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Home My WebLink About31363-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31537 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1750 PRIVATE RD #18 (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 121 Block 4 Subdivision Date: 04/14/06 MATTITUCK ( HAMLET ) Lot 8.4 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 2005 pursuant to which Building Permit No. 31363-Z dated AUGUST 15, 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING WITH ATTACHED GARAGE & WOOD DECKS AS APPLIED FOR. The certificate is issued to DAVID & LINDA PILOSSOF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0038 04/03/06 ELECTRICAL CERTIFICATE NO. 2074443 04/05/06 PLUMBERS CERTIFICATION DATED 03/28/06 THREE B'S PLUMB.&HEATING r. Authorized Signature Rev. 1/81 jMW 1- 631-3J.�--S6�� Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ® TOWN HALL 765-1802 '�T i I APPLICATION FOR CERTIFICATE OF OCCUPANCY HOLD This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage -disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Date. Old or Pre-existing Building: I (check one) Location of Property: - A2j•-j� /l� House No. Street Hamlet Owner or Owners of Property: rM Suffolk County Tax Map No 1000, Section / % Block `/ Lot Subdivision Filed Map. Lot: Permit No. 3�4 9 Z• Date of Permit. Applicant: OZi/r c( &lU ('S p Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ z2 5— 0? -- Co 197 3153 ?-- C®1973153 Underwriters Approval: Final Certificate: � (check one) Ap icant Signature Aj 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. 31363 Z Date AUGUST 15, 2005 Permission is hereby granted to: DAREN PFENNIG PO BOX 1331 MATTITUCK,NY 11952 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR 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 10., 2005 and approved by the Building Inspector to expire on FEBRUARY 15, 2007. Fee $ 2,498.70 Rev. 5/8/02 ORIGINAL ❑° L�[��.r� LQ��.rr1jLQnnl�r�L�Lrr�C.IL ' Z [:1 [CSL 1 rr�{�LLE�t@LtpL3r3PLrL3I�Ln�nC.I�r�C ILnr�f�LI�L�C.I� C.I��L�Cj�LrCnLlr� 5 S S BY THIS Y THIS CERTIFICATE of COMPLIANCETHE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS S BUREAU OF ELECTRICITY S 5 40 'FULTON STREET - NEW YORK, NY 10038 S 5 5' 55 CERTIFIES THAT 5 5 Upon the application of upon premises owned by S 3 55 5 HUBBARD ELECTRIC. DAVID PILOSSOF178 5 5 HUBBARD D NY1 RIVERHEAD, NY 11901E MATTIT CKT 952 �J 5 �5 5 Located 1750' PRIVATE RD #18 MATTITUCK, NY11952 at 5 C5 Application Number; 2074443' Certificate Number: - 2074443 5 5 5 Section: Block; Lot: Building Permit.:: BDC: ns,11 5 5 Described as a Residential 3000-4000 square ft. occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described 'below, located' in/on the premises at: 5 Basement, First Floor, Second Floor, Attached Garage, Outside, Attic,. 5 A visual inspection the limited to devices to the detailed cc 5 5 of premises electrical system, electrical and wiring extent herein, was conducted in accordance with the requirements of the applicable code and/or standard 5. 5 promulgated by the State of New York, Department of State 'Code Enforcement and Administration, or other 5 5authority having jurisdiction, and foundl to be in compliance therewith on the 5th Day of April, 2006. 5 Name -TY Rate Rating Circuit Tyne 5 SCD' Alarm and Emergency Equipment 5 Sensor 3 0 Carbon Monoxide 5 SSensor 10 01 Smoke 5 5 Appliances and Accessories Exhaust Fan 5 0 F.H.P:. S 5 Pump Motor 1 0' 1 H.P. 5 5 Furnace 1 0 Oil 5 5 Wiring and Devices Outlet 76 0 Fixture c5c 5 Fixture 76 0 Incandescent c5 c5c Outlet 161 0 General Purpose c5 5 Receptacle 95 0 General Purpose Switch 86 0 General Purpose 5 5 5 5c Receptacle 1 0 20 amp Laundry, 5 5 Receptacle 1 0 3Q amp Dryer 5 5 Paddle Fan 3 0 Receptacle t0 0 GFCI 5 seal Service 5 Continued on Next Page 1 of 2 5 5 5 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 o �� Ln��L, JjM ��LnLP� o G] 1100-10.11M 311000[J�][J�[111`03t3rJV[17[J�[.iCP[�1tnr�[ i[J�cPrJ��cPr�[P[l�rJ[J�r�[J�[J[J�[ncl��r��[J�tPtPtPr [.C,rJ�[.C[.(tt1��LIVEM JNEPRE !] 5 THE 5 5 BY THIS CERTIFICATE OF COMPLIANCE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 S BUREAU OF ELECTRICITY 5 5, 40 FULTON STREET M NEW YORK, NY 10038 5 CERTIFIES THAT c 5 5 5 Upon the application of upon premises owned by 1 5 HUBBARD ELECTRIC DAVID PILOSSOF S 5 178 HUBBARD 1750 5 5 RIVERHEAD, NY 1E91E MATTIT CK T NY 952 1750 PRIVATE RD #18 MATTITUCK, NY 11952 c5 5 Located at e5 5 5 Application Number: 2074443 Certificate Number: 2074443 _ pPl- 5 cS 5 Section: Block: Lot: Building Permit- BDC: ns11 5 5 i Residential 3000-4000 square ft.consisting, Described as a q occupancy, wherein the premises electrical system of 5 5 electrical devices and wiring, described below, 'located in/on the premises at: 5 Basement, First Floor, Second Floor, Attached .Garage, Outside, Attic, 5 5 A inspection the electrical limited to devices and wiring to the detailed 5 5 5 5 visual' of premises system,, electrical extent herein, was conducted in accordance with the requirements of the applicable code and/or standard' 5 c5c promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 5th Day of April, 2006. 5 5 5 Name QTY Rate Ratine Circuit Tvae 1 Phase 3W Service Rating 300 Amperes 5 �j Service Disconnect: 2 150cb 5 5 Meters:1 5 5 5 5 5 5 S 5 5 5 S S 5 5 5 5 5 5 � 5 seal '2 2' 5 of 5. 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 5 o �� M]�� >srPrJ—r3 �� o r I own I lall, 53o95 Mnin Road P. O. Box 1179 Soulhold, New York 11971 I�JoQSUFFUL�co, a a � rnx (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E It T-1 r I C A T 1 0 N U11'i'E:March 28, 2006 Building Permit- No. 313632 Owner: (please print) PJ umber.:Three_BI S Plumbin.g.., ..Fasting...& A/C Corp. (please print) 1 certify that the solder used in the water supply system contains less than :/_0 of 1$ lead. (Plunibers Signature) Sworn to before me this 28th day of March , 2006 Notary Public, Suffolk County Eileen M. Roache Notary Public, State of New York No. 4826942 Qualified In Suffolk County Commission Expires, Januar] 31; 20-jP SOUryo� 313 63, • �o o�ycOUM`+,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [�] FOUNDATION IST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: f DATE �� S INSPECTOR" SO(/TyO� 316-3 Z N � COUNTil TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ]FOUNDATION IST 12<ROUGN PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING[ [ ] FIREPLACE & CHIMNEY [ REMARKS: FINAL FIRE SAFETY INSPECTION 1-9- (ok-, DATE / �� INSPECTOR�� Of SOUIyo� 1,3 6 3 Z #` TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING FINAL " [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: n AM DATE �^ 3 � ' � � INSPECTOR pF SO(/l�°� 3136-37, co►►am N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATIO tot [ ]FRAMING/ STRAPPINGFINAL [ ]FIREPLACE &CHIMNEY [ ]FIRE SAFETY INSPECTION 3 13 �3 7 - TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ [ ] FOUNDATION 2ND [ FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: HMO ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION 0 DATE INSPECTOR---;%- i pF SOUTyolo 3 6-3 Z- Comm,�,� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ]FOUNDATION IST [ x FOUNDATION SND [ [ ]FRAMING/ STRAPP ING [ [ ]FIREPLACE &CHIMNEY [ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE INSPECTOR -'OVI l �Q SOF SO(/T�, hod °�o comm, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDAYION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [v]�N$ULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE � INSPECTOR 3!363 pF SOUTyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY- INSPECTION REMARKS: C DATE - INSPECTOR I OF SOUry� coum, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION IST 1XROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: �/�__0� f BATE INSPECTGR FIELD INSPECTION REPORT DATE COMMENTS ' FOUNDATION (IST) ------------------------------------- y FOUNDATION (2ND) 10,z ROUGH FRAMING & PLUMBINGaAZ INSULATION PER N.Y. STATE ENERGY CODE � y y H r,7 t9 _ FINAL_ _ 9 ADDITIONAL COMMENTS kJA — z rrt e y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health lC4)sets of Building Plans_ Planning Board approval Survey Check Septic Form_ N.Y.S.D.E.C. Trustees Examined 20 Contact: `� A/05,5d Approved 20 Mail to: c. 401,4 Disapproved a/c /4 �?V X I ttTJ l`�i�'�%fLcCGL �• j �l%1� Phone: 7 V 910 Expiration '20 IG I 0 20x5 APP. i% CATION FOR BUILDING PERMIT p Date 0 , 206 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been eructed in the interim, the -Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town :of,Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction -of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / r1l — .. (Signature of pphc or name, if a corporation) PD�7i�Ci� l►' . ��f tic (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C) 4, _ Name of owner of premises 4) "J I CIA /nsso (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. Plumbers License No. _ Electricians License No. Other Trade's License No. 1. Location of land on which proposed work ill be done: House Number Street County Tax Map No. 1000 Subdivision (Name) Hamlet. Section Block" Lot Filed MO'No. J -621 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed a. Existing use and occupancy kfi C- jq "/,r- f y9 /-1 d A b. Intended use and occupancy Cr 3. Nature of work (check which applicable): New Building A"" Addition Repair Removal Demolition Other Work 14, 4. Estimated CosC)o O a Fee 5. If dwelling, number of dwelling units If garage, number of cars C' 6 Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front r Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front % Rear 2 Depth Height cla Number of Stories o'? p i 9. Size of lot: FrontRear _ n�� Depth , 10. Date of Purchase— �s o ," Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOA!!!� 13. Will lot be re -graded? YES NO 1o'�Will excess fill be removed from premises? YES NO r� � . f , gm X 4lb-9 14. Names of Owner of premises 1604 Add�i}essY4717%77tC11JY Of Phone No. 9-d Name of Architect G4/J/lti 5 S i f S ` - Ad�res�� 1 tyL,� ;P S ° `r Phone No 70202 — 7 fs 6 Name of Contractor rfi�� t Address !b / oj- /t/)T-f Phone No. Vf/U 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 41"' NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO IF YES, D.E.C. PERMITS. MAY BE REQUIRED,��,.� �rtS nc��l t��PG(� St>, 7 a L i 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any pointIon property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF GVI'�I' GG V 1 _ (% being duly sworn, deposes and says that (s)he is the applicants (Name of individual sigrung contract) above named, ` (S)He is the tuF-_►,� 1 (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. to before me thi day of,nA? S' 20 Notary P blic Signature of Applicant MELANIE V. BROWN Nd ry PMc. SM ai Nor Yak No. 4ON712 C®mm niulo Expkw Oct. 1 0 C f New York State Department of Environmental Conservation Division of Environmental Permits, Region One AM 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 11792 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 respons obtaining any necessary permits or approvals from other agencies. ohn Wieland Permit Administrh CEI.V,,ED cc: BOH file JUN 4- 2001 (� C-) Albert J. Krupski, President James King, Vice -President Henry Smith Artie Foster Ken Poliwoda January 26, 2001 Mr. Daren P. Pfennig Pfennig. Construction Corp. P.O. Box 244 Wading River, NY 11792 o�osuFFo��.�oG 0 C/J = oy�o! ao� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: WALTER & MARILYN CATZ SCTM#121-4-8.4 Dear Mr. Pfennig: Town Hall 53095 Route 25 P.O. Box 1179 \� Southold, New York 11971-0959 Telephone (631) 765-1892 \` Fax (631) 765-1366 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, Alberti. Krupski, Jr. President, Board of Trustees Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release le Data filename: Untitled.rck PROJECT TITLE: Pilossof Residence COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non -Electric DATE: 08/10/05 DATE OF PLANS: 2005 PROJECT DESCRIPTION: Pilossof Residence Laurel Lake Drive Laurel , N.Y. DESIGNER/CONTRACTOR: Dave Pilossof , contractor COMPLIANCE: Passes Maximum UA = 856 Your Home UA = 704 17.8% Better Than Code (UA) COMPLIANCE STATEMENT: The; etta' represented in this document is consistent with the building plans, specifications, and other calculatioj.' rmit application. The proposed systems have been designed to meet the New York State Energ ons a �fc`ictSidi uirements. When a Registered Design Professional has stamped and signed this page, th are a sti �` <of l owledge, belief, and professional judgment, such plans or specifications are i compli ce it is 1 ^ Builder/Designer - : ,._• Date / mow' • U 025 Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 3044 30.0 0.0 107 Ceiling 2: Cathedral Ceiling (no attic) 1165 30.0 0.0 40 Wall 1: Wood Frame, 16" o.c. 4174 19.0 0.0 210 Window 1: Wood Frame:Double Pane with Low -E 626 0.320 200 Door 1: Solid 42 0.250 11 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 4109 30.0 0.0 136 Furnace 1: Forced Hot Air, 78 AFUE Air Conditioner 1: Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The; etta' represented in this document is consistent with the building plans, specifications, and other calculatioj.' rmit application. The proposed systems have been designed to meet the New York State Energ ons a �fc`ictSidi uirements. When a Registered Design Professional has stamped and signed this page, th are a sti �` <of l owledge, belief, and professional judgment, such plans or specifications are i compli ce it is 1 ^ Builder/Designer - : ,._• Date / mow' • U 025 REScheek Inspection Checklist New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release le DATE: 08/10/05 PROJECT TITLE: Pilossof Residence Ceilings: 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above -Grade Walls: 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Windows: 1. Window 1: Wood Frame:Double Pane with Low -E, U -factor: 0.320 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: 1. Door 1: Solid, U -factor: 0.250 Comments: Floors: 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned, Space, R-30.0 cavity insulation Comments: Heating and Cooling Equipment: 1. Furnace 1: Forced Hot Air, 78 AFUE or higher Make and Model Number 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [ ] I Return ducts in unconditioned attics or outside the building must be insulated to R-4. [ ] I Supply ducts in unconditioned spaces must be insulated to R-8. [ ] Return ducts in unconditioned spaces (except basements) must be insulated to R-2. Insulation is not required on return ducts in basements. I Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics I (adhesives), mastic -plus -embedded -fabric, or tapes. Duct tape is not permitted. Exception: Continuously welded and locking -type longitudinal joints and seams on ducts I operating at less than 2 in. w.g. (500 Pa). [ ] I Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] I Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] I Air filters are required in the return air system. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space I temperature set point of the largest zone. Electric Systems: [ ] I Separate electric meters are required for each dwelling unit. I Fireplaces: [ ] I Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction I provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 OF must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Beating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/06/01 Receipt#: 11240 Transaction(s): Subtotal 1 Septic Permit - Construct - Resid. $10.00 Check#: 11240 Total Paid: $10.00 Name: Pfennig, Daren Pob 244 Wading River, NY 11792 Clerk ID: HELENEH Internal ID: 38120 SUFFOLK COUNTY DEPARTMENT OF ITEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER - RIVERHEAD, NY 11901 (631) 852-2100 FOR OFFICE USE ONLY Health Department Ref. No. APPLICATION FOR EXTENSION, RENEWAL OR TRANSFER OF EXISTING PERMIT TO CONSTRUCT SEWAGE DISPOSAL AND WATER SUPPLY FACILITIES FOR SINGLE FAMILY DWELLING REFER TO REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS PLEASE TYPE OR PRINT LEGIBLY EXISTING REFERENCE NUMBER R10-01-0038 t� Dist. Sect. Block Lot -. , �7 Tax Map No. 1000 121 04. 8.4 - NAME OF APPLICANT )avid and Linda Pilossof t C (If name is different from ori inal a licant, see instructions for transternng a permit and complete section 6 below.) Mailing Address P.0. Lox:. _ /YS `j I74f•11'TU c/(- 1.0W Phone NAME OF AGENT (if not applicant) Mailing Address Phone DATE OF ORIGINAL APPROVAL 6/26/01 (If more than 6 years old, anew application will be required.) TRANSFER OF PERMIT: I hereby transfer all rights and interest in the above referenced perm:.t to the new applicant named above; SIGNATURE OF ORIGINAL PERMIT HOLDER/AGENT , ) -- PRINT NAME Daren P. Pfennig DATE J e Jj 2005 MAILING ADDRESSPO Box 1331, Matti tuck, NY 11952 PHONE 631-298-0234 Application is hereby made to I ] extend, ] ] renew, ]X ] transfer for a permit to construct in accordance with this application, surveys and plans submitted. I hereby certify that I have examined this complete application and the statements therein are true and correct, and that all work shall be done in accordance with all applicable Town, County, State and Federal Laws. "Any false statement made herein is punishable as a misdemeanor pursuant to S210.45 of New York State Penal Law." Signature of Applican�% Date Print Name of Applicant Title Cit,tr 1 .David Pilossof Linda Pilossof If you are malting Substantial revisions or modifications to a project that has already received a permit to construct from the Department, or it the permit is more than six (6) years old, a new application will be required. Renewed permits are subject to any changes in standards enacted after the approval date of the original permit. DEPARTMENT USE ONLY 0 Permit is Extended/Renewed/Tra Until ,AoONumber of Bedrooms Approved Signature of Department Representative',=—��ZitN� Date , C WWM-104 (Rev. 3/03) Page 1 of 2 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 (631) 852-2100 DAVID & LINDA PILOSSOF P.O. BOX 1459 MATTITUCK NY 11952 Date Processed: 06/17/05 Hdref No: R10-01-0038 Received From: DAVID PILOSSOF CASH RECEIPT ************** Receipt #:126327-P-47723-13683 TRANSFER Fee: $70.00 Amount Paid: $70.00 Check Number: 2137 Project Name: RESIDENCE @ EIS R.O.W., 2202' SOUND AVE. Location: E/S R.O.W., 2202' SOUND AVE. GE0145 Albert J. Krupski, President James King, Vice -President Henry Smith Artie Foster Ken Poliwoda January 26, 2001 Mr. Daren P. Pfennig Pfennig Construction Corp. P.O. Box 244 Wading River, NY 11792 �o��gtlfFO��-coG y� 0 cm = oA a0! BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: WALTER & MARILYN GATZ SCTM#121-4-8.4 Dear Mr. Pfennig: Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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, Albert J. Kruski, Jr. President, Board of Trustees AJK:lms 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 Letter of Non -Jurisdiction - Freshwater Wetlands Act Mr. Daren P. Pfennig May 29, 2001 Pfennig Construction Corp. PO Box 244 Wading River, NY 11792 Re: Application #1-4738-02817/00001 Dear Mr. Pfennig: A& 901111111110110 NNW Erin M. Crotty Commissioner 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 responsibi obtaining any necessary permits or approvals from other agencies. ly, Oohn Wieland Permit Administral,hCEIVHD cc: BOH JUN It _ 2001 \' file BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED:/ ,5/05 APPLICANT: h DATE SUBMITTED:/ o /OS SCTM# DISTRICT: 1,000, SECTION: 12) , BLOCK: / , LOT: 9L� SUBDIVISION: ADDRESS: ,le �V k CITY: ZONING DISTRICT: CONFORMING? BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N - BP Z / C/0 Z- , INFO BP -Z / C/0 Z- , INFO /BP DO %Zl%//fes SINGLE &.SEPARATE CERTIFICATION -REQUIRED A/9NOTES: ,T LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED L S FROM JAN. 1997 100-25. Merger. (A nonconforming at any time aft x'7/1/8. REQ. LOT SIZE: CT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT .SCD PROP. FRONT RE :.IDE din,✓ SIDE REQ. REAR `2 PROP. REAR Iff Q--lTvl T PROP. HEIGHT PROJECT DESCRIPTION: ESTIMATED PROJECT COS �� ,� WATER FRONT? DESCRIPTION BULKHEAD? Zy A2 DISTANCE? �CHITEC NGINEER:- PANEL # FLOOD ZONE: APPROVALS REQUIRED SUFFOLK COUNTY HE RPTrC� NO, (BED #):,4f DT ' l 61 PERMIT #:1010,vlr od � TOWN SEPTIC RECEIP o`; N SEPTIC CERTIFICATION: Y or NEW YORK STATE DE -EC 9i, ast>Y ES NO $ 50UTHOLD TOWN TRUSTEES: ES r NO TOWN ZONING BOARD APPROVAL: YES 0 DTE: /_/ PERMIT #: ' TOWN PLAN. BOARD APPROVAL: YES DTE // PERMIT #: TOWN HISTORICAL PRE (SPLIA): YES O� NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: 6YR/ SF SECOND FLOOR: s Z ASF OTHER: SF INIT TOTAL: SF FEE L. ( SF)- (SF)= SFX $ =$ +$ Z. ( SF)- ( SF)=. 3.( SF)- (SF)= SFX $ =$ +$ SFX $ =$ +$ OTHER TOTAL FEE FEE FINAL TOTAL: $ c) L/ �f NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load: 45 Wind Speed: 120MPH Seismic Design Category: B Weathering: Severe Frost Depth: 36" Termite: M -H Decay: S -M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DEAD: Y/N SNOW: Y/N SEISMIC: Y/N WIND: Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) Z) O Z LSI C) O N Z 1Z) N N 88'45'00" E DEED) S 87'33'00" E w 41FST HOLE COUNTY OF SUFFOLK VACANT SURVEY OF PROPERTY SITUATED AT MATTITUCK (557.33' DEED) TOWN OF SOUTHOLD 544.94' SUFFOLK COUNTY, NEW AYORK "+ 4 . _—..�. s+•------ _ _ _ WOOD DZ SUFF¢dS\ COUNTY �13pAi1TMCNT OF fiCAL•T.a,3.��t11 - � .. �------ --------------- 1� -, PIERM1T Fad ArhF'it0i►ALOF C0mS$RUCT1bN'IF®R 1� Sit�C>1.� frAMm Rssro1'Nr ONLY rw � DATA r� &--o N�3. i2 F.1�0, d . o 0 3 3 _ APPROVED- FOR PPROVED FOR MAXIMUM b1- BEDROOM$ EXPIRES THREE YEARS; FROM DATE Of APPROVAL. z / Im aNO IPW7I0 I S 86'56'00" W tl�p�AT�B A Cpuz,�� yj 0110 � r O S 81°23'10" W V Q BUILDING ENVELOPE----,, _ _ A S.C. TAX NO. 1000-121—ON —8. Ln as SCALE 1"=60' ¢ DECEMBER 12, 2000 DECEMBER 20, 2000 TEST HOLE >r JANUARY 6, 2001 ADDED PROPOSED HOUSE AREA = 202,697.73 sq. ft. J4.653 ac. CERTIFIED TO: DAREN PFENNIG x 7D v y TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 18, 1996) e EROYNN LOAMY SAND SM PALE BROWN FINE SP TO MEDIUM SANG IrR I acs_ REMAINS OF OLD DITCH BANK 230.31' N 89°41'00" W rh11 NOT 0 1. REFER TO FILED HAP FOR TEST HOLE DATA. 2. MINIMUM SEPTIC TANK; CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. 1 TANK; 8' LONG, 4'••3' WIDE, 6'-7DEEP 3. MINIMUM LEACHING S"STEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 eq N SIDEWALL AREA. 1 POOL. 12' DEEP, 8' dla. PROPOSED CZPANSION POOL ® PROPOSED U:ACHING POOL i ® PROPOSED SIiPTIC TANK 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOWS INKED SEAL OR EYE SEAL SHALL NOT BE CONSIDERED TO BE A VALK) TRUE COPY. CERIffx'wTIONS RXXATED 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 INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE DaSTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE LMNUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE UAL.S. AND APPROVED AND ADOPTED FOR w" ."'" " NEW YORK -STATE LAND loeph A. Ingegno Land Surveyor Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD. New York 11901 Riverhead, New York 11901-0965 LJ 0 Z F LJ o a (V Z O � 04 0 (4 0 STAKE N 88'45'00" E DEED) S 87°33'00" E I COUNTY OF SUFFOLK 3G 3--a_- , 1 (557.33' DEED) o PRINCIPLE &' ACCESSORY BUILDING ENV OPE _ �_ _ _ _ — _ — _ _� 0-0 35.0' w CONCRETE FOUNDATION `n N 544.94' FOUND N� WOOD STAKE lJ1 NJ. --L---��=-�--- 2s.o• i w \ z Iw 0 z .m z Ia / IFLAG #7 I fFLAG #6 0 I ' FLAG #5 FLA i oI9�11h /10" W ', 126.72' CP OCL 'oo a0� FLAG OF GROUND DISTURBANCE / / \ / 0% \ D / FLAG #9 �c FLAG #11 �OS OFFICES LOCATED AT OM FLAG #1 FLAG #S F(iF- EN 2 OE RIVERHEAD, New York 11901 F,OC'y SUFOAA 0'RT �- O FLAG #2 S 86°56'00" W 5. 11\0 ol� ��a� pu�xOR1TY N/O�ATER OOUNTY FLAG #3 5U�,F.OLK 4 A NOTES: 1. ZONING USE DISTRICT: R-80 �14 PUBLIC I WELL 7y 10.11 6 d G1 me o c \ j5 � , O DORS � �a PRINCIPLE BUILDING ENVELOPE_-� ACCESSORY BUILDING ENVELOPE REMAINS OF OLD DITCH BANK S L.. C C FOUND CONC. MON. 230.31' N 89"41'00" W 110.86' a'z `L o 7 "1 a x aJ. SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-121-04-8.4 SCALE 1"=60' DECEMBER 12, 2000 MAY 11, 2005 UPDATE SURVEY AUGUST 8, 2005 ADDED PROPOSED HOUSE AUGUST 15, 2005 REVISED PROPOSED HOUSE SEPTEMBER 20, 2005 FOUNDATION LOCATION AREA = 202,697.73 sq. ft. 4.653 ac. CERTIFIED TO: DAVID PILOSSOF LINDA PILOSSOF UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED 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 INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.IALS. AND APPROVED AND ADOPTED li, SUCH USE BY THE NEW YORK STATE LAND N.Y.S. Lic. No. )seph A. Ingegno Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 322 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 Lli 0 Z W N/O/F > COUNTY OF SUFFOLK Q VACANT 00 N Z o� N � N N N 88'45'00" E DEED) m S 87_3 :LV' -E------ I i i I/ $ ,erzs g r i / f l /'k ` 91 - FOUND , / l Baz" //6�gg ,910 .ez (557.33 /DEED) WE :9 WOOD STA �- 544,4' \ w ; //;; / 0 -� �� / / / 1 / / �' r / / / / ' --- •-- ' W000 STAKE r � :.•% ±i•': Via.,.... e. I/�� / / h>�3 PRINCIPLE & ACCESSORY ILDING tNVE(OP —A PROPOSED� I o Lilq W °..:.;• / ,805 Ef -� CD \ Z / '•f t I / / , i / / / / / _ 150 'a�u \a� 9. •t 'p ✓6•.t /.. •/••.,a D-. / // •r f'/.:/.i.. .:I.:?OSEDDRIVFjgA,i''::.;.'�:-,...j ° /.Y. .:�.•' '1•'. '•3.51�"76S: //� / {/' / ;.0� -90 I I BQ� \/ '.1325 / •:. • . :, / ' < gg / TEST HOLE H:::... ! ::r. /.862 I . ........... J � r JAA�/ / X19 — / Ap� :ii::`:....:: `E�:::�:.y.:::r'::::i - _ - \ Aga '31 - •o �-. / v o i / f 1 / I / / 85.5, / uMlr'Of- eLF7lRMc-GFADfN .:........ _:.:._,....... .84.8 _�•C� _ 86.1AND GROUND QIGn,nwery� ��:.:r�...,..n:.:.:::::::::::.:::::::::.:r.•.::..p:..: /' % ------------ - --_ --- ------ --_\" --78 9C i 87�..::.: �/ �'Z62. - x / / R6 f1 / / // /''Y•�Gi�` __ -0 -�L41' _ t^ / / j5.3 2 -92 ,y /// p / - L�/' // / /' // // /// 0 _ \ \I 69.9•\ \\ , , `\ 1k 9O: / 80•-x• / p 7t8�__ G �h I I+i /' / ////Y' I I / / .� / / / / / / i / ^� N I r<' 'moo !aF�./ I PRIN23PL�BUIIDING ENVELOPE•-=�'-------- -66 \ // •910// / m _ / / // // - / /' , ' fs��lS W5 / 1 52QI I \•?---_--_-�_ \ / / // la, / / / / / � // // / / / / � of p`�� °• / / i I I�� __- �- 7��`A'l:CE550RYBV.U-BJOIG._E�DIELSPE�` / �t\C\RE/WNS OF OLD DITCH BANK 6i� la IM4 FOUND -22J// // i // / °c aSJ �o o ggI CONC. NON. i% %/ % FLA ; Q 0°J�oo�'`► ` AG g� ge ' 230.31' N 89'41'00" W 110.86' I //88.0 // ,/ l / l Pto�P`' FLAG 92 S 8656'00" W I f,BZ3 / // 126.2 // I I 1 I, / / / // // / / // J ' I I I I r / 5.� 5• Gj v 1 I I I ! / .�6JP�. cF' ot• Cj TKOR // / /'- I I I Imo► oNA N/ wx R All � /' /' ,/1 t�� 1 I I I / K COUN��Pcp� � ZL2 f 3 1 1 \ FLAG 83 U�FpL / ,z69 ( I �� i 1 I ,g fie• NOTES: 1. ZONING USE DISTRICT:' R-80 2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM I � 1 zaz ., �? 5 EXISTING ELEVATIONS ARE SHOWN THUS: sD.D I� -- REMNT °F ° -BO Z&l LA �B ' EXISTING CONTOURS ARE SHOWN THUS: ----6D------ - Bz9 PUSUc 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. l 10 W 12-6.72 WEu 23 1 TANK; 8' LONG, 4'-13" WIDE, 6'-7" DEEP 879 81° 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. Z 1 POOL; 12' DEEP, 8' dic. �\ \ 6 O I PROPOSED EXPANSION POOL OYL"0 ®PROPOSED LEACHING POOL ®PROPOSED SEPTIC TANK 4°�°�• `o,� 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD �G• OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-121-04-8.4 SCALE 1"=60' DECEMBER 12, 2000 MAY 11, 2005 UPDATE SURVEY AUGUST 8, 2005 ADDED PROPOSED HOUSE AREA = 202,697.73 sq. ft. 4.653 cc. CERTIFIED TO: DAVID PILOSSOF LINDA PILOSSOF TEST HOLE DATA (TEST HOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 18, 1996) Cr BROWN LOAMY SAND SM r PALE BROWN FINE SP •:•:2' �.; TO MEDIUM SAND UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED 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 INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION, CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS A D/OR EASEMENTS OF RECORD, IF OT SHOWN ARE NOT GUARANTEED. F N " P O PREWAR�BB..,(� ORDANCE WITH THE MINIMUM Li �SfiANDAWFO TLE SURVEYS AS ESTABUSHED Y w o� 0 z Li O a O N O z � p N 88'45'00" E DEED) LV N S 87'33'00" E EST HOLE IS 9 "'Wo"ER 4<TELEPHONE BOX 'F1EC,RD MER, DIRr zi,y A- � NCOUNTYOF SUFFOLK SEPNC OF CLEARING , GRADING GROUND DISTURBANCE FLAG FLAG #11 FLAG X9 K5 Fuc pH E�Ez�`��rst\a2o Fisc p1 O.N��,O OKMc. GO xE0 .rl 5�pAF��. FLAG N7 (557,33' DEED) ';Hll 544.94' 6O�LE` mt e nl HG,o�,T wEu $a' 73T � 25,{' WOOD \q0 w „I.- 350. bP y 7 STORY FRAME HOUSE h GARAGE Fuc N2 S 86'56'00" W �{: tiAepr• \Cp /TY tEo Golo� F AOTHOR FLAG #6 eat AI Nip ATgR COUNTY FLAG (j3 FFOLK SU FLAG ,#5 FU A 41 �,. NOTES. 1. ZONING USE DISTRICT: R-80 R 5 DANS OF OLD DITCH BANK 230.31' N 89'41'00" W SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-121-04-8.4 SCALE 1"=40' DECEMBER 12, 2000 MAY 11, 2005 "'ATESURVEY AUGUST 8, 2005 ADD D PROPOSED HOUSE AUGUST 15, 2005 REVI ED PROPOSED HOUSE SEPTEMBER 20, 2005FOUNDATION LOCATION MARCH 10, 200 FINAL SURVEY FOUND CONC MON. 110.86' oOF D D DB°" ` ' TEST HOLE DATA ftID NN5 (TEST HOLE DUG BY McDONALO GEOSCIENCE ON DECEMBER iH, 7996) Pu9uc WELL R. , .11 12672' 10 YY BROWN LOAMY SAND SM 5 81.23 4 OO L r1 SP PALETO BROWN FIN UNAURIORIZED ALTEMTON OR ADDITION THIS OF OFSh b� TO MEDIUM SANDE SECTION 7209EW EW¶ON YORK STATE �$ EDUCATON LAW • COPIES OF THIS SUR+ MV NOT BEARING SEAT OR4� INOTDBE L EMBOSSED SELL SSOHALL CONSIDERED E' TO BE A VALID TRUE COPY G HEREON SHELL RUN feP£ �T ONLY THE ONLY TO THE PERSON FOR WHOM THESURVEY PERSON IS PREPARED. AND ON HIS BEHALF i0 THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENOING INSTITUTION LISTED HEREON. AND TO FS THE ASSICNEOF THE LENDING INST- TUTON CERTDCATONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. AREA = 202J697.73 sq. ft. 4.653 cc. DAVID PILO$SOF LINDA PILO SOF ULSTER SAVINGS BANK Josbph A. Ingegno Land Surveyor Title Surveys - SDbd,,,SiaQ9 - Site Plane - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 322 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD. New York 11901 RnerheaC, New York 11901-0965 V ' ov Gw � ..: . UNDERWRRERS CERTIFICATE I REQUIRED APPROVED AS NOTED �% .. DATE: /,Y .P. M !e�✓� _ FEE , N9B'— Sy. y NOTIFY BUILDING DEPARTMENT AT 765-1802 SAM TO 4 P FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION — TWO REQUIRED ,. FOR POURED CONCRETE ` 2. HOUGH - FRAMING & PLUMBING •\' /' 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR vDESIGN OR CONSTRUCTION ERRORS. 66MPLY WITH ALL CODES OF NltVV YORK STATE & TOWN CODES .AS REQUIRED AND CONDITIONS OF - „� t//F I SOUIHOLDTOWN ZBA SOUTHOLDTOWN PLANNING BOARD J S SOUTHOLDTOWNTRUSTEES N.Y.S. DEC CERTIFICATION OF PLUMBING NAILING & CONNECTIONS ALL L PLUMER BING WAST Him- ., TESTING BEFORE COVERING d,! ALL CONSTRUCTION SHALL r y MEET THE REQUIREMENTS OF THE OCCUPANCY OR Coo>s,OF,NEwXoRIGJn7€: USE IS UNLAWFUL WITHOUT CERTIFICATE DO NOT PROCEED WITH UNTILRVEY OF OCCUPANCY OF FOUNDATION ON LOCATION - - -- HAS BEEN APPROVED. ERTFICATION ' ON LEEAD CONTENT BEFO E -- CUPANCY FLOORONE CERTIFICATE OF COMPLY WITH CHAPTER "46" WATER SOLDER USED IN FLOOD DAMAGE PREVENTION SUPPLY SYSTEM CANNOT SOUTHOLD TOWN CODE. EXCEED 2110 OF 1% LEAD. -» �,� � •. r � --fir � - i VAT- {t:'?.T-fie._---'+lC-- w pp I 1� IT 1 i i i v i e �. 4 i e �. 4 m 'f• t t µ00 i 1 rr I I - - -------- ........... 0 0 ryr Lx to z•� �;r. �,� 0 LJIr-ii•' (9'-n`l-�n'7 t2•)=' I 71 0 a n �� 4'YC fa,t'no �v _-�"" � ._.�---� �'�i Eye p<�r2irv1 C� *,� ,,"` _ •G„ r',., l,ui, p V L Q x 4 � r o r a � l a 2r�n t�trx;� 1 ' ov 4 q � � �' 1-=JL4-r1.S'�...�'� U�S'{i-�'(. ter. -f. � tf > � j� r�.-✓'PF-� 'F� r �''G f./E'?t'.2..� I �-�r .��. f ��f�G'�" _ i.M.�il.r v�ilN G'C�{�?'Fkr {V' ,r'{'.ti'r..; d•r l�F1C.,& 1 + >1 '.>6 t?Rdae' w.ITJWiZ-z`r VN Cvrr'P� - ',rr Lk,,�rv}E''ijtr'- - #'r _ "fa . G.r-t�.F•..,p4: f fl;.cvu7M�E:c;,. ,--- _.. C a B yy in 1 - m \ x, ' k a 2r�n t�trx;� 1 ' ov 4 q � � �' 1-=JL4-r1.S'�...�'� U�S'{i-�'(. ter. -f. � tf > � j� r�.-✓'PF-� 'F� r �''G f./E'?t'.2..� I �-�r .��. f ��f�G'�" _ i.M.�il.r v�ilN G'C�{�?'Fkr {V' ,r'{'.ti'r..; d•r l�F1C.,& 1 + >1 '.>6 t?Rdae' w.ITJWiZ-z`r VN Cvrr'P� - ',rr Lk,,�rv}E''ijtr'- - #'r _ "fa . G.r-t�.F•..,p4: f fl;.cvu7M�E:c;,. ,--- _.. C a B A cam--- - o� � poi d � 0 9 + GPNI M N0M5t I, M cviotructlm is to =form to W State aid Lead budding 066- 2. M plabrq Is to conform to Calmly and Local hsalth department regarenlants. 3. M eleotrlcal work to 604" to Local NPLI ad Lktderwrlt" reopremerm, 4. Cattractor shall verify atl dim "i" ad tmtdttms In the field prior to taehxactlon and wtA erchlFect of ext conflicts cr disacpatcim 5. Written dUknow" shall take precedent ever scaled ones and larger scale detail sh:d take precedent over MW scale drgnags. 6, The a d ltect shmll be ratified of all chatip to the desgn, the axhitak b rot respaoiWo for chews made wltltwt notiflattim MoD✓; IN Wk°If1NG. 7. The Wswatai of all materlab old pvdicts Ad meetall mwvfachrersrecpmenle+ts, 8. Prxuds m ka and carbon maroxide detectors as per W 5tate arks, 9. Prefabricated fireplaces and fires shall be U. approvd. 10. gword architect b not responsible for slpavlslm. bspectat a-admhblratian of the Project unless regleow n wrltim, M516,N 1AA175 traans other than deepmq roans 40 PSf. We Loads Seprq room 50 P,5f. Lee Leads extern WON" 60 W, Live Leads Decks 40 PSf. Lam Leads Attics w6a t storage 10 P,Sf. Lne Loads Attics with Awa.>c 20 P.5f, Live Loads POUNPAVON L Comawts b to be 3000 p.s.l. mmanan on 2 tors/ s.f, sod be" capacity. Verify soli l eaaq capacltq In the fold. 2. 14" wide x Ib" deep pared amavto footmtgs with s 11/ 2" Y.!51/4" kexlfock to retsina m 8" pared co=ot fandatlan wall. 3, Damp-proof extari r of fmtdatlon wall with balled at mastic to gacle. GAIa"PNfiI?Y 1. All kmbar.for franaq shell be Palos Pr 42. Dean, headers ad floor },iota shall have a fiber bentdtrq streas of 850 pe.i. 2. All lkmders to 6c 2-2" %1211 wleso oknwse rated. 5. block all port leads and bm" partition loads directly to fardablom Add now blade peer A" nacesum. 4, nobly from aard dl ope irvo, nada' parallel partitions and oder bath hb% 5, "lata" aanoetlaa regnred at all fksh *ztur4 bad mryaq mrdlta m 6, All exterior deck fran" Ow 6e KO treated lirba-. 7. Di idgtq to be e0w odd or I" x 5" am bndopq or 18 qa. avers brtdgmq at 8' osis B. ktterekr Mea rN walls to 6 Mocked at 4' oc, 9. Protide rldgs vents where cathedral celmgs arc toad. Nrrlram dip A rafters volare Wham catliedral eeilkw are used. 10, M Midi plates, LVL.' 0 ad grden aro to bear on $did wood posts ad hal", add bbokrq doom to faxdation walls. II. M firer mq hs dwas sham m these plats. Mess athenwse mtdlcated, 1,11 %rip" $bag" f1e %MY NOTES l NI conshudWh shall be in awadar'e with the regmmeaths of the W 5bate N rM Catsarvation Camtrrwhat Code, the latest edition at the tine the permit b approved 2 Windows ad sill glass- U-58 "M 5. Exterior doors ad doors to gear- U-40 mm, 4. M thermostats shall be adusfahle 45.85 deq f, per canblr atwl heabq ad awlrq t1wirostai6, the mtv shall be 45-85 deq.f max. 5. b shell be the respaalbdrky of the raltractor to airrrlt she, design ad ttpa of medtadeal systems which will LC used n sufflder ; detail as b ragnrcd 64 the AIM" Department, 6, All f nipleim are to bar prowdod with a d near for outside combustion air, 150.200 ohm flux to have t*, sashed damper- max, err lapkAw 20 afm. 7 Water sere, Ire temparahre antrols shell he set at 140 deq.f. max. 6. M lavatories and showers"be egappsd with devices to lint lint wafer flow to a mraunm or 5 q.pm. a 60 psd. pesare. 9. M materials apaNe of sbsablrq moors shall be protected bf a vapor barrier located on the Winter warm skis of insulator. 10, kwdaten shall 60 metalled in a arm w that pavdes for aattauhy or madatim at plate Imes/ bail Joists and camas IL WAC codrei scplpment still be rated in arcwdara whh table 4.6 of the gooey Cade inti, 5R C dricierwo shall be as specined In tables 4-8,4-9. ad 440 of the er" Code. 12. hralabs all Apes and diets as per code, 0. Co ibushoa eglpnent for epaca heatirq aid water heatmq sleali have a mmna m aarbtebon of 75X end shelf loam 5ta&q losses Mss tion the ado specitbd maunm based on WW aplpment site,, - 14. TherA tiamibtatce Va6es doll rat be Beater {itabt t#e values tabdaked kit" 51 of the Ods. A C5 SfA=W "ibect stated flat to the best of m" krVAedga, belief end paofeasbnal Judgettenk traffic plms and speciflcatbro ahLO ed In these d«xvmpgs axpply with the W State rktergy Caaservnttn Gavbtictbn cede, IZei'er to MEG check candiarr nmpat filed m pct arils Isddmq perm& appikdtwt, atkaded to these Lanbwtlan poammts. GalMA11C"aoc, MIC M516N CIZIS14A: GPand `moa Lead 45 Pyr wmdd 5poad <M" 5 5wo"d Gust 120+ MPN Wind zone III 5elemle peslgteatagay 5401a D wmffi rkl 5etonr Presume pepdt 31-0" fermltes Msckrote to &" Decay 51tolttto Modena wow pesga fere %Wdk I I Plood Naiad zWC wad expogra 13 5impllfied Wall/ P\00f NAHm Zones 5111�AVNG 5CHMI,� � >1V < All 1/ 2" ext, Plglwood Wall Sheathing to be Secured with 6d Common NadS f ahem as Indicated Above, 5ldeweill 5heathlnq to be 1/ 21 ', Poof to be 1/ 211 C19X 611 AZINCa pPOT�C110N WIN12 1:30PM M1305 PA5TWP5 A5 NOMP IN SCNWU MXW MYW0017 A5 NO V PI YWOOt7 5f0P A PANNI. 5NUfiyp nrf& n.t.s. FA59N51Z TYPE ZONA I ZONA 2 ZONA 3 FES t2 111 O'Cl 9" 81,O.C. 121, O.C, �1261 311 O,C, 1" O.C. 611 O.C, All 1/ 2" ext, Plglwood Wall Sheathing to be Secured with 6d Common NadS f ahem as Indicated Above, 5ldeweill 5heathlnq to be 1/ 21 ', Poof to be 1/ 211 C19X 611 AZINCa pPOT�C110N WIN12 1:30PM M1305 PA5TWP5 A5 NOMP IN SCNWU MXW MYW0017 A5 NO V PI YWOOt7 5f0P A PANNI. 5NUfiyp nrf& n.t.s. FA59N51Z TYPE PML SPAN _6' 61-81 < 4. -011 41-61 2I/2" 6 12" 9" 611 W0.5GITW5 2 1/2" # 8 12" 121' 911 WV. 5CMW5 Provide 1/ 2" OX pll.iwood panel;, Maximum span of 6-0." for every window, Panel. shall be pre-cut to cover the glazed opening, labled, with aper oprlai;e attachment hardware, NOS; fhi; set of plans ha; been deigned in accordance with the American Forer�t and paper &5oclatlon (AF &PA) wood frame cai5truetlon manual for one and two familq tlwelhng5, 1995 51X Nigh Wind edition. L5fA 9 Pzf'L-r fres a 16" O.G. 8-IOd @ 3211 ,�� / i to ,. , .. ; Y . WM i/ r• O.C./ / I IWq acrov,top I- ' i Y I +I ,zaziclwhdowaid door/IY' / NOT y Provide contlnaoo load path from ridge to famlei m. l %A 24 All cmiectlons to be 51mp5on @ 3211 O.0 115tror,141C" camectors, 18-IOJ Provide 5/ 8" GPX sheathlnq acro." Second flog box. Install plywood horizaltallq with jol.t 12" 614 15t floor wall plates. ` N) L%A 18 _ Pxtend }'sheet across bac and bottom of 24id floor wall "tads/ Provide 2 rows of 8d galy. a g2 52" 11 O.G, Wads aam5 top of Ist floor, wall plate. 6� aid 2n0 flea- sill @ h" O.G, to cameo wall framkq acr05 bay beam, 1/2"dlaxld"l..x.24t \ ,� raa,aatta, 01C,10116121, 5b. washer; 2r h bolts 1'-0" from corners I`. 4., r r io ( ! .._ �� 1-. I � � .•_, -� -`1 t �� j I � `� til ¢a: � � ' : M«✓,4i+WSifMt%W�,..e'�xk'YM�1w5C�iAx:�- ,.,ww.++ _ .a.��-�'.'' MdrV9.ti§1�X}iN�4:� • I . �% ib Nry, � � ' Jw::Wen.Su pm'K'"sirw'i.,ryr�,wn,yN.'� w bF!. 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