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30836-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31799 Date: 09/18/06 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 350 LAKESIDE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 90 Block 3 Lot 16 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 2004 pursuant to which Building Permit No. 30836-Z dated DECEMBER 9, 2004 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CLAUS F RADEMACHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0165 09101106 ELECTRICAL CERTIFICATE NO. 3007455 09/14/06 PLUMBERS CERTIFICATION DATED 02/11/05 CUTCHOGUE EAST PLUMB&HEAT A horized Signature Rev. 1/81 V Form No.6 �� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 65 1802 HALL APPLICATION FOR CERTIFICATE OF OCCU�ANCY TCW^t: '- 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. Swom 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 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 Date. 'Lz do -t- New New Construction: Old or Pre-existing Building:�_(check one) Location of Property: 3J-D Lyg-rat 0e /f4,.r ap*?- er, AVvt 614r d"Mr)Lp House No. ' Street Hamlet Owner or Owners of Property: L4-k P t A?i4 Gaa E/Z j o 03 !,r Suffolk County Tax Map No 1000,Section n Block 05 Lot /6 Subdivision Filed Map. Lot: Permit No. 3 ® P 3 ?Date of permit. Applicant: C I4d VJ /(0 p��f1C Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ 2,(^r 9D pplicant ignature 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. 30836 Z Date DECEMBER 9, 2004 Permission is hereby granted to: CLAUS F RADEMACHER 136 EAST 73RD STREET NEW YORK,NY 10021 for ADDITIONS & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING W/FLOOD PERMIT AS APPLIED FOR PER DEC & TRUSTEES . THIS PERMIT REPLACES BP28833 . at premises located at 350 LAKESIDE DR SOUTHOLD County Tax Map No. 473889 Section 090 Block 0003 Lot No. 016 pursuant to application dated DECEMBER 9, 2004 and approved by the Building Inspector to expire on JUNE 2200 Fee $ 399 . 10 f thorii�n`ature ORIGINAL Rev. 5/8/02 09/15/2006 02:33 FAX 212 535 0829 CLA_i:, F RADXe''H.9CHER ARCHI 21002 nyrio+LF7eb 14:37 171d494E829 PAGE 02 5 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY �5 40 FULTON STREET -• NFEW YORK, NY 10038 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 CLAUS RADEMACHER CLAUS RADEMACHER rCcj c 136 EAST 73RD STREET 965 CEDAR POINT DR EAST 5 NEW YORK, NY 10021 SOUTHOLD. NY 11971 5 Located at 965 CEDAR POINT DR EAST SOUTHOLD, NY 11971 Application Number: 3007455 Certificate Number: 3007455 [C Section: Block: Lot: Building Permit: BDC: ns11 [`�I Described as a occupancy, wherein the premises electrical system consisting of C electrical devices and wiring, described below. located in/on the premises at: rrr+++ First Floor,Second Floor, Outside. A visual inspectioq of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein. was co iucted in accordance with the requirements of the applicable code and/or standard 5 promulgated b• ,iia State of New York, Department of State Code Enforcement and Administration. or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September,2006. Nauss Qn Raw 8 tin Circuit Type ArnouQ Miscellaneous as built -2003 $0.00 2nd floor addition and $0.00 assorted up grades to 1st $0.00 Floor $0.00 n, Alarm and Emergency Equipment Sensor 4 0 Smoke $0.00 Appliances and Accessories C Exhaust Fan I 0 F.H.P. $0.00 5 Wiring and Devices 5 Outlet 24 0 Fixture $0.00 Fixture 21 0 Incandescent 50.00 rj Fixture 3 0 Flourescent $0.00 S SOutlet 31 0 General Purpose $0.00 5 Receptacle 21 0 General Purpose 50.00 Switch 20 0 General Purpose $0.00 5 Paddle Fan 1 0 Ssea! $0.00 Receptacle 2 0 GFCI 50.00 Invoice Total $180.00 Continued oo Nest Page 1 of 2 S This certificate may not be altered in any way and is validated only by the ttresence of a raised seal at the location indicated. u-�n - Ti-..:. 1... 09/15/2006 02:38 FAX 212 535 0829 CIA'-'' . F RALjUACHER ARCHI 12003 09/15!2006 14:37 17184946029 PAGE 03 aLI�LI@JL PrA ' CACP s (5, BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF F=IRE UNDERWRITERS 5 BUREAU OF ELECTRICITY S c 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT 5 Upon the application of upon premises owned by �+ 5 CLAUS RADEMACHER CLAUS RADEMACHER 5 136 EAST 73RD STREET 965 CEDAR POINT DR EAST 5 NEW YORK, NY 10021 SOUTHOLD, NY 11971 5 Located at 965 CEDAR POINT DR EAST SOUTHOLD. NY 11971 Application Number: 3007455 Cert'Ificate Number: 3007455 C5 5 Section: Block: Lot: Building Permit: BDC: nsl l 5 C7 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: Fust Floor,Second Floor,Outside, C A visual Inspection of the premises electrical system. limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard Promulgated tyy the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September, 2006. 5 Name QTY RaIe &tis =ircu L= S5 An as built impaction,of the delineated electrical installation,datonnined that an obvious hazard is not present and the installation is believed to be in comfotmance with the applicable reference standard for the estimated period of construction of the prcmiaes wiring system. 5 5 5 seal THIS IS YOUR RECRTPT 2 of 2 J This certificate may not be altered in any way and Is validated only by the presence of a raised seal at the location indicated. PrrifflIEN Fax (5161765.1823 own Hail. 53095 Mein Road Telephone (516) 768>18D2 P. U. Box 1179 1 Southold, NOWswYodc 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUT'HOLD )r-ft-x . x ccs NM building Permit No. owner; US �qD,> (P .eaiae Pr.tmt) tic— ALC las Plumber" lPleas� P.. ) X certify that the solder: used in the water s',*Ply syetem contains logo than 2/10 Of 1% load. /UIr csr+.aturee) SUSAN J. NAGY Notary Public State of New York Sworn to before me this No.4896735 Qualified in Suffolk County a day Of Commission Expires May 20 county Notary Public� "� �gUFFOt��, (, s � n ! Albert J.Krupski,President ��. O Tojwnn H James King,Vice-President G'y� b3Q�9a�{CO 28 7 [UW Artie Foster y PCO B x 1179 Z ew Southold,tYork)197 1 Ken Poliwoda y, AT L Peggy A. Dickerson Cy ��� Telephone(631) 7654892 Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0026C Date March 1, 2005 THIS CERTIFIES that the second—story addition to dwelling At 350 Lakeside Dr. , Southold Suffolk County Tax Map# 90-3-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 7/5/01 pursuant to which Trustees Permit#5375 Dated 7/25/01 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is a second—story addition to the existing dwelling The certificate is issued to Claus F. Rademacher owner of the aforesaid property. Authorized Signature VII oYF� � /� Mss � • • / • ' �� f F 44 �. k�{.11.1 � ,• F 31 A � T I 1; t'y�� r �.. 111•/I.1•.. •o �� � � ' Ott_ � � ♦ �a �' c. ♦ � 'mow /Ij t` 41 rt d_♦ /"'/ •.✓'J�.O"Or!J.4YY/'' i .J�d��i.• ..I/.✓7�' .✓YJi:: 1� 1 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: --- BUILDING OWNER'S NAME ,Policy Number CLA S ,2 &%2 BUILDING STREET ADgqRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 3 .CN Ke-S/D.� De IrFG CITY ZIP CODE sac,, 440 ,/ STATE N- �/- %S7/ PROPERTY DESCRIPTI N(Lot and Block Numbers,T Parcel Number,Legal Description,etc.) /vaO— �O-03 —/ � / BUILDING USE(e.g..Residential,Non-residential,Addition,Accessory,eta Use Comments section if necessary.) LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: LJ GPS(Type): AW-##.#N' or LJ NAD 1927 LJ NAD 1983 LJ USGS Quad Map LJ Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.C NTY NAME 63.STATE 7z�H+N Oi WJ�'/I(MY JV t_J �� � B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL 68.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTNE/REVISED DATE ZONES) (Zone AO,use depth of flooding) G2 G JfVA 91 # /sP AE a BID. Indicate the source of the Base I "Elevation(BFE)data or base flood depth entered in B9. L-I FIS Profile - U FIRM LJ Community Determined L-I Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: LJ NGVD 1929 LJ NAVD 1988 LJ Other(Describe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? LJ Yes "No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: L_jConstruction Drawings' LJBuilding Under Construction* Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number Z (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations–Zones Al-A30,AE,AH,A(with BFE),VE,V1 430,V(with BFE),AR,AR/A,ARAE,AR/All-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIR ? LJ Yes L<J No XE U a)Top of bottom floor(including basement or enclosure) Z .43 ft.(a* • b)Top of next higher floor B 3 ft(M) g O C)Bottom of lowest horizontal structural member(V zones only) ft(0) 3 a �O wofgyFAo ❑ d)Attached garage(top of slab) — _ft,(�) E 2g y �Q e)Lowest elevation of machinery and/or equipment W F S? 1 e servicing the building 11 , 3 ft.(vr) E 2FJ ❑ 0 Lowest adjacent grade(LAG) s , `L ft-(a) = ❑ g)Highest adjacent grade(HAG) 6 . B ft. (ne) K5. O h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade — srq OF W to O i)Total area of all permanent openings(flood vents)in C3h sq.in.(sq.ant) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed an�l lad Pi, gineer,or architect authorized by law to certify elevation infornation. I certify that the informa8on in Se� �, �te represents my best efforts to interpret the data available. I understand that any false statemen may a punrsryaWe by fine orimprisonment under 18 U.S. Code Section 1001 C RTIFIER'SNAME /N o FO :Bi.�q 6Z `J(1V ZOOl LICENSE NUMBER p 6 o / TITLE COMPANY NAME ,f 4A�rt�// fJ6r/ .•�oS 'Y or to /sak/ SdC[/ /.[S ADDRESS �® 3A13�32! pp CITY. .FAQ ,. T CODE SIGNATURE SIGNATURE - - _.. r - t'.e ' TE TELEPHONE6 _727 2090 FEMA Form 81-31,AU 99 V SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt., nk,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number 3 41iKe side ,e lam CITY SoV�4.o STATEA ,- /y /(ZIP7%DE Company NAIG Number /V 7 9 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. COMMENTS I_I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed— see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is I I I IL(m)I I lin.(cm) U above or U below (check one)the highest adjacent grade. E3.For Building Diagrams 6.8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is I I I ft(m)I I lin.(cm)above the highest adjacent grade. E4.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?U Yes I_I No I_I Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE %DATE TELEPHONE COMMENTS LI Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,8,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Gt. 1I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevatio(tdat(�;; Comments area below.) G2. U A cemmunity�Rff' mpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. U The followN igf rma: (Items G4G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER. i J G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issupa for. U New Construction LI Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _ft.(m)Datum: G9.BFE or(m Zone AO)depth of flooding at the building site is: _IL(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE .+ DATE COMMENTS I I Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS CLAUS F.RADEMACHER • ARCHITECTS 138 EAST 73 STREET L 1 NEW YORK • NEW YORK 10021 FAX 212.535.0829 212.535.1800 15 r, 20021✓~ Michael Verity Principal Building Inspector Southold Town Hall Dept. of Buildings 53095 Main Road Southold,NY 11971 Re: 965 Cedar Point Drive/ 350 Lakeside Drive application 1000-90-03-16 Dear Mr.Verity, This is to certify that the proposed addition to the above stated residence as filed will conform to NY State energy code requirements. Sincerely, Claus Rademacher,R.A. RED Af?Cy, \C��F.RADF,t/9 rft` �` 3y gym C� U p tP�9� N0. 0196��y0Q FOF NES CFR/kr ref.4000P New York State Department of Environmental Conservation Biasing of Environmental Permits (h r n o r Building 40 - SUNY, Stony Brook, NY 11790-2356 Telephone (631) 444-0365 Facsimile (631) 444-0360 � � I � 9 2 2052 I NNW �J L Erin M. Crotty Commissioner August 14, 2002 Mr. Claus Rademacher 136 East 731 Street New York, NY 10021 RE: 1-4738-02916/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its iruplementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Darleen M. Gerbino Environmental Analyst DMG/ls Enclosure NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PNRMIT NUMBER EFFECTIVE DATE 1-4738-02916/00000 August 14,2002 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental August 31,2007 Conservation Law TYPE OF PERMIT■New ❑Renewal ❑Modification❑Permit to Construct ❑Permit to Operate ❑ Article 15,Title 5: Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: ❑ Article 15,Title 15:Water Supply ❑ Article 19:Air Pollution Control Hazardous Waste Management ❑ Article 34:Coastal Erosion ❑ Article 15,Title 15:Water Transport ❑ Article 23,Title 27: Mined Land Management Reclamation ❑ Article 15, Title 15: Long Island Wells ❑ Article 36: Floodplain Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, Scenic and ❑ Articles 1,3, 17, 19, 27,37;6NYCRR Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control ❑6NYCRR 608:Water Quality Certification ❑ Article 27,Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Claus Rademacher 212 535-1800 ADDRESS OF PERMITTEE 136 East 73rd Street, New York, NY 10021 CONTACT PERSON FOR PERMITTED WORKTELEPHONE NUMBER Land Use Ecolo ical Services, 2576 Sound Avenue, BaitingHollow, NY 11933 631 727-2400 NAME AND ADDRESS OF PROJECT(FACILITY Rademacher property, 965 Cedar Point Drive East, Southold SCTM #1000-90-03-lots 15 & 16 COUNTY TOWN WATERCOURSE NYTM COORDINATES . Suffolk Southold Pleasant Inlet DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a second story addition to an existing single family dwelling. Install a new septic system. All work must be done as shown on the May 4, 2001 survey by Joseph A. Ingegno, L.S., last revised June 12, 2002 and stamped "NYSDEC Approved 8/13102." By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 &3)and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Region 1 Headquarters George W. Hammarth (DMG) Bldg. #40, SUNY, St ny Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE ,/APage 1 of 4 Au August 14, 2002 new TURK a IA I t uerAR I Mery I UV ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item Aa Perfnittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives,employees,and agents("DEC")for all claims,suits,actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with,or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals, lands,easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps,drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System(SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions,orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER 1-4738-02916/00001 PAGE 2 OF 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5),24, 25,34 AND 6NYCRR PART 606 ( TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alterthe structural work,obstructions,or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall,without expense to the State,and to such extent and in such time and manner as the Departmentof Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S.Army Corps of Engineers, U.S.Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly,without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977(PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed'and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by_ DEC PERMIT NUMBER PAGE 3 OF 4 14738-02916/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. The installation of the new septic system must be completed before any work begins on the construction of the approved addition. The permittee must submit a set of dated, labeled photographs depicting all components of the new septic system installed in the open excavation (prior to backfilling)to the Regional Manager of Marine Habitat Protection at the above address.) Upon receipt of satisfactory photographfcevidence that the new septic system has been installed,written notice to proceed with the remainder of the project will be issued. 2. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from 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 project 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. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 5. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). 6. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 50 linear feet from the tidal wetland boundary. 7. If seeding is impracticable due to the time of year,a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 8. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 9. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 10'linearfeet landward of the tidal wetland boundary. 10. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 30 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 11. Roof runoff shall be directed to drywells a minimum of 100 feet landward of the tidal wetland boundary for immediate on-site recharge. 12. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2' above seasonal high groundwater. 13. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidalwetlands associated with Pleasant Inlet are located at Suffolk County Tax Map Number: District 1000, Section 90, Block 03, Lots 15& 16, otherwise known as the properties of Claus Rademacher and his heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law(ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to:NYSDEC,Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER PAGE 4 of 4 1-4738-02916/00001 2- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / FINAL [ ] FIREPLACE & CHIMNEY [ \] FIRE SAFETY INSPECTION REMARKS: DATE �� ���� INSPECTO M-1802 BUILDING DEPT. 1 NSP ' C-F OU TION 1ST [ ] ROUGH PLBG. OUNDATION 2ND [ ] INSULATI AL [ ] FIREPLACE CHIMNEY_ REMARKS: 40-c�w-levl) ) ��2 ' lee DAT INSPECT R i �n 3 08- m-1802 BUILDING DEPT. I N!pOUGH CTION [ ] FOUND 1ST [ PLBG. [ ] FO DATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY REMARKS: a� DATE INSPECTO 3o Fl3Co 2e/1 M-1802 BUILDING DEPT. INSPECTION ;] FOUND :e ION 1ST [ OUGH PLB � F NDATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMN" REMARKS: DATE /n r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREP C & CHIMNEY REMARK DATE 1! INSPECT �f FIELD INSPECTION REPORT DATE COMNMNTS e t� FOUNDATION(1ST) �1 ----------------------------------- C FOUNDATION(2ND) [yif z _ o ROUGH FRAMING& PLUMBING �fL Q Lv dy/z3 c 2W + r � INSULATION PER N.Y. STATE ENERGY CODE G Ell r O e \ e FINAL 75 ADDITIONAL COMMENTS _ O _ Z m 1 O z H l C 'v +^ H Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/23/02 Receipt#: 0 Transaction(s): Subtotal 1 Septic Permit- Construct- Resid. $10.00 Total Paid: $10.00 Name: Rademacher, Claus F 136 East 73rd St New York, NY 10021 Clerk ID: LBOHN Intemal ID:62690 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: APPLICANT: DATE SUBMITTED:9 /,/a SCTM# DISTRICT: 1,000, SECTION: _moo , BLOCK: �_, LOT: IC, STREET ADDRESS:,�� L4:N�,, k� CITY: �,� SUBDIVISI0N7?caac,-,- PROJECT DES CRIPTION: L.,� ESTIMATED PROJECT COST: 50 oao AST/ENGINEER7P,,e ,,� FAST TRACK?-,bLo SINGLE & SEPARATE CERTIFICATION-REQUMED? �,b NOTES: LOTS 40,000SF-100-24. Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after , ZONING DISTRICT: 'R-4o CONFORMING? go REQ. LOT SIZE: Ao oc,o ACT. LOT SIZEaI,L--3c-) REQ. LOT COV. ACT. LOT C V. REQ. FRONT -4o PROP. FRONT o / REQ SIDE Ij5 ACT. SIDE s*-; �i•4t REQ. REAR ,;z5 PROP. REAR_1-0 REQ. HEIGHT / PROP. HEIGHT_ WATER FRONT? 9 ow DESCRIPTION: PANEL #: FLOOD ZONE:, a� APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: ES r NO, (BED #): 4DTE:':T_/__LA/ LPERMIT#:R10-e) p �- TOWN SEPTIC RECEIPT(9or N NEW YORK STATE DEC: PRE-DEC 9/1/75 ES r NO 8/1 y I a SOUTHOLD TOWN TRUSTEES: or N TOWN ZONING BOARD APPROVAL: or O TOWN PLAN. BOARD APPROVAL: or TOWN HISTORICAL PRE (SPLIA . YES o NYS ENERGY: . ' OR NO EGRESS (18 H min.? 4 sq total) NT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: - j SF SECOND FLOOR:__-___SF OTHER: SF [NIT OCHER TO FAL TOTAL: 4 SF FEE FEE FEE v / ^ SF)- L � Z� SF)=� SFX $,` _$ 1 �� +$ lJ �� � $ ocr = $ 2. ( SF)- ( SF)= SF X $ _$ +$ v BUILDING PERMIT EXAMINER CHECK LIST � DATE REVIEWED: Q /26101 } 1 .DATE SUBMITTED:8 //7 /01 APPLICANT NAME: queM A-c_ke:� , € SCTM# DISTRICT: 1.000 SECTION: BLOCK;- LOT: l STREET:Q S C�SAiuT / T CITY: SUBDTV.NAME: N E� PROJECT DESCRIPTION: L TE7?- oNs `o Z X 1-ST Ivo ARCHITECT/ENGINEER�p m 4- afrst4_ FAST TRACK? S SINGLE&SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot meognition.(CREATED before June 30,1983),UNDERSIZEDTSFROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: yb CONFORMING? Aty �� � REQ.LOT SIZE: ��°" ACT. LOT SIZE: eLO"TCOVC=�'* ACT. LOT COV. REQ.FRONT f U PROP.FRONT ?6 i•i REQ SIDE r ACT. SIDE f� REQ.REAR PROP. REAR ,�4i s r�-j ,N WATER FRONT? DESCRIPTION: PANEL #: /4l FLOOD ZONE: 4 AGENCY PERMITS REQUIRED FOR REVIEW / APPROVALS REQUIRED ee 4c�` SUFFOLK COUNTY HEALTH DEPT: YES o O (BED#): DTE: / /_ PERMIT#:R10- S'�iC C e f i - NEW YORK STATE DEC: PJLFDEC r SOUTHOLD TOWN TRUSTEES: or5375 7 i - Ce.►�..� TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES O NO EGRESS (18 H min.?4 sq otal) VEN�( IT� %) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP 52)30 -Z/C/0 Z-dt44 131 ' /-cc.y G'ALAf�= HAVE PRE CO'siOJR N o?y`f4BP 6 sq -Z/C/0 Z- �3�6 cc �( S+tP c. NOTES-: E3 qi d o 44 e NO v A--naA-) Z e1 44, 1 Z444 4 4 FEE STRUCTURE: FOUNDATION: FIRST FLOOR : i z SF I S�Sso SECOND FIR : SF INIT OTHER TOTAL TOTAL: 2 S i 7.5�2 s FEE FEE FEE 55-0 OT(E�: SF)-(4 S /F)= SF X$ .3`_$ 3 / +$ / d +$ _$ g �l IP1Z.G1at C-44c A4kr444.0atr. *52-83v=/462, x. `Sj0.Ce +/,SO t/od 41�oC g-,0a Gd , o � = .oo r Ag:- S474 • BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: / .DATE SUBMITTED:/L/01 APPLICANT NAME: SCTM# DISTRICT: 1,000 SECTION:BLOCK: 3 LOT: A- STREET: 35D CITY: JU SUBDIV.NAME: PROJECT DESCRIPTION: ARCHITECT/ENGINEER: (' %� ��� FAST TRACK? " SINGLE&SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognittiion.(CREATED before June 30,1983),UNDERS D LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: CONFORMING? �v REQ. LOT SIZE:�ACT. LOT SIZE: REQ. LOT COV. °rZa ACT. LOT COV. L4 REQ.FRONT yf6/ PROP. FRONT- REQ SIDE G ACT. SIDE 34 REQ.REAR PROP. REAR WATER FRONT? ��S DESC TION: PANEL #: FLOOD ZONE: A , AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES orO (BED#): DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YE or NO 2 N SOUTHOLD TOWN TRUSTEES: S r NO Pn,4-+ �- S-37 5 TOWN ZONING BOARD APPROVAL: S or NO TOWN PLAN. BOARD APPROVAL: YES or to TOWN HISTORICAL PRE (SPLIA):- YES or(D NYS ENERGY: YES OR NO EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ.FT.x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE C,O'S : Y OR N BP -Z/C/o Z- , NOTES. F c",ZZ 00 moo-►4 � FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 'OT( SF)-(- SF)= SFX$ =$ +$ +$ =$ czH Town Hall,53095 Main Road • Fax(631)765-1823 P.O.Box 1179 Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 13, 2001 Claus Rademacher 965 Ceder Point Drive East Southold,NY 11971 Dear Mr. Rademacher, Please take notice that in review of your permit application, dated August 17, 2001 for a demolition, addition and alteration to property at 2 County Tax Map Number 1000-90-3-16, it has come to our attention that the permit application will not be processed until the following information is submitted to this office: 1) A permit or letter of non jurisdiction from the New York State Department of Environmental Conservation. This letter is intended to confirm our conversation on Thursday September 27, 2001. If you have an questions, you can contact me at (631) 765-1802 between the hours of 8:00 a.m. and 4:00 p.m. Respectfully You Bruno Semon Building Inspector CC: File ?6 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETVILLAGE DISTRICT SUB. LOT L7bSC-la,�t K �d4ndrect. �f.u.u:/!c. � , ta 2 be-,, �� ��` �� l FORMER OWNER N E ACREAGE Alo h �C S W TYPE OF BUILDING RE :L O SEAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS /io 6 CO a � V ��fft Afi r 7 '� ���.?7F '"`' �.L.- Y D 1/h1SbJ 02 0 / Db © 1P E �oS22fl 7 B 4F5-7 /0-0 lo'odA tf%G v BU LDI NI 10 7X� lL JG Ar, 9 � . ✓ ' '_ . 16'trtJ 6`�15a ABOVE Value Tillable 1 -a(� 19 Tillable 2 $ 1� 91P" $ 2Y �aa7aA� Tillable 3 Woodland Q-6 --,2: o Swampland Brushland House Plot Tota l mom■■IRI■i OSItJlN■■■■■■■ mom■■MI■■RMISE!■■■■■■ ■■■■■R!!E■MEMI on No r ■■■■■MMUMIM■i■■■■■■■■ ■■■■■NEEMM1F1!■■■■■■■ ■■■■■■!■MM■I■■®!■■■■■ MEMEMENCOMMEEMEM ■■■■■■■®■L!■■■■■Basement ■■■■ Foundation Ext. Walls .. , ®� WN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET - VILLAGE DIST. SUB. LOT 6 IuuS ' reQ, Lua-, L FORMER OWNERqnnaLJ C'w N E ACR. E7Eie ec , 3b/7 1 ev .P • i Sa N% S W TYPE OF BUILDING ;ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS I ,4 zaa S�91 � �doav � 3 7/ t�a v y a V 3 /,flGf' 5,9L ?,/S/7/ 6, 06- -o a - 14 --LI 17 D-moo 40 ac er- 4 wt 4cP z) 71 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 "illable 3 Voodland swampland FRONTAGE ON WATER 3rushlond FRONTAGE ON ROAD louse Plot DEPTH BULKHEAD 'otal DOCK BOARD OF HEALTH . . . , , , , , FORM NO. 1 3 SETS OF ANS �. . . . . . . . . . . TORN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT CHECK .Y.Y 0 . . . . . . . . . . . . . . . . TOWN HALL SEPTIC BOItM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC ., . . . . TEL: 765-1802 TRUSTEES . I.. .... . . . .. .. . ... . c NOTIFY• L,Ur/ CALL Examined ....., i00(. ...... _� MAIL TO: . . . . . . . . . . . . . . . . . P.APP�ed..... •/•••l'...., . Permit No. a�sss Disapproved a/c ...... ; lleQ........ .�6. ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT ' Date. . . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector <- 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 comenced 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 whole or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERESY MNE to the Building Department for the issuance of a Building Permit pursuant to the Building ?ane 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 inslections. ..................................................... (Signature of applicant, or name, if a corporation) 13.6.90st..7.3.&txeet,..NY,.LyX.?.04?J...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil(- ..Kunz 1Arnh itac* ................................................. . .............................................. Name of aver of premises ..GJsAS..alid.ARdi@d .RademflCkleX................................................... (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. .................... I. Location of lard on which proposed work will be done........................ ...................................... 96$, Cedar Point Drive Eastraka 350 Lakeside Dr. Southold, NY House Number Street ...........................a................ Hamlet Co mty Tax Map No. 1000 Section ...._� .9 0... Block .. .:0.3........ Int .1 6............. Subdivision ...................................... Filed No. (Name) Map Int ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..one,family,residence .............................................. b. Intended use and occupancy ..,QRS.fan}ly--.residence, . ............................................ 3. Noture of cork (die& which applicable): New Building .......... Addition ..$....... Alteration .X........ Repair ............ Removal .....X...... Demolition ...X ....... Other Work .................................. P . (Description) 4. Estitmted Cost Arq'.9Q9..4Q........ fee ..�i= :.. . ..................... ........... ................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ....AIIe... tkairer of dwelling units on each floor ................ Ifgarage, ember of cars ...................................... 6. If business, canercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front....3 A.R.?... Rear ......3 5.,9..�.. Depth ...4.4..7........ Height ..1.j.................... Number of Stories Dimensions of saw structure with alterations or additions: Front .34..&'.t ..... Rear 35-9.'........ Depth ..44..7.!*......... Height .35!............... timber of Stories 2[.t]......... *With overhang 0 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Nxber of Stories ..................... 9. Size of lot: Front ...21.0.•87.'........ Rear ..1.74.'............. Depth .12.9-72.'... ..16A. 66 ' 10. Date of Purchase .aJ 1.4/•9 6 ......... Mare of Former Owner Ecco.................................. II. Zone or use district in which premises are situated ...RrA 0..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..130................... 13. Will lot be regraded .IQ................ Will excess fill be removed from premises: YES Nano 14. Hames of owner of premises Claus..F._.Rademacbenddress 9fi5..CadarF.t,..Prr..K... Phone NRR.1.7.9.5... Nam of Architect .........same..................... Address Ia6..Ea5t.7.3..9t.,.Mr. Phone 11621.2,5351 RSA r Name of Contractor ................................... Address ...............................Phone No. 15. is this property within 300 feet of a tidal wetland? * YES ...42...... NO .......... *IF YES, SOUHirHD M-N 113151125 PERMIT MAY BE REQUIRED. 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 rudher or description according to deed, and show street names and indicate whether interior or corner lot. .SI'KIE or NU YORK, SS CUINIY OP .........Claus„F,,.Radgmacher being; duly sworn, deposes and says that he is the applicant (None of individual signing contract) above manned, Ikis the ................................................................................................... (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. Swom to re me this ........... .daay/�off ...f//.� . ....... 20�� . Notary Rnblie��J .� "::4.. � No ..Y.'.`”. . GA& P. eh.tloTT (Signature of Applicant) Nrtwp Public, State of Now York No. Q8-4H3187 ChmillI@q 11i Bronx 00 �\ �� - 157d1�Y SUCco NnuS�i_ Aa, _ �P 5F.lAt' S1+ pvvtnQ - . _ p �f P Ar i LAW/_ i rGNf �VLED ARC F,RAD E' t L I. 'I non 1611, 5300S . - JUMTH T. TERRY I � "�,..'•=. �� Nlaw RorJ oi P.O. Rm 1174 TOWN CLERK c .. ' . ','1 �} Southold Nc, urk I I'171 l y �L �•, Fax ($1(,) 765- IA21 REGISTRAR OF VITAL STATISTICS ;�� Telephone 1 C I hl 76t 1%()I MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER .. FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 : RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under the Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Development Permit Application" [FDP(93) ] , and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93) ) . 131 3. DE;-. - TOWN OF SOUVIO D �h �� Southold Town Clerk August 25 , 1993 • APPLICATION s PAGE I of a TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL, PROVISIONS (APPLICANT to read and sien): 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 it issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local,state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE,TO THE BEST OF MYK�N,(QpNLEDGE,TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) DATE /-/.Z -OZ SECTION 2• PROPOSED DEVELOPMENT (To be completed by APPLICAhTI NAME ADDRESS TELEPHONE APPLICANT ccr}us &Ocm4c(i CR 95I7 IAserviar PR a12 ;SS /Sroo BUILDER J�.rt �I e►fie G162Yri Po Qo�C 962 S/1E-L ;nW /SCAad yy � ENGINEER PROJECT LOCATLON: To avoid delay in processing the application, please provide enoueh 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 via-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) APPLICATION PAGE 2 OF E DESCRIPTION OF WORK (Check all appbwblc boxes) A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ❑ New Structure ❑ Residential (1-4 Family) nJ Addition ❑ Residential (More than 4 Family) jE Alteration ❑ Non-residential (Floodproof-mg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) ❑ Demolition R ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECTS Qd� clam B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) ❑ Watercourse Alteration (Including Dredging and Channel Modifications) ❑ Drainage Improvements (Including Culvert Work) ❑ Road, Street or Bridge Construction ❑ Subdivision (New or Expansion) ❑ Individual Water or Sewer System ❑ Other (Please Specify) After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SE=ON 3- FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: ❑ Is NOT 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. FIRMzone designation is 100-Year flood elevation at the site is: - Ft. NGVD (MSL) ❑ Unavailable ❑ The proposed development is locatcd in a f)oodway. FBFM Panel No. Dated ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION a PAGE 3 OF 4 SECTION 4 ADDfTIONAL INFORMATION REQUIRED (To he coin nleted by LOCAL ADMINISTRATORI The apphcant must submit the documents checked below before the application can be processed: O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑Development plans,drawn to scale, and spccificatipns, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement),types of water resistant materials used below the first 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 acres,whichever is the lesser, the applicant must provide 100-year [food elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-resideutia) only) Ft:NGVD (MSL). For floodproofed structures, applicant must attach certification from registered engineer or architect. 0 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. SECTIONS PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR I have determined that the proposed activit)r. A. ❑ Is B. O Is not fn conformance with provisions of Local Law t€_, 19_. The permit is issued subject to the conditions attached to and made part of this permit- SIGNED ermitSIGNED 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? ❑ Yes ❑ No Hearing date: Appeals Board Decisioo --- Approved? ❑ Yes ❑ No Co❑ditioas SECTION 6: AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued) The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below. 1. Actual(As-Built) Elevation of the top of the lowest floor, including basement fin Coastal Hieh Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7: COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based o❑ 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 LOC-AI ADMINISTRATOR) Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: IJ NEW BUILDING O EXISTING BUILDING ❑ 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) FROM FAX NO. :2125350629 Oct. 15 2002 03:56PM P2 CLADS X RADEMACHER • ARCFIITECT9 136 EAST 73 STREET NEW YORK • NEW YORK 10021' . FAX 212,1535-0829 212.595.1800 15 October, 2002 Michael Verity Principal Building inspector ` Southold Town Hall Dept.of Buildings 53095 Main Road Southold,NY 11971 Re: 965 Cedar Point Drive 350 Lakeside Drive application 1000-90-03-16 Dear Mr:Verity, This is to certify that the proposed addition to the above stated residence as tiled will conform to NY State energy code requirements. Sincerely. Claus Rademacher,R.A. �ItQD AQC g�yF•aAIZ OE��yi�� Ir 019 OF NE`s CFR/kr.. ref.4000p xr suuo uff, lu � \ N Ul _t00 ;x,18. wt . 1 . . O ru i PA M .. PUBLIC ANDER) SURVEY OF PROPERTY ( LIBLIG ""D�IVF� a SITUATED AT -ESI BAYVIEW 2,312 :L-P17 r 2: 5l 11- Lt11 ° 174pp' TOWN OF SOUTHOLD e3w SUFFOLK COUNTY, NEW YORK IT Be a0 1000-90-03- 15 TES ODN S.C. TAX No. 1 a 1000-90-03- 16 1 1 1 o SCALE 1 "=20' N 7g.gp'00" E 1 S.C. rax No. 1000-90-03-16 _ 0:LOT MAY 4, 2001 9a.DD' 1 1 79 (n NOVEMBER 15, 2001 ADDED TOPOGRAPHICAL SURVEY, PROP. ADDITION & SEPTIC SYS. 1 $ 11 JUNE 12, 2002 REVISED PROP 2 STY. ADDITION, ADDED TEST HOLES & ADDED PROP SEPTIC SYSTEM CESSPOOL SEPTEMBER 16, 2002 REVISED SEPTIC SYSTEM -X51 apllr SYSRM –� a ro nE JuM LLP LANN " 1 ¢ TOTAL AREA = 33,735.91 s ft. 0 TEST HOLE 1 11 lCEsspcDL R 6 m SrdCA`¢Q (TO TIE LINE) 0.774 DO. 9 / w. �,q �0 Ol 1 1 ( 1 _ �cETSPOoL / _ye ,Tea. O \ 3a sroRr L� TEST HOLE BI TEST HOLE B2 WOO y 1 D DECK 7- / "n¢ woo° At1 O X52 GEST HOLE DUG BY MCDONALD GEO6CIENCE ON APRIL 26, 2002) (TEST HOLE DUG BY McDONALD GEOSCIENCE ON APRIL 26, 2002) C CIEPs G C' ,xd O _ EL e.r EL sn < S.C. TAX NO. 1000-90-03-15 pz,. s,l v0 �' �4DAiK B.N BUY LOAM oL DARR OMAN eLl LAW OL LOT Cp Ir rXNPKTC D. LO ePa. LN MI SILT ML ...AN LOAMY SET uL ]n' BROWN sm swD su j0 G I �l+r SOS 0. SILLY swD sM _ 68 /1 \I EL 0.5 snows ONE TO MEDIUM MMD BE L • - — I MOUND WATER eD DONE 1 I C Gaaa . ° ° APRON • I iD E. INE TO MEDWM SAND SP Z • n e �S it / M, LgOUND WA1EP J4 y s Q S ' STONE ORNEW.Ay �' 3 Y 'I 2' y IN pSANNFINE SP To ME � ID MEDIUM SAND L7 .;,Ty,B. IgRpWN INE SP Ia M€OIYMN F MNG Peq-1 ,tn aG �, 6 H Y T c0 S 1 oar g `1 Lew 11 NOTES: _ I'o' n �d - a ��s •� 1 . LOT NUMBERS SHOWN THUS: LOT 80 REFER TO p1 O MAP OF CEDAR BEACH PARK �M D> FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON DECEMBER 20, 1927 AS FILE No. 90 2. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8). aa.e'-- - FLOOD INSURANCE RATE MAP No. 3610300169 G Izs 'i rs .C-' � IP/• , Tac cau ND E ZONE A@ BASE FLOOD ELEVATIONS DETERMINED °"0N N77-14'00,, HE0 100' ^ 'eB- - ,j 53 W �r T 3. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 77 )4'OQ" 6 14 53'3g p� INLE EXISTING ELEVATIONS ARE SHOWN THUS: 5E 32. 73' W N n2,, N 5 30.6g ^ CAN 1 EXISTING CONTOUR LINES ARE SHOWN THUS: - --s— — -- 79•16'5p„ � PL-E C,Ft GARAGE FLOOR 3T/ .L MG CF( — DAMCE FLOOR < a •T�SPOi RML FEN CE w z0.46• ' Iain"\ E 4. EXISTING SEPTIC SYSTEM LOCATION PROVIDED BY OWNER. SPLIT.MIL FEA,CE oDW 97 I I C 1 .r Oj" 5. PROPOSED SEPTIC SYSTEM STRUCTURES: M is 75' \ P 26. • KAREN N 83"26'001" w FIAc PROPOSED EXPANSION POOL MET ({{ 2 SPLfI FPNFENCE SON1, a EOG. of P.vEMENr ° I„ �' PROPOSED LEACHING POOL L T UNAUTHORIZED ALTERATION OR ADDITION d TO THIS SURJEY IS A AOLATON OF N O O PROPOSED SEPTIC TANK SECTON 7209 OF THE NEW YORK STATE TPueuO WATER IN �y T . '- • - 6. S.C.D.H.S. REFERENCE No. R10-02-0165 COPIEDUCES LAW. y e, 7/ li' ' THE LA OF THIS SURVEY MAP NOT BEARING (USE, LI �� ,( 4 • • ° EMBOSS ED SEAL TRUE YOR'S NATO SM COPY, SEUL SI EMBOSSED SEAL SHALL NOT BE CONSIDERED ES PUBUC wAJEp) A" a TO G CERTIFICATIONS INDICATED HEREON SMULL RUN n ONLY TO THE PERSON FOR WHOM THE SURVEY EXCAVATION INSPECTION REQUIREDk TITLE COAMPANY. GOVERNMON IENTAL AGBEHALF ENCY AND PROPOSED SEPTIC SYSTEM DETAIL �``.�°fig �RSANITARYSYSTEM TO THE INSTITUTION F It HEREON, AND CERTIFIED TO TO THE ASSIGNEES OF HE ENDING NSFER HOusE S� DLS HEALTH DEPAMTN!ENT TUTOR CERIIFlGTONS AAE NOT TUNSFERABLE ELEV >r„]s (NOT TO SCALE) SOT RNISH GRADE FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK FlNIsx6D cwwE CM, 80, NORTH FORK BANK D b' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CLAUS F. RADEMACHER THE EXISTENCE OF RIGHTS OF WAY TOP EL. J.8' I' MIN TOP .D' IY MIN AND, N EASEMENTS OF RECORD, IF MIN 4' DIA B ANY. NOT SHOWN ARE NOT GUARANTEED. SEPTIC LEAcnINc T° 3' CLEAN pERMIT FOR APPROVAL OF CONSTRUCTION FOR A INV. D APPROVE° PIPE TANK APPROJm PIPE POOL LEACHING min. PILCH 1/4'/1' n. POVE I/B'/1' POOL a' fcoLiw -MGLR FAMILY RESIDENCE ONLY 70' m INV, EL 8.0' IW. EL 6.6' INV. E.. ll rl 1r LO �7.�I�y SPREPATANDRE 1H THE MINIMUM 8N —1 fit' 0 '6•—?'—F •e•�=.--{ DA773�'�. 'Nlld� HS .NO, `` PND _ AS ESTABLISHED Joseph A. Ingegno APPROVED FOR N STATE LAND BOT EL ]7, DISTRI6UWN POOL OF BOT EL l0' GROUND WATER GZ Land Surveyor 5 POOL srsrEN EIEV 1DN FOR MAXIMUM OF B OMS SEPTIC TANK (11 EXPIRES THREE YEARS FROM DATE OF APPROVAL P 1 MINIMUM SOmC TMIX GRACKLES FOR A 5 BEDROOM HOUSE IS Lead GflLONS LEACHING POOLS (8) �"p`1 496 A Title Surveys — Subdivision — Site PLODS — Construction Layout 1 TANM, n' DM. X Y BOOM °EPTH I MINIMUM _£ACHING S7 M FOR A 5 BEDROOM HOUSE Is 400 sq h SIDENALL AREA VC(^ C ] CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF ],WO wil AT 2e DWdU a Focus; II DR. X 1' DEEP LAN ]. WALL THICKNESS SHALL BE A MINIMUM OF 3'. A IDP THICKNESS OF 5• AND A MODM THICKNESS OF A- y, LACHINC POOLS IRE TO BE CONSTRUCTED OF PRECAST.REWORDED CONCRETE (OR EQU&) _ PHONE (631)727-2090 Fax (631)727-1727 ALL WADS, BOTTOM ANTOP SHA__ CONTAIN RRBNFORCING Tl RESIST AN WOOD FORCE OF ]00 pM. LEACHING STRUCTURES, MUD DOMES MD/OR SEARS 4 ALL JOINTS SHAl1 BE SCALE' SO THAT THE TANK IS WATpnIGHT 3. ALL COVERS SOUL BE OF PRECAST REINFORCED CONCRETE (OR EOUAL). 5 THE SEPTIC TANK SHALL BE INSTALLED AT MEL IN ALL OBJECTIONS (WITH A MAX TOLERANCE OF SI/41 4.A 10min. DISTANCE BEIWOUR LEACHING PODS AND WATER ONE SHALL BE MAROONED' OFFICES LOCATED AT MAILING ADDRESS ON A MINIMUM ]-THICK Bm OF COMPALTER SWO M PFA CMVEL 5. AN a' N. DISTANCE BE'FNEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED D A 11' mm DISTANCE BETWEEN sEmc TANK AND xousE snAu. BE IMINTNgm. N Y 5 LN, No 49668 1380 ROANOKE AVENUE P.O. 8aX 19 1 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 21-275C SURVEY OF PROPERTY I�E D�I�E SITUATED AT vreoeC �T1 B ,L YT -/IEW APPROVEI? IT ANS TERY13 n INJ. 0.oW H 1/ 1LI Y{' PAND ERM ICONOD]TIddS 'QP.J n EIwE of oIRS 17a.00' TOWN OF SOUTHOLD DATEx , ° w SUFFOLK COUNTY, NEW YORK " sib s IGDO m`ERGW S.C. TAX No. 1000-90-03- 15 � 0 1000-90-03- 16 N 79.30'00 E I I S.C. TAX No. 1000-90-03-16 o; SCALE 1 "=20 9BOD' LOT7s s�.. MAY 4, 2001 1 I $9a NOVEMBER 15, 2001 ADDED TOPOGRAPHICAL SURVEY, PROP. ADDITION & SEPTIC SYS. JUNE 12, 2002 REVISED PROP 2 STY. ADDITION, ADDED TEST HOLES & ADDED PROP. SEPTIC SYSTEM Cl 9 p TEST H°�, ea I I jcsssPGGL /� / 'fes n ANF' TOTAL AREA = 33,735.91 sq. ft. OD Tam / `r (TO TIE LINE) 0.774 CO. Ch noes DECN� TEST HOLE B1 TEST HOLE B2 woo° M DONALD GEOSCIENCE ON APRIL 26, 2002 O�T`Z (TEST HOLE DUG BY W-00 .p Nye ) (TEST HOLE DUG BY MODONALO GEOSCIENNC ON APRIL 26, 2002) S.C. TAX No. 1000-90-03-15 zz.l• �9 H 9 d"� EL e4 Mpx eR.1 SILTY LOnu oL 65 LOT 80 w I � t, wnx Rlmwu San Low GL ¢ II rSEPnc a O� a �nl I I M'x m� ePRNN J. SILT uL Fares IMur SII uL 0 � cU0.0 SN � a5 10' to cw ¢ ¢� \ C.. eRoxN xi swo su 22 a' I - OiM RROWN snn sw0 so i 9ROWN ANE TO MmWM Swe SP\ -02 y GOpe - a " , 'AP ON ONOONDE WATER s0 BIC�O ' • 00i� • • A• • 6 0 N9MIN NNE TO MD IUM NAND SP N a C TO "' I / %. 'Pg OROOND WATER rA k : i b Q sTaxE DRIvo Ar 3 T /,I / '� ( WATER IN BROWN ENE SP 5 / 6 rG ..I.. SAND N wATOR In .. F. sP '96 1 TO MEDIUM SAND iN UJ I I x ° PROPU 1 S 1 STORY Si A CO 5 CONC- OPY cpN . HOUSE \ V S ow, wd� I FE e v – 5 rn NOTES i ' "'Rol'ur+-o °y oxo �r6 1 . LOT NUMBERS SHOWN THUS: LOT80 REFER TO N ES p How T / s _ g oN ro 6 MAP OF CEDAR REACH PARK FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY n 7 ON DECEMBER 20, 1927 AS FILE No. 90 j --- N - +..j a 2. THIS PROPERTY IS IN FLOOD ZONE AE EL. 8). is FLOOD INSURANCE RATE MAP No. 36103CO169 G COMIC MON° N 1pQ, ^ Jyes'W . L ZONE AE' BASE FLOOD ELEVATIONS DETERMINED 7j'f4'Op' — pa 07++ vJ ISLE T 3. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 3 W ' e " 5339 EXISTING ELEVATIONS ARE SHOWN THUS: sa 2'73' l� 79 v' N – : 5 30.09'PLEA SANTEXISTING CONTOUR LINES ARE SHOWN THUS: – – –5 • 16'•10" IA. PLEA FFt - FIRSi FLOOR 1 ° • 'SPD- NAIL RICE d rY I I < a� 1� �G p FL - GARAGE FLOOR 2c,", 102 E 4. EXISTING SEPTIC SYSTEM LOCATION PROVIDED BY OWNER. • ° ° SPGR RAU FENCE wo11\\ c 1Z'19 ' 5. PROPOSED SEPTIC SYSTEM STRUCTURES: TMEu.BoD 97. ;75' I T S 26.13, wR� N 63'26'00q ' W � ruc � , PROPOSED EXPANSION POOL • • • - • SPGR Cr 8O.,�g' E7� RNDF �. t vA p t� �p`,�E PMLE'+ENr• . PROPOSED LEACHING POOL .�J 1\ T m • ' • . n UFoLMHOaIZED ALTERATION OR ADomoN 11 1 O THIS SURE IS A VIOLATION OF 7� , O O PROPOSED SEPTIC TANK SEC70N nag of THE NEW YORK STATE -rF1A, MUMON LAW COPIES OF THIS SURVEY MAP NOT BEARING PROPOSED SEPTIC SYSTEM DETAIL E THE LAND SURVEYOR'S INKED SEAL OR HOUSE �l A • • EMBOSSED SEAL SHALL NOT BE CONSIDERED ELEV 8.32 (NOT TO SCALE) -( M To BE A VAUD TRUE COPY FINISHED GRADE FINISH GRADE • A ONLY TO THEPERONFOR WHOM THE SVEY SST SURVEY ELEV 8 6 ELEV. 8.0' ' IS PREPARED, AND ON HIS BEHALF TO THE EPEE COMPANY, GOVERNMENTAL AGENCY AND CERTIFIED T0: LENDING INSfIN110N LISTED HEREON. AND TOP EL 76' t-1 MIN TOP EL. 7.0' —7' MIN. TOUCH ASSIGNEESCERTIRCATOS THE EN ING ISFERPBLE. MIN, 4" DIA, rfi" FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SEPTIC LEACHING T 3' CLEAN NORTH FORK BANK INV. El APPROVED PIPE TANK APPROVED PIPE LEACHING N 70' min. PITCH 1/4"/1' min. PITCH 1/B•'/1• POOL m POOL 1- SAND CLAUS F. RADEMACHER THE EXISTENCE OF RIGHTS OF WAY INV E . 6.0' COLLAR AND/OR EASEMENTS OF RECORD, IF INV EL 6 fi' INV. EL I ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANT WITH THE MINIMUM BOR SUCH USANDARDS E AND RSD KuADOPTED TND Joseph A. Ingegno DISTRIBUTION POOL OF BOT EL 4 0' GROUND WATER FOR SUCH USE ey THE BOT. EL 3 T 5 POOL SYSTEM EW YORK STATE LAND ELEV 1 0' TITLE ASSOCIATION SEPTIC TANK (i ) : n Land Surveyor 1 MINIMUM SEPTIC TANK CAPACITIES FOR A 5 BEDROOM HOUSE IS 1,500 GALLONS LEACHING POOLS POOLS (8) T TANK, 8' DIA. % 5' LIQUID DEPTH 2 CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 peI AT 28 DAYS 1 MINIMUM LEACHING SYSTEM FOR A 5 BEDROOM HOUSE IS 400 sq ft SIDEWALL AREA VUR Surveys — Subdmisions — Safe Plana — Construction LD out 6 POOLS; 8' DIA. X 2' DEEP Y 3 WALL THICKNESS SHALL BE A MINIMUM OF 3", ATOP THICKNESS OF 6" AND A BOTTOM THICKNESS OF 4" 2. LEACHING POOLS ARE TO BE CONSTRUCTED OF PRECAST REINFORCED CONCRETE (OR EQUAL) ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 psL LEACHING STRUCTURES, SOLID DOMES ANO/OR SLABS. r PHONE (631)727-2090 Fox (631)727-1727 4 ALL JOINTS SHALL H SEALED 50 THAT THE TANK IS ALL DIRECTIOHT.NS 3 ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE (OR EQUAL). 5 THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS (WITH A MAX TOLERANCE OF t1/4') 4 A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER LINE SHALL BE MAINTAINED. OFFICES LOCATED AT MAILING ADDRESS ON A MINIMUM THICK BED OF COMPACTED SANG OR PEA GRAVEL 5 AN 8' min DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED N.Y.S. Lc No 49668 1380 ROANOKE AVENUE P.O. Box 1931 6, A 10' mm. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 21-27.58 DW,GUl.GTCU �° SURVEY OF PROPERTY SSP ROS pUBUC WADER ,N51REE1)_ �,I � �� SITUATED AT � ° __--- BAYVIEW aE°F _ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK y� °GE RDW S.C . TAX No. 1000-90-03- 15 1000-90-03- 16 SCALE 1 "=20' 79.3000 E S.0 TAX No. 1000-90-03-16 MAY 4, 2001 N 9600' L07 79 NOVFMBEN 15, 2001 ADDED TOPOGRAPHICAL SURVEY, PROP ADDITION & SEPTIC SYS 1m xykc$ I IUNF 12, 1007 REVISED PROP 2 STY ADDITION, ADDED TEST HOLES & ADDED PROP SFPIIC 5151EM 1 x4SEPTEMBER 16, 2002 REVISED SEPTIC SYSTEM AUGUST 7, 2006 FINAL SURVEY O ceo " ED- z TOTAL AREA = 33,735.91 sq. it. W SY�g (TO TIF LINE) 0 774 OO O , W Go -me CORP O 1 woo° occK - oP1,Z �w sIEPsCUPPI o c c S.C. TAX No. 1000-90-03-15 221. "a am�• vd-n _ Oc NOTES LOT 80 coo "�n���d L LOT NUMBERS SHOWN THUS: LOT 80 REFER TO l MAP OF CEDAR BEACH PARK m w FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY 4VRe a _ ON DECEMBER 20, 1927 AS FILE No. 90 2. THIS PROPERTY IS IN FLOOD ZONE AE (EL. 8). i °sa 221 FLOOD INSURANCE RATE MAP No. 36103CO169 G y m ° CONC ZONE AC' BASE FLOOD ELEVATIONS DETERMINED "PPON 3. S.C.D.H.S. REFERENCE No. R10-02-0165 IOZ O J 9 Ir 6° C9 i Lip OR U a° CrONE ORIVEY/AT ° AN CONDITIONER L( CD UNIT f El s 362' 6,5 8� u ( SEP C ° w, U I � BRICH 0 ' TANK U . im POOL MP)LEACHING _aIa y�j MP 01 ° e A / F z oo L6CHINco"�� 2'm POOL MF) / 'Al. . CF' PLO Al IV 8 J surf PATI guy° z x ocEM -_oe,� e�E�lr ( \ colic ✓///,F, H°N N / 7 • JV3 I \ _ I SG P� '[•3 ='-- 4.0p„ 3 S 5 69 T 32. 73 W ` " N »z,, "� 30 r, ��Sl ° 79-16 '50,1 W I 6sP1 A, a �L'_PAftTM_NT OF HEALi}71-GI Rau rwGE�-.' za oe I • ° -o___ -spur R,u PLT<cE rRwuls 7. ]5 E 9 1 ^ v��6�3 'SUR=OL'rC C�Lf�ll`! 1- F R��'IC•" wArzR- — N 83'26'00" __ ° '° , • 1,L, ME1ER L"Y FUO ` _ _1 ..c...• _LVL_ p 80.39' SEP O 12 COb s3Lo- oEOF ----___-_ � DAR o-��eu, rz�°Nce n n-. � 165 wY� �� �E T . EOGe OF P.yfMENi e .1JC0fl , p L b ��� 1 I I 0 ^�aIlU.O ' nZ_ TO THS SUW ISAVIALTERATION TI ADDITION ° _ TO iH15 SURVEY IS A NOIATON OF EBVCPOTI 7209ON OF TILE NEW YORK STATE T L ) p4 (PUBLIC iER IN StR 1 ` yT� ' ° " . ' . __ - . ._,. _ 1 THECODIANOF THIS SURVEY SURVEYOR S LINKED SEAL °RR NOT RING b tlN/ 0 EMBOSSED SEAL SHALL NOT BE CONSIDERED AD ��j,Vq'_�(/�(-iF� TO BE A VAUD TRUE COPY (USEDEA ..BUG) AA@R) S e • •n �•i ^ °d° " �' - - _ .. .,.�� . ��-�1 ONLYFIC iONSPER50NIEFORWHOM SHSHALL RRUN p IS PREPARED, ANO ON HIS BEHALF TO VEY THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSUFLMON LISTED HEREON, AND CERTIFIED TO TO THE ASSIGNEES OF THE LENDING INSTI- TUnON CERTIFICATIONS ARE NOT TRANSFERABLE FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK NORTH FORK BANK CLAUS F. RADEMACHER THE EXISTENCE OF RIGHTS OF WAY AND/ORSEMENTS OF RECORD, IF ANY.. NOT EASEMENTS SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TIT PROVE AS DE`EA` ADOPTED Joseph A. Ingegno BY mE LJ DOE Y T APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE WJD TITLE P55°°IATI°N Land Surveyor -9lll�li9 TNO SOrverE — SODmV6IODE — Sde PmDE — C.DEULebo0 Eey°w ; II II PHONE (631)727-2090 Fax (631)727 -1727 OFFICES LOCATED AT MAILING ADDRESS N IY.S�:L,O No 49668 322 ROANOKE AVENUE P.0 NO. 1931 RIVERHEAD, New YOU, 11901 RRO,hODd, New York 11901-0965 - 21 2760 : OCCIIPANG T��� us,� unea�rF�c'. WITHOUT CERTIFICATE � � ��� 11,I OCCUPANCY FD)r--'�.. :z a 'DO NOT'PROCEED.WITH '::. itfl� UW r�1 I .+ ��' ERWREQUIREDRTIFIGITE j ,y �'' i �±� 3r��4'`:t,'�S .'tlCT F x'2002 ''' .' :. ' i- t`Ev c�E. srYrr�k r.� -,, FRAMiF1G UNTIL SURVEY' ' ,, �- - r��+U�� la's ��:wr�wv r�slerx- r ' Wws+� _ : � I � � � ?>," , ���_ _OFFOUN ATIONLOCATI©N.. 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