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Home My WebLink About30854-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32226 Date: 03/07/07 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 6525 INDIAN NECK LA PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 6 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2004 pursuant to which Building Permit No. 30854-Z dated DECEMBER 16, 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 & AS PER CONDITIONS OF ZBA #5393 DATED 11/6/03 . The certificate is issued to RAYMOND & AGNES COMBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2068475 12/09/05 PLUMBERS CERTIFICATION DATED 02/02/07 CONSOLIDATED MECHANICAL tho zed `gnature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD 19S B T !. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 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. New Construction: Old or Pre-existing Building: (check one) Location of Property: �C jo2S n Jan Week k.a- //95f1 House No. Street Hvnlet Owner or Owners of Property: 4au15_s /y p grne,t cL COm 165 Suffolk County Tax Map No 1000, Section Block (o Lot a`f Subdivision Filed Map. Lot: Permit No. b O i �t Z Date of Permit. Applicant: o r-.9- Health Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 0 4Pnpp1ican`tS"ignature 3Z It 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. 30854 Z Date DECEMBER 16 , 2004 Permission is hereby granted to : AGNES COMBS 6525 INDIAN NECK LA PECONIC,NY 11958 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA, TRUSTEES AND DEC APPROVALS at premises located at 6525 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0006 Lot No. 024 pursuant to application dated DECEMBER 10 , 2004 and approved by the Building Inspector to expire on JUNE 16, 2006 . Fee $ 585 . 90 Author z nature ORIGINAL Rev. 5/8/02 5 BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY 5 �S 40 FULTON STREET — NEW YORK, NY 10038 c1 CERTIFIES THAT 5 Upon the application of upon premises owned by r� 5 SJ. HOLOLOB RAYMOND COMBS 124 MAIN STREET 6525 INDIAN NECK RD 5 YAPHANK, NY 11980, PECONIC, NY 11958 5 Located at 6525 INDIAN NECK RD PECONIC, NY 11958 Application Number: 2068475 Certificate Number: 2068475 �5 Section: 86 Block: 06 Lot: 24 Building Permit: 30854 BDC: nsll �5 c� Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: rr5 Basement,First Floor,Outside,Attic, 5 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 5 authority having jurisdiction, and found to be in compliance therewith on the 9th Day of December,2005. 5 Namc QTY Rate Rating Circuit Type 5 Alarm and Emergency Equipment 5 5 Sensor 1 0 Carbon Monoxide 5 Sensor 3 0 Smoke 5 Appliances and Accessories S 5 Dish Washer 1 0 1.2 KW 5 5 Exhaust Fan 3 0 F.H.P. ALJ 5 Pump Motor 1 0 1 H.P. 5 Furnace 1 0 Oil 5 5 Wiring and Devices 5 Outlet 22 0 Fixture 5 5 Fixture 22 0 Incandescent C 5 Outlet 59 0 General Purpose 5 5 Receptacle 42 0 General Purpose 5 5 Switch 38 0 General Purpose L+ 5 Paddle Fan 6 0 5 5 Receptacle 1 0 20 amp Laundry C�'+ SReceptacle 1 0 30 amp Dryer seal Receptacle 4 0 GFCI 5 �5 Continued on Next Page 1 of 2 5 �c This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S 5 O cnrJ�rJ��nrJ@PrJ�nrJ�rJ�rJrJ�cPcPrJrJ�rJ�frJ�rJcPr n�nrJ�rJrJ 11:1 2 2 2 11] U1 nrJ�rJ�rJrlrJr�rJ�rJ�rJrJ@nrJrJrJ�r�rJr�rJrJ�rJrJr��PrJ@n r nc nrJrJ� o O r3Pr PLPL PLfflncnr�cnrJ�rJ�rJrJAlr1rJ�rJr�r�cnrJ�cPrJr�rJcPr�rJ�cPrJ�rJ�rJ arJ�'rTINiffili liffil MU o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT r5j 5 Upon the application of upon premises owned by 5 5 S J. HOLOLOB RAYMOND COMBS 5 124 MAIN STREET 6525 INDIAN NECK RD 5 YAPHANK, NY 11980, PECONIC, NY 11958 5 e5 5 C� Located at 6525 INDIAN NECK RD PECONIC, NY 11958 CS Application Number: 20684755 Certificate Number: 2068475 5 5 Section: 86 Block: 06 Lot: 24 Building Permit: 30854 BDC, nsl1 r5 Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: cS Basement,First Floor, Outside,Attic, 5 �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 9th Day of December, 2005. 5 5 Name QTY Rate Ratin Circuit Type 5 Service c7 5 1 Phase 3W Service Rating 150 Amperes 5 5 Service Disconnect: 1 150 cb 5 5 Meters: I S 5 5 5 5 5 5 S 5 5 � S 5 5 5 5 5 5 5 5 seal 5 5 5 2 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 z+nn�rJrJrJ�cPrlcPrJcPcPrlrJrJrJrJrJrJ�r�rJ�rJ�cPcPrJrJrJrJ�cPrJ�r�rJ�rJrJr�cPrJrlrJrJrJ�rJcPr1rJrJrJrJrP cPrJcPrJ a James F. King,President OF soUjyo Town Hall Jill M. Doherty,Vice-President 11 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 T Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. '.�� O Telephone(631)765-1892 a� coulff 'N Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0188C Date March 1, 2007 THIS CERTIFIES that the single family dwelling with covered porch sten areas and deck At 6525 Indian Neck Lane, Peconic, New York Suffolk County Tax Map # 86-6-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/25/02 pursuant to which Trustees Permit# 5646 Dated 10/16/02 and amended on 12/17/03. 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 single family dwelling with covered porch sten areas and deck The certificate is issued to Raymond &Agnes Combs owner of the aforesaid property, Authorized Signature FEB-1-2007 19:05 FROM:RRYMOND COMBS 631-734-7621 TO:2620103 P.111 �g0FF0(,�� Town Hall,53095 Main Road Fax(631)765-9502 P.O.Box 1179j�, �� Telephone(631)765-1802 Southold,New York 11971-0959 ��ll BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Fe C1 a a o o `l Building Permit No. 30 8 5¢ 2 Owner: C049a,s ZAYMONp Ai (Please print) Plumber: R Co,nbs 345 — P (Please p1'�nt) coflso \kc it ()'lecktin,c51r Inc , I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this tp -lC day of 20�_ Notary Public, SOFA_County BRENT K.ADAMS Notary Public-State of Nev,York No.01AD6146341 Qualified in Suffolk County My Commission Expires May 15,2010 I � ! 4PEAiS BOARD MEMBERS �O�SpFFO(,�co Southold Town Hall Gerard P. Goehringer. CD z 53095 Main Road Lydia A.Tortora a P.O. Box 1179 George Horning �,j, • Southold,New York 11971-0959 Ruth D. Oliva ,Chairwoman Oj �`a� ZBA Fax(631)765-9064 1 Vincent Orlando Telephone(631)765-1809 ✓�a) http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD 4 20ri+ FINdINGS, DELIBERATIONS AND DETERMINATION MEETING OF NOVEMBER 6, 2003 Appl. No. 5393- Raymond and Agnes Combs Property Location: 6525 Indian Neck Lane, Peconic; CTM#86-6-24. 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 32,492 sq. ft. parcel has 80.22 ft. frontage along the north side of Indian Neck Road (a/k/a Indian Neck Lane) in Peconic. The property is improved with a one-story frame dwelling and accessory shed as shown on the January 5, 2000 survey prepared by Stanley J. Isaksen, Jr., L.S. At the northerly end of applicants' property is a tidal wetland and beach area adjacent to Richmond Creek. BASIS OF APPLICATION: Building Department's amended July 17, 2003 Notice of Disapproval, citing Sections 100-242A, 100-244, and 100-33 in its denial of a building permit to construct proposed additions to the applicants' dwelling with side yards at less than 15 on one side and 20 feet on the other side, for a total at less than 35 feet when combined; and for the existing location of the as-built shed at less than five (5) feet from the property line. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on September 25, 2003 and 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 Bdard finds the following facts to be true and relevant: AREA VARIANCE RELIEF REQUESTED: Applicants wish to construct alterations and an addition to the existing dwelling as shown on the applicants' survey prepared by Stanley J. Isaksen, Jr., L.S. revised September 12, 2003 showing the addition and proposed garage, and hand-sketched survey notation by Mark K. Schwarz, A.I.A confirming showing the area of proposed alterations. Additional details are also shown on the 10/1/03 (9/30/03) construction diagrams prepared by Mark K. Schwartz, A.I.A. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and personal inspections, the Board makes the following findings: Page 2—November 8,2003 ZSA#5393—R.and A.Combe 86-8-24 at Peconlc i 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 Board considered all testimony offered during the two public hearings. It is evidence that the home was and has been in its present located for many years (since 1947). The applicants tried to acquire additional land to increase the setback from the easterly property line, without success. The applicants propose alterations with reconstruction of portions of the existing one-family home which presently has two bedrooms and only one bath. Also proposed is an addition for a bathroom, laundry room and other Irving space, and garage, as shown on the architect's recent plans. This dwelling has existed with a nonconforming westerly side yard setback of 9.7' and easterly side yard at .2'. The setback nonconformities are preexisting (prior to zoning). It is also noted that the applicants wish to legalize the setback of the existing one-story frame shed in its present location at 3.5 feet from the westerly side property line. The closest neighboring buildings are adjacent on the parcel located west of this property. The neighboring property to the east contains large yard areas and landscaped with established trees and plantings which provide visual buffers exists between the two properties. 2. The benefit sought cannot be achieved by some method, feasible for the applicants to pursue, other than an area variance. The board recognizes that the dwelling has existed in its present location for many years, and together with the fact that the surrounding properties and buildings are also well established and existing for many years. 3. Although the variance is the minimum necessary, the relief granted is substantial because the easterly side area for the proposed addition is a 5' reduction of the code required 15 ft. minimum, and total side yards at 19.7+- feet. The storage shed is a reduction of 1.3 feet from the code required minimum of five feet from the westerly side property line 4. The difficulty was self-created mainly because of the past placement of the home in 1947, and the storage shed, both of which have existed for many years, prior to the current Town Code side yard setback requirements. 5. There is no evidence that the grant of variance relief will have an adverse effect or impact on physical or environmental conditions in the neighborhood or district. 6. Grant of the relief requested is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of alterations/additions, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. Page 3—November 6,2003 ZBA#5393—R.and A.Combs 86-8-24 at Peconk RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-13, motion was offered by Member Goehringer, seconded by Member Orlando, and duly carried, to GRANT the variance as applied for, as shown on the survey prepared by Stanley J. Isaksen, Jr., L.S. revised September 12, 2003 showing the addition and proposed garage, and hand-sketched survey notation by Mark K. Schwarz, A.I.A confirming showing the, area of proposed alterations, and 10/1/03 (9/30/03) construction diagrams prepared by Mark K. Schwartz,A.I.A. 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, 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). Absent w Member Horning. This Resolution was duly adopted (4-0). Ruth D. Oliva, Chairwoman 11/13/03 Approved for Filing New York State Department of Environmental Conservation Division of Environmental Permits Building 40 - SUNY, Stony Brook, NY 11790-2356 AM Telephone (631) 444-0365 Facsimile 16311444-0360 Erin M. Crotty Commissioner January 30, 2004 Raymond & Agnes Combs 6525 Indian Neck Lane Peconic, NY 11958-1726 RE: 1-4738-03036/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 62 1) 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/Is NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION MIT NUMBER EFFECTIVE DATE 36/00001 January 30,2004 CILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental January 30,2009 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,Scenic 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 Raymond and Agnes Combs (631) 734-5045 ADDRESS OF PERMITTEE 6525 Indian Neck Lane, Peconic, NY 11958-1726 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Mark Schwartz, AIA, P.O. Box 933, Cutcho ue, NY 11935 631 734-4185 NAME AND ADDRESS OF PROJECT/FACILITY Combs property, 6525 Indian Neck Lane, Peconic COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk I Southold I Richmond Creek DESCRIPTION OF AUTHORIZED ACTIVITY: Reconstruct single family dwelling and construct an addition and garage. All work must be done in accordance with the attached plans stamped NYSDEC approved on 1/30/04. 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 George W. Hammarth DMG) Region I Headquarters, Bldg. #40, SUNY, StonyBrook, NY 11790-2356 AUTHORIZED SIGNATURE DATE January 30, 2004 Page 1 of 4 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. 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.). b. Stabilized as per specifications identified on approved plans. c. Temporarily stabilized with straw or hay mulch orjute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Necessary erosion control measures i.e., haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. 7. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 8. Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. 9. 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. 10. Driveways and parking areas shall be constructed of pervious material. 11. This permit does not authorize any alteration, expansion or replacement of existing septic systems. i DEC PERMIT NUMBER PAGE 2 of 4 _ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ADDITIONAL GENERAL CONDITIONS FOR ARTICLES J6(TITLE 5),24, 25, 34 AND 6NYCRR PART 608 (TIDAL WETLANDS) 1. If future operations by the Sate 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 Sate, 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 Sate, 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 Sate,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. 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. I'I 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 l Conservation may require, all or any portion of the uncompleted structure or and ll rrestorerthe site ttll o is former condition. No aim shall be made against the State of New York on accountfof any j 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, f 1977 (PL 95-217)provided that all of the conditions listed herein are 303,306 and 307 of the Clean Water Act o met i 9. At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return thetop porton of the enclosed notification form certifying that they are fully aware of and undersand all terms and i 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 I applicant or his agent as part of the permit application. tanley J Isaksen Jr m last revised on 12/10/03 and stamped NYSDEC Such approved survey was re ared by S approved on 1/30/04. PAGE 3 OF 4 DEC PERMrr NUMBER ,7,Q_r AnAainnnn1 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS textent ermittee Accepts Legal Responsibility and Agrees to Indemnification ittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the w York, its representatives,employees,and agents("DEC")for all claims,suits,actions,and damages,to the utable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in with,or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance ornot 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 SAPA401(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 PAGE 4 OF 4 14738-03036/00001 r� Albert J.Krupski, President 0�� CD Town Hall James King,Vice-President ti'Z 53095 Route 25 Artie Foster o P.O.Box 1179 Ken Poliwoda W Z Southold, New York 11971-0959 Peggy A.Dickerson 5. 0` Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 17, 2003 Mark K. Schwartz, AIA P.O. Box 933 Cutchogue,NY 11935 RE: AGNES S. COMBS 6525 INDIAN NECK LANE, PECONIC SCTM#86-6-24 Dear Mr. Schwartz: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on December 17, 2003: RESOLVED,that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5646 for the proposed additions and alterations to the existing single-family dwelling, and as depicted on the survey prepared by Stanley J. Isaksen, Jr. last revised 1/2/04. This is not a determination from any other agency. If you have any questions,please call our office at (631) 765-1892. Sincerely, due�e �2. 4 - . Albert J. Krupski, Jr. President,Board of Trustees AJK:Ims �G 92005 r _r": a�kl� Schwartz, MA —Amhkect, PLLC • P.O.Box 933 Phone:(631)734-4185 �= Cutchogue,New York 11935 Fax:(631)734-2110 FAX TRANSMITTAL Date: July 28,2005 To: Southold Building Department Main Road Southold,New York 11971 Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re: Combs House 6526 Indian Neck Road Peconic,New York Permit#39M .30$54 Pages: 1 (including cover sheet) Comments: During the construction phase,I inspected the foundation work,framing,plumbing and insulation at the aforementioned project. The supply piping has been pressure tested and the waste and vent lines have been filled and successfully tested. The foundation, framing and strapping as well as the insulation and plumbing have been completed as per plans and meet or exceed the NYS code requirements. Please call this office if you have questions or require additional information. Mark Schwartz { -t°.. Combs2BldgDept.doc ,., t+ .:�*�{ Mark K. Schwartz, AIA —Architect, PLLC P.O.Box 933 Phone:(631)734-4185 Cutchogue,New York 11935 Fax:(631)734-4185 FAX TRANSMITTAL Date: December 14, 2004 To: Southold Building Department Main Road Southold, New York 11971 Attn: Damon Rallis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwartz Re: Combs House 6526 Indian Neck Road Peconic, New York Pages: 1 (including cover sheet) Comments: The septic system at the aforementioned premises is in proper working condition and has recently been pumped out. The existing residence has three bedrooms and we are proposing the new with only two bedrooms on the First Floor. The second floor area will be utilized only as unfinished/unheated attic storage space. The flow rate has not increased and I hereby certify that the capacity is adequate and the working service of this system will not be adversely affected by the proposed addition. Please call this office if you have questions or require additional information. IN SCh In\� CombslFax.doc hO�y OF SOUryo6 ycomm, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ 'FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: �AA mac- DATE INSPECTOR -� � � OF SOOTY �CbIMf1;�ig TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL [ ] FRAMING / STRAPPING [ N L [ ] FIREPLACE & CHIMNEY [ ] FIRE INSPECTION [ ] FIRE RESIST CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: / DATE / INSPECTOR / ho� oF souryo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ✓/ ' \ s— . aw DATE INSPECT R 149 l ` /� FIELD INSPECTION REPORT DATE COMMENTS d FOUNDATION(1ST) 1A -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) z -_ uI y4 ROUGH FRAMING& U y PLUMBING ' 1 r INSULATION PER N.Y. STATE ENERGY CODE 1 - - I.vCL+ or- FINAL Ilaol / 3078 7 0K ADD ONAL COMMENTS 0� cQk A CeAf11A v� � z ;u 6 - 0 D � jv-jj ' i &)K zs6at-� lyb y 0 z . y — x 0 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 (( Survey www.northfork.net/Southold/ PERMIT NO. �U�ST Check Septic Form N.Y.S.D.E.C. Trustees Examined 12 20 Contact: Approved 17 I IL ,20L�_ Mail to: .Nmx Sct/ulf/Lrz Disapproved a/c Ct7�vP Phone: Expiration L 14 ,20 Bui ding Inspector 5 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 with 4 sets of plans, accurate plot plan to scale.Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signa e o applicant or name,if a corporation) Po 91X 933�Lrc (MailingTddr6s of applicant) State whether applicant is owner, lessee, gent,4t, engineer, general contractor, electrician, plumber or builder Name of owner of premises IeAq,c4y o0 �7�ki,6-r 6*13S — I (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 6,515— 11W214-A/ &ECK i'LO A29 PF C 0,V I c- House Number Street D Hamlet County Tax Map No. 1000 Section 8.6 Block 626 Subdivision Filed Map No. „:,..'. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S/d/C cr 51 -q C y /Z Sl�En✓�/4t b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition_�Alteration� ` Repair Removal Demolition Other Work 4. Estimated Cost Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. SEE P(_ A-'0/S 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories SEE Sa.ea 8. Dimensions of entire new constructs Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated A? 4'-6 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES_NO�ZWill excess fill be removed from premises? YES_NO e frMo vo A+vo Aa'u.J' G SZr /A4W4V 14. Names of Owner of premises GoM.3s Address NEc r /Lv Phone No. 73 L SO4 Is,- Name of Architect 4f 4Xr_ .J-C fftAw T t Address Phone No 73 y- ¢/,4p f Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ✓NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS NJAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF /�/� ,, ) "!/T/l_ d L/� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contracto ,Agen Corporate Officer, etc.) of said owner or owners,and is duly authorized to perforin 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 before me this t day of V-"- 2004 &�� e4z Notary Public i of Applicant LINDA J COOPER NOTARY PUBLIC,Stets of New York NO.01C04822585,Suffolk Coun Term Expires December 31, O QOPERTY. TOW OF SOUTHOLD RECORD CARD OWNER REET GE DISTRICT SUB. LOT J FO ER OWNER Cru,ckahAnK E ACREAGE Combs vJ� Z P, h' owes '` 5 rz� C S / /�e �� W \v „ TYPE OF BUILDING r- -- RES /� SEAS. VL. d FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS t/0 indr o? Ob 3 zf P' Lpp a 3 oDU 6C� f A, - L-72 9771c34 7- LII4 -00- Co rn b5 4WD l-o ooc A E BUILDING CONDITION ,Y 4G-LI( 0 &,4 - to Combs-4gt ooa N& NORMAL BELOW ABOVE FRONTAGE ON WATER 7 Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable. 3 ' t C- 0 Woodland Swampland Brushland House Plot Total _ q I 5L YL W1 I 1. Bldg. undation Bath / xtension 0 v, cement Floors iwF/ etjo xtension r Ext. Walls C O-r Interior Finish i xtension Fire Place Heat �'4 ✓.2 Ab Porch Roof Type Porch Rooms 1st Floor reezeway Patio Rooms 2nd Floor ;afa9e Driveway Dormer >. B. O � J SURVEY OF DESCRIBED PROPERTY RICHMOND CREEK SITUATE PECONI C, 24r1 E 0115 E TOWN OF SOUTHOLD 65. 01 5A 1 57 SUFFOLK COUNTY, N. Y. 31 529.6 N 12" ,39 SURVEYED FOR RA Y COMBS 1 19 WOOD N DECK WOOD STEPS? Q) NOT TO SCALE E 0.1' TO BEACH p( Q� _ `_IL1I\ STEPS TO BEACH 2 `TOP OF BANK NIF CID tp BAYLIS cru -r �roo0 w a p a STEPS .2' AREA OF 1N J 0' AL TERA TIONS r L.L 44.4' 1L O I STORY 4.5 HOUSE CORNER 1 7 FRAME 14 JP 0.2' WEST SET SMALL PK HA R1 ES. 10.1 p NAL IN ASPHALT JCELLA� 7, WALKWAY CONCf SET KE STEPS r.7;Y1.4' PROPOSED 18'+� 44 4' CHIMNEY ADDITION ao Tn 0 71'f� N EXISr CM CESSPOOL N/F POLE 24 LEMhfOR NIF cm ;JA CHADWICK � & LOWENHEIM N GUARANTEES M®ICAIED HERE CN SHALL RUN ONLY 10 THF AND I r(WMS EHAL INE SURN:Y 3' a PROPOSED TI PREPARED, AND LW NIS BEHALF TO ME d TIME WO COMPANY, 1M. F MENTAL AGENCY, GARAGE LENDING !TV MRpJ, TF LISTED HEREON, AND ED 5 ro RA ASSIGNEES OF ME LENDING INSRMRON 3.5 GUARANTEES ARE NOT IRANSlERABLE N ADDIRONAL INSRNTIMOR IS SUBSEOUENI ONNERS. UNAUMORIZED ALTERARON OR ADDIRON M MIS SURVEY IS A MOLA11M�SECRLW 7209 C! FD L, POLE 12 ME NEW M K STATE EDVCAROV LAW CM Q p MKl COPIES CY MIS SVRLEY MAP NOT BEARING LH ME LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIOOFED TO BE A VALID TRUE COPY. EXISTING WELL AREA OF EXISRNG STRUCTURE 1,226 S.F. PERCENTAGE OF TOTAL LOT COVERAGE.. 378% N/F AREA OF IMPROVEMENTS TO HOUSE = 1,057 S.F. BAYLIS, PERCENTAGE OF LOT COVERAGE = 3.25% FORMERLY yQ AREA OF PROPOSED GARAGE = 640 S.F. PERCENTAGE OF LOT COVERAGE 2.58% KNOWLES TOTAL AREA OF EXISTING HOUSE PLUS ALL PROPOSED IMPROVEMENTS -3,123 SE TM 1000-86-06-24 PERCENTAGE OF LOT COVERAGE =9.61% SURVEYED 5 JANUARY, 2000 AP1'il. I II )'I It 11:It AIB SCALE 1"=50' �W A`-1` II11;111 ill:;; VI: 03c3(� Q«'C AREA - J2,491.899 SF OR I1.\ I i t/3 r OI O _Y �J�— 0.746 ACRES li l Cy) FD Cy 1 �O Q. GUARANTEED TO MON RAY COMBS TOWN OF SOUTHOLD IT W s , 13A 29 20 ROAD GM 80-22 E C K INDIAN SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BO 29K 4 NEWS FOLNY 11956 10 DEC OJ SHOW PERCENTAGE OF LOT COVERAGE 631-7 4— 8J5 OF EXISTING AND PROPOSED STRUCTURES. 10 NOV OJ ADD NOTE "AREA OF ALTERATIONS". CENSE AND V R 12 SEP 03 SHOW PROPOSED ADDITION & PROP. GARAGE. NYS LIC. N0. 49273 29 JUNE 2000 SET STAKE & SMALL PK NAIL, SHOW BULKHEAD. rRRF� SURVEY OF DESCRIBED PROPERTY RICHMOND CREEK SITUATE PECONI C, E 15 TOWN OF SOUTHOLD 01, 2� 5N.• 0� , 51" E SUFFOLK COUNTY, N. Y. 2' '39 SURVEYED FOR RAY COMBS 1 q19 'A ' 3 ' 2 'A WOOD N' NOT TO SCALE DECK WOOD STEPS O E 0.2' TO BEACH (N STEPS11. TO BEACH Z `TOP OF BANK CO FD O N/F ( urs ¢l4MAµb Cm Q5'BAYLISWOOD � AREA OF sTEPN .230" ALTERATIONS44.4' O Q 75 D.STORY NOOD 4�13p H00USSORNER SET SMALL PK o CL FRAME NAIL IN ASPHALT v � .7, '1 RE S. 10.1 O WALKWAY CONC. 1^ 1' SET CELLA of STAKE STEPS 1.7X1.4' PROPOSED 44 q N CHIMNEY ADDITION N 18"+ _O 71,+� PROPOSED FD ' SP ROOF CEXIST.OOL DRY WELL. POLE N/F Cm POLE CHADWICK LIL N/F fJAMi & LOWENHEIM I'1 A GUARANTEES INDICATED HERE ON SHALL RUN L EMMOR N ONLY TO HE PERSON Fpt WON RIE SURVEY IS PREPARED. AND ON HIS BEHALF TO ME i PROPOSED RILE CDwPANY, GOVERNMENTAL AGENCY. (ENDING INSRR/RON, IF LISTED HEREON. AND HEO O 5' GARAGE TO ME ASSIGNEES OF INE LENDING INSRNRON. PROPOSED GUARANTEES ARE NOT TRANSFERABLE TO `3'S ROOF AODIRONAL IN57INOd.S OR SUBSEQUENT OWNERS. DRY WELL. UNAUTHORIZED ALIERARCW OR ADQRON TO MIS SURVEY IS A NOLIBON OF SECRON 7209 OF POLE ME NEW YORK STATE EOUCARON LAW. FD k. 112 GMQ M COPIES OF MIS SURVEY MAP NOT BEARING ASA• W ME LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE A COPY. EXISTING WELL AREA OF EXISTING STRUCTURE: 1,226 S.F. PERCENTAGE OF TOTAL LOT COVERAGE. 378R N/F AREA OF IMPROVEMENTS TO HOUSE - 1,057 S.F. BAYLIS, Z PERCENTAGE OF LOT COVERAGE - 3.25R FORMERLY AREA OF PROPOSED GARAGE = 840 S.F. _ PERCENTAGE OF LOT COVERAGE = 2.58% KNOWLES TOTAL AREA OF EXIS77NG HOUSE PLUS ALL PROPOSED IMPROVEMENTS =3,123 S.F. TM 1000-86-06-24 PERCENTAGE OF LOT COVERAGE =9.618 ` SURVEYED 5 JANUARY, 2000 SCALE 1"=50' lit AREA = 32,491.899 SF OR �rc 0.746 ACRES FD �a GUARANTEED TO SRAY COMBS TOWN OF-SOUTHOLD , 20W GMs 22'29 R �A D ao ECK N D I �/�`� NSURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW S34FOLK NY 1195 10 DEC 03 SHOW PERCENTAGE OF LOT COVERAGE OF EXISTING AND PROPOSED STRUCTURES, ADD DRY WELL, CHANGE DRIVEWAY, 1/02/04 10 NOV 03 ADD NOTE "AREA OF ALTERATIONS". CEN D AND VEYOR 12 SEP 03 SHOW PROPOSED ADDITION & PROP. GARAGE. NYS C. O. 49273 29 JUNE 2000 SET STAKE & SMALL PK NAIL, SHOW BULKHEAD. 0OR852 EXISTING DECK TW30-DPH5646-20 2446 h� (3) 2" X 10" HDR—- \ \ 5 I KALL 5T WALL STUD �p O O � G q X LIVINP cdi � O 14'-6 I/2" 2 V6 GAR PORT iPHALT) FWGI20611-4 �crl'P) X 4" POSTS (5) 13/4" X 9 I/2' MIGROLAM i 2" X 10" - 16" X� ••p I . 7 • LINE OF EXIST HOUSE `r ----------� --- IK -OF EXIST HOU--------- i m V ry 6 tib 2" X 10" - 16" O.C. F.J. 2" X 10" - 16" O.G. F.J. % 4'-O" DINING RDOM : �. N i ` O ` ------- LINE OF EXIST HOUSE ------ - --------------------------- C3) 2" X4" POSTS(TYP) I II FAMILY ROOM X�il n !Q (2) 2668 BI FOLD I N � m I 48" HI&Hq f LAJJ I I WALL tf� 'e 0 ry 151-71/21, II `\ I QQ REF ^ I day F I / \ i t KITGFIEN I W i II O I I I ry I I e I I I GW235 o r z a" COM6 ,5 F}oo5E AM e/v0tir EA, r- 8'-2 3/4" I2'-11 1/2" 7'-5 1/4" `i nen 13'-4 a 44'-4 13/16" 54'-413/16" WIND-BORKEDEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL r I � I � I � I � ' 1 I-, I ' I I I I I I . I I A'� I � � I I � I I� A ACS a I CJIIf or _ N �i, II ' I' '• h r ULTIPLE SECTION ASSEMBLY: +♦ Y I I I I 1/4'THICK BOLTS @ 2'OC or h' rI a�"• rl" II II I I II II I I II II N.T.S. IJ,. Js: la Ij- FOR PANEL SPANS: I I I I I I I VOR WIDER SPAN I I I I I I 23/32'APA SPAN-RATED 48/24 SHEATHING GRADE PLYWOOD 19=' (OVERLAP AROUND OPENINGS 4') II II 2x4 STRONG43ACKS @ 24-OC I I I I IJ IJ' ASSEMBLY- I I I 1).PREASSEMBLE PLYWOOD TO 2x4'S:#10x3'(w/WASHERS)GALVINIZED OR I I STAINLESS STEEL WOOD SCREW @ 12'O.C. I I 2).ATTACHING STRUCTURAL PANEL:FASTEN TO BUILDING w/ #10x3'(w/WASHERS)GALVINIZED OR STAINLESS STEEL WOOD SCREW @ 16'O.C. ALTERNATIVE FASTNER FOR SHUTTER TO BUILDING: #10 TEE NUTS ATTACHED TO BLDG.w/#10x1-1/2 (W/WASHERS) MACHINE BOLT @ 12'O.C. ROOF 400 ROOF VENT 4 ATTIC 1 114 1 112 1 114 '1112 11/4 1 V4 3 SHOWER SH WER SECOND FLOG 1114 7 7 9 11/4 C. I C.O. KITrHFNRATH 3' 11/4 4 1112 1114 4 3 F.A.I. D W SIN SH WEIR FIRST FLOOR ri90s REQ i 2 1114 9 C.O� '!1 RAR � bf 4 .dlr 1', M5, �.._, '� •�: �� BASEMENT C.O! 1 112 1 W _ 4•GI. rTO APROVED SEPTIC SYSTEM HOUSE SLOPE" w PER FOOT PITCH To TRAP DRAIN EL MOINQ255CHEMATI N.T.S. TYPICAL DECK WIND UPLIFT REQUIREMENTS HEADER GIRDER CONNECTIONS: USE THE FOLLOWING USP BRAND OR APPROVED EQUAL GALVINIZED DECK HEADER UPLIFT METAL CONNECTORS WITH THE RECOMENDED FASTNERS AND SPAN SPAN Ibe. INSTALLATION BY MANUFACTURE. 6' 1408 PRODUCT UPLIFT GALV. MINIMUM a' 1818 NUMBER DESCRIPTION lbs. FASTNER REQUIRED 20 1o' 2341 4x4 POST: (12) 16d COM. NAIL 12' 2611 PBS44 POST CAP 1815 BEAM: (12) 16d COM. NAIL 6 1655 4x4 POST: (8) 16d COM. NAIL 25 10' 3098 8' 2419 PBSE44 END POST CAP 1430 BEAM: (8) 16d COM. NAIL 12' 1 3118 KC44 44 COLUMN CAP 3265 BEAM/GIRDER: (2) 5/8" BOLTS 6' POST/COLUMN: (2)5/8" DIA. BOLTS 2310 36' a 3081 10' 3551 PAU44 44 2240 FOOTING/PIER: 5/8"x7"ANCHOR BOLT 12' 4621 POST ANCHOR POST/GIRDER: (12) 16d COMMON NAILS CBE44 4x4 WET POST ANCHOR 3585 COLUMN BASE POST/GIRDER: (2) 1/2" DIA. BOLTS UPLIFT CONNECTIONS FOR: KCB44 44 5650 WET POST ANCHOR .o JOISTS-TO-GIRDER/HEADER COLUMN BASE POST/GIRDER: (2)5/8"DIA. BOLTS DECK CONNECTION MIN. ad NAILS o 6x6 POST: (12) 16d COM. NAIL SPAN CAPACITY REQUIRED PBS66 POST CAP 1815 BEAM: (12) 16d COM. NAIL e 12' 421 Ibe. 4 PBSE66 6x6 POST: (8) 16d COM. NAIL a I6' 526 Ibe. 5 END POST CAP 1430 BEAM: (8) 16d COM. NAIL Q 20 626 Ibe. 5 6x6 BEAM/GIRDER: (2) 5/8" BOLTS 24' 126 lbs. 6 KCC66 5225 COLUMN CAP POST/COLUMN: (4)5/8" DIA. BOLTS P „III=III-III III-III=III-III-III=III III=III III III III- 28' 826 Ibe. l TYPICAL DECK 32' 921 Ibe. b PAU66 6x6 2350 FOOTING/PIER: 518"x7"ANCHOR BOLT N.T.S. 36' -no lbs. 1 POST ANCHOR POST/GIRDER: (12) 16d COMMON NAILS CBE66 6x6 WET POST ANCHOR 3570 COLUMN BASE POST/GIRDER: (2) 1/2" DIA. BOLTS KCB66 6x6 WET POST ANCHOR 5640 COLUMN BASE POST/GIRDER: (2)5/8" DIA. BOLTS RT10 TY-DOWN 585 JOIST: (6)8d COMMON NAILS ANCHOR HEADER/GIRDER: (6)8d COMMON NAILS ALT, RT20 TY-DOWN 1105 JOIST: (9) 10x1-1/2 NAILS ANCHOR HEADERIGIRDER: (4) 10d COMMON NAILS INSTALLATION NOTES: 1). ALL POSTS TO BE ANCHORED TO FOOTING OR PIER WITH POST ANCHOR 0 A 2). HEADER& GIRDER CONNECTIONS TO BE ATTACHED TO EACH POST WITH POST CAP *� `IN$ K 3). EACH JOIST TO BE ANCHORED TO GIRDER OR HEADER WITH TY-DOWN STRAPS. JOIST HANGERS TO BE ATTACHED TO A PT LEDGER BOARD THAT IS TO BE BOLTED TO BLDG. J22934 �° BUILDING PERMIT EXAMINER CHECKLIST DATE REVIEWED: 12 /Ib /04 APPLICANT: DATE SUBMITTED: 12 %i o /04 SCTM#DISTRICT: 1,000, SECTION: TS'-' , BLOCK: �, , LOT: c=')q SUBDIVISION: — ADDRESS:652S Ircl ,o,.4 L;, '<`CITY: • `µ"r . ZONING DISTRICT: - CONFORMING? 1A0 BUILDING P4, MIl&0PEN/EX? D:- PRE CO:�R N $P -Z/C/O,Z : �. i"+.,.INV{ BP -Z/ C/0 - , INFO /BP -Z/C/0INFO ' SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN-1997 100-25.Merger.(A nonconforming at any time after 7/1/83 REQ. LOT SIZE: „_ ACT. LOT SIZE:32,6-7v REQ. LOT COV. v 7• ACT. LOT COV. REQ. FRONT Yr PROP. FRONT / REQ SIDE ACT. SIDE ✓ REQ. REAR 3 r PROP. REAR Vol REQ. AEIGHT PROP. HEIGHT PROJECT DESCRIPTION: AbW At_T s ^Tta lk,rb ESTIMATED PROJECT COST: _ _AEMLff/ENGINEER: '} WATERFRONT? DESCRIPTION: f2,CV'QA0i4) C4 PANEL # 4y FLOOD ZONE: _ BULKHEAD? DISTANCE? APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YF�rerN6;(BED#): DTE: / / PERMIT#: TOWN SEPTIC RECEIPT: "TIC CERTIFICATION:®orN or- NEW YORK STATE DEC: PRE-DEC 9nnsC4"°fi or NO L4CS . DTE: I /ZO_/A PERMIT#:►•ya3g•O�c'�6 SOUTHOLD TOWN TRUSTEES: VE�)or NO - yes - DTE: /2_//7/ PERMIT#:SG�I L TOWN ZONING BOARD APPROVAL 'F,S�or O - c�Gs_ DTE:�/�/_& PERMTT#:,5393 _ TOWN PLAN. BOARD APPROVAL: YES ol s DTE: _/_/_ PERMIT#: TOWN HISTORICAL PRE (SPLIA): YES or NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2)&r r NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: i o/2- SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: 303 SF FEE FEE FEE . ( C2301 SF)- ( '8�`y SF)=�-SFX$ ,3b=$ �3 " +$ +$ _$ S?S , �~ ( SF)- SF)= SFX$ =$ +$ +$ =$ ( SF)- SF)= SFX$ .=$-+$-+$-=$ FINAL TOTAL: $ '' - NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Sgow Load: 45 Windeed: 120MPH SeisrtytDesign Category:B -- WeaMring: Severe Post Dept is 36" Termite: M= Decay: S-BVI" Design Temp: 11 Ice Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS:Y/N GIRDERS: Y/N CEILING JOISTS:Y/N FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE:Y/N DESIGN LOAD CALCULATIONS: Y/N LIVE:Y/N DEAD:Y/N SNOW:Y/N SEISMIC: Y/N WIND:Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N t. PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE?Y/N(RETURN TO PAGE ONE)