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HomeMy WebLinkAbout27721-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT VO Town Hall .00b Southold, N.Y. L BUILDING PERMIT NOT & 1 J (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27721 Z Date SEPTEMBER 24 , 2001 Permission is hereby granted to: MARILYN & ANO GATZ PO BOX 45 MATTITUCK,NY 11952 for NEW CONSTRUCTION OF A FOUR BEDROOM SINGLE FAMILY DWELLING WITH INDOOR INGROUND SWIM. POOL&2 CAR GAR. AS APPLIED FOR W/TRUSTEE' S, DEC&PLAN.APP . at premises located at 1750 PRIVATE RD #18 MATTITUCK County Tax Map No. 473889 Section 121 Block 0004 Lot No. 008 . 004 pursuant to application dated AUGUST 17 , 2001 and approved by the Building Inspector. Fee $ 2 , 815 . 15 Authorized Signature COPY Rev. 2/19/98 FISLD ASPECTION REPORT bATB COMMENTS COMMMENTS arsxxx-•�..•-m=ax=e-- =w=ax= =cssa ====aar- ====x�x -ama= = =mx==xxa�xa =a �J FOUMATION ( 1 STY FOUNDATION (2ND) - � . x ROUGH FRAME O -- PLUMBING G INSULATION PER N. Y. STATE ENERGY CODE oC` FINAI. 'ADDITIONAL COMMENTS: V.i ............ m New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40-SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 FAX: (631)444-0360 - Erin M.Crotty Letter of Non-Jurisdiction - Freshwater Wetlands Act Commissioner Mr. Daren P. Pfennig May 29, 2001 Pfennig Construction Corp. PO Box 244 Wading River, NY 1.1792 Re: Application #1-4738-02817/00001 Dear Mr. Pfennig: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Your proposed project to construct a single family dwelling, septic system, swimming pool, garage, driveway and associated clearing, grading and ground disturbance at Laurel Lake Road Mattituck, NY, SCTM #1000-121-04-8.4, as shown on the survey by Joseph A. Ingegno last revised 5/7/01, is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the Environmental Conservation Law). Be advised, that all construction, clearing, and/or ground disturbance must remain more than 100 feet from the freshwater wetland boundary. In addition, any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibil' of obtaining any necessary permits or approvals from other agencies. in ely, ohn Wieland Permit Administr �, /r, C �,�,,ED cc: BOH JUN 4 _ 2001 file Albert J. Krupski,President CC�gVFFO1,�c Town Hall James King,Vice-President h�0 �Qy 53095 Route 25 Henry Smithp Artie Foster eA Southold,New York 11971- 0959 : Ken Poliwoda Oy Telephone(631) 765-1892 Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 26, 2001 Mr. Daren P. Pfennig Pfennig Construction Corp. P.O. Box 244 Wading River,NY 11792 RE: WALTER&MARILYN GATZ SCTM#121-4-8.4 Dear Mr. Pfennig: The Southold Town Board of Trustees reviewed the survey dated December 12,2000 and last revised January 6, 2001 and determined the construction of single-family dwelling,pool, and garage, to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of the Wetland line would require a permit from this office. This determination is not a determination from any other agency. If you have any further questions,please do not hesitate to call. Sincerely, n. A" , Albert J. Krupski, Jr. President, Board of Trustees AJK:lms O z ►— Z W N/00° oa VcmftnOr SVm ACANT Lr SURVEY OF PROPERTY N N SITUATED AT 0N 88'45'00` E DEED) MATTITUCK N 1n S 8T33'00" E _ TOWN OF SOUTHOLD ( 544.94' SUFFOLK COUNTY, NEW YORK W� O o, --- _ S.C. TAX No. 1000-121-04-8.4 91/ o -------- ----- Bualmmc - 1!:. •--- '°°°'aa LfT a SCALE 1'=60' 5 Oi ; - •-mss— _ T r, m r' DECEMBER 12, 2000 \�. i * • ''. a� moo, DECEMBER 20, 2000 TEST HOLE JANUARY 6. 2001 ADDED PROPOSED HOUSE �. • . . . < F MAY 7, 2001 REVISED PLOT PLAN Q I J: �'_ : O=p� JULY 23, 2001 REVISED PLOT PLAN !. O y JULY 31, 2001 REVISED PROP. GARAGE r AREA = 202,697.73 sq. ft. 4.653 ac. CERTIFIED TO: '-- � DAREN PFENNIG _ aRnDNo C •• ,prol+a of AN0` O1snIRe►+�E \`\�� "In HOLE DATA o (LEST MOLE DUG eY Atauma amsmcE ON DECEMBER T6, ins) PALE swawl PSE SP TO MDOMN sND ------------- f Nom. I ��ytOCl � "1NlM/IS OF UID 011011 Blgc 00mMOM ri d1 h � � Q° 230.31' N 89'41'00" W 110.86' S 86'56'00" W � 1y PRLIAIED N AOOOIDNAi will TE YMIIJtI i STAIDAWDS FOR DRE SYS AS ESPOLIGED 11 0 BY DE LAAL&AND MWOMIED ARD ADOPTED mFOR BY THE MR rant$WE LAND dR e SO rot, rot,% Gr..� A' ' 0 Q N.Y.S. UC. No. 19FURLM 688 tMY7114OR1gD ALTERATION OR ADDR1oN " Yd 126.72' 1. REFER TO FRED YAP FOR TEST HOLE DATA. mEDUCAXION Tm SECRON LAW. a rO0C4 rAIE g1.23 1 O 2. fI TANIC1 TANK C WM iO:SSS_F7R A�1 Toa BEDROOM HOUSE IS 1.000 GALLONS. CWRS OF THs SUMOEY Yw Nm XMING J se kvegm S 1 WI MMLIM LEACHM SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 THE LAND sw11EYaR's Raw SEAL an ■ * sq H SDErrAlt AREA. Tm:7 w 9MlL NOT BE CONOCO" and Surveyor �O 1 POOL; 1 Y DEEP, B' die. m a A MUD TRlE COmancommF1'. v. aw.no PROPOSED E70•ARs10N Peal ONLYDE PQNava 10 we �p POR 1NW WE wlw-Y 9�0 ® "mom m4comi1C POOL MU COMPOIN 5611RO1�1 elft� � S�'Z - SYb*1Si0fM - S�Ef PM0110 - C01Mh'NC6M1 L4jW1I `cs ®PROPOSED$0, TANK UKACRE 71YII lYWIE. NOW (631)727-2090 Fax (631)727-1727 4. THE LOCATION OF WELLS AND CESSPOOLS SNOw11 HEREON AWE FROM FIELD THE ENNITENCE OF IOBNI OF WAYS OFFM L=RD AT ANULM A9001ESS OOSEOVADONS AND/OR DATA OWAOSED FROM O HOL =� tF Bt ANY. NOT SNONM AtE NO?OIAA9AIflEED. 1390 ROMIOKE AVfNIIE V.O. BON 1971 RINERFIM NW York 11901 mverMad, Now Yak 11901-0966 Sent bytFRUPER T SEkVIGES Jan-Ili-bo 04155rn t'rom 516734746315167659105 rave 2 STATE OF NEW YORK ) COUNTY OF SUFFOLK.) being duly sworn, deposes and says: �. That deponent is over the age of 18 years, and resides at Zoo / That on the 3t ,day of J06 4999, deponent, being the jvshAact/engi licensed by the State of New York, hereby states that#e accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR). ca, Amtdtect/Engineer -17,1 - ems /,"ke D,,,,r lyQ1��tTut'`T Sworn to before me this Za9/ day of a4&4 _' Ir Notary Public E of NFA r NOTARY/VAC,State of Now York QWUHed 30-4916010 � Commission Exptns T� Ir r• .� Q yr � W V cc: applicant 032454-1 �°FfssioN�'� f I;,NEltGY CUUE CALCULATIONS (For Non-Electric Heat) Design CriL-eria 6 , 000 Uegree'.Days O.A. to°r• I.A. 7U°r• /" PER: /9 p `. QCihG/ h Skf t Mq��jfucl� DA'Z'ED: S�4h• t ? 3� D/ DESIGN THERMEL REMARKS SUBSYSTEM AREA "U" RA'Z'ING f,xt•erior Wails (Oparque) z z 3,� , 051� 2 A GleZlny �'� tJ.� . 3 2 67/ or C QV1/ Doors qO - Lf0 Pj C:eiliny/Itoof• (Opaque) 2g7G . 0s, O Skylights _ r loor 2 7,4 . O Foundation Walls Slab Insulati011 TOTAL � 6.3 Notes: Buildlny Envelope Systems to meet requirements of 7015. 2 11VAC Equipement to meet- requirements of-, 7015. 11 IIVAC Systems to meet requirements of 70.15. 12 UucL Systems to meeL requiremefiLs of 701.5 . 13 VenLilaLions Systems Lo meet requirements of 7015 . 19 Insulation of piping .Systems to meet requirements of 7U15 . 15 Service Water Heating Systems & Equipment to meet requirements of '1U15. 'L1 Electrical & LighE.ing SysL•ems & Equipment to meet requirements of 7015. 31 NEW ya To the best of my knowledge, raPQ°�C� - try belief, & professional # judyemenL-, L-heseplans arc 9.ii � eus c hu compliance with Lhe code. 032254-1 t1 j°qpF fSS10NP�' -7 36 BOARD OF BEALTI . . . . . . . . . . . .. FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY---J. . . . . . . . t BUILDING DEPARTMENT CHECK . . .V . .�.� .�. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . SOUTHOLD, N.Y. 11971 PS—C -4 t� �?�. • • • . TEL: 765-1802 NOTIFY: 4 CALL . Examined.... ........ 20.9/. MAILTO: . . . . . . . . . . . . . . . . . . . . Approved........?/¢..... soo:. Permit No. �/��.... ...................... Disapproved a/c .................................. .....:............................. ................................................ .... Qw� (Building inspector) APPLICATION FOR BUILDING PERMIT DateAuqust .6 c . . . . . . 20.Q1 . 4'`,` ' INSTRUCTIONS a. this application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 permit shall be.kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ilding for sary inspections. 17 �Ie of li .name, if a corporation) ....PO.B=.24A.Wading..R,i.var.,..NY.11.7 92 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builds, ......Ownex=..Bu i1 dAe r............................................................................................. Name of owner of premises ...1?d�1rt}..�... I✓t}A .................................................................. (as an 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. 7 1.6fi9:HZ............. Plumbers License No. .2 5fi 0:P............... Electricians License No. AAM-.Ft.......... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. Laurel Lake Drive Mattituck .............. ............................................... ........................... House Number StreetHamlet Canty Tax Map No. 1000 Section .1.21........... Block ... 4........... Lot ..R.A......... Subdivision ....1�s?4i:Q .Lake.................. Filed Map No. ............... Lot ...... (Name) s��POOA FA9W%!', ... ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......VAc aut.Land...................................I.................... b. Intended use and occupancy ...t4aW..8iX191A.Family—Unna ....................... 3. Nature of work (check which applicable): New Building XX•....•.. Addition .........r, Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work ......... ...................... House & Barn (Description) 4. Estimated Cost ....$75Q.,Q.0Q.,QQ..... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..1.:........ Number of dwelling units on each floor ...1............ Ifgarage, number of cars .........2............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ...................... Dimensions of same structure with alterations or additions: !°cont ............... Rear ............... Depth .................... height ........... ......... *kvber of Stories ............... 8. Dimensions of entire new construction: Front -105.'.......... Rear ...1 0.5.'.6::... Depth ..60 ......... Height ...33.'.6................... Number of Stories .....?............... 9. Size of lot: Front .48.9. ........... Rear ....281............ Depth ..54 A.1R......... 10. Date of Rnrchase UACler..CQVtrAC: Nae of Former Owner ....Walter..Gatz.................... 11. Zone or use district in which premises are situated ..Res i dental............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..Ido................... 13. Will lot be regraded ..No............... Will excess fill be removed from premises: YES 14. Nares of Owner of premises Daren.P.. .Ptennig... AddreslsGateway D� Wading. Rives X929=3735 PO Box 1�6 2 Name of ArchitectLarXy..Tuthill.................. AddressG�naeeenport..,.NZ.5..19.4 4.. Phone No4 7 7..3.65.2... Nam of Contractor P.feunig.00R$trlQtiQU..CQr9Wdress Wading.Rpvez,..N.Y.......Phone No 929..3.4 5.6 15. is this property within 300 feet of a tidal wetland? * YES .......... NO XX....... *IF YES, SQTMD MM MMMS PERMIT MAY BE RFi4TIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing- or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 2200 Feet From Sound Ave. on Laurel Lake Drive (Gravel Road) Last lot at end , East side SrAlr Or NW Y(W, SS QJIINIY Or ....................... „ I)5.ren„Pfennig................................being duly sworn, deposes and says that be is the applicant (None of individual signing contract) above named, Ileis the ......CopA r a c to r.............................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the marnier set forth in the application filed therewith. Sworn to befoye me this ..................day of Notary Public ............. .- � 1 HELENE 0.HORNE ....,.. ......... ... ....... Notary Public,State of New Yore rk (Sof App icant) ' No.4961364 pualified in Suffolk Coung� Commission Expires May 22• 0:5� <3 2772ia_ BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: �_/a /01 .DATE SUBMITTED: 1 APPLICANT NAME SCTM# DISTRICT: 1,000 SECTION: ta/ BLOCK: y LOT: �.y STREET: _a/.re Z (_., �F /vG CITY: c SUBDIV. NAME:-�,2 PROJECT DESCRIPTION: ►-� - ARCHITECT/ENGINEER: �. � FAS TRAC . E SINGLE&SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT:'_k$o CONFORMING? YES QOQ/ 6 q"3-. 3 3 REQ. LOT SIZE:66(0oo ACT. LOT SIZE: REQ. LOT COV. cQ07, ACT. LOT COV. REQ.FRONT f o PROP. FRONTf 350'1 REQ SIDE do ACT. SIDE f 16-v REQ. REAR 7577 PROP. REAR r WATER FRONT? DESCRIPP ION: PANEL #: $1 FLOOD ZONE: 'J� �►�t � 1-:> . up -�� ��s�,p�r w0 2E&q- �SoK AGENCY PERMITS REQUIRED FOR REVIEW -�'o."� S *161,5/ PROV�S RE UIRED: SUFFOLK COUNTY HEALTH DEPT: 40r NO, (BED#):4- ): DTE: 6 IzQ(=./6 PERMIT#:R10-O 1-003<K NEW YORK STATE DEC: PRE-DEC 1/ r SOUTHOLD TOWN TRUSTEES: (M3br TOWN ZONING BOARD APPROVAL: n s w TOWN PLAN. BOARD APPROVAL: S r - u _ TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGYYES NO . I / EGRESS (18 H ' .. 4 sq total) SQ.FT.Ix o V IGHT(SQ.FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BF C/0 Z__ HAVE PRE CO'S : Y OR N `�` BP -Z/C/0 Z- , NOTES: e e 5 4LFcix ea les _ 1//L/ Ny '� 4 rGr1 Ilwae o '' "fK 7r�, re'si d A O FEE STRUCTURE: FOUNDATION:.& SF 'fa?, sF FIRST FLOOR SF 33 68' -s SECOND FL SF .2Z9A5F INIT OTHER TOTAL TOTAL: �_S vjwj; FEE FEE FEE 'OT 1(( 1b22_SF)- g( .SCS SF)=j,3aft SFX$!3D =$0`R83.'�0+$ t,90 +$ $c�d�3 "To ArX .30 =.7,440.AO iSd �?-8d SSA J`J tJ .A.J-d J-Z \ Y A. 1J i A. --r-' "'.'--i v _J_ Applicant/ Din 6� Owners Name. -� ��n n I Reviewed. Architect/ Date Engineer: % ^�C Submitted: a SCTM #: 2 7 District: 1,000 Section: 13 Block: / Lot: Project ....f Subdivision Location: -�q©S- off. Name Single& separate Required �,_ certification: (Yes/No) �_ . Rcy. Rcy-cover Zoning Disrrici�C 11,01 size Aclual�dW�� � ILo coverage Props sed Rcyr Req. 7� Req / g 11 rant Yard 0/0 Proposed.'1219- (Side Yard ?o/fS Proposed:rdG� J [Rear Yard 7� Proposed f= _ +0aah Project Description: AGENCY PERMITS Permit REZUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. "/ New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: ✓ Flood Plane Elevation??? Flood Zone: O � X16 C) r-- T 2292SF �� o �3 777 /K 8_x: t 7W 1 A a/ //� ar o.+ o.�oxr �J -e� fGt�s�J, A rrs 5 rte+ /AJ oi-