HomeMy WebLinkAbout31246-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31870 Date: 09/28/06
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 1335 ISLAND VIEW LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 57 Block 2 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 1, 2005 pursuant to which
Building Permit No. 31246-Z dated JULY 5, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR & AS PER CONDITIONS OF ZBA #5414 DATED 11/6/03 .
The certificate is issued to DONALD F & RITA JONES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2066545 12/02/05
PLUMBERS CERTIFICATION DATED N/A
'I-IL /_ X'_�'
p4thvized/signature
Rev. 1/81
NOV 18 104 03:S3NM bVUI r1 u . ---
Normo No.6
TOWN OF SOUTHOLD
10 9 BUILDING DEPARTMENT
TOWN HALL
765-ISM
l _ r PLICATION FOR CERTIFICATE OF OCCUPANCY
p Or
ink arid 7sttbmttd err rite aKilllul(p D�Bai!atunpt
bl ,71 ter
'Call;
At For new building or new ase: o lines,streets,and unusue1 natural or
1. Final survey of property with accurate locatiolr of all buildings,pr perry
topographic features• and sewerage-disposal(S-9 fonn).
2. Final Approval from Health Dept. of water supply
3. Approval of electrical installation from Board of Fire Underwriters On
less than 2/10 of 1%lead.
4, Sworn statement from plumber certifying that the solder used in system
5. SworComncrcis,building, industrial building,mucipee residene ible[and similar buildinbuildings and installations,a cerlificate
of Code Compliance from architect or engine
6. Submit Plamring Board Approval of completed site plan Lequirements.
buildings and"pre-a
B. For existing buildings(prior to April 9,1957)non-conforming uses,or Or topog land uses:
1. Accurate storey of piep�'rtY
showing all property lines,streets,building and unusual natural m topographic
features. to inspect signed by the applicant.If a Certificate of Occupancy is
2. A properly completed application and consentp Leant.
denied,the Building inspector shall state the reasons therefor in writing to the app
C. Feesing _ dwelling to 525.00,
1. Certificate of Occupancy-New d ba tdm2$z5 �a to accessory building 525 0 Hlneasea 550.00.
Swimming pool$25:00,Accessory g Additions
0
2. Certificate of occupancy on Pre-existing Building-
3. Copy of Certificate of Occupancy-5.25
4, Updated Certificate of Occupancy- $50.00
5. Temporazy Certificate of Occupancy-Residential$15.00.Comrnere'Z1$15.007/D
Date. �l
New Construction:_ Old or Pr-existing Build (check one)uig:/— /�
p,a V,ew Lhlr 0- lr
Location of Property: Street Hamlet
House No.
oK9A �cl 'SOF IJF v,.IPS
Owner or Owners of Property: C� Lot 0 15-
NO 1000,Section Block 0062.1
County Tax Map 'Lot:
Filed Map.
Subdivision ---- �-{��, fQ
'd /o Z Date of Permit. 7 �—Applicant: „,.Rv ,
PumitNo.3_ - �'kc0C.0r,-
Underwriters Approval:
ilealth Dept. Approval:
Planning Board Approval: 1
Request for: Temporary Certificate�—
Final Certificate: (check one)
Fee Submitted: SR�� �(QS
Applicant Signature
7166 �P
CG 3f910
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. 31246 Z Date JULY 5, 2005
Permission is hereby granted to :
DONALD F & WF JONES
97 NOBLE ST
BROOKLYN,NY 11222
for
ADDITION & ALTERATIONS TO AN EXISTING RESIDENCE AS APPLIED FOR PER
ZBA, DEC AND TRUSTEES WITH FLOOD PERMIT.
at premises located at 1335 ISLAND VIEW LA GREENPORT
County Tax Map No. 473889 Section 057 Block 0002 Lot No. 015
pursuant to application dated JUNE 1, 2005 and approved by the
Building Inspector to expire on JANUARY 5, 2007 .
Fee $ 150 . 00
+ !no• Da F
,6D•00
tho ized ign
aturee
ORIGINAL
Rev. 5/8/02
James F. King,President ��OF so/]& Town Hall
Jill M. Doherty,Vice-President F 53095 Route 25
Peggy A.Dickerson * P.O. Box 1179
Q Southold,New York 11971-0959
Dave Bergen G
John Holzapfel '�0 �� Telephone(631)765-1892
IjCOU
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
SF_P 8 2 6 TOWN OF SOUTHOLD
--CERTIFICATE OF COMPLIANCE
0144C
# Date Aug. 23, 2006
THIS CERTIFIES that the addition on landward side of dwelling
and new drywell
At 1335 Island View Lane, Greenport
Suffolk County Tax Map# 57-2-15
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 8/25/04 pursuant to which Trustees Permit# 6002 Dated 9/22/04
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 for an addition on the landward side of the dwelling and a new drywell
The certificate is issued to RITA M. JONES owner of the
aforesaid property.
Authorized Signature
B r nrJ@nrJr�rJcPcnr�rJrJrJ�rJ��nrrur�rJ�r1rJcnrJrJr�rJ�cPrJr�r�rJ�rJ�r��nrJrJcPcnr�rl�nc ncn�nrJiJr�cPrlrJ�rJ�rJrJ�rJ�rJo�nrJrJRPLP �B+
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
�j 40 FULTON STREET - NEW YORK, NY 10038 5
5 5
5 CERTIFIES THAT 5
5 Upon the application of upon premises owned by
5 5
5 DOROSKI ELEC. INC RITA JONES 5
Ij P.O. BOX 781 1335 ISLAND VIEW LANE
5 CUTCHOGUE, N.Y. 11935, GREENPORT, NY 11944
5
Located at 1335 ISLAND VIEW LANE GREENPORT, NY 11944 CC�
c5 Application Number: 2066545 Certificate Number: 2066545 c�
Section: Block: Lot: Building Permit: BDC: NS37 5
Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5
e5 electrical devices and wiring, described below, located in/on the premises at: 5
First Floor,addition+elec heat,Outside,
c� A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Cr�j
5 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
5 authority having jurisdiction, and found to be in compliance therewith on the 2nd Day of December,2005. 5
Name OTY Rate Rating Circuit Tvce
5 Alarm and Emergency Equipment
5 Sensor 1 0 Carbon Monoxide
5 Sensor I 0 Smoke 5
5 Appliances and Accessories S
5 Electric Heater Unit 1 0 30 Amps e
5 Electric Heater Baseboard 1 0 .375 KW 5
SElectric Heater Baseboard 1 0 .5 KW 5
5 Electric Heater Baseboard 1 0 .75 KW 5
5 Wiring and Devices C
5 Outlet 7 0 Fixture 5
5 Fixture 7 0 Incandescent S
5 Outlet 8 0 General Purpose 5
5 Receptacle 6 0 General Purpose 5
Dimmers 2 0
5 Receptacle 1 0 GFCI
C5� Receptacle 1 0 50 amp Range
5 Service sea/
5 1 Phase 3W Service Rating 150 Amperes
�CC5 Continued on Next Page I of 2 c5
This certificate may not be altered in any way and is validated only by the presence of a raised sea;at the location indicated. 5
5 5
•r.PrJ PtPr rL3rPr3rL3r jmim P rJm moon501iiarJ'rJ'rJ�rJ]]IM3 fIrElj-[.IJrJc fr�rJrJarJrJ�rPcPrlrj:1 1!1�r.fr.Pr�rlarJ'arJ�r3PLr PcPcPrJ'cP e�
BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS S
5 BUREAU OF ELECTRICITY C5
S5 40 FULTON STREET — NEW YORK, NY 10038 5
S CERTIFIES THAT 5
5 Upon the application of upon premises owned by 5
5 DOROSKI ELEC. INC RITAJONES 5
5 5 P.O. BOX 781 1335 ISLAND VIEW LANE rj
CUTCHOGUE, N.Y. 11935, GREENPORT, NY 11944 5
55
5 Located at 1335 ISLAND VIEW LANE GREENPORT, NY 11944
5 Application Number: 2066545 Certificate Number: 2066545 C5
5 Section: Block: Lot: Building Permit: BDC: NS37 5
Described as a Residential 0-599 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
First Floor,addition+elec heat,Outside, r�
c� A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the 2nd Day of December,2005. 5
5 Name 2 Rate Rating Circuit Tyne 5
5 Service Disconnect: 1 150 cb 5
5 Meters: I
S 5
5 5
5 5
5 5
5 5
5 5
seal
cC5 2 of 2 r5
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
D rJcP rJ rPrPrJ�P rPrPrPcPrPrPrPrPclcPrPtPrPrPrJrPcPrJLL Pr PLPL'rPr PLfC-. PrPcPrPcPcPrPrPcP �rPrPrP rJ�rPcPrJ arJ�cP M
gOFFO(1
P,PPEALS BOARD MEMBERS O� CC
may. Southold Town Hall
Gerard E Goehringer; w 53095 Main Road
Lydia A.Tortora P.O.Box 1179
George Horning j, • �'F Southold,New York 11971-0959
Ruth D. Oliva , Chairwoman Ol �`�� ZBA Fax(631)765-9064
r VincentOrlando Telephone(631)765-1809
-1 http://southoldtown.northfork.net
L ^ ' BOARD OF APPEALS
NOV TOWN OF SOUTHOLD
FINDI GS, DELIBERATIONS AND DETERMINATION
MEETING OF NOVEMBER 6, 2003
Appl. No. 5414- Rita Jones
Property Location: 1335 Island View Lane, Greenport; 57-2-15
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II
category of the State's List of Actions, without an adverse effect on the environment if
the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 14,140 sq. ft. parcel is located on
the south side of a private road (Island View Lane) in Greenport, and is improved with a
one-story dwelling with deck and accessory shed, as shown on the survey prepared by
John T. Metzger, L.S. dated September 25, 2002.
BASIS OF APPLICATION: Building Department's July 11, 2003 Notice of Disapproval,
citing Section 100-2446, in its denial under Code Section 100-2446, concerning a
building permit application to extend an addition which will be less than 10 feet on a
single side yard setback and less than 25 feet for both (total) side yards.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on October 23,
2003, at which time written and oral evidence were presented. Based upon all
testimony, documentation, personal inspection of the property, and other evidence, the
Zoning Board finds the following facts to be true and relevant:
AREA VARIANCE RELIEF REQUESTED: Applicant wishes to build an 8'8" x 107W
addition, at a minimum of 7.4 feet on the westerly side and at 30.9 feet for total side
yard.
ADDITIONAL INFORMATION: It is noted that under ZBA #5253, the applicant also
requested a 10' x 18' addition with the same 7.4 ft. side yard setback as shown on a plan
prepared by Environment East, Inc. dated 10/3/02. This application is a request to
lengthen the proposed addition without reducing the 7.4 ft. setback.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials
submitted and personal inspections, the Board makes the following findings:
1. Grant of the relief requested will not produce an undesirable change in the character
of the neighborhood or a detriment to nearby properties. The increase in the non-
Page 2—November 6, 2003
Appl. No. 5414—Rita Jones
57-2-15
conformity of the westerly side yard setback is a result of the applicant's plan to expand
the corner of the house, which has existed in its present nonconforming location for
many years. The 7.4 ft. setback for this one-story addition will be maintained without
reduction.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for
the applicant to pursue, other than an area variance. The lot has a narrow width, being
less than 50 feet in the area of the applicant's principal building, which greatly constrains
the applicant's ability to do any construction without seeking a variance.
3. The variance granted herein is not substantial and represents a reduction of 2.3 feet
from the code requirement. The lot coverage for all building area will remain
substantially less than the code's limitation of 20%.
4. The difficulty was self-created when the addition was planned after the house was
built in its present location, and planned without conforming to the current Town Code
requirements.
5. No evidence, concerns or objections have been submitted to indicate that the grant of
the relief requested will have an adverse effect or impact on physical or environmental
conditions in the neighborhood or district. The new construction will be contained at the
northwest, landward side of the dwelling, and the tidal wetlands at the southerly portion
of the property will be undisturbed.
6. Grant of the variance is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of an addition, while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the
balancing test under New York Town Law 267-B, motion was offered by Member
Tortora, seconded by Member Orlando, and duly carried, to
GRANT the variance as applied for, as shown on the 7/7/03 revised plan
prepared by Environment East, Inc. and hand-sketched drawing (copy of survey)
with a ZBA date stamp of July 22, 2003.
This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses,
• Page 3—November 6, 2003
Appl. No. 5414— Rita Jones
57-2-15
setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Oliva (Chairwoman) Goehringer, Tortora, and
Orlando (Vice Chairman). Absentw Member Horning. This Resolution was duly
adopted (4-0). & N
Ruth D. Oliva, Chairwoman 11/ /03
Approved for Filing
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
DEC PERMIT NUMBER EFFECTIVE DATE
14738-03414/00001 May 12,2005
FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S)
Under the Environmental May 12, 2010
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:
Hazardous Waste Management
❑ Article 15,Title 15:Water Supply ❑ Article 19:Air Pollution Control
❑ 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,Scenid and ❑ Articles 1, 3, 17, 19, 27, 37;6NYCRR
Recreational Rivers ■ Article 25:Tidal Wetlands 380: Radiation Control
❑ 6NYCRR 608:Water Quality Certifica- ❑ Article 27,Title 7; 6NYCRR 360:
tion Solid Waste Management
PERMIT ISSUED TO TELEPHONE NUMBER
Rita Jones (718) 349-6603
ADDRESS OF PERMITTEE
97 Noble Street, Brooklyn, NY 11222
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Peter Stoutenbur h, Environment East Inc., P.O. Box 197, Peconic, NY 11958-0197 631 734-7474
NAME AND ADDRESS OF PROJECT/FACILITY
Jones property, 1335 Island View Lane, Greenport SCTM# 1000-57-2-15
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffolk Southold Southold Ba
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construct a one story addition to the existing single family dwelling. All work must be done in accordance with the
attached plans stamped NYSDEC approved on 5/12/05.
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
Mark Carrara (CKW) 7 Region 1 Headquarters Bldg:#40 SUNY, Stony Brook, NY 11790-2356
AUTHORIZED SIGNATURE DATE
Page 1 of 4
A6�L�__ May 12, 2005
: New York State Department of Environmental Conservation
Division of Environmental Permits
Building 40 - SUNY, Stony Brook, NY 77790-2356
Telephone (631) 444-0372
Facsimile (631) 444-0360
Website: www.dec.state.ny.us
Denise M. Sheehan
Acting Commissioner
May 12, 2005
Ms. Rita Jones
97 Noble Street
Brooklyn,NY 11222
RE: 1-4738-03414/00001
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act
(Article 70, ECL) and its implementing 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,
CSG
Claire K
Environs
CKW/ls
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
SPECIAL CONDITIONS
1. 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.
2. 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.
3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted
activity.
4. The storage of construction equipment and materials shall be confined to within the project work site and or upland
areas greater than 65 linear feet from the tidal wetland boundary.
5. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be
contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the
seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved
methods.
6. This permit does not authorize any alteration, expansion or replacement of the existing septic system.
7. Roof runoff must be directed to drywells a minimum of 75 linear feet landward of the most landward edge of the
tidal wetland boundary, and must be installed a minimum of 2 feet above seasonal high groundwater.
t
DEC PERMIT NUMBER PAGE 2 of 4
14738-03414/00001
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15(TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
( 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 alter the 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 Department of 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. All necessary precautions shall be taken to preclude contamination of anywetland orwaterway by suspended solids,
sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally
deleterious materials associated with the project.
4. 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.
7. There shall be no unreasonable interference with navigation by the work herein authorized.
8. 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.
9. 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.
10. 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.
11. 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 John T. Metzger dated 9/25/02 last revised 1/4/05.
DEC PERMIT NUMBER PAGE 3 of 4
1-4738-03414/00001
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
.Item A: Permittee 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 PERMr NUMBER PAGE 4 OF 4
1-4738-03414/00001
NOTICE OF COMMENCEkENT OF CONSTRUCTION
Aft
RETURN THIS FORM TO: COMPLIANCE OR FAX TO: 631-444-0297
Marine Habitat Protection
NYSDEC
Building 40-SUNY
f-4�3g
StlBy 1 y"�a11790-2366 R ►
PERMIT NUMBER: ISSUED TO. tf� 7o tiJ ES
.
PROJECT LOCATION/AbDRESS:
CONTRACTOR NAME: -
ADDRESS: .
TELEPHONE:
Dear Sir.
Pursuant to General Condition 0 9 of the referenced permit,you are hereby notified that the authorized activity shall commence on
We oartify that we have read the referenced permit and approved plans and fully understand the authorized project and all
permit conditions.We have Inspected the project site and can complete the project as described in the permit and as depicted on the
be�b plans.the We
can os o In Kuhl*compliance ardance with plangenenotes Condition mit editions.The permit sign,permit and approved plans will
(Both signatures required)
PERMITEE DATE
CONTRACTOR DATE
THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND
ICM ANYASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE
PERM/TAND APPROVED PLANS AVAILABLEAT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE
PERMITTEE ANDA)R CONTRACTOR TO APPLICABLE SANC77ONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT
CONDITIONS.
Cut elonp,_tl>is
One .__. .x x x x -?` .._°`__...__._.._.......
NOTICE OF COMPLETION OF CONSTRUCTION _
RETURN THIS FORM TO: COMPLIANCE OR FAX TO: 631-444 0297
Marine Habitat Protection
NYSDEC
Building 40-SUNY
Stony Brook,NY 11790-2356
PERMIT NUMBER: ISSUED TO:
PROJECT LOCATIONIADDRESS:
CONTRACTOR NAME
ADDRESS:
TELEPHONE:
Dear Sir.
Pursuant to Gerreral Condidon A 9 of the referenced permit,you are hereby notified that the authorized activity was completed on
We have hdy complied with the terms and conditions of the permit and approved plans.(Both signatures required)
PERMITEE DATE
CONTRACTOR DATE
TH/S NOTICi~ WITH PHO PLEMD SURVEY,AS APPROPRIATE, MUST BE
SENT TO THEABOVEADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT.
95.20.1(11/09)-ed
New York State
Department of Environmental Conservation
A A
Iowa ONION
14W NOTICE
The Department of Environmental Conservation (DEC) has
issued permit(s) pursuant to the Environmental Conservation
Law for work being conducted at this site. For further
information regarding the nature and extent of the approved
work and any Department conditions applied to the approval,
c6ntact the Regional Permit Administrator listed below. Please
refer to the permit number shown when contacting the DEC.
Permit Number N- ��0-
3 ' Regional Permit Administrator
JOHN W PAVACIC
Expiration Date 57/1 1 ;2 r) io
NOTE: This notice is NOT a permit
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT,CORPS OF ENGINEERS
JACOB K JAVITS FEDERAL.BUILDING
NEW YORK,N.Y.10278-0090
REPLY TO JAN 2 7
ATTENTION OF:
Eastern Permits Section
SUBJECT: Joint Application with New York State Department of Environmental Conservation
1335 Island View Lane, Greenport,New York 11944
Rita M. Jones
c/o Environment East Inc.
Peter Statenburgh
PO Box 197
Peconic,New York 11958-0197
Dear Ms.Jones:
We have recently received a copy of the Joint Application for Permit you filed with the New
York State Department of Environmental Conservation(NYSDEC).
Please be advised we have reviewed the Joint Application, and based solely upon the
information provided, it appears that a Department of the Army permit is not required for your
proposal.
The Department of the Army regulates construction activities in navigable waterways and
discharges of dredged or fill material into waters of the United States,including inland and coastal
wetlands. If your proposal would involve such work, and has not been portrayed as such in your
Joint Application, you should contact this office immediately so that a project-specific
determination can be made as to whether a Department of the Army permit will be required.
Any inquires should be directed to the Regulator-of-the-Day at 212-264-6731.
Sincerely,
Michael G.Vissichelli
Acting Chief,Eastern Permits Section
DEC Application No.: 1-4738-03414/1
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f®*
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] Im LATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ =-NIS BG.
[ ] FOUNDATION 2ND N
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
_ [ ]] FIRE SAFETY INSPECTION
REMARKS:
DATE Q`5 INSPECTOR
J
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOU DATION IST [ ] ROUGH PLBG.
[
IF UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
6�1-
DATE ! �� INSPECTOR
L� 'of SOUly06
3
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[I( FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
�-- I -W x
DATE 3/� 0 INSPECTOR /i�'
765.1802
BUILDING DEPT.
INSPECTION
[ ] F NDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE �" O INSPECTOR
765.1802
BUILDING DEPT.
NSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
L
DATE INSPECTOR -�`
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck,N.Y. 11952
(631)298-7116
To: Town of Southold Building Dept.
Re: Strapping/Framing Inspection
Jones 2Q�5
1335 Islandview Rd.
Greenport,NY i
Permit# 31246 i
To Whom It May Concern:
After an inspection was preformed on the above property, it is deemed that all Strapping
was installed correctly, and all headers that are to be supported by double jack studs have
them in tact. Any other questions please call.
4FER�f
ncerely s�
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James J. D r ki
F� HO.
pgOF SAO
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NEW 1101! ,/ . -� - . e ❑-r '.❑.
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST)
-------------------------------------
FOUNDATION(2ND)
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PLUMBING U `I
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STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS p
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TOWN OFSOUTSOLD BUILDINGPERMU MPLlLAr1UN CHEM
BUUT.DINGDEPARTIVIENT iloyoab+►vsosaeed9►eIIallowin�.beSamappl
TOWN$ALL BondoiSad
SOUTHOIJ)v N-Y 11971
/ A BellPlafls
TEL:76d-1802 �J2`�CG S
PERMIT NO. `)
7/5-
I�Y,Sn.B.Q
• 1Yustaa
Esras�ssed 20 Contacts 2(3 c
APPavved —20 ✓ Mail to:
Disappaoved
S Phane:
Illi_ 9 04
APPLICATION FOR BUILDING PER&IIT,
Dag ,T t,4 ,20M-
- INSTRUCTIONS RB-StaBM(T w/�rD C BOA
a.This appiic af=M=be coupletelyfllodiabytypew&worinink aad mbm f todto tboBuwnglnspectazwit
sera ofplans,aoa�ateplotplaato tu"POO a=Mingxo aahedale.
b.Mylan.showing]cation oflot and of buildings onpromises,relationsbip to aejoimngpsemises orpublic sftte .
areas,and waterways.
o.Thewcskoovered bythis appHcatioamayaot be oonmreaoedbef=o issuance ofBuildiagPetmit.
d.Upon approval oftbfs application,the BuilftgInspoot=wM in=aBuodhWPermit to trio appUcaak Such aper
Sli20 be kept catbeprises available for fnq)cWoathmrgbodtho work.
e.No bWWiv&shall be 000apded orused in whole or inpart for nay ptapwo wbd4o-ovwuad a C rddcata of Oram
is i&%wd by the 9WWfaglaspodw.
APPLM-ATIONIS MWMYMADB to the Btffidi ggDqu=cnt.forthe issuance ofaBWldingPa®itpmsaaat to tl
BalldingZcae Ordb=m ofthoTownofSoathold,SuffdkCounty,NewYod;and other a vU=b'kLaws,Ordinances er
Regdadoas,for tho ocrostrwdm of bad,additions,cralwedws or forremoval or demolition as hind m dwcdbo&The
applicant agaves to oomiply with am taRpuc"]sobs,w&=oos,building code,housing oode,sadsegr pions,sad to admit
sathc fase_edam onnierriiags andiabnildiagforneoeseary'iaspeations.
({ p A? I
INC.
(Si safs�plio�oraame,ifaoospontion:
12005
FD- $oX jq7 ` 'WDtJ(C. ON- MSB
a o; DEFT. O&RIagiddsessofappHoact)
Stato whether applicant is c r,leasoe,agent,architect,engineer,general contractor, electrician,plumber or,burlds
�'s1��2�— CDN�zhe-rarL .
Name of owner ofpromises b &GO F• .4 R crib M . ���i✓S
(as on the tax roll or latest deed)
If amlicant is a corporation,sipature,ofdaly authorized officer
` i' iiR, ?2e5 •
(Nano and tide of cospm*v officer)
Buildews License No.
Plmmbeas Lice=No.
Electricians License No.
Other Trade's License No.
1. Location of land on wbichproposed work will ba deco:
1335 4SNA-t3 b V tev3 L-Arnl C-1z6E1�1Poaz r
House Number Street Hamlet
County Tax Map No. 1000 Section _Bl Int l'S
5ubdivisiaa h'aM o. Lot
(N$m0) itB,a �OsM
t00t [lspuA
or:* c
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T. TARRY
Town Halt 53()g.,N N-1411,
jtptj�'14 T.
J'0WV CLERK* P.O- nox 1174
S"0101(l. Nc-Atirk
ItEG19FRAR OF VITAJ.STA-nSlIC-5 60,1, -ax (.S 1(,) 765.1
F
MAWIIAGr OFFICER
Tcicphonc (5 1h 765.
RECORDS MANAGEM EWr 01-FICE11 7UI
FREEDOM OF INFORMATION OF FICErt
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
rho
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 0993 :
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
/5',pplication" (FDP(93) ) , and "Certificate of Compliance frJr Develc,"Pment in
Special Flood Hazard Area (C/C(93)) .
- Dt .
TOW.4 OF SO-n( TOLD
"Ju d i t h T . Terry
Southold Town Clerk
August 25, 1993
I APPLICATION aY
PAGE t of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be Filled out in duplicate.
SECTION I GENERAL. PROVISIONS (APPLICANT to read and si6):
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 rt-issued.
4. Development shall riot be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if oo 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 Admiaistrator.or. his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMEN'T'S TO
_ THIS APPLICATION ARE,TO EST OF MY KMMVLEDGE,TRUE AND AC/CyURATE.
(APPLICANTS SIGNATURE) DATE /
�SECTTON 2: PROPOSED DEYET OP..P.,1ENT (T,be completed by APPLICMII
NAME ADDRESS TELEPHONE
AP P LI CANT
BUILDER
ENGINEER
PROJECT LOCATION:
• To avoid delay in processing the applicadoa, please provide cnouvb information to easily identify the project
locadon- Provide the street address lot number or legal description (attach) and, outside urban areas, the
distance to the nearest intersecting road or well-known Landmark- A sketch attachcd to this application showing
the proicct location would be hclpful-
FDP(93)
APPLICATION
PAGE 2OFa
DESCRIPTION OF WORK (Check all applicable boxes):
A. STRUCTURAL DEVELOPMENT
ACTIVITY STRUCTURE TYPE
❑ New Structure ❑ Residential (1-4 Family)
❑ Addition ❑ Residential (More than 4 Family)
O Alteration O Noo-residential (Floodproofwg? ❑ Yes)
❑ Relocation ❑ Combined Use (Residential & Commercial)
O Demolition' ❑ Manufactured (Mobile) Home (In Manu-
0 Replacement factured Home Park?" O Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
O Fill O Mining O Drilling O Grading
O Excavation (Except for Structural Development Checked Above)
❑ Watercourse Alteration (Including Dredging and Channel Modifications) ,
❑ Drainage Improvements (Including Culvert Work)
1 ❑ Roa�)i Street or Bridge Construction
/ ❑ Sldivision (New or Expaasioa) j
1
Of
pdividual Water or Sewer System
G Other (Please Specify)
Aftcr completing SECTION 2, APPLICAN[ should submit form to Local Admiaistraror for review"
' SECTION 3• FLOODPLAIN DETERMINATION (To be completed by LOCAL kDItf1MSTRATOk)
The proposed dcvclopmcnc is locaced on FIRM Pancl No. , Dated
The Proposed Development.-
C1
evelopment:O Is UDI located in a Special Flood Hazard Arca (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
O Is located in a Special Flood Hazard Arca.
FIRM zone designation is
100-Year flood elevation at the site is: Ft. NGVD (MSL)
❑ Uaavailablc
O The proposed dcvclopmcnc is located to a floodway.
FBFM Paocl No. Datcd
❑ Scc Scction d for 3ddinonal instructions.
SIGNED DATE
. APPLICATION #
PAGE l OF 4
SECTION 4 ,kQQfTIONAL INFORMATION REOUIRED (To be completed by LOCAL ADMINISTRATOR)
The applicant must submit the documents checked below before the appbcauon can be, processed:
O A site plan showing the location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposed development.
O Development plans,drawn to scale, and specifications,including where applicable: details for
anchoring structures,proposed elcvation of lowest floor(including basement), types of water
resistant materials used below the first floor, details of floodprooftng of utilities located below
the first floor and details of enclosures below the first floor.
Also
O Subdivision or other development plans (If the subdivision or other development exceeds SO
lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they arc not otherwise available).
O Plans showing the extent of watercourse relocation and/or landform alterations_
0 Top of now fill elcvation Ft. NGVD (MSL)_
❑ Floodproofing_protection Ievd (non-resFt:NGVD idcntiai only) (MSL . For
floodproofed structures,/ppUcant must attach certification from registered engineer or
11
architect. /
C1 Certification from a-e(gistered engineer that the proposed acdvit�in a regulatory Qoodway
will not result inany increase in the height of the 100-year flood, A copy of all data and
calculations supporting,this fording must also be submitted-
0 Other.
E l 5: PERMIT DETERMINATI N fTQ be corn lcted L AL ADMINI RAT R
I have determined that the proposed activity. A-❑ Is
B. O Is not
in conformance with provisions of Local Law W , 19_• The permit is issued subject to the conditions
attached to and made part of this permit.
SIGNED DATE
If BOX A is chcckcd, the Local Administrator may issue a Development Permit upon payment of designated
Tee.
If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may
revise and resubmit an appb,cation to the Local Administrator or may request a bearing from the Board of
Appeals.
APPLICATION W
PAGE 4 OF a
I
APPEAJ S: Appealed to Board of Appeals? O Ycs O No
Hearing date:
Appeals ---
App,oved? El Yes 9 1`10
Conditions
SECTION 6 AS GUILT 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 profcssion'a ] engineer or a licensed•land surveyor (or attach a certification to this application).
Complete I or 2 below.
I. Actual (As-Built) Elevation of the top of the lowest floor, including basement(in Coastal Hi¢h Hazard
Areas. bottom of lowest structural member of the Lowest floor, excluding piling and columns) is.
FT. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL).
NOT'/: Any work performed prior to submittal of the above information is at the risk if the Ap�cant_
. 1
SECTION 7• COMPLIANCE ACTION (To be complctcd by LOCAL ADMINISTRATORI
The LOCAL ADMINISTRATOR will complete Ibis section as applicable based oo 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 DEFICIENCIES7 ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8 CERTIFICATE OF COMPLIANCEfTo be complctcd by LOCAL ADMiNISTRAT R
Certificate of Compliance issued: DATE BY:
Attachment B
i BAMP,-i�E
CERTIFICATE p7F COMPLIANCE
for Development'/in a Special Flood Hazard Area
� s
s
"r
A TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA- )
(014WER MIST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT:- PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
0 NEW BUILDING
O EjUSTING BUILDING
Cl VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE k OR B. BELOW:
A. COMPLIANCE IS HEREBY CER`T'IFIED WITH THE REQMREMENTS OF
LOCAL LAW # , 19'.
SIGNED: DATED:
B, COMPLLkNCE IS HEREBY CERTIFIED WITH `I`IiE REQUIREMENTS OF
LOCAL LAW # , 19_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
ClC ('93)
BUILDING PERMIT EXAMINER CHECKL-IST
DATE REVIEWED: 6 16,
APPLICAN1:1 n,, � -I �� DATE SUBMITTED:—C /—, /w
I
SCTM#DISTRICT: 1,000, SECTION: �� , BLOCK:_ LOT: )15- SUBDIVISION: ,4fN (¢I-M0M(we
ADDRESS: 1335 Ig Ute CITY: e&p
y �Q` ZONING DISTRICT: OV( CONFORMING?
BUILDING PERMITS OPEN/EXPIRED: PRE CO-,,Y OR N
BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , ]NFO
BP -Z/C/0 Z- ,INFO /BP -Z/C/O Z- , INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED 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 7/1
REQ. LOT SIZE: -1',0,000 ACT. LOT SIZE: 1, i� D:REQ. LOT COV. �0� ACT. L _GO
REQ. FRONT Ss_ PROP. FRONT - REQ SIDE / CT. S E 3
REQ. REAR `3 PROP. REAR REQ. EIGHT PRO .
PROJECT DESCRIPTION: �NS'/#ZM -V s1-7�")
ESTIMATED PROJECT COST: - ARCHITECT�ENG R:
WATERFRONT? -+,, DESCkIPTION: PANEL # FLOOD ZONE: ACC2
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH T: YES q�M(BED#): DTE: / / PERMIT#:
TOWN SEPTIC RECEIPT: Y
NEW YORK STATE DEC: PRE-DEC ES r N0 DTE: / / PERMIT
. SOUTHOLD TOWN TRUSTEES: or NO DTE: �� PERMIT#: �Q�
TOWN ZONING BOARr APIROVAL Y 'S r NO DTE: / /3 PERMIT#:
TOWN PLAN. BOARD�APPROVAL' o DTE: _/ / PERMIT#:
TOWN HISTORICAL/PRE (SPLIA)/ YES
1.
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): ES NO
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- ( SF)= SFX $ _$ +$ +$ = $
2. ( SF)- (_ SF)= SFX $ =$ +$ +$ =$
3. (_ SF)- ( SF)= SF X $—=$—+$—+$—= $
FINAL TOTAL: $ J/
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 DE; ' ; Y/N SNOW:Y/N SEISMIC: Y/N WIND: Y/N
WINDOW ANI . .00R SCHEDULE:
Mica,"LT REQUIREMENTS: Y/N l
j
E��12ESS 5.7 S.F.: Y/N
TA11T 8%: Y/N i
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 CALLS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
�000- a —Qo2-dts TOWN OF SOUTHOLD PROPERTY RECORD CARD _
OWNER STREET) /c3S VILLAGE DISTJ SUB. LOT
FORMER OWNER !/f N E K ACR.
d
S W TYPE OF BUILDING
RES. EAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS x -
fC QV ;ss l+ 776O n
a o- so �C7 3 l
0o s' 66 / 6
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre g-'? a
Tillable FRONTAGE ON WATER 7 6
Woodland FRONTAGE ON ROAD Q
Meadowland DEPTH
House Plot BULKHEAD
Total DOCK
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Type Roof
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Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Is
Data filename:Untitled.rck
TITLE:JONES RESIDENCE
COUNTY: Suffolk
STATE:New York
HDD: 5750
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE: 07/16/04
DATE OF PLANS: 07/18/04
PROJECT INFORMATION:
ADDITION
COMPANY INFORMATION:
ENVIRONMENT EAST INC
COMPLIANCE:Passes
Maximum UA=84
Your Home UA=72
14.3%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 276 25.0 0.0 11
Wall 1:Wood Frame, 16"o.c. 85 15.0 0.0 7
Wall 2: Wood Frame, 16"o.c. 208 15.0 0.0 16
Wall 3:Wood Frame, 16"o.c. 208 15.0 0.0 12
Window 10: Vinyl Frame:Double Pane with Low-E 10 0.340 3
Window I:Wood Frame:Double Pane with Low-E 1 0.340 0
Window 2:Wood Frame:Double Pane with Low-E 1 0.340 0
Window 3:Wood Frame:Double Pane with Low-E 1 0.340 0
Window 4: Wood Frame:Double Pane with Low-E 1 0.340 0
Window 5: Wood Frame:Double Pane with Low-E 1 0.340 0
Window 6: Vinyl Frame:Double Pane with Low-E 10 0.340 4
Window 7:Wood Frame:Double Pane with Low-E 10 0.340 3
Window 8: Wood Frame:Double Pane with Low-E 10 0.340 3
Window 9: Wood Frame:Double Pane with Low-E 10 0.340 3
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 276 25.0 0.0 10
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
_signed this page,they are attesting that to,the best of his/her knowledge,belief,and professional judgment, such plans or
speifications are in compliance wtt s Code
s- D�ec�t oJ�"�'�--
Builder/Designer Date
A.
i
mss• °:
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Is
Data filename: Untitled.rck
TITLE:JONES RESIDENCE
COUNTY: Suffolk
STATE:New York
HDD: 5750
CONSTRUCTION TYPE:Detached 1 or 2 Family
HEATING TYPE:Non-Electric
DATE:07/16/04
DATE OF PLANS: 07/18/04
PROJECT INFORMATION:
ADDITION
COMPANY INFORMATION:
ENVIRONMENT EAST INC
COMPLIANCE: Passes
Maximum UA=84
Your Home UA=72
14.3%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 276 25.0 0.0 11
Wall l:Wood Frame, 16"o.c. 85 15.0 0.0 7
Wall 2:Wood Frame, 16"o.c. 208 15.0 0.0 16
Wall 3:Wood Frame, 16"o.c. 208 15.0 0.0 12
Window 10: Vinyl Frame:Double Pane with Low-E 10 0.340 3
Window 1: Wood Frame:Double Pane with Low-E 1 0.340 0
Window 2:Wood Frame:Double Pane with Low-E 1 0.340 0
Window 3: Wood Frame:Double Pane with Low-E 1 0.340 0
Window 4:Wood Frame:Double Pane with Low-E 1 0.340 0
Window 5: Wood Frame:Double Pane with Low-E 1 0.340 0
Window 6: Vinyl Frame:Double Pane with Low-E 10 0.340 4
Window 7:Wood Frame:Double Pane with Low-E 10 0.340 3
Window 8:Wood Frame:Double Pane with Low-E 10 0.340 3
Window 9: Wood Frame:Double Pane with Low-E 10 0.340 3
Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 276 25.0 0.0 10
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
,gigned this page,they are attesting that to,the best of his/her knowledge,belief,and professional judgment, such plans or
sperjfications are in compliancewittytlu�s Chide
Builder/Designer Date 1
SURVEY OF PROPERTY
AT
�a ARSHAMOMOQUE
TOWN OF SO UTHOLD
SUFFOLK COUNTY, NY
R� 1000-57-02-15
SCALE: 1"=30'
SEPT. 25. 2002
P 2y0 +� Sept. 3, 2004 (add/l/ons)
Sept. 28, 2004 (revised addlllon)
�
�cj � JANUARY 4,2005 ( rev/sionl
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OWNER -V -
S R1TA M. JONES S
1335 ISLAND VIEW LANE
ARSHAMOMOOUE, N.Y. \ O
�,L SL IL 2
LOT COVERAGE 14140 sq-ft- = 2610 sq.1t. WETLANDS = 11530 sq. ¢ a
EXISTING STRUCTURE-1095 sq.ft. C3 J
1095111530 - 9.5% J
AFTER CONSTRUCTION - 1362 sq.(t.
13621'11530 - 11.8%
FLOOD ZONES AE lel. 81
FIRM 36103CO159 G 5104198. O
�EOF NfW1,
AREA=14, 140 S.F. 00N MFTr FG��
TO TIE LINEQr
•=PIPE
ANY ALTERATION Or ADDITION TO THIS SLOMEY ISA VIOLATION ECONIC 4%YORS,
OF SECTION 7289 OF ThE AEW YCW STATE EDUCATION LAV, 5020 FD 07
EXCEPT AS PEA SECTION 7299-SLBDIVISMN E ALL CERTIFICATIONS (631) 765 - FA 797
NU EON ARE VALID MR THIS NAP AND COaIES THEREOF QALY IF P. 0. BOX 909
S41D W OR C17°ES BEM THE DPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
V OW SIGOTLW APPEARS HDWM SOUTHOLD, NY, 11971 0 ,�—� 8
FLOOD ZONE AC-&
ALL CONSTRUCTION SHALLCOMPLY WITH CHANTER "46" UNDERWRITERS CERTIFICATE
AP R VED AS NOTED COMPLY WITH ALL CODES OF MEET THE REQUIREMENTS OF THE FLOOD DAMAGE PREVENTION REQUIRED
���pal2- a
NEW YORK STATE &TOWN CODES �ES OF NEW YORK STATE, SOUTHOLD TOWN CODE.
DATE: B.P./1' l _ BY: 7iYAS REQUIRED AND CONDITIONS O
FEE:
NOTIFY BUILDING DEPARTMENT AT —�"—SOUHOLDTOWNZBA OCCUPANCYOR
785-1802 8 A TO. 4 PM FOR THE t,1� OlJ HOLDiOWNPLANMNG80AA0 DO NOT PROCEED WITH > E
FOLLOWING- INSPECTIONS: �f " SOUTHOLDTooTRUSTEES USE IS UNLAWFUL FRAMING 'JNTIL SURVEY
FOU �DATION - TWO _ OF FOUNDATION LOCATION 8
1 FORNPOURED CONCRETEUIRED N,Y.S.DEC WITHQUT CERTIFICATE' HAS BEEN APPROVED.
2. ROUGH - FRAMING & PLUMBING - '-
3. INSULATION OF OCCUPANCY
of
4. FINAL - CONSTRUCTION MUST Y
BE COMPLETE FOR C.O.
Q Wl
T2. HEp
CT NAM tioU6. CONTINUED FROM PREVIOUS PAGE... 10 MEANS OF EGRESS: THIS STRUCTURE WILL
N
CT L I EXPOSURE&UPLIFT CATAGORY IS "C"- CONFORM TO EGRESS REQUIREMENTS AS :" c �
OCCUP URBAN AND SUBURBAN AREAS. DETAILED IN SECTION R310 AND EGRESS "{e<T OF NEW CONSTRUCTION: 12'-8" 7. SEE ATTACHED WINDOW&DOOR SCHEDULE IS NOTED ON ATTACHED FLOOR PLANS.OF NEW CONSTRUCTION: 218 SQ.FT. 8. LOAD PATHS FROM ROOF TO FOUNDATION 11 PLUMBING RISER DIAGRAMF CONSTRUCTION: WOOD FRAME WILL BE AS DESCRIBED ON SECTION. wooAMm®, i48 seri
4. DESIGN CRITERIA-PRESCRIPTIVE DESIGN AS PER 9. NAILING SCHEDULE: 12 LOCATION OF SMOKE DETECTOR
AF&PA WOOD FRAMECONSTRUCTION MANUAL JOIST TO SILL OR GIRDER-3 -SD IS NOTED ON PLAN
5. FRAMING ELEMENTS AS SPECIFIED ON PLANS TOP PLATE TO STUD 2 - 16D
UMBER SPECIES: BUILT UP HEADERS 16D @ 16"O.C. EA. SIDE 13. TRUSS CERTIFICATIONS ARE ATTACHED
- #2 OR BETTER DOUGLAS FIR FOR FRAMING MEMBERS CEIL. JOISTS TO PLATE 3-8D IF REQUIRED.
#1 S.YELLOW PINE(AOQ)IN CONTACT W/GRADE HEADER TO STUD 4-8D
14. ENERGY CODE CALCULATIONS ARE DONE
CEIL.JOISTS TO RAFTERS 3- 10Di
- 1/2'COX PLYWD.SHEATHING ON ROOF BY"RESCHECK'SOFTWARE-SEE ATTACHED
3/4"COX PLYWD.SUBFLOOR RAFTER TO PLATE 2- 16D
1/2"CDX PLYWD.WALL SHEATHING ROOF RAFTERS TO RIDGE,VALLEY OR NOTE THAT ALL DESIGN ELEMENTS AND LOAD PATH
g �T�Q� HIP RAFTERS 4 - 16D CALCULATIONS ARE BASED ON INFORMATION CONTAINED
M I UM UNIFORMLY�BUTED LIVE LOADS COLLAR TIES TO RAFTERS 3-8D IN THE AMERICAN FOREST AND PAPER ASSOCIATION i
(IN POUNDS PER SQUARE FT.) 1/2"PLYWD ROOF SHEATH. 6-8D (12 FIELD) WOOD FRAME CONSTRUCTION MANUAL FOR ONE AND TWO
EXTEMOR BALCOINKS 80 1/7"PLYWD FLOOR SHEATH 6-6D (12 FIELD) FAMILY DWELLINGS. OR AS CONTAINED IN AISC MANUAL r {
DECKS 40OF STEEL CONSTRUCTION-ASD
ATTICS WITHOUT STORAGE 10 ( )
_ ATTICS WITH STORAGE 20 WIND LOAD CONNECTIONS
ROOMS(OTHER THAN SLEEPING ROOMS) 40 30 RAFTER TO WALL CONNECTORS WILL BE
SEEPING ROOMS 440 "SIMPSON STRONG TIE MODEL#HS"W/ WINDOW SCHEDULE Asa WINO ENERM UWT&VENf1CLEM utION
GUARDRAILS&HANDRAILS 200 10-10D X 1-10 FASTENERS OR EQUAL. OPENING VALUF YEW %
CRITERIA FOR CALCULATION OF DEAD LOAD WILL BE TOP PLATE TO STUD CONNECTION WILL
-AMAL WEIGHTS OF MATERIALS REFERENCED TOerwino Fwarwa- rivarm%mm row t.neum am 4w~ -m"are Al 2" ax
`AIA ARCHITECTURAL GRAPHIC STANDARDS. BE 1/'2'PLYWD. SHEATHING NAILED 6D oaaw iwarwa rwmrx •our FM JAGUM 2A -eE wm NA
NAILS AT 6"O.C. ow2nN FA aym 2yalrxr lw Fo® 1aocuea IS a< NA
SNOW LOAD IS CALCULATED AS 30 LBS PER$Q.FT. HEADER TO STUD CONNECTION WILL BE oW2M FNALYWL rta�n1rxM W Rm lmoueo ILA rare Aa ru
SEI jMIC CON8IDERATIONS: creno M AYwL rtalrXI'mir mm iza m a
THIS STRUCTURE WILL CONFORM TO CODE SECTION . REINFORCED WITH GALVANIZED STRAP - Twana Owaywa r-wueznnr mull an tay. .a„ mom- ;mwm ;
830122.3 IN THAT ANCHORED STONE AND MASONRY INSTALLED DIAGONALLY AT EACH CORNER TW2N2 MMYML 2NWIlxaWAr nxuiw an eau -$a"= m ao
t^ VENEER SHALL BE LIMITED TO THE FIRST STORY& STUD TO BOX BAND CONNECTION WILL TW M M&Ywa 24"AX ff nxnur am W4 .moept •WN= is W
NOT EXCEED 5"IN THICKNESS. irvM I FAMLYwa 2LWi4X xaAt =xaaar an IL14 -m Nam n an
THIS STRUCTURE WILL CONFORM TO CODE SECTION BE 1/2"PLYWD. SHEATHING NAILED 6D YWaea I NIMLYwa ato.lRXWW nxuw an IL14 -aw~ -aea"am n $Ae
R30122A IN THAT AVERAGE DEAD LOADS WILL NOT NAILS C 6"O.C. awn 12A%
EXCEED 15 PSF ROOFS&CEILINGS SILL SECURED TO FOUNDATION W/1/2"X 7" -
10 PSF FLOORS ANCHOR BOLTS MIN. 6'40"O.C. AND 12"MIN. wsvuaaerwrweow-eA,rnaYnre rner Me
15 PSF WOOD FRAME WALLS FROM EA. CORNER. PROVIDE BOLT PLATES MnAVALMgMMLPWWMWVW BHwnwramMtAU ,
THIS DWELLING IS LOCATED IN DESIGN CATAGORY C' AT EACH NUT.
80 IS EXCEMPT FROM FURTHER REQUIREMENTS OF
SEISMICTHE
CONTINUOUS RUBBER MEMBRANE ROOF
112"CDX ROOF SHEATHING
NEW ADDITION 2 X 6 ROOF RAFTERS @ 16.O.C.
EXISTING HOUSE7 TAHTTE�PS @ EACH JOIST
W15 R-25 BATT INSULATION
IQ•SHEETROCK @ INTERIOR
22-2X12 HEADER
g�qp
DIA �HEADER TO STUD PING
® ® 2 X 4 @ 16.O.C.WALL FRAMING
2 -ILUA
Rs WOODEN FLOOR TO MATCH EXISTING
i ( i ` �, HBMT RMM FLOOR: 112•PLYWD.SUBFLOOR ffi ,
I 1 ' ATAMM TO" 2 X 8 @ 16'O.C.FLOOR JOISTS
R-25 BATT INSUL.
2 X 6 CSILL
LL/TERMITE SHIELD
CCA Eyyp�TO PLATE �kAIL
oF NEK,y
EXISTING WINDOWS WITH 6D CA SI6
(NO CHANGES) I ��� � � •
112•ANCHOR BOLTS/SILL SEALER
i i r TOP OF FL OOR yl � _ 8•X 16"FOUNDATION VENTS AS PER FL w
i PLAIN CODE. TOTAL OF FOUR REQUIRE80 MASONRY FOUNDATION
. 2
0 0 MASONRY FTG@ 3T BELOW GRADE
e GRAVEL @ CRAWLSPACE
JONES RESIDENCE ;a . 2ge�NESI RESIDENCE
NORTH ELEVATION ,J
114" = 1'0" 10.03.02 - _ SEQTIQN
ENVIRONMENT EAST INC. "!J 10.03.02
�� , —
REVISED 7.7.03 RENNVIgREO�N7ME18N�Tp�EAST INC.
REVISED 7.18.04 REVISED 6:27.05
REVISED 6.27.05
i
EXISTING DECK
24'-4"
EXIST.KITCHEN AND DECK
NO CHANGES
cm
OPEN EXIST. LIV. RM. TO W
NEW ADDITION o
4 x 4 PXOSTWIDOWS
�N�A I N Z
O 0 — — — —_8_•IN16� C,W DOWS
O - - - -�� � 2 - 2X12 HEADER E
o' NEW ADDITION
°Q i' '
EXFAMILY ROOM EXISTING BATHROOM _ �I z
NO CHANGES N;III 2 X 6 FL.JOISTS Q 16'O.C.
o ' ' 2 X 6 ROOF JOISTS
EZ v-- N" @ 16"O.C.
EXIST.BEDROOM
NO CHANGES
� s=
JONES RESIDENCE
FLOOR PLAN axe HEADBt EGA
1/4' = 10" 10.03.02 sum
ENVIRONMENT EAST INC. �X�gFp�ND�1pp���M
REVISED 77.03 2'6•IN CONC.WALL�ELOW S
17.04 0 � 112'
RG V 1 EXUnNR HSE NEWADD71ON
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SSW P
EXISTING DECK
0
N '1
4
EXIST. KITCHEN AND DECK -
NO CHANGES
OPEN EXIST. LIV. RM.TO co
NEW ADDITION N
14'-3"
c�
O O DOUBLE JACK STUDS z
"
3- 1-3/4"x 11-10 LVL HEADER
- 7 - - - - - - -
IN
-j_-_- il.
�TECO z
O ADD ONFtY 2-8"X 16"FppUNDATION VENTS
FTG.& O IN CONC.WALL BELOW o
UNDER I'
PER C DEQ; , 2 X 12 @ 16"O.C. ROOF JOISTS
EXISTING BATHROOM TAPER TO 7-1/2"0 ROOF EDGE z
NO CHANGES �TECO
DOUBLE JACK STUDS
EXIST. BEDROOM 2 X 8 FL.JOISTS @ 16"O.C.
NO CHANGES
NEW ADDITION �
FAMILY ROOM
x�
3�
4'•1
JONES RESIDENCE ® �
x o
FLOOR PLAN z-M FL „�WNM
1/4" = 1'0" 10.03.02 sir `uim
ENVIRONMENT EAST INC. ' + '
REVISED 7.7.03 REVISED 9.5.05 TM+a+ x s4" r"WXRU H +
rare•
REVISED 7.17:04 o T+
REVISED 7.18.04 EOTINGHSE. NEWAMMM
REVISED 6.27.05
REVISED 8.2.05
REVISED 8.31.05
SURVEY OF PAT ROPERT Y
ARSHAMOMOQUE
FTOWN
OF SO UTHOLD
SUFFOLK COUNTY, N Y.
`� 1000-57-02.015
Q SCALE: 1-=30'
�� 0 SEPT. 25, 2002
4. h Sept 3, 2004 (addlllons)
.(� Sept. 28, 2004 lrevlsed add/loid
�� /� JANUARY 4,2005 ( reysionl
W Z
XX
ai
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.OWNER+ RITA M. JONES \ �[�s� IL
1335 ISLAND VIEW LANE
ARSHAMOMOOUE, N.Y, YU.
J
LOT COVERAGE /4/40 sq-fl. - 2610 sq.11. WETLANDS - 1/530
sq.f!
EXISTING STRUCTURE-I095sq.1/.
109511/530 - 9.5% J
AFTER CONSTRUCTION - 1362 sq.11.
13621'11130 - 11.8%
FLOOD ZONE) AE (e1. 8) APPROVED As PER Telt a
FIRM 36103CO159 G 5104198. AND CONDITION@ op
/ O
PERMIT NOS-LkL-o- fg10=( 2�
PpF NEWY
AREA=14, 140 S F. 5� +#+•IAE>rQ O,p�
TO AE LINE °
•=PIPE * 0
o
ANY ALAPATMN OR ADDITl0N TO THIS SLRVEY IS A VIOLATION (IC,
CF SECTICW 7209 OF THE AEV YOW STATE EJXXATM LAV ECOAIIC YOR ,
EXCEPT AS POR XC7M 72@9-MAWVISM E ALL CERTrrrCATIONS (631) 765 - 5020 -1797
►ET M ARE VALID FAR THIS MAP AND COPES THOWCF OALY Lr P. 0. BOX 909
SW W OR COPES FEAR TFE DPFC=D SEAL OF THE SLRVEYAR 1230 TRAVELER STREET p
APPEARS SOUTHOLD, NY. 11971 0�—G 8
SURVEY OF PROPERTY
AT
�a ARSHAMOMOQUE
TOWN OF SO UTHOLD
�R01 SUFFOLK COUNTY, MY,
R� 1000-57-02-15
die P�fi� SCALE: 1"=30'
SEPT. 25, 2002
GO 01
P �y Sept. 3, 2004 (addlilonsl
Sept. 281 2004 (revised addition)
�� { /� Z JANUARY 4,2005 ! rev/cion)
$F �
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OWNER# RITA M. JONES \ yISF�S�y ca 2
1335 ISLAND VIEW LANE
ARSHAMOMOOUE, N.Y. v v-
v y y � J
y 2
LOT COVERAGE 14140 sq./1. = 2610 sq.11. WETLANDS = 11530 sq.fx. a
EX/STING STRUCTURE-1095sq.ft. U J
10951/1530 = 9.5% J
AFTER CONSTRUCT/0N - /362 Sq.fl. `T
136211/530 - //.B%
FLOOD ZONE, AE (e% 8)
FIRM 3610300159 G 5104196. O
p�EOf N[kp
AREA=14, 140 S.F. S� o�N 1. Me? ^
TO 77E LINE •��W Fp
•=PIPE
II LI i
�4 �
ANY ALTERATION O7 ADDITION TO THIS SU %RVEY IS A VIOLATION ECOAIIC YOBS, Fp %
CF SECTION 7289 OF 17.E AEW YORK STATE EDLCATION LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS (631) 765 - 5020 FA �Q7 797
FEREON ARE VALID FOR THIS MNP AND COPIES nCWCF O\LY IF R 0. BOX 909
SAID MPP OR COPIES BEAR THE Yff E'SSED SEAL OF ThE SLRVEYOR 1230 TRAVELER STREET
WHOSE SIGNnTLW APPEARS HEREON SOUTHOLD, N.Y. 11971 0 — 8