE REFERENCED TO N.G.V.D. 1929 DATUM SITUATED AT 3. PREMISES IS IN FLOOD ZONE A7 (EL 9) AS SHOWN ON: FLOOD INSURANCE RATE MAP COMMUNITY-PANEL No. 360813 0048 E ORIENT ZONE A7 (EL 9): AREAS OF 100-YEAR FLOOD: BASE FLOOD ELEVATIONS AND FLOOD HAZARD FACTORS DETERMINED. TOWN OF SOUTHOLD 4. WELL d CESSPOOL LOCATIONS PROVIDED BY OWNER. SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-26-02-7. 1 SCALE 1 "=20' JULY 8, 1997 JULY 30, 1997 ADDED PROPOSED ADDITIONS AUGUST 14, 1997 REVISED PROPOSED ADDITION & ADDED PROPOSED DRY WELLS FEBRUARY 4, 1998 REVISED PROPOSED ADDITION DECEMBER 15, 2001 REVISED PROPOSED ADDITIONS TOTAL AREA = 11,254.51 sq. ft. (TO TIE LINE) 0.258 OC. _ 1 rp DING STREET m_ r L 1 0 20. N I � I O O 1 m � I _ 1 b � z tinr� o 0 . CD�I 1 � I I ( 1 I 67.12' - II 5 79.59.00„ wI 59.92' 1I S 80.27'00" IN J 38.38' FRONNRPE 01 WIDE RIGHT OF CONFOUND (j \ O LA \ Y� tk r�" x �x o x \d \ \ o c.+ �x j \ x CD \ 9ry FWM° N C, N101E JAMES GRACE, Sr. \ Ner 12 .64; SHED o.e's. 48.00 \ J1 N 0-2'7'00 E X 5631 W000 aAxE I V A I �, Mb N cfST- _,'O�dK v ♦' \ O5 O IPd. A A I I� �(���� ♦� ♦< aA � ?A. le, 7% D L,1 I Mie co i 9� o� • X, ♦ < 1 �-�/ v+ k\ \ \ �, ��, /nN aW""EI y�\� " I s •. ate` x C sP\ \ \ y35 6g 0 EDWIN e ewavD tl UNATHORRED ALTERATION OR ADDITION TO THIS SURVEY IS A WOIATIGN OF .� SECTION 7209 OF THE NEW YORK STATE EDQCAFON IAW. COPIES OF THIS SURVEY MAP NOT BEARING THE (AND SURVEYOR'S INKED SELL OR EMBOSSED SEAL SHAT NOT BE CONSIDERED TO BE A VALID TRUE COW. CERRFlGTONS INO10 HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING IN STIMIGH LISTED HEREON, AND TO THE ASSIGNEES OF THE LBNOINO INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFEfUBLE HOUSE AREA DATA EXISTING HOUSE AREATHE= 1,674 sq. ft. AND/ORSTANCE OF EASEMENTSRIGHT OF OFR CORD, I (HOUSE ! ROOF OVERHANG) ANY, NOT SHOWN ARE NOT GUARANTEED. PROPOSED ADDITION AREA: 2nd FLOOR = 824.0' L 3N- = 665 sq. ff.' BREEZEWAY FILL IN' = 145 sq. fl. TOTAL = RDD sq. ft. PREPARED IN ACCORDANCE WITH THE MINIMUM SCAN FOR TITLE SURVEYS AS ESTABSTATE IAN D Joseph A. Ingegno 1/2 TOTAL AREA EXISTING HOUSE = 1674 sq. ff.+2 = 837 sq. R. FOR su use BY"TTHE NErE °sre°iE°uNo PRA UNDSEDER ADDITION = 800 .q. ff. „°N Land Surveyor AREA UNDER I/2 EXISTING HOUSE AREA = 37 aq. If. '^ '1 � , NOTE: STOOPS NOT INCLUDED, IF STOOPS ARE INCLUDED �. ,y,' t AREA OVER 1/2 EXISTING HOUSE AREA = 30 sq. ft. -/ r b TWO Su"a ys - Subdivisions - SRe Plana - Construction Lgyaat PHONE (631)727-2090 Fax (631)727-1727 !�y OFFICES LOCATED AT MAILING ADDRESS N.Y.S. Lic. No. 49668 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 97-305B r, 4, _ t - - _7 - csg LUMBER CERTIFICATION, ^"^our�eLr t' OFE9d AI3Cl3/1lPENYBFFOPiE If copper tubingia0sa CERTIFICATE 4W-0€CUFANtY for water distribL -no SOLDER USED IN WA system: Piping shall Ue _ of types K or L o111 A, _ SUPPLY SYSTEM CAMVd ' o -EXCEED 2/i0 0f 1% LEAD.- UNDERWRITERS CERTI TE --REQUIRED PLUMG g; ALL PLUMB,, 3 m c i .� TESTING BEFORE NEED COVERING l _. PROVIDE ANTI-SCALD AND/ THERMAL SHOCK PREVENTIN DEVICES AS TO PART.902.6( 44-R ATE BUILDING CODE. APP OVED AS NOTED DATE: B.P.# _ E: /5: BY: NOTIFY BUILDING DE ARTM NTA -- - 7fi5-1802 9 AM TO 4 PM FOR TH FOLLOWINGINSPECTIONS: 7. FOUNDATION - TWO REQUIRE - ___ ._ .__ - _ , FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBIN m ._ __ ._, --,. _ _.. 3--INSULATION- moi .--..-_- _ _ _. ._. .-. ,__ 4 FINAL - CONSTRUCTION MUS BE COMPLETE FOR C.O. PROVIDE SMOKE-DETECTING I "A�'CONSTRUCTRON-SHALL MEET OCCUPANCY d THE REQUIREMENTS OF THE N.Y �aC� ITllktG ALARM DEVICES R STATE CONSTRUCTION & ENERGYO �,' _ AS TO PART.721.1 USE IS UNLAWY UL CODES, NOT RESPONSIBLE FOR IL ('�'44L' F Y41i=I+� all N.Y.S BUILDING CODE. WITHOUT CERTIFICATE DESIGN OR CONSTRUCTION ERRORS e ' OF OCCUPAN Y PROVIDE OPENINGS FOR > ` f _ EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF 'a5 — _ — N.Y. STATE BUILDING CODE. Q D 'fOki w / - - r ; - - F NEWY 03225 -1 O Ul 'k r IiNERGY CODE CALCULA'T'IONS (For Non-Electric heat) Design Cri Leria G , 000 Degree' Days O. A. 1O°F I .A. 7U'F / I ' De fina PER: Pen FOR: 0 Q,�¢n UA1'CD01 ARCA DESIGN '1't1E fiMEL REMARKS SUBSYSTEM "U" RA'T'ING t.:xLerior Walls (Opaque) S o5 ` 77 f-- a./B/4C' Glazlny '� ( i -7 . 3 `t zs or e4ey1 Doors Ceil.iuy/hoof (Opaque) GO pr p SItyliyh Ls 8 Floor FO1111da Lion Wa11s ' Slab Insula Lion 'TO'T'AL Notes: Buildluy Envelope Systems to meeL requirements of 7015. 2 IIVAC Equipescent tomeet,- requirements of 7U15 . 11 IIVAC Systems to meet requirements of 7015 . T2 DucL Sys Lems to meet requirements of 701.5 . 1.3 VentilaLiona Sys Lems to meet requirements of 7015 . 14 lnsulatioN of pipiny Systems to meet requiremeuCs of: 'IU15 . 15 Service Water Ilea Lilly Systems 5 Equipment to meet requiremeuCs of '7815 . 21 Electrical G Lighting Systems 5 EquipmenL- to meet requiremeuCs of 7015 . 31 TO the best of my knowledge, D@NEpy belief, 6 professional 1P Ncs T O� judyemeut, Lhese plans are 111 s °' compllance with the code. b F; w 2 'rFe 03]]54-1 A'9pEE551aNP� (9 /0/ i'liT, l T. 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