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Home My WebLink About32002-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32566 Date: 08/29/07 THIS CERTIFIES that the building ADDITIONS Location of Property: 105 (HOUSE NO.) County Tax Map No. 473889 Section 111 FISHERMANS BEACH RD (STREET) Block ~ CUTCHOGUE (HAMLET) Lot 42 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 2006 pursuant to which Building Permit No. 32002-Z dated MAY 15, 2006 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 TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOYCE FRIEDLAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3031955 OS/21/07 PLUMBERS CERTIFICATION DATED N/A ~e~ Rev. 1/81 \. . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ..--... r , ,. APPLICATION FOR CERTIFICATE OF OCCUPANcXl\J~ - 1 ' J This application must be filled in by typewriter or ink and submitted to the Building Department with the followi':!0 A. For new building or new use: I. 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 2/1 0 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: I. 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 I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25JJO, Additions to accessory building $25.00, Businesses $50.0il. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25 4. )J.Jll!-ated Cer1ificate of Occupancy - $50.00 _.> 5J'femporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 G- New Construction: Old or Pre-existing Building: 1-.......... 6ettf'J1 Jfd. Street 6 /so /(;'7 I I (check one) (! tlkhoJlJe . Hamlet Date. Location of Property: I ~5 ':",sherma I1S House No. Owner or Owners of Property: -;;;yt'R. Suffolk County Tax Map No 1000, Section Fripd/a. n J /11 Block nOOI Lot O~;;J" Filed Map. Lot: Subdivision lIealth Oept Approval: Date of Permit. .7)15 Jott}~6 Applicant: HarK 6ch wcrrTz / . Underwriters Approval: .___ __ Pem1it No. 3;).00;) Z Plarming Board Approval: Reg uest for: Temporary Certificate Final Certificate: V __._ (check one) Fee Submitted: $ ;:1.5. jJO tL___ ~.1 ~J) ~O -cVS & G Applicant Signature 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. 32002 Z Date MAY 15, 2006 permission is hereby granted to: JOYCE FRIEDLAND 52 RAYMOND PLACE HEWLETT,NY 11557 for : ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR; FLOOD PMT. INCLUDED at premises located at 105 FISHERMANS BEACH RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0001 Lot No. 042 pursuant to application dated FEBRUARY 22, 2006 and approved by the Building Inspector to expire on NOVEMBER 15, 2007. Fee $ 250.00 /' /) /d~ L~ I Authorized Signature ORIGINAL Rev. 5/8/02 [!J.[!J ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ! ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ DANIEL WILCENSKI ELEC. CONTR. JOYCE FRIEDLAND ~ ~ PO BOX 319 105 FISHERMAN BEACH RD ~ ~ SOUTHOLD, NY 11971, CUTCHOGUE, NY 11935 ~ ~ Located at 105 FISHERMAN BEACH RD CUTCHOGUE, NY 11935 ~ I Application Number: 3031955 Certificate Number: 3031955 I ~ Section: Block: Lot: Building Permit: 32002Z BDC: ns11 ~ ~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiri ng, descri bed below, located in/on the premises at: ~ ~ First Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 21st Day of May, 2007. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~ Miscellaneous ~ ~ living room addition ~ ~~~~ ~ ~ Receptacle 2 0 General Purpose ~ ~ Switch 2 0 General Purpose ~ ~ Dimmers 4 0 ~ ~ Fixture 11 0 Incandescent ~ ~ Receptacle 2 0 GFCI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ 1 of 1 ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I I!I~.I!I --, ," 'C, \' - '. I\UG 21 ~ -" Jam... F. KiDg. Pn....d..nt , ' Jill M. Doherty.' Vice-PrelIident Peggy A. Dick......,n DaY'$ Bel1:t'ln Bub Ghosio, Jr, Town Hall 58096 Rollte 25 P.O. Box 1179 Sollthold, New York 11971-0959 ~~lephoD8(631)76S.1892 Fex(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0224C Date: Julv 25. 2007 THIS CERTIFIES that the construction of a 5' addition to dwelliDll and a new deck At 105 Fishclman's Beach Road. Cutchollue. New York Suffolk CountyTu Map # 111-1-42 ,..-.,\ Conforms to the application for a Trustees Permit heretofore filed ia this office Dated 03120/06 pursullIIt to which Trustees Permit # 6330A Dated 04119/06. Was issued, aDd cootorms to all of tbe requirements and cODditioDS of the applicable provisiODS of law. The project for which this certificate is beiDg issued is for the construction of a S' addition to dwellim! and a new deck, l'be certificate is issued to Richard & Jovee Friedland owner of the aforesaid property. ;"-Q<'~ Authorized Signature ........---\ liiiiiJh, Mark K. Schwartz, AIA - Architect, PLLC ~iil' ~~ fie: P.O. Box 933 .~.. Cutchogue, New York 11935 Phone' (631) 734 - 4185 Fax, (631) 734 - 2110 " i May 02, 2007 - '\'f-, f'lf1,," .... _ Ll)..>! Southold Town Building Department Main Road Southold, New York 11971 ,-~ Re: Friedland House 105 Fishermans Beach Road Cutchogue, New York ~#1000-111-02-42 BIde: Permit #32002 To Whom This May Concern: I have reviewed the project framing, strapping and insulation during the construction phase. To the best of my knowledge, the framing, strapping and insulation installation have been completed as per plans and meet or exceed the code requirements. Please call this office if you have any questions or require additional information. Mark Schwartz .1-. -, .. -.:<< ',. - Mark K. Schwartz, AlA - Architect. PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734-4185 Fax: (631) 734 - 2110 February 01, 2007 ;-f:B J? Southold Town Building Department Main Road Southold, New York 11971 Re: Freidland House 105 Fishermans Beach Road Cutchogue, New York Building Permit # 32002 To Whom This May Concern: I have been on site during the construction phase and have inspected the foundation and framing. To the best of my knowledge, the foundation work, damproofing, framing and the strapping connections have been completed as per plans and meet or exceed code requirements. Please call this office if you have any questions or require additional information. Mark Schwartz FriedlandBldgDepldoc ~'ff: -;',.-:,. - Mark K. Schwartz, AlA - Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 November 03, 2006 SoutholdTown Building Department Main Road Southold, New York 11971 ~:ov - 8 i.1to: Re: Friedland House 105 Fishermans Beach Road Cutchogue, New York S(:TM#1000.111-02-42 Bldg Permit #32002 To Whom This May Concern: I have been back to the site and inspected the poured concrete footings, pargeted walls and damproofing at the aforementioned property. This work has been completed as per plans and to the best of my knowledge, meets or exceeds NYS code requirements. Please call this office if you have any questions or require additional information. Mark Schwartz FriedlandFoundCertdoc James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6330A Date of Receipt of Application: March 20, 2006 Applicant: Richard & Joyce Friedland SCTM#: 111.1-42 Project Location: 105 Fisherman's Beach Rd., Cutchogue Date of Resolution/Issuance: April 19, 2006 Date of Expiration: April 19, 2008 Reviewed by: Trustee Dave Bergen Project Description: To add 5' to the south side of the house and construct a new deck. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John C. Ehlers last dated February 16, 2005. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. '. This is not a determination from any other agency. l=F.:gZdent Board of Trustees Albert ..T. Krupski, President James King, Vice.President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 0" Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 4, 2005 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: JOYCE FRIEDLAND 105 FISHERMAN'S BEACH RD" CUTCHOGUE SCTM#111-1-42 Dear Mr. Herrmann: The South old Town Board of Trustees reviewed the survey prepared by John C. Ehlers last dated January 24,2005 and determined the proposed additions to the existing single-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. . 2 This determination is not a determination from any other agency. if you have any further questions, please do not hesitate to call. S incereiy, PI".';?- ~-(}. Albert J. Krupski, Jr., President Board of Trustees AJK:lms 3 ';-00 ;}- 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENElRAnON REMARKS: r~~, \a: j~ur- . ~~,~ ~L4L- tfY'- ~ DATE 5-/7-! 7 I INSPECTOR ~~ \. '-- . , FIELD INSPECTION REPORT DATE COMMENTS ) IJ-J ( 9-J~ I .L7P fI.V ~ -A C~ FOUNDATION (1ST) / 0- Il,j ;; ---------------~-------------------- I \ ~c: (~ f.,-I \ FOUNDATION (2ND) ":/ ~r:i "'-- \j\ Z ---~ 0 V\ , '" ..., ( /]IU 1.1l. \ [:; ROUGH FRAMING & '-- ./' :'1~ PLUMBING . f' .:;, , ~ . ~ I ( lJ\ ~ (. -dRV' liD fl. L ) ~t"' INSULATION PER N. Y. ,/ -....v 1:0.1 ,./ Y ..., STATE ENERGY CODE '- ('; )' "" ~ L ~- " .5 ., 17 ~()& ~t.- jI JL /'l . ih. f)j :::, p" . ' " , , f''L'I T , rLi ?'>JJ A J/. Y, L--' ~ r .,__-/,;/-} ./ /? ")...,. 't1,o, FINAL ('\ . of ADDITIONAL COMMENTS :n ~\d.. , ))--3 ~of.? r01l1- fl.1 J;ell-- M: L~ _ ~ ., . 1 ,_ O/J , l' ~ .. /J ' _ ok' ~ '/./ {J cr.J, (/ ([I ,', \)0 f.J~~'-J 1/ :2-/'-6If I"'A"I-L,.. A ,f.. .A.t.-' lb.. .L.. A ' tJk LJ #. -f /.VC./ / ' ~~ f.u.\L. 5-').-0'1 ~,.-If- . RA f IJ- 1l.P . v 1/ ~ /I "~t7i. .AU'A77L' 2. m . - ;:0 v tJK 0'/ / ~ \:) "7 L\ " =t'l \ ~ -"" 01\- ~ " Ss . z := t'l L....~ ..., ])~ ~ ~EW YORK STATe DePARTMENT OF ENVIRONMeNTAL eONSI:RVATION EFFECTIVE DATE Ma' 5. 2005 EXPIRATION OAlCIS) ",",' DEe PERMIT WMBER ~j: .1-4738-034471'JOO01 . FACILIlYIPROGRAM NUMBER(S) . PERMIT Under the Envlronmentlll Conaervatlon Law Mev 5. 2010 TYpe OF PERMIT. New CI R.'.....I CI MoalnCll!lon C! Pe",,~ to Construct CI Permit b Operate Q Miele 15. T1U. 5: Protection of Waters o Art'el. 15. Title 15: W.tsr Supply Q Article 17. Titles 7. 6: spoes o Artide 27, Trll. 9: 6NYCRR 373: HiiIZ2Irdous Waste M!lnagement Q Article 19: Air Pollution COntrol o Artlel. 15, Title 15: Water Transport Q Article 23. Trtle 27: Mined Land Reelamatl:X\ o Articl. 34: ea.sla' Erosion Menogement i:I Article 36: FlOOdplain Manag.....n' CI Artiel.15. i1ti.15: Long Isl.nd Wells o Art:cl, 1~, me 27: Wild. Scenic ,nO Reereetional Riv.rs Q Article 24: FrO$hwaler Wetl.nd. . Artiel. 25: Tidal Wellands D ArtIcI..1. 3.17.19. 27,37: 6NYCRR 360: Radiation Control .. ;D 6NYCRR 60S: Water Quality c.rtJjiCll- D Article 27, T'rtl. 7; 5NYCRR 3eO: "," . ;l. -tion Sella W..!e Manaoement PERMIT ISSUED TO TELePHONE NUMBER Jovce Friedland 516-437-9071 ADDRESS OF PERMliTEE 52 Raymond Place, Hewlett, NY 11557 CONTACT peRSON FOR peRMliTEO WORK TELEPHONE NUMseR En-Consultants, 1319 No1h Sea Road Sou1hempton, NY 11968 631.283.6360 NAMe AND ADDRESS OF PROJECT/FACI~ITY Friedland DrOPertv. 105 Fisherman's Beach Road, Cuthchooue, NY 11935 COUNTY TOWN WATERCOURSe: NYTM COORDINATES Suffolk SDuthOld Cutchououe Harbor E: 713.91 N; 4542.67 DESCRIPTION 01' AUTHORIZED ACTIVITY: "' . . Construct single story 5' x 28' addition to existing single family dwelling. Construct 5' x 36' addition to . existing deck and 20' x 3' staircase. All work must be done in accordance with the attached plans prepared by John C. Ehlers lest revised February 16, 2005 and stamped approved by NYSDEC on May 5, 2005. , 'd';'. .~; " By acceptance of this permit, !he permittee agrees that the permit Is contingent upon strict compliance with the EeL, all applicable regulatlons, the General Conditions specified (see page:2 & 3) and any Special Conditions included as pert of this permit. ~. PERMIT AOMINISTAATOO: ADOOESS Region 1 Headquarters . George W. Hammarth SUNY Bid . #40 Ston Brook, NY 11790-2356 .AUTHOR1ZeoSIGNAruR~ 1// 'lI!'/ DATe . L(/~ r-~~f" Page 1 of 4 NEW YORK sr",re Oe~ARThlENT OF ENVIRONMeNT,o,L CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be diSCharged, nor shall washings frcm trar.sit mix truc<s, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess meteriel 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 tldalwetlands Md or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer are~ as a result 01 the permitted activity, 4. Distiurbance to the natural vlIgetation or topography greater than 25 feet seaward of the approved struetuce is prohibited. 5. Necessary erosion control measures I.e., haybaies, slit fencing. etc. are to be placed on the downslope edge of any disturbed area. This sediment berrier is to be put In place before any disturbance of the ground occurs and is to be maintained in good cond~ion until thick vegetative cover Is esllilbllllhed. cae PI""'" NUM~I!I< 1-4736-03447/00001 PAGE~of ..!. NEW YOM STATE OEPARTMENTOF ENVIRONM!;:NTAL. CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A:. Permittee Accepts Legal Responsibility and Agree. to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, I~ r:eprese'ltatives, employees, and egents ('DEe") for all claims, suil$, actior.s. and da,,,a.es. to lhe extent attrlOuteOle to the permittee's acts or oml!;slons 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 end arising under Article 78 of the New York Civil Practice Laws end Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractorl to Comply with Permit The permittee Is responsIble for informing its Inoependent contractors, employees, agents and assigns of their responslbJ!ity to comply with this permit, including all special conditions I'hlile acting as the permittee's agent with respect to the permitted activities, and such persons shall be subjeclto 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, iands, easements and rights-or-way that may be required to carry out tha activities that are authorized by this permit. Item 0: No Right to Trespass or Interfere with Riparian Rights This permtt does not convey to the permittee eny right to trespass upon the lands or Interfera with the riparian rights of others In order to perform the permitted work nor does It authorize the Impairment of any rights, titie. or interest in reel or personal property held or vested in e person not a party to the permit. GENERAL CONDITIONS General Condlllon 1: Facility Inspection by the Department The permitted site or facility, including rei event records, Is eubjeclto inspection et reesonable 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 end the EeL. Such representative may order the work suspended pursuant to EeL .71.0301 al'ld SAPA 401 (3), The permittee Shall provide a person to accompilnY the Department's representative during an inspection to the permit area when 'llquested by the Depertment. A copy of this permit, including all referenced maps, drawings and speolal conditions, must bEl available for inspection by the Department at all times at the project site or facility, Failure to produce e copy of the permit upon request by a Department representative is a violation of this perm~, General Condition 2: Relatiorl$hlp of this Permit to Other Department Orclers and Determinations Unless expressly provided for by'the Department, Issuance of this permit does not modify, supersede or rescind any ortler or determination previously Issued by the Oepertment or any of the terms, cond~ions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or MOcllflcatlons Tha permittee must subm~ a separate written application to the Department for renewal, modification or trensfer of this permit. Such application must Include any forms or supplementallnformatlon the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application atleBs!: a} 180 days before expiration of parmlts for State Pollutant Discharge Elimination system (SPDES), Hazardous Waste Manegement Facilities (HWMF). major Air Pollution Control (APe) and Solid Waste Management Fecliltles (SWMF); and 0) 30 days before e)(plratlon of all other permit types. SubmIssion of applications for permit renewal or mOdlflC9tion are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 Genaral Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the rlgh) to modify, suspend or revoke thill permit In accordance with 6 NYCRR Part 621. The grounds for modification, suepension or revocation include: a) materially false or Inaccurate statements in the permit application or supporting papers; b) failure by the penmittee to comply with eny terms or conditions of the permit; c) eKceeding the scope of the project as descnbed In the permit application; d) newly discovered metenal informetion or a matenal change in environmental conditions, relevant technology or epplicable law or regulations since the ISSUance of the existing permit; e) noncompliance with previously Issued pemnit conditions, orders of the commissioner, any provisions of the Environment81 Conservation Law or regulations of the Department related to the permitted activity. Deo PER-il.,ur NVMiJiR 1-4736..Q3447/00001 PAGE ~ OF ..!. NW YQRKSTA7E DEPARTMENT OP: ENVtRONMENTA1..CON~e~VATI""N . ADDITIONAl- GENERAL CONDITIONS FOR ARTICL!S 15 (TITLE 5), 24, 25, 34 AND GNYCRR 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 aUll1orlzed, or II, in the oplnlOl1 of the Department 01 Environmental Conservation it shall cause unreasonable obstruction to the free navigation of seld waters or flood flows or endanger the hllallh, safety or wellare of the people of the State, or causa loss or destrucUon of the natural resour~s of the Slate, the owner may be ordered by the Department to remove or elter the structural worK, obstructions, or hazards ceused thereby without expense to the Stille. and ~, upon the expire~on or revocation of this permi~ the strueture, flll, excavation, or olner modification of the watercourse hereby authorlz:ed shall not be completed, the owners, shell, without expense to the Slate. and to such extant and In such tima and mannar as the Department o( Environmental ConservatlOl1 may require, remove all or any portion of the uncompleted structure or flll and restore to Its former COI1d~ion the navigable and nood capacity of the watercourse, No claim shall be made ageinstthe State of New York on eccount of any such removal or alteration, 2. The State of New York shall In no case be lIeble for any demege or iniury to the structure or work herein authorized which may be caused by or result from future operatlonG undertaken by the State for Ine conservation or Improvement of navlga~on, or lor other purposes, and no claim or right to compensetion shall accrue from eny such damage. 3. All necessary precautions shall be Iaken to preclude conlllmlnation ofanywetland or waterway bysuspendad solics, sediments, fuels, solvents. IUbricanle, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials aGsoclated wlth the project. 4. Any meteriel dredged In the conduct of the work herein permitted shall be removed evenly, wllI10ut leaving large refuse piles, ridges across or along lI1e bed of a waterway or floodplain, deposits within any regulatory fioodway. or deep holes that may have a tendency to cause dllmage to navigable channels or to the banks of a waterway, 5. There shall be no unreasonable Interference w~ navigation by the work herein Iluthorimd. 6. If upon the expiration or revocation of this permit, the proJee! hereby authorIZed has not been completed. the applicant shail, w~out expense to the Slate, and to such extent and in such Ume and manner as the Department of en...lronmenllll Conservation meyrequlre, remove all or any portion of the uncompleted stnucture or fill and restere the &lte to Its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7, 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 standerds under Sections 301,302, 303, 306 and 307 of the Claan Water Act of 1977 (PL 85-217) prOVided that all of the conditions listed herein are met. e. At Ieest48 hours prior to commencement of the projeot, the permittee and contractor shall Glgn and return the top portion of the enclosed notification form certifying lhatlhey are fully aware of llnd understand all tenms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must elso be signed and retumed, aiong w~h photographS of the completed worK and, If required, a survey. 9. All activities authorized by this permit must be in strict conformance with the epproved plans submitted by the epplicant or his agent as part of the perml1 application. Such approved plens were prepared by John C. Ehlers laet revised Februarv 16 2005. olC ~IRM"" """nR . 1-4738-03447/00001 I I PAGE..!. OF ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! PERMIT NO. '1 ObOd- t- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees "j/S' ,20~ '0), 20~ Examined / If 15, 2rfJL \ Contact: (") Mail to:J!!A1l1L JC~;/f1t.-rz- ftl/!;Q.K 9 J 3 C~rz:Hw.f/.c.. Phone:. lJf~4ltfr Approved Disapproved ale Expiration /C-...b-- t Building Inspector !-1 APP\,ICATION FOR BUILDING PERMIT ..-J_ :.-/.- Date fr}/2?/{}J ( ( ,20_ INSTRUCTIONS a. This appli~ation 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 &uthorize, in. writing, the extension of the permit for an addition six months.. Thereafter, a new permit shall.be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. (Signature of applican or name, if a corporation) fo tJl'A '1 J } Cvrz; ~~ - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 2 C t-pf12-t/ ( ./07 C-F pK!.- t C (;;)(./~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: 10 S Ft Sit elf- M /j7V./ tJ G/f-G rl House Number Street ;eo C (/ R: ffrJ c; v~ Hamlet Section~Block 0 f Filed Map No. Lot Lot 42- County Tax Map No. 1000 Subdivision (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy SIAJCGL F4A11'1 US/OLAf TIe}-{ b. Intended use and occupancy S/1"'11E- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition y Other Work Alteration X' 4. Estimated Cost (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. IfbusissEt.zercipoLm~~.t5ancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth _ Height Number of Stories S fi/(C .~ U )e c./ W 8. Dimensions of entire new construction: .F/lilt Rear Depth Height Number of Stories 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated je... 4-- 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO (l1Ctt',&/-tU) ( .j(jlt"f. ~l tl4'f"'16./VQ Pt... - 14. Names of Owner of13~emises .r;::;::"'1/N1O Address IfE.IAJI.A>ri "''I Phone No. 5/(, - 21"-- Z JJ " NameofArchitectl'?'4aL Jc.__T"L Address Phone No 7.r~-(t(,t-r Name of Contractor Address Phone No. IS a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YESXNO_ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES -X- 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) COUNTYOF~~)~ 11 A1G.l I Oflw ~"Z-.. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 4-fU;~ if::~ (Contractor, Ag t, Corporate Of lcer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. tJJ1J Sworn to before me this... .1 .\.. . ~ day of UO\-V"^--.. 20 oC;- -1~~ G ~ Notary Public BARBARA ANN RUDDER Nollry Public, Stltl of New York 140.4855805 Qualified In Suffolk County Ok eo { _ Commllllon Expire. April 14, - 'f' Signature of Applicant Permit # Permit Date RES check Software Version 3.7.3 Compliance Certificate I , Project Title: Friedland House Report Date: 05/11/06 Data filename: C:\Program Files\Check\REScheck\FriedlandHouse.rck Energy Code: New York Slate Energy Conservation Construction Code Suffolk County, New York Detached 1 or 2 Family Non-Electric 17% 5750 Location: Construction Type: Heating Type: Glazing Area Percentage: Heatin9 Degree Days: Construction Site: 105 Fishermans Beach Road CtJIchogue, NY 11935 Owner/Agent: Richard and Joyce Friedland 105 Fishermans Beach Road Cutchogue, NY 11935 Designer/Contractor: Mark Schwartz Mark K. Schwartz, AlA - Arch"ec\, PLLC P.O. Box 933 Cutchogue, NY 11935 Compliance Passes MaXimum UA 244 Your Home UA 237 --> 2.9% Better Than Code (UA) Assembly ..... 0.340 26 93 84 34 Ceiling 1: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with Low~E: Floor 1: AII~Wood JoistlTruss:Over Unconditioned Space: 750 1456 248 728 30.0 15.0 0.0 0.0 19.0 0.0 The proposed building represented in this document is consistent wtth 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 th best of hi r knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. t OIl/of' Builder/Designer Company Name Date Friedland House Page 1 of 4 RES check Software Version 3.7.3 Inspection Checklist Date: 05/11/06 Ceilings: o Ceiling 1: Flat Ceiling or Scissor Truss, R-30.D cavity insulation Comments: Above-Grade Walls: o Wall 1: Wood Frame, 16"o.c., R-15.0 cavity insulation Comments: Windows: o Window 1: Wood Frame:Double Pane with Low.E, U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes _ Frame Type Thermal Break? _ Yes _ No Comments: Floors: a Floor 1: All-Wood JoistlTruss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: o Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. o Recessed lights must be 1) Type Ie rated. or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-Ie rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: o Required on the warm-in.winter side of all non.vented framed cellings, walls, and floors. Materials Identification: o Materials and equipment must be installed in accordance with the manufacturer's installation instructions. o Materials and equipment must be identified so that compliance can be determined. o Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. o Insulation R-values and glazing U-factors must be clearly marKed on the building plans or specifications. Dud Insulation: [J Supply ducts in unconditioned attics or outside the building must be insulated to R-8. o Return ducts in unconditioned attics or outside the building must be insulated to R-4. D Supply ducts in unconditioned spaces must be insulated to R-8. o Return ducts in unconditioned spaces (except basements) must be Insulated to R. o Return ducts in unconditioned spaces (except basements) must be insulated to R.2. . Insulation is not required on return ducts in basements. Dud Construction: o All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 1818. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pal. o The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Fliedland House Page 2 of 4 o Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: o Separate electric meters are required for each dwelling unit. Fireplaces: o Fireplaces must be installed with tight fitting non-combustible fireplace doors. o Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Buifding Code, as applicable. Service Water Heating: o Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. D Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: o Insulate circulating hot water pipes to the levels in Table 1. Swimming POOls: o All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time dock. Heating and Cooling Piping Insulation: o HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Friedland House Page 30f4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes 'nsulation Thickness In Inches by Pipe Sizes Heated Water Temperature (OF) 170-180 140-169 loo-139 Non-Clrculatlng Runouts Circulating Mains and Runouts Up to 1" 0.5 0.5 0.5 Up to 1.25" 1.0 0.5 0.5 1.5" to 2.0" 1.5 1.0 0.5 Over 2" 2.0 1.5 1.0 Tab'e 2: Minimum Insulation Thickness for HVAC Pipes Piping System Types Heating Systems Low Pressurerremperature Low Temperature Steam Condensate (for feed water) Cooling Systems Chilled Water, Refrigerant and Brine FlUid Temp. Range('F) tnsulatlon Thickness In Inches by Pipe Sizes 2M Runouts 1M and Less 1.25" to 2.0" 2.5" to 4" 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 201-250 120-200 Any 40-55 Below 40 NOTES TO FIELD: (Building Department Use Only) Friedland House Page 4 of4 ,I 3,~DO ~ ~ "" ." . ~ f ....~, " IlEGls-rnNl or VlTAJ, ST^TlSllCS Mi\rmtAGF: OffICI.:11 rtECOflJ)S MNMC€MENT OITICEll rr1EEDOM or INrOfUMTlON orrlCE~ ["",,, lIall, .\ JII~:> 1.1.." r,o, nn. 117'1 S!lUlhold New. ....ork , F" IS 1(" 1<'>~'1~~ Tclcrh(l(lc t51(q 7(1$-:- , . 'JlIP'l1'H T, TERRY , to WJ'/ CLEfU{ OFFICE OF THE TOWN CLERI< TOWN OF SOUTH OLD F1~~d " THIS IS TO CERTIFY THAT THE FOllOWING RESOLUTION WAS ADOPTED BY THE SOUTHOlD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under tlie Flood Damage Prevent regulations ,J a; the Code of the Town of, Southold: jlpplicatioCl" [FDP(9J)], and !,Certificale Special Flood Hazard Area ((iC(9J)], "Floodplain Development Pe rmi I ,I ) of Compliance ?{r Oevek/pmen t in " / fO\[}i; ~,c,~; -- ~I ~ . 8~,J. oc:rr-. '.....-. TOW:j OF SOUTlIOLD nl ,)1 d,,-4~~ ~hT,T~ Southold Town Cle,k August 25, 1993 } '. " " ,', , ., APPLICATION (/ r^GE I or 4 - TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PEfUYfIT Al'PLICATION This form is to be filled out in duplicate. , SECTION 1: GENERAL PROVISIONS (APPLICANT to read and 5igpL- L No work may start until . permit is issued. 2. The permit may be revoked if...y false st.temenu are made bereln. 3. If revoked, all work must cease until permit is re,issued. 4. Development sball not be used nr occupied uotil . CertifiC<lte of Compli...ce is issued. 5. The permit will expire if DO work is commenced within six months of issu...ce. 6. Applicant is hereby informed tb.t olber permits m.y be required to fulfilllo~, sl.te lUld feder.1 regulalory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable . Inspections required to verify complUncc. . 8. 1, THE APPLICANT, CERTIFY THAT ALL 5T A TEMEtITS HEREIN AND IN A 11 ACHME)'ITS TO _ THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCURATE. (APPLlCANT'5SIGNATURE)~011 ~ DATE /o/a..7/o" . . / / / //5ECTrON 2: PROPOSED DE:VELOU~Ei'iT iT" te co'IlJll,led bv APPLlCANl1 NAME ADDRF--SS TELEPHONE Al'PLlCANT BUILDERC I, I .nrts-f<,rl1.er ENGINEER /If. Lea.Je ^ fJ>,fJ<>x. (oJ' C.wf~Ll.e.. 1<11. 1/'155 f3<r-J-3~ PROJECT LOCATION: To avoid delay io Pi'O<X.SSlng tbe .ppucation, please provide enough information to ~ily identify the projecl location. Provide the street address, lot nurob", or legal description (anach) and, outside urbao areas, the distBDCC to lhc nearest inlc.rsccting road or \J.ICU-kno\.llllliOdma..rk. A skeLch attached to Lhis applkalion sbowing the project location would be belpful /0.5 Nr I/O!.hf A-!-I J _$ e7fctf ;e D, Cu 'Tcff~CA-t.?-~_i"-_ II q 3 5 FDP( 93) ,.,!", '.' , II' .. .' .J". ',' , , APPLlCA TIOI'i ;'; PAGE10F' DESCRIPTION OF WORK (Cheek all appuG1blc boxcs) A STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE TYPE ~sidential (1-4 Family) o Residential (More than 4 Family) o Noo-residential (Floodprooflng' 0 Yes) o Combined Use (Residential & Commercial) p 0 Manufactured (Mobile) Hnme ([0 Manu- faetured Horne Park7. 0 Yes) o New Struclure cridditjon o ,AJtcralioo o Relocalion o DemciUtion o Replacement ESTIMATED COST OF PROJECT S /.0 0 C'O V ,. . B. OTHER DEVELOPMENT ACllVlTIES: o Fill 0 Mining 0 Drilling 0 Grading o Excavation (Except for Structural Development Cbeeked Above) o Watercourse Alteration (lDcluding Drwging aod Channel1y{odiIicalions) o Drainage [mprnvements (Including Culvert Work) '; 0 Roa/t Street or Bridge Construction 1/ 0 Su10visioQ (New or Expansion) o (!}llividuaJ Water or Sewer System r-. Other (Please Specify) " / / / , / Ntu completing SECT10N 2. APPLICANT .shouJd submit form to Loc.aJ Admiuistra(Or for review, SECTIOM J: FlA)ODPLAfJ'I DETERM[MATIOM [To be eomnlcted bv LOCAL ADMlNlSTRATOR) The; proposed development ls loc::Hed 00 FIJUv{ Pand No. . Dated The Proposed Development: o Is ~ located in . Special Floo<l Hazard Area (I'Iotify the 'ppucant that the application review is complete IlDd NO FlA)ODPLAlN DEYELOPMEI'IT PERMIT IS REQUIRED). o Is located io , S!",oal Floo<l Haurd Area. FIRM v:mc dt:signation is 100- Yeu nood elevatioo al the sile i.s: FL NOVO (MSL) o UoavaiJable o The proposed developmenl i5 loenled io a noodway. ell FM Panel No. Daled Cl See: Scc(ion r1 (or Hldilional iOSU\JClioo.<, Slc~rED DATE ~~~--- ....- ',' ,. , ..' , ;, . APPLICATION ,1/ PAGEJOF4 SECTION 4; ADDITIONAL INFORMATION REOUIRED (To he comoleted bv LOCAL ADMIN'ST~^TORj The applicant must submi, ,he documents checked below before tbe application can be processed: o A sile plan sbov.ring tlie location of all cruling structures, water bodks, adj~ceDI roads, 101 dimensions and prnposed development. o Development plans, drawu to scale. and speciCtca'ijJns, includin~ wbere appuC<lble: <letalls (or llIcboring struc,ures, proposed clevation of lowest Ooor (including basemcol). types o( waler resislanl malerials used below tbe fLIst noor, details of noodproofwg of uLililies localed below the Ctrst Ooor and details of enclosures below ,be Ftrst Ooor. Mo, o Subdivision or otber developmcot pl= (H tbe subdivision or other developmeot exceeds 50 lots or 5 acres, wbicbever is tbe le5$cr, the applicant must provide lOO-year nood clevatioiu if they are oat otberwise avillable), o PI3.\lS showing the extent of watercourse relocation and/or landform alterations.. o Top of new Fill elevation Fl. NGVD (MSL). o Aoodproofmg protection level (non-residen'ial only) l't: NOVO (MSL). For Ooodproofed structures. ';'pplicant must a'tacb certification from r~gislered engineer or hi /' _ arc led.' ( /. o Certificalion [rom a-r;giscc.rc.d engineer that the proposed acti0& in a regulatory fioodway will oat result in .@Y loCfe3sc in the height of the loo-year naod. A copy of all data and c.alO+1ations supporting chis ftnding roust aJso be subrniHcd. o Otber. SECTION 5: PERMIT DETERMINATION rfo be completed bv l-O"':AL ADMINISTRATOR) I have determined tbat tbe proposed activity: A. 0 Is B.O Is nol in conformance with provisions of Local Law ,# , 19 attached (0 and mllde part or this permit. The permit is issued subjecllo the conditions SIGNED , DATE If BOX A is checked, tbe LouJ Administrator may issue a Development Permil upoo payment of designated fee. If ~OX B is checked, tbe Local Admin.i.JlraIOr .....ul provide 3 milleD summary of dcnciencics. Applica.nl may revue and resubmit an application 10 the Local Administr<llor or may request a bearing (rom {be Board or AppeaJs ...... n p" " APrLlCA TION ~ PAGE 4 OF , APPEALS Appealed to Board of Appeals' 0 y" 0 No Hearing dale: Appeals BmrrJ Dt;;I..~;vU --- AppIV'H,J~ 0 \;.....1 0 ~Ie Cooditions SECTION 6: AS.DUILT ELEVATIONS (To be submitted bv APPLICANT before CertifiC<\te of COOlDliance is issued) The roUowing information must be provided ror .projecl slructure.s.. This section musl be cornpleled b:y a registered professioDal cDgineer or a ticcosed land survcyor (or attach a eutificauon to thll apptication). Complete I or 2 below, 1. Actual (As.Built) ElevatiOD of the top of the lowest noor, including base",eDt (in Coastal Hi2h Hau.rd Areas. MUom o( lowest structural membcr of tbe lowest Door, excluding piling and columns) is: FT. NGVD (MSL). L . "Actual (As.Buut) ElevatioD of noodprooflDg protcctioD is FT, NGVD (MSL). / 'j .) , ."I NaY: Any work perfonDed prior to SUbmittjlO( the above informatioD is at tbe r')'Of the APi'':c.anl. " / SE:CTION 7: COMPLlANCE ACT10N ITa be comDlcted bv LOCAL ADMINISTRATOR) The LOCAL A.DMINISTRATOR will complete lIDs scction as appuC<lble based 00 illspectioo of the project to ensure compliance witb the community's locaJ law for ilood damage prevention, INSPECTlONS: DATE DATE DATE BY BY BY DEFIClENOES? 0 YES 0 NO DEFICIENCIES? 0 YES 0 NO DEFICIENOES? 0 YES 0 NO SECTION 8: CERTIFICATE OF COMPLlA.NCEITo be eomnleted bv LOCAL ADMINISTRATOR) ~rtliiC<lte of Comptiance issued: DATE: BY: . ' . -" . . j .:~ . " '. .' . Attactunent B I j / 8AM~;;'E CERTIYICATEjJF COMPLIANCE for Developm~nt in a special Flood Hazard Are~ .'. " J.. II I, ( if,. " "10,,' .' '. , TOWN OF SOUTHOLO . ., .. CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT [N A SPECIAL FLOOD HALARD AREA (~R-MTIST rlin Tl'L.THTS C:ERTIFICATEl ~. PERMIT NO, PERMIT DATE PREMISES LOCATED AT: CHECK ONE: o NEW BUILDING o EXISTING BUlLD ING o VACANT LAND OWNERS NAME AND ADDRESS: J / / " . / j / I / TIlE LOCAL ADMINISTRATOR [5 TO COMPLETE A- OR B. BELOW: A. COMPLIANCE [5 HEREBY CERTIFIED WITH TBE REQUIREMENTS OF LOCAL LAW # ,19 SIGNED: - DATED: B. Cm,lPLIANCE [5 HEREBY CERTIFIED WITH TIlE REQUIREMENTS OF LOCAL LAW tI ,19_. AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: CI C (9J) SURVEY OF LOT I MAP OF PECONIC BAY PROPERTIES INC. FILED APRIL 15, ICf31 MAP No. 186 SlnJA TE: FISHERMAN'S BEACH TOHN: SOUTHOLD SUFFOLK COUNTY, NY Site Address, ~h 11-~ '& CO ~ N W * E S SURVEYED 12-02-2004 AMENDED 1-24-2005, 2-16-2005 SUFFOLK COUNTY TAX ~ 1000-111-1-42 PREPARED FOR: loyc:c Friedland 105 Fisherman's Beach Road cutchogue, Ne.... York ~J)L'! 111 4, ~ , ' I ", ';~e- - - Jtllaywaters Road " '..... ro--~. I ~~;:::6s:Ilaod/' AH~ E'I."OI$ Tldol ~tlond Boundary as detel"'mlned EnConsultants on 12-03-04 e, 1.3'[ I V '" 1,,9, { I ,/ ~ ,. ,; , , , , , , / / " ~ " I I. I. I I I j I I I I I I I I I Ifq' I II I J I \ I .. '" '.... I ",. ,.... ('r) I '" I ,!' ~o " P~oposed 5' I Sto~~ House Addition \ \ . I 'U : g \~ \ P~oposed 5' Deck Addition. and Ste s ;), ~ ~ ~ ..~ ~ o ~ ~ I J ~ I I Ff f 3.6'1 I o \1 I ~/ 1\ J:j I '- ii / ",' ftJ{ ,'- '~,', jlJ 1(/1 ::;' - ~ "- "- "- QII f ",,, ';;2:> " ~/"'';:~ "/' \ ) / j:J " '\ I \ \ -5- / / \ \ '\ \ " ~ " .... SJ.I 6___ __ ",.\ ~i~' ~ \ " \ \~ "- --8- \ / I '1-. / I I -...... -1- I / I / I I I 1---6-- NOTES, / ELEVATION5 REFERENCE NGVD'2q DATUM PARCEL EXI5T5 ENTIRELY IN FLOOD ZONE AE (EL 8) A5 SHOio'IN ON FIRM MAP B6103G0164 G DID MAY 4, Iqq8 AREA OF EXI5TIN6 ADJACENT AREA COVERAGE EGlUAL5 2810 5.F. 15.2 % AREA OF PROPOSED ADJACENT AREA COVERAGE 182 5.F. OR 1% TOTAL AREA OF EXI5TING AND PROPOSED ADJACENT AREA COVERAGE 2,QQ2 5.F. OR 16.2 % A.H.IfII.M. Equals Tidal IfIIetland Boundary as determined EnC.onsult"nts on 12-09-04 / AREA = 16,511 SF OR 0.4:3 ACRES GRAPHIG SGALE 1"= 30' ~ " C A. "- Vt ""'3':""<' '~"- C'" :t~h o ~ Q-S 9v0 %~ '1.;" ,( , "P.ty ':>'q ~"7J "'L .J" 0 00", v~ / ~ " ~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. Lie. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Server\c\pros\04\04-328.pro 1;11 ;, 'l. O.3"AM '" ,... ~", . ._'''~ 0 , ' I , "& I , , S~e' - - _ ywaters Road , " ro --~ oa...... I ~ QcI~ay --- , ", J~isbemum's B~rr Rood- - - " .........._ - / I ,I :,'0,," ., (:> -"~~:,::?,,,~ .) .,~'. !-",,:)/,:./ ,,,,,,,- ... ~ ~, ~: r;' \.)''.c''~ ... '0 -\l" ".~,",,>- tAND ~., ~.....(.:.. JOHN C. EHLERS LAND ~V~~~;:~~ I I .....___J -.---:<:~"- 6 EAST MAIN STREET RIVERREAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\\Server\c\pros\04\04-328.pro SURVEY OF LOT I MAP OF PEGONIG BAY PROPERTIES ING. FILED APRIL 15, ICf31 MAP No. 186 SITUATE: FISHERMAN'S BEACH TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 12-02-2004 I AMENDED 1-24-2005,2-16-2005 SUFFOLK COUNTY TAX # 1000-111-1-42 PREPARED FOR: Joyce FricdIand Site Address, 105 Fisherman's Beach Road CutGhogue, Ne>'l York --, \ \ I,~~ I Y 0 ~ lo J;; hi.H. ; d ___ 1,',,// 1,;:7 I' <. & -6 _ I Proposed Dr >^lei 1 " Proposed 5' I Sto,~ House Addition 2 Sto '0 ,""rom ry u e . TOus It 6 e ora. ge , , , , , , , , Ilq' 7, 1/ 'II I ~ I \ Proposed 5' Deck Addition. and Ste S r ()/ '"'J , , , I o Ii ~/ ,'\ OJ , ~, '- jj&i/ \~/'=~~~, IY f _', ~/(/I ;;' - ~" ':" <:)11 P ",,, '" " , ~ '0 ",,- \ 1<U ) I f;A If. '0' '- ,'\ \ ~5- / \ '- "\ \ '- ~ / '- t ".Y\1.-L"- 5:;1 6..... --- 'f1::I- 0.7'"" I ~"- \ "- :;: '- /; \~ \ " "G j(, ;--8- I/, ).... ./ '% I --.. _,_ - \ 'w' , \ ./ , ~I II I --r/; , A.H.Ji'I.M. Equals Tidal Ji'I<otland '/4,' _ _ _ 6- _ /' 60undary as determined EnConsul1:ants on 1::2-09-04 ~ I ""' ' , \ lo~LI / \ ' , , " , I , '- ' o metal cOver ! / -1- , o o I . / . / ~ I . /~ IN //JI' / '~ ~ '- , o '- I ! / / / / ~ '- I L___.. C ' Vf: ' ~ "'1. '~" c,." :t'?;{"", 0.8 ff.. Q-s v~ ,,%~-,!,-"y -'Stq ~""J ~L ..]" 0 00/"1 V" / ~ ./ ~h ~~ -. ~ 'Cl ~ N W -}.". ~.E /' ," ! S AU; IN ,ill: ~ AHW AH~M Equals Tidal I'Wotland BovndCll"'I.j CIS determined EnC.onsul'1Glnts on 12-09-04 It II /'1' I. / . I J .' / A !,' to.. I ,..., II .". , / I ..., . \Ii/ I ('/) \"f '", I , '\1 ~ !! ~ . "/q) /0, tg I / I / I J 'I . NOTES, ELEVATIONS REFERENCE N6VD'2q DATUM PARC-EL EXISTS ENTIRELY IN FLOOD , ZONE AE (EL /3) AS SHO"'" ON FIRM MAP 36103C0164 6 DID MAY 4, Iqq/3 AREA OF EXISTIN6 ADJACENT AREA c.oYERA6E EQUALS 2/310 S.F. 15.2 % AREA OF PROPOSED ADJACENT AREA COYERA6E 1/32 S.F. OR 1% TOTAL AREA OF EXISTIN6 AND PROPOSED ADJACENT AREA c.oYERA6E 2,QQ2 S.F. OR 16.2 % AREA = 18,511 SF OR 0.43 ACRES GRAPHIG SGALE ~ 111= I 30' l ""V'-'j '"",,, 1."""",,,_,,, , '''' e' l,,~ ',1""1' "tt """J'",,>1 "-",,,'.""-.,-. "h,_"." '"''e''''''' "".::,':::::' """ 1>,,',,-,.., ,'.l;,,, 'd'"''''''''''''